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The Wingham Advance-Times, 1973-05-03, Page 15T NU R g .hAt K C G–.r nturist 'Peter dei 9 a ts . assist.; s t � . ant, C rrine'Meulenateen,ls.fl skina1 ver d : U . 1e of -the involved with the fintsr,ind,Ad ustin odentures' undergobefore,the are d yto be tiled by the patient. (Staff.Photo) a•lit to of �vvex.s int'tboi t,o ',ta` ► 't . . T ''..04a 'Dental{., AssQcta#iouproceeded to o ,fortbem a'o ,hire private detectives, armed 'sad .F e, when;i with Search warrants, to raid end king placeYI ,rePrOfent, ;prosecute the denturista--a .f.airi 4 part ofa �ntin. ofi� directors wera 'situation w � contit�for nomena with respect to +t - registered dental teehniei#* ,more than 1s-months. rista,r:saidPeter Feige, a.ount t,dr,tailed a b brief o.M During this time the e Denturist nho` St,den rist, � a��� e* `Society �sw in membership Seated to t nturis�Asaecia- ,opened more denture clinics Intion, '"where eiti , take an the province. Also duringtis active roleo .assuring the q time 'extensive Meethigs and OP. eed legat t rn ► $eofsria- e . egg ,peals to both the public and the 'igo7ernYnent were inade.VhrOugh withthe activities turlsts."r sion,a • tie mem ' `, + gat all, thegovernment kept a Mr beige ottrlbuted' this' , in «;woad: be kook ; ttiri s, ' fain neutral W `tio on the , �,� t,. � Y fret pose zi �. ' ..�•""dentu tso< innng ares % .t ' p" Issue. F � «� _ tom; d Appoint>nent .Refased o This neutrality 'ended'with the ' n. appointment of the' Honorable R. s fe ''T. Potter, M.D. , as Minister of ` Health about . One Yernr a . ' tt Vit, "Immediately lipan, then - � d.r nouncement of Dr. • Potter's pro., ;motion from backbencher. to the timportant portfolio Of Minister of Health the Society applied'for appointment :with :the n , new fMioister. This intreitie+est forte respect and a a thN- for t e:type�,a . fty,of ser►- health Corker pro s% ices ,provided. by° theal, tic services x t• dem He,added ,a ee provinces "Tims oppositio have wlegislation supporting t ee +almost ;i�ediatel) osition Of .'de turista.; that inem Quebec will be pass g an act, s!to Wrist S iety wlto i provide' fore "the Professtona - . to complete:' ono ic:, Corporation el Denturologistss' , their dentalr;la -tor shortly; and that the Health.were . an �' :dent Minister of Nov . : Sco .has ntro-' cians who , iscov�_ dllced' 1 t ' � � � � , ,egis Ott o �w hi ch .wiitl , memi ' _- ' '� 1 ' 'rol for l-#�{"-"In ' ' ' appointment wash , '+1Y., turist6:" , 41 a sa t duu technicians �;�aubse9uent efforts.,'to secure u thoughtheme provinces arra` ,, opened Dental c Tics„and adve , ver' to pointmentsp e Mast . 11 seeing _ .:. �•- ern a;Y �:. y ,° }; ,” s1{n ,'d i' the f i e ro Q ass n�their e o:� at p . .used,se�cv� ,>, •r;�`,months suffered W :�: era:�s alar fate," tack it a isl ut�P no in defiance i_. .;.ante Of' .,:,-....:,. .... . e-n,_..t&� .• Mr. . Feige said that , .t. p i�e s incePss u�stch:legislation:tafi0re� tours emanf•ttie'denturists , 'seen fit to place fi,e� new dentallxe public,sauenout to uP�'ade"theutselves in thehealth. workerunderthe cQntro1. ang0ito thedentuzoY theycoil • secure` .,ufavo- and .,su vision of dentists;" o" 'Minister. l� d a � perated by denturists attd-' :arable res ase f corn . tr. _ . '�� po The Ontario Dental Association regards the scheme o denturists tur ists workingander �esupervision of dentists, a plan set out in the gov- ernmeint Bill •No. 246, to be feasible, aid Ray Argyle, public relationsounsel to the. Ontario' Dental Association. , Heeaid that the plan outlined in the, as yet, unproclaimed bill is based on the same concept that now exists of a dental; -health team which consists of hygenists, assistants and technicians. It's all part of the trend to- wards utilizing ttiiddental health' concept, in • the dental clinic, which has been developing for the past fewyears," said Mr. Argyle. f "The dental association ' be- lieves if feasible to integrate denturists into the dental health team. However, they do not need Supervision just as the other auxiliary personnel do, "They must have supervision because the don't have adequate training: Only the dentist has