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Dr Gwen Chin ADAWA President
As we approach the end of the CPD cycle in November, it’s timely to reflect on the wealth of professional development opportunities ADAWA has to offer. Our members have the opportunity to access a diverse range of high-quality lectures and seminars, with 20 hours of CPD included free as part of their membership. These sessions cover a broad spectrum of clinical and professional topics, reflecting our commitment to supporting members in meeting their registration requirements and staying current in an everevolving profession.
August marked Dental Health Week, which was proudly celebrated by our Oral Health and Education Committee with a citybased event focused on raising public awareness about oral health. Their efforts, supported by a passionate team of volunteers, reinforced the important role we
CEO Trevor Lovelle President Dr Gwen Chin
play in promoting community oral health and the value of preventative care. Thank you to all involved for your enthusiasm and dedication.
As my term as President draws to a close, I wish to express my sincere gratitude for the honour of serving our profession in this capacity. It has been a privilege to represent our members and to work alongside such a vibrant and energetic Council. The collaborative spirit, strategic thinking, and shared commitment to our profession’s future have been a constant source of inspiration. I am confident that ADAWA will continue to thrive through the strength and dedication of its leadership and members.
Thank you again for the trust you have placed in me. It has been a deeply rewarding journey.
Editorial Brooke Evans-Butler Designer Michelle Walker Advertising Business Development Manager Shaden Kanaan
Trevor Lovelle
For the past 18 years, ADAWA has promoted MDA National (MDAN) professional indemnity insurance products to members under a formal agreement, which has remained largely unchanged over the years. This year, our Professional Indemnity Committee decided it was time to take a closer look at that arrangement and reassess the professional indemnity insurance product offering.
To ensure a thorough and unbiased evaluation, the Committee took the lead in appointing consultants Medical and General Risk Solutions – specialists in healthcare insurance and risk advisory –and providing them with a clear scope and direction for the review. Importantly, this scope involved taking a close look at the different indemnity insurance products on the market to make sure we were making fair and meaningful comparisons.
The review report confirms this arrangement continues to deliver strong value, with key findings reinforcing MDAN’s position as the preferred provider for our members.
The review highlighted that few alternatives match the depth of in-house dental claims expertise, legal support, and risk management services offered by MDAN. Additional benefits include:
• a strong healthcare focus, with genuine dental-specific expertise
• a direct insurer model that removes broker involvement and avoids commission costs, and
• low-cost, efficient claims and incident management, with minimal reliance on expensive panel law firms.
In relation to pricing, the review noted that MDAN has consistently offered market-competitive premiums over time, including a finding that in 2024/25, dentists in the largest YD4 category cohort benefited from notably lower premiums compared to other industry providers.
The review also cautioned that switching insurers based solely on short-term price savings can carry risks, particularly when the new insurer lacks the breadth of experience in managing complex healthcare claims and risks, and where immediate savings may not reflect the long-term reliability of coverage.
Additionally, the review highlighted that unlike commercial insurers, MDAN benefits from access to cost-saving mechanisms such as the Allied Health High Cost Claims Scheme, which contributes to maintaining affordable and competitive premiums for members. While MDAN’s product coverage is solid, the Committee strongly agreed that there is room to improve policy wording to match the broader coverage offered by some competitors. Consequently, the Committee has scheduled discussions with MDAN to consider potential improvements to policy wording that add further value for members.
The Committee continues to monitor the indemnity insurance market to ensure our members receive the best possible protection. While regular reviews will be part of our ongoing approach, we’re confident that maintaining our current arrangement with MDAN remains the right choice for our members at this time.
At some point, most businesses will face a false or negative Google Review. For a dentist, this can be particularly distressing, knowing that someone has decided to air a complaint publicly, rather than have it addressed directly with the practice.
Brooke Evans-Butler, ADAWA Media
Knowing how to respond — and whether you should respond at all — can go a long way to resolving the issue without causing further problems for your practice. We asked the experts for their advice.
The SEO specialists
Sam Driessen, SEO Specialist at Meta Creative, says how a practice deals with Google Reviews is important because of trust. “Potential patients may read your reviews, or look at your reviews compared to competitors, when deciding which clinic to go to,” he says. “They’re a strong indicator of your patient experience. Obviously, the more reviews and the higher your rating the better – both for getting new patients and for local SEO.
“But how you respond to negative reviews is an indication of how you’ll deal with issues or complications should they arise,” he adds. “By dealing with them promptly, professionally, and trying to resolve the issue, you’re showing this is how you’ll overcome challenges for future patients.”
Sam says firstly you should make sure the review is legitimate and doesn’t violate any guidelines.
“It’s not uncommon to see fake/spam reviews, or reviews for the wrong business, and getting these removed is fairly straightforward,” he says.
“I’d also recommend contacting the customer directly before responding to the review, if their Google Profile contains their name, you may be able to search your records to find their contact details. In the past I’ve been able to resolve the issue offline, and the customer has removed the negative review afterwards.”
Reeva Cutting, Google Ads and SEO Specialist, adds how a business deals with Google Reviews is in fact more important than the content of the review itself. “People reading reviews on Google will often look at the bad ones first, as a process of elimination trying to find a reputable business,” she explains. “However, we all know that there are plenty of Karens out there ready to slate any business that dares to not give them exactly
what they want when they want it, so many people turn to how the business responds to these reviews as a more accurate measure of the business and how it treats its clients. If you read a negative review, but the business responds with clarity, kindness and professionalism, this is often enough to show that the business cares about its reputation and client satisfaction.”
Has your practice received a Google Review that is fake or unjustified?
Sam says while there is no potion to remove the review directly, you can report it to Google (then it is ultimately up to them if the review is removed or not).
“If the review is unjustified, I’d always recommend reporting it,” he says.
“This used to be a tiresome process that rarely worked, but in recent years Google has made it far simpler to get reviews removed.”
He recommends the following steps
1. Users with Owner or Manager access will receive an email when a new review is posted. If not,
search for the business name/ location, click reviews and sort by “newest” or “lowest” to highlight what reviews you should try and remove.
2. Start the review process by clicking the icon on the right, then click “report review”. (Note: The icon can sometimes be an exclamation mark, other times three dots).
