DT Canada No. 6, 2012

Grey market darkening / Don’t believe all you read about embezzlement / Meetings / Industry

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CL
IN
IC

PRE

VIEW

The World’s Dental Newspaper · Canada Edition

TAD

WI
NTER

DENTAL TRIBUNE

NOVEMBER/NOvembre 2012 — Vol. 6, No. 6

www.dental-tribune.com

Fraud Myths

Snoring, Sleep Apnea

Like Deep-Powder Skiing?

David Harris: Control systems

Part 1: Dentistry’s emerging

Heliskiing adventure includes

aren’t enough.

role.

luxury resort.

Fraudes et Mythes
David Harris: Utiliser les systèmes

Ronflement, apnée du
sommeil

Vous aimez skier dans la
poudreuse?

de contrôle n’est pas suffisant.

Partie 1: Rôle émergent des

L’aventure Héliski inclus la station

” Page 6

dentistes. ” Page 8

touristique de luxe. ” Page 16

Grey market darkening
Noircissement
du marché gris

Toronto Academy
of Dentistry
Winter Clinic,
Friday, Nov. 2

• Adding control systems to protect
your practice from embezzlement
will get you only so far

CLINICAL/CLINIQUE

8–10

• Snoring and sleep apnea

MEETINGS/CONGRÈS

Trade group calls for enforcement
to curb noncompliant dental products

10–14

• Implants seminar attracts 500
• Toronto Academy of Dentistry
• Greater New York Dental Meeting
• Pacific Dental Conference

By Robert Selleck, Managing Editor

• Ordre des dentistes du Québec

DIAC Executive
Director Bernie
Teitelbaum

Practice/La Pratique

ental-product manufacturers, frustrated by a constant flow of their products being distributed outside
regulated supply chains, often at cut-rate prices, are
calling for stricter enforcement to address the issue.
In addition to losing potential revenue, manufacturers are concerned about damaged reputations should such products be expired, counterfeit or compromised in some other manner.
In a typical grey market scenario, a dealer redirects lowpriced products meant for sale in a developing-nation market
and resells them to bargain hunters in the U.S. or Canada. Product pricing differentials occur across borders because of variations in exchange rates, regulatory
compliance costs, distribution logistics, degree of
after-the-sale support and subsidized pricing being provided in developing nations as a long-term
growth strategy.
” See GREY, Page 2

INDUSTRY/L‘INDUSTRIE 16–23
• Posiflex Elbow Supports converting
more dental professionals
• Online registration for North America’s
biggest single-day dental convention closes
at midnight Wednesday, Oct. 31. After that,
you’ll need to register onsite. Photo/Provided
by Doug Brown, Tourism Toronto

• L’enregistrement en ligne pour le plus grand
congrès dentaire d’une journée en Amérique
du Nord se termine le mercredi 31 octobre à
minuit. Après cette date, les enregistrements
seront possibles au salon seulement. Photo/
Gracieuseté par Doug Brown, Tourisme Toronto

” See Page 11/Voir Page 11

• Heliskiing, luxury resort provide
endless powder and pampering
• Online dental convention and C.E.
forum, never closes
• Imaging system attracts patients,
ends surprises, saves time
• Surface disinfectant kills TB and
other pathogens in only one minute
• Autoclave system gets tech upgrade
• Whitenting product better serves
patients with sensitive teeth
Ad

Publications Mail Agreement No. 42225022

Un groupe de l’industrie
demande une action
pour contrer les produits
dentaires non conformes
Par Robert Selleck, Directeur de Rédaction

es fabricants de produits dentaires, frustrés
par la distribution constante de leurs produits
en dehors des réseaux autorisés, demandent
une régulation plus stricte pour aborder ce
problème. En plus de la perte de revenus potentiels,
les fabricants sont concernés pour leur réputation
advenant le cas d’utilisation de produits périmés, de
contrefaçon ou pour tous autres facteurs..
Le scénario typique du marché gris se dessine
lorsqu’un détaillant redirige un produit à prix réduit
destiné au marché de pays en voie de développement

” Voir GRIS, page 2

[2] =>

2
“ GREY, Page 1
Beyond the potential loss of dollars and
reputation faced by manufacturers, the
bulk of risk in a grey-market transaction
is borne by dental-practices, which are
unable to pursue product-dissatisfaction
recourse because such purchases typically can’t be traced back through the
shipping, storage and manufacturing
process.
The Dental Industry Association of
Canada has long been involved in efforts
to make dental practices aware of risks
associated with buying products that
may not be warrantied, traceable or authentic — or are otherwise out of compliance with medical-device licensing regulations for any number of other reasons.
Now the association is ready to put more
focus on the distributors.
DIAC Executive Director Bernie Teitelbaum said education and awareness efforts will continue, but he identified lack
of policing, meaningful penalties and
enforcement as the main reasons the
“grey market” continues to thrive.

NEWS/NOUVELLES

To better understand and address the
challenges, the biggest manufacturers and distributors in Canada in recent
years have been meeting with dentalassociation and government officials,
including representatives of the compliance and enforcement inspectorate for
Health Canada, to discuss how to address
the issue.
For an update on the industry’s greymarket battle, Dental Tribune spoke with
Teitelbaum prior to the summit.
How do grey market products threaten
the industry and dental practices?
Grey market products have been diverted from the manufacturer’s normal
distribution channels. That’s the dictionary definition of “grey market.” To the extent that they have been diverted from
developing-world markets, and may have
passed through several hands: 1) The
products may no longer satisfy Health
Canada’s medical-device-licensing regulations; 2) the manufacturer can no
longer attest to the shipping, storage and
handling conditions; and 3) the efficacy

Dental Tribune Canada Edition | November/Novembre 2012

of the products could be compromised.
Because the dental professional is responsible for everything that goes into
the patient’s mouth, he or she may face
remakes and recalls from faulty product
and disciplinary procedures for using
faulty products. The manufacturers
don’t just lose a few dollars of price. They
may actually lose a lifelong customer.
You have been involved with this issue for
several years. Are you seeing progress?
It turns out that progress can be a twoedged sword.
Manufacturers are making it increasingly difficult for grey marketers by
changing the packaging and branding
for export sales, putting tracking codes
onto the product and watching exchange
rates more closely.
The Dental Industry Association of
Canada (DIAC) is complementing these
efforts with articles, seminars and literature to create awareness among dental
practices of product that is not compli” See GREY, Page 4

DENTAL TRIBUNE
The World’s Dental Newspaper · Canada Edition

Publisher & Chairman
Torsten Oemus t.oemus@dental-tribune.com
Chief Operating Officer
Eric Seid e.seid@dental-tribune.com
Group Editor
Robin Goodman r.goodman@dental-tribune.com
Editor in Chief Dental Tribune
Dr. David L. Hoexter feedback@dental-tribune.com
Managing Editor
Robert Selleck r.selleck@dental-tribune.com
Managing Editor Show Dailies
Kristine Colker k.colker@dental-tribune.com
Managing Editor
Fred Michmershuizen
f.michmershuizen@dental-tribune.com
Managing Editor
Sierra Rendon s.rendon@dental-tribune.com
Product & Account Manager
Will Kenyon w.kenyon@dental-tribune.com
Marketing DIRECTOR
Anna Kataoka-Wlodarczyk
a.wlodarczyk@dental-tribune.com
PROJECTS & EVENTS COOrIDNATOR
Sergio Cardoso s.cardoso@dental-tribune.com
C.E. Director
Christiane Ferret c.ferret@dtstudyclub.com

“ GRIS, Page 1
pour le revendre aux chasseurs d’aubaines
aux États-Unis et au Canada. Le différentiel de prix outre frontière s’explique par
les variations du taux d’échange, les coûts
rattachés à l’indication de conformité, la
logistique de distribution, le niveau de service après-vente et les prix subventionnés
pour les pays en voie de développement
dans une stratégie de croissance à long
terme.
En plus de la perte de réputation et de
revenus potentiels envisagés par les fabricants, le gros du risque des transactions du
marché gris est encouru par les cliniques
dentaires qui ne pourront obtenir satisfaction en cas de litige sur la qualité des produits. Une telle transaction ne peut être retracée par les voies habituelles de livraison,
d’entreposage ou de fabrication.
L’Association Canadienne de l’Industrie
Dentaire est impliquée depuis longtemps
dans les efforts pour informer les cliniques
dentaires des risques associés à l’achat de
produits qui pourraient ne pas être garantis, sans traçabilité ou même authentiques
— ou qui ne sont tout simplement pas
conformes pour toutes sortes de raisons,
à l’approbation et à la règlementation qui
régit les dispositifs médicaux. Maintenant,
l’association est prête à mettre l’accent au
niveau des distributeurs.
Monsieur Bernie Teitelbaum, directeur exécutif de l’ACID, mentionne que
l’éducation ainsi que les efforts de sensibilisation continueront. Cependant, il a
identifié que le manque de mise en force
de surveillance et de pénalités significatives
sont les plus grands facteurs qui permettent
au “marché gris” de continuer sa progression sans être inquiété.
Pour mieux comprendre et relever les
défis, les plus grands fabricants et distributeurs au Canada ont rencontré des associations dentaires ainsi que des agents du
Gouvernement, incluant des représentants
du bureau de l’inspection des dispositifs
médicaux de Santé Canada, afin de discuter
comment adresser ce problème.
Comment le marché gris menace-t-il
l’industrie et les pratiques dentaires?
La définition du dictionnaire pour

l’expression marché gris, est que des produits ont été déroutés du réseau de distribution établi par le fabricant, allant
jusqu’à être déroutés du marché de pays
en voie de développement et ont possiblement transigés par plusieurs mains : 1) les
produits peuvent ne plus répondre aux exigences d’approbation pour les dispositifs
médicaux de Santé Canada, 2) le fabricant
ne peut plus confirmer les conditions de
transport, d’entreposage et de manutention et 3) l’efficacité du produit peut être
mis en cause.
Parce que le professionnel dentaire est imputable pour tout ce qui est utilisé dans la
bouche du patient, il ou elle pourrait avoir
à refaire des procédures suite à l’utilisation
de produit défectueux en plus de s’exposer à
des mesures disciplinaires pour avoir utilisé
des produits défectueux. La possibilité pour
le fabricant de perdre un client à vie est plus
importante que la perte de quelques dollars
sur la vente d’un produit.
Vous êtes impliqué avec cette situation
depuis plusieurs années. Voyez-vous du
progrès?
Il s’avère que le progrès est parfois une
arme à deux tranchants. Les fabricants rendent la vie de plus en plus difficile pour les
adeptes du marché gris en vérifiant les taux
d’échange de plus près, en changeant les
emballages et les marques, en apposant des
codes sur les produits pour faciliter la traçabilité des ventes à l’exportation.
L’Association Canadienne de l’Industrie
Dentaire complète ses efforts avec des articles, des séances d’informations et des brochures pour créer une sensibilisation au sein
des pratiques dentaires en ce qui concerne
les produits qui ne se conforment pas avec
la règlementation sur les dispositifs médicaux. De plus, elle est activement impliquée avec les associations professionnelles
pour les sensibiliser et pour promouvoir un
climat de discussion.
Le résultat est que les promoteurs du marché gris grattent les numéros de lots et les
codes de traçabilité, vendent les produits
sans emballage, fabriquent leur propre emballage et de plus en plus, ils commencent
à faire de la contrefaçon du produit même.
La position de Santé Canada est que les
licences de produits et de distribution sont

énumérées sur son site web, donc il y a assez d’informations pour que les pratiques
dentaires se protègent d’elles-mêmes. Malheureusement, ce n’est pas le cas, car il n’y
a rien sur le site de Santé Canada pour aider
les pratiques dentaires à reconnaitre les
produits non conformes. De plus, le registre
d’inspection de Santé Canada pour les distributeurs non autorisés et pour les distributeurs autorisés est risible. Dans ses propres
mots, Santé Canada mentionne “que son
mandat est d’inspecter et de surveiller les
acteurs conformes.”
Quels conseils offrez-vous aux pratiques qui
désirent éviter de commander ces produits?
C’est probablement une infraction à loi
sur la concurrence de dire à un professionnel dentaire à quel endroit faire ses achats.
Clairement, la façon la plus sécuritaire pour
toujours avoir un recours au fabricant est
d’effectuer vos achats chez un distributeur
autorisé. Cependant, si une aubaine se présente, les cliniques dentaires devraient suivrent un protocole rigoureux qui inclura :
1) S’assurer que le distributeur possède un
établissement autorisé;
2) Vérifier l’emballage pour sa familiarité;
3) S’assurer que le numéro de lot et son
contenu concordent;
4) Vérifier pour des numéros de codes grattés, dates de péremption, code de traçabilité ou autres dégradations.
Si vous décelez un problème lors de la
réception, la clinique devrait retourner le
produit. La clinique est tout à fait seule
lorsque le produit est utilisé et que son efficacité semble compromise. Les fabricants
ne garantissent pas les produits vendus à
l’extérieur de son réseau de ventes habituel.
Est-ce principalement un problème
d’application des règles avec les commerçants du marché gris ou un défi d’éducation
et de sensibilisation avec les personnes
responsables des commandes dans les
cliniques?
Nous sommes présentement engagés dans
une campagne généralisée d’éducation et
de sensibilisation, mais le vrai problème
est l’application. Les produits dentaires
” Voir GRIS, Page 4

Tribune America, LLC
Phone (212) 244-7181
Fax (212) 244-7185

Published by Tribune America
© 2012 Tribune America, LLC
All rights reserved.