had the extensive training and educa- ioin needed to diagnose and set p treatment plans." Mr. Argyle said there are two portant phases in the prepare - on and fitting of dentures. The first is the medical diag- osis which consits of taking im- ressions, the examination of the fient's mouth, and the actual tting Of the denture into the pa- ent's mouth. "Only dentists are rained for this," said Mr. gyle. The second phase is the echanical work done by the Mal technicians. "Denturists are trained only in Mechanical phase. They have r'lence only from the work ch. They make up the plate the prescription supplied by dentist and have never seen patient. Denturists have decided, of r own volition, that since he's lified at the work bench he's lified to do the reit of the r. Argyle said that under the p the denturist is to, receive ring in doing mouth work, in officeunder the supervision of dentist. I. Argyle disagreed with re - and statements that the lstsand the denturists work - together in the same office the dentitit' supervising the denturist would produce a cost which would make the whole pro- cess prohibitive. He said the dentist would not be doing nothing while the denturist did his work. "The dentist would be continu- ing with his sown work while ethe denturist did®: his.. Supervision doesn't mean standing over bim. It means responsibility, ,1 "it will mean increased pro- ductivity and efficiency and will keep costs down." In a • reportprepared., and presented by, the Ontario Council of Health some time ago, it was stated that "denturists pose a FINER POINTS --Denturist Peter Feige of the Mount Forest Denture' Clinic it in the pro- cess of explaining a fine point of denture Adjustment to Lloyd Cole of Arthur. Mr. Cole had lust received his dentures from Mr. Peige prior t'o the photo being taken and remarked that he is well pleased with them. M. Cole, who has visited the clinic on, other, otcasl;ons, says he recommends the clinic to his friends . (Staff photo) serious threat to the oral health of the ubhc," said Mr. Argyle. e.. ire .added, "Because the den- . turists are working entirely out- side of government regulation there is no assurance that they're really, .qualified to do anything." However, he added, "Because most have worked lin dental laboratories, we assume they're qualified to do mechanical work, but if a denturist does open up an office who's to know what train- ing he's had because he's not subject to licensing. The government has con- cluded that, in the interest of the` public's health, this area must be brought under closer regulation. The Health Minister of Ontario, Dr. R. T. Potter said, "Any den- ttirist who does not apply to be- ,conle a denture therapist is ad- mitting that he isn't qualified." Mr. 1itrgyle continued that there are presently 602 dentists in Ontario offering low-cost denture service and "the association is encouraging more . dentists to sign up." He said however, "Even with just 602 dentists, this is still six times more dentists offering the low cost service than are den-, wrists." This low-cost service included denture plates costing the patient $180. "This $180 buys the patient a standard, high quality denture. This does not provide for abnor- malities of the patient's mouth which require more service. It also doesn't include special ef- fects where the patient is fussy about such things as color, shad- ing and the closeness of the teeth which takes more service and is more expensive. , `There's no means test in the low.cost service. Everyone can get it." Mr. Argyle challenged that a number of denturists have opened up what appear to be quiie lucrative practices dealing with the public and are now afraid of losing them through the legislation. Mr. Argyle concluded by stressing that the dental profes- siren is emphasizing the preven- tion of dental disease and an in- crease in public education. "If this is done to a greater ex- tent, then we'll reach a time in the foreseeable future when den- tures wi ar not be needed." This took the formof ,tions with a community Co1 to provide "a short term uPgra course -for denter ti `cam! practice and: a long -tom C years) conrse-of atildieS lea( to certification for peOPle without' previous ,'experience who d be desirous of becoming btu- rists,'" .. nnut' itnq tutee , +fin June ,1972 thee' onor�able' l .ob¢rt,'Welc acting on behalf of the 'Minis `nister of . Health- 'intro= duced un the : statue Bill;: 03 whir 'y as "an t toprovide, for;: the ,Licensing; ,and Practice of Dental technologists.