Ali
0411 602 084 ali.joyce@credabl.com.au
Kym Bowker 0482 163 249 kym.bowker@credabl.com.au
alison.gardner@credabl.com.au
Embracing change for a brighter future
Dear Members,
The President's report
Dr Gwen Chin ADAWA President
It is with great humility and gratitude that I report on the recent constitutional changes that were voted in during our General Meeting on the 4th of September. This pivotal moment in our Association’s history marks a significant step forward in our ongoing efforts to streamline and contemporise our Constitution, ensuring it remains relevant and effective in guiding our operations and governance.
The need for change has been evident for some time. Our previous Constitution, while having served us well over the years, had become outdated in many respects. The challenges we face today as an organisation—whether they be related to governance, member engagement, or operational efficiency— require a modern, agile, and responsive framework. The amendments we have adopted were carefully crafted to meet these needs, reflecting best practices in governance and aligning with the expectations of our members.
One of the most crucial benefits of the new Constitution is its capacity to streamline decision-making processes. By eliminating outdated provisions and simplifying complex
procedures, we have created a more efficient and effective governance structure. This will allow us to respond more swiftly to emerging issues and opportunities, ensuring that ADAWA can act decisively and with greater clarity of purpose.
Moreover, these changes position us well for the future. As the dental profession continues to evolve, our Constitution must be able to accommodate new realities and challenges. The updated Constitution provides the flexibility necessary to adapt to changing circumstances, ensuring that we remain a strong and relevant voice for the dental profession in WA.
I would like to extend my heartfelt thanks to the Constitution Committee, who spent tireless hours working towards initiating these changes and the subsequent hours spent contemplating, debating and refining these changes. Immense gratitude is also extended to all members who participated in the voting process. Your engagement and support have been instrumental in bringing about these necessary changes. Together, we have taken a significant step forward, ensuring that our Association is well-equipped to continue its mission of promoting the highest standards of dental care and advocating for the interests of our profession.
CEO Trevor Lovelle
President Dr Gwen Chin
Editorial Brooke Evans-Butler Designer Michelle Walker Advertising Business Development Manager Shaden Kanaan
Did you know?
As an ADAWA member, you receive exclusive member discounts on our world-class WA Dental CPD courses. When you book through our website, check out the difference between member and non-member prices! In fact, the discounts you receive on just a few courses can mean that your ADAWA membership fee pays for itself in your CPD savings.
adawa.com.au/cpd
Mindful Smiles
Did you know World Mental Health Day is October 10? It’s no secret that dentistry is a demanding profession, which is why it is so important all members of the dental team take care of their mental health. We spoke to Associate Professor Matt Hopcraft, co-founder of Mindful Smiles Hub, about the mental health and wellbeing support for the dental community.
Associate Professor Matt Hopcraft.
Photo courtesy Shioban Downing
Associate Professor Matt Hopcraft says Mindful Smiles Hub was launched in December last year – resulting from research he led, which had its genesis in the pandemic.
“In 2020/2021, particularly in Victoria and across the country, it was an extremely stressful time,” Matt says. “We were speaking to a lot of practitioners really worried about the impact it was having on their wellbeing. But we also didn’t really have good data on mental health and wellbeing of dental practitioners. There had been a few small studies, and other researchers were looking at health workers, particularly those working in hospitals, such as doctors and nurses. But no one was looking at dental practitioners.”
A team was assembled, which included Matt (who is a dental public health academic at the Melbourne Dental School), Dr Roisin McGrath (a Senior Lecturer at the Melbourne Dental School and the Director of the Bachelor of Oral Health Program), Dr Nicole Stormon (a Senior Lecturer at the University of Queensland and Ahpra registered oral health therapist) and Professor Gordon Parker AO (founder of the Black Dog Institute), who conducted a research project, looking at approximately 1500 dental practitioners across Australia.
“The research project showed very high levels of mental health problems,” Matt says. “Around 1 in 10 with a diagnosis of depression, around 1 in 10 with a diagnosis of anxiety disorder. Around 1 in 4 had symptoms consistent with burnout. 1 in 6 had recent thoughts of suicide.
“It was alarming data and led us to this idea that we really needed to have something that existed to help practitioners in terms of supporting their mental health and wellbeing. We know dental associations have programs for their members and the Dental Board has something for all registered practitioners. However, we also
know everyone isn’t a member of a professional association and I think some people are worried about using the Board’s dental practitioner support program because of the link to registration.”
Matt says a group of like-minded individuals connected who wanted to create something that was broader for practitioners, which is where the idea for Mindful Smiles Hub came from.
“A lot was driven by Dr Peter Duke at ADAWA, who had been looking at information that had come out of the UK, so we used that framework to develop Mindful Smiles,” he says.
The team has published four papers (with more in the works) and has pulled together resources to create the Mindful Smiles Hub website, which is packed full of information, wellbeing advice and links for where to find support.
Matt says the Mindful Smiles team is also talking about the idea of ongoing research. “We didn’t look at dental students, dental assistants and practice managers in previous data and I think there is an opportunity there,” he says.
He adds the resources on the website are freely available for everyone in the dental team to use. “It isn’t designed to solve people’s problems, but to provide more understanding and to point them in the right direction of where they can go for that support,”’ he explains. “We want to get people to their general practitioner or to a support line, so what we encourage people to do is be aware of the site and if they do find themselves at a time when they are experiencing struggles, they know where they can go to find some support.”
To find out more about Mindful Smiles Hub, go to the website, mindfulsmiles.org
If you need help, call Lifeline on 13 11 14.
Matt’s top tips for wellbeing
It’s important to set some time aside to prioritise your mental health and wellbeing. There are three important pillars to wellbeing – devote time to these to ensure your wellbeing flourishes:
• Sleep – have a regular sleep routine, get off electronic devices before bed, avoid stimulants, exercise and eat well, and get some sunlight in the morning.
• Exercise – at least 30 minutes of moderate intensity exercise on most days of the week, or 30 minutes of vigorous activity 3–4 times a week. Make it a habit, make it fun, set some goals, start small and build yourself up.
