Western Articulator - Edition 7, 2023

Thank

Dr Amit Gurbuxani on the term of his ADAWA Presidency

A country practice

What it is like to live and work rurally

Dental Rescue Day

The generosity of WA dentists making a difference

Supporting patients with diabetes

World Diabetes Day

Photo courtesy Alessandro Bianchetti

The President's report

Dr Amit Gurbuxani ADAWA President

The FDI World Dental Congress staged in Sydney at the end of September, and cohosted by the Australian Dental Association, attracted more than 10,000 delegates both local and international. It was great to see a strong number of WA delegates at one of the biggest dental conferences in the Southern Hemisphere. On a lighter note, I tried taking selfies with every Western Australian member attending Congress, but for those I missed, I look forward to taking one with you at the ADAWA Annual General Meeting on November 2, which is scheduled to commence at 6:15 pm at ADA House. It will be my last official engagement as ADAWA President when I welcome the incoming ADAWA President and hand over the reins.

One of the highlights for me at Congress was the ADA Member Forum, when most ADA State and Territory branch Presidents, and the Federal President, were questioned about the planned changes to the ADA Inc. Constitution, which will be voted on by members at the November 21 ADA Inc AGM. The Forum made me realise that a lot of members are unaware of the proposed changes or the potential impact that these changes may have, despite the effort of the Federal branch to share information via Peer and emails.

The ADAWA Council has subsequently agreed that our State branch members should be aware of the proposed changes to the ADA Inc. Constitution.

Since November 2022, the Federal ADA has been working towards improving its governance. The current model has 18 Federal Councillors elected by the States, from which the Federal Executive is appointed. The Federal Councillors and the State Presidents make up the present National Advisory Committee. The major change proposed is to reduce the number of Federal Councillors, as mentioned in the email from Federal ADA a few weeks ago, as not only is it considered good practice, but its present size limits the nimbleness of its decision-making and it is in effect accountable for the decisions of Federal Executive, despite having minimal input at times.

Recognising these limitations, a Governance Working Party, supported by Board Matters, a legal firm specialising in not-for-profit governance, has been charged with delivering a contemporary model that focuses on the requisite skills and diversity of experience that are needed by Federal ADA to govern well.

The proposed model includes:

• A Board of up to 7 councillors (directors): comprising up to 5 ADA member directors, maximum of 2 from any one State/Territory, and up to 2 skills-based directors from outside the profession).

• A Nominations Committee with one member from each ADA State/Territory

Editorial Brooke Evans-Butler Designer Michelle Walker CEO Trevor Lovelle President Dr Amit Gurbuxani

branch and an independent chair who will recommend the best skills-based directors from the nominees.

Members will then be asked to ratify the recommendation at the AGM.

A Policy Advisory Committee with a representative from every Branch, most likely the President of each branch along with other representatives from academia, public sector, etc to give advice and to ensure all key voices can be represented at the highest level will supersede the National Advisory committee.

At the members forum held during Congress, one common thread kept repeating itself: that State representation could be lost on the proposed new Board given that up to two directors could be appointed from each State, even though the proposed Nomination Committee and the Policy Advisory Council each have State representation from State level. There are several questions we should be asking: Is this the best model for Federal ADA? Should the Board have a minimum representation from each state rather than a maximum from each state, and could this adversely affect the interests of WA members?

Whilst the law requires that a Board of Directors must act in the best interests of the organisation, this relates to single entities, which makes the case for Independent State representation on

the national board imperative, especially as we continue under a federated model. No one can fully predict the positives and potential negatives of any change.

I have tried to provide a balanced view on the proposed governance changes which may or may not affect an individual member, but what I can say is that each member's voice counts. Hence, we encourage you to be aware, understand and make your decision and take this opportunity to vote on the proposed changes at the Federal ADA Inc. Annual General Meeting in November.

ADA Federal President Dr. Stephen Liew and ADA Inc. CEO Damian Mitch will be attending the ADAWA AGM and will present the ADA Inc. Outstanding Young Dentist Award for 2023 to Dr. Jilen Patel.

I am sure that both Stephen and Damian would be pleased to answer any queries on the proposed changes to the ADA Inc. Constitution change.

In the meantime, I would take this opportunity to thank you all for your support during my tenure as the ADAWA President and I look forward to providing my full support to the incoming ADAWA Executive.

Thank you, Dr Gurbuxani

Amit’s Presidency could be summed up as a time of change. His Presidency marked a first for ADAWA – he was the first Australian Dental Council (ADC) graduate to become President in our branch’s more than 100-year history.

COVID

Taking the reins in October 2021, the early months were challenging for practices with the opening of WA borders. “We had to adapt to the changing environment,” Amit recalls. “We were sourcing PPE, RATs and N95s for members, so practices could continue operating with the least amount of inconvenience.”

A new CEO

Amit adds that one of the prime roles of any board is to select the right CEO. “With the retirement of our long-term CEO Dr David Hallett, undergoing a thorough, open and exhaustive process of selecting the new CEO was very important, which involved the support of all the stakeholders,” he says. Amit adds that it has been an honour to have been a part of the ADAWA Council during the appointment of our CEO, Trevor Lovelle. He says this appointment has resulted in ADAWA being at the forefront of contemporary change with the undertaking of a Member Survey, and the development of a Strategic Plan.

"A Strategic Plan is of utmost importance in guiding the association to provide the best value for membership, through the pillars of advocacy, education, collegiality,

member services, and support for the disadvantaged in our society."

Governance

Governance has also been a strong focus during Amit's Presidency. “If you don’t keep up with what’s happening, you will be left behind,” Amit says. “Our members expect us to do what is the best for them and each and every member is an integral part of our ADAWA family. Hence the family needs to have leadership with direction and those leaders need to be governed properly, whilst always being transparent to the membership – and that is what I have aimed for in my Presidency.”

Amit believes this process has started strongly. “Like anything else, change takes time, but more importantly, I believe that our Council has definitely broadened their horizons in relation to board accountability.”

Advocacy

Advocacy, one of our strategic pillars, has also been a significant part of Amit’s Presidency. Be it in relation to the licensing status of private dental clinics performing services under IV sedation or advocating for the disadvantaged and most vulnerable population’s oral health needs at a recent public hearing for the Senate Select Committee into the provision of and access to dental services in Australia.

Personal growth

Amit says as a board member he has been able to grow his understanding of

As our Annual General Meeting approaches to welcome the next ADAWA President, we talk to Drs Amit Gurbuxani and Janina Christoforou about Amit’s Presidency and their dedication to ADA both at State and Federal levels.

