Issue 63 June-August 2022 1
su A f o n it a c o s A st i n e g y H l a t n e D ht f o r e t l s w en l a i c o eh T
OUR TIME IS NOW! Everything you need to know about getting your own provider number
Symposium report 2022
DHAA Aged Care Chapter
Check out what went down in Darwin at our national industry event
Discover how we’re supporting an ageing Aussie population
STATE ROUND-UP Find out what’s happening in your local area
2 chances Y A W A E to enter! GIEV N I W NTER TO
Attention all hygienists, OHTs & dental therapists.
Would you like to go to ISDH in Dublin? International Symposium of Dental Hygiene 2022 Dublin, Ireland.
Piksters is giving away 2 FREE trips to ISDH in Ireland!! 11-13th August 2022 ®
For 2 lucky winners your trip will include: - Return flights - Conference Registration Valued Fees at approx. - Gala dinner ticket $5000 ea - Accommodation - $1500AUD spending money
CLICK HERE TO ENTER (OPTION 1: One entry only using this option)
Double your chance to WIN and enter below as well! Let us know in a short (one page) piece describing
“Why I want to go to the ISDH”
And how the knowledge, skills and contacts gained may be of benefit to you and the wider Australian dental health profession.
CLICK HERE TO ENTER (OPTION 2: One entry only using this option)
One prize will be chosen randomly from the entries in the case of option 1 above. This competition is open to all practising hygienists, OHTs and dental therapists within Australia. You must include your Australian Health Practitioner Registration number (AHPRA).
Entries close on the 23rd June 2022
You may be able to extend your trip and have a European holiday while you enjoy this prize. You can for example fly into Dublin and possibly out of Paris, London etc because the cost to fly in an out of most major European cities instead of Dublin will be typically quite minimal, but will be at your expense or can be taken out of your $1500 spending money. Which cities will be available, and the cost difference cannot be determined exactly until the seats are booked and the seats cannot be booked until we have the winners names. Once that is known the exact itinerary can be worked out if you wish to vary your destination airports from Dublin. Of course you can just arrive and depart from Dublin earlier or later than the ISDH and enjoy a tour around Ireland if you wish.
from the
Piksters People
®
T&Cs: Competition winners must comply with Australian and international regulations for travel, regarding COVID, as advised at the time of travel, must be fully vaccinated per TGA guidelines, and must have a passport valid at least 6 months after departing Ireland. Winners must be Australian citizens or Australian permanent residents. Economy flights include return airfares from any Australian capital city to and from Dublin. Giveaway starts 16 May 2022 and closes 23rd June 2022. One winner will be chosen randomly by an electronic draw. 2nd winner chosen via a short (one page) piece describing “why I want to go to the ISDH and how the knowledge, skills and contacts gained may be of benefit to you and the wider Australian dental health profession”. Winners drawn and chosen on 23rd June 2022, at 12noon EST, and will be notified via email from promotions@piksters.com and a follow-up phone call at 3pm, 23rd June 2022. If the winners are unable to claim their prize, a random electronic draw will be done again, after notification that the winner cannot claim the prize. Prizes do not permit any other person to travel or share accommodation other than the claimed prize winners. However if you wish to bring a partner to share the accommodation you may provided there is no additional expense to us and you pay any additional costs involved. Typically the cost for the room which we pay for will accommodate two people, so it would be unlikely that they would charge for one more, however if they do please be aware. If you were to bring a partner they would obviously be paying for their own air ticket. If Covid regulations restrict flying, the flights will be cancelled and unable to be used for any other reason. $1500 spending money will be provided to the winners prior to departure to go towards spending money - eg. food and taxis. Prize is supplied by Erskine Products Pty Ltd. ABN 81 056 223 897 trading as Piksters.
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Contents
What does the future look like?
04 The aged care agenda
That’s a great question! If you had spoken to me in March 2020, I would have told you a very pessimistic story about our industry. But fast forward now to May 2022, and we have a lot to look forward to. With Australian unemployment rates at a historic low (3.9% on 20/5/22), now is a great time to be an oral health practitioner. Every time I look at seek.com.au or speak to prospective employers and our members at events, there seem to be more jobs than available practitioners. Let’s hope it stays this way over the next few years. We have a lot to look forward to. We will be able to apply for provider numbers from Services Australia from the 20 June 2022, and it is meant to be implemented on the 1 July 2022. We will be receiving an updated 13th Ed of the ADA Australian Schedule of Dental Services and Glossary which will be effective on the 1 July 2022. While it is only three private health funds that will recognise our provider numbers and the Child Dental Benefits Schedule at this stage, rest assured that both associations (DHAA and ADOHTA) will continue our advocacy efforts for DVA services and other health funds. We will maintain a position that all dental services insurance rebates should be paid out the exact amount regardless of which practitioner provided the treatment. It will be a steep learning curve for all of us who choose to optin and the DHAA will be there to support the profession. I also sense that having access to a provider number will bring us other opportunities to provide a different model of care to vulnerable groups in the future. We are almost back to the ‘new normal’ as 2022 returns with face-to-face events. It was great seeing many of our members at Darwin and I look forward to seeing you in person over the coming months!
How the DHAA are supporting an ageing nation.
06 Is change. Is good.
CEO Bill Suen looks at the effects of so much change happening in our industry.
08 DHAA Grants & Awards
Rewarding those that are striving to make a difference.
12 Ask DHAA
Your poignant questions answered by our experts. COVER STORY
14 Our time is now!
Everything you need to know about getting your own provider number.
22 Territory therapy
A full report on the fun and the facts from this year’s DHAA National Symposium in delightful Darwin.
30 Get your CPD fix online
Great courses to improve skills and top up CPD hours.
32 Career development
Insights from a hygienist with multiple careers.
34 Picking up the baton
Looking at ways to develop your leadership muscle.
36 State of the Nation
A countrywide round-up of what’s hip and happening.
A/Prof Carol Tran DHAA National President
Key Contacts CEO Bill Suen CONTACT
PRESIDENT Carol Tran CONTACT
MEMBERSHIP OFFICER Christina Zerk CONTACT
BULLETIN EDITOR Brie Jones CONTACT
The Bulletin is an official publication of the DHAA Ltd. Contributions to The Bulletin do not necessarily represent the views of the DHAA Ltd. All materials in this publication may be readily used for non-commercial purposes. The Bulletin is designed and published by eroomcreative.com
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Putting aged care on the agenda Discover how the DHAA Aged Care Chapter is going from strength to strength The Aged Care Chapter has created a very supportive community of likeminded, passionate people who care greatly about promoting oral health to people in RACFs. I felt the workload of the Program to be achievable, even with working full time and having two young children. Most importantly I have always felt incredibly supported. At all times I have been able to contact the creators of the chapter, who somehow always have the time to reply. Because of the Chapter, I’m a part of an incredible network of incredible
people all across Australia.“ “I found the course and presenters very encouraging and motivating. I particularly enjoyed the zoom meetings and always felt very welcomed and kept up to date with everything happening behind the scenes. “ Now that she has completed the Education Program, she has big plans: “My colleague and I have started our own company, ResiDental Solutions, and as of July this year we are proud to be providing preventive oral health services in RACFs on the Fleurieu
Service modelling, practice support, tools and resources
Business development and marketing support
Ongoing skills development and maintaining competence
The four pillars Education program and initial assessment
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he DHAA Aged Care Chapter was established in 2021 to support members in developing a professionally satisfying and viable oral health service in aged care. The DHAA has also set an ambitious goal to have half of the residential aged care facilities (RACFs) in Australia being regularly serviced onsite by an oral health practitioner by July 2026. To build capacity and equip members with the appropriate skills to meet the special needs in RACFs, DHAA Aged Care Chapter members may enrol in the eight module online education program delivered through a self-directed learning approach. In addition to the education program, chapter members have access to marketing support, resources and aged care specific CPD. SA member Gemma Collins is a graduate of our education program, and this is what she thinks of the program: “I thoroughly enjoyed the education program and the Aged Care Chapter. I found every module interesting and I became more motivated as I progressed through the program. I now have all the resources and knowledge to better support our older community.
