Dental Asia March/April 2021

www.dentalasia.net
MARCH / APRIL 2021
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2 CONTENTS
16
50
34
22
40
56
TRENDS
16 Want to increase your loyal
patients? Offer them digital
convenience.
20 The benefits of
photobiomodulation
UNDER THE SPOTLIGHT
22 Collaboration equals innovation
DENTAL PROFILE
26 Bausch’s mark of excellence
CLINICAL FEATURE
30 Tooth whitening and sealing:
An innovative concept for the
retention of destaining results
(Part B)
34 Clinical cases report: Achieving
higher standard in implant
therapy
USER REPORT
40 Sticks to the teeth – not the
instruments
44 Dens in dente type III (Oehlers)
46 TruNatomy: Respecting the root
canal anatomy in narrow, severely
curved, or long canals
BEHIND THE SCENES
50 Infection control through digital
scanning in the dental laboratory
52 Full digital workflow for
duplication of an implant-retained
overdenture: A novel approach
IN DEPTH WITH
56 See more and do more with
Carestream Dental’s newest CBCT
imaging system
59 BeautiSealant: Bioactive pit and
fissure sealant
60 NobelProcera ® Zirconia Implant
Bridge: simplifying partnership
between clinicians and technicians
61 Implantology meets Implantmed
63 CEREC Primemill provides more
versatility and comfort for excellent
in-house milling quality
SHOW REVIEW
72 “Dentology, powered by Henry
Schein” successful debut gives
valuable, high-class, peer-to-peer
insights into the world of digital
dentistry
SHOW PREVIEW
73 CEREC Expert Roundtable:
Six renowned experts, one
exceptional CEREC topic
74 Sino-Dental ® 2021: The influential
dental exhibition in the Asia
Pacific region
REGULARS
4 First Words
6 Dental Updates
64 Product Highlights
76 Giving Back to Society
78 Events Calendar
80 Advertiser’s Index
2
DENTAL ASIA MARCH / APRIL 2021

#DentistryUnified
register to unify:
show.aglivecon.digital
Amann Girrbach AG
Fon +43 5523 62333-105
www.amanngirrbach.com

First Words
Road to recovery
A year has passed since the COVID-19 outbreak was declared a
pandemic.
From limited mobility to shortage of supplies, the dental industry
faced numerous obstacles in delivering service.
PABLO SINGAPORE
Publisher
Publications Director
William Pang
williampang@pabloasia.com
Jamie Tan
jamietan@pabloasia.com
Pang Yanrong
Senior Editor
But looking at the silver lining, according to Milan Rajek,
managing director of Bausch (Australasia), these unusual
circumstances have accelerated digital transformation for the
industry (p.26).
Senior Editor
Assistant Editor
Pang Yanrong
yanrong@pabloasia.com
Czarmaine Masigla
czarmaine@pabloasia.com
And with the unwavering efforts of practitioners who are willing to adopt novel
techniques and technology, the dental field has continued to flourish.
For instance, Dr Paresh Patel, a dental surgeon from the United States, demonstrated how
a restorative-driven approach could help achieve a higher standard in implant therapy
(p.34).
Dr Anna Lechner, an endodontist from Germany, also showed how modern tools like the
TruNatomy system from Dentsply Sirona could offer practitioners more clinical flexibility
(p.46).
Graphic Designer
Circulation Manager
PABLO BEIJING
General Manager
PABLO SHANGHAI
Senior Editor
Liu Yu
liuyu@pabloasia.com
Shu Ai Ling
circulation@pabloasia.com
Ellen Gao
pablobeijing@163.com
Sharon Wu
pabloshanghai@163.net
On another note, for Under the Spotlight, Dr Kelvin Tantono, a dentist turned ceramist
from Indonesia, revealed the secret behind great collaborations that yield outstanding
clinical outcomes (p.22).
It’s also worth mentioning that after the cancellation of most dental shows last year,
exhibitors have gained ground, and we can expect in-person events in the upcoming
months.
In line with this is the Sino-Dental® 2021 in the APAC region, which will be held in a hybrid
format, to showcase the latest products and technology in today’s market (p.74).
HEAD OFFICE
PABLO PUBLISHING & EXHIBITION PTE LTD
3 Ang Mo Kio Street 62 #01-23
Link@AMK, Singapore 569139
Tel: (65) 62665512
Email: info@pabloasia.com
Website: www.dentalasia.net
Company Registration No.: 200001473N
Singapore MICA (P) No. 075/05/2019
Malaysia KDN: PPS1528/07/2013 (022978)
Though the road to full recovery still runs a long stretch, always remember that every step
counts. So, until then, let’s keep moving forward and celebrate small wins!
LET’S CONNECT!
REGIONAL OFFICE (CHINA)
PABLO BEIJING
Tel: +86-10-6509-7728
Email: Pablobeijing@163.com
REGIONAL OFFICE (CHINA)
PABLO SHANGHAI
Tel: +86-21-52389737
Email: Pabloshanghai@163.net
@dentalasia
Scan for digital copy
ADVISORY BOARD
Dr William Cheung
Dr Choo Teck Chuan
Dr Chung Kong Mun
Dr George Freedman
Dr Fay Goldstep
Dr Clarence Tam
Prof Nigel M. King
Dr Anand Narvekar
Dr Kevin Ng
Dr William O’Reilly
Dr Wong Li Beng
Dr Adrian U J Yap
Dr Christopher Ho
Dr How Kim Chuan
Dr Derek Mahony
Prof Alex Mersel

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Dental Updates
Amann Girrbach presents the future of dental industry through virtual congress
Digitisation is the key topic on the future of
dental industry. No doubt this necessitates
change, but it also offers lucrative
opportunities.
Stemming from its pioneering role,
the Austrian company also supports
laboratories and clinicians in taking the next
step towards digital transformation.
Amann Girrbach will be showcasing how
these opportunities can be easily exploited
from 20 to 24 April 2021 at the innovative
AG.Live CON virtual congress. Renowned
dental technicians and clinicians with
leading minds in research will meet to
explore the attractive avenues into advanced
digitisation.
Amann Girrbach will not be participating to
the usual extent at the International Dental
Show (IDS) in Cologne, Germany, in 2021,
which has been postponed to September.
AG.LIVE PLATFORM
For many years now, Amann Girrbach has
been supporting dental technicians in
the digitisation of their workflows with its
innovative power.
The trend is evidently clear: the demand
for direct straightforward restorations
is becoming increasingly greater. This
threatens to break down established
structures and traditional boundaries
between the laboratory and the clinician.
However, digitisation is ideally suited to
expand the win-win situation of dental
technicians and clinicians through new
forms of collaboration. And the well-being of
the patient always remains the focus.
To provide optimal networking for both
sides, Amann Girrbach has developed
the AG.Live platform, which is now being
presented as part of the virtual congress
and expo.
AG.Live provides infrastructure and
patient case management with a level of
consistency and efficiency which has never
been achieved before.
For example, this will make it possible to
offer laboratory-quality direct restorations,
and the expertise of the dental technician is
permanently available to the dentist.
Even in the case of simple restorations, a
joint decision can be made quickly as to
whether direct implementation is possible or
the specialist in the laboratory is required. ■
Carestream Dental announces new board member with extensive technology and software
background
To support its commitment and investment
in dental software leadership, Carestream
Dental has appointed Troy Richardson to
its board of directors. As a proven leader
in the software and technology space,
Richardson will provide valuable insights
into Carestream Dental’s innovative and
growing software assets.
Digital dentistry is reshaping dental
practices around the world. Software
solutions and applications that connect
practices, patients and partners with
streamlined workflow is at the heart of this
transformation. Additional advancements
in artificial intelligence, algorithms and
infrastructure will continue to set the pace
for innovation and change.
Dental’s leading role in digital dentistry.
“Mr Richardson is an accomplished executive,
with more than three decades of experience of
sales and operational experience with some of
the biggest software brands in the industry,”
said Lisa Ashby, CEO of Carestream Dental. “I
am confident his insights will prove valuable to
the future of Carestream Dental innovation.”
Richardson’s experience, gained from
working at some of the world’s leading
software technology companies—such
as CSC, Oracle, SAP, HP, and IBM—makes
him an exciting addition to the company’s
governance structure. He will be able to
provide valuable insights into Carestream
Richardson is currently the executive vice
president and chief operating officer at PTC.
He holds a Bachelor of Science in business
administration from the Eastern Illinois
University and an MBA from Northwestern
University’s J.L. Kellogg School of
Management. ■
6
DENTAL ASIA MARCH / APRIL 2021

Anatotemp SC teams up with exocad to
streamline digital dental implant workflow
→ THE REVOLUTIONARY
INVENTION IN
BONE SURGERY
PIEZOSURGERY® touch
→ best cutting efficiency and
maximum intraoperative control
→ perfect ergonomics
→ over 90 inserts specifically
designed for a wide variety
of clinical applications
→ more than 250 clinical and
scientific studies
Anatotemp has announced the incorporation of the Anatotemp
SC ® anatomic dental implant healing abutment and scan body
library into the exocad dental implant laboratory and model creator
software.
Anatotemp has become the off-the-shelf solution for creating ideal
gingival emergence profile. Now, its second generation Anatotemp
SC is both an anatomic healing abutment and digital scan body in
one component.
By utilising the Anatotemp SC, it eliminates the need to remove the
healing abutment and place an impression post or scan body as the
software is able to perform both functions, saving clinicians four
steps and an appointment.
exocad is a global leader in digitally-driven dental implant
laboratory software and is utilised by a vast number of dental
libraries worldwide.
“The inclusion of the Anatotemp SC library into the exocad dental
laboratory software provides the clinician with a much-desired
streamlined workflow,” said Terry B. Philibin DDS, MS, MBA,
president and CEO of Anatotemp. “There is no longer a need
to remove the healing abutment and place an impression body;
Anatotemp SC does both.” ■
→ www.mectron.com
MARCH / APRIL 2021 DENTAL ASIA 7

Dental Updates
Dentsply Sirona maintains no-participation status for International Dental Show
After the postponement of the International
Dental Show (IDS) to September 2021,
Dentsply Sirona stands by its decision to
refrain from participating after weighing
all the facts. This also applies to Dentsply
Sirona brands: VDW, MIS, and Zhermack.
Dentsply Sirona puts the safety of its
customers and employees first when making
the decision.
According to current estimates of Dentsply
Sirona, the restrictions in place due to the
COVID-19 pandemic are unlikely to change
substantially enough to allow for Dentsply
Sirona’s attendance at IDS.
The company continues to assume that it
will not likely be possible to implement the
proximity and depth of consultation that
Dentsply Sirona and its customers know and
value in September. Based on existing travel
restrictions, the company also continues
to expect fewer national and, above all,
international customer visits to Cologne,
Germany.
Walter Petersohn, chief commercial officer
of Dentsply Sirona, said, “This was a tough
decision for us. We respect the organisers’
efforts to make this show possible by
moving the 39 th IDS to September 2021.
However, to prepare for such a major trade
show, we need absolute planning certainty,
which unfortunately does not exist at the
moment in view of COVID-19.”
“The usual magic and buzz of the IDS can
probably not be guaranteed in September
2021 because of the conditions we expect
may still continue due to the pandemic. In
addition, health protection of our customers
and employees is a top priority. We therefore
highly regret that we must refrain from
participating this year, but already now look
very much forward to participating in the
40 th IDS,” he added. ■
TRI ® Dental Implants celebrates a decade of innovation in implantology
The beginnings of TRI ® Dental Implants go
back to 2011 when Tobias Richter founded
the company. The 10 th anniversary of TRI ®
has been accompanied by the development
of revolutionary and unique products and
concepts that shape and influence the
industry.
The company motto “To touch it, is to love
it” stands for perfection, attention to detail,
simplicity and performance. The numerous
innovations in the last decade have
confirmed this.
What started with a small and dynamic team
quickly developed into a leading global
company. More than 100 employees work
in over 50 markets around the world every
day to provide their customers with the
best possible service with the latest product
solutions and first-class clinical results.
Since the beginning, TRI ® has relied on the
latest digital technology, always questioning
the status quo and thinking outside the box.
With this focus, the innovation-driven
company has developed a unique and
extensive digital portfolio. This will be
rounded off with the global launch of the
cutting-edge matrix ® technology in the
summer.
“Year 2011 is a unique time for us. On 18
June, we will celebrate our 10 th anniversary
together with the worldwide market launch
of the matrix ® . We want to revolutionise
the industry with the first approved
dental implant for restoration without an
abutment,” said Dr Stefan Hund, chief
executive officer of TRI ® .
The matrix ® was specially developed for the
new digital manufacturing processes such
as CAD/CAM milling or 3D printer and enables
the planning of prosthetics directly on the
implant. The procedure can be used for single
tooth restorations as well as multi-unit bridges.
Restorations from screw-retained, fully
anatomical CAD/CAM individual restorations to
multi-part bars and bridges can be planned and
placed directly on the implant.
This enables unlimited design flexibility. No
restriction of angulation and indication, no
need for cementation and the unique option of
digitally planning soft tissue management - all
of this guarantees longevity and high aesthetic
results. ■
8
DENTAL ASIA MARCH / APRIL 2021

Study finds low rate of COVID-19 among
dental hygienists
Despite having been designated as high risk for COVID-19 by the
Occupational Safety and Health Administration, a new study finds
that 3.1% of dental hygienists have had COVID-19 based on data
collected in October 2020.
Intelligent
extraction
Dental Updates
SILENT CAM extraction units
This is in line with the cumulative infection prevalence rate among
dentists and far below that of other health professionals in the
United States (US), although slightly higher than that of the general
population.
The research, published by The Journal of Dental Hygiene, is the
first large-scale collection and publication of US dental hygienists’
infection rates and infection control practices related to COVID-19.
In partnership, the American Dental Hygienists’ Association (ADHA)
and the American Dental Association (ADA) have released initial
findings from their ongoing, joint research designed to estimate
the prevalence of COVID-19 among US dental hygienists, as well
as examine infection prevention and control procedures, and any
associated trends, including employment data.
The data reflect results from the first month of a longitudinal study
on the impact of COVID-19 on dental hygienists in the US.
As of 8 October 2020, a total of 4,776 dental hygienists from all 50
states and Puerto Rico had participated in the survey. Of the survey
participants, 149 respondents (3.1%) had ever been diagnosed with
COVID-19, either through testing or by a medical professional, and
they were not clustered in any particular geographic region.
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According to the study, more than 99% of respondents reported
their primary dental practice had enhanced infection prevention
or control efforts in response to the pandemic. The majority of
respondents wore eye protection, masks, protective coverings and
gloves during dental procedures.
A second study in the joint research examined employment rates of
dental hygienists, finding that 8% of dental hygienists had left the
workforce since the onset of the pandemic. Of this group, nearly
60% left the workforce voluntarily, citing reasons such as overall
concerns around the pandemic, safety concerns, and childcare
issues.
Find out more:
renfert.com/silent
According to the authors of the report, COVID-19 has led to a
reduction in the dental hygienist workforce that is likely to persist
until the pandemic passes. ■
making work easy
MARCH / APRIL 2021 DENTAL ASIA 9
20210122_CAM-Absaugtechnik_95x250mm.indd 1 03.02.2021 16:37:52

Dental Updates
Pasig-Pateros-Taguig Dental Chapter of Philippine Dental Association revisits adopted
community after a yearlong lockdown
The Pasig-Pateros-Taguig Dental Chapter
(PPTC) of Philippine Dental Association
(PDA) has revisited their adopted community
after a yearlong lockdown.
Established in 1985, PPTC is comprised of
dentists practising from three different cities
in Metro Manila, Philippines (Pasig, Pateros,
Taguig).
For 11 years, the chapter has been
supporting the dental health needs of
Ilugin Community in Pasig City through
various activities such as dental education,
pits and fissures sealant application,
fluoride therapy, and delivering atraumatic
restorative treatment (ART).
It is PPTC’s mission to spread oral health
awareness amongst the marginalised
community and emphasise its importance to
overall wellbeing.
Preventive dental care among children is
also one of PPTC’s prime objectives as it
is the first line of defence against common
dental problems such as early childhood
caries and gum disease.
Due to the current pandemic restrictions,
the long-established activities were
temporarily put on hold. In turn, PPTC
adapted a safer and more sustainable
approach through HISO (Hatid
Impormasyon: Suliraning Oral) programme.
Following the dental health campaign of PDA
this year 2021, the HISO programme aims
to promote oral health and encourage the
community to practice good oral habits even
in this unprecedented time.
On 18 February 2021, the chapter invited
a limited number of participants from the
Ilugin community to join the oral health
lectures which tackled proper tooth
brushing techniques as well as healthy diet
and nutrition.
Additionally, measures to reduce the risk
of developing dental caries and prevent
its progression in the early stages were
also discussed. Concluding the event, oral
hygiene kits were distributed among the
participants.
PPTC also extended their service by giving
out free toothbrushes and oral health
guidelines to the indigent community living
around the area. ■
GC Corporation announces the company’s “Vision 2031”
On 11 February 2021, GC Corporation
celebrated its centennial anniversary and
announced the company’s “Vision 2031”
to all its associates across the group
companies: “To become the leading dental
company committed to realising a healthy
and long-living society.”
President Kiyotaka Nakao, stated, “While
achieving a sustainable growth, GC strives
to bring value in dental care to realise a
healthy long-living society. Instead of just
seeking to be the first in sales volume,
the goal is to become an ‘incomparable’
company for all the stakeholders of GC.”
Priority tasks to materialise the new vision
will be incorporated into GC’s mid-term
management plan.
GC Group will be firmly aligned and strive
to “contribute to global society through the
improvement of oral health”, as mentioned
in one of their management principles.
As GC’s centennial anniversary slogan and
symbol imply, the company is committed
to continuing the efforts through the unity
of its group-wide associates, improving the
quality of dental care, and contributing to
health and smile of the people around the
world. ■
10
DENTAL ASIA MARCH / APRIL 2021

SmileDirectClub expands oral care line with
the launch of new Pro Whitening System
SmileDirectClub, Inc., the next
generation oral care company
with the first medtech platform for
teeth straightening, has expanded
its award-winning whitening line
with its new Pro Whitening System,
designed to whiten teeth in just one
week, up to twice as bright.
EASY TO USE
EASY FOR ALL!
Joining the brand’s leading whitening gel bright on ® ,
SmileDirectClub’s new Pro Whitening System brings consumers an
advanced, innovative system to help smiles shine even brighter.
This new system provides a convenient and long-lasting way to
whiten smiles through a quick and easy whitening gel application
that can be done anywhere.
SmileDirectClub’s new Pro Whitening System contains three easy
steps to break up stains and prevent new ones from starting.
Customers begin by using the ProActivate whitening accelerator
toothpaste, which vigorously deep cleans the teeth to break up
stains and remove plaque, allowing the whitening gel to increase
brightness for up to 65%.
Then, customers apply the ProBrighten whitening gel, which is
formulated with the same enamel-safe whitening agent used by
dentists, paired with SmileDirectClub’s patented 20-LED accelerator
light.
The ProLong whitening extender gel is the last step in the system,
which smooths the tooth’s surface to help prevent new food and
beverage stains from forming, providing long lasting results.
Each treatment takes about one week to complete, giving customers
a smile that is up to nine shades whiter and results that can last up
to six months.
“As we continue to expand our innovative product line, we are
constantly making improvements based on consumer feedback,”
said Josh Chapman, chief global brand officer of SmileDirectClub.
“With our current bright on ® kit, we knew that customers loved the
results but were looking for even more speed, proven results, and
longevity. This demand inspired the new Pro Whitening System.
Customers will now be able to upgrade their smile in a quicker and
more effective way.” ■
VITA LUMEX® AC
One Ceramic. For All Ceramics.
• Leucite-reinforced glass ceramic for all ceramics
• Easy handling thanks to high stability during layering
• Reliable esthetics thanks to the VITA shade formula
Simply scan and discover interesting clinical cases!
www.dental-visionist.com
VITA – perfect match.
© Michele Prosperino,
Italy
3587E
MARCH / APRIL 2021 DENTAL ASIA 11
3587E_LUMEX_Anzeige_250x95.indd 1 18.01.2021 11:57:39

Dental Updates
SprintRay and BEGO announce partnership, bringing 3D-printed definitive restorations to
dentistry
SprintRay, manufacturer of hightech
fabrication solutions for dental
professionals, and BEGO, the Bremen-based
dental materials specialist with over 130
years of dental experience and more than
20 years of expertise in the field of dental
3D printing, has announced their integration
partnership.
This new integration will see the
VarseoSmile Crown plus and VarseoSmile
Temp materials become available for
use with the SprintRay Pro 3D printing
ecosystem, starting in the United States
(US) market.
SprintRay and BEGO have entered into
a partnership at a watershed moment
in dental 3D printing. Printer market
penetration in the dental market is
exploding, giving dental professionals
access to rapid, customisable manufacturing
methods.
This materials validation will give all
SprintRay Pro users the ability to rapidly
3D-print temporary and permanent
crowns at an extremely low cost in a short
amount of time, delivering an outstanding
experience to their patients.
BEGO VarseoSmile Crown plus features
outstanding mechanical properties on par
with traditional crown materials. This means
that patients can receive same-day crowns,
3D printed by their dentists, all at only a few
dollars in materials cost to the practice.
Compared to traditional methods of
manufacturing crowns, which may include
chairside mills or analogue techniques, the
VarseoSmile materials in conjunction with
SprintRay 3D printers offer incredible value,
speed, and customisability.
With the timely introduction of SprintRay
Pro55, clinicians can feel confident in the
superior finish and fit of parts fabricated on
the 55-micron XY resolution printer.
As the 3D printing segment continues to
grow, BEGO and SprintRay’s partnership will
help innumerable dental practices, labs and,
most importantly, patients. ■
TePe sets up a regional support office in Asia
TePe, a Swedish-based dental company
manufacturing dental products and
solutions, reinforces their presence in Asia
and announces the establishment of an
office in central Singapore in March 2021.
The mission is to strengthen the TePe brand
and increase health awareness in the region.
Helen Richenzhagen, global sales director
of TePe, said, “We see tremendous
potential in the Asian markets through
their interest in Swedish quality,
innovation, and sustainability. Our tactical
decision to establish a regional support
office in Singapore will enable intensified
collaboration with our distributors, focused
on educational efforts and growing our
brand.”
Business Sweden will house the office at
their premises in central Singapore, and the
opening is due early March 2021.
Singapore is a strategic choice of
location to create a direct impact in
Asian markets through communication
in local languages, including lectures,
presentations and training, and
increased attendance at congresses and
exhibitions.
Sanjay Haryana, DDS and specialist
with extensive clinical experience, will
be stationed at the Singapore office. He
said, “Building on TePe’s vision of healthy
smiles for life, I look forward to growing
our professional network and developing
our educational activities to increase health
awareness together with our distributors in
Asia.”
TePe’s products and services are developed
in Sweden in collaboration with odontological
experts. The steadily growing company has
eight subsidiaries and distribution in 80
countries worldwide.
TePe aims to conduct their work in
accordance with the UN Sustainable
Development Goals of Agenda 2030 and puts
particular focus on SDG 3: good health and
well-being. Within the framework of TePe
Share, they work to raise awareness of oral
health, general health and preventive dental
care.
As of 1 March, Haryana and Douglas Musiolik,
area sales manager of TePe, will be in
Singapore and can be contacted directly. ■
12
DENTAL ASIA MARCH / APRIL 2021

