Just For Canadian Dentists Sep/Oct 2016

september/ october 2016

life + leisure

explore the unexpected in

japan win $50 Visa Gift Card page 37

on the edge in

Cape breton

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september/october 2016

september/October 2016 Publisher Linh T. Huynh Editor Barb Sligl

Art Direction BSS Creative

Contributing Editor Janet Gyenes Editorial Assistant Adam Flint Contributors Timothy A. Brown Yvette Cardozo Michael DeFreitas Janet Gyenes Stacey McLachlan Manfred Purtzki James Ross Dr. Kellen Silverthorn Barb Sligl Roberta Staley

Cover photo Stacey McLachlan

19 31

Senior Account Executive Monique Nguyen

Account Executive Wing-Yee Kwong

Production Manager Ninh Hoang Circulation Fulfillment Shereen 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

FEATURES

19 Big in Japan for offbeat discoveries and adventures 31 On the edge on the Cabot Trail in Nova Scotia COLUMNS

DEPARTMENTS

12 photo prescription

5 September/October mix 23 CE calendar 37 sudoku 38 small talk

In the Amazon

clockwise from top left: stacey McLachlan; JAmes Ross; stacey McLachlan

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15 pay it forward Emerging from genocide

18 the thirsty dentist

From farm to bottle

Dr. Huma Rohan

35 practice management

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Why a business plan is critical

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cover photo Biker gang. On the road to explore Tottori’s sand dunes in coastal Japan…followed by an afternoon pint of Sapporo bīru (page 19).

September/October 2016 Just For Canadian dentists

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from the editor Exploring the central coast of BC means a lot of stopping amidst spectacular scenery to simply stare in awe.

Story on page 30.

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Just For Canadian dentists September/October 2016

he air is cooling but your feet may be getting itchier. Because after what’s hopefully been a leisurely summer—whether lounging dock-side or on your patio—you might just be thinking about going beyond the backyard. The autumn vibe is about back-to-school or -work, wherever that may take you. It’s time to explore again.

First stop: Japan. Far across the Pacific is another world. One you might not expect. There’s more than Tokyo…take the less-known path to tour kooky art, bike to sand dunes, sip sake with locals and sample copious amounts of ramen (page 19).

Go farther west (or east, depending on where you’re coming from) and discover all the tea in China…or at least the coveted Dragon Well variety in a tea village in Hangzhou (page 5).

Closer to home, on the east coast of Canada, get edgy on the Cabot Trail (page 31). Famous yet still inauspicious enough that you can chant with monks on a clifftop overlooking a seemingly endless expanse of ocean. And, this being Nova Scotia, there’s the requisite lobster feast, in which you can now indulge right on the beach in Cape Breton Highlands National Park as part of a new Parks Canada program. Yum! In Europe, Munich is hopping with beer lovers in lederhosen for Oktoberfest, but there’s another side to this Bavarian city besides beer gardens and BMW’s headquarters (both worthy of visits, of course). Like a stunning new minimalist museum that solemnly and starkly documents the Nazi past (page 23), or a nearby historic—and rather posh—resort that hosted last year’s G7 Summit (page 9). Oh, and back to beer, there’s a brewery in the award-winning MUC airport.

It seems that fall is about channeling that nomadic spirit (see pages 6–7 for traveller must-haves) and getting back out into the great wide world. So, pack your camera and head to the Amazon (page 12) or take a trip to your local farm-to-bottle brewery (page 18). It’s all an adventure. Embrace it!

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

what/when/where > September/October

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

taste

tour

time in

china

yvette cardozo

Including Dragon Well at a tea village in Hangzhou‌

sip + sample

tea

mix

September/October 2016 Just For Canadian dentists

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mix

September/October

on the move

Tasting (and eating!) become a tea in Hangzhou nomad

if you go The best time to visit Hangzhou is fall or spring. Summer temperatures can hit

over 35 degrees. Winter is cold and can be rainy. Peak time is spring (mid March to early June).

Most people fly into Shanghai from which it’s 45 minutes by bullet train (at speeds up to 250 km/h) to Hangzhou. For information on Hangzhou: e.gotohz.com. For Meijiawu Tea Village: visitourchina.com/hangzhou/attraction/meijiawu-tea-village.html. good to know China blocks virtually all social media. You can’t access Facebook, Instagram, Twitter or anything connected to Google, so save your posts for back at home.

old world

tradition

6

Just For Canadian dentists September/October 2016

“N

ot all those who wander are lost.”

The words from J. R. R. Tolkien’s Lord of the Rings tome have long fired the imagination of travellers. While this line is integral to the plot of his epic fantasy novel, another book spurs a more permanent quest, one rooted in reality. The New Nomads: Temporary Spaces and a Life on the Move, by Robert Klanten and Sven Ehmann, explores how today’s digital of globetrotters guide generation have become more mobile.

Rather than dropping out, these entrepreneurs are very much plugged in and taking advantage of a high-tech life in which the whole world is their home. Flexible work spaces, multi-use objects and sustainability— all integral parts of this trend of living and working differently— are explored in this book. $53, Amazon.ca —Janet Gyenes High-tech style Smart watch or stylish timepiece? You can have both, thanks to a creative collaboration between Apple and Hermès. Available in 38 mm and 42 mm stainless steel cases (with other customizwear able options) and paired with an Hermès signature leather strap, Apple Watch lets you indulge both chic and geek. Choose from single tour (shown in the Capucine colour) or double tour in a new array of hues, such as Peacock blue and Pewter, so you can change-up your look with ease. —J. G. Apple Hermès watch, from $1,500; bands from $410. apple.com/ca

far left: yvette cardozo (2)

S

ilk, tea and porcelain go back thousands of years in Hangzhou, a city in southeast China not far from Shanghai. Here, you can paint parasols, carve delicate chops (also called seals and used as stamps), visit tea plantations…almost any kind of cultural workshop. I pick tea. And more importantly, learn how to properly brew it.

Meijiawu Tea Village sits at the west end of Hangzhou’s beautiful West Lake. Once poor, the village now is famous for its Longjing (Dragon Well) green tea. So famous, it gets a million visitors a year.

Though the Chinese government owns the land, family-run plots cover the hillside, which sip+ looks like a waist-high carpet of tea plants so thick that you could walk atop it. Families sample plant, harvest, process and sell tea for their own profit.

The tea plants take three or four years to mature and then last a good quarter century, producing top-quality leaves. The best tea comes from plants at the top of the mountain. And the best harvest time is at dawn during March and April, when the cold and rain of winter has ended and the blistering 38-plus degree summer heat has yet to start.

“We pick only the very young leaves,” says Yuan Le Ha, holding a delicate yellow tea blossom. She points to the tiny, light-green leaves. These are “cooked” in an electric wok, stirred constantly for three hours, after which they’re set on a roof to dry in the sun. After another round in the wok and sun they become Longjing green tea (below, right). Green tea is not fermented, unlike black tea, Le Ha explains. And you do NOT steep green tea in boiling water; the ideal temperature is 80 degrees. Your first cup should be for sniffing, not drinking (Le Ha demonstrates, below left). And never steep green tea covered. “That will destroy the nutrients,” she says.

Le Ha follows with a graceful tea ceremony in which she warms the glasses and carefully prepares and pours the tea. The ritual is worthy of an entire meal. And, as one local tells me, “Here we say we don’t drink tea, we eat it, because we eat the leaves.”

Alas, to me, it looks much like cooked spinach and tastes like it too. But everyone else experiencing the tea ritual and tasting raves about it. So I’m happy to bring home a collection of beautiful tins filled with the tiny green leaves—as gifts. —Yvette Cardozo

go deeper

September/October

Ditch the 9-to-5 but stay connected on the road Written + produced by Janet Gyenes sea change We’ve all been there: sitting on the shore watching sailboats skim across the sea, ogling yachts destined for deserted beaches. Nowboat, described as an all-in-one digital seafaring platform, has made it easier for adventurers and professional boat operators to connect safely and easily.

Created by kite surfer Giovanni Alessi Anghini, the tech company invites comparison to tech disrupters, but Anghini dispels such notions, saying “we built Nowboat as a commitment to support the existing business system of seafaring operators, adventurers, and NGOs by including them in the equation—a need in this particular industry.”

Waterbound travellers can find and book their trip online or through Nowboat’s app and use the new Ask a Porter function to customize excursions based on their level of adventure or relaxation, time and budget. Operators are availed the use of business tools to offer original trips like snorkelling Phuket’s west coast on a longtail boat, kite surfing in the Philippines or cruising to Greece’s Zakynthos Island. nowboat.com

Navagio Beach, Zakynthos Island power tripping There’s a downside to the craze to be connected when travelling: wireless devices eat up energy and often need to be refuelled en route. Suitcases are rising to the occasion and almost acting as personal travel assistants with smart design and thoughtful touches.

From RIMOWA comes the revolutionary Electric Tag line that talks to your airline (exclusive gear actually to Lufthansa, with plans to expand), streamlining the luggage check-in and drop-off process to seconds. The rugged, tamper-proof case uses the world’s first integrated digital data module to replace the paper label: you can check-in using the smartphone app, connect your luggage and send a digital tag to your bag.

Bluesmart’s eponymous TSA-compliant carry-on has a built-in charger to juice up your device at least six times. Its smartphone app lets you track your bag as you globe-trot— hopefully together. If not, rest (somewhat) assured that you can use the app to lock your bag. It’s even smart enough to lock itself once you leave its side. Another bonus: a scale that lets you know if those tins of pâté have fattened your case too much.

Another choice is the affordable Carry-On by Away (two of its founders have Warby Parker cred), which promises “first-class luggage at coach prices.” It sports two USB ports for charging multiple devices, plus an interior battery that you can re-charge overnight in your hotel.

1

RIMOWA Multi-wheel Electronic Tag 63 (in Topas) 68 x 45 x 28.5 cm; 4.6 kg $1,190, rimowaelectronictag.com

2

Bluesmart One Carry-On 56 x 35.5 x 22.9 cm; 4.3 kg From $590, bluesmart.com

choose your adventure

Plugged in

mix

3 Away Carry-On 55 x 34.5 x 22.3 cm; 3.3 kg $296, away.com

travel

ease

September/October 2016 Just For Canadian dentists Just For Canadian dentists7

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Tel: 604-525-4667 OpenRoadHonda.ca

to the Schloss!

