What separates periodontist, dentist?
Dr. Preety Desai - Jan 19, 2022 - Columnists

Photo: Jonathan Borba, Unsplash

In short, a periodontist is a dentist with additional specialized training and education in periodontics and implants. We have three to five years of formal university after dental school to obtain specialty board certification in a university setting. Periodontics is the specialization of all the surrounding structures of the tooth, meaning the bone, the gums and the jaws and how they interact with teeth and each other and your body’s health to keep you chewing and healthy. Dentistry is the first degree we get in how to fix and maintain broken, diseased teeth.

Remember, teeth can be fixed but will break down, and that’s why you need a dentist regularly. Periodontitis is the inflammation of all the supporting structures of the teeth which can be controlled but never fixed. In fact, once you have gum issues, it actually means you have breakdown of the boney structure that holds the teeth in your head and this must be constantly monitored and can never be cured. The term “gum disease” is misleading. It is gum and bones reacting to the plaque in your mouth, which can start and act up at the slightest change in life or in your mouth.

Even though some dentists offer gum-related services, they cannot simply call themselves a periodontist. Why? Periodontics is formally recognized as one of 10 specialties according to the Canadian Dental Association and American Dental Association.

The primary reason why dentists refer patients to a periodontist is for our experience and expertise.

Periodontists are the most qualified dentists to treat gum disease and provide services relating to the soft tissue and bones supporting your teeth and dental implants. Dental hygienists are responsible for the technical part of plaque removal but the periodontal hygienist reflects the same expertise as the  periodontist they work for as they have the immediate expertise of the periodontist right at hand.

Since we primarily focus our practices on this specialized care, we have significantly more experience in these treatments, which can take anxiety and fear out of your dental experience. Even dentists who provide some periodontal care still refer patients to periodontists when:
1. They do not offer the treatment(s) you need
2. Your case is too severe for their level of experience
3. They are unable to keep your gum disease under control
4. They seek a trusted second opinion

Visiting a new dentist may seem daunting, but rest assured it’s for your best interest. And with the use of advanced technology in periodontics, you may be surprised to find how easy, fast and pain-free periodontal therapy can be.

Dr. Preety Desai is a laster implant periodontal specialist at Kamloops Periodontist who has called Kamloops home for 24 years. She graduated dentistry from McGill University and completed residency at the Hospital for Sick Children in Toronto, treating medically compromised children. She was in private practice for 3 years in Toronto and in public health, treating new immigrants, the aged and disabled. She also spent many months in Northern Ontario providing dentistry on First Nations reserves. Dr Desai then moved to BC to specialize in Periodontics at UBC. Dr. Desai and her husband loved BC so much that they settled in Kamloops to raise their family and enjoy the best quality of life. She can be reached at 778.471.6001 or by visiting www.kamloopsperiodontist.com. 

Let values guide your life
Contributed - Jan 12, 2022 - Columnists

Photo: Contributed

By Dale Choquette

Have you ever thought about what your values are? How are you living your values?

Values are important to every aspect of our lives so it’s important to know what they are.

There are two definitions of values:
1. The importance, worth or usefulness of something.
2. A person’s principles or standards of behaviour; one’s judgment of what is important in life.

For our purpose let’s talk about the second definition. A person’s principles or standards of behaviour; one’s judgment of what is important in life.

Three of the types of values are individual values, relationship values and organizational values. Individual values are how you show up in your life and what you live by. They may include enthusiasm, creativity, humility and personal fulfilment. Relationship values are how you relate to other people in your life. They can include openness, trust, generosity and caring. Organizational values are how your organization shows up and operates in the world and may include financial growth, teamwork, productivity and strategic alliances.

What is the purpose of values?
1. They help us decide whether something is important or insignificant.
2. Determines our perceptions, opinions and attitudes.
3. Using values process motivation, selection and evaluation.
4. Values also have a social function. Common experiences bring people together.

Let’s focus on your personal values. They are about individuality, drive for personal success, self-reliance, self-discipline and self-improvement. They’re all about how you live your life. They are the very foundation for understanding your attitudes and motivation.

Our values matter. They give us tremendous clarity and focus. These allow you to make consistent decisions and take committed action so that you can improve the results you get in those areas of your life that are truly most important to you. Your values are also your priorities that drive your behaviour. The main reason your priorities matter is where you spend your time. Time is your most limited resource.

