adsaAustralian Dental Students Association

ADSA Graduation Booklet 2013

www.adsa.org.au

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Welcome to the profession! Graduate members of Dental Protection receive a range of benefits and support preparing you for your future career. Class of 2013 graduates who sign up before 31 December 2013 will receive DPL membership and indemnity insurance until 30 June 2015 at no cost.

Key benefits z Discounted rate for graduate members.

z Dental Protection is the largest and strongest organisation of its kind in the world.

z As a DPL member in Australia you have access to a $20 million dental indemnity policy underwritten by MDA National.

z Over 40 years track record of protecting and supporting the dental profession in Australia.

z Colleague-to-colleague focus and empathy: we understand dentistry and dental problems.

z Advice and support from a specialist team with massive dental case knowledge and experience.

z Your membership is transportable to over 70 countries worldwide.

z Over 60 hours of free CPD available for our members.

For more information about your membership contact Kara Stokes kara.stokes@dpla.com.au Freecall 1800 444 542 www.dentalprotection.org.au

DPL Australia Pty Ltd (DPLA) ABN 24 092 695 933 CAR number 326134 is a Corporate Authorised Representative of MDA National Insurance Pty Ltd ABN 56 058 271 417 AFS license number 238073

Be an early bird and receive a

complimentary Class of 2013 Memento if you join DPL on or

before 31/12/13

CONTENTS

$

ADVERTISING ENQUIRIESCathleen Dongsponsorship@adsa.org.au

PUBLICATION SUBMISSIONS AND ENQUIRIESAmy Caopublications@adsa.org.au

INTRODUCTIONCongratulationsTips for your first job

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TO DORegistrationMedicareIndemnityRadiation licence

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YOUR CAREERLooking for employmentPathwaysGraduate programsContinual Professional DevelopmentRoyal Australasian College of Dental Surgeons

910111213

FINANCEStudent loansSuperannuation

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FINAL CHECKLISTADA membershipFinal checklist

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congratulations

The last four or five years at dental school have prob-ably seen many ups and downs, excitement of being in sim clinic for the first time, freaking out when you finally see a real patient and then fitting a denture without having to do any modifications! So to think that you only have a few months left before you fi-nally graduate can be exciting and daunting at the same time.

While you are probably focused on meeting require-ments and wondering if you'll get a job, we've put together this graduate booklet to help you figure out

what steps you need to take so you can actually work once you graduate. You need to do things such as get a provider number from Medicare, apply for insurance and you have to register with the dental board. There are also some helpful hints that might help guide you in the right direction and assist you in getting your dream job.

If you are in your final year of your studies, we hope you have an amazing couple of weeks in dental school and enjoy being a student while you can! Best of luck with your final exams and we hope you have an exciting and rewarding career.

Best Wishes,

Audrey IrishADSA President

FOR FURTHER INFORMATION AND TO KEEP UP WITH WHAT'S HAPPENING,

FOLLOW US ONAusDSA

www.adsa.org.au

ADSAMedia

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TIPS FOR YOUr FIRST JOB

DON'T LEAVE IT TO THE LAST MINUTE

Get your stokes in the fire. Pound the pavement, ask around and hand your CV out early on in the piece. Showing potential employers you're pro-active and keen is a great way to get your foot in the door. Potential employers may not have been thinking of taking on a new dentist, but that new fresh face coming through the front door might just convince them otherwise.

GO PUBLIC

Every first job has its good points. In the public system you’ll find great mentors, plenty of pa-tients and the chance to work at your own pace in a structured environment. Check out local area health websites throughout your final year or why not look into the VDGYP (see page 10)!

LOCATION, LOCATION, LOCATION

There is no doubt that the more flexible you are with relocating, the better your chances of find-ing the right job. Whilst rural/remote locations tend to offer more opportunities to new grads, don’t jump in and commit yourself without test-ing the waters. In any job there will be plenty of down time and its important to make sure you have things to fill those hours. Before you accept a job in a any location make sure you go and spend

some time in the area to get a feel for where you could spend your first few years of working life.

