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Dr Jamie Workman has translated his gift for communicating to the World Wide Web to spread the message about good oral health

Get on the busCan a private New

Zealand initiative provide a model for public

dentistry in Australia?

Crack the codeHow building codes affect your decisions

when building a surgery

Better business Queensland dentists

now have the option of an industry-specific post-

graduate course in the business of dentistry

Here comes the Sun Smiles

Dr John Brabant has created a service to help the homeless which has

extended to a service addressing oral healthiDentist

contents

EfficientA-dec Preference ICC® is more than just a center. It’s a complete streamlined solution designed for minimal handling and outstanding asepsis. Not only are international standards engineered into a proven sterilization process, but you gain optimal efficiencies built for the health of your practice.

• Process-based design for consistent, intuitive sterilization protocol

• Hands-free and motion-activated features to minimize touch-points

• High-grade hardware and corrosion-resistant materials for outstanding durability

AA788_Inkredible 1992-18

©2013 A-dec® Inc. All rights reserved.

For more information Email: [email protected] Phone: 1800 225 010 Visit: www.a-dec.com.au Follow us on Twitter: @A_decAust

ChairsDelivery SystemsLightsMonitor MountsCabinetsHandpiecesMaintenanceSterilisationImaging

1992-18_AA_Full Pg Ad-Efficient_1A.indd 1 2/04/13 3:22 PM

COVER STORY YOUR BUSINESS YOUR TOOLS YOUR LIFEcontents

03

ContentsCOVER STORYOnline dentistryDr Jamie Workman has a passion for sharing dental knowledge with everyone—and the internet is his tool of choice

May 2013

18

custom content8,163 - CAB Audited as at September, 2012

Editorial Director Rob Johnson

Sub-editor Kerryn Ramsey

Creative Director Tim Donnellan

Contributors Bill Bennett, Andy Kollmorgen, Frank Leggett, Amanda Lohan, A.M. Walsh

Commercial Director Mark Brown

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

[email protected]

Bite magazine is published 11 times a year by Engage Media, Suite 4.17, 55 Miller Street, Pyrmont NSW 2009. ABN 50 115 977 421. Views expressed in Bite magazine are not necessarily those of the publisher, editor or Engage Media. Printed by Bright Print Group.

EfficientA-dec Preference ICC® is more than just a center. It’s a complete streamlined solution designed for minimal handling and outstanding asepsis. Not only are international standards engineered into a proven sterilization process, but you gain optimal efficiencies built for the health of your practice.

• Process-based design for consistent, intuitive sterilization protocol

• Hands-free and motion-activated features to minimize touch-points

• High-grade hardware and corrosion-resistant materials for outstanding durability


©2013 A-dec® Inc. All rights reserved.



1992-18_AA_Full Pg Ad-Efficient_1A.indd 1 2/04/13 3:22 PM

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NEwS & EVENTS4. CPD outrage Dentists around the country are outraged as the federal government announces limits to the tax deductibility of professional education; a call for a national approach to fluoridation; and more…

YOuR wORld10. On the road againCan Australia deliver on dentistry for Australian teens? Perhaps New Zealand has a private model we can look at

YOuR buSiNESS15. The business of dentistryA Queensland college has developed an accredited post-graduate business course for dentists

22. Cracking the codeHow do building codes affect your decisions when establishing a surgery?

26. Man with a vanOrthodontist Dr John Brabant has created a service to help the homeless which has extended to a service addressing oral health

YOuR TOOlS8. New products The best new gear and gadgets

35. Infection control product guideEverything you need to know about the best infection control products on the market today

39. Tools of the trade

A brilliant 3D diagnostic tool, blinding whitening, a disincentive for thumb-suckers and more are under the spotlight this month

YOuR lifE42. Flying high In search of the ultimate adrenaline rush, Dr Taoran Wang of The Chatswood Dental Practice in NSW threw herself out of a plane

NEwS & EVENTS4. CPD outrage Dentists around the country are outraged as the federal government announces limits to the tax deductibility of professional education; a call for a national approach to fluoridation; and more…

YOuR wORld10. On the road againCan Australia deliver on dentistry for Australian teens? Perhaps New Zealand has a private model we can look at

YOuR buSiNESS15. The business of dentistryA Queensland college has developed an accredited post-graduate business course for dentists

30. Cracking the codeHow do building codes affect your decisions when establishing a surgery?

34. Man with a vanOrthodontist Dr John Brabant has created a service to help the homeless which has extended to a service addressing oral health

YOuR TOOlS8. New products The best new gear and gadgets

23. Infection control product guideEverything you need to know about the best infection control products on the market today

39. Tools of the trade

A brilliant 3D diagnostic tool, blinding whitening, a disincentive for thumb-suckers and more are under the spotlight this month

YOuR lifE42. Flying high In search of the ultimate adrenaline rush, Dr Taoran Wang of The Chatswood Dental Practice in NSW threw herself out of a plane

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: cre

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COVER STORY YOUR BUSINESS YOUR TOOLS YOUR LIFENEWS & EVENTS

The Australian Dental Associa-tion Inc. (ADA) has publicly criticised

Treasurer Wayne Swan’s announcement to limit the tax deductibility for participation in self-edu-cation, such as continuing professional development (CPD), saying it reflects a total lack of appreciation of health practitioners’ com-pulsory CPD requirements. “It is plainly a money grab aimed at what the govern-ment thinks is a soft target,” the ADA said.

Under the reforms, the tax deduction for work-related self-education expenses will be limited to just $2000 per person from 1 July 2014.

President of the ADA, Dr Karin Alexander, said: “This announcement does not recognise the fact that many professions, such as engineers, medical practitioners, legal practitioners and dentists, must undertake compul-sory CPD to maintain their practising rights and licences. CPD’s role is

to ensure that the quality of the services professionals offer consumers are current and cutting edge. If these measures are implement-ed, they will create a significant barrier for dentists to pursue comprehensive CPD, expand their scope of expertise or undertake specialised training.

“Self-education costs are high. A dentist wishing to

attend a conference in a major city will incur travel expenses, accommodation and registration fees for the course as well as forgo their time at work. The basic costs of attending a three-day event to acquire the required minimum 20 hours of CPD (as is mandated by the Australian Health Practitioner Regula-tion Agency) would easily exceed $3000. Registra-

tion fees of $1750 would be a minimum, basic travel expenses would be in the order of hundreds of dol-lars, and modest accommo-dation would exceed $750. CPD events with leading international and national speakers cost money.

“The government’s proposal is essentially a slap in the face for both health professionals and consumers.”

04

A slap in the faceThe Australian Dental Association Inc. is up in arms about the federal government’s decision to limit tax deductibility of professional education

Health lobby groups call for national fluoride rulesSix national health bodies have come together to promote the benefits of water fluoridation and to oppose the recent decision of Queensland and some other state governments to permit local councils to decide whether or not to add fluoride to their water supplies.

The peak bodies “are concerned both for the health of individuals and also that broader public health activities are being undermined”. The peak organisations involved are the Australian Dental Association, Public Health Association of Australia, Australian Healthcare and Hospitals Association, Australian Council of Social Services, National Rural Health Alliance and Australian Health Care Reform Alliance. They see the decisions of some local

councils to discontinue water fluoridation as a failure to protect the public’s oral health, and the cost will be paid by the individual and taxpayer.

“The benefits of fluoridation far outweigh the risks,” the alliance said. “From 2014, the federal government will deliver a dental care plan to under 18-year-olds. This scheme to improve children’s oral health will be undermined by the withdrawal of water fluoridation.”

Treasurer Wayne Swan has decided to limit the tax de-

ductibility of CPD.

NEWS & EVENTS

For more information on Oral-B TriZone technology, please contact your territory manager or phone 1800 282 265.

NEW Oral-B TriZoneOral-B Trizone is an innovative brushing experience designed to bring better cleaning results to patients, while giving them the brushing experience they love.

· Familiar brush head shape.

· No need to change brushing techniques.

· Triple-zone cleaning action with pulsating sweeping and stationary bristles, with a dynamic angled power tip.

· 89% of manual brush users agree they would rather use Oral-B TriZone than their manual brush†1.

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Features power tip for hard-to-reach areas in back of mouth.

