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2004 IFD COUNTRY REPORTS as presented at the 2004 Annual Meeting, Montreal, Canada.


11.1 CANADA - David Hicks.

Legislation
- The Province of Prince Edward Island has achieved its initial legislation in complete and partial dentures. Every province and territory in Canada is now legislated with a full scope of practice. By-laws. DAC by-laws have been updated to current Corporations Branch law and to ensure working by-laws reflect current practice.


Electronic Claims -DAC has entered into an agreement with an electronic claims development company to pave the way to Denturist electronic claims. In the process, they have standardized fee guides, discussed any common codes with the Canadian Dental Association and corrected them, held extensive discussions with carriers on implementing Denturist claims, and discussed development of new software with vendors. To date, there is no commitments from carriers significant to our industry but DAC is still working towards that goal.

Canadian Dental Association -DAC has developed a good working relationship with the Canadian Dental Association and have worked with them on several projects. One is the national Oral Health Sector Study which will determine the supply and demand of oral health professionals for several decades; DAC has also been invited to participate in discussions at the CDA Strategic Forum. As a result of the 2003 CDA Strategic Forum, DAC came to an agreement with CDA to hold an annual information discussion between CDA and DAC on matters of mutual interest.

Federal Dental Care Advisory Committee - The DAC is represented on the FDCAC which oversees dental plans for Indian/Inuit of Canada and six federal departments, including Veterans Affairs. Recently, the NIHB (Indian and Inuit of Canada) and the Canadian Dental Association agreed to a test period for a protocol for the audit of dentist clinics by the NIHB. This protocol gives each provincial regulatory body three options in these cases: 1) the Regulatory Body Denturist representative accompanies the NIHB on inspections; 2) the Regulatory Body inspects and reports to NIHB; 3) status quo, i.e. NIHB can enter any practice without notice. As several Denturist clinics have also been audited, DAC developed a similar protocol for presentation to NIHB. NIHB refused to address the protocol, saying it would entertain no further protocols until the trial period with CDA is completed (two years at least). DAC will be meeting with NIHB privately in October to discuss this problem.

Consortium Of Regulatory Bodies - The Consortium last met in 2001 when it completed work on the Agreement on Internal Trade, Mutual Recognition Agreement. The DAC has invited the Consortium to meet again in Montreal at the time of the Symposium to discuss matters of mutual interest. Currently, this is the only occasion on which the Denturist regulatory bodies have had an opportunity to meet informally and discuss questions and concerns.

Journal Of Canadian Denturism - Quarterly issues of the journal are published. DAC is happy to provide one complimentary copy to IFD delegates.

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11.2 CYPRUS - Report from John Ioannou
Cyprus is now part of the European Union, but the official position the Cypriot Dental council has is that Denturism is illegal. Several attempts have been made to have a meeting with the Dental Council but have failed. Being a member of the EU might facilitate an easier transition into the profession but every country reserves the right into their own affairs. The Minister of Health has been notified that, if discussions do not open with the Dental Council in the near future, a denture clinic may be opened without enabling legislation.

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11.3 UNITED KINGDOM - Chris Allen
Draft legislation has been sent for consultation with a deadline of the end of October. Legislation is expected to be proclaimed in January or February of 2005 with registration starting in the Spring of 2005. UK Clinical Dental Technicians will have a full scope of practice, without prescription, including ordering and reading radiographs. There will be compulsory continuing professional education of 250 hours over 5 years. The CDTA has a good relationship with dental organizations in the UK and with the General Dental Council. The Royal College of Surgeons has recognized George Brown College and will issue a diploma to GBC graduates. Cities and Guilds is a craft awarding body and will also issue a diploma that is recognized in any country where Cities and Guilds has a presence and that country has legislation.

Proposals have been received from several training institutions to develop a Denturist program in the UK. There is a possibility of a Denturists Laboratory Centre for Exellence opening.

ACTION: Chris Allen to email details of Cities & Guilds to Gerry Hansen

Paul referred to ISO 17024 regarding accrediting of accreditation bodies. Tabled to Education Committee report.

