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Winter/hiver 2010

The Journal of Canadian Denturism / Le Journal de la Denturologie Du Canada

D e n t u r o l o g i e c a n a d a

International
Federation
Of Denturists

Helsinki Meeting Recap

Also:

Ultrasuction effect on denture retention


Low level laser therapy
PM #40065075
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1st Vice President


Paul Hrynchuk, DD
Phone: (204) 669-0888
Fax: (204) 669-0971
e-mail: kellydc@shawbiz.ca
2nd Vice President
Daniel Robichaud, DD
Phone: (506) 382-1106
Fax: (506) 855-9941
e-mail: dentureguy@nb.aibn.com
Vice President - Administration
Benoit Talbot, d.d.
365, boul. Greber #304
Gatineau, QC J8T 5R3
Phone: (819) 561-2121
Fax: 819-561-9831
email: benoit.talbot@videotron.ca
Vice President - Finance
Maria Green, RD
Phone: (604) 521-6424
Email: airamn@telus.net
Past President
David L. Hicks, DD
209-1700 Corydon Avenue
Winnipeg, MB R3N 0K1
Phone: (204) 487-7237
Fax: (204) 487-3969
email: dlh.44@hotmail.com

Denturist College Programs

National Office /
Chief Administrative Officer
Lynne Alfreds
PO Box 45521
2397 King George Blvd.
Surrey, BC V4A 9N3
Phone: (604) 538-3123
Toll Free: (877) 538-3123
Fax: (604) 582-0317
e-mail: dacdenturist@telus.net

Denturist Program
George Brown College of Applied Arts and Technology
PO Box 1015, Toronto ON M5T 2T9
Tel: (416) 415-5000 Ext. 3038 or 1-800-265-2002 Ext. 4580
Fax: (416) 415-4794
Attention: Gina Lampracos-Gionnas
E-mail: glamprac@gbrownc.on.ca
Dpartement de Denturologie
Collge Edouard-Montpetit
945, chemin de Chambly, Longueuil QC J4H 3M6
Tel: (450) 679-2630 Fax:(450) 679-5570
Attention: Patrice Deshamps, d.d.
Denturist Technology
Vancouver Community College, City Centre
250 W. Pender Street, Vancouver BC V6B 1S9
Tel: (604) 443-8501 Fax: (604) 443-8588
Attention: Dr. Keith Milton
E-mail: kmilton@vcc.ca
Denturist Technology
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 British Columbia


C312-9801 King George Blvd.
Surrey, BC V3T 5H5
Attn: Lynne Alfreds, Executive Secretary
Tel: (604) 582-6823 Fax: (604) 582-0317
E-mail: info@denturist.bc.ca
Website: www.denturist.bc.ca

The New Brunswick Denturists Society


La Socit des denturologistes du N-B.
288 West Boulevard St. Pierre
PO Box 5566 Caraquet, NB E1W 1B7
Attn: Claudette Boudreau, Exec. Sec.
Tel: (506) 727-7411 Fax: (506) 727-6728
E-mail: claudetteboudreau@nb.aibn.com

Denturist Association of Alberta


4920 45th Avenue, Sylvan Lake AB T4S 1J9
Attention: Don Tower, President
Telephone: (403) 887-6272
Fax: (403) 887-6271
E-mail: sylvdent@telus.net

Denturist Society of Nova Scotia


3951 South River Road
Antigonish, NS B2G 2H6
Tel: (902) 863-3131
Attn: Diane Carrigan - Weir, President
diane-weird@hotmail.com

The Denturist Society of Saskatchewan


32 River Street East, Moose Jaw, SK S6H 0A8
Attn: Lynn Halstead, President
Tel: 306-693-4161
Email: lhalstead@sasktel.net

Denturist Association of
Newfoundland Labrador
323 Freshwater Road
St. Johns, NL A1C 2W5
Attn: Steve Browne, DD, President
Tel: (709) 722-7900
E-mail:browne_steve@yahoo.ca

Denturist Association of Manitoba


PO Box 70006, 11660 Kenaston Boulevard
Winnipeg, MB R3P 0X6
Attn: Kelli Wagner, Administrator
Tel: (204) 897-1087 Fax: (204) 488-2872
E-mail: kelli_wagner@mts.net
Website: www.denturistmb.org
The Denturist Association of Ontario
5780 Timberlea Blvd., Suite 106
Mississauga, ON L4W 4W8
Attn: Susan Tobin, Chief Administrative Officer
Tel: (800) 284-7311 Tel: (905) 238-6090
Fax: (905) 238-7090
E-mail: info@denturistassociation.ca
Website: www.denturistassociation.ca
LAssociation des denturologistes du Qubec
8150, boul. Mtropolitain Est, Bureau 230
Anjou, QC HIK 1A1
Atten: Kristiane Coulombe,
Responsable Service aux membres
Tel: (514) 252-0270 Fax: (514) 252-0392
E-mail: denturo@adq-qc.com
Website: www.adq-qc.com

Continuing Education Programs

President
Michael Vout, DD
Phone: (613) 966-7363
Fax: (613) 966-1663
e-mail: mvout@bellnet.ca

Members and Provincial Offices

Executive 2010-2012

Denturist Association of Canada


LAssociation des Denturologistes du Canada

Denturist Society of Prince Edward Island


191 Pope Road, Unit A
Summerside, PE C1N 5C6
Tel: (902) 436-3235
Attn: Lisa MacKintosh, President
ssidedentclinic@eastlink.ca
Yukon Denturist Association
#1-106 Main Street
Whitehorse, YT Y1A 2A7
Attn: Peter Allen, DD, President
Tel: (867) 668-6818 Fax: (867) 668-6811
E-mail: pjallen@northwestel.net
Denturist Association of Northwest Territories
Box 1506, Yellowknife, NT X1A 2P2
Attn: George Gelb
Tel: (867) 766-3666 Tel: (867) 669-0103
E-mail: George Gelb egelb@theedge.ca
Honorary Members
Austin J. Carbone, BSc, BEd, DD
The Honourable Mr. Justice Robert M. Hall

International Denturist Education Centre (IDEC)


George Brown College of Applied Arts and Technology
PO Box 1015, Toronto, ON M5T 2T9
Tel: (416) 415-5000 Ext. 4793 or 1-800-265-2002 Ext. 4793
Fax: (416) 415-4117
Northern Alberta Institute of Technology
11762-106th Street, Edmonton AB T5G 2R1
Tel: (780) 471-7683 Fax: (780) 491-3149
Attention: Doreen Dunkley
e-mail: dental@nait.ab.ca
Removable Partial Dentures for Denturists
Jurgen von Fielitz, DD
2598 Etwell Road, RR#3, Utterson, ON P0B 1M0
Tel: (705) 788-0205
e-mail: jvonfielitzdd@vianet.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

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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, nationally and
internationally, and a forum for thought and
discussion. Any person who has opinions,
stories, photographs, drawings, ideas,
research or other information to support this
goal is requested to contact the Editor to
have the material considered for publication.
Statements of opinion and supposed fact
published herein do not necessarily express
the views of the Publisher, its Officers, Directors
or members of the Editorial Board and do not
imply endorsement of any product or service.
The Editorial Board reserves the right to edit
all copy submitted for publication.

contents

Winter / Hiver 2010

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.

2010 Craig Kelman & Associates Ltd.


All rights reserved. The contents of this
publication may not be reproduced by any
means, in whole or in part, without prior
written consent from the publisher.
ISSN: 1480-2023
Editor-in-Chief:
Hussein Amery, M.Sc., Psy.D., DD, FCAD
#112, 2675 - 36 Street NE
Calgary, Alberta T1Y 6H6
Phone: 403-291-2272
e-mail: ameryhk@telus.net

35

IFD Helsinki meeting recap..........................................39


A summary of the International Federation of
Denturists 2010 board meeting in Helskinki,
Finland this past September.
Low level laser therapy................................................35
This article will explain this therapy and how it
can be used in your practice and life.

National Liaison: Lynne Alfreds


PO Box 45521
2397 King George Blvd.
Surrey, BC V4A 9N3
Phone: (604) 538-3123
Toll Free: (877) 538-3123
Fax: (604) 582-0317
e-mail: dacdenturist@telus.net
www.denturist.org

Le mot du prsident.......................................................10

Published by:

Editors Message...........................................................12

Departments
Presidents Message........................................................8

Insurance......................................................................14
Practice Management....................................................16

3rd Floor, 2020 Portage Avenue


Winnipeg, MB R3J 0K4
Tel: (204) 985-9780 Fax: (204) 985-9795
e-mail: cheryl@kelman.ca
www.kelman.ca

Un-comfort Zone.......................................................... 43

20

Managing Editor: Cheryl Parisien


Design/Layout: Theresa Kurjewicz
Advertising Sales: Chad Morrison
Advertising Coordinator: Lauren Campbell

Classifieds....................................................................45
Reach Our Advertisers.................................................. 46

Send change of address to:


dacdenturist@telus.net
Return undeliverable Canadian addresses to:
e-mail: kelly@kelman.ca
Publication Mail Agreement #40065075.
WINTER/HIVER 2010

The Journal of Canadian Denturism / Le Journal de la Denturologie Du Canada

D E N T U R O L O G I E C A N A D A

International
Federation
Of Denturists

Helsinki Meeting Recap

ALSO:

Ultrasuction effect on denture retention


Low level laser therapy
PM #40065075
Return undeliverable Canadian addresses to: kelly@kelman.ca

This magazine is printed with vegetable


oil-based inks and consists of recycled paper
provided by a Forest Stewardship Council (FSC)
certified supplier. Please do your part for the
environment by reusing and recycling.

