Dental Asia May/June 2022

www.dentalasia.net

MAY / JUNE 2022

Behind the Scenes:

Helping dental professionals find their ideal software package

Dental Profile:

The in-and-outs of the dental implant market

User Report:

Minimally invasive and highly aesthetic gap closure with

feldspar ceramic

Photo Courtesy of Renfert

User Report

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2111032695:12/21

DENTAL ASIA MAY / JUNE 2022 1

CONTENTS

TRENDS

22 Delivering tomorrow’s dentistry:

National Dental Centre Singapore

celebrates 25th anniversary

DENTAL PROFILE

24 The in-and-outs of the dental implant

market

26 Communication and collaboration

drive exocad forward

CLINICAL FEATURE

30 Preventing implant complications

34 PBM Implant: Intraoral

Photobiomodulation Device

USER REPORT

38 Becoming a digital practitioner with

TRIOS scanner

40 Minimally invasive and highly

aesthetic gap closure with feldspar

ceramic

44 Small diameter implants for single

anterior edentulousness

48 Light management with Zolid HT+

BEHIND THE SCENES

50 Validating 3D-printed direct bonded

orthodontic appliances: Planning,

bonding, and the first five months of

treatment

54 Helping dental professionals find

their ideal software package

IN DEPTH WITH

57 3D filament printing with Renfert’s

SIMPLEX all-in-one system

58 Renew smile and confidence with

Anthogyr Mini Implant System

60 Neo edition of CS 8200 3D family

makes CBCT more intuitive

62 Ceramill Motion 2 upgraded with

new features

SHOW PREVIEW

69 The 5th Malaysia International

Dental Show returns with “Dentistry

Advancement and Technologies”

REGULARS

4 Editor’s Note

6 Dental Updates

63 Product Highlights

70 Giving Back to Society

71 Events Calendar

72 Advertisers’ Index

2

DENTAL ASIA MAY / JUNE 2022

A small step for dentists,

a great step for dentistry!

PRESIDENT ®

The Original

The introduction of PRESIDENT in 1975 – the first A-Silicone in the market – is considered a milestone in the

development of high-precision dental impression materials. After 40 years of innovation and know-how the

well-known A-Silicone brand has now been renewed.

PRESIDENT appears in a new look with fresh colours for a better contrast and readability as well as new viscosities

in the portfolio to satisfy dentist’s needs.

002525

info.ch@coltene.com | president.coltene.com

EDITOR’S NOTE

Something

different this way

comes

PABLO SINGAPORE

Publisher

Publications Director

Senior Editor

Assistant Editors

William Pang

williampang@pabloasia.com

Jamie Tan

jamietan@pabloasia.com

Josephine Tan

josephine@pabloasia.com

Agatha Wong

agatha@pabloasia.com

Two years on, COVID-19 has left an indelible

mark on the dental community, compelling

both practice and laboratory to change their

operations. As the world assimilates these

monumental changes, let us take stock of

key moments that will remain vital to the

industry moving forward.

At exocad, collaboration and communication

form the cornerstone of the company’s

strategy and operations, allowing them to

cope even in these difficult times. We spoke

with Christine Amber McClymont, global

head of marketing and communications

for exocad, who attributed the firm’s

success to its leadership and belief in flat

hierarchies, new and creative approaches

and embracement of new ideas (pp. 26).

Meanwhile, photobiomodulation

(PBM) continues to lay new ground for

implantology. In a demonstration with an

intraoral PBM device, Dr Alan Kwong Hing

DDS and Dr Alpdogan Kantarci DDS, PhD,

claimed the technology “results in greater

patient satisfaction with less pain, swelling

and discomfort”, with the device delivering

enhanced productivity for the practice

(pp. 36).

Lastly, Dr Tom Shannon demonstrates

the process of a phased, hybrid

orthodontic treatment with the

transition from fixed appliances to

clear aligners, alongside the benefits

of 3D printing in modern orthodontics.

The use of the latest technology not

only prompted patient interest but also

enhanced the efficacy and affordability

of patient treatment (pp. 50).

As the dental industry heads into

greater mobility with the easing of

pandemic restrictions in parts of the

world, let Dental Asia deliver stories

that facilitate a renewed understanding

of dental practices in this new normal.

Agatha Wong

Assistant Editor

Scan for digital copy

of Dental Asia

Graphic Designer

Circulation Manager

PABLO BEIJING

General Manager

PABLO SHANGHAI

Senior Editor

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

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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

DENTAL UPDATES


DENTAL UPDATES

The Aspen Group and ACE Surgical Supply partner to streamline bone grafting

solutions in US

The Aspen Group (TAG), which includes Aspen

Dental, a network of nearly 1,000 doctor-owned

dental offices across the US, and ClearChoice

Dental Implant Centres, have partnered with

ACE Surgical Supply to supply TAG’s network

of offices with a range of bone grafting and

membrane solution.

ACE Surgical Supply is accredited by the

American Association of Tissue Banks and

has built a supply chain for biomaterials,

sourcing from multiple tissue banks to ensure

a consistent supply. Over the years, ACE has

built a portfolio of bone regenerative solutions,

alongside new products, offering clinicians

more options for treating patients.

Products available to teams at Aspen Dental

and ClearChoice offices will include alloOss

Allograft, NuOss Xenograft Particulate,

NuOss Plug, MemGuide Resorbable Porcine

Membrane, RCM6 Resorbable Collagen

Membrane, Resorbable Collagen Plug, Foam

and Tape, and several of the company’s other

products.

Image: Jonathan borba/Unsplash

“At TAG, our core mission remains breaking

down barriers and expanding access to

care, keeping patients at the centre,” said

Arwinder Judge, DDS, chief clinical officer

at Aspen Dental. “We do this by providing

the best resources, training, technology

and treatment products to the doctors we

support, so they can focus on providing

attentive, tailored care to their patients.

This partnership with a world-class provider

like ACE Surgical Supply will support exactly

that.”

“We’re very excited to support TAG and

the doctors they support across the

country as they treat more patients

with bone regenerative products,” said

Michael Mancini, general manager and

COO for ACE Surgical Supply. “Due to

our abilities to process many of our

regenerative products in house, we can

be more responsive to our customers’

needs, exert greater quality control

over the product, and offer competitive

pricing.” ■

Benco Dental partners with AI dental company Overjet

Benco Dental and dental artificial intelligence

(AI) company Overjet have formed a

partnership that provides dentists across

the US access to Overjet’s US Food and Drug

Administration (FDA)-cleared AI platform.

“This partnership is bringing two

companies together to improve oral health

for all through innovation,” said Wardah Inam,

CEO and co-founder of Overjet. “The

combination of Overjet’s dental AI and

Benco’s expansive dental distribution

network will further accelerate the digital

transformation of AI in dentistry.”

