Western Articulator December 2020/January 2021

AUSTRALIAN DENTAL ASSOCIATION WA | DECEMBER 2020 / JANUARY 2021

adawa.com.au

THE RECOGN ISE D VO I C E O F O R AL HE ALT H I N WA

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President’s Report

CPD Challenges and Changes WA Dental CPD in 2021

Clinical Case in Oral Medicine – Question Mysterious red lesion on palate

5 CEO’s Comment

22 CPD Calendar

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Artistic Hearts and Hands The talented artists of ADAWA

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Anatomy of the Root Canal System Part 4: maxillary permanent molars

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Advertorial The renovation of ADA House

Legal Feature COVID-19 and independent contractor agreements

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Education and Training

36 Clinical Case in Oral Medicine – Answer Mysterious red lesion on palate

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WADA Golf

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DPL Feature New standard on record-keeping

Good News Stories Win for St Pat’s and Christmas giving

Research Day at UWA A round-up of this year’s Research Day

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ADA HR Feature What to expect in 2021

Professional Notices

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Australian Dental Association Western Australian Branch Inc All correspondence to: PO Box 34, West Perth WA 6872 Tel: (08) 9211 5600 Fax: (08) 9321 1757 Email: media@adawa.com.au President Dr Sean Archibald Chief Executive Officer Dr David Hallett Editorial Team Lisa Shearon Brooke Evans-Butler Designer Advance Press Closing Date for Bookings: Ads: The 7th day of the prior month or the nearest business day before.

All advertising must be submitted by the due date by email. Advertisements received after the due date cannot be guaranteed to appear in that issue.

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Articles should be submitted as a WORD document with any graphics attached as separate files.

ISSN 2207-9351 (Online) Disclaimer: The views and opinions expressed in this publication and its attachments by advertisers and contributors are not necessarily endorsed by The Australian Dental Association (WA Branch) Inc. The Branch, its members, employees and agents do not assume any loss or damage which may result from any inaccuracy or omission in this publication, or from the use of the information contained, and make no warranties, express or implied, with respect to any of the material contained herein.

Get Social Australian Dental Association WA @adawaoralhealth @adawa_perth

President’s Report Dear Members, I hope you all enjoyed our family portrait Christmas cover and had a good laugh at our expense, as we certainly had some fun putting it together. I believe this is a great reflection of the “family” mentality we have always had at our branch – one that has been tested and emerged stronger after a challenging year. For many members, this may have been the first time they have seen how the ADA “duck” sitting on the pond truly has its legs moving very quickly underneath and often in multiple directions.

In recent months, our attention has moved, once again, to private health insurance, with the announcement that HBF will be opening self-branded dental practices. Our CEO, Dr David Hallett, and I recently spent the day visiting practices in Joondalup once we became aware that HBF would be opening its first practice at Lakeside Joondalup shopping centre towards the end of February 2021. Support and assistance will be ongoing as we adapt to the changes that may occur in our industry as a result and I would advise all members to open and read their ADAWA emails in the coming months as we will continue to update membership around this issue.

Mentoring has been increasingly important to graduates in recent years, and we recently completed the first year of the ADAWA New Practitioner Program. The five-part program provides a forum for newly graduated practitioners to find mentoring and connect with a cross-section of the ADAWA dental community. It also helps induct our new members into the ADAWA community culture and develop our upcoming leaders.

Our Dental School and University have undergone significant change this year with a new Head of School, Professor Hien Ngo, new Vice-Chancellor, Professor Amit Chakma, and more recently, a significant restructure of the entire university to remove the faculties, allowing direct contact between the Dental School and the Vice-Chancellor’s office. I am happy to report that our interactions with these new faces have been entirely positive and further strengthened the relationship between our Branch and the School. In the coming weeks, we will also see the return of the Dental Graduate Dedication Ceremony, much to the delight of our graduates, in a collaborative event between the ADAWA, the Dental Alumni and the Dental School.

After a most unexpected year, I wish you all the very best over the upcoming Christmas and New Year break and hopefully a more predictable year ahead. As always, if you have any questions or wish to discuss anything, please feel free to reach out to myself or our CEO, Dr David Hallett, at the branch at adawa@adawa.com.au or (08) 9211 5600.

Cheers,

Australian Dental Association WA

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CEO’s Comment For many years, the Australian Dental Association and Australian Medical Association have been forthright with concerned opinion regarding the provision of healthcare by private health insurance fund owned health practices and healthcare services.

Both associations believe it is not possible to reconcile the inherent conflicts of interest in a vertically integrated health model whereby a fund can own a healthcare practice, refer to the practice, engage the practitioners (on commission) to provide the care, and finally, fund the benefit to their policy holder.

Sadly, the ACCC and successive Federal Health Ministers have rejected these and other concerns, such as healthfund preferred provider schemes, with a belief that the behaviour by the respective funds is not anti-competitive.

They have broadly concluded that, in general, their decisions promote practice competition that will assist in reducing the cost of care. There is only ever scant consideration given to the negative aspects of the United States health insurance healthcare model of care in relation to patient treatment outcomes and the failings of the system.

and patient safety, a proportion of the WA public do not regard dentistry as an exclusively professional health care service. This is evidenced by the consumer/commodity driven (rather than a patient/care driven) activities of non-registered persons engaging in teeth-whitening procedures and the proliferation of mail-order companies spruiking products such aligners, mouthguards and appliances direct to the public.

The HBF dental practice model is a paradigm shift in practice ownership that now becomes just another additional layer of commercial dental practice incompatibility that we must never allow to erode the very nature and status of independent private dental practice.

Bupa, NIB, HCF, Australian Unity and a few smaller funds own dental practices in Australia. At present, only Bupa has a dental practice ownership presence in WA. Bupa’s modest WA policy holder market share, their limited practice branding and marketing and in most cases the retention of the previous practice owner (“business as usual”) has somewhat minimised their influence and accommodated a co-existence within the existing WA private dental practice model of care.

I hope the Christmas/New Year period will prove an opportune time for you all to reconnect with your individual personal values of care and compassion that attracted you to becoming a healthcare professional.

Have confidence that by imparting these values on to your existing and new patients you will only strengthen the respect and trust in your dentist-patient relationships (rather than a dentist-consumer relationship) and further enhance the quality and status of your practice.

HBF have announced they will open the first of their proposed dental practices in Joondalup in February 2021.

The broader HBF practice ownership strategy has the very real potential to have a profound impact on the WA dental profession. HBF have asserted they will be marketing their practices in anticipation of “strong new patient demand”.

Latest figures indicate HBF have approximately 866,000 policy holders in WA. Furthermore, HBF hold approximately 50% of all ancillary (“extras”) policies taken out by Western Australians. The inequity in HBF’s marketing capability compared to independent private practice is blatantly and shamelessly unfair.

If ever there was a time for an ethical discussion at a political level in relation to limiting health fund vertical integration and the excesses of commercialisation in healthcare, this must be it. HBF are not responsible for introducing either of these concepts to Australian dentistry or to any other aspects of healthcare. However, their WA societal influence and the scale of their proposed WA dental practice model is manifestly disproportionate to the population of WA as well as to the number and influence of independent dental practices. I sincerely hope HBF’s proposed actions in WA will prove a catalyst for these discussions to progress. ADAWA is committed to having these discussions. You can all play your part in collaborating with ADAWA and assisting your independent practice colleagues by actively engaging on the issue with family, friends, patients and, in particular, those persons of potential influence in politics, health, and the community.

Despite the ongoing efforts of ADAWA to minimise any anticipated detrimental impacts, members should not expect regulatory or political intervention to facilitate any positive change to dental practice ownership. We must all recognise that we are now entering a very new and extremely challenging historical period within our profession.

Despite all our efforts in setting the professional and ethical bar high in terms of standards of dental care

December 2020/January 2021 Western Articulator | adawa.com.au

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FEATURE

Artistic

hearts & hands

They say dentistry is a mix of art and science, so it’s no surprise many dentists dabble in art outside of the clinic. We called out to artistically minded ADAWA members and were wowed by the talent within the membership. We hope you enjoy the colour, beauty and interest of these profiles

Gosia Barley

landscape photography & painting Gosia Barley began with landscape photography around 10 years ago.

“Being faced with multiple big white walls within the practices, I decided photography was a great medium for all people to enjoy,” she recalls. “It is something that joins us all through what we see around us, or what engages us. In particular, I think we are so fortunate in WA with our beautiful landscapes. Even within Perth, there are so many iconic or beautiful images to capture.

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“As such, I developed a process of design, theming each practice with a geographic location and capturing images to highlight the local culture and beauty, custom creating the photography for the space on either print, canvas, aluminium or acrylic. For example, our Fremantle office has only imagery of Fremantle, whether it be port, yacht club or the iconic Esplanade.”

Around two years ago, Gosia decided she would learn to paint. “I thought, if I could capture the landscape or image I would want to paint, perhaps I could use that as a basis for analysing the colours, textures and light, and try to replicate it,” she explains.

FEATURE

“I have never had any painting classes and only worked out what I was meant to use by enquiring with the staff at the local, friendly Jacksons art supply store in Fremantle.”

Gosia has so far painted three paintings, with the first on display in her study. “I was quite nervous to actually commit paint to canvas,” she admits. “Once I got going, I started to understand how to translate what I saw into colour selection, different brushstrokes, with different brush sizes.

“For me, the only way I learnt was to break it down sequentially and problem solve. You assess what colours form the colour you are trying to create, or how the brush should work to create the texture. A big landscape is made of so many elements, it is overwhelming to begin with. If you analyse them down to the basics, you can start solving how to recreate it.

“My second painting, of our staff group on a camel ride at sunset in Broome, is actually in our Mindarie office, and the third one I painted for my husband and is in our home. It is of Yallingup; that rocky outcrop where the coffee cart often sits as you drive down to the main carpark. It was a beautiful sunset I had captured photographically to use as a basis for the painting. It took around seven months to complete around general life schedules.

“I think, as we have always heard our predecessors talk about dentistry, it is truly an art and a science,” she adds. “Those that are drawn to it are visual, technical, problem solvers and love to create.”

Parul Bhatia drawing & painting

Holding an acrylic abstract of an African elephant, Parul Bhatia explains that she loves African art as she grew up there, and that she enjoys using a variety of vibrant colours.

