today ODA Toronto May 9, 2019
Spring into Toronto / Exhibitors / Dental News / Explore Toronto
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[1] =>
Ontario Dental Association Annual Spring Meeting · Thursday, May 9, 2019
Vol. 6, No. 1
New scanner might
force you to go digital
A camera designed
for dentistry
Breakthrough in
guided surgery
Faster, easier and more
accurate: If you’ve been
on the fence, this scanner
just might nudge you off.
It has easy presets for
clinical photography, and
it’s easy to disinfect with
a sterilizing towelette.
‘Trace and Place’
navigation changes
everything about guided
implant surgery.
»Page 6
»Page 8
»Page 10
Spring into Toronto
ASM19 features more
than 330 exhibitors and
90 speakers — and quick
access to Toronto’s worldclass dining, shopping, arts,
culture and entertainment.
(Photo/Provided by
Tourism Toronto)
5
Two days of exhibits, three days of
education, nights filled with fun
n Welcome to one of the largest and
most respected dental conventions in
North America, the Ontario Dental
Association’s Annual Spring Meeting.
The meeting includes three days of
education and also includes a two-day
trade show — capped each day with a
complimentary cocktail reception on
the exhibit floor.
In the days ahead, more than 90
internationally renowned speakers
will cover a broad and diverse range
of clinical, practice-management and
personal development topics. The
exhibit floor features more than 330
companies and organizations offering
a wide range of tried-and-true and
new-and-innovative dental products,
services and technology for attendees
to test and compare.
The lectures, workshops and exhibits serve dentists, dental hygienists,
dental assistants and all other members of a dental practice’s staff. The
8
see SPRING, page 3
AD
[2] =>
[3] =>
from
page one
scrapbook
2019
— May
9, 2019— March 8, 2018
PacificASM
Dental
Conference
About
the Publisher
Tribune America, LLC
116 W. 23rd St., Suite 500
New York, N.Y. 10011
Phone: (212) 244-7181
Fax: (212) 244-7185
E-mail: info@dental-tribune.com
www.dental-tribune.com
Publisher & Chairman
Torsten Oemus
t.oemus@dental-tribune.com
President/Chief Executive Officer
Eric Seid
e.seid@dental-tribune.com
Group Editor
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
Managing Editor
Robert Selleck
r.selleck@dental-tribune.com
Product/Account Manager
Humberto Estrada
h.estrada@dental-tribune.com
Product/Account Manager
Maria Kaiser
m.kaiser@dental-tribune.com
Product/Account Manager
Jordan McCumbee
j.mccumbee@dental-tribune.com
Client Relations Coordinator
Leerol Colquhoun
l.colquhoun@dental-tribune.com
Accounting Department
Nirmala Singh
n.singh@dental-tribune.com
Published by Tribune America
© 2019 Tribune America, LLC
All rights reserved.
today appears during the Ontario
Dental Association Annual Spring
Meeting in Toronto, Ontario, Canada,
May 9 and 10, 2019.
Tribune America makes every effort
to report clinical information and
manufacturers’ product news
accurately, but cannot assume
responsibility for the validity of product
claims, or for typographical errors.
The publishers also do not assume
responsibility for product names or
claims, or statements made by
advertisers.
Opinions expressed by authors are
their own and may not reflect those
of Tribune America or Dental Tribune
International.
3
xx
SPRING from page 1
7
conference and trade show attracts
more than 13,000 dental professionals from across Canada, the United
States and internationally to learn,
network and share best practices.
New this year
Returning attendees will notice a few
changes this year. One of the biggest is
the addition of the “Emerging Speaker
Showcase” featuring presentations
by experts with high-value information but with limited experience
speaking professionally. These presentations are structured in shorter
blocks of time compared with many
of the other educational sessions,
with each scheduled for 75 minutes.
That gives attendees the opportunity
to check out a wide range of topics
with minimal time commitment. The
Emerging Speaker Showcase runs
today and Friday. There is no extra
charge, but you should sign-in and be
aware that seating is on a first-come,
first-seated basis. The showcase is in
Room 712 on the 700 Level.
Seating will be less of a challenge
at most of the meeting’s other sessions
this year because of another change
put into place by meeting organizers:
All of these sessions are now ticketed.
