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Supporting Your Practice

View from the Chairside: Holy “Bleep” or the Anatomy of a Misadventure

Look for the password to watch the presentation in the Dec 20th CDA Oasis Bulletin or email us at oasisdiscussions@cda-adc.ca to receive the password.   I was approached by Chiraz from CDA Oasis to present a case requiring extensive treatment to correct dental problems that resulted from clinical mismanagement by a previous clinician. In this post, it is not my intention to disparage any one individual, but to emphasize a Philosophy of Treatment that should not be obscured by the new technical wizardry and materials that are nowadays available to dentists. The main messages of this case presentation evolve around ...

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Practice-Based Clinical Research in Canadian Dental Practices: Dr. Edsard van Steenbergen

Dr. Edsard van Steenbergen speaks with Dr. Chiraz Guessaier about his practice-based orthodontic research which focused on biomechanics. His research results are currently published in the Angle Orthodontist and in the American Journal of Orthodontics and Dentofacial Orthopedics. Dr. van Steenbergen designed his research study with the help of two professors at the University of Connecticut and the University of Amsterdam. The actual data gathering and analysis took 4 years, followed by another 4 years of work for the publication, writing and defending the thesis. The investigation was carried out within his own clinical practice with a goal of examining ...

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Does over-the-counter mouthwash put you at risk of pre-diabetes/diabetes?

It was interesting to read an article and question a routine habit such as using mouthwash twice daily. My interview with Dr. Kaumudi Joshipura pushes us to think about oral health products that have become essential to maintain good oral health, but which have not thoroughly been tested through rigorous research. For the benefit of our Canadian dentists, we at CDA Oasis thought it important to bring you this piece and let you know that this type of research is underway.  The statement made in the article was challenged by the American Diabetes Association and we are in the process ...

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Which Medications Induce Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea? A Systematic Review

Highlights Medication-induced salivary gland dysfunction (MISGD), xerostomia (sensation of oral dryness), and subjective sialorrhea cause significant morbidity and impair quality of life. However, no evidence-based lists of the medications that cause these disorders exist. The objective was to compile a list of medications affecting salivary gland function and inducing xerostomia or subjective sialorrhea. Data Sources Electronic databases were searched for relevant articles published until June 2013. Of 3867 screened records, 269 had an acceptable degree of relevance, quality of methodology, and strength of evidence. We found 56 chemical substances with a higher level of evidence and 50 with a moderate ...

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Reducing the Role of Opioids in Pain Management

A recent report by the Coalition for Safe and Effective Pain Management, suggests the best way to cut down on opioid addiction is to not prescribe the drugs in the first place. The coalition aims to reduce the prevalence of opioid prescribing by optimizing non-pharmacological pain management alternatives in Canada. I invited Michael Heitshu, Chair of the Coalition for Safe and Effective Pain Management and Director of Public Affairs of the Canadian Chiropractic Association, to give our audience an idea about the role of the coalition in the fight against opioids and to hear his message to Canadian dentists about the rising ...

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Managing the Dental Practice’s Human Resources

Every dentist knows that managing the practice’s human resources is no walk in the park. Avoiding turnover, hiring for the enhancement of the practice’s culture rather than its demise, and ensuring employee’s loyalty are some of the foundational principles that dental practices stand on.  I had the pleasure to speak with Mariela Gonzalez, Business Manager at Prosthodontic Associates (PA) in Toronto. Mariela has been with PA for 18 years and has agreed to share some of her pearls of wisdom with our audience. I hope you find the interview informative and please share your feedback, thoughts, and suggestions with us ...

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The Role of Appointment Reminder Systems in an Age of Emerging Technology

Highlights Dr. David Avenetti, Residency Program Director in Pediatric Dentistry at University of Illinois at Chicago College of Dentistry (UIC), speaks to the Oasis Discussions audience about the role of appointment reminders and emerging technology.  David has extensive experience as a full-time clinical assistant professor at UIC and in private practice and he has seen the role that technology plays in no-show rates in both publicly and privately-funded care. Key Messages Access to care is made up of 2 components: access to dental insurance and dental utilization Appointment Reminder Systems (ARS) play big role in dental utilization Novel technologies which ...

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Should I buy a Practice or Start One from Scratch?

Highlights Timothy Brown, CEO of ROI Corp, answers the age-old challenge about whether a dentist should start his/her own practice from the ground up or purchase an existing one. While both options have merit, they also have their downsides.  Key Considerations Today’s dental marketplace is very competitive and one must consider whether there is an adequate supply of active patients for the dentist. This ratio of dentist to active patients can be as high as 1:1500 and as low as 1:500 in some downtown urban areas like Toronto. This number is important as it will affect cash flow, and debt-serviceability. ...

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