“I have been drawing, painting, sketching for a long time,” she says. “Through junior school, high school, university and now. It can be a little tricky finding time to paint with two young children and running a practice now, but I do try and fit it in when I can.

“It’s really a form of relaxing and meditation,” she adds. “I love creating new pictures. I really enjoy it.”

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FEATURE

John Owen metal sculpting

When he is not running his busy orthodontic practice, KDT or ICD, John Owen is working on the construction of striking steel sculptures.

“When I finished Dental School, it didn’t take long before I was bored, so I signed up and did a welding course at night school and started building a 30-foot, steel sloop on my parents’ front lawn,” John recalls.

John’s passion for welding steel creations quickly grew and he has since made many sculptures.

Welding metal is not for the faint-hearted; it is a hot process, and John usually wears army surplus clothing to stop sunburn from the brightness of the welding.

When asked why he chose sculpting as a medium, he said it is a way of getting an inert subject to have a personality.

“When I make my emu or eagle sculptures, I spend a lot of time working on the face,” he says. “Most of my sculptures have names, like Hector, which is a door stop I made for the practice during the COVID shutdown. He is a small child holding the door open for families to limit door contact.”

According to John, dentists are all artists at heart. “It is what dentists are,” he says. “They can do all the maths and all the numbers in the world but at the end of the day, dentistry is an art because our work has to fit in with the variables of the body and the personality of the patient.

What we get from our art is the personality or the feeling that complements that often-intense clinical environment. I’m certain we all get that same satisfaction from constructing and achieving.”

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FEATURE

Ahmad Abdelhameed nature & wildlife photography

For Ahmad Abdelhameed, photography has been an interest since he was a child.

“I remember my mother gave me a Kodak camera with the old processing films, and I used to take pictures of the family,” he recalls. “Then I bought different digital cameras when I was in high school and the beginning of the dental school. But I bought my first-ever professional camera in 2015 and since then I am improving my photography skills.”

What started as just capturing moments and events, led to a regular hobby, with Ahmad developing a passion for nature and wildlife photography.

“There are no artificial actions, all natural, and I feel like I am talking to nature and especially birds through my lens, and transferring this to the viewer,” he says.

“Dentistry is art and science, and it is really hard to work as a dentist, specifically in aesthetic dentistry, without a touch of art,” he adds. “Drawing a nice natural smile on peoples’ faces is an art.”

Quan Le epoxy flowers

Quan Le has been sculpting and painting flowers from wet epoxy since he was in high school. “I’ve always loved creating everyday objects out of epoxy,” he says. “I guess what drew me to the craft was the rich interplay between your thoughts of what something should look like in your mind and your hands actually creating that object.

“Each sculpture is made piece by piece from wet epoxy by kneading and carving,” he explains. “After the shape is done, everything is then hand-painted with watercolour and varnished. It’s basically 50% sculpting, 50% painting.

“I like making flowers because they are the ultimate manifestation of individuality as all flowers look the same, but they are also all unique at the same time. All my pieces are also uniquely flawed in their creation because of numerous imperfections in the shape or colour, which ultimately forms part of their aesthetic.

“There are ultimately more efficient ways to make a flower out of epoxy if the intent is consistency or perfection, but I feel this is missing the point of handcrafting. I choose to hand-craft these in this way precisely because each one has a unique, unreproducible journey, which makes the final product more special.”

Quan believes dentistry ultimately aims to mimic reality from thoughts. “In many ways, the process of clinical creation is the same as art,” he says. “Every dentist innately knows this from their everyday work, but there is a certain liberation that happens when you can truly be creative outside of work.

“Art allows you to experiment and refine certain corners of your mind so that, ultimately, it also improves your overall outlook in life and work. I cannot say whether the artistically inclined are drawn to dentistry or dentistry that instils an artistic mindset. For me, it was a bit of both.”

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FEATURE

Cindy Zhou sketching & painting

Michelle Crerie

resin homewares & original artworks

Cindy Zhou began sketching and painting with acrylics, but in recent years, she has been branching out and trying other mediums such as oil painting, watercolours and pen and ink drawings.

Cindy was 10 when her parents signed her up for art classes. “I always looked forward to spending my Saturday mornings in the studio learning new techniques and playing around with different mediums,” she recalls.

“With a paintbrush in hand, hours would fly by and it would feel as if nothing else mattered but the canvas in front of you. When the stresses of high school hit and I stopped going to the classes, I kept working on my own pieces as an escape from the pressures of study.”

Cindy says she has always considered dentistry to be the perfect amalgamation (pun intended) of art and science, and she looks at each restoration as a miniature sculpture.

“As dentists, we all have to have the fine motor skills to be able to work in as small an environment as the mouth, as well as some artistic flair to be able to execute that work beautifully,” she says.

“These skills naturally lend themselves to artistry. Besides, art is a form of meditation and after a stressful day of seeing patients, I think we can all do with a bit of mindful relaxation!”

Despite loving art from a young age, Michelle Crerie sacrificed formal art education and practice for academia, to be successful in a career in dentistry.

However, three years ago, she returned to her roots and set up an art business and has been slowly expanding her practice since.

Michelle says having an artistic outlet helps her to focus and unwind after a stressful day of dentistry – and has allowed her to achieve a much healthier work-life balance.

“I started painting just for the pure joy of creating and began exploring new techniques and mediums before I found a style that worked for me,” she says. “I have found immense joy in expanding my practice to sell artwork through markets, art fairs, online platforms, professional gallery exhibitions and other fundraising events.

I love the challenge that comes with creating custom work and seeing my art in its new home.

“Being an artist has been a great way to break down barriers with patients and allowed them to see me as a more approachable and less of a scary dentist,” she says, adding that self-expression through art has also enhanced her confidence and communication skills at work.

Michelle believes dentistry is an innately creative career and so naturally attracts those who have a bit of an imaginative side. “Artistic skills such as the shaping of restorations, visualising cosmetic outcomes, recognising colour and symmetry, attention to detail, are utilised by dentists in our daily practice,” she explains.

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FEATURE

Andrew Brockis painting & sculpting

Since his retirement, Andrew Brockis has kept himself busy as a musician, painter and sculptor. You may well have seen his “Redman” sculpture on display outside his Subiaco home, or in the pages of The Post newspaper.

“I was fortunate in my dental career to have the late Dr Bruce Stone as a mentor,” Andrew says. “Bruce was himself an excellent artist and mixed with the cream of the art world in Perth including the sculptor Greg James, who is responsible for many of the finest bronze statues around Perth. When I retired, Bruce inspired me to get involved artistically and these days, in addition to performing as a musician, I paint geometric abstract pictures and produce the occasional sculpture.”

He says after so many years spent carving anatomy into lumps of amalgam, ceramic and composite resin, he finds the challenge of depth, form and shaping materials comes to him as second nature. “Most of my works are inspired by things I see in Europe, where for the past 10 years I have been living the summer months on a canal boat meandering around the inland waterways,” he says.

“It just goes to show that dentistry is not only a rewarding career but is also a great foundation for a creative life.”

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FEATURE

Sheyda Khadembaschi painting

Paediatric dentist Sheyda Khadembaschi started drawing and painting in high school and although she stopped while studying dentistry, she picked up the hobby again when she started working rurally and had more time on her hands.

“It is something I have always enjoyed, as I find it relaxing and therapeutic but also challenging,” she says. “(It is) rewarding to create something that will hopefully be enjoyed by many people.”

Three of Sheyda’s pieces of art are hanging up at her workplace for her patients to enjoy; she also creates paintings for her friends.

When asked why she thinks many dentists have an affinity for art, she says dentistry trends to attract people that naturally have good fine motor skills.

“Also dentistry can be stressful, so painting is a way of escaping from millimetre precision, running on time to the appointment schedule and small talk and just being creative in your own quiet time,” she adds.

Sally's Dental School sculpture.

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Ted with his artwork.

FEATURE

Agnes Tan

landscape photography & drawing Agnes Tan enjoys landscape photography and drawing in her spare time, crediting her mum for encouraging her to pursue art as a hobby. “I remember playing with watercolours and colour pencils when I was really small,” she recalls. “I think it was Mum’s way of avoiding buying us toys, but hey, it stuck!”

Sally Joyston-Bechal & Ted Adler sculpting

It is clear the creativity of ADAWA members goes far back, even back to members of the inaugural graduating class of the UWA Dental School: Ted Adler and Sally Joyston-Bechal.

When we interviewed Ted in the lead-up to him receiving his 70-year medal for continuous membership of ADAWA, his home was filled with his artistic creations, including sculptures and framed photographs.

Likewise, Sally is a painter of Chinese watercolours and a talented sculptor, with one of her sculptures displayed on the third floor of the Dental School.

She’s been the president and an active member of the Medical Arts Society since 1995 and was awarded the society’s annual prize for three-dimensional work in seven separate exhibitions.

Beyond art as a hobby, Agnes says she used her artistic skills as an aide to remember teachings during Dental School.

“Sometimes a lecturer would say a ‘gem’ that's worth remembering, like when Professor Tennant talked about embryology in first year,” she says. “He said, ‘We are all made of fish heads on a stack of pizza boxes’, referring to pharyngeal arches and somites.”

“Or when I was so overwhelmed with learning the names of exo instruments, I drew some in a context, like a hockey player holding a Warwick James, and a baby crying in an elevator holding a Cryer.”

When asked why she believes so many dentists are drawn to art, she says the clue’s in the name. “I'm sure everyone has heard the ‘DENTIST = Doctor + ENgineer + arTIST’ saying? I think that pretty much sums it up.”

Do you have an interesting hobby or talent outside of dentistry? Tell us about it by emailing Brooke at media@adawa.com.au

December 2020/January 2021 Western Articulator | adawa.com.au

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ADVERTORIAL

The renovation of

ADA House

When the Australian Dental Association of Western Australia decided to renovate ADA House, Atlantis Investments – with a company portfolio that includes CBD office spaces, showrooms, warehouses, retail and tourism facilities – took on the project Adam Castelli, director of Atlantis Investments/The Castelli Group, says the initial brief was to modernise the façade of the ADA House building and upgrade the internal facilities.

“We had recently completed a building next door (1160 Hay Street, West Perth), which was the main form of inspiration,” he explains.

“ADAWA wanted to rework the existing design with modern cladding elements and colours relevant to the association, to bring it up to today’s standards and reflect ADAWA’s image.”

