dental hygienists at work · 2017-01-20 · start with orthodontic work, then move to periodontic...

Some people might think prosthodontics is just a fancy word for cosmetic dentistry, but that would be demean

ing a dental specialty that is as committed to oral function as it is to esthetics.

No one knows that better than Andrea Rovet, a dental hygienist who’s been working in the same Toronto prosthodontics practice for 30 years. Three days a week she crosses the street from her home to work with clients undergoing some of the most complex dental restorations imaginable.

“We do a lot of major reconstruction. These are complicated cases that often start with orthodontic work, then move to periodontic work, then implant work, followed by bridge work. They can take up to two years to complete.”

And the majority of clients are anything but vain. “We have clients who can’t eat because their dentures don’t fit. They need implants for stability.”

Indeed, advances in technology over

In Focus…• Unions:Prosandcons• Alzheimer’sdisease• Boardweekendsummary• 2016Re-energizeconference• NationalNon-SmokingWeek

for ontario dental hygienists | www.odha.on .ca

January 2016 Vol. 20 • No. 2

Combiningfunctionandform

Dental Hygienists at Work

ODHA WISHES EVERYONE A HAPPY AND PROSPEROUS NEW YEAR!

Motivation is a key in prosthodontics specialtyIt wasn’t Andrea Rovet’s plan to become a dental hygienist. She was lured into it and has enjoyed her job – the same one – for three decades. She works at a prosthodontics practice in Toronto, shown above, where many of her clients are undergoing complex dental restorations. She says motivating her clients is a key role, supporting them through the long rehabilitation process and encouraging proper maintenance after the work.

See SOLUTIONS/p7

ProvinciaLINK continues to be a valuable way for members to stay informed,

involved and connected with ODHA.

You are invited to attend the2016 ProvinciaLINK meetings

January 28 to May 26k Receive important information first-

hand from ODHA representativesk Learn about new ODHA initiativesk Ask questions and share information

ODHA needs your voice! Attend the meetings

and be heard on issues that matter to you.

TOPICS INCLUDE:k Employment/salary trendsk Scope of practice issuesk Update on First Nations pilot project

and Healthy Smiles Ontariok Status of radiography/HARP Actk New online PD opportunitiesk ODHA Re-energize conferencek Membership benefits and services

ADMISSION IS FREE FOR MEMBERSSee the insert in this issue for the ProvinciaLINK meeting schedule or visit www.odha.on.ca.

tion is exhilarating and everyone is filled with sense of pride for what the award winners have accomplished.

The process for submitting a nomination is fairly straightforward and does not take much time. The nomination process and form are available at www.odha.on.ca. There are six different award categories – see the list on the right.

The deadline for submissions is March 1after which time the Awards and Recognition Task Force will review the nominations and select the winners.

The awards are normally presented at the President’s dinner in May or at a convenient location for the recipient.

We all know dental hygienists who should be recognized for their efforts and are deserving of an award. Let’s make 2016 another banner year for recognizing and celebrating the achievements and successes of others.

2 F o c u s • J a n u a r y 2 0 1 6 w w w . o d h a . o n . c a

2015 was a banner year for recognizing dental hygienists who go above and beyond in their service and

dedication to their community and to the profession. And last year two students received ODHA’s newest award for excellence in community advocacy.

In total, we presented six awards. I had the pleasure of attending the awards presentation, my first duty in my role as your newly elected President.

It is an exciting time to showcase our peers and celebrate one another’s successes. The mood at the award presenta

ShowcasingandsharingoursuccessesMessage

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Blackburn

ODHAAWARDSAward of Honour – ODHA’s most coveted award, for a member who has made a significant contribution to the profession and to the Association.

Distinguished Service Award – presented for distinguished service either to the profession or to the Association or both.

Elizabeth Craig Award of Distinction – given to an ODHA member or a community member who has shown exceptional commitment to the promotion of dental hygiene either within the allied health professions or the community.

Community Service Award – recognizes a member’s participation and commitment to the betterment of their community or to an organization within their community.

Life Membership Award – must have been an ODHA member in good standing for 30 years and have served as an ODHA official for a minimum of 15 years.

Student Award for Excellence in Dental Hygiene Advocacy – two students who have made an outstanding contribution in a community advocacy initiative are eligible to receive a cash award ($500 each). •

The Ontario Dental Hygienists’ Association 1083425 Harvester Road, Burlington, ON L7N 3N1 Tel: 905.681.8883 or 1.800.315.6342 Fax: 905.681.3922 Email: [email protected] • Website: www.odha.on.ca

Publisher: Margaret Carter, Executive Director, ODHAEditor: Joanne Emerson, JEM Communications

Newsletter Advisory Committee (NAC) Margaret Carter, Chair Melissa Cooper Michelle Atkinson Mary de la Cruz Executive Liaison Maria Do Carmo Michelle Castano Michelle Pelly Jennifer Cooper Marilyn Romanetz Freelance Editor

Newsletter Editorial Committee (NEC) ODHA Executive Director ODHA Staff Freelance Editor

JANUARY 2016 Volume 20 • Number 2 Published four times a year for ODHA members.

Letters to the editor must include name, address and phone number. Telephone numbers will not be published. Focus reserves the right to edit letters when space is limited. Please send changes of address to the ODHA office. The claims, statements and opinions expressed in this publication and its inserts do not necessarily represent the views of the ODHA. Information drawn from other published sources is the responsibility of the writers.

Focus photographs may not reflect regulatory standards if the subjects need to be visible or if the photos have been submitted for publication.

Publication dates: Sept. 15 • Jan. 3 • April 1 • July 2

Copy submission and advertising booking deadline: Six weeks prior to publication date

Co-ordinated and produced by: JEM Communications

Canadian Publications Contract # 40014690All or part of the materials in Focus may be reprinted with customary credit.

Mission statement: To advance dental hygiene practice and primary health-care promotion in the interest of the profession and the public of Ontario.

The ODHA Focus newsletter welcomes and encourages letters to the editor. If you have comments, suggestions, complaints or compliments, let the readers know.

The editor reserves the right to edit letters for length without changing the original meaning.

Anonymous letters will not be reprinted. ODHA may make an exception if the letter is signed and a request is made to withhold a name because of sensitivity in the workforce.

