Dental Asia March/April 2022

www.dentalasia.net

www.dentalasia.net

MARCH

MARCH /

APRIL

APRIL 2022

2022

SINGLE-VISIT

RESTORATIONS

MADE EASY

ChairsideCAD 3.0 Galway

Intuitive design software

User Report

DENTAL ASIA NOVEMBER / DECEMBER 2021 3

24

49

30

58

40

BEHIND THE SCENES

56 Combining digital and conventional denture

workflows: An immediate denture case

report

58 exocad: comprehensive implant libraries in

exoplan 3.0 Galway

CONTENTS

UNDER THE SPOTLIGHT

24 Balancing practice and academic

DENTAL PROFILE

27 Coltene continues forward momentum

towards innovation despite pandemic

30 Straumann Group enables dental implants

and orthodontics solutions for all

CLINICAL FEATURE

34 Minimally-invasive restoration of an incisal

edge defect with CAD/CAM hybrid ceramic

36 Osteoma of the maxilla

40 Photobiomodulation: An updated literature

review with a case report

44 Class II orthodontic treatment using Invisalign

treatment with mandibular advancement

USER REPORT

49 Correcting a single midline diastema

52 Rehabilitation of an edentulous lower jaw

presenting reduced residual bone crest with

Anthogyr Mini Implant System

54 Simultaneous GBR and GTR in the posterior

mandible area

IN DEPTH WITH

61 Achieve gentle and effective treatment of

periodontitis and periimplantitis with the

Vector system

62 Digital solutions lead the way into the dental

practice

63 Rolence Dental introduces latest digital

image system and dental equipment

64 The two sides of the W&H Lina steriliser

65 BUSCH develops enhanced systems and

tools

SHOW PREVIEW

75 IDEM returns for its 12th edition with new

panels and conference

76 Sino-Dental continues to be wonderful

REGULARS

4 Editor’s Note

6 Dental Updates

66 Product Highlights

78 Giving Back to Society

79 Events Calendar

80 Advertiser’s Index

2

DENTAL ASIA MARCH / APRIL 2022

User Report


EDITOR’S NOTE

Riding the waves

of progress

PABLO SINGAPORE

Publisher

Publications Director

Senior Editor

William Pang

williampang@pabloasia.com

Jamie Tan

jamietan@pabloasia.com

Josephine Tan

josephine@pabloasia.com

The dental industry remains steadfast

on its path to greater development

and advancement. In this issue, we

have prepared articles showcasing the

community’s embracing of progress and

advancement, through the relentless

efforts of the practitioners adopting

digital technology and streamlining their

workflows.

Speaking to Dental Asia, Dr Yu Na,

Singapore’s first dental clinician to

receive the National Medical Research

Council’s Clinician Scientist Award in

the Investigator Category, talks about

her personal experiences and recent

achievements in research, showcasing the

fine footwork that goes into threading the

tightrope between practice and academia.

On the other hand, the adoption of

digitalisation continues to be relevant to

the dental community. On page 31, Vida

Lau, commercial director of South East

Asia at Straumann Group, stresses the

importance of adopting digital workflows

that can simplify complex treatment

processes, benefitting both dentist and

patient: “Ultimately, clinics that excel

at digitalisation will gain considerable

advantages in terms of outcome quality,

as well as cost and time savings.”

Likewise, further research in the

community has also fuelled a new

direction in dentistry. In a paper by Dr Kevin

Ng and Dato’ Dr How Kim Chuan, it was

demonstrated “that intraoral PBM could

be used to decrease alignment treatment

time and pain/discomfort, as well as

encourage bone formation, promoting

bone healings and osseointegration of

dental implants” (pp.43).

As we continue to usher in the first quarter

of the year, Dental Asia is also proud

to present a fresh new layout befitting

its commitment to deliver the latest

trends and developments in dentistry.

We hope that this fresh start will deliver

to you, our readers, fresh ideas and

novel perspectives, and serve the wider

community for the better.

Agatha Wong

Assistant Editor

Scan for digital copy

of Dental Asia

Assistant Editors

Graphic Designer

Circulation Manager

PABLO BEIJING

General Manager

PABLO SHANGHAI

Senior Editor

Agatha Wong

agatha@pabloasia.com

Yap Shi Quan

shiquan@pabloasia.com

Czarmaine Masigla

czarmaine@pabloasia.com

Jolin Tan

jolintan@pabloasia.com

Shu Ai Ling

circulation@pabloasia.com

Ellen Gao

pablobeijing@163.com

Daisy Wang

pabloshanghai@163.net

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. 104/12/2021

Malaysia KDN: PPS1528/07/2013 (022978)

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PABLO BEIJING

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PABLO SHANGHAI

Tel: +86-21-52389737

Email: pabloshanghai@163.net

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

A DENTAL ASIA MARCH / APRIL 2022

Dr Wong Li Beng

Dr Adrian U J Yap

Dr Christopher Ho

Dr How Kim Chuan

Dr Derek Mahony

Prof Alex Mersel

A

Bone Level

User Report

REG & PX designs for

biological integration

With more than 30 years of experience

in implantology, Anthogyr launched the

Axiom® implant system 10 years ago to

improve access to implantology by

offering innovative and accessible

solutions, a greater comfort for practitionners

and performance in their

everyday practice.


DENTAL UPDATES

3Shape announces software updates to 3Shape Model Maker

Users of 3Shape TRIOS intraoral scanner

and 3Shape Studio applications can

now automatically convert their digital

impressions to dental models.

The new Model Maker solution, Model

Maker 2022.1, uses an automated

workflow powered by artificial intelligence

(AI)-technology that converts scans to

models in minutes.

Full arch dental model optimised for 3D printing

According to 3Shape, the model is

automatically generated from the TRIOS

scans with a single click and includes

key-features to optimise 3D printing.

The algorithm will create a model using

hollowing and drain holes, thus optimising

the use of resin and to ensure a good

printing experience. Bevels are also added

to the base structure of the dental model

to ensure that models can be removed

easily from the build platform of most

common 3D printers.

Additionally, an AI-powered algorithm in the

cloud will convert TRIOS scans to .STL files

which can then be exported and produced.

The algorithm ensures an automated workflow

requiring no input from the user. 3Shape

reported that generating a model can take a

couple of minutes depending on factors like

local internet speed. While waiting to receive a

model, users can exit the workflow using the

‘home’ button and continue to work on other

cases.

Other updates include a Cross Section tool to

inspect the model, and a progress overview

page to verify if the model has finished

generating.

Model Maker 2022.1 can only be accessed from

the 3Shape Unite platform. Users can enter their

workflow either from scratch as ‘new action’ in

their TRIOS scanning workflow or by selecting

relevant scans and images in the patient media

library to create a model. ■

3M reports Q4 and full 2021 performances

3M has announced their performance for Q4

and the whole of 2021. In particular, the total

sales for the healthcare segment, which includes

oral health, grew by 0.7% to US$2.3 billion in Q4

2021, and the segment’s organic local-currency

sales grew by 1.6% in the same period. The

segment’s operating income was $536 million,

a decrease of 1.6% year-on-year, and operating

margins were 23.6%.

On a geographic basis, total sales in Q4 2021

grew 2.1% in the Americas, and decreased 0.2%

in Asia-Pacific, and 4.5% in Europe, Middle East

and Africa (EMEA). Organic local-currency sales

grew 2.2% in the Americas, 1.4% in Asia-Pacific,

and decreased 1.9% in EMEA for the same

period.

"3M delivered a solid fourth-quarter performance

— with notable strength in December — as

we maintained our relentless focus on

serving customers in a challenging external

environment," said Mike Roman, chairman and

CEO of 3M. "Our team effectively managed

supply chain disruptions, made good progress

on pricing actions and controlled costs.

"Throughout 2021 we performed well, delivering

full-year sales growth of 10%, robust cash flow

3M headquarters (Image: 3M)

and a strong increase in EPS. We also returned

significant cash to shareholders, reduced debt

and helped the world respond to COVID-19. As

we continue to actively manage our portfolio

and improve our operations, we will prioritise

investments in fast-growing end markets to

drive long-term growth, as well as advance

our commitment to sustainability. As we enter

2022, I am confident we will continue to grow

our business and find new ways to apply

science to improve lives." ■

For the whole of 2021 results, 3M recorded

a 9.9% increase year-on-year to $35.4 billion.

Organic local-currency sales increased 8.8%

while acquisitions, net of divestitures, decreased

sales by 0.5%. Foreign currency translation

increased sales by 1.6% year-on-year.

6 DENTAL ASIA MARCH / APRIL 2022

DENTAL UPDATES

DENTAL ASIA MARCH / APRIL 2022 7

DENTAL UPDATES

Align Technology promotes digital dentistry for interdisciplinary orthodontics

Align Technology has reinforced its

commitment to dental professionals in the

region with its presence at the 16th Annual

Conference of the Saudi Orthodontic Society

(SOS) as a platinum sponsor of the event.

The annual conference, which took place

from 24-27 Feb 2022 in Riyadh, highlighted

the importance of interdisciplinary

orthodontics and brought together more than

500 individuals from the orthodontic industry

including doctors, laboratory practitioners

and industry partners.

Over the course of the conference, a range of

lectures, panel discussions and workshops

also took place with a focus on topics that

promote interdisciplinary orthodontics and

interdisciplinary collaboration.

Angelo Maura, general manager of Middle

East and Africa at Align Technology, said,

“The 16th SOS Annual Conference will serve

as a much-needed platform for leveraging the

digital technologies that will move us toward

the future of dentistry, as well as foster more

collaboration between the different specialties

in the field.”

Align Technology hosted two key events

during the conference, focusing on driving

interdisciplinary orthodontics through the use

of digital technologies. One of these was a

lecture by Dr Waddah Sabouni, an orthodontist

specialist, discussing “Alternative Approaches

to Orthognathic Surgery with Clear Aligners”.

The lecture covered the management of

orthognathic surgery cases within the

Invisalign system, explaining different

approaches to the timing of the surgery

within orthodontic treatment. Additionally,

Dr Sabouni shared his perspective on the

differences, benefits and considerations

between the alternative approaches.

Another key event being hosted by

Align Technology was a four-hourlong

workshop, also by Dr Sabouni, on

“Aligner Treatment: Possibilities and

Considerations”. Taking place on 27

Feb, The workshop explored the broad

aspects of the applicability of clear

aligners within the orthodontic practice,

including the scope of malocclusions that

can be treated with aligners, as well as

different interdisciplinary treatments such

as cases with periodontal considerations,

pre-prosthetic or pre-restorative

treatments. ■

CAD-Ray announces new partnerships with DOF, MaxxDigm and Akuretta

CAD-Ray has expanded its technology

offerings following the partnerships with

another three manufacturers that share their

vision for innovative, user-friendly dental

technology.

The union of CAD-Ray and DOF will bring the

Craft 5X milling machine to computer-aided

design (CAD)/computer-aided manufacturing

(CAM) dental offices in the US market. The

Craft 5X mill consists of a dust collector, water

pump and compressor all in one tower-shaped

housing. It is easy to install, user-friendly, and

intuitive. CAD-Ray reported that the Craft 5X

can work with any intraoral scanner and any

CAD design platform, including both CLINUX

by CAD-Ray and exocad.

CAD-Ray has also established a partnership

with MaxxDigm, a South Korean robotics

company. CAD-Ray will be distributing the

Chaiman four-axis chairside milling unit. The

Chairman boasts 5kW servomotors, dual

spindles and ultra-fast 10-minute milling

times for glass ceramics and zirconia. It

comes self-contained with everything needed

to get started with chairside restorations,

interfaces easily with any IOS and/or CAD

system and has direct integrations with

CLINUX by CAD-Ray and exocad Chairside

CAD.

Finally, CAD-Ray and Akuretta have

announced a distribution partnership for the

SOL Dental 3D Printing system. The SOL is a

3D printer priced well below its competition

in the dental space. The SOL is an LCD printer

with a native resolution of 49 microns, and

a chairside solution for high-precision, fast

3D printing. SOL delivers accurate results

with 54 LED lights that perform at 95%

light uniformity. It can be paired with the

SOL automatic wash/dry unit and Ultra-

Fast UV cure box to complete the package.

Furthermore, SOL is an open platform printer

with resins available from Akuretta, and

partner companies like Keystone, Dentca,

Bego and more.

A provider of dental CAD/CAM and conebeam

computer tomography (CBCT)

solutions, CAD-Ray is also a global distributor

of MEDIT intraoral scanners, and has

partnerships with technology manufacturers

such as Sprint-Ray, Prexion, HDX-Will, Vita,

exocad and more. The company’s own CAD

software, CLINUX, is a browser-based CAD/

CAM software for dentists. ■


DENTAL UPDATES

Nexa3D partners Nowak Dental

Supplies to provide dental

3D printing solutions

Nexa3D, producer of resin 3D printers, announced that it has

entered into a reseller partnership with Nowak Dental Supplies,

a family-owned and -operated provider of dental devices and

equipment. Nowak Dental Supplies will offer Nexa3D’s entire

dental portfolio, including the NXD 200 dental 3D printer, NexaX

software, the post-processing xWASH and xCURE systems, and

the full range of Keystone validated dental 3D printing materials.

The NXD 200, utilising Nexa3D’s lubricant sublayer photo-curing

(LSPc) printing technology, features a 8.5-litre build volume,

allowing for the printing of multiple parts simultaneously, as well

as the fast speed for which Nexa3D printers are known.

“The confidence that Nowak’s customers have in its team is

critical to us,” said Jim Zarzour, head of dental solutions at

Nexa3D. “That, in turn, gives us confidence, knowing that our

products and joint customers will be fully supported. To have

someone of Nowak Dental Supplies’ calibre as a reseller for the

NXD 200 is something we’re very excited about.”

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The NXD 200, with its modular design, enables easy repairs,

part replacements, and technology upgrades, and is designed

for use with the NexaX software. NexaX requires no advanced

3D design or printing knowledge to utilise, making it ideal for

experienced and novice users alike.

“We at Nowak Dental are extremely excited about bringing

this new printer to the market,” said Shawn Nowak, president

of Nowak Dental Supplies. “With how quickly technology is

changing, we are staying at the forefront of products to offer our

customers. The Nexa3D brand of printers allows customers to

stay competitive and bring the speed that is needed in today’s

landscape.”

Nowak Dental Supplies is a supplier to the dental industry, with a

small-business model that emphasises personalised customer

service and dedicated technical support. It works closely with

both dental laboratories and dental offices, supplying from large

lab equipment to small orthodontic accessories. ■

→ www.mectron.com


ad_PStouch_dental_asia_95x250_en_211214.indd 1 14.12.21 15:38

DENTAL UPDATES

Dentsply Sirona partners with FDI and Smile Train to create cleft care protocols

Dentsply Sirona has announced a three-way

partnership with FDI World Dental Federation

(FDI) and Smile Train, a cleft-focused

organisation, to develop global standard

protocols for digital cleft treatment.

The protocols aim to increase access to digital

treatments for patients with clefts and advance

cleft care for the one in 700 babies born around

the globe with cleft lip and or palate.

According to the press release by Dentsply

Sirona, the three partners will jointly work on

integrating digital workflows and sustainable

solutions into these new protocols as well

as creating and providing the necessary

clinical education infrastructure to oral health

professionals around the world.

The partnership also includes designing and

setting up online courses and webinars to

introduce dental professionals around the world

to digital cleft care.

Prior to this new partnership, Dentsply Sirona

pledged a US$5 million donation to Smile Train

as part of a five-year commitment to help

children around the world gain access to

cleft treatment.

“At Dentsply Sirona, we live our sustainability

strategy every day in numerous ways. One of

the most rewarding aspects is working with

Smile Train and FDI to be able to offer the

best care possible to children with clefts,” said

Jorge M. Gomez, CFO and head of the Dentsply

Sirona Sustainability Programme. “Giving these

children healthy smiles by utilising the most

advanced digital technologies is part of our

larger sustainability goal to improve global oral

health care and create millions of healthy smiles

around the world. We are happy to contribute our

knowledge and technologies for this important

cause.”

“We are proud to be working with Dentsply

Sirona and Smile Train to increase the global

access to the best possible cleft care,” said

Professor Ihsane Ben Yahya, president, FDI.

“Cleft surgeries and cleft care benefit hugely

from digitisation and together with our

partners we work fervently on providing oral

health professionals, especially in limitedresource

settings and remote regions, with the

Zoe was supported by Smile Train partner Hospital

Pediatrico Dr Humberto J. Notti with presurgical

orthopaedics, cleft lip, and cleft palate surgeries

(Image: Dentsply Sirona)

infrastructure and training necessary to correctly

use these digital technologies.”

“Children with clefts are more susceptible

to poor oral health which can greatly impact

their speech, ability to eat, and their overall

well-being,” said Susannah Schaefer, president

and CEO, Smile Train. “We are delighted that

our new partnership with Dentsply Sirona and

FDI ensures that Smile Train centres around

the world will have access to digital treatment

protocols that integrate the latest, newest

technologies to provide best-in-class digital oral

healthcare.” ■

UnitedHealthcare Dental launches digital resource with quip to improve

dental care

UnitedHealthcare Dental has introduced several

enhancements designed to help people improve

their oral health and access dental care in a

more convenient and informed way, with the aim

of helping lower costs and improve satisfaction

among members and dental professionals.

According to the company, the latest offering

expands access to 24/7 virtual dental visits to

help members meet with a licensed dentist

via phone or video, giving eligible members

in many UnitedHealthcare Dental plans two

virtual dental appointments with no cost

sharing. The enhanced virtual dental care

benefit is designed to improve access to

dental advice anywhere and anytime, which

may help avoid often-unnecessary visits to the

emergency department for oral health issues.

In addition, to help people improve their oral

care habits, members of UnitedHealthcare

Dental can now save up to 30% on smart

electric toothbrushes, including toothpaste,

refillable floss and refillable mouthwash from

oral health company quip.

UnitedHealthcare Dental members will also

have access to an online resource to help bring

greater transparency to treatment options

and the cost of dental care, with the goal of

helping prevent surprise costs. The Treatment

Plan Calculator offers access to cost

estimates based on actual contracted rates

and the member’s plan, including real-time

processing capabilities.

“As more and more Americans adopt a

digital-first mindset, these new resources

are designed to help our members improve

and maintain their dental health, which

may contribute to overall well-being and

help reduce the risk of certain chronic

health conditions,” said Colleen Van Ham,

CEO, UnitedHealthcare Dental. “These new

initiatives advance UnitedHealthcare’s

approach of using technology to improve

access to quality, cost-effective medical and

dental care, while empowering people with

personalised information.” ■


DENTAL UPDATES


DENTAL UPDATES

Partnership between Bien-Air Dental and Midmark to provide more complete

operatory ecosystem

Bien-Air Dental and Midmark have announced

a partnership that combines the two

companies’ dental technology into a simple,

easy-to-use delivery care solution.

Dental clinicians are exposed to health and

safety risks on the job every day. Midmark

and Bien-Air are working together to enhance

safety, optimise ergonomics and improve both

clinician and patient experiences. They will be

integrating Bien-Air’s latest electric handpiece

solutions into Midmark’s dental delivery

equipment for a more complete operatory

ecosystem.

Now, dental clinicians can select Midmark’s

Procenter and Elevance delivery units with

Bien-Air’s newest micromotor and contra-angle

handpieces for an operatory-ready solution.

The solution simplifies workflow for a

broad range of clinical procedures, provides

ergonomic balance, lighter weight and smaller

size for less strain, enable access to oral cavity,

and reduce the risk of patient burn and crosscontamination.

“Midmark is constantly looking for ways to help

design better care in the clinical environment,

which is what makes this partnership so

exciting,” said Jon Wells, president and CEO

for Midmark. “We are thrilled to be joining

forces with another industry-leading company

like ours that shares our strategic vision. Our

collaboration reflects the emphasis both of our

companies place on improving the lives and

livelihoods of each dental team we serve and

improving the experience at the point of care.”

Edgar Schönbächler, CEO, Bien-Air Dental, also

commented: “For more than 60 years, Bien-

Air has been leading the way in electric motor

systems for dental and surgical applications.

Reliability and efficiency, typical Swiss values,

have always guided our company. We are

excited about this new step in our longterm

partnership with Midmark. The seamless

integration of our products is the result of a

common understanding of the practitioner’s needs,

helping to improve clinical efficiency and the

patient’s journey.”

As part of this new partnership, Midmark is also

offering Bien-Air’s Lubricare 2 handpiece care and

maintenance system for automatically cleaning

and lubricating handpieces. This maintenance

system integrates into the instrument processing

workflow and is compatible with handpieces from

a variety of manufacturers. ■

Ivoclar Group launches new logo and visual identity

The Ivoclar Group has launched a new visual

identity to align with their goals of becoming

more customer-oriented.

In 2021, Ivoclar set new accents with targeted

activities that are more strongly focused on

the needs of the customer. In order to visually

underline the new departure into a customeroriented,

modern and innovative age, Ivoclar

is starting 2022 with a new appearance and

an adapted logo.

Their most important change is the

"Vivadent" in the brand name and logo has

been dropped, as have some additional visual

elements, so that in the future, the company's

focus on the essentials will also be reflected

in the logo.

The reduction to the essentials, a lifestyleoriented,

emotional visual language that puts

people in the foreground contributes to the

company’s mission of "Making People Smile".

At Ivoclar, the external understanding of

the brand rests on three supporting pillars:

partnership and customer, innovation and

technology, and family and friends.

With its focus on putting people, partners and

customers at the centre of its activities, Ivoclar

underpins its claim to make the workflows in

the daily work of dental technicians and dentists

easier and more efficient, and likewise to make

the patient experience as pleasant and personal

as possible.

The brand image is and remains a first point

of contact with the company, which is why

Ivoclar believes it is important that the brand's

appearance also serves the function of a

mission statement and reflects the innovative

strength that is lived out.

