Our mission is to advance excellence, ethics, professionalism, and leadership in dentistry.
Section Newsletter Committee is very thankful for the fantastic photographic work generoulsy contributed to our publication by:
UofT Photographer - Jeff Comber
UWO Photographer - Joide Aldred
ACD ONTARIO WEBSITE
Check out our website at acdontario.org. On it you will find all sorts of information regarding our section including links to Continuing Education, publications and our award winning newsletters, upcoming events and much more. The ACD
American College of Dentists Leadership
This esteemed leadership team continues to guide the ACD in its mission to advance excellence, ethics, professionalism, and leadership in dentistry. The ACD promotes the highest standards of ethical conduct and professional responsibility among dentists to benefit patients, the profession, and society.
Executive Committee
Dr. Robert A. Faiella – President
Dr. Teresa A. Dolan – Immediate Past President
Dr. Terry L. Norris – President Elect
Colonel Peter H. Guevara – Vice President
Dr. Joseph P. Crowley – Treasurer
Mr. Michael Graham – Executive Director
Regents
Regency 1: Dr. Julie A. Connolly
Regency 2: Dr. Sean C. Meehan
Regency 3: Dr. Robert G. Plage
Regency 4: Dr. Brenda Thomson
Regency 5: Dr. Nancy Y. Larson
Regency 6: Dr. Kristi M. Soileau
Regency 7: Dr. Ned L. Nix
Regency 8: Dr. Robin Henderson
Staff
Suzan Pitman – Managing Director
Jan Remissong – Membership Coordinator and Gallery Manager
Regent Intern – Dr. Joshua Bussard
At Large Regent – Dr. Toni Roucka
At Large Regent – Dr. Sreenivas Koka
At Large Regent – Dr. Krista Jones
At Large Regent – Dr. Pamela A. Alston
At Large Regent – Dr. Pamela Zarkowski
At Large Regent – Dr. Daniel Carney
Be sure to visit www.acd.org for more information
Matthew Sheriff – Communications Director
Tylor Davis – Social Media Associate and Administrative Assistant
The Executive Committee Members
Dr. Louann Visconti Chair
Dr. Sunita Joshi Chair Of Membership/ Nominations/Awards Committee
Dr. XueEr Hong Secretary
Dr. Shawn Steele Vice Chair; Editor Newsletter 2025; Chair Of CE And Sponsorship Committee
Dr. Sonia Slawuta Immediate Past Chair; Chair Of Communications Committee; Co-Editor Newsletter 2026
Dr. Tamara Sosath Co-Editor Newsletter 2026
Dr. Karin Van Ryswyk Treasurer
Dr. Jawad Tawil SPEA Liaison – U of T
Dr. Anwar Dean SPEA Liaison – Western
Dr. Eunice Sangeun Park Member at Large
Committee Chairs
Dr. Christine Ng Member at Large
Saira Paredes Raut Member at Large
Membership, Nominations and Awards – Dr. Sunita Joshi
Communications – Dr. Sonia Slawuta-Shulakewych
Continuing Education and Sponsorship Committee – Dr. Shawn Steele Newsletter – Dr. Sonia Slawuta-Shulakewych & Dr. Tamara Sosath
Constitution and Bylaws, Policies and Procedures – Dr. Shawn Steele
Editor’s Corner
Dear Fellows,
Consider this quote:
Shawn Steele Editor ACD-OS Newsletter 2025
He who studies medicine without books sails an uncharted sea, but he who studies medicine without patients does not go to sea at all. – Sir William Osler
The above highlights the essential balance between theoretical knowledge and practical experience when learning and practicing health professions. As dentists, we acknowledge study and continuous development as crucial for understanding concepts and developing and maintaining skills, but it is through patient interactions that this knowledge truly comes to life.
While we recognize the importance of foundational learning—without it, one is adrift, lacking direction, we also know that knowledge alone is not enough. Without engaging with patients, a practitioner remains on the shore, missing out on the invaluable lessons and insights that real-world experiences provide and day-to-day practice entails.
In the context of our profession, this quote serves as a reminder that fostering strong dentist-patient relationships is vital. It’s through these interactions that we learn empathy, communication, and the nuances of individual care—skills that are just as important as any clinical technique. Ultimately, true competence in dentistry, arises from a harmonious blend of knowledge and practice, with an unwavering commitment to the health and well-being of those we serve.
In this newsletter, we delve into a theme that lies at the heart of our profession: the dentistpatient relationship. This connection is more than just an interaction; it’s a partnership built on mutual trust, respect, and understanding. In an era where healthcare is evolving rapidly, understanding and nurturing this bond is crucial for ensuring not only patient satisfaction but also optimal clinical and ethical outcomes.
Through the generous written submissions of talented and dedicated contributors, this newsletter will explore innovative approaches to developing, enhancing and maintaining patient engagement; share experiences and insights that highlight the impact of strong relationships; and provide practical strategies for fostering open dialogue and ethical practice. In addition to this, you will have the opportunity to take a journey with us as we look back and reflect on the the activities of the Section over the past year.
As you read this newsletter, I invite you to reflect on your own relationships with your patients and consider how we can collectively elevate the standard of care. Together, let’s continue to strengthen the ties that bind us, and practice safe, effective, and ethical patient-centred care. Remember, without patients, there is no dentistry.
I am pleased to present to you the American College of Dentists – Ontario Section 2025 Newsletter.
Happy reading!
Incoming Chair’s Report
A patient comes in; she is a little disheveled, a little melancholy. I say something to her that brings with it the hint of a smile. She is wearing a coat with several coloured ribbons down the sleeve of the coat. When I ask her about them, she points to each one stating the name of the person and their relationship to her. What do these people have in common? They are all family members who have committed suicide.
This is the story of just one patient; do we know the stories of our patients? Do we get to know them, truly listen to them? Do we take the time to understand them, which may give us some clues as to their general response to their oral health and therefore overall health?
The dichotomy of dentistry is that we deliver oral health care services in a small business setting. The practice environment is becoming increasingly complex and with this increase in complexity comes an increase in the cost to deliver this care.
While we took an oath of commitment to always put the patient’s interests above our own, it is impossible to ignore the business side of our practice. In the current climate of postpandemic recession and inflation, there is the danger that the delicate balance that we seek to maintain between the health care aspect and the business aspects of practice will be tipped to focus more on the economics of practice rather than maintaining the focus on patientcentered care.
Oath of Commitment
“Solemnly acknowledge that (my) paramount responsibility is to the health and well-being of (my) patients.”
Dr. LouAnn Visconti
ACD OS Chair, 2025
The theme of this newsletter, the dentist-patient relationship, is very timely and relevant to the issue of this delicate balance. Does the economic climate dictate who we treat and how we treat them?
As practising dentists, the ACD Ontario Section Executive Committee understands the challenges the dental profession continues to face, which in turn challenges maintaining ethical decision making as the cornerstone of all that we do. In order to realize the mission of the College the following are some initiatives that are coming up this year;
• The Dr. E.J. Rajczak continuing education program will continue this year providing a first-class line-up of speakers on timely topics
• Outreach to other Canadian ACD sections to open dialogue and share ideas
• Continue nurturing and supporting our leaders of the future in the important work that we do alongside SPEA students in both Ontario faculties of dentistry
• Create a forum for Canadian SPEA chapters to communicate through and open the discussion allowing them to share ideas about the future of the profession
• Creating new innovative ways to support new dental graduates and fostering mentorship opportunities
• Continue to build upon and work together with the Royal College of Dental Surgeons of Ontario in areas of commonality
• Garner input from you, our fellows on what you feel is important which will inform the ACD-OS Executive Committee’s June planning session.
I am excited by the opportunity to serve you as Section Chair and look forward to the year ahead.
Sincerely,
LouAnn Visconti
Outgoing Chair’s Report
“We cannot live better than in seeking to become better” – Socrates
This year, 2024, has been another busy year for the ACD- Ontario Section. We had six successful webinars as part of the Dr. E.J Rajczak Ethics and Professionalism CE series. Amongst the excellent speakers were ACD fellows and/ or Faculty members from the University of Toronto, Schulich school of Medicine and Dentistry and the Editor Emeritus of the American College of Dentists. The zoom webinar format enabled us to extend the invite to the faculties of both Ontario dental schools, SPEA members, other sections in Regency 4 (Michigan, Indiana, West Virginia, Kentucky and Ohio) and the RCDSO. Four of the six webinars that were presented were approved for Category 1 and the RCDSO has continued to focus on the importance of ethics in all fields of practice and continuing education of dentists in Ontario.
The ACD-OS was invited to participate in White Coat Ceremony at the University of Toronto and Schulich School of Dentistry, where all the new students were presented with the ACD Ethics Handbook for Dentistry. With the help of our SPEA Liaisons, Drs. Tamara Schmidt, Jawad Tawil and Anwar Dean, this year for the first time we held two live SPEA Award Night events at each of the dental schools which featured a panel discussion on “Surviving the First Five Years of Dental Practice Post Graduation” and included a newly graduated associate dentist, a seasoned dentist and a financial advisor. The panel was moderated by Dr. Abbass Jessani and the students’ feedback was positive with renewed optimism for the career ahead of them.
Dr. Sunita Joshi Chair of the ACD Ontario Section, 2024
All ACD-OS Committees had a very busy year and I want to thank all the Ontario section executive members for all their hard work and dedication in keeping our section strong. The Ontario section is recognized as being among the most productive and efficacious in Regency 4 and I would like to thank everyone who participated to make it so. The Membership, Nomination and Awards Committee, under the leadership of Dr. Sonia Slawuta,was highly successful in nominating three very distinguished fellows from Ontario for the prestigious ACD Awards, and they were all honored at the AGM in New Orleans. Dr. Tom Harle was awarded the Outstanding Service Award, Dr. Lynn Tomkins the Distinguished Leadership award and Dr. Barry Schwartz was awarded the Ethics and Professionalism Award.
Dr. LouAnn Visconti and the Newsletter Committee produced an excellent Newsletter with thought provoking articles and updates from the 2024 committee chairs.
The Constitution and By-Laws Committee, headed by Drs. Shawn Steele and Nancy Baldwin updated our Constitution and Bylaws and formalized ACD-OS Policy and Procedures and document.
Dr. Karin Van Ryswyk, as our treasurer, has kept us fiscally strong and let me assure you, we are in very good hands with her at the helm.
Furthermore, I hope you enjoyed the efforts of the Communications Committee, who reached out to all of you with birthday cards and holiday greetings, as that was all looked after by Dr. XueEr Hong. There was also a quarterly Bulletin with timely information and helpful links. The Ontario section has prioritized engagement with our fellows no matter where in the province you reside.
For all the new fellows who were inducted in New Orleans, it was a joyful event filled with new experiences and an opportunity to meet and celebrate with other Ontario fellows. We assisted them in navigating Convocation with a letter previewing the event and what to expect, as well as inviting them to participate in activities that the Ontario section had organized in New Orleans. Great fun was had by all of us on the river Steamboat Cajun Dinner Cruise, the bus tour of New Orleans, the evening Ghost walking tour and dinner at Plates restaurant where nearly forty of us celebrated reconnecting with old friends and meeting new ones.
Socrates said: “We cannot live better than in seeking to become better” and all the wonderful hard-working executives that I have worked with have made me better and I am so thankful to them all.
Respectfully Submitted.
Sunita Joshi FACD.
Regent’s Report
Dear Ontario Section Fellows,
2024 has been a challenging year globally and in Canada, with no shortage of political drama, foreign wars, economic turmoil, and climate disasters. But there have been bright spots such as the Paris Olympics, Taylor Swift’s Eras Tour, and the amazing Summer McIntosh. So too with the ACD- some drama, and lots of good progress.
Firstly, there has been improved financial management and accountability. The ACD treasurer and finance committee have worked diligently to ensure transparency and best practices are maintained both for the College and the Foundation.
Under the direction of our executive director, Mike Graham, the new strategic plan is being implemented systematically, initially focusing on leadership training, ethics CE, collegiality, and fund raising to support these initiatives. Several examples are listed below.
Regency 4 Shift Leadership Training will be held in Indianapolis on April 25-27. Two to three leaders from each of our 6 regency sections will be invited. Regency 4 is thrilled to initiate this regency-specific program. Special thanks goes to ACD past president Dick Jones for forging the project, and to the ACDF and the IN section for the funding it.
ACD is also launching its Spring Leadership Retreat in San Antonio Texas on May 8-9. It will be held at the Cantera Resort in Texas Hill Country with plenty of CEU.
The ACD foundation kicked off its fundraising efforts with “Giving Tuesday” on December 3.Over US$100,000 was raised to fund the ACDF projects and support the mission pillars of our College. We have also been in conversation over the roadblocks Canadian fellows face when making donations to the Foundation.
Dr. Brenda Thomson Regent, Regency 4, ACD
The national office and I will attempt to navigate these trans border tax issues. Thank you also for voicing your concerns over registration and other issues at the New Orleans AGM. These matters have been taken very seriously, and they will be addressed.
Last September the updated ACD national bylaws were approved unanimously by the fellowship. This will make it easier to govern the college in our modern world. There was a surprising political challenge to the President elect position. Terry Norris, your former regent, successfully secured the honour of being our next President elect.
