Bite September 2011

September 2011, $5.95 INC. GSt

Bite Better business for dentists

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The wait is over

How did Dr Roshan Abraham cut waiting lists on the New South Wales

Mid-North Coast from 3500 to 16?

Anti-social media

We look at the five most

common objections to social media, and

why they’re wrong

ADX11 Melbourne

preview:What to look

forward to at this year’s expo!

Cracking the code Changes to the National Construction Codes may have far-reaching implications for the design of your surgery

Breaking the mould New technology promises the possibility of being one step closer to the ortho’s dream: a world without plaster, page 44

SPECIAL REPORT:Continuing education for fun and profit! Check out the best on offer, starting on page 36

Invest in reliability. Focus on the patient.

Express your style. From the people

who build the most dependable dental

equipment in the world, A-dec 200™

provides you with a complete system

to secure a successful future.

Discover how you can gain assurance

with A-dec 200. Contact your

authorized A-dec dealer today.

Assurance

©2011 A-dec® Inc. All rights reserved.

AA587_Inkredible 1637-22

For more information Email: [email protected]: 1800 225 010 Visit: www.a-dec.com.au

ChairsDelivery SystemsLightsMonitor MountsCabinetsHandpiecesMaintenanceSterilisationImaging

RRP From$19,995 Incl. GST

1637-22_AA_A-dec200_Assurance_FP_1A.indd 1 24/02/11 4:27 PM04-09_BiteNews_April11.indd 4 6/04/11 5:10 PM

Bite 3

News & events05. Supply and demandThe AIHW has found more dentists are joining the workforce, but only in capital cities. ALSO THIS MONTH: A breakthrough gel developed in the UK will allow filling without drilling; A new report finds poor kids have poor oral health; evidence of caries-causing bacteria has been found in infant saliva; and much, much more …

Wait-lessRegional waiting lists are notoriously long, but Roshan Abraham found a way to slash them to almost zero. His methods are now being studied as a model of how to get it right

26Cover story

Features

Your business18. Social skills

Social media is an essential tool for every business

and while there are some common objections, it’s

easier than you think to get started

22. Skilling timeFor ADX11, the Dental Association and Dental

Industry Association have teamed up to create a

professional skills program without peer

32. Better buildingChanges to the National

Construction Codes could have far-reaching

implications for all practices

36. Education guideEverything you need to

know about the best continuing education

options for you

Is the 44. Breaking the mould.

Is the dream of ditching moulds closer now thanks to new technology? Some

orthodontists think so

Your tools16. New productsThe best new gear

and gadgets

47. Tools of the tradeA simple way of

improving your endodontic technique; a versatile and simple micro motor; and much more are reviewed

Your life50. Passions

Dr Blanche Tsetong is a dentist by day and an SES

volunteer by night

Contents03

September 2011

18

Bite 3

Editorial Director Rob Johnson

Sub-editor Kerryn Ramsey

Contributors Sharon Aris, Nicole Azzopardi, Kerryn Ramsey, Lucy Robertson, Maureen Shelley, Gary Smith

Creative Director Tim Donnellan

Commercial Director Mark Brown

For all editorial or advertisingenquiries:Phone (02) 9660 6995 Fax (02) 9518 5600

[email protected] 4.08, The Cooperage 56 Bowman Street Pyrmont NSW 2009

Bite magazine is published 11 times a year by Engage Media, ABN 50 115 977 421. Views expressed in Bite magazine are not necessarily those of the publisher, editor or Engage Media.

Printed by Bright Print Group

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7,714 - CAB Audited as at May 23, 2011

Invest in reliability. Focus on the patient.

Express your style. From the people

who build the most dependable dental

equipment in the world, A-dec 200™

provides you with a complete system

to secure a successful future.

Discover how you can gain assurance

with A-dec 200. Contact your

authorized A-dec dealer today.

Assurance

©2011 A-dec® Inc. All rights reserved.

AA587_Inkredible 1637-22

For more information Email: [email protected]: 1800 225 010 Visit: www.a-dec.com.au

ChairsDelivery SystemsLightsMonitor MountsCabinetsHandpiecesMaintenanceSterilisationImaging

RRP From$19,995 Incl. GST

1637-22_AA_A-dec200_Assurance_FP_1A.indd 1 24/02/11 4:27 PM04-09_BiteNews_April11.indd 4 6/04/11 5:10 PM

The added fl uoride in LISTERINE® Teeth Defence helps prevent dental caries and strengthens teeth.7–9

Brushing and fl ossing can achieve more with LISTERINE® antiseptic mouthwash.

When patients add LISTERINE® mouthwash to brushing and fl ossing they can reduce plaque by a further 51% and gingivitis by a further 21% .1–6

LISTERINE® Teeth Defence contains Ethanol 0.22mL, Benzoic Acid 1.5mg, Thymol 0.64mg, Cineole (Eucalyptol) 0.92mg and Sodium Fluoride 0.22mg. References: 1. Sharma N, et al. J Am Dent Assoc 2004; 135: 496–504. 2. Gordon JM, et al. J Clin Periodontal 1985; 12: 697–704. 3. Overholser CD, et al. J Clin Periodontal 1990; 17: 575–579. 4. DePaola LG, et al. J Clin Periodontal 1989: 311–315. 5. Charles CH, et al. J Am Dent Assoc 2001; 132: 670–675. 6. Charles CH, et al. J Clin Periodontal 2004; 31: 878–884. 7. Fine DH, et al. J Clin Periodontal 2005; 32: 335–340 8. Fine DH, et al. J Clin Periodontol 2000; 27: 157–161. 9. Fine DH, et al. J Periodontal 2007; 78: 1935–1942. ®Registered trademark. Johnson & Johnson Pacifi c Pty Ltd, 45 Jones St, Ultimo NSW 2077 Australia. JJP0186/BMK 2461/11

, Cineole (Eucalyptol) 0.92mg and SoGordon JM, et al. J Clin Periodontal

A new report shows more dentists have joined the dental labour force, but only in major cities

The supply of dentists in Australia grew from 46.6 to 50.3 full-time equivalent practising dentists per 100,000 people between 2000 and 2006, according to

a new report released last month by the Australian Institute of Health and Welfare (AIHW). Capital cities continue to have more dentists per head of population than other areas, with increases in dentist numbers occurring only in major cities. Conversely, numbers have decreased in inner regional areas. “Supply was highest in the Australian Capital Territory and lowest in Tasmania and the Northern Territory, with all other states around the national average,” said AIHW spokesperson Ms Dana Teusner. The report, Dentists, specialists and allied practitioners: the Australian dental labour force, 2006, shows that in 2006, there were about 10,400 practising dentists in Australia, with four-fifths working in the private sector. Of the total 10,400 practis-ing dentists in Australia, 1300 were dental specialists. There were also an additional 3100 allied dental practitioners, comprising dental hygienists, dental therapists, and oral health therapists—nearly all of whom

were women. Allied dental practitioners experienced the strongest growth in the decade to 2006, with a particular increase seen in the number of oral health therapists between 2003 and 2006—this is due to it being a new registration category. The re-port found that dentists are tending to work fewer hours per week—down from 39.2 hours in 2000 to 38.5 in 2006.

“This is likely to be due to a combina-tion of the ageing of the dental labour force and the increasing proportion of women in the labour force—older dentists tend to work shorter hours and female dentists are more likely to work part-time,” Ms Teusner said. Two other AIHW dental reports were also released at the same time: Oral health practitioners in Australia 2006 and Oral health practitioner labour force projections 2006–2025. Overall, the number of oral health practitioners per 100,000 population is expected to increase by 52 per cent, from 10.8 oral health practitioners per 100,000 population to 16.2 by 2025.

The ratio of dentists to oral health practi-tioners is expected to remain stable, due to a proportionate increase in the number of dentist graduates over the same period.

There’s more like him in the cities. But he’s working less than he used to.

Supply and demand

Bite 5

Researchers at the University of Leeds (UK) have discovered a pain-free way of tackling dental decay that reverses the damage of acid attack and re-builds teeth as new. The pioneering treatment promises to transform the ap-proach to filling teeth forever.

Their solution is to arm dentists with a peptide-based fluid that is literally painted onto the tooth’s surface. The peptide technology is based on knowledge of how the tooth forms in the first place and stimulates regeneration of the tooth defect.

“This may sound too good to be true, but we are essentially helping acid-damaged teeth to regenerate themselves. It is a totally natural non-surgical repair process and is entirely pain-free too,” said Professor Jennifer Kirkham, from the University of Leeds Dental Institute, who has led development of the new technique.The ‘magic’ fluid was designed by researchers in the University of Leeds’ School of Chemistry, led by Dr Amalia Ag-geli. It contains a peptide known as P11-4 that—under certain con-ditions—will assemble together into fibres. In practice, this means that when applied to the tooth, the fluid seeps into the micro-pores caused by acid attack and then spontaneously forms a gel.

This gel then provides a ‘scaffold’ or framework that attracts calcium and regener-ates the tooth’s mineral from within, providing a natural and pain-free repair.

The study is being funded by credentis AG who have licensed the technology and are preparing to introduce P11-4 to dentists worldwide.

Filling without drilling

05

News bites

The added fl uoride in LISTERINE® Teeth Defence helps prevent dental caries and strengthens teeth.7–9

Brushing and fl ossing can achieve more with LISTERINE® antiseptic mouthwash.

When patients add LISTERINE® mouthwash to brushing and fl ossing they can reduce plaque by a further 51% and gingivitis by a further 21% .1–6

LISTERINE® Teeth Defence contains Ethanol 0.22mL, Benzoic Acid 1.5mg, Thymol 0.64mg, Cineole (Eucalyptol) 0.92mg and Sodium Fluoride 0.22mg. References: 1. Sharma N, et al. J Am Dent Assoc 2004; 135: 496–504. 2. Gordon JM, et al. J Clin Periodontal 1985; 12: 697–704. 3. Overholser CD, et al. J Clin Periodontal 1990; 17: 575–579. 4. DePaola LG, et al. J Clin Periodontal 1989: 311–315. 5. Charles CH, et al. J Am Dent Assoc 2001; 132: 670–675. 6. Charles CH, et al. J Clin Periodontal 2004; 31: 878–884. 7. Fine DH, et al. J Clin Periodontal 2005; 32: 335–340 8. Fine DH, et al. J Clin Periodontol 2000; 27: 157–161. 9. Fine DH, et al. J Periodontal 2007; 78: 1935–1942. ®Registered trademark. Johnson & Johnson Pacifi c Pty Ltd, 45 Jones St, Ultimo NSW 2077 Australia. JJP0186/BMK 2461/11

, Cineole (Eucalyptol) 0.92mg and SoGordon JM, et al. J Clin Periodontal

The Australian dream of buying your own home is getting harder as house affordability puts it out of reach. But dreams can still come true

Investec 6.39%* Three Year Fixed Rate Home Loans

When it comes to mortgages, escalating property prices has meant borrowers need to

stockpile more cash as a deposit. Many home buyers are forced to spend many years saving before they have a big enough deposit to buy their own home.

To put this in perspective, say a home buyer plans to purchase a residential property at the median house price of $600,000. On top of a deposit, mortgage insurance and stamp duty can add another $20,000 to $40,000 to a property purchase of this value.

To avoid mortgage insurance, many banks require a buyer to pay a 20 per cent deposit plus another 5 per cent to cover costs. For the median house price of $600,000 this equates to $150,000, which is a lot of money.

Some banks add the mortgage insurance to your loan if you don’t have the cash upfront. This is problematic because you end up paying more in interest over the life of the loan.

To overcome this roadblock to home ownership, Investec Dental Finance has created innovative lending products, specifically designed for dentists and others in the medical professions.

Unlike other banks, Investec recognises that dentists have a lower risk profile than the average borrower with a steady earning capacity across the economic cycle.

During times of market turmoil, some lenders have been forced to tighten their lending criteria and decrease the amount they would lend against the value of the property, which means they require an even bigger deposit.

As a specialist bank, Investec has the ability to maintain a consistent credit policy that doesn’t compromise our clients’ opportunity to borrow and create wealth - and invest in property.

Investec continues to buck the trend, offering up to 100 per cent mortgage finance for qualified medical professionals intending to occupy the residence, and up to 95 per cent for a residential investment property – without Lender’s Mortgage Insurance. With steady interest rates and a slowing of property price growth, now might present an opportunity to put a plan in place to get your foot in the door. We have a range of financial options created especially for medical professionals. Contact us on 1300 131 141 to find out more or visit www.investec.com.au/medicalfinance Or visit us at stand 52 at ADX 2011 and talk with one of our Residential Property Specialists.

Andre Karney is the National Sales Manager for Investec Medical Finance. At Investec, medical finance is all we do and as such have to ensure we do it well and deliver the best finance solutions. Call 1300 131 141 to speak to one of our specialised finance consultants.

Investec Professional Finance Pty Ltd ABN 94 110 704 464 (Investec Professional Finance) is a subsidiary of Investec Bank (Australia) Limited ABN 55 071 292 594 AFSL/ACL 234975. *Residential property finance fixed interest rate is from 6.39% and variable interest rate from 6.80% as at 25 August. Interest rates are subject to change without notification. Investec Professional Finance is not offering financial or tax advice. You should obtain independent advice as appropriate. All finance is subject to our credit approval criteria. Terms and Conditions, fees and charges apply.

