Just For Canadian Dentists Mar/Apr 2019

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march/ april 2019

life + leisure

back in time in ireland

set sail in

kingston

Publications Mail Agreement #41073506

inside: Continuing dental Education Calendar where will you meet? d u b li n

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chia

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Endodontic Solutions Program Strategies for performing endodontic treatments predictably, profitably and painlessly | 4-Day Lecture/Workshop

Schedule

April 4-7, 2019 June 6-9, 2019 November 28-December 1, 2019

Gary Glassman, DDS, FRCD (C)

Program Content: • Endodontic advancements and breakthrough concepts • Criteria for successful endodontic treatment • Endo vs implant: evidence-based discussion • Systematic diagnostic protocol and endodontic emergencies • Treatment planning and case presentation • Endodontic regeneration and revascularization • Anaesthesia, pain contol and antibiotics • Endodontic access • Locating the apical terminus • Cleaning and shaping using latest nickel titanium shaping systems • The continuous wave of condensation obturation technique

32 CE Credits CLINICAL DENTAL TRAINING Nationally Approved PACE Program Provider for FAGD/MAGD credit. Approval does not imply acceptance by any regulatory or AGD endorsement. 5/1/2018 to 4/30/2020 Provider ID# 384511

Toll free: 1-888-647-0007

• Carrier base obturation technique

Allied Centre for Dental Education 660 Petrolia Road, North York, ON M3J 3K4

Now Offered in Conjunction with the 4-Day Course: Endodontics for Dental Assistants

• Management of the difficult case, calcified canals, trouble shooting

Day 1: Endodontics for Dental Assistants $495 (+HST)

• Endodontic retreatment

Days 2-4 (optional): Systems Training Days $150.00 (+HST) for each additional day attended. (Participant must have attended Endodontics for Dental Assistants Day 1 to be eligible to attend Systems Training Days 2-4)

• Prevention and management of procedural accidents: Perforations, ledges, separated instruments • Endodontic surgery • Endodontic microscopy and Cone Beam Computerized Tomography (CBCT)

Program Includes: • • • • • •

LIVE patient demonstration Hands-on model training for participants Extracted teeth provided for participants Course materials 32 continuing education credits (category 2) Breakfast, lunch, snacks and beverages

Day 1: Endodontics for Dental Assistants Learning Objectives: • Describe the dental dam and its role in moisture control during endodontic treatment. • Describe the preparation and placement of the dental dam. • Management of the patient during placement of dental dam - tips and tricks. • How to obtain a GREAT radiograph during endodontic treatment.

• Understand relevant radiographic findings for the endodontist. • How to set up endodontic trays for maximium efficiency. • Learning treatment flow for seamless treatment of endodontic procedures.

CE CREDITS: Five CE Credits will be given for Day 1.

Days 2-4: Systems Training (Optional) Learning Objectives: • Familiarize yourself with the various systems being taught. • How to collaborate efficiently and effectively with your dentist during endodontic treatment. • Become familiar with new techniques and technologies in endodontics. • Learn alongside your doctor in the training environment. CE CREDITS: A total of three (3) continuing education credits will be given for days 2-4.

CE credits will be given upon the completion of this course.

Tuition:

$3,750

+ HST

www.clinicaldentaltraining.com

info@clinicaldentaltraining.com


Just for C

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de nti sts life + leisure

contents

march/april 2019

march/april 2019 Publisher Linh T. Huynh

Editor Barb Sligl

Art Direction BSS Creative Contributing Editor Janet Gyenes

Editorial Assistant Adam Flint

Contributors Timothy A. Brown Janet Gyenes Lisa Kadane Sharon Matthews Stevens Manfred Purtzki Dr. Kellen Silverthorn Mark Stevens Barb Sligl Roberta Staley Catherine Tse Cover photo iStock

14 24

Senior Account Executive Monique Nguyen Account Executive Wing-Yee Kwong Production Manager Ninh Hoang CE Development Adam Flint Sales, Classifieds and Advertising In Print Circulation Office 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada Phone: 604-681-1811 Fax: 604-681-0456 Email: info@AdvertisingInPrint.com

14 The ancient coast of eastern Ireland 24 On the waterfront in historic Kingston, ON COLUMNS

DEPARTMENTS

Just For Canadian Dentists is published six times a year by Jamieson-Quinn Holdings Ltd. dba In Print Publications and distributed to Canadian dentists. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. None of the contents of the magazine may be reproduced without the written permission of In Print Publications.

9 pay it forward

5 March/April mix 17 CE calendar 37 sudoku 38 parting shot

In Print Publications 200 – 896 Cambie Street Vancouver, BC V6B 2P6 Canada

PHOTOS: barb sligl; sharon matthews stevens; istock

FEATURES

Call of duty

10 motoring Autonomous cars

12 the thirsty dentist

Dr. Domenico Aversa’s photo of a leopard in Kruger National Park, South Africa

Foraged tipples

29 the wealthy dentist Lease agreements

30 practice management

Landlord woes…again

www.justforcanadiandentists.com Printed in Canada.

award winS! Stories and photographs that appeared in this magazine (and sister publication, Just for Canadian Doctors) recently won multiple awards in the 2018 North American Travel Journalists Association Awards, including silver.

cover photo Irish times…the Ha’penny Bridge is a long-standing (since 1816) pedestrian crossing over the River Liffey in storied Dublin (page 17). And just north of the capital is Ireland’s ancient east coast and land of legends…and leprechauns (page 14).

March/April 2019 Just For Canadian dentists

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from the editor

Storied lands

and fantastical (page 24). But it still involves pirates, dungeons and cannon fire… And in Utah’s arid desert, there’s some very literal storytelling going on—upon a stage set against the backdrop of surreal red-rock formations travel (page 5). Nature does provide the wildest props and decoration. back Back in Ireland, Dublin has in time been home to many storytellers, from Jonathan Swift (whose Gulliver’s Travels may be the ultimate travel tale) to James Joyce (author of the most epic of tomes, Ulysses). Trace their steps, and then have a pint of fortifying Guinness (page 17). If nothing else, travel inspires and spurs stories, to tell and retell. Share yours!

barb sligl

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art of the joy of travel is the storytelling. The tall tales (sometimes), myths and legends, history and anecdotes. Go back a thousand years or more and it’s hard to tell truth from fiction, reality from fantasy. Standing amidst ancient ruins along Ireland’s wind-whipped coast, upon which Vikings (and perhaps leprechauns) once strode, it feels like the setting of a fairy tale… or Game of Thrones, which is partly filmed in the country (see its wild landscapes in the TV show’s final season this April). It’s easy to imagine a fire-breathing dragon descending over the misty hillsides and rocky ruins as you follow battles, step into castles and stumble across fairy trees (they do exist) on Ireland’s ancient east coast (page 14). Going back a mere century or so, the history of Kingston, Ontario, isn’t as removed

Rocky ruins and walls on the ancient east coast of Ireland (page 14).

Any ideas, comments or questions? Reach us at feedback@InPrintPublications.com.

IMPROVING DENTISTS’ SMILES FOR OVER 40YEARS. We know and understand the business of buying and selling dental practices. As Canada’s professional practice appraisal and sales leader since 1974, our record of proven results is second to none. With a dedicated team offering appraisal, consulting and brokerage services, we’re here to make sure you end up smiling. Contact us at (888) 764 - 4145 or info@roicorp.com. roicorp.com

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Just For Canadian dentists March/April 2019

BROKERAGE


what/when/where > March/April

style | food | drink | festivals | places | getaways | gear‌

getaway

rock it

tune in

mix

to the

desert where Nature + music blend in Southwest Utah

I

janet gyenes

f you look at a map of mainland US, the state of Utah is an oddshaped rectangle with a smaller rectangle snipped from the top corner. Hard lines. Sharp corners. But when you find yourself on the ground, surrounded by Utah’s vast vermilion cliffs, scrubby Joshua trees and California condors cruising on thermals through electric-blue skies, those precisely scribed boundaries become beautifully blurry. >>

March/April 2019 Just For Canadian dentists

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heat it up

March/April

getaway

natural arena

Hit some high notes in the natural amphitheatre of the desert

desert vibes

I

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n the hush of summer’s heat I’m lulled by those limitless skies while floating in a swimming pool at the Inn on the Cliff in St. George. Situated in the southwest corner of the state, St. George isn’t far from that perfectly drawn corner on the map where Utah, Nevada and Arizona intersect and where the Mojave Desert’s shifting sands breach the borders. All seems still in this dreamscape that’s encircled by a galaxy of natural wonders like Snow Canyon State Park and Zion National Park. But there are vibrations of music in the air. Lots. Katy Perry’s anthemic song Rise was filmed nearby on the ancient lava flows and sculpted dunes of Snow Canyon and Sand Hollow state parks. And not long after casting myself adrift in St. George I’m standing backstage at another dot on the map where music and nature meld together on a grand scale—the Tuacahn Amphitheatre and Center for the Arts, which sits in the shadow of Red Cliffs National Conservation Area. Heather Riddell, who works in Tuacahn’s box office, is giving a small group of us a behind-thescenes tour, pointing out the tunnel under the stage. “There aren’t any curtains here because we’re outside in a canyon,” she says. “They’d be bleached and ripped.” The muscular backdrop of rusty-red cliffs will be supporting cast members in the performance of Disney’s Newsies that I’ll see tonight. It’s Broadway in the desert, the set dressed as New York City in 1899. Some 2,000 seats curve around the stage, which will witness rotating productions of The Little Mermaid, Disney’s When You Wish and The Sound of Music during the 2019 season. Every year, new and established actors from across Utah and the US join the theatre company that has produced more than 50 major musical theatre productions since it opened in 1995. A day later I’m still humming show tunes as I wander the Riverside Walk in Zion National Park, which starts at the Temple of Sinawava, another natural amphitheatre composed of 915-metre cliffs, hanging gardens and murmuring waterfalls that spill into the Virgin River. Mormon pioneers named this 110-year-old park—Utah’s first—for the ancient Hebrew word that means “sanctuary.” More than 4.5 million people visit annually, revelling in the rhapsody of canyon colours year-round. And when those supercharged skies turn signal orange, they retreat to the O.C. Tanner Amphitheater for its summer Twilight Concert Series and the Zion Canyon Music Festival that’s held every September. Bluegrass, rock, classical, country and folk music echo through this boundless red-rock wonderland—one that can’t be constrained by lines drawn on a map. — Janet Gyenes

w a r ml spe l

utah

wild

Setting the stage for “Broadway in the desert” at Tuacahn Amphitheatre and Center for the Arts

if you go To hit those high notes when exploring southwestern Utah, go to visitutah.com.