39

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Winter / Hiver 2010

Presidents message

Michael C. Vout, DD

International affiliations
and connections
A

s president of DAC, I had the


opportunity, with 2nd vice president
Daniel Robichaud, to attend the International
Federation of Denturists Annual meeting
in Helsinki, Finland in September. The IFD
meeting was hosted by the Finnish Union
of Denturists. The Finnish association,
with President Juha-Pekka Marjoranta,
vice president Ilkka and Tuula the chief
administrative officer, hosted the worlds
leaders of Denturism to a very well
organized event. The DAC would like
to thank the Finnish association for the
gracious hospitality and hosting us in their
beautiful country.
Representatives from nine countries were
in attendance at this years meeting, giving
status reports on what is occurring in their
countries with regards to the profession.
The IFD is the global voice of Denturism
and as such at these meetings, leaders are
given the opportunity to exchange ideas,
information, and finding solutions to deal
with the challenges to improve and expand
Denturism.
At our attendance of this international
meeting it was evident that many issues
which face one country are common to
other countries.

In Canada we are truly the leaders


of Denturism in the world, our scope of
practice, government legislation, and
education allow us to practice in a manner
that all are envious of.
In many countries the opportunity
to practice is not a viable option. Either
government regulations do not allow for
legislation or education is not available for
training.
In most countries there is a catch-22
where educators are willing to teach the
program, but there is no legislation to allow
for the profession; so they are then teaching
a course of study which is illegal and they
could be prosecuted.
Governments will not usually proceed
and legalize a profession that does not have
education in place to train and support the
profession. So how does Denturism grow in
these other nations? These discussions with
the representatives of the other members
of the IFD make us aware of the complex
issues that occur in these countries trying to
develop the profession.
Even if the local Denturist association
is able to approach government it is
a slow, costly process. In most cases
before legislation can be enacted,

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Winter / Hiver 2010

Dr. John Augimeri,


BSc., DDS

the government, minister of health, or


supporters of the bill change, whereby
the process stops. The associations then
have to re-aquaint themselves with the
new government ministers, lobbyists and
start the process again.
The global economic crisis has put
pressure on government health services to
reform the types of services available and
provided to the public. The public, due to
the increasing aging population, is looking
for efficient access to denture health
care without compromising the standard
of care. This can be accomplished with
the introduction of Denturism to these
countries.
This may only be achieved with the
support, direction and input from nations
like Canada, and others, who have
education, legislation and a defined scope
of practice in place.
The Canadian Denturist model and
perspective have always been very positively
accepted by all nations at the IFD meetings.
We must continue to contribute and provide
opportunities to assist these countries in their
bid to legalize Denturism.
We must in Canada, with our own
legislation, scope of practice and educational
facilities, remain committed to the betterment
of our profession. When one sees the
struggles that fellow Denturists from around
the world have to contend with, it makes
us truly proud of the system that has been
developed as a role model here in Canada.
We must continue to be aware of
the international development of our
profession. We should be ready, willing, and
able to assist the IFD in being the global
voice of Denturism, to be proud of our
accomplishments and continue to work
together to promote our profession.

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2010 Zimmer Dental Inc. All rights reserved. 1773, Rev. 3/10.

www.zimmerdental.com

Michael C. Vout, DD

LE MOT du prsident

Affiliations et liens internationaux

titre de prsident de lADC, jai


eu loccasion, en compagnie du
2evice-prsident Daniel Robichaud,
de participer la runion annuelle de
lInternational Federation of Denturists,
qui a eu lieu Helsinki, en Finlande,
en septembre dernier. Lhte de cette
runion tait lUnion des denturologistes
finlandais. Lassociation finlandaise, dont
la prsidence est assure par JuhaPekka Marjoranta, la vice-prsidence
par Ilkka et la direction administrative
par Tuula, a offert aux leaders du
milieu de la denturologie une rencontre
trs bien organise. LADC souhaite
remercier lassociation finlandaise pour
sa chaleureuse hospitalit et pour avoir
accept de nous accueillir dans son
beau pays.
Cette anne, des reprsentants de
neuf pays se sont dplacs pour la
rencontre; ils ont fait tat de la situation
dans leur pays respectif en ce qui a trait
notre profession.
LIFD est linstance qui chapeaute la
denturologie lchelle mondiale. Par
consquent, ses runions, les leaders
ont loccasion dchanger des ides et
de linformation ainsi que de chercher
des solutions afin de relever les dfis
qui se prsentent et de faire avancer la
denturologie.
Notre prsence cette rencontre
internationale nous a permis de
constater que bon nombre de
difficults que vivent certains pays sont
communes dautres pays.
Au Canada, nous sommes vraiment
lavant-garde de la denturologie dans le
monde. En effet, notre champ dexercice,
la lgislation gouvernementale et la
formation nous permettent dexercer dans

10

Winter / Hiver 2010

des conditions qui font lenvie de tous.


Dans de nombreux pays, lexercice de
la profession nest pas une option viable.
Soit la rglementation gouvernementale
ne permet pas la lgislation, soit il ny a
pas de formation dans le domaine.
Dans la plupart des pays, il y a une
impasse: on trouve des formateurs
disposs fournir lenseignement, mais
il ny a pas de lgislation autorisant
la profession. Ils donnent donc un
programme dtude qui est illgal et
sexposent des poursuites.
Habituellement, les gouvernements
ne lgalisent pas une profession pour
laquelle il nexiste pas de formation ni
de structure pour soutenir la profession.
Alors, comment la denturologie voluet-elle dans ces autres pays? Les
discussions avec les reprsentants
des autres membres de lIFD nous
font prendre conscience des difficults
complexes que doivent rsoudre ces pays
qui tentent dy instaurer notre profession.
Mme si lassociation locale
de denturologistes est en mesure
dapprocher les instances
gouvernementales, cest un processus
lent et coteux. Dans la plupart des cas,
avant que la lgislation ne puisse tre
adopte, le gouvernement, le ministre
de la sant ou les dfenseurs de la
cause changent et donc le processus
sinterrompt. Les associations doivent
alors de nouveau se familiariser avec
les nouveaux ministres et lobbyistes, et
recommencer le processus.
La crise conomique mondiale a eu
pour effet dexercer des pressions sur
les services de sant gouvernementaux
afin quils procdent une rforme des
types de services accessibles au public.

Le public, en raison du vieillissement


accru de la population, cherche
obtenir un accs efficace aux soins de
sant dentaire sans compromettre la
qualit des soins. Cela peut se faire par
lintroduction de la denturologie dans
ces pays.
Or, cela ne peut tre accompli sans
lappui, lorientation et la contribution de
nations comme le Canada, et dautres
aussi, o la formation, la lgislation et
un champ de pratique dfini existent.
Le modle canadien et les
perspectives en denturologie dans notre
pays ont toujours t trs favorablement
accepts par toutes les nations
prsentes aux runions de lIFD. Nous
devons continuer de contribuer aux
changes et de fournir des occasions
daider ces pays dans leur dmarche en
vue de lgaliser la denturologie.
Au Canada, o nous pouvons
compter sur une lgislation, un champ
dexercice et des tablissements de
formation, nous devons continuer
dtre dtermins rehausser notre
profession.Lorsquon pense aux luttes
que doivent mener nos confrres
denturologistes partout dans le monde,
cela nous rend vraiment fiers du
systme qui a t mis en place et qui
sert de modle ici au Canada.
Nous devons continuer dtre
conscients de lvolution de notre
profession lchelle internationale.
Nous devons tre prts aider lIFD,
dsireux et capables de le faire, afin que
cette association dfende les intrts
de la denturologie dans le monde. Nous
devons tre fiers de nos ralisations
et continuer de travailler ensemble
promouvoir notre profession.

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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

The Journal of Canadian Denturism / Le Journal de la Denturologie Du Canada

D E N T U R O L O G I E C A N A D A

International
Federation
Of Denturists

Helsinki Meeting Recap

ALSO:

Ultrasuction effect on denture retention


Low level laser therapy
PM #40065075
Return undeliverable Canadian addresses to: kelly@kelman.ca

Active hyper-links to websites


and e-mails contained in the
publication
Active links to the specific stories
from the front cover and contents
page
Active links to advertiser websites
from their ads

Please check out the interactive


Denturism Canada at

www.denturist.org

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Winter / Hiver 2010

11

EDitors message

Hussein Amery, M.Sc., Psy. D., DD, FCAD

Health and wellness


I

n 1948 the World Health Organization


defined health with a very forwardlooking statement and definition. They
said it was a complete state of physical,
mental and social well-being and not
merely the absence of disease or
infirmity, (WHO,1948).
This definition is at the core of 21st
century healthcare and health psychology
as the essence of todays conception of
health. Rather than defining health as the
absence of illness, health is recognized
as an achievement involving the balance
between physical, mental and social wellbeing. This is further evidenced by major
health authorities across the country
using wellness in their department titles,
for example: Alberta Health and Wellness

and Ontario Health and


Wellness Centre.
Wellness has now
been used to be
synonymous to an
optimum state of health.
As healthcare
professionals, we
must be equally in
touch with the allencompassing aspects of
health and illness across the
lifespan of our clients. We can be
effective as practitioners by focusing
on health promotion and maintenance,
which includes not only oral health
for our clients but issues as general
as developing overall good health

As healthcare professionals, we must be


equally in touch with the all-encompassing
aspects of health and illness across the
lifespan of our clients.

www.zimmerdental.com
2323 Argentia Road, Mississauga, ON L5N 5N3
T : 800-265-0968 F: 905-567-2076

12

Winter / Hiver 2010

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.

Click here to return to the Table of Contents

WHEN IT COMES TO
PREMIUM DENTURE TEETH,
LESS IS MORE!

NOW WITH 2 NEW BLEACH SHADES!