Bavarian beauty

4

3

schloss

elmau

wish list

2

barb sligl

5

mix

September/October

6

W

hen the G7 Summit took place at Schloss Elmau last year, just outside Munich (see page 23), the historic château feted the likes of President Obama and Chancellor Merkel. Billed as a luxury spa retreat (it has a massive hammam) and “cultural hideaway,” 1 it’s a bit of hedonism for the cerebral type, complete with the largest independent bookstore in a hotel anywhere.

getaway

1

Award-winning authors like Ian McEwan and T. C. Boyle come here to give lectures or just escape for a while. It makes sense that this is where the world’s leaders convened to sort through global issues. If you could solve problems anywhere, it might be here, with the bucolic backdrop of the Bavarian Alps, surrounded by forest and blooming gentian 2 .

Schloss is the German word for a château- or

palace-like building. And this, a baby by European standards (it’s celebrating its 100th anniversary of completion this year), evokes all the charm of a country manor: set on a meadow overlooking the Wetterstein mountains 3 , there are some 60+ hiking trails and even an alpine hut, the adorable 1927 Elmauer Alm-Hütte.

And yet this place is seriously posh (with celeb devotees like Hugh Jackman, who decamped

here for a month).

There’s a concert hall which transforms to the ultimate conference room 4 , infinity pools (yes, plural) 5 , a Michelin-chef-helmed restaurant and very slick bar 6 serving haute cocktails (try the Hugo with elderflower…).

And for those wanting to channel some G7-level introspection there are 25 yoga retreats that take place here each year. Sign me up. —Barb Sligl

if you go Schloss Elmau is 100 km south of Munich, nestled in the Bavarian Alps. And, while it’s one of Germany’s top retreats, this Bavarian beauty is still relatively undiscovered. schloss-elmau.de.

September/October 2016 Just For Canadian dentists

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mix

Zen kids

September/October

Mysti ca Daisi e l s

gift idea

Channel some Zen into your busy life by outfitting your little ones in Japanese-inspired onesies and playsets from Redfish Kids. The new fall collection from the Vancouver-based company draws its street-style aesthetic from hotspots such as Tokyo (see style Asian “Big in Japan” on page 19) while manufacturing locally. Fashionable, yet approachable, the clothing embraces the company’s commitment to inspire courage, freedom of expression and confidence in kids’ individuality.

Baby onesie kimonos bloom with bold patterns like Mystical Daisies and the eye-catching geometric Cartwheel Karasu. The kimono’s signature wrap style gives your wee one more movement, which can only create more calmness during dressing and diapering. For older kids, the versatile two-piece kimono playsets are a pleasing departure from sloppy sweats, letting kids romp about unencumbered while still looking sharp. For statementmaking style, swap out the wrap top with a T-shirt emblazoned with Redfish’s signature hashtag: #COURAGE. —J. G. Onesie kimono, $58; Kimono playset, $74; #COURAGE T-shirt, $32. redfishkidsclothing.com ­

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Just For Canadian dentists September/October 2016

courtesy of redfish kids

A little Japanese

mix

September/October

Fitness-minded people like Michele Shorter know that finding your bliss is about tuning in and setting goals, not dropping out.

“In today’s connected world, it is more important than ever to take time for self-care, to move our bodies, breathe in the sweet air and savour our surroundings,” says Shorter. The wellness advocate who extols the virtues of both yoga and bootcamp is teaming up with GreenSpot Travel to offer the Pura Vida Luxury Wellness Retreat: The Shorter Approach Does Costa Rica this fall (October 8–15).

Who says indulgence can’t be that rush get- of endorphins you get while hiking a volcano away in Costa Rica? The calmness that suffuses your mind after a yoga class, bare feet balancing in the sun-warmed sand? Or fuelling body and mind by harvesting organic vegetables you’ll later prep with a chef for lunch?

Unlike many wellness retreats that tend to be ascetic escapes, Pura Vida promises a supercharged week of adventure at the Condé Nast Traveler award-winning Finca Rosa Blanca Coffee Plantation Resort and the Arenas Del Mar Beachfront & Rainforest Resort, both part of the Cayuga Collection’s ecoluxe resorts and lodges. —J. G. From US $3,295 per person; theshorterapproach.com/costarica or cayugaonline.com

[stay]

High in the hills of Costa Rica at Finca Rosa Blanca Coffee Plantation Resort. fincarosablanca.com And low on the seaside and by the jungle at Arenas Del Mar Beachfront & Rainforest Resort (top, left + right). arenasdelmar.com

off-call in Costa Rica

courtesy of cayuga collection

Indulge yourself

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September/October 2016 Just For Canadian dentists

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p h o t o p r e s c r i p t i o n m i c h a e l d e f r e i ta s Michael DeFreitas is an award-winning photographer who’s been published in a wide variety of travel publications. With his initials, MD, he’s been nicknamed “doc,” making his photography prescriptions apropos.

Jungle fever

The Amazon offers adventure and an abundance of unique photo opportunities

Send photos and questions to our photography guru at feedback@ inprintpublications.com and your shot may be featured in a future issue!

destination photography

Apply your photography skills to the shooting situations and scenery of the amazon.

up close + personal

The Amazon people are beautiful, friendly and very accommodating. That doesn’t mean you should jam a camera in their face. If you don’t speak Portuguese, smile, point to your camera and then them. They usually nod an okay. Since most have dark skin and brown eyes it’s best to use a bit of fill flash to put a twinkle of light in their eyes. Set your camera to aperture priority and f5.6, then set your flash to f2.8 so it doesn’t overpower the ambient light.

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Just For Canadian dentists September/October 2016

if you go

Iberostar: thegrandcollection. com/en/hotels/ manaus/iberostargrand-amazon

michael defreitas

T

he late afternoon sky geared up for another spectacular tropical sunset as we glided up a small feeder stream of the Rio Negro. The overhanging jungle engulfed us, making it easy to spot wildlife. Amazon kingfishers darted back and forth across the water, and the calls of squawking blue-andgold macaws and raucous howler monkeys echoed through the surrounding jungle.

Shooting from a moving boat is challenging especially in lower light conditions, but with few roads, water is the best way to get around in the Amazon. In these shooting conditions I use a tripod with a 70mm– 200mm zoom lens. As we motored slowly through the overhanging canopy, I preset my speed to 1/60 second and ISO to 400.

Around a bend in the river our guide pointed to a blue-and-gold macaw perched on a branch. I composed within my camera frame so that the bird’s tail formed a leading line to its head and was able to get a few shots before it flew away. A few minutes later a pod of six pink river dolphins approached the boat, so I quickly grabbed my other camera with its 24–70mm lens and shot handheld at 1/60 second. I managed to shoot about 20 frames before they swam off—and I managed to get a few sharp images.

On the way back to our mother ship (Iberostar’s Grand Amazon) we came across a couple of fishermen in a dugout canoe. I used the low sun and its reflection on the water as backlight and placed the men in the bottom left third of the frame. My 70–200mm zoom lens allowed me to easily compose the scene. Since I was handholding my camera, I used a higher shutter speed of 1/400 second to minimize camera shake.

Besides wildlife the region offers a fascinating culture and indigenous people.

During our rainforest adventures we met dozens of native people. Like the young Amerindian girl paddling her dugout canoe.

I asked our guide to swing the boat a bit so I could use the sun to sidelight her and include some of the background to place her in the environment. I used a bit of fill flash to help light her face and shot at 1/125 second and f8 with my 24mm–70mm zoom lens.

On our rainforest wildlife viewing hikes I also looked for natural plant patterns and

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photo prescription [continued]

Amazon adventure

other details. I shot clumps of variegated leaves and the intricate patterns on an owl butterfly wing. I opted to use a tripod and slow shutter speed to get the depth-of-field and sharpness instead of a higher ISO (to

confluence of the Solimões and Negro rivers where they join to form the Amazon River.

It’s the cultural hub for the region and its Renaissance-inspired opera house, built in 1896, seems out of place with the surrounding jungle. After documenting the elaborate interior and grand dual staircase, I used the swirly mosaic tile patterns of

welcome to the jungle

reduce digital noise). I used a remote shutter release for my 2–3 second exposures (your camera’s self timer will work too).

Nestled in the center of the jungle, Manaus, the capital of Brazil’s Amazonas state, is a fascinating town located at the

From Renaissancestyle opera houses to multi-hued macaws, the Amazon offers an unlimited palette for photography.

the adjoining square to accentuate its grandness. I placed my camera with a wide-angle zoom on the ground and shot at f22 for maximum depth-of-field.

Across town overlooking the river is the Adolpho Lisboa Municipal market with its fish and produce vendors. The bags of spices and friendly vendors made good subjects and a wide-angle lens gave me the ability to shoot without bringing the camera up to my face (less intimidating). I used fill-flash, an ISO of 400 and slower shutter speeds (1/30–1/60 second). I shortened my camera strap so I could firmly press the camera against my chest to reduce shake.

A word of caution. The Amazon is hot and humid but ship interiors/cabins are air-conditioned. This combo can quickly ruin your camera equipment if you’re not careful.

After a day of shooting I placed my cameras inside garbage bags (removing all air) before taking them into the air-conditioned room or cabin and waited a couple hours until they reached room temperature before removing them. Each morning I re-bagged them in my room and placed them on my outside balcony to acclimatize before removing them from the bags. A few of my travelling companions didn’t do this and fogged up the inside of their lenses. Not something you want to deal with when trying to capture the awe-inspiring scenery of the Amazon.

step back… then close in

michael defreitas

To get a sense of the vast expanse of jungle canopy, step back and let it seemingly swallow your subject. And then look down to capture the texture of the rainforest floor’s variegated greenery.

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Just For Canadian dentists September/October 2016

pay i t f o r w a r d

r o b e r ta s ta l e y

Roberta Staley is an award-winning magazine writer and the editor of the Canadian Chemical News, published by the Chemical Institute of Canada. She is also a magazine writing instructor at Douglas College and a graduate student at Simon Fraser University.

Emerging from genocide

Helping to educate dentists and build dental care infrastructure in war-torn countries

courtesy of Dr. drew cahoon

I

t was an uncomfortable—but perhaps inevitable—conversation. Where were you and your family in 1994 when up to one million Tutsis were killed in the Rwandan genocide?

It was 2011 and the massacre, which had been masterminded by Rwanda’s Hutu majority government, was uppermost in everyone’s mind. Rwanda’s communitybased gacaca courts were busy prosecuting perpetrators, dredging up survivors’ memories of the nightmarish 100-day slaughter.

Dr. Drew Cahoon of Raymond, Alberta, who at the time was mentoring 28 Rwandan dental therapists from rural clinics and the Kigali Health Institute in the country’s capital, heard their stories about “seeing their families killed in front of them or walking over bodies with their parents while fleeing.”