Dental Tribune strives to maintain the utmost accuracy in its news and clinical reports. If you find a factual error or content that requires clarification, please
contact Managing Editor Robert Selleck at r.selleck@
dental-tribune.com.

Dental Tribune cannot assume responsibility for the
validity of product claims or for typographical errors.
The publisher also does not assume responsibility for
product names or statements made by advertisers.
Opinions expressed by authors are their own and may
not reflect those of Tribune America.

Editorial Board
Dr. Joel Berg
Dr. L. Stephen Buchanan
Dr. Arnaldo Castellucci
Dr. Gorden Christensen
Dr. Rella Christensen
Dr. William Dickerson
Hugh Doherty
Dr. James Doundoulakis
Dr. David Garber
Dr. Fay Goldstep
Dr. Howard Glazer
Dr. Harold Heymann
Dr. Karl Leinfelder
Dr. Roger Levin
Dr. Carl E. Misch
Dr. Dan Nathanson
Dr. Chester Redhead
Dr. Irwin Smigel
Dr. Jon Suzuki
Dr. Dennis Tartakow
Dr. Dan Ward

Tell us what you think!
Do you have general comments,
criticism or a story idea you would
like to share? Let us know by e-mailing
feedback@dental-tribune.com.

Dites-nous ce que vous en
pensez!
Avez-vous une opinion ou une critique que
vous aimeriez partager? Vous aimeriez voir
plus d’articles sur un sujet en particulier?
Laissez-nous le savoir par courriel au
feedback@dental-tribune.com.

[3] =>

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[4] =>

4
“ GREY, Page 2
ant with medical device regulations and
is actively engaged with professional
associations to promote discussion and
awareness.
The result is that grey marketers are
scratching out lot numbers and tracking
codes, selling product outside its packaging, making their own packaging, and
to an increasing degree, they are starting
to counterfeit the product itself.
What advice do you have for dental practices that want to avoid these products?
It is likely a violation of the Competition
Act to tell dental professionals where
they must buy their product. Clearly, the
safest route is to always order through
an authorized dealer because you always
have recourse back to the manufacturer. However, if a bargain is to be had,
the dental practice should go through a
rigorous control process that includes:
1) making sure that the dealer/distributor has an establishment license;
2) checking the packaging for familiarity;
3) making sure that the lot numbers on
the package and contents match;
4) checking for scratched-out lot numbers, expiry dates, tracking codes and
other defacements.
If there is any problem with the product when it is received, the dental practice should return it. If when the product
is used, it appears that the efficacy is
compromised, the dental practice is on
its own. Manufacturers do not warranty
product sold outside their normal distribution channel.
Is this primarily an enforcement problem
with grey market dealers or an education and awareness challenge with those

“ GRIS, Page 2
non conformes sont importés presque exclusivement au Canada. Tout ce que Santé
Canada a besoin de faire est d’amender ses
critères pour sa concession de licences aux
établissements pour que ces derniers aient un lien de proximité avec le fabricant
pour l’obtention de ladite licence. Ensuite,
d’émettre une directive à l’Agence des Services Frontaliers du Canada pour arrêter tous
les envois en provenance ou vers une entreprise qui ne possède pas de lien de proximité avec le fabricant. Présentement, Santé
Canada ne croit pas qu’un lien de proximité
avec le fabricant est un critère important
pour l’obtention d’une licence, et ce même
si ce manque de proximité avec le fabricant rend ses autres procédures, telles que
le rappel de produits ou les plaintes reliées
au produit, totalement et complètement
inutiles. Les commerçants n’entendront
jamais parler de rappel et ils ne peuvent
envoyer une plainte sur les produits à qui
que ce soit.
Êtes-vous au courant d’un distributeur sous
amende ou encore fermé pour avoir vendu
des produits de marché gris?
Non, et la pénalité est de 500 $ seulement.
Le prix d’une licence est de 7 000 $ par
année en plus des frais de réglementation
et de contrôle de qualité. Cette amende
n’arrêtera personne. Vous pourriez vous
faire prendre 14 fois par année pour le
même prix!

NEWS/NOUVELLES

handling ordering for dental practices?
We are currently engaged in an extensive education and awareness campaign,
but the real problem is enforcement.
Non-compliant dental product is almost
exclusively imported into Canada. All
Health Canada has to do is amend its
establishment licensing requirements
to include a proximate connection to the
manufacturer as a condition for a license,
and then issue a directive to the Canada
Border Services Agency to stop product
that is shipped to or from a company that
does not have a proximate connection
to the manufacturer. Presently Health
Canada does not deem a proximate connection to the manufacturer as a serious requirement, even though a lack of
proximate connection makes their other
requirements — product complaint and
recall procedures — totally and completely useless. Grey market dealers will
never hear about a recall, and they have
nobody to send a product complaint to.
Are you aware of a dealer being shut down
or fined for selling grey market products?
No, and the penalty is only $500. A license costs $7,000 per annum plus the
consequent costs of regulatory and quality control. This penalty is not going
to stop anybody. You can get caught 14
times a year and at worst break even.
Are there additional packaging strategies
that can be used to address the challenge?
We are constantly on the lookout for
additional packaging strategies and
awareness efforts.
Unfortunately, where there is money
to be made and the enforcement of regulations is lax or absent, you can expect
more creative — and probably dangerous ways — for distributors of non-compliant product to operate.

Connaissez-vous
d’autres
stratégies
d’emballage pour contrer cette pratique?
Nous sommes toujours à l’affût de stratégies d’emballage supplémentaires et des efforts de sensibilisation. Malheureusement,
lorsqu’il y a de l’argent à faire et un peu de
laisser-aller dans l’application des règles ou
l’absence de réglementation, vous devez
vous attendre à plus de créativité et possiblement à des moyens dangereux dans
la façon d’opérer des commerçants de produits non conformes.
Voyez-vous beaucoup de contrefaçon
d’emballage et/ou même de produits?
Le tout a débuté avec des emballages
contrefaits et des Sac-Poly lorsque les fabricants on commencé à changer les emballages. Certains de ces emballages contrefaits ont été vraiment sophistiqués. Tout
ce dont vous avez besoin, c’est d’une bonne
imprimante à jet d’encre. Certains vendeurs
s’adonnent directement à la contrefaçon du
produit, et oui, non seulement, l’avons-nous
vu, mais certaines de ces contrefaçons ont
trompé les fabricants.
Il y a eu un cas où un faussaire se procura
le vrai produit, enleva le numéro de lot et
la date de péremption pour ensuite produire une contrefaçon avec un emballage
concordant. Lorsque les échantillons arrivèrent chez le fabricant avec les rapports
que le produit était défectueux, ce dernier
se préparait à arrêter sa propre ligne de fabrication jusqu’à ce que quelqu’un décide de
tester le produit.

Dental Tribune Canada Edition | November/Novembre 2012

Are you seeing much counterfeit packaging and counterfeiting of the product?
It started with counterfeit packaging
and poly-bagging, when manufacturers started their packaging changes, and
some of the counterfeit packaging has
been very sophisticated. All you need is a
good quality ink jet printer. Some sellers
have just gone straight to counterfeiting
the product, and yes, we have not only
seen it; some of it has even fooled the
manufacturers.
There was one case where a counterfeiter secured some real product, lifted
the lot number and expiry date, and then
produced a counterfeit product with a
matching package. When the reports and
samples came in to the manufacturer
that the product didn’t work, that manufacturer was preparing to stop its own
manufacturing line — until somebody
decided to test the product.

because of market sizes; but that product
is also making its way into Canada with
all the other non-compliant product.
What’s the primary intent behind the
“Grey Market Summits” the DIAC is hosting? What would you like to see come out
of these meetings?
It’s really a “Non-Compliant Product
Summit,” but that name doesn’t have
much pizzazz. We expect to share newer
and more sophisticated packaging and
transportation mechanisms to prevent
product from being diverted from developing-world markets, and to make
internal and external packaging more
tamper proof.
We also hope to come up with more
effective education and awareness programs for dental practices.

Bernie Teitelbaum has more than 35 years of ex-

Is it possible to use packaging strategies
that inhibit counterfeiting similar to currency printing, or is that just too costly?
Some manufacturers are going as far
as producing holograms for their packaging, but with so many products, we
cannot reasonable expect that dental
practices will know what to look for. Education and awareness is a one-by-one
proposition. There are more than 18,000
practicing dentists in Canada, plus all the
dental assistants, receptionists and office
managers involved in the ordering. It is
an enormous task.

perience in the dental industry in a variety of executive and management functions ranging from finance and operations to sales and marketing. For
the past 13 years he has served as executive director
of the Dental Industry Association of Canada
(DIAC), responsible for moving the association’s
programs forward from conception to completion.
He is also the association’s spokesperson and
watchdog on market ethics. After participating in a
panel discussion on the grey market at the 2008
Toronto Association of Dentistry Winter Clinic, he
has conducted grey market clinics at the 2009
Pacific Dental Conference, the 2010 Journées dentaires internationales du Québec and the 2011 Ontario Dental Association Annual Spring Meeting. He

Is this a bigger problem in Canada than in
the U.S. and elsewhere?
Canada, and particularly Ontario, are
the centres for grey market product in
North America because of giant holes in
the regulations and their enforcement.
Counterfeiting is more prevalent abroad

has written several articles on the grey market in

Est-il possible d’élaborer des stratégies pour
l’emballage pour contrer les faussaires au
même titre que les billets de banque, ou estce trop dispendieux?
Certains fabricants vont jusqu’à apposer
des hologrammes pour leur emballage,
mais avec autant de produits, on ne peut
s’attendre à ce que les pratiques dentaires
sachent reconnaitre toutes les indications.
L’éducation et la sensibilisation sont donc
du cas par cas. C’est un travail énorme, car
il y a plus de 18 000 dentistes au Canada en
plus des assistantes dentaires, les réceptionnistes et des gestionnaires de clinique qui
sont impliqués dans le processus des commandes.

échanger sur de nouveaux emballages plus
sophistiqués et les mécanismes de transport pour prévenir le détournement de
produits destinés aux marchés des pays en
développement, en plus de rendre les emballages inviolables. Nous désirons aussi
trouver des moyens plus efficaces pour les
programmes d’éducation et de sensibilisation dans les cliniques dentaires.

industry publications. Before DIAC, Teitelbaum was
director of sales and marketing for the Dentsply
division of Dentsply Canada. He received the Toronto Academy of Dentistry Industry Service Award
in 2010. He can be reached by phone at (905) 4177462 or email at bernie@diac.ca.

