October 2017

dentist victorian

october 2017

adavb.net

@adavb

In this issue: Teddy Bear Hospital hits Chadstone  Volunteering with ADAVB and our charity partners  The art of rewarding workers 

You don’t buy a practice every week but we do It’s a big decision. Huge. For most, it’s a once in a lifetime proposition.

We take this very seriously too.

So much so, that over the last 25 years we’ve developed a process for dental professionals looking to go out on their own.

But, we don’t just look at you, we look at the business as a whole. We act as your partners in ensuring that it is a viable and profitable opportunity. We assess everything – location, competition, client-base and growth potential.

Then, and only then, we tailor a loan to meet your needs.

Forgive the pun, but we have a lot of practice when it comes to buying a practice.

Visit us at boqspecialist.com.au or call a finance specialist on 1300 131 141.

Equipment and fit-out finance / Credit cards / Home loans / Commercial property finance / Car finance / Practice purchase loans SMSF lending and deposits / Transactional banking and overdrafts / Savings and deposits / Foreign exchange Products and services are provided by BOQ Specialist - a division of Bank of Queensland Limited ABN 32 009 656 740 AFSL and Australian credit licence No. 244616.

All finance is subject to our credit assessment criteria. Terms and conditions, fees and charges and eligibility criteria apply.

BOQS000006 10/14

09

Presenters at our Volunteer Information Night: Kate Storr (RFDS), Jason Yap (Oral Health Committee), Andrew Tucker (overseas dental volunteering), Jeremy Sternson (eviDent), Peter Walthan (ADHF) and Susan Wise (ADAVB).

Publication details

Published monthly (excluding January) by the Australian Dental Association Victorian Branch Inc. Registered Association No. A0022649E ABN 80 263 088 594 ARBN 152 948 680 ISSN No.2205-8141 Address Level 3 10 Yarra Street South Yarra Vic 3141 Phone (03) 8825 4600 Fax (03) 8825 4644 Email newsletter@adavb.org Website www.adavb.net President Dr Susan Wise Vice-President and Editor Kevin Morris Managing Editor Clinical A/Prof Matt Hopcraft Editorial Advisors A/Prof. J Harcourt, OAM; A/Prof. J W Brownbill; Dr G Condon Production Manager Ms Sophia Ljaskevic Production Editor Ms Jessica Oldfield Advertising Coordinator and Editorial Assistant Ms Tamara Mapper Print Neo

Keep informed

Stay up to date with the latest ADAVB courses, news and events.

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Disclaimer

The views expressed in this publication do not necessarily represent those of either ADA Inc. or the ADAVB Inc. Publication of advertisements for products, services or courses does not necessarily indicate endorsement by the ADAVB Inc. Members are urged to obtain independent evidence of the efficacy of materials, equipment and treatment modalities before purchase.

Editorial information

Advertising/editorial is required by the 1st day of the month preceding intended month of publication (e.g. 1st of April for inclusion in May).

For information contact: Phone 03 8825 4600 E-mail newsletter@adavb.org Print Post Service Registered No. PP 100 00 7793 Reproduction in part or whole without permission is prohibited.

Cover photo: Teddy Bear Hospital committee members Sally Huynh and Akram Abdullahi.

CONTENTS 04

President’s comments: Don’t get caught out: Breaching advertising guidelines is risky business

05

CEO’s comments: Membership, MI dentistry and managing patients with dementia

07

The Teddy Bear Hospital hits Chadstone

08

Dentists remain among the most trusted professionals Finding professional indemnity insurance to best suit your needs

09

Volunteering with ADAVB and our charity partners

10 - 11

The art of rewarding workers

11

2017 Employers’ Guide A valuable role that won’t be forgotten: Honorary Secretary

12

Are you doing everything you can to maximise the value of your practice goodwill? Part three

14

Implant complications in clinical practice – a prospective study

16 - 17

Clinical Update

18 - 19 CPD 20

Practice Plus

21

History of the ADAVB Spring Golf Day

23 - 32

Service promotion

NEEDLESTICK HELP

VOLUNTEER TODAY!

Should there be a needlestick injury in the surgery, these hospitals have infectious disease physicians:

Make a difference in your community

Austin Hospital (03) 9496 5000 Alfred Hospital (03) 9076 2000 Royal Melbourne Hospital (03) 9342 7000 Ask for the on-call infectious diseases registrar.

The NDF provides dental services to disadvantaged Australians through volunteer programs.

For further information contact: Kylie Heath

(Tuesdays and Thursdays) Ph: 0417 466 636 admivic@nationaldentalfoundation.org.au

MEMBER ASSISTANCE PROGRAM MAP provides a professional counselling service for ADAVB members, helping them to cope with the demands of their professional and personal circumstances, and regain balance in their lives.

To make an appointment for face to face, telephone, online counselling, or for emergency counselling (24/7), phone 1300 361 008 For access to Optum Online (previously known as PPC Worldwide) resources go to MyADAVB > Member Assistance Program at www.adavb.net Members will need to use their ADAVB login and password to access MyADAVB. Donations to the ADAVB Benevolent Fund support member access to this valuable service.

VICTORIAN DENTIST | OCTOBER 2017 | 3

PRESIDENT’S COMMENTS

Don’t get caught out: Breaching advertising guidelines is risky business Dr Susan Wise

AHPRA ADVERTISING GUIDELINES As a specialist, I sometimes visit dental practices’ websites to check their addresses, phone numbers and email addresses when they have referred a patient to me. Gone are the days of ‘letting my fingers do the walking’ in the Yellow Pages. I have noticed that some of the websites have patient testimonials on them.

Under section 133 of the Health Practitioner Regulation National Law (Victoria) Act 2009 (National Law), a person must not advertise a health service or business in a way that: • Is false, misleading or deceptive •

Offers a gift, discount or other inducement unless the advertisement also states the terms and conditions of the offer

• Uses testimonials of the service • Makes unreasonable expectations of the beneficial treatment • Encourages the indiscriminate or unnecessary use of the health service.

Presently, the maximum penalty for each advertising offence is $5000 for an individual. This is also a breach of the Dental Board of Australia’s advertising guidelines and code of conduct. This can result in disciplinary action, up to and including suspension of registration.

At a recent audit by the Australian Health Practitioner Regulation Agency (AHPRA), 167 dentists in Australia were found to have an advertising risk. Other health professionals registered with AHPRA were also found to have breached section 133 of the National Law, including 117

medical practitioners, 237 osteopaths, 317 physiotherapists and 643 chiropractors.

The vast majority of the breaches by dentists were for having testimonials on their websites and Facebook pages.

If a staff member such as a practice manager puts a testimonial on the practice website, the dentist is responsible for it.

However, if the testimonial is on a website and the dentist or staff did not put it there – such as a Google or Whitecoat review – the dentist will not be held responsible.

AHPRA is educating website developers for health professionals about the advertising requirements under section 133 of the National Law. More information about how advertising regulations work under the National Law for health professionals registered by AHPRA is available at www.ahpra.gov. au/Publications/Advertising-resources/ Legislation-guidelines.aspx ROLES OF FEDERAL AND STATE ADA Part of the role of State ADA Branch Presidents is to attend Federal Council meetings in Sydney as a non-voting attendee. Attending my first Federal Council meeting in August gave me a better appreciation of the ADA Federal office’s differing role to state branches.

Federal ADA prepares detailed submissions on a range of topics such as electronic prescribing, Child Dental Benefit Scheme, and accreditation functions for federal politicians, government regulatory boards and departments. ADAVB provides significant input into ADA Inc. submissions.

This contrasts to the submissions from ADAVB and ADATas on state-based issues, including radiation licences, enterprise

4 | VICTORIAN DENTIST | OCTOBER 2017

bargaining agreement negotiations for public sector dentists in Victoria, and amalgam disposal to Tasmania Water.

The Federal CEO Mr Damian Mitsch, Deputy CEO Ms Ethnie Irvine and Federal ADA President Dr Hugo Sachs regularly go to Canberra and have briefings with federal politicians and their advisers.

Another role for Federal ADA is developing and promoting campaigns such as ‘Time2Switch’, and ‘Oral Health For Busy Lives’ for Dental Health Week. These are national campaigns that are promoted to the public through social media, emails and newsletters at both federal and state levels.

Our local state ADA branches have very important roles in providing continuing professional development, practice support through the Practice Plus unit, advice and support from the Community Relations Officers, mentoring recent graduates and social and sporting functions.

One of the highlights at Federal Council was meeting the other Branch Presidents and Federal Councillors. There is a real desire to try to bring some uniformity between the branches by developing the same membership categories and code of ethics, and reducing duplication of resources. This can only improve how the ADA is run and services for our members, both at federal and state levels.

Thank you to our members who attended our volunteering information night to learn more about how to volunteer with the ADAVB and our charity partners. Find out more about how to get involved on page 9.

Dr Susan Wise

CEO’S COMMENTS

Membership, MI dentistry and managing patients with dementia Clinical A/Prof Matt Hopcraft

MEMBERSHIP Just over 80 per cent of dentists and dental specialists in Victoria are members of ADAVB, which ensures we have a strong voice in representing the views of the dental profession. Although this compares favourably with many other professional associations, it still represents a decline in the proportion of dentists who choose to be members, notwithstanding the fact that our total membership has increased over the past decade.

The recent Council Continuing Professional Development day looked at the issue of membership engagement. One of the challenges that we face is that the membership is becoming increasingly diverse, across a range of different indicators. Employment categorisation is one of these areas where the profession has changed dramatically – with more employed dentists now in a variety of workplaces, both public and private. We are continuing to look at ways to represent the different segments of the membership and ensure that belonging to your professional association provides value for dentists.

EVIDENCE-BASED DENTAL PRACTICE A recent issue of the British Dental Journal (Issue 223) contained a number of interesting papers on Minimal Intervention (MI) dentistry, highlighting that our understanding of dental caries as a disease process has changed dramatically over many years. Advances in restorative materials, clinical techniques, new technologies, improved understanding of behaviour management and motivational interviewing all enable dental care providers to approach the management of dental caries in a manner designed to

achieve and maintain oral health and longterm wellbeing.

It is incumbent on dental practitioners to practise ethically, bearing in mind the twin principles of beneficence (doing good) and non-maleficence (avoiding harm).

An MI non-restorative approach to dental caries in the first instance has the potential to avoid harm, by keeping the tooth out of the restorative cycle. Once a restoration is placed, we know that the tooth will require ongoing maintenance and repair throughout its life. Patients are more likely to accept a conservative approach to management if they are aware of it, and if the risks and benefits are well explained.

All too often I hear dentists question the evidence that clearly demonstrates that early caries lesions can be arrested and remineralised, with a preference to intervene restoratively to be certain. The British Dental Journal provides clinicians with some excellent guidance on modern caries management.

One of the key aspects is an understanding that dental caries is a lifestyle-related disease strongly associated with the frequency and amount of fermentable carbohydrates consumed. There is a greater requirement for the dental profession to be stronger advocates in the public debate about food and nutrition policy. For example, the ADAVB has been involved in submissions related to the Health Star Rating program, to strengthen a system designed to guide consumers to choose healthy foods. The Health Star Rating is calculated on the saturated fat, sodium and sugar content of foods and drinks, yet there are some examples of moderate to high sugar packaged foods that have received

a four health star or higher rating. For example, NutriGrain has a four-star rating despite having 27 g of sugar per 100 g, and a 250 mL serve of Up&Go liquid breakfast contains up to 19 g of sugar but has a 4.5-star rating.

The World Health Organization recommends that free (added) sugar intake is kept below 10 per cent of total energy intake to reduce the risk of obesity and tooth decay, with a further recommendation to reduce to five per cent total energy intake for additional health benefits primarily based on the dental health impacts.

AGEING & DEMENTIA September was Dementia Awareness Month, and we were active in promoting the importance of oral health and dental care for more than 413,000 Australians living with dementia. Dementia is the single greatest cause of disability in older Australians, and declining cognitive ability is associated with poor oral hygiene and significant dental problems. Continuity of care is important for people with dementia, since they often struggle with new environments and people. The ADA and Alzheimer’s Australia developed a suite of resources for dentists to assist them managing patients with dementia (www. ada.org.au/CPD-Portal/Home) and there is a great online resource that provides more information on dementia from the University of Tasmania (www.utas.edu.au/ wicking/understanding-dementia).

Clinical A/Prof Matt Hopcraft

VICTORIAN DENTIST | OCTOBER 2017 | 5

NEWS

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With content provided by ADAVB Meridian Lawyers and Guild Insurance dental experts, addressing the emerging risks faced by dentists when communicating with patients, keeping accurate records and handling complaints when they arise, Dental RiskHQ will help you reduce your practice risk, avoid incidents and make the most out of Guild’s new no claims bonus – all while earning CPD hours.

Visit guildinsurance.com.au/dentist to take the first step towards a claims free future now.

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Better through experience.

Insurance issued by Guild Insurance Limited ABN 55 004 538 863, AFS Licence No. 233791 and subject to terms, conditions and exclusions. Guild Insurance supports ADAVB through the payment of referral fees. ADAVB is an authorised representative of Guild Insurance. Please refer to the policy wording and policy schedule for details. For more information call 1800 810 213.