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Education program graduates Gemma Collins (above) and Tina Pezzaniti (below)
Peninsula of South Australia. I am extremely passionate about making a change and providing high-quality dental treatment to those in RACFs and having the opportunity to educate the staff and better provide regular and effective oral health care. Thank you DHAA and the Aged Care Chapter for giving me the opportunity to further develop my skills and passion for preventive dentistry. The Chapter has given me the confidence to safely provide the dental care these people desperately deserve. It has put the fire back in my belly and I am so excited to be the person that will make a change within my community. I couldn›t imagine not being a part of the DHAA or the Aged Care Chapter.” Tina Pezzaniti has also completed the education program and she said that the DHAA Aged Care Education program is a holistic program delivered by a high calibre of presenters with a wealth of knowledge and practical advice. The education program is well designed. The learning modules are well structured with purposeful learning activities that contributed to her understanding of the content covered. The readings and additional
resources are up to date and current. She particularly liked the on-demand style of the program as it enabled her to comfortably manage her study load around family and work commitments. “This program has provided me with the confidence and professional development to support my current role at TAFESA and has provided me with the tools to support me in making a difference in my local community. I would like to be part of the interdisciplinary team in a residential aged care facility, supporting residents with daily oral health care for the prevention of oral diseases. I would like to increase oral health awareness for staff and families too, support oral health assessment and facilitate appropriate referral pathways.” Tina attends Aged Care Chapter meetings regularly. She finds the participants a supportive group of likeminded individuals working towards an ambitious goal. The members have a wealth of knowledge and provide support and assistance though regular meetings and informative posts and group chats via the Aged care chapter Facebook page. “What an inspirational group of people!” n
Become a part of the DHAA Aged Care Chapter Join us and be part of this exciting initiative The DHAA Aged Care Chapter membership is an ongoing annual add-on subscription to the DHAA membership, while the Education program is a one-off purchase for Chapter members. If you wish to join (or remain in) the Aged Care Chapter, add it as an option when renewing your 2022-23 DHAA membership. If you have already renewed but wish to join the chapter you can add the chapter subscription to your membership by hitting the button below. Once you’re signed up you can then buy the education program. Full details can be found here:
+ AGED-CARE ADD-ON Aged Care Chapter Annual subscription $150; Aged Care Education Program $750 (this special discount rate has been extended to 31 December 2022)
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FROM THE TOP
Is change. Is good. Bill Suen DHAA CEO
With so much change happening in the way we operate as oral health professionals, there has never been a better time to be part of an industry association WE ARE IMMERSED in a sea of change at the moment. We have just had a change in the federal government, we are about to have access to provider numbers, and we are undertaking the TOPA (Towards One Professional Association) project. As health professionals we are trained and conditioned to be risk averse, hence the uncertainty that comes with change often makes us uncomfortable and anxious. So what do these changes mean to us, and how are we managing them?
The Federal Government
The recent federal election has significantly changed the political landscape in Canberra, with the incoming Labor government and the coalition opposition both losing significant public support. This signifies the increasing political clout of minor political parties and independents. Many issues that had been ignored by
the major political parties previously are now being reviewed as part of the post-election evaluation process. The DHAA Board has been revising our advocacy plan to capitalise on this new balance of power so that oral health can be on the radar in Canberra during this new term of government.
Provider Numbers
Our highly structured and disciplined ‘Bad Mouth’ campaign in 2020 has delivered great results to our profession, with provider number changes coming next month. This is a major win for the profession and we are now being recognised as a truly independent health professional group under Ahpra. This significant change opens doors for many e.g. in aged care, rural and remote practices and indigenous health. It offers many opportunities for cross referrals with not only other dental specialists but with the wider health fraternities. With added benefits come responsibilities and we must be vigilant with compliance and risk management with our provider numbers. It is important to note that a provider number is purely a commercial arrangement between funders and providers – it does not change one’s scope of practice. There are many issues that provider number holders must be aware of and address, and the DHAA is ready to support our members through this transition period in the coming months.
Aged Care
The DHAA launched an ambitious goal last year to establish regular
on-site oral health services in 50% of residential aged care facilities by 2026. A number of members have now completed the Aged Care Education Program and are ready to deliver oral health services to RACFs. This is timely as the new Labor Government has promised to address the aged care crisis while changes in provider number access will provide a valuable private funding source for oral health. The broad support for a senior dental benefits scheme is also on the table. Members are encouraged to embrace the opportunity ahead and make use of the DHAA Aged Care Chapter and Education program as support.
“ It is important to note that a provider number is purely a commercial arrangement between funders and providers – it does not change one’s scope of practice” TOPA
The phase 1-3 TOPA reports have recently been released for member consultation. It is important to note that we are attempting to create a new peak association to represent dental hygienists, dental therapists and oral health therapists. This is not a merger exercise but a creation activity as we are building it from scratch. This gives us the opportunity to design an association that meets the members’ and the profession’s needs both currently and into the future. The new
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association should serve the profession that is facing significant changes and a robust design is needed so that it can be effective in driving and responsive to change efficiently. The great work of past DHAA boards has set a strong foundation for the association to move forward, and it is important that TOPA takes the advantage of the accumulated experience and assets from the past, and at the same time adopts a progressive vision for the future. The six-phase TOPA project plan offers a clear pathway to careful planning, adequate member and stakeholder consultations and effective risk management, so that we are able to lift our back foot and start moving forward, safely and with confidence.
Membership Renewal
A special thank you to the large number of DHAA members who recently renewed their 2022 membership online. It is pleasing to see that DHAA membership has been steadily growing over the past years, and this contributes to our ability to deliver appropriate services and support to meet members’ needs, and at the same time maintain a very low and affordable membership fee. This can only be made possible by the large number of volunteers contributing their time and expertise in various committees and working groups to work together with my team of dedicated and hard-working staff. I would like to take this opportunity to thank you all for your contribution as a volunteer, a member or DHAA staff. To be part of the DHAA community please renew or join the DHAA membership. Collectively we have achieved a lot in recent years, and we will continue to do so for our members and the profession. n
DHAA renewals are open Don’t forget to keep your membership up to date
DHAA MEMBERSHIP AND professional indemnity renewals for the 2022/2023 year are due by 30 June. Simply sign in to your member portal on the DHAA website, go to your member profile and click through the ‘Renew Now’ button. Please make sure that you select any optional extras if you wish to continue or add them to your subscription. These include the DHAA/BMS comprehensive Professional Indemnity Insurance and the Aged Care Chapter. In addition to CPD, the DHAA offers its members support in every aspect of their career and professional needs. Examples include: 1. Affordable professional indemnity insurance 2. Advice on clinical and practice matters (expert panel) 3. Industrial relations support and advice line 4. Peer support program 5. Networking events to local and national colleagues - F2F and virtual 6. Ongoing update of development and changes to dental practice 7. Employment and recruitment services and advice 8. Business advice and business development support 9. M ember discount on a wide range of products and services (including financial services, car purchase at corporate fleet buy rate, laptops, white goods, general retail, entertainment and holidays etc) You should not need to practise alone as DHAA membership connects you to people, organisations and resources that you need throughout your career. If you are not yet a member and wish to be part of our community and enjoy the full range of support and benefits, you can join by clicking the button below: Together we can achieve a lot more. n
JOIN OR RENEW TODAY
8 DHAA GRANTS & AWARDS
Credit where credit is due The DHAA aim to reward those that are striving to make a difference. Here are this year’s winners
The DHAA Aboriginal and Torres Strait Islander Dental Hygiene and Oral Health Therapy Student Study Grant
Ashley Bainbridge
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his grant was established to support indigenous students in their undergraduate or TAFE study leading to a career as a registered dental hygienist or oral health therapist in Australia. The grant recipient receives a cash payment of $5,000, an entry to the DHAA student leadership program, and is assigned a mentor throughout the undergraduate study period. The 2022 grant recipient is Ashley Bainbridge, a first-year Bachelor of Oral Health student at Central Queensland University. In her grant application statement, Ashley said that her career aspiration
is to work with the Queensland Government and volunteer with Aboriginal and Torres Strait Islander organisations to provide dental treatment to underprivileged communities in regional and remote areas around Australia. Since these career opportunities are rewarding and challenging, she is motivated to achieve the goals of enhancing confidence, improving oral health outcomes, and educating communities on oral health due to their rewarding nature. She is highly dedicated and passionate about dentistry. However, financial stress is weighing on her since her study schedule is compromised due to work. Therefore, this grant will financially and academically support her in achieving her best academically, where improving dental health within communities is her ultimate goal. Congratulations, Ashley! The DHAA community is pleased to provide the support to help Ashley achieve her career goals over the coming years.