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Dental Updates
Dr John J. Stropko retires, hands Stropko Irrigator to Vista Apex
After six decades in dentistry, Dr John
Stropko, DDS, microendodontist and
inventor, has retired, effectively from
February 2021. After lengthy discussions,
he has decided to hand the manufacturing
and sale of the Stropko Irrigator to Vista
Apex.
In his extensive career, after receiving his
DDS from Indiana University in 1964, Dr
Stropko served as a captain in the Air Force
Dental Corp until 1966. For the next 24
years, he had a private practice limited to
adult restorative dentistry.
In 1987, Dr Stropko was accepted into the
post-graduate endodontic programme to
study under Dr Herbert Schilder at Boston
University and received his Endodontic
Specialty Certificate in 1989.
Dr Stropko had many achievements in his
career, from contributing to textbooks and
publishing an extensive clinical morphology
study in the Journal of Endodontics in June
of 1998.
In 1995, as an adjunct assistant professor,
he was responsible for starting the microendodontic
programme at Boston University
in the US. He is a well-known lecturer with
numerous presentations and live microsurgical
demonstrations given worldwide.
Dr Stropko is currently the programme
administrator for the Horizon Dental
Institute in Scottsdale, Arizona, United
States.
“Dr Stropko has made enormous strides in
the advancement of micro-endodontics. His
knowledge, commitment, and engagement
made a profound difference that will have
a lasting impact. We’re honoured to have
the opportunity to carry on his legacy,”
said Scott Lamerand, CEO of Vista Apex.
“The Stropko irrigator is in capable hands
at Vista Apex. Vista Apex manufactures
and distributes many products designed to
provide safe, efficient delivery of solutions.
Stropko Irrigator helps us further that
passion.” ■
Zimmer Biomet announces intent to spin off Spine and Dental businesses
Zimmer Biomet Holdings, Inc., a global
leader in musculoskeletal intends to spin off
the company’s Spine and Dental businesses
to form a new and independent, publicly
traded company (“NewCo”).
The planned transaction will enhance the
focus of both Zimmer Biomet (ZB) and
NewCo to meet the needs of patients and
customers and is expected to achieve faster
growth and deliver greater value for all
stakeholders.
“As part of the third phase of ZB’s ongoing
transformation, we are changing the
complexion of our business through active
portfolio management to accelerate growth
and drive value creation,” said Bryan
Hanson, president and CEO of Zimmer
Biomet.
He added, “For Zimmer Biomet, the
transaction is an important step towards
shifting our portfolio mix to higher-growth
markets where we have a clear path to
leadership and right to win. We believe
NewCo will thrive as an independent
company with prioritised capital allocation
to pursue strategic growth opportunities
and investment strategies in the large and
growing Spine and Dental markets.”
This planned transaction underscores the
company’s commitment in ensuring that
their long-term priorities remain aligned with
shareholders’ best interests as they drive the
business forward to meet customer needs
and advance their mission to alleviate pain
and improve the quality of life for people
around the world.
The planned tax-efficient spin-off of NewCo is
expected to create value for all stakeholders
by achieving the following key goals:
• Create a stronger growth profile
for each company with enhanced
management focus, while better
aligning resources and processes more
directly with the strategic priorities of
each business
• Improve capital allocation based on
the objectives of each independent
company
• Reduce complexity and improve
operating efficiencies
• Provide each company with a
compelling financial profile that more
accurately reflects the strengths and
opportunities of each business and as a
result, offers investors a more targeted
investment opportunity ■
14
DENTAL ASIA MARCH / APRIL 2021

Dental Updates
New FDI World Dental Federation global survey reveals that two-thirds of countries are not
allowing dentists to administer COVID-19 vaccines
FDI World Dental Federation has called
for more countries to enable dentists to
administer COVID-19 vaccines after a survey
of its members revealed the small number of
countries currently permitted to do so. The
survey was facilitated by FDI’s COVID-19
Task Team.
Fifty-seven member of national dental
associations, from across the globe,
revealed that nearly two-thirds of countries
had not granted permission to dentists to
administer COVID-19 vaccines as part of
national rollouts.
oral healthcare services.”
COUNTRIES PERMITTING DENTISTS
TO ADMINISTER COVID-19 VACCINES
Of the 57 survey responses, the countries
who have granted authorisation to the
profession to administer vaccines include
Cambodia, Colombia, Egypt, India,
Indonesia, Lebanon, Nigeria, Serbia,
Slovenia, and the United Kingdom (17%).
Significantly, some of these countries
include those where dentists have not
previously been allowed to administer
vaccines, or at least the influenza vaccine.
A total of 53% of responding countries said
that dentists would be included in priority
vaccination groups, 12% said that they
would not be, and 18% responded that the
vaccination programme and priority groups
were still being planned.
“Oral health is a fundamental component
of overall health and well-being and oral
healthcare is an essential public service,”
said Dr Gerhard Konrad Seeberger,
president of FDI World Dental Federation.
“Efforts should be made to enable dentists
to administer COVID-19 vaccines when
possible within national legislation and
regulations, and with minimal disruption to
In the United States, around 20 states are
currently permitting dentists to administer
COVID-19 vaccines.
INCLUSION OF DENTISTS IN PRIORITY
VACCINATION GROUPS
The survey also examined the prioritisation
of dentists in COVID-19 vaccine roll-out
programmes.
Those countries not including dentists as a
priority group include Cambodia, Colombia,
Kazakhstan, Romania, Saudi Arabia, South
Korea and Thailand.
Ahead of World Oral Health Day on 20 March
2021, FDI will release a new set of data
around the caseload of COVID-19 infection
amongst dentists around the world. ■
The Joint Commission on National Dental Examinations ® and Prometric ® launch new
DLOSCE for dentists
The Joint Commission on National Dental
Examinations (JCNDE), in partnership with
Prometric, has announced the successful
implementation of the Joint Commission’s
new Dental Licensure Objective Structured
Clinical Examination (DLOSCE).
The DLOSCE is a professionally developed,
content-valid examination built specifically
for clinical licensure purposes that assesses
candidates’ clinical judgment and skills
using sophisticated 3D models, without the
need to involve patients.
Teams of dental subject matter experts
meticulously designed the lifelike
computerised models and constructed
questions to mirror situations in clinical
practice with high fidelity.
Prometric, partner to many of the world’s
leading credentialing and licensure
organisations in the design, development,
and delivery of reliable examination
programmes, worked with the JCNDE
to deploy the DLOSCE and serves as
the primary administrator of this new
examination across the United States (US).
The new technological aspects of the
DLOSCE represent a significant leap forward
in the standardised assessment of aspiring
dentists.
Unlike current clinical dental licensure
examinations—and consistent with
examination trends in medicine, nursing,
and numerous other health professions—
the DLOSCE does not require candidates to
perform procedures on patients.
By replacing actual patients with
advanced 3D models in a controlled virtual
environment, the new DLOSCE avoids many
of the weaknesses and disadvantages of
traditional clinical examinations, increases
validity, and also significantly decreases
the risk of exposure to COVID-19 and other
airborne pathogens for all involved.
At its core, the DLOSCE is designed to help
dental boards protect public health and
to do so far more effectively than existing
clinical licensure tools. ■
MARCH / APRIL 2021 DENTAL ASIA 15

Trends
Want to increase your loyal patients?
Offer them digital convenience.
By Plato Medical
When you want to book a service—
car ride, reservation or movie—
where do you go? The answer
is easy: online. The e-commerce surge
during COVID-19 has permanently changed
consumer behaviour. Today, people expect
businesses, including dental clinics, to have
both an online and offline presence.
Some clinics shy away from going online
for fear that seniors will be excluded. On
the contrary, tech adoption among seniors
accelerated during COVID-19. Across Asian
countries like Singapore and Hong Kong, the
largest rise in tech adoption has come from
seniors. Today, more elders are using digital
services.
To match changing consumer expectations,
dental clinics should take their services online.
This transition is easy when you use the right
Clinic Management Software (CMS). Your
dental clinic’s CMS is its operating system.
With the right CMS, you empower your clinic
to offer digital convenience throughout the
patient journey and grow your practice.
TRADITIONAL BUSINESSES ARE
GOING DIGITAL
COVID-19 safety protocols have pushed
traditional businesses online. Customers
value digital convenience so much that it’s
created a spill over effect into healthcare.
Now more than ever, patients are online
and they expect the convenience of digital
services.
MORE PATIENTS EXPECT DIGITAL
CONVENIENCE, INCLUDING SENIORS
According to an Accenture study¹, patients
of all ages are more likely to choose clinics
that offer digital services, including online
appointment booking. Asia’s trajectory
towards a digital healthcare future will also
perpetuate patients’ expectations for digital
convenience.
Fig. 1: Customer Loyalty Loop, adapted from the Accelerated Loyalty Journey (Edelman & Singer, 2015)
16
DENTAL ASIA MARCH / APRIL 2021

Trends
Fig. 2: The Patient Loyalty Loop by Plato
GROW YOUR PRACTICE: THE PATIENT
LOYALTY LOOP
The Patient Loyalty Loop is Plato’s model for
growing your practice. Plato has taken the
customer loyalty loop (Fig. 1)—a common
marketing model—and applied it to the
unique way in which clinics operate.
In the customer loyalty loop, brands speed
up loyalty building by erasing consideration
and evaluation prior to purchase. As a
result, the journey becomes the brand’s
competitive advantage.
Plato’s Patient Loyalty Loop (Fig. 2) likewise
erases the need for patients to consider
or evaluate your clinic, thanks to digital
convenience. Instead, patients book
their visit online directly in the Discovery
phase. In-clinic, you optimise the Patient
Experience by minimising wait times using
digital capabilities. Post-visit, you invest
in Loyalty Building by offering digital
convenience in continuous care.
The result? A growing pool of loyal patients
at your clinic.
Based on research by Edelman and Singer²,
you can add value to your Patient Loyalty
Loop using four main capabilities:
1. Automations to streamline the patient
journey.
2. Proactive personalisation to create
customised patient experiences.
3. Contextual interaction that uses
knowledge of where your patient is at
in the journey to deliver the next most
relevant interaction.
4. Journey innovation where clinics use
data insights to deliver new services
that add value for patients.
Here’s how you can apply these capabilities
in the Discovery, Patient Experience, and
Loyalty Building phases to grow your
practice.
Discovery: How easy is it for patients to find
you?
Offer online appointment booking: Widen
your reach and stay accessible to patients
via online appointment booking. Patients
will search for your clinic’s services digitally
based on contextual interaction.
MARCH / APRIL 2021 DENTAL ASIA 17

Trends
Let patients book their visit directly from
your clinic’s digital ads, website, social
media, recalls and emails. Patients enjoy
24/7 booking access from anywhere with
instant confirmation. Since bookings are
automatically scheduled into your CMS, staff
don’t need to do any organising or data
entry.
The easier it is for patients to book a visit,
the more they will enjoy digital convenience
and the less likely they will consider other
dental clinics.
Improve patient targeting with data: Deliver
targeted digital ads to patients by applying
journey innovation. Intelligence reports
in your CMS can provide basic marketing
insights, like the revenue generated from
your marketing channels, so you can
evaluate which channel works best.
For in-depth marketing insights, integrate
your CMS with a custom analytics tool.
Create custom reports by mining information
from your CMS to support improved datadriven
business decisions.
Patient experience: Does your tech-savvy
clinic reduce wait times?
Let new patients register online: Give
patients a tech-savvy first impression of
your practice. Invite them to pre-register
online. Let patients submit their biodata
directly to your CMS and reduce their
wait time. Automating patient registration
eliminates paper forms and data entry.
Use digital consent forms: Since a consent
form is a contract, let patients carefully
review their form’s contents in the comfort
of home. Give patients time to understand
the risk-benefit relationship of the proposed
treatment, before they give their informed
consent.
It’s easiest for patients to submit their
digital form online based on contextual
interaction. Let patients submit their
endorsed form directly to your CMS. Automate
work and go paperless, while improving
the quality and consistency of your clinic’s
consent documentation³.
Loyalty building: Does your clinic encourage
patients to return?
Pair recalls with online booking: Recall is one
of the most important systems to implement
at your dental practice⁴ and serves as a
powerful tool for continuous care. Recalls are
reminder messages to make an appointment
that’s emailed or texted to patients who are
due for a visit.
Studies show that recalls are effective in
appointment adherence across different
patient types⁵. It’s easy for patients to neglect
care, especially when they lead busy lives.
Simplify continuous care for patients by
including your appointment booking link inside
the recall message.
Engage patients using email: Integrate
your CMS with an email marketing platform
to automatically send updates or surveys
to patients. Send emails on your clinic’s
promotions, safety protocols, or specific
updates for certain patient groups by applying
proactive personalisation.
Integrate your CMS with a digital survey tool
to collect feedback directly in your CMS. Add
your clinic’s booking link inside the emails, so
patients can book their appointment directly.
IN A NUTSHELL
Patients expect digital convenience from their
dental care providers. As more traditional
businesses take their services online, patients
expect no different from dental practices.
Clinics must invest in the right digital tools to
help their teams stay relevant and competitive
for the future. DA
REFERENCES:
1. Accenture. (2019). Accenture 2019 Digital
Health Consumer Survey. https://accntu.
re/3kQJNwc
2. Edelman, D., & Singer, M. (2015, October
1). The new consumer decision journey.
McKinsey&Company. https://mck.
co/3sZ6v89
3. St John ER, Scott AJ, Irvine TE, Pakzad
F, Leff DR, Layer GT. Completion of handwritten
surgical consent forms is frequently
suboptimal and could be improved by using
electronically generated, procedure-specific
forms. Surgeon. 2017;15(4):190-195. doi:
10.1016/j.surge.2015.11.004
4. Ciardello, D., & Janssen, J. (2010, November
1). Recall ... the heartbeat of the dental
practice. DentistryIQ. https://bit.ly/30p0dlU
5. Schwebel FJ, Larimer ME. Using text
message reminders in health care services:
A narrative literature review. Internet Interv.
2018 Jun 21;13:82-104. doi: 10.1016/j.
invent.2018.06.002. PMID: 30206523;
PMCID: PMC6112101.
About Plato Medical
https://platomedical.com
Over 1,400 healthcare providers
across Singapore, Malaysia, and Hong
Kong trust Plato to automate work at
their paperless practice. Plato gives
your dental clinic the power of one
more staff member by automating
work for your front desk staff, dentists
and billing team on one platform.
18
DENTAL ASIA MARCH / APRIL 2021

Trends
The benefits of photobiomodulation
As a general dental practitioner,
standing out from the crowd
requires creative marketing, quality
reviews, and word-of-mouth buzz – but a
menu offering treatments not found in every
office separates a practice from the pack.
Incorporating photobiomodulation (PBM)
adds a high value offering to the practice’s
“menu” without major overhead, training, or
time investments.
PBM is a fairly recent trend in the dental
industry despite being developed more than
half a century ago. It’s been known by a
handful of terms over the years, including
low-level laser therapy, cold laser therapy,
biostimulation, and soft laser therapy.
Traditionally found in medical offices, PBM
has historically been used to treat basically
anything commonly described as achy —
knees, shoulders, elbows, and the like.
“In dentistry, PBM is often used to improve
pain from TMJ if someone has a jaw
problem, or to reduce pain and inflammation
following a root canal or a surgical
procedure 1 ,” said Dr Ron Kaminer, New
York-based clinician, lecturer, and member
of the Academy of Laser Dentistry. “PBM
involves using a laser in a non-invasive way
to improve cellular function, especially in
stressed cells.”
He was an early adopter of lasers and has
three decades of experience exploring
innovative approaches to better serve
his patients through technology. He’s an
outspoken proponent of PBM after seeing
countless success stories stemming from
this treatment.
“Lasers are a tool, but when you use that
tool creatively, you can alter patients’ lives
and that’s what makes it really special,” said
Dr Kaminer. “PBM or low-level laser therapy,
has been shown to improve local circulation,
oxygenation, and enzyme activity 2 . A variety
of lasers can do it, and diodes do it really
well.”
He added, “PBM delivers energy into the
affected space and we’re looking to change
the effect from being negative to positive.
We’ve used it across the lines in practice for
many years.”
Dr Kaminer started using forms of PBM
around 2005 and has closely watched its
rising popularity. He said, “The difficulty has
always been only a handful of manufacturers
made a dedicated handpiece or attachment
to their dental laser. The exciting thing
about the new PBM attachment for the
Gemini laser—which is a true, dedicated
additional handpiece—is going to make
delivering PBM easy.”
NON-INVASIVE, VERSATILE PAIN
MANAGEMENT
Despite its proven successes, many dentists
are hesitant to adopt PBM. There is a
perception that it is a modern-day snake
oil – promising otherworldly results but
delivering on little more than placebo.
“It kind of sounds and looks ‘hokey pokey’
because you don’t actually see what’s
going on,” commented Dr Kaminer. “I tell
those who don’t believe me to take a green
laser pointer and point it at their hand for
10 to 20 seconds and they’ll feel energy.
Sometimes, the results are life changing.”
Clinicians have praised PBM’s abilities to
treat a myriad of conditions, including
reducing post-surgery pain and
inflammation, on endodontic and restorative
20
DENTAL ASIA MARCH / APRIL 2021

Trends
procedures as well as in wound healing and
pain relief 1,2,3 .
Dr Kaminer often uses PBM to treat patients
suffering from TMJ pain. He shared, “When
someone comes in with TMJ pain, they could
have rubbing of cartilage or inflammation
of the joint, and by putting a PBM adapter
externally for 30 to 40 seconds around that
joint, you’re increasing blood flow, relaxing
the muscles, reducing inflammation, and
getting down to a cellular level to make
those bad cells behave like good cells 4 .”
“I would expect, after a couple PBM
treatments, that joint would start to feel
better, loosen-up, and by promoting blood
flow and lymphatics, patients just feel
better,” he continued.
He added that he has treated numerous
patients whose ability to function in their
day-to-day lives has been negatively
impacted by TMJ pain. “They’re getting
headaches because of the clenching and
grinding of the joint. Three to four PBM
applications a couple of days apart, without
medication, is life-changing for those
patients because their TMJ gets better, their
headaches get better, they just feel better
overall,” he said.
mucositis 5 . Dr Kaminer, said, “When people
go through chemotherapy, they can get
sores in their mouths. Sores are painful.
PBM is going to take those bad cells, those
painful cells, and improve blood flow to
reduce inflammation 1 and little by little,
make those sores heal or become more
comfortable, or at least more tolerable.”
Dr Kaminer reported that PBM is valuable
in endodontics as well. “When someone is
doing an endodontic surgery, they can take
the PBM handpiece and place it right over
the outside of the mouth. The closer to the
skin or the area, the closer the penetration.
By placing the handpiece right over the
tooth being worked on, inflammation leading
to post-op pain 3 will be reduced,” he said.
PBM PROMOTES ITSELF
Utilising technology like soft tissue diode
lasers for PBM treatments does more than
amplify efficiency, care, and productivity in
a dental office. It also boosts the perception
of the dentist as a progressive, dynamic,
modern clinician.
“People come to my practice because
they’ve heard I use lasers. They ask, ‘Can
you do this with a laser? Can you help
me with a laser?’” said Dr Kaminer. He’s
doubled-down on lasers several times
during his career, even rooting the digital
branding of his practice in laser use.
Adding PBM to a practice’s menu opens an
entirely new world of treatment options for
a dentist. “It boils down to the fact that by
reducing inflammation and increasing blood
flow 1 , people will just feel better. And that’s
what PBM does,” concluded Dr Kaminer.
Used as a side dish to the primary clinical
offerings, PBM can elevate the perception of a
practice, and bring in new patients. DA
SOURCES
1. Suter VGA, Sjölund S, Bornstein MM. Effect
of laser on pain relief and wound healing of
recurrent aphthous stomatitis: a systematic
review. Lasers Med Sci. 2017;32(4):953-963.
doi:10.1007/s10103-017-2184-z
2. Kim HB, Baik KY, Choung PH, Chung JH. Pulse
frequency dependency of photobiomodulation
on the bioenergetic functions of human dental
pulp stem cells. Sci Rep. 2017;7(1):15927.
Published 2017 Nov 21. doi:10.1038/s41598-
017-15754-2
3. Lopes LPB, Herkrath FJ, Vianna ECB, Gualberto
Júnior EC, Marques AAF, Sponchiado Júnior
EC. Effect of photobiomodulation therapy
on postoperative pain after endodontic
treatment: a randomized, controlled, clinical
study. Clin Oral Investig. 2019;23(1):285-292.
doi:10.1007/s00784-018-2435-9
4. Khairnar S, Bhate K, S N SK, Kshirsagar K,
Jagtap B, Kakodkar P. Comparative evaluation
of low-level laser therapy and ultrasound
heat therapy in reducing temporomandibular
joint disorder pain. J Dent Anesth Pain
Med. 2019;19(5):289-294. doi:10.17245/
jdapm.2019.19.5.289
5. Gobbo M, Verzegnassi F, Ronfani L, et al.
Multicenter randomized, double-blind
controlled trial to evaluate the efficacy of
laser therapy for the treatment of severe
oral mucositis induced by chemotherapy in
children: laMPO RCT. Pediatr Blood Cancer.
2018;65(8):e27098. doi:10.1002/pbc.27098
PBM can also be used to help treat side
effects of chemotherapy such as oral
MARCH / APRIL 2021 DENTAL ASIA 21