Send letters, printed and signed, to the ODHA office or fax 905.681.3922 or email [email protected] •

share Your Views

Last year, Sheniza presented the Elizabeth Craig Award of Distinction to Jo-Anne Jones.

3w w w . o d h a . o n . c a F o c u s • J a n u a r y 2 0 1 6

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Isunionizationtherightchoiceforyou?

The idea of forming a union has been gaining momentum among ODHA members. It is a topic that comes up

every year at ProvinciaLINK with the same concerns for better wages, benefits and working conditions.

The ODHA does not have a position statement on unionization for its members. We support the Labour Relations Act that every Canadian has the legal right to form and join a union. The choice is up to each individual employee. Governmentregistered constitutions give unions the authority to negotiate terms and conditions of employment and assist in workplace disputes.

ODHA is your professional Association and is not mandated to be a union for members. Our role as an Association is to provide information and resources for further research, and member services such as LegalLine for free advice on employment issues. Our best advice is for members to do their homework. Unions can organize quickly once they get the green light to represent an employee group; so don’t get caught flatfooted. Be prepared.

Unions can work both for and against the employee – see article on page 10. Keep in mind that unions effect change in the direction the majority wants to go.

This means you could be bound by a union contract that has elements you disagree with or that don’t address your specific concerns.

Healthcare professionals are relatively new to unionization, which has a 200year

history in North America. Although money is always contentious in union negotiations, it is less so with health professionals. Health care is a passion for most and professionals tend not to leave a job they love.

However, the reality is healthcare providers have the same concerns as other workers. They want more control of their work lives with a manageable workload, a decent wage, the guarantee of fair benefits, protection from unjust treatment, respect and recognition of skills and education. They turn to unions to support their efforts and advocate on their behalf.

It is up to you to determine whether or not belonging to a union can address your workplace needs and concerns. It is a fascinating subject and we’ve only covered the tip of the iceberg. You need to go deeper in your research and factfinding.

Check the resources and references on page 10 and find your own. Talk to other likeminded professionals who are unionized and nonunionized so you can make an informed decision should a union want to represent dental hygiene as a group. •

semi-annual Board Meeting Highlights – nov. 14 & 15

EffectivegovernanceinthemakingWith new governance policies in place, the Board was able to move quickly and efficiently through a sizeable agenda during the two-day meeting in November. New proce-dures were adopted to help streamline discussions and motions, enabling the Board to take a broader look at trends and directions that impact the profession.

The Board restructuring transition, which will be completed by the end of 2017, centres on improving mechanisms for keeping Board members well informed, while ensuring transparency, accountability and the highest level of decisionmaking.

During the meeting, directors approved the budget for 2016, reviewed action items in the strategic plan, and worked on a number of the initiatives and emerging issues affecting members and the profession.

ODHA Report provides a summary of the Board meeting and is available online at www.odha.on.ca. •

In the photos: Above, 1st Vice President Michelle Atkinson, left, and President Sheniza Blackburn define the new regions in Ontario.Below: ODHA Executive Co-ordinator Barb Ferguson, centre, works with directors Ann Guiden, left, and Carrie Paddock to upgrade their computer software.

The reality is health-care providers have the same

concerns as other workers.


More than 100 years after it was first identified, Alzheimer’s disease (AD) has grown to become

the seventh leading cause of death among Canadians. More than 750,000 Canadians now live with Alzheimer’s and other dementias, and the number is expected to reach 1.4 million by 2031.

Age remains the biggest risk factor. The risk of Alzheimer’s doubles every five years after age 65. That means that Canada’s baby boomers, the country’s largest demographic group, will become increasingly at risk as they age. And the annual drain on the economy, estimated at $33 billion four years ago, is expected to skyrocket to $293 billion by 2040, making Alzheimer’s the most pressing and costly health issue boomers will face in their lifetime.

Yet for all the growing awareness around the disease, Alzheimer’s remains shrouded in mystery, as marked by confusion as the brains of those it afflicts.

Here’swhatwedoknow:• AD is the leading form of dementia,

accounting for up to 80 per cent of all dementia cases.

• It is a progressive disease of the brain that robs memory and steals the ability to reason, communicate and perform daily tasks.

• Changes in the brain can begin to appear decades before diagnosis, and progression can last between seven and 10 years.

• There is no cure and the causes are unknown.

• Medications can help manage the symptoms but none can stop, slow or

reverse the progression of this debilitating and, ultimately, fatal disease.

Alzheimer’sversusdementiaAlzheimer’s is a specific form of demen

tia, which is not a disease, but an umbrella term for a set of symptoms (i.e., impaired thought, impaired speech, confusion). These symptoms can be caused by a number of diseases, including Huntington’s disease and Parkinson’s disease. In some cases, as with drug interactions or a vitamin deficiency, the symptoms are reversible or temporary. Not so with AD, which is degenerative and incurable.

Two prime suspects are believed to be responsible for the disease:• Neurofibrillary tangles. These are

twisted fibers inside brain cells that keep nutrients and other important

things from moving from one part of the cell to another.

• Beta-amyloid plaques. These are sticky clumps of proteins that build up between nerve cells instead of breaking down like they do in healthy brains.Plaques and tangles damage the

healthy brain cells around them. The damaged cells die and the brain shrinks. These changes cause the symptoms of Alzheimer’s, such as memory loss, speech problems, confusion and mood swings.

Brain cells affected by the disease also make lower amounts of the chemicals called neurotransmitters that nerves use to send messages to each other. Scientists don’t know if these brain cell changes cause Alzheimer’s or happen because of it. But they are getting closer all the time to better understanding how and why the disease manifests itself.

Who’smostatrisk?We know that women get Alzheimer’s

more often than men, and that high cholesterol levels, high blood pressure, obesity and inactivity may also raise the risk.

New research, unveiled at the Alzheimer’s Association International Conference this past summer, suggests there may be other links. One study found that older adults with type 1 diabetes were 83 per cent more likely to get dementia than those without diabetes, even when the diabetes is treated. Previous research had shown a link between dementia and type 2 diabetes, but this is the first study to document a similar connection with type 1 diabetes.

