EQ Solutions

EQUIPMENT SOLUTIONS

by Henry Schein Halas

Issue 7, March 2018

Preparing your practice for Cone Beam Imaging – William Tan, Sieverts p.64

In this Issue The birth of Smart Chairs p.10 Designing your Steri Room for full compliance p.18 Dental Health and it’s importance to Oncology p.34 Introducing Romexis Insights p.84 Top tips for attracting talented staff p.100 Nurturing patient relationships p.108

Contents Articles & Content

Equipment Listings

A Word from the Equipment Director

03.

Dental Chairs 14.

Showrooms & Equipment Team

04.

Infection Control 42.

Upcoming Events 06.

Intra Oral Imaging 54.

New this year! 07.

3D Cone Beam Imaging

Equipment Offers 08.

iCAT 3D CBCT 70.

The Birth of Smart Chairs

10.

OPG Imaging 74.

Designing your steri room for full compliance 18.

Plant 76.

IN•PRACTICE - Gympie Road Dental

Chairside CAD/CAM 80.

24.

Battery Hill Dental - Surgery Setup Academy 28.

Dental Health and it’s importance to Oncology 34.

Handpiece Hotline 40.

The Future of Sterilisation - Mocom

46.

Guided Biofilm Therapy

50.

Planmeca CALM 60.

Preparing your practice for CBCT Imaging

64.

Durr Power Tower 78.

Integrating 3D Printing 82.

Planmeca Romexis Insights

84.

Taking your Practice Paperless

86.

Attracting Clients - Apollo Films

88.

Advice for your first practice - Elite Fitout

90.

Getting your equipment finance right

96.

Top tips for attracting talented staff

100.

Cashflow accounting - Bones Accounting

104.

Nurturing patient relationships

108.

Customising your Steri Room for Full Compliance – p.18

Top tips for attracting talented staff – p.100

2 | EQUIPMENT SOLUTIONS

68.

A word from the Equipment Director We are very pleased to deliver this edition of Equipment Solutions which has a focus on some very important issues for our dental community, namely education and sterilisation practices.

At Henry Schein, we are in an enviable position to work with and be exposed to many experts in our industry all over the world and so one of our goals is to harness these experts and bring their experience and knowledge to the wider dental community.

Over the past 2 years we have started the ‘New Surgery Setup Academy’ where we bring together experts in different aspects of creating and operating a successful new dental practice from finding the right location, to how best to fund, best in practice workflow design and marketing for success. Over these past few years we have had hundreds of interested parties go through the Academy to learn from the best and many new practices now opening their doors as a result.

This edition of Equipment Solutions has some great examples of what it takes to go through the various challenges of opening a new dental surgery, so we hope you both enjoy and learn from their experiences detailed in the articles and events.

Another major issue facing our dental industry is that of sterilisation regulation and consequences.

You only need to look at the front page of recent newspapers to see how critical these sterilisation procedures are and how rapidly the rules are changing for good reason.

From discussions with numerous dental professionals across Australia we understand that every practice takes this area of sterilisation very seriously, but in such a busy environment, with changing regulations, we believe we can bring a Total Steri Solution to the market, which addresses this critical area in a manner which has never been thought of before.

Our objective is to bring to you a total solution encompassing, constant training, modern purpose-built facilities, equipment and complete consumables supply in an easy to understand and implement fashion that is affordable to all, so please enjoy reading about this new Total Steri Solution in this edition of Equipment Solutions.

Russell Christian Equipment Director, Henry Schein Halas

3

Showrooms & Team

New South Wales

Patrick Tarrant 0406 383 750

Debra Trentin 0417 474 498

Queensland

Jeremy Stafford 0439 432 462

Mellick Madi 0419 977 688

Service team: 9

Emma Addy 0417 282 299

Victoria/Tasmania

Yolanda Wang 0408 263 598

Service team: 11

Service team: 9

Michael Findlay 0408 338 255

South Australia

Service team: 4

Danial Wong 0407 291 964

Western Australia

Service team: 7

Tom Mathers 0429 443 913

National Sales Team Rory Linnow 0419 046 267

4 | EQUIPMENT SOLUTIONS

Andreas Schulz 0448 062 459

Showroom Locations

National Sales Team Brett Butcher 0402 008 728

Laszlo Varkovi 0407 935 847

5

News & Events

Upcoming Events March Surgery Setup Academy QLD Brisbane Showroom 9th Australian Orthodontic Congress Riding the Waves of Change 9th to 12th ADX 2018 Australia’s Premier Dental Event 23rd to 25th

April

The Henry Schein Halas stand at ADX 2016

Young Dental Conference (YDC) VIC 6th and 7th Australian Orthodontic Congress Riding the Waves of Change 9th to 12th ADX 2018 Australia’s Premier Dental Event 23rd to 25th

May Dental Marketing for the Digital World WA, VIC & NSW

1st, 7th and 9th

Young dentists networking at YDC 2017

DPL Young Dental Conference NSW 12th Bone Grafting and Regeneration NSW 14th

Imaging Focus in Brisbane, November 2017

See more events at www.henryschein.com.au/education 6 | EQUIPMENT SOLUTIONS

New this year!

Looking for the latest and greatest dental equipment? Here is a selection of the newest products to hit the market! Want to learn more? Contact your local Equipment Specialist or see us on stand at ADX 2018!

Planmeca Solanna operating light The Planmeca Solanna™ operating light gives perfect visibility over the entire treatment area with adjustable brightness and colour temperature. The advanced LED technology and mirror optics of the light guarantee a large illumination field, which provides excellent visibility to every corner of the treatment area minimising the need to adjust the light head during treatment.

Speak to your Equipment Specialist for more information!

Planmeca CALM The name CALM stands for Correction Algorithm for Latent Movement and describes a projection geometry optimisation algorithm which can analyse and compensate for patient movement in CBCT images. The outcome is an improved image which eliminates the need for retakes – saving time and improving patient safety.

For more information see the article on page 60 or speak to your Equipment Specialist

KaVo Imaging Range Hitting the Australian market this ADX, the new KaVo imaging portfolio is the result of consolidating the award-winning Instrumentarium Dental and Soredex products under the KaVo brand. For more than six decades these brands have been at the forefront of extraoral imaging innovation.

Speak to your Equipment Specialist for more information or see the equipment listings on pages 54-57 & 72-78 !

7

EQUIPMENT SOLUTIONS

by Henry Schein Halas

Looking for Equipment?

Get a great deal with Henry Schein Halas!

Incredible pricing specials across the range

Extended warranties*

Pay nothing ‘til 2019!

Enjoy no interest and no repayments for up to 9 months* when you purchase any Equipment from Henry Schein Halas!

Contact your local equipment specialist today for more info!

Bundle and save up to $4,000 on imaging!

10th INTERNATIONAL QUINTESSENCE SYMPOSIUM on

&

PERIODONTICS RESTORATIVE DENTISTRY

Dr Rupert S Austin London, UK

Deborah Bomfim London, UK

New Frontiers of Aesthetic Excellence

Successfully Integrating the Best of Traditional & Digital Dentistry

OCTOBER 11-14 2018, SYDNEY

Dr Wenche S Borgnakke

Lorenzo Breschi Bologna, Italy

Melbourne, Australia

Dr Chee W Chang

Dr Arndt Happe

Dr Christopher CK Ho

São Paulo, Brazil

Michigan, USA

Dr Stephen J Chu New York, USA

Dr Victor Clavijo São Paulo, Brazil

Münster, Germany

Dr Paulo Kano

Sydney, Australia

Associate Professor Tomas Linkevicius V

Vilnius, Lithuania

HSH3230

Scientific Chairman Professor Laurence Walsh Brisbane, Australia

Proudly sponsored by

Dr Anthony Mak Sydney, Australia

Professor Marleen Peumans Leuven, Belgium

Associate Professor Axel Spahr

Dr Douglas A Terry Houston, Texas, USA

Sydney, Australia

Register at

www.henryschein.com.au/iqs

Register Before

30th June for an early bird

special!

The Birth of Smart Chairs Smart Chairs

Clive Dodd

10 | EQUIPMENT SOLUTIONS

To declare at the outset, I’m a gadget guy, I routinely converse with Siri and Alexa, I swoon over shiny new Mac’s and the iPhone and watch combination never leave my side. Don’t misread me, I value my down time, all work and social media is no way to live; but toss those CD’s and DVD’s and pass me Spotify and Netflix.

Of course all this screen time takes its toll, nothing like decompressing on the drive home; keyless start, radar cruise control, automated lane keeping tech, climate control, and that little thing that goes bing when there is a car in my blind spot. Geek heaven in wrapped in an affordable family car, and the amazing thing is, all this technology just works and we don’t question it.

There is an area of life that I really haven’t reconciled.

With ubiquitous adaption technology for comfort and safety, why is the dental equipment that occupies so much of your day so technologically speaking; dumb?

Surely a touch of automation will go such a long way to make you more comfortable and productive now, and how will it serve you in the future?

At Henry Schein Halas we’ve got it pretty well nailed on the quality offering stakes when it comes to dental equipment. With Morita, KaVo and Planmeca our showrooms will surround you with equipment that you can build a successful practice around. Better yet we truly understand that your success is the key to our future as well.

In our showrooms you’ll be shopping at the top shelf in terms of quality and longevity. We know our equipment is a sound investment and you’ll be supported and backed

by Australia’s largest service network that you helped us build. Moreover with other like-minded clients investing in the quality brands our support grows and constantly improves.

What we rarely talk about however is how affordable the next generation of dental chairs are nowadays. The chairs that have just a touch of geekiness about them; the path to the smarter office. I suspect about now I may have lost you as you may be thinking big Lexus, Beamer and Merc prices; I’d like to assure you we’re not thinking that; we’re talking Mazda 6, Toyota Camry and Subaru Outback prices, truly middle of the road.

Planmeca is an example of a company that is doing amazing things. They are a young and energetic, family

11

Smart Chairs owned factory. Based in Helsinki Finland, they have clear focus of creating quality products. With local universities feeding them with technology focused engineering students, they participate and sponsor youth challenges in technology looking for the next smart idea or innovative solution. Moreover, being a captain of Finnish industry, they are immersed and epitomise Scandinavian industrial design culture of smart, effective and efficient solutions.

Take that culture and plug it into Planmeca, the world’s largest privately owned dental equipment manufacturer who just about made the €750 million turnover last year.

You’ll have a R&D powerhouse, an amazingly forward thinking organisation and contributor to our dental society.

In their 45 years or so Planmeca worked established themselves as leaders in 2D and 3D imaging, as well as an integrated dental CAD/CAM, (scan, print and mill) provider. With this and their all-in-one Romexis software solution, Planmeca have created an all-round connected and open ecosystem with a solid eye to future developments.

Planmeca’s Compact iTouch dental unit is an amazing unit at a family car budget all controlled through a smart phone like touch-screen. Periodically, as with your smart phone, Planmeca add functionality through free updates. Practically this means efficiency, comfort and user controls that can be updated. In this context, I’m 12 | EQUIPMENT SOLUTIONS

not referring to the class leading comfort of their ultraupholstery, rather comfort by way of examples; a light that dims or turns on and off when you move the patient (you don’t want to dazzle your patient), the balance of the handpiece system your hand, the touch screen control can also be your mouse or keyboard for your PC to aid in infection control.

Add your tablet into your workflow with iRomexis, setting up for an x-ray or simply showing your intra oral images so you can communicate with your patient in a very social way, comfortable familiar and really natural adjunct to your working day.

Planmeca’s technology also brings automation. You’d expect that if you lifted a high quality camera that it would be instantly on and ready to use, some units do this, that the foot control freezes it and also saves it to your data base, very few can do that. A doctors control guides you through user settings and maintenance procedures or a screen that shows you integrated patient solutions whether that’s at the chair, or on a PC, Mac or tablet.

RFID is the technology we use to PayWave our way into cashless society; if you’re a larger practice, it’s possible for your personalised unit preferences travel with you on a RFID card, by tapping on when you sit at the chair for your preferences to be automatically set. Planmeca has been offering this as an option for over a year. Imagine what will come with that technology as your patients

add smart watches and phones that have the same technology.

Some would appreciate if the unit could help validate it’s care and maintenance, to offer help or prompt when a service call or help is required. Perhaps you’d like to be able to check to see a record of the daily and weekly maintenance to validate that is been completed; this is all part of the unit’s capability now.

Planmeca’s Romexis Insights software

If you have a couple of practices or a couple of hundred, Planmeca chairs are part of that new Internet of Things (IoT). This means whether online or locally you can choose to monitor your chair, x-ray or CAD/CAM to make sure you’re getting the most out of your Planmeca assets.

Perhaps something as simple as having a quick look to see if your new employees are working comfortably with the units without errors. You could even check to see if the patient is in the chair yet on your smart phone as you ponder the efficiency of the public transport system.

Again all possible right now with 2018 units.

This may all sound a little much, perhaps even a bit out there and unnecessary. We’d like to offer a counterpoint; the chair you’re shopping for today will likely be with you well into 2030. With the rapid growth in the connectivity of ‘things’ it’s not difficult to conceive that in 10 years time, as part of effective practice management having a connected dental chair will just be expected, allowing service to login to help, staff to measure and validate, practice business planning to consult and utilise, enabling staff to prepare and assist in treatment.

Planmeca’s intelligent touchscreen user interface

With Planmeca we’re there right now a great new chair, ergonomics, instrumentation and connectivity. Even if you chose not to right now, later it can be online, it can be one of those Internet of Things devices, just waiting for you to connect.

I’d like to extend an invitation for you to drop in and ask us the important questions; how will this chair improve my day, my practice and my patient outcomes. I know we have some great answers from not only Planmeca but also from our other partners that make terrific equipment KaVo in Germany and Morita in Japan. We’ll look forward to helping you with your practice needs.

Clive Dodd Product Manager - Dental Chairs

Integrated line cleaning functionality on the Morita Soaric

13

Planmeca Compact iTouch Dental Chairs

Planmeca’s Compact iTouch provides superior usability and comfort in a perfectly compact package. The design of the iTouch supports a smooth, ergonomic workflow for improved user operation. With more than 40,000 satisfied customers around the world, the Compact iTouch is packed with features and functionality at a very competitive price. òòNEW class leading Solanna operating light òòLED instruments including Endo Motor and No Pain Scaler òòClass leading comfort for user and patient alike òòEffective automatic cleaning features òòAttractive design with simple external infection control òòSuspended chair with small footprint òòAvailable in hanging tube, swing arm, and cart version

KaVo Primus 1058 LIFE

KaVo Estetica E50 LIFE

òòHigher maximum patient weight – up to 185kg

òòAvailable in hanging tube & swing arm version

òòExtended highest and lowest positions

òòNew streamlined chair design with optimised softer upholstery

òòNew dentist element with intuitive design òòImproved operating concept with direct selection buttons òòAvailable in hanging tube, and cart delivery

òòExtended highest/lowest chair positions and 185kg patient weight capacity òòHigh definition monitor available in 19“ and 22“ òòAvailable in knee-break chair delivery

14 | EQUIPMENT SOLUTIONS

Morita Soaric The exceptional quality and timeless design of the Soaric fosters an atmosphere of trust and safety, underlining your competence and professionalism. This leads to a greater degree of satisfaction, after all, the more relaxed the patient, the more pleasant the treatment. This combined with a wide array of options makes the Soaric a worthy addition to any prestigious practice. òòLED Operating Light and scaler included òòAssistant arm and operation panel òòSingle foot control and hydraulic chair movements òòMost quiet dental chair in the market place òòNumerous options available including microscope integration òòAvailable with Knee-break

KaVo E70/80 VISION

Planmeca Compact Side Delivery

òòMost advanced intuitive touch display instrument control

òòLED instruments including Endo Motor and No Pain Scaler

òòEasy access to patient resulting from suspended chair

òòClass leading comfort for user and patient alike

òòIndustry leading KaVo LUX 540 LED Light

òòEffective automatic cleaning features

òòOptional DIAGNOcam integration

òòAttractive design with simple external infection control

òòAvailable in hanging tube, swing arm, and cart version

òòAvailable with the NEW Solanna operating light

equipment@henryschein.com.au | www.henryschein.com.au

15

Switch in Signo for iClassic

Planmeca iClassic Dental Chairs

The Planmeca Compact iClassic is a cost-effective unit with all the essential functionalities, making it an ideal match for the requirements of general dentistry. òòPackage includes: Doctors syringe, turbine line, LED Minetto Micromotor and EMS No Pain Scaler. òòSingLED operating light òòAttractive design & unbeatable ergonomics òòSuspended chair with small footprint òòAvailable in hanging tube & continental delivery

KaVo Estetica E30

Morita Signo G10 II

òòFully ambidextrous – moves from left to right in just two minutes

òòFive perfectly balanced instrument lines

òòMulti-function foot control for all chair and handpiece functions òòHigh speed lines, 3F, Piezo scaler, and electric motor òòAvailable in hanging tube and swing arm delivery

16 | EQUIPMENT SOLUTIONS

òòNew straight-handled triplex syringe òòAvailable in hanging tube or continental delivery system òòSelf-retracting continental style handpiece levers òòUltra-quiet hydraulics

KaVo treatment units

If you´re looking for the best there is, you´ll love KaVo.

