The Bulletin - Issue 45 January 2018

Issue 45 January 2018

The official newsletter of the Dental Hygienists Association of Australia Ltd

SWING TIME Read the wrap up on our biggest Symposium ever!

Are you covered?

Check out the new DHAA Personal Accident Insurance

SAHMRI

Take a look around this spectacular research centre

STATE ROUND-UP Find out what’s happening in your local area

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Please give us a call if you did not receive them.

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Smaller toothbrush head choices.

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03 3

New faces and new places at the top AS WE LOOK towards 2018 it is always a time of reflection and review. Did we stick to those new years resolutions?

Did we achieve all that we hoped? How do we refine and improve our goals for next year to make them more achievable or more effective? What are our professional goals? What about personal?

To be plain, we seriously kicked some goals with the DHAA this year. We had the most amazing Symposium in Adelaide. Congratulations Ali Taylor and your team on a superb event, topping the 500 delegate mark and with our biggest exhibition to date. We ran actually ran out of delegate bags – but that is a problem I am quite happy to have.

We are now over 1500 members strong! We are so proud of our growing membership, and it is reassuring to see that number slowly increase as it means that we are on the right track as far providing services to our members. The two big things that come to mind are the introduction of Professional Indemnity insurance and the member discounts. I love to see the savings that people make on the Facebook page - keep adding them so we can all see! To add to the indemnity insurance, you can also now get a Personal Accident Policy to provide financial relief in the event you suffer an injury or become sick.

The CPD events that were offered nationally in 2017 were diverse and great quality. I have to mention the State and Territory committee chairs here, and the CPD teams who work tirelessly to provide such excellent events. We are always open to suggestions and feedback to make them even better.

I cannot forget the employment of Melanie Hayes as our CEO. Having a person of her calibre and understanding of our industry, working for us full time, has increased our effectiveness in supporting members. I hope many of you will engage with new initiatives she has established, such as Career Development Workshops and IR webinars.

Finally, I’d like to say a big thank you to Rhonda Kremmer (WA), Leonie Brown (NT) and Ian Epondulan (NSW). We will miss your faces around the Board table.

The Board has a few things up their sleeves for 2018 that I hope will continue to enhance our Association and our profession. We might be the ones working on the strategic plan, but it could not be implemented without all of you that volunteer for us. We are grateful for all your contributions, big and small. It all helps, so thank you.

I hope that you and your loved ones have a safe, restful and happy holiday season. Thank you for being a part of the DHAA. Merry Christmas!

Kathryn Novak DHAA National President

Contents 03 President’s Message Introducing you to your new faces on the board

04 News DHAA Scope Survey results; Who’s the Tooth Fairy’s Best Friend; honouring three hygienist legends; a forty-year reunion; and a RANT! on behalf of our beleaguered graduates.

12 Taking on the World DHAA representation at the highest level

14 Internationally Speaking An IFDH report from our roving representatives.

18 COVER STORY Swing Time!

Three individual perspectives on an awesome three days of Symposium spectacular.

24 D HAA Personal Accident Insurance We’ve got your back again with this new product.

26 SAHMRI So Special We visit this amazing stateof-the-art research centre in South Australia.

30 State of the Nation What’s your DHAA state committee got lined-up for you next year.

Key Contacts CEO Mel Hayes CONTACT

PRESIDENT Kathryn Novak CONTACT

TREASURER Cheryl Day CONTACT

ADMINISTRATION & EVENTS OFFICER Patricia Chan CONTACT

IT REP Josh Galpin CONTACT

The Bulletin is an official publication of the DHAA Ltd. Contributions to The Bulletin do not necessarily represent the views of the DHAA Ltd. All materials in this publication may be readily used for non-commercial purposes. The Bulletin is designed and published by eroomcreative.com

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Getting the scope right An overview of the results of the recent Scope of Practice member survey

T

he DHAA prides itself on always consulting the membership on issues important to the profession.

We are aware that a review of the Scope of Practice Registration Standard will be undertaken by the Dental Board in early 2018, and the DHAA are preparing to represent the oral health professions in this consultation.

Recently, all members were invited to complete a survey to tell us your thoughts on scope of practice to guide your Associations groundwork and preparation for consultation. Here is an overview of some of the key findings.

Demographics n2 05 respondents completed the survey (based on a sample size calculation we needed a minimum sample of 91 respondents to get an accurate representation). n6 8% of respondents were hygienists, while 28% were dual qualified (hygiene and therapy).

Scope of practice nT he vast majority (88%) were comfortable with the assertion that dental practitioners should only perform treatments in areas in which they are educated, trained an competent; however many are concerned that the regulatory guidelines are vague and poorly defined which is creating confusion within the profession. nR espondents indicated that dental hygienists and OHTs and highly trained and educated professionals, and should be recognised as such. Respondents

“ The Scope of Practice Registration Standard will be undertaken by the Dental Board in early 2018 and the DHAA are preparing to represent the oral health professions in this consultation �

commented that independent practice would recognise this, and improve access to care in aged care and rural and remote areas. As an independent practitioner, members recognize they still will need to work with other health professionals, and establish referral pathways for areas outside their scope. nT he vast majority (86%) indicated that if hygienists and OHTs obtain independent practice that they should also be eligible for provider numbers; a similar number indicated they felt it necessary for hygienists and OHTs to receive education and training on such responsibilities. Suggestions included established guidelines, an application process and post-graduate training. nR espondents identified a number of issues impacting on practice due to not having a provider number including the ability to : refer for radiographs (68%); refer to a specialist (58%); work in a setting other than a dental practice (55%); to receive rebates or direct payments (>35%). n

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Carevan Foundatio n Sun Smiles Grad e 6 ambassadors Laundy MP and Pr with Craig of Chris Peck at Ho mebush West Publi c School

Author Cathryn Carboon and Ali Taylor at SA17

Who is the Tooth Fairy’s best friend?

You may be surprised!

A UNIQUE CHILDREN’S picture book, written by DHAA member Cathryn Carboon, was recently published with the support of a Community Oral Health Grant from the Dental Hygienists Association of Australia, together with NSW ClubGRANT funding from DOOLEYS Lidcombe Catholic Club.

‘Who is the Tooth Fairy’s Best Friend?’ was officially launched at the DHAA National Symposium in Adelaide on 12 October, followed by a Sun Smiles school launch at Homebush West Public School in Sydney on 27 October 2017. Reid Federal Liberal MP Craig Laundy joined the Dean of Sydney University’s Faculty of Dentistry Chris Peck, BOH lecturer Karen Lansdown and the Sun Smiles team, Dr John Brabant, Dr Robert Smith and Cathryn at the school.

Sixteen Sydney University Bachelor of Oral Health students enjoyed a simultaneous book reading with 292 primary school children across 12 classes!

The book has become an important health literacy resource for the Carevan Foundation Sun Smiles school fluoride varnish program.

‘Who is the Tooth Fairy’s Best Friend?’ is a great book to engage young children in learning about caring for their teeth and discovering the magic of fluoride. The book has been well received by hygienists, teachers and children and has been printed in two formats.

The book is also a great addition to dental practice waiting rooms – keeping young patients entertained!

How to get your copy The Standard Book (21 x 26cm) is great to share with family. The colourful text and rhyming pattern enables collaborative reading with parents or siblings. It is for sale on the DHAA Facebook page for $20.00 (inc postage and packing to Australian addresses).

The Big Book (34 x 43cm) is perfect for circle time and reading out loud in groups at pre-schools, kindergartens, libraries and junior primary. Children can take part in the reading and have fun acting out the book’s characters. It is for sale on the DHAA Facebook page for $34.00 (inc postage and packing to Australian addresses). n

Buy your copy of Who is the Tooth Fairy’s Best Friend?

by Cathryn Carboon Support this fantastic initiative by one of our members and educate our children in the importance of oral hygiene.

BUY YOUR COPY

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Three hygienists.

Three awards.

Alison Taylor pays homage to three dental hygienists who have been honoured with significant awards by the Australian government in recent years.

“ The purpose of the Order of Australia is to recognise, by national honour, those who have made outstanding contributions that benefit their communities, and ultimately our country.” Taken from the Australian Honours Secretariat website

For many years, and alongside her clinical and educational roles, Sue had committee roles on DHAA (SA Branch) Inc., then Founding President of DHAA Inc., and has been president of the IFDH (International Federation of Dental Hygienists). She has also been a member of the Dental Board of South Australia and Professional Conduct Tribunal, and is currently active on the Dental Board of Australia (DBA) having been appointed in 2009.

Sue has played many key advisory and consultancy roles for dental regulatory and other professional agencies, related to the practice of the dental hygienist and oral health therapist, too many to list here. The AM was awarded to Sue for “service to dental hygiene as a clinician and educator and through executive roles with professional organisations at state, national and international levels”.

hygiene qualification in Adelaide in the 1970s. Since that time she has worked in both general and specialist government and private dental practice, as an educator with TAFESA and is currently an academic at the University of

“ The AM was awarded to Sue for ‘service to dental hygiene as a clinician and educator and through executive roles with professional organisations at state, national and international levels’ ” Susan (Sue) Aldenhoven was awarded her AM (Member in the General Division of the Order Of Australia) in January 2009 in the Australia Day Honours List. Sue gained her dental

Adelaide, Adelaide Dental School, where she holds the position of Clinical Practice Coordinator, Bachelor of Oral Health third year. Sue also teaches at both first and third year levels.

Josephine (Jo) Reeves received her OAM (Medal of the Order of Australia) in June 2009 in the Queen’s Birthday Honours List for “service to dental health as an hygienist and through education

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programs for migrant families”.