“ This grant will financially and academically support her [Ashley] in achieving her best academically, where improving dental health within communities is her ultimate goal”
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The DHAA Oral Health Award
Kelsey Ingram
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ongratulations to Victorian DHAA member, Kelsey Ingram who is the 2022 DHAA Oral Health Award recipient. The DHAA recognises oral health practitioners making a meaningful contribution to our profession with this annual award. The award recognises the excellent contribution of oral health practitioners at the grass-root level in improving health outcomes and the well-being of the general public. It seeks to tell the stories of the vital work of the quiet achievers within our profession. Over the past decade, Kelsey has worked as a dental hygienist across public, private and specialist dental practices. Kelsey’s first dental hygiene position after graduating from the University of Newcastle in 2012 was at St. Vincent’s hospital in Sydney. While in this position, Kelsey provided care to individuals affected by HIV, hepatitis C, head and neck cancer, diabetes and/or cardiovascular diseases. This position demonstrated the positive effect access to public health services had on these patients› quality of life and the need to
increase the translation of oral health research into chronic disease policy to better address the growing burden of poor oral health among those with chronic illnesses. This experience was the inspiration for her PhD research. From her research, Kelsey advocates for Australian oral health policy to reflect the correlation between the effect of poor oral health on cardiovascular disease, diabetes, and cognitive impairment. Kelsey has been investigating the translation of oral health research into health policy over the past four years, intending to increase funding for oral health care for individuals living with chronic diseases. This will allow these individuals to manage their chronic diseases better and improve their quality of life. She has presented at four international and national conferences, been awarded two research grants, published four papers in peer-reviewed journals and has one under review. Kelsey is passionate about using her research to improve the oral health of those individuals living with chronic diseases. Kelsey’s research has presented her with many opportunities. Including networking with several Australian policy makers at State and Commonwealth levels, participating in a World Health Organisation initiative working to implement the recent Oral Health Resolution, and her appointment as Clinical Project Officer at Monash Health overseeing research and health promotion. Monash Health Dental Services is Victoria’s largest public dental service. This role has enabled Kelsey to design translational research projects that aim to improve the oral health of Victoria›s vulnerable population groups. In 2012 she initiated an oral health promotion program at an orphanage in Bali, Indonesia, which provided toothbrushing instruction, oral hygiene aids, screening and referrals to a local dentist. The project involved setting up a local network with the
orphanage, a social worker, and a local dentist and training staff on the importance of oral health. From 2013-2015 Kelsey volunteered with the Moringa Project, engaging in cross-cultural research and strategy development to implement preventive healthcare measures within a community in India. Working with the local community to provide sustainable resources for their healthcare needs was an enlightening and rewarding experience for her. In 2016 she began volunteering with the DHAA as a policy and governance officer and now serves on the Oral Health Promotion and Public Health Committee (OHPPHC). These roles have served as an avenue to share her knowledge and experiences and learn from her colleagues. Kelsey firmly believes in the mission of the DHAA and appreciates the opportunity to
“ Kelsey advocates for Australian oral health policy to reflect the correlation between the effect of poor oral health on cardiovascular disease, diabetes, and cognitive impairment” be involved in the health promotion activities of the OHPPHC. Kelsey plays a key role in developing the DHAA Consumer Website and editing many of the consumer oral health information pamphlets. She has also authored several oral health submissions supporting the DHAA advocacy plan in recent years. Kelsey said that she hoped to use her research to advocate for better oral health for all Australians while continuing with her clinical practice something she will always love and is extremely passionate about. >>
10 The inaugural DHAA Oral Health Student of the Year Award Finalists
Maryam Slewa and Wan Ying Chia
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Maryam Slewa
Wan Ying Chia
his award aims to foster oral health therapy and dental hygiene student participation in the DHAA Student Leadership Program and recognise an Australian student leader each year. The primary focus of the competition is to recognise professional leadership and not academic performance. The recipient is selected under the following criteria: nD emonstrated leadership attributes through contribution to enrich the academic experience as an oral health student. nT he proven ability to identify and address issues that impact Australian oral health. nT rack record of proactive engagement with DHAA throughout academic life. DHAA student members must register for the DHAA Student Leadership Program to enter the competition. A series of four educational webinars on leadership and management topics are available online. Participants who completed all educational components were invited to enter the student of the year competition by undertaking an oral health related project. While it is not necessary, students may choose to use their university project to enter the competition. Alternatively, students may use a project outside their university curriculum. Entry to the award competition is confirmed by submitting a student poster abstract on the project to the DHAA National Symposium, a CV, and a completed application form. At the National Symposium, each finalist will display
their posters and make a five-minute oral presentation to explain how their project will benefit themselves (as oral health practitioner) and their patients. The 2022 finalists were Maryam Slewa, a second-year Bachelor of Oral Health student from the University of Sydney, and Wan Ying Chia, a final year Bachelor of Oral Health student from La Trobe University. Maryam titled her project. “Impact of the social determinants of health for refugees and asylum seekers; An oral health prevention and management program.” The project aims to educate refugees and asylum seekers on oral health as a mode of prevention and provide the necessary treatment to manage their current conditions. The basis of this project is that income, early life, education, migration, and social exclusion are social determinants that can negatively impact those with a low socioeconomic status. Refugees and asylum seekers have difficulty assimilating into a new country and society. Therefore, oral health is usually a low priority. The stresses and traumas brought upon by fleeing nations of war and conflict can
“ The project aims to educate refugees and asylum seekers on oral health as a mode of prevention and provide the necessary treatment to manage their current conditions”
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intensify dental caries and periodontal disease. There is limited access for people who do not have Medicare or reasonable residence to be eligible for dental care in the public system. Those who do, are placed on a lengthy waiting list where dental caries or periodontal disease can exacerbate. Additionally, fixed oral health education hinders refugees and asylum seekers as it restricts them from seeking sufficient oral health care. The language and literacy barriers can also prevent people from seeking out dental care and prevent them from adequately receiving oral health education. The limited finances and dependence on welfare is another issue and social determinant that negatively shapes a person›s ability to receive satisfactory dental treatment and education. Subsidised interpreter programs that focus on oral health education and accessible dental treatment for communities in low socioeconomic areas are vital. Swift education and intervention are necessary to prevent severe dental conditions and the rapid progression of oral disease. Wan Ying’ project title was, “ORAPACT – a social responsibility project to help disadvantaged communities.” Her aim was to raise oral health awareness within disadvantaged communities, including people of low social economic status, homeless or people in financial difficulty. The outcome is to provide an environment that supports individuals’ oral health and to eliminate any barriers or disparities. Oral health students get many dental product samples from dental
And the winner is... The 2022 Oral Health Student of the year was announced at the Darwin Symposium on Saturday, 4 June, and the winner is Wan Ying Chia. Ying demonstrated her extensive involvement with university life, engagement with the professional association and her leadership and passion in driving her social responsibility project (ORAPACT) to help the disadvantaged communities with her fellow students. Her presentation at the Symposium was outstanding and inspirational. On receiving her award, Ying hoped to use her $5000 cash award to further expand the project to reach more communities in need. She also expressed interested in aged care and was looking forward to joining the DHAA Aged Care Chapter once she graduated from her BOH study next month.
companies and often many are not used. We thought it would serve a greater purpose if these products were given to people that need them. Currently, ORAPACT is partnering with Saltworks, Impact Recovery and MADCOW weekly. Oral health education is delivered in small groups, and each participant is provided with oral hygiene advice according to their needs. Toothbrushing and interdental cleaning demonstrations are performed on tooth models to enhance visual learning. Each participant also receives a complimentary oral hygiene pack consisting of oral hygiene tools and information pamphlets that supports their home care routine. Through the conversations with
the participants, it became evident that many people have low oral health literacy. There is a need for more preventative oral health care support outside of the traditional dental settings. People that attended ORAPACT sessions found us helpful, and they invited their friends and family to participate. The project hopefully inspires others to give back to the community. Taking the time to connect with individuals is crucial as it helps deliver personal oral care messages. Treatment is essential but reaching out with preventative care is the first step in closing the gap. The 2022 winner was announced at the Darwin Symposium on Saturday 4 June – see panel above. n
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Ask DHAA... Your opportunity to ask the questions, check the rules and share your knowledge
If your work is being billed under the dentist’s provider number, there may be additional documentation and compliance requirements and it is up to the billing dentist to ensure these requirements are met by the members of the dental team.
Dear DHAA... I am hoping you may be able to help me understand the classifications of the Health Services Award. What level and pay point would a dental hygienist with 10 year’s experience, be classified as?
The award classification of levels is based on the level of responsibilities that you are employed to do, and not years of service/experience. Once you are employed at a certain level, then the years of service are considered within each level as different pay points. One can argue that the more experienced you are, the more likely you can undertake the more complex tasks and that is reflected in the level of award you are employed in. Please refer to the Health Professionals and Support Services Award 2020. Section 17 outlines the pay rates for all levels of health professionals covered by the award. Schedule A.2 provides definitions of health professionals in this award. Note that regardless of what level you operate, it’s the market rate that counts. The award is supposed to be a safety net to provide a minimum legal wage for the
Taking time off to spend it with your kids?
profession. You can find the market rates via the DHAA IR advice page (the 2020 workforce survey report). If you need more specific advice, please submit your query via the DHAA members IR advice portal through the website, under advice and support. Dear DHAA... As a hygienist, is it okay to write in my clinical notes and sign under my name about findings of decay, broken teeth, bitewings etc? 011, 012, 114, and 121 go under the dentist´s provider number. At the end of the dental appointment
or if the patient has a subsequent appointment, the dentist will doublecheck my findings. Is this okay?
As an APHRA registered dental practitioner you are obliged to perform your duties as an independent practitioner and you are fully responsible for your work. This includes appropriate documentation of relevant clinical notes for patients you see. This is the basic requirement for clinical practice. You must do this within your individual scope of practice, and an oral examination should be part of it.
Dear DHAA... I am going on parental leave next week for approximately 12 months and I would like to pause my membership and indemnity insurance. What would I need to do?
Please note that your professional indemnity insurance and CPD obligations are linked to your Ahpra registration, regardless of whether you are actually working or not. If you are continuing with your registration, you need to continue with the insurance and CPD. If you are suspending your registration or seeking to change your general registration to a nonpractising one, then we can organise a special maternity leave coverage for 12 months (for less than the normal insurance), but you would still need to continue to be a DHAA member to qualify for that coverage.
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Dear DHAA... May I please confirm whether or not we are okay to share links regarding aged care and dentistry that have been shared on our aged care chapter Facebook page. My little business is up and running and I would love to share articles on our own page. Is there anything restricting me from sharing some of the links on the DHAA page or any other pages (reliable sources).