Another change for 2019: A higher
percentage of the sessions are workshops and hands-on courses.
Most courses are in the South
Building of the Metro Toronto Convention Centre, but some are in the North
Building and the InterContinental
Toronto Centre. To confirm final locations and schedules, you’re encouraged to consult the ASM19 website,
Program-at-a-Glance, mobile app and
on-site signage.
Most courses are in the South Building of the Metro Toronto Convention Centre,
but some are in the North Building and the InterContinental Toronto Centre.
(Photo/Provided by Metro Toronto Convention Centre)
5
75,000 square feet filled with
dental innovation
A great complement to the meeting’s
expanded offering of hands-on educational sessions, the ASM exhibit hall
also offers an abundance of tactile
opportunities.
The more than 600 booths occupied
by more than 330 dental companies
and organizations are staffed by some
of the industry’s most knowledgeable
professionals — all ready to answer
questions and guide you through
some of the industry’s highest-value
advancements.
But it’s not all just business. There’s
plenty of opportunity to ensure dental professionals are leading fully balanced lives. Among the exhibit hall’s
destinations designed to keep you
energized, motivated and happy are:
The Relaxation Zone in booth
No. 2141: Professionally staffed, this
booth offers attendees the opportunity to receive 10-minute neck and
shoulder massages.
The Wellness Lounge in booth
No. 2226, sponsored by Carestream
Dental: Not your ordinary lounge,
here you’ll find an oxygen bar and
various other complimentary enhancers of your well-being.
Healthy Eating Zone in booth
No. 2212: Now an ASM staple, this
popular area is staffed by the wellknown author and chef Rose Reisman
and team. She has been providing
Canadians with healthy eating recipes for 20-plus years.
The author of 19 books that encompass more than 2,000 recipes, she
focuses on preventing chronic disease, maintaining healthy weight and
keeping stress in check. But the real
draw here, throughout both days of
exhibits, is the opportunity to sample
the delightful, delectable food — that’s
good for you.
Cocktail Receptions: End your time
in the exhibit hall each day with these
complimentary-but-ticket-required
networking and socializing opportunities. The receptions run from
4:30–5:30 p.m. on both days. Tickets
are limited.
(Source: Ontario Dental Association
ASM19 website)
Exhibit Floor – Hours of Operation
Thursday, May 9: 9 a.m.–5:30 p.m.
Friday, May 10:
9 a.m.–5:30 p.m.
More than 600 booths representing 330-plus exhibiting
companies and organizations.
[4] =>
4
exhibitors
2019 ASM — May 9, 2019
New: Hands-free infrared technology
By Designs for Vision Staff
The new HDi
headlights from Designs
for Vision can provide
up to 45 percent more
light with uniform
distribution. (Photo/
Provided by Designs for
Vision)
5
n Designs for Vision is introducing
patented hands-free infrared technology with the WireLess™ IR HDi™ and
the Micro IR HDi headlights. These
headlights feature HDi, high-definition
imaging, Designs for Vision’s exclusive
advanced photonic design that provides uniform light distribution with
maximum intensity.
The patent-pending HDi technology
optically focuses the light from the LED
to provide 45 percent more light with
uniform distribution.
The patented IR feature enables
better infection control by letting you
operate the headlight without touching the system. The IR headlights use
a built-in infrared signal to enable you
to turn the light on or off simply and
safely. Onboard biometrics sense the
position of the headlight to filter out
unintended signals while working.
Designs for Vision has added the
high-definition imaging to all of its
headlights, including the LED DayAD
Lite® WireLess IR and the LED DayLite
WireLess Mini, providing a lightweight
cordless solution with light intensity
comparable to many corded headlights.
You can choose high-definition imaging
with either a wired or wireless design
to meet your preference, and any of
the HDi headlights will illuminate the
entire oral cavity.
Designs for Vision’s WireLess headlights free you from being tethered to
a battery pack. The simple modular
designs uncouple the headlights from a
specific frame or single pair of loupes.
Prior technology married a cordless
light to one pair of loupes via a cumbersome integration of the batteries and
electronics into the frame. The compact design of the LED DayLite WireLess headlights are independent of any
frame/loupes.