EXPECT LESS WITH GENIOS


Genios Anteriors look impressively natural due to a multi-layered structure with 5 shade zones.
The Genios Posteriors follow the biomechanical concept of occlusion & can be used in tooth-totooth or tooth-to-two teeth relationships. What does this mean for you?

LESS COLOUR INCONSISTENCY


LESS BLACK SPACES
LESS CHIPPING

LESS UNNATURAL OPALESCENCE


LESS SET-UP TIME
LESS HASSLES

FOR MORE INFORMATION, CONTACT YOUR AUTHORIZED DENTSPLY DISTRIBUTOR OR YOUR


LOCAL TERRITORY MANAGER AT 1.800.263.1437

INSURANCE

Joe Pignatelli, RHU

What are the duties of an executor?


C

hoosing an executor is an important


and complex decision.
A trust company, friend, or family
member, can act as your executor, and
may have the following responsibilities:
Distribution of investment assets
according to your will.
Locating any named beneficiary of
your investments.
Where applicable, make transfers in
kind to beneficiaries.
Provision of money from your savings
or investments for surviving family
members (there may be a short delay if
the estate is probated).
Examining life insurance policies and
collecting death benefits or confirming
beneficiary payments are made.
Evaluating investments and collecting
income payments.

Selling stock and/or fund assets,


where necessary, to pay taxes, debts,
legacies and bequests, and closing
accounts where applicable. When
deciding to sell a particular investment,
the executor must weigh economic
conditions and tax consequences.
Purchasing an RRSP contribution to a
spousal RRSP for a tax break.
Filing final tax returns.
Paying any income tax due, including
income reported as capital gains on
equity investments; dividends; and
interest earned.
Getting a clearance certificate from
Canada Revenue Agency (CRA).
Consulting professionals such as
trustees, accountants, lawyers, or
financial advisors regarding the settling
of large estates and/or significant

investments, and paying them for their


services.
If an investment portfolio exceeds a
certain limit, letters probate may be
required by a financial institution to
allow release or sale of investments.
(This normally will exclude monies
registered in an RRSP or RRIF where
the surviving spouse is designated as
the beneficiary.)
Note: Use the services of a
professional as an executor, such as
an accountant or lawyer where there
are many diverse types of investments
in your estate. Do not name an
executor without his or her consent.
It is not clear in most provinces if an
executor may purchase investments
unless expressly stated in the will.

College of Alberta Denturists

2011 Convention, AGM & 50th Anniversary Celebration of the Profession


Make Banff your early summer vacation destination, and help us to celebrate
50 years of the Denturist Profession in Canada, where it started; in Alberta!
3 days of Educational Symposiums, Golf Tournaments, Wine & Cheese Reception,
the Gala Anniversary Dinner & Dance, shopping, restaurants, sight-seeing, trail rides,
mountain bike riding, fishing, and all the other activities available in the Rockies await
you; this wonderful venue will provide for a great getaway for you and the whole family!

Join us at the beautiful Fairmont Banff Springs Hotel


May 25th 28th, 2011

Watch for details and the Registration Package on our


Website Events Calendar: www.collegeofabdenturists.ca
More Information on the Hotel and Area:
Banff Springs Hotel: www.fairmont.com/banffsprings
Area Information: www.banfflakelouise.com

14

Winter / Hiver 2010

Click here to return to the Table of Contents

Janice Wheeler, President, The Art of Management Inc.

practice management

The dream team


H

aving worked with more than 1,100


Canadian healthcare professionals
over the past 21 years, weve observed
that most of them do a fairly decent job
of hiring the right staff but they THINK
they havent simply because theyre not
coaching them into the dream team.
While there is neither such thing as a
perfect boss, nor a perfect staff member,
there are ways to coach the team into the
best possible performance.
Here are 10 suggestions:
1. Know exactly what YOUR practice
goals are. And were not just talking
dollars and cents here.YOU must
determine what you want from the
practice: what hours, what type of
patients you want, what level of care
and service to provide. And yes, what
level of profitability you want to achieve.
2. Set specific POLICY for your practice.
Define the guidelines for achieving your
goals: what kind of payment plans
are you going to allow patients; are
you going to accept assignment of
insurance; what is your fee guide and
are you going to stick to it; cancellation
policy and how are you going to
enforce it; recall system and how the
staff are to accomplish this; general
staff guidelines, such as vacation,
illness, uniforms, confidentiality of
patient information, etc.
3. Now you need some PLANS to achieve
those goals, such as marketing plan
(internal and external), bonus system
for your staff, etc.
4. A staff meeting once a week
is a great place to review the
statistics and progress of the
practice toward your goals and
then set up game plans, quotas to
be met and targets to be accomplished

16

Winter / Hiver 2010

5.

6.

7.

8.

in the next week. Well done staff


meetings result in increased efficiency
and productivity through coordination of
staff efforts.
Daily morning conferences coordinate
the various aspects of the practice for
the day as a team. Include discussions
of any special needs of patients coming
in that day.
Acknowledge your staff. Thank your
team players for being there and doing
their jobs effectively.
When and how to correct a staff
member is a touchy topic. Sometimes
you feel like losing your cool when a
staff member does something wrong
in front of a patient, BUT DONT!
Meet later privately, and discuss the
incident and work out how to prevent
it from recurring. Document it for the
staff members personnel file. The rule
of thumb is: correct in PRIVATE and
compliment in PUBLIC.
Now we get to the BONUS system.
Incentive plans are an accepted
method of acknowledging productivity

and, if well designed, will enhance the


viability of the practice.
9. Lead by example. Be positive about how
the practice is doing; dont get negative
when things appear to be going in the
wrong direction. As the leader of the
practice, you are expected to set a positive
tone. Present the staff with a positive plan
of action or get their input on one.
10. Give your orders clearly and in writing and
keep a copy for yourself to follow up on at
a specified time.
11. Continuing education for both the denturist
and staff helps keep everyone at the peak
of their game.
Of course there are hundreds of other points
to becoming the worlds best boss, but start
with the above.
Janice 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 information
call 416-466-6217 or 800-563-3994,
e-mail info@amican.com, www.amican.com

Click here to return to the Table of Contents

SensAble Dental Lab System


Intelli-Fit software delivers perfect fitting restorations every time.

The only lab-proven CAD/CAM system for fixed and


removables. Schedule a personal demonstration
by calling 781.939.7493 today.

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Get the best results with Denturist MaxiDent.
When quality and service matter, call 1-888-MAXIDENT. www.maximsoftware.com In the UK call 01458 254055.

Click here to return to the Table of Contents

Winter / Hiver 2010

17

Click here to return to the Table of Contents

MacDonalds. After we returned to Winnipeg,


Mary and I extended the invitation to donate
to the rest of my Canadian colleagues.
What transpired throughout the month of
June is inspirational. All told, we as a national
organization, individual members and along
with some corporate donations, managed to
raise $9420. Donations came in from across
our great nation and we forwarded to Greg
and Debbie immediately.
Collecting these monies and passing it
on to the MacDonalds pales in comparison
to the task ahead of Debbie as she tries
to climb back from her accident. Brain
injuries can take months to heal and for the
patient to regain some form of normalcy.
Debbie now faces a monumental challenge
to regain her health, get back to her job,
and enjoy her family and friends to the
fullest. Hopefully the donations we make
can somehow ease the journey for the
MacDonalds in some way. Good luck and a
speedy recovery to Debbie was a common
notion from all donors! And to Greg and
family, our thoughts go out to them as they
face many challenges aiding Debbie.
A heartfelt thank you goes out to
all those who took a little time to make a
donation. Also, thank you to Mary Hicks for
volunteering to administrate the donations.
Finally, to the Canadian denturist
fraternity, you should be proud, we truly are
family.

Contributors to the MacDonald Fund

Last May, at the national


convention in Whistler, my
wife Mary and I started a
fund to help Debbie and
Greg MacDonald. Mr.
MacDonald is a denturist
from Nova Scotia and
frequent attendee at
national meetings
representing his
province. This
fund was established
to help offset some of the
costs they would encounter
following his wifes accident
in Vancouver just prior to
the conference. Debbie
MacDonald had been
hospitalized following a
bicycling accident with a serious head
injury. She remained comatose in hospital
throughout the conference for about a
week. She regained consciousness but
remained hospitalized. She was released
after about four weeks when it was
deemed to be safe to travel home and to
continue her long journey of rehabilitation
back to a normal life with her family, friends
and community.
I announced to the convention, that
Mary Hicks and I were donating $250 to the
MacDonalds to help them offset the costs of
their extended stay Vancouver. I asked other
denturists and sponsors if they felt inclined
to donate any monies at all, we would
gather, administrate, and deliver it to the

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

Winter / Hiver 2010

19

2011

DAC/NBDS
conference

Presidents Message

With 2010 rapidly drawing to a close, we would like to wish our


colleagues in denturology, a happy, healthy and prosperous and
New Year.
As president, it is an honour and a pleasure to invite all denturists
across Canada to attend the 2011 Denturists Convention in
conjunction with the New Brunswick Denturists Society General
Annual Meeting, which will be held May 23 to 28, 2011.
These meetings will provide profitable exchange concerning our
profession. When we gather together in this festive atmosphere,
we will meet new friends from across Canada.
We extend a warm welcome to all our colleagues who share
our interest in improving information on denturism. Come and
celebrate with us in Moncton, New Brunswick.
Daniel J. Robichaud, DD
President

Schedule 2011*

Htel Beausjour 750, rue Main,


Moncton Nouveau- Brunswick E1C 1E6
1-800-268-1133

Wednesday May 25
8:30 a.m.
1:00-4:30 p.m.
6:00-9:00 p.m.

Curriculum Advisory Board Meeting


DAC Executive Meeting
Presidents Cocktail (by invitation)

Thursday May 26
8:30 a.m.


11:00 a.m.



5:30-10:30 p.m.