E50 Life

Treatment unit Advert (KaVo Range) 1058 Life

E70 Vision

E80 Vision

E30

Total Steri Solutions

Designing your Steri Room for Full Compliance Total Steri Solutions

18 | EQUIPMENT SOLUTIONS

TOTAL STERI SOLUTIONS

by Henry Schein Halas

From a complete fit out to online training, industry experts join forces to provide end-to-end solution for your surgery’s sterilisation needs.

Infection control and sterilisation may not be the first things that come to mind when building a practice.

Nonetheless, it is important to note that any mistakes from the outset – whether in terms of steri room design, setting up disinfection control protocols or workflow – can prove to be more costly than initially thought.

We have all read media reports of surgeries being forced to close due to insufficient hygiene procedures and failure to comply with minimum standards. It’s easy to conjecture how such incidents could have been prevented with better planning or by installing the right equipment and so on. Yet how far can you vouch for the hygiene standards of your practice prevailing in an audit today? For that matter, do you know what a fully compliant sterilisation room is or isn’t?

Keeping abreast of changing sterilisation regulations may not be as simple as it sounds. Meanwhile, failure to comply can incur hefty penalties. In extreme cases, you may lose your practice licence for good. Instead of guesswork, wouldn’t it be safer to employ a team of industry experts that can align your surgery’s hygiene practices with prevailing safety standards?

Henry Schein Halas (HSH) have partnered with Ritespace Steri Solutions (RSS) and Prof. Laurie Walsh to do just that. Newly launched in Australia, Total Steri Solutions provide an all-encompassing service to help secure sterilisation compliance and workflow for your practice.

Check your blind spots Total Steri Solutions was birthed out of the observation about the rising incidence rate of Australian surgeries that fail to comply with sterilisation standards leading to forced closure and the increased scrutiny by Dental Associations both in Australia and around the world.

Led by Henry Schein Halas, discussions with Prof Laurie Walsh and subsequently Ritespace Steri Solutions took place with an aim to develop a unique solution package that addresses all the compliance issues – many of which may be hidden in the dentist’s peripheral vision.

There are several pitfalls that make Australian dentists stumble in the area of sterilisation compliance, says Andreas Schulz, Total Steri Solutions Lead: “One common blind spot relates to proper storage and documentation – where to store, find, fill in and maintain 19

Total Steri Solutions

the correct protocols and procedures. The other one is unexpected staff turnover resulting in constantly having to retrain new personnel on sterilisation protocols, while lacking the educational resources or skilled trainers for the task. Unexpected breakdowns due to wrong usage of equipment or protocols can also cause dramatic outcomes.”

Perhaps the most common problem stems from a lack of focus, Andreas adds: “Most dental surgeries focus on issues like creating customer satisfaction, great “in chair” experiences and attractive marketing. Those time-consuming activities can distract you from the rather complicated sterilisation issues that often get compromised, whether knowingly or otherwise.”

What’s in the package?

Total Steri Solutions effectively draw on industry-leading expertise representing every field of dental sterilisation: Disinfection equipment, instruments and consumables supply (HSH); steri room design, build and construction (RSS); as well as sterilisation compliance protocols and workflow (Prof. Walsh). Together, these field experts help take the hassle and guesswork out of sterilisation room design, certification and maintenance.

“It’s a unique peace-of-mind package that guarantees clients a state-of-the-art, fully certified and audit-ready work environment,” says Total Steri Solutions Lead,

20 | EQUIPMENT SOLUTIONS

Andreas Schulz. Indeed, you would be hard-pressed to simply locate a similar offering on the market – not to mention the end-to-end services that are included in the package.

Here is what you can expect from a Total Steri Solutions (TSS) setup: • Customised and purpose-built sterilisation room – fully compliance tested and certified • State-of-the-art equipment • Fully compliant workflow including tracking*, recording and storage of data • Installation and handover over in a single weekend limiting practice downtime • Operating Lease ensures a 100% tax-deductible monthly payment fixed over 5 years • App for compliance information, document storage, access to information, videos and training • Online compliance and work flow material and workbook presented by Prof. Laurie Walsh • Automated monthly consumables packages included in payment plan • 5-yearly renovation for ongoing compliance *Dependent on chosen equipment.

TOTAL STERI SOLUTIONS

by Henry Schein Halas

Full customisation.

Full compliance.

No compromise.

No worries

• All site work completed over a weekend - No lost chair time • 100% tax deductible fixed monthly pricing • Guaranteed ADA compliance • Online training resources

Contact your Territory Manager today for more information!

21

Total Steri Solutions

App to get you started One of the most unique aspects of the TSS package lies in the use of a purpose built app, which allows the customer to create a bespoke steri room design, in collaboration with the TSS team.

The interactive app provides a digital platform upon which experts from the Henry Schein and Ritespace team may design a fully complaint workflow based on your input. Incorporating all the proposed design, equipment and technological elements, an elevation drawing may be created to offer you a pre-visualization of how the space would look like.

Based on a unique leasing model, the app can even calculate the estimated monthly fees covering: Rental costs of all the equipment and technology; ordering of consumables (which is done automatically); and accessing online training resources on sterilisation compliance and certification.

All relevant costs are automatically rolled into a fixed, 100% tax-deductible monthly price – calculated for a period of 5 years. The package is renewable at the end of every 5-year period, upon which the steri room would receive another round of renovations to maintain optimal workflow and compliance.

All in a weekend’s work Upon confirmation, it would take approximately 6-8 weeks for all the hardware and services to be shipped onsite. And here is the deal clincher: Complete fit out and installation of the steri room all takes place within a single weekend! By working during the surgery’s closing hours, this exclusive feature is designed to save on exorbitant downtime costs – which even based on conservative estimates is pegged around $15-20K. Responsible for the physical design and build of the steri room, Ritespace is the solutions partner that makes this fast, hassle-free turnaround a reality. Armed with over 40 years of collective experience in dental practice renovations, the team at Ritespace is one of few fit out firms that has a clear understanding of the current standards in infection control and instrument re-processing.

“There are some very strict guidelines pertaining to flooring, lighting, plumbing, positions of sinks, electrical standards and the entire workflow. Even our cabinetry designs incorporate elements of infection control,” says Simon Bubear.

22 | EQUIPMENT SOLUTIONS

“With the assistance of Professor Laurie Walsh, our whole steri design concept is built around ensuring complete compliance. Our combined expertise and methodical approach to meeting high sterilisation standards certainly allow dentists to feel confident about our fit outs.”

weekend. Remarkably, even as each fit out design and layout is fully customizable, every single installation will be fully compliant with current infection control standards and sterilisation requirements. This is, after all, the solution’s main selling point.

A typical fit out includes demolishing an existing steri room before re-installing a brand new state-of-theart sterilisation room – including equipment, cabinetry, lighting, flooring, ceiling, plumbing, heat extraction, air con filters/outlets, eventual 3-phase output and painting. Depending on your requirements or preference, the equipment range may include: Thermo disinfector, ultrasonic bath, lubrication machine, autoclave, RO system, software, data logger, etc.

“We work hand in hand with Prof. Laurie Walsh on the correct translation and execution of all involved products, work flow, services and space-related aspects to finalise a solution package that fully complies and addresses current standards and requirements,” Andreas emphasizes.

“Given that we have all trades under one roof here at RiteSpace and dedicated teams of tradesmen that build dental practices every day, we have no problems in guaranteeing complete turnaround in one weekend,” says Simon.

Full customisation. compromise.

Full

compliance.

No

“Total Steri Solutions effectively minimise most factors of risk, human error and training deficiency to offer a proven end-to-end solution to maintain ongoing safety and compliance.”

“This has been, from inception, the major selling point of Total Steri Solutions that we make no bones about.

For a package that delivers such critical services to the dental profession, TTS is truly unlike any other product on the market today.”

On average, Andreas confirms, TSS is able to work on 8 separate installations throughout Australia on any given

23

IN•PRACTICE

Sensational Setup in Lawnton Gympie Road Dental

24 | EQUIPMENT SOLUTIONS

SURGERY SETUP ACADEMY

By Henry Schein Halas

Gympie Road Dental is a QLD based dental practice owned by Dr Simon Debnam.

Located in Lawnton on Gympie Road the practice is integrated into Gympie Road Medical Centre sharing a foyer and entrance area, opened its doors in August 2017.

Setup and Selecting the Location Dr Debnam already owned an existing practice in Belmont QLD which he started himself originally due to his love for dentistry and providing the best possible care and outcomes for his patients, however Simon wanted a new challenge away from the management of the existing business by putting his efforts into the new site with a new challenge.

Through a mutual contact Simon was introduced to the owner of Gympie Road Medical centre before starting to investigate locations for the new practice.

Although it isn’t a logical location, the Gympie Road site has great access to parking and having access to the medical centre is ideal for the patients of the practice and vice versa.

Simon’s Vision for the new practice was shared by the medical centre in that of Allied Health with an aim to have all specialities under one roof. This vision was considered right from the start, originally designing the layout of the practices, allowing space and spare rooms to expand the practice for collaborations with specialists, such as Ortho and even Oral Surgery.

The Design and Layout The practice itself has a slightly unusual but fantastically functional layout, housing a central Sterilisation Room with two operatory rooms located on either side. Both rooms have direct and open access to the Sterilisation area from the back making workflow efficient, safe and hygienic. Simon stated “We spent a lot of time deliberating with a torch mapping out on the slab the entry to the steri room from the back of the surgeries, I always liked the idea of the steri room being the point of pride and central or the heart of the practice.”

Simon’s background in naval engineering leant nicely to space saving efficiency during the layout, planning and design process.

25

Equipment Choice

IN•PRACTICE

Dental Chairs As a long time Sirona customer, Dr Debnam felt like he needed a change and was enticed by the quality and technology integration Henry Schein Halas was able to offer with the Planmeca Compact i range. The local Henry Schein Equipment Specialist, Emma Addy helped Simon throughout the process helping with the project management on site and with the planning process.

Simon opted for the Planmeca Compact i Classic dental chair with the continental (over the patient) delivery system and integrated Intra Oral X-ray. This allowed him to keep everything central within each operating room and giving more space around the chair, freeing up space in the room. Also being left handed as well it allowed for better ergonomics and convenience.

To ensure the best experience for patients, Simon opted for the Ultra-soft memory foam upholstery, the most popular choice for Planmeca customers stating “Patients comment all the time about it with 90% of patients commenting on the chairs appearance and comfort.”

Simon mentioned “I had previous experience with ADEC and Sirona and had used the over patient delivery before and wasn’t enthralled, but found with Planmeca that gives a lot more flexibility also because the chair goes up higher it allows for me to operate standing up as well.”

Sterilisation Room The aim for the Gympie Road practice was to have a modern, future proof Sterilisation room and Simon was very conscious of showing the patients this including having the room open and even actively showing the patients the process by opening the steri pouches and showing the barcode tracking to give his patients piece of mind that cleanliness and sterilisation safety is at the forefront of the practices philosophy.

The local Henry Schein Equipment Specialist, Emma was instrumental in the planning of the room, helping guide Total Fitout Out through the regulatory requirements and managing the most effective and efficient workflow.

Beyond the aforementioned innovative access points, the room also boasts stainless steel benchtops and open access at both ends for ease of maintenance and access.

Digital Imaging Alongside the Planmeca Pro-X integrated intra oral xray’s, Dr Debnam opted for a Planmeca ProOne OPG with a dedicated OPG room also future proofing the practice 26 | EQUIPMENT SOLUTIONS

STAFF

OFFICE

STERI OP 1

OP 2

OPG

FILES

SERVICES

RECEPTION

02 SDA - 12

OP 3

OP 4 WAITING ROOM

site and aiding in project managing, I found Henry Schein to be very flexible to meet my requirements.

Simon also did the consumables setup through Henry Schein with Rod Webb, reflecting what they used at the existing practice making it a simple transition and start up. Simon who uses the Schein Online ordering portal to order his ongoing consumables stated “Getting everything in one place is much easier, with other companies I have been offered multiple discounts but when I get my annual report I found the pricing and savings to be misleading.”

by fitting out the room to allow for CBCT. Simon stated “I liked the idea of taking the images with the OPG, but almost dropped it off the order. When the patients see the OPG image they can clearly identify with it versus that of a bite wing.” He also stated “The integration with the surgery rooms is seamless and I don’t know how I coped without one at the Belmont practice.”

The HSH Experience When questioned about the experience with Henry Schein during the sales process he stated “It was great right from the start from visiting the showroom and visualising the design as well as helping measure out on

Within the next 12 months, Dr Debnam is aiming to have one of the speciality rooms completed allowing for oral surgery and conscious sedation with the location next to the medical centre lending to the benefit of easy referrals internally between the practice and the medical centre and vice versa.

Currently employing 4 dentists across the 2 locations, the new practice is establishing itself within the local community despite only being open for 5 months. The simple, efficient well thought-out layout coupled with additional rooms for future expansion and location next to the medical centre is setting the practice up for every success in the future.

Emma Addy Equipment Specialist - QLD

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Surgery Setup Academy

Solving the puzzle for your surgery setup Battery Hill Dental - Surgery Setup Academy

28 | EQUIPMENT SOLUTIONS

SURGERY SETUP ACADEMY

By Henry Schein Halas

Surgery Setup Academy found all the missing pieces to Dr Luke Heazlewood’s start-up puzzle.

“Crossing the river by feeling the stones” is a famous saying by former Chinese leader Deng Xiaoping that illustrates the process of doing something that is unfamiliar or unclear. It aptly describes the set up process that many dentists, taking the plunge to set up their first surgery, have to go through.

For Dr Luke Heazlewood, Principal Dentist/Founder at Battery Hill Dental, the proverbial ‘stones’ represented unchartered territories in surgery fit out, finance and equipment selection.

“I have never had to fit out or finance a shop before. Those were the grey areas that I needed to wade through,” says the young dentist, relating the difficulties he faced during the initial stages of establishing the communitycentred suburban clinic in the Sunshine Coast Region in Queensland.

That was before Luke came across Surgery Setup Academy– that turned out to be a gem of a discovery, attributed both to his online research and contacts he made throughout the years.

Organised by Henry Schein Halas (HSH), the Academy offers a holistic platform that helps dentists answer all their start-up queries. It covers the entire spectrum of topics throughout each development phase – equipping dentists with the knowledge and contacts to better plan, design, build, equip, finance, market, run and maintain a successful surgery.

Luke began attending the Setup Academy events “to gather some more information and find out about the things that (he) wasn’t familiar with”. Evolving from evening lectures to all-day events, the Academy seminars are held 2-3 times a year in all Australian states.

“It was a great place to start piecing together the different parts of the start up puzzle. Additionally, it led to some great connections that became very helpful in the whole process.”

At first brush, the Academy may look like it offers no more than informational sessions when in fact, the real benefits extend well beyond the classroom.

The Academy brings together dental partners belonging to Henry Schein Halas’ diverse ecosystem. As one of Australia’s leading suppliers of dental equipment, instruments and consumables, HSH boasts an extensive

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Surgery Setup Academy

network of specialist firms – each one potentially offering unique expertise and assistance towards your practice set up.

The fields represented are exhaustive: Property Lease, Equipment Supply, Legal Advice, Dental Consumables, IT Integration, Software, Technical Installation, Fit Out & Construction, Sterilisation Workflow and Project Management, etc.

Through the Academy, Luke found resourceful HSH personnel that connected him to other field experts, many of whom eventually formed the set-up team behind Battery Hill Dental.

Outlining the initial challenges he encountered, Luke recounts: “There were several main considerations and challenges after I figured out what and where I wanted to set up. Firstly, finding a good space in the desired location was essential. This took time; actually, everything takes longer then you assume.”

“Secondly, it was extremely important to me to find the right team to work with. This included people for finance, surgery design, legal, and equipment, etc. This took some time as well, but it was truly worth the effort when we found the right people. The next steps became easier to navigate, problems easier to solve, and the process more enjoyable.”

Patients relax ahead of their treatment in the homely waiting room

30 | EQUIPMENT SOLUTIONS

Luke readily attributes the speedy, efficient and costeffective set-up to the team that was assembled through his connections at the Academy. One such HSH-recommended contact was Mark McKibbin, from McKibbin Design, a firm that specialises in healthcare, medical and dental practice fitouts.

“Mark was easy to work with and he took the time to understand what we wanted to create. He did a great job, and saved us a lot of money. Compared to other quotes we received, McKibbin Design ended up saving us $100-$150k on surgery fit out alone.”

Luke credits the pleasant set-up experience to Emma Addy, Equipment Specialist at HSH, who acted as his main point of contact.

“She was excellent. Emma knew her product range very well, and her experience of setting up a lot of surgeries really showed. She helped us think through a lot of things, not just equipment, which helped make the whole set up process go as smoothly as possible.”

“HSH also provided us with the majority of our equipment and consumables. Emma was a great help with this. She was never pushy which made the process simple; an underrated ability for your first ever set-up. Additionally, HSH had a lot of connections outside of their domain if we ever needed them.”

In terms of equipment selection, Luke listed ‘patient comfort’ as the main priority, followed by speed and reliability, saying: “We ended up choosing the Planmeca itouch (dental unit). I wasn’t familiar with Planmeca products initially, so was hesitant but it has been incredible. I really enjoyed working with it and other Planmeca products like digital sensors and OPG, which are quick and reliable.”

Light and inviting surgery room with Planmeca Compact iTouch

“In terms of suction unit and compressor as well as the steri room equipment, we opted for equipment that are durable and future-proof – allowing for surgery expansion down the road. We’ve been extremely happy thus far with our choices.”