The platform is designed to deliver clinical

insights to improve the quality of

patient care and practice performance.

It leverages advanced machine learning

methods to analyse the content of dental

radiographs and identify and quantify

important findings, ultimately improving

case acceptance, automating administrative

tasks and increasing productivity.

Chuck Cohen, managing director of Benco

Dental, said: “Doctors have embraced

Benco as a trusted innovation pipeline,

and Overjet is leading a machine learning

revolution that, in the simplest terms,

liberates them from the considerable

workflow inefficiencies and clinical

disadvantages of being their own

radiologists.” ■

Wardah Inam, CEO and co-founder of Overjet

6 DENTAL ASIA MAY / JUNE 2022

DENTAL UPDATES


DENTAL UPDATES

BioHorizons Camlog outlines highlights for Global Education Tour 2022

BioHorizons Camlog, a supplier of dental

implant systems, is committed to driving

aesthetic implantology forward through

science, innovation and education. The

company’s Global Education Tour (GET) aims

to shape the world of implant dentistry by

bringing educational programmes to numerous

global locations in 2022, allowing clinicians to

share their experiences with their peers from

around the world.

In its fourth year, the GET offers insights

on implant therapy by clinical specialists

around the globe. So far, this lectures series

was attended by more than 4,000 dental

professionals, who valued the format of

combining lectures and interactive hands-on

workshops.

The 2022 theme, “A Passport to Successful

Outcomes Through Advanced Implant

Dr Gomez-Meda at the BioHorizons Camlog Global

Education Tour in Egypt in 2022

Therapy”, once again invites clinicians to a

journey on the management of advanced

surgical procedures, regenerative solutions in

the aesthetic zone, restorative results, as well

as digital workflows.

Dr Andres Pascual, Dr Dennis Tarnow, Dr Hom

Lay Wang, Dr Ramon Gomez-Meda, Dr Pedro

Gazzotti, and Dr David Troncoso are among the

moderators and speakers who are scheduled

to present.

The 2022 tour locations include:

• 29 Apr: Budapest, Hungary

• 1-2 Jul: Athens, Greece

• 5-6 Aug: Bogota, Colombia

• 11-12 Nov: Sydney, Australia

• 18-19 Nov: Mexico City, Mexico

“The Global Education Tour will bring together

leading implant specialists and forwardthinking

attendees,” said Veronica Vargas, head

of global events and education for BioHorizons

Camlog. “These international speakers will provide

insights into the latest advances in implant therapy.

With the rapid development of new technologies

and treatment protocols, continuous education

these days offers great opportunities to streamline

processes in their daily practice and offer real

value to the patient.” ■

CAD-Ray brings 3Shape’s intraoral scanners into US and Canada

CAD-Ray Distribution has partnered with

3Shape to sell their TRIOS intraoral scanners.

According to CAD-Ray, this working

relationship will further solidify their position

as a distributor, supporter and educator of

computer-aided design (CAD) / computeraided

manufacturing (CAM) technology.

Jonathan Acker, COO of CAD-Ray, commented:

“This partnership serves as both confirmation

that our model benefits customers in just the

right way, and that we’re simply here to stay

and grow in the CAD/CAM market. There are

other dental distributors out there selling and

supporting CAD/CAM, but this is all we do, and

we do it better than anyone.

“Our equipment partners are strategically

selected for quality and support because we

only stand behind those products we truly

believe in and would use ourselves.”

Rich LaFergola, president of CAD-Ray,

also said: “This partnership was a natural

progression for us. Our team has experience

selling and supporting TRIOS, so naturally

we’re excited to join forces with the

world’s number-one recognised brand of

intraoral scanners known for industryleading

scanning experience and the most

collaborative clinic-to-lab workflows. 3Shape

TRIOS has been named the best intraoral

scanner by the industry for nine years in a

row. We believe our personal touch can

only enhance the customer experience.”

“We are delighted to welcome CAD-

Ray as a distributer partner of 3Shape

TRIOS in the US and Canada,” said John

Cusack, general manager of 3Shape North

America. “We believe that our collective

strong customer focus and passion for

digital dentistry will result in a great

partnership.” ■


DENTAL UPDATES

DenMat acquires Den-Shur product line

PERFECTION IN

BONE SURGERY

Dental product manufacturer DenMat has acquired the Den-Shur

product line from Prismatix Decal. Den-Shur denture cups are a

removable appliance storage container available in multiple colours.

“This acquisition is the latest product line to be added to the DenMat

portfolio of professional dental products,” said David Casper, CEO of

DenMat. “We continue to seek out innovative, premium products that

support our customers around the world.”

Den-Shur denture cups are manufactured in the US and are available

from major dental distribution partners in a 12-pack configuration.

They can be customised to include a practice or lab name. ■

→ YOUR SURGICAL

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National Dentex acquires Swan Dental Lab

National Dentex Labs, a network of fully-owned dental labs in North

America, has acquired Swan Dental Lab located in Brunswick, Ohio.

Owned and operated by Martin Switalski and Maureen Antolik, Swan

Dental Lab provides dental restorations fabricated by experienced

technicians. The full-service lab offers case planning, customer service

and a range of products.

NDX Salem currently operates near Cleveland, Ohio, US, and, upon

close of the deal, operations will be consolidated at the existing Swan

Dental Lab facility. The facility will undergo additional renovations

to accommodate the combined team of 30 employees and will be

renamed NDX Cleveland.

“Swan exemplifies the traits we value most in a partner as we continue

to build NDX’s industry position and commitment to best-in-class

technology and cost-effective solutions,” said Tom Daulton, CEO of

NDX.

“Joining forces with NDX is a win-win. Combining our teams will allow

us to serve more dentists and serve them better,” added Switalski

who will stay on with NDX as a customer relationship manager. Nader

Salem, who has been the general manager of NDX Salem since 2008

will remain in his current position and will oversee operations of the

combined labs. ■

→ www.mectron.com


ad_PStouch_dental_asia_95x250_en_211214.indd 1 14.12.21 15:38

DENTAL UPDATES

DentalMonitoring unveils new business unit

DentalMonitoring has announced a

new business unit, DM Lab, aimed at

exploring, testing and validating business

opportunities across the dental market,

as the company expands its geographical

presence in strategic regions, including

China and Japan.

As part of this change, Raphaël Pascaud

has been appointed senior vice-president

and executive director, spearheading this

newly created venture, as well as other

critical initiatives.

Before joining DentalMonitoring, Pascaud

worked for nine years with Align Technology,

where he held various senior leadership

roles, his final role being senior vice-president of

business development and strategy.

Alexandra Van der Stap was named chief growth

officer of the DM Lab. She previously held senior

leadership roles in consumer brands such as

North Face, and recently as vice-president of

marketing, strategy and consumer at Align

Technology.

