The Bulletin - Issue 69 January / March 2024 by eroomcreative.com

Issue 69 January-March 2024

The official newsletter of the Dental Hygienists Association of Australia Ltd

Sustainable practise We look at the ways you can maintain environmental awareness in the oral hygiene industry

Symposium round-up A look back at a DHAA Symposium to remember

Stocking Fillers DHAA Partners suggest items that would grace anyone's Christmas morning pressie ritual

STATE ROUND-UP Find out what’s happening in your local area

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1800 940 762 dhaa.bmsgroup.com *Policy features are current for policies incepted from 30 June 2023. Policies incepted after this date are subject to change. Refer to policy wording for details on policy limits. #Professional Indemnity Insurance limits up to $20M per claim. You must be a current DHAA member to be eligible for the DHAA member insurance program. If your membership ceases you will not be offered renewal when your policy expires. In arranging this insurance for our members DHAA is acting as a distributor of BMS Risk Solutions Pty Ltd (BMS) AFSL 461594, ABN 45161187980. Some insurance is issued by BMS under binder with Certain Underwriters at Lloyds. When acting under a binder BMS acts as agent for the insurer and not as your agent. This is general advice only and BMS has not considered whether it was suitable for your particular objectives, needs or financial situation. Please read the Policy Wording/Product Disclosure Statement and the BMS Terms of Engagement which contains the Financial Services Guide before making a decision about purchasing this policy. DHAA may receive a percentage of the commission paid to BMS by the insurer and/or a fee per policy.

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A productive year and a bright future

Contents

AS WE APPROACH the end of another remarkable year, it is both a privilege and a pleasure to reflect on the collective achievements and challenges we have faced together. Personally, I became a first-time mother to an active baby (who is now 12 months old) and developed significant health challenges. I wish to thank the DHAA Board for supporting me while I was in recovery. I will continue to serve as National President for 2024. We have started groundbreaking initiatives with Medicare, continued to strengthen relationships, and begun working collaboratively with new organisations. We hope that our collective efforts have left an indelible mark on our association for the future. The implementation of Provider Numbers has not been without its challenges. We will continue to work with members and relevant stakeholders to make this a more streamlined process in 2024. Our new strategic plan will steer us in the right direction. I would like to take this opportunity to farewell and thank a number of our colleagues who, after contributing their valuable time and expertise to the DHAA, have resigned from their leadership roles in 2023. They are: Hellen Checker (NT Director), Warrick Edwards (NSW Director), Phoebe Thomas (WA Director), Carmen Jones (WA Chair), Rhonda Kramer (WA Deputy Chair), Jody Inouye (NSW Chair), Desiree Bold (VIC Chair). At the same time, we welcome Jinous EighaniRoushani (NSW Director), Cathryn Carboon (VIC Chair), Sarah Laing (VIC Deputy Chair), Courtney Rutjens (SA Deputy Chair), Karen Lam (TAS Chair) and Karen Smart (QLD Deputy Chair). A big thank you to all the volunteers who worked through various committees and special interest groups with our dedicated staff team to serve our members. As we reflect on the past twelve months, let's celebrate the achievements that showcase our shared values and commitment to excellence. Whether it's the successful execution of key projects, the expansion of our CPD programs, or the growth of our membership, each accomplishment represents the spirit of collaboration that defines DHAA. I am filled with optimism about the opportunities that await us in the coming year. Together, we will continue to innovate, inspire, and make a positive impact. As the holiday season approaches, I extend my warmest wishes to you and your loved ones. May this festive time be filled with joy, reflection, and anticipation for the adventures that lie ahead. Thank you for your continued support and dedication to the success of DHAA. Here's to a joyful holiday season and a prosperous New Year!

04 Symposium Wrap

Discover how our National Symposium rocked Adelaide.

06 From the top

CEO Bill Suen reviews a year of success for our industry.

10 Beyond the dental chair Unlocking career success with transferable skills.

12 Ask DHAA

Your questions answered.

14 Insurance Q&A

DHAA insurance partner BMS, answer some common concerns regarding professional insurance.

16 Get your CPD fix online Improve your skills and knowledge from home.

COVER STORY

20 Sustainable practise

Ways you can maintain environmental awareness in the oral hygiene industry.

32 Christmas showcase

The festive season is upon us once more and we've rounded up a few oral hygiene stocking-fillers

36 Learn to lead

The final part of our series on core leadership skills

38 State of the Nation

A countrywide round-up and 2023 event calendar.

A/Professor Carol Tran DHAA 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

A National Symposium to remember The 2023 DHAA National Symposium in Adelaide was a massive success. A/Prof Melanie Aley takes a look back at just some of the highlights Author's note to reader: "Apologies in advance for all the exclamation marks!"

DHAA CEO Bill Suen (right) greets Federal Minister for Health and Aged Care, Hon Mr Mark Butler MP

Without whom... the DHAA Symposium organising committee

here’s so much to love about a conference – learning new information at the presentations, trying all the new toys at the exhibition, meeting up with old friends and making new ones, and the opportunity to explore a new city! For me, the DHAA 2023 Symposium ticked all of these boxes! It’s very difficult for me to pick just one highlight out of the three days, so here is the list of my honourable mentions: Dr Trudy Lin was a truly inspirational way to open the Saturday program. Her presentation on ‘intersectional approaches to overcome health inequality” was engaging and really changed the way I think about disability (or should I say diversability!) and how the medical model has taught us to believe the condition is the problem, when in fact it is society is disabling. I was inspired to learn about ‘the power of e-portfolios in a collaborative presentation from Ron Knevel, Karen Smart and Kelly Hennessey. I can see how beneficial these can be for students during their studies, but also clinicians throughout their careers – an e-portfolio can tell you so much more than a resume ever could!! The food was delicious. A panna cotta dessert on Saturday made me go back

for seconds and thirds!! Learning about the advances in mouthguard technology from HIT IQ in the trade exhibition – thanks Saba for taking the time to explain the concussion management system! I had an unplanned cocktail tour of Adelaide with new and old hygienist friends from Vic, SA and WA! But my absolute favourite part was the student presentations! Students from CQU, University of Sydney and TAFE SA did an amazing job presenting their projects to a packed auditorium. I was truly impressed by their professionalism and insights into oral health. The future is in safe hands!! n

Symposium feedback I asked around to see what other delegates felt was the highlight of their 2023 DHAA Symposium experience in Adelaide. Here are just a few of the replies I received; “This year’s DHAA symposium brought a diverse and fresh range of topics that were both engaging and inspiring. For myself, the highlight was addressing how to have a sustainable career. How to achieve balance and synergy in all aspects of life and your career. However, another exciting

DHAA President Carol Tran welcomes attendees

highlight was attending a conference in person for the first time in years. Between Covid-19 and growing my family, it has been some time since it has been possible. Being present and engaging with peers and colleagues along with attending the trade show brought a renewed passion and excitement for my profession.” Kiri Gillard, NSW “Catching up, networking and sharing experience and knowledge with like-minded people is my favourite part about the symposium. I always love to reminisce about old times with school colleagues and wonder how fast time has gone by so quickly. But also learning about new resources, technology and methods on how to improve the standard of care and be the best hygienist/ educator I can be.” Tanja Brinkman, Vic “The highlight is always the people. I love the catch-up and reconnection. I’m not averse to meeting new people either.” Kathryn Novak, ACT “My first DHAA Symposium was back in 2017 when I was in my final

year of studying at TAFE SA so it was fantastic for me to head back to Adelaide for another Symposium and catch up with old friends, classmates and lecturers. My main highlight from the Symposium has to be the catch-ups, after a year of emails back and forth with people, the Symposium gave me the opportunity to actually meet people face to face and have a proper conversation without a screen or Zoom link needed. My favourite presentation and the one I made sure I absolutely attended was Dr Martin Webb’s presentation on item numbers, audits and provider numbers as this is a really hot topic all year round. Dr Webb touched on the importance of accurate recording of clinical notes to support the item codes used when working under your own provider number (or even someone else’s). We see a

lot of concern from members about being audited and this presentation was comforting in showing that not all audits have negative outcomes - especially where the clinician has accurate clinical records and has justified the treatment required for that individual patient.” Christina Zerk, Vic “The 2023 DHAA symposium was awesome! I love that there’s always a theme and when you think sustainability, I did not think outside the square to realise this also was a sustainable career! Those presentations made me realise it’s something I need to explore more. I always have lots of enthusiasm and energy when I return home, after networking with new people and getting new product pitches.” Rachelle Johnson, Tas

FROM THE TOP

CEO Christmas wrap of 2023 It's been a fast and furious year. Together we have achieved so much and laid strong foundations to ensure that we can achieve even more in the years to come

Bill Suen DHAA CEO TIME HAS FLOWN and this is the final issue of DHAA eBulletin of 2023. It has been a busy year for us all. Over the past 12 months I observed a gradual increase in members seeking advice on setting up their own fixed clinics or mobile oral health services, many are focusing on aged care. This is a sign of our profession breaking new ground and getting into new service models. I am also pleased to see so many of us are leaving our comfort zone and providing services that meet the needs of many who do not attend conventional dental surgeries for whatever reasons. While setting up one’s own clinical service is exciting, it is important to understand the legal obligations as a business owner over and above your professional responsibilities as a registered oral health practitioner. The DHAA website has some business resources that provide basic information such as business regulation requirements, ATO resources etc. However, it is important that you seek professional advice in this area, not only to meet your obligations but to maximise the financial return from the business.

OUR LATEST MEMBERSHIP survey indicated that 8% of respondents have been undertaking further studies to upskill themselves, either to do their jobs better or to open doors for a better job with a broader horizon. The DHAA e-bulletin has a regular column by A/Prof Melanie Aley on various career pathways. In this current issue, she writes about alternative careers that some of our colleagues have taken. The regular DHAA membership emails also feature a range of employment opportunities at the end of each communication. I encourage you to explore these fantastic resources to get

“ The DHAA has successfully gained the acceptance of most private health funds to our provider numbers over the past 12 months”

a better understanding of current and future career opportunities. The survey also revealed that many members are not aware of the broad range of services that are available through the DHAA. While heavily discounted PI insurance and free Industrial Relations Advice are among the popular services that members can access, few are aware that the DHAA Peer Support Service may assign an experienced oral health practitioner to talk things through with the member

when they are going through a stressful time facing challenging matters. The DHAA offers members a range of additional discounts in general retail, computer equipment and white goods, travel and accommodation, financial services, and legal services, as well as special deals on oral health-related products and services. You can check these out via the membership portal under ‘My membership- Members benefits’: A LOT OF work has been undertaken behind the scenes by the DHAA directors, staff and local representatives to advocate for the profession, seeking new funding and creating opportunities for our members. Building on our success over recent years in the removal of the structured professional relationship requirement and gaining Medicare provider numbers, the DHAA has successfully gained the acceptance of most private health funds to our provider numbers over the past 12 months. Throughout the year we consistently advocated for funding for aged care and oral health promotion through submissions to the Federal Budget and the Select Committee into the provision of and access to Dental Services in Australia. We met with the Federal Health Minister, the Chief of Staff of the Chair of the Senate Select Committee on the current Dental Service Review, the Chair of the Government’s Standing Committee on

...and the DHAA Oral Health Award goes to...

Health, Aged Care and Sport, and many state and federal health department officials to advocate for our profession through appropriate funding and models of care with the primary focus on oral health promotion, disease prevention and early intervention. For further information please check out our advocacy page: WE CONTINUE TO strengthen our CPD offering to our members with 20 live webinars and 30 face-to-face events provided to members in 2023. Many of the face-to-face events were sold out very early in the piece. We have now completed the 2024 event calendar and I urge you to check it out and mark these dates in your diary. FINALLY, IT HAS been a busy year full of activities for the DHAA. I would like to express my thanks to my staff, the board, all the committees and special interest groups for their ongoing hard work and support. My special thanks to Carol Tran and Michelle Kuss for their leadership, and to my fantastic staff team Christina Zerk, Shida Taheri, Danielle Gibbens and Kirsty Bauer whose support has been exceptional. It is most satisfying working with such a passionate and hardworking team thank you all. I would also like to take this opportunity to thank you, the readers and members for your support, and I wish you all an enjoyable festive season and a very happy New Year. n

THE DHAA annual Oral Health Award is the opportunity for our community to celebrate incredible individuals doing incredible things. The irony has not been lost that the 2023 winners are ‘Teaching Teeth’ but don’t let the headline fool you, Brittany Kidd and Donna McMahon do much more. In 2021, these two oral health therapists both started another journey together, motherhood. Through this shared experience of motherhood, with an understanding of the challenges parents face with children’s oral health, and a Brittany Kidd and Donna McMahon combined dental experience of 22 proudly display their award years, ‘Teaching Teeth’ was born. Capitalising on the digital market, Teaching Teeth is a digital platform that provides dental education and preventative strategies in a relatable way for all of those caring for children, in particular parents. These ladies cover topics ranging from oral health for pregnancy, infant to early childhood, parental oral health effects on newborns, as well as early oral motor development and function to name a few. They have had great success with their Instagram page @teaching.teeth, with almost 8,000 followers at the time this article was written. This has led to collaborations with dental CPD events, educational videos for mothers groups, consultancy with lactation consultants and with the help of Curaprox attending the Pregnancy and Baby expos in both 2023 and 2024. This is currently a voluntary contribution to the community which has received positive feedback from not only families but dental professionals for its wide range of information. Congratulations Brittney and Courtney for being Awarded the DHAA 2023 Oral Health Award, you sure have earned it by ‘Teaching Teeth’!