“Our members expect us to do what is the best for them and each and every member is an integral part of our ADAWA family."

governance, which has been highly valuable both at a professional and personal level. “For personal growth, the experience has made me realise the importance of valuing the time that you have being organised,” he says. “Also, to value all the people who have contributed to the association on a voluntary basis at every single level, including our committee chairs, committee volunteers, and each and every ADAWA member who cohesively makes this association great.

“The experience for me has been that it is not a one-man or a one-woman job,” he adds. “The Presidency is about teamwork, and having a really good governance framework in place, which then helps the team to work efficiently and make the best possible decisions on behalf of the membership at all levels.”

Thanks

Amit says he is grateful to the entire membership for supporting him in this role. He states that he is truly appreciative of all the councillors, committee members and operational team for all their insights and assistance.

On a personal note, he is filled with gratitude towards his practice staff and his patients for being such a great support. “They understood the challenges of balancing my dedication to ADAWA duties with my clinical work,” he says. “The best part was they all realised that giving back to the community is a benefit for everyone. I would also like to thank my wife, Janina,” he

adds. “With her role as Federal Councillor, there were many times we would clash on what would be State versus Federal opinion. Despite approaching things from a different angle, it all culminated towards the betterment of the profession.”

Hopes for the branch

Amit says change takes time, but he hopes the process that is in play continues to grow the association. “The association is for everyone, and ‘everyone’ is the key word,” he says. “I hope that every member of our community finds in ADAWA their professional home, be they a new graduate, employee dentist, practice owner, retired member, local graduate, ADC graduate or interstate graduate. That is what I want the association to be… our professional home.”

What's next

After he passes the baton, Amit says he hopes to continue to give back. “Since I have come to Australia, my policy has always been to give back to the community and to the profession that has given me so much,” he says.

“I have tried to do this at various levels at university, at the UWA Dental School, and of course at ADAWA, and I will continue to do so in any capacity that I am asked. I am on certain ADA Federal committees and will continue being a part of that as long as I can continue to play a beneficial role."

On a personal note, he will be spending more time with family and his beloved cavoodle Zia, who has always been a calming presence.

All photos in feature courtesy of Alessandro Bianchetti

Janina Christoforou has not only been by Amit’s side personally during his Presidency, but also professionally as an ADAWA Councillor, an ADA Inc Federal Councillor who is involved in Federal working groups, and her recent appointment as the Chair of the WA Dental CPD Committee.

Janina decided to join ADAWA Council in 2020. “I always wanted to do something extra for the community that wasn’t only limited to clinical work, teaching, research and volunteerism,” she recalls. “I felt that a board role could have been the start of a new adventure that I would possibly enjoy as well.”

For Janina, a highlight has been learning about governance. “A big part of this was partaking in governance training and then becoming a graduate of the Australian Institute of Company Directors. This professional development was an eye opener,” she says. “It allowed me to reflect on the running of our associations, such as ADAWA/ADA Inc, and also our

private practices and how important good governance principals are for the effective running of these entities. I thank our association for this most rewarding opportunity.”

The start of Amit’s Presidency meant they didn’t have much time together, but coupled with Janina's roles on State and Federal Council, they were both understanding of each other’s commitments.

“Amit’s a person that always thinks with his heart more than anything else and always tries to do the best for anyone and the community,” she says. “That has always been his focus. What you see is what you get with Amit. I have seen him develop during his journey as President.”

She encourages any ADAWA members considering a role on Council or volunteering with a committee to give it a go. “Involvement allows you to gain a different perspective and also provide opinions, which are so valuable in sculpting our association.”

A country practice

What is it like to live and work rurally?

We spoke to some country members about their experience.

Dr David McInerney

AMR Dental, Margaret River

Dr David McInerney has been practising rurally for almost 30 years and lives and works in the picturesque town of Margaret River.

“Servicing smaller communities enables you to become a valuable part of the fabric of the area,” he says, when asked about the benefits of practising rurally.

“After many years, your patients become your friends and treating them is a social experience with a lot less stress!” He said a rewarding aspect has been being able to live

in a unique part of the state, whose benefits need no introduction to anyone from WA. “It allows me to live on a farm and pursue other passions (as a previous grape grower/wine producer), and most importantly, spend minutes a day getting to and from work with no traffic lights!”

To other dentists considering hightailing it out of the city to work rurally, David says he would love to see more dentists move South.

“Perth is less than three hours away; so close I manage to work at OHCWA one afternoon a week as a clinical tutor.”

Photo courtesy Stephen Nicholls

Dr Stephanie Mulcahy DNTL Code, Broome

Dr Stephanie Mulcahy has been practising rurally for seven years (spending two years in Karratha and five years in Broome).

“You get to see, diagnose, and treat a large scope of practice and develop very good practical skills treating difficult cases –endodontics and extractions especially,” she says, when asked about the benefits of practising in a rural area. “There is often no option of referring the patients to the city to see a specialist, as many cannot afford the time to travel to seek specialist treatment.”

She adds the most rewarding aspect is building strong relationships with your patients and a great sense of community. “The patients know you as a person, not just a clinician,” Stephanie says. “We cross-refer to different businesses in town through the relationships we build within the clinic, and everyone is so friendly and happy to help where they can. For example, we have friends in real estate who are always happy to help when a new clinician arrives in town to help them find the best accommodation.”

To other dentists considering heading out of the city to a country practice, Stephanie says working rurally not only helps you improve your clinical skills, but it also allows you to build a relationship with the community and see the difference you make in people's lives. “Living in a place like Broome also allows for a great social life and exploring, surrounded by beautiful beaches and sunsets,” she adds.

photo courtesy Jemma Keech

Dr Alice Rawlings Ipsen Street Dental Clinic, Manjimup

Dr Alice Rawlings started practising in Manjimup in 2015 as a new grad.

“I planned to only do one year, then move back to Perth, but I’m still here eight years on,” she says. “The extremely busy and varied caseload, strong sense of community and work-life balance has made it hard to leave!”

According to Alice, a benefit of being in a small country town include that you get to know your patients on a personal level –forming strong bonds with them and their families. “This sense of connectedness to my patients and also to my employers and other staff creates a warm and friendly work environment, making my days really enjoyable,” she explains. “With fewer other dentists around, you’re also likely to be very busy and encounter a diverse range of dental cases.” The work is also rewarding. “In rural towns, working as a

dentist has a significant impact, improving oral health across the entire community,” Alice says. “In these close-knit towns, your reputation as a skilled and caring dentist spreads quickly, meaning more potential for patient retention and lots of word-ofmouth referrals. Long-term patients also provide the opportunity to review and make assessments of your own work over time.”

To other dental practitioners considering heading out of the city, Alice says in addition to the benefits of rural dental practice, it’s the lifestyle that is so appealing. “People are so relaxed and friendly, the cost of living is significantly less, and the travel times are so short,” she says. “I live a one-minute drive from everything – work, daycare, school, gym, shops… it’s incredibly convenient. The proximity of everything provides a wonderful worklife balance, allowing you to spend more quality time with friends and family, exploring the area and pursuing other interests outside of dentistry.”