COVER STORY YOUR BUSINESS YOUR TOOLS YOUR LIFENEWS & EVENTS

Cost is the issue in fluoride battleThe Whitsunday mayor in far north Queensland has told news-papers that the decision not to fluoridate the region’s water supply was largely based on cost. Jenny Whitney says it would cost about $300,000 per year to add the chemical to supplies in Bowen and Proserpine. She said council had voted to continue work installing the necessary infrastructure at the two water treatment plants. “We’ve got funding from government to install fluoridation, so we have to finish that to sign off on that funding allowance and it’s almost complete, and then we would decom-mission it because council did not want to continue with fluori-dation,” said Whitney. However, the Australian Dental Association Inc. (ADA) has already criticised the decision of local councils on public health grounds. “These local councils seem to be re-sponding to fringe groups’ falsely based scare mongering and are not considering the scientifically well-established benefits of fluoridation,” ADA federal president Dr Karin Alexander said recently. “World Health Authorities, the Australian Institute of Health and Welfare, the Australian Dental Association and the Australian Medical Association, to name a few, all recognise the significant benefits that occur in dental health when fluoridation of water supplies occurs. The state governments’ capitulation to the irrational fears of a minority will only provide a temporary false sense of reassurance. The public’s health and the public purse will ultimately have to pay for this decision, when levels of dental disease and dental decay start to massively increase.”.

Extra money but no extra teeth for indigenous AustraliansThe Australian government will commit an additional $777 mil-lion for the renewed National Partnership Agreement (NPA) to ‘Closing the Gap’ in indigenous disadvantage. But none of it will go to addressing oral health issues. The additional funding by the Australian government will be for a further three years to 30 June 2016. The Australian government is asking the states and territories to continue their investment to renew the agreement.

President of the ADA, Dr Karin Alexander, said: “The Aus-tralian government’s announcement creates more funding but this funding will be put into indigenous Australians’ mouths that will continue to have decayed teeth and diseased gums at rates higher than other Australians.

“The additional commitment to ‘Closing the Gap’ in indige-nous disadvantage is welcome. However, it is time that it specifi-cally focuses attention and resources to improving indigenous Australians’ dental health.In particular, the agreement should require that comprehensive treatment be made available to those indigenous Australians receiving assistance from agree-ment programs. For example, the Northern Territory ‘Stronger Futures’ part of the agreement involves the use of preventive fluoride varnish and fissure sealants. While these preventive measures are a good supplement, they must not be considered a substitute for complete dental care.”

Dr Alexander concluded, “Furthermore, the agreement must fund fully equipped, skilled, trained and experienced mobile dental teams to ensure access to comprehensive dental treat-ment for Aboriginal and Torres Strait Islander communities. The pilot programmes that are in place under the NPA should be made permanent.”

Wrigley offers cashThe Wrigley Company Foundation has signed a three-year commitment with the Australian Dental Association Foundation (ADAF) to provide $US295,000 in funding to help build the gap in access to oral care services and dental education throughout Australia.

Currently open for applications, the grants recognise the vital need to improve Australia’s dental health by increasing the an-nual funding by 46 per cent from 2012.

Over $US98,000 with be available annually through 13 grants: “A renewed three-year partnership for the Community

Service Grant program with the Wrigley Company Foundation will help the ADAF to make some critical in roads to improve the oral care for Australia’s most high-risk groups and advance our mission to improve the nation’s oral health,” said Wendy Tancred, chair of the ADAF advisory board.

“ADAF and the Wrigley Company Foundation are united by their goal to improve Australia’s oral health. Given that recent studies show us that 40 per cent of Australians cannot access dental care when they need it, we hope that this new grant com-mitment will support dental professionals to put their principles into action to make a difference in the community,” said Andrew Leakey, general manager, Wrigley Pacific.

For the full application criteria and to apply for the Commu-nity Service Grants, visit www.adaf.org.au.

6

www.imixwell.com.au

NEWS & EVENTS

REGISTER TODAY

Hear about the latest advances in clinical &communication skills that will change the way you do business

DISCOVER THE WINNINGFORMULA FORBEST PRACTICE

Dr Michael Sernik, Prime PracticeHow to use Primespeak to get patients to ask you for the treatment they really need

Dr Michael Sernik is a partner in Prime Practice, Dentist Job Search and primespeak.com. He is the creator of the Primespeak Program and has lectured extensively in Australasia, North America, and Europe. Dr David Penn, Southern Cross Dental LaboratoriesDr David Penn, Southern Cross Dental LaboratoriesHow to use the latest clear aligner techniques in general practice

Dr David Penn authored and teaches the Invisalign Education Courses for general dentists in Australia and NZ. He practices in Double Bay, NSW and is also the founder and Chairman of Southern Cross Dental Laboratories.

Prime Practice and Southern Cross Dental Laboratories have joined forces to offer a comprehensive

information night that will not only satisfy your clinical requirements, but also improve business processes

through best-practice patient communication techniques.

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NEWS & EVENTS COVER STORY YOuR buSiNESS YOuR LiFEYOuR TOOLS

08

New productsNew-release products from here and around the world

New in EXACT: Appointment Workflow

Software of Excellence has released a new feature called the Appointment Workflow. Now available in EXACT, the Appointment Workflow facilitates a continuous cycle of treatment, to the benefit of both the practice and the patients. This is achieved through a configurable check list for reception to complete before the patient leaves the premise.

By having a check list, you can empower your staff to resell standard services, as well as value added peripheral services and products. Available: Software of ExcellenceAU Tel: 1300 889 668NZ Tel: 0800 930 171www.softwareofexcellence.com.

Optimise your workflow and make your daily work easierLM-ServoMax tray system is an instrument handling and maintenance concept for a dental professional and clinic. It organises and rationalises the handling of dental instruments and accessories during the procedures and maintenance.

It fulfils the clinicians need for individually coded instruments, treatment specific customised trays and easy storage in a practice room. Instruments can be organised in the cassettes as ready-to-use treatment sets as you prefer. In LM-Servo cassettes, the instruments are locked securely but rotate freely for optimal cleaning and guaran-teed infection control. The cassettes can be coded and attached to the LM-ServoMax tray. Practice has shown that the time needed for instrument maintenance is reduced by 25% when cassettes are used throughout the maintenance cycle. With LM-Servo cassettes and LM-ServoMax trays, every stage of a procedure runs more easy and fast.

For more information, contact Erik at TrollDental on 1800 064 645.

SDI introduces Riva Star Tooth Desentising Agent and moreSDI Limited announces the launch of Riva Star, an extremely effective tooth desen-sitiser agent that provides immediate relief for cervical tooth hypersensitivity and more.

Riva Star contains silver fluoride and potassium iodide. It uses a triple-action ap-proach to prevent the flow of fluid that produces sensitivity. Riva Star is non-invasive; healthy tooth structure does not need to be disturbed when using Riva Star.

Unlike other silver fluoride systems, Riva Star’s two-step patented procedure mi-nimises the risk of staining. By applying the potassium iodide solution over the silver fluoride, a silver iodide creamy white precipitate is formed.

Saving chair time, Riva Star’s unique capsule system is colour-coded and ex-tremely easy to use. No bottle dispensing is required, thus minimising spillage when accidentally dropped on the bench.

Riva Star is a revolutionary desensitising star, ideal for use with glass ionomers—a solution and innovation to the industry in reducing tooth sensitivity for patients.

For more, visit www.sdi.com.au or call 1800 337 003.

For the relief of sensitive teeth. Sensodyne® Complete Care contains NovaMin™. ALWAYS READ THE LABEL. Use only as directed. If symptoms persist see your dentist.GlaxoSmithKline Consumer Healthcare, 82 Hughes Avenue, Ermington NSW 2115. INFOLINE (FREE CALL) Australia: 1800 028 533. Sensodyne®, NovaMin™ and the rings device are trade marks of the GlaxoSmithKline Group of Companies.

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NEWS & EVENTS COVER STORY YOUR TOOLS YOUR LIFE

010

YOUR WORLD

10

Can Australia deliver on dentistry for Australian teens? Perhaps New Zealand has a private model we can look at, says Andy Kollmorgen

It’s fair to say that Dr Da’ad Dr Al Falahi’s approach to the dental profession is not fixated on finding new revenue streams and building up her practice. Both are noble and necessary pursuits, she realises, but Dr Al Falahi, who graduated from the dental program at the University of Baghdad before being accredited in New Zealand, appears to be on a crusade of sorts.

The downside of making less money has been offset by other rewards, Dr Al Falahi told Bite. Along with a core group of fellow missionaries, she finds job satisfaction in delivering den-tal care to teenagers who would otherwise avoid it. Dr Al Falahi believes that intervening at such a critical life-stage moment can make the difference between dental health and dental disaster.

