ADAQ Dental Mirror - Summer 2023

EDITOR

Dr Kelly Hennessy

EDITORIAL TEAM

Dr Jay Hsing

Dr Gary Smith

Ms Lisa Rusten

Ms Melissa Kruger

PRODUCTION

Published by the Australian Dental Association (Queensland Branch)

CONTACT

26-28 Hamilton Place

Bowen Hills Qld 4006

PO Box 611, Albion Qld 4010

Phone: 07 3252 9866

Email: adaq@adaq.com.au

Website: adaq.org.au

ADVERTISING KIT

Information on advertising, deadlines and artwork specifications are available in the ADAQ Advertising Kit: adaq.org.au/advertising

GRAPHIC DESIGN

Jack Cartwright-Glavas, ADAQ

COVER ART DESIGN

Jack Cartwright-Glavas, ADAQ

ADAQ COUNCILLORS

PRESIDENT

Dr Jay Hsing

SENIOR VICE PRESIDENT

Dr Kelly Hennessy

JUNIOR VICE PRESIDENT

Dr Paul Dever

COUNCILLORS

Dr Carl Boundy (Peninsula)

Assoc Prof Alex Forrest (Moreton)

Dr Jayarna Hartland (Gold Coast)

Dr Peter Jorgensen (Sunshine Coast)

ADAQ SUB-BRANCHES

Bundaberg

Dr Paul Dever

Ipswich

Dr Andrew Wong

Kingaroy

Dr Man Chun (Simon) Lee

ADAQ COMMITTEES

Policy, Advocacy and Advisory Committee

Convener: Dr Norah Ayad

Awards and Honours Committee

Convener: Dr Jay Hsing

Dr Rachel Millford (Western)

Dr Ellen Rogers (Moreton)

Dr Grace Sha (Moreton)

Mackay

Dr Raghu Channapati

Sunshine Coast

Dr Peter Jorgensen

Rockhampton

Dr Kelly Hennessy

Recent Graduates and Students Committee

Toowoomba

Dr Phoebe Fernando

Gold Coast

Dr Norah Ayad

Cairns

Dr Brian James

Convener: Dr Phillip Nguyen

Volunteering in Dentistry Committee

Convener: Dr Jay Hsing

FROM THE PRESIDENT

BY DR JAY HSING

It's a great honour to address you again as the President of our Association!

THE PRESIDENCY

I am grateful for the opportunity and privilege that has been afforded to me by you, my fellow members, and by my fellow ADAQ Council members. A special debt of gratitude goes to Senior Vice President, Dr Kelly Hennessy, from Rockhampton and Junior Vice President, Dr Paul Dever, from Bundaberg. Their words of wisdom were included in the previous (Spring) edition of the Dental Mirror after I invited them to contribute to the President’s Address.

I am especially grateful as both Kelly and Paul already have the vision, leadership qualities and drive to take their next step in their leadership journey at ADAQ. When I discussed the possibility of my nominating to be President again, both strongly encouraged me to do so if that was my wish. In our open and frank discussions, I advised them that I would nominate again only if it did not adversely interfere with either their career plans or family commitments. It is only with their full support and blessing that I am your President again.

Drs Michael Coolican (1984 & 1986) and Paul Renner (1998 & 2004) have also served as our President in multiple, albeit nonconsecutive, years. The last person to be President of our great Association in back-to-back years was Dr J M (“Mick”) Eustace in 1982-83, some 41 years ago!

That was the same year that Risky Business, starring a young Tom Cruise, and Flashdance hit the big screens and Michael Jackson's Thriller went to number 1 in the US 200 Billboard. The dental profession wearing gloves to see patients was still relatively new and around half of dental practitioners currently registered with Ahpra today had not been born yet, including yours truly.

A lot has changed since 1983 and not just Tom Cruise’s midline. The dental world has seen the introduction of nickel titanium rotary endodontic files, digital x-rays and the advent of other technologies and treatment modalities.

However, some things remain unchanged. Firstly, the position of President of our Association is not one of power but rather one of responsibility. We are, after all, simply custodians of the positions that we hold. It is important to me that I leave our Association and profession in a better place than when I inherited it. Secondly, dentists are first and foremost health care service providers that have been given the responsibility and privilege of the community’s trust to look after them.

These two points are encapsulated by ADAQ’s Vision and Mission Statements.

ADAQ's Vision - "We believe all Queenslanders deserve excellent oral health and access to ethical and effective dental care driven by clinical excellence” and Mission - “We work hard every day to support our dental community in advancing the oral health of all Queenslanders” resonates with me deeply.

ADAQ'S VISION AND MISSION

ADAQ’s Vision - “We believe all Queenslanders deserve excellent oral health and access to ethical and effective dental care driven by clinical excellence” and Mission - “We work hard every day to support our dental community in advancing the oral health of all Queenslanders” resonates with me deeply.

I am sincerely grateful towards my fellow Councillors, committee members and the amazing ADAQ staff led by our CEO, Lisa Rusten. Their hard work, commitment, dedication and passion in striving for our Vision and in carrying out our Mission is something I am extremely proud of. It has been wonderful and inspiring working with them during my four years on Council so far.

In my previous addresses, I have listed all of ADAQ’s achievements recently so I won’t repeat them all again here. However, it is worth mentioning again the continuous improvements our Association has made in providing support and services for members.

Our CPD program that is modern, diverse and evidence-based continues to improve especially with your feedback under the Quality Assurance scheme. Council also endorsed a rural initiative that will see CPD events at more regional centres. The first one is already being planned so watch this space!

For the seventh consecutive year, there will be no increase in membership fees and for the third year running the 10% Early Bird Discount for the ADAQ portion of membership fees will be offered.

ADAQ as a vibrant and sustainable organisation

Continuing Professional Development for Dentists and the dental team

Expand our reach across all dental sectors and geographic regions in Queensland

Building and developing effective relationships

This is no small feat given the much publicised rate of inflation. With the 10% Early Bird Discount, I am pleased to announce ADAQ members have the lowest membership fee of any Branch in the country!

At the same time, the services provided to ADAQ members have expanded, including the member assistance program (health and well-being program and access to free psychological counselling), financial and non-financial support for Sub-Branches and affiliated study clubs, and more.

Our Association should also be proud of the work it’s done in the public health and advocacy space. Last year, we were invited to give evidence as an expert witness at a public hearing for the Queensland Government’s Parliamentary Inquiry in to reducing the use of electronic cigarettes. We’ve also been involved in the media with regards to the importance of improving the level of water fluoridation in the state towards the end of 2023.

All of this only happens with a lot of work behind the scenes from Council, ADAQ’s Policy and Advocacy Advisory Committee (PAAC) and staff members. I must give special thanks and congratulations on a job well done to our PAAC members. Dubbed the “impacters”, they’ve certainly made a positive impact this year. I must also acknowledge the hard work and efforts of others over many years on issues such as water fluoridation. It is only with sustained efforts and teamwork that the recent opportunities arose and that we were able to take advantage of such opportunities.

REFLECTIONS ON 2023

It was an honour representing Council, ADAQ members and the profession in Queensland. Thank you to fellow Council members for their support, counsel and assistance throughout the past 12 months.

Thank you to our CEO Lisa Rusten for her unwavering commitment to making ADAQ the best it can be. The processes she has implemented at ADAQ over the last few years has modernised our organisation and improved productivity substantially. Thank you also to all committee members, Lisa’s management team and ADAQ staff.

I have enjoyed serving as the Chair in Council meetings as discussions are always polite, courteous and respectful even when there have been different points of views. While consensus doesn’t necessarily need to be achieved, it has been pleasing how regularly consensus is reached after all view points have been considered.

It’s been an honour to represent and advocate for the Association and the wider profession. It was a privilege to attend the Public Hearing for the Parliamentary Inquiry in to reducing the usage of electronic cigarettes as an expert witness.

It has also been a pleasure speaking to dental students, meeting with stakeholders from government and educational institutions to other professional bodies. It has been pleasing that our specialist societies, study clubs, sub-branches and universities have engaged with me as President and by association with ADAQ. By providing things important to members and other stakeholders, our Association’s relevance and significance continues to grow.

One of the most enjoyable aspects of being President is how you, my fellow members, regularly come up to me, even at non-ADAQ events, to let me know you think ADAQ is doing well.

I thank you from the bottom of my heart for this support on behalf of the great team that is responsible for what you see.

Another thing I am proud of is how, despite some unwanted distractions, Council has managed to get on with what’s important, what’s in alignment with our Strategic Plan and what will make a meaningful difference to our Association, to members and the public that our profession serves.

In conclusion, last year was both enjoyable and rewarding as the Association’s President. I am grateful for all the support that has been afforded to me. I look forward to serving as your President in 2024.

HOPE

Despite the challenges facing the profession, I am hopeful that the future is bright. As Irene Cara says in Flashdance,

First when there's nothing But a slow glowing dream That your fear seems to hide Deep inside your mind

Take your passion And make it happen Pictures come alive You can dance right through your life What a feeling

I have been boosted by the words of those in our profession who are passionate health care providers. The periodontist at FDI who spoke passionately about preventing periodontal disease. The paediatric dentist who speaks passionately about minimal intervention. The friend and colleague who was happy to also talk to young dentists to let them know there is a supportive and kind world out there.

2023 GRADUATES

To the Class of 2023, I extend to you a warm welcome to the profession. I sincerely hope you get as much joy and fulfilment from dentistry as I do. Make each day primarily about service and helping people. If you genuinely care and do good work, you will be successful. Don’t try to be everything to everyone. You only need to be smart, and humble, enough to recognise when you need help.

Look after and mentor those who are there to help you. You cannot do your job properly by yourself. Always do your best so you can happily sleep at night and when you have a bad day, don’t be too hard on yourself. Reflect on your shortcomings and learn from the experience. It never gets easier, you just get better.

FINAL THOUGHT

I wish you all a wonderful and fulfilling year ahead!

We

Recent Graduate Checklist

Recent Graduate

Bundles

CONGRATULATIONS TO OUR BOQ SPECIALIST & ADAQ CPD BURSARY RECIPIENTS.

BOQ SPECIALIST EMERGING PRACTITIONERS BURSARY FOR DENTAL EXCELLENCE RECIPIENT DR GRACE TOLL

Cassowary Coast Region | Member since 2018

CAREER

Ever since Year 9 in High School I have wanted to be a dentist in regional Queensland. I completed work experience at a local private dentist in high school and have had a burning passion for the profession since then. I completed high school and deferred my Dental Surgery acceptance at JCU in Cairns for 1 year to work in the industry as a dental assistant and to obtain my Certificate III in Dental Assisting.

Since then, I have worked as a certified dental assistant every university holiday at a different dental practice in Bundaberg, my hometown. In December 2022 I graduated from James Cook University with Distinction and the ASPQ Medallion Award.

I am currently employed by Queensland Health as a Dental Officer on the Cassowary Coast. I remained in Far North Queensland following graduation as this was my dream position and I am close to my partner.