3. Choose the most appropriate reason to report the review. Off Topic or Spam are normally the most applicable. More serious matters like Bullying, Discrimination or Hate Speech have a higher success rate, however I’d never recommend misusing these.
4. Click “Submit”.
5. You should receive an email within a few days, stating if the review has been removed or retained.
Don’t be afraid to report the view from multiple accounts. Report it from the account that controls the Google
Business Profile, but you can also report it from your personal google account.
• Google Maps has a usercontribution system called Local Guides, if your contributor score is higher your feedback is generally more trusted.
• If a large number of users report the same review, it has a higher chance of being removed.
• It might take more than one attempt to get a review removed, don’t be scared to report the review more than once for different reasons.
• For more serious cases, there is a “Legal Help” link at the bottom of the “Report A Review” page. This allows you to submit a more thorough review with legal implications.
Sam’s recommendation of links to bookmark*
• This tool also allows you to report reviews on your profile, however it also allows you to check the status of recent reports.
• Some examples to use as a starting point when responding.
• Some great stats on why responding to reviews is so important.
• Google’s prohibited content guidelines - to quickly check if there’s grounds to have reviews removed.
• Podium and Brightlocal both have tools to help get more reviews and manage existing reviews. They’re not required by any means, but can simplify things.
Reeva says the biggest mistake she sees is ignoring reviews completely - good or bad. “Got a great review? Reply and thank them for taking the time to review you,” she advises. “Most people will only leave reviews for bad experiences, not good ones. It's so much harder to build good reviews than bad ones, so thank each and every person for leaving you a Google review. Got a bad review? Review it and respond ASAP. Nothing smacks more of apathy to your clients than a business that ignores its bad reviews!
“Another big mistake I see far too often is people who pay for fake 5 star reviews to try and cover up the negative ones,” she adds. “As much as people can see through fake bad reviews, they can also see fake good ones a mile away! A local pizza shop opened near me recently and had a great reputation at other locations. Within a week, they had several poor reviews for their food and service. Their course of action? Pay for about 200 new good reviews from Italian sounding profile names, often just a few words, or saying the same thing! 200 new reviews in a week is clearly spammy. They also responded to the negative reviews with a lot of attitude
and sass, which completely turned me off as a client. If you're willing to publicly speak to people that have supported your business that way, that's not somewhere I'm spending my hard-earned dollars.”
It’s never nice to see something unfavourable about you online; and if this comes in the form of a Google Review, it can be a knee-jerk reaction to want it to disappear. However, Enore Panetta, principal at Panetta McGrath, points out there is a difference between a negative review and a false review.
“Negative reviews can be an inevitable part of doing any type of business,” he says. “Some would regard it as an opportunity to receive feedback and to improve on patient experience. Some negative reviews can also reflect a legitimate grievance and shouldn’t be dismissed.
“On the other hand, false reviews are different,” he adds. “False reviews or reviews where inappropriate language has been used can carry legal consequences for whoever has posted the review.”
If a review has been posted that you believe is false, Enore recommends seeking legal advice or advice from ADAWA. “If the review is false, it is worthwhile checking the guidelines
of the platform,” he advises. “These platforms generally have content guidelines, and you can flag the inappropriate reviews for the platform to review or remove it.
“ADAWA and their legal advisers or your personal lawyer may be able to help you draft a letter to the platform asking for the false review to be removed. If the reviewer is able to be identified, a letter could be sent to them privately asking them to remove or change the review. Generally, you should seek advice from ADAWA or your lawyer just to check those letters and that they are sent in the right tone. Sometimes they can only serve to escalate matters.”
Although tempting to respond to a hostile review, Enore advises caution. “If you are going to respond, a comment in very general terms is probably the best approach,” he says. “This should be limited to something along the lines of not considering the comments to be accurate and that any concerns regarding the services provided should be addressed to the practice or the dentist directly.
“You don’t want to be responding when you’re angry,” he adds. “If you are able to respond in a measured way and in a way where you demonstrate some willingness to take on feedback, then that would be the best way to respond. You also want to be careful not to inadvertently breach
patient confidentiality or privacy. Again, you probably want to seek some legal advice or have ADAWA or your personal lawyer review what is going to be posted in reply.”
“It is important to bear in mind that any discussion about patient treatment in a public forum may be a breach of patient confidentiality, and these can potentially result in complaints being made to the Australian Health Practitioner Regulation Agency (Ahpra) or the Office of the Australian Information (and Privacy) Commissioner and/or other regulators. It is always useful to seek legal advice before responding.”
He says there is also the option of not responding. “Sometimes I think, as difficult as it is, to not take it personally and try to rise above it.” he says.
Does the review classify as defamation? Enore says for a Google Review to be classified as ‘defamatory’ the comments have to published to at least one other person and has to harm the reputation of the dentist or business in the eyes of the public.
“There have been some recent cases in Victoria and New South Wales where clinicians were successful in pursuing individuals for defamatory reviews”.
However, he does not recommend jumping to sue.
“Defamation proceedings are a very big step. They are a complex, time consuming and expensive matter.
Before you take this step, you should seek legal advice to understand what is involved, and the benefits and risks. There is always the risk that an unsuccessful party will also be ordered to pay the other party’s legal costs which can be significant.”
“Actions for defamation are generally quite rare and can be difficult to establish”. “There is also the possibility that the individual defending the proceeding may argue defences such as ‘truth’ or ‘honest opinion’.”
Enore adds there is a risk that by launching an action in defamation, you bring even more attention to the negative review, particularly if there is media coverage.
“There was a case reported in The Age newspaper where a Melbourne dentist took defamation action against a patient who had posted a scathing online review about the quote he received for a filling and gave the practice a 1-star Google Review rating,” he says.
“The post said something along the lines of: ‘The greedy owner drives a Bentley, brags about his private box at the footy, yet his motto is we see things from the patient’s perspective.’
It went on to say, ‘The only thing this guy sees is the size of your wallet.’
“The dentist claimed that as a result of the review, he had suffered damage to his reputation. However, the media attention that the dentist received probably ended up bringing far more attention to these comments than they otherwise would have received.
In other words, suing for defamation might actually increase the damage caused by the review.”
On the other hand, if you receive a positive review from a patient, some practitioners may rely on the review to promote their practice.
