just for canadian dentists 2012-01 january february
DESCRIPTION
Just For Canadian Dentists 2012-01 January FebruaryTRANSCRIPT
inside: Continuing dental eduCation CalendarPublications Mail agreeMent #41073506
life+leisure
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where will you meet? singapore / st.john’s / rome / tahiti / phoenix >>
+ swiss tracks + on the RALLY route+ cAsh management+ patient LOYALTY
fROm The ARcTic TO cApe hORn
*wina VISA gift card! see pAge 25
January/February 2012 just for canadian dentists 3
FeatureS
10 Northern light Finding life in Canada’s far north
32 Southern tip Sailing around Cape Horn
ColuMnS
16 motoring Unleash your inner rally racer
27 drill me Who’s watching your cash?
29 the wealthy dentist Prepare to sell
30 practice management Patient loyalty
31 techworks A new dental app
36 the thirsty dentist Pop some bubbly
37 the hungry dentist Tart it up
January/February 2012 ContentS
dePartMentS
5 January/February mix
19 CE calendar
26 classifieds
25 sudoku
38 small talk with Dr. Derek Turner
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dentistsj u s t f o r c a n a d i a n
life + leisure
january/february 2012
editor and art Director barb Sligl
editorial assistant adam flint
Contributors Timothy a. brown Dr. Holly fong Michael Defreitas janet Gyenes Dave Hobson Tim johnson Kristin nickells Dr. neil Pollock Manfred Purtzki Lisa richardson Dr. Kelly Silverthorn Dr. Derek Turner Corey Van’t Haaff Cover photo b. Sligl
Senior account executive Monique Mori
account executive Lily yu
Sales, Classifieds and advertising In Print Circulation Office 200 – 896 Cambie Street Vancouver, bC V6b 2P6 Canada Phone: 604-681-1811 fax: 604-681-0456 email: [email protected]
associate Publisher Linh T. Huynh
Production Manager ninh Hoang
Circulation fulfillment alison Mulvey
Ce Development adam flint
Just For Canadian Dentists is published 6 times a year by In Print Publications and distributed to Canadian dentists. Publication of advertisements and any opinions expressed do not constitute endorsement or assumption of liability for any claims made. The contents of this magazine are protected by copyright. none of the contents of the magazine may be reproduced without the written permission of In Print Publications.
In Print Publications200 – 896 Cambie Street Vancouver, bC V6b 2P6 Canada
www.justforcanadiandentists.com
Printed in Canada.
want to reach us? check out our website!
cover photo: The Pia Glacier in Tierra del Fuego at the southern end of the world near Cape Horn. Story on page 32.
10 32
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FullPage_cover16.indd 1 12/14/2011 2:18:09 PM
4 just for canadian dentists January/February 2012 January/February 2012 just for canadian dentists 5
*
happy new yearAnother new year…means another
year of amazing adventures! Far and wide, as we travel the world
each issue, and closer to home, within this vast and diverse country of ours.
it seems fitting to start 2012 by visiting the far north and the even farther south—from Arctic to almost the Antarctic.
We get pretty close sailing past Cape Horn, the very edge of Southern America—and just about 800 miles from the Antarctic. it may not be the South Pole, but it’s still a world away. With seasons reversed and landscape so haunting and desolate, it gets under your skin and lingers (see page 32).
A similar feeling is found in the Arctic, where you can follow in the wake of long-gone adventurers, minus the trials and tribulations (no scurvy!), and get a glimpse
of a vast other world of the inuit, polar bear, narwhal and snow and ice (page 10).
And then somewhere seemingly inaccessible but within easy reach by train: the top of Europe. The Jungfrau railway celebrates 100 years in 2012. ride it and revel in Swiss engineering (page 5).
And, post-holidays there’s work to be done…in the posh eco environs of the vancouver Convention Centre at the Pacific Dental Conference (page 8). Call it work if you must, but we see it as a great excuse to explore beautiful West Coast architecture and living. We welcome you to our city!
let us know where you’re going this year—keep the feedback coming and please subscribe at justforcanadiandentists.com (or page 26).
*
clockwise from top Signpost in Punta
Arenas, the port of departure in southern Chile, en route to Cape
Horn; chapel at Cape Horn; and sea-gazing,
Cape-Horn style.
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Year round service allows you to fly WestJet non-stop from Toronto to Grand Cayman. With convenient connections between Toronto and other Canadian cities, it’s easy to experience an island vacation.
Book your flight or vacation package today at westjet.com or call your travel agent.
Spoil yourself in a Grand way.
Ontario travel agents are covered by TICO. Mailing address: 6085 Midfield Road, Toronto, ON L5P 1A2. TICO registration number: 50018683.
s t y l e | f o o d | s h o w s | f e s t i v a l s | p l a c e s | g e t a w a y s | g e a r …w h a t / w h e n / w h e r e > J a n u a r y / F e b r u a r y
get-away
m i xF r o m t h e e d i t o r
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The Jungfrau Railway, Europe’s highest-altitude rail line,
celebrates its centenary in 2012 >>
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love itJ a n u a r y / F e b r u a r y
In August 1893, Swiss industrialist Adolf guyer-Zeller was hiking the alpine trail from the Schilthorn to mürren with his daughter. below them the morning sun slowly crept across the sprawling lauterbrunnen valley from behind the snow-capped summits of the Eiger, mönch and Jungfrau. As he watched a red cogwheel train snaking up the other side of the valley
towards kleine Scheidegg—about 1,400 metres below the Jungfrau summit—an idea formed in his mind. Why not build a railway to the Jungfrau peak?
Four months later he submitted his idea for a Jungfrau summit rail line to the Swiss Federal Council. it got mixed reviews at first but eventually captured the imagination of the Swiss government as a good way to boost tourism. They approved the project and the railway to the Top of Europe was born in 1894.
Workers broke ground in July 1896 on the first leg of the line—the open two-kilometre section from kleine Scheidegg to the first station, the Eigergletscher, at the north face of the Eiger. From there the line would run in a tunnel cut through the Eiger and the mönch up to the Jungfrau summit. it took more than two years to get this far, and Adolf guyer-Zeller died of pneumonia shortly after, never realizing his dream of reaching the Jungfrau summit.
but the work continued, and in June 1903, a second station, Eigerwand (Eiger Wall), was opened, offering travellers magnificent panoramic views of the
grindelward valley and the glacial ice field from viewing platforms in the centre of the Eiger’s north face.
The final 3.6 kilometre tunnel through the Eiger and mönch took almost an-other decade, but by 1912 work crews finally broke through onto the Jungfraujoch, a glacial saddle a few hundred metres below the summit. With funds exhausted the company and family decided to end the line here instead of at the summit. And on August 1, 1912—16 years after construction began––the first festively decorated cog train carrying guests and viPs climbed the 9.34-km line from kleine Scheidegg and pulled into the Jungfraujoch station at 3,454 metres elevation.
Since then, Europe’s highest-altitude railway has attracted millions of visitors (about 700,000 each year). This year, in recognition of the amazing engineering feat, the Jungfrau region is planning a host of centenary celebrations including the April 2012 opening of a new 250-metre-long experience subway—with historic exhibits and photos—between the Sphinx Hall and ice Palace sections of the Jungfraujoch.
And, of course, there’s that view from the top of Europe. Few experiences can match standing (or sitting, like above) on the Jungfraujoch’s outdoor observation deck at the top of Europe breathing in the crisp, fresh mountain air and soaking up one of the world’s most spectacular vistas. — Michael DeFreitas
IF YOU GO For more on the Jungfrau Railway: jungfrau.ch/en/tourism/places-to-visit/ jungfraujoch-top-of-europe/. For more on Switzerland: myswitzerland.com.
top of Europeget-away
m i xcaribbean setsw
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to the Caym
an Islands for awesom
e aquatic adventures
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most Caribbean islands are able to deliver on a promise of sun and sand, and that’s definitely true in the Cayman islands—the charms of world-famous Seven mile beach are many, between the warm aquamarine waters and the line of palm trees that just seems to go on and on (and on). but very few offer visitors up close and personal encounters like those found on
Grand Cayman. Take, for example,
Stingray City. reachable by catamaran, this sand-bar out in the middle of Grand Cayman’s North
Sound offers the oppor-tunity to rub your elbows
with the fins of dozens of South atlantic Stingrays—the curious creatures swim right up to visitors, bumping into them in search of food, and you can even pose with one of these gray monsters by extending your arms and crouching in the water.
and that’s not all. You can snorkel or dive at the USS Kittiwake, a World War ii rescue ship that now forms a ghostly presence at the bottom of the sea just offshore, or you can SCUba at one of the 175 dive sites that have made Grand Cayman a renowned destina-tion amongst divers around the world. Or, if you prefer to be on the water rather than in it, charter a deep-sea fishing boat and skim along the wall that separates the North Sound’s 60-foot waters from the 2,000-foot deeps beyond, a favourite feeding ground for barracudas (and bigger). — Tim Johnson caymanislands.ky
Frequently referred to as the “Culinary Capital of the Caribbean,” the Cayman Islands
offer exceptional variety and unsurpassed ambiance with more than 150 restaurants to choose from to please even the most discriminating gourmand. But what really gets foodies fired up is its annual culinary event, Cayman Cookout, hosted by acclaimed Chef Eric Ripert (above), creator of the award winning Le Bernardin in NYC.