• Healthy eating – reduce sugar and alcohol, stay hydrated and try and eat more whole foods and less processed foods.
Many people benefit from the practice of mindfulness, and it’s important to be able to set boundaries and know when to say no in order to protect your own time, particularly during periods of stress.
Take a free and confidential Black Dog Institute mental health check-up – there is a link at the Mindful Smiles Hub website. Finally, it’s important to seek professional help if you are experiencing struggles.
Mandatory reporting
Matt says seeking help for mental health does not mean a dental practitioner will be reported to the Dental Board. “ There are limited circumstances where that might be the case, but the sorts of problems we were seeing including depression, anxiety, burnout and even suicidal thoughts, are not reasons you would be reported to the Board from your treating practitioners,” he says.
“If you are experiencing depression, don’t avoid going to the doctor because you think they are going to report you to the Board. What the Board wants you to do is to have that awareness that you are struggling a bit and that you go and seek care. Those sorts of problems aren’t triggers for mandatory notification.”
mindfulsmiles.org
West Coast puts it all together
West Coast Dental Depot has over twenty years experience supplying and installing dental equipment. We have the range, knowledge and experience to ensure you and your surroundings work in perfect harmony. From design through to completion, we will make your surgery transformation an easy and enjoyable experience – all within your budget. Talk to West Coast Dental Depot, we know how to put it all together.
Give a Smile
Generous orthodontists are giving back to children who cannot afford orthodontic treatment via the Give a Smile program.
What’s in a smile?
It goes without saying that a person’s smile is one of the first things you notice about them. But, as all dental practitioners will attest, an attractive smile goes far beyond aesthetics. “There are many tangible psychosocial benefits that come with having straight teeth and a beautiful smile,” says Dr Howard Holmes, current West Australian branch President of the Australian Society of Orthodontists (ASO).
“There is no doubt that having a nice, straight smile can make a huge difference to self-esteem and confidence, which in turn positively impacts on social relationships and future life opportunities – and of course, there are obvious dental health and functional benefits that accompany the correction of serious malocclusions.”
The Give a Smile initiative
Back in 2005, the then President of the ASO, Dr Ted Crawford, established the Give a Smile program as the charitable arm of the ASO. This initiative allows ASO Orthodontists an opportunity to give back by providing pro bono orthodontic treatment in their private practices for children whose families would otherwise not be able to afford it.
Children and teens who are on the public health orthodontic waitlist are potentially eligible for treatment through the program. They must have a parent who is a Health Care Card holder or a Pension Card holder to qualify. In WA, potential candidates are carefully screened through the Oral Health Centre of Western Australia (OHCWA) Orthodontic Department. Suitable patients are then allocated to a participating ASO Give a Smile orthodontist for pro bono treatment within their practice. A small copayment is made by the family to OHCWA for administration purposes.
Great generosity
Howard says since the program’s inception, more than 2500 patients have been treated nationally, with over 400 of those patients from WA. “When you look at those numbers
and calculate what would have normally been charged if all those patients were treated within the private practice setting, it works out that so far over $20 million worth of orthodontic treatment has been provided at no cost to those who desperately need it but simply can’t afford it.”
“More importantly, this has significantly reduced the burden on the public dental health system by removing 2500 patients from the long waiting lists for orthodontic treatment,” he adds.
Howard, who has been involved in the Give a Smile program since its inception 18 years ago, says being part of the program is a very rewarding experience. “I have been allocated at least one patient every year through the program, and from my experience, patients and their family are extremely appreciative when they realise they are being looked after in exactly the same way as any other kid in the clinic but are actually receiving their treatment free of charge,” he says. “Often, even staff members in the practice will not know which patients are Give a Smile patients – they are all treated to the same high standard.”
Howard adds that orthodontists have the opportunity to self-screen patients at their own practices for the program.
“As well as having Give a Smile patients allocated through OHCWA, we can also identify patients in our own clinic who we believe would be worthy of receiving complimentary treatment, and can nominate them
for the program,” he says. “I have had a few over the years. You can tell a kid really wants treatment and is highly motivated, but you can also see the parents are struggling from a financial point of view. Sometimes, it is obvious from their first appointment that they would be a perfect candidate for the Give a Smile program. Nominating them is a real gift and exceptionally gratifying for all involved.”
“Likewise, if a general dentist has a young orthodontic patient that they believe is needy but may not fit into the OHCWA system, they could identify the patient as being a potential Give a Smile candidate to the ASO orthodontist they were referring to,” Howard adds.
Getting involved
Howard says most local ASO member orthodontists are already involved in the Give a Smile program, and for those that aren’t, it is as simple as talking to the local Give a Smile state representative to get signed up.
The Give a Smile program is transforming lives, one smile at a time. To learn more visit orthodonticsaustralia.org.au/ give-a-smile/
WA patient story
Erin was 12-years-old when she was accepted into the Give a Smile program and had her first assessment with Dr Kevin Murphy. Prior to treatment, Erin was shy and was reluctant to smile. She suffered from a severe Class 2 malocclusion,
which caused her teeth to protrude outside her mouth.
Erin’s treatment took a little over two years to complete and included maxillary expansion appliances to widen her top jaw, as well as full fixed appliances for the latter part of her treatment. As with all treatments, the orthodontist spent many hours of specialised care with Erin to give her a lovely, even smile and a healthy bite. Dr Murphy and his staff were delighted to see the difference in Erin as the treatment progressed.
“I know I speak for my staff when I say we are very fortunate and appreciative in our work, to have the opportunity to make our patients’ lives even brighter.”
Following her treatment, Erin regained her confidence and began to smile again. (Source: orthodonticsaustralia.org.au)
Dinner and learning
Have you attended one of our dinner courses recently? Enjoy an evening of good food, learning and company at our upcoming dinner courses, held at University Club, Hackett Drive in Crawley.