It remains my privilege to represent Michigan, Indiana, West Virginia, Kentucky, Ohio, and Ontario as your regent to the American College of Dentists National Board. With the recent AGM in New Orleans, I completed my first year of a four-year term. It has truly been an incredible learning experience.
I had the opportunity to attend section annual business meetings in Indiana, West Virginia, Virginia, Kentucky, Ohio, and Ontario this year and each has its own personality. Most are in conjunction with their state dental convention, and as a result are breakfast meetings, often combined with ICD and PFA annual business meetings.
Only IN and ON host standalone ACD-only dinner meetings.
I have focussed on supporting the section chairs and leaders by visiting their sections, sharing educational opportunities and supporting SPEA chapters at the section dental schools. To help improve communications within our regency, I launched the Regency 4 zoom Updates. Our 6th such update took place in March.These meetings have allowed the section leaders to get to know each other, and to be updated on a myriad of college news and opportunities.
They can also openly discuss issues they are facing and better search for solutions. The camaraderie these meetings have provoked was clearly evident at the Regency Breakout Session in New Orleans. The Regency 4 room was packed with leaders and fellows discussing the four parts of the college’s new strategic plan. Our Breakout Session was the liveliest and loudest of all!
Distinguished Ontario fellows, Drs. Lynn Tomkins, Barry Schwartz and Tom Harle were awarded national ACD awards. It was a very proud moment for all Ontario fellows in attendance. So well deserved.
Moving forward, the College goals to induct 350 new fellows each year. Big thanks go out to Ontario for nominating so many worthy new fellows in 2024. Your efforts ensured that Regency 4 led the college with 49 approved new fellow candidates, with ON leading that charge. As you know the nomination process has been streamlined to include only one fillable PDF form. I suspect eventually, there will be other changes to make it easier for you to gather information about your nominee. The College demographics are now such that half our fellows are 70 years old and are not required to pay dues. Therefore, please consider nominating younger dentists, and senior dentists should consider voluntary dues payment.
I was very proud to meet the representatives of the two SPEA chapters in Ontario. Thanks to your generous support they were able to attend the two-day national SPEA meeting in New Orleans. These young students truly represent the best of our great profession. I would like to thank Schulich School of Medicine and Dentistry Vice-Dean and Director Carlos Quinonez for his support of ACD and SPEA. The Ontario section was honored to have fellow Karin Van Ryswyk address the new dental students at the White Coat Ceremony in London. Sadly, ACD was not
asked to address the UoT students at their WCC in 2024. Hopefully this oversite will be rectified for 2025.
In closing I would like to applaud the ON executive for their tireless efforts to provide real value to its membership. ON offers the Dr. E. J. Rajczak Ethics and Professionalism Series, an award-winning annual newsletter, timely quarterly bulletins, a dual-location AGM with CE, and multiple national AGM excursion options. Kudos to our Ontario Model Section Team!
Respectfully submitted,
Dr. Brenda Thomson,FACD Regent, Regency 4, ACD
Our Game: Embracing the Principle of Paramount Responsibility
Dr. Dave Chambers
It’s Our Game
At a recent dinner meeting one of my table mates was an endodontist. In response to my inquiry about his practice, he replied roughly: “As well as can be expected. I have microscopes at every operatory and computer screens and digital video cameras. Nickle titanium files. We are all digital charts now. We are almost entirely cash-basis.”
Something seems missing in this response. Perhaps in our eagerness to share with each other what dentists aspire to, we have overlooked some important others.
None of the points my colleague mentioned are included in the Code of Ethics of the Royal College of Dental Surgeons of Ontario (RCDSO). Its first principle is “The paramount responsibility is to the health and well-being of patients.” Twelve of the fifteen principles include the word “patient.” The American Dental Association Principles of Ethics and Code of Professional Conduct uses an exoskeleton of five bioethical principles and identifies 61 specific behaviors in the code of conduct, violation of which many result in loss of membership in the association. Twenty-three of these address ethical relationships with patients.
These standards are not quite as strong as they first appear. Is oral health promotion something dentists do to others or with them? Not everyone who needs oral health care is a patient. Only those who can afford the treatment options offered, who value the promised improvement in appearance and function, and who trust the particular practice to produce these results are
patients. Those who leave the practice or never show up in the first place are not patients.
The attached graphic is a schematic suggestion that many individuals in need of care are not patients and some “patients” receive “unnecessary care,” both as overtreatment and elective procedures that have uncertain health benefits. Research estimates between 50% and 70% of the population cannot afford the care dentists believe they need. A survey of the Regents of the American College of Dentists estimated that 20% of practitioners engage in overtreatment. Dentists who face negligent malpractice claims or lose their licenses are a tiny fraction of the profession.
Of course, we need good rules if we are to play fair and elevate our game. The rules come in various sizes and generally reflect who has a voice in the engagement. Being a good dentist means optimizing oral health for everyone. Running a good practice means serving the needs of those who agree to the terms of engagement at a level that meets the standards of care and the expectations of those who agree to be treated. Legal practice means avoiding statutory misconduct that could result in penalties. Licensure means practicing at a level the jurisdiction expects for being granted the privilege of conducting business.
The RCDSO makes excellent oral health outcomes the first standard. But “paramount” is not an unqualified term. “The best” usually means
Our Game: Embracing the
“the best that can be achieved under the conditions.” Everyone cannot drive a Mercedes even if one believes that is the best car to be had.
A qualifying principle is informed consent to the standard of care. The dentist must present and explain all treatment options to the patient (Ontario Principle #6) and the patient consents to one of these. The work is then performed to the appropriate standard of care (Ontario Principle #5). No ethical distinction is made regarding health outcomes within this range. Embracing the principle of paramount responsibility, even when applied specifically to the relationship between dentists and patients, still leaves a substantial range in deciding who meets the standard.
Paramount means first in importance; it does not mean only. The problem here is multiple standards. There is no inconsistency between managing a profitable business using advanced technology to achieve the most optimal outcomes possible and promoting the health and wellbeing of patients. Toothpaste manufacturers do this. The American Dental Association Principles of Ethics recognizes that “other justifications compete with each other for priority.” It is left to dentists individually to find a balance they are comfortable with. These are what philosophers term prima facie guides to action: You must do this unless you can think of a good reason to do something else.
I sometimes muse on the fact that that there are no codes of ethics for either patients or for those in need of oral health care. Nor do I know of any dental ethics code that was created with input from the public. Perhaps there is no need for that. A recent email search of the association websites of United States dental associations found that in approximately half, only members dentists could view the codes – patients and non-members dentists were blocked from knowing how dentists are supposed to behave. Perhaps the general norms of a civilized society
cover it: be honest, honor your promises, help others when the opportunity presents itself, don’t cheat, honor the norms of your group, do what you say you are going to do. Oral health of care professionals would be called out if they failed to follow these principles as the expect all of their patients to do.
Is oral health promotion something dentists do to others or with them?
In 1992 John Nash received the Nobel Prize for proving that when two individuals work together so the actions of one affect the choices of the other, there is always, in every imaginable case, a mutual agreement can be found such that neither agent has any rational reason to want to change. It may not always be the first choice as defined by either free agent. But it is the best for everyone, all things considered. The basic rule is that we cannot decide for others and that what matters to others matters to us. In the health literature, this is known as shared decision making (SDM). A PubMed search this afternoon returned 22,500 references in medicine. The medical councils in Quebec and Great Britain endorse SDM as part of the standard of care. The PubMed search identifies zero studies conducted and reported in North American dental settings.
Something is missing. Perhaps in our eagerness to share with each other what dentists aspire to we have overlooked some important others.
Biography
Dr. Chambers is currently Professor of Diagnostic Sciences and former Associate Dean for Academic Affairs and Scholarship at the University of the Pacific, Arthur A. Dugoni School of Dentistry in San Francisco. He is the Editor Emeritus of the American College of Dentists. He has served as a consultant to most national dental organizations and dental schools in the United States and Canada. He has been an examiner for the Malcolm Baldrige National
Our Game: Embracing the Principle of Paramount Responsibility
Quality Award, served on the Commission on Dental Accreditation, and as a director of the Sonoma Valley Health Care District board.
He earned his undergraduate, EdM, MBA, and PhD degrees from Harvard and Stanford and has been a visiting scholar in philosophy at Cambridge University, the London School of Economics, and UC Berkeley. He has published over 675 papers, including four books and a monthly column on ethics in the California Dental Association Journal.
Dr. Chambers received the American Dental Education Association Gies Award for Achievement in 2018, the Gies Award for Leadership and the Ethics and Professionalism Award from the American College of Dentists in 2020 and 2021, and the American Association of Orthodontists Turpin Award for evidencebased research in 2023. His current research interests include professional ethics and clinical judgment.
Money isn’t the Only Reason People Don’t Go to the Dentist!
Dr. Sanjukta Mohanta BSc., DDS.
Will everyone go to the dentist if it is free?
No. While cost is one of the top reasons why people don’t go to the dentist, it is not the only barrier to accessing oral health care. Fear is another significant reason. Most of us have heard a patient say, “I hate going to the dentist.” But those patients are already in the office in our chairs, and there are medications and techniques to address fear and anxiety. This begs the question: Who are the ones who aren’t getting to our chairs and what are their barriers?
There are 5 A’s in access to care.
Affordability
This is the patient’s ability to pay. This is the most common barrier to accessing oral health care. Having dental benefits, private or public, is the number one way to decrease this barrier. Actions such as accepting public dental programs, providing payment plans, offering discounts, and doing volunteer dentistry also decrease this barrier. Interestingly, not everyone with dental benefits goes to the dentist, even when there is zero cost involved. What else is preventing people from visiting a dental office? Let’s look at the other barriers.
Accessibility
Can patients get to the dental office? Are they able to reach the office by car or public transportation? Can they get into the office and into the operatory or are there stairs or small rooms preventing them from getting to the dental chair? Having ramps, wide doorways and large operatories, as well as having easy
parking and being on a road that is easy to reach by public transit decrease this barrier.
Accomodation
Are patients’ unique necessities met?
Accommodation refers to the ability to meet the needs of the patient such as having office hours when the patient is available, allowing caregivers in the operatory, speaking their language, and making modifications to make appointments easier and more comfortable. You can accommodate patients by varying your office hours, having team members who speak different languages, using translation tools, allowing patients to bring a support person in the operatory, and asking patients how you can accommodate their needs.
Availability
How long does it take for a patient to find a dentist who is available to see them? Long wait times can worsen oral disease, prolong pain, and discourage patients from seeking oral health care. Blocking off time in your schedule to accommodate for emergencies and having human resources and material resources to provide care improve availability.
Acceptability
Does the patient feel judged? Gender, age, race, sexuality, socio-economic status, oral health condition, and personal beliefs are some reasons why people feel they are not accepted. Welcoming all, being open-minded, having a diverse team, embodying inclusiveness, and having marketing material which represents diversity improves acceptability. Having intake forms which ask questions such as, “What pronouns do you prefer?” and “What would you like us to call you?”, as well as leaving a blank
Money isn’t the Only Reason People Don’t Go to the Dentist!
space for patients to fill in their gender show patients you embrace diversity. A simple sign that says, “We Welcome All” creates a safe space.
In addition, don’t shame patients if they have poor health habits. Instead, empower them to improve their oral health. Use harm reduction and give them tips on easy ways they can improve their oral health such as decreasing the frequency and duration of sugar intake and flossing while watching a video.
If a patient refuses treatment such as radiographs or fluoride, have a conversation instead of a confrontation. Ask them what their concerns are then share the benefits and risks of treatment. They are showing they care about their health by questioning what happens to their body, so acknowledge it. This is a great way to create empathy and trust with patients.
Social Determinants of Health
Will decreasing the barriers to care improve oral health equity? Addressing the 5 A’s to care is fundamental, but there’s more. We also must address the social determinants of health. These are the factors that influence health, besides genetics and habits. The social determinants of health include:
• Income
• Employment
• Education
• Safety
• Housing
• Food
• Early childhood development
• Social connection
• Quality of air and water
• Community resources
Improving social determinants of health will also improve people’s oral health.
When a community does not have safe drinking water, they will drink flavoured drinks instead which increases caries rate. When someone has financial insecurity, they will not be able to afford healthy food. When someone does not feel secure, the stress negatively affects their health including their oral health. By addressing the social determinants of health, we can move towards achieving oral health equity.
Oral Health Equity
Equity is different from equality. Equality is giving everyone the same thing, whereas equity is giving more to the people who need more. The most vulnerable groups in Canada: people with low-income, children, seniors in long-term care, Indigenous peoples, people with special needs, and newcomers with refugee status, usually have worse oral health and have more difficulty accessing oral health care compared to the average Canadian. The goal is optimal oral health. Some people need more help to reach that. Giving someone an extra toothbrush helps, but what also helps is telling them about social supports such as second career programs and government grants. What also helps is addressing the 5 A’s of access to care and being understanding that some people have poor oral health, not because of poor habits, but because of social determinants of health.
