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The Journal of Canadian Denturism / Le Journal de la Denturologie Du Canada
Summer/été 2007
D e n t u r o l o g i e c a n a d a
C anadians Highlights from
the World
in
Coventry
Symposium on
Private Dental
Technology
and Denturism
Canadians in Coventry Sponsored by:
PM #40065075
Theriault
papeterie
et Ameublement de bureau LTée
F i n d i n g t h e i d e a l pl a n e o f o cc lus i o n
Denturist Association of Canada
L’Association des Denturologistes du Canada
Executive 2006-2008
members and provincial offices
President Denturist Association of British Columbia The New Brunswick Denturists Society
David Hicks, LD, DD C312-9801 King George Hwy, La Société des denturologistes du N-B.
Phone: (204)489-9364/(866) 255-6827 Surrey, BC V3T 5H5 288 West Boulevard St. Pierre
Fax: (204) 487-3969 Attn: Lynne Alfreds, Executive Secretary PO Box 5566 Caraquet, NB E1W 1B7
e-mail: davidhicks@shaw.ca Tel: (604) 582-6823 Fax: (604) 582-6823 Attn: Claudette Boudreau, Exec. Sec.
e-mail: info@denturist.bc.ca Tel: (506) 727-7411 Fax: (506) 727-6728
1st Vice President website: www.denturist.bc.ca e-mail: claudetteboudreau@nb.aibn.com
Martin Damphousse d.d.
Phone: (514) 252-0270 Denturist Association of Alberta Denturist Society of Nova Scotia
Fax: (514) 252-0392 140, 2325 - 50th Avenue 141 Commercial Street, Suite 5
e-mail: martin.damphousse@adq-qc.com Red Deer, AB T4R 1M7 Glace Bay, NS B1A 3B9
Attn: Dave Thomas, DD Attn: William Lloy, DD, President
2nd Vice President Tel: (403) 358-5558 Tel: (902) 849-1496
Paul Hrynchuk, DD e-mail: denturel@shaw.ca e-mail: bill-deanna.lloy@ns.sympatico.ca
Phone: (204) 669-0888
Fax: (204) 669-0971 The Denturist Society of Saskatchewan Denturist Association of
e-mail: kellydc@shawbiz.ca 534 Victoria Avenue Newfoundland Labrador
Regina, SK S4N 0N7 6 Commonwealth Avenue
Vice President - Administration Attn: Scott Arndt, DD, President Mount Pearl, NL A1N 1W2
Maria Green, DD Tel: (306) 569-2900 Attn: John Browne, DD, President
Phone: (604) 521-6424 e-mail: vicedc@accesscomm.ca Tel: (709) 364-3355 Fax: (709) 364-3355
Email: airamn@telus.net
Denturist Association of Manitoba Denturist Society of Prince Edward Island
Vice President - Finance PO Box 70006, 1–1660 Kenaston Boulevard c/o Rhyno Denture Clinic
Michael Vout, DD Winnipeg, MB R3P 0X6 222 University Avenue, Charlottetown, PE C1A 4L7
Phone: (613) 966-7363 Attn: Kelli Wagner, Administrator Attn: Pat Rhyno DD, President
Fax: (613) 962-6000 Tel: (204) 897-1087 Fax: (204) 488-2872 Phone: (902) 892-3253
e-mail: mvout@bellnet.ca e-mail: kelli_wagner@mts.net Email: rhynopat@hotmail.com
website: www.denturistmb.org
Past President/Liaison Officer Yukon Denturist Association
Tony Sarrapuchiello, DD The Denturist Association of Ontario #1-106 Main Street
Phone: (819) 663-7735 6205 Airport Road, Bldg. “B” Suite 203 Whitehorse, YT Y1A 2A7
Fax: (819) 643-4912 Mississauga, ON L4V 1E1 Attn: Peter Allen, DD, President
e-mail: cmd@bellnet.ca Attn: Kim Stilwell, Chief Administrative Officer Tel: (867) 668-6818 Fax: (867) 668-6811
Tel: (800) 284-7311 Fax: (905) 677-5067 e-mail: pjallen@northwestel.net
National Office / e-mail: info@dao.on.ca
Chief Administrative Officer website: http://www.dao.on.ca Denturist Association of Northwest Territories
Gerry Hansen Box 1506, Yellowknife, NT X1A 2P2
PO Box 46114 RPO Westdale L’Association des denturologistes du Québec Attn: George Gelb
Winnipeg, MB R3R 3S3 8150, boul. Métropolitain Est, Bureau 230 Tel: (867) 766-3666 Tel: (867) 669-0103
Phone: 1-800-773-0099 or (204) 897-9092 Anjou, QC HIK 1A1
Fax: (204) 895-9595 Atten: Kristiane Coulombe, service à clientele Affiliate Members
e-mail: dacdenturist@mts.net Tel: (514) 252-0270 Fax: (514) 252-0392 Clinical Dental Technicians Assoc. (UK)
e-mail: denturo@adq-qc.com 12 Upper Street North
Deliveries only: website: www.adq-qc.com New Ash Green, Kent DA3 8JR, England
67 Bergman Crescent, Attn: Chris Allen, DD, Chief Executive
Winnipeg, MB R3R 1Y9 Tel (44)1474-879-430 Fax: (44)1474-872-086
e-mail: chris@clinicaldental.prodigynet.co.uk
Honorary Members
Austin J. Carbone, BSc, BEd, DD
The Honourable Mr. Justice Robert M. Hall
denturist college programs
continuing education programs
Denturist Program Le Centre international de recherche
George Brown College of Applied Arts and Technology et d’éducation en denturologie (CIRED)
PO Box 1015, Toronto ON M5T 2T9 Collège Édouard-Montpetit
Tel: (416) 415-5000 Ext. 3038 or 1-800-265-2002 Ext. 4580 945, chemin de Chambly, Longueuil (Québec) J4H 3M6
Fax: (416) 415-4794 Tel: (450) 679-2630 Ext. 511 Fax: (450) 679-8458
Attention: Gina Lampracos-Gionnas Directeur: Patrice Deschamps d.d.