11.4 THE NETHERLANDS - Eric Engelbrecht
Denturism in The Netherlands is changing from sole proprietors or working with one colleague or dental technician, to clinics working with two or more colleagues. Denturists and Dentists often work together in the same setting. There has been an increase in provision of dentures over implants, again with a good working relationship with dentists. Because the population is aging, there is significant stress on government budgets to provide health services. At the same time, the insurance companies are starting to control price levels. An open market in health care would be a better way of monitoring these needs but needs time to develop. As of 2006, there will be a different insurance system in that all citizens will have a basic insurance (government) and one additional private insurance. There is new competition in the form of technical work from Asia. The ONT would like to see a public school with a baccalaureate degree. The ONT has redeveloped its Board in an effort to address all these issues.

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11.5 AUSTRALIA - Graham Key
The first legislation passed in Australia to legalise the profession of Denturisim, or as they are titled in Australia, Dental Prosthetist, was passed by the Tasmanian government in 1957.This legislation allowed the registered prosthetist, to provide full and partial dentures direct to the public. Today all states and the Australian Capital Territory with the acceptation of the Northern Territory have legislation for Prosthetists, the last being passed by the Queensland government in 1991. At the present time there is not a uniform scope of practice throughout Australia, as Western Australia does not have legislation enabling prosthetists to provide partial dentures. It is hoped that the Western Australian government in the very near future will introduce new legislation. Nationally introduced Competition Policy, Consumer legislation and Mutual Recognition legislation have all helped greatly and will continue to help establish national standards of scope of practice.

Presently there are some 600 members of the Australian Dental Prosthetists Association. All states and territories (with acceptation of the Northern Territory) have State based associations that are affiliated with the ADPA. There are 1000 approximately 1,000 registered Prosthetists in Australia.

Current Issues:
Until recently there has been no requirement for Continuing Professional Development, CPD, This year the Victorian Dental Practice Board has introduced CPD as a requirement for registration. This is very welcomed by the ADPA and it is hoped that other state registration boards will follow suit.

The ADPA continues to lobby the National Government for increased benefits to be paid to providers for the provision of services to our war veterans and that the benefits paid be equal to that is paid to dentists for providing the same service . Dentures over implants have also recently been included to the scope of practice in a number of states. State associations have been organizing continuing education programs to increase member's knowledge in this field.

Finally, the Australian Dental Prosthetists Association would like to extend an invitation to all Denturists, throughout the world to attend the National 18th Biennial Conference of our National Association, this will be hosted by New South Wales. It is to be will be held in Sydney, 25th to 27th August 2005.

Come, have holiday and join us in Sydney for our conference.

11.6 HUNGARY - Report from Attila Szép
A message has been received from Attila Szép apologizing for Hungary's absence but there were difficulties in obtaining Canadian visas. Hungary sends its greetings to the IFD and delegates.

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11.7 UNITED STATES - Austin Carbone
The NDA is working with DRZ Marketing to provide a DVD on patient education which can be used in the denture clinic waiting room. It will consist of approximately six topics each with a playing time of five minutes. This is being funded in large by the dental industry. The NDA website is being upgraded and improved to include links with m ember sites. The NDA newsletter allows space to the Clinical Dental Technicians Association of the UK who funds their portion and also generates revenue by providing UK advertising. NDA hopes to open this up to other countries and possibly making it an international publication in the future. New NDA by-laws were approved by the general membership. NDA is working with the American Medical Denturity Association (AMDA) in a spirit of unit whenever possible. NDA provided testimony to the Office of Fair Trading in the UK emphasizing that Denturist are a stand-alone profession of practitioners who are in direct competition with dentistry for that market of dentistry which concerns itself with removable prosthetics. A group of NDA Denturists are working on getting National Denturist legislation through contacts in the Federal Trade Commission.

Update on State situations:
Georgia - A dentist legislator had a law passed which elevated the practice of illegal dentistry to a felony in that State. A Denturist in Georgia is being charged under this new law and is fighting with the help of two constitutional law experts.

Maine - The legislature has passed a law that provides for a Denturist disciplinary committee which hears complaints against a Denturist and then recommends disposition to the Maine Board of Dental Examiners. Maine Denturists are represented on that Board. The Board must abide by the committee decision or may overturn that decision with a super majority vote of that Board.

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Massachusetts - A group of Denturists is trying to get a bill passed through that legislature's healthcare committee.