Conclusion
Money isn’t the only reason why people don’t go to the dentist. Decreasing the financial barrier by providing dental benefits improves access to oral health greatly, but there are other factors. Besides affordability, we must also provide accessibility, availability, accommodation, and acceptance. We must also address social determinants of health to provide oral health equity. We can all do our part to help everyone have optimal oral health. Then we will hear patients say, “I love going to the dentist!”
Money isn’t
Biography
Dr. Sanjukta Mohanta is a general dentist working in Toronto at Filling the Gap Dental Outreach and a pediatric dental clinic. She graduated from the University of Toronto, Faculty of Dentistry in 1999. She volunteers with the Ontario Dental Association and Canadian Dental Association. She can be reached at sanjuktamohanta@hotmail.com and on Instagram @drsanjmohanta
References
1. The Five A’s of Healthcare Accessibility | James Durkin | Healthcare
2. Trends in self-reported cost barriers to dental care in Ontario - PMC (nih.gov)
3. Social determinants of health and health inequalities - Canada.ca
4. Oral healthcare disparities in Canada: filling in the gaps - PMC (nih.gov)
The Nuances of Informed Consent in Dentistry
Dr. Bruce Glazer
Informed consent is a cornerstone of ethical and legal practice in the healthcare field, including dentistry. It represents a process of communication between the dentist and the patient, which is essential for ensuring that patients make well-informed decisions regarding their treatment. Unfortunately, lack of informed consent is a recurring theme in complaints to the Royal College of Dental Surgeons of Ontario (RCDSO). This essay will delve into the concept of informed consent in dentistry through the lens of the five fundamental questions: What? Why? Who? When? and How?
What is Informed Consent?
Informed consent is not merely a signed document, but rather is a dynamic and ongoing process that involves a meaningful dialogue between the dentist and the patient. Before any dental treatment begins, it is crucial that this conversation takes place and is properly documented. This process involves explaining the nature of the proposed treatment, its potential risks and benefits, any reasonable alternatives (including the option of no treatment), and the expected outcomes. In addition, the patient should be informed if you are a general dentist or a specialist recognized in Canada and what the proposed fees and financial obligations will be.
This dialogue ensures that the patient comprehends the information provided, allowing them to make a voluntary and informed decision about their care. The dentist must ensure that the patient has understood all the pertinent details and has had the opportunity to ask questions and receive satisfactory answers. Recording this process contemporaneously, typically in the patient's record, is crucial as it provides a clear and detailed account of the informed consent process.
Why is Informed Consent Necessary?
Informed consent is both a legal and ethical duty of care. Legally, it protects the patients’ right to self-determination by ensuring that they are fully aware of and agree to the treatment plan. Ethically, it is a fundamental aspect of respecting patient autonomy and fostering trust in the dentist-patient relationship.
Failure to obtain proper informed consent can lead to severe consequences. The RCDSO, for instance, can charge a dentist with professional misconduct if they perform treatment without securing informed consent. Such charges can damage a dentist’s professional reputation and lead to legal penalties, including fines, suspension, or even revocation of their license to practice. Moreover, the information provided during the informed consent discussion must be current and based on the latest evidence regarding risks, alternative treatments, and best practices. It must be tailored to the procedure and the patient and thus the adage of one size fits all does not comply. This requirement ensures that the patient receives the appropriate standard of care and is protected from outdated or incorrect information that could negatively impact their health outcomes.
The primary participants in the informed consent process are the dentist and the patient. The dentist is responsible for providing comprehensive, understandable, and unbiased information about the treatment. They must also assess the patient’s understanding and readiness to proceed.
The patient, on the other hand, plays a crucial role by actively engaging in the conversation, asking questions, and expressing any concerns or preferences they may have. In some cases, particularly when dealing with minors or individuals who may not have the capacity to consent, a legal guardian or representative may be involved. It is the dentist’s responsibility to ensure that the person giving consent on behalf of the patient has the legal authority to do so and that the patient’s best interests are always prioritized.
Informed consent should be obtained before any treatment begins. This includes not only major dental procedures but also routine interventions, as even these can carry risks that patients should be aware of. The timing of this process is critical: it should occur well before the commencement of treatment to allow the patient ample time to consider the information and decide about their treatment without feeling rushed or pressured.
Moreover, informed consent is not a one-time event but an ongoing process. For long-term treatment plans or when new information arises (including complications or patient safety issues) that could impact the patient’s decision, the dentist should revisit the consent discussion. This ensures that the patient’s consent remains valid and informed throughout the course of their care.
The process of obtaining informed consent involves several key steps:
1. Providing Information: The dentist must explain the diagnosis, the nature of the proposed treatment, the risks and benefits, all reasonable alternatives, and treatment costs. This explanation should be clear, concise, and tailored to the patient’s level of understanding.
2. Ensuring Comprehension: The dentist should check the patient’s understanding by encouraging questions and providing additional explanations as needed. Techniques such as the teach-back method, where the patient repeats back the information in their own words, can be effective in confirming comprehension.
3. Voluntary Agreement: The patient must make a voluntary decision to proceed with the treatment without any coercion. They should be assured that they can withdraw consent at any time.
4. Documentation: The conversation should be documented in the patient’s record. This documentation should include the details of the information provided, the patient’s questions and responses, and the patient’s decision. A written consent form, signed by the patient, can be a valuable part of this documentation, but it should not replace the detailed record of the discussion.
An essential aspect of informed consent is ensuring that the patient has the capacity to understand the information and make an autonomous decision. Capacity refers to the patient’s ability to comprehend the nature and consequences of the proposed treatment and alternatives. This can be influenced by factors such as age, mental health, and cognitive function.
Dentists must be vigilant in assessing a patient’s capacity to consent. This includes avoiding the pitfall of same-day consent, where patients may feel rushed or pressured into deciding without adequate time for consideration. Ensuring that patients have sufficient time to process the information and discuss it with family or other trusted advisors is crucial for maintaining autonomy and preventing coercion.
Informed consent in dentistry is a vital process that safeguards patient autonomy and upholds the ethical and legal standards of dental practice. By understanding and implementing the principles of informed consent, dentists can foster trust, ensure patient safety, and provide high-quality care. The process involves clear communication, understanding patient needs and preferences, and thorough documentation. In doing so, dentists not only comply with professional regulations but also enhance the overall patient experience, leading to better health outcomes and greater patient satisfaction.
Dr. Bruce Glazer graduated from the University of Toronto in 1966 (DDS), again in 1970 (BScD in Anaesthesia) and once more in1987 (Diploma in Prosthodontics). During the last 48 years of practice he has held various appointments at the Faculty of Dentistry (UT) in the departments of Anaesthesia and Prosthodontics. He has served as president of the Toronto Crown and Bridge Study Club, the Ontario Association of Prosthodontists and the Ontario Dental Society of Anaesthesiology. Capacity and Autonomy
Conclusion
Biography
I’ve Seen a Thing or Two: Common Themes in Dental Mishaps
Dr. Peter Hong
In my over 35 years of clinical practice and various other roles in the profession, I have seen my share of dental mishaps. Reflecting on this, and considering what, how, and why things happen, a number of common themes and causes come to mind. Some of these may seem obvious, but it is always worthwhile having a second look with a lens towards prevention.
Safe practice is a concept that all practitioners have in the back of their minds as adverse events in healthcare, including dentistry, can have dire outcomes for patients and practitioners. During our busy practice days we are pulled in numerous directions, and at times have a multitude of demands and tasks that require our immediate attention. This can create an environment prone to mishaps.
Much of what follows will seem readily apparent to most readers; however, given that these are common themes happening with some regularity they are certainly worth a mention and it behooves us to be mindful that adverse events can and do happen.
The common and recurring themes include:
Communication breakdown
Some studies have shown that communication breakdown is a component of up to 70% of adverse events in healthcare. There are two aspects of communication in a dental practice: communication between staff, and communication with patients. Strong and clear messaging is necessary with both aspects. Ambiguous, vague, or imprecise communication with staff or patients can result in misunderstanding, misinterpretation, incorrect actions, and undesired outcomes.
Precise and strong communication skills will have the opposite effect, facilitating in improved delivery of care and better outcomes. Good communication is difficult for many of us and does not always come naturally. However, like clinical dental skills, it can be improved through taking courses and consistent practice and development.
Poor case assessment and selection
Detailed and meticulous examination is paramount in arriving at an accurate diagnosis and assessing the complexity of any given case. A major component is to ensure that we obtain all the necessary diagnostic tests, radiographs, models, CBCT, and any other aids that may be required in order to ensure accuracy and completeness.
Based on our findings and diagnoses, it is important that we recognize our own capabilities and limitations. It is impossible for any one of us to be experts in all facets of dentistry. We must recognize our limitations and skill sets. When cases are complex and exceed our expertise or comfort zone, it is essential we recognize this and refer our patient to a specialist or colleague with more experience to address the issues at hand. A timely referral is not a sign of weakness and is generally appreciated by patients. Seeking help is best done from the outset before an undesired outcome occurs.
Nondisclosure
As health care professionals, immediate disclosure of an adverse event when it occurs is an ethical, professional, and legal obligation. In addition to the disclosure, it is our obligation to ensure that the necessary steps are taken in order to mitigate the effects of the adverse event on our patient. Sometimes this care can be rendered by us, sometimes we need to provide an immediate referral.
I’ve Seen a Thing or Two: Common Themes in Dental Mishaps
Nondisclosure may result in delays in necessary treatment and also erodes the trust that our patients have in us. Disclosure must be timely, accurate, and complete.
Trying to correct our own mistakes
When an adverse event happens, in addition to affecting the patient, it is often devastating to the practitioner. A natural instinct is to try to fix or remedy the situation. It is important to recognize that in many circumstances the best course of action may be to step back and refer the patient immediately to a specialist or colleague who may have advanced skills in the area or be able to assess the situation with fresh eyes.
It is easy to fall into the spiraling pit of attempting to correct an issue over and over again until it becomes unsalvageable. It is advisable to surround yourself with experienced colleagues and specialists with whom you are comfortable consulting, and referring your patients to as needs arise.
Practicing while distracted
In modern practice, a dentist is pulled in many directions at the same time. This can be due to patient demands, a staff member or office related matter, or something external that serves as the source of the distraction. A momentary lapse of concentration is all that is needed for an adverse event to occur.
There are critical moments in performing dental procedures when the outcome is irreversible. At those critical moments it is paramount that we unburden ourselves of any potential sources of distraction so that we can fully concentrate on the task at hand for the time that is necessary to complete the irreversible component of the procedure.
Operator fatigue
It is a well known fact that fatigue can lead to degradation in performance, judgment, and concentration. Many other industries such as
trucking, manufacturing, and the airline industry have precise limits on the number of hours an operator can work before taking a mandatory break. As dentists, we have no guidelines or rules that we must follow, and in a busy day may push ourselves well beyond reasonable limits compromising our abilities and performance.
It is critical that we are cognizant of our own individual physical and mental limitations, and arrange scheduling that allows us to perform within these boundaries.
The obvious (treatment of the wrong tooth)
This may seem obvious, and for those practitioners fortunate enough to have never had experienced this, it may seem inconceivable. Surprisingly, it happens with some regularity. A momentary lapse in concentration or a distraction at a critical moment is sometimes all that is needed for a practitioner to provide treatment on the wrong tooth or extract the wrong tooth.
It is important to stay focused, and undistracted in that critical moment when we are about to provide irreversible treatment such as commencing access into a dental pulp for endodontic treatment, or the moment of applying the elevator or forceps onto a tooth for extraction. Unfortunately, this is one adverse event for which there is no easy fix.
A simple safety tip is to mark the intended tooth with a dot or an “x” just before commencing treatment.
Some final thoughts on staying safe:
• Maintain detailed, accurate, and complete records for all your patients, and at each clinical attendance.
• Always record a diagnosis that will provide a rationale for your treatment.
I’ve Seen a Thing or Two:
• Consistently obtain and document informed consent prior to commencement of treatment.
• Maintain good rapport with each patient and your staff; keep the lines of communication open.
• Be open and honest with your patients if and when problems arise.
• Keep an open mind, do not be afraid to refer or seek advice from more experienced colleagues.
Another tool that is advocated by Dr. Atoul Gwande in his book “The Checklist Manifesto: How to Get Things Right”, is the use of checklists. The development of clear and concise checklists can be extremely beneficial in many aspects of clinical practice for the prevention of adverse events.
Not everything is preventable, and there are inherent risks with all that we do. However, a major step towards prevention is in first acknowledging and identifying what adverse events happen in clinical practice. The next is to have systems in place that will help to reduce the number of potential risks from manifesting into outright adverse events.
Biography
Dr. Hong received his DDS from the University of Toronto, with honours, in 1983. After graduation, he worked in public health, and started a general practice in Toronto which he owned and operated for over 35 years. He also worked at Sunnybrook Hospital as a staff dentist in geriatrics for over 30 years.
Dr. Hong teaches the Communications course, and the Ethics and Professionalism course to dental students at the University of Toronto. He also works for the RCDSO in a variety of capacities for over 20 years.