Since 1998, Dr Al Falahi has been a key clinician in a project known as the Mobile Smile Unit, a mini convoy of well-appointed surgeries that have been stopping by schools in the Auckland area in an effort to improve teenage oral health. Last year, the three units tended to 30 schools around Auckland’s North Shore region, and

treated about 12,000 students between the ages of 13 and 17. The important thing is that they did it for free, since dental

care in New Zealand is government-funded for this age group. (Procedures like plates, crowns and bridges require a special tick from health authorities, but Dr Al Falahi says approval has become quicker and easier as the mobile units have established their cred-ibility.) The units expect to deliver 6000 free check-ups this year.

Ownership of the project has changed hands over the years and currently sits with a well-resourced outfit, Lumino The Dentists, which encompasses 76 practices and had annualised revenue of $NZ69 million as of November 2012.

Dr Al Falahi’s income, however, is limited to what the New Zea-land government is willing to pay per procedure. For a filling, the rebate is currently $50, which pales in comparison to the going rate in private practice of around $300.

“It’s a very rewarding job,” says Dr Al Falahi. “But if you’re in it for the money, you’d be doing something else. I’d be a millionaire by now if I’d focused on private practice.”

roadagainOn the

One of New Zealand’s mobile dental units (above), it comprises two self-contained surgeries (opposite), X-ray facilities and a waiting area.

YOUR WORLD

The primary task of the 15-year campaign has been to con-vince schools and parents that the mobile unit is a good thing and that taking care of teenagers’ teeth is a good idea. Dr Al Falahi has met her share of challenges on both fronts, especially in schools categorised as Decile 1 or 2 (NZ’s bureaucratic short-hand for schools in lower socio-economic areas).

“These are kids whose parents don’t even care,” says Dr Al Falahi. “When I started out, a lot of kids didn’t have toothbrushes. Some schools were very resistant to us in the beginning.”

School by school, doubt and suspicion have given way to some-thing like gracious acceptance, Dr Al Falahi says. “We’ve got every single school on the North Shore enrolled at the moment. It’s all been about building faith in our brand and faith in our service.”

There are still a few stragglers though. According to Lumino, 30 per cent of eligible students in the Auckland area, or 25,000 teens, aren’t using the free service.

It’s no secret that Australia has its own issues when it comes to getting teenagers—or make that the parents of teenagers—

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Your World

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to take up government-funded care. As it happens, the Commonwealth is in the process of figuring out a new and effective strategy. The Medicare Teen Dental Plan is due to shut down at the end of this year and will be replaced by the Child Dental Benefit Schedule.

Australian Dental Association national president Dr Karen Alexander expresses cautious optimism about the latter but says the former was never much of a winner. Uptake was lacklustre, to put it mildly.

“It was a scheme that sort of had the right idea, but there were so many limits, it left a lot of people frustrated. If you actually found a hole in a tooth, you couldn’t put a filling in it. I heard from a lot of angry parents.”

Nonetheless, the intended recipients should also shoulder some of the blame, Dr Alexander adds. “Many people do not value what they get for free as much as they should.”

The biggest fly in the ointment with Teen Dental is a flawed model of compensation, Dr Alexander believes. As with the Mobile Smile Unit project, rebates are capped at a rate well below what dentists would make outside of government fund-ing. Worse for parents, the focus is strictly prevention and maintenance. The costly stuff isn’t covered.

Dr Alexander points out that there’s no shortage of altru-istic dentists in Australia—many reduce fees for patients in need “as their contribution to the profession”—but she argues that any national funding scheme has to factor in the realities of the average working dentist.

Regardless of any altruistic impulses, many can’t afford

to provide service at reduced rates. “In any government scheme, dentists should be able to charge their usual fee.”

With politics and budgets at play, Dr Alexander’s hope that the final version of the Child Dental Benefit Schedule will pass the reality check for working dentists is tentative. The Australian Dental Association has been given to understand that the new scheme will include the two critical elements missing from the previous one: rebates based on what den-tists customarily get paid, and the expansion of those rebates to cover things like fillings and extractions.

It looks like expanded rebates are a done deal. Medicare has publicly stated that “check-ups, X-rays, fillings and extractions will be included”. There are no such guarantees about compensation. And from a parental standpoint, the new scheme is hardly a windfall: total benefits will be capped at $1000 per child over a two-year period, which may not be enough to inspire widespread participation.

Does this mean that Australia is ready for roving teen-care units? Unless such a program is aimed strictly at the outback, Dr Alexander has her doubts. “Once they turn 18, the service stops, and then they haven’t got anywhere to go. It’s better for dentists to establish relationships with patients and get them into a routine of going to a practice rather than expecting the dentist to come to them. Otherwise, all that good work can crumble into nothingness.”

A scheme that works for both practitioners and patients over the long term is a better idea, says Dr Alexander. “After all, we see a lot of problems in the 18 to 25 range.”

Dr Joseph Badr

D-Spa Victoria

GrowinG my practice & realiSinG my Dream

WHY I JOINED DENTAL CORPORATION

To hear more about Dr Joseph Badr’s experience with Dental Corporation visit www.dentalcorp.com.au/Bitevideos or phone +61 2 9422 4715

By partnering with Dental Corporation I was able to realise my goal of expanding my dental practice into multiple locations throughout Melbourne.I was provided with the financial and strategic support to expand my practice, not only into additional locations but also with new equipment and technology. This allowed me to provide my patients with the best level of care possible.Dental Corp takes away the operational issues and pressure of owning a dental practice which in turn gives me more time to focus on dentistry.

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NEWS & EVENTS COVER STORY YOUR TOOLS YOUR LIFEYOUR bUSINESS

A Queensland college has developed an accredited post-graduate business course for dentists. By A.M. Walsh

It takes at least five years at university to become a dentist in Australia. But with the costs and complexities of running a practice increasing, is clinical training enough to help dentists succeed in the future?

One dental health business thinks not. Australian College of Dental Education (ACDE), in conjunction with the ADA Queensland (ADAQ), has taken the problem on, developing a post-graduate business degree aimed at dentists and oral health workers. According to ACDE, this structured approach to tackling the chal-lenges dentists face in combining entre-preneurial abilities with their clinical skills is on offer for the first time in Australia.

One of the architects of the new course is Geoff Parkes, a director of ACDE. His background in dental and medical

equipment sales and supply, and more recently with Dental Advantage Consulting Group, means he has regularly dealt with dentists struggling to run their businesses.

“If you speak to anybody from finance providers, equipment and consumable suppliers, and dentists themselves, a com-mon problem is that many dentists don’t know how to plan or systemise effectively,” he says. “We set up our consultancy be-cause we thought there was an opportunity to help dentists with the business of dental practice. Like other consultants in the den-tal market, we offer advice, training and mentoring, but this is mostly to dentists who are already well established.”

“We’ve realised that there is a real need to teach dentists, especially younger den-tists, solid business principles starting from the ground up,” Parkes says.

The course will be run in conjunction

dentristry The business of 15

16

with ADAQ—a renowned provider of continuing education for dentists. Using a combination of residential seminars and online tutorials (via an e-learning hub), the course aims to be accessible for students from all over Australia and New Zealand. Compa-rable to other post-graduate degrees, the school will present subjects by se-mester, with a full suite of qualifications offered at graduate certificate, graduate diploma and MBA level. Individual units are also available for study.

It’s taken the company nearly two years from conception to getting the course to this stage. Accreditation is a lengthy and complex process, but according to the directors, it’s going through these hoops that makes the course worthwhile.

“Various stages of accreditation are all necessary in terms of ensuring that the highest quality course is on offer,” says Parkes. “Anybody can run a semi-nar based around CPD requirements. This is another step up completely. It is a formal post-graduate study, which is assessable, and so there are measure-ments in place to ensure what you’re offering meets a certain standard.”

ACDE expects to complete higher education accreditation in early 2014, at which point the MBA, in conjunc-tion with a university partner, will be formally offered. In the meantime, any units that are offered as stand-alone, and are successfully completed, will be able to be articulated into the Masters degree.

The first unit, Dental Practice: Op-erations and Business Management, begins in July this year. It covers areas such as aligning clinical philosophy with financial objectives; understand-ing dental profit and loss statements; and constructing a business plan for a dental practice.

Dr Brad Wright, also a director of ACDE, is a practising dentist as well as a former president of ADAQ. He experienced first-hand the difficulties of trying to set up a practice without any formal business training. This

first unit is something Dr Wright and his partners know a lot about.