The LED DayLite Micro HDi uses
the new high definition imaging with a
very lightweight headlight in combination with the Micro power pack. The
Micro power pack is the lightest and
Here in Toronto
You can see the Visible Difference®
yourself by visiting Designs for
Vision’s booth, No. 630, or contact the
company to arrange a visit in your office by calling (800) 345-4009 or emailing info@dvimail.com.
smallest power pack. The complete unit
includes two power packs, and each
power pack can run up to 10 hours.
Designs for Vision is also featuring
the REALITY 5-Star rated Micro 3.5EF
Scopes and Micro 4.5EF Scopes utilizing a revolutionary optical design
that reduces the size of the prismatic
telescope by 50 percent and reduces
the weight by 40 percent while providing an expanded field view of the oral
cavity.
Designs for Vision is excited to
announce that it recently expanded
into a new 67,500 square foot location on Long Island at 4000 Veterans
Memorial Highway, Bohemia, N.Y.
[5] =>
exhibitors
2019 ASM — May 9, 2019
5
Align University Training Institute opens in Shanghai
By Align Technology Staff
n Align Technology Inc. has opened
the Align University Training Institute
in Shanghai, China. This is Align’s
second training facility in China. The
company opened its Chengdu training
center in 2017.
This newest center represents the
company’s commitment to clinical
education and support for dentists in
China. It will be a major training facility that will enable Align to educate
dentists and showcase the company’s
latest product and technology innovation in orthodontic treatment and
digital dentistry.
“We see enormous potential in
China, with a growing demand for
Invisalign clear aligners,” said Julie
Tay, Align Technology senior vice
president and managing director, Asia
Pacific. “As consumer demand grows,
we want to ensure we provide our
doctors with the latest innovation and
training to deliver great outcomes for
Invisalign patients — and ultimately
more beautiful smiles. This is another
important investment we are making
in China to provide localized training and support to our doctors, as we
continue to lead the industry in clear
aligners and digital dentistry.”
According to the company, the Align
University Shanghai Training Institute
features state-of-the-art technology,
including iTero intraoral scanners and
dental simulation equipment. It holds
three training rooms, including one
multiple training room, a ClinCheck
workshop room and a demonstration
lab for iTero intraoral scanners and
dental simulation equipment.
The institute will provide training,
clinical education programs and demonstrations of the tools and processes
used in a range of treatment options.
China is the second largest market
for Align. The company opened its
first office in Shanghai in 2011 and
today has more than 1,200 employees
in seven offices across China. To date,
Align has trained more than 150,000
Invisalign practitioners worldwide.
Align Technology designs and
manufactures the Invisalign® system
— one of the most advanced clearaligner systems in the world — and
iTero® intraoral scanners and services.
Align’s products help dental professionals to achieve the clinical results
they expect and to deliver effective,
cutting-edge dental options to their
patients. You can visit www.aligntech.
com for more information.
Here in Toronto
You can visit Align Technology in booth
No. 204 to learn more about the Invisalign system and iTero digital scanning.
Julie Tay (second from right), Align Technology senior vice president and managing director, Asia Pacific, and Jin Xiang
(middle), Align Technology managing director, China, at the ribbon-cutting ceremony of Align University Shanghai Training
Institute. (Photo/Provided by Align Technology)
5
AD
[6] =>
6
exhibitors
2019 ASM — May 9, 2019
New scanner could move digital fence-sitters
By Dr. Hsuan Chen
n
The Primescan
Here in Toronto
is the new intraoral
You can experience the ease of use and accuracy of the recently
scanner from Dentsply
released Primescan intraoral scanning system in the Dentsply
Sirona. For the dental
Sirona booth (No. 1103). A more detailed version of this article,
professionals who are
“New Kid on the Block: Primescan and What It Means for Current
on the fence about joinand Potential Users,” can be accessed at www.cerecdigest.net.
ing digital dentistry, the
Primescan presents an
interesting choice. For
the current CEREC users, on the other
hand, social media might have just
imploded with a collective, “It’s about
time!”
But how much of it is hype, and how
much is grounded in practical truth?
Our very own Dr. Michael Tsao spent
some time with this new machine
and noted both its apparent strengths
and weaknesses. In this article, I will
5
The Primescan scanner.
attempt to distil our internal discussions and offer some insights and analysis on this fascinating device.
