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T
ECHNOLOGIESSUCHASLASERS
,
DIG
-ital imaging, and microscopy havefound a home in dentistry and offerunique benefits to both patients andpractitioners.“Lasers can be used on soft tissueslike gums,” explains Dr. Michael Popp, adentist based in Calgary. “They can alsobe used to treat herpetic lesions.”Indeed, rather than take systemicmedications to treat a herpetic lesion, apatient can undergo laser therapy in adentist’s office and have that lesionremoved. There are lasers available for use onhard tissues in the oral cavity, but they  work very slowly and cause pain, Dr.Popp said. “They are not yet ready forprime time,” explains Dr. Popp. While only a minority of dentistsuse digital imaging in their offices inCanada, those who do find the technol-ogy offers significant benefit.However, it’s estimated that most den-tists continue to use analog silver halideX-ray film instead of digital radi-ographic systems.“It’s a great advantage for thepatient because it reduces radiation by 90 per cent,” says Dr. Gene Jensen, anorthodontist based in Halifax andDartmouth, N.S., who uses digitalimaging daily and was one of the firstorthodontists in Canada to incorporatedigital imaging equipment in his prac-tice.“Previously, we had to bombardthe patient with multiple X-rays for anumber of seconds before getting allthe information,” he says. “[Digital radi-ographic systems] give us 10 times theinformation that analog does.” The traditional use of X-rays canproduce many more errors since imagesare distorted, explains Dr. Jensen. “The
Dental Chronicle
Canada’s National Newspaper of Dentistry 
n 
March 31, 2010 
Making people laugh helps dentist keephis medical career in perspective
Passion for yuks keeps Brantford, Ont. dentist on stagedeveloping his comedic touch. See page 24.
Practice news
Lasers a staplein periodontaltreatment
n
Ongoing development,refinement contribute topotential utility of lasers for general practitioners
In this exclusive 
D
ENTAL
C
HRONICLE
inter- view, Dr. Doug Dederich, a periodontal special- ist in Edmonton and president of Biolase,talks about some of the recent developments in lasers for dentistry, and how these advances have led to refinements in clinical techniques.
 Y 
ou wrote an article in
JADA
in2004; could you comment onwhat progress has been made inlasers for perio since then?
Clinical techniques have been refined with some of the laser wavelengths,Er,Cr:YSGG in particular. More clini-cal studies are of course needed to sat-isfy the new Standards of Evidencerecently issued in a Technical Report tothe Profession by the ADA.
What role do diodes and theER:CR:YSGG play in mild, moderate,and advanced periodontitis?
 These two lasers can be helpful in forthe general practitioner in treating early and moderate chronic periodontal dis-ease. They canalso be a usefuladjunct for theperiodontist intreating advanced peri-odontal disease.Having any laser,however, doesnot change the principles of good peri-odontal care as it relates to good rootdebridement and also the field of peri-odontal regeneration. The Er,Cr:YSGGcan enhance the biocompatibility of theroot surface which can be helpful in
Dental Vitae
 — 
 please turn to
page 5
 — 
 please turn to
page 6
Affiliated with
Sports injuries: Counsellingpatients on best mouthguard
O
 VER 
-
 THE
-
COUNTERMOUTHGUARDS
offer little protective value, while custommouthguards can prevent much dentaltrauma.See
 page 4
.
Case report: Cutaneous sinus tracts—an endodontic approach
....
19Welcoming new patients, aesthetically speaking
............................
2310 minutes with Dr. Sherri Wise
..........................................................
26
New this month
Products
Products 
Handpiece Lubricant
Based on nano ceramic technology, thisproduct produces a boundary layer onmetal surfaces, to reduce wear and drag  within the turbine and bearings.
Implant Instruments
 With tighter radiusesand short roundedtips, this set of medical grade titaniuminstruments has ideal hardness forimplant maintenance.
Oil-free Dental Compressor 
 This compact unitincludes an energy-sav-ing Seccomatt dryer toensure continuous dry,clean, compressed air.
