oralhygiene November 2013
Challenging the STATUS QUO Confident that you can BEAT THE ODDS?
FLU season OHY Nov13 cover.indd 1
Negotiating Criteria for BUILDING TRUST Potty for POT LIDS
13-11-08 9:54 AM
The New Philips Sonicare FlexCare Platinum More innovation. Less plaque between teeth.
NEW INTERCARE BRUSH HEAD TECHNOLOGY
• Deeper interdental cleaning • Removes up to 7x more plaque between teeth 1
NEW PRESSURE SENSOR
• Resonates when too much pressure is applied • Interactive guidance for proper brushing technique
ADJUSTABLE MODES AND INTENSITY SETTINGS
• Clean: Low, Medium and High • White: Low, Medium and High • Gum Care: Low, Medium and High
Sonicare FlexCare Platinum removes significantly more plaque than Oral-B Professional Care 5000 in all areas of the mouth.2 Contact your Sonicare representative to set up a demonstration or to purchase a specially priced trial unit.
1 Than a manual toothbrush. M. Ward, K. Argosino, W. Jenkins, J. Milleman, M. Nelson, S. Souza. Comparison of gingivitis and plaque reduction over time by Philips Sonicare FlexCare Platinum and a manual toothbrush. Data on file, 2013. 2 Defenbaugh J, Liu T, Souza S, Ward M, Jenkins W, Colgan P. Comparison of Plaque Removal by Sonicare FlexCare Platinum and Oral-B Professional Care 5000 with Smart Guide. Data on file, 2013. Single use study. © 2013 Philips Oral Healthcare, Inc. All rights reserved. PHILIPS and the Philips shield are trademarks of Koninklijke Philips N.V. Sonicare, the Sonicare logo, DiamondClean, FlexCare Platinum, FlexCare, FlexCare+, ProResults, Sonicare For Kids and AirFloss are trademarks of Philips Oral Healthcare.
OHY Nov13 p02 Philips AD.indd 2
13-11-06 2:04 PM
FEATURES Hello Flu Season!
Nancy Andrews, RDH, BS
Negotiating Criteria for Building Trust
Dorothy Garlough, RDH, MPA
Potty for Pot Lids
Rosanna Morris, Sarah Cuttle
Confident That You Can Beat The Odds?
Kathleen Bokrossy, RDH
Deborah M. Lyle, RDH, BS, MS
Gum Disease Dental Hygiene Symposium Phase 2 Trial EDI200
26 Dental Marketplace 28 New Products
Editorial Board Members Lisa Philp | Jennifer de St. Georges Annick Ducharme | Beth Thompson
Cover: ©Antonio Battista/Getty Images/Thinkstock
Challenging the Status Quo
OHY Nov13 p03 TOC.indd 3
13-11-06 2:08 PM
BECAUSE YoU CAN’T SEE STErILE.
Products manufactured by or for Crosstex ©2013 Crosstex
There is No Wrong Day When it Comes to Sterility Assurance! Every day is a good day to protect yourself and your patients! In fact, the gold standard of sterility assurance is biological monitoring of your sterilizer at least once weekly following CDC recommendations.* So, pick whatever day of the week is easiest for you to remember, but always remember to pick Crosstex® Confirm® Biological Monitoring Services as your compliance partner. Because You Can’t See Sterile. For sterility assurance every time, count on the complete Crosstex® Confirm® sterilization family of products, including: Processed
Time Temperature Steam
Sure-Check® Sterilization Pouches
STEAmPlus™ Class 5 Integrators
ConFirm® 10 In-office Biological monitoring System
* Visit cdc.gov for additional information.
For more information Call: 800-819-3336 or email: email@example.com
0 / 100 / 63 / 29 PMS 201C
OHY Nov13 p04 Crosstex AD.indd 4
13-11-06 2:16 PM
Get Up, Dress Up, Show Up, Never Give Up You know I’m a proponent of continuing education, whether formal or informal, to do with your profession or because you just want to learn how to strike a yoga pose or speak another language. You also know I am a fan of trade shows and conferences, whether they be about food, cars, cottages or photography. But, since it seems we have to work for a living, the best trade shows and conferences are the ones that inform and educate us in our professions. Yes, they are a commitment, they take time, they can involve travel and expense, they interfere with personal time. They can mean too much restaurant food, not enough exercise, the potential for inappropriate time with colleagues and something known as the ‘wake up call’. Trade shows and conferences are a “necessary evil” in most professions, a way to bring buyers and sellers, teachers and those wishing to be taught, together in one place and while some suggest that they are a tool of the past, electronic trade shows and virtual conferences are not the same as pressing the flesh, touching the gizmo and looking someone in the eye. And if you are very lucky, you meet someone incredible, hear an amazing story or hold a revolutionary product. It has been reported that 81 percent of trade show attendees have buying authority; 78 percent of trade show attendees travel more than 400 miles to be there; 99 percent of marketers said they found unique value from trade shows they did not get from other marketing mediums;
the top three goals for exhibitors at trade shows are brand awareness, lead generation, and relationship building; and 84 percent of exhibitors say “High quality of attendees” is the most important factor when deciding whether to exhibit. At the 2013 Winter Clinic in Toronto, Jennifer Turner, RDH, presented ‘The Diary of a Dental Hygienist’ and she had a ton of funny, touching, interesting things to say and questions to ask. • Don’t just give out samples, try them; • A re you the dental hygienist clients want to see?; • 34 percent of Ontario dental hygienists are self-initiated; • Sports, accidents and fights are the leading cause of tooth loss in people under the age of 35; • I nsurance-driven treatment, maintaining effective instrumentation and applying evidence-based theory in the office are just a few of the things dental hygienists struggle with daily; • A mericans spend $100 billion annually on hair care products and only $2 billion on dental care products; • I f flossing properly, the average person should use 122 yards of floss per year. Twenty-eight percent of people claim to floss daily but annual sales figures show only an average of 18 yards of floss are sold per person; • How to check for bad breath? Lick your wrist, let it dry for 10 seconds then smell it! Jennifer Turner, RDH, just one of the many reasons it pays to attend dental trade shows and conferences.
Catherine Wilson Editor
OHY Nov13 p05 Editorial.indd 5
13-11-11 1:56 PM
Obesity Linked to Gum Disease There’s one more reason to make losing weight a priority: studies show a relationship between obesity and gum disease. A recent Harvard University study indicated that obese men were 30% more likely to develop gum disease. Gum disease threatens more than just healthy smiles; experts have linked it to heart disease, strokes and certain cancers. The findings offer obese Americans good reason to take charge of their weight in order to prevent gum disease and, in turn, many associated lifethreatening conditions. For more information, visit www.theiald.com.
Dental Hygiene Symposium Engages Key Stakeholders to Redefine Health Education On September 18, 2013, over 100 oral health stakeholders convened in downtown Chicago for an unprecedented collaboration to envision the role of the dental hygiene profession in the future health care system. A joint endeavor of the American Dental Hygienists’ Association (ADHA), the ADHA Institute of Oral Health and The Santa Fe Group, “Transforming Dental Hygiene Education” has paved the way for a fundamental shift in how dental hygienists will be prepared for an ever-changing health care system. Dental hygiene educators and practitioners, program directors, and association officers joined with representatives of federal agencies, philanthropy groups, oral health institutions and other oral health professions to take a hard look at the strengths and weaknesses of contemporary dental hygiene education, and determine what must change in order for the
A BUSINESS INFORMATION GROUP PUBLICATION Account Manager: Editorial Director: Tony Burgaretta / 416-510-6852 Catherine Wilson firstname.lastname@example.org 416-510-6785 email@example.com Classified Advertising: Editorial Assistant: Karen Shaw / 416-510-6770 Jillian Cecchini firstname.lastname@example.org 416-442-5600, ext. 3207 email@example.com Dental Group Assistant: Kahaliah Richards Art Direction: 416-510-6777 Andrea M. Smith firstname.lastname@example.org Production Manager: Associate Publisher: Phyllis Wright Hasina Ahmed / 416-510-6765 Circulation: email@example.com Cindi Holder Senior Publisher: Advertising Services: Melissa Summerfield Karen Samuels 416-510-6781 416-510-5190 firstname.lastname@example.org email@example.com Vice President/Canadian Publishing: Consumer Ad Sales: Alex Papanou Barb Lebo President/Business Information Group: 905-709-2272 Bruce Creighton firstname.lastname@example.org
dental hygienists to better meet the oral health needs of the American public.
Edimer Initiates Phase 2 Trial of EDI200 in XLHED-Affected Male Newborns Edimer Pharmaceuticals, a biotechnology company focused on developing an innovative therapy for the rare genetic disorder X-linked Hypohidrotic Ectodermal Dysplasia (XLHED), announced the enrollment and completed dosing of the first XLHED-affected neonate in a Phase 2 trial of EDI200, the company’s novel, proprietary, recombinant protein. XLHED is an ultra-rare orphan disease of ectoderm development associated with a lack of sweat glands, poor temperature control, respiratory problems, and hair and tooth malformations. Affected individuals are at risk for serious and potentially life-threatening hyperthermia and respiratory infections. EDI200 replaces EDAA1, the protein missing in XLHED and a key regulator of skin and tooth development. If fully developed and approved, EDI200 will be the first protein therapeutic to provide a sustained correction of the symptoms of this disorder. The Phase 2 clinical trial is designed to evaluate the safety, pharmacokinetics, pharmacodynamics and efficacy of EDI200 in XLHEDaffected male newborns in the first two weeks of life. EDI200 dosing will be initiated between the 2nd and 14th days of life, with each study subject receiving two doses per week for a total of five doses. For additional information on this clinical trial, visit http://www.xlhednetwork.com/ or http://www.clinicaltrials. gov. (identifier NCT01775462).
