Oral Health Office October 2015

oralhealth

OFFICE W W W. O R A L H E A L T H G R O U P. C O M

OCTOBER 2015

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SAVING TAXES AND PLANNING CAREFULLY 2015 BEST OF CLASS WINNERS INSIDE!

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5 minute application A noticeably whiter smile Introducing the new Philips Zoom QuickPro whitening varnish There’s a revolutionary way to get noticeable whitening results in minimal time. Philips Zoom QuickPro whitening varnish: • Breakthrough two-layer technology seals in hydrogen peroxide • A noticeably whiter smile with just a five-minute application • Virtually no sensitivity Once you’re done, send your patients on their way and instruct them to simply brush or wipe off the varnish in 30 minutes.

Professional whitening has never been so quick... or so effortless.

For a free demonstration call (800) 278-8282 or visit philipsoralhealthcare.com

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OFFICE w w w. o r a l h e a l t h g r o u p. c o m

Features

BEST OF CLASS

12 Pride Institute: 2015 Best of Class Technology Awards

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OFFICE DESIGN

8 Mint Dentistry

32 Burlington Dental FINANCE

14 Running your own Race: Getting The Most Out Of Your Practice David Chong Yen, CPA, CA, CFP; Louise Wong, CPA, CA, TEP

50 Higher Education

Wilson Chen, BSc, DDS, CFP, FMA

DENTAL OUTREACH

24 Mission Accomplished!

2015 Jamaica Dental Outreach Project

Michael Carabash, BA, LLB, JD, MBA, CDPM BUSINESS MANAGEMENT

36 The $3.5 Million Dentist Mark McNulty

44 Finding Millennials: Tapping Into The Largest and

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Most Diverse Generation To Reach Your Practice Peak!

Naren Arulrajah, Vikas Vij

EDUCATION

53 My Journey With The Dawson Academy Tamer Iskander, DDS

Visit the October digital edition of Oral Health Office for another project designed

by Jean Akerman

Departments 4 News Briefs: CDHA Supports Call To Action Children’s Dental Emergencies The Daily 4

5 Editorial: What’s Up, Doc? 58 Dental Marketplace oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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4 News

NEWCOM BUSINESS MEDIA INC.

CDHA Supports Health Action Lobby’s Call to Action on Health Care – The Canadian Way

Editorial Director: Catherine Wilson 416-510-6785 cwilson@oralhealthgroup.com

The Canadian Dental Hygienists Association (CDHA) joins other members of Canada’s Health Action Lobby (HEAL) to remind federal leaders that Canadians want government to make the challenges facing our health-care system a priority. Public opinion research consistently reveals that Canadians care deeply about finding the sustainable and cost-effective options that will enhance our national health. And healthy Canadians make for a healthy and competitive economy.

Yet, to date, policy debates associated with the 2015 federal election have rarely focused on healthcare.

Through its Consensus Statement entitled The Canadian Way – Accelerating Innovation and Improving Health System Performance, HEAL has issued a call to action, contending that an effective health system depends on enhanced collaboration among all levels of government. HEAL also expects the federal government to re-assert its legitimate and facilitative leadership role.

For more information, please visit www.chda.ca.

Assistant Editor: Jillian Cecchini 416-442-5600, ext. 3207 jcecchini@oralhealthgroup.com

Children’s Dental Emergencies – Would You Know What To Do? Accidents can happen to children anytime and anywhere.

Falling off a skateboard, getting hit in the face with a baseball or even just biting into a hard candy can cause chipped or lost teeth. Knowing what to do when a dental emergency occurs can mean the difference between saving a child’s tooth and serious damage to their smile and their health.

With kids now back to school, it is important to know the steps to take by being prepared before an accident happens. While dentists will accommodate patients with emergencies during office hours, talk to your dentist about where to go for after-hours emergency care. Your dentist will provide you with an alternate phone number or the location of an emergency dental clinic in your area. Have this information available – post it on your refrigerator or store the number in your cell phone.

For tips on how to deal with common childhood dental emergencies, please visit the Ontario Dental Association website at www.youroralhealth.ca.

“The Daily 4” Throughout the month of October, the American Dental Hygienists’ Association (ADHA) and the Wrigley Oral Health Care Program (WOHP) are proudly partnering for the sixth straight year to provide dental hygienists and the public they serve with a wide range of resources and information as part of National Dental Hygiene Month (NDHM). This year’s campaign is focused on dental hygienists starting a conversation with their patients about “Doing The Daily 4” – brushing teeth twice daily, flossing each day, rinsing with a antimicrobial mouthwash and chewing sugar-free gum after eating or drinking when brushing isn’t possible.

This year’s NDHM will feature a number of dental hygienist-focused initiatives, including resources and materials geared to help hygienists and patients start discussions about good oral health; samples and educational materials that can be utilized for community service projects or patient education initiatives; a free continuing education course for dental hygienists that looks at the important role saliva can play in preventing oral health issues; unique dental-related contests through social media; and much more. ADHA members will also receive a thank you message from the organization and the Wrigley Oral Healthcare Program to help celebrate them and the vital role they play in bettering the health of their patients.

For more information, please visit http://www.adha.org/national-dentalhygiene-month.

OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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Art Direction: Ellie Robinson Production Manager: Phyllis Wright Circulation: Mary Garufi (416) 614-5831 mary@newcom.ca Advertising Services: Karen Samuels 416-510-5190 karen@newcom.ca Classified Advertising: Karen Shaw 416-510-6770 kshaw@oralhealthgroup.com Dental Group Assistant: Kahaliah Richards 416-510-6777 krichards@oralhealthgroup.com Senior Sales Manager: Tony Burgaretta 416-510-6852 tburgaretta@oralhealthgroup.com Associate Publisher: Hasina Ahmed 416-510-6765 hahmed@oralhealthgroup.com Senior Publisher: Melissa Summerfield 416-510-6781 msummerfield@oralhealthgroup.com Vice-President: Joe Glionna President: Jim Glionna OFFICES Head Office: 80 Valleybrook Drive, Toronto, ON M3B 2S9. Telephone 416-442-5600, Fax 416-510-5140.

Oral Health Office is designed to provide the entire dental team with business management information to make practices more successful. Articles dealing with investment planning, personal finances, scheduling and collection procedures, in addition to lifestyle issues, are geared to all practicing Canadian dentists, hygienists, dental assistants and office managers. Please address all submissions to: The Editor, Oral Health Office, 80 Valleybrook Drive, Toronto, ON M3B 2S9.

Subscription rates: Canada $20.00 for 1 year; $37.00 for 2 years; USA $23.00 for 1 year; Foreign $43.00 for 1 year; Single copy $12.00. Printed in Canada.

All rights reserved. The contents of this publication may not be reproduced either in part or in full without the written consent of the copyright owner.

From time to time we make our subscription list available to select companies and organizations whose product or service may interest you. If you do not wish your contact information to be made available, please contact us via one of the following methods: Phone: 1-800-668-2374; Fax: 416-442-2191; E-mail: mary@newcom.ca; Mail to: Privacy Officer, 80 Valleybrook Drive, Toronto, ON M3B 2S9.

Canada Post product agreement No. 40069240.

Oral Health Office is published twice in 2015 by Newcom Business Media Inc., a leading Canadian information company in business-to-business information services.

ISSN 2291-1448 (PRINT) ISSN 2291-1456 (ONLINE)

©Kyrylo Polyanskyy/Hemera/Thinkstock

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Editorial

C atherine Wilson, E ditor

T

5

What’s Up, Doc?

he oldest man to climb Mount Everest was 80 years and 224 days old.

We may start hearing many stories like this as our aging population explodes. In fact, the world population over 60 is going to double by 2050 and in the Americas, the number of older adults is projected to quadruple between 2006 and 2050.

Clearly, major societal changes are required.

A new report released by the World Health Organization (WHO) says contrary to widespread assumptions, there is very little evidence that the added years of life are being experienced in better health than was the case for previous generations at the same age.

“Unfortunately 70 does not yet appear to be the new 60,” says Dr. John Beard, director of WHO’s Department of Aging and Life Course. “But it could be. And it should be”.

While some older people may indeed be experiencing both longer and healthier lives, these people are likely to have come from more advantaged segments of society.

“People from disadvantaged backgrounds, those in poorer countries, those with the fewest opportunities and the fewest resources to call on in older age, are also likely to have the poorest health and the greatest need,” said Beard.

The population of the Americas is among the world’s oldest and the country with the oldest population in the region is Canada. However, projections based on data from the U.N. Population Division indicate that in less than a decade, the older population in countries such as Barbados, Cuba, and Martinique will surpass Canada’s.

Realigning health systems to the needs of older people will also be crucial. Governments will also need to develop long-term care systems that can reduce inappropriate use of acute health services and ensure people live their latter years with dignity.

Families will need support to provide care, freeing up women—who are often the main caregivers for older family members—to play broader roles in society.

This WHO report provides a segue to the release of a new book about physicians suffering from burnout…I am quite certain the same applies to dentists and likely to dental hygienists. The book, Healing Physician Burnout, lists nine factors that are keeping doctors stressed, depressed and disengaged. Survey after survey proves it: physicians are being crushed by an avalanche of changes to the profession.

The author, Quint Studer, says the key is getting physicians aligned and engaged with the organizations they work with and for.

Here are a few of the burnout factors covered in the book: • Coping with big picture changes such as the Affordable Care Act in the US; • Too much change happening too fast; • Facing pressure in compensation coupled with heavy debt; • Needing additional skills beyond great clinical expertise; • Patient expectations are changing; • Physicians want to receive consistent performance feedback.

Again, substitute ‘Dentist’ for ‘Physician’. And, as the author writes in his conclusion, the key to fighting burnout is to win over physicians’ hearts and minds.

When that happens, the rest will take care of itself.

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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NUPRO® WHITE VARNISH EARNS EDITORS’ CHOICE AWARD NUPRO White Varnish earns The Dental Advisor Editors’ Choice award, and a 96%, excellent clinical rating, in a recent product evaluation.

Evaluated by 36 consultants in 817 uses, consultants determined NUPRO White Varnish quickly set to a clear finish, the variety of flavors were appealing to adults and children, and the quick fluoride release that allows patients to be free of restrictions two hours after application, was well received.

Ninety-seven percent of evaluating consultants said they would switch to and recommend NUPRO White Varnish.

One consultant said, “Best varnish I have ever used.”

(72%) Seventy-two percent of consultants ranked NUPRO White Varnish better than competitive products and 28% considered it equivalent.

NUPRO White Varnish is a uniquely formulated varnish with rapid fluoride release for hypersensitivity relief and is available in 0.25g and 0.4g in four flavors: mint (only 0.4g), bubblegum, raspberry and grape.

The full review of NUPRO White Varnish is available in the May 2015 issue of The Dental Advisor and at http://www.dentaladvisor.com/nuprowhitevarnish.

For more information on this product or any other DENTSPLY product, please contact your local DENTSPLY Territory Manager at 1.800.263.1437.

Pioneers in Protection

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NUPRO速 WHITE VARNISH DELIVERS A NU WORLD OF RAPID FLUORIDE RELEASE Uniquely formulated varnish for flouride protection

Pioneers in Protection

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www.dentsply.ca | 1.800.263.1437

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/DentsplyCanada

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8 Office Design

MINT DENTISTRY

Dr. Sue Chincholi loves the urban location she chose for her new practice, Mint Dentistry. The trendy Queen and Dufferin Street area in downtown Toronto is currently undergoing rejuvenation, the old storefronts giving way to hip new shops and eateries.

In planning the new office, Dr. Chincholi wanted to respect the history of this neighbourhood, while projecting a fresh, clean and modern feeling. How does one marry the old with dynamic new dentistry and state-ofthe-art technologies?

To reference the past, designer Jean Akerman and her team developed an industrial concept, incorporating historical images of the area (obtained from the Toronto Archives), which were enlarged to life-size murals for

installation on strategic walls. The ceiling was left exposed in common areas as a nod to the original structure of the building. Industrial lighting, vinyl plank flooring in a limed wood finish, and dark iron framing on glazed partitions and doors, all recall materials used in previous generations.

In contrast to all that, the office boasts the latest in dental equipment, clean air technology, a water filtration system and central sterilization – visible proof that this practice is all about patient comfort and safety. A “living wall” in reception prevails against crisp white walls, adding the requisite “freshness” and serving as a reminder of our collective consciousness regarding the environment and its impact on modern life.

OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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Office Design

9

Visit the October digital edition of Oral Health Office for another project designed

by Jean Akerman

Dental Equipment: Henry Schein / Corinne Smith & Richard Wong Design And Planning: Jean Akerman Design Inc. General Contracting: Edges Contracting Living Wall: Tropical Plant Concepts

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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LED Ultracapacitor Curing Light System

No battery. No cord. No equal.

U-40 Ultracapacitor Technology

Easy Suite

Revolutionary U-40 Ultracapacitor Technology reenergizes to full power in under 40 seconds. Kerr Demi Ultra is the first and only curing light powered by state-of-the-art ultracapacitor technology.* Although ultracapacitors are similar in size and shape to traditional batteries, they work much differently—reenergizing in a matter of seconds, and maintaining their energy capacity year after year.

Easy Suite feature set provides simple and intuitive operation and maintenance for seamless integration into your practice.

Changing the game.

In practical terms the U-40 ultracapacitor powered Demi Ultra is just 40 seconds away from being able to deliver 25 ten-second cures. In your practice, the Demi Ultra delivers convenience, efficiency, and reliability—like nothing you’ve experienced before. +

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Low energy Inside the U-40 Ultracapacitor, ions float between two carbon-coated electrodes.

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Re-energized When an electrical current is applied to the plates (this occurs when the handpiece is in the dock), the ions accumulate on each plate, creating an electric field to power the curing light.

Meeting your every need

• Durable, lightweight construction: hybrid construction unites metal and patented Valox-molded plastic in an ultra-light, durable, and chemicalresistant design • Comfortable ergonomic design: lightweight, ergonomic design and 360° rotating tip invite a wide range of comfortable hand positions to help minimize hand and arm stress • Sealed, fanless design: an extra large heat sink provides cool, efficient performance without the inconvenience of thermal shutdown, while eliminating the need for cooling fans and vents • Two-button single-mode operation: Provides easy access to all system functions, including new silent setting. Equally convenient, the single mode eliminates the need to toggle between settings for optimal performance.