Gingiva Formers
Customizable Gingiva Formers allow you to achieve a natural and estheticgingiva contour with the formation of intact papillae.
Request more information on these andother products advertised in this issue.
See page 25
Canada Post Canadian Publication Sales Product Agreement 40016917
by 
Louise Gagnon,
Correspondent,
Dental Chronicle
Special Report
What you need to know about Green Dentistry 
I
NTRODUCING
D
ENTAL
C
HRONICLE
’
S
new series on Green Dentistry, show-ing you ways to attract new environ-mentally-conscious patients, and toultimately reduce your costs. Turn to
 page 15
Dr.Dederich
 
New technologies leading toimproved benefits for patients
n
 
n
Lasers, digital imaging,microscopy changing clinical practice
 
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Dental Chronicle National Editorial Board
Hassan Adam,
Yellowknife, N.W.T.
Véronique Benhamou,
 Montreal, Que.
Barry Dolman,
 Montreal, Que.
Neil Gajjar,
 Mississauga, Ont.
Cary Galler,
Toronto, Ont.
Wayne Halstrom,
Vancouver, B.C.
Mel Hawkins,
Toronto, Ont.
Ira Hoffman,
Chomedey, Laval, Que.
Mark Lin,
Toronto, Ont.
Ed Lowe,
Vancouver, B.C.
Scott Maclean,
Halifax, N.S.
John Nasedkin,
Vancouver, B.C.
Ken Neuman,
Vancouver, B.C.
Brian Saby,
Red Deer, Alta.
Ken Serota,
 Mississauga, Ont.
Paresh Shah,
Winnipeg, Man.
Andrew Shannon,
Vancouver, B.C.
Howard Tenenbaum,
Toronto, Ont.
William E. Turner,
Thunder Bay, Ont.
 A M
C
G
ILL
U
NIVERSITYGRADUATE
,Dr. IraHoffman has always enjoyed working withhis hands. While he was growing up, he hada strong desire to get into the medical pro-fession, and when it came time to pick acareer it came down to a choice betweenbecoming a dentist or a heart surgeon.“I decided not to become a heart sur-geon for the same reason I did not choosethe field of medicine—because I cannothandle death,” said Dr. Hoffman, whomaintains a private practice in Montreal, andis a faculty lecture at McGill University inthe Department of Restorative Dentistry.“In dentistry the worse case scenario is that a patient loses their teeth— although I am always fighting for them to keep their teeth—but really that is the worse case scenario.”Dr. Hoffman says that over the years he has maintained his interest in the fieldof dentistry by continuously keeping active and reinventing himself. Upon gradua-tion in 1978, he took a particular interest in esthetic dentistry and in 2000 he wasasked to become a clinical instructor at McGill University.“I have enjoyed the opportunity McGill University has provided, which hasallowed me to pass along the knowledge I have gained regarding esthetics to my stu-dents,” he said.One of Dr. Hoffman’s life-changing moments occurred when he was in hismid-30s. He had a skiing accident that resulted in his left leg becoming temporarily paralyzed and, during this time, Dr. Hoffman said that he gained more appreciationfor a work-life balance.“Since my leg was paralyzed it led me to believe that I might not be able to work again, which resulted in a life altering moment. It caused me to have more of an appreciation for life. I now work to live, and I do not live to work,” he said.“When I work I take it seriously, but I will never say I cannot afford to go ona vacation or that I do not want to take time off, because who knows what can hap-pen tomorrow. I take time off now, but it took my left leg becoming paralyzed tomake the importance of this life balance clear.”Dr. Hoffman is a member of the University Advisory Council of the American Academy of Cosmetic Dentistry, Acting Chairperson of the University Co-ordinat-ing Committee of the Canadian Academy of Esthetic Dentistry, and a Fellow of the Academy of Dentistry International and the International Academy of DentalFacial Esthetics.