06

News from our partners

6 Bite

Diamond

RubySapphireE x p e r i e n

Medica l and Denta l F inance

Even though it seems like all the investment news is bad, Investec bucks the trend.

www.gskoralhealth.com.au

Redefining the science of dentine hypersensitivity

Announcing the arrival of Sensodyne® Repair

& Protect, which brings the unique potential

of NovaMin® calcium phosphate technology

to a daily fluoride toothpaste.

NovaMin® builds a reparative hydroxyapatite-like

layer over exposed dentine and occludes within the

tubules1–5 to continually help protect your patients

against the pain of dentine hypersensitivity.6–8

Now there’s a major advance to help you meet the challenge of dentine hypersensitivity

ALWAYS READ THE LABEL. Use only as directed. If symptoms persist, consult your healthcare professional. For the relief of sensitive teeth. Sensodyne® Repair and Protect contains NovaMin®. Sensodyne®, the rings device and NovaMin® are registered trade marks of the GlaxoSmithKline group of companies. References: 1. Burwell A et al. J Clin Dent 2010; 21(Spec Iss): 66–71. 2. LaTorre G, Greenspan DC. J Clin Dent 2010; in press. 3. Efflant SE et al. J Mater Sci Mater Med 2002; 26(6):557−565. 4. Clarke AE et al J Dent Res 2002; (spec Iss A): 2182 and 5. GSK Data on File. 6. Du MQ et al. Am J Dent 2008; 21(4): 210−214. 7. Pradeep AR et al. J Periodontol 2010; 81(8): 1167−1173. 8. Salian S et al. J Clin Dent 2010; in press. 08/11 GSK0007/UC

Specialist in dentine hypersensitivity managementWelcome to the new science of Sensodyne Repair & Protect

new

Bite 9

09

News bites

Children in poorest areas have more decayYoung children from the lowest socio-economic areas have about 70 per cent more dental decay than children from the highest socio-economic areas, according to a report released recently by the Australian Institute of Health and Welfare (AIHW). The report, Dental decay among Australian children, shows poorer oral health in disadvantaged areas across all states and territories (for which data were available) although the extent was varied. “Of children aged 5–6 years in Western Australia, dental decay was 22 per cent higher for children in the lowest socio-economic areas than for those in the highest socio-economic areas, while in the Northern Territory the difference was a much greater 139 per cent,” said AIHW spokesperson Professor Kaye Roberts-Thomson. New South Wales and Victoria were not included in the report as data were unavailable.

“More than 40 per cent of Australian children aged 5–6 years had untreated decay and a quarter of Australian children aged 12 years had untreated decay,” Professor Roberts-Thomson said. The proportion of children aged 5–6 years with untreated decay varied among states and territories from 29.3 per cent in the Australian Capital Territory to 49.7 per cent in the Northern Territory. There was no difference in prevalence of decay between boys and girls. A second report released at the same time, Changes in child toothbrushing over time, shows that while toothbrushing is almost universally practised in Australia, there has been a decline in toothbrushing frequency among children.

Caries lurk in infant salivaA recent University of Illinois study confirms the presence of bacteria associated with early childhood caries in infant saliva. The significance of the study is that it focused on infants before teeth erupted. The article “Comparative analysis of salivary bacterial microbiome diversity in edentulous infants and their mothers or primary care givers using pyrosequencing” was published on August 10 in PLoS ONE. “By the time a child reaches kindergarten, 40 per cent have dental cavities,” said Kelly Swanson, lead researcher and University of Illinois professor of animal science. “In addition, populations who are of low socio-economic status, who consume a diet high in sugar, and whose mothers have low education levels are 32 times more likely to have this disease.” Most studies focused on children already in preschool or kindergarten—after many children already have dental cavities. “We now recognise that the ‘window of infectivity,’ which was thought to occur between 19 and 33 months of age years ago, really occurs at a much younger age,” he said. Educating parents-to-be on oral hygiene and dietary habits is the most important strategy for prevention of dental cavities.

Ph: (08) 9248 3466 F: (08) 9248 3677 1/46 Denninup Way, Malaga WA 6090

[email protected]

The perfect fit for you

Oaklane Projects have over 20 year’s experience in the fitout industry. We have provided complete fitout’s for dental, orthodontic and medical surgeries of all sizes. We provide the management of all specialist sub-trades required to complete the finished project. With our in house management, construction and administration staff, the project will be both cost and time effective. We have worked with a wide range of designers and architects in Western Australia and the Eastern States. We manage their designs and projects to occupation of the surgery, including co-ordination of chair and equipment installation.Oaklane Projects can meet your individual needs by completing your project within your budget and timeframe.

Reviewers wantedWe want you to write for Bite!In every issue of Bite we’re asking dentists to review their tools—telling us in a couple of paragraphs what they love about them and what they don’t like. Check out the reviews in this issue starting on page 51.

There’s only two rules—you have to be a practicing dentist, and it has to be something you use. The whole idea is to start a conversation between our readers. We don’t want to tell you what to buy. We want your peers—the people actually using the equipment—to guide you to what’s good and what isn’t.

If you’d like to write a review, email Rob Johnson at [email protected], and he’ll tell you what’s involved.

10 Bite

10

News bites

Wrigley and ADA give oral health grants As part of the Australian Dental Association’s Dental Health Week last month, seven volunteer community groups will receive grants from the Australian Dental Association (ADA) and the Wrigley Foundation to support their efforts to improve the dental care of some of Australia’s most deprived and forgotten communities.

“Last year the United Nations Human Development Index ranked Australia as having the second best quality-of-life in the world after Norway, and yet nearly 40 per cent of Australians cannot access basic dental care when they need it,” said Robert Boyd-Boland, CEO of the ADA. “It is a sobering thought that—in the words of one of our grant recipients—the Third World exists in some parts of Australia.”

The worst affected come from low-income, homeless, special needs, rural and indigenous communities, where poor oral health is widespread and waiting lists are often measured in years. To help address these issues, seven noteworthy community oral health initiatives have each been awarded Wrigley Foundation Australian Dental Association Community Service Grants of US$5000 to help improve the access to dental care and oral

health education of disadvantaged Australians. “Ensuring access to dental care for all Australians should

be a priority, which is why it was so pleasing to see the number and quality of applications that we received in the pilot year of our partnership with the Wrigley Foundation,” said Boyd-Boland.

The Community Service Grants program is designed to bridge the gap in care and encourage dentists and enrolled dentistry students to plan and implement community health programs in their local communities. This year’s grants will help place dentists in remote and rural areas, develop oral health education materials, and provide essential resources to help dentists improve the oral health of some of our neediest communities.

“I know that these seven initiatives will make real a difference to the oral health of their communities and wish them every success in reaching their goals,” said Hamish Thomson, Wrigley Pacific managing director. “Wrigley is proud of its long relationship with Australian dentists and we firmly believe that we can help them make a difference to some of our most disadvantaged communities via this grassroots community grants program.”

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Very thick with •flexibility to stretch flat and get through gapsFirm threader is easy •to use, no buckling

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Asset Finance • Commercial Property Finance • Deposit Facilities • Goodwill & Practice Purchase Loans • Home Loans • Income Protection & Life Insurance • Professional Overdraft Investec Professional Finance Pty Limited ABN 94 110 704 464 (Investec Professional Finance) is a subsidiary of Investec Bank (Australia) Limited ABN 55 071 292 594 AFSL 234975. All finance is subject to our credit assessment criteria. Terms and conditions, fees and charges apply. We reserve the right to cease offering these products at any time without notice.

Denta l F inance

offer the best care with the best equipment, why wouldn’t you?Equipment, fitout and practice assets are critical to the way in which you run your practice and care for your patients. Investec has a range of finance structures where you can select repayment options to suit your cashflow, enabling you to update your equipment now and be best placed to treat your patients’ needs.

Be at the forefront of your profession. Contact your local banker, call 1300 131 141 or visit www.investec.com.au/medicalfinance.

Exper ien

12 Bite

12

News bites

Absenteeism impacted by poor oral healthThe British Dental Health Foundation, the UK’s leading independent oral health charity, is urging the UK workforce to consider how their daily routine could be affecting their oral health. Official figures indicate that around 18,000 people in the UK missed work in the final quarter of last year due to mouth and dental problems, which is categorised along with eye, ear, and nose problems by the Office of National Statistics. The data also suggests that women are almost twice as likely as men to take time off work and overall, this category of absenteeism accounts for more time off work than heart and circulation problems.

Sick days cost the economy around £32bn, and the Foundation believes should the quarters figures be replicated throughout the year, developing a good oral hygiene routine could reduce the need for unnecessary time off work. The Foundation recommends brushing for two minutes twice a day using a fluoride toothpaste, cutting down on how often you have sugary foods and drinks and visiting the dentist, as often as they recommend, to form the basis of a good routine. The Foundation also believes that current eating habits during the working day are contributing to poor oral

health, especially the levels of snacking and grazing. Foundation chief executive Dr Nigel Carter highlights

some of the ways in which people can care for their oral health while at work. Dr Carter said: “Grazing has become something of a regular occurrence in the last few years, yet many people do not know what effect it is having on their teeth. So-called ‘snack attacks’ often consist of foods containing sugar, and even grazing on large amounts of fruit can have an effect, as fruit does contain acids which can erode your teeth. However, this is only damaging to your teeth if you eat an unusually large amount.

“It is wholly better if you stick to three square meals a day, but if you do snack, select savoury snacks such as cheese, nuts, breadsticks and raw vegetables. Water is an excellent alternative to sugary drinks in order to keep hydrated. If this isn’t possible, chew on sugar-free gum containing Xylitol to help reduce tooth decay afterwards.

“The main point to remember here is that it is not the amount of sugar you eat or drink, but how often you do it,” continues Dr Carter. “So if you’re grazing on sugary foods and drinks for eight hours a day five days a week, you stand a high chance of developing poor oral health.”

with the Cadent digital impression system, now available at SCDL.Let expert dentists show you how at our unique clinical demonstration centre.

For more information on going digital with SCDL, visit www.scdlab.com/itero.

Take the angst out of impression taking

Be digitally IMPRESSED

Recommend biotène as your first choice for dry mouth relief

dry mouth relief

So, when talking to your patients, think

rug check – are they taking three or more medications?

ecommend the biotène® system – helps to relieve dry mouth.

ou can make the difference to their quality of life.

If your patients are taking more than three medications, they are 50% more likely to experience

dry mouth.2 With over 500 drugs causing this condition,3 dental professionals can most certainly

play a role in managing the symptoms.

References: 1. Better Health Victoria in consultation with ADA Victoria, www.adavb.net 2. Sreebny LM, et al. Oral Surg Oral Med Oral Pathol, 1989; 68: 419-427. 3. eMIMS August 2010. GlaxoSmithKline Consumer Healthcare. Australia: 82 Hughes Avenue, Ermington NSW 2115. Tollfree 1800 028 533. biotène® is a registered trade mark of the GlaxoSmithKline group of companies. GSK0060/UC

GSK0060 BiteAd_297x210_v3_FA.indd 1 1/04/11 10:56 AM

14 Bite

14New ProductsNew-release products from here and around the world

1. The Salli Saddle Stool The stool that has revolutionised the dental industry in Europe is now available in Australia. The design of the saddle chair is based on scientific research involving circulation, spine position, and pressure mapping. Pelvis automatically tilts forward >> effortless upright posture >> back pain ceases Arms rest at sides >> decreased neck and shoulder tension Deeper breathing and increased circulation to brain and eyes >> feel more alert at work Seat swivels 360 degrees >> stay loose at work, improved intervertebral disc metabolism If you have tried to sit on other saddle stools, you are well aware that they can get extremely uncomfortable in some sen-sitive places (especially for men). The patented “Divided Saddle Design” allows for users to maintain good posture without ANY of the uncomfortable pressure. Research has shown that this pressure is not only uncomfortable, but is in fact dangerous as it reduces circulation to the genitals. When sitting on a Salli, bones carry the weight, not sensitive tissues. Salli brings the ergonomic benefits of a saddle stool without any of the discom-fort! Only $435 inc gst. For further information or sub-distribu-tion enquiries please contact Fairway Dental on 1300 229 706 or [email protected], www.fairwaydental.com.au

2. Single use Intra-oral SyringeIn August 2011, 3M ESPE Australia and 3M ESPE New Zea-land will launch two innovative products:Imprint™ 3 Intra-oral Syringe Single-Use Syringe for VPS andImpregum™ Intra-oral Syringe Single-Use Syringe for Poly-ether. For dentists and their assistants, these new products considerably facilitate the use of wash materials within the context of taking precision impressions. According to users who have tested the novel application aids, the innovations

particularly stand out due to an improved intra-oral access in the approximal areas and less waste during the process.

The new single-use syringes optimise the preparation pro-cesses and increase the precision in the procedure of material application around the tooth stump.