I am incredibly driven about bringing smiles to the beautiful Cassowary Coast community. From the stunning beaches to the lush rainforests, I am committed to ensuring that everyone here has access to exceptional dental care. Making a positive impact on the oral health of this unique region is what truly drives me!”

Throughout my 5th year of university, I completed two six-month placements in both Hobart and Atherton. Both placements opened my eyes to public and Indigenous health which strengthened my dreams of working for the government post-graduation. It was throughout the last years of my degree that I realised my voice would be heard by a wider audience in Queensland Health as I would be seeing a higher number of patients, with the freedom of discussing multiple treatment options and encouraging them in a safe, comfortable space to increase their oral hygiene – with advice specific to them.

I currently work at both the Tully and Innisfail Dental Clinics. Both clinics have two chairs and a dental van which services the school dental patients.

HOW WILL THE BOQ SPECIALIST AND ADAQ CPD BURSARY SUPPORT YOU?

It has always been a dream of mine to increase the oral health of those in regional Queensland and to be currently living this dream I am already so lucky. Receiving this bursary will be the absolute cherry on top for me and my patients!

After working as an associate for nearly 20 years, I became a solo dental practice owner in late 2022. This bursary allows me to refresh my knowledge and skills so that I can increase the scope of services I provide my patients while supporting my staff’s training and development needs. This bursary lightens the financial load that often prevents dentists new to practice ownership from completing face-to-face courses. I am very grateful for the support.

BOQ SPECIALIST PRACTICE BURSARY FOR DENTAL EXCELLENCE RECIPIENT

DR JAMES GIBSON

Townsville | Member since 2010

DIRECTION FOR FUTURE CAREER

I am hoping to be accepted into a Doctor of Clinical Dentistry - Prosthodontics - a specialist training program. I have not been selected for the 2024 course but have been encouraged to do a graduate certificate, and spend some time with specialist prosthodontists. I am spending time with a prosthodontist next month (there is none in Townsville so I have to travel for this), and am having a second meeting with a research project facilitator tomorrow for my application for the graduate certificate next year.

PRACTICE AND COMMUNITY

In Townsville - a tiny clinic where we struggle to find room to store our stock, but we have it clean, organised and ready for any dental treatment we need to execute. My team does so much more work to keep the focus on patient care than any other team I have worked with, and it allows me and my dental clinicians to focus on what we need to - planning and dental treatment.

ADAQ proudly partnered with BOQ Specialist for the seventh consecutive year, to award two exemplary dental professionals CPD bursaries, valued at $5,500 each, in recognition of their commitment to advancing the oral health of Queenslanders and dedication to learning and career development.

ADAQ 2023 AWARD RECIPIENTS

Each year, ADAQ recognises Members or meritorious individuals who have rendered honourable and distinguished service to the Association or the dental profession as a whole, and who worke towards better oral health outcomes for Queenslanders.

DR ROBERT (GARY) SMITH DISTINGUISHED SERVICE AWARD

Gary opened the practice in 1988 following the completion of his post-graduate studies in the field of removable prosthodontics. He specialises in the fabrication of complete dentures with a particular interest in the Mandibular Suction Denture Technique of Prof Jiro Abe.

Gary is committed to the profession of dentistry and has served on various committees of the Queensland Branch of the Australian Dental Association (ADAQ). He was elected to the council of the dental association in 2008 and was the 2017 President.

Gary Smith has given exemplary service to the objectives of ADAQ and is a worthy recipient of the Distinguished Service Award. From his work on Council to his stewardship of the history committee he has worked tirelessly and humbly to make a real difference. You won’t see him trying to grab the headlines – just working away quietly and effectively to make a real difference. His encyclopaedic dental history knowledge is second to none. Always with a smile on his face and a good word for everyone he never criticizes or complains. A positive attitude and a positive contribution from a great mentor to many. It has been a privilege to be part of his team in keeping our dental history alive.

Dr Rob McCray | ADAQ Past President

DISTINGUISHED SERVICE

For Members who, for a substantial period, have rendered distinguished service to the Association or the dental profession.

DR WILLIAM (BILL) KAHLER DISTINGUISHED SERVICE AWARD

Dr Kahler graduated from the University of Queensland dental school in 1983. Bill practised in private care all around Australia for a number of years before training for a clinical doctorate in Endodontics.

He teaches and lectures locally and internationally, and acts as a reviewer for a number of leading dental journals. Over many years, Dr Bill Kahler has not only maintained a successful private endodontic practice, but has also been involved in teaching and researching at an international level. This level of commitment to the dental profession deserves recognition.

Bill has extensive research in regenerative endodontics using stem celled-based therapies. He is a director and treasurer of the International Academy of Dental Traumatology, and has authored chapters in dental textbooks, as well as being widely published for his research. He has taught many students and passed on his knowledge of endodontic diagnosis and treatment in a clear and succinct manner.Bill continues to research in the fields of endodontics and dental traumatology and he is recognised world wide for his achievements.

Dr Monica Smith | ADAQ Member

DR THOMAS CONDON DISTINGUISHED SERVICE AWARD

Tom has been an exemplary dentist since graduation. He served as a government dentist in leadership roles as dentist in charge in Winton to senior positions in the school dental service and Queensland Health through the 1980s and 1990s. Subsequently he moved to and practised privately in Stanthorpe.

He has contributed to dentistry in rural and remote Queensland as well as administration. He served in the Army Reserve from the early 1980s through the 1990s rising to the rank of Major and earning a Reserve Forces Decoration. Tom has had a very long involvement in a range of associations supporting disabled persons. His community involvement has reflected very positively on the dental profession over an extended timeframe.

Dr Rick Olive | ADAQ Past President

WELCOME TO THE STARTING LINE

BY DR PHILLIP NGUYEN | ADAQ

RECENT GRADUATES & STUDENTS COMMITTEE CONVENER

If you are reading this and you have recently graduated, congratulations on completing your studies! Finishing dental school is not an easy feat but your hard work has paid off and you should be immensely proud of yourselves.

Throughout your working life, you will be in the privileged position of being able to make a significant difference. Most notably, this will be through the care of your patients, but I encourage you to be a champion for good oral health both in your community and by connecting with fellow dentists through your professional association, the ADAQ. They provide a wide range of benefits that will really make your transition from student to dentist much more smooth. These include:

PROFESSIONAL SUPPORT

ADAQ offers crucial support during the initial phase of a dentist's career, including mentoring programs tailored for new graduates. This helps bridge the transition from academic learning to real-world practice.

NETWORKING OPPORTUNITIES

ADAQ often hosts events, seminars, and workshops where new graduates can meet and interact with experienced dental professionals. These interactions can provide invaluable learning and potential job opportunities.

CONTINUING PROFESSIONAL DEVELOPMENT (CPD)

Keeping skills up-to-date is crucial in dentistry. ADAQ provides a range of CPD courses which are discounted for members and they offer a Recent Grad CPD bundle discounted even further, ensuring new graduates continue their learning journey.

ACCESS TO RESOURCES

Membership comes with access to journals, research papers, and other professional resources. For new graduates, these can be essential in staying informed about the latest in dental science and technology.

ADVOCACY

ADAQ represents the interests of its members at both state and national levels, ensuring the voices of even the newest members of the profession are heard when it comes to policy-making and industry standards.

INSURANCE DISCOUNTS

ADAQ offer up to 18 months free professional indemnity insurance for new graduates, an essential for practising dentists.

PRACTICE SUPPORT AND GUIDANCE

Starting or joining a practice can be daunting for new graduates. ADAQ offer guidelines, toolkits, and advice on practice management, ensuring that new dentists can establish themselves with confidence.

WELLBEING AND SUPPORT SERVICES

Recognising the challenges faced by new professionals, ADAQ offer wellbeing resources and services, including a helpline and confidential counselling to support members in their early career phase.

ADAQ MEMBERSHIP BENEFITS

When I think back to the first days following my graduation from dental school, I am flooded with a blend of emotions—excitement, anxiety, pride, and sheer apprehension. Having experienced this myself, allow me to share my personal experiences of this transition.

The weight of the graduation cap felt symbolic. It was as if with every step I took on that stage, the culmination of years of sleepless nights, rigorous practicals, and seemingly endless theory sessions walked with me. I felt prepared, having been armed with the latest techniques, tools, and knowledge. But alongside the pride was an undercurrent of self-doubt. Would I be able to translate all this theoretical knowledge into real-world practice?

My first week on the job was a whirlwind. Joining a wellestablished practice, I felt the eyes of seasoned dental assistants and senior dentists on me.

They were welcoming, but their experience was palpable. I remember my first patient vividly—a middle-aged gentleman with a complaint of a throbbing molar. As he sat in the chair, my mind raced. I had done similar procedures countless times on dummies and had observed them during my internship. But this was different. This was real.

The X-rays and diagnosis were the easy part. It was when I held the drill for the procedure that my hand wavered a little. Sensing my hesitation, my assisting nurse, with more years in practice than I had been alive, whispered words of encouragement. The procedure went smoothly, and when the patient thanked me with a relieved smile, a wave of validation washed over me.

But not every day was a win. There were moments of intense learning. One time, a child's incessant crying made a simple filling procedure stretch for what seemed like hours. Another time, a misjudged tooth extraction meant I had to seek help from a senior colleague.

My first week on the job was a whirlwind. Joining a well-established practice, I felt the eyes of seasoned dental assistants and senior dentists on me.

These instances were humbling, making me realise that while my education had provided a foundation, real expertise would come with time, patience, and practice.

Patients, too, brought their own set of challenges. Some, upon realising I was a fresh graduate, would question my abilities, preferring someone more 'experienced'. Others were surprisingly understanding, recounting their own tales of being newcomers in their respective fields. Building patient trust, I learned, was as crucial as the treatments themselves.

Every evening, after the clinic dimmed its lights and the hum of dental machinery faded, I would sit down with my mentor. Our sessions became an oasis of learning.

MEMBERSHIP BENEFITS DESIGNED FOR STUDENTS

He would share his own experiences as a new graduate, guiding me through my mistakes, celebrating the little victories, and always encouraging introspection.

As the months went by, my confidence grew. I began to handle more complex cases, managing to reduce the gap between theory and practice. My relationships with colleagues deepened, evolving from mere professional exchanges to genuine friendships. Together, we'd attend dental workshops, seminars, and conferences, ensuring our skills remained sharp and updated.

However, what truly molded my early days as a dentist were the personal interactions. There was Mr. J, an octogenarian who had fascinating World War II tales. Or one young girl, whose dream was to become a dentist, looking at me with wide-eyed admiration. Through their stories and trust, they unknowingly played a part in my professional journey.

The challenges were aplenty, but so were the rewards. The joy in a patient's eyes after restoring their smile, the heartfelt thanks from parents after treating their child, or the simple nod of approval from a senior dentist, these moments were invaluable.

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They cemented my belief that dentistry was as much an art of human interaction as it was of clinical skill.

Reflecting upon that phase now, I realise that the transition from a dental student to a practicing dentist was a metamorphosis. While the cocoon of dental school had provided the knowledge, it was the real world with its trials, errors, and moments of triumph that gave me wings.