Dr Christopher Harris Harris Dental, Esperance

Practice principal Dr Christopher Harris has owned the Esperance practice for 25 years – in this time employing and mentoring many dentists and OHTs.

According to Christopher, the benefits of working rurally include working with a wide cross-section of different people in a regional community – including great patients with whom they have built great working relationships with over the last 25 years.

He adds the opportunity offers an accelerated clinical learning curve for younger and older dentists alike.

“Dentists acquire a wider range of clinical skills as we have to be

adaptable and be able to problem solve, often on the spot, as there is simply so much work to be done,” he says.

“It’s excellent for the new graduate dentist and a very full appointment book from the get-go.

“It’s a great lifestyle in the country, great places to live and raise a family – especially if you like a slower pace and don’t want to spend half your life on the freeway!”

Photo courtesy Rosie Henderson

To dentists considering a move to the country, Christopher says it offers a change of scenery, a chance to improve your clinical skillset with income possibilities an added bonus and great people/patients who need you.

Temporomandibular disorders (TMDs) is a collective term for pain and dysfunction of the masticatory muscles and/or temporomandibular joints and associated structures. Assessment of TMDs involve the use of the Diagnostic Criteria for TMD (DC/ TMD), which is based on the biopsychosocial model of pain, and provide reliable and valid physical diagnoses and assessment of behavioural and psychosocial risk factors that may impact management and prognosis. Masticatory myalgia is a very common pain-related TMD diagnosis that can be subdivided into local myalgia, myofascial pain and myofascial pain with referral. There is now substantial evidence that supports the importance of distinguishing between these subset groups as they are associated with varying levels of biopsychosocial burden, affecting prognosis. Using the DC/TMD criteria, distinguishing between myalgia with referral from the two myalgia types without referral (local myalgia and masticatory myofascial pain) is the clinical provocation of familiar pain at a distant site from the muscle being palpated with 1.0 kg of force for 5 seconds. Studies are now demonstrating consistent pattern of differences in biopsychosocial factors in individuals diagnosed with myofascial pain with referral compared to myofascial pain without referral, and non-TMD groups, with the former having more complex pain and psychosocial characteristics and poorer prognosis.

When compared to myofascial pain without referral, the literature suggests that diagnosis of myofascial pain with referral:

• Is associated with greater pain chronicity

• More painful sites

• Greater pain sensitivity

• Increased complexity of psychosocial symptoms including greater anxiety and depression

• Increased presentation of nonspecific physical symptoms

• Increased perceived stress

• Lower physical quality of life

As clinicians, it is prudent that we utilise the DC/TMD to distinguish between the presence with and without referral in patients presenting with myalgia. Management of the associated biopsychosocial factors is an important component of care for those diagnosed with myofascial pain with referral. Quite often this involves a multidisciplinary team approach that includes oral medicine specialists, neurologists, psychiatrists, and pain psychologists utilising a variety of treatment modalities including pharmacotherapy and behavioural therapies such as cognitive behavioural therapy, biofeedback, and mindfulness. As such, consideration of early referral after identifying a patient with myofascial pain with referral will ensure that appropriate and early intervention is provided, and avert the patient from receiving unnecessary treatments and delay in care.

Article

provided by

Dr Lalima Tiwari

Oral Medicine Specialist

Perth Oral Medicine and Dental Sleep Centre

Clinical Senior Lecturer, UWA Dental School

For further reading: Varun S, Anderson GC, Hodges JS, Zhang L, Schiffman EL. A Controlled Study of Biopsychosocial Differences Observed in Masticatory Myalgia With and Without Pain Referral. Journal of oral & facial pain and headache. 2023;37(2):131–8.

Why distinguishing between patients with masticatory myofascial pain with and without referral is of clinical importance.

Dr Lalima Tiwari

Dental Rescue Day

Once again, the giving generosity of WA dentists was evident at the recent ADA Dental Health Foundation Dental Rescue Day. Hosted by UWA Dental School and OHCWA, 47 referred patients were seen by volunteer dentists and dental assistants.

A special thanks goes to Dr Robert Anthonappa (Dean and Head of UWA Dental School) and Dr Michelle Huang (Director of the Oral Health Centre of WA) for allowing the use of the student

clinic. Thanks also goes to Tracey Gold, Lida Sayadelmi and Andrea Paterson whose organisation of the event behind-the-scenes allow these days to happen.

The organisational skills of Daniel Hopkins on the day are always appreciated and the day would not be impossible without the volunteer dentists, dental students, and DCAs who give up their time to treat the grateful patients.

Please email Andrea Paterson (WA@adahf.org.au) about volunteering opportunities.

Thank you

Dentists

Karen Hughes

Andrew Heap

Jessica He

Natasha Proud

Rachael Wu

Grace Cooper

Sandra Tan

Vuk Paripovic

Shanash Bishnulal

Marcus Quo

Russell Gordon

Gracie Hughes

Andrew Chan

Pauline Wong

Bede van Schaijik

Simon Shanahan

Ash Bence

David Foskett

Lida Sayadelmi

Tracey Gold

Dental assistants

Maaz Naveed

Kaylee Wong

Claire Chua

Viduni Liyanage

Jessie Low

Jieun Kim

Alena Varonets

Suz Davies

Ebony Makepeace

Ranudi De Silva

Benny Sheriff

Wendy Patak

Ashton Foo

Grace Law

Jan Matthews

Magda Guzman

Hayden Jones

Kanako Bird

Supporting patients with diabetes

World Diabetes Day is November 14.

How often do you see a patient who has diabetes? “In Western Australia alone, there are more than 128,000 people now diagnosed with diabetes and for every person diagnosed, it is estimated there is another person who has diabetes but does not know it yet,” says Cate Mitchell, Credentialled Diabetes Educator at Diabetes WA. (Statistics from ABS 2022).

Oral health symptoms for people with diabetes

“In people with diabetes we can see an increased prevalence of periodontal disease and xerostomia, with its associated side effects such as root surface caries,” says Periodontist, Dr Amy Hope. “In older people with diabetes, burning mouth syndrome, angular cheilitis and glossitis are more commonly seen.” Cate says the risk of tooth decay, gum disease, and oral gum infections are more common in people with high blood glucose levels.

“Dentists and dental care workers should be encouraging, promoting and reminding their clients to have a dental review done every six months,” she says. “If they can, to include educating their patients about

good gum and teeth hygiene with demonstrations of how to care for their teeth and to improve their ability to follow the best care practice is highly beneficial to prevent complications.”