Fort d’une expérience de plus de 35 années dans
l’industrie dentaire, M Bernie Teitelbaum a occupé
différents postes au niveau de la direction et de la gestion dans le domaine financier, des opérations, de la
vente et du marketing. Depuis les 13 dernières années, il
occupe le poste de directeur administratif pour

Le problème est-il plus grand au Canada
comparativement aux États-Unis ou ailleurs?
À cause des lacunes énormes dans la réglementation et son application, le Canada et
particulièrement l’Ontario, est l’épicentre
pour le commerce des produits du marché
gris en Amérique du Nord. La contrefaçon
est plus présente outremer due au volume
des marchés. Cependant, ces produits se
retrouvent aussi ici au même titre que les
autres produits non conformes.

l’Association Canadienne de l’Industrie Dentaire, il est
responsable de la réalisation des projets de l’association
de leur conception à leur aboutissement. Il est aussi le
porte-parole et le surveillant de l’association en matière d’éthique du marché. Après avoir participé à des
discussions en groupe au sujet du marché gris lors de La
Clinique d’Hiver de l’Association de Dentisterie de Toronto en 2008, il a dirigé des rencontres sur le marché
gris lors de La Conférence annuelle du Pacifique au
printemps 2009, les Journées dentaires internationales
du Québec en 2010 et la réunion annuelle du printemps de l’Association Dentaire de l’Ontario en 2011. Il
est aussi auteur de plusieurs articles dans des publica-

Quel est l’intérêt prioritaire du “Sommet
sur le Marché Gris” qui sera tenu par l’ACID?
Que désirez-vous accomplir?
C’est vraiment un “Sommet sur la NonConformité des Produits” mais ce nom ne
soulève pas les passions. Nous prévoyons

tions reliées à l’industrie. Avant de se joindre à l’ACID,
monsieur Teitelbaum était directeur des ventes et du
marketing pour la division Dentsply de Dentsply Canada. Il a reçu le prix du Service à l’Industrie de l’Académie
de l’Industrie Dentaire en 2010. Vous pouvez le contacter au (905) 417-7462 ou à bernie@diac.ca.

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PRACTICE/LA PRATIQUE

Dental Tribune Canada Edition | November/Novembre 2012

Don’t believe all you read
about embezzlement
By David Harris

A recent Google search for dental embezzlement articles located approximately 30 articles, many written by
some of the “stars” of dental consulting.
Most followed a common theme; they
offer tips for fraud prevention that include control procedures, each designed
to block a specific fraud technique.
While I agree that certain controls and
techniques advocated by those authors
are good ideas for reasons unrelated to
Ad

fraud, I categorically disagree with the
suggestion that more or different controls will prevent fraud.
My attack on this conventional wisdom deserves explanation. While I am
sure the authors had good intentions
(and, by raising dentists’ awareness
about fraud clearly have performed a
valuable service), I also think most have
been caught by something called the
Dunning-Kruger Effect, which happens
when people who understand the basic
elements of an issue become convinced

they have a mastery of that issue. Many
proponents of the “more controls prevent fraud” principle are either generalist consultants who advise on many
areas, or dentists who are writing about
their own (necessarily limited) fraud experience.
Fraud theorists have developed the
“fraud triangle” that suggests three ingredients are required for fraud to happen: “pressure” (meaning motive), “opportunity” and “rationalization.” Most
pundits have correctly recognized the

DAVID HARRIS has
had the pleasure of
hearing many jailcell doors slam
shut on thieves he
has caught. He is
president of Prosperident, the only
company in North
America specialising in the detection and investigation of embezzlements
committed against dentists. He is a member
of the Academy of Dental Management
Consultants and has been called the “The
Dental Fraud Guru.” Learn more by visiting
www.prosperident.com, or contact Prosperident directly at fraud@prosperident.com,
which is monitored both during and after
business hours.

impossibility of controlling people’s motivation or preventing rationalization,
and therefore conclude that eliminating
opportunity is how to prevent fraud. I
agree with this analysis on a theoretical
level; however, based on my own experience I conclude that many of the writers
haven’t considered that while their suggestions cause the removal of some opportunity, for this approach to succeed,
all opportunity must be eliminated.
My company investigates embezzlement against dentists every day. Involvement with hundreds of embezzlements
grants us a perspective that is impossible for the generalists and dabblers to
acquire — we are given the chance on
many occasions to watch how thieves
behave.
The people who steal from dentists
share common characteristics — superficially they are usually long-service
employees, exude efficiency and are
liked by peers. Looking deeper, we see
both a level of intelligence beyond what
is required for their position and also a
specialized intellect, which I would label
“criminal intelligence” — the ability to
perceive systems and rules, and to tailor
behavior to work within (or around) the
rules. Also, embezzlers are driven by
powerful motivation, summarized as
“need” or “greed.” This combination of
motivation plus “criminal intelligence”
permits embezzlers to triumph over
virtually any control system you might
implement.
An uncomplicated solo practice has
hundreds of possible fraud pathways.
Considering each individually, you
might be tempted to implement a control that would thwart that specific fraud.
For example, the dentist personally
making all bank deposits — a procedure
advocated in many articles — blocks a
specific fraud technique (someone helping themselves to cash or checks intended for deposit).
However, making four bank deposits
weekly takes considerable time for
which the dentist should have better
use. Second, this fraud is one rarely
seen in practice (presumably because
it leaves an obvious discrepancy when
bank deposits don’t match daysheets).
Most importantly, this control procedure is visible to the thief, who, driven by
the powerful forces I mentioned, will not
simply surrender. Instead, they will develop an alternative way to steal that will
circumvent the dentist’s control efforts.
There is probably a control that would
defeat any alternative fraud method selected, but this will simply prompt further adaptation. Since every control costs
” See EMBEZZLEMENT, Page 8

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CLINICAL/CLINIQUE

Dental Tribune Canada Edition | November/Novembre 2012

Snoring and sleep apnea
Le ronflement et l’apnée
du sommeil

Brock Rondeau, DDS, IBO, DABCP, is one of North America’s most
sought after clinicians and lectures more than 100 days per year. He is a
master senior certified instructor for the International Association for
Orthodontics and its past president. More than 19,000 dentists have
attended his courses and study clubs in the United States, Canada,
China, Australia, England and Poland. He has a busy practice limited to
the treatment of patients with orthodontic, snoring and sleep apnea
and TMJ problems. Rondeau is a diplomate of the International Board of Orthodontics and a
diplomate of the American Academy of Craniofacial Pain. For more information about his seminars and to contact him, please visit www.rondeauseminars.com.

Sleep apnea

Snoring

• Fig. 1 : This is what happens to those who suffer from sleep apnea: The tongue completely
blocks the airway. Photo/Provided by Dr. Rondeau • Fig. 1 : Voici ce qui arrive à ceux qui souffrent
d’apnée du sommeil : la langue bloque complètement les voies respiratoires.

Part 1: Sufferers turning to oral
appliances as alternative to masks

Partie 1: Plusieurs personnes affligées
se tournent vers les dispositifs buccaux
comme alternative aux masques

By Brock Rondeau, DDS, IBO, DABCP

Par Brock Rondeau, DDS, IBO, DABCP

Photos/Gracieuseté de Dr Rondeau

It has been estimated that approximately 90 million people in North America suffer from sleep disorders including insomnia, snoring and sleep apnea.
Snoring is extremely common in our
society, as it has been estimated that 60
percent of men snore and 40 percent of
women over age 50 snore. Snoring occurs
when there is a partial obstruction of the
airway that causes the palatal tissues to
vibrate.
Snoring is a serious social problem for

“ EMBEZZLEMENT, Page 6
time, money or productivity, to implement procedures to block every known
fraud modality would grind every dental
office to a halt.
I confess that, for most of my 20-year
plus investigative career, I, too, believed
in controls. My epiphany happened
about five years ago when reviewing an
investigation with one of my senior investigators. He had examined several
years of transactions when he noticed
something interesting: There was a point
when the dentist (not realizing at the
time that he was being embezzled) made
some procedure changes in the office,
including a new requirement that the
dentist personally authorize all writeoffs. This change eliminated the thief’s
favorite method of stealing: writing off
balances she had collected and pocketed.
What became clear to us was that, when
the dentist decided that he needed to
control write-offs, the embezzler varied
her scheme and, within days, was happily stealing again. Observing this response to the dentist’s actions, I realized
the futility of control systems to prevent

Brock Rondeau, DDS, IBO, DABCP, est un des cliniciens les plus recherchés en Amérique du Nord,
il donne des conférences plus de 100 jours par année. Il est un maître instructeur senior pour
l’Association Internationale pour l’Orthodontie et est un de ces anciens présidents. Plus de 19 000
dentistes ont pris part à ses cours et ses groupes d’étude aux États-Unis, au Canada, en Chine, en
Australie, en Angleterre et en Pologne. Il possède une pratique bien occupée qui se limite aux traitements de patients en orthodontie, ronflement et apnée du sommeil ainsi que de problèmes d’ATM.
Rondeau est diplômé du Bureau International d’Orthodontie et est aussi diplômé de l’Académie
Américaine pour la Douleur Cranio-faciale. For more information about his seminars and to contact him, please visit www.rondeauseminars.com.

the bed partner and adversely affects
many relationships. I treat many patients
where snoring is a significant negative factor in their lives.
Some studies report that the bed partner’s sleep is seriously affected by as much
as one hour per night, which can have a
negative affect on the partner’s health as
well, due to the lack of adequate sleep (this
is similar to the negative health issues associated with secondhand smoke).
USA Today reported that 27 percent of

pour les partenaires au lit et affecte plusieurs relations de façon négative. Je traite
plusieurs patients pour qui le ronflement est
vraiment un facteur négatif dans leur vie.
USA Today a rapporté que 27 pour
cent des couples âgés de plus de 40 ans
couchent dans des chambres séparées. Je
crois qu’il y a une corrélation directe entre ce fait et l’incidence du ronflement.
Comme l’incidence de l’obésité continue
d’augmenter dans notre société, ces chiffres
vont continuer d’augmenter.

” See APNEA, Page 10

Il est estimé qu’approximativement 90
millions de personnes en Amérique du Nord
souffrent de désordre du sommeil incluant
l’insomnie, le ronflement et l’apnée du sommeil.
Le ronflement est vraiment répandu dans
notre société, il est estimé que 60 pour cent
des hommes et 40 pour cent des femmes de
plus de 50 ans ronflent. Le ronflement est occasionné par une obstruction partielle des
voies respiratoires qui causent une vibration
des tissus palatins.
Le ronflement est un sérieux problème

” Voir L’APNÉE, Page 10

fraud. Subsequently, we have seen this
pattern repeated frequently — a dentist,
either with concerns about fraud or simply unhappy with some aspect of their
practice, makes some change that impinges on the fraud methodology employed,
which is followed by a quick adaptation
by the thief.
There are other pieces of evidence supporting the uselessness of controls in
prevention. Published statistics suggest
that over half of dentists will be fraud
victims in their careers. Surely, with so
much information about control systems available to dentists, if those systems worked, the incidence of embezzlement should be much lower. I should
also mention that the embezzlement
probability has remained fairly constant
over time, notwithstanding ongoing
improvements in the security features
in practice management software.
Also, the American Dental Association
performed an extensive embezzlement
survey in 2007. One question asked was
how embezzlement was discovered. Less
than 20 percent of fraud was uncovered
by what I consider to be planned operation of the dentist’s control system

(including discovery by the dentist’s accountants). More than 80 percent was
discovered by accidental means, such as
employees being fired for other reasons
and their replacements finding fraud, or
from patient complaints about billing
irregularities, pointing again to the uselessness of fraud controls.
Please don’t misunderstand — I’m not
suggesting that controls are inherently
bad, or that your office should abandon
existing controls; many of which serve
other important purposes. For example,
checking your daysheet is worthwhile
because it catches (potentially expensive) clerical errors. It probably won’t find
fraud because the thief will be aware of
your attention to daysheets, and will employ tactics that bypass your daysheet.
So I’ve presented considerable evidence to show that controls specifically targeting fraud (without ancillary
benefits) waste resources. At this point I
expect you want to know how I recommend dealing with the fraud epidemic
afflicting dentists.
The solution is remarkably simple. Even
with the plethora of fraud opportunities,
fortunately the behavior of thieves is in-

credibly consistent (and I should know,
because I have observed many thieves).
There are behavioral manifestations
of stealing that are virtually universal,
readily observable and difficult to hide.
Dentists who understand how the behavior of thieves presents, and who can periodically consider employees in this light,
have an excellent chance of uncovering
frauds early.
For example, thieves want to implement their malevolent transactions
when alone in the office, so they often
frequent the office outside work hours.
They also unreasonably resist changes in
dental software, banking arrangements
or involvement of outside consultants.
We have developed a questionnaire
designed to assist dentists in identifying
telltale behaviors of embezzlers. It can be
requested by sending an email to me at
fraudnews@prosperident.com.
Monitoring employee behavior is the
easiest, least expensive and most effective means of protecting yourself
against embezzlement, and offers far
more return on investment than futile
anti-fraud controls, and something every
practice owner should do.

