Bite May 2022

Page 1

MAY 2022 $5.95 INC. GST

Model of virtue Qualities like compassion are what drives cosmetic dentist Dr Michael Tam page 24

WAKE-UP CALL How has The

Great Resignation affected dentistry? page 21

People first The benefits to your

practice of prioritising good HR systems page 36

READY TO ROLL

10 top start-up tips for new practice owners page 16

STOP THE SPREAD

Bite’s guide to the latest and greatest in infection control page 41


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Contents MAY 2022

Editorial Director Rob Johnson Associate Editor Kathy Graham Art Director John Yates Commercial Director Mark Brown Contributors Shane Conroy Cameron Cooper Frank Leggett Tracey Porter Kerryn Ramsey

For all editorial or advertising enquiries: Phone (02) 9660 6995 Fax (02) 9518 5600 advertising@ bitemagazine.com.au editor@bitemagazine. com.au

Bite magazine is published 11 times a year by Engage Media, PO Box 92, Pyrmont NSW 2009. ABN 50 115 977 421. Views expressed in Bite magazine are not necessarily those of the publisher, editor or Engage Media. Printed in Australia by IVE

News

Your vote matters 5 ADA presents election wish list to major parties to fix the nation’s dental system; and more.

Cover Story

Better by design 24 Dr Michael Tam has built his career on a culture of compassion and other qualities.

Your world

Reaching out 12 The husband-and-wife team helping thousands of people through their volunteer work.

Your business

10 top start-up tips 16 With focus, clarity and common sense, there are many ways new practice owners can stack the odds in their favour.

COVER PIC: IMAGESBYARUNAS.COM

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The great resignation 21 The dental profession has long had recruitment troubles. So has COVID made things worse? The power of attraction The straightforward three-step process to identifying and addressing new patients.

33

People power 36 Strong human resources systems are crucial for dental practices to retain the best employees.

Your tools content

24

Infection control product guide All the latest and greatest infection control equipment and related services.

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41

36

Tools of the trade 59 Favourite gear and gadgets reviewed by your peers.

Your life 9362 - CAB audited as at September 2021

Game on 62 Dr Jonathan Robson of Avenue Dental in Baringa, QLD, likes to relax with an open-world video game.

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NEWS

PLAY TIME

PHOTO:IAKOVENKO - 123RF

Your vote matters The election presents a golden opportunity to remedy the enormous mess that the nation’s dental system is in, the Australian Dental Association says. The peak body for dentists has a number of remedies on its election wish list to fix the system and is putting these to the major political parties for their pre-election consideration. Over recent years the ADA has repeatedly called on the Federal Government to address the overwhelming and urgent need to set up a targeted and sustainable funding scheme to meet the needs of older, rural and low-income Australians. “Yet here we are again in 2022 and nothing has been done—to say it is disappointing is an understatement,” ADA president Dr Mark Hutton said. “People often ask the ADA why there isn’t such a scheme and I have no answer as to why this is not yet in

existence.” This election is an opportunity, says the ADA, to address the issue by: establishing a Dental Benefits Scheme that provides older Australians with a capped entitlement to subsidised oral health services to address immediate needs; ensuring all over 75s, Aboriginal and Torres Strait Islanders over 55 and residents of aged care facilities get a mandatory and reportable oral health assessment; overhauling the inadequate Aged Care Quality Standards so providers must meet oral care standards, as urged by the Aged Care Commission, mindful that unmet oral care standards result in serious whole-of-body health consequences; and implementation of core oral health study units in the Cert III Aged Care Courses to ensure staff are equipped to meet oral hygiene needs of residents, as there is currently a glaring inadequacy in this skillset.

Dentists familiar with the popular web-based word game Wordle now have a dental-focused version. Aptly called Dentle, players will have six attempts to guess a five-letter word. Each guess will indicate whether a letter is within the word or occupies the correct box. Dentle, created by the ADA Business Group (USA), is free. Each daily five-letter word will be related to the practice of dentistry, such as ‘crown’, ‘decay’ and ‘brush’. Each daily word will be the same for everyone. Dentle is based on Wordle, which went viral in late December 2021 and was purchased by The New York Times Company a month later. Dentle joins other variations and spin-offs of the game that have been created, such as Lordle of the Rings, Star Wordle, Worldle, a geographyfocused version, and Meddle, conceived and designed by an Adelaide father-son duo. To play Dentle, visit ADA.org/ dentlegame

Bite Magazine 5


NEWS

Good value

Come together

those experiencing disadvantage in the community,” McKee said. Central to DHSV’s framework is partnering with consumers and staff to help drive better health outcomes, measure outcomes that matter to patients, and transform service delivery to create value for patients. “Our system is client-centred and codesigned with consumers. It ensures we

Credabl and Prime Practice are joining forces to create the next evolution in holistic service provision for the dental, medical and veterinary communities. Recently Credabl Holdings acquired a strategic shareholding in Prime Practice (Prime), with plans to acquire the balance within the next two years. The impetus to join forces began in the second half of 2021, after the two businesses identified strong synergies in their five-year business plans. The move to fully acquire Prime aligns with Credabl’s strategy to fuel the ambitions of dental, medical and veterinary professionals in Australia. It furthers Credabl’s goal to educate, inform and finance the professions and speaks to the greater impact both businesses can make for the community and their clients.

TRASH TALK

FDI World Dental Federation recently launched its inaugural Consensus Statement on Environmentally Sustainable Oral Healthcare, aimed at moving the oral healthcare sector towards more environmentally friendly practices that ultimately reduce the carbon footprint of the profession. The Consensus Statement was released at a special summit organised by FDI that brought together a diverse range of influential stakeholders, including leading figures from industry as well as health professionals, academic experts, legislative authorities, and dental associations.

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provide clients with the right services by the right person in the right locations,” McKee said. “Adopting these principles of valuebased healthcare allows us to focus on integrated care—not only improving oral health outcomes, but also improving the overall consumer experience.” The VBHC Prize event takes place on 11 May.

Credabl is actively seeking strategic partnerships that will enhance the group by creating more value for its clients in their practice lives. “Prime is undoubtedly the leader in practice management education within the dental market in Australia,” Stafford Hamilton, CEO and co-founder of Credabl, said. “By combining activities and IP, we believe we can take Prime’s experience and success into the medical and vet professions, and beyond. Credabl continues its commitment to supporting the journey of practitioners and, by joining forces with Prime, we can take our support to the next level by delivering to practice owners and medical professionals the financial and management skills they need to be successful in life and in business.”

“It will come as a surprise to many people that the healthcare sector is responsible for around five per cent of global greenhouse gas emissions, of which oral healthcare is an important contributor,” FDI president Professor Ihsane Ben Yahya said. “The dental industry has a collective responsibility to reduce its environmental impact and [the] Consensus Statement is the first major step to achieving that. The Consensus Statement reflects the growing recognition within the oral healthcare community that we must strive to improve oral health in a sustainable manner in compliance with UN targets.

Healthier mouths mean a healthier planet.” Oral healthcare contributes to the environmental burden through air pollution arising from the release of CO2 associated with travel and transport, incineration of waste, lack of recyclable packaging, the greenhouse gas impact of anaesthetic gases such as nitrous oxide, and the high consumption of water. The Consensus Statement identifies the complex drivers that underpin current behaviours and practices and recommends remediation strategies based on the 4 Rs: Reduce, Recycle, Reuse and Rethink

PHOTO: WAVEBREAKMEDIAMICRO - 123RF

Dental Health Services Victoria (DHSV), has been announced as a finalist for the 2022 Value-Based Health Care (VBHC) Prize. DHSV is one of 13 international finalists vying for the prestigious prize. The VBHC Prize recognises initiatives that have adopted a fundamentally new line of thinking in creating excellent patient value in terms of real outcomes, real connections, and one common language. DHSV CEO, Sue McKee, explained that the organisation was nominated for improving oral service delivery and outcomes using the principles of valuebased healthcare. “The goal of our innovative approach is to fundamentally change how oral health treatment is delivered and reduce the overwhelming burden of oral disease, particularly for vulnerable groups and


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NEWS

SENSITIVE SUBJECT

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Bitter pill

Prevalence of dental developmental anomalies (DDA) in survivors of childhood cancer differ according to the type of cancer treatment administered, according to Israeli researchers. In a new study published in Nature, researchers at the Hebrew University (HU)-Hadassah School of Dental Medicine assessed the prevalence of DDA among childhood cancer survivors according to treatment—chemotherapy, radiotherapy or surgery as well as disease type, and age during treatment. They found that combined chemotherapy and radiotherapy— particularly radiation to the head and neck area—indicated an increased DDA risk. According to the study, the first signs of dental disturbances can be expected within one or two years of the anticancer treatment. The HU study population consisted of 121 individuals who received general annual examinations during 2017–2019, including full oro-dental examinations. Researchers examined

the records of patients who received anticancer treatment at HU-Hadassah’s Department of Pediatric Hematology– Oncology before age 18. DDA was observed in nearly half the individuals, in nine per cent of teeth. Anomalies were prevalent in 43 per cent of those children who received chemotherapy without radiation, in 52 per cent who also received radiotherapy, and in 60 per cent of those who received head and neck radiotherapy. Patients who received only chemotherapy at six years or younger had a higher number of malformed teeth. No specific chemotherapy agent was found to be associated with a higher risk for dental side effects. Abnormalities included missing or small teeth, root development and enamel structure damage, overretention of primary teeth; impaction; premature eruption; decreased temporomandibular joint (TMJ) mobility; inability to open the mouth or jaw, and facial deformities.

