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SA Dental Service
Year Book  11-12





SA Dental Service Yearbook 2011-12 Page 1

Contents

2 Executive Director Report

3 Strategic Directions 

4 Vision

4 Values

5 Organisational Chart 

6 Statewide Dental Services

7 Adelaide Dental Hospital

8 Health Promotion Division

8 Policy and Programs Division

9 Corporate Services Division

10 Report on the implementation of the 
 SA Dental Service Strategic Plan 2013-2016 

19 Freedom of information
 
20 Adelaide Dental Hospital statistics 

22 School Dental Service statistics
 
25 Community Dental Service statistics
 
28 Aboriginal Dental Scheme statistics
 
29 Human Resource statistics
 

32 Financial Statements



SA Dental Service Yearbook 2011-12

Executive Director s 
Report 2011/12

From 1 July 2011 SA Dental Service became part of 
the new Central Adelaide Local Health Network as 
the Adelaide Health Service was dissolved.

In its short life the Adelaide Health Service had not 
produced a Strategic Plan. Hence, SA Dental Service 
developed its own suite of strategic outcomes 
2011-2016 within the framework of the SA Health 
Care Plan and the Department for Health and 
Ageing s Strategic Directions. These SA Dental 
Service Strategic outcomes formed the framework 
for activities during the 2011/12 financial year. 
Highlights of the year include:

&gt;  A balanced budget for at least the 11th year in a row.
&gt;  Further expansion of the Aboriginal Liaison 

Program connecting Aboriginal communities with 
mainstream public dental services. As a result 
there was a further 13% increase in the number 
of Aboriginal children treated in SA Dental 
Service facilities and a 6% increase in the number 
of Aboriginal adults. This builds on significant 
increases in previous years.

&gt;  A 13% increase in the number of residents of 
Supported Residential Facilities who received 
dental care.

&gt;  A 21% increase in the number of preschool 
children treated in the School Dental Service 
reflecting a focus on reducing the incidence of 
early childhood caries. The number of pre-school 
children referred to the School Dental service 
via the  lift the lip  protocol also doubled in this 
financial year. In due course these programs are 
expected to decrease the number of children 
who have to be treated in Hospital under general 
anaesthetic as a result of severe dental caries.

&gt;  A further reduction in the average period 
between dental check-ups in the School Dental 
Service to the preferred 18 months. There are still 
a significant number of children who are overdue 
for their dental check-up and this will be the focus 
of effort in the 2012/13 year.

&gt;  A further reduction in waiting lists for restorative 
dental treatment of eligible adults from 17 
months in June 2011 to 16 months in June 2012. 
The waiting time for dentures decreased from 

 17 months in 2011 to 12 months in 2012. 

(However, the average waiting time for specialist 
dental services at the Adelaide Dental Hospital 
increased from 11 months to 14 months.)

&gt;  In line with oral health s integral role within 
general health, the number of public dental 
patients receiving short interventions for tobacco 
cessation increased once again, this year by a 
further 14%. 

&gt;  Continued improvements in a range of indicators 
of clinical quality including retreatment rates for a 
range of services.

&gt; The publication of the Health Promotion 
Practice Guidelines to assist in the design and 
implementation of effective preventive programs.

&gt;  The opening of two GP Super clinics that include major 
dental facilities at Noarlunga and Modbury. Noarlunga 
clinic includes 6 dental chairs for undergraduate 

 dental and oral health therapy students.

&gt;  The appointment of the Executive Director 
Statewide Services, Martin Dooland, to the 
National Advisory Council on Dental Health to 
advise the Federal Government of priorities for 
dental reform and dental funding. This led to the 
inclusion of an estimated $33 million over three 
years for public dental services in South Australia 
in the May 2012 Federal Budget. 

&gt;  The attraction of Commonwealth funding for new 
or expanded dental facilities at Murray Bridge and 
the Adelaide Dental Hospital.

&gt;  The completion of a new business case for the upgrading 
or replacement of the Adelaide Dental Hospital.

&gt;  The attraction of Commonwealth funding under 
the  Encouraging Best Practice in Aged Care  
(EBAC) programs for a two state trial to assist in 
the maintenance of the oral health of community 
living older people.

A key issue that is likely to affect the SA Dental 
Service in the next few years is the dental reform 
agenda of the Federal Government. If the 
recommendations of the National Advisory Council 
on Dental Health are adopted the environment of 
public dental services will change dramatically and 
access to timely and affordable dental services for 

South Australians will improve beyond measure.

Martin Dooland
Executive Director
Statewide Services

Page 2



SA Dental Service Yearbook 2011-12 Page 3

Strategic Directions
SA Dental Service Strategic Outcomes for 2011-2016

Strategic Outcome 1   The oral health of the South Australian population is improved and oral health 
inequalities are reduced with a particular focus on:

&gt; people living in rural and remote areas
&gt; Aboriginal people
&gt; homeless people
&gt; people in Supported Residential Facilities
&gt; older people living in the community and in residential care
&gt; pre-school children 
&gt; people with chronic diseases
&gt; migrants with a refugee background

Strategic Outcome 2   Oral health is sustainably integrated into the wider health system.

Strategic Outcome 3   The community and private dental sector are involved in the planning, design and 
monitoring of public dental services.

Strategic Outcome 4   SA Dental Service is active in the development of public oral health policy at a State 
level and National level.

Strategic Outcome 5   Population based health promotion underpins all of SA Dental Service Programs and 
clinical programs have an increased focus on prevention and early intervention.

Strategic Outcome 6   Client focused quality systems drive improved clinical and non clinical services which are 
demonstrably efficient and effective.

Strategic Outcome 7   SA Dental Service is an employer of choice, has sufficient skilled clinical and non clinical 
workforce and is making full and flexible use of its capabilities.

Strategic Outcome 8   SA Dental Service is an active partner with the dental tertiary education and 
research sectors.

Strategic Outcome 9   Public dental infrastructure supports the provision of contemporary public dental 
services and is integrated with other health services wherever possible.

SA Dental Service Yearbook 2011-12



SA Dental Service Yearbook 2011-12Page 4

SA Dental Service Vision
Good oral health is essential for overall health and well being. A healthy mouth has a positive impact on 
physical, mental and social well being, hence healthy smile - healthy life.  

Mission

Working with the community to enable South Australians to achieve better oral health and well being through
&gt; health promotion
&gt; timely dental treatment with a focus on prevention and early intervention
&gt; support for education and research.

Values



SA Dental Service Yearbook 2011-12 Page 5

Organisational Structure
SA Dental Service   June 2012

Chief Executive Officer
Central Adelaide Local

Health Network

Executive Director
Statewide Services

General 
Manager
Statewide

Dental 
Services

Director 
Policy and 
Programs

Director 
Health 

Promotion

Manager 
Corporate 

Service 
Statewide 
Services

General 
Manager
Adelaide 
Dental 

Hospital

Geoff Franklin Anne Pak-Poy Janet Weeks Christine Morris Shelley Crooks

  School Dental 
Service 

  Community 
Dental Service

  Private Schemes
   (purchasing)
  Remote Dental 

Services
  Clinical Attraction 

and Retention

  Specialist Services
  Teaching clinics
  Special Needs 

Services
  Infection Control

  Safety and 
Quality

  Service and 
Capital Planning

  Client Relations
  Evaluation and 

Research
  Programs
  Workforce 

Development 
(clinical)

  Health Promotion
  Communication

  Corporate 
Administration

  Risk Management



SA Dental Service Yearbook 2011-12

Statewide Dental 
Services Division

Statewide Dental Services provides dental services 
to children and eligible adults through two core 
programs, the School Dental Service and the 
Community Dental Service. Special arrangements 
apply for those who may be particularly vulnerable 
to the consequences of poor oral health including 
preschool children, Aboriginal clients, clients 
with mental health issues and the aged. Those 
arrangements may include priority access to care 
and/or free care. 

In addition to services provided by qualified clinicians, 
general dental services in School and Community Dental 
Services are also provided by undergraduate dental 
students and students in the Bachelor of Oral Health 
Program. School and Community Dental Service staff 
are involved in the clinical supervision and training of 
undergraduate students.

School Dental Service

The School Dental Service offers a comprehensive 
dental care program to all children up until their 
18th birthday. This care is free of charge to all pre-
school children.  It is also free for primary school 
and high school students with a school card, or who 
have or are dependents of a Centrelink cardholder. 
All other primary school and high school students 
are required to pay a small fee for each general 
course of care they receive. Those aged between 
12-17 years who are eligible may present their 
Medicare Teen Dental Voucher to receive their care.