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6 | VICTORIAN DENTIST | OCTOBER 2017

NEWS

The Teddy Bear Hospital hits Chadstone After weeks of careful planning and collaboration, the Teddy Bear Hospital held its second major event of the year, this time at Chadstone Shopping Centre on 19–20 August. Once again, the students of Melbourne Dental School were at the forefront of dental education, teaching children about oral health in a weekend full of bubbles, stickers and furry friends.

Volunteers at the Teddy Bear Hospital

‘We’re proud to announce we raised more than $20,000 for The Royal Children’s Hospital Good Friday Appeal, which will go towards new equipment, research and education to support the hospital’s efforts.’

Anne Randall, Director of the Good Friday Appeal, officially opened the 2017 Winter Check-Up in a ribbon-cutting ceremony.

From the very beginning, our 550 student volunteers from the medicine, dentistry and allied health faculties of the University of Melbourne were kept on their toes and saw more than 2,000 teddies (and their concerned owners) over the weekend. This is up from 1,400 the previous year. Sunday morning proved to be our most popular time, as we saw approximately 300 children in the first hour!

We’re proud to announce we raised more than $20,000 for The Royal Children’s Hospital Good Friday Appeal, which will go towards new equipment, research and education to support the hospital’s efforts.

Overall, it was a fun weekend full of smiles for everyone involved!

The Teddy Bear Hospital was shortlisted for the Community Engagement Award of the Australian Financial Review Higher Education Awards 2017, which was held in Sydney on 29 August.

While we were not the winning finalists, it was an honour that our student-run, multidisciplinary committee was nominated. We are humbled to have had the opportunity to showcase Teddy Bear Hospital to the wider Australian community.

We would like to thank the University of Melbourne staff who continually support Teddy Bear Hospital, our fellow committee members for their diligence, and our student volunteers for their superhuman efforts.

Our next event will be the Teddy Bear Hospital Good Friday Appeal Kids Day Out 2018 at the Melbourne Exhibition and Convention Centre. We would like to extend an invitation to all oral health professionals, their children and ailing teddy bears for some much-needed treatment!

Akram Abdullahi and Sally Huynh Dental Team Leaders Teddy Bear Hospital Committee 2017

Teddy Bear Hospital Committee

VICTORIAN DENTIST | OCTOBER 2017 | 7

NEWS

Dentists remain among the most trusted professionals Pat yourselves on the backs – the latest Roy Morgan Image of Professions survey, released in June, found 79 per cent of Australians rated dentists ‘very high’ or ‘high’ for their ethics and honesty. This is an increase of four per cent since 2016.

Health professionals continued their dominance of the most highly regarded professions, with dentists coming in sixth on the list after nurses, doctors, pharmacists, school teachers and engineers.

Car salesmen were the least trusted professionals. In fact, they have been coming in last place for the past 36 years!

Find the full findings of the report at www.roymorgan. com/findings/7244-roy-morgan-image-of-professionsmay-2017-201706051543

Finding professional indemnity insurance to best suit your needs: Phase two of the journey The Professional Indemnity (PI) Request for Proposal (RFP) process has now completed its first stage with the RFP document distributed to 21 potential insurers on 14 July. The list of potential respondents was established through KPMG, with the knowledge that the ADA branches of NSW, Victoria and Tasmania, and South Australia could contribute.

The objective of the RFP process is not complex; it is simply to make available to all our members the most suitable PI insurance product for at least the next five years.

The importance of making the best possible decision for all members is critical since we are rather obviously witnessing a change in the litigious nature of claims and how they are manifesting. A collaboration in a genuine, respectful partnership is therefore undeniably the goal.

DISTRIBUTING THE RFP DOCUMENT With the distribution comes the responsibility for the ADA Branch Consortium PI Selection Panel (the Panel) to ensure that each potential respondent understands the nature of the confidentiality expected of them. This is achieved through an Agreement, and a respondent’s signature to this Agreement allows the Panel to distribute to them confidential and historical information around claims activity (both frequency and cost) so they can gauge market dimensions.

RESPONDING TO THE RFP Between mid-July and the end of August, a potential respondent can seek reasonable clarification of any point in the RFP. The Panel has decided to be both ecumenical and consistent in its approach to questions, and so the Panel has to decide which questions are reasonable and can be answered.

Having made that decision, the Panel will then broadcast all questions they agree to answer, along with the Panel’s responses, to the entire group of potential respondents that have signed the Confidentiality Agreement.

Once the questions and answer phase is complete, providers of a

8 | VICTORIAN DENTIST | OCTOBER 2017

PI insurance product that choose to respond to the RFP have until mid-September to provide their response.

THE PANEL’S WORK CONTINUES During the period between receiving the RFP and the deadline for respondents – which was 15 September – no doubt each of the PI providers that intend to submit a response are busy preparing their responses. The Panel is also busy during this time.

Weekly meetings between the state branches are held by phone during which updates on progress around answering potential respondents’ questions are discussed. KPMG also attends these meetings and provides their expertise to the Panel across a range of issues. Their advice and guidance give great comfort that the process is being conducted along conventional business lines.

Other tasks for the Panel during this period relate to the preparation of process once the responses are received. Key to this is how the responses will be measured against each other using a ‘weighted measuring tool’. This extensive analysis tool will be used to decide who has, and who has not, made the cut-off.

This needs to be completed by 30 September – a date by which the Panel needs to invite a small number of respondents to make a presentation to the Panel.

It is anticipated that, of all the respondents, between three and five will be asked to present to the Panel. However, the actual number of short-listed companies is entirely dependent on the quality of the responses. Members will no doubt recognise the importance of getting the ‘weighted measurement tool’ absolutely correct, since it will play a major role in determining the shortlisted companies.

The presentations previously mentioned, which are effectively a validation process for the claims made in their responses, will be required to be made on Thursday 5 October. Prior to the presentations, the Panel will expand to include other council or board members from each state branch.

This article is an amended version of Phil Breen’s article that was published in NSW Dentist, September 2017.

NEWS

Volunteering with ADAVB and our charity partners At our recent Volunteer Information Night, members enjoyed a night of networking and refreshments as they learnt more about how to get involved with the ADAVB and our charity partners.

ADAVB councillors and representatives from our closely linked charities were on hand to discuss volunteering opportunities available for members.

Presentations included how to get involved with:

•

ADAVB Sports and Social Committee

•

ADAVB Oral Health Committee

•

Overseas dental volunteering

•

Royal Flying Doctor Service (RFDS)

•

eviDent Foundation

•

National Dental Foundation

•

Australian Dental Health Foundation.

Committees are an essential part of the ADAVB, using the skills and expertise of members to further improve the association and advance the dental profession and the dental health of Victorians.

Our dedicated and committed volunteers give up their time and lend their expertise to support their colleagues on various ADAVB committees, including oral health, CPD, disputes and ethics, public dentistry and third-party issues.

‘Thank you to all our volunteers who serve on our committees and lend their hand to our charity partners.’

Thank you to all our volunteers who serve on our committees and lend their hand to our charity partners. Involvement of our member dentists, from varied specialties and areas of expertise, and at different stages of their careers, means that we stay focused on the issues affecting the profession. The diverse work and interest areas of our volunteers helps us identify and respond to the oral health concerns of the community.

Do you want to get involved? Log in to My ADAVB>My Membership>Get Involved and complete the online ‘Nominate for committee membership’ process.

Check our website for other volunteering opportunities with our charity partners RFDS, eviDent and the National Dental Foundation.

Presenters at our Volunteer Information Night: Kate Storr (RFDS), Jason Yap (Oral Health Committee), Andrew Tucker (overseas dental volunteering), Jeremy Sternson (eviDent), Peter Walthan (ADHF) and Susan Wise (ADAVB).

VICTORIAN DENTIST | OCTOBER 2017 | 9

HUMAN RESOURCES

The art of rewarding workers As the modern employment landscape continues to evolve, many

challenging work assignments, funding external study or training,

workers are beginning to value non-monetary benefits such as

or offering employees the chance to attend workshops in their

flexibility and work–life balance over monetary-based incentives.

chosen field.

This is not to say financial bonuses have become redundant.

Some employees still value the ‘give and you shall receive’ mantra, which ties strong performance to greater financial reward. The most successful business owners will combine both financial and non-financial benefits to create a more motivated, committed and healthy team.

THE RISE OF NON-FINANCIAL INCENTIVES AND REWARDS The trend towards non-financial incentives has coincided with an increase in the prevalence of two income households. Once both parents return to the workforce after using parental leave, the issue of caring for and supporting young children becomes more complicated. From this, the idea of workplace flexibility was born. This has enabled working mums and dads to tailor their employment situation to their family needs. By providing greater flexibility to those with caring responsibilities, employers began to see an increase in employee engagement.

Culminating with greater work demands on parents is the everincreasing amount of time Australian workers spend commuting to

STRONG ORGANISATIONAL CULTURE A strong organisational culture is a must have for any small business looking to retain their best people. To foster a strong and healthy workplace culture, management and senior staff need to lead by example to ensure all employees not only engage in appropriate conduct but also feel more valued at work.

Employers looking to create a health and wellbeing culture, which will help retain talent, could implement any of the following: • Staff social functions (e.g. after-work drinks and dinners) • Fitness incentives (e.g. subsidised gym memberships and extra

flexibility around breaks so staff can exercise during their

lunch hour)

• Encourage a mentally healthy workplace (e.g. zero tolerance

policy towards bullying and harassment, and talking openly

about mental health).

TRADITIONAL MONETARY BENEFITS

and from work, which consumes even more of their personal time.

The age-old method of dangling a carrot at the tip of a rabbit

On average, Australian workers spend roughly one hour per day

hole still reaps its rewards if used appropriately. Rewarding

travelling to and from work. As commuting has become more time

strong performance with financial bonuses has the potential to

consuming for many workers, working from home arrangements

positively impact on both employee engagement as well as the

have been a welcomed non-financial reward and incentive.

bottom-line. Managers need to be careful however, to ensure

WORK-LIFE BALANCE The concept of work–life balance is gaining greater exposure in the modern workplace. Here, employees are encouraged to take time off, relax on weekends and not take the job home with them after a shift. Studies have shown that a genuine work–life balance can have a dramatically positive effect on a worker’s mental health.

To implement and drive a culture that encourages a healthy work–life balance, employers need a comprehensive policy that incorporates some or all the following: • Use of work mobile/email is limited after an employee’s

finishing time

• Employees must leave their workstation during their lunch

break

• If employees are ill, they should not attend work.

OPPORTUNITIES FOR CAREER PROGRESSION The modern employee is ambitious and rarely settles for the status quo. It is therefore imperative for an employer to create an environment in which workers are afforded every chance to grow and develop their skills and competencies. This could include greater on-the-job training and support, providing more

10 | VICTORIAN DENTIST | OCTOBER 2017

monetary incentives are not misused or abused, and that the system in which they operate is fair and consistent. Too often the performance metrics on which bonuses are based are skewed, flawed or non-existent. This can lead to financial rewards being issued based on hearsay or bias, which can have a damaging effect on employee morale. Performance-related bonus schemes should therefore be carefully drawn up to guarantee reward is issued objectively and fairly.

HUMAN RESOURCES A COMPREHENSIVE APPROACH Before anything else, managers need to understand what makes their employees tick; no two individuals are the same. While some

For more information or assistance,

will prefer the competitive nature of performance-related financial

please contact the friendly team

bonuses, others prefer to operate in an environment in which non-monetary benefits are more prevalent. Getting to know each

at the ADA HR Advisory Service on

employee and their motivations is paramount when determining

Telephone: 1300 232 462

which is the most effective method of rewarding and retaining staff. It could be the case that both financial and non-financial

Fax: (02) 8448 3299

incentives are introduced to create a more holistic system

Email: hrhotline@ada.org.au

of reward – one that considers the needs and wants of each individual employee to create a vibrant, healthy and productive team.

2017 Employers’ Guide Thinking of hiring a new graduate dentist? View their profiles in the 2017 Employers’ Guide.

The booklet is available with this month’s Victorian Dentist, or can be accessed online at www.adavb.net (Login > MyADAVB > Careers).

For information on recruiting an employee dentist, including contracts, and employer obligations and employee entitlements, contact the ADA HR Advisory Service.

Ph: 1300 232 462 E: hrhotline@ada.org.au www.ada.org.au/Membership-Services/Human-Resource-Hub

A valuable role that won’t be forgotten: Honorary Secretary The ADAVB Council recently resolved to cease the role of Honorary Secretary, the duties of which will now be incorporated into the Immediate Past President’s role. For almost eight decades several generous ADAVB members contributed their time and expertise to fulfil this position. Their responsibilities included providing advice to Council and President, assisting Council and the President at meetings, and deputising for the CEO and Company Secretary in that person’s absence.

Dr David Houghton, who served in the role from 1994 to 1998 said, “As I recall, the Immediate Past-President did not serve on the Executive. Instead, the Honorary Secretary was the ‘experienced person’ to advise and assist the President, Council and Secretary in their duties”.

