alberta dental association and college 2016 · alberta dental association and college 2016 annual...

AlbertaDental

Associationand College

2016AnnualReport

2 | Alberta Dental Association and College 2016 Annual Report

Alberta Dental Association and College 2016 Annual Report | 3

MISSION AND GOALS .....................................................................................................4HISTORY ...............................................................................................................................5PRESIDENT’S REPORT .........................................................................................................6PUBLIC MEMBER’S REPORT ..............................................................................................8COUNCIL .............................................................................................................................9NEW COUNCIL MEMBERS ............................................................................................10STRUCTURE ........................................................................................................................12HEALTH PROFESSIONS ACT & GOVERNANCE ..........................................................13REGISTRATION AND RENEWAL OF PRACTICE PERMITS ...........................................14REGISTRATION STATISTICS .............................................................................................15CONTINUING COMPETENCE ......................................................................................17PRACTICE VISITS ...............................................................................................................17COMPLAINTS RESOLUTION ..........................................................................................18DENTAL FACILITIES ACCREDITATION........................................................................... 20SEDATION ........................................................................................................................ 22FACIAL ESTHETIC THERAPIES AND ADJUNCTIVE PROCEDURES ............................. 24RADIATION HEALTH AND SAFETY ............................................................................... 26DENTAL FEES .................................................................................................................... 28DENTAL PREPAYMENT PLANS (DENTAL INSURANCE) .............................................. 30GOVERNMENT-ASSISTED PROGRAMS .......................................................................31COMMUNITY ASSISTANCE FUND .............................................................................. 33MOBILE DENTAL CLINIC PROGRAMS ......................................................................... 34RECOGNITION AND AWARDS .................................................................................... 36FINANCIAL STATEMENTS .............................................................................................. 43

Table of Contents


MISSION

The Alberta Dental Association and College provides leadership to the dental profession on professional regulations and member services, and provides the public with information and services, to ensure that Albertans receive safe, appropriate, ethical and quality dental care as an integral part of general health.

VISION STATEMENT

Albertans recognize and regularly use dental services as key components of their primary health care. The dentist-patient relationship is seen as central to the ongoing health of Albertans. Albertans trust their dentists, and view them as the leaders in the delivery of the most advanced, evidenced-based and caring dental services. Dental practices are considered a vital part of Alberta communities, and dentists are active contributors to community life.

The Alberta Dental Association and College upholds the public trust of dentists, and preserves the integrity of the relationship of dentists with government, other service care providers, supporters of dental services, the business community and the marketplace in general.

GOALS

Optimizing oral health services for all Albertans through governance leadership in the profession that ensures safe, appropriate and ethical oral health care.

Effective and efficient resolution of problems regarding oral health services provided by dentists; with patients, dentists, government, industry, and other health professionals.

In cooperation with patients, dentists, government, industry, other dental organizations and health professionals, the Alber-ta Dental Association and College supports effective resolution of health-care delivery issues to ensure that the public does not receive unsafe, inappropriate or unethical oral health services.

Effective communication and collaborative relationships with dentists, the public, government, industry, other dental organi-zations and health professionals.

Promotion of excellence in the delivery of oral health services.

Positioning of dentists and dental services with all stakeholders as trustworthy, competent, and responsive to personal well-ness of Albertans.

Effective monitoring and support of continuing competence and capacity to practice of Alberta dentists.


History

From Sitting Bull to Self-Regulation

In 1883, Dr. Frederick Shaw and Dr. William Wilson entered the practice of dentistry in the district of Alberta. Both had served with the Northwest Mounted Police.

Dr. Frederick Shaw, born in Kentville, Nova Scotia in 1856, graduated from the New York Dental College in 1878. In 1879 he applied to the Northwest Mounted Police for training and services. He made his way to the West through the United States to Fort Breton and then to Fort Walsh in the Cypress Hills. While serving at Fort Walsh, he provided dental treatment for Chief Sitting Bull, who required two teeth to be extracted to relieve pain. This was some time after the Battle of Little Big Horn in Montana which took place on June 25-26, 1876 when Chief Sitting Bull was delivered to the American authorities.

After several more years in the Northwest Mounted Police, Dr. Shaw obtained an honourable discharge in 1884. He registered himself as a practising dentist in the Northwest Territories and received certificate No. 1 in 1889 (the certificate was to practice dentistry and dental surgery). On buckboard or saddle horse, he travelled to Calgary, Medicine Hat, Lethbridge, Fort Macleod and Pincher Creek. He eventually built a home on the St. Mary’s River just north of Cardston. Dr. Shaw died in Lethbridge in 1926.

Dr. William “Tug” Wilson, born in Quebec, joined the Northwest Mounted Police in Winnipeg in 1875, stating his previous occupation as “dentist.” In December of 1883 he retired from the Northwest Mounted Police to practice dentistry in Calgary. He then moved to Edmonton and practiced in South Edmonton.

While Dr. Wilson’s professional qualifications were not

known and a college degree not located, he claimed to have “Fifteen years of practical experience.” He was forced to retire in the late 1800s due to eye trouble. He joined the Calgary Post Office, dying on September 17, 1928.

When the North West Territories Dental Association was organized on July 1, 1889, six dentists were practicing in Alberta: W. Haydon, Cochrane; E.C. Holbrook, Calgary; F.D. Shaw, Fort MacLeod; P.F. Size, Calgary; W. Wilson, Edmonton; and R.H. Zimmerman, Pincher Creek.

The Alberta Dental Association Formed in 1906

After receiving provincial status in 1905, the newly formed Alberta Legislature proclaimed a new Dental Act on May 9, 1906. The first annual meeting of the Alberta Dental Association was held on July 9, 1906. At the first meeting of the Alberta Dental Association under the new Alberta Dental Association Act, July 9, 1906, in Banff, the first motion was to establish a university in the Province of Alberta. In 1916, the Alberta Dental Association’s annual meeting was held in Banff, and meetings with the University of Alberta resulted in the inauguration of a dental program in the Medical Faculty at the University of Alberta in the fall of that year.

Over the years, the Alberta Dental Association has been instrumental in the development of many different government programs for Albertans in need of dental services. Other programs that have been developed are the Cleft Palate Program, Mobile Dental Clinics and the Craniofacial Osseointegration and Maxillofacial Prosthetic Rehabilitatoion Unit.

The Alberta Dental Association and College under the Health Professions Act in 2001

In May 1999, the Alberta Legislative Assembly passed the Health Professions Act to regulate all 30 self-governing healthcare professions in Alberta. This new law for regulated healthcare professionals required all healthcare professional colleges to follow common rules to investigate complaints and set educational and practice standards for registered members. The Health Professions Act also increased public representation on college councils and in disciplinary processes.

In December 2001, the Alberta Dental Association was the first profession to be regulated under the Health Professions Act. The Alberta Dental Association became the Alberta Dental Association and College.

Under the Health Professions Act, the Alberta Dental Association and College is the self-regulatory body for dentists in the province of Alberta, and currently regulates over 2,500 dentists in Alberta.

Self-regulation is the authority granted by statute (the Health Professions Act) to the dentistry profession to protect the public through regulating the practice of its members, and ensuring regulated dentists are qualified, competent and ethical.

The Program Development Committee functions under Section 27 of the Health Professions Act where ministerial approval has been recieved to negotiate professional fees on behalf of some or all of the members; there were no program considerations in 2016.


President’s Message

The Alberta Dental Association and College is the Dental Regulatory Authority for the province of Alberta. In 2016, the Alberta Dental Association and College was involved with many program initiatives in-cluding provincial legislation, patient communications,professional advertising, standards of practice and Council governance. On July 1st, the ADA&C ad-opted a new Governance model which provides a framework and operating guidelines and defines the roles and responsibilities with the Executive Director/Registrar role changed to Chief Executive Officer. This required significant by-law changes as well. This Annual Report outlines the 2016 regulatory functions of the Alberta Dental Association and College.

As the ADA&C president, my aspirations were, in

conjunction with Council, to act in a manner that serves the public interest and provides leadership to the pro-fession. The Council provides direction for the practice of dentistry by the regulated members. Through effective governance, the ADA&C builds the profession and maintains and enforces the Standards of Practice and the ADA&C Code of Ethics. Under the Health Profes-sions Act, all dentists must follow the boundaries defined by the Code of Ethics and the Guides and Standards of Practice. The ADA&C will always face new issues both internally and externally generated. External trade agreements are an example of issues that we must be fully cognizant of before they are finalized and imple-mented. The ADA&C must always act to proactively protect the profession and the public from those seeking negative change driven by the opportunity for personal gain at the expense of others.