Jo started in the industry as a Dental Assistant in 1962. She graduated in 1976 in the first dental hygiene course in Australia, and so has more than 50 years in the industry.

Jo has worked among the aged, refugee and migrant groups, Aboriginal communities, underprivileged groups and has been involved with overseas visits for providing treatment and oral health promotion.

She worked for 17 years as a hygienist for SA Dental Service at the Parks Community Dental Clinic, and has played many roles in oral health promotion, including that of Major Project Worker on the education program called ‘Healthy Smiles for Vietnamese Children’.

In collaboration with the University of Adelaide Dental School, Jo worked on the ‘Dental Care to Share’ program, producing

“ J o received her OAM (Medal of the Order of Australia) in June 2009 in the Queen’s Birthday Honours List for ‘service to dental health as an hygienist and through education programs for migrant families’ ” educational material for schools and manuals for health workers in the Solomon Islands and Papua New Guinea.

In 2004 Jo was sponsored by the Vietnamese community in South Australia as a finalist for the International Women’s Day Committee (SA) Inc Community Service Award for outstanding service to the community, a testament of their recognition and appreciation for her and her efforts.

“ M argie successfully managed the development of a pro bono dental clinic and dental program for homeless and vulnerable people in Adelaide’s CBD ”

Margaret (Margie) Steffens received her OAM (Medal of the Order of Australia) in the Queen’s Birthday Honours List in June 2017, for “service to community health through outreach dental programs”.

Margie, after graduating as a hygienist in 1980, worked for many years in private practices, and also for SA Dental Service at the Adelaide Dental Hospital (ADH), and the University of Adelaide.

She worked in the High Caries Risk Clinic in the early 1990s with patients with complex medical conditions and the socially disenfranchised. She has worked for the past 20 years in the Special Needs Unit at the ADH. She also established, in collaboration with SA Dental Service, the Supported Residential Facilities project (later to become an established screening program for people dealing with major issues and living in supported boarding houses). She has been a clinic tutor and lecturer with the BDS and the BOH programs.

Margie, in collaboration with SA Dental Service, co-developed educational material for a set of oral care training

resources for aged care workers. She also designed and developed the “Oral Care for Those who Care” teaching resource for DHAA in collaboration with colleagues from the University of Adelaide. Over many years, she has worked in conjunction with various aged care facilities, more recently jointly co-ordinating the BOH third year student placements in aged care.

In her role as academic at the University of Adelaide, Adelaide Dental School, she delivers material on Special Needs and Geriatric Care to hygiene and OHT students, and has lectured to nursing students about the holistic approach to dental and general health. She is also a clinical tutor for both BDS and BOH. Margie successfully managed the development of a pro bono dental clinic and dental program for homeless and vulnerable people in Adelaide’s CBD – one of her proudest achievements, and where she continues to be Director.

She represents DHAA on the National Aged Care Alliance Committee, and has held DHAA committee positions over many years.

The DHAA is proud, grateful and humbled by the contributions of all three of these ladies. Individually they have pursued paths that interconnect their love of clinical dental hygiene with a drive for fairness and equity for clinicians, our patients and for the wider community.

Congratulations to them all. n

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Forty years on and many happy memories

Class of 1997 2017 YEAR MARKED the fortieth year in the profession for six dental hygiene graduates. The old friends celebrated the occasion with a lunch in Adelaide.

Here are a few interesting facts and memories about this gang of six: n1 977 was the second Certificate of Dental Hygiene in Australia (Department of Further Education – pre TAFE) nD ental assisting experience and qualifications were a prerequisite. nW e were paid as senior dental assistants – public service rates, during the entire course. nA s graduates we were bonded to work as dental hygienists in South Australia for two years. nA ttendance at lectures and clinic was 37 hours per week and not optional.

Six great mates meet up forty years after they all studied dental hygiene together

1 0 students were chosen from hundreds of applicants. Nine graduated. nS ix of the nine graduates are still currently teaching, tutoring and/or clinical dental hygienists. nB etween us during the course one turned 21, six were newly married (two in the first month of the course), one was divorced and one became pregnant (her son turned 40 this year!). nW e have worked in general, periodontal, orthodontic, prosthodontic, aged care and special needs practice in both public and private sectors. nW e have thousands of hours of dental community service between us, including roles from IFDH, to state and n

national executive and committee roles on DHAA to overseas volunteer service. We also have an author and an Order of Australia amongst our ranks. nO ur favourite teacher was the indomitable Dr John MacIntyre, founder of the course who often chose the lawns of the Botanical Gardens, adjacent to the dental hospital, as a lecture theatre. nF avourite food was the salad rolls next door at the IMVS. nF avourite pub was “The Bot”, a dental and medical student Friday night hangout in Adelaide.

The DHAA congratulate these girls on their 40 years of service to dental hygiene. May there be many more! n

Respect for a dedicated career

Prof David (second from left) with his award

THE DHAA WOULD like to congratulate Professor David David (pictured second from left) on being awarded the honour of South Australian of the Year 2018 for his contribution to craniofacial surgery.

Over the past 45 years, Professor David’s career has been dedicated to working with people from the world’s poorest countries rectifying facial deformities and disfigurements.

His work is recognised globally has meant that both Adelaide and Australia as recognised as one of the leaders in this form of treatment.

Professor David is not only a pioneer but an inspiration to us all.

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World Cavity-Free Future Day

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#ChooseWater

On Saturday 14th October this year, the Alliance for a Cavity-Free Future (ACFF), in partnership with Colgate and the Australian Dental Association (ADA), came together to launch the #ChooseWater dental awareness campaign in support of World Cavity-Free Future Day (WCFFDay).

The ACFF is a worldwide group of experts who have joined together to promote integrated clinical and public health action to stop dental caries initiation and progression in order to move towards a cavity free future for all age groups.

To create national awareness of the importance of prevention of dental caries, Australians were encouraged to join the fight against tooth decay by choosing water over sugary drinks for one week.

Participants were asked to use the #ChooseWater hashtag on October 14th on social media to show their support for the fight to ensure a future free from cavities.

The duration of the challenge coincided with National Water Week from 15th to 21st October.

Colgate’s Lenore Tuckerman (top) and Susan Cartwright (bottom) celebrating World Cavity-Free Future Day

YOUR CHANCE TO GET SOMETHING OFF OF YOUR CHEST

The perils of being a modern-day student

R

ecently, when speaking to a disheartened third year OHT, I discovered that it wasn’t the studying that got her down, but the financial situation that it had put her in throughout her degree.

Now, I acknowledge that the university experience is different for each of us, but it’s no secret that our social status prior to study makes a big difference to how the education roller-coaster runs. Chatting to this student reminded me of my own ride.

I too came from a low socio-economic background. This not only effected my year 12 results, meaning I didn’t have the grades to get into BOH, but also meant I had to work five part-time jobs during my first year to pay the upfront costs – such as fees, books, instruments and uniform.

Over my two years at hygiene school I spent close to $20,000 just to graduate, and this was when I was only earning between $20-30,000 per year. It amazes me how I managed to survive. More importantly, how do students manage 10 years later? Nothing has got any cheaper that’s for sure!

The student told me that the accommodation at her university cost $205 a week, which covers everything. This sounds like a bargain until she added that Austudy (the Centrelink study payment) is only $525 a fortnight. This leaves the students at her university with just $115 a fortnight to live, and to pay for the BOH course expenses such as instruments etc.

Luckily for my friend she had received a scholarship – the only one she was eligible for. Without this there was no way that she could have afforded this course, and is the reason why many less-advantaged students are either struggling or aren’t doing this course at all.

So why is this a problem?

Universities are full and new graduates keep coming out every year, but we are missing out on some potentially exceptional practitioners just because they can’t afford to study.

Long-gone are the days that if you are deemed as being ‘poor’ that this automatically makes you stupid. Our disadvantaged children have so much to offer us and ‘we’ just aren’t giving them the chance.

What amazed me most about this passionate student, was her appreciation that the scholarship had made such a big difference to her chances in life, and that once she graduates she wants to develop her own scholarship program to assist those in a similar position.

Talk about being blown-away! After all her hardship she is putting the needs of others to the forefront. This is what us hygienists and OHTs do best. I am still beaming with pride that this young lady is part of our next generation.

Without this impromptu meeting I would have never had my trip down memory lane, but more importantly a reminder of how tough it is having to fend for yourself, while trying to achieve your goals and better yourself.

On a personal note, I also appreciate that going back to school as a matureage student has its difficulties, in some ways greater, as you have already built up an adult life which you must maintain while educating yourself.

In closing, I encourage you to keep a look-out for these wonderful students and new graduates and think where you can lend them a hand. Wouldn’t have you appreciated it back when you were in the same boots? n

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RANT! “ Over my two years at hygiene school I spent close to $20,000 just to graduate, and this was when I was only earning between $20-30,000 per year. It amazes me how I managed to survive”

Rant! Is supplied by an independent contributor and is not an expression of the view of the Dental Hygienists Association of Australia.

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Aussie hygienists taking on the world

The stories of two DHAA ‘diplomats’ who headed off around the globe to represent our industry

Roisin McGrath Harrogate, UK I WAS DELIGHTED to be invited to present at the recent British Society of Dental Hygiene and Therapy (BSDHT) Oral Health Conference. The BSDHT is the national body representing over 4,000 dental hygienists and dental therapists across the UK. The conference was held in Harrogate, an historic spa town in North Yorkshire that has been voted as the ‘happiest place to live’ in Britain. The wide range of tourist attractions in the town meant there was something to appeal to everyone and made it the perfect setting for the BSDHT annual Oral Health Conference.