e-mail: glamprac@gbrownc.on.ca
International Denturist Education Centre (IDEC)
Département de Denturologie George Brown College of Applied Arts and Technology
Collège Edouard-Montpetit PO Box 1015, Toronto, ON M5T 2T9
945, chemin de Chambly, Longueuil QC J4H 3M6 Tel: (416) 415-5000 Ext. 4793 or 1-800-265-2002 Ext. 4793
Tel: (450) 679-2630 Fax:(450) 679-5570 Fax: (416) 415-4117
Attention: Suzane Fiset, d.d. Director: Michael Vakalis, DD
e-mail: mvakalis@sympatico.ca
Denturist Technology
Vancouver Community College, City Centre Northern Alberta Institute of Technology
250 W. Pender Street, Vancouver BC V6B 1S9 11762-106th Street, Edmonton AB T5G 2R1
Tel: (604) 443-8501 Fax: (604) 443-8588 Tel: (780) 471-7683 Fax: (780) 491-3149
Attention: Dr. Keith Milton Attention: Doreen Dunkley
e-mail: kmilton@vcc.ca e-mail: dental@nait.ab.ca
Denturist Technology Removable Partial Dentures for Denturists
Northern Alberta Institute of Technology Jurgen von Fielitz, DD
11762-106th Street, Edmonton AB T5G 2R1 2598 Etwell Road, RR#3, Utterson, ON P0B 1M0
Tel: (780) 471-7686 Fax: (780) 491-3149 Tel: (705) 788-0205
Attention: Maureen Symmes e-mail: jvonfielitzdd@vianet.ca
e-mail: maureens@nait.ab.ca
Accreditation: The following Canadian schools of Denturism are accredited by the Denturist Association of Canada:
George Brown College of Applied Arts & Technology, Toronto, Ontario
Northern Alberta Institute of Technology, Edmonton, Alberta
Vancouver Community College, City Centre, Vancouver, British Columbia
For display advertising, contact Craig
Kelman & Associates Ltd. For subscriptions
or classified advertising contact the Denturist
Association of Canada National Office.
The challenge of this publication is to
provide an overview of denturism, nation-
contents Summer/Éte 2007
ally and internationally, and a forum for
thought and discussion. Any person who
has opinions, stories, photographs, draw- features
ings, ideas, research or other information
to support this goal is requested to contact World Symposium review...............................................17
the Editor to have the material considered
for publication. Statements of opinion and The World Symposium on Private Dental Technology and
supposed fact published herein do not Denturism was held in Coventry, England this past May.
necessarily express the views of the Pub- Read about the event’s highlights, such as the IFD and
lisher, its Officers, Directors or members DAC AGMs, awards, and the Denturist of the Year.
of the Editorial Board and do not imply
endorsement of any product or service. Provincial Reports......................................................... 26
The Editorial Board reserves the right to
edit all copy submitted for publication. The ideal occlusion plane.............................................. 32
©2007 Craig Kelman & Associates Ltd.
Functional-physiological method of establishing the ideal
All rights reserved. The contents of this personalized plane of occlusion and setting of teeth for
publication may not be reproduced by edentulous patients.
any means, in whole or in part, without Denturists across the nation.......................................... 38
prior written consent from the publisher.
Bill Lloy is a coach, president of the Denturist Society of
ISSN: 1480-2023 Nova Scotia, member of the DAC accreditation com-
38
mittee, member of the Denturist Licensing Board of
Editor-in-Chief:
Hussein Amery, M.Sc., Psy.D., DD, FCAD
Nova Scotia, a deputy commanding officer of the 2nd
#112, 2675 - 36 Street NE
Battalion Nova Scotia Highlanders, and still finds time to
Calgary, Alberta T1Y 6H6 work as a denturist.
Phone: 403-291-2272
e-mail: ameryhk@telus.net
National Liaison: Gerry Hansen
columns
PO Box 46114 RPO Westdale
Winnipeg, MB R3R 3S3
President’s message....................................................... 9
Phone: 1-800-773-0099
or (204) 897-9092
Le Mot du Président........................................................ 9
Fax: (204) 895-9595
e-mail: dacdenturist@mts.net Editor’s message........................................................... 11
Published by: Insurance..................................................................... 12
Practice management.................................................... 14
News from across the nation.......................................... 36
Classifieds.................................................................... 43
3rd Floor, 2020 Portage Avenue
Winnipeg, MB R3J 0K4
Tel: (204) 985-9780
Fax: (204) 985-9795
34 Reach our advertisers.................................................... 46
e-mail: cheryl@kelman.ca
www.kelman.ca
Managing Editor: Cheryl Parisien
Design/Layout: Andrea Ardiles
Advertising Sales: Al Wiebe, al@kelman.ca
17
Return undeliverable
Canadian addresses to:
Denturist Association of Canada
P.O. Box 46114 RPO Westdale
Winnipeg, MB R3R 3S3
e-mail: dacdenturist@mts.net
Publication Mail Agreement #40065075.
Summer /Été 2007 
President’sMessage Le Mot DuPrésident
David L. Hicks, LD, DD
Partials and pesos
Partiels et pesos
T oday I witnessed the effects of true global competition
and its impact both positive and negative. Attending
my clinic today was a past patient from 2000. I had
at the time successfully placed a CUD/PLD. This particular
patient winters in Mexico to escape the harsh Canadian win-
A ujourd’hui, j’ai été témoin des effets de la véritable mondi-
alisation de la concurrence et de ses répercussions, bonnes
et mauvaises. J’ai reçu à la clinique une patiente que j’avais
vue en 2000. Je lui avais alors posé une prothèse supérieure complète
(PSC) et une prothèse inférieure partielle (PIP). Cette patiente passe
ters. It was there in Mexico in 2006 she had received root canal les hivers au Mexique pour échapper aux rigueurs de l’hiver canadien.
therapy to restore the #45. She had since then experienced soft Pendant un séjour au Mexique, en 2006, elle a reçu un traitement de
tissue trauma to the underlying mucosa beneath a lingual apron canal pour restaurer la 45. Depuis ce temps, elle a été affligée de lésions
of the aforementioned cast metal PLD. Further examination traumatiques des tissus mous, à la muqueuse sous la face linguale de la
displayed the obvious and common result that the PLD does PIP métallique dont il a été question plus tôt. Un examen plus poussé a
not seat properly anymore with a resulting rocking and general confirmé l’évidence, à savoir que la PIP ne reposait plus correctement sur
mis-fitting of the PLD. sa base; en conséquence, la prothèse bascule et, de manière générale, n’est
Considering the condition and age of the partial denture plus adaptée.