"With our long-standing tradition, our pioneering

achievements and our constant innovation,

we can rely on a strong corporate brand as a

Ivoclar’s new logo, which is more minimalistic,

and dropped the “Vivadent” in its previous logo

foundation,” explained Diego Gabathuler, CEO of

the Ivoclar Group. "Nevertheless, I am convinced

that there is still a lot of unused potential for

us here, which we want to fully exploit in the

future. A clearly structured positioning, which

is also expressed in the visual appearance, is

particularly important with regard to a futureoriented

alignment of the company, which leads

to the innovation that places our customers and

their patients at the centre of our actions and

activities.”

The new Ivoclar logo and corporate design will

be used globally in all communication channels

from now on — where this has not yet been

incorporated — and will also be gradually applied

to brochures and other printed collateral. ■


DENTAL UPDATES

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DENTAL UPDATES

Colgate-Palmolive introduces global Know Your OQ Campaign as part of Oral

Health Commitment

Colgate-Palmolive has announced the

launch of a public health initiative, dubbed

Know Your OQ, to empower people to

understand and improve their oral health

quotient.

Similar to intelligence and emotional

quotient, Colgate hopes for people to know

their oral health quotient and understand the

links between oral health and overall health

and well-being. The company will commit

more than US$100 million over the next

five years to address a global health crisis

affecting nearly half the world’s population

and ensure oral health is incorporated into

broader public health strategies.

“As the worldwide leader in oral care and

with our trusted Colgate brand in more

homes than any other, Colgate-Palmolive

has the opportunity to address a global

health crisis that has far-reaching and

significant impacts,” said Noel Wallace,

chairman, president and CEO of Colgate-

Palmolive. “We’ve got the team, the partners,

the innovations and the motivation to

reimagine a healthier future for all.”

Oral health is often overlooked, even though

an estimated 3.5 billion people currently

suffer from oral diseases. Despite there

being proven strategies for prevention,

cavities remain the most prevalent chronic

disease among adults and children, and it is

estimated that 2.3 billion people suffer from

tooth decay.

Periodontal disease is among the most

common ailments, with severe gum diseases,

which may result in tooth loss, affecting

10% of the global population. The crisis of

oral disease has significant consequences,

since oral health has impacts for physical

health and emotional well-being: research

has shown that oral health is linked to other

physical health conditions, and a global

Colgate study has found that childhood cavities

lead to worry, anxiety and sadness in both kids

and their parents.

“Research has consistently shown that oral

health is a window to overall health, yet oral

health literacy is very low,” said Maria Ryan,

vice-president and chief clinical officer at

Colgate-Palmolive. “That’s why we’re on a

mission to help people increase their oral

health knowledge with: Know Your OQ. If we all

understand the importance of oral health and

embrace simple, proven preventative strategies,

we can help decrease risk for oral diseases and

empower people worldwide to join in the fight

against oral diseases that impact overall health

and well-being.”

At the Know Your OQ website, people can take a

free, interactive assessment to determine their

OQ score. The website also includes information

about the depth and breadth of the global

oral health crisis and provides educational

resources for primary care physicians, nurses

and educational leaders as well as consumers to

improve oral hygiene, encourage healthier habits

and promote overall systemic health. ■

Planmeca Romexis implant library installation packages available for download

Planmeca Romexis has announced

an improvement to its implant library.

The individual installation packages for

each implant manufacturer can now be

downloaded directly on the Planmeca

website. The packages include installers for

both Windows and macOS, and the installers

are compatible with Romexis 5.0 or newer.

From now on, a specific implant

manufacturer’s implants, sleeves, and

others, can be individually installed into

the Planmeca Romexis implant library,

instead of installing the full Romexis implant

library which contains implants from over a

hundred manufacturers.

Customers with the Romexis 3D Implant

module will be able to download and

install the packages to their implant library

themselves on the Romexis server computer.

Benefits of individual installation packages

and direct download include: shorter timeto-market

for new implants and updates;

immediate access to installation packages

after release; package size of 30-60MB,

compared to extensive implant library

package; faster installation when installing

one manufacturer instead of the full library;

easier use of the library list; and contents

of each manufacturer-specific installation

package on the library website. ■


DENTAL UPDATES


DENTAL UPDATES

Carestream Dental announces sale of Scanning Technology Business

Affiliates of Carestream Dental have

entered into an agreement to sell

Carestream Dental’s Scanning Technology

business to Envista, a global dental products

company for US$600 million. The Scanning

Technology business is composed of

Carestream Dental’s intraoral scanner

equipment such as CS 3600, CS 3700, and

CS 3800 and related software.

Carestream Dental will continue to operate

its imaging technology, clinical software and

practice management software businesses

which provide innovative solutions for

dental practices, groups, dental support

organisations (DSOs) and industry partners.

The sale of the Scanning Technology

business will not only deliver proceeds

representing the value of the company’s

innovation processes, but also allow

Carestream Dental to focus its investments

and efforts in the growing dental cloud and

technology solutions market. Its recent

investments in Sensei Cloud practice

management and Swissmeda’s suite of

clinical software solutions complement

device innovation with new growing

Software-as-a-Service (SaaS) applications

focused on helping practices and groups

build new revenue, profits and patient

flows.

“This is an exciting time for Carestream

Dental and our customers,” said Lisa

Ashby, CEO of Carestream Dental. “We’ve

had a multi-year investment plan in

cloud solutions and technology, and this

transaction allows us to better focus

and accelerate our innovation in AI tools,

clinical cloud applications and cloud

practice management for GPs, DSOs, and

specialty practices. We will continue to work

together with our customers and partners

to create innovation which delivers both

clinical and operational value, and think

Envista represents a great home for our

Scanning Technology business under which

our employees and customers will thrive.”

Subject to legal, regulatory and employee

consultation requirements, it is anticipated

that the transaction will close in late Q1 or

early Q2 of 2022. ■

Henry Schein releases new webinar series to address complex oral health needs

Henry Schein Dental recently announced its

2022 webinar series, Breaking Down Barriers

to Care, designed to enhance access to oral

care among vulnerable patient populations,

including paediatric and older adult patients,

and those with diverse health conditions and

disabilities.

The programme, which kicked off earlier

this year, features speakers from a variety of

clinical backgrounds, who address treatment

for patients with HIV, cancer, cardiac issues,

and more.

The 2022 webinar series includes:

• 26 May at 18:00 EDT: “A Lifetime of

Optimum Oral Health Begins with

Paediatric Preventive Care”

• 27 Jun at 20:00 EDT: “Treating Patients Living

With HIV+”

Dr Gary Severance, executive leader of

Professional Services, Henry Schein Dental,

commented: “At Henry Schein, we remain

committed to improving health equity for

all populations, and offering education that

customers can rely on to deliver oral care for

better patient outcomes.

“We are pleased to provide a programme that will

help customers tackle areas of dentistry that are

often overlooked and the complexities of diverse

patient needs. By breaking down barriers to care,

we can help health happen.”

Additional webinars are in development for

September, October and November, and will address

breaking down barriers to care for patients with

disabilities, diabetes and cardiac conditions. ■


DENTAL UPDATES


DENTAL UPDATES

W&H provides inspiration for sustainability in dental practices

Medical technology company W&H is calling

on dental practices to get involved as part of

its international campaign, #dentalsunited.

The campaign, “#dentalsunited – UNITED

we go green”, has the objective of setting

out common steps toward environmental

protection. The campaign provides a wealth

of practical tips encouraging dental practices

to think and act green.

As Peter Malata, managing director of W&H,

said: “Sustainability is not a vision for the

future, but rather a necessity for the present.”

When it comes to the environment, there

are various opportunities for improvement

in the medical and dental industry. Singleuse

and plastics are often still commonly

used in order to comply with the necessary

hygiene standards. In addition to this, a lot

of material is used for equipment as well as

energy.

This is where W&H comes in. What specific

steps can dentists take in their practice

to be a part of the solution? From energy

consumption to conserving resources to

consistent recycling, firms will find out what

industry-specific action is required.

FROM RAISING AWARENESS TO

GREEN DENTAL PRACTICES

Since October, the medical technology

company has been providing its online

audience with green suggestions and the

opportunity to share their ideas once a week.

Social media posts and further blog

contributions are creating more awareness

around the important topic of environmental

protection. Sources of problems are identified

and solutions provided for more sustainability.

W&H also supports the quality seal ‘Die Grüne

Praxis’, develops and creates sustainable

products, and takes responsibility for the

environment at its head office in Bürmoos,

Salzburg, Austria, and in the W&H Group with a

range of activities.

Malata concluded: “As a manufacturer of

medical devices, we have always been focused

on innovation and advancement. Progress

always requires change. With this in mind, we

are committed to starting a movement in the

medical and dental industry, in which we raise

awareness, inspire and support each other

along the path to more sustainability.” ■

Grin to expand teledentistry platform with Oral-B

Grin, a digital platform that provides oral

health solutions with local dentists and

orthodontists, has announced a partnership

with Oral-B. At CES 2022, the companies

unveiled the latest dental technology which

creates new industry standards in assisting

patients in understanding their oral health.

Grin’s remote monitoring and consultation

capabilities, combined with Oral-B’s

products, will ensure that their customers

have access to the latest personalised oral

health insights and at-home professional

consultations.

This means consumers can understand their

brushing and flossing habits, select the right

Oral-B products, improve behaviours for

better smile results, and have more frequent,

informed conversations with their local

doctor, all in an easy-to-use application.

Image: Daniel Frank/Unsplash

According to Grin, the Grin experience

consists of the Grin App, the Grin Scope, and

Grin Scope mini — the US Food and Drug

Adminstration (FDA)-listed medical devices

which attach to any smartphone camera and

take scans to measure changes to patients’

teeth. Under the supervision of partner

doctors, these technologies allow providers to

transition patient check-ins from in-office to

virtual by remotely monitoring teeth movement,

gum health, and oral hygiene.

With the burden of office visits reduced, oral

health and teeth straightening under the care of

a local doctor is more accessible.

“I created Grin to transform the entire dental

health industry by using technology that

connects professionals and patients to

bring better oral care directly to everyone,”

commented Adam Schulhof, DMD, CEO and

co-founder of Grin. “Partnering with one of the

most trusted consumer product brands like

Oral-B clearly attests to our commitment.

“Grin will continue its pledge to drive innovation,

and by joining ranks with Oral-B, we will ensure

more people can have better oral health.” ■


DENTAL UPDATES


DENTAL UPDATES

BEGO Group receives TOP 100 seal of approval

The BEGO Group of companies from

Bremen, Germany, has announced that they

are included in the 29th annual TOP 100

competition, having been awarded the TOP

100 2022 seal.

At the heart of the TOP 100 innovation

competition is a scientific selection process

that participants must undergo. On behalf of

compamedia, a media organisation based in

Germany, the organiser of the competition,

innovation researcher Nikolaus Franke,

and his team examined the BEGO Group

on the basis of more than 100 indicators

from five categories: “Top Management

Promoting Innovation”, “Innovation Climate”,

“Innovative Processes and Organisation”,

“External Orientation/Open Innovation” and

“Innovation Success”.

“How focused is a company on innovation?

How consistently do its structures follow

this goal? With TOP 100, we examine this,”

explained Franke. “The most innovative

medium-sized companies receive the seal.

It shows that they are excellently equipped

to meet future challenges.”

On 24 Jun 2022, BEGO will be honoured

for these achievements in person by the

competition’s mentor, science journalist

Ranga Yogeshwar.

BEGO is one of the top innovators for

the second time. Founded in 1890, the

German company offers dental technicians

and dentists innovative equipment,

instruments, materials, implants, services,

and processes for the manufacture and

processing of dental restorations.

In 2015, BEGO launched a 3D printing

system called Varseo, developed in-house

with and for dental laboratories, for the

laboratory production of a range of dental

restorations from high-performance resins.

In early 2020, it presented VarseoSmile

Crown plus, a tooth-coloured, ceramic-filled

hybrid material approved as a Class IIa

medical device for 3D printing of permanent

single crowns, inlays, onlays and veneers. ■

The TOP 100 award

Zest Dental Solutions to partner with Dental Whale

Zest Dental Solutions has announced its

newest partnership with the Dental Whale

Membership. Effective immediately, the

three-year agreement with Dental Whale

supports over 19,000 Dental Whale offices

across the US.

buy LOCATOR and LOCATOR R-Tx abutments

directly from Zest to support implant systems

used in each member’s office. Additionally,

Dental Whale will be utilising the LOCATOR and

LOCATOR R-Tx Scan Bodies to support digital

initiatives.

Zest Dental Solutions as a key manufacturer

in the implant locator and overdenture fields.

We are excited to collaborate with bringing

quality offerings and education to the Dental

Whale membership.” ■

As part of this agreement, Zest will be part

of Dental Whale’s preferred network for

LOCATOR, LOCATOR R-Tx, and LOCATOR

Overdenture Implant Solutions. In addition

to local office support, Zest will also be

partnering with the clinical support team

to launch Dental Whale’s ORCA platform

supporting Removable Overdenture

surgical, prosthetic, and hands-on training

programmes being hosted in-person and

remotely across North America.

Zest Dental LOCATOR family products are

now part of Dental Whale’s network and

are available to Dental Whale members.

Dental Whale offices will have the ability to

“Zest Dental is excited to have Dental Whale

as part of our dental support organisations

(DSO) member family,” said Tom Stratton, CEO

of Zest Dental Solutions. “We are committed

to supporting Dental Whale member offices

with preferred access to the LOCATOR product

family, and helping their clinicians grow their

practices and create stellar smiles.”

Phil Cruz, vice-president of procurement,

Dental Whale, also commented: “Dental Whale

looks forward to continuing its rapid growth

with the addition of Zest Dental Solutions in the

preferred supplier network. As part of Dental

Whale’s mission to provide solutions that

simplify dentistry, we see the partnership with

Zest Dental LOCATOR family products


DUAL CURING CORE & RESIN CEMENT

DENTAL UPDATES

3 Indications – 1 Material

Ò Optimal monoblock interface

Ò Two setting times

Ò Outstanding sealing and protection

Ò Excellent retention & durable strength

POSTS FOR DIRECT AND INDIRECT INDICATIONS

ParaPost ® System

Ò A versatile range of fiber posts, metal posts

and prefabricated casting post components

Ò One-office-visit and laboratory techniques

Ò More than 55 years of expertise

Ò Proven clinical success with > 500 studies

Ò Endo meets Resto – complete system with

core-build-ups and cements

005024 09.19

https://www.facebook.com/COLTENE.AsiaPacific


DENTAL UPDATES

Virtual event by Dentsply Sirona to announce collaboration with Google Cloud

and Primeprint

Dentsply Sirona has announced details about a

collaboration with Google Cloud and a separate

new 3D printing solution, Primeprint, in a virtual

global on 4 Mar 2022.

The company will introduce a series of

innovations designed to enhance digital

workflows with benefits for dentists, dental

labs and patients globally. A highlight of this

event will be interviews with Urs Hoelzle, senior

vice-president in engineering at Google, and

Don Casey, CEO of Dentsply Sirona, who will be

announcing a new collaboration between the

two technology companies.

GOOGLE CLOUD

The collaboration with Google Cloud will help

dentists and dental labs to unlock benefits of

digital dentistry – whether they are continuing or

just starting on their digital journey.

The new digital dentistry solutions will be

based on six key principles: enabling high-value

dental care; next-generation digital featuring

secure and seamless sharing of data with

laboratories and other dental practitioners; easy

access to data whenever needed; high-quality

3D visualisation of dental imagery; stringent

data protection and security standards; and

an innovative environment for software, data

integrity and storage.

Christian Martin, managing director of Alps

region at Google Cloud, commented: “Dentsply

Sirona is transforming the dental industry. At

Google Cloud we believe that we have the right

expertise, capabilities and services to strongly

support Dentsply Sirona in its vision for the

future of oral healthcare.”

Casey added: “This exciting collaboration will

allow us to deliver on our promise: empowering

millions of customers by proudly creating

innovative solutions for healthy smiles. We will

succeed in this by giving dentists an innovative

platform to underpin the digital infrastructure

of their practice and enabling a seamless

workflow that helps dentists to focus on what

matters most: treating their patients.”

PRIMEPRINT

Separate from the collaboration with Google

Cloud, Dentsply Sirona will also launch

Primeprint, a medical-grade 3D printing

system for dental practices and dental labs.

Primeprint is a smart hardware and software

solution that is optimised for dental

applications. It runs the entire

printing process, including

post processing, and

delivers “reproducible and

accurate” results with strictly

biocompatible materials.

The printing process meets

high regulatory

requirements for

medical products.

■

New SLS powder: Glass filled Nylon 12 for strong, heat-resistant parts

Formlabs has introduced the Nylon 12 GF

Powder, a glass-reinforced plastic powder ideal

for producing stiff, thermally stable parts on the

Fuse 1 selective laser sintering (SLS) printer.

The Nylon 12 GF Powder is the third material

designed specifically for the Fuse 1 ecosystem,

providing Formlabs customers with options to

scale in-house production affordably. The new

material joins Nylon 12 Powder and Nylon 11

Powder in the Formlabs SLS materials library,

enabling customers to diversify their operations

and scale production with varied material

properties.

This new material combines the utility of

Nylon 12 with the rigidity and heat resistance

of glass filler, making it ideal for any application

requiring sustained load-bearing ability and

elevated thermal resistance. Fuse 1 users can now

add Nylon 12 GF Powder to their catalogue if they

need stiff, functional prototypes, robust jigs and

fixtures, replacement parts, and parts with threads

or sockets.

The Nylon 12 GF Powder can be used for strong,

stiff, stable medical devices and replacement

parts in the healthcare industry, particularly

for customisable end-user medical device

components.

Stiff, static jigs and fixtures, brackets, mounts,

and casings are all product types that would

benefit from the strong, rigid mechanical

properties of this new powder.

Nylon 12 GF Powder also withstands

elevated temperatures, with a heat deflection

temperature of 113°C. Many materials can

deform when exposed to high heat, and lose

their dimensional accuracy, especially when

the heat is combined with a load-bearing

application. Nylon 12 GF Powder has the

thermal stability to withstand applications

where other SLS powders would show signs of

elongation and deformation.

HIGH PERFORMANCE VERSATILE

MATERIALS

The Nylon 12 GF Powder’s tensile modulus is more

than 50% higher than that of Nylon 12 Powder,

and almost 75% higher than Nylon 11 Powder.

Customers should choose Nylon 12 GF Powder

when printing parts that need to bear heavy loads

for a long time without any bending or elongation.

Other benefits of Nylon 12 GF Powder include:

a minimum refresh rate which ranges from 30-

50%, and can be adjusted to minimise material

waste, optimise cost per part, or improve part

finish; a simplified material changeover process,

which reduces downtime and enables more

in-house, multi-material production with a single

printer unit; among others. ■


DENTAL UPDATES

exocad launches community blog

exocad, an Align Technology company and

a dental computer-aided design (CAD)/

computer-aided manufacturing (CAM)

software provider, has announced the launch

of exoBlog, a community-based blog that

will feature educational interviews with

practitioners, dental technicians and thought

leaders in the dental industry.

exoBlog was launched on 23 Feb 2022.

The initial set of blog posts touched on

first impressions of the recently released

ChairsideCAD 3.0 Galway, providing first-hand

experiences of implementing digital solutions

in a dental practice and highlighting the

benefits of digital workflows that can enable

collaboration between laboratory and dental

practices.

“Community dialogue is extremely

important to us at exocad,” said Christine

McClymont, global head of marketing and

communications at exocad. “With this new

platform, we aim to bring together both

newcomers to the field of digital dentistry

and experienced professionals, to learn from

each other and share practical tips to make

their daily workflows easier.”

The launch of exoBlog follows a broader

expansion of exocad’s digital community

resources. Users can now access information

on exocad’s product releases, upcoming

events, and tips and tricks on Facebook,

Instagram, WeChat, YouTube, LinkedIn and,

most recently, TikTok. ■

Medical Protection Society launches research initiative to improve patient

safety and clinician well-being

Medical Protection Society (MPS), of which

Dental Protection is a part, has launched the

MPS Foundation: a new not-for-profit research

initiative to help shape the future of patient

safety through the funding of healthcare and

dental research.

The foundation will invest in research and

analysis, with the key focus being on areas of

patient safety and clinician well-being, both

medical and dental. It is part of MPS, which

currently supports more than 300,000 doctors,

dentists and healthcare professionals, and

has almost 130 years of global healthcare

experience.

The MPS Foundation is being launched

across each of the countries and regions

where MPS has a member base, including

Malaysia, Singapore, Hong Kong, the

UK, Ireland, South Africa, Australia, New

Zealand and the Caribbean, and is open to

applications from both members and nonmembers.

The research projects supported by the MPS

Foundation will have to be academically

robust and evidence-based. Available

funding will range from £5,000-200,000, or

the equivalent in local currency, depending

on the scale, focus and duration of the

proposal.

“I am proud to launch the MPS Foundation,

which will help both members and other

healthcare professionals navigate the

challenges of modern practice and find

research solutions.”

MPS Foundation funding is focused in four

main areas. First, the impact of human

factors on patient safety, outcomes and

risk. Second, the impact of processes

and delivery models on patient safety,

outcomes and risk. Third, the personal and

professional wellbeing and development of

clinicians, and lastly, the impact of digital

integration and technology on patient safety,

outcomes and risk.

Dr Graham Stokes, dentist and MPS

Foundation chair, said: “As the world’s

leading protection organisation, our aim is

simple: to create sustainable global change

through ambitious research. The MPS

Foundation will develop an international

knowledge base that can be applied locally,

leveraging our organisation’s global reach.

The funding is eligible to universities, medical

and dental schools, third sector and private

research institutions and organisations,

private or public hospitals or hospital groups,

local hospital networks, primary health

networks, dental practices, dental groups,

MPS members and clients, and non-MPS

individuals and organisations. ■


UNDER THE SPOTLIGHT

Balancing practice

and academic

As Singapore’s first dental clinician to receive the

National Medical Research Council’s Clinician Scientist

Award – Investigator Category, Dr Yu Na is no stranger

to further research in dentistry. Dental Asia spoke with

the senior dental surgeon and clinician-scientist at

National Dental Centre Singapore on her experience

and expertise on the trends and advancements that

will lead the industry in the coming years.