The ADA&C acknowledged and thanked Dr. Gordon Thompson for his many years of dedicated service and his contributions towards making the ADA&C a strong and viable organization. The ADA&C was pleased to have Dr. Randall Croutze elected President of the Canadian Dental Association and Dr. Cliff Swanlund as President of the Canadian Dental Regulatory Authorities Federation. As an organization we have many out-comes to be proud of including being the first profession proclaimed under the Health Professions Act which provided a template for other professions; being the first province where all dentists can access the provincial Electronic Health Record; and receiving the CanadianDental Association Oral Health Promotion Award for producing the Patient Communication Guide which is used by the other provinces and territories. The ADA&CCouncil negotiated the sale of the current building as

a precursor to finding new office space which will facilitate more functional work spaces that address the current privacy and public access requirements.

This year the ADA&C completed the Centennial Pro-gram that was initiated in 2006. These actions were acknowledged at the 110th ADA&C Anniversary Gala in November. The publication “The First Centennial of the Alberta Dental Association and College”which was written by Dr. Thompson was unveiled at the Gala; the book outlines the transitions that the profession of dentistry and dentists have gone through in Alberta since the 1880’s and particularly since the Alberta Dental Association was formed in 1906. Thebook is in a coffee-table format with stunning archi-val photos and details on the profession’s history. The ADA&C had provided $3 Million to the University of Alberta in 2006 for two endowed chairs in the School of Dentistry, Faculty of Medicine and Dentistry at the University of Alberta, and the positions were filled this year. The ADA&C Clinical Dentistry Research en-dowed chair is Dr. Thomas Dietrich who is leading the development of a world-class clinical research pro-gram that focuses on innovation in oral health delivery. The ADA&C Oral Health Translation ResearchEndowed Chair is Dr. Owen Addison who will lead the development of a world-class dentistry research pro-gram with a focus on the active engagement between foundational sciences and clinical restorative dentistry.

The new Chief Executive Officer, Dr. Randall Croutze transitioned into the job in September. He has had considerable experience with the Alberta Dental Asso-ciation and College on many committees, the ADA&C Council and as President in 2006. Dr. Croutze was


born and raised in Edmonton and obtained a B.Sc. and then a DDS degree at the University of Alberta in 1985.

The Alberta Dental Association and College worked with Alberta Health on the various levels of communi-cation between dentists and their patients. The ADA&C “Ask Your Dentist” program was a comprehensive campaign that promoted prevention and dental health care at all stages of life. The campaign included television, radio and online ads, a patient brochure and web based information on the Alberta Dental Association and College website. The campaign focus was to promote patient discussions with their dentist to assist patients in making informed decisions about their dental care treatment, options and costs. The television videos end with Ask Your Dentist and a web link to www.askyourdentistalberta.com. With radio, the 30 second audios aired on radio stations across the province. Patient brochures were sent to all dental offices. The brochure provides information on dental fees, dental prepayment plans (dental insurance) and encourages patients to speak with their dentist about treatment options and fees to assist in making informed decisions.

In early December, Health Minister Sarah Hoffman released a fee review of dental services. The ADA&C worked collaboratively with the government as one of several stakeholders that had input into the gov-ernment’s Alberta Dental Review, Average Dental Fee Review Report and the Alberta Dental Consolidation Working Group.

The ADA&C has been providing documents and in-

formation to assist dentists with meeting the provincial requirements of the Health Information Act, and this year the emphasis was on the generation of Privacy Impact Assessments for dental offices. The Health In-formation Act establishes boundaries in that custodians must safeguard the health information they hold; only disclose what is needed to do the job and no more;provide anonymous information whenever possible; and only provide information to those with a need to know. With the extensive resources developed by the ADA&C, dentists are able to meet the requirements of the provincial government’s Office of the Information and Privacy Commissioner of Alberta. The next step for Alberta dentists is to be able to access Netcare, the Alberta government’s Electronic Health Record. InDecember, Alberta Health Services and the ADA&C approved field tests for dental offices accessing Net-care. As a result, Netcare will be made available to any dentist who wishes to use it. This will give dentists access to Personal Demographic Information; the Medication Profile with the Pharmaceutical Information Network, allergies, intolerances and immunization history; Diagnostic Imaging, tests and reports; and Laboratory test results. On a case by case basis, some dentists could have access to Hospital Visits; tran-scribed reports of hospital visits; and e-Referral for referrals to a medical specialist.

This year there was an emphasis on Guides such as the Guide for Advertising and Promotional Activities for Alberta Dentists and Standards of Practice includingSedation/General Anesthesia which was initiated in October 2014. The Sedation/General Anesthesia Standard was reviewed and updated at all of the ADA&C Council meetings in 2016. In October, the Se-

dation Omnibus Committee was formed to review the sedation spectrum from minimal sedation to general anesthesia.

The ADA&C assisted Fort McMurray dentists after the wild fires destroyed parts of the city. All of the dentists were sent emails, and those who had cell phone num-bers on file were contacted by the ADA&C. A Mobile Dental Clinic was set up in Fort McMurray to provide dental service to patients by several dentists until they were able to reopen their dental practices in Fort McMurray. The Mobile Dental Clinic was operational six days a week as dentists provided the full range of dental services.

Dr. Allan Graas


Public Member’s ReportThe primary mandate of the Alberta Dental Association and College is to maintain a standard of excellence for the delivery of dental health services in Alberta.

As a member appointed by the Government of Alberta, my primary concern is patient safety and public protection. I maintain, without a doubt, that the Alberta Dental Association and College continues to keep this as its primary purpose. There is no question that the Alberta Dental Association and College is fulfilling its obligations under the Health Professions Act. As such, regulated members are enjoying the privilege of self-governance that the legislation offers.

I bring a wide range of experience in governance to the position. This includes not-for-profit organizations, volunteer board positions and a role in health care. As a public member, I advocate for the public and endeavor to bring the public’s perspective to the dentistry profession.

I try to provide input so that the interests of the Alberta Dental Association and College membership are considered, along with those of the public. Therefore, at Council meetings I participate in discussions, advise on issues, and contribute to strategies to enhance the profile of the Alberta Dental Association and College.

The Alberta Dental Association and College is well positioned and strong, due to many individuals. The work of the Council and staff of the Alberta Dental Association and College is an important part of keeping the Alberta Dental Association and College operating efficiently.

I feel honored and privileged to be associated with the dentistry profession and to share in a diverse mandate. As a public member, I can attest that members and the public are well served by Council, volunteers, committee members and staff. The Alberta Dental Association and College and its membership are dedicated to the provision of excellent health care services to Albertans, and I acknowledge and commend the efforts I have observed.

Ms. C. (Colleen) Sekura


Dr. A.H. (Allan) GraasPresident, Council MemberCalgary District

Dr. T.F. (Tobin) DotyPast-President, Council MemberCalgary District

Dr. G.S. (Mintoo) BasahtiPresident-Elect, Council MemberEdmonton District

Dr. A.N. (Anthony) OdenbachVice-President, Council Member Central District

Dr. T.A. (Troy) BasarabCouncil Member,

Southern District

Dr. R.P. (Randall) CrowellCouncil Member, Edmonton District

Dr. C.A. (Carol) MartinCouncil Member, Northern District

Ms. C. (Colleen) SekuraCouncil Member,

Public Member

Dr. J.I. (Jonathan) SkubaCouncil Member, Edmonton District

Dr. S.B. (Bruce) YaholnitskyCouncil Member,

Calgary District

2016

Council


New Council MembersDr. Randy Crowell

Dr. Randy Crowell, a General Dentist, is proud of the thriving family practice he has developed over the past 25 years in Edmonton’s west end. Prior to practicing dentistry, Dr. Crowell began his career in health care as a Paramedic. He completed his Emergency Medical Technician training in 1980 from S.A.I.T. and earned his Paramedic diploma (EMT-P) in 1984 from N.A.I.T. He worked as a Paramedic and STARS Flight Medic until 1991 and also became a Basic Life Support (CPR) Instructor that same year.

Dr. Crowell obtained his degree in dentistry from the University of Alberta in 1991 where he was the President of his graduating class. From 1994-2000, Dr. Crowell sat on the Edmonton and District Dental Society Board as Director and was President of the Society for the 1998-1999 term. During his Edmonton and District Dental Society tenure, his Board of Directors oversaw programs such as Open Wide and Start School Smiling, to name a few. He is the Founder of the Northwest Dental Exposition which takes place in Edmonton to this day.