Care is provided by teams of Dentists, Dental 
Therapists and Dental Assistants who work from a 
network of 43 clinics and mobile vans throughout 
the state. Many of these clinics are located within 
Primary Schools while others are mobile services to 
remote locations such as Leigh Creek, Nepabunna 
and Marree. The advent of the GP Plus and GP Super 
clinics has resulted in the closure and consolidation 
of many small, old, part time clinics.

Private dentists provide school dental services, under 
a capitation agreement, to approximately 3000 
children who reside in areas remote from a school 
dental clinic. No client fees apply for these services.

General Anaesthetics are required for some young 
children with extensive oral health care needs 
and these are provided both at local hospitals by 
SA Dental Service dentists and under contractual 
arrangements with the Department of Paediatric 
Dentistry at the Women s and Children s Hospital. 

Children are examined on a regular basis according 
to their individual needs and receive a full range 
of preventive and treatment based services. These 
services are provided mainly by Dental Therapists 
who work under the general supervision of a 
Dentist and in accordance with their conditions of 
employment, supported by Dental Assistants.

Community Dental Service

The Community Dental Service provides emergency 
and routine dental services to adults who are the 
holders of a Centrelink concession card. Urgent 
needs are usually attended to promptly, while 
routine care is provided after recourse to a waiting 
list. Average waiting periods reduced to16 months 
during the year.

The majority of care is provided by dentists who 
operate from a network of 30 clinics and mobile 
services located throughout the state, supplemented 
by private dentists through a range of schemes such 
as the Emergency Dental Scheme, General Dental 
Scheme, Pensioner Denture Scheme, Prison Dental 
Scheme and the Aboriginal Dental Scheme. Client 
fees apply for most services but some preventive 
items are provided at no cost. In addition some 
adult care is now provided by Dental Therapists and 
Dental Hygienists working under the prescription of 
a dentist.

Two Domiciliary Dental teams operate in the 
Adelaide metropolitan area and provide services to 
homebound people in private homes and Residential 
Aged Care Facilities. 

Page 6



SA Dental Service Yearbook 2011-12

Remote Dental Services

The Remote Dental Service team responsibilities include:
&gt;  Strategic planning to meet service needs in remote 

areas, in particular for Aboriginal communities
&gt;  Contractual arrangements with private dentists 

to provide services in remote locations such as 
Coober Pedy

&gt;  Visiting services by SA Dental Service staff, for 
example, services to children in Ceduna

&gt;  Output or other funded services through Aboriginal 
Community Controlled Health Services such as at 
Coober Pedy, Yalata and Nganampa (APY Lands).

Schemes Unit

This team has a range of responsibilities for 
predominantly externally sourced services including:
&gt;  The management of private practice schemes 

including Emergency Dental Scheme, General 
Dental Scheme, Aboriginal Dental Scheme, 
Pensioner Dental Scheme, Capitation, Prisoner 
Dental Scheme

&gt;  Purchasing of dental services including schedules 
for services provided through private practitioners

&gt;  Clinical quality issues relating to the provision of 
internal and external oral health services.

The Adelaide Dental 
Hospital Division
The Adelaide Dental Hospital (ADH) is one of the 
service provision arms of SA Dental Service and is a 
core component of the SA Government s approach 
to providing public dental care. The ADH fulfils a 
number of essential roles including:
&gt;  the only dental teaching hospital in South 

Australia that provides facilities, management and 
staff to support the training of undergraduate and 
postgraduate students of the School of Dentistry 
of the University of Adelaide 

&gt;  the sole statewide referral centre for specialist and 
complex oral health care services

&gt;  provision of general and specialist public dental 
services, continuing education, some specialist and 
treatment planning advice to SA Dental Service 
professional staff.  The provision of a specialist network 
and advice supports the acute medical sector in SA.

General and emergency dental care is largely 
provided by undergraduate dental and oral health 
students under the supervision of SA Dental Service.

Specialist services in the ADH are provided by 
a combination of staff and visiting specialists, 
academic staff of the University and significantly by 

Page 7

postgraduate students in specialty training programs.

The range of specialty services provided include:
&gt; oral and maxillofacial surgery
&gt; orthodontics 
&gt; endodontics
&gt; periodontics 
&gt; fixed and removable prosthodontics 
&gt; special needs dentistry. 

In addition to managing the operation of the ADH, 
and providing patient care, staff  are involved in the 
clinical supervision and training of undergraduate 
and postgraduate students. Academic staff of the 
Dental School provide patient care as honorary 
appointees to the Hospital, or indirectly by the 
supervision of students in clinical programs.

Because of its historic relationship with the Royal 
Adelaide Hospital (RAH), the ADH provides dental 
services to inpatients of the RAH and operates 
an after hours on-call service through the RAH 
Accident and Emergency Department. All patients 
requiring general anaesthesia for dental or oral and 
maxillofacial surgery procedures are admitted and 
treated in theatres of the RAH.  Dental technicians 
attached to the Oral and Maxillofacial Surgery Unit 
provide maxillofacial prostheses on referral from 
metropolitan hospitals. 

In addition to providing specialist support to dentists 
in SA Dental Service Community and School Dental 
Services, the ADH also accepts a limited number of 
referrals from the private sector. These patients are 
accepted in circumstances where the resources of 
the Hospital are better able to accommodate the 
needs of particularly complex or difficult cases.



Health Promotion Division

The Health Promotion Division is focussed on the 
provision of strategic advice on health promotion 
and quality support to SA Dental Service staff, our 
clients and consumers and the wider community.  
The division has a strategic approach to ensure that 
health promotion is integrated into all SA Dental 
Service programs and projects and to actively 
promote the integration of oral health into overall 
health and wellbeing.  

The Division works in partnership with our staff 
and other agencies to promote health, prevent oral 
diseases and provide health information. We support 
oral health as an integral part of general health 
through the development of healthy public policy 
and organisational development. We assist our staff 
to develop local health promotion initiatives through 
skill development and the provision of oral health 
resources.

Health Promotion Division has responsibility for:
&gt;  promoting an organisational commitment to 

policies and practices that incorporate the health 
promotion principles including those of the 
Ottawa Charter and Social Determinants of Health

&gt;  supporting staff to develop and implement health 
promotion into their clinical practice through 
health promotion practice guidelines

&gt;  promoting oral health as an integral part of 
general health by supporting the development of 
health promotion and prevention policies, healthy 
public policy and organisational practices

&gt;  developing quality health information and 

resources to support staff to increase awareness 
and to promote oral health in the community

&gt;  developing strategic partnerships that increase 
oral health knowledge and practice

&gt;  managing internal and external communication 
strategies to ensure consistency of message and 
branding

&gt;  staff culture surveys
&gt;  implementing population health promotion 

programs to improve oral health.

Policy and Programs 
Division
The Policy and Programs Division has a strategic, 
organisation wide focus, and provides leadership to 
and works collaboratively with all SA Dental Service 
divisional teams to challenge and support service 
improvement and program development.

Policy and Programs Division comprises the 
following Units:
&gt;  Service Planning 
&gt;  Quality, Patient Safety, Clinical Risk and Workforce 

Development 
&gt;  Evaluation and Research 
&gt;  Client Relations. 

Policy and Programs Division leads service 
improvement by:
&gt;  Program Development

- exploring and developing new and innovative 
models of care

- implementing the SA Health Care Plan, State 
and National Oral Health Plans

Page 8 SA Dental Service Yearbook 2011-12



Page 9

- identifying at risk population groups and their 
oral health needs

- developing  programs and service delivery for at 
risk population groups

&gt;  Securing capital funding to support the provision 
of public oral health services

- identifying infrastructure requirements
- pursuing capital funding opportunities
- oversight of capital developments

&gt;  Promoting a culture of safety and quality and 
clinical learning

- engaging with staff at all levels to positively 
influence the quality &amp; safety culture of the 
organisation in recognition that improvement 
has to be an integral part of what the 
organisation does

&gt;  Evaluating programs and organisational clinical 
performance

- providing program analysis and reporting
- developing management information systems 
- conducting evaluation and research projects
- undertaking research involving SA Dental 

Service clients and staff
- Promoting evidence-based approaches to 

service and program delivery
&gt;  Promoting client-centred approaches to enhance 

service quality
- promoting and facilitating good consumer 

practice at the interface between staff and clients

SA Dental Service Yearbook 2011-12

- developing and promoting mechanisms to 
facilitate effective management of consumer 
feedback.

Corporate 
Administration Unit
From 1 July 2010, responsibility for most Corporate 
Services for SA Dental Service became the 
responsibility of the Corporate and Clinical Support 
Service of the Adelaide Health Service.