“It’s the A–Z of setting up a dental practice,” he says. “While the other units will be about more generic busi-ness topics such as legals and ethics, accounting, IT and human resources, this is probably the one that’s most dental specific and it differentiates our course from a regular MBA. We’re offering it first because this is the nitty-gritty of what will help students.

“It’s structured around the practi-calities of dental business, using the theoreticals of a business course but applying them to dentistry.”

For Dr Wright, this is an opportu-nity for dentists to supplement the

important clinical training they receive at university. “The curriculum is full—becoming a dentist in five years is already a big ask. Clinical skills take a lot of time, so the pressure is on the universities to reduce the amount of non-core, non-science subjects,” explains Dr Wright.

“Business skills aren’t taught so dentists tend to learn it the hard way, which is through making mistakes. They realise after a couple of years there’s aspects of dentistry they don’t understand, such as how patients come and go from a practice, how to market a practice effectively and how to employ and retain staff. People learn these things at the end of their careers when it’s a bit late, when it’s much bet-ter to have learnt it earlier.”

“There’s an old aphorism: ‘when the student’s ready, the teacher will appear’ and when students are at a

university, they’re not really ready, even if they did have the time,” he says.

Some of the core units stem directly from his own experience. “When I first started it would have been help-ful to know how the tax laws apply to dentistry. It would also have been good to know the basics of employment. That’s why some of the early units are based on accounting, and how to employ the right people—basic human resource management.”

In keeping with the growing corporatisation of the dental industry, the course is not just for dentists, but anyone working within the oral health profession. “We hope to get applications from non-dentists such

as senior practice managers and public health service employees,” says Parkes. “Anyone within the dental industry who is interested in running or owning a practice.”

For both directors, continuing education is an essential investment for any dentist who’s interested in furthering his or her skills as both a practitioner and a business operator. Less time spent poring over book- keeping or trying to negotiate with staff means more chair time.

“For anyone who invests in studying the first unit, we would be very surprised if he or she couldn’t quickly turn that into savings in terms of operations and how the practice is run,” says Dr Wright.

Anybody interested in finding out more about this post-graduate business degree should visit www.acde.com.au or www.adaq.com.au.

“It’s structured around the practicalities of dental business, using the theoreticals of a business course but applying them to dentistry.”

Quote Dr Brad Wright, director of ACDE

Your business

†When used as directed.

References: 1. GSK Data on File, Cleaning study 28 Jun 2011. 2. GSK Data on File, Fernandez P et al. 2006. 3. GSK Data on File, Alliance Corrosivity Report 2012.

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The

NEWS & EVENTS YOUR BUSINESS YOUR TOOLS YOUR LIFECOVER STORY

The role of the internet is becoming increas-ingly important in dentistry. More practices are seeing the value of a well-maintained, easy-to-navigate website, and dentists are taking to blogging on a large scale. But what about an internet resource for patients? A site where they can get questions answered, find information, obtain an idea of costs

involved and discuss alternatives. A site that can direct them to local dentists who are well qualified in their particular problems.

Say hello to jamiethedentist.com. The site asks you to imagine you have a friend who is a dentist; a friend who you can ask any question or discuss any problem and you know he’ll give you a straight-up honest answer. That’s the approach of this website.

“I’m really passionate about the brand we’ve started. It’s raw, it’s energetic and it’s who I am,” says Dr Jamie Workman, a UK-born dentist now working at a practice in Sydney’s beachside suburb of Maroubra. His user-friendly internet service reflects the down-to-earth nature and culture that’s so prevalent here in Australia.

Dr Workman has created his site from scratch. While it’s not fully functional yet, the base information is there—and it’s getting noticed already. Without the slightest bit of marketing or publicity, jamiethedentist.com is receiving 1500 hits a month. There is obviously a need and a market for such a resource.

Dr Workman graduated from the University of Wales College of Medicine (now Cardiff University) in 2004. After working in both private and public practices in the UK, he moved to Australia permanently in 2006. He has taken to the Australian lifestyle with gusto, living in Coogee and working in nearby Maroubra. “I can’t ever see myself going back to live in the UK,” the dentist admits. “Sydney is my home now.”

The genesis of the website came about, in part, due to Dr Workman’s interest and work in search-engine optimisation (SEO) and, as he admits, his gift of the gab. “My patients really understood and appreciated how I explained everything and I guess I got a little bit of a reputation for it,” he says. Other patients started seeking him out for second opinions—a problem he puts down to trust issues and a breakdown in communication. Around this time, Dr Workman made the decision to dedicate the next part of his life to writing and presenting everything he knew about dentistry.

“I soon realised that I could only help one person at a time in the surgery,” he explains, “but if I was to use my SEO skills to create a friendly brand, then I could share this information with a lot more people.” Dr Workman also studied internet marketing to aid in getting his message out.

Once the idea was in place, the hard work began. In order to write the bulk of the content for the website, Dr Workmanreduced

Dr Jamie Workman has a passion for sharing dental knowledge with everyone—and the internet is his tool of choice. By Frank Leggett

Onlinerevolution

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Dr Jamie Workman is chuffed that his user-friendly internet service for patients is already receiving 1500 hits a month.

Onlinerevolution

his hours in the practice to two days a week for two years. The content has clocked in at a grand total of 300,000 words so far. The opportunity costs of this action were, in his own words, “pretty huge”.

He pitched the idea to a programmer friend with a simple premise: “How about creating a brand that really focuses on being a friend of the patient rather than portraying ourselves as specialists.”

With a qualified programmer enthusiastically on board, they started to build jamiethedentist.com. They meet every week to talk about future developments and how to make the site more interactive and appealing to patients. They have also just welcomed their first full-time employee to the team to help with the workload.

“It’s all about creating a brand where patients feel comfortable. We still have the jargon in there but explain it using analogies and metaphors. Everything is easy to understand and comprehend. Often I think we don’t empower our patients with the knowledge to allow them to make their own informed decisions.”

There are many different scenarios where a patient might click on to the website. It could be as simple as a dentist telling them they need a root canal. The site breaks down all the different aspects of a root canal and lists all the risks, so it acts as an informed consent for the patient. It clearly describes what it is, what happens, what can go wrong and what it costs. It also talks about the alternatives.

It’s extremely helpful when a patient is swamped with information in the surgery, which they invariably find hard to remember. The site provides a resource where people can access the relevant information in their own time, without any pressure from the dental surgery.

If a child has had a number of fillings and they keyword search for decay or caries, for example, the parent will find not only clear information about their condition but tips on how to stop future decay. “A lot of people want more information but dentists don’t get paid for giving that information; they get paid for doing the treatment,” says Dr Workman. “This was a way to refer patients to a source, knowing the information is quality, well written and was going to allow them to make an informed decision.”

The site is set up so patients can search a problem, a dentist or a treatment. It is, of course, general information and not tailored specifically to any one person.

Now that the base content and infrastructure is in place, Dr Workman would like to get a number of other dentists on board. He is looking for professionals who are passionate about education and their particular field. They would then have their own profile and following on the Jamie the Dentist site. For example, John the Oral Surgeon would help answer specific questions patients have about that subject. There would be leads to his own practice and he would provide a resource for the general questions the site receives.

“I’m looking for passionate individuals who want to give back to the community and give value to patients,” says Dr Workman. “They would have a permanent profile, their practice listed at the top of the website and effectively become a member of the board.”

In the next three to six months, the site will also have a directory of dentists rolled out. It will be a free service where

Although dentists provide quality care, patients are often swamped with information, particularly when surgery is on the cards. jamiethedentist.com is a handy online re-source, offering patients knowledge and understanding.

20

COVER STORY

dentists can import all their details. After logging in, the dentist will choose which procedures they offer from drop-down menus, along with the health funds they accept, links to their website, and other information. The whole process will be very simple and photographs will be able to be uploaded.

While jamiethedentist.com is still in its infancy, Dr Workman sees big things in the future. He has completed all the keyword research and done everything that is necessary to prepare for an internet marketing blitz. The next aspect will be online link building and getting the word out via social media. “Google is very hot on the tails of unnatural link-building so it’s essential that this is done correctly, strategically and effectively to maximise the results.

“We will be using multiple marketing channels to push interesting articles, cool stunts and great video content across Facebook, Twitter and relevant blogs. The site is already receiving 1500 hits a month and the traffic will increase exponentially over the next year,” he says.

Word of mouth will also play a very big part with the website, which Dr Workman has already experienced. “When I tell one of my patients about it, they invariably discuss it with somebody else.”