However, Enore says that “it is also important to bear in mind that Ahpra has strict guidelines in place for advertising health services. The National Law imposes obligations on health practitioners to ensure that health related services are advertised appropriately and accurately. It may be appropriate to seek advice from a lawyer or ADAWA before relying on the contents of a review to promote your practice to ensure it is compliant with Ahpra’s guidelines and the National Law.”
Dental Board of Australia Chair Dr Simon Shanahan, says: “While the Board understands that practitioners may wish to promote their services through patient reviews, they have a responsibility to ensure that advertising complies with the National Law and the Board’s Guidelines for advertising a regulated health service, such as the ban on testimonials about clinical aspects of the care provided. Practitioners need to be fully aware of the guidelines and the National Law, and to use caution to avoid any breaches."
A spokesperson for Ahpra and the DBA advises: “Practitioners who provide an online response to patient reviews, such as Google Reviews, are at risk of breaching Section 133 of the Health Practitioner Regulation National Law. Practitioners can engage with patients offline to address concerns raised in reviews. Practitioners should also consider whether their actions are consistent with their code of conduct and Australian Consumer Law.”
Section 133 of the Health Practitioner Regulation National Law prohibits the use of testimonials in advertising for regulated health services.
The National Law does not define ‘testimonial’, so Ahpra and the National Boards have adopted its ordinary meaning of a positive statement about a person or thing. In the context of the National Law, testimonials are recommendations or positive statements about the clinical aspects of a regulated health service used in advertising.
Not all reviews or positive comments made about a regulated health service are considered testimonials. For example, comments about customer service or communication style that do not include a reference to clinical aspects are not considered testimonials for the purposes of the National Law.
A clinical aspect exists if one of the following is expressed:
• Symptom – the specific symptom or the reason for seeking treatment.
• Diagnosis or treatment – the specific diagnosis or treatment provided by the practitioner.
• Outcome – the specific outcome or the skills or experience of the practitioner either directly or via comparison.
Further, 4.3.3 of the Advertising Guidelines states that a regulated health service provider should take care if they choose to engage with reviews on a third party site as this may be considered using a testimonial to advertise a regulated health service.
Ahpra and the National Boards have published Guidelines for advertising a regulated health service. Separate guidelines for advertising higher risk non-surgical cosmetic procedures come into effect on 2 September.
The advertising hub also has a specific page to help practitioners understand the requirements regarding testimonials.
The ACCC also provide advice regarding online product and service reviews. From 4.3.1 of the Advertising Guidelines.
*For links mentioned in this article, please view the digital version on our website - adawa.com.au.
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Dr Vincenzo (Vince) Figliomeni has been working with the Royal Flying Doctor Service Western Australia to bring dental care to where it is needed. We spoke to him about the experience.
Vince was working at Perth Children’s Hospital when he noticed patients with some of the most severe cases in terms of rampant caries that were presenting were from rural and remote regions, in particular, the Kimberley. Vince says it piqued his interest.
He saw an opportunity to work with the Royal Flying Doctor Service WA just prior to COVID, and when restrictions were lifted, he did his first stint. Five years later, he has travelled to Kununurra, Derby, Halls Creek, Wiluna,
Warburton and Newman with the service (for 1-2 weeks at a time, usually 2-3 times a year), to bring dental care to these remote areas. Treatment is undertaken within the Aboriginal Medical Service clinics – with Vince attending with a Dental Assistant.
“We see rampant caries, abscesses, and children and adults who have been in pain for months –sometimes years,” he says.
“It is common to perform extractions for relief of pain,” he adds. “We also do general checks and cleans, as well as restorative treatment.”
Vince says the experience has been very rewarding. “It is an eye opener,” he says. “It is one thing to hear about these things – it is another to go out there and do something about it.
“It is nice to try to change the world but realistically the issue is so complex and multi-faceted that if you can change one person’s quality of life – sometimes that is a good outcome.”
Vince adds that quite early in his stints with the Royal Flying Doctor Service, he identified the lack of treatment availability for paediatric cases with multiple lesions.
“Ultimately, I did a Ministerial submission to the Health Minister at the time, which resulted in the establishment of the Kimberley Referral Pathway, where DHS does GA treatment in the Kimberley Hospitals for paediatric dental
cases. The submission was in 2021, and the pathway was implemented in the next year.”
To a dentist considering looking into opportunities with the Royal Flying Doctor Service, he says to go for it, adding exodontia experience is advisable.
For information about working with the RFDS, visit their website. www.flyingdoctor.org.au/wa/ workwithus/your-career-rfds-wa/ join-our-dental-team
By Dr Melanie McAlpine, ITI Fellow & Regional Co-Ordinator
Dental implants have transformed modern dentistry — and with over 250,000 implants placed annually in Australia, there’s never been a greater need for trusted, evidencebased guidance in this evolving field. That’s where the International Team for Implantology (ITI) steps in.
Founded in 1980 by pioneers and innovators, including Professor André Schroeder, the shared goal was to create a collaborative platform merging scientific research, clinical expertise, and education, underpinned by evidence-based principles. Since that time the ITI has grown into one of the most respected implant education organisations in the world. It spans more than 100 countries, includes over 23,000 Members and Fellows, and operates on a simple premise: that science, education, and collaboration should underpin clinical practice.
Independence from commercial influence. World-class educational resources. A strong emphasis on mentorship and collegiality. Whether recent graduate or seasoned implant clinician, the ITI offers opportunities to learn, share, and grow in a trusted professional network that spans the globe. Members of the ITI gain access to study clubs, evening seminars, online modules via the ITI Academy, global congresses, and the respected ITI Treatment Guide series. But it’s the people — not just the perks — that make the difference.
Becoming an ITI Fellow isn’t just about ticking clinical boxes, it is about giving back to the profession and supporting peers through teaching, mentoring and research. This long-term commitment is acknowledged in the ITI by the denotation of Fellow (FITI).
Dr Wendy Gill, a Fellow for over a decade, says it best:
“I joined the ITI as a postgraduate student and was immediately welcomed by passionate, intelligent people who cared deeply about doing the right thing for patients. Founding the Perth Central Study Club has been one of the most rewarding things I’ve done — it’s built a real community of shared learning.”