THE INTERVIEW

There is no doubt everyone wants to impress in their interview and saying the right thing to your prospective employer will be first thing on your mind! Don’t forget though this is a great chance for you to find out whether the practice will be a good fit for you and your practice ideals (not everyone will be… trust me!)

Some good questions are: What will my role be in the practice? What sort of mentorship will be available and are we able to structure some men-tor time into the working week? Could I see some examples of interesting recent cases you’ve treat-ed? (the last question is a great one to not only find out what sort of treatment interests your potential employer but also that they work to a standard your happy with).

DON'T STRESS

The increase in numbers of dental schools and their intakes (and therefore greater numbers of graduates looking for jobs) may be alarming – but at the end of the day the right opportunity is waiting out there for everyone. Don’t be dis-heartened, keep chipping away and things will work out for the best.

After pushing through years of phantom heads and lining checks you’ve finally made it! As graduation approaches, the relief of jumping the final hurdles of university are quickly replaced with the first of your newfound profession… Getting a job! Now this can be a daunting task for any new grad but here are some tips from past graduates who have been through it all before to help you on your way.

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registration

To register with the board, you can apply through the Australian Health Practitioner Regulation Agency (AHPRA). December is a very busy time of year with thousands of medicine and allied health graduates sending in their application forms.

Luckily, you can start the registration process 4-6 weeks before completing your course. Once you complete all the requirements for your degree, your university will inform the AHPRA that you have officially completed your degree and your application will be processed.

We recommend sending in your forms early so you can skip the queues and practice sooner rather than later.

MORE DETAILS ONLINE

www.ahpra.gov.au/Registra-tion/ Graduate-Applications.

aspx

YOU MUST REGISTER WITH THE DENTAL BOARD OF AUSTRALIA BEFORE YOU CAN PRACTICE

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medicare

After you register with the Dental Board of Australia you need to fill out the two forms below from Medicare and mail or fax your application form along with supporting documentation to the contact details found on the forms.

DOWNLOAD FORMS ONLINE

www.medicareaustralia.gov.au/pro-vider/pubs/medicare-forms/den-

tists.jsp

ALL DENTISTS NEED A MEDICARE PROVIDER AND PRESCRIBER NUMBER

Application for approval to prescribe medications under the Pharmaceutical Benefits Scheme

This is the application form to allow you to prescribe medi-cations under the Pharmaceutical Benefits Scheme (PBS).

Application for an initial Medicare provider/regis-tration number for a Dentist, Dental Specialist or Dental Prosthesist

The provider number allows dentists to request certain diagnostic imaging services set out in the Medicare Ben-efits Schedule (MBS), available online on the Department of Health and Ageing website. It allows the dentist and the location from which a service is provided to be uniquely identified. You need to have a medicare provider number before you can start billing patients

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INDEMNITY INSURANCE

This must cover all aspects of dental practice that you plan to carry out. There are a number of indemnity insurance providers that currently insure dentists, in-cluding:

DPL (Dental Protection Limited) http://www.dentalprotection.org/australia/

Guild http://www.guildinsurance.com.au/profession al-indemnity-insurance/dentists/

MIPS (Medical Indemnity Protection Society) http://www.mips.com.au/

Understand that providers differ in membership fees, level of cover and support beyond insurance needs. Also be aware that insurance requirements are also different for each state.

When choosing a provider we suggest that you make an informed decision based on your needs as a recent graduate. Ask those around you whose opinions mat-ter and don’t be afraid to quiz providers about their policies!

DENTAL PROFESSIONAL INDEMNITY INSURANCE

REGISTRATION STANDARD

http://www.dentalboard.gov.au/Regis-tration-Standards.aspx

BEFORE YOU PRACTICE YOU MUST HAVE INDEMNITY INSURANCE

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RADIATION LICENCE

The requirements of a radiation licence will depend on the state in which you wishto practice in. Each state has different practising radiation regulations, e.g. dentistsin NSW only need registration to take OPGs and in WA radiation licences are notrequired. So before you take that first bitewing, make sure that you’re licensed!