Holiday Closures We will be closed for the Christmas and New Year’s holidays starting from midday Friday 22 December 2023. We look forward to reopening for regular hours and operations starting on Tuesday 2 January 2024. During this time, our office will be closed and we will not be checking emails or phone messages. If you need urgent advice please contact Bill Suen on 0412 831 669. We apologise for any inconvenience. We wish all our members and friends a very happy holiday season and a wonderful start to the new year!

Shining Lights Winner

Courtney Dicken Central Queensland University (CQU)

How do I put into words, the thrill and excitement that was preparation, attendance, and presenting at the 2023 DHAA Symposium? My journey started as a second-year DHAA student representative; I contacted my supervisors with an interest in publishing a research paper that I felt had relevance to my role as a holistic oral health practitioner. The guidance that I received over the next year opened my eyes to the possibilities that are available with DHAA through participation in the Student Leadership Series, and entrance into the 2023 Oral Health Student of the Year Competition. The guidelines were simple, and the support that I received from my supervisors at CQU and the DHAA in creating my academic poster and presentation allowed me to produce an experience for myself and the Symposium attendees that truly reflected my passion for value-based dentistry and academic research. This year, having been my first time attending the Symposium, was daunting. However, the warm and inclusive reception that I received put me at ease as I prepared to present my research on the final afternoon. I was so proud to see my poster displayed in the foyer, and getting up on stage to speak about my achievements has become a core memory that will make a strong foundation for my academic and clinical career postgraduation. I was honoured to have won the award, and this ‘notch on my belt’ has solidified the enthusiasm in my role

Meet the winner and three finalists of the 2023 DHAA Oral Health Student of the Year

on the Queensland Committee. The connections that I have made through this achievement have opened my eyes to the vast network of dedicated oral health practitioners within my field that I can look up to and rely on to keep the profession moving forward, equitably, and sustainably. I am so grateful for the experience that has culminated in this accomplishment and has truly ignited the fire in this new graduate’s journey. Watch this space!

progress onto the next stage of my career, I endeavour to continue raising awareness and to advocate for the improvement of accessibility to oral health services. Thereby bridging language gaps and raising awareness of cultural sensitivity and mental health issues (including that of trauma-related dental anxiety). I would sincerely like to thank the DHAA for this fantastic experience and I am determined and excited to do more!

Finalist

University of Sydney

This experience was eye-opening and extremely beneficial to my career, not only was I a finalist as a student but also as a prospective member of the dental community. The opportunity to speak in front of fellow dental professionals and network with them was of great significance to my personal and professional growth. I would like to thank DHAA for this amazing opportunity.

It was an incredible opportunity to be a finalist in this year's competition. Not only that but attending the DHAA Symposium in Adelaide was a great experience in which I could engage with several speakers over the weekend. Being a part of the competition gave me the opportunity to challenge myself and to fine-tune a university assignment to be submitted to a panel of judges. The people I have met across Australia, is something I won’t forget. As a student, I was introduced to many clinicians with a wealth of knowledge and clinical experience, which was pivotal for my understanding of what life outside of university as an oral health therapist can look like. This competition allowed me to share my experience working in an Aboriginal dental clinic, which is something I enjoyed and I am passionate about. Being a part of the DHAA as a new graduate next year is something I am truly grateful for and looking forward to. n

Shehab Omar

Finalist

Jessica Harwood TAFE South Australia

What an incredibly rewarding experience it was to be selected as a finalist. I feel incredibly grateful for having had the opportunity to shed light and awareness on the significant barriers faced by this vulnerable population. As I prepare to graduate and

Georgia Pireh

V T BOOK CLUB W

ith the summer break

on the way, it seemed appropriate to go with some lighter content for this edition’s review. This suggestion is courtesy of Dr Melanie Aley. Netflix ‘Live to 100 - secrets of the blue zones’ is a four-part miniseries highlighting the work of Dan Buettner on ‘blue zones’, small areas around the world with higher than average life expectancy. Dan Buettner is what I would call a ‘high achiever’. As a small lad, he fell in love with cycling which led to three world records in long-distance riding by his early twenties. Once he achieved his pinnacle, Dan was faced with the old ‘what next?’ dilemma. That is how his curiosity for longevity was born and has led to a lifetime of research. When I first glanced at this series I was skeptical. I automatically expected another nutrition 101, eat well, move more pitch. I reluctantly started watching knowing I was writing this review expecting déja vu. Instead what I got was a really interesting look at how there are tiny pockets throughout the world where humans are living beyond the years we would expect. Does nutrition play a part? Yes, naturally it has to but it wasn’t the poster child for this series. Buettner delves into the nuances of these cultures and finds the similarities that lead to becoming a centenarian. We get to explore mental health, connection, community and spirituality are just as important as nutrition and physical exercise. I have never come

Our resident bookworm Danielle Gibbens reviews the Netflix interpretation of Dan Buettner's Blue Zone books – Live to 100: Secrets of the Blue Zones

“ For a little under four hours of your time, this series is sure to have at least one lesson to help you enrich your life" across a mainstream series to have such consideration for what makes up a human at such a level previously. We often read or get told about aspects of humanity but rarely are all these

aspects looked at as a whole. As the viewer we journey with Buettner to the blue zones and meet these remarkable people he has been learning from for decades and hear in their own words how they’ve found the elixir for life. They all have a family by their sides smiling and joyous to have their grandma, great grandma and in some cases, great-grandmother still with them. We find these people still in their homes or living in their families’ homes; cooking, cleaning, and gardening. There is nothing special about what they are doing per se. There are no anti-aging creams or activated nuts, they’re living basic, wholesome lives and are enjoying themselves. What more could you ask for? To be able to recreate this? Well, that’s exactly what Dan Buettner and a community in the US set out to do. For a little under four hours of your time, this series is sure to have at least one lesson to help you enrich your life and potentially your family or even patients’ lives. And hey, you never know, you may just find your way into a blue zone. For those of you who may not have Netflix, this series is based on the previously published books by Dan Buettner on the Blue Zones. n Have you read, watched or listened to something you think the DHAA community would find interesting or could count as CPD? Why not email it through to be reviewed? send it through to danielle.gibbens@dhaa.info

10 CAREER DEVELOPMENT

Beyond the dental chair Unlocking career success with transferable skills By Associate Professor Melanie Aley

t the recent DHAA Symposium in Adelaide, I had the pleasure of facilitating a panel discussion on “Happy, Healthy and Productive Work – How to craft a sustainable career in oral health”. We fielded many interesting questions from the audience, including one asking about the value and importance of transferable skills. This has been a key interest of mine as someone who educates oral health students and provides career support to practitioners. Although many hygienists and OHTs think they are only trained for clinical practice, they have so many valuable transferable skills that can open the door to other career paths – these include communication and interpersonal skills, attention to detail, time management, critical thinking, customer service, record keeping, and educational skills. So why are transferable skills so crucial to career development? Transferable skills hold significant value in career development as they provide individuals with a versatile toolkit applicable across diverse jobs and industries. This versatility enhances marketability, allowing individuals to transition seamlessly between different roles and pursue varied career paths. The flexibility conferred by transferable skills is especially valuable in navigating

a dynamic job market and seeking new opportunities. Additionally, these skills foster a mindset of continuous learning, enabling individuals to stay relevant in evolving industries and embrace new challenges. Career resilience is bolstered by transferable skills, offering a sturdy foundation that can withstand changes in job roles, industry trends, or economic conditions. Furthermore, individuals with strong transferable skills are often well-positioned for promotions and career advancement, as these skills contribute to leadership potential and the capacity to take on more responsibilities. Ultimately, transferable skills contribute to job satisfaction by enabling individuals to perform well in their roles, and in a rapidly changing job market, they ensure lifelong employability! I chatted to a few dental hygienists and asked them to share the ways they have personally applied their transferable skills in new and unexpected ways.

Joanna Mohammadi

Senior Program Officer Engagement and Development, Regional Programs Branch of the Regional Development and Local Government Division I’m currently living in Orange NSW, and working at the Department of

Infrastructure. I’m in the Regional Programs Branch which establishes and delivers infrastructure programs and grants across Australia. I work with a knowledgeable, supportive and flexible team. Prior to this role I had worked in the Oral Health Promotion team at NSW Health. I’ve always had a passion for Oral Health Promotion and aspired to get into policy/legislative space. I spent years applying and getting rejected for jobs. It was really disheartening. Nonetheless, I persisted, and I eventually got an interview! Making the switch from a clinical role to an office-based role was easier than I thought. One of the most valuable lessons I’ve learnt as a dental hygienist is that your interpersonal skills apply to those beyond your patients. These skills also extend to how you interact with your colleagues and the rest of society.

11 Christina Zerk

Cyber Security studies Back in 2020 when COVID hit the world, a lot of people decided to take up further study of some form or another, either in a passion area or in an entirely different career field. At the time I had been working for the DHAA for some time and was (and still am) doing a lot of work on our website and membership platform which means I have to be conscious and mindful of cyber security and protecting members’ information. I found myself with some extra

“ Transferable skills contribute to job satisfaction by enabling individuals to perform well in their roles and ensure lifelong employability time coming into 2021 and decided to see if there was potential for further study in this area I could pursue without doing a full Bachelor’s degree and I came across a Masters in Cyber Security program through an Australian University. The program started with a Graduate Certificate and then continued on to be a Graduate Diploma before finally the Masters and had prerequisites to apply which included ‘experience working in an analytical role’. There were no specifications as to what they deemed an ‘analytical role’ but listed an analytical role as ‘taking an in-depth look at complex issues, determining how to fix problems and come up with solutions’, something we do every time we see a patient. At the time I had been working as a dental hygienist in general and periodontal practice since graduating in 2017 and had two years of additional experience as a student of treatment

planning and seeing patients so I was comfortable in saying I had 3-5 years of experience in an analytical role and I started my application. At a very basic and almost technical level, our dayto-day clinical practice as a hygienist or an OHT is to take a comprehensive medical history, perform a physical examination and then use the data we have gathered along with our professional knowledge to determine a diagnosis, formulate a treatment plan and then communicate that with our patients. As I was applying for a course that had limited relevance to healthcare I had to alter my CV significantly, however, I still listed all of my clinical work and tailored the experience and language to suit a different industry. Review of a patient’s periodontal condition at a maintenance appointment became ‘on-the-spot data comparison or data analysis’ and upon performing that data analysis I had to interpret it to come up with a plan and then communicate that to start management of the condition. I was describing the same thing but using a different language than our usual clinical language to present it in a way that met the application criteria. And while our job is far more exciting and significantly more complex than the technical-sounding sentence I wrote on my CV, it worked, I got accepted into a Cyber Security Grad. Certificate (as the first step in a Masters program) with absolutely no formal training in Information Technology and no Bachelor’s Degree at all as I am a TAFE SA - Advanced Diploma of Oral Health (Dental Hygiene) graduate. While I ended up transitioning into other studies that

suited my goals better and had more flexibility to work with my life after a couple of units in the Grad Cert, the key here is the transferable skills that we don’t always recognise we have and that may open unexpected doors. I often see questions about additional study and what is available as hygienists/ OHT’s (especially those of us who have a Diploma or Advanced Diploma) and my advice to anyone is to see what is out there, look at the prerequisites and what specific experience they are asking for and ask a lot of questions about the key things they want to see in applicants. It might be the case that something in your day-to-day life can meet that criteria when framed in a different way.

Melinda Alchin

Community Project Manager Transferrable skills moving from a dental background into a project manager position would include (but not be limited to) the following: Having great people skills. Visitors to the dental practice can be nervous and anxious and being aware of the way people are feeling and acting and managing this appropriately is a skill. Having the ability to manage your time. This is a transferrable skill that is acknowledged in all working positions. As an operator, you are managing your appointments and inoffice work you need to manage your day to be productive. Being trained to write clinical notes is a transferrable skill as you are knowledgeable in documenting relevant information in a concise manner, which is very helpful in many other positions. n

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.