In 1997, Dr. Crowell earned his Physiology, Monitoring and Intravenous Conscious Sedation Certificate from the University of Toronto and in 2003, he qualified as an Ad-vanced Cardiac Life Support (ACLS) instructor through the Heart and Stroke Foundation of Canada. As part of his commitment to patient care, Dr. Crowell was instrumen-tal in bringing the Intravenous Conscious Sedation Program to the University of Alberta through the support of the Faculty of Medicine and Dentistry’s Continuing Dental Education division. He currently serves as the Chair of the Sedation Standards Review Committee for the Alberta Dental Association and College.

He is active in the Faculty of Medicine and Dentistry’s Continuing Dental Education division as a lecturer, where he has taught Intravenous Conscious Sedation, Emergen-cy Airway Management, Basic Life Support and Advanced Cardiac Life Support. Dr. Crowell has run sedation update courses through the University of Alberta in Banff and Kelowna. Dr. Crowell also assists in patient clinics with sedation students for the University of British Columbia.

He has delivered various dental office medical emergency lectures to dentists, hygienists and assistants for the University of Alberta, the College of Registered Dental Hy-gienists of Alberta and the Edmonton Dental Assistants Association. He has a special interest in offering general dentistry with intravenous sedation services and recently finished helping the Canadian Dental Association in Ottawa review their office medical emergencies online program Oasis for Canadian Dentists.

In his 25 years in dentistry, Dr. Crowell has always been active in the Edmonton and District Dental Society, matters of governance and at the Faculty of Dentistry, provid-ing lectures and courses for dentists, hygienists and assistants in Alberta and abroad.


Dr. Carol Martin

Dr. Carol Martin graudated from the University of Toronto in 1981. From 1981 to 1982 she was Dental Intern at Sunnybrook Health Sciences Centre, a University of Toronto teaching hospital. She was associate of two general dentistry practices in Calgary from 1982 – 1983. From 1983 to 1988 she maintained a practice of general dentistry, in Manning. She was an associate in Calgary, from 1988 to 1989. Since 1990 she has operated her own general dentistry practice in Beaverlodge.

From 2001 to 2004 Dr. Martin was a member of the Continuing Competency Committee of the Alberta Dental Association and College. In 2006 she was induced as a Fellow of the International College of Dentists (Canadian Section). From May 2011 to December 2012 she designed and registered tartans for the Canadian Dental Asso-ciation and the International College of Dentists (Canadian Section). Since September 2012 she has been a member of the Standing Tartan Committee of the Canadian Section of the International College of Dentists. In 2014 she was inducted as a Fellow of the Pierre Fauchard Academy, Canadian Section. From 2013-2015 Dr. Martin was an evaluator for the National Dental Examining Board in Ottawa.

Dr. Martin enjoys walking and playing with her German Shepherd, hiking, snowboarding, gardening (roses, trees, vegetables, flowers), knitting, sewing, reading, tartan design and photography.

New Council Members


Structure

GOVERNMENT OF ALBERTA MINISTER OF HEALTH

ALBERTANS

Professional Actions

MEMBERSHIP

Representations

National DentalExamining Board

University of Alberta

NAIT and SAIT

Canadian Dental Regulatory Authorities Federation

Representations

Canadian Dental Association

COUNCIL

Professional ActionsProfessional RelationsGovernanceMembership Services

Dental Congress

Publications andCommunications

First Nations and Inuit Health

Radiation Health and Safety

Hearings TribunalHearings Tribunal

Registration

Alternative ComplaintResolution

Complaint ReviewCommittee

Radiation Health and Safety

Facilities Accreditation

Continuing Competence

Confidential Assistance Executive Committee


Health Professions Act Governance

The Alberta Dental Association and College is governed by a twelve-member council (nine [9] elected dentists, and three [3] public members appointed by the Lieutenant Governer in Council).

Council uses a policy governance model adhering to the Health Professions Act, on the responsibilities related to registration, competence, practice monitoring and complaint resolution.

Council defines the strategic goals and objectives (policy) while the Cheif Executive Officer and the administrative team are responsible for developing and implementing results (operations).

Council is responsible for governing the dental profession in Alberta: Council carries out this responsibility by developing regulations, standards of practice, codes of ethics and bylaws.

The Alberta Dental Association and College provides leadership to the dental profession on professional regulations and member services, and provides the public with information and services, to ensure that Albertans receive safe, appropriate, ethical and quality dental care as an integral part of general health.

Under the Health Professions Act, regulatory responsibilities are:

• establishing entrance requirements for the profession, including academic preparation, and examinations;• registering of dentists in the province of Alberta; • maintaining a register of regulated dentists;• administering the Health Professions Act;• administering the Dentists Profession Regulation;• developing, administering and enforcing the bylaws, policies and procedures necessary to fulfil the

requirements of governing legislation;• adopting a Code of Ethics for the profession;• establishing and setting Standards of Practice for the profession;• developing, implementing and monitoring a Continuing Competence Program for the profession;• investigating, adjudicating and resolving complaints;• liaising with the Government of Alberta regarding the Health Professions Act and other relevant

legislation;• liaising with other dental regulatory authorities; and• liaising with other professional regulatory authorities.


The application and registration process for dentists in Alberta is regulated under the Health Professions Act. The registration requirements are detailed in the Health Professions Act.

General DentistTo apply for registration in the province of Alberta as a general dentist, an applicant must provide a copy of the certificate from the National Dental Examining Board of Canada.

Dental SpecialistAn applicant for dental specialist requires successful completion of the National Dental Specialty Examination of the Royal College of Dentists of Canada.

General Dentist and Dental SpecialistIf an applicant wishes to apply for registration as both a general dentist and a dental specialist, a copy of the certificate from the National Dental Examining Board of Canada and successful completion of the National Dental Specialty Examination of the Royal College of Dentists of Canada (both) are required.

All members are required to complete an annual renewal of registration and pay fees as part of this annual renewal process. Annual renewal is completed electronically through the website. All members must meet the continuing education requirements on a two-year cycle as part of their annual renewal. Two years, from January 1, 2016 - December 31, 2017 is the current cycle for continuing education requirements.

Dental Specialties in CanadaThe Canadian Dental Association outlines nine (9), nationally recognized dental specialties in Canada.

Dental Public HealthDental public health specialists focus on improving the dental health of populations rather than individuals. They principally serve the community through research, health promotion, education and group dental care programs.

EndodonticsRoot canal therapy is the most common procedure performed by endodontists. But that’s not all they do. Their specialty encompasses the diagnosis, prevention and treatment of nerve and tissue diseases and injuries.

Oral and Maxillofacial SurgeryOral and maxillofacial surgeons diagnose and surgically treat disorders, disease, injuries and defects impacting the functional and esthetic aspects of the mouth, head and neck. For example, they can extract wisdom teeth or broken teeth, treat temporomandibular joint disorders, or place dental implants and bone grafts.

Oral Medicine and PathologyDentists sometimes send specimens to specialists in the area of oral medicine and pathology. These specialists rely on clinical, radiographic, microscopic and biochemical examinations to establish a diagnosis. They focus on the nature and nonsurgical management of disease and disorders that affect oral structures.

Oral and Maxillofacial RadiologyOral and maxillofacial radiologists help diagnose and treat diseases and disorders of the craniofacial complex through the use of imaging technologies such as X-rays, CT scans and MRIs.

Orthodontics and Dentofacial OrthopedicsOrthodontists are trained to diagnose, prevent and treat dental and facial irregularities, for both functional and esthetic reasons. Treatment options include the use of dental braces, retainers, spacers and other devices.

Pediatric DentistryPediatric dentists provide preventive and therapeutic oral health diagnosis, care and consulative expertise for infants and children through adolescence, including those with special care needs. They receive training on handling the fears or anxieties of some children.

PeriodonticsPeriodontists focus on the diagnosis, prevention and treatment of diseases and conditions that affect the bones and gums or that lead to loose or lost teeth. They help maintain the health, function and esthetics of these structures and tissues. Periodontists also place dental implants.

ProsthodonticsProsthodontists are trained to diagnosis, restore and ensure oral function, comfort, appearance and health by the restoration of the natural teeth or the replacement of missing teeth (e.g. bridges, dentures, implants).

Registration and Renewal of Practice Permits


Registration Statistics

REGULATED MEMBERS 2640General Dentists 2274

Dental Specialists 311

Education and Research Registrations* 49

Courtesy Registrations 6

* Of the total 49 Education and Research Registrations, 12 are residency program students.