Breaking Bad News in Dental Practice
Dr. Barry Schwartz DDS, MHSc
Dentistry can be a bit of a paradox. It can be extremely rewarding when we are able to make patients happy with the quality of the dentistry provided while nurturing a profound long-term professional relationship. Dentistry can also be both stressful and challenging at the best of times as well. One of the most challenging aspects of patient care is when dentists need to break bad news to patients.
What is Bad News?
Robert Buckman defined bad news as “any news that drastically and negatively alters the patient’s view of his or her future.”1 How a patient responds to bad news is influenced by their psychosocial context.2 I had a patient who required a crown on her lateral incisor that had most of the clinical crown snap off and, unbeknown to me, was already feeling that she was falling apart. This minor procedure was the tipping point of a serious mental breakdown for this particular patient, which required hospitalization and psychiatric care. Picking up on their psychosocial cues may help identify patients who might require a gentler approach to required treatment.
Types of Bad News
Situations where bad news needs to be shared are quite varied and may include:
1. Sharing with patients that you have identified a suspicious lesion that requires a biopsy.
2. Informing patients about oral conditions that are suggestive of a systemic illness.3
3. Identifying a deterioration of the patient’s periodontal state that is going to require surgical intervention.
4. Explaining the inability to repair a fractured tooth resulting in the extraction of a tooth.
5. Notifying patients of complications of treatment, which were hopefully discussed in the informed consent process.
6. Describing a treatment error.
7. Communicating the inability to save a tooth or teeth.
8. Informing a patient about a cybersecurity breach where their personal health information was accessed by a nefarious source.
9. Notifying a patient about the possibility of contracting a contagious disease due to sterilization failure
A Matter of Perspective
It is important for dentists to know their patients well, especially when it comes to their fears and anxieties. What a dentist may perceive as a minor change in treatment, some patients may totally freak out over the smallest details when they hear about any divergence in the plan or aesthetic outcome. How bad the news actually is, would be dependent on not only their expectations but how much they already know or suspect about their current condition.4 The severity of a problem is therefore a matter of subjective judgement. For example, patients who are accustomed to dental disease may not see the news as negatively as a patient without those experiences.5
Communication Skills Required
Communication is fundamentally important in the successful dentist-patient relationship. One of the most important skills is to demonstrate empathy. Empathy involves putting yourself in someone else’s position and feeling what they are feeling.6 A soft and quiet voice is important as well as maintaining eye contact with the patient. Showing personal emotions is
not necessarily a bad thing since it can convey that you are a caring individual and not cold and indifferent to the needs of the patient. Silence is an important listening skill. When the patient is talking, do not interrupt.
S.P.I.K.E.S. Protocol for Delivering Bad News7 Drs. Baile and Buckman developed an acronym, which they called S.P.I.K.E.S., to help doctors identify the necessary steps involved in breaking bad news to patients.
The S refers to the physical setting that is quiet and private without interruptions. Allow family members to be present. Rather than sitting across a desk, sit next to them at eye level.
The P is for perception. Before you give information, find out what the patient perceives the situation to be and assess their level of understanding.
The I is for invitation. Determine how much information and detail the patient requires. Ask permission to deliver results so that the patient has a sense of control of the situation. An example of this could be; “Is it okay if I tell you the results of the recent biopsy now?”
The K stands for imparting knowledge. Briefly summarize events leading to the current situation. Avoid medical/dental jargon. Stop often to confirm understanding.
The E pertains to emotions. Use empathetic statements to recognize the patient’s emotions. Validate their responses and use exploratory questions if their emotions are not clear. The dentist can show that they have made the connection to the emotion by saying something like; “What I have said must be difficult for you to hear.” If the patient is enraged, an empathetic response could be; “This is making you very angry, obviously.” Or, “I understand that this is very upsetting.”
Breaking Bad News in Dental Practice
The S refers to strategy and summary Summarize the main points to facilitate patient understanding. Set a path for next steps with options presented. Involve the patient so that they feel that they are part of the decisionmaking process. Ask the patient if they have any more questions or unresolved issues about what comes next. Leave the door open for them to go away and digest the information inviting them to call back or arrange another meeting if they have further questions that they think of.
Conclusions
Patients are often anxious at the dentist. They are generally fearful of pain, concerned about the cost and often worried about achieving the expected outcomes of their treatments. Because of the complexity of dental care and patient management, bad things invariably occur. Breaking bad news can be difficult. It raises emotional issues with both patients and dentists.8 In order to maintain trust with a patient, dentists and their staff must employ exceptional communications skills and maintain high professional standards. How dentists manage communications in difficult situations can be a source of great satisfaction or conversely, major frustration and can greatly impact patient retention and referrals. The way bad news is delivered may permanently change the nature of the relationship, potentially strengthening it or undermining it and damaging it irreparably,9 even leading to litigation or a complaint to the Registrar. Using the SPIKES protocol can help this difficult task go smoother and can even be transformative on the dentist-patient relationship, making it stronger than before the negative outcome occurred. Successfully managing complex encounters like breaking bad news can be as equally rewarding as completing a crown and bridge case for a happy patient and in so doing, lessen the paradox of patient care.
Breaking Bad News in Dental Practice
1 Buckman, Robert. Breaking bad news: why is it still so difficult? BMJ vol 288 May 1984 p1597-99
2 Vandekieft, G. Breaking Bad News. AAFP vol 64(12) Dec 2001 p1975-8
3 Newton, JT, Fiske, J. Breaking bad news: a guide for dental health professionals. BDJ vol 186 (6) Mar 1999 p278-81
4 Ibid Buckman
5 Ibid Newton & Fiske
6 Cambridge Dictionary. Available at: https:// dictionary.cambridge.org/dictionary/english/empathy
7 Baile, Buckman, Lenzi et al. SPIKESW a six step protocol for delivering bad news. Oncologist 2000 vo5 (4) p302-11
8 Ibid Newton & Fiske
9 Garg, A, Buckman R, Kason, Y. Teaching Medical Students How to Break Bad News.CMA vol 156 (8) Apr 1997 p1159-64
Biography
Barry Schwartz received his DDS and MHSc in Bioethics from U of T. He has a certificate in Conflict Resolution (ADR) from York University. Dr. Schwartz was in clinical practice for 25 years. He was, for 16 years, Assistant Professor at Schulich Medicine & Dentistry, Western University, London Ontario and Course Director for Practice Administration where the focus was on critical thinking, interpersonal-communications and applied ethics. He conducted research projects at Western and has published many articles both nationally and internationally on the subject of dental ethics. He was awarded the Fellowship in Teaching Innovation Research Award at the University of Western Ontario. Dr. Schwartz has been recognized as a Fellow of the Pierre Fauchard Academy and a Fellow of the American College of Dentists for his contributions in dental ethics. He recently received the Ethics and Professionalism Award from the American College of Dentists, being the first Canadian to receive this honour.
“Put Your Mask on First: Promoting Dentist Self-Care in Order To
Care for Others”
Dr. Sally Safa
You’re at a party… the person you are speaking to finds out you are a dentist; what is the first thing they ask…?“Hey, don’t dentists have a high suicide rate?”. I know I’m not alone in having to laugh this off or say something like “yeah, it’s pretty stressful”. The reality is that it can be really stressful. Research done on 2000 dentists in the UK showed that almost a fifth of those surveyed (17.6%) had seriously contemplated committing suicide.1 This is an alarming number and points to the seriousness of mental health challenges that many dentists suffer.
Early on in my career, I started to feel the stress and anxiety of practicing dentistry. I would ask colleagues how they were doing. I would always get something along the lines of “Livin’ the dream”, “Can’t wait for retirement” or “Counting down the days”. I was stressed and it seemed like others were too, but no one seemed to talk about it. A personal journey into finding healthy coping tools through mindfulness has turned into a passion project of sharing this information with others.
Dentistry is a unique profession. We work in confined spaces, completing specific procedures in a short amount of time, on a moving target. We work on a millimetre scale where the difference between success and failure is the size of a tip of a pencil. We carry a huge level of responsibility both to our patients and staff. This demands that we are in a state of constant activation, with our sympathetic nervous system stuck on. We are also trained to put others first, often neglecting our own needs. Over time, without awareness and the right coping skills we can overwhelm our system, leading to feeling chronically stressed,
exhausted, overwhelmed, anxious, depressed, and ultimately burned out. All of these are factors which negatively impact our lives and practices.
Throughout my mindfulness training I learned that the first step to any change is awareness. This was really frustrating for me as I was already well aware of how stressed I was! What I learned is that awareness isn’t just constantly thinking of how stressed or anxious we are. It’s about getting very curious as to what exactly stresses us. What are your stressors? Certain patients, procedures, staff, the balance with home life? We have to get granular about analyzing our stress. Maybe it’s not all endo procedures, maybe it’s molar endos on anxious patients. By paying close attention, we can start to name all our stressors. You can’t tame what you can’t name so this is the first step.
It is so important to name our stressors, but equally, if not more, important to feel our stressors. How do you really know you are stressed? Is it a racing heart? Upset stomach? Short temperedness? Anger? By taking many moments in a day just to pause and check in to see how you are feeling, you start to get an idea of how your body reacts to stress. If you just pause with one breath, this takes 30 seconds, you relax all your muscles, unclench your jaw and just feel your body sink into your chair. Is your heart beating rapidly, is the breath short and shallow, do you feel foggy, numb, tense? All these feelings bring you into your body and out of your brain which is a critical step in the journey to self-discovery and eventual healing. You can’t heal what you can’t feel.
The next step is recognizing how you deal with your stress. How do you react when a staff member is late, yet again, to work? How do you feel when you have had a difficult conversation or argument with a partner, your child, or a
“Put Your Mask on First: Promoting Dentist Self-Care in Order To Care for Others”
patient? How do you behave in these types of situations? Do you get angry, do you blame others, do you feel sad and overwhelmed, do you self-blame?
The big question to consider is: Do you respond or react to stress? Reacting to stress is when we let our sympathetic nervous system, our fight-flight centre, to be in control. Feelings of anger, overwhelm, sadness, catastrophe, hopelessness, and fear are all reactions to stress. The opportunity to pause for a minute and take a deep breath activates the parasympathetic nervous system and allows the brain the ability to think of options, to realize that this is not the end of the world and to bring on the prefrontal cortex. This is the place of wisdom in our brain. The prefrontal cortex is inactivated when we are triggered, and our fight-flight system is turned on. Using mindfulness tools such as grounding, taking a breath, going for a walk, being in nature, or taking pause, help to bring on the rational and calm prefrontal cortex. We will always make a better decision when we have our fight-flight centre under control and bring on the wise part of our brain so we can respond rather than react.
Thanks to neuroplasticity, what we practice grows stronger. Neurons that fire together wire together. Bringing constant awareness to our day-to-day lives and trying to respond versus reacting to stress, we can eventually “rewire” our brain. Chronic stress changes the structure of the brain where our amygdala (fight-flight centre) can grow over time and the hippocampus (mood regulatory centre) can shrink over time. The good news is that we can rewire the brain by teaching it and practicing new healthy ways of facing our stressors and dealing with them. The more we practice mindfulness, the better we will get at being present. Your dayto-day is this very moment - the one that just passed is gone and you cannot predict what the future holds, you can only control how you live in this very moment.
Ultimately, we all want to live as the best version of ourselves, living aligned with what matters most. Self-care is not selfish. It’s only when we take care of ourselves and bring compassion to ourselves that we can then be compassionate to others. In order to best serve our patients and fulfill our ethical duties, we ourselves must be well. Practicing being present, noting our stressors, and bringing on the prefrontal cortex can help us respond to life in ways that will shape our life into the one we most desire.
1 More than half of dentists say stress is affecting their practice. BDJ vol 226 (7) 2019. https://doi.org/10.1038/sj.bdj.2019.18
Biography
Dr. Sally Safa is a board certified Periodontist working in Toronto and an alumna of the University of Toronto where she also teaches at the Faculty of Dentistry. She is a passionate advocate of wellness for dentists. Her masters degree in Psychoneuroimmunology, understanding the effects of stress on the body and brain, combined with her training in MBSR (Mindfulness Based Stress Reduction) allows her to share the science behind stress and mindfulness. She lectures nationally and internationally on the topics of stress in dentistry as well as leadership in dentistry.
Updates to the Ethics Handbook for Dentistry
Joshua Bussard DDS, FACD, FPFA
The ACD Ethics Handbook for Dentistry, recently written and available in 2024, serves as a foundation for navigating the ethical dimensions of oral healthcare. Significant enhancements in this edition include updates to the Core Values and an emphasis on the ACD’s Four Pillars of Ethics, Professionalism, Leadership and Excellence. The Handbook offers practical tools, such as the ACD Test of Ethical Decisions and related resources, which prompt professionals to consider fairness, quality, legality, and patient-centered outcomes when resolving ethical dilemmas. Additionally, it encourages reflection and critical thinking about how actions impact patients and colleagues.