Digital orthodontics: Clear aligners and beyond
Presented by Dr Sanjana Baksi and Dr Nida Khan
3 CPD 17 OCT 6.15pm-9.30pm University Club $350 members
The Bite Stuff – Occlusion for the General Practitioner
Presented by Dr Asheen Behari
3 CPD 24 OCT 6.30pm-9.30pm University Club $352 members
Digital Smile Design Dinner
Presented by Dr Sally McMullen and Dr Justina Teo
3 CPD 14 NOV 6.30pm-9.30pm University Club $350 members
Lending a helping hand
Dr Alvin Vo is helping disadvantaged patients with Tzu Chi International Medical Association (TIMA).
Dr Alvin Vo began his volunteering journey with TIMA as a dental student in 2015 –initially as a dental assistant and once graduating as a dentist, as well as taking on a more senior organisational role within the TIMA core team. “(Deciding to volunteer) was initially to gain more clinical experience by having more face-to-face interactions with patients and learning from the volunteering dentists,” Alvin says.
“Dr Lydia See (general clinical tutor with UWA at the time, who has since graduated
her DCD and specialist training as a special needs dentist and working out of Brisbane) reached out to see if I wanted to help out as a dental assistant,” Alvin recalls. “TIMA used to have large scale yearly clinics before transitioning to monthly clinics.”
Since graduating, Alvin has been volunteering on a monthly basis – often providing patients who have been referred from non-for-profit providers of accommodation and outreach services
emergency relief from pain, including tooth extractions, clearances and endodontic treatment.
“Over time we have been able to accommodate seeing patients routinely for their ongoing dental treatment needs – restorations, provision of partial and full dentures,” Alvin says. “Depending on resources I have also been able to provide same-day crowns, as well as our first 3D printed single tooth immediate denture,” he adds.
Alvin says volunteering with TIMA has been extremely positive and heartwarming. “The group of volunteers who facilitate the monthly clinics are who bring me back each time to lend a helping hand,” he says.
“From the non-clinic staff helping with logistics of booking patients, communicating with appropriate groups and support workers transporting patients, to the clinical staff who help provide the services, their efforts are all rooted in their desire to help others and have a positive impact on everyone they come across and the community. I have learnt a great deal about how having a positive outlook can greatly shape your interactions with others.”
When asked about any standout moments in his volunteerism work, Alvin says being able to provide dental health education to
primary school children has been rewarding, as well as being able to help those in need. This includes helping to break down the fears and anxieties of some patients in regards to dental treatment. “There exists a stigma towards the profession amongst the public that dentistry is painful and unempathetic and financially driven,” he says. “Having patient’s see the dental team volunteering their time and services with a smile to provide for their needs helps reduce this perception and view our profession in a more positive light.”
To other dentists thinking about volunteering, Alvin says definitely do it. “It’s a chance to break up the routine of day-to-day general practice and have a positive impact on the community,” he says. “It’s a new chance to learn – to get out of your comfort zone, see new demographic of patients, work with other positive and giving volunteers.
“It serves as a reminder (for me at least) the wonderful impact dentistry can have on improving a patient’s quality of life,” he adds. “Especially in those who are in need but may not have access to dental treatment, and who are usually the most grateful and thankful at the end of the day.”
If you are interested in volunteering with TIMA, contact tima.perth@tzuchi.org.au
Meet Dr Ahmed Saleh
In the lead up to his course in November, we caught up with Specialist Periodontist, Dr Ahmed Saleh.
Ahmed was only 16-years-old when he went to university and says he had a gut feeling that dentistry was going to be a good option for him. When it came to deciding to specialise in Periodontics, he knew in his early days as an undergraduate that it was what he wanted to do. “Different fields of dentistry are interesting in their own way,” he says. “But, for me, I enjoyed the biological and medicinal aspects of dentistry more than the mechanical aspect. This is what drew me to Periodontics and made it interesting and appealing to me.”
When asked what he enjoys most about his work, Ahmed says he enjoys having long-term maintenance patients. “These patients throughout the years become friends more than clients,” he explains. “I get to know a lot about them and their updates from one appointment to the other. The more trust they build, the more they open up. I look forward to growing old with them and continue to share their life experiences.”
As well as the enjoyment of treating his patients, Ahmed says nothing beats the
“Different fields of dentistry are interesting in their own way, but for me, I enjoyed the biological and medicinal aspects of dentistry more than the mechanical aspect. This is what drew me to Periodontics and made it interesting and appealing to me.”
satisfaction that comes with educating others. “I am always delighted when someone tells me that they have learnt something that they did not know before,” he says. “I am grateful to have learnt from excellent Periodontists, and this knowledge that I have gained should continue to spread. I am always happy to share any piece of knowledge or experience that I gain throughout the years.”
Ahmed will be presenting Beautiful Periodontics in Beautiful Albany on November 1, which will cover the efficient management of periodontitis patients.
“The course will discuss the journey that the clinician and a patient with periodontal disease will go through in details,” he explains. “Starting from adequate examination, diagnosis, prognosis, treatment planning, nonsurgical treatment and surgical treatment and eventually achieving optimum treatment outcomes.
“Crown lengthening is also a big part of a Periodontist‘s daily practice and has a wide array of indications,” he adds. “It will be discussed in detail with separate emphasis on posterior and cosmetic crown lengthening as they each have their own clinical considerations.
“Many patients that we see believe, or have been told, that they will lose their teeth due to periodontal disease. The best part of our profession is breaking this myth and showing our patient that, with good treatment, their natural dentition can indeed be saved and
retained in good health in the long term,” he adds. “I am looking forward to showing the attendants numerous examples of such clinical cases and hopefully help them believe that periodontal treatment works. I am also hoping that attendants can then educate and communicate with their patients accordingly.”
Ahmed adds the course is suited for any person who is involved in the dental field, including dentists, dental students, oral health therapists and ancillary staff. “If you are passionate about Periodontics, I would like to believe that you will enjoy this course. If Periodontics is not your ‘cup of tea’, I am hoping I would convert you,” he says.
Held in beautiful Albany, it is also a great excuse for practice staff to go on a road trip to learn and enjoy. Ahmed says he used to visit Albany often as a visiting Periodontist for about five years. If you are planning on heading to Albany for the course, he has some recommendations.