To all new graduate dentists stepping into this world, remember this — embrace the uncertainty, cherish every learning opportunity, and never let the flame of passion dim. For in this blend of science and art, it is the heart that truly makes a difference.

NEW GRADUATE CHECKLIST

AHPRA REGISTRATION

Australian Health Practitioner Regulation Agency (Ahpra) and the Dental Board of Australia regulate dental practitioners in Australia

PROFESSIONAL INDEMNITY (PI) INSURANCE

You’re good to go! ADAQ New Graduate Members receive up to 18 months free PI insurance upon graduation (T&Cs apply).

PROVIDER AND PRESCRIBER NUMBER

You must have a Medicare Provider Number to provide services under government programs, enable patients to claim on their private health insurance, and/or receive a subsidy under the Pharmaceutical Benefits Scheme (PBS)

RADIATION LICENCE

All dental practitioners using dental radiation apparatus (laser, extra-oral and CBCT) must obtain an appropriate use licence by passing an exam approved by Radiation Health QLD. Registered dentists do not need to apply for a licence to use intra-oral x-ray equipment.

CONTINUING PROFESSIONAL DEVELOPMENT

Continuing Professional Development (CPD) is a requirement of your registration with the Dental Board of Australia. It’s essential in maintaining, improving, and broadening your professional skillset. You are required to complete a minimum of 60 hours of CPD activities every three-year CPD cycle. The current cycle runs from 1 December 2022 – 30 November 2025.

Receiving results can be daunting, but what is worse is when these results shut-down your practice.

Infection control is an important necessity for our profession, but is your practice compliant?

ADAQ’s dedicated Education and Practice Advisory Team can assist you with increasing practice efficiency, compliance and navigating an infection control breach.

ADAQ INSURANCE MICROSITE

BY ALICIA CLARK | ADAQ

MEMBERSHIP COORDINATOR - INSURANCE

In September 2023, we launched the ADAQ Insurance microsite adaq.org.au/insurance. Insurance is often a ‘Set and Forget’ task but when something goes wrong, it’s nice to know there is a resource at your fingertips.

SCAN THE QR CODE TO REQUEST AN ADAQ INSURANCE QUOTE

ABOUT THE ADAQ INSURANCE MICROSITE.

The site is a one-stop shop for all things insurance. With user friendly forms, members can now let us know when they’re ceasing practice, wanting to make changes to their policy such as adding orthodontic treatment, using fixed appliances or placing dental implants and notifying when an incident has occurred.

If you’ve considered switching your insurance to ADAQ but you’re not sure whether you’ll see a cost saving, request a no obligation quote.

RUN-OFF COVER, ARE YOU RETIRING?

It’s important to contact your insurer when you cease practice to ask about run-off cover. In most instances, run-off cover will be included in your policy at no additional cost.*

If you don't advise an insurer when you retire, your policy may not be endorsed to provide run-off cover which may expose you to claims, you first learn about after you have ceased practice.

If you have your professional indemnity insurance arranged through ADAQ and you advise us that you are retiring, your policy will be endorsed to provide ongoing indemnity cover for 84 months following the date you ceased practice.

Run-off cover is designed for those permanently ceasing practice in Australia however, if you find yourself coming out of retirement to practise, simply give the team at ADAQ a call and we can assist you with applying for new insurance.

The Dental Board’s Registration Standard: Professional indemnity insurance arrangements sets out - “When you decide to cease practice, you must take out appropriate run-off cover for matters that would otherwise be uncovered arising from previous practice as a registered health practitioner.”

*Eligibility criteria applies – refer to your policy wording.

HOW THE INSURANCE MICROSITE CAN HELP YOU

9 Apply for ADAQ Insurance

9 Request a quote

9 Request a change to your ADAQ Insurance

9 Access answers to frequently asked questions by your fellow members

9 Notify an incident

9 Request insurance assistance

9 View insurance case studies to better understand consequences of not meeting your insurance obligations

ARE YOU COVERED FOR ORTHODONTIC TREATMENT USING FIXED APPLIANCES OR PLACING IMPLANTS?

You must notify us if you undertake orthodontic work that uses fixed appliances or if you place dental implants. This additional coverage can be applied for at an additional cost if required. If you do not require coverage for these areas of practice it can be excluded from your PI coverage.

The additional cost to increase your coverage in these areas does not apply if you are a registered specialist Orthodontist placing fixed appliances, or a registered specialist Periodontist placing dental implants.

Please review the definitions for the insurance policy below.

9 Orthodontic treatment using fixed appliances means the placing of an appliance that is attached to the teeth by cement or an adhesive material in order to move the teeth to correct dentoalveolar malocclusions or to restore dentofacial aesthetics and function. This definition expressly excludes removable appliances such as clear aligners and fixed retainers post orthodontic treatment.

9 Placing dental implants refers to the placement of the implant prosthesis that interfaces with the bone of the jaw. This definition expressly excludes the restoration that the implant supports.

If you are considering offering these dental services, please call us on 07 3252 9866 or email membership@adaq.com.au to ensure you are covered.

INCIDENT NOTIFICATION

It’s important to disclose all incidents as soon as you become aware of circumstances that may result in a claim.

The Compliance and Advisory Services Team will review all notifications and offer customised support to you. The team know the ins and outs of the often-stressful process of responding to concerns or a complaint. So, rest assured, you’re in good hands.

TIMOR CHILDREN'S FOUNDATION VOLUNTEERING SPOTLIGHT

BY SHANTEL FLEMING

CURRENT DENTAL VOLUNTEERS & ADAQ MEMBERS

ADAQ interviewed Shantel Fleming following her recent volunteering trip to Timor. TCF runs a dental project with the aim of supporting the Dental Health of disadvantaged children in East Timor. Their motto from the 18th century English reformer, John Wesley, resonates with ADAQ

“Do all the good you can by all the means you can.”

MY BACKGROUND IN THE PROFESSION.

I commenced my journey in the field of dentistry at the age of 18, with my tenure at Boonah Dental extending to a dedicated 18year service. Reflecting on my early days in the dental profession, I vividly recall the initial patient I assisted in an extraction procedure and my very first experience cleaning the spittoon and suction filter at day's end. It was a moment of contemplation by thinking, "Golly, is this for me!".

The choice to embrace this career path, at that juncture, was primarily fuelled by the prospect of securing a local job, albeit with uncertain enthusiasm. Over the span of 18 years, my perspective has significantly evolved, cementing my commitment to this profession. The diversity among the patients, the myriad of dental treatments encountered on a daily basis, and the profound professional fulfillment it bestows have transformed my perception

In my 18-year journey at Boonah Dental, the opportunity to witness familiar faces and deliver a personalised level of care is an aspect I hold dear. I recall doing a GA theatre session with Dr John Fisher earlier in my career, and a nervous patient telling me at her post operative appointment, how relaxed she was when she saw a familiar face when she got wheeled into theatre. I remember thinking to myself, that is why I love my job. If I can make that one patient be at ease, even for a minute, I’m stoked with my days work.

The joy derived from helping individuals and contributing positively to their lives finds its embodiment in the dental profession.

TCF FOUNDATION.

The Timor Children’s Foundation (TCF) is a non-profit, nondenominational organisation established in 2002 with a mission to aid "disadvantaged children in East Timor." At the time of TCF's inception, East Timor had recently declared its independence, and it was the children who were particularly vulnerable. TCF, in particular, has dedicated its efforts to assisting orphans and young adults, many of whom are placed in children's homes due to their families' financial constraints. In 2013, under the direction of Dr Malcolm Campbell (Co-Director of TCF).

OUR ENDEAVORS

The Timor Children’s Foundation initiated the Dental Project with the initial objective of enhancing the dental health of the children residing in the Samaria Children's Home. Since then, the Dental Project has grown to also support other groups. Working closely with the Glebe Rd Uniting and The Gap Uniting Churches has enabled the Dental Project to be extended to the children and staff attending the Marcelo 2 School in Dili and people living in the remote community of Lospalos. Extending recently to include Balibo, where we treated children and young adults in the Balibo 5 Community Dental Clinic.

WHY I BECAME INVOLVED

My introduction to TCF and the Dental Project occurred during my collaboration with Dr. John Fisher at Boonah Dental. His passion and dedication to the cause were profoundly inspiring. When the opportunity was offered to me, I didn’t think twice about it. ‘’Yes, yes I’ll go!", was my answer. I called my husband during my lunch break, and very excitedly telling him that I’m going to Timor! He was so happy for me but was quick to think of the logistics and proceeded to ask when and did I even know where Timor was.

I recall promptly replying, "It doesn't matter, when, where or how, I'm going, I must".

He has supported me every step of the way. I was recommended for this mission by my mentors, Dr. Louise McLoughlin and Dr. John Fisher. Learning about the transformative work we intended to accomplish in Timor, I could not allow this opportunity to slip through my fingers. In my personality, I am a fixer, I like to help when I can, I feel that I am always happy to lend a hand. I’m not one to walk away in a time of need. If I can provide even a little support, I will and I always try to give everything my all.

I recall promptly replying, It doesn't matter, when, where or how, I'm going, I must.

A TYPICAL DAY FOR A DENTAL VOLUNTEER.

Out trip to Timor was planned for eight days of treatment, six weeks prior to our departure, our itinerary was changed, reduced due to issues registering Australian Dentists to practise in Timor. I recall reading Dr Malcom's email on a Sunday afternoon and feeling heartbroken and shedding a few tears. I was deflated, I felt that I was letting the children of Timor down by not utilising our time in Timor to its full potential and to treat as many patients as possible. The sadness that I felt, was not something that I was alone in.

PREITINERARY

Dr Malcolm worked tirelessly in restoring our itinerary. With the amount of clinic time reduced, I wondered if my Practice Management & Dental Assisting skills would be of assistance. This thought was short lived after speaking to Louise, John & Gwen. I was reassured that my management skills alone would be a great asset to the upcoming trip. It was an amazing opportunity to have been offered.

Again, it didn’t take much convincing to bring me from my self-doubt and feeling that I was involved in restoring the smiles of Timor.

Upon learning that we would not have the opportunity to provide eight days of dental treatment as initially planned, we swiftly shifted our focus to maximise our impact. Extensive networking and collaboration in Australia became necessary to facilitate future trips, streamline practitioner registrations, and optimise the clinical time we had available.

ARRIVING IN TIMOR

Our anticipation upon arriving in Timor was met with the desire to immediately commence dental treatments. The scenic journey to Balibo, in a Troopy (an Army troop transport) hired by Dr Malcom, was marked by winding mountain roads and coastal drives, offering a glimpse of the region's natural beauty. Upon reaching Balibo, our eagerness to begin treating patients was palpable. The presence of our team elicited sheer joy and excitement among the locals, which was infectious. We would have worked to midnight if we were given the chance. A common term we would hear was “malae’’, which

translates to foreigner.

Balibo clinic had efficiently triaged patients in advance, streamlining our efforts. Our time there was marked by non-stop activity, with surgeries always ready for the next patient. With the support of the clinic staff; Sidonia, Felix & Anna, we maintained a well-organised clinic that allowed us to attend to as many patients as possible.

