Western Articulator Edition 8, 2025

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Taking the chair

Dr Simon Shanahan on a year as the Dental Board of Australia Chair A

Dental students on their experience with the KDT Charity on Rokeby

Rokeby Dental Surgery and Implant Centre’s Charity Day

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The President's report Dr Tim Crofts ADAWA President

It is with great pleasure that I take on the responsibility of leading our Association over the next two years. I send my heartfelt thanks to Dr Gwen Chin for her humble and diligent work as President. I have seen how hard she has worked, not just in this role, but for several years now here at ADAWA.

I would also like to extend my sincere thanks to Dr Amit Gurbuxani who bows out from the Immediate Past President. His 13 years on Council have been tireless, and we have witnessed very few with such passion and commitment to the members.

We welcome Dr Janina Christoforou back as the new Vice President, having previously served as our Federal Councillor. She brings great capability to the organisation and will be a great asset to our team.

We also have a diligent Board that works very well together and come with great experience and ideas. Thanks also to our CEO, Trevor Lovelle, and the staff at ADA House for making the magic happen.

So, let me introduce myself. I have had a long journey in Dentistry as a UWA graduate: five years working with Dental Health Services in various locations, a three year overseas stint, then owning and running two very different dental practices, first in Collie,

then Australind in the last 25 years. In that time, I also helped run the South West Dental Convocation. After that, I did six years as the ADAWA Country Councillor and two years as Vice President. Feel free to connect with me on LinkedIn or Instagram by the way.

All these experiences have taught me many lessons about what it means to be an Oral Health Professional in a variety of settings. The contentment I feel has come from my interaction with other people: the patients, the staff, the community and my peers. I have learned that we share many things in common, and everyone’s journey has its ups and downs. We face many of the same problems.

And speaking of those problems here are some of the ones I would like to improve: Workforce issues will continue to challenge us, including recruitment and retention, Compassionate Release of Super is still a work in progress, our Rural and Remote colleagues will need further support from us, the increased cost of running a small business is becoming onerous, the administration demands are growing, the stresses of being an employee or contractor dentist too are not forgotten. So, we have a lot to work on. But I am confident we can make things better if we work together.

CEO Trevor Lovelle

President Dr Tim Crofts

Reflecting on a Year of Progress and Purpose

CEO comment Trevor

As we close another positive year at ADAWA, I’m proud to reflect on the achievements that have strengthened our association and deepened our connection with members across the WA dental community.

Our successful advocacy efforts included ADAWA leading a strong response to proposed amendments to the Health Services Act that threatened private dental practices. Through direct engagement with government and the Minister for Health, we secured a commitment to a full review of the Act—replacing a narrow revision that focused solely on IV sedation. This outcome reinforces our commitment to balanced, transparent, and evidence-based oral health policy.

The first annual review of our Strategic Plan, which aligns organisational direction with member needs and sector trends, was completed earlier in the year. Key priorities included enhancing digital engagement, introducing free CPD courses within the member subscription, and reviewing our professional indemnity arrangements. We also appointed the inaugural ADAWA Peer Advisor to provide accessible, sector-specific guidance—further strengthening member support and connection. Our committees continue to be central to ADAWA’s strategic and advocacy

work. Their insights have shaped our positions, driven engagement, and informed planning. I extend sincere thanks to every committee member for their dedication and collaboration.

In the coming year, the next phase of our capital works program will focus on refurbishing the first-floor administration offices — enhancing our working environment and supporting more effective member engagement.

We’re also looking forward to progressing the proposed ADAWA Education and Advisory initiative, which aims to strengthen our brand, diversify revenue, and extend our impact beyond traditional services.

By offering tailored education, training, and advisory services to dental professionals and broader sectors, ADAWA is positioning itself as a leader in professional development, public education, and community safety. Supported by our members’ expertise and strategic partnerships, this initiative has the potential to shape the future of dental and public health training across WA.

I would take this opportunity to thank you for your continued support, and to wish you and yours a safe and relaxing festive season.

Taking the chair

It has been nearly a year since Dr Simon Shanahan took his seat as the Dental Board of Australia Chair. We spoke to him about his experience in the role.

Dr Simon Shanahan is well-known his contribution to the dental profession in WA, but this year he took on another large role as the new Chair of the Dental Board.

I believe you have been involved with the Dental Board of Australia for a number of years. Can you tell me about your previous involvement with the Dental Board?

I originally joined the West Australian Registration and Notification Committee of the Dental Board of Australia in 2012 as a practitioner member. At that time, the Committees were state based. I eventually served as Chair of this committee and the Immediate Action Committee in Western

Australia. In 2021, the Committees became national bodies that met virtually. I was appointed co-Chair of the Notifications and Compliance Committee (NCC) in 2021.

Eventually in December 2021, I was appointed as a practitioner member, from Western Australia, of the Dental Board of Australia. Members of the Board may serve three, three-year terms. After my first term, I was appointed the third Chair of the Dental Board of Australia in late 2024. Very proud of that – a long apprenticeship was served.

Can you tell me how you came about taking the position of Chair of the Dental Board? What does the position of Chair require you to do?

Photo courtesy of Ahpra

National Board appointments (including Chairs) are made by the Ministerial Council, which is made up of Health Ministers from all jurisdictions and the Commonwealth.

The job of Chair is almost a second fulltime job. Besides presiding over meetings, overseeing the Board’s delegated decisionmaking committees and all the issues we consider, there is (much) more. Strategic planning, budgeting, multi-profession interaction with other National Boards… it is a long list that keeps me doing something basically every day, weekends included.

When you took the position of the Chair late last year, did you go into the position with any goals in mind?

My initial goal was to continue with the important program of work already underway. “Listen and learn” is an apt epithet when taking on a new role. It is not yet a year, but I now do have goals I can articulate – short and long term, high level and more granular.

What are your hopes for the next year to come as Chair of the Dental Board?

I’m still listening and learning, but I also can say that, broadly, I wish the Dental Board to be a leader in professional regulation – and not just in the dental profession.

To protect the public is our primary goal and that requires us to be fair, transparent, reasonable and forward-looking. I would say that keeping the trust and confidence of the public, the practitioners and students we regulate, other regulatory partners and stakeholders is key to achieving this goal. I want the Dental Board to continue to be seen as progressive and open to change and reform, but considered in how we apply changes that affect many groups. At the granular level, we have a lot of projects on our plate that require discipline and staying power to complete. One hope and goal I have in relation to your readers is that we assist them to take time to understand how the Board operates in the very complex area of regulation in Australian healthcare.

Nearly a year into the appointment, what has the experience been like for you?

As I noted, the job is a big one. I would describe the experience as stimulating mentally, tiring physically and overall, very enjoyable.

Have there been any highlights, challenges or changes that have been significant during this time?

One highlight personally is to realise the truth of the position in that it has real power to make change for the good. As I mentioned, change is a constant and never enjoyed by all. That said, change is also inevitable. I won’t preside over a Board that will please everyone – that is impossible. What I will say is that the Board will always aim to move in understandable, equitable and logical paths.