Ask DHAA... Your opportunity to ask the questions, check the rules and share your knowledge Dear DHAA... I would like to enquire about the use of OHT’s provider number to claim under CDBS. I wanted to confirm if it is mandatory for OHTs to use their provider number to claim under CDBS. Currently, we are using the principle dentist’s provider number for Medicare for OHTs. The provider number is attached to a practice. If you acquired a provider number at your practice, you are expected to use it to claim CDBS. If you don’t have one at that practice, you can continue to claim against the dentist’s provider number. It is not mandatory to acquire a provider number for CDBS, but if you have one you must use it. Please note that each funder applies its' own rules. Further updates on provider number information are available at the DHAA website member’s resource page. Dear DHAA... We are seeing increased numbers of immunocompromised patients. Can we add a certain clause to our consent form to reduce the risk of being blamed if they become sick after our visit? DHAA is not in a position to provide medico-legal advice,

please consult your legal counsel.

In general terms, it is up to the practitioner to provide adequate information on the possible adverse effects of the treatment they are providing. A statement on the consent form is not adequate as the key is ‘informed’ consent. In the case that you mentioned, if the patient is so immune suppressed or compromised you should be talking to the treating specialist, GP and have a point-by-point discussion with the patient/ guardian or responsible person and document in the notes the discussion and consent. If there was an unforeseen adverse event, provided your documentation is good and your due diligence has been done with the medical aspect you would for the most part be able to give good supporting documentation. If it went to court it is likely there would still be some liability if there was any inkling of inappropriate treatment that could have exacerbated the condition. However, if it is critical treatment, that must be explained on the day again with all the risks and benefits

documented and explained and stating the patient has consented and understood. You may wish to check with your PI insurer to see if they provide medico-legal advice in your case without a possible claim, but it is unlikely that a standard consent template can get you out of your professional obligation in providing that informed consent. Dear DHAA... Just confirming that dental examinations are within our scope of practice irrespective of the dentist

being on the premises. He wants me to do exams while he is away, as well as take on the duty when things are too busy in the practice to help with the backlog.

This question contains two parts. The first is whether you can practise independently without the presence of a dentist, and the second part is whether you have “dental examination” in your scope. As an AHPRA registered dental practitioner, you can practise anywhere within Australia independently and provide treatment and advice

if I am able to use a high speed handpiece to remove orthodontic glues/ composites. Is there a course I can do to be able to use a high speed handpiece, or am I able to use one under the supervision and training of the overseeing orthodontist?

that is within your scope. What is within your scope depends on your training and competence. There are different kinds of dental examinations and whether they are in your scope is highly individualised. Some will be while others may not. Please refer to the Dental Board’s scope of practice registration standard. You may notice that the Dental Board doesn’t specify or list the items that one may or may not perform within each category of dental hygienists, dental therapists or oral health therapists.

The Dental Board expects that as a healthcare professional, you know your scope of practice and do not practise beyond the range of your training, qualifications, experience and competence. This is to ensure the safety of the public, so consumers can have confidence in the dental profession when seeking oral healthcare. The DHAA is therefore not in the position to determine the scope of practice for individuals, as it varies with your training, qualifications, experience and competence. The Board has a reflective

practice tool to help you know your scope of practice and to support your continuing professional development: The key questions are if you have adequate training, have the competence and confidence, are you able to identify all the possible issues that may arise from the examination, and do you know when to refer? Dear DHAA... I am a registered dental hygienist who has started work in an orthodontic practice. This practice has asked

We are not aware of a specific course, but some courses do include using them - especially aligner attachments, some ortho hands-on, or restorative courses. Many hygienists working in ortho do transition into using high-speed handpieces, and the important thing is for you to determine how that fits into your scope of practice, and if there was an issue with AHPRA, what evidence you could give as to why you feel you can use the high speed. It is possible to learn to use the high-speed handpiece in some hands-on courses, and then do further training under the observation of the orthodontist until you feel confident and competent to manage the new tool safely and effectively. n If you have a question to ask then please email it to bulletin@dhaa.info

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Insurance

Q&A

DHAA insurance partner, BMS, answers some common concerns regarding the world of professional insurance

nsure what professional indemnity insurance is? Unsure if you should speak to BMS with regards to a recent incident in your clinic? BMS answers your commonly asked insurance questions.

Do I need insurance?

As a registered dental practitioner with the Australian Health Practitioner Regulation Agency (Ahpra), you must be covered by professional indemnity insurance. It’s important to make sure that your policy meets the Dental Board of Australia’s minimum requirements for professional indemnity. The Professional Indemnity cover under the DHAA Member Insurance program by BMS meets these requirements.

Understanding insurance types What is professional indemnity insurance? Professional indemnity (PI) insurance provides cover against allegations or claims of financial loss due to injury or damages that have resulted from a negligent act, error, omission, malpractice or breach of duty that has arisen out of your professional duty. This means that if a client files a claim against you because they believe it was due to a failure of your professional services, PI insurance could step in. It's important to note that the BMS PI policy is a claims made policy. This means the policy only provides cover for any prior acts as long as you have an active policy at the time of a claim. Speak to BMS about the details of your policy including run-off cover.

What is Public liability insurance? Public liability insurance helps cover your legal liability in respect to property damage and non-treatment related injuries. This could include scenarios where a patient slips and falls while under your supervision.

What is Products liability insurance?

Products liability insurance helps to cover you for actual or alleged bodily injury or property damage to a third party arising through use of a product sold, supplied, or manufactured by yourself. With BMS, you can hold a combined Professional Indemnity and Public & Products Liability Policy. Alternatively, you can add Public & Products Liability to your existing Professional Indemnity insurance policy with BMS at any time.

You must be a current DHAA member to be eligible for the DHAA member insurance program. If your membership ceases you will not be offered renewal when your policy expires. In arranging this insurance for our members DHAA is acting as a distributor of BMS Risk Solutions Pty Ltd (BMS) AFSL 461594, ABN 45161187980. This insurance is issued by BMS under binder with Certain Underwriters at Lloyds. When acting under a binder BMS acts as agent for the insurer and not as your agent. This is general advice only and BMS has not considered whether it was suitable for your particular objectives, needs or financial situation. Please read the Policy Wording/Product Disclosure Statement and the BMS Terms of Engagement which contains the Financial Services Guide before making a decision about purchasing this policy. DHAA may receive a percentage of the commission paid to BMS by the insurer and/or a fee per policy.

What is Entity Insurance? If your business is named in a legal action, these costs aren’t covered by the standard professional indemnity insurance policy offered by BMS. This could leave you out of pocket. This is where Entity Insurance could step in. Entity insurance is Professional Indemnity and Public & Products Liability insurance for your business.

Common areas of risk What are some common areas of risk for dental hygienists and oral health practitioners?

There are four areas where incidents or claims are commonly made against dental hygienists and oral health practitioners according to recent BMS claims data. These include: • Poor note taking • Communication • Informed consent • Maintain a safe environment

How can you avoid risk of an incident occurring?

There are many things you can do to help mitigate risk and the chance of a claim. Here are a couple of tips: Note taking: Ensure you take diligent and timely notes about what happened at an appointment including information such as patient history, diagnosis, procedures discussed and performed, and if consent was obtained. Communication: It might sound simple but effective communication can take some practise. Effective

communication means you ensure that you discuss all diagnoses and treatment options with your patient to allow you patients to make informed decisions before going ahead with treatment. Informed consent: Ensure your patient fully understand the diagnosis, treatment options, and associated costs before they can give their informed consent to treatment. You can help your patient understand all areas by providing documentation or brochures, quotes and giving your patient time and space to consider their options before making a decision. Maintain a safe environment: Keeping you patients safe when receiving treatment but also while they are present at the clinic is important. Clinics should have polices and procedures that include health and safety policies to help ensure staff are aware of their responsibilities and what to do should something happen.

Claims When should I notify BMS of an incident? A common misconception is that you only have to notify of an incident if a claim is made against you, but sometimes a situation that occurs won’t become a claim for months. That is why it’s important to make a notification as soon as something happens, even if a claim hasn’t been brought against you at the time.

What happens if I notify BMS of an incident?

At BMS, if the incident you bring to

our attention is one that may lead to a claim, we will advise your Insurer to register the incident as a “notification only” under the policy. The insurer records a notification of an incident against the policy. At this stage this is not a claim. If matters are not resolved at this stage, your notification at that point may become an active claim, as legal costs might begin to be incurred by your insurer.

DHAA Member Insurance Program What is the DHAA Member Insurance Program? BMS is the official insurance partner for DHAA, dedicated to providing comprehensive cover and valueadded services. The program offers a range of insurance policies, from professional indemnity insurance, public liability insurance, entity insurance, and more, to help ensure you’re covered for all aspects of your work.

What is offered under the DHAA Member Insurance Program?

The insurance program offers a suite of policies to meet your needs as a dental hygienist. Each year policies under the program are reviewed against key areas of risk and claims data to ensure they continue to provide comprehensive cover.

How do I get cover?

You can add insurance to your DHAA membership at any time. For more information about the program, speak to BMS on 1800 940 762, or email dhaa@bmsgroup.com n

Get your CPD fix online Our regular update on some great reading to improve your skills and top up your CPD hours

ake the most of your sofa time by studying at home and keep your CPD tally rolling. Subjects in this edition's round-up cover global health, global climate, the management of sugar and the cessation of laughing gas abuse. Whatever your special interest, there's truly something for everyone.

Global health emergency Time to treat the climate and nature crisis as one indivisible global health emergency http://dx.doi.org/10.1136/bmj.p2355 • British Medical Journal • Published: 25 October 2023 • CPD Hours 0.25 non-scientific FIND OUT MORE

Over 200 health journals call on the United Nations, political leaders, and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental

crisis is now so severe as to be a global health emergency.

Coping with climate change Envisioning environmental equity: climate change, health, and racial justice https://doi.org/10.1016/S01406736(23)00919-4 • The Lancet • Published: 29 May 2023 • CPD Hours 0.5 non-scientific FIND OUT MORE

Climate change has a broad range of health impacts and tackling climate change could be the greatest opportunity for improving global health this century. Yet conversations on climate change and health are often incomplete, giving little attention to structural discrimination and the need for racial justice. Racism kills, and climate change kills. Together, racism and climate change interact and have disproportionate effects on the lives of minoritised people both within

countries and between the Global North and the Global South. This paper has three main aims. First, to survey the literature on the unequal health impacts of climate change due to racism, xenophobia, and discrimination through a scoping review. We found that racially minoritised groups, migrants, and Indigenous communities face a disproportionate burden of illness and mortality due to climate change in different contexts. Second, this paper aims to highlight inequalities in responsibility for climate change and the effects thereof. A geographical visualisation of responsibility for climate change and projected mortality and disease risk attributable to climate change per 100,000 people in 2050 was conducted. These maps visualise the disproportionate burden of illness and mortality due to climate change faced by the Global South. Our third aim is to highlight the pathways through which climate change, discrimination, and health interact in most affected areas. Case studies, testimony, and policy analysis drawn from multidisciplinary perspectives are presented throughout

the paper to elucidate these pathways. The health community must urgently examine and repair the structural discrimination that drives the unequal impacts of climate change to achieve rapid and equitable action.

Plastic not-so fantastic 1 The global plastics treaty: why is it needed? DOI:https://doi.org/10.1016/S01406736(23)02198-0 • The Lancet • Published: 17 October 2023 • CPD Hours 0.25 non-scientific FIND OUT MORE

Plastic pollution is a global threat. It has grown insidiously while the focus has been on climate. Because plastic is persistent and less than 10% is recycled, nearly six billion tonnes now pollute the planet. This waste contains more than 10,500 chemicals incorporated into plastic, including carcinogens, neurotoxicants, endocrine disruptors, and many others of unknown toxicity. These chemicals leach out from plastic and plastic waste. In the USA alone, they are responsible for more than 85,000 premature deaths each year, 1.5 million cases of cardiovascular disease, and health-related costs of US$675 billion. The thousands of chemicals in plastics are a major cause of the harm plastics cause to health. We physicians, nurses, health workers, and scientists are trusted voices who can help mitigate plastic pollution and reduce its harm to health. We can educate our patients about the hidden dangers of single-use plastics. We can reduce unnecessary plastic consumption in our hospitals and health systems. We can advocate for national and subnational bans on singleuse plastics. We can support the global

plastics treaty, as we have supported the Paris Climate Agreement.

Diabetic referral relief Dental referrals for patients with diabetes: survey of barriers and enablers for medical and health professionals https://doi.org/10.1111/adj.12978 • Australian Dental Journal • Published: 7 September 2023 • CPD Hours 0.25 scientific FIND OUT MORE

Oral health care improves diabetes management; however, medical and other health practitioners do not commonly refer their patients with diabetes for oral health care. This study found there is a significant missed opportunity to discuss and incorporate oral health care into the general medical management of patients with diabetes. Several barriers were identified, including time barriers, not knowing how/where to send dental referrals and not considering oral health as part of the course of care. Online

referral pathways, targeted education to health practitioners and updating existing resources for medical and health professionals caring for patients with diabetes may increase the number of patients being referred for dental care as part of their diabetes management.