WESTERN AUSTRALIACurrent legislation does not require a radiation licence

NORTHERNTERRITORYDepartment of HealthRadiation Protection Act2011www.health.nt.gov.au/Environmental_Health/Radiation_Protection/

QUEENSLANDQueensland HealthRadiation Safety Act 1999www.health.qld.gov.au/radiationhealth/healthrelated/dental.asp

SOUTH AUSTRALIAEPA South AustraliaRadiation Protection andControl Act 1982www.epa.sa.gov.au/licensees/radiation_licences/dental_professionals

NEW SOUTH WALESNSW Government LicensingService Radiation Control Act 1990www.license.nsw.gov.au/Licence_Launchpad_RAD.htm#Radiation_Licence_

VICTORIADepartment of HealthRadiation Act 2005www.health.vic.gov.au/radiation/

TASMANIADepartment of Health andHuman ServicesRadiation Protection Act 2005www.dhhs.tas.gov.au/peh/radiation_protection

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ADAwww.ada.org.auAlso visit your local ADA branch website and the classifieds section of ADA bulletins.

Dentist Job Search (DJS)www.djs.com.auA job search company, where you can sim-ply register your details and they will “pro-mote” you to clinics looking for dentists

The Young Dentistwww.theyoungdentist.com/auA one stop shop resource for young dentists by young dentists. This website includes ar-ticles on finding the perfect job, setting up a practice, working abroad and much more.

Other places to visit• State health service or state dental

health services websites• Australian Defence Forces• General medical hospitals• Dental hospitals

General Job SitesSeekwww.seek.com.auMyCareerwww.mycareer.com.auCareerOnewww.careerone.com.au

At the interview, besides the standard queries regarding pay, hours and holidays, some impor-tant questions to ask could be:

• Have you hired a new graduate before?• Will I be able to book longer appointments until you pick up some speed?• Will you have time to review cases with me during the week or do you expect meto work alone?• Do you use amalgam, rotary endo, written or electronic records? • What areas of dentistry do you focus on and which cases do you refer?

These questions will give you an idea of the attitude of your potential employer as it's important that you feel comfortable with their expectations and working conditions. It is also a good idea to find out if they want to restrict you to certain types of treatment or allow you to practice to your full scope. Often new graduates find having some extra support, especially in the first few weeks invaluable so find out if they are happy for you to refer cases to them or if you can start of with a few easier cases until you feel a bit more comfortable. Don’t forget to have a contract signed before you start work!

Looking for a job isn’t always easy. It may take a few interviews and resume drops before you find a clinic that you feel you would like to work in. Word of mouth is a great way to find out who is willing to take on a new graduate. Here are some places you can try.

FINDING A JOB

An interview is a chance for your potential employer to get to know you. They might want to know what parts of dentistry you enjoy, what your interests are, how much experience you have had at dental school and what your attitude to patient care is.

INTERVIEWS

LOOKING FOR EMPLOYMENT

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CAREER PATHWAYSThe majority of dentists work in private practice and this can be achieved in a few different ways• Setting up a practice• Purchasing an exising practice• As an associate dentist where some of the expenses of setting up the practice are shared with

other denstist(s) but fees may be collected individually and some expenses are not shared• As a partner where all expenses and profits are shared according to an agreed percentage, or• As an assistant dentist working for the owner of a practice

Other career choices you can consider include• A government dentist treating patients that can have their dental treatment publically funded• The armed services (www.defencejobs.gov.au/army/jobs/Dentist/JobDetails)• As a short-term university tutor or lecturer (a permanent position will require higher degrees)

Dental Board of Australia's List of Specialties Additional programs of study must be completed after graduating in order to become a specialist. Normally you need to be working for at least two years as a general dentist before you can apply for a specialist trainig proram. These training programs are normally 3 years, and each has differnt require-ments. Different course providers for specialist training programs can be found AHPRA's database at http://www.ahpra.gov.au/Education/Approved-Programs-of-Study.aspx Below is a list of some of the areas you can specialise in.

Dento-maxillofacial radiology

Diagnostic imaging procedures of the oral and maxillofacial region.

