SINCE 1997, SPADACCINI HOMES HAS DESIGNED AND BUILT SOME OF THE MOST DISTINGUISHED CONTEMPORARY HOMES IN PERTH IF YOU HAVE THE VISION, WE HAVE THE EXPERTISE TO BRING IT TO LIFE. TOGETHER, LETS PUSH THE BOUNDARIES OF WHAT YOUR DREAM HOME CAN BE.
The President's report
Dr Gwen Chin ADAWA President
As I write my final report as President of the Australian Dental Association WA, I am filled with gratitude and deep reflection. Serving as President has been one of the greatest privileges and honours of my professional life. To be entrusted with the stewardship of our Association, and to represent the interests of our members and our profession, has been both humbling and immensely rewarding.
Over the past two years, I have had the opportunity to work alongside a passionate and dedicated Council, a tireless executive team, and countless volunteers who have all given their time and expertise generously. Together, we have faced challenges with resilience and embraced opportunities that strengthen not only our Association but the profession as a whole. From advancing member value with free CPD, to taking strong positions on advocacy
CEO Trevor Lovelle President Dr Gwen Chin
issues that matter, I am proud of the legacy we have built together.
I am particularly heartened by the continued growth of our younger cohort. They represent the future of dentistry in Western Australia, and it has been inspiring to watch their enthusiasm and commitment to the profession. On that note, I am delighted to highlight the upcoming Young Dentists’ Conference on 22nd November 2025, which promises to be a dynamic day of learning, networking, and collegiality. I encourage all early-career dentists to seize this opportunity to connect with peers and leaders in our field.
As I hand over the role, I do so with confidence in the strength and vitality of ADAWA. Thank you to each member for your support, your trust, and your shared belief in the importance of a united professional community. It has truly been an honour to serve.
Editorial Brooke Evans-Butler Designer Michelle Walker Advertising Business Development Manager Shaden Kanaan
Enhancing the value of membership
CEO comment Trevor
Lovelle
Following a successful membership renewal period — with an exceptional 98% renewal rate and 98% member retention — it is timely to highlight a vital element of the ADAWA strategic plan, which focuses on three key areas of effort: our members, our stakeholders, and our organisation.
ADAWA thrives on the strength of our membership, and we prioritise initiatives that bring meaningful value to our members and strengthen the sense of community within our association. One of the most effective ways to enhance member engagement and satisfaction is through corporate partnerships and tailored benefits. These initiatives not only enhance the member experience but also reinforce ADAWA’s relevance and sustainability in today’s complex professional environment.
Corporate partnerships are collaborative relationships that deliver mutual value. For ADAWA, they provide access to financial support, industry expertise, and promotional opportunities. For partners, they offer a direct channel to a targeted audience, brand visibility, and credibility through association endorsement. These alliances often include sponsorships, joint events, educational content, or exclusive product offerings that all contribute to diversified revenue and enhanced member value. Member benefit offers are tailored incentives that reinforce the core reasons individuals
join ADAWA. These may include access to industry reports, continuous professional development courses, and networking events – all designed to support members’ professional growth and success.
Lifestyle benefits extend beyond professional development, supporting members’ personal lives and daily needs. These can include discounts on wellness services, dining, entertainment, or retail. Whether it’s a discounted gym membership or exclusive hotel rates, these benefits offer tangible value that makes membership more rewarding and relevant.
Together, corporate partnerships, member benefits, and lifestyle benefits create a strategic environment that enhances ADAWA’s appeal, deepens engagement, and drives long-term sustainability. When properly developed and communicated, these elements transform membership from a transactional experience into a meaningful, value-rich relationship.
The ADAWA team is actively building new corporate partnerships and selecting products that will enrich our member benefit and lifestyle benefit offerings as they roll out. This suite of benefits is not just an enhancement, it is a progression towards strengthening our value proposition and deepening our connection with every member we serve.
Distinguished Service Award
Dr Andrew Heap
Dr Andrew Heap was awarded a Distinguished Service award for his contribution to the dental community.
Dr Andrew Heap’s contribution has been consistent throughout the dental community as a clinician, a volunteer and a mentor.
Andrew is known for his long history of volunteering with numerous groups. “Motivation for that type of thing has been with me since I was a child,” he says. “It was always something I liked to do.”
Kimberley Dental Team
Andrew began going on KDT trips in 2012, and has made nine trips with KDT since 2012 to support and supervise final year dental students. He also performed dental work on Aboriginal children and their families.
“Being a part of the KDT team is very exciting,” he says. “Getting out into the remote areas of Western Australia is something different from the normal routine of daily clinical practice. It is inspiring to be able to provide a service to people who need that service.
"I would like to thank my friends Dr John and Jan Owen for giving me the opportunity to be involved.”
St Pat’s
Andrew also spent three years volunteering at St Pat’s in Fremantle. “That experience is again very rewarding,” Andrew says. “I was doing a lot of denture work, and there were people who had been waiting years with no teeth. You give a patient a set of dentures and the smile on their face is incredible – it is reward enough to see them so happy.”
Equal Health
Andrew was also an instrumental part of Equal Health – travelling to India to provide treatment on six occasions from 2005 until 2017. He continued to organise the dental side of things until the project wound up in 2020.
“I was very keen to do some volunteer work in that area, and it seemed like an exciting prospect to me,” Andrew recalls. “Dr Simon Shanahan who also recently received a Distinguished Service Award was already involved and had been since its dental inception. I was constantly talking to Simon about it and was happy when
it became possible for me to be involved.”