Just For Canadian dentists March/April 2019

janet gyenes

mix


trip savvy

March/April

Spring into a fresh season of go-to adventure aids

2 No strings attached These earbuds are magnificently tiny in size but spectacularly massive in performance. Schatzii’s Bullet 2.0 True Wireless Earbuds + Charging Case is an elegant, state-of-the art audio accessory that allows you to discreetly listen to music, podcasts or even talk on the phone while on the go. They weigh only 4.7g, come with a portable charging case (12x charge) and feature

noise reduction and echo cancellation technology. US$300, schatzii.com 3 happy feet We all have our “travel” shoes—flip flops that permanently stay in our luggage and airport shoes that get us through security without fuss. But what about in-between, during the flight? Glerups slippers are made with a blend of comfy Danish and New Zealand wool. They’re highly breathable and naturally antimicrobial, which is great because airplanes are just the opposite. $109, glerups.ca; available at mec.ca 4 Plugged in Who’s got time to check in luggage? Herschel’s new Trade Luggage Power carry-on hits all the Herschel hallmarks: looks cool, works great. Plus, this model has a USB (type A port) that allows you to charge your mobile devices anywhere, anytime (enough juice to

gear

Written + produced by Catherine Tse

fully power up your mobile twice). The built-in rechargeable battery is also removable for stand-alone use. $279.99, herschel.ca 5 breathe easy Potent enough to be effective, but subtle enough so it won’t bother your seat mates, Saje’s selection of five aromatherapy rollerballs in their Pocket Farmacy will soothe almost any ailment while you’re on the road. Peppermint Halo is particularly versatile for both headaches and an instant refresh so you arrive revived—roll on temples or onto clean hands, cup over nose and inhale. $59.95, saje.com/ca

Unlike other mists that only provide fleeting relief, this treatment spray is designed to not only plump and comfort skin, but will actually help support skin’s protective barrier, preventing all that goodness from evaporating and even providing longterm benefits. $55.70, isclinical.com

must-pack list

x6

travel essentials ^ 1 it’s a wrap In the world of travel pillows, Trtl (pronounced “turtle”) is a disruptive design: a flexible but sturdy frame, covered in soft fleece that forms a supportive “collar” allowing your head to tilt comfortably as you snooze on the plane, train, bus, etc. Machine washable, it folds up to the size of a book, and the scarf-like design minimizes the public shame factor. $47.95, trtltravel.com

mix

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6 glow tonic For a burst of hydration after a punishing flight, iS Clinical’s Copper Firming Mist instantly revives wan, dehydrated skin.

6

4

3

light+

smart

1

5

March/April 2019 Just For Canadian dentists

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Oral Healthcare

Healthcare innovations to improve patient outcomes

Philips brings over 125 years of healthcare expertise to oral care, creating solutions that empower your patients to live their healthiest life. Find us at the frontline in helping fight periodontal disease, starting children on the path to a healthy routine, spreading awareness of how oral health may impact overall health and boosting patient confidence through advanced whitening treatments. There’s always a way to make life better.

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Phone not included.

79

Call 1-800-278-8282 to order, or book a ‘lunch and learn’ and learn more.


pay i t f o r w a r d

r o b e r ta s ta l e y

Roberta Staley is a Vancouver-based magazine writer, editor and documentary filmmaker.

Call of duty

Giving back to two home countries through volunteer missions

courtesy of Dr. derval clarke

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he swelling on the left side of the teenage girl’s face had ballooned to the size of a small honeydew melon. For a year, the teen had endured the growing disfigurement, waiting for the Jamaica Dental Mission (JDM) to return to the Caribbean island nation to help her. When Dr. Derval Clarke finally saw the girl, he was taken aback by the size of the abscess, caused by a severely decayed tooth. But more than that, he was saddened by the suffering of his thin young patient, “the meals she would have missed because of the pain as well as her social well-being,” Clarke says from Thunder Bay, ON. Not surprisingly, the teen was apprehensive about the pending extraction—“so scared she threw up on my shoes,” Clarke says good-naturedly. The removal of the offending tooth went smoothly and Clarke undertook a small buckle incision to assist pus drainage and prescribed antibiotics. From a dental perspective, the extraction was straightforward. From the perspective of the teen and her family, it was life changing. “The dad thanked me profusely,” Clarke recalls. Clarke, who is the sole proprietor of Sovereign Dental in Thunder Bay, loves returning to Jamaica for the one-week JDM volunteer trips, which allows him to see and occasionally treat extended family members in the country of his birth. Despite dynamic tourism and agriculture industries, Jamaica has a high unemployment rate and school isn’t free, causing hardship for many families trying to educate their children. Dental care, for many Jamaicans, is an unimagined luxury. For Clarke, the yearly excursions to Jamaica are a way to stay connected with the country that nurtured him until he moved to Canada to undertake a science degree at the University of Toronto. “The huge topic of conversation is the brain drain: how the best and brightest leave Jamaica and never come back. I never wanted to be ‘that guy,’ ” Clarke says. Clarke first began working with the JDM six years ago while a third-year dental student at Howard University in Washington, DC. Today he, along with five other dentists, mentor four to five dental students each

from Still University’s Missouri School of American colleague, Dr. Martesia Marshall, Dentistry & Oral Health. Over a four-day peto Wunnumin Lake First Nation, spending riod, the 30-strong crew will treat anywhere four days in the community of about 500, from 1,000 to 1,500 people. The clinical treating both adults and children. “You don’t facilities are rudimentary; there are no X-ray need to go very far to be of service,” says machines and only limited equipment to Clarke, “and it was fun!” undertake root canals. Nor is there the time. Both Clarke and Marshall chose to As a result, hundreds of extractions tend to eschew any fees that they might have be done. Nonetheless, in cases where a teen- charged through the federal government’s ager might lose a front tooth, Non-Insured Health Benefits (NIHB) Program exposing them to the for First Nations and Inuit. “It’s very important ridicule of classmates, that my volunteer missions remain volunClarke has sent teer,” Clarke says. “I feel I have the duty to Dr. Derval patients to a local give back.” Clarke on one of Jamaican dentist his volunteer missions who will perform to Jamaica. “I feel I a root canal for have the duty to give free. (The local back,” he says. Rotarians donate much of the dental equipment and supplies for JDM; the international organization inspired Clarke as a high school student to follow their motto: “Service Above Self,” which resonated with his own budding philanthropic inclinations.) Over the years on these Jamaican missions, Clarke has noted that the number of extractions are steadily decreasing while the number of fillings, restorations and cleanings are on the upswing. This suggests, he says, Clarke will return to Jamaica this July to that the oral hygiene and dental care lessons treat fellow Jamaicans and is hoping to visit are making a difference. another Canadian Indigenous community Clarke also shares these lessons with to provide dental care. As a sole proprietor, elementary schoolchildren. On his most he finds the excursions expensive: he shuts recent trip, he bought enough groceries for down his office (while still paying staff students at two schools to take home a bag salaries) and occasionally takes his own supeach of rice, canned produce, whole milk, plies and equipment. But he never secondflour and toothpaste and toothbrushes. This guesses his decision to undertake such trips. gave him the opportunity to deliver oral “Going to Jamaica is the opportunity to be health instruction in a setting more relaxed of service to a country that has given me a than a bustling clinic. lot in terms of education, career and a safe Last year, Clarke decided to embrace environment to work in. I think it’s part of my humanitarian work in Canada, travelling mission as a dentist to give back to the two northwest 500 kilometres by plane with an countries that have given me the most.” March/April 2019 Just For Canadian dentists

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motoring

D r . k e l l e n s i lv e r t h o r n Dr. Kellen Silverthorn is Just For Canadian Dentists’ automotive writer. He tries to keep one convertible and/or one track-day car in the family fleet.

Auto-nomously yours

O

n December 18, 2018, Silicon Valley startup, Nuro, debuted the first fleet of driverless robo-delivery vehicles operating on public roads. Nuro beat a host of rivals to this important autonomous vehicle (AV) first. Far larger rivals Waymo (Google), General Motors, Apple and Uber are nursing collective bruised egos. While Nuro’s bespoke electric R1 models will initially only serve clients of a single Scottsdale, Arizona, grocery store, this debut is still a very big deal. It may ultimately out-

The autonomous (and cute!) Nuro R1

shine Michigan’s 1913 Ford Model T production line in significance to human mobility. Today’s AVs are traceable back to research-and-development work by the US military. Driverless military vehicles preclude driver casualties in hostile settings. In 2006 and 2007, the US military offered millions of dollars in DARPA (Defense Advanced Research Projects Agency) prizes to industry

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and academia for driverless vehicle advancements in semi-controlled environments. Advancements a decade ago hinged on two key (figurative) building blocks. The first was the adoption of the aerospace practice of “fly-by-wire.” Instead of pilots operating old-school mechanical or hydraulic sticks and pedals, the controls operated by pilots in 21st-century jets were more akin to a digital rheostat. Today’s airline pilots’ actions send an electronic signal to the tail rudder motor instructing it to deviate left or right. In cars, parallel advancements translated to steer-by-wire, brake-by-wire and throttle-by-wire. Great, so “by-wire” driverless car prototypes could now follow robo-friendly digital commands, but how does the car know where it should go? That was the second main building block recruited: LIDAR (LIght Detection And Ranging). Somewhat akin to a 3D ultrasound scanner, a vehicle-mounted LIDAR broadcasts very short pulses of laser light 360 degrees around the vehicle, and from the laser light that’s reflected back, LIDAR plots its environment in that instant. Even early LIDAR versions in 2007 generated a million data points per second. Google/Waymo and others spent the last decade (and billions of dollars) programming driving algorithms from LIDAR’s instantaneous feedback. Importantly, Waymo’s testing provided early-on conclusive evidence of the futility of handing vehicle control back to a human driver when an emergency arose. We humans took too long to re-orient from texting on our smartphones. So, the most advanced AV algorithms make all the navigating calls, even in emergencies. Proponents, regulators and their lawyers are confident that today’s best robo algorithms are statistically safer than human drivers. Given that 94% of modern road collisions are attributed to human error, there

Just For Canadian dentists March/April 2019

is wide scope for road safety improvement. Even greater safety is envisioned when AVs communicate with one another in real-time. Zero fatalities, zero emissions and zero congestion are the laudable goals of our future vehicle fleet—so says General Motors. To get there we’ll rely progressively on shared/hailed rides in public-access driverless electric vehicles. It’s estimated that future urban centres could meet transportation needs with just 15% of the current number of cars. That would mean far less traffic, and far less need for parking. Approaching any one of these laudable “zero” goals would be a disruptor of the status quo. A possible congestion “solution” that reduces cars to an eighth of today’s numbers would affect auto sales (obviously!). And a far greater proportion of those car sales than today’s would be to fleets, rather than individuals. Having all three “zero goals” confront the auto industry over the same decades is unprecedented. A mash-up of auto company winners and losers and new entrants is all but assured. Four of the five brands mentioned above in this article are not known car companies. Vehicle manufacturers are not the only ones who should expect disruption. “Driver” is the number one job description in the developed world, whether it be of taxi, truck, courier, Tuk-Tuk etc. That job-loss pain will be real (stay tuned in Paris). The workforce will ultimately adapt to driverless cars—just as it did to ATMs, self-operated elevators, e-mail and Amazon. The stakes in this transformation couldn’t be higher for not only Detroit and Silicon Valley, but also Asia and Europe. Both China and the US are emerging as powerhouses in AV technology. In a parallel universe, these two titans would collaborate for the greater good. Don’t hold your breath in ours. On a more positive note, whole new industries will unfold that serve the wants and needs of millions of commuters who will be freed from mentally attending to their daily driving chores. Perhaps we’ll be role-playing in our virtual reality headsets, or power napping? Ironically, I’d use the time freed-up for SIM auto racing.