California - The AMDA's law suit on behalf of the citizens of California is expected to pass in October. If this happens, that would open up that State to legalized Denturism for nearly forty million citizens.

Oregon - The State of Oregon has recognized the curriculum at Bates College of Denturism in Tacoma, Washington. Oregon students from Bates can now challenge the Oregon exam.

Washington State - Washington has a complete scope of practice. They are now institution a more stringent mandatory con-ed requirement and have granted licensure for Denturists in the State of Maine by reciprocity.

Arizona - There seems to be renewed interest in revitalizing the Denturist movement in Arizona, being led by a resident Denturist.

Minnesota - There is work being done for the movement of Denturism in Minnesota. The prime activist is a Dentist who is altruistically pushing a Denturist bill based on access to dental care where Denturists will be of great benefit.

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11.8 FINLAND - J-P Marjoranta
History - The society for Finnish dental technicians was established on November 21, 1925. Technicians in Finland were mostly Swedish speaking at that time and the name of the society was Finska Fandtekniker Sallskapet rf-Suomen Hammasteknikkojen Seura ry. In 1933, the society changed its name to Suomen Hammasteknikkojen Litto (The Union of Dental Technicians in Finland). Finland passed the law for dentists in 1934 and the following year Dental Technician was mentioned as a separate profession in the same law. The law for Technicians was passed in 1964 and Denturists were added to the law in 1965. In 1966, the first 16 Denturists were registered and ten years later there were already more than 200 Denturists in Finland. The Denturist Union, Erikoishammasteknikkoliitto ry was established on November 6, 1979. The Union celebrates its 25th Anniversary in 2005!

Today, there are approximately 500 registered Denturists in Finland, of which 350 are actively working. The Union has 320 members. The Union offers promotional materials, continuing education, assistance in law matters, website advertising and a journal called "Hammasteknikko" (Dental Technician). The magazine is published together with the Laboratory Owners Union and the Dental Technicians Society.

A major issue is having prosthetic dental care paid by the State Health Insurance (KELA) The Union is not satisfied with the high costs of education for students in their private school and the lack of cooperation in discussing this with the school. In 2005, the Union will start a new school system in co-operation with Savonia Polytechnic Health Division. Studies will be free of charge.

A small group of Denturists have started a new organization (Suomen Erikoishammasteknkot ry) to compete with the Union. Their intent is to be profit-making through education courses, exhibitions and publishing a journal. No other Denturists have quit the Union to join this new organization.

11.9 DENMARK - Viggo Bramstoft
Denmark thanks the European Committee of the IFD for attending the 25th Anniversary celebrations in Aarhus in May. Paul thanked Viggo and his colleagues for their hospitality. Denmark encourages the European Committee to be more proactive in the European Union to introduce Denturism to all countries of the EU. The UK situation would be very interesting to many countries.
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11.10 POLAND - Report from Andrzej Dulian
Greetings received from Poland with an update report. A proposition regarding implementation of Denturism has been presented to the Ministry of Health. The proposal was completed in March but changes in the Ministry delayed presentation. Rejection of the application would allow a push for favourable legislation by means of self-education, assisted by the IFD. Contacts have been renewed with colleagues who are interested in practicing Denturism legally. These contacts should help in the generating of revenue required for registration. Andrzej Dulian will present information on Denturism to a meeting of Dental Technicians, October 14-17.

11.11 SLOVAKIA - Alena Kunova
Greetings from Stefan Masik, President and Pavel Kotrik, Vice President, with apologies for not being able to attend the IFD meeting and Symposium. They are beginning their second semester at the University of Health.

The reform Bill which was reported on in Aarhus has passed the legislature but with numerous changes but no final draft. Slovak representatives recently met with Mr. Stan Skoda, Member of Parliament, and are again submitting a proposal to the Minister of Health.

The second set of clinical examinations was held July 1-3, 2004. Eight candidates successfully completed the Exam. The examiners and IFD observers are thanked for their assistance and dedication. The observers from Hungary are also acknowledged and thanked.

While in Slovakia, Paul Levasseur and Slovak representatives met with Dr Galo (Member of European Parliament). After a detailed information session, Dr Galo promised his input and interventions at meetings of the medical/dental committee.



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