It is great that you have set up your business for aged care. Congratulations! The DHAA Aged Care Chapter page information is a service to chapter members. The information shared here is at your disposal. If you are sharing or forwarding the information, you need to make sure that the information meets all legal requirements (including the TGA and Ahpra advertising codes) but I can’t see any issues with them as most are in the public domain, and we are just collecting and prescreening them as a service to chapter members. n If you have a question to ask then please email it to bulletin@dhaa.info
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OUR TIME IS NOW! Everything you need to know about getting your own provider number
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By Warrick Edwards
he planned implementation of provider number access for dental hygienists, dental therapists and oral health therapists is progressing as scheduled to be activated on 1 July 2022. The Commonwealth will accept direct billing claims from these oral health practitioners for dental benefits covered by the Child Dental Benefits Scheme. While the private health insurance sector has indicated that they are likely to recognise these provider numbers, the decision and implementation timeframe largely depend on individual funds. Several health funds have been liaising with our associations to plan for the implementation, and we will provide >>
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information to members as updates become available. Please note that the Commonwealth Department of Veterans Affairs has no immediate plan to accept our provider numbers for the DHA Dental Benefits Programs, as they are in the process of undertaking a major review of their program. The ADOHTA and DHAA have been liaising with the Department of Veteran Affairs on our profession’s potential contributions and benefits to the veteran community and advocating for a critical role within the DVA dental benefits program. To facilitate a seamless implementation and provide guidance to the profession, the DHAA invited the Australian Dental and Oral Health Therapists Association (ADOHTA) to establish an expert advisory group jointly. The purposes of the Provider Number Expert Advisory Group (EAG) are to: n Provide expert advice to the ADOHTA and DHAA Boards on all relevant matters pertaining to the practice of oral health as a Dental Hygienist, Dental Therapist or Oral Health Therapist that involve the provision of provider numbers and dental benefits claiming and payment within the public and private sectors. n Identify regulatory, professional and practice issues that may arise from the acquisition of provider numbers and access to various dental benefits funding schemes as billers/providers. Make recommendations to the DHAA board on possible solutions and management strategies. The EAG has been designed to provide expertise in hygiene, therapy, general and specialist dentistry, remote practice, public sector dentistry, private health insurance
and oral health academia. Current members of the EAG are: Warrick Edwards (Advisory Group Chair); William Carlson-Jones; Hellen Checker; Cheryl Dey; Tess Giarola; Jennifer Shaw; A/Prof Carol Tran; Dr Martin Webb; and Dr Mark Wotherspoon. ADOHTA and DHAA are grateful for the support of the Australian Dental Association (ADA) and the Private Healthcare Australia (PHA) for providing their expert advisors to join the EAG. The tasks undertaken by the EAG include: 1. P repare relevant guidelines for the purpose of accessing various dental benefits to ensure professional and ethical practice in accordance with the Dental Board of Australia code of conduct and practice standards. 2. D irect appropriate education activities to foster compliance with the guidelines. 3. P rovide expert advice to support the ADOHTA and DHAA boards in monitoring compliance to the guidelines. 4. R eview item codes of various dental benefits and advise the ADOHTA and DHAA boards on the relevancy of the codes with the respective scope of practice. >>
“ The first educational webinar was delivered by members of the EAG on Tuesday 17 May, and attracted nearly 1,000 registrants.”
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The first educational webinar was delivered by members of the EAG on Tuesday 17 May, and attracted nearly 1,000 registrants. A/Professor Tran provided a progress update on the implementation while PHA representative Ms Jennifer Shaw discussed the key aspects of being a dental provider for the private health insurance funds. Dr Martin Webb from the ADA provided an outline on compliance and risks associated with being a provider number holder. It was an important informative session as it cleared many myths and misunderstandings of what a dental provider means, which have been circulating across some social media and professional networks. The recording of the webinar is available for on-demand viewing here:
WATCH THE WEBINAR A second (member-only) webinar has been scheduled for mid June to provide further updates and more in-depth advice. To access this webinar (and its recording) and other ongoing updates and advice on provider numbers and many other professional matters, please go through the DHAA member portal. For further details on DHAA membership, to renew or to become a member, please click the button below:
DHAA WEBSITE
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he time has almost come! According to the plan with the Department of Health (DoH), from 20 June 2022 we can officially apply for our own provider number through Services Australia and as of the 1 July, we should be up and running and able to process claims. Congratulations to all those who have worked tirelessly behind the scenes to achieve this amazing feat. The DHAA recently hosted a very informative webinar on applying for a provider number. Here are a few key messages from the webinar for those who missed it. n Applying for a provider number is an opt-in choice. It is not compulsory. n But if you do opt-in, you must use it! n We will only be able to claim CDBS at this stage. There are ongoing discussions with DVA. n Three major health insurance companies indicated that they are on board and working through their policies and procedures to include us in their systems. Ongoing conversations are being held with other health insurance companies. n You may use Health Point or Hi-Caps to claim electronically (electronic claiming is the preferred method). n It is important to follow up and read through the individual terms and conditions of each health insurance company, Medicare, Hi-Caps or Health point and your indemnity insurance; because once you make a claim you have agreed to those terms and conditions. n Patient records must coincide with the item numbers claimed. If you claimed for a prophy/polish or a fluoride treatment, you must include reasons why you have claimed for that item number and how this has benefited your patient. n The DHAA are still working with the DoH in regards to being able to refer for OPGs.
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GETTING READY FOR THE CHANGE! Bulletin Editor Brie Jones asks members what having a provider number will mean for them
And finally, as re-iterated by Dr Martin Webb; “With power comes great responsibility” – Mr Miyagi. We must remember to stick within our scope of practice and although we may now be eligible to claim for an item number, it does not change our scope of practice and allow us to perform that procedure!
What members say...
During the 2020 ‘Bad Mouth’ campaign, a number of members were featured in our advocacy publications. Reflecting on the success of the campaign, they have shared what it would mean for them to have access to their own provider number and what their plans are.
Beth Irvin
“As an OHT with adult scope I’m very much looking forward to the provision of a provider number. I would like to congratulate and thank the Associations in bringing about this change. In the last two years, I have turned my career around from Aboriginal healthcare into my Independent private practice. I practice solo in my oral health therapy ‘studio’ in Bairnsdale, regional Victoria. It started out as a part-time ‘side hustle’ in 2020 and has steadily grown since. I have
no associate dentists and thus no claiming ability. So now that provider numbers are on the horizon we can finally feel a sense of equality that will only benefit our patients. In my last article entry, I was employed in Aboriginal health in Gunai-Kurnai country. After nine years in my OHT role there, the organisation secured two local dentists who plan to stay long term. It was the right time in my life for a change and to find a balance between raising my young family and establishing my independent practice.
”now that provider numbers are on the horizon we can finally feel a sense of equality that will only benefit our patients” So far, without a provider number, I have needed to refer patients elsewhere for claiming under their private health insurance and CDBS. This has ultimately been a detriment to my business and also disappointing for my patients, who have built a trusting relationship with me and know me as a local. But for financial reasons, some need to seek treatment where they
are able to claim. And for this reason, I have kept my fees comparatively low compared to most private clinics. Around 20% of the patients I see currently are children. Come July, there will be a higher demand in my practice for children’s dental. I have kept patients/parents informed of the impending changes via social media since the provider number announcement last year, and I now have a list of clients and families eagerly awaiting my service provision from July. I am very much looking forward to seeing what these revolutionary changes will bring to our profession.”
Lyn Carman:
“Since writing, in 2019 we have continued to work hard toward a sustainable, equitable and innovative model of care for oral health in rural and remote areas. This is still very much a work in progress and is reliant on oral health professionals coming to rural areas to provide care. Oral health services in rural Australia are traditionally delivered by privately owned dental practices. These practices treat private patients and deliver treatment to public patients on behalf of SA Health. Private practice in rural areas face ongoing challenges, including workforce recruitment/ retention, viability, and succession planning. Many of these businesses are failing. In the South Australia Oral Health Plan, people living in regional and remote areas are already clearly identified as a priority population. If no action is taken, there will be even poorer health outcomes for rural communities in the future. Despite increased awareness in recent years, there has been no dedicated effort to solve this problem. Access to provider numbers for oral health professionals will enable
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”Access to provider numbers for oral health professionals will enable clinicians to independently provide care for eligible children under CDBS” clinicians to independently provide care for eligible children under CDBS, and as access to health funds and DVA broadens, a much greater level of service availability for this priority population, who deserve equitable care, will occur. Recruitment and retention of the workforce is vital to rural areas to provide a high level of timely, local care. Provider numbers will enable an easier pathway for us to recruit clinicians to work within this model of care and provide much needed, improved oral health outcomes in rural and remote areas. We look forward to many more dental hygienists and oral health therapists taking up the opportunity to support rural and remote areas while gaining a greater wealth of clinical expertise in a supported and collegiate environment - working as truly part of a team where each professional can utilise their full range of scope. Now, that’s a dedicated effort to solve this problem!”
Lynda van Adrighem
“Exciting times ahead with gaining access to provider numbers for qualified dental hygienists, oral health therapists, and dental therapists will be a game-changer for the profession and open up future opportunities as we pursue access to other areas. Since I last presented an article in The Bulletin regarding provider numbers and the impact it has had on my work practices, not a great deal has
changed for me as a dental hygienist in private practice or as an independent dental hygienist working in aged care! Working in aged care, I continue to have access to a provider number that I share with a dentist who provides the necessary legal and ethical requirements to refer residents who require advice or dental treatment that is out of my scope of practice. With this particular arrangement, in aged care, I have found the provider number is only a small part of my invoicing of dental hygiene treatment, provider number is only beneficial if the residents maintain their private health insurance. Unfortunately, when entering a residential aged care facility, many of the residents stop their health
”Having my own provider number would establish equivalency with the other professions in aged care” insurance or reduce their health service units for various reasons – many of which are financial. What of the future? I believe that not having my own provider number will impact my job prospects in aged care. All Allied Health and Specialists in aged care are expected to have a provider number that recognises patients’ eligibility to gain rebates for their professional services and a form of contact. Having my own provider number would establish equivalency with the other professions in aged care, and make it easier for the residents or next of kin to claim a rebate commensurate with other specialist and allied health professionals in aged care”.