For Dr Janice Kan, Fellowship evolved naturally:
“It’s about consistency — showing up for your colleagues, your profession, and the next generation. Our depth of experience allows us to support each other and ensure implant dentistry remains ethical and excellent.”
Dr Emma Lewis adds:
For me, it’s about the personal relationships. The ITI isn’t just about education — it’s about connection. It’s a global family of people who share values and want to grow together. Being a Fellow has helped me feel more supported and made giving back even more meaningful.”
The WA Story: Small State, Big Impact
Western Australia might be geographically remote, but it continues to “punch above its weight” in the ITI. From internationally recognised leaders such as Professor Lisa Heitz-Mayfield — the first Australian and first female to receive the title of Honorary Fellow — to the leadership of Drs Fritz Heitz, Adam Hamilton and Janice Kan representing the Australasian level, WA’s influence within the ITI is global.
In fact, the Australasian section was recently named ITI Section of the Year at the Global Symposium in Paris — a reflection of the region’s commitment to excellence,
collaboration and innovation in implant education. Dr Adam Hamilton has now been promoted to the ITI global leadership team. This provides even greater opportunity for the Western Australian dental profession to benefit from internationally recognised implant educators and researchers visiting our state.
The future of the ITI in WA looks bright. With a strong and generous network of Fellows and Members, we remain focused on supporting each other, mentoring new clinicians, and promoting a culture of evidencebased care.
At its core, the ITI is about more than just implants — it’s about people working for the benefit of patients. People who believe in science, who value integrity, and who are willing to invest their time in others. And that’s a team worth joining.
The ITI’s mission is to promote and disseminate evidencebased knowledge in implant and reconstructive dentistry. There are four core areas, most of which are accessed free of charge under one annual membership fee: Education and Continuing Professional Development Research and Scientific Advancement Publications and Resources Community and Mentorship
Fellows of the ITI in Western Australia, your opportunity to connect
• Professor Lisa Heitz-Mayfield
• Dr Fritz Heitz
• Dr Adam Hamilton
• Dr Wendy Gill
• Dr Janice Kan
• Dr Emma Lewis
• Dr Melanie McAlpine
• Dr Armand Putra
By Dr Elizabeth (Libby) Day
My love of all things equine began when I was 8-years-old, and was introduced to an old horse, called Action, on our close family friend’s farm in the Wheatbelt where we holidayed every year. I was taught how to sit in the saddle and hold the reins, and, for my own safety, was given permission to ride old Action in the sheep yards only. I opened the internal wooden gates to convert three small yards into one bigger one and practiced all day long how to trot and canter. I was addicted. Each year as I grew up my riding improved and my money box, labelled “Horse Money” slowly swelled so that by the time I was 12, I was allowed my own pony, a Welsh mare
called Cindy that I purchased from my cousin. Cindy and I adored each other, and she remained with me until she died of old age 20 years later at the age of 32. We went to Pony Club once a month, local gymkhanas, and raced with friends on the local Oval. I was 15 when my late Father was ill with a terminal brain tumour, and Cindy was my confidante and provided me with comfort.
As I was a dental student in the late 1970’s, my riding had taken a back seat due to the pressures of university and study. I therefore explored breeding with Cindy, and subsequently with her daughter, Allegro. One memory I have is in Final Year. I was working on a patient
in Clinic and the reception called over the intercom for “Miss Day to come to reception for a phone call” (remember there were no mobile phones in the 70s). I took the call, and it was my mother on the phone saying Cindy had just given birth. I jumped up and down telling anyone who would listen: “I have just had a baby!" Obviously, there were a few confused faces.
The first six years of my dental career were as a full-time Dental Officer with Australian Defence Forces (Army). I spent three years at bases in the Eastern States then was posted back to the Perth Army base at Karrakatta where I worked until I set up private practice in the Hills of Perth a few years later. I could then resume my interest with my equine hobby, although marriage, children, and running my practice took priority. I did however introduce my children to the pleasures of riding and Pony Club when the time was appropriate. With dentistry being a fine motor skill with focused concentration, getting out in the field with animals provided me with a wonderful diversion.
Due to life rolling on, children growing, challenges with my marriage, and dentistry taking much more priority, I sold or moved my horses on (except Cindy), and was content with my other hobbies of classical music and gardening. I then met my now husband, Prof Albert Tan, in 2008 and he introduced me to cattle breeding (see Western Articulator Ed 8 2024). I threw myself into the Dexter Cattle Society and our highlights were many successes in Cattle Showing for eight consecutive years at The Perth Royal Show with our Stud Cattle.
We live in the beautiful Chittering Valley with our cattle and garden but when I “retired” from private practice in 2021, I spent time in the UK with my daughter and son-inlaw and their new baby. (I have now gone back to working in private one day a week). Driving through the countryside of England and Wales with my daughter only served to reignite my passion for the beautiful Welsh Pony breed, and so on return to Perth after my trip, I purchased two pure-bred Welsh Ponies from two Eastern States Studs, so I could dabble once again in breeding. I reinstated my Stud name, Arfryn Park, from years ago, into the Welsh Pony & Cob Society of Australia. Welsh Ponies are known for their versatility and quiet temperament. There are four ‘types’ of Welsh Ponies:
1. Welsh Mountain Pony (no higher than 12hh), Section A
2. Welsh Pony (12hh to 13.2hh), Section B
3. Welsh Pony of Cob Type (12hh13.2hh but heavier build), Section C
4. Welsh Cob (higher than 13.2hh and a heavier build), Section D.
One hand equals 4 inches, so 12 hands high (hh) equals 48 inches, and is measured at the wither, just in front of where a saddle would sit. According to historical records, the Welsh Pony was first imported into Australia in the early 1800s. They were excellent work horses, with a history of working in the coal mines in Wales. In modern times, they are excellent sport horses, excelling at showjumping, dressage, children’s mounts, and carriage driving.
We own and breed Section B Welsh Ponies but also own a beautiful Welsh Mountain Pony for the grandchildren to ride and Show.