Furthermore, the handbook highlights the newly established core values of accountability, competence, dignity, collaboration, advocacy, reflection, empathy, and stewardship, thus forming the acronym ACD CARES. It is notable that these values expand upon the ADA Principles of Ethics and Code of Conduct and are not intended to replace them. These core values are defined in the handbook and are applicable to the dentist-patient relationship.
n terms of the dentist-patient relationship, the Handbook highlights the unique dynamics of the dentist-patient relationship, emphasizing empathy, respect, and collaboration. It underscores the
Updates to the Ethics Handbook for Dentistry
In terms of the dentist-patient relationship, the Handbook highlights the unique dynamics of the dentist-patient relationship, emphasizing empathy, respect, and collaboration. It underscores the importance of respecting patient autonomy, maintaining confidentiality, and being transparent about diagnoses and treatment options. The guide also stresses the ethical obligation to prioritize the patient’s best interests while balancing professional responsibilities.
This updated Handbook is not only a reference for addressing complex scenarios but also a call to action for continuous professional development, ensuring the highest standards of ethics and leadership in oral healthcare. We invite you to access this important resource by clicking the following link [or utilizing the respective QR code].
Joshua Bussard received his DDS from the Indiana University School of Dentistry (IUSD) and completed an Advanced Education in General Dentistry Residency Program through NYU Langone in Hawaii. Dr. Bussard is a fellow of the American College of Dentists (ACD) and the Pierre Fauchard Academy. He serves as the Regent Intern of the ACD, is a member of the American Society of Dental Ethics, Journal of the American College of Dentists Editorial Board and a member of the ACD Ethics Handbook Committee who developed the new Ethics Handbook for Dentistry. He recently completed an Orthodontics Fellowship at IUSD and practices as a general dentist in Indiana.
The ACD has a variety of resources available to help guide and inform Fellows. Be sure to check out the following:
The Journal of the American College of Dentists (JACD), a scholarly publication that has been published since 1934 and archived on-line. https://www.acd.org/communications/jacd/
Th ACD News, a triannual newsletter summarizing College activities and plans. https://www.acd.org/communications/acd-news/
The Dental Ethics site, containing and ever growing collection of online courses, videos, self-assessments, guides, and other materials related to dental ethics. https://www.dentalethics.org/
Shaping Smiles and Inspiring Change: A Journey Through Dentistry
In the vibrant world of dentistry, few individuals stand out as much for their leadership, compassion, and dedication as Athena Zhong, a remarkable fourth-year DDS student from the University of Toronto. Her story is one of passion, perseverance, and an unwavering commitment to transforming lives through dentistry.
A Path Rooted in Purpose
Athena’s journey into dentistry began with admiration for her family dentist, whose ability to connect with patients and impact their wellbeing left an indelible mark on her. “Growing up, I admired how my dentist got to know my whole family and made a transformative impact on our lives,” she recalls. This early inspiration ignited a passion for healthcare and service, ultimately leading her to pursue dentistry—a field where she could build meaningful relationships and improve lives.
Leadership has been a defining feature of Athena’s dental school experience. As Co-President of the Student Professionalism and Ethics Association (SPEA) chapter at the University of Toronto, she has played a pivotal role in organizing impactful events on topics such as Artificial Intelligence in Dentistry, RCDSO Complaints and Investigations, and Ethics Evening workshops. “It’s been a pleasure to engage closely with the American College of Dentists and contribute to ongoing dialogues on professionalism and ethics,” she says, reflecting on her SPEA involvement.
Athena’s leadership extends beyond SPEA. She represented her school at the 2024 ADEA Student Diversity Leadership Program, engaging in meaningful discussions on ethics and diversity in dentistry. As the class representative on the Dean’s Wellness Initiatives Working Group and a member of the Equity, Diversity, and Inclusion Working Group, she has worked alongside faculty to drive positive change.
Her initiatives are not limited to institutional settings. She co-founded the Gifts That Smile
Dr. Laura Tam, Interim Dean, University of Toronto, Faculty of Dentistry presenting Athena Zhong with the ICD Scholarship.
Athena and her sister Briana celebrating Briana’s high school graduation.
Dr. Shawn Steele
Leadership Through Action
Shaping Smiles and Inspiring Change: A Journey Through Dentistry
initiative, which has delivered over 500 care packages to underserved populations. “These experiences have taught me that by working on different scales—with peers, faculty, or community members—I can gain diverse perspectives and make a more meaningful impact,” she says.
Balancing academic excellence with leadership and service is no small feat, but Athena approaches it with meticulous organization and a passion for life. “I maintain balance by carefully organizing my commitments using a detailed calendar,” she explains. This allows her to dedicate time to studying, leadership responsibilities, extracurricular activities, and personal pursuits like horseback riding, hiking, and canoeing. “Staying active and making time for my interests keeps me motivated and focused,” she adds.
Her dedication to balance is deeply personal. In Athena’s first year of dental school, her mother’s diagnosis of Sjögren’s Syndrome shifted her perspective on health. “We came to understand that without good health, we cannot achieve anything,” she says. This realization motivated her to prioritize her own mental and
physical well-being, equipping her to better care for her loved ones and patients.
A Commitment to Community Outreach
Athena’s passion for service shines brightest in her outreach work. From volunteering at local clinics like the Centre for Addiction and Mental Health and Yonge Street Mission to participating in the 1000 Smiles Dental Project in Jamaica, she has provided essential care to underserved communities.
One particularly memorable moment occurred during the 1000 Smiles Project. “A patient shared her love for traditional Jamaican dances and even taught me a few moves,” she recalls. “Though I’m no dancer, we laughed and bonded, creating a memory I’ll always cherish.”
Athena’s work has also focused on addressing disparities in oral health access. “It has been incredibly rewarding to provide care packages to underserved populations, including seniors, homeless youth, Indigenous peoples, and 2SLGBTQI+ communities,” she says. Her efforts demonstrate how dentistry can bridge gaps and create connections across cultures and communities.
Athena and her proud parents, Caesar and Tracy, at her White Coat Ceremony.
(Left) Athena maintains a bust schedule, but makes time for fun and living life to its fullest, such as hiking at Papago Park in Phoenix, Arizona.
(Right) Athena finds balance by pursuing her passion for the outdoors.
Balancing Service and Scholarship
Shaping Smiles and Inspiring Change: A Journey Through Dentistry
Recognition and Reflection
Athena’s commitment to leadership, ethics, and service was recognized with the prestigious ICD scholarship. Reflecting on what set her apart, she cites her dedication to ethical practice and community engagement. “These core values inspired me to spark meaningful conversations about the code of ethics and engage in service initiatives,” she shares.
Beyond accolades, Athena finds pride in personal growth. “My proudest accomplishment is learning to prioritize my mental and physical health,” she says. By balancing nutrition, sleep, exercise, and time outdoors, she has cultivated a foundation for success and well-being.
Looking
Ahead: A Vision for the Future
As Athena approaches graduation, her vision for the future is clear. “In the next 5-10 years, I see myself engaging in community service, committing to lifelong learning, promoting ethical practices, and mentoring the next generation of dental professionals, including with the American College of Dentists and other dental organizations.” she says.
An unforgettable moment of learning traditional Jamaican dance to help ease the patient’s anxiety.
Creating meaningful connections with young patients in Ocho Rios, Jamaica.
Athena receiving the UofT SPEA Outstanding Student Leadership Award Dr. Tamara Sosath, Dr. Sunita Joshi, and Dr. Jawad Tawil.
Shaping Smiles and Inspiring Change: A Journey Through Dentistry
Her experiences attending courses and conferences have fueled her passion for growth. “I’ve been inspired by the leaders in our profession and their willingness to share their knowledge,” she notes. She hopes to pass on this spirit of mentorship, fostering the growth of aspiring dental professionals as her mentors have done for her. Athena is deeply grateful for the opportunity to meet remarkable individuals who have guided and supported her at every stage of my journey. These include ACD-OS Executive members Dr. Sunita Joshi, Dr. Tamara Sosath, and Dr. Jawad Tawil, who Athena credit as having had a profound impact on her leadership, especially with SPEA.
Advice for Aspiring Leaders
To students hesitant about taking on leadership roles and getting involved in the profession early, Athena’s message is simple: “Trust in your capabilities and potential.” She acknowledges the self-doubt that can arise, especially when comparing oneself to others. “I’ve realized that as long as you stay true to your core values, there’s always a place for each of us,” she says.
Her journey is a testament to the power of perseverance, passion, and purpose. From her leadership roles and community outreach to her
commitment to health and balance, she exemplifies what it means to make a meaningful impact in dentistry. Athena has immediate plans upon graduating to attend the University of California, Los Angeles AEGD program. She is enthusiastic about becoming involved with the ACD and SPEA while in California, and to continuing with this when she eventually returns to Canada.
Athena’s story is one of inspiration and achievement, rooted in a desire to serve others and shape the future of dentistry. As she looks ahead, she remains committed to creating connections, spreading smiles, and fostering positive change within her community and beyond. Her journey reminds us that every effort, no matter how small, contributes to something greater—and that is the true essence of dentistry and the mission of the ACD.
Health Outreach: Making Smiles – One Mission at a Time
In the late 1990’s, ACD-OS Fellow Dr. Timothy Lee was joining medical and dental groups from British Columbia and Alberta on missions to Mexico, Ecuador and Guatemala. Dr. Lee found the work fulfilling and learned a lot about outreach dentistry in developing countries. However, he found it cumbersome and challenging to organize his own volunteers from Ontario to join these missions. This was the motivation for beginning Health Outreach – a project through which he created a forum to brainstorm, fundraise and organize his own missions.
Health Outreach officially began in 2002 when it became registered as a not-for–profit organization. The application process was lengthy, but finished just in time for Health Outreach to operate as a Canadian registered charity in January of 2003. Following this, volunteers returned to Guatemala as a larger team, with better funding and more empowered and organized having just become an “official” entity.
Ever since, there have been successful projects every year, with the only gaps being during the Covid pandemic. The goal became carrying out short-term, effective trips where volunteers could give up only a week of their time to make a difference. To achieve this, projects had to be wellorganized and funded. Through private donations, Health Outreach stockpiled portable equipment to run dental clinics in remote areas, often setting up in new locations in less than two hours.
To this day, Health Outreach follows the same philosophy of carrying out effective projects in Guatemala and Honduras. By working with partners in these countries, Health Outreach can also succeed in longer term efforts to help entire communities. With encouragement and empowerment, local health providers and country partners further Health Outreach efforts after volunteers leave.
Dr. Rick Caldwell
Health Outreach could not operate without the dedication of volunteers, including a number of ACD-OS Fellows who exemplify ACD values through this work.
Photo credit: Dr. Pravir Patel
Dr. Rick Caldwell and his assistant, Iris Renderos, completing a procedure.
Photo credit: Dr. Pravir Patel
Health Outreach: Making Smiles – One Mission at a Time
Today, Health Outreach has grown to include several hundred members. Even with inevitable changes that occur over the years, it remains true to its mandate as a dental health care provider to underserved populations in Latin America while being run entirely by volunteers. With no paid staff, all funds raised go toward delivering care in the most efficient way possible.
For 2025, Health Outreach will be running five weeklong clinics, two in Guatemala and three in Honduras. The first will be in Azulco, Jutiapa province of Guatemala, close to the El Salvador border. This clinic will be strictly dental in scope. The team will consist of nineteen volunteers, led by ACD fellow, Dr Rick Caldwell and will include eight dental assistants, seven dentists (among them, Health Outreach founder and ACD Fellow Dr. Tim Lee), two hygienists and two sterilization technicians.
Clinically, the team works five days, Sunday to Thursday, 8:00 am-4:00pm, treating about one hundred fifty children each day. Preventive treatment consisting of scaling, prophy, fluoride varnish and instruction in oral hygiene for as many patients as possible is provided by the dental hygienists. Our dentists focus on doing restorative work (including endodontics when necessary) and extractions when indicated. This team works like a well-oiled machine, using ADEC PAC 1 Portable Field Dental Delivery systems for dental units. Much of the dental equipment is stored in Guatemala with in-country partners at Guatemala Solidaria - a non-government agency with which Health Outreach has collaborated for a number of years, and the team could not operate efficiently in Guatemala without them.
It is quite the sight to see a nine-chair volunteer clinic in action, providing excellent care to those in great need - and there is no better feeling than that which comes from a heartfelt “Gracias” from a parent or relative when we complete our work. For the volunteers, the most inspiring aspect is the joy and hope they bring to patients. For individuals who may never have received professional dental care, a simple procedure can transform not only their health but also their confidence.
The second clinic in Guatemala is down in the southeast corner, along the Rio Dulce. This is a much more rustic clinic, with dental chairs both on a boat and onshore, often under a temporary shade or
A lively clinic day providing much needed, and valued, treatment. Photo credit: Dr. Pravir Patel
Health Outreach volunteers working to meet the needs of patients in Azulco, Guatemala. Photo credit: Dr. Pravir Patel
at a small school. This team has both a dental and medical component, with the medical staff and one dentist travelling to very remote sites to deliver care.
Dr. Christine Ng, a newly inducted ACD fellow, will be doing her third service with Health Outreach and second with the main Rio Dulce team in 2025; while Dr. Gerard Magne will go into the jungle with the medical team. This will be another five-day mission with eighteen volunteers. Dr. Ng finds her experiences with Health Outreach to be among the most rewarding she has had in her career.