What is Primescan?
You can read all about its technical
achievements and specifications at
www.dentsplysirona.com/primescan.
In short, Primescan promises to be
faster, easier to use and more accurate. At face value, these claims might
not seem bold or even interesting,
since every other major brand of intraoral scanners have said similar things
about their scanners. This time, however, it seems like these promises are
more than just marketing platitudes,
as our analysis will show. But first, let’s
talk about some physical comparisons
between the Primescan and the Omnicam.
The interface
The Primescan kept the same cart
design as the Omnicam, albeit with
some distinct differences in how you
control the user interface. The mouse
cursor is now controlled with a touch
pad, with two smaller regions underneath corresponding to the left and
right mouse buttons. For CEREC users
accustomed to the old scroll-wheel, it
will take some getting used to.
Not only is the track ball gone, the
keyboard is removed as well for a clean
and minimalist look. The battery is also
apparently larger and actually able to
support the use of Primescan without
a power socket connection. The new
touch screen is also 16:9 instead of 4:3,
giving the user plenty more real estate
to work with. Personally, I’ve had no
complaints with the original design on
the Omnicam, but these are definitely
nice quality-of-life changes.
If you want, you can also control the
software via the touchscreen itself. The
screen is able to move and tilt like the
Surface Studio from Microsoft, offering
an intuitive method of moving the 3-D
models around. One the most common
issues we see from new CEREC users
at our training centre is their struggle
with the track ball. It’s nice to see an
update that shows some love for users
who are probably already masters of
the touch screen on their phones and
tablets.
In addition to its larger scanning field,
the Primescan also uses specific wavelengths of blue light that, according to
Dentsply Sirona, can more accurately
capture the surface data. Don’t confuse
this blue light with the CEREC Bluecam,
however, as the new Primescan uses a
completely new patented technology of
image capture. As you will see in our
analysis later on in this article, all this
technology does seem to make significant differences.
The software
Admittedly, one of the changes that
I am most excited about is the new
design of CEREC 5.0 software. The blue
background and button designs used in
previous CEREC 4.x definitely looked
dated (it was released in 2012, to be fair).
Personally, I think they did a good job
cleaning up the software interface.
During the event, Dentsply Sirona
placed heavy emphasis on the new
A.I. in the CEREC software. And that’s
why it’s exciting to see the new CEREC
5.0 A.I., because it is capable of selflearning. The more time you work with
it, the better its automatic margins
and restoration designs will be. The
even better news is that the learning
processes are aggregated and centralized at a main server controlled by
Dentsply Sirona, then distributed to
all the end-users. This means that as
a new Primescan or Omnicam owner,
you can immediately take advantage of
the most mature and smartest version
of the software, trained by dentists all
around the world.
The software can be controlled via a touchscreen that moves and tilts the
perspective, providing a highly intuitive method of manipulating the 3-D
images. (Photos/Provided by Dentsply Sirona).
5
Hands-on verdicts
So, about those three claims made by
Dentsply Sirona, let’s take a look at each
one by one.
Is Primescan faster? Yes. Primescan
does feel noticeably faster than the
Omnicam, but keep in mind that the
Omnicam is currently already one of
the fastest scanners available. So how
fast do you need, really?
Is Primescan easier to use? Yes. As
a veteran Omnicam user, Tsao had no
trouble adjusting to the Primescan on
the first try. The new scanner’s large
imaging area and increased depth of
field (up to 20 mm) seems to keep the
image capture more continuous without breaks. Note that the scanner is
also bulkier and heavier, so if you’re
not into heavy scanners this might be
a small issue.
Is Primescan more accurate? Accuracy can be divided into two components: trueness and precision.
Trueness is how closely the data
conform to reality (or the best approximation of reality), while precision is
how closely the data conform to each
other. These two concepts are mutually
exclusive, and therefore can be tested
separately.
According to tests completed at the
University of Zurich, Primescan can
achieve a local accuracy trueness of 14
µm and precision of 10 µm; and a global
accuracy trueness of 32 µm and precision of 30 µm. (Results of other scanners
can be found in the Journal of Applied
Oral Science article “Local accuracy
values for desktop and intraoral scanners,” Heike, 2016 at www.ncbi.nlm.nih.
gov/pmc/articles/PMC4775014).