However, a number of corporate functions remained 
with SA Dental Service through the Corporate 
Administration Unit. It provides a comprehensive 
range of general and specialist support services 
encompassing insurance, contract development 
and administration, risk management, records 
management, communications infrastructure and 
executive support services.

It is anticipated there will be a further restructuring 
of Corporate Support Services.



Page 10

Liaison Program to other population groups, 
including preschool children, teens and pregnant 
women. This resulted in increases in the number of 
Aboriginal children and adults treated by SA Dental 
Service for the fourth year in a row. The program 
was renamed the Aboriginal Oral Health Program 
to reflect the expansion. The Aboriginal Liaison 
Program and a range of other approaches to make 
mainstream public dental services more acceptable 
to Aboriginal people has been one reason for this 
increase. In addition to increased access, a full suite 
of culturally appropriate resources were developed 
and distributed. In May 2012 The Aboriginal Oral 
Health Team participated in the Aboriginal Power 
Cup to promote dental careers to young people and 
to promote oral health messages. Two Port Power 
players Chad Wyngard and Brendon Archee became 

oral health ambassadors

Report on the 
Implementation of the 
SA Dental Service Strategic 
Plan - Progress as at June 2012

Strategic Outcome 1 

After continuous deterioration since the mid-1990s, 
the amount of dental decay in children fell for the 
third year in a row. 

Population Oral Health Program 

The Population Oral Health Program continues to 
increase the number of preschool children attending 
dental services. In 2011/2012, 2249 children were 
referred to the Program, up from 1542 the previous 
financial year. 

Referrals were made by 444 allied health 
professionals, an increase of 69. Children identifying 
as being of Aboriginal and or Torres Strait Islander 
descent increased from 10% in 2010/2011, to 15% 
in 2011/2012. 51% of children referred were aged 
under 4 at the time of referral, compared to 49% 
the previous year. 

A total of 6440 preschool children had been referred 

to the program by 30th June 2012.

Aboriginal Oral Health
In 2011 SA Dental Service received additional 
funding to focus on Closing the Gap on Aboriginal 
oral health. This enabled expansion of the Aboriginal 

Improved health and reduced health 
inequalities

Aboriginal ADULT PATIENTS
Aboriginal Liaison Program

2400
2200
2000
1800
1600
1400
1200
1000
  800
  600
  400
  200

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
      0

2011/12

2010/11

2009/10

2008/09

2007/08

12 year old Mean DMFT SA SDS
1.20

1.10

1.00

0.90

0.80

0.70

0.60

0.50

0.40

19
93

19
94

19
95

19
96

19
97

19
98

19
99

20
00

20
01

20
02

20
03

20
04

20
05

20
06

20
07

20
08

20
09

20
10

20
11

SA Dental Service Yearbook 2011-12



SA Dental Service Yearbook 2011-12 Page 11

Oral health is sustainably integrated 
into the wider health system

Aboriginal CHILD PATIENTS

4000

3500

3000

2500

2000

1500

 1000

  500

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
      0

2011/12

2010/11

2009/10

2008/09

2007/08

New Migrant program

Following extensive consultation with the Adelaide 
Migrant Health Service, from May 2012 a pilot 
program was launched to provide priority dental 
care to newly arrived migrants with a refugee 
background. Adult migrants with a refugee 
background are referred by the Adelaide Migrant 
Health Service to designated Community Dental 
Service clinics for dental care. This regime of 
early care to bring an individual s oral health to a 
basic fundamental standard will assist clients to 
confidently seek employment and meet adequate 
nutritional needs. 

Homelessness and Oral Health Project (HOHP)

The HOHP commenced in April 2011 and is based on 
the successful Supported Residential Facilities Dental 
Program model. The Project builds on established 
relationships with key homeless sector agencies and 
involves a collaborative partnership between SA 
Dental Service, the Brian Burdekin Medical Clinic, 
and the Homelessness Support Program, Department 
for Communities and Social Inclusion. 

The initial focus of the HOHP is to address identified 
service gaps such as access to timely and affordable 
care for vulnerable people in need of urgent 
dental treatment. Patients accessing care via the 
HOHP pathway are not charged a fee and support 
is available to assist patients attend their dental 
appointments.

Patient referrals to the Project are accepted from 
participating homelessness support providers. 
Treatment provision is through a mix of public and 
private dental providers who have expressed their 
interest and willingness to be involved.   

Supported Residential Facility (SRF) Dental 
Program

In South Australia there are 29 SRFs accommodating 
around 850 people. Established in 2004, the SRF 
Dental Program continues to offer dental treatment 
to all residents of licenced pension-only SRFs. 
People living in SRFs tend to have complex and 
diverse needs and many have a history of chronic 
homelessness. Overall, SRF residents are a vulnerable 
group who face significant barriers in accessing 
mainstream health services. 

Over the past year around 500 (59%) SRF residents have 
received dental treatment which compares favourably 
with attendance patterns of the general population. 

The SRF Dental Program involves a multidisciplinary 
approach involving SRF residents, SRF Managers and 
care staff, external support agency staff, and public 
and private dental professionals. Excellent working 
relationships have been established supporting a 
greater awareness of the importance of oral health, 
and better oral health outcomes for SRF residents.

Strategic Outcome 2

Primary Prevention Plan 2011-2016

The Primary Prevention Plan launched in 2011, provided 
a framework for prevention strategies in SA. Oral Health 
is a priority action area and the focus on populations 
and the life course provides many intersections for 
integrating oral health into general health promotion.

Integration into GP Plus Centres  

The Noarlunga GP Super clinic and the Modbury GP 
Super Clinic were opened in January and February 
2012 respectively, adding to the suite of existing GP 
Plus clinics at Marion and Elizabeth. These clinics 
are integrated to varying degrees with the other 
health services provided at these local centres, which 
include general practitioners, mental health and 
other allied health services, enabling immediate 
referrals to other disciplines where additional client 
needs are identified. To varying degrees, there 
are staff interactions within the centres including 
meetings, presentations and information sharing 
sessions. Most of these clinics also contribute 
significantly to the training of dental students by 
providing extensive clinical practice experience under 
the supervision and tutelage of qualified clinicians. 



SA Dental Service Yearbook 2011-12Page 12

Oral Health Domain on SA Health Website 

The SA Department for Health and Ageing has 
launched a new resource on their website called 
the  Best care for older people everywhere   The 
toolkit . The toolkit was first developed as part of 
the Victorian Government s implementation of the 
Council of Australian Governments Long Stay Older 
Patients initiative and is closely aligned to the criteria 
in the National Safety and Quality Health Service 
(NSQHS) Standards.
 
The aim of the toolkit is to increase awareness about 
the unique aspects of caring for older people and 
to provide staff with accessible information and 
practical tools to help them reduce the likelihood of 
functional decline occurring in older people during 
an acute hospital stay. 

SA Dental Service in partnership with SA Health 
has enhanced the toolkit by creating an additional 
domain for oral health. The oral health domain 
refers to four key oral health processes of oral health 
screening, oral health care planning, assistance 
with daily oral hygiene and referral for dental 
care and is supported by the Better Oral Health in 
Residential Care resource portfolio. The toolkit can 
be found at: http://www.sahealth.sa.gov.au/wps/
wcm/connect/public+content/sa+health+internet/
clinical+resources/clinical+topics/older+people/
care+of+older+people+toolkit/

Building Better Oral Health Communities

In June 2012 SA Dental Service secured $1.4M 
funding for a project called Building Better Oral 
Health Communities under the Commonwealth 
Department for Health and Ageing s Encouraging 
Better Practice in Aged Care (EBPAC) initiative. The 
Project will run for 2.5 years and is to be completed 
in Dec 2014.

SA Dental Service is the leader of this project in 
partnership with:
&gt;  Helping Hand Long Term Care, Salisbury SA
&gt;  Helping Hand Country Community Care, Port Pirie 

SA
&gt;  Aboriginal Elders and Community Care Services, 

Adelaide SA
&gt;  Baptist Community Services Care Centre-Hunter, 

NSW
&gt;  Hunter New England Oral Health Service, NSW
&gt;  The University Of Adelaide (The School of Nursing 

and ARCPOH), SA

This project aims to translate the Better Oral Health 
in Residential Care model into the community aged 
care setting. In doing so it will:
&gt;  develop a model of oral health care for use in 

community aged care which is person centred and 
supports the principles of ageing well at home

&gt;  support the changing needs of older people as 
they transition from independence to informal 
assistance to formal assistance and finally to 
residential care

&gt;  enhance access to oral health information across 
the continuum of ageing for care workers and 
for older people, their families and the wider 
community

&gt;  promote the integration of the four key oral 
health processes of oral health assessment, oral 
health care planning, daily oral hygiene and dental 
referral into routine community aged care service 
delivery. 