• Fully-integrated radiometer: easy-to-use radiometer with LED indicators that instantly communicate the curing light system’s power status

C.U.R.E. Technology Keeping it cool

Proprietary C.U.R.E.™ Technology (Curing Uniformity and Reduced Energy) provides uniform depth of cure with one of the lowest temperatures in the industry. Enhanced collimation delivers more predictable curing power that is less sensitive to the positioning of the tip, while the more uniform beam generates a more consistent depth of cure.

*commercially available

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bleed - 8 3/8 x 11 1/8 Press Quality PDF

Revolutionary U-40™ Ultracapacitor re-energizes to full power in under 40 seconds. Proprietary C.U.R.E.™ Technology delivers uniform depth of cure with one of the lowest temperatures in the industry.

Don’t change batteries, change curing lights.

Call 800-KERR-123 or visit kerrdental.com/demiultra © 2015 Kerr Corporation. All trademarks are property of their respetive owners.

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12 Best of Class

PRIDE INSTITUTE’S 2015 “BEST OF CLASS” TECHNOLOGY AWARDS 2015

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aunched seven years ago, “Best of Class” Technology Awards recognize innovative products that set a quality standard in their respective categories. The process is unbiased and non-profit, and the designation is awarded after a rigorous and uncompromising selection process. The panel, comprised of a respected group of technology leaders in dentistry, seeks out “game changing” products that they feel will have significant impact. There is no “check-box template” during the voting process.

While some products are so new and different that they literally create their own category, some tried-and-true traditional products affirm their quality and class leadership year after year.

Individually, panel members spend countless hours each year researching practice-changing technologies. Then, at every Chicago Midwinter Meeting, the board convenes and pores over all the research, debating the characteristics that could define the product as “Best of Class.” If a category does not provide a “Best of Class” designee, it is skipped. There are no “number of winners” that require a Top 10 or a Top 20 for marketing purposes. When the selection process is completed, if there are either four or 14 winners, it doesn’t matter. To keep the voting fair and impartial, panel members must divulge any consulting relationships in which they are involved, and are not allowed to vote in that specific category.

As a result of the integrity of the process and technology leaders involved, “Best of Class” is the only award that is covered by every major journal in North America.

Dr. Lou Shuman, DMD, CAGS, is the creator of the prestigious “Best of Class” Awards. The impact of this initiative has resulted in an innovative first time ever cooperation between the major journals, the Oral Health Canada Group, Dental Products Report, Dentistry Today, Dental Economics, ADA News, Inside Dentistry, Dr. Bicuspid, Implant Practice US, Orthodontic Practice US, Endodontic Practice US, The Progressive Dentist, and the American Dental Association in providing education, awareness, and presentation of the winning technologies through their journals, culminating at the ADA “Best of Class” Technology Expo every year at the ADA Annual Session. It is the largest exhibit at the ADA Annual Session, providing three days of technology focused presentations by the field’s leading experts in a 275 seat classroom, in conjunction with hands on exhibits of each year’s “Best of Class” winners. In 2013, the ADA was honoured nationally as providing “the highest quality education on an exhibit floor” as a result of the Technology Expo curriculum.

OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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Best of Class

The awards have reached such a level of status that they are now the most sought after and coveted award by the manufacturer community and have become for dental practitioners and dental teams THE list of products that are critical to integrate into their practices, not only as a benefit to practicing ideally, but providing the best possible technologies to their patient base.

The technology panel of experts consists of: Dr. Lou Shuman DMD CAGS

Founder of the Best of Class Awards President and CEO of Cellerant Consulting Group Chairman of Technology Advisory Board WEO Media Technology Column in Dental Products Report John Flucke DDS

Chief Editor and Technology Editor Dental Products Report Private Practice Missouri Paul Feuerstein DMD

Technology Editor Dentistry Today Private Practice Massachusetts Parag Kachalia DDS

Vice-Chair of Preclinical Education, Research and Technology, University of Pacific Private Practice California Marty Jablow DMD

Founder of “America’s Dental Technology Coach” Private Practice New Jersey

“What began as a singular vision to make a difference in dentistry has gone beyond anything I imagined,” said Dr. Lou Shuman, Founder of the Best of Class Awards. “So many people to thank for believing in me and the integrity and noncompromising goals of this initiative.

It starts with the technology expert panel.

John, Parag, Paul, and Marty, recognized the importance of this and have volunteered enormous amounts of hours of their time to review the technology product community. I thank the publishers and editors in chief of so many journals who adopted the concept and agreed to create their own special involvement in the communication and education surrounding the winners and the process. Melissa Summerfield, the publisher of this journal, for taking such a passionate interest this year, recognizing the importance of this initiative to her readers. The ADA for allowing me to create an event with them that provides hands on experiences with the winners in one location and an ADA CERP accredited education program over three days on technology, that as a result of the quality of the experts presenting, sells out its 275 seating capacity for every course. Special thanks to Kat Dennis from ADA, for making this year’s event in Washington DC one that will be very special. For all reading this I hope if you are coming to the ADA Annual session in Washington DC that you will visit Booth 3231 and take advantage of the hands on experience of all the winners and participate in the presentations. I think you will come away with lots to consider about the products in your practice and how we are integrating technology into it as well.”

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Dr. Lou Shuman

THIS YEAR’S WINNERS v 3Shape TRIOS

v DEXIS CariVu

v Kerr SonicFill 2

v ACTEON North America

v DEXIS Imaging Suite

v LED Dental VELscope Vx-LED

v Digital Doc IRIS HD

v Liptak Dental DDS Rescue

v Air Techniques ProVecta S-Pan

v Doxa Ceramir

v Planmeca Sovereign Chair System

v AMD Picasso Lasers

v Glidewell BruxZir Anterior

v Propel Orthodontics Excellerators

v Bien Air iOptima/iChiropro

v Glidewell TS150 Mill

v Orascoptic EyeZoom

v Dental Practice Solutions Solutionreach

v i-CAT FLX

v Shofu EyeSpecial c-II

v Crosstex DentaPure

v Kerr Demi Ultra

v Ultradent VALO

SoproLIFE/SoproCARE

2015

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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14 Finance

RUNNING YOUR O C

GETTING THE MOST O

ompetition is everywhere in today’s business environment.

Dentists are not immune to the effects of supply and demand.

In many urban centres, the concentration of dentists has resulted in intense competition with dentists setting up practices within sneezing distance of each other. Many dentists are asking how they can improve their practice.

The process to improve your practice starts with you. In all sports, there are always different levels of competition. When a child excels at a sport, they may have a goal of competing at the provincial level, national level or even the Olympics. Not everyone makes it to the Olympics and the same applies to dentistry. It is not reasonable to expect a small single dentist managed practice to serve more patients than a large group practice with offices across the province. Finding ways to improve and get the most out of yourself and practice should be your first priority, so let’s look at some ways to help you reach your full potential.

Educate Patients

Many practices encourage prevention as the best way to maintain oral health. A big part of your job as a dental professional is to educate your patients so that they can take the steps to improve their oral health at home. Consider writing an article, which addresses each of the top 10 questions your patients ask you. For example, an article on what causes patients OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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to grind their teeth and how to prevent it.

Have these articles in each operatory so that when you notice a potential issue, you can present them with a personalized article for them to take home and learn about.

In addition to articles, give your patients a picture to take home. Many times, the person who decides whether a patient should proceed with a treatment plan is not actually sitting in the dental chair. Use your intraoral camera to take a picture of any issues and concerns and print it so that they have something to take home. This will help with treatment plan acceptance as the patient can discuss the treatment plan with their spouse and families by showing them what is going on in their mouths.

Spending the time to personally write articles which affect their health and giving them physical pictures to ensure that their families stay informed about their health reminds them that you are more than just someone they visit twice a year.

Improve Your Clinical Abilities

Learning doesn’t stop after dental school.

Consistently improving your clinical skills and knowledge is a requirement of being a dental professional. The first step is to develop an understanding of your patient’s health requirements by tracking the procedures you and your staff perform most often. Start by recognizing the oral health issues the majority of your patients face and the work being referred out to specialists most often. This will provide you guidance towards the type ©marrishuanna/iStock/Thinkstock

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Finance

15

G R OWN RACE

ST OUT OF YOUR PRACTICE of professional development courses and training you should be considering.

If in your clinical judgement, you are capable of performing these procedures, then you can offer them to your patients in-house instead of referring them out.

Alternatively, if you still believe it is in the patient’s best interest to have the work done by a specialist, considering bringing the specialist into your clinic instead of referring them out.

Educate And Reward Your Staff

Your staff is just as important to your office as you are. Patients may be more comfortable talking to your staff than to you about certain issues. Take the time to educate your staff through articles, seminars, meetings and lunch and learns on the various issues faced by the patients of the office. This includes not only hygienists and dental assistances but also your front line staff such as your receptionist. By educating your staff, the entire office reinforces the same message of promoting oral health.

Reward your staff with staff meals throughout the year to encourage team building and to develop a relationship that goes beyond employer and employee. You can deduct 100% of up to six staff meals per year.

In addition to staff meals, you can give each employee (excluding family members) a non-cash gift with a value of up to $500.

This is 100% deductible to you and is taxfree for your employee; allowing you to reduce both your taxes and theirs.

Invest In The Practice

Getting the most out of your office sometimes means having to spend money to upgrade it. Here are some additions you should consider: Digital charting: One of the biggest obstacles for a dental practice is managing the administrative processes required to operate a practice. For example, manual charting and documentation requires significantly more of your time and your staff’s time, which could be better spent treating patients and providing care. Digital charting allows you to track, sort, search, organize and safeguard your records in a much more efficient manner. The time savings and convenience typically outweigh the costs of having a digital system implemented.

Digital radiography: In addition to digital charting, consider digital radiography over traditional X-ray films. Not only does this provide you with time savings, it allows you to share and educate your patients about their oral health while they are in the office. Combine this with pictures they can take home from the intraoral camera and they have the information needed to make an informed decision on treatment plans.

Buy your dental building: Many dentists look to buy real estate as an investment.

Where possible, one may also look at owning their dental building. A major risk with any real estate investments is vacancy.

This article was prepared

by David Chong Yen, CPA, CA, CFP, Louise Wong, CPA, CA, TEP and Eugene Chu, CPA, CA, MAcc of DCY Professional Corporation Chartered Accountants who have been advising dentists for decades. Additional information can be obtained by phone (416) 510-8888, fax (416) 510-2699, or e-mail david@dcy.ca / louise@dcy.ca / eugenechu@dcy.ca.

Visit our website at www.dcy.ca.

This article is intended to present tax saving and planning ideas, and is not intended to replace professional advice.

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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The quality of VALO. Now in colour.

Save 15% until November 30, 2015.

Quote Code: PRIDEWINNER

from

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COLOUR THAT SHINES. When VALO launched in 2009, it quickly gained recognition for its powerful broad-spectrum output. VALO uses a custom, multi wavelength LED for producing a high-intensity light at 395-480nm. The intensity and consistency of the collimated beam, combined with the proprietary LED pack and broad-spectrum output, deliver the energy needed to completely polymerize any resin— even at distances as far as 10mm from the restoration site.

COLOUR THAT’S ACCESSIBLE. VALO’s wand-style body and lens system eliminate the need for a light guide, allowing direct access to all areas of the mouth without overstretching a patient’s TMJ and soft tissues — a common problem that can occur with other lights. The elegant, ergonomic, and streamlined design enables VALO to easily reach all curing sites, delivering energy directly without sacrificing patient comfort.

COLOUR THAT’S BRILLIANT. Almost as soon as it was released, VALO began receiving attention and awards. Now several years later, VALO is still winning awards for its innovative design and unmatched curing capabilities.

1-800-265-3444 www.clinicalresearchdental.com 2015-09-30 2:51 PM p14-23 OHO Oct15 Chong Yen.indd 17

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18 Finance

You won’t ever have to worry about the building being vacant because your dental practice is the tenant. You don’t ever have to be concerned with demolition, relocation clauses or expiring leases which protects one of your largest investments; your dental practice. This gives you peace of mind and allows you to focus less on business and legal issues and more on patient care and dentistry.

Buy another practice nearby: In many areas, you will find multiple dental practices within walking distance of one another. Just because you consider them to be competitors doesn’t mean you cannot have a positive professional relationship. For one reason or another, these practice owners may eventually sell their practice, which represents a great opportunity for you. With dental practices, it is very possible to double your profits without doubling your patient fees, patients or your practice size. This is because of synergies. By purchasing a practice nearby to merge with your own, you can add many of the patients and in many cases, only a fraction of the costs. Aside from dental supplies, lab fees and some labour costs, most of your expenses such as rent, office supplies and advertising remain relatively fixed, where you merge anothCappellacci_gm3461.qxd 10/18/07 PM Page 1 er nearby practice with4:42 your existing practice.

LEGAL SERVICES FOR DENTISTS

Maximize your tax savings: Taxes are one of the largest expenses a dental practice has. Minimizing your taxes means you have more money to invest in your practice, pay down debt and to use personally.

Work with your accountant and financial advisors to understand the basics of taxes, savings and investing. This includes maximizing deductions, exemptions and tax credits, income splitting with family, deferring taxes and timing your tax bill. Taxes affect all Canadians and for high-income earners such as dentists all the hard work you put in growing your practice could mean little if most of it goes towards taxes.

If you are an Ontario Dental Association member, please get a complimentary copy of “Dentist’s Tax and Financial Guide” from the ODA. It outlines tax saving ideas throughout your career.”

Your career in dentistry is a marathon, which can span more than 30 years. As with any race, it is hard not to look at where the competition is. However, if you focus on running your own race and consistently strive to reach your maximum potential, you will be able to reach the finish line and you will be surprised at how much more enjoyable the journey is.