Final thoughts
The release of Primescan at this time,
along with its complementary software, is intriguing because it signals
Dentsply Sirona’s push to capture a
bigger share of the digital impression
(DI) market. While in this article I focus
almost entirely on the scanner, it is
actually just the gateway into a whole
slew of systems.
For dental professionals looking to
purchase their first intraoral scanner,
the ease of use and accuracy offers
immediate short-term benefits. At the
same time, the A.I., the optional modular software and great support communities such as CERECDoctors.com
are valuable assets for the longer term.
For current CEREC users, Primescan
offers a fork in the road that we’re
already traveling on. Assuming that
the Omnicam will indeed get all the
latest software updates, I feel that current users will be just as happy with
either the Omnicam or the Primescan.
If you are planning a gradual conversion to the new digital workflow in
restoratives, implantology or orthodontics, then the DI-focused Primescan is a
great first step into the ecosystem.
About the author
Formerly
from Vancouver,
Dr. Hsuan
Chen now
practices
full-time
in Taiwan.
Chen is a
lecturer at
5
Dr. Hsuan Chen
the CEREC
Asia Training Facility and has
a background in engineering. As
chief editor of CEREC digest (www.
cerecdigest.net), he writes primarily about the technological aspects
of digital dentistry.
[7] =>
[8] =>
8
exhibitors
2019 ASM — May 9, 2019
New dental camera
engages entire team
The new and improved EyeSpecial
C-III digital dental camera helps dental
practices and laboratories increase
patient acceptance and productivity.
(Photos/Provided by Shofu Dental)
5
Revolutionizing clinical photography: Pre-programmed shooting
modes enable dental camera users to navigate through tasks
without extensive photographic skills or experience
By Shofu Dental Staff
n Dentists who strive to increase
the effectiveness of clear aligner therapies in their practice seek products
that can engage their team members
and improve the experience of a
patient. Digital photography plays a
key role in documenting treatments.
With the right camera, team members can help increase the patient’s
understanding of the clear aligner
treatment for easy case acceptance.
The EyeSpecial C-III camera from
Shofu enables staff to take impressive
images for case documentation, diagnosis, treatment planning, and patient
communication and education. This
digital dental camera has eight preprogrammed shooting modes so that
clinicians and their team members
can complete their photo series with
ease and consistency.
For every step of orthodontic photography, the EyeSpecial C-III will
automatically set the appropriate
f-stop, aperture and focal length to
deliver consistent ideal photographs,
leaving the camera’s operator to simply select a suitable mode. Incorporating intuitive functions tailored specifically for dentistry, the EyeSpecial
C-III is designed to handle all clinical
applications regardless of who is taking the photos.
Combining the photos with a draw/
edit function, which allows for making notes directly on images, is a
unique attribute for effective treatment evaluation or a discussion about
The heavy-duty
camera’s body is water-,
chemical- and scratchresistant, and it can
be swiftly
disinfected
with a
sterilizing
towelette.
5
Here in Toronto
Find Shofu products in the Au-Shaw
Dental Productions booth, No. 1638,
and online at www.shofu.com.
the progress or challenges associated
with the modality. Engineered to
provide functionality, the ultralight
(weighing ca. 1lb) EyeSpecial C-III
complies with infection control protocols. The camera’s body is water-,
chemical- and scratch-resistant, and
it can be disinfected with a sterilizing wipe, reducing the possibility of
cross-contamination.
[9] =>
[10] =>
10
exhibitors
2019 ASM — May 9, 2019
A revolutionary paradigm shift
in dynamic surgical navigation
By George Mandelaris, DDS
Registration is
accomplished
using any
recent CT scan
of the jaw by
selecting onscreen and
then tracing
three of the
patient’s
teeth or other
structures
(such as braces
or abutments).
(Photos/
Provided by
ClaroNav)
5
Here in Toronto
Learn more about Navident 2.0 “Trace
and Place” dynamic navigation technology in the ClaroNav booth (No.
