Shanti is the Principal Advisor for Oral Health in New South Wales Ministry of Health. She was instrumental in developing and implementing a highly successful strategy to promote and extend water fluoridation which resulted in 18 Councils implementing fluoridation and another 18 Councils progressing to complete fluoridation. These strategies have been presented at many national and international conferences and symposiums. She is a Ministerial appointed member of the New South Wales Fluoridation of Public Water Supplies Advisory Committee and has been appointed in this position since 1996. She is also a senior lecturer with the Faculty of Dentistry at the University of Sydney and is currently the Theme Head of the Dentist and the Community strand of the BDent curriculum for undergraduate students. She also teaches the Masters of Public Health and Masters of International Public Health Students from the School of Public Health, University of Sydney.