“There are so many beautiful beaches and sightseeing spots,” he says. “It is impossible to mention everything. I strongly recommend if you are attending this course, and Albany is not your hometown that you spend some time exploring it. My personal favourite spots are Little Beach, The Gap and The Wind Farm. One of my favourite restaurants in Albany is Liberté. I love their food and the ambiance.”
Dr Ahmed Saleh will be presenting Beautiful Periodontics in Beautiful Albany on November 1. Book at www.adawa.com.au/product/ beautiful-periodontics-in-albany
5 minutes with Dr Ahmed Saleh
Can you tell us a bit about yourself?
I am originally from Egypt. I was 28 years when I migrated to Australia 16 years ago. I am now 44-years-old. I married two years ago. I have been blessed with a beautiful loving wife and we now have a 15-month-old boy.
If you weren’t in the dentistry field, what would you be doing for a living?
I always thought I would make a good tour guide especially for Ancient Egypt. I’ve always wanted to learn the rich history and to explain it like a storyteller.
What do you enjoy doing in your spare time?
Always spend quality time with my family and friends. Trying out a new restaurant. A one-to-one catch up with a good friend is always a pleasant exercise. On longer breaks, I would always like to travel to a place that I haven’t been before. It’s always nice to explore new places, new cultures and new cuisines.
What is your favourite book or musician/band?
My favourite author is Dan Brown. I like the mystery and adventure in all his books.
What future plans are on the horizon for you?
I have recently enrolled as a PhD student. I am very excited about this step. It will be somewhat challenging to balance with work and family. I hope I will duly commit to it and be able to complete it.
PORCELAIN VENEERS AND CERAMIC ONLAYS
13 CPD Fri/Sat 8-9 NOV 8.30am - 5.00pm UWA DENTAL SCHOOL $2187 members
COURSE OUTLINE
There will be a substantial hands-on component to the course.
• Recognition of appropriate cases
• Case work-up
• Rationale for the design of relevant restorations
• Material options
• Occlusal registrations and articulation
• Bonding and cementation protocols
PRACTICAL COMPONENT
• Minimal preparation techniques
• Multiple porcelain veneer tooth preparations
• Multiple ceramic only/partial crown preparations
• Predictable impression techniques
• Provisional restoration manufacture
The focus will be on receiving practical tuition and guidelines for the diagnosis and treatment planning processes required to facilitate multiple restorative dentistry.
ABOUT THE PRESENTERS
Dr Asheen Behari is a general practitioner in private practice in Claremont, Perth. Dr Behari is a Clinical Associate lecturer in the Discipline of Oral Rehabilitation at the University of Sydney. He is actively involved in facilitating continuing education programs and in mentoring others. His general practice is focused on restorative and implant dentistry.
Dr Paul Gorgolis is a general practitioner currently in private in Wembley Downs. In London, he developed the UK’s first multidisciplinary general and specialist practice where patients could be comprehensively managed and treated “under one roof”.
CALENDAR 2024
CALENDAR 2025
DIRECT VENEERS
6.5 CPD Saturday NOV 30 9.00am-5.00pm UWA DENTAL SCHOOL $1210 members
COURSE OUTLINE
There are many options for the restoration of worn or unaesthetic anterior teeth, however composite resin can often be an excellent minimally invasive and economical solution. This course is designed to give dental practitioners a greater understanding of treatment planning direct composite resin veneers as and some hands-on experience comparing the different techniques and materials available.
TOPICS COVERED
• Basic smile design, tooth form and occlusal considerations
• Comparing direct techniques – free hand, layering techniques and injectable composites
• Bonding protocols
• Composite resin selection
• Isolation techniques
• Finishing – anatomy and polishing.
ABOUT THE PRESENTERS
Dr Joshua Graieg is a Specialist Prosthodontist at the Brånemark Center in West Perth and Cottesloe Dental in Peppermint Grove. He is a Fellow of the Royal Australasian College of Dental Surgeons, a Consultant Prosthodontist with the Craniofacial Unit at Perth Children’s Hospital, and a Key Opinion Leader for Kerr / KaVo.
Clin A Prof Glen Liddelow is a Specialist Prosthodontist at the Brånemark Center in West Perth and the Director of the Branemark Center Osseointegration training program in dental implants. Glen is a lecturer and online expert advisor for the University of California, Los Angeles (UCLA) Global Institute for Dental Education (gIDE) program. He is a Consultant Prosthodontist at Perth Children’s Hospital and Royal Perth Hospital.
The best step forward
STS Group Australia has a long history of assisting dental practices with their sterilisation and infection control needs, which is why we are thrilled they have come onboard as one of ADAWA’s Premium Partners. We spoke to Hayley Avery, managing director of STS Group Australia, about how the company can assist ADAWA members.
STS Group Australia (also known as STS Health and Mocom Australia) has been a name synonymous with infection control since 1992. What started out as a service-only company (operating out of the founder’s garage), has grown to a trusted name that imports and distributes a range of infection control equipment into Australia and New Zealand.
Well known for selling and supporting the trusted equipment range Mocom, STS Group Australia sells and services benchtop sterilisers, washer disinfectors and provides a range of consumables and accessories.
“We are niche in the equipment and service support market, in that we work only within infection control,” explains STS Group Australia managing director, Hayley Avery. “In the dental space, we are exclusive with Henry Schein. Our servicing division called STS Health has a team of dedicated infection control technicians based in Perth, and we travel around to private and government practices servicing,
repairing and carrying out the required validation on all this equipment.”
Partnering with ADAWA
Hayley says the company prides itself on knowing and understanding the relevant Australian Standards and guidelines. They provide seminars and training to service technicians throughout Australia and New Zealand and continue to support infection control consultants and other ADA state branches.
“As Mocom Australia, we are an industry leader in championing infection control standards and making sure that we, and the service agents supporting our equipment, all work to the same high standard.
“With the recent release of the ADA’s 5th Edition Infection Control Guidelines and the publication of AS5369 in late 2023, we’ve had a lot of questions from the dental community, which is why we started this relationship with ADAWA. We have been working with members,
consultants and with ADAWA’s Infection Control Committee to clarify and support where we have been able to with these recent changes.