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puntil now, many members have had to bill through other dentists’ provider numbers even when they practise independently. Jacqueline Biggar is an oral health therapist who has successfully set up a mobile dental business, focusing on the aging population and attending to those in aged care facilities; and Shida Taheri is also an oral health therapist who has set up a successful business operating as Dental on Demand to provide an outreach service. Both Shida and Jacqueline have a great working relationship with their current employers and have built over 15 years of mutual trust and respect. This relationship has allowed them access to their employer’s provider numbers during these past two years. Jacqueline says; “The trust and collaboration we have has made my experience stress free. My dentist knows me, knows my work and how I work. I feel as though this has made it an easy partnership, and decision for him”. Provider number access is essential for the success of both Shida’s and Jacqueline’s mobile dental businesses. They are very grateful to have had access to a provider number so they can claim through Medicare for the Child Dental Benefits Scheme (CDBS), through health insurance companies and with the Department of Veteran Affairs (DVA). Having access to a provider number has helped them grow their business and see more patients due to being able to claim benefits for their patients.
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UPWARDLY MOBILE We talk to two forward-thinking DHAA members who are taking oral hygiene to the people
Both believe that without access to a provider number, they would not have been able to reach a large portion of their patient demographics. Jacqueline explains, “Having the right to use a provider number has allowed patients to access my care. Those with a health fund or DVA gold card have the right to cheaper or free healthcare, and they want to maximise those benefits.” Using someone else’s provider number has not been easy and has been a hinder at times, Shida explains. “Even though I have a great working relationship with the dentist whose provider number I am using, there was much conversation around using it and the structure of what I could and would claim. Even though my business was separate from his, I felt I needed to ask permission before claiming each item number. It is also an uncomfortable conversation with patients whose health funds have not been paid immediately as my name (not his) was on the receipt. Having to explain to patients that using someone else’s provider number whilst being an OHT is a common practice, it made me feel like I was doing something fraudulent”. Both agree that having access to their own provider number will help to streamline their business, make the administration process less cumbersome and be less confusing for their patients. Although their employers have been incredibly supportive, it will be a relief for both parties involved once they have access to their own provider numbers. Shida and Jacqueline appreciate all the lobbying the DHAA have
“ Both agree that having access to their own provider number will help to streamline their business, make the administration process less cumbersome and be less confusing for their patients” done for the provider number campaign. Although we are no longer required to work in a ‘structured relationship’ with a dentist, Jacqueline recommends “keeping or creating a very good professional relationship with a dentist you chose to work with. This will ensure a clear referral system and support when needed”. While this has been a long time coming, just remember it’s your choice to apply for your provider number. You do not need to apply for one and you can continue to work in the current arrangement if you are happy to do so. If you’ve got questions, please email contact@dhaa.info . n
We’ve got your back Don’t panic! The DHAA will be hosting more memberonly provider number focused webinars to offer help and advice. Click on the link below to make sure your membership is up to date.
RENEW TODAY
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MEET OUR CORPORATE MEMBERS
Dr Elizabeth Milford
Professional and Scientific Relations Consultant, Oral-B, Australia and New Zealand Tell us your position In simple terms, I’m ‘The Dentist’ working for Oral-B How long have you been with this company for? I’ve been with Oral-B for coming up to five years, and still loving it. I get to talk to hygienists and oral health therapists about something that we are all passionate about, and that is prevention. I love how engaged hygienists and OHTs are in making a difference to their patient’s oral health and how they recognise the importance of great home care. Tell us a little more about the company Oral-B® has a long and rich history of being true partners with dental professionals and we are proud of our 69 years of innovation and continued mission, since its creation by a periodontist in 1949, to improve the population’s gum health. Periodontal (gum) disease is among humanity’s most common diseases affecting up to 50% of the global population and is largely preventable through good oral hygiene and preventive policies addressing common risk factors 1,2. Oral-B®‘s electric rechargeable oscillatingrotating toothbrush, with its iconic round shape brush heads, has been validated
consistently externally and internally by clinical research. No wonder Oral-B® is the worldwide leader in the toothbrushing market. Through decades of innovations and clinical research by Procter & Gamble, its stabilised stannous fluoride toothpastes have been shown to reduce gum problems and provide protection from erosive tooth wear by creating a protective shield on teeth against acids. What makes Oral-B special? What I love about Oral-B is the commitment to the profession and to research. Every product goes through extensive testing before it is released to the market. Many of our products, especially our electric toothbrushes, stannous fluoride toothpastes, and flosses, have stood up to scrutiny in published randomised controlled trials and so are proven through thorough research. Importantly, our oscillating rotating toothbrush repeatedly outperforms manual toothbrushes and sonic toothbrushes. It was very clear to me when I spoke to attendees at the DHAA Symposium in Darwin that this is one reason why they love recommending Oral-B O/R toothbrushes. Oral-B is the only brand that has a Test Drive program in Australia, allowing dental professionals to demonstrate how to use an electric toothbrush to their patients and allowing patients to experience the sensational clean.
“O ral-B® has a long and rich history of being true partners with dental professionals and we are proud of our 69 years of innovation and continued mission to improve the population’s gum health”
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1. Nazir MA. Prevalence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sci. 2017 Jun;11(2):72–80. 2. WHO | Oral health [Internet]. WHO. [cited 2017 Dec 4]. Available from: http://www.who.int/ oral_health/publications/ factsheet/en/
As the first major toothpaste brand to advocate stannous fluoride, Oral-B has pushed the boundaries of what a toothpaste is able to achieve and has set a high benchmark, especially in relation to gum health and erosion protection. Our range of stannous fluoride pastes continues to improve making this important ingredient accessible to more patients. Beyond oral care, Oral-B and Procter & Gamble are hard at work in the community including being supporters of the Sydney Gay and Lesbian Mardi Gras. Why have you chosen to become a DHAA Corporate Member? The DHAA is a powerful advocate for the profession on hygiene and for improving the oral health of Australians. So many members of the DHAA are fans of Oral-B products
and use and recommend Oral-B exclusively. Becoming a DHAA corporate member is a way of saying ‘thank you’ to the organisation and the members. As a DHAA corporate member, Oral-B can give back to the profession in so many ways, through supporting CPD, and study clubs, as well as events. Where can we see you next? The coming year is an exciting one as we try to get to as many DHAA local events as possible. We also want to maintain the momentum in webinars, which are still essential to bring members together with quality CPD. Our podcast, Toothcast, is another great way to engage with us. Finally, I have to acknowledge our magnificent team of territory managers who are working hard to have conversations with as many DHAA members as possible.
