1. science
2. medicine
3. surgery

2 0 14 TODS MEETING - U PDATED S CHEDULE
OCTOBER 2 3 - 25, 2014
Welcome to the Thompson Okanagan Dental Society’s Annual Meeting!
Please refer to this updated schedule for correct session times and room assignments
and! 78 Dental Exhibits Open Thursday October 23 4pm - 7pm
m
e
D
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a
Popul
Okanagan Room and Grand Foyer
Back By
Thursday October 23, 2014
Supplier’s Showcase
6:00pm-9:00pm Simple Anterior Aesthetic Implants
Skaha Room
Dr. Bobby Birdi and Mr. James Neuber, CDT
Presented by: Ocean Ceramics & Nobel Biocare
Canada
6:00pm-9:00pm An Evening Of Updates: Sharpening, Instrument Design, Peizoelectric Scaler, And Oral
Cameras For Dental Hygienists
Mr. Bruce Matthews
Presented by: Sterling Dent-A-Prises
Chilcotin Room
Limited Seating
6:00pm-9:00pm Sirona: Propelling Dentistry Forward
Dr. Bobby Chagger
Presented by: Patterson Dental & Dentsply
Canada
Cascade/Cassiar
Rooms
Friday October 24, 2014
Featured Speakers & Workshops
8:30am-12:00pm WORKSHOP
Cariboo Room
Pharamcology I Didn’t Learn In School: Sedation
Trouble, Obesity, Diabetes, Hypertension &
Sedation
Dr. Dave Carsten
Limited to Dentists - must pre-register. Auditing Is
Not Permitted.
9:00am-12:30pm
*Please note time
change from
program*
WORKSHOP - Part 2
The Contemporary Role Of Today’s Treatment
Coordinator
Ms. Paddy Briggs & Ms. Benita Soni, CDA
Gateway 21 Room
*Please note room
change from
program*
must pre-register. Attendance of Thursday Evening
part 1 session is a Prerequisite. Auditing Is Not
Permitted.
6:00pm-9:00pm New 2014 Estate Law: Does Your Plan Still
Monashee Room
Work? Tips For Professional Practice Owners
Mr. Brent Thomson & Mr. Geoffrey White
Presented by: Nicola Financial
8:15am-11:45am Oral Surgery Simplified
*Please note start Dr. Toby Bellamy
time*
Open to Dentists Only - Prerequisite For Friday
6:00pm-9:00pm Connecting With Your Patients: Today,
Tomorrow And In The Future
Dr. Blair Broaderip
Presented by: EasyMarkit
8:30am-12:00pm Implants Are Not Teeth:More Than A Carpenter Skaha Room
Dr. Norm Ickert
Thursday October 23, 2014
Cariboo Room
Co-Sponsored by: Dentsply Implant
Featured Speakers & Workshops
must pre-register. Pre-requisite for Friday morning part 2 session. Auditing Is Not Permitted.
Selkirk Room
6:00pm-9:00pm “Trust Me, I’m A Dental Professional”:
Dentistry, Ethics, Media & The Law
Limited Seating
Mr. Jerome Marburg & Dr. Chris Hacker
Presented by: College of Dental Surgeons of BC
Vaseaux/Kootenay
6:00pm-9:00pm Restorative Pediatric Dentistry For The
General Practitioner
Rooms
Dr. Carla Cohn
Co-Sponsored by: Septodont, VoCo & SDI North
America
Shuswap/Pennask/
Skeena Rooms
7:00pm-9:00pm Dentistry & Pregnancy: Do We Or Don’t We? Shuswap/Pennask/
Skeena Rooms
Dr. Dave Carsten
In Memory Of Dr. Bud Sipko
Afternoon’s Workshop Session
Open to Dentists Only - Prerequisite For Friday
Afternoon’s Workshop Session
6:00pm-9:00pm WORKSHOP - Part 1
Columbia Room
The Contemporary Role Of Today’s Treatment
Coordinator
Ms. Paddy Briggs & Ms. Benita Soni, CDA
6:00pm-6:50pm Train The Trainer: Chewing Tobacco Use In
Sports
Dr. Dean Kriellaars
Selkirk Room
8:30am-12:00pm Current Controversies in Restorative Dentistry
Dr. Terry Donovan
Co-Sponsored by: Scotiabank
8:30am-12:00pm Mugs & Drugs: A Look At Today’s Counterculture Trends & Their Impact on Oral Health
Ms. Betsy Reynolds, RDH
Vaseaux/Kootenay
Rooms
8:30am-12:00pm Better Periodontal Outcomes Through Host
Modulation & Nutrition
Dr. Tim Donley
Co-Sponsored by: Dentsply Canada
Shuswap/Pennask/
Skeena Rooms
Friday October 24, 2014
Shuswap/Pennask/
Skeena Rooms
Meal Breaks & Social Events
7:30-8:30am
Continental Breakfast Available To All Registered
Delegates
10am-5pm
Silent Auction Fundraising To Benefit 5 Community Grand Foyer South
Dental Clinics (Kamloops, Vernon, Salmon Arm,
End
Lower Conference
Level
Kelowna and Penticton)
11:45am-1:30 Lunch Buffet Lunch Available To All Registered
Delegates
Lower Conference
Level
4pm-6pm
Okanagan College Dental Assisting Alumni 19742014
Monashee Room
4pm-6pm
Tradeshow Reception! Enjoy A Complimentary
Drink & Appies With Colleagues
Okanagan Room &
Grand Foyer
6pm-9pm
Henry Schein Client Appreciation Evening By
Invitation
Columbia Room
PLEASE SHOW NAMEBADGES FOR ENTRANCE TO CONFERENCE CENTRE
October 23 - 25, 2014
To Show Respect For Our Speakers And Colleagues We
Request All Cell Phones Be Turned To Vibrate And PLEASE
Refrain From Texting During Presentations.