The conference theme was ‘More to the Mouth’ and included a wide variety of speakers and presentations highlighting the connections between oral health and general health and the need for a more holistic approach in disease prevention and care provision. My topic was ‘promoting oral health for people living with mental illness’. My session covered the profile of mental illness in

the UK, my PhD research project which aims to increase oral health promotion in a community mental health setting, and practical strategies to implement when providing oral health care for patients with mental health issues.

Delegates were interested, and it seems that this area requires increased focus in the UK, as it does here in Australia. It was incredibly satisfying to have people come up and tell me how much they had enjoyed my session and to discuss their own personal and professional experiences with mental illness.

In addition to my oral presentation I had an abstract accepted for a poster presentation at the conference. Waterpik sponsored this competition, and was surprised when I was announced as the poster competition winner for 2017 – my prize being a beautiful inscribed crystal vase and a very generous £500 gift card. I was also asked to submit a piece for publication in the next edition of the BSDHT journal ‘Dental Health’. This article allows me to share information on promoting oral health for people with mental illness more broadly with members of the BSDHT, particularly

those who were unable to attend the conference.

I thoroughly enjoyed my participation in the conference. As a UK-trained hygienist/therapist, it provided me with the opportunity to rekindle old relationships and also to foster new ones. I am looking forward to developing professional networks with my UKbased colleagues, and to our future collaborations.

I informed conference delegates of the high quality national symposia hosted annually by the DHAA and invited them to come and experience our Aussie hospitality. I hope that we will see some of them in the near future and I have no doubt they will feel incredibly welcome here in Australia.

Melanie Hayes Ottawa, Canada THE CANADIAN DENTAL Hygienists Association (CDHA) and the National Centre for Dental Hygiene Research & Practice (NCDHRP) co-hosted a global dental hygiene conference in Ottawa – Canada’s capital city.

“Translating Knowledge to Action,”

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LEFT Dr Melanie Hayes mixing with global CEOs in Ottawa, Canada; THIS PAGE

Roisin McGrath speaking at Harrogate in the UK

“ Undoubtedly working ‘remote’ can be both physically and emotionally challenging. It is overcoming these ran from 19-21 October. As CEO of the DHAA, I was proud to be included in the procession of international dignitaries, CDHA board directors and provincial presidents during the opening ceremony and also to be invited to a VIP reception that evening. A big thank you to Ondina Love (CEO) and Gerry Cool (President) for their hospitality.

Over 700 delegates attended the conference, which involved up to five concurrent sessions on different topics relevant to dental hygiene practice.

The profession has a long history in Canada, including thousands of practitioners and progressive regulation, so I was grateful for the opportunity to attend sessions on independent practice and career pathways.

It is very valuable to learn from our international colleagues in areas that will have growing prominence here in Australia. A number of panel discussion

sessions allowed delegates to hear a variety of perspectives on a given topic, and also allowed for plenty of questions and interesting discussion.

The final day included sessions on emerging dental hygiene research.

I believe it is essential that those of us in the profession share our research findings with clinicians at the coalface, and I was lucky enough to be one of 28 researchers to present oral papers during the conference.

During the conference I enjoyed the opportunity to re-connect with a number of colleagues I have met through the IFDH or other dental hygiene meetings, and I hope to see them all again soon.

Melanie Hayes Amsterdam, Netherlands I WAS THRILLED to be invited as one of 10 international speakers at the national congress of the Dutch Dental

Hygienists Association. Held from the 29-30 September in Halfweg, a suburb of Amsterdam, the theme invited delegates to be “Proud to be Goud” (translate GOLD) in recognition of 50 years of dental hygiene practice. Ironically, the Congress was held at “Sugar city” a redeveloped sugar mill!

Prior to the congress, the international speakers were treated to a day touring the Dutch countryside, including a delicious seafood lunch and lots of laughs dressing-up in traditional Dutch costumes.

This thoughtful welcome to the Netherlands created a friendly and supportive environment among the speakers, and made the overall experience more enjoyable. I must say a huge thank you to Dagmar Slot and Eveline van der Sluijs for their wonderful kindness and generosity.

The congress included presentations from all corners of the world on a variety of topics including periodontics, cariology, saliva, halitosis and its treatment.

With hundreds of delegates in attendance, there was certainly something for everyone, with all the speakers aiming to provide tips for improving practice. My presentation on ergonomics was on the second day, which was chaired by two prominent Dutch periodontists.

Prof. Fridus van der Weijden and Dr. Schelte Fokkema provided an entertaining opening act involving choreography and matching pink and purple suits! They had taken the time to find out interesting facts about each of the days speakers, and I must say I had a chuckle when they shared my love of ‘The Nutbush’ with the delegates and even started doing the dance!

It was wonderful to see such a diverse program, and combined with the hospitality it is an event I will long remember. It has certainly given me a few ideas for how we can improve our own symposia – and I now have a great group of international friends who would love to come visit Australia! n

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Internationally speaking...

DHAA representatives, Jo Purssey and Cathryn Carboon, report from the 2017 IFDH Social Responsibilty Conference

I

n 2016 at The International Federal of Dental Hygienists (IFDH), House of Delegates meeting in Lucerne, Switzerland, a new program was launched by the newly-elected President Robyn Watson.

The vision of the program was to address oral health issues and risk factors identified by the World Health Organisation and its recommendations to develop and implement communitybased projects designed to target these factors.

The IFDH, with 32 member countries representing over 82,000 dental hygienists, believes that we have a social responsibility to address the worldwide oral health crisis identified by WHO, where 60-90% of school children and nearly 100% of adults have dental caries.

The IFDH believe there must be a call to action to address our social responsibility in preventing caries in children worldwide.

The IFDH Mission is to: P romote access to quality preventive oral health services. n I ncrease public awareness that oral disease can be prevented through proven regimens. n P rovide a forum for the understanding and discussion of issues pertaining to dental hygiene. n

Strategic planning focused on developing international partnerships with corporate leaders, and involved three stages: 1. Social Responsibility Awareness Workshop 2016 READ MORE 2. Social Responsibility 2017 Conference READ MORE 3. Social Responsibility Awareness Workshop 2019 During the first phase workshop in 2016, the stage was set for the 30 member country delegates attending, to understand their role in supporting social responsibility programs within their respective countries and worldwide.

Speakers from the US (Dr Alice Horowitz of the Horowitz Institute for Health Literacy), and UK (Professor Raman Bedi, Chair of the Global Child Dental Fund and Senior Dental Leaders program) educated those present on health literacy and leadership responsibilities for a successful social responsibility program. Representing Australia, at this initial workshop, were DHAA Ltd Board members, Melanie Hayes (President) and Jo Purssey. Delegates were charged with initiating further discussions about social responsibility in their respective countries and identifying teams to attend a 2017 conference that would focus on identifying action plans that are

community-based and advocacy focused on preventing caries in children.

The follow-up to the Social Responsibility Awareness Workshop 2016 was to select two representatives from Australia, who had demonstrated effort toward developing and implementing community-based programs designed to improve oral health literacy and health in children.

Read the Resolution here.

DHAA members were invited to provide expressions of interest in attending the second phase SR conference 2017. All submissions were considered by the Board and the successful applicants were Cathryn Carboon, for her ‘Carevan Foundation, Sun Smiles program’ and Jo Purssey, for her ‘Expectant and new mothers workshop’. (details of both programs can be viewed in earlier editions of the Bulletin).

Cathryn and Jo were able to attend the conference through the support of DHAA Ltd and sponsorship funding organised by the IFDH. Special thanks to the conference sponsors, Dentsply Sirona Preventive, GSK, Colgate, and Crest - Oral B (Procter & Gamble).

The Social Responsibility 2017 Conference was held in Florence, Italy on 7-8 July, 2017.

‘A global oral health strategy session’

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“ ‘A global oral health strategy session’ was attended by representatives from 20 country association members, all with the goal of improving oral health worldwide.”

was attended by representatives from 20 country association members, all with the goal of improving oral health worldwide. The two-day conference brought together experts in prevention programs and health literacy who supported dental hygienists in creating the steps needed to be effective in health promotion and disease prevention. See the full program.

The conference was officially opened and chaired by IFDH President

Robyn Watson. International speakers presenting at the conference were Professor Raman Bedi, Chair, Global Child Dental Fund and WFPHA Oral Health Committee, Professor Wendell Evans, Colgate Chair, University of Sydney, WHO consultant, ACFF Global expert panel and ANZ chapter chair, Professor Ken Eaton, Chair, Platform for Better Oral Health Europe; Yvonne Nyblom, President EDHF; Dr. Onno Hofman, Chairman, Ivory Cross; and Dr David Walker, Honorary Research Fellow, University of Sydney, WFPHA Working Group on Oral Health.

As well as the presentations, discussion panels and workshops arranged by the IFDH organisers, led by Florence local and IFDH treasurer Mary Rose Pincelli Boglione, a wonderful social program was organised to showcase Florence and allow delegates to meet, discuss and share information pertaining to their individual and/or aligned programs, in a relaxed (and somewhat hot, humid and steamy summer!) environment.

At the end of the two-day conference, discussion groups were divided into break out workshops, based on the target groups of their programs: n E lderly n T eens and young adults n C hildren n A dults

Country representatives were given the opportunity to present their action plans and invited to continue with their program development and implementation and to present a poster at the ISDH in 2019.

As the 2016 IFDH & GCDF Social Responsibility Award recipient, Cathryn was invited to participate on a discussion panel where a variety of programs were introduced and delegates were given the chance to ask questions relating to strengths, weaknesses, opportunities and threats in the development and implementation of their programs. Jo was invited to give a summary of those global programs being presented, developed and implemented focusing on children, mothers and babies. Ron Knevel, from La Trobe University in Bendigo, also provided input as a representative for Nepal’s program.