DAC AGM Meeting (all day)


Golf Tournament (limited space)
sponsored by Nobel Biocare
Meet and Greet, Buffet,
Entertainment (Golf Prizes)

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

DAC AGM Meeting (all day)


3I and Pro-Tech Continuing
Education
Peter Ford, Pharm. D. sponsored by
Glaxo Smith Kline, Roxanne
ONeil-Gion, RNBN-CDE
Cocktails
Cailigh Evening & Buffet
(Entertainment TBA)

Continuing Education
All on 4 Dr. Nash Daniel, BSc,
MSc, DMD, FRCD(C) & Dr. Samer
Abi Nadr, BSc, DMD, MSc, FRCD(C)
NBDS General Annual Meeting
Wrap-up Cocktails

*This schedule is subject to change


20

Winter / Hiver 2010

Click here to return to the Table of Contents

Nbds Convention 2011 Registration



Member Full Registration

Non Member Full Registration
Student Full Registration

Until April 1
$518.00
$592.00
$181.00

After April 1
$575.00
$661.00.
$193.00

Full Registration (No Educational Seminars):



Member Spouse/Guest
Non Member Spouse/Guest

Until April 1
$236.00
$248.00

After April 1
$254.00
$266.00

Full Registration Includes:


Education Seminars Any Combination
Thursday Night Welcome Reception, Lobster and Steak, Country Entertainment and Golf Awards
Friday Nights Dinner Caighly/House Party with Great LIVE Music
Friday & Saturday Suppliers Display Breakfast 5 Direct Con Ed Credits
Saturday Nights Wrap-Up Cocktails with Snacks *HST Included in Prices
Education Seminars Only (Member or Non-member)

Education Seminars Any Combo
Any Single Education Session:
Golf Tournament (cart included)

Until April 1
$345.00
$115.00
$130.00

Cost for Individual Events




Thursday May 26
Welcome, Entertainment, *Golf
Friday May 27
Caligh/Kitchen Party & *Buffet

Fri/Sat May 27-28 Suppliers Display Breakfast

Saturday May 29
Wrap Up Cocktail Party

Amount
$ 58.00
$ 121.00
$ 58.00
$ 35.00

After April 1
$403.00
$173.00
$150.00

#of Tickets

Registrant Info:
Last Name:

First:

Address:
City:

Province:

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: $
Card no:

Expiry:

Name of Cardholder:
Phone: 888-382-1106

email: dentureguy@nb.ainb.com

Security Code:
Fax: 506-855-9941

Contact: Rachelle Boss

Lobster is being served; please indicate number of lobster desired Thur.


Fri.
Lobsters will average 1.5 lb. One lobster per person is included in the buffet. If you want more than one, there is an additional
charge of $20.00 each. If partaking in lobster, wear casual clothes and bring your dancing shoes.
Click here to return to the Table of Contents

Winter / Hiver 2010

21

DAC CLEARING OUT INVENTORY!


Partial Dentures:
Hygiene Tips & Care Instructions

NOW FREE:
You pay shipping/handling only
Minumum shipment of 200, pay with Visa or Mastercard only

CALL 1-877-538-3123 TO PLACE YOUR ORDER

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Winter / Hiver 2010

1.800.495.8771

Click here to return to the Table of Contents

Ask about our 1-Piece 3.0mmD implants:


GoDirect for Overdenture Attachments,
ScrewIndirect for Bar-Overdentures
and Teeth-in-1Day Procedures.

GoDirect(Pat. Pend.)

ScrewIndirect

LOCATOR Compatible Platform


All-in-One packaging includes Snap-on
Transfer and Comfort Cap.
USA List Price = $150

All-in-One packaging includes


Screw-receiving Abutment, Snap-on
Transfer, Comfort Cap and 2mm Extender.
USA List Price = $150

GPS Cap Attachment = $15.00

Full Arch
Screw-in Bridge

Implant-Retained
Overdenture

GPS Cap
Attachment

Implant-Supported
Overdenture

Full Arch
Screw-in Bridge

3.0mmD
Implant

3.0mmD
Implant

Visit our website to watch step-by-step surgical and prosthetic procedures


for overdenture and Teeth-in-1Day procedures.
www.implantdirect.com
1408 West 8th Ave, Suite 204 Vancouver, BC, V6H1E1 Office: 888.730.1337 Technical Support 888.NIZNICK
LOCATOR is a registered trademark of Zest Anchors Company. The GoDirect and GPS Systems are neither authorized, endorsed nor sponsored by Zest Anchors

Implant Direct Intl


Setting the implant industry standard.
Founded in 2004 by Dr. Gerald Niznick, Implant
Direct Intl has quickly become the simply smarter
choice for implant and prosthetic systems. Dr.
Niznick graduated from the University of Manitoba
Dental School and earned a Masters degree in
Prosthodontics at Indiana University. As a practicing

prosthodontist, he revolutionized the implant industry


with the introduction of his patented internal hex
connection that has become the cornerstone of
modern implantology. In recognition of his significant
contributions to the dental industry, Dr. Niznick
received an Honorary Doctorate degree from the
University of Manitoba.
Implant Direct manufactures its vast product
offerings in a state-of-the-art factory in California.
Equipped with precision machinery, the factory
conducts lights out operations for 24/7
production. This efficiency allows Implant
Direct to offer extremely competitive
pricing as well as convenient All-in-One
packaging.
Implant Direct offers two one-piece
solutions for totally edentulous cases.
ScrewIndirect features a standard
5.0mmD screw-receiving platform on
four different body diameters. Included
in the All-in-One packaging are two
color-coded transfers designed to enhance
communication between the dental office and
the laboratory by easily indicating whether the soft
tissue height has required the use of an extender.

Implant directs line of industry compatible prosthetics


includes the new gpstm overdenture abutment
Price excludes Prosthetic Coping and Attachments.
**Price includes Transfer, Abutment housing kit and Comfort cap.
All trademarks are the property of their respective companies.
LOCATOR is a registered trademark of Zest Anchors Company. The GoDirectTM and GPSTM Systems are
neither authorized, endorsed nor sponsored by Zest Anchors Company.

PROFILE

COMPANY

15 and 30 GPSTM Angled abutments accomodates


up to 50 divergence (only legacy and replant)
all-in-one packaging includes: transfer, abutment
housing kit and comfort cap.

The GoDirect platform is compatible with Implant


Directs new GPS overdenture attachment system
as well as Zest Anchors LOCATOR. Available in
three body diameters, GoDirect also offers multiple
selections to accommodate variations in soft tissue.
While GoDirect is designed primarily for use with
an overdenture attachment system, it may also be
converted for use with unique screw-receiving and ball
attachment components.
In addition to attachment components, GPS
also includes abutments with industry-standard
connections for use with two-piece implants. Unlike
competitors, GPS offers a kit that includes a pink
anodized titanium housing, a black processing cap,
and a silicon spacer. The anodized metal housing
is designed for enhanced denture engagement and
esthetics while the processing cap has a high melting
point to assist in laboratory processing.

Dr. gerald niznick, founder


and president of implant
direct, has a masters degree in
prosthodontics and a history
of innovating high-quality
prosthetic solutions.

Manufacturing facility in los angeles, ca

This is what the experts have to say:

UltraSuction system increases the retention


of mandibular dentures

Clinically and
scientifically
tested
UltraSuction system offers your patients
a more affordable solution to problem
dentures and a healthier, cleaner choice to
the messy and costly dental goop alternatives.
UltraSuction is the clear, hassle-free choice
to a better lifestyle.

Their retentive capacity in comparison to conventional dentures


has been positively demonstrated in this study, not only via the
patients comments, but also via the retention tests.

Dr Hani Sal Badra BDS, MDS*, Dr Iman AW Radi BDS, MDS, PhD**, Prof Alaa Aboulela BDS, MDS, PhD***

For orders and information contact Surefit Dentures Inc.

www.surefitdentures.com Phone 1-888-582-6236

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

The effect of Ultrasuction


system on the retention of
mandibular complete denture
By Hany SAL Badra;* Iman AW Radi** and Alaa Aboulela***
Editors note:
This article was previously published in Egyptian Dental Journal, Vol. 56, 101:109, January 2010. It is reprinted with permission.

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

long-term prospective clinical studies are


recommended to investigate the biological
effect of the system on the supporting
tissues. Keywords: Retention, mandibular
complete denture, Ultrasuction device

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

Click here to return to the Table of Contents

Recently, a variety of retentive aids


have been introduced to improve denture
retention, the most common of which
includes the use of soft liners and flexible
denture bases to engage undercuts,
denture adhesives, multiple suction cups
and Ultrasuction devices.
Denture adhesives merely reduce the
amount of lateral movements that occur
while dentures are in contact with basal
tissues (10). This benefit can mislead a
patient into ignoring his or her need for
professional help when dentures actually
become ill-fitting. Besides, patients
response to the use of these materials is
not totally positive because of the grainy
or gritty texture of powder, the sensation
of semi-dissolved adhesive materials that
escape beneath the denture (11), the
difficulties encountered in removing the
adhesive from the denture and the oral
tissues, the accompanying increase in the
vertical dimension of occlusion (12) and
the cost of the material. Denture adhesive
products are frequently regarded as an
obstacle to the dentists ability to evaluate
accurately the health of a patients oral
tissues (13,14) and the true character
of denture adaptation (15). Relining of
dentures with soft liners is, therefore,
preferred over using a denture adhesive
(16). Unsealed soft liners, however,
showed increased colonization of Candida
compared with those sealed with an acrylic
varnish, implying that porosity and not the
potential nature of soft liners may result in
the amplified yeast loads (17).
In an attempt to overcome many of
the before mentioned problems suction
cups incorporated into the intaglio surface

Winter / Hiver 2010

27

of a denture were resurrected since


their late introduction in 1885 (18,19).
Their recent use in patients unable or
unwilling to undergo surgery to improve
their denture foundation has shown a
successful, economic and noninvasive way
for enhancing denture retention. Because
the amount of retention provided by suction
cup adhesion is proportionate to the
area covered by the denture, mandibular
dentures are subjected to a lower
magnitude of adhesive retentive forces, a
problem better solved by the Ultrasuction
system. The latter is a patented system
that holds maxillary and/or mandibular
dentures in place using suction chamber
and a mounted valve that comprises a tiny
unidirectional device imbedded into the
denture base. As the patient bites firmly,
the air trapped between the mucosa and
the denture is expelled through the device,
via two air passages. The lower pressure
obtained beneath the denture tends to exert
a pull and helps secure the denture against
the ridge (20). In an attempt to reveal the
effect of this system on enhancing the
mandibular complete denture retention this
study was conducted.