This weekend of fine wine and food, now in its fourth year, is a welcome getaway for those eager to escape the cold Canadian winter and get a taste of the good life. Set on the sugar-white sand beaches of the luxurious Ritz-Carlton, Grand Cayman, the event welcomes the world’s finest chefs and savviest sommeliers, giving attendees the rare chance to rub shoulders with their culinary heroes.
Last year, Ripert hosted Toronto superstar-chef Susur Lee to his hotly anticipated four-day epicurean fest. This
year, the venerable chef went west—inviting Paul Rogalski of Calgary’s celebrated restaurant, Rouge, named one of the “World’s Top 100 Restaurants for 2010” by the prestigious S. Pellegrino awards. A strong proponent of sustainable food practices and the state of the oceans, Rogalski will cook alongside culinary all stars like José Andrés, April Bloomfield, François Payard, Laurent Gras, Richard Blais and others.
The eternally witty Anthony Bourdain is also set to appear again, a big draw for fans of his popular show, No Reservations. Sommeliers Andrea Robinson, Aldo Sohm and Ray Isle and Food & Wine’s Dana Cowin are also part of the talented line-up.
A peek at the schedule reveals a wide range of tastings, demonstrations and excursions, including a tell-all session of “kitchen secrets” with Ripert and Bourdain, a behind-the-scenes luncheon at Ripert’s AAA Five Diamond award-winning Blue restaurant at the Ritz-Carlton, a Barefoot
BBQ with José Andrés and others on the grill, a grand-finale Gala Dinner prepared by all of the participating chefs and much more. Rogalski, who once lived in Grand Cayman, is participating in a black box event and promising to bring his signature Canadian flavours to Cookout.
Cayman Cookout kicks off Cayman Culinary Month, during which the destination’s cuisine is recognized and celebrated. Taking place between mid-January to mid-February, visitors participate in special food and wine events around Grand Cayman. Caviar tastings, a private yacht cruise, slow food Cayman-style and the popular lionfish hunt—an event designed to remove the invasive creature from Cayman waters while also giving foodies a chance to experience this tasty fish—are just a sample of what’s on offer.
The 4th Annual Cayman Cookout takes place January 12 – 15, 2012. Visit caymanislands.ky/cayman_cookout for more information.
a cookout in the caribbean
get-away
feast fest
winter break–
wet setJ a n u a r y / F e b r u a r ym i x
How will you say “be mine” this Valentine’s Day? Here are two opulent offerings, with nary a heart, dove or Cupid in sight…
FOR HER There’s no question: travel imprints the most distinctive memories. The sultry scent of the sea, the lusty taste of fresh truffles, the penetrating stare of the Mona Lisa…For jewelry designer Elsa Peretti, a visit to Portofino in the 1960s etched in her mind a memory of women holding gardenias. What followed was her now-classic Bottle pendant designed to keep the flower alive (above). And now you can also give her Peretti’s new round-shaped Bottle pendant, an elegant update of the original organic shape. From $325 to $3,500 in sterling silver/18k gold, with lapis, black jade or turquoise stopper. Tiffany & Co., tiffany.ca
FOR HIM This year, skip the three Cs of go-to V-Day gifts for him: cognac from France, cigars from Cuba, cologne from Italy. Instead, offer a special Swiss something—that’s definitely not chocolate. At first he might demur at seeing the iconic blue box so often reserved for “her.” But your man’s adventuresome spirit is sure to prevail. The spoils of being so sporting? The Atlas® timepiece with its rugged-and-ready stainless steel chronograph and black rubber detailing. The 42-mm face and black dial are in line with his masculine demeanor, while the Roman numerals and clean lines offer the refinement that’s sure to make this watch a classic. $8,900; Tiffany & Co., tiffany.ca — Janet Gyenes
for her!
for him!
gift
8 just for canadian dentists January/February 2012
It’s that time of year again…to make your way to the West Coast for the Pacific dental Conference. One of the largest dental conferences in North america, this must-attend event offers a varied range of continuing education programs—over
100 open sessions offering up to 15 hours of Ce Credits. >> Hands-on courses—for the whole dental team—cover everything from clinical and practice excellence to personal development. back this year is the popular “So You Think You Can Speak?” Series iii, plus there’s the exhibit Hall that’ll be packed with over 500 exhibitor booths, a live dentistry Stage, internet Café and three dining lounges. and it’s all taking place at the stunning West building of the Vancouver Convention Centre (above and see right). >> With the conference located right on the waterfront in downtown Vancouver, there’ll be go-to social get-togethers too. The 2012 PdC Social events include: life is Too Short to drink bad Wine, The Friday Night Social event featuring The Timebenders, and the 12th annual Toothfairy Gala & bC dental association awards. >> early bird registration for attendees ends January 13 and PdC special hotel rates (including for the Fairmont Pacific rim, see below) are available until January 28. register online at pdconf.com.
STAY Our pick for a sweet stay while at the PdC: The Fairmont Pacific Rim, a swanky contemporary bolthole right across the street. Score a room overlooking the six-acre green roof of the Vancouver Convention Centre and the North Shore mountains across burrard inlet. after all the networking, end the day by heating up in the rooftop pool and hot tub with views of the same. fairmont.com/pacificrim
The Vancouver Convention Centre is an
ode to eco design and sleek West Coast style,
an award-winning venue that has earned LEED®
(Leadership in Energy and Environmental
Design) Platinum certi-fication. Built over land
and water, with f loor-to-ceiling glass that takes full
advantage of the stellar harbour and
mountain views, the West Building was first
showcased during the 2010 Winter Olympics.
Sustainability is integral to the design and green
technology is found throughout, from the
“living roof” (the largest in Canada) and
seawater heating and cooling to on-site water
treatment and a fish habitat built into the
foundation. vancouver-conventioncentre.com
elegant + ecoJ a n u a r y / F e b r u a r yM
arch
8 –
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take It to the PDCPacific Dental Conference
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TELEPHONE: (416) 363-3772
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®, TM: Used by Amex Bank of Canada under license from American Express.®*: Aeroplan is a registered trademark of Aeroplan Canada Inc.1 Membership Rewards points can only be redeemed for a statement credit towards a qualified travel purchase charged to your Card. There is a minimum redemption
requirement of 1,000 points for a $10 credit and redemptions must be made within 12 months after the qualified travel purchase is posted to your account. Other terms, conditions and restrictions apply.
2 Membership Rewards points transfers must be made in increments of 100 points, with a minimum redemption requirement of 1,000 points for each transfer. 1,000 Membership Rewards® points = 1,000 Aeroplan Miles. Other terms, conditions and restrictions apply. Visit www.membershiprewards.ca for full Membership Rewards Terms and Conditions
3 To qualify for a Welcome Bonus of 25,000 points you must have at least $3,000 in net purchases posted to your account in your first 3 months of Card membership. Account must be in good standing. This offer is not applicable to holders of an existing American Express Small Business Card product. Points may be transferred to select third party frequent flyer or loyalty programs participating in the Membership Rewards® program and then redeemed for one economy class round-trip airline ticket. Once points are transferred, they are subject to the terms, conditions and restrictions of such third party program. Currently, up to 25,000 points are required for a round-trip economy class flight to continental United States (including Alaska) and Canada (plus applicable fees and taxes). When we stop offering the Welcome Bonus, we reserve the right to accept applications but you will not be eligible for the Welcome Bonus.
Book any travel you can find, then pay for it with points1
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See us at the Pacific Dental Conference, booth 143/242.
t r a v e l a t h o m e t r a v e l a t h o m e t r a v e l a t h o m e
by Lisa Richardson
finding life at the end of the earth
northern
lights
opposite page Whale bone roof at Resolute in Nunavut. this page Exploring the deep North Atlantic waters, fiords and narrow channels along the Torngat Mountain Range on the coast of northern Labrador. “Torngat” comes from the Inuktitut word “turngait,” which translates as “spirits.” Inuit legend says that in these mountains the spirit world overlaps our own.
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t r a v e l a t h o m e
I wade int r a v e l a t h o m e
CRUIsE NORTh ExpEdITIONs is the only cruise line to specialize exclusively in Canadian Arctic cruises. An Inuit-owned and -operated company launched in 2005, its season commences in July in Labrador and wraps with a tour of the Northwest passage in september. Five different itineraries, ranging from six to 11
nights, fly out of Montreal, Québec, into the Arctic, and sail on the ice-class-rated 122-passsenger ship, the Lyubov Orlova. Offering exceptional opportunities for wildlife encounters, visits to historical and archaeological sites as well as to contemporary Inuit communities, Cruise North has earned a place on Conde Nast Traveller’s prestigious “Green List” for their environmental efforts and commitment to helping preserve Inuit culture through tourism. cruisenorthexpeditions.com
Frozen In Time: Unlocking the Secrets of the Franklin Expedition By Owen Beattie and John Geiger (2000). Forensic anthropologist Owen Beattie solves the Victoria-era mystery about the fate of the famous Franklin expedition of 1845-1848, exhuming the bodies of three sailors who perished and were
buried on Beechey Island.