Challenges around issues such as the Compassionate Release of Superannuation and unethical behaviours by a small number of practitioners immediately spring to mind. Having regard to a wide range of (often divergent) opinions when

developing and implementing policies can be a challenge, but also presents an opportunity for the Board to make sure we are rigorous, transparent and thoughtful in our approach and clear in how we communicate proposed changes. The Board regulates people. Dental practitioners are human. When mistakes are made or where intentional harm is caused, the Board will assess the circumstances and take action if needed. Where practitioners are selfreflective and put measures in place to learn from mistakes and not repeat them, often further regulatory action is not needed. Oftentimes the call to react with a kneejerk is made, however, the Board must operate lawfully, and in a considered way, with protection of the public as its goal.

Is there anything you would like our members to know about happenings at the Dental Board?

There is always so much going on. The Board’s newsletter is where we talk about our work and the Board website is another great way to find out what’s going on. I believe it’s important to stay informed, so I encourage everyone to stay in touch.

The old and the new

We

spoke to Dr John Davies about the story behind the ADAWA Presidential Chain.

It’s a part of tradition and ceremony when, every two years at the ADAWA Annual General Meeting, a new President is announced and wears the ADAWA Presidential Chain.

The original chain, started in 1928 is engraved with the names of past ADAWA Presidents until the year 2000, and when the chain was nearly full, then President, Dr John Davies, was charged with commissioning a new one.

“I approached David Walker, who was the Associate Professor of Jewellery at Curtin University and a friend of mine, and asked if he would like an interesting project,” John recalls.

David Walker, noted for his work on public artworks, and of considerable Australian and international renown, clearly understood the brief – during the five-to-six-month process, he created a ceremonial chain in which every part had dentistry in mind.

“He did a beautiful job not only of the drawings but of the execution,” John says.

Bite pattern

At the base of the chain, there is an image of a black swan (made from oxidised silver) symbolic for Western Australia, but it is the pattern behind it in gold that has a dental significance. “The gold background behind the swan is a stylised occlusal pattern of both upper and lower molars,” he says. The gold was donated by member dentists from extracted teeth, with Dr Ray Owen one of the significant gold donors for this project.

The materials

Each material was chosen with a link to dentistry in mind, including silver, stainless steel screws (a nod to old-world dentistry) stainless steel wire (to reference orthodontics) and titanium (to reference implant material).

A modern design

The design was considered very modern for its time, with the names being laser engraved instead of the traditional engraving. “The most important part for me was the blending of the old and new,” John says. “I graduated in 1976 and then by the time I was president there were the titanium implants, the orthodontics with stainless steel…materials had taken off and David Walker really grasped the concept of using these materials that were significant to dentistry.”

Change is constant

John says it was important to continue the tradition of a Presidential chain because it is important the President is identifiable, but the design of the latest chain was symbolic of the changes that constantly occur in dentistry.

“When I retired, I was very aware of technology moving quickly; CAD CAM technology came in and I guess the next step will be we will be growing teeth in a laboratory. And that is key – there is nothing more certain than change itself. The next Presidential chain might be a virtual chain.”

A lasting impression

Final year dentistry students, Elnaz Tahsini and Ashton Foo, share their experience following an educational trip with the Kimberley Dental Team, with the students’ trip financially supported by ADAWA.

Elnaz Tahsini

Tell us about your experience with the Kimberley Dental Team. What did the experience mean to you?

My experience with the Kimberley Dental Team is one I will carry with me throughout my dental career. It broadened my perspective on the significant oral health needs in remote communities and highlighted the critical role that rural dental services—such as those provided by the Kimberley Dental Team—play in improving access to care. It was a powerful reminder of the impact dentistry can have when it reaches those who need it most. What were some of the highlights?

The highlight of the trip was being part of a cohesive, passionate team working in sync to achieve the best possible outcomes for patients. Witnessing the joy and gratitude in patients’ smiles, and the spark in their eyes after receiving care, was incredibly moving and reaffirmed our purpose. The team’s commitment and unity made a lasting impression on me.

What has this volunteering experience taught you that you think will be valuable as a future practitioner?

This experience opened my eyes to the widespread need for dental care in communities beyond metropolitan areas— many of which face significant barriers to access. It’s inspired me to make volunteer

work a fundamental part of my journey as a general dental practitioner. I also learned the immense value of teamwork; a well-functioning, supportive team lays the foundation for delivering successful and compassionate patient care.

Do you have a message to ADAWA about receiving funding for the trip?

I would like to sincerely thank ADAWA for funding this invaluable opportunity. Experiences like this offer future practitioners a chance to gain unique clinical exposure that goes far beyond the classroom, shaping us into more capable, empathetic, and well-rounded clinicians. Without this support, I wouldn’t have had the opportunity to witness firsthand the urgent need for dental services in these regions or to appreciate the profound role of volunteerism in our profession.

Do you have a message to The Kimberley Dental Team about this experience?

A heartfelt thank you to Jan and John Owen for curating such a meaningful and impactful experience—not just for us as volunteers, but most importantly, for the patients we served. Their unwavering dedication to delivering dental care in remote communities has made a tangible difference in people’s lives. I feel deeply honoured and grateful to have been part of this journey and to contribute, even in a small way, to such an inspiring mission.

Tell us about your experience with the Kimberley Dental Team. What did the experience mean to you?

Volunteering with the Kimberley Dental Team was an eye-opening experience. It gave me the opportunity to step outside the traditional clinical setting and provide care to people facing significant barriers to oral health services. Working in such a remote and culturally rich part of Australia allowed me to provide essential oral health care to Aboriginal communities and develop my understanding of the health challenges faced by them.

What were some of the highlights?

One of my highlights was connecting with the local children during school visits. Seeing their excitement and building trust while delivering treatment in such an informal and supportive setting was incredibly rewarding. Another highlight was working alongside a team of dedicated and compassionate professionals. Their mentorship and the support among the group made the experience both educational and fun.

What has this volunteering experience taught you that you think will be valuable as a future practitioner?

This experience taught me the importance of adaptability, cultural understanding, and the value of community-based care. It reminded me that dentistry isn’t just about clinical skills, it’s also about building trust, understanding diverse backgrounds, and delivering care in a way that respects and empowers patients.

Do you have a message to ADAWA about receiving funding for the trip?

I am incredibly grateful to ADAWA for their generous support, which made this experience possible. Thank you for supporting students and programs that make a real impact in communities that need it most.

Do you have a message to The Kimberley Dental Team about this experience?

Thank you for welcoming me into such a passionate and purpose-driven team. KDT’s impact is truly inspiring, and I feel privileged to have been part of it. This experience has left a lasting impression on me, and I’m grateful for the opportunity to have learned from everyone. I hope to return and contribute again in the future.

