Smiling Signs The dental students making a difference to the Deaf community Ask a Sedationist What dentists should know about IV sedation in a dental setting. The latest WA Dental CPD courses Courses you will not want to miss AUSTRALIAN DENTAL ASSOCIATION WA | E DITION 6 2022 THE RECOGNISED VOICE OF ORAL HEALTH IN WA adawa.com.au
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The dental students making a difference to the Deaf
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12 PRIZE GIVING CEREMONY
Periodontist Dr Lucy De Jesus shares her volunteering experience THE MOUTHS OF
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HEALING SMILES AND GIVING BACK TO THE COMMUNITY
Mental wellbeing in the workplace
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CREDABL ADVERTORIAL
A MEMBRANE IS NOT JUST A MEMBRANE
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Dealing with the stress of litigation and complaints HR
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43 PROFESSIONAL NOTICES
It’s good to talk FEATURE
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UWA’s
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Dr Abhishek Singh
adawa.com.au 3 4 PRESIDENT'S REPORT Dr Amit Gurbuxani 5 GREETINGS FROM OUR CEO Trevor Lovelle 6 SMILING SIGNS
Royal Perth Golf Club
Dental School Annual Prize-Giving Ceremony 14 ASK A SEDATIONIST
WORKING OUT THE STRATEGIC DIRECTION OF YOUR BUSINESS MODEL TO KEEP INFECTION PREVENTION IN CONTROL
CHILDREN’S ORAL HEALTH
Dental Health Week at the Pregnancy, Babies and Children’s Expo NEWS STORIES GOLF
Start your spring cleaning with a financial health check
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ADA NSW Head of Practice Services, Kylie Robb DPL FEATURE
MEMBERS
dentists should know about IV sedation in a dental setting 18 MEET ARMAND PUTRA Introducing the WA Dental CPD presenter 20 CPD CALENDAR 22 EDUCATION & TRAINING 25 PARTNER INDEX Member benefits 26
What
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Dear ADAWA family,
I am appreciative of the fact that our members expect our association to be there for them as an advocacy and leadership body.
I can’t believe it has been almost 11 months into my term. All I can describe is the experience to be an exhilarating one. From resurrecting our ADAWA Council committees and working with our Council to help keep practices open for business when our state border reopened, to fulfilling the board’s most important role of choosing our new CEO, Trevor Lovelle, through an independent and robust process when our valued CEO, David Hallett, announced his retirement.
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President’s Report The
I am grateful to our entire ADAWA Executive and ADAWA Council and most importantly our ADAWA staff for stepping up during this transition process and being there for the membership. At the same time, I am appreciative of the fact that our members expect our association to be there for them as an advocacy and leadership body.
In that regard, within the first week of our CEO taking over, Trevor, David, and I met with the Minister for Health Hon. Amber-Jade Sanderson, to discuss various topics affecting oral health in Western Australia. Since then, we have met with private health insurers, including HBF, to advocate on our member’s Engagementbehalf.with our members and prioritisation of our members’ needs is what we have been and will continue to do so, in the future. We are working closely with DPLA in terms of providing assistance to our members in dento-legal matters and we will keep our membership updated in that Excitingregard.times are ahead, and I look forward to continuing to serve the association in my next and final term as President with continued energy and enthusiasm.
We all know what we used to describe as normal has changed over the last few years. That’s one thing this pandemic has taught us – do not take anything for granted. It has also taught us the only way to face and overcome challenges is when we work together.
During a visit to the NASA Space Center in 1962, President Kennedy noticed a janitor carrying a broom. He purportedly interrupted his tour, walked over to the man and said, “Hi, I’m Jack Kennedy. What do you do around here?” The janitor responded, “I’m helping to put a man on the moon, Mr President.”
meeting with the WA Minister for Health Hon. AmberJade Sanderson. On this note, I would also take the opportunity to pay tribute to former long-serving CEO Dr David Hallett for his tremendous contribution to the organisation and for providing me a comprehensive debrief on key issues for the profession in WA.
On a lighter note, and by way of providing further insight into your new CEO, I am a committed sports fan who for better or for worse is a member of both the West Coast Eagles and Perth Glory. At home I play second fiddle to my wonderful partner Jasmyn, and I am the proud father of three (two adult, one teenage) children.
Greetings from our CEO
I would also like to sincerely thank ADAWA President Dr Amit Gurbuxani for his strong support of me as I settle into the role, and for his outstanding leadership at a time of transition and change for the organisation during the CEO recruitment phase.
This might seem like a random introductory paragraph from your newly-appointed CEO, but the metaphor describes my intentions in leading the peak body representing WA dentists. While we’re not setting out to put a man on the moon, each of us at ADAWA plays a role in supporting our highly-valued members to attain the highest level of oral health for every member of our society.
TREVOR LOVELLE ADAWA CEO BBus., MBA., GAICD
I join the ADAWA with over twenty years’ experience leading both State and national not-for-profit, memberbased organisations and most recently in the highlyregulated aged care sector. While key stakeholders may vary depending on the profession, there remain core functions that industry peak bodies should deliver to their respective memberships including representation, advocacy, collaboration, and industry promotion and I look forward to contributing my professional and personal experiences to this effort.
In my short time in the CEO role, I have admired the passion and commitment of members to the organisation, which has clearly contributed to the success of the ADAWA and the consequent benefit to the community.
All correspondence to E media@adawa.com.au A PO Box 34 West Perth WA 6872
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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.
Designer Amie Mason
Editorial Brooke Evans-Butler
President Dr Amit Gurbuxani
I consider it a privilege and honour to serve as the CEO for the ADAWA and I look forward to contributing to the excellent work of the organisation.
I have enjoyed early engagement with the ADAWA Council and represented member interests at a
CEO Trevor Lovelle
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The idea of final-year dental students, Scott Santarossa and Anooshree Katwe, has the potential to make a big difference for the Deaf community.
Scott Santarossa, Anooshree Katwe and Dr Omar Kujan
Deaf patients could not always easily access the services of an Auslan interpreter for an appointment, and many of the interview participants mentioned they needed some sort of resource because being in the dental chair was an overwhelming experience for many.
When Scott started Dental School and found out there was a research component, he hoped to combine his interest in dentistry and the Deaf community.
They might have had a gold crown placed and they thought they were getting a tooth-coloured crown. Or they had teeth extracted and they didn’t know why.
“We asked about 18 members of the Deaf community if they had any issues and how they have found communication and we were quite shocked,” Scott says.
“My experience with the Deaf community is they really value sharing accessible resources as they are hard to come by,” Scott says. “We looked around and couldn’t find anything in Auslan related to even general medical health, let alone dentistry.”
“I did the Certificates 2 and 3 full-time and it was great,” Scott recalls. “Once I finish dentistry I plan to go back and complete my training in Auslan by doing the Cert 4 and a Diploma.”
“I approached the research coordinator, Dr Omar Kujan, and expressed interest in researching the Deaf community. When I mentioned dental anxiety as a topic, he thought that was a great idea and was enthusiastic about supervising the project himself. Then I spoke to Anooshree, who was interested in my sign language journey, and she was keen to be involved.”
“We are still doing the analysis, but anecdotally I can say there were multiple people who were interviewed who had treatment done that they weren’t sure about. They might have had a gold crown placed and they thought they were getting a tooth-coloured crown. Or they had teeth extracted and they didn’t know why.”
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For their project ‘Dental Anxiety in the Deaf Community’, Scott and Anooshree looked at dental students' knowledge of the Deaf community. They then interviewed Deaf people about their experiences at the dentist via Auslan interpreters.
Scott says before he started Dental School, he studied Auslan (Australian Sign Language) for a year in Melbourne, which sparked his interest in the Deaf community.
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“We go through a rigorous review process for each video,” Scott says. “We get ADA to ensure they are sound in terms of dental accuracy and we get the Auslan translation done by a Deaf consultant and have that checked to ensure the Auslan itself is easily understood.
SMILING SIGNS WILL BE PRESENTING
The course will also be the launch event for the Smiling Signs Auslan Resource. To book for the course, go to adawa.com.au/smilingsigns
Scott and Anooshree noticed an advertisement for the Healthy Smiles Community Grant and on a whim, applied, and won the $11,000 grant. With these unexpected funds, and with the feedback from their interviews with members of the Deaf community in mind, Scott and Anooshree decided to use the grant money to make videos for the Deaf population that explains dental procedures and oral health concepts.
Working closely with Deaf Australia’s CEO Jen Blyth and ADA’s Oral Health Promoter Dr Mikaela Chinotti, their collection of videos, Smiling Signs, is taking shape.
The videos are suitable not just for Deaf people, but for those with limited English or who have anxiety about going into an appointment. There are visual images along with written English captions, spoken English and of course, Auslan.
“The videos are suitable not just for Deaf people, but for those with limited English or who have anxiety about going into an appointment,” he adds. “There are visual images along with written English captions, spoken English and of course, Auslan.”
SMILING SIGNS
A Deaf Awareness Training course for dentists to improve their communication skills with Deaf patients (provided by Access Plus WA) has been organised to be held at ADA House on October 29.
“We welcome students, dentists, specialists, oral hygiene therapists, dental assistants – anyone really within the dental industry who is patient facing – to improve their communication skills with Deaf people.”
“We wanted to cater Deaf awareness training to dentists,” Anooshree explains. “They don’t have to learn Auslan, although that would be amazing, but there are small things that can easily be done. For example, if there is an interpreter at the appointment – talking and maintaining eye contact with the Deaf patient instead of the interpreter is important, even though you are hearing the interpreter speak. You would be surprised that it happens very often where clinicians speak directly to the interpreter as if the Deaf person is not there. This not only makes the patient feel unseen but also extends to other ethical issues such as consent.”