Practice support
Within his practice, Andrew has also been able to support the profession, with the practice always supporting the training of dental assistants by way of work placements. Andrew also lectured to dental assistant trainees over many years on a voluntary basis. In addition to their support of training dental assistants, the practice has also given back by hosting an ADA DHF Dental Rescue Day.
Getting more than you give
To another dentist considering volunteering, Andrew says it is incredibly rewarding. “You get more than you give,” he explains. “In some ways it is almost a selfish thing because you do get rewarded in different ways. It is not financial reward, but the personal reward you get from it, and that is amazing to help people who need help but can’t access normal means of getting dental help.”
Giving back to ADAWA
As well as his volunteering ventures, Andrew has been an active member of ADAWA, being involved since graduation.
Andrew says he always wanted to help the Association in some way –and joined ADAWA Council back in the 1990s – Chairing the Oral Health Education Committee.
“I thoroughly enjoyed Chairing the Oral
Health Education Committee because it enabled me to engage in certain projects for the Association,” Andrew recalls. “We organised a Royal Show exhibit, and we did career expos at schools.”
Andrew’s support of ADAWA also went national in his early career –with him being selected to represent ADAWA, along with Dr Andrew Thompson, at the Young Dentists Conference in Sydney.
Andrew was also the Chair of the Entertainment Division for the 2009 ADA Congress in Perth – a contribution for which he received a Service Medallion from ADA Federal.
In recent years, Andrew joined the Recent Graduates and Student Liaison Committee through his friend, Dr Nick Albatis.
Helping the next generation
Andrew has been a teacher, tutor and mentor for many years – now tutoring at OHCWA one day a week. “I really enjoy being involved with the students
and being able to pass on some tips and tricks to them,” he says.
Andrew retired from practice work at the end of 2021. He says retirement has been enjoyable – always busy doing something dental or otherwise (including sitting on the committee of the Western Australian Forensic Odontology Group).
“It is a profession ingrained within me,” he says. “I am so involved in dental study groups and other things; it is something I am and something I do.”
Distinguished Service Award
Receiving a Distinguished Service Award from ADAWA has been a surprise. “I was incredibly shocked,” he says. “It was not something I ever expected so I am very humbled.
“I have enjoyed every moment of my career,” he adds. “I really have thoroughly relished every moment of it and what I have done beyond the practice.”
Congratulations Dr Heap!
Distinguished Service Award
Dr Lena Lejmanoski
Dr Lena Lejmanoski was awarded a Distinguished Service Award for her contribution to the dental community.
Dr Lena Lejmanoski has been passionate about giving back to the dental community for decades.
Giving back to the Association
Lena has always been a very active member of the Association, having served as a Councillor for ADAWA, Chair of ADAWA’s Oral Health Committee, Federal Representative for the WA Branch on the Oral Health Committee, Federal Chair of the Oral Health Committee, and Convenor of Continuing Professional Development.
“I initially put my hand up to be the State Chair of the Oral Health Committee because I’ve always
believed in the power of prevention in dentistry and the importance of oral health as a fundamental part of overall health,” Lena recalls.
“Having worked as a clinician both in the public and private sectors, I saw firsthand how much of the disease burden could be avoided with better education, policy, and access. Taking on a leadership role within the ADAWA gave me an opportunity to advocate for systemic changes, influence public health messaging, and contribute to shaping the direction of oral health at a strategic level.
“It was also important to me to represent the voice of dental
professionals and the community when it came to state-level oral health policy. I saw it as a chance to bring together evidence, professional insight, and practical experience to help the committee drive meaningful outcomes.”
Pregnancy, Babies and Children’s Expo
Lena has been instrumental as both an organiser and participant at the Pregnancy, Babies and Children’s Expo, on behalf of ADAWA for over 14 years. “It has been an extremely rewarding and community-focused experience that became a highlight of my oral health advocacy work,” she says.
“I was involved with many initiatives in disseminating information and education about oral health to the public; this event however provided a unique and valuable opportunity to engage directly with thousands of parents, caregivers, and young families in an informal and approachable setting.
“What has made this experience especially meaningful was the genuine impact we could have in a short interaction — empowering parents with confidence, correcting misinformation. It is also a great reminder of the role we play as health professionals outside the clinic — in community spaces where prevention truly begins.”
Lena’s long-term participation at this expo also expanded to her giving lectures to midwives and doctors
at King Edward Memorial Hospital regarding oral health in pregnancy and after birth.
Practical Oral Surgery course
This year marks the 20-year anniversary of the Practical Oral Surgery course, in which Lena has been the Course organiser/conveyer (see Edition 1, 2025 of the Western Articulator), and she says reaching this milestone is both humbling and deeply gratifying. “It’s a testament to the course’s enduring relevance, the quality of its content, and the commitment of everyone who has contributed over the years — from the presenters to the many participants who brought their energy, curiosity, and passion for learning,” she says.
“When this course was first developed, the aim was simple: to bridge the gap between theory and clinical practice, and to give general dentists the confidence and practical skills needed to manage oral surgery procedures safely and competently in their own practices. Seeing that mission not only fulfilled but sustained and continually evolving two decades later is incredibly rewarding.”
Executive positions
Throughout her career, Lena has also held executive positions for various dental societies and professional groups and has been awarded fellowships in the Pierre Fauchard Academy and the International College of Dentists. She says giving back to the dental community has been one of the
most rewarding parts of her career.
“Clinical work is incredibly fulfilling, but contributing beyond the surgery, whether through leadership, education, advocacy, or mentoring, brings a different kind of impact,” she says.