EARLY EXPERIENCE AND

INSPIRATION

Can you share with us your

beginnings as a dental

professional, and what are your

early influences in pursuing a

career in this field?

Dr Yu Na: When I was young, I

remember going through braces

and being curious about the

mechanisms. I also remember

trying to adjust the wires myself

and being fascinated by the devices

and instruments every time I went

to the dentist. During high school, I

chose to major in biology, and this

eventually led me to dentistry.

What are the reasons behind

your decision to specialise in

prosthodontics, and what inspired

you to pursue your PhD studies

focusing on cell-based strategies

to regenerate periodontal tissues?

Dr Yu: Each dental specialty has

its attraction. Since my time as a

young dentist, I have always felt a

sense of satisfaction from seeing

the smiles on my patients after

their prosthodontic treatment. To

me, that was the deciding factor

for choosing prosthodontics. In

prosthodontics, I enjoy the precise

control in operative dentistry, the

process of creating a device, and the

delivery of an end product that we

pass to our patients.

I was looking for more fundamental

biology topics to deepen my dental

knowledge for my PhD studies. I

was able to build my foundation

in critical thinking and learnt the

mental framework in scientific

investigation. My research training

also taught me to assess a

clinical problem from scientific

perspectives and seek solutions

using an evidence-based approach.

Regenerative periodontology is one

of the most challenging domains in

dentistry while cell therapy, tissue

engineering and biomaterials are in

the fields of cutting-edge science

and help further shape my mindset

of scientific thinking.

How will you describe your typical

day in the workplace as you juggle

between clinical and academic

commitments?

Dr Yu: I take on various roles as a

scientist, clinician, and manager on

a typical day. I start my mornings

with academic work which includes

replying to emails, panel reviews,

reports and drafting of papers.

This is followed by project-related

meetings where I review our

projects, brainstorm, and gather

progress updates with engineers

and scientists. Over lunch, we are

on Zoom calls with the clinical

team. I start my clinics after lunch

and attend to about five patients till

evening. Thereafter, I will meet with

a clinical educator on structuring a

conference lecture.

My day is packed, but each role

is a conduit to the other. I see

myself as a bridge between clinical


UNDER THE SPOTLIGHT

problems, technical solutions, and

using that to educate others. I

also find it a privilege to be able to

switch between my roles between a

researcher and clinician.

PERSONAL ACHIEVEMENT

AND RESEARCH

Can you briefly discuss your

research proposal on clinically

integrated smart digital workflow to

improve the quality and efficiency in

the production of removable partial

dentures (RPD) for Singapore’s

ageing population? In particular,

what were the motivations behind

this study, and what are the

potential long-term implications?

Dr Yu: Working with a team of

dental laboratory technicians, I

witness the challenges of manual

fabrication and the dependency of

skilled workmanship to produce

a well-fabricated prosthetic. With

the ageing population in Singapore,

there is a need for radical solutions

in dentistry. I saw a window of

opportunity to innovate through

digitalisation and I hope to leverage

my position as a clinician-scientist

to build an ecosystem in digital

dentistry. It was with all these in

mind that I initiated the digital

solution with automatic design

software and 3D printing for the

mass manufacturing of RPDs.

What other opportunities do you

see in extending your work in this

research, and what advice will you

like to give to dental researchers to

inspire them to push their interest in

oral science?

Dr Yu: Digital dentistry is disrupting

conventional dental practice with

its role in diagnosis and treatment

planning, treatment, laboratory

aid, patient motivation, practice

management, training and research.

There are numerous benefits to

digital dental solutions, which

include higher efficiency of cost and

time, flexible workflow, improved

accuracy, higher predictability of

outcomes, fewer visits to the dentist,

early detection of dental diseases,

shorter recovery time, better quality

images and reduced exposure

to x-rays. To me, these long-term

benefits outweigh the initial high

capital costs and investment

involved.

THE FUTURE AND BEYOND

Can you provide us with an

outlook on digital technology in

prosthodontics – what can be

its limitations when it comes to

providing dental care to patients,

and how are you overcoming this

challenge? More crucially, what

advice will you give to fellow


UNDER THE SPOTLIGHT

practitioners who are hesitant to

adopt digital technology?

Dr Yu: In recent years, we have seen

an increase in the demand for dental

procedures. With digital technology,

we are better equipped to provide

solutions for dental care, and we

can improve our patient experience

and enhance our dental workflow.

The adoption of technology will

also drive the dentistry industry

forward. However, the expense and

special training that comes with the

solutions often result in dentists

being reluctant to adopt such new

technologies.

Digitalisation will be the trend for

future dentistry, I would encourage

fellow practitioners to upskill their

digital knowledge to prepare for the

new service model.

What other trends do you foresee

happening in the dental field in

the next five to 10 years, and how

can dental professionals prepare

themselves better as the world

embarks on its recovery road from

the pandemic?

Dr Yu: The trend of digital

transformation in dentistry is evident

in the past few years. Digital dental

solutions provide better comfort and

experience during dental visits. They

save time for both the patient and

the dentist.

These solutions help dental

professionals manage their practice

more efficiently by streamlining the

workflow. As these solutions can

potentially increase the profitability

of dental practice, the adoption

rate is increasing. It will continue

to increase in the years to come as

more dental professionals realise

the value these solutions have for

the success of their practice.

As more and more patients start to

demand better experience and more

time-efficient procedures, I believe

that these digital solutions will

become the norm. DA


DENTAL PROFILE

Coltene continues forward

momentum towards innovation

despite pandemic

Despite the COVID-19 pandemic disrupting business operations globally,

Coltene directs its strategies towards growth and operations through

maintaining communication with its customers and continued product

innovation.

In the middle of difficulty lies

opportunity – what Albert Einstein once

said and can still be applied in today’s

world that looms under the COVID-19

pandemic. One company that has been

focusing on growth while continuing

to innovate in its products to better

support the dental community during

these challenging times is Coltene,

which has been proactive in maintaining

communication with its partners during

the pandemic.

Speaking with Dental Asia, Rodolfo Frei,

director of Coltene Asia-Pacific, said:

“This communication has allowed us

to remain close to the developing and

changing needs of the market as a

result of the pandemic to serve them

best. This has been possible, thanks to

the fact that we have great coverage

with Coltene managers around Asia-

Pacific.”

Understanding local markets and

their different needs is still key to the

success of any company. Frei shared

that Coltene has been able to maintain

dedicated and personalised contact

with local partners through its local

sales force, but at the same time

also connected to its headquarters in

Switzerland with a global message.

“This period has also allowed us an

opportunity to review certain strategies

to discontinue non-strategic products

and focus on key segments which, in

turn, means that our customers get

the products and services that they

want, and have come to expect from

Coltene,” he added.

Beyond communication, Coltene

has also compiled and continuously

updated tools and resources on its

website to support the healthcare

professionals in managing the

impact of COVID-19. In addition,

the company offers various

webinars on the topic

of infection control to

provide its customers

with in-depth training

in this area looking

at aspects such

as hand hygiene,

surface cleaning and

disinfection to name

but a few.

He continued:

“Many companies

started trying

online training for

the first time

due to contact

restrictions.

Congresses

and fairs took

place virtually

and Zoom

meetings

suddenly

became part

of everyday

Rodolfo Frei,

Director of Coltene Asia-Pacific


DENTAL PROFILE

life. Due to the high acceptance of

this form of communication, some

activities will certainly still take place

online after COVID-19. Nevertheless,

the dental community is now looking

forward to face-to-face contact again.

“A somewhat surprising finding

is that in markets with very strict

hygiene regulations, the demand for

disinfectants has not increased as

much as one would generally expect.

From this, we conclude that, in general,

dental practices were already doing

a great deal for patient and practice

team safety before the pandemic.”

CONTINUING PRODUCT

INNOVATION

With the information gathered from

their customers, Coltene was able

to revise and release new products

for their customers. Undeterred by

COVID-19, the company has been

consistently introducing new products

and innovations to the industry.

A product Coltene has developed is

SUPERKRAFT which combines two

solutions – SoloCem and ONE COAT 7

UNIVERSAL – into one product. The

former is a self-adhesive cement

and the latter is a light-cured,

one-component bonding agent.

Frei explained: “The dentist should

have a cement that can do both –

lute a restoration self-adhesively

whenever the indication allows it,

and lute a restoration adhesively in

combination with a bonding agent

whenever a ‘bonding-boost’ is

required.”

Besides SUPERKRAFT, Coltene has

also released the BRILLIANT family,

a line of composites focusing on

efficiency and aesthetics.

“Our base material BRILLIANT

EverGlow is known for its good

polishability and gloss retention. At

the same time, handling properties

are highly appreciated by dentists,”

he remarked. “The CAD/CAM

composite blocks BRILLIANT Crios

and the composite shells BRILLIANT

COMPONEER are based on the same

material as BRILLIANT EverGlow.

This means that you have a perfectly

matching system to make great

looking restorations out of one

material.”

The duo shade system offered by

the BRILLIANT range, he added,

contains seven basic shades which

cover the VITA range. In conjunction

with the translucent and opaque

shades, dentists will have the kit

required to meet the demands of

aesthetic restorations.

Another new launch by Coltene is

the CanalPro Jeni endo-motor. Fully

automatic and electric controlled

with an integrated apex locator,

the Jeni aids with smoothening

root canal preparation. The

Jeni assistance system also

continuously adapts to the

individual root canal anatomy

and guides the mechanical and

chemical preparation step by step.

Citing a quote from Dr Nicolas

Gutierrez from Madrid, who said

that it was “amazing how the endo

assisted algorithm worked in the

hands of a prosthodontist”, Frei

commented that dentists were


DENTAL PROFILE

“enthusiastic about the possibilities

for everyday use of the Jeni Motor”.

With these new product launches,

Coltene was able to respond to the

needs of the market in spite of a

global pandemic crisis.

Nevertheless, Frei emphasised the

need for a hands-on approach in

experiencing their new products. He

raised the Jeni system as an example

and said: “During COVID-19, we were

forced to rely mainly on webinars but

the true power of the endo-motor is

only revealed when you can practice

with it yourself. Therefore, now that

the measures have been relaxed

somewhat, we are relying on face-toface

training in the form of our Europewide

‘Jeni City Tour’.”

THE PATH FORWARD

Having joined the Coltene family in

2009, Frei has had a front-row seat in

observing the company’s growth for

the last decade. As the dental industry

continues to evolve and demands

continue to change, its leadership has

allowed Coltene to continue offering

new products to its customers,

establishing itself as a provider and

manufacturer of consumables and

small-size equipment for dental

treatment applications.

Frei lauds the arrival of Martin

Schaufelberger, who joined Coltene as

CEO in 2012, and said: “His vision and

leadership has helped the group to be

recognised worldwide, in the areas of

infection control, dental preservation

and efficient treatment.”

Particularly in the area of infection

control, Coltene acquired SciCan, a

provider of infection control solutions,

and Micro-Mega, a manufacturer of

endodontic instruments. The merger

with Coltene strengthens the market

position and product range under

this new group, opening up synergies

and expanding the range in the joint

business fields of infection control

and endodontics. With its combined

resources, the group is said to be

in an even better position to address

compliance and regulation standards.

“With the integration of SciCan into

the group, we were able to meet the

ever-increasing demand in hygiene and

disinfection protocols. Our innovations

in this field meant that we remained

at the forefront with solutions that

the pandemic demanded. It is a move

that has enabled us to strengthen our

presence as the true infection control

specialists,” Frei elaborated.

As the Coltene team continues to deliver

new products to its customers, Frei is

grateful for the partnerships formed

during this trying period, and concluded:

“We forge and recognise partnerships

during difficult moments, and we are

delighted and honoured to have such

loyal, enthusiastic, proactive customers

in the whole region.

“We, the Coltene team are excited, and

look forward to being able to continue

sharing our expertise and passion with

the dental community in Asia.” DA


DENTAL PROFILE

Straumann Group enables

dental implants and

orthodontics solutions for all

With a slate of products and service geared toward aesthetic

dentistry, Straumann Group and its united brands are enabling

dentists and patients around the world to achieve valued results

using the latest in dental treatment for the Asia-Pacific region.

With a slate of products and services

geared toward aesthetic dentistry,

Straumman Group and its brands are

enabling dentists and patients around

the world to achieve valued results

using the latest in dental treatment

for the Asia-Pacific region.

Headquartered in Basel, Switzerland,

the Straumann Group and its brands

– including Straumann, Neodent,

ClearCorrect, Dental Wings and

other fully- or partly-owned

companies and partners

– are committed to

delivering excellence,

innovation and quality in

replacement, corrective

and digital dentistry.

With more than 9,000

employees worldwide,

the group develops,

manufactures

and supplies

dental implants,

instruments,

biomaterials, CAD/

CAM prosthetics,

digital equipment,

software,

and clear

aligners for

applications

in replacement, restorative, orthodontic

and preventive dentistry.

Vida Lau, commercial director of

South East Asia at Straumann, told

Dental Asia: “Straumann Group offers

Neodent and Straumann implant

solutions as well as ClearCorrect

aligners which are comfortable,

removable, nearly invisible, and, best of

all, they work without impacting your

daily life.

“Straumann delivers innovative

systems that are connected to digital

solutions, services, equipment with

partners and third parties providing

digital solutions such as scanners

and workflows for dentists that will

optimise treatment outcomes for

patients. Partnering with the largest

global scientific network we create

a leading ecosystem for aesthetic

dentistry within the world, and we

are considered by many clinicians in

providing dental implants to be the

standard of care for replacing missing

teeth.”

Available in Malaysia since 2004

through its suppliers and stakeholders,

Straumann’s products and services

achieved prominence in its home

country and the countries they

Vida Lau, Commercial Director,

South East Asia, Straumann


DENTAL PROFILE

Straumann Group offers a wide selection of products and services for the dental community

operate in. Being one of the world’s

top distributors has enhanced the

company’s exposure within the

market, giving them an edge in terms

of speed and efficiency, she added.

“We are proud to offer up-to-date

technology as part of our service. Our

partners can expect modern care and

treatment in all your procedures with

our dental technology.”

GOING DIGITAL WITH

DENTISTRY

Digital innovation has been reshaping

administrative and clinical processes

for several years now, according to

Vida, on top of generational changes

that also reflect a changing consumer

attitude towards implants. She

elaborated: “Several fundamental

and reinforcing trends drive deep

structural changes, and as we move

along in embracing advanced digital

solutions, it is now more than ever

to remain resilient to stay ahead of

the competition. Instantaneously,

technological advancements,

low-cost alternatives, a lack of

qualified personnel, changing patient

preferences and dental school

curricula, as well as new treatment

standards are further accelerating the

adoption of digital solutions.”

These advanced solutions, she added,

will eventually cover the entire dental

workflow, delivering quantifiable

benefits for dentists, technicians and

more importantly, patients.

“Ultimately, clinics that excel at

digitalisation will gain considerable

advantages in terms of outcome

quality, as well as cost and time

savings,” Vida said. “With that,

Straumann Group has been one of the

partners of choice that is preferred by

suppliers, stakeholders and patients

in the aesthetic dentistry in Malaysia

since 2004.”

DRIVING PROGRESS IN THE

TOOTH REPLACEMENT MARKET

Dental implants often lead to longlasting

restorations. In recent years,

dental practices have adapted to

new safety standards. Vida stressed

that Straumann’s strategy is devoted

to further creating smiles, restoring

confidence and shaping their future,

which in return generates value for their

company, the general public and dental

practitioners.

She elaborated: “Many patients search

the web for healthcare services,

including dental care, every year. Be it a

general dentist or a specialist, the vital

driving force behind implants’ growth

in dentistry is the value patients place

on their teeth and smile combined


DENTAL PROFILE

with a growing ageing population,

increasing healthcare awareness,

and expenditure on dental care.

Dental implants are also a smart

choice for adults of all ages, whether

they were born without a tooth or

have had to have teeth removed due

to injury, infection or decay. They can

also be an option for adolescents,

once facial growth and development

has been completed.

“We know that patients are looking

for safer and less invasive solutions,

as well as metal-free alternatives for

replacement procedures. Hence the

increased efficiency, effective cost

control, and time-saving nature of

digital technologies will propel the

evolution of the dental healthcare

industry.”

Through continuous innovation and

technological advances, Straumann

Group has been working towards

creating reliable implant solutions

while partnering with dental

professionals to increase a patient’s

chances for a healthy recovery and

comfort.

only. In countries where dental

services were continued, patient

visits dropped, making it a very tough

time for dental professionals and the

industry in general. Our key focus was

on safety first and doing all we can to

protect people, prevent the disease

from spreading, and slow the spread

of COVID-19. Our second priority was

looking after our businesses so that

we can offer an even better service

when normal life returns,” Vida said.

The Straumann Group has taken

several initiatives to provide

additional help and support to

customers at this time. By ensuring

that all their services and solutions

remained available, the group was

able to provide sufficient stock to

meet demands. Moreover, their sales

teams and customer services were

available online or by phone to help

with any requirements or concerns.

“We also took the time to share

valuable business insights and

recovery plans to help when things

return to normal. Many dental

professionals were using the break

from normal work to catch up on the

latest techniques, new treatment

solutions from remote monitoring,

intraoral scanning, and implant

immediacy protocols. Straumann’s

SMART education platform was

particularly popular with general

dentists. Offered free-of-charge, it

featured a large number of live and

archived webinars with global key

opinion leaders. On top of this, our

academic partner, the ITI, offered

free access to the online academy,”

she revealed. DA

“Our award-winning technologies

are premium solutions designed to

improve patient treatment, shorten

treatment times, and make tooth

replacement less intrusive all the

while increasing patient’s chances

for a healthy recovery and comfort

with a portfolio of design, materials

and surfaces, including groundbreaking

technologies,” she added.

TRULY LIVING IN

UNPRECEDENTED TIMES

The COVID-19 pandemic has

disrupted business operations

around the world, and the medical

realm is no exception. Yet, even in

times of crisis, Straumann Group

remained purpose-driven and

motivated to serve the community.

“Many dental practises had to either

shut down completely or were

restricted to emergency procedures


CLINICAL FEATURE

Minimally-invasive restoration of an

incisal edge defect with CAD/CAM

hybrid ceramic

With the CAD/CAM hybrid ceramic VITA ENAMIC, dentists can provide a

minimally-invasive restoration for patients, while also delivering a seamless

integration into the natural tooth structure.

By Dr Sheng Fang and dental technician Feng Li

The computer-aided design (CAD)

and computer-aided manufacturing

(CAM) hybrid ceramic VITA ENAMIC

consists of a porous, pre-sintered,

fine structure feldspar ceramic that

is infiltrated with polymer. The dual

ceramic-polymer network allows for

very delicate reconstruction with

wafer-thin, precise marginal areas of up

to 0.2mm. With its dentin-like elasticity,

its enamel-like abrasion behaviour and

its natural light transmission, the CAD/

CAM material exhibits functional and

aesthetic integration into the natural

tooth structure. In the following case

study, dentist Dr Sheng Fang and dental

technician Feng Li demonstrate the

restoration of an incisal edge defect

with a minimally-invasively process

on the central maxillary anterior tooth

using the hybrid ceramic VITA ENAMIC.

THE PATIENT’S PROFILE

A 21-year-old patient presented a

fracture with the composite filling

of her distal corner of tooth 21 from

secondary caries. She wanted a

long-term, permanent restoration to

be integrated harmoniously into her

tooth structure. As this restoration

was scheduled to be minimally invasive

and required a reconstruction with

Fig. 1

Fig. 1: The initial situation with fractured tooth 21 when the patient first presented

at the dental practice

thin walls, the dentist and dental care

team opted for a CAD/CAM-supported

reconstruction using the hybrid

ceramic VITA ENAMIC.

TOOTH SHADE DETERMINATION

AND MATERIAL SELECTION

Precise colour information is essential

in making the correct choice when

it comes to shade-matching the

material blank. To ensure optimal

shade integration of the existing incisal

edge defect on the reconstruction, the

tooth shade was determined using the

VITA Linearguide 3D-MASTER shade

guide after applying local anaesthesia.

Systematic tooth shade determination

was carried out in two steps: In the

first step, a brightness level from zero

to five was determined using the VITA

Valueguide 3D-MASTER shade guide.

The colour intensity and shade were

then determined using the appropriate

shade guide from the VITA Chroma/

Hueguide 3D-MASTER. Tooth shade

1M2 was then selected. Since this

primarily involved a restoration of the

translucent enamel area, a translucent

HT blank in the colour 1M2 was

selected for the CAD/CAM-supported


CLINICAL FEATURE

Fig. 2

Fig. 3

Fig. 4 Fig. 5

Fig. 6

Fig. 2: Secondary caries had formed under a direct composite

filling, which led to a filling fracture

Fig. 3: The tooth shade was systematically determined in two

steps using the VITA Linearguide 3D-MASTER

Fig. 4: The caries was removed under local anaesthesia and the

edge areas in the enamel were slightly tapered

Fig. 5: The CAD/CAM-supported finished restoration made of

VITA ENAMIC with wafer-thin edges

Fig. 6: The final result after the fully adhesive integration of VITA

ENAMIC using composite cement

fabrication. To prepare for the

digital impression, only the caries

was removed and the enamel edges

of the defect were slightly tapered.

CAD/CAM FABRICATION AND

FINISHING

An intraoral scan with the CEREC

Omnicam 4.2 and the virtual design

of the restoration using the CAD

software inLab CAD 15.2 was then

carried out. The order was sent to

the inLab MC XL milling unit and

executed. Afterwards, the sprue

was removed and the restoration

was finished with fine diamond

instruments. Lastly, the final

finishing was done using the VITA

ENAMIC Polishing Set technical.