Work was undertaken with close collaboration between Atlantis and the ADAWA Board. “There was significant planning and coordination before commencing on site,” Adam says. “Focus was made at planning stage about setting a budget and maximising value for money within the set scope of works.

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ADVERTORIAL

“Given the building was occupied, the project was done in three stages to keep facilities accessible and reduce any inconvenience to occupants of the building,” he adds. “Stage one was the ground-floor lecture theatre, seminar room and new commercial kitchen facilities.”

“Stage two included new end-of-trip facilities in the basement and a full refurbishment of all bathrooms in the building. We identified the basement storeroom as the ideal location for end-of-trip facilities, because it was the one room that was not being used. Through smart design, we managed to build male and female end-of-trip facilities that rival other buildings within West Perth.

“The final stage was a focus on the external façade, which involved removing all existing materials to accept new structural elements and cladding. The project took 10 months overall with some final items being affected due to the COVID pandemic.”

Adam says renovating a building whilst it’s occupied always has its challenges, but they were able to work with the ADAWA executive team promptly if any issues arose.

“We worked closely with the ADAWA to ensure minimal disturbance and scheduled disruptive work outside of business hours,” he explains.

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ADVERTORIAL

Another request was to build a caterer-friendly kitchen. “We converted an old storeroom adjacent to the lecture theatre as it was the perfect location,” Adam explains. “It was an under-utilised area that provided ample room for a kitchen. We also retrofitted a dumbwaiter with direct access from the carpark to the kitchen.”

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ADVERTORIAL

About Atlantis Investments Founded in 2003, Atlantis Investments is a specialist design and construction company. Its methodology focuses on optimising design and efficient construction methods. The company focuses on maximising return on investment while maintaining a proud record of delivering successful, high quality developments to scope, on time and within budget.

Atlantis prides itself on being the building and project management arm of the wider Castelli Group. The group’s activities span across three main industries including property, liquor and renewable energy.

Adam says Atlantis is proud of the overall outcome and relationship with ADAWA. “In particular, the lecture theatre, external façade and kitchen are the standout items for us,” he says. “These have provided the greatest functional impact for ADAWA. Overall, we have brought the building to a standard comparable to any ‘A’ grade building in West Perth.

The project was delivered on time and within budget.

If you visit the building, the quality of works speak for themselves.”

Castelli Group is uniquely positioned in the market as it is involved in all aspects of commercial developments. It has strong experience from design through to construction. Castelli Group are able to provide a full property service from in house commercial building and development through to sales, leasing and property management.

Castelli Group 112 North Lake Road Myaree WA 6154

Specialists in Design and Construction

Atlantis Investments focuses on maximizing return on investment while maintaining a proud record of delivering successful, high quality developments to scope, on time and within budget. Atlantis Investments has delivered a broad range of projects including CBD Office Space, Showrooms, Warehouses, and Retail & Tourism facilities.

08 9364 0400

Admin@castelligroup.com.au

112 North Lake Road Myaree WA 6154

Proudly part of

WADA GOLF Lester Charlesworth Trophy The final WADA Golf game of the year, the Lester Charlesworth pairs event, kindly sponsored by David Owen of Swan Valley Dental Laboratory, was played at the magnificent Lake Karrinyup Country Club on Friday 6th November. Thank you, David Owen.

Yet again, the weather gods were on our side and the golfers played in glorious sunshine followed by a lovely still evening for the barbeque.

The day was enjoyed by all and the golf course was in mint condition.

NOVELTIES Nearest the Pins: 5th Hole (Swan Valley Dental Laboratory – David Owen)....................................................... D. Martin 8th Hole (WADA Golf)........................................... R. Williams 17th Hole (Dentsply Russell Redpath & Craig Botes)......................................................... B. Potter Longest Drive: 3rd Hole (Health Linc – Brad Potter).................. C. Angliss

Lester Charlesworth winners I. McCarrey (L) and R. Gordon (R), with sponsor David Owen of Swan Valley Dental Laboratory.

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LESTER CHARLESWORTH TROPHY 3rd.........D. Martin & R. Lazar......................................... +5 2nd....... G. Washbourne & S. Philips............................ +5 1st..........I. McCarrey & R. Gordon................................ +8 Well played, Ian and Russell.

Individual par I. McCarrey..................................................................... +3

CEC WHITE TROPHY The Cec White Trophy is awarded to the top-performing golfer throughout the year, and was closely contested

by Kris Thyer and John Scully. On the day, Kris Thyer emerged as the worthy winner. Well played, Kris.

Finally, congratulations to Michael Whitford, who will be at the helm of WADA Golf for the next two years.

John Scully WADA Golf Captain dentistgolf@gmail.com

Kris Thyer (L) receives the Cec White Trophy from Rod White.

Research Day at UWA The UWA Dental School Annual Research Day did not disappoint, with speakers covering a range of exciting topics “I was particularly impressed by the standard of the student presentations which demonstrated maturity in handling questions, high-quality presentation skills and interesting and relevant research topics,” says Dean and Head of UWA Dental School Professor Hien Ngo. Congratulations to the students who were awarded prizes for their presentations.

The Doctor of Dental Medicine (DMD) category: 1st place: Benjamin Shih and Jainish Patel – supervised by Dr Amr Fawzy (“Investigation into the physicochemical properties of 3D-printed denture-base material”) 2nd place: Emma Turner – supervised by Dr Kate Shearston, Dr Simon Fox and Prof Camile Farah (“Investigating the proliferative verrucous leukoplakia transcriptome”) 3rd place: Ashleigh Furfaro and Nikki Hutchison – supervised by Prof Linda Slack Smith (“Editorial boards in dental journals: Where are the women?”)

And the Doctor of Clinical Dentistry (DClinDent)/PhD category: 1st place: Dr Sultan Aati – supervised by Dr Amr Fawzy (“Development of 3D printed resin reinforced with modified ZrO₂ nanoparticles for longterm provisional dental restorations”) 2nd place: Dr Raymond Lam – supervised by Dr Mithran Goonewardene and Dr Steven Naoum (“Pulp assessment of healthy and traumatized teeth undergoing conventional and mini implant supported maxillary expansion: A prospective study”) 3rd place: Dr Ravi Teja Chitturi – supervised by Dr Omar Kujan, Dr Kate Shearston, Dr Simon Fox and Prof Camile Farah (“Development of a novel 3D spheroid model for the investigation of oral carcinogenesis”).

Pictured from top: (L-R) Anam Khan, Tsz Wai Yau, Amanda Law (back), Sing Yeen Yoong, Lawrence Chu (front), Harrison Wong, Kevin Lee, Philene Ng, Amy Liu (front), Yongliang Chin, Huei Hen Foo, Jia Ying Wong, Anthony Radziejewski, AP Johan Aps. (L-R) Thomas Hastie, Sascha Venske-Parker, Philene Ng, Kevin Lee, Johan Aps, Lawrence Chu, Harrison Wong, Amanda Law. (L-R) Guru Ravikumara, Carlo (Francis) Tenazas, Jamie Maraj.

Professor Hien Ngo. Photos: Felix King Photography December 2020/January 2021 Western Articulator | adawa.com.au

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FEATURE

WA Dental CPD in 2021

Challenges and changes

It’s been a turbulent year for the WA Dental CPD program, but things are looking up for 2021 COVID-19 restrictions caused much upheaval for the dental profession, and unfortunately the WA Dental CPD was no exception.

However, as the saying goes, the show must go on, and our Director of Continuing Professional Development, Dr Jenny Ball, adjusted her carefully-planned program so as many courses as possible could go ahead.

The challenges One of the main challenges was that WA Dental CPD usually brings in a number of dentists from overseas and the Eastern States to present various lectures and handson courses.

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“With the hard border in place, many of the courses associated with the presenters were either done virtually with attendees at ADA House and the presenter on Zoom, or were postponed or cancelled,” Jenny says. “There were a large number of hands-on courses scheduled and they cannot be done via Zoom. Early on, as the rules kept changing, it was difficult to know at which point not to run the course.

“I would like to thank members who were booked into those courses that were postponed,” Jenny adds. “Most did not request a refund and were happy to attend when a new date was proposed. This made life for the ADAWA office staff much easier.”

FEATURE

The changes In many cases, alternate arrangements were able to be made, including early on when restrictions first hit and oral-medicine specialist Professor Sharon Elad was due to travel from New York to present ‘Dental care for medically complex patients – simplify the complexity’ to ADAWA members on March 17.

“Sharon’s university disallowed staff to travel in early March, a few weeks before Australia shut down,” Jenny recalls. “She was scheduled to speak in three cities.

Sharon kindly offered to do the presentation via Zoom.

“The problem was, New York is 12 hours behind Perth, so she started lecturing at 9pm her time and finished at 4am.

I had booked her three nights’ prepaid accommodation in Perth. The hotel refused to refund the cost, so we ran a competition for ADAWA members to have three nights’ accommodation at the InterContinental Hotel in Perth.

The members loved that.”

Courses and presenters to look out for in the 2021 program include:

In addition to the use of Zoom so presenters could attend lectures virtually, changes were also made to in-person courses to adhere to social distancing requirements.

“Social distancing means numbers in venues are reduced.

Instead of 50 people in some rooms it is 35, so that can be a little restrictive,” Jenny explains. “I have also slightly changed the catering. Food is separated more with no grazing tables and we are using tongs to pick up the food.

“Some CPD courses are held at other venues, so even when we could resume courses some places were still not open. For example, The Uni Club took a long time to open at night-time for dinners.”

Sourcing equipment for courses has also been impacted, with Jenny saying Frasaco teeth are very difficult to get at the moment. Luckily, Jenny says staff at Optech are very organised and teeth were ordered early in the year.

What’s coming up “Next year WA Dental CPD will be repeating your favourite hands-on courses,” Jenny says. “And as I say every year: ‘book early’. Hopefully the 2020 postponed courses will be held in 2021 as soon as possible.”

• A new hands-on course on surgical draping.

• Julie Meek (who is a regular on radio station 6PR) will be running a half-day lecture on nutrition.

• Alex Hof (a clinical psychologist, who members may remember from the ADAWA/Capital Partners webinar earlier in 2020) will be running a workshop on stress relief.

• Dr Lisa Bowdin will be tackling the Hall Technique for paediatric crowns over dinner.

• Drs Lee Kaing and Frank Chang will be reminding you of some basic oral surgery principles.