Gen3 sterilisers - reliability for your practice

If your practice needs a new steriliser, it is vitally important for the smooth running of your practice to choose a steriliser that is reliable. We spoke to Jim Owen, Mocom Australia’s sales relationship manager about their new range of Gen3 sterilisers.

It might not be the most glamorous part of dentistry, but the efficiency of your steriliser has a huge impact on the entire dental practice. With a focus on user-friendly features and increased reliability, the new range of Gen3 sterilisers from Mocom Australia ensures that you have a steriliser that will not let you down.

Mocom Australia’s sales relationship manager Jim Owen says the new range of sterilisers was launched on the East Coast in August. “We launched three new models – the Classic, the Futura and the Supreme,”

Jim Owen, Steve Lines and Hayley Avery

Jim says. “The units feature a streamlined redesigned exterior and a host of advanced new features which set these models apart.”

Some features include:

Increased cycle speed: Jim says the Futura and the Supreme models both have a modular drying function that decreases the cycle speed for greater efficiency. “The average speed of a cycle will vary across different brands,” Jim explains. “For the Futura, it is about 42 minutes on a universal cycle, for a full load. This is now one of the quickest cycles available, which saves you time.”

Environmental efficiency: Imagine the money, time and space saved being able to use tap water in your steriliser?

“The Futura has a built-in demineralising feature, and the Supreme offers a secondary recycling filter," Jim explains. “This means that tap water can be used so you do not have to store bottles of demineralised water, and you are not having to buy or make demineralised water, which can be a long process.”

Using the Supreme means, you get 50 Sterilisation cycles from 5 litres of tap water, saving you further.

User-friendly features: The Futura and Supreme also make onboarding easy, with in-built video tutorials – no more second guessing on how to use different functions or perform user maintenance procedures.

Reliable support: A steriliser should be serviced every 6-12 months and have a 12-monthly validation. STS Health are the service support for Mocom sterilisers, so you can be assured you have local support with a number of technicians available. “It is

important to always use an authorised and trained Mocom service agent – and in Western Australia that is only STS Health,” Jim says.

A typical shelf life for a steriliser can be more than 10 years, so if your practice is looking for a new steriliser, it is important to choose one that is dependable.

“A practice has to sterilise instruments after every patient,” Jim says. “This is why you need something reliable to consistently sterilise and streamline the flow so the practice can continue to have patients coming in the door. The functionality of your steriliser is vital to the running of the practice.”

If you would like to enquire about purchasing a Gen3 steriliser for your practice, the range is available exclusively through Henry Schein.

To find out more about the Gen3 range visit Mocom Australia’s website: mocomaustralia.com.au or go to the STS website, sts-group.com.au

Jim’s top tips when choosing a steriliser

Choose a steriliser with fast cycles so you can get your instruments through the reprocessing cycle quickly and back into use.

Ensure the steriliser is cost effective.

Choose a steriliser that is reliable and backed up with good support.

Ensure the steriliser is TGA registered and work safe approved.

Charity on Rokeby

The team at Rokeby Dental Surgery and Implant Centre continue to give back at their latest Charity Day.

Rokeby Dental Surgery and Implant Centre have held annual charity days since 2013 – with staff donating their time on a Saturday morning so funds taken from appointments on the day can be donated to worthy charities.

Over the years, many patients have supported the initiative by scheduling their routine check ups to coincide with the charity day – showing the generosity of both staff and patients at the practice.

On average, each charity day has raised around $10,000, with the following charities chosen as past beneficiaries: SIDS WA, The Cancer Council of Western Australia, Canteen, Saba Rose Button Foundation, The Geoff Rasmussen Scholarship Fund, Rett Syndrome Foundation, Forever15, Solaris Cancer Care, Epilepsy WA, Variety Club and Harry Perkins.

For the 2025 charity day, local dental charity Healing Smiles was the chosen charity, after Dr John Watson and Dr Tim Clair heard a speech from Dr Jacinta Vu about the work of Healing Smiles. On the charity day, held

on October 25, over $11,000 was raised for Healing Smiles.

Dr Lida Sayadelmi, Chairperson of Healing Smiles, says: “Since 2018, Healing Smiles has been providing comprehensive dental treatment free of charge by our volunteer dentists and specialists for women survivors of DV. Opening our purpose-built clinic in Northbridge in January 2025 was an exciting achievement. But expanding care to more women in need of treatment presents significant financial challenges in managing a dental practice.

“We at Healing Smiles are very grateful to the dental community in supporting us to maintain our vision of ‘Accessible traumainformed dental care for all women survivors of family and domestic violence’.

“Rokeby Dental is making this vision possible. But beyond the financial contribution they give us the message that we are on the right track and we don’t have to do it in isolation. This generosity is more than a gift—it’s the path to hope, confidence and possibilities that will continue to grow for years to come.”

THE THERAPEUTIC USES OF BOTULINUM TOXIN AND INTRAORAL DERMAL FILLERS IN GENERAL DENTAL PRACTICE

COURSE OUTLINE

This two-day course will focus on the therapeutic use of botulinum toxin and intraoral dermal fillers for dental practitioners and will be delivered as a mix of didactic lectures and practical hands-on training using real to life silicone manikins.

Learning outcome

By attending this course, you will have a comprehensive understanding of:

• Financial and legal implications of utilising Botulinum Toxin and Intraoral dermal fillers.

• Anatomical territories associated with the lower face.

• Dosing protocols and technique for safe and effective therapeutic administration of Botulinum Toxin.

• And more.

ABOUT THE PRESENTERS

Dr Mahmoud Bakr is the Director of Clinical Education (Dentistry) and a Senior Lecturer in General Dental Practice at the School of Dentistry and Oral health – Griffith University. In 2014, Dr. Bakr completed a Graduate Certificate in Higher Education and a Doctor of Philosophy (PhD) in 2019. Currently, Dr. Bakr is an accredited examiner for the Australian Dental Council Examination for overseas training dentists. He has published over 45 peer reviewed journal articles in different fields including the effect of Botulinum Toxin on different oral tissues.

Dr Mohammed Meer has been involved in clinical teaching of undergraduate and postgraduate students in four of the five dental schools in South Africa. He was in private practice at Vincent Pallotti Hospital in Pinelands, Cape Town, and was a consultant at the Department of Maxillo-Facial and Oral Surgery of the University of the Western Cape before immigrating to Australia in 2007. In 2012, Mohammed completed a Graduate Certificate in Higher Education.

Dr Meer is registered with AHPRA as a Specialist Oral Surgeon.