28

Winter / Hiver 2010

Material and methods


This study was carried out on seven
completely edentulous co-operative
patients selected from the Prosthodontic
Department, Faculty of Oral and Dental
Medicine, Cairo University. The age of
the selected patients ranged from 45-65
years and all of them were selected to
be free from systemic and oral diseases,
especially those that might affect the
retention of the denture as neuromuscular
disorders, diabetes mellitus and/
or xerostomia. Their residual ridges
were covered by firm healthy mucosa
and exhibited no unilateral or bilateral
undercuts to eliminate the effect of the
latter on the retention and to facilitate
the performance of the retention test.
Patients also had an Angle class I
maxillomandibular relationship, normal
tongue size and were free from any
temporomandibular joint troubles. Before
including the selected patients in the study
an informed consent was obtained from
each one of them because hyperplasia
of the soft tissues covering the residual
ridges was expected to occur after fitting
the Ultrasuction system.

For each patient one maxillary and


two mandibular complete dentures were
constructed, namely set I and II dentures.
1. Set I: It was represented by the
conventional mandibular dentures.
2. Set II: It was represented by the
Ultrasuction retained mandibular
dentures.
Set I dentures were first delivered to
the patients, who were left to function
with these dentures for a period of one
month during which they were recalled
for alleviating any complaint, checking
occlusion and testing denture retention. Set
II dentures, however, were delivered after
a resting period of about two weeks to
one month during which the patients were
left completely without the dentures. This
period allowed for tissue rebound. Patients
were then allowed to function with the new
set of dentures for the same period as Set
I, namely one month.
I: Construction of
set I mandibular dentures
This set of dentures was constructed
in the conventional way except that the
mandibular secondary impression made

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C
b

Fig. (1): The Ultrasuction system components:


(a) A specially designed profiled bar (b) two
ultra suction valves, (c) two processing caps,
(d) service key, (e) spare diaphragms.

in rubber base* was boxed and poured in


dental stone** three times to obtain three
master casts without affecting the accuracy
of the poured impression (21, 22). Boxing
was an essential step to preserve the
depth and width of the borders which
had to be reproduced in set II. On the first
two master casts namely cast (a and b)
the first and the second set of dentures
were processed, whereas the third cast
namely cast (c) was used in determining
the geographic center of the dentures and
in checking that the extension of both sets
(I and II) of dentures was not changed or
jeopardized by excessive finishing and
polishing procedures. Changes in the
extension carried out during the delivery
visit of set (I) dentures were transferred to
cast (c) by an indelible pencil so that they
could be reproduced in set (II) dentures.
Since the maxillary cast of each
patient was mounted on a semiadjustable
articulator*** using a maxillary face bow****
record, a face bow index was obtained
after finishing the try in stage of set I
dentures to aid in remounting the finished
and polished maxillary denture.
II: Construction of
set II mandibular dentures
In this set of dentures, the retention was
assisted by an Ultrasuction system. The
latter is supplied in a kit consisting of; two
ultra suction valves, a specially designed
profiled bar (spacer) used to create a

Fig. (2): The profile bar stabilized on the


master cast.

suction chamber at the ridge level, two


processing caps, service key and spare
diaphragms (Fig. 1).
The specially designed profile bar was
stabilized on the master cast (b) using
2-3 drops of cyanoacrylate (Fig. 2). It
stopped about 1 cm short of the end of the
denture. After applying adequate amount
of separating medium on both the cast and
the bar, a mix of self cured acrylic resin was
adapted on the cast to construct the trial
denture base. Baseplate wax was then used
to form the occlusion rim. The resulting
occlusion block was used to record the
centric and protrusive relations against the
finished maxillary complete denture, which
was remounted by the face bow index.
After processing of set II dentures, the
bar was removed. Particular attention was
given to prevent damage to the walls of
the created suction chamber. In the lingual
flange at the premolar-first molar area,
two cavities were prepared in which the
valves were lodged. The graded end of the
service key was used to guide the width
and depth of the valve (Fig. 3).
A processing cap was placed in each
valve to protect the core from being
filled with the self cured acrylic resin that
was used to fix the valves (Fig. 4). The
processing caps were then removed
after polishing. Using a fissure bur (1mm
in diameter) a communication channel
between the valve and the high point of the
suction chamber was created. A plastic

* 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

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Fig. (3): The service key guiding the width


and depth of the cavities prepared at the
premolar first molar area.

diaphragm was placed in each valve and


the perforated cover was closed with the
key provided.
Once the patient received set II denture,
he was instructed to run water through the
visible orifices of the suction chamber on a
daily basis, otherwise the valves would be
blocked and would lose their efficiency.
III: Determining the
geographic center of the lower dentures
When both sets were finished, the dentures
were prepared for the retention tests. It has
been documented that the measurement
of complete denture retention was best
attempted by pulling the denture from
its geographic center (23). Hence, it was
essential to locate this center for both sets
of dentures. This procedure was carried out
on cast (c) as explained below.
Three lines were drawn on the cast
and extended to the cast base to aid in
determining the geographic center of the
lower denture, point (a) as seen in Fig. 5.
At this point a trough was drilled in the cast
base by the aid of a surgical round bur.
The bur was then maintained in the trough
leaving 20 mm of it projecting from the cast.
This was the most appropriate length from
which the application of force took place
without endangering the upper jaw or being
interfered by the tongue. The denture was
then placed on cast (c) and was prepared
for the retention test as described below.
IV: Preparing the
denture for the retention test
Three orthodontic brackets were attached
to lingual aspect of the denture, one at

Winter / Hiver 2010

29

The bottom line is quality


and that is never overlooked.
Talk to a local Westan
representative who will be
pleased to work with you.

Fig. (4) Valves fixed at the premolar first


molar area

* Superior Quality
* Maximum Efficiency AND
Service Life
*Left Handed Cutters available

Fig. (5) Lines drawn on the cast to aid in


determining the geographic center of the
cast; line (1) connecting two points at the
apices of the retromolar pads of both sides
of the arch, line (2) passing through the crest
of the anterior ridge and parallel to the line
(1), line (3) passing through the mid line of
the cast and perpendicular to both lines (1)
and (2), (point a) the midpoint between line
(1) and (2) drawn on line (3), line (4) passing
through point (a) and running parallel to lines
(1) and (2).

Fig. (6): The retention testing device

Westan Dental Products Group

Calgary, Edmonton, Toronto


and Winnipeg
1-800-661-7429
30

Winter / Hiver 2010

its midline and two posteriorly where line


(4) (Fig. 5) passed through them. Three
metallic wires 18 gauge in diameter, as
advocated by Burns et al (24), were engaged
by the three lingual brackets and extended
upwards to meet in the geographic center
of the denture, which was easily identified
by the surgical bur projecting from the cast
base. A metallic loop was then used to join
the three wires on the top of the bur.

V: Measuring the retention


of set I and II lower dentures
The retention measurement test was
performed for each set of dentures at time
of insertion, one week, two weeks and one
month after delivery. During the retention
test each patient was asked to keep his
chin firmly on a chin support and to wear
the upper denture to prevent palatal injury
while pulling off the denture. The test
began only after the patient was allowed
to bite on his dentures to expel any air
trapped beneath the denture base.
The retention was measured by a
specially designed retention testing device
(Fig. 6). The device is digital and can
apply forces in upward and downward
directions. It has a minimum reading of 20
and a maximum reading of 5000 grams
with a good to a very good (0.778-0.998)
reliability. It consists of a metallic probe
connected to a base by an electric wire.
The metallic probe constitutes the part
of the device that applies the force. The
base, on the other hand, has a digital
screen which gives positive and negative
readings according to the direction of
force application. The device applied a
vertical pull-off load on the metallic loop
joining the wires. Values at which the
denture was dislodged were recorded.
The pull-off procedure was repeated
10 times to obtain 10 records for each,
the mean of which was calculated.
VI: Statistical analysis of the results
The recorded mean values were tabulated
and statistically analyzed using SPSS
16.0 (Statistical Package for Scientific
Studies) for Windows. Paired t-test was
used to compare between the mean
retention values obtained for each set of
dentures at the different follow up visits
and to compare the retention values
of both denture sets. Results were
considered significant at p 0.05.

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

SPSS, Inc., Chicago, IL, USA.

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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

Mean difference (gram)

SD

P-value

Mean difference (gram)

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

orifices. By examination it was found that


three out of seven patients showed slight
hyperplasia of the ridge mucosa after four
weeks of inserting set II dentures.
II. Statistical findings
The comparison between the mean
retention values of set I and II dentures
revealed a statistically significant increase
(p 0.05) in the retention after the
application of the Ultrasuction system at all
follow up visits (0, 1, 2, 4 weeks) (Table 1).
On the other hand, studying the effect of
time on the mean retention values obtained
for both sets of dentures (I and II) revealed
a statistically significant increase in the
retention by time (p 0.05) (Table 2).