While the cost of setting up the site, in both time and money, has been huge, making a profit is not Dr Workman’s

priority at the moment. “My focus is not creating a profit but making a difference,” he says. “At the same time, if it’s draining all my personal resources then I’m going to burn out. The site needs to be self-maintaining at some point.” To that end, he hopes to attract some major brands to act as sponsors and has not ruled out the possibility of the site carrying advertising.

As the son of two teachers, it is no surprise Dr Workman has teaching in his blood. On top of all the time, effort and money that has gone into creating jamiethedentist.com, he was also working with school children in their classrooms back in 2005. This gave him an idea that lead to the Smiles For Schools project. “This program educates kids about oral health, getting them excited about caring for their teeth, and preparing them for the experience at the dentist,” he explains.

Ultimately, jamiethedentist.com will be a brand that provides dental education and empowers patients to take responsibility for their own healthcare choices. “I want to remove the barrier between the dentist and the patient,” says Dr Workman. “I want to replace the phrase ‘I hate the dentist’ with ‘while the dentist’s practice isn’t my favourite place, I understand the importance of looking after my teeth and mouth’, thus demystifying the stigma and fears surrounding the dentist.”

“Google is very hot on the tails of unnatural link-building so it’s essential that this is done correctly, strategically and effectively.”

Quote Dr Jamie Workman

ICX is available for both 0.7-litre & 2-litre bottles.

* As with all waterline protocols, achieving quality results requires adherence to the manufacturer’s recommended process.

©2013 A-dec® Inc. All rights reserved. AA789_Inkredible 1992-19



New A-dec ICX ™ offers you a unique and effective way to maintain clean dental unit waterlines. First of all, it’s incredibly easy to use. Simply add one ICX tablet to an empty self-contained water bottle before each filling. As the effervescent tablet dissolves, ingredients are released into the water to help prevent contamination and the build-up of deposits.

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9/9/13), with entries closing 31/8/13. Prizes: May prize draw – 1 x major prize (Samsung 51” Series 5 Plasma TV, a Samsung 7.1 CH Blu-Ray Home Theatre System & 10 Blu-Ray movies with titles selected by the Promoter) valued at $2,648; 50 x $20 Coles Group & Myer Gift Card. June prize draw – 1 x major prize (DeLonghi ECAM23450S Automatic Coffee Machine and 6kg of roasted coffee beans, as selected by Promoter) valued at $2,000; 50 x $20 BP Petrol Gift Card. July prize draw – 1 x $1,200 The Iconic Gift Voucher; 50 x $20 iTunes Gift Card. August prize draw – 1 x major prize (Apple MacBook Pro 13.3” Dual Core 2.5GHz i5/4G/500GB & a Built NY 13” Laptop Portfolio Sleeve Bag (Graphite Grid)) valued at $1,438; 50 x $20 JB Hi-Fi Gift Card. Grand prize draw - 1 x 2 Stressless recliners with 2 stools in the winner’s choice of either: (a) Orion recliners & stools valued at $6,520; OR (b) Taurus recliners & stools valued $7,004. SpeedMatch game prizes – entrant who completes the Match & Win game successfully in the fastest time each month will win: May – $100 Coles Group & Myer Gift Card; June – $100 BP Petrol Gift Card; July – $100 iTunes Gift Card; August – $100 JB Hi-Fi Gift Card. Promoter: The Trustee for The Henry Schein Regional Trust (ABN 83 132 312 515), t/as Henry Schein Halas, 44 O’Dea Avenue, Waterloo NSW 2017. Permits: NSW LTPS/13/1964, VIC 13/673, ACT TP13/979, SA T13/493

Starts 1/5/13. Ends 11.59pm AEST 31/8/13. Open to employees of dental surgery/practices in Australia aged 18+ yrs. Entrants must remain employed by the same dental surgery/practice to be eligible to receive any prize, unless the practice has ceased business. Monthly prize draws: 1 entry into monthly draw when you register (limit 1 registration per person). Register by 11.59pm AEST 14/5/13 to receive bonus entry. 1 entry awarded per word challenge and learning module completed correctly (limit 1 entry per challenge/module, 4 challenges and 4 training modules in total). 1 entry awarded for every eligible person an entrant refers via the website mechanism who then registers for the promotion from a referral email. 2 entries awarded for each eligible promotional package purchased by the dental surgery/practice the entrant is employed at. 1 entry awarded for playing the SpeedMatch game each month (limit 1 entry per month). Grand prize draw: Entrants who successfully complete all 4 learning modules will receive an entry into the grand prize draw (limit 1 entry per person). Draw and winner publication details: All draws at L5, 492 St Kilda Rd, Melbourne VIC at 10am AEST with winners published at www.scheinsolutions.com.au - 4 monthly draws in total, on 5/6/13 (published 7/6/13), 4/7/13 (published 8/7/13), 5/8/13 (published 7/8/13) and 6/9/13 (published 9/9/13), with entries closing 11.59pm AEST on the last day of the preceding month. Grand prize draw on 6/9/13 (published

Simply scan the QR code or visit www.scheinsolutions.com.au to find out

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Entry subject to full Terms & Conditions at website. Starts 1/5/13. Ends 11.59pm AEST 31/8/13. Open to employees of dental surgery/practices in Australia aged 18+ yrs. Entrants must remain employed by the same dental surgery/practice to be eligible to receive any prize, unless the practice has ceased business. All draws at L5, 492 St Kilda Rd, Melbourne VIC at 10am AEST with winners published at www.scheinsolutions.com.au. 4 monthly draws in total, on 5/6/13 (published 7/6/13), 4/7/13 (published 8/7/13), 5/8/13 (published 7/8/13) and 6/9/13 (published 9/9/13), with entries closing 11.59pm AEST on the last day of the preceding month. Grand prize draw on 6/9/13 (published 9/9/13). Prizes: Monthly draw 1 – 1 x major prize (Samsung 51” Series 5 Plasma TV, a Samsung 7.1 CH Blu-Ray Home Theatre System & 10 Blu-Ray movies with titles selected by the Promoter) valued at $2,648; 50 x $20 Coles Group & Myer Gift Card. Monthly draw 2 – 1 x major prize (DeLonghi ECAM23450S Automatic Coffee Machine and 6kg of roasted coffee beans, as selected by Promoter) valued at $2,000; 50 x $20 BP Petrol Gift Card. Monthly draw 3 – 1 x $1,200 The Iconic Gift Voucher; 50 x $20 iTunes Gift Card. Monthly draw 4 – 1 x major prize (Apple MacBook Pro 13.3” Dual Core 2.5GHz i5/4G/500GB & a Built NY 13” Laptop Portfolio Sleeve Bag (Graphite Grid)) valued at $1,438; 50 x $20 JB Hi-Fi Gift Card. Grand prize draw - 1 x 2 Stressless recliners with 2 stools in the winner’s choice of either: (a) Orion recliners & stools valued at $6,520; OR (b) Taurus recliners & stools valued $7,004. SpeedMatch game prizes: May – $100 Coles Group & Myer Gift Card; June – $100 BP Petrol Gift Card; July – $100 iTunes Gift Card; August – $100 JB Hi-Fi Gift Card. Promoter: The Trustee for The Henry Schein Regional Trust (ABN 83 132 312 515), t/as Henry Schein Halas, 44 O’Dea Avenue, Waterloo NSW 2017. Permits: NSW LTPS/13/1964, VIC 13/673, ACT TP13/979, SA T13/493.”

NEWS & EVENTS COVER STORY YOuR buSiNESS YOuR LiFEpROduCT guidE

Infection control product guide

Bite magazine’s guide to the best infection control products for dentists

on the market today

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NEWS & EVENTS COVER STORY YOuR buSiNESS YOuR LiFEpROduCT guidE

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Whenever water is used in dental handpieces there is a need to ensure a sterile water

supply to prevent the potential of airborne aerosols spreading infection.

That’s why A-dec has designed its dental units together with a complete and easy-to-use system of dental unit waterline maintenance to ensure dental staff and patients are protected —without exception.

Simply put, A-dec’s approach to dental equipment design in all A-dec 200 A-dec 300 and A-dec 500 dental units keeps clean water in and contaminants out.

A-dec control block This begins with the heart of the A-dec dental unit, its unique patented A-dec design solid brass-core control block that has been engineered with patient health in mind.

The innovative A-dec design eliminates trapped, stagnant water. That means clean water circulates every time you activate a handpiece.

A-dec water bottleA-dec recommends that the dental team should never expose clean water to ambient contaminants or sink splatter. With A-dec’s internal pickup tube design, the A-dec water bottle eliminates opportunity for contamination.