OFFICES Head Office: 80 Valleybrook Drive, Toronto ON M3B 2S9. Telephone 416-4425600, Fax 416-510-5140. Oral Hygiene serves dental hygienists across Canada. The editorial environment speaks to hygienists as professionals, helping them build and develop clinical skills, master new products and technologies and increase their productivity and effectiveness as key members of the dental team. Articles focus on topics of interest to the hygienist, including education, communication, prevention and treatment modalities. Please address all submissions to: The Editor, Oral Hygiene, 80 Valleybrook Drive, Toronto, ON M3B 2S9. Oral Hygiene (ISSN 0827-1305) will be published four times in 2013, 80 Valleybrook Drive, Toronto ON M3B 2S7.
Subscription rates: Canada $28.95 for 1 year; $43.95 for 2 years; USA $31.95 for 1 year; Foreign $49.95; for 1 year Single copy $19.00. 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: privacyofficer@ businessinformationgroup.ca; Mail to: Privacy Officer, Business Information Group, 80 Valleybrook Drive, Toronto ON M3B 2S7. Canada Post product agreement No. 40069240. Oral Hygiene is published quarterly by Business Information Group, a leading Canadian information campany with interests in daily and community newspapers and business-to-business information services. ISSN 0827-1305 (PRINT) ISSN 1923-3450 (ONLINE)
OHY Nov13 p06 News MH.indd 6
13-11-06 2:17 PM
The proven choice for brighter results.
When it comes to lasting results and efficacy, Philips Zoom WhiteSpeed LED outshines the competition. In a clinical study, WhiteSpeed provided over 50% better whitening than Opalescence Boost, both immediately following the procedure and after seven and thirty days.1 It’s clinically proven to whiten teeth up to eight shades in just 45 minutes,2 and 99% of consumers experienced little to no sensitivity with WhiteSpeed.1 Lasting results with minimal sensitivity — that’s the bright side of Zoom WhiteSpeed. Ask about the new Philips Zoom WhiteSpeed today. Call (800) 278-8282 or visit philipsoralhealthcare.com * In the United States. 1 Data on file, 2013. 2 Excluding prep time. © 2013 Philips Oral Healthcare, Inc. All rights reserved. PHILIPS and the Philips shield are trademarks of Koninklijke Philips N.V. Sonicare, the Sonicare logo, DiamondClean, FlexCare Platinum, FlexCare, FlexCare+, ProResults, Sonicare For Kids and AirFloss are trademarks of Philips Oral Healthcare. All other trademarks are property of Discus Dental, LLC.
Winner of the Best Consumer Product Award from DrBicuspid.com
OHY Nov13 p07 Philips AD.indd 7
13-11-06 2:18 PM
Ms. Andrews graduated from, and was a clinical instructor in Dental Hygiene at the University of Southern California and teaches Oral Pathology, Preventive Dentistry and Infection Control at West Coast University Dept. of Dental Hygiene. She is a speaker, author and consultant, focusing on infectious diseases, clinical safety, instrument sharpening, ergonomics and preventive dentistry. Contact TotalCare online at TotalCareProtects. com or email questions to CE@TotalCare Protects.com
he influenza is considered a contact, droplet and respiratory disease. The body fluids that carry the live virus are respiratory secretions. People can contract the disease when they touch an infected person, inhale infectious aerosols, or when droplets land on mucosal or ocular tissue and are absorbed. Influenza is also spread indirectly when these secretions are deposited on surfaces and others later touch those surfaces and expose themselves to live viruses, usually by hand contact. Influenza can remain infective on surfaces for up to eight hours. This year’s seasonal flu may hit as early as October 2013 and last as long as May 2014. The season usually peaks in January and February. To protect yourself from the flu in the dental office, in your car, in public and at home, there are some simple strategies to take that greatly diminish the chances of contracting influenza:
Get vaccinated! While vaccines are not a 100 percent guarantee against infection, they are known to greatly reduce chances of infection, and, if one does become infected, to reduce the duration and severity of the illness. This amounts to much less pain and fewer days lost to illness. Vaccines take about two weeks to reach full potency after being given because the body builds immunity to the vaccine. It is best to get vaccinated early for full protection during a flu season.
Remember the importance of hand hygiene and what works. Hand washing cleans soiled skin. It takes at least 20 seconds of lathering to lift and remove debris and microscopic
©Antonio Battista/Getty Images/Thinkstock
ORAL HYGIENE Nancy Andrews, RDH, BS
HELLO Flu Season!
contaminants from skin. Be thorough! Clean around and under fingernails, between fingers, the thumbs, and don’t forget the back of the hands. Many people, both in dental settings and in private life, have become used to using hand sanitizers instead of washing hands. Perhaps the most common mistake with alcohol hand sanitizer use is using too little of the solution: hands should be wet for 15 seconds to be effective. Hand sanitizers should be high quality with enough (non-petroleum-based) emollients to protect the skin with repeated use. Make sure to use FDA cleared hand sanitizers for use in medical/dental settings. This will help assure the products’ effectiveness, safety for skin, and compatibility with gloves. If a combined protocol of hand washing and hand sanitizers is used, the recommended hand soap is a plain, gentle, lotion-containing soap that helps protect the skin. Antimicrobial soap may be used in place of the hand sanitizer (alcohol rub). If antimicrobial soap is used, select one with lotion added to protect skin from dermatitis and chapping. Every office should have sinks and supplies available, as well as multiple hand sanitizer stations throughout the facility to encourage use by workers and patients.
Cover your cough! Coughing and sneezing are part of the flu season and should be planned for. Have tissues available near waste containers. Place
November 2013 www.oralhealthgroup.com
OHY Nov13 p08-9 Andrews.indd 8
13-11-06 2:18 PM
ORAL HYGIENE tissues near sinks and place alcohol sanitizers and tissues throughout the office. This arrangement encourages asepsis. Train all personnel to cover their coughs and sneezes and to perform hand hygiene right away.
Surface disinfect Bring out the surface disinfectants, clean all surfaces that hands touch, and that might be “sprayed, spattered and contaminated by mist or dust”. Include doorknobs, counters in the business office, furniture and surfaces in the reception areas, telephones and restrooms. Use correct two-step technique of cleaning and disinfecting, since the target is often clear secretion that may not be visible.
Materials) level appropriate for the procedures being done. Masks should fit well and be fluid resistant. A good rule is to change both masks and gloves between patients and within one hour of continual use on a single patient. The sequence of donning and removing masks, eye, face-wear and gloves should avoid cross-contamination. Being prepared for the Flu Season means offices should review the correct safe practices together, be able to recognize flu symptoms, have a policy for screening for infectious patients and have the necessary supplies to successfully manage infections throughout the season. n
Eye protection Protect eyes during patient care and be aware that ocular exposure is a known route for influenza and other respiratory infections. Also, protect your eyes between patients.
All infectious people should stay home Dental workers should follow this policy and patients should be screened for febrile respiratory illness, such as influenza, and encouraged to re-schedule for a time when they are healthy.