The three missions in Honduras will occur a little later in winter. These are all done at a fixed location with limited space so each team will have two dentists and one or two dental hygienists, plus assistants. These clinics have been run by Dr. Bill Kerr for a number of years, and their visits are greatly anticipated by the community. Regardless of the location of the mission, the service of the volunteers reflects a deep sense of purpose and dedication to under- or never-served communities.
So how does all of this work? Each volunteer covers their own costs. For a set donation, Health Outreach will cover flight, transportation in country, accommodations (with breakfast) and “lunch” each day of the clinic. The timing of “lunch”, as in any dental office, can be quite variable! Each volunteer can choose how to pay their fee. Many fundraise and have sponsors that help cover this cost while they are away from their offices and others just simply pay out-of-pocket. The charity also runs some fundraising events through the year to pay for any supplies or equipment that must be purchased. The organization is also supported by a number of dental supply companies, dental honour societies and some corporate donors. As Health Outreach is entirely privately funded, all donations are appreciated.
In a world where many face barriers to healthcare, the Health Outreach volunteers shine as beacons of hope. The work these teams do not only transforms the lives of those they serve but also serves as a powerful reminder of the profound impact of selfless giving.
For anyone interested in supporting the work of Health Outreach or getting more information on how to become involved, please visit www.healthoutreach.world
Biography
Dr. Caldwell, an ACD Fellow, is a practitioner in Northern Ontario who has dedicated much of his career to severely underserved populations, both in Canada and in Latin America. Since leaving full-time practice in 2016, that passion has only grown as these are the only populations he has chosen to serve, much of it in a volunteer capacity. This year’s mission to Azulco, Guatemala will be the fourth he has led for Health Outreach after doing a number of missions previously for Health Outreach, Speroway and FTC Canada in Guatemala, El Salvador and Haiti.
2024 Awards and Recognitions
We are thrilled to celebrate the outstanding achievements of ACD Ontario Section Fellows who were recognized with prestigious awards in 2024. Their dedication, expertise, and contributions to the field have not only elevated the profession but also set a remarkable standard for excellence.
Join us in congratulating all those whose passion and commitment continue to inspire and shape the future of our profession, including the following:
ODA Barnabus Day Award
ODA Award of Merit
ODA Barnabus Day Award
CDA Award of Merit
ODA Service Award
AADEJ Distinguished Editor of the Year
Dr. Harry Höediono
Dr. Gary Glassman
Dr. David Stevenson
Dr. LouAnn Visconti
Dr. Steve Lipinski
Dr. Carlos Quiñonez
(Image sources: Ontario Dental Association; Schulich School of Medicine and Dentistry, University of Toronto)
Schulich Dentistry Honorary Alumni Award
University of Toronto Alumni of Influence Award
Dr. Keyvan Abbaszadeh
Dr. Jim Yuan Lai
ACD-OS Strategic Planning Report
Dr. Sunita
Joshi, FACD Chair of the ACD Ontario Section, 2024
The Strategic Planning Meeting took place on June 7, 2024, at the beautiful Glenerin Inn in Mississauga. The fullday meeting aimed to align ACD-OS with our mission to advance excellence, ethics, professionalism, and leadership in dentistry. The meeting began at 8:30 AM and was attended by Drs. Sunita Joshi, LouAnn Visconti, Sonia Slawuta, XueEr Hong, Karin Van Ryswyk, Tamara Sosath, Shawn Steele, Anwar Dean, and Jawad Tawil.
Key Topics Discussed:
fellows, as this is currently absent.
5. Newsletter Committee: The committee is actively working on creating the next award-winning newsletter.
6. Student Professionalism and Ethics Association (SPEA): Discussions focused on strengthening our engagement with SPEA and encouraging more students to become future fellows.
1. Succession Planning: We recognized that for ACD-OS to grow and thrive, we must invite more fellows to join committees. Discussions centered around increasing engagement among newly graduated dentists, fostering their interest in ACD, and providing mentorship to newly licensed dentists, shaping the future leaders of the organization.
2. Nominations and Membership: We explored strategies to increase membership and simplify the nomination process. The ACD has since made significant improvements to this process, making it easier for nominations this year.
3. Continuing Education: We confirmed that the goal is to maintain ethics and professionalism at the forefront of our continuing education programs, and we continue to engage with the RCDSO to advocate for ethics as a Category 1 status.
4. Constitution and Bylaws: A proposal was made to include a Code of Ethics in the Policies and Procedures Manual to outline behavioral expectations for the executive and
7. Sponsorship: Securing sponsorship is crucial for sustaining the Dr. E.J. Rajczak Ethics and Professionalism CE series and enhancing our engagement with SPEA. Strategies for attracting sponsors were also discussed.
8. ACD AGM in New Orleans: The planning for the AGM and related events in New Orleans was finalized. The details for hosting the AGM across two venues, which fellows have requested, were also discussed, including IT support needs.
9. Regent Update: Dr. Brenda Thomson joined via Zoom to update the group on new developments at the ACD headquarters. She discussed the AGM, the breakout sessions at the meeting, and how to continue strengthening the organization.
The planning session was highly productive, resulting in numerous action items aimed at promoting ethics, continuing education, fostering leadership through nominations, and supporting SPEA.
Respectfully submitted, Sunita Joshi, FACD
Convocation 2024 and ACD International Annual General Meeting -
New Orleans, Louisiana.
October 16-17, 2024
Dr. Shawn Steele
ACD Ontario Section takes on the Big Easy!
The 2024 American College of Dentists Convocation and Annual General Meeting, held on October 16-17 at the historical Roosevelt Hotel in vibrant New Orleans, was a resounding success, bringing together Fellows for a meeting of collaboration, learning, and celebration. The ACD Ontario Section Fellows, candidates, and guests had an unforgettable time.
To kick things off, the Ontario Section embraced the spooky spirit of New Orleans with a thrilling ghost, voodoo and vampire walking tour through the historic French Quarter on Tuesday evening. Wandering shadowy streets and haunted alleys, we uncovered chilling tales of the city’s mysterious past while enjoying plenty of camaraderie and laughter along the way. It was a night of spine-tingling fun, where history, haunts, and fellowship came together under the glow of the gaslit lanterns!
Wednesday began with the Ontario Section enjoying a delicious and hearty breakfast at the Roosevelt Hotel, followed by a sightseeing Hop-On and Hop-Off bus tour. With full bellies, Fellows explored the vibrant sights and sounds of New Orleans (this time in the daylight!), from the iconic French Quarter to the lively Garden District, we enjoyed a few hours of discovery, history, and great company under the warm Louisiana sun.
Next up, it was time to get down to business. Fellows attended an engaging and informative course outlining the changes to the recently updated ACD Ethics Handbook for Dentistry, which provided participants with in-depth knowledge about the Four Pillars, Core Values, and Professional Obligations as outlined in the Handbook. Participants left with practical strategies for incorporating the Handbook into their dental practice.
Convocation
The President Elect’s Meet and Greet provided Fellows the opportunity to mingle with Fellows, Officers and the President Elect, Dr. Robert Faiella. Following that, the Annual Business Meeting of the ACD and ACD Foundation took place, where business and operational reports were given, and 2025 Officers took their leadership oath.
Regency Breakout Sessions provided an opportunity for Fellows to convene by regency to discuss and explore a wide range of topics, network and share stories and ideas. The Regency 4 session was facilitated by Dr. Brenda Thomson who engaged Fellows and seamlessly led an impactful discussion on strategic planning at the regional level. The session certainly achieved its goal of strengthening relationships by bringing people together.
Later that night, the fun continued with a delicious dinner at Plates Restaurant. The laughter and great food made it a memorable evening of bonding and enjoying the local flavors of the city. It was a perfect way to unwind after a busy day.
On Thursday, attendees enjoyed a networking breakfast, followed by the President Elect’s Address and a Fellows Forum. Dark Side of Leadership and Speakers inspired attendees with insights into diverse leadership experiences, courage, and the weight of responsibility for those who have a servant’s heart. The Convocation Luncheon which followed was a celebratory moment, leading up to the Convocation and Induction Ceremony. Attendeed exited the Roosevelt Ballroom the joined a “Second Line” - a procession consisting of a parade leader and a fabulous brass band which played music that got everyone dancing and moving.
The grand finale for the Ontario Section came on Thursday night with a dinner cruise and jazz experience on the river. It certainly was a highlight of the meeting—sailing along the Mississippi River on the beautiful Steamboat Natchez, enjoying a lovely meal, and being serenaded by the sounds of live jazz. The combination of beautiful views, amazing music, and good company made it a magical night that everyone will remember for years.
We were so proud and delighted to welcome our new Fellows, emphasizing that Fellowship is not just an accolade but a unique opportunity to collaborate with like-minded individuals dedicated to advancing the highest ideals in oral healthcare.
The ACD Ontario Section Fellows, candidates, and guests had an unforgettable time in New Orleans. Overall, it was a fantastic few days of fellowship and unforgettable experiences in one of America’s most captivating cities! Thank you to all who attended and contributed to the success of this year’s event, and we look forward to building on these experiences in the coming year!
Watch the ACD 2024 Meeting Highlights
Watch the ACD 2024 Convocation
Welcome New Fellows
The Ontario Section is pleased to welcome our newly inducted 2024 American College of Dentists Fellows. Your dedication to advancing ethics, leadership, and excellence in dentistry inspires us all!
Amelia Chan
Cecilia Dong
Tammy Herzog
Peter Hong
Laurel Linetsky-Fleisher
Caitlin Loo
Richard Marcus
Jonathan Moise Mayer
Christine Ng
Sharat Pani
Saira Paredes
Eunice Park
Jon Perlus
Jacklyn Aliza Pivovarov
Todd Frederick Plexman
Joel Michael Schacher
Andrea Silverman
Chris Swayze
Nada Tabbara
ACD Ontario Annual General Meeting: November 2024 Recap
Dr. Sunita Joshi
The ACD Ontario Section hosted its AGM on Friday, November 15, 2024, once again offering Fellows an exciting choice of two venues: the London Hunt and Country Club in London and the Glen Erin Inn and Spa in Mississauga. These two venues were seamlessly connected through the expertise of IT partner Futureproof, enabling attendees at both locations to participate together in a unified experience.
As Chair for 2024, I was pleased to set the tone for the evening with a warm welcome to all attendees and guests, including ACD President Dr. Bob Faiella. The Section expressed gratitude to members of the ACD Executive for their dedication and hard work throughout the year. In London, Dr. Paul Romanson began the meeting with a meaningful Land Acknowledgment and invocation, marking the start of an eventful evening.
The attendees proudly welcomed four new fellows in attendance to the Ontario Section: Dr. Saira Paredes, Dr. Cecelia Dong, Dr. Eunice Park, and Dr. Nada Tabarra. The induction of all new Fellows was met with enthusiastic applause as they join the prestigious ranks of ACD-OS. Welcome all new Fellows!
The evening included a review of notable achievements from the past year. Among the highlights was the success of the Dr. EJ Rajczak webinar series, made possible through collaboration with SPEA at Toronto and Western, other sections in Regency 4, and the continued support of RCDSO. A special thanks goes to Susan Taylor for her continued support or the ACD-OS CE initiatives.
ACD Ontario Annual General Meeting: November 2024 Recap
We were pleased to acknowledge SPEA Liaisons Dr. Tamara Sosath, Dr. Jawad Tawil, and Dr. Anwar Dean, along with their respective committees, who organized two live SPEA Awards Nights in Toronto and London. These events provided students an invaluable opportunity to engage in panel discussions on the topic “The First Five Years Post-Graduation.” Dr. Karin Van Ryswyk, ACD-OS Treasurer, introduced SPEA and its Regent. Representatives from Toronto (Athena Zhong and Keshav Gupta) and Schulich (Mansha Nayyer and Arad Heshemi) highlighted their accomplishments, with SPEA Regent Sophia Kim providing further insights.
We also acknowledged the nomination committee, led by Dr. Sonia Slawuta, which successfully nominated three Ontario fellows who earned national recognition:
• Dr. Tom Harle, recipient of the Distinguished Leadership Award
• Dr. Lynn Tomkins, recipient of the Leadership Award
• Dr. Barry Schwartz, recipient of the Ethics and Professionalism Award
It was noted that Dr. Shawn Steele and his committee also achieved a major milestone by completing the procedure and protocol document and incorporation.
ACD Ontario Annual General Meeting: November 2024 Recap
ACD Regent, Dr. Brenda Thomson, provided an update on the successful national AGM held in New Orleans, which featured a record number of nominees inducted. She also shared exciting plans for upcoming events in 2025.
A highlight of the evening was welcoming Dr. Bob Faiella, ACD President and guest speaker who delivered a captivating presentation on “Ethical Frontiers in Dentistry: Navigating Artificial Intelligence and Augmented Intelligence,” leaving attendees inspired and informed.
The Ontario Section’s Outstanding Leadership Awards were presented to two deserving fellows, Dr. Paul Romanson and Dr. Sonia Slawuta, in the form of engraved crystal awards. Additionally, service milestone pins were awarded to:
• Dr. Carolyn Poon Woo (15 years, present in Mississauga)
• Dr. Peter DeGiacomo (15 years)
• Dr. Anne Dale (25 years)
Congratulations to all!