The second reason priorities matter is that as human beings we tend to be fairly inconsistent in how we invest our time and energy. It’s easy for us to fall into the trap of living by different priorities every day. One day you exercise; the next day you slack off. And this kind of living yields poor results. Imagine an airplane that went wherever the wind took it; who knows where it would eventually land? And the flight itself would likely be stressful and uncertain.

Your values then act as your compass to put you back on course every single day, so that day after day you’re moving in the direction that takes you closer and closer to your definition of the “best” life you could possibly live.

How do you find our values then? There are many lists you can Google. Choose one that gives you the most choice. Choose 10. Then review them and choose five, then narrow it down to three. Here are some questions you can ask yourself when going through the list:
• What’s important to you in life?
• If you could have any career, without worrying about money or other practical constraints, what would you do?
• When you’re reading news stories, what sort of story or behaviour tends to inspire you?
• What type of story or behaviour makes you angry?
• What do you want to change about the world or about yourself?
• What are you most proud of?
• When were you the happiest?

When we make decisions and take actions that honour our values, we are best able to maximize our feelings of satisfaction and fulfilment. When we make decisions that do not honour or might conflict with our values, this can cause discontent and dissatisfaction.

You can consult them whenever you need to make a key decision. You may choose to answer them differently at different points in your life.

The end of the year is a good time to have a look at your values. They may have changed over time. It’s also a good idea to continue to re-evaluate them because what was important to you last year may not be that important this year. Go ahead. Live by your values and live your best life.

Dale Choquette is a master trainer and human behavioural consultant who offers emotional intelligence coaching at Dale Choquette Co.

This column was submitted as part of BWB Wednesdays.

Know ins, outs of office space
Contributed - Jan 11, 2022 - Columnists

Image: Contributed

With several new high rises being constructed in Kelowna there will be a great deal of commercial space available for new or existing businesses. 

In this episode of the Law Talk podcast, lawyers Clay Williams and Tanvir Gill discuss leasing a space or building for your business. Whether you are just starting out or have been in business for a while, knowing about how a lease works, the obligations of a landlord, the offer to lease and/or the renewal of a lease is important.

As always, send your business or corporate legal questions in for Williams and Gill to [email protected].

It’s good to know negligence
Contributed - Dec 28, 2021 - Columnists

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It’s the final podcast of the year as lawyers Clay Williams and Tanvir Gill discuss negligence and where the precedence has been set. They turn back the clock and investigate a case from 1932 that was the birth of negligence as well as a very famous Canadian case that took place in 2008.

Williams also discusses an important decision that was made in Quebec just last week regarding employees working from home, getting injured and a WCB claim that employers will need to know.

As always, send your questions for any business law topics for Williams and Gill to [email protected].

Time to write your story
Okanagan Edge Staff - Dec 15, 2021 - Columnists

Photo: Contributed

By Pamela Lynch

I didn’t start out intending to become a writer.

As a little girl, I’d gobble up Nancy Drew books until the bathwater turned cold. I remember looking down at the book sitting on the tub’s edge, thinking, I want to do this. I didn’t know what “this” was.

• Did I want to be a mystery writer?
• To feel seen?
• To have adventures like Nancy?
• Did I want to be an author? A publisher?

Not that I could name these as things to “do.”

What my soul knew was that one day I’d be known as a spiritual librarian. Five decades passed, and that dream faded even though I spent three decades growing up in book publishing.

• There are no missteps.
• No “mis-takes” in life.
• What if there are absolutely no wrong actions and no missed takes?
• What if every take is a part of your grand design?
• What if every action you take propels you forward on your life’s trajectory towards the experiences you came here to be, do and have?

Turns out the little girl who loved to read also loved love and knew massive action was needed to step forward on to a path she loved. To that end, I’ll be self-publishing my book in 2022. My working title is “Dear Loving Self: A Sacred Act of Love.” I hope you’ll raise your hand to buy it and support me in this dream.

Just as I want to support you in yours.

Yes, I’m hoping 2022 is going to be a big year for us both.

My question for you today is: Is 2022 your year to write and publish your book?

Send me a quick response to confirm if this is in your cards for the coming year. And, if not, what is the beautiful dream you are visualizing for 2022?