The conference was a resounding success, with the IFDH hoping to run a follow up session in 2018, to support and check in on the growth and development of programs... watch this space.

Cathryn and Jo were honoured to attend this inaugural international social responsibility meeting and are grateful and thankful to the DHAA Board in supporting their program initiatives and attendance at the conference. n

16

The Common Ground scheme is supported by a hard-working team of volunteers and in-turn is doing a great job in supporting Adelaide’s lessfortunate souls

Finding Common Ground Kailey Paterson reports on an exciting, multi-disciplinary venture that is supporting Adelaide’s homeless and disadvantaged population

C

ommon Ground is the name given to an initiative set up to help connect financially disadvantaged Adelaidians to health and housing, as well as creating a community to help support training and development.

Essentially it’s a group of residential apartment blocks offering stable housing with access to health services and communal areas, allowing tenants to be able to take control of their health and training without the stress of becoming homeless.

The mixture of tenants within

Common Ground are all people who have been or were at risk of becoming homeless. Homelessness is becoming a common issue within our cities, and over 100,000 people are considered homeless across the country. By managing the issue as a whole, rather than treating the individual manifestations of homelessness, Common Ground is impacting real lives.

There are a whole range of healthrelated issues associated with this growing problem. Mental illness, poor physical health and neglected dental health can all put further stress on

disadvantaged individuals, as well as public services, without really addressing the core issue.

The Common Ground movement has four residential blocks, with around 200 self-contained one or two bedroom apartments. The ultimate goal being to help disadvantaged people get back onto their feet with new skills and education to help them move forward with their lives without the risk of returning to a life on the street.

As a community service, Adelaide University’s Community Outreach Program is operated out of Common

17 | Ground Light Square; located within Adelaide CBD. Since opening in 2011, the dental clinic has treated over 1000 patients with the help of volunteers, students, government grants and donations from dental companies.

The facility removes the burden of expense and waiting lists to improve oral health for the Common Ground community. It aims to address patients in a multidisciplinary manner to assist toward managing the whole issue associated with homelessness from a

“ Common Ground aims to address patients in a multidisciplinary manner to assist toward managing the whole issue associated with homelessness from a health perspective. health perspective. This goal is achieved by medical and dental screenings for the tenants and the Common Ground community, and treatment or referral where necessary.

One of the really important achievements made by the Outreach Program thus far is the creation of referral pathways and relationships with agencies that allow at-risk patients to be treated in a timely manner, often in familiar or at least local surroundings.

With long waiting lists on public services, people are often seeking help for dental problems with a poor prognosis.

Improving access and health outcomes for the homeless population is a priority of the National Oral Health Plan.

Future proofing In addition to the incredible work being done to help this disadvantaged population of Adelaide, the Community

Outreach Dental program is also helping to train South Australia’s future dental professionals.

The program allows an increase in clinical hours for students completing dental degrees through Adelaide University. Offering them the opportunity to increase their skills and management techniques on people with a range of different needs, including disadvantaged youths, mental illness sufferers and a mix of people with complex histories.

The Community Outreach Dental Program is a promoter of research opportunities for students to continue with valuable knowledge within our industry, to further assist in improving oral health for all Australians. In the future, Common Ground Community Outreach also hopes to create opportunities for trainees to develop skills and pathways into further education.

Looking forward, Common Ground has secured funding to allow the program to increase accommodation opportunities, and also to grow the health support sector by creating the “Health Hub” allowing treatment of more low income patients. This continued growth will require ongoing funding to allow them to increase their permanent staff and continue to run the clinics, as well as afford consumables and supplies.

The program has been so successful in achieving it’s outcomes thus far and is fast becoming a sustainable solution to managing urban homelessness.

To learn more about Common Ground visit their website. To discover how you can get involved, donate or support the Dental Outreach Program, visit their website. n References: http://www.commongroundadelaide.org.au Margie Steffens, Community Dental Outreach Self-reported oral health of a metropolitan homeless population in Australia: comparisons with population-level data; Australian Dental Journal; EJ Parker Et al; 2011

DHAA Symposium is heading to Cairns in 2018 THE DHAA SYMPOSIUM 2018 will hit Cairns from 18-20 October. Now while this may seem a long way off – and Christmas is staring us all right in the festive face – it’s well worth checking it out as there are some very attractive discounts to be made by getting your name down early.

Sunrise Savings Anyone who registers before 31 January, 2018 can benefit from the Sunrise Rate and save up to $200.

Discounted prices for the whole symposium experience are as follows; • Full Member: $760 (Full Price $960) • Non-Member: $1,010 (Full Price $1,210) • Student: $375 (Full Price $475) There are numerous options, including single day registrations, workshops, and gala dinner tickets. All the details can be found on the DHAA Symposium 2018 website

18

NATIONAL

SYMPOSIUM

REPORT

SWING T

TIME

19

We invite three delegates to share their favourite aspects of the Symposium Adelaide 2017 THE LONG-AWAITED Symposium Adelaide went off with a bang. Over 500 delegates – a DHAA record – made the trip to Adelaide in October, to learn, engage and party with fellow oral hygiene professionals.

It was an unmitigated success and we asked three attendees to give us their unbiased view of what happened.

GALA DINNER

It don’t mean a thing if it ain’t got that swing Margaret Galvin, Dental Hygienist

THE SYMPOSIUM GALA DINNER is always an event to behold, and the 2017 Gala Dinner was no exception. Set against the backdrop of the National Wine Centre, Adelaide, this year’s Erskine sponsored event was a heel-kicking, hip-swinging, extravaganza!

Resplendent in victory rolls, flared A-line skirts, zoot suits, and fedoras, all the bombshells and hep cats rolled up to the venue, only to be greeted by the brave fire-fighters of Adelaide.

It was rumoured the fire department was checking the dance floor for flammability, due to the highly likely prospect of the gathered folk burning it up with their dance moves.

In order to start the party, pre-dinner drinks were served on the patio, allowing people to mingle with friends and colleagues.

Once inside the venue, we were greeted with a swanky jazz lounge featuring Lucky Seven on stage, a small dance troupe to teach us several swing dance moves, and a menu highlighting food and wine from the South Australian district. It was a feast for the eyes, ears, and stomach!

Next year we will be ‘talking teeth by the reef’ in picturesque Cairns, Queensland. I look forward to seeing everyone joining in not only the lectures and workshops, but also the Gala Dinner. It is always a great chance to let one’s victory rolls down.

A bustling trade show, fascinating lectures and more polkerdots than you can shake a stick at... SA17 was massive!

“ Resplendent in victory rolls, flared A-line skirts, zoot suits, and fedoras, all the bombshells and hep cats rolled up to the venue, only to be greeted by the brave fire-fighters of Adelaide.”

20

Trade show smiles, major presentations and even DHAA sponsored book signing.

Symposium 2017 was non-stop fun!

TRADE SHOW

Symposium exhibition impresses delegates!

Kim Gordon-Thomson, OHT

EVER SINCE MOVING to Dubbo in Central NSW three years ago, it has been difficult to stay on top of my CPD points. This is mainly due to the distance from any events; gone are the days of attending the DHAA monthly Wednesday night meetings.

So, when I saw that the Symposium was being held in Adelaide this year I thought: “Yay! Time away from the hubby and kids, a great opportunity to catch up with some old uni mates and collect those all-important CPD points.”

Now normally when I go to CPD events the trade shows are massively geared towards dentists (that’s where the money is for many of the dental companies). I was very impressed that this year the trade show had an OHT/DT/hygienist focus.

All the vendors where very engaging, answering questions, showing their products but most importantly to me, I was impressed on how they valued hygienists as part of the dental team, and were asking for our feedback.

The samples and ‘show bags’ were very generous, and in fact I had to check in my luggage on the flight back home! I had an amazing time and I am definitely going to the Cairns Symposium in 2018…with any extra empty bag.

“ The samples and ‘show bags’ were very generous, and in fact I had to check in my luggage on the flight back home!”

21

SCIENTIFIC PROGRAM

Diverse and engaging

by Ian Epondulan, OHT

THIS YEAR’S NATIONAL SYMPOSIUM in Adelaide had some exceptional speakers from Australia and abroad. They spoke on a wide range of topics, and provided valuable take-home messages for delegates on their return to practice.

The three keynote speakers were a highlight of the program.

Shirley Gutkowski from the US shared with us the role of epigenetics, historical and modern global food production and the links between oral health and breathing and airway.

Stavroula Zandes engaged us to empower our patients and shared practical ways to support those to quit tobacco smoking. She also reminded us that we too should have ‘work-life integration’ and look after our own personal wellbeing.

Professor Lakshman (Sam) Samanaranyake from the UAE is the world authority on oral candida, and elaborated on the

‘triad’ of oral candidiasis and its associated lesions, its prevalence and management.

There were a variety of local speakers who challenged delegates to improve their practice. Sharon Liberali discussed informed consent and challenged us to lobby governments for special needs dentistry. John Berketa reminded us about good dental records for forensics in dentistry. Margie Steffens shared her journey and passion about oral health care for older people and various outreach programs targeting homelessness. Sue Edwards and Debra Rowett gave us tips on how we can work better with pharmacists and shared some useful resources to use. Steve Soukoulis drew out the fundamentals in gingival recession and periodontics as well as gave us insight for the digital future of dentistry. Lenore Tuckerman shared the philosophy of the Seattle Pathway.