Cahoon’s long relationship with war-torn East Africa began in 2004 after he learned about an orphanage and internment camp where children were in dire need of dental care and decided to help. The orphans were living in Uganda, a nation bordering Rwanda to the north. Like Rwanda, Uganda had endured intermittent violence for decades, including a brutal dictatorship under General Idi Amin and, more recently, attacks by the Lord’s Resistance Army, with its infamous troops of child soldiers. Similar to Rwanda, much of Uganda’s medical infrastructure had been destroyed in the protracted violence.

At the end of Cahoon’s trip, the country’s health minister approached him and asked if he could help restore the moribund Mulago Dental School with its broken and antiquated equipment. “Let’s dream big!”

Cahoon responded. It was decided that a newly refurbished facility could be created in three years—by August 2007—so Cahoon returned home to Alberta to fundraise.

Within one year, $1.2 million had poured in from organizations around the world, including Rotary International, church groups, dental supply companies and NGOs. A host of volunteers also donated hundreds of thousands of dollars in labour and services, says Cahoon, who is now retired from private practice.

The Mulago Dental School, which is associated with Makerere University Kampala,

was refurbished with 20 new dental chairs says. Training is being provided by visitand X-ray and sterilization equipment. ing instructors (including a maxillofacial Cahoon also undertook the creation of surgeon) from Uganda, Tanzania, Harvard dental training and outreach programs to and the University of Maryland. Cahoon is an provide quality services to areas outside the honorary instructor. capital city. This included introducing atrauCahoon is now focusing his energies matic restorative treatment (ART), which was on building a dental care infrastructure in developed for use in countries where a lack the regional areas of Burundi, a nation on of resources means dental caries cannot be Rwanda’s southern border. Like Uganda and treated by more conventional means. Before Rwanda, Burundi has endured Hutu versus ART, says Cahoon, up to 98% of teeth with Tutsi ethnic cleansing, civil war, coups, corcavities were pulled in Uganda. ruption and poverty. Thousands of citizens Patients in neighbouring Rwanda were have fled the authoritarian rule of President undergoing the same astronomical extracPierre Nkurunziza in the past year. There tion rate, and Cahoon was determined to implement change here, too. But he needed help, and devised the program Adopt-An-African Clinic.

Back home in Alberta, Cahoon convinced private practitioners, Rotarians and administrators at Cahoon’s alma mater, the University of Alberta, as well as Edmonton’s Northern Dr. Drew Alberta Institute of Cahoon (left, in blue Technology (NAIT), plaid) and a colleague to partner with rural provide dental clinics and dental instruction to African schools in Rwanda are only 10 dentists, located in the students. and Uganda. They capital of Bujumbura, for the nation’s would donate money, 11.2 million-strong population. equipment and expertise Despite the challenges, Cahoon has to help with the lofty goal of made remarkable strides. In 2014, he sent reducing the extraction rate down to 50% nine dental chairs as well as equipment from 98% by 2020 at the rural clinics. to the new dental school at the National In 2011, Cahoon’s work in Rwanda Institute for Public Health in Bujumbura received a boost when he, along with the and opened two rural dental clinics that are Clinton Health Access Initiative, an affilioperated by Rwandan dental therapists. And ate of the Clinton Foundation, as well as a although the programs were interrupted dental contingent from Harvard University by the instability, Cahoon expects the same and University of Maryland dental schools, programs that he introduced in Uganda and rewrote the curriculum at Kigali Health Rwanda to resume this September. By 2018, Institute. Until then, it had only trained says Cahoon, Burundi will see its 15 locally dental therapists in such basics as minor trained dental therapists graduate and go to fillings and extractions. A new School of work in rural clinics throughout the country.

Dentistry at the University of Rwanda was “When you decide you’re going to help born, which will see its first Doctor of Dental somebody; it all just comes together,” Surgery cohort graduate in 2018, Cahoon he says.

September/October 2016 Just For Canadian dentists

15

naturally powerful without compromise Anti-cavity protection from the first tooth Swish and swallow, it’s natural!

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COMPLEMENTARY APPROACHES TO CARIES CONTROL Dr. Dennis Cvitkovitch BSc., MSc., Ph.D.

Does choosing “natural” always mean compromising on efficacy?

L

et’s face it – some people will always be afraid of going to the dentist. Is it the sound of the drill? The surgical gloves?

I’ll never know for sure. The one thing I do know, is that the fear builds as oral hygiene deteriorates from poor patient compliance.

How can we avoid this cycle?

According to Health Canada, the caries incidence in children ages six to eleven is close to 60%.

Caries incidence trends

T

he persistence of dental caries, particularly in vulnerable populations, leads to considerable concern for myself and my former students who are now practicing dentistry. Despite the widespread deployment of fluoride based technologies in community water supplies, the prevalence of dental caries remains a problem. This trend has been driven by a combination of factors including diet, nutrition and limited access to dental professionals.

According to Health Canada, the caries incidence in children ages six to eleven is close to 60%.1 In a recent study comparing caries incidence between Calgary and Edmonton to determine the impact of water fluoridation the most alarming outcome was that cavities in children’s primary teeth were increased in both communities. 2 At-risk adults are also affected by dental caries. Specifically, those in Aboriginal populations3 and those suffering from dry mouth due to reduced saliva production. This can be caused by prescription drugs and occurs naturally with age.

The search for alternatives and complements to current care

C

anadians are increasingly seeking out alternatives to traditional, over-thecounter solutions for all types of needs.

Some may be seeking them as a complement to standard care while others are avoiding standard treatment approaches. In light of these emergent trends, patient compliance via traditional treatments is not always a given which compounds the problems discussed previously.

Canadians are increasingly seeking out alternatives to traditional, over-the-counter solutions for all types of needs.

Today, I find myself suggesting alternatives to students and colleagues that complement patients’ lifestyles and are effective. Finding naturally powerful products that have strong research to back them is a primary concern.4 In my view it is the families and at-risk adults that struggle with balancing the rising incidence of caries and the importance of finding natural, effective alternatives.

A naturally powerful solution: happymouth powered by XyncalTM

T

here is a good chance that you have heard of xylitol and its anti-cavity properties. What you may not be familiar with is the work that my colleagues at Apollonia Health Inc. have done to improve its efficacy with the patent pending XyncalTM formulation.

This formulation, found in happymouth oral moisturizer, has been extensively tested and inhibits the growth, metabolism and polysaccharide production (plaque formation) of Streptococcus mutans, which is a major cause of caries.

The happymouth product delivers several benefits: It is an anti-cavity moisturizer that selectively kills only the cavity-causing bacteria It is an all-natural solution, free of chemicals and ingestible from 9 months and up It moisturizes the mouth to alleviate the symptoms of dry mouth.

I am proud to advise the team at Apollonia Health Inc. on further research and substantiation of this product. happymouth enables me to recommend a product that delivers an anti-cavity benefit while remaining natural, gentle and ingestible. Try it with even your toughest patients!

About the Author

Footnotes

Dr. Dennis Cvitkovitch (BSc., MSc., Ph.D.) was trained in Oral Microbiology at the University of Manitoba in Winnipeg. After completing his studies he joined The Faculty of Dentistry at the University of Toronto where he has been for the past 18 years. He has published over 80 peer-reviewed papers and has graduated 25 graduate students. Dr. Cvitkovitch has been working with Apollonia Health since 2013 as one of its founders. The exciting opportunities of applying years of research on dental plaque bacteria has driven his research from basic to translational with a hope to provide real benefits for Canadians.

1. “Canadian Health Measures Survey (CHMS).” Statistics Canada.

N.p., n.d. Web. 2. McLaren et al. International Journal for Equity in Health (2016) 15:24.

3. Schroth et al. Oral Health and the Aboriginal Child: A forum for community members, researchers and policymakers. Forum Proceedings. Winnipeg, June 7 to 8, 2008.

4. Ship et al. (1997). Safety and effectiveness of topical dry mouth products containing olive oil, betaine, and xylitol in reducing xerostomia for polypharmacy-induced dry mouth. J. of Oral Rehab. 34; 724–732.

the thirsty dentist janet gyenes Janet Gyenes is a magazine writer and editor who likes to dally in spirits, especially when discovering something like corenwyn jenever (a gin-like Dutch spirit)—straight or in cocktails like the “bramble.” Have a boozy idea or question? Send it to feedback@inprintpublications.com

Farm to bottle

“W

e were two farm guys trying to make it in the city of Winnipeg and trying to expose people to craft beer who were used to [drinking] Bud Light,” says Chris Warwaruk, recalling how he and his brother Lawrence came to start a gastropub in 2008. The pair served more than 100 types of craft brews from around the globe before the concept got big in Canada.

In 2010 there were 310 licensed breweries in Canada. By 2015 that number swelled to 644, according to Beer Canada, a voluntary trade and advocacy association. And that thirst for craft beer started a hunger to learn about the brewing process, from farm to bottle. “Beer farms” across the country are fuelling both.

In Neepawa, about 185 km northwest of Winnipeg, the Warwaruks found fertile ground for their newest venture, Farmery Estate Brewery. Like an estate winery, the brothers plan to brew beer on their rural farm using ingredients grown there too.

“We wanted to show that we could still do farming on a smaller scale and with value added to make it profitable,” says Warwaruk.

“It’s definitely fulfilling to make something with your own hands.” In Neepawa the brothers grow 10 varieties of hops, plus barley and rye. They’re contract brewing Farmery beer with their own barley and hops, but their first estate-grown craft beer will be available in September.

On the West Coast of BC, Brian Smith and Mark Brand’s original plan of opening an East Vancouver brewery took a detour— and a 40-minute ferry trip—to the Sunshine Coast. The pair co-founded Persephone Brewing Company in 2012 after driving past a flower farm for sale in the seaside community of Gibsons.

“And then the wheels just started turning,” says Brian Smith, CEO of the

T

BETTER BIZ

11-acre craft micro-brewery and hop farm.

“We could grow our own hops and add it to the beer and that could be part of the brand.” The Beer Farm, as it’s known in local circles, includes an acre of mature Cascade, Centennial and Goldings hops used for seasonal brews such as its Harvest IPA. Another five acres of hops were planted earlier this year. People can tour the farm brewery’s operations or wander the demonstration hop yard and inhale the resiny aroma from the cone-like flowers. Last spring a handful of hobby brewers took a day-long course in hop farming and brewing here. When I visited, visitors streamed inside the big red barn to buy bottles and growlers to go.