During the try-in, the partial

restoration was a perfect fit and

could be etched on the adhesive

surfaces using hydrofluoric acid and

then salinised. The tooth substance

was pre-treated using the acid etching

technique and then an adhesive was

applied. This was followed by final

seating using composite cement.

FINALISATION AND SUMMARY

After the cement residues were

removed, the transition between tooth

and restoration were evened out using

the VITA ENAMIC Polishing Set. The

delicate restoration showed a very

harmonious integration in the natural

tooth structure, thanks to its natural

play of colour and light. Due to the

comparatively low brittleness of hybrid

ceramic — even with very thin wall

thicknesses — and its thinly tapered

edges, hybrid ceramic can be precisely

processed and the patient provided

with minimally invasive treatment.

Using the digital workflow to create

an efficient fabrication of the indirect

restoration, it was possible to treat

the patient in one session. The

dental team and the patient were

completely satisfied with the results

of the final restoration. DA

This article was published with

VITA’s approval.

ABOUT THE AUTHORS

Dr Sheng Fang

Feng Li

Dental technician


CLINICAL FEATURE

Osteoma of the maxilla

A rare and benign bony lesion in the oral maxillofacial

region, osteomas may lead to facial deformity and other

debilitating issues which cause pain and discomfort to

individuals.

By Dr Lordjie Marr O. Morilla

Fig 1a

In 1935, Jaffe described osteoma as

a specific entity. Since then, there

are hundreds of published cases

of osteoma. Jaffe has the following

criteria for osteoma: (1) the lesion is

a benign neoplasm; (2) forms a large

amount of osteoid which become

calcified; (3) has little or no evidence

that the lesion was an inflammatory

process; (4) has characteristic

radiographic changes; and (5)

presence of pain 5 .

Osteoma is a benign, osteogenic

lesion. It can grow to a large mass

that can cause facial deformity

or dysfunction. Some authors

consider it as a true neoplasm, while

others noted it as a developmental

anomaly 1,3,8 . Osteomas that occur in

the oral maxillofacial region, when

associated with sebaceous cysts,

multiple supernumerary teeth, and

colorectal polyposis, can be a sign of

Gardner’s syndrome.

The purpose of this report is to

present a case of an osteoma that

occurred in the maxilla, which

includes clinical, radiographical

descriptions, and treatment.

CASE REPORT

A 43-year-old female patient

consulted for the assessment and

management of swelling on her

maxillary right posterior residual

ridge area.

The patient had been aware of the

slow but steady enlargement of the

mass for 10 months to its current

size. The lesion was associated with

pain, but there was no problem with

the mouth opening.

She had no previous facial trauma

nor significant medical, familial, or

social history related to the lesion.

The patient had already experienced

tooth extraction but no adverse

reaction to local anaesthesia nor

complications post-extraction.

Extraoral examination revealed

neither facial asymmetry nor

perioral lesions. Lymph node

examination was insignificant (Figs.

1a-b).

Intraoral examination revealed

swelling on her maxillary right

posterior residual ridge area that

extended from her right upper

premolar area up to the right upper

molar area (Fig. 2).

Mucosa overlying the swelling has

the same colour as the surrounding.

Torus palatinus and mandibularis

were also observed on the patient.

On palpation, swelling is bony-hard,

Fig 1b

Fig 2

Figs. 1a-b: Extraoral photographs show

no facial deformity nor perioral lesion:

(a) Facial profile (b) Top view profile

Fig. 2: Intraoral view of the maxillary

arch showing the lesion on the right

posterior area of the patient (yellow

arrow) and the torus palatinus (blue

arrow)


CLINICAL FEATURE

Fig 3b

Fig 3a

Fig 3c

Fig 3d

Figs. 3a-d: (a) Panoramic radiograph (b) Periapical radiograph (c,d) CBCT radiographs show a radiopacity on the right maxillary area.

Small pedunculated protuberance can be seen on the palatal side of the right maxillary alveolar ridge (orange circles)

non-compressible, non-fluctuant

and non-pulsatile but presents dull

pain.

Intraoral and panoramic

radiographs together with conebeam

computed tomography (CBCT)

revealed a diffused radiopacity on

the area of the patient’s maxillary

right posterior residual ridge area

(Figs. 3a-d). Provisional diagnosis

of osteoma, osteoblastoma, and

exostosis was made.

After case presentation and

discussion, it was decided that

an incisional biopsy be done first.

Under local anaesthesia, a flap was

made crestal to the lesion enough

to have good access. Upon flap

opening, several bony protrusions

from the periosteum were seen

(Figs. 4a-b).

These protrusions from the buccal

and lingual sides of the lesion, which

are bony hard and round, were

removed using a chisel and rotary

instrument.

The superficial surfaces of the

specimens appeared pale and

smooth, whereas the cut surface was

rough. These specimens were fixed

in 10% formaldehyde, decalcified,

and were routinely processed. The

final histopathological diagnosis

revealed the lesion to be an

osteoma.

Because the lesion was making

the patient uncomfortable while

eating, the patient was prepared

for definitive surgical treatment,

excisional removal of the lesions,

bone recontouring, and curettage.

DISCUSSION

Osteomas are benign, osteogenic

lesions characterised by excessive

and persistent but slow proliferation

of bone 1,3,9,10 . These lesions may arise

from the proliferation of cancellous,

compact, or a combination of both

types of bone 1,2,5 .

Three different types are present

depending on the location. It can be

central, peripheral, and extraskeletal

osteoma 1,2,3,5,12,22 .

Central osteomas arise from the

endosteum, peripheral osteomas


CLINICAL FEATURE

Fig 4a

Fig 4b

Figs. 4a-b: (a) Flap opening to access the lesion (b) Intraoral appearance of the lesion after flap opening. Small pedunculated

protuberances can be observed

from the periosteum, and

extraskeletal osteomas develop

within a muscle 1,8,13 . Peripheral

osteomas clinically appear on

the surface of the bone as a

sessile mass, while central and

extraskeletal osteomas are usually

asymptomatic 5,14,22 .

Osteomas occur at any age but

are found frequently in individuals

older than 40 years old 1,2,15 .

Osteomas are more frequent in

males than in females 1,5,9,11,13 but

some authors said that it occurs

more often in women than men,

and others have reported both

female and male predilection

in case series 2,3,16,17 . Children are

rarely affected unless they have

Gardner’s syndrome 5,18 .

In the maxillofacial region,

osteomas frequently occur in

sinuses, more commonly in the

frontal sinus 1,2,3,14 . It commonly

affects the mandible than the

maxilla 1,3,4,8,17 . When present in the

maxilla, it is commonly found in

the alveolar process 3 .

In many cases, the diagnosis

of osteoma is incidental since

it is commonly asymptomatic 1,2,3 .

Depending on the size and location,

it can cause facial deformity,

local sensitivity, deviation of the

mandible, headache, bone pain,

dysphagia, recurrent sinusitis, or

ophthalmologic complaints 1,3,16,17 .

The most common symptom when

present is pain 1,19 . Osteomas are

commonly solitary unless the patient

has Gardner’s syndrome 8 .

Conventional radiographic

examinations, including panoramic

and periapical radiographs, are

generally sufficient to diagnose an

osteoma. The use of CBCT results in

better resolution can determine the

precise localisation and extension of

the lesion 1,4 .

Peripheral osteomas appear as

well-circumscribed, densely

sclerotic, and radiopaque mass.

Central and extraskeletal osteomas

are commonly identified on routine

radiographic examination, which

can be seen as dense, circumscribed

radiopacity 5,8 .

The radiographic appearance

with the clinical aspects is usually

compatible with osteoma.

However, a conclusive diagnosis

is determined by microscopic

histological examination. Routine

clinical and radiographic follow-up

should be performed, considering

that most of the tumours are

asymptomatic.

The pathogenesis of osteoma is

still unclear. Various hypotheses

consider osteoma a true neoplasm,

a developmental anomaly, or

congenital and hereditary

disorder. The possibility that

peripheral osteomas may be a

reactive mechanism triggered by

trauma or infection, has also been

suggested 1,2,3,4,5,8 .

However, we have no information

about the possible cause in the

case presented in this report since

there is no history of trauma or

infection.

Osteoma should be differentiated

from several pathologies, including

osteochondroma, fibrous

dysplasia, chondroma, ossifying

fibroma, condensing osteitis. Bony

exostoses, except tori, tend to

appear on buccal or facial aspects


CLINICAL FEATURE

of alveolar bone and stop growing

after puberty in contrast to osteoma,

which generally occurs on lingual or

palatal aspects that continue to grow

post-puberty 1,3,4,17,20 .

Focal sclerosing osteomyelitis,

osteosarcoma, peripheral ossifying

fibroma, chondroma, Paget’s disease,

monostotic fibrous dysplasia, calcified

meningioma, and odontoma should

also be considered as differential

diagnosis 1 . Osteoblastoma and osteoid

osteoma usually present more pain

and have a greater growth rate than

osteomas 1,3,4,17.

Surgery, which includes excision with

bone recontouring and curettage,

is not generally needed unless

there are symptoms, deformity, has

active growth, or other secondary

problems 1,2,3,4,17,21 . Recurrence after

surgery is rare, and no known reports

are associated with malignant

change 1,2,3,16 .

The presence of osteomas may signify

Gardner’s syndrome, an autosomaldominant

disorder characterised by a

triad of colorectal polyposis, skeletal

abnormalities, and multiple impacted

supernumerary teeth 1,2,8,9 .

Since osteomas develop before

colorectal polyposis, early detection

of the syndrome is paramount to the

prognosis of the disease. Thus, dental

practitioners should be aware of the

triad of Gardner’s disease 1,5,6,7 .

CONCLUSION

Osteomas are rare, benign,

slow-growing, bony lesions that

occur in the oral maxillofacial region.

It should always be considered a

differential diagnosis for any bony

hard, slowly growing, with or without

pain swelling on the oral maxillofacial

region.

Exact aetiology and pathogenesis

remain unknown, but it is suggested

that molecular and genetic

research be done to improve the

understanding of this lesion.

Osteomas can cause facial

deformity, limitation or deviation

on the movement of the mandible,

headache, bone pain, dysphagia,

sinusitis, or ophthalmologic

complaint; hence, dental

practitioners should be aware of

these signs and symptoms during an

examination. DA

References

1. Durão, I. Chilvarquer, J.E Hayek, M.

Provenzano and M.R Kendall. “Osteoma

of the zygomatic arch and mandible,

Report of two cases,” Revista Portuguesa

Estomatologia Medicina Dentaria e

Cirurgia Maxilofacial. 53:103-7, 2012

2. CE de Andrea and PCW Hogendoorn.

“Bone: Osteoma”. Atlas of Genetics

and Cytogenetics in Oncology and

Haematology. February 2009.

3. K Sah, A Kale, H Seema, V Kotrashetti

and BJ Pramod. “Peripheral osteoma

of the maxilla: A rare case report,”

Contemporary Clinical Dentistry 2:49-52,

2011

4. E Bulut, A Acikgoz, B Ozan and O

Gunhan. “Large Peripheral Osteoma

of theMandible: A Case Report,”

International Journal of Dentistry Volume,

2010

5. G Gayathri, R RaviKumar, GA Manjunath

and M Jyothi. “Osteoma of The Mandible,”

Journal of Dental Sciences & Research

2:1: Pages 116-122, 2011

6. KE Verweij, HJH Engelkens, CA

Bertheux and A Dees. “Multiple lesions in

upper jaw,” The Netherlands Journal of

Medicine, Vol 69, No. 7-8, 347-348, 2011

7. G Basarana and M Erkanb. “One of

the Rarest Syndromes in Dentistry:

Gardner Syndrome,” European Journal of

Dentistry, 2: 208–212, 2008

8. J Regezi, J Sciubba and R Jordan.

Oral Pathology – Clinical Pathologic

Correlations 4th ed, p296-297, Elsevier,

Singapore. 2004

9. SC White and MJ Pharoah. “Benign

Tumors of the Jaws,” Oral radiology. 2009.

10. E Whaites. “Differential Diagnosis of

Lesions of Variable Radiopacity in the

Jaws,” 2007

11. M Ida, T Kurabayashi, Y Takahashi, M

Takagi and T Sasaki. “Osteoid Osteoma

in the Mandible,” Dentomaxillofacial

Radiology. 31:385-7,2002

12. AF Durighetto, FM Ramos, MA Rocha

and DE Perez. “Peripheral osteoma of the

maxilla: report of a case.” Dentomaxillofac

Radiol. 2007;36:308-10.

13. A Kerckhaert, E Wolvius, K van

der Wal and JW Oosterhuis. “A giant

osteoma of the mandible: case report”. J

Craniomaxillofac Surg. 2005;33:282.

14. Fonseca, Marciani and Turvey. Oral and

maxillofacial surgery : 2nd edn : 2008 :

604-5

15. A Mittal and I Nageshwar. “Large

peripheral osteoma of the mandible,” Oral

Radiology. 2008;24:39-41.

16. Y Woldenberg, M Nash and L Bodner.

“Peripheral osteoma of the maxillofacial

region: Diagnosis and management: A

study of 14 cases,” Med Oral Pathol Oral Cir

Bucal 2005;10:E139-42.

17. NB Sayan, C Ucok, HA Karasu and

O Gunhau. “Peripheral osteoma of the

Oral and Maxillofacial region: A study of

35 new cases,” J Oral Maxillofac Surg

2002;60:1299-301

18. RE Marx and D Stern. Oral and

maxillofacial pathology: 2003: 771-2

19. M Chaudhary and M Kulkarni. “Osteoid

osteoma of mandible,” J Oral Maxillofac

Pathol. 2007;11:52-5

20. PE Richardson, DM Arendt, JE Fidler

and CM Webber. “Radiopaque mass in the

submandibular region,” Journal of Oral

and Maxillofacial Surgery, vol. 57, no. 6, pp.

709–713, 1999.

21. N Larrea-Oyarbide and E Valmaseda-

Castell on, L. Berini-Ayt´es, and C. Gay-

Escoda, “Osteomas of the craniofacial

region. Review of 106 cases,” Journal of

Oral Pathology and Medicine,vol. 37, no. 1,

pp. 38-42, 2008.

22. V Nayak, PK Rao, R Kini and U Shetty,

“Peripheral osteoma of the mandible,” BMJ

Case Rep 2020;13:e238225.

ABOUT THE AUTHOR

Dr Lordjie Marr

Morilla received

his Doctor of

Dental Medicine

degree from the

University of the

Philippines and

pursued a Master of Science in

Dentistry specialising in Oral Diagnostic

Sciences at Khon Kaen University,

Thailand. Councillor to the Philippine

section of the Asian Society of Oral and

Maxillofacial Pathology, he also gives

lectures on oral diagnosis and pathology

and has presented his research

at various local and international

conferences. At present, he is a PhD

student at The Hong Kong Polytechnic

University and his research area focuses

on genetics and associated mutations

of complex diseases.


CLINICAL FEATURE

Photobiomodulation: An updated

literature review with a case report

Garnering positive feedback and support across various literature,

photobiomodulation can serve as an effective aid to help patients with

reduced pain and discomfort during treatment.

By Dr Kevin Ng, Dato’ Dr How Kim Chuan

Orthodontic tooth movements cause

pain and discomfort. It also takes a

long time to complete, the average

treatment time being usually two to

three years to achieve satisfactory

results. These factors hinder patients

from seeking treatment. To avoid

long-term suffering and to enhance

patient co-operation and compliance,

photobiomodulation (PBM) offers the

possibility of shortening treatment

times. Although different clinicians

hold different views regarding the

application of PBM to influence

orthodontics effects and outcomes,

a case is reported here with

satisfactory patient feedback and

acceptable clinical outcome. The

PBM device was used contained 42

LED cores that produced 828nm

wavelength light and stimulate four

minutes on each arch daily. It was

found that 50% of the treatment

time for the entire Invisalign course

reported improved results with no

pain.

THE PBM DEVICE

The bite plane device consists of

42 LED cores and a power input of

2.1V. The current of each LED core

is 30mA. The LED Cores produced

855nm wavelengths to stimulate the

target sites. The energy absorbed

after four minutes per arch was 249.9

joules. The manufacturer claimed that

PBM could enhance the biology of

the treatment area and improve the

healing of bone and soft tissues and

further enhance tooth movement.

CASE REPORT

A male patient CST, aged 20, was

presented with Class I Molars,

moderate anterior crowding of upper

and lower arches, and rotation of

12, 23, 33 and 43. There was a lower

mid-line shift to the left about 2mm,

in addition to an overjet of 1mm, and

an overbite of 3mm.

The patient did not want an

extraction and requested the shortest

possible time to finish the treatment.

An iTero scanning was performed,

and arch expansions were designed

to improve the arches form to create

spaces for alignments. Forty-five


CLINICAL FEATURE

sets of aligners were prepared and

treatment time was to be about a

year, with one aligner each week.

PBM lights were prescribed, and two

aligners were used for each week.

The 45 aligners should be finished

wearing by 23 weeks. The PBM device

was applied for four minutes daily on

each arch, and the patient was advised

to return to the clinic monthly to

check and ensure fittings. The patient

was to record the degree of pain

or discomfort monthly in the given

form during the aligner treatment.

The feedback pain scores were rated

two to three for the whole period.

Orthopantomograms (OPGs) were

taken before and after treatment and

no root absorption occurred.

DISCUSSION

Surgical corticotomy was used

to accelerate orthodontic tooth

movement before the application of

PBM. However, post-operative pain

and complications were concerns to

the patient.

In 2013, Kau assessed 73 patients and

17 controls fitted with traditional

orthodontic brackets and wires and

treated with 850nm wavelength,

near-infrared light with a power

density of 60mW/cm 2 for 20-30

minutes per day. He observed that

PBM achieved clinically significant

accelerated tooth movements

compared to the control group.

Lao proposed PBM as a non-invasive

stimulation of the dentoalveolar

complex with mitochondrial

adenosine triphosphate (ATP)

production at the mitochondrial

cells. Due to the increased level of

metabolic activity, ATP is increased at

a localised level. Infrared light doubles

cytochrome oxidase levels, mediating

ATP production. Higher ATP

availability accelerates cell turnover,

resulting in a faster remodelling

process and tooth movement. A

1.12mm movement per week for the


CLINICAL FEATURE

P re -t re a tment OPG

In another study, Ozturk in 2020 found

PBM applications displayed inhibitory

and reparative effects on OIIRR by

modulating the RANKL and COX-2

expression levels. Resorption lacunae

volume (p & lt; 0.001), resorption

lacunae numbers (p & lt; 0.05), and

percentage of the resorption (PR)

lacunae (p & lt; 0.001) – these levels

decreased with PBM applications when

compared with the positive control

groups. They also found the effects of

the different wavelengths were similar 7 .

Sfondrini et al in 2020 studied the pain

experience on subjects with banded

maxillary first molars. Each molar

received one session of PBM treatment

on two buccal and two palatal points.

In the trial group, PBM treatment

showed decreased pain compared to

the control group 11 .

Post-treatment OPG

PBM group was observed compared to

0.49mm in the control group 13 .

The mechanism of PBM is due to certain

biological wavelengths elicited by the LED

cores, generating a therapeutic effect at

the cellular level. The photon source after

LED produced favourable effects both in

animal 3 and human clinical studies 12, 14, 15 .

The early clinical trial started with pain

control, tooth movement acceleration, and

increase bone remodelling and quality.

Recently, this therapeutic technology had

reported success in the improvement of

mini-screw stability, temporomandibular

disorders (TMD) disorders, root resorption,

bone consolidation during maxillary

expansion and distraction osteogenesis. As

it was easy to operate and non-invasive,

it became widely adopted for clinical use.

Shan et al in 2021 subsequently found that

PBM had a promising effect on postorthodontic

root resorption rehabilitation 1 .

Brawn et al in 2017 investigated the use

of Biolux LED phototherapy daily for

21 days on an extracted socket with

hydroxyapatite (HA) grafting. They found

that there were accelerated bone healing

in the phototherapy-treated HA socket

graft. This may provide faster implant

osseointegration and healing compared

to the control group 17 .

Ekizer et al in 2016 studies found PBM

had the potential of accelerating tooth

movement and had a positive effect on

mini-screws 4,9 and these results were

agreed by Al Shahrani et al in 2019. They

found there was a statistically significant

difference between PBM therapy

compared to a non-stimulated group

with a mean difference of 0.59 8 . It was

proposed that the action of LPT IL-1B

attracted leucocytes and stimulated

fibroblasts, endothelial cells, osteoclasts,

causing the effects 9 .

Reis et al in 2021 suggested that

during orthodontic tooth movement,

cytokines were released in the gingival

crevice, affecting bone remodelling.

PBM stimulations increased the levels

of IL-1β, IL-8, OPN, and PGE2 LLLT was

statistically related to an increase of

IL-1β levels 10 .

Abellán in 2021 used an intraoral

scanner and cone-beam computed

tomography (CBCT) to study molar

intrusion using a mini screw as

anchorage. Again, they found the

technique was effective in accurately

monitoring the intrusion distance

(p > 0.05). CBCT records allowed

volumetric evaluation of the root

resorption process, and it was found

to be less in the PBM group. They also

suggested that the “application

of PBM may provide better periodontal

records and lower progression of root

resorption at the expense of little

lower intrusion distance and velocity’’ 5 .

Finally, Caccianiga in 2022 reported

30 patients treated with rapid palatal

expansion. The pain was significantly

lower in the experimental group 16 . PBM


CLINICAL FEATURE

was used in orthodontics together with

anchoring TAD micro-screws as stability.

After 60 days post-treatment, significantly

higher stability was noted in the PBM

group, and the authors had concluded

that application of the 808nm diode laser

increased micro-implant stability clinically.

PBM also reduced the pain felt by patients 2 .

CONCLUSION

With the updated information suggested

above, it is possible to apply PBM safely

to assist the orthodontic patient and even

to improve treatment time and outcome

for patients who have received implant

treatments. The findings here suggest

that intraoral PBM could be used to

decrease alignment treatment time and

pain or discomfort, as well as encourage

bone formation, promoting bone healings

and osseointegration of dental implants.