Two other studies discovered a correla

ALZHEIMER’S DISEASE: A mystery of the mind

Resources:AbrochureonADproducedbytheAlzheimerSocietyCanada:www.alzheimer.ca/~/media/Files/national/Core-lit-brochures/What_is_AD_e.pdf10warningsignsofAD,fromtheAlzheimerSocietyCanada:www.alzheimer.ca/en/About-dementia/Alzheimer-s-disease/10-warning-signs15waystogetdementiapatientstobrushtheirteeth:www.alzheimersreadingroom.com/2011/05/dental-hygiene-and-dementia.htmlStrategiesforcommunicatingwithsomeonewithdementia:http://brainxchange.ca/Public/Events/Archived-Events/2012/Communication-Strategies-Ways-to-Maximize-Success.aspx

Continued on page 5


You might wonder why we are talking about measles (also known as “red measles”) when the disease has been

officially eliminated in Canada since 1988. Despite this, as noted in the news over

the past five years, at least four outbreaks of measles have occurred after athletic events in domed stadiums. This made headlines during the Vancouver 2010 Olympics. Since then other outbreaks have occurred.

Some may remember the one outbreak at Disneyland last December. It was traced back to just one woman who had not been vaccinated for measles. Within the last 10 years, the number of measles reported globally has decreased significantly, however there have been a number of large outbreaks, mostly in Africa and Europe.

Let’s review the facts about measles. It is a highly contagious viral infection – an airborne transmitted disease. It can be passed on without touching the infected person or infected items such as used tissues.

Symptoms such as runny nose, fever, drowsiness, irritability are often present, as well as small white spots inside the mouth and throat. A red blotchy rash, which starts on the face, develops three to seven days

after the start of the other symptoms. The infected person can pass on the

virus from four days prior to the rash onset until four days after the rash appears. Measles can be very serious,

causing diarrhea and pneumonia and in rare cases encephalitis and death.

It should be noted that if a pregnant woman gets measles, she may be at higher risk of having a miscarriage or premature delivery.

Measles affects all age groups and can be prevented with a vaccine. Canada has a rigorous scientific review process in place

to ensure vaccines are safe and effective in preventing the diseases they target.

The Public Health Agency of Canada conducts surveillance of measles cases in Canada and is currently working with provincial and territorial authorities to monitor measles cases in Canada. The Agency recommends that all Canadians ensure their vaccinations are up to date.

Additionally, travellers should be aware of the risks and reduce the chance of getting sick while travelling by keeping all immunizations up to date.

Since dental hygienists are in contact with so many people at work, it is best practice to know if you have ever had measles, whether you’ve been immunized or are at risk. If you don’t know, you should talk to your healthcare provider. Prevention is key, which means we need to keep our children safe by ensuring they are also immunized. Resources: www.mayoclinic.org/diseases- conditions/measles/basics/symptoms/CON- 20019675www.who.int/mediacentre/factsheets/fs286/en

Simone Wartman, RN, is an infection control consultant, preventive methods. Send com-ments and suggestions for future topics to [email protected]. •

InfectionControl:MoreonmeaslesProtectIng

YourselF

anD Your

clIents

by simone

Wartman

tion between poor school performance in childhood and the development of late life dementia. In one study, the risk was elevated more than 50 per cent, even among those who had gone on to more formal education or highly complex jobs.

But there are promising developments, too. Researchers say a simple saliva test that could predict AD may not be far off. And a team of Canadian scientists gained worldwide attention recently with the first successful breach of the bloodbrain barrier using ultrasound to speed drugs directly to diseased cells in the brain.

GuidefordealingwithAlzheimer’sclients

CONNECT, don’t CORRECT, is the watchword when trying to communicate with someone who has Alzheimer’s.

It starts with creating a comforting

environment. “Persons with dementia resist care when they feel threatened,” says Rita Jablonski,“and they often react to a dental hygienist brushing their teeth as a perceived threat.”

A geriatric nurse and professor at the University of Alabama at Birmingham, Ms Jablonski and her team have devised an oral hygiene approach specifically for dementia patients (see Resources). It includes approaching clients at eye level, smiling while interacting, pantomiming, and guiding patients to perform their own care by placing a hand over their hand and leading.

Reducing distractions – lowering the volume of a radio, keeping other staff at bay – can help. Give short, onesentence instructions and avoid interrupting. Respect and patience will minimize frustration and build confidence. •

Some promising developmentscontinued from page 4

NewsupplementoffersdietaryfreedomforthosewithceliacdiseaseThe Canadian Celiac Association reports that one in 133 people in Canada are affected by celiac disease, a condition in which the absorptive surface of the small intestine is damaged by gluten. Thanks to the work of researchers at the University of Alberta, people with celiac disease and gluten intolerance may be able to enjoy a wide variety of food they would normally have to avoid. In August, the university announced the development of a natural antibody supplement using chicken egg yolks that prevents the absorption of gliadin, a component of gluten that people with celiac disease have difficulty digesting. The next step is an efficacy trial, slated to happen within the next year. Following that, the supplement could be available within three years.For more information: https://uofa.ualb erta.ca/news-and-events/newsarticles/ 2015/july/cracking-gluten-intolerance •JANUARY IS AlzHEImER’S AWARENESS mONtH

Symptoms such as runny nose, fever, drowsiness, irritability are often present, as well as small white spots inside the mouth...

F o c u s • J a n u a r y 2 0 1 6 w w w . o d h a . o n . c a6

Celebrating OurselvesThe conference program features some of the most sought-after dental hygienists, who have earned the respect of their colleagues and built enviable reputations as speakers nationally and internationally.

This year we recognize and celebrate their achievement. Here is a sampling:

Joanna Asadoorian Changing client behaviour

Michelle Aube-Simmonds Infection control

Kathleen Bokrossy Advanced instrumentation

Dani Botbyl Ultrasonic instruments

Lil Caperila Caries management

Carol Jahn Oral care for all ages

Jo-Anne Jones The inflammatory pathway

Betsy Reynolds: Keynote speaker Communicating in the electronic age

Anna Louise Tolan Conquering biofilm/documentation

Jennifer Turner Medically compromised clients

Susan Woodley Interdisciplinary practice

Other topics include:Occupational health and safetySmoking cessationPeriodontal therapyDentin hypersensitivityAcid erosionWomen’s wellnessMedical emergenciesPharmacologyOral cancer detectionBugs, drugs and food fadsCultural diversityQA portfolio

2016 ODHA ConferenceSeptember 23 & 24 Hamilton Convention Centre

Don’t miss this outstanding professional development experienceThe delegate registration package will be mailed in early May.