Others sat at the communal table in the tasting room, swigging pints. Outside, an Airstream trailer and pizza oven work in tandem to feed hungry visitors. Everything else is in symbiosis here too, with chickens grazing on spent grain and laying eggs and wastewater systems irrigating crops.

A serial entrepreneur with an economics background, Smith sees Persephone, a certified B Corp, as an exemplar of sustainability and small-scale farming. The farm brewery is growing, following the lead of a Scottish brewery. “Brew Dog started using crowdfunding to grow their company in 2008 and they now have 35,000 owners,” says Smith.

Persephone launched its campaign in summer (and has plans for a campaign in 2017) through FrontFundr. “For $250 they’ll be able to be an owner of a company.” (At the time of writing Persephone had

[W hat’s a B Corp? ]

B Corps are for-profit companies certified by the nonprofit B Lab to meet rigorous standards of social and environmental performance, accountability and transparency.

18

from left Lawrence and Chris Warwaruk; hops harvest; Persephone Brewing Company.

Just For Canadian dentists September/October 2016

reached 85 per cent of its goal. It expects to have a 100 new owners.)

Meander River Farm and Brewery stretches 186 acres in Newport, Nova Scotia.

Alan Bailey and his wife purchased the property from his parents in 2004. “We were looking for opportunities to make the farm more sustainable and viable long term,” he says.

Years ago, Bailey and his wife envisioned opening a micro-brewery, but it was growing hops in 2010 that rekindled the dream, says Bailey and “got us hanging around and talking to folks in microbreweries.”

Today, eight varieties of hops are grown here: Cascade, Centennial, Brewers Gold, Galena, Newport, Nugget, Perle and Zeus.

In autumn, Bailey brews Homegrown, its annual harvest ale, made entirely with hops grown on the farm. “We use everything fresh. The hops are picked today and brewed tomorrow,” he says. And that satisfies a loyal clientele; some even participate in the community shared brewery (CSB) program, buying “shares” at the beginning of the season.

“We’re in the middle of the woods and people are coming out to us and supporting us by buying into our company,” says Bailey.

“When it comes to harvest and big jobs on the farm we throw a party and invite people to help.” They also explore the hop and lavender fields, take educational tours of the operations and visit the pasture livestock: pigs, chickens and turkeys. And they drink farm-fresh beer made where the river meanders, in the middle of the woods.

far right: Janet Gyenes; other photos: courtesy of Farmery estate Brewery

A new crop of beer farms is satisfying the thirst for craft beer culture

travel the world

big in

Japan + photography by Stacey McLachlan

story

Traditional kimonos in Ginza; pumpkin sculpture in Naoshima by artist Yayoi; green tea ceremony at the Kannon-In temple in Tottori; and biking en route to Tottori’s sand dunes in coastal Japan.

Tokyo may get all the glory, but hop on a train and you’ll discover Japan has plenty to discover outside of the big city

travel the world

I

’m in a train station 7-11 in Osaka, puckering my lips at on a timeline (the last ferry leaves back to the mainland at 9:15) so the cashier and fanning my fingers out from my face. we opt for the faster option. Well, fast-ish: the one-speed bikes we Like fins. Or maybe gills. Whatever—it’s clearly the rent from the train station are hilariously ineffective on the island’s international sign for fish, because the cashier points to rolling hills, but it makes for an excellent excuse to make frequent the onigiri (a seaweed and rice pocket) on the counter, stops to check out the public artwork that’s scattered across the labelled with an unintelligible pink sticker, and nods island—like the giant, neon-orange speckled pumpkin, painted by enthusiastically. I pay, unwrap the intricate package, and avant-garde artist Yayoi Kusama, sitting gracefully at the end of a take a bite. Not fish, exactly: fish eggs. Close enough. dock jutting out into the Seto Inland Sea. And better yet, the tough Yes, there’s a bit of a language barrier. But I’m getting ride will make a soak at the Shinro Ohtake-designed “I Love Yu” by with my few phrases (bīru, kore onegaishimasu and watashi no onsen (hot spring), decorated like a kaleidoscope with thousands of hīrō, which translate respectively to “beer,” “this, please!” and the mosaic pieces, that much sweeter. surprisingly versatile “you are my hero!”), the occasional charades session, and the help of my more seasoned travel companions There is a place on Dōtonbori street where you can [surprise #2] make your own takoyaki—fried octopus balls. It’s a who have taught me something more important than the lanThe best guage: that the best part of Japan is the discovery and surprise baseball-themed bar called Toracy, where the wary memories are found in every moment. bartender brings a steel deep-frying contraption to edible ones Until you’re here, you don’t know what it’s like to have a deer your table and demonstrates the process using the eat crackers out of your hand in Nara (answer: thrilling, terrifying). only English phrase he knows: “quarter-turn.”

You don’t know what you’ll discover in the base of a 200-foot-tall, It’s unfortunately hard to focus on perfecting said turns, pure white Kannon statue in the Kurume suburbs (answer: a hilaribecause the bustling street outside presents so many other delicious opportunities. So we continue our gluttonous journey by following red left Colourful cranes lanterns to yakitori stands, where we pair hang at the Hiroshima fresh shrimp and icy pints of Sapporo, Children’s Peace Monument. opposite, and gobble up kushikatsu—crispy friedclockwise from top left everything on skewers, served with a The Inari shrine in Kyoto communal dipping sauce that’s made by glows at dusk; colourful such a tall man that we’re able to return to ramen ad in Harajuku; the same place by googling “kushikatsu the view from Mt. Misen in Miyajima; the giant.” Along the buzzing road, neon fish Itsukushima Shrine in glow and oversized novelty gyozas spin Kyoto offers a moment of overhead. There’s a playful hedonism serenity; archives at the here, where locals are said to bankrupt Suntory Whisky library; themselves on food and drink (there’s sand dunes of Tottori; fresh uni (sea urchin) even a word for it: kuidaore). at Osaka’s Kuromon Market; a swan spotted on the art-focused island of Naoshima; long lines at Fukuoka’s Ramen Stadium.

ously spooky animatronic replica of the Buddhist circle of hell). You don’t know why you would stop at a convenience store 14 times a day (answer: fresh sushi and ice-cold cans of sweet coffee are perfectly acceptable for breakfast, lunch and dinner alike).

So armed with my rail pass and companions—and a belly full of fish-egg onigiri—I’m ready for my next surprise.

On the tiny island of Naoshima, abandoned houses have been transformed into experimental galleries— one former dentist’s abode has become a walk-inAn island can be a work collage, plastered floor to ceiling in painted galaxies of art and postcards, with a replica of the Statue of Liberty bursting through the ceiling; another is home to a darkened theatre that oscillates between pitch blackness and something slightly brighter. Just as Okayama boasts (as much as the Japanese boast) about its peaches and Hiroshima shapes its identity around its tragic past, this community has a brand of its own: art.

Here, the truly dedicated check into the hotel-museum hybrid Benesse House and spend a weekend strolling the island’s paths and checking out the subterranean Chichu Art Museum. But we’re

[surprise #1]

20

Just For Canadian dentists September/October 2016

There are 200 bars packed into three square blocks in [surprise #3] Drinking is Tokyo’s Golden Gai neighjust better bourhood, each seating here approximately six people and each with its own super-specific theme: think ‘90s alt-rock, race horses or Troll dolls. Wandering the narrow alleyways is like navigating a dream—each door a portal to something completely unexpected, and your glass is never empty. It’s a beautiful cacophony that also seems like a major fire hazard.

We find the opposite in the sleepy town of Yamazaki, 30 minutes outside of Kyoto. There isn’t even a 7-11: we’re really off the beaten path. Maybe the residents here subsist purely off of the output of the Suntory Whisky headquarters. It certainly proves to be a solid way to spend an afternoon or, at the very least, strolling the library of golden bottles and selecting a mix-and-match flight to sample in the high-ceilinged tasting room.

But even with Japanese whisky enjoying a moment on the world stage, sake is still the country’s signature spirit. We arrive at Saijo’s annual Sake Festival at a fashionably late 6 pm (wearing equally fashionable headbands from the local dollar store, Daiso, in a commemorative Samurai-style). Everyone else has been here since morning, and the atmosphere is suitably jovial. We have some catching up to do, but luckily 20 yen gives us access to all-you-candrink sake from all over the country, poured into commemorative ceramic cups with the volume of a ping-pong ball. There is a lot of

travel the world

travel the world spilling. The more seasoned members of the crowd put their tiny cups into slightly lesstiny wooden boxes—the traditional serving dish for the rice wine. Under glowing paper lanterns, we toast cups against boxes and boxes against cups, and rosy-cheeked locals invite us into their circles to practise their English and compliment our headgear.

Everyone we encounter in Tottori asks us the same thing: [surprise #4] “Why are you here?”

You might Suffice to say, this isn’t meet a camel exactly a hotspot. And truth be told, we discovered it by accident, plotting our trip along the train line and googling the stops. We entered “Tottori” and up popped images of sprawling sand dunes, so (naturally) we booked a hotel immediately.

The sand museum is impressive—inside, we find some mind-bending sculptures of South American legends as part of the current international exhibits—but the main attraction is the real thing: the miles and miles of sand, piled high like in the Sahara, but with a sparkling ocean awaiting on the other side. We don’t swim, though: instead, I strap

made noodles served in on a sandboard and carve if you go my way down the sandy savoury bone broth. take the train All Nippon Not four hours later, slopes. My partner Airways and Japan Airlines offer elects to “wander the we find ourselves direct flights into Tokyo, where transit sitting at another dunes” and disappears can easily get you into the city or counter, eating into the hills, appearconnect you to a train station. ana.co.jp + jal.com Order your 7, 14 or 21-day rail ing an hour later with another batch of pass ahead of time to take advantage noodles, but this reports that he has of the tourist discount—if you’re seen a camel. (We’ll situation is like no traveling every few days, it’s food court I’ve ever never know if it was a a worthwhile investment. been in: food carts mirage.) japan-rail-pass.com called yatai that are set up with awnings and seating Fukuoka is the [surprise #5] birthplace of around the edge, the original There’s no such ramen, and they pop-up restaurants. thing as too This time, we order up our ramen fried. take this stuff seriously: much ramen so seriously that there’s a This is hardly the lantern-lined, orderly Ramen Stadium. Yes, in reality experience we had at lunch. Our stools are wobbly on the uneven sidewalk, and it’s just a very nice food court, but the proprietor of this food stall is actually looking closer, I see that each ramen station chain-smoking while he cooks. I’m skeptiis actually representing a different style cal. But the noodles are at once crispy and from a region of Japan. Pork broth from perfectly tender, drizzled in some mystic Kagoshima; miso ramen from Sapporo. (Mr. combination of dashi and sesame and porkNoodles does not make an appearance.) bone broth, an unexpectedly perfect dish We pre-order from a machine—a common served up on the Fukuoka streets as the ramen-joint feature that makes the language world goes by. Really though: the surprise barrier that much easier—and wait our turn should be no surprise at all. to sit at the counter and slurp up the fresh-

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Just For Canadian dentists September/October 2016

BROKERAGE

munich

/

banff

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kauai

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baja

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helsinki

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calendar

ce

A n intern ation al guide to continuing denta l Education

au tumn 2016 + beyond

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munich

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Munich or Munchen is the mecca of beer, especially during Oktoberfest, but there’s so much more to this Bavarian city—from BMW to bespoke shoes (CE events in Munich + beyond are highlighted in blue.)