Overall, the program was of an extremely high standard and its diversity kept myself and all the delegates engaged for the two and a half days. Already looking forward to next year! n

22

23

Personal Accident Case Study

New DHAA member insurance offering DHAA Personal Accident Insurance replaces your income if you’re injured

A

dental hygienist travelling to work has a car accident, causing a broken wrist and shoulder. They typically earn $900 a week and are subsequently unable to work for four months until their fractures have healed and they have undergone extensive physiotherapy.

The DHAA Hygienist’s Personal Accident cover responded to provide 85% of their weekly salary for the 15 remaining weeks that they were unable to work following the sevenday excess period; the total benefit paid to the dental hygienist is $11,475 over the 16 week period.

A re you a sole trader or business owner? nD o you work as a Contractor? nA re looking for additional security to their employer’s workers compensation policy? n

DHAA members now have exclusive access to comprehensive and cost-effective personal accident cover. Having a personal accident policy in place will ensure quick

financial relief in the event you suffer an injury or become sick on the job. There are three package options to choose from.

Members who take out a personal accident policy will also have access to the Best Doctors Advice Service.

Best Doctors provide policyholders with access to a global network of

“ The service is entirely confidential, is not reported to insurers and extends to the policyholder’s children, partner, parents and in-laws.”

50,000 medical specialists who can work closely with individuals to provide diagnosis, second opinions and treatment options to assist a policyholder facing any injury, illness or medical condition (whether covered by this personal accident insurance policy or not).

This service is entirely

confidential, is not reported to insurers and extends to the policyholder’s children, partner, parents and in-laws.

This service can assist with many areas of medical advice, including: • If you receive a diagnosis but want to be 100% sure it is correct • If you need advice on what treatment plan to follow • If you are looking for the best local specialist for an in-person consultation • If you have a medical question but want to ask a professional, not surf the web • If you are confused about a medical condition and need access to thorough and reliable information.

In addition to specialist advice, policyholders will also receive access to an online portal to obtain everyday medical advice.

To apply for personal accident cover visit dhaa.bmsgroup.com and complete the application.

If you have any questions, contact BMS on 1800 940 762 or at dhaa@ bmsgroup.com n

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24

SAHMRI So Special As part of the SAi7 weekend Danielle Gibbens took the opportunity to have a look around the stunning South Australian Health and Medical Research Institute in Adelaide

25

26

A

s a part of this years Adelaide Symposium delegates had the opportunity to spend Thursday morning touring the new SAHMRI building which is located in the new biomedical precinct on North Terrace.

The precinct opened in 2013 and is the largest of its kind in the southern hemisphere. Approximately 15,000 individuals frequent this area on a daily basis, ranging from students, researchers, medical/health professionals and patients.

Built on the site of a disused rail yard, it is distinguished by its unique appearance. Locals have named it the ‘cheese grater’, but it is actually designed around the pine cone and its unique relationship with nature working with the elements.

Venture inside and this incredible design turns into a cellular form with the double helix being showcased when you peer up and travel down the spiral stair case. The concept was intended to inspire the medical scientists that work here, with 360 degree views of Adelaide’s CBD and light-flowing work spaces. With the use of natural elements, such as timber and glass, it us hard to feel inspired by this amazing building and it was rightfully awarded International Lab of the Year in 2015.

Owned by private enterprise, SAHMRI is the first independent flagship health and medical research institute in South Australia. It is a collaboration of the three universities in South Australia along with the support of both Federal and State governments along with SA Health.

Our lovely tour guide beamed with pride as she informed us that this project was

Every which way you look at this building you are blown away by it’s architectural beauty – hard to imagine that it’s a fullyfuntioning centre of research as well

“ SAHMRI has opened its doors and encouraged our very best scientists to stay in Australia and continue to do what they do best in an amazing atmosphere. ”

delivered ‘on time and on budget’. One of the luxuries of being a private enterprise.

The building has three ‘pods’. The central building being SAHMRI itself, the right pod being the CSIRO and the left pod being occupied by the first commercial partnership that SAHMRI has formed with Jones and Partners.

Providing researchers access to worldrenowned colleagues and state-of-theart equipment is an expensive business.

The benefit of commercial partnerships, such as this, is that they supplement the somewhat miserly 2% funding that

SAHMRI receives from the government.

The facility has seven key focus areas, namely: Aboriginal health, Infection and Immunity, Cancer, Mind and Brain, Healthy Mothers, Babies and Children, Nutrition and Metabolism and Heart Health. These are the current key focus areas of research for a healthier future and each of them has a head professor with specific interests in these fields.

We were lucky enough to travel via a Willy Wonka-inspired glass elevator to several of these levels to see the inner workings of this well-oiled machine.

27

The Cancer Research level is mainly focusing on blood cancers – currently the most prevalent cancer in children.

Breakthroughs in blood cancers have provided a remarkable increase in survival rates in this disease which SAHMRI hope will continue, along with advances in the treatment of bowel/ colon, bone and breast cancer.

Some of the amazing equipment on site was previously not accessible to those in South Australia. The most notable being the cyclotron machine.

This $15 million bit of kit is able to

radioactivate cells and make diagnosis and treatments of cancer quicker and easier by targeting the cancer cells directly. Previously this type of treatment was only available by travelling interstate and has the added advantage of releasing less radiation than that present in the atmosphere when not in use.

The SAHMRI building may well be architecturally amazing and have a lot of state-of-the-art equipment, but what had me in awe was their philosophy.

Their aim is to prevent people needing to use to building next door - the new Royal Adelaide Hospital. To achieve this will require hard work and international collaboration, but if all the discoveries in their labs come together globally they may just be able to do it.

SAHMRI has opened its doors and encouraged our very best scientists to stay in Australia and continue to do what they do best in an amazing atmosphere.

Currently there are 50 local PhD students in residence along with 50 internationals.

The income that is generated is divided between the research team and the theme team, with the remainder going into the SAHMRI coffers to ensure the future of the institution.

This work place is one that dreams are truly made of and what a deserving bunch of people to have it. The good news is more of these ‘lifesavers’ are going to have even more opportunity with SAHMRI 2 currently in the workings with a view to start building in the next six months with the help of a proton therapy provider.

I encourage you all to go on a tour of SAHMRI. Public tours are on Fridays and are bookable online through the website. Whilst you’re there you can look at helping fund the amazing research by purchasing a little piece of this ‘pine cone’.

Each of the 6000-plus windows are for sale. For a mere $100 you can put your name on a little piece of a building that’s doing big things. n You can find out more at www.sahmri.org

28 ABSTRACT Background Poor oral health has a significant effect on individual’s physical and social health.

Socioeconomic status is a major consideration for overall oral health status. Accordingly there is a need to promote low cost, easy access to oral hygiene products that are integral to maintaining good oral health. The aim of this study was to audit the price point of interdental aids available in Australia.

Methods A desk-top web based audit of publicly available data was conducted to identify the cost of interdental cleaning aids, including manual and electronic options. Cost per product was collected from four major Australian online retailers.

Results A comparison of the price point of different brands and styles of interdental cleaning aids found dental floss was the least expensive interdental cleaning aid per use, and the Waterpik waterflosser the most expensive per use.

Conclusion When making recommendations to patients low cost, easy access aids should be considered first, together with the dexterity and self-efficacy of a patient. Cost is an important component of an individually tailored oral hygiene plan. Accordingly, the need to promote low cost, easy access to floss and brushes is integral to oral health promotion.

To floss or not to floss An independent cost comparison of interdental cleaning aids

By Kristy Twomey, Dr Justine Leavy

D

ental caries, periodontal disease and tooth loss are major concerns for public health worldwide. Poor oral health can have a profound effect on an individual’s physical and social health, how they eat, talk and their quality of life (Sheiham, 2005). Despite

only’ products such as dental floss and considered expensive by the general population (Sheiham, 2005). Accordingly, most dental patients are intermittent interdental cleaners and adherence is low (Schüz, Sniehotta, Wiedemann, & Seemann, 2006).

A rural oral health intervention demonstrated that OH instructions can help to reduce decay and improve OH even when delivered by a non-dental health professional (Neumann et al., 2011). OH interventions also have the potential to be successful in improving the OH and reducing plaque and decay levels in minority groups from lower

“ In Australia an aging population and increase in public health initiatives involving water fluoridation are leading to more people retaining their teeth longer” improvements in the oral health of people globally, the burden of disease is still unacceptably high in disadvantaged and socially marginalised groups (Petersen, Bourgeois, Ogawa, EstupinanDay, & Ndiaye, 2005).

In Australia an aging population and increase in public health initiatives involving water fluoridation (Armfield, 2008) are leading to more people retaining their teeth longer (Tan, 2013).

Accordingly, there is a new emphasis on individual oral hygiene (OH) with an ever expanding market for OH products (Choo, Delac, & Messer, 2001).

However, these often are ‘one use

socioeconomic areas. Wiernitab (2011) describes a successful health promotion intervention as one that encompasses a tailored community approach, that meets the demands of the public but provides evidenced based information with the support of dental professionals (Weintraub, 2011). Health promotion interventions can be a successful way of improving OH knowledge and result in decreasing dental disease rates.