To stay up to date watch for the Re-energize conference App

•

Two exciting days packed with learning, networking and socializing

Featuring •Lowerregistrationfees

•Twofulldaysofdentalhygieneeducationandmotivationalpresentationsandhands-onworkshops

•Twokeynotespeakers: StevePatterson,stand-upcomicandCBCradiohost BetsyReynolds,RDH,researcher/biologist

•World-classpresentersonemergingtrendsandissuesinoralhealth

•Dedicatedtimeontheexhibitflooronbothdays

•SignificantcontributiontoQArequirements


agement to maintain the work properly afterward.”

InstructionforcaregiversMany of her clients are elderly, which

presents additional challenges. “They may be losing their sight, their mobility, their memory. Some have cancer or Parkinson’s

disease, or they’re in wheelchairs. I spend a lot of time providing instruction for caregivers on how the client can modify their routines at home to accommodate their disability.”

Sensitivity is also important. “Because these cases can go on for many years, I get to know the clients as individuals, as mothers, grandmothers. It’s like having a visit with an old friend every three or four

continued from page 1

the past 25 years have fueled an explosive growth in the use of implants. “They have now supplanted dentures as the stateoftheart way to replace teeth,” says Andrea.

It’s been an interesting career for someone who never planned on becoming a dental hygienist. In 1981, she took a break from university to work for a friend who was starting a dental practice. “Those were the days when you didn’t have to be certified. You got your training on the job.”

She liked it enough to enroll in the dental assistant program offered jointly by George Brown and Seneca Colleges. Working during the day and taking classes by night, she completed the program in three years and followed it up with George Brown’s dental hygiene program, graduating in 1985.

Samepracticefor30yearsIt was the heyday of the profession,

when jobs were easy to come by. “There were dozens of jobs for every graduate,” recalls Andrea. She worked parttime at several dental practices for the first few years, before quitting all but one, and she’s been there ever since. “I’m kind of a dinosaur. No one stays in the same job for 30 years anymore.”

But the opportunity to improve clients’ oral functioning combined with what she calls the “artistry” of prosthodontics is what makes her work so enjoyable. “Every client is different, so every solution is different. The shape of the tooth, the shade of the tooth, what kind of porcelain to use – it’s all specific to that person. And everybody leaves happy.”

Andrea sees her primary role as a motivator. “These are difficult cases, involving a long and costly rehabilitation for clients. There’s a lot of anxiety, and they need a lot of support and understanding to get through it. They also need encour

Improving clients’ oral functioning combined with the ‘artistry’ of prosthodontics is

what makes her work so enjoyable.

Prosthodontics involves different solutions for different clients

Andrea Rovet

months. I learn about their families, their priorities, and personalize their treatment plan to what’s going on in their lives. Let’s face it, someone with a palliative spouse has a lot more on their mind than prettying up their teeth.”

Like any job that lasts for three decades, though, it can become repetitive. So when a chance meeting three years ago introduced her to Bridge to Health, a Canadian organization that provides medical and dental care in rural Uganda, she signed on as a volunteer.

VolunteeringservicesIn February 2014, she flew with a

25member team to a corner of the world where few people ever see a dentist and HIV affects up to 30 per cent of the population.

For the next two weeks, the dental team saw 1,000 men, women and children, many with advanced periodontal disease. Some had walked 20, 30 or 40 miles to reach the makeshift health centres set up in a different location every day.

“It was a wayoutofyourcomfortzone situation. Patients were lying on classroom tables. Sterilization was done by pressure cooker, and the washrooms were just a hole in the ground.”

Thousands of tubes of toothpaste and toothbrushes were distributed to people who had never used anything but a stick to brush their teeth. Yet it wasn’t enough for one couple in their 30s who arrived with fullblown AIDS. The image of the wife’s mouth riddled with open sores haunts Andrea still. “It was the saddest thing I’ve ever seen.”

But it’s made her grateful for what she has, and determined to give back. And she recommends others do the same. “It’s a situation so hopeless. Yet, on the other hand, these people never stop trying to improve their lives. It’s very inspiring.”•

Dental Hygienists at Workfeatures members who work in different dental hygiene disciplines.

suggestions are welcome. send them to the oDHa office.


•

See insert fo

r

registration fees

It also gives her an understanding of the challenges and opportunities that exist in today’s evolving dental practices,

which “Putting the ‘I’ in Team,” a presentation she was instrumental in developing, will address head on.

“I’m very passionate about this topic, because it speaks to where we’re trending in dental hygiene today – providing head

totoe care working in tandem with other healthcare providers.”

But it’s not just about the oral systemic link, she says. “I will also be talking about how to ensure the overall health of your dental practice.”

Her session will stress the importance of clear and regular communication that keeps everyone on the same page, delivering the highest level of service to clients every single day of the year.

“It’s all about working better together,” she says. “If your practice is not thriving, if staff are confused about what’s expected of them, if they’re not getting along, your clients will feel it.”

She advocates goalsetting meetings at the start of every year, monthly meetings that are mandatory for all staff, a written manual that everyone has had a hand in developing, and a method of charting that is consistent across the board.

“It’s not just what you document, it’s how you document that’s important,” says Susan. “It can be electronic or handwritten but it has to be done the same way every time to ensure continuity of care.”

Susan’s background as a researcher studying ways to reduce periodontal disease guarantees audiences a presentation that’s strong on evidence, and her energetic delivery has attracted groupies who now follow her from conference to conference.

But star quality is the farthest thing from her mind. “If someone walks away from my presentation with two or three pearls of wisdom, that’s a win for me.” •

Everyone knows there’s no “I” in team. So why is Susan Woodley so determined to put one in?

The popular educator and still practising dental hygienist (her career spans more than three decades) will be a returning presenter at ODHA’s 2016 Reenergize Conference with a presentation titled “Putting the ‘I’ in Team.” But, in this case, “I” doesn’t mean “individual,” it means “interdisciplinary.”