Scott adds a representative from Access Plus WA will provide a Deaf awareness training course customised for dentists on the day. “There will be some basic Auslan, how to use interpreters, what to do if you don’t have an interpreter and the logistics about who should book the interpreter,” he explains. “Basic communication skills with Deaf people will also be discussed, which are very translatable – it is a good general communication course – and it’s free.
DEAF AWARENESS TRAINING
Deaf Awareness Training Saturday 29 October at ADA House
The videos are available on YouTube: bit.ly/3R2Glh8 and on: teeth.org.au/smiling-signs
We have just touched the surface of the research – dental anxiety is just one aspect. I would love to know if that anxiety relates to an increased caries prevalence or increased burden of disease.
WHAT’S NEXT?
“We have just touched the surface of the research –dental anxiety is just one aspect,” Scott says.” I would love to know if that anxiety relates to an increased caries prevalence or increased burden of disease.”
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Scott and Anooshree are busily adding more videos to the Smiling Signs collection – and they would like to do more research into the Deaf community.
Healing Smiles & giving back to the community
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For more details about Healing Smiles, contact Clinical Coordinator Dr Jacinta Vu at healingsmileswa@gmail.com
I started talking about the idea that we had unique skills and talents as practicing dentists and could use these skills to help people directly, rather than fundraise for outside organisations.
Dr Lucy De Jesus was on the committee of Women in Dentistry (WID) when the idea for Healing Smiles was sparked.
“I was impressed by the work the former committee had done in terms of fundraising for different charities, but felt strongly that we could do more as a group,” she recalls. “I started talking about the idea that we had unique skills and talents as practicing dentists and could use these skills to help people directly, rather than fundraise for outside organisations.”
Periodontist Dr Lucy De Jesus has been a part of Healing Smiles from the start and is proud of how the idea has grown to help so many women.
“With a lot of work from other WID committee members and assistance from many others, Healing Smiles became a reality. I feel so proud to have been there from the start, and to see how much Healing Smiles has grown and the amazing work that’s been done.”
To other specialists who are thinking about volunteering, Lucy encourages them to get on board. “Someone close to me has suffered domestic abuse, which is why I feel very passionate about supporting this cause,” she says. “Domestic abuse does not just affect women of a lower economic status – it can easily happen to strong, independent, accomplished women.
OFMOUTHSMEMBERS From the
“There was a gorgeous lady with mild gum disease who returned with a beautiful card that said: ‘You have a heart of gold’. I was surprised because I felt like I had not done much to help her, but she had been in a situation where her husband had refused to let her see a dentist, so I think she was thankful that she finally had a chance to receive dental treatment. It was a great feeling to be able to provide that for her.”
The patients are always so grateful. They can really see the difference and how much their gums have improved.
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Lucy has been a consistent supporter of Healing Smiles by taking on cases whenever she is asked, which usually involves non-surgical periodontal treatment and some surgical extractions. “I complete the patient’s examination, their initial course of periodontal treatment and a first review,” she says. “If the patient wishes to return for on-going maintenance treatment, I offer it at a heavily discounted price. We can’t provide lifelong pro-bono maintenance treatment for these patients, but what we do certainly makes a huge positive difference.”
She says the experience of helping these patients has been very satisfying. “The patients are always so grateful,” Lucy says. “They can really see the difference and how much their gums have improved. They no longer have bad breath, and their smile and self-esteem improve.
“My staff at Perth Periodontics are really happy to be involved as well,” she adds. “It brings an overall good feeling for everyone in the practice by boosting staff morale and team spirit. I encourage my colleagues to try to help to make a difference.
The advantages of being an ADA member is the access to professional and legal advice. The lifestyle benefits are great by being associated with multitude of companies and services. Dr Abhishek Singh
“Dentistry has given us incredible life opportunities and I feel we are lucky to be able to do the job that we do. It is wonderful to be able to give back to the community by using our skills and experience to help others.”
“It was such a pleasant surprise to be recognised for all the hard work put into my dental studies, as well as the hours dedicated to dental volunteering. I would like to personally thank all the academics, professors, tutors and nurses. In each of their own ways, they have all helped me become the clinician I am today, and I am forever grateful for their continual wisdom, support and knowledge. To my DMD family and my at-home family, I feel as though these awards must be shared with you all, as I could not have come this far without you all, so thank you.”
“I just want to say a big thank you to ADAWA for the generous donations. ADAWA has supported the dental students and University Dental Students’ Society (UDSS) for many, many years and have always contributed to enhancing the university experience for dental students for the better. So, on behalf of the student body, I would like to extend my thanks to everyone on the ADAWA team. They are foundational to the WA dental community with their endless and unwavering support, and they will always be an organisation I will keep in arm’s reach as I advance onto my professional career.”
UWA’s Dental School Annual Prize-Giving Ceremony
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WHAT DOES RECEIVING THESE AWARDS MEAN TO YOU?
“Hang in there! It will be over before you know it. Be sure to have time away from dentistry, doing what you love –whether that be exercising, cooking, watching Netflix or being around friends and family. It is a tough degree, but it’s all about balance! And never feel afraid to reach out to staff, tutors, fellow peers or even myself if you find yourself struggling, because you are not alone.”
DO YOU HAVE A MESSAGE FOR ADAWA?
WHAT IS YOUR ADVICE FOR CURRENT STUDENTS?
We spoke to Dr Sally Tan (recipient of the ADAWA awards for Academic Excellence in Dentistry and Leadership Excellence in Dentistry) about receiving these awards.
ADAWA sponsors awards in leadership and academic excellence for UWA’s Dental School Annual PrizeGiving Ceremony.
Tom E. Scott Memorial Prize in Prosthodontics – Sarah Lauren Ser-pei Boon Leonard Nathan Prize in Oral Pathology – Kae Shyang Yu
John McGeachie Prize – Sean Andrew Tsandelis
BDSc Class of 1979 Prize in Operative Dentistry – Wendy Kimberley Patak
ASEWA Prize in Endodontics (Year 2) – Nevena Rikalo
D.J. Cock Prize in Periodontics – Nevena Rikalo
John Prichard Memorial Prize – Wei Jie Lim
The Alistair Devlin ANZSPD Prize in Paediatric Dentistry – Bede Gilbert McKenzie van Schaijik
ADAWA Prize – Breeana Casey Reynolds, Nevena Rikalo
Harold Baggett Memorial Prize in Histology – Sean Andrew Tsandelis
Ian O. Thorburn Prize – Steven Min-An Chien
G. D. Henderson Prize in Oral Surgery – Masooma Hashimi
WA College of Dental Science Prize in Restorative Dentistry – Sarah Lauren Ser-pei Boon
CONGRATULATIONS TO ALL OF THE PRIZE RECIPIENTS, INCLUDING:
Eric Williams Prize in Prosthodontics – Wendy Kimberley Patak
ASEWA Prize in Orthodontics (Year 3) – Sarah Lauren Ser-pei Boon
Dr Clive Rogers Prize in Special Needs Dentistry – Sarah Lauren Ser-pei Boon
ASEWA Prize in Endodontics and Dental Traumatology (Year 3) – Willis Jun Jie Cheng
Wynn Needham Memorial Prize – Sally Yijin Tan
Sally Joyston-Bechal Study Group Prize – Richard Yit Han Tien
Ramesh Balasubramaniam Prize in Oral Medicine – Kae Shyang Yu
ADAWA Prize for Academic Excellence in Dentistry – Sally Yijin Tan
Kenneth J G Sutherland Prize – Richard Yit Han Tien
Dr F. Simpson Prize in Dentistry – Wei Jie Lim
Dr Zac Chami Memorial Prize – Aaron Christopher Kovacs
Royal Australasian College of Dental Surgeons Prize – Sally Yijin Tan
ADAWA Award for Leadership Excellence in Dentistry – Sally Yijin Tan
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“When sedation is done well and tailored to the patient, it can be a very rewarding and enjoyable experience for the dental team,” Dr Vivian Mascarenhas says. “Dental sedation allows the dental team to focus their full attention on the technical dental work and minimises the circumferential issues of patient management.
Vivian says it is important to acknowledge that smooth, predictable, and especially safe sedation procedures start with careful pre-sedation patient selection. “The next noteworthy point is that there are significant differences in providing sedation in hospitals (and day surgeries) as opposed to the dental practice setting,” he says.
“As such, there are a multitude of factors that determine a patient’s suitability for IV sedation in a dental setting which in the end, are best assessed by the attending dental/medical sedationist. In saying that, there are some very good guidelines that help the dentist to assess a patient’s suitability for recommending IV sedation to assist in facilitating their dental treatment.
When sedation is done well and tailored to the patient, it can be a very rewarding and enjoyable experience for the dental team
“Please speak to your sedationist (especially if they are a dentist), as they have a wealth of information to be able to help make the procedure much easier and support you, your team and your patient through the process.”
We asked AHPRA-Endorsed Dental Sedationists what they want dentists to know about IV sedation in a dental setting.
Are you considering utilising the services of a sedationist in your practice?
Along with their medical fitness, each patients’ level of dental anxiety and their expectations of IV sedation can affect their suitability. It’s important that phobias are assessed and time is taken to explain the nature of IV sedation, plus how it differs from a general anaesthetic.
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Ask a sedationist
WHO IS SUITABLE FOR A SEDATION SERVICE?
If you are considering using the services of a sedationist at your practice, consider the following:
Dr Richard Kozlowski says IV sedation is a great option for a generally healthy dental patient. “The ASA Physical Status Classification System is a good guide to who can be treated – screen the patients and make sure that they fall into Categories I and II only,” he advises.