Consumption By Kevin patterson (2006). A fictional account of the changing culture of the north written by a BC doctor who practised in the Arctic.
Who Owns the Arctic? By Michael Byers (2009). penned by the Canada Research Chair in Global politics and International Law at the University of British Columbia, this primer gives a rundown on the most urgent, least understood geopolitical issues of our time—Arctic sovereignty.
Arctic Dreams By Barry Lopez (1986). Hailed as one of the finest books written about the Far North, Arctic Dreams won a National Book Award when published in 1986 for Lopez’ nuanced celebration of the mysteries of “last frontiers” and the tension between the Arctic’s beauty and capacity to take life.
The Long Exile: A Tale of Inuit Betrayal and Survival in the High Arctic By Melanie McGrath (2006). The story of the 1953 forced relocation of Inuit from northern Québec to Resolute and Grise Ford by the Canadian government, to assert Canada’s sovereignty in the high Arctic during the Cold War. —L.R.
i wade in rubber boots into water so clear it begs a full immersion, until i dip my hand in and register the temperature at barely above freezing level. No skinny-dipping on this cruise.
An old russian icebreaker, the Lyubov Orlova, awaits us, at anchor in resolute bay, the farthest north a ship can reliably penetrate before being stopped by the multi-year pack ice.
in the fall the ice is at its yearly mini-mum and temperatures hover just below freezing level. The mildness belies the fact that resolute is one of the coldest inhab-ited places in the world, ranked second in Environment Canada’s Climate Severity index for conditions inhospitable to human comfort and well being.
on this Saturday, the co-op is closed, and there is no sign of any of resolute’s 250 inhabitants. Snowmobiles are parked outside the plywood and fibro buildings. The houses are undecorated, except for one with bleached whale bones by the door. A four-wheeler tilts on its axle, a wheel missing. rust seems to be the only thing here that thrives.
beside the bay are five round mounds, evidence of the Thule inhabitants who lived here 1,000 years ago. only one has been reconstructed to any degree, its flat rocks laid like paving stones and stacked into retaining walls, beneath a frame of whale bones over which skins were once stretched.
There are too few visitors to resolute for this historic site to be marked with anything more than a plaque. And in this place of absolute economy, any relic that was once useful would have been absorbed into the possessions of later travellers.
it is stark here, empty and slightly shock-ing. And there is no ice in sight.
The polar ice is disappearing at a rate al-most three times faster than climate models had projected. recent findings suggest the Arctic could be ice-free in summer within two decades.
This new reality has put the Arctic, which comprises over 40% of Canada’s landmass, firmly on ottawa’s radar. in June 2009, Canada’s Foreign Affairs minister, lawrence Cannon, rebranded the country as an “Arctic superpower.”
The possibility of increased shipping traffic through the North West Passage and the sleeping giant of the frozen beaufort Sea, believed to be the largest significant reserve of petroleum in the world, has seen a range of re-cent sovereignty gestures from the Canadian, russian, Danish and American governments.
As climate change accelerates, the giant may wake sooner than anyone expected, colliding past and future, north and south, together with a bang.
The past and future already rest uneas-ily against each other in the far north. The tundra has no microbes or organisms to
break down organic matter, making the rate of decomposition so slow that history’s fin-gerprints are everywhere. on beechey island, where 129 of Franklin’s men from the Erebus and the Terror spent the winter of 1845-6, frozen in the ice, visitors can walk amongst the remnants of their winter settlement, probing like detectives amongst the clues of an unsolved riddle.
Here, at the edge of the habitable world, Dr. owen beattie did his own probing, exhuming the gravesites at beechey island in 1983 and 1985 to conduct autopsies on the first three men to have perished on Franklin’s ill-fated quest for the North West Passage. They had died from tuberculosis. buried six feet down into the permafrost, the 130-year-old corpses were ready to tell their story, their hands and feet perfectly preserved, their lips pulled back in a permanent shiver at the deathly cold. They had sailed to the ends of the earth, never to return. Their ship still hasn’t been found.
“There are very few final frontiers in the world,” acknowledges george berthe. The 35-year-old inuk is the Corporate Secretary of the makivik Corporation, a wholly owned inuit company responsible for managing the funds granted to Quebec’s inuit as part of the James bay and Northern Quebec Agreement of 1975 when the region was opened up for hydro development.
“We knew the north was going to be vis-ited,” says berthe of the company’s decision to make a foray into cultural eco-tourism six years ago, with Cruise North Expeditions.
“We decided to take a holistic approach to the notion of mass tourism. Some people wanted to close our doors and live a pro-tected way of life, hunting and harvesting. or do we open the doors and tell our stories? As leaders we are looking 30 years ahead, and we decided with the people’s consent to open the doors.”
The chance to see the north through inuit eyes is what makes this cruise experi-ence uniquely powerful, and has garnered it a spot on Conde Nast Traveller’s green list and National Geographic’s ADVENTURE magazine’s ranking of top Adventure Travel Companies. The expeditions, targeted primarily to Canadian travellers, as distinct from the well-heeled international jetset-ters that fill the berths on other Arctic and Antarctic cruises, was conceived to ensure that Canadians have a chance to see the farthest reaches of their country with their own eyes. An innovative guide-training program recruits several staff members from inuit communities throughout the north, and Cruise North also offers travellers a chance to sail alongside the people who call this place home.
on the afternoon of our third day at sea, we are called on deck by a loudspeaker an-nouncement: “Polar bear swimming! Polar
Lonely tombstones mark the graves of the first casualties of John Franklin’s attempt to sail the North West passage in 1845.
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polar bears swimming.day excursion off of the Lyubov Orlova.
Icebergs calving from Greenland sail down the davis strait.
Out the porthole. Local children.
Narwhal catch by a young fisher-man in pond Inlet —his biggest.
The stunning scenery of the
high Arctic.
t r a v e l a t h o m e
bear swimming, portside.”The boat slows so we can watch the great bear breast-stroke
through the aqua chill. A frenzy of long lenses shlick-shlick-shlick as the bear wheels around, in our wake, looking for his floe.
The best wildlife spotters on deck are the inuit guests, members of the makivik Corporation and the government of Nunatsiavut, a regional ethnic government of inuit from labrador/Newfoundland, who have joined this trip to discuss potential collaborations.
one of the leaders, michael gordon, vice President for Economic Development for the makivik Corporation, offers his binoculars to me, as i squint at the horizon, trying to spot polar bears. He patiently iden-tifies landmarks, trying to direct me to the bear that wanders where the land meets the sea, on an endless quest to sate his appetite.
“if you get down on your knees,” gordon tells me, “you get out of the wind. You can take your time.” i kneel down, sheltered, steadier. Follow his directions. Spot the bear, and watch, in wonder.
“People think it’s very desolate up here,” Pita Aatami says. Aatami is the elected President of the makivik Corporation. “but it isn’t. it’s kept us alive for thousands of years.” He acknowledges the ingenuity of his ancestors, that enabled them to adapt to this extreme environ-ment, to build shelter in a land above tree-line, a land with no wood. The iglu was declared one of the seven wonders of Canada in a nation-wide contest hosted by the CbC.
We get a glimpse at that ingenuity when we land at Pond inlet. The Zodiacs drop wave upon wave of us on the beach, rubber-boot-ed, waterproof-suited, loaded with long-lens cameras.
At the Nattinak visitors Centre, the community invites us to a display of singing and dancing. Two young men, just finishing high school, demonstrate traditional Arctic games—the arctic kick, a one-arm kick, muskox pull, finger pull, and arm pull—tests of stamina, strength and endurance that make yoga practice look very tame.
outside, by the beach, some local fishermen have caught a narwhal. They offer us pieces of muktuk to try—a generous gift in a town where a pop costs three dollars and a bag of chips seven dollars. The narwhal’s tusk is six feet long. The fisherman is young, standing shy and proud by his catch.
our guide, Jason Annahatak, an inuk from Northern Quebec and masters student at Columbia University, says muktuk is an extremely rich source of vitamin C. “if the early explorers had been willing to adopt inuit ways, they might not have died from scurvy.”
As we sail away from Pond inlet, Annahatak urges 10 passengers to the front of the lecture room, and offers muktuk, with a vodka chaser. “Tastes like popcorn”, says one. “Fishy rubber,” pronounces another. They are modern-day explorers, redressing history with the small gesture.
We cross the Arctic Circle. At 66 degrees north of the equator, it is the southern extremity of the polar day, the land of the midnight sun. A fellow-passenger wants to commemorate it—it’s a personal trifecta that completes earlier passages across the Antarctic Circle and the Equator. A tattoo, perhaps, in inuktitut. The inuit are trying to help her come up with the right word for “traveller,” but the closest they can get translates as: one who is always restless, without a home.
our ways of looking at the world are so different.but maybe she is home.As Pita Aatami says, “When we say our land, it’s yours also, as
Canadians. We all share it together.” And that night, the aurora borealis comes, like a blessing, a
mother’s kiss, a sweep of the hand smoothing back hair, sheets of light spread across the night sky.
As the inuit say, everything in nature is infused with the spirit of life. When you learn how to look, old ways and ways new to you, you can see that it is all alive. And that our futures are very much intertwined.
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edits. Come race day the two-pass recce process generates a >10% faster pace than “blind.”