“For years we have been delivering support to technicians and consultants, and we’ve realised we also have so much to offer for ADAWA members – the users of these products.
“We are dedicated to raising the health standards in the community and we feel that partnering with ADAWA is the best step forward to achieve that,” Hayley, who is also the WA President of the Australian Dental Industry Association and was recently elected to the ADIA board, says.
Hayley and Mocom Australia’s Steve Lines attended Kylie Robb’s Infection Prevention and Control lectures in Perth and Albany in August, where they were able to answer attendee questions and showed their range of sterilisers, washer disinfectors and new handpiece cleaner and disinfector.
Hayley adds manufacturing is beginning for their own range of infection control consumables, called STS Professional, which will include testing devices, sterilisation pouches and more. Watch this space!
Hayley’s top tips when purchasing infection control products
• They should ensure the product is registered with the TGA.
• Sterilisers should also be registered with Work Safe.
• Ensure there is adequate support for when things go wrong in their area. You might feel like you are getting a good deal, but if there is no one to service the product or support it as they do not travel to where you are located, that can cause some issues and can get expensive.
• Get recommendations from trusted colleagues.
Shared Care in Dental Treatment
By Anita Kemp, Case Manager at Dental Protection.
The Australian health system is renowned for its high standards and commitment to patient care. Central to this system is the Ahpra and the National Boards shared Code of Conduct, which provides a framework for the ethical and professional behaviour for dental professionals. Many dentists work alongside and share care of their patients with dental therapists, dental hygienists, and oral health therapists. Dentists also refer patients within a practice and externally to colleagues and specialists, for a multitude of reasons. This article discusses two important aspects of dental care mentioned in
the Code of Conduct – scope of practice and shared care.
Professional relationships and scope of practice
Previously, dental therapists, dental hygienists, and oral health therapists were required to practice in a structured professional relationship with a dentist. However, changes in July 2020 granted practitioners greater autonomy, no longer mandating a direct supervisory relationship but encouraging collaborative professional relationships for patient care.
Despite this autonomy, confusion still persists
regarding the varying scopes of practice that exist within each division of practice, and this is an issue we regularly receive questions about from our members.
This is largely dictated by the individuals’/practitioners’ education, training and competence. The scope of practice guidelines mandate that practitioners only provide treatment within this framework and refer patients to more qualified practitioners when necessary1. This ensures adherence to legal and ethical standards while acknowledging professional capabilities and limitations of the individual practitioner. When treatment requirements fall outside a practitioner's scope of practice, it is crucial that referral to a more qualified dental practitioner/specialist is facilitated1. This ensures that patients receive the best possible care from those who are most capable of providing it.
Shared care
Fundamentally, comprehensive dental care requires an organised/ planned approach to patient treatment and care. Dentists,
therapists and hygienists are expected to collaborate with each other in the best interests of their patients and, if needed, other healthcare providers. Respecting each other's roles and expertise, under the premise that ‘teamwork or collaborative care’ enhances the quality of treatment, is crucial to providing the best care to the patient.
The concept of shared care is a pivotal consideration in comprehensive dental treatment involving multiple registered practitioners. The Code of Conduct outlines principles essential for effective shared care:
• Communication: Timely and accurate sharing of information.
• Teamwork: Collaboration across different dental specialties and healthcare fields.
• Patient-Centred Care: Involving patients in decisionmaking processes.
• Continuity of Care: Seamless transitions between different levels of care.
• Professional Respect and Trust: Valuing contributions from all team members.
• Documentation: Comprehensive records to support continuity of care.
However, the code states that working collaboratively does not alter a practitioner’s personal accountability for their professional conduct and/or the care they
provide2. The Code states that a practitioner should:
• Understand your role and the role of other team members and address the responsibilities associated with that role.
• Advocate for a clear delineation of roles and responsibilities. There should be a recognised team leader or coordinator even though care within the team may be provided by different practitioners from different health professions within different models of care.
• Communicate effectively with other team members or practitioners, including to support continuity of care.
• Inform patients about the roles of team members or other practitioners and be clear who has ultimate responsibility for coordinating the patient’s care2
• Similarly, it stipulates the importance of delegation, referral and handover, meaning that practitioners are expected to:
• Take reasonable steps to ensure that any person to whom you delegate, refer or hand over to has the qualifications and/or experience and/or knowledge and/ or skills to provide the care needed.
• Understand that, although as delegating practitioner you will not be accountable for the decisions and actions of those to whom you delegate, you remain responsible for the overall management of the patient and for the decision to delegate, and
• Always communicate sufficient, timely information about the patient and the treatment needed to enable the continuing safe care of the patient2.
In summary, the Code of Conduct and the scope of practice guidelines set out clear expectations for all dental practitioners involved in the care of a patient. Providing comprehensive dental care in a shared model of care can be extremely rewarding. However, consideration must be given toward the issues that can arise if a clear/ concise coordinated plan is not established from the outset, along with appreciating the importance of timely and appropriate communication with the patient at all stages of the journey of their care.
In this year’s webinar edition of Sliding Doors, titled ‘Who is driving the bus?’ we discuss the challenges that can occur when failure to delineate clear roles and practitioner responsibilities occurs. We will review cases from the Dental Protection vault that beg the question – Who is driving this bus anyway: is it you, your colleague, or your patient? We hope you can join us on October 2.
Book now prism.medicalprotection. org/course/view.php?id=1641
1Dental Board of Australia, July 2020, Scope of Practice Registration Standard.
2Ahpra & National Boards, June 2022, Code of Conduct.
Writing and reviewing CVs: Best practices for dental professionals and practice owners
In the competitive landscape of the dental industry, a well-crafted Curriculum Vitae (CV) is crucial for standing out. Whether you're a dental professional seeking new opportunities or a practice owner looking for suitable candidates, understanding best practices in CV writing can make a significant difference.
