The Bulletin - Issue 67 Jul / Oct 2023

The official newsletter of the Dental Hygienists Association of Australia Ltd

Caring in the community

We review the power of social responsibility in oral health

FEATURING

Sharing the love for free

The drive to help those less fortunate

Reducing the burden

DHAA efforts in aid of World Oral Health Day

Taking it to the schools

The Carevan mission continues to grow

Adelaide awaits

The latest speaker update for this year's DHAA National Symposium

The art of communication

Part two of our series on brushing up on your core leadership skills

happening in your local area

What your patients do when they’re not in the chair matters.

Do they brush, floss, and gargle regularly? Follow your hygiene advice in between check-ups? Clean and protect their important oral appliances every day as you instructed?

We already know the answers.

So, what if you could support your patients to properly care for their oral appliances at home?

The all-in-one solution to a common problem.

Dr Mark’s HyGenie® is the answer to many of the problems associated with oral appliance hygiene and protection. It’s an all-in-one system for optimal home care of all types of removable oral appliances.

When you include Dr Mark’s HyGenie, you’re not just building your bottom line, you’re building that important patient relationship – beyond the clinic walls.

Building great things takes patience (and a little extra effort).

Just like your patient relationships take time to nurture, great inventions take time to cultivate. That’s why we went through five years of product development, trial and error before we were confident Dr Mark’s HyGenie was ready for your practice and your patients.

Give your patients something great.

For Dental Professional enquiries and pricing, visit drmarkshygenie.com/professionals

Connect with us on social media:

This project is supported by the Australian Government Department of Industry, Innovation and Science through a commercialisation grant as part of the Entrepreneurs’ Programme.

We know you care, beyond the clinic walls.

Reap the reward of community support

In this issue, we’re focusing on community projects and oral health promotion, especially for asylum seekers and migrants. Involvement in these projects is so rewarding for everyone, I encourage us all to connect and participate in our communities.

We thank members for their feedback on the Professional Indemnity Insurance product currently provided by the DHAA. We’re grateful you shared your experience and want you to know that we listen to you. We aim to provide quality and cost-effective indemnity protection for our members. The DHAA Board is responding by conducting a review of our current arrangement with BMS and investigating other options in the market. We will keep you updated on that review.

04 Adelaide awaits The latest intel from the DHAA National Symposium.

06 From the top CEO Bill Suen discusses the benefits of membership.

07 DHAA funded research

A preliminary assessment of MRSA contamination.

08 Share your story

Real-life stories to inspire and encourage the lives of others.

12 Get your CPD fix online

Improve your skills and knowledge from home.

16 Seeking direction?

Highlighting another alternative career pathway.

DHAA National Symposium 2023 – Time to register!

Adelaide will be hosting our national flagship, scientific event, 21-23 September, with sustainability as the theme. Early bird prices finish on 31 July 2023 and you can save over $100 by registering before then.

Keynote speakers include Dr Trudy Lin, presenting on health inequity, social inequalities and social responsibility; Dr Sarah Kelly, back by popular demand from New Zealand and speaking on the Sustainable Dental Practice; and Dr Geraldine Moses is updating us on the unexpected side effects of new anti-cancer drugs

There are some fantastic, limited attendance workshops too, including; an interactive ergonomics and wellness demonstration, a hands-on local anaesthetic update; a hands-on blood pressure and blood glucose workshop entitled Blood, Blood, Glorious Blood; an aged care workshop chaired by Lynda van Adrighem, Chair of the DHAA Aged Care Special Interest Group; and a unique opportunity to attend a rural and remote oral health promotion workshop at the Royal Flying Doctor Service base at Adelaide Airport. I am very-much looking forward to seeing everyone in September.

Michelle Kuss DHAA Acting President/Treasurer

18 Ask DHAA

Your questions answered.

COVER STORY

20 Caring in the community

A curated series of articles examining the power of social responsibility .

36 We've got you covered

Professional insurance is just one of the DHAA benefits

38 Constant contact

Brushing up on your core leadership skills

42 State of the Nation

A countrywide round-up and 2023 event calendar.

Adelaide awaits

The theme of this year's DHAA National Symposium is Synergy & Sustainability and we will be exploring the many ways we can implement this into our careers and practice. Symposium activities will start on Thursday 21 September with optional workshops and welcome drinks before we kick off our CPD presentations on Friday 22 and Saturday 23 September.

The Symposium will be held at the Adelaide Convention Centre overlooking the River Torrens. Being the first convention centre to register with the internationally recognised EarthCheck program and sustainability certification it fits well with our Symposium theme.

Extend your break and time in Adelaide to fit in some sight seeing with a range of tour options available

on our Symposium website to check out the local sights and scenes or plan your own adventure. With the stunning Adelaide Hills, Hahndorf, McLaren Vale and the Barossa Valley nearby you can get out explore.

Our CPD Program features a range of well-respected, national and international speakers with some concurrent sessions to let you tailor your CPD choices. Here's a sample of our fantastic line up of keynote speakers;

Sustainability: Angels, Ostriches, and Furphy

Dr Martin Webb

The Numbers Game: How to Play It Safely

This lecture offers valuable insights into item numbers, audits, and provider numbers in dental practice. Dr. Webb’s extensive experience and expertise make this presentation a must-attend for dental professionals seeking to navigate the complex world of billing compliance, health fund audits and provider numbers.

Dr Hutton will explore the multifaceted nature of sustainability in the dental world, going beyond environmental aspects and delve into insights into the FDI (World Dental Federation) Vision 2030, the interconnectedness of environmental, economic, and social sustainability, and strategies that contribute to the future of the dental profession.

Can we do zero waste dentistry?

This session will address the waste challenges faced by the dental industry and explore practical solutions at the surgery, practice, and regional levels to be more sustainable and work towards zero waste. Sarah will also share practical ideas that can be immediately implemented.

Dr Mark Hutton

Dr Sarah Kelly

Join us in Adelaide for the 2023 National Symposium

By Christina Zerk

Dr Trudy Lin

Intersectional approaches to overcome health inequality

Dr. Trudy Lin’s presentation offers a unique perspective and valuable knowledge for healthcare professionals seeking to address health inequality and promote inclusivity in their practice. It will explore the social ideologies and structures that contribute to health inequality an insights on practicing social responsibility with an intersectional lens and intentional mindset to create sustainable systemic change.

Dr Trudy Lin appears by arrangement with Claxton Speakers International.

Workshops

LA Update: Refining and revising your local anaesthetic techniques Adjunct Associate Professor Cathy Snelling and Adjunct Associate

Professor Sophie Karanicolas

This workshop will give you increased confidence and competence in administering painless local anaesthesia through a review of neuro-biology, exploration of contemporary techniques and agents, and practical activities analysing authentic scenarios.

Ergonomics & Wellness for Hygienists and Oral Health Therapists

Dr Anikó Ball

This interactive workshop with focus on both the outer and inner ergonomics to address occupational chronic pain in

the hygiene profession and teach you to recognise harmful work postures, and acquire techniques for holding instruments and adopting healthy habits to reduce the risk of chronic pain.

_____ Blood, Blood, Glorious Blood: Blood pressure and blood glucose workshop

Deb (Hume) Brown

This two-hour session will teach you how to accurately measure blood pressure and blood glucose as well as how to interpret the results and provide tailored care for patients with cardiovascular disease and diabetes in the dental setting.

_____

Royal Flying Doctor Service: Rural and remote oral health promotion workshop

Dr Vaibhav Garg and Marcy Patsanza

This session will take you on a tour of the RFDS Base at Adelaide Airport, where out presenters will discuss the RFDS Oral Health Program, facilitate small group activities, examine the multi-disciplinary approach to care and its barriers, and present a case study on an RFDS collaborative project.

_____

Aged care workshop

Lynda van Adrighem

This session will include guest presenters, open discussions, plus equipment and product demonstrations, with a focus on exploring career opportunities, developing skills for aged care, investigating useful products and equipment, discussing business initiation, and learning from colleagues’ experiences in mobile dental provision for the elderly.

Social Program

It wouldn’t be Symposium without an opportunity to catch up and network with friends and colleagues. Our conference starts with welcome drinks on Thursday night where you can get your first look at the trade exhibition while meeting up with friends. To make sure you get the most out of our trade and for extra networking time we have an extended one hour morning tea planned for Friday with our usual one hour lunch break.

Student and Recent Graduate Cocktail Night

A new addition to our Symposium is our student and new graduates cocktail night being held on Friday night at the Hotel Richmond’s private balcony room. Open to any student DH/ OHT’s and anyone who have graduated in the past three years this will be a nice to catch up and share stories about experiences about study and heading into practice.

Gala Dinner

Held at the Adelaide Festival Centre our gala dinner is set to be another unforgettable night. The theme this year is ‘Oops I Wore it Again!’ where we invite you to grab your favourite outfit and show off sustainable fashion by wearing it again while we enjoy a night of live music, dancing and food. n

Register Today!

DHAA National Symposium 21-23 September 2023

Early Bird prices close 31 July 2023 and we can’t wait to see you there.

Go to the website

Is membership a bargain?

• Competitively priced professional indemnity insurance

• Advice on clinical and practice matters

Bill Suen DHAA CEO

IT IS PROBABLY fair to assume that we all want to enjoy a professionally satisfying and financially rewarding career in oral health that provides a good work-life balance.

To achieve this, one must meet all AHPRA registration standards, including CPD, professional indemnity insurance, recency of practice, scope of practice and criminal history. While the Dental Board, as a regulator, sets these standards, it is the peak association, such as the DHAA, that guides and helps its members to comply with the standards via its ongoing advice, support and education activities. Besides getting a comprehensive CPD selection including a minimum of 20 hours of free online CPD per year, DHAA membership offers support in every aspect of your career and professional needs, including but not limited to:

The Code of Ethics of DHAA Members

The following code of ethics for DHAA members were reviewed and updated by the Board on 7 May 2023;

• Industrial relations support and advice line

• Peer support program

• Networking events to local and national colleagues - F2F and virtual

• Ongoing updates of development and changes to dental practice

• Employment and recruitment services and advice

• Business advice and business development support

• Member discounts on a wide range of products and services (including financial services, car purchases, laptops, white goods, general retail, entertainment and holidays etc)

While you are at work, there are ongoing challenges from constant changes in regulations, emerging practice and technology, workplace pressure, inter and intra-professional relationships, as well as maintaining a healthy work-life balance. The DHAA keeps you up to date and offers a range of advice and support. You should not need to practise in

• Provide oral health care utilising the highest level of professional knowledge, judgement and skill

• Serve all patients without discrimination

• Maintain confidentiality of patients and professional services

• Collaborate respectfully

isolation as DHAA connects you to people, organisations and resources that you need throughout your career. All you need to do is to email us and post your question.

It's plain to see that the DHAA offers a one-stop-shop for everything you need to navigate all these challenges and save you lots of time if you were to seek out help from multiple sources and connections. While it is true that you can Google just about everything nowadays and get some fairly instant responses, you are also subject to a huge risk of misinformation, and online scams, often coupled with hidden agendas and self-interests.

Besides supporting individuals, the advocacy work being done by the DHAA helps the profession collectively. We constantly act on behalf of you, to rectify inappropriate regulations, support the development of new models of care, explore funding sources and create new career opportunities so the profession continues to grow and progress through time.

All these DHAA activities help your pursuit of a professionally satisfying and financially rewarding career in oral health, and the one-stop-shop set up saves you precious time and contributes towards your healthy worklife balance.

The DHAA has your back, and your investment is less than $0.90 a day fully tax deductible ($0.15 for new graduates) - is this a bargain? n

with all health professionals

• Comply with all laws and governing bodies

• Create and maintain best practice work environment

• Participate responsibly in our professional association and uphold its

objectives and policies

• Advance professional competencies through continuous learning

• Support DHAA positions and policies and only issue public statements after consultation with DHAA executives when circumstances arise.