Under the Spotlight
Collaboration equals innovation
Dr Kelvin Tantono from Medan,
Indonesia, has taken the road less
travelled to answer his life calling
and follow his passion.
Although leaving his career as a dentist to
become a full-time ceramist was not an easy
decision, the sacrifices he made proved to
be worth it in the end.
With his background as a clinician paired
with his hard-earned skills as a ceramist,
he is now on a daily pursuit of balancing
beauty and function of founder and chief
technician of Zirmon Dental Atelier.
A DREAM SETTING SAIL
For Dr Tantono, practicing dentistry for
five years has only solidified his dream of
becoming a full-time ceramist and to run his
own atelier.
An introvert, he enjoys working in a
laboratory and is quite a perfectionist.
He shared in jest, “My patients used to
complain about my long and relatively slow
working time. As a ceramist, my crowns or
veneers will not complain.”
But in order to achieve his dream, it was
inevitable that there was trade-off as he
already has a family during the transition.
Dr Kelvin Tantono, Founder and Chief Technician of
Zirmon Dental Atelier
“I had financial difficulty during that time as
my dental practice is also my main source
of income. So, I tried to put one foot on the
practice and the other on my lab, but my
heart has always been 100% sure that my
calling was in the latter. The only solution
to overcome that problem was to stay low
income for some period, betting against the
odds that my calling and passion was the
right thing to do,” he shared.
In addition to the backslash of naysayers,
he hit a point where he was completely
exhausted from people asking him, “Don’t
you feel like it’s a waste that you’re not using
your dentist degree?!”
But, despite all of this, Dr Tantano hit the
pedal to the metal and paved his own road
to success.
As he started with zero-knowledge in the
field of ceramics, he pays his utmost respect
to the masters of the field he met during his
trainings.
“Training is one of my favourite parts in this
journey. When I got my first ever ceramic
kit, I had a basic but profound training
under Master Jovi Ng from Shofu. I am really
grateful to him,” he shared.
Several months later, Dr Tantono went to
Japan to meet Master Mistutaka Fukushima
in Hamamatsu where he was inspired to
better himself.
This pushed him to attend more trainings
internationally, including a wax-up training
with Master Szabi Hant in Singapore, a fourdays
complete anatomic training with Dr
Stefano Cossar in Malaysia, and a ceramic
training with Dr Edson Da Silva and Dr
Marcello Calamita.
However, the most memorable course he
took was the one-month international
programme at the Osaka Ceramic Training
Centre as he had to make a risky decision to
attend it.
22
DENTAL ASIA MARCH / APRIL 2021

Under the Spotlight
He shared, “To join this course, my lab had
to stop operating with zero income for one
full month. But the risk had a great reward,
because it has given me more knowledge
on dental morphology and opened my eyes
to the international standard of ceramic
works.”
The last course he took was the zirconia
master class with Master Kang Chien Ming.
Dr Tantono admitted that at that time, all
these trainings appeared to be an irrational
decision, especially in terms of the cost. But
there was no tinge of regret.
For him, the most fulfilling aspect of being
a ceramist is, “When the patient and dentist
appreciate our work.”
This is due to the time, effort, and skills
put into the work, even if it is only a single
restoration.
WHERE THE HEART IS
Zirmon Dental Atelier started off as a “oneman-show”
in Dr Tantono’s spare bedroom
where he did everything by himself — from
making the models to ceramic works, as well
as handling the admin tasks.
He enjoys working alone but with the
increased demand of his services, he
expanded his practice to reduce the waiting
time for his clients.
Additionally, some of his team members
started out without prior work experience
but Dr Tantono believes that hard work
beats talent. He pushes them to do their
best in every task and is delighted to see
their improvement and progress each day.
“Now, Zirmon consists of two teams: Team
Excel and Team Marvel. Unlike other labs
where technicians are seen as individuals,
here in Zirmon, I divided them into teams
because I believe that it’ll help them learn
faster and better. I want them to understand
that they do not stand alone in Zirmon. They
have co-workers and what they do will affect
the next procedure,” he explained.
He added that Excel stands for excellent,
and Marvel stands for marvellous. These are
the values he wishes to inculcate to his team
members, to create something they can be
proud of.
Meticulous in terms of the operations in the
atelier, he wakes up at five a.m. every work
day to prepare the things for his team.
He shared, “I love this moment because of
the lack of distractions. I wouldn’t miss this
first two hours of the day where I can be the
most efficient.”
From Dr Tantono’s learning experience in
Osaka Ceramic Training Centre, Zirmon
adopted the practice of cleaning the atelier
for 15 minutes in the morning before work
starts, as well as another 15 minutes
cleaning it before the shift end in the
evening.
“Daily work is a routine because every team
member has their own specific role. But the
routine is never boring because we face
different challenge each day. We also have
mentorship not only by me towards my
team, but they also guide each other. Only by
sharing, we can learn more,” he said.
This is reflected during the early period of the
pandemic when dental clinics were closed due
to lack of resources, and Dr Tantono took part
in researching and gathering information on
how to safely practice and reopen their clinics.
GOING FURTHER
Dr Tantono shared that the success of the
team can be attributed to the three core
values they firmly believe in: helpful, humble,
and quality.
He said that whenever they receive a case,
their mindset is to ask these questions: “What
can we do to solve the problem? If we can’t
solve it, what can we still do to help this case?
What can we suggest?”
The team then humbly communicate the
issues to the dentist.
“We listen, but we also suggest our point of
view with humble attitude, therefore, trust is
built. If all the problems are addressed and
cleared up front, our team can start to work
and ensure high-quality output,” he shared.
These values are practiced not only for their
clients but inside the atelier too.
MARCH / APRIL 2021 DENTAL ASIA 23

Under the Spotlight
For Dr Tantono, quality should always come
first, and speed is not their top priority. Hence,
there is a production limit each day.
Throughout his career, he has witnessed
how some collaborations have failed
because of different communication style.
in the job and strive to always improve
themselves. He also added that hard work
and persistence should go hand in hand.
To compensate, he invested heavily in
equipment to ensure work is done efficiently.
For instance, the CAD/CAM technology allows
him to design while milling.
He elaborated, “We all want to have a
perfect looking end-result. But in reality,
what happen on the clinical side does not
always provide ideal and perfect situation.
Being a laboratory owner, Dr Tantono
admits that most hours of his day are spent
at work. But this doesn’t stop him from
attaining a balance in his personal life too.
“Technology made it easier for me to expand
my team. For instance, teaching them to do
scanning is pretty simple because everything
is in sequence. But still, machine alone is not
enough,” he remarked.
He continued, “The interesting thing is that
many people in the dental industry assume
that machine can replace human. I agree if
the task is non-artistic as machines are good
in consistency and stability. But the artistic
aspect of creating is different because it is
dynamic.”
In order to create a beautiful restoration,
the sense of art including carving, sculpting,
painting, and shade interpretation are all
involved, he explained.
So, for him, the best thing to do is to keep the
role of machines and human hands (and eyes)
balanced.
“These two things are supposed to collaborate
each other, not to eliminate,” he advised.
Based on this reality, I wish to send
message to dentists and dental technicians
that our work is not a one-sized-fit-all
solution, but rather a dynamic approach
where we weigh which aspect is more
important than another.”
Dr Tantono believes that the beauty of
nature is not in perfection, but in harmony.
Ultimately, he encourages everyone around
him to chase knowledge as it is the best
investment one can make.
He said, “This investment is the best
because nothing can take it away from
you. And even better, once you have the
knowledge, you can share them to others.
And when you share the knowledge, it
multiplies. What kind of investment can be
better than this?”
However, for one to be successful in the
field of ceramics, they should be passionate
For him, balance is not 50:50, but is about
living life in harmony by being fully present.
“When I am working, I work like as if this
is the only time I have to work. When I am
having my lunch, I enjoy them like I have
no work to be worried about. When I am
spending time with my family, I enjoy the
moment like I am a well-retired man,” he
expounded.
To end with, Dr Tantono wants to give
a gentle reminder to clinicians and
technicians that the partnership between
them is just like any other human
relationship.
He concluded, “We need to make an effort
to communicate and build chemistry. We
need to find each other. For those dentists
who have found their matching dental
technician, I congratulate you. But for those
who haven’t, one day you will find one!” DA
BEAUTY IN HARMONY
According to Dr Tantono, the secret recipe
for any successful collaboration is the right
balance of skills and communication.
He said, “The dentist must do a well-defined
tooth preparation and take good impression.
He/she should also be able to take clear
photos to record the tooth shade. On the other
hand, the technician must be able to read the
shade from the photo and implement it on the
porcelain and stains. This is on top of having a
deep understanding of tooth morphology.”
24
DENTAL ASIA MARCH / APRIL 2021

Dental Profile
Bausch’s mark of excellence
The pioneering vision of Dr Jean
Bausch and his son, Dr Hans, back in
1953 has unarguably revolutionised
the dental industry.
Founding the company with Dr Hans’
invention of 200-micron articulating paper
with progressive colour transfer, Bausch
has set the standards in the articulating and
occlusion material market – successfully
making a mark beyond the dentist’s chair.
The company continues to lead the market
with its innovative mindset and strict quality
control.
The managing directors of the company,
Andre Bausch (Germany) and Milan Rajek
(Australasia), share the secret formula
of this success and how the company did
remain to focus on growth while delivering
innovative occlusion products.
CONTINUING THE LEGACY
Coming from humble beginnings, Bausch has
started as a home-based family business in
Cologne, Germany.
As one of the owner’s sons, Andre Bausch
shared that as long as he can remember, the
company has always been present in their
daily lives.
Growing up, especially during school
vacations, he’d come along with his parents
to attend exhibitions and interact with clients
from around the globe.
Hence, taking a part in continuing the
family’s legacy came as an easy decision for
him.
With his unique skill set and interests, he
helped transform the company into what they
are today as one of the managing directors.
“I’ve always liked to create things from
scratch. In the 1980s, I have been working
with the first computers in the company. I
am also passionate about marketing and
design as well as software development,”
shared Andre.
In fact, at the age of 18, he wrote a custom
invoicing programme that was used by
their shipping department for almost two
decades.
Although the business is inevitably
intertwined with his personal life, he still
finds a way to pursue his hobbies.
For instance, he shared, “I love to ride
my motorcycle, which I always do in the
summertime, to visit the 2,400sqm factory
we built about 11 years ago. It is located
around 100km south of Cologne. There are
many scenic roads in that area!”
Andre Bausch, Managing Director, Bausch (Germany)
26
DENTAL ASIA MARCH / APRIL 2021

Dental Profile
Since the business is continuously growing,
the management style has changed over
the years with his brother, Peter Bausch,
directing on the science and chemistry
aspect of the business, while Andre focused
on technology, software, and marketing.
He shared, “We did see a huge potential
in social media marketing and run several
channels in nine languages which are
followed by more than 65,000 people in
total.”
With its core business focusing on
developing and innovating occlusion control
and test material, Bausch has successfully
expanded its market globally.
Today, more than 50 people work with
them in their headquarters, the factory, and
subsidiaries in the United States, Brazil,
Japan, Australia, and Korea.
Covering the countries in “Australasia”,
which includes the entire South East Asia
operation, is Milan Rajek.
Though not related by blood, Milan shared
that Bausch is like a family to him giving him
support in his endeavours.
He is directly responsible for driving
organisational success in the region by
implementing strategic plans and company
policies.
Milan Rajek, Managing Director, Bausch (Australasia)
MARCH / APRIL 2021 DENTAL ASIA 27

Dental Profile
FUTURE OF OCCLUSION CONTROL
With its highly innovative product,
OccluSense ® , Bausch has paved the way for
the future of occlusion control.
The idea behind this device was conceived
in 2012, way before the availability of
technology.
Andre explained, “Our latest major invention,
the OccluSense, is still an occlusion foil
coated with colour but it enables the dentist
with its embedded printed electronics to
digitally record the masticatory forces of
the occlusion from the initial contact to the
maximum intercuspation.”
He added that the OccluSense pressure
sensor is unique of its kind as it is the first
printed organic pressure sensor in the world
– not only in dentistry.
The technology enabled them to create a
60-micron thin, colour-coated sensor which
is actually an articulating film.
Milan also commented, “In the dental
industry, we are seeing that the trend is
going towards a more technologically
advanced and digital dental office, so why
not check the occlusion digitally as well?”
During the development process, Milan
shared that they were very cautious to make
the product as user friendly as possible.
After the launch, they continued to support
the clinicians in implementing the new
technology into their daily practice.
However, though this technology can
produce more data necessary for better
diagnosis, Bausch understands that some
practitioners are not yet ready to invest and
still prefer to use the traditional occlusion
test materials.
That’s why the company is relentless in
maintaining the quality, and at the same
time, extending the range of products they
are offering.
OVERCOMING MODERN-DAY
CHALLENGES
To continuously meet the market demands,
Andre shared that they have appointed
a practising dentist as one of their sales
representatives.
For this reason, Bausch is always up-todate
when it comes to new materials or
technologies.
In addition, they have contact with several
Andre and Peter Bausch with
their mother, Mrs Evelyn Bausch
28
DENTAL ASIA MARCH / APRIL 2021

Dental Profile
Bausch headquarters
in Cologne, Germany
dental professionals around the world
giving them valuable feedback and idea to
improve their products.
In the South East Asia market, Milan shared
that there is an increased demand for
digital restoration as well as for materials
to fabricate them, driven by the ongoing
transition to CAD/CAM production.
And since the implant market is creating
growth opportunities in the region, dental
treatment has emerged as a popular type of
tourism.
Bausch continues to introduce and
innovate occlusal materials to match these
developments.
During the peak of the pandemic, the
company ensured that its team members
remain motivated by establishing clear
goals and expectations and opening up
channels for training and communication.
With higher traffic on their website and
social media channels, they were more
inspired to modernise the Bausch brand and
develop new strategies and products.
Milan is positive that the dental industry will
recover fully as oral health is an essential
component of general health.
“I believe that the post-pandemic era won’t
look like the one we used to know but I
expect most industries to come out stronger
in the long run,” he said.
Additionally, he foresees that online events
and hybrid solutions will stick around for
longer which will create new trends for every
industry, including the dental market.
He concluded, “Thanks to these unusual
circumstances, the entire dental industry
has accelerated and embraced digital
transformation.”
GAINING GROUND
Even with the uncertainty brought about
by the pandemic, Bausch can promise
one thing: to continue providing the best
possible solutions for every dentist who
wants to achieve the most accurate occlusion
for their patients.
Andre reassured that the industry can expect
nothing less with Bausch’s stringent quality
control system and machines individually
developed to meet high-quality standards
whatever the circumstances are.
Additionally, with the unique sociodemographics
of the APAC region, Milan shared
that they are looking ahead and carefully
studying the market situation to address any
immediate needs.
Although most of their events were postponed,
Bausch will continue supporting the dental
professionals by prioritising continuing
education programmes and developing
innovative products.
Andre, addressing the entire dental community,
said, “The COVID-19 pandemic affected us all
and we really miss to travel around the globe to
meet our clients, dentists, and suppliers, and
we hope that we get back to a normal life again
soon. Everyone, stay healthy!” DA
MARCH / APRIL 2021 DENTAL ASIA 29

Clinical Feature
Tooth whitening and sealing: An innovative concept for
the retention of destaining results (Part B)
By Dr George Freedman, Dr Fay Goldstep, Dr Edward Lynch, and Dr Patrick Hardigan
This two-part article evaluates the effectiveness of One-step and Two-step Supersmile Whitening Bolt in terms
of the retention of tooth whiteness and smoothness after application.
PURPOSE
The purpose of this Part B 5 investigation was to evaluate and
compare Supersmile’s one step whitening and sealing formula (Onestep
Supersmile Whitening Bolt, Fig. 1) against a separate two step
whitening and sealing regimen (Two-step Supersmile Whitening Bolt,
Fig. 2).
Each was also compared against an untreated control group in its
ability to inhibit extrinsic dental stain while cycling through a sixhour
food stain-producing regimen.
PROCEDURE
The laboratory staining method is a modification of that described
by Stookey et al 6 . The experimental procedure is described in detail
as follows:
Tooth specimens
Squares of dental enamel from bovine crowns were embedded in a
self-curing acrylic 7 . The finished specimens were examined under a
dissecting microscope and discarded if there are imperfections on
the enamel surface.
The specimens were etched for 60 seconds in 0.2M HCl, then
immersed in a saturated solution of sodium carbonate for 30
seconds. After a final etch with 1% phytic acid for 60 seconds, the
specimens were rinsed and attached to the staining apparatus.
Staining method
Staining apparatus: The staining apparatus provided alternating
immersion into the staining broth (1.02g of instant coffee, 1.02g of
instant tea, 50ml of red wine, and 0.75g of gastric mucin in 200ml
of sterilised trypticase soy broth at 37°C with 50ml of a 24-hour
Micrococcus luteus stain-forming bacterial culture) and air-drying.
Stain measurement
The intensity of the extrinsic stained pellicle on the teeth was
measured by taking diffuse reflectance absorbance readings with a
spectrophotometer equipped with diffuse illumination, an 8° viewing
angle, and 3mm aperture. Absorbance measurements were obtained
using the tristimulus L*a*b* colour space established by the CIE.
Test products
The products/ingredients were provided by the sponsor.
Study 1 Study 2
Group 1 – Negative control (no Group 3 – Negative control (no
active application)
application)
Group 2 – Test product: Onestep
Supersmile Whitening Bolt step Supersmile Whitening Bolt,
Group 4 – Test product: Two-
(SN03742020: mfg 27/5/20) two application (Whitening gel &
Sealant: mfg 10/6/20)
Treatment
For each study, the specimens were stratified into two equal groups
of 10 specimens each, with each group having equivalent average
inherent (no stain) baseline L*a*b* stain scores. The single day
procedure included spectrophotometer readings taken after two,
four, and six hours.
Fig. 1: One-step Supersmile
Whitening Bolt
Fig. 2: Two-step Supersmile
Whitening Bolt
Study 1:
Prior to immersion into the broth for the beginning of six-hour
exposure, the test enamel slabs were painted with a thin layer of test
product (One-step Supersmile Whitening Bolt) and allowed to air dry
for 20 minutes to allow for sufficient adherence.
30
DENTAL ASIA MARCH / APRIL 2021

Clinical Feature
Study 2:
Prior to immersion into the broth, the test product (Two-step
Supersmile Whitening Bolt) was applied and allowed to air dry for 20
minutes. In this instance, the whitening gel was applied first followed
by the sealant, directly on top of gel.
The control specimens were kept in a humidor. Study 1 and Study 2
were run sequentially with each other, thus having separate negative
controls.
INTERPRETATION OF DATA
The difference between the baseline (pre-test) and post-test
readings for each colour factor (L*, a*, and b*) represented the
ability of the test products to reduce existing extrinsic stain and
thereby increase tooth whiteness.
Efficacy comparisons: The test treatment groups were compared with
the negative control to assess relative efficacy.
Statistical Methodology: Data were analysed by means of a
conventional statistics programme. For each of the efficacy
variables, between treatment comparisons at each time point were
made using an ANOVA. All comparisons were performed using a twotail
test at 5% level of significance.
Group
1
2
EXTRINSIC STAIN ON TOOTH SPECIMENS AFTER 4 HOURS
Identity
Spectrophotometer Readings+
Negative Control (No treatment) 70.87 ± 1.40 A 0.19 ± 0.29 A 6.86 ± 1.21 A
Supersmile 1 Step Whitening Bolt
SN03742020 mfg 5/27/20
L* a* b*
72.05 ± 1.44 A -0.16± 0.50 A 5.14 ± 2.38 A
The individual components of the L*a*b* scale indicated the specific
changes in the whiteness (L*), red-green colour range (a*), and
yellow-blue colour range (b*). Data were tabulated using a standard
spreadsheet programme.
STATISTICAL EVALUATION
Efficacy variables: The primary efficacy variable was extrinsic stain
removed for each colour factor. The primary endpoint was after six
hours.
Group
1
2
4 HOUR DIFFERENCE BETWEEN FROM BASELINE
Identity
Change in Spectrophotometer
Readings+
Total Change in
Stain(ΔE)
Negative Control (No treatment) -0.88 ± 0.76 A 2.81 ± 1.44 A 3.21 ± 0.97 A
Supersmile 1 Step Whitening Bolt
SN03742020 mfg 5/27/20
ΔL*
Δb*
0.21 ± 0.32 A 1.39 ± 0.67 B 1.51 ± 0.57 B
Table 3: One-step Supersmile Whitening Bolt at four hours
INTRINSIC STAIN ON TOOTH SPECIMENS AT BASELINE
EXTRINSIC STAIN ON TOOTH SPECIMENS AFTER 6 HOURS
Spectrophotometer Readings+
Spectrophotometer Readings+
Group
Identity
L* a* b*
Group
Identity
L* a* b*
1
2
Group
Negative Control (No treatment) 71.75 ± 1.08 A 0.15 ± 0.29 A 4.05 ± 1.53 A
Supersmile 1 Step Whitening Bolt
SN03742020 mfg 5/27/20
71.83 ± 1.59 A 0.08 ± 0.56 A 3.75 ± 2.21 A
Table 1: One-step Supersmile Whitening Bolt at baseline
EXTRINSIC ON TOOTH SPECIMENS AFTER 2 HOURS
Identity
Spectrophotometer Readings+
L* a* b*
1
2
Group
1
Negative Control (No treatment) 68.52 ± 1.28 A 0.39 ± 0.34 A 8.59 ± 1.54 A
Supersmile 1 Step Whitening Bolt
SN03742020 mfg 5/27/20
6 HOUR DIFFERENCE BETWEEN FROM BASELINE
Identity
70.03 ± 1.60 A 0.01± 0.42 A 7.58 ± 1.45 A
Change in Spectrophotometer
Readings+
Total Change in
Stain(ΔE)
Negative Control (No treatment) -3.23 ± 0.76 A 4.54 ± 1.56 A 5.73 ± 1.68 A
ΔL*
Δb*
1
2
Negative Control (No treatment) 71.44 ± 0.98 A 0.36 ± 0.23 A 5.78 ± 1.55 A
Supersmile 1 Step Whitening Bolt
SN03742020 mfg 5/27/20
72.27 ± 1.38 A 0.10 ± 0.56 A 4.44 ± 2.12 A
2
Supersmile 1 Step Whitening Bolt
SN03742020 mfg 5/27/20
-1.80 ± 0.32 B 3.83 ± 1.22 A 4.40 ± 1.11 A
Table 4: One-step Supersmile Whitening Bolt at six hours
Group
2 HOUR DIFFERENCE BETWEEN FROM BASELINE
Identity
Change in Spectrophotometer
Readings+
ΔL*
Δb*
Total Change in
Stain(ΔE)
Group
INTRINSIC STAIN ON TOOTH SPECIMENS AT BASELINE
Identity
Spectrophotometer Readings+
L* a* b*
1
Negative Control (No treatment) -0.32 ± 1.65 A 1.72 ± 0.96 A 2.26 ± 1.23 A
1
Negative Control (No treatment) 72.55 ± 2.37 A -0.16 ± 0.78 A 3.60 ± 2.06 A
2
Supersmile 1 Step Whitening Bolt
SN03742020 mfg 5/27/20
0.44 ± 0.51 A 0.69 ± 0.79 B 1.24 ± 0.38 B
2
Supersmile 2 Step Whitening Gel
& Supersmile Sealant mfr 6/10/20
72.40 ± 2.25 A 0.09 ± 0.54 A 3.60 ± 1.14 A
Table 2: One-step Supersmile Whitening Bolt at two hours
Table 5: Two-step Supersmile Whitening Bolt at baseline
MARCH / APRIL 2021 DENTAL ASIA 31