Her session will focus on how dental hygienists can nourish what she calls “total clientcentred care” by setting goals and working collectively with colleagues and other healthcare providers to deliver a consistently high level of care for their clients.

A seasoned speaker, Susan delivers more than 100 presentations a year as professional education manager for Western Canada with Philips Oral Healthcare. It’s a massive territory that runs from London, Ontario, to Victoria, B.C., and keeps her on the road 60 per cent of the time.

She addresses dental, dental hygiene and dental assistant students, as well as dental and dental hygiene societies, study clubs and some of the largest dental conferences in North America.

She is also a faculty member at rdhu, where she helped design a continuing education course in oral pathology that she delivers, along with webinars on a variety of other professional development topics, to dental hygienists across the country.

“I couldn’t do any of this without an amazing husband who looks after everything at home,” says the mother of two grown children who continues to make her base in London, Ontario, the community where she was born and raised and where she acquired her skills, emerging from Fanshawe College’s first graduating class in dental hygiene in 1977.

After two years in general practice, she moved to an orthodontics clinic, and still practices 13 hours a month in the satellite offices of a London orthodontist. “It’s important for me that I live what I preach,” she says. “Knowing firsthand what it means to be a clinical dental hygienist allows me to be more sensitive to my audience members’ needs.”

a collective approach for providing ‘head-to-toe’ client care

Susan Woodley: Putting the “I” in team for the highest level of client-centred care.

Learn more about “Putting the ‘I’ in Team”An interdisciplinary approach to providing total client-centred care

Presented by: Susan Woodley,RDH

ODHA provincial conferencefeaturing two days of dynamic speakers and topics

specifically for dental hygienists

September 23 & 24, 2016 • Hamilton Convention Centre

Her session will stress the importance of clear and regular

communication that keeps everyone on the same page.


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Job # GBC_15087 Filename GBC_15087_RestorativeDentalHygieneAd_FNL4.indd Modified 11-19-2015 3:20 PM Created 11-19-2015 2:33 PM Station Micheline Carone

Looking to increase your dental hygienescope of practice?

• Learn cosmetic procedures, posterior composites and more

• Increase your career opportunities and earning potential

• Study at our Waterfront Campus (TTC accessible)

• Program runs from September to April with classes Monday - Wednesday

Now accepting applications for September 2016.

Call Melissa Crawford at 1-800-265-2002, ext. 4555 [email protected]

georgebrown.ca/rdh

RESTORATIVE DENTAL HYGIENE POSTGRADUATE PROGRAM

Study Restorative Dental Hygiene at George Brown College

DIASTEMA CLOSURE

The thinking portion of psychosocial health is known as mental health. Your beliefs and values in life, as well as how you relate to others and respond to situations in your

life are a reflection of mental health, which overlaps with the other aspects of health.

When you combine the stresses dental hygienists have at work and the personal stresses that most of us experience, it can lead to a situation ripe for mental breakdown.

How does this relate to health and safety in your workplaces? Lawyers are dealing with more and more cases involving workrelated stress and Post Traumatic Stress Disorder claims. Mental health – or illness – is real and it is starting to be recognized as a factor that will affect how well we perform our work.

FivecharacteristicsofapositiveworkenvironmentEverything that forms part of employees’ involvement with

the work itself, such as the relationship with employers, coworkers and clients; organizational culture; time for personal development, etc., are functions of work satisfaction encompassed in the work environment. A positive work environment makes employees feel good about coming to work, a very important contributor to overall mental health.1. Transparent and open communication: This addresses the employees’ need to feel that what they have to say has value. It makes them feel they belong. Work then becomes meaningful because employees know that what they contribute positively affects the organization.2. Work-life balance: There has to be some sort of balance between work and personal life. When employees fulfill their various needs and goals in life, such as those relating to family, friends, spiritual pursuits and selfgrowth, they can then feel more confident about themselves.3. Training and development: In our everchanging world, it is necessary for employers to be proactive with change and train their employees accordingly. There are two kinds of skills that must be developed: hard skills such as clinical advancements and soft skills, e.g. interpersonal skills that affect overall morale.4. Recognition: When hard work is duly recognized, employees will naturally feel valued for their contribution. This is healthy because employees will be willing to go the extra mile and not expect something in return.5. Team spirit: As social beings, we naturally seek support from our peers and want to belong to a group. It involves the acceptance and tolerance of differences in perspectives and working styles and creates true team spirit.

The merger of these five characteristics contribute greatly to mental wellbeing in the dental office. If the work environment is healthy, it goes a long way toward supporting the overall mental health of dental hygienists.

Carola Mittag is a dental hygiene graduate; founder of Workplace Safety Group, experts in workplace health and safety. E-mail: [email protected].•

Apositiveenvironmentforworkandmentalhealth

ence between the dental industry and medical personnel. For professions in Ontario’s health-care system, public money is used to resolve workplace issues, while the government would not get involved in dentistry, since it is private. Therefore, a union representing dental hygien-ists cannot make promises without the agree-ment of the employer, because ultimately it is up to the employer to decide what to give employees.

Some pros and cons What one person perceives as an advantage

of belonging to a union may be viewed as a disadvantage by another person.• Allemployeeshavetherighttohelpestab-

lish a union at their workplace and to be actively involved in the union.

• Whenyoujoinaunion,youacceptasetofrules and standards in the collective agree-ment that applies to all employees. In a union workplace, the majority makes deci-sions for the entire workforce. If you dis-agree with the decision, you have no voice.

• Union members have a union card and anumber. You no longer negotiate your own terms and conditions of employment; they are handled through the bargaining unit.

• In many union settings, workers may havedifficulty or are unable to advance on their merits or work ethic, but rather they must progress within the limits defined by the union contract.

• Unionssupportseniorityandconsistencyofwork practices. Promotions and pay are largely determined by seniority. If layoffs occur, most unions support “last hired, first fired.”

• Under the Ontario Labour Relations Act, 1995, the “Just Cause Protection” prevents unfair dismissal of a union employee. An employer must demonstrate just cause,which could involve a grievance procedure.