Dr Houghton said, “The enjoyable part of the position was the ability to contribute to the Association using past experience and to subtly ensure that policies and objectives of the Association were adhered to both for the Association’s and members’ benefit – and also to ensure the best possible oral health outcomes for the public”.

Dr Houghton attended regular meetings with Council, Executive and the CEO and he enjoyed this rewarding role, “It is a wellused clause but, as with most things in life, you get back what you put in. Involvement in your professional organisation is

highly rewarding from the satisfaction of working with dedicated members to enhance and advance our profession whilst never forgetting our core responsibility of caring for the public’s oral health.

“It is only through our members’ support and involvement with the ADA at Branch and Federal levels that we can ensure we speak for the large majority of dentists in Australia,” he said.

In acknowledgement of their contributions, the Council and members of the ADAVB express their appreciation to the following members who carried out this important role: 2014-2015

Dr Jo-Anne Cherry

1982-1984

Dr John Harcourt OAM

2010-2013

Dr Mark Bowman

1981

Dr Vincent Amerena

2008-2009

Dr Chris Callahan

1971-1980

Dr Bruce Drysdale OAM

1999-2007

Dr Neil Hewson (now A/Prof)

1970

Dr Laurence Williams

1994-1998

Dr David Houghton 1969

Dr Eric Kings

1990-1993

Dr Bruce Taylor

Dr Donald Spring

1985-1989

Dr Fred Widdop AM 1950-1956

1957-1967

Dr John Wark

VICTORIAN DENTIST | OCTOBER 2017 | 11

SERVICE PROMOTION

Are you doing everything you can to maximise the value of your practice goodwill?

Part three: Restraints of trade This is the last part of our series of articles on practice goodwill.

In our first two parts of the series, we looked at location goodwill and intellectual property protection.

This article will focus on what restraints you can impose on employees or contractors to protect your relationship with patients.

BUSINESS RELATIONSHIPS As highlighted in Part 2 of the series, dental practice owners use various business structures and engage people in different ways. Some share premises and facilities, while running their own independent practices, others engage dentists as contractors or employees (sometimes through corporate structures), and some use practice management structures that provide facilities and services for teams of dentists who work from the premises.

The practice structure has an impact on expectations in relation to ownership of patient goodwill and what is appropriate for the protection of that goodwill. We will focus on dentists who are engaged by principals or employers (practice owners) as contractors or employees (practice dentists).

RESTRAINT OF TRADE CLAUSES Restraint of trade clauses are clauses within an employment or engagement contract that will restrict a practice dentist from undertaking certain activities that may adversely affect the practice owner’s business. Restraint of trade clauses include: • Restraint on competition with the practice owner’s business • Restraint on solicitation of the practice owner’s patients, suppliers, etc.

• Restraint on poaching or recruitment of employees or contractors in the practice owner’s business.

The clause commonly operates during the engagement and after the engagement ends.

If a dentist leaves a practice, he or she is entitled to compete with the practice, and may also solicit the custom of patients and employees of the practice unless the practice owner can rely on an agreement that includes an enforceable restraint of trade clause.

However, a practice dentist is not entitled to misuse confidential information or other trade secrets of the practice, and a practice owner may in some circumstances rely on implied contractual duties to protect confidential information and equitable duties of confidence.

WHEN ARE RESTRAINTS OF TRADE ENFORCEABLE? Restraint of trade clauses are difficult to enforce. They are generally considered void unless the practice owner can demonstrate that the restraint is reasonably necessary to protect the legitimate interests of the practice. The reasonableness (and

12 | VICTORIAN DENTIST | OCTOBER 2017

therefore enforceability) of the restraint will turn on the particular circumstances and the wording of the clause in the contract.

In determining enforceability, a court will typically consider factors such as: • The length of the restraint • The geographical limitation imposed (unless it is a non solicitation clause, in which case a geographical limit does not apply) • The nature of the business and the position held by the employee or contractor • The specific activities the clause attempts to restrict.

Generally, a court will not enforce a restraint if it precludes the person from plying his or her trade, or is simply designed to restrict competition.

In most states in Australia, courts do not have the discretion to ‘read down’ the terms of a restraint clause to modify it until it is reasonable. Therefore, if one term is unreasonable, the entire clause would be found to be void. This is why many restraint clauses are drafted to provide for numerous combinations of restraint area and period. If one restriction is found to be unreasonable, the court will more likely find an alternative restraint that is reasonable.

‘ONE SIZE FITS ALL’ APPROACH Restraint of trade clauses are not standard. To be enforceable, a restraint clause should be drafted with the specific attributes of the employee or contractor and his or her role in mind. The clause must reflect the activities currently performed by the employee or contractor. If the role changes, it is important to review the restraint clause and ensure it is reflective of the new role.

Even if a ‘standard’ restraint clause is used, the period and geographical area of the restraint should be considered with all relevant factors in mind.

Practice owners should also make sure that prospective employees and contractors are not bound by enforceable restraints given in favour of a former employer.

This article is not a substitute for legal advice and is designed to raise awareness of some of the key issues we see when advising dental and other health practice business owners on intellectual property matters.

We have partnered with the ADAVB to provide a legal advice line service to ADAVB members, who are entitled to a 20-minute free telephone consultation on business law-related matters.

If you would like further information about how Meridian Lawyers can assist you, please contact the ADAVB/Meridian Lawyers helpline on 1800 617 624.

SERVICE PROMOTION

ADAVB Meridian Legal Helpline

Having worked with the dental profession for many years, Meridian’s dedicated team of health and commercial lawyers offer a very personalised advice service, which includes:

The helpline offers members advice from Meridian Lawyers on general, corporate and commercial law. The advice is free for the first 20 minutes.



Buying and selling practices, goodwill and

patient lists; mergers and aggregation of practices 

Franchising



Protection of business names



Loan agreements



Dealing with corporations



Retail leasing



Outsourcing agreements



Commercial dispute resolution



Consumer law including advertising advice



Regulatory advice

To use the service, call 1800 617 624 and quote your ADAVB membership number.

ŽŶƐƵůƟŶŐ ƐĞƌǀŝĐĞƐ ĨŽƌ sŝĐƚŽƌŝĂŶ ĂŶĚ dĂƐŵĂŶŝĂŶ DĞŵďĞƌƐ ADA�� Prac�ce Plus �onsultants o�er a range of consul�ng services to all �ictorian and Tasmanian members including:     

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ŽŶƐƵůƟŶŐ ĨĞĞƐ $275 per hour (incl. GST) for ADA members* $165 per hour (incl. GST) for Accredita�on Please contact us on ph. (03) 8825 4600 email prac�ceplus�adavb.org or visit prac�ceplus.adavb.org for more informa�on.

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*Addi�ona� tra�e� costs a���y for �rac�ces �ocated more than 25km from ADAVB offices in South Yarra.

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VICTORIAN DENTIST | OCTOBER 2017 | 13

EVIDENT FOUNDATION

Implant complications in clinical practice – a prospective study Dental practitioners need to ensure the currency of their knowledge base. This is of particular importance in implant dentistry, as techniques and materials develop rapidly due to advances in biomedical technology and ever-increasing depth of clinical experience.

The availability of high quality, evidence-based clinical guidelines is currently lacking in many facets of treatment provision in clinical dental practice including implant therapy. Many clinical best practice standards are based on consensus statements.

WHAT IS THE IMPLANT COMPLICATIONS IN CLINICAL PRACTICE PROSPECTIVE STUDY? The prospective study is designed to support practitioners by providing access to real-time, best-practice information and ultimately improve patient outcomes.

This will be achieved by a three-pronged strategy addressing: • A current lack of a centralised information platform • Limited availability of relevant guidelines • Limited information about treatment outcomes of patients

receiving implants in private practice.

The project will build on the retrospective study which, unlike most other studies, reported the outcomes for implant restorative surgical procedures in private general and specialist practices with no patient exclusion criteria other than incomplete records.

The inclusion of patients with known systemic factors related to implant failure meant the results were more reflective of everyday practice.

WHAT WILL THE STUDY ACHIEVE? The aim of the project is to improve the clinical outcomes for patients receiving implant treatment from private dental practitioners with access to a novel online data-sharing platform.

The overall objective of the digital platform is to establish an optimal means of translating evidencebased practice interventions into private practice.

WHERE ARE WE AT? An application for ethics approval has been submitted to the University of Melbourne, and development of benchmarked

14 | VICTORIAN DENTIST | OCTOBER 2017

guidelines has commenced. The information platform is being refined, and we anticipate commencement of the pilot study from February 2018, before expanding to a multi-centre study in Victoria, New South Wales and Dunedin.

A/Prof Roy Judge is the Chief Investigator A who will be leading this project, together with Dr Denise Bailey as Chief Investigator B. Drs Paola Bower, Tim Stolz and Jeremy Sternson are Associate (practitioner) Investigators.

A/Prof Roy Judge says: ‘The large team of clinicians, academics, researchers, statisticians, and enrolled practitioners have worked effectively to produce a large data set from the first part of this eviDent project. It is very exciting to be involved with this group as we strive to provide an evidence base to our colleagues across Australia and New Zealand that further informs and enriches clinical practice’.

WHERE CAN YOU LEARN MORE? Hear more about this project at the eviDent Research Showcase on 12 October 2017. Register your attendance by emailing ask@evident.net.au. eviDent and the project team is thankful for the generous support of the Australasian Osseointegration Society for funding the pilot study of this project.

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VICTORIAN DENTIST | OCTOBER 2017 | 15

CLINICAL UPDATE

Clinical Update Heat Shock 70 Protein Genes and Genetic Susceptibility to Apical Periodontitis Maheshwari K, Silva RM, Guajardo-Morales L, Garlet GP, Vieira AR, Letra A. J Endod 2016;42:1467–71. doi: 10.1016/j.joen.2016.07.010. Epub 2016 Aug 25.

Compiled by Dr Aaron Martin and Dr Sarah Chin INTRODUCTION Apical periodontitis is a disease involving inflammation of the periapical tissues. It is typically a consequence of a polymicrobial infection within the root canal system, which can occur following insult and bacterial challenge to a tooth. The development of an apical periodontitis lesion is the result of the interplay between this infection and the surrounding host tissues. Previous research has largely focussed on the microbial side of this interplay with many studies assessing the quantity and nature of micro-

they had a deep carious lesion, defined as involving at least two thirds of the dentine depth. Routine endodontic diagnostic tests were completed including radiographs and sensibility testing before included patients were divided into ‘case’ and ‘control’ groups. Individuals were included in the ‘case’ group if they had a diagnosis of pulp necrosis and apical periodontitis with a periapical lesion of ≥3mm. Individuals were included in the ‘control’ group if they had a diagnosis of a vital pulp and normal apical tissues.

organisms involved in disease. Current approaches for the

Patients were excluded from this study if they had systemic

treatment of apical periodontitis focus on the reduction of the

medical conditions (including diabetes), which could impact on the

microbial infection in order to allow the host tissues to heal.

inflammatory process or if they had a history of antibiotic, anti-

Persistence of disease following root canal treatment is commonly

inflammatory or hormonal medications within the last six months.

seen as a consequence of our inability to reduce the microbial infection sufficiently.

Eight polymorphisms were assessed in this study design, which were spread across five HSP70 genes including HSPA1L, HSPA4,

The host response to an infection in the root canal system

HSPA4L, HSPA6 and HSPA9. Each of the polymorphisms

also plays a part in the development and persistence of apical

chosen represented a single nucleotide polymorphism (SNP),

periodontitis. The nature of this host response is complex but

meaning that the gene sequences differed in only a single

some individuals may show a greater susceptibility as a result of

isolated nucleotide. The allele (gene form) frequencies for each

genetic variations.

polymorphism were recorded and compared amongst the case

Heat Shock Proteins (HSPs) have a variety of important cellular functions including being chaperones involved in the synthesis and folding of other proteins. HSPs are upregulated as part of an inflammatory response following stressors. They are particularly involved with the innate immune response and can broadly be considered as having a protective role. HSPs have previously been found to be increased in inflammatory responses in apical tissues. This study aims to investigate any link between HSP gene expression and different clinical outcomes with apical

and control groups.

RESULTS The study population included 400 patients with deep carious lesions, made up of 183 cases (pulp necrosis and apical periodontitis) and 217 controls (vital pulps and normal apical tissues). The sample data set was assessed and was found as being representative of the population at large.

Three different SNPs showed associations with cases (pulp

periodontitis. Gene polymorphism involves a difference in the

necrosis with apical periodontitis), listed as follows:

coding for a particular gene within a population, which can

• HSPA6 rs1042881

make certain individuals more prone to developing disease. It is theorised that HSP gene polymorphisms may influence an

• HSPA1L rs2075800

individual’s susceptibility to apical periodontitis.

• HSPA1L rs2227956

MATERIALS AND METHODS

Each of the above polymorphisms was shown to have a

All patients involved in this study completed a medical and dental history and a saliva sample was obtained in order to extract genomic DNA. Patients were eligible for inclusion if

16 | VICTORIAN DENTIST | OCTOBER 2017

statistically significant correlation with apical periodontitis (p < 0.05). The remaining SNPs studied did not show statistically significant correlations.