 Strategic Outcome 3

Consumer Advisory Panel 

The SA Dental Service Consumer Advisory Panel 
(CAP) was established in 1999 as a sub-committee 
of SA Dental Service Executive.  Panel members 
are representative of each of the major population 
groups to whom public dental services are provided. 

CAP s role is to advise the Executive Director on 
effective consumer participation in oral health 
programs, operational policy and strategy and 
impact on quality oral health service outcomes.  
CAP also advocates to the Executive Director on 
behalf of the community to promote attention 

The community and private dental sector 
are involved in the planning, design and 
monitoring of public dental services



SA Dental Service Yearbook 2011-12 Page 13

 Strategic Outcome 5

Health Promotion Practice Guidelines

In 2008, SA Dental Service 
was audited as a health 
promoting health service.  
Audit results demonstrated 
that although dental 
staff have great clinical 
expertise, they have 
limited knowledge about 
health promotion. In 
response to this, it 
was recommended 
that a set of Health 
Promotion Practice 
Guidelines be 
developed and 
implemented 
across SA Dental 
Service to support 
clinical dental service staff 
deliver effective health promotion. The 
guidelines would include clinical and community 
activities that are evidence-based and proven to be 
effective in improving oral health outcomes.

Extensive consultation took place with clinical staff 
and Managers, in developing the Health Promotion 
Practice Guidelines. Feedback from focus groups was 
incorporated into the final guidelines document. In 
addition, an extensive literature review of oral health 
promotion initiatives was conducted to identify 
those proven to be effective. Evidence was collected 
to support each initiative included in the guidelines.

and sensitivity to the needs of disadvantaged and 
marginalised consumers and communities. 

During 2011-12 CAP was actively involved in 
&gt;  providing advice on draft organisational policies 

and procedures
&gt;  commenting on a range of written materials for 

consumers
&gt;  providing advice to Executive on how best to 

manage saving strategies
&gt;  urging support for proposed Federal funding for 

public dental treatment  through their member 
organisations 

&gt;  promoting information about SA Dental Service to 
their communities of interest.

 Strategic Outcome 4

South Australia continued to provide secretariat 
support for the National Oral Health Monitoring 
Group, and the Executive Director, Martin Dooland, 
was acting chair for most of the year. This group 
monitors the implementation of the National Oral 
Health Plan 2004-2013 and develops a report for the 
Health Ministers at the Standing Council on Health.

In September 2011 the Federal Government 
established the National Advisory Council on Dental 
Health to advise on priorities for dental reform. 
The Council has members from a range of dental 
settings, professional associations, tertiary education 
and non-government organisations representing 
various sectors of the community. Martin Dooland 
was appointed to the Advisory Committee bringing 
his knowledge of the public dental sector.

The Advisory Council reported to the Federal Minister 
in February 2012 and the May 2012 Federal budget 
included the following funding for dental services.

    *proposed SA share

SA Dental Service is active in the 
development of public oral health 
policy at a State level and National level.

    2012/13 2013/14 2014/15 2015/16 Total 

Waiting List Reduction  $5.6 m  $12.5 m $9.6 m    $27.7 m

Health Promotion*    $0.4 m  $0.4 m    $0.8 m

Dental Graduate Year* (dentist) $0.3 m  $0.5 m  $0.7 m  $0.7 m  $2.2 m

Dental Graduate Year (capital) $0.4 m  $2.0 m  $0.2 m    $2.6 m

Total     $6.3 m  $15.4 m $10.9 m $0.7 m  $33.3 m

May 2012 Federal Budget Funding for Dental Services in SA

Population based health promotion 
underpins all of SA Dental Service 
Programs and clinical programs have 
an increased focus on prevention and 
early intervention.



SA Dental Service Yearbook 2011-12Page 14

Preventive Care 

The average hours of preventive services per client 
improved across all of SA Dental Service. Highlights 
were a further 2.4% increase in services provided in 
School Dental Clinics at more than 60 hours per 100 
clients and Community Dental Service clinics which 
evidenced a 34% increase over the course of the 
year. The increased emphasis on the application of 
fluoride to the teeth of children assessed as being 
at high risk of caries was maintained. The outcomes 
of this sustained increase in clinical prevention for 
children can be seen in the  Mean DMFT  graph on 
page 10 which shows that the amount of dental 
decay in 12 year old children attending the School 
Dental Service fell for the third year in succession.

Reduced Emergencies

Dental emergencies treated in 2011/12 were 24,082, 
a reduction of 2,823 or 10% on 2010/2011. The 
proportion of clients receiving non-emergency 
care improved to 68.6%, an increase from the 
2010/11 result of 66.5%. The computer assisted 
Relative Needs Index triage tool continues to deliver 
consistent assessment of the clinical and social 
indicators for genuine emergency care for adults. 

The Health Promotion Practice Guidelines were 
formally launched by the Minister for Health and 
Ageing at the SA Dental Service Conference Day in 
June 2012.

Smoking Cessation

In line with oral health s integral role within general 
health, a tobacco cessation program for patients 
has been implemented in all CDS clinics and is being 
rolled out in ADH. SDS staff attended youth focussed 
quitting workshops which provided information 
and strategies to engage with young people about 
smoking and tobacco use.

The program has resulted in significant increases in 
the number of public dental patients receiving short 
interventions for smoking cessation. Patients  interest 
in quitting is assessed and where appropriate the 
person is linked to Quit SA.

A large number of SA Dental Service Aboriginal 
clients are smokers. Health Promotion worked 
with Drug and Alcohol Services SA (DASSA) and 
Aboriginal people to develop display material and 
resources which aim to make the waiting room a 
more welcoming space for Aboriginal clients and to 
prepare them for a conversation about their smoking. 

Child Recall Intervals  

The reduction in median actual recall interval 
for children treated in the School Dental Service 
was sustained with a reduction to 18.2 months, 
below the target of 18.7 months and the lowest 
level in 1.5 years. Recent emphasis on ensuring 
timely children s recalls, in particular for high risk 
children, started to show improvement with a slight 
reduction on the total number of overdue recalls. 
Significant improvements in actual recall timeliness 
are anticipated to be delivered in 2012/13 as a 
consequence of strategies implemented in 2011/12. 

SADS TOTAL Number of People Receiving Short 
Intervention for Smoking Cessation (QUIT)

4000

3500

3000

2500

2000

1500

 1000

  500

JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
      0

2011/12

2010/11

2009/10

2008/09

Clinical Prevention Services
Rate per 100 Consenting Patients

300

250

200

150

 100

  50

2006/2007 2007/2008 2086/2009 2009/2010 2010/2011 2011/2012

      0

Topical Fluoride

Fissure Sealant

Conc Fluoride (Teeth treated)

SDS Median RECALL (months)
20.5

20.0

19.5

19.0

18.5

18.0

 17.5

  17.0

M
o

n
th

s

A
p

r-
Ju

n
05

Ju
l-

Se
p

t0
5

Ju
l-

Se
p

t0
6

Ju
l-

Se
p

t0
7

Ju
l-

Se
p

t0
8

Ju
l-

Se
p

t0
9

Ju
l-

Se
p

t1
0

Ju
l-

Se
p

t1
1

O
ct

-D
ec

05

O
ct

-D
ec

06

O
ct

-D
ec

07

O
ct

-D
ec

08

O
ct

-D
ec

09

O
ct

-D
ec

10

O
ct

-D
ec

11

Ja
n

-M
ar

06

Ja
n

-M
ar

07

Ja
n

-M
ar

08

Ja
n

-M
ar

09

Ja
n

-M
ar

10

Ja
n

-M
ar

11

Ja
n

-M
ar

12

A
p

r-
Ju

n
06

A
p

r-
Ju

n
07

A
p

r-
Ju

n
08

A
p

r-
Ju

n
09

A
p

r-
Ju

n
10

A
p

r-
Ju

n
11

A
p

r-
Ju

n
12

     16.5

18.4 18.5 18.5

18.9 18.818.7

18.0 18.0
18.2 18.2

18.4 18.4 18.418.418.4

19.1 19.1
19.2

19.4 19.5 19.5
19.3 19.3 19.319.3

20.0

19.0

18.6



SA Dental Service Yearbook 2011-12 Page 15

Waiting Lists   

Waiting lists for public dental care reduced in 
2011/12 as shown in the graphs below.  The median 
waiting time for patients removed from routine 
care waiting lists reduced to 9 months at June 2012 
compared with 12 months at June 2011. 
The weighted mean waiting time for patients being 
removed from denture waiting lists was 14 months 
at June 2012 compared with 17 months at June 
2011. However, difficulty attracting dentists to 
some country areas and limited treatment of public 
patients by private practices has led to a widening 
of the gap in average waiting times between the 
Adelaide metropolitan area and some country areas. 