CALENDAR 2026

ADVANCED DIGITAL IMPLANT RECONSTRUCTION: FROM SINGLE TOOTH TO FULL ARCH

COURSE OUTLINE

Join this immersive three-day digital implant dentistry workshop and master the complete digital workflow — from precise case planning to predictable prosthetic restoration. Through evidence-based teaching and practical sessions, you’ll learn intra-oral scanning, CBCT integration, digital implant planning, surgical planning, and surgical guide fabrication for both single and multiple implants. Gain confidence in guided surgery using the OneGuide system, and explore advanced prosthetic workflows, including screw- vs cement-retained restorations, custom abutment selection, and immediate provisional restorative techniques. The hands-on component includes comprehensive case planning, guided implant placement on models, and immediate provisional restoration, ensuring you develop practical, transferable skills. Whether for single-tooth or multiple implant cases, this program will equip you to deliver precise, efficient, and patient-centred implant outcomes.

ABOUT THE PRESENTERS

Dr Aqeel Sajjad Reshamvala is a specialist prosthodontist and implantologist based in Mumbai. He earned his Bachelor of Dental Surgery from Mumbai University (1997) and his Master of Dental Surgery in Prosthodontics from the University of Queensland, Australia (2001). He is the Global Ambassador for the Digital Dental Society, a Fellow of the International Congress of Oral Implantologists (ICOI), and a Fellow of the International Team for Implantology (ITI). As a key opinion leader he lectures internationally and conducts hands-courses on complete dentures, fixed and removable prosthodontics, full mouth rehabilitation, implant prosthodontics, digital dentistry and occlusion.

Dr Nishant Vaishnav holds a Bachelor of Dental Surgery and a Master of Dental Surgery in Periodontics, and is a Fellow of the International Congress of Oral Implantologists and the International College of Dentists. He focuses on restorative and implant dentistry, particularly periodontics, implants, and restorative procedures. He is a member of ADAWA, RACDS, ICOI) and ASP. Nishant maintains private practices in Perth.

Introducing ADAWA’s Peer Advisor Member Service

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

Early Release of Superannuation on Compassionate Grounds for Dental Treatment

Compassionate Release of Superannuation (CRS) Ahpra, in collaboration with the ATO, issued a Guidance about CRS on 16th October 2025, which is available on the Ahpra website. In this article, ADAWA Peer Advisor Dr Tony Poli summaries the main points.

The ATO took over administering the Early Release of Super on Compassionate Grounds (CRS) scheme on 1st July 2018, and report that applications for CRS have nearly doubled in since 2020 (dental applications increased 6 times). Dental spend have increased from $108.2m in 2020-21 to $817.6m in 2024-25. Total spend over all categories in 2024-25 was $1,416m. Dentistry accounts for 57.7% of the total amount approved for CRS.

The ATO sets the rules, and they approve or reject the applications. Any information provided by the dental practitioner, medical practitioner and the patient must be accurate and abide by the criterion that is being used to justify the CRS. Any information provided to the ATO must be correct because if not there are penalties for the person providing the misinformation.

“ATO Deputy Commissioner Emma Rosenzweig said the ATO is concerned that some health practitioners and registered agents are inappropriately supporting individuals to access their superannuation on compassionate grounds, particularly for cosmetic procedures that aren’t aligned to compassionate release requirements.

‘I want to make it clear, compassionate release of super should only be considered as a last resort, where all other options of paying for the eligible expenses have been

exhausted.’ Emma Rosenzweig, ATO Deputy Commissioner” Ahpra News Release 16 October 2025. (Source: https://www.ahpra. gov.au/News/2025-10-16-Warning-aboutextracting-super-early.aspx).

It is important not to make false or misleading statements in an attempt to help the patient get the CRS approval.

ADA Guidelines for CRS say:

“Dentists should not advertise the CRS or unduly recommend CRS as a manner of accessing funds to afford dental treatment. Medical reports should present facts and should aim to not be misleading. These are legal declarations made to the Australian Taxation Office (ATO), and as such significant penalties are associated with their misuse.

Dentists should encourage patients interested in obtaining superannuation funds early to obtain professional financial advice and document as such. Applications for CRS should be completed by the patient, not by the dental clinic or practitioner. Dentists are responsible for the associated report and sections of the CRS application only. Patients seeking assistance with completing a CRS application may be provided a list of firms offering that service, to support a selection that is not directed by the dental practitioner or clinic. If a clinic has

a financial conflict of interest in using one of these firms, this needs to be disclosed.” (Source: https://ada.org.au/resources?_ Production_Resources%5brefinementList% 5d%5bcategories%5d%5b0%5d=Guidelines)

Criteria

The patient's best interests must be the priority when assessing them for treatment and the options provided must be based on currently available best evidence. These options must not be influenced by financial gain. The ATO will only approve a release of super on compassionate grounds if all conditions set out in the regulations are met. These conditions include that the patient has no other means to pay the expenses.

The 5 main grounds of eligibility are:

• medical treatment and/or transport for the patient or their dependant

• accommodating a disability for the patient or their dependant

• palliative care for a terminal illness for the patient or their dependant

• death, funeral or burial expenses for the patient’s dependant

• preventing foreclosure or forced sale of the patient’s home.

In a dental setting if the patient applies for CRS for medical treatment and cannot otherwise afford the treatment or if it is not available in the public system the law states:

“The treatment must be necessary to:

• To treat life threatening illness or injury

• To alleviate acute or chronic pain

• To alleviate acute or chronic mental illness” (Source: https://www.ato.gov. au/about-ato/research-and-statistics/ in-detail/super-statistics/early-release/ compassionate-release-of-super/ eligibility-for-compassionaterelease-of-super).

The criteria are very tight, and dentists need to be mindful of the criteria, and the

warnings form the ATO, Ahpra and ADA as outlined above.

Points to consider

1. The money released is liable for tax therefore the amount taken out of super is treatment + tax. Eg: $10,000 (treatment cost) + $3,000 (tax??) = $13,000 not the $10,000 the patient requires for the treatment – see note 3) regarding financial advice.

2. Dentist must adhere to the Code of Conduct and be honest, professional

and ethical. They must not stretch the truth to help a patient. All information must be accurate and truthful at all times.

3. The dentist must gain full informed financial consent. Provide the patient with cost and how the dentist is prepared to accept payment. They must never suggest ways to fund the treatment because this is considered to be financial advice and if you are unlicensed i.e. you don’t have an Australian Financial Services Licence this can lead to severe penalties from ASIC.

Documentation required

• Reports are required from medical practitioners one being from a specialist in the condition to confirm that they comply with one of the criteria.

• A quote or invoice from the practitioner about the cost of treatment which only includes that element of the treatment necessary to treat that condition.

• If the condition is acute or chronic dental pain, then reports from 2 dentists are acceptable because they are considered specialists in that condition.

• If the condition is acute or chronic mental illness a report from a psychiatrist is mandatory. This is still the case if the appropriate treatment for the condition is dental treatment – it is essential that the second report is from a psychiatrist not a psychologist or counsellor because the ATO demands a psychiatrist’s report.

• The ATO has templates for report writing available on their website, https://www.ato.gov.au/api/public/co ntent/669f1e735ae44e86ae65c115b3 c7e929_compassionate_release_of_ superannuation_report_by_registered_ medical_practitioner.pdf

Warnings and Further Considerations

• As mentioned at the beginning of this article it is important to read the Ahpra Guidance about CRS issued on 16th October 2025. This is more comprehensive than my article and should help clarify any concerns you may have.