This is enabled through a newly developed double-chamber syringe which is filled with the desired wash material of the Imprint™ 3 Penta™ VPS and Impregum™ Penta™ Soft Poly-ether product families using an impressioning gun dispenser.After having filled the application aid, it can be stored for up to twelve hours. Thus, there is no need for further provisionsimmediately before usage. Prior to application of the material, the tip of new syringe is simply brought into position and the material is dispensed directly into the patient’s mouth. At this, the components are mixed automatically. Since the single-use syringes are very slim and have an ergonomic shape, the mate-rial is applied without effort exactly where it is needed, even in the approximal areas of the patient’s mouth. Therefore, precise impression results are obtained. Since the novel syringes are smaller than common mixing tips, significantly less waste remains in the tip. For more, please contact your 3M ESPE Product Specialists

5. X-Ribbon Australian invented, developed and ownedApplications: Behind Implant Denture, Large Gaps due to missing teeth, Perio ‘Long Teeth’, Behind last molar, diastemas and tilted teeth.Benefits: X-Ribbon is a broad strip of gauze floss which allows for good grip and the broad coarse texture grabs the plaque for excellent cleaning. This product is a must to have! X-Ribbon is not available for purchase in pharmacies but patients and practices can call Erskine Dental on Freecall 1800 817 155 or practices can order online at www.erskinedental.com.au

Brings Rewards

Rewards Program Become a SCDL Rewards Program member

today and you could redeem up to $10,000 worth of rewards, simply by utilising any of our world class lab products, scanners or

educational activities.The more you spend with

SCDL in the financial year 2012 (July 1, 2011 to June

30, 2012) the more that you will earn.

Loyalty

For further information visit...... www.scdlab.com

or contact 02 9362 1177

SCDL 2012

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Redeem up to $10,000 in rewards !

**2010 version 6:Layout 1 4/8/10 12:40 PM Page 1


If you are serious about quality clinical outcomes for yourself and your patient, complete this check list.

www.scdlab.com

ISO Accredited 13485:2003


Inclusion on the ARTG(TGA register)

Identalloy System

5 year guarantee for dentist and patient

Design and manufacturing processes overseen by expert panel of dentists

A team of world class dentists and dental specialists are involved in each step of the provision and fabrication of fixed or removable prostheses, including treatment planning, clinical consultation, prosthesis design, material selection, manufacturing, cementation or insertion and trouble shooting.

Internationally recognised, Ident Alloy certificates identify the company, brand and composition of the alloy in a particular restoration. With this information, labs and dentists gain a proven, practical way to document and communicate to their patients the quality not only of the materials they use but also their own commitment to the highest professional standards.

ISO 9001 represents one of the standards developed and issued by the International Organization for Standardization (ISO). They depict a set of management principles that aim at achieving customer satisfaction by delivering quality products and services. ISO 9001:2008 represents the latest version of the guidelines.

ISO 13485:2003 specifies requirements for a quality management system where an organization needs to demonstrate its ability to provide medical devices and related services that consistently meet customer requirements and regulatory requirements applicable to medical devices and related services.

SCDL Your LAB

SCDL Your LAB

SCDL

SCDL

SCDL

SCDL

Your LAB

Your LAB

Your LAB

Your LAB

The manufacuring lab is so confident in the quality of their materials and manufacturing process, they offer a written 5 to 15 year guarantee on most crown and bridge products and a one year guarantee on removable prostheses. Warranties for patients are available upon request.

The publically accessible version of the Australian Register of Therapeutic Goods (ARTG) is the reference database of the Therapeutic Goods Administration (TGA). Sponsors of materials, medicines & devices entered on the ARTG have demonstrated to the TGA that their product’s benefits outweigh the risks for their intended use. (SCDL listed under Pavona Pty Ltd)

SOUTHERN CROSS DENTAL LABORATORIESPO Box 607, Double Bay NSW 1360, Australia

G U A R A N T E E

Dentists Name:

Patients Name:

Date of issue:

Southern Cross Dental Laboratories is proud toguarantee your crown for 5 - 15 years from date of issue

for any fractures or defects that may occur during themanufacturing process.

5YEARSLouise Hassin

Invoice #:

Crown type : Porcelain fused to GoldAlloy type : d.Sign 98 Chemical constituents : Gold 86%, Platinum 12% and Zinc 2%Manufacturer : Ivoclar Vivadent


G U A R A N T E E

Dentists Name:

Patients Name:

Date of issue:

5YEARS

To Redeem Guarantee:1. Original Crown/Bridge must be returned with redo case.2. Redo Crown must be the same material as original.

Louise Hassin

Invoice #:





If you would like a second opinion about a patient or seek further information about materials or case selection, simply log on to our website and navigate to “Ask the Expert”. We have assembled a world class team of highly qualified dentists and technicians who

will respond to your query within 48 hours. You can attach images or x-rays to aid in diagnosis.

SCDL ‘ASk the expert’ pAneL

Dr David Penn graduated from Sydney University in 1978 and has been in private practice ever since. He founded SCDL in 1983 and has built it into one of the largest and most sophisticated laboratories in the world with offices in the USA, UK, Ireland, NZ, Hong Kong and Australia. David has published many articles and lectures on aesthetics, Invisalign and crown and bridgework. He graduated as MBA in 2006 from Rushmore University and in 2007, created the philosophy of Anterior Aesthetic Alignment. In 2008, he completed writing the AAA / Invisalign accreditation course and released the Penn Composite Stent.

Dr Reaney graduated from The University of Edinburgh with a Bachelor of Dental Surgery degree with distinction in Prosthetics and Conservative Dentistry in 1985. In 1993 he received his Diploma in General Dental Practice from the Royal College of Surgeons – London and graduated Master of Clinical Dentistry in Fixed and Removable Prosthodontics in 2003. He previously combined clinical practice with the academic post of Clinical Lecturer in the School of Dentistry, Royal Victoria Hospital, Belfast providing teaching and training to undergraduate dental students. He is managing director of Southern Cross Dental Laboratories (Ireland).

Associate Professor Jack A. Gerschman is the Associate Professor, (Dental Services) The Alfred Hospital and Respiratory Sleep Department, Monash Medical School, Melbourne. Associate Professor Gerschman completed his Ph.D investigating chronic Orofacial pain syndromes, particularly non responsive, protracted TMD conditions. He has a wide array of expertise including temporomandibular disorders, craniofacial syndromes, chronic and acute facial pain syndromes and orofacial trauma.

Dr David penn

Dr David reaney

Associate professor Jack Gerschman


SCDL ‘ASK THE EXPERT’ PANEL

Dr Ray McLendon (Orthodontist) largest and most experienced Invisalign® provider in the USA, former Vice President of Education, Align Technology.Dr McLendon is the owner of six privately held orthodontic practices in the Houston area which is the largest orthodontic group and the US’s leading Invisalign Practice.

Dr Ray McLendon

Dr Albert SharpDr Albert Sharp won the NSW Dental Board scholarship prize for academic performance in 1998 before graduating at Sydney University with First Class honours and top of the year. He sat on the Recent graduates committee of the ADA NSW in 2002/03 and joined Dr David Penn in 2003 as an associate. Albert joined Southern Cross Dental Laboratories as a clinical and technical advisor and became a partner in the Double Bay dental practice. Albert has made a significant contribution to the development of the AAA philosophy in 2008.

Dr Michael Stubbs

Peter Williams

Dr Michael Stubbs is a specialist in oral medicine. He is a member of both the American Academy of Dental Sleep Medicine and Australasian Oro-Facial Pain Academy and a specialist consultant at the Alfred Hospital. He is also Visiting Lecturer for the Bachelor of Oral Health Program, School of Dental Science at the University of Melbourne and Contributing Editor of the Australian Dentist magazine.

Peter Williams qualified in the UK as a City of Guilds Dental Technician and worked in the UK and South Africa where he ran his own ceramics dental laboratories before relocating to Australia in 1998. Peter has since qualified as a Dental Prosthetist and has worked in health and private practices as a Ceramist. He brings with him a wide range of experienceacross all aspects of dental technology with a specific interest in removable prosthetics and ceramics.

Dentist copy Patient copy

Australian Register of Therapeutic Goods Certificate Issued to

Pavona Pty Ltd for approval to supply

Pavona Pty Ltd - Dental ceramic ARTG Identifier 188459 Class IIa

ARTG Start date 23/08/2011

Product Category: Medical Device Included Class IIa

GMDN 16187

GMDN Term Dental ceramic

Intended Purpose This is a ceramic-based material (porcelain) used in prefabricated dentalrestorations such as inlays, artificial teeth, metal-ceramic crowns, or bridges.

Manufacturer Details Address Certificate number(s)

Ivoclar Vivadent AG Bendererstrasse 2SchaanLIECHTENSTEIN, , FL-9494Liechtenstein

DV-2011-MC-11021-3

ARTG Standard Conditions The above Medical Device Included Class IIa has been entered on the Register subject to the following conditions:· The automatic conditions applicable to the inclusion of all kinds of medical devices in the Register are

as specified in section 41FN of the Therapeutic Goods Act 1989.· The standard conditions that are imposed under section 41FO of the Therapeutic Goods Act 1989

when kinds of medical devices are included in the Register are as set out in the following paragraphs.· For a medical device included in the Register under Chapter 4 and imported into Australia, the Sponsor

must ensure that information about the Sponsor is provided in such a way as to allow the sponsor to be identified.

· Each sponsor shall retain records of the distribution of all of the sponsor's medical devices included in the Register under Chapter 4. In the case of records relating to a Class AIMD medical device, Class III medical device, or Class IIb medical device that is an implantable medical device, the distribution records shall be retained for a minimum period of 10 years. In the case of records relating to any other device, the distribution records shall be retained for a minimum period of 5 years.

· The sponsor of a medical device included in the Register under Chapter 4 shall keep an up to date log of information of the kind specified in Regulation 5.8.

· It is a condition of inclusion in the ARTG that the sponsor of a medical device that is an AIMD, Class III or implantable Class IIb provides three consecutive annual reports to the Head of the Office of Devices,Blood and Tissues, Therapeutic Goods Administration following inclusion of the device in the ARTG. (as specified in 5.8 of the regulations) Annual reports are due on 1 October each year. Reports should be for the period 1 July to 30 June. The first report following the date of inclusion in the ARTG must be for a period of at least six months but no longer than 18 months. Subsequent reports are to be providedon 1 October for a further 2 years. The annual report must include all complaints received by the manufacturer relating to problems with the use of the device that have been received by them over the year.

· Where a medical device included in the Register, contains a substance which is included in the Fourth Schedule to the Customs (Prohibited Imports) Regulations or the Eighth Schedule to the Customs (Prohibited Exports) Regulations the Sponsor shall, at the time of importation or exportation of the medical device, be in possession of a licence and a permission for importation or exportation of each consignment of the goods as required by those regulations.

· A sponsor shall ensure that a medical device within their control is stored and transported in accordance with the instructions and information provided by the manufacturer.



Pavona Pty Ltd - Dental alloy, casting, non-noble ARTG Identifier 188460 Class IIa



GMDN 35857

GMDN Term Dental alloy, casting, non-noble

Intended Purpose This is a casting alloy suitable for the fabrication of dental restorations and appliances.



DV-2011-MC-11021-3










Products covered by this Entry



If you are serious about quality clinical outcomes for yourself and your patient, complete this check list.

www.scdlab.com



Inclusion on the ARTG(TGA register)

Identalloy System

5 year guarantee for dentist and patient

Design and manufacturing processes overseen by expert panel of dentists

A team of world class dentists and dental specialists are involved in each step of the provision and fabrication of fixed or removable prostheses, including treatment planning, clinical consultation, prosthesis design, material selection, manufacturing, cementation or insertion and trouble shooting.

Internationally recognised, Ident Alloy certificates identify the company, brand and composition of the alloy in a particular restoration. With this information, labs and dentists gain a proven, practical way to document and communicate to their patients the quality not only of the materials they use but also their own commitment to the highest professional standards.

ISO 9001 represents one of the standards developed and issued by the International Organization for Standardization (ISO). They depict a set of management principles that aim at achieving customer satisfaction by delivering quality products and services. ISO 9001:2008 represents the latest version of the guidelines.

ISO 13485:2003 specifies requirements for a quality management system where an organization needs to demonstrate its ability to provide medical devices and related services that consistently meet customer requirements and regulatory requirements applicable to medical devices and related services.

SCDL Your LAB

SCDL Your LAB

SCDL

SCDL

SCDL

SCDL

Your LAB

Your LAB

Your LAB

Your LAB

The manufacuring lab is so confident in the quality of their materials and manufacturing process, they offer a written 5 to 15 year guarantee on most crown and bridge products and a one year guarantee on removable prostheses. Warranties for patients are available upon request.

The publically accessible version of the Australian Register of Therapeutic Goods (ARTG) is the reference database of the Therapeutic Goods Administration (TGA). Sponsors of materials, medicines & devices entered on the ARTG have demonstrated to the TGA that their product’s benefits outweigh the risks for their intended use. (SCDL listed under Pavona Pty Ltd)


G U A R A N T E E

Dentists Name:

Patients Name:

Date of issue:



5YEARSLouise Hassin

Invoice #:

Crown type : Porcelain fused to GoldAlloy type : d.Sign 98 Chemical constituents : Gold 86%, Platinum 12% and Zinc 2%Manufacturer : Ivoclar Vivadent


G U A R A N T E E

Dentists Name:

Patients Name:

Date of issue:

5YEARS

To Redeem Guarantee:1. Original Crown/Bridge must be returned with redo case.2. Redo Crown must be the same material as original.