and its irreparable condition, I recommended a replacement to Étant donné l’âge de la prothèse partielle et le fait qu’elle soit irrépa-
improve function and comfort. At this point I quoted her the rable, j’ai recommandé de la remplacer pour améliorer fonctionnalité et
provincial fee guide of $835 and she quickly informed me of the confort. J’ai alors présenté à la patiente une évaluation de 835 $, conforme
fact that she could have this done in Mexico for about $300. au barème provincial, et elle m’a répondu aussitôt qu’elle pouvait faire
Of course, not all of our patients are affluent enough to faire ces travaux au Mexique pour la somme de 300 $.
winter in Mexico or other tropics, and therefore would not Bien sûr, ce ne sont pas tous nos patients qui sont assez à l’aise pour
be exposed to opportunities to “shop” for partial or complete passer leurs hivers au Mexique ou ailleurs sous les Tropiques, et qui
denture services in countries with lower costs of living than our peuvent ainsi « magasiner » leurs prothèses partielles ou complètes dans
own. Many of my patients have broached this subject with me d’autres pays où le niveau de vie est inférieur au nôtre. Néanmoins, bon
and I am sure many of you have similar stories to tell. As a den- nombre de mes patients ont abordé le sujet et j’ai la certitude que vous
ture specialist, I have immediate concerns of the quality of the avez des anecdotes semblables à raconter. À titre de spécialiste des prothè-
treatment and whether or not this practice of shopping for pro- ses, je m’interroge d’emblée sur la qualité du traitement et si ce « magasi-
fessional services “across borders” is truly in their best interest. nage transfrontière » de services professionnels est vraiment avantageux
But this was not the concern of today’s patient in my office. pour les patients.
Economics were paramount to her interests with the previously Mais cela ne préoccupait mais la patiente que j’ai reçue aujourd’hui à
mentioned concerns dismissed with a wave of disgust that I la clinique. Son souci était purement pécuniaire et elle a rejeté mes argu-
would not match the so called “Mexican” fee. ments, montrant sans équivoque son profond mécontentement puisque je
I courteously reminded her as she got up to leave, that if n’acceptais pas d’aligner mes honoraires sur les honoraires « mexicains ».
she did get a replacement cast metal partial in Mexico, that she Lorsqu’elle s’est levée, je l’ai poliment mise en garde. Si elle se procure
should check that the rests seat properly on her natural denti- un partiel métallique au Mexique, elle devrait s’assurer qu’il repose bien
tion and, with all due respect to my international colleagues, sur sa dentition naturelle et, malgré tout le respect que je voue à mes
that iatrogenic (harmful) dentistry has no borders, neither collègues internationaux, la dentisterie iatrogène (nocive) ne connaît pas
east/west or north/south. de frontières, ni à l’est, à l’ouest, au nord ni au sud.
Summer /Été 2007 
Denturism Canada continues to be strong and focused
In recent weeks, there has been some confusion regarding the future direction or mandate of
Denturism Canada. Apparently, this has arisen in light of a new publication aimed at dental
technicians and dentists in Canada and the US. Contrary to what certain people are saying, I
would like to assure our readers, subscribers, and advertisers that our magazine has been and
continues to be the only “OFFICIAL” voice of the Denturist Association of Canada (DAC)
and all of its provincial and territorial members. Not only is Denturism Canada the official
publication of DAC, it is the only publication endorsed by the NDA and IFD, and is recognized
internationally as such.
The mandate of our publication is “to provide an overview of denturism, nationally and
internationally, and to be a forum for thought and discussion.” Our publication has always been
a publication for denturists by denturists, with its editorial focus and its distribution targeted
specifically to this group of professionals across Canada. I can personally assure you that it will
not be a publication by technicians for denturists.
We always welcome and invite any person who has stories of interest and lifestyle, opinions,
photographs, ideas, research articles, or any other information that further advances our
profession to contact the editorial board for consideration.
David Hicks LD DD
President
PO Box 46114 RPO Westdale, Winnipeg, MB R3R 3S3
Delivery Address: 67 Bergman Crescent, Winnipeg, MB R3R 1Y9
Telephone 1-800-773-0099 or (204) 897-9092 Fax: (204) 895-9595
http://www.denturist.org email: DACDenturist@mts.net
10 Summer /Été 2007EDITOR’sMessage Hussein Amery, M.Sc., Psy. D. , DD, FCAD
Coventry 2007
T he international symposium
devoted to clinical dental
technologists/denturists was
a huge success in Coventry, England
this past May. The symposium reaf-
being the centre of King Henry VI’s
court during the Wars of the Roses,
to prisoning Mary, Queen of Scots.
All enjoyed the plethora of period oil
paintings, sculptures, stained glass,
firmed that the tide of public recogni- tapestries, and mistral players. The
tion and demand for denturist services evening’s hosts and notable dignitar-
worldwide has never been stronger. ies included the Lord Mayor of Cov-
The appreciation and proliferation is a entry, Councilor Shabbir Ahmed, the
result of our continued commitment to Chief Dental Officer of England, Dr.
dental continuing education, the effec- Barry Cockcroft, and the heads of the
tive delivery of services, and dedica- organizations from England, Chris
tion. The conference highlighted the Allen, Chief Executive, and Chairman
strength and growth of our profession Andrew Mclean of the CDTA, Jim
internationally with representatives Mackie, Chairman of the DLA, Paul
from over 20 countries. Levasseur, president of the NDA and
Canada had a major contingent Chair of the IFD, and our own presi-
with over 100 delegates, with Quebec dent, David Hicks.
leading the way. Organizers included The Ricoh Centre and the county
the International Federation of Den- of Coventry have a rich history. The
turists (IFD), Clinical Dental Techni- region is home to Charles Darwin, the
cians Association (CDTA), Dental founders of Cadbury chocolate and
Technologists Association (DTA), Royal Doulton china, Ozzy Osbourne,
and the Dental Laboratories Associa- and Robert Plant. Must-sees are the
tion (DLA), all who did a tremendous Warwick Castle, Stratford-upon-Avon
job presenting a first-class event in (Shakespeare’s birthplace), and for
a world-class venue. There were the car buffs, the Bentley (Crewe) and
over 50 exhibitors and 13 speakers, Jaguar facilities, as well as the Museum
covering the latest in dental materi- of Motor Transport, and famous golf
als and technology, marketing and courses such as Belfry. Even though
management, and the globalization of London holds the strongest allure to
our profession. UK visitors for culture and the arts,
One of the evening events spon- I encourage everyone to venture
sored by our great partners, Ivoclar, northward to experience the heart
treated attendees to an evening at of England.
one of England’s finest medieval I trust the next international sym-
Guildhalls, St. Mary’s. It has a posium will be as equally informative
7th century history that includes and enjoyable as Coventry 2007.