Albert, only being familiar with the bovine breed, was rather alarmed with my new purchases. To placate him I informed him they were just like cattle – four legs, a head, and they eat grass. He now realises I was not entirely truthful! Anyone who owns ponies or horses will know they are much more vulnerable to incorrect feeding, or poor fences. Cattle will tolerate loose wires or a hole in the fence and shake themselves free, horses however freak over a wire and if they get their hoof caught in a fence will just about kill themselves getting free. He now knows the meaning of stress colic, sand colic, impaction colic, laminitis, and Equine Metabolic Syndrome. He knows vet costs can be significant, and horsey gear belongs to a whole other industry that knows no bounds. He also knows though the deep love and affection ponies and horses can return to you, more so than ambivalent cattle. My (and our) life has been enriched enormously once
more with the satisfaction of seeing a new foal on the ground, then being rewarded in the Show Ring that this foal is structurally correct and earns a blue ribbon. Breeding involves searching for the correct stallion to compliment the mare’s attributes, and can be very satisfying when you see the result grow. We have met new horsey friends and while I return to bush rides on my daughter’s mount, Albert will accompany me by riding in the carriage being driven by our neighbour.
Albert loves feeding our four ponies each morning and now that we have introduced our granddaughters to riding, he is a very proud Grandfather as he observes them be bitten by the Equine Bug. This year we will commence the Pony Club journey with our three- and six-year-old granddaughters. Am I living my dream through them? Absolutely!
Do you have a hobby outside dentistry? Email Brooke from the media team at brooke@adawa.com.au
COURSE OUTLINE
This workshop will look at a range of traditional, and not so traditional approaches to restorative management of the ageing dentition. The workshop will also provide participants with hands-on exercises on minimally invasive conservative restorative techniques that provide cost effective and efficient options for managing the older patient.
Learning outcome
• Protecting exposed root surfaces – reducing sensitivity and improving aesthetics
• Root surface caries – is it manageable?
• The hopeless tooth – to restore or extract?
• Techniques for the deep interproximal posterior restoration
• Fibre reinforced restorations - for compromised and missing teeth
• And more
ABOUT THE PRESENTER
Professor Ian Meyers is a general dental practitioner in Brisbane Australia, and an honorary professor at The University of Queensland School of Dentistry. Professor Meyers has over thirty five years of combined experience in dental research, clinical dentistry, private practice, university clinics and hospital based dental clinics. He is a Fellow and Board Member of the Royal Australasian College of Dental Surgeons and of the International College of Dentists and is a Fellow of the Academy of Dentistry International and the Pierre Fauchard Academy. In 2017 he received the Order of Australia Medal for services to dentistry, to professional associations, and to tertiary education.
As a general dental practitioner, Ian Meyers has extensive experience in comprehensive patient care and has a special interest in diagnosis and management of worn and broken down dentition, geriatric and aged care dentistry, adhesive restorative dental materials, fibre-reinforced composites, and the management of patients through minimum intervention dentistry.
Ahead of his Essential Endo course on Saturday and Sunday October 18 and 19th in Perth, we caught up with Dr Omar Ikram.
Early in his career Omar realised that there was a vast need in the community for dentists who were proficient in endodontics. At this time, he also realised that there was a need for educational courses in endodontics, due to the wide variation in the understanding of the procedure between dentists.
“To gain clinical experience initially I decided to take on simple retreatment cases, which avoided needing to refer these to a specialist and slow down the overall treatment plan,” he recalls. “As I took on these cases my experience started to grow, and I started receiving referrals from the other 9 dentists at the practice.”
To fulfil these two passions, Omar decided to undertake specialist training. He completed his fellowship for the Royal Australasian College of Dental Surgeons and began specialist
training at King’s College in London, UK. After completing specialist training Omar moved to Sydney and currently runs a specialist endodontic clinic. He supplements his time in the clinic with travelling locally and internationally teaching dentists not only how to perform root canal treatment to their best ability, but also how to achieve the goals they want out of their career.
“The best part about teaching is to be able to help dentists who have all the same problems as I did, then empower them to overcome these, as my mentors did when I was learning–and that is really fulfilling,” Omar says.
It is clear Omar loves sharing his passion for endodontics with others.
“I like being able to take someone from a place where they are scared to take on simple cases, to the stage where they actually look forward
to treating them,” he adds. “The other thing that has happened over the last 8-10 years is that many of the dentists I have taught online through social media and at hands on courses have gone on to specialise, that is quite fulfilling. Giving back to others is in fact what gives us most fulfilment in dentistry. We all started as health professionals to help others and we should never ever lose focus of this in our career. The obvious way to help others is through treating patients and empowering our practice dental team. But now we have the online platforms to be able to do this globally.”
Omar will be coming to Perth in October to teach the ‘Essential Endo’ course. “The course is designed primarily with dentists who have had minimal clinical experience,” he says. “It is designed for new graduate dentists, dental students and also for dentists who largely provide cosmetic dentistry, but want to learn some simple tips and tricks.”
“The idea is to empower these dentists to be able to do some endodontics. The course represents the first steps of learning endodontics in the real world. It focuses on how to provide emergency care to patients and become proficient in simple endo cases. Dentists who attend will also be able to understand the differences between two motor driven instrumentation systems and get to use them in a hands-on setting. It is a deep dive into the foundations of endodontics, but also in broad enough detail so that there is something for everyone.
“At the end of the day, all dentists need to know something about endo,” he says. “All dentists have to treat patients in pain occasionally, whether it is someone who has had a deep restoration done and they have a pulpitis, or a cracked tooth, you need to know how to get them out of pain even if you are going to refer the case. The endodontist generally isn’t available on the day of the emergency.”
Dr Omar Ikram will be presenting the two-day Essential Endo course on October 18 and 19. To book go to our website, cpd.adawa.com.au
What three words best describe you? Pragmatic, Punctual and Inquisitive.
If you weren’t an endodontist, what would you be doing for a living?
I think I would have been a general medical surgeon. What do you do in your spare time?
I spend a lot of time with my family, and I spend time fitness training. I also am a big fan of music – including attending concerts of all types of music genres from classical, opera to heavy metal and modern pop.
Is there anything about you that people might find surprising?
I was lucky enough to attend the Live Eight concert in Hyde Park in 2005 and see Pink Floyd the final time they ever played live.
What’s on the horizon for you?
This year there is going to be a lot of courses around Australia and hopefully some international ones as well.