“To any colleague considering getting involved, I’d say this: You have more to offer than you think. Your experience, your ideas, your perspective — they can help shape the future of our profession in meaningful ways.
“When you take on roles in committees, societies, or teaching, you’re not just giving your time — you’re helping to: strengthen the profession for the next generation; improve standards of care for patients across the board; and ensure that dentistry remains not only clinically excellent but ethically grounded and community-focused.
“It’s also an opportunity to stay connected, build relationships, and continuously learn. The colleagues I've met through professional involvement have inspired me, challenged me, and often become lifelong friends and collaborators.
“Yes, it takes time. But what you give, you get back many times over — in growth, in perspective, and in the
satisfaction of knowing you’ve helped move the profession forward.”
Distinguished Service Award
Lena says receiving the ADAWA Distinguished Service Award is an incredible honour — and one that means more to her than she can fully express.
“It’s humbling to be recognised by peers and colleagues I hold in such high regard,” she says. “This award isn’t just a reflection of years of service; it’s a reminder of the importance of community, collaboration, and contribution in our profession. Dentistry is more than clinical work — it’s about being part of something larger, and I’ve always believed in giving back to the profession that has given so much to me.
“To me, this award also represents the countless people I’ve worked alongside over the years — in committees, educational programs, advocacy efforts, and community outreach. Any contribution I’ve made has been part of a collective effort, and I share this recognition with all those who’ve supported, mentored, and inspired me along the way.
“It’s a moment of pride, yes — but more than that, it’s a moment of gratitude. Gratitude for the opportunities I’ve had to serve, for the trust placed in me, and for being part of a profession that values not just technical skill, but integrity, leadership, and service.”
Looking to the future
Looking ahead, Lena says she would like to continue building on the work she has been passionate about —in advancing oral health education, prevention, advocacy and supporting continuing professional development.
“I am currently balancing clinical work with my regulatory and assessment roles, which gives me a broad view of the profession,” she says. “What’s next for me is continuing to contribute at a policy and governance level — particularly in shaping standards and ensuring we are adapting to the evolving needs of both practitioners and patients. I am also exploring opportunities to mentor emerging clinicians and help strengthen the pipeline for future dental leaders.”
Congratulations Dr Lejmanoski!
A new level in oral hygiene
New PerioPlus+ from Curaprox combines the treatment benefits of chlorhexidine (CHX) with CITROX® for great taste and reduced impact on your patient’s sense of taste.
Scientifically proven to be more effective than CHX alone, the PerioPlus+ range includes mouthwash, toothpaste and gel. For premium oral care choose PerioPlus+ from Curaprox.
A beautiful day to make a difference
It was a beautiful day for the ADA Dental Health Foundation Dental Rescue Day, held in August at the student clinic at the Oral Health Centre of Western Australia.
These days highlight the heart of the dental profession – volunteer dentists, dental assistants, North Metropolitan TAFE DA Students and dental students from UWA Dental School, who selflessly volunteer their time to treat referred patients, pro bono.
Hosted by UWA Dental School and OHCWA, this Dental Rescue Day saw the treatment of 40 grateful patients for treatment to reduce pain (such as extractions), as well as cleans, fillings and important oral health check-ups.
It was also wonderful to see the mentorship between the experienced
dentists and the dental students. It was not only a day of giving, but a day of learning!
Once again, sincere thanks to the people who tirelessly work behind the scenes to make these days happen: Professor Robert Anthonappa (Dean and Head of UWA Dental School) and Dr Michelle Huang (Director of the Oral Health Centre of WA), for allowing the use of the student clinic.
Daniel Hopkins, Jan Matthews and OHCWA staff for their help and knowledge.
These Dental Rescue Days would not be possible without Dr Tracey Gold, Dr Lida Sayadelmi and ADA DHF’s Andrea Paterson, whose organisation, drive and dedication makes these days run smoothly.
Thanks to
VOLUNTEER DENTISTS
Dr Tracey Gold
Dr Lida Sayadelmi
Dr Jeremy Keating
Dr Jenny Hanna
Dr Brigitte O’Brien
Dr Russell Gordon
Dr Manorika Ratnaweera
Dr Benny Sheriff
Dr Thomas Mahoney
Dr Wan Zhi Tay
Dr Monica Hernandez
Dr Adrian Sue
Dr Agnes Tan
Dr Ismail Siddiqui
DENTAL ASSISTANTS
Kanako Bird
Laura Krawczyk
DENTAL STUDENTS
Aparna Jeganathan
Henry Miao
Christie Lim
Wen Phua
Paige Nott
Tristan Shum
Ashton Foo
Meg Micallef
Mona Raza
Alina Rizvi
Samantha Toh
Rebecca Song
Thank you to Alexandra James-Davey (supervisor from North Metropolitan TAFE), and Certificate III Dental Assisting students: Lorna, Sohaila, Rutcheer, Holly, Kow Tha and Eleheh.
Also thank you to Erskine Piksters and SDI for their support of the Dental Rescue Day program and donations, which were greatly appreciated.
If you are a dentist who has been thinking of getting involved in dental volunteerism – what are you waiting for? Volunteering opportunities are available through Dental Rescue Days, as well as programs that you can take part in at your own dental practice. To discuss the opportunities available, contact Andrea Paterson, ADA DHF WA State Coordinator, by emailing: WA@adadhf.org.au
Choosing the Right Business Structure for Your Dental Practice
Selecting the best business structure—sole trader, company, partnership, or trust—is a key decision for dentists and depends on factors like cost, liability, family income distribution, and long-term goals.