• Professor Paul Abbott and Dr Jilen Patel will be co-presenting a full-day lecture course on Dental Trauma for the General Dentist.

• Dr Keith Noonan will hopefully be able to fly to Perth to talk about how to deal with implant failures.

• WA Dental CPD will also be making its annual visit to Albany.

See pages 22 and 23 for a full list of WA Dental CPD courses in 2021. You can also visit the website: adawa.com.au/cpd

As well as some old favourites, there will be new courses to choose from.

“I have been forced to start looking and approaching more local Western Australian dentists to develop some hands-on courses and lecture courses for 2021,” Jenny says.

December 2020/January 2021 Western Articulator | adawa.com.au

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2021 FEBRUARY To Prep or Not to Prep Dr Clarence Tam

APRIL 20

Saturday: 9.00am–5.00pm

21

Sunday: 9.00am–5.00pm

UWA Dental School, Nedlands

The Primary Dentition: Pulp Therapy and Stainless-Steel Crown Restorations

20

ADA House, West Perth

UWA Dental School, Nedlands

20

Saturday: 9.00am–2.00pm CTEC, Crawley

Thursday: 6:30pm–9:30pm University Club, Crawley

Dr David Booth & Dr Carolyn Stulner

25

Professor Paul Abbott

Dr Asheen Behari & Dr Paul Gorgolis

Saturday: 9.00am–5.00pm Sunday: 9.00am–5.00pm

1

JULY Restore My First Implant

5

Princess Crowns & Pirate Teeth – Dinner Course

13

Dr Graham Carmichael & Dr Glen Liddelow

Friday: 9.00am–5.00pm

ADAWA General Meeting Wednesday:

Thursday: 6.30pm–9.30pm

Hands-on Extraction

Suturing Workshop

Associate Professor Dieter Gebauer & Mr Leon Smith

University Club, Crawley

15

ADA House, West Perth

ADA House, West Perth

Friday: 1.00pm–5.00pm

21

Modern Day Implant Treatment

WA Dental CPD Events

23

Dr Rick Lazar

Friday: 1.00pm–5.00pm ADA House, West Perth

Stretched Not Stressed

Event Types:

16

CTEC, Crawley

Saturday: 9.00am–11.00am

Friday: 1.00pm–5.00pm

7

ADA House, West Perth

Dr Lisa Bowdin

Ms Julie Meek

2

The Branemark Centre, West Perth

ADA House, West Perth

Nutrition for Life

25 /26

UWA Dental School, Nedlands

ADAWA General Meeting Wednesday:

Dr Lee Kaing

18

Friday: 8.30am–5.00pm

Ceramic Restorations

MAY Practical Oral Surgery

Simplified Clinical Endodontics

UWA Dental School, Nedlands

CTEC, Crawley

Saturday: 9.00am–2.00pm

Dr Lee Kaing & Dr Frank Chang

30

Saturday: 9.00am–2.00pm

Dr Vanessa William

Blood and Guts – A Dinner Course on Oral Surgery

UWA Dental School, Nedlands

ADA House, West Perth

The Branemark Centre, West Perth

10

11

Friday: 9.00am–4.00pm

Friday: 9.00am–5.00pm

ADAWA General Meeting Wednesday:

Surgical Aseptic Technique in the Dental Office Ms Megan Reilly & Dr Roslyn Franklin

Dr Graham Carmichael & Dr Glen Liddelow

MARCH

Dr David Booth & Dr Carolyn Stulner

16

Friday: 9.00am–5.00pm

Advanced Single Implants & Introduction to Short-Span Bridges

Dr Clarence Tam

Practical Oral Surgery

The Jens Andreasen Memorial Dental Trauma Update

JUNE

WP Paul Abbott AO & Dr Jilen Patel

UWA Dental School, Nedlands

Posterior Composites

Dental CPD Calendar

Alexandra Hof

24

Saturday: 9.00am–12.00pm ADA House, West Perth

ADAWA General Meetings Other CPD Events

Please note that parking is very limited for any daytime courses at ADA House, West Perth. Attendees should make themselves aware of public parking facilities in the area, or use public transport. The Red CAT bus route is conveniently located for ADA House.

Online Bookings are available on the ADAWA website adawa.com.au in the CPD area. A receipt will be issued listing the course name, date and applicable CPD hours, when registrations are processed. A Certificate of Participation will be provided after attending the course. Replacement certificates cannot be provided.

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WA CPD Event Bookings & Enquiries: Additional event information and online bookings available at adawa.com.au Bookings, Course and Payment enquiries: Tel: (08) 9211 5600 Other Enquiries to Dr Jenny Ball: Mob: 0419 044 549

JULY RACDS WA EVENT Top Hacks for Outstanding Dentistry

The Art of Digital Photography & its Clinical Applications

SEPTEMBER

CTEC, Crawley

8

ADA House, West Perth

Dealing with Implant Failures Dr Keith Doonan

22

ADA House, West Perth

ADAWA Annual General Meeting Wednesday:

20

Saturday: 9.00am–5.00pm Sunday: 9.00am–5.00pm

UWA Dental School, Nedlands

Red, White, Night & Bite

22

26

Professor Paul Abbott

Friday: 8.30am–5.00pm

UWA Dental School, Nedlands

ADA House, West Perth Dr Amanda Phoon Nguyen

9

5/6

Predictable & Easy Root Canal Instrumentation & Filling Techniques

Friday: 9.00am–5.00pm

4

Porcelain Veneers & Ceramic Onlays Dr Asheen Behari & Dr Paul Gorgolis

Szabolcs Hant & Dr Graham Carmichael

Saturday: 9.00am–2.00pm

ADAWA General Meeting Wednesday:

Dr David Booth & Dr Carolyn Stulner

16

CTEC, Crawley

More details to come

Dr David Booth & Dr Carolyn Stulner

Practical Oral Surgery Saturday: 9.00am–2.00pm

Dr Michael Mandikos

Practical Oral Surgery

NOVEMBER

OCTOBER 30

Email: cpd@adawa.com.au Email: jenny@adawa.com.au

Friday: 9.00am–4.00pm

Albany Entertainment Centre, Albany

Thursday: 9.00am–5.00pm ADA House, West Perth

Single Crown Preps: A Hands-on Course

11

Dr Poh Hun Loh & Dr Victor Matsubara

Saturday: 9.00am–3.00pm

UWA Dental School, Nedlands

It’s Not Just About the Spine Professor Peter O’Sullivan

17

Friday: 1.00pm–5.00pm ADA House, West Perth

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December 2020/January 2021 Western Articulator | adawa.com.au

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$561 inc GST

The Primary Dentition: Pulp Therapy and Stainless Steel Crown Restorations Saturday 20 March 2021 | CPD Hours: 5 Presented by Dr Vanessa William Registration from 8.45am, Course 9am to 2pm UWA Dental School, 17 Monash Ave, Nedlands Bookings & Enquiries adawa.com.au/cpd Course outline

About the Presenter

The primary molar presents a significant restorative challenge to dentists due to its unique anatomy and characteristics. The strength of the primary molar itself is often the major limiting factor in the choice of a successful restoration. The bulbous shaped crown, cervical constriction, prominent pulp horns and broad at contact can make intracoronal adhesive restorations more difficult to retain.

The stainless-steel crown restoration offers an exceptional alternative to other restorative materials due to its durability, cost effectiveness, ease of technique and offers the advantage of full coronal coverage.

Dr Vanessa William graduated from The University of Western Australia with a Bachelor of Dental Science in 1996.

After working in private practice for a number of years, she completed a Doctor of Clinical Dentistry specialising in Paediatric Dentistry at the University of Melbourne in 2004 and attained her Fellowship of the Royal Australasian College of Dental Surgeons the same year. Since her return to Perth in 2005, Vanessa worked with Dr Peter Readman, becoming co-owner of Bicton Paediatric Dentistry in 2012 and Cockburn Paediatric Dentistry in 2016.

This half-day course will take the participant through the indications for using stainless-steel crowns, a step-by-step guide for tooth preparation and kit requirements for your dental practice.

Pulp therapy in the primary dentition is a highly successful clinical procedure following careful case selection. Three different pulp therapy procedures (indirect pulp cap, pulpotomy and pulpectomy) will be discussed in detail during the lecture. The hands-on component will include pulpotomy technique and the use of current medicaments including Mineral Trioxide Aggregate (MTA).

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December 2020/January 2021 Western Articulator | adawa.com.au

Further to her private practice commitments, Vanessa is the President of the Australian and New Zealand Society of Paediatric Dentistry (WA Branch), is on the Board of Studies for Paediatric Dentistry for the Royal Australasian College of Dental Surgeons and shares the position of Deputy Head of Department (Dentistry) at Perth Children’s Hospital.

Vanessa is invited to provide many lectures throughout the year for the continuing education of general dental practitioners, oral health therapists and dental graduate and postgraduate students.

EDUCATION & TRAINING

FINAL ENROLMENTS CLOSE LATE DEC 2020 OR EARLIER, FOR JANUARY 2021 COMMENCEMENT. FOR AUSTRALIA & NZ DENTISTS FOR

POSTGRADUATE CERTIFICATE IN DENTAL IMPLANTOLOGY

PGCERT (DENT IMP) AND YEAR 2 CONTINUATION OPTION TO PGDIP (DENT IMP) UK AWARD, CONVENIENT AUST AND NZ DELIVERY.

1. Online on-demand learning with coursework delivery, researched discussions and assignments,. January-June 2021.

2. Practical Skills Week in Perth, July 12-17 2021.

3. Supervised and mentored clinical cases from July 2021. in your region. ✔ Improve predictability and patient outcomes.

✔ Challenge and commit yourself to guided weekly study with clear learning objectives and be rewarded with a PGCert or PGDip (Dent Imp) whilst working. ✔ Join a uniquely collegiate and encouraging blended learning environment led by accessible, engaging and knowledgable faculty delivering a proven program. ✔ Start your implant journey on a solid academic, practical and clinical foundation, or take your current knowledge and skills to the next level. Designed to be suitable for beginners to advanced.

@theimplantinstitute E: info@theimplantinstitute.com.au Or PM Aus Program Director @dr.misagh.habibi

theimplantinstitute.com.au

Study Orofacial Pain at the University of Sydney

Orofacial Pain is now a formal online study pathway in the Masters of Science in Medicine (Pain Management) degree program This new pathway is designed for dentists and other interested health professionals working with patients with orofacial pain problems. Covering core concepts in pain management and specific orofacial pain conditions (including Temporomandibular Disorders and Orofacial Neuropathic Pain) it is the only study option devoted exclusively to Orofacial Pain offered by an Australian or New Zealand University.