Strikes and lockoutsIf union employees vote to strike, you are a

part of it. You may not agree with the reason for the strike, and there is no guarantee the strike will produce the benefits the union is seeking. As part of a union, you may not be able to work in other places that are not unionized. Employees are not paid a salary during a strike and there is no compensation for lost wages. Unions paybetween $30 and $100 a day for employees on the picket line. Information on strikes and lock-outs is available in the Ontario Labour Relations Act at left. •


There are compelling arguments both for and against unions. Forming a union to improvesalaries/benefits,jobsecurityand

working conditions is an ongoing topic for many ODHA members. Under the Labour Code ofCanada,allemployeeshavetherightto joinaunion, but there are factors to consider and understand before making your decision.

This article presents some of the pros and cons of belonging to a union, using the resources below and input fromMcMasterUniversity labour rela-tions instructor Jim Turner. It serves as a starting point for ODHA members to conduct further research. It is important to know that ODHA can-not be a union for its members.

Unions in CanadaAccording to labour statistics, unions in

Canada represent 30 per cent of the workforce. Unionsare regulatedby federalandprovinciallegislation. Unions operate on majority rule.Once the Ontario Labour Relations Board approves a union’s application to represent a group of employees, a process is set in motion that concludes with a vote by employees in the proposed bargaining unit. A majority (50 percent plus one) in favour means the entire group is unionized. If you voted against, you have no choice – you are part of the union.

Union membershipPart-time workers are not included in the

union, however, a union can apply to have them as members. Independent contractors are also exempt, but a union could submit a grievance stating that the employer’s independent contrac-tors are doing bargaining unit work. An arbitra-tor’s ruling could force the employer to replace independent contractors with union employees.

Unionswanttoincreasemembershiptogetmoremoneyindues.Itisabusiness.Unionduesvary from $50 to $100 per month and are auto-matically deducted from your pay cheque. The common fund is used to protect the group as a whole, to build membership and fund negotiations.

It is important to understand that unions do not negotiate for their members. It is done through a bargaining unit comprising employ-eeswhoworkon thegroup’sbehalf. Unionswill provide advice through an appointed representative.

Expanding trendsThe number of medical personnel who are

members of collective bargaining organizations has edged up over the past decade, according

References/resources:www.labour.gov.on.ca/english/lr/faqs/lr_faq3.phpwww.workingin-canada.com/jobs/job-tools/ joining-a-union#,VkvXvCiRqJowww.amednews,com/article/20100222business/ 302229968/6/www.mackinac.org/2313www.bankrate.com/finance/personal-finance.pros- cons-union-jobs-1.aspxwww.ufcw.ca/index.php?option=com_content&view= article&id=59&Itemid=92&lang=en

The pros aNd coNs of uNioN membership

to the Bureau of Labour Statistics. Traditionally strongest in manufacturing and

construction, unions are gaining inroads in the health-care sector due to the expanding labour force. This includes dietitians, pharmacists, phy-sician assistants, registered nurses, laboratory technicians and other health-care professionals. Adding to this list are dental assistants, who are supported by their association to join UnitedFoodandCommercialWorkers(UFCWCanada)Local 175.

For dental hygienists, there are some union-ized dental practices where a large number of staff works for one employer, such as Ontario public health units, instructors at colleges and universities, and the Steelworkers Dental Office in Ottawa.

According to Jim Turner, when it comes to settlinglabourdisputes,thereisamajordiffer-

factors to consider


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u Re-energize Online – sessions from the 2014 provincial conference

u Health & Safety Training – online certification courses

u Online Woman Abuse Training – helping to end woman abuse

u ODHA Re-energize Provincial Conference – (Sept. 23 & 24, 2016) held in the fall during the even years

u Free Fall Webcast – a learning experience held in the fall during the odd years

u Online Radiation Protection Officer (RPO) – qualifies registrants to be RPOs

u Radiographic Interpretation – online refresher course on digital technology

u Seminars/Workshops – held at various locations throughout the province

u QA Coach – portfolio management service with a 25% member discount

u University of Toronto – special rates for health-care courses at U of T

u Winter Clinic – held November in Torontou Annual Spring Meeting – held in the spring

in Torontoin Toronto


People, Places & thingsJoint meeting reinstatedThe spring 2016 joint meeting will bring together ODHA Board, societies and special interest groups for a day of information sharing and skills development. It was cancelled last year due to the Board’s need to spend more time on governance changes. Watch for information.

HealthySmilesOntario(HSO)2.0Effective January 1, all publicly funded dental programs for children and youth under 18 years have been integrated into one harmonized service schedule with a single program administrator appointed by the Ministry of Health and LongTerm Care. In preparation for the new start date, ODHA and the ministry held telephone webinars to explain the HSO program and promote member participation. Information is available on a slide deck at: http:/ /odha.scholarlab.com/drupal/ system/files/pdf/HealthySmilesODHA %20Town%20Hall%20Presentation%20FINAL.pdf.

Gift From the HeartThis year’s oneday volunteer event that has spread across the country will be held April 9 during Oral Health Month. In addition to offering a day of free oral care services to the public, GFTH provides an opportunity to educate clients on proper oral care and the link between oral health and overall health. For more information, visit www.giftfromtheheart.ca.

TributetovolunteersApril is National Volunteer Month, a time to encourage volunteering and to recognize the work and contributions of those who donate their time and energy to improving the lives of others. If you are involved in an initiative locally or out of country, let ODHA know so your experiences and volunteer outcomes can be shared with other members. Submissions will be considered for publication in a future issue of Focus. If members are interested in volunteering for ODHA – on a committee or in a leadership position on the Board – contact the ODHA office. •

APRIl IS ORAl HEAltH mONtH

A 52-year career filled with gratitude and joyAt the tender age of 17, Rosalie Shapiro enrolled in the dental hygiene program at the University of Toronto and had no idea she would be working on real teeth – let alone working on them 52 years later. She says that half a century ago no one had heard of dental hygienists and thought she would probably marry a handsome dentist so it really didn’t matter. Life didn’t work out that way. Reflecting on her career, which is still going strong, she describes it as filled with gratitude for the wonderful dentists she has worked with, and the joys of being able to treat generations of families and watch them grow. The inset photo shows Rosalie in 1995 during a child’s first dental hygiene appointment, too afraid to leave his mother, and in the large photo, the same child after he finished university.