Louise Hassin

Invoice #:





If you would like a second opinion about a patient or seek further information about materials or case selection, simply log on to our website and navigate to “Ask the Expert”. We have assembled a world class team of highly qualified dentists and technicians who

will respond to your query within 48 hours. You can attach images or x-rays to aid in diagnosis.

SCDL ‘ASk the expert’ pAneL

Dr David Penn graduated from Sydney University in 1978 and has been in private practice ever since. He founded SCDL in 1983 and has built it into one of the largest and most sophisticated laboratories in the world with offices in the USA, UK, Ireland, NZ, Hong Kong and Australia. David has published many articles and lectures on aesthetics, Invisalign and crown and bridgework. He graduated as MBA in 2006 from Rushmore University and in 2007, created the philosophy of Anterior Aesthetic Alignment. In 2008, he completed writing the AAA / Invisalign accreditation course and released the Penn Composite Stent.

Dr Reaney graduated from The University of Edinburgh with a Bachelor of Dental Surgery degree with distinction in Prosthetics and Conservative Dentistry in 1985. In 1993 he received his Diploma in General Dental Practice from the Royal College of Surgeons – London and graduated Master of Clinical Dentistry in Fixed and Removable Prosthodontics in 2003. He previously combined clinical practice with the academic post of Clinical Lecturer in the School of Dentistry, Royal Victoria Hospital, Belfast providing teaching and training to undergraduate dental students. He is managing director of Southern Cross Dental Laboratories (Ireland).

Associate Professor Jack A. Gerschman is the Associate Professor, (Dental Services) The Alfred Hospital and Respiratory Sleep Department, Monash Medical School, Melbourne. Associate Professor Gerschman completed his Ph.D investigating chronic Orofacial pain syndromes, particularly non responsive, protracted TMD conditions. He has a wide array of expertise including temporomandibular disorders, craniofacial syndromes, chronic and acute facial pain syndromes and orofacial trauma.

Dr David penn

Dr David reaney

Associate professor Jack Gerschman


SCDL ‘ASK THE EXPERT’ PANEL

Dr Ray McLendon (Orthodontist) largest and most experienced Invisalign® provider in the USA, former Vice President of Education, Align Technology.Dr McLendon is the owner of six privately held orthodontic practices in the Houston area which is the largest orthodontic group and the US’s leading Invisalign Practice.

Dr Ray McLendon

Dr Albert SharpDr Albert Sharp won the NSW Dental Board scholarship prize for academic performance in 1998 before graduating at Sydney University with First Class honours and top of the year. He sat on the Recent graduates committee of the ADA NSW in 2002/03 and joined Dr David Penn in 2003 as an associate. Albert joined Southern Cross Dental Laboratories as a clinical and technical advisor and became a partner in the Double Bay dental practice. Albert has made a significant contribution to the development of the AAA philosophy in 2008.

Dr Michael Stubbs

Peter Williams

Dr Michael Stubbs is a specialist in oral medicine. He is a member of both the American Academy of Dental Sleep Medicine and Australasian Oro-Facial Pain Academy and a specialist consultant at the Alfred Hospital. He is also Visiting Lecturer for the Bachelor of Oral Health Program, School of Dental Science at the University of Melbourne and Contributing Editor of the Australian Dentist magazine.

Peter Williams qualified in the UK as a City of Guilds Dental Technician and worked in the UK and South Africa where he ran his own ceramics dental laboratories before relocating to Australia in 1998. Peter has since qualified as a Dental Prosthetist and has worked in health and private practices as a Ceramist. He brings with him a wide range of experienceacross all aspects of dental technology with a specific interest in removable prosthetics and ceramics.

Dentist copy Patient copy



Pavona Pty Ltd - Dental ceramic ARTG Identifier 188459 Class IIa



GMDN 16187

GMDN Term Dental ceramic

Intended Purpose This is a ceramic-based material (porcelain) used in prefabricated dentalrestorations such as inlays, artificial teeth, metal-ceramic crowns, or bridges.



DV-2011-MC-11021-3












Pavona Pty Ltd - Dental alloy, casting, non-noble ARTG Identifier 188460 Class IIa



GMDN 35857

GMDN Term Dental alloy, casting, non-noble

Intended Purpose This is a casting alloy suitable for the fabrication of dental restorations and appliances.



DV-2011-MC-11021-3










Products covered by this Entry

18Your business Social media

here’s no going back when it comes to social media use and its role in daily life. For any business, social media is a time-smart, inexpensive tool for marketing, networking and boosting trade. For dentists, it’s a handy and valuable way to keep in touch with current patients and find new ones. With nearly eight million Australians on Facebook and two million actively using Twitter, it’s a question of tuning

in to where your patients are spending vast amounts of time. If you’ve never ventured into the online social media world, it can be a confusing place. But the good news is, with a little know-how, a clear strategy and just a little time each week, you can reap some big rewards for your practice. Here are some basic answers to the most common reasons for not using social media.

1. It won’t help my practiceIt’s speedy, cheap and far more effective than traditional forms of advertising and marketing. Social media tools like Facebook and Twitter will help give your practice a clear brand and help keep in touch with patients, old and new.

“Social media allows you to build trust, engage with cus-tomers and develop real relationships that turn into business opportunities,” says Gina Lednyak of online marketing experts, Wispa. “They can use it to create an online community around their brand and build awareness.”

For example, setting up a Facebook page for your practice and paying for Facebook ads is a cheap start.

“Facebook ads are targeted so you can reach out to new peo-ple,” says Lednyak. “Investing $50 a week will get good results.

At its simplest, social media can speed up word-of-mouth communications. “Word of mouth is the way we’ve always done business,” says Sam Mutimer of Thinktank Media. “Word of mouth online is amplified to a greater scale and speed. We’ve changed the way we communicate and now we communicate through Facebook and Twitter.”

It’s also a way to show patients your practice is forward- thinking and energised.

“If you can promote your business as friendly, welcoming, engaged and connected, customers will recommend you to their friends,” says Tracy Whitelaw, a social media expert who works for Gold Coast-based marketing firm Social Ignition.

2. I don’t know what to put on Facebook or TwitterGetting started is the hardest part of social media. First, work out what you want to gain from it and any specific goals, like finding new patients or promoting a new specialty service. Investing in some expert help can be worthwhile, especially when you’re setting up.

“If a company can afford some expert help, they’ll move a lot

Social media is an essential tool for every business and while there are some common objections, it’s easier than you think to get started

Social skills

18 Bite

Article Jodie Thomson

“If you can promote your business as friendly, welcoming, engaged and connected, customers will recommend you to their friends.”Tracey Whitelaw, Social Ignition

Bite 19

You might not want to get into social media, but your pa-tients will—so it makes sense

to meet them there.

quicker and get better traction from their social media,” says Gina Lednyak.

In terms of content, think of social media as the chance to put a personal face to your practice, with a mix of casual chat and information-rich advice for patients.

“Social media is simply a conversation,” says Tracy Whitelaw. “Talk about the weather, news, specials you have, procedures you do, testimonials, news articles related to dentistry, anything goes. Focus on your business, but be human. People want to know the individual behind the business.”

Give patients a reason to check out your page and account. “Put on daily tips on things like how to take care of your teeth,

your kids’ teeth, any reminders and tips a dentist might normally tell their patients,” says Lednyak. “You can start a blog for longer tips or advice, and also quizzes and questions for patients, and this can be a valuable way to do patient research.”

3. I don’t have time and I don’t want to do social mediaEven if you’re not keen to spend time on social media, your cus-tomers probably will be, so it’s important to give them the option of connecting to your business that way.

“You can’t define how others connect online or consume their online content, so by being in social media it’s about your relationship with your customers through your business,” says Tracy Whitelaw.

Keep in mind too that social media doesn’t take as much time as you think it will, especially once you’re set up. And you can integrate it into your practice’s daily and weekly routines.

“Trust your other staff to help you,” says Lednyak. “It might be delegating your receptionist an hour a day to run the social media sites, the same way she’d organise bookings.”

4. My staff will waste time on Facebook and TwitterWhen you realise the business value of social media, it doesn’t seem like such a time waster.

“Be clear on any rules or guidelines of using it and staff will understand it’s to be used for business,” Whitelaw says.

Chances are, your staff already have their own private Facebook and Twitter accounts and are adept at using them to communicate with people. They’ll probably love the idea of using them for work purposes. Take advantage of that and get them to promote your practice while they’re using it.

“Some studies suggest access to social media leads to better productivity,” Whitelaw says.

5. People will post negative comments about my practiceSure, people who’ve had a bad experience at your practice might put their thoughts down on your page. But the upside is you get that valuable feedback and the chance to fix any wrongs. If you don’t have a website, Twitter account or Facebook page, disgruntled patients may post their complaints somewhere else online and you’ll never know anything went wrong. “But now you can influence that negativity and turn it into something positive through great customer service,” says Tracy Whitelaw.

If negative comments are posted on any of your pages or accounts, first wait and see what response it gets from other people. “The last thing you want to do is take it down,” says Sam Mutimer. “Leave it for half an hour and see if community members will come back and give some positive responses, then come in yourself, as a brand, and acknowledge what happened.”

Social media

20 Bite

F-Splint AidBond & Fibre-Splint in one bottle

• Rapidandnon-invasiveapplication• Perfectpositioningforfiberglassribbonwith

theClip&Splintfixationclips• Biocompatiblealternativetometalsplints• Highlyaestheticandcomfortableforthe

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Quick Guide

W9PtyLtdUnit1,27-29SalisburyRdHornsby

NSW2077AustraliaPh:(+612)99874224Fx:(+612)94766629E:[email protected]:www.w9.com.au

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Placefiberglassribbon,applyclips,cureandfinish

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PRODUCTS 2011

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www.ivoclarvivadent.com.auIvoclar Vivadent Pty Ltd1-5 Overseas Drive, Noble Park North VIC 3174 | Australia | Tel.: 1300 486 2527

e s T . 1 9 6 7 I T A l y

we’ve got you coveredstern Weber dental treatment units are designed and made to perfection to ensure a smooth optimal interaction between yourself, your patient, and your assistant. MyRay X-ray units combine simplicity with intelligent design to provide you with precision equipment for accurate imaging.

For your peace of mind, all stern Weber and MyRay equipment are backed by the manufacturers warranty and supported by the friendly team at Ivoclar Vivadent.

For more information contact Rhoda Maclean on 03 9707 9626 or 1300 486 2527

CMYK65-100-0-16

22Your world ADX11 Melbourne

arely has there been a stronger argument for continuing professional education than former US Defence Secretary Donald

Rumsfeld’s observation from 2003: “As we know,” he said, “there are known knowns; there are things we know we know. We also know there are known unknowns; that is to say we know there are some things we do not know. But there are also unknown unknowns—the ones we don’t know we don’t know.”

We know what he means. And the solution to the problem he has expressed so clearly is a key reason to visit the Aus-tralian Dental Industry Exhibition (ADX11) this month at the Melbourne Exhibition Centre. It’s a truth universally acknowl-edged that in these challenging times, it is important that the dental profession and dental industry come together to deliver affordable, quality healthcare outcomes. Recognising the challenges associated with keeping up to date with changes to the commercial, technical and regu-latory environment, a comprehensive professional skills program has been put together by the Victorian branch of the Australian Dental Association (ADA), the Australian Dental Industry Association (ADIA) and exhibition partners.

“We recognised the need to keep the

dental profession up to date with the lat-est products offered by the dental indus-try. Consistent with this need, we have organised a number of leading suppliers to offer seminars to provide an update on how to best utilise the latest dental equip-ment and also how services employed by member companies can best support the profitability of dental practices,” said Troy Williams, CEO of the AIDA. Accord-ing to Mr Williams’ this is what makes the ADX11 Melbourne dental exhibition different. He said the focus on allowing

dentists to maximise the profitability from their dental practices was a major focus of the skills program.

“Not only can dentists review the latest products, they can attend seminars on issues related to how to purchase equip-ment. The seminars provided at ADX11 Melbourne cover a range of issues from product selection to innovative financing options,” Mr Williams said.

“That’s what ADX11 Melbourne is all about. Whether your interest rests in maximising the profitability of your dental practice, securing a great deal on new product or reviewing your supply agreements for consumables, the quality suppliers exhibiting at ADX11 Melbourne have something to offer.”

Some of the seminars on offer in conjunction with the ADA Victorian branch include sessions on developing your pro-fessional network, refining your commu-nication skills, and professional resilience. Bev Brough from Master Networking will give a seminar on how dentists and their team can network successfully and stra-tegically to help improve their practice’s bottom line. Karen Marshman, from Let’s Talk Australia, will address issues around conscious and unconscious codes of communications and how they impact on the wellbeing of ourselves and others. And Dr Qusai Hussain, Psylegal, will look at strategies from behavioural psychol-ogy as being an effective way to improve performance and reduce stress.

Other seminars on offer include Bite cover-subject Dr Hugh Fleming talking about how using CAD/CAM and CBCT data in conjunction with implant plan-ning software will allow for simultaneous surgical and prosthetic planning to be performed in a single visit. Dr Craig Ers-kine-Smith from Erskine Dental will give a personal and down to earth guide on how to bring your products to the dental and consumer markets. Digital dentistry is on the agenda with Dr Philip Tan of Heraeus

For ADX11, the Dental Association and Dental Industry Association have teamed up to create a professional skills program without peer

Skilling time

22 Bite

Article Helen Mellunwellun

“Not only can dentists review the latest products, they can attend seminars on issues related to how to purchase equipment.Troy Williams, CEO, ADIA

Dynamic. Direct. Durable.