Annual membership to a peak association such as the DHAA reaps far more rewards than you may be aware

DHAA funded research project

By Lily Neaton

Methicillin-resistant Staphylococcus aureus (MRSA) creates a burden on the healthcare system daily (Macmorran et al., 2017). The bacterium has the potential to cause life-threatening infections for people in high-risk categories. The dental setting is a healthcare setting of concern as there is a high turnover of patients and practitioners throughout the day. The aim of the study was to examine the presence of MSRA and multi-resistance S. aureus (Multi-RSA) in environments in a student oral health clinic.

The research questions were:

• Are bacteria, including MRSA, present in student clinics?

• Are current infection control policies and procedures sufficient in eliminating the presence of MRSA in a student oral health clinic?

• Does the students’ amount of experience improve the quality and consistency of the implementation of the current infection control policies and procedures?

The study collected samples over a three-month period in 2020 in a student oral health clinic. Ten high-contact surfaces and touched surfaces in the clinic were swabbed and analysed for the presence of MRSA and Multi-RSA, all other bacteria were recorded as a total count. The data was analysed using SPSS software and the results proved

interesting for staff and researchers alike. Whilst there were no definite MRSA colonies located and identified, there were a number of S. aureus isolates plated and confirmed within the study. This alone is of concern as it provides the opportunity for MRSA positive isolates to populate within the oral health clinic.

Some results that were concerning for the clinics’ current infection control policies and procedures were the total counts of bacteria within the sterilisation room. The handle of the autoclave, which is located in the sterilisation room clean zone, recorded a count of 22 and 23 total bacteria in weeks nine and week 12 respectively. The clean bench in the sterilisation room also recorded a count of 11 and 7 total bacteria in both sampling sizes in week 12. These results highlighted the importance of these surfaces needing to be wiped down more regularly as a standard practice.

The study showed that there was no trend over the course of the term where it could be seen that the students’ cleaning procedures improved as their experience did. A recommendation from the study is for ongoing auditing of the students’ cleaning processes to be randomly conducted throughout the term. This would ensure that students are continuously maintaining a high standard of cleanliness. However, further research is required to investigate if MRSA is a true threat to a student led oral health clinic. n

About the author: Lily Neaton is an oral health therapist who graduated with a Bachelor of Oral Health from Central Queensland University in 2019.

After completing her oral health degree Lily went on to complete a Bachelor of Science (Honours) degree in 2021. She was the recipient of a $1,200 grant from the DHAA Dental Hygiene Research Fund.

The funding contributed to the purchase of lab supplies for her honours project ’A Preliminary Assessment of MRSA Contamination of Environmental Surfaces in an Academic Oral Health Clinic’.

Lily is currently travelling around Australia after working as an oral health therapist and practice manager in Yeppoon for the past couple of years.

'A preliminary assessment of MRSA contamination of environmental surfaces in a student oral health clinic' funded by the DHAA Dental Hygiene Research Fund

Share yourstory

Real-life career stories to inspire and encourage the lives of others

No matter where you're at on your career path, we've all go a story to tell. That's why we 're calling for DHAA members to share stories and reflections on their oral health journey so far. Whether you've just started out or you're just about to retire, we want to hear from you. Perhaps you're taking a break, love the job you're in or you're exploring new adventures; everyone's story is unique and could help inspire others.

Suggested topics include; why you chose oral health as a career; your best/worst day at work; how dentistry has changed; what inspires you to push yourself; how you've evolved your career to work better for you.

In this issue we hear from new graduates Megan Wyntjes (Vic) and Courtney Rutjens (SA) who share their personal reflections on their transition from an oral health student to a registered practising dental practitioner.

Got a story to share?

To submit your article please email contact@dhaa.info. If you're not much of a writer then we will edit it and send it to you for final approval prior to publishing.

Courtney Rutjens Dental Hygienist Arena Dental

TRANSITIONING FROM STUDENT to practitioner last year, felt both scary and exciting. After two years of intense studies, the task of finding suitable employment with fear of the unknown lingered upon me as well as my peers. Luckily, I was successful in obtaining full-time employment at a small practice where I am the sole hygienist. At first, not having in-clinic mentorship from fellow, more experienced,

hygienists or oral health therapists felt daunting, especially after two years of daily guidance and advice from clinic staff and tutors.

Week one was full of challenges with learning - equipment, clients, staff, process/procedures, appointment times, note writing, software- the list goes on. Like any new job, learning how the practice operates takes time.

With that, many factors became easier, my skills improved, my relationships with staff and clients developed and my confidence grew. My initial fear of being a sole

“My initial fear of being a sole practitioner as a new graduate soon diminished”

Courtney Rutjens

JONATHAN BORBA / UNSPLASH

practitioner as a new graduate soon diminished. This is largely due to the incredible support network of DHAA members. Having been encouraged to join the DHAA while studying, it was then something I carried over as a new practitioner.

Since becoming an active member of the DHAA, I’ve had the opportunity to join the committee and am now Deputy Chair for SA. My experience with the DHAA so far has been positive and successful. The DHAA has given not only me but all members, fantastic networking opportunities through their CPD events and online presence.

It is through these networking opportunities that I feel I’ve been able to build my knowledge and skills as a practitioner over the last 12 months by asking questions and connecting on a national level with all the fantastic, skilled members of the DHAA, including guests from a broad scope of topics that ensure our knowledge remains current and extensive.

Being a part of this association has given me the confidence I’ve needed, as I feel comfortable knowing I can contact them for advice across all fields. They have everything you need as a practitioner looking to make a difference- from CPD events, current news, legal advice, indemnity insurance, and member benefits.

“Community is much more than belonging to something; it’s about doing something together that makes belonging matter” – Brian

Solis

The DHAA is a community- one that all oral health practitioners should take advantage of and be a part of.

Megan Wyntjes BOH (CSU) Oral Health Therapist Banyule Community Health

THE TRANSITION FROM living as a student to working is not without difficulties. You are affected both physically and mentally by even the smallest alterations to your regular schedule, which frequently makes you feel defeated. Since graduating, I've frequently questioned whether I made the right decision. Will this be my career? You frequently find yourself questioning how the change from assisted learner to autonomous practitioner occurs so quickly, leaving a lot of leeway for uncertainty and a lack of assurance regarding recently acquired clinical skills. For every recent graduate, having a support system is essential since it assures you that these emotions of self-doubt are normal and will pass quickly.

I knew being a member of a dental association would provide education and assistance about professional indemnity insurance, general and

clinical advice, and peer support, especially since oral health therapists are now able to work independently under their own provider number. My employer contracts, murky sections of my practice's scope, and the demands of continuing professional development (CPD) have all presented me with a great deal of confusion.

Continuing professional development (CPD) is necessary to keep our professional status. With CPD, you can prepare for greater responsibility, build your confidence, or advance your career in addition to improving your professional practices. We are all required to meet the Dental Board of Australia›s registration requirements as dental practitioners, which include completing at least 60 hours of CPD over a three-year period. The DHAA has been a terrific source of support and assistance throughout these times. I took great solace in knowing that the CPD courses offered by DHAA were dependable and supported by science.

I opted to join the DHAA since it is one of the top professional associations in Australia that represents dental hygienists, therapists, and oral health therapists after doing some research on what other organisations can accomplish for me. Members of the DHAA have access to a variety of interesting, relevant, flexible, and timely CPD programmes. You will be updated about relevant governmental and environmental changes that affect dental practices through monthly member publications and bulletins.

I recently joined the DHAA Victorian branch committee because I wanted to help with the promotion of the value of early prevention and awareness as well as the delivery of quality oral health training. Although the move from student to clinician has been incredibly nerve-wracking so far, I feel much more confident knowing that the DHAA is behind me providing support every step of the way.

n

“You frequently find yourself questioning how the change from assisted learner to autonomous practitioner occurs so quickly”

Megan Wyntjes

Your industry. Your association.

Actively supporting the continuing development of the oral health profession

Membership Includes:

Exclusive DHAA member discounts

Quarterly Bulletin

Local and national CPD events

Industrial Relations Advice

Peer Support Program

Business Support

International Connections Leadership Opportunities

Advocacy for the Profession

International Connections

The DHAA is the peak professional body representing dental hygienists and oral health therapists in Australia.

The mission of the association is to support the continuing development of the oral health professions and preventive models of care.

Through continued growth and development, the DHAA is able to provide high-quality member benefits, legal advice and CPD opportunities.

As well as the option of Professional Indemnity Insurance designed by specialists, tailored for DHAA members.

DHAA Aged Care Chapter

Our DHAA Aged Care Chapter is additional support and ongoing CPD for members working in or interested in working in the aged care sector.

Student Membership

DHAA student membership is free and gives you access to all the same member benefits as our full members.

If

New and Recent Gradaute Membership Join or Renew Today! Contact us: membership@dhaa.info

BOOK CLUB

As book reviews go this one will be short and sweet but that does not mean this book is not worth chasing down. Explain Pain does exactly what it says, explains pain. What the title doesn’t give away is that it describes how the brain “creates” pain. This book answers all the why questions; why does it hurt?

Why has it spread? And then more importantly what can I do to fix it?

I found this book particularly fascinating given this dinosaur when training many moons ago didn’t have any in-depth learning on pain. I knew what pain is and I knew how to manage pain to some extent but until reading

Explain Pain I didn’t know how or why the majority of my patients had pain. I now can identify the difference between an acute, chronic or acute/ chronic pain presentation but more importantly, I understand why that is important. I also now have a better understanding of what a dentist may recommend and why they are making such a recommendation which goes a long way to support both the dentist and our pain patients.

Explain Pain is a really easy book to read, unlike most textbooks it is not endless pages of densely packed columns of tiny print invoking dread as soon as the cover is lifted. It is bountiful of illustrations and large sparse text spread across the pages making it incredibly easy to read.

When researching this book I found reviews that claimed this book to be a start in a revolution in therapeutic neuroscience education becoming a ‘go to’ bible for clinicians. The second edition has been updated to draw on increasing support for therapeutic neuroscience education from clinical trials, education science, neuroscience and failure of drug therapy on chronic

pain outcomes. Associate Professor David Butler has been researching and working with pain since the 80s and at the very least deems himself a world-leading educator of pain. If you enjoy the book he does have a website called Pain Chats which includes a regular blog featuring different pain experiences and useful advice on pain management. This can be found at painchats.com

Being a text book, it will most likely be found in your local university library or can currently be purchased on Amazon. As always, if you have a book you have read that the wider dental community might enjoy or have written a book, journal, podcast yourself that you would like featured please send through your recommendations. n

Do you have a book, journal, or podcast that you think others would love to know about? Send it through to be reviewed; email the details to bulletin@dhaa.info

As part of an occasional series of book reviews, Danielle Gibbens slips between the covers of Explain Pain by Associate Professor David Butler and Professor Lorimer Moseley

“It is bountiful of illustrations and large sparse text spread across the pages making it incredibly easy to read. ”

Get your CPD fix online

Our regular update on some great courses to improve your skills and top up your CPD hours

Subjects in this editions roundup fluoride comparisons, issues arising around racism and autism, clear food labelling, concerns for the climate, and bacteria growing on the nation's dentures. Truly something for everyone.

Climate concerns

Australia's political engagement on health and climate change: the MJA–Lancet Countdown indicator and implications for the future

Countries around the world are taking action to mitigate climate change, Australia lags, ranking 59/64 in the Climate Change Performance Index. Australia›s political engagement on health and climate change is particularly poor. An international comparison of country engagement on climate and health found that Australia›s engagement with the health impacts of climate change relates primarily to disaster response, and impacts in Pacific Island nations — not in its own communities. Additionally, Australia makes no reference to health

in its contribution pledge to the United Nations Framework Convention on Climate Change, and to date is one of few countries lacking a national health and climate change strategy.

Urgent and sustained political engagement is needed to address the health impacts of climate change.