Nuro r1

The future of cars is not in your hands…



the thirsty dentist lisa kadane Lisa Kadane is a newspaper and magazine writer who likes to travel and partake in the destination’s preferred tipple, whether it’s rum, wine, a margarita or whisky sour. She’s been sharing her thoughts on spirits and cocktails since 2010.

Terroir-based tipples Cocktails, suds and spirits foraged from land and sea

D

eep in a rainforest on the outskirts of Tofino, our group of foragers treads silently over the mossy ground, looking for mushrooms. Leading the fungi charge is Nick Nutting, executive chef at Wolf in the Fog restaurant, and his wife Hailey Pasemko, the restaurant’s bar manager (see the July/August 2018 issue for another cocktail from this team). “It’s a fun thing to do on a day off,” says Pasemko as she scours the ground for yellow-orange chanterelles and brownishwhite matsutakes, which are called pine mushrooms in Canada. After searching the forest floor for an hour we’ve collected a 10-pound haul of ’shrooms. The Wolf and the Fog team will transform them into a rich risotto, decadent mushrooms on toast, and a pine mushroom-infused vodka that will become the star ingredient in a savoury sake martini. As the morning progresses she points out red huckleberries and cynamoka berries, which are tart and sweet (similar to huckleberries, but with more depth) and that she uses to make syrups, infusions and bitters. At the height of berry season, Pasemko picks the salmon berries and salal berries that form part of the forest backdrop on the island’s rugged coast. “With the salal berries, I’ve been making a BC version of sloe gin fortified with syrup,” Pasemko says. She adds it to her Snow Monkey cocktail (see recipe), a drink that

marries the sweet gin with sake, amaro and lime juice. Towering above us are cedars, trees emblematic of the west coast, whose planks flavour salmon and whose wood chips infuse spirits such as whisky. Pasemko uses them to add the flavour of smoky, earthy wood to her delicious Cedar Sour. Using foraged ingredients in the kitchen and behind the bar isn’t unique to Tofino, of course—bars, restaurants, breweries and distilleries from Vancouver to Halifax add local fruits, herbs and grains into their creations. But many of Pasemko’s wild, found items are unique to Vancouver Island, and give her cocktail list a sense of place— what winemakers call “terroir.” “A lot of these ingredients are important to here, but not easy to find in other places. I’ve never seen cynamoka berries outside of Tofino,” Pasemko says. Other artisanal producers in Tofino are just as keen to add in a taste of their isolated home to inventive tipples. The Tofino Craft Distillery makes an Old Growth Cedar Gin from western red cedar tips that are added to the botanical basket during fermentation. “It’s so robust,” says distillery co-owner Neil Campbell. “It’s a little flavour of the Pacific Northwest.” The Long Beach Lodge adds Campbell’s spirit to their Cedar Gin Julep, a twist on a classic julep with port, berries, mint and charred cedar bitters.

“Tofino seems to have a real focus on high-quality ingredients in food and drinks—it’s a really foodie town,” says Hannah Nicholls with Tofino Brewing. “It’s a philosophy that has gone into almost every restaurant here.” But because the Vancouver Island outpost has no agriculture, “you have to get kind of inventive with it,” Nicholls says. To that end, the brewery uses kombu kelp, a variety that grows naturally on the west coast, to flavour its popular Kelp Stout. The hearty brew has chocolate notes, plus a slight saltiness and umami savouriness thanks to its seaweed ingredient. Tofino Brewing also makes a spruce tree beer every spring with locally foraged spruce tips, and it created a fruit-forward beer featuring salal berries a couple of years ago. Back at Wolf in the Fog, we dine on Dungeness crab with pine-mushroom risotto, porcini and chanterelle mushrooms on toasted sourdough, and goat cheese ice cream drizzled with salal and huckleberries. We tip it back with BC wine, Cedar Sours, and Caesars made with smoked salmoninfused vodka that are garnished with local seafood. It’s fair to say we’re drinking in as much of Tofino as we can.

1.5 oz Odd Society Spirits Salal Gin (Pasemko infuses her own gin with salal berries, then boosts the flavour with salal syrup, so swapping in Odd Society’s Salal Gin is a useful hack!) 0.5 oz Gekkeikan Sake 0.5 oz Amaro Nonino 0.5 oz lime juice 6 drops Bittermens Tiki Bitters Combine above ingredients in a shaker. Add ice, shake and strain into a small Collins glass over crushed ice. Garnish: 2 x salal leaves dipped in icing sugar —Recipe by Hailey Pasemko, Wolf in the Fog

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Just For Canadian dentists March/April 2019

Old Growth Cedar Gin by Tofino Distillery and Kelp Stou t by Tofino Bre wing

cocktail photo courtesy of wolf in the fog

the foraged cocktail*

* Snow Monkey


She Speaks for the Trees Tory Island Giant’s Causeway

NORTHERN IRELAND

Join naturalist, author, botanist, biochemist, and activist Diana Beresford-Kroeger aboard Adventure Canada’s Ireland Circumnavigation.

© Jeff McKay

Raised with Celtic folkways and educated in modern science, Diana is a wise and passionate voice for a green and healthy Earth. She’ll join scientists, artists, musicians, and local culturalists on a voyage of discovery around the Emerald Isle.

REPUBLIC OF IRELAND

Belfast

Dublin

Cliffs of Moher Dingle

Waterford

Ring of Kerry

Ireland Circumnavigation June 9–20, 2019 Aboard the 198-passenger Ocean Endeavour From $5,995 $5,096

BOOK YOUR SPACE BY APRIL 15, 2019 AND SAVE 15%

to $15,595 $13,256 USD CALL FOR DETAILS

1.800.363.7566

adventurecanada.com Adventure Canada, 14 Front St. South, Mississauga ON, L5H 2C4, Canada, TICO Reg# 4001400


travel the world

t s a d n a e ' s an ci ent Irel n O

sto

ry

+

a togr ph o

phy by

t s a co

Barb Sligl

if you go

Explore Ireland’s Ancient East (irelandsancienteast.com) by starting just north of Dublin in Carlingford (visitcarlingford.com) in County Louth (visitlouth.ie). For more on Ireland, go to ireland.com.


travel the world

“T

Trim Castle bottom, from left Tholsel Gate in Carlingford; on the slopes of Slieve Foy, the mountain that looms above the village of Carlingford, where you might come across “rag trees” (or wishing or fairy trees) adorned with scraps of cloth and ribbons; guide Diarmaid Rankin in the Carlingford Friary/Abbey/Priory (depending on whose story it is)

his is traditional Ireland at its best,” says my guide and local “islander,” Diarmaid Rankin. We’re on the east coast, midway between Dublin and Belfast, on the shores of Carlingford Lough, where sweet-faced tufts of sheep graze on shamrock green at the foot of Slieve Foy, the highest of the Cooley Mountains. The Vikings came here in the ninth century. And then the Normans. Hugh de Lacy began building King John’s Castle in 1190 (the king being the brother of Richard the Lionheart). Another Norman ruin, Taaffes Castle, is set right within the medieval village of Carlingford that grew around it. Rankin looks up at the square-and-squat fortress of massive stone walls from the 12th century. The pre-Gothic structure is still standing because, as Rankin says, “It was a bit forgotten about.” This land of legends has been left almost untouched on the Cooley Peninsula, sheltered beneath the broad shoulders of Slieve Foy for centuries. And yet it’s been witness to wild stories, battles and creatures across a string of historical epochs. The history here is so rich, that it’s been dubbed “Ireland’s Ancient East.” I follow Rankin under Tholsel Gate, the medieval boundary of the town that dates from 1450 (and once a dungeon as well), to the abbey that’s not an abbey, that’s a priory that’s not a priory, that’s a friary. Rankin’s wry description becomes a bit of a refrain as the day continues. Things morph. Stories change. What was truth yesterday may be fable tomorrow. Or vice versa. Amid the roofless ruin’s still-soaring stone walls, he stands and sings a circa-14th-century “plain song” in a mash-up of Latin and Gaelic to showcase the friary’s astounding acoustics. The notes reverberate and seem to hover, aloft and ageless. Afterwards, we walk back to the main street to have lunch at a pub in the old town. The battered cod, minted mushy peas, champ (an Irish dish of mashed potatoes and scallions) and Friary pale ale (brewed by Carlingford Brewing Company right here on the Cooley Peninsula) are classic, local comfort food for the cool-and-overcast spring day. I ask Rankin about the abbey that’s not an abbey, that’s a priory that’s not a priory, that’s a friary. It’s a lovely mouthful. He tells me that there are no incorrect stories; the story told on that day is the “right” one. Like the tale he then shares. P. J. O’Hare, the original owner of PJ’s, the pub we’re in, had leprechaun encounters. There’s a glint in Rankin’s eye, but he continues. O’Hare found the bones of a leprechaun (as well as a green suit and four pieces of gold). Apparently, a couple hundred of these folk (Rankin clarifies to be more exact: it’s 236 or 237 leprechauns) live on Slieve Foy, that mountain overlooking Carlingford Lough (and, in fact, since 2009, they’ve been protected by the EU under the European Habitats Directive; “It is illegal to hunt leprechauns now under EU law,” says Rankin). Fact or fiction or superstition, leprechauns are indeed part of the culture and heritage here. There’s even a “leprechaun whisperer” in the town, who’s also written a book, The Last Leprechauns of Ireland, and started the annual Carlingford National Leprechaun Hunt (as in a search party, of sorts; this year, it takes place on May 12). It’s hard not to crack a smile, but Rankin himself has a perpetual grin on his face. He has his story, and the leprechaun whisperer has his, as did the late P. J. O’Hare. “I have my story, that my father told me whenever we walked up the Slieve and looked at the Gap to the north,” says Rankin of the local landmark and legends surrounding it. He now tells a story to his son, who’ll then tell his own. And as we sit in the pub over a pint of Friary ale, I hear another story with multiple versions at the same table. Táin Bó Cúailnge (the “Cattle Raid of Cooley”), or simply the Taín, is an epic tale that’s Ireland’s Beowulf or Iliad (a saga that involves a queen, her husband, jealousy, betrayal, revenge, battles and exploits, the Hound of Ulster…and two mythic bulls). It took place in these hills, beyond Slieve Foy, and signposts for the 40-km Taín Way hiking route, which follows the central character Queen Mebh’s march with her army, are seen throughout town. The infamous brown bull of Cooley, over whom the fierce battle was fought, is also very much present (in hearts and minds, but also on the logo of the Friary beer I’m drinking, as Rankin points out). After lunch, we trudge part way up Slieve Foy, past crumbling rock walls and long-deserted outposts. I’m on alert for leprechauns but the only other creatures out on this misty afternoon are sheep, lots and lots of sheep. Big fuzzy balls, full-coated in late spring, dot the green swathes of slopes. And wee bits of fluff. Lambs, born mere weeks ago, are baa’ing alongside their mothers. Ancient Carlingford and the moody lough are spread below. From here, it’s only 11 km to the border of Northern Ireland, and the Irish Sea is just beyond. And yet, this place feels utterly isolated. How wild and brave to march across these slopes, as Mebh did in another time. As did the Vikings and the Normans. Nearby are more castles and battles—from Trim Castle (another March/April 2019 Just For Canadian dentists