The A-dec water bottle also includes a sure-fit connection, making refilling easy. And its heavy-duty construction maintains its shape and holds up under fluctuations in pressure.

A-dec makes its own tubing from virgin polyurethane, which is blended with Antimicrobial Alphasan®

to provide added protection from microbial contaminants.

ICX® Waterline TreatmentWaterline maintenance protocols should be convenient and easy to use. Not all systems are, which is why A-dec developed its easy to use ICX waterline treatment tablets.

The patented A-dec ICX formula keeps your waterlines clean and odour-free. Adding an effervescing tablet with each refill of the water

bottle makes maintenance simple. No other product is as easy and effective, protecting your team, your equipment and your patients.Visit A-dec.com.au for a copy of the A-dec asepsis guide or contact A-dec on 1800 225 010.

Infection control built into A-dec dental unitsThe innovative A-dec design eliminates trapped, stagnant water. That means clean water circulates every time you activate a handpiece

Top: The A-dec Control Block. Above: The A-dec water bottle eliminates opportunity for contamination.

Traceability at your fingertipsLisa offers you the best in usability, cycle management and ergonomics.

User identification on load release available now to update your LISA 500 – a reward for making LISA part of your surgery! Contact your local A-dec Dealer for more details!

f u l ly au toma ti c

For more informationPhone: 1 800 225 010

Email: [email protected]: www.wh.com

After cycle completion the user can identify themselves on-screen with PINcode to release the load for use. This will only be authorized if the cycle hascompleted successfully. Full integration into the sterilizer provides absolutesafety. No need for an extra computer or software.

120630_WH_AD_LISA_ADEC_A4:Layout 1 02.07.12 14:15 Seite 1










For more information Email: [email protected] Phone: 1800 225 010 Visit: www.wh.com Follow us on Twitter: @A_decAust


1992-16_AA_WH Lisa Auto FP Ad-Bite_2A.indd 1 10/04/13 3:29 PM

















For more information Email: [email protected] Phone: 1800 225 010 Visit: www.wh.com Follow us on Twitter: @A_decAust


1992-16_AA_WH Lisa Auto FP Ad-Bite_2A.indd 1 10/04/13 3:29 PM

NEWS & EVENTS COVER STORY YOuR buSiNESS YOuR LiFE

adVERTORiaL

pROduCT guidE


1. Unique, self-checking cycle verificationDual systems for independent cycle control and monitoring enable the SES autoclave to constantly check the perfor-mance parameters of every cycle, detecting any discrepan-cies, interrupting the cycle immediately.

Independent air detection tests vacuum integrity, ensur-ing each cycle has performed to specification, time after time.

2. Advanced water systemAn easy clean, twin reservoir system, cleverly ensures clean steam is always delivered. The system removes the risk of the fresh water reservoir being contaminated.

Less than 350ml of water is used for each cycle, making the unit fast, efficient and economical. Additionally, a direct drain option (no manual emptying of the waste reservoir) is available.

3. Delivering performance when it really countsThe latest SES Autoclave can perform an average of 18 B type vacuum cycles or 32 N type non-vacuum cycles can be performed daily. It also offers intelligent furniture con-figurations—standard and examination size trays or Hands Free instrument Transfer (HFiT) cassettes provide an intui-tive, flexible approach. Up to 15 individual ‘examination’ tray sets can be processed every cycle.

More instruments per cycle equals fewer cycles which

equals better performance which equals cost savings.

4. One-touch simplicityThis elegant, one button/one touch design removes any risk of the user selecting an incorrect cycle for the type of load being processed. A safe, simple approach, helping meet guideline requirements.

5. Cycle secure systemPIN protection for advanced cycle options can be activated to provide additional security ensuring only those cycles that are needed are available to the user.

Additional cycles are also accessible by the appropriately trained manager in the surgery, helping prevent accidental misuse by busy surgery personnel.

6. Direct data download technologyData for every cycle is recorded and stored for up to 24 months on internal ROM memory.

Stored data can be downloaded direct to a PC or laptop as required. DDD application software is included as stan-dard with all SES autoclaves.

Integral thermal printer is available as an option—fits neatly into the autoclave, so no separate, expensive modules are required. To find out more information, call (02) 8865 0300 or go online to www.williamgreen.info

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Advanced sterilisation made safe and simpleFrom the infallible self-checking control and monitoring system to the intuitive one-touch operation and reassuringly simple door mechanism, every detail of the latest SES autoclave has been designed to meet the requirements of today’s demanding clinical environment.

The latest SES Auto-clave uses less than 350ml of water for each cycle, making the unit fast, efficient and economical.

THERE ARE STILL SOME THINGS IN LIFE YOU CAN TRULY RELY ON

SES autoc lave

Like Eschmann’s new and innovative SES Autoclave.In terms of quality and reliability, Eschmann autoclaves are acknowledged as second to none - the very best in medical engineering technology for over 100 years.

Through a well-established, trusted relationship with dentists, general practitioners and leading healthcare professionals, we have maintained an unrivalled record of development and innovation resulting in a world class and constantly expanding range.

Whilst building on its past heritage and reputation, the new SES Autoclave incorporates the latest innovations and technology allowing you to meet all current and future guidelines.

The new SES Autoclave provides the market leading performance and total confi dence that only a world leader in instrument sterilization can offer.

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NEWS & EVENTS COVER STORY YOuR buSiNESS YOuR LiFE

adVERTORiaL

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Let us help you take your next step towards national accreditation, by benchmarking your practice against the National Standards and Guidelines – whilst achieving CPD hours.

Meeting your obligations under the latest standards and Infection Control Guidelines.The Dental Board of Australia registration standard requires that practitioners must complete a minimum of 60 CPD activi-ties over 3 years.

The Australian and New Zealand standards (AS/NZS 4815:2006) clearly state the requirement for dental practices to provide appropriate education and training for staff respon-sible for instruments.

Experienced National Training Provider to the Dental Industry.Since 2005, I have worked closely with the National and

state based Dental Practice Boards assisting Practices meet the standards through accredited training programs. I have worked in the dental industry for over 35 years, hence provid-ing me with an in-depth understanding of dental practice settings and procedures.

Practical, affordable training programs for dental providers and staff delivered at your own practice (throughout Australia).

Our “hands on” half-day workshop covers all facets of infection control from instrument sterilisation and surgery procedures to waste management and documentation.

Purchase our Practice Manual. Save yourself the trouble of producing your own.

This manual has been developed specifically for OH&S and infection control procedures in dental practices.

For more details regarding our services please contact me on mobile 0415 949 001 or email [email protected].

Infection control solutionsThe introduction to our training and consultancy services provide quality assurance/audit and infection control solutions to dental practices throughout Australia.

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Why choose us?1. Industry experience: we have 35 years of dental experience.2. Specialist advice: we work in the dental industry only3. Practical training: we train at your practice, on your terms.

Does your practice meet its obligations?Ensure your Dental Practice meets the Government guidelines for infection control with the support of experienced training provider.

We offer a practical “hands on” program for dentists and staff covering all facets of infection control.

The half-day workshop is conducted at your practice and will provide practitioners with CPD hours.

This training program exceeds regulatory standards, safeguards patients and staff and creates “real” opportunities for productivity improvements and costs savings.

Davineintervention excellence in dental services

mobile 0415 949 001 fax (03) 9332 3484

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Practical infection control training for your dental practice.

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30

How do building codes affect your decisions when establishing a surgery? Bill Bennett investigates L

ike other healthcare practices, dental surgeries are subject to a wide array of national, state and local building codes covering everything from electrical compliance, shielding X-ray equipment to the number of car parks. Yet often these details are the last thing on a dentist’s mind when they hunt for premises.

Specialist dental business broker Geoffrey Ellis says that when he first meets professional clients,

they are usually far more concerned about strategic location issues, such as “is this a good neighbourhood for a family dental practice?” and “will I be happy living around here?”

Ellis says that building codes typically move on to the agenda once a specific location has been settled on and the dentist has moved on to the due diligence part of the purchase. And that can be where prob-lems start because, by the time they have reached this stage, dentists tend to emotionally commit to completing the deal. If they then discover there are onerous requirements that need to be met before establishing a practice, it can be hard to unpick things.

This is one reason why it would make sense to discuss plans with a professional advisor before looking at premises. They’ll probably recom-mend any offers you make are hedged with suitable ‘subject-to’ clauses.