Sole Trader
Ideal for dentists starting out or running a small practice. It’s simple and cost-effective to set up with minimal reporting requirements. However, you’re personally liable for debts and legal risks, and all income is taxed at your marginal rate. You also can’t split income with family members.
Company
A company offers limited liability and can be more taxefficient. You can employ yourself and claim wages as a tax deduction. However, setup and ongoing costs are higher, and you must meet ASIC and tax reporting obligations. Be mindful of the Personal Services Income (PSI) rules—if most income comes from your personal work, it may be taxed at your individual rate, not the company rate.
Trust
Trusts are complex and costly but may suit dentists with family members to distribute income to or those seeking asset protection. They require a formal trust deed and ongoing legal and accounting support. While trusts offer tax planning benefits and liability protection, income must be distributed annually or taxed at the highest rate. Losses can’t be passed to beneficiaries, and borrowing can be more difficult.
Get Expert Advice
The right structure can impact your tax, liability, and ability to grow your practice. Speak with your accountant or financial adviser to ensure your structure aligns with your professional and personal goals.
The information above is general in nature and may not be relevant to your individual circumstances. You should refrain from acting in reliance on this information without first obtaining suitable professional advice. You should obtain and consider the relevant Product Disclosure Statement (PDS) before making any decision to acquire a product.
AMACIS Pty Ltd trading as AMA Insurance
Brokers ABN 40 064 488 106 AFSL 235312
| AMA Services (WA) Pty Ltd
ABN 47 008 671 458 t/as AMA
Financial Planning and AMA Wealth
is an Authorised Representative of Hartley Financial Pty Ltd
ABN 22124 384 274 AFSL and ACL 480751
A meaningful way to give back
Dr Mark Nathan has long given back, both at home and abroad and encourages other dentists to help make a difference.
Dr Mark Nathan regularly gives back via dental volunteering.
“The theme of dental volunteering had always appealed to me, and I was happy when I was able to make it a regular part of my yearly schedule,” says Mark.
The Margaret River based dentist regularly volunteers overseas – with visits to India, Nepal and Papua New Guinea to help those in need.
“I’ve joined Paul Clarke in India with Equal Health in remote Tamil Nadu, providing care to very poor people with limited or no access to dental care,” Mark recalls. “In Nepal it was
with George Manos and Project Yeti, in The Kopan Monastery.”
Mark says that he realised early on in India that every day would bring an event, which would in some way, be special – either rewarding or emotionally intense.
“In PNG I joined YWAM, boarding the vessel in Port Moresby and voyaging East along the South Coast to two anchorages,” he adds. “We either used the ship’s tenders to ferry our patients to the clinic on the ship or else took portable equipment on the tenders and travelled to the very remote villages.
“I look forward to continuing all these volunteer roles and adding more locations in the future.”
Back home in Margaret River, Mark and his staff volunteer via the ADA Dental Health Foundation’s Rebuilding Smiles program – so far completing three treatment plans for three grateful patients.
“This supports women who have been victims of domestic violence causing dental trauma,” Mark says.
“In our patients’ cases, this was avulsed maxillary central incisors and also with two of the three there were widespread advanced caries.”
Mark says the women presented accustomed to dental pain and vastly compromised aesthetics, which have been their burden for quite some time.
“Watching them grow in confidence as their dental health improves and especially after their aesthetics are restored is rewarding beyond the
technicalities of providing dental care,” he says. “Interestingly, my staff get immersed in the process and their lives also and share the same satisfaction at the completion."
To other dentists considering giving back, Mark says the following: “I’d strongly encourage fellow dentists to consider joining the Rebuilding Smiles program,” he says. “It’s a meaningful way to give back – and one that allows you to volunteer without leaving your practice, using your own team and equipment.”
Would you and your practice team like to make a difference without leaving your practice? Please contact Andrea Paterson, ADA DHF WA State Coordinator at wa@adadhf.org.au to discuss the Rebuilding Smiles program. There is particular need in general Perth and surrounding areas, extending down to Mandurah, if any practices are available to help a patient in need.
Meet Dr Howard Holmes
In the lead up to his orthodontics course, we caught up with Dr Howard Holmes.
Dr Howard Holmes is a well-known Orthodontist – and it is clear he would be in the science field from his school days.
“Many years ago, my father worked as an Electron Microscopist at the UWA Department of Anatomy and Human Biology alongside Prof. John McGeachie and other renowned researchers – many of whom would be well-known to the dental and medical students of that era,” he recalls. “My brother Mark was also next door at the Biochemistry Department completing his PhD. When I was in Year 12, I recollect Dad and Mark mentioning to me that some of the academics they worked with had suggested dentistry as a potential future career path for me, especially as I was already interested in enrolling in the UWA Bachelor of Science degree. That advice resonated with me, and after
completing the then-mandatory first year of my BSc, I was accepted into Dental School.”
After working for four years as a General Dentist in Rockingham, Howard realised pretty quickly that there were certain areas of general practice that weren’t for him. “After considering all the dental specialties, I concluded that Orthodontics might be a good fit for me,” he says. “Fortunately, I had won a few academic prizes in Orthodontics as an undergraduate dental student, and I had also completed an ADRFsponsored summer research project on neurosensory deficits following orthognathic surgery— both of which helped get me selected for the MDSc (Ortho) programme at UWA in 1998.
“I love how diagnosis, treatment planning, and problem-solving skills are probably the most important
attributes you need to produce good clinical outcomes in Orthodontics. It requires constant critical thinking and decisive action— there’s never a dull moment, and new challenges present every day. I can’t imagine doing anything else now.”