• BMI 35-40, obesity grade 2, ASA 111
• BMI 31-34, obesity grade 1, ASA 11
We can ask the patient if they can climb two full flights of stairs without getting out of breath. This provides an excellent measure of cardiovascular and respiratory status.
• BMI > 40, obesity grade 3, ASA 1V
• Medical status:
c) Fitness: (as measured in metabolic equivalents)
Vivian says to ensure there is a peanut or u-shaped neck pillow and a blanket on hand for patient use. “In addition, if possible, have a clean dental tray, mask, gloves and hand sanitiser ready for the sedationist,” he says.
• Severe Class II malocclusion
These broadly are:
• Patient Age: 16-70 generally.
• Short thick neck
• Obesity and presence of a large tongue or tonsils
b) BMI (20-30): Weight alone unfortunately does not tell us the whole truth about obesity. In general, we use the Body Mass Index (BMI) to tell us whether the patient is anorexic or obese, and the severity of obesity. This will give us an indication as to what the ASA classification should be. The BMI can be calculated by a specific formula: BMI = weight (kg)/ height (meter2):
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WHAT IS EXPECTED IN TERMS OF PRACTICE FACILITIES AND PATIENT PREP
When it comes to the patient, Richard says it is helpful to have the patient arrive early so that all consents, payments, and other admin are completed. “This allows the appointment to start on time and helps avoid the stress of running late,” he explains.
• Reduced OVD
• Mallampati score of 3 or more (can’t visualise the uvula at maximal opening)
• Presence/evidence of sleep apnoea (stopbang questions).
Vivian also recommends having an experienced dental nurse to assist the operating dentist. “Even if the DA is not experienced with sedation, the sedationist can help the DA to manage the water etc, so as to protect the airway,” he explains. “If the DA is inexperienced and has little knowledge of how to protect the airway, this can place the patient at risk and makes the sedation and dental treatment much more difficult.”
• BMI < 20, patient underweight
• BMI 20-25, normal weight
Respiratory compromise under sedation is the largest category of adverse outcomes during procedural sedation. As dentists, we can very quickly assess the oro-pharynx for predictor of a difficult airway:
He adds to ask the patient to ensure to follow all the sedation instructions provided, especially fasting and having a responsible adult available for 12 hours post op to collect the patient from the surgery and to look after the patient at home.
Richard says practices must have easy access in case of an emergency, so facilities that only have stair access are unsuitable. “A large surgery can better accommodate the extra staff and equipment and makes for a more pleasant appointment,” he says.
Vivian recommends allocating enough time for both the dental procedure and for the induction and recovery of the patient. He says the practice should either ensure there is a spare room for recovery or leave a 30-minute pack down before the next patient. Scheduling and staffing should take into account that patients can take longer to recover, in some cases up to an hour.
He adds a parking space near the practice entrance saves a lot of time and effort when unloading and is always much appreciated.
a) ASA status: According to the ASA classification (American Society of Anaesthesiologists classification of clinical status), only patients with an ASA I (normal, healthy) or ASA II classification (patient with mild systemic disease, that is medically well controlled) qualify for conscious sedation in a dental surgery setting.
• Limited neck extension
Oral and airway assessment:
• BMI 26-30, overweight
• Maximum mouth opening >3 finger widths
“Deep sedation actually makes dentistry more difficult because the patient will require far more intervention to both protect and maintain the airway from the dentist and nurse (which will make the treatment harder),” he explains.
• Informed consent is essential for both the sedation, as well as the dental treatment plan. Its recommended that these are written and signed by both the patient and clinicians, and cover not just the primary treatment plan, but also any alternative treatments that may become necessary once they are under sedation and can no longer consent e.g. when there is a potential pulp exposure that will require endodontic treatment or extraction. Importantly the document must be clearly understood by the patient. It must be regarded as an adjunct to the verbal discussions, not a replacement.
MAINTAIN A SAFE PATENT, PROTECTED AIRWAY
SEDATION IS NOT A GA IN A DENTAL CHAIR
• Understand the significant importance of patient (or guardian) consent for both the dental treatment and the sedation.
OTHER IMPORTANT CONSIDERATIONS
• Similar to pre-treatment, comprehensive clinical treatment notes, all information and instructions provided to the patient and the accompanying person and details of required post- treatment follow up, must be clearly documented, with the patient given adequate time to understand and discuss their responsibilities with their treatment team and support.
“The golden rule is: whoever is working in the airway is responsible for the airway, which means that this significant responsibility falls ultimately on the dentist,” Vivian says. “There have been many instances of a failure to protect the airway, which results in foreign body aspiration (especially water), which can have very significant consequences. Therefore, please ask for assistance if there is any doubt, as we are more than happy to help and show you how to best protect the airway.”
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LOCAL ANAESTHETIC IS KEY
• In many cases the treatment may well be complex, invasive, elective and/or expensive and it’s important that plans are reviewed so that the length of the appointments and type of treatment are appropriate to sedation. In general, if a treatment plan is going to take more than 1.5 hours, then this will need to be broken up into multiple appointments. Comprehensive clinical notes must reflect the discussions that occurred prior to the sedation appointment, including the likelihood of any scenarios that could occur whilst your patient is sedated that may give rise to a change to the proposed treatment.
• A current certification in Provide First Aid Course (formerly known as Senior First Aid) for the dentist and all staff assisting during treatment and the patient recovery, should be regarded as mandatory for responding to medical emergencies.
• Choose your sedationist as you would if you or a member of your family required sedation. Dentists should ensure the person that is providing the sedation is an AHPRA endorsed conscious sedation practitioner. This can be checked on the AHPRA registration page.
DR VIVIAN MASCARENHAS SHARES ADDITIONAL POINTS YOU NEED TO KNOW:
“In regards to LA, brush up on maxillary blocks (PSAB, MSAB, IOB) and alternatives to mandibular blocks (Gower-gates and Ankinosi blocks) as they provide much greater and more profound LA while minimising LA dosages,” he adds. “Additionally, review LA toxicity and maximum dosages for the different variants of LA and preparations (with and without vasoconstrictors) and remember that it’s the cumulative dosage for all the different LA’s combined, not the maximum of Prilocaine allowed plus the maximum of lignocaine.”
“Sedation is not a substitute for not using local anaesthetic (LA) or having ineffective LA,” he says. “It is in fact, absolutely integral to a safe and most importantly a smooth sedation. A smooth sedation is in everyone’s interest. A classic example is: ‘it’s only a clean (deep subgingival debridement with an ultrasonic) so I don’t need LA’. While that may be the case for a non-sedated patient who isn’t overly anxious, it’s not true for sedated patients as they lose their inhibitions and ability to control responses, still have a subconscious aversion and will respond given sufficient stimuli. This makes for a difficult sedation, and difficult treatment.
Thank you to the Australian Society of Dental Anaesthesiology Inc for their review and contributions.
MEMBER ADVISORY SERVICES andreaa@adawa.com.au
• The Australian and New Zealand College of Anaesthetists (ANZCA) PS26(A) Position statement on informed consent for anaesthesia or sedation, bit.ly/3ctE3sz
For more information regarding Infection Control and Practice Accreditation contact: Andrea Andrys
• The dentist and sedationist must provide their afterhours contact details and fully expect to be readily available should the patient require assistance.
As with all areas of dentistry, continued training and maintenance of understand is important. WA Dental CPD is convening a course in October, which both new and experienced clinicians may find of benefit: effectively-under-iv-sedationadawa.com.au/product/how-to-work-safely-and-
FURTHER READING AND INFORMATION
Get THANIT'SaccreditedpracticeyourEASIERYOUTHINK
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• There must be no financial transactions with the patient until they have fully recovered from the sedation.
• ADA Guidelines for Conscious Sedation bit. ly/3CXqhck
• The accompanying person must clearly understand their responsibilities to the patient.
• Check that your insurer covers this treatment and if you need to notify your provider.
• The ‘Sedation – Safer Practice’ 45-minute interactive written course in PRISM is on the Dental Protection website: bit.ly/3TkK4bD
Getting your practice accredited demonstrates your commitement to maintaining a high level of standards for the dental profession. Complying with National Safety & Quality Health Services Standards is your benchmark.
• The Australian and New Zealand College of Anaesthetists (ANZCA) PG09(G) Guideline on Sedation and/or Analgesia for Diagnostic, Interventional Medical, Dental or Surgical Procedures, bit.ly/3cyqsA7
Dr Armand Putra was born into a dental family, so the choosing dentistry was an easy decision. He graduated Dental School in 2010 from the University of Queensland, before working in the Royal Dental Hospital of Melbourne as an intern.
Armand applied for a Graduate Certificate in Prosthodontics program in the United States, and spent three years at the University of Washington, and followed up with a Fellowship in Implant dentistry at Loma Linda University.”
Dr Armand Putra Meet
Prior to the Soft Tissue Photography course in October, we caught up with one of the presenters, Dr Armand Putra.
ARMAND WILL BE PRESENTING Soft-Tissue Photography 14 October at ADA House
On competition of his fellowship, he came back to Australia and has been working in Perth for the past four years.
“I had a great mentor with the name of Dr Joseph Kan, (no relation to my current boss) who said to me: ‘Dentistry is a lifelong learning, and the best way to learn is to teach.’ I think education is a very big part of being a specialist. As a specialist, we are in the forefront of the field, and it is also our duty to help educate other dentists to help advance the field. It is also important for us to help nurture young talents that one day will be the new leader
There, he was exposed to many specialists and specialists-in-training, which cemented his desire to specialise. “I was lucky enough to have met many great Prosthodontists during Dental School in UQ,” he says. “I was impressed with their knowledge and skills, which inspired me to be one. I also noticed the change of perception patients have on themselves after prosthodontic treatment. I found this was the best thing about prosthodontics –being the link that helps a dentist provide optimum care to their patients.”