Finding problems in the build isn’t too bad if the deal hasn’t been signed and defects have been noted. At this stage, the buyer has an opportunity to renegotiate the price or ask for matters to be fixed before completing the purchase. Once a settlement is complete, there is the possibility of a legal claim for misrepresentation but that’s likely to be a long and stressful process.

Crackingthe code

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YOUR bUSINESS

Building codes typically come into play once a specific location for the practice has been settled and the due diligence process begins.

Sam Koranis, managing director of Perth-based Medifit, a design and construction firm for dental and medical practices, explains that building codes aren’t an issue when buying an existing dental surgery—at least not at first.

“You don’t have to do anything about the building codes until you start changing things,” Koranis says. “The surgery will have been compliant with codes at the time it was built or last refitted or it wouldn’t be able to operate.

“Fresh legislation can’t apply retrospectively, so you’re off the hook until you decide to change anything, then you’ll be subject to the latest codes,” he says.

The good news is that if you only change things in a single room, you probably only need to worry about making that room fully compliant. In this case the codes that are most likely to concern you are those to do with electrical and radiation shield-ing compliance. He says electrical compliance is covered by electro-medical standard AS3003, while the radiation shielding rules vary from state to state.

Koranis warns the rules are most onerous in Western Australia and Queensland. Queensland also needs a hydraulics engineer to sign off plans for the plumbing in a surgery.

If you’re building a new surgery from scratch, it will need to be designed from the ground up to comply with all the national construction codes along with other state and local codes. When purchasing an existing house for conversion, you’ll need to make any alterations required for compliance.

So converting an existing building isn’t just about arranging rooms and installing dental equipment—it could mean adding a wheelchair ramp and widening doors. In older houses, this

will also mean knocking down walls and widening corridors and passageways as well as installing disabled toilet facilities.

Dentists setting up tenancies in malls and modern high-rise buildings may find some or all of this work has already been done by the building owner. Commercial landlords wanting to attract dentists and similar health professionals often market their properties as being compliant and ready to go.

The paperwork can be daunting, but the process has been

simplified in recent years. Today, all Australian states are self-certifying. In practice, this means plans need to be drawn-up and signed off by a qualified building surveyor. That person should take all responsibly for compliance. Koranis says his Medifit business is design and construction so “we build it as we draw it”. He says there can be complications when a builder or con-tractor takes plans drawn up elsewhere, doesn’t fully understand the process and fails to comply with the standards.

Both Koranis and Ellis warn that structural work to dated

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“You’re off the hook until you decide to change anything, then you’ll be subject to the latest codes.”

Quote Sam Koranis, managing director of MedifitP

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If you’re not compliant at the end of a project, you won’t get an occupation certificate and you can’t

trade without one.

buildings, especially suburban houses, can be costly and not just in terms of money—dealing with these matters can be time consuming. In addition to providing access for disabled patients and radiation screening, there are often rules about matters such as energy efficiency. For example, building codes call for low-wattage lights to be used in non-task areas.

Building codes are something of a moving target. They are con-tinually updated. According to Koranis, the past decade has seen hundreds of new rules and a fresh emphasis on disability rights, and that’s led to a raft of building code changes to do with access and ensuring disabled people are properly catered for.

The national construction codes have been formulated to ensure compliance has continuity throughout Australia. Although codes change to ensure the problems never happen again, building owners are not expected to immediately retrofit premises to meet new codes once they are written into law. On the other hand, any future work will need to comply.

Not having the right permits and certificates can be costly. If you’re not compliant at the end of a project, you won’t get an occupation certificate and you can’t trade without one. And, as Ellis points out, ignorance of the law is no excuse. Responsibil-ity is down to you and you have an obligation to either be fully informed about the regulatory framework or seek professional advice from a specialist who can handle this for you.

While this costs money, it can be money well spent. Ellis warns of the distraction coming at the moment a dentist should be doing the most to build a new practice. And Koranis points out than when amortised over the life of a surgery fit-out, the cost of professional help amounts to very little.

From greenfield sites and ground-ups to redesigns of exisiting surgeries, Medifit creates original dental practices that are state of the art in both form and function. Since 2002, Medifit has consistently delivered excellent results for dentists and specialists throughout Australia.

Working within clients’ timeframes and budgets, our design and construction team is unrivalled in producing the finest outcomes. It’s been the backbone of our success and the standard our competitors aspire to.

To experience the Medifit difference, contact us today for a no obligation consultation.

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Orthodontist Dr John Brabant has created a service to help the homeless which has extended to a service addressing oral health. By Amanda Lohan

A few years ago, Dr John Brabant was just your average orthodontist providing surgery and adjustments across the Albury-Wodonga region on the border of New South Wales and Victoria. That was until an article about homelessness in the local paper prompted Dr Brabant to ask that life-changing question, ‘Why

not?’ Now three years later, Dr Brabant and his 400-strong team have been rewarded for their efforts in being named New South Wales Volunteer Team of 2012.

It was over a bottle of wine in Deniliquin that Dr Brabant first came across the newspaper article describing the high homeless rate in the area. “You just wouldn’t pick it,” says the orthodontist. “It’s not seen, like in the capital cities. In the country, it’s basically couch sleepers rather than rough sleepers. Even the few rough sleepers keep out of people’s notice. There are so many families on the poverty line who are also just one week’s wages away from being homeless.”

It was at this realisation that Dr Brabant’s idea for helping to feed and care for the homeless and disadvantaged in his com-munity started to take shape. Unfortunately, his brainchild, the Carevan Foundation, suffered a rocky start. In 2009, after Dr Brabant invested in and painted an ex-South American sausage van, a nasty warehouse fire razed it to the ground. The first van did not then officially hit the streets until 2010, when the local Jayco dealer stepped in with a donated caravan.

“I wanted poverty to be out there and in front of people,” says Dr Brabant. “The van was intentionally brightly coloured so people know what it was all about. They couldn’t look at this van and not have an opinion on the fact that poverty exists in Australia today.”

In the few short years since it first began, the Carevan Founda-tion has branched out to other areas—Wangaratta, the New South Wales Central Coast, Blacktown and Griffith. The key to this success has been the development of a ‘free franchise’ concept, whereby all the necessary training is provided, including advice for on-training volunteers. Franchisees are asked only to retain the same concept, colours and t-shirts, so that any home-less person travelling anywhere in Australia can arrive in an area and recognise the brightly coloured van, knowing they will be ac-cepted and fed, and have someone sit down and chat with them.

Local Year 9 food technology classes are invited to cook for the Carevan once a week. The meal goes out with the Carevan that night, and at the end of the term, the students are invited

Man with avan

YOUR bUSINESS

Carevan’s Dr John Brabant (above) and Charles Sturt University oral

health student Elena (left) show Wodonga West Primary School

students how to help the homeless.

to go out with the van and sit down for a meal with the people they have been cooking for. Dr Brabant says that by helping develop a sense of compassion in students from higher socio-economic backgrounds, the Carevan is also helping to create a second generation of volunteers while establishing a sustain-able supply source for the van.

According to Dr Brabant, it’s not just about giving a person food, but feeling a sense of belonging. “You can give them a sense of identity and through that they’ve got a chance to get a sense of achievement and maybe break out of the cycle,” he says.

While Dr Brabant is responsible for the concept, he attributes the ongoing success of the program to the Carevan CEO, Jodie Tiernan, and a vast network of volunteers who keep the vans running. “Most people have in their heart a want to help other people. All I’ve done is provided the medium.”

Since starting the Carevan program, a new social need quickly has presented itself to the orthodontist. “You can tell a homeless person not so much by their clothes but by the state of their mouth,” he says. With the help of dental hygienist Cathryn Carboon, the Carevan Sun Smiles program was born, tasked with providing preventative oral healthcare and educa-tion for primary school age children. The ultimate goal is to help break the cycle of poverty through improved dental and medical health, and the associated boost in confidence, social acceptance and improved job prospects.

The Sun Smiles team employ puppetry to teach children how to brush their teeth. “They have a thirst for knowledge, kids at that age, and they just soak it up,” says Dr Brabant. A key

component of the program is a biannual five per cent sodium fluoride varnish, which is offered with the assistance of volunteer hygienists and students from partnering universities.

In addition to the preventative work, the Sun Smiles program offers around 10 orthodontic scholarships a year to children in need. Essentially, these scholarships involve free orthodontic care by Dr Brabant and other willing practitioners across Australia.

There are currently 25 children receiving free care through the program and it’s something he’d love to see more of.

“This can go Australia-wide if people realise the value for the community and what the community and volunteers get out of it,” explains Dr Brabant. “It’s not just people and clients we’re helping; it’s the volunteers—most of them have a life-changing experience as a result of being involved.”