Howard will be presenting: Orthodontics – It’s So Easy (and Other Lies) at a dinner course in November.
“My presentation will explore recent changes in the delivery of Orthodontic care with a particular focus on the evolution and current status of clear aligner treatment, highlighting common misconceptions about the simplicity of achieving outstanding outcomes – particularly with aligners,” Howard explains.
“Through case studies, practical insights, and real-world experiences, I’ll examine the good, the bad, and the unusual in modern evidencebased Orthodontics.
“Attendees should gain valuable clinically applicable tips in many areas including referral and treatment timing, case selection and risk assessment, treatment planning, pros and cons of different treatment options, retention management, as well as honest insights on how to avoid common mistakes and manage complications.”
Howard recommends any dentist who provides Orthodontics in their practice or is considering integrating Orthodontics into their clinical workflow (especially clear aligners) should attend. “Even dentists who
don't practice Orthodontics will gain a better appreciation for what to look out for when assessing children, teen, and adult patients for an orthodontic referral, what can realistically be achieved with various Orthodontic treatment modalities, identifying disingenuous orthodontic marketing, and how they can successfully collaborate with their friendly local specialist Orthodontist,” he says.
Howard says he hopes attendees take away a better appreciation for how Orthodontics is a challenging process for the clinician, but when done properly it is also highly rewarding and highly beneficial to patients of all ages. “As an evolving field, successful integration into any practice requires ongoing learning and an appreciation that orthodontics is highly customised and adaptive – not a one-size-fitsall, click-and-accept treatment,” he says. “I hope to encourage good working relationships between specialist Orthodontists and General Dentists and also address a few of the outrageous claims that are peddled by some Orthodontic short course providers and Orthodontic product manufacturers/suppliers.”
Dr Howard Holmes will be presenting Orthodontics – It’s So Easy (and Other Lies) in November. Book your spot at our website, cpd.adawa.com.au
What three words best describe you?
Haha – it depends who you ask! Conscientious, Reliable, Affable (also Passionate).
What do you enjoy doing in your spare time?
I practice guitar almost every day, and I’ve been playing in rock bands on and off since high school. When I’m in Margaret River for work, I also love to surf and spend time nurturing the gardens around my property, both of which really help me switch off from the stresses of the world and find some inner peace. I also enjoy cycling and compete in triathlons 2-3 times a year. What is your favourite travel destination?
New York City and anywhere in Europe where you might find a vineyard or fine local cuisine.
Is there anything someone might be surprised to learn about you?
I pinched the title of my presentation, It’s So Easy - and Other Lies, from Duff McKagan’s memoir. I was an executive producer on the 2015 documentary movie with the same name so I’m probably one of only a select few Orthodontists on the planet with an IMDb listing! He is the bass player from Guns n’ Roses and his story explores the dizzying highs and terrifying lows of a rock-star lifestyle – a fitting parallel to the challenges of modern Orthodontists!
What future plans are on the horizon for you?
Well, I’ve done just about every role there is to do for the Australian Society of Orthodontists, so now my plan is to step back from leadership roles and hopefully spend a bit more time working (and relaxing) in Margaret River and playing music.
“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
THE COMPLETE GUIDE TO SUCCESSFUL PORCELAIN VENEERS
COURSE OUTLINE
The course will focus on receiving practical tuition and guidelines for the diagnosis and treatment planning processes required to deliver single and multiple Porcelain Veneers.
There will be a lecture component and also a significant hands-on component.
Learning outcome
• Recognition of appropriate cases
• Case planning and patient management.
• Porcelain Veneer design
• Material options
• Provisional restorations
• Bonding protocol
• And more
ABOUT THE PRESENTERS
Dr Asheen Behari is a general practitioner in private practice in Claremont, Perth. He graduated from the University of the Witwatersrand in 1993, subsequently completing a Post Graduate Diploma in Clinical Dentistry in Oral Implants at the University of Sydney. Dr Behari is a Clinical Associate lecturer in the Discipline of Oral Rehabilitation at the University of Sydney. He is actively involved in facilitating continuing education programs and in mentoring others. His general practice is focused on restorative and implant dentistry.
Dr Paul Gorgolis is a general practitioner currently in private in Wembley Downs. He is a Fellow of the International Congress of Oral Implantologists. In London, he developed the UK’s first multi-disciplinary general and specialist practice where patients could be comprehensively managed and treated “under one roof”. Dr Gorgolis is an experienced clinician who co-runs hands-on ceramic courses for the ADAWA and has been a lecturer and tutor to dental students at the UWA and The University of Adelaide.
CALENDAR 2025
Drs
ORTHODONTICS - IT'S SO EASY (AND OTHER LIES)
COURSE OUTLINE
Once upon a time, orthodontics was almost exclusively the domain of specialists. But in the late 1990s, disrupters such as clear aligner treatment and proliferation of short-course orthodontic training programs for dentists began to shift the landscape. Today, orthodontic treatment in various forms is increasingly integrated into general practicessometimes for the better, but sometimes with unintended and unfavorable consequences.
THIS PRESENTATION WILL EXAMINE
• The reasons behind the shift away from the traditional referral-based model of orthodontic care
• The opportunities and challenges that arise when general dentists provide comprehensive orthodontics within their own practices
• and more
ABOUT THE PRESENTER
Dr Holmes is a Specialist Orthodontist with practices in Cannington and Margaret River. He completed his general dental training and specialist orthodontic training at the University of Western Australia (UWA) and has been in specialist orthodontic private practice since 2000. Dr Holmes has held numerous professional appointments including Federal President of the Australian Society of Orthodontists (ASO), WA state branch President of the ASO, Congress Chairman for the 23rd Australian Orthodontic Congress and President of the Dental Study Group of WA. As a media spokesperson for the ASO, Dr Holmes has been engaged by numerous media agencies including A Current Affair, Today Tonight, ABC Radio, The Sydney Morning Herald, The West Australian and Choice Magazine to discuss important consumer related orthodontic matters.