• The dentist must ensure the information provided in the report to the ATO (including which criterion is being used) is correct because any statement to the ATO has legal ramifications. If it is misleading, you may be subject to penalties. This applies to both parties submitting the report (medical, psychiatric and dental practitioner) as well as the patient.

• The patient applies to the ATO, the dentist is not involved in this process. If the funds are approved the ATO notifies the patient and the Super Fund who on application from the patient release the funds to the patient. The dentist is never informed by the ATO of the approval or rejection. 40% of applications are rejected.

• The patient can then decide to access the funds or not and just leave them in the Super Fund. If they do access the funds, there is no compulsion for the patient to return to the original dentist for treatment. They can go elsewhere, even shop around for a cheaper provider.

• There are 3rd parties who can do all the groundwork for the patient and even submit the application, but they must be a registered tax agent to submit the application on behalf of the patient. It is unethical possibly even illegal for a dentist to have relationship with one of these organisations as it is tantamount to providing financial advice. Also, these companies will charge a fee for this

service further increasing the amount of super to cover the cost of treatmenttreatment cost + tax + fee (which could be either a percentage of the amount asked for or a flat fee). Eg using above example $10,000 + $3,000 + $1300 (using 10%) = $14,300. Please note the 10% is only for illustrative purposes only and the fees are determined by the company.

Concluding remarks

The CRS scheme can be very helpful for patients who require dental treatment that conforms to the criteria as determined by the ATO. Dentists must abide by the rules set out by the ATO, if they don’t, they may be subject to financial, taxation or criminal

penalties. We all like to help our patients but there are professional, ethical and legal constraints as to what can do to help our patients who will sometimes put pressure on us to submit an erroneous report. Applications for CRS are coming under increasingly careful scrutiny by both the ATO and Ahpra. So be very careful that when you do submit your report it is accurate, factual and contains all the documentation required Dr Tony Poli is ADAWA’s Peer Advisor. For confidential, professional guidance from Dr Poli, contact: tony.poli@adawa.com.au or phone 08 9211 5600.

*The Ahpra Guidance on compassionate release of super October 2025 can be read at the following link: https:// www.dentalboard.gov.au/News/2025-10-16-Guidanceon-super-concerns-released.aspx

West Coast puts it all together

West Coast Dental Depot has over twenty years experience supplying and installing dental equipment. We have the range, knowledge and experience to ensure you and your surroundings work in perfect harmony. From design through to completion, we will make your surgery transformation an easy and enjoyable experience – all within your budget. Talk to West Coast Dental Depot, we know how to put it all together.

When should I refer?

Dr Simon Parsons, Dentolegal Consultant at Dental Protection, walks us through the thought processes and provides some helpful guidance in the form of the Smart S referral framework.

It can be difficult to know when to refer a patient to another practitioner, for a variety of reasons. These can include financial constraints, a lack of trusted relationships with specialist external practitioners, a desire to build one’s own practice and not outsource complex treatment, or even the fear of feeling ridiculous if the issue proves to be nothing.

Yet we all understand our obligation to act in the best interests of our patients, and this may require us to refer them to other practitioners from time to time, even with these factors in mind. When might such a referral be required, and when might it be a smart decision even when it isn’t absolutely necessary? To answer these questions, it’s helpful to remember some of the indications for referral outlined in the Smart S referral framework. Let’s take a closer look.

Second opinion

We all encounter patients who may have irregular symptoms or signs of disease. These can manifest, for example, in the form of a surgical site that hasn’t healed after an extraction,

pain of uncertain aetiology, or radiographic findings that cannot be easily explained.

Whenever a diagnosis is uncertain, a further opinion is valuable and indicated. That second opinion provides a “fresh set of eyes” and may overcome any cognitive biases or knowledge and skill deficits that we may have but not realise.

Also, consider referral to a patient’s medical practitioner(s) whenever you’re uncertain about the best approach to ongoing treatment (such as a patient at risk of excessive bleeding), or where you suspect an untreated underlying condition. Referral of such a patient back to their GP for further information, investigations or management prior to committing to ongoing care, is wise. This is especially prudent where a patient has co-morbidities or is frail.

Always outline in the referral what your treatment plan involves and why the medical practitioner’s input is required.

Scepticism

Any patient who is reluctant to accept your provisional diagnosis and

recommended treatment plan may benefit from another practitioner’s insights. If the second practitioner confirms your diagnosis and recommendations, the patient is likely to hold you in higher esteem, be more compliant with the treatment, and be more likely to accept your views in future.

The second practitioner may also be able to offer the patient additional options (for example, periapical surgery for a long-standing endodontic issue) that you may be unable to provide yourself. This will ensure that an effective consent process has been followed.

Sinister or suspicious

As noted earlier, where any lesion in the oral cavity or surrounding tissues seems irregular or unusual, it should be investigated further. These situations must be addressed promptly to maximise the chance of early detection and treatment of anything sinister. Timely referral to appropriately qualified clinicians may make a profound difference to the long-term prognosis for a patient.

Clinicians should carefully consider how the need for such a referral is communicated. Some patients may be alarmed by it, while others may be resistant to seeking further information, especially where a lesion has been present for a considerable period. It’s best to avoid exaggerating (“this looks like it could be something very serious”) or minimising (“I’m sure it’s nothing”) the issue at hand. Instead, try to

strike the correct balance by keeping your communication factual and straightforward, and be prepared for your patient to ask questions. The implications of a missed diagnosis altogether, or a misdiagnosis of a sinister condition as something trivial, are serious. It’s wise to assume that a patient’s problem could be a serious or suspicious one until proven otherwise. Thankfully, not every patient we refer with an unusual or rare clinical presentation ends up having a serious issue.

Scope

It goes without saying that a practitioner should only perform treatments for which they’ve received sufficient education and training. Our patients expect us to be competent, as do the regulators. If any patient requires care in which you lack sufficient knowledge, skills or experience to manage competently, they should be referred to someone who can. Indeed, where there are dental manifestations of other systemic disease, such as an immunocompromised patient, it’s appropriate to refer to medical colleagues for the further investigation and management of the underlying conditions. This is because those conditions are outside of the scope of general dentistry to definitively diagnose and then manage. There are times where the treatment outcome may be better, or at least more predictable or faster, when the

patient is managed by someone with more experience in that field than you. Carefully evaluate whether you’re the best person to manage the patient. If not, consider referral.

Serious harm

Referral is nearly always indicated as an option if the proposed treatment entails an inherent risk of serious harm. Most practitioners would prefer to know that they were not responsible for a permanent lip paraesthesia, serious haemorrhage following surgery, or a life threatening post-operative infection.