Vaccines take about two weeks to reach full potency after being given... It is best to get vaccinated early for full protection during a flu season
©Design Pics/Getty Images/Thinkstock
Masks and gloves should be worn and removed correctly, and disposed of after a single use. It is important to know the limitations of masks and gloves. Masks should meet the ASTM (American Society for Testing
OHY Nov13 p08-9 Andrews.indd 9
13-11-06 2:18 PM
Negotiating Criteria for Building Trust T
Dorothy Garlough, RDH, MPA
Graduated from Western Kentucky University in 1975 and has been a practicing dental hygienist continuously since that time. She now focuses on bringing her entrepreneurial and technical know-how to business settings, helping improve workplace climate through leveraging creativity and fostering healthy team attitudes. Her insights into how to raise innovation within the work environment has led companies to breakthroughs and the implementation of new products, services and processes. www.innovation advancements.com
he challenge of leading people is well known. It can be taxing, discouraging, costly and unsettling. Those who are leaders will tell you that it is the most difficult part of their job but also the most rewarding. To lead well is a skill and like most skills, it can be learned. Dentists who wish success and smooth sailing are wise to invest in collaborative innovation and leadership skills. A doctor needs to know how to satisfy their own efforts to promote the agenda that won’t lead to compromising the organizational good.1 However, he will need to do this in a diplomatic way. If the doctor’s will is imposed, with an ‘I win, you lose’ outcome, the result will always be damaging. This is considered to be a zero sums game2 whereby one party triumphs and the other fails. No collaboration, inventiveness or consideration of alternative solutions, are even visited. The result is that relationships are torn with the message sent that the leader doesn’t care about the other person’s wishes. Hardball negotiations reduce trust and harm the organization. Once trust has eroded, it is difficult to reestablish. The outcome can be devastating to any business, including the dental office. One example of long time eroding trust is demonstrated in a story about Continental Airlines. 3 In 1994, Continental Airlines was in a position of being dead last in every possible measurable performance metric. When Gordon Bethune, a new CEO who was the tenth CEO in ten years, came to the helm, he realized that he needed to restore trust. He understood that employee trust would lead to trust in the marketplace. Early on, he demonstrated an innovative and risky plan. Taking stacks of company policy manuals that were filled with minutiae-controlling regulations out into the parking lot, he requested his staff to burn them! The smoke of the burning rules sent a signal to all of the
staff. Bethune said that henceforth, employees were to use their own common sense in solving problems — balancing what was right for the customer with what was right for the company. The change was phenomenal. Almost instantly, Continental was meeting a budget forecast and it wasn’t too long before the company was ranked number one in two of the most vital airline industry measures; time performance and baggage handling. During the 10 years Bethune led the company, Continental went from the worst airline to number one, winning more customer satisfaction awards than any other airline in the world. So how can the leader in a dental office build trust? One proven way is for the dentist to be a champion architect of negotiation. Trust is achieved by shaping the nature of agreement. When the doctor expands his field of vision to look not only at his own needs, but to also openly explore and understand the zone of possible agreement, incredible options are revealed. By cultivating the following skills, a dentist can effectively gain trust, smooth relationships, and collaboratively innovate for creative solutions.
Recognize that fairness matters4 Economist will often quote a game whereby the first player is given a sum of money to be divided with a second player. Both players have to agree on the division in order for both of them to keep whatever sum of money the first player decides to give. Studies consistently show that the second person will refuse any money unless they feel there is a semblance of fairness. Of course, they will happily accept a 50/50 split with both parties getting half. The interesting finding is that the second party will forgo any of the cash unless there is at least 15% of the money offered. In this event, they both lose. Continued on page 25
November 2013 www.oralhealthgroup.com
OHY Nov13 p10,25 Garlough.indd 10
13-11-06 2:19 PM
Powerful, professional tooth whitening
Designed for those on-the-go, new Opalescence features the enhanced, highly adaptable Ultra Fit preloaded tray for the most comfortable experience available and the ultimate in whitening results.
Opalescence Special Introductory Pricing Available
Ultra Fit Trays
• Are more rigid so they easily stay in place • Are heat-activated, molding to the shape of the upper or lower arch • Reach the first molar to whiten more teeth • Wrap around the incisal edge and first molar occlusal/lingual surface for greater stabilization
Opalescence Whitening Formulas
To order, call
1-800-265-3444 press 1 for sales www.clinicalresearchdental.com
OHY Nov13 p11 Clin Research AD.indd 11
• Contain potassium nitrate and fluoride to prevent sensitivity • Are highly viscose to increase contact with the teeth • Are available in 10% and 15% hydrogen peroxide formulations for 30 and 15 minute suggested wear times, respectively From Ultradent Products Inc., the world leader and innovator in teeth whitening technology.
13-11-07 8:01 AM
Rosanna Morris Photographs
Reprinted with permission. Homes & Antiques, October 2013. www.homesand antiques.com
Potty for POT LIDS A heady blend of advertising and social history, ceramic pot lids are one of the most popular mementoes of the Victorian period, as prolific collector Bruce Pynn attests
Top: Cherry toothpaste, c1890 - 1900. Right: Bruce with a selection of his favourite pot lids.
ollectors often talk about the new friends their hobby has made them but few have stories as good as Canadian oral and maxillofacial surgeon — and avid collector of pot lids — Bruce Pynn. On holiday in New Zealand a few years ago, he discovered his passport had been stolen just an hour before he was due to fly home. His family had to leave without him and, stranded at the airport, he turned to his only contact in the country: fellow pot lid collector Warren Roberts, who he‚ ‘knew’ through email chats and online trading. This kindly chap rescued Bruce, cooked him dinner, showed him his collections and helped him with the paperwork so he could return home. And did Bruce buy from him? Of course he did. “It’s my wife Tania’s fault,” says Bruce of his obsession. “She gave me one as a gift and I was off.” That was 20 years ago. Bruce has since accumulated 500 lids, many of which he displays in the lobby of his surgery office in Thunder Bay, Ontario. Given his profession, it’s not surprising that Bruce hones in on lids that have anything to do with dentistry and
November 2013 www.oralhealthgroup.com
OHY Nov13 p12-16 Pynn.indd 12
13-11-19 2:49 PM
Beware of fakes
When collectables such as pot lids command high prices there are, of course, going to be fakes on the market too, warns Bruce. Sometimes it’s difficult to distinguish a fake from an original but, if you’re a seasoned pro, you know what to look out for. “Fakes are made by gluing a photocopy of a rare transfer to a plain lid, glazing it and firing it at a low temperature, and opening the kiln early while still hot to produce artificial age crazing,” says Bruce. “Generally, forgers use plain lids that are usually the wrong size and weight compared to the original lid. Keep an eye out.” Above: Anthony & Biss toothpaste pot, c1900-10; Martin’s Carbolic Tooth Paste mug, 1930s; bonehandle toothbrushes, late 19th century; Jewsbury & Brown toothpaste pot with original paper label, 1905. Left: Rare dental porcelaneous pot lid, Paté Dentifrice Le Grichka, Fance 1900
that most in his collection were for potcontaining toothpaste. But not mint flavour. How about honeysuckle, orange blossom, tomato or charcoal?
Pots of flavour The use of ceramic pots for packaging began in the early 1800s and, funnily enough, their existence is all down to fish, says Bruce, pointing to one of his favourite lids, for Punch’s Pure Anchovy Paste. “Fishmongers were struggling to deliver fish to the rapidly expanding towns and cities and so developed a vinegar-based anchovy and bloater paste, which could be stored and transported in ceramic containers — much easier and more hygienic than the paper bags and wooden
boxes used previously,” he says. Made in the potteries in Stoke-on-Trent, the pots were soon used for everything from cold cream, salves, ointments and bear’s grease (the actual fat of the animal, used copiously in the 1840s and 1850s to supposedly promote hair growth and give one’s barnet a sleek appearance) to edible food pastes, shaving cream and toothpaste. At first, the brand names were hand-lettered on to the side of the pot or described on a paper label pasted on the lid. But when Felix Edward Pratt spotted that the new technology of transfer printing could be used to decorate the pots’ lids, the commercial possibilities really took off. Before long, manufacturers and retailers everywhere seized the opportunity to print their pots with slogans and pictures — a gimmick that was particularly popular among chemists and druggists. “Almost every dentist of the era produced toothpaste, toothpowder or tooth soap in a monochrome lid, which they sold from their own dental parlour,” says Bruce. Pratt’s factory in Fenton, Staffordshire, became the leading manufacturer of transfer-printed lids at the time, shipping decorated pots around the world. While some designs in Bruce’s collection
OHY Nov13 p12-16 Pynn.indd 13
13-11-06 2:25 PM
I love the lid depicting a man discussing his baldness over a counter with a bear wearing a suit and glasses are monochromatic (advertising charmingly anachronistic-sounding products such as St George’s Ointment For Scalds, Burns, Wounds and Sores of All Kinds, or Tooth Nerve Destroyer), others are intricately illustrated pictorials and, as a consequence, tend to be the most valuable. The subjects printed on the lids usually give a clue to their contents, such as toothbrushes, a beehive for crystallised honey cream and someone sporting long tresses for hair food. Some are not so clear — take the image of St Paul’s Cathedral (for anchovy paste) or three pretty women (Sanoline toothpaste “for whiteness and purity”). “I love the bear’s grease lid depicting a man discussing his baldness over a counter with a bear wearing a suit and glass-
Toothpaste lids, clockwise from top left: Tomato, c1895-97; Yardley’s, 1890; Carbolized, 1890
Left: multi-coloured marbleized pot, 1840s, one of Bruce’s favourites; Below: Bear’s Grease, c1880- 1900;
es,” says Bruce. “It’s one of my favourites.” On other lids, images of attractive girls and aristocratic gentlemen were intended to convey the message that “you too could look this good.” Farmland scenes, beehives, and horses and carts implied natural, wholesome products, while famous landmarks spoke of solidity, dependability and longevity. “Exotic animals and unusual locations such as pyramids, temples and camels attempted to lure the consumer with mysterious ingredients,” says Bruce, another of whose favourites is a novelty 1910 Hayden Coffin pot shaped like an Egyptian mummy.