Clinical Feature
Group
EXTRINSIC ON TOOTH SPECIMENS AFTER 2 HOURS
Identity
Spectrophotometer Readings+
1 Negative Control (No treatment) 71.95 ± 1.84 A -0.30 ± 0.23 A 5.59 ± 1.55 A
1 Negative Control (No treatment) 70.22 ± 2.45 A -0.22 ± 0.78 A 8.51 ± 1.74 A
2
Supersmile 2 Step Whitening Gel
& Supersmile Sealant mfr 6/10/20
72.67 ± 2.23 A 0.16± 0.56 A 4.68 ± 1.30 A
2
Supersmile 2 Step Whitening Gel
70.83 ± 1.83 A 0.26 ± 0.45 A 6.88 ± 0.80 B
& Supersmile Sealant mfr 6/10/20
2 HOUR DIFFERENCE BETWEEN FROM BASELINE
Change in Spectrophotometer
Readings+
Total Change in
Group
Identity
ΔL* Δb*
Stain(ΔE)
1
2
Group
1
2
Group
1
2
Group
Group
1
Negative Control (No treatment)
Supersmile 2 Step Whitening Gel
& Supersmile Sealant mfr 6/10/20
Table 6: Two-step Supersmile
EXTRINSIC ON TOOTH
Identity
Negative Control (No treatment)
Supersmile 2 Step Whitening Gel
& Supersmile Sealant mfr 6/10/20
4 HOUR DIFFERENCE
Identity
Negative Control (No treatment)
Supersmile 2 Step Whitening Gel
& Supersmile Sealant mfr 6/10/20
Table 7: Two-step Supersmile
EXTRINSIC ON TOOTH
Identity
6 HOUR DIFFERENCE
Identity
Negative Control (No treatment)
-0.60 ± 0.73 A
0.27 ± 0.71 B
Whitening
SPECIMENS AFTER
Spectrophotometer
L*
70.83 ± 2.14 A
71.78 ± 2.00 A
BETWEEN FROM
Change in Spectrophotometer
Readings+
ΔL*
-1.72 ± 0.88 A
-0.62 ± 0.78 B
Whitening
SPECIMENS AFTER
Spectrophotometer
L*
BETWEEN FROM
Change in Spectrophotometer
Readings+
ΔL*
-2.34 ± 0.94 A 1.99 ± 1.20 A
1.08 ± 0.69 A
Bolt at two hours
4 HOURS
a*
-0.04 ± 0.29
0.17 ± 0.50 A
BASELINE
Δb*
3.96 ± 1.63 A
1.76 ± 0.78 B
Bolt at four
6 HOURS
a*
BASELINE
Δb*
4.92 ± 1.25 A 2.18 ± 1.25 A
1.35 ± 0.61 A
Readings+
b*
7.56 ± 1.50 A
5.36 ± 0.96 B
Total Change in
Stain(ΔE)
4.43 ± 1.61 A
2.02 ± 0.79 B
hours
Readings+
b*
Total Change in
Stain(ΔE)
5.49 ± 1.40 A
2 Supersmile 2 Step Whitening Gel
-1.57 ± 0.51 B 3.28 ± 0.64 B 3.68 ± 0.65 B
& Supersmile Sealant mfr 6/10/20
A
Table 8: Two-step Supersmile Whitening Bolt at six hours
L*
a*
b*
DISCUSSION
Study 1:
Test product (One-step Supersmile Whitening Bolt) showed an
inhibitory significance after just two hours when looking at Δb and
ΔE against the control. This significance continued and included ΔL
after four hours.
After six hours, ΔL continued to show statistical significance while
Δb* and ΔE did not break out (although numerically, it showed a
noticeable instrumental difference). The test product inhibited stains
for several hours.
Study 2:
Test product (Two-step Supersmile Whitening Bolt) showed a slight
inhibitory effect after only two hours when looking at ΔL. After four
hours, all three-colour components showed statistical significance,
ΔL, Δb, and ΔE, against the control.
After six hours, the same trend continued. The test product inhibited
stains for several hours.
CONCLUSION (PART B)
Both independent in vitro evaluations showed the test products
(One-step Supersmile Whitening Bolt and Two-step Supersmile
Whitening Bolt) exhibited similar inhibitory effects on food stain
formation and inhibited stain for several hours. A reasonable
expectation from this research would be similar in vivo effect.
OVERALL CONCLUSIONS (PART A AND B)
In the clinical study:
1. 100% of Two-step Supersmile Whitening Bolt subjects
improved their tooth whiteness upon application with an
average of 2.2 shades of whitening as assessed by an objective
standardised intraoral dental spectrophotometer shadematching
device.
2. After staining, the Two-step Supersmile Whitening Bolt showed
an objective average of 0.1 shades of whitening, while the
control group exhibited a much more significant 2.6 shades of
staining.
3. After using the Two-step Supersmile Whitening Bolt once, 80%
of participants improved three or more shades as assessed by
an objective standardised intraoral dental spectrophotometer
shade-matching device.
4. In an objective assessment by an objective standardised
intraoral dental spectrophotometer shade-matching device,
32
DENTAL ASIA MARCH / APRIL 2021

Clinical Feature
100% of Two-step Supersmile Whitening Bolt subjects
improved their tooth whiteness after one application.
5. In an assessment of a subjective survey after using the
Supersmile Whitening Bolt once, 80% of participants improved
three or more shades.
6. Supersmile Whitening Bolt subjects perceived significant
improvement in their tooth whiteness and smoothness for up to
24 hours.
In the laboratory study:
1. The two independent in vitro evaluations demonstrated that
the test products, One-step Supersmile Whitening Bolt and
Two-step Supersmile Whitening Bolt, exhibited similar inhibitory
effects on food stain formation and inhibited stain formation for
several hours.
2. It is a reasonable expectation from this research that the in vivo
effect would be similar.
The clinical trials have clearly validated the beneficial effects of
Two-step Supersmile Whitening Bolt after one application, both
objectively and subjectively. Teeth whitening and staining protection
have been substantiated by an objective standardised intraoral
dental spectrophotometer shade-matching device.
Additionally, test subjects clearly recognised significant tooth
whiteness improvement after one application of Two-step Supersmile
Whitening Bolt and continued to perceive significant improvements
in teeth whiteness and smoothness at 24 hours.
The laboratory trial demonstrated the similar actions and effects
of Two-step Supersmile Whitening Bolt and One-step Supersmile
Whitening Bolt for teeth whitening and inhibition of stain formation.
The One-step Supersmile Whitening Bolt is more convenient and
user-friendly. These research studies therefore make apparent that
the One-step Supersmile Whitening Bolt will function similarly to
the Two-step Supersmile Whitening Bolt in vivo and will have similar
effects and benefits. DA
REFERENCES
5. Moore MH: Laboratory Evaluation of Extrinsic Stain Inhibition by
Robell’s 1 Step Whitening Bolt Sealing/Whitening Formula, and 2-Step
Whitening/Sealing Formula vs. Untreated Negative Control. Private
Communication. June 2020
6. Stookey GK, Burkhard TA, Schemehorn BR: In vitro removal of stain with
dentifrices. J Dent Res 61(11):1236-1239, Nov 1982.
7. Ortho-Jet, Lang Dental Mfg. Co., Wheeling, IL 60090.
About the Authors
Dr George Freedman is a founder and
past-president, AACD, co-founder, CAED
and IADFE, Diplomate and Chair, American
Board of Aesthetic Dentistry. He is adjunct
professor of Dental Medicine, Western
University, Pomona CA and professor and
programme director, BPP University, London, UK, MClinDent
Programme in Restorative and Cosmetic Dentistry. Author/
co-author of 14 textbooks and more than 900 dental articles,
Dr Freedman practices in Richmond Hill, Ontario.
Dr Fay Goldstep lectures extensively on
Proactive/Minimal Intervention Dentistry,
Soft-Tissue Lasers and Bioactive Dental
Materials. She has published more than a
hundred articles and contributed chapters
to four textbooks, serves on numerous
editorial boards: Oral Health Journal, Dental Tribune US
Edition, Dental Asia and REALITY, and has been a Leader
in Continuing Education (Dentistry Today) since 2002.
Consultant to a number of dental companies, she practices
in Richmond Hill, Ontario.
Professor Edward Lynch, peer-elected
“Most Influential Person in UK Dentistry
2010”, is professor, Restorative Dentistry
and Gerodontology, Queen’s University
Belfast, and Consultant, Restorative
Dentistry, Royal Hospitals. Author of more
than 500 publications, he is a specialist in Endodontics,
Prosthodontics and Restorative Dentistry. A “wet gloved”
academic, Prof Lynch is an ADA Consultant, BDA spokesperson,
and chairman, European Experts Group on Tooth Whitening.
His research team has received 10 IADR first prize honours.
Dr Patrick Hardigan is associate dean
of Academic Affairs, Health Professions
Division, and Executive Dean of Research,
Dr Kiran C. Patel College of Allopathic
Medicine. Dr Hardigan is statistician and
research advisor, International Health
Initiatives, and founder NSU’s Statistical Consulting Center.
Past-president, Association for Behavioral Sciences and
Medical Education, he is statistical advisor, The Internet
Journal of Allied Health Sciences and Practice and the
American Journal of Dentistry.
MARCH / APRIL 2021 DENTAL ASIA 33

Clinical Feature
Clinical cases report: Achieving higher
standard in implant therapy
By Dr Paresh Patel
INTRODUCTION
As the baby boomer population ages,
the numbers of edentulous and partially
edentulous patients increase since tooth
loss and age are related.
Whether it is due to neglect, caries,
medications or other systemic reasons,
patients are coming to practices all over
the country needing extractions. Most of
the time, this eventually leads to completely
edentulous arches that need implantsupported
restorations.
These patients often have aesthetic
concerns from missing teeth, ill-fitting
or loose partial or full dentures, and the
inability to eat or function as they once did
with natural teeth.
Because of these concerns, it is important to
incorporate some type of implants into the
plan as described in the following clinical
cases.
Implants, whether narrow or traditional
width, allow patients to smile, eat, and
function much more effectively.
CASE 1
A 54-year-old female patient requested
to have a more secure denture. She
presented with combination syndrome,
which commonly occurs in patients with a
completely edentulous maxilla opposed by a
bilateral distal-extension removable partial
denture.
This syndrome poses a considerable
challenge to dentists and usually consists of
severe premaxilla and mandibular bone loss,
tuberosity overgrowth, and alveolar ridge
canting (Fig. 1).
All of this render prosthetic treatment
more difficult, and the preferred course
of treatment is to use dental implants for
functional support.
Fig. 1
Fig. 2 Fig. 3 Fig. 4
Fig. 5
Fig. 6 Fig. 7 Fig. 8 Fig. 9
Fig. 10 Fig. 11 Fig. 12 Fig. 13 Fig. 14
Fig. 1: No premaxilla as is shown on the pre op 3D scan and conversion
Figs. 2-3: Simplant ® treatment plan for six Axiom ® REG implants in the posterior
areas
Fig. 4: Pre-op clinical view of the resorbed premaxilla
Fig. 5: Surgical guide fabricated from 3D conversion by Simplant ®
Figs. 6-7: Flapless surgery with minimal trauma to bone and soft tissue
Fig. 8: “Short fat” implant 4,6x8mm
Fig. 9: Implants placed in optimal position for overdenture
Fig. 10: Placement of healing caps
Figs. 11-12: Overdenture with the metal frame and artificial teeth set in wax
Figs. 13-14: Clinical verification of aesthetics
34
DENTAL ASIA MARCH / APRIL 2021

Clinical Feature
Fig. 15 Fig. 16 Fig. 17 Fig. 18
Fig. 19 Fig. 20
Figs. 15-16: Final overdenture
Figs. 17-18: Clinical verification of tissue health and placement of
locator abutments
Figs. 19-20: Post-operative radiographs
Axiom ® REG Implants was selected for
good primary stability as well as for easy
conversion to fixed bridgework at a later
date if elected. To avoid additional grafting,
the Axiom REG 6.5mm length was selected
for the posterior region.
Treatment
The Simplant® treatment plan was executed
for the six Axiom REG implants in the
posterior areas where bone is available for
overdenture (Figs. 2-3).
With the resorbed premaxilla (Fig. 4), a
surgical guide was fabricated from 3D
conversion by Simplant (Fig. 5).
Flapless surgery with minimal trauma
to bone and soft tissue was done (Figs.
6-7) followed by optimal positioning of
“short fat” implant 4,6x8mm (Fig. 8) for
overdenture (Fig. 9).
After the selection and placement of
healing caps (Fig. 10), the overdenture was
fabricated with metal frame and the artificial
teeth was set in wax (Figs. 11-12). This
procedure was done to verify the aesthetics
clinically (Figs. 13-14) before curing the
final overdenture (Figs. 15-16).
On the day of denture delivery, the tissue
health was checked before the placement
of locator abutments (Figs. 17-18). Final
overdenture was installed and post-operative
radiograph was taken (Figs. 19-20).
Conclusion
This case delivered a high-quality
overdenture without the need for bone graft
and sinus lift by using a short fat implant.
Using surgical guide, the placement of six
implants allows for easy conversion to fixed
bridgework if the patient chooses that option
in the future.
CASE 2
For more than 15 years, a 43-year-old
Fig. 1
Fig. 2 Fig. 3 Fig. 4 Fig. 5
Fig. 9
Fig. 6 Fig. 7 Fig. 8
Fig. 10
Figs. 1-2: Pre-op situation, upper right and left region
Fig. 3: Flapless approach and initial pilot drill with tissue punch (left side)
Fig. 4: Parallel pin placed for verification
Fig. 5: Axiom ® REG selection 4,0x10mmFig. 6: Implant placed flapless in area of
tooth 25
Fig. 7: Axiom ® concept for healing cap selection to form transmucosal passage
for excellent final aesthetics
Fig. 8: Achieving optimal inter implant distance using the Axiom ® placement guide
Fig. 9: Axiom ® REG placed flapless in area of tooth 15,16 (4,0x10mm; 4,0x8mm)
Fig. 10: Axiom ® placement, 0.5mm below crestal bone
MARCH / APRIL 2021 DENTAL ASIA 35

Clinical Feature
Fig. 11 Fig. 12
Fig. 13 Fig. 14 Fig. 15
Fig. 16 Fig. 17
Fig. 18 Fig. 19 Fig. 20
Fig. 21 Fig. 22 Fig. 23 Fig. 24
Fig. 11: Preparation of second implant site and removal of tissue for flapless
approach
Figs. 12-13: Removal of the healing cap after tissue review
Fig. 14: Stock Ti abutment selection, 4mm or 6mm height
Fig. 15: Stock abutment placement with 0.5mm subgingival margin
Figs 16-17: Placement of final zirconia crowns
Figs. 18-20: CT slices to confirm proper placement
Fig. 21: One year post x-ray showing bone formation over the top of the Axiom ®
REG implants
Figs. 22-24: Final CT reconstructions and panoramic x-ray
female patient suffers from missing two
upper second premolars (15, 25) and an
upper right molar (16) (Figs. 1-2).
In this case, a flapless approach was
selected to minimise trauma and facilitate
quick healing. The Axiom Concept was
utilised to create an emergence profile that
would be difficult to detect from the natural
dentition.
Treatment
Using flapless surgery approach, an initial
pilot drill with tissue punch was done on
the upper left premolar area (Fig. 3). The
parallel pin was placed for verification (Fig.
4) before installing the Axiom REG selection
4,0x10mm implant (Fig. 5).
Implant was placed on the site (Fig. 6) and
the Axiom concept was utilised for healing
cap selection to form transmucosal passage
for excellent final aesthetics (Fig. 7).
Optimal inter implant distance at the upper
right maxillary region was measured with
the Axiom placement guide (Fig. 8). Axiom
REG was placed flapless in the area between
tooth 15 and 16 (4,0x10mm; 4,0x8mm)
(Fig. 9) and pushed 0.5mm below crestal
bone (Fig. 10).
The second implant site at the same region
was prepared and the tissue was removed
for flapless approach (Fig. 11).
After the tissued healed, the healing cap
was removed revealing an impressive tissue
emergence profile and excellent health
(Figs. 12-13).
Stock Ti abutment in 4-6mm in height
was selected (Fig. 14) and placed with a
subgingival margin of 0.5mm (Fig. 15). Final
zirconia crowns were placed subsequently
(Figs. 16-17) and CT slices were taken to
confirm its proper placement (Figs. 18-20).
A year later, post-operative radiograph
revealed a bone formation over the top
of the Axiom REG (Fig. 21). Final CT
reconstructions and panoramic x-ray were
taken (Figs. 22-24).
Conclusion
By utilising a minimally invasive technique,
we can confidently provide the technical
characteristics needed to keep the integrity
of the peri-implant biological space on the
day of surgery intact.
This concept continues to provide integrity
at restorative phase by allowing the correct
selection of stock healing cap and matching
stock abutment leading to an adjustmentfree
final restoration. No part of the process
36
DENTAL ASIA MARCH / APRIL 2021

Clinical Feature
has to be out of the treating doctor’s
control.
CASE 3
A 52-year-old male patient with upper and
lower removable dentures would like to have
fixed prosthesis.
All teeth were extracted over time with the
last few four years ago. A set of full upper
and lower dentures was made at that time.
He is unable to wear the dentures due to his
gagging reflex and Class III bite.
Treatment
Pre-op planning including a dual scan CT
was performed and a digital TX PL was made
in Simplant (Figs. 1-6). Then, upper and
lower surgical guides was fabricated for a
flapless surgery (Figs. 7-8).
Clinical surgery in the maxilla was performed
using flapless approach with minimal trauma
to tissue and bone. The implants selected are
3,4x12mm (4); 4x10mm; 4x8mm (Figs. 9-12).
The same concept was employed for the
mandible utilising Axiom REG and Axiom PX
implants REG 3,4x12mm (3); 4x8mm (2);
PX:4x10mm (Figs. 13-14).
Cover screw selection was done to establish
correct emergence profile for screw-retained
upper and cement-retained lower. Lingual
implant placement will be employed for the
upper so the screw access will not be on the
facial (Figs. 15-16).
Healing screw was removed revealing a soft
tissue profile with excellent adaptation of the
gum tissue for superior aesthetics. A multiunit
abutment with correct gingival height
selection based on healing cap heights were
placed subsequently (Fig. 17).
Open-tray multi-unit impression posts were
placed over the maxillary site and the posts
were luted together for accurate lab transfer
(Fig. 18). Open-tray impression was done and
multi-unit lab analogues for master cast was
placed (Fig. 19).
This procedure was followed by the placement
of healing caps over the maxillary multi-units
(Fig. 20); proceeding to placement of opentray
implant-level impression posts for the
mandibular cement-retained fixed implant
bridge.
Then, the posts were also luted together (Fig.
21), and open-tray impression was done
followed by the placement of lab analogues
(Fig. 22).
Fig. 1
Fig. 2 Fig. 3 Fig. 4 Fig. 5 Fig. 6
Fig. 7
Fig. 8 Fig. 9 Fig. 10 Fig. 11
Fig. 12
Fig. 13 Fig. 14 Fig. 15 Fig. 16
Fig. 17 Fig. 18 Fig. 19 Fig. 20 Fig. 21
Figs. 1-6: Pre-op planning including dual scan CT and digital TX PL made in
Simplant ®
Figs. 7-8: Upper and lower surgical guides fabricated for flapless surgery
Figs. 9-12: Flapless surgery on the maxilla with implants 3,4x12mm (4);
4x10mm; 4x8mm
Figs. 13-14: Flapless surgery on the mandible utilising Axiom ® REG and Axiom ®
PX implants REG 3,4x12mm (3); 4x8mm (2); PX:4x10mm
Figs. 15-16: Cover screw selection to establish correct emergence profile
Fig. 17: Healing screw removal and placement of multi-unit abutment
Fig. 18: Impression posts luted together (upper)
Fig. 19: Open-tray impression and placement of multi-unit lab analogues for
master cast
Fig. 20: Healing caps placed over the multi-units
Fig. 21: Impression posts luted together (lower)
MARCH / APRIL 2021 DENTAL ASIA 37