Barb Sligl

W

hen you fly in to Munich it’s to a five-star airport. MUC achieved the first such five-star designation in Europe, offering everything from “napcab” sleeping pods to Weissbier or white beer (with Weisswurst or white sausage, of course, sauerkraut and a pretzel) at Airbräu, the airport brewery.

Sehr gut. And, this year, MUC was named Europe’s Best Airport—again (it’s the ninth time in 11 years)—and it’s ranked third in the world after Singapore and Seoul (munich-airport.de). It even has a huge square in the grand tradition of European cities that’s one of the largest roofed outdoor spaces on the continent. Here, you can surf (there’s a wave pool), play polo or beach volleyball, watch a tennis match and experience a full-on traditional German Christmas market. Or sit in the beer garden.

So, think Munich and, yes, think great beer 1 (this is where the famous 1516 purity law, Reinheitsgebot, was written in 1487 before it was adopted across Bavaria, decreeing the use of just a few key ingredients: water, hops, barley), but also some serious style. Like the sleek BMW headquarters (bmw-welt.com/en/) 2 . The awardwinning architecture evokes the dynamic movement of a

four-cylinder engine and propeller. BMW Welt or World, as it’s aptly named, is an altar to German engineering and for those with the means, you can even personally pick up a car on site and drive your new machine down the spiral ramp and out the building.

More exquisite craftsmanship is found at the centuries-old shoemaker and clothier Ed Meier (edmeier. de). Peter Eduard Meier is the great grandson of the original purveyor to the Bavarian court and, if you’re lucky, you may catch a glimpse of the impeccably dressed gentleman at the flagship store 3 .

A short walk away (perhaps in some new custommade shoes) is the Kunstareal or arts district where Munich’s museums are clustered, including three Pinakotheken museums (the Alte or Old, Neue or New and Pinakothek der Moderne), the Glyptothek (founded in 1830 by Bavarian King Ludwig I to showcase his collection of Greek and Roman sculptures), the Lenbachhaus (showcasing local modern art), the Museum Brandhorst and more. The newest is a stark modern cube on Königsplatz (Kings Square) with the wordy name of the Munich Documentation Center for the History of National

Socialism (ns-dokuzentrum-muenchen.de). Inside, it’s a stripped-down look at the very-close-to-home Nazi past; this, after all, is where the Nazi party was born and made its base. The museum is built atop the ruins of Hitler’s Nazi headquarters, Das Braune Haus (Brown House).

After this, it’s probably a relief to get back to beer.

And, better yet, a stein at the loveliest Schwemme or taproom anywhere, Hofbräuhaus, which has served the likes of Wolfgang Amadeus Mozart (hofbraeuhaus.de) 4 . And, if you don’t make it to the Oktoberfest tent grounds alongside six million others (it’s the world’s largest fest, going on since 1810, and taking place this year from September 17 to October 3), then you must at least make it to Augustiner Keller (augustinerkeller.de), one of Munich’s oldest and most famous beer gardens under ancient chestnut trees. It’s a slice of Bavarian bliss with a stein of local favourite Edelstoff in hand 5 .

Edel means special—on the level of a gemstone— and it seems that paean applies to much in Munchen.

Ja, sehr gut. — Barb Sligl For more info on Munich, go to muenchen.de and for Bavaria, check out bavaria.us and read more on page 9.

September/October 2016 Just For Canadian dentists

23

General Dentistry

Endodontics

Cosmetics/Aesthetic

Anesthesia/Sedation

ce calendar ce when where

topic

sponsor

contact

website

Sep 16-19

Edmonton Alberta

IV Conscious Sedation

University of Alberta

780-492-5391 See Ad Page 10

dentistry.ualberta.ca/cde

Oct 13-19

Sacramento California

IV Moderate Sedation Training For Dentists

Conscious Sedation Consulting

888-581-4448

sedationconsulting.com

Oct 20

Lincoln Nebraska

Advances In Local Anesthesia, Sedation And Oral Surgery

University of Nebraska Medical Center - College of Dentistry

402-559-4000

unmc.edu/ dentistry

Mar 11-18 2017

Beaches Turks & Caicos

Dr. David Isen -Advanced Local Anesthesia: Tried & True And What’s New / Medical Emergencies In The Dental Office / Oral Anxiolytics And Nitrous Oxide For Dentistry

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 4

kennedyseminars.com

Ongoing

Leuven Belgium

Biocompatible And Durable Restorations With Glass Ionomers From GC

GC Europe

See website

gceurope.com

Monthly Courses

Vancouver British Columbia

Botox, Dermal Fillers, Lasers

Pacific Training Institute for Facial Aesthetics

855-681-0066

ptifa.com

Oct 28-29

Los Angeles California

The USC 9th International Restorative Dentistry Symposium

Herman Ostrow School of Dentistry of USC

213-821-2121

uscdentalce.org

Oct 28-30

Edmonton Alberta

Neuromodulators (Levels 1, 2 & 3)

University of Alberta

780-492-5391 See Ad Page 10

dentistry.ualberta.ca/cde

Ongoing

Vancouver British Columbia

Course #1 Shaping, Cleaning,And Obturation Of Root Canal Systems Course #2 Re-Treatment & Other Complex Cases

Endodontics Unsponsored

604-987-2285

vancouverrootcanals.com

Oct 27-28

South Hackensack New Jersey

Intense Endodontics: A 2 Day Hands-On Workshop

Essential Dental Seminars

888-542-6376

essentialseminars.org

Jan 28Feb 04 2017

Costa Rica

Endodontics

Cruise and Travel Partners/ OSU College of Dentistry

800-856-8826 See Ad Page 24

cruiseandtravelpartners.com

Apr 08-11 2018

Vancouver British Columbia

Annual Session

American Association of Endodontists

800-872-3636

aae.org

Ongoing

Oslo Norway

Multiple Topics

University of Oslo

47-22852000

uio.no

Sep 21-22

Las Vegas Nevada

Beyond The Basics Coding Workshops, In Conjunction With 98th Annual Meeting

American Association of Oral and Maxillofacial Surgeons

800-822-6637

aaoms.org

Sep 23-24

Neckargemünd Germany

Germany, Neckargemünd

BioHorizons

888-246-8338

biohorizons. com

Oct 07

Richmond Virginia

Dental Radiation Safety Certification

Virginia Commonwealth University School of Dentistry

804-28-0869

dentistry.vcu. edu

Nov 30

New York New York

Columbia University Symposium At The GNY Dental Meeting - Integrating Oral Care Into The Greater Healthcare System

Columbia College of Dental Medicine

212-305-7124 See Ad Page 26

dental.columbia. edu

new CE to be placed

Costa Rica

Argentina Land Tour

Hawaii Cruise

Mackinac Island, Michigan

January 28 – February 4, 2017: Endodontics

March 31 – April 9, 2017: General Dentistry

June 10 – 17, 2017: General Dentistry

July 19 -23, 2017: Restorative Dentistry

Jodi Murphy, Managing Member Tel: (800) 856-8826 Email: cruiseandtravelpartners@comcast.net

www.cruiseandtravelpartners.com

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Offering unique CUSTOM EXPERIENTIAL TRAVEL FOR DENTAL PROFESSIONALS

Just For Canadian dentists September/October 2016

Infection Control

Geriatric Dentistry

General Dentistry

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Dec 26Jan 08 2017

South East Asia Tour:Vietnam, Cambodia & Thailand

Mini-Mastership In Laser Dentistry With Chris Walinski, DDS

Mindware Educational Seminars

888-574-8288 See Ad Page 11

mindwareseminars.com

Jan 27-28 2017

Winnipeg Manitoba

MDA’s 2017 Annual Convention: Dentistry And All That Jazz

Manitoba Dental Association

204-988-5300

manitobadentist.ca

Jan 30Feb 03 2017

Maui Hawaii

Adventure And Learn, Hawaii

UBC Continuing Dental Education

877-328-7744 See Ad Page 28

dentistry.ubc. ca/cde

Feb 03-05 2017

Banff Alberta

University Of Alberta CDE - Banff Updater

University of Alberta

780-492-5391 See Ad Page 10

dentistry.ualberta.ca/cde

Feb 04-11 2017

Maui Hawaii

The 37th Annual Dental Forum

Dental Seminars & Symposia, LLC

952-922-1707 See Ad Page 27

dentsem.com

Feb 11-18 2017

Kauai Hawaii

The 37th Annual Dental Forum

Dental Seminars & Symposia, LLC

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dentsem.com

Feb 19Mar 03 2017

Mardi Gras Cruise

Clinician & Topic TBA

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 4

kennedyseminars.com

Feb 23-25 2017

Whistler British Columbia

Ski And Learn

UBC Continuing Dental Education

877-328-7744 See Ad Page 28

dentistry.ubc. ca/cde

Feb 23-25 2017

Chicago Illinois

152nd Chicago Dental Society Mid-Winter Meeting

312-836-7300 See Ad Page 30

on.cds.org

Mar 09-11 2017

Vancouver British Columbia

Pacific Dental Conference

Pacific Dental Conference

604-736-3781

pdconf.com

Mar 31Apr 09 2017

Argentina Land Tour

General Dentistry

Cruise and Travel Partners/ UB School of Dentistry

800-856-8826 See Ad Page 24

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Jun 10-17 2017

Hawaiian Cruise

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Cruise and Travel Partners/ UK College of Dentistry

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cruiseandtravelpartners.com

Oct 19-21 2017

Kelowna British Columbia

2017 TODS Meeting: Multi-Topic Conference

Thompson Okanagan Dental Society

250-832-2811

todsmeeting. com

Oct 17-25

New England & Canada Crystal Cruise

Advances In Caring For Our Aging Population/ Seminar At Sea From Montreal To New York

Professional Education Society

877-737-7005

pestravel.com

Nov 09-10

Victoria British Columbia

Current Concepts In Dentistry Geriatric Dentistry: What Do We Do As Our Patients Age?