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TERRITORY
THERAPY Dedicated DHAA members in need of some faceto-face networking descended on Darwin for the 2022 DHAA National Symposium. As Bill Suen reports, they were rewarded for their efforts
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fter a two-and-a-half year lay-off, the DHAA Symposium welcomed delegates to the Darwin Convention Centre for a memorable education and social program that most have been looking forward to for sometime. The Symposium committee was led by Michelle Kuss as chair and supported by Jacquie Biggar who was in charge of putting together the education program. The pre-Symposium hands-on workshops were all sold out with Dr John Hagiliassis’ Clear Aligners Workshop being the most popular. Bubbles were free-flowing when delegates and exhibitors got together at the welcome reception and the official opening of the Symposium exhibition hall. The atmosphere of excitement could be felt strongly with everybody keen to re-connect after such a long spell away from face-to-face events. The trade exhibitions never looked so welcoming and the eagerness to seek up-todate information and technological
advancements was overwhelming. The Mindil Beach Sunset Market was a popular attraction for delegates who strolled over after the welcome reception on Thursday evening for further entertainment, food stalls as well as the arts and crafts show. Everyone was early on Friday morning to catch up with colleagues and friends before attending the Symposium
“ Bubbles were free-flowing when delegates and exhibitors got together at the welcome reception and the official opening of the Symposium exhibition hall”
opening by the Northern Territory Chief Minister the Honourable Ms Natasha Fyles. In her address, she praised the DHAA’s effort in bringing about the anticipated changes in provider numbers that will improve access of oral health services to those in need such as the rural and remote, aged care and indigenous communities. She ascertained her government’s commitment to deliver a better health system for all, with a focus on improving health outcomes from birth through childhood all the way to end of life. She looked forward to seeing oral health practitioners playing an increasing role in supporting her government to achieve these goals. Keynote speaker Professor Richard Logan presented his view on the important roles of OHTs and dental hygienists as part of the dental team through his lens as a researcher, educator and regulator. The importance of prevention in oral health was again highlighted and reinforced. Professor Logan’s view was further reinforced >>
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by oral pathologist Professor Camille Farah’s presentation on the integration of OHT in oral medicine, with oral health therapist Maya Janik discussing how the dental team works in practice. Delegates were provided with a practical understanding of burnouts and mood disorders associated with dental practices. The session was delivered by Associate Professor Matthew Hopcraft who conducted extensive research in this field. Co-researcher and OHT Dr Roisin McGrath then provided a presentation on resilience that included many practical strategies to create a happy and healthy individual over challenging times. The breakout streams on Friday afternoon and Saturday morning offered delegates the opportunity to select and attend topics of their interest from experts including Dr Amanda Nguyen, Dr Sarah Kelly, Dr Troy McGowan, Dr Nicole Stormon, Caroline Falconer and many more. The education program concluded with the afternoon session from Dr Ron Knevel and Deb Hume challenging the status quo and launching the DHAA Consumer Oral Health webpage and pamphlets with a call to action for the profession to move towards person-centred care. Their presentation highlighted the patient’s perception and expectations of oral health care professionals. This was followed by a number of short presentations on success and innovation from our colleagues and students. Besides the usual trade exhibition where delegates got to see the latest
products and services from leading companies with an abundance of samples and giveaways, there were two new features for our Symposium that proved to be very popular. The DHAA Members’ Marketplace was a complimentary trade stand for DHAA members to showcase their own innovations. The exhibition hall also housed information sessions during tea and lunch breaks on the Peer Support Service, Aged Care Chapter, Oral Health Promotion and Public Health Committee and Special Needs Dentistry. Poster displays were also located in the exhibition hall with delegates sharing their experience and expertise through their posters. The prize for the best was awarded to Dr Meloshini Naicker – dental hygienist at the Perio Centre in Victoria. Her poster shared her extensive experience in the non-surgical management of periodontal diseases. The Symposium was a great occasion for the DHAA to recognise and celebrate the achievements of our colleagues. A/Professor Melanie Hayes was awarded life member in absentia for her extensive contribution to the DHAA as national president, CEO, regular contributor in education and her ongoing support to career development of members. Honorary members Professor Janet Wallace, Wendy Sih and Dr Mark Wotherspoon were recognised for their personal achievements as well as their significant contribution to the DHAA Chapter. Ashley Bainbridge of Central Queensland University was awarded
“ Delegates got to see the latest products and services from leading companies with an abundance of samples and giveaways” the 2022 DHAA Aboriginal and Torres Strait Islander Dental Hygiene and Oral Health Therapy Student Study Grant. The inaugural DHAA Oral Health Student of the Year Award went to La Trobe University student Wan Ying Chia. Ying demonstrated her extensive involvement with university life, engagement with the professional association and her leadership and passion in driving her social responsibility project (ORAPACT) to help the disadvantaged communities with her fellow students. Her presentation at the Symposium was outstanding and inspirational. On receiving her award, Ying hoped to use her $5000 cash award to further expanding the project to reach out to more communities in need. Victorian DHAA member Kelsey Ingram is the recipient of the prestigious 2022 DHAA Oral Health Award at the Symposium. This award recognises the excellent contribution of oral health practitioners at the >>
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“ It was a most enjoyable and memorable experience and many delegates have already tried to get onto the [President’s Receptions] guest list for the next Symposium” grass root level in improving health outcomes and the well-being of the general public. Through this award DHAA hopes to tell the stories of the vital work of the quiet achievers within the oral health profession. Kelsey’s continuing contribution into oral health promotion, tireless effort in public health research and persistent determination to use her research to drive advocacy to improve oral health in the community are inspirational to us all. The award was accepted by Kelsey’s colleague Ian Epondulan, Chair of the DHAA Oral Health Promotion and Public Health Committee, as she has just given birth to twin daughters – Olivia and Ave – last week and was unable to attend the presentation.
A big congratulations to Kelsey for her award, and more importantly the arrival of her new family members. You can read more about DHAA award winners on page 8. Speakers, sponsors, volunteers, key stakeholders and other invited guests joined president A/Professor Carol Tran and the Symposium Committee at the President’s Reception that was held on the Speaker’s Green at the NT Parliament House. Guests enjoyed the incredible ocean view while mingling until after dawn. It was a most enjoyable and memorable experience and many delegates have already tried to get onto the guest list for the next Symposium. The Symposium Gala Dinner at the Mindil Beach Casino Resort was
the highlight of the social program. Everybody wined, dined and danced in the festive atmosphere overlooking the harbour. Such a perfect way to conclude this annual DHAA flagship event that is always packed with quality education, exciting trade exhibition, inspiring awards and presentations, and memorable social functions. This is another successful Symposium with deserved credit going to the organising committee, the staff, the professional conference organiser and the many volunteers that brought it all to life. The 2023 DHAA National Symposium will be held at the Adelaide Convention Centre, SA between 21-23 September 2023. Keep the website bookmarked for more info. n
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MEET OUR CORPORATE MEMBERS Michelle Granzow
Brand Manager of TePe Oral Hygiene Products How long have you been with this TePe for? I’ve been with TePe for over three years now, or since our launch of the Australian office at the start of 2019. Tell us a little more about the company? TePe is a Swedish preventative dental care company founded in 1965. Our vision is to bring healthy smiles for life, by inspiring good oral health. We work to raise awareness of
preventive dental care and the connection between oral and general health. Through our functional quality products, we strive to make good oral health possible for everyone. What makes TePe special? Our interdental brush is what TePe is known for, as a result, we are known as the global market leader for interdental cleaning. All our products are also produced with sustainable renewable materials, and all our products and packaging will be carbon neutral by the end of 2022. Why have you chosen to become a DHAA Corporate Member? We wouldn’t exist without dental hygienists recommending TePe products, so we became a DHAA corporate member to support the profession that supports us.
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“O ur interdental brush is what TePe is known for, as a result, we are known as the global market leader for interdental cleaning”
What are the company goals regarding oral health? We aim to raise awareness of oral health and its connection to general health. We strive to develop solutions for long-term well-being and a better quality of life for all people. Our responsibility for people, health and the environment is considered throughout all processes of the business. Where can we see you next? You will find us in this issue of the DHAA Bulletin! You can also talk to us at various in-person DHAA events, the ADOHTA conference in September, and many other exhibitions throughout the year and next year.
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Get your CPD fix online
Our regular update on some great courses to improve your skills and top up your CPD hours
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ur pick of the crop this month covers a range of subjects including; aged care, inflammatory disease and powered toothbrushes, so there really should be something for everyone.
Maintaining quality of life The Influence of Oral Health Factors on the Quality of Life in Older People: A Systematic Review The number of people aged 65 years or older is growing substantially. As a result of increased health burden and tooth retention, more oral health problems are expected in this age group. A poor oral health-related quality of life (OHQoL) can compromise a person’s psychological state, social relationships, personal beliefs, and physical health. This systematic review aimed to identify oral health factors associated with OHQoL in people aged 65 years or older and to give a comprehensive overview of the body of literature for each oral health factor separately. • Published online: 12 September 2019 • Authors: Liza J M van de Rijt, MSc, Celine C Stoop, BSc, Roxane A F Weijenberg, PhD, Ralph de Vries, MSc, Alexandra R Feast, PhD, Elizabeth L Sampson, PhD, Frank Lobbezoo, PhD • CPD hours: 0.25 (Scientific) FIND OUT MORE
Inflammatory disease Homing in on an oral link to inflammatory disease The immunological effects of untreated gum disease can amplify the risk of a range of disorders — but could also create opportunities for intervention. • Published online: 27 October 2021 • Author: Michael Eisenstein • CPD hours: 0.25 (Scientific) FIND OUT MORE
Pathogenesis of molar hypomineralisation A breakthrough in understanding the pathogenesis of molar hypomineralisation: The Mineralisation-Poisoning Model Chalky teeth or molar hypomineralisation (MH) affects over 1-in-5 children worldwide, triggering massive amounts of suffering from toothache and rapid decay. MH stems from childhood illness and so offers a medical-prevention avenue for improving oral and paediatric health. Recent biochemical studies provided a pathomechanistic breakthrough by explaining several hallmarks of chalky opacities for the first time. This article outlines these findings in context of previous understanding
and provides a working model for future investigations. The proposed pathomechanism, termed “mineralisation poisoning”, involves localised exposure of immature enamel to serum albumin. Albumin binds to enamel-mineral crystals and blocks their growth, leading to chalky opacities with distinct borders. Being centred on extracellular fluid rather than enamel-forming cells as held by dogma, this localising pathomechanism invokes a new type of connection with childhood illness. This breakthrough may lead to medical prevention of MH, prompting global health benefits including major reductions in childhood tooth decay. • Published online: 21 December 2021 • Authors: Michael J. Hubbard, Jonathan E. Mangum, Vidal A. Perez and Rebecca Williams • CPD hours: 0.25 (Scientific) FIND OUT MORE
COVID recovery impact The impact of oral health status on COVID-19 severity, recovery period and C-reactive protein values Oral health could have a potential impact on the severity of COVID-19. People with poor oral health are more likely to experience longer and more severe bouts of COVID-19 than those with healthy mouths, according to a
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study of patients in Egypt. Many oral-health conditions are linked to inflammation, as is COVID-19. It is therefore plausible that people with poor oral health who contract COVID-19 will have more severe symptoms than those with better oral health. • Published online: 24 February 2021 • Authors: Amany Hany Mohamed Kamel, Ahmed Basuoni, Zeinab A. Salem and Nermeen AbuBakr • CPD hours: 0.25 (Scientific) FIND OUT MORE
The disease prevention gap
Lessons from global survey data: What else can dental hygienists do to close the periodontal disease prevention gap? The International Federation of Dental Hygienists, in partnership with Procter & Gamble, conducted three international surveys that spotlighted areas for improvement to help us move toward the goal of periodontal disease prevention. The survey results illustrate a big opportunity to improve patients’ oral health by increasing recommendations for SnF2 dentifrice and electric toothbrushes. • Published online: 8 March 2022 • Authors: Michaela ONeill, RDH, FAETC • CPD hours: 0.25 (Scientific) FIND OUT MORE
Chronic disease connection Burden of chronic diseases associated with periodontal diseases: a retrospective cohort study using UK primary care data This retrospective cohort review identifies the association between
periodontal diseases (gingivitis and periodontitis) and chronic diseases including cardiovascular disease, cardiometabolic disease, autoimmune disease and mental ill health. Periodontal diseases are very common; therefore presenting an increased risk of other chronic diseases which represents a substantial public health burden. • Published online: 19 December 2021 • Authors: Dawit T Zemedikun, Joht Singh Chandan, Devan Raindi, Amarkumar Dhirajlal Rajgor, Krishna Margadhmane Gokhale, Tom Thomas, Paola De Pablo, Janet M Lord, Karim Raza, Krishnarajah Nirantharakumar • CPD hours: 0.25 (Scientific) FIND OUT MORE
Powered toothbrushes The efficacy of powered toothbrushes: A systematic review and network meta-analysis This systematic review and network meta-analysis synthesize the available clinical evidence concerning efficacy with respect to plaque scores following a brushing action with oscillating-rotating (OR) or high-frequency sonic (HFS) powered toothbrushes (PTB) compared with a manual toothbrush (MTB) as control. Within the limitations of the present study design, based on the outcome following a single-brushing action, it can be concluded that for dental plaque removal, there is a high certainty of a small effect of a PTB over an MTB. This supports the recommendation to use a powered toothbrush for daily plaque removal. There is moderate certainty for a very small benefit for the use of a powered toothbrush with an OR over an HFS mode of action.