(Note: Semester 1 entry only each year)

Units of study Year 1: Introduction to Pain Management, Pain Mechanisms and Contributors, Principles of Pain Management and Treatment, Orofacial Pain Year 2: Advanced Studies in Orofacial Pain, Introduction to Sleep Medicine, Headache, Orofacial Pain in Practice

Key features of the course • • • •

Clinically-focused and flexible online study program Content developed by leading experts in the field Interactive discussions and written assignments Internationally recognised Masters degree program For dates & further information visit: sydney.edu.au/medicine/pmri/education

T: +61 2 9463 1516 E: paineducation@sydney.edu.au

$198 inc GST

Princess Crowns & Pirate Teeth – Dinner Course Thursday 13 May 2021 | CPD Hours: 3 Presented by Dr Lisa Bowdin Registration from 6.15pm, Course 6.30pm to 9.30pm University Club, Hackett Drive, Crawley Bookings & Enquiries adawa.com.au/cpd Course Outline

About the Presenter

Young or anxious paediatric patients can be challenging to manage when restorative treatment is required. This presentation will discuss whether the needle and drill is always required, and introduce the Hall Technique to dental practitioners.

Dr Lisa Bowdin is a paediatric dentist operating in private practice in South Perth, WA. After working as a general dentist in Bunbury, WA, Dr Bowdin completed her postgraduate studies in Paediatric Dentistry at The University of Western Australia. She is currently the WA Federal Councillor for the Australian and New Zealand Society of Paediatric Dentistry (ANZSPD) as well as secretary for the Dental Specialists Society of Western Australia. Dr Bowdin is an after-hours, on-call paediatric dentist at Perth Children’s Hospital, and a tutor at The University of Western Australia.

Course Topics: • History of the Hall Technique • Indications and contraindications • Familiarisation with tools and components • Step-by step instructions on the placement of a Hall Crown • Scientific evidence for use of the Hall Technique Cost includes three-course dinner.

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December 2020/January 2021 Western Articulator | adawa.com.au

LEGAL FEATURE

COVID-19 & Independent Contractor Agreements

by Jenny Edinger and Morgan Barnsby COVID-19 is still very much a concern for practices, with the risk of future outbreaks still present and the possible consequences still disastrous. Given the restrictions placed on Western Australian dental practices earlier in the year and the subsequent reduced patient throughput, practices have struggled to survive and have had to consider what they can do to stay afloat. In the context of COVID-19, two aspects of a contractual relationship may be important; those are force majeure and frustration.

Force Majeure In most dental practices, the dental practitioners are usually independent contractors operating under a services agreement or a facilities agreement. The agreement between the parties may contain a force majeure clause which excuses a party from their failure to perform the contract, where that failure was due to an unforeseeable event beyond the party’s control. As such, the party is not liable for failing to perform the contract.

Some common force majeure events include earthquakes and other natural disasters as well as war and civil unrest.

Whether or not a force majeure clause is applicable in the circumstances depends on the wording of the force majeure clause. If the clause expressly includes the word ‘pandemic’ then the clause will apply in the circumstances of COVID-19.

However, different phrases may compel a different outcome. Arguably, an ‘Act of God’ would include a global pandemic but a ‘natural disaster’ might not because of the element of human contribution to the spread of the disease.

As yet, there is no legal authority on whether COVID-19 is an unforeseeable event beyond the party’s control.

Note, force majeure clauses are not usually implied into Australian contracts and there must be a specific clause in the agreement between the parties before one or the other can declare a force majeure event. When a force majeure event arises, the contract may be put on hold for the duration of the event.

Frustration Where a contract does not include a force majeure clause, then the parties may be able to assert that the contract has been frustrated. Frustration of the contract occurs where an event, not caused by the default of either party, renders the contract incapable of being performed because the prevailing circumstances are radically different to those that were operating when the contract was entered into.

The outcome of frustration is that any future obligations under the contract are automatically discharged and the contract ends. Note, frustration will not generally occur where there is an operative force majeure clause.

Usually, a delay in performance (provided it is not unreasonable), mere financial hardship or increased burden of performance will not constitute frustration of the contract. For example, a dental practice suffering from financial loss due to lower patient numbers would be unable to claim frustration of the contract.

Conclusion If a second wave of COVID-19 impacts Western Australia, you may be entitled to delay performance of contractual obligations via a force majeure clause or to terminate the contract due to frustration.

It is important to note that the written terms of an agreement will determine whether a force majeure event has occurred and that either party should be careful before asserting that frustration of contract has arisen.

We encourage you to seek legal advice if you are intending to reply upon either a force majeure clause or upon frustration to end a contract.

For more information or to discuss how we may be able to assist you, contact our team at Panetta McGrath Lawyers on (08) 9321 0522 or info@pmlawyers.com.au.

December 2020/January 2021 Western Articulator | adawa.com.au

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DPL FEATURE

New standard on record-keeping The importance of good record-keeping has been emphasised repeatedly for dental practitioners, often as a formidable resource in the unfortunate case of disciplinary proceedings. Dr Kiran Keshwara, dentolegal consultant at Dental Protection, highlights the important changes that have taken place when it comes to record-keeping, and considers how to address and incorporate them On 1 October 2020, the Dental Board of Australia (the Board) retired the four-page Guidelines on dental records, as it had formed the view that the Code of conduct contained adequate guidance for dental practitioners on record-keeping, eliminating the need for a standalone document.

In addition to the guidance in the Code of conduct, the Board has developed a fact sheet and a self-reflective tool to help clinicians understand and comply with their obligations.

Fact sheet Setting out the expectations of clinicians, the fact sheet directs them to the relevant documentation.

A practitioner is expected to: • Practice in accordance with the Board’s regulatory standards codes and guidelines, including: • The Code of conduct, which contains information on confidentiality, privacy and informed consent • Ongoing CPD courses on record-keeping • Ensuring appropriate professional indemnity insurance is in place • Comply with: • The relevant state and territory legislative requirements on health records • Relevant privacy requirement – this includes the Privacy Act 1988, which details the use, disclosure and release of a patient’s personal information and details

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December 2020/January 2021 Western Articulator | adawa.com.au

DPL FEATURE

This is the main document containing the standards that all practitioners are held to and was developed in 2014.

It is important to remember that the self-reflective tool is not a comprehensive list of the detail that should be included in patient records. It should be used as a starting point for reflection, considering the records and understanding the type of information that should be included.

Along with Section 2 (Providing good care) and Section 3 (Working with patients or clients), Section 8.4 of the Code of conduct specifically details expectations of clinicians concerning dental records.

The self-reflection tool encourages clinicians to complete random audits of the records created to check, and remind them of, important aspects of the dental records including:

It states that good practice involves:

• Ensuring that records are accurate and up to date • Evidence that patients were fully informed of their options and these options were explored in detail, including costs and personal circumstances • Diagnostic data (e.g. dental charting, temporomandibular joint examination findings, pulp sensibility tests, and periodontal probing) • Diagnoses • Medication prescribed, including information on dose, quantity and instructions provided • Continuity of care.

• Understand: • What constitutes a health record • Your responsibilities when making a health record • What should be recorded in the health record

Code of conduct

a. Keeping accurate, up-to-date, factual, objective and legible records that report relevant details of clinical history, clinical findings, investigations, information given to patients or clients, medication and other management in a form that can be understood by other health practitioners b. Ensuring that records are held securely and are not subject to unauthorised access, regardless of whether they are held electronically and/or in hard copy c. Ensuring that records show respect for patients or clients and do not include demeaning or derogatory remarks d. Ensuring that records are sufficient to facilitate continuity of care e. Making records at the time of events or as soon as possible afterwards f. Recognising the right of patients or clients to access information contained in their health records and facilitating that access, and g. Promptly facilitating the transfer of health information when requested by patients or clients.

Self-reflective tool This is the newest document made available to practitioners and it should be reviewed by all dental practitioners. It is a series of questions and statements that encourages clinicians to think about the different aspects of the records created, which will further help clinicians identify any gaps in their knowledge, skills and systems.

This information can then be used this to improve the record-keeping process, encourage discussion amongst clinicians and highlight areas where further recordkeeping CPD is required.

Want to know more? Dental Protection Members can access a recording of the webinar, ‘What does the new standard on record-keeping mean for me?’ presented by Dr Kiran Keshwara and Dr Annalene Weston, at https://www.dentalprotection.org/ australia/events-elearning/e-learning

You can also access our RiskBites podcast ‘How to document risks and warnings’ through your preferred podcast platform, or via the Dental Protection website: https://www.dentalprotection.org/ australia/podcast

The Code of conduct, which is the main documentation for all dental practitioners, and the fact sheet and self-reflective tool, make it very clear that the Board expects clinicians to create records that are detailed and accurate, and can be used to facilitate ongoing patient care. The Board also highlights the need to be aware of the relevant legislations for the State that clinicians work in and to undertake ongoing CPD and audits of their clinincal records.

December 2020/January 2021 Western Articulator | adawa.com.au

29

ADA HUMAN RESOURCES

announced the extension of the scheme until 28 March 2021. The extended JobKeeper scheme is widely known as “JobKeeper 2.0”.

JobKeeper 2.0 is essentially broken into two periods being: • Period 1: 28 September 2020 – 3 January 2021; and • Period 2: 4 January 2021 to 28 March 2021.

In order to be eligible for JobKeeper 2.0 for Period 1, an employer must satisfy the turnover test for the July quarter, while eligibility for Period 2 is dependent upon an employer satisfying the turnover test for the December quarter. The turnover test requires an employer to have experienced a 30% reduction in turnover as compared to the comparable period in 2019.

If an employer does not satisfy the turnover test, they are not eligible to receive wage subsidies under JobKeeper 2.0. It is known that a reasonable volume of dental practices are no longer eligible for JobKeeper 2.0, and it is reasonably expected that a further group of dental practices will become ineligible in the second period.

Employment relations What to expect in 2021

There is no denying that 2020 has been a tumultuous year. The COVID-19 pandemic caused unprecedented circumstances, but with only a few months left of 2020, now is the time for us to start looking ahead and planning for 2021 The year ahead is filled with uncertainty, but there are a few known factors: firstly, 2021 has got to be better than 2020 (a year which cannot end soon enough), and there will be quite a few changes to HR and employment practices which will impact upon employees and employers alike.