DENTAL TREATMENT

Patients arrived with dental charts, revealing the condition of their dentition. Unfortunately, many patients presented with significant oral health issues, necessitating a multitude of restorative treatments and, regrettably, extractions. Our guiding principle is to prioritise the most urgent dental needs, as the lack of continuity of care makes it uncertain when these patients will have access to dental treatment again. It was crucial to make informed decisions when it came to treatment prioritization. In some cases, we needed to carefully weigh the opportunity cost of performing extensive procedures against addressing treatment that was causing immediate pain for a patient. Striking a balance was imperative,

CHALLENGES FACED BY THE FOUNDATION AND VOLUNTEERS

REGISTRATION PROCESS

One of the significant challenges we encounter is the registration process for volunteer dentists in Timor. Recent changes require us to be part of a Memorandum of Understanding (MOU) and operate under the umbrella of an existing organisation.

We are hopeful that ongoing consultations with the Australian Embassy, government agencies, and incountry NGOs will streamline this process, paving the way for more efficient registration and expanded future initiatives.

TRANSPORT LOGISTICS

Transport logistics pose another challenge, especially concerning the transportation of dental equipment and supplies to remote areas. Portable dentistry is as it states, portable. This takes dentistry to the people; whether that be to remote communities or to a classroom in Dili.

The need for outreach programs in Timor is arguably in desperate need. The majority of East Timor’s population lives in rural areas where access to one of the few fixed Dental clinics that exist is very limited.

ensuring that we did not overtreat a single patient to the detriment of others who required more immediate and urgent dental attention.

Major pain, “moras”, was treated as a priority in conjunction with development of preventive programs and support of local oral health educators. .

MEMORIES MADE

One particular memory stands out, as we provided a root canal treatment to a 16-year-old boy with a large cavity in his front tooth. Dr Bridget could not bring herself to extract the tooth, and she decided to undertake the complex procedure, showcasing the dedication of our team and completed the first ever root canal treatment at the Balibo Dental Clinic. Our teams efforts in Balibo were not only in the Balibo 5 Community Dental Clinic, it extended to a local Kindergarten where some of our team distributed Bluey toothbrushes and treated children with Silver Fluoride.

PERSEVERANCE

Once in Timor, despite the sweltering heat, sleep deprivation, and occasional bouts of illness, the dedication to the

cause naturally propelled us to rise and do everything within our power for the children and the Timorese community.

IMPACT ON MY LIFE.

My first trip with TCF in September 2023 was not only a significant professional milestone but also a transformative personal experience. I’m pretty confident that it will not be my last. I’d go back tomorrow given the opportunity. The perspective I gained on life, both on a personal and professional level, was profound.

CONTRAST TO HOME

In Australia, we enjoy relatively easy access to medical and health support services, a luxury that stands in stark contrast to the daily hardships and poverty faced by the people of Timor. This perspective underscores the myriad blessings we often take for granted in our daily lives. Visiting Timor in person is a distinct departure from viewing poverty and hardship through photographs or media. It provides a profound and impactful understanding, as one can truly

feel, smell, and experience the challenges that the Timorese population confronts daily. Witnessing this firsthand instils a strong drive to make a tangible difference in our profession.

FUTURE GENERATION OF DENTAL VOLUNTEERS

My children, aged 13 and 9, have also been inspired by the prospect of visiting Timor and have even chosen to donate their family Secret Santa gifts to the children of Timor. This experience has not only impacted my life but has also caught the interest and curiosity of the next generation of dental volunteers. It would be truly worthwhile for individuals, both within and outside the profession, young and old, to visit Timor for professional and personal growth. Volunteering has broadened my professional horizons, deepening my understanding of the dental treatments people require and how we can deliver the best possible care with limited resources. In an age where health concerns can be sparked by a mere scroll on our phones, being able to effect positive change in a person's health is a responsibility I hold dear.

INFECTION CONTROL

Infection control is always a priority, our setups are relatively basic, albeit practical and serve the need within the limitations of working remotely. There is also a demand for service technicians in Timor. Our Dental Team visited The Klibur Domin Foundation’s dental clinic.

Despite their clinic having two dental chairs, unfortunately, due to a lack of service technicians, only one chair was serviceable, limiting their daily capacity of patients.

BUILDING TRUST

Trust issues are a common concern for many volunteering organizations in Timor, but we are fortunate to collaborate with in-country NGOs that command the respect and trust of our patients. Additionally, the Timorese population tends to trust Australian dentists, which is crucial for the safety of both patients and volunteers.

LONG-TERM IMPACT.

The long-term impact we aim to achieve through our volunteer work encompasses enhancing the capacity of in-country oral health services. Every contribution, whether in the form of materials, products, or the time volunteered by dental professionals, is deeply appreciated by the local population. In terms of advocacy, we have initiated oral hygiene lessons at local schools, often incorporating music to make the learning experience enjoyable. The role of school principals like Lecardia and Soffian is critical in educating the younger generation on oral health care. The introduction of the song "Kose Kose," translating to "Brush Brush," is a heartwarming endeavour, symbolizing our commitment to treating and educating. It is truely a gift in itself to hear the children of Timor sing with their radiating voices.

While the continuity of care may be minimal at the moment, these small steps signify progress and community engagement in oral health.

CONTINUITY OF CARE

Continuity of dental treatment is a challenge, given the limited resources available after volunteer foundations have concluded their work. The hope is to send more teams to Timor for outreach clinics to ensure continuity of care. Education plays a pivotal role in this regard, and educating Timorese children on oral hygiene can potentially bring about generational change for the better. We have already witnessed local advocacy efforts, such as a primary school changing its offerings from sweets to providing free oral health kits for students.

EDUCATION PROGRAMS

In our educational programs, we employed interactive methods to engage children in learning about oral health. We held up various foods and drinks, and the children would participate by indicating whether these were "Diak" (good) or "La Diak” (bad) for their teeth. Furthermore, we had the opportunity to stage a skit for younger children, illustrating the conditions necessary for tooth decay to occur. While it was heartwarming to see the students actively engaged, we recognised that their laughter was often directed at the amusing foreigners guiding them.

While the continuity of care may be minimal at the moment, these small steps signify progress and community engagement in oral health.

HOW YOU CAN GET INVOLVED.

The Timor Children's Foundation (TCF) has embraced the motto "do what you can by all the means you can." Even in the face of last-minute itinerary changes and the consequent impacts on the services we can offer, we believe that we have upheld the standards of TCF. While the completion of treatment is commendable, it is essential to underscore the critical need for Australian and international dentists to be registered so they can participate in volunteer treatment trips like the ones organised by TCF.

This trip, with all its challenges and adaptations, was essential in laying the groundwork for future missions, ultimately ensuring that necessary treatments can be provided. It would be immensely beneficial if we could enlist more volunteers. This is the primary means by which we can make a significant difference. Those who embark on this journey with TCF will find that the experience offers much more than anticipated. Restoring the smiles on the faces of these children is a deeply rewarding endeavour.

It is indeed unfortunate that these children endure the burden of cavities and infected teeth. The true reward lies in the ability to provide them with a pain-free life. There are children in Timor who have borne the weight of cavities and the associated pain for the entirety of their lives. Through our efforts, we provide them with the resources and treatment needed to glimpse a life free from pain. The main goal of The Timor Children's Foundation, like other charities, is to make their services no longer needed eventually. This means the community should be able to meet their health and wellness needs without assistance. In addition to providing hands-on care, TCF is dedicated to mentoring, educating and supporting entities and organisations to strengthen their own capacities and capabilities.

You can contribute to making a meaningful difference by either volunteering your time or donating equipment and dental supplies.

For every $1 donated, this equates to about $10 worth of dental treatment. Reach out to Dr. Malcolm Campbell for more information on how you can get involved. We understand that it can be challenging to step away from your practice, but there are alternative ways to show your support for the children of Timor. For example, prior to one of Dr John Fisher’s trips, Dr. Louise McLoughlin and the team at Boonah Dental organized a fundraiser called "Clean for Timor," during which all proceeds from our preventative care appointments were donated to TCF. Upon completing your first trip with TCF, you will undoubtedly find yourself imbued with a newfound sense of purpose and an undeniable urge to continue making a positive impact in the lives of the young faces before you.

You can contribute to making a meaningful difference by either volunteering your time or donating equipment and dental supplies.

LEARN MORE ABOUT TIMOR CHILDREN'S FOUNDATION AND HOW YOU CAN HELP

A few thanks: To the TCF foundation for allowing me to be a part of your 2023 Dental team, my mentors; Dr Louise McLoughlin, Dr John Fisher and his wife Gwen. My husband Matt and children Patrick and Evie, without your support Timor wouldn’t have been possible. Thank you also to our incredibly talented Dental Team; Dr Malcolm Campbell, Dr Bridget McGowan, Dr Ailee Johnson, Dr Maddi Campbell, Michelle Wilke & Ella Ruhle.

ANNUAL CLINIC DAY 2023

On November 25, 2023, we were thrilled to host our flagship event of the year, the Annual Clinic Day. With a central theme of "Staying Ahead of the Dental Curve," the event brought together dentists, hygienists, students, and dental team members for a day of enriching insights. The focus of the day was on the "Innovations of Pain Management," featuring presentations from 14 expert speakers.

We extend our gratitude to all who attended, contributing to the success of this event. Your participation and enthusiasm made the day a great success. As we reflect on the knowledge shared and connections made, we are already looking forward to next year's Annual Clinic Day. Anticipate an even more valuable and engaging experience as we continue our commitment to advancing dental excellence.

H ave you started planning your CPD for 2024? We are a third of the way through the CPD triennial.

Scan the QR codes with your mobile device to view the course page and register before it's too late.

12

Regulatory

16

Botulinum Toxin and Intraoral Dermal Fillers - Therapeutic Use

22

Oral SurgeryModule 2

23

First Aid and CPR Upgrade

APRIL 16 WEBINAR

Regulatory SeriesDentists Behaving 'Very' Badly

20

Oral SurgeryModule 4

20

Orthodontics 101

MAY 3

Recent Developments in Infection Control

4 Nitrous Oxide and Oral Sedation

10 Anterior Composite Workshop

14 WEBINAR

Regulatory SeriesProfessional Conduct and Ethical Practice

24

Mastering the Peg Lateral build up with direct composite

JUNE 1

Aesthetics, Beauty and Colour in Anterior Composites

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11

14 Modern

JULY

13

First

13

Botulinum

16 WEBINAR

Regulatory

20

Diagnosis

Image Nitrous Oxide and Oral Sedation

Image Oral Surgery - Module 1

PIERRE FAUCHARD ACADEMY EMERGING LECTURE COMPETITION 2023 MEMBER PROFILE DR BENJAMIN GAD

The Australasian Region of the Pierre Fauchard Academy (PFA) held an Emerging Lecturer Competition in conjunction with the World Dental Congress in Sydney on Sunday 24th September 2023.