Dental Emergency Courses of Care
commenced per annum

5,000

10,000

15,000

20,000

25,000

30,000

35,000

40,000

45,000

50,000

55,000

2005/06 2006/07 2007/08 2008/09 2009/10 2010/11 2011/12

Dental - Wait Lists
PPRC KPI (Months Wait)

36

30

24

18

 12

   6

Ju
l-1

0

Se
p-

10

Restorative Median
Denture WT Mean

Specialist Wt Mean

N
ov

-1
0

Ja
n-

10

M
ar

-1
0

M
ay

-1
0

Ju
l-1

1

Se
p-

11

N
ov

-1
1

Ja
n-

12

M
ar

-1
2

M
ay

-1
2

      0

ACHS Clinical Indicators
Restoration Retreatment (6mths)
Cl1.1 (adult) Cl3.1 (child) 

300

250

200

150

 100

  50

2009_H1 2009_H2 2010_H1 2010_H2 2011_H1 2011_H2
      0

Peer Adult

Peer Child

        Child

Adult

Initial Service Period

 Strategic Outcome 6

Quality of Care &amp; Clinical Indicators  

The SA Dental Service participates in the national 
quality clinical indicators program managed by 
the Australian Council on Healthcare Standards 
(ACHS).  From 2012, the ACHS released a new and 
refined suite of Clinical Indicators for Oral Health 
services, reducing the number of indicators from 23 
to 10 measures.  The main oral health care clinical 
indicators focus on monitoring and minimising 
returns for repeated care, usually on the same tooth 
   also known as retreatment rates, or unplanned 
return visits for adult dental services (restorations, 
extractions and dentures), endodontics and children s 
dental care (restorations, pulpotomy and fissure sealants).

The 2011/12 ACHS data therefore covered the final 
half-year period of the 2011 (v2) user guide, and the 
first six-month period under the new indicator set (v3).

The SA Dental Service achieved statistically better 
than peer aggregate results for low rate of 
restoration retreatment on the same tooth within 
6 months in 2011, and mostly better than peer 
average rates within the peer norm for seven other 
clinical indicators.

For the June 2012 ACHS indicator report, covering 
the second half of 2011, plus six-month lag for 
return events, SA Dental Service achieved statistically 
better than national peer aggregate results in four of 
the nine indicators areas submitted.

Client focused quality systems drive 
improved clinical and non-clinical 
services which are demonstrably 
efficient and effective.



SA Dental Service Yearbook 2011-12Page 16

Accreditation 

In December 2011 SA Dental Service completed 
the fourth phase of the Accreditation cycle. This 
cycle involved a Periodic Review against the EQuIP5 
framework with Australian Council on Health Care 
Standards (ACHS).  SA Dental Service maintained its 
accredited status and received excellent results and 
many favourable comments from the survey team.

SA Dental Service was awarded nine Extensive 
Achievement (EA) ratings and six Marked 
Achievement (MA) Ratings and received 6 
recommendations.

In early 2012 key organisation staff commenced the 
process of developing action plans to address the 6 
recommendations and to prepare the organisation 
for the next accreditation phase.

During the year SA Dental Service was advised 
of the development of 10 Healthcare National 
Safety and Quality Health Service Standards by the 
Australian Commission on Safety and Quality in 
Healthcare.  These Standards form the basis of a 
new accreditation framework and were approved 
by the Australian Health Ministers  Council (AHMC) 
in September 2011. SA Dental Service has been 
supported by the SA Health Safety and Quality Unit 
to assess the applicability for dental service providers 
and determine the processes for the implementation 
of this new framework from January 2013.

Strategic Outcome 7

Credentialling and Scope of Practice 

SA Dental Service Credentialling Committee has 
reviewed and endorsed credentialling of 579 
Dental Practitioners, this includes all non-SA Dental 
Service employees who provide and or supervise the 
provision of dental care within SA Dental Service (eg 
University Tutors).
 
The Credentialling Committee reviewed and 
implemented a process for documenting the 
scope of clinical practice of credentialled dental 
practitioners employed by SA Dental Service, a 
similar process has been commenced for non-SA 
Dental Service employees.

SA Dental Service is an employer of 
choice, has sufficient skilled clinical and 
non clinical workforce and is making 
full and flexible use of its capabilities.

SA Health has facilitated forums for Credentialling 
Officers from all Local Health Networks.  This 
group meets regularly to review the processes for 
credentialling and defining scope of clinical practice, 
provide an opportunity to continuously review the 
database, revisit the policy and ensure consistency 
across all of the Local Health Networks. SA Dental 
Service Clinic managers have been provided with 
access to the SA Health Credentialling database to 
verify and review the current credentialling status of 
their dental practitioners.

Strategic Outcome 8

Collaborative Partnership with the Australian 
Research Centre for Population Oral Health 
(ARCPOH)

Research Agenda

Following a half day seminar attended by 
representatives from both organisations in November 
2011 SA Dental Service and ARCPOH formalised 
the research agenda for the 2012 calendar year. Key 
research areas include:
&gt;  Adult recall intervals and services in a course of 

care
&gt;  Risk assessment and effective preventive 

interventions among adults.
&gt;  Review and update of child caries risk assessment 

tool
&gt;  Aboriginal Liaison Project
&gt;  Improve access to oral health care for people 

experiencing disabilities
&gt;  Assess the long term outcomes of improved 

access to dental care for older people.

Research activities range from relatively short 
duration literature reviews to clinical trials taking 
place over several years. The research results and 
findings will be used to inform broad policy decisions 
and clinical service provision in future years

National Child Oral Health Survey 

SA Dental Service in conjunction with ARCPOH is 
conducting the SA part of the National Oral Health 
Survey. This commenced in September 2011 with an 
anticipated completion date of late 2013. The survey 
requires 3,100 examinations to be completed in SA 

SA Dental Service is an active partner 
with the dental tertiary education and 
research sectors.



SA Dental Service Yearbook 2011-12 Page 17

and this is being coordinated by a project officer and 
teams of examiners across approximately 70 schools. 
The survey will assist in the evaluation of oral health 
gains for Australian children resulting from policies 
and practices around oral health and dental services.

Inclusion of student dental chairs in GP Plus/
Super clinics  

With the opening of the Noarlunga GP Plus clinic, 
there are now 28 dental chairs specifically available 
for use by undergraduate dental students during 
clinical placements in Statewide Dental Services GP 
Plus/Super clinics. These are in addition to the 4 
student chairs at the Whyalla Oral Health Centre, 
dental chairs at the Adelaide Dental Hospital and 
other Statewide Dental Service dental chairs that 
are vacated by clinicians for student use during 
semesters. 

Strategic Outcome 9

During the year there were further significant steps 
forward in improving public dental infrastructure 
across the State.

Aged Care Clinic

The SA Dental Service, in partnership with 
the University, was successful in attracting 
Commonwealth funding for a new Aged Care Clinic 
at the ADH. The project funding of $2.1M will build 
a 6 chair clinic so that students can experience 
providing dental care specifically for older people 
including those who are very frail, sick and disabled.  

A decommissioned laboratory will be demolished 
in order to locate the clinic that will include 2 
mobile and a fixed wheelchair lifter and have the 
capability to treat barouche bound clients. As the 
building works will be conducted within an existing, 
functioning building, it is expected that this will be a 
challenging time. 

The clinic will be a welcome addition to the ADH.
with completion expected in May 2013. 

Public dental infrastructure supports the 
provision of contemporary public dental 
services and is integrated with other 
health services wherever possible.

Noarlunga and Modbury GP Plus Super 
Clinics Open

At a cost of around $4.4M the new dental clinic 
in the Modbury GP Plus Super Clinic opened in 
February 2012.  The 14 chair clinic incorporates 
11 School Dental Service chairs and 3 Community 
Dental Service chairs.

The Noarlunga GP Plus Super Clinic opened in 
January 2012. The 24 chair clinic comprises 18 chairs 
for the School Dental Service and Community Dental 
Service and 6 chairs for dental students.  Noarlunga 
GP Plus Super Clinic occupies an existing building. 
The former 6 chair clinic space was demolished 
then expanded to create the new facility. During 
refurbishment staff and all services were temporarily 
re-located to the Somerton Park Dental Complex.  
Consolidation of services in the new space meant 
that 14 school dental clinics in the vicinity were 
closed and decommissioned.