1946).
n A revolution in surgical guidance
is afoot. A new dynamic navigation
technology called “Trace and Place”
(TaP for short), was developed by
ClaroNav and will soon become available with its Navident system. I have
had the opportunity to try the technology in a range of cases, and I am very
impressed. Here’s a brief description of
my experience.
Registration is accomplished using
any recent CT scan of the jaw by selecting on-screen and then tracing three of
the patient’s teeth or other structures
(such as braces or abutments). The process is done in the chair, immediately
before surgery. No stent or guide needs
to be prepared, and the entire registration process is typically accomplished
in about three minutes.
In the rare case something goes
wrong during registration and an
accuracy check fails to demonstrate
the accuracy expected, the registration can be immediately repeated by
tracing the same or other structures.
Once the jaw is registered with its
CT scan, on-screen guidance of the drill
position and orientation is provided.
The jaw surface is fully exposed, just
like with free-hand drilling.
Because the jaw often moves during
the operation, the system continuously tracks the position of the jaw and
adjusts the registration to keep the jaw
and its on-screen image in accurate
alignment. Tracking the upper jaw is
accomplished using a special headtracking frame, which is not affected
by movements of the lower jaw or
changes in facial expressions.
Tracking the lower jaw is accomplished by connecting a lightweight
plastic “jaw tracker” part, marked
with optical targets, to a single tooth
using a light-cured composite. The
motions of the drill are tracked using
another plastic part marked with
optical targets.
Streamlined and simplified
After only a short experience with
Trace and Place technology in my
practice, I have come to believe that
it is a real tipping point for dynamic
navigation guidance.
It has streamlined and simplified
the workflow in both the diagnostic
and surgical phases to allow state-ofthe-art technology to be an everyday
component of my surgical implant
practice. I can’t imagine going back!
[11] =>
[12] =>
dental news
12
2019 ASM — May 9, 2019
More dentists are detecting oral
cancers in Ontario — earlier
11-year study
confirms dental
professionals’
growing role in
early detection of
the deadly disease
By University of Toronto Faculty of
Dentistry Staff
n After examining data gathered
over an 11-year period in a first-ofits-kind provincial study, University
of Toronto clinician-scientist Marco
Magalhaes has one vital message:
Dentists in Ontario are detecting
more cases of oral cancer and pre-cancer than ever — and it’s saving lives.
Magalhaes, lead author of the
study that appears in the Journal of
the American Dental Association, is
an assistant professor at the University of Toronto’s Faculty of Dentistry,
and one of the oral pathologists at
the Toronto Oral Pathology Service
(TOPS). Operated by the Faculty of
Dentistry, TOPS is one of the largest oral pathology services in Canada, which provides comprehensive
evaluation of biopsy specimens — the
overwhelming majority of which are
submitted by dentists.
For the study Magalhaes looked
at 63,483 biopsies submitted to the
service between 2005 and 2015. “We
wanted to look at the scope of oral
biopsies performed by dentists, what
they’re seeing in practice,” says Magalhaes of the study’s design. The
biopsy data from TOPS were then compared to numbers collected by the
Ontario Cancer registry, Cancer Care
Ontario, which tracks all reported
cancers in the province.
Surprisingly, the data showed a
steep rise in the overall numbers of
carcinomas (oral cancers) and dysplasia (pre-cancerous lesions) detected
by dentists.
Overall, 828 cases of oral cancer
were diagnosed by the U of T oral
pathology service between 2005 to
2015, along with 2,679 premalignant
lesions. But over time, the percentage
of oral cancer detection by oral health
From left, research associate Denise Lopes Eymael and assistant professor Marco Magalhaes, who is the lead author of the
study. (Photo/Jeff Comber, senior photographer, University of Toronto Faculty of Dentistry, IITS)
5
Here in Toronto
You can visit the University of Toronto
Faculty of Dentistry in the ASM19 exhibit hall at booth No. 1600.
professionals rose significantly. In
2005, only 56 cases of oral cancer and
99 cases of oral epithelial dysplasia
were detected through biopsy.
By 2015, though, the number of
cancers detected through the biopsy
service had nearly doubled, rising to
103 cases of oral cancer. Dysplasia
cases more than tripled from 2005,
rising to 374 cases.