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MEETINGS/CONGRÈS

Dental Tribune Canada Edition | November/Novembre 2012

Two-day implant seminar attracts 500
Next five-day course by American Academy of Implant Prosthodontics is in Kingston, Jamaica, Jan. 13–17
The American Academy of Implant Prosthodontics (AAIP) joined with Osstem/
Hiossen Dental Implants to present a twoday comprehensive implant symposium
to more than 500 dentists on Sept. 22 and
23 in Lisbon, Portugal. On Sept. 23 Dr. Mike
Shulman presented an advanced seminar
on sinus lifts as part of the symposium, to
30 dentists from Kazakhstan, Russia, Azerbaijan and Armenia.
The advanced sinus-lift course included
lectures, hands-on participation, surgical
demonstrations and diagnosis and treatment planning of sinus-lift maxillary posterior edentulous sites. Maxillary sinus
anatomy, physiology and pathology were
covered, along with different gingival approaches to the treatment of posterior
maxillary bone grafting.

“ APNEA, Page 8
couples over age 40 sleep in separate bedrooms. I think there is a direct correlation
between this and the incidence of snoring.
As the incidence of obesity continues to
increase in our society, these numbers are
going to continue to increase.
Sleep apnea is a medical disorder that
can only be diagnosed by a sleep specialist in a sleep clinic. The patient must have
an overnight sleep study — a polysomnogram evaluated by the sleep specialist.
Many sleep specialists prefer to prescribe the CPAP (continuous positive air
pressure) device to treat obstructive sleep
apnea and do not appreciate the effective
role that oral appliances can provide for
patients who have mild or moderate OSA
(obstructive sleep apnea) or patients who
cannot tolerate the CPAP device.
A significant breakthrough occurred
for the dental profession in 2006. In the
January issue of the medical journal Sleep,
the American Academy of Sleep Medicine
(medical sleep specialists) issued guidelines stating that for patients with mild to

“ L’APNÉE, Page 8
L’apnée du sommeil est un désordre
médical que seul un spécialiste peut diagnostiquer dans une clinique du sommeil.
Le patient doit subir, une nuit durant, une
étude du sommeil nommée une polysomnographie, qui sera ensuite évaluée par le
spécialiste du sommeil.
Plusieurs spécialistes préfèrent prescrire
un dispositif VPPC (ventilation spontanée
en pression positive continue) pour traiter
l’obstruction qui cause l’apnée du sommeil
et ne reconnaissent pas le rôle efficace qu’un
dispositif buccal peut apporter aux patients
qui souffrent du syndrome d’apnées obstructives du sommeil (SAOS) léger ou modéré ou encore les patients qui ne peuvent
tolérer les dispositifs VPPC.
Une percée significative est arrivée pour la
profession dentaire en 2006. Dans l’édition
de janvier du journal médical Sleep, une directive de l’Académie Américaine de la Médecine du Sommeil (spécialistes médicaux
du sommeil) déclare que pour des patients
souffrant du syndrome d’apnées obstruct-

All symposium participants received
continuing education certificates from
the American Academy of Implant Prosthodontics. The academy will sponsor
additional sinus-lift training in the United
States early next year for the dentists who
completed the Lisbon course.
The next five-day implant course sponsored by AAIP/ADIS will be in Kingston,
Jamaica, Jan. 13–17. The course is tax deductible and 35 hours of dental continuing education credits will be awarded on
course completion.
Patient treatment is provided in a Jamaican dental school with personalized training in small-group settings.
The course is a cooperative effort of the
Jamaican Ministry of Health, the University of Technology, School of Dental Sci-

• Several participants in the AAIP advanced implant seminar in Lisbon, Portugal, relax at the
oceanfront. Dr. Mike Shulman, instructor/coordinator, is at the right. Photo/Provided by AAIP

ences, Jamaica, and the American Academy
of Implant Prosthodontics.
Patients will be provided, and participants have the opportunity to place two to
six implants.

There are three treatment options for obstructive sleep apnea:
• Oral appliances
• CPAP device (continuous positive air
pressure)
• Surgical removal of structures causing
the obstruction

moderate obstructive sleep apnea, the oral
appliance was the No. 1 treatment option.
The guidelines also stated that oral appliances were a viable option for treatment
for patients who do not respond to weight
loss or have tried the CPAP device and were
unable to tolerate it.
The diagnosis for OSA is made using an
apnea-hypopnea index (AHI). The diagnosis is made during an overnight sleep study
in a hospital or private sleep clinic. This
sleep study is known as a PSG (polysomnogram). The number of apneic and hypopnic events are recorded as follows:
• Sleep apnea: tongue completely blocks
airways
• Apnea: a cessation of breath for 10
seconds or more
• Hypopnea: the blood oxygen level decreases 4 percent or more cessation of
breath for less than 10 seconds
• Mild sleep apnea (osa): 5–15 events/hour
• Moderate sleep apnea (osa): 16–30 events
per hour
• Severe sleep apnea (osa): more than 30
events per hour

The diagnosis of obstructive sleep apnea
can only be made by a medical professional, and it is usually a sleep specialist. Therefore, dentists must send their patients
to a hospital or private sleep clinic for a
polysomnogram (16-channel overnight
sleep study).
Only when the written report is received
from the sleep center can the dentist proceed with the fabrication of oral appliances. The dentist should review the sleep
study with the patient once the AHI has
been determined. Patients who are diagnosed with severe OSA should be encouraged by the dentist and sleep specialist to
wear the CPAP device. This device consists
of an air compressor that blows air up the
patient’s nose and forces air into the lungs.

ives du sommeil (SAOS) léger ou modéré, le
dispositif buccal était l’option de traitement
numéro 1.
La directive indique également que les dispositifs buccaux étaient aussi une option de
traitement pour les patients qui ne répondent pas à la perte de poids ou qui ont essayé
le dispositif VPPC et qui ne le toléraient pas.
Le diagnostic pour SAOS est fait à l’aide de
l’index apnea-hypopnea (IAH). Une nuit à
l’hôpital ou dans une clinique du sommeil est
nécessaire pour établir le diagnostic. Cette
étude du sommeil est connue comme étant
une PSG (polysomnographie). Le nombre de
manifestations d’apnées ou d’hypopnées est
enregistré de la façon suivante :
L’apnée du sommeil : la langue bloque entièrement les voies respiratoires
• apnée : un arrêt de la respiration pour 10
secondes ou plus
• hypopnée : le niveau d’oxygène diminue
de 4 pour cent ou plus d’arrêts de la respiration en bas de 10 secondes.
• apnée du sommeil légère (SAOS) : 5-15
manifestations par heure
• apnée du sommeil modéré (SAOS : 16-30

manifestations par heure
• apnée du sommeil sévère (SAOS) : plus de
30 manifestations par heure
Il y a trois options de traitements contre
l’apnée obstructive du sommeil :
• dispositifs buccaux
• dispositif VPPC (ventilation spontanée
en pression positive continue)
• l’enlèvement chirurgical des structures
qui causent l’obstruction
Le diagnostic de l’apnée obstructive du
sommeil peut seulement être fait par un professionnel médical et c’est habituellement
un spécialiste du sommeil. Pour ce motif, les
dentistes doivent référer leurs patients à un
hôpital ou à une clinique privée du sommeil
pour une polysomnographie (étude de 16
paramètres pendant un séjour d’une nuit).
Le dentiste doit attendre d’avoir reçu un
rapport écrit en provenance de la clinique du
sommeil avant d’entreprendre la fabrication
du dispositif buccal.
Une fois que l’index IAH est déterminé,
le dentiste devrait réviser l’étude du sommeil avec le patient. Les dentistes et les spécialistes du sommeil devraient encourager

Upon completion of the one-week comprehensive implant training program, participating clinicians are able to accomplish
” See IMPLANTS, Page 13

It is extremely effective when it is worn
faithfully every night, however, the problem is that approximately 60 to 70 percent
of patients cannot tolerate the CPAP device
after one year.
If the patient has mild to moderate OSA
or cannot tolerate the CPAP device, then
dentists are encouraged to treat these patients with oral appliances.
There is also a high correlation between
patients who have GERD (gastroesophageal reflux)1 and OSA. With regard to diabetes, excessive apneic events affect the
production of insulin, which encourages
the onset of type 2 diabetes.2 These apneic
events also affect the permeability of the
endothelial lining of the arteries.
This increases the buildup of plaque in
the arteries and the chance of cardiovascular complications such as a heart attack.
The weakening of the walls of the arteries
increases the susceptibility of rupturing of
these vessels, which occurs during strokes.3
Editorial Note: A complete list of references is available from the publisher.

l’utilisation du dispositif VPPC pour les patients qui sont diagnostiqués avec une apnée du sommeil sévère. Ce dispositif consiste
d’un compresseur d’air qui pousse de l’air
par le nez du patient et force l’air dans les
poumons.
Il y a aussi une haute corrélation entre les patients qui souffrent de reflux
gastroesophagien pathologique (RGO)1 et
de SAOS. En ce qui concerne le diabète, les
manifestations excessives d’apnée du sommeil affectent la production d’insuline, ce
qui encourage l’apparition de diabète de
type 2.2 Ces manifestations apnéiques affectent aussi la perméabilité du revêtement
endothélial des artères.
Ceci augmente l’accumulation de plaques
dans les artères et la probabilité de complications cardio-vasculaires comme les crises
cardiaques. L’affaiblissement des parois des
artères augmente la susceptibilité de la rupture de ces vaisseaux, ce qui arrive durant un
AVC.3
Une liste complète des références est disponible de l’éditeur.

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Dental Tribune Canada Edition | November/Novembre 2012

MEETINGS/CONGRÈS

Toronto’s winter clinic packs full convention
into single day Le Winter Clinic de Toronto,
un congrès complet en une seule journée
North America’s biggest one-day dental convention, Friday, Nov. 2
A bustling exhibit hall and diverse clinical program anchor North America’s largest
one-day dental convention, the Toronto
Academy of Dentistry Winter Clinic, Friday,
Nov. 2.
This 75th anniversary of the event brings
together dental professionals and top industry speakers from across the globe to

La plus grande
conférence d’une
journée en Amérique
du Nord, le vendredi
2 novembre
Un hall d’exposition très actif ainsi qu’un
programme clinique diversifié servent de
point d’ancrage au plus grand congrès dentaire d’une journée en Amérique du Nord, le
̎ Winter Clinic ̎ de l’Académie de Dentisterie de Toronto, le vendredi 2 nov.
Pour ces 75ᵉ anniversaires, l’événement réunit des professionnels dentaires et des conférenciers de calibre mondial pour explorer
les nouvelles tendances, les avancements
cliniques ainsi que les plus récents produits
et services. Pour plus d’informations au sujet
du congrès ainsi que pour l’enregistrement,
visitez : www.tordent.com/winterclinic.
html. L’enregistrement en ligne se termine
le mercredi 31 octobre à minuit. Après cette
date, les enregistrements seront possibles
seulement au comptoir des inscriptions
au Centre des Congrès du Metro Toronto,
South Building, niveau 600. Le guichet
d’inscription sera ouvert de 7 a.m. à 4 p.m.

Large éventail de sujets
Cette année, le programme clinique est plus
diversifié que jamais, incluant :
• Découvrez comment la technologie numérique change le déroulement des activités de la Clinique dentaire ;
• Les équipements et outils à la fine pointe
technologique en démonstration;
• Techniques spécialisées pour le repositionnement des dents de prothèse;
• Utilisation du Laser pour les traitements
de parodontie;
• Discussion au sujet de l’utilisation des
rayons X comme outil de diagnostic;
• Avis sur les dernières exigences en
matière légale sur la santé et sécurité en
clinique dentaire;
• Comment subvenir aux besoins de votre
pratique dentaire moderne avec de saines
habitudes et l’humour.
Le Winter Clinic attire plus de 3000 participants, contient plus de 200 espaces
d’exposition et présente plus de 20 cours
d’éducation continue. Le Hall d’exposition
offre un accès privilégié pour découvrir les
nouveaux produits et services. Les partici” Voir TORONTO, Page 13

explore industry trends, clinical advancements and the latest in dental products and
services.
For event details and registration, visit
www.tordent.com/winterclinic.html. Online
registration closes at midnight, Wednesday,
Oct. 31. After that, you’ll need to register
onsite at the registration desk at the Metro

Toronto Convention Centre, South Building, Level 600. Onsite registration will be
open from 7 a.m. to 4 p.m.