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Gina M. DaRoza 462 Wellington St W, Suite 500 Toronto, ON, M5V 1E3 gdaroza@capplaw.ca www.capplaw.ca Tel: 416 955 9502 Fax: 416 955 9503

OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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YOUR ADVISOR IS IN KAREN SHAW TEL: 416-510-6770 FAX: 416-510-5140 E-MAIL: kshaw@oralhealthgroup.com TOLL FREE CDN: 1-800-268-7742 ext 6770 TOLL FREE USA: 1-800-387-7742 ext 6770 WEBSITE: www.oralhealthgroup.com ©marrishuanna/iStock/Thinkstock

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Call (800) 278-8282 or visit philipsoralhealthcare.com to order yours *Versus a manual toothbrush 1 Delaurenti M, et al. An Evaluation of Two Toothbrushes on Plaque and Gingivitis. Journal of Dental Research. 2012, 91(Special Issue B):522.

2 Data on file, 2010

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CariVu — A Brilliant Approach To Caries Detection

CariVu image showing an interproximal carious lesion on distal of premolar

F

rom diagnosis and treatment planning to insurance billing, imaging is an integral part of a dental visit. Now, a caries detection device from DEXIS can help shed even more light on the condition of the patients’ teeth. CariVu™, with near infrared transillumination technology, is a powerful tool with many advantages for the clinician and the patient.

A TRUE IMAGE, IN BLACK AND WHITE Images captured with the CariVu look very similar to X-rays. This “true image” is a welcome difference over other caries detection devices that require the user to become versed in the meaning of multiple color codes or numeric indicators. Dr. William J. McKibben of Long Beach, California, notes, “I think that a CariVu image is even easier to understand than an X-ray — enamel appears transparent, and the porous lesions appear dark.”

He adds, “Because the images appear like X-rays, patients actually understand that I am showing them their cavities, and this leads to greater case acceptance.”

NO DOSE BETTER THAN LOW DOSE While CariVu images appear like X-ray images, there is a very big difference — CariVu emits no ionizing radiation, which is ideal for children and other patients who are reluctant to have X-rays or

D

whose medical history precludes the use of any type of radiography. The lightweight, portable unit also can be incorporated into routine hygiene visits to identify carious lesions in their beginning stages and to track their progress. With all of the efforts that dentists take to reduce radiation dose, what can be better than low dose? No dose!

HIGH ACCURACY RATE CariVu’s patented technology allows clinicians to identify occlusal and proximal carious lesions and cracks, as well as caries around restorations. The technology has a very high detection accuracy — an interproximal dentin caries detection rate of 99%‡. Dr. Grant Smith of Prairie Village, Kansas adds, “Even without knowing that fact, I have personally experienced the accuracy and the resulting sense of security of knowing the size and scope of decay and the extent of fractures that I would not have otherwise seen simply on an X-ray.”

A COMPREHENSIVE PATIENT RECORD When combined with radiographs and intra-oral photos, CariVu images can help the clinician to evaluate caries over time, to determine preventive or treatment options, and even to provide documentation for insurance claims.

‡Kühnisch J. Benefits of the DIAGNOcam Procedure for the Detection and Diagnosis of Caries [study project]. Munich: Ludwig Maximilian University of Munich; 2013.

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Your Award-Winning Imaging Duo No Dose. DEXIS

CariVu™ is the no-dose solution* for detecting caries with 99% accuracy and displaying images in easy-to-read black & white. Patented transillumination technology allows you to see caries and cracks like never before and offers a new diagnostic tool for patients when X-rays are difficult or unwanted. ™

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*CariVu uses no ionizing radiation. Proximal dentin lesions represented in CariVu images correlate to the actual condition in the tooth with 99% accuracy. | **DEXIS’ proprietary hardware and DEXIS software work together to produce the most consistent diagnostic images at the widest exposure range of radiation dose and the best image quality results at the lowest dose. In a laboratory setting, the optional DEXshield positioning device plus the DEXIS Platinum Sensor was determined to reduce absorbed dose by at least 30% as compared to the Universal Ring plus the DEXIS Platinum Sensor. Additional data on file. | For CariVu, DEXIS Platinum Sensor and DEXIS Imaging Suite Indications for Use, visit www.dexis.com/ifu. ©2015 DEXIS, LLC DX55930915REVA.5609

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A Simple, every-DAy-USe permAnent Cement Ceramir C&B is the only BioCerAmiC Cement on the market which utilizes a calcium-aluminate based chemistry which provides dentists a natural permanent cement with reSin-like retention AnD effortleSS CleAn-Up. Unlike any other cement, Ceramir C&B has the unique capacity to seal the tooth-restorative interface without the shrinkage, stress and chemical degradation associated with other cements. the ABility to CloSe mArginAl gApS was recently proven in a university-study showing Ceramir C&B closing marginal gaps of 50 to 300 microns wide in an in-vitro artificial gap study.1 Additionally, Ceramir C&B SetS At A high ph CreAting An AlkAline environment eliminating post-op sensitivity while resisting acid and acid-producing bacteria. hAnDling iS SimplifieD with thiS trUly hyDrophiliC Cement. it wets and flows well and has a viscoelastic consistency helping the crown slip easily into place. Ceramir C&B is a loAD AnD go Cement. highly recommended for zirconia as well as pfm, lithium disilicate, metal, high-strength ceramics, cast and pre-fab metal posts and implant crowns. its radiopacity makes it easily seen for clean-up. most importantly, itS BioCompAtiBle nAtUre, mAkeS it inCreDiBly well tolerAteD By tiSSUe with no inflAmmAtion or SenSitivity.

Dentists and patients are thrilled with the features and benefits Ceramir C&B bring to the cementation process and patients overall oral health. CerAmir C&B iS A Simpler, innovAtive, SUperior wAy to Cement every DAy.

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Jefferies SR, Pameijer CH, Appleby DC, Boston D, Galbraith C, LÜÜf J, Glantz P-O. Prospective Observation of a New Bioactive Luting Cement: 2-Year Follow-Up. J Prosthodont, 2011. Published on-line, October 31, 2011.

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24 Dental Outreach

MISSION ACCOMPLISHED!

2015 Jamaica Dental Outreach Project: Ontario dentists, hygienists, and dental students volunteer in Jamaica Michael Carabash, BA, LLB, JD, MBA, CDPM

Papa Joe

Serendipity. That’s how I would describe the evening of September 4, 2014. It happened to be my birthday. I was sitting at a bar with Dr. Christina Bodea (Elmvale, Ontario) and her husband Stefan Atalick at the Beaches Resort in Negril, Jamaica. I wanted to show them my best card trick. I needed a volunteer.

The bartender hollered out to a burly American with a ponytail sporting a bright orange t-shirt. His name was Joseph Wright, but everyone called him “Papa Joe”. I quickly gathered that Papa Joe spends a lot of time in Jamaica. He has the amazing ability to turn on and off a thick Jamaican accent and speak the local dialect (Patois).

I finished my card trick and asked Papa Joe what he did. He explained that he runs a U.S. charity called Great Shape! Inc. Through their “1,000 Smiles” program, they bring close to 400 dentists, dental students, hygienists, and assistant volunteers down to Jamaica each year to provide free oral health care and education to local Jamaican families. That got my attention.

But what was he doing at the Beaches all-inclusive luxury resort? With a big smile, he explained that the Sandals Foundation generously donates USD$1-million worth of all-inclusive accommodations (including meals, drinks, entertainment and hotel amenities) for their volunteers each year. In fact, they’ve been doing so for over a decade.

Michael Carabash is a dental lawyer and holds a Certificate in Dental Practice Management. His websites are www.DentistLawyers. ca, www.DentistLegalForms. com and www.DentalPlace. ca. Michael is raising money to establish a free public dental clinic in Jamaica which can accommodate Canadian dentists (and others) wishing to volunteer. He can be contacted at 647-680-9530 or michael@dentistlawyers.ca.

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Illustration | ©sldesign78/iStock/Thinkstock

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Dental Outreach

My jaw dropped. Ever since I heard Dr. Tim Milligan (Toronto, Ontario) talk about doing his volunteer experience with his daughter, Dr. Melissa Milligan, in Guatemala (during his acceptance speech at the 2014 Awards of Distinction at the U of T Faculty of Dentistry Gala), I had wanted to do something similar. Specifically, I wanted to make a physiological improvement on the lives of others – something the practice of law doesn’t typically offer. I figured, however, that I could help organize an annual trip somewhere for dentists to travel to and volunteer. For months after hearing Dr. Tim Milligan’s speech, I would research dental mission trips online.

Nothing seemed to be a proper fit. Then, on my birthday when Papa Joe suddenly told me about their Jamaica dental outreach program, it was a no-brainer. Like I said: serendipity.

Mobilize

Upon returning to Canada, David Mayzel (my law partner) and I moved quickly to organize a dental outreach trip through Great Shape!

Inc. and the Sandals Foundation to return to Negril, Jamaica the following year (the summer of 2015). We spoke about the initiative everywhere we went and to anyone who would listen – including Ontario dentists, hygienists, dental students, and dental suppliers. We reached out to Ontario’s two dental schools (U of T and Western) about formalizing a joint program for some of their 3rd and 4th year dental students. We even threw a pre-launch social function after the Ontario Dental Asso1

ciation’s Annual Spring Meeting and took a picture of some of the volunteers (pg. 24).

We were able to procure $15,000 worth of sundry donations from Henry Schein, Patterson Dental and K-Dental. And the Globe and Mail published an article about our upcoming trip.1 We asked the volunteers what made them decide to participate. Dr. Ayla Goral Cintosun (Toronto, Ontario) put it best, “It was time to help others. Plus, we need mission trips to appreciate how blessed we are to live in Canada.”

Heading Down

After a year of planning, promoting and procuring volunteers and supplies, we were finally heading down. Our group of anxious dentists, hygienists, dental students and support staff (most of whom had never met each other) assembled at the Toronto airport on Friday, August 28, 2015 for the start of our 10-day adventure.

We spent the first few days in Jamaica settling in, enjoying the all-inclusive experience of the Beaches Resort, and receiving orientation from Papa Joe and his team about the hard work that lay ahead of us. We then headed out to the beach to take a full group shot.

We divided ourselves into three groups – one for each of the three clinical locations we would be working out of. My group was called “Triple P”. We would be working out of the Grange Hill Community Centre – way out in the sugar cane fields (about 25 minutes away from the resort). We were excited to get started.

Then come Monday morning…

25

Opposite page (left): “Papa Joe” (Joseph Wright) and Michael Carabash. (photo courtesy of Michael Carabash) Opposite page (right): Top (left to right): Michael Carabash, Peter Chudak, Dr. Ayla Goral Cintosun, Verna Kurtdarcan, Matt Bladowski, and Ljubica Durlovska. Bottom (left to right): Parastou Carabash, Dr. Christina Bodea, Dr. Nohora Martinez, Dr. Samantha Amaro, Karen Ergus, Stefan Atalick. (photo courtesy of Michael Carabash) This page (left): A patient receiving a Toothfairy Box from Dr. Christina Bodea. (photo courtesy of Dr. Christina Bodea) This page (centre): Team shot. (photo courtesy of Michael Carabash).

This page (right): From left to right: Amber Cintosun, Dr. Ayla Goral Cintosun and Ulfet Akin post with a young patient. (photo courtesy of Dr. Ayla Goral Cintosun).

See Paul Waldie, “Lawyer recruits dentists, gathers donations to care for poor Jamaicans”, Globe and Mail (June 13, 2015), B4

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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28 Dental Outreach

This page (left): Dr. Fadi Swaida with children in front of Grange Hill Community Centre. (photo courtesy of Amer Mohammed) This page (centre): From left to right: Matt Bladowski and Dr. Nohora Martinez with their kids, Dr. Fadi Swaida, Amer Mohammad, Peter Chudak, Parastou Carabash with Michael Carabash (holding Michael Carabash), Stefan Atalick, Amber Cintosun, Karen Ergus, Ljubica Durlovska, Dr. Ayla Goral Cintosun, Dr. Samantha Amaro, Ulfet Akin, Verna Kurtdarcan and Dr. Christina Bodea.

Missing from the picture were Dr. Sylvie Dagenais, Melissa Brunette, and Dr. Patrick Hackett and his team. Note: there were a few people from our team who were missing – such as Dr. Sylvie Dagenais (Gatineau, Quebec), Melissa Brunette (hygienist, Ottawa, Ontario), and Dr. Patrick Hackett and his team ( Sault Ste. Marie, Ontario). (photo courtesy of Michael Carabash) This page (right): Dr. Nohora Martinez with a very happy patient. (photo courtesy of Michael Carabash)

Into the Inferno

When our team first arrived at the clinic, we were met with a crowd of a few hundred people waiting outside the gate. They had been there for hours. Some had tried to see a dentist or hygienist the previous week at that location, but to no avail. They were in physical pain and desperate.

My formal job title was “patient intake” but I prefer to call it “mob control”. This entailed trying to organize a few hundred people who were vying to get into our clinic all at once and being stopped only by a somewhat porous gate, a few community volunteers, and me. It eventually worked out such that we were able to give ticketed appointments to everyone for the course of the week, which helped calm the crowd and send people home.

Each group had two or three dentists, one or two hygienists, and support staff (patient intake and out-take, assistants, and sterilizers). Each clinic saw roughly 40-50 patients each day. Sufficed to say, it was busy! In terms of the set up, many volunteers commented on how well supplied and organized things were. Per Dr. Irena Szczesny (London, Ontario), “Although we made a temporary dental clinic in the middle of nowhere and under hot and ergonomically-challenged working conditions, we had sufficient equipment, instruments and supplies to treat hundreds of patients.”

Now, I am not going to sugar-coat it: the working conditions were very challenging. Dr. Christina Bodea described one particularly difficult afternoon and how she persevered as follows: “The room was very hot. The few fans that we had only blew hot air at us. Our power went out several times. But I kept going because I wanted to make a person-

al connection with each patient. For the children, for example, I had brought down several small treasure chest ‘Toothfairy Boxes’. After extracting a child’s primary tooth, I would give them a ‘Toothfairy Box’ and say: ‘If you put your teeth in here, it will bring you good luck for the school year!’ They cherished those mementos.