PHOTO: LIGHTFIELDSTUDIOS - 123RF

Dental implants are more than twice as likely to fail in people who report an allergy to penicillin and are given alternative antibiotics, compared to those given amoxicillin, a new study by US researchers shows. The study by a team at NYU College of Dentistry—and published in Clinical Implant Dentistry and Related Research—is the first to examine the impact of prescribing antibiotics other than amoxicillin for dental implants. To reduce the chance of infection, many dental providers prescribe amoxicillin—an antibiotic in the penicillin family—prior to and following implant surgery. If a patient reports an allergy to penicillin, alternative antibiotics can be prescribed. Previous studies have shown that patients with a penicillin allergy experience higher rates of dental implant failure but have not looked at which antibiotics were used. To understand the outcomes of taking different antibiotics, the researchers reviewed the charts of patients who received dental implants, documenting which antibiotics were given and whether their dental implant was successful or failed. They found that dental implants failed in 17.1 per cent of patients who reported a penicillin allergy, compared to 8.4 per cent of patients without an allergy. Patients who took certain antibiotics other than amoxicillin were much less likely to have successful dental implants. In addition, patients with an allergy to penicillin were more likely to experience earlier failure of their dental implant than those without an allergy. The reason why dental implants failed in patients with a penicillin allergy is unknown, the researchers write. It could be attributed to several factors, including reactions to the material used in implants or inefficacy of the alternative antibiotics. However, research shows that penicillin allergies are overreported. As a result, health experts recommend testing patients who report a penicillin allergy to confirm whether they are actually allergic.


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NEW PRODUCTS

FACE SHIELD

The award-winning Ambience Face Shield was created by a Canadian periodontist and his son, a former Dyson engineer. Ambience’s shield won the 2022 Top Innovative Products by Dentistry Today and was selected as one of the 2021 Top 5 Editor’s Choice Products by Dental Products Report. After rapidly expanding in North America, Ambience is finally here in

Australia. What makes it different? l The revolutionary anti-glare visor has 10x less reflection than standard face shield visors. l The visor maintains clarity for 1 year or more with proper care. l The visor can slide forward up to 8 cm to fit any size loupes and lights. l The unique head harness has 2

adjustable head straps for comfort and security. l The flip-up feature allows you to work and speak to your patients and coworkers with ease. l The face shield was designed by specifically for dentists, oral health therapists, dental hygienists and assistants. Learn more at ambienceppe.com

TOUCHLESS A-DEC 500 LED DENTAL LIGHT

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lamps are not prone to breakage from heat or vibration. l A high colour rendering index (CRI) of 94 mimics sunlight’s clarity and floods the oral cavity with light that reflects colours accurately for better soft and hard tissue diagnosis and colour matching of veneers. l The high-quality light pattern on the A-dec 500 LED dental light conforms to the latest ISO9680 standards for brightness, colour rendering, and uniformity. l Low heat LED lights are free of toxic chemicals and produce little infrared light and close to no UV emissions. A-dec LEDs also consume 80-90% less power, are more than 20% brighter than most halogen lights, and have a life expectancy of 40,000 hours. Easily upgrade your existing A-dec l Easily upgrade your existing A-dec halogen dental light to the A-dec

Providing daylight quality illumination without harsh shadows

500 LED dental light. Gain all the advantages of LED over halogen, including 25% more illuminance at one-fifth of the power consumption. You can also upgrade your existing 500LED light to touchless sensor control as well. For details, consult an authorised A-dec dealer or contact A-dec Customer Service on 1800 225 010.

PHOTOS: SUPPLIED

This latest innovation from A-dec provides advanced light performance and unparalleled ergonomics for the dental team. A cure safe mode gives you more time to work with composites. Here’s what you need to know… l A new touchless sensor for on/off activation combines with touchpad control and automatic ‘on-off’ using chair pre-sets (recline/dismount) to maximise light activation options, while simplifying asepsis protocols and minimising touchpoints. This makes the light easier to clean and fewer barriers are needed. l The A-dec 500’s distinctive and innovative light distribution creates a uniform pattern with a ‘stadium’ effect to minimise shadowing. l A feathered edge light pattern also reduces eye fatigue. Your dental staff will welcome the fact that no heat is radiated in the work zone, and the LED


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YOUR WORLD

out Reaching The husband-and-wife team that runs the successful Southbridge Dental in Perth has also helped thousands of people through their volunteer work. By Kerryn Ramsey

W

hen Dr Simon Shanahan co-founded Equal Health, the goal was to provide multi-disciplinary health services to people in need in developing countries. In the early stages, he never expected the farreaching impact it would have on his personal life. The organisation started in 1999 as the brainchild of Dr Shanahan and Paul Clarke, principal of Vison West, an optometry practice. “I had been running my own practice, Southbridge Dental, in South Perth since 1993,” says Dr Shanahan. “The business was going well and I had a desire to go out and do some good in the world. I chatted

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to some people who ran overseas volunteering projects and they were very encouraging about our plans for Equal Health. Paul had links with India and knew there was a need in that country that we could fill.” Their first few visits to India consisted of an optical team headed by Clarke and a dental team run by Dr Shanahan. They also included a doctor who helped organise cataract surgery with the cooperation of an Indian ophthalmologist. Equal Health has continued to grow as an organisation and now regularly sends dental, optical, medical and allied health professionals to countries such as South Africa, Indonesia and Thailand. In their busiest year, they provided

over 10,000 appointments in locations across India.

First trip

In 2002, dentist Dr Millicent Woon was interested in volunteering with Equal Health. After joining the team, she took on multiple trips to India. “The first time you undertake one of these volunteer trips, it can be quite distressing,” says Dr Woon. “You’re dealing with people who have terrible oral health problems and no services. Often there’s no running water or electricity. Extracting someone’s teeth on a veranda surrounded by flies is always a confronting situation.” There’s no denying that the work is hot, difficult and exhausting. There are


“It’s just people helping each other, doing what they can. The concept of service and paying back by helping those less fortunate is a really good thing to do.” Dr Simon Shanahan, co-founder, Equal Health

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YOUR WORLD

“The first time you undertake one of these volunteer trips, it can be quite distressing. You’re dealing with people who have terrible oral health problems and no services. Often there’s no running water or electricity. Extracting someone’s teeth on a veranda surrounded by flies is always a confronting situation.” Dr Millicent Woon, Equal Health no dental chairs and much workplace equipment is unavailable. Despite this, the experience is a rewarding one. “You’re often dealing with patients suffering from long-term and very detrimental problems such as rotting teeth and abscesses,” says Dr Woon. “It’s very satisfying to do work that dramatically improves these people’s lives.”

Teaming up

It was during one of the Equal Health trips to India in the early 2000s that Dr Woon first met Dr Shanahan. Today they are married with two teenage children. They also run Southbridge Dental together with a shared practice philosophy. “I had worked in the UK for a couple of years and at various private practices in Australia before starting Southbridge Dental,” says Dr Shanahan. “I had a very clear vision of how it would be run. I had experienced situations where it was all about volume and choosing materials that weren’t too expensive. As an employee, you don’t have much say in that, but it drove me mad. I wanted to do quality work. From the outset, Southbridge Dental has provided high-quality treatment and services.” At that time, Dr Shanahan was a member of the ADA WA Infection Control Committee. He also ensured his business utilised best practice in that regard. According to Dr Woon, “Our vision has certainly paid dividends. We’re

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super busy and have employed two more dentists in addition to Simon and myself. We moved locations 14 years ago and are now in a beautiful heritage-listed weatherboard and iron cottage. It’s a wonderful place to work.”

Study group

As well as being a member of the Dental Board of Australia, Dr Shanahan is a member and past president of the Dental Study Group of WA, the oldest study group in the region. Dr Woon is also a member of the study group and was president when she was pregnant with their second son. “It was originally established in 1954, when there were no CPD courses available,” says Dr Shanahan. “It was started purely to provide continuing professional development, and it’s been doing that ever since.” Dr Woon adds, “There are about 50 members and about half of that number are specialists. The group make presentations or organises guest speakers to come and give lectures. It’s an invaluable resource.”

Other avenues

Unfortunately, the COVID pandemic has seen visits by Equal Health to India cease for the past few years. There are plans to restart as soon as possible but Drs Shanahan and Woon have decided to step back from their involvement Initially it was an all-consuming passion with a huge time commitment for both dentists, particularly behind the scenes. “Organising tax deductible

recognition from the ATO was incredibly difficult,” says Dr Shanahan. “You needed to be an accountant and a lawyer, and I wasn’t either.” Even though they’re busy raising two teenage sons, they’re still heavily involved with philanthropic dentistry, volunteering with the Kimberley Dental Team. The team provides dental care to outback Aboriginal communities and disadvantaged people in the Perth metropolitan area. Dr Woon also uses her cooking skills with a variety of organisations, providing meals to homeless and disadvantaged people.

Volunteer spirit

Drs Shanahan and Woon believe there’s a healthy spirit of volunteerism across the dental profession. It can range from a local dentist providing free work for a person in a difficult financial situation to a multi-week trip overseas, providing dental care to those in need. “It’s just people helping each other, doing what they can,” says Dr Shanahan. “The concept of service and paying back by helping those less fortunate is a really good thing to do.” “By volunteering, you meet amazing people doing amazing things,” adds Dr Woon. “And even though it’s really hard work, it’s also fun. We’re not piously sacrificing ourselves; we’re doing good work while enjoying it at the same time.” Interested in volunteering? Visit the ADA website: www.ada.org.au/ Careers/Volunteering


“I became an ADA member to stay connected to the dental community no matter where I worked. It has allowed me to network effectively, as well as track and stay up-to-date with my CPD requirements. Dr Louise Hanrahan, ADA NSW member

TOGETHER WE ARE BETTER Whether you’re starting out or further along in your career, ADA NSW is here to help you to be your best. Join more than 5,000 members across NSW and the ACT and more than 16,000 members nationwide who together bring strength to our profession. ADA NSW is the peak body representing the dentistry profession in NSW and the ACT and our vision is to have the best dentists in the world, in a nation with the best oral health.

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10 YOUR BUSINESS

top start-up hacks

Success in dentistry’s strongly competitive market is anything but guaranteed. But with focus, clarity and a fair dollop of common sense there’s a multitude of ways new practice owners can stack the odds in their favour. By Tracey Porter.

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Hack #1 Plan ahead

So how did he do it? Dr Kashyap says any start-up is a risk in today’s economic environment so it’s important to have a clear understanding of the key industry benchmarks for major expenses. These include things like auxiliary wages, consumables and rent or leasing costs. While most people rush to spend money on marketing their new practice, doing your homework to understand the type of marketing that works in your demographic is probably more important, he says.