Broad spectrum of topics
This year’s clinical program is as diverse as
ever, covering topics that include:
• A look at how digital technology is

transforming workflow in dental offices;
• Demonstrations of cutting edge tools
and equipment;
• Specialized techniques for prosthetic
tooth repositioning;
• Use of lasers in periodontal therapy;
• Discussion of current views on the use
of X-rays as a diagnostic tool;
• Advice on latest legal requirements for
” See TORONTO, Page 13
Ad

[12] =>

MEETINGS/CONGRÈS

Dental Tribune Canada Edition | November/Novembre 2012

Greater New York Dental Meeting registration is open
Les inscriptions pour le Greater New York Dental
Meeting sont commencées

• Central Park, one of
countless iconic locales
awaiting Greater New
York Dental Meeting
attendees. Photo/

Scientific meeting: Nov. 23–28; exhibit floor: Nov. 25–28

Robert Selleck, Dental
Tribune

• Central Park est un des
innombrables incontournables qui attend les
visiteurs de la ville de
New- York pour le «
Greater New York Dental
Meeting » de novembre.
Photo/Robert Selleck,
Dental Tribune

Registration is open for the 2012 Greater
New York Dental Meeting (GNYDM), the
largest dental congress and health care
meeting in the U.S., with 53,789 attendees
from all 50 states and 127 countries in 2011.
A significantly expanded international
program accommodated 6,656 international visitors in 2011, with sessions in
French, Spanish, Portuguese, Italian and
Russian. The 2012 meeting runs Friday

through Wednesday, Nov. 23–28. The highenergy event, which never has a pre-registration fee, draws top dental professionals
with an expansive exhibit hall and more
than 300 educational courses, including
full-day and half-day seminars, essays,
hands-on workshops and a live, 430-seat,
high-tech patient demonstration area.
New York City is full of cultural enclaves
that give attendees the opportunity to
experience foods, festivals, arts and more
from all over the globe. Few cities offer a
wider variety of iconic attractions, historic
buildings and cultural sites. Three major
international airports, Newark Liberty
(EWR), Kennedy (JFK) and La Guardia (LGA)
and discounted hotel rates for registrants,
make it easy for any dental professional to
visit New York City and attend the meeting.
The GNYDM staff encourages you to see
all New York City has to offer during one of
its most beautiful times of year.
(Source: Greater New York Dental Meeting)

Rencontre scientifique :
23-28 Nov. Hall
d’exposition : 25-28 Nov.
Les inscriptions sont maintenant acceptées pour le Greater New York Dental Meeting (GNYDM) 2012, le plus grand congrès
dentaire et de soins de santé des É.U avec 53
789 congressistes de 50 états et 127 pays en
2011. Un programme international passablement élargi a permis à quelque 6 656
visiteurs de participer à des sessions en français, en espagnol en portugais, en italien
et en russe. Le congrès de 2012 se tiendra à
partir de vendredi jusqu’à mercredi, du 23 au
28 novembre.
Sans aucuns frais de préinscription, cet
événement haut en couleur, attire les plus
grands professionnels dentaires avec sont
très grand hall d’exposition et plus de 300
cours éducationnels incluant des séminaires
d’une journée et d’une demie journée, des
dissertations, des ateliers pratiques et une
section de 430 sièges pour des démonstrations en directe de haute technologie.
La ville de New York regorge d’enclaves
culturelles qui donnent aux congressistes
l’occasion de vivre de nouvelles expériences culinaires, artistiques et des festivals de partout sur la planète. Peu de villes
offrent autant d’attractions de marque,
d’immeubles historiques et de sites culturels. Trois aéroports importants : Newark
Liberty (EWR), Kennedy (JFK) et La Guardia (LGA), ainsi que des tarifs réduits pour
l’hébergement facilitent votre participation
au congrès.
L’équipe du GNYDM vous encourage à découvrir tout ce que New York peut offrir pendant un de ses plus beaux temps de l’année.
(Source: Greater New York
Dental Meeting)

[13] =>

Dental Tribune Canada Edition | November/Novembre 2012

“ TORONTO, Page 11

“ IMPLANTS, Page 10

health and safety in the dental office;
• How to meet the demands of your modern dental practice through healthy habits
and humour.

the following tasks: identify cases suitable
for dental implants; diagnose and treatment plan for preservation and restoration
of edentulous and partially edentulous
arches; demonstrate competency in the
placement of single-tooth implants, soft tissue management and bone augmentation;
obtain an ideal implant occlusion; work as
part of an implant team with other professionals; and incorporate implant treatment
into private practice with quality results,
cost effectiveness and profitability.
Shulman is course coordinator, Dr. Leonard I. Linkow is course director, and Dr. Sheldon Winkler is course advisor. Course faculty, in addition to Drs. Shulman, Linkow,
and Winkler, include Drs. Robert Braun, Ira
L. Eisenstein, E. Richard Hughes, Charles
S. Mandell, Harold F. Morris, Peter A. Neff,
Robert Russo, and Robert E. Weiner.
Implants and components for AAIP/
ADIS implant seminars are provided by

The Winter Clinic attracts more than
3,000 participants, fills 200-plus exhibitor
booths and features more than 20 continuing educational sessions. The exhibit floor
provides an easy opportunity to explore
what’s new in dental products and services.
Attendees can take advantage of special
offers, bid on silent-auction items and win
prizes simply by exploring the offerings.
The education sessions run from 8:45
a.m. to 4:30 p.m. (times may vary, check
listings. The exhibit hall is open from 10
a.m. to 6 p.m., providing an easy way to
explore what’s new in dental products and
services. At the end the day on the exhibit
floor, you have the opportunity to visit
with fellow attendees at the cocktail reception from 4:30 to 6 p.m.

The Toronto Academy of Dentistry
With a history dating to 1890, the Toronto
Academy of Dentistry is a respected leader
and resource to the dental profession in the
metropolitan Toronto area. TAD is dedicated to enhancing the professional lives of
its members through guidance, education
and service.
The academy’s membership comprises
four component societies: North Toronto
Dental Society, Toronto East Dental Society, Toronto Central Dental Society and the
West Toronto Dental Society – supported
by a strong group of dental suppliers.
(Source: Toronto Academy
of Dentistry)

“ TORONTO, Page 11
pants peuvent tirer avantage des offres spéciales, parier dans un encan silencieux ou
encore remporter des prix juste pour avoir
visité le salon.
Les sessions éducationnelles débutent à
8 H45 jusqu’à 16H30, les heures peuvent
changer, bien vouloir vérifier l’horaire de
chacun des cours.
Le Hall d’exposition ouvre à 10 AM jusqu’à
6 PM et offre un accès privilégié pour découvrir les nouveaux produits et services
dentaires. À la fin de la journée, toujours
dans le Hall d’exposition, profitez d’une
réception avec les autres participants de 4
:30 jusqu’à 6 p.m., où vous serez en mesure
de vérifier la photo gagnante du concours
et aussi de savoir si vous êtes l’heureux gagnant du tirage pour les vacances.

l’Académie de Dentisterie de Toronto
L’académie de Dentisterie de Toronto (ADT)
est un leader et une ressource respectée
pour la profession dentaire du Grand Toronto avec un historique datant de 1890.
L’ADT est dédiée à l’amélioration de la vie
professionnelle de ses membres en offrant
des services, des directives et des activités
de perfectionnement. La base de membres
est composée de quatre sociétés dentaires
: la Société Dentaire du nord de Toronto, la
Société Dentaire de l’est de Toronto, la Société Dentaire du Centre de Toronto et finalement, la Société Dentaire de Toronto Ouest,
qui sont supportées par un réseau bien établi de fournisseurs de produits dentaires.
(Source: Toronto Academy
de médecine dentaire)

MEETINGS/CONGRÈS

Osstem/Hiossen Dental Implants. Dental
laboratory support is provided by DCA Laboratory, Citrus Heights, Calif, Dani Dental
Studio, Tempe, Ariz., and Dutton Dental
Concepts, Bolivar, Ohio.
Founded by Dr. Maurice J. Fagan Jr., in
1982 at the School of Dentistry, Medical
College of Georgia, the objective of the
Academy of Implant Prosthodontics is to
support and foster the practice of implant
prosthodontics as an integral component
of dentistry.
The academy supports component and
affiliate implant associations around the
world, including organizations in Egypt,
France, Italy, Israel, Jamaica, Jordan, Kazakhstan, Paraguay and Thailand.

About AAIP
The academy has published two textbooks,
“The Dental Implant” in 1985, and “Implant
Prosthodontics” in 1990.
The Journal of Oral Implantology is the
official publication of the academy. The

13
academy also publishes a newsletter. American Academy of Implant Prosthodontics is
designated as an Approved PACE Program
Provider by the Academy of General Dentistry. The formal continuing education
programs of this program provider are accepted by AGD for fellowship, mastership
and membership maintenance credit. The
current term of approval extends to Dec. 31,
2013.
Complete information on the AAIP/ADIS
Jamaica implant continuing education programs, including tuition, faculty lectures,
transportation, and hotel accommodations, is at www.adiseminars.com, or you
can call (551) 655-1909.
AAIP membership information can be
obtained from the AAIP headquarters at
8672 East Eagle Claw Drive, Scottsdale, AZ,
85266-1058; (480) 588-8062; fax (480) 5888296; e-mail swinkdent@cox.net. The AAIP
website is: www.aaipusa.com.
(Source: AAIP/ADIS)
Ad

[14] =>

MEETINGS/CONGRÈS

Dental Tribune Canada Edition | November/Novembre 2012

Destination Vancouver: Pacific Dental Conference
Destination Vancouver: Conférence Dentaire du Pacifique
Join your colleagues,
March 7–9
Experience the true flavour of the West
Coast and earn C.E. credits at the same
time. The PDC has an expert line up of
local, North American and international
speakers. With more than 130 presenters, 150 open sessions and 36 hands-on
courses covering a variety of topics, there
is something for every member of your
dental team (www.pdconf.com).
Explore the largest two-day dental
tradeshow in Canada and have the year’s
first opportunity to see the newest equipment. The spacious exhibit hall invites attendees to see innovative new techniques
demonstrated on the live dentistry stage,
and examine products and services from
more than 300 exhibiting companies
with representatives who are ready to
engage attendees in discussions on creating practice solutions. At the conclusion
of the conference, you can take a day to
relax and revitalize by exploring some of
the great tourist attractions in Vancouver.
The ocean is just steps from the Vancouver Convention Centre, and the pristine
snow-capped mountains offer up choice
spring skiing conditions.
(Source: Pacific Dental Conference)

• Vancouver is host city to the Pacific Dental Conference, March 7-9. Photo/Provided by Pacific Dental Conference, ©Vancouver Aerial • Vancouver est la
ville hôte de la Conférence Dentaire du Pacifique, 7 – 9 mars. Photo/Gracieuseté de Conférence dentaire du Pacifique, ©Vancouver Aerial

Joignez-vous à vos collègues à Vancouver du 7 au 9 mars
Recevez des crédits CE et découvrez les
vrais atouts de la côte Ouest en même temps.
Vous trouverez au PDC un alignement de
conférenciers de niveau international, de
la région ainsi que de toute l’Amérique du
Nord. Il y a quelque chose pour tous les membres de l’équipe dentaire avec plus de 130 présentateurs, 150 sessions ouvertes et 36 ateliers pratiques couvrant une variété de sujets.
Explorez la plus grande foire commer-

ciale dentaire de deux jours au Canada
et profitez de la première opportunité de
l’année pour voir les nouveautés. Le hall
d’exposition spacieux permet aux congressistes d’observer les nouvelles techniques de
traitement en direct sur la scène dédiée à cet
effet, de découvrir les produits et services de
plus de 300 compagnies et leurs représentants qui sont prêts à discuter avec vous de
différentes solutions pour votre pratique. À

la fin de la conférence, vous pouvez prendre
une journée pour explorer les attraits touristiques de Vancouver. L’océan est à quelques
pas du Centre des Conventions de Vancouver
et les montagnes aux sommets neigeux et
vierges, offrent de superbes conditions de ski
de printemps (www.pdconf.com).
(Source : Conférence
dentaire du Pacifique)