Rural recruitment required Rural access to dental and oral health services https://doi.org/10.1111/ajr.13050 • AJRH • Published: 18 October 2023 • CPD Hours 0.25 non-scientific FIND OUT MORE

In Australia, there are fewer dental practitioners (dentists, oral health therapists, dental hygienists, dental therapists and dental prosthetists) in rural areas than in major cities. As of 31 December 2022, there were 26,836 dental practitioners in Australia. There is a maldistribution of dentists in Australia. For dentists, the prevalence is highest in MM1 (metropolitan area). Interestingly, distribution remains >>

similar through MM2 to MM4 and then drops markedly, with nearly 4.5 times fewer dentists in MM5 (the lowest prevalence) than in MM1.11. The key to improving oral health in rural Australia is building the rural oral health workforce, in part via modification of student training programs to increase the number of oral health practitioners willing to practice in rural areas and ensuring that funding models and models of care are culturally and language appropriate for the rural context, with adequate flexibility to address the challenges that come with small populations, large travel distances and lower incomes. Rural Australia also needs targeted preventive health solutions that include fluoridated water and efforts to reduce sugar, alcohol and tobacco consumption, and increased access to oral health products and health promotion to improve oral health habits.

Sweeter than sugar 2 Aspartame—True or False? Narrative Review of Safety Analysis of General Use in Products • National Library of Medicine (US) • Published: 7 June 2021 Online • CPD Hours 0.25 scientific FIND OUT MORE

its possible effects on the human body to refine current knowledge. Taking into account that aspartame is a widely used artificial sweetener, it seems appropriate to continue research on safety. Studies mentioned in this article have produced very interesting results overall, the current review highlights the social problem of providing visible and detailed information about the presence of aspartame in products. The studies involving the impact of aspartame on obesity, diabetes mellitus, children and fetus, autism, neurodegeneration, phenylketonuria, allergies and skin problems, its cancer properties and its genotoxicity were analyzed. Further research should be conducted to ensure clear information about the impact of aspartame on health.

Stage management Clinical benefits of systemic amoxicillin/metronidazole may depend on periodontitis stage and grade: An exploratory sub-analysis of the ABPARO trial https://doi.org/10.1111/ajr.13050 • Journal of Clinical Periodontology • Published: 9 June 2023 • CPD Hours: 0.5 scientific FIND OUT MORE

Aspartame is a sweetener introduced to replace the commonly used sucrose. It was discovered by James M. Schlatter in 1965. Being 180–200 times sweeter than sucrose, its intake was expected to reduce obesity rates in developing countries and help those struggling with diabetes. It is mainly used as a sweetener for soft drinks, confectionery, and medicines. Despite its widespread use, its safety remains controversial. This narrative review investigates the existing literature on the use of aspartame and

This paper assessed treatment response after systemic amoxicillin/ metronidazole adjunctive to subgingival instrumentation (SI) according to stages and grades of the 2018 classification of periodontal diseases. In generalised periodontitis stage III/grade C, a clinically relevant lower percentage of disease progression after adjunctive systemic amoxicillin/metronidazole was observed compared to placebo. Periodontitis stage, extent and grade could be used to select patients who might benefit from

systemic antibiotics adjunctive to SI. Clinicians treating patients represented by the population in this sub-analysis might consider the reported stage, extent and grade as an aid when deciding for or against systemic amoxicillin/metronidazole use.

Good health is good for you 3 Healthy lifestyles are associated with a better response to periodontal therapy: A prospective cohort study https://doi.org/10.1111/jcpe.13813 • Journal of Clinical Periodontology • Published: 4 April 2023 • CPD Hours 0.5 scientific FIND OUT MORE

This paper evaluated the association between lifestyle behaviours and clinical periodontal outcomes following Steps 1/2 of periodontal therapy. A total of 120 subjects with untreated Stage II/III periodontitis participated in this study. At baseline, questionnaires were administered to assess the following lifestyle behaviours: adherence to Mediterranean diet (MD), physical activity (PA) and stress levels, sleep quality, smoking and alcohol use. Participants received Steps 1/2 of periodontal therapy and were reevaluated after three months. A composite outcome of the endpoint of

psychological distress, had self-reported illicit substance use or had previous self-reported suicide attempts. Younger dental practitioners had more than twice the odds of recent suicidal ideation than those aged 61+ years, with higher resilience having decreasing odds of suicidal ideation. These findings highlight a high prevalence of suicidal ideation amongst Australian dental practitioners. It is important to continue to monitor their mental health and develop tailored programs to provide essential interventions and support.

Stay off the laughing gas 4 3 4

Suicide is not a solution Factors associated with suicidal ideation and suicide attempts by Australian dental practitioners doi: 10.1111/cdoe.12849 • Community Dentistry & Oral Epidemiology • Published: 22 February 2023 • CPD Hours 0.25 scientific

therapy (i.e., no sites with probing pocket depth [PPD] ≥4 mm with bleeding on probing, and no sites with PPD ≥ 6 mm) was regarded as the primary outcome. Simple and multiple regression analyses were used to evaluate the association between lifestyle behaviours and clinical periodontal outcomes. Disease severity at baseline, body mass index, diabetes, household disposable income and plaque control were considered as confounders. Subjects with unhealthy lifestyle behaviours showed worse clinical outcomes three months after Steps 1/2 of periodontal therapy. Given the modifiable nature of lifestyle behaviours, they could represent potential targets of interventions in the context of Step 1 of periodontal therapy.

FIND OUT MORE

A self-reported online survey of 1,474 registered dental practitioners in Australia was conducted from October to December 2021. Participants reported thoughts of suicide in the preceding 12 months, prior to the preceding 12 months and prior suicide attempts. Overall, 17.6% reported thoughts of suicide in the preceding 12 months, 31.4% prior to the preceding 12 months, and 5.6% reported ever having made a suicide attempt. In multivariate models, the odds of suicidal ideation in the preceding 12 months were higher in dental practitioners who were male, had a current diagnosis of depression, were experiencing moderate or severe

Diagnosis and management of toxicity associated with the recreational use of nitrous oxide https://doi.org/10.1503/cmaj.230196 • Canadian Medical Association Journal • Published: 21 August 2023 • CPD Hours 0.5 scientific FIND OUT MORE

Recreational use of nitrous oxide is a growing problem in many jurisdictions, including Canada. Although isolated, short-term use rarely leads to serious complications, chronic use can cause neurotoxicity that is often not fully reversible; cervical myelopathy, peripheral neuropathy and encephalopathy have been described. The pathophysiology of nitrous oxide toxicity results from functional vitamin B12 deficiency. Elevated homocysteine and methylmalonic acid are potential biochemical markers for the diagnosis, and magnetic resonance imaging and nerve conduction studies can help further define the presentation. Cessation of nitrous oxide is the mainstay of treatment; supplementation with vitamin B12 and methionine is recommended. n

20 SUSTAINABILITY SPECIAL

Promoting sustainability oral health

Discover the rationale behind the Sustainable Smiles Program that's embedding sustainability into oral health promotion by Cathryn Carboon, Assoc. Dip. Dental Hygiene, Master of Health Promotion, TAE

he International Federation of Dental Hygienists (IFDH) was officially formed in 1986 in Oslo, Norway; uniting dental hygiene associations around the world in their common cause of promoting dental health. One year later in the same city a landmark report “Our Common Future” was launched, uniting countries from around the world in their common cause of transforming our world through the 2030 Agenda for Sustainable Development. The General Assembly of the United Nations tasked the World Commission on Environment and Development to formulate a global agenda to develop long-term environmental strategies for achieving sustainable development by the year 2000 and beyond! In 2023 it still feels like an urgent call for change is warranted, with global warming continuing unabated, leading to increased environmental concerns.

How did the dental industry respond to the call? In response to the United Nations 2030 Agenda for Sustainable Development, the World Dental Federation (FDI) developed a “Sustainability in Dentistry Statement” that was a collaborative effort including the IFDH and other stakeholders, it was adopted by the FDI General Assembly in 2017. The FDI statement urged us to recognise that prevention of oral diseases and the promotion of health is “the most sustainable way to ensure optimal, accessible and affordable oral health with minimal impact on the environment”. In 2022 the FDI published a consensus report, which highlighted “the carbon footprint of oral health”. The same year the IFDH conducted a global Sustainable Dentistry Survey. The survey objective was to better understand global dental hygienist practices and beliefs on sustainable dentistry. 295 dental

hygienists from 24 countries, including Australia, completed the IFDH survey. 59% of respondents were from private practice; 13% independent dental hygiene practice and 12% from community and public health settings.

What matters most regarding sustainability in our dental hygiene profession? 88% of respondents felt dental hygienists have a responsibility to contribute to sustainability in dentistry and 70% thought we should take the lead, as individual actions have a significant impact on achieving sustainable dentistry. However, 75% were not aware of the FDI’s Sustainability in Dentistry statement and 44% were not familiar with the concept of sustainable dentistry. 84% of dental hygienists surveyed, felt that sustainable dentistry was very important and 51% were interested to learn more, with 87% needing more >>

“ 88% of respondents felt dental hygienists have a responsibility to contribute to sustainability in dentistry and 70% thought we should take the lead, as individual actions have a significant impact on achieving sustainable dentistry”

22 SUSTAINABILITY SPECIAL help and education from manufacturers about sustainable dentistry.

What were the top five elements considered extremely important to achieve sustainable dentistry? ■ Reducing use of plastic in the practice (65%) ■ Reducing overall waste in the practice (62%) ■ Reducing single-use disposables in the practice (52%) ■ Focusing on preventive care (40%) ■ Using environmentally friendly products in the practice (41%)

What were the top five attributes considered extremely important for an ‘environmentally friendly’ product? ■ Product is effective in maintaining oral health (52%) ■ Ingredients are safe for the environment (44%) ■ Product is biodegradable (43%) ■ Product has minimal packaging (51%) and the packaging is recyclable (48%) ■ Product is recyclable (41%)

IFDH Global Oral Health Summit In November 2023 the IFDH held its Global Oral Health Summit providing motivation, inspiration and guiding actions for dental hygienists, in support of the WHO Global Strategy on Oral Health and Sustainability Initiatives. A recording of the Summit proceedings will be available in late 2023, to recap all the important discussions and keynote presentations.

ADA Sustainable Dentistry How-to Guide The Australian Dental Association (ADA) has also been focused on responding to the call. The ADA Policy Statement 6.21 “Dentistry and Sustainability” guides their strategic actions. The ADA’s “Sustainable Dentistry How-to Guide for Australian Dental Practices”

was launched in September 2023 as a practical resource for Australian dental teams wishing to take action to make their practice more sustainable. It is an Australian version of the original guide, ‘Sustainable Dentistry: How-to Guide for Dental Practices’, published by the Centre for Sustainable Healthcare in the United Kingdom.

Reduction via prevention – what does this mean? Reducing and recycling present the two greatest opportunities for sustainable impact (Martin et al. 2021). A reduction of our carbon footprint in dentistry is achieved first and foremost through oral health promotion. A strong focus on the prevention of oral disease results in fewer dental treatments, which in turn reduce our environmental impact. Conversely, extensive complex restorative treatment is resource intensive and contributes to greater

CO2 emissions, biomedical waste and materials used! Oral health promotion and prevention minimise the need for costly dental treatment and contribute to sustainable dentistry in the long term. The Carevan Foundation’s Sun Smiles school fluoride varnish program was developed and led by Cathryn Carboon from 2012 until the Covid19 pandemic interrupted the roll-out of the program in 2020. Sun Smiles provided an award-winning example of re-orientating the healthcare system, to focus on the prevention of dental caries. The application of Duraphat 5%

sodium fluoride varnish to children’s teeth in disadvantaged preschools and primary schools, provides a proactive approach, which embodies reduction via prevention and should be scaled up, especially in rural and remote Australian communities.

Think globally, act locally Every year, 30 million toothbrushes, 50 million toothpaste tubes and thousands of other used oral care products end up in landfill across Australia, contributing to environmental pollution. As oral

“ Every year, 30 million toothbrushes, 50 million toothpaste tubes and thousands of other used oral care products end up in landfill across Australia, contributing to environmental pollution” health practitioners, we have an ethical duty to be responsible for the oral care products that we provide to our patients in the dental setting and during oral health promotion projects in the community. Consider registering your dental practice as a public drop-off point for the TerraCycle oral care recycling program.

Recycling the ‘unrecyclable’ with TerraCycle TerraCycle is an international leader in innovative sustainability solutions. Operating across 21 countries, TerraCycle’s mission is to rethink waste and develop practical solutions for today’s complex waste challenges, to move the world from a linear to a circular economy. TerraCycle specialises in recycling typically hard-to-recycle waste that is not processed by local councils, such as coffee capsules, cosmetic products and most importantly

for the dental industry - oral care waste. Colgate and TerraCycle have partnered to give a second life to used oral care products. The oral care recycling program provides organisations and schools with the opportunity to collect and recycle oral care products, to prevent them from ending up in landfill, waterways and the ocean. The plastic from used oral care products is sorted, cleaned and melted down into pellets, ready to make new recycled products (including garden seats and school playground equipment).