15


travel the world Hugh de Lacy fortification) and the Battle of the Boyne (an alltoo-true war with repercussions that shaped western politics for centuries). Ireland’s east coast thrums with threads of history that have been pulled this way and that. As we descend and return to the village, Rankin points out a fairy tree. The gnarly and moss-covered specimen is a blackthorn, long associated with folklore and magic, and stands alone (farmers won’t touch it, says Rankin). A pot next to it holds offerings to Queen Sadhbh, the fairy who lives beneath the tree with her daughters and subjects. “They are friends of the last leprechauns of Ireland,” says a plaque at the tree’s base. I’m not sure what to make of any of it. But I recall being entranced when, earlier in the day, Rankin and another Irishman spontaneously recited The Fairies by Irish poet William Allingham. They knew the words by heart and slipped into an easy rhythm together: Up the airy mountain / Down the rushy glen / We darn’t go a-hunting / For fear of little men / Wee folk, good folk / Trooping all together / Green jacket, red cap / And white owl’s feather… I don’t have a coin to drop in the pot for Queen Sadhbh, but as I walk away, I look back and glimpse a streak of long, wind-blown hair against the rock wall behind the fairy tree. Or maybe it’s a horse’s mane… I have my own story now, formed on a hillside in Ireland’s ancient east. clockwise, from top One of the denizens on Slieve Foy in the Cooley Peninsula (not pictured: the leprechauns and fairies); the ruins of Carlingford Friary, also known as Carlingford Abbey, also called Carlingford Priory…; the most commonly seen creatures on the green swathes of land in Ireland, especially in springtime

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dublin / victoria / scottsdale / sydney / chia … |

calendar

ce

A n intern ation al guide to continuing dental Education

spr ing 2019 + beyond

dublin

[go] For more

on Dublin: visit dublin.com. For more on Ireland, see page 14.

top, from left Stepping into one of Dublin’s most infamous bars; Doorman and William Scott painting at Merrion Hotel; Street scene, Temple Bar neighbourhood; A Guinness, of course bottom, from left Doorway to choir school at St. Patrick’s Cathedral; Trinity College’s Old Library; Exhibit at The Little Museum of Dublin; School girls in the National Gallery of Ireland

From books and art to beer and revelry: dublin (CE events in Dublin are highlighted in blue.)

barb sligl

D

ublin’s streets seem to echo the words of poets, playwrights, novelists…James Joyce, Oscar Wilde, Jonathan Swift, William Butler Yeats, George Bernard Shaw, Samuel Beckett. Their statues also seem to greet you everywhere, from a louche-looking Wilde lounging upon a rock in Merrion Square (in a natty pink-and-green smoking jacket) to a bespectacled Joyce musing in the courtyard of the Merrion Hotel. The conversations continue with these colourful figures of literature in the Dublin Writers Museum (writersmuseum.com), where their verse and letters are showcased within an original 18th-century house. On the other side of the Liffey River, across the slender arch and ironwork of the pedestrian Ha’penny Bridge (named so because that’s what it used to cost to cross it when it opened in 1816), and in another graceful Georgian building, is the whimsical Little Museum of Dublin(littlemuseum.ie). The lively guided tour is a celebration of the city’s charming, somewhat ribald character and history, from its official founding in 988 AD to the days of U2 (with a pack of U2 condoms on exhibit)

and the first woman elected as President of Ireland, Mary Robinson, who famously said: “I was elected by the women of Ireland, who instead of rocking the cradle, rocked the system.” More of Dublin’s bewitching personality is on display in the Temple Bar neighbourhood (a reference to the old word for a raised sandbank, “barr,” as well as the man who settled here in 1599, Sir William Temple). Today, the network of cobblestone streets and lanes is full of pubs, including the eponymous Temple Bar (site of Sir Temple’s home; thetemplebarpub.com), where ordering a pint will, of course, get you the local standby of Guinness. Back across the Liffey, the Guinness Storehouse (guinness-storehouse.com), part of the active St. James’s Gate brewery that’s been churning out the dark, delicious brew since 1759, is a destination itself—part history museum, part beer wonderland and even part school where you learn that optimal flavour, aroma and colour is achieved at 232°C (“roasted to a black state of perfection,” as the guide says), or, more importantly, how to pull a perfect pint (“the Guinness surge”). And, yes,

“Guinness is good for you,” as the renowned slogan goes. Beer, bars, bards. And books. At Trinity College (tcd.ie/visitors/book-of-kells), see the legendary Book of Kells (the oldest book in the world, it was scribed in 800 AD and has existed longer than Dublin) and then visit the early-18th-century Long Room in the Old Library, a glorious, two-storey, wall-to-wall display of some 200,000 tomes. Find a spot amidst the constant crowds to be still and behold the collection. Afterwards, explore more back-in-time beauty: St. Patrick’s Cathedral (where Swift is buried) and the National Gallery of Ireland (where you can see canvases by Yeats, an accomplished painter as well as poet). After gazing at a still life of Scottish-Irish painter William Scott in the National Gallery (nationalgallery. ie), cross the street to find another one in the lobby of the Merrion Hotel (merrionhotel.com). With a private collection of 19th- and 20th-century art that’s set amidst the grand interiors of a restored Georgian building (with that Joyce statue in the courtyard), it’s as if you’re ensconced in Dublin’s artistic heart. — Barb Sligl

March/April 2019 Just For Canadian dentists

17


c e calendar

when where

Cosmetics/Aesthetic

Anesthesia/Sedation

ce

MORE CE Full-access CE calendar and destinations at justforcanadiandentists.com/ce/

topic

sponsor

contact

website

Mar 07-10

Cabo San Lucas Mexico

Fun, Sun, And Learn

The Pacific Aesthetic Continuum

888-702-2560

thepac.org

Apr 12-13

Los Angeles California

Exploring Myofascial Pain, Oral Motor Disorders And Headaches 2019

University of Southern California Herman Ostrow School of Dentistry

213-821-2127

dental continuing education.usc. edu

Apr 29

Ann Arbor Michigan

Nitrous RDH Oxide/Oxygen Sedation For The Registered Dental Hygienist

University of Michigan School of Dentistry

734-763-6933

dent.umich. edu

Jun 08

New York New York

Renaissance In Local Anesthesia

International Dental Seminars

626-286-6657

international dental seminars.com

Jul 26-28

Kansas City Missouri

Local Anesthesia For The Dental Hygienist

University of MissouriKansas City School of Dentistry

816-235-2100

dentistry.umkc. edu

Oct 04-20

Denver Colorado

Oct 4, 5 & 6 (Didactic) Oct 11, 12 & 13 (Didactic) Oct 18, 19 & 20 (Clinical)

Conscious Sedation Consulting

888-581-4448

sedation consulting.com

Sep 7-11 2020

Dublin Ireland

Northwest Anesthesia Seminars

800-222-6927

nwas.com

May 23-25

Munich, Germany

new CE to be placed 33rd Spring Meeting Of The European

European Academy of Esthetic Dentistry

431-58804105

eaed.org

Jun 13-15

Chia Italy

Focus On New Visions In Dentistry 2019

Italian Dental Association

See website

aio.it

Aug 08-10

Banff Alberta

44th Annual Meeting Of The American Academy Of Esthetic Dentistry

American Academy of Esthetic Dentistry

info@esthetic academy.org

esthetic academy.org

Aug 22 2019Nov 07 2020

Denver Colorado

OBI Advanced Bioesthetic Rejuvenation (9 sessions)

OBI Foundation for Bioesthetic Dentistry

800-438-6441

bioesthetics. com

Oct 11-12

Huntersville North Carolina

Indirect Esthetic Dentistry Hands-On Training Instructor Dr. Ross W. Nash

The Nash Institute

704-766-0025

thenash institute.com

Oct 24-25

Amherst New York

Seamlessly Replacing A Missing Tooth In The Esthetic Zone

American Academy of Cosmetic Dentistry

800-543-9220

aacd.com

Nov 14-16

Chicago Illinois

Treatment Planning Functional Esthetic Excellence

The Dawson Academy

800-952-2178

thedawson academy.com

Dec 29 2019Jan 05 2020

New Year’s Caribbean Cruise

Dr. Susan McMahon: “Conservative Cosmetic Dentistry For Teenagers”

Mindware Educational Seminars

888-574-8288 See Ad Page 19

mindware seminars.com

IV Moderate Sedation Training For Dentists

Anesthesia Update

Academy Of Esthetic Dentistry

JULY 26-28, 2019 Sheraton Centre Toronto Hotel | Toronto | Ontario | Canada

AACP 34TH ANNUAL INTERNATIONAL CLINICAL SYMPOSIUM Main Scientific Program on all facets of TMD and dental sleep medicine diagnosis and treatment. Speakers include Drs. Michael Gelb, Brock Rondeau, Barry Sessle, Michael Miyasaki and more. Special Fundamentals Program to introduce doctors to the field. Ancillary programs for all office assistants. Active exhibit hall and networking events. Details at: www.aacfp.org

18

Just For Canadian dentists March/April 2019


MORE CE Full-access CE calendar and destinations at justforcanadiandentists.com/ce/

when where

General Dentistry

Endodontics

ce

calendar

ce

topic

sponsor

contact

website

Apr 04-07

North York Ontario

Endodontic Solutions Program: Strategies For Performing Endodontic Treatments Predictably, Profitably And Painlessly

Clinical Dental Training

888-647-0007 See Ad Page 2

clinicaldental training.com

Jun 06-09

North York Ontario

Endodontic Solutions Program: Strategies For Performing Endodontic Treatments Predictably, Profitably And Painlessly

Clinical Dental Training

888-647-0007 See Ad Page 2

clinicaldental training.com

Apr 10-13

Montréal Québec

Annual Session AAE19

American Association of Endodontists

800-872-3636

aae.org

May 09

Grand Rapids Michigan

Safe And Efficient Root Canal Treatment

Essential Dental Seminars

888-542-6376

essential seminars.org

Sep 18-21

Mont Tremblant Québec

55th Annual Meeting

Canadian Academy of Endodontics

204-942-2511

caendo.ca

Nov 10

Victoria British Columbia

Endodontic Failures: How To Avoid, How To Diagnose And How To Treat By Dr. Jeffrey Coil