Jessica Weiss, Tele-Services Manager at Diabetes WA, says in addition to the impact diabetes and its management can have on oral health, diabetes medications can also play an impact:

• SGLT-2 Inhibitors can cause dehydration and dryness of the mouth.

• They also have a risk of ketoacidosis when fasting, particularly around surgery, until the person is eating and drinking normally.

See diabetessociety.com.au/guidelinecategory/type-2-diabetes-mellitus/

• Sulfonylurea medications can cause metallic taste disturbances.

Jessica adds dentists are also ideally placed to identify early signs of diabetes or identify those at risk.

“It is also of note if someone living with diabetes is having regular low glucose levels, they would be more regularly requiring emergency oral glucose treatments, which may impact oral

We spoke to the experts about the prevalence of diabetes in the community, the impact diabetes can have on a person’s oral health, and when to refer to a periodontist.

“The best support you can give someone living with diabetes is to listen to their story, explore their beliefs and facilitate them to make changes that are realistic. For example, if they do have gum disease or teeth decay try not to explore what they are doing wrong or not doing at all but empower them to make changes for themselves.”

Cate Mitchell Credentialled Diabetes Educator Diabetes WA

health,” she says. “Linking people with diabetes in with a diabetes educator to support their diabetes management can also support their oral health.”

When to refer a patient to a Periodontist

“When the general dentist is unable to manage deeper pocket depths or anatomy (such as furcation involved teeth), and the periodontal disease is not responding to therapy, a referral should be arranged,” Amy advises. “A patient that has poorly controlled diabetes with periodontitis is a high risk for disease progression and should be reviewed on a three-monthly basis and referral made if no improvement to periodontal health has occurred.

“There is also a reciprocal relationship between progression of periodontal disease and diabetes and the patient should be made aware of this to gain control of both diseases.”

Resources on diabetes for health professionals

date and time. Please contact training@ diabeteswa.com.au for more information.

GP Helpline 1300 001 880

Credentialled diabetes educators provide diabetes medication and insulin advice.

Available Monday to Friday 8:30am - 4:30pm

Online learning for health professionals

We have a range of learning programs to help health professionals strengthen their knowledge and understanding of diabetes. www.ndss.com.au/health-professionals

Health workforce education program

The National Diabetes Services Scheme NDSS has released a new online program for the health workforce, the NDSS health workforce education program. This program enables health professionals and workers to learn more about diabetes, and the support and services available through the NDSS.

Wanting

to learn more

about diabetes? Jessica recommends the following:

Diabetes WA Training

As West Australia's peak body for diabetes, Diabetes WA offers a suite of training programs combining the latest in evidencebased recommendations in diabetes care with self-management principles. Training programs are created and delivered by a team of credentialled diabetes educators who bring their experience and local knowledge from working with the unique and varied regions across Western Australia. We offer a variety of training options for support workers, health professionals, early childhood educators, and school staff supporting children with type 2 diabetes. Training can be scheduled in person or via video conference at a mutually convenient

The online program is free and covers 6 topics including, the NDSS, Diabetes explained, Medication and monitoring, and Diabetes-related complications. www.ndss.com.au/health-professionals

Health Professional webinars

The National Diabetes Services Scheme has finalised their health professional webinar schedule, providing two educational webinars each month. The webinars will take place on the first and third Tuesday of each month from 6-7pm. events.ndss.com.au

Amy recommends the reading the paper, Sanz et al 2020. Scientific evidence on the links between periodontal diseases and diabetes: Consensus report and guidelines of the joint workshop on periodontal diseases and diabetes by the International Diabetes Federation and the European Federation of Periodontology.

Case study from Dr Amy Hope

Mr GS was referred for periodontal care in 2013, with a daily blood glucose range from 7-14mmol/L. He had a history of frequent periodontal abscesses, and on examination had generalised pocket depths of 4-10mm with a bleeding on probing score of 58% and suppuration at localised sites. With periodontal therapy, and the patient improving diet and exercise to stabilise blood glucose to 7-8mmol/L we have lost three teeth over 10 years and only been able to see pocket depths reduce to a range of 4-6mm with still a bleeding upon probing score of 32%. We have seen over times when Mr GS misses regular maintenance that there is a quick relapse of periodontal disease. While home care is a big issue for this patient, the diabetic control is also contributing to his disease.

You are cordially invited to meet and learn from one of the world’s foremost experts on the use of lasers in dentistry

Prof. Giovanni Olivi

This seminar is for the dental practitioner or specialist who is ready to take their skills and services to the next level.

Whether you are considering lasers for your practice or you are an experienced laser user, this course will enlighten and inspire.

You will learn:

• Latest Developments, Wavelength and Applications

• Laser Physics and Tissue Interaction

• Lasers in Paediatric Dentistry

• Lasers in Endodontics

• Photobiomodulation Therapy

DATE: Sunday 19th November 2023

WHERE: Kailis Bros - Leederville 101 Oxford Street Leederville WA 6007

www.innovative.com.au

RSVP

TODAY:

Restorative driven ortho dinner

3 CPD

Wednesday 8th November 2023

Registration from 6.15pm Course 6.30pm to 9.30pm

University Club Hacket Drive, Crawley

3 Course meal

$ $308

ADA Members $462 Non Members

COURSE OUTLINE

Interdisciplinary treatment is often required to achieve both functional and aesthetic outcomes for our patients. This presentation from a general practitioner, an orthodontist and prosthodontist demonstrates how three disciplines can work together to achieve these outcomes. They highlight how a team approach to diagnosis, risk assessment, treatment planning and treatment sequencing enables smooth and satisfactory outcomes for both the patient and the dentist for common restorative presentations.

ABOUT THE PRESENTER

Dr Steven Naoum completed his general dental training and post graduate orthodontic training at UWA.

After graduating as a dentist in 2001, Steven worked in Perth and Mandurah before moving to Sydney in 2007 to study theology. Dr Naoum then held a full-time academic role in the Department of Restorative Dentistry at The University of Sydney between 2008 and 2013. During this time, Steven completed his PhD, investigating fluoride-releasing composite resins and was the Oral health Lead for The Poche Centre for Indigenous Health.

Steven returned to Perth in 2014 to complete his orthodontic training. Since 2017, in addition to practicing as an Orthodontist at Morley Orthodontic Centre and Esperance Orthodontic Centre, Dr Naoum has been a Senior Lecturer within the Discipline of Orthodontics UWA.

Dr Tom Elliott is originally from the United Kingdom, where he completed both his undergraduate and postgraduate dental training receiving a Master of Clinical Dentistry in Prosthetics from King’s College. After relocating to Perth, he completed his Doctor of Clinical Dentistry in Prosthetics.Tom works in private practice in South Perth.