There were 3 Volunteer Registrations in 2016.

NEW REGISTRATIONS 130

Practicing Dentists 63

Interprovincial 20

International 43

New Graduates 67

Canada 50

International 17

Dental Specialists 18

Endodontics 1

Orthodontics 10

Pediatric Dentists 3

Periodontists 1

Prosthodontists 2

Oral and Maxilofacial Pathology 1

Registration Appeals 0

Professional Coroporations 2382

The following table summarizes registration data from the 2016 membership year.


Continuing Competency Practice Visits

Continuing Competency

The Council of the Alberta Dental Association and College continues to review the standards for Con-tinuing Education in terms of the accountability that is required under the Health Professions Act and the Dentists Profession Regulation. The Continuing Com-petence requirement is 60 credit hours over a two-year period ending in the odd years (e.g. January 1, 2016 to December 31, 2017). Continuing education requirements must be met prior to registration renewal at the end of the two-year term. If a member has not met their required credit hour amount they may apply for a 60-day extension (while retaining their practice permit) to be applied to this previous two-year term or the member will be suspended until they obtain the appropriate credit hours.

To obtain program credits, a regulated member may undertake professional development activities such as attendance at a dental-related scientific or clinical course designed to enhance the professional devel-opment of dentists; attendance at a dentistry-related approved study club; receipt of fellowship by exam-ination; completion of a graduate or postgraduate specialty program; publication of a research paper in a peer-refereed journal; self-directed study and other activities approved by the Alberta Dental Association and College Council, the Chief Executive Officer or the Continuing Competence Committee.

Verification by provider is mandatory; attendance at individual courses is verified or no credits are given. Credit hours are granted based on one hour of lecture time equals one hour of credit time. Lectures and courses must be provided by:

• American Dental Association Continuing Educa-tion Recognition Program (ADA CERP) approved providers;

• Academy of General Dentistry Program Approval for Continuing Education (AGD PACE) approved providers;

• International, national, provincial and state dental programs in General Dentistry and Alberta Dental Association and College recognized specialties;

• Alberta Dental Societies;• Registered Alberta Dental Specialists;• University of Alberta Faculty of Medicine and

Dentistry;• Cardiopulmonary Resuscitation (CPR) courses by

any recognized provider;• Approved Small Group Learning Sessions (or

Study Club); and• Other activities approved by Council, the Chief

Executive Officer or the Continuing Competence Committee.

Practice Visits

Practice visits are part of the Health Professions Act and the Dentists Profession Regulation. The Alberta Dental Association and College conducted practice visits as part of the Continuing Competence Program as directed by Council. The visitations were designed to assist practitioners in the guidance and implemen-tation of Standard of Practice: Infection Prevention and Control Standards and Risk Management for Dentistry and Standard of Practice: Use of Sedation in Non-Hospital Dental Practice.

A total of 73 practice visits were completed in 2016.


Complaints ResolutionThe Alberta Dental Association and College is the dental regulatory authority for Alberta. The ADA&C administers all complaints within the authority granted by legislation from the Government of Alberta. The main legislation is the Health Professions Act. Under the Health Professions Act, the ADA&C is unable to publicly disclose information about a dentist and a complainant.

The public interest is forefront in the complaints process. All regulatory matters must balance protecting the public and ensuring fairness to a dentist.

The complaint process is designed to review a complaint and determine if:

• the conflict can be resolved by the Complaints Director;• the complainant and dentist can resolve the conflict directly;• further investigation is warranted; or • the complaint should be dismissed.

An investigation can take on many forms as follows:

• interviewing the people involved;• asking for written responses and comments;• reviewing complete charts and treatment notes; and• attending at the practice of the dentist.

If a complaint is refered to a hearing:

• the hearing may be held where witnesses, including the dentist and the complainant, may be present and give evidence under oath; • hearings are open to the public and the date of a hearing is published on the ADA&C website;• a purpose of the hearing process is to determine if the dentist has engaged in unprofessional conduct. The hearing process is focussed on the conduct of the dentist;• a hearing tribunal includes one public member who is appointed by the Lieutenant Governor in Council, Government of Alberta and three dentists; and• if a hearing tribunal determines that a dentist has engaged in unprofessional conduct, a summary of the decision and the evidence from the hearing is shared

publicly, including on the ADA&C website.


Dentists are encouraged to address complaints and concerns with their patients early on in their practice with the goal of preventing a complaint but also to address the needs of the patient. Where complaints are made to the ADA&C, dentists and complainants are encouraged by the Complaints Director, at the onset of the complaint process, to work together to resolve the complaint. At times, the Complaints Director assists the dentist and the complainant to communicate with each other to resolve the complaint.

The Alberta Dental Association and College encourages resolution of advertising complaints. Advertising complaints are not easily resolved before a complaint is made because many times notification of a complaint may then encourage a member to review his or her advertising to determine if it is compliant with the Health Professions Act and the Alberta Dental Association and College Code of Ethics.

2016 Complaint Statistics Category Total Treatment

ComplaintsAdvertisingComplaints

Complaints carried over from previous years and open as of January 1, 2016 94 83 11

New complaints 2016 140 131 9

Complaints closed 2016 112 102 10

Complaints carried over to January 1, 2017 122 112 10

Breakdown of complaints Complaints referred to hearing 9 7 2

Hearings partly or completely closed to public 0 0 0

Appeals (Complaint Review Committee) 0 0 0

Members assessed for incapacity 1 0 0


Dental Facilities AccreditationAll non-hospital facilities and dental surgical facilities where general or neurolept anesthesia are used in dental treatment must be accredited by the Alberta Dental Association and College. This process involves application, completion of a questionnaire and an inspection to ensure compliance with the Alberta Dental Association and College Standard of Practice: Dental Facility Accreditation. This process is separate from that required by the College of Physicians and Surgeons of Alberta.

Accreditation is mandated by law in Alberta in the Health Professions Act and the Health Care Protection Act and is carried out by the Dental Facilities Accreditation Committee. The Alberta Dental Association and College carries out the responsibilities of accreditation (as outlined in the Health Professions Act, Schedule 7) by:• establishing a Dental Facilities Accreditation

Committee;• establishing the power and authority of the

Dental Facilities Accreditation Committee to accredit facilities; and

• allowing for decisions of the Dental Facilities Accreditation Committee to be appealed to council.

Dental Surgical Facility Accreditation Regulation requires Council to approve and publish standards for dental surgical facilities, and requires regulated members working in accredited facilities to comply with those standards. Section 12(1) of Schedule 7 of the Health Professions Act requires that a dental surgical facility be accredited before a regulated dentist provides dental surgical services in it to the public. Dental surgical services include:

1. a professional service that is provided by a regulated member where an anaesthetic is used that renders the patient unconscious, or where neurolept anaesthetic is used;

2. an “insured surgical service” as defined in the Health Care Protection Act that is provided by a regulated member in a facility that must be accredited under Schedule 7 of the Health Professions Act; or

3. any other professional service described in the regulations that is provided by a regulated member that in the opinion of the council represents a risk to the patient that is greater than usual for a professional service provided by a regulated member.

Dental surgical services include major and minor surgical services. Minor surgical services, as set out in Schedule 1(1) of the Health Care Protection Act are exempt from needing to be performed in an accredited facility if certain anaesthetic and clinical conditions with respect to the procedure and the patient are met.

Section 3(1) of the Health Care Protection Regulation sets out that minor surgical services are not exempt from needing to be performed in an accredited facility if in the circumstances under which the surgical procedure is performed, there is significant risk of any of the following:• intra-operative or post-operative hemorrhage; • intra-operative or post-operative airway

compromise; • compromise of the patient’s cardiovascular or

respiratory status; and• injury to a major vessel in the operative field.

The Health Care Protection Act establishes the overall regulatory framework for surgical services which apply to both dentists and physicians.

“Insured surgial services” are defined by the Health Care Protection Act. The Health Care Protection Act states that in order for a facility to provide “insured surgial services,” the facility must:

1. be accredited;2. have an agreement with Regional Health Authority;

and 3. be designated by the Government of Alberta,

Minister of Health.