Hack #2 Invest in staff

Dr Nupur Hackwood, the founder and director of Just Excel Dental Training and Consulting, knows only too well that staff churn is one of the many pitfalls that can befall rookie dental practice owners. Having run her own busy four-chair dental practice for years before becoming a consultant, Dr Hackwood says it’s important for

practice owners to develop staff teams that have a clear focus and clarity on their job responsibilities from the onset. Providing them with the right tools to empower them while investing in regular continuous quality training for all staff will always reap rewards, she says.

Hack #3 Delegate

Dr Kashyap says while a broad range of clinical skills and excellent communication abilities are important when starting a new practice, the most important attribute of a successful dental practice owner is the ability to delegate. While many practice owners boast brilliant clinical skills and excellent ability to develop patient rapport, many fail at being owners because of their inability to delegate tasks to staff without direct supervision from you as practice owner. “Generally, if your personality is one that may need to micro-manage then dental practice ownership is probably not a good fit for you,” he says.

PHOTO: DOLGACHOV - 123RF

U

nderestimating the importance of culture within his clinic almost saw Dr Nauv Kashyap’s thriving practice fall over before it had begun. Forced to confront a revolving door of staff, it wasn’t until Dr Kashyap undertook an honest appraisal of his management style that the tables began to turn. In recognising the important part his decision making had on his very first practice, Dr Kashyap was able to turn his small clinic of 2500 patients and $400K a year turnover into a thriving business boasting 40,000 patients, an eager and loyal staff and an impressive turnover of $6 million. Today, in addition to his original practice, Dr Kashyap has started and purchased a further 15 dental practices and through his consultancy, Practice Ownership Consulting, has assisted over 1000 people wanting to own their own practice.


0 “Don’t worry about if a particular piece of equipment will get delivered on time—focus on what you need to do in the here and now.” Dr Nauv Kashyap, owner, Practice Ownership Consulting

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YOUR BUSINESS Hack #4 The Four Ps

Dr Hackwood believes that when setting up a new dental practice or taking over an established one, dental practitioners should focus on four key areas of dental practice management. These are: People (which covers staff recruitment, onboarding, orientation, staff alignment, rosters and payroll); Processes (patient care, service recovery, staff flow, lab flow, clinical efficiency, record management and infection control); Purchases (stock and supplies, inventory management, and soft and hardware); and Production (marketing, KPIs, reporting and profit and loss). “Get things set up properly before you open the doors and invite patients into your ‘home’,” she says. “You don’t get a second chance to make a strong first impression.”

Hack #5 Limit costs

Hack #6 Don’t stress

Too often practice owners, even experienced ones, get caught up in worrying about one or more aspects of their business. Dr Kashypa’s advice? “Ask yourself what is the worst that could happen with regards to your particular issue.” He says that if the issue he is concerned about isn’t going to cost the business above a certain dollar amount, then he doesn’t even let it occupy space in his mind. “Once you have quantified these things, you will often find that the worst case, even if it does happen, is really not that big a deal.”

Hack #7 Encourage collaboration Running a dental practice is impossible to do alone, says Dr Hackwood. She says the most successful practice owners recognise that by setting up weekly staff training programs in-house and encouraging staff members to identify

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problems early, any issues that arise can be troubleshooted collaboratively. Not only does this help practice owners identify weaknesses they may not have been aware of, but team members will also take greater ownership over improving systems and processes in their key area of responsibility.

Hack #8 Have a contingency fund Few successful businesses in any sector start out without having a safety net for unexpected financial costs. Dr Kashyap says this is important if you are just starting out because it allows you to meet your financial obligations without having too much of an impact on the business’s daily expenses. One of the most troubling aspects of a financial contingency fund however is settling on an appropriate amount, he says. “I posed this question to our Practice Owners Facebook group and received a variety of responses from experienced owners. The general consensus was that a contingency of $80,000 was the point at which most owners felt comfortable when entering into dental practice ownership.”

Hack #9 Let go

Understanding and accepting that

there are some things that are beyond your control is one of the first steps to developing a profitable dental practice, says Dr Kashyap. “Go work on a task that you have control over and occupy your mind. Keep busy. Don’t worry about if a particular piece of equipment will get delivered on time—focus on what you need to do in the here and now.” He says often the chance of a really bad outcome is tiny but our brain focuses on that. “The result is that, in the unlikely event it comes true, we have made it worse by worrying about it for days. In the more likely scenario that it doesn’t even occur, we have worried about it for days for no real reason.”

Hack #10 Keep the faith

Self-doubt is a normal and healthy part of being a new business owner, says Dr Kashyap. But when taking advice from others more experienced than you, it’s important to be discerning. He says it is not uncommon for some experienced practice owners to complain negatively about all aspects of their business. But negativity can be catching, he warns. “Don’t surround yourself with people that constantly talk about how difficult running a practice is—it’s hard to soar with eagles if you keep walking with turkeys.”

PHOTO: DIDESIGN021 - 123RF

When first starting out on your practice ownership journey it can be tempting to equip your practice with only the latest and greatest equipment and technology on offer. This is a risky approach to take and could leave you paying a hefty price when it comes to long term profitability of your practice, says Dr Kashyap. A far more sensible approach is to consider limiting your initial spend on a top-ofthe-range chair, a cone beam computed tomography machine or fitting out multiple rooms until you have proven cashflow, he says.


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YOUR BUSINESS

great The

resignation

Ever since the pandemic altered the way people see their jobs and lives, there has been talk of The Great Resignation, including ideas about how to counter it. The dental profession already had recruitment troubles before the pandemic. So has COVID made things worse? By Kathy Graham

PHOTO: SVITLANAHULKO - 123RF

T

here’s nothing like a pandemic to turn your mind to the things that really matter in life. It’s a big wake-up call to make changes and one area where this has been noticeably the case, is in our work. The Great Resignation is a term coined by an American psychologist to describe a huge surge of employees quitting their jobs due to COVID. While these mass resignations have been confined mainly to the US, some research suggests a similar phenomenon may unfold in Australia although the trend seems to have been delayed because of our ongoing and extended lockdowns. But data from the people management platform Employment Hero suggests 48 per cent of Australian workers are

planning to look for a new job this year. Whether this will include dental professionals is hard to say. “While DBA/ AHPRA data exists regarding workforce trends, it is always a year behind what is actually happening right now, so we won’t know for a year or so any trends or patterns in terms of resignations and attrition rates,” says ADA deputy CEO Eithne Irving. But certainly he and others Bite talked to for this story were all quite adamant that thus far, there has not been any sort of significant exodus from the profession. “Quite the contrary,” says ADA president Dr Mark Hutton. “AHPRA figures across all states show a modest but steady increase in the numbers of practising dentists in the last year— roughly 100-200 a year. Our members tell us their dental practices are flat

out and booked up for months typically and there is no anecdotal evidence of a reduction in dentists practising.” This doesn’t mean COVID hasn’t exacerbated what was already a chronic staffing shortage in the profession. “COVID made it very difficult to find anyone from the back of house to front of house, to providers and practitioners,” says Dr Jeff Kho, owner of five clinics throughout SE Queensland. During COVID, he says fear of catching the virus put a lot of people off who might otherwise have applied for positions. Plus interstate and overseas travel restrictions meant even if people wanted to go for jobs, they couldn’t. Ever-changing border restrictions also “made people scared to move because of what might happen. There was a lot of

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“We have found patients that we didn’t know existed. They’ve just all come out of the woodwork. Sitting in front of Zoom and having virtual meetings they see themselves and their crooked teeth and they say, ‘I better get my teeth whitened or straightened and I’m going to see a dentist’.” Dr Jeff Kho, practice owner workload is taking its toll on staff who were already feeling overworked and overwhelmed. Dr Kho says he manages this “with a lot of recognition and staff rewards and staff parties. The time for making your team feel valued is more important now than ever before. There’s a huge amount of work, they’re busy, they’re stressed. The last thing you want is to lose someone because if you advertise, you won’t get any applicants.” Or if you do, adds Dr Restom, because demand far exceeds supply, “it’s on their own terms. Especially in some places in Sydney where they’re having

to pay exorbitant amounts of money to get staff with experience. And that’s across the profession. I’ve got colleagues everywhere around the country—in city areas, regional areas, it’s the same story.” But with the current dearth of workers, today’s employers don’t have much choice, he continues. “We have to offer incentives, be these financial, a flexible working environment, training opportunities. It’s very crucial to attract and then keep our employees interested in the job, because it’s hard work. You could do a lot of other jobs that are a lot easier than this.”