Endodontics Pulpo-dentine complex and periradicular tissues.Oral and maxillofacial surgery

Surgery of injuries and defects of the jaws and associated structures.

Oral medicine Diagnosis and non-surgical management of the oral and maxillofacial region.

Oral pathology Nature of diseases.Oral surgery Diagnosis and surgery or oral and dento-alveolar tissues.Orthodontics Malocclusion of teeth and surrounding structures. Paediatric dentistry Oral facial problems in children from birth to adolescence.Periodontics Supporting tissues of the teeth.Prosthodontics Coronal alteration or reconstruction of natural teeth or replacement of

teeth, oral and maxillofacial tissues.Public health dentistry Oral health education of the public, administering dental care programs,

prevention and control of oral diseases in communities.Special needs den-tistry

Special dental treatment plans for patients with intellectual, medical, phys-ical or psychiatric conditions.

Forensic odontology Examine, document and evaluate dental evidence in cases including hu-man identification, orofacial trauma and bitemarks.

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a. Participation in web based learning, case discus-sions and workshops in conjunction with 10 com-prehensive case presentations,orb. The same web based learning, case discussions and workshops, but also prepare for and undertake the RACDS primary exams and 5 comprehensive case presentations.

Participants can choose to take their non-clinical component from one of two pathways

IMPORTANT DATES

11 September 2013applications open

9 October 2013applications close

20 January 2014program and placements commencement

THE VOLUNTARY DENTAL GRADUATE YEAR PROGRAM

FOR MORE INFORMATION

www.aitec.edu.au/vdgyp

This program offers graduate dental students the opportunity to complete a year of paid work experi-ence in a range of clinical settings, with on-line learn-ing, mentoring and professional support.

FEATURES

The VDGYP is a Commonwealth funded initiative which will place students in community based den-tal clinics around Australia.

The program provides students with training, men-toring and clinical skill development. Students have access to a range of mentors and specialists from around the country and have online access to a number of recourses to assist them with their learn-ing.

The program includes:

• 37.5 hours of training per week, with 20% of that being non-clinical learning,

• mentor support at your place of employment• salary• upong completion of your program you will re-

ceive a bonus of $15,000• the program contributes to 60 hours of CPD

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complete a minimum of 60 hours of CPD activities over three years

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B

C

E

CONTINUAL PROFESSIONAL DEVELOPMENT

The Dental Board has stipulated the following guidelines concerning mandatory continual professional development (CPD) for dentists.

A

maintain records de-tailing CPD activities for audit purposes

produce evidence of CPD activities when requested to do so by the Dental Board

There are many opportunities to earn CPD points for free. Keep your eyes peeled for fliers from your local dental hospital, ra-diographer and other dental companies or help groups such as Dental ED. The ADA Bulletin often contains articles with question and answer sheets that can be submitted for CPD points.

ensure that 80% of the minimum 60 CPD hours are clinically or scientifi-cally based

make a declaration of their compliance with CPD requirements at the time of annualrenewal

There are a myriad of companies and lec-turers who hold courses and seminars for CPD points. These are often informative and insightful, but make sure that they are reputable before you sign up!

EARN CPD POINTS FREE CPD THROUGH THE ADA

OTHER OPTIONS

The ADA run a dental congress over 3-4 days, every two years. This will accrue over 20 CPD points for a relatively low cost compared to other CPD courses. The congress is also a great way to net-work with other dentists and suppliers. Your local ADA branch also run several lecture series and hands-on courses where you can extend your knowledge in many areasof dentistry.

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The ROYAL AUSTRALASIAN SCHOOL OF DENTAL SURGEONS

The Royal Australiasian School of Dental Surgeons (RACDS) study programs provide opportunities for new graduates and experienced dentists to im-prove their skills, knowledge and understanding of clinical dentistry.

STUDY WITH THE RACDS

ATTAINING MEMBERSHIP OR FELLOWSHIP

The main focus of the RACDS education pro-grams is to provide world standard, evidence based education, training and assessment in dentistry, leading to Membership (MRACDS) or Fellowship (FRACDS) of the College. Mem-bership and Fellowship begins from the mo-ment you decide to aim for achievement by joining the RACDS.