Journées dentaires internationales du Québec
May 24–25, Palais des
congrés de Montréal
The Journées dentaires internationales du Québec will take place, May
24 to 28, at the Palais des congrès de
Montréal.
The annual meeting of the Ordre des
dentistes du Québec continues to be
Canada’s largest dental meeting and
expects to host more than 12,000 delegates from around the world. Featuring
a scientific program with more than 100
lectures and workshops in English and
French, JDIQ maintains its status as the
world’s most highly attended bilingual
(English/French) convention.
More than 225 exhibitors will span
500 booths in the exhibit hall, which
will be open on Monday and Tuesday,
May 27 and 28 and will feature a continental breakfast on both days for the
early risers as well as a wine and cheese
reception to close out Monday.
Featured speakers for this 43rd edition
include Drs. Dan Nathanson, Gerard
Kugel, David Clark, Gérard Chiche, Mark
Piper, George Freedman, Paresh Shah
and Rhonda Savage, just to name a few.
Montreal is the place to be this spring!
For more information, please call (800)
361-4887 or visit www.odq.qc.ca and email congres@odq.qc.ca.
(Source: JDIQ)

• Normand Bach, DMD, MSc, FRCD(C), presents ‘Minor Appliances — Major Results’ at the 2012 JDIQ. Photo/Robert Selleck, Dental Tribune
• Normand Bach, DMD, MSc, FRCD(C), présente aux JDIQ 2012 ; Petits appareils — Grands résultats. Photo/Robert Selleck, Dental Tribune

JDIQ: 24–25 Mai, Palais des congrès Montréal
Les prochaines Journées dentaires
internationales du Québec (JDIQ) auront
lieu au printemps, soit du 24 au 28 mai
2013 au Palais des congrès de Montréal.
Ce rendez-vous annuel organisé par
l’Ordre des dentistes du Québec constitue le plus important congrès dentaire au Canada : on y attend quelque 12
000 congressistes provenant des quatre
coins du globe. Avec un programme scientifique comportant plus de 100 conférences et ateliers présentés en français et en anglais, il s’agit du congrès

bilingue (français/anglais) qui accueille
le plus grand nombre de participants au
monde.
Plus de 225 exposants animeront quelque 500 stands dans la salle
d’exposition qui sera ouverte le lundi 27
mai et le mardi 28 mai.
Les lève-tôt pourront y prendre un petit déjeuner continental lors des deux
journées tandis qu’un vins et fromages
sera servi à la clôture de l’exposition le
lundi.
Parmi les conférenciers qui seront à

l’affiche de ce 43e congrès, on compte
les Drs Dan Nathanson, Gerard Kugel,
David Clark, Gérard Chiche, Mark Piper,
George Freedman, Paresh Shah et
Rhonda Savage, pour n’en nommer que
quelques-uns.
C’est à Montréal qu’il faudra être ce
printemps! Pour en savoir plus, veuillez appeler au (800) 361-4887, visiter le
www.odq.qc.ca ou écrire à congres@
odq.qc.ca.
(Source: JDIQ)

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[16] =>

INDUSTRY/L‘INDUSTRIE

Dental Tribune Canada Edition | November/Novembre 2012

Ergonomics leader, pioneer in dental industry
By Lyne Noiseux
President, Posiflex Design

Musculoskeletal disorders (MSDs) represent an assembly of symptoms found in
the workplace. They range from locomotive
discomforts and pain related to certain
work activities up to annoying pains that
interfere with all activities, all the time.

Rose-Ange Proteau, an ergonomist with
the Association for Health and Safety in the
Work Place for Social Affairs, said at a recent
conference, “Often, the person is not conscious of the effect of wear. As we worked
to the amplitude limit of the articulations
on a regular [basis], we are much more at
risk.” She used the example of a young dentist who after only three years in practice

declared, “Me, I have no problem, I go to the
chiropractor every week!”
Proteau completed her master’s degree
in ergonomics on this subject and has created the guide, “Prevention of Work-Related
Musculoskeletal Disorders (MSDs) in Dental Clinics” She said that scientific studies
” See ERGONOMICS, Page 18

Á l’avant-garde en matière d’ergonomie pour le secteur dentaire
• Dr. Sylvie Jetté of Repentigny, Quebec, is
one of thousands of dental professionals
enjoying reduced muscle tension with the
Posiflex Free Motion Elbow Support System.
Photo/Provided by Posiflex Design • Merci aux
Appuis-Coudes Mobile de Posiflex Design, Dre
Sylvie Jetté de Repentigny, Québec, avec les
milliers de professionnels dentaires qui apprécient
la diminution des tensions musculaires. Photo/
Gracieuseté de Posiflex Design

Par Lyne Noiseux
Présidente de Posiflex Design

Les TMS (troubles musculosquelettiques)
représentent l’ensemble des symptômes
causés par le travail. Ils vont des inconforts
locomoteurs aux douleurs reliées à certaines
activités du travail jusqu’à des douleurs
incommodantes qui gênent toutes les activités assez souvent ou en tout temps. De
nombreuses personnes effectuent leur tra-

vail avec un certain degré de malaises ou de
douleurs, comme l’explique madame RoseAnge Proteau, ergonome à l’ASSTSAS (Association pour la Santé et Sécurité du Travail
du Secteur des Affaires Sociales) dans l’une
de ses conférences : « Souvent la personne
n’est pas consciente de l’effet de l’usure. Dès
que l’on travaille régulièrement aux limites
d’amplitude des articulations, ont est beaucoup plus à risque. » Elle donne l’exemple
d’une jeune dentiste qui après seulement 3

ans de pratique raconte : « Moi je n’ai pas
de problème, je vais chez le chiro toutes les
semaines! »
Madame Proteau, qui a réalisé sa maîtrise
sur cette problématique et qui a créé le guide
“Prévention des troubles musculosquelettiques en clinique dentaire, nous rappelle
que l’étude scientifique a démontré que
même avec une bonne posture et les bras
” Voir D’ERGONOMIE, Page 18

Is it time to work on your smile? Est-ce
le temps de travailler votre sourire?
Put a smile on your face
By Ian Ralph, Director of Sales and
Marketing, Eagle Pass Heliskiing

There’s a new level of luxury in North
America these days. And a new level of adventure. That’s because Eagle Pass Heliskiing has teamed with Sparkling Hill Resort
and Wellness Spa to offer a luxurious, ultraexclusive, all-inclusive heliski or heliboard
adventure.
Combining the pure exaltation of powder
skiing or boarding with a revitalizing, tranquil spa oasis is guaranteed to give you a
renewed sense of well-being.
Opened in 2010, Sparkling Hill is a luxurious and stunning resort spa overlooking
Predator Ridge Golf Course near Kelowna,
British Columbia. Eagle Pass Heliskiing
is a small-group heliski operator in the
legendary and breathtaking Monashee
Mountains, home to some of the driest and
lightest snow on the planet. This unique
partnering brings unique benefits. Near the
top of the list is that you can bring a spouse
or friend to stay with you for free.
As you relax together après ski, you may
wonder who gets the better vacation —
which makes it a great gift, to give or to get,
for skiers and non-skiers alike.
Perched high on a cliff above Okanagan
Lake, the 150-room resort is the first hotel
project in North America to incorporate
Swarovski crystal into every aspect of its
design. The crystal facets mix with natural
wood and stone surroundings. Crystals are
infused in waterfalls, fireplaces and overhead lights in each guest suite. Everything
dazzles. Guests are in awe the first moment
they see the hotel.
In the Kurspa are seven aromatherapy
sauna and steam rooms, an indoor pool
with underwater music and a starry Swarovski crystal sky, a hot pool, an outdoor in-

finity pool, Kneipp water therapy, a fitness
studio, a tea room and a serenity room.
Available spa treatments include skin treatments, hair design, physio therapy, massage, Fango treatment and many others.
The executive chef crafts a menu that
changes daily and marries the bounty
of local produce with European culinary
sensibilities - all thoughtfully paired with
award-winning wines from the vineyards
of the Okanagan Valley and internationally acclaimed wineries. It is a resort that
delights each of the senses. If you’re a fan of
deep powder skiing or deep soothing massage, you can now have the ultimate luxury vacation combining both. Put a smile
on your face. And on the face of someone
you love. Learn more at (877) WAYDEEP, via
info@eaglepassheliskiing.com or by visiting
www.eaglepassheliskiing.com.

Mettez un sourire
sur votre visage
Par Ian Ralph, directeur des ventes et du
marketing, Eagle Pass Heliskiing

Il existe maintenant un nouveau niveau
de luxe en Amérique du Nord et un nouveau
niveau d’aventure. Ceci est rendu possible
parce que Eagle Pass Heliskiing fait équipe
avec Sparkling Hill Resort et Wellness Spa
pour vous offrir une aventure luxueuse et
ultra exclusive sous la forme tout incluse, en
héliski ou héliplanche.
Combinant la pure exaltation de skier dans
de la poudreuse ou de prendre votre planche
à neige suite à une halte spa revitalisante
dans une oasis de paix, ceci est certain de
vous donner une impression de bien-être
renouvelé. En activité depuis 2010, Sparkling
Hill est une station touristique remarquable
et luxueuse trônant au-dessus du Club de

golf Predator Ridge près de Kelowna en Colombie Britannique. Eagle Pass Heliskiing
est un opérateur de tours héliski pour petits
groupes dans les majestueuses Montagnes
Monashee, un des endroits sur la planète
avec la neige la plus sèche et la plus légère.
Ce partenariat unique offre des bénéfices
tout aussi uniques. Presque au sommet de
cette liste est la possibilité d’avoir un (e) conjoint (e) ou ami (e) qui peut se joindre à vous
tout à fait gratuitement. Ceci veut dire que
les skieurs ou les planchistes qui désirent
vivre cette expérience n’ont pas à abandonner un (e) partenaire qui ne ski pas, n’ont
plus à se sauver en catimini ou supplier pour
s’adonner à leur passion. Invitez tout simplement votre partenaire qui pourra profiter
de son propre petit paradis douillet. Tous les
invités (es) ont accès aux traitements offerts
par des experts, aux piscines et aux spas.
En relaxant ensemble en après-ski, vous
pouvez songer qui de vous deux obtient les
meilleures vacances— ce qui est le meilleur
cadeau, donner ou recevoir, autant pour les
skieurs que les non-skieurs. Perchée sur une
falaise au-dessus du lac Okanagan, la station touristique de 150 chambres est la première du genre à incorporer le cristal Swarovski dans tous les aspects de son design. Les
facettes de cristal se mêlent avec les essences
naturelles du bois et l’environnement rocheux. Le cristal est incorporé dans les chutes
d’eau, les foyers et les plafonniers qui sont
dans chacune des suites. Le tout est étourdissant. Les clients sont en admiration dès le
premier regard sur l’hôtel.
Dans le Kurspa vous retrouverez sept
saunas d’aromathérapie et bains de vapeur,
une piscine intérieure complète avec musique sous l’eau et un plafond de cristal Swarovski, une piscine chaude, une piscine extérieure à l’infini, la thérapie aquatique Kneipp,
une salle de conditionnement, un salon de
thé et une salle de repos. Les traitements
disponibles au spa inclus les traitements de

• With Eagle Pass Heliskiing, you can experience skiing, a helicopter ride and luxury resort
hospitality. Photo/Provided by Eagle Pass Heliskiing
• Avec Eagle Pass Heliskiing, vous pouvez vivre
une expérience de ski, un tour d’hélicoptère et
l’hospitalité d’une station touristique de luxe.
Photo/Gracieuseté de Eagle Pass Heliskiing

la peau, coiffure, physiothérapie, massage,
traitement Fango et plusieurs autres. Le chef
exécutif élabore un menu qui change tous
les jours en alliant l’abondance de produits
locaux avec la sensibilité culinaire européenne, le tout habilement jumelé avec des vins
primés provenant des vignobles de la Vallée
de l’Okanagan ainsi que des vins reconnus
mondialement. Cette station touristique est
un délice pour tous les sens. Si vous êtes un
fan de ski dans la poudreuse abondante ou
d’un massage en profondeur, vous pouvez
maintenant obtenir des vacances de luxe
ultime qui combinent les deux. Mettez un
sourire sur votre visage et sur le visage de
quelqu’un que vous aimez. Pour en savoir
plus, contactez (877) WAYDEEP, courriel :
info@eaglepassheliskiing.com ou visitez
www.eaglepassheliskiing.com.