However, due to research limitations, a

further extensive study by multi-centred,

randomised clinical trials is suggested.

References

1

Shan Z., Wong K., McGrath C. et al

(2021). “Comprehensive Effects of

Photobiomodulation Therapy as an

Adjunct to Post-orthodontic Treatment

Care: A Systematic Review”. Oral Health &

Preventive Dent 19:203-216. quintpub.com.

2021

2

Matys, J.; Jaszczak, E.; Flieger, R.;

Kostrzewska-Kaminiarz, K.; Grzech-Leśniak,

K.; Dominiak, M. “Effect of ozone and diode

laser (635 nm) in reducing orthodontic pain

in the maxillary arch—a randomised clinical

controlled trial”. Lasers Med. Sci. 2020, 35,

487–496

3

Melo Conti C., Suzuki H. et al (2019). “Effect

of PBM on root resorption induced by

orthodontic tooth movement and RANKL/

OPG expression in rats”. Photochemistry

and Wiley Online Library

4

Atsawasuwan P., Shirazi S. (2018).

“Advances in orthodontic tooth movement:

gene therapy and molecular biology aspect”.

Current approaches in Orthodontics, pp 41-

68 2018-books.google.com

5

Abellan R., Gomez C., Palma J. (2021).

“Effect of PBM on the Upper first molar

intrusion movement using mini-screws

anchorage: A Randomised Controlled Trial”

Photobiomodulation, Photomedicine, and

Laser Surgery vol. 39, No. 8-liebertpub.com

6

Kumar A.N., Jadhav V. et al (2021) “Light

Emitting Diode Mediated PBM Therapy in

Orthodontics-A Review of Contemporary

Literature”. Journal of Evolution of Medical

and Dental Sciences vol. 10, Issue 32)

7

Ozturk T., Amuk G.N. (2020). “Effect of PBM

at different wavelengths on orthodontically

induced root resorption in orthodontic

retention period: a micro-CT and RT-PCR

study”. Lasers Med Sci 2020 35: 1419-29

8

Al Shahrani I., Togoo R.A., Hosmani J.

(2019). “PBM in acceleration of orthodontic

tooth movement: A systemic review and

meta analysis”. Complementary Therapies in

medicine Vol 47 2019 –Elsevier

9

Ekizer A., Türker G., Uysal T., Güray E.,

Taşdemir Z. (2016). “Light emitting diode

mediated photobiomodulation therapy

improves orthodontic tooth movement

and mini-screw stability: a randomized

controlled clinical trial”. Lasers Surg Med

48(10):936–943

10

Reis C., Furtado T., Mendes W. (2021).

“PBM impacts the levels of inflammatory

mediators during orthodontic tooth

movement? A Systemic review with

meta-analysis”. Lasers in Medical Sc 2021

Springer

11

Sfondrini M.F., Vitale M., Pinheiro A.L.B.

(2020). “PBM and pain reduction in patients

requiring orthodontic band application:

randomized clinical trial”. BioMed research

international. Article ID 7460938 2020 –

hindawi.com

12

Heravi F., Moradi A., and Ahrari F., (2014).

“The effect of low level laser therapy on

the rate of tooth movement and pain

perception during canine retraction”.

Oral Health and Dental Management,

vol. 13, no. 2, pp. 183–188

13

Shaughnesy T., Kantarci A. et al

(2016). “Intraoral photobiomodulationinduced

orthodontic tooth alignment:

a preliminary study”. BMC Oral Health,

Volume 16, Article number: 3

14

Kau C.H., Kantarci A., Shaughnessy

T., et al (2013). “Photobiomodulation

accelerates orthodontic alignment in

the early phase of treatment”. Progress

in Orthodontics, vol. 14, Article number:

30

15

Deana N.F., Zaror C., Sandoval P.,

Alves N. (2017). “Effectiveness of

Low-Level Laser Therapy in Reducing

Orthodontic Pain: A Systematic Review

and Meta-Analysis”. Pain research &

management vol. 2017 (2017): 8560652.

doi:10.1155/2017/8560652

16

Caccianiga G. et al (2022).

“Pain Reduction during Rapid

Palatal Expansion Due to LED

Photobiomodulation Irradiation: A

Randomized Clinical Trial”. Life 2022,

12, 37.

17

Brawn P., Kwong A. (2007). “Histologic

comparison of light emitting diode

phototherapy-treated hydroxyapatitegrafted

extraction sockets: a samemouth

case study”. Implant Dent 2007

Jun;16(2):204-11

ABOUT THE AUTHORS

Dr Kevin Ng is

a specialist in

community dentistry.

He was a visiting

professor at

Guangzhou Medical

University, and a Hon.

a/Clinical Professor at the University of

Hong Kong from 2017-2019.

Dato’ Dr How

Kim Chuan is the

president of ICD

Section XV and the

Osseointegration

Society of

Malaysia. He was

a visiting professor at Zhejiang Chinese

Medical University, and a professor at

both the Air Force University and Hong

Kong University.


CLINICAL FEATURE

Class II orthodontic treatment using

Invisalign treatment with mandibular

advancement

Treatment of a moderate Class II, division 1 malocclusion and ectopic permanent

canines using Invisalign aligners with precision wings and extrusion elastics.

By Dr Bart Iwasiuk

The patient was a 13-year-, one-monthold

male. His parents had noticed that his

upper teeth, the permanent canines, were

not coming in correctly.

A diagnosis revealed that he had permanent

dentition with a straight facial profile,

severe Class II relationship on the right and

left dental, a 5-6mm overbite, constricted

upper arch with blocked-out upper canines,

mild lower anterior crowding, hypocalcified

spots on the permanent upper incisors, and

agenesis of all third molars.

TREATMENT GOALS

The treatment goals were thus to bring the

permanent upper canines into the arch

and align all the teeth. The bite was to

be corrected to Class I molar and canine

without extractions. In addition, the deep

bite was to be reduced, the arches widened

and the smile broaded. Furthermore, the

patient was to maintain good oral hygiene

during and after orthodontic treatment.

The treatment plan consisted of the

following steps:

1. First, create proper mesial-distal space

for the upper permanent canines with

Invisalign aligners and weekly aligner

changes, using distalisation mechanics

supported with Class II elastics. Level the

lower arch during this time.

2. Connect Class II elastics to buttons

CEPHALOMETRIC VALUES

Measurement Value Norm StDev

SNA 76.8 82 3

SNB 75.2 79 3

ANB 1.6 3 2

U1-SN 102.4 103 6

L1-MP 92.9 90 5

Interincisal angle 134.2 135 11

FH-MP (FMA) 23.1 24 3

bonded to the upper canines to help

them extrude (3/16” 4.5 oz. elastics

full-time). This step can wait so long as

the canines continue to erupt while the

teeth have settled and the occlusion has

stabilised. Form lingual bite ramps into

the upper clear retainer if the deep bite

starts to relapse.*

space is being generated.

3. Re-scan the patient and add precision

wings to the aligners for mandibular

advancement once the canines have

erupted into the arch.

4. Detail and finish the occlusion with

additional aligners as needed.

5. Retain the teeth with a bonded lingual

wire on upper 2-2 and lower 3-3. Add a

clear retainer to the upper arch up to 45

days later, for night-time wear, once the

The following Invisalign aligner features

were used:

• Upper canine eruption compensation

feature for structural integrity of the

aligner, since the actual canines are

ectopic.

• Optimised attachments for various tooth

movements in the set-up.

• Upper lingual precision bite ramps to

help level the lower arch.


CLINICAL FEATURE

Initial records

ClinCheck software set-up and staging for

the initial aligners

TREATMENT SUMMARY

• Number of aligners used:

• Upper: 27 (without precision wings)

+36 (MA) +12 additional aligners (for

detailing)

• Lower: 29 (without precision wings)

+36 (MA) +12 additional aligners (for

detailing)

Aligner change interval was conducted

on a weekly basis.

Initial aligners

• Precision button cut-outs on the lower

6s for the Class II elastics.

• Conventional attachments for aligner

retention.

• Precision wings for mandibular

advancement after the permanent

canines erupt.

CLINCHECK SOFTWARE SET-UP AND

STAGING INITIAL ALIGNERS

To prepare adequate space for the

permanent upper canines with minimal

upper incisor flaring, the upper

posterior teeth were distalised in the

set-up for the initial Invisalign aligners.

The ectopic canines were not included

in the set-up.

Instead, eruption compensation features

were used, with buttons for Class II

elastics bonded to the permanent

canines as they erupted.

The total active aligner treatment time

took 18 months. This time does not

include a two-month break between

each aligner series to let the teeth settle

into occlusion, and four weeks to order

and deliver the aligners — thus, three

months total between each aligner

phase.

In addition, buttons for Class II/canine

extrusion elastics were bonded to the

permanent upper canines after the first

3 months of aligner wear. The 3/16” 4.5

oz. Class II elastics were worn full time.


CLINICAL FEATURE

Mandibular advancement aligners

Initial aligners with buttons bonded to the upper canines and lower first molars for 3/16” 4.5 oz. extrusion/

Class II elastics once adequate space has been re-captured

ClinCheck software set-up and staging for

the mandibular advancement aligners, shown

with precision wings (top row) and without the

wings (middle row). The overbite is set to an

overcorrected position of one to 1.5mm open.

The mandile was positioned 2mm past edge-toedge

which is slightly Class III with the wings in

place

After aligner #27 of 29 of the first series,

the upper aligners were discontinued,

without retention, and the remaining

lower aligners were worn only at

night for one month each, to allow the

permanent upper canines to further

erupt. Afterwards, new intraoral scans of

the arches were taken for the Invisalign

treatment with mandibular advancement.

APPOINTMENT SCHEDULE

For aligners without the mandibular

advancement feature, the patient was

seen every three months. All the initial

“non-MA” Invisalign aligners were

delivered to the patient all at once, so that

they could continue to make progress

with their treatment even if they missed

an appointment.

After the initial aligners were completed (27 upper + 27 lower aligners, no precision wings)

For aligners with precision wings, the

patient was seen every eight weeks which

is before every bite jump increment. This


CLINICAL FEATURE

was done to ensure that the patient could

properly engage the precision wings at each

new jump. This step is a critical checkpoint

because if not enough growth has occurred

since the last increment, the precision

wings might not engage correctly and the

patient might crush the precision wings

with their bite, which can lead to unwanted

torqueing of the teeth around the precision

wings. Should the patient be unable to

engage the precision wings of the new

bite jump increment, they can step back

one or two aligners and wear them for an

additional week or two each. This additional

six to eight weeks in the previous aligner

stages is usually enough to allow the bite to

comfortably advance to the next bite-jump

increment.

After the mandibular advancement (MA) aligner phase was completed (36 upper + 36 lower aligners with

precision wings). Notice the normal overbite achieved despite the one to 1.5mm open bite in the anterior

segment of the ClinCheck software set-up

CLINICAL DISCUSSION

The primary goal of the initial aligners

was to make space for the permanent

upper canines and capture them into the

arch. To avoid flaring the upper incisors,

distalisation mechanics with Class II elastics

for anchorage was planned. This approach

cannot be used with the mandibular

advancement feature in the aligners, so

this phase was completed first before the

mandibular advancement phase. Invisalign

aligners sequential or modified sequential

distalisation is effective for first molar

distalisation. Although several distalisation

staging patterns are available 1 , a standard

approach of distalising two teeth at any

given time was utilised in this specific case.

Since the canines were ectopic, they were

not included in the ClinCheck software

set-up. An eruption compensation feature

for the canines was requested instead, so

that the aligners would still be structurally

sound.

After 12 additional U/L aligners for detailing, a solid Class I bite was achieved, along with ideal overbite

and overjet. No final radiographs were taken due to a lack of medical justification for these per Canada’s

guidelines on dental radiographs

Bonded buttons and Class II elastics were

used to help guide the canines into place.

The upper cuspids tipped back and rotated

during this phase as a result, but the elastic

side effect was resolved with the second

set of aligners during the mandibular

advancement phase, which allowed

simultaneous Class II correction and full

control over canine alignment. Once the


CLINICAL FEATURE

implemented during the post-MA finishing

phase for any additional A-P correction needed

on U3 precision-cut hooks to L6 bonded

buttons. Aside from the overbite correction, an

overcorrection for individual tooth alignment

such as rotations, was not built into the

mandibular advancement aligners, as detailing

the occlusion with additional aligners was to

be done after the mandibular advancement

phase is completed.

The goal of the detailing aligners after the

mandibular advancement phase was to improve

individual tooth positions and the curve of

Wilson around the bicuspids and the first

molars. Class II elastics were worn for 10 weeks

at night only, and then on the right side full time

during the last two aligners in order to improve

the midline. Bonded lingual retention was placed

on upper 2-2 and lower 3-3. A clear upper

retainer was delivered 1.5 months later, after the

occlusion had settled.

Final records post settling taken two months after the completion of treatment. No final radiographs

were taken due to a lack of medical justification for these per Canada’s guidelines on dental radiographs

permanent canines were located close to the

desired position, a settling phase was started

prior to a new intraoral scan being taken for

the mandibular advancement phase.

The goal of the mandibular advancement

phase was to coordinate the arches and

remove any anterior dental interferences

preventing the posterior teeth from

occluding in a solid Class I relationship.

The precision wings were used to disclude

the bite and position the mandible forward

without needing elastics. Good aligner

adaptation is especially important during

this phase, so any added features that will

reduce the plastic-to-tooth contact area

such as button cutouts was avoided. Having

two retentive attachments per quadrant

was preferred during this phase, and lingual

attachments** on the permanent first

molars were used if the location of the

precision wings prevented the placing of

retention attachments buccally, which is

our first choice. For retention, occlusallybeveled

horizontal attachments which is 3

or 4mm depending on size of crown, were

used. Avoid placing these attachments in the

interproximal zones.

By intruding the upper and lower incisors

and using attachments on the canines and

bicuspids to help anchor the aligners onto the

teeth, the anterior interferences were

removed. The arch widths were also optimised

for a Class I bite during this phase, and

anterior lingual precision bite ramps in the

upper aligners helped generate intrusion

forces in the anterior segments.

At aligner #31 of 36 (MA phase), the patient

had difficulty engaging the precision wings on

the right side, so all the precision wings were

cut off and the patient wore their aligners

on 4-4 from stages 32 to 36. This allowed for

passive eruption of the permanent first molars

back into occlusion, as a common side effect

seen with use of the precision wings, as well as

other appliances with full-crown coverage like

a Herbst, is disclusion of the posterior teeth.

Rather than initiate a second mandibular

advancement phase, Class II elastics were

* Vivera retainers can be ordered with precision

bite ramps as a feature.

** Since this case has been treated, lingual

attachments have now become available and

can be requested in special instructions in

prescription form on molars or premolars

for Invisalign treatment with mandibular

advancement. One attachment per quadrant is

recommended to provide sufficient retention.

DA

This article was published with Align

Technology’s approval.

References

1

Data on file at Align Technology, as of July 16, 2019.

ABOUT THE AUTHOR

Dr Bart Iwasiuk has been in

private practice since 2002

and has treated patients with

Invisalign aligners since his

orthodontic residency training.

He achieved Elite Provider

status in 2012, and continues

to push the limits of what can be accomplished

with clear aligners. He received his DDS from

the University of Toronto and his orthodontic

certificate from the University of Rochester.


USER REPORT

Correcting a single midline diastema

An ethical treatment plan; an impressive aesthetic result.

By Dr Minesh Patel

INITIAL PRESENTATION

Mr MB is a long-standing patient with

excellent oral health and a proven history

of six-monthly examination and hygiene

appointments with low caries, periodontal

and tooth wear risk. After engaging in a

discussion regarding the patient’s tooth

position, he was delighted to hear that

modern dentistry would allow closure of the

gap between his front teeth (Fig. 1), without

tooth damage and the need for orthodontics,

which for him was too involved and

time-consuming.

Fig. 1

After discussing alternative options, including

ceramic veneers, composite bonding was

the most ethical option for this patient.

When treating anterior teeth with any form

of restorative dentistry, it is important to

discuss tooth whitening to ensure the patient

is aware that restorative materials, once

selected, will match the existing tooth shade

and cannot be altered in the future.

Fig. 2 Fig. 3

ACTIVE CONCERNS

Long-standing midline diastema, with scope

for visual aesthetic improvement (Fig. 2).

TREATMENT OBJECTIVE

Minimally invasive aesthetic enhancement

using home tooth whitening and correction

of a single midline diastema using direct

composite bonding with Coltene Brilliant

EverGlow.

TREATMENT PLAN

1. Four weeks of home tooth whitening

using custom trays:

• Two weeks 10% carbamide peroxide

overnight use

• Two weeks 16% carbamide peroxide

overnight use

2. One week use of 6% hydrogen peroxide,

for optional one-hour boosts

3. Fig. Two-week 3 review to allow for rebound

and composite try-in

4. Freehand partial coverage, bonding UR1

molar and UL1 molar

5. Replacement upper “top up” whitening

tray

TREATMENT PROTOCOL

To maximise the aesthetic gain planned

Fig. 5

with composite bonding, it was agreed to

complete a period of home tooth whitening

to lift the base shade of all teeth which was

currently close to an A2 (Fig. 3).

Upper and lower good-quality alginates

were taken and a period of four weeks’

home tooth whitening was performed,

according to the aforementioned

protocol. It is important to allow two

weeks of no whitening, for the shade

to settle and allow bond strengths to

return to normal.

At the review appointment, the

patient and I were satisfied with the

whitening progress. Shade BL was

selected as the new and improved

tooth colour, which was verified

and accepted by the patient. A quick

unbounded composite try-in was

performed, using Coltene Brilliant

EverGlow shade BL, while the teeth

were at normal hydration to confirm

the material selection.


USER REPORT

On the day of treatment,

complete anterior isolation was

then performed using a heavy

gauge latex rubber dam, with

W2A clamps attached to the

premolars to secure the dam.

Floss ligatures were placed and

tightened around both central

incisors to further retract the

dam into the gingival sulcus

with the benefit of suppressing

the papilla, which is extremely

useful when closing diastemas

with direct composite bonding

(Fig. 4).

Fig. 4

Fig. 6

Fig. 5

Fig. 7

The teeth were cleaned with

an Enhance polishing cone,

followed by air abrasion using

a Rønvig sandblaster with

30-micron aluminium oxide

particles. The teeth were then

etched, followed by thorough

rinsing, drying and application

of a bonding agent that was

carefully air dispersed.

Fig. 8

Fig. 9

A pre-rolled composite

increment was first applied to

the UR1 and adapted freehand

from all directions to achieve the

ideal initial starting proportions.

Care was taken to adapt the

gingival portion to avoid gross

overhangs. Good isolation made

this much easier (Fig. 5).

This increment was then cured

and refined using interproximal

strips to remove gingival excess

(Fig. 6) and a Sof-Lex disc to

gently contour the contact point

to a smooth convex profile (Fig.

7).

Polytetrafluoroethylene

(PTFE) tape was then placed

over the UR1 and the process

was repeated on the UL1. For

optimal adaption of composite

placement and smooth

transitional junctions from

composite to the tooth, a GC

Fig. 10

Fig. 12

sculpting brush (Fig. 8) and

Optrasculpt (Fig. 9) modelling

instruments were employed to

eliminate instrument indentations

from being introduced into the

composite increments (Fig. 10).

Following final curing, the palatal

aspect was re-checked (Fig.

11) and a small overhang was

removed by using an ultra-thin

metal polishing strip passed

under the interproximal contact

(Fig. 12).

Fig. 11

Fig. 13

Once again, effective isolation

made this possible and is almost

mandatory when attempting

such cases freehand. Following

rubber dam removal, the primary

form was lightly adjusted using a

coarse Sof-Lex disc. An Enhance

polishing cone was used to

reductively polish the marginal

junctions. A medium grit flame bur

was used in an electric handpiece

in a light feathering motion to

introduce tertiary anatomy into

the restorations (Fig. 13).


USER REPORT

Fig. 14

Fig. 15

Fig. 16

Fig. 17

Fig. 18

ABOUT THE AUTHOR

Fig. 19

The two-step Diatech polishing

wheels from Coltene (Fig. 14)

were then used on all surfaces of

the restorations until a final high

lustre was established (Fig. 15).

Occlusal checks were performed

as standard, to ensure the new

restorations conformed to the

existing occlusion. The close

palatal inspection was performed

under high magnification to

ensure a smooth, ledge-free

transition of restorative material

towards the gingiva to respect the

soft tissues (Fig. 16).

FINAL APPRAISAL

Following two-and-a-half weeks

of healing, the patient was

reviewed and the papilla had reestablished

to confirm a hygienic

result that blended well with the

existing anatomy and soft tissues.

The patient has since been

seen for a one-year recall visit

where the restorations have

demonstrated excellent retention

of polish (Fig. 17) and an extremely

healthy soft tissue outcome

(Figs. 18-19).

TOP TIPS

1. Use a mock-up. Place

composite without etch and bond,

and shape roughly to determine

the outcome and ensure it fits

within the natural envelope of

function. Check excursions and

guidance at this stage. This is

increasingly important when

lengthening teeth or broadening

and elongating lateral incisors

which may incur a lateral

interference in some cases,

causing early failure. A mock-up

also allows clinicians to assess

and control patient expectations

and is an excellent tool to choose

the final restorative method

and shade, and aid in informed

consent.

2. Isolate like a pro. For diastema

closures, use a medium or heavy

dam secured with self-tightening

floss ligatures. This will ensure

the dam is retracted to the soft

tissue junction and suppress the

papilla, which is useful for median

diastemas. Expect the papilla to

rebound within a few weeks.

3. Sculpt like an artist. Use the

correct instruments for labial

increments. The final appearance

and polish are determined earlier

on during placement and a good

polish is an outcome of great

finishing. Use a broad, softer

instrument to adapt the final

labial increment to the tooth to

ensure seamless margination and

a final layer free of instrument

indentations and irregularities.