Xavier Laniol will also join the lab as global head

of commercial operations. Laniol has spent 27

years in both the pharmaceutical and medical

devices sectors, which includes 13 years with

Johnson & Johnson, and most recently a role as

vice-president of southern Europe with Mölnlycke,

a company in wound care. ■

Image: Quang Tri Nguyen/Unsplash

Dentsply Sirona announces changes to management team

Dentsply Sirona has appointed John

Groetelaars as the interim CEO.

He has succeeded Don Casey, who has

been terminated as CEO and will cease

to serve as a member of the board with

immediate effect.

Eric Brandt, non-executive chairman of the

board stated: “We are pleased to welcome

John as Dentsply Sirona’s interim CEO.

John has a strong track record of driving

innovative business strategies, and as

a seasoned executive with more than

30 years of industry experience, he is

positioned to lead our company during this

transition period.”

Groetelaars commented: “I look forward

to serving as interim CEO during this

important time for the company. I joined

the company’s board because of my

deep appreciation for our mission and

commitment to innovation, operational

excellence and providing positive outcomes

for patients and customers.

“The board is confident that renewing the

company’s focus on execution will stabilise

the business and deliver strong performance

despite ongoing macroeconomic challenges.

This will be my focus from day one, and I

am prepared to leverage my prior executive

leadership experience as I work with the rest

of the board and management team to drive

the company’s strategy and advance its vision

to transform dentistry and improve oral health

globally.”

Dentsply Sirona has also appointed Barbara

Bodem as the interim CFO, effective upon Jorge

Gomez’s previously announced departure on 6

May 2022. Bodem has joined the company in

April and has been working closely with Gomez

to ensure a seamless transition.

Bodem has over two decades of financial

leadership experience in the healthcare industry,

most recently serving as senior vice-president

and CFO of Hillrom. Previously, Barbara served

in senior leadership roles at Mallinckrodt

Pharmaceuticals, Hospira and Eli Lilly and

Company.

Brandt commented: “We are fortunate to

welcome Barbara, a proven finance executive,

as our interim CFO during this transition

period. Barbara brings extensive expertise in

healthcare with an international perspective,

having served in multiple leadership roles

across finance organisations at global

companies. As we continue our search for a

permanent CFO, we believe that Barbara and

our talented financial team will continue to

deliver value for our patients, business partners

and shareholders.” ■

Barbara Bodem, interim

CFO of Dentsply Sirona

John Groetelaars, the new

interim CEO of Dentsply Sirona


DENTAL UPDATES


DENTAL UPDATES

Carestream Dental’s intraoral scanner business acquired by Envista

Envista Holdings Corporation has announced

the complete acquisition of Carestream

Dental’s Intraoral Scanner business. This

business will be rebranded as DEXIS and will

operate as part of the Envista Equipment and

Consumables Segment.

Amir Aghdaei, CEO of Envista Holdings

Corporation, said: “We are very excited to

add a suite of intraoral scanners and

software to our portfolio. Intraoral scans are

often the first step in the digital workflow and

critical to many high value dental procedures

including implants, prosthetics, and aligners.

“This acquisition further enables our purpose

of partnering with dental professionals

to improve patients’ lives by digitising,

personalising, and democratising dental

care.”

The business acquired does not include

Carestream Dental’s imaging equipment or

practice management businesses. ■

Image: Quang Tri Nguyen/Unsplash

Henry Schein announces retirement of CAO and appointment of new COO

Henry Schein has announced the retirement of

their executive vice-president and CAO, Gerald

Benjamin, from 1 Jul 2022 onwards.

After 34 years in the company, Benjamin

will also retire from Henry Schein’s Board of

Directors at the end of his current term in

May, although he will remain an adviser to the

company.

Benjamin was responsible for developing

and expanding the company’s supply chain

system, which includes the management of

approximately 5.6 million sqft of properties

around the world, consisting of 27 distribution

centres, offices, showrooms, manufacturing

and sales space around the world.

His work contributed to Henry Schein’s

financial success, whose sales have grown at a

compound annual rate of approximately 12.5%

since it became a public company in 1995.

“We are pleased that Gerry — who coined the

term ‘Team Schein’ and contributed so much

to advancing the values and culture of the

company — will remain a member of Team

Schein as an adviser following his retirement.

On behalf of the board of directors and Team

Schein, I would like to thank Gerry for his

leadership and dedication to the Company,”

said Stanley Bergman, chairman of the

board and CEO of Henry Schein.

Benjamin commented: “I am honoured to

have worked alongside Stan, the board

of directors, the company’s executive

management committee members, and

my fellow Team Schein members to help

grow this organisation. I will miss my daily

interactions with Team Schein, and I am

confident that Stan, Michael, and our Team

Schein members will continue to advance

our philosophy of ‘doing well by doing

good’.”

In conjunction with Benjamin’s retirement,

Michael Ettinger will be promoted to

executive vice-president and COO, effective

1 Jul 2022, reporting to Bergman.

Ettinger joined Henry Schein in 1994

and has served as senior vice-president,

corporate and legal affairs, and secretary

since 2013, and chief of staff since 2015,

responsible for the company’s corporate

affairs, communications, legal, compliance,

regulatory and security functions.

Prior to his current position, he served

as the company’s general counsel. The

organisational changes announced

reflect the implementation of the company’s

succession plan for members of its senior

corporate, shared services, and administrative

teams.

“Since Michael joined our company in 1994,

he has established a well-deserved reputation

for integrity, judgment, and wise counsel,” said

Bergman. “I am confident in Michael’s talents,

calm and steady leadership style, and huge

respect for and credibility among all those

who have had the pleasure of working with

him.”

“I am honoured to have the opportunity to

work alongside this exceptional leadership

team and to build upon their extraordinary

achievements,” said Ettinger. ■

Michael S. Ettinger

(Image: Business Wire)

Gerald A, Benjamin

(Image: Business Wire)


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DENTAL UPDATES

ITI announces changes, new awards, and resume of in-person events

The International Team for Implantology (ITI)

has established three new ITI sections, two new

ITI honorary fellowships, and launched the ITI

Distinguished Achievement award.

During the organisation’s annual general

meeting, Charlotte Stilwell, president of ITI,

announced three new ITI sections, bringing the

overall total to 34. Until recently, Thailand and

Vietnam were part of the regional section South

East Asia, however their exponential growth and

the concentration of activities in these countries

made them excellent candidates for their own

sections.

Additionally, the ITI Board of Directors awarded

the official section status to Ukraine as well, with

immediate effect.

“In the light of everything that is currently

happening in Ukraine, it is more important

than ever to uphold our community spirit,” said

Stilwell. “We therefore took the opportunity, in

however small a gesture, to grant well-deserved

section status to our ITI community in Ukraine.

The ITI extends its deeply felt compassion to all

those affected by this humanitarian tragedy.”