I will also be doing more work on the Endo Prep app, which I co-created with Assoc Prof William Ha during the pandemic. It would certainly help attendees of the course to download the app. The app is a free tool which helps pre-plan cases.
COURSE OUTLINE
The purpose of this course is to demystify endodontics over two days, so that attendees improve their confidence in root canal treatment. This course will involve hands on training first using plastic blocks to get used to simplified two preparation systems (ProTaper ULTIMATE and Wave One Gold) and then graduating to extracted teeth, with both systems. Warm gutta percha obturation techniques will also be explored. In addition to lectures on preparation and filling techniques, there will be lectures on treatment of endodontic pain and complications in endodontics..
Topics include
• Hands on training using plastic blocks and the latest endodontic equipment
• The opportunity to use microscopes
• Filling canals using the latest techniques
• And more
ABOUT THE PRESENTER
Dr Omar Ikram was born in Christchurch, New Zealand and attained his Bachelor of Dental Surgery qualification from Otago University, Dunedin. After graduation Omar worked in private practice in New Zealand and then moved to London in the UK where he attained significant experience in endodontics.
In 2005, he completed his Fellowship of the Royal Australasian College of Dental Surgeons and began specialist training in Endodontology at King's College, London. His groundbreaking research at King's, entitled 'Micro-computed tomography of tooth tissue changes following root canal treatment and post space preparation' was published in the International Endodontic Journal during his final year. This research has enabled him to lecture in the United States of America, the United Kingdom, Australia and Malaysia.
By Dr Shahrzad Nazari
The endodontic treatment of teeth with severely calcified canals presents a clinical challenge. While advanced technologies like cone-beam computed tomography (CBCT) and guided access techniques can be valuable aids, successful outcomes are still achievable through careful clinical assessment, meticulous technique, and a thorough understanding of root canal anatomy using traditional methods. This case report describes the successful management of a severely calcified root canal in tooth 21 without relying on CBCT or guided access procedures.
A patient presented with tooth 21 requiring endodontic intervention. Clinical examination revealed coronal discoloration in the absence of decay or filling. The patient reported intermittent pain and sensitivity to percussion sporadically, which eventually progressed to a severe episode of pain that disrupted sleep and made biting on the tooth difficult. This acute exacerbation prompted the patient to seek dental care. The tooth was diagnosed with necrotic pulp and possibly infected root canal system, along with acute primary apical periodontitis, likely due to cracks. The patient's history also suggested the possibility of bruxism, which may have contributed to the propagation of these cracks.
Preoperative periapical radiographs revealed a severely calcified root canal system. The canal outline was barely visible, indicating significant narrowing of the canal space.
Following administration of local anesthesia and application of a rubber dam, access cavity preparation was performed. Careful exploration of the pulp chamber using endodontic explorer under magnification was employed to locate the canal orifice.
Negotiation of the calcified canal was achieved using small-sized hand files and irrigation with chelating agents. Canal patency was established, and working length was determined using an electronic apex locator and confirmed with radiographs. The canal was then prepared using a combination of hand and rotary files. Copious irrigation with an appropriate irrigation solution was performed throughout the procedure.
The canal was obturated with a suitable obturation technique and materials. A post-operative radiograph was taken to assess the quality of the obturation.
The patient was recalled for follow-up appointments at specified time intervals. At each visit, the patient was asymptomatic, and clinical examination revealed no tenderness to percussion. Radiographic examination showed resolution of periapical radiolucency.
This case demonstrates that successful endodontic treatment of teeth with severely calcified canals is possible without the routine use of CBCT or guided access. Careful interpretation of periapical
radiographs, a thorough understanding of root canal anatomy, meticulous clinical skills, and consideration of contributing factors like potential bruxism are essential. While CBCT can provide valuable threedimensional information and guided access can aid in locating canals, these technologies are not always necessary. In this case, the clinician's ability to carefully navigate the calcified canal using traditional techniques resulted in a positive outcome. The potential role of bruxism in the development or propagation
of cracks further emphasizes the importance of a comprehensive patient history and clinical assessment.
This case highlights that while advanced technologies have a role in endodontics, fundamental clinical skills and a systematic approach to treatment, including the consideration of parafunctional habits like bruxism, remain crucial for successful management of challenging cases, such as those involving severely calcified root canals.
By Dr Colm Harney, Dentolegal Consultant, Dental Protection
To set the scene, in a news article, as far back as mid-2023, the Australian Health Practitioner Regulation Agency (AHPRA) signalled that proposed new resources for practitioners undertaking and advertising cosmetic procedures were being developed to safeguard the wider non-surgical cosmetic procedures industry. They advised that the National Boards, including the Dental Board of Australia (DBA), would be consulting on the proposed new guidelines.
The Public Consultation had a declared focus on “reforming the regulation of registered health practitioners who work in the non-surgical cosmetic procedures sector in Australia to improve practice and standards, improve public safety, and provide opportunities for more informed consumer choice.”(1)
The AHPRA news article states something that we as clinicians intuitively know from our training and experience – “while cosmetic dentistry can positively impact many people’s lives, the DBA warns that procedures such as tooth veneers can be major life-long undertakings that are not risk free”.
It goes on to say that “Practitioners must ensure patients are provided adequate time to properly consider the impact of cosmetic procedures, that realistic expectations are set, and that informed consent, including financial consent, is gained.”(2)
The consultation period has ended and at the time of writing, the AHPRA and National Boards have published advance copies
of the Guidelines for practitioners who perform non-surgical cosmetic procedures and the Guidelines for practitioners who advertise higher risk non-surgical cosmetic procedures, which come into effect on 2 September 2025.(3)
To provide some context, between September 2022 and March 2025, AHPRA investigated about 360 notifications related to non-surgical cosmetic procedures with about 300 of these now closed. Complaints about these cosmetic procedures can lead to regulatory action like cautions, conditions imposed on registration or an undertaking from the practitioner to do or not do something.(3)
Rest assured that Dental Protection will provide comprehensive and current resources to help our members understand and navigate these new guidelines, so they can continue to practice safely in the best interests of their patients, while at the same time ensuring that they remain compliant with the new guidelines.
Resources can be accessed through the Dental Protection Australia website and include a recent webinar, podcasts and articles. We will continue to monitor the situation and provide updates as needed to keep members informed.