Summer /Été 2007 11Joe Pignatelli, RHU, is a Registered Health
Underwriter. He runs a disability and life
insurance practice in the Golden Triangle
area, with particular interest in the com-
munity. For further information contact Joe
at 1-888-772-2667.
Insurance Joe Pignatelli, RHU
Critical illness protection
The staggering health statistics Of all disabilities in Canada:
(Part 1) • 27.2% originate from cancer. There has been
The first of a three-part series of articles a 1% increase in the incidence of cancer – the
on critical illness protection. highest cause of disability – every year for
the last 35 years. Every year there are 145,000
Half of Canadian men and one-third of the women, diagnoses of cancer.
during their lifetime, will be diagnosed with one of • 26.6% originate from heart disease. Every
these three illnesses: cancer, heart attack, or stroke. year there are more than 70,000 heart attacks.
This should be considered when planning your Heart disease ranks close, as the second high-
financial security. Many Canadians are well over 50 est cause of disability. Consider that 50% of
– from which time, to the age of 75, there is a higher men and 30% of women aged 40 and under
chance of having a critical illness than dying; and will develop coronary heart disease.
the majority of this group will recover. • 7.4% originate from a cerebral vascular
disease. Annually, 50,000 strokes occur
among Canadians.
The survival factor
Many will survive a critical illness due to
advanced medical technology – 75% of those
diagnosed with cancer now live longer than
five years. For example: of all women, 11% have
a chance of developing breast cancer, yet of
those only 3.8% have a chance of dying from it
– meaning recovery is likely. Similarly, among all
men, 11% have a chance of developing prostrate
cancer, yet of those only 3.6% have a chance of
dying.
About 90% of hospitalized heart attack vic-
tims survive the initial occurrence. After the first
incident, 75% survive.
On average Canadian men live 8.5 years with
some form of disability, and women 11 years. An
unpredicted critical illness could mean you need
to quit work, lose your income, or retire early.
The risks are very high that your financial secu-
rity and lifestyle could be in serious jeopardy
during recovery – especially in a time when the
government shifts the burden of paying more of
12 Summer /Été 2007Personal expenditure on medical care and health services (Source: Statistics Canada)
1996 1998 2000 2002 2004
Total personal expenditure on consumer goods and services $480,427M $531,169M $596,009M $657,302M $722,631M
Total personal expenditure on medical care and health services 21,894 24,045 28,986 33,628 38,753
Medical care 10,286 11,682 13,456 15,590 18,183
Hospital care and the like 1,135 1,211 1,388 1,587 1,825
Other medical care expenses 3,277 3,569 4,137 4,546 5,038
Drugs and pharmaceutical products 7,196 8,583 10,005 11,905 13,707
Percentage of all personal expenditure
on medical care and health services 4.6% 4.7% 4.9% 5.1% 5.4%
our medical costs to the consumer. It is Of that consumers spent $13,707 million strains after surviving serious illnesses
expected that seniors over 75 will make on drugs and pharmaceutical products. – not to mention the worries associated
up half of the population by 2040. In 2003 the total health-related expendi- with financial setbacks. The good news is
tures cost the Canadian health system that you can prepare in advance for the
Are you prepared 10% of the gross domestic product. financial consequences relating to a criti-
for this possibility? If you were to experience a critical cal illness, by the advance purchase of an
Consider that the annual personal cost illness, could you cover the associ- insurance product referred to as Critical
for medical care, paid out-of-pocket, is ated medical and regular day-to-day Illness (CI) insurance.
$38,750 million as of 2004 doubling from expenses? Could you face the potential
1996 – a whopping 5.4% towards medical disruption of a loss of income and life- Part 2 of this series will continue in the next
care costs and health services combined. style? Patients suffer many emotional issue of Denturism.
Winnipeg (204) 946-5452 1-888-477-9378
Calgary (403) 245-5191 1-800-661-9345
100% Edmonton (780) 426-2050 1-800-661-7429
Canadian British Columbia 1-888-477-WEST (9378)
Labormat SD Hydraulic Press OL573 Aspyclean
A large, solid OL57 has been the hydraulic This suction
boiling-out unit press preferred by dental unit for pol-
for up to 12 flasks. laboratories for tens of ishing lathe
Also suitable for years. It’s success remains machines is
polymerisation of unchanged in spite of imita- built in com-
denture resins. tion. Now the model has been pliance with
Advantages: updated to OL573, which the European
• High-grade steel can host up to 3 flasks. This Directive. While being very silent, Aspyclean
housing • Con- oil-pressure press has been has an exceptional suction capacity. Well
tinuously adjust- dimensioned to work with distributed diffused lighting permits working
able temperature half of its maximum load under optimal visibility. All parts in contact
from 0-95˚C • applied: the pressure exerted with water are stainless steel and painted. The
Individual spraying-time adjustment with a 6 at 200 Atm is 8000 Kg, while filter cleaning and dust removal are extremely
minute timer • 24-h timer • Hand spray gun its max. load at 400 Atm is simple and trouble-free. It may be delivered
included • practical sliding lit • instanta- approximately 16000 Kg. In order to insure alone or with the M2V polishing lathe already
neous button for short boiling-out • Option- the highest safety, a pressure relief valve assembled.
ally installable or movable on castors. goes into action if the pressing load exceeds Instruments:
Includes: • Water run-off/supply hose • 8000 Kg. • Illuminated with neon lamp.
Cleaning brush • Castors • Flask plates • The OL573 hydraulic press is suitable for all • 2 gates, with the possibility of closing off
Collecting tank for waste water dental mechanic laboratories and is essential the suction on the unused side.
