Western Articulator - August 2020

WESTERN

AUSTRALIAN DENTAL ASSOCIATION WA | AUGUST 2020

ARTICULATOR

A WELL-DESERVED HONOUR Dr Ted Adler named in the 2020 Queen’s Birthday Honours

DENTAL HEALTH WEEK 3-9 August 2020

UWA FACULTY AWARDS UWA recognises its annual faculty award recipients

CPD SPOTLIGHT Meet Dr Ben Lee

THE RECOGNISED VOICE OF ORAL HEALTH IN WA

1 August 2020 Western Articulator | adawa.com.au adawa.com.au adawa.com.au

We’re probably the only bank who knows that 48 stands for wisdom

Don’t worry, we’re not suggesting that we could even begin to do what you do.

However, after 25 years of working closely with dental professionals, we’ve done more than pick up some of the language.

We have designed products and services that meet your unique and specific needs.

While you’ve been honing your skills to help your patients, we’ve been honing our know-how to help you.

Visit us at boqspecialist.com.au or speak to your local finance specialist on 1300 131 141.

Car loans | Commercial property | Credit cards | Equipment finance | Fit-out finance | Foreign exchange | Home loans | Personal loans | Practice purchase | Practice set-up | Savings accounts | SMSF | Transaction accounts | Term deposits | Vehicle finance

Car loans | Commercial property | Credit cards | Equipment finance | Fit-out finance | Foreign exchange | Home loans | Personal loans | Practice purchase | Practice set-up | Savings accounts | SMSF | Transaction accounts | Term deposits | Vehicle finance issuer of these andArticulator services is BOQ Specialist - a division of Bank of Queensland Limited ABN 32 009 656 740 AFSL no. 244616 (“BOQ Specialist”).

2 The August 2020products Western | adawa.com.au

p08

p20

contents 05

President’s message

07

CEO’s comment

08

A well-deserved honour

30

What does sexual harassment look like in the workplace

32

35 Dental Health Week feature

UWA Faculty Awards

35

UWA recognises its annual faculty award recipients

20

CPD spotlight Meet Dr Ben Lee

24

WA Dental CPD calendar Upcoming CPD opportunities

27

Education & Training

28

DPL feature Dental anxiety: the importance of communication

Green practice Keep Australia Beautiful Week, 17-23 August

3-9 August 2020

16

Clinical: Daffodil Day

By Dr Amanda Phoon Nguyen

Dr Ted Adler named in the 2020 Queen’s Birthday Honours

12

ADA HR feature

Clinical presentation Clinical challenges in oral medicine

36

WADA Golf 2020

37

Clinical presentation answer

38

Professional notices

39

Social Pages

Have your say by August 14 to WIN a variety of $200 gift vouchers!

Simply share your opinions and feedback with us via our online survey. Head to adawa.com.au/survey to enter!

August 2020 Western Articulator | adawa.com.au

3

p12

Australian Dental Association Western Australian Branch Inc All correspondence to: PO Box 34, West Perth WA 6872 T: (08) 9211 5600 F: (08) 9321 1757 E: media@adawa.com.au President Dr Sean Archibald

p32

Chief Executive Officer Dr David Hallett Editorial Team Brooke Evans-Butler Lisa Shearon Designer Carmen Collings

Closing Date for Bookings: Ads: The 7th day of the prior month or the nearest business day before.

p39

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

Please supply display advertisements as a highresolution PDF file (embed all fonts) or a JPEG file to media@adawa.com.au. Please ensure any graphics are of a high quality. Articles should be submitted as a WORD document with any graphics attached as separate files.

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

Get Social

Australian Dental Association WA @adawaoralhealth @adawa_perth Australian Dental Association WA

4

August 2020 Western Articulator | adawa.com.au

The PRESIDENT’S REPORT

DR SEAN ARCHIBALD, ADAWA PRESIDENT Dear Members,

By now, most of you will have heard that on July 7, Pacific Smiles Group (PSG) announced their partnership with HBF to open branded dental practices in Western Australia. The ASX release can be found here.

On being made aware of this announcement, we requested a meeting with HBF’s CEO, John Van Der Wielen, to formally discuss our concerns. HBF attendees also included a member of the HBF Board and a senior executive. After explaining our extreme disapproval on vertical integration and the corporatisation of the health industry, discussion moved to seeking assurances in relation to differential rebating and aggressive marketing tactics, such as directing policy holders to HBF practices. We also addressed issues of continuity, that could be readily interrupted as CEOs and board members change in coming years, as will attitudes and policy on both sides of the table.

It should also be acknowledged that this kind of investment through vertical integration is not new. Nationally, BUPA have a far larger footprint in the dental industry, and one could argue that maybe we have been fortunate to have held off HBF until this time.

In recent years, considerable ADA time and resources have been devoted to investigating legal and regulatory avenues to ensure the high standards we expect in our profession are maintained as new non-dentist owned business models expand. The ADA has constantly lobbied the ACCC, the small business ombudsman and multiple levels of local, state, and federal government on your behalf. We will continue to look for new avenues to protect the standards of our profession.

ADAWA steadfastly maintains an attitude consistent with ADA policy: “No owner of a dental practice should have an unfair market advantage.” Furthermore, the vertical integration model where private health insurers set policy premiums, own dental practices, guide policy holders to their clinics, determine rebates and employ the dentist is a conflict of interest.

We will continue to monitor this developing situation and update you as further details come to light.

Cheers

Sean August 2020 Western Articulator | adawa.com.au

5

Classifieds now online!

Our classifieds and job board have moved to our website. Be sure to keep up-to-date with the latest advertisements, or place an ad via the online form. Visit adawa.com.au/classifieds/

ADAWA MEMBER

Vouchers for: Don’t forget to enter our survey for a chance to WIN a variety of $200 gift vouchers!

Simply share your opinions and feedback via our online member survey by August 14 to enter the draw! *Terms and conditions apply.

www.adawa.com.au/survey

6

August 2020 Western Articulator | adawa.com.au

Keturah Day Spa Bunnings Como Hotel Ritz Carlton Lululemon Peter Alexander Gold Class Cinema JB HiFi Coles Myer David Jones

CEO’S COMMENT D R D AV I D H A L L E T T, A D AWA C E O

One of the foremost attributes of this magazine is that it affords ADAWA the opportunity to formally recognise and inform members of the professional and personal successes and achievements of our colleagues and friends.

This month, we unintentionally but very proudly present the achievements of ADAWA’s most senior member, Dr Edmond (Ted) Adler OAM, and that of some of our youngest and newest members.

In June, Ted received a Queen’s Birthday Honour. He was recognised for his service to dentistry and to professional organisations with the Medal (OAM) of the Order of Australia in the General Division.

Coincidentally this month, ADAWA will acknowledge Ted’s 70th continuous year of ADAWA membership. The next General Branch Meeting will indeed be a momentous occasion, being the first time a 70-year-membership lapel badge has been presented.

It was most disappointing for our ADAWA student and recent graduate members and their families that the UWA Faculty Prize Giving Ceremonies were cancelled this year. Prizes have been awarded and UWA has acknowledged ADAWA’s ongoing support in developing UWA’s students, researchers and graduates.

ADAWA understands the effort and commitment of all student and recent graduate members. We hope that the ADAWA Awards go some way in continuing to inspire and motivate all our student members to excel. Congratulations to all awardees, and in particular the ADAWA recipients: Sally Tan (Highest Aggregate Mark in DMD-2), Dr Emily Grant (Academic Excellence in Dentistry) and Dr Jasmine Li (Leadership Excellence in Dentistry).

Despite being two generations apart, Ted and the new graduates have been equally humble in the acceptance of their respective awards and they all exhibit the same unique enthusiasm and passion for their profession.

The next ADAWA General Meeting will be held on Wednesday 9th September. We all hope social distancing and inclement weather will be behind us and we can meet in a revitalised atmosphere of friendship and camaraderie, with the bonus of celebrating Dr Ted Adler’s remarkable life and 70 years of ADAWA membership.

I look forward to seeing as many of you as possible.

August 2020 Western Articulator | adawa.com.au

7

A well-deserved honour After a remarkable career, Dr Ted Adler was recently named in the 2020 Queen’s Birthday Honours. As we discovered, it was most well-deserved. By Brooke Evans-Butler

An hour chatting with Dr Edmond (Ted) Adler OAM seems to go by in a moment – at 92 years old, he is an engaging conversationalist, with many stories to tell.

Probably best known as a preeminent oral surgeon and for his role as one of the pioneers in introducing titanium dental implants to Australia, he has seen huge changes in the profession over 70 years.

8

August 2020 Western Articulator | adawa.com.au

Although Ted did not set out to become a dentist, he had supportive parents who devoted their lives to providing their son with a good education.

“My parents were migrants from Austria,” he says.

“They were desperately poor people who made a go of it. They started with nothing, establishing Adler’s

COVER STORY

Cake Shop, and any sort of penny they saved they put towards getting me an education. Their hard work allowed me to attend Hale School, where I became Dux in 1945.

“When I enrolled in university in 1946, I didn’t know what I wanted to do, so I went to see Professor Currie, who was the UWA Vice Chancellor at the time,” Ted recalls. “He said: ‘By the way, we’re starting a Faculty of Dentistry next week; would you be interested?’ I liked artistry and thought that through dentistry, I could undertake a professional career and be able to express my art.

“I couldn’t stand the sight of blood, so I didn’t want to do medicine,” he says, laughing. “I didn’t realise blood was involved in dentistry.”

Without realising the significance at the time, Ted became a part of WA’s dental history, being in the first graduating class of dentistry from the University of Western Australia. A few years later, he began his master’s degree to become an oral surgeon.

“When I graduated, I was rostered to take out teeth under local anaesthetic,” he recalls. “I would take out 100 teeth before lunchtime for weeks and weeks and weeks. I never stopped. If I broke a tooth, there was no one to hand it to.