Luke found the one-stop shopping experience at HSH equally satisfying: “As we bought the majority of our equipment from HSH, this gave us access to good discounts on equipment and consumables. In relation to costs, and to our surprise, they were the most cost effective out of the three major companies we were looking at for the particular equipment that we wanted.”

“HSH’s service and delivery was excellent. We never had a problem with timing. The team was efficient with install, and there were no delays with equipment (large, small, or consumables).”

Asked whether he would recommend the Surgery Setup Academy to others, Luke replies without hesitation:

Spacious steri room

“Absolutely; particularly if you are setting up for the first time, or the first time in a while. It is a great place to learn things you may not have thought about, connect with others who are considering setting up, and start building the right team and connections to make building your practice as simple as possible.”

The results of Battery Hill Dental’s successful set-up are best expressed through the feedback Luke gets from his customers: “Every single day, we get great feedback from patients.

They love it. A frequent compliment is how comfortable they feel in our surgery – how it feels less clinical and more like a home.”

Grateful to the HSH team for their contributions and recommendations – courtesy of the incredible work they do at the Surgery Setup Academy – Luke says:

Hall and imaging room, complete wiht ProOne OPG

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Surgery Setup Academy

“The HSH team was exceptional. No company is ever perfect. For a company as large as HSH to work as effectively as they have, we couldn’t have been more pleased.”

“There’s a lot more mental illness in the industry than we would care to see. If we can be a part of making life easier in such a foundational time for younger dentists, then we’ve succeeded with YDC.”

Just as Henry Schein Halas and the Academy provided an ecosystem that helped to meet his set-up needs, Luke has created a space for young dentists across Australia to come together and connect with peers who are on the same journey – through interaction and learning opportunities with some of Australia’s best dentists and specialists.

Even as the Surgery Setup Academy provided Luke a knowledge-based and networking platform for practice set-ups, YDC gave him an avenue for peer exchange in a like-minded community:

Besides upskilling young dentists with new skills and techniques, the Young Dental Conference (YDC, cometoydc.com) also helps members of Australia’s young dental community to overcome their emotional and mental struggles through dialogue and sharing of ideas.

32 | EQUIPMENT SOLUTIONS

“YDC helped guide me on setting up a practice, refining thoughts on what I truly wanted to achieve through it for the community I found myself in.”

“Particularly through connecting with numerous specialists over the years, YDC offers a great resource to learn from the best. We are truly blessed with some incredible specialists and dentists in Australia.”

–

t h e

h o m e

o f

y o u n g

d e n t i s t s

–

C

YOUNG DENTAL CONFERENCE TAKE YOUR DENTISTRY TO THE NEXT LEVEL APRIL 6-7 2018 | 14.5 hours cpd | MELBOURNE cbd

being a young dentist isn’t easy. patients want a perfect smile, and employers want a perfect recall rate. From full mouth rehab principles and modern bleaching techniques, to diagnosing airway issues and improved treatment planning and communication, increase your skills and techniques in a wide range of dental areas. you ’ll learn how to: + improve outcomes in usage of CR + bleaching techniques and smile design principles + Treatment Planning and Restorative techniques + Airway, Development, and Orthodontics, and + Improve your patient communication with delicious food and socials, join your peers and experts at ydc.

KEY DETAILS expert speakers dr. lincoln harris dr. clarence tam dr. derek mahony dr. bharat agrawal

cpd 14.5 hours experts in restorative, cosmetic, ortho, airway development, and more

date, time & location fri 6 - sat 7 april 2018 8am - 6pm/5pm sat SOCIAL AFTERWARDS 524 flinders

prices group (3+) $590 individual $690 register: cometoydc.com

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CO ME T OY D C.CO M YDC courses are compliant with current guidelines of the Dental Board of Australia Guidelines on Continuing Professional Development. © copyright 2018 Dente PTY LTD ABN 64 609 000 599 - All Rights Reserved

Dental Oncology

Dental Health and it’s importance to Oncology Peter MacCallum Cancer Center

34 | EQUIPMENT SOLUTIONS

Peter Mac’s Dental Oncology team shares how dental professionals can help to enhance the quality of life and survival of cancer patients According to Cancer Council Australia, around 134,000 new cases of cancer will be diagnosed in Australia this year. That number is set to reach 150,000 by 2020. If not already, it is likely that you will soon be seeing some of these patients at your dental practice.

A patient’s health and quality of life may be significantly compromised by oral complications arising from cancer treatments, including head and neck radiation or chemotherapy. Conversely, pre-existing oral diseases can also affect cancer treatment.

This brings to the fore questions on the readiness of the dental profession in caring for a steadily increasing number of cancer patients: Are you or your staff sufficiently equipped to deal with the potential side effects? Are you prepared to counsel, guide or educate patients at different stages of their treatment cycles?

What is your role in patient management related to – and beyond – the oral cavity?

If these questions do not sound to you as pertinent as they should, the dental oncology team at Peter McCallum Centre believes, and rightly so, that more awareness campaigns and educational programs on the importance of dental health in oncology are necessary.

“Yes, there is a need for greater awareness on the subject within the dental profession. As a community, all dental professionals will see more and more cancer patients and survivors in practice,” notes Margaret RandlesGuzzardi, Dental Hygienist at Dental Oncology Clinic, Peter MacCallum Cancer Centre.

Equipping dentists to handle cancer patients Peter Mac is one of the world’s leading cancer research, education and treatment facilities and Australia’s only public hospital solely dedicated to caring for people affected by cancer.

The centre’s Dental Oncology team comprises a General dentist, an Oral Surgeon, a Prosthodontist, an Oral Medicine Specialist, two Dental Hygienists, and nursing and administrative support staff. The team focuses on the prevention and management of oral complications associated with cancer and cancer treatments.

The clinic’s functions are divided into 3 core areas: Education; Oral examination and dental care; and Research. The educational component is further divided

35

Dental Oncology into different target groups: Patients; Dental Professionals; as well as Medical and Allied Health personnel.

Concurring with her colleague on the need for greater awareness within the dental profession, Dr Sophie Beaumont, adds: “At risk of over generalising, I would say that Australian Dentists are not usually well equipped to deal – or are familiar – with cancer types and complications.”

Areas for improvement range from Patient Education to Patient Management, Pre – to Post-Treatment.

There is relevant information online – including from leading cancer centres Lifehouse Sydney and MD Anderson (USA) – but Margaret says the field would benefit from a “comprehensive set of recommendations and strategies that are the same in each institution.”

Equipping dental professionals with the right educational tools paves the way for informed patient management.

Dentists may be required to treat and advise cancer patients on a range of oral conditions before, during and after cancer treatment.

36 | EQUIPMENT SOLUTIONS

“It needs to be understood that oral side effects from treatments such as radiotherapy and bone modifying agents are for life,” Margaret qualifies, “These sideeffects impact on quality of life and self esteem. They don’t cease when the all clear is given or the cancer is in remission.”

Multi-faceted roles and responsibilities Clients are referred internally by the hospitals staff.

Dr Beaumont says it may be more effective for patients to be referred prior to radiation therapy in order to allow more time for pre-treatment and healing – however, this is not always possible.

Patients are brought in 6 weeks following completion of cancer treatment and subsequently, every 2 months for a further 6 months – typically or until ready to return to their general dentist.

At Peter Mac, the dental oncology team performs a variety of tasks that most general dentists do not, including: • Mapping tooth loss risk: Predicting up to five years whether teeth will stay and recommending prosthetics for those that may be lost or require removal.

• Dealing with cases of osteonecrosis (in the jaw): This can result from therapy, especially some sulphur-based drugs used in treatments – “some patients have bone erosion so significant that teeth literally fall out.”

• Handling the client’s self-esteem: “Many struggle with self-image after losing dentition so the service is vital. It is also vitally important for their ongoing nutrition.”

Advocating patient education as an integral part of pre-treatment evaluation, Margaret says that it should encompass discussion of potential oral complications.

She stresses on the need for patient education and oral cancer screening at every dental visit.

“Australian dentists need to understand their role in terms of prevention and early detection – they go hand in hand. From organising regular oral cancer screenings to recommending high fluoride toothpaste to providing restorations that are functional and easy to clean, the dentist plays a unique role in the preventive process.”

“The oral side effects of many cancer treatments can affect the patient for life. As dental professionals, we need to understand how these treatments can be detrimental for teeth.”

To provide an avenue for Australian Dentists to learn more about treating cancer patients, Margaret reveals that the Centre intends to run an education program in the future.

How dentists would respond to such a program, given that many suffer for being time-poor and overloaded with work and business commitments, remains to be seen.

Indeed, playing an active role in cancer treatment may seem like a chore to many dentists, Shae Beaton, the Clinic’s other Dental Hygienist, readily acknowledges, before issuing a gentle warning about measuring it in monetary terms: “Finances should not be the consideration. A simple cancer screening should be part of every dental examination. The dental professional has an obligation to do this as the medical profession generally are not familiar with the oral cavity. That said, providing ongoing empathetic care will attract patients and lead to referrals from cancer centres that indirectly will build their practices.”

“Practice building is also about having a rewarding experience,” Dr Beaumont reminds, “like being able to positively influence the outcome for a cancer patient.”

37

Dental Oncology Building bridges and team effort Dental oncology occupies an uncharacteristic area of dentistry that spills into the medical domain. Focusing on the dental and oral manifestations of chemotherapy, radiation therapy and/or head and neck surgery, dental oncologists find themselves in a unique position somewhere in the middle of the dental-medical divide.

Operating within a multi-disciplinary dental specialist clinic means that the team works in close association with all of the oncology streams, including: Head and neck, haematology, breast, lung, and skin.

“At Peter Mac, we believe that it takes an entire village, including dental and medical professionals working alongside one another, to care for people affected by cancer,” Shae comments.

From their vantage viewpoint, the team sees the Australian dental and medical fields converging in positive ways.

38 | EQUIPMENT SOLUTIONS

“There are well established communication lines and mutual respect on both sides. Oncologists regularly discuss patients with dental staff and vice versa,” Margaret confirms.

Dr Beaumont adds: “You will find excellent team work and no real hierarchy at the Centre – there’s always good communication and respect for what we do.”

That same open-style communication and professionalism extends to the dental community with which the team regular works and liaises – including all referring specialists, community dental clinics and private dentists.

“Whether for resources or support, we want to make our department the go-to for dental and medical professionals,” the Oral Surgeon concludes.

“We work together as a team for the best patient outcomes, reduced morbidity and improved quality of life.”

Planmeca Romexis

®

One software – all solutions

Dental units, imaging and CAD/CAM in one software – an industry first Planmeca offers a revolutionary all-in-one software solution for clinics of all sizes. Our industry-leading Planmeca Romexis® platform brings together all digital devices at your dental clinic. This ensures unforeseen time and cost efficiency, allowing full concentration on patient treatment.

Contact Us 1300 65 88 22 equipment@henryschein.com.au www.henryschein.com.au

www.planmeca.com

Protect your Investment Handpiece Hotline

Handpiece Hotline

Handpiece Hotline is Australia’s number one handpiece and small equipment Service Centre, during December of 2017 we ran a competition where we asked all of our customers to answer three questions on handpieces in addition to sending a handpiece in for repair.

If the questions were answered correctly and a handpiece was sent into us for repair then the practice would be automatically entered into a prize draw to win an oiling machine, either a Lubrina or QuattroCare Plus.

We had a very positive response to the promotion with plenty of people attempting the handpiece questions. Of the responses, 56% answered all the questions correctly.

The winning practice was randomly selected during January of 2018 and we are proud to announce winner is: Killoran Dental, Sumner QLD As mentioned above, 56% percent of entrants got all the questions right – this means that 44% may be at risk of causing damage to their handpieces!

HANDPIECE HOTLINE

HOTLINE

Australia’s Best Handpiece Repair Service

To help ensure you aren’t in the 44%, here are a few fast facts.

Don’t wait for your handpiece to breakdown or fail before getting it serviced!

We highly recommend having your handpiece serviced once per year, we can identify any small issues much sooner rather than them becoming a larger, more costly repair.

Any change in operation of your handpiece means “it’s unhappy”, get it assessed immediately to prevent a costly repair!

If you experience increased heat within the handpiece, change in sound or a decrease in torque while using your handpiece it could trouble! By ceasing use of the handpiece and sending it for repair at the first sign of any of the symptoms listed above, you could potentially save yourself up to $400 of additional repair costs!

Dr Greg Killoran and Practice Manager Robyn with their new KaVo QuattroCare Plus

40 | EQUIPMENT SOLUTIONS

HANDPIECE

Protect your investment

With over 30 internal parts, there’s a lot more to your handpiece than meets the eye!

Handpiece Hotline offers:  Handpiece AND small equipment servicing and repair  Choice of repair options from genuine to generic parts and tools for most brands  Factory trained technicians  FREE return postage  Only authorised repairer for KaVo in Australia  Certified ISO 9001:2008  Guaranteed satisfaction

Protect your investment with Handpiece Hotline - Australia’s best handpiece repair service!

Call today for a FREE delivery reply paid envelope and FREE quote.

Book your service or repair today!

1800 30 80 30 | service@handpiecehotline.com.au www.handpiecehotline.net.au

W & H • I M PA C T A I R • S AT E L E C • S I R O N A • M U S S • S TA R • G A M B E R I N I

Mocom B Futura Taking speed, efficiency and user-friendly operation to new heights, Mocom’s B Futura Steriliser is the epitome of advanced dental equipment innovation.

Autoclaves

òòColour LED touch-screen interface òòTime saving pre-programmed vacuum and Helix test function òòEasy barcode tracking option òòAvailable in 17L, 22L and 28L capacities, all with the same external dimensions òòDedicated nationwide Mocom service and support òòOptional WIFI module allows real-time transmission of cycle data and progress to a PC or tablet

Scican Statim 2000/5000 G4 At up to 10x the speed of most conventional chambered autoclaves, the Statim G4 series make short work of instrument sterilisation. òòUp to 10x faster than chambered autoclaves òòColour touch-screen user interface òòUSB & LAN connectivity for data collection & service support òòLow maintenance costs òòSteam technology is gentle on both solid and hollow instruments

Mocom B Classic Designed to optimise sterilisation time and costs, the Mocom B Classic is an exceptionally practical and high quality unit. òòThree sizes available 17L, 22L and 28L òòIntuitive interface with monochromatic LCD display òòTime-saving pre-programmed Vacuum and Helix tests òòData tracking management with simple archiving via USB òòDedicated nationwide Mocom service and support

42 | EQUIPMENT SOLUTIONS

YOU REQUIRE MAXIMUM EFFICIENCY. YOU DEMAND COMPLETE ORGANIZATION. YOU NEED ENSURED SAFETY. YOU DESERVE INFINITE CONFIDENCE.

INSTRUMENT MANAGEMENT

Hu-Friedy’s promise to help you perform at your best is at the core of everything we

do, which is why we’re proud to bring you the sharpest, longest lasting scaler on the INFINITY SERIES CASSETTES

™

market: EverEdge 2.0. Engineered to be better than ever, so you can be, too.

The most sophisticated solution for instrument management

That’s right, you deserve it. You deserve the peace of mind and confidence of knowing that you are employing the most contemporary method of processing instruments. As dentistry’s innovator of the cassette-based instrument management system, Hu-Friedy is proud to bring you the modern design and functionality of the Infinity Series Cassettes which include: • An open hole pattern that promotes water flow throughout the cassette • Color-coded silicone rail system that significantly reduces instrument contact and allows for more water flow while protecting the instruments during reprocessing • Easy-to-use, ergonomic latch that allows for one-handed opening Performing at your best means having confidence in what you do. Experience Infinity Series™ Cassettes, and improve the efficiency of your practice, while helping protect your patients, your staff and your instrument investment.

Learn why EverEdge 2.0 is the solution for you at Hu-Friedy.com/EE2

HSH2901

©2017 Hu-Friedy Mfg. Co., LLC. All rights reserved.

To learn more about how IMS can enhance your practice visit Hu-Friedy.com/Infinity ©2017 Hu-Friedy Mfg. Co., LLC. All rights reserved.

Orders 0800 808 855 www.henryschein.co.nz

Orders 1300 65 88 22 www.henryschein.com.au

Automated Disinfection

Miele PG 85 Series Available in white or stainless steel, the modern new Miele disinfection range redefines efficiency. New lush, touch-on-steel controls and larger display make selecting cycle, temperature and A0 value simple, while frequent use programmes streamline your disinfection process. òò3x frequently used programme direct access buttons òòAutomated disinfection cycle òòStandard cycle recording with optional LAN connection òòImproved work flow opportunity òòElegant flush panel, touch-on-steel interface

Mocom Tethys Under-bench Tethys series disinfectors ensure completely automatic, perfect instrument cleaning and outstanding levels of disinfection. At the same time they ensure complete operator protection and the elimination of any procedural errors. òòLarge capacity chamber òòUser friendly control interface òòAutomated washing and disinfection process reducing contamination risk and improving efficiency òòDesigned to comply with the EN 15883 standard

Mocom Tethys H10 Plus Tethys H10 Plus incorporates in a single product, indepth ultrasound cleaning, effective thermal disinfection and highly practical forced-draught drying. òòFast 35 minute cycle òòThermal disinfection, ultrasonic and drying in one device òòUser-friendly colour touch screen operation òòInternal memory, USB and Ethernet connectivity for paperless record keeping

44 | EQUIPMENT SOLUTIONS

Miele Australia Pty Ltd | 1 Gilbert Park Drive| Knoxfield VIC 3180 Telephone 1300 731 411 | Mon-Fri 8:30 am - 5:00 pm www.miele-professional.com.au | sales@miele-professional.com.au

Your patients rely on you, why not in turn place your trust in Miele’s quality!