By Royal appointment Images of royalty were also used to promote goods. “Princess Alexandra of Denmark, later Queen consort to Edward VII, was the most popular royal, appearing on 15 known varieties issued by five different toothpaste manufacturers,” says Bruce. “Queen Victoria was also a big seller, appearing on 10 lids from six companies.” So where does Bruce find his treasures? Pot lids (the bases tended to be plain and were often thrown away) have been collected since the 1910s, reaching their heyday in the 1970s. One of the most desirable everyday items from the Victorian period, the vast majority are dug up from the ground in disused dumps but some of the best, pristine examples are discovered on shelves in older collectors’ houses or in old pharmacies. Indeed, Bruce’s friend and mentor, Dr Ben
November 2013 www.oralhealthgroup.com
OHY Nov13 p12-16 Pynn.indd 14
13-11-06 2:37 PM
Get an educational kit for your outreach activities!
Established with a founding gift from Dr. Esther Wilkins, the Esther Wilkins Education Program provides dental hygiene professionals and students with community education kits to promote good oral health practices among children, parents and caregivers. Kit materials subject to change. Shipping and handling charges may apply.
Now, you can help continue the great work started by Dr. Wilkins as a member of the Esther Wilkins Legacy League! The Esther Wilkins Legacy League unites dental hygienists in their mission to prevent dental disease and serves as the driving force for ongoing oral health promotion efforts conducted by program volunteers.
For more information, visit www.CanadasToothFairy.org 100% of your contribution goes directly smile-saving programs thanks to these generous Corporate Underwriters:
OHY Nov13 p15 2 half page ADs.indd 15
13-11-12 9:49 AM
Food paste pot lids clockwise from top left, Wright & Co’s Potted Bloaters, c1880-90; Punch’s Anchovy Paste, 1865; Blanchflower, c1870-1900; Bottom right: Toothpaste lid, Coral, 1880
Swanson, a 7 8 -ye a r- old dentist who lives in Baltimore, USA, who had one of the largest collections of pot lids in the 1990s, had one such lucky find. “In the 1970s Ben was studying for his masters in history in the UK and bought a case of 24 lids found in the basement of an old apothecary,” says Bruce. “One of them was a deep pink Dr Dosteel’s Cherry Toothpaste lid showing the Jubilee portrait of Queen Victoria wearing a jewelled crown — and now I have it,” he adds, happily. Toothpaste and cold creams are the most common lids, while the bear’s grease varieties are the most rare and highly prized among collectors, as well as lids that still have their bases — Bruce has one with a marble pattern covering its entirety. Websites such as eBay are also fertile hunting grounds and Bruce makes sure he is in the UK every July for the British Bottle Review Auction (most pot lids are English although Canadian, French, American, New Zealand and Australian examples can also
be found). He can spend as little as £10 on a lid, though two of his recent finds cost considerably more. “A collector in California contacted me to tell me he was parting with his two favourite American pot lids — the Washington Crossing the Delaware and The Buffalo Hunt lids,” he says. “They’re among the holy grails of American lids and I think they might have been made to commemorate the centenary of the Declaration of Independence in 1876.” The cost? $10,000. “I think I’ll be sticking to the teeth and dental varieties for a little while now,” he smiles. If you’re interested in pot lids, visit The Pot Lid Circle’s website at thepotlidcircle. co.uk n
November 2013 www.oralhealthgroup.com
OHY Nov13 p12-16 Pynn.indd 16
13-11-06 2:48 PM
Introducing Sensodyne Repair & Protect ®
Powered by NovaMin
Sensodyne Repair & Protect is the first fluoride toothpaste to harness patented NovaMin calcium and phosphate technology to do more than treat the pain of dentin hypersensitivity. ®
• Repairs exposed dentin*: Builds a robust hydroxyapatite-like layer over exposed dentin and within dentin tubules. 1–5
• Protects patients from the pain of future sensitivity*: The hydroxyapatite-like layer is up to 50% harder than the underlying dentin and resistant to daily mechanical and chemical challenges.
* With twice-daily brushing.
/® or licensee GlaxoSmithKline Consumer Healthcare Inc. Mississauga, Ontario L5N 6L4 ©2013 GlaxoSmithKline TM
Think beyond pain relief and recommend Sensodyne Repair & Protect
1. Burwell A, et al. J Clin Dent. 2010;21(Spec Iss):66–71. 2. LaTorre G, et al. J Clin Dent. 2010;21(3):72–76. 3. West NX, et al. J Clin Dent. 2011;22(Spec Iss):82–89. 4. Earl J, et al. J Clin Dent. 2011;22(Spec Iss):62–67. 5. Efflant SE, et al. J Mater Sci Mater Med. 2002;26(6):557–565. 6. Parkinson C, et al. J Clin Dent. 2011;22 (Spec Iss):74–81. 7. Earl J, et al. J Clin Dent. 2011;22(Spec Iss):68–73. 8. Wang Z, et al. J Dent. 2010;38:400−410.
OHY Nov13 p17 GSK AD.indd 17
13-11-06 3:07 PM
Confident That You Can Beat the Odds? How to Release the ‘Intrepeneur’ Within! Series continues…
Kathleen Bokrossy, RDH
ts been an interesting couple of weeks. A lot of interesting discussions with lots of interesting people. One dental hygienist from a general practice contacted me and said they were looking to hire a dental hygienist and their single ad brought in 126 resumes!
One position…126 dental hygienists… TOUGH ODDS
I have recently spoken with a number of dental hygienists on separate occasions, each la-
Business Director at rdhu and RDH Portfolio Manager. rdhu, The Unique Dental Hygiene Professional Development Centre, offers experiential and on-line learning to dental hygienists across the country and RDH Portfolio Manager, is an on-line tool designed to help the dental hygienist build and create their Professional Portfolio with ease. Kathleen is committed to helping dental hygienists flourish within their practice, both independent and within a dental setting. She can be contacted at email@example.com
menting about how tough the job market is right now. The first one is getting laid off because the dentist has decided to do the hygiene appointments himself because he isn’t busy (that’s for a whole different article)! The second one has sent out many resumes and is hoping that she will get a call soon. The third one is filling in for a maternity leave and is not sure what’s going to happen when the time is over. The fourth has decided to leave the province for greener pastures, with the hopes of one day coming back to practice in Ontario. The fifth is working in a practice where she is not happy and feels she isn’t making a difference. She is frustrated and would like to work in a different office but fears there will be nothing else available for her. They all shared a number of emotions: fear, frustration, anxiety and helplessness. It’s terrible to be in a place where you feel you have no control about your circumstance or your future. And they all wanted to know the same thing… How do I make myself stand out in today’s competitive market? I get asked this question a lot, and even though the details of the situation can differ, the answer is usually the same. Whether you are looking to find a new job, or to secure your position as a valuable team member in your current practice, there are three things you can actively do to set yourself apart and stand out.
November 2013 www.oralhealthgroup.com
OHY Nov13 p18-20 Bokrossy.indd 18
13-11-11 3:12 PM
ORAL HYGIENE ©Cliscent Teinye Horsfall/gettyimages/Thinkstock
How do I make myself stand out in today’s competitive market?
Stand Out Strategy #1: SPECIALIZATION
Specialization is about going deep on a specific subject that brings value to the dental office. Whether it is perio, ortho, laser therapy, ultrasonics, motivation, communication, client retention, organization, efficiency, etc., we all naturally excel at some aspect of dental hygiene. Remember that what you know and the talents you possess may not be obvious to you. Natural talent comes so effortlessly that we often can’t recognize it in ourselves, so I encourage you to ask others. The sooner you can identify your natural talents the sooner you will be able to build on them and start the process of standing out from the crowd. Once you decide on a specialty, take courses, read books, join on-line discussions, do whatever you can to start building on your specialty. And then start communicating it. Use your knowledge and expertise to help others. Share it with your colleagues and clients. If you’re working on your resume, highlight it in your cover letter and communicate how this specialty helps the dental office. Does it help the office run more efficiently?
Does it increase profitably? Does it lead to longer client retention? Also, make sure you include in your resume all of your hands-on training courses and certificates that you have received. This shows that you have increased your skill and demonstrates your commitment to continuous learning!
Stand Out Strategy #2: INNOVATION
Innovation is all about making improvements over the status quo. You stand out from the crowd when you actively identify and then implement innovation in the dental practice. Though innovation sounds grandiose, in reality it can be as simple as changing the questions you ask a client in the chair, or adjusting how you lay out your tray to improve efficiency. Innovation is anything that leads to greater productivity in the office. Why does it make you stand out when you show and demonstrate that you are committed to innovation? Because improving productivity and client care are the ultimate goals of every dental office! Have you brought a program or put a system in place within your practice that has
OHY Nov13 p18-20 Bokrossy.indd 19
13-11-11 3:12 PM
been beneficial? Always look to be innovative within your practice. What programs or solutions can you offer your practice that will bring positive results with both client care and productivity? Programs like the Crest Oral B practice building program Oral Health Solutions or an instrument management program like the Operatory Instrument Management program, all improve productivity. By providing gentle care to your clients, saving the practice money and putting systems in place, you are demonstrating your commitment to innovation. The more value you can bring to your practice, the more valuable you become. Once you have implemented programs, make note of this on your cover letter and resume. Talk about the success you have experienced and the results you have achieved.