As a specialist, we are in the forefront of the field, and it is also our duty to help educate other dentists to help advance the field. It is also important for us to help nurture young talents that one day will be the new leader of the field. I do enjoy teaching students and watching them grow as fine clinicians
“I wanted to be closer to Jakarta as my parents live there,” he says. “I was lucky enough to have the opportunity to join the practice I am at in Perth. COVID did ruin my plan for my family to be able to come and visit regularly, however, Perth is quite vibrant and is a nice city to be in.”
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As well as working at the Centre for Prosthodontics, Armand is a passionate educator (he is an Affiliated Professor at the University of Washington and lectures regularly).
Friday
5 MINUTES WITH
What is your favourite book? Invincible Man by Ralph Ellison. I think it’s an American classic.
What three words best describe you? Integrity, responsible and passionate.
A Formula 1 engineer (yes, I do enjoy watching cars running in circles).
Dr Armand Putra
Armand says attendees can expect to learn tips and tricks of dental photography. “I think dental photography can be a challenge to do initially, but with some tips, it can be a lot easier to manage,” he says. “I remember when I first started doing dental photography, I dreaded and hated picking up my camera but, overtime I found ways to manage this. I’m hoping the attendees will find it easier to document things with photography.”
adawa.com.au 19
If you weren’t a prosthodontist, what would you be doing for a living?
What do you enjoy doing in your spare time? I enjoy going to a cinema or enjoy having a good meal. I do cook from time to time.
of the field. I do enjoy teaching students and watching them grow as fine clinicians,” he says.
Armand is one of the presenters at the Soft Tissue Photography course in October, along with Drs Janina Christoforou and Melanie McAlpine.
Do you have a talent or unusual hobby? My wife said I’m a good cook, but I think it is more that she would rather not cook.
Dr Steven Parker UWA Dental School
Dr Oliver Pope - ASEWA/ADAWA
Public Holidays 26 Sep Queen’s Birthday 25 Dec Christmas 26 Dec Boxing Day 27 Dec Boxing Holiday school holidays Sept 24 – Oct 9 Dec 16 – Jan 31 20 EDITION 6 | 2022 W ESTERN ARTICULATO R
UWA Dental School
Simple and Predictable Posterior Composite Restorations
Practical Oral Surgery
Oral and maxillofacial surgeons
Dental Implants in General Practice
ADA House
It’s Not Just About the Spine
ADA House
Suturing Workshop
29SAT
Coverage of Exposed Roots and Implants
24SAT
UWA Dental School
UWA Dental School
The Art of Digital Photography
UWA Dental School
Soft-Tissue Photography
CTEC
Direct Veneers
Dr Lee Kaing ADA House
The Endodontic Journey
Kylie Robb ADA House
Dr Gaurav Vasudeva
Cracking the Code of Cracked Teeth
October1SAT
ADA House
ADA House
Dr Joshua Graieg and Clin A Prof Glen Liddelow
Dr Vivian Mascarenhas
Dr Asheen Behari
September7WED
Deaf Awareness Training
The Head and Neck Cancer Story
Dr Greg Celine and Dr Lisa Bowdin Hilton Garden Inn Albany
Professor Peter O’Sullivan
Back to the Future! Silver Diamine Fluoride
WED26
ADA House
Practical Oral Surgery
Tots to Teens
25FRI
16FRI
CTEC
Dr Jesse Green
November2WED
ADA House
14FRI
22SAT
Porcelain Veneers & Ceramic Onlays
Young Dentists' Conference
CALENDAR 2022
Porcelain Veneers & Ceramic Onlays
Adj Assoc/Prof Tino Mercado University Club
ADA House
Surgical Draping in the Dental Office
26SAT
Drs Janina Christoforou, Melanie McAlpine & Armand Putra
23FRI
Dr Jilen Patel University Club
THUR27
Dr Lalima Tiwari & Dr Ken Wan ADA House
Bookings
17SAT
ADA House
Restore My First Implant
15SAT
ADA House
Stainless Steel and Hall Technique Crowns
Dr Graham Carmichael and Clin A Prof Dr Glen Liddelow The Branemark Centre
21FRI
21-22OctoberFRI/SAT
Dr Steven Parker UWA Dental School
ADA House
SAT8
Szabolcs Hant & Dr Graham Carmichael ADA House
17SAT
THUR10
29SAT
22SAT
Dr Greg Celine & Dr Lisa Bowdin Hilton Garden Inn Albany
Oral and maxillofacial surgeons
Recession Proofing Your Practice
Infection Prevention and Control
28FRI
WED14
How to Work Safely & Effectively Under IV Sedation
Dr Asheen Behari & Dr Paul Gorgolis
ADAWA Annual General Meeting
Dr Michael Chan
25FRI
Anxiety Control in the Dental Practice
TUE4
Megan Reilly & Dr Roslyn Franklin UWA Dental School
Anxiety Control in the Dental Practice
ADA House
& Enquiries Additional information and bookings at adawa.com.au/cpd
Drs Asheen Behari and Paul Gorgolis
28FRI
ADAWA General Meeting
SAT5
WED16
WA Dental CPD Events ADAWA General Meetings New Practitioner Program Other SATURDAY NOVEMBER 5 This year's New Practitioner Program is going out with a bang on Saturday November 5, with the annual, FREE, all-day, and much-anticipated Young Dentists' Conference, for dentists who've graduated within the last five years. The event will feature the following speakers and topics: RiskyBusiness–Dr Simon Parsons The Art and Science of Staff communication –Dr Kang Kim Tips on Effective Communication from a Special Needs Dentist – Dr Jee-Yun Elston Human Error and Bias – Dr Annalene Weston Communicating with Compassion –Dr Mohammed El Hakim Safety with the Sedated Patient –Dr Vivian Mascarenhas Rubber Dam and CAD CAM workflow –Dr Vincent Goh ROUND TABLE DISCUSSION Managing patient complaints –Dr Amanda Phoon Nguyen, Dr Parnian Zareie, Dr Leon Smith, Dr Colm Harney Book your ticket at adawa.com.au/npp FEBRUARY202317FRIDental Sleep Medicine Details to come MARCH16THURS Special Needs Dinner Drs Jee-Yun Leung and Trudy Lin University Club 24FRI Anterior Composite Workshop Dr Michael Mandikos UWA Dental School 25SAT Perfect Posterior Composites Dr Michael Mandikos UWA Dental School April1SAT Primary Dentition Dr Vanessa Williams UWA Dental School 28FRI Oral Medicine Rojak Singapore MAY19FRI Nutrition Ms Julie Meek july21FRI Hands-On Extraction Details to come 22SAT Stress Management Alex Hof October13FRIOral Surgery Dr Barbara Woodhouse Details to come 27FRI Trauma W/Prof Paul Abbott Albany SAVE THE DATE SAVE THE DATE SAVE THE DATE SAVE THE DATE SAVE THE DATE SAVE THE DATE
The Endodontic Journey –Things I wish I knew at the start Presented by Dr Gaurav Vasudeva 1. Introduction to Contemporary Endodontics 2. Assessing a case before start: Why treatment fail? Concept of working backwards 3. Oops! I did it again: Avoiding iatrogenic errors 4. Assess preparation can make or break your case. Finding canal orifices to pulp extirpation. 5. Appropriate selection and knowledge of your armamentarium 6. Appointment layout for Endodontic procedure and setting goals 7. Cracks and resorptions: How to assess and manage. 8. Open discussions via clinical cases. Implement tips and tricks into your practice tomorrow. Open to ADAWA members who graduated within the last five years. Tuesday 4 October 6-9pm at ADA House Book online at adawa.com.au/npp Education & Training • Opening Breakfast • Free childcare • Free business growth seminars • Latest technology & innovations • Women in Dentistry Breakfast • Australian Dental Association Queensland professional CPD program Brisbane Convention & Exhibition Centre Highlights include: REGISTER NOW AUSTRALIA’S PREMIER DENTAL EVENT See you at 27 - 29 October 2022 @ausdental / ADXexpo @ ad x expo adxbrisbane.org.auFREEENTRY #ADXexpo #ADXBrisbane CALL NOMINATIONSFOR Nominations from active members are called for the election of: • 8 Ordinary Members of Council • One Council Councillor* (shall practice 50km or more from the Perth GPO) • One Salaried Dental Councillor* (shall hold a full-time Government salaried position) Nominations for Ordinary Members must be received at this office by noon, October 5, 2022. Nominations for all positions must be on a form 'Appendix B' available bit.ly/3Rj0DTk The results will be announced at the ADAWA AGM on Wednesday, October 26, 2022.
Every day we are faced with the dilemma of cracks in teeth. This lecture will summarise a wholistic approach to the prevention, diagnosis, management, and prognosis of teeth with cracks from an endodontic and restorative perspective.
Dr Oliver Pope completed his BDSc at the University of Queensland with first class Honours. Following several years as a Dental Officer in the Royal Australian Navy, he completed his Doctorate of Clinical Dentistry in Endodontics at the University of Melbourne. Oliver was awarded the inaugural Ephraim Ehrmann Prize in Endodontics for best overall performance in the degree. Oliver’s research into the clinical applications of CBCT has been published in the Journal of Endodontics. Oliver is in full-time private practice in Melbourne CBD.