Introducing Miele’s Thermal Disinfectors: • Excellent and efficient cleaning performance • Great drying results with EcoDry • Comprehensive monitoring functions • Ergonomic and intuitive user interface

info@miele-professional.com.au www.miele-professional.com.au

equipment@henryschein.com.au www.henryschein.com.au

The Future of Sterilisation Infection Control

Mocom Australia

Taking speed, efficiency and user-friendly operation to new heights, Mocom Australia’s B Futura Steriliser is the epitome of advanced medical equipment innovation.

It is specifically designed to offer a level of performance that will impress technologically demanding professionals, making it the future of full sterilisation cycle traceability.

screen release with individual PIN code; the bar code printer; and the multiple connection options.

“The B Futura saves time and stress via simpler compliance. Its benefits directly complement the steps a medical practice must take every single day,” says Owen.

Colour touch screen display The colour touch screen display is a feature of the B Futura that resembles tablet technology. It features clear and easy-to-understand icons in order to simplify both cycle selection and overall operation.

“Immediate cycle selection saves time. The screen includes 6 sterilisation cycles, one of which is programmable, allowing the user the choice to control the different types of instruments being sterilised,” Owen explains.

Delayed start function Achieving an optimal equipment sterilisation process is all about enhancing user workflow, according to Mocom’s Jim Owen, who highlights five major features that distinguish the B Futura from its rivals: the colour touch screen display; the delayed start function; the on46 | EQUIPMENT SOLUTIONS

The delayed start function allows the user to program sterilisation and test cycles to start at any time of the day, which is especially beneficial for programming essential Vacuum and Helix tests to begin prior to opening the surgery in the morning.

The Vacuum test is to check that there are no leaks in the chamber of the steriliser, as it’s critical no air remains inside when the machine is operated. The Helix test is an air removal and steam penetration test that ensures the steriliser is functioning properly.

“You would normally run these tests first thing in the morning, and it would take approximately 40 minutes. That means 40 minutes without sterilisation and therefore 40 minutes the instruments within the practice are out of use,” Owen says.

“However, this new delayed start function enables you to program these tests to start at any time of the day you like. Ideally you would program it the night before to start at, for example, 5am the next day.

“By the time you arrive at the practice in the morning the tests are completed, so you can check for two positive results and you’re free to start working. Not all B-type sterilisers include that functionality.”

Owen suggests that dental practices in particular will benefit from this time-saver. “Dental practices are very busy; they tend to run the cycles back-to-back all day.

Whatever extra time they can create is highly beneficial because it leads to more throughput and therefore greater revenue.”

On-screen release with individual PIN code Traceability is an important element of sterilisation.

With the user management system, users of the B Futura can be identified by their unique PIN code. The machine is programmed to ask the user for the PIN code after cycle completion, meaning that on-screen parametric release can occur, while cycle parameters are monitored on-screen with data and user ID recorded on the internal memory.

“With all traditional sterilisers you have to monitor cycle details. You have to show that the cycle has performed correctly and you have to check all the parameters at the end of the cycle to prove it reached the right temperature and held the temperature for the correct amount of time to kill the microorganisms,” Owen says.

“Older sterilisers would generate a paper printout to manually check, sign off and store this information for future records. Now we can rely on digital technology to release the load. At the end of the cycle the user checks all that data on the screen to confirm it is positive.”

This technology has the potential to generate significant efficiency and financial advantages. “You no longer need printers or thermal paper, which typically fades over time.”

47

Infection Control Connectivity Ethernet and USB-port connectivity come standard with the B Futura, allowing cycle data to be transferred easily to a PC with no added software required. An optional Wi-Fi connection is also available, which offers the same functionality as well as allowing cycle status to be managed by a smartphone or tablet.

“That’s three different ways of transferring and managing the data from the internal memory. All that data is saved in PDF format, which keeps it very simple, and of course you can print the PDF if you still want a paper copy.”

Bar code printer Optional connection capability with a bar code printer allows for sticky bar code labels to be printed with information such as: steriliser and cycle data; user identification; and pack expiry dates. The barcode label can be scanned directly into practice management software, again providing the advantage of less paperwork and streamlined data management.

“This add-on is another way to speed up the process by going paperless. Critical instruments must be tracked directly to the patient they’re being used on. At the moment this tracking

48 | EQUIPMENT SOLUTIONS

would often be achieved with a manual logbook and the user sticking that information on the instrument pouches,” Owen says.

“However, with the bar code printer you can print out these labels, and the bar code contains all the vital information about the sterilisation cycle and its success.

By creating a link between the bar code and the practice management software, everything is recorded digitally, removing the manual side of the process and thereby speeding up the workflow.”

Steriliser of choice “The B Futura is primarily suited to dental practices, but it’s also ideal for medical practices such as day surgeries, eye surgeries and small hospitals where quick turnover is important,” according to Owen.

“The cycle speed of the Futura is industry-leading – 33 minutes compared to 38 minutes for another leading brand of steriliser – which is a major consideration for a busy practice. If you were to do 10 cycles a day you would save up to an hour, or be able to perform an extra cycle, by using a Futura over the alternatives.”

Reliability and service Sterilisers are complicated machines, and it was once common for average sterilisers to break down. Owen says such concerns are a thing of the past, with Mocom Australia recognising that reliability and service are pivotal considerations when it comes to sterilisation.

“We are a market leader and our product is very reliable.

We also offer excellent service – managing warranties and customer support from our Perth office whilst engaging multiple third-party distributors right across Australia. We specialise in sterilisation,” Owen says.

Mocom.

Full Steri Solutions.

Looking for a sterilisation workflow solution?

Mocom is a leading manufacturer of innovative sterilisers and disinfectors that focus on quality, innovation and design.

The range of products have been developed so that you can purchase a machine that meets all your needs.

- Exceptional design and reliability - Dedicated nationwide Mocom service and support - Autoclaves and Disinfectors to suit all budgets and practice requirements including: - B Classic - available in 17L, 22L and 28L - B Futura - available in 17L, 22L and 28L - Tethys H10 Plus benchtop hybrid disinfector - Tethys T60/D60 underbench disinfector

Contact your local Equipment Specialist for more information

The Orthodontic Patient - From Hell to Heaven Infection Control

Tabitha Acret

Tabitha Acret (BOH) explains how Guided Biofilm Therapy has revolutionized how she treats Orthodontic patients.

If you’re anything like me, my heart would sink a little when I would see that a teenage patient who was in current active orthodontics was booked to see me.

Who would walk through the door? Would it be a mouth of food debris stuck in what looked like moldy orthodontic brackets and profusely bleeding gums, would I see impossible to reach staining around the brackets or think my patient just ate a packet of cheese chips only to find out that he had just not brushed his teeth since the last time I saw him? I used to loath this type of patient, not just because I could find enough food in their brackets to feed a small nation but because I was never satisfied with their results after my clean.

Far too often I felt under pressure to get their teeth cleaned in the “child” timed appointment slot, never feeling like I had removed everything. I was always feeling frustrated trying to manoeuvre my ultrasonic tip around brackets, trying to use a prophy handpiece and gluggy prophy paste to remove tenacious sticky mature plaque from modules and on the gingival side of the bracket. As I frantically worked away I would be loathing the patient in the chair, blood, sweat and tears from both of us was going into the appointment with a lackluster result.

Good oral hygiene is paramount to successful orthodontic treatments. Without good oral hygiene, patients’ outcomes are compromised. This was frustrating me. In a journal article by Lovrov S, Hertrich K, Hirschfelder U. / J Orofac Orthop. 2007 Sep;68(5):35363, it was shown that “despite improvements in materials and preventative efforts, orthodontic treatments continue to carry considerable risk of enamel demineralisation. Each patients’ prophylactic efforts, including fluoride use, are of paramount importance in preventing white spot lesions”. In another article, ORTHODONTIC TREATMENT WITH FIXED APPLIANCES AND BIOFILM FORMATION. A potential public health threat? Ren, Y., Jongsma, M.A., Mei, L. et al. / Clin Oral Invest (2014) 18: 1711 showed that “high treatment demand and the occurrence of biofilmrelated complication requiring professional care, make orthodontic treatments a potential public health threat.”

Knowing how important it is that the professional clean

50 | EQUIPMENT SOLUTIONS

be good and all biofilm be removed just adds to the stress. I knew that I could never remove all the biofilm, that there would be areas around the brackets my ultrasonic or prophy cup just couldn’t get to. Then if you add in the mix that the patient already has some demineralisation of the enamel where the ultrasonic couldn’t be used then the frustration and difficulty of the appointment just doubled.

Figure 1: AIRFLOW® in action on Orthodontic brackets

Combining all of the above problems made me want

a better solution for my patients. I want to provide my patients with the best treatment possible and I don’t want my patients leaving their appointments with biofilm still trapped in modules. After initially discovering success with AIRFLOW® for implant patients, I was interested in what it could offer my orthodontic patients. What I discovered is that by using AIRFLOW® in combination with Guided Biofilm Therapy, I was getting amazing results. If you had asked me before AIRFLOW® to plaque disclose my orthodontic patients, I may have thought you were either crazy or you hated me. Before AIRFLOW®, I didn’t want to plaque disclose my patients who have orthodontic appliances as it would have provided proof of the areas where I left biofilm and couldn’t get to. I now plaque disclose every single one of my patients as part of the 8 steps of the Guided Biofilm Therapy protocol.

By using the Guided Biofilm Therapy protocol you achieve predictable biofilm removal with 100% and 360 degree accessibility. It’s safe and effective around the sulcus, there is no change in the surface of the appliance and not only is it more comfortable for the patient with better results, I am happy!

Figure 3: Before Guided Biofilm Therapy, after disclosing, after Guided Biofilm Therapy.

Figure 2: The 8 Steps of the Guided Biofilm Therapy compass

I feel so much happier with my results not only at the time of the appointment but the long term benefits for the patient in terms of motivation and education. Not only do the patient and I see better results but it is also clinically proven that using a plaque disclosing solution to guide biofilm removal shows better outcomes for the patient.

In Botti et al 2010, Bastendorf KD et al 2016, Viorica C et al 2013 all confirm higher efficiency in professional prophylaxis when done with the use of a disclosing agent.

In a study by Viorica Chetrus, I.R. ION2 DENTAL PLAQUE – CLASSIFICATION, FORMATION, AND IDENTIFICATION it was shown that “dental plaque diagnosis using colored solutions is one of the easiest and fastest ways to diagnose dental plaque, which favours its subsequent removal under permanent control during the intervention.

By using AIRFLOW®, the removal of dental plaque approaches a ratio of 100%.”

There are two other key reasons why following the Guided Biofilm Therapy protocol is impressive. The first is the long term health of the enamel and gingiva. By using AIRFLOW® technology combined with AIRFLOW® PLUS powder I know that I am providing the least damage to the patients enamel and orthodontic appliances. In A CLINICAL COMPARISON OF THE EFFICACY AND EFFICIENCY OF TWO PROFESSIONAL PROPHYLAXIS PROCEDURES IN ORTHODONTIC PATIENTS L Ramaglia / European Journal of Orthodontics, 21 (1999) 423-428 shows that “In orthodontic patients, use of AIRFLOW® polishing is a lot safer, efficient and effective to remove stains and dental plaque in comparison to rubber cups and pumice”.

Before Disclosing

Disclosing

After Disclosing

51

Infection Control

Figure 4: The AIRFLOW® Prophylaxis Master and AIRFLOW® PLUS powder

The second great thing was that I now had time to finish within the appointment time. I wasn’t feeling so under the “pump”. I used to find that I was always running late in these appointments and now I was finishing easily within the time allocated. In EFFECTS OF AN AIR POWDER POLISHING SYSTEM ON ORTHODONTICALLY BRACKETED AND BANDED TEETHC Barnes et al / Am J Orthod Dentofac Orthop, Jan 1990, Vol 97, No 1 shows that “Air polishing around orthodontic brackets and bands was not only effective but time efficient. There were no detrimental effects to any composite material or cement in comparison to rubber cup and pumice”.

By using Guided Biofilm Therapy with AIRFLOW® technology combined with appropriate home OHI instructions and motivation, I am providing the best treatments possible for my patients. I love Guided Biofilm Therapy; it’s changed my attitude toward treatments, my treatment results and my patients’ long term outcomes.

Guided Biofilm Therapy is evidence based dentistry; it is the new standard of care we should all be looking to reach.

About the author Tabitha Acret is a qualified Dental Hygienist and has been part of the dental industry for 20 years. She has worked 52 | EQUIPMENT SOLUTIONS

as a Dental Nurse, Dental Receptionist and Practice Manager. She holds a BOH from Newcastle University and is currently undertaking further studies in Sleep Medicine. Tabitha is registered with the Australian Dental Board and was the previous chair for the NSW Dental Hygienist Association Australia Ltd and is the current NT Director for the DHAA Ltd. She is a regular at CPD events with a passion for learning and making a difference in her patients’ lives. Tabitha currently works 3 days a week in private practice, was a previous clinical educator one day a week at Sydney University for 2nd year BOH students until her recent move to the NT in Australia to help set up an implant maintenance program in private practice and is an educator with the Swiss Dental Academy.

For more information on EMS and Guided Biofilm Therapy visit www.ems-dental.com and follow EMS Australia and New Zealand on Facebook – facebook.com/emsausnz.

Test drive this revolutionary protocol in your practice today – book a free in-practice Guided Biofilm Therapy demonstration: Email: info@ems-ausnz.com Phone: +61 405 095 867

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Planmeca ProX òòVariable kV and mA

Intra Oral Imaging

òòPre-programed quick settings òòIntegrates beautifully with ProSensor and Romexis òòVersatile installation options including wall, ceiling, dental unit and mobile base òòSupplied with Romexis software

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òòEasy to use interface and control with single hand operation and anti-drift mechanism

Planmeca ProSensor HD òòHigh definition images òòCompact size coupled with robust, rounded construction òòAvailable in sizes 0, 1 and 2 òòVersatility of either USB or Ethernet connection òòCan be integrated with Planmeca ProX X-Ray Unit

KaVo GXS 700 òòHigh resolution images òòImages with visible resolution of over 20 line pairs/mm òòCMOS sensor with CsI technology òòAvailable in ergonomically designed rounded sensors with sizes 1 and 2 òòDirect USB connection with “Always Ready” technology òòSize 1 especially designed with children in mind

54 | EQUIPMENT SOLUTIONS

òòScan modes for both digital and film

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Intra Oral Imaging

Durr VistaScan Mini View The VistaScan Mini view PSP scanner provides users with clear images with a fast processing time. The onboard SD card ensure that no matter the outcome, a back-up copy the image is saved if required. This combined with easy use makes the Vistascan Mini View an excellent choice for many dental practices òòCompact design with large LCD touch screen òòProvides clear images with a fast processing time òòAccepts plate size 0 to size 4 òòEasy integration in any dental clinic òòOn board SD Card ensures images are backed-up òòEasy use for all operators

Exclusive to HSH!

Durr VistaScan Perio Plus The VistaScan Perio Plus is a multi-slot scanner with an input/output buffer that handles up to 8 images, erases them and makes plates available again in one single step. òòExcellent image quality òòVery fast processing time òòUp to 8 images can be seen in one go, then automatically erased òòPC connection via USB or network òòAccepts all intra oral image plates – sizes 0 to 4 òòDisplay shows the patient details and information on the scan process at a glance

56 | EQUIPMENT SOLUTIONS

KaVo Scan eXam One The Scan eXam One is perfect for any dental office that demands a top quality digital intra oral imaging solution in their everyday operation. This is the ideal solution for general dentistry. òòProvides quick, clear clinical images òòCompatible with multiple image plate sizes òòEasy and affordable to maintain òòSuitable for chair-side or shared use òòUser help and patient name on the display

NEW!

òòShort scan times as little as 6 seconds òòCLINIVIEW and TWAIN Driver Software

KaVo Scan eXam òòExcellent image quality in all intraoral sizes

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òòShort scan times from as little as 5 seconds òòClear colour display with patient name and image preview òòSolid metal body òòUV Hygiene function for interior disinfection òòIndividual iDOT™ plate marking for quality assurance

Durr VistaScan Mini Plus òòParticularly easy handling: Read out, delete and make ready for the next use in one step òòExcellent image quality òòEasily integrated into the surgery infrastructure via the USB or network interface òòAccepts all intra oral image plates - sizes 0 to 4 òòDisplay shows the patient details and information on the scan process at a glance

equipment@henryschein.com.au | www.henryschein.com.au

57

Intra Oral Imaging

Durr VistaCam iX HD The Vista Cam iX HD sets a new standard in intra oral imaging. Its outstanding HD resolution and interchangeable heads make the Vista Cam an exceptionally valuable support tool in dental treatment. òòExcellent quality HD image – even in video mode òòAuto-focus for intra oral, extra oral and macro images òòSoftware analysis to detect caries lesions òòInterchangeable heads for florescence and infrared òòTwo year warranty

Camera head

Proof head

Proxi head

Camera head

Planmeca Panasonic òòAuto-focus ensures high quality images òòSimple compact design and user-friendly operation òòIntegrates fully with Romexis® òòUSB Connectivity – plug and play òòStand alone or integrated with Planmeca Treatment Units òò2 year warranty

KaVo DIAGNOcam òòX-ray quality image without radiation òòHelps the patient really see and understand the treatment they require òòCan be used as many times as you want, without any radiation exposure to the patient òòSimple to use and comfortable for the patient òòUSB Connectivity òòCan be integrated with treatment unit 58 | EQUIPMENT SOLUTIONS

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Extra Oral Imaging

CALMing patient movement with Planmeca’s new algorithm The new Planmeca CALM™ algorithm for correcting patient movement in CBCT images is taking dentistry by storm. As the first end-user solution for motion artefact correction from a dental manufacturer, the feature has already been praised by dentists out in the field.