Saturday October 25, 2014
8:30am-12:30pm
Featured Speakers & Workshops
WORKSHOP - Session #1
Monashee Room
Tricks & Tips To Streamline The Fabrication Of
Functional, Aesthetically Pleasing Provisionals
Thank You
Ms. Lian Walraven, CDA
Limited to Certified Dental Assistants - must preregister. Auditing Is Not Permitted.
8:30am-12:30pm
Friday October 24, 2014
Medical Emergencies In The Dental Office
Featured Speakers & Workshops
1:30pm-4:30pm WORKSHOP
Oral Surgery Simplified
Dr. Toby Bellamy
Cascade/Cassiar
1:30pm-4:30pm WORKSHOP
Translating Technology Into Practice: Hands-on Rooms
Training In Periodontal Therapy & How To Use
Ultrasonics For Maximum Efficiency
Dr. Tim Donley
Open to all dental personnel - must pre-register.
Auditing Is Not Permitted.
8:15am-12:00pm
WORKSHOP - Session #1
*Please note start
time*
CPR - Level C & AED Renewal Re-Certification
Selkirk Room
8:30am-10:30am
8:30am-12:30pm
Successful Management Of Acute Dental Pain
Dr. Ken Hargreaves
Vaseaux/Kootenay
Rooms
Lotions, Potions, Pastes and More!
Okanagan Room
Dr. Sebastian Ciancio
8:30am-12:30pm
Columbia Room
The Savage Front Desk
Dr. Rhonda Savage
10:45am-12:30pm
How Important Is Patient Recall To The Success
Of Your Practice?
Chilcotin Room
Mr. Ron Barsotti
10:45am-12:30pm
1:30pm-4:30pm What You Should Know About Dental Implants Vaseaux/Kootenay
Rooms
Ms. Anna Louise Tolan, RDH
Co-Sponsored by: Hu-Friedy Canada
1:30pm-4:30pm Have Them At Hello! The Lioness Approach To Shuswap/Pennask/
Instinctively Great Phone Skills
Skeena Rooms
Ms. Katherine Eitel
Columbia Room
1:30pm-4:30pm Regenerative Endodontics
Dr. Ken Hargreaves
Co-Sponsored by: An Unconditional Education
Grant from the Pacific Dental Conference Trust &
The Toothfairy Gala
Skaha Room
1:30pm-4:30pm Everything You Need To Know About The
Implant Supported Overdenture
Dr. Effrat Habsha
Co-Sponsored by: BioMet 3i
7:30-8:30am
St. John Ambulance
Co-Sponsored by: Oral Science
Limited to Dentists Only - Prerequisite For Friday
Afternoon’s Workshop Session
Saturday October 25, 2014
Skaha Room
Open to all dental personnel - must pre-register.
Auditing Is Not Permitted.
Limited To Registered Dental Hygienists - must preregister. Auditing Is Not Permitted.
1:30pm-4:30pm WORKSHOP
Hands-on Treatment Planning With Dental
Implants
Dr. Norm Ickert
Cascade/Cassiar
Rooms
Dr. David Isen
Chilcotin Room
Limited to Dentists - must pre-register. Auditing Is
Not Permitted. Attendance At Friday AM Session IS A
Prerequisite.
