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Phone: (604) 538-3123
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Fax: (604) 582-0317
e-mail: dacdenturist@telus.net
Denturist Program
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Fax: (416) 415-4794
Attention: Gina Lampracos-Gionnas
E-mail: glamprac@gbrownc.on.ca
Dpartement de Denturologie
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Tel: (450) 679-2630 Fax:(450) 679-5570
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Denturist Technology
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Tel: (604) 443-8501 Fax: (604) 443-8588
Attention: Dr. Keith Milton
E-mail: kmilton@vcc.ca
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Northern Alberta Institute of Technology
11762-106th Street, Edmonton AB T5G 2R1
Tel: (780) 471-7686 Fax: (780) 491-3149
Attention: Maureen Symmes
E-mail: maureens@nait.ab.ca
Denturist Association of
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323 Freshwater Road
St. Johns, NL A1C 2W5
Attn: Steve Browne, DD, President
Tel: (709) 722-7900
E-mail:browne_steve@yahoo.ca
President
Michael Vout, DD
Phone: (613) 966-7363
Fax: (613) 966-1663
e-mail: mvout@bellnet.ca
Executive 2010-2012
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
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contents
Features
2011 DAC/NBDS Conference........................................20
A quick preview of the 2011 DAC/NBDS
conference in Moncton, New Brunswick in
May 2011.
Ultrasuction effect on denture retention......................27
This Egyptian study examines the effect of
the Ultrasuction system on the retention of
mandibular complete dentures.
35
Le mot du prsident.......................................................10
Published by:
Editors Message...........................................................12
Departments
Presidents Message........................................................8
Insurance......................................................................14
Practice Management....................................................16
Un-comfort Zone.......................................................... 43
20
Classifieds....................................................................45
Reach Our Advertisers.................................................. 46
D E N T U R O L O G I E C A N A D A
International
Federation
Of Denturists
ALSO:
39
Presidents message
Michael C. Vout, DD
International affiliations
and connections
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LE MOT du prsident
10
Interactive Edition
of the Journal of Canadian Denturism/
Denturism Canada available online
he Journal of Canadian Denturism/Denturism Canada is
available online in a highly interactive format that includes:
WINTER/HIVER 2010
D E N T U R O L O G I E C A N A D A
International
Federation
Of Denturists
ALSO:
www.denturist.org
11
EDitors message
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2323 Argentia Road, Mississauga, ON L5N 5N3
T : 800-265-0968 F: 905-567-2076
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habits, promotion
of exercise and
proper diet.
The second
most important
aspect is
prevention and
treatment of
illness. In our
case, preventive
education and
regular oral care
regimen are par for the
course for our clients. The etiology of
health, illness and dysfunction such
as smoking, alcoholism, exercise and
even ways of coping with stress are
important markers in our pre-treatment
assessment and planning as well.
Healthcare ministers and their staff
from coast to coast to coast now focus,
analyze, and attempt to improve the
healthcare system and the formulation
of healthcare policy based upon these
factors. They study the impact of health
institutions and health professionals
such as us on clients behaviour and
develop recommendations for improving
healthcare and healthcare benefits.
So the next time you are invited
to participate in healthcare forums
or as part of your professional
organizations fee guide committee,
please do. This collaborative approach
represents the educational, scientific
and professional contributions to the
promotion and maintenance of health,
the prevention and treatment of illness,
related dysfunctions and the eventual
improvement of the health care system
and delivery of services as well as the
formation of new healthcare policy.
WHEN IT COMES TO
PREMIUM DENTURE TEETH,
LESS IS MORE!
INSURANCE
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Jason Kasper, DD
Michael Vout, DD
Rob Goheen, DD
Kevin McCormack, DD
Maria Green, DD
Kevin Watson, DD
Tony Sarrapuchiello, DD
Lynn Chedore, DD
Carmel Nadeau, DD
Edie Wragg, DD
Darren Sailer, DD
Charles Robichaud, DD
Gerry Hansen, IFD
Denturist Associations of: BC,
Alberta, Saskatchewan, Manitoba,
Ontario, Quebec, Nova Scotia,
Newfoundland, New Brunswick
International Federation of
Denturists
DAC
Blue House Denture Clinic
D R Denture Clinic
Denture Cottage
Allecon Inc.