ANNUAL REPORT SHORT FORM 2016/17

Association Australian Dental Association Victorian Branch

The ADAVB is committed to the oral health of all Victorians and the professional lives of its members.

SHORT FORM ANNUAL REPORT | 1

ADA

ADAVB INC.

Short Form Annual Report 2016/17

President’s Foreword – General Review – Finance Risk and Audit Committee Chair’s Report – Community Relations and Professional Consultant Services (ADAVB Dispute Assistance Service DAS) – Benevolent Fund – Membership – Vale – Auditor’s Report – Statement of Comprehensive Income – Statement of Financial Position.

PRESIDENT’S FOREWORD The 2016/17 year has been a successful one for the ADAVB, but also one in which we have seen some significant changes, starting with a newly elected Council of 17 dedicated members – with seven of these taking on the role for the first time. It has been satisfying to work with the Branch Council towards achieving the ADAVB’s strategic goals and it is my pleasure to present the Annual Report.

One of the biggest changes of the year was the news of the retirement of the ADA’s longest-serving Branch CEO, Mr Garry Pearson, who has guided the ADAVB over 26 years and announced he was to step down in July. It has been inspiring to hear members and stakeholders talk about the legacy that Garry leaves, which has resulted in an inestimable benefit to the ADAVB. With the announcement of his retirement, we formed a dedicated CEO Search Committee and enlisted the expert help of an executive search firm that has vast experience in filling similar roles. In early May, it was announced that Clinical Associate Professor Matthew Hopcraft had come through this process as the successful candidate.

Similar changes occurred at the federal level, with the retirement of Mr Robert Boyd-Boland in January and the appointment of a new ADA CEO Mr Damian Mitch to complement the new federal President Dr Hugo Sachs. The new team have engaged the state branches in discussions around strategic planning, governance, member services, representation and advocacy.

Two of the big ADA campaigns that we supported and were involved with over the year were the ‘Save the Child Dental Benefits Schedule’ (CDBS) campaign and the private health insurance ‘Time to Switch’ campaign.

2 | SHORT FORM ANNUAL REPORT

The Federal Election mid-year pushed Medicare into the spotlight and the future of the CDBS was debated for many months. The ADAVB and our members having significantly supported the ADA when called on to provide local advocacy and media work for the #savethecdbs campaign. Our combined efforts saw not only the scheme retained but also reinstated to its original levels – the Federal Government having realised that the CDBS is a good scheme and one that is targeted to those most in need.

The ADA sought to highlight the lack of transparency around private health insurance extras cover with their ‘Time to Switch’ campaign. Members and patients are concerned about premiums rising and differential rebates, so we are working towards creating a more workable balance between the profession, patients and health funds. We hosted a members-only forum and fully supported the campaign, seeing a large amount of complaints being filed with the Private Health Insurance Ombudsman. Further results of this will be played out in the coming months with the Senate inquiry into Private Health Insurance.

The biannual membership survey was a joint effort with both ADA and the ADAVB, and it allowed members the opportunity to voice their opinions on the key issues that affect them directly. The results of this survey will go some way towards shaping future advocacy and member services offerings.

The Australian Dental Students Society held its annual conference in Melbourne and I had the privilege of presenting at the opening. This was a welcome opportunity to highlight the strong links between the ADAVB and the future of the profession. We continue to support both Victorian dental schools in sponsoring events, research, student prizes and mentoring. Our recent graduates mentoring program has progressed well and we have participated with a Melbourne Dental School pilot program of mentoring for final year students. The ADAVB continues to support the Health Sector Leadership program, which provides training and a pathway for our future leaders.

In December, the ADAVB was a signatory on a joint position statement supporting respectful oral health workplaces. In an Australian first for the health sector, nine dental organisations signed this in front of the Victorian Health Minister the Hon. Jill Hennessy. The statement isan excellent example of collaboration across the sector.

Other notable submissions have been made to the federal and state governments including enhancing the reporting of public dental sector performance through the Transparency in Government Bill, the national phase down of mercury and changes to the Health Complaints Act. The changes to the Health Complaints Act have seen the newly appointed Health Complaints Commissioner address ADAVB members in April to highlight the changes to investigative powers and the Commissioner’s desire to facilitate a simplified complaints process.

Our partnership with Professionals Australia has seen the next phase of enterprise bargaining agreement (EBA) negotiations started for our public dentist members. Specialist and GP Hospital and Community Dentist EBAs are up for review, with the long-term goal to help dentists and their employers to work together to achieve a strong and supported public dentist workforce. ‘Respect Public Dentistry so Everyone Can Smile’ is the catch phrase for this campaign, and the ADAVB is certainly keen to see this resolved for the benefit of patients and the sector.

Our involvement in oral health campaigns has seen us partner up in more than 22 oral health initiatives including the ‘Rethink Sugary Drink’ campaign and ‘Smoke Free Smiles’. The Oral Health Committee continues to provide resources that are available on our website, and we have supported Dental Health Week promotions with direct advertising to the public and social media posts.

The Australian Dental Congress in Melbourne was a huge success and provided world-class CPD on our doorstep with ample opportunity to network and meet colleagues. Many of our members filled positions on the various committees, chaired sessions and supported the event, which had a unique Melbourne flavour that built on our reputation of being a cultural and sporting capital.

Our CPD courses continue to be popular, with more than 30 events conducted this year – and an expansion of hands-on courses planned.

The ADAVB has expanded its service agreement with the Tasmanian Branch to provide further

administrative support to our colleagues in the southern state.

Member renewal rates have increased by a modest one per cent this year and the ADAVB will continue to provide member services that we are used to. We shifted to fully electronic renewals and continued to see growth in pay-by-the-month options.

An area of continued growth is around communication.

Our social media presence continues to grow across all platforms and this has coincided with several media exposures across print, radio and television. Media topics included dental fees, fluoridation, PHI, CDBS and a variety of oral health topics that have highlighted the need for the ADAVB to be accessible and available for such opportunities as we are the voice of dentistry in our state.

I must thank the outgoing CEO, Mr Garry Pearson, and ADAVB staff for their ongoing support and dedication to working for the members.

Dr Andrew Gikas President 2016/17

GENERAL REVIEW Key achievements in each of the major goal areas in the Branch Strategic Plan, were:

Governance and Administration •

• • • •

A selected group of ADAVB Councillors formed the CEO Search Committee, and appointed ADAVB’s new CEO, Clinical Associate Professor Matthew Hopcraft, who commenced in the role on 3 July 2017.

ADAVB farewelled its CEO of 26 years, Garry Pearson, who retired from the role on 2 July 2017.

Membership rate adjustments for 2016/17 were kept at approximately one per cent.

The ADAVB Communications Strategy was redeveloped with greater emphasis on member engagement and member services.

ADAVB enhanced its use of social media and online communications to engage members and raise awareness of news, campaigns and member services. A social media content strategy was developed, and the number of people following ADAVB on social media increased. Member email open and clickthrough rates increased, well above industry standards. ADAVB increased members’ awareness of the benefits of membership through targeted emails to specific groups of members, such as students and recent SHORT FORM ANNUAL REPORT | 3

•

•

•

•

• •

•

graduates, and regular social media content.

ADAVB used social media to encourage greater interaction between members, and this resulted in increased sharing of ADAVB posts and likes of shared posts. Council and Committee members were encouraged to share and like posts to boost engagement with colleagues.

Opportunities to enhance coordination of ADA Inc. and ADAVB communications were identified. ADAVB actively shared ADA Inc. news and social media, and took part in national communications meetings and teleconferences in preparation for future nationally aligned communications activities.

The ADAVB indemnity scheme was reviewed in consultation with Guild Insurance Ltd, to enhance the value proposition for members, with additional PI insurance cover introduced for defined procedures and entities.

The Service Agreement with ADA Tasmanian Branch was updated, and ADAVB became the point of member services delivery for ADATB members. ADAVB now also provides administration support for the ADATB Council.

Council approved a number of amendments to ADAVB By-Laws and Policy Statements.

ADAVB provided input into the national ADA Membership Survey, which included 10 questions specifically about ADAVB. The results of this survey are being used to update the ADAVB Strategic Plan, and enhance member services and communications.

We kept members informed about employment resources and opportunities, via targeted emails, updated member benefits sheets, and in the quarterly students and recent graduates section of the Victorian Dentist and corresponding eNews. Students and new graduates were offered employment information at mid-year and end of year seminars, and through the Employers’ Guide.

•

•

•

•

• •

•

•

•

Dental Workforce, Education and Training

Community Oral Health and Disease Prevention

•

•

•

•

Plain language oral health information for consumers was developed and updated. This was made available to members and the public through the Victorian Dentist newsletter, the ADAVB website, the Caring for your Kids’ Teeth Facebook page, and the Better Health Channel. ‘Caring for your teeth’ fact sheets were developed on the topics of wisdom teeth, oral health tips for the holiday season, and hidden sugars.

Mouthguard awareness and access was promoted in social media posts, and an article was published in the Victorian Dentist, which highlighted members’ mouthguard promotion initiatives, and further encouraged membership participation in this work.

4 | SHORT FORM ANNUAL REPORT

We continued to participate as a partner in Quit Victoria’s Smokefree Smiles project, alongside Dental Health Services Victoria (DHSV) and the Victorian Department of Health and Human Services, with smoking cessation brief intervention training offered to oral health practitioners in the Latrobe Valley.

The ADAVB actively supported the Cancer Council of Victoria’s campaign to introduce smokefree outdoor dining under the Tobacco Amendment Act 2016, joining other leading health and community organisations to co-sign a statement calling on the Victorian Government to introduce smoking bans in outdoor dining and drinking areas.

ADAVB continued to support a number of health promotion campaigns including Rethink Sugary Drink, the H30 Challenge and Live Lighter.

ADAVB, ADA Inc. and the Rethink Sugary Drink Consortium advocated for a tax on sugar sweetened beverages.

ADAVB continued its participation in DHSV’s Population Health Committee.

Dental Health Week activities were delivered locally in support of the national campaign, including social media and website promotion, and an advertising campaign on Melbourne Metro trains.

We participated in a workshop to develop the next Victorian Action Plan for the prevention of oral disease 2017-19.

The Oral Health Committee produced articles for the Australian Medical Association Victoria’s VicDoc magazine to educate medical GPs on assessing and managing oral health issues in the first instance, when patients present to GPs rather than dentists.

To promote the inclusion of oral health care as part of general health care in the primary care setting, ADAVB raised awareness among members of opportunities to apply for membership of Victorian Primary Health Network Clinical Councils, and two members were successfully selected.

• •

•

ADAVB and Guild Insurance Ltd collaborated to provide enhanced support to, and involvement in university activities at Victorian dental schools.

ADAVB enhanced its engagement of early career members (those who have been in the workforce for one to five years), with the promotion of relevant CPD, and of the Early Clinical Essentials program.

The Mentoring Program for new graduates commenced again, with 62 members participating.

The Practice Plus and CPD units collaborated with Moneywise to develop a four-module education program addressing financial literacy for new dentists, which will be rolled out from August 2017.

ADAVB renewed its service agreement with Professionals Australia to continue to assist public sector members to achieve the respect, recognition

• •

•

and reward they deserve through enterprise bargaining representation and advocacy (see p. 6 for a separate report on enterprise bargaining).

ADAVB provided input into ADA Inc. 2017 Recent Graduate and Practice and Workforce surveys.

ADAVB continued to advocate to the government on behalf of members to raise awareness about workforce oversupply, and for enhanced utilisation of the available dentist workforce.

In December 2016, ADAVB signed the Joint Position Statement Against Bullying, Harassment and Inappropriate Behaviour in the Oral Health Sector.

Professional Development •

• •

• •

• •

•

The CPD Unit delivered more than 30 CPD courses, consisting of lectures and workshops plus one regional conference in Victoria. Four joint courses with ADATB were held in Hobart and Launceston.

The Practice Plus Unit delivered two seminars in Tasmania and eight in Victoria.

ADAVB hosted a seminar with the new Health Complaints Commissioner in May 2017, To raise members’ awareness of the changing health complaints environment, including the new Health Complaints Act. ADAVB participated in the ADA Inc. Congress Melbourne in May 2017 through a well-attended exhibition booth and the post-Congress evaluation.

The CPD Unit joined with ADAVB Regional Groups North Western and Northern for the Regional Conference in Lancefield to provide joint CPD programs for members.

Bundle discounts for courses were introduced in 2017 to enhance members’ access to ADAVB CPD. A review of CPD discount levels for students and recent graduates (first two years only) was undertaken, and some free CPD lectures for students and first year graduates will be available in the 2018 CPD program.

To provide additional CPD courses for experienced dentists, the CPD Committee resolved to plan Advanced/Masterclass CPD lectures and workshops for the 2018 program.

Campaign to raise awareness of the issues that members and their patients can experience with private health insurers, and held a Private Health Insurance Forum for members in November 2016.