The ITI honorary fellowship recognises longstanding

fellows with a distinguished career,

and since 1992, has awarded 21 fellows. This

year, the ITI added two new names to the list

of eminent honourees: Lisa Heitz-Mayfield from

Australia and Frauke Müller from Switzerland, both

former ITI board members and committee chairs,

and also the first two women to be presented with

the ITI’s highest recognition.

The new ITI Distinguished Achievement Award is

presented to professionals, within or outside ITI,

who have made a strong and enduring contribution

to either a specific milestone topic in implant

dentistry or a particular ITI project.

The first recipients of this award are Anthony

Dawson from Australia and Steven Eckert from the

US. Dawson received the award for his contribution

to the ITI SAC Classification in Implant Dentistry,

and Eckert for his work disseminating implantrelated

research and knowledge in his editorial role

for leading journals within the field.

ANDRÉ SCHROEDER RESEARCH PRIZES

2022

At the ITI Annual Conference, Ryan Lee from

Australia and Stefan Bienz from Switzerland

together with their co-authors were announced

winners of the 2022 André Schroeder Research

Prizes.

Lee received the prize for pre-clinical research for

his study on “Re-establishment of macrophage

homeostasis by titanium surface modification in

type II diabetes promotes osseous healing”, and

Bienz for his paper on “Clinical and histological

comparison of the soft tissue morphology between

zirconia and titanium dental implants under

healthy and experimental mucositis conditions — A

randomized controlled clinical trial”.

ITI CONGRESS ITALY AND ANNUAL

CONFERENCE

The ITI has also announced to hold again series

of global on-site events, enabling ITI fellows and

members to meet again in person, after a three-year

hiatus.

The AGM was preceded by the annual conference

that focused this year on “Peri-implant soft-tissue

integration and management”, in line with the

recently published volume 12 of the ITI Treatment

Guide book series.

Preceding that, the ITI Congress Italy on “Esthetics

in implant dentistry: Clinical and scientific evidence”

was held from 31 Mar-1 Apr 2022. Both events

attracted 1,005 and 885 participants respectively, as

reported by ITI. ■

Mectron signs agreement with ITI

Mectron, inventor and producer of

PIEZOSURGERY, the piezoelectric bone

surgery unit, and the ITI have signed a longterm

sponsorship agreement.

As the first sponsorship partner in a new

initiative launched by the ITI to establish

longer-term relationships with a small

number of companies from the industry,

Mectron will be working more closely with

the ITI for an initial period of three years.

The agreement encompasses primarily ITI

congresses and symposia as well as the

contribution of educational material for the ITI

community in its area of expertise. Mectron is

at present one of a select group of companies

known as industry partners of the ITI.

“This global ITI initiative is based on a

modular sponsorship concept that allows us

to meet the individual needs of our sponsors,”

said Charlotte Stilwell, president of ITI. “It

represents a mutually beneficial, longer-term

commitment made by carefully selected

companies that share similar educational and

scientific, evidence-based principles as the

ITI. We are very happy to welcome Mectron on

board.” ■


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DENTAL UPDATES

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Your patients can wave goodbye to a lot

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Precise digital impressions support treatment outcomes

your patients will be happy with. Outcomes that live up to

your high standards. Because you can rely on every digital

impression taken with a TRIOS ® scanner being as accurate

as a conventional impression – or even more so. 1

Explore more at 3Shape.com

1. 67% of studies show digital impressions are more accurate (in microns) as conventional. 92% of studies

show the same level of clinical acceptability as conventional (Chandran et al. 2019).


DENTAL UPDATES

uLab and People + Practice partner to drive higher profitability for orthodontists

uLab Systems has partnered with People

+ Practice, a dental marketing firm for

doctors, to help orthodontist offices level

up their aligner marketing strategy and

understand how the uLab product offerings

will differentiate them in their markets and

increase profitability.

"We noticed that our customers who adopted

uLab have increased profit margins on more

complex cases and are successfully tapping

the limited treatment market with new product

offerings," said Dr Leon Klempner, CEO of

People + Practice. "People + Practice's focus

is driving practice profitability and expanding

market reach, so this is a natural partnership."

uLab's pay-per-aligner business model

enables orthodontists to make choices for

their patients that were not available with

traditional aligner companies. By eliminating

the upfront fee for unlimited aligners,

orthodontists can mix and match treatment

modalities for a patient that they may

want to start in brackets and finish in clear

aligners.

For complex cases, uLab's workflow and

pricing structure enables improved practice

profitability. Additionally, for patients who

only need minor correction, or have relapse

from their previous treatments, limited cases

now are possible and profitable with uLab.

People + Practice helps offices promote the

patient benefits enabled by these offerings,

including the convenience, flexibility, and

affordability of clear aligners.

uLab was founded in 2015 and offers the

uDesign treatment planning software for inoffice

printing purposes. In 2020, the uSmile

clear aligner platform was launched, providing

aligners manufactured in Memphis, Tennessee,

US, in addition to maintaining the option for

orthodontists to create aligners in-office. uLab

uSmile aligners are available to all orthodontic

practices in the US and Canada. Orthodontists

have planned more than 450,000 cases on the

uDesign software to date. ■

The Oral Reconstruction Foundation organises two International Symposia 2022

The Oral Reconstruction Foundation will be

organising two International Symposia in

2022 with the foundation’s initial founders

BioHorizons Camlog as the main sponsor.

One symposium will take place from 12-14

May 2022, in Orlando, Florida, US, and the

other from 13-15 October 2022, in Munich,

Germany.

INTERNATIONAL SYMPOSIUM IN

MAY 2022

According to Oral Foundation, the US

conference under the theme of “2022

Recharged: Strengthening Advanced

Implant Therapy Skills”, will be held at the

JW Marriott Orlando, Grande Lakes, and

will present a line-up of speakers from all

disciplines.

The symposium will cover a range of

contemporary issues in implant dentistry and

tissue regeneration. It will feature immediate

implant placement, digital workflow, tissue

regeneration, aesthetics, and full-arch

solutions in implant dentistry, and present

the latest treatment options from specialists

Two symposia will be held in May and October 2022 (Image: Oral Reconstruction Foundation)

while enjoying time to collaborate with

colleagues.

The symposium also offers a choice of multiple

breakout sessions and hands-on workshops

from opinion leaders from around the world.

INTERNATIONAL SYMPOSIUM IN

OCTOBER 2022

Under the motto “Dreams and Reality:

Treatment Concepts and Trends”, the

conference programme in Munich is designed

for dental professionals from all disciplines

of implantology, and in combination with

the German Dental Technician Congress on

Saturday will showcase success stories in the

team approach.

The symposium features a programme with a

mix of scientific and practice relevant lectures,

workshops, and a social event to round up the

experience for all participants. ■


DENTAL UPDATES

ClearChoice partners with Planmeca to

enhance digital imaging capabilities

The specialists

for „tough cases“

The Planmeca Viso G7

CBCT imaging unit will

serve patients at more

than 75 ClearChoice

dental implant centres in

the US

Planmeca, Henry Schein and ClearChoice

have partnered to further elevate patient

experience with enhanced digital imaging

technology.