WORKSHOP
8:30am-12:30pm
College of Dental Hygienists of British Columbia
Vaseaux/Kootenay
Rooms
Okanagan Specialists Vintage Potpourri
Shuswap/Pennask/
Skeena Rooms
Forum On Current Issues
8:30am-9am Endodontics: The Tooth As An Alternative To
Implant Placement
Dr. Deborah Battrum
9:10am-9:40am Pediatric Dentistry: Management Of The Pediatric Dr. Caroline Buttar
Parent
9:50am-10:20am Periodontics: Soft-Tissue Grafting For The General Dr. Gurpal Buttar
Practitioner
10:30am-11am Prosthodontics: Impression Techniques For Success Dr. Ron Shupe
11:10am-11:40am Oral Surgery: Osteomyelitis Of The Mandible
Dr. Tom White
11:50am-12:20pm Orthodontics: Interceptive Orthodontics: Simple
Ways To Treat Simple Problems
Dr. Derek Pollard
Meal Breaks
Continental Breakfast Available For Registered Delegates Grand Foyer
11:45am-1:30 Buffet Lunch Available For Registered Delegates
Saturday October 25, 2014
Grand Foyer
Workshops
1:00pm-4:45pm WORKSHOP - Session #2
CPR - Level C & AED Renewal Re-Certification
St. John Ambulance
Skaha Room
Limited to Certified Dental Assistants - must preregister. Auditing Is Not Permitted.
TODS AGM & Luncheon Meetings
Selkirk Room
Limited To Dentists: Please Bring Laptops, Tablets or Mobile
Devices
12:30pm BC Dental Hygienists Association Luncheon Meeting
Celebrate BCDHA’s 50th Anniversary!
Open to all dental personnel - must pre-register.
Auditing Is Not Permitted.
1:00pm-5:00pm WORKSHOP - Session #2
Tricks & Tips To Streamline The Fabrication Of
Functional, Aesthetically Pleasing Provisionals
Ms. Lian Walraven, CDA
Saturday October 25, 2014
12:30pm TODS Annual General Meeting & Luncheon
With Keynote Speaker - Mr. Jesse Miller
Social Media, Brand Protection & Going Beyond The
Resume For The Dental Professional
Monashee Room
Shuswap/Pennask/
Skeena Rooms
Limited To Registered Dental Hygienists Only
12:30pm Certified Dental Assistants of BC Luncheon Meeting Vaseaux/Kootenay
80 Years A CDA: What’s Changed?
Rooms
Ms. Arlene Cearsn, CDA and Ms. Debra Parminter, CDA
Limited To Certified Dental Assistants Only
HAVE YOU COMPLETED YOUR SURVEY?
2014 E XHIBIT L ISTING
EXPANDED HOURS!
THURSDAY OCTOBER 24 4:00PM—7:00PM & FRIDAY OCTOBER 25 10:00AM—6:00PM
Silent Auction
Table Top Displays
Booths Displays
1
33
47
48
12
30 & 31
18 & 19
41
54
53
52
26
Booth
Displays
Booths Displays
Tabletops Displays
20
14
8&9
12
11
7
16
1
19
21
50
55
28 & 29
42
3M Canada Company
Al Heaps & Associates
BC Dental Association
BC Dental Hygienists Association
Certified Dental Assistants of BC
Class One Orthodontic Laboratory
College of Dental Hygienists of BC
College of Dental Surgeons of BC
Curasan
Designs for Vision
10 DPAP Counselling
4
15
18
13
6
5
2
3
17
6
2
GC America Inc
Glo Apparel
Microcopy
MNP LLP
Panadent Corporation
Purtzki Transitions
ROI Corporation
Septodont
Univet Optical Technologies North America
A-dec Inc.
Allstar Dental Laboratories Ltd.
Argen Canada
Aurum Ceramic/Space Maintainers
Laboratories
20
Beyes Dental Canada
24
BioHorizons Canada
7
Biomet 3I
23
Bisco Dental Products
3
Brasseler USA
38
CDI - Canadian Digital Imaging
43
Cerum Ortho Organizers/Cerum
Dental Supplies
5
Citagenix Inc
16
ClearDent
35
Coltene Inc
9 & 10 Dentsply Canada
11
Dentsply Implants
49
Dentsply Tulsa Dental Specialties
32
EasyMarkit
37
34
36
13
56 & 57
14
25
27
15
Fine Arts Lab/Leixir Lab Group
Gendex/Kavo Dental
GlaxoSmithKline
Hansamed
Hedy Canada
Henry Schein Canada Inc
Hiossen Implant Canada
Hu-Friedy Mfg. Co.