• Published online: 7 December 2021 • Authors: Tim M. J. A. Thomassen, Fridus G. A. Van der Weijden, Dagmar E. Slot • CPD hours: 0.25 (Scientific) FIND OUT MORE
Ultrasonic scaling Ultrasonic scaling in COVID-era dentistry: A quantitative assessment of aerosol spread during simulated and clinical ultrasonic scaling procedures Healthcare agencies recommend limited use of aerosol-generating procedures to mitigate disease (COVID-19) transmission. However, the total dispersion patterns of aerosols, particularly respirable droplets, via dental ultrasonic units are unclear. The purpose of this study was to characterize and map total spatter, droplet and aerosol dispersion during ultrasonic scaling in simulated and clinical contexts. Tests showed the highest concentration of small droplets in zones nearest the patient. While uncommon, particles were detected up to 2.4 m (8ft) away. Furthermore, observed particle sizes were consistent with those that can carry infectious agents. Efforts to mitigate the spread of inhalable aerosols should emphasize proximate regions nearest the procedure, including personal protective equipment and the use of evacuation devices. • Published online: 21 August 2021 • Authors: Alexandra C. Pierre-Bez, Gina M. Agostini-Walesch, P. Bradford Smith, Qing Hong, David S. Hancock, Megan Davis, Gina Marcelli-Munk, John C. Mitchell • CPD hours: 0.25 (Scientific) FIND OUT MORE
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Sophie McGregor
Dental hygienists and founder of Gift Me Again
CAREER DEVELOPMENT
Still thinking about that side hustle? Further insights from a hygienist with multiple careers By Melanie Aley
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n this edition, I continue exploring the concept of multiple careers in our profession. I see so many posts on social media from dental hygienists and oral health therapists asking “What else can I do?” While many of us love our dental careers, we can crave new and varied experiences – it’s okay to want to expand your knowledge and skills in other areas, and it certainly doesn’t mean you have to give up your day job – for many people it means they find even more enjoyment and joy in their work! I thought it was worth chatting to another one of our members to share their experience embarking on a side hustle. For the second part of this series, I interviewed Sophie McGregor, a dental hygienist who is also a small business owner for Gift Me Again.
Dr Melanie Aley (nee Hayes) is a dental hygienist who has enjoyed a diverse career in clinical practice, teaching, research and management. She has a Masters of Education majoring in Career Development, and after working in multidisciplinary roles, is now an Associate Professor and the Bachelor of Oral Health Program Director at the University of Sydney.
Tell us about your multiple careers. I have practised dental hygiene since 2009 and have spent time in both private and specialist practices, demonstrating, lecturing, helping to set up a new dental practice, dental practice marketing and practice management. I started my small business Gift Me Again in 2020. The business offers a range of handmade eco-conscious gifting solutions – handmade fabric gift bags, party-favour bags, reversible gift baskets and blackboard gift tags hit the mark for gift wrap without the guilt. All products are created to be re-gifted, reused, upcycled or treasured. My gift bags are carefully designed to sit flat when full and are perfect for wrapping oddly shaped gifts. No longer is there a need for sticky tape, sharp scissors or extended time spent wrapping. ‘New’ gift bags are made from 100% cotton fabrics, sourced only from Australian suppliers. A small and everchanging range of gift bags made from reclaimed fabrics is also available. What made you embark on your “side hustle”? Although I enjoy working in the dental industry and in particularly improving patients’ perceptions around dental care, I have always been drawn towards having a variety in my working week. I have found that day-in/day-out clinical practice can be very emotionally draining, and my hobbies outside of work tend to revolve around very solo pursuits, including being creative. I have always had a love for sewing and as I’ve grown older and started a family of my own I’ve become more conscious about my environmental footprint. Alongside my efforts to manage and reduce my workplace’s clinical waste, I was finding
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“ Prioritisation and a clear definition between my two careers is a must for me, otherwise I find the juggle overwhelming.”
myself trying to compensate for this in our home life. After making my own children’s Santa sacks in 2019 and then sitting in a pile of non-recyclable wrapping on Christmas Day, it got me thinking how wonderful it would be if all gifts come in a reusable wrapping. Gift Me Again was born after a weekend of isolating from my family in our home. I set up my sewing machine in the walk-in wardrobe, and with plenty
of time for dreaming and a product prototype, my small business plan came to life. How do you find the time/energy to manage more than one career? Sometimes I don’t know! Management of both has been a learning curve and is a continued work in progress. I have a very supportive partner and extended family. Prioritisation and a clear definition between my two careers is a must for me, otherwise I find the juggle overwhelming. Scheduling of work-free time and downtime, such as a regular yoga class and a quarterly date night really helps. When I am fortunate enough to have a full day to myself to work on my small business (from home) I set hours likened to work hours and give myself similar breaks. When home and family
don’t allow for this, and my business is particularly busy, I find that a 5am starts allow me to get a couple of uninterrupted hours of work in before the normal work day starts. I also take advantage of the fact that my business is quite seasonal, and I can prepare for these periods ahead of time, and take guilt-free downtime to recover after each of the busier seasons. Any words of advice for hygienists or OHTs looking to start a side hustle or second or third career? Don’t be afraid; set small goals to begin; and know that you have nothing to lose, but everything to gain. Especially if having a second career or side hustle helps you lead a happier, more balanced and fulfilling life. n giftmeagain.com / @giftmeagain
43 LEADERSHIP
Picking up the baton
The start of a new series where Lyn Carman looks at ways to develop your inherent leadership muscle
L
eadership is a topic that comes up in many conversations and can have many definitions. As I write this, it is the day after the Federal Election 2022, when we exercise our democratic right to elect the leaders of our country. This is a good time to pause to reflect on what leadership means for all of us. Quite often leadership is discussed in the context of politics or business, although we can all be leaders. Leadership is how we as individuals choose to lead our life, in fact, we often take on leadership roles that we are not even aware of at the time. Personal leadership is the ability to take responsibility for all aspects of your life and take it in the direction that is best for you. Not all of us aspire to lead, though I am sure there are times in your life when you can recall leading. This series of articles will discuss the skills and key elements that are required to become a leader. There is no exact definition of what a
leader does. The definition of leadership I like though is to influence, inspire and help others become their best selves, building their skills and achieving goals along the way. Consider this definition in any area of life, whether it be at home with family, at work, socially, with patients, when you are out in public, shopping, dropping kids off, being with your pet, in fact, every moment of every day – how you lead yourself. A common myth is that great leaders are born, that leadership is something you are born with, some magical quality – but that simply is not true. Leadership skills are something you can build – like a muscle at the gym, it’s a creative muscle you can strengthen and develop over time. Being a good leader isn’t all sunshine and rainbows. You may have to make difficult or unpopular decisions or maintain your positivity even when you don’t believe it. This is where your leadership mindset will be the difference between good and great leadership. This is where our character or personality can
come into play and learn to work with our strengths. Each person’s style of leadership is influenced by their personality and the challenges they are faced with. Having a personal leadership philosophy will help you understand your own character, which is vital, as our character affects how we interact with others and our response to various situations. Becoming more aware of what personal leadership is and how to develop core skills with intent, will make you an outstanding role model for those around you and demonstrates skills others can incorporate into their lives. Different characters or personalities will bring different qualities to their leadership philosophy. Mastering your own leadership style will enable you to come closer to your purpose and encourage those around you to step into their strengths also. Finding out what your natural leadership style is can be a place to start. A Leadership Style Inventory (LSI) is a psychometric test that measures how you act, think and feel in the context of a position. Perhaps it’s about understanding your natural preferences by getting to know your personality traits with tests such as DISC or the Big Five personality tests. Understanding your natural preference helps to understand why you do what you do and to appreciate why others do what they do.