Pamela Lynch is self-mastery coach for creatives

This column was submitted as part of BWB Wednesdays

Be careful with holiday parties
Contributed - Dec 14, 2021 - Columnists

Image: Contributed

With the holiday season here and COVID-19 restrictions loosened, several businesses have brought back their annual holiday parties. For most employers wanting to celebrate with their employees, this party is the first one they have held since 2019.

As in years past, when employers are organizing their parties, a question that often comes up is about their liability if a legal matter arises from the party especially if alcohol is present.

Lawyers Clay Williams and Tanvir Gill discuss the three categories of liability employers should be aware of as they prepare to host their staff either on site at their place of business or at another location. For example, what happens if an employee leaves the holiday party and causes an accident in which other people are injured. Is the employer liable?

As always, send your questions for any business law topics for Williams and Gill to [email protected].

Ten ways to spot a narcissist
Contributed - Dec 08, 2021 - Columnists

Photo: Contributed

By Tricia Veltri

The word ‘narcissist’ has been quite the buzz word these days and has been popping up more and more in our everyday lives. These wolves in sheep’s clothing are walking amongst us and, for some of us, sleeping in our beds. In my counselling practice, I have seen an increase of my female clients in relationships or have had past relationships with men that appear to have many of the traits of a narcissist.

In this article I use male pronouns “him” and “his,” as most of my clients are females, but want to note that females can also have traits of narcissism; however, it is more common in males.

So, what exactly does it mean to be a narcissist? It is a term that many people are familiar with—a person who has an excessive admiration of themselves. But for those involved in a personal relationship with a narcissist, they know that it goes much deeper than that. On the surface this person may be charming, attentive, outgoing, the life of the party, boasting with self-confidence, and full of stories of success and accomplishments, but be aware. 

This is how they draw you in.

Those who have the unfortunate experience of having a personal relationship with a narcissist know that this person is a completely different person below the surface. Underneath their facade is an individual who at their core level is self-centred, self-absorbed, hostile, demeaning and manipulative. However, only those unlucky people closest to the narcissist get to see these traits because the narcissist desperately clings to his persona while out in public. Some people would be shocked to discover these negative traits because “he’s such an awesome guy. I don’t know what you’re talking about.” Sound familiar? In the end, you’re the one who sounds crazy if you dare go against the narcissist, and it’s all part of his plan.

According to the Diagnostical and Statistical Manual, which mental health professionals use a guide, a person needs only 55% of the identified characteristics to be considered a narcissist:

1. A Grandiose Sense of Self-Importance

A narcissist lives their life defined by extremes: good/bad, superior/inferior, and right/wrong. For the narcissist they must be on top all the time. This is where they feel safe. They must be the best, the smartest, the most important, etc. If they are challenged, there will be hell to pay.

2. A High Need for Validation and Attention

A narcissist needs constant validation and attention in their life. However, no matter how much praise, love, attention or validation you give them it is never enough. This is because deep down at their core, despite all their self-absorbed affirmation about themselves, they believe that they are not good enough and are actually very insecure.

3. Perfectionism and Need for Control

Narcissists have an extremely high need for things to be perfect in their lives. They believe they should be perfect, you should be perfect and everything should unfold the way that they expect it to. They have an expectation of how things should always be and need to be in control. When you don’t behave as they expect you to or things do not go their way, they become highly volatile. Think of a two-year-old having a temper tantrum.

4. Lack of Responsibility

Since narcissists are excessively self-absorbed, it’s no wonder why they refuse to take responsibility for their actions. It’s always someone else’s fault. For example, their coworkers are incompetent, their boss is a jerk or their girlfriend is crazy. Since they have such a high need for control, when things do not go according to plan or they feel criticized or less than perfect, in order to maintain their facade of perfection they always have to blame someone or something else other than themselves.

5. Extreme Thinking Patterns

The narcissist’s personality is split into good and bad parts, and the same goes for how they view relationships. Any negative thoughts or behaviours are blamed on you or others, while they take credit for everything that is positive and good. People or things are either seen as completely good and wonderful, or completely bad or horrible. Narcissists aren’t able to see, feel or remember both the positive and negative of a situation but whatever side best suits their perspective.

6. Lack of Boundaries

Narcissists have extremely poor boundaries; they do not have the ability to see where they end and you begin. They have a lot in common with children; they believe everything belongs to them, everyone should think like them, everyone should feel like them and everyone should behave the way they want them to. Narcissists will go to great lengths to get what they want from you with little regard for your feelings.