University of Victoria

250-472-4747

continuingstudies.uvic.ca

Ongoing

Online

Preventing And Controlling Healthcare Associated Infection In The Dental Practice

eDen Education Pty

800-773-7571

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Nov 25

Fairfield New Jersey

AIDS

Dental Studies Institute

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new CE to Chicago Dental Society be placed

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Sessions 1. Early Treatment Mixed Dentition, Functional Appliances, Diagnostic Records, Cephalometrics, Practice Management 2. Straight Wire Mechanics, Class II Treatment, Twin Block™, Rick-A-Nator™, Bracketing, Banding of Molars, Archwires 3. TMJ in Orthodontics, Sagittal & Tandem Appliance, Class III, Utility Arches, Splint Therapy, Joint Vibration Analysis 4. MARA™ Appliance, Open Bite Cases, Impacted Cuspids, Clear Braces, Case Finishing, Retention, Snoring & Sleep Apnea, Air Rotor Stripping & Invisalign (Clear Aligners) September/October 2016 Just For Canadian dentists

25

Implantology

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Implant Seminars

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Multiple Dates

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Live Patient Extraction Course (3 Day Course) September 8-10 October 13-15 December 1-3

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Comprehensive Implantology Continuum, Part I (Option 1: 6 Weekends) Starts: Sept.17-18 Ends: March 11-12

Columbia College of Dental Medicine

212-305-7124 See Ad Page 26

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Multiple Dates

New York New York

Comprehensive Implantology Continuum, Part 1 (Option 2: 2 Weeks) Starts: Sept.17-22 Ends: March 07-12

Columbia College of Dental Medicine

212-305-7124 See Ad Page 26

dental.columbia. edu

Nov 26

Oslo Norway

Supplementary Courses In Implant Prosthetics

Nobel Biocare Services

800-939-9394

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Dec 04

Fort Washington Pennsylvania

Severely Atrophic Maxilla: Stabilizing Implants In The Pterygomaxillary & Zygoma Regions

Institute for Facial Esthetics

215-643-5881

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Dec 10

New York New York

7th Annual Columbia University/ICOI Dental Implant Symposium With Dr. Dennis Tarnow

Columbia College of Dental Medicine

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dental.columbia. edu

Jan to Dec 2017

Multiple Locations

Master Of Oral Implantology Program; 1-Year Track (2-Year Track Also available)

California Implant Institute

858-496-0574 See Ad Page 13

implanteducation.net

Multiple Dates

San Diego California and Las Vegas Nevada

Annual Fellowship Program January 18-22 & February 15-19 & June 20-25 & July 19-23, 2017 CII Campus San Diego And UNLV Campus Las Vegas

California Implant Institute and University of Nevada, Las Vegas

implanteducation.net

Feb 09-11 2017

Munich Germany

new CE to be placedHürzeler/Zuhr GmbH Class 4: Implantology 1 — Modern Implant Therapy In Daily Practice

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Mar 20-25 2017

Baja California Mexico

6-Day Live Patient Surgical Externship (Basics And Beyond)

California Implant Institute

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implanteducation.net

May 18-28 2017

Golf & Gastronomy Series Tour of Tuscany

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

Mindware Educational Seminars

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May 22-27 2017

Baja California Mexico

6-Day Live Patient Surgical Externship (All-On-4)

California Implant Institute

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Jun 03-10 2017

Alaskan Cruise

Dental Implants: An Integral Component Of The Comprehensive Dental Practice

Continuing Education, Inc./University at Sea

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Aug 23Sep 04 2017

Russia & Scandinavia Cruise

Practical Pearls For Achieving Predictable Success In Implants With Dr. Will Martin

Mindware Educational Seminars

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Sep 01-10 2017

Spain and Portugal

Dr. Ariel J. Raigrodski - The Evolving Impact Of All-Ceramics And CAD/CAM Technology On The Contemporary Dental Practice - From Concepts To Clinical Success

Kennedy Professional Education Seminars

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Apr 15-26 2018

Japan Cruise

Precision, Productivity And Profitability Of Implant Prosthetics With Dr. Robert Vogel

Mindware Educational Seminars

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C O N T I N U I N G D E N TA L E D U C AT I O N

COMPREHENSIVE IMPLANTOLOGY CONTINUUM Part I: September 2016 – March 2017 course directors :

Dr. Dennis Tarnow Dr. James Fine

Columbia University/ICOI Symposium: December 10 www.dental.columbia.edu/ce Inquiries: (212) 305-7124 dentalce@columbia.edu

26

Just For Canadian dentists September/October 2016

Pediatric Dentistry

Orthodontics

Occlusion

Medical/Dental Issues

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calendar

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Oct 17-25

New England & Canada Cruise

Advances in Caring for our Aging Population / Seminar At Sea from Montreal to New York On Crystal Serenity

Professional Education Society

877-737-7005 See Ad Page 39

pestravel.com

Oct 20-22

Prishtina Kosovo

2016 Medikos - Medical, Dental And Pharmaceutical Trade Fair

CEO - Congress & Event Organization & Prishtina Fair

381-38-220003

kosovafair.com

Nov 19-20

Vancouver British Columbia

Make Them Smile Again – Update In Dentoalveolar Trauma

UBC Continuing Dental Education

877-328-7744 See Ad Page 28

dentistry.ubc. ca/cde

Nov 27Dec 05

Danube River Cruise

Dental & Medical Health Issues/Winter Markets Cruise Prague To Vienna On Avalon Waterways

Professional Education Society

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Feb 04-14 2017

Caribbean Cruise

Dental and Medical Symposium At Sea/Roundtrip Miami On Regent Seven Seas Explorer

Professional Education Society

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Apr 24May 01 2017

Tulip Time River Cruise

Dental, Medical and Public Health Issues/ Roundtrip Amsterdam On AMA Waterways

Professional Education Society

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Through 2017

BC and Ontario

Functional Occlusion For The General Practitioner

FOCUS Education Continuum

604-922-3465

drracich.ca

Jul 30Aug 06 2017

Eastern Caribbean Cruise

Dental Occlusion: It Can Make You Or Break You! & The Total Wellness Dental Practice Model

Continuing Education, Inc./University at Sea

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Sep 16-17 Oct 21-22

Toronto Ontario and Vancouver British Columbia

Level I, Introduction To Orthodontics Session #1 Toronto: September 16 & 17 Vancouver: October 21 & 22

new Rondeau CE toSeminars be placed

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Sep 30Oct 01

Las Vegas Nevada

Early Orthodontic Treatment Conference

Rondeau Seminars

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rondeauseminars.com

Nov 03-04

Nashville Texas

Advanced Straight Wire For Assistants

American Orthodontic Society

800-448-1601

orthodontics. com

Nov 11-12 Dec 02-03

Toronto Ontario and Vancouver British Columbia

Dentist’s Role In Snoring And Sleep Apnea Toronto: November 11 & 12 Vancouver: December 2 & 3

Rondeau Seminars

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rondeauseminars.com

Mar 20-24 2017

Big Island Hawaii

Adventure And Learn, Orthodontic Symposium ~ Advances In Orthodontics

UBC Continuing Dental Education

877-328-7744 See Ad Page 28

dentistry.ubc. ca/cde

Mar 11-18 2017

Southern Caribbean Cruise

Pediatric Dental Pearls And Life Planning Gems

Continuing Education, Inc./University at Sea

800-422-0711 See Ad Page 29

continuingeducation.net

Mar 11-18 2017

Southern Caribbean Cruise

Pediatric Dental Pearls And Life Planning Gems

Sea Courses Cruises

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seacourses.com

Jul 17-18 2017

Munich Germany

23rd Global Dentists And Pediatric Dentistry Annual Meeting

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September/October 2016 Just For Canadian dentists

27

Practice Management, Technology and Planning

Prosthodontics/Restorative

Periodontics

ce calendar ce when where

topic

sponsor

contact

website

University of Southern California

213-821-2127

uscdentalce.org

Oct 05

Los Angeles California

Comprehensive Periodontal Surgery: Esthetic And Functional Procedures For The General Practitioner (Pre-Course Lecture) (Oct 2016)

Oct 13-14

Wintergreen Virginia

Fall Wine Weekend At Wintergreen Resort

Virginia Commonwealth University School of Dentistry

804-828-9184

dentistry.vcu.edu

Oct 21

Pittsburgh Pennsylvania

Surgical Crown Elongation - Hands-on/Limited Attendance

University of Pittsburgh - School of Dental Medicine - C.D.E.

412-648-7471

dental.pitt. edu/ce

Jan 19-29 or 22-29 2017

Panama Central America

Dr. Steve Faigan – Tips And Tricks And What Not To Do…When Performing Periodontal Surgery

Kennedy Professional Education Seminars

877-536-6736 See Ad Page 4

kennedyseminars.com

Nov 04-05

Edmonton Alberta

CAD/CAM Digital Dentistry Program

University of Alberta

780-492-5391 See Ad Page 10

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Dec 08

St. Louis Missouri

The Complete Arch Rehabilitation With Implants: Prosthodontic And Laboratory Principles

Greater St. Louis Dental Society

314-569-0444

greaterstlouisdentalsociety. org

Jan 27Feb 06 2017

Antarctic Cruise

Dr. Jim McGorman - Antibiotics Use And Abuse; Dr. Dan Izakow - Cad Cam And Digital Dentistry; Dr. Jack Pipkin - Prosthodontics & Implants

Kennedy Professional Education Seminars

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Jul 19-23 2017

Mackinac Island Michigan

Restorative Dentistry

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Sep 22

St. Louis Missouri

new CE to Love Those Oral Lesions: What’s Got To Do be Age placed With It - Parts I & II