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Your business

How to get involvedFeeling inspired to make a difference? There are a number of ways to get involved with the Carevan and Sun Smiles programs…

1 Franchise a Carevan: The ‘free franchise’ opportunity can provide any community in

Australia with the training necessary to set up a Carevan and associated Kids Cooking and Caring program (which is used to help supply the van and keep it sustainable).

2 Spread the Sun Smiles message: The Sun Smiles program relies on university part-

nerships to provide student dentists to get involved in the dental program.

3 Offer orthodontic scholarships: The Sun Smiles program currently offers around

10 free scholarships a year to disadvantaged children in need of orthodontic care. They are currently seeking orthodontists Australia-wide who are willing to join in and offer their services to those in need.

To get involved, or to simply find out more about the programs, head to the contacts page on www.carevan.com.au.

“You can give them a sense of identity and through that they’ve got a chance to get a sense of achievement and maybe break out of the cycle.”

Quote Dr John Dr Brabant, orthodontist

Dr John Brabant’s Sun Smiles pro-gram offers 10 orthodontic scholar-

ships a year to children in need.

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Tools of the tradeA brilliant 3D diagnostic tool, blinding whitening, a disincentive for thumb-suckers and more are under the spotlight this month

E4Dby Dr Anthony Spink, Anthony Spink Dental Suite, Brighton, QLD

E4D is a CAD/CAM system that’s pretty similar to a Cerec. Our practice has been using one for about 18 months and in that time, we’ve completed close to 300 restorations.

What’s good about itThe E4D enables you to restore teeth simply. It allows you to create crowns, inlays and onlays far more predictably. It also produces a much nicer, stronger result and the whole process can be completed in a single visit. At present, I do everything in a two-and-a-half hour appointment.

The big advantage over the Cerec is that you don’t need to use any spray or highlight paste on the teeth. The teeth can be simply prepped and then scanned directly. The results are very accurate and well fitting.

Patients love that they don’t need a temporary in their mouth and don’t need a second appointment two weeks later.

What’s not so goodIt’s an expensive piece of equipment to purchase. However, if you’re intending to use it for five to 10 years, price isn’t a barrier as lab costs are reduced by approximately $300 to $400 per tooth. It’s a steep learning curve but once you’ve mastered the E4D, the results are quite amazing.

Where did you get itHenry Schein Halas.

Swissdent Extremeby Dr Harry Marget, East Bentleigh Dental Group, East Bentleigh, VIC

Swissdent makes a range of tooth whitening toothpastes that combine the best of many things. The one that I’m most impressed with is called Swissdent Extreme.

What’s good about itSwissdent Extreme is recommended for people who have severe teeth discolouration caused by the usual tobacco, tea, coffee and red wine. The product has a very low RDA value which means it’s not an abrasive cleaner. It’s the only toothpaste with true micro-technological particles, so it’s able to bleach out pigments that most other pastes won’t touch. It also contains co-enzyme Q10 which stimulates new cell growth and protects the gums against any inflammation. Normal toothpaste uses sodium lauyrl sulphate to remove plaque but Swissdent has replaced this with the fruit enzymes papain and bromelain. It has massive amounts of fluoride, vitamin E and sodium bicarbonate to neutralise any acidity and to act as a gentle abrasive. It also comes with a very soft toothbrush that has a tiny head.

If a patient of mine wants a whitening treatment, I get them to use this first. They invariably get good results and if they want further whitening, I then offer a treatment using a product called Natural, which I have also reviewed for Bite.

I knew about this product two years ago when I started using it personally. When the rep recently visited me, I was thrilled to discover that it was now available in Australia and I’ve been recommending it to everyone.

What’s not so goodThe cost. It’s expensive but when something works as well as this, it’s definitely worth it.

Where did you get itSwissdent (Sandra LaScala, 0413 352 557).

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Tools of the trade (continued from page 39)

Thumbguardby Dr Derek Mahony, Full Face Orthodontics, Randwick, NSW

Thumbguard is a product that discourages children from the comfort of sucking their thumb. It’s important to stop this habit in growing children as it will eventually cause major problems with their bite.

What’s good about itThumbguard is simply placed over the thumb or the finger that the child is putting in their mouth. It’s made of a silicon material so they can still write, wash their hands, and carry on with everyday life. When they put their thumb or finger in the mouth, it breaks the vacuum so the kids don’t enjoy doing it anymore.

It’s easy to use, non-invasive, non-threatening for the child, and the cost is fairly economical. Most children break the habit in four weeks or less.

Thumbguard should be used with children from the age of three onwards. A child who stops sucking their thumb of their own accord before age three will generally have spontaneous correction to their bite. After the age of three, it becomes a real problem.

If they are still sucking their thumb by age six or seven, the damage has already been done to the bite. Then more traditional orthodontic therapy will be needed.

What’s not so goodThumbguard is attached like a hospital bracelet—the only way it can be taken off is cutting it with scissors. If you get a child who’s adamant not to comply, they can cut it off themselves. Out of roughly one thousand I’ve fitted, about 10 children have cut it off themselves. That’s the only situation where it doesn’t work. When worn correctly, it has a 100 per cent success rate.

Where did you get itPreventive Orthodontics (www.preventiveorthodontics.com).

Galileosby Dr Hugh Fleming, Hugh Fleming Dentistry, Mosman, NSW

Galileos creates a three-dimensional image of the jaw using a cone beam scan.

What’s good about itThe biggest advantage of Galileos is that it is such an enhanced diagnostic tool from a radiological point of view. When using an OPG or plain film, the result is a superimposition of a three-dimensional object in two-dimensions. This leads to a lot of distortion of the image and limits what you can actually see and diagnose.

The resultant image from Galileos can be manipulated through 360 degrees. For example, if you’re looking at surgical removal of impacted wisdom teeth, it can often be difficult to see where the inferior alveolar nerve lies. A cone beam scan allows you to track the nerve precisely and see how it relates to the position of the impacted teeth in three dimensions.

Patients are blown out of the water by Galileos. Seeing an image in three dimensions makes more sense for them as they visualise in a three-dimensional perspective all day, every day. In fact, patients often see pathology and point it out to me before I’ve even had time to talk to them about it.

Implant planning is really just one aspect of Galileos, or any cone beam machine. The biggest benefit is enhanced diagnostics. It not only gives better, clearer information, it gives more information, and that makes diagnostics easier and more accurate.

What’s not so goodI would like to see a higher quality image. If you compare the results to a CT scan—which is a bit of an unfair comparison—some of the images can be grainy in appearance. I’m sure that as the software improves, the reconstruction of the image will also improve. It would be fantastic to get CT-scan image quality when using a cone beam.

Where did you get itSirona.

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YOUR LIFENEWS & EVENTS COVER STORY YOUR BUSINESS YOUR TOOLS

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Flying highIn search of the ultimate adrenaline rush, Dr Taoran Wang of The Chatswood Dental Practice in NSW threw herself out of a plane

I don’t have a fear of heights and I really enjoy rollercoasters and rock climbing. Skydiving was always

something I wanted to do. Last year, a friend told me about ‘Skydiving at the Gong’ in Wollongong so we signed up for our first experience of freefall.

“During the training session, I was feeling anx-ious and told my instructor to strap us together tightly. He just looked at me and said, ‘I don’t know what you’re talking about. You’re going to jump from the plane, then I’ll jump after you and clip myself onto you in mid-air.’ It was obviously a joke but I was so nervous, I actually believed him.

“So I went onto the helicopter, thinking I was going to jump alone. Right before the door opened, he strapped himself onto me and said, ‘There is no way in the world I would let you jump by your-self without a parachute.’ I was so relieved!

“When the door opened, the freezing cold wind hit me. At this point I was screaming to release my anxiety. Then my instructor tumbled us out of the helicopter at 14,000 feet [4300 metres].

“The first 20 seconds are the most terrifying. We were falling so fast and it was so cold that my face felt like it was being hit by ice. After 20 seconds, your body starts to get used to the sen-sation of freefall and I began to enjoy it. I wasn’t panicking anymore and I thought that this was really fun. We fell through the clouds and then the parachute finally opened.

“I had a bird’s-eye view of everything, and Wollongong beach was spread out below me. We spent a couple of minutes floating back to earth and it was really beautiful. The instructor steered us towards the park and we landed very gently.

“The skydive lasted for five minutes but the adrenaline high lasted for the whole day. It’s definitely an experience I’ll remember for the rest of my life.

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