Your RACDS qualifications demonstrate to patients that their practitioner is equipped with the knowledge and skills to practise clin-ical dentistry at the highest standards through-out their working life.

ADVANCE YOUR CAREER WITH THE RACDS

Participation in RACDS programs is suited to all dentistry careers including private practice, government health services, academia, and the armed services. Many dentists enrolled in uni-versity postgraduate studies will find Member-ship or Fellowship of the RACDS a rewarding addition to their postgraduate qualification.

The RACDS has education programs in both General Dental Practice (GDP) and Specialist Dental Practice (SDP). Successful completion can lead to either Membership or Fellowship in your chosen stream.

MEMBERSHIP IN GENERAL DENTAL PRACTICE

The MRACDS(GDP) Program is a 2-3 year struc-tured educational learning program for qual-ified General Dental Practitioners (GDPs), that aims to provide an ongoing high standard of patient management, diagnosis and treatment for the benefit of the community. The program comprises six core and three elective modules.

The MRACDS(GDP) Program is structured to enhance and support the acquisition of knowl-edge and skills of GDPs and provide a struc-tured approach to Continuing Professional Development (CPD).

MRACDS(GDP) is the first step to RACDS Fel-lowship. On its own it is not a registrable quali-fication to practice dentistry in Australia or New Zealand.

FELLOWSHIP IN GENERAL DENTAL PRACTICE

Attain FRACDS(GDP) by obtaining a pass in the RACDS examinations which involves the Pri-mary Exam and the Final Exam.

The Primary Exam consists of study and ex-amination in the areas of Anatomy, Histology, Physiology, Cell Biology and Biochemistry, Pa-thology and Microbiology. The aim is for candi-dates to demonstrate an understanding of the fundamental principles of the basic sciences and, importantly, their relationship to clinical dental practice.

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MORE DETAILS ONLINE

www.racds.org

QUALIFICATIONS IN SPECIALIST DENTAL PRACTICE DISCIPLINES

Membership and Fellowship is available in the following disciplines.

Dental Public Health Endodontics

Oral MedicineOrthodontics

Paediatric Dentistry Periodontics

Prosthodontics Special Needs Dentistry

Fellowship in the Specialty Practice of Oral and Maxillofacial Surgery is a four year structured training program. Further information can be found in the OMS Handbook on the college website.

MEMBERSHIP IN SPECIALIST DENTAL PRACTICE

Membership in Specialist Dental Practice is granted in recognition of a candidate’s stand-ing as a specialist in their discipline. It is seen as the attainment and recognition of specialist status by one’s peers. Membership is awarded by examination. Either by the College or via University Post Graduate course work where there is an agreement with the College to award conjoint qualifications.

FELLOWSHIP IN A SPECIALIST DENTAL PRACTICE

Fellowship in a Specialist Dental Practice discipline represents the assessment and peer review of a candidate at an advanced level fol-lowing the completion of a period of spe-cialist experience gained after the comple-tion of a higher university qualification in that discipline. It is seen as a continuation of learning and professional development in that discipline.

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PAYING OFF STUDENT LOANS

HOW MUCH DO I OWE?

Your debts are managed by the Australian Tax-ation Office (ATO). To request the balance of your account, have your tax file number ready and call them on 13 28 61.

WHEN DO I HAVE TO START PAYING BACK MY LOAN?

When your repayment income exceeds the compulsory repayment threshold which, for the 2013-14 income year, is $51,309. That means once you start earning over $51, 309 it is compulsory to pay back some of your loan.

HOW MUCH IS EACH COMPULSORY REPAYMENT?

The ATO calculates your compulsory repay-ment as a percentage of your income and the amount will be on your income tax notice of assessment. This percentage increases as your income increases.

IS INTEREST CHARGED?

No, however on June 1 each year, your debt is adjusted in line with changes to the cost of liv-ing to maintain its real value.