Oral health promotion through a sustainability lens Due to an increasing awareness and social responsibility to address the United Nation’s 2030 Sustainable Development Goals, in 2021 Cathryn Carboon, the Carevan Foundation’s oral health program manager, developed “Sustainable Smiles’’ a communitybased oral care recycling program. Launched in Wangaratta, Victoria as part of World Oral Health Day (20 March) in conjunction with other sustainability initiatives, including Global Recycling Day (18th March) Earth Day (22 April) and Planet Ark’s National Recycling Week (13 – 17 November) the program has been running for several years.

Goals of the Sustainable Smiles program 1. Raise awareness of the impact of oral care waste on the environment. 2. Raise awareness of ‘environmentally friendly’ toothbrush and toothpaste choices. 3. Raise awareness of the TerraCycle oral care waste recycling program. 4. Launch a community-based, student-led TerraCycle oral care recycling program. Collecting the oral care waste, for shipment to a TerraCycle recycling plant. 5. Encourage families to change their behaviour and begin recycling their oral care waste.

6. Provide children with oral health messages to support twice-daily toothbrushing with fluoride toothpaste.

Sustainable Smiles in action in the classroom Embedding the recycling program into the community, including the Rural City of Wangaratta Library, Kindergarten and Childcare Centre gave families with young children the opportunity to participate in a recycling project and develop a sense of pride that they are contributing to a healthier environment at a local level. The “Sustainable Smiles’’ primary school-based program leveraged the success of the community-based program. The school-based initiative is aligned with the Dental and Oral Health Professional Association’s increased action on sustainability in dentistry and underpinned by the priority of embedding sustainability within the Australian education curriculum frameworks. The Early Years Learning Framework, from birth to five years (Version 2) 2022 incorporates sustainability as a guiding principle and outcome. Children become aware and use the ‘7Rs’ of sustainability: reduce, reuse, recycle, respect, repair, reflect and refuse as part of economic and environmental sustainability. Sustainability is also one of three cross-curriculum priorities in the Australian Curriculum Foundation – Year 10 (Version 9) 2022. The curriculum places an emphasis on sustainability as a priority for study that connects relevant content across learning areas. The Sustainable Smiles classroom session, through PowerPoint, video clips and group discussion, teaches Grade 5/6 students about the impact of oral care waste on the environment and empowers students to implement a recycling program in their school. Strategies for engagement include getting students to locate the recycling >>

24 SUSTAINABILITY SPECIAL

logos on toothpaste tubes and try a range of eco-friendly toothbrush options. Each classroom and library are provided with a copy of the children’s book “The Tale of a Toothbrush: A Story of Plastics in our Oceans”. Written by M.G. Leonard and illustrated by Daniel Rieley and published in 2020 by Walker Books.

Outcomes from the Sustainable Smiles Program Teachers have benefited from having skilled oral health promoters enriching their school’s curriculum content in different learning areas, including health, literacy and sustainability. A large increase was observed in the children’s awareness of sustainability issues in oral health care and oral health knowledge. Results from the student evaluation surveys showed that 83% learnt new information and were inspired by the presentation and discussion.

Care for your teeth and the planet It’s time to ‘think green’ with our daily oral hygiene habits, as our collective toothbrush and toothpaste choices can make a big difference to the planet! Have you tried a bamboo, bio-based plastic or aluminium-handled toothbrush with replaceable brush heads? A study by Brett Duanne and colleagues (2020) incorporating sustainability into the assessment of oral health interventions, showed toothbrushes made from recycled plastic are actually the most sustainable option. Beating bamboo brushes, when you undertake a life cycle analysis, taking into consideration the raw materials used to make the product. Choose a toothpaste with a recyclable tube. Colgate recently launched its first-of-a-kind recyclable toothpaste tube, sharing the technology with other toothpaste manufacturers. Look for the HDPE2 symbol (the same symbol as a

“ It’s time to ‘think green’ with our daily oral hygiene habits, as our collective toothbrush and toothpaste choices can make a big difference to the planet!”

plastic milk container) Check your local council accepts them in their kerbside recycling stream and help lessen the number of toothpaste tubes going into landfill. ‘Every Drop Counts’ is a global campaign to save water with smart brushing habits. By turning off the tap every time you brush your teeth – you can save up to 64 cups of water. Share the message #everydropcounts.

About the author:

Cathryn is a registered, practising dental hygienist and holds a Master of Health Promotion from Deakin University. Cathryn has had a diverse and extensive career in the dental industry, with over 37 years, including work in general practice, orthodontics, periodontics and special needs dentistry. Cathryn has practised as a hygienist in Australia, Germany and New Zealand and has spent the last 24 years in private practice in Wangaratta. Cathryn brings with her extensive clinical knowledge and oral health promotion experience. She has been a valued Colgate Professional Educator since 2006; working closely with Melbourne, La Trobe, RMIT and Charles Sturt Universities to educate the REFERENCES ADA News Bulletins “Sustainable dentistry- a series review” (2020) and “Sustainable Dentistry” (2021) Australian Dental Association Policy Statement 6.21 “Dentistry and Sustainability” Duane et al (2019) “Environmentally sustainable dentistry: a brief introduction to sustainable concepts within the dental practice.” British Dental Journal, Vol 226. No. 4 Duane et al. (2020) “Incorporating sustainability into assessment of oral health interventions.” British Dental Journal, Vol 229. No.5 Halton et al. (2022) “How much do consumers consider sustainability

Let’s make our planet smile... the future is in our hands The entire oral healthcare community, including clinical professionals and industry, recognise that we have a responsibility to deliver products and clinical care that improves oral health in a sustainable manner. Sustainable Smiles is a program that every DHAA member can implement into their own community. It involves

future dental profession. Cathryn is a knowledgeable and engaging lecturer and holds a current TAE qualification. Cathryn has presented to dental and allied health colleagues in Australia, New Zealand, Hong Kong, Taiwan and Italy. Cathryn has been a member of the Dental Hygienists Association of Australia (DHAA) since 1988 and is the DHAA Victorian State Chair. Cathryn served 10 years on the SARRAH Advisory Committee, as National Network Coordinator for Oral Health. Cathryn is a Carevan Foundation Board Director and manages four oral health promotion programs under the Sun Smiles banner. She has won multiple awards including the International Federation of Dental Hygienists & Global Child Dental Fund Social Responsibility Award and the DHAA National Oral Health Award for Community Service.

when purchasing a toothbrush? “ British Dental Journal, Vol 233. No.4 Lyne et al. (2020) “Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model.” British Dental Journal, Vol 229. No. 5 Lyne et al.(2020) “Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model”. British Dental Journal, Vol 229. No.5 Martin et al. (2021) “Awareness and barriers to sustainability in dentistry.” Journal of Dentistry, Vol 112. 103737 Martin et al. (2021) “Drivers, opportunity and best practice for sustainability in dentistry: a scoping

positive collaboration within the community and education sectors and can be implemented in private dental practices. It is rewarding to know that you can make a difference within the dental profession to support sustainable practices and in turn, help care for the environment by addressing the issue of oral care waste. Let’s raise awareness and start the conversation about sustainability in oral health now! n

Cathryn authored the children’s picture book ‘Who is the Tooth Fairy’s best friend?’ which has been distributed around the world since its DHAA launch in 2017. She is a member of the International Health Literacy Association and the Australian Health Promotion Association and is a passionate advocate for oral health literacy. Education • Certificate IV TAE: Training and Assessment (2022) • Master of Health Promotion, Deakin University (2018) • Graduate Certificate in Health Promotion, La Trobe University (2011) • Associate Diploma of Dental Hygiene, TAFE SA (1989) • Certificate of Dental Assisting, TAFE NSW (1986)

review.” Journal of Dentistry, Vol 112. 103737 Martin et al. (2022) FDI Consensus on Environmentally Sustainable Oral Healthcare: A Joint Stakeholder Statement. York: White Rose University Press. Mulimani, P (2017) “Green Dentistry: the art and science of sustainable practice.” British Dental Journal, Vol 222. No 12. United Nations (2015). Transforming our world: the 2030 Agenda for Sustainable Development. Resolution adopted by the 80 General Assembly on 25 September 2015.

EXTERNAL WEBSITE LINKS Australian Dental Association (Sustainability Guide) https://ada.org.au/getmedia/ f11b3f34-60fd-45d5-954748d121432768/ADA_Sustainability_ How-to-guide-sustainable-dentistry. pdf International Federation of Dental Hygienists (Survey and Summit) www.ifdh.org/ifdh-2022sustainable-dentistry-survey https://ifdh.org/global-oral-healthsummit-2023/ TerraCycle https://www.terracycle.com/en-AU/ brigades/oral-care-brigade-au

26 SUSTAINABILITY SPECIAL

Building a sustainable dental practice Discover creative ways to reduce waste in the workplace

ustainable dentistry’s two major outcomes, namely good oral health and reduced environmental impact could be achieved by focusing on preventive and quality operative care. However, the large amount of waste produced by the dental office daily is also a problem that needs immediate attention.

by Sanjay Haryana, Specialist Odontology, TePe (DDS, MSc, EMBA)

good oral health or via prevention to decrease emissions, meaning that preventive dentistry results in fewer appointments, fewer recall visits, a reduction in materials and, consequently, less clinical waste. Dental diseases that are preventable or are in the early stages of progression should be targeted using individualised maintenance plans where home care should be the centre of attention.

Reducing emissions – a complex question

Sustainable procurement

Dental caries and periodontitis are two of the most common diseases globally. Thus, the primary aim of sustainable dentistry is to improve the quality of life through preventive care and quality operative care. To be able to offer this to the underprivileged part of the global population, increased emissions are inevitable. However, from an environmental perspective, we want the population to have immediate access to dental care, but we do not want patients to visit the dental practice too often. Patient and staff travel are the largest emitters of greenhouse gases within dentistry, besides the manufacturing of dental supplies and the dental waste generated in daily practice. Since dental appointments accumulate over a patient’s lifetime, total emissions end up being extremely high compared with other healthcare treatments. FDI World Dental Federation promotes source reduction through

Why should dental professionals strive towards sustainable dentistry? Firstly, it is the right thing to do ethically; secondly, it is a great marketing tool; and finally, it creates an attractive workplace for new colleagues. Before taking steps towards creating a green dental practice and practising green dentistry, the practitioner should have an understanding of what sustainability means to minimise the pitfalls and simplify the process. To build a sustainable dental practice, it is essential to establish the coming change with management and take advantage of the trickle-down effect, the spreading of attitudes and behaviours through the core of the organisation. The team members must understand why the change is necessary, feel responsible regarding their role and feel inspired to take part in this sustainability journey. Starting with a big and easy win, a task that leads to a great impact, requires little effort, and minimises interruption

to the day-to-day practice, for example, switching to green energy. To make sustainable procurement more manageable, it can be divided into buying less, wasting less, and switching to products and services with a lower carbon footprint.

Healthcare waste – a major problem Medical and dental care generate substantial waste; 5% of all the emissions in the EU are estimated to come from the healthcare sector. Dental waste management has been primarily focused on amalgam disposal, but this is no longer the primary issue. Even though it is well known that dental practices generate great amounts of waste, there is limited data available on the effect of this on the environment. Similar to sustainable dentistry, dental waste management lacks a global consensus on how to tackle certain environmental issues that are associated with dentistry. In the day-to-day running of a dental practice, waste is generated from all parts of the business and can be divided into three categories: household waste, hazardous waste, and clinical waste. Household waste is similar to what is generated in a residential environment, and should, if possible, be recycled. Hazardous waste is considered harmful to people and/or damaging to the environment and must be disposed of through the appropriate facility. It includes clinical waste, radiographic

“ For dental professionals, waste management aims to protect humans and the environment. If correctly done, it can also reduce costs, since most of the waste produced is clinical waste and this is more expensive to dispose of”

solutions, amalgam, and gypsum, which generates a toxic gas during degradation in landfills. Clinical waste is defined as “any waste which consists wholly or partly of human or animal tissue, blood or other body fluids, excretions, drugs or other pharmaceutical products, swabs or dressings, syringes, needles or other sharp instruments”. It is also classified as hazardous and should be incinerated.

clinical waste cannot be recycled. The most common materials found in clinical waste are tissues, gloves, and sterilisation pouches. We should be able to establish routines that allow us to open the pouches with clean gloves, separate the plastic from the paper and recycle appropriately. Small actions like this can have a positive impact on the environment and save costs for dental practices.

The four Rs in dentistry

Rethink in the surgery

For dental professionals, waste management aims to protect humans and the environment. If correctly done, it can also reduce costs, since most of the waste produced is clinical waste and this is more expensive to dispose of compared with household waste. A popular way to manage waste has been to employ the four Rs—reduce, reuse, recycle, and rethink.