Dr Han Oh graduated from the University of Western Australia in 2001 and completed a Graduate Diploma in Dental Implants at the University of Sydney. He is a clinical consultant with the Poche Centre for Indigenous Health and works in private practice in Leederville and Esperance. Han also acts as clinical instructor for the final year dental students at UWA.

Meet Dr Geoff Wan

Prior to his upcoming course in 2024, we caught up with Dr Geoff Wan.

Dr Geoff Wan’s interest in dentistry was sparked during his experience working a summer job in North America for his uncle. “I was lucky enough to replace my family friend’s dental assistant who went overseas,” he recalls. “I got some chairside experience and realised how fascinating dentists were. It was an opportunity to work with one’s hands. Me being rather introverted and antisocial and I found that the dentists didn't have to do that much talking, and it seemed like a really noble profession.

“Little did I know that we have to learn to love to talk to our patients and that's how we end up allowing ourselves to get greater case acceptance, but that's a topic for another discussion.”

Geoff will be coming to Perth for the first time in April 2024 to present a course for WA Dental CPD. “The course that I'll be presenting is the Introduction to the Bioclear Method,” Geoff explains. “Many people have purchased the Bioclear kits from suppliers in Australia and I found

great utilisation with them. There's a lot of new concepts that are going to be introduced in the course including the removal of biofilm, the Infinity Edge Tooth Restoration Interface and the actual hands-on use of the heat-injected over moulding of the composites. It's unlike any course I've ever taken in the past and I'm excited to be able to roll this out for the first time ever in WA.

“I hope that the attendees are able to at least action one or two of the concepts that are going to be introduced in the Bioclear introductory course, whether it is more regular use of air abrasion to remove biofilm or whether to use more Infinity Edge Tooth Restoration Interfaces in their preps to maximise adhesive dentistry,” he adds.

“Most importantly, it's the correct or appropriate selection and use of the various matrices. The kit includes quite a number

of different shaped matrices for different clinical scenarios. With the introductory course, hopefully it can help simplify and clarify the conditions for which certain matrices are used and how to get the most out of them.”

This will be Geoff’s first visit to WA. “I've heard a lot of good things about WA; even in Dental School we had a few students from WA and all they could talk about was how great Perth was,” he says. “I really look forward to being able to experience that myself. I'm going to stay for a few more days afterwards to really be able to take a look around.”

Geoff says he is still relatively new to the lecture circuit but enjoys being able to add value in everything he does. “One of the coolest things is being able to simplify the process that is Bioclear and being able to

achieve outcomes that were once thought to be much more difficult or impossible,” he says. “Examples of this would include deep margin class two restorations, where traditionally we'd either end up with an open margin because the matrix wasn't able to go deep enough or we would resort to using a Toffelmier matrix, which sometimes was able to wrap down deep enough to actually get that apical seal. The problem then was because the matrix was so tight it was impossible to form a decent enough contact that would stop getting food stuck between the restored tooth and its neighbour.

“This was a very common frustration for myself as a dentist and ever since I've been using the Bioclear Method, I found that we've been able to achieve these deep margin restorations with good apical seal and also

tight thick contact it seems so basic and mundane because otherwise the only other option would have been spinning the tooth down for a crown at a much higher biologic and financial cost of the patient and now we do have this additional option to be able to predictably create better restorations.”

Geoff hopes there will be a greater uptake of the method and demand to advance dentists’ education. “Ultimately I'd love to see this method to be presented in the dental schools so that way we can advance ourselves from the old GV black prep design, which was totally appropriate for gold inlays and of albums 60 years ago and may not be the best for resin-based dentistry of today.”

To book Dr Wan's course visit adawa.com.au/product/ bioclear-method

5 minutes with Dr Geoff Wan

What three words best describe you?

Driven, childish, and energetic.

If you weren’t in the dentistry field, what would you be doing for a living?

Beer brewer or distiller of fine spirits, along with eco backyard farming to create sustainability in the environment.

What do you enjoy doing in your spare time?

Spending time with my wife and children, creating craft beer and spirits, and keeping my body active, which I believe also keeps the mind active. Travelling, eating – the typical stuff. I also like to attend live sports events, shows and concerts. I have this real feeling of FOMO when an artist comes to Australia to do a show and this deep desire to experience stuff to create lasting memories.

What is your favourite book?

How to Win Friends and Influence People by Dale Carnegie. It’s helped me become a better human.

What is your favourite band?

Can’t beat the hard crunching metal that is Disturbed! I can’t wait for them to come to Sydney. I have already seen them in concert three times in North America.

Is there anything people might be surprised to learn about you?

I used to be in a rock band.

WADA Royal Perth Golf Club – Spring Cup

Last year’s article for our Royal Perth Golf Club event started the same: “After a week of rain and destructive winds the sun shone, and we had a glorious ‘early’ spring day to vie for our Spring Cup”. The Royal Perth Course presented in excellent condition for the 20 keen golfers vying for the annual Spring Cup sponsored by Dentsply Sirona.

The event this year was sponsored by Dentsply-Sirona, our long-standing corporate partner. We were pleased to be joined by Dentsply representatives Thomas Teoh, Gerald Koning and Leeanne Patrick, who kindly presented the awards to our winning golfers.

Our winners for the day were Hugh Gillespie on 34pts taking the Spring Cup with Keenen Inderjeeth 2nd on 33pts on a countback from 3rd placed David Owen.

Nearest the pin prizes for the day, sponsored by our corporate partners:

Nearest the pin

2nd hole No winner

Swan Valley Dental Laboratory

6th hole Graeme Washbourne

Health Practice Brokers

12th hole Russell Gordon

Dentsply Sirona

14th hole Russell Gordon

Healthlinc

18th hole Michael Welten

Insight Dental Ceramics

All golfers are welcome to join us.

Good golfing

Frank Welten

WADA Golf Captain

Dentistgolf@gmail.com

ACHIEVING ANTERIOR AESTHETICS

COURSE OUTLINE

Achieve the best results for anterior restorations. Strengthen your knowledge and skills at placing well-sealed, biomimetic, invisible resin restorations, while maintaining an aesthetic focus from preparation design through to occlusal control, for longlasting result. Achieve aesthetic anterior restorations from a better understanding of innovative techniques, materials and instruments. Register early as places are limited.

LEARNING OUTCOMES

• How to assess how and where to prepare to maximize adhesive longevity and aesthetic outcome in both Class IV and composite veneer cases.

• Understand the concept behind creating custom shade tabs and the shade button technique.

• Learn two methods to block out and neutralize a dark tooth in composite veneer situations.

• Learn both putty-matrix guided and Mylar-freehand techniques in building aesthetic restorations.

• and more.