Helping clientstobuttoutJanuary 17-23 is NationalNon-Smoking WeekDental hygienists see the impact of tobacco use on their clients’ health and are in a unique position to make a difference in their oral and overall health through interventions and supportive smoking cessation plans.

ODHA offers a number of resources and services that can give members the information they need to help clients go tobacco free.

ODHAmemberresourcesThe Canadian Cancer Society (CCS) sponsors an online course on Effective Tobacco Interventions. In lieu of a course presenter fee, ODHA makes a donation to the Society. Visit http://odha.scholarlab.com/drupal/node/32.

The CCS also presents a tobacco intervention session at the Reenergize conference. In 2016, the program will feature Monica Bennett talking on tobacco cessation methods, tools and resources.

ODHA’s fact sheet on Smoking and Smokeless Tobacco addresses the oral care effects from smoking, chewing tobacco and marijuana use. It is available free of charge for members to download and use for public education at http://odha.scholarlab.com/drupal/node/17.

RESOURCESSmokers’ Helpline – for free materials and strategies to quit smoking, call 1.877.513.5333 or www.smokershelpline.ca.

You can make it happen – visit www.youcan makeithappen.ca to find out how you can make a difference in your clients’ health.

CAN-ADAPTT – helps integrate tobacco cessation into your practice. Visit www.can-adaptt.net.

Training Enhancement in Applied Cessation Counselling and Health (TEACH) – a project that builds on interprofessionalism. Learn more at www.nicotinedependenceclinic.com/ English/teach/Pages/Home.aspx

Local public health units – resources for clinicians and clients at www.health.gov.on.ca/en/common/system/services/phu/locations.aspx.

Driven to Quit Challenge – quit smoking for the month of March for a chance to win prizes. Details at www.DrivenToQuit.ca.

More information – group health and tobacco cessation guidelines for practitioners at www.ghc.org/all-sites/guidelines/tobacco.pdf. •

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New and experienced independent practitioners are invited to share their experiences, achievements and future plans with those who may be thinking about starting their own business. If you would like to be part of Spotlight, please contact the ODHA office.

Samaritan Senior Dental ServiceCaroline Filson, RRDH, has been operating this mobile practice since 2008, when she purchased the business from a previous owner. From her home just north of London, Ontario, she serves clients in longterm care facilities and in private residences throughout London, Chatham, Windsor, Guelph and vicinity.

Biggestchallenge:Getting new clients was a lot harder than I thought it would be. I campaigned all over, visiting about 50 different nursing homes. I’d be close to signing a service agreement, then they’d change administrative staff and I’d have to start all over again. I added only three residences to the nine I started with; my largest increase in clientele was in oneonone personal home care. Breaking into the nursing home market was my biggest obstacle and has been my biggest disappointment.

Bestdecisionevermade:I streamlined my paperwork and kept it simple. I don’t use a software program; I designed my own templates and forms for recordkeeping and treatment charting, and had them printed on carbonless copy paper so the home, client/power of attorney and I all have the same information at the same time. The system never goes down this way, and I keep expenses low. My greatest accomplishment is my business paid for itself in a year and a half from when I started.

Uniqueservice:Drawing on my restorative background, I place a lot of temporary fillings to help stabilize a client’s teeth until they can be seen by a dentist. This is an important aspect of my practice because many of my clients find going to the dentist very difficult and traumatic. Several of the dentists who saw these clients later have called me to compliment me on my work, and many clients decide not to replace the temporary fillings. It relieves a lot of stress for my clients and their POAs.

Marketingtips:For me, keeping it simple worked. I feel you don’t need a fancy website, just the basics. The best and least expensive advertising is word of mouth. If it’s a mobile practice, keep equipment to a minimum for ease of transport and to lower expenses. Good scalers, ultrasonic units and suction units are a must. Don’t let a sales rep persuade you to buy material or equipment you may not use. Ask for a sample first.

Advicefornewcomers:Be patient. Don’t expect success overnight and don’t expect it to be easy. Having your own business can be very rewarding, but it’s a big commitment. You will work more hours, not less. You might be in the clinic from 9 to 5, but you have paperwork on top of that, and if you run a mobile practice you’ll be returning calls and making appointments evenings and weekends.

Ifyouhadthechancetodoitalloveragain:I’m very happy with how my business has turned out, but I do regret not starting it when I was younger. I was 41 years old when the opportunity presented itself. I just wish it had been 10 years earlier. •

spotlight on independent practice

Caroline Filson

PD with Philips SonicareODHA partnered with Philips Sonicare to present a half-day seminar on Sept. 11 in Toronto, attended by 169 dental hygienists. During a lively and informative presentation, speaker Betsy Reynolds, RDH, provided scientific evidence on the impact of powered devices.

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Crest Oral-B sponsors seminarKathleen Bokrossy, RDH, engaged an audience of 95 dental hygienists as she shared strategies on how to be indispensable in the dental prac-tice during a half-day seminar held Nov. 27 in Toronto, sponsored by Crest Oral-B. Robyn Shields (left), manager of Professional & Scientific Relations, P&G Oral Health, and Kathleen Bokrossy (centre, standing) are pictured with participants (from left) Mary Frances Nemeth, Lily Calucin, Agnes Cortex and Christine Dochuk.

Recognizing25-yearmembersThis year 49 members received certificates recognizing their 25 years of longstanding ODHA membership. If you did not receive a certificate or your name is missing from the list below, please contact Membership Coordinator Donna Hood at 1.800.315.6342 or [email protected]. Carmen AdebarNancy BentCharron BloomDonna BorlandManon BruyereWendy ChartrandMaria ChesserInesa CiancioMargo CrichlowLisa CrozierSandra D’AvellaSharron DierckensKendra EvansLisa FaiellaDoris FrenetteRangerMichele GadeJoy Gibson

Catherine GraterNakamura

Jaana HancockHeather HeatleyBelinda HigginsKathryn HodgeJacqueline HolbornFreda JeanNita JodhanKatherine KeatesDiane KozachukRabiya LakhaniChantal LefrancoisMary MachJasmine MariettiMyriam MelterDonna Menzies

Karen NiroLeslie OhorodnykKariLynn PerdueSandra RackleyJane RadfordMaryLouise RavazzoloJean RiberdyDebby RobinsonMaryanne RooneyGuylaine Souligny

TheoretPaula TremblayLorraine ValleeLisa WellmanAndrea WentzelMary WhitneyStefania Yasinsky

Radiographic Interpretation for Dental HygienistsAn online course presented by ODHA


Keynote Speakers Who Are Entertaining and Inspiring

Save the Dates! May 5 to 7, 2016The Annual Spring Meeting is one of North America’s premier dental conventions. It is the signature event for the Ontario Dental Association and is a prominent gathering place for all dental professionals.