University of Victoria

250-721-8558

continuing studies.uvic.ca

Nov 28-Dec 01

North York Ontario

Endodontic Solutions Program: Strategies For Performing Endodontic Treatments Predictably, Profitably And Painlessly

Clinical Dental Training

888-647-0007 See Ad Page 2

clinicaldental training.com

Mar 07-09

Vancouver British Columbia

Pacific Dental Conference

Pacific Dental Conference

604-736-3781

pdconf.com

Mar 25-28

Las Vegas Nevada

We’ve Crammed Over 31 Years Of Dental Practice Management Experience Into This 4-Day Intensive Workshop Specifically Designed For Dental Office Managers & Professionals

403-984-0114 See Ad Page 22

dental management secrets.com

Mar 25-29

Big Island Hawaii

UBC Annual Spring Break Symposium, An Interdisciplinary Program

University of British Columbia CDE

877-328-7744

dentistry.ubc. ca/cde

Mar 28-30

Key Biscayne Florida

Making It All Work - A Special Retreat For Women In Dentistry

The Pankey Institute for Advanced Dental Education

800-472-6539

pankey.org

Apr 06-16

Grand Japan Cruise

Dental Advances / 10-Night Cruise On Windstar Star Legend Osaka To Tokyo

Professional Education Society

877-737-7005

pestravel.com

May 06-09

Edmonton Alberta

We’ve Crammed Over 31 Years Of Dental Practice Management Experience Into This 4-Day Intensive Workshop Specifically Designed For Dental Office Managers & Professionals

Dental Management Secrets

403-984-0114 See Ad Page 22

dental management secrets.com

May 09-11

Toronto Ontario

Annual Spring Meeting 2019

Ontario Dental Association

866-739-8099

asm.oda.ca

Jun 27-29

Prague Czech Republic

125th Meeting Of The American Dental Society Of Europe

The American Dental Society of Europe

905-523-0133

ads-eu.org

Jul 14-21

Alaskan Cruise

Dental Challenges And Updates / 7-Night Cruise Roundtrip Seattle On Star Princess

Professional Education Society

877-737-7005 See Ad Page 21

pestravel.com

MINDWARE EDUCATIONAL SEMINARS

new CE to Dental Management be placed Secrets

Rocky Mountaineer & Alaska Cruise

Celebrate New Year’s on The EDGE!

July 15 - 28, 2019

Dec. 29, 2019 - Jan. 5, 2020

Dr. Will Martin “Emerging Technology: Streamlining Implant Therapy”

Dr. Susan McMahon “Conservative Cosmetic Dentistry for Teenagers”

Experience the Rockies like never before, tour Vancouver and then cruise the Alaskan coast!

Ring in 2020 on a Magic Carpet, awaken your senses in Eden and live life on the EDGE!

Register online and choose from any one of our great trips, all worth 12 CDE Credits! www.mindwareseminars.com …or call us today at: 1-888-574-8288 and book with the best! March/April 2019 Just For Canadian dentists

19


c e calendar

Implantology

General Dentistry

ce

20

MORE CE Full-access CE calendar and destinations at justforcanadiandentists.com/ce/

when where

topic

sponsor

contact

website

Jul 15-18

Halifax Nova Scotia

We’ve Crammed Over 31 Years Of Dental Practice Management Experience Into This 4-Day Intensive Workshop Specifically Designed For Dental Office Managers & Professionals

Dental Management Secrets

403-984-0114 See Ad Page 22

dental management secrets.com

Jul 26-28

Toronto Ontario

AACP 34th Annual International Clinical Symposium

American Academy of Craniofacial Pain

800-322-8651 See Ad Page 18

aacfp.org

Jul 29Aug 05

Iceland Cruise

Dental Healthcare Needs / 7-Night Luxury Cruise On Ponant Le BorĂŠal

Professional Education Society

877-737-7005 See Ad Page 21

pestravel.com

Sep 04-08

San Francisco California

ADA And FDI World Dental Congress 2019

FDI World Dental Federation

41-22-56081-50

worlddental congress.org

Oct 22-29

Italian, French & Spanish Rivieras Cruise

Current Dental Issues Symposium / 7-Night Cruise Rome To Barcelona On Windstar Wind Surf

Professional Education Society

877-737-7005 See Ad Page 21

pestravel.com

Feb 07-23 2020

New Zealand & Australia

Speaker/Topic: TBA

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 20

kennedysemi nars.com

Feb 15-22 2020

Sandals Grenada

Speaker/Topic: TBA

Kennedy Professional Education Seminars

877-536-6736

kennedysemi nars.com

May 14-16 2020

Singapore Singapore

ITI World Symposium 2020 Evidence And Trends For Patient-Centred Solutions: The Challenge Of Choice

ITI International Team for Implantology

41-61-27083-83

iti.org

Multiple Dates

Multiple Locations

305-944-9636 See Ad Page 11

implantsemi nars.com

Multiple Dates

Santo Domingo Dominican Republic

Live Patient Implant Surgical Bootcamp Jun 17-20 And Oct 14-17

Implant Seminars

305-944-9636 See Ad Page 11

implantsemi nars.com

Multiple Dates

Santo Domingo Dominican Republic

Live Patient Extractions Focused On 3rd Molars May 16-18, Jun 06-08 And Jul 18-20

Implant Seminars

305-944-9636 See Ad Page 11

implantsemi nars.com

Mar 13-16

Washington District of Columbia

2019 AO Annual Meeting

Academy of Osseointegration

800-656-7736

osseo.org

Mar 28-30

Santo Domingo Dominican Republic

Dental Implant Live Patient Program

Implant Seminars

305-944-9636

implantsemi nars.com

May 10

Gainesville Florida

Implant Dentistry: Current Trends In Planning, Placement And Restoration

University of Florida College of Dentistry

888-550-4590

ce.dental.ufl. edu

Jun 15-22

Italy, France, Monaco & Spain Cruise

Dental Implants: An Integral Component Of The Comprehensive Dental Practice

Continuing Education, Inc./University at Sea

866-456-9464 See Ad Page 39

continuingedu cation.net

Jul 15-28

Rocky Mountaineer & Cruise of Alaska

Emerging Technology: Streamlining Implant Therapy From Planning To Surgery, Restoration & Maintenance With Dr. Will Martin

Mindware Educational Seminars

888-574-8288 See Ad Page 19

mindware seminars.com

new CE to Implantology Unlimited placedImplant Seminars Miami: Apr 18-19 And Tampa be Jul 11-12

Just For Canadian dentists March/April 2019


MORE CE Full-access CE calendar and destinations at justforcanadiandentists.com/ce/

calendar

ce

when where

topic

sponsor

contact

website

Sep 06-08

Sydney Australia

Australian Society Of Implant Dentistry Accreditation And Fellowship Seminar

Australian Society of Implant Dentistry

admin@asid. org.au

asid.org.au

Jan 10-12 2020

Montréal Québec

Cadaver Surgical Exercises For Implantology

The Institute for Dental Excellence

844-440-8433

tideinc.ca

Mar 14-21 2020

Turks & Caicos

Speaker/Topic: TBA

Kennedy Professional Education Seminars

877-536-6736

kennedysemi nars.com

Jul 16-26 2020

Mediterranean Cruise

Dr. Sam Halabo: Building Your Practice With Implants: Enhancing Diagnosis, Placement, Cementation And Marketing

Mindware Educational Seminars

888-574-8288 See Ad Page 19

mindware seminars.com

Ongoing

Online

Dental Emergencies: Cardiac Emergencies

American Seminar Institute

866-611-5599

americansemi nar.com

Ongoing

Online

Contemporary Approaches To Antibiotic Prophylaxis In Dental Practice

MetLife Quality Initiatives Program

866-438-5472

metdental.com

Weekly to Apr 19

Whistler British Columbia

Medical-Dental-Legal Update

AEI Seminars

800-354-3507

aeiseminars. com

Mar 12

Washington District of Columbia

Restoration Of Endodontically Treated Teeth (Clinical)

District of Columbia Dental Society

202-367-1163

dcdental.org

Apr 11-12

Scottsdale Arizona

Demystifying Occlusion

866-781-0072

spear education.com

Apr 26-27

Ponte Vedra Beach Florida

Anterior Aesthetics LIVE In The Op With Dr. Jason Olitsky

480-489-5551

clinicalmastery. com

Oct 04-05

Calgary Alberta

Intro Course: Understanding Practical, Predictable Occlusion

Myotronics

800-426-0316

myotronics. com

Mar 09-10

New Orleans Louisiana

14th Annual Hands-On Facial Cosmetic Surgery Course

American College of Oral and Maxillofacial Surgeons

202-367-1182

acoms.org

Apr 06

Toronto Ontario

A Potpourri Of Oral Surgery And Implants For General Practice

DC Institute

See website

dcinstitute.ca

Dec 16-17

Minneapolis Minnesota

Office Oral Surgery: A Guided Experience For The General Dentist

University of Minnesota School of Dentistry

800-685-1418

smile.umn.edu

Mar 31Apr 07

Western Caribbean Cruise

An Orthodontic Treatment Method That Will Create The Best Profiles, Smiles And Healthy TM Joints

Continuing Education, Inc./University at Sea

866-456-9464

continuingedu cation.net

Aug 02-04

Addison Texas

2019 Gerety Advanced Treatment Mechanics Annual Symposium

Gerety Orthodontic Seminars

918-606-2809

orthodontic teaching.com

Sep 26-28

Oklahoma City Oklahoma

2019 Annual Meeting

Academy of Gp Orthodontics

800-634-2027

academy gportho.com

Education new SPEAR CE to be placed Clinical Mastery Series

PROFE

Grand Japan Cruise on Windstar

L EDUCATIO NA N IO

SO

Professional Education Society — CME/CE Cruise & Travel Seminars

SS

Alaska & Inside Passage on Princess

Rome to Barcelona on Windstar

Circle Iceland Cruise on Ponant

Norwegian Fjords on Holland America

info@PEStravel.com

CR

AR

S

1980

IN

Since

CE

Dental Healthcare Needs July 29 – August 5, 2019

E/

Dental Challenges and Updates July 14 – 21, 2019

CIETY

Visit our website for more exciting trips! • New Zealand & Australia • Egypt & the Nile • Seychelles & more!

CM

Dental Advances April 6 – 16, 2019 Last Minute Sale-Call Today!