Med J Aust 2023; 218 (5): 196-202. || doi: 10.5694/mja2.51857

• Published online: 6 March 2023

• CPD hours non-scientific 0.25

Eradicating racism

Mitigating the impacts of racism on Indigenous wellbeing through human rights, legislative and health policy reform

In Australia, the racist violation of Indigenous human rights since colonisation has a profound impact on the social and emotional wellbeing of individuals, families and communities across generations. This has resulted in an unacceptable health equity gap,

which the 2007 Closing the Gap strategy sought to address. A whole-of-system approach to eliminating racism requires culturally safe legal mechanisms within the justice system for reporting interpersonal and structural racism and racial discrimination experienced in the health system. Institutional and systemic racism within the legal system currently prevents access to justice to seek redress for adverse Indigenous encounters with racism and racial discrimination in health.

Med J Aust 2023; 218 (5): 203-205. || doi: 10.5694/mja2.51862

• Published online: 6 March 2023

• CPD hours non-scientific 0.25

Tell it how it is

Clear nutrition labels can encourage healthier eating habits. Here’s how Australia’s food labelling can improve

Nutrition labelling is designed to help people make informed food purchases

and encourage shoppers to select and eat healthier options. But Australia’s food labelling system is underperforming. Here’s how we can make it more effective.

The Conversation 24 Feb 2023

• CPD hours non-scientific 0.25

Understanding autism

Influence of past advanced behaviour guidance experience on parental acceptance for autistic individuals in the dental setting

Autism is a lifelong neurodevelopmental disorder that poses challenges during

dental treatment. Advanced behaviour guidance techniques (BGTs) have been used to provide dental care for autistic people who have specific characteristics and complex dental treatment. This study was conducted to evaluate parental acceptance and analyse parents’ opinions of advanced BGTs during dental treatment in autistic people. All advanced BGTs were particularly accepted in this study. Previous experience with advanced BGTs had an influence on parental acceptance. Parents commented on their opinions toward each advanced BGT with a variety of perspectives.

BMC Oral Health volume 23, Article number: 23 (Jan 2023)

CPD hours scientific 0.25

Quality of life

Factors associated with the oral health-related quality of life of patients with temporomandibular disorder at the final follow-up visit: a cross-sectional study

This study determines the oral healthrelated quality of life (OHRQoL) of temporomandibular disorder (TMD) patients at the final follow-up visit, and to investigate the associated factors. At the final follow-up visit, oral health impact problems were reported mainly in physical pain and psychological discomfort domains. Better OHRQoL was found in older, and TMDM or TMDJ patients.

BDJ Open volume 8, Article number: 30 (October 2022)

• CPD hours scientific 0.25

Fluoride face-off

Comparative evaluation of prevention of demineralisation of artificial enamel caries treated with two fluoride varnishes and 38% SDF in primary teeth: an in vitro study

This study aimed to compare the effect of Clinpro™ White varnish containing 5% sodium fluoride (NaF) and functionalised tricalcium phosphate, MI varnish containing 5% NaF and casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), and 38% Silver diamine fluoride (SDF) in preventing demineralisation of treated white spot lesions (WSLs) in enamel of primary teeth. In primary teeth, WSLs treated with MI varnish displayed better resistance to demineralisation compared to WSLs treated with Clinpro white varnish and SDF.

BMC Oral Health volume 23, Article number: 110 (Feb 2023)

• CPD hours scientific 0.25

Gargle for good

Effect of oral gargle containing Lespedeza cuneata extract on periodontal health improvement and disease prevention: a randomised, controlled clinical trial

This study aimed to evaluate the antiplaque and antibacterial effects of a mouthwash containing Lespedeza cuneata (LC) extract through clinical periodontal disease (PD) indicators and changes in PD-causing bacteria. This study shows that LC extract-containing mouthwash improves the periodontal clinical indicators and reduces the bacteria involved in PD. Therefore, the results obtained can be used as basic data in the development of an

antibacterial LC extract mouthwash for the treatment and prevention of PD, thereby contributing to the promotion of oral health.

BMC Oral Health volume 23, Article number: 116 ( Feb 2023)

• CPD hours scientific 0.5

Denture complexities

Evaluation of red-complex bacteria loads in complete denture patients: a pilot study

This pilot study aimed to evaluate red-complex bacteria (RCB) loads in edentulous patients, before and after denture insertion. The use of CDs in edentulous patients may cause a significant increase in RCB loads. In light of this, a continuous follow-up of oral hygiene in edentulous patients is needed, especially the cleaning of dentures and the tongue, given that both are important sources of periodontal pathogens. The role of cleanliness, in this case, is essential to prevent not only oral health problems but also the occurrence of systemic disorders.

BDJ Open volume 9, Article number: 7 (Feb 2023)

• CPD hours scientific 0.25

Still seeking direction?

We highlight another career pathway – but the messages for developing your career are the same

By Melanie Aley

Ihave been writing this column for a few years now, and I’m still contacted regularly by hygienists and oral health therapists who are not sure where to take their career next. Part of the challenge continues to be not knowing the available options, and that’s one of the reasons I love sharing the career stories of our profession in this column. It’s one of the things I think we need to do better in our oral health degrees so the next generation is better prepared for the variety of career options available to them.

In past editions, I have spoken to hygienists, OHT’s, therapists and dentists about their careers in education, health promotion, research, regulation, oncology, and owning their own business (dental or otherwise!). This month I chatted with Dr Cathryn Forsyth, PhD to highlight another career pathway – advocacy and policy. This interview not only provides an insight into advocacy and policy as a career but covers so many of the important messages I have relayed in earlier columns that are worth hearing again, as they apply to anyone looking to diversify their career or even start on a new path. Cathryn’s story highlights the importance of transferable skills in facilitating her pivot from clinical practice to academia, and then on to advocacy and policy. Skills such as time management, project management, teamwork and digital literacy are developed during our studies and in our clinical careers. The importance of mentoring is also emphasized, as these professionals can really encourage and motivate and inspire you to follow a new path. While there are formal mentoring programs through professional associations, sometimes you can find a great mentor informally by reaching out to your network or to those that are working in the field you are interested in. Great mentors become ‘sponsors’ and will actively look for opportunities for you to develop your career. Another alternative is to seek out some career counselling or coaching for guidance and support.

I hope you enjoy reading about Cathryn’s role and what has empowered and challenged her on her career journey.

Dr Melanie Aley (nee Hayes) is a dental hygienist who has enjoyed a diverse career in clinical practice, teaching, research and management. She has a Masters of Education majoring in Career Development, and after working in multidisciplinary roles, is now an Associate Professor and the Bachelor of Oral Health Program Director at the University of Sydney.

Dr Cathryn Forsyth Advocacy and Policy Advisor

Tell us about your current role: I’m currently working with the Australian Dental Association NSW Branch as their Advocacy and Policy Advisor.

What education or experience did you need for this role?

University degree relevant to dentistry or oral health, excellent written and verbal communication skills, research and policy development experience, ability to plan ahead and work to specific deadlines, accuracy and attention to detail, proficiency in all Microsoft Office programs, a results-orientated professional who can work in a team environment.

What are the day-to-day activities in your role?

Develop responses to State and Federal Government submissions that relate to oral health issues, undertaking relevant research to prepare submissions for review.

Increase influence with government and key stakeholders, building relationships to work on joint campaigns.

Develop and implement an advocacy strategy in consultation with

the communications team, focusing on Water Fluoridation, the Child Dental Benefits Schedule (CDBS), Aged Care, Rural and Indigenous communities.

Review and assess key policy documents from ADA Federal and ADA NSW to ensure policies on oral health represent the needs of members and the community.

Provide administrative assistance to the ADA NSW Advocacy Committee and Indigenous Dental Association of Australia.

Ensure the website remains up to date with policy and advocacy documents and relevant oral health links/resources for the community.

Assist with the development of oral health promotional resources for members and a range of external stakeholders.

Coordinate and implement the OHP activities in association with Federal ADA including, mouthguard awareness, dental health week and world oral health day activities

What’s the most interesting/exciting part of your role?

Each day is different. I thrive on the variety, including preparing multiple submissions and meetings with various stakeholders. In the past I have conducted clinical practice, teaching and research, now I am able to utilise my previous experiences to translate research into practice and work with an experienced comms team to advocate for a change in policy or practice to make a real difference.

What was the scariest/most challenging part of choosing an alternate career path?

Having to move out of my comfort zone into an unknown field of expertise!

I’d never worked with a comms team before, so had minimal media, social media and comms experience. I must be one of the few people alive today that don’t have Facebook. Learning to

work with a comms team who have specific skills in media, writing, editing and graphic design was daunting. Whether it was developing advocacy flyers or a podcast, writing a magazine article or social post, these were all skills that I needed to develop.

Were there people along the way who helped you get the career you wanted?

I’ve been very fortunate in my career to work with some very talented people.

When I started out in clinical practice

I had a couple of great mentors. Once I built up my clinical skills, I was encouraged to have a go at teaching. When I consolidated my teaching, I was inspired to have a go at research. On reflection, all these experiences have really helped me in my current role. I have two great mentors now – one an expert in communications and public affairs and the other, a specialist clinician and experienced policy and advocacy executive– I’ve learnt so much and am grateful for the opportunities I’ve been given!

Do you have any advice for DH/DT/ OHT who are looking for a change from clinical practice?

If you are keen to stretch your career muscles and try new things, then go on an adventure! There are so many oral heath-related careers that provide great job satisfaction. I’ve never been bored in my career – step out of your comfort zone and have a go. n

“I am able to utilise my previous experiences to translate research into practice and work with an experienced communications team to advocate for a change in policy or practice to make a real difference.”

Dr Forsyth and community representatives Aunty Olga and Aunty June with Bachelor of Oral Health students from Sydney Uni following their remote clinical placement in 2020

DHAA... Ask

Your opportunity to ask the questions, check the rules and share your knowledge

Dear DHAA... Where can I get a copy of my tax invoice for my membership fee?

If you login to our website and head to your profile (through the ‘my profile’ button in the top right, or on the right-hand side of the menu bar) there should be a tab called ‹Billing and Invoices› and in this tab you can see and download your tax invoices from your membership which displays the individual membership and insurance items separately.

Dear DHAA... I would like to enquire if Dental Hygienists are eligible to do the injectable course. I see that Registered and Enrolled Nurses (under the guidance of Registered Nurses) can do the course and administer Botox injectables. Botox (Botulinum Toxin) is prescription only (S4) and can only be administered by a doctor, dentist or a nurse (under the supervision of a Dr). Dental Hygienists are not allowed to administer this S4 substance, even under the supervision of a dentist. In most cases, the restriction is from the state-based drugs and poisons regulation that control the prescription, supply

and administration of various substances. This is over and above the scope of practice consideration with the Dental Board.

Dear DHAA... I am a new oral health therapist graduate and I have just started a role on a commission basis. The practice owner wants an ABN and a provider number from me. Do you have any tips or advice to protect myself and keep records of my treatments and payments?

It looks like you are entering into a contractual arrangement with the clinic,

so you are not an employee. You will need to be very careful with your claims as the funds are technically paying you under your provider number, not the clinic. If their audit finds that you are overservicing or have submitted inappropriate claims, or have used the wrong item codes, you are fully responsible for repayments back to the funds even if the payment actually goes to the clinic and you only keep a percentage. So you will need to keep good clinical notes to justify every single claim. Please go to the DHAA member portal advice & support section to read up on provider numbers and watch

the webinars as they provide very good information about your liability.

I would also suggest you go to the DHAA IR advice page and submit your contract for the IR lawyer to review. Your contract should spell out the payment arrangement, including what happens if repayments under your provider number are required by the funds.

You can access the DHAA advice and support on the DHAA member website.

Dear DHAA... I am planning to set up my own practice. Can you please offer me any direction as to what I need to consider, or who can help guide me?

If you wish to be selfemployed or set up your own business, you need to have professional advice from your accountant so that you can set up an appropriate business structure. You will also need a business plan so that you have a clear understanding of what you are trying to achieve.