The ClearChoice doctors decided to

integrate the Planmeca Viso G7, a conebeam

computed topography (CBCT)

imaging unit that Planmeca offers, into

the ClearChoice network of more than 75

centres across the US. The distribution

and implementation of the full Planmeca

suite to each ClearChoice Dental Implant

Centre will be managed by Henry Schein

Dental, the dental division of Henry

Schein.

Each ClearChoice Dental Implant Centre

focuses on the same mission: delivering

patient-centric, solutions and techniques

that can improve the lives of those

suffering from acute oral disease.

ClearChoice envisions the CBCT as the

'hub' of a digital treatment plan for a

patient, with the ability to combine CBCT,

intraoral and facial scans into a complete

digital record that can then be utilised

throughout the patient's treatment process

from initial exam to final restoration.

Dr Thomas Berry, vice-president of surgical

support for the ClearChoice Management

Services (CCMS), also favours the Planmeca

system: "The Planmeca Viso G7 offers

strikingly clear scans, modules for creating

surgical guides, and significantly less

radiation to the patient. The unit also has the

ability to perform a 3D facial photo of the

patient that overlays the CBCT image."

"The combination of superior image quality,

smooth workflow and ease of use made

the Planmeca Viso G7 the perfect choice

for ClearChoice," stated Glen Kendrick,

president of Planmeca USA. "Many of the

innovative features of the Planmeca Viso G7

fit ClearChoice's patient-centric approach,

including Planmeca Ultra Low Dose

imaging protocols and Planmeca CALM, a

proprietary patient movement correction

algorithm.

“Innovative technology coupled with our

dedication to continuous and ongoing

education of both clinicians and staff,

Planmeca is ready to partner with

ClearChoice to provide a high-quality and

seamless experience for a complex dental

procedure.”

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Further information

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Dr Theresa Wang, the lead pilot

prosthodontist, noted that the Planmeca

Viso G7 features a large field of view

with low radiation to the patient, artificial

intelligence that reduces noise and

scatter, as well as movement correction

to provide more diagnostic images and

enrich treatment plan presentations.

The Planmeca integration includes the

Planmeca Romexis software. Romexis

allows for 3D visualisation, customised

treatment planning and centralises 3D

imaging along with the 2D intraoral images

captured by the Planmeca ProSensor HD

and Planmeca ProX intraoral x-rays, further

streamlining ClearChoice’s workflow. ■

There is no substitute for quality

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Ziramant_60x234mm_EN.indd 1 22.03.22 15:24

DENTAL UPDATES

Penn Dental Medicine Online continues education programme enabling

dentists to better serve persons with disabilities

One in four US adults have some type of

disability affecting mobility, cognition,

hearing, or sight, according to the US Centre

for Disease Control and Prevention. In

addition, those with disabilities are more

likely to be obese, smoke, and have heart

disease and diabetes, further complicating

their healthcare.

To help address the oral health needs of this

vulnerable population with more clinicians

skilled in treating them, Penn Dental Medicine

has developed the Persons with Disabilities

presentation series — an online continuing

education programme aimed at building

competency among practicing clinicians in

providing oral healthcare to persons with

disabilities.

“We see this series as an important way to

not only build awareness of the barriers to

equitable oral healthcare for individuals with

disabilities, but also expand the number of

dentists treating these individuals,” said Dr

Miriam Robbins, director of Penn Dental

Medicine's care centre for persons with

disabilities, who helps to develop topics and

identify speakers for the series.

The series launched last year with support

from the Delta Dental Foundation of

Michigan, Ohio, Indiana, and North Carolina

(DDF), which recently renewed its support of

the Series with a second US$50,000 grant this

year.

Since its launch, the lecture topics have ranged

from defining disabilities across a lifetime

and caring for older adults with cognitive

impairments to how the payer system can be

strengthened to improve care for persons with

disabilities.

Developed and offered through Penn Dental

Medicine's office of continuing education, the

series is open to oral health professionals at no

charge.

Dentists completing 18 or more of the courses

within a three-year period will receive a certificate

of completion from Penn Dental Medicine as a

disabilities dentistry clinician expert.

Penn Dental Medicine offers a depth of live

online and hybrid learning opportunities across

dental disciplines and health policy as well

as a library of self-paced courses that can be

accessed at any time through its Penn Dental

Medicine Education Portal. ■

quip acquires teledentistry company Toothpic

quip has acquired Toothpic, a telehealth

company that offers teledentistry care through

dental insurers. Through this acquisition, quip

will add virtual access to dental professionals

through its mobile application.

and manage their oral health,” Enever said.

“We are excited to welcome the extremely

talented Toothpic team to the quip community

to help us continue building this much needed

platform for patients and providers.”

With quip, users will be able to track good

habits, monitor any oral health changes,

schedule virtual visits, and book appointments

when necessary on the application. Toothpic

will allow quip users wider access to vital

virtual care, according to Simon Enever,

co-founder and CEO of quip.

“By embedding Toothpic’s teledentistry

platform and nation-wide network of online

dental professionals into our app, we will

centralise access to a full suite of connected

oral care products and dental services that

will drastically alter the way people experience

The application provided through quip

and Toothpic will offer digital oral health

monitoring, a digital directory of dental

professionals, and personal care products

such as quip electric toothbrushes.

This acquisition was done to make oral care

more accessible, according to Shane Owens,

CTO and co-founder of Toothpic.

“We have made incredible strides in making

oral healthcare accessible to individuals and

businesses around the country through our

web and mobile applications,” Owens said.

“We share a vision for shifting dentistry from

a fee-for-service model to a preventativefocused,

value-based care one.

“We can’t imagine a better partner than quip

as we seek to further our mission to provide

innovative oral care solutions that not only

improve the lives of patients, but also improve

and modernise the delivery of care to our

provider networks and lower the cost of care

to our payers.” ■


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DENTAL UPDATES

Develop a comprehensive treatment experience that works for your patients

and your practice.

Integrate clear aligner therapy into your comprehensive treatment plans to meet the needs of your patients

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DENTAL UPDATES

Retrace founder & CEO recognised as Incisal Edge 40 Under 40

Retrace, a native-built artificial intelligence (AI)

healthcare clearinghouse to provide real-time

connectivity between dental practices and

payers, has announced that their founder

and CEO, Ali Sadat, DDS, was honoured as an

Incisal Edge 40 Under 40 dentist.

“Today with Retrace, patients, providers, and

payers are benefiting from a seamless dental

experience as a result of efficiency gains from

the novel AI we’ve created. We are honoured

and humbled that this award is a testament to

how Retrace supports every stakeholder in the

dental ecosystem,” said Sadat.