ABOUT THE PRESENTER

Dr Clarence Tam is originally from Toronto, Canada, where she completed her Doctor of Dental Surgery and General Practice Residency at the University of Western Ontario and the University of Toronto, respectively. Clarence’s practice is limited to cosmetic and restorative dentistry.

She is well-published to both the local and international dental press, writing articles, reviewing and developing prototype products and techniques in clinical dentistry. She frequently and continually lectures internationally.

ITI Evening Seminar Perth 2023

ITI Consensus Statement – world first presentation of the key facts

Every 5 years, leading ITI clinicians and researchers collaborate to evaluate the latest in implant dentistry. In May this year, 90 professionals descended on Lisbon, Portugal to debate five main areas of implant dentistry: surgical techniques, technology, oral medicine, patient benefits, implant placement and loading protocols. The outcomes are delivered in the form of a Consensus Statement and make clinical recommendations for all implant clinicians. To ensure that the consensus statements are available to as broad an audience as possible, they will be published online in an open-access supplement to Clinical Oral Implants Research later this year. The statements will also be available on the ITI website.

In Western Australia we are fortunate that both Professor Lisa Heitz-Mayfield and Dr Adam Hamilton were amongst the distinguished contributors present in Portugal. The formal publications will be released in late September 2023, however the next evening seminar will summarise key points for our attendees to put into immediate daily practice. We will be first in the world to have concise and summarised access to the latest conclusions of the 7th ITI Consensus Statement at the next Evening Seminar.

WHEN Tuesday 24 October

TIME 6:00 − 8:30 pm

LOCATION The University Club of Western Australia

REGISTRATION

To register, scan the QR code or visit bit.ly/3sSiVnB

Dr Melanie McAlpine BDSc(Hons) MDSc(Perio) MRACDS(Perio) FITI FADI FICD

Dr Adam Hamilton BDSc, DCD, FRACDS

Dr Lisa Heitz-Mayfield BDSc. MDSc. Dr. Odont.

What is the ITI International Team for Implantology?

The International Team for Implantology stands at the forefront of implant education and is a global association of over 20,000 professionals spread over 100 countries. The objectives of the ITI are the promotion and dissemination of knowledge about implant dentistry and related fields. The purpose is to serve dental professionals by fostering learning, networking, discussion and exchange.

Grow Your Career with ITI

For clinicians across the world, a single membership to the ITI provides free access to an extraordinary level of implant education. Whether you are a beginner aiming to acquire basic skills for straightforward restorative or surgical implant procedures, or an experienced clinician looking to excel in complex implant reconstructions, ITI membership offers you access to the following resources customising to your specific needs.

ITI Academy E-Learning

• Interactive SAC Assessment Tool

• ITI Treatment Guides Textbooks

• Proceedings of ITI Consensus Conference

• Webinars, Case Studies, Recordings of Past Educational Events

In Person

• Free attendance to local ITI study clubs, and regional ITI evening seminars

• National events - ITI Education Day (Free) and ITI Australasian Congress

• Global Events - ITI World Symposium

(upcoming in Singapore 8-11 May 2024)

Internationally Standardised Programs with Accreditation

• ITI Diploma in Implant Dentistry – Online

• ITI Curriculum – Online Foundational and On-site Intermediate Level Program

Join Us @ Local ITI Activities

ITI study clubs – each study club holds 3 events per year to discuss cases relevant to their members. ITI members are welcome to attend any study clubs. The current clubs are:

• Perth Central –Dr Wendy Gill and Dr Melanie McAlpine

• Perth – Dr Armand Putra and Dr Lee Kaing

• Recent Graduate – Dr Janice Kan

• UWA Post-graduate – Dr Aaron Wong and Dr Liz Lam

ITI evening seminars – two events per year, in 2023

• Salvage Operations Extending the Life of Failing Implants by Dr Luan Ngo - June 2023

• Hot Off the Press Proceedings of the 7th ITI Consensus Conference by Prof Lisa HeitzMayfield, Dr Adam Hamilton and Dr Melanie McAlpine, 24th October 2023

Building upon the theme of our recent ITI Australasia Congress in Sydney, in 2024, the Western Australian ITI team will be looking to expand the availability of implant education to all dental professionals and support staff, pursuing a true team approach to patient care. The ITI aspires to include the entire dental team in the education process, from front desk to treatment coordinators, dental assistants, hygienists and oral health therapists.

By Dr Melanie McAlpine BDsc (Hons) MDSc(Perio) MRACDS (Perio) FITI FADI FICD

Do you know what you are agreeing to?

For dentists accepting a changed role, or for new dentists accepting their first role – it is important to read and understand the meaning and effect of contract terms that are being offered to you. There are different types of contracts used to engage dentists and each one affects the rights and obligations of both parties.

By Jenny Edinger

Irrespective of what contract is being offered, unless any of its terms are unlawful, they will likely be binding (and possibly, binding in unanticipated ways if they are unclear). If you don’t understand the contract terms, then get legal advice.

In this article, we highlight some of the more fundamental contract elements you should identify.

How is the relationship characterised in the contract?

Dental practices contract with dentists in three main ways:

1. as an employee (uncommon);

2. as an independent contractor providing services to the dental practice’s patients;

3. as a facilities and services provider enabling the dentist to operate a solo dental practice from the consulting rooms along with other dentists.

The rights and obligations under each type of contract may be different. For example, employee dentists will be entitled to usual minimum employment terms such as paid leave – even if they are paid on a commission only basis. Contractor dentists generally have additional responsibilities. Dentists engaging a practice to provide facilities and services will not be entitled to employment terms, superannuation or workers compensation.

What are the obligations of each party, as set out in the contract?

Don’t make assumptions about what each party’s obligations will be under the contract. If it is not specified in contract, there may be no entitlement to a benefit. For example, only employees have an entitlement to parental leave (provided they have served the qualifying periods) or paid leave such as paid annual leave.

Once you have verified the type of contractual relationship, a good place to start is to identify the performance obligations of both parties – that is,

what they agree to do and whether the contract terms contain any warranties and indemnities that might add to the cost of performing the services under the contract. You should also consider whether any required insurances are obtainable and the cost of maintaining those insurances.

Remuneration

Consider how the contract states you are remunerated. As an employee or as an independent contractor, you will typically receive a percentage of the billings/receipts collected from patients after laboratory fees are taken out. Consider whether you are paid on the basis of billings or receipts. If you are paid on the basis of billings you do not have to bear part of the burden if the patient does not pay or is late to pay.

If you have entered into a facilities and services agreement, typically you will be charged a facilities and services fee as a percentage of the billings/receipts that are collected from patients after laboratory fees are deducted. If the charge is based on billings, then you will be paying a fee

even though a patient or the treatment funder may not have paid the bill. Consider how often the payments are made to you – weekly, fortnightly or monthly and what that will mean for your cash flow. As to reconciling the remuneration, does the contract confirm that you will be provided with a breakdown of billings, receipts and deductions.