7. Lack of Empathy

Narcissists have very little ability to empathize with others. They expect others to think and feel the same as they do but rarely give any thought to how others feel. They seldom feel guilty, remorseful or apologize for their actions. Their lack of empathy makes having truly authentic and emotional relationships with narcissists nearly impossible.

8. Fear and Anxiety

From the outside the narcissist appears self-assured and self-confident, but their entire life is motivated by fear. However, the narcissist does not realize this, and their fears are usually deeply buried or repressed. They are constantly in fear of being ridiculed, judged, rejected or exposed.

9. Shame

Narcissists do not usually feel guilt because they think that they are always right and do not realize that their behaviour affects others. However, contrary to their inflated self-absorption, they have a lot of shame. Shame is the belief that there is something fundamentally wrong or bad about who you are. Buried deep inside are repressed insecurities, fear and rejected traits in which they go to great lengths to hide from everyone, including themselves. Keeping their vulnerabilities hidden at all cost is essential to their false persona.

10. Inability to Have True Intimate Connections

The closer you become to a narcissist, the less they will trust you. This is because they fear true intimacy and vulnerability because they are terrified that you will see their imperfections and reject them. Since they have an inability to understand other people’s feelings, lack of empathy and constant need for self-protections, they will never truly be able to connect on an intimate level or emotionally with people.

**********

If you are in a relationship with a narcissist or have had a past relationship with one, you have probably been personally victimized, manipulated and deeply hurt by them. You may feel like it was your fault, you did something wrong or that you should have done something different in the relationship. Healing from a narcissistic relationship can be difficult because of all the emotional abuse and mind games that you had to endure.

An important step to healing will be to look at your own patterns of why you attracted this type of person in your life in the first place and why you tolerated their negative behaviour for so long.

This information has been summarized from the book Healing From a Narcissistic Relationship: a Caretakers Guide to Recovery, Empowerment, and Transformation, by Margalis Fjelstad. I highly recommend reading this book if you are wanting more information on how to heal from a narcissistic relationship.

For help with healing from a narcissistic relationship or any abusive relationship, please reach out for help. Healing is possible. You can contact me at www.corehealingtherapy.ca or 250-212-7763 to find out how to begin your healing process.

Tricia Veltri owns Core Level Healing Therapy in Kelowna

This column was submitted as part of BWB Wednesdays

How to handle leadership stress
Contributed - Dec 01, 2021 - Columnists

Photo: Contributed

By Barri Harris

No matter how well we think we are doing as managers and leaders, stress brings out the worst in us.

Even though I’ve taken and taught lots of training on managing conflict and communicating effectively, I still have those times where in the heat of moment I react and snap. This week was one of those times.

Even within my core team, where we’ve built a lot of trust and collaboration and really appreciate and respect each other, we still got peeved with each other. Tempers were short and patience had run thin—not just me, but each of us has been carrying a lot of extra work supporting a system go-live that impacts internal staff and external customers. There were definitely some sarcastic words said and some not-so-nice tones (because just like my mom used to tell me, it isn’t WHAT you say, it’s HOW you say it).

I handle stress by going into perfectionist mode. When I do that, I take on everything myself because “it’s faster to do it myself than try to explain it to someone else.”

Each of my colleagues handles stress in their own way, which for each of us is typically partly based on personality and partly based on conditioning—based on painful past experiences and whether your go-to is flight, fight or freeze.

We went from cohesive, high-performing team to stressed and bickering. And now the go-live is over and life is returning to normal.

Except now we have some baggage.

What do you do in a situation like this? Do you move on and try to get “back to normal?” Do you talk about it, even though it is uncomfortable?

In my experience, anytime you brush those emotions under the rug, they don’t actually go away. They form little bricks in the relationship that over time can create big walls.

So here’s what my team plans to do. In addition to the typical lesson learned session, we’re also going clear the air. This is the step that most teams don’t do, and I encourage you as managers and people leaders to start adding this into your mix.

Exceptional people leaders notice the times where the team pulled together to overcome challenges. Say it out loud. Our brains are trained to focus on the negative, so we don’t notice the 99% of stuff that we did that went well. We need to get better at noticing the good stuff because that’s the stuff we want to grow.