Socioeconomic status (SES) is still a major consideration for overall oral health status, with increased edentulism and worse self-rated oral health in groups from less advantaged

29

areas (Tsakos, Demakakos, Breeze, & Watt, 2011). Socioeconomic status affects the oral health of people of all ages, and Australian teenagers from lower SES areas have higher Decayed, Missing and Filled Teeth rates (DMFT) than the national average (Skinner, Johnson, Phelan, & Blinkhorn, 2013). In the United States (US) it was found that people from poverty stricken areas with limited higher education levels tend to have worse rates of DMFT (Liu, Li, & Walker, 2014). In another US study it was found that one of the greatest self-reported barriers to oral health in children was their limited access to a toothbrush (Walker & Jackson, 2015). SES is also shown to have a negative impact on OH behaviours as people from the poorest social groups often have much worse rates of dental attendance, tooth brushing and flossing, than higher SES groups (Ghorbani & Peres, 2015). OH

home care through brushing and ID cleaning can be a cost effective method for preventing decay and periodontal disease compared to professional treatments (Treerutkuarkul & Gruber, 2015). Accordingly, the need to promote low cost, easy access to oral heath aids such as dental floss and brushes is integral to good oral health. The aim of this study was to compare the price point per use of manual and electronic interdental aids available for purchase in Australia.

METHODS Data collection To identify the cost of ID oral cleaning items a web based audit of publicly available price/cost data was undertaken in October, 2016. Prices were sourced online from four large supermarket or discount chemist chains based in Australia, including:

Woolworths (http://www.woolworths. com.au/Online_shop); Coles (http://shop. coles.com.au/online/national); Priceline (https://www.priceline.com.au/); and Chemist Warehouse ( http://www. chemistwarehouse.com.au). No Ethics Approval was required as this was an analysis of publicly available data.

A data extraction table was constructed and collected price point data on ten items: Colgate Total waxed dental ribbon; Oral B essential waxed dental floss mint; Piksters ID brushes; Oral B satin tape; Piksters Supergrip; Flosser/toothpick; Reach Access flosser handle +9 heads; Listerine dento tape; Colgate Total dental floss waxed mint; Oral B; Essential Waxed Dental Floss Mint; Waterpik Waterflosser.

Sub categories described the length in meters according to the manufactures recommendations or the number of items per pack.

30 Table 1. Cost comparison of IP cleaning devised, initially and per use. Availability of products as available online from the following major retailers.

PRODUCT

PRICE PER USE

WOOLWORTHS

COLES

CHEMISTS WAREHOUSE

Colgate Total Waxed Dental Ribbon – 50m

Recommended 45cm per use = 111.11 uses per box

$4.07

Not Available

Not Available

$0.04 per use

Oral B Essential Waxed Dental Floss Mint – 100m

Recommended 40cm per use = 250 uses per box

$5.95

$6.44

$5.39

$0.02 per use

$0.03 per use

$0.02 per use

Piksters ID brushes – 10pk

Recommended 4 uses per Pikster = 40 uses per box

$8.30

$8.80

$7.99

$7.99

$0.20 per use

$0.22 per use

$0.20 per use

$0.20 per use

Oral B Satin Tape – 25m

Recommended 40cm per use = 62.5 uses per box

$4.00

$4.35

$3.99

$3.49

$0.06 per use

$0.07 per use

$0.06 per use

$0.06 per use

Piksters Supergrip Flosser/toothpick – 50pk

Recommended single use = 50 uses per box

$6.99 $0.14 per use

Not Available

$5.42

$6.49

$0.11 per use

$0.13 per use

Reach Access flosser Handle +9 heads

Recommended single use = 9 uses per box – refill heads available

$5.41 Not Available $0.60 per use

$4.99

Not Available

Listerine Dento tape –20m

Recommended 45cm per use

Not Available

$2.99

Not Available

Oral B Essential Waxed Dental Floss Mint – 50m

Recommended 40cm per use

Not Available

Waterpik Waterflosser

Unlimited use

Results Oral B Essential Waxed Dental floss Mint 100m was the least expensive method of ID cleaning costing $0.02 per use.

Dental floss was less expensive per use when bought in larger rolls ($0.02 in 100m roll vs $0.07 in 25m roll), across brands and for different sizes in the same brands. When comparing dental floss and dental tape to ID brushes, the price per use was less for each brand of floss when compared to ID brushes. The most

$3.99 $0.04 per use

Not Available

Not Available

$0.55 per use

Not Available

$0.67 per use

Colgate Recommended 45cm per use Total Dental floss waxed mint – 100m

Analysis The data was analysed by dividing the recommended length or use by the total length or number of items in the pack to establish the number of use per pack. This was then divided against the cost per item (in Australian Dollars) to establish a cost per use (Table 1).

PRICELINE

Not Available

$8.80

$7.99

$0.04 per use

$0.04 per use

$4.29

$3.99

$3.49

$0.03 per use

$0.03 per use

$0.03 per use

Not Available

$169.95

Not Available

Not Available

$0.47 per use if used 1xday for 1 years

expensive item per use was the Waterpik Waterflosser at $0.47 per use (Table 1).

Discussion The audit demonstrated substantial differences in the cost per use, for the commonly available brands of ID cleaning aids. The items audited across all three major supermarkets, found dental floss was the most economical ID cleaning aid per use. This can in part be attributed to the recommended limited number of times of use, per brush for ID brushes; however the number of uses may be more or less when used in real-life situations. The most expensive manual ID cleaning aid per use were Piksters ID brushes ($0.22 per use). The most expensive cleaning aid overall was the mechanical ID cleaning aid the Waterpik Waterflosser at a price point of

$0.47 if used once a day for one year.

The findings of the audit are relevant for dental clinicians recommending OH products to the general population who often perceive dentistry as expensive (Wallace & MacEntee, 2012). In addition, the cost of floss and interdental brushes may be a barrier to good oral health for some patients especially those from lower SES. Of interest, research from the Netherlands found despite a parents saying they valued their child’s oral health, 12% were unwilling to invest time and money into improving their oral health (Vermaire, van Exel, van Loveren, & Brouwer, 2012). Accordingly an awareness of low cost products and the alternatives to promote to patients has the potential to make OH recommendations more successful.

The promotion of dental floss and

31 tape remains an important public health message, despite recent reports to the contrary in the popular media (http:// www.bbc.com/news/health-36962667).

Flossing should be reinforced not only in opportunistic one-on-one OH instruction by health professionals but also in the popular media when corporates promote OH products and ID cleaning aids in television advertising. The health communication literature reinforces the notion that messages must be strong, salient and attract the target audience, and the opportunity to promote brushing and flossing as an integral part of oral health promotion is an overlooked segment of the advertising market that widely promote other products such as tooth whitening (Updegraff, Sherman, Luyster, & Mann, 2007).

The cost of ID cleaning aids that are commonly available to the Australian general public, should not be a barrier to good oral health. This study found dental floss was the least expensive ID cleaning aid per use and mechanical ID cleaning aid the most expensive, when looking at commonly available ID cleaning aids from major supermarkets.

It is a fundamental responsibility of dental professionals to be aware of the cost implications of the options they offer their patients, irrespective of whether it is treatment option or prevention especially for those who Acknowledgements and conflicts of interest There were no conflicts of interest identified during this study. Acknowledgement of technical, research, clerical and editing assistance must be given to Dr Justine Leavy.

Authorship: Both authors listed in this paper meet the guidelines of the International Committee of Medical Journal Editors (ICMJE).

KT conceived the study. JL provided input to the study design and methods. KT coordinated the collection of data and responsible for data analyses. KT drafted the paper. JL was responsible for editing and providing guidance on the paper. Both authors were responsible for critically revising the paper. Both authors read and approved the final paper for submission.

References: Armfield, J. (2008). The benefits of water fluoridation across areas of differing socio-economic status.

Choo, A., Delac, D. M., & Messer, L. B. (2001). Oral Hygiene Measures and Promotion: Review and Considerations (Vol. 46, pp. 166-173). Oxford, UK. Ghorbani, Z., & Peres, K. G. (2015). Is the

“ It is a fundamental responsibility of dental professionals to be aware of the cost implications of the options they offer their patients”

may have limited income. If dental professionals are recommending changes in oral hygiene routines, and oral hygiene products they must

association between socioeconomic status and nonreplaced extracted teeth mediated by dental care behaviours in adults? Community dentistry and oral epidemiology, 43(6), 532. doi:10.1111/cdoe.12178 Liu, Y., Li, Z., & Walker, M. P. (2014). Social disparities in dentition status among American adults. International Dental Journal, 64(1), 5257. doi:10.1111/idj.12062 Neumann, A. S., Lee, K. J., Gussy, M. G., Waters, E. B., Carlin, J. B., Riggs, E., & Kilpatrick, N. M. (2011). Impact of an oral health intervention on pre-school children &lt 3years of age in a rural setting in Australia.

Journal of Paediatrics and Child Health, 47(6), 367-372. doi:10.1111/j.1440-1754.2010.01988.x Petersen, P. E., Bourgeois, D., Ogawa, H., Estupinan-Day, S., & Ndiaye, C. (2005). The global burden of oral diseases and risks to oral health. Bulletin of The World Health Organization, 83(9), 661.

Schüz, B., Sniehotta, F. F., Wiedemann, A., & Seemann, R. (2006). Adherence to a daily flossing regimen in university students: effects of planning when, where, how and what to

consider the long term feasibility for the patient to purchase the products and the financial considerations of adhering to the recommendations. n

do in the face of barriers. Journal of clinical periodontology, 33(9), 612. doi:10.1111/j.1600051X.2006.00967.x Sheiham, A. (2005). Oral health, general health and quality of life (Vol. 83, pp. 644).

Skinner, J., Johnson, G., Phelan, C., & Blinkhorn, A. (2013). Dental caries in 14- and 15-year-olds in New South Wales, Australia. BMC Public Health, 13, 1060. doi:10.1186/1471-2458-131060 Tan, H. (2013). Dental behaviours among older adults over an 11‐year period. Australian Dental Journal, 58(2), 262-265.

Treerutkuarkul, A., & Gruber, K. (2015).