Sincerely in denturism,
David L. Hicks, Past President, DAC
19
2011
DAC/NBDS
conference
Presidents Message
Schedule 2011*
Wednesday May 25
8:30 a.m.
1:00-4:30 p.m.
6:00-9:00 p.m.
Thursday May 26
8:30 a.m.
11:00 a.m.
5:30-10:30 p.m.
Friday May 27
8:30 a.m.
1:30 p.m.- 4:30 p.m.
Getting here
Carlson Wagonlit Travel
6:00-7:00 p.m.
Chantal Hach, Senior Travel Agent
7:00 p.m.-Close
12 Cameron Street, Moncton, New-Brunswick
Telephone: 506-862-5269 Fax: 506-857-0618
Toll Free 1-888-590-4455
E-mail: chache@harveystravel-cwt.com Saturday May 28
8:30 a.m.-12:00 p.m.
Delta Beausjour
Reservation: 1-888-351-7666
Ask for DAC or NBDS Annual Meeting
1:00-3:00 p.m.
Code to use: 0511new2
5:00-7:00
p.m.
E-mail: www.deltahotels.com
Continuing Education
All on 4 Dr. Nash Daniel, BSc,
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Abi Nadr, BSc, DMD, MSc, FRCD(C)
NBDS General Annual Meeting
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Last Name:
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Address:
City:
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Phone:
Postal Code:
Email:
Association Membership:
Cheque payable to NBDS enclosed for $
Mail cheque to: NBDS, 20 Weldon Street, Moncton N.B. E1C-5V8
Fax form for Visa or M.C. payments to 1 506 855 9941 Total: $
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email: dentureguy@nb.ainb.com
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Dr Hani Sal Badra BDS, MDS*, Dr Iman AW Radi BDS, MDS, PhD**, Prof Alaa Aboulela BDS, MDS, PhD***
The effect of Ultra Suction system on the retention of mandibular complete denture. EDJ Vol.56, 101:109, January 2010
* Dr Hany Sal Badra, BDS, MDS, Faculty of Oral and Dental Medicine, Cairo University
** Dr Iman AW Radi BDS, MDS, PhD, Lecturer of Prosthodontics, Faculty of Oral and Dental Medicine, Cairo University
*** Prof. Alaa Aboulela BDS, MDS, PhD, Professor of Prosthodontics, Faculty of Oral and Dental Medicine, Cairo University
ABSTRACT
Aim of the study: To investigate the effect
of the Ultrasuction system on the retention
of mandibular complete dentures. Material
and methods: This study was conducted
on seven completely edentulous patients.
Each patient received a maxillary and
two mandibular complete dentures, a
conventional (set I) and an Ultrasuction
retained denture (set II). Patients were
left to function with each denture set for
a period of one month during which they
were recalled to test the denture retention
at time of denture delivery, one, two and
four weeks later. In the retention test a
specially designed retention testing device
was used to pull the dentures from their
geographic centers. The collected records
were statistically analyzed using the paired
t test. Results: The mean retention values
for set I dentures were 157.96 29.75,
165.57 29.21, 170.77 29.64 and 175.26
29.03 at the baseline and after one, two
and four weeks respectively, while for
set II dentures the values were 187.80
28.52, 196.17 29.18, 201.51 28.82,
206.93 28.56 at the baseline and after
one, two and four weeks, respectively.
Statistical analysis of these data revealed
a significant increase in the retention after
the application of the Ultrasuction system
and a significant increase in the retention
of both sets of dentures by time (p 0.05).
Conclusions: The Ultrasuction system
increases the retention of mandibular
complete dentures. However, further
INTRODUCTION
Although most patients express satisfaction
with their conventional maxillary complete
dentures, many struggle with the
comfort and function of their mandibular
complete dentures (1,2). This could be
attributed to their smaller denture bearing
area, unfavorable distribution of occlusal
forces resulting in increased rate of bone
resorption, decreased stability and retention
which in turn result in pain and patients
discomfort (3). Besides, the seal area in
the mandibular denture was not as readily
located as in the maxillary denture and
showed considerable movement during the
ordinary functions of the mouth (4, 5).