Clinical Feature
Fig. 22
Fig. 23 Fig. 24 Fig. 25 Fig. 26
Fig. 27
Fig. 28 Fig. 29 Fig. 30
Fig. 32
Fig. 31
Fig. 33 Fig. 34
Fig. 35
Fig. 22: Open-tray impression with lab analogues placed
Figs. 23-24: Wax setup on temp cylinders for try-in
Fig. 25: Clinical verification of wax bite, aesthetics, phonetics, occlusion
Figs. 26-27: PMMA temps upper screw-retained and lower cement-retained
Figs. 28-29: Clinical verification of PMMA temps for aesthetics, phonetics, occlusion
Fig. 30: Placement of lab-custom abutment jig for mandibular prosthesis
Fig. 31: Framework try-in for the lower full-arch bridge over custom abutments
Figs. 32-33: Clinical delivery of full-arch implant prosthesis
Fig. 34: Panoramic x-ray verification for passive fit
Fig. 35: Before and after situation
Wax setup was completed on temp cylinders
for the try-in of upper and lower prosthesis
(Figs. 23-24). Clinical verification of the wax
bite, aesthetics, phonetics, and occlusion
was performed after. (Fig. 25).
Subsequently, PMMA temps, upper screwretained
and lower cement-retained, were
fabricated from the wax try-in (Figs. 26-27)
and was clinically verified (Figs. 28-29).
For the lower full-arch bridge, fitting of labcustom
abutment jig was performed (Fig.
30) and a framework try-in was done over
these custom abutments (Fig. 31).
Final PFM full-arch screw-retained upper
bridge and lower PFM cement-retained
bridge as duplicated from PMMA temps was
fabricated and fitted to the patient’s mouth
(Figs. 32-33). To confirm passive fit, postoperative
panoramic x-ray was taken
(Fig. 34).
Post-op photos shows that patient is happy
with his new smile (Fig. 35).
OVERALL CONCLUSION
With the clinical flexibility afforded by
modern diagnostic tools and a restorativeminded
approach to treatment, we can
provide patients with implant restorations
that offer the form and function of natural
teeth, even in cases of advanced bone loss.
With continued technological advancements
and practitioner innovations, our capacity
to improve the lives of our patients can
only improve further, with the completely
edentulous patient benefitting most from a
well-thought out restorative-driven implant
system. DA
About the Author
Dr Paresh Patel
received his Doctor of
Dental Surgery degree
from the University
of North Carolina at
Chapel Hill, United
States, in 1996. He is also a graduate of
the AAID Maxi course from the Medical
College of Georgia, United States, in 2009.
38
DENTAL ASIA MARCH / APRIL 2021

User Report
Sticks to the teeth –
not the instruments
By Dr Ralph Schönemann
INTRODUCTION
The direct restoration of multiple defects, particularly old
restorations with secondary caries, places considerable demands on
both the clinician and materials used.
Lastly, the result achieved with the composite in terms of colour,
gloss, and abrasion has to be reliable in the long term. This result is
complemented by a technically reliable adhesive through permanent
impermeability of the restoration margins.
Compared with indirect fabricated restorations, the effort is
considerably less. Generally, these materials require a temporary
restoration as well as a second treatment session following
conventional impression-taking.
The automated fabrication of individual full ceramic restorations after
optical scanning is the single-appointment alternative, however, it
requires investment in this technology.
A prerequisite for successful, direct preparation of restorations with
purely light-curing composite materials in the layering technique is
avoiding tension during volumetric shrinkage which occurs during
polymerisation.
The adhesives and hybrid composites should be compatible with
each other and offer good long-term performance. This is reflected
both in in-vitro tests as well as in in-vivo long-term studies.
One of the requirements for state-of-the-art adhesives and
composites is safe handling during the preparation of the restoration.
This implies a good, uniform wetting layer when applying the
adhesive and convenient modelling properties of the hybrid
composite which allow the clinician safe adaptation to the bonded
tooth.
On top of it, the filler composition should be able to achieve an
impressive gloss of the surface during preparation and polishing.
The practical implementation of a direct restoration, combining
adhesive and composite, and an evaluation of the prerequisite
material requirements, are discussed in the following case study.
CASE STUDY
In this case, intraoral examination revealed insufficient tooth
restorations on the lower posterior left quadrant (Fig. 1). The
restoration margins revealed leakage and discolouration. The gap
closure between the teeth 35 and 37 was particularly irritating for
the patient. The x-ray image (Fig. 2) revealed secondary caries and
the approximal situation.
The teeth involved were cleaned, as were the adjacent teeth, while
waiting for block anaesthesia to come into effect. The placed Flexi
Dam permitted a good overview and provided good conditions for
drying the work area, allowing permanent adhesive bond between
tooth and restoration.
The old restorations were removed entirely and the secondary
caries was excavated (Fig. 3). ONE COAT 7 UNIVERSAL was used as
adhesive.
ONE COAT 7 UNIVERSAL is an MDP-based, light-curing singlecomponent
bonding agent which can be applied in self-etching,
selective etching or total etch techniques. The tooth surface was
conditioned with Etchant Gel S and polymerised with an S.P.E.C. 3
LED lamp (Fig. 4).
40
DENTAL ASIA MARCH / APRIL 2021

User Report
After excavation of the secondary caries, the cavity floor of tooth 35
was revealed to be in close proximity to the pulp chamber. Pulpconserving
acid conditioning was indicated.
Selective etching of the enamel with Etchant Gel S for 30 seconds
was followed by a shortened Total Etch for 10 seconds (Fig. 5).
Then, the etchant was removed thoroughly by rinsing for 20 seconds
and the cavities were dried with care.
Immediately afterwards, ONE COAT 7 UNIVERSAL was applied with
a brush to maintain adequate moisture and provide complete cover
prior to placing the matrix (Fig. 6). The adhesive is gently flushed
with an air blower and polymerised with the S.P.E.C. 3 LED lamp for
10 seconds.
A variety of partial matrix systems are available for a sophisticated
design of the approximal surfaces. Here, we used a ROEKO tensionfree
steel matrix band and trimmed it to the desired length as a
partial matrix. This band is available in different widths and material
strengths.
The nonelastic properties of the material make anatomical
customisation extremely easy. The thickness of the band in the area
of the contact point can be minimised effectively by thinning.
Fixation and basal sealing of the trimmed partial matrix was
performed with a wooden wedge, and for lateral sealing, the band
edges were pressed to the tooth surface using a clamping ring.
The design of the approximal surfaces (Fig. 7) with BRILLIANT
EverGlow A3/D3 (Fig. 8) is simple. The material keeps its shape
and does not stick to the instrument. Coated instruments are of
advantage here, in fact, filling instruments work better.
There are no limits to creating the morphology of the occlusal
surfaces as the consistency of BRILLIANT EverGlow offers excellent
modelling properties. Delicately modelled fissures (for example,
using an endo needle) remain open and do not merge again,
customisation is truly enjoyable with this material.
After removing the matrix, the approximal surface was given a
spherical design using an EVA file, any bonding expressed basally
from the matrix was removed, and the transition from the tooth to
the restoration was brought to the same level.
The matrix was applied distally to premolar 35 and sealed basally
with a wooden wedge; and laterally with a clamping ring. ONE COAT
7 UNIVERSAL was applied and gently air-cleaned after an exposure
time of 20 seconds.
ONE COAT 7 UNIVERSAL was polymerised with the S.P.E.C. 3 LED
lamp for 10 seconds (Fig. 9). The matrix, which has now been
stabilised by bonding, was thinned out swiftly using a zirconium
round burr in anti-clockwise rotation, yet without water.
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 1: Insufficient restorations with secondary caries
Fig. 2: X-ray on third quadrant missing approximal contact 35/37
Fig. 3: Condition after removing the insufficient restorations
Fig. 4: ONE COAT 7 UNIVERSAL is used for adhesive mounting of the direct restorations
Fig. 5: Filling the cavities with Total Etch for 10 seconds
Fig. 6: Application of ONE COAT 7 UNIVERSAL with a brush
MARCH / APRIL 2021 DENTAL ASIA 41

User Report
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 7: Reconstruction of the approximal wall
Fig. 8: BRILLIANT EverGlow A3/D3 syringe with BRILLIANT EverGlow
Fig. 9: Polymerisation of ONE COAT 7 UNIVERSAL with S.P.E.C. 3 LED
Fig. 11
Fig. 12
Fig. 10: Restoration after removing the matrix
Fig. 11: Polishing of the restorations
Fig. 12: Finished restorations with BRILLIANT EverGlow
At the same time, the partial matrix must be reliably fixated by the
wooden wedge. Metal chips were avoided by using anti-clockwise
rotation. Any metal chips that may still be generated, are dispersed
with air.
The desired result is a tight, spherical contact. Approximal convexity
can be customised easily in this manner.
This was followed by designing the approximal surface with
BRILLIANT EverGlow A3/D3 as well as the anatomical morphology of
the occlusal surface. Due to the well-sealed partial matrix aided by
the clamping ring, the finishing effort required after their removal is
minimal.
Using the EVA file, the result is already satisfactory (Fig. 10). An
occlusal check and minor corrections were performed.
Polishing takes little time as BRILLIANT EverGlow delivers its gloss
quickly (Fig. 11). Then, the restorations are brought to a high gloss
using an occlubrush. In their final from, the restorations are more
than satisfactory (Fig. 12).
The applied layer method of the BRILLIANT EverGlow submicron
filled hybrid composite in combination with the ONE COAT 7
UNIVERSAL adhesive delivers very good results. The S.P.E.C. 3 LED
polymerisation lamp provides reliable curing of both restoration
materials at high conversion.
CONCLUSION
Sticks the way it should, to the tooth and not the instrument. Due
to the consistency-setting of the dental restoration material such as
BRILLIANT EverGlow, application is easy and results in anatomically
correct outcomes.
Submicron hybrid composites offer an impressive rapid and consistent
gloss. Appropriate shades and an easy to achieve gloss due to
intelligent filler design provide the desired and sustainable aesthetics.
Permanent protection against leakage in the marginal region. The
high density and composition of the filler particles of the BRILLIANT
EverGlow composite optimise the results in terms of reducing shrinkage
and the resulting lower shrinkage stress.
The clinical long-term objective of sealed restoration margins can be
achieved with even greater certainty when using a reliable adhesive
such as ONE COAT 7 UNIVERSAL. DA
About the Author
Dr Ralph Schönemann is a practicing dentist
from Augsburg, Germany. His dental practice
offers range of services such as metal-free
restorations, implantology and oral surgery,
child treatment, and aesthetic dentistry.
42
DENTAL ASIA MARCH / APRIL 2021

INTRODUCING
BRILLIANT Crios
High performance –
made brilliant
A BRILLIANT solution for the dental practice
• Reinforced composite, high flexural strength for resistant restorations
• Tooth-like modulus of elasticity for a shock-absorbing effect
• High wear resistance and low abrasion on antagonist
• Secure bonding due to ONE COAT 7 UNIVERSAL
• Ease of modification and repair
• Effortless polishing ensuring a high gloss quickly and easily
CAD/CAM restoration (27)
Bonding
Final result
006573 02.21
www.coltene.com
https://m.facebook.com/COLTENE.AsiaPacific/

User Report
Dens in dente type III (Oehlers)
By Dr Jörg Schröder
CASE DESCRIPTION
This is a case of a 23-year-old male patient in generally healthy
condition. For two to three weeks, the patient suffered from labial
pain on tooth 22 upon palpation. There was also a small labial
swelling at the apical region.
However, during the first consultation, labial fistular opening was not
found.
to the medium third of the root. Presumably, dens in dente type III
(Oehlers).
Sharply delineated translucence of soft tissue density at the apical
and distal side of tooth 22, clear-cut separation between pulp cavity
and invagination, apical, kidney-shaped tapering of root transverse
cross-section on tooth 22, and significant reduction of labial osseous
lamella was also found.
Tooth 22 was slightly sensitive to percussion, axially and laterally,
but not hypermobile. The probe depths were within physiologic
limits.
TREATMENT
Tooth 22 was diagnosed to have a vital pulp with symptomatic
chronic apical periodontitis.
The sensitivity test to cold and electric stimulus (Elements
Diagnostic, Sybron Endo, Orange, US) were reproducibly positive.
Trauma could be excluded with respect to the general anamnesis.
To clarify the course of the invagination in the general area and
planning the practical treatment, a CBCT was performed in addition
to two-dimensional x-ray diagnostics.
RADIOGRAPHIC EXAMINATION
Individual digital images revealed soft tissue density, sharply
delineated translucence at the distal and lateral side of the apex; and
enamel density, shadowing in the mesial area of the crown extending
The treatment was conducted unilaterally:
• Thorough drying
• Preparation of the enamel invagination by means of cleaning
with powder blaster: PROPHYflex with PROPHYflex powder
(sodium carbonate)
• Preparation of the access cavity with diamond instrument
The pre-operative CBCT scan showed clearly that the communication
to the apical periodontium did not come from the deepest point of
the invagination, but diverged disto-palatally somewhat above.
After measuring the distance from the incisal edge to the opening
Fig. 1
Fig. 2 Fig. 3
Fig. 4 Fig. 5
Fig. 1: Backfill
Fig. 2: Masterpoint
Fig. 3: Recall one year later
Figs. 4-5: Invagination tooth 22
44
DENTAL ASIA MARCH / APRIL 2021

User Report
Fig. 6
Fig. 7
Fig. 8
Fig. 9 Fig. 10 Fig. 11
Fig. 6: Kidney-shaped root cross-section in the
apical region
Fig. 7: Invagination in mesiopalatal position to
the original canal
Fig. 8: Expanded osseous lysis
Fig. 9: Access cavity
Fig. 10: Lowest point of the invagination
Fig. 11: Tooth 22 reacts sensitively to cold
of communication and slightly expanding the primary access cavity,
it was possible to insert a pre-bent hand instrument (size ISO 008)
into the branch to the periodontium and advance to the apical tip of
the invagination under endometric control (Morita Root ZX).
The apical parts, which were clearly bent disto-palatally, were
prepared mechanically with pre-bent ProTaper hand instruments
(S1- F2) after repeating the endometric measurement several times.
However, it had not healed completely yet. In view of the expansion
of the periapical lysis determined in the pre-operative CBCT, this
could hardly have been expected.
Under certain circumstances, we may have to revise our ideas of
radiologically-certain healing with the advent of CBCT, or at least
adjust the time spans as tooth 22 still responded reproducibly to
cold and electric stimuli. DA
After extensive ultrasound-supported irrigation with NaOCl 5%,
EDTA 17%, and subsequent rinsing with 70% ethanol, the canal
was dried with sterile paper tips and the obturation was performed
in a modified Schilder technique with AH26 and gutta-percha sealer.
The coronal part of the obturation was performed with Squirt
technique.
After a radiological control exam, a quartz-fibre pin was inserted in
the lower two thirds of the invagination. Then, the dentin-adhesive
obturation was completed with a dual-curing composite. The
coronal part of the access cavity was sealed with a light-curing
hybrid composite.
The first clinical follow-up took place after one year. Tooth 22
showed no clinical symptoms. Radiological scans showed that the
apical translucence was healing.
(Images taken with Veraviewepocs F40 made by Morita, FOV 4x4 cm,
rotation time 9.4s, 80Kv, 6mA)
About the Author
Dr Jörg Schröder graduated from the Free
University of Berlin, Germany, in 1988. A
specialist in endodontics and member of
various international dental society, he runs an
endodontic private practice and has recently
authored a dental video journal: Ergonomics
at the dental microscope. In 2013, he won the Peter-Gulden
Practitioner Award for Endodontics and has served as vice regent,
ICD, District 6, Germany, from 2014-2020.
MARCH / APRIL 2021 DENTAL ASIA 45

User Report
TruNatomy: Respecting the root canal anatomy in
narrow, severely curved, or long canals
By Dr Anna Lechner
Patients have expressed their desire to preserve the function and aesthetics of their teeth for a lifetime.
Successful endodontic treatments also play a significant role in this. Dr Anna Lechner, endodontist from
Darmstadt, Germany, uses three case studies to show the improvements in terms of simplicity, safety, and
possibilities of dentin preservation gained by using the new file system from Dentsply Sirona, TruNatomy.
Almost seven million root canal
treatments are billed in Germany
every year 1 , and endodontics was
the main topic at the latest German Dentists’
Conference in Berlin.
Preserving tooth through endodontic
treatment plays an important role in
dentistry and is firmly anchored in the minds
of dentists.
Over the past few years, there have been
numerous studies addressing the clinical
success of root canal treatments.
Back in 2004, Friedman et al. published
a study in which they certified that teeth
without a periapical lesion had 92% to
98% chance of success, while teeth with a
periapical lesion had an expected success
rate of 74% to 86% 2 .
In 2010, Ng et al. reported a success rate of
93% after four to five years, and a success
rate of 87% after eight to 10 years 3 .
Gernhardt et al. showed in a review that
“complete and safe preparation as well as
successful management of the canal system
infection by a maximum reduction in the
bacterial count” are primarily crucial for
this success, in addition to factors such as
defect size, tooth type, and post-endodontic
restoration 4 .
I have specialised in this topic in my
practice, where I had my 20 th anniversary
last year. I deal almost exclusively with
patients who have endodontic issues. This
is also why colleagues refer their patients to
my practice.
We strongly believe that tooth preservation
offers the best possibility of maintaining the
existing physiological basis for preserving
the natural chewing function. This is why it
is important to preserve every tooth, and
this takes priority over all other solutions.
As specialists, we also check on a regular
basis which modern instruments and
materials can help make our treatments
even more successful.
TRUNATOMY AS A NEW CONCEPT FOR
DENTIN PRESERVATION ON NARROW
AND CURVED CANALS
Generally speaking, we as dentists remain
loyal to tried-and-tested systems. We
are reluctant to switch instruments and
materials because there is always some
uncertainty as to whether others work just
as well or whether they are also easy to use.
I personally like sharing experiences with
colleagues and am happy to benefit from
others’ experiences. But I am also someone
who likes to try out new things – after
all, there have been a number of recent
improvements in endodontic instruments.
Fig. 1 Fig. 2 Fig. 3
Fig. 1: Radiographic measurement with a silver point for better contrast and identification in the apical
region. The benefit: This enables even extra-fine canals to be shown
Fig. 2: Master point image showing adaptation of the master gutta-percha point for assessing the length of
the future root filling
Fig. 3: Control x-ray of the canal treated with gutta-percha points and BC Sealer
One such new concept is TruNatomy from
Dentsply Sirona, which was presented at
the IDS 2019. This is a complete treatment
solution, from Orifice Modifier to obturation,
46
DENTAL ASIA MARCH / APRIL 2021

User Report
with great importance attached to the
preservation of pericervical dentin. The
latter is decisive for the stability of a tooth
after root canal treatment.
The name TruNatomy is derived from the
design of the files, which is based on the
respect and preservation of the natural root
canal anatomy, and therefore the tooth.
The idea appealed to me, so I decided
to test it out in my practice. The first
impressions have already been positive;
these are instruments that feel good in your
hand. You can feel how the file moves in the
canal, both during manual and machine use.
I am familiar with systems that work in an
extremely extensive way and make removal
feel “jerky”. This is not the case here. The
files move in the canal quietly without the
user having to apply any particular pressure.
This is a very important function for narrow
canals – it is difficult to remove debris under
obliterated conditions, and the possibility
for irrigation is limited.
To avoid blocking the canal during
preparation, the cutting ability must be good
enough to ensure removal at all times.
Another important factor, especially for
curved canals, is the right conicity of the
files. This ensures that we can access up to
the apical area, where we can then irrigate.
TruNatomy’s paper points and gutta-percha
points are also adapted to this conicity,
making this treatment step much easier.
Furthermore, TruNatomy files have proven to
be extremely robust. There are already some
initial studies that have tested the files in
terms of their cyclic fatigue resistance.
CASE REPORTS
The first case involves an 85-year-old male
patient (Figs. 1-3). The treating dental
practitioner detected an abscess on tooth
42 and carried out trepanation of the tooth.
Locating the root canals proved to be
difficult because they were severely
obliterated. The colleague referred the
patient to my practice.
Surgical intervention for the abscess was
not necessary, as it had already been
treated and the healing process was
supported by systemic antibiotics.
This case is a prime example for the use
of TruNatomy files; I found two root canal
entrances that joined to form a single canal.
We prepared it conventionally, sealed it with
composite, and referred the patient back to
his dentist for further treatment.
The file system is especially useful under
difficult conditions, such as with obliterated,
severely curved, or even very long root
canals. TruNatomy files offer more minimally
invasive access to the cavity because their
high flexibility makes the files resilient.
Even more important to me is the cutting
ability, with TruNatomy offering much more
than the systems that I usually, and also
quite successfully, work with.
Both Rhyahi et al. 5 and Elnaghy et al. 6 was
impressed by the cyclic fatigue resistance of
the TruNatomy files. This enables the files to
improve patient safety with a reduced risk of
file breakage compared to other systems.
The TruNatomy files have been an integral
part of my practice’s instrument portfolio
for about one year. They give me real added
value for narrow and long root canals. The
following cases provide examples of this.
In the second case, a 63-year-old female
patient presented with pain in tooth 15,
where we diagnosed acute irreversible
pulpitis (Figs. 4-7).
What was special about this was, rather
than one wide canal, two very narrow root
canals were involved, which joined to form a
single canal.
In this case, I alternately prepared both
Fig. 4: Radiographic
measurement
Fig. 5: Master point image
Fig. 6: Eccentric image to
show both canals
Fig. 7: Right angle exposure
for control
MARCH / APRIL 2021 DENTAL ASIA 47