Optionally available: • Flask baskets for 3 when high quality and continuous working • 2 safety screens, transparent and adjustable
flasks (4 flask baskets fit into the Labormat SD) results must be obtained. • Ergonomic store for instruments.
Summer /Été 2007 13Janice Wheeler is the President and co-owner
of the The Art of Management Inc., a practice
management company dedicated to helping
denturists and other healthcare practitioners
reach their full potential. For more informa-
tion call 416-466-6217 or 800-563-3994,
e-mail info@amican.com, www.amican.com
Janice Wheeler
PRACTICEMANAGEMENT President, The Art of Management Inc.
Send out a search party
Finding the Lost
A practice-building resource that is often not fully Rewards
tapped is the patients who have received some ser- A half hour of staff time results in one reactivated
vice, such as a repair or a reline or a denture more patient (10 calls per half hour and a 10 per cent
than eight years ago, but who have not had regular result means one reactivated patient back into the
service since. If the patient is not in the practice practice). If you are not busy, the staff has the time
and is overdue for a visit, they need reactivating to call. Two reactivated patients per hour results
since they did not get the message last time they in $80 to $2,000 worth of income. The cost is only
were at the practice. Annual recall appointments an hour’s worth of staff time. This becomes a very
have become the norm for all leading denture valuable activity.
practices these days.
These patients are often ignored or omitted from Sending Messages
any internal promotion efforts such as newsletters, Patients who have been in the practice at some
reminders, etc. While the authorities do not always point should be contacted unless they are deceased,
agree on the costs involved in obtaining a new have moved far away, have asked not to be con-
patient versus reactivating one, they all agree that tacted, or you do not want to see them ever again.
it is easier and less expensive to reactivate a patient Newsletters, reminders and so on, can also be
than to obtain a new one. used to reactivate patients. In fact, newsletters
should be sent to inactives as more of a priority
Combing the Charts than actives. With the active patients, you are
A chart audit (a methodical review of all charts) preaching to the already converted.
should be done to find any outstanding work as
well as patients who have not been in the practice Turn the Knob
within a two-year period (or one year, if you do This is like a faucet. You turn it on when you are not
one-year recalls). Phone the patients and get them busy, and turn it off when you are very busy. Have
into the practice. Most often patient education needs fun with it.
to be worked on, for example, explaining why the
patient should be coming in on a regular basis.
Accountability
Some statistics that should be kept to monitor suc-
cess or indicate that help is needed are: number of
calls made, the number of patients actually con-
tacted and the number of appointments made. An
acceptable reactivation rate via phone is about 10
per cent but we have had clients who have a sig-
nificantly higher rate. Even with a 10 per cent rate,
this is a more than worthwhile activity since the
reactivated patient often needs a new set of den-
tures or a reline, etc.
14 Summer /Été 2007World
Symposium
Review
The World Symposium on Private Dental Technology and
Denturism was held in Coventry, England, May 11-12.
Dental professionals from around the world came to the
event to network, see new industry trends, and attend
continuing education sessions. Attendees also had
the opportunity to have some fun by touring the area,
visiting attractions, and watching the World Symposium
Denture Cup.
From castles to ceramics, the symposium in Coventry had
something for everyone.
Summer /Été 2007 17World Symposium on Private Dental Technology and Denturism Review
Brotherhood of
Sterkenburgers honourees
The opening reception of the World Symposium on Private Dental
Technology and Denturism was highlighted by the recognition of
several international colleagues for their service and dedication to the
profession of denturism.
The Brotherhood of Sterkenburgers honours denturists and non-
denturists who have provided exceptional support and dedication to the
profession. Carlo Zanon of Canada was honoured for his exceptional
skills as an educator to denturists in many countries. Former editor of
the Denturism Canada, Carlo is also a denturist with a busy practice in
Grimsby, Ontario.
Stanislav Skoda is not a denturist but has worked tirelessly to mentor
the denturists of the Slovak Republic in their quest for recognition. The
Carlo Zanon, Stefan Masik, Stanislav Skoda, Graham Key
President of the Slovak Republic Denturist Association, Stefan Masik,
was also honoured for his dedication to their efforts while pursuing his
own extensive education in the profession. From Australia, Graham Key
was honoured as an educator and contributor to the knowledge that
accomplishment of professional education is the only way to attain and
maintain recognition as denturists.
Because your Patients will be visiting your
practice on a regular basis to re-supply.
After twenty years on the market, Renew is
still only available to dental professionals and
is not sold in stores.
18 Summer /Été 2007World Symposium on Private Dental Technology and Denturism Review
Pieter Brouwer
Award of Merit
The highest honour of the International Federation of Denturists is
the Pieter Brouwer Award of Merit. Awarded to individual members
of the IFD who have shown exceptional personal and professional
dedication to advancing the profession throughout the world, there
are only four recipients to date: Chris Allen (United Kingdom),
Professor Michael Vakalis (Canada), Austin Carbone (United
States), and Paul Levasseur (United States), who was honoured at
the symposium reception.
Having graduated with honours from George Brown College in
Toronto, Paul practices with two very understanding colleagues
in Standish, Maine, USA. Positions held, both past and present,
include: instructor, examiner, (IDEC Program), George Brown
College; president of the Denturist Association of Maine; current
president and past treasurer of the NDA/USA; vice-president
(North America) and current president of the International
Federation of Denturists. Honours include: honourary member
of the Clinical Dental Technicians Association (United Kingdom),
honourary member of the College of Dental Prosthesis (United
Paul Levasseur Kingdom); member of the Brotherhood of Sterkenburgers (IFD).
Summer /Été 2007 19World Symposium on Private Dental Technology and Denturism Review
International Federation
of Denturists Annual Meeting
The annual meeting of the IFD was held at the Ricoh Centre • European Union Professional Qualifications
in Coventry, May 8-9. The following are some highlights of – There is no change to the status. IFD has observer status at
the meeting. meetings of the FEPPD and has input into these qualification
requirements.
• Prior to the AGM, Austin Carbone resigned as Vice
President (North America) for personal reasons. Tony • Medical Devices Directive – Draft proposal not accepted
Sarrapuchiello (Canada) was appointed by the executive to at last EU Parliament session. IFD to have representation at
complete the position until end of term (May 9, 2007). Austin’s June 2007 EU meeting.
service to the profession on all levels was acknowledged.