The morning of competition at big White unfolds with respectable pace and composure for our team. We have two non-scary snow-snake induced “offs” (my bad), which cost us 5 – 10 seconds each. but our Subaru renta-racer is having fuel and/or spark issues affecting its drivability. Also undermining us is its fuel mileage. We run out of fuel a few kilometres from the midday Service Park. And, unlike tarmac Targas, any outside assistance dictates immediate disqualification from this competition.
Nevertheless, the snow-rally experience was sufficiently addictive that i immediately plan a return assault on big White. our arrive-and-drive vendor is also stepping up to address the shortcomings we experienced…Yet, gravel rally still isn’t fully on my radar…
Get dirtyFate (or is it destiny?) intervenes. A new rally school outside Seattle called Dirtfish is keen on hosting the Just for Canadian Dentists motoring columnist at their one Day School. Free thrills, can’t beat that! i gamble that the temperate rainforest
precipitation will mitigate any dust. So i spring for my wife’s tuition as a wedding anniversary gift. i continue to test the limits of rally as a couple-friendly sport.
Forget what you knowour class at Dirtfish has two women and four men of varying ages. At first i’m chuffed that i’m the only one with any rally experience. However, i quickly learn in my school-issue, manual-shift Subaru STi that, well, i have no clue about gravel (or snow) technique.
Tarmac driving pace is found by maintaining 100% traction and smoothly elongating and connecting corners. Non-tarmac is the reverse. At Dirtfish, i learn pace on gravel is won by elongating the straightaways through abruptly rotating the car at the corners,
momentarily inducing near-0% traction.oh yes, and this is no small detail…
you must brake with your left foot on non-tarmac, even in a stick-shift car. How do i learn all this? Trial and error…lots of
error.We start by
driving our STis around a 300-foot diameter gravel skid pad at a steady speed and steering angle. We then lift off the throttle and wait…and magically after 2 – 3 seconds the car tightens its cornering line. We then repeat the exercise, but this time with mild-moderate (left-foot!) braking. This makes the car tighten its line and rotate more dramatically.
It gets harderour next exercise is the Handling box—four cones in a square of 100 – 150-metre sides. We accelerate to each
m o t o r i n g [ c o n t i n u e d ]m o t o r i n g d r . k e l ly s i lv e r t h o r n
I should have seen these creatures slithering into my life. Now, i struggle to see them leaving.my Targa (tarmac) rally activities drew
non-tarmac rally folk my way like moths to a flame, including a female physician who is lead organizer of The big White Winter rally. This growing non-tarmac event near kelowna, bC, takes place each December—the only annual snow-certain rally west of the mississippi.
So, to support my colleague’s event (and the dirt/dust-free format), i took the non-tarmac big-White plunge. i settled on a local arrive-and-drive Subaru rally car team. For my navigator, i went with Targa Canada West CEo Duane bentley, who is always keen for any motorsport challenge.
Recce thisUnlike the “blind” Targa events i’ve done, the non-tarmac scene is typically a “two recce rally.” on Day 1, the driver/navigator team drive twice through the special stages that make up the >150 km of competition on race day. During recce (that’s slang for reconnaissance) the roads remain open to regular non-rally traffic.
on the first recce pass, the driver verbally dictates a series of instructions; something like ”150 [metres] to off-camber 7 left, tightens.” During the second recce pass, the navigator reads back those instructions in a dry-run format with some final
of dirt fish and snow snakes
Dr. Kelly Silverthorn is Just For Canadian Dentists’ automotive writer. He tries to keep one convertible
and/or one track-day car in the family fleet.
Discovering the charms of gravel and snow and new driving skills in reverse
rally mobile—with Dr. Silverthorn behind the wheel—at this year’s The big White Winter rally.
i quickly learn in my school-issue, manual-shift subaru sTi that, well, i have no clue about gravel (or snow) technique
PHo
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18 just for canadian dentists January/February 2012 January/February 2012 just for canadian dentists 19
winter 2012 + beyond
c eAn internAtionAl guide to CONTINUING dENTAL EdUCATION
singapore / st. john’s / rome / tahit i / phoenix … | c a l e n d a r
Situated geographically, historically and culturally at the crossroads of Southeast Asia, Singapore is a truly fascinating place, a city-state that brings
together many diverse international elements into one relatively tiny space just off the coast of Malaysia. A business-minded island, Singapore has undergone rapid modernization over the past three or four decades, sometimes making it feel a bit like a city from the future, with its outdoor escalators and blinking LED lights and modern, air-conditioned malls. Famously safe— and strict on things like chewing gum and spitting—Singaporians still know how to have some fun. And they definitely know how to eat, with one of the richest food cultures in the world.
Once you arrive, start your adventure on Orchard Road, Singapore’s premiere strip for great shopping and restaurants, home to, among many other things, Ngee Ann City, the island’s largest mall, which houses everything from high-end spots like Chanel and Burberry
to Takashimaya, Singapore’s largest bookstore. From there, take a taxi or the clean, sleek subway to the Marina Bay area. Lined on one side by the glassy, modern eminences of the city’s central business district, this large lagoon is the namesake for Singapore’s largest casino-hotel complex, the striking, enormous Marina Bay Sands, where a long, surfboard-like expanse bridges all three of the complex’s towers and provides amazing views from its observation deck. Or, if you’re in the mood for a ride, head nearby to the famous Singapore Flyer, the largest and tallest observation wheel in the world—at the top of the rotation, you can see as far as away as Indonesia and Malaysia.
But perhaps the best thing about a visit to this city-state is the opportunity to try many different tastes in a short time. Some of these can be found in a formal restaurant setting—Wild Rocket, for example, is a place where many of the influences (Malaysian, Indian, Peranakan, Portuguese) that came across Singapore
during its time as a stop on East-West spice routes are fused together in delicious combinations. But often—for the very best food—you’ve got to get outside.
Southeast Asia is famous for its dazzling array of street food, and in Singapore, large “hawker centres” provide some of the best. Stop by the centrally located Maxwell Food Centre and join the throngs of Singaporian office workers queuing up for popular staples like rojak, ondeh-ondeh, or the biggest favourite of them all, chicken rice. Then wait until the sun dips down into the South China Sea and head to the Raffles Hotel, a landmark property—and birthplace of the Singapore Sling. Sidle up to the Long Bar and order one of these surprisingly potent drinks; and if you have a few too many, book into one of the hotels spacious (and salubrious) signature suites, which celebrate the many famous personalities that have laid their heads here. —Tim Johnson
For more info on Singapore, go to yoursingapore.com.
singapore swing A cacophony of great food and sights, this city-state is all about indulging the senses… (CE events in Singapore are highlighted in blue.)
SiN
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m o t o r i n g [ c o n t i n u e d ]
singaporecone, then demonstrate “lift…turn…brake” and repeat. i find this exercise the most difficult of the day. As a tarmac guy i want to smoothly combine the actions into one. i struggle to slow my brain/body interface down to execute the steps sequentially without running out of time/distance/undergarments.
i’m a little rattled as we move on to the Slalom—a continuous left/right through linearly placed cones. We now add the “arresting the turn” we’ve learned to induce with steering and braking inputs. So each corner is a rapid sequence of lift-turn-brake-snap steering upright and mash throttle. No problem right? i proved hopeless at disco dancing too.
After lunch the goal is to bring everything we’ve been taught together on a short course of five dissimilar corners in the “bone Yard.” Some corners i feel great, others i apply too much brake on entry, or too much throttle on exit. gradually, though, i find my key is trusting that lift-turn-light brake can dramatically rotate the car if corner-entry speeds are high enough. my comprehension of the laws of Physics are re-written—again.
The force is with meit’s mind over fear as i “trust the Force” and resist the natural inclination to think
“holy #@%$!—we’ll never make this corner,” and then ruinously press ever-harder on the brake pedal. Too much braking simply locks the front wheels and the car plows helplessly straight at the corner. Just don’t ask me (or Yoda) how
many times we proved this tenet. our final driving exercise at Dirtfish
is upon us and i’m feeling inadequate. We are at “the link” which is a longer course of ~25 corners. Each student runs the link six times. To my surprise four of these long runs i flat-out nail joyously. Even my two weaker runs have just one semi-dodgy corner each. obi-Wan would be pleased.
Anyone titillated by car control has goT to try non-tarmac rally. A number of such rally schools dot our border with the US. my wife had a blast too, and knocked down no cones, as she haughtily points out. This bodes well for dirt fish and snow snakes consuming more of our time and the future grandchildren’s inheritance.
it’s mind over fear as i “trust the force” and resist
the natural inclination to think “holy #@%$!—we’ll never make this corner”
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January/February 2012 just for canadian dentists 21
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d r i l l m e ! k r i s t i n n i c k e l l s
T he prospect of NSF cheques and handling large amounts of cash has become less of an issue in the
dental office over the past decade with increased use of debit/credit card point-of-sale machines. That is the good news. The bad news is that the cash-part of the equation still matters and less attention than ever is being paid to how cash is managed in a dental practice.