Their reactions were very heartwarming”.

Despite the difficult working conditions, many of us were motivated to treat as many patients as possible. As per Catherine Nguyen (U of T dental student and President of the ZIP fraternity), “It was an eight hour work day but didn’t feel that long. We were just excited to help as many people as possible and see the results of our work.” By the end of the week, we had treated over 730 patients at three clinics – something we were all very proud of.

Having a Moment

From the outset, Papa Joe told us not to focus on the numbers. “Slow down and have a moment”, he would say. “Let your surroundings affect you”. Each volunteer experienced this.

For Dr. Samantha Amaro (Toronto, Ontario) and her assistant / husband, Peter Chudak, that moment came when one particular little boy sat in their chair. He was completely deaf. As Dr. Samantha Amaro recalls: “Despite his limitations, we were able to figure out what he needed to have done: extract two baby teeth. He was so cute and well behaved. He gave me two thumbs up throughout the entire procedure – even though I could tell he wasn’t comfortable at times. He never complained. I wondered how long he had been in pain for, unable to communicate.

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Dental Outreach

Treating him was very emotional for me: I felt as if I made a huge difference in his life by doing those extractions. He motivated me to keep working hard and come back again.

He was my favourite patient.”

Collaboration

Most of our dentist volunteers own/operate a practice in a competitive environment in Ontario. But in Jamaica, everyday business pressures were replaced with peer collaboration, serving others, and doing dentistry for its own sake. “It was refreshing”, recalls Dr. Samantha Amaro.

Case in point, Dr. Fadi Swaida (multiple practices, Ontario) was called in to help with a particularly difficult case. Another dentist had struggled for hours to extract a wisdom tooth (the tooth kept breaking and finally went below the gum line). Knowing that Dr. Fadi Swaida enjoys difficult extraction cases, he was called in to assist. He immediately rushed in, removed the gum and some bone to get access to the tooth, then elevated and pulled the tooth out in just a few minutes. Everyone was ecstatic. “I was so happy I could assist my colleague and relieve the patient of pain”, recalls Dr. Fadi Swaida.

Making a Difference

Taking a step back, it definitely seemed like an uphill battle. The insatiable demand for dental services resulted from historic and widespread poor oral hygiene/education, coupled with an inability for many Jamaicans to afford the dental services offered by private practitioners. It is a dire situation. Admittedly, some of our volunteers often felt more like a band-aid solution to a systemic problem.

Here is how Dr. Nohora Martinez (London, Ontario) felt:

“I wanted to give each patient a beautiful smile. With limited time and resources and so many patients with so many cases to treat, I didn’t know if I was making a meaningful difference. Then I would do just a single extraction or filling and the patient would give me the biggest hug and smile to show their sincere appreciation. I knew at that point I was significantly improving the quality of their life. And mine too. It was worth it!”

Conclusion

It started off with a birthday wish – to have what Dr. Tim Milligan described in his acceptance speech as “the experience of my lifetime”. Having completed our first mission trip, I (and our volunteers) now have that. We struggled through very challenging working conditions and persevered. We made a physiological improvement in the lives of so many impoverished Jamaicans. But we also connected with them. And we socialized and collaborated with, and helped each other. After 10 days, we became better versions of ourselves with memories that will last a lifetime.

That was just the beginning. Soon, we will start the process of bringing another group of volunteer dentists, hygienists, dental students and support staff down to Jamaica for next year. If you are interested in volunteering, contact us. Many of our first time volunteers will be returning.

Additionally, we have set our sights on a new goal: to raise money to establish a free public dental clinic that runs all year long and which can accommodate Canadian dentists, hygienists, and support staff to volunteer a week at a time. It’s definitely ambitious. But it’s necessary and worthy of our time, money and effort. Let’s work together to make this our legacy. One love and Triple P!

29

This page (left): Michael Carabash motivating team “Triple P” as they approach Grange Hill Community Centre on Day 1.

This page (centre): Michael Carabash working with community volunteers to register patients for the week (a.k.a. ‘mob control’). (photos courtesy of Michael Carabash) This page (right): Dr. Samantha Amaro and husband / assistant Peter Chudak with their favourite patient. (photo courtesy of Dr. Samantha Amaro).

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Implementing compliance protocols can be complicated and time-consuming, subjecting your practice to unnecessary labor expense and ongoing hassles. The DentaPure system makes compliance easy with one quick cartridge installation; select bottle or municipal cartridge based on your waterline system. Crosstex will even remind you when it’s time to change your cartridge.

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32 Office Design

BURLINGTON PEDIATRIC DENTISTRY

“Working with Dr. Daniel Charland on his new pediatric office in Burlington, Ontario, was an immense pleasure”, says interior designer Jean Akerman. “He had a clear vision for the practice, which was a driving force in concept development. His passion for working with children in a caring environment was plainly evident, and this was immediately embraced by the project team.“ The design challenge was to create a functional, modern space, which would appeal to both young patients and the young at heart. It would be environmentally conscious, meeting Leed Silver standards (including use of recyclable or recycled materials, water saving and green technology, energy efficiency, and low VOC finishes).

Nature as an important consideration is evident in the resulting design. Children are immediately involved in

their environment by the custom mural of playful animals in their natural habitat, as well as the unique tree-house play area. Other fascinating elements, like the ever-changing LED lighting in the desk front and the built-in aquarium, contribute to the cheerful atmosphere.

In the treatment area, colourful walls and “bugs” track lighting continue the light-heartedness. Tooth brush stations are situated at varying heights to suit all ages. The semi-private treatment bay and transparencies between areas create a spacious, non-intimidating environment. A separate quiet room is available for more difficult cases.

In keeping with Dr. Charland’s criteria, the office reflects a disciplined but playful design, highly sustainable in its materials and fixturing. The result speaks to the excellence of dental care provided here by Dr. Charland and his team.

OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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Office Design

33

Visit the October digital edition of Oral Health Office for another project designed

by Jean Akerman

Equipment and dental planning: Simon Archer, Patterson Dental Design: Jean Akerman Design Inc. Custom mural and tree production: Imagination Dental Solutions General Contracting: Dentrix Construction

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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36 Business Management

AN EXCERPT FROM MARK MCNULTY’S NEW BOOK

B

The 3.5 Million Dentist

aby boomer dentists are selling their practices and retiring.

I know this because our firm, McNulty Group, works with many of them. We manage more than one quarter billion dollars in retirement savings for 85 professional families.

One chance to Sell.

Once chance to Retire.

One chance to Get it Right.

This guide is about your colleagues who did it right.

In preparing this module, my team and I reviewed the files of dentists for whom we manage retirement incomes with portfolios in excess of $3.5 million. Our goal was to look for consistencies in the way these dentists managed their finances, because it’s helpful for you to know what your colleagues are doing to achieve their financial success.

MODULE TWO Dentists With $3.5 Million Portfolios Let me be clear that this guide wasn’t written to instruct you on how to become the wealthiest dentist in Canada. For most dentists, having a $6 million portfolio is not a realistic goal. More importantly, it’s not a priority for them. They want to focus their energy on family and enjoyOCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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ing their lives—not on working around the clock and watching every penny.

Having said that, if you’re interested in reaching a realistic level of financial success, such as creating a $3.5 million portfolio, you’ve come to the right place.

Dentists who attain realistic financial success don’t emphasize material wealth. That’s not to say they don’t enjoy the finer things in life. They just do it after their priorities are taken care of, such as building their savings.

To further illustrate this point, I’ll share a story with you about an established $3.5 million dentist . . .

An established dentist was having a conversation with a young dentist he knew.

The young man talked with excitement about the luxury vehicle he had just purchased, as it had always been a goal of his to drive a high-end car.

The young dentist also mentioned that he had seen the established dentist’s vehicle—an old model car—and by way of a joke, the young dentist asked the established dentist if he had gotten divorced (implying he had no money for an expensive car). The established dentist replied, “No. You and I just have different priorities.”

What this young dentist didn’t know was that the established dentist had already achieved financial independence at age 55.

Plus, he and his spouse had put three ©Thinkstock

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Business Management

kids through university and he was now in a position to finance his lifestyle ($85,000 per year after-tax) until his wife’s age 95—and they would still have funds to leave an estate.

Best of all, this established dentist was happy. That’s really the moral of the story: without question, people who live within their means are happier than those who are indebted to the banks—and they’re the ones who reach the $3.5 million mark.

How to get to a $3.5 million portfolio $3.5 million is important because it provides some semblance of a benchmark for personal financial success. I’m talking about a benchmark that’s realistic and sustainable over the long-term.

Having a realist benchmark, such as a $3.5 million portfolio, can serve a good purpose. This is not because it personally matters how you’re doing financially compared to your colleagues. As previously stated, everyone is different and places value on different priorities.

For example, one of the families we work with that I relate to the most has, in fact, only built a $1,600,000 portfolio. This is because they put their life goals ahead of material wealth. After working with them for a few years, my client called me one day and said, “I’m not happy”. He wasn’t enjoying dentistry anymore and wanted out.

“How much can I spend if I sell it all and retire today,” he asked. He had just turned 51 years old. The answer was $5,000 per month after-tax. The life he and his spouse have lived since selling the practice has been amazing. They have lived in other countries for months at a time, learning the language and cultures of others. Our meetings are always filled with stories of great adventures, done for under $5,000 per month.

For most of us, retiring at age 51 is not a goal or an option. But what is a reasonable benchmark for you to look at?

In preparing this module, my team and I reviewed the files of dentists for whom we manage retirement incomes with portfolios in excess of $3.5 million. In order for our firm to maintain a small client base, which allows the personalized approach we believe in, dentists must have a certain minimum in savings for us to work with them. More often than not, the dentists we meet don’t have this minimum. That means our client base of dentists is likely

37

more financially successful than the general population of dentists.

How did these dentists get to this size of nest egg when a full 80 percent of the rest of the dental community doesn’t come close? Below are some of the consistencies we found with the $3.5 million dentists.

1 | They live outside of big cities

For the most part (all but four), the dentists we work with who have reached the $3.5 million level live outside the big cities. There are likely a couple of reasons for this. First, while fee guides are the same in a small town or big city, the price of living is much cheaper in smaller towns for housing, lifestyle costs, etc. Second, it could just be the nature of my business. We were only looking at the families I work with, and because most of my new business comes from referrals, it could be skewing the results. However, it is undeniable that a dentist living in Toronto is more likely to allocate more of their nest egg to shelter than a dentist living in Bracebridge.

2 | They practice in partnerships

For most of these dentists, their practice was valued in the $1 million range and this makes up part of their $3.5 million portfolio. What surprised me was that almost all the dentists in this group were in costsharing arrangements or true partnerships.

I suppose part of their ability to save more than the average dentist could be due to lower overall expenses in the practice.

3 | They spend less than they make – they don’t drive fancy cars

While this may be obvious, the fact is that these dentists don’t have extravagant lifestyles. They pay themselves a smaller than average income and have automatic savings set up for all other cash flows.

4 | They have a formal practice and personal retirement plan in place

This may also be obvious since they’re our clients, and all we do is practice and personal retirement planning. What is consistent and perhaps a little different is that these dentists are active partners in the success of their plans. They “buy-in” whole heartedly to the concept of setting targets and monitoring them.

If you’re feeling inspired, keep reading.

I’ve included a 2009 case study about a $3.5 million on page 40

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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Sponsored Content

Practice planning:

Five common oversights Designing or remodeling your office requires a lot of upfront planning—and there is certainly no shortage of advice to follow. Just as important though, are those things you may not think about.

Here are five considerations to add to your list.

Plan for adequate sterilization.

The sterilization center is the hub of your practice. Without an unlimited number of instruments, you will quickly discover that if materials don’t flow efficiently, neither does your stream of patients. Remember to include space for sterilization furniture. Designed with efficient instrument processing and proper storage built in, it ensures fluid workflow that most importantly, never backtracks or crosses back and forth through the same space. A simple cabinet can’t do that. Many practices now purposefully make sterilization visible to patients, proving that it’s taken seriously.

Design your working environment first.

Your future self will thank you. Dental office design and environment are important in setting the mood, reflecting personal style, and keeping both patients and staff relaxed and comfortable, but don’t forget to budget for tools and equipment. If left as an afterthought, this can have a detrimental impact on your ability to practice efficient, effective dentistry. Based on how you work, look for equipment that minimizes movement and reduces the impact on your body, so you can stay healthy and practice longer. Plan your operatory with you—and your staff’s—future health in mind.

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Focus on the total cost of ownership (not the initial purchase price).

It’s worth it in the end. The investment in your practice today will likely be in place for one or two decades. While initial purchase price is understandably important, it often

p36-43 OHO Oct15 McNulty.indd 38

overshadows consideration for the total cost of product ownership throughout its life in your practice. Saving money up front may end up costing you in the long run.

Make sure the initial purchase price includes the items that make it functional (sinks, faucets, power outlets and installation on dental cabinets, for example).

Downtime is costly, and things are not always as they appear. Talk with service technicians about the equipment they service most often, and ask what they like and dislike about various equipment brands. They can offer tremendous insight about reliability.

Keep it simple.

Consistency = efficiency. Keep operatory layouts the same from treatment room to treatment room. With everything from sinks and equipment to storage standardized, the team reduces training time, increases consistency and establishes an efficient workflow.

Build for the future.

Leave room to grow with your practice.

Think about what’s coming down the line and how you can be ready for it. If you are building new, make sure you plan enough operatories for future growth, keeping in mind the implications on materials that flow through the practice. Plan your space for today and tomorrow, even if it means leasing out your extra space for a few years.

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Have fun!

Exploring your treatment room options is an important step to remember when planning or updating your operatory.

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40 Business Management

AN EXCERPT FROM MARK MCNULTY’S NEW BOOK

From Associate to Retirement Based on a true story

“He who knows he has enough is rich.”

- Tao Te Ching (260 BC)

I

first met Dr. John and Mrs. Mary Smith in 1999, and after 10 years of working with them on their finances concluded they were definitely in the best financial shape of all my clients, given their spending relative to their asset base.