ACD
Ontario Annual General Meeting: November 2024 Recap
As the evening progressed, I was honoured and humbled to pass the gavel to incoming Chair Dr. LouAnn Visconti. Dr. Visconti introduced her plans for the upcoming year, including the E.J. Rajczak Education Series for 2024/25, and sought ratification for her initiatives. The Section is well positioned for continued success under the leadership of Dr. Visconti and the entire Executive Committee.
I was pleased to conclude the evening with heartfelt thanks to everyone who made the event a success, including Ali, Mary, and Luna from Futureproof for their seamless technical support across the two venues. Special thanks were extended to the AGM’s sponsors, BMO and MNP, who were present at both venues, demonstrating their ongoing support for ACD’s mission.
The 2024 AGM was a celebration of achievements, a showcase of leadership, and a testament to the camaraderie and dedication of ACD’s Ontario Section. Here’s to an inspiring year ahead!
Schulich SPEA 2024 Year in Review
Dr. Anwar Dean SPEA Liaison, Schulich
The year 2024 began with the conclusion of the highly successful 2023-24 school year under the leadership of Co-Presidents Stella Peng and Sanaya Engineer. Schulich SPEA also celebrated national representation with Areej Idrees serving as the Regent for SPEA Regency #2 (Canada).
Key Events and Milestones
National Dentists Day Celebration (March 2024)
The first SPEA event of 2024 celebrated National Dentists Day. SPEA students set up tables in the dental school lobby, where ACD handbooks were available for interested students. The event fostered engaging discussions on professionalism and ethics over coffee and donuts, making it a resounding success.
April Meeting and Panel Discussion
The second Schulich SPEA meeting of the year took place in April, organized by Dr. Sunita Joshi, ACD OS President. The event featured a panel discussion with three recent dental graduates, moderated by Dr. Abbas Jessani, Assistant Professor at Schulich Dentistry and ACD OS Executive. Held at The London Hunt Club, the meeting was a sold-out event with a student audience of 60. Due to high demand, many students were placed on a waiting list. Future meetings will aim for greater coordination with Schulich Faculty to ensure a more balanced and inclusive student experience. The event was generously sponsored by MNP.
Summer Impromptu Meeting
Drs. Keven Hockley and Peter McDermott attended on behalf of the faculty, offering valuable feedback and guidance. They emphasized the importance of consulting faculty when planning events to ensure proper vetting and alignment with school policies and interests.
Discussions also explored opportunities to secure additional university funding to support the SPEA program budget, highlighting the group’s commitment to enhancing the program’s sustainability and impact. Plans for the 2024-25 Schulich SPEA Executive Team and the inaugural meeting of the new school year were also finalized.
Formation of the 2024-25 Schulich SPEA Executive
On September 26, 2024, SPEA members and faculty gathered for a fourth Schulich SPEA meeting. This was an informal meeting, fostering collaboration and strategic planning. Pizza and soft drinks were provided for lunch, creating a relaxed and collegial atmosphere. At the meeting, the 2024-25 Executive Team was introduced:
• Fatima Shahid – VP Events
• Deborah Park (2026) – VP Admin
• Young (Danny) Han Kwon (2026) – VP Communication
• Sophia Kim – SPEA Candidate for Regent, SPEA Regency #2
Schulich SPEA President Schulich SPEA Vice President Finance
Mansha Nayyar Arad Hashemi
SPEA Annual Session (October 16-17, 2024, New Orleans, LA)
The fifth major event of the year was the SPEA Annual Session held in New Orleans and attended by the six current and past Schulich SPEA Executive members.
Noteworthy, was the election of Sophia Kim as the 2024-25 Regent for SPEA Regency #2 (Canada), further enhancing the chapter’s national representation and influence. And, the concurrent ACD Convocation meeting, with Schulich SPEA alumni Dr. Eunice Park and Dr. Caitlin Loo inducted as ACD Fellows, recognizing their outstanding leadership and contributions to the dental profession.
Attendance was made possible by generous travel support from ACD headquarters, matched by the Ontario Section, for which the attendees expressed heartfelt gratitude. This financial assistance was critical, as it enabled participation that might otherwise have been financially challenging for some students
London Hunt Club Event (November 15, 2024)
The sixth event of the year was held at The London Hunt Club and attended by six Schulich SPEA members. Mansha Nayyar provided an update on Schulich SPEA activities, while Sophia Kim shared updates on SPEA Regency #2 initiatives.
Schulich SPEA 2024 Year in Review
The seventh and final event of 2024 was a NOMA fundraising initiative. The Schulich SPEA organized a lunch-hour sale combining exam care packages (snacks and notes of encouragement) with fundraising for NOMA awareness, in collaboration with the NOMA Action Group (NAG). The event was highly successful.
NOMA Fundraising Event (November 27, 2024)
Sophia Kim, Stella (Meilun) Peng, Sanaya Engineer, Areej Idrees
Mansha Nayyar – Schulich SPEA President 2024-25
Future Directions
Dr. LouAnn Visconti, ACD OS President 202425, has proposed challenging ideas for future SPEA events. Together with Dr. Shawn Steele, ACD OS President-Elect 2025-26 and Schulich Ethics Course Director, a study of ACD-Schulich SPEA collaboration could provide valuable insights into how ACD initiatives support university dental education in ethics, professionalism, leadership, and excellence.
Faculty Support and Collaboration
Schulich faculty have been very supportive of SPEA activities. A letter was sent to Dr. Carlos Quinonez, Vice Dean and Director of Schulich Dentistry, thanking him for his support and congratulating him on SPEA’s accomplishments. Ongoing dialogue between faculty and SPEA ensures alignment with faculty requests for vetting activities and guest speakers. Feedback will continue to evaluate the effectiveness of these measures.
Reflections and Appreciation
Working with the dynamic and dedicated Schulich SPEA students has been a privilege. Their ability to balance academic, personal, and extracurricular commitments is commendable. For instance, some members attending the ACD AGM in New Orleans faced significant travel challenges due to their canceled return flight. They were able to return back in time for their Monday classes by way of multiple stops New Orleans …Los Angeles … Toronto. The door to door return time, demonstrating their unwavering commitment, was close to 24 hr.
Conclusion
The Schulich SPEA chapter continues to thrive, with strong student participation and unwavering faculty support. The efforts of the 2024-25 Executive Team, coupled with national representation and innovative events, set a strong foundation for future growth and collaboration. Schulich SPEA remains a model for fostering excellence in dental education and leadership.
Dr. Anwar Dean SPEA Liaison, Schulich
Student Professionalism and Ethics Association (SPEA) –
University of Toronto Report
Dr. Jawad Tawil
SPEA
Liaison, UofT
The Student Professionalism and Ethics Association (SPEA) at the University of Toronto had an eventful and enriching year in 2024, filled with valuable experiences, professional growth, and inspiring mentorship. Here’s an overview of our key activities and highlights:
The Thursday Night Outstanding Student Awards Night was a wonderful event enjoyed by all. Students actively participated, asking insightful questions, and sharing their enthusiasm for the panel discussion on “The First Five Years Post Graduation.” Many students expressed a desire to see this event become an annual tradition, noting the invaluable advice and mentorship they received.
Highlights of the evening include:
• Exceptional Panel Discussion: The panel, featuring Dr. Jawad Tawil, Dr. XueEr Hong, and Dr. Matthew Preston under the expert guidance of Dr. Abbas Jessani, delivered an outstanding presentation. Their candid advice and shared experiences provided students with a clear and inspiring roadmap for their transition into professional practice.
• Guest Speaker Contributions: Mr. Andrew Lee from MNP offered practical and essential information on taxes, student loans, and incorporation, which resonated deeply with attendees.
• Event Support Team: A heartfelt thank you to Dr. Tamara Sosath, Dr. Karin Van Ryswyk, and Dr. Anwar Dean for their exceptional planning and on-site support. Their contributions ensured the evening ran smoothly and successfully.
The positive feedback from attendees was overwhelming. Many students approached to express their appreciation, noting how much they enjoyed the live format of the event. For some, this was a groundbreaking experience, and they were inspired to advocate for similar events in the future.
Thursday Night Outstanding Student Awards Night, April 4, 2024
SPEA Activities
• October 2024: Second-year SPEA student Aisha Hamani attended the General Meeting in New Orleans, where she shared positive feedback about the enriching learning experience.
• November 15, 2024: SPEA Co-Presidents presented at the Ontario Chapter AGM, earning commendation for their insights into their experiences with the American College of Dentists (ACD).
• November 22, 2024: SPEA students hosted an event featuring Dr. Tonogai, a prosthodontist, who delivered compelling case presentations and discussed balancing ethical standards with professional responsibilities.
• December 2, 2024: Dr. Brian Feldman provided guidance on transitioning into practice as new associates, offering valuable advice on avoiding common pitfalls and managing patient complaints effectively.
Upcoming Plans
The 2024 year showcased our chapter’s commitment to fostering professionalism, ethics, and leadership among dental students at the University of Toronto. With inspiring mentors, national recognition, and strong participation, SPEA remains a cornerstone for supporting future dental professionals in their ethical and professional journeys.
Looking ahead, SPEA is excited to announce two major events planned for the new year:
1. Ethics Case Competition: Students will tackle complex ethical scenarios, fostering critical thinking, teamwork, and ethical reasoning skills.
2. Speaker Series: We aim to host another speaker event on a to-be-determined topic, continuing our tradition of delivering relevant and engaging content for students.
SPEA continues to thrive as a hub for professional development, fostering ethical leadership and community engagement within the dental field. We look forward to more successful events and collaborations in the year ahead!
Dr. Jawad Tawil
SPEA Liaison, UofT
Treasurers Report 2024
I am pleased to report the Ontario Section of the American College of Dentists is financially stable. Your executive has gone to great lengths to be fiscally responsible with the Ontario Sections finances, and to remain within the budget that they have set.
The Ontario Section is a non-incorporated, not for profit organization. Our fiscal year runs from December to November to coincide with each new chair installation.
At the beginning of the fiscal year, we had $35,954.54 in the bank. At the end of November 2024, we had $40,449.58 in the bank. Our revenue for the year was $39,715.27. Our expenses for the year were $35,220.23. Our net was $4,494.67.
Revenues generated were mostly from the membership dues of $120 USD for active Fellows. We also had generous sponsorship from BMO Wealth and MNP LLP, as well as grants from ACD International for special projects such as SPEA.
The largest expenses that the Ontario Section incurred were for our IT, SPEA, Strategic Planning Meeting, Newsletter and AGM.
For IT we have hired FutureProof to assist us. They coordinate our mailings, set up our webinars, produce our newsletter, and manage the double venue IT for the AGM. Plus, I am sure many more things behind the scenes that I am not even aware of. Our contract for the regular yearly IT management was $6,000 plus HST, the newsletter was separate, and the AGM was separate. Total IT costs including our Mailchimp and Zoom subscriptions was $7,220.15.
Another expense is our SPEA sponsorship. MNP directed their sponsorship of $4,000 to SPEA in providing for an in-person meeting with the students at both U of T and Schulich.
Dr. Karin Van Ryswyk Treasurer
We also received grants from ACD International to help the SPEA students with travel to their national meeting in New Orleans, and for the Outstanding Student Leadership Award (OSLA). ACD International matches monies that the Ontario Section contributes for SPEA Travel up to $1,000 USD, and for the OSLA up to $500 USD, (divided between both Schulich Dental and U of T Dental). The OS also provides a subsidy to each SPEA chapter for them to run their programs at their respective schools. I must comment that the students are very mindful of how they use the funds available to them, and never abuse our generosity. Expenses for SPEA by the Ontario Section, after consideration of the revenue received was $2,998.13.
We have an annual full day strategic planning meeting in June every year to organize upcoming events, succession plan, committee structure review and brainstorming for new ways to serve the Ontario Section Fellows. Our expenses for the Strategic Planning Meeting were $2,417.93.
We also put out our annual Newsletter every year. We have saved some expenses with our Newsletter by having a digital version (which was also a mandate from ACD International). Our expenses for the newsletter were $2,429.50.
For the Meet and Greet at the National AGM in New Orleans we tried to remain revenue neutral. There was a small OS subsidy towards the event due to the exchange rate and tipping of $107.06.
The AGM was our second largest expense for the year. Having FutureProof manage the IT helped to make the meeting run perfectly so that both venues could hear and see all that was occurring clearly! Dr. Faiella, President of the ACD was our guest speaker presenting AI in Dentistry. Other speakers included Dr Thomson the regent for Section 4, MNP and BMO our
sponsors and SPEA students from both Dental schools. The Outstanding Service and Leadership Award was presented to Dr. Paul Romanson and Dr. Sonia Slawuta. It was a wonderful evening shared by all!
Expenses for the OS taking in consideration of registration fees were $3,360.23.
We had a very successful year with Dr. Sunita Joshi as chair. Congratulations Dr. Joshi! And we look forward to next year with Dr. LouAnn Visconti as our chair.