User Report
Fig. 8: Radiographic
measurement
Fig. 9: Master point image
Fig. 10: Eccentric image
to show the mesial root
canals
Fig. 11: Control x-ray with
right angle technology
canals directly through the ceramic crown
and finally sealed the opening with a
composite. This is very easy to implement
for all-ceramic crowns.
The third case, a 26-year-old male patient,
presented with pain after restoration with
a filling at tooth 26 (Figs. 8-11). This also
involved irreversible pulpitis. The tooth had
four root canals, and the mesiobuccal canals
were very narrow and severely curved.
The TruNatomy file system also proved
highly successful here. To avoid removing
any additional substance from the root
canal, I did not use a post and core.
To strengthen the tooth for the final
restoration by the patient’s dentist, I
decided on deep intracanal anchorage with
a dual-curing composite.
CONCLUSION
As a referral practice, we primarily see
challenging endodontic cases. This is why it
is necessary to have a range of instruments
at hand to cover both classic indications as
well as special cases.
The preparation of narrow, curved, or even
very long canals necessitates files with
excellent cutting performance and high
flexibility of the instruments.
endodontie-2018---was-geht-was-bleibtwas-kommt__6874.html
5. Riyahi A M, et al. Cyclic Fatigue Comparison
of TruNatomy, Twisted File, and ProTaper
Next Rotary Systems. Int J Dent 2020, 2020.
Jg. http://downloads.hindawi.com/journals/
ijd/2020/3190938.pdf
6. Elnaghy A M et. al. In vitro comparison
of cyclic fatigue resistance of TruNatomy
in single and double curvature canals
compared with different nickel-titanium
rotary instruments. BMC Oral Health 20, 38
(2020). https://doi.org/10.1186/s12903-
020-1027-7
About the Author
Dr Anna Lechner
is a specialist in
endodontics who
completed her studies
at the Ruprecht-
Karl University in
Heidelberg, Germany. Over the years, she
attended various courses in endodontics,
traumatology, laser, and DVT. At present,
she runs a private practice specialising in
endodontics and also conducts lectures in
the same field. She is a certified member
of the German Society for Endodontology
and Traumatology (DGET) and Association
of German Certified Endodontologists
(VDZE).
This is on top of high fracture resistance
because broken files in long canals
would cause extremely unfavourable
complications.
The TruNatomy system meets all
these criteria. Furthermore, the
conventional endo-irrigation protocol
can be implemented, so no adjustment is
necessary.
Preparation is carried out quickly thanks to
the smooth transition between the files, as
the files are colour coded according to ISO
sizes. Neither the dentist nor the assistant
has to relearn the sequence of the files. DA
REFERENCES
1. https://de.statista.com/statistik/daten/
studie/287130/umfrage/anzahl-der-vonzahnaerzten-abgerechneten-fuellungenextraktionen-und-wurzelkanalfuellungen/
2. Friedman S, Mor C: The success of
endodontic therapy-healing and
functionality. J Calif Dent Assoc 32 (6),
493–503 (2004).
3. Ng YL, Mann V, Gulabivala K: Tooth survival
following non-surgical root canal treatment:
a systematic review of the literature. Int
Endod J 43 (3), 171–189 (2010).
4. Gernhardt C R, Jäger H: Endodontie 2018
– Was geht, was bleibt, was kommt? zmkaktuell.de,
12.10.2018. https://www.zmkaktuell.de/fachgebiete/endodontie/story/
48
DENTAL ASIA MARCH / APRIL 2021

Why short implants?
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techniques or immediate temporization
6mm short implant
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Behind the Scenes
Infection control through digital scanning
in the dental laboratory
By Kimara K. Ackerley
Established in 1973, Protec Dental
Laboratories Ltd in Vancouver, British
Columbia (BC), has grown to become
one of Canada’s largest full-service dental
labs.
Protec takes great pride in its Canadian
heritage while embracing a diverse team
of employees from every corner of the
world. It is a collaboration that continues
to transform the art and science of crafting
dental appliances into a highly precise
and ultra-efficient process, including the
integration of new digital technologies.
In the realm of global dentistry, health
and safety processes and procedures have
always been stringently regulated.
Protec places great emphasis in following
internal and external regulatory guidelines
that are predominantly outlined by both the
Provincial Ministry of Health and College of
Dental Technicians of BC.
Even before the COVID-19 pandemic,
disinfection processes have always been
mandated across the dental industry.
During the time of COVID-19 closures, new
information relating to sanitisation and
infection control began to materialise.
It was inevitable that the existing
regulations would be enhanced, and,
in anticipation, we began a methodical
approach to prepare for reopening.
The most obvious questions were: “What will
we need to change? What new procedures
will we implement? And, how are we going
to achieve it?”
HOW IDEAS TRANSITIONED TO
STRATEGIC PLANNING
Understanding the publicised intricacies of
the COVID-19 pandemic, including exposure
and transmission, were vital.
Prevention and control became the highest
priority in order to adhere to the everchanging
worldwide protocols and, to
save lives. This remains every citizen and
corporation’s responsibility.
Leaders at Protec Dental Laboratories
wholeheartedly embraced this ideology
and moved quickly to incorporate it into
the strategic goals, ensuring that it became
ingrained into every employee’s daily
workflow.
PRIORITISING HEALTH AND SAFETY
During an early roundtable discussion, the
decision was made to revamp the existing
disinfection protocol.
The main challenge would be to
systematically achieve this with 215
employees operating across four
buildings. We determined that there were
approximately 800 of required cleaning,
disinfecting, and sanitisation tasks within a
specified daily frequency.
Enhanced infection protocols directed our
focus on the necessity to implement a
robust barcode scanning system.
This system would deliver efficiency and
accountability through tracking and data
analytics, specifically for the disinfection of
50
DENTAL ASIA MARCH / APRIL 2021

Behind the Scenes
Disinfection: All products and surfaces in the laboratory are sanitised with an
ethanol-based disinfection solution
Barcode scanning: Disinfection tasks are completed by barcode scanning and
further recorded in the DLCPM disinfection application
some time, revolving future plans around
the long-term implications.
MANAGING THE WORKFLOW
Hon, our health and safety officer with an
education background from The University
of British Columbia, was appointed to lead
our broadened infection control team and
was promoted accordingly.
DLCPM reporting: The recorded data is monitored to identify inefficiencies for both personal and shared
workspaces through trend analysis
personal and shared workspaces. Each area
was assigned a unique name and barcode
with a detailed description of the cleaning
expectations.
Magic Touch Software Lab Management
System (DLCPM)’s Disinfection Procedure
Feature was utilised and customised within
our trusted CRM platform to deliver all the
features we had aspired to.
Further enhancements to this revamped
sanitisation workflow included plexiglass
dividers, mandatory PPE, two-metre social
distancing, and screening of all employees,
patients and visitors.
Additionally, we adapted an environmentally
conscious ionisation process that is
distributed through fogging.
It became our prime concern to create the
safest environment for our most valued
assets: our employees!
Business strategies have continued to
evolve including the realisation that the
aftermath of COVID-19 would linger for
Hon maintains an aptitude for growth
and development and works closely with
our senior management team. Through
close knit collaboration and teamwork, a
streamlined workflow including training,
learning resources, application, and close
monitoring has been achieved.
Our digital infection control programme
has become a great success; we continue
to adapt and navigate through the hurdles
of COVID-19, while striving for a brighter
tomorrow. DA
About the Author
Kimara K. Ackerley is
the project manager
at Protec Dental
Laboratories LTD,
Vancouver, BC, Canada.
MARCH / APRIL 2021 DENTAL ASIA 51

Behind the Scenes
Full digital workflow for duplication of an implantretained
overdenture: A novel approach
By Dr Theodoros Tasopoulos
BACKGROUND
Many denture wearers who require replacement dentures may have
been wearing the same set for a long time. For that reason, especially
for the elderly, adapting and controlling a new set of dentures may
pose a difficulty, as they can differ in shape from the existing one.
However, it is now possible to reproduce the polished surfaces of the
existing dentures thanks to a novel, simple method of the fully digital
copy denture technique.
CASE INFORMATION
A 78-year-old healthy female patient was referred to our private
dental practice for replacement of her existing implant-retained
overdenture on the lower jaw (Fig. 1).
Clinical examination showed general deterioration of the denture
base material. Dental history revealed multiple excessive fractures
and repairs on the existing denture, which appeared as a result of
flexural fatigue for over 10 years.
Additionally, the artificial teeth were worn down and slightly
discoloured. The patient was generally satisfied with her overdenture
but wishes to improve its retention.
TREATMENT PLAN
After reviewing treatment options, the patient decided to have a
new implant-retained lower overdenture with a polyether ether
ketone (PEEK) framework insert to reinforce the milled poly methyl
methacrylate (PMMA) denture base resin.
Fig. 1: Patient’s existing broken implant-retained overdenture
Fig. 3. Duplicate copy of the patient’s existing
prosthesis trimmed in the midline
Fig. 2. Chairside scan of the lower denture (TRIOS 4, 3Shape)
Fig. 4: Half of the copy denture seated intraorally onto
locator abutment
Fig. 5: Pre-preparation intraoral scan with the half
of the 3D printed copy denture in situ
Fig. 6: Digital impression of the opposite dentition
and bite registration of the jaws (TRIOS 4, 3Shape)
Fig. 7: Editing of pre-preparation scan, area of the
3D printed denture was deleted
52
DENTAL ASIA MARCH / APRIL 2021

TRIOS 4
Success
is simply in
your hands
3Shape TRIOS 4 provides
efficient and simplified routine
intraoral scanning, enabling
you to focus on achieving
outstanding treatment
outcomes and making
more patients smile.
THE EASY WAY TO MAKE A GREAT IMPRESSION
2-in-1
scanning
Color impression
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scan in just one
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Wired and
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Flexible power
options for nonstop
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Contact your reseller regarding
availability of 3Shape products
in your region.
The caries diagnostic aid feature is
not cleared by the FDA for clinical
use in the US.
TRIOS 4 – skilled hands made stronger
www.3shape.com/en/scanners/trios-4

Behind the Scenes
Fig. 8: Producing the definite intraoral impression
of the lower jaw by rescanning the relevant region
Fig. 9: Alignment of pre-preparation and final
impression scan using the three-point method
Fig. 10: Milled trial copy denture (ProArt CAD try in,
Ivoclar Digital)
Fig. 11: Monoblock try-in denture (ProArt CAD try in,
Ivoclar Digital) covered with a thin layer of pink wax
Fig. 12: Designing the cavities of the teeth automatically using the CAD software and selection of permanent
denture teeth (SR Vivadent CAD, Ivoclar Digital)
Fig. 13: Denture base milled from a PMMA puck
(IvoBase CAD, Ivoclar Digital) and construction
of PEEK reinforced mesh utilising CAD/CAM
Fig. 14: Definite implant-retained overdenture seated on
patient’s lower jaw
Fig. 15: Processing the locator denture
attachment metal housings and inserts into the
denture, using the direct technique
Firstly, the entire surface of the lower denture was scanned chairside
(TRIOS 4 intraoral scanner, 3Shape). This scan generated an STL file
format and was sent directly to a 3D printer (Fig. 2).
A duplicate of the patient’s existing prosthesis was printed. The 3D
printed denture replica was trimmed in the midline.
Two equal pieces came out from the acrylic model (Fig. 3), and
the half of the copy denture was seated intraorally onto locator
abutment (Fig. 4). A pre-preparation intraoral scan was obtained
with the half of the 3D printed copy denture in situ (Fig. 5).
Subsequently, digital impression of the opposite dentition and bite
registration of the jaws were scanned (TRIOS 4, 3Shape) (Fig. 6).
Moving to the final step, the pre-preparation scan was edited and the
area of the 3D printed denture was deleted (Fig.7).
Definite intraoral impression of the lower jaw was made from
rescanning (capturing) only the relevant region (Fig. 8), while the
alignment of pre-preparation and final impression scan was done
using the three-point method available in 3Shape Dental System.
Then, the milled trial copy denture (ProArt CAD try-in, Ivoclar Digital)
was produced (Fig. 10).
The monoblock try-in denture utilising the ProArt CAD try-in
replaces the conventional wax teeth try-in, allowing the clinician
and the patient to evaluate the main clinical parameters such as the
aesthetics, phonetics, occlusion, and maxillomandibular relation (Fig.
11).
Moreover, the clinical assessment included the fit of the denture,
flange extensions, and retention of the denture base. Following the
milling process, the trial denture was covered with a thin layer of pink
wax.
54
DENTAL ASIA MARCH / APRIL 2021

Behind the Scenes
While creating the STL file of the definite denture base, CAD software
designs automatically and accurately the cavities for the teeth (Fig.
12). Permanent denture teeth were also selected from available
libraries and milled from a 20mm thick tooth-coloured disc (SR
Vivadent CAD, Ivoclar Digital).
Once approved, the denture base was milled from a PMMA puck
(IvoBase CAD, Ivoclar Digital). Finally, a PEEK reinforced mesh was
also constructed, utilising CAD/CAM technology (Fig. 13).
retention. Occlusion was verified (Fig. 17) and the patient was
instructed on proper home maintenance and given advice for the
required recall visits.
DISCUSSION
The fully digital protocol for denture duplication followed in this
case demonstrates an easy and predictable way to assist patients
who feel comfortable with the fit and/or aesthetics of their existing
denture.
Then, the definite implant-retained overdenture was seated on
the patient’s mouth (Fig. 14). Intaglio surface of the mandibular
overdenture was evaluated with pressure indicating paste, showing
excellent adaptation with underlying tissues immediately after the
final delivery of the prosthesis and before any adjustments 1,2,3 .
Using the direct technique, processing of the locator denture
attachment metal housings and inserts into the denture was
employed (Fig. 15).
Moreover, the laboratory now has an STL file of the milled denture,
so this overdenture can be replicated at any time without additional
patient visits. Modern literature clearly supports the high accuracy of
edentulous arch scans.
Intraoral scanners (TRIOS 4, 3Shape) are based on mucostatic
impressions, and denture retention is obtained mainly by the
intimate contact of the surface of the denture base with the
underlying tissues under the principle of surface tension 1,2,3 . DA
Definite prosthesis (Fig. 16) was again seated in patient’s mouth.
The selected final inserts were set into place, providing sufficient
REFERENCES
1. Lo Russo L, Caradonna G, Troiano G, Salamini A, Guida L, Ciavarella D.
Three-dimensional differences between intraoral scans and conventional
impressions of edentulous Jaws: A clinical study. J Prosthet Dent 2019;
(Epub ahead of print).
2. Tasaka A, Yuuki U, Tomoharu M, Takao K; Takuya; Homma T, Matsunaga
S, Abe S, Yoshinari S, Yajima M, Sakurai Y, Yamashita K, Shuichiro.
Applying intraoral scanner to residual ridge in edentulous regions: in
vitro evaluation of inter-operator validity to confirm trueness. BMC Oral
Health 2019; 19 (1): 1-10.
3. Lo Russo L, Ciavarella D, Salamini A, Guida L. Alignment of intraoral
scans and registration of maxillo-mandibular relationships for the
edentulous maxillary arch. J Prosthet Dent 2019; 121 (5): 737-740.
Fig. 16: Definite prosthesis
About the Author
Dr Theodoros Tasopoulos graduated from
the School of Dentistry at the National and
Kapodistrian University of Athens in 2004.
He continued his studies at the University
of Bristol, United Kingdom, and received his
Master’s Degree in Prosthetic Dentistry.
Fig. 17: Patient wearing the definite prosthesis
Dr Tasopoulos is the author of specialist publications in the field
of prosthodontics and dental materials. Furthermore, he conducts
continuing education courses on the subject of mouthguards
and splint therapy. He has been practicing in his own clinic in
Athens since 2008.
MARCH / APRIL 2021 DENTAL ASIA 55

In Depth With
See more and do more with
Carestream Dental’s newest
CBCT imaging system
Fig. 1: CS Metal Artifact Reduction/ MAR live comparison feature
Practices that are looking to expand
their treatment capabilities, perform
more in-office procedures and provide
better services to patients will find that
the CS 8200 3D Family 1 , the newest set of
powerful imaging systems from Carestream
Dental, is able to deliver extended fields of
views (FOV) along with advanced software
capabilities.
The CS 8200 3D is a versatile, multimodality
system that includes 2D panoramic
imaging, CBCT imaging, 3D object scanning,
and optional cephalometric imaging with
added enhancements of larger FOVs and
incredibly advanced algorithms that help
doctors see more and do more for patients.
Six selectable FOVs, from 4cmx4cm
to 12cmx10cm, is able to cover both
daily clinical applications and advanced
treatments. The EndoHD mode, available on
the smallest FOV, delivers extremely highresolution
scans (75µm) that sees even the
finest details of root canal morphology.
On the opposite end of the spectrum, the
new extended volume sizes*—12cmx5cm
and 12cmx10cm—is able to capture fullarch
images, including third molars, in a
single scan for performing complex implant
cases, periodontics, oral surgery, and
orthodontics.
Once an image is captured, Carestream
Dental’s best-in-class image quality in
addition to its new advanced software
algorithms provide doctors with more
confidence when making diagnoses.
One of Carestream Dental’s latest
innovations, Tomosharp technology,
generates sharp panoramic images
effortlessly, even when the patient is not
perfectly aligned. Advanced Noise Reduction
(ANR) reduces image noise while preserving
clinical details, which is especially valuable
for high-resolution scans.
Perhaps, the most highly anticipated
feature is the optional CS MAR software.
CS MAR reduces metal artifacts caused by
implants and dental fillings and provides a
unique tool to compare live images with and
without CS MAR applied.
For advanced diagnostic capabilities,
practices can add the optional Scan
Ceph module that delivers best-in-class
cephalometric imaging and scanning times.
Its imaging software includes an automatic
tracing feature 2 that can provide a fully
traced ceph in as little as 10 seconds, leaving
more time for case presentation and patient
communication.
Whether opting for the CS 8200 3D or the
CS 8200 3D with Scan Ceph module, both
systems are supported by Carestream Dental’s
latest imaging software, CS Imaging version
8, a powerful imaging hub that centralises all
practice’s 2D and 3D images and CAD/CAM
data. This allows the system to seamlessly
integrate with the practice’s existing digital
workflow.
The systems follow the same award-winning
compact footprint of the CS 8100 3D, which
is recognised for its slim profile, user-friendly
features and ease of installation. Launched in
2014, the CS 8100 3D Family has more than
11,000 systems installed worldwide.
The CS 8200 3D Family joins Carestream
Dental’s expansive portfolio of extraoral
imaging systems, including the CS 8100 and CS
8100 3D Families, and their newly added Evo
Editions, and the premium CS 9600 Family.
No matter the practice’s size or specialty,
Carestream Dental offers an imaging system that
can meet their patients’ unique needs. DA
Fig. 2: Implant planning in CS 8200 3D
Fig. 3: The ANR algorithm reduces image noise while preserving clinical details
56
DENTAL ASIA MARCH / APRIL 2021

In Depth With
BeautiSealant:
Bioactive pit and
fissure sealant
For decades, dentists and hygienists
have had no alternative but to
use phosphoric acid etching as a
necessary evil to improve the bondability of
dental sealants. In doing so, they have not
only lost countless hours to these laborious
steps, but have also inevitably destroyed
otherwise healthy tooth structure with the
damaging effects of harsh acids.
Driven by recent developments in adhesives
technology, Shofu has created a faster,
easier, and gentler sealant system that
eliminates the need for phosphoric acid etch
and rinse steps entirely, while maintaining
equal or better shear bond strengths.
GENTLE ON ENAMEL
BeautiSealant is BPA- and HEMA-free with
dual adhesive monomers that thoroughly
penetrate and prepare pits and fissures for
bonding to the sealant.
Unlike traditional sealants which require
phosphoric acid etching, demineralising and
dehydrating healthy teeth, Shofu’s selfetching
primer is significantly less acidic
helping to preserve healthy tooth structure.
BeautiSealant is an easy-to-apply sealant
optimised for smooth, bubble-free
consistency. Precise delivery of up to 100
teeth sealed with 1.2g syringe is made
possible by specially designed no-ooze/nowaste
syringe, and a fine gauge needle tip.
S-PRG FILLER TECHNOLOGY
BeautiSealant Bioactive Pit and Fissure
Sealant is based on Shofu’s proprietary
S-PRG filler uniquely releases six ions:
Fluoride, Sodium, Strontium, Aluminum,
Silicate, Borate, all with known bioactive
properties.
These patented S-PRG Fillers contains a
multi-functional glass core that undergoes
an acid-base reaction during manufacturing
and is subsequently protected by a surface
modified layer.
This trilaminar structure forms a type of
stable glass ionomer which allows ion release
and recharge to take place, while protecting
the glass core from the damaging effects
of moisture, greatly improving long-term
durability.
BeautiSealant is therefore able to recharge its
fluoride ions from household dental hygiene
products such as toothpaste, providing
sustained benefits to adjacent tooth structure
over the life of the sealant. DA
MARCH / APRIL 2021 DENTAL ASIA 59

In Depth With
NobelProcera ® Zirconia
Implant Bridge:
simplifying partnership
between clinicians and
technicians
NobelProcera Zirconia Implant Bridge
is a premium solution that provides
individualised, high-end, implantbased
restorations and services that seek to
improve patient outcomes, aesthetics, and
implant longevity.
Recommended for anterior and posterior
implant bridge restorations from two
to 14 units, this new offering simplifies
the partnership between clinicians and
technicians.
Eliminating the bonding procedure reduces
complexity and simplifies the workflow.
EXTENSIVE FLEXIBILITY
The new offering is available in full-contour,
cut-back, thimble, and framework styles
(with or without soft tissue), making
it possible to achieve natural looking
restorations.
The combination of the angulated multi-unit
abutment and angulated screw channel
provides up to 55 degrees of restorative
freedom. DA
*25% smaller screw channel diameter area
compared to angulated screw channel for
conical connection
MADE FOR AESTHETICS
Available in 10 precisely matched VITA ®
shades, the NobelProcera Zirconia Implant
Bridge is designed with aesthetics in mind.
It uses angulated screw channel to improve
buccal access.
With the recent partnership with DOCERAM
Medical Ceramics, the zirconia implant
bridges are produced with the high-end
Nacera ® Pearl zirconia material, which meets
Nobel Biocare’s highest quality standards.
CEMENT-FREE
NobelProcera Zirconia Implant Bridge
was designed for a smaller, angulated
screw channel, with the new Omnigrip Mini
Screwdriver to improve occlusal aesthetics*.
60
DENTAL ASIA MARCH / APRIL 2021