Ivoclar Vivadent Inc
Keystone Dental
Maxill Inc
MS Meditech Solutions Inc (Surgitel
Global)
MTS Logistics/Biomed Dispose-It
Nobel Biocare Canada
Ocean Ceramics
Ocean Pacific
Oral Science
Orascoptic
Patterson Dental Canada
Philips Oral Heathcare
Premier Dental Products Co
Procter & Gamble Crest & Oral B
R.E. Morrison Equipment Inc/Basevac
Dental
8
Scotiabank
40
SDI North America Inc
44 & 45 Sinclair Dental
17
Smile Restoration Dental Lab
4
Sterling Dent A Prises
39
Straumann Canada
22
Sunstar Americas Inc
51
Uninature Dental Enterprise
46
Voco Dental
21
Zimmer Dental Corporation
LOOKING FOR SPEAKER HANDOUTS?
Go to our website
www.todsmeeting.com
Click 2014 Speakers Handouts From Our Homepage
Where speakers have given their consent,
we have posted their handouts for your convenience.
L OCAL A NAESTHETIC A LLERGIES
Dr. Isen is presenting a Medical Emergencies Workshop Saturday October 25 8:30am - 12:30pm
Local anaesthetics are classified as esters or
amides. Today, all injectable local anaesthetic cartridges used in dentistry are amides. Topical anaesthetics are available as esters or amides, for example
benzocaine and tetracaine (esters) and lidocaine (an
amide). In order to treat patients with allergy history,
it is important to understand which substances within the local anaesthetic solution are the possible
allergens. Anaesthetic related allergies, even mild
ones, are rare events but the true signs and symptoms must be recognized and prepared for. Immediate management of allergic reactions is paramount.
If a patient is allergic to an ester-based anaesthetic, the allergen is not the anaesthetic itself but a
breakdown product called p-aminobenzoic acid
(PABA). All esters yield PABA once metabolized.
Therefore, if a patient is
allergic to one ester local
anaesthetic, they are
allergic to all of them. The
same is not true for amides which are broken
down into different metabolites and have some
unique molecular characteristics. So, allergy to one
amide may not preclude
the use of another, unless
testing reveals a very
unusual situation of multiple amide allergies. It is
rare for a patient to be
allergic to an amide local anaesthetic although there
are documented cases1. If someone demonstrates an
allergy to the contents of an amide based anaesthetic cartridge, the likely culprit is the preservative
for the vasoconstrictor, called sodium metabisulphite. People might report sulphite allergy in their
medical history. They are sensitive to products that
contain sulphite preservatives for example nuts, deli
meats, wine and potato chips. This is not the same as
a sulpha allergy, which is an allergy to a class of antibiotics called sulphonamides. Sulpha allergies are
different than sulphite allergies. If then the documented allergen for a patient is the sulphite preservative and not the local anaesthetic, that patient can
safely tolerate a solution with no vasoconstrictor
which is suphite-free. It should be noted that asthmatics have a higher incidence of sulphite allergy
than non-asthmatics. If the patient has a documented allergy to one of the amide anaesthetics, it may
be possible that testing reveals that they are not
sensitive to another amide anaesthetic which can be
used safely.
When there is question as to the precursor of
the allergic reaction, the patient should be sent to an
allergist via their family physician for allergy testing.
A request should be made by the dentist to test for a
few different anaesthetics and to test for the preservative, sodium metabisulphite. It is a good idea to
give the patient a variety of anaesthetics to take with
them to the allergist. Included into this group should
be a non-vasoconstrictor containing solution.
There is also the question of whether latex within the local anaesthetic cartridge can be the cause of
an allergic reaction. Historically, latex was a component of the plunger and stopper within the cartridge.
It has been demonstrated that latex particles were
able enter the local anaesthetic solution from these
sources. Evidence suggests that it is unlikely that
latex within the cartridge can
induce latex hypersensitivity
since there are no literature
reports of an allergic response due to the latex component of the dental cartridge2. Today, this is irrelevant since companies have
moved towards latex free
components.
...asthmatics have a
higher incidence of
sulphite allergy than
non-asthmatics.
It used to be routine to add a substance called
methylparaben to local anaesthetic cartridges which
acted as a bacteriostatic agent. Like the ester based
local anaesthetic, methylparaben is metabolized to
PABA and so this substance was a potential allergen.
This product is only now found in multi-dose vials of
local anaesthetics and not in cartridges.