PHOTO: ENDOMEDION - 123RF

uncertainty. At the height of it, we would put up ads on Seek and we would get zero applicants. That was unheard of.” Post-pandemic, staffing problems are even worse, says Dr Ned Restom, principal dentist and managing director of 13 Smile On clinics on the Central Coast and beyond. “We’ve got a reasonably young team, so we haven’t had a lot of people resign. You still always get people changing jobs, or people leaving for personal reasons, but yeah, it’s been difficult recently with the support staff, the dental nurses and the additions to the team, partially because we’re growing rapidly as a company. We’re constantly advertising and interviewing people to increase the load.” One theory as to why fewer people are applying for jobs is they’re anxious, suggests Dr Restom. “People thinking of getting into dentistry would probably be a little bit hesitant now, knowing that there’s an airborne virus, and we’re in a front-line high-risk profession. You’re working in the mouth. So, I don’t know whether that cautions people to hold back a little bit.” Mandatory vaccination may be another deterrent, especially given reports of resignations due to reluctance to get the jab. “A few dentists have resigned their positions as they did not agree with vaccine mandates,” confirms ADA deputy CEO Eithne Irvine, “but this has been the case across all industries and professions. Rather than resignations, we have gleaned from discussing with members that in fact there has been more of an increase in demand for dental services following lockdowns in various jurisdictions.” And it’s this surging demand for care coupled with an inability to recruit that’s causing headaches in many clinics. “Yeah, 1000 per cent,” confirms Dr Kho. “We have found patients that we didn’t know existed. They’ve just all come out of the woodwork. Sitting in front of Zoom and having virtual meetings they see themselves and their crooked teeth and they say, ‘I better get my teeth whitened or straightened and I’m going to see a dentist.’ They’re not spending on travel, and they’re thinking, ‘What can I spend it on?’ You can’t even buy a car these days because there’s a six-month wait. So they go, ‘I may as well fix my teeth’.” Not surprisingly, the increased


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“I see it all the time. A patient comes to us feeling selfconscious about their smile, and they leave with this new self-confidence. It’s like they are a changed person.” Dr Michael Tam, owner, Smile by Design

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COVER STORY

Better design by

Dr Michael Tam has built his career on a culture of compassion, kindness, appreciation, and gratitude. He says that’s the true secret behind the success of his two Sydney-based Smile by Design clinics. By Shane Conroy

PHOTOGRAPHY: IMAGESBYARUNAS.COM

D

r Michael Tam does not do things by halves. You may recognise him from his TV work on shows like the Seven Network’s Bringing Sexy Back and The Body Specialists, and an occasional ad here and there, but Dr Tam is no actor. He has built two highly successful dental practices and is one of Sydney’s most sought-after cosmetic dentists. Dr Tam credits much of his success to cultivating a team-first culture and focusing on the complete patient experience—in and out of the chair. His passion for helping improve his patients’ self-esteem has been a constant throughout his 30-year career. “It’s amazing how a new smile can

make such a difference to a person’s life,” he says. “I see it all the time. A patient comes to us feeling selfconscious about their smile, and they leave with this new self-confidence. It’s like they are a changed person. It’s incredibly fulfilling to be part of that process.” Dr Tam is not only focused on clinical outcomes. He currently owns and runs two successful Smile by Design clinics—one in Bondi Junction and one in North Sydney—and says it’s his team-first approach that’s critical to the success of the practices. “An engaged team creates loyal patients,” he explains. “We put a lot of time and effort into team morale. I want my patients to walk into a team

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COVER STORY

“As a practice owner, I remove the ego and understand that our practice survives and thrives on human interaction, and we all try hard to create a positive, supportive culture.” Dr Michael Tam, owner, Smile by Design

environment that’s full of positive energy. That’s part of providing a complete patient experience. It’s more than what happens in the chair.”

A fateful dinner

Dr Tam’s journey began a long way from the bright lights of Sydney. He was born and bred in Auckland, with parents from Hong Kong who put strong value on education. “It’s a classic immigrant story,” Dr Tam says. “My parents didn’t speak a word of English when they arrived in New Zealand. There were five of us kids in the family, and it was all about education. We have two dentists, a doctor, an optometrist and an accountant.” The young Michael Tam enjoyed the arts at school and knew he wanted a career that allowed artistic expression. He considered going into plastic surgery, but decided on cosmetic dentistry. He attended the University of Otago, then worked briefly in New

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Zealand after graduation. But it was making a connection with a leading cosmetic dentist at a conference that really got his career going. “I knew I needed a good base, and I was looking for mentors,” he says. “I remember going to an aesthetic dental conference in Auckland. I was fresh out of dental school and super keen. At the end of the seminar I was asking a multitude of questions, and the lecturer—who was like the god of cosmetic dentistry at the time—invited me to dinner. Our values aligned, and he offered me a job in South Yarra in Melbourne. I haven’t looked back since.”

New kid on the block

Then came a job in Canberra, and a move to Sydney where Dr Tam became a partner at Greenwood Dental in North Sydney. That was in 1996, and he spent the next decade or so building his experience there. “I started as the new kid on the

block, and it was a wonderful learning experience,” he says. “It was a brand new, eight-chair facility and we had a fantastic 10 years together.” When health issues struck one partner, the other partners decided to sell the practice to Pacific Smiles Group. Then Dental Partners took over. Dr Tam stayed on through the corporatisation of the practice, at times splitting his week between implant and surgical consultations in Sydney and on the Gold Coast. “Whilst there was clinical autonomy, which was important to me, and support with staffing and other backend processes, I ultimately wanted to be the captain of my own ship,” says Dr Tam. After a five-year earn-out, Dr Tam went out on his own to establish and grow Smile by Design. “I bought a cosmetic practice in Bondi Junction which came with some patients, so I wasn’t starting from scratch. But in the early days, I was only


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COVER STORY “I see it all the time. A patient comes to us feeling selfconscious about their smile, and they leave with this new self-confidence. It’s like they are a changed person.” Dr Michael Tam, owner, Smile by Design

seeing a couple of patients per day so there was a lot of room for growth.”

Captain of the ship

That was in 2012 and Dr Tam has since built Smile by Design into a thriving practice with four dentists, two therapists, a support team of 10 staff, and a second Smile by Design clinic in North Sydney. “The North Sydney clinic wasn’t an existing practice, so we had a clean slate to build a brand new facility,” Dr Tam explains. “It’s about four times bigger than the Bondi practice with five chairs, an implant suite, and a recovery room.” Dr Tam purpose-designed the North Sydney clinic as a home for his high-end cosmetic and implant dentistry. His commitment to providing a complete patient experience extends well beyond the clinical aspects of his treatments. “It starts from the moment the patient walks in,” he says. “I’ve been told the North Sydney clinic serves more like a business lounge than a dental practice. We have fish tanks, aromatherapy oils and overhead TVs with Sennheiser headphones. And our treatment coordinators are there to make the patients feel comfortable along their entire journey with us.” Dr Tam says about 80 per cent of his business is driven by word-of-mouth referrals, and he often thinks about how his patients would describe their experience at Smile by Design to others. “I call it the ‘significant other’ conversation,” he explains. “When a partner or friend asks the patient, ‘How was the dentist?’ they don’t only describe the clinical outcomes. They talk about how the practice looks and feels, whether the receptionist was friendly, what energy the dentist conveyed—all the little things that make up the patient experience. That’s a big deal, and

something that dentists often overlook.”

Leading with compassion

Achieving a positive, calming energy across every touch point the patient has with the practice doesn’t happen by accident. It requires time, effort and careful curation. “I believe positive energy flow is critically important to our success. That’s all about having a connected and compassionate team. “No one person makes Smile by Design successful. As a practice owner, I remove the ego and understand that our practice survives and thrives on human interaction, and we all try hard to create a positive, supportive culture. “People have good days, and bad days and in-between days. It’s how we support the team and our patients

throughout the day that makes all the difference. If we take what we learned yesterday into today with positive intention, we will always be set up for success”. Dr Tam says communication is key, and he begins every day with a team huddle. “We go through any learning points from yesterday and look at what we can organise in advance for tomorrow. That’s how we create a sense of calm for today. Patients absolutely pick up on that energy. “I believe that everyone is seeking relevance and connection in this world. When we foster a culture of compassion, kindness, appreciation, and gratitude, that in turn provides a positive, calm energy flow to our patients. Success for Smile by Design starts and ends there.”

Bite Magazine 29


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Not shown true to size and scale.


YOUR BUSINESS

The power of attraction

F

There is a straightforward threestep process to identifying and addressing new patients. By Daniel Warren

ILLUSTRATIONS: KOTOFFEI - 123RF

inding out how to quickly attract new patients to your dental practice is stressful and a bit scary. Building up word-of-mouth referrals is great, but slow. Many people believe the logical solution lies in getting an advertising message out as widely as possible. Their thinking goes that if they advertise to a large population, a small percentage of those people will book an appointment. But that often doesn’t work. “The response rate for advertising anywhere—including on social media or in traditional media—can be lower than one or two per cent,” explains Mark Brown, director of Engage Content. “If you live in a big city with a large population, that might be okay. If you’re in a regional centre, no matter how much you advertise, you may only be reaching a limited group.” According to Brown, there is a straightforward, three-step solution to that problem. That solution lies in targeting your marketing messages to speak to very specific groups. “You don’t have to worry about changing your practice or not treating other groups,” he says. “You just have to target your marketing. It also doesn’t matter whether you’re a new practice or an established one. You have to

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“You just have to target your marketing. It also doesn’t matter whether you’re a new practice or an established one. You have to think about who isn’t being addressed with marketing right now, and what you can offer them.” Mark Brown, director, Engage Content

think about who isn’t being addressed with marketing right now, and what you can offer them.”

Take a drive

Brown says the first step in targeting your marketing involves taking a drive around your patient catchment area. “Take a drive to all the other dental practices in your area,” he says. “You don’t have to go inside. Just have a look at how they’re promoting themselves, and who is sitting in the waiting room. Just swing by a couple of times at different times of the day. I bet a fair few of them are called ‘family dental centre’. Or they have Invisalign or Zoom Whitening ads out the front. If you can see into the waiting room, who is sitting there? Are there mums with young kids? Old folk? Business people?” Brown says this initial stage is just a process of elimination. None of the practices will be servicing everyone. There will always be groups around who aren’t represented there. Those groups are a prime target market. “Were the patients in the other clinics young families? Fine, let’s talk about what you offer older patients. Plan to produce some messages on dentures, crowns and bridges, short-term orthodontics specifically for older patients, and so on.

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“Or were the patients in the waiting rooms retirees? Great, plan some content around services for young women. “Your actual services can be the same as anyone else’s. It’s the way you’re targeting a group that’s important. I know and you know that whitening is for everyone. But for the purposes of your marketing, talk about whitening for a specific group.”

Using your blog

To attract and build a loyal patient base, you need people to know, like and trust you. You need to answer their questions before they come to you. The easiest and quickest way to do that is with a blog on your website. If you can’t get a blog put onto your website because you don’t know how, google ‘How to set up a free WordPress blog’,” Brown explains. It’s not an ideal solution from an SEO point of view, but at least you will have something. “Fill the blog with content targeted at those people who aren’t being serviced by the other practices around town,” he adds. “So not just on dental implants, but articles on dental implants for older patients. By the way, don’t write about your CEREC machine. No-one cares.”