Planmeca’s 3D Imaging Specialist Mikko Lilja recounts how the ground-breaking algorithm came to be and why he believes every dentist can benefit from it.

“It all happened very naturally,” says Mikko Lilja as he describes the background to developing Planmeca CALM, the trailblazing iterative algorithm for correcting patient movement.

“I had gained a good understanding of movement as an imaging problem in my doctoral research work. When it then turned out this was also a topic of interest for Planmeca, it all came together.”

The name CALM stands for Correction Algorithm for Latent Movement and describes a projection geometry optimisation algorithm which can analyse and compensate for patient movement in CBCT images. The outcome is an improved image which eliminates the need for retakes – saving time and improving patient safety.

Unique end-user solution Patient movement is among the most significant challenges to CBCT image quality. When a patient moves during imaging, it produces artefacts that affect the quality of the image.

“In tomographic reconstruction, the assumption is that the measurements – in this case the CBCT X-ray projection 60 | EQUIPMENT SOLUTIONS

images – are geometrically consistent with one another,” Lilja explains, “but when a patient moves, the data no longer adds up, which shows in the reconstruction.”

“What Planmeca CALM does is it restores the consistency of the X-ray measurements by tracking the movement of the patient, resulting in a sharper final image.”

Planmeca CALM works with all volume and voxel sizes and adds only about 10–60 seconds to the overall reconstruction time. The feature can be applied after the scan is complete, but also before exposure to ensure that the volumes are already corrected when they are accessed in the Planmeca Romexis® software.

“In the past, dentists would send their unsatisfactory images to the manufacturer for reconstruction or just redo the entire scan, but with Planmeca CALM this is now a thing of the past. We are proud to be the first dental manufacturer to provide a solution for motion artefact correction to the end-user,” Lilja states.

High expertise meets high technology According to Lilja, an end-user solution for patient movement correction had been on Planmeca’s algorithm development roadmap for some time, and was assigned to him upon joining the Planmeca 3D imaging team.

“I think the timing was perfect for everybody. With Planmeca’s expertise in medical imaging and image reconstruction and my knowledge of movement correction, we just immediately put our heads together and got to work.”

The development process was not without its challenges, and a lot of effort went into creating a dedicated algorithm for Planmeca CBCT devices.

“My previous experience was related to industrial tomography imaging, where things like reconstruction times and the imaged target itself were very different. So although our first prototype tests were encouraging, we had to go back to the drawing board time and again to produce a new algorithm for dental imaging,” Lilja recounts.

“Thankfully, I had a lot of help from my extremely capable colleagues which allowed me to focus on the core problem.”

The final product was presented at IDS 2017 in Cologne to much excitement and industry buzz.

Improves the quality of any image Planmeca CALM offers many advantages for dental imaging. The feature is particularly beneficial when imaging restless or livelier patients such as children, individuals with special needs, or elderly patients. According to Lilja, however, the algorithm can add value to any image.

“On the one end we have of course the images where the patient has moved to such an extent that an image may be unusable without Planmeca CALM, but in my experience it always improves the quality of the image. Even in cases where you might not typically think there has been significant movement, Planmeca CALM can noticeably enhance the image and enable seeing more details,” Lilja describes.

“Whatever the case, it is being able to correct movement artefacts ‘in house’ rather than having to resort to retakes or sending the image for enhancement which is key here,” Lilja states. ”When the dentist is able to make the correction themselves, the end result is improved diagnostics, time saved, reduced costs, and less exposure to radiation.”

The real deal Planmeca CALM has been praised among dentists since its release earlier this year.“The feedback we have received so far has been overwhelmingly positive – both from customers and from within the company. It has been truly heart-warming to hear that the hard work that went into it is also bearing fruit,” says Lilja.

“I’ve even heard that the software has been tested by shaking a phantom head around in the X-ray unit, but that all tests have come to the conclusion that it’s ‘the real deal’.

It’s a great feeling!”

Planmeca CALM is available as a software update for all Planmeca CBCT units. Contact your Henry Schein Halas for more information on upgrading your Planmeca unit!

61

CALM ™

Movement artefact correction

Without Planmeca CALM™

With Planmeca CALM™

New Planmeca CALM™ algorithm for patient movement correction • Cancels the effects of patient movement • Excellent when imaging more lively patients • Can be applied before and after image capturing NOW AVAILABLE FOR ALL PLANMECA 3D IMAGING UNITS!

Contact Us 1300 65 88 22 equipment@henryschein.com.au www.henryschein.com.au

www.planmeca.com

NEED HELP?

Did you know Henry Schein Halas has Australia’s largest team of manufacturer trained technical and digital support specialists?

Who better then to keep your investment in tip-top shape?

Services we offer include: • • • • • • •

Preventative Maintenance Annual Servicing Breakdown Support Equipment Installations Practice Planning Advice Re-locating Existing Equipment Removing Old Equipment

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equipment@henryschein.com.au | eq.henryschein.com.au

Planmeca Oy Asentajankatu 6, 00880 Helsinki, Finland. Tel. +358 20 7795 500, fax +358 20 7795 555, sales@planmeca.com

63

51

3D Imaging

Preparing your practice for Cone Beam Imaging

64 | EQUIPMENT SOLUTIONS

Background Meeting the legislative requirements (licensing, procedures and compliance) for your radiation practice can be a daunting, not to mention frustrating process.

Indeed, you can waste a lot of time just trying to understand these requirements, let alone put them into practice. There isn’t really a clear ‘road sign’ or directions to help you understand just what to do – and of course, you still require plenty of time and energy just to run your practice.

All practices with a radiation machine (intra oral, extra oral, CBCT, laser) must comply with local health regulatory requirements for radiation safety. The core purpose is to ensure the safety of everyone, not only those using the machinery, but those in close proximity too. As you know, radiation energy is invisible, yet can have an impact on health and wellbeing if not used correctly.

In Australia, different states and territories have their own radiation safety guidelines and requirements. These differ, both in application and implication. Here’s just a few: QLD – Radiation Safety Act 1999 & Radiation Safety Regulation 2010 NSW – Radiation Control Act 1990 & Radiation Control Regulation 2013 WA – Radiation Safety Act 1975 & Radiation Safety Regulations 1983 VIC – Radiation Act 2005 & Radiation Regulations 2007 It is beyond the scope of this article to go through each state act in detail. However, the above clearly indicates the challenges involved in expanding your practice into different states. With every new branch you open, you’ll need to be familiar with the specific legislation and requirements for the state it’s located in. As you can imagine, it gets very confusing.

For a start-up practice, understanding the legislation can be particularly challenging, especially if you’re unsure how to apply for it, and what steps you need to take to obtain the appropriate licence and compliance requirements.

Some common issues include: 1. Failure to comply with state regulations after the purchase and installation of x-ray machine 2. No shielding report performed for the x-ray room 3. No machine compliance performed for the x-ray machine (and room) 65

3D Imaging 4. X-ray machines not registered with the state regulators Without obtaining reliable advice from a radiation consultant, making the above mistakes becomes a very real possibility. This could trigger an audit from the health department, creating unwanted stress and anxiety – certainly not what’s required when starting a business!

What do I need to do for a new CBCT unit?

There are two possible scenarios here: upgrading your existing OPG unit in an existing OPG room or installing a new CBCT room altogether. Nevertheless, the following requirements will apply.

1. Apply for the appropriate possession (management) licence as required for each state for CBCT. 2. Develop a radiation safety management plan for CBCT as required for each state.

3. Develop a shielding report for CBCT room. This report will advice your builder what shielding requirements for the room based on your workload. This is required in all states even for existing OPG room. Radiation energy from CBCT are significantly higher than standard OPG unit.

6. CBCT premises compliance certification and testing for premises as required by each state by an accredited person.

An experienced radiation consultant (physicist) will be able to guide you through this whole process.

The following two real-life examples are common scenarios, outlining what these practices encountered when they chose not to work with an experienced radiation consultant.

Example 1 • The practice is already established and has been practicing for a few months • They receive a call from Radiation health regulators, arranging a walk-in audit and checks • Regulators discover that the x-ray machines do not have current compliance certificates and that the business does not have the appropriate licences to possess the machines • The owner of the practice was not aware of this, as they had not received any professional advice

4. Apply to register your new CBCT machine as required by each state.

• Regulators give the company 30 days (inconvenience) to rectify and comply, or face further actions (fine or removal of x-ray machines)

5. CBCT machine compliance certification and testing as required by each state by an accredited person.

• This is a very common scenario

66 | EQUIPMENT SOLUTIONS

• This costs the client time and money – a situation that could have been avoided with the right advice

Discussion It is important to follow all the correct procedures and processes for your radiation practice, depending on the state in which your business is situated.

This helps boost the status of the practice, in addition to saving money in the long run.

In order to achieve this, it’s a good idea to seek out professional help – preferably someone with strong knowledge of regulations and applications.

The best course of action In order to ensure you’re fully compliant with the law, it’s a good idea to seek the help of an independent radiation consultant that is fully accredited in all areas. Working with a professional will help to save time, prevent anxiety and reduce costs. This then leaves you free to focus on providing stronger patient care and developing your business.

The investment costs as little as 0.076% (over 5 years – average compliance cycle) of an average annual turnover of a 3-chair practice with extra oral machine.

Choosing your radiation consultant Example 2 • The practice set up with the appropriate licence to both possess and use an x-ray machine • The machine is compliant, but the room in which the machine is installed has no shielding report • It is required to have a shielding report for each room (for radiation use and compliance) • The owner was unaware of this requirement. In fact, they were told by the x-ray machine suppliers that the x-ray machine was low dose, therefore no shielding was required • However, this was not the right advice • The machine might be low dose per exposure with high frequency use, and a shielding report must be generated for each x-ray room – as required by state regulators • Calculations are performed and it’s discovered that one wall of the room is under-shielded.

• The company has to rebuild the wall in question, to ensure compliance

Your radiation consultant should: 1. Be an accredited consultant in your relevant state 2. Have a strong working knowledge of radiation safety and compliance 3. Be able to advise what compliance requirements you need 4. Articulate radiation safety requirements effectively 5. Provide foresight to ensure you pass possible radiation audits 6. Have a strong reputation Sieverts Radiation Consultancy is one of the leading Australia radiation safety and consultancy firm specialises in medical radiation shielding design and assessment of radiation medical facilities. We provide performance testing of various x-ray equipments and premises to ensure highest radiation safety hygiene. We are accredited in every state with bases in Brisbane, Sydney and Hobart.

For more information, please refer to our website www.sieverts.com.au

67

Planmeca Promax 3D 3D Cone Beam Imaging

The Planmeca ProMax family of 3D Cone Beam Imaging units feature differing fields of view to suit all clinical requirements. Patient care and comfort has always been at the heart of their development, and is highlighted with the introduction of their ultra-low dose modes. òòUser-friendly interface provides guidance and easy patient positioning òòFeatures ultra-low dose technology òòIncludes Romexis® software òòHigh resolution endo mode òòProFace facial scan òòNew 4D jaw tracking capability òòChoice of 5 units with fields of view from 4x5cm up to 23x26cm

KaVo OP 3D òòFast-Scan for 2D panoramic images in just 9 seconds òòORTHOfocus™ for automatic recognition of the most suitable image layer in 2D panoramic images òò4 Volume diameters: 5, 9, 11 and optional 14 cm with adjustable height from 5 to 9 cm — 36 FoV sizes in total òòSMARTVIEW™ 2.0 for precise volume positioning and variable height collimation òò4 image resolutions for 3D (Low Dose, Standard, High-Res, Endo) òòIntegrated metal artefact reduction (MAR) òòQUICKcompose™ feature for fast image review automatically after scan is completed òòLead free device

68 | EQUIPMENT SOLUTIONS

Morita Veraview X800

See me at ADX!

Veraview X800 delivers vivid, high-definition image clarity, while significantly reducing X-ray dose, artefacts and image distortion. Veraview X800 is the gold-standard imaging solution for endodontics, implantology, oral surgery, orthodontics, periodontology and all oral diagnostics. òòZoomed reconstruction – high resolution images with no additional dose òòVivid, high definition images – 80µm òòHorizontal X-Ray Beam for reduced artifacts & distortion òòThe new Frontier of Dental Imaging òòAll in one 2D/3D digital imaging solution òòChoice of 3 units with fields of view from 4x4cm up to 14x14cm

KaVo OP 3D Pro òòPrecise volume positioning using SMARTVIEW™ òòMultilayer pan function for up to 27 mm image layer òòAutomatic Dose Control (ADC) optimizes panoramic and òò3D exposure levels for each patient and every acquisition òòSelectable metal artefact reduction (MAR) òòDedicated sensors for 2D and 3D images òòEasy operation via integrated 10.4” touchscreen, optionally from left or right hand side òòChoice of 2 units with fields of view from 4x6cm up to 15x13cm

Y O U R F U T U R E H A S F R E E D O M W I T H i - C A T F L X V8

represents your gateway into

iCAT 3D CBCT

the world of industry-leading 3D CBCT imaging at an affordable price. With 8cm x 5cm and 8cm x 8cm FOVs, clinicians are able to capture specific areas of the anatomy instead of the entire oral-maxillofacial complex which is not necessary for the procedure you routinely provide for your patients.

ENDODONTICS

GENERAL PRACTICE

FOV 8cm x 5cm

SINGLE IMPLANT

FOV 8cm x 8cm

Upgrade to the V10 or V17 field-of-view with an easy in-office software update.

70 | EQUIPMENT SOLUTIONS

See me at ADX! V

-

S

E

R

I

E

S

THE BEST IS MORE AFFORDABLE THAN EVER

Choose Freedom from Limitation. Choose i-CAT Now available with an upgrade path from V8 to V17

i-CAT FLX V8

i-CAT FLX V10

i-CAT FLX V17

8cm x 5cm to 8cm x 8cm

8cm x 5cm to 16cm x 10cm

8cm x 5cm to 23cm x 17cm

www.henryschein.com.au equipment@henryschein.com.au

B E A P E R F E C T 1 0 W I T H i - C A T F L X V10 has all the functionality of the V8,

iCAT 3D CBCT

such as clinical control and optimized patient care, powerful comprehensive treatment tools, and more advanced procedures with greater predictability. The difference between the V8 and V10 Series primarily relates to the available fields of view. V10 scan sizes range from an adjustable 8cm x 5cm to 16cm x 10cm.

PERIODONTICS

UPPER/LOWER AIRWAY ANAYLSIS *

TMJ

OMS

IMPLANT

PEDIATRICS

FOV 8cm x 5cm

FOV 8cm x 8cm

FOV 16cm x 4cm

FOV 16cm x 6cm

FOV 16cm x 8cm

FOV 16cm x 10cm

Upgrade to the V17 field-of-view with an easy in-office software update. *You can use i-CAT scans in software such as Tx STUDIO to review the 3D data and reveal compromised airways.

72 | EQUIPMENT SOLUTIONS

MORE FIELDS OF VIEW THAN ANY OTHER is designed to accommodate the widest range of clinical applications, the V17 is the most flexible of the V-Series options. The V17 has a maximum and scalable FOV of up to 23cm x 17cm. The V17 is used most often by orthodontists, oral maxillofacial surgeons and oral radiologists; however, this system is appropriate for any dentist who wishes to view the entire oral-facial complex.