“I was working with the high-profile Gilbert Henderson, an oral surgeon. He was watching me extract teeth and encouraged me to extend myself. He took me to attend fractures at Royal Perth. It was then I decided to start my master’s degree in Oral Surgery. I received the first and, at that time, only MDSC.” As was the norm of the time, Ted travelled to the UK for postgraduate study. “At that stage, it was assumed you knew nothing in Perth, and everyone had to go overseas to learn,” Ted explains. “So, I went to the UK for the traditional year and was so far ahead of my English colleagues.

“They were still doing oral surgery with a mallet and chisel, whereas in Perth I was cutting bone with a drill, so it was a hell of a lot easier to get wisdom teeth out.

“I was pretty brash at that stage and when someone was doing a wisdom tooth, I said: ‘I really came to see the complicated stuff.’ He said: ‘If you can take out 99 wisdom teeth at the end of your life you are doing something.’ I couldn’t tell him I was already taking out more back home.”

Upon returning to Perth, Ted continued to work in maxillofacial surgery. “When I came back from the UK, Harold McComb returned that same year,” he

recalls. “He was a plastic surgeon and he and I clicked and started working together in the plastic and maxillofacial unit at Royal Perth Hospital. He treated the soft tissue and I would do the hard tissue. We treated a few really complicated tumours together.

“If I wasn’t in the health profession, I was going to become a beauty specialist because I was always interested in faces and appearances,” he adds. “I still today notice faces, which was quite an advantage when I was treating faces as a maxillofacial surgeon.

“Many people would come in and say they wanted their nose done, and I would spend time explaining to them the significance of internal beauty versus external beauty and that they may think it is their nose, but if we fix that, then you find it is your ears. I spent more time telling people not to get things done than actually doing so.”

It was in 1980 that Dr Pat Henry (the first registered prosthodontist in the state) approached Ted, saying he’d heard about the application of titanium dental implants in Gothenburg. “I said, honourable oral surgeons take implants out, they don’t put them in.

However, I was going to an international meeting in Dublin, so I said I would fly to Gothenburg, although I didn’t realise the cost of the airfare,” Ted laughs.

Ted was intrigued with what he saw and soon after, he and Pat travelled to Gothenburg together to observe Per-Ingvar Branemark’s work. “We arranged for Branemark to come out to Australia to do the first case in Australia and then to supervise me treating others.

Pat and I ended up going to each State to demonstrate the process, and to Singapore as well.”

As a self-described “frustrated teacher”, teaching others was a rewarding process, and the technique revolutionised the replacement of teeth.

“Quite a few years later people would come up to me and say: ‘Ted, have you heard about this new system in dentistry?’ A hell of a lot of oral surgeons and dentists now use implants as the basic form of their income. Considering I did it all as a volunteer makes me roll my eyes. But it was nice to be at the sharp end of knowledge.”

There’s more to thank Ted for: the next time you sign off as “Doctor”, take a moment to consider the part he played in your use of the title. “I was a senior surgeon at Royal Perth Hospital and across the road there was a parking place for the doctors,” he recalls. “I parked there and I got a ticket – because I wasn’t a ‘doctor’, even though I was a senior surgeon at the hospital. It really got under my skin.”

August 2020 Western Articulator | adawa.com.au

9

In 1970, Ted put an advertisement in The West Australian announcing that “despite the sale of Padbury House, Dr Adler would still be practising at that address”. He was taken to court for misuse of the title Doctor, although no conviction was recorded.

From 1964 until the West Australian Government finally legislated for dentists to use the title “Doctor” in 1987, Ted campaigned tirelessly, even joining the Dental Board in the hope of creating change from within.

Ted spent years as a consultant Oral Surgeon at Royal Perth Hospital, Princess Margaret Hospital for Children and Hollywood Repatriation General Hospital. He is an Honorary Life Member, Past President and founding committee member of the Dental Study Group of Western Australia and was the foundation Secretary and Treasurer of the Australia and New Zealand Association of Oral and Maxillofacial Surgeons. For a few years, he even managed to find time to edit ADAWA’s Bulletin. “I wasn’t a great editor,” he laughs.

“But the people who set it up were even worse spellers than I was. I used to proofread pages in-between patients.”

In 2005, he was admitted to the Campbell-Wilson Roll of Honour in Dentistry.

10 August 2020 Western Articulator | adawa.com.au

After a rich and varied career of 43 years, Ted retired.

However, retirement has not meant a quiet life for Ted. Volunteering has always been a big part of his life, and after retirement, he spent years volunteering for the Perth Chevra Kadisha, WA’s Jewish Burial Society.

“As I had done so much anatomy, dead bodies didn’t faze me, so preparing the bodies was never a problem.

But you had to fill the grave yourself and by the time I was 80 I would come home with a backache, so I said there are many people younger than 80 who could do it.”

Ted then began volunteering at the University of Western Australia’s Visitor Information Centre, where he said he was fortunate to meet many interesting people.

After years of giving back, it is fitting that Ted has been awarded the Medal of the Order of Australia (OAM).

Ted’s son, radiologist Dr Brendan Adler, nominated Ted for the honour, and said he was pleasantly surprised that Ted received it. “We all thought he deserved it, so the family is all chuffed. We are very proud of him,” Brendan told us.

COVER STORY

Brendan says work was always a vocation for his father. “More recently, work has become a way of earning money, but Dad was much more vocationallydriven. Working for a public hospital was a public service, because you did not get paid for it. It was a different generation.”

On the subject of his award, Ted is very humble, but says it is nice to be recognised for his work. “I have a defence medal for being a Wing Commander (he was a reservist with RAAF from 1968-1978) and was made an honorary consultant at Royal Perth and an emeritus at Royal Perth and Princess Margaret Hospital, and each time it involved a ceremony,” he says. “This will be another ceremony, although at a higher level. I am getting emails to congratulate me and what I have been answering is that it is not the be-all and end-all, but I am certainly grateful for the honour.”

No review of Ted’s life would be complete without mentioning Cynthia, his life-long partner. They celebrated their diamond anniversary six years ago and travelled to all international meetings together, so that now they can say: “Remember when…” As he always acknowledged, she was the Sergeant Major and he was the Private.

Ted describes himself as having a fulfilling and happy life. “I am a really happy person,” he says. “I have never been bored, I don’t feel lonely and I am lucky to have reasonable health. I cannot imagine myself having done anything different.”

Ted will soon be receiving his 70-year medal for continuous membership of the Australian Dental Association of Western Australia. We congratulate Ted for all his achievements.

An artistic soul

Many dentists are artistic (after all, dentistry is a mix of medicine and artistry), and Ted is another dentist with an artistic touch. After what he describes as an early mid-life crisis, Ted noticed a sculpture when he was passing a shop in town and thought it was something he could do. His home is filled with sculptures, as well as framed photographs he has also taken.

August 2020 Western Articulator | adawa.com.au

11

DENTAL HEALTH WEEK HOW MUCH SUGAR IS HIDING IN YOUR PATIENTS’ TROLLEYS? YOU CAN’T GO FOOD SHOPPING WITH YOUR PATIENTS, BUT YOU CAN START THE DISCUSSION DURING DENTAL HEALTH WEEK, FROM AUGUST 3 TO 9

CHAIRSIDE DISCUSSION Dr Fleur Creeper, committee member of the ADA Oral Health Committee and spokesperson for ADAWA, says although it can be hard to find the time during busy chairside sessions to talk about sugar, it’s important to start the conversation.

“Explaining to patients why they have a cavity and how tooth decay happens, rather than just fixing the problem, is a great start,” she says. “Incorporate questions into your medical/dental history and discussions about diet.”

Fleur suggests utilising your team members and making sure everyone is on the same page with knowledge, resources, and prevention strategies.

“ADA have produced some great resources – including the short, sharp oral health videos with pro tips, including ‘How Tooth Decay Forms’ and ‘Tooth Friendly Diet’, which are great for your website and social media,” she adds. “The Dental Health Week website is a great starting page for both professionals – to familiarise yourself with the key messages and all the resources available – but also your patients and the general public as a whole.”

12 August 2020 Western Articulator | adawa.com.au

Aside from chairside discussion, there are other effective ways to show your patients the damage that sugar can have on their teeth.

“Obviously, pictures, photos or intra-oral videos are worth a thousand words,” Fleur says. “Seeing the damage is going to reinforce the message and help understand what is happening inside their own mouth. Radiographs can also show the damage but remember patients may not see these as clearly as we do, so a clear ‘walk through’ of the image is required.

“Utilise technology like the internet or YouTube – it is not just for funny cat videos! There are lots of resources out there for use in the surgery but also for the practice waiting room, websites, email and followup home viewing for your patients.”

Fleur also suggests familiarising yourself with campaigns from other organisations – and directing your patients towards them.

“The fact that a number of different organisations are sending the same message adds significant weight to the impact,” she explains. “Recently, ADAWA partnered with Cancer Council and LiveLighter on a sugary drinks campaign, focusing on the dental impacts. Discussing

DENTAL HEALTH WEEK

these campaigns with your patients and may help to create a great talking point and highlights the importance of the messages.

“It is vitally important to keep having this conversation, as only 53% of adults in Australia brush twice a day and many don’t understand the link between what they eat and drink (especially between meals) and their oral health,” Fleur adds.

“The latest data indicates that nearly 48% of adults and 70% of children are consuming too much sugar.

Tooth decay is the most common chronic disease in childhood and childhood oral health is the greatest predictor of dental disease into adulthood.

“Sugar is everywhere today; a lot of us consume too much and too frequently and it is having an enormous detrimental impact on our oral and general health and this needs to change. The first step is to have the conversation.”

•

Be wary of claims such as “natural” or “with added ...”. These can be misleading, and don’t necessarily paint the full picture. There are no clear guidelines for these sorts of claims, so being label-savvy means you can make an informed decision.

•

While it is true some packaged foods can be low in nutrition, many are convenient, and if you are aware of what to look for, can be part of a healthy diet.

•

Keep in mind that there are some deceptively high-sugar foods, including sauces and dressings (such as tomato sauce and mayonnaise), non-dairy milks, “healthy” cereals and breads.

CHARLENE’S TOP TIPS TO REDUCE SUGAR: •

Be wary of the sugar in your drinks. As always – it is best to make water your drink of choice.