New dynamics for your practice

The CRANEX® 3D provides high

quality dental imaging system with

top performance and ease of use for

demanding dental clinics. The CRANEX®

3D combines panoramic imaging

with optional Cone Beam 3D and

Cephalometric solutions bringing new

dynamics to dental practice.

The CRANEX® 3D makes 3D imaging

easy and fast – the PickPoint TM freely

selectable imaging area in dental arc and

the EasyScoutTM view ensure accurate

patient positioning.

61 × 41mm 61 × 78mm

CRANEX® 3D FOV´s

Manufactured by: SOREDEX Tel. +358 10 270 2000 [email protected] P.O.Box 148, FI-04301 TUUSULA, Finland

Local authorised and trained dealers in your area, providing QUALITY after-sale support.

CALL 1300 60 28 58 for a listingor visit www.australianimaging.com.au

Australian Launch at

ADX2011 booth 84

Kulzer Australia presenting an overview of the various options currently available in the Australian market and their implica-tions for the dental practice. Dr Scott Davis of core3Dcentres will look at the features and benefits associated with his decision to digitise his practice with an intra-oral

scanner. Speakers won’t shy away from hot topics in the industry and the profes-sion either. Ms Linda Punyer from the Therapeutic Goods Administration will give a presentation on the legislation govern-ing the supply of medical devices (such as dental product) in Australia. Associate

Professor Mark Schifter from the University of Sydney will provide an update on the newer anti-microbial agents, and review some of the good “old-fashioned” antibiot-ics that still work and are safe, but also serves to remind you of their limitations and the specific indications for their use.

Amidst all that, the mechanics of running a practice won’t be forgotten. Mr Stephen Taylor from Medfin Australia will do a pre-sentation on the setup and purchase of a dental practice. And Andre Karney from In-vestec Dental Finance will provide valuable information on the own versus rent debate and the option to sell the property along with the practice and gain substantial tax relief under current legislation.

Dr Phillip Palmer from Prime Practice will talk about the concept of passive income and how practice owners can take advan-tage of the practice they have created. And Randi Goda from Momentum Man-agement will address ways you can get patients to call your practice, convert calls to appointments, guarantee the patients keep the appointment, accept treatment and refer family and friends. To find out more, go online to www.adx.org.au.

ADX11 Melbourne

24 Bite

Call us on 1300 855 966 for a demonstration

Including the important Sterilisation Tracking module

As well as impressive speakers program. there will be lots of shopping opportunities.

See us at stand 89 at ADX

BROUGHT TO YOU BY THE MAKERS OF PANADEINE® EXTRA IN THE INTEREST OF THE QUALITY USE OF MEDICINES. Panadeine® Extra contains paracetamol 500 mg and codeine phosphate 15 mg. Use: For the temporary relief from moderate to severe pain. Contraindications: Hypersensitivity to any ingredient in the product; children under 12 years. Dosage: Adults and children 12 years and over: 2 caplets every 4–6 hours orally with water; (maximum 8 caplets in 24 hours). Precautions: CNS, respiratory depression; high doses, prolonged use; renal, hepatic Impairment; poor CYP2D6 function; pregnancy, lactation. Adverse reactions: Dependence; Impairment of mental & physical abilities; nausea, vomiting, constipation; dizziness, drowsiness. Interactions: Anticoagulants; sedatives, tranquilisers; drugs affecting gastric emptying; chloramphenicol; hepatic enzyme inducers; CYP2D6 inhibitors. Please review full Product Information (PI) before recommending Panadeine Extra. The full PI is available from GlaxoSmithKline Consumer Healthcare on request (FREECALL 1800 028 533). Panadeine® and the Panadeine Vibration™ are trade marks of the GlaxoSmithKline group of companies. GlaxoSmithKline Consumer Healthcare. 82 Hughes Avenue, Ermington, NSW 2115. 1800 028 533. GSK0164/BIT/UCReferences: 1. Hargreaves K, Abbott P. Aust Dent J 2005; 50(s2): S14–S22. 2. Beaver WT. Am J Med 1984; 77(3A): 38–53. 3. Oral and Dental Expert Group. Therapeutic Guidelines: Oral and Dental. Version 1. Melbourne: Therapeutic Guidelines Limited; 2007. 4. Macleod G, et al. Aust Dent J 2002; 47: 147–51. 5. Comfort MB, et al. Aust Dent J 2002; 47: 327–330. 6. Bentley K, et al. Curr Ther Res 1991; 49: 147–54.

Media

n ch

ange

in p

ain in

tens

ity (c

m/h)

2.01.81.61.41.21.00.80.60.40.2

0Paracetamol

(500 mg tablet x 2)

1.81

Paracetamol/codeine(500 mg/15 mg tablet x 2)

0.45

Adapted from McCleod et al. 2002 4

Figure 1: Median change in pain intensity with paracetamol + codeine vs. paracetamol alone (n=82)4

Panadeine Extra is the strongest analgesic available

without a prescription based on codeine content per dose

Single-agent analgesia may not be sufficient to achieve adequate pain relief.1

Paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs, like ibuprofen) can be used for the temporary relief of dental pain,2,3 however single-agent analgesic therapy may not always be sufficient to achieve adequate pain relief.1

A combination of analgesics that work in different ways – like paracetamol and codeine may be beneficial.This is because a combination of analgesics that have two different modes of action can enable an increase in analgesia whilst minimising side effects.3,4 In some patients it may be appropriate to offer a fixed-dose paracetamol/codeine combination rather than an NSAID or NSAID/codeine combination for the management of stronger pain, particularly for patients in whom NSAIDs are contraindicated.3

Strengthen your recommendation in dental pain relief with Panadeine ExtraPanadeine Extra has been specially formulated, by combining the strength of codeine phosphate (15 mg) with paracetamol (500 mg) per tablet to provide fast, effective temporary relief from strong pain. Panadeine Extra contains the highest OTC dose of codeine (15 mg of codeine phosphate), making it the strongest pain reliever available without a prescription.

Paracetamol/codeine combinations have been clinically proven in post-operative dental pain4–6

Several clinical studies have provided evidence of effective pain relief when paracetamol is combined with a low codeine dose.4–6

In a study of patients who had undergone surgical removal of impacted third molars, paracetamol + codeine phosphate (500 mg/15 mg tablet x 2) [e.g. Panadeine Extra] provided significant improvement in post-operative pain relief over paracetamol (500 mg tablet x 2) alone (p=0.03), with no significant difference in side effects over 12 hours.4

“...there is a significant improvement in postoperative pain relief following this combination [paracetamol 1000 mg plus codeine 30 mg]”4

Another study (n=139) compared the efficacy of a single tablet of either paracetamol/codeine phosphate (300 mg/15 mg), paracetamol/codeine phosphate (300 mg/30 mg), floctafenine (400 mg) or placebo for the relief of pain following dental surgery.6 All three treatments were significantly superior to placebo (p=0.0001).6

A later study of 232 patients who underwent impacted third molar surgery, received either paracetamol + codeine phosphate (500 mg/8 mg x 2 tablets) taken every 4–6 hours or the NSAIDs etodolac (200 mg x 2 tablets taken every 6–8 hours) or diflunisal (250 mg x2 tablets taken every 8–12 hours).5 All three drugs were found to be effective in the control of post-operative pain.5

So the next time a patient requires proven relief from dental pain4–6 – consider recommending Panadeine Extra

GSK0164 Bite_297x210_FPC_v1a_FA.indd 1 21/06/11 5:07 PM

oshan Abraham isn’t trying to change the world one mouth at a time, but when it comes to the Mid-North Coast of NSW, he is certainly giving it his best shot.

If slashing dental waiting times from over six years to a matter of weeks is any indication, then Dr Abra-ham, senior dental officer at the Hastings Macleay Community Health Clinic, is succeeding in his quest.

Indian-born Dr Abraham, 46, has been working in the Port Macquarie and Kempsey areas for four years. In 2007, the combined waiting list for patients awaiting public dental care in the region was over 3500. Today, there are 16 names on the new patient waiting list.

“When I first came here, I was the one public den-tist to service the area,” he says. “There was also a lot

of people in real need of dental care throughout the region. “The budget and positions were here, but we had no dentists. After one month of

being here, I came up with a plan, and within a matter of months, we had managed to turn the situation around. It has been working ever since.”

Abraham trained as a dentist in his native India, and moved to Australia in 1995. After further study at the University of Sydney to allow him to work locally as a dentist, he took on a role as a community health dentist in southwestern Sydney.

During this time, he also became president of the Australian Overseas-Trained Den-tists Association, to help support practitioners in a similar situation to his own, as they waited for recognition of their qualifications.

After the move to Port Macquarie in 2007 and realising the length of the waiting lists for public dental care in regional areas, Dr Abraham knew he had to take drastic action, including restructuring practice rosters to best cater to patient demands. He

Regional waiting lists are notoriously long, but Roshan Abraham found a

way to slash them to almost zero. His methods are now being studied as a

model of how to get it right

26 Bite

Your world Public dentistry

26

Article John BurfittPhotography Howard Ellis

Dr Roshan Abraham at Hast-ings Macleay Community Health Centre. When he arrived, the waiting list was 3500. Now it’s 16.

Public dentistry

also decided to create renew relationships with the Overseas-Trained Dentists Association as well as candidates undergo-ing Australian Dental Council accreditation. Within months, Abraham had appointed another international graduate who had completed Australian accreditation to work with him in Port Macquarie. A month later, a third dentist joined the team.

These days, there are three dentists and two trainee dentists working full-time in Port Macquarie, and one in Kempsey. A number of Bachelor of Health students from the University of Newcastle also work with the clinics in dental health education. Abraham

says the tenure of the trainee dentists in the Mid-North Coast clinics is six months.

The work model Abraham created has been so successful that other NSW health networks have described it as, “a springboard for new dentists working throughout the NSW North Coast”. His methods are also winning accolades, with the ‘Smile Wide With Pride’ initiative recently taking out the top award at the Mid-North Coast Local Health Network Quality Awards.

“I have always thought the public dental system is like a tran-sition stage for many dentists,” he explains. “They come into the public system, get the experience and then many of them go into private practice.

“When I do get these dentists in, I always understand they will move off after a while, but in the meantime, I have the service of these very good people who are keen on getting

experience. I am happy with that, and also happy they are here to take care of the patients in our community. So it really does work both ways.”

With a guaranteed flow of dentists for both practices, Abra-ham turned his attention to creating a new work structure to improve the number of patients that could be attended per day. A special roster was created, maximising the amount of time each dentist spent tending to the needs of the wide range of patients. Each dentist has a daily schedule where appointment times are blocked to follow a pattern.

Six 30-minute sessions are set for high priority patients, five 10-minute sessions are for low priority, two 30-minute sessions are for new patients from the waiting list and three 30-minute sessions are for patients having follow-up treatment.

At the time of booking, patients are assessed by trained call centre operators who decide on the priority code—from one to six—for the level of treatment. Their appointment is then booked in accordingly.

Abraham refutes the suggestion that the system runs the practice like a production line, and instead says the process allows a range of patient needs that can be attended to in the one day. “You have to get them in, get something done for them, or otherwise you can not catch up with further patients contacting the practice,” he says.

“This roster balances all of them. If you try to give them every-thing they need in the one go, then you are going to continue to have a waiting list. In this way, you are attending to what they really need right now, and then putting them on a list for what they can have done next time. This way does work, and it is fair to everyone.”

To maximise the effectiveness of his schedule, Abraham takes one day off a week from treating patients to create the intricate roster and data program. “It is worth the effort to get it right,” he says. “So we now have a system where all the priori-

ties of every patient are seen every day, including denture and treatment waiting list patients, keeping the assessment waiting lists always near zero.”

While this system has proven a success in the North Coast region, with some other health districts within NSW now look-ing at implementing the model, Dr Abraham is hesitant about declaring it should be universally implemented to help solve the chronic issue of waiting lists.

“I think it could work for everybody, but each practice re-ally needs to tailor it to their own way,” he says. “The model I worked on was based on what the demands were here. I look at the demands of the patients, average them out across a day, and then divide up the roster for each day.

“If anyone was going to follow this model, I would suggest they stick to the protocol and follow the priority code for each patient. The patient has one treatment, and then they are put

28 Bite

Dr Abraham’s model for tackling the Mid-North Coast’s oral health

problems are winning attention and accolades from NSW Health.

“So we now have a system where all the priorities of every patient are seen every day, keeping the assessment waiting lists always near zero.”Dr Roshan Abraham, Hastings Macleay Community Health Clinic

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Golden Dental.indd 1 25/08/11 4:07 PM

on another waiting list for a follow-up. If they have something bad going on, of course they are top priority and we try to get them straight in.”

Not content with just improving the effectiveness of the Port Macquarie and Kempsey clinics, Abraham has in the past 12 months also turned his attention to the dental needs of senior citizens with an Aged Care Outreach Program through local nursing homes, and for indigenous patients at the Mid-North Coast Drug & Alcohol service.