Getting your message out there Once you have some content, he says, the next step is getting the word out. An email newsletter to existing patients is easy for growing practices. New practices might want to put a link to new blog posts on their Facebook page. “If you’re sending out an email newsletter, keep your email list separate from your patient database,” Brown warns. “That way, patients can still unsubscribe from the newsletter if they want to. But they’ll remain contactable by you. “If you’re putting a link to your new posts onto your Facebook page, it’s a good idea to pay a few dollars to boost the post. Just because someone has liked your page doesn’t mean they will see the post in their news feeds. Making you pay to reach people is Facebook’s business model. And it’s not a lot to pay to get results.” By following these steps, you’ll get to the starting line with your marketing. In summary, that means identifying who isn’t being addressed by your competitors. Then think about what you can say to those people. Then start talking to them.


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PEOPLE YOUR BUSINESS

“Remember, too, that everyone has unconscious biases and you can risk having the halo effect—that is, if you like someone you’ll only see the good in them and not notice the bad.” Nina Mapson Bone, managing director, Beaumont People

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POWER Strong human resources systems are crucial for dental practices that want to create a great culture and recruit and retain the best employees. By Cameron Cooper

PHOTO: WILLIAM87 - 123RF

F

or busy dentists trying to keep up with patient bookings, HR is often the last thing on their minds. That is a potentially costly error. Without a sound approach to human resources, your business faces the prospect of cultural problems, recruitment and retention pitfalls and even legal fallout. “We tend to see HR excluded from the strategy table,” says Jonathan Clark, a director at The Eighth Mile Consulting, whose mission is to improve the people, processes, products and profile of dental practices and other businesses. “But it should be on the table.” Nina Mapson Bone, managing director of recruitment and professional development firm Beaumont People, adds that learning the basics of good HR could also give dental practices an edge at a time when The Great Resignation—the notion that many people will want to leave their jobs after COVID-19—is encouraging some employees to pursue more meaningful work. “Some of the health practice areas such as dentistry make a difference to people’s health and improve their selfesteem by giving them a good smile,” she says. “So there’s an opportunity there for dentists to recruit on the back of that if they have a good culture and HR systems.” Following are some of the key HR and hiring areas to address …

Job descriptions

According to Clark, too many dentists roll out a generic job-description template when hiring rather than

making it specific to the required skills. The result is that they often bring in staff who are not the right fit. “They don’t take the time to articulate the problem they are trying to solve and break it down into actionable pathways that they can hire off.” As practice owners seek to fill skill gaps in areas such as administration, accounting and business operations, they may end up simply hiring a practice manager who may or may not have those skills “and hoping they can do it all”. Before any hiring process begins, he urges practice owners to determine their broader strategic goals, work out the key problems they need to solve, and then recruit and retain people who have the skills, experience and personality to contribute accordingly. “Then you can hire to solve a problem, rather than just saying, ‘We have a vacant position’.” When worded properly, job descriptions help employees understand their role and responsibilities, while protecting employers legally. Mapson Bone agrees that many job descriptions are not refreshed and may be more reflective of the skills of the last person in the role, rather than what is required right now. Likewise, job ads are often poorly written and unappealing to the target audience.

Interviews

Once you have outlined the type of employee you want to hire, how do you find them? It’s about asking the right questions during in-depth interviews that shed light on the background and personality of the candidate. “If you don’t ask the right questions then you won’t get the right answers,”

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Hiring, onboarding and inductions Mapson Bone says in a profession that relies on technical skills and

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terminology, some dentists have a strong preference for hiring support staff who understand medical terms. In a tight job market, that may rule out smart, quality people who can be quickly brought up to speed. “Think about what skills and knowledge you can train,” she says. “Yes, it’s good to have certain credentials, but they may be good people with other important skills.” Once you have identified the right candidate, make sure you get the job offer and salary right. If the candidate gets less than they had hoped, they may be open to a counter offer from another practice, or they might still take the job but be unhappy with their wage and become disgruntled. Clark says smaller practices that cannot compete on price may be able to offer other incentives as part of their total employment value proposition— such as flexible work options, mentoring, or exposure to innovations around technology and the customer experience. “In a market like this you need to stay on top of the innovation side of the house and clearly communicate to the outside world that that’s what you’re doing. You may have the latest technology, you may have the best customer experience, but people need to know that.” With inductions, Mapson Bone says the first 90 days are crucial for staff as they seek to form an attachment to

their workplace. So greet them warmly on day one, check in with them after the first week and the first month, and continue such an approach for the first three months at least. “And give them constructive feedback along the way.”

Performance reviews

The biggest problem with most job evaluations and performance reviews, according to Clark, is that they do not happen at all. “People don’t do them,” he says. Ideally practice owners would make a commitment to HR practices that include operational reviews that improve processes, or outsource the task to a firm that can do the job. Mapson Bone says too many performance reviews become a box-ticking exercise, “which is as meaningless as not doing it at all”. Reviews should have a structure, involve genuine conversation and never reveal any negatives that come as a surprise to the employee. “The best reviews are when there are discussions about expectations and what is to be achieved in the next six months,” she says. Clark’s final HR tip is to avoid the temptation to hire clones of yourself. “A lot of practice owners and dentists hire with a bias to bring people on that are like themselves, whereas you need to be searching for those people who can cover your weaknesses.”

PHOTO: SVITLANAHULKO - 123RF

Clark says. Again, he says it is important to identify the personnel problem the practice is trying to address and to then assess if the candidate has the skills, attitude and personality to contribute to the business. “Because there’s nothing worse than hiring someone on technical ability and bringing them into an organisation and then realising they’re not the right fit based on their personality and values. You’ve just wasted a lot of time.” Which is why Clark suggests that senior members of staff should be involved in any interviews. “If the hiring manager doesn’t have skin in the game, the chances are they’ll make the wrong decision.” Mapson Bone says it is essential that most questions are related to job competencies, and not personal questions that simply reveal whether someone is ‘likable’ or ‘engaging’. “They’re not skills,” she says. “Remember, too, that everyone has unconscious biases and you can risk having the halo effect—that is, if you like someone you’ll only see the good in them and not notice the bad.”


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ADVERTORIAL

Product Guide

Infection control

Bite’s guide to the latest and greatest in infection control products

Bite Magazine 41


ADVERTORIAL

Product Guide Infection control

A-dec biofilm testing service With the heightened focus on infection control within the dental practice, A-dec has introduced a useful new product to test the microbiological quality of dental unit water lines and surfaces accurately and easily in dental clinics. The 2-Min Water Control System rapidly and accurately determines the presence of biofilm in dental unit waterlines in just two minutes, to enable monitoring and action as required. The 2-Min Water Control System provides accurate results, eliminating incubation periods or the need to send samples to a laboratory. A water sample is taken from the dental unit waterline, and by adding a few drops of reagents, produces a result which is immediately

A-dec ICX tablets help maintain dental unit waterlines free of bacterial buildup.

The 2-minute water tester gives accurate and rapid test results of biofilm presence in dental unit waterlines.

interpreted and displayed on a Lumitester Smart device. In the case of microbiological shifts, the dental team can then use the results to implement A-dec’s recommended maintain, monitor and shock waterline maintenance guide to ensure infection control protocols are maintained. The advantage of this digital test device is rapid and accurate chairside results, without the long wait times and often inaccurate manual verification methods of commonly used bacteria swab test kits. The Lumitester uses ATP-metry – which measures the presence of Adenosine triphosphate (ATP). ATP is present in all living organisms, providing early warning of biofilm build-up at small concentrations.

It counts the number of photons emitted by the bioluminescence reaction and displays the results in RLU (Relative Light Units). When used with the 2-Min Water Control reagent kit, ATP is converted to colony forming units (CFU) to determine the bacterial load of the water sample. This technology is widely used in the food industry and medical settings to test for harmful biofilms. The most recently released ADA guidelines on infection control state it is good practice to test water lines on a regular basis, for example six-monthly or annually. There has been no change in the ADA’s target level of 200 CFU/mL in dental unit waterlines, however, clinics may set their own levels as a trigger point for action. When high counts are found, the waterlines will need to undergo additional shock or sanitising treatments. Dental unit waterlines are susceptible to biofilm build-up because of the narrow water passages in dental equipment and the slow movement of water through the water lines. The problem is greatly exacerbated if equipment has been left idle. This risk is reduced somewhat by using a self-contained dental unit waterline system such as that found on A-dec chairs, treated with ICX infection control tablets. The patented design of the A-dec pneumatic control block also eliminates stagnant water, by circulating fresh water through the control block each time a handpiece is used. To optimise the quality of your dental unit water, be sure to use a fresh ICX tablet every time you refill a self-contained water bottle. The exclusive 2-minute testing technology is available as a service on a scheduled basis by authorised and qualified A-dec dealers – similar to annual autoclave testing and validation. For more information on the 2-minute dental unit water testing service, contact your local A-dec dealer. Dealer and A-dec Territory Manager details in each state are available on the A-dec website or by phoning 1800 225 010.

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Bite Magazine


A-DEC Optimal Infection Control

GET YOUR DENTAL WATERLINE CHECKED IN 2 MINS A-dec 2-minute DWL Digital Tester and Surface Swabs Kit A-dec’s chairside solution for instant dental unit water and surface swab test result. It is rapid, reliable, easy to use and economical to help improve health risk management.

It is good practice to test microbial levels in water from dental unit waterlines on a regular basis, for example, six-monthly or annually

ADA Guidelines for Infection Prevention and Control, Fourth Edition

Contact us about checking your dental waterline today

For more information a-dec@a-dec.com.au I 1800 225 010 I australia.a-dec.com @A_decAust

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© 2021 A-dec Inc. All rights reserved.

Chairs Delivery Systems Lights Monitor Mounts Cabinets Maintenance Imaging


ADVERTORIAL

Product Guide Infection control

Automatic documentation right through to integrated traceability Nowadays, it is no longer sufficient just to sterilise the instruments. The successful result of the sterilisation process from the correct process of the cycle to the acceptance of the load must be documented. W&H offers a simple, automatic solution for documentation and traceability, which is not only transparent and safe, but also easy to manage.