2016 Dental Facilities Accreditation Statistics

Total Accredited Facilities 37 Non-Hospital Surgical Facilties 33 Dental Surgical Facilities 4

DFAC Activities Facility Inspections 8 Existing Facilities Re-accreditation 6 Accreditations Outstanding 2 New Facility Applications 3 New Facilities Accredited 2

Distribution of Types of Procedures

Distribution of Procedures Performed for a Given Location


SedationDentists offering sedation must adhere to the requirements outlined in Standard of Practice: Use of Sedation in Non-Hospital Dental Practice, produced by the Alberta Dental Association and College (January 2011). The Standard of Practice: Sedation in Dental Practices applies to dentists who are administering sedation in dental prac-tices. Sedation is a pharmacologically-induced, minimally to moderately depressed level of consciousness that retains the patient’s ability to independently and continual-ly maintain an airway and respond to physical stimuli and verbal command.

The standards apply to the administration of sedation in a non-hospital dental practice. Specifically, the Standard of Practice: Use of Sedation in Non-Hospital Dental Practice apply to:

• dental practices where sedation is administered;• dentists who administer sedation;• dentists who administer Modalities 1 through 4 in a dental practice that is within or part of a non-hospital dental practice; and• clinical personnel who provide surgical or sedation support to dentists administering sedation.

There are four modalities of sedation. The Standard of Practice: Use of Sedation in Non-Hospital Dental Practice, produced by the Alberta Dental Association and College (January 2011) is divided into four sections for the four modalities. The modality determines the physical equipment and personnel requirements of the dental setting, the training requirements of the dentist administering the sedation and the clinical personnel assisting the dentist.

The requirements for each modality, when used separately or in combination by a dentist in a non-hospital dental practice, must be met.

The modalities are:• Modality 1: Nitrous Oxide and Oxygen Sedation.• Modality 2: Oral Administration of a Single Dose of a Single Sedative Drug (Benzodiazepines or Benzodiazepine-like drugs and Antihistamines only).• Modality 3: Oral Administration of a Single Sedative Drug with Nitrous Oxide and Oxygen or Supplemental use of a Single Sedative Drug (upon review, permits are issued).• Modality 4: Parenteral and Parenteral-like Sedation (upon review, permits are issued).

o Single Drug IV (4S)o Two Drug IV (4F - Fentanyl)

The Alberta Dental Association and College issues a permit based on the level of competency achieved for all dentists providing Modality 3 and Modality 4 described by this Standard.

Where more than one modality of sedation is administered (including pre-sedation) at a single appointment, a dentist may only assess a fee for the highest modality ad-ministered at that appointment.


If a patient’s response to sedation results in depression beyond the level of sedation intended, OR entry of the patient into levels of deep sedation or general anes-thesia OR if the patient’s response or an unanticipated event results in the need for transfer of the care of the patient to another provider, a dental surgical facili-ty, a non-hospital surgical facility or hospital, it is a reportable incident and must be reported to the Chief Executive Officer of the Alberta Dental Association and College.

This sedation modality table does NOT apply to the administration of neurolept analgesia/general anes-thesia (see page 22):

Dentists are required to register annually specifying modality of sedation administered. Of the 2607 den-tists registered in 2016, 1398 registered for admin-istration of sedation with the registration breakdown below.

Permit Modality Number IssuedModality 3 329

Modality 3/4S 46

Modality 3/4F 1

Modality 3/4S/4F 91

Modality 4S 20

Modality 4F 5

Modality 4S/4F 11

TOTAL PERMIT ISSUED 503

Modality Description

Modality 1 Nitrous Oxide and Oxygen Seda-tion

Modality 2 Oral Administration of a Single Dose of a Single Sedative Drug

Modality 3 Oral Administration of a Single Sedative Drug with Nitrous Oxide and Oxygen or Supplemental Use of a Single Sedative Drug

Modality 4S Parenteral and Parenteral-like Seda-tion (Single Drug IV)

Modality 4F Parenteral and Parenteral-like Seda-tion (Two Drug IV - Fentanyl)

2016 Sedation Statistics

Modality Registered Number Registered

Modality 1 103

Modality 1/2 468

Modality 1/2/3 311

Modality 1/2/3/4S 44

Modality 1/2/3/4S/4F 91

Modality 1/2/4S 1

Modality 1/2/4S/4F 4

Modality 1/3 1

Modality 1/4S 4

Modality 1/4S/4F 2

Modality 2 316

Modality 2/3 15

Modality 2/3/4S 1

Modality 2/3/4S/4F 3

Modality 2/4S 5

Modality 2/4S/4F 2

Modality 3 8

Modality 4S 2

Modality 4F 4

Modality 4S/4F 3

TOTAL 1398


Facial Esthetic Therapies & Adjunctive Procedures

The Standard of Practice: Facial Esthetic Therapies and Adjunctive Procedures applies to dentists who are administering Schedule 1 drugs such as neuromodulators (e.g. Botulinum Toxin Type A), dermal fillers, other agents (injected and/or topical) and adjunctive non-surgical and/or surgical therapies used to provide comprehensive ther-apeutic and esthetic oral and maxillofacial treatment for the restoration of a patient’s appearance in form and function or to enhance their appearance, or both.

Oral and Maxillofacial Surgeons may provide any procedures, so long as their training encompassed said procedures.

The Alberta Dental Association and College issues a certificate based on the level of competency achieved for all dentists providing the levels of treatment described in the Standard. The Alberta Dental Association and College maintains a list of approved programs at each level.

Levels:• Level 1: Applied Anatomy Review and Introduction to Neuromodulators• Level 2: Basic Neuromodulators: Upper Face and Bruxism Treatment• Level 3: Advanced Neuromodulators: Mid-Face and Lower Face/Neck Regions and Myofascial Pain and Dysfunction Treatment• Level 4: 4a - Dermal Fillers: Basic Facial Dermal Fillers

4b - Dermal Fillers: Advanced Facial Dermal Fillers 4N - Neuromodulators for Deep Muscles of Mastication

• Level 5: Advanced Non-Surgical Esthetic Procedures• Level 6: Advanced Surgical Esthetic Procedures

Dentists permitted to administer Facial Esthetic Therapies and Adjunctive Procedures - 2016

Level of Certification Number RegisteredLevel 1: Applied Anatomy Review and Introduction to Neuromodulators 454

Level 2: Basic Neuromodulators:Upper Face and Bruxism Treatment

415

Level 3: Advanced Neuromodulators:Mid-Face and Lower Face/Neck Regions and Myofascial Pain and Dysfuntion Treatment

101


Radiation Health and Safety ProgramThe Alberta Dental Association and College is an Authorized Radiation Health Administration Orga-nization, delegated with certain powers, duties and functions under the Radiation Health Administration Regulation of the Government Organization Act. Since July 1997 the Alberta Dental Association and College has provided services in the administration of the Radiation Protection Act and Radiation Protection Regulation to owners of diagnostic x-ray equipment and class 3b and 4 lasers installed or operated within dental facilities, including dental education facilities, but excluding dental facilities owned by Alberta Health Services.

The Alberta Dental Association and College maintains the database of all registered radiation equipment owned by dentists in the province. Registration cer-tificates are issued after the equipment is inspected and registered and must be displayed in all facilities. The Alberta Dental Association and College monitors the existence of a Quality Control Program and the mandatory use of personal dosimetry services in all facilities.

2016 Radiation Health and Safety Statistics

Category Number

Active facilities certified 1348

Active owners registered 1175

Pieces of active equipment certified excluding lasers

6308

Class 3b or Class 4 lasers 859

Suspended or cancelled registrations/certificates

0

Reported overexposures 0

Investigations undertaken 0

Complaints received 0


Dental FeesThe Alberta Dental Association and College commissioned an independent company, Trend Research Inc., to conduct a statistically valid survey of Albertans in August 2015. The report demonstrated that nearly 75 per cent of Albertans receive dental care on a regular basis. The Alberta specific data are consistent with the national data as reported in the 2010 Report on Findings of the Oral Health Component of the Canadian Health Measures Survey which showed that over 74 per cent of Canadians went to the dentist in the previous year. This national Health Canada report indicated that of the 25 per cent of the people who had not visited a dentist, only 17 per cent reported that it was due to cost. This is very similar to the Alberta survey with approximately 14 per cent saying that they did not go to the dentist due to cost. An analysis of the Alberta survey data shows that other factors that discourage visits to the dentist are: a) whether or not they feel a visit to the dentist is necessary; b) fear/anxiety; and c) no dentist in the area.