ORAL SURGERY

COMPLETE AIRWAY ANAYLSIS

ORTHODONTICS

FOV 8cm x 5cm

FOV 8cm x 8cm

FOV 16cm x 4cm

FOV 16cm x 6cm

FOV 16cm x 8cm

FOV 16cm x 10cm

FOV 16cm x 13cm

FOV 23cm x 17cm

Largest range of field-of-view.

equipment@henryschein.com.au | www.henryschein.com.au

73

Planmeca ProOne OPG Imaging

The ProOne is a compact yet versatile OPG. Featuring cutting-edge innovations, ProOne combines extensive diagnostic capabilities and superior image quality into a compact, easy-to-use package making this a user-friendly machine for staff and patients alike. òòSimple patient positioning for improved accuracy òòAuto-focus for perfect panoramic images òòPackage includes Romexis software with five user licenses òòExposure capabilities include: Standard panoramic, bite wing, TMJ and sinus. òòAdditional programs and modules available

KaVo OP 2D

Morita VeraView IC 5 HD

òòSimple two-step operation

òòNew and improved definition of 96 µm (10-second scan) for HD images

òòIntuitive operation using 5.7” touchscreen òòExact and safe 5-point patient positioning òòV-Shape-Beam Technology for optimised image quality òòPan, paediatric, TMJ and Bitewing imaging programs òòSupplied with Cliniview software

74 | EQUIPMENT SOLUTIONS

òòFast scanning time – only 5.5 seconds òòLow dosage – 1/5 effective dose òòTriple laser beam alignment for accurate patient positioning òòSupplied with iDixel software

KaVo OP 3D Pro The OP300 is a comprehensive 3-in-1 platform designed with the future in mind. Gold standard image quality combined with a simple, intuitive user interface offers the power to diagnose quickly and efficiently. òòCan be upgraded with CBCT and/or Cephalometric modalities. òòMultilayer pan provides five images with only one scan òòAccurate and stable patient positioning òò10” user interface enables intuitive usage and setting of image parameters. òòAutomatic Dosage Control (ADC) optimises panoramic exposure levels for each patient

Morita VeraView 2D

Planmeca ProMax 2D

òòHigh quality images DDAE and AIE functions

òòCustomisable exposure formats to minimize dosage

òòFine high speed, exposure time 7.4 seconds at 1/4 X-radiation*

òòSimple to upgrade to 3D with SCARA 3 technology

òòSimple and accurate patient positioning òòOrthoradial panoramic projection òòShadow reduction panoramic projection òòSupplied with iDixel software

òòPerfect for advanced 2D imaging needs. òòProvides a complete maxillofacial imaging system òòUser interface provides guidance and simple patient positioning òòSupplied with Romexis software

equipment@henryschein.com.au | www.henryschein.com.au

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Plant Equipment

Durr Compressor Range Compressed air systems by Durr Dental have been serving surgeries and clinics around the world reliably for over 50 years. The quality of performance and air; being oil-free, dry, and hygienic, puts them in a leading position in the market. òòMarket leading air quality and performance òòAntibacterial inner tank coating òòDesigned to enable 100% continuous operation òòModels available with remote monitoring and control

Model

Running capacity (surgeries)

Duo

2-3

Duo Tandem

4-5

Trio

3

Quattro

4

Quattro Tandem

8

Quattro P 20

12-16

Durr Suction Range In 1964 Durr Dental invented the suction system that made it possible to treat patients lying down; a real milestone in dental technology. With the same aspiration towards quality and reliability, òòNew design featuring 50% weight and energy reduction òòLow heat output and quiet operation òòVariable suction settings òòSoftware for remote monitoring and control

Durr Amalgam Retention With three systems available, Durr has an amalgam retention solution for all practices from the CA-1 for a single chair. CA-2 for a two chair surgery to the universal multiroom CA-4, each with over 98% separation efficiency. òòHydrodynamic self-cleaning function òòReliable, automatic filling level check òòConnection of several treatment units òòSeparation rate of up to 98.9 %

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Cattani Compressor Range Cattani compressors are renowned for their performance and reliability, a reputation earned through over 20 years in the market. A large range of compressor units are available to suit all types of surgery demands. òòLow maintenance and installation costs òòInternally coated to reduce wear and tear during operation òòReputation for performance and reliability òò7 year parts and labour warranty* (conditions apply)

Model

Running capacity (surgeries)

AC100

1

AC200

2-3

AC300

3-4

AC900

5-6

AC1200

12-16

Cattani Suction Range Cattani’s SMART range are semi wet suction systems with INVERTER control. They are very versatile suction systems known for consistent high performance and can be supplied in many configurations. òòMinimal fluctuation in aspiration òòIntelligent monitoring system òòOn-board electric user interface òòSome models upgradeable to meet future requirements

Cattani Amalgam Retention Most Cattani SMART* units can be retro fitted with the Hydrocyclone Amalgam Retention Unit at any stage. This process can be carried out on site by a trained technician having you back up and running in no time. òòDesigned to retrofit on existing Cattani SMART suction systems òòSimple and effective amalgam retention òòUtilises the fluid pressure created by the suction system to achieve 98% amalgam retention *Subject to confirmation

equipment@henryschein.com.au | www.henryschein.com.au

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The Strength of Silence Plant Solutions

Durr Power Tower

More and more installations of compressors and suction systems are close to the treatment rooms.

This, coupled with less space for supply systems and tougher requirements for noise are the trends that push the demand for highly integrated, silent supply systems.

The Power Tower Silence line from Dürr Dental has been developed for these exact needs. Suction and compressed air are combined in a 2 metre high tower, for up to 4 parallel operators at a maximum noise level no louder than a quiet conversation.

The PTS 200/42 with network compatibility, features all advantages of the proven Power Tower Silence systems.

The basic performance is comprised of a reliable supply of oil-free, dry and hygienic compressed air and powerful spray-mist suction. The compressor is equipped with modern membrane drying technology supplying even better dehydration of the air and an optimal performance capability is achieved – for up to 24 hours of non-stop operation.

In addition to low space requirements, the PTS 200 convinces with its quietness. Thanks to the effective encapsulation of sound, only a mere 54 dB(A) of the running sound is heard. This property makes it ideally suited as a fully integrated practice level plant system.

Operation of the PTS 200/42 is especially simple incorporating a 4.3” touch display and network connection via the Tyscor Pulse software. This network compatibility ensures the operating parameters of the PTS 200 can be adjusted easily as well as enabling automatic maintenance 78 | EQUIPMENT SOLUTIONS

reminders. The system prompts staff to schedule filter changes and keeps the user up to date on the fill level of the amalgam separator, signaling when it has to be exchanged.

Additionally, the intelligent control of the PTS 200 is programmed for energy-efficient operation. As an example, intelligent compressor control ensures that the second compressor aggregate pauses whenever the power of only a single aggregate is required. A true accomplishment of German engineering.

The compact, quiet supply unit can be installed flexibly in the surgery, occupying just 0.4 m² of floor space. This saves valuable space compared with the installation of single appliances – a significant advantage with present-day rental costs; especially in city buildings where space is at a premium or in buildings where a dedicated plant room is not practical. The construction and housing of the PTS meets high aesthetic demands and suits many interior design styles.

A number of models are available ranging from smaller single chair clinics through to six chair clinics. Speak to your Henry Schein Halas Equipment Specialist for more information.

COMPRESSED AIR

|

SUCTION

Power Tower – There is strength in Silence.

Power Tower Silence combines compressed air and suction in a single housing.

The compact, quiet supply unit can be installed flexibly in the surgery on a floor space of only 0.3 – 0.4 m2. That saves valuable space compared with the installation of single appliances – a big advantage with present-day rental costs.

For more information please visit www.duerrdental.com

Dürr Dental, PO Box 2067, Woonona East, NSW 2517, Australia For stockists and information, please call Louis Manera on 0412 959 525 or e-mail: manera.l@duerr.com.au

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IMAGING

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DENTAL CARE

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HYGIENE

Chairside CAD/CAM

Planmeca Emerald

3Shape Trios Wireless SCAN

SCAN

òòCompact, lightweight design weighing in at just 183g!

òòConvenient wire free portability

òòExceedingly fast and accurate scanning

òò3 rechargeable Batteries provides a consistent interchangeable supply of power.

òòHigh quality TrueColour™ images

òòHigh quality, RealColor™ Scans

Planmeca PlanCAD Easy

3Shape Design Studio

DESIGN

òòSimple and logical user interface

DESIGN

òòIncorporated within Romexis software

òòFull end-to-end design software for in-surgery restorations

òòCreate ready-to-mill designs

òòLogical, easy-to-use interface

Planmeca PlanMill 40S

Roland DWX-4W Mill

MILL

òòSmart and efficient milling experience òòIntegrates seamlessly with the Planmeca FIT™ CAD/CAM System òòOptimal combination of precision and performance with dual spindle

MILL

òòEasily wet mill glass, ceramic and composite resins. òòCuts precision crowns, bridges, inlays and onlays, and veneers. òòFeatures simultaneous 4-axis milling òòUp to three standard pin-type blocks can be loaded for increased efficiency.

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Planmeca Emerald intraoral scanner ™

Precious things come in small packages The brand new Planmeca Emerald™ is a small, lightweight, and exceedingly fast intraoral scanner with superior accuracy. It is the perfect tool for smooth and efficient chairside workflows. Capturing digital impressions has never been as easy.

It is a true game-changer!

Only 183 grams!

Planmeca Emerald in a nutshell • • • • • • • • • •

Contact Us equipment@henryschein.com.au www.henryschein.com.au

Small in size and light in weight Superior speed and accuracy Fully integrated colour scanning for natural colors Simple plug-and-play solution – easy to share between different operatories Autoclavable tip and seamless design for impeccable infection control Active antifog feature on the tip of the scanner USB-33 co USB con nnection Open STL format Dental u un nit iin nteg tegrat atiion – ca can b be e cont control rollled wi witth tth he fo foo ot cont control rol Compat Com atiible wit with Pla Plan nme mecca R Ro ome mexi xiss an and Pla Plan nme mecca Pla Plan nCAD Ea Eassy sof softtware suites – cons constant access access to rea real-ti -time sca scanning data data

www.planmeca.com

3D Printing

Integrating 3D printing into your Practice Digital dentistry is advancing rapidly as new technologies emerge. To stay competitive, the addition of 3D printing to your practice or lab is necessary for today’s dental advancement.

It is important for you to research and understand the advantages and limitations of the 3D printers available so you can make an informed decision to ensure that you are set for the future, because the future is 3D printing!

Is 3D printing right for your practice?

3D printing offers a unique method of fabricating appliances in a timely and cost effective manner. In the past, 3D printers have required a substantial capital investment and ample office space to accommodate but in the last few years the price point and space requirements have changed dramatically. Desktop 3D printing has become incredibly affordable and the accuracy of these compact units is incredible making the outcomes suitable for both Dental Labs and Clinicians.

For dental practices, owning a 3D printer enables you to print models in-house for those cases you would prefer to model. Aside from models, 3D printing can be used for the fabrication of custom impression trays, surgical guides, splints and patterns for partial frameworks, crowns and bridges.

What brands are available?

Options in the 3D printer market are expanding significantly. ConnectDental have two partners in this market. Formlabs, offering the FORM2 unit, is an internationally recognized brand with a large following.

They are generally recognised as the most widely used and well-known brand of desktop 3D printers available to date. The Form2 unit is a fully automated 3D printing system offering simple, low cost, ‘plug and play’ operation, designed as an easy entry point for those wanting to desktop print. Additionally, Formlabs is compatible with the exceedingly popular 3Shape Trios software modules.

The second 3D printing partner is the Australian-based ASIGA, famed for their excellent local support. The

FORM2 3D printer with the FormWash and FormCure units

82 | EQUIPMENT SOLUTIONS

strength of ASIGA comes in the range of 3D printers that they offer and the ability to use a wide variety of high quality Nextdent 3D print resins within their systems.

The speed, quality and output capacity make ASIGA systems a great choice especially for those who have a significant print volume for production.

Why choose ConnectDental?

supports needed for accurate printing and that correct IPA washing and curing required.

The experienced ConnectDental team are happy to guide you through the process to ensure 3D printing is right for your business and ensure that you achieved maximum efficiency from your setup. Contact us today!

ConnectDental offers local support and set up options, ensuring the questions associated to the uptake of new technologies are addressed. A key goal is to ensure you can use your 3D printing system to its full capacity. Peace of mind is also key consideration, therefore Connect provide a two year warranty on Form2 3D Printers and a unique service ticket system for ASIGA providing access to local support Australiawide.

What to consider before buying a 3D printer It’s important to remember to be familiar with the process before committing to a system. For example before commencing a print, you have to first create and render the item you are wanting to 3D print.

This generally requires a scanning step to acquire the image and a software to design the appliance, model or item to be 3D printed. You may require 3rd party software within the process depending on your applications. Also important to consider are the print

ASIGA MAX 3D printer

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Planmeca Romexis Insights Romexis Insights

Operational analytics for dental clinics The Finnish dental equipment manufacturer Planmeca is introducing a new way of looking at clinic operations.

The web-based Planmeca Romexis® Insights analytics service allows clinics and group practices to take advantage of interactive dashboard views at any time and base evaluations, operative planning and predictive maintenance on clear visualisations of usage statistics.

detection sensors. Milling and X-ray unit usage counts and device status are also available.

Even small dental clinics generate large quantities of data each day. The Planmeca Romexis® Insights service has been designed to combine these data into informative views that facilitate evaluating clinic operations intelligently. For the first time ever, dental managers can benefit from real-time information on how their equipment operates – including a comprehensive usage history with rich interactive dashboards.

»» Usage patterns for recognising areas suitable for optimisation

“Device connectivity and real-time usage reporting has become common in many industries typically labelled as IoT,” stated Planmeca Senior Vice President Tuomas Lokki. “Our products have included local network connectivity for over a decade and we have built the Planmeca Romexis Insights service utilising this experience. As the first manufacturer to offer an IoT solution in dentistry, we want to empower our customers to prepare for the demands of tomorrow’s competitive landscape.”

Planmeca Romexis Insights presents a wide range of device analytics for tracking usage, trends, and patterns over time. Clinics can view device status and receive alerts as well as monitor patient counts and in-chair time for Planmeca dental units equipped with patient

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The service also includes extensive features for supporting business intelligence and improving efficiency: • Interactive UI with drill-down graphing and adjustable timelines

»» Overviews for identifying quiet and busy hours »» Time period comparisons for spotting trends • Comparisons of true equipment usage with receivables accounts • Real-time device status and history • Reports on consolidated utilisation for multiple offices – especially valuable for group practices Planmeca Romexis Insights is an open system and also supports products from other manufacturers. As an online service, it can be used on any supported browser, including on smartphones.

“Planmeca Romexis Insights is yet another example of Planmeca’s all-in-one concept and our strong commitment to help customers maximise the value of their investment for many years to come. The service is largely made possible by our future-proof products which deliver tomorrow’s features today. To be successful we must always stay one step ahead – together with our customers,” Mr. Lokki concluded.

Planmeca Romexis® Insights

Smart data on clinic operations Make data the driving force behind the daily decisions at your clinic. With our web-based Planmeca Romexis Insights service for clinics and group practices, you can take advantage ®

of interactive dashboard views at any time and base your evaluations on clear visualisations of usage statistics. Discover a new way of looking at your clinic’s operations!

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View a live demo! insights.planmeca.com

Contact Us 1300 65 88 22 equipment@henryschein.com.au www.henryschein.com.au

www.planmeca.com

Software

Paperless Processes Power Practice Performance The term ‘paperless office’ was first coined more than half a century ago. Despite this, for the majority of today’s businesses, the concept remains largely a myth.

Firstly, let us examine more closely what exactly it is we mean by a ‘paperless practice’? The idea that any business in this day and age could operate without using any paper at all seems highly unlikely. As such, it makes more sense to consider the term ‘paperless office’ not necessarily as a literal definition, but rather as an ideology and objective for dental practices and their staff to adopt, whereby computerisation and technology are embraced wherever possible to streamline practice workflow and increase efficiency.

For those still using paper-based systems the move towards a paperless practice starts with a computerised practice management system. The traditional tasks performed in the running of a dental practice can be very time consuming, particularly for the front desk team. Vital tasks such as managing recalls, booking appointments and dealing with short-notice cancellations can all be streamlined via computerisation and the introduction of new technology.

By utilising available technology, practice efficiency and performance can be improved through means such as the elimination of paper records, the introduction of digital x-rays, the automation of communications such as recall and appointment reminders and the use of online booking. In addition to increasing practice efficiency and performance, implementing these measures frees up time for front office staff, allowing them to focus more of their time and energy on the patients who are actually in the practice.

There are multiple factors impacting on the desire of practices to become paperless. One such example is the recent introduction of computerised prescriptions in Australia, which denotes a clear move away from traditional manual processes. Moreover, as technology develops, tools that can facilitate paperfree processes are becoming the norm. Practices themselves have embraced the idea of going paperless, with over 75% of practices surveyed by Software of Excellence’s recent whitepaper Paperless 86 | EQUIPMENT SOLUTIONS

Practice – Dream or Reality? aiming to become paperless. Despite this, only 6% believe they have actually achieved this.

Our research indicates that whilst many practices utilise paperless systems for some administrative tasks, the majority are not reaping the full benefits that present themselves through the use of their practice management software. Those practices that are obtaining the best results in striving to be paperless, share a number of key processes which we recommend that all practices adopt.

Having a specific goal should form the starting point for any practice aiming to be paperless. A suitable goal would be to work towards your administrative tasks involving less than 10% manual paper-based activity.

Next, practices need to ensure they are fully optimising the use of their dental practice management software. It is not enough to simply implement a computerised dental practice management system, in order to obtain the full benefits of going paperless, all of the available practice management tools must be utilised. These practice management tools can be classified into the following key areas: • Automate patient communication communicating with both new and existing patients is of paramount importance to all practices. Whether it be patient recalls and reminders, important practice announcements or promotional campaigns, using a multi-channel, integrated and automated plan is the most efficient and successful way to communicate with your patients.

• Collect patient feedback digitally – gathering patient feedback is essential, and collecting this information digitally ensures the process is as efficient and streamlined as possible.

• Create paperless treatment plans and estimates – using a system that seamlessly combines intra and extra-oral images, X-rays, 3D scans, clinical recommendations and pricing into one easy to understand treatment plan increases the chances of patient uptake.

• Collect patient data efficiently and regularly – regular collection of patient data ensures regulatory compliance whilst keeping patient details up-todate. Capturing this vital information via an integrated digital platform, rather than paper, is the most efficient method.

• Back up records digitally – having comprehensive, up-to-date archives of treatment plans, costs and patient consent that are easily accessible in a single patient file gives you peace of mind and protects patient data.

• As your practice grows, improve your paperless efficiency – as a practice grows, so too does the sheer volume of records kept, increasing the physical storage demands if a practice uses paper files. Paperless record keeping eliminates the need for this physical space.