Traceability at W&H

Lisa’s automatic documentation and traceability concept allows all options to be controlled and monitored easily. l The automatic process minimises the risk of error and eliminates manual steps l Who started the cycle and who accepted the load for use is recorded by a username l Every user assigned aPIN code l If the cycle is unsuccessful, it cannot be accepted and no labels will be printed

Six steps to achieving the required batch documentation and establishing the connection to the patient file Step 1

Risk-free cycle selection: The simple menu guidance makes it easy to select the automatic sterilisation cycles correctly.

Step 2

Safe cycles: The process assessment system monitors all current cycle parameters and guarantees a successful sterilisation result.

Step 3

Check and acceptance of load: At the end of the cycle the sterile load is checked to ensure that it is dry and undamaged and accepted by an authorised user entering the PIN code. The cycle protocol is automatically saved to the memory card. A batch can only be accepted if the cycle was successful.

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Step 4

Simple labelling: The printed barcode labels with all the relevant data are attached to the package with the sterilised instruments.

Step 5

Storage: The packed instruments are used according to the first-in, first-out principle (FIFO). They must be used before the expiry date or otherwise processed again.

Step 6

Transmission of data: The data is recorded into the patient file via barcode scanner or manual input or the label attached to the patient card. To arrange a demo, or learn more, phone 1300 486 252 or visit https://ivde.com. au/dental-products/wh-sterilisers/

Incredible Inside and outside From the outside

Smooth surfaces, a fresh, ergonomic design – and an incredibly crystal clear colour display. The menu structure and the artificial intelligence behind it turns high end B type sterilising into one of the most simple, comfortable and safest systems in the world. For full infection control within your daily work.

From the inside

So many elements, so much incredible technology and so many parts, completely integrated, in the right place and ready to serve and fulfil the daily requirements of a high end B type steriliser! EliSense: Thanks to LED indicators and display the outstanding technology offers cycle status information, temperature information and much more to optimise both workflow and output at a glance. EliTrace: For the first time, the sterilisation process can be traced and documented down to the individual instrument or instrument kit. Without additional software or computer. Eco Dry+: Eco Dry technology adapts the drying time to the mass of the load. This reduces the cycle time, increases the life span of your instruments and optimises the energy consumption.


Now available from Ivoclar. Backed by our nationwide service network.

Incredible inside & outside New Lisa sterilisers. Beyond expectations. The new Lisa sterilisers – built for highest demands: Incredibly user-friendly thanks to EliSense. Incredible complete traceability down to the single instrument or instrument-kit thanks to EliTrace. Incredibly efficient thanks to the patented Eco Dry + Technology.

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ADVERTORIAL

Product Guide Infection control

How to improve visibility and efficiency in a busy sterilisation practice. On the 6th of October 2020, the government announced it will establish a Unique Device Identification (UDI) database for medical devices. To meet future legislative demands, practices will be required to track every reusable medical device and its UDI. The manual tracking of each medical device, will be arduous and a process that will elevate the associated costs in sterilisation. Caretag Surgical is a company with more than 30 years of experience in healthcare technology and has developed a solution to track surgical instruments to meet legislative demands. Together with Caretag, WHITECAT provides a complete medical tracking solution using hybrid technologies and integrations. The tracking solution will increase autonomy and digitise the process, to enable fast paced facilities to track instruments using a Radio Frequency Identification Tag (RFID). There is no requisite to eliminate the barcoding system. We are deeply focused on enhancing the complete process to increase visibility of every single instrument, drive efficiency and reduce costs over time.

Minimalistic Design

Our minimalistic sleek designs offer all the required functionality without compromising on space. We provide a white medical grade touch screen monitor that is connected to a slim RFID scanner. To reduce unnecessary hardware our software is in the cloud. To ensure you stay focused on the practice, we apply the RFID tags to your inventory using Caretag’s patented adhesive technology. The tags are only a few millimetres in size, making it one of the world’s smallest RFID tags for instruments.

Never lose a UDI

Unlike datamatrix, our micro-RFID tag can store considerable information pertaining to the instrument. The encapsulation of the tag preserves its durability and ancient issues with fading of the datamatrix, are irrelevant. Therefore, facilities will not require to self-etch or re-etch instruments.

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Once the tag is applied, its survival exceeds the general life of an instrument, approximated at 2000 autoclave cycles. Caretag’s real life testing has demonstrated the tag exceeds 2500 autoclave cycles. This persistent visibility reduces the risks associated with the loss of historical data, legal preparation and presentation and retained surgical instrument incidents.

Packing efficiently drives throughput

We all know the old saying that time is money. One of the outcomes in a small study conducted by Caretag within a hospital sterilisation department in Geneva, measured the efficiency between using RFID on instruments versus datamatrix. In the RFID solution, efficiency was increased by 1.5 times. This alone, justified the

initial costs of the RFID solution and its amortization over 3 years.

What more can be realised?

Data is becoming invaluable and prevalent in many of the items we procure. Each practice will come with its own data requirements, which is why the WHITECAT solution is customised to the client. The analytical outcomes within the software are limited to general use scenarios however, the data can be pushed to an analytical application using the API. To add value, WHITECAT could integrate to typical sterilisation equipment to streamline the data into a single source panel. Visit us at www.whitecat.com.au for more information.


Stop guessing. Start knowing.

TRACK with certainty from instrument to patient

info@whitecat.com.au


ADVERTORIAL

Product Guide Infection control

Helping you clean better XO2® is an Aussie family-owned cleaning and hygiene products company. We’ve been around since 1968, helping people just like you make the places where we all work, stay, learn and heal... cleaner, safer and healthier. We design, manufacture and deliver infection control and hygiene products right here in Australia. Some of our specialties include hand soaps, hand sanitisers, surface disinfectants, disinfectant wipes, touch-free dispensing solutions and specialty cleaning chemicals.

Disso® a clean you can trust.

Disso® is a high performance, readyto-use hospital grade disinfectant and cleaner. It is specially formulated to kill a wide range of bacteria and viruses for critical area cleaning, disinfecting and infection control applications. The formulation is the culmination of decades of research, development and experience with the mission of always improving and incorporating breakthrough technologies. Unlike most hospital grade disinfectants and wipes, the formulation is created with the customer and the environment in mind: l Kills COVID in 3 min l Fragrance free l Odourless l Non-tainting l No colour dyes added l Zero carcinogens l No phenolics, chlorine/bleach or peroxide l No rinse l No dilution l 2-year shelf life l Non-flammable l Non-dangerous goods l Eco-friendly (100% biodegradable) l 100% cruelty free and never tested on animals

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Disso® can be used indoors and outdoors to disinfect and clean a multitude of different surfaces. It is suitable on washable hard surfaces including plastic, metal, stainless steel, stone, ceramic, glass, enamel, laminate, timber, vinyl, painted surfaces, porcelain, epoxy/sealed surfaces. Suitable on washable carpets, upholstery and fabrics. TGA Listed (Hospital Grade Disinfectant AUST L 368170).

Peace of mind by the handful.

XO2® iSanitise Zero is an alcohol-free hand sanitiser foam designed specifically to control the spread of germs and bacteria. The formulation is fast drying and it contains natural emollients to replenish the lipids in your skin, leaving your hands feeling soft and hygienically clean. The non-hazardous formulation is also free of Triclosan, colour, fragrance and carcinogens. iSanitise Zero is pH balanced with a non-irritant moisturising formula and great for keeping your skin clean, hygienic and at its best. The advanced formulation is great for high usage and

for those with sensitive and dry skin. It has been dermatologically tested and approved.

The benefits.

l Kills 99.999% of germs l Dermatologically tested l Child and pet friendly l Zero alcohol and triclosan l Zero fragrance and colours l Zero greasy hands l Moisturises and conditions skin l Non-hazardous, fast drying, food safe l Zero carcinogens l Eco-friendly. Biodegradable l Works in bulk fill FOAMING soap dispensers l 100% cruelty free and never tested on animals

A delivery system for all.

There really is no limit to the options in many of the XO2 products. From small cannister wipes to large wipes, spray bottles with ergonomic design and handling, to large bottles and drums, dispensers, and mobile station wipes with bins.


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ADVERTORIAL

Product Guide Infection control

Safe disinfection for your dental practice 6 considerations for cleaning your dental equipment and surfaces.

By Kate Smith, Head of Clinical Solutions, Training and Support — GAMA Healthcare Effective cleaning and disinfection are an essential component of your dental infection prevention program. Choosing the correct cleaning and disinfection product saves you time and money. This also keeps your staff and patients safe from potentially harmful bacteria and viruses.

What is the difference between cleaning and disinfecting?

Detergents help lift dirt and germs for easier removal but have no killing capacity, whereas disinfects kill germs rather than clean them away. Organic soil reduces the ability of disinfectants to kill, so surfaces must be pre-cleaned with a detergent. Combined detergent and disinfectant products lift and remove soiling, then kill germs left behind. This is known as a 2-in-1 system. A 2-in-1 system saves time, storage, and costs and reduces the risk of missing one of the steps. For example, missing the pre-clean detergent or disinfection step could result in ineffective disinfection.

Other considerations Therapeutic Goods Administration (TGA)

Hospital-grade disinfectants are suitable for use on hard surfaces within healthcare environments, whilst disinfectants registered as Class IIb - Lowlevel instrument grade are listed for use as medical devices and comply with AS/ NZ 4187. The ARTG certificate will state the product’s intended purpose and which organisms the disinfectant has been tested as effective against. To make claims against a specific germ, testing

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must be performed in an accredited laboratory and the results provided to the TGA for assessment. The TGA has published a list of disinfectants that are permitted to claim they are effective against COVID-19.

Realistic contact time

Contact time is the time that a disinfectant must remain in contact with surfaces to kill germs. Different disinfectants have varied contact times. Contact times should be found on the packaging. If the instructions for use state a contact time of 5 minutes, the product must stay damp and in contact with the surface for a full 5 minutes to ensure that the germs are killed. Removal or drying off before this time risks ineffective disinfection. Contact times should also be achievable. Long contact times may be difficult to achieve due to time limitations or evaporation.