CAN I PAY OFF MY DEBT SOONER?

Yes, this is known as a voluntary repayment and can be made to the ATO at any time for any amount ontop of the compulsory payments.

IS THERE A BONUS FOR VOLUNTARY REPAYMENTS?

Your account is credited with an additional 5% of the payment amount if you make a volun-tary repayment of $500 or more ontop of the compulsory repaymebnts.

From 1 January 2014, the voluntary repayment bonus of 5% will be removed.

WHAT DO I DO IF I CAN’T AFFORD THE REPAYMENTS?

You can apply to the ATO to defer your repay-ment. To justify your financial hardship, you will need to complete a form titled Deferring your compulsory HELP, HECS or Financial Supplement repayment.

FOR MORE INFORMATION

www.studyassist.gov.au

www.ato.gov.auCall ATO on 13 28 61

If you have deferred paying your tuition fees at University, chances are you know you have a HECS-HELP debt and need to pay back this money to the Commonwealth Gov-ernment once you start earning an income.

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BASIC guide to superannuation

Superannuation is a fund that is which is only accessible to people once they retire. Employ-ers must contribute to this fund, and individu-als are encouraged to contribute and manage their superannuation accounts so they can maximise their funds available for them in re-tirement.

For graduates who are dealing with superan-nuation for the first time, here are the basics of superannuation. The two types of contribu-tions are concessional and non-concessional.

MAKING CONCESSIONAL (BE-FORE-TAx) CONTRIBUTIONS Superannuation guarantee (SG) is a compulsory superannuation contribution from the employer which eligible employees are en-titled to. For those aged 18 years or over, your employer must pay 9.25% of your earnings into your super account if you earn at least $450 a month before tax. Salary sacrificing is when your em-ployer can put some of your before-tax salary to your superannuation fund. Self-employed or not employed or if you receive less than 10% of your income from an employer , then you can also make conces-sional contribution.

MAKING NON-CONCESSIONAL (AFTER-TAx) CONTRIBUTIONSThese are contributions from money on which you have previously paid income tax already. There is no 15% tax on such contributions. You may even be eligible for a bonus from the gov-ernment for doing so if your assessable income is under $48,516 for the 2013-14 year, known as the co-contribution.

WHAT HAPPENS TO MY EMPLOYER’S SUPERANNUA-TION CONTRIBUTIONS?They are paid by certain deadlines into a super fund which can be chosen by your employer or in most cases, you have the right to choose your own super fund by filling out a Standard Choice Form given by the employer.

SUPERANNUATION FUNDS Each superannuation fund has different fees, benefits and choices about where you can invest your money. It is worhwhile finding a su-perannuation fund that suits your needs. Your superannuation goes in to your supparanuation account, and your superannu-ation provider will send you satements inform-ing you how much superannuation you have in your account.

BASIC INFORMATION ON TAx Concessional contributions are gen-erally hit with a 15% contributions tax. Employ-ers are able to claim a tax deduction when they make your SG contributions or by salary sacri-fice agreement. Individuals paying by salary sacrificing can pay less tax on the reduced per-sonal income even though the actual contribu-tion still gets a 15% tax. Non-concessional contributions have no tax deducted so the full contribution reaches your super account. Earnings on these contributions are usually taxed at a lower rate compared to earnings that are not put into a super fund. Capital gains your super fund makes from the sale of fund assets fund earnings are also subject to taxes.

FOR MORE INFORMATIONwww.superguide.com.au

www.ato.gov.au/Individuals/Super

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The ADA provides professional and practice support, education, collegi-ality and leadership, as well as the latest news, resources and informa-tion to assist you in your career.

You can also approach the ADA with your contract and discuss the appropriateness of the terms before you sign anything. Many ADA branches will also run “recent graduate” events for those who have graduated within the last 5 years. This is a good chance to net-work and meet other graduates. For more information contact your local ADA branch.

Unsure where you’ll end up? Rural, metropolitan? Will you stay local, go interstate or even overseas? Find out more about others' experiences on the ADA website.