For dental professionals
Structure and layout
Do: Use a clean and professional format
A clean, well-organised format enhances readability. Use a professional font (e.g., Arial, Calibri) and maintain consistent font sizes and spacing. Include clear headings for each section: Contact Information, Professional Summary, Education, Work Experience, Skills, Certifications, and Professional Affiliations.
Don't: Overcomplicate the design
Avoid overly complex designs, excessive colours, or elaborate fonts. While creativity can be appealing, in the dental industry, professionalism and clarity are paramount.
Content and clarity
Do: Tailor your CV
Customise your CV for each application. Highlight relevant experience, skills, and accomplishments that align with the job description. Use specific keywords from the job posting to improve the chances of passing through applicant tracking systems.
Don't: Use generic descriptions
Avoid vague statements and generic descriptions. Instead of saying you're a "dedicated professional," provide
concrete examples of your dedication, such as "Managed a patient load of 50+ per week while maintaining high patient satisfaction rates."
Professional summary
Do: Write a compelling summary
Your professional summary should be a brief, impactful statement that highlights your qualifications, experience, and career goals. For example, "Experienced dental hygienist with over 10 years of practice, specialising in preventive care and patient education."
Don't: Write a lengthy paragraph
Keep it concise. A summary that is too long can overwhelm the reader and obscure your key points. Aim for 3-4 sentences that encapsulate your professional identity.
Experience and achievements
Do: Focus on achievements
When detailing your work experience, emphasise achievements over duties. Use bullet points to list accomplishments. Don't: List every job duty
Avoid simply listing job duties. Employers want to see how you made a difference in your previous roles, not just what you were responsible for.
Skills and certifications
Do: Highlight relevant skills
List skills that are pertinent to the dental field, such as proficiency in patient management, and specific dental procedures. Also, include any certifications.
Don't: Include irrelevant skills
Exclude skills that do not apply to the dental industry. For instance, mentioning unrelated software proficiency or hobbies may distract from your professional qualifications.
Professional affiliations
Do: Include memberships and associations
Being part of professional organisations like the ADA, Australian Health Practitioner Regulation Agency (AHPRA), or other relevant bodies demonstrates your commitment to the profession. List these affiliations prominently.
Don't: Forget to mention leadership roles
If you hold any leadership roles or have participated in significant projects within previous employment, highlight these contributions to showcase your leadership and involvement in the dental community.
Recommendations for practice owners when reviewing CVs
As a practice owner, reviewing CVs is essential for recruiting top talent. Here are some key points to consider: Emphasise leadership and management skills
Do: Highlight practice management experience
Look for detailed experience. This may include in managing/leading a dental practice, including team leadership, patient care standards, and any innovations introduced.
Don't: Overlook business acumen
Ensure the CV highlights achievements in growing a practice, managing budgets, and improving patient satisfaction. The ability to run or contribute to a successful practice is crucial, particularly where you are looking to recruit for more senior roles.
Showcase Professional Development
Do: Include Continuing Education
Check for a list of continuing education courses, workshops, or seminars attended. This demonstrates a commitment to staying current with dental advancements and improving skills.
Don't: Skip industry contributions
Look for published articles, lectures given, or contributions to dental research. These accomplishments establish expertise and thought leadership in the field.
Writing an effective CV is an essential skill for dental professionals, while knowing what to look out for and how to effectively review CVs is essential for practice owners. By following these best practices, you can create a compelling, professional CV that highlights your qualifications and sets you apart in the competitive dental industry.
For more information on this article please call the ADA HR Advisory Service on 1300 232 462.
Endodontic case study
Broken instrument retrieval
Dr Shahrzad Nazari, Endodontist
A patient was referred to me by his regular dentist for assessing and managing his recent pain and discomfort around upper anterior dentition. The referring dentist reported that the patient’s symptoms had been exacerbated over the past few weeks, which made him seek dental treatment. Patient had reported to his dentist that there have been episodes of pain in the past, which subsided without dental treatment.
As the degree of this pain was not severe, he did not seek dental treatment at the time.
During the initial consultation, the patient explained to me that his pain had recently become more prominent and was localised now.
Upon examination, tooth 22 was unresponsive to the CO2 test and the EPT as opposed to tooth 12, which responded normal. Tooth 22 was also tender to percussion.
Based on the clinical and radiographic findings, tooth 22 was diagnosed as necrotic with a possibly infected root canal system (RCS), pulp canal calcification and primary acute apical periodontitis due to decay, cracks and restoration breaking down. An endodontic investigation procedure was planned to determine whether the 22 was suitable for further restoration. While the treatment was supposed to be straightforward initially, it progressed to become very complex surprisingly. This was due to separation of a size-10 H-file in the root canal of tooth 22.
The instrument separation was first noticed after taking the initial radiograph to establish the working length. It probably happened due to the patient biting inadvertently on the file during x-ray exposure. As our patient was a bruxer, his bite forced the file deeper in the
severely calcified root canal. The file was now firmly stuck inside the root canal. Despite trying to gently retrieve the file, it broke at junction of the cutting surface to the shank. Bypassing and/or retrieval procedures were planned and performed by using hand files, rotary files and Satelec ultrasonic tips in three different sessions, each one almost three hours long. Rotary files were used mainly as adjunctive instruments.
Taking advantage of rotary files made of a heat-treated alloy with minimal cutting efficiency, designed in a way to scrape rather than cut the dentin, enabled me to safely enlarge the space made by the hand files. This technique also participated in less frequency and chance of breaking more files next to the broken file.
Finally, the broken file segment was removed with braiding barbed broaches around the file. Notably, the patient patiently cooperated all throughout the treatment.
I had a thorough discussion with the patient about the reasons why this incident happened. Even though I could have simply pointed out a severely calcified root canal or a heavy bite to be responsible for the incident, I concluded that the patient’s occlusion should have been assessed carefully during case assessment in order to set preventive measures, which in turn could have potentially saved the patient and I from all the consequences.
Take home message - ALWAYS check your patient’s occlusion during the first examination/ consultation session. It will save you a lot of money!