Efficacy

You may consider 99% effective as impressive and adequate. However, when you consider that a surface or piece of equipment will have millions of germs on it, a higher efficacy becomes very important. Disinfectants that are 99.99% effective or above offer greater protection.

Compatibility and pH

A pH that is too high (alkaline) or too low (acidic) can be harmful to surfaces, as well to the person using it. Look for a disinfectant that has been tested as compatible for use on various surfaces, with a near neutral pH.

Limitations of Alcohol wipes

Alcohol is an inexpensive, widely available solution that leaves no toxic residue. It is predominantly used to disinfect small surfaces and objects. However, alcohol disinfectants don’t work well on dirty surfaces. Surfaces must be pre-cleaned then dried before alcohol is applied. Surfaces left damp will dilute the alcohol. Because alcohol evaporates on a surface quickly, it is not a suitable choice for disinfecting large surfaces. Correct contact times are difficult to achieve with alcohol. Additionally, alcohol can affect equipment and surfaces. After prolonged use, plastics can become brittle and crack. Rubbers may also become discoloured, hardened, or brittle. Contact GAMA Healthcare for more information on safe cleaning and disinfection for your dental practice on (03) 9769 6600 or email australia@gamahealthcare.com.


Wipe out infections with

Universal Wipes The No. 1 disinfection wipe used in Australian hospitals*

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For surfaces and non-critical instruments

Can be used for general cleaning and damp dusting.

2-in-1 detergent and disinfectant wipe.

To learn more, contact us on 03 9769 6600 or email us on australia@gamahealthcare.com

gamahealthcare.com.au * The Clinell Universal range is used by 80% of Australian public hospital beds (2022).

GHA220104


ADVERTORIAL

Product Guide Infection control

Assistina TWIN Infection prevention and control practices aim to reduce the risk for patients, staff, and yourself. W&H has developed a step-by-step guide through the hygiene workflow in your practice to interrupt the chain of infection. The result would be happy instruments for a safe day-to-day operation. We would like to take a closer look to step 04 which is inspection and maintenance. There is no doubt that the ability to deliver efficient, quality patient care and maintain consistently high standards rests on the innovative equipment and tools that are available in modern practice. W&H has always directed its attention to developing and producing instruments, devices, equipment, and technology that will enhance clinicians’ skills and improve patient outcomes. Assistina TWIN offers a sophisticated dual chamber system in which you can connect your handpiece while another is being serviced in the adjacent closed chamber. When one is done, you simply need to slide the cover to the other

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side, and then with a click of a button the process will begin again; handpiece maintenance has never been so easy. Looking after your handpieces, turbines, air motors and air-driven scalers has never been as efficient as it is with the Assistina TWIN. The continuous workflow that the dual chamber provides is undoubtedly the driving force behind the unit’s remarkable productivity with a record cycle time of just 10 seconds. It can process up to 360 instruments per hours not just due to the innovative procedure with a short processing time, but also thanks to its ergonomic design and wide range of adaptors. Maximum lubrication and incredibly cost effective to run. One refill contains sufficient oil and solution to maintain approximately 2,800 instruments, and it oils all components efficiently in ten seconds flat to make rotational lubrication a thing of the past. It works by first nebulizing the oil before blasting it through the instrument at high pressure so that the fine mist reaches even the most

remote parts of the gears without any need for the gearing components to be set in motion first. This is all possible without having to measure the exact amount of oil needed for each instrument, as the Assistina TWIN’s state-of-the-art process monitoring system does this for you. The most innovative product is worth only half without technical support, which is why W&H offers faultless care and first-rate expertise with total commitment to providing the highest level of technical service. Our Service Center in Adelaide with a team of field-based engineers will be there for you and avoid any unwanted downtime. Add W&H’s unwavering reliability, unmatched expertise and refreshing approach to ecological sustainability and you get a solution that, when matched with innovation, can help clinicians take dentistry to the next level. So whether you are looking to enhance treatment outcomes, improve standards or streamline your workflow, the Assistina TWIN is an essential addition to your arsenal.


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ADVERTORIAL

Product Guide Infection control

Australian Made You can rely on Dentalife

Australian made and owned, trust Dentalife for your Infection Control and Dental Materials needs. According to owner, founder and chemist Andrew Stray, “From the day back in 1999 when Dentalife’s first product was formulated in my suburban garage, Dentalife Australia has remained unique in that our product portfolio for the local market is manufactured right here in Ringwood and Croydon, Melbourne. It is a fundamental component of our business to ensure that our research, product development and manufacturing is completed onshore; we have never deviated from our domestic R&D roots.” Unlike many competitors, Dentalife’s research, development and manufacturing is completed in Australia (including the highly-regarded disinfectant wipes). Across a comprehensive portfolio of infection control products, Dentalife’s team of Melbourne-based R&D professionals work tirelessly to ensure the best formulas are developed and brought to market. Dentalife are very excited to have launched Clinicare Hospital Grade Disinfectant – alcohol free formula. This formula has been a game changer, not only in the dental industry but also broader healthcare settings, as there is now an alcohol-free disinfectant wipe being manufactured in Australia. It has approved claims for bactericidal and SARS-CoV-19, boasting a kill time of just 30 seconds for Covid 19, which allows for improved practice efficiencies and infection control procedures. According to Sarah Sayeeda, Dentalife’s R&D Manager, “Developing Clinicare Hospital Grade alcohol-free disinfectant wipes has been one of our greatest success stories during the Covid pandemic. We have worked

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tirelessly to ensure we have developed the best formulated alcohol-free hospital grade disinfectant.’ Sarah goes onto explain “It is fantastic that Dentalife is able to develop products right here in our Melbourne laboratory; this means we can develop products specific to Australian market needs, whilst our factory in Bangkok develops and manufactures specifically to meet the needs of our Southeast Asian markets.” Clinicare Hospital Grade Disinfectant has been formulated to kill a broad spectrum of micro-organisms. This product has been tested under dirty conditions and allows for approved claims of bactericidal, virucidal, fungicidal, yeasticidal and tuberculocidal. Sarah says, “We have formulated a disinfectant product that not only has activity against SARS-CoV-19 (Covid-19) but is also highly effective against a broad spectrum of micro-organisms. At a time

when there is so much known about disease transmission and a growing concern regarding antimicrobial-resistant organisms, we are very proud to be on the front line in helping to stop the spread.” New to the Dentalife product lineup is a suction cleaner range, Clinicare Suction Cleaner DW (Daily/Weekly) and Clinicare Suction Cleaner MR (Monthly/Shock treatment). Both products are formulated free of nasty chemicals (including phenols, chlorine and aldehydes) yet offer thorough and highly effective cleaning whilst leaving the surgery smelling fresh. Also new to the Dentalife range is Clinicare Instrument Cleaner, the perfect alkaline formula for your ultrasonic cleaner. Clinicare Instrument Cleaner has been formulated to be low foam and contains corrosion inhibitors to help protect instruments. Thank you for supporting Australian Made.


Hospital Grade - Disinfectant Wipes NEW PRODUCT DEVELOPED AND MADE IN MELBOURNE

Effective Against (kill time) TESTED UNDER DIRTY CONDITIONS

Pseudomonas aeruginosa (1 min), Escherichia coli (1 min), Staphylococcus aureus (3 mins), Methicillin Resistant Staphylococcus aureus (MRSA) (1 min), Enterococcus hirae (1 min), SARS-CoV-2 (COVID-19) (30 secs), Candida albicans (1 min) ARTG: 373700

Use for rapid decontamination and pre-cleaning of surfaces, instruments and equipment

IPA 70% is a soft alcohol providing antibacterial cleaning properties while still being gentle on surfaces.

Bactericidal, Virucidal, Fungicidal, Yeasticidal, Tuberculocidal Broad spectrum hospital grade disinfectant.

Manufactured by: Dentalife Australia Pty Ltd Factory 9/505 Maroondah Highway Ringwood, Victoria 3134 Australia Phone (03) 9879 1226 www.dentalife.com.au


ADVERTORIAL

Product Guide Infection control

Game Changer... B class Autoclaves at S class Prices.

Zone Medical has announced that the latest range of Hatmed Autoclaves is ready for distribution around Australia.

Family Owned, Australian company, Zone Medical have just announced their plans to market directly with their latest range of autoclaves throughout Australia and New Zealand. Who is Zone Medical and what does this mean to you? Zone Medical has been successfully importing, wholesaling and supporting Capital Medical Equipment including Autoclaves in Australia & New Zealand for nearly 20 years with over 3,500 units in the market. Now, after 3 years of market research and torture testing at more than 100 Dental and Medical Centres around Australia, Zone Medical has announced that the latest range of Hatmed Autoclaves is ready for national market distribution. The company’s Director said he “always wanted to work directly with the end user, there are fewer parties involved, simpler supply logistics and we get the customer a great price rather than having it go through

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many sets of hands. Basically, it’s simpler and cheaper for everyone involved, plus we have more control with the customer satisfaction side of things.” Autoclave Manufacturer, Hatmed were established 10 years ago by a chief engineer from a major German autoclave manufacturer to offer the best quality at very affordable pricing. They have since been growing their reputation for performance, reliability, and excellent pricing within the industry on an international level. Hatmed use quality components throughout all their products including German Made Speck vac pump, Motorola pressure transducers and Italian water pumps and valves. Even the covers are thick, marine grade stainless steel. Hatmed offer a 2 year / 2000 cycle manufacturer warranty as standard. Spare parts, consumables and maintenance are a fraction of the price of other major competitors which makes the ongoing

cost of ownership extremely low. The latest range includes 7 Chamber Sizes of Bench Top Units including:  High-Speed Atom 5 & 10 Litre Rectangle Chamber with 14 minute B class cycles;  The very popular 18 and 23 Litre models;  Larger 29, 46 and 55 Litres Round Chambers for Large Capacity high speed requirements. Zone Medical have a well-established national network of qualified technicians to help with installation, validation and any ongoing support throughout Australia and New Zealand. To introduce their latest range of Autoclave to the Australasian market Zone Medical is offering an additional $500 discount for the first 50 Hatmed Sterilisers sold. Combine this with the already direct to market price and you’re truly looking a top-quality B class machine for the price of many competitors S class machines.