You could act as a sole trader, or set up your own company, and your accountant will be able to advise you on the best structure according to your personal situation to maximise

Are hygienists eligible to administer Botox?

your finance return and minimise tax liabilities. You will also need to consider the appropriate business insurance that is dependent on your business structure. Advice from a lawyer may be needed (your accountant will be able to help you determine that). If you are with DHAA PI insurance, please email BMS and they can also assist.

As a DHAA member, you have access to a range of resources including business resources. Please go to the DHAA member website and explore the resources available.

Dear DHAA... I saw the email for the renewal of membership and insurance so thought I would check in. I plan to go on maternity leave on 25 July for 12 months. Over the 12 months, I will not be practising as an OHT in any capacity. What is the best way to go about this?

If you are maintaining your AHPRA registration, you will need to keep up with CPD and PI insurance as they are mandatory requirements for AHPRA registration, regardless of whether you work or not.

Maternity leave run off can be applied for, but only effective each annual renewal. Email BMS for more details. Hope this helps and best wishes with the new baby!

Dear DHAA... Hello I’m wondering what certificates are required, if any, for dental hygienists to offer tooth gems. Also, if required, which courses are recommended as there are so many online?

Adding a tooth gem to a tooth is nothing more than attaching a simple piece of jewellery through a process of etching and bonding. This is not very different to placing a bracket for orthodontic treatment.

Most dental hygienists or oral health therapists are familiar with etching and bonding.

Applying tooth jewellery is not the practice of dentistry or related to 'oral health care’ and this is not part of the clinical scope of practice. However, it is similar to a non-invasive temporary restoration. If not done correctly (e.g. by a beauty therapist with no dental knowledge) it can be a plaque trap and decay risk. A dental practitioner would be much better placed and better trained to provide this over a beauty therapist.

The DHAA is not in a position to advise on non-oral health related cosmetic training.

The Dental Board expects that as a healthcare professional, you know your

scope of practice and do not practise beyond the range of your training, qualifications, experience and competence. This is to ensure the safety of the public, so consumers can have confidence in the dental profession when seeking oral healthcare.

The Board has a reflective practice tool on their website to help you know your scope of practice and to support your continuing professional development.

You need to be sure that you are competent and properly trained to perform all treatments that you provide and to ensure the safety of the patient. In this case, you will have to consider your training and competence in etching and bonding, and then determine what additional training you may need to safely provide the service that you plan to deliver. You must be confident that you have the appropriate knowledge and skills to safely and competently deliver the service before proceeding as an AHPRA registered dental practitioner.

Most tooth gem products come with a DIY kit. You will need to exercise your professional judgement to review the information and decide suitability on a caseby-case basis. n

If you have a question to ask then please email it to bulletin@dhaa.info

Is there a qualification for bedazzling teeth

Caring

in the community

A curated series of articles examining the power of social

Access to oral health services has always been a challenge to our society due to little or no government subsidy to the cost of dental treatment, and the lack of focus on prevention and oral health promotion. While the DHAA has been advocating to government for equitable access and prioritising oral health promotion and disease prevention, the profession is taking the matter in its own hands by various initiatives across the country. This issue highlights some of these activities and call for like-minded colleagues to join their great work. For further information please email contact@dhaa.info. ››

responsibility and the ability to influence change

Sharing the love for free

Associated Professor

AFTER 30 YEARS in dentistry, Associate Professor Mina Borromeo retired from her clinical work in 2022, with the intention of devoting her time fully to build a workforce and raise funds to improve the oral health of people with disability.

Mina has spent her working career managing and training others about the oral health of people with special needs and was a specialist in Special Needs Dentistry (SND). She developed the first fully accredited specialty training program in SND in the southern hemisphere. She has published and spoken extensively both Nationally and Internationally on why we have the conundrum of poor oral health amongst people with challenging health issues.

She was awarded the David White Award for teaching excellence recognising her innovations in teaching special need dentistry. In addition, she received a citation for outstanding contribution to student learning, Office of Teaching and Learning, Australian Federal Government.

Mina reflected on a case she was involved in which a young individual with autism had 16 extractions under general anaesthetic because his referral letter read “difficult to manage in the dental chair”. It was clear when speaking to his family

that this young person did not wish to have any teeth extracted. He went from a buzzing young man with ambitions to someone who dropped out of school and refused to leave his bedroom. The tragedy of this case alone highlights that a seismic shift is required. We have moved away from a medical model of healthcare to a relational, human rights model that recognises dignity, acknowledges the interdisciplinary environment and web of relationships around a person with disability, assumes capacity first (rather than incapacity) and centres on a concept of inclusive equality.

Mina is passionate about changing this for people with disability. She wants to advocate and be a voice for people who can’t find a way to manoeuvre the dental world. She wants to be the bridge that links the dental profession and people with disability. She hopes to stop the water between the two sides of the river from being an insurmountable barrier. And she is seeking help to build that bridge!

Mina believes the dental profession is uniquely placed to make a real difference in the lives of people with disability. At the moment it is estimated that 4.4 million Australians are living with disability, and there are only 25 special needs dental specialists in the whole country. That is one specialist per 176,000 clients. However, Mina noted that 24,180 registered oral health practitioners have a unique opportunity to become dental champions in the disability space!

To achieve her goal, Mina set up the ONE-ONE-TWELVE (1-1-12) initiative, with the aim of improving the timeliness of access to and quality of dental services for people with disability into the next decade. The initiative involves ONE person with a disability managed by ONE oral health professional for TWELVE months pro bono.

Practitioners come with different experiences in the disability space. Some will have lots, while others may have none. Some with uncertainties based on past experiences. This is why 1-1-12 partnered with the Disability Oral Health Collaboration to develop CPD sessions to support all participating practitioners through the 12-month challenge. The CPD will bring practitioners up to date with the disability sector, including learning from those with lived experience, understanding the roles of allied health professionals, navigating the NDIS, steps to follow when engaging with supporters and existing support plans, and more. It will kick off with a chance to meet like-minded champions who’ve signed up and those who have experience caring for people with disabilities from both within and outside the dental profession. The support will be ongoing and will provide mentoring opportunities to assist everyone in working with their patient.

Already there are 29 dentists signed up as 1-1-12 Dental Champions and Mena is hoping that dental hygienists, dental therapists and oral health therapists will join them. They currently have 30 patients ranging from mild to profound disabilities that require a range of oral health services at varying levels of complexity.

To become a 1-1-12 dental champion, or to donate, please go to oneonetwelve.org

Mina Borromeo, founder of One-One-Twelve, is advocating for dental professionals to share the responsibility to help people with disabilities

Taking it to the schools

Dealing with the challenges and outcomes of community oral health projects

by Cathryn Carboon Assoc. Dip. Dental Hygiene, Master of Health Promotion

AS CATHRYN reflects on her dental hygiene career spanning over three decades, it is her role in oral health promotion projects that has given her the most satisfaction and reward, but there have been many challenges to overcome as well, including the COVID-19 pandemic.

In 2023, Cathryn celebrates 10 years as a Carevan Foundation Board Director. During this time, she has led the Carevan Sun Smiles school fluoride varnish program, achieving many milestones along the way, including international recognition from the International Federation of Dental Hygienists and the Global Child Dental Fund.

It has been five years since Cathryn

was awarded the 2018 DHAA Oral Health Award for Community Service and her involvement in community oral health projects continues to grow. Her planning, implementation and evaluation of two current community oral health projects provide a balance to her clinical role in private practice and enable her to utilise her full skill set. Putting into action the knowledge she has gained from her Master of Health Promotion to roll out the Carevan’s Sustainable Smiles and Pyjama Fairy projects.

Sustainable Smiles

Due to the Carevan Foundation’s increasing awareness and social responsibility to address the United Nation’s 2030 Sustainable Development Goals (2015) Cathryn developed “Sustainable Smiles’’ a school-based, student-led oral care recycling program. The school-based program leveraged off the success of the community-based Sustainable Smiles program Cathryn launched in 2021, as part of World Oral Health Day (20 March) in conjunction with other sustainability initiatives, including Global Recycling Day (18 March) and Earth Day (22 April).

Looking through a sustainability lens

The new Sustainable Smiles schoolbased initiative is aligned with all major dental & oral health professional Association’s increased focus and action on sustainability in dentistry and is underpinned by the priority of embedding sustainability within Australian education curriculum frameworks, as detailed below.

• World Dental Federation (FDI)

2022 Consensus on Environmentally Sustainable Oral Healthcare.

• International Federation of Dental Hygienists (IFDH)

2022 Sustainable Dentistry Survey

• Australian Dental Association (ADA) 2020 Policy Statement 6.21 “Dentistry and Sustainability”

• The Early Years Learning

Framework for Australia

[Birth – 5 years] (2018) Outcome 2: Children become socially responsible and show respect for the environment. Embed sustainability into daily routines and practices.

• The National Australian School Curriculum

[Foundation – Year 10] (2018

Version 8.4) Through the inclusion of sustainability as a ‘cross-curriculum priority’, students develop the ››

Caring in the community

knowledge, skills and values necessary to contribute to more sustainable patterns of living.

Colgate & TerraCycle Oral Care Recycling Program

Every year, thousands of used oral care products (toothbrushes, toothpaste tubes, floss containers) end up in landfill across Australia, contributing to environmental pollution. As oral health professionals, we have an ethical duty to be responsible for the oral care products that we provide during our oral health promotion projects.

Colgate and TerraCycle have partnered to give a second life to used oral care products. The Colgate Oral Care Recycling Program provides organisations and schools with the opportunity to collect and recycle oral care products, to prevent them from ending up in landfill. The plastic from used oral care products is sorted, cleaned and melted down into pellets, ready to make new recycled products (including garden seats and school playground equipment).

Embedding this recycling program into primary schools gives children the opportunity to participate in a recycling project and develop a sense of pride that they are contributing to a healthier environment. Parents and staff can also get involved in the program.

The Sustainable Smiles classroom session, through PowerPoint, video clips and group discussion, teaches Grade 5/6 students about the impact of oral care waste on the environment and empowers students to implement a recycling program in their school.

Goals of the Sustainable Smiles program

Raise awareness of the impact of oral care waste on the environment

1. Raise awareness of ‘environmentally friendly’ toothbrush choices (ie: brushing with biodegradable bamboo toothbrushes)

2. Raise awareness of the Colgate/ TerraCycle oral care waste recycling program.

3. Launch a school-based, student-led Colgate/TerraCycle oral care recycling program.

4. Encourage families to change their behaviour and begin recycling their own oral care waste.

5. Collect oral care waste throughout each school term, for shipment to a TerraCycle recycling plant.

Outcomes from the Sustainable Smiles Program

Teachers have benefited from having skilled oral health promoters enriching their school’s curriculum content in different learning areas, including health, literacy and sustainability.

A large increase was observed in the children’s awareness of sustainability issues in oral health care (with a focus on recycling plastic oral healthcare products) and oral health knowledge.

The program is popular with the children as is Cathryn’s book - Who is the Tooth Fairy’s Best Friend?

Results from the student evaluation surveys showed:

• 83% learnt new information and ideas from the presentation and discussion

• 7% were unsure whether they learnt anything new

• 10% did not learn anything new

Ongoing oral care recycling programs have been initiated within the schools, with support from the whole school community and regular features in the school newsletters.

Embedding sustainability into all oral health promotion projects

This is definitely a program that every DHAA member should consider implementing in their own community, it is very rewarding to know that you can make a difference within the dental profession to support sustainable practices and in turn, help improve the environment by addressing the issue of oral care waste.

Sustainable Smiles is worth promoting to the profession as it is easy to implement, involves positive collaboration within the community and education sectors and can be implemented in private dental practices as well.

Connect at the DHAA National Symposium

If you feel inspired and would like to hear more about the Sustainable Smiles initiative, Cathryn will be presenting on this topic at the DHAA 2023 Synergy & Sustainability National Symposium in Adelaide on Saturday 23rd September.