There is a reasonable expectation in most patients that the procedure you start is one you are able to finish. If that expectation can’t be met without putting that patient at risk of further harm, referral is indicated.

At Dental Protection, we have certainly encountered cases of such harm at the hands of both inexperienced and experienced clinicians. In reviewing the care of the patient prior to formulating a defence, one of the first questions that is always asked is, “Why wasn’t this patient referred to a specialist?”

Safety

When considering safety, it can be helpful to look at it more broadly than just trying to avoid any serious harm. Ask yourself, what are the implications to the welfare of yourself and your team if you treat this patient? If a patient is aggressive, rude, abusive, or

otherwise a threat to a harmonious and safe practice, this can pose a risk to the maintenance of a safe workplace. Is that after-hours call-out a safe one to attend for you and your support staff in your practice location, or is it better to refer the patient to a hospital? Provided it’s performed with appropriate consultation and handover, referral of these patients elsewhere is wise.

This is sometimes a dilemma –however, with the exception of the most urgent of situations, it’s usually possible to decline to treat someone even if you’re unsure who should treat them next. Seek our advice if in doubt about how to do this.

Salvage

If something has gone wrong, such as a molar tooth has fractured during extraction and you’re unable to safely remove the remaining roots, it’s essential to manage the ongoing welfare of the patient effectively and efficiently. Referral is indicated unless you can confidently salvage the situation yourself.

Strained relationships

Sometimes you can find a patient is just plain hard going and impossible to please. At other times, a patient may not warm towards you and may communicate this in a number of ways, not only doubting your advice but repeatedly failing to attend, querying your fees, quoting “Dr Google” or exhibiting very negative non-verbal cues.

In these cases, an offer of referral may give the patient a sense of “permission” to move on to another practice or may help clarify where everyone stands and clear the air.

Summary

In summary, the decision to refer may be based on one or more of the above factors. It’s difficult to be criticised for referring a patient whenever reasonable grounds exist to do so. Of course, a patient may also desire to seek referral in the absence of any of these indications, in which case that request should be respected and complied with. We must respect a patient’s autonomy in the decisions made about their care.

Whatever the basis for referral, be sure to act on it promptly and document all discussions and the referral correspondence in the clinical record.

Ali Joyce 0411 602 084 ali.joyce@credabl.com.au

Deb Kiely 0413 427 601 debbie.kiely@credabl.com.au

Karyn Bailey 0490 851 159 karyn.bailey@credabl.com.au

Discover the difference that Credabl can deliver for you. Reach out to your local team today! Our specialist lending team has deep experience in the dental sector so we understand what you need. We’re here to support you at every step of your professional and personal journey. www.credabl.com.au

Kym Bowker 0482 163 249 kym.bowker@credabl.com.au

Alison Gardner 0428 563 325 alison.gardner@credabl.com.au

Methotrexate-Induced Oral Ulceration: Case Series and a Short Review

Abstract

Methotrexate is a well-established agent in the treatment of various neoplastic diseases. More recently, it has been increasingly prescribed as a once-weekly, low-dose therapy for chronic inflammatory disorders such as psoriasis and rheumatoid arthritis. Clinical trials have confirmed its efficacy in these conditions, making it likely that dentists will encounter patients receiving methotrexate in general practice. Oral ulceration is a recognised adverse effect of methotrexate therapy, which may result from inadequate folic acid supplementation or accidental overdosage due to confusion about the once-weekly regimen. This paper describes cases of such problems first seen in a dental setting.

Introduction

Methotrexate is an antimetabolite and immune-modulating drug. At high doses it is widely used as a chemotherapeutic agent in conditions such as leukaemia, non-Hodgkin’s lymphoma and various solid tumours.

At lower doses, methotrexate plays an important role in managing chronic inflammatory disorders such as rheumatoid arthritis and psoriasis. For these non-malignant disorders it is usually prescribed once weekly, up to 25 mg. In rheumatoid arthritis it is a popular alternative to systemic corticosteroids and azathioprine because it is effective and has

fewer serious side effects than long-term steroid therapy. Methotrexate may also improve survival in rheumatoid arthritis by reducing cardiovascular mortality. Because of its widespread use at low doses, dental practitioners are increasingly likely to encounter patients taking methotrexate. Awareness of its oral side effects is therefore important. This paper reports two cases of methotrexate-related oral ulceration that were first seen in the Oral Medicine Clinic.

Case Reports

Case 1

A 78-year-old male with a 10-year history of rheumatoid arthritis presented to the Oral Medicine Clinic with multiple painful oral ulcers of two weeks’ duration. He had been taking methotrexate 20 mg once weekly along with 5 mg folic acid daily.

Oral examination revealed several shallow ulcers with erythematous borders affecting the buccal mucosa and the lateral borders of the tongue (Fig. 1). The patient reported significant discomfort while eating and speaking. Blood investigations were unremarkable. He was prescribed dexamethasone mouthwash and Difflam rinse, but there was no improvement. Methotrexate-induced oral ulceration was suspected. The patient’s rheumatologist was contacted, and methotrexate was temporarily withheld. Supportive therapy

with a topical corticosteroid mouth rinse was continued. Within two weeks, the ulcers healed completely (Fig 2). Methotrexate was later resumed at the same dose with continued 5 mg folic acid daily, and no recurrence was noted at follow-up.

Case 2

An 80-year-old female presented to the Oral Medicine Clinic with painful oral ulcers that had been present since June 2025. She had been taking 15 mg methotrexate along with folic acid supplementation.

Oral examination revealed multiple ulcerations on the tongue (Fig. 2 a) and buccal mucosa. Initial management with dexamethasone and chlorhexidine mouthwash provided no improvement. A swab of the lesions showed moderate growth of fungus, and Amphotericin lozenges was prescribed, but this also had no effect.

The patient’s general practitioner was consulted, and methotrexate was suspended for three weeks. Following this, resolution of the ulcers was noted (Fig. 2b). She was then prescribed dexamethasone mouthwash, which led to marked improvement of the lesions.

Discussion

Methotrexate-induced oral ulceration is an uncommon but well-recognized complication, even in patients receiving

folic acid supplementation. Both cases presented with painful ulcers resistant to topical therapy, highlighting that suspension of methotrexate may be necessary for resolution.

Conclusion

Methotrexate can cause oral ulceration even in patients taking folic acid. Topical treatments such as dexamethasone mouthwash may not work until the methotrexate dose is reviewed or changed. Early recognition of these ulcers and prompt communication with the prescribing doctor are essential to achieve healing and reduce patient discomfort.

Dental practitioners play an important role in recognising drug-related oral problems and coordinating care with other health professionals. Dentists should consider methotrexate as a potential cause in patients presenting with persistent oral ulceration unresponsive to standard topical therapies.

References

Endresen GKM, Husby G. Folate supplementation during methotrexate treatment of patients with rheumatoid arthritis. Scan J Rheumatol 2001; 30: 129-134.