Since the launch in October 2021, Retrace

has filed over 25 patents, eight of which

have already been granted for their novel AI

technology, established over 503 direct

insurance connections, and is integrating

with providers and dental service

organisations to improve oral health for

millions of members.

“Being recognised amongst leading industry

peers by Incisal Edge as a 40 Under 40

honouree exemplifies the hard work we

poured into creating the most interconnected

healthcare network,” said Sadat, DDS.

“Today with Retrace, patients, providers,

and payers are benefiting from a seamless

dental experience as a result of efficiency

gains from the novel AI we’ve created. We

are honoured and humbled that this award is

a testament to how Retrace supports every

stakeholder in the dental ecosystem.” ■

Image: Cristi Ursea/Unsplash

Acquisition of Sterisil expands Solmetex’s business into dental water

treatment and safety

Solmetex, a provider of amalgam separators

and other waste compliance products, has

signed an agreement to acquire Sterisil, an

innovator of dental unit water line infection

control products.

The combined company will create a

business in dental water treatment and

safety management for the US and

international markets. This includes a

commitment to strengthen and expand

partnerships built over a combined 50 years,

driving more effective compliance with water

treatment requirements for both individual

dental practices and Dental Service

Organisations (DSO).

Sterisil brings 25 years of specialty in

dental waterline infection control and, as

part of the Solmetex platform, will expand

and strengthen its ability to develop and

implement transformational technologies.

The two companies will continue focusing

on clean water, safety, and waste recycling

solutions to improve the ecological impact

of caring for patients within the dental

category.

Gene Dorff, CEO of Solmetex, stated: “This is an

incredibly exciting time for Solmetex, and I am

confident that adding Sterisil to our platform

will ensure growth and expansion opportunities

as we continue to deliver excellent customer

service and high-quality, reliable products. I

look forward to collaborating with the team to

develop and execute our strategic vision for a

successful future.”

Theresa Downs, Sterisil’s vice-president

and co-owner, added: “We were meticulous

in our search for a partner that would

ensure Sterisil’s next chapter combined

the ‘best of’ our proud legacy with the

resources, potential and platform to

help us launch our next phase of growth

and diversification. Solmetex delivers

on all accounts, and I am certain both

companies will provide environmentally

sound, effective, and safe products for the

dental industry.” ■


DENTAL UPDATES

Today's Dental Network adds

Middleton Oral Surgery to partner

network

Today’s Dental Network (TDN) has formed a partnership

with Middleton Oral Surgery, a oral and maxillofacial surgery

(OMFS) practice in Sarasota, Florida, US, led by Scott

Middleton, DMD, MD. This is the second oral surgery centre

in the network, further enhancing the company’s ability to

provide technology-enabled care to patients.

NEW

3D printing with

“Dr Middleton is an exceptional and highly respected oral

and maxillofacial surgeon in our community,” said Todd

Reuter, DMD, MD, head of oral surgery at TDN and founder

of Sarasota Oral and Implant Surgery. “He exemplifies all the

professional qualities of a top tier OMFS and we are proud

to have him on our surgical team.”

Dr Middleton has practiced implant dentistry and oral

surgery in Sarasota for over 20 years and has placed more

than 10,000 implants. He uses advanced 3D imaging

equipment to identify and diagnose prosthetic and surgical

needs with accuracy and efficiency. He also provides a

full spectrum of sedation services, ensuring the highest

possible level of comfort to patients.

“We have worked alongside Dr Middleton for more than 13

years and have witnessed, first-hand, an unprecedented

level of surgical precision,” said Kevin Krause, DMD, CEO of

TDN. “His partnership strengthens our surgical presence in

Sarasota and elevates our clinical excellence.”

Dr Middleton works closely with a support team of trained

assistants, patient coordinators, and an implant coordinator

to manage a variety of problems relating to the mouth, tooth

and facial regions.

“After working with Dr Krause, Dr Reuter and Dr Roemer for

many years, my team and I are very excited to join such a

high-quality group,” said Middleton. ■

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TRENDS

Delivering tomorrow’s dentistry:

National Dental Centre Singapore

celebrates 25th anniversary

As the National Dental Centre Singapore (NDCS) celebrates 25 years of founding,

Cl A/Prof Poon Choy Yoke, CEO of NDCS, shares with Dental Asia the past and

present of NDCS as well as the future of Singapore’s dental landscape.

What are the milestones NDCS has achieved

over the last 25 years?

Cl A/Prof Poon Choy Yoke: On a national

level, in alignment with the Ministry of Health’s

(MOH) vision to improve the population health

outcomes and keep Singaporeans healthy for

as long as possible safely and sustainably,

the National Dental Centre Singapore (NDCS)

is strengthening its network with community

general dental practitioners (GDPs) through

its Care Partnership Programme (CaPP) and

building an ecosystem of integrated and holistic

dental care for its patients.

NDCS has launched several upstream preventive

health efforts such as the Infant Oral Health

Programme (IOHP), to advise appropriate

preventive strategies and guide parents for their

child’s dental development, and the Oral Health

Movement (OHM) 8020 which helps detect

early and treat oral frailty or pre-frailty in adults

aged 40 years and above, in partnership with

community nurses.

In 2015, NDCS opened the Geriatric Special

Care Dentistry Clinic (GSDC), Singapore’s first

purpose-built dental clinic to deliver integrated

oral care for patients with complex medical and,

geriatric conditions as well as intellectual and

physical disabilities. It also provides holistic

management to elderly patients who have

functional dependency and other medical comorbidities,

in our efforts to meet the needs of

Singapore’s ageing population.

Piloted in 2018, Tele-Dentistry Oral Care for

Seniors (T-DOCS) is a programme that aims

to improve and maintain the oral health of

seniors aged 60 years and above in nursing

homes or those who live alone and require

home care. The Centre aims to further expand

this initiative with other community partners

in the future.

In embracing digital and innovative

technologies for the future, NDCS has also

embarked on digital dentistry in the areas

of intraoral scanning and 3D printing of

dentures and will further integrate digital

technology to enhance patient experience

and improve care outcomes.

In 2019, the National Dental Research

Institute Singapore (NDRIS), the research

arm of NDCS was established to further

areas in oral health research and innovation

to spearhead new technologies and

therapies to meet the increasing burden of

“

We aspire to

co-create a very

different experience with

our patients, combining

digital dentistry and

digital patient journey

to improve care delivery

and clinical outcomes

for the patients.”

Clinical Associate

Professor Poon Choy Yoke,

CEO of NDCS


TRENDS

chronic oral diseases. It is Asia’s first national

institute dedicated to oral health research and

will focus on three key areas: oral medical

devices and technology, oral microbiome and

oral population health studies.

How will programmes like IOHP, CaPP, and

OHM 8020 impact the oral health status of

the community and influence their healthseeking

behaviour?