Dr Holmes has also served as both a clinical supervisor and examiner at the postgraduate orthodontic program at UWA and currently sits on the board of studies in orthodontics for the Royal Australasian College of Dental Surgeons (RACDS).
Endodontic case study Managing Internal Resorption with Perforation: The Crucial Role of Intracanal Medication
By Dr Shahrzad Nazari, Endodontist
Internal resorption, a relatively uncommon phenomenon, involves the progressive destruction of dentin from within the root canal system. While its exact cause remains elusive in many cases, contributing factors include trauma, infection, and iatrogenic factors like excessive heat during dental procedures. This case report highlights the endodontic management of a mandibular premolar with internal resorption that extended to the periodontal ligament (PDL), with a focus on the importance of intracanal medication in promoting hard tissue barrier formation.
A 36-year-old male patient was referred to an endodontist due to increasing pain associated with tooth 35. The referring dentist highlighted the case's complexity. The patient's medical history was unremarkable, and he reported no recent trauma to the affected area. Clinical examination revealed signs of previous restorations with evidence of breakdown.
Tooth 35 exhibited coronal discoloration and tenderness to percussion. Radiographic examination revealed a distinct radiolucent area within the root canal, consistent with internal resorption. Critically, the resorptive
area had encroached upon the PDL space on the disto-lingual surface of the root, resulting in a widening of the PDL. This finding suggested a communication between the internal resorptive defect and the external root surface, essentially creating a perforation. The tooth was diagnosed with a pulpless infected root canal system and chronic apical periodontitis, likely secondary to cracks, decay, and the breakdown of existing restorations.
Treatment planning prioritized eliminating infection and achieving a seal of the resorptive defect. Following local anaesthesia and rubber dam isolation, access cavity preparation was performed. Careful negotiation of the canal system was achieved using small-sized hand files. Copious irrigation with sodium hypochlorite was used to disinfect the canal and the resorptive defect.
Crucially, calcium hydroxide (Ca(OH)) was placed as an intracanal medication. This was done not only for its antibacterial properties but also for its potential to stimulate hard tissue formation. Ca(OH)'s high alkaline pH is believed to stimulate alkaline phosphatase activity and promote the deposition of mineralized tissue. The aim was to induce the
formation of a calcified barrier around the perforation, which would enhance the long-term prognosis of the tooth. The calcium hydroxide was left in place for an extended period to maximize its effect.
At a subsequent visit, the calcium hydroxide was carefully removed. Radiographic and clinical assessment determined the progress of hard tissue formation. The canal was then obturated. Due to the perforation, mineral trioxide aggregate (MTA), known for its excellent biocompatibility and sealing ability, was used to seal the communication with the PDL. The remaining canal space was filled with thermoplastisized gutta-percha and AH26 sealer to ensure a complete seal.
Post-operative radiographs confirmed adequate obturation and sealing of the perforation. The patient was referred to his general dentist for a definitive coronal restoration, ideally a crown, to provide adequate protection and function.
Regular follow-up appointments were scheduled to monitor healing, periapical status, and the continued integrity of the hard tissue barrier. This case underscores the challenges of managing internal
resorption, especially when it leads to a perforation. The encroachment of the resorptive process into the PDL can significantly complicate treatment and negatively impact prognosis.
The emphasis on calcium hydroxide as an intracanal medication is key. Its ability to create an environment conducive to hard tissue formation is well-documented. While MTA is essential for sealing the perforation, the hard tissue barrier formed in response to calcium hydroxide can provide additional support and improve the long-term outcome.
Thermoplastisized gutta-percha facilitates three-dimensional filling of the remaining canal space, ensuring complete obturation and minimizing the risk of reinfection.
The prognosis of teeth with internal resorption and perforation is multifactorial and depends on factors such as the size and location of the defect, the success of treatment, and the patient's overall periodontal health.
Successful management of internal resorption with perforation necessitates meticulous endodontic technique, the use of appropriate materials like MTA, and, importantly,
the strategic use of intracanal medications like calcium hydroxide to stimulate hard tissue barrier formation. This case demonstrates that with a focus on promoting healing through intracanal medication, even teeth with complex internal resorption can be successfully treated and retained. However, longterm follow-up is crucial to ensure continued success.
Tooth 35 before commencement of endodontic treatment.
Intracanal medication, canal orifices and internal resorptive defect located on the disto-lingual aspect of the canal orifice.
References
1. Fernandes M, de Ataide I, Wagle R. Tooth resorption part I - pathogenesis and case series of internal resorption. J Conserv Dent. 2013 Jan;16(1):4-8. doi: 10.4103/09720707.105290. PMID: 23349568; PMCID: PMC3548344.
2. Nosrat IV, Nosrat CA. Reparative hard tissue formation following calcium hydroxide application after partial pulpotomy in cariously exposed pulps of permanent teeth. Int Endod J. 1998 May;31(3):221-6. doi: 10.1046/j.1365-2591.1998.00147.x. PMID: 10321166.
3. https://doi.org/10.1590/1807-3107bor2018.vol32.0073
Extirpated tissue from the resorptive defect.