Deeming GMJ, Collingwood J, Pemberton, MN. Methotrexate and oral ulceration. Br Dent J 2005; 198: 83-85.

Case 1

Fig. 1

Multiple painful ulcers on the buccal mucosa and lateral border of the tongue in a patient taking low-dose methotrexate.

Case 1

Fig. 2

Complete resolution of ulcers within 2 weeks.

Case 2

Fig. 2 A

Multiple painful ulcers on the tongue and buccal mucosa in an 80-year-old female taking methotrexate and folic acid, resistant to initial topical therapy and antifungal treatment.

2 B

Marked improvement and healing noticed after discontinuing methotrexate for 3 weeks.

Case 2
Fig.

Endodontic Considerations in the Management of Endodontic–Orthodontic Cases

Part I: Pre-Orthodontic Endodontic Evaluation

Dr Shahrzad Nazari, DDS (Hons Irn), MSc (Board Endo Irn), DClinDent (Endo UWA), MRACDS (Endo)

Teethbytwo – Endodontist Perth

This paper forms Part I of a clinical series exploring the biologic coordination between endodontic and orthodontic disciplines. It focuses on the diagnostic and treatmentplanning considerations required before orthodontic intervention, where pulpal status and periapical health directly influence mechanical sequencing and long-term stability.

Abstract

Successful integration of endodontic and orthodontic treatment depends on a shared biologic foundation.

Orthodontic forces applied to teeth with uncertain pulpal or periapical status risk root resorption, delayed healing, and treatment relapse. This article illustrates two interdisciplinary cases and compiles the key prognostic factors that must be considered at patient, site, tooth, and root levels when coordinating endodontic and orthodontic care.

Case 1 – Pre-Orthodontic

Endodontic Assessment of Posterior Molars

A 37-year-old female (Mrs H. K.) was referred for endodontic assessment and management of teeth 16, 26 and 46 before orthodontic space management. Clinical and radiographic evaluation, including CBCT scanning, revealed that teeth 16

and 26 were asymptomatic clinically; however, imaging confirmed the presence of missed mesiopalatal root canals, short obturation lengths in other canals, and distinct periapical radiolucencies. Both maxillary molars were diagnosed as previously root-filled with inadequate quality, exhibiting infected rootcanal systems (RCS), chronic apical periodontitis, and external apical inflammatory resorption associated with restoration breakdown, cracks, and recurrent decay. Tooth 46 shared similar diagnostic features but also demonstrated concurrent periodontal involvement, indicating a combined endodontic–periodontal lesion.

The patient was advised that microscope-assisted endodontic investigation was required to confirm the restorability of each tooth. Preserving the maxillary molars was considered advantageous because their retention could shorten overall orthodontic treatment time, simplify anchorage planning, and reduce maintenance lapses in a patient presenting with severe anterior crowding without major skeletal discrepancies.

From an orthodontic perspective, the patient exhibited moderate-to-severe anterior crowding, more pronounced in the mandibular arch, accompanied by mild midline deviation but no

skeletal disharmony. Retaining teeth 16 and 26 was strategically important to preserve posterior anchorage, maintain vertical dimension, and support controlled space distribution during anterior alignment. Successful endodontic retreatment of these molars would provide stable posterior support, enabling more predictable arch coordination and potentially reducing treatment duration. Conversely, the extraction of 46, which had been compromised by endodontic and periodontal pathology, was expected to simplify lower-arch alignment and create efficient space for resolving anterior irregularities. Thus, the endodontic diagnosis directly informed orthodontic sequencing and biomechanics, ensuring that all tooth movement would occur within a biologically stable, infection-free environment.

Case 2 – Interdisciplinary Management Following Dental Trauma

A 32-year-old female (Ms A. H.) presented for pre-orthodontic endodontic review following a history of childhood dental trauma. Tooth 41 had been lost previously and replaced with a resin-bonded cantilever pontic attached to tooth 42. Both teeth 31 and 11 had undergone prior root canal therapy of variable technical quality.

Radiographic and CBCT assessment demonstrated apical resorption and a persistent periapical radiolucency associated with 31, while the obturation appeared short and incomplete. Tooth 11 was adequately filled coronally but not fully captured within the imaging field, limiting apical assessment. Tooth 42, which supports the cantilever pontic, appeared vital radiographically but was deemed at risk because of its restorative loading and previous traumatic history. Tooth 55 showed radiographic features of ankylosis with infraocclusion and indistinct lamina dura continuity, consistent with replacement resorption.

Based on these findings, elective root canal treatment of 42 was advised to mitigate the risk of pulpal necrosis once orthodontic forces were applied. Re-treatment of 31 was recommended if the tooth proved restorable after dismantling and microbial debridement. The ankylosed 55 was scheduled for extraction with ridge preservation to prevent vertical bone loss and to facilitate later implant-site development.

From an orthodontic perspective, the patient displayed a Class I skeletal base, moderate anterior crowding, and a mild midline deviation to the right. The lower anterior region showed an edge-to-edge incisal relationship with minimal overjet and overbite, producing limited

space for alignment. The cantilever pontic replacing 41 restricted space management and blocked symmetrical root positioning. Removal of the pontic prior to active treatment was therefore essential to allow accurate space analysis and proper torque control of 42.

The treatment plan required close endodontic/orthodontic sequencing. Endodontic therapy was to precede all tooth movement, followed by a healing interval to confirm radiographic resolution of apical inflammation. Subsequent orthodontic mechanics would focus on gentle alignment, correction of the midline discrepancy, and redistribution of space for the future prosthetic replacement of 41.

This case exemplifies the biologic interdependence of both disciplines: teeth with previous trauma or compromised vitality must be stabilised endodontically before orthodontic movement. Early endodontic intervention ensures that orthodontic forces are applied only to teeth with a healed, infectionfree periapical environment, thereby preventing resorption, reducing treatment interruptions, and safeguarding the long-term success of interdisciplinary rehabilitation.

With the consideration of these two interdisciplinary cases, we can demonstrate that endodontic assessment should precede

orthodontic intervention in any tooth with uncertain vitality, previous trauma, or existing restorative complexity.

Microscope-assisted diagnosis and CBCT imaging allow the identification of residual pathology or structural compromise earlier, ensuring orthodontic forces are applied only to teeth within a stable, infection-free environment.

By prioritising biologic sequencing and communication between endodontist and orthodontist, treatment outcomes become more predictable, efficient, and defensible. This reinforces that interdisciplinary success depends on timing, tissue health, and shared diagnostic precision.

Selected References

1. Abbott PV. “Endodontics and Orthodontics: Biologic and Clinical Interactions.” Aust Dent J. 2018.

2. Ng Y-L et al. “Outcome of Primary Root Canal Treatment: Systematic Review.” Int Endod J. 2011.

3. Patel S et al. “CBCT in Endodontics.” Int Endod J. 2020.

4. Andreasen JO & Bakland LK. Traumatic Dental Injuries: A Manual. 3rd ed.

5. AAE–AAO Joint Statements on Root Resorption and Trauma (2013–2020).

Case 1

Figure 1: CBCT sagittal section demonstrating periodontal bone loss involving the furcation area of tooth 46.