>L• MrWelch s"After ult consideration,aid, the Governcarefmen has decided that''$ niew health;' p ctitiotner . .{be awtl as a dental technologist should be per- ►tted to heal directlrti; the ublic int ,the taking ng' of tisdpres- sleds for, tnel making of, and the fitting +of, °.copletae upper and leer denture ' e , denturists' here° rioseisti, 'cotmpiletely satisfied, with all aspects of.the the' new legislation..�'the�.y Were pre- pared to support'theBin and sub- mit to its s re'quufements: The Ontario e Ont rio Dentaltssoeiattgq y however, announced 'that they 'were oinplettely �op�posed to the Gill and would +i ret afn exten= since art' a of bahit ck ncbe id' rev s ed that the Bill 'would not be changed, and, thus assured, went about preparing themselves to meet therequirements of the new legislation. Then, on December 6, 1972, Health Minister Potter reversed the Bill so as to incorporatethe superyision of f an d control of den - tists. The "new Bill (No.246) was referred to Standing Committee and rushed through despite the appearance of hundreds of pri- vate ' citizens who wished to , speak. "In his rush to pass his legisla- tion before the Christmas recess, the Minister of Health displayed an attitude bordering on con- tempt both for the public and for the opinions expressed in edito- rials fly nearly all the leading Ontario newspapers," said Mr. Feige. The new Bill was passed only hours before the legislature closed for the Christmas • break. "Quite inexplicably, however, proclamation of the Bill was withheld and we have been told that the new legislation will not be enforced for several months yore not'rualifi w' at they ale: •.doing . and must- therefore be restricted, but lie will allow them to continue in their practice until he is ready to limit such practice." • Mr. Feige wonders, "Can it be that the denturists are being used by the Minister of Health to .. bludgeon dgeon� somejdentists tout not all) into doing what they, of their own initiative, would not do—pros- vide o—pro+vide at least one 'form of dental treatment at a . reasonable cost. Or can it be that the Minister, at thisfate date, has some appre- hensions that his legislation is not everything it was made out to bei" Section 15, subsections 'pne and two of Bill 246 says, "No denture therapist shall practice denture therapy on a patient except in the office of a dental surgeon or dental clinic and under, the direct supervision of a denture thera- pist; and every dental surgeon who uses the services of a den- ture therapist shall personally supervise the work of the denture therapist on .a patient and shall inform himself of all aspects of " the progress of the work." with''t i+e enture 'Chet' pi the wo-' 1118`.1 dentuir, mecha ins` the''d quite a'nt folies :dpi `" fn sh+ort'+li flava ` t therapists at all?" . F • questioned, since without s vision in a dentist's +office he' i-' not ideiie any of tfiroce. dares involved with dentures spite histraining because the act reads that no denture therapist may own, operate, or have a pro- prietary interest in a commercial dental laboratory. "Seen in this light, the Bill is a fraud and a hoax as it purports to require elaborate training and: educational requirements which will be rendered unnecessary since the denture therapist will • never be required to make a deci- sion on his own." EXPERT PAN E L—A panel of professional people was in attendance at the Citizen C.orn- mittee for the Repeal of Bill 246 public meeting held at the Mount Forest Town Hall. Seated were Dr. Angus Blair, a p ctis ng dentist; Joe Ryan, a denturist from Missis- sauga; and Hillary Rubenstein, a denturist from Toronto. Although the panel little used during the question and answer period, Dr. Blair held the floor for the support of dentur- ists. (Staff Photo)