Rethinking is the most important of the four Rs. Even though reducing, reusing, and recycling are the most discussed, they do not adequately address the clinical reality of dentistry or medicine. To meet the United Nations’ Sustainable Development Goals set out in Agenda 2030, our suppliers must understand the waste management system to align their dental products and materials with the most appropriate end-of-life procedure—incineration, landfill, or recycling (chemical or mechanical).

Reduce in the surgery Many practices work with pre-set trays containing certain instruments and disposable material, such as plastic tray liners, gauze, cotton rolls and polishing paste. As soon as the tray has been contaminated, all materials, both used and unused, are classified as clinical waste. Practices should review their set-up routines to minimise the waste of unused material.

Re-use in the surgery Most of the waste in dentistry consists of single-use equipment to minimise cross-contamination. There is a need for the development of novel solutions allowing sterilisation and reuse. However, practices must ask the following questions: is the equipment safe for patients and personnel, and what impact does its production and use have on the environment?

Recycle in the surgery This is the most challenging R since

Moving forward All clinical waste is destined for incineration and should, therefore, be bio-based instead of fossil-based to reduce the net emissions. Additionally, a consensus is needed on how to safely minimise single-use equipment. There are many different types of plastics used in the healthcare system, and a circular approach will never be accomplished if they are recycled together. Our efforts in the clinical setting will have little impact on sustainability unless there is an alignment of equipment production, waste management and end-of-life procedures. Only then can good oral health and reduced environmental impact be achieved. For more in-depth knowledge on the subject, please visit TePe’s website, www.tepe.com. n

28 SUSTAINABILITY SPECIAL

Managing waste As this year's recipient of the DHAA Sustainability Award, we ask Tepe about how they deal with their own clinical waste What sustainability initiatives or practices has TePe implemented that contributed to winning the sustainability award at the DHAA Symposium? TePe’s business strategy focuses on integrating sustainability in all we do. Building a long-term sustainable business is one of four strategic pillars on our journey toward taking social responsibility through outstanding business ethics and the promotion of health and well-being. Our sustainability

framework is outlined through three main areas – good people, good practice and good product. Efforts and improvements within these areas are based on continuous stakeholder dialogue and a thorough materiality analysis. Across TePe, we are working towards goals and targets, guided by Agenda 2030 and the United Nations’ 17 Sustainable Development Goals, specifically focusing on seven selected goals. Concrete examples and actions that TePe has taken with regard to pollution and waste include: • Today, 74% of the packaging for selfproduced products includes renewable,

recycled or FSC-certified materials – our goal is 100% in 2025. • Waste management processes in place within the production to ensure it is either re-circulated within the production or separated into two different waste categories for either recycling or energy generation. • To avoid hazardous materials in the production we have for example optimised cooling systems and use ultrasonic vibrations for adhesion formation. • Since 2022, all TePe toothbrush and interdental brush handles are made with materials from renewable sources or renewable mass balanced materials certified according to the International Sustainability and Carbon Certificate (ISCC PLUS). Such investments are part of TePe´s efforts to phase out fossil materials and reduce emissions. • Lastly, annually conducting a thorough LCA, in line with ISO 14040 & 14044 to ensure progress when it comes to our journey of reducing greenhouse gas emissions.

How does TePe integrate sustainability into its product development process, particularly in the dental industry where materials and waste management are significant concerns? At TePe we take a holistic approach to sustainable development and consider social, environmental, and economic factors throughout our innovation processes. Sustainable development at TePe includes a strategic focus on phasing out fossil raw materials by integrating renewable and recycled materials, with maintained quality and hygiene factors. Today, all TePe toothbrush and interdental brush handles are made with materials from renewable sources or renewable mass balanced materials certified according to the International Sustainability and Carbon Certificate (ISCC PLUS). As the world around us and the demands from the customers are changing, we continuously challenge ourselves to find new and sustainable solutions. The product development process for new products include; consumer focused design, clinical expertise and development in collaboration with dental professionals, life cycle assessments, circularity, as well as hygiene and quality factors. TePe is actively involved in the work of standardising oral hygiene products as a proud representative for Sweden in the ISO Dental Care Committee. Can you highlight a specific example of a successful sustainability project or innovation that TePe has undertaken within its operations or products, and the impact it has had? TePe put a strong focus on reducing waste generation, in line with the United Nations Agenda 2030, specifically the sustainable development goal number 12. We focus our circularity

efforts on being resource efficient, tool to support dental and healthcare within our operations as well as practitioners in their work to motivate throughout our products’ life cycles. and educate patients to take care of Minimising environmental impact and their oral health. Our collaboration with aiming for circularity is an integral universities, professional associations, part of TePe´s strategy. To increase and dental professionals, as well as the possibility of reusing or recycling webinars and lectures, is an important material we apply circularity in part of our sustainability journey. areas such as product development, Sharing knowledge about prevention is production processes and sourcing of a fundamental part of our sustainability raw materials. To succeed in minimising efforts. Prevention in terms of oral our environmental impact we care for example can not only support collaborate with knowledge partners health benefits, but it can also limit and suppliers. Goals and KPIs are the effect on the environment – here created to monitor is an example: if our progress “ For dental professionals, patients do not with regard to have to go as waste management waste, as well as frequently for aims to protect humans dental visits and if carbon emissions. Additionally, and the environment. If less operative care TePe holds ISO correctly done, it can also is needed, that certifications 14001 means less travel, reduce costs, since most fewer materials and 9001, important of the waste produced standards that used, less clinical support our quality waste which in a is clinical waste and this and environmental longer perspective is more expensive to compliance. have positive dispose of” Today, 74% of the effect also on the packaging for selfenvironment. produced products includes renewable, FDI World Dental Federation’s recycled or FSC-certified materials – our Sustainability in Dentistry initiative goal is 100% in 2025. unites dental industry partners. In 2022 TePe, as one of the founding In what ways does TePe engage partners, helped to launch a “Consensus with and educate the dental on Environmentally Sustainable community about the importance of Oral Healthcare: A Joint Stakeholder sustainability, and how can dental Statement.” professionals contribute to a more Lastly, we create a newsletter with sustainable dental practice using the latest research within odontology, TePe products or guidance? TePe Odont News, it is translated and TePe offers a variety of educational shared locally on many markets – and initiatives to share knowledge and serves as an important part of our engage with professionals and knowledge-sharing initiatives globally consumers about healthy habits and the among professionals and consumers. importance of preventive care, and our products and solutions which promote Where can we find out more? long-term oral health and thus promote Read more from TePe Sustainability quality of life for people worldwide. Report 2022: TePe Sustainability report TePe patient folders are an important 2022 (ipapercms.dk). n

30 SUSTAINABILITY SPECIAL

Sustainability in dentistry The effect of COVID-19 on sustainability efforts by Christine Murthi

limate change is a complex issue affecting humans, ecosystems and the economy. Climate change is associated with shifting weather patterns, rising sea levels, rising sea temperatures, extinction of species and changing natural systems. The ‘hidden pandemic’ is expected to cause 150,000 deaths per year and by 2050, 250,000 additional deaths yearly (WHO, 2021). Recently, there has been a shift in focus due to a new health crisis, the COVID-19 pandemic which resulted in at least 3 million deaths worldwide (WHO, 2023). Deviating from the climate crisis to cope with a global health crisis slowed progress in achieving sustainable development. While some countries such as the United Kingdom have legislated to reduce carbon dioxide gas emissions, New Zealand and Australia have chosen to strive for carbon neutrality by 2050. The strategic change the government is aiming for is to create a more circular economy by minimising waste, resource recovery and maximising the value of renewable resources. The practice of sustainability emphasises the value of living within biophysical limits and avoiding overconsumption of natural resources. However, this is not seen consistently across different sectors or the public. In its current form, the healthcare industry including dentistry is a major contributor to greenhouse gas emissions. Dentistry

is a high-energy and resource-intensive industry that involves high demand for supplies, water, energy and the use of single-use plastics (SUPs). Oral healthcare (OHC) is mostly delivered without considering treatment-related impacts on the environment. Therefore, there is a need to support research and development into more sustainable PPE and recycling, which aligns with achieving a more circular economy. A call for action was issued recently by the FDI, “dentistry, as a profession, should integrate sustainable development goals (SDGs) into daily practice and support a shift to a green economy in the pursuit of healthy lives and wellbeing for all, through all stages of life” (FDI, 2021). FDI shared best practices on how the dental profession can reduce carbon emissions which focuses on four domains: preventative care, operative care, integrated care and ownership of care. According to the FDI, providing high-quality dental care and focusing on preventative care will help to ensure environmentally sustainable practice, therefore, achieving good oral health outcomes and reduced environmental impact. Prior to the pandemic, environmental sustainability in general was finding a good momentum. However, prioritising environmental sustainability during and post COVID-19 pandemic has been a challenge for the dental industry worldwide due to rigid infection control protocols. There is growing interest among oral health practitioners to become more

environmentally friendly but there is a lack of motivation due to unclear guidelines and gaps in knowledge (Martin et al., 2021; Grose et al., 2016). The dental industry needs to address environmental sustainability issues and improve policies. This requires a collaborative and interdisciplinary approach to accelerate efforts in reducing emissions and achieving carbon emissions reduction targets.

The environmental impact of COVID-19 pandemic Over the last decade, the sustainability efforts in dentistry have gained attention and produced action. Unfortunately, the growing awareness created through these past efforts has largely disappeared due to the Covid-19 pandemic. The highly infectious virus, severe acute respiratory syndrome

coronavirus 2 (SARS-CoV-2) has caused millions of deaths worldwide. Healthcare workers were more at risk of becoming infected through airborne transmission than the general population because of direct contact with patients. Transmission is an even greater risk for aerosol-generating procedures (AGP) which are commonly seen with dental treatment. Aerosols are generated with the use of ultrasonic scalers, rotary instruments, handpieces and air-water syringes. Dental practices are considered a high-risk environment for transmission and cross-infection. Full personal protective equipment

31 (PPE) such as sterile face masks or respirators of the correct specifications, gloves, shields, caps, bodysuits, gowns or aprons became critical items for carrying out AGPs. The COVID-19 outbreak resulted in a significant increase in the use of PPE by the healthcare sector, general public, food industry, transport industry and other essential workers; exacerbating the plastic pollution and negatively impacting efforts to reduce waste. WHO estimated that 89 million masks, 76 million gloves and 1.6 million safety glasses were required each month in the global response to the COVID-19 pandemic. In the years 2019 and 2020, 2.3 billion PPE items were distributed in England alone (Zhang et al., 2021). During the pandemic some US states, Portugal and UK loosened environmental policies to allow manufacturing of plastics to help stop the spread of the virus, slowing

“ Around the world there is growing evidence of discarded masks and gloves ending up in the ocean, on beaches and on nature trails” down or even reversing years of efforts in these jurisdictions to reduce plastic pollution. Around the world there is growing evidence of discarded masks and gloves ending up in the ocean, on beaches and on nature trails, and if disposal patterns continue it will result in about 75% of COVID-19-related PPE waste ending up in the environment (Zhang et al., 2021). Such plastic-based single-use items are not biodegradable and can stay in the environment for long periods of time; around 450 years before fully decomposing. In addition, microplastics in the oceans are ingested by wildlife and can enter the human food

chain which could cause adverse health effects (Zhang et. al., 2021). With the ongoing pandemic and the uncertainty of new variants of SARS-CoV-2 emerging, the high-usage of PPE and disinfectants will most likely continue in the foreseeable future (Zhang et al., 2021). According to Singh et al., (2020), masks could see a 20% increase in supply from 2020 to 2025. In UK studies it was estimated that there would be 66,000 tonnes of plastics generated in a year if each person wore one mask per day (Dean, 2020). This will be a challenge to manage sustainably if immediate actions are not taken to coordinate strategies that will address the manufacturing and waste lifecycle (Singh et al., 2020). For that reason, we as the dental profession should not underestimate the impact of this and advocate for a more effective waste management system. Healthcare professionals and their organisations have a moral, ethical and social responsibility to protect the public from harm. There is much need to increase the knowledge base of all healthcare professionals to support the shift to practising sustainably and integrate SDGs into daily practice. The increasing demand for PPE exacerbates issues relating to production and disposal which can cause added risk to the environment and atmosphere (Ahmadifard, 2020). Firstly, increased PPE production increases the demand for raw plastics which may lead to increased fracking or petrochemical manufacturing, both of which are toxic to the environment and add to carbon emissions (Ahmadifard, 2020). Secondly, since PPE is a ‘clinical waste’ its disposal is heavily regulated, often requiring incineration which releases toxins into the air. Incineration still doesn’t guarantee complete elimination and micro particles of plastic may still exist. Collectively, dental practices' use of SUPs and PPE can have a considerable environmental impact. The shift in priorities from acting sustainably to solely protecting self and the public