Representation, Affiliation and Recognition • • •

•

•

Notes were sent to ADA Inc. to support their submissions on: •

• • •

•

•

Dental Practice, Safety and Quality •

•

•

140 free Practice Plus practice administration resources were promoted for member use through the website, Victorian Dentist newsletter and e-News, targeted emails to members and social media.

New Practice Plus practice management resources were developed including: Privacy Complaints Process, Data Breach Response Plan, Video Surveillance and Privacy Law, Validation of the Sterilisation Process, Radiation Use and Management Licence for OPG & CBCT (Vic), Radiation Licencing (Tas), and Branch Practices.

ADAVB supported the ADA Inc. Time to Switch

The Health Sector Leadership Program was conducted again, and chiefly focused on emerging leaders in seven health professions.

The Royal Flying Doctor Service Mobile Dental Care Program (the ‘Flying Doctor Dental Clinic’) continued with strong member support.

Representations were made to the Victorian Government for increased Victorian public dental funding to cover EBA public sector dental professional salary increases, and the federal funding shortfall.

ADAVB advocated to the government and politicians for the maintenance of procedural fairness in the new Health Complaints Act, and to the Victorian Health Minister to lobby for the provision of increased funding to support a smooth transition to the new Health Complaints Commission.

ADAVB was represented on a range of committees and working groups to support oral health promotion and prevention in Victoria.

The consultation on higher education reform: Driving Innovation, Fairness and Excellence in Australian Higher Education (July 2016) The response to the Productivity Commission Issues Paper on Human Services (July 2016) The response to the proposed Commonwealth Budget Savings Omnibus Bill (September 2016) AHPRA and Medical Board of Australia independent review of the use of chaperones to protect patients (September 2016) The response to the Regulation Impact Statement on Ratification of the Minamata Convention (February 2017) The Senate Community Affairs References Committee Inquiry into the value and affordability of private health insurance and out-of-pocket medical costs (June 2017).

ADAVB submissions were made in relation to: • •

Simplifying medical treatment decision making and advance care planning (July 2016) Funding priorities for the 2017/18 State Government Budget (December 2016).

For more information on ADAVB’s submissions visit submission.adavb.org

SHORT FORM ANNUAL REPORT | 5

A number of letters were sent to politicians and to the State Health Minister to: •

•

•

Advocate for increased funding to the new Health Complaints Commission, to support the transition to the new Victorian health complaints regulator and the expanded role (July 2016) Further advocate for recognition of the critical role of public dental care, and enhancing the reporting of its performance, through the Transparency in Government Bill Advocate for a requirement for the Chair of the Dental Board of Australia to have relevant clinical expertise.

APPRECIATION ADAVB would like to acknowledge and thank our partners and supporters whose generous support allows us to provide many member benefits: • Guild Insurance Ltd • Leadership Victoria • Moneywise • MW Partners • PSA Insurance (VMIA) • BOQ Specialist

affecting Victoria’s public dental system, which impacts up to 41 per cent of Victorians who are eligible for public dental care. In addition to uncertainty around the current funding model, part of the problem has been the lack of an overall workforce recruitment, retention and development strategy. For instance, Victorian public dentists earn up to 40 per cent less than their interstate colleagues, which makes it difficult to attract and retain experienced clinicians. In addition, there is an insufficient focus on supporting employee professional development, and providing opportunities for professional progression.

Integrated Enterprise Bargaining Campaign Working with ADAVB’s staff and its Public Dentistry Committee, a campaign plan was developed, which sought to engage with all relevant stakeholders. A key focus of this campaign is to advocate for the State Government to increase the amount and predictability of public dental funding, to ensure that there are sufficient funds for the desired outcomes. In this regard, informal meetings have already taken place.

The campaign, which was launched at a very well attended meeting on 2 February 2017, has several aspects: 1. Stakeholder Engagement

Annual Report 2016/2017, and 30 June Quarterly Update from PROFESSIONALS AUSTRALIA (PA) to ADAVB

ENTERPRISE BARGAINING REPORT: RESPECT PUBLIC DENTISTRY SO EVERYONE CAN SMILE An enterprise bargaining campaign for public dental sector sustainability, and improved pay and employment conditions for ADAVB’s public sector members, in partnership with Professionals Australia.

Background The initial impetus for the relationship between the ADAVB and Professionals Australia was to finalise an enterprise agreement for community dentists to achieve pay parity with general dentists employed in public hospitals. This was achieved by forming enterprise agreements with a nominal expiry date of 1 July 2017.

This nominal expiry date aligned with the expiry date of 30 June for public hospital dentists, and the agreement coveringspecialist dentists and specialist dentists in training, which expired on 31 May 2017.

The result, which was achieved for community dentists, was an important interim step to correct what had been a grave injustice.

The Next Phase In this next stage, we are planning and implementing an integrated campaign to address the systemic issues 6 | SHORT FORM ANNUAL REPORT

ADAVB members were invited to participate in an online survey exploring their experiences in working in public dental health as the basis for the preparation of a Public Dental Sector Issues Paper. This Issues Paper is to be used in consultation with the various stakeholders including government, public hospitals, community health centres and non-government organisations, who have an interest in the clients of the public dental health system.

The Issues Paper was initially distributed at a meeting held to endorse the generic log of claims, which was held on 30 June 2017. In addition, and as a precursor to the commencement of the formal bargaining process, a preliminary meeting was held with the Victorian Hospitals Industrial Association (VHIA), and a letter was sent to all the organisations that employ public dentists, public dental specialists, and public dental specialists in training, proposing that they as key stakeholders and the ADAVB work together to address the systemic issues in a cooperative manner. Subsequently, these meetings are now in the process of being organised.

2. Nomination of ADAVB as the Bargaining Representative for its Public Sector Members It is vital that the ADAVB, as the nominated bargaining representative, can demonstrate that it speaks on behalf of as many public sector-employed members as possible. ADAVB and Professionals Australia have therefore made a concerted effort to encourage ADAVB members to nominate their association as their bargaining representative. At a bare minimum, there needs to be at least one nomination from each entity that employs public

dentists, public dental specialists and dental specialists in training. To date, the total number of nominations received is 220 across 39 hospitals and community health centres. However, the campaign to encourage nominations is continuing – there’s still time to nominate ADAVB as your bargaining representative. Visit nominate. adavb.org to access the online form to nominate ADAVB. Thus far, at least one nomination has been received for 39 hospitals and community health centres as follows: • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

Access Health and Community Albury Wodonga Health Ballarat Health Service Banyule Community Health Service Barwon Health Bendigo Health Boort District Health Carrington Health Central Bayside Community Health Services cohealth Colac Area Health Connect Health and Community Darebin Community Health Dental Health Services Victoria Dianella Community Health EACH East Grampians Health Service Echuca Regional Health Goulburn Valley Health healthAbility Inspiro Community Health IPC Health Latrobe Community Health Service Link Health and Community Merri Health Monash Health North Richmond Community Health Northeast Health Orbost Regional Health Peninsula Health Plenty Valley Community Health Royal Children’s Hospital Seymour District Memorial Hospital South West Healthcare Sunbury Community Health Centre Star Health Sunraysia Community Health Services West Wimmera Health Service Wimmera Health Care Group

3. Enterprise Bargaining As mentioned earlier in this report, a generic Log of Claims, based on issues raised by ADAVB members both at workplace meetings and individually, was endorsed at a meeting of public sector members, which took place on 30 June 2017. Sixty-four public dental sector employees attended this meeting, with 43 additional endorsements received from regional areas. The next step is to formally

serve the Log of Claims on each of the employer entities.

Separate Logs of Claims based on the generic Log will be served on behalf of General Dentists, and Specialist Dentists and Specialist Dentists in Training. The first formal bargaining meeting between Professionals Australia (as the agent of ADAVB) and VHIA is to take place on 19 July.

It is intended that employee workplace representatives, who are ADAVB members, will be participants during the bargaining process, and in preparation for this a Bargaining Training Session was held for eight ADAVB members on 31 May 2017.

4. Engagement of ADAVB Members in the Campaign At all stages of the campaign, the engagement of ADAVB members continues to be a high priority. In the March – June 2017 quarter, Professionals Australia staff held on-site meetings with ADAVB members at: • • • • • • • •

The Royal Dental Hospital of Melbourne – two meetings with dental specialists and dental specialists in training; and four with general dentists Darebin Community Health Peninsula Health Latrobe Community Health Service Barwon Health Central Bayside Community Health Services Plenty Valley Community Health Dianella Community Health

Further, during the March to June quarter, Professionals Australia’s Outbound Call Centre made 175 calls, which were answered to encourage attendance at the 30 June Campaign Update & Endorsement of the Log of Claims meeting. In addition, at the DHSV Public Oral Health Innovations Conference on 31 March, ADAVB members and Professionals Australia staff distributed a flyer to conference delegates to raise awareness of the Respect Public Dentistry So Everyone Can Smile Campaign.

Conclusion The first half of 2017 has involved much planning and preparation for the integrated campaign, which will proceed in earnest throughout the second half of 2017.

Thank you to all those ADAVB members who have joined the Respect Public Dentistry So Everyone Can Smile Campaign. With your participation, we are building a voice for public dentists, public dental specialists and dental specialists in training to create a sustainable future for Victoria’s public dental sector.

CHRIS WALTON – CHIEF EXECUTIVE OFFICER MICHAEL BUTLER – DIRECTOR INDUSTRIAL RELATIONS ALEYSIA LEONARD – LEAD ORGANISER PROFESSIONALS AUSTRALIA

SHORT FORM ANNUAL REPORT | 7

REPORTS FINANCE RISK AND AUDIT COMMITTEE A larger than anticipated surplus was achieved in 2016/17 due to a strong performance of the Branch’s investment portfolio and careful management of expenses. This has allowed the Branch to again ensure that the subscription rate increases were kept to below CPI for the fourth year in a row.

The negative result for the economic entity arises on account from the timing difference of receipt of grants and related expenditure. The eviDent Foundation received a large grant which was brought to account in 2015/16 as income, with all of that sum expensed in the 2016/17 financial year. This is in compliance with the recognition and measurement principles of the applicable accounting standards and the Foundation’s accounting policies.

The budgeting for the past financial year posed significant challenges due to the six-month lull period at the end of the last CPD cycle and the ADA Congress held in Melbourne in May. Subscription and non-subscription income remain evenly balanced. The ability to derive non-subscription income is important in allowing the provision of additional services and support to members. Non-subscription income is chiefly derived from referral fees and commissions, event registration fees, investment dividends, sponsorship, advertising, rent, and sometimes from grants.

During 2016/17 the FRAC completed a review of risk and audit strategies to allow better focus and differentiation of strategic and operational review of risk.

The financial audit this year illustrated the importance of reviewing appointments, as the auditors appointed in 2016 identified numerous amendments from previous years’ audits.

This year marks the end of a significant period of continuous financial management by CEO Mr Garry Pearson and accountant Mr John Stephens. Mr Pearson retired from his 26-year CEO role in July 2017 and the committee is particularly pleased to congratulate him on maintaining an excellent record of financial management, reflected in this 2016/17 result. Mr Stephens retired in September 2017 after 22 years of service, and the committee thanks him for consistent and meticulous support.

The committee welcomes Clinical Associate Professor Matthew Hopcraft to the role of CEO and looks forward to working with the new Finance Manager.

Dr Mark Bowman

Chair

8 | SHORT FORM ANNUAL REPORT

COMMUNITY RELATIONS AND PROFESSIONAL CONSULTANT SERVICES – ADAVB DISPUTE ASSISTANCE SERVICE (DAS) A significant number of changes occurred in 2016/17, which impacted on the operation and type of service the Community Relations Officers/Professional Consultants (CRO/PCs) deliver to members. Following on from the interim changes in the Victorian health complaints landscape, the final adoption of the new Health Complaints Act in February allows the Health Complaints Commission (HCC) to utilise the least formal means of settling a complaint. This in turn raises professional indemnity (PI) concerns due to the obligation of members to notify and seek assistance.

It was a great opportunity that saw the new Commissioner attend a forum at the ADAVB rooms in May to brief members on these changes and to engage with them during a question time. Dialogue between the CROs and HCC investigators continues as there are a number of new appointees and it is the ADAVB’s belief that briefing them on dental matters and issues of treatment delivery assists our members as they understand dental treatment better and can assess complaints in a balanced way.

Claims audits by private health insurers have continued.

Time to Switch, the federal ADA campaign to highlight private health insurance (PHI) issues such as lack of transparency and unnecessary premium increases, has raised member awareness about PHI issues faced by both dentists and the community. There is always an influx of calls from members after PHI audit letters are received, often to seek reassurance or assistance for reviewing item numbers and their usage.

Most of the CRO workshops this year have related to procedural matters within the Corporate Authorised Agreement the ADAVB has with Guild Insurance, and with ongoing questions arising from changes at AHPRA or the HCC. Professional development for the team included attendance at ADA Congress. CROs assisted members with enquiries at the ADAVB booth and attended lectures in the scientific program.

Our locum team of Tony Robertson, Ruth Paluch and Nicky Kilpatrick was supplemented by the recruitment in November of Jenny Campbell, who joined the team in early 2017.