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[18] =>

18
Ad

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INDUSTRY/L‘INDUSTRIE

Dental Tribune Canada Edition | November/Novembre 2012

Nonstop online dental convention opens Un
congrès dentaire ininterrompu débute en ligne
Dentists create on-demand conference,
trade show and C.E. forum
Formed by dentists Alan A. Winter, DDS, and Frank Murphy, DDS, xpAPce and XPsquared address time and budget
constraints facing dental professionals and the companies
serving them.Not meant to be a pronounceable word, the
unique-looking xpAPce is an abbreviation for the English
words “eXPert APproved Continuing Education.”
The always-open virtual convention has 15 leading experts as academic advisors monitoring content and timeliness of C.E. courses by world-class scholars. Courses are
practical, informative and procedurally specific, delivering
the latest thinking and practices that enhance patient outcomes.
Every month an xpAPce course also posts to the Dental
Tribune Study Club website, www.dtstudyclub.com. As an
online dental community, XPsquared houses day-to-day
workings of the dental profession under one Internet “roof.”
Companies display products in booths just like a trade show
— with video monitors, handouts, training films, FAQs and
contact information. Real-time chat rooms at every booth
link to company websites so questions can be answered,
orders placed and in-person demonstrations scheduled.
Members can hold study clubs, host conferences, blog with
colleagues in the Networking Café, read the latest journals

• XPsquared home page. Photo/Provided by xXPsquared
• XPsquared ‘home page.’ Photo/Gracieuseté de XPsquared

or visit the Resource Center to learn about the next dental
meeting. You can use your personal briefcase to collect contacts, manuals, white papers and more.
Together, xpAPce and XPsquared form a unique tandem
that brings 21st century dentistry to dental professionals
and suppliers around the world. Register at no charge at
www-2.virtualevents365.com/xpsquared. To learn more visit
www.xpapce.com and www.xpsquared.com or go straight
to www-2.virtualevents365.com. You also can email info@
xpapce.com or info@xpsquared.com or call (212) 355-5535.
(Source: xpAPce, XPsquared et Dental Tribune Study Club)

Des conférences, des foires commerciales et des forums pour C.E. sur demande créés par des dentistes

Structurées par les dentistes Alan A. Winter, DDS, et Frank
Murphy, DDS, les entreprises xpAPce et XPsquared traitent
des contraintes reliées à la gestion du temps et du budget
auxquelles font face les professionnels dentaires ainsi que les
compagnies qui les desservent. xpAPce n’est pas vraiment
un mot, mais plutôt une abréviation signifiant “eXPert APproved Continuing Education.” Ce congrès virtuel qui est
ouvert en permanence propose 15 experts en tant que conseillers académiques qui surveillent le contenu et la rapidité
de diffusion de l’information fournis par des universitaires
de par le monde. Les cours sont pratiques, informatifs et en
conformité avec les procédures, offrant les derniers énoncés
et pratiques pour rehausser les résultats chez les patients.
Un cours sera aussi affiché chaque mois sur le site web du
Cercle d’étude du Dental Tribune, www.dtstudyclub.com.
Se positionnant comme communauté dentaire en ligne,
XPsquared abrite les travaux journaliers de la profession
dentaire sous un même toit internet. Les entreprises étalent
des produits dans des kiosques comme dans une foire commerciale en utilisant des moniteurs vidéo, des échantillons,
des formations filmées, les Questions les plus Fréquentes,

ainsi que les informations pour les contacts. Des salles de
clavardages en temps réel sont aussi reliées aux sites web
des compagnies pour vous permettre de poser des questions
directement, soumettre une commande ou planifier une
démonstration en personne. Les membres peuvent établir
des cercles d’études, tenir des conférences, bloguer avec des
collègues dans le Café de Réseautage, lire les dernières nouvelles ou visiter le Centre des Ressources pour en savoir plus
sur les prochains congrès dentaires. Vous pouvez utiliser
votre porte-documents pour amasser vos contacts, des
manuels, des études et plus encore.
Ensemble, xpAPce and XPsquared forment un tandem
unique qui amène au 21e siècle les professionnels dentaires
et les fournisseurs de par le monde. Inscrivez-vous sans
frais au www-2.virtualevents365.com/xpsquared. Pour en
savoir plus, visitez www.xpapce.com et www.xpsquared.
com ou allez directement au www-2.virtualevents365.com.
Vous pouvez aussi envoyer un courriel au info@xpapce.
com ou info@xpsquared.com ou appeler au (212) 355-5535.

“ ERGONOMICS, Page 16

“ D’ERGONOMIE, Page 16

have demonstrated that even with a good posture, with
arms held close to the body, muscular tension remains
high because of the strength and the control required for
precision work. The Free Motion Elbow Supports from Posiflex Design were created following the needs identified by
Proteau. A clinical study using electromyography clearly
demonstrated that using the supports for as little as a few
months diminished muscular tensions and prevented injuries. Thousands of dental professionals in Canada, the
United States and Europe — and now in Asia — are benefitting from this technology, which was developed here in
Montreal.
Because of the many testimonials and support by serious
studies, I am convinced that the Free Motion Elbow Supports are an essential tool for the dental profession — as
much as the chair light or even loupes for that matter. For a
fraction of the cost of cumulative visits to the chiropractor,
osteopath or massage therapist, you can practice the work
you love for many years, in great comfort and in a secure
way. Take advantage of the JDIQ meeting to attend Proteau’s session on Tuesday, May 29. I also invite you to visit
us on the exhibit floor in booth No. 2016.

près du corps, les tensions musculaires sont élevées à cause
de la force et du contrôle requis lors d’un travail de précision.
Les appuis-coudes mobiles de Posiflex Design ont été créés
suite aux besoins identifiés par l’ergonome de l’ASSTSAS.
Une étude clinique utilisant l’électromyographie a démontré
clairement que l’utilisation de ce dispositif sur une période
de quelques mois seulement diminue les tensions musculaires ainsi que le risque de blessures. Des milliers de professionnels dentaires au Canada, aux États-Unis, en Europe et
maintenant en Asie, bénéficient des avantages certains que
cette technologie de chez nous apporte.
De par les études cliniques ainsi que les témoignages reçus
des utilisateurs, je suis convaincue que les appuis-coudes
mobiles sont un outil indispensable pour la profession dentaire au même titre que la lumière pour les patients ou les
loupes! Pour une fraction du prix des soins accumulés de
chiropractie, ostéopathie ou de massothérapie, vous pouvez pratiquer le métier que vous aimez pour de nombreuses
années, en tout confort et sécurité. Profitez du congrès des
JDIQ pour assister à la conférence de madame Proteau, le
mardi 29 mai. Nous vous invitons à venir nous rencontrer
au kiosque No.2016.

(Source: Posiflex Design)

(Source: xpAPce, XPsquared et Dental Tribune Study Club)

[19] =>

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[20] =>

INDUSTRY/L‘INDUSTRIE

Dental Tribune Canada Edition | November/Novembre 2012

Imaging system helps gain patient
acceptance and eliminate surprises
Practice praises Carestream Dental’s
CS 9300, enjoys time-savings bonus
When Dr. Christian Robin and his partners Dr. Benjamin Saleh and Dr. Volong
Dao at Saleh Robin & Associates in Ville
Mont-Royal, Quebec, were selecting a new
imaging system, they had very specific requirements.
“We wanted a high performance system
that would give us both 3-D scans and panoramic radiographs,” Robin said. “There
were other machines that had excellent
3-D, but not the panoramic radiography
— they were just reconstructing the image, which means you lose information.
That’s why we selected the CS 9300 from
Carestream Dental. With the CS 9300, you
get both the 3-D and panoramic radiography, with excellent quality for both.”
The practice acquired the CS 9300 in
March and immediately put it to work. “It
is very easy to obtain very good images,”
Robin said. “There was not a significant
learning curve, even though the staff had
no experience with 3-D imaging. With
it, we can do any image and any field we
need.”
After just a few cases, Robin was able
to complete work-ups in three minutes.
“That’s all it takes to create a virtual implant placement to show to patients or to
show the nerve position against a third
molar,” he said.

Improving communications
One of the greatest advantages offered by
the CS 9300 has been the ability to show
patients a 3-D image of the area to be
treated, Robin said. “When I show patients
their wisdom tooth in 3-D, they can see the
proximity of the nerve or the cyst in the
jaw. They can see the teeth, nerves and jaw,
and the pathology in it. And they know
exactly what I am going to do and why I
need to do it.”
Robin said that patients frequently want
to see “after” pictures as well, due to their
fascination with the technology. “They
have far fewer questions now, and there’s
a higher degree of acceptance.” Robin also
praises the ability to quickly share a digital
treatment plan with the referring dentist
by simply emailing a few images. “Two
clicks and the email is sent,” he said. “Two
minutes later and I’m on the phone and
they can see what we are discussing.”

Wider field of view
For Robin, whose oral surgery practice
includes trauma patients, the ability to
obtain a 17-cm-by-11-cm image is important. Not only does it give him a view of the
complete maxilla and mandible, but also
the condyles, the orbits and the zygomas.
“All the fields of view are valuable,” he
said, “if you asked me to select one size to
eliminate, I couldn’t do it.”
The surgical team is also happy with
the intuitive software that meets their
needs without being overly complex. “I
use 90 percent of the functions on a regu-

lar basis,” Robin said.
“None are too complicated or unnecessary.”

Streamlining
surgery
“Before we had the
• Dr. Christian Robin,
CS 9300, we would
one of three oral
and maxillofacial
encounter surprises
surgeons at his
during
surgery,”
practice in Quebec,
Robin said. “We could
praises the range
anticipate
difficuland simplicity of
ties and plan to work
the CS 9300.
TAD
around them, but
we were never sure
BOOTH NO.
exactly what we would find. Now we
508
know exactly what to expect. You know
in advance if the patient is going to need
a bone graft rather than discovering it during the surgery. There’s less of a struggle
for the staff this way.”
As an example of how the CS 9300 saves
time, he references an impacted tooth.
“While you would normally approach an
• The CS 9300 from Carestream
impacted tooth from one side, it may be
Dental has both dual-modality
panoramic and 3-D imaging with
that the opposite side gives you better acexceptional detail and range.
cess. You can visualize it in 3-D and see
Photo/Provided by Carestream Dental
what was hidden before. For the patient,
this reduces the length, degree or invasiveness of surgery so there is less swelling and trauma and therefore a
faster recovery.”
Robin trained with 2-D imaging,
and said he is glad that he had that
experience prior to the move to 3-D.
“I can do the same job with 2-D and
3-D, but the 3-D gives me more confidence. There are a lot fewer surprises.”

Patient acceptance
In his oral and maxillofacial surgery practice, Robin likes to have
an initial consultation with the patient followed by a second visit for
the surgery. At the beginning of the
• Post-operative survey of open reduction and internal fixation of frontal sinus fracture.
second visit, a scan is performed
Photo/Provided by Dr. Volong Dao
and then used to discuss the procedure with the patient.
“I have never had a time that I scanned a
patient and showed it to them where they
asked why they had to spend for a scan,”
Robin said. “Seeing the images educates
the patients and gives them a lot of confidence. And they like that we can definitively tell them what to expect in advance.”

About the CS 9300
The CS 9300 has seven selectable fields of
view and image resolution up to 90 μm,
and has both dual-modality panoramic
and 3-D imaging with exceptional detail
and range. The fields of view range from
5 cm by 5 cm to 17 cm by 13.5 cm, and the
system includes intelligent dose management through collimation, faster scan
times and intuitive imaging software.
(Source: Carestream Dental)

• Odontoma and impacted tooth in the mandibular symphysis. Photo/Provided by Dr. Christian Robin

[21] =>

Dental Tribune Canada Edition | November/Novembre 2012

XXXXX
INDUSTRY/L‘INDUSTRIE

21
TAD
BOOTH NO.
222

CaviWipes1 disinfect surfaces in
one minute Désinfecter les surfaces
en une minute avec les CaviWipes1
New products launched
TotalCare, an industry leader in dental
infection prevention, has launched a nextgeneration surface disinfectant wipe,
CaviWipes1TM. The all-new CaviWipes1 are
the only low-alcohol surface disinfectant/
cleaner wipes that offer materials compatibility with a kill time of one minute for TB
and all other labeled organisms.
“The all-new CaviWipes1 were designed
specifically with the dental hygienist
and assistant in mind,” said Todd Norbe,
president of TotalCare. “Working as fast as
they do, CaviWipes1 provide ease and convenience, while maintaining the trust you
can have that your space will be cleaned
and disinfected effectively — in just one
minute.”
CaviWipes1 are EPA-registered, nonwoven disinfecting towelettes presaturated with CaviCide1, which is proven to
kill TB, HBV, HCV, HIV-1, MRSA and many
other pathogens in one minute. The durable, nonabrasive wipes won’t bunch up
during use, and they provide users with
easy-to-use, time-saving convenience,
requiring less force to apply solution
to a surface. Better fluid capacity keeps
cloths fully saturated with CaviCide1,
which doesn’t pool at the bottom of the
canister. The multipurpose towelettes
do the job of three products: cleaner, disinfectant and decontaminant. That saves
money by reducing inventory, space
and time. CaviWipes1 are recommended
for use on nonporous surfaces, fixtures
and equipment. They are effective in
operating rooms, surgical centers, neonatal units, medical operatories, dental
operatories and other critical-care areas.