However, for other beverages, there are some simple swaps you can make to reduce your sugar intake. Some examples include reducing the added sugar/syrups to coffee/tea; if you choose to drink alcohol, opt for lower-sugar options (eg choosing soda water and fresh lime, rather than soft drink as a mixer); and opting for whole fruit where possible (and if you like fruit juice, make it an occasional choice, rather than as the ‘go-to’ option).

•

Choose whole foods first. Where possible, aim to choose foods that are unprocessed or minimally processed, as this will reduce the likelihood of sugars being added.

•

Cook at home. Cooking at home puts you more in control of what goes into your meals – and this can help reduce the amount of added sugars in your diet. It can also help boost other healthy habits (like increasing your fruit and vegetable intake) and can save you money in the long run too.

DIETITIAN ADVICE Are your patients unsure how to identify the sources of sugar in their diet?

Charlene Grosse, spokesperson for Dietitians Australia and an advanced accredited practising dietitian, says the evidence for reducing sugar intake worldwide is strong. “Not only does it affect our health and risk of diseases, it also affects our risk of dental decay,” she says.

“It is important that health care professionals work to provide a consistent message on the importance of reducing empty sugars, where it is likely to affect someone’s health.”

She says packaging and food labelling can be confusing, but there are some key things to look for.

She provides the following advice: •

Ingredients are listed in descending order of their quantity, so the highest ingredients feature in the greatest amount. Look out for sugar that is listed early in the ingredients list.

•

Be aware that sugar may be listed under numerous names – including rice malt syrup, honey, dextrose, sucrose, malt, maple syrup, corn syrup solids, table sugar and many others.

•

The Australian Dietary Guidelines recommend checking the ‘per 100g’ column of a nutrition information panel, as this makes comparing product within the same food group more reliable – serving sizes often differ between products.

Look for products with 15g or less sugar per 100g – and check that sugar is not listed high on the ingredient list.

Research shows that

48.7%

of Australian adults consume too much added sugar.

August 2020 Western Articulator | adawa.com.au

13

WHY IT IS SO IMPORTANT Did you read our feature on Dental Health Week resources in the July issue of the Western Articulator? If you missed it, go to the July Issuu link – you will find information on campaigns and resources that can be useful to you and your practice to educate your patients about sugar.

MAKING A DIFFERENCE Cancer Council WA spokesperson for the LiveLighter® campaign, Kelly Kennington (Obesity Prevention Manager), says over the last eight years, LiveLighter has run several waves of two different TV-led advertising campaigns targeting sugary drinks (‘Sugary Drinks’ and ’13 Cancers’) as well as two outdoororientated campaigns (‘Don’t Be Sucked In’ and ‘Sugary Drinks Are A Rotten Choice’).

“These campaigns have increased Western Australians’ understanding of the health effects of soft drinks and have motivated people to avoid or cut down on sugary drinks,” Kelly says. “Campaign evaluation has shown that weekly sugary drink consumption among WA adults has decreased by almost 20% (from 60.3% in June 2012 to 41.3% in June 2019) while intentions to drink less sugary drinks has increased significantly over this time period.

“The most recent evaluated wave of the campaign (‘13 Cancers’ in October 2019) showed that the proportion of people who think about the health risks of drinking sugary drinks and who were concerned about their sugary drink consumption was significantly higher than at the last ‘Sugary Drinks’ campaign wave in June 2018. Pleasingly, this effect was stronger in the target audience (people who drink sugary drinks regularly).

“We have also seen a significant reduction in sugary drink consumption in secondary school students in WA, despite them not being the target audience for LiveLighter,” Kelly adds. “Between 2012 and 2018, the proportion of secondary school students drinking four or more cups of sugary drinks per week reduced from 27% to 10%. The decline follows a national trend, but the reduction in WA has been significantly steeper.

This might be a reflection of the LiveLighter messages and their broad impact in the community.”

14 August 2020 Western Articulator | adawa.com.au

Dr James Muecke AM, ophthalmologist, chair of Sight for All and Australian of the Year 2020, says sugar has been neuro-scientifically proven to be as addictive as nicotine. “I suspect that much of the world has a physical dependency on sugar and that many have an even deeper psychological addiction,” he says.

“Our addiction is fed by the ready accessibility of sugary products in our lives, the astronomical amount of sugar that’s added to our food and drinks, and the lure of advertisements and predatory marketing tactics that flood our environment.”

According to James, the most concerning health issues of excessive sugar in our diet are: •

Dental caries – sugar is the leading cause of tooth decay. One-third of 5-6-year-olds have decay in their baby teeth and 40% of 10-12 year-olds have decay in their adult teeth.

•

Obesity – one-quarter of children and adolescents, nearly half of 18-24 year olds, and two-thirds of adults are overweight or obese.

•

Type 2 diabetes – type 2 diabetes is a blinding, maiming and deadly disease impacting at least 1.7 million Aussies, nearly 10% of our population.

In some areas of the country, such as Greater Western Sydney, half of all adults have type 2 diabetes or pre-diabetes.

James says health practitioners need to have evidencebased, open and frank discussions with their patients regarding the multitude of health dangers of sugar – its role in tooth decay and obesity and the lifechanging and life-threatening complications of type 2 diabetes, all preventable dietary diseases. However, he says they first need to be aware of the latest evidence, including: •

That excessive sugar consumption has been linked to tooth decay.

•

That excessive sugar consumption has been linked to type 2 diabetes, independent of obesity.

“I also believe that they need to be aware that type 2 diabetes can be reversed in many people, and that it doesn’t have to be a life sentence,” James adds.

“This needs to be communicated clearly to patients, perhaps reinforced with powerful examples of adverse outcomes in those who have not heeded medical or dietary advice.”

DENTAL HEALTH WEEK

CONSUMER STORIES We asked some consumers what products they had been purchasing without realising their high sugar content. Some of the stories are good examples of patients not understanding their true sugar consumption:

Flavoured yoghurt. I thought about the grams of sugar as spoonfuls and panicked! If I am going to eat sugar, I want it to be on junk food, not something ‘healthy’ like yoghurt. I now check for what’s on sale, followed by the sugar content.

(Hannah).

Hot chocolate. My work had a tab at a local coffee shop, and I started getting a hot chocolate or flavoured coffee.

When I started putting on weight, I looked up the nutritional information of the drinks and realised with the high sugar content and calorie count, I was essentially drinking an extra meal a day. I stopped that daily treat pretty quickly. (Paul)

Cereal. I changed to a different variety, which the kid doesn’t like as much, so now she has toast for breakfast. (Jacqui).

Popcorn. It was plain popcorn being touted as a school snack!

Laden with both sugar and salt.

We switched to another brand, which is much better. (Ally).

August 2020 Western Articulator | adawa.com.au

15

UWA Faculty Awards IN JUNE, UWA RECOGNISED ITS ANNUAL FACULTY AWARDEES. BROOKE EVANS-BUTLER CAUGHT UP WITH THE PROUD RECIPIENTS

Unfortunately, the UWA DMD students could not meet in person this year to celebrate the annual UWA Faculty Prize Giving. ADAWA acknowledges the commitment and dedication of all students and congratulates those who received an award.

All members should be proud of the support ADAWA provides on your behalf to our student members.

ADAWA sponsors the prize for the highest aggregate mark in DMD 2, the prestigious DMD Academic Excellence Dentistry Prize for the highest weighted average mark across the entire program, and the Award Leadership Excellence recognised for his/her leadership, citizenship, innovation and community engagement throughout the program.

DR EMILY GRANT, ADAWA PRIZE FOR ACADEMIC EXCELLENCE IN DENTISTRY Completing the Doctor of Dental Medicine degree at a level of high academic excellence is an achievement to be particularly proud of. Emily says she is very grateful to have received the ADAWA Prize for Academic Excellence.

“To say that dental school was difficult at times would be an understatement,” she says. “I know our entire cohort spent countless hours in the clinic, lab and library to complete the DMD degree, so it means a lot to be recognised by the ADAWA. “I would like to thank the ADAWA for all of their support throughout our entire degree,” she adds. “Awards such as these are not only an honour to receive but are also a great help financially.

“The ADAWA also supported the dental students in many other ways such as by hosting various information nights and networking events to help our transition into the working world. I know myself as well as my classmates are very grateful for all the hard work and support of the ADAWA.” Since graduating, Emily has moved across the country and is currently working at a private practice in Wagga Wagga, New South Wales.

“It has been an interesting start to the year, but I am fortunate to be working with a very supportive team at a great practice,” she says. “I grew up in a town near Wagga Wagga and I am enjoying being closer to home and my family again. Although I would be lying if I said I am not missing the Perth weather and beaches!”

Emily plans to keep working in Wagga Wagga for the foreseeable feature and wants to continue to learn more and develop her skills as a general dentist.

Her advice to current dental students is to remember that the end of the degree will come. “Take advantage of all the resources and people around you while you’re still at the dental school. Graduating is a massive relief but there are new challenges faced in your first year out. Don’t be afraid to ask lots of questions and ask for help when you need to.”

16 August 2020 Western Articulator | adawa.com.au

UWA AWARDS FEATURE

DR JASMINE LI, ADAWA AWARD FOR LEADERSHIP EXCELLENCE IN DENTISTRY Jasmine began her dental training after working full-time for five years.

She admits she had many doubts about her career change, so the award was a very pleasant surprise.

“I have received a lot of help and support along the way,” she says. “The ADAWA has been incredibly supportive throughout my four years of schooling, and for that, I am eternally thankful.

“I met Dr David Hallett in my first year of dental school. Over the years, I have gotten to know almost everyone at ADAWA. The support that I have received as a student, and now as a new graduate, is incredible. ADAWA was at my graduation. Dr Hallett helped me with my first employment contract. I am very fortunate to start my career here in Western Australia, where we have a very intimate dental community. I am grateful for all the support that I have received.”

The ADAWA Award for Leadership Excellence in Dentistry is awarded based on a student’s leadership, citizenship, innovation, and community engagement. Jasmine says she began making contributions toward student experience when she was in her first year of study.