The PFA/ADA Emerging Young Lecturer competition was run again at the esteemed FDI World Dental Congress in Sydney this year and Queensland Section Head, Dr Norah Ayad, was emcee for the event. Region VIII was proud to be allotted an entire morning in the scientific program of what proved to be the largest dental event ever held in the southern hemisphere.

As Trustee responsible for the introduction of the competition over ten years ago, Dr Mark Sinclair noted “Region VIII had always been aware of the need to both identify and encourage the next generation of clinical lecturers and provide a showcase for their skill set.

The recent ADA/FDI meeting provided the perfect backdrop for an excellent series of presentations. It strengthens the footprint of the PFA in its role in assisting young dental leaders find their own ‘voice’ surrounded and supported by their peers. It was a great privilege to act as a judge in this first-class competition.”

The speakers involved were of a calibre that impressed all judges, and both ADA President Dr Stephen Liew, and fellow judges including Dr Shane Fryer, Dr Mark Sinclair and PFA Trustee Dr Deb Cockrell noted the difficulty faced in deciding a winner. Topics ranged from 3D imaging in forensic dentistry, to modern evidence on occlusal splint treatment, latest solutions to restore root treated teeth and the oral-brain axis of health.

After much deliberation, the panel declared Dr Vanessa Cho the winner of the competition for her presentation on the use of incredible eye-tracking technology in paediatric dentistry, and Dr Ben Gad was awarded special mention for his presentation entitled Occlusal splints in managing TMD: Outright fantastic, or expensive plastic?

OCCLUSAL SPLINTS IN MANAGING TMD: OUTRIGHT FANTASTIC, OR EXPENSIVE PLASTIC? A PRESENTATION TO THE PIERRE FAUCHARD ACADEMY

When Madonna McManus advised me I had been nominated by the ADAQ to speak at the upcoming Pierre Fauchard Academy’s Emerging Young Lecturer Competition in Sydney trepidation best describes how I felt about the task. It wasn’t the public speaking component that had me worried but rather the contents of the speech. What did a first-year oral medicine trainee have to offer an audience of esteemed practitioners affiliated with the Pierre Fauchard Academy?

I settled on discussing what has been the steepest learning curve in my short time as an oral medicine trainee – management of patients with chronic orofacial pain. One of the most rewarding aspects of general practice dentistry is seeing patients who present nine out of 10 in pain, and with some local anaesthetic, a high-speed bur and some barbed broaches being able to markedly alleviate their suffering. Practitioners who manage patients with persistent orofacial pain know this level of success is more exception than the rule.

Like most of you reading this article, I discovered the biopsychosocial model of pain at dental school. If I’m honest though, the paltry five minutes allocated to teaching the concept was commensurate with the weight I held to the framework. A Cartesian or biomedical understanding of pain was serving me just fine in the clinic, so I was convinced the ‘psychosocial’ component of pain was overstated. When I saw a TMD patient in clinic I did what I saw many of my clinical supervisors do – give a splint a go. This treatment modality aligned with my penchant for tangible action – a predilection I’ve come to realise is shared by virtually all dentists.

Commencing postgraduate training in oral medicine forced me to evaluate the evidence supporting splint therapy in the management of TMD.

I don’t think it will come as a shock to anyone reading this article that the best available evidence suggests marginal to no benefit with splint therapy in TMD symptom alleviation. What did surprise me though is how our medical colleagues have tackled similar problems and moved on from biomedical treatment modalities in the face of convincing evidence they don’t work. This is particularly evident in the orthopaedic literature.

I’d like to thank the ADA for their support and the Pierre Fauchard Academy for providing me with the opportunity to present.

Remarkable studies conducted throughout the 70s, 80s and 90s demonstrated sham procedures as having similar outcomes to well established surgeries such as lumbar fusions and vertebral discectomies in patients with back pain.

Concurrent with these remarkable sham-controlled studies were other studies showing how frequently depression, anxiety and other affective disorders were co-morbid with back pain, shoulder pain and knee pain. A litany of studies showing ‘pathologic’ changes in the vertebrae, shoulder, knee and hip joints of completely asymptomatic individuals meant it was no longer acceptable to install hardware in patient’s vertebrae and joints based on changes seen on imaging investigations. On the back of this research, clinical practice guidelines were re-written. Previously long held beliefs that inactivity and bed rest were necessary for patients with back pain and other bodily pains were binned.

Suffice to say this newfound understanding of the role psychosocial factors play in pain led to significant changes in the way medicine was practiced.

Now I’m not saying prescribing a splint and performing back surgery are analogous but parallels between back pain and TMJ pain exist. We need to ask ourselves; do we issue occlusal splints to our TMD patients because we believe it works and the literature is wrong or because it aligns with our penchant for tangible action?

I’d like to thank the ADA for their support and the Pierre Fauchard Academy for providing me with the opportunity to present.

LICENSING AND SCOPE FOR DENTAL ASSISTANTS

LYNNE MCLEAN & MARICEL MOSS | ADAQ TRAINING

AND PRACTICE CONSULTANCY TEAM

Dental assistants are critical to the dental team’s success. They are valued members of the dental team due to their abilities to reassure the patient, anticipate the needs of the practitioner and perform to the highest standards.

Dental assistants are not eligible for registration with the Dental Board of Australia but are required to work within the scope of their role. This includes ensuring that at no time do they individually perform any activity which may be considered as the practice of dentistry.

Dental assistants may be permitted to perform additional duties according to their education and clinical experience, under the supervision of a dentist.

FOR EXAMPLE:

9 Oral health promotion advice and instruction

9 Technical procedures such as alginate impressions/scanning for study models, and taking of clinical photographs

9 Assist with patients undergoing general anaesthesia and conscious sedation for dental treatment

9 Dental Radiography (on completion of Certificate IV in Dental Assisting – Radiography specialisation)

1. RADIATION LICENSING

Dental assistants who hold HLT45021 Certificate IV in Dental Assisting – Radiography are permitted to take both intra-oral and extra oral (OPG/Lateral Cephalogram) radiographs as prescribed and directed by a supervising dentist. They are required to apply for and maintain a current Dental Radiation Use Licence in accordance with the Radiation Safety Act 1999.

DO YOU KNOW THE RADIATION SAFETY ACT? SCAN THE QR CODE

EXPOSING A DENTAL RADIOGRAPH.

Dental assistants who do not hold a radiation use license are not permitted to expose a dental radiograph. From a practical point of view, this means they are not permitted to push the button on the control panel when assisting the dentist in radiographic procedures.

Dental assistants may be permitted to perform additional duties according to their education and clinical experience, under the supervision of a dentist.

2. TOPICAL FLUORIDE APPLICATION

A frequently asked question is whether an appropriately trained Dental Assistant can apply a topical fluoride treatment to a patient under supervision of a dentist. In Queensland, Dental Assistants are not permitted to carry out topical fluoride application in accordance with the Medicines and Poisons Act 2021, which lists Fluoride as a S3 Medicine.

Schedule 4 “Dentistry Professions” provides a summary of dental professionals who are permitted to use ‘fluorides in preparations for topical human therapeutic use’; these are Dentists, Dental Hygienists, Dental Therapists and Oral Health Therapists. This legislation therefore bars the application of topical fluoride by a dental assistant, even if they are appropriately trained and under supervision.

3. BLUE CARD REQUIREMENTS

WHAT IS A BLUE CARD?

A blue card regulates activities which are essential to children’s lives, such as child-care, education, sport, cultural activities, and foster care.

Registered health practitioners who are providing services or activities that relate to their work as a registered health practitioner are exempt and do not need a blue card. A registered health practitioner is a person who is registered with the Australian Health Practitioner Regulation Agency (Ahpra) under the Health Practitioner Regulation National Law, except students.

Any person who is not a registered health practitioner may require a blue care under the health, counselling, and support services category of the regulated employment.

Therefore, as a dental assistant is not a registered health practitioner, they may require a blue card under the health, counselling and support services category.

SCAN THE QR CODE TO CONTACT US WITH YOUR ENQUIRY OR ENROL IN ADAQ TRAINING

WANT TO LEARN MORE ABOUT BLUE CARDS? SCAN THE QR CODE

Under this category, a person needs a blue card if the usual functions of their employment includes, or is likely to include, providing any of the following services to children:

9 A health service at a health facility if the services provided at the facility are provided only or mainly to children (e.g., a children’s hospital), or if their employment involves providing services only or mainly to children (e.g., operating child health screening at a community health facility).

9 A health service other than a health facility that requires physical contact with the child, or that is provided while noone else is physically present.

Accordingly, a blue card is required if the dental assistant’s role will include or is likely to include physical contact with a child while no-one else is physically present. For example, positioning a child for a dental x-ray, whilst no-one else is present.

If a staff member fits the requirements to hold a blue card and has not attained one, it is the obligation of the both the practice and the individual to cease working onsite until a current blue card is acquired.

THE WAITING GAME IS OVER

FROM OUR PARTNER – BOQ SPECIALIST

A reliable car is a critical tool of the trade for busy dental professionals – a career that comes with emergency appointments, last minute call-ins, and patients relying on your availability for the health of them and their loved ones. But with global supply chain disruptions affecting car manufacturers since the COVID-19 pandemic and the war in Ukraine, new cars have been hard to come by, with wait times in Australia taking anywhere up to 12 months for some makes and models.

If you’ve been holding off on purchasing a new car based on the current market supply, it might be time to book a visit to your nearest dealership. According to Tony Weber, head of the Federal Chamber of Automotive Industries, supply is beginning to recover across the industry, bringing waiting times for new vehicles down.

Comparing total monthly repayments rather than interest rates will show you the actual cost of the loan and help you to more effectively compare lenders and find the best deal.’

Cameron Chater, Commercial Consultant, BOQ Specialist

‘During the past 12 months the issue has been one of securing supply for consumers, however as these pressures ease, we are starting to see a return to more stable market conditions,’ he recently told news.com.au.

This optimism has been echoed by Toyota. Australia’s highest-selling car brand has said it expects to see significant improvements in new vehicle availability and reduced waiting times for the remainder of 2023 and into 2024.

BOQ Specialist Commercial Consultant, Cameron Chater, is starting to see the rubber hit the road, with more of his clients now able to purchase new cars sooner.

‘New car waiting times have caused a lot of frustration for a lot of people,’ he says. ‘But thankfully, for the most part, it’s now back to business as usual and we’re seeing many new cars now available within the regular time frames.’

HOW TO FIND THE BEST DEAL ON A NEW CAR

While the new car shortage forced many buyers to pay full sticker price in recent years, the recovery is starting to provide more wiggle room to negotiate with car dealers, giving a bit of power back to the buyer.

Cameron says seeking the services of a car broker can often be the fastest and easiest way to find the best offer with dealerships. He also suggests opting for existing car models that will soon be replaced by an updated version is another way to put you into a stronger negotiating position.

This is known as a model run-out, and could see dealerships becoming more eager to offer discounts on outgoing models, to clear space for new versions.

Also, if you’re in the market for a new electric (EV) or plug-in hybrid (PHEV) vehicle, the Federal Government's recent fringe benefits tax (FBT) exemption promises to keep costs down.