• Elections
• New Members – St. Kitts & Nevis (Individual member), 2007-2009
South Africa, Spain. There is interest from Iceland and Kenya. President – Paul Levasseur, United States
New Zealand and Belgium have expressed interested in re- Vice President – AustralAsia – Graham, Key, Australia
joining the IFD and communication will be re-established. Vice President – Europe – Eric Engelbrecht, The Netherlands
Vice President – North America – Tony Sarrapuchiello,
• IFD supports in principle the concept of an international Canada
school to be located in Slovakia; the executive will make the
final decision about how IFD will support the project after • Next Meeting
communication with Slovak representatives. Fortina Hotel Sliema, Malta
October 17-18, 2008
• IFD representatives have met with Vita Zahnfabrik
regarding VITA providing a translation of a denturist education
program that could be offered in emerging countries. Ivoclar • Future Meetings
has offered its Liechtenstein clinical facilities for educational 2009
purposes. IFD is looking into the feasibility and costs of offering World Symposium on Denturism
clinical examinations for non-legislated countries to demonstrate Las Vegas, Nevada
the practitioners’ competency in their own country. Date and location TBA
• Clinical protocol, baseline competencies and assessment 2010
sheets have been reviewed by the education committee. One Annual Meeting, Finland
document will be created and forwarded to IFD members for Date and location TBA
review.
2011
• IFD to communicate with the family of Pieter Brouwer to World Symposium
have the die for the Sterkernburger medals donated to IFD. A Cologne, Germany
subscription fee to maintain the medal presentations will be (to coincide with the International Dental Show)
determined and discussed at the next IFD meeting. Date and location TBA
• Sponsorship committee set up to promote IFD to 2012
industry and generate revenue. Committee comprised of Annual Meeting
Tony Sarrapuchiello, chair (Canada), Andrew McLean (United Copenhagen, Denmark
Kingdom), and John Rogan (Australia). Date and location TBA
Summer /Été 2007 21World Symposium on Private Dental Technology and Denturism Review
Denturist Association of Canada
2007 Annual General Meeting
The 2007 DAC AGM was held in Coventry May 10, during the
World Symposium. The following are some highlights of the
meeting.
• Thanks to the sponsors of the Red Jacket Campaign
who provided support to bring DAC delegates to the World
Symposium: Cuspident, the Province of Québec, Dale
Parizeau, Ivoclar Vivadent, and Theriault Printing. Approximately
$15,000 has been sponsored to help the DAC with funding
delegates.
• Approximately 1,000 denturists and dental technicians • The Federal Dental Care Advisory Committee is in
attended the World Symposium. the process of influencing provincial governments to bring the
problem of aspiration pneumonia in long-term care facilities to
• The accreditation process will be undergoing an the agenda of the provincial Minister of Health.
intensive review in 2007/2008.
• Discussion on the new semi-annual publication Spectrum
• DAC Procedure Codes are under review to make the Denturism and its possible impact on Denturism Canada.
document more user-friendly and to incorporate codes used by Although there is a potential for loss of advertising revenues,
Alberta denturists. A meeting of the committee will take place members support Denturism Canada as the published voice of
in the summer of 2007. New procedure codes adopted at the Canadian denturism.
AGM. Revised master document to be forwarded to provinces
in July 2007. • Clinical Dental Technicians Association (UK)
– Registry now opened with 17 denturists licensed. There
• DACnet is ready for full launch pending finalization of should be an additional 90 CDTs registered shortly. The scope
administrative matters. An announcement and application is complete, partial, radiographs.
should be sent to members in early summer. Subscribers
must sign up through the DAC. The subscription fee for the • International Federation of Denturists – Completing
first year will be $350 for members; $850 for non-members; in a review of the international examination protocols (for non-
subsequent years the fee will be $150 for members; $650 for regulated countries). South Africa, New Zealand and Spain
non-members. There will be a 50/50 split of the balance of non- have joined the IFD. Tony Sarrapuchiello (Canada) has been
member fees over the member rate with the province that is the elected Vice President – North America.
home province of the non-member subscriber.
• Next Meeting
• Because of a lack of reporting to the DAC, the Centre 2008 AGM
international de recherché et d’éducation en Denturologie September 2008 (date and location to be announced)
(CIRED) has lost its recognition by DAC as a provider of high-
quality continuing education for licensed denturists. 2009 AGM
October 2009, World Symposium on Denturism, Las Vegas,
• College-Edouard-Montpetit has lost its accreditation Nevada
status with the DAC. After three years of communication,
negotiations for an on-site visit and/or accreditation review • Canadian Denturist of the Year –
were refused. William Lloy, Nova Scotia
Summer /Été 2007 23Provincial Reports
Presented at 2007 Annual General Meeting
British Columbia “Letters to the Executive” section where Tony Forster is donating 10% of the
There are 186 active members, five inac- members can voice their concerns to the sales of his historical posters to the DAA.
tive members and one student member. executive committee. An advertising rate (See advertisement on page 40.)
There are four new members, all gradu- sheet has been developed.
ates from the Denturist Program at The newspaper advertising campaign Yukon
Vancouver Community College. has been discontinued due to cost. The There are currently two denturists in the
The executive committee produced a executive is investigating continuing the Yukon with one member of the Yukon
brochure to educate patients about the campaign through TV advertising. Denturist Society.
procedures involved with partial den- The 2007 convention was held at Silver
tures and what to expect. Star Mountain (June 1-2, 2007). The 2008 Saskatchewan
The website (www.denturist.bc.ca) convention will be held on Vancouver The Denturist Society of Saskatchewan cel-
is constantly updated; all brochures are Island (date and venue to be announced). ebrates its 30th anniversary in 2007. During
posted and easily accessible The British the fall meeting, they will pay tribute to
Columbian Denturist magazine is also Alberta members who were instrumental in build-
posted for membership to access with The Denturist Association of Alberta ing the society.