“I have carried on this commitment with the University Dental Students’ Society (UDSS),” she says. “Over the years, I have held positions such as Year Representative, Secretary, Alumni Representative and the Vice President of UDSS. We’ve always had good relationships with the industry, especially with ADAWA. “I enjoyed being part of the dental community at UWA,” she adds. “I was involved in the UniMentor program from 2017-2018, mentoring a junior dental student. I have been a part of the UWA MedDent admission interview team as one of the student helpers since 2018. I enjoy facilitating the multiple mini-interviews and seeing prospective students becoming confident dental students.”

Jasmine says she has also had the honour of being involved in volunteering opportunities with the UWA Faculty, including UWA Open Day and the UWA Health Campus Open Day. “Whenever there is an opportunity to utilise my skill, I am there,” she says.

“I was involved in Tzu Chi International Medical Association (TIMA) and ADA Dental Rescue Day. I went on to do dental outreach elective projects in rural Nepal with Around Good People in the summer of 2018.

“I had so much fun, and I signed up for the pre-graduation intern program with Children’s Health Aid Team in Vietnam the following year.

I was awarded the David Booth Travel Grant in 2019 to undertake the Vietnam placement. Volunteering overseas has many limitations and challenges. For me, it is a constant reminder that we still have a long way to go advocating oral health in the broader communities.”

Jasmine did a rural placement in Bunbury as part of her final year of dental training and enjoyed the south-west so much, she decided to apply for a job there.

“Rural Health West has kindly offered relocation assistance, which has made the process a lot easier,” she adds. “I am currently working in a private dental clinic in Bunbury. It is a turbulent time to start my professional career, but there is an incredible sense of community here, and I am enjoying working in the south-west.”

August 2020 Western Articulator | adawa.com.au

17

Congratulations to all the Dental School award winners: Emma Turner, Alistair Devlin ANZSPD WA Branch Prize in Paediatric Dentistry Sally Tan, Australian Dental Association (WA Branch) Prize Jasmine Li, ADAWA Award for Leadership Excellence in Dentistry Emily Grant, ADAWA Prize for Academic Excellence in Dentistry Richard Tien, Australian Society of Endodontology (WA Branch) Prize in Endodontics (Year 2) Patricia Soegiantho, Australian Society of Endodontology (WA Branch) Prize in Endodontics and Dental Traumatology (Year 3) Patricia Soegiantho, Australian Society of Orthodontists (WA Branch) Prize in Orthodontics

DR MICHELLE TIEN, ROYAL AUSTRALASIAN COLLEGE OF DENTAL SURGEONS ACADEMIC PRIZE “It’s humbling to receive an award for my efforts last year in dental school, especially after working in private practice and realising just how much more there is for me to learn and improve,” Michelle says. “It reminds me to stay hungry in the pursuit of a better standard of care for patients, as well as foolish in being unafraid to keep trying even after failing, time and time again.”

Michelle says she is currently enjoying the challenge of working in private practice, with a great support team and wonderful mentors.

She offers the following advice to current dental students, who might be feeling the pressure of the degree: “In the beginning, every procedure feels like jumping off a cliff and not knowing if you can land,” she says. “Be kind to yourself, look after your patients as you would your family, never settle for ‘good enough’, and trust that at the end of the appointment, you will land.”

Richard Tien, BDSc Class of 1979 Prize in Operative Dentistry Ylan Pham, Clive Rogers Prize in Special Needs Dentistry Richard Tien, D.J Cock Prize in Periodontics Frances Allix, Dr F. Simpson Prize in Dentistry Jenna Muller, Dr Zac Chami Memorial Prize Ganathipan Shanmugakumar, Eric Williams Prize in Prosthodontics Bede van Schaijik, Harold Baggett Memorial Prize in Histology Sally Tan, Ian O Thorburn Prize Masooma Hashimi, John McGeachie Prize Johnson Ye, John Prichard Memorial Prize Emily Grant, Kenneth J G Sutherland Prize Zoe Thorning, Leonard Nathan Prize in Oral Pathology Zoe Thorning, Ramesh Balasubramaniam Prize in Oral Medicine Michelle Tien, Royal Australasian College of Dental Surgeons Academic Prize Rani Flynn, Sally Joyston-Bechal Study Group Prize Amy Ly, Patricia Soegiantho, Western Australian College of Dental Science Prize in Restorative Dentistry Lyndon Abbott, Wyann Needham Memorial Prize

18 August 2020 Western Articulator | adawa.com.au

UWA AWARDS FEATURE

DR LYNDON ABBOTT, WYNN NEEDHAM MEMORIAL PRIZE “I am incredibly humbled and grateful to receive the Wynn Needham Memorial Prize, as it recognises my dedication and hard work throughout my final year of study,” Lyndon says. “However, more than this, this award demonstrates to me the role my friends and family played in keeping me grounded and allowing me to realise my dreams.”

Lyndon is currently working as a Graduate Dental Officer at OHCWA. To current dental students, he says it is only natural to feel overwhelmed with the stresses of Dental School.

“What really helped me was to stop comparing myself to my peers and just try and be a better dentist than I was yesterday.

“In addition to this, I would encourage dental students to find an outlet to relieve their stresses. It might be as simple as going for a walk, maintaining a hobby, or listening to music.”

DR RANI FLYNN, SALLY JOYSTON-BECHAL STUDY GROUP PRIZE Rani says it was a big surprise when a friend sent her a screenshot of the prize recipients.

“I actually missed my name on first glance,” she says.

“I was never what anyone would consider an ‘awardwinning’ dental student, so it makes sense that this prize is not only mine, but also Sarah Bestall’s and Georgia Charleson’s – for our team effort on our research paper.

“Also, all credit and many thanks to our research supervisor W/Prof Abbott, who is a wealth of knowledge and always kept us on track. I am proud that an allfemale research group took out the prize donated by the first women’s dental study group named after the first woman dental graduate in Western Australia.”

Rani says she is currently working in the beautiful coastal town of Esperance, 700km south-east of Perth. “Whilst it has been an interesting first year out, I get to spend it in a truly spectacular part of the world,” she says.

Congratulations also to Emma Turner, who is the recipient of the Royal Australasian College of Dental Surgeons Dr Elizabeth Fanning Orientation Scholarship to undertake the Primary examinations. 60 applications were put forward to the judging panel this year for the scholarship. Emma believes that undertaking the Primaries is an important step towards a fulfilling career of life-long learning and she is excited to join the RACDS’ tightlyknit community of dental professionals in 2021, having been heavily involved in the dental student community throughout her DMD degree.

August 2020 Western Articulator | adawa.com.au

19

MEETDr Ben Lee Ahead of his two upcoming CPD courses, Brooke Evans-Butler spoke to prosthodontist Dr Ben Lee After graduating from the University of Otago in New Zealand, Ben moved to Sydney to work as a general dentist. “It was during this period of time I fell in love with prosthodontics, especially aesthetic dentistry, which is why I pursued a Masters in Prosthodontics at the University of Sydney,” Ben recalls. “After I graduated, I was very fortunate to find jobs with prominent clinicians in Sydney who become my mentors, and under their guidance I started practising as a prosthodontist.”

Ben will be heading to Perth in October to present two courses: Prosthodontic Problems? Plan to Prevent Them! on October 14 and The A-Z of Mastering Anterior Crowns on October 17.

behind these problems and what we can do to prevent them from happening.”

The course will cover patient assessment, tooth assessment, aesthetic assessment, occlusal assessment, parafunction management, bridge design and material selection – all with a learning outcome of improving risk factor analysis.

Ben says dentists want a predictable outcome when they treat a patient, because any rectification of a case takes time and comes with patient dissatisfaction.

“Some patients are already anxious and scared enough of coming so I think a lot of dentists want a high level of predictability. The aim of the course is to learn from past mistakes and to improve predictability when carrying out those procedures,” he says.

In his courses, Ben aims to share the common problems he sees in his own clinical work and in referrals.

Ben will also be presenting The A-Z of Mastering Anterior Crowns on October 17, which will cover a range of topics including treatment planning and informed consent, patient assessment and tooth assessment, coronal build-up, impression taking, provisionalisation, laboratory communication and crown material selection and cementation.

“I thought it would be a great topic to discuss and focus on the common problems seen in everyday dentistry and then use that as an entry point to discuss what could have been done better or differently to prevent these problems from happening,” he explains. “What people can expect from the course is a good understanding of all the common problems in prosthodontics, the real causes

“The environment we live in can be very aestheticallydriven,” Ben says. “Often, patients come to us with a variety of dental problems, but they will want to address that cosmetic problem first. So, this course focuses on optimising the aesthetics of the patient, especially with anterior crowns because it can be a very challenging procedure, not only from a cosmetic standpoint, but sometimes from a functional or even a

20 August 2020 Western Articulator | adawa.com.au

CPD SPOTLIGHT

“Some patients are already anxious and scared enough of coming so I think a lot of dentists want a high level of predictability. The aim of the course is to learn from past mistakes and to improve predictability when carrying out those procedures.”

psychological standpoint.”

Ben points out that although the courses are about learning for dentists, the goal is improving life for each patient. “Everything we learn is benefiting us as clinicians, improving the quality of our work and to reduce our clinical problems, but ultimately it is to improve the lives of our patients.”

Learning is clearly a passion for Ben, who juggles being an honorary clinical lecturer at the University of Sydney, in addition to his CPD lecturing schedule, with his work at his referral-based specialist centre.

According to Ben, what he enjoys most about lecturing is the process of sharing. “At the end of the day, we are all products of our mentorship along the way,” he explains. “We have all been significantly shaped by people we aspire to, whether a clinical mentor or in our lives. I certainly have greatly benefited from my mentors and people who inspire me, so I want to share with others what I have learnt along the way and hopefully they can reduce or avoid some of the mistakes I made so it will improve the lives of their patients in a more predictable manner.”

Dr Ben Lee will present: Prosthodontic Problems? Plan to Prevent Them! on October 14 at UWA Dental School and The A-Z of Mastering Anterior Crowns – Achieving Predictable Outcomes for Aesthetically Demanding Situations on October 17 at UWA Dental School.