About TotalCare
TotalCare is a division of Metrex Research
LLC. TotalCare protects people by providing high-quality infection-prevention
products, including a complete line of precleaners and enzymatic detergents, highlevel disinfectants, surface disinfectants,
liquid medical waste disposal products,
eye protection and hand hygiene products. TotalCare products are sold through
leading dental and medical product suppliers around the globe. To contact a TotalCare representative, call (800) 841-1428 or
visit www.totalcareprotects.com.
(Source: TotalCare)

Lancement de nouveaux
produits
TotalCare, un leader de l’industrie dentaire dans la prévention des infections, a
effectué le lancement de la prochaine génération de lingettes de désinfection, CaviWipes1TM.
Les nouveaux CaviWipes1 sont les seules
lingettes désinfectantes/nettoyantes à
basse teneur en alcool qui sont adaptées

aux matériaux avec un temps de travail d’une minute
pour TB et les autres organismes répertoriés.
D’après Todd Norbe, président de TotalCare, les nouvelles lingettes CaviWipes1 ont été spécifiquement conçues en pensant aux hygiénistes et assistantes dentaires.
La rapidité d’action des CaviWipes1 offre facilité et commodité tout en vous assurant que votre espace de travail sera nettoyé et désinfecté de façon efficace en une
minute.
Les CaviWipes1, homologuées par l’EPA, sont des
” Voir DÉSINFECTER, Page 23

• Both CaviCide1 and Caviwipes1
are low-alcohol surface
disinfectants that kill TB and 20
other organisms in one minute.
Photos/Provided by TotalCare

• CaviCide1 et Caviwipes1 sont
tous les deux des désinfectants
de surface à faible teneur en
alcool qui détruisent TB et 20
autres organismes en une
minute.
Photos/Gracieuseté de TotalCare
Ad

[22] =>

22

XXXXX
INDUSTRY/L‘INDUSTRIE

Dental Tribune Canada Edition | November/Novembre 2012

Benchmark set for sterilization
and instrument reprocessing
SciCan introduces new generation
of Statim, the Statim G4 Series
SciCan has set the benchmark for sterilization and instrument reprocessing
technology.
For more than 20 years SciCan has
been developing and manufacturing
highly innovative infection control
products that address the need for versaAd

TAD
BOOTH NO.
609/611

tility, flexibility, and efficiency in today’s
environments.
SciCan has unveiled the newest
STATIM family member, the G4 series. The STATIM G4 series is the same
renowned and trusted autoclave it has
been for over 20 years but now boasts

• Above, the STATIM G4 series has been
modernized with a new fascia that is fresh
and contemporary. Below, a large 3.5-inch
high-resolution touchscreen offers a vivid
display of messages and current cycle
information all with extraordinary clarity.
Photos/Provided by SciCan

a new contemporary look, functionality and connectivity that is the first of
its kind. The G4 technology will change
the way you interact by providing a direct channel of communication through
the Internet to increase productivity and
limit downtime.
Still powered by SciCan’s signature
steam technology to provide sterilization at speeds faster than conventional
chambered autoclaves, the STATIM G4
series has been drastically upgraded with
a level of interactivity not seen before.

New look
The STATIM G4 series has been modernized with a new fascia that is fresh and
contemporary.

Color touch screen
A large 3.5” high-resolution touchscreen
offers a vivid display of messages and
current cycle information all with extraordinary clarity. The bubble level has
been integrated into the high-resolution
touchscreen.

Built-in data logger
Gone are the days of messy thermal
paper, clumsy printers or potential failures with external data loggers. With
increasing stringency amongst national
guidelines, the STATIM G4 series now
saves all the data from each cycle. This
data can be copied onto the included
USB drive, viewed on screen, or remotely
stored in the Cloud via email.

STATIM G4 technology
SciCan’s STATIM G4 series Technology
” See STATIM, Page 23

.

.

[23] =>

Dental Tribune Canada Edition | November/Novembre 2012

XXXXX
INDUSTRY/L‘INDUSTRIE

Advances in teeth whitening
Philips Zoom WhiteSpeed has variable intensity settings to maximize sensitivity management
By William Simon, DMD

Dentistry’s primary concerns are establishing and maintaining optimal patient
oral health. Our responsibilities include
identification and control of disease, patient education, clinical and radiographic
examination, health and family history
evaluations, risk factors, bacterial identification and a constellation of treatment
modalities. How does whitening fit into
our professional responsibilities? The
ADA refers to in-office whitening as “professionally applied whitening” where the
higher concentration of gels are used for
shorter periods of time, and preferred by
patients who want results immediately.

Efficacy of in-office whitening
Patients who prefer same-day, in-office
whitening are being treated with lightactivated whitening gels of varying
concentrations. A body of research has
demonstrated the efficacy of a supplementary light source; some studies demonstrated enhanced whitening with light
sources, but indicated the importance
of shade guides to measure changes in
tooth color.1 Other studies have demonstrated improvement in whitening
outcomes of 35–48 percent measured by
spectrophotometer and visual methods,
compared with non-light activated whitening gels.
The safety of light-activated whitening gels is of primary importance. Philips Zoom gel has a pH of 8.0, which does
not demineralize teeth. It provides faster
diffusion through enamel and dentin,
hastening the whitening reaction. Deleterious effects on enamel and dentin
reported in some studies may have been
due to the acidic pH level of the in-office
gels in the study.2 There have also been
concerns regarding the safety of lightactivated in-office whitening treatments
on dental materials. Studies have shown
the use of high concentrations of hydrogen peroxide do not affect the surface
finish or hardness of restorations.3,4
Early whitening preparations cre-

Maximizing patient satisfaction
Setting patient expectations involves a
conversation regarding outcomes, nonuniform results, sensitivity issues, the
procedure itself, food and beverage restrictions, time and cost. It is vital the
patient understands the results as well
as potential concerns associated with the
procedure. Failure to set patient expectations (including setting them too high)
significantly increases the likelihood of
a less than completely satisfied patient.
Whitening can be contraindicated;
when discoloration is due to disease, conditions requiring endodontic therapy or
dark coloration from restorations. Other
disqualifiers include periodontitis, severe
gag reflex and failing restorations. Documentation of the discussion is critical
and should include the issues discussed
and the patient’s answered questions.
Pre-treatment photographs and existing

William Simon, DMD, is a general dentist with two practices in Chicago. He received his doctor of dental medicine
degree from Southern Illinois University in 1983 and has lectured and consulted
on

various

topics that relate to the private practice of
dentistry.

tooth shades
should be
TAD
considered
BOOTH NO.
part of the
631
documentation.
Indicating how whitening
sensitivity
will be addressed helps the patient feel
more comfortable. Options for managing sensitivity include; fluoride products (Philips Fluoridex), non-steroidal
anti-inflammatories (NSAIDS) and amorphous calcium phosphate (Philips Relief ACP). Reassure the patient that
sensitivity is transient and manageable. Patients who have regular thermal sensitivity should be informed of
the increased likelihood of sensitivity
from whitening, prior to commencing.
Caution that whitening results will not
last forever. Consumption of dark berries, tea, coffee and red wine will discolor
teeth over time as will normal aging.
A discussion of whitening maintenance including additional Zoom in-office
and/or Zoom at-home treatments (Fig. 2)
provide opportunity to examine the patient for restorative and cosmetic needs,
verify periodontal health and continue
to establish trust and mutual respect.

Strengthen practice revenue
The benefits of offering whitening to patients are immeasurable. There are no
metrics for increased confidence, satisfaction and happiness associated with
a whiter, brighter smile. The benefits to
the practice are significant. The average
national fee for chairside whitening is

“ STATIM, Page 22

“ DÉSINFECTER, Page 21

offers a platform with endless
possibilities. The product expansion and modes of communication will provide
visibility from every facet,
from usability to troubleshooting.
This is an exciting time
for SciCan, because it is embarking into new territory
with cutting edge technology. SciCan has a track record for innovation, and this
is just another example of
how it is setting new standards
for infection control.
For more information on the STATIM
G4 series of autoclaves please visit the
company’s website at www.scican.com.

lingettes non tissées, préalablement saturées avec du CaviCide1 qui s’est avéré efficace
pour éliminer en une minute le TB, HBV,
HCV, HIV- 1, SARM ainsi que d’autres agents
pathogènes. Ces lingettes durables et non
abrasives offrent une facilité d’utilisation
aux usagers. De plus, elles ne s’entasseront
pas durant l’application, ce qui nécessite
moins de force pour étendre la solution
sur les surfaces. Ces lingettes multiusages
font le travail de 3 produits : nettoyant,
désinfectant et décontaminant. Ceci donne
des économies en réduisant les stocks,
l’espace et le temps requis. Les CaviWipes1
sont particulièrement recommandées pour
le nettoyage et la désinfection des surfaces
dures des instruments, du matériel et des
équipements dans les cabinets dentaires.
Elles sont aussi efficaces dans les salles
d’opération, les centres de chirurgie, les
services de néonatalité, les salles d’examen

(Source: SciCan)

ated high incidences
of sensitivity — in
some cases severe
enough to necessitate cessation of
treatment. Considerable
improvement
has occurred since
the earliest preparations were available.
A 2012 study in Compendium of CE in Dentistry5 evaluated
the effectiveness of 15 percent and 25
percent light-activated gels. The authors concluded that both concentrations
produced significant tooth whitening
immediately and seven days post-treatment, with no reports of gingival irritation or tooth sensitivity. Other studies
have demonstrated a higher incidence of
sensitivity with the use of light-activated
whitening gels.6 Some in-office whitening systems have made modifications to
take these findings into account. Philips
Zoom WhiteSpeed (Fig. 1) is the only inoffice whitening system with variable
intensity settings for maximum sensitivity management.

• Still powered by SciCan’s signature
steam technology, to provide
sterilization at speeds faster than
conventional chambered autoclaves,
the STATIM G4 series has been
significantly upgraded with a level of
interactivity not seen before.

Fig. 1:
Philips Zoom
WhiteSpeed
Photos/
Provided by
Philips

Fig. 2: Philips Zoom WhiteSpeed also is
available as a take-home treatment, which
can help you stay connected with patients.

$525 (January 2011 survey). The typical
dental practice sees approximately 400
patients per month. If only 1 percent of
those patients have Zoom whitening, the
revenue associated with four patients per
month is $2,100 or $25,200 annually.
Three-percent patient participation
yields $6,300 per month or $75,600 per
year, while 6 percent participation yields
$12,600 per month or $151,200 per year.
Dental professionals can offer their patients safe, effective tooth-whitening
options that provide consistent results
while reducing the incidence of side effects. Philips Zoom WhiteSpeed provides
these benefits.
Editorial Note: A complete list of references is available from the publisher.

médicales, les salles opératoires dentaires et
dans d’autres secteurs de soins essentiels.

Au sujet de TotalCare
TotalCare est une filiale de Metrex Research LLC. La mission de TotalCare est de
protéger les gens en fournissant des produits de grande qualité pour la prévention
des infections, incluant une gamme complète de produits de prénettoyage et de détergents enzymatiques, des désinfectants de
haut niveau, des désinfectants de surfaces,
des produits pour l’élimination des déchets
biomédicaux liquides, des produits pour
l’hygiène des mains et la protection des
yeux. Les produits de TotalCare sont vendus mondialement par des fournisseurs de
premier plan de produits médicaux et dentaires. Pour entrer en contact avec un représentant de TotalCare, appelez (800) 8411428 ou visitez www.totalcareprotects.com .
(Source: TotalCare)

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[cover] => DT Canada No. 6, 2012

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Table of contents

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Grey market darkening / Don’t believe all you read about embezzlement / Meetings / Industry

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