Workload has increased compared with 2015/16, which is reflective of the complaints experience across health professions. A big challenge is keeping the integrity and quality of the service to members in the face of increasing litigation and costs, which has led to some changes in pricing of the Guild policy, which individualises the premiums. The DAS still demonstrates its effectiveness at reducing costs to members by keeping costs to a minimum

in about 170 cases each year – a significant saving to the overall scheme.

I continued to deliver presentations to ADAVB Regional Group meetings and the ASO to outline the work of the CRO/PCs and clarify the fundamentals of professional indemnity insurance. Various CROs have also delivered presentations to Melbourne Dental School and La Trobe students. I thank the CROs, particularly Diana Evans, who have done so – it has been a great team effort.

Mrs Maria Omizzolo, Community Relations Administrative Officer, continues to support the team in so many ways on a day-to-day basis, while also managing the administrative side of the Benevolent and Defence Committees. With that enormous portfolio of duties she unfailingly manages to always have details of CRO case files at her finger tips.

This efficient and unfailing support is what enables the CROs to deliver a quality service for members.

Dr Eryn Agnew

BENEVOLENT FUND The Benevolent Fund Advisory Board, Associate Professor John Matthews (Chairman), Dr Ann Goodrich and Dr Greg Tilley, together with the ADAVB President and Hon. Secretary ex-officio, is pleased to present the Benevolent Fund report.

MEMBERSHIP STATISTICS AT 30 JUNE FOR 2016 AND 2017 SHOW: Active (Private) Active (Government Service) Practising Spouse Concessional - Restricted Hours Concessional - 70/30 Concessional - Retired Concessional - Post Graduate Concessional - Service Honorary and Honoray Life Students/ADC Candidates Total

2016

2017

2252 217 30 389 89 101 51 3 14 705 3851

2273 205 29 409 94 106 57 5 14 709 3901

VALE The deaths of the following members during the period July 2016 to June 2017 are recorded with sadness.

BLAZE, Edmund BOURNS, Stephen HARRIS, Stephen LEONG, Seng-Yap XU, Nancy

The Fund received two genuine requests for assistance from members with serious health or family issues causing major financial problems.

Discussions took place with those concerned, together with considerable compassionate assistance from ADAVB CEO Mr Garry Pearson.

The Fund is an essential aspect of the ADAVB’s care of its members, and the trustees in turn encourage all members to donate annually. Members are reminded that the Member Assistance Program (MAP) is another responsibility of the Fund, underlining the need for both sources of finance – ADAVB revenue and the generosity of members – to retain a safe margin.

The Fund’s financial position is incorporated in the Statement of Profit and Loss of Other Comprehensive Income in the Annual Report.

Associate Professor John Matthews Chair

SHORT FORM ANNUAL REPORT | 9

STATEMENT BY THE MEMBERS OF THE COUNCIL

STATEMENT BY PRINCIPAL ACCOUNTING OFFICER

In the opinion of the Council the financial statements and notes, as set out on pages 30 to 50:

I, Matthew Hopcraft, being the person in charge of the preparation of the accompanying financial statements of the Australian Dental Association Victorian Branch Incorporated, being the Statement of Profit or Loss and Other Comprehensive Income and Statement of Financial Position of the Australian Dental Association Victorian Branch Incorporated for the year ended 30 June 2017 state that to the best of my knowledge and belief the financial statements present a true and fair view of the financial position the Australian Dental Association Victorian Branch Incorporated and the economic entity as at 30 June 2017 and their results for the year ended 30 June 2017.

1. Presents a true and fair view of the financial position of the Australian Dental Association Victorian Branch Incorporated and the economic entity as at 30 June 2017 and of their performance for the year ended on that date in accordance with Australian accounting Standards Reduced Disclosure Requirements (Including Australian Accounting Interpretations) of the Australian Accounting Standards Board.

2. At the date of this statement, there are reasonable grounds to believe that the Australian Dental Association Victorian Branch Incorporated will be able to pay its debts as and when they become due and payable.

This declaration is made in accordance with a resolution of the Council and is signed for and on behalf of the Council by:

Clinical Associate Professor Matthew Hopcraft Chief Executive Responsibility of Officer the council for the financial report

The council is responsible for the preparation and fair presentation of the financial report in

with thethis financial of the applicable legislation and for such internal Dated 28threporting day of requirements August 2017

council determines is necessary to enable the preparation and fair presentation of a financ free from material misstatement, whether due to fraud or error.

In preparing the financial report, the council is responsible for assessing the Associ continue as a going concern, disclosing, as applicable, matters relating to going concer going concern basis of accounting unless the council either intends to liquidate the Associ operations, or has no realistic alternative but to do so.

AUDITOR’S OPINION Susan Wise President

Dr Mark Bowman Chairman Finance Risk and Audit Committee Dated this 28th day of August 2017

In our opinion the financial report of Australian Dental Auditor’s responsibility for the audit of the financial report Association Victorian Branch Incorporated is in accordance Our objectives are to obtain reasonable assurance whether the financial report as with the Associations Incorporation Reformabout Act 2012, from material misstatement, whether due to fraud or error, and to issue an auditor’s rep including: our opinion. Reasonable assurance is a high level of assurance, but is not a guarant 1.conducted Givingina true and fair view the Association’s accordance with the ofAustralian Auditing Standards will always de misstatement it exists. can arise financialwhen position as Misstatements at 30 June 2017 and from of itsfraud or error and are consid individually or in the aggregate, they could reasonably be expected to influence the econo performance for the year ended on that date; and users taken on the basis of this financial report.

2. Complying with Australian Accounting Standards – A further description of our responsibilities for the audit of the financial report is located at Reduced Disclosure Assurance Standards Board Requirements. website at: http://www.auasb.gov.au/auditors_files/ar3.pdf. forms part of our auditor’s report.

CROWE HORWATH MELBOURNE

Gordon Robertson Partner

Melbourne, Victoria 28 August 2017

10 | SHORT FORM ANNUAL REPORT

STATEMENT OF PROFIT AND LOSS AND OTHER COMPREHENSIVE INCOME FOR THE YEAR ENDED 30 JUNE 2017 Economic Entity Note Continuing operations Revenue Finance income Staffing and related expenses Meetings, functions and events Administration expenses Depreciation expense Other expenses (Loss)/Surplus before income tax Income tax expense (Loss)/Surplus for the year

Parent Entity

2017 $

2016 $

2017 $

2016 $

2

3,940,516

4,492,514

3,917,885

4,375,526

3

186,906 (2,179,405) (408,765) (813,840) (287,574) (505,862) (68,024) (68,024)

168,026 (2,122,806) (503,883) (825,669) (311,174) (490,960) 406,048 406,048

181,419 (2,179,405) (258,802) (744,247) (287,574) (511,979) 117,297 117,297

161,708 (2,122,806) (470,276) (792,364) (311,174) (484,033) 356,581 356,581

208,409

(80,055)

208,409

(80,055)

(58,173)

(16,021)

(58,173)

(16,021)

82,212

309,972

267,533

260,505

(68,024) (68,024)

406,048 406,048

117,297 117,297

356,581 356,581

82,212 82,212

309,972 309,972

267,533 267,533

260,505 260,505

4

Other comprehensive income Items that may be subsequently reclassified to profit or loss Net fair value gain (loss) on available for sale financial assets Items that have been reclassified to profit or loss Reclassification of fair value profit on available for sale financial assets to profit and loss Total comprehensive income for the year (Loss)/Surplus attributable to: Members of the entity (Loss)/Surplus for the year Total comprehensive income attributable to: Members of the entity Total comprehensive income for the year

The accompanying notes form part of these financial statements.

SHORT FORM ANNUAL REPORT | 11

STATEMENT OF FINANCIAL POSITION AS AT 30 JUNE 2017 Note

ASSETS CURRENT ASSETS Cash and cash equivalents Trade and other receivables Financial assets Other current assets TOTAL CURRENT ASSETS NON-CURRENT ASSETS Financial assets Property, plant and equipment TOTAL NON-CURRENT ASSETS TOTAL ASSETS LIABILITIES CURRENT LIABILITIES Trade and other payables Employee provisions TOTAL CURRENT LIABILITIES

Economic Entity

Parent Entity

2017 $

2016 $

2017 $

2016 $

7 8 9

3,644,109 167,442 1,175,000 80,354 5,066,905

4,824,712 183,803 905,000 71,749 5,985,264

3,359,205 187,652 1,175,000 79,071 4,800,928

4,335,881 252,336 905,000 70,672 5,563,889

9 11

2,867,081 5,036,857 7,903,938 12,970,843

1,715,606 5,246,467 6,962,073 12,947,337

2,867,081 5,036,857 7,903,938 12,704,866

1,715,606 5,246,467 6,962.073 12,525,962

12 13

3,414,673 368,485 3,783,158

3,518,783 318,828 3,837,611

3,406,726 368,485 3,775,211

3,540,759 318,828 3,859,587

13

39,847 39,847 3,823,005 9,147,838

44,100 44,100 3,881,711 9,065,626

39,847 39,847 3,815,058 8,889,808

44,100 44,100 3,903,687 8,622,275

15

274,333 8,873,505 9,147,838

124,097 8,941,529 9,065,626

274,333 8,615,475 8,889,808

124,097 8,498,178 8,622,275

NON-CURRENT LIABILITIES Employee provisions TOTAL NON-CURRENT LIABILITIES TOTAL LIABILITIES NET ASSETS EQUITY Reserves Retained earnings TOTAL EQUITY

The accompanying notes form part of these financial statements.

The long version of the ADAVB Annual Report including Notes to the Accounts is available on the ADAVB homepage (www.adavb.net) or from the Branch at Level 3, 10 Yarra Street, South Yarra, VIC, 3141 Ph: (03) 8825 4600

12 | SHORT FORM ANNUAL REPORT

CLINICAL UPDATE DISCUSSION HSP70 genes and their resultant proteins play an important role in the development of a range of inflammatory diseases. Eight different SNPs were assessed in this study, spread across five HSP genes. In the study design, these particular SNPs were chosen due to their potential to have relevant impacts on protein functions.

For example, a glutamine-to-lysine substitution in HSPA1L rs2075800 has been previously predicted as probably damaging to a protein structure and has been associated with other inflammatory diseases. It was hypothesised that a polymorphism that affected protein function may contribute to an individual’s susceptibility to developing apical periodontitis.

As seen in the results, polymorphisms seen in three sites were significantly associated with apical periodontitis (HSPA6 rs1042881, HSPA1L rs2075800 and HSPA1L rs2227956). It is possible that these genetic polymorphisms go some way to explaining an individual’s genetic susceptibility to apical periodontitis. These findings suggest a protective role for the HSPA6 and HSPA1L genes in response to stressful conditions such as a necrotic and infected pulp.

Previous studies have assessed the role of polymorphisms of matrix metalloproteinase (MMP) and interleukin (IL) genes in a similar manner to the current study. Polymorphisms were shown to correlate with the development of pulpitis and apical periodontitis cases. Strong associations were noted for MMP2, MMP3, and IL1B genes.

Inflammatory lesions such as apical periodontitis are complex and involve a range of signalling mechanisms and immune processes.

It is expected that variations in gene expression for some of the more critical proteins involved in an immune response including Continued on page 22

Clinical Update Review – OCTOBER 2017 Completion and return of this questionnaire with 9 correct answers will gain 1 scientific CPD hour towards satisfying Dental Board of Australia requirements. This is an ADAVB members only service. An administration fee of $11 (GST inclusive) applies. Circle the correct response on this form (or a photocopy) and return it with payment to: CPD Coordinator, ADAVB, PO Box 9015, South Yarra, Victoria 3141 Submit by 31 October 2017.

Or submit your answers online AT NO COST at www.adavb.net 1. A B C D 2. T / F

3. A B C D 4. A B C D 5. A B C D

7. A B C D 8. T / F

9. A B C D 10. A B C D 11. A B C D

6. A B C D

Name: …………………………………....... Member No: ….….………..........................

Address: ……………………………………….…………………….........................................

Cheque (made payable to ADAVB Inc) o Credit Card o AMEX o MasterCard o Visa Card No _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Exp Date _ _ / _ _ Signature: ……………………………………...................................

Answers to last issue’s Clinical Update (September 2017) 1 B, 2 C, 3 FALSE, 4 D, 5 A, 6 A, 7 D, 8 B, 9 D, 10 TRUE This document will be a TAX INVOICE upon payment.

Australian Dental Association Victorian Branch Inc. ABN 80 263 088 594 ARBN 152 948 680

Questions 1.

Apical periodontitis is defined as: a. Abscess formation in apical tissues b. Microbial infection of apical tissues c. Inflammation of apical tissues d. Infection of a necrotic pulp

2.

TRUE or FALSE? Heat Shock Proteins are down-regulated during an inflammatory process in response to stress.

3.