ADD LINK to DHAA 2023 National Symposium Website

The Pyjama Fairy: Brush, book, bed project

The Carevan’s Pyjama Fairy: Brush, Book, Bed Project is based on successful overseas Brush, Book, Bed (BBB)

Programs by the American Academy of

Pediatrics and the UK Book Trust. BBB programs provide a holistic approach to bedtime routines and a simple, “sticky” message to help families understand the importance of good night-time routines for young children, especially tooth brushing, reading together and going to bed at a regular time each night.

BBB programs help health professionals communicate more than one health message in a single delivery. By implementing BBB and providing families with a BBB pack (toothbrush, fluoride toothpaste, children’s books) hygienists and OHT’s can talk with parents about establishing good oral hygiene, early literacy and healthy sleep habits.

Carevan’s Pyjama Fairy BBB program leveraged off the success of the oral health literacy project Who is the Tooth Fairy’s best friend? combining these resources with the Sleep with Kip™ book series. Pyjamas are commonly associated with the night-time routines of bath time, brushing, book reading and bedtime. The Pyjama Fairy joins the Tooth Fairy and Fluoride Fairy in linking 3 important night-time routines into 1 health message.

Sleep with Kip™

Almost every parent has experienced a behavioural sleep challenge with their child. Challenges getting to sleep, waking in the night and early waking are common issues faced by parents across Australia.

Sleep problems can adversely affect children’s mental health and learning, not to mention making life harder for mums and dads and others caring for kids. Teaching kids healthy sleep habits is a valuable life skill and will optimise their growth and learning.

Sleep with Kip bedtime books provide a fun and friendly way to learn to manage common sleep problems in children. The books were developed by the Murdoch Children’s Research Institute in Melbourne, to share evidence-based advice on children’s sleep. Adding these

resources to the Pyjama Fairy BBB program reinforces a multi-disciplinary approach to community oral health projects.

Lessons learned

• Building on already developed oral health literacy resources is a successful strategy, that has allowed the Carevan to extend the reach of already developed oral health promotion resources.

• Developing digital oral health literacy resources is important to enable greater dissemination of positive health messages, which became critically important during the Covid19 Pandemic. These resources are also more sustainable and can be utilized in future health promotion initiatives.

• It is important to have an oral health champion in each school – someone who is the point of contact for collaboration and organising the oral health promotion activities and followup evaluation of the program.

• Oral health promotion is an integral part of our professional role; however, capacity building is still needed to ensure theory can be translated into practice within the community setting.

Challenges ahead Funding

Long-term, sustainable funding for oral health promotion programs is always a challenge. Limited, accessible funding is generally short-term in nature, which does not allow for long-term planning or implementation of programs. Many oral health promotion projects rely on unpaid volunteers which is also not sustainable in the long term.

There is an overall lack of government funding for oral health promotion programs, which makes it difficult for dental hygienists and other dental professionals to reach as many people as possible with important information and resources. Without adequate funding, ››

Caring in the community

dental hygienists struggle to develop, implement and evaluate effective oral health promotion strategies, and many Australians miss out on the benefits. We need sustained advocacy from the DHAA, in partnership with ADOHTA, ADA and the Victorian and National Oral Health Alliances to address this issue.

Gaining professional recognition for health promotion

As well as being underfunded, health promotion is often undervalued and often overshadowed by clinical treatment and the bio-medical model of care.

The Australian Health Promotion Association (AHPA) is the only professional association in Australia specifically for people involved in the practice, policy, research and study of health promotion.

AHPA has 33 years of leadership and advocacy in health promotion and regularly lobbies the Australian Government to commit at least 5% of the health budget to health promotion and illness prevention, in line with the National Preventive Health Strategy 2021-2030.

AHPA is the National Accreditation Organisation for the International Union

for Health Promotion and Education (IUHPE) in Australia. By joining AHPA you have the opportunity to apply for Health Promotion Practitioner registration, recognised by the IUHPE.

IUHPE accredited health promotion courses for Health Promotion Practitioner registration are listed in the table. If you have qualifications in Health Promotion, consider applying for Health Promotion Practitioner registration, to elevate our profession and strengthen our professional recognition.

Additional reading on sustainability from the British Dental Journal

• Duane et al (2019)

“Environmentally sustainable dentistry: a brief introduction to sustainable concepts within the dental Practice” British Dental Journal Vol 226, No 4.

• Mulimani, P (2017)

“Green Dentistry: the art and science of sustainable practice” British Dental Journal Vol 222, No 12.

• Lyne et al (2020)

“Combining evidence-based healthcare with environmental sustainability: using the toothbrush as a model” British Dental Journal, Vol 229. No 5.

Reducing the burden of oral disease

DHAA members from across Australia are doing their part for World Oral Health Day 2023

By Ian Epondulan, Ying Chia & Teya Duggleby

TO CELEBRATE World Oral Health Day 2023, FDI - World Dental Federation asks the world to unite to help reduce the burden of oral disease, which affects individuals, health systems and economies everywhere. The purpose of the day is to empower people with the knowledge, tools and confidence to secure good oral health.

This year the DHAA Oral Health Promotion and Public Health Committee (OHPPHC) launched a pilot program focusing on oral health for refugees and people seeking asylum. The information presented was based on the 2009 Consensus statement on oral health messages for the Australian public identifying 11 oral health messages:

1. Breast milk is best for babies and is not associated with an increased risk of dental caries.

2. After six months of age, infant feeding cups rather than infant feeding bottles are preferred for drinks other than formula or breast milk. Sugary fluids should not be placed in infant feeding bottles.

Comfort sucking on a bottle should be discouraged.

3. Follow the Australian dietary guidelines. Focus on drinking plenty of tap water limiting sugary foods and drinks; and choosing healthy snacks, e.g. fruits and vegetables.

4. Brush teeth and along the gum line twice a day with a soft brush.

5. People over 18 months of age should use age appropriate fluoride toothpaste.

6. Fluoride mouth rinses can be effective in reducing decay. Speak with your oral health professional about whether fluoride mouth rinsing is appropriate for you.

7. Chewing sugar-free gum can reduce dental decay.

8. Mouthguards should be worn for all sports where there is a reasonable risk of a mouth injury. This includes football, rugby, martial arts, boxing, hockey, basketball, netball, baseball, softball, squash, soccer, BMX bike riding, skateboarding, in-line skating, trampolining, cricket (wicket keeping), water skiing and snow ski racing.

9. Children should have an oral health assessment by the age of two.

10. Everyone has different oral health needs and risk levels which should be reflected in the frequency of check-ups. Talk with your oral health professional about your risk

level and how frequently you need to visit for an oral health check.

11. Quit smoking to improve oral and general health. You can ask your oral health professional about quitting.

DHAA Members and volunteers from across the country hosted information sessions for the targeted group and reached out to as many organisations who work with these communities. Many thanks to Colgate Australia for sponsoring 1000 toothbrushes and tubes of toothpaste for the pilot project. We look forward to reaching out to these communities once again and perhaps involve more communities during or lead up to Dental Health Week in August this year. If you would like to volunteer and be a part of the project, please contact the DHAA and join our OHPPHC which meets via Zoom every third Tuesday of the month at 8pm AEST.

World Oral Health Day –DHAA round up

South Australia

n First presentation in Adelaide with Australian Refugee Association (Youth) – 10 March 2023

“It wasn’t just a one-way conversation while we were there. We were able to connect with these young people and educate them about oral health. As we were in a place they are familiar

with many were able to comfortably ask questions. Even though many of these young people do visit the dentist annually, they were not aware of flossing and the benefit of “spit and not rinse toothpaste.” This experience has inspired me to continue bringing oral health awareness to our community as sometimes even people who regularly attend dental visits do not have the opportunity to discuss with the clinician about basic oral health care.”

Ying Chia, SA and VIC organiser

“Thank you so much to you and your team for delivering such an informative session about oral hygiene. I had positive feedback from all the participants about their interactions with your team. I will definitely invite you in the future.”

Om, ARA Youth Coordinator

n Second presentation in Adelaide at Klemzig Community Hall – 1 April 2023

“It was great meeting like-minded dental volunteers through this event. I’ve learned to approach strangers without scaring them away.”

Chloe, Volunteer

Victoria

n Presentation in Melbourne at Noble Park Community Centre – 25 March 2023

“I loved seeing the excitement on the kids’ faces while they demonstrated how to ››

South Australia Victoria

Caring in the community

brush and floss and relay their new skills back to their families.”

Megan, Volunteer

“I was very surprised that one of the participants expressed that she finds it difficult to clean under her bridge. That made me think that some asylumseekers/refugee populations have higher oral health literacy than expected. In the end, I showed her online Superfloss, which as a result she took a photo, and she was very motivated to buy it and try it.”

Madara, Volunteer

Even though the number of people reached was not large, our pilot presentation has brought awareness to local councils, libraries, and organisations. In turn, we have been asked to present at multiple venues during Dental Health Week in August. We look forward to sharing our knowledge with more people and making a positive impact on the oral health of our community.

New South Wales

n First presentation in Sydney with Catholic Diocese of Parramatta, Jesuit Refugee Services, Vinnies Western Sydney and Community Migrant Resource Centre at Our Lady of Lourdes Parish, Seven Hills

– 18 March 2023

”Just in time to celebrate World Oral Health Day on 20 March 2023, eight families

from Sri Lankan (Tamil) and Persian (Farsi) backgrounds joined with their interpreters and gathered at Our Lady of Lourdes Parish Seven Hills in Western Sydney. From young toddlers to those aged over 80’s. All participants found some new skills, especially about keeping ‘sometimes foods’ (i.e. sugary/sticky foods) at mealtimes and the importance of brushing for at least two minutes, twice daily and a NSW Health initiative of ‘Lift the Lip’ where you lay the child on their back and lift their lips so you can have a better view of their teeth and gums. All participants were very appreciative of the information they received.

“Thanks to Patricia Pacleb and Jinous Eighani-Roushani for their assistance with groups and toothbrushing instruction.

“Overall, it was a great opportunity to promote World Oral Health Day and the association. Special thanks to Colgate Australia for providing toothbrushes and tubes of toothpaste to participants.”

Ian Epondulan, NSW organiser

”I joined the oral health promotion sessions for immigrants, in collaboration with other OHTs and DHAA. This experience has been very rewarding and valuable. Participants were very appreciative of receiving oral health education and openly shared the barriers they face which hold them back from receiving routine dental

care. A study by Marcus et. al., (2022): “Dental hesitancy: a qualitative study of culturally and linguistically diverse mothers” brought to light the significant challenges faced by this group, which further underscores the critical need for initiatives aimed at improving their oral health access. I eagerly anticipate the launch of new studies and projects that prioritise the promotion of oral health among migrants.”

Jinous Eighani-Roushani, NSW Volunteer

n Second presentation in Western Sydney with Community Migrant Resource at Toongabbie Community Centre, Toongabbie

– 3 April 2023

“Due to the success of the first presentation, Conscila Jerome, Case Manager for the Community Migrant Resource Centre invited us to repeat the World Oral Health Day presentation to more families from Sri Lankan (Tamil) who regularly gather on a Monday night at Toongabbie Community Centre in Western Sydney. Led by Patricia Pacleb and Jinous Roushani, the 16 key messages for oral health for Australians were delivered, much appreciated by those who attended.”

Ian Epondulan, NSW organiser

”Volunteering for an Oral Health Promotion targeted towards refugees

New South Wales

Western Australia

and people seeking asylum was such a great opportunity to give back to the community. I love seeing the ‘light bulb’ moment on people’s faces when they understand the concepts behind tooth decay and gum disease. I’m sure that every individual who came to our pilot was empowered to take control of their oral health to some degree. I hope the promotion was an effective kick-start for them to start practising preventive measures for themselves and their families. This experience also highlighted the importance and need for more education and awareness on oral health, and overall health especially for communities such as refugees and people seeking asylum who have limited access to healthcare.”

Patricia Pacleb, NSW Volunteer

Western Australia

n Women’s group 24 March 2023 and men’s group 4 April 2023

”The two WA volunteers partnered with the Association for Services to Torture and Trauma Survivors (ASeTTS) to deliver oral health information sessions to clients of the organisation. ASeTTS provides services to humanitarian entrants and refugees settling in WA.