4. Use the light. Following initial

placement and gross finishing,

take a photo of the direct anterior

restorations. Schedule a second

appointment for final refinements

and high-gloss polishing two weeks

later. Assess this photo in the

meantime and the way the light

hits the line angles of the

restorations, as well as the axial

inclination of the restorations.

Aim to see even, straight-line

light reflections on the mesial

and distal line angles, as well

as an axial inclination pointing

down and towards the naval.

Plan the refinements to achieve

these optical properties at the

next visit. A twin flash system is

recommended for anterior work.

DA

ABOUT THE AUTHOR


USER REPORT

Rehabilitation of an edentulous lower jaw

presenting reduced residual bone crest

with Anthogyr Mini Implant System

Designed to deliver retentive connection, reliability and efficacy, mini implants

are an alternative solutions who are unable to receive conventional implants.

By Dr Sergio Salina

Fig. 1

Fig. 2

Fig. 3

Fig. 4

Fig. 5

Fig. 6

Fig. 7 Fig. 8

Fig. 9

Fig. 1: Initial situation

Fig. 2: Pre-operative view of the edentulous mandibular crest

Fig. 3. Pre-operative panoramic x-ray

Fig. 4: Use of the depth and alignment gauge to check the correct placement of the drilling and alignment for the two first implant sites

Fig. 5: Post-operative picture following placement of four mini implants

Fig. 6: Post-operative panoramic x-ray

Figs. 7-8: Immediate post-operative situation following surgery: existing denture adaptation with soft relining material

Fig. 9: Mini implants follow-up at 30 days following surgery


USER REPORT

A non-smoker and -diabetic 74-year-old

female patient presented with a severe

grade of multiple sclerosis and rheumatoid

arthritis. The patient was cared for in her

wheelchair. Over the last 30 years, she lost a

great part of her lower dentition, except the

third molar. The upper jaw consisted of an

old bridge and a removable overdenture.

Fig. 10 Fig. 11

The project, taking into account the critical

economic condition of the patient, was to

extract the root 43 and insert four mini

implants in the lower jaw, in accordance with

digital planning based on her cone-beam

computed tomography (CBCT) scan.

CONCLUSION

The Anthogyr Mini Implants System was

optimised for rehabilitating this patient with

disability problems in a simple and effective

way.

It is an affordable, less invasive, user-friendly

solution for all patients who are unable

to receive rehabilitations supported by

conventional implants, for anatomical or

economic reasons, or poor general health

conditions. The main indication is elderly

and special patients who need to anchor

their removable prostheses and have

sufficient residual bone crest to receive a

minimum implant size of 10mm in length and

Ø2.6mm in width.

Anthogyr Mini Implant System offers new

treatment possibilities for edentulous

patients as it is much more solid and reliable

than the old and conventional mini implants

which have been used so far. The Optiloc

retentive connection is also very compact

and performant.

The surgical protocol for these implants is

easy and less invasive: in most patients, the

procedure involves a flapless surgery, with

short surgical times and with no or very

little post-operative discomfort.

With regards to the Optiloc prosthetic

system, it is worth noting that a good

impression was made despite not having

a long follow-up. The Optiloc retentive

attachment performed much better

Fig. 12a

Fig. 12b

Fig. 14

Fig. 15

than conventional ball attachment and it

required a minimum amount of space in the

prosthesis when compared to these systems.

Hence, the Anthogyr Mini Implant System

has been adopted as a key alternative

treatment solution within the treatment

panel for all patients who need to support

a removable denture and who cannot

receive “conventional” implants. Overall, this

system is easy to use, fast, with excellent

retentive connection, and in many cases

also convenient, because it allows the

maintenance of the patient’s prosthesis

with small and easy adaptations. DA

Fig. 13

Fig. 10: Checking of the Optiloc retention

components and denture adaptation. Red and

extra-light retention inserts will be placed initially

Fig. 11: For the preparation of mini implants

for definitive denture relining and installation,

mounting collars were placed on each Optiloc

connection to protect the implant neck from

any resin or adhesive residue. Matrix housings

including retention inserts were then placed to

exert a slight compression between the mounting

collar and the matrix housing

Fig. 12a: The base of the existing denture is

excavated in the areas where the Optiloc matrix

housings will be located, using a contra-angle

and a resin bur

Fig. 12b: A silicone impression is taken to confirm

that there is sufficient space between the matrix

housings and the base of the prosthesis

Fig. 13: Denture prepared with cavities, using a

Fig. 15

monomer, for placement on the matrix housings

Fig. 14: After final positioning and occlusion check,

the denture, with settled matrix housings, is ready

for mounting collars removal and finishing

Fig. 15: Final clinical situation with the removable

denture successfully stabilised by Optiloc system

on Anthogyr Mini Implants

ABOUT THE AUTHOR

Dr Sergio Salina

graduated with a degree

in dentistry in 1995 and

a specialisation in oral

surgery with honours in

2007 at the University

of Milan; he subsequent

took an advanced in periodontology

at the University of Verona. A teacher

and coordinator of EMDOLA Master at

University of Parma, he is currently an

active member of the Italian Academy of

Osseointegration (IAO).


USER REPORT

Simultaneous GBR and GTR in

the posterior mandible area

By Dr Cheng-Hsiang Hsu

EXAMINATION

A 58-year-old male patient had lost his

lower-right first molar one month ago.

It was extracted due to severe mobile

and discomfort. He was told that a

second premolar was to be taken to

restore the posterior dentition with

dental implants. He came to my clinic for

a second opinion.

The probing depths from mesial to distal

were 3,2,3mm on the buccal surface and

3,3,5mm on the lingual surface of the

second premolar. A probing depth of

7mm at the middle site of the posterior

surface was also found. No mobility of

teeth was found at this area although

the attrition of the buccal cusp of the

second premolar was found. No other

symptoms and signs of inflammation

were noted.

Fig. 1

The periapical films show the severe

destruction of the supporting bone at

the distal side of the second premolar.

The intact mesial bony support of this

tooth was also found (Fig. 1).

According to the clinical information list,

the destruction of the alveolar process

should be associated with the missing

first molar, and the prognosis of the

second premolar would be fair.

SURGICAL PROCEDURES

The upper-left corner of Fig. 2 shows

the intact buccal wall and the destructed

bone of the distal side of the second

premolar.

After implant placement, some rough

surfaces and threads were exposed

without bony support, as shown in the

Fig. 2


USER REPORT

upper-right corner of Fig. 2. The most

apical level of the bony destruction was

about apical third-deep from the second

premolar.

From the occlusal view, in the lower left

corner of Fig. 2, the lingual bony wall was

not totally damaged, resulting in the twowall

defect within the bony architecture.

This was a good environment for the guided

bone regeneration of the newly placed

implant and guided tissue regeneration of

the second premolar.

Fig. 3

The buccal and lingual surface of the

bony support of the Second premolar

were not damaged, as observed in the

lower right corner of Fig. 2, but the root

surface was exposed in the middle of the

distal side, creating the V-shape of the

periodontal destruction.

The defect was filled with 100% Puros ®

allograft and completely covered with a

Biomend collagen membrane. The

membrane was shaped like a saddle for

complete coverage and fully seated over

the ridge. Guided bone regeneration and

guided tissue regeneration were

performed at the same surgery, the wound

was closed by 4-0 Vicryl sutures (Fig. 3).

Fig. 4 Fig. 5

FINAL RESULTS

The six-month healing process went

smoothly and no other symptoms were

noted. The periapical films showed the

radio-opaque area between the second

premolar and the dental implant (Fig. 4).

After six months, healing the regenerated

bone filled the defect between the

second premolar and dental implant.

No remaining bone particles were seen.

All rough surface was fully covered by the

alveolar bone without exposed threads.

The clinical photos and periapical films

(Figs. 4-7) showed the differences before

and after the treatment. The alveolar

bone was regenerated. The patient

accepted another implant and the

regenerated bone was still in good

condition five years after the treatment. DA

Fig. 6 Fig. 7

ABOUT THE AUTHOR

Dr Hsu received his B.D.S degree from

the Taipei Medical University (TMU)

in Taiwan in 2000 and MS degree

from the National Defense Medical

College in Taipei, Taiwan, in 2004. He

currently teaches periodontology and

implant dentistry in the undergraduate

and graduate programme at National

Defense Medical College, and was

appointed head of dental department

at E.C.K. Hospital from 2010-2012

and Taiwan Adventist’s Hospital from

2014-2017. Dr Hsu was the president of

Taiwan Academy of Osseointegration

from 2016-2018 and the president of

TMU Dental Taipei Alumni Association

from 2018-2020. He is also the director

of Taipei dental associates from 2018

to now. He has had his own private

practice since 2018 in Taipei, Taiwan.


BEHIND THE SCENES

Combining digital and conventional

denture workflows: An immediate

denture case report

By Wendy Auclair Clark, DDS, MS; Ibrahim Duqum DDS, MS; with Chris Love, laboratory technician, CDT; at Absolute Dental Lab, Durham NC

Emerging technologies and

developing workflows have completely

changed the way many clinicians

and dental laboratory technicians

approach complete dentures in

the last decade. It is important

to remember, however, that

fundamental prosthodontic concepts

have not changed. One of the most

exciting things about digital dentures

is the flexibility of the workflows; once

you grasp both the conventional and

digital complete denture concepts,

your toolbox becomes vast. This

immediate denture case exemplifies

the integration of conventional and

digital complete denture concepts.

A 75-year-old patient presented with

a maxillary partial denture. It had

been repaired many times, and his

chief concern was replacement due

to a fractured tooth of the maxillary

left canine (Fig. 1a-c). After clinical

evaluation, it was determined that the

remaining maxillary teeth were not

sufficient to predictably support a

removable partial denture long term.

After discussion, the treatment plan

was formed: immediate complete

maxillary denture and mandibular

immediate acrylic partial denture.

Both will be replaced with definitive

prostheses after healing. The patient

had a deep, V-shaped palate – a

possible challenge to process and

maintain even thickness and patient

comfort. A digital denture was

selected for the final product to

increase the predictability of the fit of

the base.

While we often begin our removable

cases with an intraoral scan, capturing

the anatomy in the mandibular space,

with its long span distal extensions,

tends to present a clinical challenge.

As such, we began this case with

conventional impressions and utilised

a record base and contoured occlusal

rim to establish ideal tooth position,

soft tissue support, the vertical

dimension of occlusion and centric

relation (Fig. 2).

The case was then digitised by our

laboratory partner, Chris Love, CDT.

Using the wax rim in the occlusion

scan allows the transfer of clinical data

for tooth position. A proposed tooth

arrangement was completed using

3Shape Dental System with Full

Denture Design Module.

Digital communication allowed the

clinician to view the setup before

the monolithic try-in was printed

on the Carbon printer with Lucitone

Digital Try-In 3D Trial Placement

Resin, shade A2. A window was open

with an e-cutter in the areas where

teeth remained (Fig. 4a). This allowed

the patient and clinician to approve

aesthetics, speech, occlusion, and

border extension before finalising

(Fig. 4b).

Fig. 1a

Fig. 1b

Fig. 1c

Fig. 1d

Fig. 1a: Pre-treatment presentation panoramic radiograph

Fig. 1b: High smile with existing prostheses

Fig. 1c: Image without prostheses

Fig. 2: A conventional record base and the occlusal wax rim was utilised

to record vertical dimension of occlusion, centric relation, incisal edge

and midline position.


BEHIND THE SCENES

prosthesis to allow for prosthetically guided

treatment.

Of all the digital denture workflows we have

integrated into our practice, the immediate

denture workflow is one of our favourites.

The fit, aesthetics, and patient acceptance

of immediate dentures are unpredictable at

Fig. 4a

the time of extraction and placement. The

preservation and overlay of pre-extraction

records and the enhanced communication

between the clinician and dental laboratory

technician have drastically improved our

experience and allowed us to provide higher

quality, more patient-centred care. DA

Fig. 3

Fig. 4b

ABOUT THE AUTHORS

Dr Wendy AuClair Clark is

full-time prosthodontic faculty

at the University of North

Carolina Chapel Hill. She

earned her doctoral degree

from the Marquette University

in Milwaukee, Wisconsin, and a Master’s

degree and certificate in prosthodontics from

the University of Alabama at Birmingham. She

Fig. 6a

Fig. 5

Fig. 6b

is currently pursuing certification from the

American Board of Prosthodontics. Dr Clark

practised prosthodontics for seven years with

Team Atlanta (Goldstein, Garber & Salama).

She lectures nationally on a variety of topics,

has co-authored several articles in numerous

peer-reviewed journals, and was named a

Leader in Continuing Education by Dentistry

Today in 2017.

Fig. 3: Proposed design, overlaid with existing dentition

Fig. 4a: Monolithic printed try-in, with windows open to allow clinical try-in

Fig. 4b: Clinical monolithic try-in

Fig. 5: Immediate denture design – note extension of deep, V-shaped palate

Fig. 6a, b: Immediate prostheses, one-week post-insertion

Requested changes were communicated

with digital photographs to the technician

and incorporated in the final design (Fig. 5).

The denture base was printed on the

Carbon printer with Lucitone Digital Print

3D Denture Base with fused IPN 3D Digital

Denture Teeth. The immediate prostheses

were inserted at the time of extractions,

with no necessary reline (Fig. 6).

Since the patient is pleased with the

aesthetics and function, a reline impression

will be made inside the denture six to nine

months post-extraction to fabricate a

conventional denture. Moreover, the patient

is now considering a maxillary implant

overdenture; the current denture design

can be used for implant planning, guided

surgery and fabrication of a new definitive

Dr Ibrahim Duqum is

a clinical associate

professor at the University

of North Carolina’s Adams

School of Dentistry. He is a

Fellow of the International

College of Dentists and a

member of numerous dental organisations.

A recipient of the 2014 Richard Hunt

Memorial Award for Teaching Excellence

and the 2015 UNC-Chapel Hill nominee for

the OKU Charles Craig National Award for

the best innovative dental educator, Duqum

serves as an editorial board member and

reviewer for multiple dental journals.


BEHIND THE SCENES

exocad: comprehensive implant

libraries in exoplan 3.0 Galway

In the exoplan 3.0 Galway* implant libraries, users can now find

more than 10,000 implants from approximately 100 manufacturers.

Moreover, the comprehensive libraries contain more validated

information that enables exoplan users to benefit from a seamless

digital workflow. Akira Schüttler, system integration manager at

exocad, explains the details.

How comprehensive is the implant

library for exoplan?

Akira Schüttler: With exoplan, we

currently support approximately

600 implant systems with

over 10,000 implants from

approximately 100 implant

manufacturers worldwide** (Fig.

1). This means that exocad offers

a leading selection of implant

systems that are available for

implant planning all around the

world, where an implant system

can be incorporated regardless of

the treatment planning location,

even when the system is not sold

locally. Therefore, implantology

teams comprised of dentists, dental

technicians and surgeons can work

together on a case regardless of

their physical location – even if

they are in different countries or

continents.

What information is available to

exoplan users about the implants?

Schüttler: Our goal is to include

all information from the official

manufacturer documentation

in the libraries where possible.

Numerous parameters are

Fig. 1

stored for every implant, ranging

from the manufacturer’s article

number, through the interface and

platform type, all the way up to the

manufacturer-dependent features of

each specific implant. If an implant

system is available with two different

surfaces, for example, both implant

types are listed. We validate this

information to offer exoplan users

a seamless workflow with all the

freedom of an open system.

For Guide Creator, the software

module for designing surgical

guides, there are three further


ChairsideCAD

Single-visit restoration design

BEHIND THE SCENES

Painting brings me peace

of mind. So does designing

in-house crowns in just a few

clicks with ChairsideCAD.

Dr. Fariba Zolfaghari

Dentist and landscape painter

PASSION

IS WHAT DRIVES US

Imagine the CADABILITIES

ChairsideCAD lets me give my

patients their beautiful smiles

back in a single visit. The open

software integrates with my

in-office hardware seamlessly.

exocad.com/chairsidecad


BEHIND THE SCENES

Fig. 2

comprehensive library types

for drill kits, sleeves and

anchor pins. Here the goal

is also to support as many

different options as possible.

The workflows specified by the

implant manufacturers, from

guided pilot drilling to the fully

guided insertion of implants,

are available for different bone

densities (Fig. 2). Innovative,

manufacturer-specific solutions,

such as multi-guide workflows,

are also included. In Guide

Creator, users can select the drill

protocol and the type of guided

surgery even when designing the

surgical guide, while taking the

bone density into account.

How are users guided through

these complex libraries?

Schüttler: The wizard workflow

guides users through the

selection process step by step.

The software automatically

suggests the drills, sleeves, drill

protocols and other components

to match the chosen implant,

facilitating the selection process.

How are the prosthetic

components integrated?

Schüttler: Users can select and

place the matching prosthetic

components directly in the exoplan

software, and then send the

saved situation to the laboratory.

Comprehensive prosthetics

libraries, including libraries from

compatible third-party providers,

are available in the download

portal “Implant libraries for CAD”

on the exocad website. To enable

the software to automatically

display the matching components

in each case, exocad validates

prosthetic components in relation

to the implant interface. The

result is a seamless transition

from exoplan to the DentalCAD

software. Users can then continue

with the design of the prosthetics

directly in DentalCAD. DA

* exoplan 3.0 Galway is available in

the EU and other selected markets

** numbers are subject to change

on a daily basis

ABOUT THE AUTHOR

As the system

integration manager

at exocad, Akira

Schüttler has

overseen technical

system integration

at exocad since

2015. In this role, he focuses on the

integration of hardware components

from exocad’s technological partners in

the areas of dental materials, prosthetic

components, implants, implantological

instruments, tooth models, 3D printers,

scanners and milling machines. His team

is the link between the technological

partners, who supply the hardware,

production systems and components,

and other exocad departments.


IN DEPTH WITH

Achieve gentle and effective treatment

of periodontitis and periimplantitis

with the Vector system

General ailments of the parodontium

and in particular therapeutic

indications of periimplantitis present

modern dentistry with challenging

tasks. The number of patients with

implant-supported dentures is on

the increase. Prolonged times in

situ and older patients also make for

more problems, which are often not

discovered until the clinical five-year

mark has been passed. According to

experts, almost one in two implants

is at risk of periimplantitis in the long

term.

The Vector system from DÜRR

DENTAL is an effective and very

low-aerosol treatment method,

making it suited for systematic

periodontitis and periimplantitis

treatments that are customised to

meet the needs of individual patients.

The primary objective of systematic

periodontitis and periimplantitis

treatments is to prevent infections

caused by bacteria and their

associated attachment loss.

First-line treatment thus includes

a thorough removal of subgingival

and supragingival plaque. The gentle

piezo-electric Vector ultrasound

system has proven its worth in this

context in practice.

In particular, the metal surfaces of the

implants must not be damaged during

plaque removal. Rough surfaces could

facilitate renewed accretion of plaque

and lead to further periimplantitis

infection. A minimally invasive

procedure is essential.

By redirecting vibration, the Vector

Paro handpiece delivers an oscillating,

vertical motion along the tooth

centre line and thus does not strike

the implant. Non-metal instrument

attachments made of fibre composites

are also gentle on the implant surface.

The probe-shaped, delicate and semiflexible

instrument attachments are

suitable for administering thorough

treatments without irritating the

mucosa. The Vector Fluid Polish

hydroxylapatite suspension aids

effective and gentle plaque removal

from all subgingival and supragingival

implant surfaces. Compared to

conventional treatment methods, the

Vector system delivers almost painless

treatment so that local anaesthetics

usually need not be applied.

Another diagnostic assessment after

the initial non-surgical treatment period

provides the basis for planning further

treatment. Once the infection has

subsided, a supporting periimplantitis

treatment is indicated for the removal

of potentially pathogenic plaques.

Depending on clinical requirements,

recall intervals will be harmonised

with the risk profile and the individual

requirements of the patient.

According to many dentists, timely

and needs-based application of

periimplantitis treatment with the

Vector system has contributed to the

long-term success rate of

implant-borne restorations. DA


IN DEPTH WITH

Digital solutions lead the way

into the dental practice

Amann Girrbach’s Ceramill Direct Restoration Solution (DRS) displays

interdisciplinary, future-oriented collaboration and speedy production.

With its new Ceramill Direct Restoration

Solution (DRS), Amann Girrbach has extended

its integrated digital workflow to the

dentist, closing the existing communication

gap between the dental practice and the

laboratory. In this process, both partners

contribute their core competencies

to provide patients with definitive and

functional dentures even more quickly with

less complications; smaller units are also

possible on the same day, depending on the

local distance between the two partners.

Depending on the type of collaboration

desired, three-team workflows are available

in combination with the corresponding

Ceramill DRS Kits. The central basis of

these workflows is the new AG.Live digital

platform, which offers both an infrastructure

and patient case management consistently

and efficiently. It enhances both the flow of

information and work between the practice

and the laboratory.

MORE EFFICIENT PROCESSES AND

GREATER CUSTOMER PROXIMITY

With AG.Live, Amann Girrbach has a webbased

portal for collaboration between

laboratories and dentists that offers digital

services at all levels. For example, AG.Live

can be used as a central tool for digital case

management, networking, infrastructure

and material management, support and

knowledge database will gradually replace the

previous C3 customer portal.

The platform connects machines and

materials in the laboratory, simplifying

processes and increasing quality and

reproducibility. It also connects the growing

global network of digitally operating

dental professionals. This bridges the

interdisciplinary gap between dentists and

dental technicians and facilitates futureoriented

cooperation.

EXTENDING THE DIGITAL CERAMILL

CAD/CAM WORKFLOW TO THE DENTIST

The Ceramill DRS Connection Kit acts as the

basic and entry-level variant where dentists

and laboratories can take full advantage

of its digitised process. It consists of the

intraoral scanner, the Ceramill Map DRS, the

associated scan software and the connection

to AG.Live. Any order data including all

the required information can therefore be

shared seamlessly and in real-time with

the laboratory, minimising the need for

handwritten job sheets and conventional

impressions. All that is needed is a single

physical transport: getting the restoration

to the practice for insertion in the patient’s

mouth, even on the same day in case of simple

restorations. Altogether, the patient has a

better dental experience, improving pracitce

and laboratory operations.