Endodontic case study images
Fig.1 File got stuck (22/09/2023) Fig.2 File fractured (22/09/2023)
Fig.4 Cut the file deeper (22/09/2023)
Bypassed to WL (12/10/2023)
And even deeper (12/10/2023)
Fig.3 Made space coronally (22/09/2023)
Fig.6 Rotary files used (12/10/2023)
Fig.8 Finally retrieved the file (12/10/2023)
Fig.5
Fig.7
Fig.9 Cone fit radiograph
Fig.10 Final radiograph (25/10/2023)
WADA Golf at Araluen Estate Golf Course
The Araluen Estate Golf Course presented in excellent condition for the 18 keen golfers vying for the first prize sponsored by Med and Dent WA. It was a glorious late winter day with sun to start and some cooling conditions by close of play. The event this year was sponsored by Med and Dent WA, a very generous corporate partner. We were pleased to be joined by Med and Dent WA representative Craig Botes, who kindly presented the awards to our winning golfers. Our winners for the day were Dean Martin on 33pts taking 1st place with Simon Tee 2nd on 33pts on a countback with Frank Welten in 3rd place.
Nearest the pin
4th hole
7th hole
8th hole
12th hole
Simon Tee
Swan Valley Laboratory
Frank Welten
Health Practice Brokers
Simon Tee
Med and Dent WA
Ian McCarrey
WADA Golf
17th hole Richard Williams
The Health Linc
11th Hole
(Longest drive)
Michael Welten Insight Dental Ceramics
The final fixture for the year is on 22nd November at Royal Fremantle Golf Club.
Good golfing
Frank Welten WADA Golf Captain Dentistgolf@gmail.com
VALE
Associate Professor Peter Tien
Associate Professor Peter Tien passed away (on 15/07/24) after a short, unexpected illness.
We are all devastated by the rapid progression of his condition and our hearts go out to Christine, Michelle, Richard, Liam and family.
Peter completed his BSc, BDSc and MDSc at UWA.
Peter has been a valuable respected teacher at both undergraduate and graduate level since graduation and has actively participated in the professional activities of our Society in Western Australia. Peter developed two successful practices, which have been a gift to our community as he has always provided ethical, high quality care to his patients.
Peter was very proud of his UWA orthodontic training and the department in general and has dedicated his life to the pursuit of excellence. So much so that he encouraged two of his children to pursue a career in orthodontics.
Peter’s most remarkable attributes relate to the combination of his incisive intellect, immense humility with extraordinary clinical skills. The students who have benefited from his clinical instruction universally attest to his attention to detail. I have personally observed the incredible outcomes of his supervision in the graduate clinic. Moreover, these qualities have been passed onto his children, with both Michelle and Richard following in his footsteps and through them, the attributes of his influence will continue to be extended to their patients.
We will miss Peter’s presence and his absence will leave a void in our hearts. However, we are comforted that Peter’s ethos and influence will not pass away with him but will be expressed through the many students whom he has trained. How many thousands of patients have been the beneficiary of his expertise, either directly or indirectly through his students.
The ultimate gift of his life is undoubtedly related to him passing on his influence to his children whom he was extremely proud of. Their anticipated ongoing contribution to our profession is something that I am confident in observing as I know that they will be great contributors to society.
Peter was a man of faith and the way in which he confronted these recent challenges reflected his confidence in his family and the support from family and friends.
On a personal note, I and we have lost a friend, but his impact will remain and I recall Alfred Lord Tennyson who wrote: “I am part of all that I have met”, and Peter is one of those influential people.
We extend our love and condolences to Christine, Michelle, Richard, Liam and family, who allowed him to share his life with all of us as well. Thank you.
Written by Mithran Goonewardene
good news stories
Credabl Helping Hand Grant
Credabl’s Helping Hand Grant is back for its third installment. Valued at over $10,000 for each recipient, the grants will be awarded to up to five practices across Australia. Medical, dental or veterinary practices can apply. Applications are open until 15 October 2024. For details visit www.credabl.com.au/helpinghand24/
Dental Health Week
It was wonderful to see so many dental practices spread the oral health message during Dental Health Week. We saw so many great reels and posts on social media from creative dental practices. Thank you to everyone who tagged us on Instagram or sent us photos. ADAWA President, Dr Gwen Chin, spoke about Practicing Dentistry in Older Adults at the Oral Health in Aged Care Symposium. There were also multiple media appearances, with our dentists spreading the oral health message via radio interviews. Gwen Chin spoke to ABC Radio Perth about dental issues in children. Periodontist Dr Fleur Creeper spoke to Sonshine FM and ABC Perth to discuss the importance of healthy gums. ADAWA Vice President Dr Tim Crofts also spoke to ABC South West breakfast radio during Dental Health Week to discuss Fluoridation in Bunbury.
Dental Health Week at Forrest Chase
The ADAWA Oral Health Education Committee shared the oral health message during Dental Health Week at Forrest Chase – giving out informative posters, as well as donations from Colgate.
Thank you to committee chair, Dr Ashlee Bence, as well as amazing volunteers Drs Cina Yacub, Gwen Chin, Gino Cirillo, Vicky Cirillo and Fiona Ligertwood from DHS.
Happy Retirement
After nearly 30 years, Sue Hurley has left ADA House to begin a well-deserved retirement.
Once she has settled into retirement life, we will catch up with Sue for her reflections in a future edition of the Western Articulator. Thank you for everything, Sue!
Infection Prevention and Control courses
The Infection Prevention and Control course with Kylie Robb was a great success again, with courses held in Perth and Albany. Thank you to Kylie and to STS Group Australia for sponsoring the events.
Student work placements in Health and Community Services
AMA Training Services provides training to Secondary School Students who are interested in careers in Health and Community Services. The final component of the Certificate II in Community Health and Wellbeing program is 110 hours of work placement. Could you take on a student at your practice? Students can complete administrative tasks and assist staff with their duties. The state government offers $500 for every successfully completed work placement. For more information, please submit an expression of interest by emailing pathways@amacollege.edu.au.