MINUTES

with Dr Ben Lee

If you weren’t in dentistry, what would you be doing?

When I first started university, I had a passion for genetics, but back in the day genetics was not a major so I would have had to study elsewhere to pursue that career. But the research of genetics still fascinates me.

What do you do in your spare time?

I have two young children, so my spare time is completely spent with them.

Who inspires you and why?

There are many people that inspire me. My mentors, my teachers – and the people who truly inspire me are my parents. Their level of sacrifice, love, commitment towards each other and towards me, to tirelessly work as role models, always inspires me. Now that I am a parent myself, I am realising how difficult it is to be that lifetime role model to your kids – being a good parent is one of the toughest jobs in the world.

Where is your favourite place in the world and why?

Florence in Italy. I think it is an excellent amalgamation of history, art and culture – there was nothing I didn’t like about it.

August 2020 Western Articulator | adawa.com.au

21

22 August 2020 Western Articulator | adawa.com.au

$693 incl GST

The Art of Digital Photography & its Clinical Applications Friday 11th September | CPD Hours: 6.5 Presented by Szabolcs Hant & Dr Graham Carmichael Registration from 8.45am, Course 9am to 5pm ADA House, 54-58 Havelock St, West Perth Bookings & Enquiries adawa.com.au/cpd/ The use of photography in dentistry has revolutionised the way clinicians diagnose and treat their patients. This course will teach the fundamentals of digital SLR photography and the principles of flash systems and lighting techniques.

The opportunity for hands-on learning using your own camera and equipment will be provided, as well as other camera systems. All delegates will receive a set of intra-oral mirrors and retractors as part of the course fee.

What to bring if you have it: camera and flash, tripod, laptop with photo editing software

Topics Covered:

About the Presenters:

•

Basic principles of single lens reflex (SLR) photography

•

Optimal use of intra-oral mirrors and retractors

•

Shade analysis through photographs for ceramic and composite layering

Szabolcs Hant began his studies in Hungary in 1993 and completed a technician’s Masters Degree in 2004.

He has had a passionate interest in aesthetic restorations and photography since first using a compact camera and in the following years with a DSLR.

•

Lighting techniques for intra oral photography

•

Workflow management including cataloguing

•

Smile diagnosis and rehabilitation design

•

Learn how to use your own photography equipment or what to look for if purchasing

Dr Graham Carmichael is a board certified prosthodontist and faculty member of the Brånemark Center in West Perth. Dr Carmichael has lectured nationally and internationally, and is actively involved in the teaching and education of prosthodontics, and surgical and prosthetic implant therapy.

August 2020 Western Articulator | adawa.com.au

23

Dental CPD Calendar AUGUST 05

ADAWA NPP: The Patient who won’t see a Periodontist Dr Melanie McAlpine Wednesday: 6pm–9.00pm ADA House, West Perth

Western Prosthodontic Centre’s Study Club for Young Clinicians

OCTOBER

SEPTEMBER

06

Dr Barbara Woodhouse Friday: 9.00am–5.00pm ADA House, West Perth

4

Professor Peter O’Sullivan Friday: 1.00pm–5.00pm ADA House, West Perth

Submersion into DMFR - One Day Crash Course

Dr Hezel Cohen will speak on Complete Dentures. To register for this free study club, call (08) 9321 1632 and/or email reception@wpc.dental Thursday: 6.00pm Western Prosthodontic Centre 64 Havelock St, West Perth

Oral Surgery

It’s Not Just About the Spine: Understanding and Managing Spinal Pain

21

5

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

Practical Oral Surgery Dr David Booth & Dr Carolyn Stulner Saturday: 9.00am–2.00pm CTEC, Crawley

06

Prosthodontic Problems? Plan to Prevent Them!

14

Dr Ben Lee Wednesday: 9.00am–5.00pm UWA Dental School, Nedlands

12

The A-Z of Mastering Anterior Crowns

17

Dr Ben Lee Saturday: 9.00am–5.00pm UWA Dental School, Nedlands

18

Dr Chris Moule Friday: 9.00am–5.00pm UWA Dental School, Nedlands

Confidentiality assured

Call Andrew Maurice 0410 642 660 or Garry Bishop 0414 825 855

11

Drs Poh Hun Loh and Victor Matsubara Saturday: 9.00am–5.00pm UWA Dental School, Nedlands

Modern Techniques in Post and Core

ADAWA NPP: The Patient who won’t see the Prosthodontist Dr Josh Graieg Friday: 6pm–9.00pm ADA House, West Perth

Szabolcs Hant & Dr Graham Carmichael Friday: 9.00am–5.00pm ADA House, West Perth

Single Crown Preps – a hands on course

02

Winthrop Professor Paul Abbott AO Friday: 8.30am–5.00pm UWA Dental School, Nedlands

Associate Professor Johan Aps Saturday: 8.00am–5.00pm UWA Dental School, Nedlands

The Art of Digital Photography & its Clinical Applications

Predictable and Easy Root Canal Instrumentation and Filling Techinques

Infection Control: Ensure You and Your Team are Confident and Compliant [PERTH]

22

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

19

Infection Control: Ensure You and Your Team are Confident and Compliant [ALBANY]

24

Kylie Robb Saturday: 9.00am–5.00pm Albany Entertainment Centre, Albany

Event Types:

for a confidential discussion or visit www.hpbaus.com.au

WA Dental CPD Events ADAWA General Meetings Other CPD Events

Perio-Potpourri: an Update in Clinical Periodontics

27

Associate Professor Axel Spahr Tuesday: 9.00am–5.00pm ADA House, West Perth

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

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

24 August 2020 Western Articulator | adawa.com.au

WA CPD Event Bookings & Enquiries: Additional event information and online bookings available at www.adawa.com.au Bookings, Course and Payment enquiries: P: (08) 9211 5600 | E: cpd@adawa.com.au Other Enquiries to Dr Jenny Ball: M: 0419 044 549 | E: jenny@adawa.com.au

OCTOBER AOS WA Dinner Meeting Dr Nova Gibson “Implant in digital age” and “Bone graft - the good, the bad and the ugly” Friday: 6.30pm–9.00pm University Club, Crawley

Rotary Endodontics Drs Mark Johnstone and Mehdi Rahimi Saturday: 8.00am–5.00pm

2021 FEBRUARY

DECEMBER 31

Anxiety Relief in the Dental Surgery

4

To Prep or Not to Prep

5

Posterior Composites

Dr Steven Parker Friday: 9.00am–5.00pm UWA Dental School, Nedlands

31

Pain Relief for Your Patients Dr Steven Parker Saturday: 9.00am–5.00pm UWA Dental School, Nedlands

Dr Clarence Tam Saturday: 9.00am–5.00pm UWA Dental School, Nedlands

20

21

Dr Clarence Tam Sunday: 9.00am–5.00pm UWA Dental School, Nedlands

NOVEMBER Porcelain Veneers & Ceramic Onlays - A Practical Approach to Multiple Restorations

6/7

Dr Asheen Behari & Dr Paul Gorgolis Friday & Saturday: 9.00am–5.00pm UWA Dental School, Nedlands

NPP Day FREE full day event with more details to come Saturday: Time TBC

14

ADAWA GENERAL MEETING A clinical case presentation displaying the processes involved in prosthetic facial reconstruction Presented by Dr Penelope Wood Dr Penelope Wood is a Maxillofacial Prosthetist. She gained her initial Dental Technology qualifications at the Oral Health Centre of Western Australia in 2007 and continued with further education in the field of Maxillofacial Prosthetics out of the UK. Penny subsequently completed a Master of Science in Maxillofacial Prosthetic Reconstruction from King’s College London in 2016.

Penny is a member of the Institute of Maxillofacial Prosthetists and Technologists and a member of the International Anaplastology Association. She practiced out of Royal Perth Hospital for 7 years and more recently Fiona Stanley Hospital since its opening in 2015 where her main focus is on head and neck prosthetic rehabilitation.

Penny has a special interest in three-dimensional imaging techniques, applications of digital technology and computer aided design and manufacturing in maxillofacial prosthetics.

Penny’s clinical interest in congenital facial malformations has taken her to India to treat patients. This travel has led to her research on autologous and prosthetic auricular reconstruction and the associated patient satisfaction.

WEDNESDAY 9th September 2020 Ellie J Ladner Lecture Theatre RSVP adawa@adawa.com.au

6.15PM “Eat and Meet” Your chance to meet with Council and other members of the Association

7.30PM General Meeting Immediate start

8PM Lecture Dr Penelope Wood

August 2020 Western Articulator | adawa.com.au

25

$605 incl GST

Perio-Potpourri

an Update in Clinical Periodontics Tuesday 27 October | CPD Hours: 6.5 Presented by Associate Professor Axel Spahr Registration from 8.30am, Course 9am to 5pm ADA House, 54-58 Havelock St, West Perth Bookings & Enquiries adawa.com.au/cpd/ This full day lecture will cover four areas: New Classification and Pathogenesis of Periodontal Diseases The aim of this presentation is to explain and guide through the new Periodontal Classification System. Furthermore, after the presentation of the new Staging & Grading tables to classify the different types of Periodontitis, the application of these tables will be further practised on more complex showcases.

Prevention, Non-Surgical Management and Maintenance of Periodontitis and Implant/Peri-implant Mucositis patients This presentation outlines current and modern concepts of biofilm management for the patient’s home care as well as for the professional dental practice setting. The specific topics addressed in this presentation involve a comprehensive overview and evaluation of various oral hygiene methods and materials for mechanical and chemical biofilm management as well as of different devices available for subgingival debridement of root and implant surfaces.

Surgical Management of Patients with Periodontitis and Gingival Recessions The aim of this presentation is to describe the different surgical treatment options for patients with advanced periodontitis and mucogingival lesions/gingival recessions New Classification of Peri-implant Diseases, Prognosis of Dental Implants and Management of Peri-Implantitis This presentation outlines the new classification of peri-implant diseases, explains the current data regarding survival and success of dental implants compared to teeth and evaluates treatment options for implants with peri-implantitis.