Cash is your practice’s Achilles’ heel. if you remember your greek mythology, Achilles died from an arrow to the heel, the one spot that wasn’t protected from immortality. The dictionary defines “Achilles heel” as a deadly weakness in spite of overall strength, which can lead to a downfall. Consider this; cash generally constitutes (on average) about 2 – 4% of the total collections of a dental practice. That doesn’t seem like much, does it? Think again. A practice which collects $400,000 annually, takes in about $8,000 to $16,000 in cash over the course of a year. if your practice grosses $1,000,000.00, approximately $20 – 40,000 in cash crosses your front desk every year. No small potatoes. And yet, so often i see very little concern being paid over how cash is handled. That’s a great big Achilles heel.
What happens to the cash in your practice? Do you know when cash has been received? How do you know if it has been deposited? The usual response i get when i ask these questions in my presentations is a room full of blank stares. most dentists tell me that they trust their receptionists and don’t have to worry. my answer is that trust is a very good thing. most receptionists and bookkeepers want to be trusted. However, they want to be trusted, not by blind faith, but by knowing that there is a good system in place that protects their integrity. Trusting by blind faith,
without knowing for certain that things are being done properly with a system to prove it, falls into the category of what i call “abdication rather than delegation.” Abdication is handing work over and
washing one’s hands of the matter; delegation includes knowledge of the work, follow up and accountability.
Well then, you ask, how should i, as a practice owner ensure that my cash is being
managed responsibly? Fortunately the answer is simple, easy and effective! The biggest and most costly mistake i see is lack of reconciliation at the end of the day. many practices deposit cheques and cash in random batches as they accumulate without any correlation to the billing-software reports. Some practices deposit the cheques, and put the cash in a drawer. How much cash? Who knows? is there some missing? Who knows? The way to ensure that you know where your cash is, is to put it in the bank. Every single day, a deposit should be made that exactly correlates with the collections reports from your billing software! The only cash that may get retained is coin, if your deposits are done through an ATm. And even that should be part of a daily reconciliation to show how much coin was retained.
Theft is often an opportunistic occurrence and like water, takes the path of least resistance. You may have the most honest employees in the universe; but need, financial pressure, resentment or notions of entitlement can sometimes convince the most honest employee to “borrow” cash—especially if it is available and unaccounted for. While it is true that there are ways a very clever and determined dishonest employee can steal from you by manipulating the billing entries, it is a much harder and premeditated exercise. by reconciling your collections every day, you are at least shutting the barn door and eliminating the easy loss. As well, by tightening up a
cash itQUESTioN: Who’s watching my cash?
Kristin Nickells is a business coach who has worked with dentists for over 25 years teaching business skills and helping them to learn to manage their businesses. She writes, blogs and speaks as a keynote speaker to dental groups on business and leadership issues.
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If you want to maximize the sales pro-ceeds from your dental practice, there are a number of steps you need to imple-
ment starting well in advance of the actual sale date.
1. OBTAIN TAx AdVICE (three years prior to sale) Every dentist strives to sell the shares of the dental corporation, instead of the dental assets in order to access the life-time capital gains exemption. The $750,000 capital gains exemption is worth $164,000 in personal tax savings in bC. The exemption is available to each individual shareholder, including each beneficiary of a family trust. To be eligible for the exemption you must meet these three criteria:
1. At the time of sale, 90% of the fair market value of the corporate assets must be used in the dental practice. The eligible dental assets include working capital (cash and accounts receivable), equip-ment, leaseholds and goodwill.
2. During the 24 months period prior to the sale, the fair market value of the dental assets must exceed the value of the non-dental, or investment assets. This often requires a reorganization, at least two years prior to the sale, to move the non-dental assets from the dental corporation to a holding company. This “purification” process can be structured without tax consequences.
3. The shares of the dental corporation must be held by the individual for at least two years. However, there is an exemp-tion for an unincorporated dentist who can transfer the dental assets on a tax-free basis to a newly formed corporation, and then sell the shares immediately.
in planning for the tax-free sale of your dental practice, you need to discuss the contemplat-ed sale with your accountant at least three years prior to the sale.
2. KEEp Up YOUR pROdUCTION (three years prior to sale) Nothing will decrease the practice value more than a trend of declining office billings. When the future profitability of the practice is being questioned, most prospective purchasers will
look elsewhere or ask for a deep discount to compensate for the increased risk. The No. 1 advice of transition experts is: Don’t slow down, and do not work fewer days.
3. REVIEW ThE FACILITY LEAsE (one year prior to sale) The ideal lease arrangement is for the purchaser to assume a 15 – 20 year lease term including lease re-newals. if your lease is less than 15 years, ob-tain the consent of the landlord for additional renewal periods. many leases have demoli-tion clauses, which is a potential deal-breaker. Typically the landlord will not remove such a clause, but you can often get a commitment that the building will not be demolished for a specified number of years.
4. UpGRAdE YOUR OFFICE (less than one year prior) Do not make any large capital expenditures such as dental chairs, cabinetry, computer equipment, unless absolutely necessary. it is unlikely that the purchaser will reimburse you fully for the capital cost.
on the basis of that “you will never get a second chance to make a good first impres-sion,” you should enhance the curb appeal of the practice, including recovering chairs, new carpets, fresh paint, landscaping etc.
5. sTICK TO BAsIC dENTIsTRY Established family practices fetch the high-est price, because they are the lowest risk and patients are easily transitioned to the new dentist. A predominantly cosmetic and implant practice is worth less, because of the personal goodwill and specific training of the vendor, which cannot easily be trans-ferred to the purchaser. it is tough to grow a “high-end” practice in the current economic climate when many patients are feeling the pinch.
6. hAVE A sTRONG TEAM Dedicated and experienced staff is the key asset in the eyes of the purchaser. The key staff mem-bers who helped you create the practice goodwill will transfer the goodwill to the new dentist. To have a strong team, you need to remove these employees who are not peak performers. Strengthen your team by clearly communicating your vision so that you
keep them motivated to support you in the practice transition.
7. dOCUMENT pROCEdUREs ANd sYsTEMs Are your systems well docu-mented? Does every staff member know what to do, and how to do it? Put together some how-to guides, such as the front-desk procedures for billings and collections, and hygiene appointment and recall procedures. You should have a job description for each position. There always is the chance that an employee may leave when the new dentist takes over, and the well-documented systems will help to get a new employee up to speed quickly, so that the new dentist can focus on the transition.
thinking of selling?How you can increase the value of your practice
Manfred Purtzki is the principal of Purtzki & Associates Chartered Accountants. You can reach him at [email protected].
t h e W e A lt h y d e n t i s t m A n F r e d P u r t z k i
loosey-goosey system of accounting for cash, you are eliminating the discomfort that every employee that has to handle cash in those circumstances can feel, knowing that if some goes missing, they could be suspected. Putting your employees in that position is not respectful to them nor is it the way a responsible business owner operates.
Follow these steps for responsible accounting for your cash:
1. Print out a collections summary from your billing-software at the end of each day, showing the collections breakdown of cheques, debit, visa, masterCard, Amex and cash taken in.
2. Deposit all cheques and cash shown on that form (with the possible exception of coin) as a single deposit.
3. Create a reconciliation form showing total collections, total deposit, point-of-sale deposit submitted and total coin retained. The difference between collections and deposits/coin should be zero. Attach a copy of the deposit plus the batch printout from the point-of-sale submission to your form.
This simple, easy exercise will go a long way to ensuring that your cash is protected and your honest employees are exonerated from guilt, and it demonstrates your ability to manage your business responsibly.
have a question?
DrIll Me!
We’re looking for your questions—on everything from real estate to implants. Send us your queries and we’ll ask an expert to answer them in this “drill me!” column. What topic do you want covered in the next issue? Want to know if you should add Botox to your services? Or how to rent a villa in Europe? Ask us and we’ll find the answer. Send your questions to [email protected]. Come on, drill me!
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30 just for canadian dentists January/February 2012 January/February 2012 just for canadian dentists 31
P r A c t i c e m A n A g e m e n t t i m o t h y A . B r o W n
D entists often say this to me when they are thinking of selling their practice: “When i leave this
practice, many of my patients will not stay with the new dentist.”
And dentists who are thinking of buying a practice say this: “When i purchase this practice i will lose a large percentage of the patients.”
both of these statements have been proven to be totally incorrect.
Each time we arrange for the sale of a dental practice we patiently listen to dentists trying to convince us that these statements will come true. Patient retention, and how it will impact a dental practice after the closing date, is a legitimate concern. but i’ll attempt to explain why it’s not a meaningful issue in the sale of a practice.
Dentists who are selling believe that many of their patients will seek treatment elsewhere and they do not want to see a buyer fail due to substantial patient loss.
Dentists who are buying believe that patients will leave as a result of the change and that they’ll encounter financial difficulties. This is an issue upon which a great deal of emotion can be spent for little reason.
To understand the issue better it’s wise to consider why a patient visits a particular dental practice. Why do they return for treatment time and time again? What are they most likely to decide if their dentist retires? Why do so many patients choose to stay with a practice after “their” dentist has departed?
i believe there are 5 main reasons.
1. The first is the dentist. Patients form a bond with their dentists and they trust them. it is precisely this trust that causes them to return to the practice when you leave. Simply put, your patients follow your advice. Provided you send out a letter of introduction that encourages them to see the new dentist, their trust in you probably means they’ll follow your advice.