Cruise and Travel Partners/U of Michigan School of Dentistry

Greater St. Louis Dental Society

314-569-0444

greaterstlouisdentalsociety. org

Oct 04-06

Helsinki Finland

Fundamentals Of CAD/CAM, Emerging Technologies In Dentistry

Nordic Institute of Dental Education

See website

nordicdented. com

Oct 27

Boston Massachusetts

CBCT: Theory And Practice

Tufts University School of Dental Medicine

617-636-6828

tufts.edu

Nov 10

New Orleans Louisiana

Spice Up Your Practice

Classic Practice Resources

800-928-9289

classicpractice. com

Nov 17

Chapel Hill North Carolina

The Roy B. Harrell 62nd Annual Dental Seminar Day With Dr. Harold Crossley

UNC School of Dentistry

919-537-3737

dentistry.unc. edu

Jan 28Feb 4 2017

Hawaiian Cruise

Management 301: Practice Rejuvenation Retreat

Dental Management Secrets

403-984-0111

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Apr 23-30 2017

Eastern Caribbean Cruise

Comprehensive Dentistry And The Dental Team: The Pursuit Of Excellence

Continuing Education, Inc./University at Sea

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continuingeducation.net

May 08-09 2017

London England

Joint ADEE/ADEA Meeting

Association for Dental Education in Europe

353-1-612-7287

adee.org

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

Travel and Learn, Maui

January 2017

Ski and Learn Whistler, BC

February 2017

Palm Springs, CA

February 2017

Orthodontic Symposium, Hawaii

28

March 2017

Just For Canadian dentists September/October 2016

For more information - Call 800-422-0711 or visit www.ContinuingEducation.NET

Outstanding value for your time and resources Combine live continuing education and personal renewal time with family & friends

Space Still Available Dental Treatment Planning and Sequencing; The Keys to Predictable, Profitable Dentistry 14 AGD PACE Credits 7-Night Eastern Caribbean from Fort Lauderdale, Florida Royal Caribbean’s Harmony of the Seas January 21 - 28, 2017

March 11, 2017 Pediatric Dental Pearls & Life Planning Gems 14 CE Credits 7-Night Southern Caribbean from San Juan, Puerto Rico Royal Caribbean’s Adventure of the Seas

August 26, 2017 Oral Dermatology and Pathology 14 CE Credits 7-Night Alaska from Seattle, Washington Holland America’s ms Eurodam

April 23, 2017 Comprehensive Dentistry and the Dental Team: The Pursuit of Excellence 14 CE Credits 7-Night Eastern Caribbean from Ft. Lauderdale, Florida Royal Caribbean’s Allure of the Seas

October 21, 2017 Comprehensive Dentistry and the Dental Team: The Pursuit of Excellence 14 CE Credits 7-Night Eastern Caribbean from Ft. Lauderdale, Florida Royal Caribbean’s Harmony of the Se as

June 3, 2017 Dental Implants: An Integral Component of the Comprehensive Dental Practice 14 CE Hours 7-Night Alaska from Seattle, Washington Holland America’s ms Eurodam

December 9, 2017 Clinical Pearls for Success in Esthetic and Implant Dentistry 14 CE Credits 7-Night Western Caribbean from Ft. Lauderdale, Florida Royal Caribbean’s Harmony of the Seas

July 30, 2017 Dental Occlusion: It Can Make You or Break You! & The Total Wellness Dental Practice Model 14 CE Credits 7-Night Eastern Caribbean from Ft. Lauderdale, Florida Royal Caribbean’s Oasis of the Seas

January 10, 2018 Oral Dermatology and Pathology 14 CE Credits 7-Night Mexican Riviera from San Diego, California Holland America’s ms Oosterdam

August 10, 2017 Predictable Treatment Planning: From the Seemingly Simple to the Worn Dentition... and Everything in Between 14 CE Credits 9-Night Greek Isles from Venice, Italy Celebrity Cruises’ Celebrity Constellation

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Be sure to join us in the world class city of Chicago FEBRUARY 23-25, 2017, for the 152nd CDS Midwinter Meeting, featuring three days of more than 200 educational courses, valuable hands-on learning, Live Patient Demonstrations, staff teambuilding and over 700 exhibiting companies. FIND INFO ABOUT THE 152ND MIDWINTER MEETING AT ON.CDS.ORG/J4CAN17.

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travel at home

on

t e r B e p a C n i e g d e e h t

on

Hiking, kayaking, monks and music along Nova Scotia’s famous Cabot Trail drive Driving on the edge, the Cabot Trail follows the rugged coastline on the western side of Cape Breton Highlands National Park.

story + photography by

James Ross

September/October 2016 Just For Canadian dentists

31

travel at home

I

stand waist-deep in the rushing Margaree River, while my savvy fly fishing guide and instructor, Ed McCarty, works patiently on my technique. It comes, slowly but surely, from getting tangled in the line and hooking my own vest to snapping the long rod and flicking the fly in the vicinity of my desired pool. Ed tells the story about teaching Canadian astronaut Chris Hadfield to fly fish in this very spot. “He was much smarter than me, a genius really,” says the humble expert. “But his casting needed some polish.” Mine too, and I don’t have nearly the acumen of Ed’s previous protégée,

over long sandy curves of deserted beaches.

You can drive the 297-kilometre trail in a day, but to truly experience its splendour, you need to venture off the main road onto the spectacular hiking trails, off the beaten track into the colourful fishing villages that hug the coast. My journey starts and ends in the charming village of Baddeck on Bras d’Or, Canada’s largest inland sea, and although there is much debate on which direction is best, I go counter-clockwise, because I like to drive on the edge, with the cliffs and sea dropping precipitously just below me.

“You can call me Seamus.” I learn that Seamus is my Gaelic name while doing a tour of Colaisde na Gàidhlig, the Gaelic

At the very northern end of the trail I take a detour on a gravel road into the High Capes north of Pleasant Bay to visit the monks of Gampo Abbey. In this remote retreat, you can hide away on a nine-month residency, with lots of meditation, solitude and quiet time. Abstinence and silence not being my forte, I only stay a couple of pleasant hours in the late afternoon, joining a small group of like-minded travellers gathered around a smoky fire high on the cliffs above the Atlantic. Like old friends, we all make much noise, banging pots and chanting in a monotonous cadence to ring in the Summer Solstice and welcome a new season—it seems the island’s trademark

College that celebrates Cape Breton’s traditional lifestyle and keeps the Gaelic language, music, dance and culture alive. I’m shown how to don a great kilt and master the step dance—well, kind of. I also discover that “Ciad Mile Failte,” a sign that greets you all along the trail, means “One Hundred Thousand Welcomes.” And I feel as if I’ve been continually welcomed as I’m immersed in the vibrant Gaelic and Acadian cultures of the island. At every opportunity, I duck off the trail into a hidden harbour, where boats bob at the quay and coiled rope, old nets and creels for lobster and crab stand in neat piles. I explore the tiny towns with their simple homes, huddled together to face the best and the worst of the weather.

Everywhere, the locals are friendly with thousands of welcomes.

open-armed spirit is infectious.

As I continue skirting the island’s edge, the roadway meanders through Cape Breton Highlands National Park at its northernmost point. Here, lush river canyons carve themselves into the ancient plateau, while granite rock breaks up the green-coloured hills that sweep down in folds and gullies to the golden sands and blue sea. I wish I had more time to hike some of the 25 trails in the park, such as Franey, Jack Pine, the Margaree Valley and the Coastal route. I settle for the Skyline Trail, a 9.2-kilometre loop that takes me to a dramatic look-off point. An easy trek, it’s fairly flat simply because it begins at the top of the mountain, and the vista at its end, 405 metres above the sea, is magnificent.

To the south, the Cabot Trail hugs the ocean wall high above the Atlantic, but it’s the view

The Cabot Trail winds its way south towards Cheticamp. right The monks of Gampo Abbey on Cape Breton’s north end, take a break from their meditations to bring in the Summer Solstice.

but still my form improves with each flick of the line. I find it a peaceful, serene and artistic endeavour. I don’t land the big one, neither wild salmon nor trout—but, hey, neither, apparently, did Mr. Hadfield.

My fishing experience takes place at the end of my week-long journey around one of the world’s most famous drives, Nova Scotia’s Cabot Trail. Named for explorer John Cabot who first spied the island in 1497, the trail winds around the rocky splendour of Cape Breton’s northern shore, ascending to the incredible plateaus of Cape Breton Highlands National Park and then back down to the Acadian forest region along the Gulf of St. Lawrence. Rolling blue-green mountains run down to the sea, broken intermittently by meadows covered in wildflowers. Farther below, the surf rolls in

32

Just For Canadian dentists September/October 2016

travel at home

The view from the end of the Skyline Trail. left Fly fishing guide Ed McCarty shows off his technique in the Margaree River.

The rugged granite coastline in Cape Breton Highlands National Park on the eastern side of the island.

A lobster boat sets its traps on Bras d’Or Lake. above Jeremy White, owner of Big Spruce Brewery, enjoys some of his craft. right Margie Beaton teaches the art of fiddling at the Gaelic College.

The bottom feeding lobster was once thought of as only fertilizer —now it is a culinary delight.

travel at home

if you go

out to sea that I find most captivating, across the Gulf of St. Lawrence to some distant land, the water changing from a brilliant turquoise over sandbars to dark blue in the deep where the howling Atlantic wind stirs the waves. I see a lone lobster boat bobbing in the chop far below, checking traps. I think that perhaps the boat is picking up my dinner.

You can’t experience this island without sampling lobster. And I do so during “Learn to Lobster Boil,” a new program put on by Parks Canada. I enjoy the evening event on the beach, savouring my crustacean picnic and keeping my eyes open for moose and bald eagles. I also hope to spot a Minke or Pilot Whale breaching while watching the sunset over the St. Lawrence on La Bloc beach. It’s all part of the Celtic colours on this coastal drive. Colours that come through in all the senses, and especially in sound as I listen to the wind and waves (and my lobster screaming, although the Parks Canada guide dispels that myth—it’s actually just air escaping the shell as it boils)…and music.

Music is woven into the Cape Breton Island tapestry. Celtic music is the sound and soul of the trail (and Celtic Colours is

also an autumn music festival, taking place this October 7–15). I realize early in my journey that full parking lots at roadside pubs or community centres are an invitation to take a break and pull in for a pint of Big Spruce microbrew or a dram of Glenora single-malt whiskey, because there is a Ceilidh happening—a jam session of Celtic musicians that becomes a party of Gaelic folk music and dancing. Cape Breton boasts some of the finest musicians in the Celtic fiddle world and locals often tell tales of when a young Natalie MacMaster or the Rankin Family graced these same stages.

Both cheery and haunting, it begs you to dance and then, with a few more notes, to shed a tear.