Good to Excellent

Poor to Very Poor

No Opinion

73 11 15

73

1115

0

10

20

30

40

50

60

70

80

Good to Excellent Poor to Very Poor No Opinion

Perc

ent

Albertans' Value for Money Spent on Dental CareTrend Research Inc. Survey August 2015

Albertans' Value for Money Spent on Dental Care


The Trend Research Inc. statistically valid survey of Albertans demonstrates that:

• 73 per cent of Albertans feel they receive good to excellent value for their money spent on dental care.

• Only 11 per cent of Albertans are concerned with the value for money spent on the dental care they receive.

• Nearly 75 per cent of Albertans receive dental care on a regular basis. • In Alberta, the single biggest factor determining whether someone visits the dentist is whether they consider

it necessary.

• Dental fees are set like any other business and vary based on cost centres including geographical factors, U.S./Canada exchange rate and government regulatory requirements. The decrease in value of the Canadian dollar has increased the cost of operating a dental practice in Canada significantly as the majority of dental instruments, materials and equipment are manufactured in the U.S.

• The costs of operating a dental practice and dental fees vary by province.

• Dentist salaries in Alberta are on par with salaries in other provinces and with other professions.

• Dentists are socially responsible and for example provide treatment to underprivileged Albertans covered by the Alberta Health social dental programs for significantly reduced reimbursement levels of between 59 per cent and 66 per cent of the normal and customary fee.

• Insurance companies establish maximum reimbursement levels for a dental procedure that are frequently lower than the actual fee for the dentist to provide the service. Insurance company maximums are not necessarily based on the actual cost of providing the dental service.


Dental Prepayment Plans (Dental Insurance)Dental insurance is not insurance as it is a prepaid dental benefit plan and is a means to assist patients in paying for dental treatment. Most Albertans (73 per cent) have access to a prepaid dental plan through their employer and the insurance companies that provide them are actually benefit administrators. Insurance companies reimburse patients based on the level of coverage decided by the patient’s employer. Prepaid dental plans were developed to assist patients with paying for dental care, not to pay for 100 per cent of the dental care received.

Insurance companies establish percentage reimbursement, e.g. 80 per cent, and the maximum reimbursement level for the various prepaid dental plans. Insurance companies frequently set the maximum reimbursement level below the actual fee to provide the dental service which leads to the patient paying the percentage not paid by the insurer and the gap between the insurer’s maximum reimbursement level and the normal and customary dental fee to provide the service. For example, insurance companies frequently state that they are providing 100 per cent dental coverage but the 100 per cent is limited to a maximum for the procedure that is set far below the actual cost of providing the service. In effect it is really an 80 per cent or 90 per cent reimbursement or even less of the actual cost. This creates confusion for patients as the insurance company says it is a 100 per cent coverage when it is not and leaves the dentist trying to explain to patients that these are actions taken by insurance companies to shift costs from the insurance company to the patient.

Dental insurance premiums have gone up year over year but for the most part insurance benefit maximums have remained the same. In effect this means that in current dollars the maximums have actually decreased due to inflation.

The Alberta Dental Association and College collaborates with insurance companies by sharing information collected annually through the Alberta survey of dental fees. Dental prepayment plan providers have not kept pace with the fee increases for dental care in Canada.


Government - Assisted ProgramsWhile the majority of Albertans feel that they receive good value for dental fees and visit their dentist on a regular basis, there remains a portion of our society who are unable to maintain good dental care for a variety of reasons including cost and accessibility.

In terms of social responsibility, Alberta dentists provide dental services to disadvantaged individuals identified by the Government of Alberta as qualifying for one of the various social programs. There is a Memorandum of Understanding between the Alberta Dental Association and College and the Government of Alberta that requires dentists to accept the fees of the government social dental programs as full payment for the specific services provided under the programs. Dentists are not permitted to bill or balance bill patients for any of the specific services identified within the social programs and must utilize the fee schedule(s) published as the maximum fee allowed. However, the Dental Assistance for Seniors Program provides payment of a fee that may be part of the dentists’ fee.

The Government of Alberta has several social dental programs each with their own fee schedule these include Schedule A the Child Health Benefit, Schedule B Standard Dental Coverage, Schedule C Supplementary Dental Coverage (AISH and Children in Care Clients), Schedule D Family Support for Children with Disabilities program and Schedule E Child Dental Benefits provided to dependant children of Income Support recipients and Alberta Adult Health Benefit recipients.

The fee reimbursement levels dentists receive from these government programs are significantly lower than the normal and customary fees of dentists for these procedures. In 2016 the highest average reimbursement was provided by the Child Health Benefit Program at 66 per cent, followed by Schedule C the Supplementary Dental Coverage (AISH and Children in Care Clients) at 61 per cent and the lowest was for Standard Dental Coverage, at 59 per cent of the normal and customary dentist fee. The reimbursement levels are often below the actual cost of providing the service.

Many dentists volunteer their time for various community programs that support the dental health of less fortunate Albertans. Dentists frequently provide pro bono treatment for those patients who are financially struggling or experiencing hardship for various reasons.


Community Assistance Fund

Year Agency City Amount Project2012 Boyle McCauley

Health CentreEdmonton $4,939 Assist people who face barriers to accessing oral

heath services through the dental clinic2013 HIV North Society Grande

Prairie$2,076 Support Oral Health Day

2014 Kindness in Action Service Society of Alberta

Edmonton $2,090 Dental Clinic at Homeless Connect

2014 Camrose Open Door Association

Camrose $4,000 Assist clients with costs related to dental appoint-ments and dental work

2015 Glenrose Rehabilita-tion Hospital Foun-dation

Edmonton $5,000 Support Oral Health Services Clinic which provides services to people with complex conditions and mobility challenges

2015 Boyle McCauley Health Centre

Edmonton $9,342 Provide subsidized dental care for patients who do not have coverage or limited coverage (on a slid-ing scale based on income)

2016 Central Alberta’s Safe Harbour Soci-ety for Health and Housing

Red Deer $9,316 Provide dental care to homeless adults

The Alberta Dental Association and College Community Assistance Fund is a provincial fund administered for the Alberta Dental Association and College by the Edmonton Community Foundation. The intent of the Fund is to enhance the quality of life for those living in Alberta by supporting programs that assist people who face barriers in accessing oral health services provided by Alberta dentists. As the Fund has a provincial mandate, the Community Foundation has worked with funding partners in other centers to identify agencies which are able to use the funds within the funds intent. The allocation is as follows:


Mobile Dental Clinics ProgramOn May 1, 2016, the wildfire began southwest of Fort McMurray, Alberta. On May 3, it swept through the community, destroying approximately 2,400 homes and buildings and forcing the largest wildfire evac-uation, approximately 88,000 people, in Canadian history. It continued to spread across northern Alberta and into Saskatchewan, consuming forested areas and impacting Athabasca Oil Sands operations. The fire spread across approximately 590,000 hectares before it was declared to be under control on July 5, 2016. It is the most expensive disaster in Canadian history, estimated to be 3.6 billion dollars.

As a professional organization, it is the responsibili-ty of the Alberta Dental Association and College to mobilize its resources and its membership to assist our dental colleagues in any way that we can in times of disaster. Immediately after the evacuation of Fort Mc-Murray, the Alberta Dental Association and College offered its Mobile Dental Clinics that could have been used by dentists to provide emergency dental care to the evacuees. As it turned out the mobile dental clinics were not required as dentists across the province stepped up and addressed the emergency dental care needs of evacuees in their offices.

The Alberta Dental Association and College informed Fort McMurray dentists that the Mobile Dental Clin-ics could be made available upon their return to Fort McMurray, if required, until they were able to reopen their dental offices. Several dentists contacted the Alberta Dental Association and College with interest in utilizing the Mobile Dental Clinics if they determined it was necessary after they returned to Fort McMurray.

The phased re-entry into Fort McMurray commenced June 1 and was completed by mid-June to coincide with full restoration of Northern Lights Regional Health Centre. The Alberta Dental Association and College worked with Alberta Health on the importance of emergency dental services for Fort McMurray area residents and workers. The Alberta Dental Association and College met with Alberta Health and continued to discuss the level of integration of dental services in June.

Only after the return to Fort McMurray in early June could dentists fully assess the magnitude of the dam-age to their dental practices and the full impact that this tragedy had on their personal and professional lives.

The Alberta Dental Association and College provided members with some general guidance on reopening their dental practices, including the following:

1. Assess equipment, sundries, materials and supplies to determine if they are salvageable or not and what is required to do so.2. Sterilizers must be requalified after an envi-ronmental change by running three consecutive cycles with a BI challenge test pack following the manufacturer’s instructions. If the dental clinic has a pre-vacuum (dynamic air removal) sterilizer, then three consecutive Bowie-Dick tests must be done in an empty chamber according to the manufacturer’s instructions for placement.3. General equipment maintenance as per the manufacturer’s instructions.4. Guidance on the implementation of a boil

water advisory protocol.