We’re also going to get uncomfortable and talk about the stress we experienced and how it felt for each of us, because we each process stress differently. That’s where the magic happens in a team—how we pull together in difficult times and the value we place on our relationships as we weather storms together.

In the end, it’s not whether the project went perfectly. What ever does? It’s about showing up as a team that has each other’s backs in tough times and comes through those times stronger.

Together we make our workplaces better places to work for all of us.

Barri Harris is the principal consultant for Eureka! Business Management Limited

This column was submitted as part of BWB Wednesdays.

Know your insurance policy
Contributed - Nov 30, 2021 - Columnists

Image: Contributed

Lawyers Clay Williams and Tanvir Gill discuss some of the recent events in B.C. and how they are affecting businesses and people’s livelihood. The major storm that rolled through Kelowna reminds home and business owners to check their insurance policies, as some may not cover them completely.

For example, the people in Merritt who have had their home destroyed by the recent flooding may not be completely covered by their insurance. Williams and Gill investigate that along with answering some important real estate questions with regards to closing a deal in the face of a natural disaster and a force majeure clause.

One other topic that the team discusses is the rumour of the changing capital gains exemption on your principal residence.

Send your questions for any business law topics for Clay and Tanvir to [email protected].

Diagnosing post-root canal pain
Dr. Preety Desai - Nov 26, 2021 - Columnists

Photo: Caroline LM, Unsplash

Frustration and disappointment can ensue for people when a root canal does not solve the dental pain from a tooth. Up to 5% of people can have lingering pain up to six months in some cases. The key is to diagnose the reason why pain lingers after root canal treatment, which is most often due to other non-root canal areas.

Some of those problems are:

Occlusion

This is “the bite,” or the way a person closes their teeth. A misaligned or high bite can increase the stress on a tooth crown leading to excessive pounding on the tooth. Then the tooth’s shock absorber, the periodontal ligament gets inflamed and painful. This periodontal ligament is alive and well and is not affected when the pulp of a tooth is removed by a root canal treatment. The “PDL” fibres transmit forces to the bone that mimics tooth pain. A simple adjustment is all that may be needed.

Multiple Canals 

Mother nature has made teeth beautifully and especially molars. Multi-rooted teeth can have a complicated root canal system. Canals can be microscopic and very hard to find or can be calcified, leading to live/necrotic pulp tissue that is not fully removed. There are also multiple “side canals” called accessory canals that can be impossible to reach as well. Things like perforations, irrigant irritation, filling material extrusion and broken instruments are rare but possible as well.

Fracture 

Root fracture is a common source of pain, possibly years after root canal treatment and is difficult to diagnose; with 3D technology and microscopes, this can be easier, but not guaranteed. Isolated pockets, a history of sharp pain that progresses to a dull throbbing pain upon chewing are common signs of fracture. Risk factors include: the lower second molar (tooth most likely to fracture), clenching/bruxism, large silver restorations. A fractured root is impossible to save.

Periodontal 

The surroundings of the root can also be a source of pain, especially if there is a communicating perio and endo lesion. The tooth should be clinically examined and x-rays taken following root canal treatment to evaluate both the surrounding bone and gum tissues.

Non-odontogenic (non-dental) 

Many things can mask themselves as dental pain and have nothing to do with the tooth. Research suggests that 3% to 5% of tooth pain can be non-dental: TMD, maxillary sinusitis, cancers and cystic lesions can all mimic tooth pain. Pain syndromes from shingles, trigeminal neuralgia, idiopathic periodontalgia/odontalgia and phantom tooth  pain have also been reported to be psychogenic aspects of tooth pain that could persist after root canal treatment. As such, appropriate referral to a medical provider is suggested.

Make sure you visit your health-care provider. If dental pain is not dealt with, it can be intense and painful.

Dr. Preety Desai is a laster implant periodontal specialist at Kamloops Periodontist who has called Kamloops home for 24 years. She graduated dentistry from McGill University and completed residency at the Hospital for Sick Children in Toronto, treating medically compromised children. She was in private practice for 3 years in Toronto and in public health, treating new immigrants, the aged and disabled. She also spent many months in Northern Ontario providing dentistry on First Nations reserves. Dr Desai then moved to BC to specialize in Periodontics at UBC. Dr. Desai and her husband loved BC so much that they settled in Kamloops to raise their family and enjoy the best quality of life. She can be reached at 778.471.6001 or by visiting www.kamloopsperiodontist.com. 

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