2. Dr Chris Sanzaro, ADA (Tas) President.

3. Dental workforce in Tasmania and Australia Dental & oral diseases – what do we do? Scope of practice – who does what for whom? Dental education – who trains whom? Workforce predictions – how many do we need?

4. Dental & oral diseases Dental caries and tooth loss Periodontal disease and tooth loss Oral mucosal lesions and neoplasias

5. Dental caries and tooth loss Despite water fluoridation, & other preventive measures caries is still prevalent. Tooth loss

6. Periodontal diseases “Gum disease” Tooth loss

7. Oral mucosal lesions and neoplasias

8. Scope of practice What do we have in Tasmania? Dentist – Specialists in Tasmania Endodontists Periodontists Orthodontists Paedodontists Oral & Maxillofacial Surgeons – Specialists not in Tasmania Prosthodontists Oral Pathologists Dento-maxillofacial radiologists Forensic odontologists Oral Medicine specialists Special Needs Dentists

9. Dental Auxilliaries What do we have in Tasmania? Dental Hygienist Dental Therapist Oral Health Therapist Dental Prosthetist

10. Dental Education Universities Role of universities Businesses? Knowledge transfer? Education & Research?

11. Dental Education Universities Demand driven places Increase in graduates 20072008200920102011201220132014 193349469428 478581*>620 * Award Course Completions, Department of Innovation 2007–2012. *Data from 2013 provided by Australasian Council of Dental Schools

12. Dental Education Overseas - ADC ADC examination Immigration 20002001200220032004200520062007200820092010201120122013 5152374861110158156171204242215263230

13. Dental Auxilliaries Registration category200620092012Dec 2013* Dental hygienist 784106712161258 Dental therapist 1380141211621095 Dental hygienist and dental therapist N/A 514487 Oral health therapist 410663614920 Total 2574314235063760 Allied dental practitioners registration data Source: AIHW Dental Workforce 2012 and *DBA

14. The basic numbers Need 510 new dentists per year – Retirement – Population growth Graduates and migrants 930 per year Already have an oversupply – New grads unemployed & underemployed – Practical experience is lost

15. Workforce projections Health Workforce Australia – Report – not yet published Calls it “Underutilisation” Lost in the change of government and disbanding of HWA Oversupply until at least 2025 – No-one has looked beyond 2025

16. Previous undersupply or a maldistribution? Metropolitan vs regional / rural Elective / cosmetic treatment vs basic health Changed spending patterns Tasmanian experience

17. Recent Changes Australia Wide – Less job vacancies – Size of town vs sustainability of practice Tasmania – Anecdotal evidence of significant changes – Less job vacancies – Most surgeries are fully staffed – Emergency appointment availability – Several new specialists, better availability

18. Who pays for dentistry?

19. Access Surveys show 1/3 of Australians don’t access dental care due to cost Public dental scheme: – HCC / PCC holders Private Dentists – Increased access to appointments over last 5 years in Tas. ADA’s “Dental Access”

20. Action required Funding – Dental Access Limit dental student places at Universities Remove dentistry from TTMR Remove Dentists from the Skilled Occupation List

21. Where are our dental students heading?

22. Thankyou Dr Chris Sanzaro chris@sanzaro.com ada@tassie.net.au