“These numbers are important,
because the number of diagnosed
cases outpaced both the rise in population in Ontario and the increased
number of dentists licensed in
Ontario,” says Magalhaes.
In fact, the number of cases
detected at TOPS was significantly
higher than the overall increase of
oral cancers recorded in the province
over that same period — just 30 per
cent — compared to the 180 per cent
rise at TOPS. Cancer Care Ontario
identified a total of 9,045 cases of oral
cancer between 2005 and 2015.
So what does it all mean? For
one, argues Magalhaes, dentists in
Ontario are playing an important role
in detecting the deadly disease.
And more comprehensive train-
ing and continuing education programs for oral health professionals
may be behind the dramatic rise in
detection rates. While advanced oral
cancers are fairly easy to detect, says
Magalhaes, premalignant lesions and
early cancer can be easy to miss
without specialized training. Early
detection of oral cancers, meanwhile,
is “critical” to survival rates, he
explains.
Calling the Toronto Oral Pathology service “extraordinary,” Michael
Glogauer, acting chief dentist at the
Princess Margaret Cancer Centre and
professor at the University of Toronto’s Faculty of Dentistry, agrees that
strong training is likely playing a role
in the higher detection rates.
“The focus on oral cancer education throughout the universities and
(in) continuing education in the area
of cancer has led to the increased
surveillance by dentists, and validates the focus that the dentists in this
province are placing on this important health initiative,” says Glogauer.
Tracking precancerous links
An added dimension of the data collected in this study is that researchers may learn to pinpoint which — and
how many — precancerous lesions
will, over time, turn cancerous. While
the data of the study provide evidence
that TOPS was involved in the diagno-
sis of approximately 10 per cent of all
oral cancers in the province, it also
demonstrates a dramatic increase in
the number of precancerous lesions
identified by these health care providers.
Importantly, the provincial cancer
agency does not keep statistical data
on precancerous lesions, making the
TOPS biopsy data especially relevant
in the hunt to discover which premalignant lesions will become cancers.
“This is the first time that we have
assessed dysplasia detected by dentists over such a long period of time,”
says Magalhaes.
Early detection is key
Oral cancer survival rates have
remained steady over the past several decades. What that means, says
Magalhaes, is that “advancements in
treatment have minimally improved
survival rates.” Yet, treated in its early
stages, patients with oral cancer have
the highest survival rates: around 80
per cent over five years. That statistic
drops to approximately 30 per cent
over five years when the cancer is
detected at an advanced stage.
“This supports the fact that early
detection really is the most important
step here,” Magalhaes adds. And, as
the study suggests, regular check-ups
at the dentist’s office may be our best
line of defense.
[13] =>
[14] =>
14
explore toronto
2019 ASM — May 9, 2019
Host to many Toronto events, the Rogers Centre, formerly known as SkyDome, is the city’s indoor/outdoor multi-purpose stadium and home of the Toronto Blue Jays. It
even includes a luxury hotel, the Toronto Marriott City Centre Hotel. You can book a room with floor-to-ceiling windows to provide an unobstructed view of Rogers Centre
and enjoy a professional baseball game from the comfort of your own room. Note: the official ASM19 block of preferred-rate rooms sold out weeks ago. (Photos/Provided
by Toronto Marriott City Centre Hotel)
5
You can see the Toronto Blue Jays play during ASM 2019
n Toronto Blue Jays home games once
again nicely coincide with the Annual
Spring Meeting this year. You can try to
catch a Blue Jays game just a few blocks
away at Rogers Centre, considered to
be one of the most versatile entertain-
ment centres in the world.
Last night the Blue Jays were
schedule to close out a three-game
series with the Minnesota Twins.
But another three-game series at
the Blue Jays home park starts Friday
evening with the Chicago White Sox.
You can visit www.mlb.com/bluejays
for details.
If you’re remaining in the Toronto
area for a few days, the following
games are on tap through Sunday:
Toronto Blue Jays vs. Chicago White Sox
Friday, 7:07 p.m. EDT
Saturday, 3:07 p.m. EDT
Sunday, 1:07 p.m. EDT (Mother’s Day!)
(Source: mlb.com/bluejays/schedule)
(Photo/Provided by Tourism Toronto)
[15] =>
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