Brighter Smiles for Brighter Future
Find out how you can make a difference by volunteering at St Pat’s Oral Health Clinic. From one day a year to as often as you would like – come along to find out more:
Open night at St Pat’s Oral Health Clinic
Tuesday October 1 at 6pm
12 Queen Victoria St, Fremantle Book at: trybooking.com/events/landing /1268890?qr=true&qr=true
AT THE Annual General Meeting
Wednesday 23 October
Join us for the next ADAWA Annual General Meeting, with a lecture to follow by Dr Therese Kvist on Family Domestic Violence from a dental perspective.
ADA House
54-58 Havelock St West Perth
6.15pm Eat and Meet
7.15pm Meeting Followed by Lecture RSVP to adawa.com.au/membership/rsvp
Directory
Premium Partners
AMA Financial Services
Mortgage Broking, Financial Planning and General Insurance Broking. As financial planning, mortgage, and insurance broking specialists, we have a deep understanding of the unique complexities and challenges faced by businesses in your industry. Given our extensive experience working with health and medical professionals, we are pleased to offer exclusive discounts/benefits on our services to members of the ADA (WA). Phone 1800 262 346 or email info@amafinance.com.au
Bunnings
Bunnings Trade can partner with your business to provide support with quotes, project management and product sourcing, even if it’s something we don’t stock in-store. Benefit from exclusive pricing* on a wide range of products and services. For more info on PowerPass or to sign up and link your existing membership, email Organisationswa@bunnings.com.au
*Terms and conditions apply. See trade. bunnings.com.au/powerpass for full details.
BOQ Specialist
At BOQ Specialist, we understand that a highly personalised service is what dental professionals need. We offer a full range of finance products and services, tailored to your needs no matter where you are in your career. With over 30 years of experience in dental finance, our focus is on building long-term relationships with our clients so that you can make financial decisions that are right for you. boqspecialist.com.au
Plus Partner
Credabl
Credabl has built a strong reputation offering tailored financial solutions. Whether you are looking to expand your practice, invest in medical equipment or explore personal finance options, Credabl's has you covered. Their suite of financial products includes medical equipment finance, practice loans, residential and commercial property loans, car finance and personal loans. credabl.com.au
Panetta McGrath Lawyers
We are excited to offer a member benefits program exclusive to ADAWA members. As a member of ADAWA, the member benefits program entitles you to an initial 30-minute consultation in person, by phone, or via video conference. ADAWA members are also eligible for a 15% discount on our standard hourly rates - ADAWA referral required pmlawyers.com.au
Medifit
Medifit is an award-winning dental design and construction company, providing a comprehensive solution for dentists and dental specialists looking to build new premises or renovate their existing practices. Established in 2002, the company has designed and built hundreds of successful practices across Australia from their Head office in Perth. Contact Medifit and get the practice you deserve. medifit.com.au
STS Group Australia
STS Group Australia is a family owned, WA business and industry leader in infection control and we have been serving the WA dental community for over 30 years. You’ll know us as Mocom Australia, offering a range of infection control and reprocessing equipment in Australia and New Zealand, STS Health, providing service and education throughout WA and STS Professional, manufacturer of infection control testing devices and related consumables. sts-group.com.au
Sponsors and Advertisers
Professional Notices
Dr Liz Lam – New Addition to the team
Dr Liz Lam commenced practice as a specialist periodontist with Dr Melanie McAlpine at Western Periodontics & Implants in February 2024. To our great delight she has been a sensation with both patients and staff. Liz has a passion for conservative periodontal care and has demonstrated high level surgical skills combining biological materials and soft tissue management for optimal patient outcomes.
T (08) 9227 9002
E reception@westernperiodontics.com.au
W westernperiodontics.com.au
Dr Hadleigh Clark – new addition to the team
Alissa and Jacinta are excited to announce that Dr Hadleigh Clark is joining the Centre for Oral Medicine and Facial Pain team. Hadleigh completed his oral medicine clinical doctorate in Sydney in 2017, after qualifying and training in both dentistry and medicine. His diverse training and experience, coupled with firstrate communication, compassion, and an evidencebased approach, ensure quality-driven outcomes for patients referred to him.
T (08) 6373 6731
E reception@omfp.com.au
A 1 Preston St, Como 6152
W oralmedfacialpain.com.au
Dr Dipika Mistry – new addition to the team
Dr Dipika Mistry has joined the team at Morley Orthodontic Centre. After spending time in general practice, Dipika completed her Doctor of Clinical Dentistry in Orthodontics in Sydney in 2019. She enjoys all aspects of orthodontics, including clear aligner therapy and growth modification. Dipika brings to the practice a compassionate and cheerful disposition. Her evidence-based planning and clinical skills support our efforts to provide orthodontic care in a friendly and supportive environment.
T (08) 9276 9888
E reception@morleyorthodontic.com.au
A 25 Wellington Road Morley, WA 6062
W morleyorthodontic.com.au
A/Professor Bobby Joseph – new addition
Perth Oral Medicine and Dental Sleep Centre is pleased to welcome A/Professor Bobby Joseph, an Oral Pathologist. Bobby is accepting referrals for all aspects of oral diseases and disorders.
T (08) 9376 6789
E admin@pomds.com.au
A Practice locations: West Leederville, Jandakot, Padbury
W oralmedsleep.com.au
AMA FINANCIAL SERVICES
Care | Understand | Protect
Our Services About Us
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At AMA Financial Services, your financial success is our top priority. Let us partner with you to secure a prosperous future and achieve your financial goals.
Financial Planning
We craft personalised financial plans, empowering members to make informed decisions and achieve their goals. Our approach educates and supports clients, ensuring they gain control of their financial future.
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AMA Insurance Brokers value your time. We simplify insurance for professionals, offering expertise in professional, personal, and business coverage to make your life easier.
From one specialist to another
We understand that a highly personalised service is what dental professionals need.
At BOQ Specialist, we offer a full range of finance products and services, tailored to your professional and personal needs no matter where you are in your career. With over 30 years of experience in dental finance, our focus is on building long-term relationships with our clients so that you can make financial decisions that are right for you.
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BOQ Specialist. The bank for dental professionals