Fortunately none of the dental clinics in Fort McMur-ray were directly affected by the wildfire but all of the clinics had experienced significant smoke and ash damage. It was determined that it would be several weeks to months before the majority of dental clinics could reopen.

The Alberta Dental Association and College was con-tacted to request the use of a Mobile Dental Clinic to provide service to patients by several dentists until they were able to reopen their dental practices. Dr. Kelvin Helberg acted as the coordinator for the Fort McMur-ray dentists working with the Alberta Dental Associ-ation and College to find a suitable location with an appropriate electrical hookup, drainage availability and a supply of potable water. Several locations were considered but the River City Centre 8600 Franklin Ave was the best suited location. Dr. Helberg said the River City Centre was very cooperative and accom-modating in facilitating the placement of the Mobile Dental Clinic. The mobile was up and running by mid-June and remained onsite until the dental clinics were able to reopen.

The mobile clinic is a 38-foot Winnebago with three fully-equipped dental chairs. The mobile clinic is wheel-chair accessible with a wheelchair lift built into the Mobile Dental Clinic. The Mobile Dental Clinic meets the same provincial standards that apply to all dental offices. Dental office staff and dentists reported that once the short learning curve of operating the mo-bile was behind them that the mobile clinic was easy to provide dental services from and did not seem to be


cramped or crowded. They commented that the design and layout of the mobile clinic was excellent.

The Alberta Dental Association and College assisted with training of dental staff in the operation of the mobile clinic by providing a registered dental assis-tant, Tanya Watters, familiar with the operation of all aspects of the Mobile Dental Clinic to provide a one day training session. She was as well available by email, text and telephone to provide support and troubleshoot any issues that might arise with operating the mobile clinic. The Alberta Dental Association and College greatly appreciates Ms. Watter’s contribution to the successful deployment of the Mobile Dental Clinic.

Two of the dentists, Dr. Tod Beaulne and Dr. Mike Brown, said they were able to provide all dental services in the mobile dental clinic but tried to limit the services to emergency care and the completion of items started before the evacuation.Many patients were surprised when they walked into the Mobile Dental Clinic. They did not realize how spacious the clinic is. It is like a dental office without the waiting room and reception. The Mobile Dental Clinic was operational, six days a week with a rotating schedule of use by dentists coordinated by Dr. Hel-berg’s staff. The clinic was able to provide the full range of dental services.

Dr. Beaulne said that patients were very accepting of the mobile dental clinic and appreciated the service. Since his office reopened he has been busier than he expected after the wildfire as he thought patients would be busy with their own recovery processes and

dental visits would be a low priority. He said sever-al patients being treated in the mobile and now his office told him they wanted to return to their routines and that dental care and appointments were part of their “normal life”. He said his office is as busy as he usually is during the summer in Fort McMurray as there is generally a bit of a slowdown. Even though dental clinics have reopened in Fort McMurray there is a long road to full recovery and uncertainty for our colleagues and their families, dental office personnel and the community of Fort McMurray as a whole. The Alberta Dental Association and College will continue to provide its affected mem-bers unwavering support, guidance and assistance throughout these very difficult, stressful and uncertain times.


AWARDS & RECOGNITION


Dr. William Hollingshead,Award of Excellence

On May 27, 2016 Dr. William Hollingshead was pre-sented the Award of Excellence at the Jasper Dental Congress.

Dr. William (Bill) Hollingshead received his Doctorate of Dental Surgery degree from the University of Alber-ta Faculty of Dentistry in 1977. He received Fellow-ships from the International College of Dentists in 1996 as well as the American College of Dentists in 1998. Dr. Hollingshead is the current Chair of the Program Development Committee for the Alberta Dental As-sociation and College and the Alberta representative on the Canadian Dental Association’s Uniform System of Coding and List of Services (USC+LS) Committee. He has assisted the ADA&C complaints management process as Complaints Process Advisor.

After one year of associate practice with Dr. Richard Sandilands in Edmonton, Alberta, he moved to Red Deer, Alberta and set up a solo practice which he maintained from 1978 to 2012. From 1986 to 1988, Dr. Hollingshead was a committee member on the Alberta Dental Association’s Economics Committee for many years. He served on the Alberta Dental Associ-ation’s Board from 1988 to 1996, while serving as the President for the 1994-1995 term.

Dr. Hollingshead has three children and five grandchil-dren.

Dr. David Scott,Award of Excellence

On May 27, 2016 Dr. David Scott was presented the Award of Excellence at the Jasper Dental Congress.

Dr. David Scott obtained his Bachelor of Science from the University of British Columbia in 1964, and went on to obtain his Masters of Science from the University of Alberta in 1967. He graduated with his Doctor of Dental Surgery degree from the University of Alberta in 1976. He is a member of the Edmonton District Den-tal Society and the American Association of Dental Education and is a Fellow of the International College of Dentists, the Pierre Fauchard Academy, the Ameri-can Association of Dentists and the Canadian Acade-my of Restorative Dentistry and Prosthodontics.

After graduation, Dr. Scott practiced full time at Bonnie Doon Dental Associates from 1976 to 1981. He then switched to part time practice and joined the University of Alberta’s Faculty of Dentistry and taught operative dentistry until retirement in 2010. Dr. Scott served as Chair of the Admissions Committee from 1990 to 2010 and was the Director of Clinics from 1989 to 2005. He chaired the design team for the dental clinic in the Kaye Edmonton Clinic.

He has been involved with the National Dental Exam-ining Board in various capacities since 1986 and was President in 2001-2002. He was also a member of the Commission for Dental Accreditation for Canada from 1998 to 2004.

He has two children; his interests are golf and travel.

Dr. Dave Skuba,Emergency Medical Services Exemplary Services Medal

Dr. Dave Skuba, of Bonnyville, Alberta was present-ed with the Emergency Medical Services Exemplary Services Medal by lieutenant governor Lois Mitchell presented at a ceremony in Red Deer this fall.

The medal was created in 1994 to celebrate profes-sionals in the provision of prehospital services to the public, who have performed their duties in an exem-plary manner. Recipients must have completed 20 years of exemplary service, including at least 10 years performing duties involving potential risks.

Dr. Skuba has been volunteering and working for the past 33 years to ensure the Bonnyville community has adequate EMS available.

Congratulations from everyone at the Alberta Dental Association and College

ADA&C Award of Excellence Service Medal


Dr. Randall Croutze elected President of the Canadian Dental Association

Dr. Randall Croutze was born and raised in Edmonton. He obtained a B.Sc. and then a DDS at the University of Alberta in 1985. Randall has served as President of the Dental Undergraduate Society (UofA,1985), the Academic Staff Association - twice (University of Alberta, 1997, 1999), the Edmonton & District Dental Society (2003), and the Alberta Dental Association and College (2006-2007). He was installed as the President of the Canadian Dental Association on April 15, 2016. He is the proprietor dentist at Norwood Dental Asso-ciates in Edmonton, and Tudor Glen Smile Clinic in St. Albert. He is a Clinical Associate Professor at the University of Alberta, where he has taught in the clinical and pre-clinical programs, for over 30 years. Randall was the Course Coordinator/ Lecturer for Dental Ethics,

Department of Dentistry. He also served as Course Coordinator in the Discipline of Removable Prostho-dontics.

His continued commitment to the school include his membership on the Celebration of 85 years of Dental Education in the Province of Alberta Committee and the Search and Selection Committee for the Associate Dean and Chair of the Department of Dentistry. For several years, Randall was a preceptor dentist for the University of Alberta’s Mentorship Program.

Presently he is on the Faculty of Medicine and Dentist-ry Dean’s Advisory Committee and sits as a Wise Owl member of that committee. Recently he was invited to meet with the Chair, School of Dentistry, Dr. Paul Ma-jor, to discuss the School’s new Strategic Plan. Randall was the Chair of the ADA&C Long Term Care Committee, which oversaw the development and implementation of mobile dental services to residents of Long Term Care Facilities. He was a member of the ADA&C Conscious Sedation Task Force, and the ADA&C Advertising Task Force. He served on the Cone Beam Computed Tomography Standards Com-mittee and is a member of the Facial Esthetics Thera-pies Committee of the ADA&C. Randall has Chaired several Hearing Tribunals.