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“ Having a personal leadership philosophy will help you understand your own character”
Perhaps you relate to a leader being an extrovert who is out there surrounded by people and often the centre of attention - though I invite you to think about the introvert, a person who quietly and purposefully goes about achieving their goals with unwavering certainty, never doubting their intent and bringing others along with them. The difference between extroverts and introverts is how we feel when we are around people. Introverts might feel drained after putting effort into interactions with others and extroverts are likely to feel energised. As a leader, it is important to be aware of areas you may not be as strong in and proactively work on strengthening them. Leadership is about understanding yourself and giving your best to those around you. Leaders look like all of us, as in these examples: When a child in the playground says ‘Let’s play hide-and-seek’ these words are enough—provided the other children agree—to give that child a leadership role, even for just that moment, and it may even be that child is given the task to say who will be the seeker in the first game. A book club member suggests a particular title to read and perhaps suggests when the discussion should move on. When the practice manager is off sick and a team member suggests how the team will coordinate lunch so there is coverage where it needs to be.
Someone being mature and calm when difficult changes are suggested in a practice, presents the behaviours of leadership that others may follow. The person who steps up in an emergency and coordinates the help required, by maybe asking others to perform a role, until appropriately qualified leaders can take control. Leadership doesn’t need to be a formal position, evidence suggests that we can all lead even if only briefly. Over the next four editions of The DHAA Bulletin, I will unpack four core leadership skills fundamental for building your leadership muscle. 1 Self – awareness 2 Communication 3 Influence 4Learning agility Leadership is about understanding yourself and giving your best. “Leadership is an inside job before it is about others” – Remi Pearson “He who thinketh he leadeth and hath no one following him is only taking a walk”. – Anonymous The saying ‘We rise by lifting others’ is about leadership, it is a metaphor - we develop ourselves and become better human beings by helping others. Ultimately leadership is about empowering others to become effective leaders as well. Next time we will dive into Selfawareness. n
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A full state-by-state run-down of Association happenings around the country
STATE NATION ACT ACT contacts: Director Amy McDermott directoract@dhaa.info Chair Kate Spain. chairact@dhaa.info
n ACT welcomes new chair Kate Spain. Kate is a dental hygienist that has been working at a periodontal and implant specialist practice in Canberra for 25 years. She has worked in ortho and general dentistry in both Canberra and Sydney. She is also a Dru Yoga teacher and enjoys playing golf. Working closely with committee members Holly Murphy, Rachel Walton and Kathryn Novak, they have swiftly planned two exciting events before the end of this year. The 18
“ The September event will feature a range of periodontal, diabetes and cancer topics. While the half-day get together on 26 November will be a great catch up for all before we get to the busy end of the year”
September event will feature a range of periodontal, diabetes and cancer topics. While the half-day get together on 26 November will be a great catch up for all before we get to the busy end of the year. Please save these dates and look for further updates on the DHAA events website.
NSW NSW contacts: Director Warrick Edwards directornsw@dhaa.info Chair Jody Inouye chairnsw@dhaa.info Deputy Chair Jinous Eighani-Roushani contactnsw@dhaa.info
n A big thank you to Ria Kiani, Warrick Edwards, Jody Inouye, Steven Chu, Jinous Eighani-Roushani and Jacquie Biggar who attended the ADX Sydney in March. They were able to catch up with many NSW members and promote DHAA products and services to other delegates. After a brief spell from face-to-face events over the past few months, the NSW committee is planning a come back with a scheduled half-day event on Saturday 23 July, a full-day event on
“ The DHAA team ran a couple of student presentations via ZOOM with ADOHTA to the Newcastle and Sydney Universities in April and May” Saturday 10 September and another on Saturday 5 November. Please save these dates in your diary as there is a lot of catching up to do. If there are any particular topics that you wish to see covered, please email the chair and deputy chair ASAP. The DHAA team ran a couple of student presentations via ZOOM with ADOHTA to the Newcastle and Sydney Universities in April and May.
Brown’s assistance in providing local on-ground support; from planning, right through to the actual event delivery phases. Her tireless input had made the organising committee’s job so much more efficient with excellent advice on local information. Tourism NT also provided a grant for DHAA to market the Symposium which resulted in a lastminute surge of registrations. The NT is seeking a local member to be the DHAA representative/chair. The role is to be the local eyes and ears for issues pertaining to NT. Please contact either Hellen Checker or Bill Suen for further details or discussion regarding the role.
Qld
NT Qld Contacts: Director Carol Tran. directorqld@dhaa.info NT Contact: Director Hellen Checker. directornt@dhaa.info Staff Bill Suen bill.suen@dhaa.info
n The NT team has just hosted our 2022 DHAA National Symposium at the Darwin Convention Centre. We are particularly grateful for NT member Leonie
Acting Chair Stacey Billinghurst contactqld@dhaa.info
n Stacey Billinghurst is our acting chair for Queensland while Lizzy Horsfall is taking a leave of absence. Despite many challenges, Queensland managed to deliver an excellent fullday event on the 23 April
37 For all the latest info on DHAA events please visit www.dhaa.info/events
Queensland’s Rumba Beach Resort is set to host a full-day event in September
“ Despite many challenges, Queensland managed to deliver an excellent full-day event” at the Gold Coast QT Hotel. The program covered many different topics, from carious clinical updates to an introductory session on Auslan for dental professionals. National president A/Prof Carol Tran and Dr Martin Webb hosted a webinar that provided valuable insights into the impact of provider numbers for our profession. This was a real eye-opener and highlighted the opportunities and risks that we may face moving forward. Building on the success of this program, the
Adelaide’s Hyde Park Tavern hosted an informal networking session in April
committee is working hard to plan for a full-day at the Rumba Beach Resort on Saturday, 3 September, and a Brisbane supper on Friday, 25 November.
SA SA Contacts Director Cheryl Dey cheryl.dey@dhaa.info Chair Sue Tosh chairsa@dhaa.info
network and discuss the latest update on the third molars with Dr Scott. It was pleasing to see the event so well-attended by oral health students. The next SA event will be a supper event on Wednesday, 3 August at the Hilton SA. The program and registration will open soon so watch out for further info in upcoming DHAA member emails.
Tas
Deputy Chair Sally Hinora contactsa@dhaa.info
n The SA Committee hosted an informal networking session at the Hyde Park Tavern in April. Maxillofacial surgeon Dr Janet Scott was in attendance and members had the opportunity to
Tas Contact Director: Alyson McKinlay directortas@dhaa.info Staff Bill Suen bill.suen@dhaa.info
n It is time that Tasmanian members catch up in person after a relatively long
“ It is high-time that TAS members catch up in person after a relatively long absence from CPD” absence from CPD events. Alyson McKinlay and Bill Suen are in the process of organising a full-day event destination for our members on Saturday, 8 October. Please mark this date in your diary and we will provide further details as soon as they are confirmed. A call out to all Tasmanian members. If you would like to be involved in the committee, planning and running events and being a part of our executive group that gives back to the profession, then please contact either Alyson McKinlay or Bill Suen.
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Vic
“ The WA committee is keen to catch up with everyone after such a long break from face-to-face meetings”
Vic Contacts Director Ron Knevel. directorvic@dhaa.info Chair Desiree Bolado chairvic@dhaa.info Deputy Chair Aimee Mills contactvic@dhaa.info
n The highly sought after small group intensive hands-on CPD weekend at the La Trobe University has now been re-scheduled to happen on Friday and Saturday, 15-16 July. These workshops are limited to a maximum of eight participants and you have the choice of radiography, silver fluoride and Hall Technique. You may wish to combine your CPD activity with a stay in Bendigo to visit the art gallery and attend the Bendigo Blues and Roots Festival, mixing business and pleasure for a good work-life balance with your family. For further information and registration please click here. CEO Bill Suen attended the Melbourne University Award Ceremony on behalf of the Victorian Committee on Wednesday, 18 May and presented the DHAA prize to final year BOH student Mina Soleimani. He also took the opportunity to catch up with several Victorian
CEO Bill Suen presents the DHAA prize to Mina Soleimani
“ You may wish to combine your CPD activity with a stay in Bendigo to visit the art gallery and attend the Bendigo Blues and Roots Festival, mixing business and pleasure for a good work-life balance with your family” stakeholders from the ADA, ADOHTA, Therapeutic Guidelines as well as from the University. A joint online presentation to the Melbourne Holmesglen Charles Sturt University oral health students was also provided together with ADOHTA which generated a lot of interest and engagement with peak associations.
WA WA Contacts Director: Phoebe Thomas . directorwa@dhaa.info Chair: Carmen Jones chairwa@dhaa.info Deputy Chair: Rhonda Kremmer contactwa@dhaa.info
n Western Australia is glad to be resuming its CPD events on Saturday, 17 September. This is a full-day seminar at the Abbey Beach Resort, Busselton.
Dr Jilen Patel will be covering Atraumatic Restorative Technique, Hall Technique and the management of dental traumas; Dr Emma Morelli will cover Useful Secrets of Perio Treatment; Laura Drummond will present on new advances in remineralisation; Dr David Hewitt will present on Mindful Meditation, and Dr Iain Hennessy (Chiropractor) will present on back/spine injury prevention and management in the dental profession. The WA committee is keen to catch up with everyone after such a long break from face-to-face meetings, and this exciting day is not to be missed. For details and registration please click here. n Busselton’s stunning Abbey Beach Resort
Develop Empower Support www.dhaa.info
STRIVING FOR EXCELLENCE