John and Mary contacted us because they wanted to design a financial plan which would focus all their resources on two goals. The first was to pay for 75 percent of a seven-year degree for both their children (they felt that if the children did not use the full amount saved, they would put it towards their own retirement). The second was to achieve financial independence by age 55.

QUANTIFIED GOALS Education

By the time Adam is 18 – in four years – they will need education savings of $120,000. When Tim is 18 – in nine years – they will need $145,000.

Financial Independence

Mary and John wanted to be able to finance a retirement lifestyle of $10,000 per month after-tax, indexed for inflation.

We therefore set targets for each account type to reach by their age 55 as follows:

RRSPs $1,050,000 Hygiene Company

$1,470,000

Non-registered investments

440,000

Building Sale Proceeds

350,000

John and Mary’s Target

$3,310,000

John and Mary have been able to make tremendous progress towards their goals as evidenced by a comparison of their net worth from December 1999 – January 2009 on page 41.

There are two key strategies that, in my opinion, added to the wealth John and Mary created in the dental practice.

1 | Income Tax Planning

The first priority was making RRSP and RESP contributions. However, to reach their savings targets they needed to save money beyond RRSPs. Therefore, we incorporated the hygiene department of the practice.

This allowed us to take money out of John’s hands at a tax rate of 46 percent and either save it in the company (for retirement and/or the kids’ education beyond RESPs) or split income with Mary via dividends.

The savings that have accumulated in

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Business Management

the hygiene company to date are $350,000.

As this money was deferred from the top marginal tax rate in John’s hands and taxed at the small business tax rate, it represents a tax deferral of roughly $99,000!

These hygiene company savings are invested in conjunction with the rest of their portfolio, with the ultimate purpose of financing their retirement.

2 | Tracking or “What Gets Monitored, Gets Improved”

One of the greatest financial resources of dentists is their personal cash flow, but if not properly managed there is a good chance the money will be spent on secondary priorities. One of the main causes of cash flow mismanagement is inadequate monitoring. Good information is needed to make good decisions.

The most successful practitioners I meet all have some form of financial monitoring in place. Most dentists have a bookkeeper for the practice but many may not know what exactly happens to their money.

One of the reasons the Smiths have enjoyed such great financial progress is that they track where their money goes.

In addition, every quarter they are able to track all the key indicators within the

41

budget to ensure they are making financial progress. If they find they are not, they are quickly able to determine why and fix it.

The Results

Over the past nine years, John and Mary have been able to grow their net worth from under $900,000 to over $3,000,000. If you review the strategies they have employed, you find one major aspect of their philosophy – keep it simple! The wealth you create will come from your practice. Ensure that money is optimized through tax planning and protected through investment management. Set budgets and track all your practice and personal cash flows to ensure you are making financial progress.

In Conclusion

To recap, if you want to reach a higher than average level of savings, follow these simple few steps: practice outside of a major city with another dentist, work hard and spend less, and design a plan and live your plan.

Sounds simple? Less than 20 percent of dentists can do it. However, the fact that you’re reading this guide and taking an active interest in your finances is a good sign you’re willing to do what it takes to reach the $3.5 million level of realistic financial success.

ASSETS

December 31, 1999

January 31, 2009

Cash

$42,000

$65,000

Practice Value Est.

$500,000

$1,200,000

Practice Building

$0

$400,000

Hygiene Company Investments

$0

$350,000

RESPs

$0

$44,000

Non-RRSP Investments

$0

$95,000

RRSPs

$200,000

$500,000

Residence

$275,000

$430,000

Total Assets

$1,017,000

$3,084,000

Practice and Purchase Loan

$125,000

$0

Total Liabilities

$125,000

$0

NET WORTH

$892,000

$3,084,000

LIABILITIES

Mark McNulty is President of McNulty Group. McNulty Group helps professional families transition from a life of successful practice to a stress-free retirement by using a holistic approach of practice and personal retirement planning.

Mark is the author of The $6 Million Dentist, The Transition Coach 2.0–A Canadian Dentist’s Guide to a Perfect Retirement.

Mark can be reached at mark@mcnultygroup.ca

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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PRACTICE MANAGEMENT SOFTWARE

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44 Business Management

FINDING MILLENNIALS

Tapping into the largest and most diverse generation to reach your practice peak!

S

Naren Arulrajah, Vikas Vij

ocially conscious, famously tech-savvy, entitled, adventurous, naturally outspoken, and quick to call your bluff….say hello to millennial consumers. If you think millennials are just a selfie-obsessed generation of unapologetic hipsters, you couldn’t be further away from the truth. Yes, this is a generation that grew up taking for granted things like the Internet, Google, and smartphones. But more importantly this generation makes up 25% of the US population with an annual dollar spent estimated to run into billions of dollars.

In fact, according to Boston Consulting Group, millennials’ annual buying power sits at $1.3 trillion. They make up a huge percentage of present consumers and will form a majority percentage of future consumer bases. So the trillion dollar question is – where do you stand with millennial marketing?

Millennial Marketing – A Different Approach

Marketing to millennials can be a highly rewarding experience if dental practice brands can tap into the mindset of this generation. There is no arguing the fact that each generation comes with its own set of views and values and millennials are OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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©marrishuanna/iStock/Thinkstock

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Business Management

not exempt from this rule either. However, never before has there been a generation that is so uniquely diverse and open, yet at the same, time highly skeptical about everything around them.

The 2008 recession had quite an impact on this generation leaving them just as if not more concerned about financial security than baby boomers and Gen X-ers.

That being said, millennials are extremely invested in the idea of maintaining a worklife balance. Work is important, but so is their life outside of work. Human and societal issues matter to them and you will find millennials to be more proactive about diverting their time and their finances towards socially charitable causes than older generations.

With so many different facets, marketing to this generation obviously presents specific challenges. But the fact stands that this consumer base packs quite the purchasing power punch as they are in a position to influence lots of purchasing decisions not only for themselves, but also for their families, friends, and their employers. And the only way you can get them to exercise their purchasing power influence is by convincing them of your dental practice brand value.

Traditional marketing strategies that proved to be successful even a few short years ago are just not going to cut it with this group. They have high standards and nothing short of exceptional brand value will get you through. What they expect from brands are personalized and authentic experiences that are in sync with their values and make them feel good about themselves. Once you have their attention, you can benefit from quality engagement which can propel your brand to great heights. Perhaps this is also one of the reasons why marketing to millennials can prove to be an amazingly rewarding experience.

What Does “Brand” Mean To Millennials?

Millennials are definitely brand conscious but they don’t want brands to simply sell to them. Red Bull has been killing it with this generation. The company has created brand value that is fun and interactive

and compels a culture of sharing. Brand engagement to them is less about brand presence and more about brand value.

Brands that show value beyond their bottom line are the ones that can make a marketing impact on this generation. It’s a simple equation really – brand engagement is subject to brand value.

Bear in mind that this generation has a wide spectrum of players who are at different points in their life. So you have the college-going millennials, the 20-somethings who are happily discovering and exploring their surroundings, and then you have the 30-something millennials who are seriously employed and probably have families of their own. However, regardless of where they are in their life journey, they respond in a similar fashion to common marketing touch points.

“Brand” to them is an experience. What this means is that all of your social and advertising content needs to be tailored to their style. They want conversation, they want to hear compelling stories, they want to be educated and entertained. They are interested in knowing what you stand for and what you are doing. Brands that are transparent and authentic are the brands that can connect with this demographic the best.

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Naren Arulrajah is the President and CEO of Ekwa Marketing, a complete Internet marketing company that focuses on website development, SEO, social media marketing, and the online reputations of dentists.

Visit Ekwa Marketing at www.ekwa.com.

Connecting with Millennials – What Dental Practice Brands need to know

Winning big with millennials is not easy.

But it’s not an impossible task. If you want to target millennial dollars, you need to know what appeals to this demographic.

Here are the top three things dental practices need to keep in mind when marketing to this demographic.

1. Appreciate Their Intelligence

For a while now marketers believed that anything that is on social and goes viral will win millennial approval. While items that go viral are fun and entertaining they alone will not close the deal. Bear in mind, this is probably the most informed consumer group right now and they really know how to exercise their researching capabilities before making a buying decision. Haphazard marketing tactics will oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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46 Business Management

only serve to alienate your dental brand further away from your millennial target base. Millennials don’t mind paying a little extra if they are completely convinced that a brand is worth their interest and their dollars.

Here’s What You Can Do: • Sell your dental product or service but do it intelligently and be authentic about it.

• Package your dental marketing to show brand value and to provide clear understanding about how your product and service can be beneficial.

• Use videos and articles to educate your millennial audience about potential oral health risks that can be avoided by scheduling regular checkups.

• You can talk about a specific oral health condition that can lead to or is a sign of a greater potential health risk.

• Connect with them via communication channels that appeal to them – use email, or text messages (to confirm an appointment or to update appointment status).

“Millennials talk…a lot. But all this conversation happens on social and other digital real estate, among their friends, with their families and employers.”

• Focus on the right type of dental services.

The majority of your millennial audience will come in for preventative treatment. Focus on cleanings and providing checkups or X-rays, as well as other similar services.

• M illennials might be more interested in cosmetic dentistry procedures such as teeth whitening. Market this aspect of your dental practice to get their attention. Once they come in, you can educate them on the importance of oral healthcare, and/or the benefits of regular checkups.

Include a call to action in all your marketing messages and chances are it will win your dental brand their attention.

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2. Don’t Stop with Listening – Talk to Millennials

Millennials talk…a lot.

But all this conversation happens on social and other digital real estate, among their friends, with their families and employers. The best way for dental practices to understand this demographic is by listening to these conversations.

Here’s What You Can Do: • Track what millennials are saying about your services as well as what they are saying about your competitors. You can pick up a significant amount of information from these conversations, which can help you plan your marketing strategies.

• S ign up for Google Alerts, visit trending blogging sites and review sites to tap into important conversations. But don’t just stop with listening; take the next natural step and talk to your young audience.

• Start or take part in social conversations in a way that shows your dental brand value and expertise.

• M illennials crave personalization and that can only happen when you create a two-way dialogue with your audience. Provide them an opportunity to speak to you about your dental brand, your products and services as well as their experience with your dental brand as a whole.

• Encourage them to share comments as well as their experiences with friends. By encouraging a culture of sharing and discussion, dental practices can effectively showcase their intentions about being transparent and authentic – two of the most important qualities that millennials appreciate in a brand.

3. Market on Social – Be Genuine, Be Creative, and Be Consistent

To be socially relevant, make sure your dental practice brand has face power on social sites that matter to millennials. However, once you are on social be extremely careful about not coming across as overly commercial. Any marketing that is not genuine just comes off as “trying too hard (using their language will not help create a connection) to push marketing on them” and it will be ignored. Millennials are ©aurielaki/iStock/Thinkstock

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extremely picky and they will not hesitate to call a brand on its bluff!

Here’s What You Can Do: • Focus on dental marketing strategies that showcase what your brand is really about and what it stands for - this is what millennials really appreciate.

• Creative marketing definitely appeals to this demographic. Create marketing messages that are meaningful, educationally valuable and fun and they will happily share it with their extensive network.

• Stick to consistent messaging. It does not matter which media type you use to connect with your millennial target base as long as you keep your messaging consistent. Don’t fall into the trap of saying one thing and doing another and don’t keep changing your messaging frequently as this showcases inconsistency and will confuse your target base.

• Ask your younger audience to follow your dental practice Facebook page and regularly provide interesting updates. This can prove to be highly effective in not only creating a connection with your dental office but it can also stop them from searching for other dental practices anytime they are in need of a dental procedure.

Conclusion

Marketing to and connecting with millennials does not have to be an impossible task.

This definitely is a very connected generation. However, you will not catch their atten-

tion simply by making noise on leading social grounds. Any kind of intrusive marketing will only serve to alienate your brand further away from their attention. Keep in mind that millennial communication has a social component. And yes, they place a lot of premium on the opinions of their peers.

What all of this means is that dental practices need to show brand relevance by creating messages that carry a social engagement element. Build an interactive platform for sharing of information and ideas and to showcase the value of your products and services.

Community is important to this generation so focus on targeting social groups and identify ways in which you can encourage engagement. Personalization appeals to this group so segment your patient base accordingly, provide them with the information, services, and offers that are highly relevant to their expectations and you will definitely be rewarded with brand loyalty.

References

1. http://marketingland.com/mean-mobilefirst-marketers-care-133650 2 . https://w w w.bcgperspectives.com / content/articles/marketing _center_consumer_customer_insight_how_millennials_changing_marketing_forever/ 3. https://w w w.accenture.com /us-en / insight-outlook-who-are-millennial-shoppers-what-do-they-really-want-retail.aspx 4. http://heidicohen.com/2015-millennialshoppers/

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50 Finance

HIGHER EDUCATION

Dr. Wilson Chen, BSc., DDS, CFP, FMA received his DDS from Western University in 1992 and over the past 23 years, has built a patient-centred, family practice in Hamilton. In 2014, he sold his practice to take a more active financial management and business advisory role for his dental clients and their families. Wilson is the only practicing dentist in Ontario to hold the Certified Financial Planner (CFP) and Financial Management Advisor (FMA) designations.

Wilson can be reached at wilson.chen@ raymondjames.ca.

My friend Aaron has a dilemma. Four bright kids with high ambitions. The oldest is in University and the other three are not far behind. “I keep telling them to set their sights lower”, he laments, “but they just don’t listen.” I am not sure if he is joking.

Aaron is a successful dentist who values education. He’s grateful to his parents for helping him through dental school and he wants to help his children with their education. He is, however, quite concerned about how school costs will affect his cash flow and lifestyle.

After the purchase of a house and a dental practice, your children’s post – secondary education may be the largest expense that you encounter. According to a report by the Canadian Centre for Policy Alternatives1, the average cost of tuition at Canadian universities could reach over $7300 per year. Add in living expenses, food, transportation and spending money, and a four-year undergraduate degree can easily hit the $80,000+ mark.

Dentistry is another story entirely. As I recall, our tuition during dental school in the late 80s/early 90s was about $7000 per year. It seemed painful at the time. Today, the annual dental school tuition, once you factor in books, instruments and ancillary charges, hover around $42,000. Total cost of a four-year dental education (including living expenses) in Ontario – around $230,000.