We ran two sessions; one for a women’s group and one for a men’s group, with the assistance of Arabic, Farsi and Dari interpreters provided by the organisation. The sessions provided comprehensive oral health information which was translated into each participant’s own language and oral care packs were distributed at the end of the session, which included translated oral health information sheets.

Participants were engaged, interested and keen to learn from the presentation and oral hygiene demonstrations provided. Participants and ASeTTS were very appreciative, and the organisation is keen to partner in future oral health initiatives.”

Teya Duggleby, WA Organiser

Making oral health fun

WA DHAA Children’s Community Oral Health Promotion resumed

By Wendy Wright DHAA WA Co-ordinator Community Oral Health Promotion

AFTER A TWO year break, due to COVID restrictions in WA, five DHAA members and fourteen Curtin University OHT students generously volunteered their time for WA Children’s Week Family Fun Day event at Whiteman Park on Sunday 23 October 2022.

Even though with the organiser’s restricted ticket sales this year, our stall was active the whole day from 10 am until after 2pm as parents eagerly sought dental health information and oral screening for their children. The age range of children who attended our stall ranged from 13 months to 13 years, with the majority falling into the pre-primary and early primary school years.

We had approximately 300 families attending our stall which was 150 less

than previous years. This is likely due to the two years of COVID restriction and the reduction in the number of tickets allocated this year. Despite this, our stall was very well attended for the whole day. Parents participated in dental play with their children and shared the learning experiences from activities ranging from correct tooth brushing techniques, exploring sugar contents in everyday processed foods, healthy dietary choices for healthy teeth and the role of fluoride protection for reducing caries risk.

This year we trialled a Duraphat varnish treatment in addition to our free oral screening service. In keeping with strict infection control standards the treatment was easily delivered and gave us additional opportunity to educate and raise parent understanding of their child’s oral health status.

The family-friendly environment also provided young children with a positive dental experience supported by learning through play prior to their screening.

In total, we performed 95 oral ››

Caring in the community

Shaking up the system

Oral Health PromotionLessons to Share

By Amelia Seselja BOralH, MBA

health checks and Duraphat varnish treatments for 34 children who screened with visible signs of decay and others who were particularly high risk. Parent consent forms were signed and oral health information was given both verbally and via written brochure materials along with samples of Oral 7 Kids toothpaste and Tiny Teeth Gel with toothbrushes.

In particular, our strategic goals were achieved by;

• Providing a positive dental experience for young children in a family-friendly community setting.

• Reducing fear of dental examination for young children through educational dental play.

• Teaching parents how to perform dental checks at home as well as the importance of seeking regular checks by a practitioner.

• Increasing knowledge about dental disease through educational dental play for children and parent home care and dietary activities.

• Delivering to the most vulnerable, a non-invasive Duraphat treatment to reduce caries risk and referral advice for urgent care.

• Evidence of the high demand for our oral screening service and the

positive parent feedback on all our activities offered.

• Providing collegial mentoring for Curtin University students to demonstrate a family-focused community oral health program and to raise awareness of the higher caries risk that exists in marginalised population groups.

The DHAA Children’s Week team sincerely thank our partners for their generosity and support;

• Henry Schein Dental Supplies for providing us with essential PPE and dental products enabling us to safely perform oral examinations.

• Oral 7 for providing us with specialised child-safe kids toothpaste, gels and toothbrushes gratefully received by parents and children.

• We also acknowledge, with great appreciation, the funding support given by Meerilinga Young Children’s Foundation enabling us to purchase the Duraphat varnish.

The program would not have been possible without the generous contribution of our partners and we hope they can join us in celebrating our success again this year.

I’M OFTEN ASKED how I got involved in oral health promotion. Although I started my professional working life in a clinical role, I have built my career from my involvement in oral health promotion.

I want to share two examples of projects that I have developed and led in community oral health promotion. These projects are vastly different in their target groups, objectives, scale and strategies. The first, is a grass-roots oral health education program for children in my local community. The second, is a national program that provided much needed dental treatment for victims of domestic violence.

Although completely different, both projects accomplished wonderful outcomes for the community and importantly made a lasting contribution. Hopefully, by sharing my experience, I can encourage others to take advantage of opportunities to work and volunteer in oral health promotion.

School oral health education program

After graduating from university, I worked for a wonderful dental practice in my hometown. While working in my clinical role, I began a side project, developing an oral health promotion program for the practice. This program

Almost 300 families attended the DHAA Children’s Week event at Whiteman Park near Perth, WA, last spring

came about for a number of reasons. I really enjoyed the therapy component of my role, working with children and creating a positive dental experience for them. I wanted to grow our therapy department, and I wanted children and their families to want to come and see us. I was very aware though, that many children in our community did not have a dental home. I was seeing and treating many children for the first time only when they presented with a toothache and were booked in for an emergency appointment. I knew I needed to find a way to engage with my community, promote key preventative messages and reinforce the importance of establishing a dental home from very early on. I wanted children and families in my community to have a positive first experience with a dental professional, and this school program enabled that.

I started small, working with just one school that I had a connection with (my youngest sister’s primary school). I found that it was easier to build a relationship with a school when you had a personal link. E.g., it’s your old school, your children’s school, or you have a friend who teaches at that school. No matter how minor the connection is, it provides the perfect introduction opportunity to run a school-based program.

Initially, I piloted the program with just a few classes. This allowed me to facilitate smaller sessions and build my confidence, as well as improve and adapt the content that I had developed. After successfully implementing the initial program, I developed new lesson plans for different year levels and added resources such as ‘a tooth-friendly lunch box guide’ for the school to share with parents.

This oral health education program continued to evolve, and over several years became part of the school’s permanent program. In addition to my clinical role in the practice, delivering these education sessions became an important part of my responsibilities.

Over time, I progressed to training other team members on how to prepare and deliver these sessions. With more team members equipped to facilitate these sessions, our practice was then able to scale the program and deliver it to other schools across the community. Having several team members skilled to deliver these sessions, ensured the sustainability and longevity of the program.

Not only did this school program help children in our local community understand the importance of establishing good oral health habits, but this program was also a fantastic practice builder.

Through the groundwork of this program, we were able to create a referral pathway back to the practice and create a dental home for children in our community. A referral pathway is a key strategy in oral health promotion. Using these classroom sessions to educate,

Similarly, when I started working at a paediatric practice, I was able to take my experience and learnings in this area and adapt them to set up an oral health education program for working with children with special needs. This time, not only working closely with the teachers at schools but also with the specialists to develop and implement the sessions. Once again, this work generated a referral pathway back to the practice and established a dental home for the children.

If you want to run an oral health education school program, I would highly recommend it. It is such a fantastic way to connect with your community outside the dental setting, which is important when it comes to oral health promotion. Weighing up the extra work involved in getting these kinds of programs off the ground, against the long-term benefits, in my opinion, is worth it.

I found school sessions such a rewarding part of my job and I learned so much from establishing and implementing them. I saw firsthand the positive impact these oral health education sessions had, not only for the practice but for the wider community.

Getting involved

screen, and refer I was able to connect with many parents from the school communities and build trust and rapport with children that would ultimately become our patients.

Of course, there were challenges in getting a program like this started. The hardest part was carving out the time from the clinical schedule and justifying why we were giving free educational sessions and not billing. It was a juggle to find the time to create these sessions, liaise with the various schools and even find time to pack oral health take-home bags for the students. In practical terms, for me, it meant I did a lot of this extra work during my lunch breaks and after hours.

If you are interested in running a schoolbased program, but short on time and resources, there are fantastic tools and resources already available. Colgate’s Bright Smiles, Bright Future program has so many well-developed resources for both preschool and primary school children that can be used for these sessions, you can order a kit with everything you need, and better yet these kits are free!

If you are looking for extra resources and activities such as dental health crosswords, colouring sheets and even extra lesson plan ideas for students, check out the American Dental Association’s Mouth Health Page. There are so many key dates throughout the year too that you can link to an oral health education ››

“ I wanted children and families in my community to have a positive first experience with a dental professional”

Caring in the community

program will always resonate with me “This program has not only helped me, it has flowed on to help my children, and enabled me to be at my best to offer more to my community”.

Rebuilding Smiles was established in 2016 and is still running today, this is a good sign that the program has been developed to be sustainable. Although I am not directly involved, I am very proud to work for Colgate which has been and remains a key funding partner for Rebuilding Smiles.

Takeaways

session, such as World Oral Health Day and Dental Health Week. You can also do these education sessions with your local library or community groups.

Developing and leading a national program

Rebuilding Smiles® was one of the most challenging, yet rewarding programs that I delivered during my time working for the Australian Dental Association. This program provides much-needed access to dental care for victims of domestic violence. Victims of domestic violence can present with oral health problems as a result of abuse, this has a significant influence on oral health behaviour and oral health status.

This project was complex to develop; it had many moving parts and several multifaceted factors to consider. For example, what was the model of care?

How could we build partnerships with key agencies working with such a vulnerable group? How could we support the patients during their treatment journey? How would we support our volunteers? And, how could we fund this program?

Significant planning, problem-solving, and coordination are required in oral health promotion. This program required a coordinated and collaborative approach with a range of stakeholders to enable the delivery of care. When we first rolled out the program, it was piloted in just one

Australian state.

If you are looking to develop and scale a program, a pilot is critical. In the case of Rebuilding Smiles, the pilot program allowed us to evaluate our lessons learned. It helped us identify what was and wasn’t working and what had been missed in the planning stages. It enabled us to improve a number of aspects of the program before it could be scaled and rolled out nationally.

The pilot program also gave us the ability to be able to report on the outcomes of the program. Reporting is vital to a successful oral health promotion program, as reporting allows you to share your outcomes with your key stakeholders. Reporting allows you to also gain attention for your program, and this is important for several reasons, especially if you are looking to scale your program. You may use your reporting to leverage the media (either traditional or social media). This is a great way to promote your program to those who the program has been designed for and attract potential funding partners, volunteers and supporters to enable you to scale up your program. This program was particularly rewarding to see come to life. Witnessing what this program meant to those in the community was an important moment in my career. A quote from one of the first patients who went through our

My work in this space has allowed me to build networks with a diverse group of people, develop partnerships and has opened many doors for me professionally. Being involved in oral health promotion at all levels has given me a unique skill set and the experience to be able to develop a vast range of oral health promotion programs, strategies, campaigns, policies, and resources. With every project I developed, there were always many lessons to be learnt. These lessons built my experience, insights and knowledge of the different target groups, as well as the different strategies for oral health promotion.

This work is equally as challenging as it is rewarding, because the truth is, oral health promotion is complex. There is not one simple solution or strategy to improve the oral health of everyone in our community. Rather, oral health promotion requires long-term and collaborative approaches with coordinated actions, across multiple levels. The responsibility must be shared amongst a range of stakeholders, including government, industry, community, dental professionals, and individuals.

By getting involved you not only gain experience and build your knowledge and skill set, it also means that you are part of the actions that aim to ensure all Australians can enjoy and maintain good oral health throughout their lives. ››

3 days of CPD

5 exciting workshops

3 social networking events

DHAA NATIONAL SYMPOSIUM 2023

Some of our exciting speakers:

- Dr Trudy Lin

- Geraldine Moses

We will explore the many ways these concepts can be interpreted - such as working with vulnerable groups to support their needs & human rights, investigating new and emerging technologies, working towards sustainability in dental and other settings, and our social responsibilities as practitioners. ADELAIDE

- Dr Sharon Liberali and Deirdre Flynn

- Dr Sarah Kelly

- Cathryn Carboon

21ST - 23RD SEPTEMBER 2023

‘Dr Trudy Lin appears by arrangement with Claxton Speakers International.’

Our Symposium theme is Synergy and Sustainability.