Do Your Patients Cover Their Cold Sores Like This? Recommend
Cold Sore Bandage • Protects from irritants or contaminants – day or night. • Soothing relief/ Hydrocolloid “Moist Bandage” technology. • Masks: Can be used with makeup/lipstick. T GREA E VALU Call for FREE trial sample 1-800-448-1448
Stand Out Strategy #3: CONNECTION I think we have saved the best stand out strategy for last. Connecting with people is a skill we all need in order to become a valuable asset in the dental practice. It’s through this connection that we establish trust and rapport with the client. Trust is essential if we expect the client to take our advice regarding recommended practices and procedures. Rapport is required if we want the client to keep coming back and to recommend your practice to their friends and family. The closer your connection with your clients, the more they will ask for you and you only…so work on connecting! Remember what conversations you had with your client, make notes, find out what’s important to them and show genuine, real interest when you ask about it at their next visit. Staying connected will show them how much you care. Connecting with people is so important and sometimes we have to make a conscious effort to make it happen. In addition to clients, connecting with your co-workers is an essential skill if you want to stand out. You want to make sure you are a team player within your practice. Avoid getting involved with office politics and never talk about someone behind their back. Be positive with your communication. Are you confident that you can beat the odds? There will always be a place for dental hygienists that continue to develop their craft (specialization), who are committed to improvement (innovation) and who closely connect with their clients and teammates (connection). These are active strategies that everyone can accomplish if they are committed to making themselves a valuable asset in the marketplace. The best news is, if you commit to these three self-management strategies, you should not have to worry about employment and the self-satisfaction you feel in your career will sky rocket! If you practice these self-management strategies, you will be a valuable asset in the marketplace and you will feel a deep sense of pride and purpose in life! So get to work on yourself and stack those odds in your favor! n
November 2013 www.oralhealthgroup.com
OHY Nov13 p18-20 Bokrossy.indd 20
13-11-11 3:13 PM
Like it or not, itâ€™s headed your way.
Clean surfaces. Cover surfaces. Clean hands. Clean surfaces with CaviCide1 or CaviWipes1.
Protect surfaces with Pinnacle Barriers.
Clean your hands with VioNex Soap.
Metrex products, sold only by Kerr TotalCare, offer total solutions in over 220 thousand medical healthcare facilities that are trusted to protect you and your patients from the flu.
Flu is coming, arm yourself with the tools to fight the spread of the virus BEFORE it hits you. Follow these simple key steps and drastically reduce the possibility of cross contamination of flu virus.
Visit KerrTotalCare.com/ODH or scan the QR code to try Our total solutions TODAY!
ÂŠ2013 Metrex Research, LLC. 2013-05-0016
OHY Nov13 p21 Total Care AD.indd 21
Total Solutions to Care for you and Your Patients kerrtotalcare.com 800.841.1428
13-11-06 2:33 PM
Challenging the Status Quo T
Deborah M. Lyle, RDH, BS, MS
Deborah received her Bachelor of Science degree in Dental Hygiene and Psychology from the University of Bridgeport and her Master of Science degree from the University of Missouri, Kansas City. Deborah has been a full time faculty member at the University of Medicine & Dentistry of New Jersey, Forsyth School for Dental Hygienists and Western Kentucky University and is an editorial board member for the Journal of Dental Hygiene. Currently, Deborah is the Director of Professional and Clinical Affairs for Water Pik, Inc.
raditionally, the first steps of daily oral hygiene were brushing and flossing. Today, it is very different and not as simple. There are more products available to consumers than ever before and it can be confusing and overwhelming. Patients depend on their dental hygienist to help them navigate the oral healthcare aisle. The Canadian Dental Hygienists Association (CDHA) has several position papers that specifically address daily oral hygiene and help hygienists make informed decisions. Topics include tooth brushing,1 oral rinsing 2 and flossing. 3 In addition, a systematic review on the comparison between interdental brushes and dental floss was recently published in the Canadian Journal of Dental Hygiene.4 One area that has not been addressed in detail is daily irrigation. First introduced in 1962, it has been studied extensively over the past 50 years. Recent studies have looked at the comparison to dental floss and biofilm removal. This article provides an overview of current evidence. The majority of published studies have been conducted using the Waterpik® Water Flosser (Figure 1), previously called an oral irrigator. Each irrigation device has different specifications and the research on one device does not transfer to other devices. For clarity, this review will focus on more than 55 studies using Waterpik® units.
Action and Access The Water Flosser is a pulsating device that has controlled pressure and pulsation settings. Pulsation delivers an impact and flushing zone, causing compression and decompression of the gingival tissue (Figure 2). 5 This action allows the solution to enter the sulcus or pocket and then expel the bacteria and debris efficiently and effectively. Products that deliver a steady stream have not been studied for efficacy. The depth of delivery of the solution has been evaluated for different tip designs. The Classic Jet Tip has been shown to deliver a
solution to an average of 50% of the pocket depth (Figure 3).6 A specialized tip, known as the Pik Pocket™ Tip, is designed for targeted delivery below the gingival margin and can deliver a solution or antimicrobial agent to 90% of a 6 mm pocket (Figure 4).7 Other studies have evaluated the effect on the subgingival microflora. An ultrastructural study was able to evaluate the impact on the epithelial lining of the periodontal pocket and the composition of subgingival flora following irrigation with water. The high power microscopy revealed the irrigation group reduced the numbers of pathogenic bacteria up to 6 mm compared to no treatment samples. Most importantly, there were no differences in the lining of the pockets between the groups demonstrating the safety of the device. 5 Other researchers found a significant reduction in pathogenic bacteria in 4-6 mm pockets compared to non-irrigated sites. 8,9
Reduction of Clinical Parameters For decades, it has been known that daily use of a Waterpik Water Flosser can significantly reduce the incidence of bleeding and gingivitis.10-18 The reductions are not only statistically significant, but many would say clinically significant, with reductions from baseline of 50%10,11 and higher for bleeding and up to 67% for gingivitis.15 Significant plaque removal has also been shown in several studies over the years. More recently, one study evaluated the removal of plaque under a scanning electron microscope and showed a 99.9% removal in only three seconds (Figures 5 & 6).19 This study provides a higher level of evidence on the removal of biofilm from the tooth surface, which adds to the existing studies.
Comparison Studies The Waterpik® Water Flosser is the only irrigation device to be compared to string floss, hence the description change from oral irri-
November 2013 www.oralhealthgroup.com
OHY Nov13 p22-24 Lyle.indd 22
13-11-11 3:11 PM
1. Waterpik® Water Flosser (WP-100W) (Courtesy of Water Pik, Inc.). 2. Impact zone is where the water hits the tooth and the flushing zone is the subgingival access. 3. Classic Jet Tip, designed for general cleaning around teeth and other dental work. 4. Pik Pocket® Tip, designed for direct delivery of an antimicrobial agent into the pocket on low pressure. 5. Biofilm on tooth surface. 6. Area of biofilm removal after three second treatment
gator to Water Flosser. This is important because it helps clinicians decide what to recommend for interdental cleaning. As stated in the CDHA position paper on flossing, compliance with regular floss has been far from ideal and one of the reasons is lack of ability to perform adequate technique. This was later supported by a systematic review that concluded the routine recommendation of flossing is not supported by the research and if high level technique cannot be performed, alternatives should be considered. 20 The results of the studies are as follows: In a four week study published in 2005, a water flosser and a manual or power toothbrush was significantly more effective than a manual toothbrush and floss for reducing bleeding and gingivitis.11 A 2008 study that compared string floss to a water flosser on 11–17 year-olds, with fixed orthodontic appliances, found the group that used the water flosser has three times better plaque removal and a 26% better reduction in gingival bleeding compared to brushing and flossing.12 In 2011, a study showed that a water flosser with a manual toothbrush was twice as effective in reducing gingival bleeding compared to string floss in as little as two weeks. The difference at four weeks was even greater.13 In 2013 a plaque removal study showed that a water flosser was 29% more effective than string floss for overall plaque removal
and most importantly, interproximal plaque removal.19 Recently, a device that uses air under pressure was introduced in the market (Phillips Sonicare® Air Floss). The device uses a small amount of water and some dental professionals thought it was a new type of irrigator — which is understandable but not accurate. As mentioned, the Waterpik units deliver a pulsating stream of water. The air flosser uses air under pressure with a small amount of water. A comparative study showed that the Water Flosser was 80% more effective at reducing gingivitis than Air Floss.17
Anti-inflammatory Benefits Unlike other self-care products, the Water Flosser has been evaluated for the ability to reduce inflammation on a cellular level. Two studies evaluated the reduction of pro-inflammatory mediators; one found a significant reduction in the gingival crevicular fluid and one found a reduction in serum. These reductions corresponded with reductions in
OHY Nov13 p22-24 Lyle.indd 23
13-11-11 3:11 PM
Big Easy® Ultralite™
Premier’s innovation in sharpening technology allows you to start sharp and work smart:
Easily maintain sharpness – proprietary process ensures a well defined edge you can easily re-sharpen as needed
Apply less pressure and use fewer strokes – achieve a glass-like tooth surface – more easily
SmartSharp® now available on Premier Scalers and Curettes – made in the U.S.A.
on Premier hand instruments!* Equal or lesser value; excludes PerioWise probes, Implant Scalers & Cavity Finder 12 Packs.