Annual Programs

During the year there was further progress in the 
implementation of the SA Dental Service Capital 
Plan. This included over $600,000 spent on several 
ADH projects such as the remodelling of the ground 
floor reception and information area as well as 
replacing 2 OPG machines, 6 dental chairs and fire 
safety improvements. 

With a budget of approximately $300,000, the 
Mitcham School Dental clinic has been refurbished 
and expanded.  Sterilising, reception, waiting 
room, and staff areas have been upgraded and the 
3 dental chairs retained.  An equipment upgrade 
complemented the building works. The renovated 
clinic has significantly improved the environment for 
clients and staff.



SA Dental Service Yearbook 2011-12Page 18

Infrastructure Improvements in Country Areas

SA Dental Service staff have been heavily involved 
with Architects and Engineering consultants 
developing concept plans and detailed design work 
throughout the year on major projects for Wallaroo, 
Port Lincoln and Mount Gambier. 

Construction of the new $3.3M stand alone 5 chair 
dental clinic in Wallaroo is expected to commence 
in August 2012 and be ready for operation in mid/
late 2013. 

The Port Lincoln and Mount Gambier dental clinic 
projects are part of larger scale redevelopments 
of the respective local hospitals totalling $66M. 
Construction is set to commence in early 2013 on 
both sites and be completed in mid/late 2014.

In May2012 the Commonwealth announced the 
SA Dental Service application for $3.8M to establish 
a new 6 chair clinic in Murray Bridge had been 
successful. Planning for this new clinic will occur 
in 2012/13.  It is envisaged the new clinic will be 
operational in late 2014.

Adelaide Dental Hospital Business Case

In 2011/12 SA Dental Service worked with SA Health 
to undertake a master planning exercise to identify 
capital options for the future of the Adelaide Dental 
Hospital. Two options were explored in some detail 
and prepared for SA Health.

Given the scale of the investment required for 
either option, decisions and funding will be further 
considered in the future by SA Health and ultimately 
by SA Government.



SA Dental Service Yearbook 2011-12 Page 19

Freedom of Information 
2011/12 
Information Statement

The Freedom of Information Act 1991 gives 
members of the public a legally enforceable right 
to access information held by the South Australian 
Government, subject to certain restrictions.

Functions of SA Dental Service directly impacts 
on the public 

The work of SA Dental Service directly impacts on 
the public as a result of providing public dental 
services to eligible South Australians who hold 
current Centrelink Pensioner Concession Cards or 
Health Care Cards.

Public participation

The public can contribute to policy development 
within SA Dental Service in a number of ways. 
SA Dental Service accesses external expertise and 
policy advice through statutory and non-statutory 
advisory committees such as the Consumer Advisory 
Panel, which are comprised of both government 
and non-government representatives. SA Dental 
Service consults with major consumer groups, 

circulates discussion papers, calls for submissions 
on particular topics, and convenes public meetings 
in metropolitan and country areas. It also fosters 
a culture of inclusion of communities and service 
providers in planning, development and evaluation 
of services. These processes ultimately facilitate the 
community s access to services and their informed 
decision making about service options and program 
developments.

Types of documents held by SA Dental Service 

SA Dental Service holds various hard copy and/
or electronic oral health publications in addition 
to administrative and client files. These include 
books, reports, reviews, serial publications, 
pamphlets, information sheets, codes of practice, 
surveys, guidelines, policies, procedures, programs, 
strategies, directories and evaluations.  

Arrangements and procedures for seeking 
access to records and policies

Application forms for access to documents can be 
downloaded from the SA Dental Service website, 
obtained through any clinic or provided by the 
Client Relations Unit.  The Client Relations Unit is 
responsible for processing FOI requests and is able 
to assist with any FOI related enquiries.

Applications for Access (2011-12)

Details of Applications    Personal       Non Personal    Total

New applications for the year    26  1   27

Applications brought forward from previous year 0  0   0

Total to be processed     26  1   27

Determined      26  1   27

Transferred in full     0  0   0

Withdrawn      0  0   0

Totally actually processed    26  1   27

Unfinished      0  0   0

Outcomes of Access Applications (2011-12)

Outcome description     Personal Non Personal  Total

Full Release      26  1   27

Partial Release      0  0   0

Refused access      0  0   0

Total       26  1   27

 



SA Dental Service Yearbook 2011-12Page 20

Adelaide Dental Hospital Statistics
Treatment Statistics

     2008/2009 2009/2010 2010/2011 2011/2012

Patients     21,459  20,883  21,276  21,527

Attendances    69,435  68,293  69,600  75,531  

Diagnostic / Preventive    

Examinations    11,868  11,844  13,306  14,506

Consultations    12,930  11,784  12,010  11,487

Radiographs    29,175  28,263  29,680  28,739

Periodontal treatment/ 
dental health education

   
14,631

     
14,798  16,701  18,741

Conservative Dentistry    

Temporary restorations   1,218  1,418  1,469  1,939

Plastic restorations 
(amalgam, GIC &amp; resin)   14,069  13,515  12,612  14,219

Complex restorations   879  1,029  982  1,032

Root canal treatment   1,014  1,061  928  883

Prosthetic Dentistry    

Full dentures    680  642  548  495

Part dentures    723  689  633  692

Denture relines / re-bases   147  167  156  173

Denture repairs    156  174  196  211

Denture adjustments   1,303  1,166  982  935

Oral Surgery    

Simple extractions   14,630  13,145  12,348  12,084

Surgical extractions   2,468  2,413  1,907  2,101

Orthodontics    

Removable appliances**   793  790  791  942

Fixed appliances
(Arches)     841  890  1,220  1,125



SA Dental Service Yearbook 2011-12 Page 21

Adelaide Dental Hospital Statistics (cont.)
Waiting Lists
Number of people on waiting lists

Patient Visits   seeing a dental student

  01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12

Orthodontics 1,594 1,782 2,481 2,791 3,120 1,249 1,222 1,165 708 626 1,210

Oral Surgery    779    885 1,092 1,141 1,008 1,125    819    765 494 721 895

500

0
00/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12

1,000

1,500

2,000

2,500

3,000

3,500

Adelaide Dental Hospital Specialist Waiting Lists
Number of persons Waiting at 30th June

Oral Surgery

Orthodontics

5000

0
05/06 06/07 07/08 08/09 09/10 10/11 11/12

10000

15000

20000

25000

30000

35000

40000

45000

Total Number of BDS Student Patient Visits per year

CDS-BDS5
SDS-BDS4

ADH
TOTAL

    05/06        06/07       07/08        08/09        09/10       10/11          11/12

Adelaide Dental Hospital  21198     22978      26426      25816  26003      26877         29905

Community- BDS5              2495     2816        2934        6978  9716      7980           7397

School Dental/Pedo BDS4 1826     1677        1807        1242  1539      1295           1978

All                                        25519      27471      31167      34036   37258       36152        39280



SA Dental Service Yearbook 2011-12Page 22

School Dental Service Statistics
Children under care (consents)

In 2011/12, the School Dental Service cared for 136,494 registered children; 111,766 pre-school and primary 
school children (+2,430) and 24,728 (-186) secondary school students. The number of patients under care is 
2,244 more than the 2010/11 total.

The increased number of registered enrolments in 2011/12 reverses a trend of declining registrations seen 
over the previous four years in the pre-school &amp; primary school sector, with slightly reduced secondary school 
enrolments again.

The Medicare Teen Dental Plan voucher scheme for diagnositc and preventive dental services, allows the SDS to 
offer free dental care to many non-cardholder children aged 12 to 17 years, covered under Family Tax Benefit A 
entitlements.

The number of children under care by the School Dental Service since 1972 is shown below:

&gt;  Note: lower secondary school participation since 1995, associated with an annual secondary school 
subscription.

&gt;  Note: Copayments were introduced for Primary (&amp; some Preschool) children   after first Free course of care   
for non-cardholders from January 2007.

&gt;  Pre-school aged children are now free of copayments for school dental service care.
&gt;  The Medicare Teen Dental Plan voucher scheme introduced from July 2008, also now allows non-carholders to 

receive free SDS care in exchange for the voucher.

50,000

0

19
72

19
74

19
76

19
78

19
80

19
82

19
84

19
86

19
88

19
90

19
92

19
94

19
96

19
98

20
00

20
02

/0
3

20
04

/0
5

20
06

/0
7

20
08

/0
9

20
10

/1
1

100,000

150,000

200,000

250,000
SDS Number of Children Enrolled

Total Number of Children

Pre &amp; Primary

Secondary &amp; Tertiary



SA Dental Service Yearbook 2011-12 Page 23

School Dental Service Statistics (cont.)
Dental caries experience

A patient s DMF(T) index is the total number of decayed, missing or filled permanent teeth and is a measure of 
decay experience. The mean DMF(T) for 12 year old children is presented below for years since 1977. The oral 
health of 12 year old SDS patients is represented by a mean DMFT score of 0.91 in 2011. While there had been 
noticable deterioration in children s oral health over approximately the decade leading up to 2006, this had 
stabilised at about DMFT = 1.0 for about four years, and improved during 2010 (0.94) and again in 2011 to 0.91.  