The use of endosseous dental implants
to assist in the support, stability, and
retention of removable prostheses is
considered an effective treatment modality
for edentulous patients (6, 7). However,
there may be situations when it is impossible
to provide implants or bone grafts on
ground of medical, surgical or costs factors,
especially in elderly patients (8). In such
cases a proper understanding, recognition
and incorporation of certain mechanical,
biological, physical and aiding factors
becomes necessary to ensure optimal
mandibular complete denture retention (9).
* MDS student in the Prosthodontic Department, Faculty of Oral and Dental Medicine, Cairo University
** Lecturer of Prosthodontics, Faculty of Oral and Dental Medicine, Cairo University
*** Professor of Prosthodontics, Faculty of Oral and Dental Medicine, Cairo University
27
28
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* Monepren (addition silicone rubber), Kettenbach GmbH & Co. KG. Im. Heerfeld7, D-35713 Eschenburg
** Labstone, Miles dental products, Miles Inc., South Bend, USA
*** Hanau model H, Teledyne Buffalo, New York
**** Hanau, engineering company, Inc., Buffalo, New York
29
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RESULTS
I. Clinical observations
All patients were satisfied with both sets
of dentures. However, they explained
that the retention was surely enhanced
with the Ultrasuction system. Their main
complaint of this system seemed to be
related to the difficult cleansability of the
Table 1: The effect of the Ultrasuction device on the retention of the mandibular denture at time of denture insertion 1, 2, and 4 weeks later
Testing
time
Set I
Set II
P-value
Mean (gram)
SE
SD
Mean (gram)
SE
SD
Baseline
157.96
11.24
29.75
187.80
10.78
28.52
<0.001*
1 week
165.57
11.04
29.21
196.17
11.03
29.18
<0.001*
2 weeks
170.77
11.20
29.64
201.51
10.89
28.82
<0.001*
4 weeks
175.26
10.97
29.03
206.93
10.80
28.56
<0.001*
* Significant at P 0.05
Table 2: The changes in retention by time in set I and II dentures
Testing
interval
Set I
Set II
SD
P-value
SD
0-1 week
-7.6
1.5
-8.4
1.8
<0.001*
0-2 weeks
-12.8
1.3
-13.7
1.5
<0.001*
0-4 weeks
-17.3
-19.1
<0.001*
* Significant at P 0.05
DISCUSSION
It is well known that maxillary dentures
are retained by interfacial surface tension,
good denture base adaptation, border seal
and other important physical, mechanical
and psychological factors. The same
applies for mandibular dentures, but the
smaller supporting surface area and the
pronounced musculature in the lower jaw,
reduce the retentive capacity of these
dentures, causing their displacement
(3). Although the multi-suction cup lined
denture, resurrected by Dr. Jermyn in
1963, offered a successful, economic and
noninvasive way for enhancing denture
retention, they sometimes stand helpless
in overcoming problems of reduced
31
CONCLUSIONS
The Ultrasuction system increases the
retention of mandibular complete dentures.
However, further long-term prospective
clinical studies are recommended to
investigate the biological effect of the
system on the supporting tissues.
REFERENCES
1. Berg E. The influence of some
anamnestic, demographic, and clinical
variables on patient acceptance of new
complete dentures. Acta Odontol Scand
1984;42:119-127.
2. Pietrokovski J, Harfin J, Mostavoy R, et
al. Oral findings in elderly nursing home
residents in selected countries: quality of
and satisfaction with complete dentures.
J Prosthet Dent 1995; 73:132-135.
3. Zarb GA, Bolenders CL, Carlson GE.
Bouchers prosthodontic treatment for
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Other applications
The clinical applications of laser therapy reach far beyond dentistry.
Some of the research that is currently being conducted using
laser therapy is astounding. In Israel, researchers are studying
the effect of using a combination of laser therapy and stem cells
for the regeneration of damaged spinal cords; human clinical trials
being conducted in Peru are studying the use of laser therapy for the
treatment of breast and prostate tumours, with some very promising
results. Multiple labs in the USA are experimenting with different
wavelengths of lasers for the treatment of Parkinsons disease. In
Toronto, a Laser Rehabilitation Centre is taking patients with diabetic
ulcers who are scheduled for limb amputations and healing 90% of the
wounds. These are just examples of the extraordinary results seen with
lasers.