This financial reality clearly calls for a long term plan. So to get you started, let’s look at strategies to fund your children’s education.

children yet, now is the time. There are three main benefits for using the Registered Education Savings Plan to fund education: Free money from the government. For every annual contribution, the government will give you a 20% grant (CESG). There is a maximum grant of $500 per year** for contributions of $2500 or higher. It is not every day that the government gives you money – so don’t be shy and take advantage of it.

But what if you have an RESP but did not contribute for a number of years? Fortunately, the program does allow for carryover of the grant, but only to a maximum of an extra $500 grant per year. Therefore, if you did not make a contribution last year, you can contribute $5000 and receive $1000 in CESG grant this year. **Grants can exceed $500 per year depending on your family income. This illustration assumes that family income is over $87,907.

Any RESP savings will grow tax-deferred until it is withdrawn by the student. Therefore, the funds will be able to grow and compound in a tax sheltered environment until it is required for school. The sooner you start an RESP, the greater the benefit of this tax sheltered growth. You can start an RESP account once you apply for and receive a Social Insurance Number for your child.

When the funds are withdrawn, it is taxed in the hands of your child. Since most students do not have any significant income, they will pay income tax at a much lower rate. Therefore, these tax deferred funds are converted to actual tax savings.

Strategy #1 | Start an RESP

Strategy #2 A Lump Sum RESP

RESP’s are the Backbone of Education Savings for most Canadians. The basics of a Registered Education Savings Plan are well known but there are numerous rules that regulate this government plan. See Figure 1 for a list of the more important points.

If you have not started an RESP for your

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|

Contribution

What if you passed on the annual 20% government grant in favour of a large lump sum contribution?

There is no restriction on how much you can contribute into an RESP per year, as long as you do not exceed the $50,000 life ©Thinkstock

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Finance

51

FIGURE 1 – Important attributes of an RESP Contributions can be made to an RESP up to a lifetime maximum of $50,000 per child.

For every contribution made, the government will kick in a 20% grant, with a maximum grant of $500 per year/ per child.

RESP funds can be used towards qualified post-secondary education.

The contributions are not tax deductible, but the funds grow tax deferred until withdrawn by the student.

When RESP funds are taken out of the plan and used for education purposes, it is taxed in the hands of the student.

A self-directed RESP can be invested in a variety of different vehicles – including stocks, bonds, GICs, mutual funds, ETFs, etc.

A family RESP can be set up to save for more than one child. At time of withdrawal, the funds distributed to each child do not necessarily have to be equal.

If an RESP is not used for education purposes, there will be penalties and taxes upon withdrawal of the funds. In addition, any government grants will have to be returned.

For a complete list of RESP rules, visit http://www.cra-arc.gc.ca/tx/ndvdls/tpcs/resp-reee/menu-eng.html

time contribution limit. However, the CESG grant is only paid on the first $2500 contribution per year (maximum yearly grant is $500 for the first $2500 yearly contribution).

So why would you forego this gift from the government? In the right circumstances, you can come out ahead by contributing a lump sum to your child’s RESP and giving it time to grow.

Let’s look at a comparison between one lump sum contribution vs. 15 smaller contributions + the corresponding CESG grant: • Suppose you have a $50,000 lump sum invested in a non-registered account. You pay annual taxes on the interest, dividends and capital gains at your high tax rate.

• You open an RESP account for your child – assume on his/her first birthday.

• Average annual rate of return on investments = 5% • Your child starts university or college at age 18 (17 years after first contribution).

From Figure 2, the compounding effect of the larger sum outpaces yearly contributions over 17 years – even with the CESG grant included. The tipping point is approximately 4.5% annual rate of return.

If you feel that you can achieve an average investment return of more than 4.5%, then the lump sum contribution will generate more savings by age 18. Keep in mind that investment returns are not guaranteed, so there is some risk that your lump sum will not grow as you anticipate.

|

Strategy #3 Optimizing your

RESP using Asset Allocation

Unlike retirement savings, the time horizon for an RESP investment is likely only

18 years. Therefore, it is important to maximize growth through proper asset allocation.

Over the long term, stocks have historically outperformed bonds, but with multiple peaks and valleys. Therefore, a good way to invest your child’s RESP savings is to hold a greater percentage in equities at the beginning, while there is adequate time to overcome short term volatility.

Then, five years before university or college, look for a good time to sell equities at a high point and adjust your assets to hold a larger proportion of fixed income.

Speak with your investment advisor about constructing a suitable asset mix and setting a strict time frame to move to less volatile investments.

In terms of equity investments, holdings in well capitalized, liquid companies with a history of positive earnings, steady earnings growth and good cash flow are ideal for this type of portfolio. Stable and conservative growth should be your mantra when investing inside an RESP. FIGURE 2 LUMP SUM CONTRIBUTION SCENARIO

ANNUAL CONTRIBUTION PLUS YEARLY GRANT SCENARIO

• $50,000 + $500 grant = $50,500 • 17 years of growth at 5% return = $65,247 • Total RESP at age 18 = $115,747

• $15,000 + $500 grant in year 1 = $15,500 • Subsequent $2500 contribution + $500 grant per year for the next 13 years.

• One more contribution of $2500 + $200 grant in year 15. This maximizes life time contribution to $50,000 and maximizes the CESG grant to $7200.

• 17 years of growth at 5% return • Total RESP at age 18 = $103,590

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52 Finance

REFERENCES 1. MacDonald D, Shaker E: Eduflation and the High Cost of Learning, Canadian Centre for Policy Alternatives, September 2012.

Dr. Wilson Chen is a Financial Advisor with Raymond James Ltd. The views of the author do not necessarily reflect those of Raymond James.

This article is for information only. Raymond James Ltd. member of Canadian Investor Protection Fund.

Strategy #4 | Smart Withdrawal There are two separate baskets of funds inside an RESP, and you can dictate which basket to withdraw from. Your lifetime contributions are called PSEs (post-secondary education payments) and can be withdrawn tax free. Any grant or growth of the portfolio is called an EAP and is taxed in the student’s hands on withdrawal.

The general rule is to try and draw out the EAP first - when your child is less likely to have significant income. Also, if your child decides not to continue their schooling mid-way through their degree, any grants must be returned and any growth is heavily penalized. By withdrawing and using the EAP first, you minimize the chance that these funds can be clawed back.

| Child Care Benefit

Strategy #5 Investing the Universal Under the Universal Child Care Benefit program, the federal government provides a monthly benefit for families with children under 18. As of July 2015, the amounts are as follows: Children under 6 years old $160 per month/per child.

Children 6 to 17 years old $60 per month/per child.

FIGURE 3

A good strategy is to use this monthly benefit to invest for your children’s education since tax attribution rules do not apply. In other words, once an investment account is set up in your child’s name, earnings (interest, dividends, capital gains) derived from the UCCB are taxed in the hands of the child, not the parents. Since most children under age 18 have little income, they will end up paying little or no taxes on the investment earnings.

Investing a small monthly amount may not Barb uses her after tax income to fund children’s education

Dividends paid to Bobby and Billy directly to fund their education

Corporate Earnings Before Tax

$215,400

$156,200

Corporate Taxes

($33,400)

($24,200)

Dividend Payout

$182,000

$132,000

Personal Income Tax

($62,000) assume 34% dividend tax rate after c orporation receives refund

($12,000) approximately $6000 income tax for each child

Net Income

$120,000

$120,000

Savings Over One Year

$59,200

Savings Over Four Years

$236,800

seem significant but it can add up quickly.

Similarly, any income that your child earns through part-time or summer jobs can also be invested in their account. Investment earnings from this source of income is taxed in your child’s hands as well.

|

Strategy #6 Paying dividends to

your child from a professional corporation

Once your children turn 18, you can pay them dividends from your Dentistry Professional Corporation and they will pay income tax at their own graduated tax rate.

The good news is that if they have no other income, you can pay each child over $40,000 in dividends per year and they will pay no tax. PC dividends can help fund your children’s education in a tax effective manner.

To illustrate this, let’s look at Bobby and Billy Adams: Bobby and Billy are identical twins who just turned 18 and will be attending university in the fall. Since they do everything together, both have set their sights on Columbia University in New York.

Cost of tuition and living expenses – about $60,000 per child, per year. Luckily, their mom has taken several steps to plan for their post secondary education. Firstly, she has named both Bobby and Billy as dividend-only (non equity) shareholders in her corporation – Barb Adams Dentistry Professional Corp. Secondly, Barb has been planning for this cash outlay for the last five years. She has retained extra earnings inside her PC over this time and will pay dividends to the boys to cover school expenses of $60,000 per year/per child.

By splitting income through dividend payments to Bobby and Billy, she will realize significant tax savings compared to funding their education with her after-tax dollars. Figure 3 shows a comparison: Be sure to consult an experienced dental lawyer to set up your corporate structure.

Ideally, the structure should allow you to pay PC dividends to any shareholders independently and on a discretionary basis. This way, you can tailor your dividends to minimize taxes for your own unique situation.

Without a doubt, post-secondary education can stretch a family’s finances. But with a little planning and some focused discipline, you can help your children reach their educational potential. Who knows, as a thank you, they may even treat you to lunch ….. on their meal plan.

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Education

53

MY JOURNEY

WITH THE DAWSON ACADEMY Tamer Iskander, DDS

S

ir Isaac Newton once said, “If I have seen further it is by standing on the shoulders of great giants;” and for the past seven years I have been standing on the shoulders of the great giants of the Dawson Academy. If you were to ask any of the students, alumni or faculty about the path that led them to the Dawson Academy, and the journey they have taken since, you would find a stark resemblance in their stories. This is my story.

After finishing dental school and joining my mother’s practice, I realized there were a lot of advanced procedures I didn’t know how to perform and so began my quest to learn. I did what most young dentists do, started attending as many dental courses as I could. Despite those courses, I felt as if something was not right; there was a gap that needed to be filled, some other skill that I needed to learn. I kept having this nagging feeling that something was missing.

One day in an advanced implant course I was attending, the world-renowned Dr. Carl Misch said, “implants fail because of forces and if you want to learn occlusion go learn from Pete Dawson in Florida.” I hesitated at first because occlusion, was not my favourite subject in dental school and I didn’t know any insurance codes related to occlusion.

Regardless, less than six months later I was in Florida listening to Dr. Peter Dawson, Dr. Dupont, Dr. Wilkerson and Dr. Cranham, to name a few. I left the seminar in awe; I was mesmerized. My bar of awareness had been raised significantly. The concepts of complete dentistry, predictability ©AAGGraphics/iStock/Thinkstock

p53-56 Dawson.indd 53

and work-life balance taught are powerful and became what I wanted and what I will seek to master for the rest of my life.

When I went back to practice after the first seminar (“Functional Occlusion”), I started seeing things completely differently. I began to recognize several recurring clinical situations that I would normally overlook or simply didn’t know what to do with (worn dentitions, TMJ pain, sensitive teeth that didn’t have cavities or recession to name a few). In fact, my awareness had been raised so high that I became “gun-shy” in my practice and almost stopped doing any advanced dental procedures. I finally understood the life changing expression, “you don’t know, what you don’t know.”

I also clearly remembered Dr. Dawson saying, “The concept of complete dentistry is the opposite of incomplete dentistry;” and I realized that I was an incomplete dentist.

This is when I began to perceive my practice and career differently. I wanted to establish my practice as the “go-to” practice in my area and I really wanted to predictably diagnose and treat the entire masticatory system, not just teeth and gums.

Being an incomplete dentist and the inadvertent neglect my patients had received literally ate away at my soul. I decided I didn’t want to be a usual and customary dentist, drilling and filling all day; I wanted to do long-lasting, comfortable and predictable dentistry from single tooth dentistry to major reconstructions and, most importantly, I didn’t want to toss and turn all night losing sleep over it.

The Dawson Academy had opened my eyes

Dr. Peter Dawson is considered one of the most influential clinicians and teachers in the history of dentistry. He authored the best selling dental text, Evaluation, Diagnosis and Treatment of Occlusal Problems, which is published in 13 languages.

His latest book is entitled, Functional Occlusion from TMJ to Smile Design. He is the founder of the “Concept of Complete Dentistry Seminar Series®” as well as The Dawson Academy.

In addition to numerous awards and special recognitions, Dr. Dawson is past president and life member of the American Equilibration Society, a past president of the American Academy of Restorative Dentistry and the American Academy of Esthetic Dentistry.

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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56 Education

to predictability in my dentistry, life outside of practice, and the time, money and credibility I lost with “redos”, so I enrolled in the entire curriculum.

The Dawson Academy experience was different in many ways. My education at the Dawson Academy was not the customary before and after presentations of cases I felt I should be referring out by the end of the course. At first I thought it was southern hospitality but over time the camaraderie and fellowship between the dentists at the Dawson Academy had touched me

ABOUT THE DAWSON ACADEMY Many things have changed since 1979 when The Dawson Academy officially first began. Insurance, materials, technology and the list goes on. Yet despite all these changes, the underlying reason The Dawson Academy was created and now why dentists and dental lab technicians come to The Dawson Academy courses is one and the same: questions. Questions about why treatment fails. Questions about why treatment doesn’t last. Questions about how the masticatory system truly works.

With these questions in mind so many years ago, Dr. Peter E. Dawson, the founder of The Dawson Academy, began to look for answers. He brought together an interdisciplinary group of specialists who were committed to diagnosing and treating the full spectrum of masticatory system problems.

From within this combined group of specialists, a number of major diagnostic and treatment advancements have emerged, including doppler auscultation for TMJ disorders, new methods for classifying disk derangements, simplified instrumentation approaches for analysis of occlusal problems and so much more. Even practice management systems have been developed to simplify planning, treatment, and communication.

In addition, their commitment to research extended to a willingness to teach other dental professionals within the everyday realities of private practice.

“What we learned, we would share,” Dr. Dawson explains. Fast forward to today and this mindset has not changed. Alongside Dr. Dawson is now Clinical Director, Dr. John Cranham and over 20 exceptional dental clinicians committed to not only practicing Complete Dentistry, but teaching dental professionals internationally how to, as well.