To
Cracking the Code of Cracked Teeth 3 CPD Friday 23 September Buffet Lunch 1-2 pm Registration from 1.45 pm Lecture 2 pm to 5 pm ADA House 54-58 Havelock St West Perth Lunch and afternoon tea $ 358 inc gst MEMBERS
LEC
COURSE OUTLINE
book, visit adawa.com.au/cpd
ABOUT THE PRESENTER
The traditional goals of endodontic therapy have focused on the ‘prevention and treatment of apical periodontitis’. Recent philosophies suggest that a change in focus to ‘the retention of asymptomatic and functional teeth’ is a more appropriate patient focused goal. This lecture will look at how this change in focus has influenced the way that endodontic therapy is carried out and the critical role that new technologies such as CBCT, ultrasonics and heattreated instruments have played in this evolution.
Discover a holistic approach to the prevention, diagnosis, management, and prognosis of teeth with cracks.
Oliver is the immediate past President of the Australian Society of Endodontology and a member of the Australian and New Zealand Academy of Endodontists. Oliver maintains an active role in the provision of continued professional development to dentists around Australia.
T URE
From the moment of diagnosis, enduring management, its side effects and living with the long-lasting changes post treatment changes the course of life of the head and neck cancer patient. This seminar takes the dental professional through the journey of the head and neck cancer patient, providing the opportunity to hear the resilient story from a head and neck cancer survivor. The seminar will also discuss the importance of early diagnosis, the current management of the oral cancer patient, provide an update on dental clearance in the context of the pre-rads patients as well as discussing reconstructive options, rehabilitation and complications in oral cancer patients.
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Dr Lalima Tiwari graduated from UWA with a BDSc and a DClinDent in Oral Med. She is currently practicing as an Oral Medicine Specialist in a private oral medicine practice, three days per week. In addition, Lalima is a clinical tutor for Doctor of Clinical Medicine (DCD) Oral Medicine program at UWA Dental School, along with lecturing DMD students as part of the Oral Medicine and Orofacial Pain unit.
Taking the dental professional through the journey of the head and neck cancer patient.
Dr Ken Wan practises privately at West Perth Oral and Maxillofacial Surgery and publicly at Fiona Stanley, Royal Perth and Fremantle Hospitals. He completed his dental, medical and oral and maxillofacial surgery training in Perth. Upon receiving his FRACD OMFS in 2017, he went on to complete three further years of post-fellowship training in maxillofacial head and neck oncologic and reconstructive surgery and advanced osseointegrated implant techniques in Shanghai, Minneapolis and Brisbane. Ken is involved in the training of OMFS trainees and practises the full scope of oral & maxillofacial surgery with a special interest in oral cancer treatment and microvascular free-flap reconstruction of the head and neck.
ADA
COURSE OUTLINE
Course
LEC T URE
ABOUT THE PRESENTER
4 CPD Saturday 8 October Registration
adawa.com.au/cpd
Morning tea $ 308 inc gst MEMBERS
The Head and Neck Cancer Story from 8.45am 9am to 1pm House Havelock St West Perth
To book, visit
Partner Index
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 2022 and 31 December 2022. Phone 1800 262 346 or email info@amafinance.com.au to find out more.
WA ENERGY
ADAWA works closely with a number of partners and affiliates, resulting in strong relationships with like-minded organisations and associations. We also work with par tners to provide member benefits for ADAWA members, including discounts on advantageous products and services.
ONDA
As one of ADAWA's valued corporate partners, ONDA provide timesaving services to our members, which are tailored to the busy dental professional. Until the end of the financial year, ONDA are offering our members a 15% discount on all new sign-ups to their financial admin services. Contact george@ondagroup.com.au to book your free consultation.
BUNNINGS TRADE
INVEDENT
Local company WA Energy is stepping up to offer ADAWA members big discounts on dental practice energy bills. ADAWA members are eligible for new energy pricing and to have smart solar installed for $0 upfront. Email sales@wa.energy or call 08 6141 3252.
DENTAL STOCK PHOTOGRAPHY
Access unique and accurate dental images for your presentations and all your practice marketing via Dental Stock Photos. ADAWA members are eligible for a 20% discount off the Recommended Retail Price to purchase photographs. Go to dentalstockphotos.com/pages/adawa to find out more.
Bunnings Trade and ADAWA are delighted to announce a partnership which gives you the opportunity to join the PowerPass Membership Program. To sign up or link your existing PowerPass account, please contact OrganisationsWA@bunnings.com.au
ADAWA wants to support your practice with an easy to use and easy to implement system that enables you to manage your supply ordering and stock hassle-free. That’s why you’ll get 10% off Invedent as an ADAWA member. Visit invedent.com
AMA FINANCIAL SERVICES
VPG
Boutique commercial property company, VPG Property, is partnering with ADAWA to look after our members’ business and personal property needs. VPG Property is offering a free initial property consult to ADAWA members. vpgproperty.com.au
The promotion of practitioner self-reflection and ongoing professionalism recognises the skill, training, and ability for practitioners to safely manage all risks related to the care of their patients and this includes how Infection Prevention and Control (IPC) is managed from one practice or setting to another.
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There is so much opportunity to create confident and efficient practice teams by understanding how you are already managing IPC risk. See you in October.
Working out the strategic direction of your business model to keep infection prevention in control
Kylie Robb will be presenting her full day IPC course at ADA WA House on Thu 27 Oct 2022 – get in quick to secure your spot.
BY ADA NSW HEAD OF PRACTICE SERVICES, KYLIE ROBB
If your strategic approach is to see a high volume of patients for orthodontic treatments – you will need a lot of examination packs, or multiple sterilisers, a robust environmental cleaning program to respond to more patients in waiting rooms, a bigger team, and more resources such as consumables compared to a practice that has longer and fewer appointments.
If your business model is to provide fly-in-fly-out general dental care once or twice a month somewhere hot and dusty, how your stock is stored and how dental unit water lines are maintained would require IPC risk consideration that would differ to a custom-built practice in the city that operates five days a week and is always air-conditioned.
Context is also a factor for managing IPC risk. Providing care in a Residential Aged Care Facility where the patient is in their own home is different to a practice setting where you are in control of the environment from one patient to the next.
ABOUT THE PRESENTER
Kylie is a Fellow and Board Director of ACIPC with post graduate qualifications in IPC and Health Services Management. Kylie presents on IPC leadership, quality improvement, clinical governance, and dental practice sustainability and was recognised by the WHO for her dental IPC expertise and the Society for Healthcare Epidemiology of America through her appointment onto their International Ambassadors Program.
The biggest mindset shift with the new DBA approach is for practitioners to have confidence to justify their own rationale for how and why they strategically manage IPC risk within their business models. This provides additional flexibility for practitioners.
This is why the strategic direction of a dental practice’s business model absolutely impacts the management of IPC risk within the day-to-day operations of a practice.
This is the key to Standard Precautions – the application of basic IPC strategies that reflect the context of the provision of care to minimise the risk of transmission of infectious agents from person to person, even in high-risk situations.
In straightforward terms, a business model is simply: how you plan to make money. Working with thousands of dentists, I can assure you, this plan varies a lot from one practitioner to another – even for general dentistry.
It is exciting to see the Dental Board of Australia (DBA) shifting from formal guidelines on infection control to supporting practitioners with resources and tools to help them continue practising safely.
KYLIE ROBB WILL BE PRESENTING Infection Prevention and ControL Thursday 27 October at ADA House
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. View our full range of dental equipment and consumables at www.westcoastdental.com.auWCDD_18216 17A Wheeler Street, Belmont WA 6104 • Phone (08) 9479 3244 • Fax (08) 9479 3255 • Email sales@westcoastdental.com.au Wayne Young Sales & Project Manager 0417 948 121 Nobody beats West Coast Dental Depot on W&H SELLING OR BUYING A DENTAL PRACTICE? HPB Health Practice Brokers offer a dynamic fresh approach to Dental Business Broking in WA Extensive marketing of your practice to ensure the best possible price achieved Clear communication throughout the sales process Exceptional Customer Service Confidentiality assured Andrew Maurice 0410 642 660 or Garry Bishop 0414 825 855 for a confidential discussion or visit www.hpbaus.com.au adawa.com.au 27
It’stogoodtalk
After three years in the job, Colm burnt out. “We didn’t have the vocabulary at that time to describe it as burnout, but I was certainly very stressed and very disillusioned with practice. I quit with the intention of never going back to dentistry again.”
While good clinical knowledge is important, so too is the ability to communicate – as Dental Protection Dentolegal Consultant Dr Colm Harney explains.
BY DR COLM HARNEY
Dr Colm Harney’s interest in interpersonal communication began as a new graduate.
“I realised how important communication was in terms of the practice of dentistry and it piqued an interest in me.”
“I thought the most efficient way for me to earn money was to try dentistry again, so I got a dental job in a government clinic in Cairns,” he says. “It was a completely different experience of practicing dentistry. We had time to talk to our patients, ask how their day was going, and if they were feeling nervous. We could work through a diagnosis and spend time explaining an x-ray.
Colm left Northern Ireland and travelled to South Africa and Southeast Asia, before arriving in Australia eight months later –where he was quickly running out of money.
“I went to work in Northern Ireland under the National Health Service system,” he recalls. “Certainly 30 years ago, there were high volumes of patients, lots of work, and I walked out of Dental School into a practice where I was seeing 30 to 40 patients a day.
“The clinical work was the non-negotiable, but because of the time constraints of seeing so many patients, what tended to get left to the side was the communication, the relationship building, the rapport building and putting people at ease. All that got chopped as much as possible to get through the volume of clinical work that needed to be done.”