“My aim was to put a dental chair into every nursing home in the area,” he says. “The problem with nursing homes is many of the residents have problems getting in to see us, and that is a real problem in an emergency.

“We now have a program where have our dental health educators go in and teach the nursing home staff, create care plans for the residents and then book in the ones who need check-ups and any treatment.

“We also borrowed a dental van and took it to a home, and we managed to get the non-ambulatory residents in and have all their treatment done in the one go. If we can do this with one home, we can do it for all of them.”

The ‘Smile Wide With Pride’ program, which won Abraham the local health award, was for clients at the local methadone clinics. At a session, dentists were able to conduct examinations of the clinics’ clients and then set up follow-up appointments at the dental practice for those requiring on-going treatment.

“I am proud of what we have done and it is a good service for people living here,” Abraham says. “Working in the public system, I feel I make some difference in people’s lives—and that is a good thing to feel.

“I think my time to leave the public health system passed and I got stuck in it—and I love that. Maybe it has something to do with where I grew up and trained. I began work in a government college and so the patients I was seeing were all for free, and they were people in real need. I really think that shaped me.

“Having so many dentists through our doors in such a high turnover and mentoring them and checking on their progress takes work and time, but I do like mentoring and I like work-ing with people. And then you know after they have left, they are passing on what you have worked on together, and that is good to know.”

Public dentistry

30 Bite

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32Your businessDesign

rom May 1 this year, changes to the National Construction Codes came into effect affecting both existing and new dental practices.

The main changes relate to the clas-sification of buildings, accessibility, and timber framing requirements due to the Building Council of Australia now referenc-ing the revised Australian Standard for residential timber construction.

Initially this will incorporate building and plumbing standards and eventually it is planned to include all on-site construction regulation including electrical installations and telecommunications.

But with all changes to legislation, it is not the headline detail that you have to look out for; it is the detail in-between.

“The new codes are very far reaching, as is always the case with this sort of major change in regulation, the devil is in the detail,” says Geoff Raphael, director of THINK National. “While we have encountered most of the major changes and what they mean to our planning, we are still sifting through some of the more minor changes.”

THINK National delivers a holistic approach to business pro-viding services that combine advisory, design, shopfitting and ongoing maintenance.

“The main change effected by these codes is the philosophy that all areas of any new development need to be compliant

including the path to that development (tenancy) should it be within an existing building,” Raphael says. “This has far reaching implications and as yet has not been fully tested or objected to and the applications by certifiers and councils, in many cases, have not fully been exercised or tested.”

Medifit, which has worked with THINK National, design dental, medical and allied health professional suites and practices and is one of many practices Raphael thinks will face some challenges in the future.

“Obviously the disability access is very much improved, so for any disabled person, the consideration of their limitations are recognised in the built environment, while also ensuring they are not discriminated against purely due to that disability,” Raphael says. “Other positives are a heightened recognition of the envi-ronmental issues a disabled person lives with for all of us in the design and construct world.”

But of course with all positive change comes the counter-balance of some negative aspects too.

“From a tenant’s point of view these changes create the need to rent more space to create the same facility, this in turn equals higher overheads with no return and one assumes this is passed onto us all as end consumers,” Raphael says.

“From a developer’s point of view, if they have existing build-ings which are now non-compliant and a tenant within that building is looking to refurbish, then it is possible that compli-ance may depend on work being required outside of that partic-ular tenancy in order that the path to that tenancy is compliant.

Changes to the National Construction Codes could have far-reaching implications for your practice

Better building

32 Bite

Article Louis White

The level of policing this and compliance of this is untested. “There are dispensations for heritage buildings and other

seemingly logical applications. From Medifit’s point of view the only hardship is one of transition. New rules like this are not usu-ally met well from the majority of our clients because it affects what can fit into the designed space.”

The Pro Management Group, which designs and builds in-novative workplace environments, has put out a paper looking at the changes and how it affects landlords.

It states where a Statutory Approval application for new build-ing work is lodged by the landlord or single tenant of a building, the “affected part” of a building needs to be made accessible in accordance with the requirements under the Premises Stan-dards/BCA 2011 Act.

This includes the approach into the building, front door(s) of a building, the lobby, lift car, corridors leading into a tenancy,

disabled bathrooms and doorways in general. “The reality is that there is no discrimination against anyone with a disability—whether it is permanent or temporary such as someone with a broken leg—when it comes to building design,” Con Kanellis, Pro Management Group director, says.

“In the past Development of Disability Discrimination Act issues were only considered on a complaint basis and provid-ing access that was DDA complying was something that most landlords would not consider unless it was specifically tied into a leasing deal.

“Under the new legislation that is not possible.”Of course communicating new legislation is not always

that easy and sometimes confusion can reign supreme as to when the legislation takes effect with regards to existing or new applications and what has to and what doesn’t have to be adhered to.

“In terms of construction to the codes, all of Medifit’s teams across Australia are continually kept up to date on all of the re-quired compliance requirements from many other areas as well as this,” Raphael says. “It is primarily up to the design and proj-ect management disciplines to correctly interpret, design and hence gain compliance approval within the new NCC codes.”

This has involved some tweaking of current projects in design.“The lifespan of a project in design can be anywhere from four

weeks to two years or more. The new codes apply from May of this year; if there are projects which are finished but not sub-mitted for certification then yes, some of these will require

Bite 33

“Other positives are a heightened recognition of the environmental issues a disabled person lives with for all of us in the design and construct world.”Geoff Raphael, director, THINK National

Changes to the National Construction Codes, especially

regarding disabled access, may impact surgery design.

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re-planning and re-drawing,” Raphael says. “We have a few projects in those stages and generally knew most of the chang-es to the rules and adopted these as we could.

“The changes are generally of a special nature, so in some cases have not allowed or created innovation. But there are cases where it’s important that clever design takes the re-quired space and possibly looks at dual usage and features to minimise the feel of such a spacious area, that’s required for, say, disability access.

“We have seen boring applications of the rules, resulting in overly spacious areas not well resolved. It’s important that all spaces still be well resolved in a three-dimensional sense, within the current compliance rules of the day, no matter what they may be,” says Raphael.

Moving forward, no-one with any disability will be disad-vantaged in buildings across Australia, which is a positive for everyone. It will also cause changes to layouts of buildings and allow designers to be more creative. But will they be able to utilise their talents?

“I do think change is good when it comes for the right reasons,” Raphael says. “Most of the reasoning behind these changes is very sound. Most designers will be dragged scream-ing to compliance over the next year. Our attitude has always been one of compliance as need be to satisfy the regulatory body overseeing each case, but more importantly we recognise that the changes are ongoing improvements, so the whole Aus-tralian community is going to benefit from these changes.”

Design

Since 2002, Medifit has completed over 200 dental design and construction projects throughout Australia. We’re dental design and construction specialists, it’s all we do, and we make it our business to stay abreast of the latest technologies, equipment and compliance requirements.From renovations to complete ground up builds, we’ll help you to get the most out of your available space and transform your practice to work the way you do. And we’ll do it on time and on budget.For advice on making your practice work as hard as you do, contact us today for a no obligation consultation. Your patients won’t be the only ones smiling.

1300 728 133 www.medifit.com.au

MakingDentistsSmile

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If he couldn’t get in before, the new Codes will make it easier.

Bite 35

36Education guide

Advertorial

The Full Face PhilosophySpecialist orthodontist Dr. Derek Mahony launches his 2-year course

Specialist orthodontist Dr Derek Mahony (pictured right) has been running courses for general practitioners in

orthodontics for 20 years and has been heard by over 10,000 dentists worldwide. Most of the dentists he speaks to tell him that orthodontics was the missing link in their education and since taking his courses they are now enjoying incorporating orthodontics into their practice. They find this is a real practice builder, and are rewarded not just financially, but intellectually, in performing orthodontics in their GP practices. Dr Mahony is launching his 2-year programme “The Full Face Philosophy” – a Mini Residency in Orthodontics in Sydney, starting February 2012. The programme has

been taught with great success in the UK and the USA, and differs from other courses in that it focuses not just on the alignment of teeth, but also on the facial balance, as well as identifying the cause of the malocclusion. His philosophy is that appliances alone will not make you a good orthodontic clinician, and any orthodontic problem is not only a tooth problem, but should be studied through aspects of development and function. Dr Mahony says, “For orthodontic treatment to be successful, at any level, it is essential for the general dentist to have a thorough understanding of normal facial growth and development, and to possess the skills to recognize developing malocclusions. My courses are aimed at providing this information, so if nothing else the general dentist

will be able to increase their skills in orthodontic diagnosis and treatment planning. We supplement the clinical teaching with the use of typodonts and a number of practical exercises, including wire bending, bracket positioning, Cephalometric tracing, and arch wire progression strategies.”

36 Bite

— 37Education guide

Advertorial

MSc & MClinDent qualifications by distance learning In January 2012, King’s College London will be offering the year 1 face-to-face hands-on training for two of their most popular blended programmes in Sydney, Australia: Aesthetic Dentistry MSc & Fixed & Removable Prosthodontics MClinDent

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King’s College London Dental Institute has pioneered distance and blended learning in dentistry and is one of the leading providers of online postgraduate dental education in the world. Taught using a blended learning approach, these courses are the perfect solution for students who wish to stay at home and further their learning and gain a higher qualification from a prestigious university. The online content provides the educational framework, including clinical cases and videos, which are supported by face-to-face training at one of their dental skills centres once a year. Students also have the benefit of a clinical mentor and access to monthly online tutorials.

The face-to-face element of the course covers tooth preparation, composites, veneers, occlusion, splints, treatment planning, smile design, impressions and provisionals.

This hands-on training will only be available in Sydney in January 2012 and will be a fully integrated part of the King’s master’s degree programme. The teaching is by King’s senior staff, supported by master’s postgraduates from our programmes with a teaching ration of 1:7.

This opportunity will enable students to achieve a master’s degree from a Russell Group Dental Institute, a clinical degree and training relevant to everyday practice at a high quality level. The London UK face-to-face training is also available.

Benefits of blended learning are the ability to study at home while running a dental practice in a local community, studying at a time and pace to suit you and applying the new knowledge directly to clinical work. Students can view course content 24 hours a day, will have access to the extensive King’s e-library, and can discuss cases

with King’s staff involved with teaching the programmes.

King’s trains more dentists and doctors than any other university in the UK. Many graduates now occupy influential positions worldwide. King’s is one of Europe’s foremost research universities, with an outstanding reputation for learning, teaching and research, one of the top 25 universities in the world (QS World University Ranking 2010) and the Sunday Times University of the Year

2010/11. England’s fourth oldest university institution and one of the founding colleges of the University of London, with a spectacular location in the heart of the capital. A multi-faculty institution teaching across the sciences, humanities, dentistry, medicine, law and social sciences.

Aesthetic Dentistry MSc (3-year programme)

An innovative programme offering dental practitioners the necessary skills and knowledge to provide high quality functional dental restorations with optimal aesthetic value. Focused on providing dental care where there is a clinical need to restore oral health and function, the course also covers cosmetic and facial techniques.

Fixed & Removable Prosthodontics MClinDent (4-year programme)

Blended learning programme for dental practitioners wishing to enhance knowledge of restorative dentistry for general practice with emphasis on

fixed and removable prosthodontics. Clinical work must be done in your own practice, so entry is restricted to dentists working in general practice or a similar clinical environment.

For more information on any of the distance learning dentistry courses including fees and how to apply please visit www.kcl.ac.uk/distancedentistry, or email: [email protected]

38Education guide

Advertorial

38 Bite

Rugby World Cup CPD Cruise 2011 Now, this is something different! The ADA NSW Centre for Professional Development has arranged a once in a lifetime opportunity which combines world class Rugby, 5 star luxury cruising and top quality dental education.

Take advantage of the current two-for-one offer. Book one person into

an inside stateroom (from $3449 plus CPD program per person) or ocean-view room (from $4586 plus CPD program per person) and the second person cruises for free. Offer available until Friday 30 September.

The Rugby World Cup 2011 CPD Cruise presents education on the topic of Endodontics, Practice Management, Risk Management and Restorative Dentistry over three days on board the 5-star cruise ship, ms Volendam. The cruise will sail from Sydney, Australia to Wellington, New Zealand, kicking off with a welcome reception on the evening of the 4th of October.

Day 1 (5th October) begins with an Endodontic Program presented by Associate Professor Peter Cathro. Lecture 1 “Should it stay or should it go?” will address advanced treatment planning and an evaluation of predicting successful endodontics. Lecture 2 “Trauma update” will focus on the latest recommended guidelines for dental trauma and is intended to give clear directions in the management of traumatic injuries.

Professor Cathro will then conduct an afternoon hands-on workshop session “A day in the life of an Endodontist” covering some of the complications and procedural errors commonly encountered. The hands-on session is designed to make endodontics predictable, cost effective and perhaps even fun!

Day 2 (6th October) will cover Practice Management and Risk Management Principles.Lecture 1 “Practice Management Principles” explains that it is all really quite simple. It is the execution of the principles that is the problem we all face. Presenter Dr Brad

Wright will analyse each aspect of the business process to produce tangible benefits to your practice and your team. Lecture 2 “Risk Management in Practice” will be an entertaining three hour workshop, covering the current hot topics in dental practice law and how the process has changed. It will deliver a practical ‘how to’ interactive guide to decreasing risk and stress in your practice. Presented by Lawyer, Marianne Nicolle.