Prevention is better than treatment. Bulletin of The World Health Organization, 93(9), 594-594.

Tsakos, G., Demakakos, P., Breeze, E., & Watt, R. G. (2011). Social gradients in oral health in older adults: findings from the English longitudinal survey of aging. American journal of public health, 101(10), 1892. doi:10.2105/ AJPH.2011.300215 Updegraff, J. A., Sherman, D. K., Luyster, F. S., & Mann, T. L. (2007). The effects of message

quality and congruency on perceptions of tailored health communications. Journal of Experimental Social Psychology, 43(2), 249257. doi:10.1016/j.jesp.2006.01.007 Vermaire, J. H., van Exel, N. J. A., van Loveren, C., & Brouwer, W. B. F. (2012). Putting your money where your mouth is: Parents’ valuation of good oral health of their children.

Social Science & Medicine, 75(12), 2200-2206. doi:10.1016/j.socscimed.2012.08.018 Walker, K., & Jackson, R. (2015). The health belief model and determinants of oral hygiene practices and beliefs in preteen children: a pilot study. Pediatric dentistry, 37(1), 40.

Wallace, B., & MacEntee, M. (2012). Access to Dental care for Low-Income Adults: Perceptions of Affordability, Availability and Acceptability. The Publication for Health Promotion and Disease Prevention, 37(1), 3239. doi:10.1007/s10900-011-9412-4 Weintraub, J. A. (2011). Sustainable oral health interventions. Journal of Public Health Dentistry, 71, S95-S96. doi:10.1111/j.17527325.2011.00230.x

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

NATION STATE ACT

“ The ACT CPD committee has plans well under way for next year’s events, so please keep checking the DHAA website for updates”

WE ROUNDED OUT the last quarter of 2017 with ACT Director, Kathryn Novak being voted in as National President, congrats Kathryn.

The ACT Branch has been busy with two great speakers, Dr Papas and Dr John Cho keeping us up-todate with the latest trends i the world of orthodontics and prosthetics.

Dr Papas shared a range of cases, including correction of cross bites and crowding utilising the effectiveness of Invisalign aligners to expand the arch. He further highlighted a couple of CLII cases with full correction by distalising the molars followed by premolars and then anterior teeth. He even presented a surgical case aligning teeth with Invisalign, rather than using fixed braces, prior to the patient having surgery. He

also discussed Invisalign’s aligner mandibular advancement for children, which is an alternative to the twin block appliance.

Dr Papas showcased the innovation and advancements that have been made over recent years, debunking many myths that Invisalign is only useful for correcting minor crowding in CLI cases.

In October, we got together again at the Duxton Hotel for a great dinner meeting.

Dr John Cho was our guest speaker for the evening and he presented on Prosthetic Design: Principles for Hygienic Maintenance. Dr Cho started by showing a failed implant case he had inherited and explained the reasons for the failure. He presented great images of these implants taken under a microscope, which showed

extensive scratching on the surface. This highlighted the first principle of prosthetic design: all surfaces of any prosthetic placed in the mouth must be perfectly smooth. He then showed how the prosthetic denture had areas that were inaccessible for cleaning.

He demonstrated how he designs his prosthesis with curved margins to ensure the whole surface is accessible so it can be thoroughly cleaned.

He then discussed the importance of a team approach to achieve positive outcomes for his patients.

Both events were fun and informative. The ACT CPD committee has plans well under way for next year’s events, so please keep checking the DHAA website for updates on events and watch out for emails from me containing links to the events as they go live.

Thanks to all those that helped during my first year as Chair for the ACT Branch, it is quickly coming to a close.

I’d like to wish you all a very happy and safe Christmas and a very prosperous New Year. Thanks to a busy 2017 season of smiles and even more eventful 2018.

Madellyn Kennedy ACT State Chair

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

New South Wales

“ Our most recent CPD event was in Coffs Harbour and was a very successful Perio Masterclass”

FIRSTLY, I’D LIKE to introduce myself as the stand in Chair taking over from Tabitha. My name is Jacquie Biggar and I have been involved with the DHAA for over seven years.

My DHAA roles include past president and vice president of SA and most recently on the organising committee for the Adelaide Symposium. I currently work in private practice and at the University of Sydney.

2017 was NSW’s year to elect a new director of the board. Sahil Bareja was nominated and accepted the position, taking over from Ian Epondulan. Ian has played a huge part in the DHAA NSW over the past seven years spending time as National Counselor, NSW Director and State Committee Member.

Ian also volunteers his time with oral health promotion

while studying masters in public health.

Ian is a huge attribute to our profession and I would like to thank him on behalf of the whole association for his countless hours of dedication.

Sahil joins us with a huge drive and passion for Oral Health. He has completed his masters in sleep medicine, adult scope, and has designed and developed an application for mobile phones to track and help patients with their OHI. Sahil is motivated, professional and I’m very lucky to have him by my side.

The NSW committee has been busy planning 2018 CPD events making sure we cover a wide range of the state! Our most recent CPD event was in Coffs Harbour and was a very successful Perio Masterclass featuring

specialist Dr Jeremy Vo. A focused learning day on periodontal disease with the latest evidence-based data along with a practical workshop held by EMS and their Guided Biofilm Airflow.

NSW’s last CPD event for the year was the Christmas Dinner with a relevant overview of “The use of Botox in the Dental Setting”.

It is with regret that we have cancelled the Byron Bay event. Despite previous success the extremely low ticket sales this year was the deciding factor. We hope to run this event again in the not too distant future..

Lastly but definitely not least, I would like to thank Tabitha Acret. Tabitha has been a game-changer for the DHAA NSW. She has really gone over and above her volunteer role and transformed the state’s membership and CPD opportunities. Making sure every member and student all over NSW feels a part of the DHAA. Tabitha has moved interstate and has now been elected at Northern Territory’s director. I wish her all the best with her new venture and a merry Christmas to everyone!

Jaqueline Biggar NSW State Chair

34

Victoria

“ We are happy to announce the arrival of a new baby to the committee. ”

THE END OF the year is fast approaching and CPD event planning for 2018 is underway. February’s dinner meeting is confirmed and will be held at the Kent Hotel. Still to be finalised are a half-day in May and a Christmas in July in Mornington. Please check the DHAA website for updates as we continue to add information about speakers, topics and venues.

The DHAA is looking forward to a busy CPD year with state events and the much-anticipated National Symposium in Cairns.

We are happy to announce the arrival of a new baby to the committee. Huge congrats to Aimee Mills and her partner Jamie on the arrival of baby Evelyn Rose!

The Vic committee also welcome two student representatives, Peta Morrissey and Simon Chiem, who will liaise between the DHAA and students. They will both be valuable assets and we look forward to working with them.

Our very best wishes to all our members for the festive season and thank you all for your continued support, for without you the DHAA will not function.

Anne DiPaolo Victoria State Chair

Queensland

“ We will be running two membersonly hands-on Periodontal Instrumentation Workshops in 2018. I am sure these will be popular!”

AS 2017 DRAWS to an end I would like to reflect on the wonderful year we have had in Queensland. It has been a pleasure to lead the committee and I have received much positive feedback on the great events we have hosted.

Our final event for the year was on the Sunshine Coast. We had a delicious High Tea brunch where we heard from Dr Peter Chen on the topic of Periodontics and Shamus Breen from BMS discussed the DHAA insurance package.

2018 is shaping up to be an exciting year too. Our first event will see us back on the Sunshine Coast on 17 March with Carol Tran presenting her popular Ultrasonic and Air Polishing lecture series.

NSK will be sponsoring this half day event and you will have a chance to win a ProphyMate/Prophy Neo! Registrations are now. Click here to find out more.

I am excited to announce we will be running two members-only hands-on Periodontal Instrumentation Workshops in 2018. I am sure these will be popular!

Save the dates for these: Saturday 19 May and 25 August, 2018. Registrations will open in the new year.

We will also be bringing

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

you a full day CPD event in Brisbane as part of the National DHAA Risky Business Roadshow. The BMS insurance company will be presenting and we will be covering an infection control update also. Save the date for 23 June, 2018. More details to come soon.

It is exciting for us to be hosting the 2018 Symposium in Cairns next year. I’m sure that anyone who has attended a DHAA symposium will agree that they are fantastic events.

World class international and national speakers, a two-day trade exhibition and the infamous Gala Dinner. I would encourage you all to attend. Full details can be found here.

Finally, I would like to acknowledge the wonderful Queensland committee for all of their support and help throughout 2017.

I will be stepping down from my role as Queensland Chair, however I will be staying on the committee for next year. I wish the incoming Chair all the best and look forward to an exciting 2018.

Wishing you a safe and happy festive season.

Carlene Franklin Queensland State Chair

Northern Territory

NT MEMBERS WERE proud to represent our Territory at the National Symposium in Adelaide (see photo).

Our recent planning meeting, held over dinner and a drink, allowed us to make a a list of topics and events game-plan for 2018.

Already locked-in dates include a full day on 2 June, 2018. ‘It’s All About Prevention’ will focus on topics including silver fluoride, risk management and the latest research for in office fluoride recommendations in Darwin as well as Infection Control in Alice Springs on the 7 April. So, if you are looking

for a Winter escape come and join us during the ‘dry’ season. Keep an eye on the DHAA website for news.

NT has a very transient population and we would like to send our best wishes to Toni Massey who has made the move to Germany and Lauren Atzeni who will be moving interstate. You have both left a lasting mark in the Territory and we look forward to seeing you at DHAA events in the future.

Lastly, we welcome Karen La Fontaine to the growing NT committee. Long may it continue to grow!

Leonie Brown NT Chair

“ Already lockedin dates include a full day on 2 June, 2018.

