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How many dentists does it take to…?

How many dentists does it take to…?. Dr Chris Sanzaro, ADA (Tas) President. . 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?.

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How many dentists does it take to…?

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  1. How many dentists does it take to…? Dr Chris Sanzaro, ADA (Tas) President.

  2. 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?

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

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

  5. Periodontal diseases • “Gum disease” • Tooth loss

  6. Oral mucosal lesions and neoplasias

  7. Scope of practiceWhat 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

  8. Dental AuxilliariesWhat do we have in Tasmania? • Dental Hygienist • Dental Therapist • Oral Health Therapist • Dental Prosthetist

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

  10. Dental Education Universities • Demand driven places • Increase in graduates Award Course Completions, Department of Innovation 2007–2012. *Data from 2013 provided by Australasian Council of Dental Schools

  11. Dental Education Overseas - ADC • ADC examination • Immigration

  12. Dental Auxilliaries Allied dental practitioners registration data Source: AIHW Dental Workforce 2012 and *DBA

  13. 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

  14. 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

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

  16. 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

  17. Who pays for dentistry?

  18. 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”

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

  20. Where are our dental students heading?

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

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