bleeding and gingivitis.15,16 One study also showed a reduction in probing pocket depth.16
Benefits for Individual Clients The Water Flosser has been tested on multiple people with different dental needs. Individuals living with diabetes showed a 44% reduction in bleeding and 41% reduction in gingivitis compared to normal oral hygiene.15 Studies have shown adults and adolescents with fixed orthodontics had improved oral health compared to brushing or brushing and flossing.13,18 Improvements in oral health have also been seen in people with crown and bridge and other dental work and for those in periodontal maintenance programs.10,22 Today, implants are the treatment of choice for missing teeth but there is little evidence on how to effectively maintain good oral health to prevent peri-implant disease. In a four week study, the Water Flosser was 145% more effective at reducing gingival bleeding compared to brushing and flossing. 23 An earlier study showed that the delivery of 0.06% chlorhexidine in an oral irrigator with a subgingival tip was 87% more effective at reducing bleeding and 350% more effective at reducing gingivitis compared to rinsing with 0.12% CHX. 24
Conclusions The Waterpik® Water Flosser has been tested extensively and has shown significant reductions in gingivitis, bleeding and plaque repeatedly. The results are also clinically relevant as the goal of selfcare is no bleeding. In addition, it is a viable and often a preferred alternative to string floss for those individuals who cannot master the technique or are unwilling to comply. n
Y E A R S
Premier® Dental Products Company 888-670-6100 • www.premusa.com * To receive your free goods, forward a copy of your dealer invoice indicating the appropriate purchase to: Premier Redemption Center, Box 640, Plymouth Meeting, PA 19462-0640. Email: firstname.lastname@example.org. Indicate free goods of equal or lesser value. Valid in U.S. only. May not be combined with other offers. Offers valid 11/1/13 through 12/31/13. Redeem by 1/15/14. Premier reserves the right to substitute free goods. / Big Easy U.S. patent number D428,652.
Complete references available upon request. 1. Asadoorian J. CDHA Position paper on tooth brushing. Can J Dent Hygiene 2006; 40(5):232-248. 2. Asadoorian J. CDHA Position paper on commercially available over-the-counter oral rinsing products. Can J Dent Hygiene 2006; 40(4):1-13. 3. Asadoorian J. CDHA Position paper on flossing. Can J Dent Hygiene 2006; 40(3):1-10.
4. Imai PH, Yu X, MacDonald D. Comparison of interdental brush to dental floss for reduction of clinical parameters of periodontal disease: a systematic review. Can J Dent Hygiene 2012; 46(1):63-78. 5. Cobb CM, Rodgers RL, Killoy WJ. Ultrastructural examination of human periodontal pockets following the use of an oral irrigation device in vivo. J Periodontol. 1988; 59(3):155-163. 6. Eakle S, Ford C, Boyd RL. Depth of penetration into periodontal pockets with oral irrigation. J Clin Periodontol 1986; 13:39-44. 7. Braun R, Ciancio S. Subgingival delivery by an oral irrigating device. J Periodontol 1992; 63:469-472. 8. Chaves ES, Kornman KS, Manwell MA, Jones AA, Newbold DA, Wood RC. Mechanism of irrigation effects on gingivitis. J Periodontol. 1994;65(11):1016-1021. 9. Drisko C, White C, Killoy W, Mayberry WE. Comparison of dark-field microscopy and a flagella stain for monitoring the effect of a Water Pik on bacterial motility. J Periodontol, 1987; 58:381-386. 10. F lemmig TF, Epp B, Funkenhouser Z et al. Adjunctive supragingival irrigation with acetylsalicylic acid in periodontal supportive therapy. J Clin Periodontol. 1995;22(6): 427-433. 11. Barnes CM, Russell CM, Reinhardt RA, Payne JB, Lyle DM. Comparison of irrigation to floss as an adjunct to tooth brushing: effect on bleeding, gingivitis, and supragingival plaque. J Clin Dent. 2005; 16(3):71-77. 12. Rosema NAM, Hennequin-Hoenderdos, NL, Berchier CE, Slot DE, Lyle DM, Van der Weijden GA. The effect of different interdental cleaning devices on gingival bleeding. J Int Acad Periodontol. 2011; 13(1):2-10. 13. Sharma NC, Lyle DM, Qaqish JG, Galustians J, Schuller R. Effect of a dental water jet with orthodontic tip on plaque and bleeding in adolescent patients with fixed orthodontic appliances. Am J Ortho Dentofacial Orthoped. 2008;133(4):565-571. 14. Goyal CR, Lyle DM, Qaqish JG, Schuller R. The addition of a water flosser to power tooth brushing: effects on bleeding, gingivitis, and plaque. J Clin Dent 2012; 23(2):57-63. 15. A l-Mubarak S, Ciancio S, Aljada A et al. Comparative evaluation of adjunctive oral irrigation in diabetics. J Clin Dent. 2002;29(4):295-300. 16. C utler C, Stanford TW, Abraham C et al. Clinical benefits of oral irrigation for periodontitis are related to reduction of pro-inflammatory cytokine levels and plaque. J Clin Periodontol 2000; 27:134-143. 17 Sharma NC, Lyle DM, Qaqish JG, Schuller R. Comparison of two power interdental cleaning devices on gingivitis. J Clin Dent 2012; 23(1):22-26. 18. Burch JG, Lanese R, Ngan P. A two-month study of the effects of oral irrigation and automatic toothbrush use in an adult ortho population with fixed appliances. Am J Orthod Dentfacial Orthop 1994; 106(2): 121-126. 19. Gorur A, Lyle, DM, Schaudinn C, Costerton JW. Compend Contin Ed Dent. 2009;30(Special Iss 1):1 - 6.
OHY Nov13 p22-24 Lyle.indd 24
13-11-11 3:11 PM
Continued from page 10
Dentists who wish success and smooth sailing are wise to invest in collaborative innovation and leadership skills Cultivate objective criteria Fundamentally, the criteria needs to be objective. Are you looking at both sides of the equation? Is there unbiased input? Make sure the standards are fair and the procedures are consistent. Be open to reason, yet take care not to yield to pressure.
Focus on interest, not position Try to find a common ground. What end objective are all parties striving for? Likely there are shared interests that can be moved forward. Don’t get stuck at only driving your agenda because with collaboration it is likely that a better result can be created. By avoiding polarization, communication remains open and possibilities to a joint solution are promising.
Separate people from the problem People can fixate on the problem, so change the game. Step into the other’s shoes and recognize that together a solution can be found. Do not get personal. Look for ways to surprise the other party in a pleasing way and take care to never back the other party into a corner. Like a wild animal, they will come out fighting and communication will shut down. Ask questions such as why they feel a certain way? Think about basic human needs: their career, work/life balance, etc. Make a list and keep people looking forward, not in the past.
Invent options for mutual gain Try to figure out a win/win. Looks for ways to create a joint gain. Brainstorm together from the same side. Broaden the options or bring in outside experts. Specialists can often direct resolutions that were not even visited by the parties. Create new solutions, maybe something novel that meets everyone’s needs. What are the shared interests? Can the scope of the agreement be broadened or can thinking about bundles of solutions provide an answer? The more options the better. Offering choices
will spark new ideas and open possibilities. In dealing with staff, the doctor needs to be sure that he is actively listening and demonstrating flexibility. To make no effort or move in the staff’s direction will likely have the effect on the staff of shutting them down. They will feel as if they are not valued and disengagement will be the result. A disengaged employee costs the business tremendously; monetarily, productively and in loyalty. 5 Even if the resolution is not to the ultimate liking of the employee, they will recognize that genuine effort was made on the doctor’s part to be open to possibilities. This alone will nurture good relationships and build valuable trust. With trust, like Continental Airlines, success will follow. When a doctor learns to effectively negotiate through conflict they are creating tomorrow today. And tomorrow will be rewarding on many levels. n
REFERENCES: 1. T he Art of Critical Decision Making: The Great Courses — Professor Michael A. Roberto — Disk 5 — Deciding How to Decide ISBN: 159803538-X 2. Transformational Leadership: How Leaders Change Teams, Companies, and Organizations — The Great Courses — Professor Michael A. Roberto -Disc 8 Negotiating as a Way of Life ISBN: 1-59803-745-5 3. Terry O’Reilly — Under the Influence– CBC Radio http://www.cbc.ca/undertheinfluence/season-2/2013/06/02/trust-in-advertising-1/ 4. Transformational Leadership: How Leaders Change Teams, Companies, and Organizations — The Great Courses — Professor Michael A. Roberto -Disc 8 Negotiating as a Way of Life ISBN: 1-59803-745-5 5. Dale Carnegie — What Drives Employment Engagement and Why It Matters http://www.dalecarnegie.com/assets/1/7/ driveengagement_101612_wp.pdf
OHY Nov13 p10,25 Garlough.indd 25
13-11-06 2:19 PM
NEODRYS NEODRYS advanced inner core traps moisture quickly to provide a superior dry field. No messy leaks, even with the core fully saturated. Its moistureproof backing protects the cheek from abrasion and bounces light into the working area. Comfort Edge® eliminates stiff abrasive material that causes patient discomfort. Absorption, protection and comfort make NEODRYS far superior to any other product on the market.