a password. currently has 61 members. The associa- The summer general meeting was June
The 8th edition of the magazine has tion has been working on a membership 22-23 in Waskesieu, Prince Albert National
been published. A travel section has campaign and there is growing interest Park. The fall meeting will be held October
been added and there are plans for a from non-members. 12-13 in Moose Jaw at the Temple Garden
Continued on page 29
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Toll Free North America (888) 467-1678 Website: cleanairservice.caMineral Spa. There will be a continuing work on the provincial admissions com- Ad templates for April (Oral Health
education session on asepsis. mittee and the DAC curriculum advisory Month), June (Seniors Month), October
Every denture clinic has undergone committee. (Denture Awareness Month) are avail-
a clinical inspection and the society is able on the DAO website for members
working on a protocol for minimum Ontario to use and personalize.
clinical standards. The 9th Perfecting Your Practice confer- Future plans include a member
ence was June 7-9 at the Intrawest Resort survey, new and additional brochures,
Manitoba facilities at Blue Mountain, Collingwood. and print-on-demand, allowing mem-
Two new members have joined the The AGM was held April 13, 2007. bers to purchase small, personalized
Denturist Association of Manitoba. Michael Vout, president, and Brian Carr, quantities of the brochures avail-
There are currently 60 members. 1st vice president, stepped down after able directly via the DAO website
At the Minister of Health’s request, serving the maximum 10-year term on and printer.
meetings began with representatives the board of directors. The new president
from healthcare regulatory bodies to is David Kostynyk and Adrian Haigh is Quebec
develop an umbrella act for all health- 1st vice president The major project of the Association des
care professionals. The Health Profes- Marketing advisor, Carol Beau- denturologistes du Québec is taking
sions Regulatory Reform Initiative will champ, assists the board and members shape: the executive board has secured
endeavor to replace current acts with to further enhance the marketing the legal, financial and building devel-
umbrella legislation, and controlled program and increase the profile of the opment resources needed for ADQ to
acts, with an expected completion date profession in Ontario. own its own building. A plan will be
in 2009. A complimentary full-page ad presented to members during the gen-
The Minister of Education has appeared in the May 2007 Reader’s Digest. eral assembly in September. Members
instructed that any international cre- April marked the start of the 2007 bill- will be encouraged to become share-
dentials must be evaluated and educa- board campaign. The DAO has 121 bill- holders of the new legal entity that will
tion upgrades provided as required. boards across the province. The board is own the building and of which the asso-
President Paul Hrynchuk attended considering continuing the campaign in ciation will be the majority shareholder.
the NAIT advisory committee meeting. 2008 and a 6-12 ad campaign in Reader’s Both the Services Guide and Le Den-
Jamshid Zehtab-Jadid continues his Digest over the next year. turo continued to be valuable publica-
Summer /Été 2007 29tions. A recent survey of members and The 2008 Canadian National Con- New Brunswick
non-members indicated a high degree gress will be held in the Québec. Date Annual General Meeting was held May 31,
of satisfaction with Le Denturo. It is and venue to be announced. June 1-2, 2007 in Caraquet, New Brunswick.
now distributed only to members in An advertising campaign with Rogers
good standing. Nova Scotia Cable and Radio-Canada was held during
L’Ordre des denturologistes du There are currently 43 members with March 2007.
Québec has asked ADQ to organize a TV two students at NAIT and George The Social Services contract has been
advertising campaign. Brown College. Only one denturist is cancelled due to non-parity with dentists.
The executive board is considering not licensed for partial dentures. The website (www.nbdenturistsociety.
adding a new dimension to the ADQ The annual meeting was held June ca) has been launched.
building project: a pedagogical project 2, 2007 in Dartmouth. Five continuing A radiography course will be held in
including classrooms equipped with education sessions were offered. Moncton in September 2007.
state-of-the-art equipment. The objec- The society is working on a three-
tive is to offer the type of training not
included in current curricula, whether
year continuing education program
with NAIT.
Newfoundland
from a professional standpoint (new The Denturist School at Nova and Labrador
products or techniques) or from an Scotia Community College is review- The spring meeting was held June 1-2 in
administrative standpoint (clinic man- ing two options. Option 1: all dental Gander with continuing education in Con-
agement, finance, taxation, etc.). education at Dalhousie University dylar Teeth/Lingualized Occlusion offered
TMJ education models have been Dental School. Option 2: denturist, by Central Dental.
developed in both English and French. dental technician, dental assistant A fall meeting is planned with educa-
Both are for sale through DAC. and dental hygienist at a new dental tion on dental implants or the fabrication
ADQ is pleased to have contributed health complex with dentist/oral of Valplast Partial Dentures.
to the red jacket campaign which assisted surgeon instructors brought in as Meetings went well with Social Ser-
DAC in sending official delegates to the necessary. An Atlantic school has also vices; however, there has been no further
World Symposium in Coventry, England. been suggested to include the New communication from the Department
ADQ thanks the sponsors. England states. of Health.
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Functional-physiological method
of establishing the ideal personalized plane of
occlusion and setting of teeth for edentulous patients
B y S e rg e i K h a r t c h e n ko, D S c, R . D. o f B. C. , Vi c t o r i a , B C
N ovel Functional-physiologi-
cal method of establishing
the ideal personalized plane
of occlusion using extra-hard wax-sand
occlusion rims and grinding technique
For determination, refer to a list of criteria to
define and establish the plane of occlusion:
1. The plane of occlusion is primarily
related to maxilla and Glenoid fossae.
2. The angle of the slope of the articular
another or to the horizontal reference (10).
Pitchford indicated that the axis-orbital
plane formed an angle of 13° with the
horizontal reference plane and Frankfort
plane formed and angle of 8° with the
for edentulous patients. eminence-posterior guidance. horizontal plane (1).