Day 3 (7th October) rounds out the educational component of the cruise with a Restorative Program. Lecture “Aesthetic restoration of anterior teeth – Ceramics or

Composites?” will address the selection of ceramic or composite materials according to their respective clinical properties. A series of common clinical situations will be presented to demonstrate, step-by-step, the appropriate use of composite resins and all-ceramics in the restoration of anterior teeth. The Hands-on Workshop “Cementation” will cover some of the recent advances in luting cement technologies and demonstrate the correct application of resin cements for various indirect restorations. Presented by Dr Michael Mandikos.

Upon arriving in Wellington, participants will attend Rugby World Cup quarter-finals 1 and 3 on Saturday 8th and Sunday 9th October, before flying back to Sydney on Monday 10th October.

All six nights of accommodation will be onboard the ms Volendam which has all the facilities you would expect from a luxury cruise ship including a variety of dining options, spacious accommodation, heated swimming pools, gymnasium, spa treatments, tennis and basketball courts; and a Las Vegas style gaming and casino.

Visit the ADA NSW CPD website www.adacpd.com.au for further information.

Cruise and learn on the ms Volendam.

Departing Tuesday, 4th October – Returning Monday, 10th October 2011

Tuesday, 4th October Wednesday, 5th October Thursday, 6th October

• ms Volendam departs from Sydney at 5.00pm

• Welcome cocktail reception on board

• Endodontic Program with Associate Professor Peter Cathro

• Evening: at leisure.

• Practice Management/Dento-Legal Program with Dr Brad Wright and Marianne Nicolle

• Evening: Gala Dinner

Friday, 7th October Saturday, 8th October Sunday, 9th October

• Restorative Program with Dr Michael Mandikos

• Evening: 6.00pm arrive Wellington

• Rugby World Cup 2011• Quarter-fi nal 1:

Winner Pool C v Runner Up Pool D, Wellington Regional Stadium

• Rugby World Cup 2011• Quarter-fi nal 3:

Winner Pool D v Runner Up Pool C, Wellington Regional Stadium

ADA NSW CPD is managing this education event in conjunction with Adventure World, an Offi cial Travel Agent for Rugby World Cup 2011. TM© Rugby World Cup Limited 1986. All rights reserved. Full terms and conditions are available at www.adacpd.com.au

Dental Education Program sponsored by

Medica l F inance

Inclusions

Accommodation

Additional Costs

In addition to the travel component, a charge of $1000 per person for education participants and $500 per person for accompanying partners applies.

• All meals for the duration of the cruise• 3 days of continuing dental education • Welcome reception & Gala Dinner • Tickets to quarter-fi nals 1 and 3• Return fl ight to Sydney• Transport to and from matches• Coach transfers in Wellington• On-board pre & post game hospitality• On-board entertainment• Rugby World Cup 2011 supporter pack

All 6 nights of accommodation will be on ms Volendam and included in price.

ADA NSW Centre for Professional DevelopmentAddress: PO Box 132, St Leonards, NSW 1590, AustraliaEmail: [email protected]: + 61 2 8436 9959Fax: +61 2 8436 9933Web: www.adacpd.com.au

BOOK NOW!

THE RUGBY WORLD CUP 2011 CPD CRUISEUP TO 18 CPD HOURS

Booking your place on-board the exclusively chartered 5-star cruise ship, the ms Volendam, is an opportunity not to be missed. Together, we’ll set sail for a dental education experience of a lifetime to New Zealand for the Rugby World Cup 2011 quarter-finals.

Proudly presented by

Special 2-for-1 Offer! Book one person into an inside stateroom (from $3449 per person plus dental education program) or ocean-view room (from $4586 per person plus dental education program) and the second person cruises for free. Off er available until Friday 30 September, 2011.

You’re invited to share an amazing Rugby World Cup 2011 experience, while earning up to 18 CPD hours. From the moment you step on board the 5-star luxury cruise ship, the ms Volendum, you’ll enter into a world of Rugby-themed bars and entertainment.

This unparalleled CPD event includes three days of on-board education, followed by the opportunity to mix with Rugby legends: Nick Farr-Jones, Bob Dwyer, Gordon Bray, Cobus Visagie and Mark Ella. On top of the quality cuisine, bars, activities and leisure

facilities you’d expect from a world-class hotel, you’ll be getting ‘match fi t’ with inside knowledge given by these Rugby legends. If it fl oats your boat, pack your trainers and get ready for an on board training camp with the Rugby legends as we sail to Wellington.

RWC2011_FP_Aug11.indd 1 31/8/11 5:08:15 AM

40Education guide

Advertorial

40 Bite

School of Yugo new and innovative educationPresenting Exceptional Dental Course’s Advanced Occlusal Course for the first time in Australia at the Marriott Hotels in Melbourne, Brisbane and Sydney.

Yugo Hatai established his dental laboratory Smile By Yugo in

Sydney’s Darlinghurst in 2008 to deliver his vision of fusing fashion and art with dentistry.

At the beginning of this year, Yugo launched School of Yugo with the exclusive Master Ceramist Course mainly for Dental Technicians, however some clinicians have also shown interest in advancing their skills with this course.Yugo was then presented with the opportunity of bringing the Exceptional Dental Courses to Australia, presented by Dr Bob Walker DC and Dr Kaye McArthur BDS. Since his goals for School of Yugo is underpinned with the relationship and outcomes for the Dental Team, like other successful activities he has engaged in, he took this opportunity.

Yugo Hatai is a Master Ceramist and recognised as one of Australia’s most talented dental technicians. His ability to recreate a natural tooth with his artistic flair and his passion for creating beautiful smiles has earned the respect of leading clinicians.

After working with Dr Kaye McArthur for over 8 years together changing the lives of many patients, Yugo is proud to present the Advanced Occlusal Course in Australia for his clients, other clinicians and their dental team members to share the diversity of

knowledge Kaye and Bob possess. Yugo shares a parallel approach to Kaye in learning new and innovative skills aiming in achieving perfection. They both co-authored an article in LVI Visions which can be found in the members section of the Smile by Yugo website, at www.smilebyyugo.com.au.

Kaye graduated from Otago University, Dunedin, New Zealand in 1988 and has owned successful

Cosmetic and Restorative Dental Practices in both New Zealand and Australia. In 2007, Kaye sold her boutique cosmetic dental practice “Exceptional Dental” in Surfers Paradise, leaving Australia to consult and to be more involved in continuing dental education with further study in the areas of functional and environmental medicine as well as women’s health. As Director of Exceptional Dental Courses, Kaye has been presenting these courses to a global audience since 2003 to much acclaim.

Bob received a Doctor of Chiropractic degree

from Logan Chiropractic College, St Louis, USA in 1987. He is a graduate of Biochemistry from Baylor University (1981), has a BA in Psychology – MS Physiological Psychology from Missouri University (1983) and a MS of Biochemistry/Human Nutrition from the University of Bridgeport (1986). Bob has presented as keynote speaker at over 50 international symposiums for Dental and Chiropractic

throughout the world.As Dr Lisa Marie Samah

from the Perio Arts Institute in Virginia USA said, “Kaye and Bob are experts in the field of human physiology and wellness and its leading edge application in the treatment of disease and maintenance of health. Bob and Kaye do their job responsibly, deeply and profoundly. There is no question asked, no matter how obscure, that they could not answer, easily and sensibly. The depth of knowledge that Bob and Kaye possess is vast.”

Another course attendee has said, “Bob and Kaye

are so far ahead of what else is being bantered about, it’s nothing less than awakening. They teach the entire systems approach to occlusion with all its interwoven connections beautifully from posture to biochemistry, from biomechanics to bioenergetics ... and so much more.”

During the Advanced Occlusal Concepts Course, we are sure you will find their approach is not just thorough and innovative, but also astounding in the results that can be obtained by implementing these techniques. If you have the opportunity, put this course on your education planner for this year - it offers 10 scientific CPD and you will also have fun! The Marriott Hotel provides an elegant venue, we have giveaways for the attendees including weekends away, Smile By Yugo’s exclusive Smile Design Album – a world first product range that is available to his clients and there’s many more exciting aspects to this course series in Australia.

Yugo says ... “Unfortunately, we were only able to bring this course to the eastern seaboard, however if you are interested, please do contact us without delay, as we’d appreciate your feedback for this course and future courses. For those who come to this course, I am looking forward to meeting you”.

“Bob and Kaye teach the entire systems approach to occlusion with all its interwoven connections beautifully from posture to biochemistry, from mechanics to bioenergetics …and so much more!”

theexceptionaldentalcourse series was developed for the serious dentist however does not require any speci� c pre-requisites and will appeal to all Clinicians, Orthodontists, Dental Technicians and auxiliary clinical dental sta� .

courseoutlinesummary Learn Symmetrical and Level Smiles with Perfect Axial Inclinations and Smile Design... in even the most Di� cult Cases creating Beautiful Functional and Aesthetic Finishes.How to start Iooking at your cases in 3D • How to create beautiful Smile Designs on even your most di� cult cases • Considering the Maxillary Plane of Occlusion and implications on treatment • Where is the Maxilla in Space? How do we

measure and analyse this? • How much of the occlusal distortion is “Dental”, “Cranial” and “Skeletal”? • We introduce the fact that if the distortion is large, then you can level the maxilla “Cranially” • Where does the Mandible want to be? • What is the “Cranial Path of Function”? • How to determine and create an “Un-opposed Path of Closure” • The 5 main Bite Registration techniques & when they apply • What is the Functional Theatre? Why is this important? • What does increasing Posterior Vertical do? • Is there a TMJ problem? If so, what can be done?• Diff erential Diagnosis of TMJ Event Timing Patterns • Why do Bites Open and how to close them? ... and more.

fees All course fees are per person:

Early bird discount $995 Clinicians $1,295

Early bird discount $895 Additional Person* $995

Includes GST. *Dental Sta� /Technicians.

We accept AMEX, MC, VISA, Paypal, Cheque and EFT.

Early bird cut-o� is 30 days prior to the course date. Course Cancellation Policy and further details are available on the website.

All delegates have the chance to win a Marriott Holiday Package.

registration Register for the course and delegate accommodation on-line at www.schoolofyugo.com.au or phone +61 2 9326 9257 for a registration form.

datesMarriott Hotel, MelbourneSaturday 15 & Sunday 16 Oct 2011

Marriott Hotel, BrisbaneSaturday 22 & Sunday 23 Oct 2011

Marriott Hotel, SydneySaturday 29 & Sunday 30 Oct 2011

advancedocclusalconceptsoct2011Presented by Dr Robert Walker DC and Dr Kaye McArthur BDS from Exceptional Dental Courses

courseoverview School of Yugo proudly presents Dr Robert Walker and Dr Kaye McArthur and their new two day Advanced Occlusal Concepts course, designed for both beginners in the � eld of Cranial-Dental Orthopaedics and seasoned practitioners of Neuromuscular Dentistry. This course is presented around the world and is full of new and useful information. You’ll learn how to establish both structural and neurological stability in your � nished cases and apply information from this course in real life case situations. The course provides 10 hours of scienti� c CPD and is endorsed by OHPA for 10CPD.

Dr Robert Walker

Yugo Hatai

Dr Kaye McArthur

Dental COURSESCOURSESExceptional

Major Sponsors

Dentistry by Dr Kaye McArthur, Ceramist Yugo Hatai

44Your businessTechnology

rthodontic imaging is making exciting advancements—physi-cal moulds to get a picture of the teeth are on the way out and 3D digital images are now available, and these can be linked up with predictive modelling to see what the face will look like post treat-ment. Scanners are now available in Australia that can take photos

of the teeth and construct a 3D image of the mouth that can be manipulated and looked at from a range of angles. These digital files are already starting to be used to make thin clear Invisalign removable plates. The next step is for companies to be able also to use the images to make orthodontic appliances, without first pouring a mould—and it is expected that these will come online within months. The initial investment is not cheap; however orthodontists who use the latest technology can boast greater patient comfort—in addition to making for a cleaner practice without alginate and plaster dust build-up.

The new technology, Cadent Holdings’ iTero product, is a quantum leap from the study models that orthodontists tradi-tionally take of patients ahead of making the braces and plates. An issue with the study models has been that, because records

have to be kept for seven years, storing numerous physical records for years takes up a large amount of space—which can be expensive in city practices. It can also be difficult to locate the study models and they can break easily.

Orthodontist John Mamutil in Sydney’s Castle Hill says many orthodontists struggle with physical record storage and retrieval. “Study model storage is one of the biggest issues for orthodon-tists,” he says. “When orthodontists take a study model, it may

never get looked at again because it’s so hard to find the thing.” To compound matters, patients will need to take another im-pression when moving from braces to a plate and if the retainer is lost, a further impression may be required.

In addition to storage issues, some patients do not cope well with taking the impression needed to make the mould, which

Is the dream of ditching moulds altogether closer now thanks to new technology? Some orthodontists think it may be

Breaking the mould

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Article Vivienne Reiner

“New 3D technology is like a virtual walk-through—you can zoom in and ‘walk’ around the teeth.”Dr John Mamutil

involves holding the material in the mouth for about a minute for standard braces. For Invisalign moulds, a more accurate rub-ber impression is needed, which takes three minutes and can involve a fair amount of discomfort. “Most people grin and bear it for three minutes but every now and then there will be a patient who finds the whole process traumatic—they feel like they can’t breathe; they want to gag,” Dr Mamutil says.