1. Information Through the monthly NSW Dentist magazine, e-newsletters and a variety of industry publi-cations

2. Advocacy Professional representation to government

3. Advisory ServiceAdvice and support on legal matters, busi-ness development and more

4. Centre for Professional Development Access to cutting-edge scientific and non-scientific courses

5. Digital Media Library Free access to online educational programs from the comfort of your own home or prac-tice

6. Insurance Up to a 50% discount on professional indem-nity insurance

7. Practice Management SupportThe support and tools you need on human resources, practice accreditation and occupa-tional health and safety

8. National Online Library Free access to full text journals, e-books, research databases and more

9. Collegiality Local support and networking through Divi-sions and Groups

10. Member Services A range of discounted lifestyle and profes-sional services

THE TEN TOP REASONS TO JOIN THE ADA

Australian Dental Association

THERE IS A LOT OF SUPPORT OUT THERE ONCE YOU GRADUATE. YOU MAY CONSIDER BECOMING AN ADA MEMBER.

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MORE INFORMATION ONLINE

www.ada.org.au/memberJoin.aspx

BEFORE FINISHING UNI

c AHPRA Registration

AFTER RECEIVING YOUR REGISTRATION NUMBER

CHECKLIST

c Indemnity insurance

c Medicare Provider Number

c Medicare Prescriber Number

c Radiation Licence

c Consider ADA membership

c Keep track of your CPD points

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pH

before gum during gum

after gum

without gum

Potential demineralization zone

Time (min)

0 10 20 30 40 50 603

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5

6

7

A Guide to the Science of chewing Sugarfree Gum

1Szóke J, Proskin HM, Banoczy J. Eff ect of after-meal sugarfree gum chewing on clinical caries. J Dent Res. 2001; 80(8): 1725-729.2Deshpande A, Jadad AR. The impact of polyol-containing chewing gums on dental caries: a systematic review of original randomised controlled trials and observational studies. J Amer Dent Assoc. 2008; 139(12): 1602-614. 3Mickenautsch S, Leal SC, Yengopal V, et al. Sugar-free chewing gum and dental caries: a systematic review. J Appl Oral Sci. 2007; 15(2): 83-88.4Dawes C, Dong C. The flow rate and electrolyte composition of whole saliva elicited by the use of sucrose-containing and sugarfree chewing gums. Arch Oral Biol. 1995; 40(8): 699-705. 5Polland KE, Higgins F, Orchardson R. Salivary flow rate and ph during prolonged gum chewing in humans. J Oral Rehabil. 2003; 30(9): 861-65.6Kandelman D, Gagnon G. A 24-month study of the incidence and progression of dental caries in

relation to consumption of chewing gum containing xylitol in school preventive programs. J Dent Res. 1990; 69(11):1771-775.7Topitsoglou V, Birkhed D, Larsson LA, et al. Eff ect of chewing gums containing xylitol, sorbitol or a mixture of xylitol and sorbitol on plaque formation, ph changes and acid production in human dental plaque. Caries Res. 1983; 17(4): 369-78.8Söderling E, Mäkinen KK, Chen CY, et al. Eff ect of sorbitol, xylitol and xylitol/sorbitol chewing gums on dental plaque. Caries Res. 1989; 23(5): 378-84.9Park KK, Schemehorn BR, Stookey GK. Eff ect of time and duration of sorbitol gum chewing on plaque acidogenicity. Pediatr Dent. 1993; 15(3): 197-202.10Fröhlich S, Maiwald HJ. Reversal of food induced plaque acidity by chewing gums. J Dent Res. 1992; 71(1 suppl.): 269 (Abstract #1309).11Fröhlich S, Maiwald HJ, Flowerdew G. Eff ect of gum chewing on the ph of dental plaque. J Clin Dent. 1992; 3(3): 75-78.