Cl A/Prof Poon: NDCS IOHP and OHM 8020

are upstream preventive health programmes

that will screen out and identify early at-risk

individuals and provide preventive intervention

programmes to help them with their oral care

conditions. These programmes aim to create

greater oral health awareness among the

population and emphasise the importance of

oral health as part of total general health. They

will also help to facilitate access to care in the

right setting and timely manner.

Early childhood caries (ECC) is prevalent but

largely preventable. IOHP will engage and

educate parents before the onset of ECC,

screen and empower parents to develop good

oral health and oral health behaviours for

their children at an early age. With an early

healthy start, good oral health behaviours can

potentially carry on to adulthood, improving

the oral health status of adults in Singapore.

In OHM 8020, the programme screens out oral

frailty or pre-frailty in adults aged 40 years and

above in the community. At these screening

sessions, the community nurses will also

conduct oral health education to encourage

good oral care habits among the seniors,

prevent further tooth loss and maintain good

oral function throughout life.

NDCS CaPP works with primary care providers

in the community to right site care, where

basic and intermediate care can be provided

by its network of GDPs, while complex and

severe conditions are referred to NDCS. This

will allow more seamless delivery of care to

our patients.

Can you elaborate on some of the research

NDCS has published and its significance to

the field?

Cl A/Prof Poon: The NDRIS translates

research discoveries into novel effective

therapies through its three initiatives: Singapore

Oro-facial Initiative (SOFI), Singapore Oral

Microbiomics Initiative (SOMI) and Singapore

Oral Population Initiative (SOPI).

SOFI focuses on the development of oral

devices and technologies. Some research

projects include the development of

microneedles, a non-invasive, painless and

efficient local anaesthetic delivery in dentistry,

a biodegradable scaffold for jaw implant that

will improve bone regenerative capabilities,

and new equipment known as Aeroshield that

uses an air barrier to isolate airflow between

dentists and patients’ mouths to reduce the

chances of COVID-19 spread in the dental

setting.

SOMI focuses on the studies on the oral

microbiome and its links to other diseases.

One of the key research discoveries last

year was the efficacy of mouthwash in

substantially reducing coronavirus load in

saliva, which can be used as a pre-procedural

step before dental treatment to help reduce

the transmission of the virus through

aerosols. This research finding will also

impact future mouth rinses for the public.

SOPI looks at behavioural, clinical and

population-based oral health studies for

educational intervention and policy purposes

to improve oral and general health nationally,

regionally and internationally. One of the key

studies aims to identify risk and protective

factors for oral diseases such as dental

caries, traumatic dental injuries, periodontitis,

and maxillofacial development early in life

and its consequences later on. Known as the

Oral Health Birth Cohort Studies, the research

is the first of its kind in the field of child oral

health.

Moving forward, how do you see dentistry

developing both locally and regionally in the

next 5-10 years, and what are some of the

strategies you have set out for NDCS to better

meet patients’ care?

Cl A/Prof Poon: NDCS and its programmes

aim to move in alignment with MOH’s 2030

Vision of a healthcare system that is focused

on preventative, primary, community and valuebased

care, with a strong emphasis on good

patient reported outcomes and experience.

NDCS has strategies in place to improve the

oral health of our community with initiatives

that target all life stages. With programmes

such as CaPP, a formal shared care

arrangement with 81 partner clinics islandwide,

the community would be able to seek

quality oral care close to home, and our GDP

colleagues would have opportunities to build

on their capabilities.

In the pipeline, the proposed Dental Primary

Care Network aims to collaborate with

polyclinics and GDPs in their region and the

national dental centres for referrals of complex

cases and sharing of best clinical practices.

This next-generation primary care initiative

matches the right care in the right setting,

provides greater convenience for patients, and

ensures prompt and timely access to dental

care. DA


DENTAL PROFILE

The in-and-outs

of the dental

implant market

Lingga Tanamal

Vice-president of sales - Asia-Pacific

of Henry Schein’s Global Oral

Reconstruction Group

Henry Schein’s global oral reconstruction

group focuses on implant specialities, featuring

brands such as ACE Surgical Supply Company,

BioHorizons, Camlog and medentis medical,

which are all vertically integrated — from the

manufacturing to the market, including post-sales

services. Dental Asia speaks with Lingga Tanamal,

vice-president of sales, Asia-Pacific, Global Oral

Reconstruction Group, Henry Schein, Inc. to find

out more insights on dental implants.

Being in the medical device industry for almost

three decades, what are some of the key

takeaways you have brought along with you

to the Henry Schein dental implant business,

and how do they help shape your vision for the

company?

Lingga Tanamal: Within the last 20 years,

dentistry and how it is performed have changed

enormously. In the field of implantology, digital

workflows have advanced the speciality with

the introduction of intraoral scanners, 3D

printing and local milling. This streamlines

treatment protocol, improves practice efficiency

and increases patient comfort while delivering a

high standard clinical outcome.

Partnerships with universities are of increased

importance. Documenting clinical evidence

helps to identify optimum treatment options

and workflow while reducing healthcare costs.

Integrating implantology innovations through

continuing education for the next generation of

dental practitioners is crucial.

The advent of innovation has also elevated the

focus on the patient experience. Patients are

becoming more educated, which drives their

interest to understand their treatment options.

This has led to a more detailed conversation

between dentist and patient.

Finally, the regulatory landscape is rapidly

evolving with ever-changing and stringent

requirements. While fulfilling the new

requirements may be challenging for implant

manufacturers, they are necessary to ensure the

patient’s safety and efficacy. This also eliminates

“fly by the night” implant manufacturers.

All of this has shaped my vision as well as the

company’s drive to provide innovative, integrated

dental implantology products and services to

our customers to help them to deliver clinically

proven dental implant solutions for the patients.

We act as trusted advisors and partner with our

customers to tailor solutions to their needs.

Dental implants are arguably an indispensable

part of today’s clinical dentistry. Is there a

reason for this, and how will you envision the

next milestone in implant dentistry?

Tanamal: The awareness of the importance

of good oral health is growing, perhaps as an

impact of COVID-19. As patients learn about the

benefits of dental implants for their well-being,

they also realise the cosmetic benefits of getting

implants. With advancements in treatment

protocols, patients accept dental implants as a

long-term solution.

We will see more remote patient monitoring

appointments, an expansion of the use of digital

workflows, and more artificial intelligence and

augmented reality in dentistry, and above all in

implantology. Insurance companies may come

up with more varieties of dental coverage, which

right now is still rather limited in Asia-Pacific.

Dental tourism is offsetting the redistribution

of services and related costs while maintaining

high-quality care. With an increased demand for

high-quality products and stricter regulations for

market entry, I am convinced that only the best

dental implant brands will survive in the long

term.