About the Presenter: Associate Professor Axel Spahr is the head of the Discipline of Restorative and Reconstructive Dentistry and the Subject Area Periodontics at the University of Sydney School of Dentistry.

Dr Spahr has training in microbiology, molecular biology, extensive experience in basic science research, animal research and clinical research. His research interests include periodontal regeneration, bone regeneration, periodontitis and systemic diseases, antimicrobial therapy as well as dental implants and peri-implant diseases.

He is author of numerous publications in international peer-reviewed dental and medical journals and has contributed to book chapters. Dr Spahr lectures and teaches around the world. He also works part-time in an established specialist periodontal and implant practice in Sydney.

26 August 2020 Western Articulator | adawa.com.au

Education & Training Study Club for Young Clinicians Recent graduates & clinicians with up to 5 years’ clinical experience LIMITED SPOTS AVAILABLE When: First Thursday of each month @ 6pm 6th August 2020 / 3rd September 2020 / 1st October 2020 5th November 2020 Where: Western Prosthodontic Centre, Level 3 / 64 Havelock Street, West Perth 6005 Topics: Presentation & Discussion (1 CPD) 1. Complete Dentures 2. Partial Dentures 3. Indirect Restorative Materials 4. Abutment Selection Presenter: Dr Hezel Cohen (Prosthodontist) RSVP T: 08 9321 1632 www.wpc.dental

E: reception@wpc.dental

Perth Oral Medicine & Dental Sleep Centre Complimentary educational evening presented by Oral Medicine Specialists in Western Australia, covering the latest in Oral Medicine for our referrers.

Crown Ball Room Tuesday, 11th August 2020 5pm – Registration and Refreshments 6:30pm – Lectures commence 2 Hours CPD Registration: https://hottopics2020.eventbrite.com.au

SAVE THE DATE The RACDS WA event ‘Top Hacks for Outstanding Dentistry’ with Dr Michael Mandikos has been rescheduled for 30 July, 2021. More details to come

August 2020 Western Articulator | adawa.com.au

27

Dental Anxiety: the importance of communication

By Dr Louise Hanrahan, winner of the Dental Protection Young Essay Award, and Dr Annalene Weston, Dentolegal Consultant at Dental Protection Dental professionals are well aware of dental anxiety as a phenomenon, but many probably don’t feel that confident managing it. It presents in very diverse forms, and often not knowing what to expect can increase stress levels for the clinician as well as the patient.

While a phobia is typically defined as an irrational fear, the fear of visiting the dentist, or “dental anxiety”, can be quite rational. A previous bad dental experience is a common trigger for the anxiety, particularly if this has occurred during childhood. Anxious family members also provide a hurdle, as there is generally an effort to reassure before and during appointments. Unfortunately, comments like “it doesn’t hurt for long” and “the needle will be quick” can exacerbate anxiety rather than alleviate it.

Some anxious patients may have phobia of needles; others may fear being judged and they could feel ashamed of their teeth. Some patients are frank about their anxiety, even going as far as saying, “I hate the dentist” as they walk in. However, some others may be a bit more subtle. These more discrete indicators of anxiety should also be looked for where possible – be aware of patients having an increased heart rate, or being more prone to fainting. Excessive fidgeting and holding objects in front of the torso as a barrier can be another sign of anxiety. Patients may even be visibly distressed, so it’s best to approach them with empathy and reassurance where possible.

Above all, it’s good to remember that as each patient is unique, so are anxious patients. Some will be open about their anxiety and others will not. Some may disclose with relief when asked, and others may confirm it but not want to dwell. Finding an appropriate opportunity to ask

28 August 2020 Western Articulator | adawa.com.au

a patient if they have dental anxiety is a good tool, but it is key not to push it.

So, why does identifying anxious patients matter?

Patients with dental anxiety tend to be unhappier with their teeth, and have higher expectations of treatment.

That means more pressure when they attend your practice to get the “perfect smile”. Patients with dental anxiety are also more likely to be an irregular attendee or avoid us completely, meaning inconsistency in appointments.

Non-verbal communication is extremely important when providing care. Body language, tone and facial expressions play an important role in conveying messages and alleviating anxiety, as does the environment in which patients see themselves in. Dental professionals should consider sight, smell, sound and sensations in the dental practice and the way they could individually trigger a patient reaction – seeing a needle and the sounds of high-speed suction and drills are a few examples. Some ways to mitigate these could be keeping LA out of sight and encouraging patients to bring in their headphones. Doing something as simple as asking permission before touching the patient, or devising a signal during treatment, can help gain trust and give the anxious patient a sense of control.

Conventional management techniques like progressive muscle relaxation and paced breathing are tried and true, and can also be excellent tools to help establish trust.

Effective and painless anaesthesia is another way. By being able to tolerate what is often considered the worst part of the appointment, there is a feeling of achievement and a renewed expectation for the treatment being provided.

DPL FEATURE

Ultimately, communicating with empathy has been found to be the best management technique for anxious patients. Seeing someone’s situation from their perspective and sharing their emotions, rather than avoiding the shared perspective or pitying them, is the key to building rapport and trust. Dental professionals should cultivate a safe environment fostering trust between themselves and the patient, in a way that avoids judgement or criticism. By validating patients’ concerns and reassuring anxious patients that their anxiety is normal and more common that they may think, they are already improving the difficult situation.

It is also crucial that dental professionals monitor their own responses, being aware of their own feelings and how they express them. Remaining mindful that if they come across as short or abrupt it may seem as though they are frustrated at the patient. By being calm and collected, the patient will pick up on it, and

often will mirror this positive demeanour.

Although reassurance is important, it is also crucial not to become overly confident and start making promises that cannot be kept, such as guarantees of no pain or treatment complications. If this can’t be delivered, it will cause a huge failure of trust, which could create a further barrier for the patient. Collaborating on treatment options, discussing the pros and cons, working as a team is always the best option.

The challenges dental anxiety poses can make it tempting to avoid seeing these patients altogether, however with full engagement from the practitioner and the right tools and techniques, it can also be very satisfying work.

PERTH’S BEST IT SUPPORT FOR THE DENTAL INDUSTRY Simplifying Technology supports 37 dental practices in WA. We understand the daily technology challenges that dentists face, and we are able to help.

(08) 9240 8181 support@solutiontech.com.au www.solutiontech.com.au

It doesn’t matter if you have 5 computers or 50 servers in your dental practice, we support all of them.

We support secure local and cloud server options.

Contact us and see how we can help your practice.

Sign up with us this month for our managed services agreement and win a prize such as Apple Airpods, iPad or Gaming Keyboard.

Ask us about our small business IT support packages.

August 2020 Western Articulator | adawa.com.au

29

What does sexual harassment look like in the workplace?

No industry or profession is impervious to sexual harassment. The #MeToo movement has provoked both concern and awareness within employers and workers about the nature and effect of sexual harassment in the workplace.

There is a critical need to understand the difference between workplace culture and a hostile work environment within the established framework of laws prohibiting sexual harassment in Australian workplaces. Data from the Australian Bureau of Statistics has been promulgated by several industry bodies to support claims that sexual harassment is at “endemic levels” in Australian workplaces.

This article is designed to guide and remind practices and workers of their obligations for preventing and handling workplace sexual harassment.

What is sexual harassment?

Sexual harassment is unlawful in Australia. The Sex Discrimination Act 1984 (Cth) (SD Act) defines sexual harassment as any unwelcome sexual advance, unwelcome request for sexual favours or other unwelcome conduct of a sexual nature which in the circumstances a reasonable person would have anticipated the possibility that the person harassed would be offended, humiliated or intimidated.

It is important to keep in mind that a work environment or workplace culture that is open and conducive to sexually offensive conduct can automatically amount to unlawful sexual harassment.

Any tolerance of crude or offensive jokes, or any form of sexual discourse or conversation will leave a practice and its workers significantly exposed to liability under the SD Act. The fact that the majority of workers in a practice may not be offended by the behaviour is irrelevant. Whether the behaviour was offensive, humiliating or intimidating is an objective test, that is, whether a reasonable person would have anticipated that the behaviour would have this effect.

Responsibility of Practices and Managers A worker who believes he or she has been sexually harassed in the workplace can make a complaint to the Australian Human Rights Commission alleging sexual harassment under the SD Act, or state or territory legislation. The person who commits the harassment may, therefore, be held liable.

•

sexually suggestive comments or jokes;

Where sexual harassment occurs in the workplace, the practice may be held vicariously liable for acts of harassment committed by one worker against another, in cases where the practice failed to take all reasonable steps to prevent the conduct occurring.

This means that active and preventative measures need to be undertaken by a practice to prevent or stop sexual harassment at the workplace. The onus would lie with the employer to prove that all reasonable measures were taken and a lack of awareness that harassment was occurring would not help exclude liability.

•

intrusive questions or comments about a person’s private life or physical appearance;

A practice may need to take multiple steps in ensuring a harassment-free work environment:

•

inappropriate staring or leering;

•

unwelcome hugging, kissing, touching or cornering or other types of inappropriate physical contact;

Development and implementation of a Sexual Harassment Policy

•

sexually explicit text messages, images, phone calls or emails;

•

unwanted invitations to go out on dates;

•

unnecessary familiarity, such as deliberately brushing up against a person; and

•

insults or taunts based on sex.

The definition is broad, therefore dental practices should be alert to a wide range of actions and behaviour at the workplace that could amount to sexual harassment. Examples of harassing behaviour include, but are not limited to:

30 August 2020 Western Articulator | adawa.com.au

Developing a clear and coherent policy that creates an understanding of what constitutes sexual harassment or prohibited conduct, the unlawfulness of sexual harassment, and the consequences of breaching the policy is fundamental. Practice owners and managers should be actively involved in the policymaking to reinforce that their values do not condone sexual harassment. This helps create a culture of respect in

ADA HR FEATURE

which harassment is not tolerated. The policy should also outline an internal complaint mechanism that can be accessed by a worker who feels harassed at the workplace.

A written policy on its own however is insufficient.