If the preferred material is zirconia, the

High-Speed Zirconia Kit, consisting of the

Zolid DRS high-speed sintering zirconia,

and a corresponding Ceramill Therm DRS

sintering furnace can support the laboratory

here in fabricating straightforward zirconia

restorations on the same day.

To provide patients with dentures even more

quickly in a further step, the system can be

expanded in the dental practice with the

Ceramill DRS Production Kit at a later stage.

Simple restorations can thus be fabricated

in the practice and placed in the patient’s

mouth in a single session. DA

Fig 1

Fig 2

Fig 3

Fig. 1: Ceramill DRS

Fig. 2: Amann Girrbach introduces the new DRS

product series and the AG.Live digital platform

Fig. 3: The Ceramill DRS joins dental technicians and

practitioners together in an interdisciplinary and

future-oriented team, enabling easy entry into

same-day denture fabrication


IN DEPTH WITH

Rolence Dental introduces latest digital

image system and dental equipment

The newest product launches from Rolence Dental enable practices to carry out

stable and efficient x-ray imaging, curing and scaling.

PORTABLE X-RAY SYSTEM

Compact and lightweight, the Portable X-Ray

XR-01 is designed with a hand strap allowing

dentists to easily operate the unit on one

hand. The user may use hands for holding

the x-ray, or the other holder for positioning

to control the position. The ergonomic design

reduces risk and protects the user to stay

with the patient during the x-ray procedure.

XR-01 is ensured with safety standards owing

to its minimum exposure time with low

radiation environment and high efficiency

for shot radiography that yields high-quality

images. Display image is compatible with

photostimulable phosphor (PSP), sensor

and film, leading to the convenience of

operations. Furthermore, the unit is equipped

with a 2,900mAh rechargeable lithium

battery, enabling easy shooting at the user’s

convenience.

LAB CURING BOX SERIES

The LQ-Box from Rolence is a lab light curing

unit intended for polymerization of dental

resin-based composite, applied in the field of

light-cured impression tray, crown and bridge

glazing or coating, denture cosmetic finishing,

dental artificial gingival customizing, and more.

The unit provides a wide wavelength

from 370-480nm, and is also available

for any component in dentistry or 3D

printing requirements. It also features a

digital display control panel to provide

user-friendly operation and the rotating turn

table ensures uniform polymerisation results.

ULTRASONIC MAGNETO SCALERS

Dual-frequency scaling system that is

compatible with both 25Khz and 30Khz

inserts and features automatic upscaling.

To achieve higher clinic infection control

and avoid crossing infection, an ultrasonic

scaling system that can handle all kinds of

periodontal disease, root canal cleaning

irrigation and implant cleaning, should be

chosen. DA

DENTAL ASIA JANUARY / FEBRUARY 2022 63

IN DEPTH WITH

The two sides of the W&H Lina steriliser

Usability on the outside, technology on the inside. When combined, it presents

a comprehensive package for reprocessing dental instruments by using a B type

steriliser, which is what the Lina sterilisers have to offer.

Steam sterilisation plays a significant role

in the reprocessing of dental instruments to

prevent the transmission of infections. With

the W&H Lina steriliser, the user interface and

menu structure are simplified to streamline

daily routine in practice. Upgrades to

sterilisation cycles and functions are available

to ensure optimal results and an efficient

practice workflow. Lina also features an

ergonomic and functional design.

IMPROVED USABILITY

Integrated with a funnel to enhance filling

operations, Lina is equipped with a removable

cover so that water tanks can be accessed

without tools. The steriliser also features a

3.5-inch touchscreen display for the user to

navigate the appropriate sterilisation cycle

and reprocesses loads of up to 6kg. For

instance, the ECO B sterilisation programme

reprocesses loads up to 0.5kg in 25 minutes.

Furthermore, the B Universal 121 o C cycle

even enables the reprocessing of sensitive

items, including porous ones such as surgical

clothing.

Usability on the outside: The improved handling,

alongside ergonomic and functional design,

ensure an efficient practice workflow

Sterilisation performance: B type steriliser with

the best cycle times in its category

The technology inside the Lina is a technical

concept that offers future-oriented possibilities

Ease of use: The 3.5-inch touchscreen display

ensures a smooth user experience

ADVANCED TECHNOLOGY

The Lina steriliser is based on a technical

concept with future-oriented possibilities

such as upgradeability, advanced connectivity

and enhanced traceability. Cycle information

is saved automatically on a USB stick, barcode

label printer and cycle report printer provide

additional documentation opportunities.

The ioDent system offers advanced dental

solutions with service and support, and the

W&H Steri app allows control and remote

monitoring of the steriliser. Moreover, an

additional layer of security is ensured as

the cycle history backup is saved onto the

smartphone.

Connectivity: ioDent system offers dental solutions

with service and support. W&H Steri App allows

controlling and remote monitoring of the steriliser

UPGRADEABILITY

Activation Codes offer opportunities to enhance

additional features that meet practice needs

and comply with future requirements. The

“S naked” cycle feature ensures maximum

speed for reprocessing unwrapped instruments,

including handpieces. “Remote data storage”

logs the cycle history directly on the PC. With

Enhance additional features that meet practice

needs and comply with future requirements

“Traceability”, the user can be identified, or the

load released directly via a PIN. The “All in One”

function combines all three codes at once.

In all, the Lina steriliser can be upgraded in just

six steps, and is designed for a future-oriented

sterilisation process and thus ensure an

efficient workflow in the practice. DA


IN DEPTH WITH

BUSCH develops enhanced

systems and tools

Polishing system for zirconia

1SXM carbide bur from BUSCH

DIAMOND INTERSPERSED

POLISHERS FOR ZIRCONIA IN

DENTAL TECHNOLOGY

The disadvantage of zirconia is

that it is difficult to process. For

polishing after final corrections,

it is necessary to use suitable

diamond interspersed polishers to

achieve satisfactory consolidation

of the zirconia surface that can

replace additional glaze firing.

BUSCH, a manufacturer of dental

tools including burs, cutters, and

polishers, among others, has a

two-stage polishing system

tailored specifically for zirconia

for polishing in the dental lab.

Five different shapes are available

to users depending on the

requirements.

The desired high shine polish can be

achieved in two steps: the

turquoise-yellow polishers are for

pre-polish and the pink-yellow

polishers are for high-shine polish.

The final polish is equivalent to glaze

firing, making an additional, timeconsuming

firing process unnecessary.

Minor corrections when inserting

the restoration in the patient can

thus be made quickly under optimal

conditions in the practice lab in the

same session.

A CLEAR VIEW OF EVERYTHING

Preserving as much healthy tooth

substance as possible when repairing

minor carious defects is one of

the most important objectives in

modern dental care. As such, BUSCH

developed the 1SXM carbide bur

that allows a gentle mode of operation

without causing discomfort to the

patient.

The bur features a cutting geometry

that allows the user to work in the

cavity with low vibrations. Also, its

slender neck permits a clearer view of

the work area.

In this way, carious can be removed

specifically without damaging the tooth

substance, while minimising the cavity

opening and at the same time allowing a

clear view of the excavation.

In addition to the clear view, the slim

neck enables a rapid outflow of chips.

Besides the standard RA version, an

RA-long version is also available to

provide clear access to deeper areas. DA


PRODUCT HIGHLIGHTS

Amann Girrbach

Amann Girrbach’s new milling unit to improve the digitisation of dentures

Amann Girrbach has released the

new Ceramill Motion 3, an intelligent

hybrid machine designed to make

fabricating dentures more convenient

and digital. At the same time, users can

benefit from a variety of materials and

indications as well as the company’s

high fabrication quality.

The Ceramill Motion 3 is designed for

wet and dry operation. The five-axis

milling machine operates autonomously

and can therefore manufacture

unsupervised during night-time or

on weekends when connected to the

AG-Live platform. Users can access the

intelligent hybrid machine remotely

to receive orders safely and quickly,

as well as monitor everything related

to production and customer service.

Additionally, the integrated analysis

functions allow workflows in the

laboratory to be analysed and optimised

on an ongoing basis.

Guided computer-aided design (CAD)/

computer-aided manufacturing (CAM)

production and maintenance, an

intuitive human machine interface

(HMI), as well as integrated radio

frequency identification (RFID) tools

and holders ensure process reliability

and facilitate the handling of tools and

consumables. Innovative sculpturing

technologies, such as C-Clamp, allow

fissures to be milled into the front

surface of the restoration with the

Ceramill Motion 3.

“The machine thus meets the needs

of both the dental technician as well

as the laboratory manager and marks

a milestone in the digitisation of

dentures,” said Nikolaus Johannson,

head of the global business unit lab

CAD/CAM at Amann Girrbach. ■

Oral-B

Oral-B introduces new AI-integrated electronic toothbrush

Oral-B has announced its latest

technological innovation, the Oral-B

iO10 with iOSense, an artificial

intelligence (AI)-integrated device at the

Mobile World Congress Barcelona.

The new iO10 is accompanied by a smart

device called iOSense, which offers realtime

guidance with the aid of AI and a

personalised brushing experience that

ensures healthier gums and teeth.

In the press release by Oral-B, the new

iOSense will guide users in when, where

and how to brush their teeth. It also

comes with a magnetic charger that

charges the brush in about three hours.

For users on-the-go, it comes with the

Power2Go charging travel case.

The Oral-B iO provides a deeper

clean of teeth and gums, allowing

users to maintain oral health easily

and effectively. Compared to manual

toothbrushes, the Oral-B iO helps users

to get six times more plaque removal

along the gumline, and healthier gums and

whiter teeth in one week.

Benjamin Binot, senior vice-president

of P&G Europe Oral Care, said: “The

innovation represents a new era of

brushing that is more than just an electric

toothbrush – it’s a fusion of groundbreaking

technology, desirable design and

amazing performance. iO10 with iOSense

is our latest commitment to building

a digital health ecosystem that leads

with advanced technologies, accessible

solutions and more effective educational

tools to improve oral care and health for

all.”

Maike Siemons, Europe R&D Oral Care

leader, also commented: “Our clinical

tests show that Oral-B iO delivers a

deeper clean of teeth and gums

versus a manual toothbrush,

but now with iOSense, the

personalised brushing experience

will revolutionise our entire

relationship with our oral

health.”

According to Oral-B, in a sixmonth

clinical study, 96%

of patients using Oral-B iO

moved from non-healthy to

healthy gums, users have 14.5

times higher odds of moving

from non-healthy gums to

healthy gums compared to a

regular manual toothbrush,

and Oral-B iO removes 62%

more plaque than Sonicare

DiamondClean SMART

along the gumline and

26% more plaque in hardto-reach

areas. ■

The new Oral-B iO10

with iOSense


PRODUCT HIGHLIGHTS

Align Technology

Align Technology announces Invisalign system innovations for Align Dental Platform

Align Technology’s Align Dental Platform

will receive Invisalign system upgrades

and innovations. The Align Dental

Platform combines software, systems

and services designed to improve dental

experience and workflow.

The new innovations include Invisalign

Practice App, Invisalign Personalised Plan

(IPP), Invisalign Smile Architect, and

ClinCheck Live Update for 3D controls.

Particulary, the ClinCheck Live Update

is a new feature in ClinCheck Pro that

enables doctors to generate modified

Invisalign patient treatment plans.

With this feature, doctors can use 3D

controls to make changes to a ClinCheck

plan and see these changes in a revised

treatment plan in about two minutes.

This eliminates “weeks of back-and-forth

interactions” between doctors and Align

computer-aided design (CAD) designers,

and also communicates the doctor’s

clinical intent more accurately.

The Invisalign Practice App is a new mobile

companion to the Invisalign Doctor Site that

streamlines practice workflow by putting

many of the Invisalign treatment features

that doctors use daily, such as photo capture,

Invisalign Virtual Care, Invisalign Virtual

Appointment and Invisalign SmileView

simulation into one app.

IPP is a new technology feature in ClinCheck

Pro software designed to streamline the

treatment planning process and help doctors

achieve their desired treatment plans more

consistently and efficiently. It combines

automated and near real-time ClinCheck

treatment planning software with the creation

and management of doctor-specific treatment

preferences, such as doctor’s prescription

choices, clinical preferences, among others.

Invisalign Smile Architect delivers orthorestorative

treatment planning with a

facially-driven treatment planning approach.

It combines iTero intraoral scans, facial

photos, and ClinCheck software to help

doctors create treatment plans that integrate

orthodontics and restorative treatments for

their patients. With the ClinCheck In-Face

Visualisation tool, doctors receive a facial

rendering that they can use for treatment

planning and help patients visualise their smile

after both Invisalign treatment and restorative

dental treatment.

Each of these innovations is designed to

enhance Invisalign treatment planning

quality, efficiency, and scale, and contribute

to a better doctor-patient engagement and

treatment outcomes. ■

VOCO

VOCO Profluorid Varnish – now in pina colada flavour

VOCO Profluorid Varnish (VPV), dental

desensitising varnish with fluoride, is

now available in pina colada flavour.

The pineapple-coconut flavouring has

augmented the existing portfolio to

seven flavours: melon, mint, cherry,

caramel, bubble gum, cola lime and pina

colada. The varnish dries in seconds – at

the same time it feels natural and has

a pleasant taste so that it can be left

on the teeth for continuous fluoride

release.

VPV is ideally suited for the treatment of

hypersensitive teeth as well as sensitive

root surfaces. Treatment with VPV is

also a sensible precaution following

professional cleaning and polishing, in

order to replenish any depleted calcium

fluoride depots. The fluoride content

is 22,600ppm fluoride (≙5% sodium

fluoride). A good cariostatic effect can

be ascribed to the xylitol that is also

included.

In addition, the transparent white

varnish convinces with its high level

of moisture tolerance and excellent

adhesion to dental hard tissue. Thus,

VPV promotes a confident, fresh smile —

even directly after application.

HYGIENIC SINGLEDOSE

Like all the other members of the VPV

family, VPV pina colada is available in the

hygienic SingleDose and the 10ml tube.

The SingleDose is designed for

a single use only — each patient

receives their very own product. This

is an easy way to avoid the risk of

cross-contamination

as well as other

potential for

contamination.

Furthermore, the

material can be

applied quickly and

easily from the

handy packaging

— ideally by using

the enclosed

brush. ■


PRODUCT HIGHLIGHTS

Glidewell

Glidewell offering new BruxZir Aesthetic Zirconia Milling Blanks

Glidewell has launched the BruxZir Aesthetic

Zirconia Milling Blanks, a new BruxZir family

product.

Produced in California by Prismatik

Dentalcraft, a subsidiary of Glidewell, the

aesthetic zirconia formulation is designed

for dental technicians seeking a restorative

solution that delivers beautiful results for

any clinical situation. It will be introduced to

dental laboratories in the US during LMT Lab

Day Chicago.

Over a decade ago, Glidewell unveiled

BruxZir Zirconia, a monolithic ceramic

material formulated to deliver hammerresistant

strength and gentle opposing wear.

The high demand and continued research

and development led Glidewell to create the

BruxZir Aesthetic formulation, which offers

greater translucency to address anterior

indications.

Engineered specifically for the anterior, the

new milling blanks offer an ideal combination

of strength and translucency required to

satisfy a range of clinical indications, from

single-unit crowns to veneers, bridges,

screw-retained restorations and even fullarch

implant prostheses.

"The introduction of BruxZir Zirconia spurred

a change in dentistry that is still reverberating

more than a decade later," said Jim Glidewell,

founder and president of Glidewell. "Today,

we think BruxZir Aesthetic is the best dental

restorative material ever produced. With

BruxZir Aesthetic, we're building the digital

laboratory of the future."

With an average flexural strength of 980MPa,

BruxZir Aesthetic Milling Blanks meet the

Class 5 requirement for dental ceramics.

According to Glidewell, blanks are available

in multiple thicknesses: 14, 16, 20 and 25mm.

They can also be purchased in preshaded

formulations equivalent to the

16 shades from the VITA shade system,

complemented by Glidewell's bleach

shades. ■

The new BruxZir exhibits high translucency

while meeting ISO strength requirement for

dental restorations

Myerson

Myerson announces successful validation of Trusana Premium 3D Printing Resin

on Asiga Printers

Myerson, a manufacturer of digital dental

materials, announced that it has successfully

completed its validation of its Trusana

Premium 3D Printing Resin to print premium

denture teeth using Asiga 3D Printers.

Jim Swartout, president and CEO of

Myerson, expressed the company’s

enthusiasm at partnering with

Asiga, who specialises in digital

manufacturing: “Our material

science team has been super

impressed with the intelligent

design of the Asiga printers.

The accuracy of the Asiga

printers is critical in ensuring

Trusana’s ideal physical and

optical properties.”

Trusana Premium 3D Printing Resin by

Myerson (Image: Myerson, via Zahn Dental)

Myerson’s Trusana 3D printing resin

recently won RadTech/UVA’s “Emerging

Technology” award for additive

manufacturing. Trusana’s chemistry

delivers an aesthetic unfilled polymer

with high strength, fracture toughness

and wear resistance, beyond that of

conventional filled 3D dental polymers.

Trusana also mirrors the beauty and

translucency of a natural smile.

Stephanie Benight, Myerson’s director of

3D Printing Projects, said, “As a scientist,

I have spent my career characterising

the properties of polymers, including

photopolymers. Creating a 3D printing

material that not only has toughness, but

maintains that toughness in the presence

of water, has been difficult to achieve, but

Myerson’s Trusana does it. Materials that

harness new chemistries are the future

of photopolymer 3D printing, and

Trusana represents the cutting-edge.”

Zahn Dental, the US dental laboratory

business of Henry Schein, is the

exclusive distributor of Trusana.

“Zahn’s dental laboratory customers

rely on us to serve as their total

solutions partner,” said Rita

Acquafredda, president, Global

Laboratory Business, Zahn Lab

Group. “By offering Trusana — a

game-changing material that can

help advance the digitalisation of

dentures — we can continue to deliver

on our commitment of helping dental

laboratories stay on the forefront of

digital dentistry.” ■


ad_ct_dental_asia_95x250_en_211214.indd 1 14.12.21 15:35

PRODUCT HIGHLIGHTS

Zimmer Biomet

Zimmer Biomet Dental launches new

overdenture attachment system for

Zimmer Biomet Dental Implants

Zimmer Biomet Holdings, a global medical technology

provider, has announced the North American and

European launch of OverdenSURE, a new overdenture

attachment system for Zimmer Biomet dental

implants.

The OverdenSURE product portfolio comprises

abutments, restorative components and tooling,

providing customers with everything needed to

upgrade denture-wearing patients to implantretained

overdentures. This new product line features

a zirconium nitride abutment coating for aesthetics

and function, and a wider range of abutment sizes

for increased restorative flexibility — all wrapped in a

classic system design that is intuitive to the user.

→ DISCOVER PERFECTION

IN PROPHYLAXIS -

THE NEW COMBI touch

→ ultra-gentle prophylaxis

→ ergonomic handling

→ made in Italy

→ 40 years experience

With an estimated 10% of the world’s population

being partially edentulous or edentulous, softtissue-supported

dentures continue to be a source

of chronic residual ridge resorption, phonetic

challenges, a loose or poor fit, decreased masticatory

function, or facial collapse in spite of advances in

denture prosthodontics.

Together with Zimmer Biomet’s dental implant

solutions, OverdenSURE abutments are an option

for overdenture restorations, providing increased

prosthetic stability and retention for patients wearing

conventional dentures.

“We’re excited to introduce our newest line of

product solutions to clinicians and patients as part

of our already broad dental portfolio,” said Indraneel

Kanaglekar, president, Zimmer Biomet Dental. “This

offering will allow us to better serve our patients’

needs, providing them with a comprehensive and

affordable product line that allows them to upgrade

their traditional dentures to implant-retained

overdentures — significantly improving their quality

of life.” ■

→ www.mectron.com


PRODUCT HIGHLIGHTS

Bien-Air

Bien-Air Dental’s Nova electric handpiece made its debut at Chicago Dental Society

Midwinter Meeting

A new contra-angle engineered for practical

innovation and optimal ergonomics has made

its debut for Bien Air Dental at the 2022

Chicago Dental Society Midwinter Meeting in

February.

The Nova electric handpiece is designed

to overcome the challenges of a traditional

handpiece, offering more vision and

improved accessibility.

Some of the highlights of the new product

include: a small and slim handle that

enhances the dentist’s field of vision and

ensure easier access in the back of the

mouth; a stainless-steel construction and

lightweight design for optimal ergonomics

and reducing wrist fatigue, as well as to

reduce wear on the handpiece and make

it “4 times” more resistant to shocks,

according to Bien-Air; reduced risks of cross

contamination with the non-return valve and

the Sealed Head protection; among others.

“At Bien-Air, we approach our design and

engineering problems from a holistic

perspective to balance each point of strength

— we don’t want to reduce the weight if it

means we increase noise, or we don’t want

to reduce the head size if it means you

cannot use a standard-length bur,” said Edgar

Schönbächler, CEO of Bien-Air.

“The Nova is our greatest achievement in

making a handpiece that is smaller, quieter,

and will last longer than any previous version.

We were able to substantially reduce the

size of the areas that come in contact with

the fingertips of the user, without increasing

vibration or reducing power. This makes the

Nova a truly versatile tool — the ‘Swiss army

knife’ of dental handpieces.” ■

Nova by Bien-Air

vhf

Proto3000 to expand dental milling portfolio with vhf

equipment

vhf, a developer and manufacturer of dental

milling machines, tools and computer-aided

manufacturing (CAM) software, has

announced a new partnership with

Proto3000, a specialist in digital dental

workflow products and services.

Proto3000 will rely on vhf to enable labs

to rapidly turn digital scans into dental

restorations with high precision and

efficiency.