According to AHPRA, the new practice guidelines bring all registered health practitioners in line with medical practitioners, who already have their own guidelines. They also remind practitioners of their obligation to put patient welfare
first and foremost with the prescriber remaining responsible for patient care.(3)
The changes are broad and cover many aspects of practice including:
• Patient assessment (which includes an expectation to screen for suitability of treatment)
• Consent, including particular rules for under 18s
• Scope of practice – education, training and competence in the relevant field
• Guidelines on prescribing
• Consent around use of images
• Management of the patient including appropriate after care
• Financial arrangements
• Advertising
There is a particular emphasis on advertising – according to AHPRA, the advertising changes include a focus on higher risk procedures, requiring advertisements to contain information about the practitioner performing the procedures, strengthening the ban on the use of testimonials from social media influencers and putting measures in place to stop the trivialisation or sexualisation of a cosmetic procedure.
Those under the age of 18 considering non-surgical cosmetic procedures will have a mandatory seven-day cooling off period between their first consultation and any procedures, while advertising aimed at under 18s will be totally banned.
AHPRA CEO Justin Untersteiner, commented that “this industry relies heavily on having a social media presence, so practitioners have been put on notice that their advertising must comply with the new guidelines when they come into effect later this year”.(3)
In summary, these guidelines are a significant update in how the non-surgical cosmetic sector is to be regulated.
AHPRA highlight the statement of Adjunct Professor Veronica Casey AM, Chair of the NMBA – “No practitioner should put their bottom line ahead of patient welfare, and these guidelines place the focus squarely on the safety of those in their care”.(3)
This is a strong signal to any practitioner working in this space to review the new guidelines and pay particular attention to all areas impacting their patient care, both clinical and non-clinical.
As always, if you have any questions, please feel free to review the resources available or contact one of our advisers who would be more than happy to help.
1. https://www.dentalboard.gov.au/News/PastConsultations.aspx
2. Australian Health Practitioner Regulation Agency - Cosmetic procedures by dental practitioners are not without risk
3. Australian Health Practitioner Regulation Agency - Booming billion-dollar cosmetic industry on notice with new cosmetic procedures guidelines
A huge congratulations to Dr Lena Lejmanoski who was awarded a Distinguished Service Award at July’s General Meeting. Dr Andrew Heap was also awarded a Distinguished Service Award but was unable to attend last night so will receive his award at the General Meeting in September. We will be featuring stories about Dr Lejmanoski and Dr Heap’s contributions to the profession in an upcoming edition of the Western Articulator. Watch this space! Congratulations also to Dr Thomas Peacock who was due to receive his 50-years of continuous membership badge (who was unable to attend last night). A big thank you to Dr Vincenzo Figliomeni who presented a lecture on: The far reaches of WA – remote oral health care with the Royal Flying Doctor Service.
Thursday 23 October
Join us at the Annual General Meeting, with a lecture to follow by registered specialist prosthodontist Dr Rachael Hogen-Esch, who will be presenting – Pros Hacks: Tools, Tips & Techniques That Save My Sanity.
ADA House 54-58 Havelock St West Perth
6.15pm Eat and Meet
7.15pm Meeting Followed by Lecture
RSVP to adawa.com.au/adawa-general-meetings
Country members ONLY who would like to join via Zoom, please email: adawa@adawa.com.au
We are thrilled to welcome Dr Tony Poli to the ADAWA team as the inaugural ADAWA Peer Advisor. Dr Poli will be assisting members in navigating complex industry challenges including Ahpra policies, DBA regulations, dental procedures, professional indemnity insurance, private health fund audits and more. Dr Poli brings a wealth of experience to the team as a Past President of ADAWA, respected General Practitioner and was involved in delivering Dental Protection risk management workshops. The ADAWA Peer Advisor role complements the suite of member services available to our highly valued members.
ADAWA Peer Advisor contact: tony.poli@adawa.com.au
The Kimberley Dental Team memoir, Outback Dental Adventures – was officially launched at an event in early August. This book chronicles the many stories, challenges and triumphs of the KDT – it is a wonderful read. You can order your copy at the Kimberley Dental Team website: www.kimberleydentalteam.com or email janowen@h-e-c.com.au for alternative payment and delivery options. Some copies are also available at ADA House.
Dental Health Services (DHS) - the largest public dental service in Western Australia - delivers excellent, patient-centred oral health services to children, adults, people with special needs and other priority populations across our vast state. DHS also offers “working holiday” opportunities - short-term locum-type engagements - for experienced dentists and oral health therapists, to join this important work based at one or more of our clinics in Western Australia’s incredible regional centres. Please contact DHS.Careers@health.wa.gov.au for further information.
A huge thank you to CommBank Health, who sponsored our latest General Meeting. It was great to see the CommBank Health team connecting with our members. Kristy Yow spoke about an overview of financial life stages for a Dentist. CommBank Health also provided a door prize for a lucky attendee. To find out how the CommBank Health team can assist with banking for healthcare professionals, visit commbank.com.au/health.
Some of our dentists recently did a different type of flossing – Flossing their finances! Smith Coffey’s Chris Ninyett and Marcus Parkinson gave an insightful presentation covering essential tax strategies, tips for managing cash flow and insights into property and finance solutions. The lucky winner of the raffle (provided by Smith Coffey) was Grace Ng. Congratulations!
“Kang represented my interests long after the initial offer was accepted. He used his clinical knowledge and corporate business background to make sure I put my best foot forward throughout the negotiation process, all the way to settlement. He managed risks and addressed my concerns – I couldn’t have achieved this without him.” - MH
Adam Hamilton – Increased Days
Dr Adam Hamilton, who is a prosthodontist with expertise in complex implant treatment, is now accessible an additional day each week. His private practice days are now Wednesdays and Fridays at The Centre for Prosthodontics South Perth. His team remains contactable throughout the week for any enquiries.
T (08) 9368 0888
E info@centreforpros.com.au
A 20 Lyall Street, South Perth W centreforpros.com.au
Dr Leticia Algarves Miranda – New addition
Drs Amy Hope and Zahida Oakley are proud to welcome Dr Leticia Algarves Miranda to the team at Central Periodontics and Implants. Dr Miranda is accepting referrals relating to all periodontal and implant needs and shares her extensive knowledge from both a clinical practice and academic background to your patients. Dr Miranda brings her extensive knowledge from her academic background and clinical practice to deliver the highest standard of periodontal care. Dr Miranda is accepting referrals relating to all periodontal and implant needs of your patients.