It is hard to imagine that something as basic as light can be
used to speed wound healing, decrease pain, relieve inflammation
and decrease muscle trismus; however, for decades lasers have
demonstrated to do all these things and more. It is not a magic
wand, it will not cure all conditions and work in every situation, but it
is a therapeutic alternative or adjunct that should be investigated as
another tool for a dental practice. With the number of pharmaceutical
drugs on the market today that carry detrimental side effects, it makes
sense to use LLLT that has no side effects and has substantial and
positive research supporting it. Laser therapy requires a paradigm shift
and takes practitioners out of their normal way of treating patients
and conditions. The dental team now has the ability to treat pain and
inflammation immediately after it has been caused, and do so without
using pharmaceuticals.
Light therapy uses the bodys own natural resources to provide
pain relief, muscle relaxation, wound healing and nerve regeneration.
Low level laser therapy offers the opportunity to better manage
treatments that are often deemed painful by patients while enhancing
their practice with improved clinical treatments and patient comfort.
Case study: Carpal Tunnel Syndrome
A dental hygienist started experiencing problems with her wrists and
hands. She frequently had to stop while treat her patients and massage
her wrists and fingers. She started experiencing tingling and aching
regularly throughout the day and was forced to start taking regular antiinflammatories frequently, which upset her stomach. The laser was applied
to her cervical spine and over the median nerve three times a day for two
weeks. The pain and tingling subsided and the hygienist was able to stop
taking anti-inflammatories. She currently applies the laser to the cervical
spine once a week as a preventative measure and no longer experiences
any painful symptoms.
Scientific support: Wong et al investigated laser therapy for the treatment
of Carpal Tunnel Syndrome and found that in all 35 patients, pain,
numbness and tingling of the hands disappeared or subsided significantly
and there was decreased tenderness at the involved spinous processes.
This study focused the irradiation to the cervical spine as opposed to the
wrists and hands.
Endnotes
1
2
3
37
In conjunction with the 21st Biennial National Conference of the Australia Dental Prosthetists Association
Member registrations:
Early Bird Registration Member $795 (received prior to 19 April 2011)
Registration Member $895 (received from 20 April 2011)
Non-member registrations:
Non-member registration $1,145
All registration fees are quoted in Australian dollars and include all local taxes.
38
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here to
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theTable
Tableof
ofContents
Contents
Click
International Federation
Of Denturists
2010 Annual General Meeting
Helsinki, Finland
September 16-17, 2010
HIGHLIGHTS
The IFD website is being redesigned and will be relaunched in
early 2011.
The Chair of the European Committee met with a group from
Italy interested in forming an association. Talks are ongoing.
The Chair of the Eastern and Central Europe Sub-Committee
reported that the Hungarian denturists have written
competency examinations in Switzerland. Their country has
recognized their competency but the dental board refuses to
issue licenses. The Hungarian denturists will be launching a
court action against the Dental Board. Belgium has re-joined
the IFD.
39
STRATEGIC PLANNING
Delegates used a SWOT analysis (strengths, weaknesses,
opportunities, threats) to map out a three-year strategic plan for
the IFD. Their draft mission, vision and objectives (to be ratified by
members in late 2010) are:
MISSION: The International Federation of Denturists is a global,
voluntary organization of country members who are dedicated
to the advancement of the profession of denturism with a
resulting positive impact on oral health and access to care.
VISION: The International Federation of Denturists will become
the global voice of denturism.
THREE-YEAR OBJECTIVES
GOAL 1: To develop business and succession plans for the
sustainment of the International Federation of Denturists (IFD).
Objectives:
Establish a business plan for a fiscally responsible and
sustainable organization.
40
41
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SUMMER/TE
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O G I E
U R O L
D E N T
WINTER/HIVER 2010
2010
The Journa
www.zimmerdental.com
Denturism / Le Journal
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D E N T U R O L O G
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International
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