28 EDITION 6 | 2022 W ESTERN ARTICULATO R
“You’re not charging an item number or code for that time, but if you do that bit well at the start, it is really going to enhance both the therapeutic relationship you have with the patient, and your ability to make a proper diagnosis,” he adds.
“You take the time to make some small talk, try to put them at ease, understand what their problems are, and their goals for dental treatment. If you can do all that through good communication, patients usually respond favourably, and you can start to build a good rapport and trust, which is a key part of the dentist/ patient relationship.”
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ADVANTAGES FOR PATIENTS
COLM’S TIPS TO IMPROVE COMMUNICATION:
BE AWARE OF YOUR NON-VERBAL COMMUNICATION
Colm says everyone wants to work in an environment where colleagues are mutually supportive of each other.
Two-thirds of how we communicate is non-verbal. “Being aware of that is really crucial and some examples of that in the dental practice is the way we dress, our tone of voice, whether we appear rushed or not,” he says. “If are sitting with the patient and clicking a pen or tapping our feet and sending off non-verbal signals that we are impatient or feeling rushed, that can send rushed signals.
DO YOUR HOMEWORK
“On the personal level, most patients would prefer a friendly, smiling face that is going to try to put them at ease. That demonstrates in a non-verbal way that you have the patient’s best interests at heart,” Colm explains.
“In addition, on the professional level, being comfortable enough to discuss cases and ask for advice can only exist in a trusting environment where you feel your colleagues are looking out for each other.”
“We get trained in Dental School to be clinicians, so we are task-focused,” he says. “We want to pick up a handpiece or mirror and start problem solving. But before we do that, we have to allocate time to spend doing those things like basic greeting of the patient and understanding their problems and what they want. Giving enough time to do all of that before we pick up a mirror or a probe or a handpiece is, I think, the big key thing that a lot of dentists don’t fully appreciate how much time to set aside for that and how important that is.
According to Colm, a common mistake with communication is not allocating the time to do it well.
ADVANTAGES FOR COLLEAGUES
Consciously allocate time at the beginning of every appointment. “Don’t be in a rush to push the patient back in the chair and pick up a probe and get into the mouth. That time to communicate at the start of the appointment is very important.”
As well as helping to make a diagnosis and having the important conversation around consent, Colm says good communication has additional personal and professional benefits for patients.
COMMON MISTAKES
“There are many podcasts and webinars covering communication that are very useful, and the Dental Protection website has many resources around communication, record keeping and consent, which all fall under the broad umbrella of effective communication,” he says, adding it is important to do CPD in those non-clinical areas. Colm’s podcast, Communicating Health, is available on any of the streaming platforms.
“Make sure our body position is demonstrating to the patient that we are listening, so try to sit facing the patient and make appropriate eye contact.”
RISK MANAGEMENT
“A key component of many complaints is some form of breakdown of communication,” Colm explains. “Even if the complaint is overtly clinical, in many cases sitting behind that clinical mishap is some form of ineffective communication where the patient has realised a concern that hasn’t been addressed to their satisfaction, or they haven’t felt that the rapport has been sufficient.”
In many cases, Colm says there is a well-documented risk of increased complaints in first visits – before the “bank of good will” is established. “Your patient is much less likely to come to you first to try to address the complaint and give you a chance to address it if you don’t have that good rapport.”
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A defendant dentist may often harbour visions of disastrous personal consequences, such as loss of reputation, desertion by patients, suspension or deregistration. They also dread the possibility of media coverage. Although some dentists cope reasonably well and are able to address the issues and leave it to the insurers to handle the matter; others go into a shell, do not want to face reality and as a result, the issues only get worse for them.
If you would like to know more about how you can deal with the stress of litigation, please contact our Health Law team on (08) 9321 0522
Sometimes a defendant dentist may abuse alcohol or drugs in an attempt to self-medicate to alleviate his or her stress. All of these sorts of behaviours end up laying the groundwork for additional lawsuits and complaints to the Dental Board.
In my experience, dentists who do not cope well with their litigation-caused stress tend to make less than optimal defendants.
The stress of being sued or complained about sometimes also directly contributes to physical illness of the dentist. Tragically, if the reaction of the dentist is extreme, depression may lead to suicide.
THE EMOTIONAL COST
Seeing your name on the initial claim or complaint associated with alarming legal terms like negligent, below standard of care or unprofessional may cause a roller coaster of emotions: shock, anger, fear and anxiety, guilt, shame, defensiveness, wanting to give up practice and increased stress. You may feel like you have been kicked in the gut, lose sleep, get angry with staff and family, feel distraction, second-guess yourself or self-doubt. Unfortunately, those feelings can be re-experienced with every new document or communication from your lawyer about the legal matter.
FEATURELEGAL
BY ENORE PANETTA
Complicating matters is that often claims and complaint resolution times and processes can be frustratingly slow (even when there is little substance to the allegations). The delays can cause more stress. The legal process and procedures can also be difficult to understand for someone not familiar with the rules, as well as unpredictable. Added to this is the uncertainty at any stage that a case will proceed to the next step, and if so when, and what will be the outcome? The fear of the unknown causes the dentist further stress and to feel that he or she has no control over the events or process being faced.
Being the subject of a claim or complaint can be one of life’s most stressful experiences and can have significant professional and personal impacts. Dentists who are sued or have a complaint usually perceive it as an assault on their own integrity. Doing their best and practicing to high standards is ingrained in dentists.
Often, as a result of their feelings, a defendant dentist will withdraw or go into isolation. He or she may lose perspective about the litigation. This usually then impedes the dentist’s ability to effectively assist in the defence of the claim or complaint during the legal process.
Dealing with the stress of litigation and complaints
THE EFFECT OF A DENTIST’S STRESS RESPONSE ON THE CONDUCT OF THE DEFENCE
Increased stress may also trigger dysfunctional or irrational behaviour in a defendant dentist. The dentist might, for example, lie, conceal things or even alter the clinical records. He or she may contact the plaintiff or complainant, despite having been warned not to do so.
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.
Ask questions and stay informed about the legal process and procedure. This can be helpful in educating you about the legal system and addressing your fears and concerns about the litigation. Knowing what to expect will allow you to prepare and feel more in control, which usually diminishes anxiety. Talk openly about how you are feeling with your colleagues, family, friends and dento-legal advisers. Do not isolate yourself.
Litigation is one of the most stressful events in the life of any dentist. But it is survivable and surmountable. At the end of the process, you may be able to learn from the experience and adopt risk management strategies for the future.
The content of this article is intended to provide a general overview and guide to the subject matter. Specialist advice should be sought about your specific circumstances or situation.
Being named in a claim or complaint is a difficult process, but there are ways to successful manoeuvre through this minefield. There are a number of coping strategies that can be used to counteract the stressful characteristics of litigation and complaints.
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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
COPING WITH THE STRESS
Do not self-medicate or use substances or alcohol to alleviate stress. Look after yourself, including exercise, eating well and getting adequate sleep.
Participate actively in your own defence. Educate your solicitor about the clinical matters and dentistry involved in the case. Work with your solicitor to identify expert witnesses and relevant literature for your case. Working closely with your solicitor in this way can reduce feelings of helplessness and restore feelings of self-esteem, confidence and control. Most solicitors will welcome the assistance and dental knowledge you can provide.
Resist taking the allegations personally. The most ethical and competent of dentists are sued or complained about. Remind yourself frequently that the threat of a claim or complaint is a well-established occupational hazard of practicing dentistry.
HIF Corporate Program
Seek professional help if you need support, perhaps from your own general practitioner. Individual professional counselling can also be of great benefit.
Mental health includes emotional, psychological, and social well-being This state of well-being affects how individuals cope with everyday stressors, how they work productively, and how they can contribute to their community. Mental health can be affected by a range of factors including biological and genetic factors, life experiences, and external stressors. information
wellbeingMental in the workplace
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WHAT IS MENTAL HEALTH?
For more
In recent years, discussions of mental health and wellbeing have become increasingly prevalent in workplaces as employers seek to ensure they are fostering an environment that promotes positive mental health. The positive effects that good mental well-being can have on both workers and the workplace are quickly being realised by many. As such, creating wellness solutions and supporting mental health in the workplace, will help employees and businesses thrive.
on this article please call the ADA HR Advisory Service on 1300 232 462.
FEATUREHRADA
Mental health and an individual’s performance are not to be treated separately, rather, they both form part of the same equation. As such, positive mental health in the workplace offers an abundance of benefits, often leading to enhancements in personal and organisational resilience, and success.
Further, positive mental health affords benefits such as an increase in staff engagement and productivity, increased job satisfaction, and improved staff retention and is associated with increased learning capabilities.
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also visibly demonstrate and cultivate a workplace where staff are encouraged to look after their physical wellbeing. This may encompass promoting good nutrition, ensuring employees are taking their lunch breaks, explaining the benefits of partaking in stress-reducing physical activity such as yoga or jogging, and spending time outdoors and ensuring employees are utilising their accrued leave entitlements.
Further, employers should ensure they facilitate flexible working arrangements, ensure employees have a level of job autonomy, ensure workloads are sustainable and reasonable, encourage staff to limit unreasonable extra work hours, and create opportunities for a healthy worklife
CREATING A HEALTHY ENVIRONMENT
IDENTIFYING MENTAL HEALTH ISSUES
Employersbalance.should
It may also be critical to have a mental health policy in place to ensure all workers feel supported and equipped with the appropriate resources to seek help when required. Mental health policies should include information about when to recognise behavioural changes and how such changes are associated with a decline in mental health.