“As a one-stop shop for dental labs,

Proto3000 offers a full suite of digital dental

workflow products that allow labs to

transform scans into dental restorations and

virtual models for milling and 3D printing,”

said Mohamed Soliman, CEO of vhf. “Our

machines complement this portfolio very

well and we look forward to working together

to support customers on their journey and

provide real value.”

“We are very excited to add the vhf Z4, N4+,

R5 and S5 to our product range,” said Eyal

Geiger, president and co-founder of Proto3000.

“These beautifully designed high-performance

systems enable dental technicians to take their

processes to the next level. With just a few

clicks of the mouse, they can deliver perfectly

fitting restorations to their dentists and

patients that will serve them reliably for many

years to come.”

The vhf Z4 is an Ultra HD milling and grinding

machine designed for same-day dentistry

applications, whereas the N4+ is a wet milling

and grinding machine which is ideal for

The N4+ by vhf, a wet milling and

grinding machine ideal for laboratories

laboratories. The R5 is the next big step towards

automation for labs or clinics; with a 10-fold

blank changer and DIRECTCLEAN Technology

for wet and dry machining it is capable of

handling even tough material with high

precision. Finally, the S5 is a five-axis machine

with material compatibility for high throughput

applications in dental labs. All milling and

grinding machines from vhf are supplied with

a suite of CAM software and tools. ■


PRODUCT HIGHLIGHTS


PRODUCT HIGHLIGHTS

SCANLAB

SCANLAB integrates polygon scanner business from Belgium

TecInvest Holding, the parent company of

SCANLAB and Next Scan Technology (NST),

has realigned its organisation in the polygon

scanner segment. NST will be integrated

into the Puchheim-based scan system

experts at the beginning of 2022. SCANLAB’s

sales team will handle product marketing

and customer service. Operating under the

name SCANLAB BV, the team of developers

in Belgium will now be able to focus on

further evolution of the polygon scanners.

Polygon scan systems are known for their

high scan speeds, and are particularly well

suited to line-by-line, flat laser processing

of diverse materials. By using polygon

scanners, industrial productivity can be

sped up in applications such as microstructuring

of touchscreens and solar cells,

or processing of electronic components.

The polygon scanner segment is a futureoriented

field which, due to its technological

complexity, places high demands on sales

and development. In order to bundle

resources and better meet individual

customer needs in the future, TecInvest

Holding has chosen to consolidate its

capabilities in this segment. The former

NST polygon competence centre will be

integrated into the SCANLAB Group.

Operating under the new name SCANLAB

BV and as part of the SCANLAB development

division, NST’s Belgium-based R&D team will

focus on the further development of polygon

scan systems, while SCANLAB will takes over

marketing, sales and support activities.

“I can see only advantages in the

reorganisation of the polygon scanner

business. We can now process specific

customer inquiries more quickly and

effectively, and our technology experts are

free to concentrate fully on the technical

side of things,” explained Dr Holger Schlüter,

head of business development at SCANLAB

and the new contact for polygon scanners. ■

Colgate

Colgate-Palmolive partners with 3Shape to deliver improved tooth whitening experience

Colgate-Palmolive and 3Shape are partnering

to introduce the Colgate Illuminator, a tailoredto-patient

teeth whitening tool to dental

clinics across the US, with the new 3Shape

Unite platform. The new tools will enable more

accurate consultations and deliver an improved

patient experience.

The Colgate Illuminator is an in-clinic

predictive tool that shows results for

consumers after using Colgate’s teeth

whitening product, Colgate Optic White

Professional. Thus, it illustrates the potential

results for the patient and help them visualise

what they may achieve. The Colgate Optic

White Professional is a whitening treatment

that is designed for “no tooth sensitivity, no

gum irritation, and no mess”, offering whiter

teeth in “just five days” when used as directed,

according to 3Shape.

Dentists can access the new Colgate

Illuminator software via the new 3Shape Unite

digital dentistry platform. From there, dentists

can provide each patient with a scan that

conveys a simulation of the predicted outcome

from the whitening treatment.

3Shape’s new software, available to dentists as

an in-clinic app, employs an evidence-based

algorithm to display an interactive before and

after patient photo. According to 3Shape, the

process takes “just seconds” and, based on a

patient’s age and teeth shade, the software

provides a predictive preview of how the teeth

will look following the treatment process.

This collaboration aims to help remove the

guesswork and alleviate the apprehension

patients often feel when they visit a dentist to

discuss tooth whitening treatments.

Maria Ryan, chief clinical offer for Colgate-

Palmolive said: “We’re proud that the

Colgate Illuminator improves the whitening

experience for both dentists and patients.

With this predictive, innovative tool, dentists

can personalise the whitening experience by

showing patients how their teeth could whiten

when using Optic White Professional highimpact

tooth whitening products based on

results achieved in clinical studies.”

Jakob Just-Bomholt, CEO of 3Shape, concluded:

“Colgate’s incredible whitening solution is now

paired with 3Shape’s market-leading software

and integrated into the ground-breaking

3Shape Unite platform. We’ve created a smile

whitening simulation tool that has the potential

to really help ease patients’ aesthetic concerns:

it’s fast and powerful. Colgate customers

can now have quick and simple dentist

consultations that model realistic predicted

whitening transformations as part of a tailormade

experience. We couldn’t be prouder to

partner with Colgate to deliver this innovative

new solution.” ■


PRODUCT HIGHLIGHTS


PRODUCT HIGHLIGHTS

Ultradent

Ultradent introduces new bioceramic root canal sealer

Ultradent Products, a developer and

manufacturer of high-tech dental materials

and equipment, will be launching its new

endodontic product, the MTApex bioceramic

root canal sealer.

For clinicians performing root canal

treatments requirement obturation, MTApex

bioceramic root canal sealer provides a sealer

that is bioceramic and can be used with any

endodontic obturation method.

It features a smooth consistency that, when

mixed, is designed to be delivered through

Ultradent’s 29ga Single Sideport NaviTip tip.

The proprietary gel and tricalcium silicate

powder mixture releases calcium ions,

stimulating bone repair and increasing the pH

of the canal. This helps avoid post-procedure

bacterial growth and root resorption.

According to the Ultradent, each kit of

MTApex bioceramic root canal sealer

contains enough powder and gel to seal

approximately twenty canals. ■

The new MTApex

by Ultradent

Dentsply Sirona

Strong, fast and aesthetic: Dentsply Sirona launches new CAD/CAM-fabricated restorations

Dentsply Sirona has announced the

introduction of CEREC Tessera Advanced

Lithium Disilicate computer-aided design

(CAD)/computer-aided manufacturing

(CAM) blocks, a new material for CAD/

CAM-fabricated restorations for anterior and

posterior regions.

On top of meeting aesthetic demands, the

new CEREC Tessera blocks can accelerate

the entire manufacturing process within

the chairside workflow by shortening the

glaze firing time. According to the dental

products manufacturer, a crown can be fired

in the CEREC SpeedFire in “4 minutes and 30

seconds”. Compared to other glass ceramics,

this represents a time saving across the entire

manufacturing process of about 44%. Before

firing, the application of a glaze is necessary

to achieve the final properties, such as the

high biaxial flexural strength of over 700MPa.

The fast-firing time is mainly made possible

by the special and new composition of

the ceramic made of lithium disilicate and

virgilite, a lithium aluminium silicate. The

microcrystalline composition with the

material virgilite is patent pending in both

the US and the EU. The advanced lithium

disilicate (ALD) ceramic is characterised

primarily by its robust strength and high

aesthetics.

During the firing process, new virgilite

crystals are formed and embedded in a

zirconia enriched glass matrix. Together,

these material constituents combine to

create a reinforced, high-density restorative

material. The dense interwoven crystal

composition of CEREC Tessera blocks is key

to their strength and helps suppress the

presence of microcracks and subsequent

crack propagation.

In the CEREC Tessera blocks, the lithium

disilicate provides the high tensile strength,

while the newly formed virgilite increases

the precompression stress. The same

microcrystalline composition also contributes

to the aesthetic and dynamic light refraction,

transmission and absorptive properties that

mimic the visual vitality of a natural dentition

and enables the aesthetics.

Additionally, all CEREC Tessera restorations

can be grinded to a fine finish and then

be fixed adhesively, for example, with

Prime&Bond active and Calibra Ceram. From

a wall thickness of 1.5mm, restorations with

CEREC Tessera can also be cemented with a

resin modified glass ionomer cement.

First users are enthusiastic about CEREC

Tessera blocks. Dr Stephanie Holländer,

dentist from Frechen, a town in Germany,

CEREC Tessera is an advanced lithium disilicate

ceramic for the CEREC workflow that can be

processed in the CEREC Primemill. (Image: Dentsply

Sirona)

stated that the short time for glaze firing was

a real “game changer”. She was also taken with

the simplicity of the whole process.

CEREC Tessera blocks are available as of now

on the European market, and are indicated for

fully anatomical single-tooth restorations in

the anterior and posterior regions, including

crowns, inlays, onlays, and veneers.

CELTRA CERAM

In cases where aesthetics is top priority, Celtra

Ceram has now been validated for combined

use with CEREC Tessera in the cutback

technique. It offers more options, particularly

when it comes to highlight subtleties in the

translucency and opalescence of the tooth, to

create mamelon structures or to achieve an

aesthetic match with the adjacent teeth. ■


SHOW PREVIEW

IDEM returns for its 12th edition

with new panels and conferences

The 12th edition of the International Dental

Exhibition and Meeting (IDEM) will take

place between 7-9 Oct 2022 at the Marina

Bay Sands Expo and Convention Centre

in Singapore. With the conference theme,

“Building Resilience in Dentistry”, attendees

can look forward to a platform curated for an

exchange of ideas to navigate new challenges

and explore the latest dentistry market trends.

IDEM is a biennial, three-day, B2B trade fair

and convention for the dental industry in the

Asia-Pacific region, with conferences bringing

in speakers in general dentistry. Riding on its

continuous success since 2000, IDEM will

enter its 12th edition in 2022, maintaining its

position as a trade and continuing education

platform in Asia-Pacific.

Three days of scientific conferences, handson

workshops, interactive sessions and more

will see the likes of Maurizio Tonetti, Ioannis

Vergoullis, Nikos Mattheos and many more

professionals gracing the IDEM Stage.

The conference sessions will cover an array of

topics for the general practitioner, such as the

strategies for long-lasting peri-implant tissue

health, cone-beam computed tomography

(CBCT) imaging in clinical practice, aesthetic

rehabilitation, treating ameloblastomas,

the digital orthodontic ecosystem, and

more. IDEM 2022 will also be featuring a

new Singapore Speaker Series under the

theme of “Comprehensive, Conservative

Approaches: How I do it”, which will feature

specialists from Singapore sharing their

approaches to treatment in-person on the

IDEM Stage.

“With the ever-evolving climate, especially

since our last physical edition of IDEM, we

believe that exploring the theme ‘Building

Resilience in Dentistry’ is most appropriate

for the 12th edition of IDEM. By visiting

IDEM, you will have an opportunity to

experience the latest advancements in

dental technology from around the world.

You will also be able to see what’s trending

and gain valuable insight into the future oral

healthcare needs specific to the Asia-Pacific

region. We are committed to bringing our

participants the best experience for their

professional development, to meet the

needs and challenges for the next decade

and beyond,” said Dr Goh Siew Hor, president

of the Singapore Dental Association.

Alongside the scientific conference, the

IDEM Exhibition will feature international and

local presence with several country pavilions

across the world. Visitors can look forward

to having access to global developments

within an exhibition hall located on one

single level, creating an event experience

reconnecting with business partners and

peers.

All IDEM 2022 participants will also receive

access to the digital platform that is

specifically made for the dental community

by IDEM to amplify and intensify business

and networking goals. Participants of IDEM

can look forward to hybrid elements within

the entire event, offering delegates more

opportunities to extend their learning and

increase networking options beyond the actual

event days.

Online registration for the trade show is now

open, and more information can be found on

IDEM Singapore’s website. DA


SHOW PREVIEW

Sino-Dental continues to be wonderful

Sino-Dental will return this June with both a physical and online

presence. Particularly for the physical exhibition, the show floor will

house five national pavilions and over 900 exhibitors, connecting

visitors with industry professionals with the latest developments in

the industry.

Held from 9-12 Jun 2022 at the China

National Convention Centre (CNCC),

Beijing, China, Sino-Dental will feature a

total exhibition area of over 50,000sqm

and more than 2,000 booths, of which

900 exhibitors and 140,000 visitors are

expected. The five national pavilions will

showcase the latest dental technology

and scientific advances, alongside

Chinese products at competitive prices

and services as a one-stop solution

for product purchasing. In addition,

Sino-Dental will include an Innovation

Exhibition Zone and academic seminars

and workshops.

AN ALL-IN-ONE PLATFORM

As the flagship dental event in the

Asia-Pacific region that presents

one of the largest and fastestgrowing

dental markets in the world,

Sino-Dental enables its visitors to

establish business cooperation,

expand potential markets and seek

partners in the dental market and

explore the Chinese products at

competitive price and quality.

The show also promotes

the exchange of technology

advances, latest research, and

market information, and allows

participants to experience cuttingedge

technology at its innovation

exhibition zone. In addition, visitors

are encouraged to engage with

peers, KOLs, leaders from home

and abroad, public and private, and

enhance professional skills via

academic seminars and workshops

FACTS AND FIGURES

Nearly 900 exhibitors are expected

to participate in Sino-Dental in 2022,

with over 100 new products making

their debut in the Chinese market.


SHOW PREVIEW

VISITATION

As one of the most popular dental

exhibitions in Asia-Pacific,

Sino-Dental is expecting more than

140,000 visits in 2022.

CONGRESS AND SEMINAR

Besides the showcase of products

and technology presented by the

exhibitors, over 100 academic

seminars and workshops covering

more than 400 topics will also be

held during the exhibition period

to introduce the latest academic

and technology development in the

dental field.

Sino-Dental will feature five

national pavilions

VIRTUAL SINO-DENTAL

In addition to a live venue,

Sino-Dental will go virtual in 2022

with over 900 virtual booths and

300 online meetings. Online visitors

can also access more than 100 live

streams of on-site tours and events,

and experience a more accurate

online matchmaking service.

Visitor’s statistics

INTERNATIONAL DEALERS

International dealers can enjoy

complimentary access to a lounge,

where privacy and complimentary

food and drinks are provided.

Interpretation service is also

available upon appointment request.

Complimentary accommodation

during the exhibition period is also

extended to dealers who invite 10

or more dealers to Sino-Dental.

Information release service to

facilitate matchmaking with local

partners and suppliers will also be

provided.

The purpose of visit

across Sino-Dental’s

participants

VISITOR ONLINE PRE-

REGISTRATION

Visitors can pre-register for the

show online. They will be able to

enjoy an on-site quick pass counter

for badge claiming, and receive a

complimentary catalogue, drinking

water, and gift. DA


GIVING BACK TO SOCIETY

American Dental Association celebrates 20th anniversary of Give Kids

A Smile programme

The American Dental Association (ADA)

celebrates the 20th anniversary of its Give Kids

A Smile (GKAS) programme which has provided

oral healthcare education and services to more

than seven million underserved children in the

US, the agency revealed.

In 2022, nearly 1,000 GKAS events are

scheduled to take place throughout the US,

and it is estimated that 300,000 underserved

children will receive oral health education and

preventive and restorative services, such as

cleanings and fillings. These services will be

provided by more than 20,000 dental team

volunteers, including approximately 5,000

dentists, using supplies from 3,200 kits of

essential oral healthcare products donated

by Henry Schein, Colgate-Palmolive, and its

supplier partners.

Henry Schein has served as the professional

product sponsor since the programme’s

inception. Their support has included

donations from its supplier partners, which

have contributed to the US$20 million in oral

healthcare products made available to the

programme, and hours preparing and sending

more than 40,000 dental kits.

Colgate-Palmolive has served as the sponsor

of health and hygiene consumer products

since 2007. Their support of GKAS has helped

build proper oral care habits and reflects the

company’s mission to reimagine a healthier

future for all. In addition to supporting GKAS,

Colgate-Palmolive promotes health equity

and optimal health and well-being among

underserved children and their families through

its Bright Smiles, Bright Futures initiative.

“What began as a grassroots effort has

become a national movement to ensure

access to quality health care for all children,”

said Cesar R. Sabates, president of the ADA.

“The success of GKAS would not be possible

without the nearly 37,000 dental professionals

who volunteer at local events each year, in

addition to national sponsors, Henry Schein

and Colgate, and long-time supporters like the

ADA Foundation. My sincere appreciation and

thanks to all of you who have been a part of the

programme, some from the very first day. We

are all involved for the right reason – to Give

Kids A Smile and help children in need.”

Supplier partners that are supporting the

2022 Give Kids A Smile programme through

product donations also include 3M, Centrix,

DASH Medical, Dentsply Sirona, DMG America,

Dukal Corporation, Medicom, PacDent, Premier,

Richmond, Sempermed USA, Sunstar, TIDI

Products, and WaterPik. ■

An honorary OBE for 20 years of Mouth Cancer Foundation service

Dr Vinod Joshi, founder of the Mouth

Cancer Foundation, has been awarded

the Office of the Most Excellent Order of

the British Empire (OBE) in recognition of

services to fighting cancer.

His journey began 20 years ago with a

mission to save and improve lives and

drove the creation of the charity’s first

website. Dedicated to raising awareness,

educating and promoting the early

detection of mouth cancer as well as

supporting those affected by it, Dr Joshi

set up the Restorative Dentistry Oncology

Clinics’ mouth cancer awareness website

to complement the work he was doing at

the clinics he ran at St Luke’s Hospital,

Bradford and Pinderfields Hospital in

Wakefield. The forum in the early days

created a network of support for head

and neck cancer patients going through

treatment.

The website experienced growth, with the

message board facility becoming an online

support group. This convinced the National

Health Service (NHS) consultant to establish

the Mouth Cancer Foundation in June 2004,

a not-for-profit organisation with the intention

of becoming a registered charity, which

happened in May 2005.

Dr Joshi said: “My work as an NHS

consultant in restorative dentistry included

maxillofacial prosthodontics which is the

rehabilitation of head and neck cancer

patients using prostheses and providing the

supportive care needed following their sideeffects

from their treatments.

“I created a support network for these

patients from my hospital work and it

evolved into the Mouth Cancer Foundation

charity, which provides support for mouth

cancer patients, their carers and information

for dentists and the public to facilitate early

diagnosis of these cancers and save lives.

“The charity also organises the annual Mouth

Cancer 10km Awareness Walk in Hyde Park,

London, the only charity walk for mouth cancer

awareness and support, as a memorial for lost

loved ones and a tribute to patients and their

carers.”

The charity continues to

grow from strength to

strength with patients,

carers and survivors at

the heart of all activities.

A large part of the

charity’s remit today is

also educating dental and

medical professionals on

the early detection

of head and neck

cancers. ■

78


EVENTS CALENDAR

MARCH

2 – 5 Dental South China 2022

Guangzhou, China

Venue: Area C, China Import and Export

Fair Pazhou Complex

https://www.dentalsouthchina.com/?_l=en

14/3 – Pacific Dental Conference (Virtual)

12/4

https://www.pdconf.com/ncs2022

17 – 19 ICOI Winter Implant Symposium

Atlanta, Georgia, the US

Venue: Atlanta Marriott Marquis

https://www.icoi.org/events

24 – 26 Expodental 2022

Madrid, Spain

Venue: IFEMA - Feria de Madrid

https://www.ifema.es/en/expodental

25 – 26 BDIA Dental Showcase

London, UK

Venue: London ExCel

https://dentalshowcase.com

29 – 31 APAC Oral Care International

Exchange Summit (Virtual)

APRIL

https://globaloralcaresummits.com

16 – 17 The 5th International Dental Symposium

Tokyo, Japan

Venue: Tokyo International Forum

https://www.gcdental.co.jp/100thsymposium

20 – 23 Dental Show West China 2022

Chengdu, China

Venue: Chengdu Century City New

International Convention and Exhibition Centre

www.wcise.com/en

25 – 28 Dental Salon 2022

MAY

Moscow, Russia

Venue: Crocus Expo

https://en.dental-expo.com/dental-salon-en

6 – 7 Mectron Spring Meeting

Venice, Italy

Venue: Palazzo Franchetti

https://www.springmeeting2022.com

19 – 21 Expodental Meeting 2022

Rimini, Italy

Venue: Fiera, Rimini

https://www.expodental.it/en/expodental-meeting

26 – 29 IDEX Istanbul Fair 2022

Istanbul, Turkey

Venue: Istanbul Expo Centre

https://cnridex.com

27 – 29 SIDEX 2022 – Seoul International Dental

Exhibition and Scientific Congress

Seoul, South Korea

Venue: COEX

https://eng.sidex.or.kr

31/5 – KAZDENTEXPO 2022

2/6 Almaty, Kazakistan

Venue: EC “Atakent”

https://en.dental-expo.com/kazdentexpo-en

TBA Dental Expo 2022

Auckland, New Zealand

Venue: ASB Showgrounds Greenlane

https://dentalexpo.co.nz

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.


Advertisers’ Index

COMPANY

PAGE

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Align Technology

OBC

Anthogyr France 5

Amann Girrbach 13

Carestream Dental 17

Coltene 21

Dentsply Sirona 3

exocad GmbH

Front cover

exocad GmbH 59

Fotona 11

Mectron 9

Mectron 69

Medical Protection Society 1

Rolence 63

Shofu inc 15

SIDEX Korea 2022 71

Sino-Dental 2022 73

For information, visit us www.dentalasia.net or

contact us at sales@pabloasia.com

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prior permission in writing from the Publisher and copyright owner. Whilst every care is taken to ensure accuracy of the information in this publication, the Publisher accepts no

liability for damages caused by misinterpretation of information, expressed or implied, within the pages of the magazine. All advertisements are accepted on the understanding

that the Advertiser is authorised to publish the contents of the advertisements, and in this respect, the Advertiser shall indemnify the Publisher against all claims or suits for

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80


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