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zonemedical.com.au

MEDICAL

Easy USB Data Management. No software required.

Serial Port for External Printer

Valid from 03/05/22 - 30/06/22. Prices are subject to GST and do not include freight. Promotion & Prices are subject to change without notice. E&OE.



YOUR TOOLS

Tools of the trade

This month, our dentists review a micro-etcher, a digital intraoral camera, an intraoral scanner, and a 3D printer.

PANASONIC EJ-CA02EPA INTRAORAL CAMERA by Dr Ian Hedley, Oatley Family Dental, NSW

DANVILLE MICROETCHER IIA

by Dr Makham Ghanbari, Gumdale Dentists, QLD We’ve only had this unit for a few months but I use it nearly every day to prepare cavities and teeth for restoration.

What’s good about it

After prepping the tooth, I use this unit to do a bit of microetching. I clean the surface and remove all the debris so the adhesive and bond attaches firmly to the tooth. Using the MicroEtcher really enhances bonding capacity. I tend to use this unit because I prefer the tooth tissue to be mechanically micro-etched before using the chemical etch. It can also be used to prepare a tooth surface on a veneer insert appointment. It’s great for crown appointments. The MicroEtcher cleans up the surface of the prepped tooth tissue very effectively. It can also be used on the fitting surface of Zirconia crowns to increase the strength of bonding. This particular unit should not be used for cleaning stains from teeth; it’s purely for restoration prep and nothing else.

What’s not so good

It can be messy and should be used in conjunction with highvolume suction or a rubber dam. I always warn the patient to be prepared for a little mess. I choose not to use it with cavities that are very close to the pulp as I suspect it could cause damage. I prefer to work conservatively and only use it in situations where I’m assured it’s going to be beneficial.

Where did you get it

Amalgadent (amalgadent.com.au)

I use the Panasonic intraoral camera all day, every day on every patient. It’s part of my medical records, which are medico-legally very important. I take full mouth pictures of all new patients, returning check-up and cleans, and during procedures.

What’s good about it

Showing patients what’s going in their mouth is a game changer. Instead of having to describe a cracked tooth or decay or a failing restoration, I can just take a picture and blow it up on the big screen. We then have a discussion about the pros and cons of doing something or doing nothing. It makes my job much easier because, basically, the patients diagnose themselves. If I tell them a back molar has a hairline crack and it might break, they have no visual reference and can just decide to live with it. If I blow it up on the big screen, point out that it could break or that the tooth may need to be removed, they are much more open to options. When I tell them we can protect it by putting on a crown, the acceptance rate is very high. The Panasonic unit has an inbuilt LED light and is operated by one click of a button. It also has a video function if required. Our practice uses Romexis software and the camera is linked to that. It automatically saves all images to the patient’s files where it can be reviewed or used for any future medico-legal issue that may arise.

What’s not so good

The camera is used with a protective plastic screen for hygiene purposes. If the screen isn’t sitting flush and tight or a drop of moisture gets under it, then the images don’t have enough clarity.

Where did you get it

Henry Schein (henryschein.com.au)

Bite Magazine 59


YOUR TOOLS

MEDIT I500

by Dr Kim Lu, AI Dental, Ormeau, QLD The Medit i500 scans very quickly. We purchased it so our patients don’t have to undergo a mouthful of goop while we take an impression.

RAYDENT STUDIO 3D PRINTER

What’s good about it

The Raydent Studio 3D printer is a well-designed and quite small unit. I’ve positioned it inside a cupboard that’s only 30 centimetres deep. When I’m not using it, I just close the cupboard door and everything is out of the way.

Taking an impression with alginate is uncomfortable, claustrophobic and can cause a lot of gagging. This scanner has a small head that goes in the mouth and takes a 3D digital scan. As patients are able to breathe through their mouth with the scanner in there, they stay calm and don’t gag. The unit takes hundreds of photos and stitches them together, resulting in a very accurate and high-quality scan. When scanners first came on the market, I wasn’t impressed. I tested it out on myself, taking a scan and an impression. Back then, the impression was far more accurate. Now that technology has advanced so incredibly, the quality and accuracy of the scans is amazing. I purchased this unit about two years ago when scanners became reliably predictable. The Medit is easy to use and very intuitive. While you’re scanning, the screen on the laptop shows you exactly where you are in the mouth. All you need to do is watch the screen and run the scan. If you should make an error, you can just go back, delete it, and re-scan the same area. I’d recommend this unit to any clinic that’s considering purchasing a scanner. It’s fast, useful, accurate and records can be kept digitally. If you’re still taking alginate impressions, you’ll find this scanner to be revolutionary.

What’s not so good

by Dr Julian Oey, Haoey Dental, Potts Point, NSW

What’s good about it

I mainly use the printer to create study models and temporary crowns. The resin has a very high strength of about 90 megapascals so it’s strong enough to withstand normal occlusal forces. The temporary is strong enough to be left in place for several months if required. The printer comes with a suite of software, the most important being Designer and Studio. I collect the scan data and import it into Designer. Using this program, I can modify the model in multiple ways. When I’m happy with the end product, I export it to Studio and it will design the support structure. Then I run the program and the model prints out in about 30 minutes. It’s possible to print four models at a time but that takes longer as more information requires more processing. I’m planning to expand its use to make inlays and onlays. The resin strength is quite high and I believe it could effectively replace composite material. I also use it to make custom-made trays I use to take an impression for dentures.

It’s reliant on technology, and technology doesn’t always work in our favour. Sometimes, it suddenly needs to be connected to the internet, or the internet’s down, or the server’s down. There are always those background issues but they actually happen very rarely.

What’s not so good

Where did you get it

Where did you get it

Pacific Dental Specialties (pacificspecialties.com.au).

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The resin for the printer only comes in A2 colour. Hopefully, they will expand the colour range in the future. The printing table is a bit small. There are times when it can be a struggle to fit a model onto it. Ray Australia (rayaustralia.com.au)


ENROL NOW

74

CPD Hours

Orientation Course 2022 Preparatory course for the Primary Examination Why enrol?

Course key dates

• Learn the fundamental principles of the basic sciences • Improve your ability to effectively communicate • Demonstrate your thinking process and understanding

Prerecorded Lectures: Available from 1 Jun Live Q&A Sessions: 19 Jul – 30 Aug Self-direct study groups: 21 Jul – 1 Sep Masterclasses: Sat, 17 Sep in Sydney Sat, 24 Sep in Perth Registrations close: Sun, 10 Jul

Anatomy, Cell Biology & Biochemistry, Histology, Microbiology, Pathology, Physiology and Pharmacology.

Course structure • • • •

Pre-recorded online lectures Live Q&A sessions Online and in-person masterclasses Self-directed study groups

Dr Elizabeth Fanning Orientation Course Scholarship Win a scholarship worth up to AUD$4,946! Applications close 2 June 2022

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Subjects covered

The Royal Australasian College of Dental Surgeons (RACDS) provides the opportunity for postgraduate study in both general and specialist dentistry, training and qualifications, and continuing professional development through our Fellowship and Membership programs.

racds.org

info@racds org

(+612) 9262 6044

@racdseducation


YOUR LIFE

Game on

“I’m an avid gamer and find it much more engrossing to play a game than watch a movie. I stay away from online games because they take up way too much time. I prefer console games that take 20 or so hours to play through. You can play them for as long as you like, save your progress and then come back to continue at a later time. “When I was very young in the early ’80s, my dad bought a Commodore 64 computer. It only had very basic graphics but I found that much more interesting than television. The first console I ever owned was a Nintendo NES loaded up with classic Mario and Zelda games. These days, I have a PlayStation 5 and the new Xbox Series X. “For a monthly fee of about $15, the Xbox provides a Game Pass that gives you

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access to hundreds of games. PlayStation doesn’t have anything like that so I probably use the Xbox more frequently. PlayStation does have exclusive titles that are fantastic to play. A sequel to Horizon Zero Dawn called Horizon Forbidden West is at the top of my list. New-release games cost between $80 and $110. You can wait six months after they’re released and buy them much cheaper but that’s not me—I’m too impatient. “I like games with a good premise and a well thought-out plot. The characters have to be believable and the graphics should be seamless. I play a lot of smaller, independently developed games. I’m not a big fan of shooting games. “My favourite game is a series called Yakuza based around the Japanese underworld. I lived in Japan and the

game is set in the neighbourhood where I stayed. It’s modelled exactly the same as real life so it’s fun to explore those streets as I play. “The thing I love about gaming is that it’s pure entertainment and much more engaging than television, movies or watching sport. You’re controlling a character, making decisions and reacting to situations. I’ve always felt a bit envious of people who grew up in the ’60s and ’70s and saw popular music develop in really interesting ways. I feel lucky, however, that I experienced video games evolve from extremely primitive graphics to games that look as realistic as a movie. “I can be a bit obsessive when a game I’ve been waiting on is finally released. I just cancel all my weekend plans and settle in with the console.”

INTERVIEW: FRANK LEGGETT

Forget movies and television—Dr Jonathan Robson of Avenue Dental in Baringa, QLD, likes to relax with an open-world video game.


The right equipment makes all the difference

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Subject to credit approval. Credit provided by BOQ Specialist – a division of Bank of Queensland Limited ABN 32 009 656 740 AFSL and Australian credit licence no. 244616 (“BOQ Specialist”). Lending criteria, T&Cs and fees apply. *Limited time offer only available for new equipment finance and fit-out finance applications (includes escrows) either directly or through a broker network. Applications must be received between 2 May 2022 and 30 June 2022 (inclusive) and must settle by 30 June 2022. Excludes motor vehicle finance. Client will be eligible for a waiver of the establishment fee of $495. Other fees and charges may apply. Cannot be used in conjunction with the ADX or RANZCO promotion. Promotion can be used in conjunction with supplier promotion agreements and the SME Recovery Loan. This offer expires on 30 June 2022 and is subject to change without notice at the discretion of BOQ Specialist.