This first reason is the most powerful of all. if i trust my dentist, and she/he suggests that i stay with the new dentist, it’s very likely i will.
2. Another reason that patients go to a particular practice is the staff. They have formed a relationship with the receptionists, assistants and hygienists at the practice. With all due respect to
patients’ original dentist, if he/she were to sell the practice, patients would go back to that practice in part for the friendship they’ve developed with the staff. Patients recognize a staff member’s name
when someone calls to remind them of an appointment, the staff knows where and when to call them and they look forward to seeing staff members each visit.
3. Patients also go to the practice because of its location. Patients shop in the area. Their homes and offices are nearby. if the owner were to sell they would stay with the office because of the convenient location. As well, patients are already familiar with parking, décor and even the equipment, and it’s been proven that patients do not like a foreign environment when it comes to dental offices.
4. Another reason patients go to the same practice is the policies. They know exactly what to expect in terms of the fees, how they can pay and what their obligations are if they must cancel or change an appointment. Patients like knowing the policies before attending the dental office.
5. The final reason patients go back, even if their dentist has sold her practice, is that they’re creatures of habit (like we all are) and do not like change. most people will have to change dentists once or twice in their life whether they want to or not, but don’t want to unless it’s absolutely necessary. Changing dentists is a totally
new experience and it involves filling out new medical forms, meeting new faces, finding an office where one feels comfortable and generally accepting a lot of new information.
if these are the five main reasons that keep all patients coming back to a dental office, and only one of them changes—the dentist, for example—four out of the five reasons to attend will still exist. Hence, the majority of patients return when the previous dentist is gone. Even in the event of sudden death or disability, patient retention is very high.
We have documented patient retention in hundreds of transactions. it’s been proven in surveys completed by purchasers that 85 – 95% of the patients stay after a sale.
There have been exceptions. Patient loss is experienced when the new owner makes too many changes too quickly and accidentally frightens patients away. While studying these cases, i found a common denominator. The primary reason patients left was that drastic alterations were made to the practice policies and staff. Patients do not always appreciate the modernization of “their” dental office. They’ve been part of the practice longer than the “new” dentist has and have set expectations.
buyers often neglect the human element and forget that people resist change. And my surveys reveal another surprising truth: namely, the previous dentist does not need to stay for a “transition” period to ensure patient retention. buyers suggest this is a highly overrated belief and state they managed the practice on their own much sooner than they expected in most instances.
Today, in most of the transactions we arrange, the previous owner leaves immediately upon closing. The “transition” plan is a well-thought-out letter of introduction, a “retirement reception” (wine and cheese) for the previous owner and some other minor planning. it’s an easy exit strategy that allows for a clean break and no conflicting issues for staff and patients.
because, with patient retention very high in most dental practice sales, and if one of the five reasons for patient loyalty changed (the dentist, for example), most patients would simply not abandon their comfort zone and change dental offices.
Why do patients return to a practice after the owner retires?
patient loyalty
Timothy A. Brown specializes in dental practice appraisals, brokerage, consulting, locum placements, associateships and practice financing
across Canada. You can reach Timothy at [email protected].
There is no argument that a picture is worth a thousand words. Now, for less than $5, dentists can have enough
photographs at their fingertips to be able to explain most common dental procedures to patients.
“The Dental Consult application is designed for dentists to use chairside with patients to explain common dental procedures,” says co-inventor Dr. lorne levy who, along with Dr. knowlton kotansky, developed the application. “it’s for the iPad only for now. it was developed by us for the purpose of being used by dentists, not designed for the public.”
At a cost of $4.99, the application is a bargain. Just buy it through iTunes Canada and dentists have a tool that can become their best ally when talking to patients about necessary treatment.
Dentists know exactly how to do these procedures, of course, but the photos aren’t for them. it is essential for many patients to fully understand a procedure and how it will involve their own mouths before they can commit to treatment.
“These are real live shots, not animations,” says levy. “The photographs create a discussion with the patient. The iPad is portable and is brought chairside. it’s an excellent educational tool to explain what the patient will receive. The patient who understands often does the treatment. The whole idea is for the patient to do the treatment. if they don’t understand, they might be reluctant to spend the money. if they have no clue, they’re unlikely to commit.”
DCA’s home screen offers dentists a choice between nine icons or buckets, which represent nine separate procedures and when clicked on, open to the photographic examples which allow the patient to see the process so they can understand the benefit they will receive, including seeing the end result.
“before, there were animated or 2D pictures on cardboard, and the dentist would point to it. There’s something about a real picture that’s clearly better than animated. The photographs show that other
patients clearly do these treatments. The patient, if they understand and know what they will receive and the perceived benefit, will commit to treatment,” says levy.
The photographs are sensitive; there are no surgical images, no blood and guts, says levy. instead, the photos show prepared teeth in clear and vivid images. The nine categories are acid erosion and hypersensitivity, and dentures, both of which are sponsored by glaxoSmithkline, and bridges, crowns, implants, whitening, filings, veneers and acid erosion.
The idea for DCA sprung from the friendship between the levy and the kotansky families. levy had been cataloguing images he had been photographing in his own practice for some 15 years. in march 2009, while the friends were out for dinner, they discussed the pending introduction of the iPad when kotansky said, let’s make an app for dentistry with photos.
“We always knew it would be a useful tool but we were two guys who didn’t know anything about anything to do with applications,” says levy. “We contracted out the computer work. it was a hell of a lot of work and time. We had to rely on the person to produce what we wanted to achieve and what suited Apple’s criteria. it was a 140-page manual of criteria for Apple to accept. The list is endless.”
DCA was ready for market by September that year. The developer-dentists originally thought the application would sell for around $100 but that meant only a limited group of people would buy it, so they decided to investigate a corporate sponsorship.
“We only wanted to go after those we believed in in dentistry. glaxoSmithkline—knowlton had a history with them. He was the first dentist to run in those commercials for Sensodyne. He had a relationship with the marketing director. We were in the right place at the right time,” he says, and the app
was introduced in January 2011.it didn’t hurt that all gSk marketing reps
each had one of the new iPads and were already looking for a dental application. levy says gSk loved the kind of application he and kotansky had developed.
“They agreed to sponsor two buckets so dentists would see their product line. Their content was included through sponsorship. They wanted the application available to
every dentist at a nominal amount so we couldn’t charge more than $5. We then negotiated a back-end fee—a lump sum and a residual download fee in addition to the $5. Apple takes 30%,” says levy.
There are several dental applications out there, says levy, but few are just for dentists only. The pair is looking at getting approval for an American application to reach that market and is working on a few non-dental applications in their spare time.
The new Dental Consult App lets dentists explain common procedures chairside
there’s an app for that
Corey Van’t Haaff is Just For Canadian Dentists’ technology columnist and the owner of Cohiba Communications. She can be reached at [email protected] and welcomes ideas for future columns.
t e c h W o r k s c o r e y v A n ’ t h A A F F
why do patients return for treatment time and time again?
32 just for canadian dentists January/February 2012 January/February 2012 just for canadian dentists 33
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Cape hornfrom here
the next stop
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cruise >> itinerary a four-day trip from Punta arenas, Chile, to Ushuaia, argentina, that sails along the Strait of Magellan into the tierra del Fuego region. Highlights include sailing the Beagle Channel along Glacier alley, getting up close to Pia Glacier and a weather-permitting stop at Cape Horn national Park. Daily excursions include zodiac tours off the ship for hikes into the national parks. >> SHiP the Stella australis is Cruceros australis’ newest cruise ship, built in 2010. With 100 cabins, it holds up to 210 passengers and includes a gym (if you must). all meals/drinks and alcohol included. australis.com
Pre/Post tour >> CHile On the shores of the Magellan Strait, Punta arenas is Chile’s southernmost city, a four-hour trip by air from Santiago. Must-see attractions nearby include the historic Bulnes Fort and los Pingüinos natural Monument, where thousands of penguins are located. Have more time? add a few days and delve further into Patagonia in torres Del Paine national Park and Biosphere reserve. chile.travel/en >> arGentina Ushuaia is the southernmost city in argentina. Founded in 1884, it’s home to one of the first encounters between the aboriginal yamana and Christian cultures. its name comes from the yamana word for “Penetrating Bay.” located on the argentine side of tierra del Fuego, Ushuaia sits on the shores of the Beagle Channel. extend your stay pre- or post-cruise to visit the Museo del Fin del Mundo, tierra del Fuego national Park and Glaciar Martial. argentina.travel/en
Wind. You feel it in your teeth. it’s relentless, as if working it’s way through enamel and into your core. Water pounds the jagged shoreline—boom, boom, boom—cascading rocks with a constant spray. The waters—where the Atlantic and the Pacific seem to collide—roil, reducing our solid ship to a bobbing tub toy. Just off starboard, the southern tip of isla Hornos looms over the dark, angry water like a protuberance that is manifest desolation.
This is Cabo de Hornos or Cape Horn, and it feels like the very ends of the earth. only another 500 miles south is The White Continent. With Antarctica so close, the chill seems apropros. it’s cold, but it’s also spine-tingling with a good dose of danger—think monster winds, hefty waves, beefy currents, rogue icebergs. After all, some 800 vessels have been lost here. The Horn has certainly earned its reputation of defying mankind.