Technology to take 3D images of single teeth has been used by dentists for single crowns for some time, however it is the ability to link the images to create a whole-of-mouth digital im-age that had been the challenge. Dr Mamutil recently invested in an iTero 3D scanner and says the technology is impressive. “It’s like a virtual walk-through—you can zoom in and ‘walk’ around the teeth,” he says.

Dr Mamutil says he has always been interested in new tech-nology and started taking 2D photographs of his patients for his records rather than using study models with the advent of digital photography. At the time of writing, Dr Mamutil had just used the new 3D scanner on his first patient. He reports that the treatment simulations were ready just two days after submitting the impression, as opposed to the fastest manual turnaround of eight to nine days. He expected the patient to have the aligners and treatment started by the following week—the slowest part being flying the equipment from the US-based Invisalign office.

Making the 3D scans of the teeth does take getting used to, the difficult part being negotiating the weight and size of the scanner, which is the size of a small fist but with a long handle the size of a torch. Each tooth must be photographed, one at a time, which takes about 20-30 seconds per tooth. The voice-activated technology advises that even if a photo has not been taken properly, this makes it easy for anyone to take a good im-age, with practice. It should take some 10-15 minutes to scan all the teeth, which is an efficient use of time when taking into ac-count the fact that rather than only orthodontists being required to take an impression, any dental auxiliary member can take the scan. Further efficiencies are gained because there is no need to pour moulds and mail out study models.

In preparation of their first treatment, Dr Mamutil’s staff prac-tised on each other, with the first image taking about 40 minutes as staff got used to the technology but getting down to 14 min-utes with their first patient. Dr Mamutil says that once a practice is able to take all the photos in 10 minutes, it is probably faster than the total preparation time to take a rubber impression. He says the technology will sell itself—and when parents see how simple it is to get the see-through Invisalign appliances for their children, without the need for a physical impression, they are likely to want to improve their teeth as well. Already about one in five patients at the Castle Hill practice are now adults, who often

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Dr John Mamutil says the latest technology is ideal for helping patients remain comfortable.

work in the performing arts—up from a small five per cent or so before clear braces were available.

The initial investment for the orthodontist does not come cheap—with the new scanning technology costing in the tens of thousands of dollars. However further advances in the technol-ogy—including reducing the physical size of the scanner as well as the image file size—should result in more rapid uptake. In the future, the technology may also be able to be utilised from a centralised system, instead of staff having to wheel the bulky machine to the area required.

The University of Sydney’s dental hospital, which is keenly interested in the new technology, should have an iTero scan-ner in the coming months. When Sydney University gets the scanner, it will integrate with their X-ray technology (Newtom Cone Beam CT) and an expensive 3dMD machine that scans the face like a camera, which can then be manipulated to show how trauma patients will recover. “The patient will be able to see how their facial features will change as a result of treatment,” says the Department of Orthodontics’ clinical director Dr Vas Srinivasan, who also works part-time as a private practitioner on Queensland’s Sunshine Coast. Where standard orthodontic practices are concerned, Dr Srinivasan predicts the cost of the iTero and similar scanners to be affordable in the next year or two and that within the next decade most practices (general and specialist) will be fully 3D. And it won’t be long before braces will be able to be commercially milled that are patient specific from a digital image. Dr Srinivasan says companies here are currently working in this direction and it could be a reality in few years.

Technology

46 Bite

The Octopus Brush

Compact Headwith Soft Bristles

Available in 4 coloursPacks of 48

Visit us at Booth 37

Sucker foot so Kids can stick them anywhere they want!

CareDent Pty LtdUnit 2, 27-29 Salisbury Rd Hornsby NSW 2077P: (02) 9987 4891 F: (02) 9476 6629 E: [email protected]

CareDent.com.auContact Kym for more details (02) 9987 4891

This Toothbrush Sucks...

A cone beam scanner can be integrated with newer technology.

Bite 47

Tools of the tradeThis month, a simple way of improving your endodontic technique; a versatile and simple micro motor; and much, much more

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Sybron Diagnostic Unit and Apex Locatorby Dr Anthony Boyden, Penrith, NSW

Despite never having too many problems with endodontics, a few years ago my associate and I decided to purchase an apex locator. I’m a 33-year dental graduate and the associate wasn’t too far behind. We thought it’d be worth trying to improve our technique. I’m happy to say that’s exactly what has happened. What’s good about itWhen there are anatomical issues, such as overlapping roots or very dense overlying bone such as the zygomatic process and it’s difficult to visualise the apex, the locator is a great benefit. It’s also helpful when the apical foramen doesn’t coincide with the radiographic root apex. The apex locator confirms when you reach the true canal length even though it may look short on the radiograph. Alternatively, if the root curves in the same plane as the X-ray beam, then the root can radiographically look 17mm long but actually be about 21mm long. This happens because the curve doesn’t show radiographically. In these cases, it would be easy to be well short of the apical foramen. This unit also allows electric vitality testing. What’s not so goodIt can be quite technique sensitive. If metal restorations are present, especially if access is through PFM or all gold crowns or amalgam restorations, it can throw off the reading. There are other technique issues but every once in a while, it gives false readings for no obvious reason. However, for the vast majority of days, it works fine and really complements your usual radiographic techniques.

Where did you get itHenry Schein Halas.

SIROTorque L+by Dr Kit Carter, CJ Carter Dental, Maroochydore, QLD

I had been looking at different electric micro motors for a while and was at the Sydney ADA conference in 2006 when I saw this one. I knew it would plug straight onto my existing set-up and was straightforward to use. I purchased one at the conference with two red spot handpieces (200K rpm) and a Sirona endodontic handpiece.

What’s good about itIt’s very versatile, very simple to operate and connects easily to existing equipment. I use it on virtually all procedures, including endodontics, surgical, restorative and preventative work.

It operates just like a conventional dental unit but gives you much more control over the speed of rotation. During cutting procedures with a high-speed handpiece, the torque is maintained evenly so there are no drop-offs. It makes some procedures faster but there is slightly more vibration than a conventional high-speed handpiece.

The SIROTorque L+ gives you precise control from 20 rpm to 200,000 rpm with the right handpiece.

What’s not so goodIt’s only disadvantage is that when we bought it, I wasn’t shown the power source that’s required. It needs an external plug connected to the wall and a large transformer that sits on the floor. Due to this external cable, I have dropped it a number of times. Sometimes I, or one of the nurses, will walk across the room, snag the cable and it will hit the ground. Luckily, the unit is pretty hardy and I haven’t needed to send it away for repair.

Where did you get itSirona.

47Your tools

Reviews

Your tools Reviews

X-Smartby Dr Mahima Krongold, The Dentist’s Chair, Mornington, VIC

I am a general dentist who really enjoys doing root canals. As a student we used hand files but when I started in practice, I soon moved to rotary endo. For the past 10 years, I’ve been using the X-Smart system.

What’s good about itAfter using the old stainless-steel files to manually prepare the canal, I found this rotary nickel titanium system to be really fantastic. It’s efficient and much less tiresome for the dentist. It makes root canal work very easy and less stressful for both the patient and myself.

The nickel titanium files are very flexible and the incidence of fracture in the canal is negligible, though it must be remembered that they do have a breaking point and once that point is reached, they can fracture.

The X-Smart system also comes with an apex locator. It’s very effective and gives a beeping signal once the tip of the root is reached. Any dentists still doing root canals with hand files should really give this system a try. It has a high success rate and makes life so much easier.

What’s not so goodIt needs experience to really get the best out of it and it has a fairly steep learning curve. A lot of old practitioners don’t like rotary endo because they’re scared of something they’ve never used before. Dentists trained in the past 15 to 20 years use it as a matter of course. It’s becoming a standard now in most practices.

This system doesn’t do away with the need for hand files. There are a certain cases where a nickel titanium rotary system can’t be used. Anywhere that nickel titanium can’t go I use hand files to clean and prepare the tooth.

Where did you get itDentsply.

Richwil Crown and Bridge Removerby Dr James Mumme, J Mumme & D McAuslan, Chatswood, NSW

A prosthodontist put me onto this product years ago. It’s a very small jube that you immerse in hot water so it becomes thermoplastic. When a crown has been temporarily cemented and it’s a bit difficult to remove, the patient bites down on the warmed jube. Once it sets, the patient opens their jaws and it will pull off the temporarily cemented crown.

What’s good about itIt’s just a really handy thing to have around. When trial fitting a crown, it can occasionally get caught and become very difficult to remove. This does the job and doesn’t damage the teeth or the crown. It’s such a simple technique yet it works beautifully. It’s also possible to speed up the process by spraying the softened jube with a triplex syringe once the patient has bitten into it.

There’s nothing worse than struggling to get a crown off and, obviously, it’s better to avoid the

situation. However, when the situation occurs, this very simple product can get you out of a lot of

problems. They only cost $65 for 50 so you can have a packet sitting in a cupboard without breaking the budget. Hopefully, I won’t use 50 in my lifetime.

What’s not so goodThere’s not much that can go wrong with them and it does its job very well. The patient requires a good opposing tooth to bite down against as it will only work if the opposing tooth is in a good state.

Where did you get itHenry Schein Halas.

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Technology is revolutionising the way we do things - the way we straighten teeth is no exception.

Invisalign is taking things to the next level by integrating the latest intra-oral scanning

techniques into the Invisalign treatment process with the iTero digital scanner.

This ground-breaking technology provides an effi cient alternative to messy PVS impressions.

The iTero intra-oral scanner delivers high tech dental records with superior detail, unmatched onscreen

visualisation and gives doctors real time

feedback for immediate adjustments.

More accurate records result in better

fi tting aligners and better clinical

outcomes for your patients.

For more information visit www.aligntechinstitute.com or call us on 1800 468 472 to fi nd out how you can incorporate Invisalign into your practice.

SCIENCE IN EVERY SMILE

Comfortable InvisibleRemovable

50 Bite

The State Emergency Service (SES) is the combat agency for floods, storms and tsu-namis. My husband and I joined seven years

ago after returning from the UK. The first year was in-credibly busy and the learning curve steep. We started with an induction course, then general rescue and storm training. This meant that we had to train some weekends as well as the usual Wednesday nights.

“The core training consisted of learning skills such as tarping roofs, stabilising collapsed buildings and fallen trees, chainsawing, sandbagging, casualty han-dling and first aid. We are also skilled in search-and-rescue to aid the police and fire rescue.

“Volunteering for the SES is extremely time consum-ing. There are five teams in the Sutherland unit, and

I’m the team leader of Team 4. We train every Wednesday night and each of the teams is rostered on call one week out of five. When rostered, we are on call from 6pm to 6am Monday to Friday, and 24 hours weekends and pub-

lic holidays. As an emergency service, we do much of our work at night. It’s difficult to get out of bed at 3am to do a job, and then cheerfully rock up to work the next day.

“Many teams went to Queensland after the floods. Our flood-boat training enables us to safely and efficiently relocate people and livestock or deliver supplies. I’ve just completed my Swiftwater Technician Training which allows me to assess and rescue people from rapidly moving water. That course was intense. Everybody got injured but it was still a lot of fun.

“We were once called out to a five-storey building during a windstorm where the Colorbond roof had come unstuck. It was effectively a massive sail and we were on top of it cutting holes to stop it blowing away. The whole thing was flapping up and down as we tried to secure it. It was truly scary.

“One element of the job I really enjoy is being out when no-one else is around. Usually it’s late at night and pouring with rain. The air is fresh, the streets sparkle and everything feels alive. The SES is a very social group and I enjoy working with them. They share a common trait—the desire to help the community and make things better. They are good people.

Dr Blanche Tsetong Shire Dental Centre, Miranda, NSW

50Your lifePassions

“Many teams went to Queensland after the floods.”

Did you know?People with diabetes are more susceptible to gum disease1.

Always read the label. Use only as directed. See your dentist if symptoms persist. 1) Taylor and Borgnakke, (2008). Oral Diseases, 14: 191-203; Khader, Albashaireh and Hammad, (2008). La Revue de Sante de la Mediterranee orientale, Vol 14, No.3: 654-661;

2) Blinkhorn, et al. (2009), British Dental Journal, Vol 207, No.3: 117-205;. 3) Fine, et al. (2006). Journal of the American Dental Association, 137: 1406-1413

Colgate recommends diabetes educators discuss oral health and gum disease with their patients.

Visit www.colgate.com.au for further details

Diabetes & Dental HealthIt is recommended that people with diabetes make regular visits to a dental professional to detect and treat gum disease. The twice daily use of an antimicrobial toothpaste is also recommended to minimise the progression of gum disease2.

Fight gum disease with Colgate Total toothpasteColgate Total toothpaste reduces 90% of plaque germs that can cause gum disease3. Colgate Total has a clinically proven antibacterial formula which works by removing the plaque bacteria on the surface of teeth and gums. Its formula also helps prevent plaque bacteria reappearing for up to 12 hours by creating a protective barrier around the teeth and gums.

ASMI 19208 - 0711

Bite September 2011

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