Genomic DNA of patients was assessed by: a. Blood sampling b. Saliva sampling c. Questioning as part of medical history d. All of above

4. Which of the following patients would have been eligible for

inclusion in the case group:

a. Diagnosis of necrosis with no apical periodontitis lesion

b. Diagnosis of necrosis with an apical periodontitis lesion of <3 mm

c. Diagnosis of necrosis with an apical periodontitis lesion of >3 mm

d. Diagnosis of a vital pulp with no apical periodontitis lesion 5. Which of the following patients would have been included

in the study population?

a. Patients with a history of antibiotic use three months previously

b. Patients taking long-term naproxen for rheumatoid arthritis

c. Patients presenting with a deep previous restoration but no caries

d. Patients with caries approaching the pulp chamber 6. Which of the following statements is incorrect?

a. Polymorphisms across five genes were assessed in this study

b. Some of the polymorphisms studied involved variations in several nucleotides

c. A total of eight polymorphisms were assessed in this study

d. All of the genes assessed in this study were HSP70 genes 7.

How many different SNPs on the HSPA1L gene showed statistically significant correlations with apical periodontitis cases? a. 0 b. 1 c. 2 d. 3

8.

TRUE or FALSE? Extrapolation of these results would suggest that persistence of an apical periodontitis lesion following root canal treatment could be the result of both environmental and genetic factors.

9. What are Heat Shock Proteins?

a. Sequences of genetic code involved in inflammation

b. Polysaccharides involved in signalling

c. Short peptide chains involved in inter-cellular signalling

d. Chaperones which facilitate folding and synthesis of proteins 10.

Polymorphisms of which of the following genes have NOT been shown to correlate with apical periodontitis lesions? a. BRCA1 b. MMP3 c. IL1B d. HSPA1L

11. Which of the following statements is true?

a. The study population included a total of 400 patients, of which 183 had a tooth diagnosed with pulp necrosis

b. The study population included a total of 217 patients, of which 183 had a tooth diagnosed with pulp necrosis

c. The study population included a total of 400 patients, of which 217 had a tooth diagnosed with pulp necrosis

d. The study population included a total of 217 patients, all of which had a tooth diagnosed with pulp necrosis

VICTORIAN DENTIST | OCTOBER 2017 | 17

CPD

Whatâ&#x20AC;&#x2122;s happening in CPD

Left and above: Delegates at the Relative Analgesia workshop with speakers Dr Angelo Preketes and Dr Robert Turnbull in September.

Above: Delegates at the Medical Emergencies workshop with speakers Dr Angelo Preketes and Dr Robert Turnbull in September.

18 | VICTORIAN DENTIST | OCTOBER 2017

CPD

Workshops in October Reaching the new standards of modern endodontics (2-day workshop) Friday 6 October (Lecture, South Yarra) – 6 CPD hours & Monday 9 October (Hands-on, Melbourne Dental Hospital) – 6 CPD hours Dr Oliver Pope In conjunction with

Limited to 20

Early clinical essentials – Posterior indirect partial coverage restoration (workshop) Friday 20 & Saturday 21 October (South Yarra) – 12 CPD hours Dr Kirthi Kosalram and Dr Karim Agha

Limited to 20

Adhesive onlays masterclass (workshop) Friday 20 October (RACS) – 6 CPD hours Dr Gordon Burt and Dr Chee Chang

Limited to 20

CPD in November The best partial denture (workshop) Friday 3 November (South Yarra) – 6 CPD hours Dr John Pearson

Limited to 15

Early clinical essentails – Tips and tricks for the general dentist (workshop) Tuesday 14 November (MOHTEC) – 6 CPD hours Dr Clarence Tam

Limited to 20

Surgical skills masterclass (workshop) Wednesday 15 November (RACS) – 6 CPD hours Dr Patrishia Bordbar and Mr Bernard Lim

Limited to 20

A - Z of clinical photography (workshop) Friday 17 November (Bendigo) – 6 CPD hours Dr Peter Sheridan

Limited to 20

Pharmacological hot-spots Friday 17 November (South Yarra) – 3 CPD hours Dr Geraldine Moses Will my child need braces - demystifying the mixed dentition Friday 24 November (South Yarra) – 3 CPD hours Dr Elaine Lim, Dr Michael Woods and Dr Harleen Kumar

Full calendar is available on www.adavb.net or contact cpd@adavb.org for more information.

Disclaimer: ADAVB is not responsible for changes to course details made after going to print.

PRACTICE PLUS

Ask Practice Plus Did you know that as the owner of a small business you must be

• Two-hour Practice Evaluation iAudit

prepared for emergency situations that may arise? An emergency

• Practice accreditation workshops (Introductory, A1 or A2 cycle)

might be a fire, explosion, dangerous chemical release, medical emergency, bomb threat or robbery.

An emergency management plan (EMP) will help ensure your workplace is well prepared. An EMP is a written set of instructions that clearly and simply outlines what your employees should do in

• Invitation to Practice Plus Network workshops/meetings • Website log-in for full access to 140+ free resources • 25 per cent discount on practice consultancy site visits and infection control workshops

the event of an emergency

• 10 per cent discount on Practice Plus hard-copy resources.

Practice Plus would like to introduce you to its latest resource that

Join our Practice Plus network and these benefits can be yours too!

has been developed to assist members to develop an EMP. To access our Fire Safety & Emergency Management Plan (Victoria), go to practiceplus.adavb.org and click on the links in the Resources List pdf.

Practice Plus subscription winner Congratulations to Jessica Winsor of Parade Dental Ocean Grove who won a Practice Plus subscription at our recent workshop!

The prize included: • Practice support services manual

Jessica Winsor receiving her prize.

Cost effective practice management - a reason to smile!

Wednesday 27 November, 1.30pm - 5.00pm ADAVB Meeting Rooms Level 3, 10 Yarra Street, South Yarra Fashion media personality, Sarah Foster will present her cost effective ideas for “szhooshing” up the dental practice to create an atmosphere where patients feel comfortable and relaxed.

Albert Gigl of MW Partners will present on benchmarking and understanding how to reduce costs without impacting on service delivery.

Sarah Foster is one of Melbourne’s leading fashion, life and style consultants for over 25 years. Albert Gigl is the principal of MW Partners Chartered Accountants with over 30 years experience and is proudly sponsoring this event.

To register, visit practiceplus.adavb.org Cost is $75 (incl. GST) per person or FREE for Practice Plus subscribers and one guest.

A festive lunch will be served.

Further information contact practiceplus@adavb.org or ph. (03) 8825 4600

Making Practice Management Easier NETWORK

20 | VICTORIAN DENTIST | OCTOBER 2017

EVENTS

History of the ADAVB Spring Golf Day With the next ADAVB Spring Golf Day approaching, it is timely to review the impressive history of the day. ADAVB’s yearly Spring Golf Day began in 1935 and is the longest-running, continuing regular sporting or social ADAVB event.

Each year (apart from the interruption of war), our golfing dentists have played for the ‘Flavelles – Glanfied Cup’ – a solid silver perpetual trophy, which adorns the winner’s home or surgery for 12 proud months.

The event – which has been staged at The Royal Melbourne Golf Club Victoria and Kingston Heath Golf Club – usually involves a morning nine holes pairs event, followed by the afternoon individual contest for the Cup. Spring Golf Day has had a rich and colourful history – with the silver plates on the base of the trophy showing a long list of worthy winners from our dental profession.

It is worth noting that there have been four triple winners and 10 double time recipients, with the longest interval between both wins being 26 years, which was achieved by Dr Harry Bloch (1965 and 1991).

LD Wordsworth Golf Sub Committee

ADA

PAST WINNERS 1935 1936 1937 1938 1939 1940

1941 1946 1947 1948 1949 1950

1951 1952 1953 1954 1955 1956 1957 1959 1960 1961 1962 1963 1964

RK Dawborn RK Dawborn W Bell JE Denison JE Newton RK Dawborn R Soufflot AD Coles JD Ashton GG Roberts GN Roberts KE Skues CC Sharp HN Matthews LF Heine A Plant J Woodfull CW Allen JV Wilkinson DD McGlade C Jenkins JW Skinner HN Matthews N Lock K McDowall FJ Morgan HN Matthews

1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991

HM Bloch IG Roberts GL Chullen MP Chullen AW Ellis EJ Ellis WG Brown DM Hall MK Ruljancich WJ McDonald GB Senior PG Sutherland RL Robertson GW Royston A Langford FJ Morgan AF Johnston GW Royston DF Rogers PW Field GA Kilpatrick DF Rogers GR Garmer ML Scriven RM O’Sullivan DJ Faulkner HM Bloch

1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016

ML Scriven LD Wordsworth A Langford LD Wordsworth M Levy DF Elliot A Wood BJ Moore A Langford RWM Irwin J Albery DT Jones J Albery J Matthews T Doan T Doan SA Cran R Green SM Cottis M Farag DF Ellett BJ Moore H Leong DF Ellett P Swainsbury

ADAVB 2017 FLY FISHING GETAWAY For all levels

THE MILLBROOK LAKES SCHOOL OF FLY FISHING (1 hour from Melbourne)

Thursday 30 November - Saturday 2 December 2017 ADAVB’s Fly Fishing weekend is a chance for those with no experience or oodles of experience to get together and catch some fish.

What is included?

For $450, you receive: • 2 days of lessons and guided fly-fishing , all equipment provided • 2 nights’ accommodation at Millbrook Lakes lodge • All meals (except Thursday night at the pub at own expense) Proudly supported by MW Partners

See insert in this Newsletter or email events@adavb.org for more information

VICTORIAN DENTIST | OCTOBER 2017 | 21

EVENTS

Join us at the

eviDentJoin Research Showcase us at the

eviDent Research Showcase

Thursday 12 October 2017, 6pm - 9pm eviDent Foundation Level 3, 10 Yarra Street, Yarra Thursday 12South October 2017, 6pm - 9pm eviDent Foundation Level 3,includes: 10 Yarra Street, South Yarra This year’s program • Refreshments & Networking ThisPreview: year’s program includes: • Publication Project 016 – Body

• Refreshments & Networking Dysmorphic Disorder • Project Publication Project 016 – Body • What next?

011 –Preview: Oral Cancer Risk Test • Sneak Peek:Dysmorphic Project 020 –Disorder Implant Complications in • What next? Project 011 – Oral Cancer Risk Test Private Practice Peek: • Have we •gotSneak a project forProject you?! 020 – Implant Complications in Private Practice • Have we got project for you?!

To register, please visitawww.evident.org.au RSVP by Friday 23 September To register, please visit www.evident.org.au www.evident.org.au RSVP by Friday 23 September www.evident.org.au

Clinical Update (Continued from page 17) HSPs, MMPs and ILs are likely to play a role in predisposition for

disinfection of the root canal system does not always result in the

the condition.

persistence of apical periodontitis. Investigating some individual’s

As with most disease processes, a genetic influence is complex and multi-faceted but this study adds to the existing body of knowledge regarding the genetic susceptibility to apical periodontitis. More generally, similar gene mapping and associations are being made with many other conditions. This has the potential to improve our understanding of disease processes, treatment regimes and moves toward more personalised healthcare.

genetic susceptibility to apical periodontitis may enhance our understanding of this variability that is seen in treatment outcomes. Such susceptibility may show relevance alongside some of the more traditional markers correlating with the persistence of disease such as the technical quality of root canal treatments.

CONCLUSION This study was able to show that polymorphisms in HSP 70 genes had a correlation with susceptibility for the development of apical

An increasing understanding of the genetic basis of disease

periodontitis. Several potential markers were identified based on

processes can help to explain the variability seen in responses

single nucleotide polymorphisms.

to treatment. In the case of apical periodontitis, we know that endodontic treatments do not always completely eliminate microorganisms from a root canal system although a resolution in the signs and symptoms of apical periodontitis is frequently seen.

In some cases however, performing even a very high standard of disinfection of the root canal system may not lead to the resolution of disease. Conversely, an apparently poor standard of

22 | VICTORIAN DENTIST | OCTOBER 2017

ADA NATIONAL LIBRARY

SERVICE PROMOTION

New books and articles recently requested by members

The ADA National Library has a wealth of learning resources free to members, and our staff are able to provide information and professional research assistance. Help is only an email or phone call away and many of the library resources are accessible online anytime.

Advanced CBCT for endodontics: technical considerations, perception, and decision-making

By John A. Khademi. (2017)

This book encourages endodontists to develop a sound technical and theoretical understanding of CBCT. The authors compare the capabilities of modern CBCT imaging with traditional radiography and also present vital information about image interpretation and perception to increase competence and confidence in CBCT interpretation and minimize overdiagnosis and subsequent overtreatment.

Color atlas of oral diseases : diagnosis and treatment Color atlas of oral diseases : diagnosis and treatment

The result of decades of experience of top specialist in oral medicine, George Laskaris â&#x20AC;&#x201C; this book draws from his dedication. Documenting details of pathology of the diseases of thousands of patients he has treated and captured on camera. Key Features: Over 1,000 close-up, high resolution, full colour photographs. Concise explanatory text support the images. Consistent organisation of crucial information, including guidelines for diagnostic and therapeutic approaches to the patient with oral disease, basic characteristics of the diseases, differential diagnoses, histopathologic findings, lab findings and therapeutic strategies.