HOW TO COMPARE NEW CAR LOANS

Cameron warns that opting for dealer finance on your new car can quickly eat up any savings you’ve made in the negotiation process.

‘Some dealerships include monthly fees as part of their dealership finance, on top of up-front documentation and application fees.’ He says when comparing car loans, it’s important to not only compare interest rates, but to also account for any hidden fees.

‘Comparing total monthly repayments, rather than interest rates, will show you the actual cost of the loan, and help you to more effectively compare lenders and find the best deal.’

Cameron also suggests new car buyers can consider structured loan repayments if they’re offered, such as a residual balance or balloon to assist with cash flow requirements. ‘A balloon payment can be very beneficial in helping to reduce your monthly repayments and assisting with your cash flow, with the most common benefit being increased borrowing capacity when applying for a home loan.’ While Cameron says not all lenders or dealerships offer the option to include a balloon payment, it never hurts to consider when deciding where to purchase a new vehicle.

HOW TO REDUCE THE RED TAPE

While the reduced wait times and increasing opportunity for the upper hand on negotiations make this a great time to buy a new car, dealing with the paperwork can be an additional challenge for anyone, let alone time-poor dental professionals.

Cameron says BOQ Specialist works directly with the car dealer to solve this problem, making it easier for his clients. ‘When you sign a contract, we can deal directly with the dealer to request a tax invoice. Once the loan is approved and loan documents are returned, we transfer the funds directly to the dealer to complete the transaction,’ he explains.

As wait times decrease across the industry, you might get lucky and find yourself a vehicle that’s ready to go. ‘If the car is in stock, we can often get people in their new car within a week from the time they pick it out at the dealership.’

A GOLDEN VOICE IN REALITY

ALESSANDRA BOI | ADAQ

ADAQ MUSEUM OF DENTISTRY

Obturator prostheses improve mastication, speech and swallowing by re-establishing oronasal separation in patients with a soft palate cleft or, as in this 1927 case, after removal of the pharynx due to a cancerous growth.

Doris Elizabeth Hutchison, the young lady for whom these obturators were made, needed a maxillary obturator to restore some normal function of speech after the surgery.

We’re not sure whether Doris also had a congenital soft palate clefting, but it seems likely. In the 1980s letter sent by her brother to ADAQ, it is mentioned that she had ‘palate trouble’ and she often ‘expressed a wish to assist children born with similar trouble’.

LEARN MORE ABOUT CLEFT PALATE PROSTHETIC APPLIANCES

Mr Hutchison’s letter informs us that these early obturators were made by Arthur Rossiter. The first one with the side notches was made after 18-year-old Doris was operated on, possibly by a local paediatric surgeon, and lost her voice completely. The one with more denture teeth followed possibly ten years later.

Image

Article and letter relating to obturators, ADAQ Archives.

Their mother’s sovereigns provided the gold for the hard palate plate.

A hinge mechanism joins the obturators to the plate. Hutchinson attached a newspaper cutting of his sister’s story which describes the addition of a ‘gold cone-shaped device with a small whistle for tuning violins’ to aid speech. This is possibly the reporter’s attempt to better explain what the obturator is and does, as there is no evidence another part was attached to these.

We confirmed through Trove online archives that, as we would say today, her story went ‘viral’ and was reported in all Queensland newspapers in July 1930. The articles mention her voice being restricted to a monotone, but gramophone recordings taken demonstrated her clarity of speech.

The articles mention her voice being restricted to a monotone, but gramophone recordings taken demonstrated her clarity of speech.

Reportedly, ‘models of her instruments’ were exhibited at the Dental congress in Brisbane in 1930, and a medical conference overseas. Unfortunately, we haven’t been to find an article in the 1930 Congress Proceedings specifically mentioning Doris’ case. However, a W J Wearn from Sydney had presented a 10-minute clinic on Obturators for congenital cleft-palate patients. Wearn described the technique to build a hinged obturator. Rossiter’s appliances carry a much-improved hinged mechanism.

Image

Wearn's obturators - Proceedings of the Seventh Australian Dental Congress, 1930, courtesy of the Adelaide Health Musuem..

The design of these appliances hasn’t changed much since they were devised in the late 1920s, says Dr Gary Smith, Brisbane prosthodontist and ADAQ curator.

The articles mention her voice being restricted to a monotone, but gramophone recordings taken demonstrated her clarity of speech.

Here’s a photo of one Gary devised for a 96-year-old man in 2007 replacing a similar appliance he had used for 50 years until then. When the gentleman was young, surgery for clefts did not exist.

Image

Obturator made in 2007 by Dr Gary Smith.

Nonsurgical treatment of the cleft palate with similar customised prosthodontic devices was very common until modern palatoplasty techniques improved. Earlier appliances for the correction of cleft-palate speech were solid obturators or made of unsanitary soft rubber

So it seems that Arthur Rossiter was ahead of the time in obturator technique and quite skilled in his craft.

Born in England, Arthur came to Australia as a young man on his own, and toured Victoria on a push bike with a friend, doing odd jobs. Finally, he settled in Queensland just before enlisting in the first AIF in WWI. He lost a leg serving in France.

In his 1981 obituary for the ADAQ Newsletter, John Sagar described the start of Rossiter’s dentistry career:

Following repatriation from the army, he decided to become a dentist. […] While walking along Edward Street, the first dentist’s name he happened to see was that of my father [AH Sagar]. Still showing his spirit for adventure he called upon my father who accepted him as an apprentice. He became involved in the affairs of the profession in this state as soon as he registered.

Rossiter was a foundation member of ADAQ in 1928, of the Board of the Faculty of Dentistry (1935) and of the Royal Australasian College of Dental Surgeons.

Rossiter was a beloved lecturer of Operative Technique and Materia Medica to Queensland dental students for many years. Towards the end of his long career, he was awarded a Master’s Degree in Dental Science Honoris Causa and ADA life membership.

The basic principle of (older) appliances has been to produce tone in the normal manner, that is to construct something that would function as a normal palate would, in the production of sounds. This simulation of the palate can be disregarded: normal tones can be produced by the voluntary constriction of the pharyngo-palatine arch on the bulb on the appliance […]. This is a horizontal action instead of a vertical one. It is nothing more than gripping the bulb as it the act of swallowing. The K and the hard C and G are all produced with this swallowing flipping motion, disregarding the normal palate functioning entirely.

Extract

From The Correction of Congenital Cleft-Palate Speech by Appliances by John J FitzGibbon. Dental Cosmos. Volume 72, Issue 3, March, 1930, pp. 231-238.

ADA 2022 AWARD RECIPIENTS

At the conclusion of last year, we once again celebrated members of our ADA community who are making a differenceto the profession.

DR JULEE BIRCH

VALUABLE SERVICE AWARD

Doctor Julee Birch received her Bachelor of Dental Science from the University of Queensland in 1980 and served in the Royal Australian Air Force (RAAF) as a dental undergraduate then as a Dental Officer from 1979 -1983.

Following her time at the RAAF, Doctor Birch worked for Queensland Health and in private practice in both Melbourne and Canberra before continuing her career as a private practice owner and principal dentist at More Smiles Dental on the Sunshine Coast.

Doctor Birch has served the Australian Dental Association at both a federal and branch level. She was a member of the ADAQ Branch Council (2008 – 2019) and participated in various Queensland Branch Committees. She held the position of Branch President in 2016. From 2013 – 2015 Doctor Birch was a member of the Scientific Organising Committee 36th Australian Dental Congress.

Doctor Birch has played a significant role for both the National Dental Foundation and then the Australian Dental Health Foundation (ADHF); where she has invested her time and energy in dental volunteering for approximately 10 years. She is currently the Queensland Chair of the ADA Dental Health Foundation.

Doctor Birch is involved in other Professional organisations including the Amara Study Group which is a post graduate organisation established in 1965 for women in the dental profession to meet, network and support each other. Doctor Birch was inducted as a Fellow to the International College of Dentists (2011) and Pierre Fauchard Academy (2019).

Given her valuable contribution and service to dentistry especially as a volunteer dentist, Doctor Birch is a most worthy recipient of the Valuable Service Award of the Australian Dental Association.

PROFESSOR PAULINE JOY FORD DISTINGUISHED SERVICE AWARD

The service of Professor Pauline Ford to the dental profession has been exemplary. She is a highly respected lecturer with over 30 years of experience in a wide range of settings including academia and research.

Professor Ford completed her Bachelor of Dental Science with Honours and a University Medal from the University of Queensland in 1989. She continued her studies at the University of Queensland obtaining her Doctor of Philosophy (2006), Graduate Certificate in Higher Education (2007) and Masters of Public Health (2013).

Her past and current achievements are varied. Professor Ford has made a significant contribution to teaching and research at the School of Dentistry University of Queensland (UQ); serving as Head of the School of Dentistry at UQ 2016-2022, the first female dentist appointed as a Head of a Dental school in Australia. Prior, she held positions as a Research Advisor for the Oral Health Clinical Education and Training Unit at Queensland Health and lectured in Oral Biology, School of Dentistry (UQ).

Professor Ford has served the Australian Dental Association at both a branch and federal level. She has served on the ADAQ Branch Council and Oral Health Committee. Nationally she was Vice-Chairman of the ADA’s 36th Australian Dental Congress

Local Organising Committee 2011 – 2016 and the Australian Dental Research Foundation Advisory Committee.

Her volunteer work through various organisations includes assisting indigenous and homeless Australians.

Professor Ford has rendered a long and distinguished service to the profession of dentistry in Australia. She is a most worthy recipient of the Distinguished Service Award of the Australian Dental Association.

PRACTISE WITHOUT THE RISK

Forgot to renew your PI insurance? Started practising before you had an appropriate PI insurance policy in place? In this article we will explore the consequences of not holding PI insurance, to demonstrate its importance within the dental profession.

A CLAIM HAS BEEN MADE AGAINST YOU, BUT WHAT HAPPENS IF YOU DON'T HAVE PROFESSIONAL INDEMNITY INSURANCE

BY ELEANOR GILMORE & ZOE BRYANT | ADAQ

COMPLIANCE AND ADVISORY SERVICES TEAM

WHAT IS THE REQUIREMENT FOR PI INSURANCE?

Section 129 of the Health Practitioner Regulation National Law Act 2009 states that a registered health practitioner must not practise their profession unless appropriate PI insurance arrangements are in force.

WHAT HAPPENS IF YOU DON'T HAVE INSURANCE, AND A CLAIM IS MADE AGAINST YOU?

´ You are in breach of National Law by not maintaining appropriate PI insurance while practising.

´ You are liable for all costs and potential damages associated with any legal action against you.

Let’s look at a comparison between what would happen if you did or did not have PI insurance, in the following case of Dr Alginate.

CASE STUDY

Dr Alginate was a principal dentist with over ten years’ experience as a general dental practitioner. On 18th June, during a routine crown preparation appointment on tooth #35, Dr Alginate was trying on the temporary crown he had just fabricated when the patient swallowed, and the temporary crown was lost. Neither Dr Alginate or the patient was too concerned about this as it was swallowed easily and they both believed it would pass without any issue.