ADDRESSING MENTAL HEALTH ISSUES
BENEFITS OF GOOD MENTAL WELLBEING
Assisting staff to identify any mental health risks may also involve arranging free confidential mental health screenings for employees and introducing and encouraging them to use free online mental health screening tools
Additionally, it is important to outline to employees how they can go about raising mental health concerns for themselves or a colleague.
Cultivating a healthy workplace environment is key to promoting positive mental health and wellbeing in employees. Creating and fostering such a culture may be done so in several ways. It may involve planning mental health and wellbeing initiatives and facilitating participation in such programs which may be endorsed via videos, emails, or social media. Mental health and wellbeing initiatives may also involve maintaining an open and inclusive practice culture to create a level of trust amongst employees and employers to ensure all staff feel adequately supported.
In the event mental health issues have been raised and identified, employers have the responsibility to manage these concerns. Employers should take action to eliminate and minimise any immediate risks and connect the employee to an Employee Assistance Program, or in the alternative other free mental health services. Mental health policies should also outline how staff will be supported once they have sought help.
Bunnings Trade has all
ADAWA members covered. Bunnings Trade and ADAWA are delighted to announce a partnership which gives you the opportunity to join the Bunnings Trade PowerPass Membership Program or link your existing PowerPass account to access a range of exclusive benefits.
We have had clients coming to us with great opportunities that they’ve identified for their business or personal circumstances, but due to the shape of their finances or loan structuring they were finding themselves stuck.
Whether you refer to it as a business health check or a financial health check, going through your business finances is not everyone’s favourite activity and can be daunting for small to medium practice owners. But knowing your company’s vitals are essential to achieving your business strategy and overall success – and not just for tax time. It’s so important to have regular financial health checks.
HOW THIS GOOD HABIT CAN UNLOCK MORE OPPORTUNITIES
ADVERTORIAL adawa.com.au 35
UNLOCKING POTENTIAL AND GROWTH
HOW A REGULAR FINANCIAL HEALTH CHECK CAN BENEFIT YOUR BUSINESS
Currently, the big motivating factors to spring clean your finances are the inflationary pressures and the ongoing interest rate hikes. During such periods, it’s best to adjust your business plan and forecast, as this landscape can impact almost every part of your practice.
Start your spring cleaning with a financial health check
• Create flexibility and nimbleness for future business
What you can potentially unlock with your business’ equity just by knowing your financial position could be transformative and life changing. So it’s always a great idea to do a health check on your business finances –and do it regularly.
• Gain a greater understanding of cash flow and forecasting
What often happens is that an opportunity will arise –like buying an investment property or building their first home – but clients are held back and end up missing out on that opportunity because they’ve got the business on the line too. It can sometimes take two or three months to sort out with their bank, which is already way too late. At times, we also find clients on a really high-interest rate, as their business lending was structured two or three years ago when the business was first being purchased or set up. As the business matures, your risk rating improves, providing you with further financing solutions.
• Enable better tax planning and borrowing capacity
• Find and identify any potential issues or risks
By revising and adapting your financial goals, you can:
This article is a guide only and does not constitute any recommendation on behalf of Credabl Pty Ltd (ACN 615 968 100) or any of its related bodies corporate (Credabl). The information in this article is general in nature and we have not considered your personal objectives or financial circumstances or needs when preparing it. Before acting on this information you should consider if it is suitable for your personal circumstances. Credabl is not offering financial, tax or legal advice. You should obtain independent financial, tax and legal advice as appropriate.
The good news is you are not alone and undertaking a health check doesn’t have to overwhelm you. A comprehensive financial health check can be conducted by a qualified accountant or through engaging with a specialist medical lender, like Credabl, so that you are able to say ‘yes’ more often and quickly under time pressures.
• Understand whether you are reaching your financial targets and goals for your overall business strategy
Whether you’re new to seeking finance or ready for a review, we’re available to chat live on our website credabl.com.au or you can call Deb, Ali J or Ali G in the WA team any time on 08 6280 1255, we’d be happy to help!
Thisdecisions.lastpoint is often overlooked. Busy practice owners can be super focused on short and medium-term settings. But having a practice in good financial shape versus not so good could be the difference between an instant ‘yes’ or having to pass up a once-in-a-blue-moon prospect, impacting your long-term plans for growth.
• Localised ridge augmentation for later implantation,
A membrane is not just a membrane
• Guided bone regeneration in dehiscence defects, and;
2 Figure 3 36 EDITION 6 | 2022 W ESTERN ARTICULATO R
• Filling of bone defects after root rection, cystectomy or removal of retained teeth,
“Manufacturers of other collagen membranes often recommend two-stage procedures for bone grafting in conjunction with dental implant treatment, with healing periods between six to nine months.” With the Striate+ membrane Brent has consistently achieved mature bone healing in a period of four months.
• Augmentation around implants placed in immediate extraction sockets,
• Augmentation around implants placed in delayed extraction sockets,
Figure 1 Figure
Striate+ is a membrane, derived from porcine collagen. With clearance for use in Australia (ARTG), the US (FDA 510k) and Europe (CE Mark), it is being used by dentists and oral surgeons both locally and internationally for:
A new collagen membrane Striate+ (name change from CelGro Dental expected 2022) is getting positive results both within Australia and overseas. We found out what dental practitioners should know about this WA-developed, designed and manufactured product.
WHAT ARE THE ADVANTAGES OF STRIATE+ COMPARED TO OTHER MEMBRANES?
• Alveolar ridge reconstruction for prosthetic treatment,
Dr Brent Allan, oral and maxillofacial surgeon, says he routinely uses Striate+ in conjunction with bone grafting for dental implant treatment and guided bone regeneration for bone defects associated with impacted tooth removal and cyst enucleation. Brent says the quality of bone healing in procedures where the Striate+ has been used is excellent.
• Guided tissue regeneration procedures in periodontal defects.
WHAT IS STRIATE+?
“Bone grafting is also required in the management of orthognathic surgical cases. I will be discussing bone grafting techniques and guided bone regeneration using the latest collagen membrane technology.” Dr Brent Allan will be attending the ADAWA General Meeting on October 26 and will be presenting cases where he has used this technology.
“With Striate+ we find that it has much better handling properties, so the membrane can be positioned over the bone and the dental implants, ideally without “Striate+dislodgement.ispart of Orthocell’s collagen medical device platform which also includes Remplir™ for nerve regeneration and SmrtGraft™ for shoulder reconstruction surgery. There are publications and ongoing research projects in both these fields,” he adds.
“We are essentially a regenerative medicine company who develops biological devices for bone, nerve and tendon repair,” Paul says. “We came at this type of development from a cellular therapy approach.
“There have been a lot of products in dentistry being produced without really understanding the regenerative medicine concept. What people have tried to do is to create a barrier membrane to keep the soft tissue out and enable the bone to grow, so we have taken it a step further and developed a collagen-based medical device, which is biological in nature. We describe it as 'more than a barrier membrane', meaning the product we developed has osteoconductive activity, so it works with the bone that’s growing to keep the soft tissue out but to enhance the bone growth. What we saw in Dr Allan’s studies was more consistent, predictable, mature bone at an earlier time.”
Paul says the exciting results enabled them to distribute and engage with key opinion leaders globally.
“Some dentists might think a membrane is a membrane and a scaffold is a scaffold, but it’s not. We have done an exhaustive search of all the capabilities and characteristics of membranes available globally and a large degree do not handle well, degrade rapidly and result in unpredictable and inconsistent bone growth. We want people to know that Australia can produce the very best and manufacture the very best and the people ultimately benefiting will be the patients.”
Brent found the handling quality of the Striate+ to be superior to other membranes. “What we found with some of the other membrane brands, when wet with blood or saline, they become like tissue paper and are very difficult to handle,” he says. “They stick to instruments, to the bone and surrounding tissues, making it difficult to place the membrane in the ideal location for bone regeneration.
WHO IS BEHIND STRIATE+?
Paul Anderson, Orthocell CEO and Founder, says the development of Striate+ has been a 10-year journey to design, develop and manufacture the Western Australian product, in conjunction with Professor Ming Hao Zheng, from The University of Western Australia.
“What is different about this product is it is Australian designed, developed and manufactured. It is from a regenerative medicine company, who understands the interaction between cells and scaffolds and membranes. Striate+ is manufactured from Australian raw material using a proprietary SMRT™ process which results in a high-quality collagen medical device.
More information orthocell.com/striate-au/
“Bone grafting is often required to restore the alveolar ridge dimensions for implant treatment,’ Brent says.
IMAGES:Figure1. Defect Figure 2. Bone substitute material Figure 3. Striate+ membrane adawa.com.au 37
We provided information/advice along with and abundance of printed material. ‘Screenings’ were conducted on children who then also received a toothbrush/toothpaste. Our very colourful and interactive stand, balloons and big, easy-to-climb dental chair and ‘tooth fairies’ were a hit with the children. It was gratifying to see the genuine interest and concern from parents with so many questions, wanting to do the best for their child.
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oralChildren'shealth
Participating at the Pregnancy, Babies and Children’s Expo on behalf of and supported by the Australian Dental Association (WA), was an excellent opportunity to promote and share the message of prevention and healthy teeth for life; that the deciduous dentition is equally as important as the permanent dentition. Volunteering at the expo were UWA dental students, dental assistants, dental practitioners, specialist paediatric dentists and paediatric postgraduates.
Volunteers for ADAWA promoted dental health awareness over two days at the Pregnancy, Babies and Children’s Expo at the Perth Exhibition and Convention Centre.
This begs the question – what more can we as a profession do and how can we be more proactive? Raising an awareness to the profession for further discussion and action.
Feedback from volunteers overwhelmingly was that they found it to be an enjoyable and rewarding experience.