‘It’s All About Prevention’”

Team NT swinging their thing at the Gala Dinner

36

South Australia

“ We are growing and expanding and with 335 current SA members we look forward to seeing even more of you at our CPD events.�

BY THE TIME this edition of the Bulletin reaches you the DHAA SA will have completed a fabulous year for our members and your SA committee continue to learn and grow to meet the needs of our members, ensuring variety and outcomes for all.

Our Christmas Breakfast by the Beach with Dr Mel Hayes presenting would have been an outstanding success and have inspired the attendees to remember their passion for this profession and how integral our role is in the health of our community.

Congratulations Symposium Adelaide! What an absolutely outstanding three days at the Convention Centre. There were a recordbreaking 502 delegates, a varied and informative program, tremendous and supportive trade display and a fabulous Gala Dinner.

A total success on all counts.

Special mention to Ali Taylor for steering the ship, we were in excellent hands.

Dates are set for 2018 and we have a big year planned, with many CPD opportunities to meet the needs of our members.

In answer to your feedback we will be getting out of the CBD more and offering more opportunities to visit

Meet your ever-so smiley SA committee

regional areas and make a day of it. We will travel to the Barossa Valley, and be hosted at Sprout cooking school with exciting speakers related to the latest food and health topics.

The fabulous formal June Dinner Event will host a very special and highly sought after speaker, Emeritus Professor Mark Bartold. We will be offering hands-on workshops and delivery a variety of topics to excite and invigorate your neurons and social diet.

We congratulate all of our wonderful new graduates from ADOH and BOH 2017 and look forward to seeing you at our events and getting involved in your

professional association.

It is always wonderful to see regular faces at our events and even more than that we have welcomed not so regular, newer members and some who have found their way back to enjoy what our National Association has to offer.

We are growing and expanding and with 335 current SA members we look forward to seeing even more of you at our CPD events and our membership growing even more.

Wishing you a very peaceful and enjoyable festive season and Happy New Year from DHAA SA. Lyn Carman South Australia State Chair

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38

Western Australia

“ I would like to take this opportunity in thanking our previous Director Rhonda Kremmer, for all her mentoring, support and encouragement”

2017 HAS BEEN an incredible year for me as your new Chair of WA. I have experienced a wealth of knowledge and gained much experience and insight from my peers in the DHAA National and State Committees. The Leadership training in Melbourne for Directors and Chairs in May certainly fostered new friendships and emphasised the need for cohesiveness within an association.

I would like to take this opportunity in thanking our previous Director Rhonda Kremmer, for all her mentoring, support and encouragement that she gave me in my new role as your Chair, and I am pleased to announce that she will continue as a general committee person in 2018.

We welcome Samantha Stuart as Rhonda’s successor, a very enthusiastic new addition from the country town of Geraldton.

Using the new Zoom Conference Application, we

have our meetings with Sam and Bonnie connecting up online. I am looking forward to working collaboratively with Sam and brainstorming for ideas!

Another big welcome to new committee member, Yuko Shimizu with a keen interest for working in Residential Aged Care, her input will be a very welcomed addition to the team.

The DHAA WA committee are seeking expressions of interest from members who would be interested in joining the team for 2018.

A few of our members have expressed that they will stand down in the future and we need new members to help organise our CPD events.

Without representation in WA, our members will not be able to access local CPD or be kept up-to-date with National DHAA events and information as succinctly as it does to date.

I encourage all to consider in joining myself and your

new Director Samantha with our other committee members, for an exciting year to come. We are a cohesive committee who help each other to get the tasks done.

Please contact me directly at chairwa@dhaa.info if you are interested in taking part.

At our full day event in Busselton “Through the Looking Glass”, members gave us valuable feedback on what topics that they would like to see included in future events.

We have addressed some of these for 2018.

Since the last report, WA has had CPD events with a variety of topics.

Our Perth Breakfast Meeting: “Going Viral: A HIV and Hepatitis Update” saw Dr Wayne Sherson present an amazingly informative talk with relevant up to date information about the reductions in morbidity, mortality rates and the changes for treatment and management of HIV, Hepatitis C and B.

Head down and hands-on LEFT TO RIGHT: The Carevan volunteers; Crofton Daniels discusses elderly treatment; Dr Wayne Sherson goes viral as a Vietnam volunteer

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

In the last five years there have been significant changes in the management and treatment of HIV and Hepatitis and as dental professionals it is our role to educate our patients on their availability and the prevention of oral health complications. There are new treatments for Hepatitis C with little to no side effects and now pre and post exposure Prophylaxis (PrEP and PEP) for HIV exposures.

In November we heard from Dr Crofton Daniels on “Indications for Early Orthodontic Treatment” .

His lecture was clear and thorough, about common malocclusion problems, how early to treat / when to refer for treatment, and a basic rundown of how these cases are treated. Incredible before and after photos were shown throughout the lecture, as well as videos of how some of the orthodontic appliances work.

WA Children’s Week was held in October and for the fifth year Wendy Wright has organised a DHAA booth and encouraged Curtin OHT students to volunteer. We had 10 students come help us on the day and it was the first year to include oral screening “Lift the Lip”. The consensus being that parents that

visited the booth showed a low dental IQ. The DHAA WA committee sincerely thank our volunteer OHT students from Curtin University for their enthusiasm to help us deliver our program each year.

We also acknowledge Colgate for providing ‘Care Packs’ with age appropriate toothbrushes and toothpaste to support our hands-on learning activities and to encourage improvement in home care routines.

We have had 26 new members join the DHAA from the OHT student talk on 3 November at OHCWA (Curtin University). The encouraging offer of BMS to join up on the day to get free membership and indemnity insurance from now until the 30 June, 2018 certainly encouraged the students to come on board.

We have a busy year ahead.

Some of the CPD have gone live with Eventbrite, please refer to the DHAA website to register early I would like to wish all our members in WA a very merry Christmas and a happy new year. Please stay safe and I looking forward to seeing you for a new and exciting year in 2018.

Aileen Lewis Western Australia State Chair

Tasmania

“ We urge you to come along and support our upcoming events on the Apple Isle”

Team Tassie putting on their swing party poses

CONGRATULATIONS TO Alison Taylor and the organising committee, on such a successful National Symposium in Adelaide.

Every year we see a growing number of delegates and what a fantastic trade exhibition.

We can’t wait for the 2018 National Symposium in Cairns; Talking Teeth by the Reef!

Since our last report, it has been a bit too quiet, with the unfortunate cancellation of our half day Christmas High Tea with Peak Hygiene Performance, however despite this it’s full steam ahead in preparation for our 2018 events.

We urge you to come along and support our upcoming events on the Apple Isle. Join us and treat your taste-buds to Tassie’s finest during Festivale weekend on 3 February.

On 26 May, we will be hosting the ever-popular Guided Biofilm Therapy Masterclass. Places are limited so get in quick!

I hope you all have restful and relaxing Christmas break with your family and friends and we look forward to seeing you at our events in 2018!

Rachelle Johnson Tasmania State Chair

40

DHAA Year Planner - 2018

The CPD Events calendar is filling up. Full details at www.dhaa.info/events

MONTH

DATE

EVENT

LOCATION

DEC-17

18-Dec

Webinar: Fair and unfair contracts

Online

FEB-18

3-Feb

DHAA TAS ‘Focus, Food, Festivale!’ half day

Hotel Grand Chancellor, Launceston

6-Feb

DHAA SA New Graduate Social Event

The Maid Hotel, Stepney

10-Feb

DHAA WA Half day

Bendat Community Centre, Wembley

28-Feb

DHAA Vic Dinner Meeting

Kent Hotel, Carlton North

2-Mar

DHAA ACT 'Risky Business' Roadshow

QT Canberra

17-Mar

DHAA QLD Ultrasonics and airpolishing

Parklands Tavern, Meridan Plains

21-Mar

DHAA SA Supper Meeting

TBC

7-Apr

DHAA NSW Hunter Valley Full Day

Hunter Valley, NSW

7-Apr

DHAA NT 'Risky Business' Roadshow

Doubletree by Hilton, Alice Springs

MAR-18

APR-18

14-Apr

DHAA WA Guided Biofilm Therapy

Pagoda Resort & Spa, Como

5-May

DHAA ACT Full day

Manuka

12-May

DHAA NSW 'Risky Business' Roadshow

The Blue Room, Bondi Beach

19-May

DHAA QLD Fundamentals of Instrumentation

Milton

26-May

DHAA TAS Guided Biofilm Therapy

Mantra Charles Hotel, Launceston

29-Jun

DHAA SA Formal Dinner Meeting

TBC

30-Jun

DHAA NT Full day

Mantra on the Esplanade, Darwin

JUL-18

20-Jul

DHAA WA Full day

Pagoda Resort & Spa, Como

AUG-18

4-Aug

DHAA NSW CPD Ski Weekend

Novotel Lake Crackenback Resort & Spa, NSW

11-Aug

DHAA SA Destination CPD event

Wine Country, SA

25-Aug

DHAA NSW ‘Love Your Sister’ Full Day

Taronga Zoo, Sydney, NSW

25-Aug

DHAA QLD Half day

Milton

SEP-18

7-Sep

DHAA SA Full day CPD

TBC

OCT-18

18-20-Oct

National Symposium 2018

Cairns Convention Centre

DEC-18

2-Dec

DHAA SA Christmas Lunch

TBC

AUG-19

15-17-Aug

International Symposium on Dental Hygiene

Brisbane Convention Centre

MAY-18

JUN-18

Key to the state colours n ACT

nN SW

n NT

n Qld

nS A

n Tas

n Vic

nW A

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