The patient left the practice with no complaint but began to feel unwell as the day’s passed. The patient was subsequently hospitalised with a bowel obstruction and perforation from the temporary crown, which had become lodged in the small intestine.

Dr Alginate was required to pay for all of this out of his own pocket.

SCENARIO 1: WITHOUT INSURANCE, OR ADAQ SUPPORT.

Dr Alginate had always been extremely careful to ensure his professional indemnity insurance was in place over his ten years as a dentist. This time however, he decided to take a long and well-deserved break in Europe from 20th June to 3rd July. While he was overseas, he missed renewing his insurance and it lapsed on 30th June.

On 2nd July, unbeknownst to Dr Alginate, his patient had lodged a formal personal injury claim (also known as a PIPA claim) against him. Upon Dr Alginate’s return he immediately organised his PI insurance cover to be renewed, but PI insurance cover is only effective if it’s in place when the incident is notified to the insurer, or the claim is made.

Dr Alginate found himself legal representation to assist him to respond to the claim. The matter was finally settled for $700,000 due to the serious damage and lifelong consequences for the patient.

Dr Alginate was required to pay for all of this out of his own pocket.

DENTAL BOARD'S REQUIREMENTS FOR PI INSURANCE

In the following year, the dentist was also the subject of an Ahpra practitioner audit. An investigation was then commenced against the dentist for his failure to notify the Dental Board of the lapse in insurance AND for making a false declaration on his annual Ahpra registration renewal regarding holding appropriate insurance for the previous year.

FINANCIAL OUTCOME

• Legal fees and damages with a total of $700,000 was to be paid by the uninsured dentist.

REGULATORY OUTCOME

• Ahpra issued Dr Alginate with a financial penalty of $9000 for failure to notify Ahpra of his lapsed insurance.

SCENARIO 2: OUTCOME WITH INSURANCE AND ADAQ SUPPORT.

Dr Alginate called ADAQ who assured him that he had professional indemnity insurance in place and they immediately notified the insurer on his behalf.

ADAQ liaised between the insurer and Dr Alginate, handling the administration aspect of the claim and providing support throughout the process.

His insurer assigned expert panel lawyers to represent him under his PI insurance policy. The matter settled and Dr Alginate was only out of pocket $2,500 due to his insurance excess (retention fee). Although Dr Alginate will have an increased insurance premium for five years following settlement, this is a far better financial outcome than not having insurance in the first place. The increase in his premium is significantly less than the amount he would have been responsible for paying out of his own pocket if he did not have insurance.

SCAN THE QR CODE TO PURCHASE ADAQ PI INSURANCE

CONCLUSION

As we can see from the above case study, there is a very significant difference in the outcome for Dr Alginate depending on whether he held PI insurance or not. The above case study illustrates the importance of holding professional indemnity insurance at all times throughout your dental career and in doing so, how this will protect you now and in the future for claims that may arise against you.

It is important to remember that throughout your dental career, if any new incident does occur, you should notify ADAQ and your PI provider immediately to ensure you receive appropriate advice, support and the best possible outcome. If you hold professional indemnity insurance through ADAQ, we will be there with you every step of the way throughout the claims process to ensure you feel supported during this demanding and stressful period of your career.

If ever the need should arise during your dental career for advice and assistance relating to insurance or patient complaint matters, as a member of ADAQ, you can reach out to the ADAQ Compliance and Advisory Services team. Our team will be happy to assist you and can be reached at assist@adaq.com.au. You can also find out more about PI insurance at adaq.org.au/ insurance

ADAQ liaised between the insurer and Dr Alginate, handling the administration aspect of the claim and providing support throughout the process.

THE IMPORTANCE OF NOTIFYING YOUR INSURER OF CIRCUMSTANCES THAT MIGHT GIVE RISE TO A CLAIM FROM OUR PARTNER - CARTER NEWELL

Most professional indemnity policies, including your ADAQ policy, are written on a ‘claims made and notified’ basis, which requires both that a claim is first made against you and notified to your insurer during the period of insurance.

CLAIM

The term ‘claim’ is usually broadly defined to mean any written demand made or civil or administrative proceeding commenced by a third party seeking compensation.

NOTIFICATION

You should notify any claim made against you to your insurer as soon as practicable after it is received.

CIRCUMSTANCES

However, what do you do if you become aware of a mistake or if a communication from a third party does not fit the definition of ‘claim’ (for example, if it is not in writing or does not seek compensation)?

If events do not satisfy the definition of a claim, the question becomes whether they are a ‘circumstance that may give rise to a claim’, which should also be notified to your insurer.

EXCLUSIONS FROM COVER

Your policy may not cover you for a claim made against you if, at any time prior to the commencement of the period of insurance in which the claim is made, you became aware of facts or circumstances which, when viewed objectively at the time they occurred, could give rise to a claim.

However, the Insurance Contracts Act 1984 (Cth) (ICA) provides that your insurer is not relieved of liability to indemnify you for a claim, made after the policy expires, arising from a circumstance that might give rise to a claim if you have notified your insurer of that circumstance as soon as reasonably practicable after you became aware during the policy period.

It is for that reason that notification of circumstances that might give rise to a claim is important.

DISCUSSION

Notification of circumstances is required when a reasonable person in your position would consider there was a reasonable possibility of a claim arising in the future from those circumstances. Notification is not required if the possibility of a claim is remote or unlikely. However, provided there is a real or definite risk of a claim, notification is required, even if the claim is not probable.

A distinction needs to be drawn between circumstances that merely describe a situation and those that indicate the potential for a claim to arise out of that situation.

IF YOU WOULD LIKE TO LEARN MORE ABOUT US, VISIT OUR WEBISTE AT WWW.CARTERNEWELL.COM

GUIDANCE

Facts and circumstances can be notified when you are apprehensive that the circumstances may lead to a claim or where you are merely conscious of some error, loss or disgruntlement on the part of a patient or other third party and you feel there is a risk that something may come of it.

The test for the interpretation of the expression ‘might give rise to a claim’ is an objective one (whether a reasonable person in your position would have considered there to be a reasonable possibility of the circumstances leading to a claim). While the necessary awareness must be more than an awareness of the mere facts on which the claim is later made, the knowledge that those facts may give rise to a claim (even if it is expected that they will not do so) may be enough to justify notification. That is so even if you do not know all the details or if you are of the view you have done nothing wrong.

If you fail to notify your insurer of a claim received during a period or insurance, the operation of the ICA means that you may still have an entitlement to cover under that policy, subject to a reduction of the scope of the cover if your insurer suffers any prejudice from the failure to notify it of the claim.

However, if you fail to notify a circumstance that might give rise to a claim received during a period of insurance, you will not be afforded that same protection

This risk highlights the importance of good internal risk management and insurance reporting protocols. There is no downside to notifying your insurer of circumstances. There is however a significant risk that you could be without cover if you fail to notify a circumstance and a claim later arises out of that circumstance.

CONCLUSION AND RECOMMENDATION

In light of the way the law currently operates, there are potentially serious consequences for failing to notify your insurer of a circumstance that may give rise to a claim. It is therefore imperative to have in place internal procedures that enable you to immediately notify your insurer if you have any concerns.

If you have any questions regarding insurance or would like to notify a claim, contact the ADAQ Assist team today.

However, if you fail to notify a circumstance that might give rise to a claim received during a period of insurance, you will not be afforded that same protection

ELEVATING DENTAL PRACTICES: THE ESSENTIAL ROLE OF A VIRTUAL CFO

ANGELA

JEFFREY |

DIRECTOR FROM OUR PARTNER - WILLIAM BUCK

Running a successful dental practice requires careful planning, excellent patient care, and effective management. While the quality of patient care is undeniably important, the financial health and stability of a dental practice are equally critical.

This is where the role of a Virtual Chief Financial Officer (CFO) comes into play, to ensure the financial health and sustainability of the practice. The role of a CFO is traditionally associated with large corporations and established businesses; however, the concept of a Virtual CFO has gained significant traction in recent years, particularly in the healthcare sector, including the dental profession. Virtual CFOs are outsourced professionals who offer high-level financial expertise without the need for full-time, inhouse staff. They provide an affordable and flexible solution for dental practices, enabling them to navigate complex financial challenges effectively.

FINANCIAL MANAGEMENT AND PLANNING.

One of the primary responsibilities of a Virtual CFO in the dental profession is to oversee financial management and planning. They work closely with dental practice owners and managers to develop strategic financial plans that align with the practice's long-term goals. This includes budgeting, forecasting, and creating financial roadmaps that optimise profitability while ensuring financial stability.

9 Budgeting: Virtual CFOs play a critical role in developing, implementing, and monitoring budgets. By aligning financial planning with business goals, they ensure that resources are allocated efficiently.

9 Forecasting: Accurate financial forecasting is essential for anticipating future financial needs, recognising potential risks, and making informed decisions.

9 Profitability Analysis: Virtual CFOs analyse financial statements to identify areas where profitability can be improved. This includes expense reduction, revenue growth strategies, and pricing adjustments.

COST ANALYSIS AND PROFIT MAXIMISATION.

In a highly competitive field like dentistry, controlling costs and maximising profits is critical. A Virtual CFO conducts in-depth cost analysis to identify areas where expenses can be reduced without compromising the quality of care provided. They also develop strategies for increasing revenue through optimised pricing structures and patient retention initiatives.

9 Cost Reduction: Virtual CFOs meticulously review the practice's financial records and transactions to identify discrepancies and inefficiencies. This allows them to pinpoint areas where costs can be reduced while maintaining or improving service quality.

9 Pricing Strategy: Setting the right pricing for dental services is crucial. Virtual CFOs help practices establish competitive yet profitable pricing structures that reflect the local market conditions and the unique value the practice offers.

9 Efficiency Improvement:The Virtual CFO may recommend process improvements and efficiencies to minimise waste and reduce operational costs.

STRATEGIC FINANCIAL DECISION MAKING.

Successful dental practices make data-driven decisions, and Virtual CFOs play a vital role in providing the necessary financial insights. By analysing financial data, they offer practice owners valuable information for making informed choices that drive growth and sustainability.

9 Investment Decisions: Whether it's considering new equipment, expanding the practice, or upgrading facilities, Virtual CFOs provide financial analysis to support investment decisions.

9 Revenue Diversification: Diversifying revenue streams can enhance the practice's financial stability. Virtual CFOs evaluate potential opportunities for additional revenue sources.

FINANCIAL FORECASTING AND SCENARIO PLANNING.

Effective financial planning involves looking ahead and preparing for various scenarios. Virtual CFOs help dental practices anticipate and plan for potential challenges, ensuring that the practice can adapt to changing circumstances effectively.

9 Crisis Management: Virtual CFOs assist in developing crisis management plans, enabling practices to navigate unexpected challenges, such as natural disasters or public health emergencies like the COVID-19 pandemic.

9 Business Continuity: In the event of disruptions, a Virtual CFO helps implement measures to ensure that the practice can continue to operate and serve patients.