Great value for your registration fee with access to three full days of education, a two-day trade show and two complimentary cocktail receptions.Hear from a line-up of internationally renowned speakers, the best and brightest minds in dentistry.Explore 75,000 square feet of trade show floor with 300+ exhibiting companies showcasing the latest innovations in the dental industry.Network with collegues and other dental professionals and share best practices.

Why Attend the ASM?

www.oda.ca/asm

Jann Arden can bring her audience to tears through her songs, only to have them, moments later, rolling in the aisles through her off-the-cuff comedy. Arden catapulted onto the Canadian music scene in 1993 with the release of her debut album, Time for Mercy. To date, she has released 12 albums, boasts 19 Top 10 singles and has received eight Juno Awards including “Female Artist of the Year” and “Songwriter of the Year”. Arden was the host of Being Jann on CBC Radio; she has been a judge on TV’s Canada Sings and has appeared on The Rick Mercer Report. She has authored four books.

A native of Toronto, Harley Pasternak is a best-selling fitness and diet author, whose books include The 5-Factor Fitness, The Body Reset Diet and 5 Pounds. Pasternak’s titles have been published in 14 languages in more than 25 countries. As a fitness and nutrition specialist, Pasternak has trained many celebrities, including Rihanna, Halle Berry and Robert Downey, Jr. He has appeared on a wide variety of TV networks and shows, including The Oprah Winfrey Show, Dr. Oz and The View. Pasternak has been covered in a wide array of print publications, including The New York Times, Shape, Elle and People.

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Like us on ODA.ASM ODA_ASMFollow us on

Cost: $60 for ODHA members; $75 for non-members (plus HST)

To register: Go to PD link on ODHA’s website at www.odha.on.ca.

Course objective:To qualify dental hygienists to be recognized as RPOs.

NOTE: Having a large number of members certified as RPOs will help strengthen ODHA’s lobbying efforts to review and amend the HARP Act. Under the current Act, dental hygienists are not designated as RPOs.

The presentation will cover:Technical and practical information, including administrative controls and provisions, procedures, recordkeeping, material control and reviews required for safe operations.

Developed by the Ontario Association of Medical Radiation Technologists and recognized by CDHO with a recertification period of five years.

Radiation Protection Officer (RPO) CertificationAn online course presented by ODHA

Cost: $220 for ODHA members; $320 for non-members (plus HST)

To register: Go to PD link on ODHA’s website at www.odha.on.ca.

Course objective:A refresher course to help registrants keep their radiographic interpretation skills and knowledge up to date.

Course outcomes:• Identifythefeaturesoftheelectromagneticspectrum

of x-radiation that affect the photographic quality of a radiograph and the biological effects of x-radiation.

• Identifyanddifferentiatebetweennormalanatomicalfeatures and pathologies.

• Intepretradiographsandapplytoclient-specificcare.

Course duration is estimated at 15-20 hours. A post-test is included. Registrants will receive a certificate upon successful completion.

NEW


Follow ODHA on twitter and Facebook

ANNUAL EVENTSJan. 17 – 23 – National NonSmoking Week (See page 12 for resources)

Jan. 20 – Weedless Wednesday

Jan. 28 – May 26 – ODHA annual ProvinciaLINK (See insert for schedule)

Feb. – Heart & Stroke Month

March – National Nutrition Month

March 1 – Nomination deadline for ODHA awards

April – National Volunteer Month

April 9 – Annual Gift From the Heart

April 9 – 15 – National Dental Hygienists Week™

May 28 & 29 – ODHA Annual General Meeting & Board Meeting, Burlington

CONFERENCESJan. 28 & 29 – Rendezvous Annual Conference, Thunder Bay

May 5 – 7 – ODA Annual Spring Meeting, Toronto

Sept. 23 & 24 – ODHA’s 2016 Reenergize

Provincial Conference to be held at the Hamilton Convention Centre. See ad on page 6.

PROFESSIONALDEVELOPMENTODHA online PD – visit www.odha.on.caNEW – Radiographic Interpretation (See page 14)Radiation Protection Officer (RPO) (See page 14)Re-energize Online with speakers from the 2014 conferenceHealth & Safety Training certification coursesWoman Abuse Training course

NOTICESSki for Kids Feb. 5 – Presented by the Toronto Academy of Dentistry at the Alpine Ski Club in Collingwood. The annual event supports the SickKids Foundation: Cleft Lip/Palate Research Program. Bus transportation available as well as various options for skiing, snow boarding, individual and group ticket prices. Register online at www.tordent.com, email: [email protected] or call 416.967.5649.

Bulletin Board

LMS PROLINK offers members of the ODHA exclusive access to themost comprehensive and affordable insurance products on the market.

IMPORTANT REMINDER FOR

MEMBERS

Keep yourprofile current

If you have changed your

e-mail address, be sure to contact

the ODHA or go online and

update your profile information.

This will ensure ongoing

communication with ODHA.

You should also add

[email protected] to your safe

sender list so that your computer

accepts ODHA messages.

IMPORTANT REMINDER FOR MEMBERS

NEXTISSUEThe next issue of Focus will be published April 3, 2016. Deadline for submissions is Feb. 13. If submitting photos, please send hires in pdf or jpeg attachments. Fax, mail or email submissions to the ODHA office or call 1.800.315.ODHA (6342).

The Members’ Assistance Program that helps you balance your work and personal home lifeCounselling, advice and information are provided by experienced professionals on issues including:

Members’ Assistance Program from CDSPI is a professional helpline supported by the Ontario Dental Association, for the dental team and their families.

•relationships•familiesandparenting•work-related&careerconcerns•stress&anxiety

•depression•financial&legalmatters•careofagingfamilymembers•alcohol&drugabuse

•copingwithdisabilities•bereavement• trauma/criticalincidents•gambling

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