Training on the policy should be undertaken when inducting new employees, along with ongoing training, communication, and re-enforcement to discourage conduct that could amount to harassment.

Practices should tailor sexual harassment training to specific workplaces in question. The training should incorporate relevant examples, scenarios, and address workplace-specific risk factors. It should also address the drivers of gender-based violence and respectful workplace conduct and provide training on responding appropriately and sensitively to victim disclosure.

Internal-Support Mechanisms Internal mechanisms should include open communication pathways to disclose or anonymously disclose harmful or intimidating conduct. Practices should handle reports or complaints of sexual harassment sensitively, confidentially, and transparently.

This includes responding to and investigating reports promptly, thoroughly and fairly, and keeping the complainant informed. It demonstrates investigations are to be done in a reasonable and timely manner.

Furthermore, appropriate disciplinary action should be taken in respect of workers against whom allegations of sexual harassment have been substantiated. It should, however, be kept in mind that the evidentiary requirement is stricter in allegations of sexual harassment and the practice should conduct a thorough investigation and consider the workers response before determining whether sexual harassment has occurred.

External Support Mechanism External support mechanisms in the form of access to compliant hotlines and Employee Assistance Programs (EAP) should also be considered.

Additionally, practices are strongly encouraged to constantly monitor the behaviour of their workers and actively prevent conduct that could amount to sexual harassment.

While it is best practice to try and resolve any allegations of complaints of conduct amounting sexual harassment internally, however practices may often face a situation that is far too complicated or sensitive to deal with. Small practices may not have managers

with the requisite skills or expertise, and therefore obtaining professional and legal support should be a priority in sexual harassment matters.

Responsibilities of workers As a worker, there is a responsibility to not engage in discriminatory or sexually harassing conduct and abide by the practice’s sexual harassment policy.

Workers should also understand the corresponding obligation to not encourage or condone other workers to engage in inappropriate conduct.

Many workers who experience unwelcome, intimidating, or humiliating behaviour at their workplace are unable to put forward a complaint or make a formal report of the incident. A worker may hesitate in pursuing a sexual harassment matter due to trauma, humiliation or fear of being reprimanded by their superiors. Fellow workers play an integral role in preventing or handling sexual harassment by extending their support to other workers in a variety of forms, including: •

maintaining awareness and clear knowledge of what constitutes workplace sexual harassment, including awareness of the sexual harassment policy at their practice. This would enable workers to detect and discourage any form of sexual harassment against other workers;

•

extending support to the targeted worker by listening and offering support; or

•

making a formal, preferably written, report or complaint of any sexual harassment or inappropriate conduct witnessed at the practice to concerned managers.

Practices and workers are strongly encouraged to work collaboratively to prevent and eliminate workplace sexual harassment, with the understanding that if ignored these acts can also lead to quite serious consequences for the victim, including significant psychological injury.

For further information or assistance in relation to preventing sexual harassment at workplace, please do not hesitate to contact the ADA HR Advisory Service on 1300 232 462.

August 2020 Western Articulator | adawa.com.au

31

Daffodil Day

The Daffodil Day Appeal gives hope by raising life-saving funds for world class cancer research

Dr Amanda Phoon Nguyen, Oral Medicine Specialist

Understanding Cancer Genomics How Genetic Information Creates Proteins

Deoxyribonucleic acid (DNA) is the cornerstone of every organism, containing instructions for making proteins.

They are made of two twisting, paired strands, often referred to as a double helix, with a sugar and phosphate backbone. Each DNA strand is made of four chemical units, called nucleotide bases, which comprise the genetic “alphabet”. The bases are adenine (A), thymine (T), guanine (G), and cytosine (C). A segment of DNA that contains the information for making a protein is called a gene, and an organism’s complete set of DNA is called its genome. 1.5% of our genome contains protein-encoding genes.

In the process of transcription, DNA that makes up a gene is copied into a complementary molecule called messenger RNA (mRNA). The mRNA travels out of the nucleus and into the cell’s cytoplasm, where the mRNA is read by a ribosome, and the information is used to link together small molecules called amino acids in the right order to form a specific protein. As an mRNA molecule is translated, a chain of amino acids is formed. The chain eventually folds into a protein.

Cancer is a complex, multigenic disease characterised by a diversity of genetic and epigenetic alterations.

Oral cancer formation is driven by the accumulation of a series of genetic alterations which activate or inhibit various functions and signalling pathways of the normal oral mucosa. Genetic alterations may be driven by risk factors such as tobacco smoking or alcohol consumption or by genetic susceptibility. DNA alterations can affect the structure, function and amount of the corresponding proteins, and there are many kinds of alterations found in cancer cells. On average, 33 to 66 genes are mutated in a solid tumor.

32 August 2020 Western Articulator | adawa.com.au

Some types of genetic mutations Missense A missense mutation is when the change of a single base pair causes the substitution of a different amino acid in the resulting protein. This amino acid substitution may have no effect, or it may render the protein non-functional.

Nonsense A nonsense mutation is also a change in one DNA base pair. Instead of substituting one amino acid for another, however, the altered DNA sequence prematurely signals the cell to stop building a protein and the protein is truncated. This type of mutation results in a shortened protein that may function improperly or not at all.

Frameshift A frameshift mutation is due to insertion or deletion of one or two nucleotides. The remaining nucleotides shift over and different groups of three are read. A completely different protein is formed.

Some kinds of cancer genes Oncogenes Oncogenes are involved in the cell cycle growth and signaling, and promote proliferation or replication of themselves. Epidermal Growth Factor Receptor (EGFR) and transforming growth factor-a (TGF-a) are key growth factors involved in cell growth and survival and both have been shown to have increased expression in head and neck squamous cell carcinoma.

CLINICAL

Cancer Council Daffodil Day Appeal FRIDAY AUGUST 28, 2020 The daffodil represents hope, and Daffodil Day is the Cancer Council’s flagship event, raising vital funds for lifesaving cancer research. This year, Daffodil Day celebrates 34 years of turning Australia yellow, with the Cancer Council aiming to raise more than $4 million for cancer research. Speaking of research, see the summary on the next page!

One-third of all cancers can be prevented. Every donation helps fund world-class cancer research, with the ultimate goal of increasing patient survival rates. Besides research, donations also fund cancer screening to improve outcomes and education programs. $50 helps pay for the collection and processing of a blood sample $100 can pay for two hours of a research assistant’s time $500 supports a clinical trial of new cancer treatments The Cancer Council is always grateful for any support, all year round. https://www.cancercouncilfundraising.com.au/give https://www.daffodilday.com.au/event/daffodil-day/donate Cancer Council is registered with the Australian Taxation Office as an Income Tax Exempt Charity. All donations over $2 are tax deductible.

DNA repair enzymes These normally function to repair damaged DNA, whether it occurs through carcinogens or in the course of normal replication. In cancer, these may be mutated, and cannot repair damaged DNA. Tumor suppressor genes Tumor suppressors are the genes that act to slow cell growth or signal apoptosis of damaged cells. As growth inhibitors, they effectively act as an off switch.

When mutated, one of the functions they lose is this ability to signal apoptosis, and mutations in a cell accumulate.

An example of this is TP53. Mutations in TP53 have been reported in more than 50% of head and neck cancer cases. BRCA1 is another well-known tumor suppressor gene that is commonly implicated in cancers.

Chromosome chromatin modifiers An example of this is when a gene becomes methylated (a methyl group is added to the regulatory region of that gene), and this effectively silences it so it no longer produces protein.

August 2020 Western Articulator | adawa.com.au

33

CLINICAL

A Snapshot of Oral Cancer Worldwide, oral cancer is a significant health burden and is recognised as the sixth most common cancer.

Oral cancer is a heterogenous group of conditions encompassing the main subsites of the external lip, oral cavity and oropharynx. In Australia, oral cancer accounts for about 2-3 per cent of all cancers.

The vast majority of oral cancers are of epithelial origin, although cancers may also arise from other oral tissues, including the salivary glands. Squamous cell carcinoma is the most frequent malignancy of the oral cavity, and accounts for over 90%. Oral cavity squamous cell carcinoma (OCSCC) is mostly preceded by lesions termed oral potentially malignant disorders (OPMDs). The most common OPMDs are leukoplakia, erythroplakia, oral submucous fibrosis, actinic chelitis and oral lichen planus.

Oral cavity squamous cell carcinoma is typically a disease of the elderly, occurring during the fifth to

eighth decades of life, and is considered to be rare in the younger age group. However, in recent years, an increasing incidence in this age group has been reported. It is more common in males, however this demographic is also slowly changing.

Unfortunately, despite technological advances, the survival rate of OCSCC has not improved, presenting a continuing challenge for researchers. Much of the current research aims towards uncovering biomarkers for the disease and therapeutic alternatives. The overall five-year survival rate for oral cancer is approximately 50% for all anatomical sites and stages. Cases which present with regional lymph node infiltration (Stages III and IV) are reported to have a five-year survival rate of 9–41%, compared to the 66–85% survival associated with cases without lymph node involvement (Stages I and II).

The many faces of oral tongue squamous cell carcinoma. Dr Amanda Phoon Nguyen References available by email: amanda@pomds.com.au

34 August 2020 Western Articulator | adawa.com.au

GREEN PRACTICE

To acknowledge Keep Australia Beautiful Week on 17-23 August, we look at some easy tips to refuse, reduce, reuse, repurpose, and recycle – without impacting your practice’s infection-control standards

GO ELECTRONIC Ask your patients if they’d prefer to receive their communication via email rather than paper. You will not only save paper, but also printing and postage costs.

BUY IN BULK Ordering in bulk not only saves money, but also helps the environment by minimising packaging, as well as freightrelated carbon footprint.

ENVIRONMENTAL SWAPS Look at what you throw out at your practice. Is there anything that can be easily swapped to a more environmentally friendly choice? Options such as printing paper that is more environmentally conscious and recycled toilet paper are little changes that can make a big difference.