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

supporting surface area as in mandibular


dentures. In these situations Ultrasuction
dentures appear to offer a better solution.
Their retentive capacity in comparison to
conventional mandibular dentures has
been positively demonstrated in this study
not only via the patients comments,
but also via the retention test, which
showed a significant improvement in the
denture retention after the application of
the Ultrasuction system. Mony Paz, the
system inventor, explains that once the
patient bites firmly, the valves incorporated
in the system allows for expelling the air
from beneath the denture base and the
gingival tissues penetrate the suction
chamber. Simultaneously, the diaphragm

For information or phone orders

1 877 781 8854

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Winter / Hiver 2010

31

prevents the reintroduction of the expelled


air. The pressure difference, that is, the
lower pressure beneath the denture,
exerts a pull and seals off the alveolar
ridge periphery, creating better fit and high
resistance to denture dislodgement (12).
Thus, the increase in the retention of set
II dentures could be mainly attributed to
the atmospheric pressure effect that has
been long time ago documented in dental
literature (25, 26). This effect seems to be
only active, if the denture has an effective
seal around its border. Unfortunately, the
negative pressure effect created by the
valves of the system results in hyperplasia
of the tissues covering the ridge (19). The
system is, therefore, never intended to
make up for under-extended or inaccurate
impressions, a condition that requires
further investigations to evaluate biological
long-term effect of the system on the
health of the tissues.
Statistical analysis also revealed a
time dependent increase in the denture
retention for both sets, namely set I and II.
This could be attributed to the adaptability
of the oral mucosa to the new denture
regardless of the differences between
both sets. Murray and Darvell (27) pointed
out that muscle control and patients
tolerance often has an amazing influence
on the denture retention, because of the
adaptability of the oral mucosa and the
muscles of the lips, tongue and cheeks as
well as patients tolerance.

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

32

Winter / Hiver 2010

edentulous patient. [11th edition] Mosby,


st. Louis, Missouri, 1997:525-528.
4. Morris HF, Ochi S, Rodriguez A, Lambert
PM. Patient satisfaction reported for
Ankylos implant prosthesis. J Oral
Implant. 2004;3:152.
5. Wright CR. Evaluation of the factors
necessary to develop stability in
mandibular dentures. J Prosthet Dent
2004; 92: 509.
6. Ambard AJ, Fanchiang J, Mueninghoff
L, Dasanayake A. Cleansability of and
patient satisfaction with implant-retained
overdenture: A retrospective comparison of
two attachment methods. J Am Dent Ass
2002; 133(9):1237-42.
7. Misch CE. Dental implant prosthetics.
[11th edition] St. Louis. Mosby Inc. 2005:
211, 223.
8. Gahan MJ, Walmsley AD. The neutral
zone impression revisited. British Dental
Journal 2005;198:269-272.
9. Darvell BW, Clark R K. The physical
mechanisms of complete denture
retention. British dental journal
2000;189(5):248-52.
10. Shay K. Denture adhesives: choosing
the right powders and pastes. J Am Dent
Assoc 1991;122:70-76.
11. Berg E. A clinical comparison of four
denture adhesives. Int J Prosthodont.
1991;4:449-56.
12. Engelmeier RL, Gonzalez ML, Harb
M. Restoration of the Severely
Compromised maxilla using the multi-cup
denture. Journal of Prosthodontics 2008;
17: 4146.
13. Boone M. Analysis of soluble and
insoluble denture adhesives and their
relationship to tissue irritation and bone
resorption. Compend Contin Educ Dent.
1984;4(suppl):S22-S25.
14. Tarbet WJ, Silverman G, Schmidt NF.
Maximum incisal biting force in denture
wearers as influenced by adequacy of
denture-bearing tissues and the use of
an adhesive. J Dent Res. 1981;60:
115-119.
15. Grasso JE, Rendell J, Gay T. Effect of
denture adhesive on the retention and
stability of maxillary dentures. J Prosthet
Dent. 1994;72:399-405, 1994.
16. Slaughter A, Katz RV, Grasso JE.
Professional attitudes toward denture
adhesives: A Delphi technique survey of
academic prosthodontists. J Prosthet
Dent 1999;82:80-99
17. Olan-Rodriguez L, Minah GE, Driscoll
CF: Candida albicans colonization of
surface-sealed interim soft liners. J
Prosthodont 2000;9:184-188.
18. Spyer J, Ingalls RS: Dental plate. U.S.

Patent Number 310,233, January


6, 1885.
19. Spyer J: Dental suction plate former.
U.S. Patent Number 331,840, December
8, 1885.
20. medGadget, internet journal of emerging
medical technologies. 2005, filed under
dentistry, geriatrics.
21. Thongthammachat S, Moore BK,
Barco MT2nd, Hovijitra S, Brown DT,
Andres CJ. Dimensional accuracy of
dental casts: Influence of tray material,
impression material and time. J
Prosthodont 2002;11:98-108
22. Anusavice KJ. Phillips science of dental
materials. [11th ed.] 1st Indian reprint.
Saunders Co: 2003: 224.
23. Shmitz, J.F.: Measurement of efficiency
of platinum cobalt magnetic implants. J
Prosthet Dent 1966;16: 1151-8.
24. Burns DR, Unger JW, Elswick RK, Beck
DA. Prospective clinical evaluation of
mandibular implant overdentures:
Part II. J Prosthet Dent 1995;73: 354-63.
25. Rahn AO, Heartwell CM. Textbook of
complete denture. [5th ed.] BC Decker
Inc., Hamilton, London, 2002: 227.
26 . Zarb GA, Bolender CL, Carlsson G.
Bouchers prosthodontic treatment for
edentulous patients. [11th ed.] St. Louis
C.V. Mosby, 1997: 460-468.
27. Murray MD, Darvell BW. The evaluation
of complete base. Theories of complete
denture retention. A review part one.
Aust. Dent. J. 1993; 38: 216-9.

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Winter / Hiver 2010

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5/22/09 3:53:16 PM

Low level laser therapy

A paradigm shift for dental practitioners


By Dr. Gerry Ross, DDS and Alana Ross, BScH

Dental treatments have changed dramatically in the last few


decades. At one time, dentures were often ill fitting and could
cause a significant change in a persons lifestyle. Little could
be done to decrease the pain and speed the healing of denture
sores, impressions were bulky and took a long time to set, and
were often ruined by patients gagging. Implants were virtually
obsolete so elderly patients had little options for proper fitting
dentures and required lots of adhesive to hold them in.
Dental tools have improved dramatically. Dental practitioners
now have a number of modalities on hand that improve clinical
outcomes and patient comfort. One of the more unknown
therapeutic tools is low level laser therapy (LLLT). Never heard of
it? This article will explain this therapy and how it can be used in
your practice and life.
In the 1960s, Theodore Maiman and Endre Mester were
both exploring the use of light as a therapeutic tool. Theodore
Maiman developed the first working Ruby Low Level Laser, a
feat which helped earn him two Nobel Prize nominations. A
few years later, Dr. Endre Mester became interested in LLLT
and began conducting experiments of his own. He was initially
interested in whether lasers could cause cancer in mice. He
shaved the bellies of mice, and irradiated one group using the
other group as a control. This study demonstrated two important
findings: the first was that lasers didnt cause cancers; the
second and much more unexpected finding was that the hair
grew back quicker on the irradiated mice. Interested by these
results, he conducted another series of experiments investigating
the therapeutic nature of the laser devices and demonstrated a
number of things, including that laser therapy stimulated wound
healing. It was from these initial experiments with laser therapy
that the term biostimulation was coined and some real interest in
LLLT began to take place.
Since that initial experiment done by Dr. Mesters lab,
thousands of studies have been conducted to determine
which wavelength, power, energy density and dose should be
used in various clinical situations. Despite the large amount of
research supporting the technology, laser therapy is still relatively
unknown in mainstream medicine. Laser therapy has been
used in Europe for decades; however, its acceptance in North
America has been slow, a result of tight (and somewhat biased)
regulatory restrictions and a previous lack of double-blind,
placebo-controlled studies to justify or explain how laser therapy
works. In recent years, the quality of research has improved
dramatically and is now being published in distinguished journals
such as PAIN, Nature and most recently, The Lancet.
Historically, light has been seen as therapeutically
advantageous. Early in the 20th century, hospitals recognized
the healing power of light and would often wheel patient beds
to the roof of hospitals to encourage patient well being and
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healing. Presently, millions of people flock south during the winter


months or use UV light therapy to combat Seasonal Affective
Disorder (SAD), a depression that strikes many when sunlight is at a
minimum. One of the best examples of light is seen in the process
of photosynthesis, where plants utilize and convert light energy into
glucose for fuel.
Low level laser therapy (LLLT), also referred to as phototherapy
or photobiostimulation, uses light energy from lasers or light
emitting diodes (LEDs) to elicit cellular and biological responses in
the body. Light photons work on various cell processes to stimulate
the release of cellular energy, which can be used to facilitate the
restoration of normal cell morphology and function.