South of Margaree Harbour, the trail swings inland to the wistful Margaree River,

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HISTORY Parks Canada’s Alexander Graham where I end with Bell National Historic Site commemorates the that flick of the renowned inventor. Exhibits show how he and his associates achieved Canada’s first powered flight, fishing line. produced the world’s fastest boat, advanced recording From here the technology, designed giant kites and, of course, rolling farmland invented the telephone. parkscanada.gc.ca/bell of the Margaree TASTE Tour Glenora Distillery (glenoradistillery.com) River Valley to discover Canada’s first single-malt whiskey, and cradles the road Spruce Brewery (bigspruce.ca) for Cape Breton back to Baddeck. craft beer. KAYAK with Angelo Spinazzola, After driving the singing kayaker of North River Kayaks. northriverkayak.com along the water’s MORE Cape Breton Tourism: edge for the last cbisland.com few days, I feel the

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need to actually get on that sparkling surface, so I go for a moonlight paddle on Bras d’Or, out to Beinn Bhreagh, an island that once housed the summer home of Alexander Graham Bell. After a thrilling paddle through unusually rough water, I take a break at the Baddeck lighthouse for some sushi and wine, then kayak back into the sleepy harbour to spend one last night here—the end or the beginning of the Cabot Trail. Whichever way you go, it’s full of wonder, seafood, music, pot banging, kilts and just a wee bit of craft beer and single-malt scotch.

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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.

The appraisal

What all professionals should know and act on…now

T

he appraisal document is the factual presentation that is used for many financial and legal issues. No longer an elective business tool, it has become as essential as insurance policies and a written will.

It amazes me to discover that successful, professional practice owners fail to invest in the preparations for the unforeseen—and it happens far more often than most will admit. Talk to your lawyer, your accountant, your banker for example and ask them about some of the horrific stories they have heard.

Sadly, the consequences for a business owner who fails to install the essential pillars of succession, estate and emergency planning are severe. The value of a practice can be mortally affected or substantially damaged, resulting in a long recovery. A profes-

sional practice should be viewed as a living being. Your practice is not about you, it has a life of its own and must be treated as a separate entity. A practice can survive without the owner but only if the owner prepares it.

I have said this numerous times and I’ll say it again: You are selfish to NOT protect the value you have created in your practice. To ignore this basic advice is naïve and can cost you, your children, your grandchildren, your faith or your charity a great deal!

The appraisal is the statement of fact to protect and preserve practice value. Its primary goal is to determine what your practice is worth in today’s market.

The appraisal can be used for many purposes: insurance, estate planning, borrowing of funds or refinancing of existing funds,

buying another practice (sometimes they may be merged together) and sometimes even a family business transition, whether father and daughter or mother and son. They all rely upon the appraisal to document the value of the practice.

The appraisal should be designed, written and formatted for the intended reader.

And that intended reader is a dentist. Lawyers and accountants, bankers, consultants and family members also read appraisals, but ultimately this document is for the dentist.

To write for financial gurus and analysts only confuses the intended reader, so engage someone who understands the language and nuances of the dental profession.

Forty years ago the appraisal was not necessary because continued on page 36

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You need a plan The business plan is critical to success

N

o successful entrepreneur would start a venture without subjecting his business idea to the rigorous examination of the business plan process.

For most dentists who wish to buy, start, or expand the practice, the business plan is an unfamiliar concept. With the dental market becoming more and more competitive, combined with the significant capital required for purchasing or building a dental clinic, most lenders insist on a detailed business plan as a condition for loan approval.

So how do you go about preparing a winning business plan? This is the question Dr. Al Dente is asking himself. After seven years of being an associate, he is ready to realize his dream of owning a practice. He has an accepted offer to lease a 2,000 square foot new retail space close to where he lives. He has surveyed dental practices in the neighbourhood and commissioned a demographic study, providing great insight into the make-up and spending patterns of the people living in the area. He is ready to proceed with preparing the business plan.

Here’s an outline of Dr. Dente’s business plan for starting a dental practice: Keys to success 1. Patient focus Find committed staff members with the extraordinary ability to communicate with patients.

2. Convenient hours Open the clinic during non-traditional hours, including workdays from 9 am to 9 pm and weekends.

3. Professional management Build a strong practice management team with the experience of setting up state-ofthe-art business systems.

4. Strong marketing Utilize consultants to create a marketing program and strong brand image for the clinic.

Risk Assessment The “break-even analysis” is a valuable tool in assessing the risk in a dental practice startup.

It projects operating costs of the clinic in relation to the estimated revenues and the cash flow. The analysis also determines the minimum revenues required to pay

36

for operating expenses, including debt servicing, before compensation is paid to the owner-dentist. The point of zero income and zero loss is the “breakeven point.”

Marketing strategies Lenders want a comprehensive marketing plan, including details of marketing strategies, such as social media, direct mail, community involvement, internal marketing, etc.

Financial projections In projecting the revenues for each of the first 24 months of operation, Dr. Dente needs to ask himself these questions: 1. How many new regular patients per month are needed, including first-visit fees?

2. How many new patients require further treatment and estimated fees?

3. How many new emergency patients and fees per visit?

4. How many emergency patients will rebook?

5. What is the recall frequency for hygiene patients and estimated revenues?

6. How many recalled hygiene patients require further treatment?

It is essential that Dr. Dente projects his staff requirements and associated wage costs for 24 months. Investing time in preparing revenue and staff cost projections is a tremendous help in making a realistic cash-flow projection, which shows the operating cash flow for the first 24 months.

The projection would also show Dr. Dente how much he needs to work in his previous associate position. Thus, a detailed cashflow projection is the key document for the banker in determining the working capital requirements of Dr. Dente’s startup practice.

It also provides a benchmark for comparing the projection to the actual results, allowing him to take remedial action quickly.

Because many dentists dread the bank’s business plan requirement, they often delegate this task to their accountants. In my view, this is a missed opportunity to immerse oneself in planning for a successful practice startup.

continued from page 35

dental practices were not perceived to be worth very much. Why would a practitioner pay $1,000 in 1974 to have his/her practice appraised if it was only going to sell for $5,000?

As the practice market has developed, the need for appraisal has grown because the value of the practice/business is getting higher and higher. In early 2016, practices were selling for divergent sums, depending on location, size, client list and many other factors. Most are selling for substantially higher sums than they were just a few years past, so it’s understandable that all those involved— banker, lawyer, accountant, purchaser— would want a proper appraisal.

Owners may be reluctant to invest in the appraisal because they believe they have a good idea of what their practice/ business is worth. Their accountant or another advisor may have given them advice. Or they’ve heard about transactions of classmates and colleagues.

Don’t assume. Hire a reputable professional to do an appraisal of your practice at various stages of your career, prepare a proper, written will and update these documents as necessary, and have a Letter of Direction to ease your estate’s proceedings in case of untimely demise.

solution from July/ August 2016 contest

Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at manfred@purtzki.com.

practice [continued]

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

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solution from page 37

w e a lt h y d e n t i s t M . p u r t z k i

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

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Just For Canadian dentists September/October 2016

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

Yes, I would like to receive the CE newsletter & updates by e-mail.

NB: Information collected will not be shared with any third party.

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 October 7, 2016. 3. Prize: $50 VISA 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 affliates are not eligible to participate.

September/October 2016 Just For Canadian dentists

37

Dr. Huma Rohan has the best of two worlds…she lives and practises in Winnipeg, yet happily returns to Zimbabwe to visit her Mama (who also makes the best meal anywhere). She devotes time to establishing dental clinics in Africa, while also appreciating her “Shimmering Beast” on the roads in Canada. Playing in her car stereo? Probably George Michael. Because, of course, she knows good music and would likely be a DJ (or a dancer) if not a dentist. (See our story on Dr. Rohan’s philanthropic efforts in the January/February 2016 issue of Just for Canadian Dentists.)

My name: Huma Rohan I live in: Winnipeg, Manitoba My training: Degree of Dental Medicine & Fellowship in Implant

Restorative Dentistry, University of Manitoba Why I was drawn to dentistry: Introspective challenge of constantly fine-

tuning a skill whilst applying the fundamental basics of theory to an ever-evolving dynamic treatment tailored for the patient at hand

My last trip: Zimbabwe, Africa Most exotic place I’ve travelled to: Zanzibar, Tanzania Best souvenir I’ve brought back from a trip: Malachite stone carving of a Zimbabwean woman Best meal anywhere: My Mama’s home Memorable restaurant: Mangkok International Cuisine A “wow” hotel I’d happily stay in again: Sea Cliff Resort, Zanzibar A favourite place that I keep returning to: Mama’s home in Harare, Zimbabwe

Dr. Huma Rohan highfives kids in the Village of Hope orphanage in Kitwe, Zambia.

Can’t believe I’ve never been to: Victoria Falls having lived in both Zimbabwe and Zambia!

Don’t need to go to: Antarctica Dream vacation: Santorini, Greece

last splurge :

Wall art

Dr. Rohan in selfie mode and in scrubs at the dental clinic in Kitwe, Zambia.

fave souvenir :

Malachite bust

38

Just For Canadian dentists September/October 2016

Favourite film: Mustang, a 2015 international movie directed by TurkishFrench film director Deniz Gamze Ergüven Favourite TV show: Fresh off the Boat Favourite music: Anything George Michael My first job: Dentist Gadget/gear I could not do without: Dental loupes—they are an extension of my body!

I’d describe my home as: Airy, minimalistic, luminous and fresh My car: Is a Shimmering Beast that purrs for me, C300 Mercedes Benz Last purchase: Book: Emptiness Dancing by Adyashanti Last splurge: Piece of wall art that I overpaid for!

If I could travel to any time, I’d go to: Anywhere in Europe

Most frequented store: Chapters

Jetlag cure: Work the next day!

My fridge is always stocked with: Tomatoes and Brie cheese

I always travel with: A good read, socks and a light jersey

I have too many: Pajamas

Favourite city: Chicago, USA

My guilty pleasure: Baking in the sun with a decadent read

Favourite book: Interpreter of Maladies, Jhumpa Lahiri

My go-to exercise/sport: Dancing

Favourite spectator sport: Ice-skating Celebrity crush: Javier Bardem I’d want this with me if stranded on a desert island: Swiss Army knife My secret to relaxing and relieving tension: Expressing gratitude always turns that frown upsidedown A talent I wish I had: Singing A big challenge that I’ve faced: Recertifying in Canada as a foreign trained dentist The word that best describes me: Tenacious I’m inspired by: The unseen beauty that lies within each one of us: potentiality!

My motto: “Nature does not hurry, yet everything is accomplished” —Lao Tzu A cause that’s close to my heart: Establishing dental clinics at the Villages of Hope, Africa On my must-do list: Explore Canada west to east and everything in between!

If I wasn’t a dentist, I’d be: Dancer or DJ share your picks!

Want to be a “small talk” subject? Contact feedback@inprintpublications.com.

photos courtesy of Dr. Huma Rohan

s m a l l ta l k

dentists share their picks, plans + pleasures

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