The Dawson Academy faculty is not the only thing that has grown in the past 36 years. The Academy now has 4 U.S. teaching locations and with the addition of The Dawson Academy Canada, 5 international teaching locations.

“Our purpose at The Dawson Academy is to share what we have learned with those dental professionals striving to provide quality, complete care to their patients. It is our hope that we can bring logic to your understanding of the masticatory system. If we succeed, we will have served the basic purpose for which The Dawson Academy exists, to make good dentists even better.”

on a personal level. This was an environment I wanted to be part of. These are the principles I needed to treat a single tooth crown, take care of a sore tooth, a hot TMJ, or a headache that’s related to dentistry all the way to full mouth rehabilitation. More importantly, I began to see that the patients walking into my practice every single day had these problems, and I didn’t know how to diagnose or treat most of them.

Over the years I continued to take courses outside of the Dawson Academy, and most of the speakers declared, “This is a Dawson occlusion.” I met so many dentists early in their occlusion journey who were struggling as I had. Some dentists were so stressed out that they wouldn’t go into dentistry today if they had to do it over again. I had felt that way too. I felt compelled to give these people hope. I let them know that I was in exactly the same boat they are in just a few years ago, and that most of the alumni and faculty at the Dawson Academy had felt that way too. I let them know that now I am excited about dentistry and I love to go to the office to practice the principles I have learned. Frankly, if you can’t get excited about going to the office, there’s probably something missing and whatever it is that’s missing can be learned.

Dr. Stephen Covey said, “If you want to master something, you must study it, practice it and teach it.” So over the years I found myself studying and practicing Dr. Dawson’s principles, and sharing whatever knowledge and experience I had with dentists I met at courses and conventions.

So, I began to think, why doesn’t the Dawson Academy come to Canada and share with the local dentists the powerful experiences they shared with me? Do you know what kind of positive effect this will have on local dentists and patients? At first I was timid, I didn’t think the Dawson Academy would be interested in teaching outside of Florida. Can you imagine how I felt when they agreed they would come to Toronto and offer their program?

I’d like to finish this by quoting Lao Tzu: “The journey of a thousand miles begins with one step.” I hope that you take that one step soon to begin your journey to the feeling of fulfillment I know you will get.

OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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D e n t a l M a r ke t p l a c e

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Contact: Contact:Karen KarenShaw Shaw• •tel:tel:416-510-6770 416-510-6770• •fax: fax:416-510-5140 416-510-5140• •e-mail: e-mail:kshaw@oralhealthgroup.com kshaw@oralhealthgroup.com Toll Tollfree: free:CDA CDA1-800-268-7742 1-800-268-7742extext6770 6770• •Toll Tollfree: free:USA USA1-800-387-0273 1-800-387-0273ext. ext.6770 6770

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CAREERS

COME WORK AND PLAY ON THE JAMES BAY FRONTIER WEENEEBAYKO GENERAL AREA HEALTH AUTHORITY MOOSE FACTORY, ONTARIO DENTAL DEPARTMENT Phone: 705-658-4544 x 2207 Fax: 705-658-2366

Come experience northern island living and make a difference providing much needed dental services to Cree first nation’s communities. NIHB (non-insured health benefits) is a federally funded program that provides dental, pharmacological, orthopaedic and vision care to status patients.

Full time, part time, locum and job share opportunities available for experienced dentists and new graduates.

Competitive salary, free housing, paid travel and incentives provided to attract quality oriented, culturally sensitive, compassionate, ethical dentists to our communities. Ideal candidates must be self motivated, comfortable with surgical extractions, certified in nitrous oxide sedation and be willing to use amalgam.

Nestled on an island in the Moose River, near the tip of James Bay, Moose Factory is home of the Weeneebayko General Hospital which serves the town of Moosonee, the James Bay communities of Attawapiskat, Kashechewan, Fort Albany and Peawanuck (on Hudson Bay).

The James Bay Frontier is an outdoor enthusiast’s dream with kayaking, canoeing, boating, fishing, hiking, hunting, snowmobiling, and cross country skiing all at our doorstep. The community is very active offering basketball and volleyball leagues all year round and seasonal baseball and hockey. With no commuting to and from work there is plenty of time to enjoy the amenities that the area has to offer.

The town of Moosonee is located on the mainland 5 km’s from the island and is accessible by boat taxi in the spring, summer, and fall. Helicopter transportation is used during freeze up and break up, and an ice road in the winter. Moosonee is the terminus of the Polar Bear Express train that runs 5-6 days a week from Cochrane depending on the season and also has an airport with connecting flights via Timmins to Toronto daily.

Please visit our website for more information www.weeneebaykohealth.ca or call us directly or better yet come up for a no commitment 3 week locum and experience the beauty of the north for yourself.

Janice Soltys Director of Non-insured Health Benefits, Dental Program & Chief Privacy Officer Janice.Soltys@waha.ca (705) 336-2947 x 233

Sheila Gagnon, RDH Dental Coordinator, WGH Sheila.Gagnon@waha.ca (705) 658-4544 x 2207

OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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Dental Marketplace

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PRACTICES & OFFICES TORONTO, ON

Practice For Sale — Rare Opportunity Very profitable, Gross well over 2M, busy Toronto Storefront, Very Bright, Spacious State of the art 4op+1 practice for sale.

Very stable clientele. Near 100% collection (no write off). Modern design, ample free parking. High income growing family neighborhood. Great growth potential.

Amazing lease, with potential for long term building ownership. Ample storage in basement.

Email in confidence to: opportunitydentaloffice@gmail.com

… it’s also a great place to work.

General Dentist Opportunity

We are responsible for a full range of services, including community health, long-term care and acute care in Northern Newfoundland and Labrador.

CAREERS

We are currently looking for the following professional:

General Dentist Permanent Full-Time, Roddickton

Salary ranges from $112,690 to $135,227, depending on years of experience and service. Incentives include an annual retention bonus ranging from $9,000 to $27,000, depending on years of service. This position includes a commitment for a regular traveling clinic to Southeast Labrador.

Applicants must have experience in general dentistry, be eligible for registration with the Newfoundland and Labrador Dental Board and be able to submit a satisfactory Certificate of Conduct.

AFT 2

15 egram n eer Beacon rkopolis rnal of Oral Health s in NL

If a career path with a sense of adventure appeals to you, we need to talk. For information on joining our team and our incentive package, which includes assistance with relocation expenses, please submit your resumé, complete with references and stating competition number 2015000251S , to: Labrador-Grenfell Health Human Resources St. Anthony, NL A0K 4S0 Phone: 709-454-0347 Fax: 709-454-3301 hr@lghealth.ca

www.lghealth.ca

oralhealthgroup.com

Labrador-Grenfell Health offers a unique opportunity to live and work in a region of Atlantic Canada. We combine the peace and quiet of a rural setting with modern equipped facilities and a strong sense of community spirit. This is a perfect location to gain valuable experience in an innovative work environment.

NORTH YORK, ON

A general practice with property for sale in North York, 2 equipped ops, laboratory, ample parking, seller is retiring.

For more information, please contact Mohanad Al-Tameemi at 647-530-5100 or e-mail: mohanad@ocicanada.com

MAPLE, ON

Maple practice sale, clean 3 op. Practice in busy plaza. 1150 Plus patients with excellent recall system. Owner willing to transition.Great opportunity for practicing associate.

Email: wjurczak1223@msn.com

ALBERTA – SOUTHERN ALBERTA

Very profitable 33 year old busy family practice for sale. Beautiful 3 op practice with storage area plumbed for 4th op. Sale includes all equipment, ½ building and land, Satellite Office. Strong hygiene program.

Great community.

Please email in confidence to: cdldent@shawcable.com

BARRIE, ON

Available new retail space on busy Mapleview Dr. West. Ideal for Professional Dental Office. Attractive lease rates. Surrounded by residential. National brands in plaza.

Contact Michael Pearlman at (416) 567-5101 or pearlmanmichael@gmail.com

WATERLOO, ON

Oral Surgery office available to share with another Specialist in Waterloo, Ontario. The 2350 square foot office is located on the ground floor of a busy plaza with lots of patient parking. Office is equipped for general anesthesia. Lots of space for second practitioner. Office only used 2 days per week. Long term lease available.

Please contact gentlemanjim@hotmail.ca for more information. oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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60 Dental Marketplace Contact: Karen Shaw • tel: 416-510-6770 • fax: 416-510-5140 • e-mail: kshaw@oralhealthgroup.com P R A CextT I6770 C E S• Toll & O F FUSA I C E1-800-387-0273 S Toll free: CDA 1-800-268-7742 free: ext. 6770

RICHMOND, BC

Well established office in city centre. Located in prominent medical/professional building. Beautiful, spacious office. Lots of natural light – beautiful views. 800 active patients. 3+1 ops. Strata unit available for purchase.

Contact ruth@heapsanddoyle.com – 604-220-4830

e

YORKVILLE — TORONTO, ON COST SHARING OPPORTUNITY Bring your existing patient base to beautiful Yorkville. Modern operatories available Monday to Friday. Direct access to Bay/ Bloor subway.

Email: info@yorkvilledental.net

YONGE AND LAWRENCE, TORONTO, ON

Part-time dental practice for sale. Owner wishes to stay on. Ideal for general practitioner/specialist wishing to locate/relocate in area. Confidentiality assured.

E-mail: jogging1042@gmail.com

LOCATION, LOCATION, LOCATION

dental

marketplace

Find jobs, practices for sale, and more in OralHealthGroup.com’s online classifieds

Great opportunity for orthodontist In Mississauga.

4 year old orthodontist office for sale. 4 chairs, everything digital, and lots of potential.

Please e-mail me at magdi@brittanydental.com or tel: 416-999-5712.

REGINA, SK

For sale — dental clinic in Regina, SK. 3 Chairs with extra rooms for extra 3 chairs. Very busy area nearby hospital with lots of emergencies/walk-ins.

Contact or view call 306-540-5514.

ASSO CI ATESH I P S

KINGSTON, ON

A well established general practice in beautiful King­ ston, Ontario is now available for sale. The practice has a loyal patient base with 1800 – 2000 active patients.

The office is approximately 1200 square feet and has updated decor, three treatment rooms, sterilization area and private office and staff area. For patient con­ venience it is located close to public transit in an area that is a mix of residential and retail business. Ample free parking.

For more information contact Dale Tucci at 416­450­8769 or dale@daletucci.com

EDMONTON, AB Great opportunity for a motivated associate with some experience. $80,000-$100,000 per month, in a beautiful office with new equipment and a great team. Current associate is moving to another province. Potential of earning up to 45% and longterm buy-in for the right candidate. Experience is an asset but not required.

Please email: EdmontonDentalCareer@gmail.com

ASSO CI ATESH I P S STRATFORD AND KITCHENER, ON AREA Associate Opportunity Full time or part time available. Busy and established offices. Modern, fully paperless/digital, new equipment and leading edge technologies (cerec, lasers, implants...).

Interested candidates please mail: dentalgroupswo@gmail.com

TORONTO, ON ASSOCIATE DENTIST Our new state-of-the-art, full service private dental practice is searching for a dynamic and collaborative Associate Dentist! Join our team of oral healthcare professionals in building longterm patients relationships throughout the Toronto community.

Please email your resume to Marcus: macarter@stratusdental.com or Phone: 360-553-7813.

ORTHODONTIST NEEDED ASAP — BARRIE, ON We are in need of an orthodontist in our Barrie office to take over an ortho department that has started for over 4 years with potential of partnership. The position is open ASAP, extremely busy from day 1.

Bradford and Newmarket to follow.

E-mail resume to bbashi@yahoo.com

NORTH SCARBOROUGH, ON Busy Dental Office in north Scarborough is looking for a FT/PT Dental Associate. Saturdays and weekdays available. Canadian graduate is preferred, Chinese speaking a must.

E-mail: dentistassociates@gmail.com

BARRIE, ON

Fast Growing Progressive Dental Practice seeking motivated and enthusiastic candidate to join us in one of our Barrie locations. This is an exceptional opportunity for growth for the dentist with an entrepreneurial mind and drive to succeed. We invite you to contact us for further information on this lucrative opportunity. Right handed dentists only, due to chair limitations. New Grads welcome!

E-mail:kris@bigbaydental.ca

SCARBOROUGH, ON Asian Dental Associate needed for Scarborough practice.

We have immediate existing patients.

Send resumes to cwalker@woodsidedental.ca

oralhealthgroup.com OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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Dental Marketplace

61

ASSO CI ATESH I P S TORONTO, ON

Established practice looking for a competent, caring associate to join our excellent team. Individual should be comfortable with surgical extractions, molar root canals, crowns, mild-moderate sedation, and dentures. Min 2 years experience.

E-mail: dent.teambuilding@gmail.com

TORONTO DOWNTOWN Part time associate position available at a modern dental practice in the financial district. Monday and Wednesday from 8am to 5pm to start in October.

E-mail: torontodentistoffice@gmail.com

ORILLIA, ON

Part time associate required 1-2 days per week for busy general family practice.

Please forward resume to dental_2010@live.ca WOODBRIDGE, ON

Woodbridge office requires PT associates with own patient base. Ideal for dentist coming off a lease/specialists satellite office.

For further information, please e-mail: goodfella22@hotmail.com

BRAMPTON AND ETOBICOKE, ON P/t Associate for Ortho Treatment

OAKVILLE, ON ORTHODONTIST

NORTH YORK, ON

Looking for a motivated & caring orthodontist to join our modern, family-friendly general dentistry practice on a P/T basis. We offer excellent remuneration, highly trained team & flexible schedule.

Email resume drt190@gmail.com

Part-time associate position available in North York, 2 to 3 years Canadian experience would be an asset.

Email to: dentalmk@gmail.com

BRAMPTON, ON PART-TIME ASSOCIATE WANTED

PETERBOROUGH AREA, ON FULL TIME ASSOCIATE

Some evenings and weekends. Preference will be given to Polish or Ukrainian speakers. Please kindly respond to E-mail: 2011dental.jobs@gmail.com

New Grad Welcome to apply.