3. The overbite/overjet relationship-ante- Since none of these factors are likely to
Abstract rior guidance. be ideal, it would seem there would be a
The plane of occlusion that relates to the 4. The amount of freeway space. small probability that the plane of occlu-
horizontal reference plane of the skull, 5. The skeletal relationship of the man- sion would be developed ideally by the
Frankfort plane, Camper’s plane, maxil- dible to the maxilla. use of any current marketed system.
lary plane, Cook’s plane, axis-orbital 6. The shape and angle of the anteroposte- We would like introduce a new func-
plane, and HIP plane, frontal plane, curve rior plane of occlusion. tional-physiological method of establish-
of Wilson, Spee and Monson have been 7. The shape and angle of the frontal plane ing the ideal personalized plan of occlu-
described and defined (1,2,3,4,5,6,7,8,9), of occlusion. sion by the use of extra-hard wax-sand
but there is no available definition or 8. The shape and size of the dental arch. occlusion rims and grinding technique.
description of an ideal plane of occlusion There are different and very expensive This technique can be used in any labora-
acceptable for individual patients. The systems and articulators (BPS, Axis-orbital tory, denture and dental clinic without any
curvature of the plane of occlusion is pri- face-bow, and different semiajustable artic- additional expenses or expensive articu-
marily due to the fact that teeth are posi- ulators) that are recommended for using lators and technique in a cost-effective
tioned in the arches at varying degrees of the criteria in the process of aligning the manner and will significantly improve the
inclination (5). maxillary and the mandibulary models to a determination of personalized occlusion
The planes of occlusion of the dental dental instrument and fabricate prostheses. plane and fabrication of prostheses.
arches are curved in this manner to However, since most natural objects are Our basic concept is that the most
maximize tooth contact during function imperfectly formed, the plane of occlusion ideal articulator for each patient is his/
because of the complex movement of the may not be ideal in most people. Trauma her own uniqueness of the crania-facial
mandible. Much of the movement of the to the maxilla or mandible, tongue postur- system, TMJ, and function of the muscles
mandible is determined by temporoman- ing, swallowing patterns, airway space, of mastication.
dibular joints and mastication muscles in position of cranial bones, and mandibular
a defined distance between maxilla and position are all factors which affect the Step 1: Construction
mandible. The shape and angle of the development of the shape and relationship of extra- hard wax-sand
articular eminence of the glenoid fossa are to the cranium of the plane of occlusion. occlusion rims for
the most important factors in determining Morever, all articulator systems are posterior teeth
the shape and form of the plane of occlu- designed with the assumption of paral- After accurate determination of vertical
sion. The direction of movement of the lelism between the Frankfort plane, the dimension and central occlusion and
mandible also has a profound effect. These axis-orbital plane, the upper member of setting of the front upper and lower teeth
shapes have been known in dentistry as the articulator, and the horizontal refer- in a semi-adjustable articulator (basi-
the curve of Spee, curve of Wilson, and ence plane. However, articulators with this cally any type of articulator can be used).
curve of Monson (5). assumption have a built-in design error. Ideally, the frontal plane of occlusion
It is absolutely necessary to accurately Neither the Frankfort plane nor the axis- of the dentition and setting of the front
align the maxillary and mandibulary orbital plane is parallel to the horizontal teeth should be aligned parallel to the
models to a dental instrument used to reference plane. Gonzales and Kingery horizontal reference plane of the skull by
analyze the maxillary position, plane of found that the axis-orbital plane and the established guides to develop facial and
occlusion and fabricate dental prostheses. Frankfort plane were not parallel to one functional harmony (11).
32 Summer /Été 2007Unfortunately, wax-sand extra-hard
rims are not marketed, but any laboratory
and denturist can easily fabricate them,
using a surgical tube cut lengthwise to
form the extra-hard part of the rims. The
inner size of the tube should be like the
occlusion-size future rims. Mix clean sand Figure 2
with boiling hard wax until pappy. Fill the
tube to form a flat and plain surface. Chill the front teeth in protrusive and retrusive to 30-60 degrees slope of the eminence
in cold water. Then the hard part of the mandible position. This procedure con- and cups of the teeth should be around
rims is ready (Fig. 1). tinues before the front teeth in protrusive 20 degrees (Fig. 3A).
movement will be in contact. Now the 2. The anteroposterior curve is steep
anteroposterior and mediolateral com- and starts from distal or mesial part
pensating curves are ready. Place case in of second premolar. Overbite/overjet
articulator. If central occlusion and central relationship is 2:1. This curve usually
relationship preliminary was determined relates to 60-90 degrees slope of the
properly, upper and lower rims will be in eminence and cups of the teeth should
contact. If in preliminary determination be around 30 degrees (Fig. 3B).
the central occlusion was not correct and 3. The anteroposterior curve is flat. Little
Figure 1 rims do not contact, rearticulate the upper or no overbite-overjet varies. Overbite/
model according to the position of the front overjet relationship is 0:0. This occlusal
Place a piece of the fabricated wax-sand teeth and posterior rims in the mouth. plane usually relates to 15-30 degrees
rim on top of the regular wax rim in pos- slope of the eminence and cups of the
terior areas of the maxilla and mandible. Step 3: Selection of the teeth should be around 0-10 degrees
This part should be maintained according posterior teeth and height of (Fig. 3C).
to regular guidance but higher than front the cusp The mediolateral curve can be bilateral,
teeth on 0.5-0.7 mm. This presage allows us The functional movements of the mandible balanced, or unilateral and will be
to increase the distance between front teeth in anteroposterior and mediolateral direc- determined from the patient’s TMJ
and provide formation of the occlusion tion and grinding of the rims are absolutely vertical and lateral movements.
plane under function of the mandible and individual for each patient and can deter-
all crania-facial system. Design and orienta- mine the following occlusal planes: Step 4: Setting of the
tion of the posterior rims with hard surface 1. The anteroposterior curve is moderate posterior teeth
can be in a different relationship between and starts from the distal part of the We recommend setting the mandibular
maxilla and mandible, but the vector of first molar. Overbite/overjet relation- posterior teeth first. There are numerous
forces should be oriented between apexes ship is 1:1. This curve usually relates anatomical and physiological factors that
of maxillary and mandibulary residual
ridges and to meet evenly with the upper
and lower rims (Fig. 2).
Step 2: Functional-
physiological formation of
the ideal personalized plane
of occlusion
Regardless of the arbitrary guides selected,
the final buccolingual positioning must be
checked and adjusted if necessary in the
patient’s mouth before functional forma-
tion of the occlusion plane. Depending on
the patient’s needs, a curved or non-curved
occlusal plane may be achieved under
functional movements of the mandible to
anteroposterior and mediolateral direction
and grinding of the rims.
We usually recommend our patients
make several anteroposterior and medio-
lateral movements, rinse the mouth with
cold water and control the relationship of
Summer /Été 2007 33You can also read