1.0

0.5

0.0
1977 1979 1981 1983 1985 1987 1989 1991 1993 1995 1997 1999 2001 2003 2005 2007 2009 2011

1.5

2.0

2.5

3.0

3.5

4.0

4.5

5.0

SA School Dental Service DMFT   12 year olds



SA Dental Service Yearbook 2011-12Page 24

School Dental Service Statistics (cont.)
Annual services per 100 children under care (registered consents)

         2008/09          2009/10              2010/11                   2011/12
                          Freq        Per 100   Freq     Per 100     Freq         Per 100     Freq        Per100        
                                                                   Consents                  Consents                    Consents                    Consents

Patients              83,373     81,491        79,829            84,380 

Attendances                         162,184    166,698        164,742            173,208 

Examinations             82,877   58.7    79,652     57.1       75,860      56.5      81,013   59.4

Radiographs                         53,851   38.2    72,810     52.2       78,817      58.7      88,971   65.2

Prophylaxis             13,818   9.8   14,708      10.5       14,211      10.6      14,592   10.7

# Topical Fluoride            #11,487   8.1   #19,191    13.8       #20,349    15.2      #19,836    14.5

#Conc Fluoride (Teeth treated)     78,067   55.3   199,610    143.2     302,324    225.2    354,336    259.6

Filling (primary + permanent)      51,646   36.6    50,199     36.0       45,859      34.2      46,758      34.3

Pulpotomy (Primary)            2,931   2.1    2,708       1.9         2,447        1.8        2,350   1.7

Root Canal Treatment            240   0.2    236       0.2         197           0.1        251   0.2
 
Extractions        

Simple (primary+perm)            15,969  11.3   15,907      11.4       15,791      11.8      15,925   11.7

Temporary dressing            5,543   3.9    4,032       2.9 3,     308           2.5       2,585   1.9

Orthodontics        

Active appliance                         368   0.3    367       0.3         294          0.2         280   0.2

Referral                                      4,140   2.9    3,695       2.6         3,892       2.9         4,512   3.3

Mouthguard                         806   0.6    822       0.6         811          0.6         853   0.6

Fissure sealant
and surface protection            85,018   60.3    86,643     62.1       76,606      57.1       79,767   58.4

Dental Health Education        

Child-individual*                         44,709   31.7    52,491     37.6       57,899      43.1      60,256   44.1

    small group*                         693   0.5    641       0.5        1,555        1.2        1,343   1.0

Parent-individual*            84,605   60.0    83,145     59.6       80,587      60.0      82,073   60.1

          -group**                         92   0.1    248       0.2        318           0.2        133   0.1

*    Estimated 5 minute time unit
**  Estimated 15 minute time unit   
#    change to Australian Fluoride Guidelines.2006/07



SA Dental Service Yearbook 2011-12 Page 25

Community Dental Service Statistics 
Treatment Statistics (Community Dental Clinics and Private Sector Schemes)
Number of services provided 2011/2012

          CDS                          Contracted Privately              Total 2011/2012

           Freq  Per 100           Freq       Per 100  Freq          Per 100
                                                      Patients                              Patients           Patients

Number of patients         32,440              15,316                45,997 

Patient attendances         75,509              32,067                107,543 

Examinations                      30,481     94.0             9,770          63.8  40,251              87.5

Radiographs                      31,396     96.8             9,804          64.0  41,200              89.6

Periodontal treatment /         
27,920     86.1             5,474          35.7  33,394              72.6

dental health education 

Temporary restorations         1,983     6.1             335           2.2  2,318              5.0

Plastic restorations         
30,556     94.2             12,121           79.1  42,677              92.8

(amalgam, GIC &amp; resin)    

Complex restorations         1                  0.0             0           0.0  1              0.0

Root canal treatments         725     2.2             96           0.6  821              1.8

Denture units                     1,555     4.8             3,994           26.1  5,549              12.1

Denture relines / rebases        171     0.5             187           1.2  358              0.8

Denture repairs                     174     0.5             4,977           32.5  5,151              11.2

Denture adjustments        1,514     4.7             37           0.2 1,551              3.4

Simple extractions         17,551     54.1             4,402          28.7  21,953              47.7

Surgical extractions        108     0.3             914           6.0 1,022              2.2



SA Dental Service Yearbook 2011-12Page 26

Community Dental Service Statistics (cont.) 
Treatment statistics (Community Dental Clinics and Private Sector Schemes combined)
Number of services provided most recent four years

                                            2008/2009        2009/2010              2010/2011      2011/2012
    Freq Rate     Freq      Rate        Freq       Rate          Freq  Rate 
                                                                 Per 100                  Per 100                  Per 100                 Per 100  
                                                                 Patients                 Patients                Patients                Patients

Number of patients           63,990    54,825        48,635             45,997 

Patient attendances           135,085    117,518       108,823            107,543 

Examinations                        48,934   76.5   45,247       82.5      41,961 86.3     40,251    87.5

Radiographs                        40,714   63.6   42,199       77.0      40,056 82.4     41,200    89.6

Periodontal treatment / 
dental health education           

23,110   36.1   25,529       46.6      26,365 54.2     33,394    72.6

Temporary restorations            2,252   3.5   2,086        3.8        2,486 5.1       2,318    5.0
 
Plastic restorations 
(amalgam, GIC &amp; resin)            48,307   75.5   47,013       85.8      43,419 89.3     42,677    92.8

Complex restorations            2   0.0   4        0.0        0              0.0       1    0.0
  
Root canal treatments            874   1.4   685        1.2        623 1.3       821    1.8
   
Denture units                         9,255   14.5   6,834        12.5      5,695 11.7     5,549    12.1

Denture relines / rebases            750   1.2   559        1.0        410 0.8       358    0.8

Denture repairs                         8,452  13.2   6,738       12.3       5,866         12.1      5,151   11.2

Denture adjustments            2,017   3.2   1,566        2.9        1,214 2.5       1,551    3.4

Simple extractions            29,201   45.6    24,290      44.3      22,613 46.5     21,953    47.7

Surgical extractions            959   1.5   1,159        2.1        944 1.9       1,022    2.2

  



SA Dental Service Yearbook 2011-12 Page 27

Community Dental Service Statistics (cont.) 
State Adult Dental Waiting Lists
Waiting lists at Community Dental Service Clinics   adult dental services

State Average Waiting Time (months) at Community Dental Service Clinics

                          01/02   02/03   03/04   04/05    05/06   06/07   07/08   08/09    09/10   10/11   11/12

Prosthetic Waiting Lists  8,892    7,611   6,331   6,177    6,119   6,378   6,075   3,776   3,043    1,615    927

Conservative Waiting Lists  82,131 58,417  63,876  58,121  57,969  42,051 32,429  31,289 28,143  23,951  21,373

                          01/02   02/03   03/04   04/05    05/06   06/07   07/08   08/09    09/10   10/11   11/12

Prosthetic Waiting Lists    44.4     37.9     34.0      34.2    37.5      40.6     38.7     27.8     28.6      16.6     14.8

Conservative Waiting Lists     48.9      31.6        34.8        28.7      26.0        22.6        19.1      17.3        17.7       16.8        16.0

Prosthetic Waiting List

Restorative Waiting List

10,000

01/02 02/03 03/04 04/05 05/06 06/07 07/08 08/09 09/10 10/11 11/12

20,000

30,000

40,000

55000

60,000

70,000

80,000

90,000

CDS State Total Waiting Lists Restorative and Prosthetic
Numbers of Persons Names on Waiting Lists



SA Dental Service Yearbook 2011-12Page 28

Aboriginal Dental Scheme Statistics 
Treatment Provided 2007/2008   2011/2012

Aboriginal Liaison Project Statistics

                                             2007/2008    2008/2009  2009/2010       2010/2011      2011/2012

Practices participating             46          45        46                   55               56

Claims submitted                        1,096          969        917      847               611

Examinations                                     858          758        775      723               503

Dental prevention                        148          72        71                   91               57

Restorations                                     611          359        300      272                222

Endodontics                                      3          2                     1                   3                1

Radiographs                                      581          368        396      370                235

Extractions                                      633          567        521      408                275

Surgical extractions / oral surgery             60          49        69                   75                82