In Depth With
Implantology meets Implantmed
Dental implantology is evolving
at a rapid pace. Treatments are
increasingly becoming safer and
gentler, and the implantology workflow more
efficient and verifiable. And Implantmed is
part of this progress.
Andreas Brandstätter, strategic product
manager for Oral Surgery and Implantology,
W&H, knows how innovation has changed
implantology in the past 20 years and
discussed the unique selling point of the
device and the secret of its success.
Mr Brandstätter, what does the
‘Implantmed’ brand stand for?
For me, it’s quite clear: Implantmed is
your go-to partner for oral surgery and
implantology. The popular product brand is
now synonymous with dental implantology
and is commonly used as a term for
implantology motors in dental practices.
What makes Implantmed a must-have in
dental implantology?
We offer a reliable, robust and durable drive
unit, which is easy to operate. At the same
time, we provide a flexible workflow solution
with optional extra product features that
are ideally suited to the user’s individual
working style.
We ensure that Implantmed is always at
the forefront of current trends by adding
appropriate customer-oriented features.
Can you briefly explain how the W&H
innovation has evolved over the years?
Twenty years ago, our team of developers
was tasked with designing an easy-tooperate
drive unit with a high-torque motor
for dental implantology and maxillary
surgery; the result was Implantmed. It still
fulfils these criteria today.
Implantmed is constantly being updated
with innovations such as LED supply on
the motor, Osstell ISQ for measuring
implant stability, wireless foot control,
precise torque monitoring, and many
other functions. A glass display with touch
screen also enables better disinfection and
therefore, optimal hygiene.
This means each Implantmed generation is
always a step ahead. What is the secret to
W&H’s success?
That’s easy – our focus on the customer
and the commitment of each and every
employee. Another secret to our success is
the perfect interplay of man and machine;
expertise and technology go hand-in-hand,
and this is reflected in Implantmed.
What technological milestones are you
particularly proud of?
We should be proud of every Implantmed
generation. My personal highlight is the
short and powerful motor including thermo
washer disinfectable and sterilisable cable.
This was a key milestone for the industry
which we can offer extra comfort and safety
for the user and the patient alike.
Why is Implantmed so popular among
dentists?
Because it is reliable, durable and easy
to use; this enables the user to fully
concentrate on treating the patient. But we
really would need to ask our customers who
work with Implantmed every day. And this is
something we do regularly.
We had a great response from Dr Romana
Krapf, for example, who runs a group
practice with her father in Weißenhorn,
Germany. She explained to us that her
father was already working with Implantmed
20 years ago and that she is still using the
same device today as it fits perfectly into
her workflow. This alone says a great deal.
We also support the work of the Dentists
Without Limits Foundation (DWLF) in
Siavonga, Zambia, where our Implantmed
device is in use. Dr Fridleif Bachner from
Germany, who often works on site at DWLF,
is delighted with the robustness of the W&H
device.
Despite extreme on-site conditions – like
dust, heat etc. – Implantmed works reliably
and smoothly. Implantmed is thus not only
an important tool in clean room surgeries,
but also under extreme external conditions
in Africa.
What role does Implantmed play in the
entire W&H product portfolio?
Implantmed is one of W&H’s most popular
products. Today, there are Implantmed fans
right across the world. As an essential part
of our NIWOP workflow (No Implantology
without Periodontology), it demonstrates its
strength in individual workflow solutions.
Countless implant manufacturers around
the world place their trust in us and sell
Implantmed under their own brand.
What can we look forward to next?
Implantmed is increasingly evolving into
an innovative systems solution. So, the
professional community can certainly look
forward to more highlights in the future! DA
MARCH / APRIL 2021 DENTAL ASIA 61

In Depth With
CEREC Primemill provides more versatility and comfort
for excellent in-house milling quality
CEREC Primemill took the CEREC system to
a new level of quality when it was launched
a year ago: chairside dentistry is now faster,
offers a wide range of materials, is easy to
work with and ensures excellent results.
CEREC users in around 50 countries are
already taking advantage of the benefits of
working with the new unit.
Dentsply Sirona recently introduced the
CEREC SW 5.1.3 update, which includes 17
newly validated materials for the CEREC
Primemill including PMMA for surgical guides
and bridge blocks for grinded processes.
With this update, 49 different materials
from nine different manufacturers are now
validated for the unit. Restorations can
now be made with ease from a wide range
of materials including feldspar, hybrid and
glass ceramics, lithium disilicate ceramics,
zirconia, PMMA, and composites.
Through these enhancements, the company
has improved the ease of use, functionality,
and stability – based on valuable insights
gained from an intensive feedback exchange
with the first users.
The results were essentially achieved
by updating the software. The close
cooperation with their partners in dental
offices pays off, especially with new
technologies, and helps to optimise new
product solutions for daily use in practice.
The update requires a pre-installed version
of CEREC SW 5.1.2.
For new CEREC users, CEREC Primemill,
and in particular the zirconia workflow,
represents an excellent start to the chairside
treatment.
EXCELLENT RESULTS, QUICKLY AND
EASILY
The feedback provided by customers
shows that CEREC Primemill helps advance
treatment quality, particularly in terms of
accuracy, speed, and ease of use. Users
report that from their experience, they can
arrange patient appointments differently
because the workflow has become much
faster.
This is also supported by the fact that work
steps that do not take place directly on
the patient can be delegated. Ultimately,
dentists gain more exclusive time for their
patients to make them feel comfortable.
For Dr Josef Kunkela, dentist from
Jindřichův Hradec, Czech Republic, there
are two aspects in particular that convince
him about CEREC Primemill: remarkable
accuracy and precision in the occlusal fit
and an aesthetic result that is virtually
impossible to distinguish from the natural
tooth. He said, “I achieve these aspects
with CEREC Primemill. I see impressive
results along the margins and a smooth
surface. And all of this is accomplished at a
surprising speed.”
FURTHER IMPROVING PROFITABILITY
WITH CEREC
In addition to the developments in the
clinical area, there are also advantages in
profitability. These include saving time in the
grinding and milling process itself compared
to previously available units.
With CEREC Primemill, restorations,
especially those made of zirconia, can be
milled even faster thanks to new tools and
improved technology, which ultimately
also has a time saving impact on the entire
workflow.
The ability to grind or mill restorations with
high accuracy and precision, including the
milling of zirconia crowns in Super Fast
mode in as little as about five minutes, opens
the door for even more efficient fabrication
of ceramic restorations.
“We have developed another component of
the CEREC system and thereby established
a new setup that is seamlessly integrated –
both in terms of design and functionality,”
said Dr Alexander Völcker, group vice
president of Dentsply Sirona CAD/CAM.
He continued, “We are proud of our CEREC
Primemill grinding and milling unit because it
is both perfect for the present and prepared
for what we have planned – we have just
shown this by adding further features with
the newest update. This system simply grows
with its possibilities and is ready for the new
dimension – the all-new CEREC.” DA
MARCH / APRIL 2021 DENTAL ASIA 63

Product Highlights
ACTEON
ACTEON releases new line of ergonomicallydesigned
hand instruments
ACTEON ® has launched its new line of hand
instruments: Bliss by Acteon. Meant to
create a balance between clinicians’ hands
and the instrument, ACTEON used scientific
studies based on dental instrument
ergonomics to design the Bliss line.
The working part of Bliss curettes and
scalers offer an optimal hardness for sharp
instruments and excellent edge retention.
To reach this level of excellence, ACTEON
follows the cutlery traditions of Thiers,
France, the world capital of fine cutlery.
ACTEON has integrated the ancestral cutlery
and metallic expertise to develop high
quality manual instrumentation.
Bliss instruments are lightweight with a
large grip providing increased comfort,
quick adaptation and easy rotation. It also
features an effective silicone grip surface for
better control.
“The Bliss instruments from ACTEON are
a dream come true. The wide silicone grip
was comfortable and did not get slippery at
all when they got wet. But the thing I was
really impressed with was their sharpness.
Their sharpness made scaling patients with
tenacious calculus extremely easy without a lot
of pressure,” said Cindy Straface, a registered
dental hygienist from the United States.
With the Bliss line, the company has reached
the perfect balance between craftmanship,
industrial techniques, and technological
innovation. ■
VOCO
Simplify restorative procedures with VOCO’s VisCalor bulk
VOCO has introduced VisCalor bulk, the
worlds’ first thermo-viscous bulk-fill
composite that offers an entirely new twoin-one
technology.
Once warmed, VisCalor bulk delivers the
viscosity of a flowable, then rapidly cools to
body temperature once placed—allowing
for the immediate, easy sculpting of the
composite.
With an 83% fill rate by weight and a 4mm
depth of cure, VisCalor bulk saves time by
eliminating procedural steps and the need
for additional materials. It can be used as a
restorative base, liner, or occlusal capping
layer, effectively making VisCalor bulk two
restoratives in one.
Previously, clinicians used heat to soften the
consistency of a composite, but they were
not able to totally transform its viscosity to
flowable consistency.
Truly a unique innovation, VisCalor bulk
offers speed and simplicity to streamline
restorative dentistry. VisCalor bulk’s high
fill rate, low shrinkage of 1.44% and
excellent wear rate ensure the longevity and
structural stability of the restoration.
Its long and narrow capsule tip provides
greater access to difficult-to-reach areas to
ensure a bubble-free application, minimising
the potential for incipient decay and longterm
failures.
VOCO’s Thermo-viscous Technology (TVT)
changes it. VisCalor bulk’s unique formulation
is based on an entirely new monomer system
and special silane coating of its glass fillers.
This combined modification along with a new
capsule design that is optimised for heat
transfer results in a unique but designed
behaviour of the restorative when warmed.
For enhanced aesthetics, VisCalor bulk has
exceptionally low water absorption and
is available in four shades: Universal, A1,
A2, and A3. The versatile Universal shade
requires only a 10-second light cure.
Warm it, flow it, sculpt it – simplify
restorative procedures with VOCO’s VisCalor
bulk. ■
64
DENTAL ASIA MARCH / APRIL 2021

GC
G2-BOND Universal: Leading the
new standard in two-bottle adhesive
dentistry
→ THE EVOLUTION
OF PROPHYLAXIS
COMBI touch
With over one billion composite restorations and a century of
established expertise in dental materials, GC is broadening its
adhesive portfolio with G2-BOND Universal, a two-bottle universal
bonding system which features exceptional properties in strength
and versatility.
→ AIR-POLISHING AND
ULTRASOUND IN ONE UNIT
GC leads the way with G2-BOND Universal and its proprietary
Dual H-Technology to a new standard in adhesive dentistry, giving
clinicians what they would expect from existing self-etch and etchand-rinse
gold standard products, and much more.
The Dual H-Technology of G2-BOND Universal enables the advanced
optimisation of bonding both to tooth and composite by the smooth
transition from hydrophilic to hydrophobic characteristics.
→ easy switch from supra to subgingival
air-polishing by a simple click
→ subgingival perio air-polishing tip – flexible, soft
and anatomically adjustable to the periodontal pocket
→ more than 40 inserts for scaling, perio, endo and prosthetics
→ SOFT MODE: the ultra-gentle scaling
for sensitive patients
The remarkably hydrophobic bond layer, thanks to the HEMAfree
composition, lowers the occurrence of water sorption which
decreases the risk of degradation and leads to superior durability
and unmatched results.
Its strong and durable bond layer ensures an improved margin
stability, resulting in margins in anterior restorations to remain
invisible, contributing to the product’s significantly reduced
discolouration over time.
Additionally, the optimal thickness of G2-BOND Universal acts as
a shock absorbing layer to avoid gap formation and debonding,
especially with high shrinkage and bulk-fill composites.
Designed to improve restorations, G2-BOND Universal is an allround
world-class adhesive, giving clinicians the convenience of
choice between self-etch and etch-and-rinse in one system.
The versatility of this product extends to its efficacy across multiple
indications such as direct restorations, Immediate Dentin Sealing
(IDS), intra-oral repair, treating hypersensitivity, the luting of
indirect restorations and more.
With its ergonomic and iconic
cover design, G2-BOND Universal
is instantly recognisable and a
powerfully adaptable product to
stock in any clinic, leading the
way in adhesive dentistry as a
new two-bottle universal bonding
standard in all etching modes. ■
→ www.mectron.com
MARCH / APRIL 2021 DENTAL ASIA 65
ad_ct_dental_asia_95x250_en_201210.indd 1 10.12.20 14

Product Highlights
Fotona
SkyPulse ® : Fotona’s new generation of compact and portable dental laser
SkyPulse ® is a new generation of compact
and portable Fotona dental lasers that
can be tailored for each individual dental
practice. The SkyPulse ® Er:YAG laser
platform comes in two variations: SkyPulse ®
Endo and SkyPulse ® Versa.
Both models are equipped with a 2,940nm
Er:YAG laser to provide a wide range
of effective and safe treatment options
(both soft and hard tissue) in the fields
of periodontics, implantology, soft-tissue
surgery and more.
SkyPulse is also able to produce
exceptionally low-energy and short duration
laser pulses optimised to generate a
clinically effective photoacoustic effect for
endodontic treatments using Fotona’s SSP
and SWEEPS ® treatment protocols.
The device features a modern, easy-to-use
graphic interface, enabling the selection of
pre-set options with a simple touch or the
adjustment of treatment parameters with a
single swipe.
Additionally, SkyPulse ® features advanced
titanium handpieces that provide robust
durability for constant handling and
frequent sterilisation.
SkyPulse’s tipped and tipless Er:YAG
handpieces have an integrated air and water
spray with adjustable water temperature for
additional patient comfort, as well as a quick
disconnect system for greater convenience
and easier sterilisation.
With its unique, articulated UNIFlex delivery
system, the handling of the 360° swivel
handpiece is extremely flexible and virtually
without resistance, eliminating fatigue, and
enabling easy access to any treatment site.
SkyPulse’s unique design allows additional
high-performance diode module accessories
for the broadest range of diode laser
wavelengths.
The equipment configuration of the system
includes two optical fibre assemblies,
200µm and 300µm diameter fibres, with
corresponding handpieces and a 600µm
diameter fibre with the corresponding
Genova handpiece.
On top of this, the laser treatment can be
initiated with a wireless footswitch to avoid
unnecessary tangling of cables on the
operating room floor. And lastly, perfectly
complementing SkyPulse’s design, the Slim
trolley is situated on four wheels, allowing
for easy manoeuvring in all directions. ■
Osstem Implant
OSSBuilder: built to promote bone formation
Osstem Implant, a leading global brand of
dental implants, has introduced OSSBuilder,
a non-absorbable, titanium membrane used
to regenerate periodontal tissue. It also
promotes bone formation in areas where
natural bone defect has occurred.
OSSBuilder can be categorised as one-wall,
two-wall, and three-wall augmentation
according to the degree and form of the
bone defect. The membranes are smartadapted
to fit the loss area.
Designed to be profoundly user-friendly,
OSSBuilder is a pre-formed 3D design that
does not require additional trimming or
bending. It is covered with pore-like holes to
increase the blood supply of the surgical site.
It is suitable for every situation in all patient
types offering smarter solutions:
Smart handling: Instantly mould with ease,
or just use as formed. Applicable for both
one-stage and two-stage surgeries. Easily fit
and remove.
Smart healing: Extreme durability and a
wrinkle-free sphere-shaped appearance
guarantee minimised membrane exposure.
Sufficiently solid for reliable bone healing
regeneration. ■
66
DENTAL ASIA MARCH / APRIL 2021

Product Highlights
Dynex Titanium: Flexible and robust glass-fibrereinforced
separating discs
Renfert
Renfert separating and grinding discs are
absolutely precise, high-performance tools
– the result of 40 years of intensive and
permanent development work.
Dynex Titanium separating discs are flexible
and robust glass-fibre-reinforced separating
discs especially created for implant super
structures such as abutments, bars, and
frameworks made of titanium or titanium
alloys.
Its high flexibility and stability offer efficient
separation and precise processing. With
this, separating and processing of titanium
and titanium alloys can be done safely.
It also delivers cost effective work due to
extremely high cutting efficiency.
Dynex Titanium comes in two sizes:
• Dynex Titanium, 22 x 0,3 mm: For
cutting and processing thin areas and
small restoration parts
• Dynex Titanium, 26 x 0,3 mm: For
cutting and processing solid areas and
larger restoration parts
Both models can reach maximum rpm
of 50000 1/min. With Dynex Titanium,
technicians can work quicker, with a long
service life. ■
MARCH / APRIL 2021 DENTAL ASIA 67

Product Highlights
Planmeca
Intelligent light for brighter workdays made possible by
Planmeca Solanna Vision
The Planmeca Solanna operating light is
renowned for its superior lighting features
and easy operation. By adding two fully
integrated 4K cameras, Planmeca has
created Planmeca Solanna Vision. Now,
taking high-resolution images and videos
are made faster and easier than ever before.
Planmeca Solanna Vision is not only a
state-of-the-art operating light but also an
advanced data centre. It is an intelligent
operating light with two fully integrated
4K cameras, digital zoom, and integrated
microphones.
Users can also take premium-quality still
images and video and record treatment
sessions. They may use these recordings to
educate patients, consult with colleagues or
document treatment information. For easy
access, the recordings are automatically
stored in the Planmeca Romexis ® software.
And with no need for extra cameras, the
workflow becomes smoother than ever
before. Planmeca Solanna Vision’s cameras
are sealed behind a one-piece front cover
and can be easily operated via the Romexis
software, the dental unit’s user interface,
the operating light handle or the unit’s foot
control.
In addition, its wide imaging field allows
for complete capture of the operating area.
Advanced exposure and light control prevent
overexposure and guarantee the best possible
image quality. Built-in image stabilisation
ensures stable, sharp images and recordings
in all conditions.
Ultimately, with its adjustable brightness
and colour temperature, Planmeca operating
lights provide perfect visibility over the entire
treatment area and there is enough intensity
for all dental procedures according to user’s
preferences and specific treatments. The
operating light’s effortless movements allow
smooth positioning in all situations. ■
Septodont
Dentapen: the new generation of powered injector for
dental anaesthesia
Introduced by Septodont, Dentapen is the
new generation of powered injector for
dental anaesthesia.
Dentapen has a non-threatening look as
compared with traditional syringe and
allows constant flow of the anaesthetic
solution, reducing the perceived pain of the
patient.
It utilises Computer-Controlled Local
Anaesthesia Device (CCLAD) technology
tested on dentists. The study conducted
demonstrated a marked reduction in pain
perception for injections using the CCLAD
system 1 .
Ninety-six per cent of dentists tested
received a palatal injection, and preferred
the electronic syringe over the manual one.
They reported that pain was reduced when
compared to a standard manual syringe.
Compatible with any needle, this device is
used with standard syringe grip or pen-like
handling and has five intuitive buttons:
• Activation: automatic self-aspiration
• On/Off with battery level indicator
• Speed selection:
slow: 1ml/30s
slower: 1ml/60s
slowest: 1ml/90s
• Mode selection:
Intraligamentary: the slowest speed
with maximum force
Ramp-up: anaesthesia flow
increases gradually and constantly
• Retraction: return to the initial position
and insert the next cartridge
The device features effortless injection that
matches user’s preferences. It is ergonomic,
lightweight, cordless and has no console.
The Dentapen kit includes one electronic
syringe; two pen-style finger grips; three
universal batteries; five syringe-style
finger grips; seven cartridge holders; 25
disposable protective sleeve and O-rings.
It comes on 30 days buy-and-try with no
questions asked on returns. ■
REFERENCES:
1. Hochman MN, Chiarello D, Hochman CB,
Lopatkin R, Pergola S. Computerized Local
Anesthesia Delivery vs. Traditional Syringe
Technique. NY State Dent J. 1997;63:24-9.
68
DENTAL ASIA MARCH / APRIL 2021

Product Highlights
Stellaris 3D: Superior CBCT for every indication
FONA
Manufactured by Fona Italy, an imaging
manufacturing site focused on production
of radiographic products for dental
professionals, Stellaris 3D is ready for every
diagnosis.
Stellaris 3D is a 3D CBCT, Panoramic and
Cephalometric system, which covers a
range of applications – from endodontics,
periodontology, surgery, implantology to
orthodontics – everything a dentist needs in
their daily practice.
Latest sensor technology allows for HD or
Eco examinations, making it suitable to use
for both adult and child patients.
The comprehensive programme selection
includes full and partial panoramic,
panoramic BiteWings, TMJ and sinuses.
The seven fields-of-view can be used for
diagnosis of a variety of indications. Small
volumes start at 5x6cm for endodontics and
go up to 10x10cm for surgical applications.
The minimalist, elegant, space-saving design
allows installation of Stellaris 3D in areas
where conventional devices would not fit.
Smart backlight intuitively suggests when
the device is ready to use, creating a calming
atmosphere for the patient as an added
benefit. Control of the system is available
from a PC screen and the unit’s touchscreen.
The process of programme selection is
guided and provides hints for correct patient
positioning.
Stellaris 3D is easily upgradeable with a
one-shot technology cephalometric arm
when needed. The system delivers one-shot
cephalometric images with focus on clarity
of tracing points of hard- and soft-tissue
anatomical structures. Dense areas where
tracing points are hard to distinguish are
clearly visible. The image is calibrated and
ready for cephalometric tracing.
Stellaris 3D is the ideal solution for dentists
that are looking for a compact, yet powerful
device that can deliver a detailed image
after every exposure. ■
MARCH / APRIL 2021 DENTAL ASIA 69

Product Highlights
Ivoclar Vivadent
Ivoclar Vivadent launches PrograScan One
Ivoclar Vivadent has launched the two
new PrograScan One intraoral scanners
powered by 3Shape to supplement the fully
integrated chairside system and enable
dentists to deliver highly accurate, aesthetic
restorations.
When seamlessly integrated with the
PrograMill One milling machine – the
only chairside mill specifically designed
to fabricate IPS e.max – PrograScan One
creates an unparalleled workflow that
will transform the way dentists practice
dentistry.
The intraoral scanner is available in two
different versions: PrograScan One and
PrograScan One+.
HIGH ACCURACY TO ENABLE HIGH-
PRECISION RESTORATIONS
PrograScan One includes powerful features
to take high-quality digital impressions.
The two scanners enable optimal treatment
results thanks to high-accuracy scanning.
The latest AI technology makes scanning
easier by automatically removing soft tissue
artefacts from the digital impression.
With the ability to record the patient’s
dynamic occlusion, the dentist can ensure
that the restorations have the best possible
fit.
The detailed colour scan and shade
measurement as well as enhanced scanning
speed round off the accurate scanning
experience with PrograScan One.
In addition, PrograScan One+ provides
optimised handling with innovative wireless
scanning technology. This enhances comfort
for both dentists and patients.
INTEGRATED FOR CHAIRSIDE
SUCCESS
The comprehensive and integrated clinical
ecosystem gives dentists full flexibility to
choose between single-day treatments
enabled through in-house production or
sending cases to their preferred lab partners
or third-party providers.
The flexible PrograDesign software connects
the PrograScan One and PrograMill One into
intuitive guided workflows for single-visit
dental treatments.
Dentists can therefore plan and create
restorations in their practice itself within
a single day. Patient excitement apps
help dentists involve patients early in the
planning stage of their treatments.
PrograScan ® is a trademark of Ivoclar
Vivadent. ■
NSK
VIVAMATE G5: Portable LED micromotor; from denture adjustment to
general applications
As the latest member of NSK’s pioneer
portable micromotor for mobile dentistry,
VIVAMATE series, VIVAMATE G5 provides
various functions to meet doctors’ mobile
dentistry needs.
Used with the irrigation and saliva ejection
system, Viva-Support, the LED micromotor
with internal spray system enables easy and
certain teeth cutting and decay removal.
The compact size micromotor has been
specifically developed for mobile dentistry
and weighs only 148g with cord.
In addition, the newly developed control
unit with innovative design promises high
portability and operability by being both
AC and battery power system. It comes
with a carrying case designed for storing
VIVAMATE G5 unit and its attachments.
VIVAMATE G5’s control panel offers simple
and intuitive operation as it is designed
to easily see necessary information, such
as rotation speed setting, power on/off
and battery remaining levels. The control
panel that allows intuitive operation greatly
reduces stress to operate the instrument.
Users can opt to use the device with foot
control to allow them to conveniently adjust
the motor speed by simply depressing
the pedal without taking the eyes off the
treatment area.
Ultimately, it is able to operate with
rechargeable batteries anywhere. When the
battery power level is low, just plug in AC
adapter into outlet; bring the unit to patient
visits without worry. It is easy to carry since
the control unit is palm-size (W72 x D180 x
H36mm) and weighs only 370g. ■
70
DENTAL ASIA MARCH / APRIL 2021