Figure 1: Primary mechanisms of laser therapy


Some of the clinical effects of laser therapy are included in the
table below:
Increased Lymphatic Flow

Leads to reduction in edema

Simulates production of -endorphins

Bodies own natural pain killer


decreases pain

Reduction of depolarization of
c-fibres

Decreases pain sensation from pulp


of tooth

Collagen synthesis in fibroblasts

Stimulation of soft tissue

Formation of capillaries

Aids in wound healing

Stimulation of osteoblasts and


odontoblasts

Stimulations production of bone and


dentin

Decreased histamine, bradykinins,


acetylcholine

Decreases inflammation and pain

The therapeutic effects of laser therapy extend to a number of healthcare


fields, including veterinary, medicine, physiotherapy, chiropractic
medicine, neurology and even as a treatment option for various tumours.
We will start by focusing on the applications for a dental practitioner, and
then touch on how is can be used in various healthcare fields.
Winter / Hiver 2010

35

Lights and lasers in dentistry


The use of lasers and lights isnt new to most dental practitioners.
Many curing lights use LEDs to cure composites by activating
composites via a photochemical effect. Surgical lasers are common
in dental practices and use a photothermal effect for ablation of soft
tissue and enamel. Low level lasers dont cut tissue but instead
penetrate into the mitochondria of the cell and elicit a cellular
response.
Low Level Laser

Surgical Laser

LED Curing Light

Power

25 500mW

1W 5W

1000-2000mW

Spot Size

~4-10mm

0.3 0.4mm

4-11mm

Wavelength

600-900nm

810 1064nm

420-490nm

Mechanism of
Action

Photobiostimulation

Photothermal

Photochemical

Heat Generated

No

Yes

Minimal

Case study: Implants


A patient presented with a cracked tooth that had abscessed over time.
The patient was sent to an oral surgeon, who sectioned the tooth and
removed some bone. The laser was applied immediately after extraction,
both in the socket and along the suture line. The oral surgeon offered to
prescribe Percocet for pain, but the patient declined and experienced no
pain. Over the next three weeks, the laser was applied two times per week
around the extraction site. Three months later, the patient returned to have
an implant placed. At the time of surgery, the surgeon commented on the
quality of bone at site. LLLT was applied both after the site was prepared
and after the implant was placed, to the buccal and lingual surface. The
patient experienced no post-operative pain and took no pain medications.
Scientific support: A study investigating the stimulation of human
osteoblasts in vitro found a significant increase (25%) in the number of
osteoblast cells following three seconds of irradiation. Further, there was
a 40% and 38% increase in optical density following 24 and 48 hours,
respectively. The authors concluded that LLLT demonstrated a significant
enhancement in the differentiation of human osteoblast cells.

LLLT can be a huge asset to dentists and their patients. Below


is an example of the clinical applications in a general dentist or
denture clinic.
Nausea and gagging
Many patients have a sensitive gag reflex making dental work
very stressful for both the patient and dentist. Application of the
laser to the P6 acupuncture point of the wrist will decrease the
gagging and nausea sensations many patients feel during dental
treatments, impressions and x-rays. The P6 acupuncture point is
one of a triad of points that calms your parasympathetic nervous
system (Figure 3). Application of these points is also effective for
patients who are anxious and nervous. A pedodontist in Boston
regularly has patients referred to him for general anaesthetic
because of their gagging. Currently he reports that he is now
able to perform 90% of those procedures with the laser alone for
controlling the gagging reflex.

Figure 2: Parasympathetic calming points


Figure 3: Application to P6 point
Implants
Laser irradiation during the preparation and placement of implants
will decrease the pain and inflammation of the surgical procedure
and improve the integration of the implant into the bone. Many
studies investigating the effect of LLLT during implant placement
have demonstrated faster integration with a better quality of bone
and a decrease in pain at the time of placement. 1

36

Winter / Hiver 2010

Figure 4: Laser application after implant placement


Facial pain/muscle trismus
Laser therapy can be used very effectively for facial pain
treatment, either acute or chronic. A major complaint a lot of
patients have after long dental appointments is facial pain and
muscle tension. Application of the laser to the masseter muscle
after the appointment will reduce or eliminate the muscle trismus
and joint pain. In chronic TMJ cases, laser therapy can be used
in conjunction with other therapeutic tools to reduce the pain
and muscle tension, while stimulating healing within the joint. It
is commonly used in cases with myopathic pain, arthritis and
intracapsular problems. 2
Case study: Facial pain
A 60-year-old man went to his denturist to have impressions taken for his
new denture. He told his practitioner he was really experiencing a lot of
pain every time he opened his mouth and was only able to open 25mm.
A cluster of high-powered LEDS was applied to his masseter muscle and
covering the joint. The gentlemans opening improved to 45mm and the
impressions were taken without discomfort to the jaw.
Scientific support: A study by Kubota et al postulated that the pain
mechanisms of LILT in facial pain may be a result of LLLT-mediated
improved microcirculation in the temporal and masseter muscles, thereby
relaxing and softening affected muscles and relieving pain.

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Figure 5: Application to styloid joint


Soft tissue lesions
Soft tissue lesions, such as denture sores, herpes lesions, angular
chelitis and oral mucositis, respond very well to LLLT. Research
has indicated that LLLT can prevent cold sores from erupting if
treated in the prodromal stage (when the tingling starts) and speed
the healing in cases where the sore has erupted. Laser therapy
is commonly used during chemotherapy and stem cell therapy to
either prevent oral mucositis from developing or effectively treat it in
the case that it does occur. 3
Case study: Denture sores
A 58-year old woman presents at her denturists office with a large sore
on her lower gum. She tells her denturist that she has been leaving her
dentures out for a few hours every day because the sore was incredibly
painful. Her denture was adjusted and the laser was applied to the denture
sore. The next day, the patient called the denturist to tell him that the
sore was almost healed, the pain was gone and she was able to wear the
denture without issue.
Scientific support: Marei et al investigated the use of laser compared with
conventional methods in the treatment of mucosal lesions and found a
positive effect of therapeutic laser treatment on both soft tissue and bone
with subsequent improvement of denture foundation after treatment of
denture-induced mucosal lesions.

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.

Figure 6: Laser therapy for soft tissue lesions


Clinically, LLLT can be used with ease in a dental office.
Because laser therapy is non-invasive and has no significant side
effects, the treatments can frequently be done by the auxiliary staff
and easily integrated into the practice.

Click here to return to the Table of Contents

Endnotes
1
2
3

Stein A, Benayahu D, Maltz L, Oron U. Low-level laser irradiation promotes proliferation


and differentiation of human osteoblasts in Vitro. Photomedicine and Laser Surgery
2005. 23(2): 161-166
Kubota J, Calderhead RG. Treatment of Temporomandibular Joint pain with diode laser
therapy. Joint International Laser Therapy Proceedings 2003: O210
Marei MK, Meguid SHA. Effect of low-energy laser application in the treatment of
denture-induced mucosal lesions. Journal of Prosthetic Dentistry 1997. 7: 256-264

Winter / Hiver 2010

37

7th World Symposium on Denturism


Darwin, Australia August 23-26, 2011
Darwin Convention Centre

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.

For more information visit: http://www.conferenceworks.net.au/adpa/index

38

Winter / Hiver 2010

Click here
here to
toreturn
returnto
tothe
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.

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IFD to write a position paper for the European Union on the


positive impact of denturism to oral health and access to care.
The United States and United Kingdom are investigating new
educational institutions as a result of the disbandment of the
IDEC program.
On request of the National Denturist Association, the
IFD reviewed the curriculum of Mills Grae University and
determined that the Mills Grae curriculum meets the
objectives of the IFD Baseline Competency but no other
conclusions were expressed or implied.
A Survey of Denturist Product Use will be posted to the
website in early 2011.

Winter / Hiver 2010

39

INTERNATIONAL FEDERATION OF DENTURISTS


Guidelines for the induction into the Brotherhood of
Sterkenburgers were approved. The Sterkenburger committee
will investigate the production of new medallions and pins.
Guidelines for the hosting of an IFD meeting or a World
Symposium were approved.
Individual IFD member certificates have been withdrawn.
These will be replaced by one certificate sent to the country
association each year.
Next Meeting:
- 2011 Board Meeting Location to be announced.
- 7th World Symposium on Denturism Darwin, Australia
(August 23-26, 2011). In conjunction with the 21st Biennial
National Conference of the Australia Dental Prosthetists
Association (http://www.conferenceworks.net.au/adpa/index)
- 2012 Board Meeting Copenhagen, Denmark (date/location
to be announced)

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

Winter / Hiver 2010

Establish a succession plan for consistency in leadership and


administration.
GOAL 2: To increase revenues through membership,
education, and industry partnerships.
Objectives:
Promote the IFD as a global networking opportunity for global
denturist organizations who are either legally recognized or
seeking recognition in their country.
Establish relationships with denturist organizations through
communication and networking.
Establish a system of providing distance education accessible
by all country members.
Create a benefits package for industry partners.
GOAL 3: To develop and enhance professional relationships
with industry and external stakeholders.
Objectives:
Establish ongoing communication with industry suppliers to
the profession.
Establish ongoing communication with other oral health care
organizations.
Establish ongoing communication with government agencies.
Assist developing countries, at their request, through
communication with decision-makers.
GOAL 4: To enhance communication through re-design of
the website and use of modern technologies.
Objectives:
Refresh the website with a new look and features.
Launch the new website in January 2011.
Investigate the use of alternate technologies for communication
amongst geographically diverse executive members, committee
representatives, and members-at-large.