If a patient reports
an allergic reaction following
the administration of a local
anaesthetic, it is paramount
to uncover the events that
led to this report. A diagnostic challenge occurs since people commonly think
that any untoward event following a drug administration is an allergy. A common misinterpretation
happens when one is sensitive to epinephrine or
experiences an intravascular injection. This can result
in the patient experiencing symptoms such as palpitations, sweating, nausea, and feeling faint. Some
patients might call this as an allergy. Another clinical
situation that can be mistaken as an allergy is a local
anaesthetic overdose. In this case, the patient may
demonstrate a range of signs and symptoms, including feeling uncomfortable, tingling, metallic taste,
confusion, talkative, hypertension and increased
pulse. In more extreme overdose situations, seizures
and coma may occur, especially in small children.
Allergies do not typically present in this way. Patients
must be counseled and practitioners must be cognizant of the differences between the signs and symptoms of allergic reactions (discussed below) and the
signs and symptoms of overdose and epinephrine
induced reactions.
Local anaesthetics can induce two types of allergy: Delayed hypersensitivity (Type IV), or the usually
more immediate, anaphylaxis (Type I). Hypersensitivity reactions are localized and can look like a contact
dermatitis. Other signs include localized redness,
rash, and swelling in the area of where the allergen
contacted the host. Signs and symptoms of Type I
reactions include swelling, rash, hives, GI cramping,
hypotension and bronchospasm. This can be life
threatening.
For Type IV reactions, it may be necessary to
give an intramuscular injection of an antihistamine
(e.g. diphenhydramine). Following this, the patient
may require a regimen of an oral antihistamine for
three days to quell the 72-hour release of histamine
that occurs after an allergic challenge. Without the
three day course of antihistamine, an allergy may
rarely recur, even 72 hours later. For anaphylactic
reactions, this is a true medical emergency and must
be managed quickly. The life threatening symptoms
of anaphylaxis are airway obstruction and/or severe
hypotension. The initial treatment for this is an intramuscular injection of epinephrine. Either an autoinjector or an ampoule with a needle and syringe can
be used. The auto-injector is delivered into the thigh
and a dentist can carry both adult and pediatric
versions of this device. There are various types available. With the ampoule and needle and syringe, the
dose of epinephrine administered into the deltoid
muscle for an adult is 0.5 ml of a 1:1000 solution of
epinephrine. This gives the adult, 0.5 mg of epinephrine. For a child, the dose of epinephrine required
during an anaphylactic emergency is 0.01 mg/kg.
While the dentist is preparing for the administration
of epinephrine, they should command another staff
member to call for an ambulance. After the administration of epinephrine and calling for the ambulance, a dose of antihistamine should be given intramuscularly, usually the deltoid muscle.
Anaphylaxis can recur. Although auto-injectors
may be easier to use, they might be one dose entities. However, there are auto-injectors available that
have a second dose of epinephrine or come in twopacks. An ampoule of 1:1000 epinephrine has 1 ml of
solution and therefore two 0.5 mg doses for an
adult. This means that a second dose is available
with the ampoule should the anaphylactic reaction
recur. It may be helpful to stock the single dose auto
injector for the first injection and if the anaphylactic
reaction recurs, especially if the ambulance has not
yet arrived, have an ampoule, needle and syringe set
-up if a second dose is required.
This short article explains the causes and treatment of local anaesthetic medicated allergic reactions. With fast recognition and swift management,
patients have the best chance of weathering these
rare but sometimes life-threatening emergencies.
REFERENCES
1.
2.
3.
MacColl S, Young ER, An allergic reaction following
injection of local anesthetic: A case report.J Can
DentAssoc,Vol.55,No.12, 1989.
Shojaei AR, Haas, DA, Local anesthetic cartridges
and latex allergy: A literature review. J Can Dent
Assoc, Vol. 68, No. 10, 2002.
Compendium of Pharmaceuticals and Specialists,
2004
Conference Centre & All Lecture Rooms: Access Is Restricted To Adults
2
0
1
5
October
T
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To Columbia
Room
(2nd Floor North
Tower)
To Lower
Conference Level
Silent Auction
Onsite Registration
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DON’T MISS
THE
2014 SILENT AUCTION!
Supporting Community Dental Clinics
(Kamloops, Penticton, Kelowna, Salmon Arm & Vernon)
Friday October 24 10am-5pm
LIVING
WATERS
DENTAL CLINIC
Salmon Arm
HENNING
E M E RG E N CY
CLINIC OF
KINDNESS
DENTAL CLINIC
Penticton
Scotiabank is proud to be the 2014 TODS Meeting Silent
Auction Supporter
Matching Monies Raised Up To A Maximum Of $5,000