during the new health crisis is hindering progress in reaching SDG goals. Plastic consumption needs to be reduced which requires maximising its management whilst also reducing the burden on the waste management sector. A step forward would mean improving existing waste management infrastructures and developing a circular economy that allows for PPE to be recycled, reused and processed, minimising damage to the environment. n References Ahmadifard, A. (2020). Unmasking the hidden pandemic: Sustainability in the setting of the COVID-19 pandemic. British Dental Journal, 229(6). https://doi.org/10.1038/ s41415-020-2055-z Dean, R. (2020). PPE: polluting planet earth. British Dental Journal, 229(5). 267. https:// doi.org/10.1038/s41415-0202130-5 FDI. (n.d.) Sustainability in dentistry: Project goals. Retrieved May 28, 2023, from http://www.fdiworlddental. org/sustainability-dentistry Grose, J., Richardson, J., Mills, I., Moles, D., & Nasser, M. (2016). Exploring attitudes of knowledge of climate change and sustainability in a dental practice: A feasibility study into resource management. British Dental Journal, 220(4),187-191. https:// doi.org/10.1038/sj.bdj.2016.136 Martin, N., Sheppard, M., Gorasia, G., Arora, P., Cooper, M., & Mulligan, S. (2021). Drivers, opportunities and best practice for sustainability in dentistry: A scoping review. Journal of Dentistry, 112. Martin, N., Sheppard, M., Gorasia, G., Arora, P., Cooper, M., & Mulligan, S. (2021). Awareness and barriers to sustainability in dentistry: A scoping review. Journal of Dentistry, 112, 1-19. https://doi.org/ 10.1016j.jdent.2021.103735 Singh, Tang, & Ogunseitan. (2020). Environmentally Sustainable Management of Used Personal Protective Equipment. Environ. Sci. Technol, 54. https://doi.org/ 10.1021/acs.est.0c03022 Zhang, E. J., Aitchison, L. P., Phillips, N., Shaban, R. Z., & Kam, A. W. (2021). Protecting the environment from plastic PPE: Greener manufacture, use and disposal are urgent priorities. British Medical Journal, 372. http:// dx.doi. org/10.1136/bmj.n109 World Health Organization. 2021. Climate change and health [Online]. Available: https://www.who.int/newsroom/fact-sheets/detail/climate-change-and-health [Accessed 18/02/2023]. About the author: Christine Murthi is an Oral Health Therapist. She also has teaching/tutoring experience spanning more than ten years. Through this teaching experience combined with her diverse cultural background she has developed a passion for connecting with the community and students. Recently she joined Auckland University of Technology as a clinical educator. She is also currently working on her Masters in Health Science qualification. As a member of the Colgate Advocates for Oral Health: Editorial Community, her contributions to the dental community aim to highlight the importance of preventative care and strengthening this with oral health education. Republished with permission from Colgate Advocate’s for Oral Health

Christmas showcase The festive season is upon us once more and we've rounded up a few oral hygiene stocking-fillers 1 | ORAL-B

Oral-B iO Toothbrush

Clinical practice can be hard when you recommend an electric toothbrush but patients don’t comply. Maybe it is because they don’t like the noise, or because of perceptions of harshness. Introducing Oral-B iO toothbrush: the next generation of electric toothbrush. The 21st century design replaces old gear technology with the latest digital innovations to create a smooth, quiet, and enjoyable cleaning experience. More effective than manual, more effective than sonic, more effective than the original oscillating rotating design, this toothbrush maintains all the features of the original Oral-B brush, but with extra WOW.

The proven Oral-B design of the small round head design is relaunched to achieve maximum plaque removal from oscillationrotation action with the extra power of microvibrations. Feedback from the triple pressure sensor lets the user know when they are brushing too hard, and too soft, keeping the pressure just right for maximum clean. Connectivity allows

patients to track their progress over time, coaching them to a better clean. The new iO toothbrush delivers a brushing experience that your patients will love, and that you can recommend with confidence to keep your patients smiling. 2 | TEPE

NEW TePe® Dental Floss TePe Dental Floss is an expanding and strong dental floss that efficiently and gently removes plaque between teeth. The floss easily slides between teeth due to its coating in vegetable wax and avocado oil. The pfas free floss contains of multiple threads which make an increased cleaning surface. This efficient plaque remover is made from recycled water bottles which reduces the environmental impact. Daily use together with the mild mint flavor will leave you

feeling fresh and keep teeth and gums clean and healthy. The TePe Dental Floss has been developed in close cooperation with dental experts. To purchase TePe products, contact your dental wholesaler. 3 | Dsmile

Oral Health Care Range Award winning oral health care brand Dsmile launched its new range, encouraging Australians to embrace their at-home oral health routines as recent sobering statistics from the Australian Dental Association show 75% of Australians never floss their teeth, while one-in-five brush only once per day.

The new clinically developed range includes coloured and flavoured toothpastes, tooth brushes, mouth washes and flosses, supporting the Dsmile goal of empowering Aussies to embrace better dental health habits through a fun, sustainable and design-led approach. Dsmile was launched in 2021 by renowned dentist Dr Joseph Badr as a response to negative environmental and health trends he saw as a clinician leading five clinics.” 4 | CURAPROX

Hydrosonic Pro Professional Dental Care With Hydrosonic Pro, you get that professionally cleaned

feeling every time you brush – even with braces, implants, sensitive gums… and those hard-to-reach spots. Professional Cleaning: Hydrosonic Pro ensures a professionally cleaned feeling with up to 84,000 brush movements per minute. Precision in Hard-to-Reach Areas: The CURACURVE® bend in Hydrosonic Pro brush heads reaches difficult areas, including between teeth, braces, and implants, for thorough cleaning. Swiss Excellence in Bristles: Enjoy the optimal performance with Curen® bristles, proudly made in Switzerland and designed for mechanical and hydrodynamic cleaning. Versatile Brushing

Experience: Customise your cleaning with seven different levels, choose from three innovative brush heads (Power, Sensitive, and Single), and experience precision with the single tuft brush. Efficient and Convenient: Hydrosonic Pro features a powerful battery, providing over 60 minutes of brushing from a single USB charge, ensuring uninterrupted and efficient oral care. Limited-Time Promotion: Take advantage of our exclusive promotion! Enjoy a 20% discount on the Hydrosonic Pro until 31 December. Simply use the discount code HYDROSONIC20 on our website to upgrade your oral care routine today. 5 | CURAPROX

Interdental Brush And Interdental Access Probe The Curaprox Interdental Brush and Interdental Access Probe (IAP) provides a precise measurement of interdental spaces, ensuring accurate identification of the right-sized interdental brushes. Colour-Coded Calibration:

The unique colour-coded calibration system simplifies the process for dentists, making it easy to match the correct brush size to each patient’s interdental spaces. Efficient Cleaning: Studies have shown that using calibrated brushes identified with the IAP results in more efficient interdental cleaning compared to randomly selected brushes. Motivational Tool: The improved cleaning efficiency achieved with calibrated brushes can motivate patients to adhere to interdental care routines. Sterilisable and Practical: The IAP probe, being autoclavable, is a practical tool that maintains hygiene standards in dental practices. Comprehensive Charting: The IAP is supplemented with special cards containing an Interdental Access Chart (IAC), allowing dentists to record and mark the rightsized brushes for each interdental space. Integration with Chairside Box: The IAP is part of the Chairside Box, a comprehensive kit filled with a full range of interdental brushes that provides dental professionals with a convenient and complete solution for interdental care.

Avoidance of Gingival Trauma: The precision in sizing helps prevent gingival trauma by ensuring that the interdental brush fits appropriately into each space. Access to Premium Partners: Dental clinics interested in purchasing the Interdental brush chairside box with Interdental Access Probe (IAP) can contact one of the Premium Partners in their state. To explore options and make a purchase, simply click on the provided link to connect with a trusted Premium Partner: Contact Premium Partners

6 | GEM

Gem Triple Whitening Toothpaste Gem is the better-for-you oral care range worth smiling about. Our triple whitening, crisp mint fluoride toothpaste is high performing, with no nasty ingredients. Enriched with the earth mineral fluoride, this toothpaste focuses on preventing cavities, repairing tooth enamel and aiding in tooth remineralisation. With the perfect amount of fluoride, our formula is

backed by dentists and loved by our Gem community. Gem whitens without the harsh chemicals that strip your enamel. Instead, we use a proprietary blend of sodium bicarbonate & silica to brighten without sensitivity. We also include an oral probiotic to balance your mouth’s microbiome. None of our products contain what we call the “Nasty Nine”, ingredients like SLS, Triclosan and Titanium Dioxide. 7 | COLGATE

Colgate Optic White Light Up InChair system The Colgate Optic White Light Up In-Chair system uses a unique 10% hydrogen peroxide serum and an Indigo LED device to achieve up to 5.9 shade whiter in just a thirty minute treatment*.

This short treatment time is perfect for time poor patients, and it is also a plus for dental practitioners, as finding time in the dental schedule for traditional inchair whitening treatments which can take up to two hours, can often be a challenge.

Piksters size 000 is so fine it can go down perio pockets. Great with Chlorhexidine gel or similar. Use with Power Pikster to add sonic power to your interdental brush!

8 | PIKSTERS

NEW Piksters Size 000 Interdental Brush 25% Off

9 | PIKSTERS

NEW Piksters Interdental Brush Gap Sizing Probe

For ultra fine tooth gaps... So fine it will fit into a hole just .55mm in diameter. Perfect for cleaning in between tight spaces (especially stripped incisors). Excellent for younger patients with smaller interdental spaces. Great for cleaning in-between braces. Piksters size 000 can go into furcations - partial or through and through.

One probe covers 9 sizes! FREE when you purchase Piksters Size 000

Measure all sizes accurately so you can be sure our brush fits the gap. Generous 4mm band enables easy size visualisation. Simple and easy size recognition using corresponding position and number on the handle. Laser marked to avoid paint scratch off. 25% off now just $3.25/10 pack (usually $4.35/10 pack) PLUS get a FREE Piksters Gap Sizing Probe. Product Code: .PK00010 10 brushes per packet. Minimum order 10 packets Use code: PIK000 to get this offer. Valid from: 6-31 Dec 2023 Order from: pikstersdental.com Email: sales@piksters.com Phone: 1800 817 155

36 LEARNING AGILITY

Learn to lead The final part of our series on core leadership skills fundamental for building your leadership muscle By Lyn Carman

THROUGHOUT THIS SERIES, we have discussed the subject in general along with the four core skills - SelfAwareness, Communication, Influence, and ending with Learning Agility. Learning agility is the capacity to acquire new skills, knowledge, and insights rapidly, and apply them effectively. It involves not only the willingness to learn but also the ability to embrace change, make sense of new information, and adapt our behaviour accordingly. People with high learning agility tend to be more resilient, innovative, and adaptable. “Learning agility is the willingness and ability to learn, de-learn, and relearn. Limitations on learning are barriers invented by humans.” Pearl Zhu This quote suggests the things that sometimes make learning difficult are not part of the learning process itself, but are more like hurdles we’ve made in our minds. So, if we change how we think about these obstacles, we can overcome them and learn more effectively. Let’s break this down a little further and consider how we can improve our ability to overcome the barriers. Willingness to Learn: This refers to being open and eager to acquire new knowledge or skills. It’s having an attitude that says, “I’m ready to explore and understand something new.” Ability to Learn: Having the capability to actually grasp and absorb information effectively. Knowing your learning style really helps. It involves using your brain, senses, and other tools to understand and retain new things. De-learn: De-learning means

letting go of old information or ways of doing things that might not be as relevant or effective anymore. It’s about unburdening yourself from outdated knowledge or habits (even though they may feel super comfortable). Relearn: Relearning is the process of acquiring new knowledge or skills to replace what you’ve de-learned. It’s like updating your mental software to stay current and adaptable. Limitations on Learning: This refers to anything that holds back or restricts the learning process. It could be self-doubt, fear, closed-mindedness, or any obstacle that hinders natural curiosity and growth. Barriers Invented by Humans: These are obstacles or restrictions that people create, knowingly or unknowingly. It could be things like preconceived notions, biases, or rigid beliefs that hinder the open-mindedness needed for effective learning. Therefore, learning agility is having the mindset and skills to embrace new knowledge, let go of outdated stuff, and continuously update yourself. The idea is that often, the only things stopping us from learning are the mental barriers we create for ourselves. So, being open, flexible, and ready to adapt is the key to limitless learning. In our fast-paced, ever-changing world, the ability to adapt and learn quickly has become not just a valuable skill but an essential one. As our profession evolves, technologies advance and new challenges emerge, those who possess learning agility are better equipped to navigate these shifts

and excel in their careers. In dentistry, this has never been truer than right now – so let’s explore the concept of learning agility, its significance, and how you can cultivate this essential skill to stay ahead in a constantly changing environment. Navigating Uncertainty: In a world characterised by uncertainty, being adaptable and open to learning is essential. People with learning agility can quickly pivot, adjust, and find new opportunities when faced with unexpected challenges. Remaining Relevant: Our profession and job roles are constantly evolving. Learning agility enables individuals to stay up to date with the latest trends, technologies, and best practices, ensuring our continued relevance in the workplace. Problem-Solving: When confronted with complex problems, those with high learning agility can break down issues, seek new information, and develop innovative solutions, making them valuable contributors to the situation. Leadership Potential: Learningagile individuals often exhibit strong leadership potential, which is one of the core skills. They can inspire others to embrace change and encourage a culture of continuous improvement. There are a number of ways to develop and nurture learning agility: Embracing Challenges: Challenge yourself with tasks or situations that are outside your comfort zone. Embracing challenges, whether they involve learning a new skill or taking on a leadership role in a project, is a way to develop learning agility. Seek Feedback - Actively seek feedback from peers, mentors, and those whom you trust. Constructive criticism is a valuable tool for personal growth. It provides insights into areas where you can improve and highlights your strengths.