Tooth 35 stablized with the stainlesssteel band.
Radiographic investigation revealing a resorptive defect at mid-root level.
5 months after placement of intracanal medication. Signs of healing can be seen with Lamina dura formation on distal aspect of root.
Master gutta-percha cone fit xray. After root canal obturation and sealing of resorptive defect with MTA
The black belt paradox
By Dr Colm Harney, Dentolegal Consultant at Dental Protection.
To most practitioners (and indeed non-practitioners) of martial arts, the recognised symbol of achievement and mastery is the mythical black belt.
The specific origin story of the black belt is unclear – my favourite is the simple story that when you’ve worn your beginner’s white belt long enough it becomes frayed and marked, organically turning brown and eventually black over years of training and wear.
I have been practising martial arts for over 20 years now – long enough to achieve a relative degree of competence, start to teach (as well as remain a student) and recognise patterns both in the art and how participants evolve and progress.
The "black belt paradox" in martial arts refers to the idea that achieving a black belt, while a monumental milestone, doesn't signify the end of learning but rather a new beginning. The black belt is not the ultimate achievement but rather a foundation upon which further development begins.
Indeed, in the Japanese martial arts, which I have participated in, the term Shodan (for a first-degree black belt), means literally the first step and the next grades, Nidan, Sandan are each numbered as Ni (two), San (three)
– meaning second step, third step (going all the way up to ten).
So, the apparent pinnacle of achievement, the black belt (Shodan), is effectively an advanced beginner. What does this have to do with dentistry?
I can’t help but see the parallels with graduating from Dental School – a significant milestone no doubt, but also a recognition that the realworld journey is just beginning, and the qualification is a launchpad for a lifelong journey of education and growth from a base of competence in fundamental techniques.
In dentistry, it is so important to keep seeking out opportunities to progress and maintain interest –otherwise we become stale and at risk of fatigue, disinterest and burnout. The most obvious path to ongoing growth is further formal training such as postgraduate studies or completing CPD. There are many other areas for growth such as mentoring, volunteering, participating in study groups and engaging with professional associations. For others, it might be the rewards and challenges of practice ownership.
Ideally that professional growth should be supplemented by balance
and a healthy interest in growth beyond our career, whether that be learning the guitar, taking up yoga or focusing on family when the need arises.
If I had to pick the most important qualities for long term success in martial arts, it is not strength or speed or being able to break wooden boards with your bare hands. Instead, it is broader and more fundamental, and I strongly believe these qualities also overlay straight across to the successful practice of dentistry.
The first is perseverance. “It’s not who is good on the mats, it’s who’s left on the mats – a black belt is a white belt that didn’t quit” is a cornerstone of martial arts. I’ve been injured, got frustrated with lack of progress (especially when my competitive self perceives others to be progressing faster than me) and on many winter nights it is hard simply to leave a warm house to go to training. However, I know I never regret it when I’m there and I just keep going.
A big part of perseverance is learning to fail and make mistakes, especially in front of other people. I have now reached a point in life where I can recognise that within this space of mistakes and mishaps lie the best lessons. The more public the mishap, the more effectively the learning sticks.
Dentists usually leave Dental School as the over-achievers, often never having failed at anything in our lives. It is important to seek out opportunities to practise failure in a safe, less consequential environment – whether that be in the sporting arena, a cooking class or simply being by far the standout worst artist at the Christmas ‘paint and sip’ party (ask me how I know). Getting comfortable with failure gives perspective –it’s not the end of the world, it will pass and nobody is looking anyway. In dentistry, one sure thing is that if you practise long enough there will be ups and downs, times when things go well and times
when you feel like you want to quit – this is normal (at least in my experience and many I know). Stuff goes wrong, things don’t go to plan, and we have unintended outcomes. It is how you respond that is key, and this includes finding the learning opportunity and knowing when or how to reach out for help – that is what Dental Protection is here to help with too. It is important to maintain perspective by looking forward, eyes on the long game of a career (not just the moment in time when it all seems too hard) and continuing to develop and engage with your profession.
The second quality is something that the martial arts really sharpen – humility. In every martial arts space I’ve trained, the experienced practitioners are usually the most humble and down-to-earth human beings. The reality is that there is always someone bigger, stronger and faster. It pays to be humble as martial arts have a way of pressure testing you into your place if you get too far above your station. Our egos can get inflated and puffed up with the hard-earned dental degree – the goal we’ve put so much effort and resource into, and the status conferred to us within society. It is important to find the balance between confidence and humility, especially in the early days, because if not, practice will also pressure test you to your limits – when you soon realise you don’t know it all, that sometimes things go wrong, that it is okay to ask questions (or for help) and ultimately, we need to be open to learning from everyone around us, even from our patients.
Regarding humility, the last words go to my teacher’s teacher from Japan, having accumulated more than thirty black belt grades in multiple martial arts over his lifetime. He perfectly summed up the concept of not having too grand an opinion of one’s own importance by pointing to his own black belt – “belt –it’s just for holding up trousers”.
member news
Dental Health Week
It was wonderful to see so many dental practices sharing the ‘Smilestone’ message to promote the importance of the oral health of children. Thank you to the practices that tagged us in their social media posts.
Also, a big thank you to ADAWA’s Oral Health and Education Committee who held a Dental Health Week event at the Murray St Mall Kiosk site and thank you to Colgate for the donations for the event.
Tooth fairy rate
Extracted teeth donations
Once again, another thank you to Dr Hossam Ismail for providing extracted teeth to ADAWA for use in hands-on courses. If you extract teeth, please save them in bleach and when you have a few, contact Dr Jenny Ball and she will arrange to collect them, or bring them to any CPD event you attend, as Jenny will be there.