T (08) 9228 4737
E reception@centralperiodontics.com.au
A 47 Railway Parade Mount Lawley
Dr Guru O – New addition
We are pleased to welcome Dr Guru O to the Centre for Oral Medicine and Facial Pain. Guru completed his Oral Medicine training at the University of Western Australia, with expertise in orofacial pain, dental sleep medicine, temporomandibular disorders, and oral mucosal disease. He brings a thoughtful and evidence-based approach to patient care and is committed to working collaboratively with referring clinicians. Guru is now accepting new referrals.
T (08) 6373 6731
E reception@omfp.com.au
A GF, 1 Preston St Como W oralmedfacialpain.com.au
Dr Guru O - New addition
Perth Orofacial Pain and TMJ Clinic is delighted to welcome Dr Guru O to the team. Guru is a locally trained oral medicine specialist, uniquely with additional post graduate qualifications in Orofacial Pain and Dental Sleep Medicine. Dr Guru is dedicated to clinical excellence in providing patient centred, evidence-based care to those suffering orofacial pain, temporomandibular disorders, obstructive sleep apnoea and oral mucosal disease. Professor Robert Delcanho and team look forward to Dr Guru joining us at St John of God Hospital, Subiaco.
T (08) 9382 1200
E info@orofacialpain.com.au
A Suite 319, Subiaco Clinic, 25 McCourt Street, Subiaco W orofacialpain.com.au
25 July
Round 6 of WADA Golf takes us to the beautiful Mount Lawley Golf Club. Mount Lawley has undergone a significant redevelopment in recent years, with works completed in early 2025. Characterised by sand-belt style bunkers and large undulating greens, it was a tough challenge. Set to host the 2025 WA Open in October, it was a real treat for WADA Golf to have the opportunity to play one of Western Australia’s premiere courses. Thanks to our major sponsor for the day, Med + Dent Australia and Craig Botes, for hosting this event.
In our first morning round for the year, it was bitterly cold with temperatures only reaching 7C, although we were incredibly fortunate to have clear skies. It was great to see some new and not so new faces: Shih-Lon Fu, returning members Jun Liew and Alex P Devellerez, as well as our esteemed former captain, Frank Welten.
Mount Lawley put on a lovely barbecue lunch for us, and many laughs were had, well into the afternoon.
We were pleased to congratulate a new winner for WADA Golf, Rooshab Malde (Mount Lawley member). Rooshab has made a return to dental golf this year and his form has been building. Starting out the front nine on fire, he took the early lead and held on in the back nine to take the win. Michael Welten also continued his good form to finish outright second.
Nearest the pin
3rd hole
4th hole
6th hole
8th hole
(Longest drive)
Simon Tee
Health Practice Brokers
Paul Tan
Swan Valley Dental
Paul Tan
Medpro Loan Solutions
Rooshab Malde
The Health Linc
15th hole Naveen Mahendran
Med & Dent WA
17th Hole Rooshab Malde
Insight Dental Ceramics
NAGA Craig Botes
Med & Dent WA
CEC White points
1st place Rooshab Malde – 12 points 2nd place Michael Welten – 8 points Joint 3rd/4th/5th place Graeme Washbourne, Paul Chung, Richard Williams – 4 points each
Congratulations to all the winners! Looking forward to the next round of golf. Please direct all related enquiries to Paul Tan at dentistgolf@gmail.com. For more information on the fixtures, please connect with us on Facebook at the WADA Golf page.
Good golfing, Paul Tan
WADA Golf Captain
Mortgage Broking, Financial Planning and General Insurance Broking. As financial planning, mortgage, and insurance broking specialists, we have a deep understanding of the unique complexities and challenges faced by businesses in your industry. Given our extensive experience working with health and medical professionals, we are pleased to offer exclusive discounts/benefits on our services to members of the ADA (WA). Phone 1800 262 346 or email info@amafinance.com.au
Medifit is an award-winning dental design and construction company, providing a comprehensive solution for dentists and dental specialists looking to build new premises or renovate their existing practices. Established in 2002, the company has designed and built hundreds of successful practices across Australia from their Head office in Perth. Contact Medifit and get the practice you deserve. medifit.com.au
For over 50 years, Smith Coffey has specialised in providing financial services for dentists. We offer expertise in taxation, superannuation, mortgages, and personal risk insurance. Trust us to help you achieve financial freedom while you focus on patient care. Contact us today! smithcoffey.com.au
At BOQ Specialist, we understand that a highly personalised service is what dental professionals need. We offer a full range of finance products and services, tailored to your needs no matter where you are in your career. With over 30 years of experience in dental finance, our focus is on building long-term relationships with our clients so that you can make financial decisions that are right for you. boqspecialist.com.au
We are excited to offer a member benefits program exclusive to ADAWA members. As a member of ADAWA, the member benefits program entitles you to an initial 30-minute consultation in person, by phone, or via video conference. ADAWA members are also eligible for a 15% discount on our standard hourly rates. ADAWA referral required pmlawyers.com.au
STS Group Australia is a family owned, WA business and industry leader in infection control and we have been serving the WA dental community for over 30 years. You’ll know us as Mocom Australia, offering a range of infection control and reprocessing equipment in Australia and New Zealand, STS Health, providing service and education throughout WA and STS Professional, manufacturer of infection control testing devices and related consumables. sts-group.com.au
Commonwealth Bank
At CommBank Health, we’re focused on delivering financial services for Dental Professionals at every stage of their careers. Services designed to increase productivity and enhance the patient experience. Tailored banking by experienced Health Bankers ensure your ambitions are fully supported. Flexible lending and insights enable business growth, Smarter payments can unlock efficiencies. www.commbank.com.au/healthcare
Small Robot, a boutique technology company, provide business critical services covering IT, cyber security, and unified communications. Our highly experienced team leverage technology to protect, power and simplify your business. We provide consulting, engineering & managed services. We focus on the technology so you can focus on your business success. smallrobot.ai
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