Diagnostic imaging: oral and maxillofacial [ed by] Lisa J. Koenig, et al. (2017)

Bridging the gap between dentistry and medical radiology, this volume covers the anatomic zones, imaging modalities, patient conditions and presenting clinical signs and symptoms shared by dentistry and medicine. Written by oral and maxillofacial radiologists specifically for those using CT or CBCT technology, this title not only offers a dentistâ&#x20AC;&#x2122;s perspective on oral and maxillofacial imaging, but also benefits radiologists in the head and neck field. It provides carefully updated information in a concise, bulleted format, keeping you current with recent advances in oral and maxillofacial radiology.

Sleep and awake bruxism in adults and its relationship with temporomandibular disorders: A systematic review from 2003 to 2014 by A. Jimenez-Silva. Acta Odont Sc 2017; 75 (1): 36-58.

Evaluating benefits and harm of therapies

by C.M. Faggion. J Ev Base Dent Prac 2016; 16 (3): 147-53.

Ten years on: Is dental general anaesthesia in childhood a risk factor for caries and anxiety?

by S. Haworth et al. Br Dent J 2017; 222 (4) : 299-304

Contact the library staff on library@ada.org.au, call on (02) 8436 9960, browse the online library at www.ada.org.au or visit us at our NEW location - 1 Atchison Street, St Leonards, NSW 2065.

Take a look at the ADA National Library.

VICTORIAN DENTIST | OCTOBER 2017 | 23

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This space could be yours!

Oral health services for people with special needs

Contact us today at newsletter@adavb.org to place an advertisement in the Victorian Dentist

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Use the Family Law Specialists Dentists use We specialise in Dentists’ divorces and property settlements.

Call us on (03) 9670 9677 for obligation-free confidential advice.

4th Floor, 271 William Street, Melbourne Phone (03) 9670 9677 Visit our website for essential Family Law information:

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Now Open clinic on clyde, suite 4, ground floor, 40-42 clyde road, berwick, vic 3806 p 9796 2070 f 9509 7305 e admin@berwickendo.com.au w berwickendo.com.au

Dr. Mark Weis BDSc, GradDipClinDent, MDSc (Melb), MRACDS (Endo) Endodontist

Dr. Daniel Bierenkrant BDSc, DCD (Melb), MRACDS (Endo) Endodontist

Dr. Ilya Belobrov BDSc (Hons), DCD (Endo) Melb Endodontist

“Sleep dentistry now available at your clinic with a specialist anaesthetist” Would you like to offer your patients the care of a specialist anaesthetist?

Sedation is an effective and safe technique for assisting patients with anxieties or phobias, often avoiding the need for general anaesthesia.

Sleeping Safely offers you the expertise of a specialist anaesthetist to care for your patients at your clinic.

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Dr. Jeffrey Elliot Field H.B.Sc., D.D.S. Fellow Of the American Dental Society of Anesthesia.

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Member of the Academy of Osseointegration.

Dr. Field brings 27 years of experience in providing oral surgical/ implant services under sedation, including wisdom tooth and other extractions, implant placement, bone and soft tissue grafting.

We provide everything required (including, sundries and staff), you just provide the chair.

It’s like having a highly trained and productive associate without any of the usual hassles.

Contact No: 03 5523 2899 Mobile No: 0478 622 354 Email Address: asleepdental@gmail.com

9 April 2017 7–10pm The Location 1234 Main Street, Anytown, State ZIP www.example.com

VICTORIAN DENTIST | OCTOBER 2017 | 27

SERVICE PROMOTION

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Experience the benefits of dealing with a specialist dental accountant MW Partners specialises in the taxation and accounting needs of individual dental practitioners and practice owners.

Whatever your accounting needs are, MW Partners understand your business and can assist you with: • Taxation advice and preparation of tax returns Level 3, 10 Yarra Street, South Yarra, VIC 3141 Phone: (03) 8825 5400 info@mwpartners.com.au

• GST and preparation of BAS • Buying/starting a practice • Use of corporate structures

ADAVB members receive prompt, individual attention from Managing Partner, Albert Gigl.

• Business improvement, budgeting and benchmarking Your first consultation is FREE. Call our office on (03) 8825 5400 for an appointment. Visit us at www.mwpartners.com.au.

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Asleep Dental PAEDIATRIC DENTAL HOME

Safe and effective Asleep sedation provided Asleep Dental Asleep Dental Dental Dental Specialist Care For Tots, Teens at Dental your clinic byAndDr. Field.

Safe and sedation provided SafeJeffrey and Safeeffective andeffective effective sedation sedation provided provided sed and ef fective atatyour by Dr. at by your clinic yourclinic by clinic Dr. by Jeffrey Dr.Jeffrey Jeffrey Field.Field.

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Dental? isDental? extensively • Dr. Field Field isisextensively Dr. •Field Dr. isField extensively extensively •Dr. trained• and holds trained and holds trained trained and holds and both the Australianholds the both both the both Australian theAustralian Australian Qualification in Dr. Jeffrey Elliot Field Qualification inin Qualification in as Dr. Elliot Dr. Jeffrey Dr.Jeffrey Jeffrey ElliotSedation Field ElliotField Field Qualification ffrey Elliot Field as well Sedation as well Sedation Sedation as well as as wellasas being American H.B.Sc., D.D.S. American beingbeing being American American H.B.Sc., D.D.S. H.B.Sc., H.B.Sc., D.D.S. D.D.S. c., D.D.S. Board Certified in Fellow Of the Board Certified inin Board Board Certified Certified in Fellow Of the Fellow Fellow Of the Of the w Of American the Dental Anesthesia.

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National Dental Board National National Dental Dental Board Board nal Dental Board of Anesthesia of the ofofAnesthesia of Anesthesia Anesthesia of theof ofthe the esthesia of the American Dental American Dental American American Dental Dental canWeAssociation.

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Services provided AHPRA Endorsed - Treatment under nitrous oxide sedation

Services provided Services Services provided provided AHPRA Endorsed AHPRA AHPRA Endorsed Endorsed A Dr. Anuj Endorsed Batra

throughout Victoria Sedationist.

- Treatment under general anaesthesia in private BDS, DClinDent (Otago)

hospital setting

throughout Victoria throughout throughout Victoria Victoria Sedationist.

Sedationist.

Sedationist. ionist. (including rural Victoria) Specialist Paediatric (including rural Victoria) (including (including rural Victoria) rural Victoria) Dentist

Fax: 03 9017 3181

Contact No: 03 5523 2899

Email: Contact No: 03035523 ct No: 03 Contact 5523 Contact No: 03 No: 5523 2899 55232899 2899 289 Mobile No: 0478 622 354 enquiries@paediatricdentalhome.com.au

33, Princes Highway, Mobile No: 0478 622 354 No: 0478 Mobile Mobile No: 0478 622 No: 622 0478 354 622 354 354 Email Address: asleepdental@gmail.com Werribee 3030

Visit us at 68, Bellerine Street, Email asleepdental@gmail.com Address: Email asleepde Address: EmailAddress: Address: asleepdental@gmail.com asleepdental@gmail.com Geelong 3220

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“help your clients ease stress and anxiety” WALL MOUNTED TROPICAL FISH AQUARIUMS • • • • • • •

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Based in Melbourne’s South Eastern Suburbs Absolute Dentalman is available for all dental service requirements Victoria wide.

Untitled Untitled Unti Untitled Untitled Event Event Eve Event Event

Can be mounted on almost any wall REAL tropical fish!

Save on valuable floor space No visible wiring Innovative interior design options Fully automated so you don’t have to do a thing!

We will come back on a regular basis to ensure your aquarium is always looking pristine!

Purchase or rental options available

We specialise in Adec, W&H, EMS, Acteon and Cattani Products and Equipment.

We service a wide range of dental products including: • Dental Chairs and Equipment • Handpieces • X-rays • Plant Room Equipment

For more information, call us on: p

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For more information call Micheal on 0400 036 773

PECAZO or visit www.absolutedentalman.com.au i n f o @ p e c a z o .c o m.a u 9 April 2017 w ww.p e c a z o a q u a ri u ms.com.a u 99April 9 April 9 April 2017 April2017 20172017 7–10pm 7–10pm 7–10pm 7–10pm 7–10pm Adec Technical Service Partner Victorian Authorised The Location Location The The The Location TheAnytown, Location 1234 Main Locatio Street, State ZIP VICTORIAN DENTIST | OCTOBER 2017 |ZIP 29 1234 Main Street, Anytown, State 1234 1234 Main 1234 Main Main Street, Street, Anytown, Anytown, State State ZIP ZIP www.example.com Absolute Detalman QP - Aust Dental MAG.indd 1 11/02/2017 3:34 PM 0488 087 434

CLASSIFIEDS ADVERTISEMENTS – OCTOBER

FOR LEASE

PRACTICE WANTED

ROOM FOR LEASE, AVAILABLE IMMEDIATELY, OPEN 6 DAYS

SEEKING PRACTICE TO PURCHASE

Rental room available, fully equipped with a small office area. Plenty

Experienced dentist seeks practice to purchase preferably with

of car park space available. Appealing location within the heart of

two or more surgeries but willing to consider all options. This is a

Mount Eliza. Appealing to any practitioner wanting to expand within

sincere offer and funds are readily available.

the Mornington Peninsula.

Please call on 03 9787 1860.

Please call 0434 081 868.

SEEKING PRACTICE TO PURCHASE IN HOBART OR SURROUNDING AREA

PRACTICE FOR SALE

Experienced dentist currently working overseas but returning to

DENTAL SURGERY PREMISES AND GENERAL DENTAL

Australia wishes to purchase a practice in or around Hobart.

PRACTICE FOR SALE Expressions of interest are invited regarding the sale of a well located Box Hill South/Surrey Hills premises and a general dental practice to be sold together or separately.

Complete discretion assured. All opportunities will be considered and funds are available.

Please email practiceintassie@outlook.com or call 0011 44 7768 771777.

•

Premises are multi-surgery with 10 car parks and currently

operated as a general dental practice and allied health

establishment. Would alternatively suit an owner/occupier in a

specialist dental centre with immediate possession

possible on settlement or an investor with the current tenants.

Professor Peter R. Wilson is available for consultations and

The site also offers potential for multi townhouse development

treatments. Fridays only. Suite 2, 17 Macedon Street, Sunbury VIC

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(S.T.C.A.)

3429.

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The goodwill and equipment of the busy, long established general

Contact 9740 3644.

dental practice is also offered for sale with the opportunity to

rent the premises or purchase the freehold.

Please call 9808 1735.

FULLY EQUIPPED PRACTICE FOR SALE Solo family practice in SE Melbourne is for sale due to other commitments. It has 2 plumbed rooms but only 1 room is equipped. All surgicals, ortho, perio & implant are referred out so there is a lot of potential for an energetic dentist to expand.

Please email Dental4sales@gmail.com for more info.

PRACTICE IN KILSYTH, VIC This stable three-surgery associateship practice has been successfully operating in this location since 1975. It is located in an ideal purpose-built premises, on a corner block at a busy intersection, next to other health professionals, a kindergarten and a shopping centre. The vendor is selling in order to phase into retirement and is happy to remain post-sale, to help with a smooth transition. The real estate is also potentially for sale. Don’t miss out on this rare opportunity.

Contact info@practicesalesearch.com.au

30 | VICTORIAN DENTIST | OCTOBER 2017

Contact us at newsletter@adavb.org to enquire about placing your classified in the Victorian Dentist.

Advertisers please note: Copy deadline for advertising is the first day of the month preceding publication.

SERVICE PROMOTION OralMax Surgeons are pleased to offer Oral & Maxillofacial services from multiple locations across Melbourne reasons to choose OralMax Surgeons for your referrals Highly trained specialists with experience and commitment to quality care for your patients.

Emergency appointments for dental extractions, including wisdom tooth extractions, are prioritised (same day if possible).

Our surgeons offer the full range of services with expertise in orthognathic, paediatrics, trauma, TMJ and implant surgery.

Urgent consultations, when requested by referrers, are prioritised.

Patient returned efficiently to you to complete their course of care.

Ongoing communication regarding the patient’s course of care.

Phone advice provided about the oral surgery needs of your patients.

Dr Patrishia Bordbar t 1300 323 324 e info@oralmaxsurgeons.com.au w oralmaxsurgeons.com.au

Mr Ricky Kumar

Mr Richard Wood

level 2, 71 collins street, melbourne, 3000 Head Office Other Locations glenferrie epping werribee

Want to know this clinic’s secret?

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Anatomy of a

champion.

Unsurpassed Access: An ultra-thin back and headrest allow you to work in a comfortable position—legs under the patient, elbows at your side.

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For more information Email: a-dec@a-dec.com.au Phone: 1800 225 010 Visit: www.a-dec.com.au Follow us on Twitter: @A_decAust * Based on research by Strategic Data Marketing. © 2016 A-dec Inc. All rights reserved. INK2536-17

A VISIT TO OUR NEW VIC SHOWROOM TO VIEW AN EXTENSIVE RANGE OF INTERACTIVE SURGERY CONFIGURATIONS Scott Williams Territory Manager VIC & TAS 0407 816 390

Mindy Green Territory Manager VIC & TAS 0417 766 544

SUITE 1, 260 AUBURN RD HAWTHORN VIC 3122