Consider also whether and to what extent the practice may withhold or retain payments it owes to you. Retention of payments are not uncommon should be applied fairly and for proper reasons. However, if there is a dispute about payments consider how you might want these disputes to be resolved and whether undisputed payments should be paid to you during the dispute resolution process.

Contract termination

What are the contractual terms for ending the contract? Are you entitled to end the contract if the practice breaches the contract, or do you have go through an onerous dispute resolution process? In some cases, you may not be entitled to end the contract at all and ceasing to provide services could expose you to a legal claim for damages.

If a party wishes to terminate the contract, how much notice is required. Very long notice periods make it hard to exit the practice and move on. For example, if you have to give six months notice if you want to leave, will it be possible to secure a position 6 months ahead of time? Also, check whether the notice periods are the same for both sides.

Restraints of Trade

It is common for practices to want to protect goodwill when the contract with the dentist ends. This is usually achieved

through the insertion of restraint of trade clauses into the contract. These clauses prevent the restrained party from providing dental services within a particular radius for a specified length of time. Do not assume that these clauses are unenforceable. Very often, the restraints will satisfy a test of legal reasonableness and be enforceable against the departing dentist.

You should consider what type of restraints apply and whether they are too limiting or whether they would be something that you could live with. Common types of restraints include no soliciting of patients and employees, no dealing with patients and restraints preventing a dentist from practicing at all within a specified area for a period of time.

Dentists in regional or rural locations should be particularly careful when entering into contracts that prohibit them from practicing for a lengthy period in the area because leaving the job may also mean having to leave town to be able to earn a livelihood. No dealings clauses which provide that you will not render services to the practice’s patients for a defined period of time might be a more tolerable restraint that satisfies the needs of both parties.

Additionally, you should consider whether you require a contractual right to copies of clinical records if they are needed in the future to defend legal proceedings or complaints from patients.

What if you are unhappy with the contract terms?

Before you enter into the contract, if you are unhappy with the contract terms what can you do?

• Try to negotiate – ask for terms to be amended, deleted, or added in.

• If you can’t get the contract amended, consider whether to walk away.

We have all experienced moments of invalidation, whether it be a manager who fails to acknowledge that the constructive feedback they delivered feels more like a personal criticism, or as a child, the critical parent who proceeds to minimise your behaviour when you try to assert yourself. Failing to validate or being dismissive of a person’s subjective experience implies that their experience and or response is inaccurate, insignificant, or unacceptable which can lead to disruption and breakdown in relationships and at times conflict.

If we cast our minds back to a time where we experienced invalidation, felt dismissed or ignored it is likely that those same feelings will resurface and register in our body, most likely in our stomach and or throat. This is a physiological

reaction to disconnection, that often signals that boundaries are being or have been crossed.

In Dentistry, the title of practitioner and health care provider elicits a degree of societal trust. Our overarching code of conduct clearly states that practitioners should be ethical, trustworthy and display qualities such as integrity, truthfulness, dependability and compassion. It also outlines the conduct that the public can expect from a health practitioner and their moral obligation to uphold an ethical standard of care.

As health professionals the last thing we want is for our patients to perceive us as incompetent, uncaring, or dismissive. While dismissing patients concerns and experience can be unintentional, we must remain cognisant that what

is seemingly insignificant to one person is often perceived differently by the person on the receiving end and can result in emotive reactions, as opposed to considered and wellmeaning responses.

However, there is a technique which can be used to help neutralise heightened emotions and maintain a connection point, even in times of distress.

Validation is the act of helping someone feel heard and understood. Validation helps regulate emotions. Knowing that you are heard and understood is a powerful experience, it helps build understanding with others and aids in effective communication. According to Karyn Hall PhD: “Validation is the recognition and acceptance of another person’s thoughts, feelings, sensations, and behaviours as understandable”.

Dealing with the disgruntledwhen validation is vital

Picture a time when you had a concern or complaint about a service – the initial feeling of disappointment, trying to find the right words to articulate the situation and then building the resolve to reach out and voice the complaint, not knowing how it will be received, if at all.

Anita Kemp, Case Manager, Dental Protection

Patients inherently place a level of trust in our skill and knowledge as dental practitioners and it can be upsetting for all involved when there is a deviation from the anticipated or expected outcome or result. This may be a result of an adverse outcome, failure of treatment and/or a breakdown in communication. However, when patients experience treatment or care that falls outside of the anticipated standard, there is an expectation that the process of having their concerns heard will be fair, reasonable, and empathetic.

Similarly, when a patient brings their concerns to a practitioner or to the practice, there is a level of vulnerability that is required of them – we know that feeling when we have our own complaints to make. As a practitioner or person in receipt of the complaint, we should aim to mirror a similar level of vulnerability, by acknowledging the courage it takes to firstly raise their concern in the hope of resolution and then attempt to address these concerns with this person. It can be as simple as saying: “thank you for raising this with me, this is important enough for you to reach out and I want to understand what is going on for you”.

A key qualification is to distinguish between effectively listening and agreeing – just because you are listening, does not mean you necessarily agree with every (or even any!) aspect of the complaint, however the listening opens the door to a productive dialogue.

Vulnerability as a practitioner can be conveyed by being present, by giving your complete attention to the person who is struggling, in a non-judgemental way, and not automatically having your rebuttal running through your head gives you the freedom and space to meaningfully engage and discuss the issue at hand. When we are in the moment with a person, we are better able to label their emotion and or

infer how they may be feeling. Check in with this person, they will then articulate their own emotion or feelings which can be cathartic and empowering for them at a personal level. Quite often we can struggle with our own self validation which in turn makes it very difficult for us to validate emotions and feelings of other people. Instead of normalising or recognising emotional reactions that anyone would have, we instead move to minimising the issue or concern, cloaking it in language such as ‘it’s not that bad or this is not uncommon’. While this may in fact be the true, it can appear that we are leveraging our professional knowledge to minimise their experience and at times hiding behind the power imbalance that exists within professional and patient relationship. Failure to validate this experience can be interpreted as dismissive or gaslighting behaviour and the current literature suggests that being ignored or dismissed by a healthcare professional is one of the most common complaints heard by patient advocates.

Strong clinical practice relies heavily on the therapeutic relationship and all relationships are bound by communication, trust, respect, intent, and humility. Our patients are likely to judge and base our clinical skill upon how well we care for them and our willingness to help. Bearing this in mind, we might consider challenging any negative perceptions we have about the complaints process and reframe it as an opportunity to consolidate and strengthen mutual trust, respect and understanding between practitioner and patient whilst dispatching our duty of care. All of which are essential requirements for any successful therapeutic relationship and in accordance with our professional obligations.