Show Review
“Dentology, powered by Henry Schein” successful debut gives valuable,
high-class, peer-to-peer insights into the world of digital dentistry
On 29 and 30 January 2021,
“Dentology - powered by Henry
Schein” set the stage on a new era
of educational and informative live online
events around the digitalisation of dentistry.
Henry Schein’s inaugural fully-virtual
symposium was a wealthy source of content
offering comprehensive insights into the
fast-changing world of digital dentistry.
A renowned selection of 14 international
experts delivered cutting-edge educational
content on topics ranging from digital
workflow, digital implantology, and
orthodontics to the recognition of digital
pathology.
Answers to questions like how to best
start with digital, how to make the most
of the intraoral scanner, and how to use
digitalisation for customer communication
are only a few samples of the variety and
focus of topics discussed.
After the presentations, participants and
experts continued the conversation by
engaging in live discussions and Q&A
sessions.
Keynote speakers included Prof Dr Irena
Sailer (Switzerland) and Dr Simon Chard
(UK). In their lectures, they explained
the impact of digitalisation in dentistry
and gave an outlook on the future of
digitalisation as well as inspiring inputs on
possibilities in patient communication with
social media.
Also, 12 experts from eight countries
shared their extraordinary expertise with
the participants.
Dentology’s special guest was Randi
Zuckerberg, daughter of the dentist,
Edward Zuckerberg, and former director of
market development and spokesperson for
Facebook.
With her lively and inspiring speech
with anecdotes from her career and
the resulting incredible successes, she
provided informative input on topics such
as business optimisation and efficiency in
practice.
The final agenda item of the two-day event
was the highly informative and interesting
live panel discussion, led by Dr Simon Chard
– surely one of the highlights of the event.
In the impressive 3D walkable Dentology
world, participants were also able to
visit the exhibition area that featured the
latest innovations from leading dental
manufacturers and business partners.
The companies provided opportunities for
participants to discuss their clinical, digital,
and business ambitions with Henry Schein’s
local specialist teams in real time.
“A big thank you to all the participants, who
joined us at our first Dentology Symposium,
to our fantastic speakers as well as to
Team Schein for organising this cuttingedge
event that underlined Henry Schein’s
expertise in digital dentistry and that our
customers can Rely on Us,” said Willem
Kortland, vice president of Marketing, EMEA
Dental Distribution Group, Henry Schein.
“Based on the positive feedback from the
participants, our expert speakers, as well as
our specialist team at the exhibition stands,
Dentology 2021 kicked off successfully,” he
concluded. DA
72
DENTAL ASIA MARCH / APRIL 2021

Show Preview
CEREC Expert Roundtable:
Six renowned experts, one exceptional CEREC topic
CEREC, the world-class chairside system
from Dentsply Sirona, recently celebrated its
35 th anniversary. For many users around the
globe, CEREC has since become an excellent
way of providing patients with high-quality
restorative treatment in a single visit.
Dentsply Sirona makes great effort to
support its customers in successfully using
the CEREC system in practice. In addition
to on-site training, this also includes an
extensive eLearning offering.
RESTORATION OF DARK STUMP TEETH
WITH CEREC
The CEREC Expert Roundtable is open for
all experts, newcomers, and those who are
interested to know more about CEREC.
Moderated by Dr Hsuan Chen, a lecturer at
National Yang Ming University in Taiwan and
advisor to the CEREC Asia Training Centre,
five dental clinicians from five countries will
discuss cases involving the restoration of
dark stump teeth with CEREC at a virtual
roundtable on Sunday, 28 March 2021 from
3 to 6 p.m. SGT.
Thanks to their expertise, the five speakers
will ensure that every step in the CEREC
workflow is competently illuminated.
FIVE SPEAKERS, ONE MODERATOR,
THREE HOURS OF DISCUSSION
Dr Justin Giam, a general dental practitioner
from Singapore who has strong inclination
to digital dentistry, concentrates primarily
on the topic of tooth preparation.
This plays a significant role, particularly in
the case of broken and discoloured teeth, to
ensure the clinical success and longevity of
the restoration.
Dr Suchada Kongkiatkamon, a lecturer at
one of the leading universities in Thailand
specialising in prosthetic and implant
dentistry, will focus on digital impressions
and will give tips on how special scanning
strategies can be used to manage cases
with discolouration in particular.
Dr Ignatius Ronny Halim, a certified CEREC
trainer since 2014 and practicing dentist
from Indonesia, will concentrate on the
material aspect of CAD/CAM-fabricated
restorations in the roundtable discussion.
His lecture will enable the participants to
differentiate properties of various materials
and select the right material specifically for
discoloured stump teeth.
Dr Perlin Loke, a dental clinician from
Malaysia, has special interest in all aspects
of dental reconstruction and cosmetic
make-over.
His presentation will address the aesthetic
aspects of CEREC restorations. He will
also share tips and tricks on how to solve
complex restoration cases chairside,
efficiently and systematically.
Dr Ryan Tse, a dental clinician from Hong
Kong held lectures around the world
in topics of interest like implants and
aesthetics.
In his presentation, he will focus on issues
relating to the cementation and bonding
protocol of restorations for discoloured
teeth. He deals with different cementation/
bonding materials that are suitable for
meeting high aesthetic requirements,
especially in the case of dark stump teeth.
The restoration of heavily discoloured teeth
is always a major challenge for dental
clinicians. The six experts will demonstrate
that this can be achieved excellently with
CEREC. DA
The event will be held in English. For more
information and registration visit this
website: http://tinyurl.com/cerecexpert
For general event enquiries, please contact
SingaporeSGP-event@dentsplysirona.com or
contact local representative.
MARCH / APRIL 2021 DENTAL ASIA 73

Show Preview
Sino-Dental ® 2021: The influential dental
exhibition in the Asia Pacific region
June 9-12, 2021 Beijing, China
Sino-Dental ® , the flagship dental event in the Asia Pacific region
presenting one of the largest and fastest-growing dental markets in
the world, is happening on 9 to 12 June 2021 at the China National
Convention Centre (CNCC) in Beijing, China.
• A total exhibition area of 50,000+ sqm and 2,000+ booths
• Nealy 900 exhibitors and 140,000 visits expected
• 6 national pavilions
• Latest dental technology and scientific advances
• Excellent Chinese products with competitive price and service
• One-stop solution for product purchasing
• Innovation Exhibition Zone
• Top-level academic seminars and workshops
ALL IN ONE PLATFORM
Delivered in an all-in-one platform, Sino-Dental ® 2021 invite
participants to:
• Establish business cooperation, expand potential market and
seek partners in one of the most dynamic dental markets
• Explore excellent Chinese products with competitive price and
quality
• Exchange of technology advances, latest research, and market
information
Visitors from around the globe
• Experience cutting-edge technology and innovation exhibition
zone
• Engage with peers, KOLs, leaders from home and abroad, public
and private
• Enhance professional skills via top-level academic seminars and
workshops
74
DENTAL ASIA MARCH / APRIL 2021

Show Preview
FACTS AND FIGURES
Exhibitors
Nearly 900 exhibitors are expected to participate in Sino-Dental ®
2021, with 100+ new products debuting in the Chinese market.
Visitors
As one of the most popular dental exhibitions in the Asia Pacific
region, 140,000+ visits are expected to the Sino-Dental ® 2021 event.
Top-level academic seminars and workshops
Visitors statistics
VIRTUAL SINO-DENTAL ®
• Sino-Dental ® 2021 will go virtual in 2021 with 900+ virtual
booths and 300+ online meetings
• Total of 100+ live-streaming of on-site tour and events
• More accurate online matchmaking service
SERVICE
International dealers
• International dealer’s lounge: private space, free access,
complimentary snack and beverage
• Free interpretation service (appointment requested)
• Complimentary accommodation during exhibition period for
those who invited 10 or more dealers to Sino-Dental ®
• Free information release service to facilitate the matchmaking
with local partners and suppliers
Purpose of visit
SEMINAR AND CONGRESS
In addition to the splendid showcase of products and technology
presented by the exhibitors, 100+ top-level academic seminars
and workshops covering 400+ topics will also be held during the
exhibition period to introduce the most updated academic and
technologic developments in the dental field.
Visitor online pre-registration
• No registration fees
• On-site quick pass counter for badge claim
with complimentary catalogue, drinking
water, and gift
More information is available at the Sino-Dental ®
website: http://www.sinodent.com.cn/en DA
Scan QR code
for WeChat
MARCH / APRIL 2021 DENTAL ASIA 75

Giving Back to Society
Amann Girrbach’s fundraising campaign for the benefit of Cleft
Children’s Aid a great success
Amann Girrbach has been supporting the
German and Austrian Cleft Children’s Aid
with numerous campaigns since 2018.
Thanks to these organisations, children with
cleft palates receive highly professional
and quality on-site medical care in 12
project countries from more than 250 local
physicians and therapists.
“What we started with a Charity Olympics
at the 2018 Sales Meeting has now become
a joint success story with a wide range of
projects. Despite the COVID-19 pandemic,
economic crisis, and political uncertainty,
Amann Girrbach can look back on a
magnificent result of the campaign: the
dental industry’s willingness to donate is
unprecedented – worldwide,” said Stephanie
Günther, Marketing/Charity, Amann
Girrbach.
The fundraising activities are extremely
diversified: Amann Girrbach sponsors
surgery as part of the “Give a smile”
programme.
Dental laboratories from all over the world
have the opportunity to give donations
at Amann Girrbach’s exhibition stands,
employees organise donation raffles for a
sponsored children’s hospital in Bangladesh,
and there is also a lively exchange of
expertise and project support at the
development level - ideas are continuously
developed, multiplied, and shared.
The continued sustainability of this
cooperation was confirmed this year with
the founding of the Austrian Cleft Children’s
Aid not far from Amann Girrbach’s
headquarters in Koblach, Austria.
“In 2020 in particular, we learned that the
willingness to help is limitless - be it on a
personal or a business level. In summary,
we were able to transfer the incredible sum
of EUR 50,000 in total on behalf of all those
involved,” said Kai Kietz, International Sales
at Amann Girrbach.
He continued, “Ceramill dealers have also
contributed to this donation in the form of
waiving purchase discounts. To date, 32
dealers worldwide have joined this initiative,
which started back in 2019. Together with
Denspro, our trading partner in India, we
are embarking on a fantastic new project to
3D print splints for pre-operative treatment
(rapid NAM – naso-alvolear moulding). This
enables us to distribute free splint sets to
affected infants, which help to minimise the
procedure, often quite drastically.” DA
exocad supports Overland for Smile to provide dental care for
disadvantaged kids in Eastern Europe
exocad GmbH, an Align Technology, Inc.
company, has announced its 2020 holiday
contribution to the non-profit organisation,
“Overland for Smile (ONLUS)”, which it has
supported since 2018.
exocad’s donation is estimated to help
support dental care for more than 160
disadvantaged children and teenagers in
Eastern Europe.
A portion of the donation includes proceeds
from the charitable t-shirt campaign
during the two-day exocad Insights event
in September 2020, which featured two
key slogans, “JUST CAD IT” and “arCADe
champion”, created specifically for this
campaign and printed on purple t-shirts.
ONLUS has operated a mobile dental
practice since 2005. Dedicated teams,
each consisting of 10 doctors and support
volunteers, regularly drive to different Eastern
European areas to provide dental care to
children and teenagers from the orphanages
free-of-charge.
The modern dental equipment within its
vehicles and other necessary dental supplies
are financed by donations, like those provided
by exocad.
The teams supporting these missions also
donate their time. To date, almost 29,000
children and teenagers have received
complimentary dental exams and over 11,000
have received dental treatment. DA
76
DENTAL ASIA MARCH / APRIL 2021

Giving Back to Society
Carestream Dental announces partnership with Howard University to
advance digital dentistry and technology innovation
Carestream Dental has partnered with the
prestigious Howard University to provide
innovative digital solutions to students at its
College of Dentistry.
With an in-kind gift of technology valued at
$430K, the partnership was designed to arm
students and fellows with the knowledge,
skills, and resources needed as it pertains
to digital technology to deliver the best care
when they start practicing.
Howard University College of Dentistry
students can look forward to training with
some of the most advanced digital dentistry
technology in the industry from Carestream
Dental. And Howard patients will experience
first-hand how digital dentistry technology
makes dental treatment more approachable.
and Maxillofacial Surgery Post-Doctoral
Programme and General Dentistry Practice
Residency Programme. The new 3D cone
beam CT systems will equip the hospital’s
dental department with state-of-theart
diagnostic and treatment imaging
capabilities.
“When we partner with universities, we know
we’re investing in the future of the industry,”
said Lisa Ashby, CEO of Carestream Dental.
“But this partnership with Howard is
different. This is more than an investment
in the future of dentistry, it’s an investment
in young diverse talent—both doctors and
STEM students—and supporting Howard’s
mission in improving access for underserved
populations. There’s no better return on
investment than that.”
through internships in various departments
which include students, alumni, and
professors in product innovation. Both
organisations will also support each other
by sharing speakers on a wide variety of
topics.
“We are excited about our partnership with
Carestream Dental and we are thankful for
their generous contribution of this advanced
digital technology,” said Andrea D. Jackson,
dean of the Howard University College
of Dentistry. “The partnership is a great
opportunity for our students and will be for
years to come.” DA
Carestream Dental is also supporting
Howard University Hospital’s (HUH) Oral
Carestream Dental also plans to source
Howard business and technical talent
VOCO donates 20,000 Euro to Doctors Without Borders
For the second time, VOCO has partnered
with the initiative, Corporate Christmas
Giving, and donated 20,000 Euro to Doctors
Without Borders.
The humanitarian aid organisation is active
in around 70 countries worldwide and helps
when the national health system is no longer
able to help sick and injured people.
“Especially now, help is more urgent than
ever before. COVID-19 is particularly
devastating for countries that do not have
adequate medical care. We thank Doctors
Without Borders for their excellent work
and we are very pleased to contribute to the
progress and development of projects,” said
Olaf Sauerbier, managing director of VOCO.
“VOCO’s donation is a great support –
especially this year 2020. Due to COVID-19,
we are continuously adjusting our projects
worldwide such as rebuilding waiting areas,
purchasing protective clothing, training
personnel and much more,” said Christian
Katzer, managing director of Doctors
Without Borders, Germany.
He added, “We have also started many new
projects to support people in more than 70
countries in the fight against the pandemic.
We are really grateful to VOCO for the
generous donation.”
FURTHER SOCIAL ENGAGEMENT
Besides the donation to Doctors Without
Borders, throughout the year 2020, VOCO
has made several donations for social
purposes.
As early as spring, the company supported
the county with several hundred litres
of disinfectant. In addition, other local
organisations such as day care centres,
schools, hospice groups or the food bank
“Tafel” received help. DA
MARCH / APRIL 2021 DENTAL ASIA 77

2021 EVENTS CALENDAR
MARCH
5 – 9 28 th MDA SCATE 2021- The Digital Edition
Kuala Lumpur, Malaysia
https://mda.org.my/home/scate2021/
10 – 11 27 th Global Dentists and Pediatric Dentistry Annual
Meeting (Webinar)
https://dentists.dentistryconferences.com/
13 – 16 ADEA Annual Session & Exhibition 2021 (All-Virtual
Conference)
https://www.adea.org/2021/
23 – 24 38 th International Conference on Dental and Oral
Care (Webinar)
https://dentistry.conferenceseries.com
22 – 25 CNDE 2021 – The 22 nd China Northeast International
Dental Equipment Exhibition & Symposium on Oral
Health
ShenYang, China
Venue: ShenYang New World Expo
http://enkq.bfexpo.com.cn
22 – 26 BDIA Dental Showcase On Demand (Virtual)
APRIL
https://www.dentalshowcase.com
14 – 16 South Dental Forum and Show 2021
Chongqing, China
Venue: Chongqing International Convention and Exhibition Center
http://www.dentalshow.com.cn/nf
22 – 25 Dental Show West China
Chengdu, China
Venue: Western China International Expo City
http://www.wcise.com
26 – 28 Dental Salon 2021: The 49 th Moscow International
Dental Forum and Exhibition
Moscow, Russia
Venue: Crocus Expo
https://en.dental-expo.com/dental-salon-en
MAY
3 – 8 Goethe University Frankfurt / ICOI Hybrid Implant
Symposium
Frankfurt, Germany
https://www.icoi.org/events
6 – 8 ADX 2021 - Melbourne
Melbourne, Australia
Venue: Melbourne Convention Exhibition Centre
https://www.adx.melbourne
10 – 13 Dental South China 2021
Guangzhou, China
http://www.dentalsouthchina.com/?_l=en
28 – 29 Dental Expo 2021
Auckland, New Zealand
Venue: ASB Showgrounds
https://dentalexpo.co.nz
28 – 30 Famdent Mumbai 2021
JUNE
Mumbai, India
Venue: Bombay Exhibition Centre
https://www.famdent.com/mumbai-show
4 – 6 14 th Asian Congress on Oral and Maxillofacial
Surgery
Singapore, Singapore
Venue: Marina Bay Sands Convention Centre
www.acoms2020.sg
4 – 6 Seoul Inxternational Dental Exhibition & Scientific
Congress (SIDEX) 2021
Seoul, South Korea
Venue: COEX
https://eng.sidex.or.kr
9 – 12 26 th Sino-Dental ® 2021
Beijing, China
Venue: China National Convention Center
http://www.sinodent.com.cn/en/f
12 – 13 31 st Annual NYU/ICOI Implant Symposium
New York, United States
Venue: NYU College of Dentistry
https://www.icoi.org/events
78
DENTAL ASIA MARCH / APRIL 2021

2021 EVENTS CALENDAR
10 – 13 28 th IAPD Virtual Congress
https://iapdworld.org
14 – 15 27 th World Congress on Dentistry and Oral Health
London, United Kingdom
https://dentistrycongress.dentistryconferences.com
17 – 18 Dental Days 2021
Copenhagen, Denmark
Venue: Bella Center
https://tandfagligedage.dk
17 – 19 Expodental Meeting 2021
Rimimi, Italy
Venue: Rimini, Fiera
https://www.expodental.it/en
25 – 26 Dental International Congress and Exhibition
(Virtual Conference)
https://www.dice-dental.asia/
26 – 28 Dubai World Dental Meeting (DWDM) 2021
Dubai, UAE
Venue: Novotel Hotel
https://aeedc.com/dubai-world-dental-meeting/
29 June – 1 July
AEEDC 2021 - The 25 th edition of the UAE
International Dental Conference & Arab Dental
Exhibition
JULY
Dubai, UAE
Venue: The Dubai International Convention and Exhibition
Centre
https://aeedc.com/
2 – 11 Association of Orthodontists (Singapore) Congress
(AOSC) 2021 – Digital Edition
Singapore
https://www.aoscongress.com/
21 – 24 The 2021 IADR/AADR/CADR General Session
(Virtual)
Boston, MA, United States
https://www.iadr.org/2021iags
AUGUST
5 – 7 IndoHealthcare Expo 2021
Jakarta, Indonesia
Venue: JIExpo Kemayoran
https://indohealthcareexpo.com
12 – 14 Vietnam Medi-Pharm Expo 2021
Ho Chi Min City, Vietnam
Venue: Saigon Exhibition and Convention Centre
http://hcm.medipharmexpo.com/en
12 – 14 IFEA 202ONE - 12 th World Endodontic Hybrid Congress
Chennai, India
Venue: Chennai Trade Centre
www.ifea2020india.com
21 – 22 3 rd International Conference on Dentistry & Oral
Health
Chennai, India
SEPTEMBER
https://dentistry.bioleagues.com/
1 – 5 ITI World Symposium 202ONE (Online)
Singapore
https://events.iti.org/worldsymposium/
4 – 5 Famdent Hyperabad 2021
Hyperabad, India
Venue: Hitex Exhibition Centre, Hitec City
https://www.famdent.com/famdent-hyderabad
10 – 12 IDEC 2021 - The Premier Dental Exhibition &
Conference for Indonesian Market
Jakarta, Indonesia
Venue: Jakarta Convention Center
https://indonesiadentalexpo.com/
17 – 19 5 th Malaysia International Dental Show (MIDS)
Petaling Jaya, Malaysia
http://mids.com.my/100-about-us
With the evolving COVID-19 situation, kindly check with
organisers for updates on the related events. Please refer to the
local airports’ websites for the latest travel advisories too.
MARCH / APRIL 2021 DENTAL ASIA 79

Advertisers’ Index
COMPANY
PAGE
COMPANY
PAGE
3Shape A/S 53
Fotona 5
Align Technology
OBC
Mectron 7, 65
Amann Girrbach AG 3
Anthogyr France 39
AOSC 2021 67
Carestream Dental 57
COLTENE 43
Dental South China 2021 58
Dentsply Sirona 49
Plato Medical 19
Renfert 9
Shofu inc 25
SINO Dental 2021 62
Tekne Dental 69
VITA 11
VOCO 13
exocad GmbH
FC
W&H
IBC
exocad GmbH IFC, 1
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80
DENTAL ASIA MARCH / APRIL 2021

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