12Creanor SL, Strang R, Gilmour WH, et al. The eff ect of chewing gum use on in situ enamel lesion remineralisation. J Dent Res. 1992; 71(12):1895-900.13Leach SA, Lee GT, Edgar WM. Remineralisation of artificial caries-like lesions in human enamel in situ by chewing sorbitol gum. J Dent Res. 1989; 68(6): 1064-068.14Manning RH, Edgar WM. Salivary stimulation by chewing gum and its role in the remineralisation of caries-like lesions in human enamel in situ. J Clin Dent. 1992; 3(3): 71-74.15Steinberg LM, Odusola F, Mandel ID. Remineralising potential, antiplaque and antigingivitis eff ects of xylitol and sorbitol sweetened chewing gum. Clin Prev Dent. 1992; 14(5): 31-34.16Wefel JS, Jensen ME, Hogan M, et al. Eff ect of sugarless gum on human intra-oral demineralisation and remineralisation. J Dent Res. 1989; 68(1 suppl.): 214 (Abstract #263).

17Triolo P, Jensen M. Eff ect of chewing gum on food clearance from the dentition. J Dent Res. 1990; 69(1 suppl.): 136 (Abstract #220).18Fox PC, Van Der Ven PF, Baum BJ, et al. Pilocarpine for the treatment of xerostomia associated with salivary gland dysfunction. Oral Surg Oral Med Oral Pathol. 1986; 61(3): 243-48.19Olsson H, Axéll T. Objective and subjective eff icacy of saliva substitutes containing mucin and carboxymethylcellulose. Scand J Dent Res. 1991; 99(4): 316-19.20Aagaard A, Godiksen G, Teglers PT, et al. Comparison between new saliva stimulants in patients with dry mouth: a placebo-controlled double blind crossover study. J Oral Pathol Med. 1992; 21(8): 376-80.21Dawes C, Macpherson LM. Eff ects of nine diff erent chewing gums and lozenges on salivary flow rate and ph. Caries Res. 1992; 26(3): 176-82.

✔ Stimulate saliva flow: By stimulating saliva production, chewing sugarfree gum can be an important defense mechanism to help protect teeth.4,5

✔ Reduce plaque: Chewing sugarfree gum has been associated with a reduction in the quantity and development of plaque on teeth, and a reduction in the acid-forming ability of plaque.6,7,8

✔ Neutralise acids: Salivary stimulation by chewing sugarfree gum after snacks or meals containing fermentable carbohydrate has been demonstrated to reduce the acidogenic potential of foods significantly.9,10,11

✔ Remineralise enamel: Stimulated saliva helps to restore minerals in tooth enamel, as levels of calcium and phosphate ions in the saliva increase due to stimulation caused by chewing gum.12,13,14,15,16

✔ Clean the mouth of food debris: Chewing sugarfree gum increases the rate of food debris clearance from teeth compared with not chewing gum during the initial 15 minutes after eating.17

✔ Relieve dry mouth discomfort: Stimulation of salivary flow caused by chewing gum can relieve some of the discomfort of xerostomia. In fact, chewing sugarfree gum has been shown to be one of the most preferred treatments for xerostomia.18,19,20,21

For more information, contact :The EXTRA Oral Healthcare Program, extraoralcare@wrigley.com

Other oral care benefits of chewing sugarfree gum include:

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In addition to visiting the dentist regularly, brushing twice a day, flossing daily, and maintaining a balanced diet, chewing sugarfree gum can help protect teeth when patients are ‘on-the-go’

How can chewing gum help your patients maintain oral health?As you know, immediately after eating, plaque acids can attack teeth and initiate the demineralisation of the tooth surface, which can weaken teeth and lead to decay over time.

Chewing sugarfree gum increases the production of saliva, which can help neutralise plaque acid, wash away food particles and remineralise tooth enamel to strengthen teeth. In fact, chewing sugarfree gum for 20 minutes after meals and snacks has been proven to help reduce tooth decay.1

Research shows that chewing sugarfree gum can help protectteeth in a number of ways. Multiple clinical trials have consistently demonstrated the eff ect of chewing sugarfree gum in helping to reduce the incidence of dental caries.2,3 The Australian Dental Association (ADA), New Zealand Dental Association (NZDA) and the FDI World Dental Federation recognise the scientific evidence supporting the benefits of chewing EXTRA® sugar free gum.