• Think out of the box – freeing up physical space in the practice can facilitate new business ideas and opportunities. For example, you could convert your now defunct storage room into another consultation room, opening up an additional revenue stream.

The move from paper to computerisation has already been made by the vast majority of dental practices, whilst working towards being paperless should be part of every practice’s overall growth strategy.

Today’s practice management software extends far beyond being a glorified appointment book. It has developed into a fully integrated business tool, which practices can utilise to transform the performance and efficiency of their business. Whilst some paper-based practices may question whether they can afford to invest in computerising their practice management system, the real question should be can they afford not to?

For more information on how your practice can become paperless, read https://softwareofexcellence. com/au/paperless, call 1300 889 668, email sales@ softwareofexcellence.com or visit http://go.henryschein.com.au/soeau/talktoanexpert.

SURGERY SETUP ACADEMY

By Henry Schein Halas

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Attracting clients in a competitive Market Marketing

Deana Durisic - Apollo Films

In the increasingly competitive dental industry, it’s never been more important to create a strong, trust-worthy online presence to attract patients.

And as more businesses get online, dental practices need maximum bang for their buck. So how does a practice create a strong online presence, and turn visitors to their virtual shop-front into patients walking through the door?

It’s all about saturating your online channels with a consistent message, said Deana Durisic from Apollo Films and Apollo’s Agent, so that your potential patients grow in trust and familiarity with your name, and become motivated to book an appointment.

Research states that people need to see you 12 times before they make a purchasing decision.

So how do you do this?

“Your strategy should cover your website and multiple social media channels, such as any combination of Facebook, YouTube, Instagram and LinkedIn” said Deana.

If someone wants to find a business they ask a friend or Google. Therefore each channel needs to look professional, be easily found by Google, and motivate people to take action – this is achievable with a variety of content and consistent messages.”

Effective types of content includes videos, articles, infographics, staff profiles, and educational and useful information.

Do not underestimate the power of video. In less than 60 seconds you can open your practice up to the eyes of thousands.

“It is a question we often get asked here at Apollo Films: ‘Do I really need to use video on my website?’” said Deana.

“Our answer: a huge ‘Yes’. That’s because video communications lead to sales and also help your organic Google ranking. With less time on our hands, most people prefer to watch video than read online. Plus

88 | EQUIPMENT SOLUTIONS

with messages more quickly and easily communicated, web users are more likely to make connections and act after viewing engaging video content.”

Statistics about websites with videos: • 60% of visitors prefer to watch a video before reading any text on a website.

• 90% of online viewers are able to recall a video ad they viewed in the past 30 days.

• 75% of online viewers have interacted with an online video ad this month.

• The average internet user spends 88% more time on a website that has video than one without.

Don’t let your videos get dusty.

Filming with Associate Prof. Laurie Walsh

There are many ways to get the most value out of your video, including: • Uploading web videos to YouTube, Facebook and other social accounts • Show bite size clips of your videos on Instagram • Embed videos on your website • Promote your video via email campaigns • Link your videos to posts on Linked In, Google +, industry directories, online forums or portals your target audience accesses • Edit clips for video ads • Corporate events and meets • In-house, for example waitings rooms, in presentations and in slide-shows Don’t be afraid to re-post the same video content on social-sharing platforms like Facebook and Instagram, using new hashtags

Exclusive Offer: As a Henry Schein Halas newsletter subscriber, you will receive a PR and Media audit checklist (worth $150) to create a strong online presence that works for your business.

For more information simply email Deana Durisic (deana@ apollofilms.com.au) from Apollo Films and Apollo’s Agent – and quote “HSH” to receive your Complimentary PR and Media audit checklist.

Frames from a video filmed for the launch of Total Steri Solutions

89

Fitout & Design

Invaluable Advice For Setting Up Your First Practice ELITE Fitout

90 | EQUIPMENT SOLUTIONS

The idea of ‘going out on your own’ in any profession can be an exciting challenge.

For this reason, we’ve put together a few useful tips to help when you are planning to take the first step to building your own dental practice.

The First Steps You’ve found the perfect location for your practice, it’s convenient, close to home, it’s in a great location and has room for plenty of parking.

The next steps you need to consider include getting a great team together. Your specialist team – design, build and fitout specialist, financier and equipment supplier can help you to stay within your budget while also helping you to achieve your goals.

Zoning Ideally the location you’ve selected will allow you to operate a dental clinic in that area. If zoning has not been considered talk to your design, build and fitout specialist to make sure your project is not held up with zoning or council issues.

If you can’t find the ideal premises for your property, you may consider building your own premises.

Having complete control over the size, structure and look of your property is a significant advantage, as well as the security of knowing you won’t need to relocate your practice in the future if your lease is not renewed. You may even be able to include additional tenancies within your building to rent out and offset your own operating costs.

There are a number of practicalities to consider if you decide on a new build. The planning and design phases will be significantly more detailed and complicated compared to fitting out an existing property. Town planning takes a lot longer, operational works process approval is required, and time will need to be allocated to get electrical, sewerage and other services connected. It could be up to 1 year or longer for the project to be completed vs. an 8 – 12 week fitout of existing premises.

When dreaming of your new practice somewhere along the way the reality of the project will begin to sink in. It is essential that potential issues that could arise be taken care of early so the process moves smoothly along.

Your Space Your chosen site will undoubtedly influence many of the decisions relating to your practice’s design. You want your practice to be beautiful, clean and stylish, but if you don’t 91

Fitout & Design have any clients or if there are a lot of established dentists in your chosen location you may not have a sustainable business to keep the practice going. Make sure you do your due diligence to ensure that you will have enough clients to maintain and grow the practice.

Create a list of all your key requirements and any equipment, desired rooms, spaces and features, and your design, build and fitout specialist will work with you to prioritise ‘the needed’ and ‘nice to have’.

Your specialist team – design, build and fitout specialist, financier and equipment supplier can help you to stay within your budget while also helping you to achieve your goals.

Your Budget & Timeline After your practice’s physical space, the main constraint you will face during your build project is your budget and timeline.

Budgeting for your dream space will require you to conduct a thorough analysis of your specific needs and assess your chosen premises. Your design, build and fitout specialist will work with you to realistically determine your budget and if you’re starting a new practice they can provide guidance on costings and time frames.

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If you are purchasing an existing practice, processes can be put in place that will allow the practice to continue functioning throughout the build. If your design, build and fitout specialist is aware of your operating needs, they can account for this in their timeline. Your timeline may also be constrained by outside forces that are beyond your control. Bring these issues or concerns to the forefront early on so they can be incorporated into your planning schedule.

Your Vision The brand or vision for your practice isn’t just about what goes where – it’s also about your practice’s “look” and “feel” it’s also about how you operate. By sharing this information with your design, build and fitout specialist they can work with you to create the practice you’ve always dreamed of.

Common methods used to translate your vision into a potential “look” and “feel” for your practice include the creation of lists of related words and feelings, “mind maps”, discussing examples of other practices or looking through swatches of fabric. The more information you provide, the easier it will be for your design, build and fitout specialist to turn your vision into reality.

Once your vision and goals have been discussed and documented, the next step is to look at your proposed premises in detail.

New or existing, making sure your space is going to work for you is essential to the success of the project.

Discussing your site in detail with your design, build and fitout specialist assists in identifying any potential challenges or issues in the early consultation phase.

Your Future Do you want your practice design to accommodate future growth? Do you want to physically extend the practice one day?

Work with your design, build and fitout specialist to answer these types of questions regarding your practice design to ensure your practice can scale as you require in the future. Discussing these elements now will save you loads of time – and potential headaches – down the track.

Engage With The Experts By collaborating with your design, build and fitout specialist, you will be more informed and feel confident that you are making the right decision, with the best team in place to create your dream practice environment.

Knowing the number of consult rooms, the anticipated number of patients you’ll be catering for daily and their requirements is beneficial to understanding your needs and determining the scope of works for your dental practice.

Have you also considered the day-to-day practicalities of your practice? Understanding how you envisage your new practice will work, from both a technical and operational functionality can minimise surprises and expensive alterations. Your equipment supplier can also assist with choosing the right equipment for your intended usage and space.

Scoping Your Project When starting your new practice, you may not be aware of issues with fit and suitability of your equipment.

Be aware that any pre-work regarding equipment fit should be incorporated into your scope of works and prior to moving the equipment into your new facility.

Your design, build and fitout specialist can also evaluate service access issues to get your practice up and running as well as adhering to required building standards and obtaining necessary council approvals.

At this stage a conceptual design layout is required, based on information gathered from the site assessment and the specific needs of your proposed practice. The design layout concept represents a visualisation of the proposed layout for your practice, including the sizing and location of all your practice requirements, and incorporating your functional and aesthetic goals as well as your vision.

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Fitout & Design A cost plan budget and preliminary timeline will be created based on your many discussions about your specific needs and the outcomes of the site assessment to ensure that the components of your practice environment are considered.

and chosen design aesthetic – your construction start date can be scheduled. During construction, your dedicated project manager and/or site supervisor guides you through your project to completion ensuring your new practice is delivered on time and on budget.

Seeing Your Vision Taking Shape

In the case of starting a dental practice in a new shopping centre that is still under construction itself, you would need to take into consideration any time constraints for building that may be imposed by shopping centre management.

Something that becomes clear is that designing your new practice isn’t just about the look and feel or how your rooms are laid out. The overall design aesthetic and delivering on your vision for your practice environment, disability access standards, workplace health and safety requirements all need to be considered.

All your meetings and discussions bring you to the point that you can see your vision taking shape with the layout and design concepts drafted and the necessary plans and drawings being developed. These important elements of the process will be utilised to obtain building approval and will be used as the basis for the construction of your new practice.

As all your design plans are prepared with building regulations in mind, obtaining a building approval isn’t typically a complex process but it may be time consuming.

Work with your design, build and fitout specialist to prepare and submit the required documentation as well as talking through any compliance issues that may arise.

Starting Construction Once you have signed off on the finalised budget and works program – incorporating your specific requirement 94 | EQUIPMENT SOLUTIONS

There are often strict deadlines set to ensure all tenancies are completed and ready for business when the shopping centre opens. Access to the site can also be impacted by surrounding construction works. Your design, build and fitout specialist will carefully plan and stage your build based on any time and access constraints and will liaise directly with shopping centre management taking care of every detail along the way.

When it comes to handing over the keys, we know that you – and your clients and staff – will enjoy the dream practice environment you have created for many years to come.

Elite is the health industry design, build and fitout expert based in Brisbane with offices on the Gold Coast, Sunshine Coast, Sydney and Melbourne. With 30+ years of experience, the Elite team understand how to create dream practice environments that are aesthetically alluring and exceedingly functional. Our project scope covers town planning, design, refit, retrofit and complete build. www.elitefitout.com.au

CONSULT. PLAN. DESIGN. CONSTRUCT.

INNOVATIVE DESIGN PRECISE PLANNING COST CLARITY Elite is the health care industry design, build and fitout expert. With 30 years’ experience, the Elite team understand how to create dream practice environments that are aesthetically alluring and exceedingly functional.

REFURBISHING

YOUR DENTAL PRACTICE? 1300 765 344

Finance

Getting the right finance for your equipment With the ever-increasing demands on dental professionals to run practices more efficiently, the productivity of both staff and equipment is a serious issue.

To get the best results for your patients, you need the right equipment in your surgery. Advances in technology mean you can get equipment that can have a great impact on case acceptance, productivity and patient outcomes, but that equipment comes at a price.

The upfront cost of equipment like dental units, autoclaves, CAD/CAM machines, X-ray and OPG equipment, intraoral cameras and more, is significant. Also, the way you pay for that equipment may be different depending on your career stage.

For example, a brand new surgery will require a different cash flow structure to a well-established clinic looking to expand its treatment options. That, in turn, will have an effect on how you pay for that important equipment. Is a lease a better option than just buying it? Or will you eventually pay it off, only to find out you need to update it almost immediately? The average bank won’t understand your business enough to help you make that decision, but we will.

Our experience and strong partnership with the healthcare and finance communities provides us with over 25 years of experience and a deep understanding of your niche needs and career trajectory. Almost 50 percent of our commercial clients’ finance is for dental and specialty equipment, and it is through everyday conversations with you and your equipment suppliers that we keep up with the ever-changing technology and innovations in your profession.

We work with you, your financial adviser and/or accountant to tailor an arrangement which fits with your circumstances. We also conduct a cash flow projection, considering factors such as how many patients need to be seen over the life of an asset to ensure it is profitable.

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Is your equipment finance getting you all tangled up?

It’s time for a second opinion.

As you well know, running a dental practice involves balancing a myriad of priorities. Purchasing equipment is high on the list, but it’s often devilishly complicated – it takes specialist expertise to put together a simple, cost-effective solution.

This is where BOQ Specialist comes in. We’re experts in providing financial solutions for dental professionals, so our team thoroughly understands the pros and cons of different methods of funding your equipment.

Whether it’s buying outright or leasing, you can rest assured we’re on the ball when it comes to your needs.

Visit us at boqspecialist.com.au/dental or speak to our financial specialists on 1300 131 141.

Equipment and fit-out finance / Credit cards / Home loans / Commercial property finance / Car finance / Practice purchase loans SMSF lending and deposits / Transactional banking and overdrafts / Savings and deposits / Foreign exchange Products and services are provided by BOQ Specialist - a division of Bank of Queensland Limited ABN 32 009 656 740 AFSL and Australian credit licence No. 244616.

All finance is subject to our credit assessment criteria. Terms and conditions, fees and charges and eligibility criteria apply.

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Finance What’s the best type of finance for me?

There are a number of different ways to finance equipment. The right one for you depends on the stage of your career, the type of practice you have, and how you currently structure your finances. Options include:

Hire purchase loan: With this loan type, we purchase the assets you need and then hire them to you over an agreed contract period.

You use the assets over the period of the contract, but we own them until the loan and interest have been repaid in full.

Benefits of hire purchase loan: As a general rule, interest rates are often very competitive with a hire purchase loan, as the loan is secured by the assets purchased. Repayments are fixed, and there are generally no ongoing fees. You may be able to claim the interest and depreciation as a tax deduction.

Chattel mortgage: This loan is similar to a commercial hire purchase, except you own the assets for tax purposes from the time of purchase.

Benefits of a chattel mortgage: Similar to a hire purchase loan, in that it offers competitive interest rates, fixed repayments, generally no ongoing fees, and you may be able to claim the interest and depreciation as a tax deduction. The difference to a 98 | EQUIPMENT SOLUTIONS

hire purchase loan will be the treatment of GST for tax purposes, so make sure you talk to your financial adviser or accountant about which one is best for your individual situation.

Lease: Under a lease agreement, we purchase your assets, and your payments are split into a number of monthly lease payments and a residual. You pay rent on your assets and, at the end of the period, you can elect to purchase the goods for the residual amount. Once the residual is paid, the ownership of the assets is transferred to you.

Benefits of a lease: There are generally no ongoing fees and your full lease payments may be tax deductible.

Professional overdraft: An overdraft facility can be secured or unsecured, and you can make interest-only repayments or pay down the overdraft with principal repayments.

Benefits of an overdraft: You only pay interest on what you use rather than the whole credit limit, and the interest may be tax deductible. There are generally no ongoing fees. Our One Account includes an option for an overdraft facility (subject to credit approval).

Rewarding yourself for a smart purchase We are different to other finance providers because we combine flexibility with a deep understanding of each individual client’s career. That includes understanding your workload—and the need to balance your work and your life.

It’s why we also offer the option of putting the initial equipment purchase onto a BOQ Specialist credit card* as well as your equipment finance repayments.

This allows clients to earn a significant amount of airline reward points# that can be used to give you a muchneeded break from work.

Choosing the right equipment can be challenging, but working out the best way to finance it doesn’t have to be. As expert “tools of the trade” lenders, we provide tailored service to dentists and are committed to the ongoing process of assessing and modernising your dental equipment.

BOQ Specialist has over 25 years experience working with dental professionals and understands their specific needs. For further information on products, contact one of our financial specialists today on 1300 131 141 or visit our website boqspecialist.com.au The credit provider is BOQ Specialist – a division of Bank of Queensland Limited ABN 32 009 656 740 AFSL and Australian Credit Licence no. 244616 (BOQ Specialist). Terms and conditions, fees and charges and lending and eligibility criteria apply. We reserve the right to cease offering these products at any time without notice. BOQ Specialist is not offering financial, tax or legal advice. You should obtain independent financial, tax and legal advice as appropriate.

The information contained in this article (“Information”) is general in nature and has been provided in good faith, without taking into account your personal circumstances. While all reasonable care has been taken to ensure that the information is accurate and opinions fair and reasonable, no warranties in this regard are provided. We recommend that you obtain independent financial and tax advice before making any decisions. * A 1.5% processing fee applies on the purchase price. Points are earned on eligible purchases only. Fixed term finance contract is to be approved prior to purchase. If you elect to make loan repayments on your BOQ Specialist credit card a 1.5% processing fee applies on the amount of each repayment.

Repayments on overdrafts and lines of credit are not available to be made via BOQ Specialist credit card. # Reward points are earned in accordance with the rewards program terms and conditions. For full credit card terms and conditions visit boqspecialist. com.au/credit-card-terms.

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Staffing your Practice

Top Tips for Attracting Talented Staff Dr. Jeffrey Kho

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Ask any business owner, what is the source of their biggest headache? And the answer is almost always staffing. And over the decade in business, this has certainly been my experience. I’ve learned many lessons about staffing and I’d like to share some of them with you today.