SE

M

Orthodontics

Oral Surgery

Occlusion

Medical/Dental Issues

Implantology

ce

UI

SE & RAVEL T

Current Dental Issues Symposium October 22 – 29, 2019

Current Dental Issues in Scandinavia July 19 – August 2, 2020

Call Toll Free 877-737-7005

www.PEStravel.com

March/April 2019 Just For Canadian dentists

21

a divisio


c e calendar

Practice Management, Technology and Planning

Prosthodontics/ Restorative

Periodontics

Pediatric Dentistry

ce

MORE CE Full-access CE calendar and destinations at justforcanadiandentists.com/ce/

when where

topic

sponsor

contact

website

Ongoing

Online

Pediatric Behavior Management

Advanced Continuing Education Systems

888-844-2237

aces4ce.com

Custom

Onsite at your location

Pediatric Advanced Life Support (PALS) For Dentists

Sea to Sky Dental-Ed

778-984-0915

dental-ed.com

Apr 04-07

Anaheim (Disney) California

California Society Of Pediatric Dentists Annual Meeting

California Society of Pediatric Dentists

916-231-2142

conference. cspd.org

Apr 06

Dublin Ireland

Paediatric Dentistry Specialty Programme

Royal College of Surgeons in Ireland

3531-4022239

facultyof dentistry.ie

May 03-04

Brossard Québec

Soft Tissue Grafts

International Dental Institute

877-463-1281

idi.org

Sep 12-21

Venice & the Adriatic

Dr. Francis Serio – A Little Bit Of Everything In Non-Surgical Periodontal Therapy Peri-Implantitis, Treatment Planning

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 20

kennedy seminars.com

Sep 18

Toronto Ontario

Periodontal Plastic Surgery: Soft Tissue Augmentation For Function And Aesthetics

Prosthodontic Associates Centre for Excellence

877-920-7223

pace education.ca

Nov 02-05

Chicago Illinois

105th Annual Meeting Of The American Academy Of Periodontology

American Academy of Periodontology

312-787-5518

perio.org

Multiple Dates

Toronto Ontario

Genesis Continuing Dental Education

416-229-6002

genesiscde. com

Sep 26-28

Toronto Ontario

Canadian Academy Of Restorative Dentistry And Prosthodontics Annual Scientific Meeting

Canadian Academy of Restorative Dentistry and Prosthodontics

902-435-1723

cardp.ca

Oct 30 Nov 02

Miami Florida

Prosthodontics: Excellence At The Crossroads Of Technology And Biology

American College of Prosthodontists

312-573-1260

prosthodotics. org

Ongoing

Online

Dental Recordkeeping

College of Dental Surgeons of BC

800-663-9169

cdsbc.org

Jun 29Jul 06

Mediterranean Cruise

Course 1: The “2019 Bottom Line” - With Gordon Christensen Course 2: “Creating a Successful Practice” - With Lois Banta

Gordon J. Christensen

800-223-6569

pccdental.com

Jul 31Aug 13

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Dr. Amarjit Rihal – Digital Technology In The Modern Dental Practice

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Aug 27Sep 05

Northern & Western Europe Cruise

Comprehensive Dentistry And The Dental Team: The Pursuit Of Excellence

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Oct 26Nov 02

Southern Caribbean Cruise

Maximizing Clinical Success In Your Dental Practice: Fundamental Technologies & Proven Strategies

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new CE to be placed

Multidisciplinary Approach To Implant Prosthodontics

Didactic Sessions: Sep 20-21, Nov 08-09, Dec 13-14 Treatment Planning Session: Oct 26

For feedback, requests or to have your course featured email dentalce@inprintpublications.com

22

Just For Canadian dentists March/April 2019



travel at home

history’s harbour

In Kingston, Ontario, history 's in full regalia

story by

I

Mark Stevens + photography by Sharon Matthews Stevens

t’s early morning. The rising sun backlights the sky-reaching pines that sprout from the ridges of Cedar Island; it highlights the rippled cobalt waters of Lake Ontario with dabs of orange and pink. Those waters lap the shores of Kingston, Ontario. They nuzzle the harbour just beyond the limestone train station (circa 1855) beside a nineteenth-century locomotive, just past the neoclassical façade of city hall, an imposing building begun in 1842 when Kingston was declared the capital of the Province of Canada. Here, tour boats and sailboats and pleasure craft of every stripe strain at their dock lines like thoroughbreds in the starting gates of a horse race. I stand beside my wife, taking in the scene. I note the implacable ramparts of old Fort Henry dominating the slopes overlooking Navy Bay. Around the corner the stone remnants of Fort Frontenac, built four centuries ago, rest in peace. In the immediate foreground, surrounded by those impatient watercraft, a round stone bastion rises up from the very waters of the lake, right in the middle of this marina named Confederation Basin. It is a Martello tower, a small defensive fort erected through the empire by the British military during the Napoleonic Wars. Six stand guard in the Kingston area. We’ll visit one later today (the Murney Tower is open to the public and has three floors of military and domestic artifacts), but for now we’re happy to take in the view. We’ve just begun our homage to heritage here in Kingston, a quintessential Canadian rite of passage and our first waypoint couldn’t be more appropriate. For these are the waters of history’s harbour. But Kingston’s legacy—and primacy as a Canadian must-do—is hardly limited to this photogenic shoreline.

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Minutes later we embark on a hop-on, hop-off trolley bus tour to flesh out our history lesson. The trolley lurches into motion. We pass the site of Ontario’s oldest market, we pass the Royal Military College and Fort Henry; we drive along city streets decorated by a ransom of limestone mansions. We stop at Bellevue House, Sir John A. MacDonald’s restored residence; we climb from the trolley to check out the Penitentiary Museum. Inside we encounter grisly displays of instruments of torture, of simple tools like toothbrushes transformed into weapons. Then we cross the street to another haven of history: the “Kingston Pen.” During the prison tour, we stand in one of a collection of cells radiating outward from a central gun tower like wagon wheel spokes. We visit the segregation wing. We wonder about ghosts. Back outside these somber walls we discover another historic harbour, this one full of happier stories. In the waters outside Olympic Portsmouth Harbour, a concatenation of sailboats weaves and bobs in a huge regatta. For a short time Kingston was Canada’s capital. To this day it’s Canada’s sailing capital. During the Montréal Olympics, Kingston hosted the sailing events. After the end of our trolley tour we discover that sailing’s only one option for the energetic. On our way back downtown we notice a sign that says “Ahoy Rentals” guarding a wooden lakeshore building. We consider our options. “Book kayaks, a sailboat cruise, canoes,” says proprietor Andrew Kelm. “Book a bike, a standup paddleboard. Even do early morning yoga on those boards out on the water.” But we save that for later. For now we stroll downtown streets, planning strategy. Lunch beside the harbour? Maybe patio-dining in the shade of a limestone carriageway?

Just For Canadian dentists March/April 2019

Buglers sound the start of the weekly Fort Henry Sunset Ceremony below, from left St. George’s Cathedral, venue for free summer concerts; The Trolley (stopped at the Penitentiary Museum) offers a great Kingston overview; Kingston’s a sailor’s paradise, host to numerous regattas


travel at home

if you go

For all the information you need for your lesson in history, from accommodation packages and guides to the area’s 26 museums and historic sites, log on to: visit kingston.ca.


travel at home

Fair winds at the east end of Lake Ontario

An artillery display is a regular highlight at old Fort Henry

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sudoku 2 harder solution 5 8 6 4 3 9 7 1 2 9 2 3 1 7 6 5 8 4 7 4 1 8 2 5 3 6 9 4 3 8 2 5 7 6 9 1 1 9 7 6 8 3 4 2 5 6 5 2 9 4 1 8 3 7 2 6 4 7 1 8 9 5 3 3 1 9 5 6 4 2 7 8 8 7 5 3 9 2 1 4 6

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Just For Canadian dentists March/April 2019

solution from page 37

A Martello tower in Kingston—proof positive this is history’s harbour

solution from January/ February 2019 contest

The Thousand Islands…of which there are actually almost 2,000

Then we register the sound of music emanating from St. George’s Anglican Cathedral (circa 1828) and we forego lunch (for now), marching instead into the church to be serenaded by a professional string quartet in a noontime concert. Tonight we’re lured, in a bar mere metres from the water’s edge, by jazz riffs. We stop in for a drink at Monte’s, tapping our feet to the samba grooves of the 20th Century Jazz Band led by local musician Craig Jones. We while away the evening in a rustic bar lined in dark wood and those ubiquitous limestone walls. And now I realize that Kingston’s allures are not limited to history or outdoor pursuits. “Kingston punches way above its weight when it comes to the arts,” says Josephine Matyas, a local travel writer. Matyas, who has written for Kingston Life for 17 years, explains: “The university here creates an interesting mix of people who demand a rich culture. Kingston delivers: from great music to a wealth of galleries to artist studios to dance.” But the wealth of history and culture doesn’t end here. It flows east as surely as the nearby St. Lawrence River. In Gananoque we book live theatre at the Gananoque Playhouse, a historic waterside venue that offers a whole summer playlist of shows. The surrounding waters are rife with stories. Throughout the Thousand Islands, landforms are named for navy ships and admirals, and a nearby cove is where the French ambushed the English in 1760 and pirates hid their treasure and rum-runners found secret lairs for their liquid loot. Appealing as this adjacent region is, I desert it with regret to spend our final night at the Sunset Ceremony at the Fort Henry National Historic Site. So back to Kingston. The parade square soldiers in scarlet tunics quickstep, boot leather slapping the tarmac. They form a battle formation; they split into opposing groups. Gun crews trundle cannons in massive carriages across the square. Now artillery barrages reverberate inside the fortress walls. Fire exploding from the barrels of 50 muskets lights up the night sky. Gun smoke shrouds the parade ground. We see history, we hear history, we taste it on our very tongues. As night falls, the soldiers lower Canada’s flag followed by a bugle dirge. We march from the fort, stopping on the ramparts for one last look. We take in Kingston city hall’s dome across Navy Bay, illuminated in the evening, sky-reaching church spires, moondappled rippled waters. The waters of history’s harbour.

sudoku 1 easier solution 7 3 9 5 8 1 6 2 4 5 6 8 4 3 2 7 9 1 1 2 4 6 7 9 3 5 8 3 5 6 8 9 7 4 1 2 9 8 2 1 4 3 5 7 6 4 7 1 2 5 6 8 3 9 2 1 5 7 6 8 9 4 3 6 4 3 9 2 5 1 8 7 8 9 7 3 1 4 2 6 5

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Riding The DSO Wave

HENRY DOYLE & DEREK HILL

I

n Canada, only four percent of dental practices are owned by Dental Service Organizations (DSO). Over the next few years, if Canada reaches half the number of DSO owned practices as in the United States, this would equate to approximately 1,800 practices moving from private ownership to corporate ownership. When big changes like this happen, big opportunities follow. However, you must be prepared and equipped in order to take advantage of those opportunities. A few months ago, we had the opportunity of spending a couple of days with about 100 Canadian dentists, all of whom own two or more practices with intentions of purchasing more. Some have been very successful and some not as much so, but very few had any clear direction as to why they were buying multiple practices. Almost all of them, however, envisioned selling to one of the big DSO’s at some point in the future. These discussions inspired us to develop a platform for small DSO’s that would lead them through the process of starting, growing and ultimately selling their networks. Let me share some of the highlights of that program. The first order of business is to develop your objectives. Surprisingly, the majority of small DSO owners don’t really know why they are developing a network beyond the fact that it is a popular idea. However, the real question is - how can you possibly buy the right practices if you don’t really know why you’re buying them in the first place? Developing clear objectives, similar to developing a meaningful Mission Statement, is not always the easiest thing to do. The reality is, if you don’t have objectives, then there is no foundation upon which to build an acquisition strategy; and without an acquisition strategy you have no real path or focus. The lack of direction raises the risk of meandering off the road to success. Once you have determined where you want to go and why, the next step is to make sure that what you already have is working. If your practices aren’t generating a net profit of 25% to 30% of gross after paying all the dentists, then you need to stop and make some corrections. Let’s suppose your practices are working well and you decide

to buy more; do you know what your next purchase should look like? If you want “A” practices but you actually have “B” practices, then buying another “B” practice is just going to give you more “B” practices.