With the Panama Canal’s opening in 1914, sailing through the Drake Passage and rounding this mythic jut of rock has become more about bragging rights than necessity. it’s still a must-do for hardcore sailors, a trophy tour of frenetic freezing waters for the right to proclaim, “i sailed around Cape Horn.”
With that prize in mind, the easy way to brave the Horn is aboard a Cruceros Australis ship. Channel your inner sailor and see how long you last outdoors (then escape to the warmth inside and congratulate your crossing with a flute of bubbly or a more fortifying scotch). on deck, the crew hoists a pirate-like flag and serves grog (hot rum with lemon and honey) to induce the proper spirit. it works…even in the comfort of a new 210-passenger high-tech cruise ship, it manages to feel like we’re sailing headlong into hazardous waters—in a good, life-affirming way.
And if those waters are not too roiling, the ship anchors off of the Horn and the hearty crew takes passengers ashore on Zodiacs. landing isn’t easy here, with waves crashing onto a tiny, rocky strip of beach at the base of towering cliffs. if you make it to shore, there’s a twisty set of stairs to climb to the top of this barren island where you’ll find a semblance of civilization.
one young family lives here, an officer of the Chilean Navy, his wife and young son. The post is a year long, and an exercise in patience. Asked what’s the best and worst thing about being stationed here, the answer is the same: the wind. What at first was overbearing, the family has grown to love. When gale-force winds get going (winds here have been recorded at 220km/hour), they bundle up and go outside to simply stand in this elemental force.
it’s the ultimate adrenaline rush—bracing and stirring. Despite the desolation, life is somehow magnified here. Even at 56 degrees south, the southernmost spot in South America. in spring (our fall), bits of chartreuse emerge amidst burnished grasses (every shade of bronze, copper, gold) alongside the boardwalk that stretches across the island.
Walking on this raised path, over the sea of undulating grass that’s never still in the wind, is ethereal in the morning light. Everything is reduced to basic senses, and all those senses are engaged. You can feel, see, hear, smell, even taste the wind.
beyond this, sailing back into the folds of South America, the ship navigates two other storied passages: the magellan Strait and the beagle Channel, one named for the 16th-century Portuguese explorer, Ferdinand magellan, and the other for the ship that carried Charles Darwin through these waters in the 1800s.
this page from top Signpost showing directions and distances
to international destinations like Vukovar, Croatia, from Punta
Arenas, Chile (13,877km). > Huge colonies of seabirds thrive in the
desolate landscape of the Magellan Strait near Cape Horn. > Chapel on
Isla Hornos, Cape Horn National Park, Chile. opposite page, clockwise from top Bright penguins are easily spotted amidst the burnished gold
grasses that cover rocky shores throughout Tierra del Fuego. > The
Stella Australis pirate flag comes out when sailing around Cape
Horn. > Contemplative viewing of Patagonian peaks after rounding Cape Horn. > Pointing out Cabo
de Hornos, the southernmost point of South America, and last stop before Antarctica. > Vibrant
chartreuse flora growing on windswept Isla Hornos. > A post-
hike scotch-on-the-rocks at the base of Pia Glacier.
The ship sails through the narrow waterways and fjords, past the icy blues and spiky shapes of glacier after glacier after glacier. it’s hard to keep up, especially in glacier Alley, scrambling on deck to glimpse each one—just as Darwin did in 1833, writing in his notebook “many glaciers beryl blue most beautiful contrasted with snow.” And, of course, battling more wind…
All around is the never-ending scenery. Empty-and-eerie pampas where humanity is obsolete. mountains that go on and on, each peak more dramatic than the last. And wildlife that astounds by the simple fact that it exists here in this desolate landscape. Somehow colonies of penguins, giant petrels, albatrosses and elephant seals thrive here, oblivious to the wind.
And, by the time we disembark, the wind has left an indelible mark on at least one passenger, its absence now a void.
36 just for canadian dentists January/February 2012 January/February 2012 just for canadian dentists 37
the hungry dentist dr. holly Fong
Dr
. Ho
llY
FoN
g
Dr. Holly Fong is a practising speech-language pathologist with three young children who is always trying, adapting and creating dishes.
M y book club recently switched it up and met for dessert rather than our usual appetizers and
wine. Now, pairing desserts with wine is not all that difficult if one follows the rule that the wine should be sweeter than the dessert. otherwise the wine will taste acidic and dull. And since i had several bottles of ice wine, i decided to pair them with something tasty but light as i was chocolated-out over the Christmas holidays. my dessert had to be portable, so something easily assembled at my destination seemed like a good idea.
i settled on making a pear “napoleon.” The night before, i softened some pears in juice and made some phyllo rectangles.
(Try to use Comice pears; they’re especially fragrant and intensely flavoured.) The next night, the napoleons were made by sandwiching the fruit between two pieces of phyllo, adding a scoop of ginger ice cream and drizzling some of the fruit juices over the two.
For the wine, i found that the okanagan Estate Jackson-Triggs Proprietors’ reserve riesling ice wine enhanced the pear and ginger of the dessert. The wine’s acidity and honeyed flavours paired well with the ice
cream. on the palate the wine had some peach, pear and ginger undertones with well balanced acidity making it a delicious sipping wine on its own. Yum!
sweet treatA pear dessert that pairs great with sweet ice wine
8 just ripe or slightly under ripe pears2 ½ cups bottled pear juice 1 ½ tablespoons sugar
1 package of phyllo dough, thawed1 stick (½ cup) unsalted butter, melted and kept slightly warm1/3 cup sugar
¼ cup raw unsalted pistachios½ tablespoon sugar½ teaspoon salt
1 pint of ginger-flavoured ice cream
Pear NaPoleoN wIth GINGer ICe CreaM (sERVEs 8)
Peel and core the pears. Cut into ½-inch slices and put in a saucepan with 1 ½ tablespoons sugar. Cover the pears with the juice and bring to a simmer over medium heat. Cook for 2 – 3 minutes until the fruit just begins to soften. Remove with a slotted spoon and set aside to cool. Reduce the remaining juice to half the amount, stirring occasionally to keep it from burning (about 10 minutes). Reserve the syrupy sauce.
Preheat the oven to 400F, setting a rack in the middle of the oven.
Grind pistachios so that some small chunks remain (not into a fine powder). Set aside.
Cut 2 pieces of parchment paper to fit the bottom of a large cookie sheet. If the phyllo dough is larger than the sheet, cut so that it just leaves a small border within pan. Cover the dough with a clean damp towel.
Place 1 sheet of parchment paper on the cookie sheet and lightly brush with melted butter. Lay a sheet of phyllo over the paper and lightly brush with melted butter. Sprinkle a teaspoon of sugar over the top. Continue layering phyllo like this until you have a stack of 10 sheets. Using a ruler and a sharp knife, divide the dough into half lengthwise. Then divide the 2 half
sheets into 4 equal rectangles. Slightly separate the stacks so that they don’t touch one another. These will be the bottom layer of the napoleon. Bake until golden brown, approximately 10 – 13 minutes. Transfer to a rack to cool.
Repeat the above process to create another stack of 6 uncut sheets. Sprinkle a teaspoon of sugar and ground pistachios over top. Divide the stack into 8 pieces as before to create the top layer of the napoleon. Bake until golden brown, approximately 10 – 12 minutes. Set aside to cool. (If making overnight, let all the rectangles cool and place in an airtight container.)
Add ½ tablespoon sugar and ½ teaspoon salt to the remaining pistachios. Spread onto a baking sheet. Roast in the oven for approximately 4 – 5 minutes until the sugar has melted, coating the nuts. Let cool.
To assemble, place a bottom piece of phyllo on a plate. Spread some pears to cover. Top with a pistachio-encrusted piece. Add a scoop of ginger ice cream to the side. Sprinkle some of the candied pistachio over the ice cream. Drizzle the napoleon and the ice cream with some of the pear sauce. Enjoy.
PPB
Enterprises Inc.
t h e t h i r s t y d e n t i s t d r . n e i l P o l l o c k
bubbly beautyChampagne—what other drink do you really need?
Dr. Neil Pollock is a member of the Wine Writers’ Circle of Canada; visit his website on wine at vinovancouver.com
or send feedback to [email protected].
lighter the style, the more red in the blend, the fuller the style.
Champagne is always served cold; its ideal drinking temperature is 7 to 9°C. ideally the bottle is chilled in a bucket of ice and water before opening. Champagne is served in a glass flute with a long stem, tall-and-narrow bowl, thin sides and an etched bottom. Hold the flute by the stem or base as opposed to the bowl, and refrain from overzealous clinking to preserve the taste. Don’t over fill; a flute should be only two-thirds full.
The classic act of shaking the bottle, popping the cork, and letting the wine spray is common in celebration. And fun—but one should open the bottle at a 45-degree angle and ease the cork out with a whisper rather than a pop. This may not change the taste, but does the volume left in the bottle…
The famous quote “in victory you deserve it, in defeat you need it,” believed to be said by Napoleon, expresses the world’s attitude towards champagne; it’s been the wine of both success and consolation for the past two centuries. if you didn’t manage to punctuate your New Year’s celebration with a great bottle of champagne, create another opportunity to enjoy one. my wife and i shared a bottle of moet & Chandon over lunch in Paris at a low-key brasserie. it was early afternoon, and after a tasty buffalo-mozzarella-and-tomato salad we washed down a beautiful salmon fillet stuffed in a large cappelletti with the wonderful champagne. it was the perfect prelude to visiting the musée d’orsay, where the impressionists’ work had never seemed more alive.