Australian Dental Association’s (ADA) survey of 25,000 people released during Dental Health Week has revealed that $6.20 is the average amount the tooth fairy leaves per tooth (it was $2 a tooth 25 years ago).
Partner renewal announcement - Medifit
We are thrilled that Medifit Design and Construct have renewed their partnership with ADAWA for another year. To find out more about Medifit Design and Construct, please visit their website, medifit.com.au
Winners are grinners!
What’s better than an evening with good food, friends and learning at one of our dinner courses? Winning a fantastic door prize, courtesy of Panetta McGrath Lawyers!
Congratulations to the winner, Dr Hayden Taylor. Hayden and his wife Stephanie are regular attendees at ADAWA CPD events, so the prize is well deserved.
Annual
General Meeting
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
Partner renewal announcement – STS
We are thrilled to announce that STS Group Australia has renewed their partnership with ADAWA for another year. To find out more about STS Group Australia, visit: sts-group.com.au
Student contract session
Thank you to Panetta McGrath Lawyers, who recently presented: ‘Signing your first contact as a dentist’ to final year students. It was a very informative, useful session for students who will soon be working dentists.
Final Year Dentistry Student Guide
Are you looking to hire a new graduate at your practice? The Final Year Dentistry Student Guide has been emailed to members to introduce the final year dentistry students to the profession. The guide can be assessed by a password included in the email.
WADA Golf
Joondalup Golf Club
15 August
The latest round of WADA Golf takes us to the always breathtaking Joondalup Golf Resort. Joondalup has some truly memorable holes on offer, with beautifully manicured fairways and bunkers and rolling hills. The moon crater 2nd hole, and the following 3 holes around the Quarry are some of the best WA has to offer.
Thanks to our major sponsor for the day, Dentaurum Australia and Kevin Ferrari for hosting this event. Dentaurum, a global leader in dental solutions, has been very generous in supporting WADA Golf.
This round was for the ADA Cup. The ADA Cup is WADA Golf’s Club Championships and has a long and storied history stretching back to 1936. It is presented to the nett winner of the day. On this day, the player with the lowest gross score is declared the Club Champion. We had 26 participants in the field competing, and with 9 players at 10 and under, it was all up for grabs. Playing “stroke” anywhere at the best of times is a real challenge, but all our players brought their A-game on the unforgiving Joondalup course. A very warm welcome to Chin Keat Ting (new member) as well as some returning faces, Sandeep Sharma, John Scully and Catalin Iacob.
Following on from his win in the previous round, Rooshab Malde (nett -3) took out the day in his first ever outing at Joondalup,
Nearest the pin
3rd hole Catalin Iaco Health Practice Brokers
8th hole Rooshab Malde Swan Valley Dental
9th hole Charles Angliss Angel Medical Admin Solutions
3rd hole (Quarry NTP) Michael Welten The Health Linc
4th hole (Quarry NTP) David Owen Med & Dent WA
7th Hole (Quarry NTP) Greg Gee Insight Dental Ceramics
NAGA Greg Yap
securing the ADA Cup and etching his name in glory. He won by 2 strokes over joint runners-up David Owen and the everconsistent Michael Welten. Michael Welten, with a scintillating front 9 of -3, set up a win as our Club Champion gross 75 on the day.
Cec White points
1st place: Rooshab Malde – 12 points
2nd place: Michael Welten – 8 points
3rd place: Jay Vaddagiri – 6 points
4th/5th place: John Scully and Russell Gordon – 3 points
Congratulations to all the winners and 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
Professional notices
Dr
Stephanie Chan – New addition
We are delighted to welcome Dr Stephanie Chan who is newest addition to The Endodontic Practice. Dr Chan will be taking new referrals. She is passionate about providing the best patient-centered care with a gentle and compassionate approach, and particularly enjoys working with children. Her expertise in advanced endodontic techniques, combined with a commitment to minimising discomfort and staying up-to-date with the latest innovations, ensures that patients of all ages receive the highest standard of care.
T (08) 6118 4567
E info@endopractice.com.au
A 811 Canning Highway, Applecross W endopractice.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
W centralperiodontics.com.au
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
Directory
Premium Partners
AMA Financial Services
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
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
Smith Coffey
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
Panetta McGrath Lawyers
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
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
Plus Partners
BOQ Specialist
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
Small Robot
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
Member and Lifestyle partners
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
We’re excited to announce the commencement of a new member service designed to support you through the complexities of dental practice. Meet your ADAWA Peer Advisor, Dr Tony Poli, here to provide confidential, professional guidance to fellow dentists.
How Dr Tony Poli Can Help You
As your Peer Advisor, Dr Poli offers confidential, one-on-one support to ADAWA members navigating professional challenges, including:
• Understanding AHPRA policies
• Interpreting DBA regulations
• Clarifying dental procedures
• Navigating Professional Indemnity Insurance
• Responding to Private Health Fund Audits
• Managing patient complaints
• and much more
Whether you’re facing a difficult situation or simply need a second opinion, Dr Poli is here to help – dentist to dentist.
Contact tony.poli@adawa.com.au or phone 08 9211 5600
Looking to hire the perfect dress?
New-season and rare vintage designer dresses for your special occasion 100% of profits fund Vinnies WA services for women in need.
As a lifestyle partner, we offer ADAWA members 10% discount on all hires
44 Station Street, Subiaco
Open for walk-ins 6 days a week