Many of the lessons I learned about staffing – I’ve learned from actual experiences.

Lesson One The first lesson today is named Rose.

Back in 1997 when I was 15 years old and commenced working at KFC Southport. There were 2 managers at the time – Rose and Shane.

People didn’t like Rose but they respected her and she commanded respect and things got done, orders went out correctly, tills were balanced and things generally ran smoothly.

On the other hand, everyone loved working when Shane was on, but he didn’t care about much and things didn’t get done properly, money was regularly out, stock went missing and there was always excess food at the end of the day. Things were generally inefficient.

At the time, I much preferred being run by Shane as I knew I could get away with a lot of things. Today, I know who I would rather have managing the team, and that is Rose.

When running a business, Strong Leadership is needed. Which brings me to my first Tip: Tip 1: Leadership is doing whats right, not just whats liked.

Lesson Two Over the years we have had to make some unpopular business decisions for the best interest of the clinics i.e. When it comes to hours, wages and letting poor performers go. Doing what’s right for the clinic is not always going to be popular. And this is not easy! If this is not something you are good at, then get some training around this or hire someone who can do it for you.

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Now let’s look at the costs involved in a bad hire to the business.

I used to work at my first clinic in Calamvale and then go over to clinic two the afternoon. Then I get a call from the sales rep saying “one of my staff is out the front in her uniform, smoking a cigarette!” Some days she’s good, other days she’s great, and most other days she’s bad.

Unreliable, calls up sick at the last moment, 30mins before her shift etc. We hired her because we were desperate for someone, and we just put on anyone, this cost us, cost the business much more than if we had just waited out for the right person.

Tip 2: Hire slowly, fire quickly

Lesson 3 Kate was intelligent, sharp and witty. She had the gift of the gab one of those who had a story about anything you would talk about and was most definitely a patient magnet. She was FANTASTIC for the clinic and having her on front reception was a great move.

We knew the kids well, we knew her husband and crossed the line from buddy to boss. When it came time to pull them up over things, they would not listen as they

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felt we were friends and boundaries hadn’t been set nor explained in the outset and this made management difficult. This was because we didn’t have the necessary rules and protocols set in place and as a new business we were still finding out what they were. Kate would push the boundaries, Kate would ask for things that she knew was out of line. Eventually we needed to let her go. It was so hard to do and one of the most difficult things I have ever had to do.

Tip 3: Don’t hire someone you can’t fire

Lesson 4 Our clinic could go for weeks without finding any suitable candidates, and isn’t funny how when you are really desperate for someone to hire, suddenly at the last minute, someone turns up. This was the case with Debra. In 2010 we were looking for a Manager with experience, knowledge and ideas to help take the clinic to the next level. She was coming from a previous high level management role in a large group clinic: a long, well established clinic in the city. She came in dressed in a suit, with her leather briefcase and shiny, reflective high heels. I remember thinking at the time that she was overdressed for the occasion. Her skills and experience

ticked all the boxes. So why did she only last with us less than 6 months? Because she had bucket loads of talent, skill and experience and had come from an old well established, well run clinic with systems and protocols and exceptional patient care.

Our clinic at the time was not ready for her. And talent leaves.

Tip 4: Hire talent when your business is ready. If your own house in not in order, you won’t be able to retain a high performer.

Lesson 5 Annette was a poorly wrapped gift to us early on when we were desperate for a hire. Her resume was black and white, written in notepad, had spelling and grammatical errors. But she had the experience and so we gave her a call. On the phone, it was one of those phone tag games, where you never reach her, you get her voicemail, then when someone does answer the phone, it’s her boyfriend answering and you can hear dogs barking in the background, kids crying, and just chaos in the background.

I don’t know why but we still asked her in for an interview.

She turned up 5 mins late, did not given any excuses, nor did she call ahead to let us know. She was wearing flannelettes and an old pair of worn slippers. I thought to myself, well we aren’t hiring them for their fashion so let’s give them a try. We put her on. She would even wear slippers to work, she would forget when her shifts were on and was poor in all she did. She lasted a couple of days and was a lesson that we should pick up the warning signs early on.

Tip 5: How you do anything is how you do everything

About the author Dr Jeffrey Kho graduated from the University of Queensland with Honors in 2005. He has since experienced practicing in both public and private where he worked as an associate dentist. In 2008 he opened the first of his three successful clinics in Brisbane. Dr Kho has been a clinical supervisor for the UQ School of Dentistry, and guest presenter at both Griffith and James Cook Universities. He serves as a Key Opinion Leader and clinical advisor for many different companies and lectures both nationally and internationally.

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Cashflow Accounting

The Exciting World of Cashflow Accounting Tim Hall - Bones Accounting

Welcome to the exciting world of managing cashflow, GST and tax for asset purchases. Reading this article could save you millions.

Actually, that’s a lie. Reading this article will allow you to start a conversation with your accountant that doesn’t end with your eyes glazing over. When you finish reading, you’ll be able to understand the reasons behind your accountant’s financial advice and have a robust discussion about it. There’s nothing quite like a robust accounting conversation.

This article will cover cashflow considerations before purchase, different finance options when you purchase, tax implications of the purchase and the decision making process behind it all.

Cashflow Before proceeding with any major purchase, you should consult your budget. If you don’t have a budget, stop reading now and go create one. Most modern accounting software packages (such as Xero and MYOB) can help you to create a budget. The program will take the numbers you already have from your prior period of trading and use these to predict what you might be able to afford in the next period. The software allows you to make changes to the forecast by adjusting elements such as a predicted increase in sales in the next period. A budget is good for all sorts of things, but it is particularly good at measuring the impact or a new loan or rental agreement.

The most important element in the budget is your cashflow. That’s because it’s very difficult to run a business without cash. We regularly see profitable business struggling because there is no cash to keep the staff and suppliers happy. I don’t want you to have this problem. I want you to prepare a budget. Then sit down with your accountant and allow them to crunch the numbers. Take the great ideas you have for expanding and upgrading your business and see what their impact on your business will be, before the actual impact occurs. But keep in mind the words of author William Feather “A budget tells us what we can’t afford; but it doesn’t keep us from buying it”. Self-discipline is not my area of expertise.

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Finance Options You’ve completed your budgeting forecasts. You’ve decided on the piece of equipment you think will bring you the best return on your investment. You have found, in your budget, a delightful surplus of cash on the horizon.

There are now four options available to you for acquiring that shiny new piece of equipment: • Purchase outright. You may be lucky enough to find yourself in a position where you can purchase the equipment you want, with cash, in full. But you’ll want to keep reading, because you need to consider the opportunity cost of doing so.

• Loan/Chattel Mortgage/Goods Mortgage etc etc – many different names; but the same idea from an accounting and tax perspective. Borrow to purchase outright immediately.

• Lease. Similar tax and GST treatment to renting. This option used to be popular because of favourable accounting and taxation treatment, but that’s slowly been declining since the introduction of GST and nowadays we rarely see them (accept in the salary sacrifice space).

• Rent/ rent to buy – You pay monthly installments to use someone else’s equipment. Sometimes at the end you get to keep it (rent to buy). It can be expensive, but it’s a worthwhile strategy in certain circumstances.

Decisions, Decisions I’m now going to take you through a more detailed comparison of three of the above four options. I won’t cover leasing as an option here.

First, we’ll look at purchasing outright vs. a loan.

Purchasing outright allows you to walk straight into the extra profits your new equipment purchase will bring you. The downside is the opportunity cost of making this purchase. What that means is you no longer have the option to spend that money in another area. For example, what if you spend the $30,000 on a deposit for a new commercial building instead and then borrowed to buy the equipment? What if you put that $30k into superannuation investments and took out a loan to buy the equipment instead? Which strategy, in the long run, provides you with the best return? These are the difficult questions (it’s hard to predict the future after all), but questions worth considering. A good accountant should prompt you to look at these other options if you’re running your decision to buy past them. It can be challenging to know what other options are out there if you’re not thinking about it every day, so ask, it’s what we’re designed for.

The second comparison is loans vs renting. For tax and accounting purposes, loans are better than renting. With a loan, you are able to claim back the full amount of GST you pay on the item up front and start depreciating the asset immediately (see below). Plus you end up with the item at the end of the loan period. But renting has its place. For example, in areas where technology rapidly updates renting is ideal. Quick shifts in technology can easily make your asset redundant and non-profitable.

Properly negotiated rental agreements allow for the latest technology to be introduced to your business as it’s released. Consider each piece of equipment individually and be open to the possibility of renting.

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Cashflow Accounting Also consider ‘pricing up’ the different options – it’s an activity us accountants love to do. It means calculating the cost of each option over the life of the asset.

Sometimes the differences between loans and renting can be startling; but often lenders will just tell you that renting or buying cost about the same.

Tax and GST implications The exciting part of the article! Let’s start with GST. The introduction of GST (while part of the decline of leasing) improved the attractiveness of the loan option for equipment purchases. Renting splits GST into tiny portions associated with each rental payment, but you still pay it. With a loan, you don’t. With a loan you can claim the entire GST portion of the asset value back on your next BAS. And that cash will then improve your cashflow.

Depreciation and being able to immediately write off assets law also affect tax bills. Since budget night 2015, you’re able to claim 100% of the value of a single acquirable asset back – up to the value of $20,000.

This is great for your tax as the alternative is slowly deprecating the asset over a number of years. Current Australian law gives you more benefits when you borrow to purchase when considering depreciation too. With renting there is no depreciation claim; you just claim monthly rent expenses for tax purposes. There are lots of technical pitfalls and traps, and variables to consider with depreciation and writing off assets. Talking to your accountant before making a major decision will help you understand what the tax implications will be.

Borrowing costs can also impact on your tax bill and cash flow. Be sure to read the fine print on any loan offer. The costs of borrowing can be significant, including expenses such as loan establishment fees, title searches and mortgage fees. These expenses are not immediately deductible (unless they are less than $100). Instead the deduction is spread over five years.

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Timing The final consideration when making a major purchase involves keeping one eye on the clock. Timing impacts cash flow, tax deductions and the amount of income tax you pay. Incoming changes to depreciation law may affect your purchase. Consider also the financial year in which you want to realise the deduction to maximise the financial benefits. Not only the invoice date, but also the date the asset is delivered and is available for use will affect the way your accountant can use the item when calculating deductions. It’s the date the asset becomes available for use that is used to start depreciating the asset. Watch out if date of purchase and date of delivery straddle two financial years. Even a one day difference in purchase date can mean a three month delay in getting your GST back with your BAS lodgment. Timing matters.

The above covers the basics of the exciting world of asset purchases in a nutshell. I’ve left out a lot of fun things such as setting up bucket companies to rent equipment back to your trading entity, what you need to know about PPSR rules and how to ensure your asset acquisition strategy fits into your overall tax planning strategy, but the basics are there. Your key action points are: • Do a cashflow budget • Factor in the tax and GST implications of a major asset purchase • Decide on the appropriate purchase strategy • Consider the timing of your purchase Most importantly, talk to your accountant. You’ll be amazed at the abundance of knowledge and experience accountants have about asset purchases. Use their knowledge to your advantage.

That’s it! You’re now ready to have that robust accounting conversation.

We take accounting personally.

At Bones, we’re accountants, but not the ones you see wearing Hugo Boss three-pieces. No, we’re more comfortable in a band shirt and jeans.

We proudly offer accounting solutions with a refreshing twist. No stuffy corporate guff or droning personas, just genuine and able folk that have been around the balance sheet on more than a few occasions.

No matter what stage you or your practice are at, we’ve got the skill, experience and a level of enthusiasm rivalled only by a youth rock eisteddfod. In other words, you can be sure we’ll do everything to help you get more from your business. Even if that means working to the bone to get the job done.

At your service at every step...

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Bookkeeping Cloud technologies – the future is now, people.

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On-call service

Get in touch today! 07 3177 1136 | info@bonesaccounting.com

Marketing & Social Media

Nurturing Patient Relationships Carolyn S Dean – My Dental Marketing

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my DENTAL

marketing Many dental practices make the mistake of focusing only on gaining new patients. They fail to effectively address the need to retain those they already have.

Did you know that the most valuable asset that a practice has is its existing patient base? Every practice wants and needs new patients, but your surest and most predictable source of new revenue is right under your nose. It comes from the loyal patients who already know your practice.

It’s also far easier (about 50% easier) to sell to existing patients than to new prospects. Acquiring new patients is expensive (five to ten times the cost of retaining an existing one), but the average spend of a repeat patient is a whopping 67% more.

There are further staggering statistics on the value of existing patient reactivation versus new patient acquisition: • The probability of selling to an existing patient is 60 to 70%, while the probability of selling to a new prospect is 5 to 20%.

• A 2% increase in patient retention has the same effect as decreasing costs by 10%.

• Attracting new patients will cost your company five times more than keeping an existing patient.

• A 5% reduction in the patient defection rate can increase profits by 5 to 95%.

Why do patients leave?

The average dental practice loses between 15 to 20% of their patient base per annum. Yet only 7 to 8% will move out of your area each year.

Therefore, the rest of your patients are leaving for other reasons. If you are not tracking your numbers, this steady erosion of your patients can go unnoticed for years. When you do notice, it may well be too late.

One main reason for patients leaving a practice is that the practice does not stay in touch. If you don’t stay in touch with your patients, they will think that you don’t care, they won’t know what other services you are offering that may be of interest to them and their network of family and friends, and they wont be educated in understanding why they need to come in for regular check-ups or to complete their treatment plan.

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Marketing & Social Media

Regular communication with your existing patients is critical. Internal marketing is the name given to this communication.

Internal marketing Internal dental marketing is all about building strong, lasting relationships with your patients. As we have seen, it is far less expensive to do what is necessary to retain an existing patient than it is to attract a new dental patient through external marketing.

Practices should use internal marketing with their focus on keeping the patients they already have coming back. There are some key things you can do from an internal marketing standpoint to help you reduce your marketing costs and drive referrals from existing patients.

Developing internal marketing strategies There are so many easy and inexpensive or even costfree things you and your staff can do to enhance the patient experience. Just start with the little things and you will begin to build a culture in your dental practice that will make your patients feel good about you and more likely to stay.

Remember that your current patients are the audience for your internal marketing message. With internal marketing, you’re talking to people who already know you, so it feels more comfortable.

The following are examples internal marketing strategies that we recommend that practices use to retain existing patients.

Sending email newsletters Email communication is one of the most cost-effective marketing methods you can implement. Start collecting email addresses as early as you can. Even if you don’t currently have an email strategy prepared, these will prove very useful at a future time.

Email marketing campaigns give you the opportunity to distribute information to a wide audience of patients at a relatively competitive rate. Research shows that email marketing has one of the best return on investment ratios.

A growing number of professionals use newsletter marketing to build their practices. Newsletters are ideally suited and highly effective for the unique marketing needs of professional practices. Unlike traditional advertising, newsletters are not viewed as self – serving, because each issue provides valuable information.

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Email newsletters benefits The benefits of email newsletters include the following: • They enhance your practice’s reputation • They increase the lifetime value of your patients • They leverage your other marketing efforts • They provide instantaneous, easily-tracked results • There is an opportunity for your patients to easily and immediately interact with you • You can promote dialogue with them • They provide a higher response rate because they are being sent to a more receptive audience • They are more cost-efficient than a printed newsletter because of the significant savings in time, printing, and mailing costs A patient newsletter demonstrates your concern for the people your practice serves and aims to strengthen that relationship. It is a convenient and impressive way to keep in touch on a regular basis, especially with patients you may not see often.

Social media Many of your patients can be found on social media these days – the old, the new, and the lost. This makes social media the perfect place to remind them who you

are, engage them with information that will benefit them, offer special promotions, explain your services, and make it very simple to request an appointment.

You can use social media for reactivation purposes to establish, maintain, and optimise your practice marketing.

Holding a dental open house event In my opinion, there is really no more friendly way to say thank you to your existing patients and hello to your future patients than to open your doors up wide and invite them in. This is a wonderful opportunity to reach unlimited members of the dental community.

Your open house gives you the opportunity to make connections in a casual and relaxed atmosphere, when you and your staff are not busy doing your day job.

On-hold messaging As you would imagine, I spend a lot of time on hold waiting to speak to dentists about their marketing. It continues to amaze me that there are so many practices who do not use on-hold messages. If you don’t have one, you are missing out on a great opportunity to educate your patients about the services that you offer.

Successful recall systems require your practice to employ the right systems and communication channels with patients, and it will require your whole team to be on board with the same message.

Incentive-based marketing People are procrastinators; particularly when it comes to dentistry, they need a reason to come back in to see you. Incentive-based marketing is a great way to get your patients to come back in.

By using the right promotions, you can retain existing patients, attract new patients, and sell a wider array of services to patients who have traditionally participated in a very small segment of what you offer. Incentives can help you leverage the power of referral – based marketing, too. More practices than ever are using this strategy to drive growth.

Find Out More Contact My Dental Marketing on 02 9410 1507 and www.mydentalmarketing.com.au to learn more about using internal marketing and to talk through the any other specific marketing questions that you have about your dental practice.

Maximising recalls An effective recall procedure is the best way to keep patients attending regularly. This obviously needs to run alongside educating your patients on the importance of visiting regularly. Recall is one of the most important systems that you can organise in your practice.

SURGERY SETUP ACADEMY

By Henry Schein Halas

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Thinking ahead. Focused on Life.

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