JobKeeper 2.0 The JobKeeper scheme has been of great assistance to many in the dental profession.

The JobKeeper scheme was to cease on 28 September 2020, however, with many economists fearing a “fiscal cliff”, and a significant resulting economic impact, once the scheme came to an end, the Federal Government 30

December 2020/January 2021 Western Articulator | adawa.com.au

Where a dental practice knows, or reasonably foresees, that they might be ineligible for JobKeeper 2.0, it is strongly recommended that they start to consider making an application for exemption with the ATO (for example, if 2019 period is not truly comparative) or plan for the end of the scheme.

The amount of JobKeeper payments will also change in accordance with the periods, with the amount paid to an employee also different depending on hours worked in a defined period. The changes are summarised in the table below: Fortnightly cycle

JobKeeper 2.0

Average hours 28 September worked in 4 weeks 2020 – 3 before 1 March or January 2021 1 July 2020

4 January 2021 – 28 March 2021

More than 20 hours

$1,200 per fortnight

$1,000 per fortnight

20 hours or fewer

$750 per fortnight

$650 per fortnight

JobKeeper 2.0 also creates a second grouping for employers who do not qualify for JobKeeper 2.0, but have experienced a reduction in turnover of at least 10% or more. These businesses are referred to as a “legacy employer” and can continue to access the JobKeeper provisions relating to the variation of an employees’ days and hours of work subject to notice and consultation requirements.

Minimum award wage increase Each year the minimum award wages increase on or around 1 July, however, due to the financial and economic impact of COVID-19, the Fair Work

ADA HUMAN RESOURCES

Commission Wage Panel determined this increase would be spread across three groups made of different industrial awards. The Health Professionals and Supports Services Award 2020 minimum wage rates were increased by 1.75% on the 1 July 2020.

The Fair Work Commission has highlighted that there will be likely implications in 2021 as to the timing of when modern award minimum wages will increase. Due to the three groups and dates of the wage increases in 2020, it is possible we may see this cluster or variation of effective dates again in 2021. This possible repeat in date variation again would be due to the continued financial implications on practices and because the last cluster group’s wages are due to increase on 1 February 2021.

Practices should plan and be mindful of this possible change as the dental industry was in the first cluster group which was impacted by the increase in the minimum award wages.

Proposed changes On 26 May 2020, the Federal Government announced reforms regarding Australia’s Industrial Relations System. The Federal Government went on to consult with five ‘working groups’, which included: 1. Casuals 2. Award Simplification 3. Enterprise Agreement Making 4. Compliance and Enforcement 5. Greenfield’s Agreement for the Life of Major Projects This process of consultation with the working groups concluded at the end of September 2020.

The second stage of reforms is for the Government to consider the proposed changes and introduce legislation to give effect to the changes. The Industrial Relations Minister, Christian Porter, has suggested that legislation will be introduced by the end of 2020.

There are several areas which are likely to have a reasonably significant direct impact upon the dental profession including the engagement of casual employees, award simplification and minimum entitlement compliance.

Further details will be communicated to the profession once known.

This focus has shifted in 2020 from addressing and minimising general workplace risks to the assessment of complex issues such as working from home, travelling to and from work in an infectious environment, adequate PPE, increased cleaning/hygiene procedures, infection control and imposing similar standards upon members of the public with who we engage.

Regardless of whether a vaccine is or is not discovered, the increased focus upon Work Health Safety will certainly continue throughout 2021.

The nature of work Although not as prevalent within the dental profession, the COVID-pandemic has seen a significant increase in the volume and type of flexible working requests made.

Workplaces will continue to develop their “new norm” throughout 2021 and it is anticipated that an increased volume of requests will be made as employees continue to explore flexible work options.

Mental health As expected, the COVID pandemic has had significant personal consequences for many.

Practice owners have experienced incredible uncertainty and financial pressure, while practitioners have had to navigate their way through personal, professional and financial challenges presented by the pandemic.

These issues have, unfortunately, had a direct impact upon individuals’ mental wellbeing and as a result, to the credit of many practices, we are seeing an increased focus upon the provision of personal support mechanisms through the workplace, including an Employee Assistance Programme as an example. This is a further area of attention which we anticipate will continue throughout 2021.

It is likely that 2021 may continue to be another year that holds unprecedented events, however, being able to prepare based on current 2020 trends and predictions will help practices maintain compliant practices while addressing the needs of their valued practitioners.

Work Health Safety One of the biggest focuses within the dental industry in 2020 has been the increased emphasis on creating and maintaining a safe workplace for employees. The Work Health and Safety obligation of employers was highlighted this year and will continue to be a focus in 2021.

For further information or assistance in relation to this article, please do not hesitate to contact the ADA HR Advisory Service on 1300 232 462.

December 2020/January 2021 Western Articulator | adawa.com.au

31

CLINICAL

Q+A

Clinical Case in Oral Medicine: Mysterious Red Lesion on Palate

Dr Jacinta Vu, Oral Medicine Specialist Extra-oral examination was unremarkable and there was no evidence of regional lymphadenopathy in head and neck. Oral aperture and excursive jaw movements appeared to be normal. The vermilion of the lips was well-defined, soft and of normal colour.

Intra-oral examination demonstrated an ill-defined erythematous lesion on the left hard palate, with partial blanching on diascopy. The lesion had a punctate appearance, with the minor salivary gland duct openings appearing erythematous. There was no ulceration or sloughing noted in the erythematous area, although lateral to this there appeared to be superficial erosion of the palatal mucosa. Remaining oral soft tissues were unremarkable.

QUESTION:

A 46-year-old female was referred regarding a three-day history of severe palatal pain. She indicated a slight swelling in the left palate, associated with a stabbing and burning pain referring to the left ear, as well as a general sense of feeling unwell.

She did not recall any initiating or precipitating factors.

Her medical history was unremarkable and she did not have any known allergies. She had never smoked and did not consume alcohol.

What is the best clinical differential diagnosis?

A. Mucoepidermoid carcinoma B. Lymphoma C. Necrotising sialometaplasia D. Erythroplakia E. Oral squamous cell carcinoma See page 36 for the ANSWER.

HIF Corporate Program ADAWA members are entitled to a 12% discount on health cover each year when premiums are paid by direct debit.

Existing HIF members need only call or email to have the discount applied to their membership.

Visit hif.com.au/adawa and use the access code ADAWA Alternatively, call HIF on 1300 13 40 60 or email sales@hif.com.au

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CLINICAL

ANATOMY OF THE ROOT CANAL SYSTEM & ITS CLINICAL IMPLICATIONS

Part 4: Maxillary Permanent Molars Dr Gaurav Vasudeva, Specialist Endodontist

In continuation to our series on anatomy of root canal systems, we discuss today some of the most challenging teeth known for their complex root canal anatomy: maxillary 1st and 2nd molars.

Maxillary molars and especially the 1st permanent molars have a notorious reputation due to the elusive MB2 canal and its variations hence higher failure rates both in short and long term. Maxillary molars are also difficult to assess and investigate though periapical radiographs due to the interference of the zygomatic arch and the maxillary sinus making them difficult to read.

We also put a focus on minor canal systems as I like to call it, as maxillary molars seems to have many with a high number of the variations. On the basis of the location and content of these canals, we can draw some attention to their clinical relevance.

Accessory Canals, Lateral Canals and Furcation Canals Accessory canal is any branch of the root canal that communicates with the periodontal ligament, while a lateral canal is defined as an accessory canal located at the coronal or middle third of the Root.

Clinically speaking, accessory canals represent potential pathways through which bacteria and/or their products from the necrotic root canal might reach the periodontal ligament and cause disease. De Deus studied the frequency, location, and direction of the accessory canals in 1140 teeth and showed that 27.4% of the sample had accessory canals, especially in the apical area (17%), followed by the middle (8.8%) and coronal (1.6%) thirds.

Lateral canals are not usually visible in preoperative radiographs, but its presence can be suspected when there is a localized thickening of the periodontal ligament or a lesion on the lateral surface of the root.

According to Weine, lateral lesions can be radiographically classified into three types: • Type I: lateral lesion with no apical lesion – as the infection progresses apically, it might reach a sufficiently large lateral canal to allow a substantial

1. Anatomic apex 2. Apical ramification 3. Root canal system 4. Root canal 5. Pulp chamber floor 6. Pulp chamber 7. Pulp chamber roof

8. Pulp horn 9. Root 10. Crown 11. Accessory canal 12. Accessory foramen 13. Apical foramen

Figure 1: Anatomy of a maxillary 1st Molar revealed though a diaphanization study.

number of bacteria and bacterial products to reach the lateral periodontium to cause inflammation.

• Type II: separate lateral and apical lesions – if the pathological process advances without professional intervention, an apical periodontitis lesion can also be visible.

• Type III: coalescence of lateral and apical lesions—in some cases, the type II condition can progress to the so called “wraparound” lesion.

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CLINICAL

(a)

(b)

Figure 2: Limited field of view CBCT showing radiolucency associated with the mesial of distal root at the mid root level.

This was possibly related to a large necrotic and infected lateral canal.

Root canal anatomy of Maxillary Permanent 1st and 2nd Molars with its variations and clinical relevance Permanent Maxillary 1st Molar

Permanent Maxillary 2nd Molar

Complete Root formation

9.2-10.1 years

13.6-14.6 years

Number of roots

3 – 97.4% 2 – 1.8% 4 – 0.8%

3 - 73.7% 2 - 14.9% 1 - 10.7% 4 - 0.7%

Number of root canals

MB: 2 (60.4%), 1 (29.3%), 3(0.1%) DB: 1 (98.6%), 2 (1.4%) P: 1 (99.26%), 2 (0.7%)

MB: 1 (66.1%), 2 (33.7%), 3(0.05%) DB: 1 (99.6%), 2 (0.4%) P, 1 (99.67%), 2 (0.35%), 3 (0.01%)

Apical Foramen position

MB: central 24%, lateral 76% DB: central, 19%, lateral 81% P: central 18%, lateral 82%

MB: central 12%, lateral 88% DB: central 17%, lateral 83% P: central 19%, lateral 81%

Accessory canals

MB, 51% (coronal, 10.7%; middle, 13.1%; apical, 58.2%); DB, 36% (coronal, 10.1%; middle, 12.3%; apical, 59.6%); P, 48% (coronal, 9.4%; middle, 11.3%; apical, 61.3%)

MB: 50% (coronal, 10.1%; middle, 14.1%; apical, 65.8%) DB, 29% (coronal, 9.1%; middle, 13.3%; apical, 67.6%) P: 42% (coronal, 8.7%; middle, 11.2%; apical, 70.1%)

Apical ramifications (delta)

32.3%- 86.3%

20-38.8%

Anomalies

One canal, five canals six canals, seven canals, C-shaped canals, four-rooted, Hypertaurodontism

One-Two canals, 5 canals, gemmination/ fusion, 4 rooted, Hypertaurodontism

Clinical relevance

• There are two MB canals in majority of cases; location of the MB2 canal varies greatly, but is mostly located palatal and mesial to the MB1; 16% of MB2 canals cannot be effectively instrumented and sealed because it is often sharply curved, or highly calcified compared with the MB1 canal, and is difficult to access, particularly in older patients.