Relief of pain / Temporary filling            17           27        15                   11                9

Dentures units                                      75           61         47                   46                29

Repairs / maintenance to Dentures            20           35        16                   15                16

Adjustments or relines                          7           4                     3                   3                5

                                             2007/2008    2008/2009  2009/2010       2010/2011     2011/2012

Number of patients                        183          688       1,351     1,840  2,216

Patient attendances                        359         1,750        3,679      4,625  5,557

Courses of care                                     189          727       1,425      1,951  2,352

Examinations                                     196          861       1,511      2,108  2,442

Dental prevention /
periodontal treatment                        91          412        909     1,189  2,197

Restorations                                     141          743       1,792      2,147  2,616

Endodontics                                     0                       2                    15                   25               28

Radiographs                                     199          822       1,534      2,151  2,756

Extractions                                     172          766       1,506      1,812  2,338

Surgical extractions / oral surgery            0          1                     7                   10               5

Relief of pain / temporary filling            7          37        75                   149               129

Dentures units                                      5          53       129                   100               139

Repairs / maintenance to dentures          1                       0                    15                    8               12

Adjustments or relines                         2          21        53                    52                75



SA Dental Service Yearbook 2011-12 Page 29

Human Resources Statistics 

Number of Employees by Salary Bracket

Status of Employees in Current Position

Number of Executives by Status in Current Position, Gender and Classification

Agency Persons        930 

FTE s         648.33

Health Units

Number of Persons Separated from the agency 
during the last 12 months      75

Number of Persons Recruited to the agency 
during the 10/11 financial year       92

Number of Persons Recruited to the agency during the 08/09 
financial year AND who were active/paid at June 2012     38

Number of Persons on Leave without Pay at 30 June 2012     31

Male         16.12903226   19.9

Female         83.97849462   80.1

Gender         % Persons    %FTE

EXEC0A   0           0         0                    0     1  1

EXEC0C   0           0                     0                    0                 1  0

Total                           0           0                     0                    0                 2  1

Classification               Ongoing                        Term Tenured                      Term Untenured

                   Male      Female     Male               Female  Male             Female

 Male         83.41       20.37         2                105.78

 Female         503.99       37.29                     1                                                    542.28

 Total         587.4       57.67                     3                                                    648.07

 Male         102        25                                  2                                  21              150

 Female          660        51                                  1                                  68              780

 Total          762        76                                  3                                  89              930

FTEs Gender         Ongoing       Short-term Contract      Long-term Contract      Total

Persons Gender         Ongoing       Short-term Contract      Long-term Contract      Casual Total

0 - $50,000        382      9   391

$50,001 to $65,000       121      37   158

$65,001 to $85,000       144      14   158

$85,001 to $105,000       17      13   30

$105,001 Plus         52      56   108

Total          716      129   845

Salary Bracket       Female   Male             Total



SA Dental Service Yearbook 2011-12Page 30

Human Resources Statistics (cont.) 
Total Days Leave Taken

Number of Aboriginal and/or Torres Strait Islander Employees

Number of Employees by Age Bracket by Gender

Cultural and Linguistic Diversity

Total Number of Employees with Disabilities (according to Commonwealth definition)

0 - $50,000      4   391   1.02

$50,001 to $65,000     1   158   0.63

$65,001 to $85,000     1   158   0.63

$85,001 to $105,000     0    30   0.00

$105,001 Plus      0   108   0.00

Total       6   845   0.71

1) Sick Leave Taken            4964.1595   7.66

2) Family Carer s Leave Taken     574.2    0.89

3) Miscellaneous Special Leave                   469.783   0.72

Leave Type                     2011/12   Days Per FTE

Number of Employees born overseas  41                 156                    197                    21.18

Number of Employees who speak 
language(s) other than English at home  

12                 21                   33                   3.55

   2         7       9                                       0.97

 

Name                                  Male               Female       Total  % of Agency

  Male                             Female         Total              % of Agency

Salary Bracket   Aboriginal Employees      Total Employees  % Aboriginal Employees

15 - 19                  8                   0                      8                     0.86

20 - 24                  94                   9                     103        11.08

25 - 29                                                      76                   9                      85                     9.14

30 - 34                                                      65                   25                      90                      9.68

35 - 39                                                      60                  17                      77                      8.28

40 - 44                                                      84                  12                      96                     10.32

45 - 49                                                     102                   8                      110        11.83

50 - 54                                                     130                  17                      147        15.81

55 - 59                                                     115                   27                      142        15.27

60 - 64                                                      44                  16                       60         6.45

65+                                                      2                  10                      12                     1.29

Total                                                      780                  150                      930        100

Age Bracket              Female                 Male                     Total              % of Total



SA Dental Service Yearbook 2011-12 Page 31

Human Resources Statistics (cont.) 
Types of Disability (where specified)

Number of Employees using Voluntary Flexible Working Arrangements by Gender

Documented Review of Individual Performance Management

Leadership and Management Training Expenditure

Disability Requiring Workplace Adaptation  2                7              9         0.97

Physical      0    0  0         0.00

Intellectual     0    0  0         0.00

Sensory      0    0  0         0.00

Psychological/Psychiatric    0    0  0         0.00

Disability                 Male             Female           Total           % ofTotal

Purchased Leave       0      0             0

Flexitime       12     17             29

Compressed Weeks       3      37             40

Part-time       51      429             480

Job Share       0      0              0

Working from Home      1      1               2

% Reviewed within the last 12 months     0.32

% review older than 12 months      65.70

% Not reviewed        33.98

Total training and development              manual calculation
expenditure        $0.00                                     consult Circular 13 

Total Leadership and Management             manual calculation
Development        $0.00             consult Circular 13 

Leave Type                 Male                        Female                      Total           

Documented Review of Individual 
Performance Management                             

Total  
         

Training and Development   Total Cost  % of Total Salary Expenditure



SA Dental Service Yearbook 2011-12Page 32

Financial Statements
SA Dental Service Financial Report as at 30 June 12

Revenue                                                      YTD Actuals         YTD Budget YTD Variance

Patient/Client Fees    -6,239,059           -5,621,319      617,740

Goods and Services Recharge / Recoveries  -153,485            -138,852                   14,633

Recharges - Employee Related Cost  -286,708            -492,829                   -206,121

Grants, Donations &amp; Subsidies   -120,000            -162,481                   -42,481

User Fees and Charges Revenue   -316,001            -131,382                   184,619

Investment Income &amp; Other Revenue  -1,014,614            -873,332                   141,282

Cost or Valuation of Assets Disposed   1,628,401  0       -1,628,401

Accum Depreciation of Assets Disposed  -1,170,773  0       1,170,773

Revenue Total     -7,672,238            -7,420,195      252,043    

Expense

Employee Related Expenses      

Salaries and Wages - Nursing     246,842  359,816      112,974

Salaries and Wages - Medical Officers    432,962  419,088      -13,874

Salaries and Wages - Weekly Paid     346,194  303,855      -42,339

Salaries and Wages - Clinical Academics    74,464  0       -74,464

Salaries and Wages - Salaried Employees    34,313,518  34,859,680      546,162

Other Employee Related Expenses                 4,495,560  4,556,973      61,413

Employee Related Expenses Total    39,909,540  40,499,412      589,872

Non Employee Related Expenses      

Agency Staffing       217,187  54,988        -162,199

Food Supplies       25,285  12,859        -12,426

Drug supplies       1,371   17,555         16,184

Medical, Para Med &amp; Laboratory Supplies    3,672,818  3,689,065        16,247

Outside Pathology Charges     3,680   4,445         765

Housekeeping                   316,012  272,876       -43,136

Linen Services       4,910   3,447        -1,463

Electricity, Gas, Fuel      434,317  569,004        134,687

Minor Equipment      675,267  326,761       -348,506

Repairs &amp; Maintenance      1,263,581  1,075,763       -187,818

Fee for Service       7,560,689  7,745,820        185,131

Other Supplies &amp; Services      5,949,829  5,757,850       -191,979

Patient/Client Transport Assistance    24,054  18,665                    -5,389

S &amp; W Purchased Staff from Other SA Health Regions   442,917  0                    -442,917

Grants and Subsidies      39,512  0        -39,512

Financial and Investment Losses     61,793  60,901        -892

Depreciation &amp; Amortisation     1,010,818  609,197       -401,621

Non Employee Related Expenses Total    21,704,038  20,219,196       -1,484,842

Expenses Total       61,613,579  60,718,608       -894,971

Grand Total       53,941,340              53,298,413       -642,927

    





For more information

SA Dental Service
GPO Box 864
Adelaide SA 5001
Telephone: 8222 8222
www.sadental.sa.gov.au


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