Case 2

Figure 4: Periapical radiograph of teeth 31 and 42 demonstrating a resin-bonded bridge replacing the missing tooth 41.

Case 2

Figure 7: Clinical photograph showing left posterior occlusal relationship.

Case 1

Figure 2: CBCT transverse section demonstrating bone loss involving the furcation area of tooth 46.

Case 2

Figure 5: clinical photograph showing teeth in MI (maximum intercuspal) position.

Case 2

Figure 8: Clinical photograph showing right posterior occlusal relationship.

Case 1

Figure 3: CBCT transverse section demonstrating missed mesial root canals in teeth 16 and 26.

Case 2

Figure 6: Closer view of anterior dentition in MI occlusion with evidence of deep overbite and increased overjet.

Case 2

Figure 9: clinical photograph of upper right primary second molar.

WADA Golf

Cottesloe Golf Club

1 September

What an absolute peach of a day. On the first day of spring and our first Monday competition of the year, Cottesloe really wowed. One of the premier courses in Perth, Cottesloe has gone through an extensive green replacement program since the last time WADA was here and it was magnificent and challenging, and, in my opinion, a top three course in WA.

We had 24 participants battling it out for the annual Med and Dent Spring Cup. This is the 20th anniversary of this cup, which was first presented in 2005 and was won by one Richard Williams. In a tightly fought contest, Patrick Douglas carried the day on a magnificent score of 40 beating this Captain on count back. It was great to welcome back Kris Thyer and Adrian Sue for their first games of the year.

As we sat post presentation on the balcony, with the sun setting over the ocean and wine glass in hand, I don’t think I’ve had as good a Monday as that in a long time.

Nearest the pin

2nd hole David Owen Health Practice Brokers

5th hole Patrick Douglas Swan Valley Dental

8th hole Paul Tan Medpro Loan Solutions

11th hole Greg Yap The Health Linc

13th hole Michael Welten Med & Dent WA

17th Hole (Longest drive) Michael Welten Insight Dental Ceramics

NAGA Naveen Mahendran

Cec White points

1st place: Patrick Douglas – 12 points

2nd place: Paul Tan – 8 points

3rd place: Russell Gordon – 6 Points

4th/5th place: Adrian Sue and Michael Welten – 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

member news

ADAWA Annual General Meeting

We are thrilled to announce the appointment of Dr Timothy Crofts as the new ADAWA President, and Dr Janina Christoforou as Vice President. We express our sincere gratitude to outgoing President Dr Gwen Chin and outgoing Immediate Past President Dr Amit Gurbuxani for their tireless efforts. Congratulations also to Dr Velautham Mahendran, who received a pin to acknowledge 40 years of continuous membership. Thank you to the many members that attended, and to Prosthodontist Dr Rachael Hogen-Esch who presented a lecture following the meeting on ‘Pros Hacks: Tools, Tips & Techniques That Save My Sanity.’

Medifit award

Congratulations to the team at Medifit Design and Construct, who took out the award for ‘Best Medical Facility up to $5M’ for Rockingham Dental Centre, at this year’s Master Builders WA Building Excellence Awards.

Fluoridated drinking water for Denmark

Good news for the people of Denmark! The Denmark community now has access to fluoridated drinking water. To find out more, read the media release: health.wa.gov.au/ Media-releases/2025/October/Denmarkreceives-fluoridated-drinking-water-tosupport-better-oral-health

Congratulations Rockingham Dental Centre

Congratulations to Rockingham Dental Centre, who was awarded the 2025 Rockingham Kwinana Chamber of Commerce Mineral Resources Regional Business of the Year! Congratulations Hari and Vilas!

Corporate partnership renewal –Panetta McGrath Lawyers

We are thrilled to announce Panetta McGrath Lawyers has renewed their partnership with ADAWA for another great year. To find out more about Panetta McGrath Lawyers, visit pmlawyers.com.au

Member art gallery

Thank you to Dr Amy Hope who has lent a piece of her art for display in our Member Gallery: Tundy, 2008

Pastel on paper

“In the style of Brett Whitely, the divine presence of Tundy is captured. This little dog was my faithful companion, akin to Phillip Pulmun's daemons of The Golden Compass works, who shared so much joy and love with me.”

If you would like to contribute or lend a piece of art for the art gallery, please contact the ADAWA office.

Rebuilding Smiles

“For years I lived in shame, scared to smile because of how damaged my teeth were. When I heard about the Rebuilding Smiles program it gave me hope that one day I would be able to smile again. Now that I have teeth I feel beautiful again. I can smile without shame” (ADA DHF Rebuilding Smiles patient). Thank you to Rockingham Dental Centre, Oceanic Dental Laboratory, Dr Zena Ibrahim, and Dr Russell Gordon for their assistance in helping this Rebuilding Smiles patient to smile again! If you are interested in being part of the Rebuilding Smiles program, please contact Andrea Paterson at WA@adadhf.org.au

Corporate partnership renewal –Smith Coffey

We are thrilled to announce Smith Coffey has renewed their partnership with ADAWA for another great year. To find out more about Smith Coffey, visit smithcoffey.com.au

Join us

General Meeting

Wednesday 4 March 2026

Wednesday 4 March 2026

Join us at the Annual General Meeting, with a lecture to follow by Oral and Maxillofacial Radiologist Dr May Lam on ‘Mastering the OPG’.

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

RSVPs must be received one week prior to the General Meetings for catering purposes

Country members ONLY who would like to join via Zoom, please email: adawa@adawa.com.au

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

New orthodontic clinic

We are now taking bookings for our brand-new orthodontic clinic in Claremont. After many years as the only orthodontist in Albany, Dr Stewart Denize and his family have relocated to Perth where we are excited to serve the local dental community. Please consider giving us a try, we will look after your patients. Thank you!

T (08) 6288 7188

E hello@claremontorthodontics.com.au

A 7 / 355 Stirling Highway, Claremont W claremontorthodontics.com.au

Dr David Thean – New addition

It is with great pleasure that Dr Brent Allan would like to welcome Dr David Thean, Oral and Craniomaxillofacial Surgeon, to his team at Perth Oral and Maxillofacial Surgery. Dr Thean has recently returned from a craniofacial fellowship at Boston Children’s Hospital, one of the world’s leading institutions in paediatric craniofacial care. His advanced training has further deepened his expertise in the management of complex craniofacial conditions, cleft and craniofacial surgery, and global surgery. Dr Thean is accepting referrals relating to all oral and maxillofacial surgical and implantology needs of your patients.

T (08) 9388 3999

E reception@brentallan.com.au

A 26 McCourt, West Leederville W brentallan.com.au

Directory

Premium Partners

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

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

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

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

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

Member Benefits and Lifestyle Partners

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

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