Guarantee Pay and Car or Lodging Allowance.

Contact: PTBODentist@outlook.com

BARRIE, BRADFORD & NEWMARKET, ON Family practice seeking a trustworthy, motivated, caring and kid friendly FEMALE associate for an established, modern, practice. PT position. Need evenings and Saturdays.

NEED 3 years of experience, send resume: bbashi@yahoo.com

BARRIE/ALLISTON AREA, ON

Looking for general dentist with orthodontic experience preferred, but not necessary. Small office located in the Barrie/Alliston area for 2-3 days a week.

No weekends.

Please email resume to catroppas@hotmail.com

ANCASTER, ON

Part-Time Position available in sophisticated office with excellent support staff and team environment. Must be highly ethical and dedicated to high quality comprehensive dentistry.

Please respond with resume to ancdentresume@aol.com

NORTH YORK, ON

OTTAWA, ON

P/t Dental Associate who can do ortho comprehensive/interceptive needed.

Required for Saturday once a month and alternate Tuesday in Etobicoke and Brampton office respectively. Must have good experience in presentation of treatment plan.

Please forward your resume to nk490@nyu.edu or fax 416-626-9201.

We are looking for a charismatic and passionate associate with the ability to multitask to join our team on a part time basis in a busy clinic with lots of walk-ins and emergencies.

Please contact cheryl@huntclubdentalcentre.com for further details.

Dental Associate required for North York office. Days that are available are Mondays, Wednesdays, Saturdays and Sundays. Please apply if you are interested in two, three or all the days.

Send Resume: Attention Ms. Di Nicolo to dinicolol@yahoo.ca

CENTRAL MISSISSAUGA AND VAUGHAN, ON

DOWNTOWN OAKVILLE, ON

MISSISSAUGA, SCARBOROUGH, BARRIE, BRANTFORD, ORILLIA, ON ORTHODONTIST NEEDED

Associate required for multidisciplinary Dental Offices located in Central Mississauga and Vaughan. Position will require some Saturdays.

Please email resume to mississaugadentalarts@gmail.com

P/T Associate wanted for a modern progressive dental practice in downtown Oakville.

E-mail: dbrharris783@gmail.com

EDMONTON, AB

VICTORIA, B.C.

Associate position available, 7 chair facility in a very busy established family practice with good new patient flow with a fantastic support team. This makes for a great place to enjoy dentistry. The office is equipped with the latest diagnostic and treatment technologies and has four RDA, 3 hygienists and three dentists. Seeking a motivated team-oriented dentist with great communication skills and commitment. Must be available to work some Saturdays and evenings.

Send CV to: doctor.dentist.edmonton@gmail.com

Looking for an orthodontist to join our clinic. Must be available to travel between clinics as needed.

E-mail: yourdentaldream@gmail.com

WHITEHORSE, YK

Part-time associate required to join our dynamic team in one of the most beautiful areas of Victoria, and one of BC’s fastest growing communities. The position is for Saturdays and Mondays with the possibility of becoming full time. The position would be available immediately.

Experience required and Cerec experience would be an asset. Must possess strong patient interaction and treatment presentation skills.

Please email enquiries and CVs to: dawn@westshoredental.com

Locum/Full Time Dentist Required

Pine Dental is looking for a locum for the fall of 2015. This position has the potential to be full time.

Pine Dental is located in the beautiful city of Whitehorse, Yukon.

Come and enjoy the great outdoors and live the northern experience. Your adventure is waiting to happen. Don’t let this opportunity pass you by!

Email: pinedental@northwestel.net or fax 867-668-5121.

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

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62 Dental Marketplace Contact: Karen Shaw • tel: 416-510-6770 • fax: 416-510-5140 • e-mail: kshaw@oralhealthgroup.com Toll free: CDA 1-800-268-7742 ext 6770 • Toll free: USA 1-800-387-0273 ext. 6770

THUNDER BAY 45%

Associate required immediately (3-4 days per week). No evenings or weekends. Must have one year experience in Canada. northerndental@yahoo.ca

NORTH BAY, ON

TEMP FULL-TIME CLINIC DENTIST We are currently seeking a Clinic Dentist to work in our Clinic for a one year contract.

Please visit www.myhealthunit.ca or call 705-474-1400 ext. 2562 for more information.

MISSISSAUGA, SCARBOROUGH, BARRIE, BRANTFORD, ORILLIA, ON Exciting associate positions available for full and part time opportunities.

E-mail: yourdentaldream@gmail.com

ORANGEVILLE, ON

TORONTO, ON

Busy and expanding downtown family clinic is looking for a general dentist, periodontist and implant specialist.

Please fax your resumes to 416-538-8422 or email to davidkourosh@hotmail.com

Established Orangeville office seeking a part-time associate. Canadian experience an asset. Email resume: Progressivedental16@hotmail.com

PENTICTON, BC

THOMPSON, MB

Westwood dental clinic in Thompson, MB team looking for experienced dentist full time or part time. Decent income plus accommodation .

E-mail: westwooddental@hotmail.com

■■■■■■■

COLOUR! AVAILABLE in the Dental Marketplace Section!

A D V E R T I S E R ’ S

ABELDent ���������������������������������������34-35 A-Dec Inc. �������������������������������������38-39 Cappellacci DaRoza LLP ���������������������� 18 Clinical Research Dental ������������������16-17 ConfirmByEmail �����������������������������54-55 Crosstex International �������������������30-31 Dentsply Canada �������������������������������6-7 Dexis ��������������������������������������������� 20-21

NORTHERN MANITOBA FULL TIME ASSOCIATE

Dentist needed for a busy general dental office in Flin Flon. Excellent net income.

New grads welcome. Will help with residence and transportation.

Please contact (204) 687-4214 or asfarashraf@gmail.com

RICHMOND HILL, ON Position open for a part time associate, knowledge of Mandarin and Cantonese is definitely a plus.

Please email us at jubileedental280@hotmail.com or phone 905-882-7856.

Looking to relocate? Our practice in beautiful Penticton is thriving and we need an energetic dentist to help us with the load. If you are ready to practice ethically-driven dentistry on longterm patients in a nice community, then you have found your spot. Modern and comfortable working space, a growing and appreciative patient pool, energetic staff, and collegial environment are benefits, plus you get to live in Penticton.

Please contact drirvine@shaw.ca for additional information.

STOUFFVILLE, ON

Dr Bob Boadway, Park Drive Dental Centre Inc. in Stouffville, Ontario requires a part time dental associate to work Thursdays and Fridays and Saturdays. The candidate must be confident and able to perform all types of dentistry.

Check out our website at www.parkdrivedental.com Please send resume to drbobboadway@yahoo.com

I N D E X

Doxa Dental Inc ����������������������������� 22-23 iFinance Canada �����������������������������48-49 Kerr Corporation �����������������10-11, 26-27 Maxim Software Systems ���������������42-43 Mindware Educational Seminars ���������� 47 Patterson Dental ������������������������������� IBC Philips Oral Healthcare ������������������IFC, 19 VOCO Canada ������������������������������������OBC

Assiniboine Dental Group has been proudly serving the community since 1966. In an effort to meet patient demand, Assiniboine Dental Group is looking to expand its workforce by adding a full or part time associate dentist to its team.

Assiniboine Dental Group offers a facility with some of the latest advancements in technology, including digital radiography, CBCT, CEREC and a fully functional in house lab. Assiniboine Dental Group also has 3 specialists from the local faculty that practice part time each week to offer our patients all their treatment needs in one practice.

Assiniboine Dental Group offers competitive compensation packages, an incredible work environment, and career advancement opportunities.

Qualified applicants should submit cover letter and resume attention: Justin Richter, General Manager.

Email: jrichter@adg1.ca

EQUIPMENT BURLINGTON, ON CEREC Sirona RedCam with Mill and Blocks, and Ivoclar Oven for sale. Great Condition.

Please contact claire@altondental.com for details.

OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

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Office Design

SKYLINE DENTAL

Dr. Leila Ebrahimpoor had eagerly awaited the vacancy in her building that would allow her to expand her flourishing practice in Ottawa, Ontario. She wanted to create a modern, comfortable environment, tailored to the needs of her family practice, and sophisticated enough to reflect the high quality of sedation dentistry she also offers.

Being thirty-two years old, however, the building offered some challenges to the design team. First, a viable plan was required to blend the existing and new spaces. Lighting needed to be updated, but ceilings were impossibly low because of ducts and old wiring. The overall look needed freshening to blur the distinction between the old and new areas.

With a maximum height of 7- 6˝ in the reception area, the designer conceived a coffered ceiing that plays with OCTOBER 2015 | Oral Health Office | oralhealthgroup.com

the perception of height. LED fixtures were used to avoid adding heat energy. Other areas accommodated 8 ceilings, and existing fixtures were replaced to match the new specifications.

The greeter’s desk is a prominent feature, beyond which the treatment hallway branches to the left and right, the former leading to the original four ops that now function as hygiene rooms. The latter accesses the new section, encompassing a manager’s office, lab, private office, a central stericentre, pan/ceph, four operatories, and recovery room.

A white, and gray colour scheme, punctuated by yellow accents , imbue a fresh, spacious feeling.

Dr. Ebrahimpoor and her team are enjoying the new look and technology, taking pride both in their work and their new workplace.

Office Design

Interior Design: Jean Akerman Design Inc. Dental Planning: Patterson Dental / John Hollink, Ottawa Branch General Contracting: Terlin Construction

oralhealthgroup.com | Oral Health Office | OCTOBER 2015

oralhealth guidelines manuscript submission

Oral Health wants to hear from you!

We are actively seeking original article submissions from all of our valued readers. Here’s what we need from you: MANUSCRIPTS Manuscripts should run between 1,000 to 5,000 words; any manuscripts submitted on disc or flashdrive should be PC compatible (i.e., Microsoft Word). Should you have concerns with the compatibility between your word software and that of Oral Health’s, simply save your file as raw text (i.e., Text Only files, ASCII text files, etc.)

AUTHORS Biographical information regarding the author(s) should be included with the manuscript. The author’s name and degrees, as well as any association the author may have with any institution should be included. The author’s address, including city and province/state should also be included.

These requests for standardized submission of material are necessary for correctness of publication.

The Editorial Board looks forward to your submission. Please mail original manuscripts to: ORAL HEALTH, 80 Valleybrook Drive, Toronto, ON M3B 2S9

ILLUSTRATIONS The quality of the line drawings and photographs supplied contribute directly to the quality of reproduction in Oral Health. Therefore, when making a submission, please consider the following:

> All photographs/illustrations should be carefully indexed and marked as to proper viewing (i.e., slides should be marked which side is the appropriate viewing angle, etc.). X-rays should be mounted individually and marked on the front of the frame with the corresponding figure number.

> Any artwork submitted on disc should be MAC compatible, and should be saved at the highest resolution possible (266 pixels per inch or greater). We cannot accept any digitized photographs/illustrations that have been created in a word processing, spread sheet or presentation package such as Microsoft Office, Powerpoint or Corel Office Suite.

> Do not embed photos within the article. > The editorial board reserves the right to not

return photos that do not meet quality standards.

> Each illustration provided by the author should be identified and described by a short caption; and this list of figures should follow at the end of the article.

NEWCOM BUSINESS MEDIA INC. TELEPHONE:

(416) 510-6785 E-MAIL:

cwilson@oralhealthgroup.com jcecchini@oralhealthgroup.com FAX

(416) 510-5140 TOLL FREE:

Canada 1-800-268-7742 U.S.A. 1-800-387-0273

Sponsored Content

Timothy A. Brown President/CEO ROI Corporation

Single Visit Dentistry – The Remarkable World of Chairside Restorations We’ve seen digital technology transform the dental office more in the last decade than the preceding 25 years combined. It seems only yesterday that most practices were still using film based X-rays, but given the torrid pace of digitalization, it’s hard to imagine there will be any film being used in a dental office in a few years. The transition makes sense – witness anyone using anything other than a smart phone these days to take pictures.

Our company appraises hundreds of practices across Canada every year. In our unique role, we see the entire spectrum of change the dental office environment and we have a 40-year history of tracking these changes. The appraisal of a dental practice my business and also a passion for me. My team is constantly collecting empirical data and we often make predictions as to the next, most disruptive technology. We are industry leaders in assigning value to the newest technology and we are usually the very first to identify and rationally document the financial impact that new products can have on the appraised value of a dental practice.

With the benefit of this experience, I conclude that one of the most significant advancements in recent memory is the underlying technology that allows for single-visit or chairside, restorative dentistry. CEREC

by Sirona® has been around for many years, but this latest version of the system is truly incredible. Not only does the system provide for digital impressions, which eliminates the most unpleasant part of the patient visit, but what really matters, is the unique combination of a scanner and milling machine that produces ceramic restorations while the patient waits.

This results in a significant reduction in lab fees while saving your patients valuable time and it also opens income producing doctor/operatory time — the resultant affect is lower overheads and higher gross income. My informal study of dentists who have employed Cerec by Sirona® for several years or more prove this to be a game-changing investment.

This is a paradigm shift in the making and will undoubtedly lead to self-sufficiency for the dental practice while contributing to the kind of patient experience which was previously impossible. One can already see the possibilities of greater integration with 3D imaging systems and a world of opportunities for clinical ecosystems that deliver chairside Implant and Orthodontic applications.

The genius of this system results in a healthier bottom line, increased cash flow and a simple, fast and costeffective treatment for the patient while delivering superior results.

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Des résultats supérieurs. *

Philips Sonicare DiamondClean élimine 7 fois plus de plaque qu’une brosse à dents manuelle et élimine les taches de surface pour blanchir les dents en une semaine seulement. De plus, les accessoires tels que le verre chargeur innovant pour l’utilisation à la maison et aussi la trousse de voyage avec chargeur USB, en font le joyau de notre collection.

Composez le (800) 278-8282 ou visitez philipsoralhealthcare.com pour commander le votre *Par rapport à une brosse à dents manuelle 1 Delaurenti M, et al. An Evaluation of Two Toothbrushes on Plaque and Gingivitis. Journal of Dental Research. 2012, 91(Special Issue B):522.

2 Données de dossier

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