Randall was a member of the Northern Alberta Institute of Technology (NAIT), Dental Technology Advisory Committee. He has represented the ADA&C on audits of Alberta dental clinics in collaboration with the First Nations and Inuit Health Branch (FNIHB).

Randall has served on several Audit Committees including the Canadian Dental Association. Randall presently serves on the Board of the Nation-al Dental Examining Board of Canada (NDEB) as the Alberta Representative since 2007, and is on the Examinations Committee and the Bylaws Committee, of the NDEB.

He has participated in the development of the Equiv-alency Process of the NDEB that evaluates the com-petency of internationally trained dentists. He is also involved in both the Written and OSCE examinations for dentists who graduate from Accredited programs. Randall has served as both an Invigilator and an Ex-aminer for the Assessment of Clinical Skills portion of the NDEB Equivalency Process.

He was appointed as the NDEB representative to the Commission on Dental Accreditation of Canada (CDAC), and served the full compliment of two, three- year terms (2008 - 2014). He was elected and served as Chair of the CDAC Dental Education Programs Committee (2013 - 2014).

He has represented the ADA&C and also the NDEB on two site visits of Canadian universities – University of Alberta (2006) and University of Manitoba (2008), and in 2013 was a guest of the American Dental Asso-ciation’s Commission on Dental Accreditation (CODA) on their site visit at the University of Minnesota.

He was a member of the Roles and Responsibilities Task Force of CDSPI (2007).


He was the Alberta representative on the CDA’s Branding Working Group (2010) that developed and implemented strategies and tactics for improving the image of den-tists and dentistry.

Randall was the Chair of the Trust and Value Working Group (2012 - 2014), which is a Priority One Project of the CDA.

At the request of the ADA&C, Randall has participated in radio, newsprint and television interviews related to a variety of topics including; dental tourism, internationally trained dentists, dental fees, smoke cessation, bottled water and community water fluoridation.

Randall has made several presentations to provincial and federal governments, and has had an audience with several Parliamentarians including MLAs, Ministers and Senators. In June, 2015, he met with then Federal Health Minister Rona Ambrose, and the Leader of the Liberal Party, Justin Trudeau. In December 2015 he had an audi-ence with the current Federal Health Minister Jane Philpott, at the Minister’s request.

Randall has made several presentations to dental groups including; the Edmonton and District Dental Society, the Edmonton Dental Assistants Society, the Alberta Dental Association, the Canadian Dental Association, the International College of Dentists and the Multidisciplinary Study Club.

Randall received an award from the Boyle McCauley Health Center for his involvement with patients in the inner city. He has also received an award for his work as stu-dent / staff liaison for the Students Health Initiative meeting the Needs of Edmonton (SHINE) Clinic at the Faculty of Medicine & Dentistry. He worked as a clinical dentist on the ADA&C Mobile Dental Clinic on his ‘summer holidays’, serving the needs of Geriatric dental patients in Edmonton.

Randall is a Fellow of the Pierre Fauchard Academy (PFA), and the American College of Dentists (ACD), and is the immediate Past-President, Canadian Section of the International College of Dentists (ICD).

He has three children. He enjoys flying his Cessna 172, scuba diving, boating, skiing and fishing.

Dr. Randall Croutze selected as the new Chief Executive Officer

Dr. Allan Graas, President of the Alberta Dental Association and College, announced that Dr. Randall Croutze was selected as the new Chief Executive Officer effective September 1, 2016.


The School of Dentistry Announces the Recruitment of the Two ADA&C Endowed Chairs

The University of Alberta, School of Dentistry and the Alberta Dental Association and College are pleased to announce the recruitment of the two chairs endowed by the Alberta Dental Association and College.

The Alberta Dental Association and College created a Centenary Fund to celebrate the Alberta Dental Association and College’s 100th anniversary in 2006. The monies collected for the Centenary Fund provided the funding for a donation of $3 million to the University of Alberta for two endowed chair positions in the School of Dentistry, Faculty of Medicine and Dentistry.

The Oral Health Translation Research and Clinical Dentistry Research Endowed Chairs will be held respectively by Dr. Thomas Dietrich, Head of the Department of Oral Surgery in the School of Dentistry in the Institute of Clinical Sciences and Dr. Owen Addison, Honorary Consultant in Restorative Dentistry in the Institute of Clinical Scienc-es both from the School of Dentistry, College of Medical and Dental Sciences, University of Birmingham.

The School of Dentistry promotes the importance of research as the foundation of the profession of dentistry. The generation, translation and utilization of research are essential to advancing our profession and to developing the critical thinking skills needed for long term professional success.

Both basic and clinical research has led to and will continue to lead to improvements in oral health. Further improvement will be the result of continued efforts to acquire new knowledge in the prevention and treatment of oral diseases.

Health services research will lead to increased knowledge in the areas of treatment and health care delivery. The impact of this research will contribute to cost contain-ments, improved quality of care as well as an understanding of barriers to access to care.

The ADA&C Clinical Dentistry Research endowed chair―Dr. Thomas Dietrich will lead the development of a world-class clinical research program at the Faculty of Medi-cine and Dentistry with a focus on innovation in oral health delivery.

The ADA&C Oral Health Translation Research endowed chair―Dr. Owen Addison will lead the development of world-class dentistry research program at the Faculty of Medicine and Dentistry with a focus on active engagement between foundational sciences and clinical restorative dentistry. This will include the study of biologic response to restorative materials for improved patient care.

Both chairs will build collaboration across other disciplines within the University of Alberta as well as with the ADA&C and its stakeholders. Focusing on the creation and, later expansion of their research programs, the chairs will concentrate on research activities that synergize with faculty research priorities and strengths, including attract-ing, developing, mentoring, and retaining undergraduate and graduate students, post-doctoral fellows, and faculty. The endowed chairs will act as a catalyst to drive oral health translation research and clinical dentistry research within the profession of dentistry and the province of Alberta.


Dr. Owen Addison

Owen Addison completed his Bachelor of Dental Surgery (BDS) at the University of Birmingham in the United Kingdom in 2001. Following a year in general prac-tice he returned to complete hospital training posts in a variety of dental sub-spe-cialities before gaining membership of the Faculty of Dental Surgeons of the Royal College of Surgeons of England in 2003. He then combined part-time clinical practice with his studies towards a PhD which was awarded in 2007.

During his academic career his research has focussed on enhancing clinical out-comes by improving the mechanistic understanding of how restorative procedures, materials and devices fail and working (often with industry) to provide solutions.

In 2009 working in multidisciplinary collaborations he began employing ad-vanced imaging methods with synchrotron light to characterise the ultrastructure of dental hard tissues and to give insight into peri-implant disease.

In 2010 he was awarded a five year UK National Institute for Health Research Cli-nician Scientist fellowship which has provided him with further biological training to complement his materials science expertise.

To date he has received the equivalent of over $6 million CAD of extra-murally awarded research funding and his work has been recognised internationally including being the 2013 recipient of the International Association of Dental Re-search, Academy of Osseointegration Innovation in Implant Sciences award.

The School of Dentistry’s strategic plan includes three pillars that will drive the School’s strategy for the future – education, research, and community outreach, with the vision of being vital to the health of our communities. An integral part of achieving this goal will be to recruit world-class researchers to join the University of Alberta’s School of Dentistry team.

Dr. Thomas Dietrich

Thomas Dietrich studied dentistry and medicine at Charité, Humboldt University in Berlin. He trained as an oral surgeon and worked with the Departments of Peri-odontology and Oral Surgery at Charité Berlin.

In 2001 he was awarded a scholarship by the German Academic Exchange Ser-vice (DAAD) to study quantitative methods at the Harvard School of Public Health, where he graduated with an MPH in 2002.

In 2003 he joined the Department of Health Policy and Health Services Research and Department of Periodontology at Boston University Goldman School of Dental Medicine as Assistant and later as Associate Professor, where he pursued his interest in oral epidemiology and clinical outcomes research. Thomas was appointed Pro-fessor of Oral Surgery at the University of Birmingham in 2007.

Thomas’ research focus is on clinical and epidemiological research on determi-nants of oral diseases and oral health outcomes and their interactions with systemic disease, in particular cardiovascular and rheumatic diseases, as well as the efficacy and effectiveness of dental treatment modalities, particularly in oral surgery, peri-odontology and implantology. He is a member of the European Centres for Dental Implantology.

As principle investigator, Thomas has to date received research funding from the NIH (US), the NIHR (UK), the European Union and industry of over $5 million CAD.


Financial Statements

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