5 Introduction to “mid-market” banking connections that will provide the opportunity of increasing your current acquisition lines of credit by a factor of 2 or 3.

Let’s assume that all of your practices are working profitably, you know why you are buying and what you are looking for, but are you are close to your borrowing limit? Do you have a plan to get mid-market financing ($15M to $25M)? Without solid financing, your expansion plans could come to an abrupt halt. Let’s go one step further and suppose that you get past all of this, do you know how to sell at a high multiple and get a return on investment of over one hundred and ten percent? If any of your answers are no, don’t worry, there is a way to make all of this happen.

6 Comprehensive practice enhancement services provided by some of the best business coaches in North America.

Dental Practice Consolidators (DPC), a division of Heaps & Doyle, has developed a nationwide program that can guide you successfully through the complete process of starting, growing and selling your network of dental practices. DPC has assembled a team that includes brokers, consultants, an in-house lawyer, leasing experts, associate recruitment services, banking connections and over a century of combined experience. This program has been designed to provide entrepreneurial dentists with a DSO platform that includes all of the professional support and guidance needed to create a highly successful dental network - including specific objectives and a pre-planned end game.

7 Access to a dedicated Associate recruitment program to ensure you always have the professional strength that you need. 8 Leasing experts ready to help with the ever-present ‘toxic’ lease problems. 9 Access to sophisticated sales strategies to ensure that when it’s time to sell any of your practices, you will be able to sell them at multiples of 8 times and above. To get a sense of the impact this could have on your holdings, imagine you bought a practice with EBITDA of $400,000 for a 5.5 multiple. Your investment would have been $2.2M. Now increase your EBITDA by 50% and sell the practice for an 8.0 multiple. Your sale price would be $4.8M; more than doubling your original investment and likely in less than 4 years. Double your EBITDA to $800,000 and you could sell the practice for as much as $6.4M.

If you would like to learn more about Dental Practice Consolidators we welcome you to attend the DPC seminar on June 1; please reach out to info@DPConsolidators. As a member of this unique com for more details on the event. organization, you gain access to: 1 Intensive coaching and guidance as it relates to creating, clarifying and Henry Doyle is the owner of Heaps & documenting goals and objectives – a Doyle (Al Heaps & Associates, Hill Kindy, ExperDent, Associates on Demand, Dental blueprint to a successful network. Practice Consolidators).

You can reach

2 Advice and guidance with respect to him at 604-724-1964 or by email at henry@ the most effective way to structure the heapsanddoyle.com ownership of your network.

Derek Hill, CPA, CA., is Broker of Record for

3 Creation of acquisition parameters Hill Kindy and has over 30 years in dental tailored uniquely to the objectives of practice evaluations and sales (www.hillkindy. com). You can reach him at 905.932.3403 or your network. 4 Access to select private sales that meet your acquisition criteria.

by email at dhill@hillkindy.com.

Advertising Feature


Mr.Thirsty® One-Step: Your Solution To The Dental Assistant Shortage KAY HICKEY, LDA

I

have a feeling that many of you reading this will be able to relate to the frustrations many dental offices are dealing with. As a product specialist at Zirc Dental Products, my colleagues and I work with dental professionals every day discussing how we can help improve efficiencies in their practices. We are hearing more and more dentists complain that they have unsuccessfully been trying to hire dental assistants and they are struggling to even get applicants. In fact, I am a licensed dental assistant and left clinical practice about three and one half years ago to take this position at Zirc. The dentist that I worked for still hasn’t found a permanent replacement for me, and they continue to work shorthanded. You, as a dental professional, know just how busy and stressful it can be to even have one of your team members call in sick. Imagine having to go in to work day after day to that kind of hectic environment. It negatively affects the practice, from the dentist to the patient, and everybody in between. Because I can relate to how it feels to be in their situation, I was feeling their pain. So, I looked to Google to research just how bad the shortage of dental assistants is. According to the College Foundation of North Carolina, “The dental industry is in critical need of dental assistants,” says Karen Spradlin, a dental assisting instructor with the Cincinnati Dental Assistants Society. “There is a severe shortage. One dentist told me that I could have 122 dental assisting students this year and it wouldn’t be nearly enough to cover what the industry in Ohio, Indiana and Kentucky needs. The

M r.

Th

irs ty®

O n e-S

tep

demand is exceedingly greater than the supply.” The Bureau of Labor Statistics states “employment of dental assistants is projected to grow 19 percent from 2016 to 2026, much faster than the average for all occupations.” The ramifications of assistant shortages are plenty. Patients will have to wait longer for appointments, and appointments will last longer because the dentist will be working without an assistant. This will decrease production and it is likely that the quality of care will decrease as well.

sucking spit and wrestling tongues! There is patient education, post-op instruction, impressions, fabricating bleach trays and mouth guards, room turnover, sterilization, inventory management, equipment maintenance, radiographs, charting, and the list goes on and on. For example, if you have a crown prep appointment scheduled at 3:00, but an emergency patient was squeezed in at the same time, the dentist can start the crown prep with Mr.Thirsty® while the assistant can seat the emergency patient, review their health history, take preliminary notes, and get a radiograph. I can recall on many occasions ...Mr.Thirsty ® One-Step, a that a patient would be scheduled to come in to get a retainer or bleach tray that I hadn’t hands-free, isolation and had time to finish. It would stress me out evacuation device. You trying to figure out when I was going to get simply hook it up to your it done before the patient arrived, all while existing HVE valve. performing my other duties and assisting the dentist. How nice it would have been to have Unfortunately, I do not have the answer an isolation device like Mr.Thirsty® so the on how to solve the dental assistant shortage. dentist could work on a patient while I took the Dental assistants are crucial to a productive time I needed to fabricate the dental appliance. and successful practice, not to mention the patient’s experience. With that said, Zirc has Hygienists would benefit from using a great product to help dental providers that Mr.Thirsty®, too. Hygienists usually don’t are dealing with this problem get through get an assistant. Using the Cavitron, or their busy days a lot more efficiently while trying to do sealants by yourself can be relieving stress. really tricky, especially if you are dealing with a patient who gags easily or has a strong Zirc’s core focus is to make dental or wiggly tongue! By using Mr.Thirsty®, the practices happier and more efficient! An hygienist would finally get that third hand example of this would be Mr.Thirsty® One- they always wished for! Step, a hands-free, isolation and evacuation device. You simply hook it up to your existing Whether you are short staffed, or just HVE valve. It has built in bite block that will want to find a solution to create better comfortably hold the patient open, retract the efficiency and less stress during your work tongue, protect the cheek, all while providing day, Mr.Thirsty® One-Step is the answer. You continuous suction. If that sounds a lot like will find that you will save up to 29% chairwhat your assistant would be doing while you time to create a more productive practice, all are prepping a tooth, it’s because it is! I wish while providing a better patient experience. I would have known about Mr.Thirsty® when I was working in the clinic. I can think of so many occasions when Mr.Thirsty® would have made such a difference throughout the Kay Hickey is a Product Specialist at Zirc course of a day! Not only when we were short Dental Products. She is a licensed dental assistant and spent over 25 years in a staffed, but a whole lot more! Often times when I am demonstrating Mr.Thirsty® to dental assistants, the initial reaction I get is “So, what am I supposed to do if the dentist uses Mr.Thirsty®?” or, “I am being replaced by this gadget?” Let’s think about that for a minute. What is the job description of the dental assistant in your practice? I can assure you it is more than

Family and Cosmetic Dental Practice. Kay is a former dental assisting educator and taught in classroom, laboratory and clinical settings. She served on the Minnesota Dental Assisting Board and is a former member of the American Dental Assisting Association. Email: kay@zirc.com Direct Phone: 763.251.3029 800.328.3899 / www.zirc.com

Advertising Feature


t h e w e a l t h y d e n t i s t Ma n f r e d p u r t z k i Manfred Purtzki, CPA, CA, is a principal in the Vancouver office of Purtzki Johansen & Associates. He can be reached at: Manfred@purtzki.com or 604-669-7558.

The battle of the lease

A well-negotiated office lease is one of the most crucial documents of your practice

A

lease agreement is one of your practice’s most important documents. It not only governs your relationship with the landlord while you own the business, but can also impact the selling price of your practice. A demolition clause, for instance, can significantly reduce the selling price of your practice, or prevent a sale altogether. Also, many lease agreements prevent you from assigning your lease to a new owner, along with the release of your personal guarantees. (And see “Practice Management” on page 30 for yet another possible problematic clause in a lease agreement.) When negotiating a lease or lease renewal, here are some tips. 1 Ensure the lease term plus renewal periods total a minimum of 20 years. 2 Most lease contracts are drafted in the landlord’s favour. There is no such thing as a “standard lease,” so treat every provision as negotiable. It’s imperative that your lawyer formulate any proposed changes to the contract and negotiate them with the landlord’s lawyer. 3 Count on the fact that your landlord will never want to talk to you again about the lease once it’s signed, so make sure you don’t leave any outstanding issues to be resolved after the execution date. For example, if the landlord is willing to give you

extra, designated parking spots, make sure this is stipulated in the lease document.

result of landlord negligence. Resist attempts to indemnify the landlord against claims.

4 Try to convince your landlord to register your lease against the title of the property. This will protect you against a termination of your tenancy in case the property is sold.

9 Ensure the landlord cannot exercise a demolition clause for at least 10 years because banks will only amortize practice purchase loans over a lease’s nondemolition period. Since most practice loans are amortized over 10 years, banks look for at least that much time of undisturbed tenancy.