Positive practise

social

By William Carlson-Jones

Social responsibility can be generally described as one’s awareness of the environmental, social, and economic influence of actions and the considered efforts made to minimise impact (Australian Human Rights Commission, 2008). The movement for businesses to have high standards of corporate social responsibility has become an increasing priority and organisations need to demonstrate their commitment to ethical and sustainable operations. As dental professionals, there are numerous ways that we can practice a high level of social

responsibility and advocate for better community oral health outcomes. Such strategies can include but are not limited to, focusing on sustainable practices, community service, and advocacy.

Sustainable practices

There is no denying that the provision of clinical dentistry produces a great deal of waste with many single-use products forming a part of our practise. While some products at present may not have renewable alternatives, there are sustainable and minimally packaged oral health products we can advocate awareness of, empowering consumers to join the movement in helping to reduce waste. Materials such as bamboo, cardboard, and recyclable plastic are now more commonly being used by companies such as Colgate, reducing the amount of single-use waste that arises from at-home dental hygiene routines. Colgate also partners with Terracycle offering a program entirely free for

dental clinics to participate in, providing shipping boxes and allowing anyone to drop off used oral health products of any brand that would otherwise be sent to landfill. Such products include toothpaste tubes and caps, manual toothbrushes, electric toothbrush heads, toothbrush and toothpaste tube plastic packaging and floss containers. Electric toothbrush handles and bases can also be recycled but through a separate program here. Once the recycled products are collected at the dental clinic, they can then be sent off to be recycled. The recycled waste is then processed and used in making a range of products such as garden beds and benches for schools (just to name a couple).

Dental professionals can also encourage ‘greenifying’ their workplace. This can be through the incorporation of energy-efficient lighting, solar panels and battery storage for electricity generation and usage, and

Practising

responsibility as dental professionals and how we can facilitate a positive impact

by using fewer single-use products. Re-processable clinical equipment such as metal instruments, patient cups, and digital x-ray films can also assist your workplace to reduce the waste from single-use products. Electronic patient records and communications can help to enable practices to aim for paperless operations. Careful organisation and treatment protocols involving all staff can significantly help in ensuring that the equipment set out for each patient is dispensed appropriately and that only what is required for the appointment is used. This can help in reducing the changing of PPE by assistants during examinations and treatments also. Not only is our main goal to assist patients in dental disease prevention by empowering them to improve their oral health but, less disease incidence

initiatives. In addition, your workplace may participate in sponsoring local community events or arrange various health promotional activities to raise awareness and support the well-being of others.

Advocacy

Finally, one of our major roles as dental professionals is to advocate evidencebased oral health advice to the public. The Dental Board of Australia’s Code of Conduct (2014) provides guidance around the responsibility registered dental practitioners have “to promote the health of the community through disease prevention and control, education, and where relevant, screening’ (pp.16) and to practice ‘in accordance with the current and accepted evidence base of the health

About the author: William

can result in less use of materials and waste generated from complex clinical treatments, and a reduced cost for our patients while providing a fulfilling workstream for the practitioner!

Community service

Dental professionals can also practice social responsibility through numerous community service avenues. Nominating to volunteer one’s services providing free dental care for vulnerable and in-need populations can have a significant impact on those in our communities. Various organisations such as the Australian Dental Health Foundation can help facilitate these

profession, including clinical outcomes’ (pp. 8). With vast amounts of harmful misinformation accessible to the population, we as health professionals must ensure that we advise and advocate in accordance with current evidence-based literature. Furthermore, engaging with and supporting your professional associations can align well with practising enhanced social responsibility. Professional associations can not only help to advocate for the dental profession but can also support in advocating for improved access to dental services and community health outcomes. ●

‘CJ’ CarlsonJones is an oral health therapist currently working as a lecturer with the University of Sydney teaching in their Bachelor of Oral Health program. Completing his Bachelor of Oral Health, Graduate Certificate in Oral Health Science, and Master of Business Administration CJ has strong aspirations to facilitate accessible, high-quality dental care for all Australians. CJ has also commenced further studies undertaking a Doctor of Philosophy with the University of Queensland. His research will focus primarily on the impact the transitional workforce from dental therapists to oral health therapists might have on consumers, public dental services, tertiary institutions, and regional areas. He is the Vice President of the Australian Dental Oral Health Therapists’ Association (ADOHTA) and is a strong advocate for a team approach to dental care. CJ continues to strive for highlevel corporate governance through his membership with the Australian Institute of Company Directors (AICD). He is a founding representative on the Colgate Advocates for Oral Health: Editorial Community. Republished

“Nominating to volunteer one’s services providing free dental care for vulnerable and in-need populations can have a significant impact on those in our communities”

We've got you covered

Get the most out of your DHAA member benefits

The DHAA advocates for the profession and strives to provide education and services to our members. This includes providing membership benefits that serve to support you in your career. The DHAA Member Insurance program in partnership with BMS does just that.

What is the DHAA Member Insurance Program?

BMS, the official insurance broker for DHAA members, is dedicated to providing comprehensive cover and valueadded services. The program offers a range of insurance policies, from professional indemnity insurance, public liability insurance, entity insurance, and more, to help ensure you’re covered for all aspects of your work.

So, what cover do I need?

If you interact with patients on a regular basis, having your own insurance policy is a good way to help protect yourself while working. Relying on your employer’s insurance policy could mean you don’t have cover for all aspects of your work. It is important that DHAA members have adequate professional indemnity insurance cover. Additionally, some members may want to add public and product liability insurance, entity insurance, and/or business insurance.

What is offered under the program?

The insurance program offers a suite of policies to meet your needs as a dental hygienist. Each year policies under the program are reviewed against key areas of risk and claims data to ensure they continue to provide comprehensive cover.

Professional indemnity insurance

Professional indemnity (PI) insurance provides cover against allegations or claims of financial loss due to injury

In arranging this insurance for our members DHAA is acting as a distributor of BMS Risk Solutions Pty Ltd (BMS) AFSL 461594, ABN 45161187980. The insurance is issued by BMS under binder with Certain Underwriters at Lloyds. When acting under a binder BMS acts as agent for the insurer and not as your agent. This is general advice only and BMS have not considered whether it was suitable for your personal objectives, needs or financial situation. Please read the Policy Wording and Financial Services Guide before making any decision about purchasing this policy.

or damages that have resulted from a negligent act, error, omission, malpractice or breach of duty that has arisen out of your professional duty. This means that if a client files a claim against you because they believe it was due to a failure of your professional services, PI insurance could step in.

Public liability insurance

Public liability insurance helps cover your legal liability in respect to property damage and non-treatment related injuries. This could include scenarios where a patient slips and falls while under your supervision.

Products liability insurance helps to cover you for actual or alleged bodily injury or property damage to a third party arising through use of a product sold, supplied, or manufactured by yourself.

With BMS, you can hold a combined Professional Indemnity and Public & Products Liability Policy. Alternatively, you can add Public & Products Liability to your existing Professional Indemnity insurance policy with BMS at any time.

Entity Insurance

If your business is named in a legal action, these costs aren’t covered by your standard professional indemnity insurance policy. This could leave you out of pocket. This is where Entity Insurance could step in. Entity insurance is Professional Indemnity and Public & Products Liability insurance for your business.

Looking for a different type of cover? As a specialist insurance broker, BMS can work with you to place policies that meet your needs. Speak to BMS to find the insurance solution that’s right for you.

How do I get cover?

You can add insurance to your DHAA membership at any time. For more information about the program, speak to BMS on 1800 940 762, or email DHAA@bmsgroup.com n

“If you interact with patients on a regular basis, having your own insurance policy is a good way to help protect yourself while working”

Constant contact

Part two of a four-part series on core leadership skills fundamental for building your leadership muscle

By Lyn Carman

“A wonderful fact to reflect upon, that every human creature is constituted to be that profound secret and mystery to every other.” – Charles Dickens,

A Tale of Two Cities

IT’S BEEN SOME TIME since I introduced this series and I want to make sure we’re all on the same page by briefly recapping the definition and context of leadership relevant for this part.

As oral health professionals we are all leaders. The definition of leadership that resonates with me, as mentioned in the introductory article, encompasses the ability to influence, inspire, and support others in reaching their full potential. This definition is applicable in all areas of life, whether it’s at home with the family, professional settings, business endeavours, social interactions, patient care, public encounters, nurturing relationships with pets, or even during seemingly ordinary moments throughout each day. It emphasises the pervasive nature of leadership and the opportunity to make a positive impact in every aspect of our lives.

Communication, where do I begin? Trying to condense the vast topic of communication into a short article that communicates better understanding is indeed a challenge – see what I did there? Communication is everything! Communication connects us, enables the expression of thoughts and emotions, fosters collaboration, resolves conflicts, influences others, facilitates learning, contributes to professional success, and promotes empathy. Developing strong communication skills allows us to navigate life’s challenges effectively and thrive in our interactions with others.

Effective communication provides numerous benefits in many aspects of life, including personal relationships, professionally, and leadership roles and is at the heart of all our relationships. However, many of us don’t consistently make the time to intentionally build our communication muscle and improve our skill level. Just like developing and improving any skill effective communication requires conscious effort and is a lifelong learning process. In our daily interactions, intentional or not, we are constantly communicating with others… and involves far more than just the words we choose.

According to Merriam-Webster, communication is defined as: “The act or process of using words, sounds, signs, or behaviours to express or exchange information or to express your ideas, thoughts, feelings, etc, to someone else.”

Improving communication skills as an individual can greatly enhance your ability to connect with others and convey your thoughts effectively. Here are some tips on how to communicate better along with my favourite mantras to serve as reminders:

Active listening

Being fully present, giving your full attention to the speaker, avoiding distractions and maintaining eye contact. Showing genuine interest, asking clarifying questions and reflecting on what is being said BEFORE responding.

REMEMBER: Listen to understand not just to respond

Clear and concise messaging

Be mindful of your own communication style. Your message needs to be clear, concise, and easily understandable. Avoid using complex jargon or convoluted language that may confuse or alienate your listener. Instead, aim for simplicity and brevity, ensuring your ideas are easily grasped and remembered.

REMEMBER: KISS principal – Keep it Short and Simple

Non-verbal communication:

Pay attention to your non-verbal cues, such as body language, facial expressions, and tone of voice. Maintain open and confident body posture, use appropriate gestures, and ensure your tone matches your intended message. Nonverbal signals can significantly impact how your message is received.

REMEMBER: What you DO speaks so loudly I cannot hear what you say

Empathy and understanding:

Cultivate empathy to better understand others’ perspectives and emotions. Put yourself in their shoes, be receptive to their feelings, and respond with empathy and understanding. This helps build trust and fosters effective communication by creating a safe and supportive environment.

REMEMBER: Seek first to understand and then to be understood

Feedback:

Provide feedback in a respectful and tactful manner. Focus on specific behaviours or actions, be objective, and offer suggestions for improvement. Likewise, be open to receiving feedback from others and use it as an opportunity for personal growth and development. We all need people who will give us feedback – this is how we improve.

REMEMBER: There is no failure, only feedback

Adaptability and flexibility:

Recognise that different individuals have unique communication styles and different situations require different communication approaches. Be adaptable and flexible in your approach, tailoring your communication to the needs and preferences of others and the situation. Adjust your communication style to connect better with

different personalities and cultural backgrounds. REMEMBER: Misunderstandings can happen from different communication styles.

Transparency and authenticity:

Authenticity is key to building trust and credibility. Be transparent in your interactions, share information openly, and be honest about challenges and setbacks. Others will appreciate your genuine approach, and it will foster a culture of open communication and collaboration.

REMEMBER: Say what you mean and mean what you say

Practice and seek opportunities:

Communication skills improve with practice. Look for opportunities to engage in conversations, presentations, or public speaking. Seek feedback from trusted individuals and make a conscious effort to apply their suggestions. The more you practice, the more confident and effective you will become.