CETACAINE® Cetacaine application is pointless…and that’s the point. If you use Cetacaine Topical Anesthetic Liquid, you know it can help put nervous patients at ease and make your job easier. The delivery system’s minimally invasive plastic tip and graduated delivery syringes allow you to use only what you need, saving you up to 80% over the leading brand. Cetacaine® Topical Anesthetics are the original fast acting, long lasting prescription topical anesthetics with the triple-active formula (Benzocaine 14.0%, Butamben 2.0%, Tetracaine Hydrochloride 2.0%). It can be applied directly to the site where pain control is required. Cetacaine is primarily used to control pain, ease discomfort and suppress the gag reflex.
ZylastXP Zylast™ products include an alcohol-based Antiseptic, a waterbased Antiseptic Lotion, Antiseptic Foaming Soap and a Surgical Scrub. All Zylast™ products have shown immediate kill against a broad spectrum bacteria and superior effectiveness against viruses than alcohol alone. Using a synergistic combination of ingredients, Zylast kills microbes on contact and keeps protecting the skin for up to six hours. At the heart of Zylast technology is a patented matrix that protects the skin from irritation while maintaining protection. The powerful technology allows less of the product to be used than the competitors — between 2.5 and 5 times less!
BRUSH BUDDIES For that just-stepped-out-of-thedentist’s-chair look and feel, you need the one-of-a-kind Soniclean™ Pro available in 5000, 3000 and 2000 models from Brush Buddies®. The Soniclean™ Pro family provides up to 34,000 strokes per minute in whitening mode and offers a built-in two-minute smart timer that guides users to spend the dentist-recommended 30 seconds per quadrant of the mouth when brushing. All three models are available online at www.brushbuddies.com, as well as at leading retailers nationwide.
KOLORZ® Kolorz products offer the benefits of advanced gluten-free formulas, convenient application options, non-caloric natural sweeteners, and XYLITOL. Their proprietary flavourings were developed in consultation with food industry professionals, to deliver great flavour and aroma not found in any competitive products. Products include ClearShield® 5% Sodium Fluoride Varnish, Professional Prophylaxis Paste, Neutral Fluoride Foam, Sixty Second Fluoride Foam and Gel, and Topical Anesthetic Gel. Best taste guaranteed.
SALIBAG® Salibag offers an easy, patient friendly way to prevent cross-contamination from digital radiography sensors. Simply insert the sensor into the foam disposable Salibag sleeve, and then place it in the mouth for the radiography. Easy to open, easy to remove, easy to use, and easy to dispose of. Salibag protects sensors from humidity, saliva and blood. Better yet, Salibag is easy on your patients, too, thanks to the soft foam corners. And it’s easy on your bottom line. Contact your preferred dental dealer to order or request a sample.
November 2013 www.oralhealthgroup.com
OHY Nov13 p26-27 Products.indd 26
13-11-06 3:13 PM
PHILIPS SONICARE AIRFLOSS The NEW upgraded Philips Sonicare AirFloss is a breakthrough technology that helps non-compliant flossers upgrade their oral care routine. Using unique air and MicroBurst Technology, Sonicare AirFloss provides an easier way to clean between teeth, removing up to five times more plaque between teeth than a manual toothbrush and cleaning the entire mouth in just 30 seconds. The choice is clear: Stick with technology.
FREE 1 Week Handpiece Trial!
“Lightweight, good water spray and plenty of light.” “Great handpieces.” KaVo™ STYLE
ROTAMAX S6500KL Torque ACCESS S4500KL Mini TM
Oct. 1st to Dec. 24th, 2013
Special 3 + 1 FREE
PHILIPS ZOOM DAYWHITE, NITEWHITE & WHITENING PENS Philips Zoom DayWhite and NiteWhite are take-home whitening formulas, dispensed by a dental professional, in the form of custom fit trays with whitening gel. The gel contains ACP, which, when combined with peroxide, fluoride and potassium nitrate, results in whiter teeth and reduced sensitivity, and also helps to rebuild enamel and fill in surface defects. Philips Zoom Whitening Pens are a convenient way for patients to keep their white smiles on-the-go. The easyto-use pocket applicator lets patients brush whitening gel (5.25 percent hydrogen peroxide) directly on teeth for an instant touch-up between whitening treatments.
Saving You Time and Money! Dual Bacteria & Enzyme Action.
ADVERTISER PAGE Clinical Research Dental. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Crosstex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 GSK – GlaxoSmithKline. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17, IBC Kerr Total Care. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 National Children’s Oral Health Foundation of Canada. . . . . . . . . . . . . . 15 Philips Oral HealthCare. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IFC, 7 Premier Dental Products. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Quantum Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 RDHU. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Sable Industries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 VOCO Canada. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . OBC
Available From Your Full Service Dealer
OHY Nov13 p26-27 Products.indd 27
13-11-06 3:21 PM
Contact: Karen Shaw • tel: 416-510-6770 • fax: 416-510-5140 • e-mail: email@example.com Toll free: CDA 1-800-268-7742, ext 6770 • Toll free: USA 1-800-387-0273, ext. 6770
ONTER CONSTRUCTION • Specialized in dental office design & construction. • In-house architect and interior designer. • We are qualified code consultants to review all drawings and make your building permit application easy. • Own millwork facilities for best quality of custom built cabinets and time control of your project.
Tel: (905) 793-2344
20 years construction experience • Dental office construction and design + cabinet making. • Provide turn key operation to dental office. • Reliable construction timing, • Good following up service after construction. Call: Stanley • New dental location and lease negotiation. Tel: (416) 321-3313 • Save time, save money. www.alglobe.com
PRACTICES & OFFICES RICHMOND HILL & NEWMARKET, ON
New spaces for lease in Richmond Hill & Newmarket. Bayview & Elgin Mills in Richmond Hill. 1st & 2nd floor available. Anchor tenants are Shoppers Drug Mart & Tim Hortons. Contact Michael Pearlman 416-567-5101 Email: firstname.lastname@example.org. Bayview & Stonehaven in Newmarket. 3000 sq ft next to Shoppers Drug Mart. Contact Steve Babor 905-737-6222 Email: email@example.com
PRIME DENTAL OFFICE for lease. Modern, 6 op Newmarket location with 2000 sq ft. Great potential to grow an existing or build a new practice. Please reply to firstname.lastname@example.org
OHY Nov13 p28-30 Classif.indd 28
EAST SCARBOROUGH, ON
3 + 1 ops general family practice centrally located in a retail strip mall with major tenants Mcdonalds, Pharmacy and walk-in Clinic. Loads of parking and great visibility. Practice is fully digital. Valued at $458,000.00. Please call 647-969-9309 or e-mail: email@example.com
Price Reduced! Downtown office in well managed high rise. Close to professional offices and retail stores. Private parking facility. Large office with beautiful city views. Lots of natural light. Gross $1.4m/yr. 1380 active patients. Vendor motivated. Priced well below appraised value! Contact: firstname.lastname@example.org www.HEAPSandDOYLE.com
2000 SQ FT PRIME DENTAL LOCATION available for lease. Existing modern, high tech and computerized dental office located in an expanding area of Newmarket. Digital x-ray & pan equipment, 3 ops fully furnished with space for 3 add’l ops. Please reply to email@example.com
DENTAL SURGEON/CERTIFIED ORTHODONTIST Increase income, convenience, and patient comfort with a certified orthodontist and experienced dental surgeon services in your office. Email: firstname.lastname@example.org
13-11-11 10:29 AM
Full time associate dentist required with potential future buy-in for our modern family practice. Cornerstone Dental is a full service office providing all aspects of dentistry in one of Saskatoon’s fastest growing neighborhoods. If you are proficient in general dentistry, and a motivated practitioner — forward resumes to: email@example.com
Full and part time associate opportunities in very busy modern family practice. Fax CV to 866-764-1860 or call Bob in confidence at 306-260-6919.
Associate wanted for GTA office. E-mail resume to firstname.lastname@example.org AIRDRIE AND EDMONTON, AB
Excellent Airdrie and Edmonton location in Alberta; FT Associate positions available with buy in option. Owners are team of excellent experienced clinicians who are fun to work and you can expect ample vacation and balance between family and work with above average income. Please apply in confidence to email@example.com
4 – 5 days available for General Dental Associate for Two different high-tech offices. Potential Partnership for a right person. Above average remuneration. Please send your CV to firstname.lastname@example.org
KITCHENER, ON FULL TIME ASSOCIATE
Looking for a full time dentist for a busy practice in Kitchener. Please forward resume to email@example.com
ASSOCIATE WANTED to work between two busy dental offices in west end Ottawa. Once a caring, ethical, good-conversationalist associate is hired, one of the two dentists plans to retire, leaving behind almost 5,000 active patients. Both offices feature modern facilities, friendly patient bases and efficient, hard-working staff. Phone: (613) 224-7885 E-mail: firstname.lastname@example.org
EAST OTTAWA, ON
Full time associate dentist needed for state of the art practice in a growing bedroom community in East Ottawa, ON. New graduates welcome. Opportunities to buy in. E-mail: email@example.com
ASSOCIATESHIPS KW AREA ASSOCIATE
Busy, generational practices with great new patient flow. We offer a full schedule, great hours and energetic, friendly & knowledgeable staff to work with. Please reply to: firstname.lastname@example.org
Part time associate required 1-2 days per week for busy general family practice. Please forward resume to email@example.com
NORTH SCARBOROUGH, ON Busy Dental Office in north Scarborough is looking for a FULL TIME Dental Associate. Mon to Sat, Canadian graduate is preferred, Chinese speaking a must. E-mail: firstname.lastname@example.org THOMPSON, MB Westwood dental clinic in Thompson, MB team looking for enthusiastic dentist full time or part time. Decent income plus accommodation. E-mail: email@example.com or tel 204-677-4526.