• Palatal root often curves buccally at the apical third; palatal and MB roots contain one, two, or three root canals, while DB have one or two canals; a concavity exists on the distal aspect of the MB root, which makes this wall thin.

• In older individuals, or in patients with considerable tertiary dentin, the pulp chamber is reduced in size, which makes access cavity preparation and detection of the individual canal orifices more difficult; developmental depressions and discoloration of the pulpal floor should be used as clinical guides.

• This tooth is similar to the first molar, but is smaller and exhibits less divergence of the roots; generally, the three roots are grouped closer together and are sometimes fused.

• They usually have one canal in each root; however, it may have two or three MB canals, one or two DB canals, or two palatal canals.

• Teeth with fused roots occasionally have only two canals (buccal and palatal) of equal length and diameter.

• DB canal is usually detected more mesially, compared with the first molar.

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CLINICAL

Actually, these types might represent different stages of the disease progression within the root canal space once the conditions of the tissue within lateral canals and apical ramifications reflect the conditions of the pulp in the main root canal.

(a)

(b)

It is an important point to note that clinically, the lateral canals cannot be instrumented. In this way, its content can only be neutralised by means of effective irrigation with a suitable antimicrobial solution or with an additional use of intracanal medication.

(c)

(d)

Canals connecting the pulp chamber to the periodontal ligament in the furcation region of a multirooted tooth are called furcation canals. These canals derived from entrapment of periodontal vessels during the fusion of the parts of the diaphragm, which will become the floor of the pulp chamber. In some cases, furcation canals have been associated to primary endodontic lesions in the interradicular region of multi-rooted teeth.

(e)

(f)

Vertucci and Anthony observed the presence of foramina on both the pulp chamber floor and the furcation surface in 36% of maxillary first molars, 12% of maxillary second molars, 32% of mandibular first molars, and 24% of mandibular second molars.

Recently, micro-computed tomographic studies have also demonstrated the presence of furcation canals in two-rooted mandibular canines and three-rooted mandibular premolars.

(a)

(b)

(c)

(d)

Figure 4: 27 with symptomatic apical periodontitis due to a longstanding defective restoration. Again, it is not possible to determine the number of root canals on a PA. The percentage of MB2 canals on maxillary 2nd molars is around 30% hence one must still look out for them as they will be present in 1 out of 6-7 cases on an average. (a) Preoperative radiograph for 27. (b) WL confirmation on PA. At this stage MB2 wasn’t found. Once all the 3 canals were prepared, there was some evidence of an additional mesial canal under the microscope. (c) Photograph of the access preparation. (d) and (e) show obturation of all four canals in different angulations. (f) Photograph of the obturated canal orifices.

Figure 5: A straightforward-looking maxillary 1st molar #26 with Apical periodontitis with 5 separate root canal orifices.

Figure 3: Tooth 26 with irreversible pulpitis after crown placement.

In this case it was easy to remove the crown to initiate endo though not always necessary depending on the assessment. (a) Preop radiograph shows 26 with the crown. It is impossible to assess or detect any additional canals on a PA especially for maxillary molars. (b) WL determination with 5 files (3 canals found in mesial root MB1, MB2 and MB3). MB1 and MB2 merged mid-root level after preparation. (c) Obturation of all 5 canals (MB1 and 2 fusing mid-root). (d) Photograph of access shows Mesial root orifices for MB1-3 root canals.

All clinical cases performed by Dr Gaurav Vasudeva and published only for the purpose of dental education. Please contact the author for references at info@endopractice.com.au

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Q+A Dr Jacinta Vu, Oral Medicine Specialist From page 32

ANSWER: C Clinically, all of the differential diagnoses may be valid.

Incisional biopsy was performed and histopathology confirmed necrotising sialometaplasia.

Necrotising sialometaplasia is a rare, benign and self-limiting inflammatory lesion that involves minor salivary glands. The most common site is the hard palate. The lesion may or may not be painful and most often presents as a non-healing, deep, craterlike ulcer.

The pathogenesis is unknown, with the prevailing theory of ischaemia of the vasculature supplying the salivary gland lobules as the causative factor.

Smoking, alcohol use, dentures, recent surgery, trauma, local anaesthesia, respiratory infections and systemic diseases such as bulimia or anorexia have been considered as predisposing factors.

The clinical appearance of necrotising sialometaplasia can be alarming, as it mimics various malignancies.

Incisional biopsy of the lesion is important in order to correctly diagnose the lesion, and rule out sinister pathology.

The lesion may be present for up to 10 weeks before healing. If the lesion persists beyond this time, repeat biopsy may be warranted, as necrotising sialometaplasia of the minor salivary glands may obscure an underlying neoplasm.

Game-changing grant brings healthy smiles to people experiencing homelessness The Australian Dental Health Foundation (ADHF) has been awarded the 2020 Impact100 Fremantle grant, with a community investment of $100,000 going towards St Pat’s Community Support Centre’s Oral Health Clinic.

This game-changing grant will enhance the facilities and staffing at St Pat’s Oral Health Clinic, which provides free dental care to people experiencing homelessness and disadvantage in the south-west metropolitan region.

It was the second year running that the ADHF had been a finalist in Impact100 Fremantle, an annual grant program run by the Fremantle Foundation in which 100 donors each contribute $1,000 towards a local charity or community group.

Dr Russell Gordon, ADHF WA Committee Chair, presented the final pitch to donors at the Fremantle Foundation on Thursday 5 November.

“The Impact 100 event on Thursday was the culmination of a four-step process over eight months: proposal, submission, site visit and final pitch – to be voted on the night by the 100 donors,” Dr Gordon explains.

“ It was a challenge for us being clinicians rather than fundraisers, but the ADHF committee are a talented team and worked together effectively with St Pat’s to get a result we only dreamed of.

“The funds will allow us to treat so many more people, relieve more suffering and give back smiles.”

Since its launch in 2016, St Pat’s Oral Health Clinic has provided extractions, restorations and scale and cleans to hundreds of patients, completely free of charge, at St Pat’s Day Centre in Fremantle.

St Pat’s Community Support Centre CEO Michael Piu commented: “While we have excellent governmentsector medical care in Australia, the reality is that many people experiencing homelessness can’t afford

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the co-payments required for more complex dental procedures and often leave dental problems untreated, running the risk of developing life-threatening diseases.

“ This funding will enable us to provide life-changing dental care to a far greater number of people – giving them back their smiles and, ultimately, their confidence andself-esteem, which is such a vital part of recovery.”

The ADHF was founded by Dr Dennis Gregory, former head of the Oral Surgery Department at Fremantle Hospital, who noticed the over-representation of people experiencing homelessness, arriving in his department with life-threatening complications.

The ADHF has provided $767,814 in pro-bono services to 633 patients at St Pat’s Oral Health Clinic over the last four years. But, according to Dr Russell Gordon, the demand for complex procedures outstrips the supply of pro bono lab work on offer.

The Australian Dental Association of WA proudly supports the ADHF and St Pat’s. ADAWA President, Dr Sean Archibald, is also a regular volunteer.

“ADAWA congratulates ADHF WA and St Patrick’s Fremantle Community Support Centre on their success at Thursday evening’s voting for the Fremantle Foundation’s Impact 100 grant,” Sean commented.

“The grant will allow this amazing service to thrive in the coming years as it continues to provide this vital service.”

Among the upgrades to the Oral Health Clinic, the grant will enable St Pat’s to hire a qualified Dental Nurse, who can coordinate treatment plans to make the process smoother and faster.

Andrea Paterson, WA State Coordinator of the ADHF, commented: “To be acknowledged for the exceptional service that St Patrick’s Oral Health Clinic provides to the local community makes me very proud of the WA ADHF team and our partnership with St Patrick’s Community Support Centre.

“ Many thanks to Impact 100 Fremantle Foundation’s donors for voting the WA ADHF team as winners of the $100,000 grant.”

St Pat’s Community Support Centre CEO Michael Piu, Dr Jonathan Lo, Dr Russell Gordon (ADHF WA Committee Chair), Andrea Paterson, Traci Cascioli (St Pat's Day Centre Manager), Dr Zara Torre, Dr Dominic Longo, Dr Sean Archibald.

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Breast cancer fundraiser success The big-hearted staff from Golden Bay Dental Clinic recently hosted a fundraising day to raise money for breast cancer, in honour of a team member Motivated by patients and families impacted by breast cancer, including their own team member, Marie, who has fought breast cancer for the second time, the Golden Bay Dental Clinic team came together to raise muchneeded funds.

All staff, including dentists (Drs Suzanne Leong, Deepali Mistry, Jordan Behar and owner Andrew Chan), donated their time, with all proceeds donated to the National Breast Cancer Foundation.

Meisha Robb, Golden Bay Dental Clinic practice coordinator, says the clinic saw 23 patients on the day, raising a grand total of $5,121.50.

Each patient received their own goodie bag at the end of their visit (which included donated Sensodyne coffee cups).

A “Home Hygiene” hamper (which included a water flosser, Colgate electric toothbrush and more oral health goodies donated by Oral B, Waterpik and Colgate) was also raffled off, with funds from the raffle going towards the total raised on the day.

Dental nurse Andrea, front office co-ordinator Kathy, dental nurse Marie, dental nurse Nichole, practice manager Meisha, Dr Jordan Behar.