Respectfully submitted,
Karin Van Ryswyk
Membership Nominations and Awards Report 2024
Dr. Sonia Slawuta-Shulakewych FACD
MNA Committee Chair, 2024, ACD-Ontario Section
“Coming together is a beginning; keeping together is progress; working together is success.” – Henry Ford
The Ontario Section Executive and the Membership Nominations and Awards Committee have been very busy in 2024 with our outreach to members, recognition of special achievements of our fellows, encouraging nominations and announcing initiatives that we have implemented to provide increased value for membership. It is with pride and pleasure that I highlight some of our initiatives and achievements.
Membership:
We would like to thank all our fellows for their fidelity to the American College of Dentists and upholding our goals of promoting excellence, ethics, professionalism, and leadership in dentistry. We rely on your support as leaders to maintain your fellowship and keep the profession in Ontario strong, ethical and adherent to the pillars of ACD fellowship.
Our section proudly boasts almost 200 active fellows, spanning the whole of the province of Ontario. Our goal is to include all Ontario dentists who adhere to and exemplify these pillars, as ACD fellows and we urge you to identify worthy colleagues and honor them with nomination into our fellowship.
And as a final appeal, although as Retired and Life Fellows you are not required to pay Section dues, we urge you to voluntarily pay Ontario Section dues in order to keep our section strong and permit the realization of programs and initiatives for our members.
In terms of initiatives, we have continued our birthday and holiday card outreach to celebrate those special occasions in your lives. Kudos to Dr. XueEr Hong, a new fellow and young dentist, for her fantastic work in fielding this project. Each card is different, each is appreciated and she has definitely marked our special occasions with flair. Thank you, Dr. Hong!
Again in 2024, as we did in 2023 and as we will into the foreseeable future, we have increased our outreach to our fellows through a quarterly Bulletin. It has provided us with the opportunity to introduce our executive and upcoming events, as well as, provide helpful information and links and the opportunity to celebrate our section fellows and their achievements. If you are aware of an Ontario fellow’s notable achievement or initiative, we invite you bring it to our attention so that we may recognize the honor and share the information with our section fellows.
New this year, we have introduced an American College of Dentists Ontario Section pin to celebrate our unity as fellows of the Ontario Section. It was awarded to all fellows attending the ACD Convention in New Orleans and the Ontario Section AGM in November. We urge everyone to obtain theirs and proudly wear them at the next ACD event.
Nominations:
Fellowship requires both distinguished and sustained membership but also a reach out to the next generation of fellows, to identify worthy individuals and to nominate them. In 2024, the Ontario section successfully nominated 21 dentists for ACD fellowship. We would like to congratulate all the new fellows and thank all their sponsors for their time and effort in submitting the nominations and for honoring their colleagues by nominating them. We are grateful for your efforts in strengthening our section by providing us with the opportunity to
include these accomplished leaders as fellows in the Ontario section.
And for those who have not yet had the opportunity to nominate or have not done so recently, I encourage you to ascertain whether some of your colleagues might indeed qualify for fellowship and to honor them with a nomination. We have provided nomination links and helpful articles in previous Bulletins but if you have any questions regarding the process, feel free to reach out to us at acdontario@gmail. com.
Awards:
The Ontario section proudly unveiled its new award, the ACD- Ontario Section Service and Leadership Award, which recognizes an exceptional, life-time commitment to service and outstanding contributions to dentistry through activity or service in the Ontario Section, Regency or National level of the American College of Dentists. It also recognizes members who have embodied the ideals of the ACD through their work within communities provincially, nationally or internationally. The inaugural presentation of the award took place at our 2024 AGM in November and the awardees for this year were Dr. Paul Romanson and Dr. Sonia Slawuta-Shulakewych.
At the October 2024 ACD Convention in New Orleans, the Ontario Section proudly celebrated when three of its fellows were honored with ACD Awards.
Dr. Tom Harle received the ACD Outstanding Service Award which recognizes outstanding service to dentistry, the community or humanity and was the first Canadian to do so since 2007.
Dr. Paul Romanson - Service & Leadership Award, ACD-OS
Dr. Sonia Slawuta-Shulakewych - Service and Leadership Award, ACD-OS
Dr. Tom Harle - Outstanding Service Award, ACD
Dr. Lynn Tomkins was honored with the Distinguished Leadership Award which recognizes individuals having a record of significant and distinguished leadership in dentistry, public health, or national health policy while in a position of national or international responsibility. This is the first time that this award has been awarded to a Canadian fellow.
Dr. Barry Schwartz was honored with the ACD Ethics and Professionalism award which recognizes exceptional individuals or organizations in the promotion of ethics and professionalism in dentistry. This is also the first time that this award was awarded to a Canadian fellow.
Additional honors awarded to Ontario Section fellows this year went to Dr. LouAnn Visconti for the CDA Award of Merit; Drs. Olaf Plotske, Karin Van Ryswyk and Steve Lipinski for the ODA Service Awards; Drs. David Stevenson and Harry Hoediono for the ODA Barnabus Day Awards of Distinction and Dr. Keyvan Abbaszadeh for the Schulich Honorary Alumni of Distinction.
At our November AGM long-term ACD fellows Drs. Carolyn Poon and Peter De Giacomo were honored with 15-year pins and Dr. Anne Dale was honored with the 25-year pin. We would like to thank these exemplary fellows for their dedication and commitment to the goals of the ACD and the highest standards of the dental profession.
Congratulations to everyone on their awards; you are a testament to commitment and service to the profession and exemplify the key pillars of the American College of Dentists – excellence, ethics, professionalism and leadership. As Fellows of the ACD, we are proud of your contributions and achievements and as a profession, we are the fortunate benefactors of them. Congratulations and Thank you.
Respectfully Submitted,
Dr. Sonia Slawuta-Shulakewych, FACD
MNA Committee Chair, ACD-Ontario Section
To nominate a deserving colleague for Fellowship in the ACD, please click HERE.
Dr. Barry Schwartz - Ethics & Professionalism Award, ACD
Dr. Lynn Tomkins - Distinguished Leadership Award, ACD
Nelson Mandela stated that; “Education is not only about acquiring knowledge, but also about acquiring values that will guide us in life.”
In recent years the dental profession has faced many challenges and has come under increasing public and political scrutiny. This is largely because unlike most other healthcare services, oral health care is delivered in a small business setting. Rising costs to deliver this care, coupled with a post-pandemic change in economy contributing to a decline in the average household discretionary dollar amount to be spent on dental care, can influence the way in which we practice, the treatments that we render and even who we decide to treat in our office.
However, there are other important issues that go beyond the economics of practice that have a significant impact on how we practice. These continue to present challenges to us as the profession continues to navigate the changing environment, seeking to define our role and responsibilities on significant issues such as;
• The use of technology, and specifically AI in healthcare is advancing at a rapid rate; the governance for responsible use of this technology has lagged behind the rate of its development
• The antimicrobial crisis, which has developed contributed to by the inappropriate prescribing habits of the health care professions; dentistry is second in prescribing behind medicine
• Climate change, which continues to be a major concern globally as we witness changes to our ecosystems from the depths of the ocean to the ozone layer and beyond
• The inequity of access to health care, particularly dental care and while there are many social determinants that contribute to
this issue, racism in healthcare continues to be one of the most significant barriers with little to no sensitivity training or understanding of different cultures
• The rise in sex trafficking/sexual abuse and domestic violence, which continues to destroy the lives of many and the very fabric of our society
This coming year, the ACD Ontario Section’s 2024-25 Dr. E. J. Rajczak Continuing Education Series will explore these issues with experts in each of these fields who will share their insights with you.
For those that wanted a topic more clinical in nature, the series offered a webinar that focused on oral surgery and implant cases that have been brought forward to the RCDSO for discipline and what could/should have been done to prevent this from occurring.
Every practitioner has at one time or other had to break news to a patient about a less-than-optimal treatment outcome. Good communication is paramount. As part of the 2024-25 CE program, this sensitive issue will be examined with practical tips provided on the best possible ways to do this and still maintain patient trust.
We look forward to you joining us for these thought-provoking webinars.
LouAnn Visconti - Chair of CE Committee
Keyvan Abbaszadeh
Shervin Abbaszadeh
Stephen H. Abrams
Chandan G. Advani
Rand Al-Hafidh
Emel Arat
Timucin Ari
Nancy Baldan
Douglas Beaton
Joseph A. Belsito
Lisa E. Bentley
Mr. Frank Bevilacqua
Gagan Bhalla
Dimple Bhatia
Paul S. Bhatti
Diana Boodram
Donna M. Brode
David A. Brown
Peter A. Brymer
Aaron G. Burry
Edward A. Busvek
Rick Caldwell
Marco Caminiti
Robert H. Carroll
Amelia Chan
Bonnie Chandler
Brian S. Chapnick
Paul Chapnick
Raffy Chouljian
Christena Chruszez
Brian Clark
John E. Cottrell
David Cowan
Arlene Dagys
Anne C. Dale
Anwar Dean
Peter J. DeGiacomo
Girish Deshpande
Bernard Dolansky
Cecilia Dong
Edward M. Dore
Mark S. Douglas
Dean G. Dover
Paul M. Eisner
Gary Elman
Brian N. Feldman
Peter Fendrich
Current Ontario Section Fellows
Aaron H. Fenton
Timothy F. Foley
Manfred Friedman
Peter C. Fritz
Neil J. Gajjar
Bertha Garcia
C.P. Giri
Gary D. Glassman
John Russell Glenny
Michael B. Goldberg
Jason Gopaul
Michael Ian Gossack
Daniel A. Haas
Kim Hansen
Lesli K. Hapak
Thomas Harle
Barrie E. Harnett
Kenneth L. Hershenfield
Earl Hershenfield
Tammy Herzog
William K. Hettenhausen
Stephen K. Chung Ho
William Keven Hockley
Harry F. Hoediono
XueEr Hong
Michael Hornyak
Nector Ioannidis
Samira Jaffer
Brian Jafine
William J. Jenkins
Abbas Ali Jessani
Patricia-Anne Jones
Sunita Joshi
Wajahat A. Khan
Ira R. Kirshen
Stanley L. Kogon
Bohdan Kryshtalskyj
Jim Y. Lai
Randy T. Lang
Henry Lapointe
Grace Lee
Frank Lee
Timothy M. Lee
Janet S. Leith
Lionel Lenkinski
Cary D. Letkemann
Lawrence M. Levin
Mark N. Librach
Laurel Linetsky-Fleisher
Stephen E. Lipinski
Anthony Liscio
Wayne H. Little
Eric Luks
Patricia A. Main
Ira Marder
Jonathan Mayer
Judy McCartney
Peter T. McDermott
Donald J. McFarlane
Dennis Medland
Angelos Metaxas
Vipin Mithia
David Mock
Monica M. Muntwyler
Trevor J. Muntwyler
Christine Ng
Blake Nicolucci
Brock Nicolucci
Sandra L. Nicolucci
Peter Nkansah
Gordon M. Organ
Saira Paredes
Eunice Park
Kim G. Parlett
Pravir Patel
Gordon Payne
Gerald E. Pearson
B. L. Pedlar
Valeria Pini
Jacklyn Pivovarov
Todd Plexman
Olaf Plotzke
Carolyn Poon Woo
David J. Psutka
Franklin Pulver
Wayne H. Pulver
Bruce R. Pynn
Carlos R. Quinonez
E. J. Rajczak
Felice Rocci
Paul C Romanson
Frances Ross
Deborah P. Saunders
Joel Schacher
Richard Schmidt
Barry Schwartz
Elliott A. Schwartz
J. Eric Selnes
Michael Shimizu
Navreet Sidhu
Andrea Silverman
Sonia Slawuta-Shulakewych
Allen Drew Smith
Gerald M. Smith
Gerry R. Solomon
Tamara Sosath-Schmidt
Benoit Soucy
Shawn P. Steele
Howard Steiman
Minna H. Stein
David M. Stevenson
Makoto Suzuki
Chris Swayze
Andrew Syriopoulos
Nada Tabbara
Michelle Tang
Jawad Tawil
Larry J. Tenaschuk
Ian W. Tester
Brenda Thomson
Pennie Thornton
Janet Lynn Tomkins
Bryan D. Tompson
Calvin D. Torneck
W. Peter Trainor
John Tupper
Flavio Turchet
Karin Van Ryswyk
Naveen Verma
LouAnn Visconti
Michael Vrbensky
Bryan E. Walls
Ian D. Watson
Arnold E. Weingarten
Barry White
Kenneth H. Wright
Peter P. Zakarow
Daniel Zeiter
Honouring the Fellows of the American College of Dentists Who Passed Away in 2024
“Whether
a star in the night sky A bird, a feather Or a spirit wandering by Those we lose are still around and in our hearts they can always be found.”
With heavy hearts, we remember the esteemed Fellows of the American College of Dentists who left us in 2024. Their contributions to the dental profession, their unwavering commitment to ethics and excellence, and their dedication to their communities leave a lasting legacy.
Their work shaped countless lives, and their memory will forever inspire us to uphold the highest standards in dentistry. May their wisdom, kindness, and leadership continue to guide us as we strive to honor their memory in all that we do and as we advance the mission of the ACD.