EDMONTON, AB A full time associate dentist required to take over an existing full patient load from the current associate who is leaving. This truly is a very unique opportunity for a new associate to be immediately busy from day one. The office is bright, modern and very well equipped and is continually updating the core systems to better position the office for the future. If your primary focus is the needs and well being of the patients, and if you are willing and able to work with others in a larger group practice environment then this clinic is right for you. A positive attitude, a sense of humor and some flexibility in scheduling will lead to a very successful and rewarding position for the right individual. Email: firstname.lastname@example.org Email: email@example.com 780-965-3787.
OHY Nov13 p28-30 Classif.indd 29
Are you having enough fun at work? With the core values of Health, Growth & JOY, Sierra is expanding and accepting applications for experienced Neuromuscular Orthodontists, Pediatric Dentists & General Practitioners in Calgary, Alberta.
This beautiful city sees more days of sunshine than any other major Canadian city. Home to 1.3 million people, Calgary is diverse and community-minded. It is also the mecca of business & financial growth with the strongest economy in the entire country.
Why Sierra Dental?
Because you deserve to feel joy at work! Sierra believes in cultivating and sharing positive energy and strives for a joy-filled environment for all staff & patients. If you are clinically strong, high energy, and self-starting, we look forward to meeting you. With over 12,000 active patients and a tremendously successful internal referral program we are excited to welcome the right doctor. If you are passionate, clinically committed and seeking happiness in your work environment, send resume & cover letter to firstname.lastname@example.org
13-11-07 8:01 AM
Cornerstone Dental Group is seeking a full time associate to take over an existing associate position in Vernon BC. The successful applicant will be an enthusiastic, energetic individual, have more than 2 years experience in all areas of general dentistry and have an appetite for continuing education. Our newer, well equipped office is fully computerized (paperless/digital radiographs) and has a Cerec machine, microscope and 2 soft tissue lasers. We have a committed staff and a large, loyal patient base. For more information call 250-260-0281 or email email@example.com TRENTON, ONTARIO (1 hour east of Oshawa) FULL TIME ASSOCIATE Great office to work at!!
SASKATOON, SK Associate required for modern, very busy practice with strong new patient flow. Great opportunity in a University setting. E-mail: firstname.lastname@example.org Fax CV: 888-880-4024.
Dentist Needed asap for busy office. Full time, in Barrie. Fridays and Saturdays a must, plus 2 additional days. Email resume to email@example.com
What recession?! Full time associate needed in busy Whitehorse clinic. Practice the full range of dentistry while making an above average income and living in an outdoor paradise. No evenings or weekend work, because we’re too busy fishing, hiking, hunting or biking! Fully digital and paperless with an onsite lab with Cerec MCXL machine and lab technician. Ideal candidate would be comfortable with dentures (assisted by the lab tech), endodontics, extractions and ready to work in a busy practice. Email Darrin at firstname.lastname@example.org
OHY Nov13 p28-30 Classif.indd 30
Looking for an associate (part/full time) to join our group of multidisciplinary practices which are focused on the highest quality of patient care and using the latest technology available. We are looking for a self-motivated, high-energy, clinically strong candidate who is interested in learning and continuing education. This is a great opportunity for the right candidate to grow with our expanding group and to work in a great environment. Buy-in opportunities are also available for the long-term associates. If you are interested, please email your CV in confidence to email@example.com
Raise your family 20 minutes from Whistler, BC. Full time dental associate position available in the young, vibrant community of Pemberton, BC. Incentive package to the right individual willing to make a long term commitment. Contact firstname.lastname@example.org with contact information, resume, and references.
Full time position available for a quality-conscious, motivated associate wishing to practice in a modern, well-established family oriented practice with well established clientele. Monday to Friday daytime hours. Excellent team and patient-oriented, energetic staff. Adherence to recent ADA regulatory standards and dedication to patient care is our first priority. New grads welcome. If interested in joining our welcoming community, please contact: Mimi McMaster at 780-871-4550 or e-mail: email@example.com
We are looking for an individual who enjoys working in a large, modern facility. We currently employ 3 dentists, 6 hygienists and a large support staff whom are highly motivated and very skilled. We offer all aspects of dental services to our patients. Our office is equipped with digital radiography, tomography capabilities, Dentrix computer system, General Anaesthesia, sedation & great working hours. Position available immediately. Please forward any inquiries to Trish Carere, office manager by Fax: 613-394-0708, by phone: 613-394-8888 or email firstname.lastname@example.org
Associate required in busy Barrie office. Well established practice looking for an associate to work one to two days to start, moving to 3 or 4 days next June. Associate will have the opportunity to buy into the practice. Interested candidates should apply to email@example.com
LLOYDMINSTER, ALBERTA (Population 32,000 – 2hrs drive from Edmonton or Saskatoon). Direct flights available from Lloydminster to Calgary
We are looking for a friendly, out going, experienced dentist to join our team. We are a family practice and we’re looking for someone who will treat our patients like family. Please forward CVs to firstname.lastname@example.org
Part-time Associateship available in Markham,Chinese speaking an asset. Please email: email@example.com
Dental associate required for general practice. Well experienced in endodontics and restorative procedures. Monday and every other Saturday to start possibility for full time. Must have a passion for dentistry. New grads welcome to apply. Please send cover letter and resume to firstname.lastname@example.org To place your ad contact Karen Shaw at 416-510-6770 or kshaw@oral healthgroup.com
13-11-06 3:14 PM
One in five has it.
Many don’t know it.
They also may not know the oral health consequences.* They’re waiting for guidance.
Dry mouth is an oral health concern that patients are often unaware of. Patients who are on multiple medications are most at risk. So when you recognize the signs, have the conversation about dry mouth and how Biotène® toothpaste can help maintain good oral care. Biotène® also offers a range of products for mouth moisturization. 2
TM /® or licensee GlaxoSmithKline Consumer Healthcare Inc. Mississauga, Ontario L5N 6L4
Mouthwash, gel and spray for mouth moisturization
Toothpaste for dry mouth sufferers
BIOTÈNE is a registered trademark of the GlaxoSmithKline group of companies. * Dry mouth can disrupt the oral health environment and lead to halitosis, demineralization, increased caries, infection and mucositis.4,5 | 1. Sreebny LM. A useful source for the drug-dry mouth relationship. J Dent Educ. 2004;68:6–7. 2. Dawes C. How much saliva is enough for avoidance of xerostomia? Caries Res. 2004;38:236–240. 3. Sreebny LM, Schwartz SS. A reference guide to drugs and dry mouth, 2nd edition. Gerodontology. 1997;14:33–47. 4. Turner MD, Ship JA. Dry mouth and its effects on the oral health of elderly people. J Am Dent Assoc. 2007;138:15S–20S. 5. Fox PC. J Clin Dent. 2006;17(Spec Iss):27–28.
OHY Nov13 p31 GSK AD.indd 31
13-11-06 3:15 PM
What reaction do you want?
l, Carame ry r e h Mint, C on l and Me
ore Learn m your er and ord
AMPLE FREE oSamerica.com www.vo
The thin transparent 5% Sodium Fluoride Varnish in a non-messy new delivery system Easy non-messy Single Dose delivery system Transparent color without yellow discoloration of the teeth G reat tasting flavors without an unpleasant aftertaste Contains no Saccharin, Aspartame or Gluten Available in both adult and child dose Contains Xylitol
VOCO Canada 路 toll-free 1-888-658-2584 路 Fax 418-847-0232 路 email@example.com 路 www.voco.com
OHY Nov13 p32 VOCO Eng AD.indd 32
13-11-06 3:16 PM
Quelle réaction voulez-vous?
l, Carame , e Menth , e Ceris n et Melo
lus ez en p Découvr andez votre m m o et c
TILLON m ÉCHAN rica.co coame o à www.v
Le vernis transparent et mince au Fluorure de Sodium à 5% dans un système de livraison propre et sans gâchis Système de livraison “Single Dose” sans Transparent sans décoloration jaunâtre des dents Agréable saveurs sans arrière goût Ne contient aucune Saccharine, Aspartame ou Gluten Disponible en dose adulte ou enfant Contient du Xylitol
VOCO Canada · sans frais 1-888-658-2584 · Fax 418-847-0232 · firstname.lastname@example.org · www.voco.com
OHY Nov13 p32 VOCO Fre AD.indd 32
13-11-06 3:16 PM