REMEMBER: The quote from George Bernard Shaw “The single biggest problem with communication is the illusion that it has taken place”

In all aspects of life, from personal relationships to professional endeavours, effective communication is the cornerstone that empowers us to overcome challenges, inspire others, and create meaningful impact. n

A full state-by-state run-down of Association happenings around the country

STATE NATION

ACT

ACT contacts:

Director Amy McDermott directoract@dhaa.info

Chair Kate Spain. chairact@dhaa.info

n The Tammie Birch Inspiration Award

ceremony was held at the DHAA ACT CPD dinner at the Southern Cross Yacht Club on the 7 March 2023.

Tammie Birch was a dental hygienist in the ACT and a member of the DHAA. She was an active, conscientious, and dedicated DH. Tammie was well loved by her patients, employing dentists Britta Hannaford and Lulu Ishish at Preventive Dental Options, her colleagues, other hygienists that knew her and of course her husband Josh and young family. Beautiful inside and out!

Tammie passed away in February 2019 from Osteosarcoma, aged 38 years. The ACT Committee established the annual award in her honour in 2020 and this year's recipient was Valeska Tilly.

Valeska trained as a dental therapist in 1977 at Somerton Park in Adelaide SA. She worked in the mobile

dental van in Woomera, SA west coast and Eyre Peninsula, then moved to Adelaide where she got married and had a young family. In 1993 she moved to Canberra to work for the ACT government School Dental Service as an acting senior dental therapist.

In 1995, she enrolled at the School of Art at ANU with a Textile major and had an art residency at Bundanoon set up by Arthur Boyd Trust, moving from textile to painting and drawing. Having exhibitions at the Jam Factory in Adelaide, another residency at The Yellow House in Goulburn, and her work was selected for Calleen Art Prize at the

Cowra Regional Art Gallery and hung at the Goulburn Regional Art Gallery. She also had a recent and successful solo exhibition at Kyeema Gallery at Capital Winery.

Subsequently she went back to Adelaide in 2003 to study at Gilles Plains TAFE for the dental hygiene conversion course to “add

value” to her professional life.

In 2015 she published the book Six Simple Tips – Secrets of a Dental Hygienis t with simple tips that were easy to read and addressed common issues for patients.

Valeska has been active in the professional associations in SA and ACT. She values the comradery, support, and mentorship in her early career and hopes to continue that with the new members.

In 2017, she started a business teaching children in Early Learning Centres (ELC) about dental health. She was motivated by patients saying ‘I wish I was taught this when I was young’. She was also horrified to hear a paediatric specialist in Canberra had a GA list for 65 children!

Valeska finds inspiration for her art in nature around Canberra and the Snowy Mountains. Her hygiene work gives her inspiration for improving patients’ oral health, she thrives on problem-solving for her patients, she enjoys constantly learning (being a self-confessed “Conference Junkie”), and has a goal to implement Tooth Brushing Program into every ELC in Canberra to address caries in young children.

Congratulations Valeska!

ACT Chair Kate Spain (left) presenting the award to Valeska Tilly (right)

“ Her [Valeska's] hygiene work gives her inspiration for improving patients’ oral health, she thrives on problemsolving for her patients ”

For all the latest info on DHAA events please visit www.dhaa.info/events

NSW

NSW contacts:

Director Warrick Edwards directornsw@dhaa.info

Chair Jinous Eighani-Roushani chairnsw@dhaa.info

n The NSW April Half Day event at Lane Cove was well attended with Orthodontist Dr Nour Tariff presenting on lingual braces. The presentation covered treatment challenges with updates on digital technology-led solutions and the development of individual treatment plans.

Dr Steve Moate then provided an update on clear aligners and discussed the role of the OHT and clear aligner treatment in the future.

The next NSW face-toface event will be a full day of learning with an array of expert presenters covering everything from birth to

elderly patient care. Topics include caries management, behaviour management, hypomineralised molars in paediatric dentistry, cracked teeth and dental care for medically complex and older patients. It will be held on Saturday 22 July at Pullman Hyde Park, Sydney.

Early bird deals close on 12 June so register ASAP.

are interested in. And it is absolutely fine if individuals wish to be a silent member of the group and be kept in the loop of all communications.

The chat group is hosted by DHAA NT member Leonie Brown, to join, simply click on this link:

The Committee is planning the next full-day event on Saturday 5 August with an array of expert speakers and relevant topics covering inter-professional practice. Proposed topics include Public health, oncology, special needs and sexual health. Given the last Queensland full day was sold out with a waiting list, please mark this in your diary and watch out for when the registration opens.

NT Contact: Director Hellen Checker. directornt@dhaa.info

Staff Bill Suen bill.suen@dhaa.info

n NT Director Hellen Checker met with local members over dinner on Friday 31 March to discuss how DHAA may support them. A local WhatsApp group was established to foster communication and networking. This chat group provides a forum for members to share ideas and for the DHAA to provide support to NT members. Once joined, members will receive notifications of all communications within the chat group. Individuals may then choose to initiate or participate in any discussions that they

QldQld Contacts: Director Carol Tran. directorqld@dhaa.info

Chair Stacey Billinghurst chairqld@dhaa.info

Deputy Chair Karen Smart contactqld@dhaa.info

n The Qld Committee organised a joint DHAAADOHTA first-year student event at the CQU that was well attended. Both associations jointly funded catering and students had the opportunity to sign up for DHAA and ADOHTA student membership.

SA

SA Contacts:

Director Michelle Kuss michelle.kuss@dhaa.info

Chair Sue Tosh chairsa@dhaa.info

Deputy Chair Courtney Rutjens contactsa@dhaa.info

n The SA annual dinner will be held at the elegant Martini Ristorante, located in the heart of Norwood. This event promises to deliver a unique learning and networking experience, featuring two of Adelaide's top periodontists, Dr Ranu Acharya and Dr Steve Soukoulis.

Dr Acharya will discuss perio referrals while Dr Soukoulis will provide details on the dental implant registry. Registration closes

“ The next NSW faceto-face event will be a full day of learning with an array of expert presenters covering everything from birth to elderly patient care”

“ The Committee is planning the next full-day event with an array of expert speakers and relevant topics covering interprofessional practice ”

on 16 June and no late registration can be accepted so please register now.

Tas

TAS Contacts:

Chair Karen Lam chairtas@dhaa.info

Staff Bill Suen bill.suen@dhaa.info

n We are planning two activities for TAS members in the coming months. There is going to be a community oral health activity around Dental Health Week in August and we are seeking volunteers to provide oral health presentations to local migrant mums. A full-day joint DHAA - ADOHTA event in Launceston is also on the drawing board. If you are interested in helping your TAS Chair, Karen Lam, please email Karen or Bill. In the meantime please mark 18 Nov in your diary and keep this day free.

Vic

Vic Contacts

Director Roisin McGrath directorvic@dhaa.info

Chair Cathryn Carboon chairvic@dhaa.info

Deputy Chair Sarah Laing contactvic@dhaa.info

n A big thank you to Victorian committee members Megan Wyntjes, Stephanie Chang, Michaela Pitcaithly, and Roksy Boglari-Davykoza for joining CEO Bill Suen in talking to and supporting members as well as other attendees at the DHAA professional stand during ADX Melbourne at the end of March.

Congratulations to the University of Melbourne graduates Ananya and Adriks Rajan for winning the 2022 Dental Hygienists Association Prize. The prize was presented by DHAA CEO Bill Suen at the Melbourne Dental School Awards Ceremony on 3 May to recognise the best clinical skills, with an emphasis towards patient care and management.

The Vic Committee is excited to present a July 12 ‘reconnect and recharge’ full-day event at the Treacy Centre in Parkville.

The day has an exceptional lineup of speakers who will cover

a range of topics from periodontal and periimplant diseases to social media for dental professionals. The venue is a beautiful Victorian mansion surrounded by stunning gardens and provides the perfect backdrop for this full-day conference that is only three minutes from Melbourne CBD.

With catering and drinks provided, you can immerse yourself in the presentations without worrying about a thing. Our day will finish off with drinks, canapes and an open round table discussion where we want to know what you would like to see for future CPD topics and what DHAA state initiatives

“ There is going to be a community oral health activity around Dental Health Week in August and we are seeking volunteers to provide oral health presentations to local migrant mums ”

Winners Ananya (top left) and Adriks Rajan (left); Michaela Pitcaithly at ADX Melbourne

For all the latest info on DHAA events please visit www.dhaa.info/events

you would like to see addressed.

Earn 4.5 hours of scientific CPD and 1.5 hours of nonscientific CPD, for a total of six hours, while expanding your knowledge and connecting with fellow dental professionals.

The event is close to capacity so you need to register soon to avoid missing out!

WA

WA Contacts

Director: Phoebe Thomas . directorwa@dhaa.info

Staff: Bill Suen bill.suen@dhaa.info

n The WA Committee invites you to the 17 June WA fullday event at the picturesque Pagoda Resort and Spa in the Historic Ballroom.

This event is a must-attend for dental professionals

looking to expand their knowledge and learn from some of our local leading specialists.

Dr. Graham Carmichael, a specialist prosthodontist, will be sharing his clinical insights, offering valuable knowledge to attendees.

Elouise Hawkins from the Child and Adolescent Health Service will be presenting on the Early Childhood Dental Program, highlighting the importance of early dental

Be sure to bookmark the 2023 DHAA National Symposium

at this event so register now to ensure you don't miss out.

care. Specialist periodontist Dr Melanie McAlpine, will be discussing halitosis and how to manage it, while Dr Amanda Phoon Nguyen, an oral medicine specialist, will be presenting on the impact of vaping on oral health. And last but not least Dr Lalima Tiwari will be joining us again and discussing Sleep Bruxism and its effects and management. There are limited places

The DHAA board held its May Board meeting in Fremantle and took the opportunity to meet with a number of WA committee members and colleagues over dinner. WA director Phoebe Thomas, former deputy chair Rhonda Kremmer, committee member Natasha Hunt and local oral medicine specialist Dr Amanda Phoon Nguyen were present with the DHAA board and CEO. n

“ This [17 June fullday] event is a must-attend for dental professionals looking to expand their knowledge and learn from some of our local leading specialists”

The DHAA board gather for a Fremantle feed

Event Calendar

Get your diaries out and book your time off – these events should not be missed

JUNE 2023

n 14 June

Webinar

Online

CPD: 1 hour

n 17 June

Full Day

Western Australia

CPD: 6 hours

n 23 June

Dinner Meeting

South Australia

CPD: 1.5-2 hours

n 29 June

Webinar

Online

CPD: 1 hour

JULY 2023

n 12 July

Webinar

Online

CPD: 1 hour

n 15 July

Full Day

Victoria

CPD: 6 hours

n 22 July

Full Day

Sydney, NSW

CPD: 6 hours

n 22 July

Webinar

Online

CPD: 1 hour

AUGUST 2023

n 2 August

Dinner Meeting

Australian Capital Territory

CPD: 1 hour

n 5 August

Full Day

Queensland

CPD: 6 hours

n 9 August

Webinar

Online

CPD: 1 hour

n 24 August

Webinar

Online

CPD: 1 hour

SEPTEMBER 2023

n 13 September

Webinar

Online

CPD: 1 hour

n 21-23 September

National Symposium

Adelaide

OCTOBER 2023

n 11 October

Webinar

Online

CPD: 1 hour

n 21 October

Joint Hands-On Workshop with ADOHTA

New South Wales

n 26 October

Webinar

Online

CPD: 1 hour

n 28 October

Joint Hands-On Workshop with ADOHTA

Australian Capital Territory

NOVEMBER 2023

n 8 November

Webinar Online

CPD: 1 hour

n 12 November

Half Day

Western Australia

CPD: 2 hours

n 18 November

Joint ADOHTA

Full Day

Launceston, Tas

n 23 November

Webinar

Online

CPD: 1 hour

n 25 November

Half Day

Australian Capital Territory

CPD: 3 hours

DECEMBER 2023

n 2 December

Christmas Brunch

Victoria

CPD: 4 hours

n 2 December

Christmas Brunch

Queensland

n 3 December

Christmas Brunch

South Australia

n 13 December

Webinar Online

CPD: 1 hour