The students commented on how much they learned from watching and listening to the advice being given by the dentists and how helpful interacting with the public was for their communication skills, with a few shyly asking if they could stay longer than their allotted time.
We drew the attention of other groups participating at the expo and were approached by the Patient Education Coordinator from Saint John of God Hospital and the area manager from Busy Bees regarding access to information on oral health to disseminate within their organisations and assistance with provision of talks to midwives, lactation consultants, parents, staff and children.
Our other outcomes included having satisfied mums, dads and grandparents with comments such as: great initiative – fantastic opportunity to learn more about child dental health; very good information; didn’t realise we have to start brushing so soon; we live rurally so this has been a big help; very helpful as my daughter has never had a dentist visit; all good information, really appreciated; very friendly with kids.
The youngest child that visited was 7-weeks-old! We were initially asked: ‘What are you selling? Who are you promoting?’ Our reply: “We are not selling anything nor promoting anyone.’ We were there to raise awareness about good oral health care and the message that looking after ‘baby teeth’ is just as important as looking after permanent teeth; encouraging healthy eating and drinking habits as the best way to have healthy teeth for life.
My sincere gratitude to all who took part.Many thanks also to Ileana Kalamaras, Tracy Wong and Deshna Bajracharya for their help with set-up and pack-down.
Sarah Boon, Jackie Bridgwood, Carly Pintaudi, Stella Mulane, Jieun Kim, Michelle Kim, Elnaz Tahsini, Sean Tsandelis, Gurjyot Johan, Kavindi Harischandrage, Nikhil Thomas, Esther Eichner, Mia Gireesh, Deshna Bajracharya, Tammie Parr, Anna Buckeridge, Geoff Tan, Ileana Kalamaras, Lisa Bowdin, Lance Guidice, Greg Celine, Zarni Shakibaie, Anisha Mohd Isa, Jeremy Lau, Hui Loh, Jainish Patel, Jeha Patel, Lyndon Abbott, Jenna Muller, Maleeha Gilani, Leena Goh, Ylan Pham, David Qui, Tracy Wong
We saw children who had caries, ulcers, early eruption (including a child born with two lower incisors), delayed eruption, the marked effects of thumb sucking and dummies (with frustrated parents “what do we do?”). The ramifications of diet-- a focal point of discussion with parents. We were approached by a mother living in an area with no fluoridation asking what she should do for her child.
VOLUNTEERS:
To have so many recurring questions about children’s teeth: brushing – when do we start; what technique; is toothpaste necessary; what about fluoride; when do we see the dentist; my child is 12 months and still doesn’t have teeth, do I have to worry? – does pose the concern that information on oral health and its significance is not reaching the majority of the community.
I would like to express my appreciation to Nichola Meehan and Margy O’Connor from Henry Schein Halas for their generous donation of masks, gloves and sanitiser, Colgate for their donation of toothbrushes and toothpaste and Rose Turner at Dental Health Services who kindly assisted with the supply of the displays and pamphlets.
DR LENA LEJMANOSKI
Dr Guido Darmago recently put a call-out for donations of dental equipment to a hospital in Sri Lanka, after generously donating his entire dental practice. Dr Darmago received a great response – and ended up at capacity with donations. It’s another example of the giving spirit of the WA dental community.
WOMEN IN DENTISTRY QUIZ NIGHT
ENVISION THANKS
DONATIONS FOR SRI LANKA
A heartfelt thank you to Dr Tom Huang and the Envision Medical Imaging team for their ongoing support of Australian Dental Health Foundation programs.
Thank you to attendees, quiz master Pav, Dr Jenny Ball for coming in to judge the game ‘First Impressions’, the evening’s main sponsors Credabl and Henry Schein Halas, and game sponsors Helen Skelly Dentavision, Liz Slattery EMS WA, and Catherine Jones Philips. Congratulations to the winning team, ‘Make Dentistry Great Again’.
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Women in Dentistry Fundraiser Quiz Night was a resounding success! It was a full house, and a fantastic night at the Applecross Tennis Club, with funds raised to be donated to UWA.
FLUORIDE ON TAP FOR COMMUNITIES IN THE SOUTH WEST
We were thrilled to present Dr Dennis Gregory with an ADAWA Distinguished Service award at a recent General Meeting. Dr Gregory was recognised, not only for the amazing work he has done with the Australian Dental Health Foundation, but also for the support he has given throughout his career to fellow dentists. Congratulations Dr Gregory.
CONGRATULATIONS DR DENNIS GREGORY
It is good news for the teeth of residents in the South West, with Dalyellup having fluoride added to their drinking water in July. Capel and Donnybrook are set to follow later this year.
DENTAL HEALTH WEEK
Don’t forget, World Cavity-Free Future Day is on October 14. It is another good opportunity to share the oral health message with your patients.
For details about the 2022 event, go to bit.ly/3RiRKtu
It was a great turn out at the WA Dental CPD course, Non-Implant Replacement Options, presented by Dr Michael Frazis. The event was sponsored by ADAWA Partner, Bunnings, so attendees were treated with everyone’s favourite – a Bunnings sausage sizzle.
Healing Smiles ran a stall at the recent Homeless Connect event in Rockingham – enabling them to network with local service providers, which included The Salvation Army, Anglicare WA, the Street Doctor, Orange Sky, St Pat’s, Centrelink, and more. The team put together oral health packages, along with some toiletries, which were gratefully received by attendees.
HEALING SMILES AT HOMELESS CONNECT
adawa.com.au 41
SAUSAGES AND CPD
WORLD CAVITY-FREE FUTURE DAY
We were thrilled to see our members spreading the oral health message throughout Dental Health Week. Many members shared the Dental Health Week social posts, hosted Tea for Teeth afternoon teas, and made the week fun for their patients with decorations and competitions.
2nd hole sponsored by Swan Valley Dental Laboratory
GOLFWADA WADA GOLF 2022 FIXTURES 23 September Kwinana Golf Club 21 October Country Trip 18 November Lake CountryKarrinyupClub
After a week of rain and destructive winds, the weather settled for the hosting of the annual ADA Cup at Royal Perth Golf Club. Despite being closed for several days during the week, due to fallen trees and rain damage, the Royal Perth Course presented in excellent condition for the 24 keen golfers vying for the prestigious stroke event to determine the best gross and net WADA golfer.
The event this year was sponsored by Dentsply-Sirona, our long-standing corporate partner. We were pleased to be joined by Dentsply representative Gerald Koning, who kindly presented the awards to our champion golfers.
Paul Tan
12th hole sponsored by Dentsply-Sirona
Royal Perth Golf Club – ADA Cup
MICHAEL WHITFORD WADA Golf Captain dentalgolf@gmail.com
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Our winners for the day were Oli Jones on a net score of 72 strokes, taking the ADA Cup on a countback from runner up Paul Tan. Richard Williams was the gross score winner with 82 strokes, on a countback from Michael Welten and Michael Whitford. A separate stableford competition for those players not wanting to play the stroke event was won by Stuart Bowden on 31 points. Special mention to David Owen from Swan Valley Dental Laboratory, who posted the best net score of the day of 69 strokes. David took home a fine bottle of wine courtesy of Dentsply-Sirona.
Nearest the pin winners for the day were:
6th hole sponsored by Health Practice Brokers
Our next event is at Kwinana Golf Club, playing for the annual WADA Spring Cup. All golfers are welcome to join us. Good golfing,
David Owen
Richard Williams
14th hole sponsored by The Health Linc
Nav Mahendran
E admin@osconsultants.com.au
We are excited to announce that Dr Rachel Chye has joined our team at Perio Dental. Referrals are welcome and we look forward to caring for your patients. Please contact our office if you require business cards.
T (08) 6373 6731
BDS, MFDS RCS (EDINBURGH), DCLINDENT (PERIO)UWA, MRACDS (PERIO)
E reception@omfp.com.au
A Ground floor, 1 Preston St Como WA
Oral Medicine Specialists Drs Jacinta Vu and Alissa Jacobs are pleased to announce the opening of their new practice, the Centre for Oral Medicine and Facial Pain.
DR FRANK FURFARO
Smile Time Orthodontics - Cottesloe is pleased to announce Dr Frank Furfaro will commence consultations from October. Dr Gosia Barley, Dr Naomi Kohan and Dr Frank Furfaro are available for consultation in our Cottesloe office. Dr Furfaro continues his consultations at our Mt Hawthorn and Mindarie practices’.
E info@smiletime.com.au
W smiletime.com.au
T (08) 6468 4948
NEW PRACTICE ANNOUNCEMENT
A 99 Outram Street West Perth
Connect with us @adawaoralhealth@adawa_perthAustralianDentalAssociation WA Professional Notices
E info@periodental.com.au
DR RACHEL CHYE SPECIALIST PERIODONTIST
T (08) 6260 1832
With nearly 20 years of combined experience in Oral Medicine, Alissa and Jacinta are gratefully accepting new referrals for all aspects of Oral Medicine care. They will continue to care for their existing patients at the new centre.
A Unit 4/19 Mills St Cannington WA
Dr Smith is supported by an excellent administration and nursing team with many years of experience and an emphasis on excellent patient care. He provides options for LA, IV and GA management.
Specialising in: Oral mucosal diseases, Salivary gland disorders, Facial pain, Temporomandibular disorders, Oral appliances for snoring/sleep apnoea.
NEW PRACTICE ANNOUNCEMENT
Dr Leon Smith is pleased to announce the opening of his new practice Oral Surgery Consultants in West Perth. He will be accepting referrals for all dentoalveolar (extractions and grafting), pathology, facial trauma, orthognathic and implant treatment, whilst maintaining his public hospital appointment at Royal Perth Hospital.