Moreover, we might acknowledge that ignoring or dismissing these contacts, is in fact a missed opportunity to resolve any initial concerns in these early stages, avoiding further escalation and in most instances a significantly challenging and stressful experience for all.

AT THE Annual General Meeting

THURSDAY 2 November

Join us at the Annual General Meeting with a presentation by Associate Professor Bobby Joseph on ‘Oral mucosal disorders: an update for the dental clinical team’.

ADA House

Havelock St West Perth

6.15pm Eat and Meet

7.15pm Meeting Followed by Lecture

RSVP to adawa.com.au/membership/rsvp

E V E N I N G

AMA Finance Brokers (Partner)

ADA members are eligible to receive up to $2,000^ cashback on top of the cashback offer from the bank or lender (if eligible) on home loans successfully settled between 1 January 2023 and 31 December 2023.

Phone 1800 262 346 or email info@amafinance.com.au

Bank of Queensland BOQ Specialist has been Australia’s leading financial services partner for dentists for over 30 years. Whether you require personal banking products or finance solutions for your practice, their team of experts will work closely with you to achieve your personal and professional ambitions. Visit boqspecialist.com.au/dental or call 1300 160 160.

Bunnings

ADAWA members have the opportunity to join the PowerPass Membership Program. To sign up or link your existing PowerPass account, please contact OrganisationsWA@bunnings.com.au

Credabl (Plus Partner)

Credabl has built a strong reputation offering tailored financial solutions. Whether you are looking to expand your practice, invest in medical equipment or explore personal finance options, Credabl's has you covered. Their suite of financial products includes medical equipment finance, practice loans, residential and commercial property loans, car finance and personal loans. credabl.com.au

Dental Essentials

Dental Essentials is a leading dental insurance brokerage in Australia, we excel in safeguarding practices' financial well-being. With a reputation for excellence, we lead the market as the top insurance intermediary for dentists and associated medical professionals nationally, providing expert guidance and comprehensive insurance solutions for over 30 years. dentalessentials.com.au

The Health Link thehealthlink.com.au

Health Practice Brokers

Health Practice Brokers (HPB) are a boutique business broking firm specialising in the sale of dental and other medical practices in Western Australia. HPB prides itself on a high level of communication at all times with both sellers and buyers, innovative marketing, confidentiality and making the sales process as transparent and seamless as possible. hpbaus.com.au

Invedent

Implement an easy to use and easy to implement system that enables you to manage your supply ordering and stock hassle free. You’ll get 10% off Invedent as an ADAWA member. invedent.com.au

ONDA

ONDA provide time-saving services, which are tailored to the busy dental professional. george@ondagroup.com.au

Panetta McGrath Lawyers (Premium Partner)

We are excited to offer a member benefits program exclusive to ADAWA members. As a member of ADAWA, the member benefits program entitles you to an initial 30-minute consultation in person, by phone, or via video conference. ADAWA members are also eligible for a 15% discount on our standard hourly rates. pmlawyers.com.au

West Coast Dental Depot

West Coast Dental Depot have been providing the highest level of service to dentists across Western Australia for over 30 years. Our focus is always to offer our customers the latest range of quality equipment coupled with technical expertise giving them the best solution to suit their needs. westcoastdental.com.au

Relocation announcement

Dr Janina Christoforou

Dr Janina Christoforou will be providing specialist oral medicine services at the following locations:

KALAMUNDA and MOUNT LAWLEY.

Change in scope of practice announcement

Periodontics & Implants wish to advise of an imminent change in our scope of practice.

We plan to open our books entirely to Periodontics and will no longer be taking new patients for placing dental implants. We will trade under the new business name of Southside Periodontics. We look forward to continuing caring for your patients for managing periodontal and peri-implant diseases.

MOUNT LAWLEY

47 Railway Pde, Mount Lawley

KALAMUNDA

Perth Hills Specialist Centre

182 Canning Rd, Kalamunda

T (08) 9257 8500

E admin@westernoralmed.com.au

W westernoralmed.com.au

T (08) 9417 3008

E blueswimmer50@gmail.com

C Peter Kerrisk

New Practice Announcement

Dr Shelley Greenway is pleased to announce the opening of her new practice (just across the road from the previous practice) in Karrinyup. With a new name, Face to Face Orthodontics, Shelley and her team continue to provide the same high standard of care now in an entirely new space that presents with a relaxed and comfortable interior design. Dr Greenway and her outstanding team welcome both existing and new patients for all their orthodontic treatment.

T (08) 9446 2313

E admin@facetofaceorthodontics.com.au

A Unit 3-4, 184 Karrinyup Road, Karrinyup 6018

W facetofaceorthodontics.com.au

New Practice Announcement

Specialist Orthodontists, Dr Jippy Buck and Dr Lloyd Buck are delighted to announce the opening of their new practice ‘Smile Arc Specialist Orthodontics’ in Doubleview. Providing a full range of orthodontic care in a new and modern setting. Accepting referrals for children, teens and adults.

T (08) 6246 6957

E hello@smilearc.com.au

A 255 St Brigids Tce, Doubleview 6018

W smilearc.com.au

Dr Soon Leng Saw - new addition to the team

We are pleased to announce that Dr Soon Leng Saw has joined the Class 1 Orthodontics team. Dr Soon is an Australian Board Certified Orthodontist and an active member of the Australian Dental Association and the Australian Society of Orthodontists (ASO). Dr Soon speaks five languages (English, Malay, Mandarin, Cantonese and Hokkien) and will practice out of our Cockburn, Rockingham and Busselton Clinics.

Dr Udit Bhatnagar - new addition to the team

Toothbuds Paediatric Dentistry is happy to announce the addition of Specialist Paediatric Dentist Dr Udit Bhatnagar to the team. Dr Udit offers years of experience in all aspects of paediatric dental care, and is happily accepting referrals at our Morley and Midland locations.

MORLEY MIDLAND

43 Wellington Road 8 The Avenue

BUNBURY

114 Clarke Street

T 1300 922 722

E prm@class1ortho.com.au

W class1ortho.com.au

HIF Corporate Program

T (08) 6155 9899

E admin@toothbuds.com.au

W toothbuds.com.au

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

We treat every home loan as a specialist case

Just like you treat your clients, we treat your home loan with the same degree of personalised care.

And for a limited time, we’re offering you an exclusive investor fixed rate, along with a dedicated finance specialist who understands your lending needs in a way that others wouldn’t.

Because just like you, we’ve built a strong reputation for being a trusted specialist in our field of expertise. With over 30 years of experience in lending to dental professionals, we understand the importance of treating every case individually.

Talk to your local finance specialist about our limited rate offer today on 1300 160 160 or visit boqspecialist.com.au/invest