Iagree with the good Dom, i love my champagne. You can serve it to jump-start a morning celebration (and
invigorate your oJ). or treat yourself to a special lunch memorialized by an icy cold bottle of bubbly. For dinner, it helps celebrate
life’s milestones with family and friends. it’s also the worldwide ambassador for ushering in the New Year. No drink has the diversity and presence of champagne.
True champagne is exclusive to the Champagne region in northeastern France, 145 kilometres northeast of Paris and centred on a small range of hills rising from a chalk plain carved in two by the river marne. Almost three quarters of the vineyards in Champagne lie in this marne region.
Wines from here have been valued for nearly a millennium, and classical sparkling Champagne since about 1700.
The three dominant types of grapes in the Champagne region are Pinot Noir, Pinot meunier and Chardonnay. black Pinot Noir and Pinot meunier give the wine its length and backbone. Chardonnay gives the wine its acidity and biscuit flavour.
most champagnes are made from a
blend of Chardonnay and Pinot Noir (for example, 60% / 40%). blanc de blanc (white of white) champagnes are made from 100% Chardonnay.
There are three types of champagne: non-vintage or multiple-vintage
champagne that’s a blend of two or more harvests; champagne made from a single vintage; and “prestige” cuvée from a single vintage with longer aging requirements.
in addition to longer aging in the bottle, prestige cuvée champagne must meet other requirements. it must be made from the first pressing of the grapes, and from the best grapes of the highest-rated village. Prestige cuvée is made in a vintage year in small quantities with high demand; price is
dictated largely by supply and demand.
The original prestige cuvée was moet & Chandon’s Dom Perignon, launched in 1936 with the 1921 vintage. Until then, Champagne houses produced different cuvées of varying quality, but a top-of-the-range wine produced to the highest standards (and priced accordingly) was a new idea. in fact, louis roederer had been producing Cristal since 1876, but this was strictly for the private consumption of the russian tsar. Cristal was made publicly available with
the 1945 vintage. Then came Taittinger’s Comtes de Champagne with the first vintage of 1952.
A few of my favourites would be the medium styles of Charles Heidsieck and Pol roger. For fuller, richer champagne i prefer veuve Cliquot. The more white grapes in the blend, the
bubbly 101 The traditional méthode champenoise is used in the production of champagne. After primary fermentation and bottling, a second alcoholic fermentation occurs in the bottle (induced by adding several grams of yeast and rock sugar). According to the Appellation d’Origine Contrôlée a minimum of 1½ years is required to develop the most exceptional flavour. During this time the champagne bottle is sealed with a crown cap similar to that used on beer bottles.
After aging the bottle is manipulated in a process called remuage (riddling in English), so that the lees (residual yeast) settle in the neck of the bottle. The bottles are chilled, the neck is frozen and the cap removed. Pressure in the bottle forces out the ice containing the lees, and the bottle is quickly corked to maintain the carbon dioxide. Syrup is added to maintain the level within the bottle.
The amount of sugar added after the second fermentation and aging varies and dictates the sweetness level of the champagne. >> Brut Natural (less than 3 grams of sugar per litre) >> Extra Brut (less than 6 grams of sugar per litre) >> Brut (less than 15 grams of sugar per litre) >> Extra Sec or Extra Dry (12 to 20 grams of sugar per litre) >> Sec (17 to 35 grams of sugar per litre) >> Demi-Sec (33 to 50 grams of sugar per litre) >> Doux (more than 50 grams of sugar per litre)
“I am tasting the stars!” —dom perignon, upon discovering champagne
Pear napoleon
and ginger ice cream: A sweet treat
to pair with Okanagan Estate Jackson-
Triggs Proprietors' Reserve Riesling
ice wine.
My name: Derek mJ Turner
I live and practise in: ottawa, oN
My training: bSc Anatomy and Physiology U of ottawa ‘68, DDS U of Toronto ‘72
Why I was drawn to dentistry: it had to be marine bio, medicine, dentistry or veterinary
med…my bSc demanded that…i was a dummy hand in a game of bridge when a U of o classmate offered me an extra application for U of T Dentistry…i filled it out.
My last trip: Alaska and bC
The most exotic place I’ve travelled: To Antarctica on an 11-man yacht
The best souvenir I’ve brought back from a trip: A stone from the summit of mount Sinai
A favourite place that I keep returning to: Sundance ranch and resort in Utah
My ultimate dream vacation: A South Pacific cruise (regent Cruise lines)
with my wife and our best dozen friends/family
If I could travel to any time, I’d go to: The future in a 100 years
My favourite book: The Pillars of the Earth
My favourite film: Lawrence of Arabia
My must-see TV show: Boardwalk Empire
My favourite song: The Air That I Breathe by The Hollies
My first job: Farm hand on a dairy farm…i was 14 years old
The gadget or gear I could not do without: The hex wrench in my bicycle flat pack
My favourite room at home: The kitchen when i get home and my wife is preparing dinner
My car: 2009 Porsche 911 Targa 4S
My last purchase: This afternoon…A car seat for my 22-month-old grandson
My last splurge: A bottle of vosne-romanée ’05 grand Cru
My most-frequented store: The wine store
My closet has too many: of my wife’s clothes
My fridge is always stocked with: Fresh filtered water, wine and an assortment of nuts, seeds and berries
My medicine cabinet is always stocked with: Advil
My guilty pleasure is: Tawny port and Stilton cheese
My favourite exercise/sports activity: Cycling on road bikes
My favourite sport to watch: live hockey played by kids
My celebrity crush: Catherine Zeta Jones
I’d want this if i was stranded on a desert island: Catherine Zeta Jones
My secret to relaxing and relieving tension: Exercise and Pinot Noir
A talent I wish I had: Tap dancing
My scariest moment: i got lost in germany when i was eight years old
My fondest memory: one particular dinner party at our home in the 80s with great friends, food, wine and hilarious laughter
A big challenge I’ve faced: Succeeding in a private business outside of dental practice
One thing I’d change about myself: my nose
The word that best describes me: old
I’m inspired by: People who never give up
My biggest ego boost: When my wife calls me “handsome”
My biggest ego blow: my golf game
I’m happiest when: Surrounded by friends
My greatest fear is: losing my health
My motto is: The harder i work, the luckier i get
A cause close to my heart: The comfort and happiness of my family
Something I haven’t done yet that’s on my must-do list: visit Ecuador and Peru and their wonders
If I wasn’t a dentist I’d be: Unhappy
sm
Al
l t
Al
k d e n t i s t s s h a r e t h e i r p i c k s , p a n s , p l e a s u r e s a n d f e a r s
A true bon vivant, Dr. Derek Turner is always smiling, quick-witted, generous and ready to entertain. He’s also a risk-taking entrepreneur and accomplished athlete (having cycled up Mont Ventoux, for one) who knows (and enjoys) his wine. A seasoned traveller, he knows how to make the most of life: “My 40th reunion is coming up at U of T Dentistry. There will be the usual 50% of the class that have shown up for continuing education meetings and past reunions. There will be a list of those who have passed, those who have retired, those who are burned out, those who have divorced and separated, those who are unhealthy and those who are happy, healthy and still enjoying their profession. I hope there are a lot of classmates in the latter group with me.”
Co
UrT
ESY
Dr
. DEr
Ek T
UrN
Er
38 just for canadian dentists January/February 2012
clockwise from top left Dr. Turner (left) and his
extended family in Mexico; dancing the Texas two-step
with his wife Elaine; the couple skiing in Courcheval,
France; at the Hubbard Glacier, Alaska; and
competing in the triathlon in Ottawa last year.
The University of Western Ontario
LEGENDARY RHINE & MOSELLEAmsterdam to Basel in 13 DaysJune 19 to July 1, 2012Travel through—France, Switzerland, Germany, Luxembourg, and the Netherlands on the regal River Queen. And along the way, savour the excellent wines and distinctive local cuisine, sampling the best these regions have to offer!
• Allmealsonboard,pluscomplimentaryfineEuropeanwines,choiceofbeer,andsoftdrinks
• 12shoreexcursionswithuseofbicycles
Prices from $4,800-$6,300 + air travel Optional Presentation by: RITA BAUER, Digital Education Media Specialist, University of Toronto: Capture the Perfect Smile! - $495
For More Info Contact: Cruiseshipcenters, Jim Ferguson or Stephanie Groat at 519-850-7766 or 1-800-324-9024
BERMUDA SHORTS 2012 Dental SymposiumThursday & Friday, November 1 & 2, 2012
Bermuda, Fairmont Southampton Princess Dentists $495, Hygienists/RN $395, Auxiliary $295
CATHIA BERGERON, DMD, M.S. Clinical Associate Professor Operative Dentistry, The University of Iowa, College of DentistryDirect Composite Restorations: A Predictable Approach for Consistent Results
Register onlinewww.schulich.uwo.ca/dentistry/cde or call 1-888-281-1428
Experience the Western Difference!