KNOW YOUR RECYCLING Do you know what can and cannot be recycled at your practice? Ensure you are disposing (or recycling) packaging correctly and remember to recycle the everyday things, including the carton of milk in the staff lunchroom. Plastics come in many different grades and the majority can now be recycled, so don’t forget to check the packaging before throwing.

VOLUNTEER Why not get your staff together to volunteer for an environmental cause, such as Keep Australia Beautiful?

You can clean up the community around your practice and it’s a great team bonding experience.

Thank you to Dr Lydia See for her assistance with this article.

Q&A

Dr Alissa Jacobs Oral Medicine Specialist

Clinical Challenges in Oral Medicine A 56-year-old female was referred to me by her dentist for assessment of pain and swelling at the angle of her mandible and along her sternocleidomastoid on the right.

The patient noted she had the pain and swelling for over a week but she otherwise felt well. She had previously seen her general medical practitioner who suggested a dental cause. Clinical examination by the dentist revealed no obvious odontogenic cause hence the referral to Oral Medicine.

Her medical history was significant for rheumatoid arthritis which was managed with methotrexate, plaquanil and prednisolone.

Clinical examination revealed significant lymphadenopathy; in particular, the right posterior triangle with multiple large hard nodes. Intraoral examination was largely normal.

An urgent CT neck was arranged to assess the significant lymphadenopathy.

In this case potential diagnosis is: a)

Infective process

b)

Malignant process

c)

Autoimmune process

d)

Syndromic anomaly

CT showing multiple enlarged partly necrotic matted right cervical lymph nodes at level II, III and IV. (Images courtesy of PRC)

Answer Page 37 >>

August 2020 Western Articulator | adawa.com.au

35

WADA GOLF 2020 WADA GOLF 2020

NOVELTIES

The Maven Dental Joondalup Classic was held on June 26, on a beautiful winter’s afternoon, despite the ominous weather forecast for the day. Joondalup Country Club recently received two WA Golf Industry Awards (the Metropolitan Golf Course of the Year and Superintendent of the Year) and as expected the course was in great condition.

Ian McCarrey posted 41 points to win the day, followed by Russell Gordon and John Scully both on 38 points. Well played Ian. The next event will be one of our major events, the ADA Cup, a stroke event, to be held at Royal Perth on August 21, kindly sponsored by Dentsply/Sirona. Thank you Russell Redpath.

NEAREST THE PINS:

John Scully WADA Golf Captain 2020 dentistgolf@gmail.com

Dune 4th Hole Dentsply/Sirona V Baronas Dune 7th Hole Health Linc R Redpath

Lakes 3rd Swan Valley Dental Laboratory J Scully Lakes 8th Hole WADA Golf

R Gordon LONGEST DRIVE: Lakes 9th Hole WADA Golf Michael Welten

WA Dental CPD Program for 2020 is now in full swing! Book online adawa.com.au/cpd 36 August 2020 Western Articulator | adawa.com.au

CLINICAL PRESENTATION

Q&A

<< From Page 35

Dr Alissa Jacobs Oral Medicine Specialist

Answer: a, b and c: Infective, malignant or autoimmune process The appearance of the right neck nodes represented granulomatous lymphadenitis, which can be infective and noninfective in nature. FNA was arranged including flow cytology, histology, culture and sensitivity, to ensure nothing was missed given the appearance of the lesions.

A fine needle aspiration into the largest lymph node was arranged with results confirming a Non-Hodgkin lymphoma.

Immediate on-referral to haematology was arranged for the patient.

PET scan further diagnosed the patient with Stage IV lymphoma. She was started on R-CHOP chemotherapy regimen. This regime involves a combination of the drugs cyclophosphamide, doxorubicin, vincristine, and prednisone, with the addition of rituximab, a monoclonal antibody. The patient is currently still in treatment and responding well.

Quick elimination of a dental cause by her dentist and appropriate on referral to Oral Medicine as well as complete complement of testing of the aspirate has resulted in the patient receiving timely and ultimately live-saving care.

References available by email: alissa@pomds.com.au PET Scan showing multiple FDG avid lesions throughout the patient including the known neck lesions

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

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

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

August 2020 Western Articulator | adawa.com.au

37

Professional Notices

Dr Franc Henze

Dr Hezel-Barnett Cohen

Michael O’Halloran

FACEWORX/POMS

WESTERN PROSTHODONTIC CENTRE

SPECIALIST ORAL SURGERY PERTH

Specialist Prosthodontist

Additional practice location in Kalamunda

BChD (Stell), Cert.Clin.Dent (Kings), DCD Pros (Melb)

Dr Brad Shepherd is pleased to announce that Dr Hezel Cohen, Specialist Prosthodontist, has joined him in practice. Hezel is accepting referrals for fixed, implant and removable prosthodontics.

Michael O’Halloran will now be offering services at the Perth Hills Specialist Centre, 182 Canning Road, Kalamunda 6076. All bookings for specialist oral surgery and implant dentistry services are through Mediref or main rooms at Cambridge Periodontics.

All referrals are now to be sent to the rooms of Dr Franc Henze at 206 Hampden Road, Nedlands WA 6009.

64 Havelock St, West Perth 6005

174 Cambridge Street, West Leederville 6007

P: (08) 9321 1632

P: (08) 9388 3453

E: reception@wpc.dental

F: (08) 9388 3442

P: (08) 9344 3907

www.wpc.dental

E: specialistoralsurgeryperth@gmail.com

Dr Franc Henze of Faceworx is happy to announce that he has taken over Perth Oral & Maxillofacial Surgery (POMS) from Dr Clive Purcell. In order to provide continuity of care for his previous patients and referrers, Dr Clive Purcell remains available for advice if required.

Dr Franc Henze maintains Dr Clive Purcell’s former theatre list at Southbank Day Surgery.

F: (08) 9349 6224 E: info@oralsurgerywa.com.au

Dr Eman El Hassan

Dr Frank Chang

Dr Stephen Kwang

TAYLOR ROAD PERIODONTICS AND DENTAL IMPLANTS

SOUTH PERTH ORAL & MAXILLOFACIAL SURGERY

FLOREAT ENDODONTICS

Specialist Periodontist

Oral & Maxillofacial Surgeon

BDSc(Hons), BScDent(Hons), DClinDent(Endo), MRACDS(Endo)

Specialist Endodontist

BDS, DClinDent (Perio), MRACDS (Perio)

BDS, MBChB, FRACDS(OMS)

Taylor Road Periodontics and Dental Implants is delighted to announce that Dr Eman El Hassan, Specialist Periodontist, has joined Dr Jon Swain and the team. The practice welcomes all referrals for periodontal and dental implant treatment.

Current patients are welcome and invited to continue their periodontal management at the new premises.

Dr Frank Chang is pleased to announce that he has joined Dr Mario Alberghini and Dr Emma Lewis and the team at the South Perth Oral & Maxillofacial Surgery. Drs Chang, Alberghini & Lewis are also consulting in the Northern Suburbs in Joondalup. Please contact the South Perth rooms to make all appointments. Dr Chang is accepting referrals for all scopes of practices in Oral & Maxillofacial surgery.

Dr Stephen Kwang is pleased to announce the opening of a new branch clinic of Floreat Endodontics. Stephen welcomes new referrals for all aspects of endodontic treatment and continues to operate at Yokine Endodontics.

South Perth Oral and Maxillofacial Surgery 76a South Terrace, South Perth, 6151

www.floreatendo.com.au

Taylor Road Periodontics and Dental Implants 3/153 Stirling Highway, Nedlands WA 6009 P: (08) 63820 0699

P: (08) 9474 2133

F: (08) 6382 0689

F: (08) 9367 9114

E: admin@taylorrdperiodontics.com.au

www.omfs-southperth.com.au

www.taylorrdperiodontics.com.au

38 August 2020 Western Articulator | adawa.com.au

Unit 3, 434 Cambridge Street, Floreat 6014 P: (08) 9383 7400 E: reception@floreatendo.com.au

SOCIAL PAGES ADAWA GENERAL MEETING There have only been two ADAWA General Meetings this year. Fortunately, the timing of both meetings coincided with some relaxation of social distancing requirements.

March General Meeting 40th year badge recipients

Both meetings unearthed quality guest speakers, Dr Leticia Algarves Miranda (March) and Dr Maryam Jessri (July) as well enabling us to all celebrate member’s continuous ADAWA membership, including Dr David Booth (60 years), John Gasiorowski (50 years) and the ever-increasing number of 40 year members.

YOGA AT ADA HOUSE Lead by instructor Vanessa Smith, 15 ADAWA members recently stretched away their stresses during a yoga session at ADA House.

We are hoping we can make Yoga in the House a regular occurrence. Watch this space!

ADAWA NEW PRACTITIONER PROGRAM July General Meeting

Thank you to everyone who came along to July’s New Practitioner Program, and to Drs David Hallett and Robert Bower for presenting on ethical dilemmas in dentistry. We hope you also enjoyed our debate on the use of Articaine.

Don’t forget about the August NPP with Drs Melanie McAlpine and Sean Archibald. The next event will be held on August 5. http://adawa.com.au/event/adawa-newpractitioner-program/ Please note that the NPP events are strictly for dentists within 5 years of graduation for their dental degree.

Yoga at ADA House

NPP with Rob Bower presenting

See you then!

August 2020 Western Articulator | adawa.com.au

39

Check out our guide to SMSF Lending Facilitating commercial property loans through your Self-Managed Super Fund (SMSF), can yield significant benefits when executed correctly and when it is right for your particular financial situation.

We’ve designed our Guide to SMSF Lending as a starting point for you, providing clear and readily accessible information on borrowing from your SMSF and the key things you need to know.

1. Open your phone camera 2. Scan the QR Code 3. Download the guide!

Or visit www.credabl.com. au/2020/06/smsf-lendingguide/ to download

credabl.com.au 1300 CREDABL (1300 27 33 22) 08 6280 1255 Practice Purchase • Commercial Property • Goodwill Loans • Overdraft Facilities • Home Loans • Car Loans • Equipment & Fitout Finance • SMSF Lending The issuer and credit provider of these products and services is Credabl Pty Ltd (ACN 615 968 100) Australian Credit Licence No. 499547.