37 Expand Your Comfort Zone: Don’t settle for the status quo. Regularly step out of your comfort zone and engage in projects or activities that require new skills or knowledge. This may involve putting your hand up to try something new at work or pursuing hobbies and interests that challenge you. Develop a Growth Mindset: Adopt a growth mindset that embraces challenges and views failures as opportunities for growth. Believe in your capacity to learn and improve, and understand that intelligence and abilities are not fixed traits. With a growth mindset, you’re more likely to embrace new challenges and persevere in the face of setbacks. Continuous Learning: Desire to commit to continuous learning (not because we have to). Whether it’s through formal education, online

“ The only things stopping us from learning are the mental barriers we create for ourselves”

courses, or self-directed reading, stay curious and expand your knowledge base. Lifelong learning is a cornerstone of learning agility. Networking: Connect with professionals from diverse backgrounds. Engaging with people with different perspectives can expand our horizons and foster learning agility. Networking exposes us to new ideas, approaches, and opportunities for personal and professional growth. Experimentation: Don’t be afraid to experiment and try new approaches. Learning agility often involves trial and error. When we experiment, we gain valuable insights that contribute to our adaptability and problem-solving skills. Reflection: Set aside time for reflection. Consider what you’ve learned from your experiences and how you can apply those lessons in the future. Regular reflection enhances our ability to make sense of new information and adapt our behaviours accordingly. Adaptability: Practice adaptability in your daily life. Be open to change, whether it’s a change in workplace procedures or a shift in your personal routines. Embracing change as an opportunity for growth is a hallmark of learning agility. Collaboration: Collaborate with colleagues and peers

to learn from their experiences and perspectives. Sharing insights and working together on projects can broaden our knowledge and strengthen our ability to adapt. Inspiring Learning in Others: To develop as leaders and as people, we need to be active, agile learners. Leaders need to be in a mode of constant learning, valuing and seeking out experiences to fuel leadership development, and recognising when new behaviours, leadership skills, or attitudes are required — and accepting responsibility for developing those. Cultivating a Culture of Learning: For leaders, learning agility is also about inspiring learning in others and creating a culture of learning. Learning agility is not just a skill but a mindset. Embracing change and staying open to new knowledge and experiences can make a significant difference in your career and life in general. By continuously developing your learning agility, you’ll not only stay relevant but also thrive in a dynamic and changing environment. And with Learning Agility, our leadership series wraps up—here’s to thriving as leaders with a flexible mindset and the groove of continuous growth, whether it is in your professional life, home life or navigating everything in between. If your actions inspire others to dream more, learn more, do more and become more - You are a leader. John Quincy. n

A full state-by-state run-down of Association happenings around the country

STATE NATION Left: ACT committee and presenters; Above: Door prize from our sponsor

ACT ACT contacts: Director Amy McDermott directoract@dhaa.info Chair Kate Spain. chairact@dhaa.info

n The full day ACT endof-year celebration was held on Saturday 25 November at the Crown Plaza Canberra, featuring periodontist Dr Robert Fell, oncology radiologist Dr Alison Salkeld, paediatric dentist Dr Peter Wong, aged care dentist Dr Mark Wotherspoon and hygienist Brenda Fry. It was a great gathering of local members to celebrate another fulfilling year of hard work. We thank the ACT committee led by Kate Spain for their tireless

work in organising so many activities for ACT members. The 2024 ACT CPD program will kick off with a dinner event at the QT Hotel on Tuesday 20 February. Please look out for the release of the program and registration opening.

NSW NSW contacts: Director Jinous Eighani-Roushani directornsw@dhaa.info

n NSW held the two joint DHAA-ADOHTA

hands-on workshops on Ergonomics & Edges, and Posterior Restoration at the Mercure Hotel in Chippendale on Saturday 21 October. Members of both associations enjoyed the opportunity to network and learn together from trainers Amanda Tomlin and Paulette Smith. The next NSW CPD event will be a Perio Masterclass on Saturday 24 February at the Mercure Hotel Newcastle. The masterclass features well-known experts, Dr Tihana DivnicResnik, Tabitha Acret, Professor Dileep Sharma,

Dr Vijay Tumuluri, and Dr Avinash Suryawanshi. Registration is now open and with such a line-up of experts and topics, the places will be filled very early so book your place ASAP. REGISTER The DHAA is pleased

“ It was really inspiring to hear the students presenting their projects on the day [at the Sydney University BOH Symposium] ” An impressive turn out at the Sydney Uni BOH Symposium

39 For all the latest info on DHAA events please visit www.dhaa.info/events

to provide a sponsorship for the Sydney University BOH Symposium with NSW Committee member Ian Epondulan attending the event. It was really inspiring to hear the students presenting their projects on the day. Congratulations to Jinous Eighani-Ropushani who took over from Warrick Edwards as NSW director on the DHAA Board in November this year.

NT NT Contact: Staff Bill Suen bill.suen@dhaa.info

n NT members were treated with a special CPD dinner in Darwin with specialist periodontist Dr Kwn-Yat Zee, who presented on the long-term prognosis of periodontally involved teeth. The session was broadcast to members in the NT who

“ The DHAA Offshore seminar in Bali planned for the long weekend on Saturday 8 June 2024. Get your passports ready!”

were not able to attend in person. We are grateful for DHAA member Leonie Brown for coordinating the event, and NT Dental for inviting Dr Zee and making their clinic available for the evening. The event was open to both DHAA and ADOHTA members and attracted over 20 registrants from all parts of the NT. Of special interest to our NT members is the DHAA Offshore seminar in Bali planned for the long weekend on Saturday 8 June 2024. This popular event will return in 2024 so please start getting your passport updated and ready. Registration is now open

of a presentation/lecture feel and more of a focus on networking, collaboration and well-being starting with an optional Yoga session prior to the presentations from Joanne Stanbury, Leigh Harrison-Barry and Dr Kelsey Pateman. The 2024 QLD CPD program will commence with a halfday CPD event on Saturday 9 March, so please mark this in your diary to make sure you are available to attend.

SA Contacts: Director Michelle Kuss michelle.kuss@dhaa.info

Qld

Chair Sue Tosh chairsa@dhaa.info

Qld Contacts: Director Carol Tran. directorqld@dhaa.info Chair Stacey Billinghurst chairqld@dhaa.info Deputy Chair Karen Smart contactqld@dhaa.info

n The Queensland committee hosted its Christmas celebration brunch at the Brisbane CQ University on Saturday 2 December. The event was a little bit different to the usual events, with less

Deputy Chair Courtney Rutjens contactsa@dhaa.info

n SA hosted the 2023 DHAA National Symposium at the Adelaide Convention Centre. Besides a full array of expert presenters, the program included the President’s Reception at the UniSA’s Museum of Discovery (MOD), the Students and Graduates Networking Night at the Richmond Hotel, and the Gala Dinner at the Adelaide Festival Centre. The Symposium exhibition also included wine tasting from

“ A big thank you to the organising committee and the SA committee for all their hard work and support that resulted in one of the best symposia we have ever had” leading local winemakers. A big thank you to the Organising Committee and the SA Committee for all their hard work and support that resulted in one of the best symposia we have ever had. The annual SA Christmas Brunch was held at the The Feathers Hotel in Burnside on Sunday 3 December. This highly popular event that everyone talks about did live up to everyone’s expectations. Guest speaker Carolyn McInarlin’s presentation on Homelessness was most powerful and touched everyone’s heart. If you don’t want to miss out on the opportunity to join your colleagues for a memorable education experience at the beautiful destination Auchendarroch House on Saturday 23 March 2024, please pop the date in your calendar and look out for an announcement of the program and registration.

40 For all the latest info on DHAA events please visit www.dhaa.info/events

Tas TAS Contacts: Chair Karen Lam chairtas@dhaa.info Staff Bill Suen bill.suen@dhaa.info

n The Joint DHAA ADOHTA full day seminar in Launceston was held on Saturday 17 November at the Sebel Hotel. Despite two presenters having to pull out due to illness, the comprehensive education program had expert presenters including Dr Alex Du Bois on periodontics, Dr Ruthy Hernandez on cosmetic injectables, Dr Marshall Anderson and Dr Kate Barker on TMJ, Dr Annika Wilson on maternal and child oral health, and Dr Ioan Jones covered special care dentistry. The 40-plus attendees enjoyed networking with peers from both DHAA and ADOHTA while gaining new clinical knowledge from the experts. It was a great success and thanks to Karen Lam and

our ADOHTA colleagues for making this possible. The incredible door prize included an Orascoptic Spark Cordless Headlight, valued at $1,300, and was a wonderful surprise gift for all our winners on the day. Karen has already planned another great full-day event for Saturday 11 May so please mark this in your diary for when the program is released. You will not be disappointed.

Vic Vic Contacts Director Roisin McGrath directorvic@dhaa.info Chair Cathryn Carboon chairvic@dhaa.info Deputy Chair Sarah Laing contactvic@dhaa.info

n The annual Kooyong Lawn Tennis Club Victorian DHAA Christmas brunch was held on Saturday 2 December. Topics included, the role of DHs/OHTs in head and neck cancers, oral mucosal

“ The event [Christmas Brunch] was as usual very popular and attendees were treated with great education and enjoyable social networking with a champagne lunch on the day.”

Victorian MP Bill Tilley with VOHA spokesperson, Tony McBride, to advocate for funding for Victorian oral health promotion and public dental services.

diseases, sleep disorders, and orofacial myofunctional therapy. The event was as usual very popular and attendees were treated with great education and enjoyable social networking with a champagne lunch on the day. Vic Chair Cathryn Carboon attended the ADAVB oral health promotion committee meeting while CEO Bill Suen represented DHAA on the Victorian Oral Health Alliance and submitted the 2024 Victorian Budget Submission with oral health prevention as the top priority. He also met with

Staff: Bill Suen bill.suen@dhaa.info

OHT Shae Beaton presents on cancer patient management at Kooyong

WA WA Contacts Director: Phoebe Thomas . directorwa@dhaa.info

n WA had another successful half-day education event on Sunday 12 November at the Royal Perth Golf Course. The three-hour education program flew quickly with Jill Burns providing tips on how to navigate the plethora of health information, Dr Ahmed Saleh presenting on Perio treatment planning and Dr Lalima Tiwari on Sleep Bruxism. All agreed that it was a great education program, a great venue and great company. We farewell Phoebe Thomas who will leave her role of WA Director at the end of this year. Natasha Hunt is taking a break from the WA committee to travel overseas. Natasha and Phoebe both played a critical role in organising most of the WA events in the past year and we thank them for their great work and wish them well with their endeavours. n

2024 Event Calendar Get your diaries out and book your time off for next year! MONTH

DATE

EVENT

MONTH

DATE

EVENT

Feburary

15 Feb

Webinar

September

11 Sept

Webinar

20 Feb

ACT Dinner

26 Sept

Webinar

24 Feb

NSW Full Day

9 Oct

Webinar

24 Feb

WA Breakfast

26 Oct

Webinar

29 Feb

Webinar

13 Nov

Webinar

2 Mar

VIC Brunch

15 Nov

NSW Dinner

9 Mar

QLD Half Day

16 Nov

TAS Full Day

13 Mar

Webinar

22 Nov

ACT Dinner

23 Mar

SA Half Day

23 Nov

VIC Half Day

28 Mar

Webinar

28 Nov

Webinar

April

10 Apr

Webinar

30 Nov

WA Half Day

May

4 May

WA Full Day

4 Dec

Webinar

11 May

TAS Full Day

7 Dec

QLD Brunch

15 May

Webinar

8 Dec

SA Brunch

22 May

SA Dinner

30 May

Webinar

8 Jun

Bali Full Day

12 Jun

Webinar

22 Jun

NSW Full Day

27 Jun

Webinar

10 Jul

Webinar

13 Jul

QLD Full Day

25 Jul

Webinar

2 Aug

SA Full Day

3 Aug

VIC Full Day

17 Aug

ACT Full Day

14 Aug

Webinar

25 Aug

Webinar

March

June

July

August

October

November

December

*NT event dates are to be confirmed

For all the latest info on DHAA events please visit www.dhaa.info/events

Key to the state colours n ACT

n NT

n SA

n Vic

n NSW

n Qld

n Tas

n WA

Develop Empower Support www.dhaa.info

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