5 Negotiate a “tenant inducement,” which can take the form of a cash contribution by the landlord to help finance leasehold improvements or an equivalent reduction in lease payments. 6 Check the renewal terms. The lease may stipulate the rent will be based on fair market value, but not at a level less than your current rate. This prevents a tenant from renewing at a lower rent even if the leasing market has softened. The renewal should be subject to arbitration. 7 Have your legal counsel review any destruction and demolition clauses. If the premises are destroyed by fire and the landlord has the right to restore the premises, make certain that the lease stipulates that repairs must be done within a reasonable period. Alternatively, you should have the right to terminate the lease and move to another location. 8 Be aware of any clauses that protect the landlord from any claims that patients may have if they’re injured on the premises as a

10 Make sure the lease can be assigned to another dentist or it will be 10 tips when impossible to sell your negotiating practice. A landlord your practice can arbitrarily withhold consent or object to the assignment on the basis that a purchaser is not as financially strong as an existing tenant. An ideal assignment clause allows you to sell to another dentist without the landlord’s consent. When granting an assignment, the landlord should also release you from your personal guarantees.

lease

If this sounds onerous, remember that the one chance to get lease conditions that work for you is at the beginning. It’s better to pass on a property and keep looking than sign a deal that will hobble you and your practice for years to come.

at your

YOUR AD HERE!

T E

604-681-1811

info@advertisinginprint.com

For Canadian Dentists of British Columbia

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Use this space to deliver your message to 14,500 dentists across Canada.

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March/April 2019 Just For Canadian dentists

29


practice management Timothy A. Brown Timothy A. Brown specializes in dental practice appraisals, brokerage, consulting, locum placements, associateships and practice financing across Canada. You can reach Timothy at timothy@roicorp.com.

Landlord woes…again As a practitioner, you’re at the mercy of your landlord

W

hile selling a practice in the Greater Toronto area, the landlord got a little irrational. The original lease that our client and the vendor signed about 15 years ago, included a two-kilometre non-compete radius clause. Basically, this meant that the tenant dentist could not open or operate at another location within that distance. It’s a common stipulation for new properties because landlords don’t want tenants to relocate nearby and become competition, driving customer traffic flow away from their property. Unfortunately, after many years (in this case 15!), such a clause lacks merit and prevents any subsequent dentist from buying and taking over a practice and potentially

relocating it within the two-kilometre radius when the lease expires. In this particular instance, the buyer was annoyed that he would not be able to practice anywhere within two kilometres; while he has no immediate intentions to relocate, he doesn’t like the restriction. We attempted to negotiate the removal of that outdated clause. The landlord refused to budge but offered a concession. In exchange for removal of the clause, the purchasing dentist was asked to exercise a future five-year renewal option, turning the existing lease into a fixed term of almost nine years, with no option to cancel. Does this sound like blackmail? Reluctantly, the purchaser agreed in order to get rid of the two-kilometre clause,

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Just For Canadian dentists March/April 2019

Your landlord has the

power

but now he’s committed to this location at $9,000 per month for the next nine years. Again, this purchaser has no intentions of relocating. Yet, because he was turned off by the two-kilometre clause, the landlord extracted a pre-renewal commitment in exchange. The entire process seems arbitrary and unfair. And here is where it really gets quite strange. This same landlord has now also asked that the purchaser’s automotive insurance policy be amended or specifically designed to include protection from the landlord’s property. In my entire career, I’ve never heard of anything like this and I don’t know what the landlord is trying to achieve. Most people would agree that property insurance covers the event of a vehicle connecting with a building and causing damage. And automobile insurance protects the vehicle and driver from any occurrence that results from the building or property. All of the automobile policies of anybody who visits the property (thousands of vehicles every week) would cover these types of incidences. Again, it makes no sense. This case just reveals that landlords are fiercely protective of their properties and willing to ask for clauses and amendments to old, out-ofdate leases—arbitrary additions that haven’t been seen before in the marketplace. If you rent your space and signed a lease 10 or more years ago, there’s a high probability that it includes outdated clauses that may be harmful to the sale of your business or, at the very least, a source of much consternation in negotiations. If you own your space, design a premise lease now. Don’t wait until you’re selling the practice and leasing the space back to the purchaser. Contact your lawyer and accountants, who’ll also advise that tenants, such as a dental professional corporation, have a lease with the landlord, even if the shareholders are one and the same. (See page 29 for more on lease agreements.) As a practitioner, be aware of the bottom line: the landlord is in the position of power when it comes to the value and sale of a professional healthcare practice.



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Serving the Canadian Health Sciences Community for over 25 years


RECEIVE 10% OFF YOUR ORDER AT LB.CA/DENTISTRY

Use Marketing Code DENT19 at checkout and receive 10% off each book featured in this ad. Offer valid online only until April 30, 2019 from lb.ca and Login Canada’s Health Sciences Affiliate eStores.



diversion

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20% Benzocaine for fast, temporary relief of occasional minor irritation and pain associated with: • Minor dental procedures • Minor injury of the mouth and gums • Minor irritation of the mouth and gums caused by dentures or orthodontic appliances • Sore mouth and throat • Canker sores

Solve puzzle #2 for a chance to win a $50 Amazon gift card! Each sudoku puzzle has a unique solution that can be reached logically without guessing. Fill in the grid so that every row, column and 3x3 square contains the digits 1 through 9.

HurriPAK™ Periodontal Anesthetic Kit is a great alternative to local injection prior to root planing and scaling or full mouth debridement. Whether scaling an entire quadrant or an isolated area, HurriPAK allows dispensing only the amount of liquid needed, so no product is wasted. Plastic irrigation tips enable effective sub-gingival application of HurriCaine® Topical Anesthetic Liquid and are gentle to soft tissue. • Needle-free periodontal anaesthesia • Works within 30 seconds • No prefilled carpules - you determine how much you need • Pleasant tasting - Wild Cherry and Piña Colada flavours

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sudoku 2 harder solution in next issue

sudoku 1 easier solution on page 26

$50 Amazon Gift Card winner: Dr. Colin Wiebe from Calgary, AB

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HurriView® and HurriView II® will help you show patients where they have plaque build-up & help motivate them to improve their oral hygiene routines. • HurriView highlights where improved oral hygiene is needed • HurriView II highlights old plaque in blue and new plaque in reddish-pink • Individually wrapped • In-office evaluation or dispense for home use • Available in boxes of 72 • No messy rinses or tablets!

To place an order, contact your preferred supplier or contact your Canadian Representative at 1-519-766-6343. www.beutlich.com HurriCaine, HurriView and HurriView II are registered trademarks of Beutlich® Pharmaceuticals, LLC. HurriPAK and Snap -n- Go are trademarks of Beutlich Pharmaceuticals, LLC. CDA 748 0119

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7 2

Sudoku Contest entry form (solve + send in sudoku!)

6 3 8

3 1 2

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Name: __________________________________________________________ Address: ________________________________________________________ City, Province, Postal Code: _________________________________________

E-mail: _________________________________________________________ Tel: ____________________________ Fax: ____________________________ sudoku Contest Rules:

1. Entry form must be accompanied with solved puzzle. Only correctly solved puzzles entered into random draw. 2. Send puzzle + entry form to Just For Canadian Dentists, 200 – 896 Cambie St., Vancouver, BC, V6B 2P6 or fax 604-681-0456. Entries must be received by April 5, 2019. 3. Prize: $50 Amazon Gift Card. 4. Contest can be changed and/or cancelled without prior notice. 5. All entries become property of In Print Publications. 6. Employees of In Print Publications and its affiliates are not eligible to participate. 7. In Print Publications is not responsible for lost or stolen prizes.

March/April 2019 Just For Canadian dentists

37


pa r t i n g s h o t

dr. Domenico Aversa of Windsor, ON, took this photograph of a leopard while on a safari in Kruger National Park, South Africa, January 2010. His friends call it his National Geographic photo… We agree.

This beautiful creature had been feeding on an impala, which it had hung over a tree branch about 15 to 20 feet above the ground. As we approached in our Land Rover, it climbed down from the tree and attempted to hide in bushes at the base of the tree. I was able to catch its magnificent face peering out at us.”

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Just For Canadian dentists March/April 2019

photo details

Canon EOS D30, EF 75-300 f4-5.6 USM lens taken at 300mm, ISO 400, 1/125 sec, f5.6

Dr Domenico Aversa

Have a “wow” photo you’d like to share and potentially see published in Just for Canadian Dentists? Send a high-resolution image to feedback@ inprintpublications.com, along with a few words on the context of the photograph (including time, place, technical details and equipment/gear). We want to see what you’ve captured on your travels!


For more information Call 866-456-9464 or visit www.ContinuingEducation.net Continuing Education, Inc. University at Sea®

Dental Implants: An Integral Component of the Comprehensive Dental Practice

7-Night Italy, France, Monaco & Spain June 15 - 22, 2019 From Rome, Italy to Barcelona, Spain Celebrity Edge Integrative Dental Medicine: The Next Great Frontier in Dentistry May 16 - 26, 2019

10-Night Ireland and Iceland Cruise Conference Round-trip Dublin, Ireland Celebrity Cruises’ Celebrity Reflection

Treating the Apprehensive Dental Patient, Medical Emergencies and Practice Jewels You Can Use on Monday May 31 - June 7, 2019 7-Night Alaska Cruise Conference Round-trip Seattle, Washington Celebrity Cruises’ Celebrity Solstice

Comprehensive Dentistry and the Dental Team: The Pursuit of Excellence

9-Night Northern & Western Europe

August 27 - September 5, 2019 From London, England to Lisbon, Portugal Azamara Journey Pediatric Dentistry

July 28 - August 4, 2019 7-Night Western Mediterranean Cruise Conference Round-trip Barcelona, Spain Royal Caribbean’s Oasis of the Seas

Oral, Maxillofacial & Head and Neck Pathology October 6 - 13, 2019 7-Night Eastern Caribbean Cruise Conference Round-trip Fort Lauderdale, Florida Royal Caribbean’s Allure of the Seas

Introduction to Sleep Medicine from the Perspective of Medical, Dental and Mental Health October 20 - 27, 2019 7-Night Mexican Riviera Cruise Conference Round-trip Los Angeles, California Norwegian Cruise Line’s Norwegian Bliss

Maximizing Clinical Success in Your Dental Practice: Fundamental Technologies and Proven Strategies October 26 - November 2, 2019 7-Night Southern Caribbean Cruise Conference Round-trip San Juan, Puerto Rico Celebrity Cruises’ Celebrity Summit

Cosmetic Pearls for the General Dental Practitioner July 26 - August 2, 2019 7-Night Alaska Cruise Conference Round-trip Seattle, Washington Celebrity Cruises’ Celebrity Solstice

Selected cruises listed here. See a complete program listing at www.ContinuingEducation.net Please visit our website for current CE Program Approval Statements, current fees and cancellation policies.

Call 866-456-9464 or 727-526-1571 or visit www.ContinuingEducation.net Florida Seller of Travel Reg. #14337


TITANIUM Round or rectangular mirror / clock in extraclear mirror glass with 20 mm bevel. Also available in smoke-grey mirror or in Antique Mirror or in Marble glass. Roman numerals in smoke-grey serigraphy and hands in titanium. Optional back LED lighting

221 10 Ave SW Calgary, AB 403.262.6813 luxuriesofeurope.ca instagram: @loeyyc