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Winter / Hiver 2010

41

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THE UN-COMFORT ZONE

Robert Wilson

Pack mentality

hen my son was two years old,


we got a Samoyed puppy, and for
the next 18 months they were the best of
friends. Then the dog changed. Suddenly
she started growling at my son and biting
him. At first I thought that maybe he was
pulling her tail or something else that was
irritating her, but that wasnt it.
My dog had become an adult and
instinct kicked in. She became concerned
with her place in the pack hierarchy. I
learned that our family was her pack,
that I was alpha-dog, and that she had
no intention of being at the bottom of the
pecking order. That meant someone had to
be beneath her and the easiest choice was
my toddler.
Through training and discipline we got
the biting to stop, but to this day she still
considers my son subordinate to her.
Click here to return to the Table of Contents

Its all about status and exclusivity. And


human beings are just as motivated by it
as a pack animal. When Abraham Maslow
created his Theory of Human Motivation in
1943, he identified five levels of motivation
or five needs that humans strive to satisfy.
Those needs are, in order: Survival, Safety,
Social, Esteem, and Fulfilment.
Status is an esteem need and regardless
of where we fall on the economic ladder, we
all strive to achieve status before we can
move on to the highest need. Whether we
admit it or not, we all want to feel as if we
are a little bit better than the people around
us. We begin to establish that at least in
our own minds with the accouterments
of wealth such as branded clothing,
jewelry, luxury automobiles, and exclusive
neighborhoods. Even the poorest of people
find symbols with which to establish their

status. The visibility of these status symbols


can create the powerfully motivating
emotion of envy.
Most happiness that is acquired
by achieving status symbols is short
lived. Overtime such trappings become
meaningless to us, at which point, we seek
genuine achievements to prove our worth.
Studies have shown that after reaching
a certain income level (usually around
$250,000 a year) an individuals happiness
does not increase until they reach the status
of super rich (approximately $10,000,000
a year).
But, status can continue to motivate
us long after money ceases to do
so. Bestowing a new title with added
responsibilities yet without any added
pay is a common method for rewarding
employees.
Winter / Hiver 2010

43

By Robert Wilson

THE UN-COMFORT ZONE

By Robert Wilson

THE UN-COMFORT ZONE

Volunteers can be motivated in a similar


fashion. I have been a Boy Scout leader
for the past five years. The Boy Scouts of
America rewards its leaders with patches
embroidered with colorful square knots that
are worn on the adult uniform. Different
colored square knots represent the variety
of services a volunteer has provided or
achievements that he or she has earned.
Some square knots represent achievements
earned years earlier when the volunteer
was a Boy Scout. When I attend formal full
uniform functions, I find myself scanning
fellow leaders square knots to note their
status. There is one we all look for; it is the
red, white and blue knot that indicates the
wearer earned the highest status in scouting
as a youth: the Eagle Scout award.
When the United States was founded,
one of its distinguishing characteristics
from the rest of the world was the lack of a
feudal or caste system. That doesnt mean

44

Winter / Hiver 2010

Bestowing a new title with added


responsibilities yet without any
added pay is a common method for
rewarding employees.

status doesnt exist in America. Indeed it


does, but here we must earn it. Best of all,
people have a choice and can rise above
the station they were born into.
Lacking status puts us in the
Un-Comfort Zone and drives us to achieve.
When you help someone up the social
ladder, you can motivate them in a powerful
and positive way.

Robert Evans Wilson, Jr. is a motivational


speaker and humorist.He works with
companies that want to be more competitive
and with people who want to think like
innovators.For more information on
Roberts programs please visit
www.jumpstartyourmeeting.com.

Click here to return to the Table of Contents

CLASSIFIEDS

DENTURISTS WANTED
Looking for a newly graduated
denturist or a denturist looking to buy
into a well established dental practice
in Central Vancouver Island. This is a
fantastic opportunity for the right person.
Please contact Brian at 250-246-4674 or
thehappydenturist@shaw.ca for details.
Very active 46-year denturist office
requires an associate in western Canada.
Please contact Ora Dental Studio,
800-665-1964.

CLINICS FOR SALE


Well established denturist office and
laboratory for sale along the coast of
Southern Maine, licensed denturist and
owner retiring. Contact: Steven Ellis, LD,
Southern Maine Denture Associates, Old
Orchard Beach, Maine. Office: 207-9345411; cell: 207-604-6133.
Victoria, BC, denture clinic with
well-established and busy location in
professional medical building. Excellent for
graduate whom would like build his/her
own practice and buy existing denture clinic
in beautiful Victoria. Serious inquiries only.
Contact Sergei at 250 881-8560 or email:
newdiatech@shaw.ca
Newly established denture clinic for
sale in St. Catharines, Ontario. Great
potential to expand business in a fast
growing retirement community. For more
information, please contact Chris at
647-290-2535.
Opportunity of a lifetime! If you are
looking to achieve better work/life balance,
this is an opportunity to relocate to
Southwest Ontario. With a large senior
population in our area, we have a loyal
patient base and a continual substantial
annual growth. The business is based
on high quality dentures construction. It
is the only denture clinic in town with an
excellent location, modern, fully-equipped
and professionally designed. Low overhead,
patients and dental referrals make this

Click here to return to the Table of Contents

clinic very profitable. The extra space gives


the possibility to sublease. Current owner
willing to stay on to ensure a smooth
transition if needed. For more information,
call Daniela at 519-995-5533.
I have to wear glasses for my glasses
because my eyesight is fading, my hair is
graying and thinning, my teeth ache, my
fingers are stiff, my knees are sore and I got
out. Its time to sell my practice! My denture
clinic is located in the heart of Lloydminster,
Alberta. It is in Canadas only border city,
which is halfway between Saskatoon, SK
and Edmonton, AB. My clinic has been
operating since 1977. I have a good
working relationship with the dentists. The
clinic is a bright and cheery workspace
and has a large custom-built lab with lots
of natural light, you can see photos of my
clinic on my website, (korpaniukdenture.
com). would be willing to stay on for a
short time for the transition of the practice.
Contact: kdclinic@telus.net or Fax:
780-875-6721.

CLINICS FOR RENT/LEASE


For lease: space available for lease
in commercial plaza on busy street
in London, ON. 975 sq. ft. to develop
with signage and good exposure. Outside
completely renovated. Only $850/month.
Large dental office in building will refer
denture patients. Ideal location to
establish denture clinic with guaranteed
referrals. E-mail enquires to frklongo@
rogers.com.

Busy denture clinic in Winkler, MB


looking for experienced lab technician.
Please email rsum to ctmeilun@mts.net.
Licensed denturist wanted
immediately for well-established Calgary
practice. Excellent benefits, wage
compensation, and perks. Respond
to bernchilds@shaw.ca. All inquiries
confidential.
Denturists wanted for full scope
practice in Michigan USA. Must hold
an active denturist license in a state
or province. If you are interested in
relocating respond to Dentician2000@
charter.net
Denturist office in the downtown
west Toronto area. Spanish and/or
Italian speaking a must. Please contact
cvalentdd@yahoo.com

EQUIPMENT FOR SALE


KAVO boil-out & polishing unit;
Ticomium shell blaster for sale. Boilout:
$5000 obo; polishing unit $3000 obo.
Polishing unit specifications and images
may be viewed at www.wasserrmandental.
com (Model wp-ex80). Ticonium shell
blaster suitable for casting lab $3000 obo.
If interested please call 519-622-4500 for
additional information. Dust collection.
Quatro velocity X2 two station, one mc2
micro coordinated controller, one benchmount slide valve, 2 illuminated airports,
and one air wedge, all in perfect working
order, replacement value $2500 asking
$1600. Contact dentureclinic@cogeco.net
or 905-937-6060.

Winter / Hiver 2010

45

Reach our advertisers

Denturism Canada would not be possible without the advertising support of the following companies and
organizations. Please think of them when you require a product or service. We have tried to make it easier
for you to contact these suppliers by including their telephone numbers and websites. You can also go the
electronic version at www.denturist.org and access direct links to any of these companies.

COMPANY

PAGE PHONE
3

Aurum Ceramic Dental Laboratories


Carson Denture Clinic

800-661-1169

WEBSITE
www.aurumgroup.com

26

888-582-6236

www.surefitdentures.com

OBC

800-268-4442

www.centraldental.com

College of Alberta Denturists

14

800-260-2742

www.collegeofabdenturists.ca

Cosmo Dental Laboratory

42

613-829-0726

www.cosmodental.ca

Dentanet

31

450-581-0030

www.dentanet.ca

Dentsply Canada

13

800-263-1437

www.dentsply.com

Henry Schein Arcona

IFC

905-832-9101

www.hsa.ca

800-668-4691

www.impact-dental.com

Central Dental

Impact Dental Laboratory


Implant Direct

23-25

604-730-1337

www.implantdirect.com

Ivoclar Vivadent

800-533-6825

www.ivoclarvivadent.com

Laboratoire Dentaire Concorde

11

800-668-3389

info@ldcc.ca

Lifestyles Midland

705-527-7772

www.lifestylesmidland.com

Maxim Software Systems


Mid-Continental

17

800-663-7199

www.maximsoftware.com

28, 34, 44

800-882-7341

www.mid-continental.com

Mixingtips.ca

11

905-668-7272

www.mixingtips.ca

Novalab

15

819-474-2580

www.novadent.com

SensAble Technologies

17

781-937-8315

www.sensable.com

Specialized Office Systems

22

800-495-8771

www.denturistsoftware.com

Synca Technology

IBC

800-667-9622

www.synca.com

Technorama

18

416- 884-1572

www.diac.ca/technorama

30

800-661-7429

9, 12

800-265-0968

Westan Dental Products Group


Zimmer Dental

l of Canad

ian Dentur

ism / Le

Journal de

la Dentur

ologie Du

Canada

SUMMER/TE

D A
C A N A
O G I E
U R O L
D E N T

WINTER/HIVER 2010

2010

The Journa

www.zimmerdental.com

The Journal of Canadian

Denturism / Le Journal

de la Denturologie Du Canada

D E N T U R O L O G
I E C A N A D A

International
Federation
Of Denturists

Helsinki Meeting Recap

to: kelly@kelma

n.ca

M
CAD/CAPr ocesses
Model

To reach denturists across Canada through


Denturism Canada magazine and its targeted
readership, please contact Chad Morrison directly at:

review
al Meeting
DAC Annu Your Practice
Perfecting preview
conference

PM #40065075 le Canadian
Return undeliverab

addresses

ALSO:

ALSO:

Ultrasuction effect on
denture retention
Low level laser therapy
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46

866-985-9788
Toll Free Fax: 866-985-9799
E-mail: chad@kelman.ca

Toll Free:

Winter / Hiver 2010

addresses to: kelly@kelman.ca

Click here to return to the Table of Contents

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