“Doing this event together as a team was a fantastic idea,” Meisha says. “There aren't many days you can be excited coming to work on a Saturday, but we all had a great time and were looking forward to it prior to the event.

“We are a very close-knit team and were all very glad to do something to honour our wonderful team member Marie.”

“Home Hygiene” hamper.

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Christmas giving The festive season is all about giving – so what can you do to give back?

Zara partnered with UWA to investigate the spending habits of Millennials and Gen Z. She says there are four main barriers to giving: • Inconvenience (it’s too hard) • Financial expense (it’s quite expensive) • Compassion fatigue (people get overwhelmed by seeing images of depravity and what’s going on in the world) • Mistrust of charities (how much of the dollar goes to the project)

In Australia, we make 11.3 card transactions a day – over seven billion a year. So, all our “digital spare change” has the power to channel significant impact to worthy causes.

“We envision an Australia inspired to give in the everyday moments,” Zara says. “So, we thought we could do something about it, and we created Australia's first mobile app to ‘round up’ every consumer transaction to the nearest dollar and give the difference to charity.”

Simply link your bank card to the Difference fund app, and every time you pay a bill, or purchase a coffee, or buy a pair of jeans, you will be making a difference to a carefully vetted cause on the platform. You will also get insight into where your funds are going.

Dr Zara Torre.

Give your small change Before you set off to do your Christmas shopping, download one app to make a difference.

ADAWA member dentist Dr Zara Torre is the founder of The Difference, an app that rounds up your transactions to the nearest dollar – allowing this small change to go to charity.

“Since COVID-19, we've increasingly seen the decline of cash, the rise of contactless payments, as well as the struggle that many reputable charities have to stay sustainable,” Zara explains. “Yet surprisingly, most of us have an innate desire to give.”

“The donation transparency was really important for us to show that charities are being responsible with their funding,” Zara explains.

“I believe that everyone has the ability to address local and global challenges that we face as a society,” she adds.

“Everybody wants to make a difference, and technology should have the power to connect us and improve the world around us.”

Download the app at: www.the-difference.org/ download

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Other ways to give back Monetary gifts: Christian Health Aid Team BSB: 086 455 Account no: 20 098 1480 CHAT is registered with the ATO for Deductible Gift Recipient (DGR) status – any donations over $2 are tax deductible. www.chatinc.org.au

Put your hand up to volunteer If you have been thinking about volunteering, please put your hand up and offer your time in 2021. Volunteers are always needed for Dental Rescue Days, Adopt a Patient and Rebuilding Smiles. St Pat’s in Fremantle also welcomes more volunteers.

CHAT September 2019 mission trip to Vietnam.

To find out about volunteering opportunities, please contact Andrea Paterson, adminwa@adhf.org.au

Spread the word about CHAT

Join the dentists of Healing Smiles

With border closures still in place, CHAT (Children’s Health Aid Team) trips to Vietnam are currently on hold, but you can still help CHAT by spreading awareness.

Healing Smiles, a program supporting survivors of domestic violence, is always in need of female dentists and specialist volunteers and dental assistants. They also require the use of clinical spaces that a volunteer may be able to use to see their patients.

CHAT also appreciates monetary gifts to help their mission of providing dental services to the disadvantaged and needy children at orphanages and schools in Vietnam.

Healing Smiles.

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If you can assist by volunteering or have a spare chair they could use, please contact Healing Smiles by emailing healingsmileswa@gmail.com

PROFESSIONAL NOTICES

Dr Gaurav Vasudeva

Dr Christophe Duigou

Dr Nida Khan

THE ENDODONTIC PRACTICE

IMPRESSION ORTHODONTICS

CLASS 1 ORTHODONTICS

Specialist Endodontist BDS, MDS, MEndo RCSEd

Dr Gaurav Vasudeva is delighted to announce the opening of his new Endodontic practice. He will be accepting referrals from January 2021.

The Endodontic Practice Perth 811 Canning Highway Applecross WA 6153 Tel: (08) 6118 4567 Email: info@endopractice.com.au Web: www.endopractice.com.au

Impression Orthodontics is delighted to announce Dr Christophe Duigou has joined the team in our Ellenbrook practice.

BDSc (Hons) (Qld), DClinDent (Ortho) (Adel), MRACDS (Orth)

Dr Duigou is accepting all referrals for all aspects of Orthodontic care.

Dr Chris Orloff and the team at Class 1 Orthodontics are pleased to announce that Dr Nida Khan has joined the team and will be practising out of West Perth and Cockburn.

Impression Orthodontics 56 Mornington Parkway Ellenbrook WA 6069

Tel: 1300 922 722 Email: prm@class1ortho.com.au Web: www.class1ortho.com.au

Tel: (08) 9297 6823 Email: reception@impressionorthodontics.com.au Web: www.impressionorthodontics.com.au

Dr Camile S. Farah

Dr Ken Wan

Dr Lisa Bowdin

THE ORAL MEDICINE CLINIC

WEST PERTH ORAL AND MAXILLOFACIAL SURGERY

FIRST SMILES PAEDIATRIC DENTISTRY & ORTHODONTICS

Registered Specialist in Oral Medicine and Oral Pathology BDSc, MDSc (OralMed OralPath), PhD, GCEd (HE), GCExLead, MBA, MAICD, AFCHSM, FRACDS (OralMed), FOMAA, FIAOO, FICD, FPFA, FAIM

Dr Farah is pleased to announce the opening of The Oral Medicine Clinic at Hollywood Medical Centre. Dr Farah is a dual registered specialist in oral medicine and oral pathology and is accepting referrals for all aspects of oral medicine and clinical oral pathology including oral cancer and precancer, oral mucosal lesions, medically complex patients, bone and salivary pathology, and orofacial pain and TMD. The Oral Medicine Clinic Suite 24, Hollywood Medical Centre Entrance 5, 85 Monash Ave, Nedlands WA 6009 Tel: (08) 6116 8108 Email: admin@oralmedpath.com.au Web: oralmedpath.com.au

Oral & Maxillofacial Surgeon Head & Neck Cancer Surgeon MBBS (1stHons), BDSc (Hons), FRACDS (OMS)

West Perth Oral & Maxillofacial Surgery and Kings Park Day Hospital are pleased to announce that Dr Ken Wan joined the practice and hospital on the 4th of November 2020. He is the only maxfacs surgeon in WA with formal microaccreditation to perform head and neck cancer, free flap reconstructive and salivary gland removal surgery. His interest is in oral pathology, oral cancer and free flap reconstructive surgery but also accepts referrals for general oral surgery.

For all bookings, please contact West Perth Oral and Maxillofacial Surgery: Tel: (08) 9322 7363 Fax: (08) 9322 7021 Email: reception@wpoms.com.au

Specialist Paediatric Dentist BDSc, DClinDent (Paed), MRACDS (Paed)

Dr John Winters and Dr Siva Vasudavan are delighted to welcome Dr Lisa Bowdin to the First Smiles team in South Perth. Dr Bowdin is accepting referrals for all aspects of specialist paediatric dental care.

FIRST SMILES Suite 7, 38 Meadowvale Ave South Perth WA 6151 Tel: (08) 9367 9277 Email: hello@firstsmiles.com.au Web: www.firstsmiles.com.au

December 2020/January 2021 Western Articulator | adawa.com.au

41

PROFESSIONAL NOTICES

CENTRE FOR PROSTHODONTICS

Perth Prosthodontics is excited to announce our change of name to the Centre for Prosthodontics.

Our primary focus remains on Reconstructive, Aesthetic and Implant Dentistry.

Whilst there is no change to our practice phone number and address, please note there is a change to our website and email address.

Centre for Prosthodontics – Perth Suite 3, Southbank Central 38 Meadowvale Avenue South Perth WA 6151 Tel: (08) 9368 0888 Email: info@centreforpros.com.au Web: www.centreforpros.com.au

NEW PRACTICE ANNOUNCEMENT

Dr Janice Kan, Dr Thomas Elliott and Dr Armand Putra are pleased to announce the opening of their new practice in Midland from February 2021. We look forward to supporting your patients with their prosthodontic needs in both our South Perth and Midland practices.

Centre for Prosthodontics – Midland Suite 11, Midland Specialist Centre 81 Yelverton Drive Midland WA 6056 Tel: (08) 9368 0888 Email: info@centreforpros.com.au Web: www.centreforpros.com.au

PERTH ORAL MEDICINE & DENTAL SLEEP CENTRE

Perth Oral Medicine and Dental Sleep Centre is excited to announce the opening of a new clinic in Padbury. We are now accepting new referrals.

Unit 5, 6 Blackwattle Parade Padbury 6025 Tel: (08) 9376 6789 Email: Padbury@pomds.com.au C

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Nobody beats West Coast Dental Depot on W&H West Coast Dental Depot is the largest supplier of W&H sterilising equipment to dentists in Western Australia.

For a great deal backed by the most reliable and experienced service and support team in the state, call West Coast.

WCDD_18216

View our full range of dental equipment and consumables at www.westcoastdental.com.au

Wayne Young Sales & Project Manager 0417 948 121

17A Wheeler Street, Belmont WA 6104 • Phone (08) 9479 3244 • Fax (08) 9479 3255 • Email sales@westcoastdental.com.au

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Season’s Greetings

We would like to extend our sincere thanks to all referrers for your support this year.

Unfortunately, in view of the social distancing requirements, we are unable to proceed with our annual festive celebrations at Envision this year. We will be donating to FOODBANK WA instead.

We look forward to bringing it back in 2021!

Wishing you and your family a wonderful and safe holiday season and the very best for 2021.

Bernard Koong, Tom Huang and the team at Envision.

OPG & Ceph | X-ray | CBCT | MDCT | MRI | Ultrasound | NucMed | PET-CT 178-190 Cambridge Street | Wembley | 6382 3888 | envisionmi.com.au

Give your dental practice a helping hand with Credabl.

Would a $10,000 helping hand give your practice something to smile about? It’s been a challenging time for many businesses and that’s why we’re excited to announce the Credabl Helping Hand Grants.

A Helping Hand Grant could provide your dental practice with a support package designed to nurture and grow your business. Grants are valued at up to $10,000 and will be awarded to up to five medical practices around Australia – including dentists, doctors and vets.

If you own, manage or work for a dental practice you can nominate your practice today.

Find out more and tell us how this grant would support your business at credabl.com.au/helping-hand

*T&Cs Apply