Ontario Dental Association—AnnualSpring Meeting
13 to 15 May, 2010TorontoTel: 416-922-3900Fax: 416-922-9005E-mail: info@oda.caWebsite: http://www.oda.on.ca/
Newfoundland & Labrador—AnnualGeneral Meeting
27 to 29 May, 2010St. John’s, Nfld.Tel: 709-579-2362Fax: 709-579-1250E-mail: nfdental@nfld.netWebsite: http://www.nlda.net/
Jasper Dental Congress
27 to 30 May, 2010Jasper, Alta.Tel: 780-432-1012Fax: 780-433-4864E-mail: adaadmin@telusplanet.netWebsite: http://www.abda.ab.ca
Denturist Association of Canada-Annual General Meeting
28 May, 2010Whistler, B.C.Tel: 1-604-538-3123/1-877-538-3123Fax: 1-604-582-0317E-mail: dacdenturist@telus.netWebsite: http://www.denturist.org/
Annual Convention of the Ordre desdentists du Quebec
29 May to 01 June, 2010MontrealTel: 514-875-8511Toll free: 1-800-361-4887Fax: 514-393-9248E-mail: dacdenturist@telus.net
College of Dental Surgeons of Saskatchewan—Annual Session
9 to 11 September, 2010SaskatoonTel: 306-244-5072Fax: 306-244-2476Website: http://www.saskdentists.com
 Attending the Jasper Dental Congress, in Jasper, Alta.?
2
 We’d love to receive your impressions of the presentations and session highlights. E-mail us at
dental@chronicle.ws
Have a digital photograph of an upcoming meeting destination? Send it to us at
dental@chronicle.ws.
 We’ll publish selected photos and reward photographers with gift-card prizes.
March 31, 2010 
n
3 
Dental Chronicle
Dental Chronicle
Canada’s National Newspaper of Dentistry 
E
DITORIAL
D
IRECTOR 
R. Allan Ryan
 A
SSISTANT
E
DITOR 
Lynn Bradshaw
S
 ALES
& M
 ARKETING
Henry Roberts
C
OMPTROLLER 
Rose Arciero
P
RODUCTION
& C
IRCULATION
Cathy Dusome
P
UBLISHER 
Mitchell Shannon
Published six times annually by the proprietor,
ChronicleInfor mation Resources Ltd.
, from offices at 555Burnhamthorpe Rd., Suite 306, Tor onto, Ont. M9C 2Y3Canada. Telephone: 416.916.2476; Fax 416.352.6199.E-mail: dental@chronicle.wsContents
 © Chronicle Information Resources Ltd
, 2010, except where noted.
 All rightsreserved worldwide.
The Publisher prohibits reproduction in any form, including print, broadcast,and electronic, without written permission. Printed in Canada.Subscriptions: $59.95 per year in Canada, $79.95 per year in all other countries, in Canadian or USfunds. Single copies: $7.95 per issue. Subscriptions and single copies are subject to 5% GST.Chronicle Information Resources Ltd. is the official representative of 
Dental Tribune International
(DTI) in Canada. All published material related to Dental Tribune is subject to copyright by DTI.Canada Post Canadian Publications Mail Sales Product Agreement Number 40016917. Pleaseforward all correspondence on circulation matters to: Circulation Manager, Dental Chronicle,555 Burnhamthorpe Rd., Suite 306, Toronto, Ont. M9C 2Y3 Canada.E-mail: circulation@chronicle.ca
ISSN 1916-0437
Since 1995,
Ideas in the Service of Medicine.
Publishers of:
The Chronicle of Skin & Allergy, The Chronicle of Neurology & Psychiatry, The Chronicle of Urology & Sexual Medicine,The Chronicle of Healthcare Marketing, Drug Rep Chronicle, Best Practices Chronicle, healthminute.tv, and Linacre’s Books.
Each issue, Dental Chronicle is honored to introduce you to the distinguished members of ourNational Editorial Board. This month, we welcome Dr. Ira D. Hoffman of Montreal.
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