INVESTIGATIVE REVIEWS.

Investigative reviews are a crucial aspect of a Virtual CFO's role in the dental profession. These reviews involve a comprehensive examination of a practice's financial records and processes to uncover any irregularities, inefficiencies, or potential issues that may impact the practice's financial health. This proactive approach can help detect and address problems before they escalate to full-blown crises.

IDENTIFYING FRAUD AND EMBEZZLEMENT.

One of the most significant risks in dental practices is the potential for fraud and misappropriation of fund by employees and associated persons. Virtual CFOs have the expertise to review financial records and transaction history meticulously, looking for discrepancies that may indicate fraudulent activities. By identifying and addressing these issues early, they can protect the practice's finances and reputation.

PROCESS OPTIMISATION.

Investigative reviews also include an evaluation of the practice's financial processes and procedures. Virtual CFOs assess the efficiency of these processes, seeking opportunities to streamline operations and reduce costs. This not only improves the practice's financial health but also enhances overall productivity.

PERFORMANCE METRICS.

Virtual CFOs establish and monitor key performance metrics for the dental practice. By tracking financial performance indicators such as revenue, expenses, and profitability, they provide practice owners with valuable insights into their practice's financial health. If any metrics deviate from expected targets, the CFO can promptly address the underlying issues and recommend corrective actions.

CRISIS MANAGEMENT.

The dental profession, like any other, is not immune to unexpected crises. Whether it's a global pandemic, natural disaster, or other unforeseen challenges, the ability to navigate such crises effectively is crucial. A Virtual CFO plays an essential role in managing the financial aspects of these crises.

By identifying and addressing these issues early, they can protect the practice's finances and reputation.

Angela Jeffrey | Director William Buck

CASH FLOW MANAGEMENT.

During a crisis, maintaining a healthy cash flow is paramount. A Virtual CFO can develop and implement strategies to ensure that the dental practice has access to the necessary liquidity to cover its operating expenses and obligations. This may involve negotiating with creditors, optimising the use of credit lines, or exploring government assistance programs.

FINANCIAL FORECASTING AND SCENARIO PLANNING.

Effective crisis management requires careful financial forecasting and scenario planning. Virtual CFOs help dental practices anticipate and prepare for various crisis scenarios, ensuring that the practice is well equipped to respond promptly and adapt to changing circumstances.

RISK MITIGATION.

In times of crisis, risk mitigation is crucial. Virtual CFOs work with dental practices to identify potential financial risks and implement strategies to minimise their impact. Whether it's insurance coverage, emergency funds, or diversifying revenue streams, these professionals ensure that the practice is better prepared to weather the storm.

The dental profession is not immune to the financial challenges and crises that can impact businesses across the board.

Having a Virtual CFO on your side can make all the difference in effectively managing your practice's finances, conducting investigative reviews to proactively address issues, and navigating unexpected crises. Their expertise in financial management, compliance, and strategic planning can help ensure your dental practice's long-term success and financial well-being in an ever-changing landscape.

In a world where adaptability and resilience are keys to success, a Virtual CFO is a valuable asset for dental professionals seeking to thrive and prosper in the profession.

The dental profession is not immune to the financial challenges and crises that can impact businesses across the board.

OBITUARY

DR IAN WILSON

1929 - 2023 | ADAQ PRESIDENT 1964

Ian Wilson came from a generation of dentists who experienced the exigencies of the Great Depression in childhood and World War II as teens. This cohort understood frugality, opportunity and sacrifice, and the contemporaneous prestige and privilege that society afforded to the professions.

These benefits generated obligations: service, often discreet, to the community and the profession. Ian typified this ideal. The modern dental profession and the financial security of the ADAQ stand on the shoulders of these former colleagues.

EARLY YEARS

Born in Brisbane, Ian completed his Bachelor of Dental Studies at the University of Queensland, graduating in 1951. After practicing in Brisbane for eighteen months, in 1953 Ian travelled to the UK and then Toronto, Canada, to study for a Doctor of Dental Science and thereafter, completed specialist training in periodontics. For a couple of years, he lectured part-time at the University of Toronto 1954-56, and practised as a periodontist in Hamilton, Ontario.

In 1958, Ian returned to Brisbane with his new wife, Marion Jackson, and established a specialist practice. Appointed as part-time lecturer (1959-64) to the UQ School of Dentistry, Ian would often travel around Queensland to lecture for the ADAQ Sub-branches and was invited to speak at many Australian Conventions and Congresses.

Ian was elected to the ADAQ Branch Council (1961), progressing through the executive positions and was elected President (196465).

ADAQ SERVICE

Throughout the 1960s, Ian was also very active in the governance of ADAQ. He was elected to the ADAQ Council in 1961, acted as Treasurer for many years and was elected President in 196465 This was the year of second convocation of members, a forerunner of direct divisional representation. Image

Ian was elected to the ADAQ Branch Council (1961), progressing through the executive positions and was elected President (1964-65).

Ian as ADAQ President, 1965. ADAQ Archives.

Ian’s involvement in our Council also coincided with the issue of giving ADAQ a permanent “home” for the first time since its creation. In 1969, Dr George Christensen passed away and bequeathed his residence, opposite the Regatta Hotel on Coronation Drive, to the ADAQ. The premises, for many reasons, proved unsuitable as an ADAQ headquarters. A decision was made at the time to sell the Coronation Drive building to partially fund the first permanent ADAQ house, named Christensen House (1971) in Little Edward Street, Spring Hill. As Treasurer, Ian was instrumental in raising the supplemental finance to complete this project.

OTHER ACHIEVEMENTS

Other activities warrant mention. Ian joined the RAAF Reserve as a consultant periodontist and retired with the rank of Group Captain, having been awarded the Defence Force Decoration and First Clasp. When the Aboriginal and Torres Strait dental clinic was being established at Red Hill in the early 1970’s, the author was one of several dental students who assisted Dr Wilson to transport, via his horse float, a surplus dental chair from the Dental School to Red Hill.

Ian contributed to the community as an active member of Rotary International for 25 years and served as the Governor of Rotary District 960 (1988-89), and the Board of Governors of International House, University of Queensland (1980-87). Until recently, Ian was also a regular attendee at the Dental Circle Study Club’s meetings and activities.

Ian’s recreational activities evolved over the years. In 1965, Who’s Who in Australia listed swimming and golf; a decade later it mentions breeding Appaloosa horses. He later bred Warm Blood (Holsteiner) horses. He was a member of the United Service Club and Tattersall’s Club.

Ian passed away peacefully on 19 August 2023, aged 93. He is survived by Marion, 5 children, 10 grandchildren and 8 great grandchildren.

Ian Wilson and Arthur Meyers at the official opening of Christensen House, 1972, ADAQ Archives.

CLASSIFIEDS

Stay informed of opportunities and announcements exclusive to the ADAQ community

MARKING OVER 45 YEARS OF DENTISTRY UTILISING GENERAL ANAESTHESIA IN BRISBANE

Dr Anthony Speed, in association with anaesthetists from the Wesley Anaesthetic Group, wishes to advise that he can facilitate treatment for patients requiring general anaesthesia in our outpatient facility at Holland Park. This is particularly useful for patients who have no private hospital insurance. With an extensive range of experience, the team is willing to undertake wisdom tooth removal, implant placement and perform routine restorative dentistry on all age groups including children aged 3 and above.

Anxiety sufferers, local anaesthetic problems, severe gag reflex sufferers, special needs patients, and dementia sufferers have all been successfully treated over the years.

Additionally, we are now able to offer Cerec single visit crowns so that the patient does not have to return for subsequent cementation. Patients who are medically compromised can be treated at St Andrew’s Private Hospital by arrangement.

CONTACT

If this service can be of assistance to some of your patients, please phone the reception staff on 3397 1339 for further information. Referral booklets are available on request.

LOOKING FOR A KIND CARING DENTIST FOR A GENERAL FAMILY PRACTICE IN A BUSY SHOPPING CENTRE BAYSIDE

The right candidate must have excellent people skills and be able to relate to patients and staff with a high level of care and respect. Position for 3-4 days per week This is a well established, accredited practice which has a substantial client base with our current associate book being fully booked for 3-4 days per week consistently at present and he is leaving his full bookings because he has been accepted to an orthodontic program. Experience is preferred but not essential. If the right candidate is a new graduate, we have a senior dentist on site to mentor and supervise if required. Candidate must have current Ahpra registration and must have relevant licenses and insurances.

CONTACT

SPECIALIST TREATMENT & EXPERT CARE.

The Endodontic Group Advantage.

Our independent group combines specialist expertise, advanced technology and a compassionate approach to treatment to give every patient the best experience possible. With our team practising across six locations in SE Qld , we offer patients convenient treatment options and flexibility.

Explore more at endodonticgroup.com.au

Applicants please send resumes to curdental@gmail.com.

DENTAL SUPPLIES FOR TIMOR LESTEATABAE COMMUNITY HEALTH CLINIC

The Carter Foundation in association with Innocents Relief and Rotary are seeking support for the Atabae Community Health Centre in Timor Leste.

Current requirements not yet obtained by Rotary: Operating light, medical suction, six small to medium autoclaves, two stainless steel rubbish bins.

CONTACT

Clare and Michael Carter at clarelcarter@hotmail.com to donate.

CASUARINA SQUARE DENTAL CARE FULL TIME ASSOCIATE DENTIST

Our well-established practice is seeking a highly motivated, caring dentist to join our team in the young and vibrant, family friendly multicultural city of Darwin. The practice is fully computerised, with OPG/CBCT unit, CEREC, iTero, Airflow and onsite laboratory facilities; all surgeries are equipped with digital x-rays, intraoral cameras and rotary endodontics.

Offering general, cosmetic, paediatric, implant and sleep apnoea dentistry, endodontics, orthodontics (including Invisalign) and periodontics, we have a strong commitment to providing high quality, ethical dentistry in a caring environment. We encourage continuous team learning and can provide the successful candidate with mentorship in comprehensive dentistry; additionally, the practice is supported by Prime Practice.

The position is suitable for a recent graduate. We are seeking a general dentist with a positive "can do" approach to life. The successful candidate will have the following

• Professional attitude and manner

• Self-motivation to continuously upskill

• Excellent communication

• Skills in all aspects of general dentistry

• Current, unconditional Ahpra registration

• Professional indemnity insurance

CONTACT

Check out our website! www.casuarinasqauredentalcare.com.au

Application to Dr Karen Marshall at admin@csdentalcare.com.au

DISCOVER HOW ADAQ CAN HELP YOUR BUSINESS AND BRAND

Everyday

At BOQ Specialist, we’ve been helping dentists with their banking needs for over 30 years. Not only do we understand your practice finance requirements, but your personal financial goals as well.

That’s why we offer a range of personal banking products, all with features and benefits to make day-to-day banking as easy as possible for you.

So, dive in today and enjoy the freedom of complete access to our suite of everyday banking products.

Visit boqspecialist.com.au/personal-banking or speak to your local finance specialist on 1300 160 160.