Tanamal with her team members


DENTAL PROFILE

How would you describe the importance and

the demand for dental implants in the context

of an ageing population in Asia-Pacific and

healthy longevity?

Tanamal: According to the World Economic

Forum, Asia-Pacific is likely to face the world’s

fastest-growing ageing population by 2050.

Four out of the top 10 countries with a large

number of older people are in Asia 1 . Oral health

has a direct impact on total health and poor oral

health, and irregular preventive check-ups and

treatment can impact the entire body negatively.

Oral diseases, such as gum disease or tooth

decay, may lead to the need for dental implants.

Asia-Pacific is also one of the fastest-growing

middle-class income populations, more than

the EU or North America. This group has

more purchasing power than before, is better

educated than the previous generation and

pays more attention to healthcare not only for

themselves but also to their elderly. The longterm

success of dental implants is also driving

market demand too.

What innovations have BioHorizons Camlog

put in place within its dental implant portfolio

to meet clinicians’ and patients’ needs in this

region?

Tanamal: BioHorizons and Camlog are two of

the industry’s suppliers with a comprehensive

range of dental implant systems, restorative

components, a line of biologics products, and

digital workflow solutions.

The latest innovations within the implant

portfolio are Tapered Pro from BioHorizons and

the PROGRESSIVE-LINE from Camlog for initial

immediate stability and versatility in different

treatment protocols. BioHorizons’ Tapered

Pro Implant system offers predictable results

for immediate loading treatments; the new

PROGRESSIVE-LINE implants are designed to

achieve high primary stability even in soft bone

— including a simplified surgical kit, the Flex kit.

One of the highlights of the BioHorizons implant

lines is Laser-Lok, a surface treatment to attract

a true, physical connective tissue attachment.

Laser-Lok is a series of precision-engineered

cell-sized channels laser-machined onto the

surface of dental implants and abutments. In

addition, the BioHorizons surgical kit can be

used for several BioHorizons implant systems.

For bone defects, the MinerOss product family

offers an array of complete choices of the

appropriate bone substitute material which is

crucial to achieving the desired clinical outcome

in functional, structural, and aesthetic terms.

For soft tissue management, the AlloDerm

SELECT product family supports soft tissue

regeneration. The Mem-Lok membrane family

provides a variety of resorption timeframes and

handling characteristics for graft containment

applications. The innovative regenerative

materials from BioHorizons, from synthetic

to xenograft to allograft, cover almost all

conceivable application areas, material

requirements, and surgical preferences.

What can clinics, especially in Asia-Pacific,

expect from BioHorizons Camlog dental implant

brands in the next five years?

Tanamal: We are committed to continuously

expanding our portfolios to help dental

practitioners and lab technicians to run effective

practices and labs by providing the support

and the solutions they need. In addition, we are

recognised for our excellent customer service.

We aim to expand our footprint across Asia-

Pacific by seeking additional distribution partners

for new markets, offering additional brands

through existing distributors, and by increasing

our reach in the existing countries and regions.

Another focus for the upcoming years is the

expansion of our training and education.

Together with our scientific and education

partner, the Oral Reconstruction Foundation, we

will organise symposia, hands-on courses, and

webinars. The Oral Reconstruction Foundation

supports basic and applied research projects,

grants research funding to young scientists, and

promotes training and continuing education. It

offers a networking platform for international

experts in a wide range of disciplines to foster

the exchange of knowledge and ideas.

Equally important to our business offerings is our

commitment to society. This is achieved through

our global commitment to corporate citizenship.

Over the past decade, we have further sharpened

our commitment to corporate citizenship through

the formalisation of our environmental, social,

and governance (ESG) strategy. BioHorizons

Camlog, like many Henry Schein companies

around the world, has begun a journey toward

better measuring and progressing on ESG

action and disclosure and recognises the critical

importance of this work and our global alignment

for maximum impact.

We strongly believe that our sustainability efforts

today build on our long history of integrating our

sense of purpose into the way we operate our

business. DA

References

1

https://www.prb.org/resources/countries-with-theoldest-populations-in-the-world/

India Team of the Global Oral Reconstruction Group honored with the 2021

Marketing Events Award.

The AltaDent Camlog team


DENTAL PROFILE

Communication and

collaboration drive exocad

forward

Having joined exocad, an Align Technology company, in 2020, Christine Amber

McClymont has brought extensive knowledge in the dental and medical

industries as well as financial services. She has succeeded in expanding

exocad’s visability within the dental software market. McClymont speaks with

Dental Asia about why exocad’s open software and open communication style

inspire loyalty and commitment within the digital dental community.

You have vast experience in marketing and

communications. What piqued your interest

to work in the dental industry, particularly at

exocad?

Christine Amber McClymont: I was in financial

services for a decade, and in the medical

industry for a couple of years before working

in the dental industry. One of the main reasons

why I was excited about the opportunity to

join the exocad team was because exocad is

a leading company in digital dentistry. And at

exocad, everyone is really working together as

one team. We have a great team spirit, plus

lots of opportunities to advance professionally,

to collaborate and grow. I enjoy working

with so many highly motivated people who

are passionate about making a difference

for dental professionals, paving the way in

the growing digital dentistry, and, ultimately,

creating better patient care. What I like about

the dental sector is that it’s very close-knit.

In general, dental is a very progressive and

dynamic industry. I’ve met many thought

leaders, who are very inspirational people, and

I appreciate working with them.

What excites you the most in this role?

McClymont: I have enjoyed building out an

integrated marketing and communications

team. We’re creating global campaigns with

regional focus, in collaboration with regional

and local partners, and with very broad-level

support from within the company. exocad

succeeds because the leadership believes in flat

hierarchies, trying new and creative approaches,

and being brave with new ideas. That’s a very

inspiring environment within which to work. I’ve

also had the opportunity to develop exocad’s

brand from that of a start-up company into an

industry leader.

How would you describe your leadership style,

and how does it complement the company’s

culture?

McClymont: In one word: collaborative. I like

to motivate people, cheer them on, and see

them grow and advance in their careers. I think

it’s important to learn each team member’s

strengths and help them grow. I don’t believe

in micromanagement. I delegate where

appropriate, and there’s a lot of opportunity for

team members to take ownership of projects.

Above all, I think it’s important maintain a

positive vibe.

Despite the promising outlook of digital

dentistry, there are still a number of dental

professionals (especially in South East Asia)

taking a conservative approach to adopting

the technology. What do you think causes

the bottleneck in the transition to digital

technology?

McClymont: The majority of labs in Europe

and the US use digital technology. In the Asian

Christine Amber McClymont,

Global Head of Marketing and

Communications at exocad


DENTAL PROFILE

region, we actually see a rising trend of labs

adopting digital technologies. That’s largely due

to a greater awareness of the benefits of digital

dentistry and also because the initial investment

costs for hardware are dropping. High-quality

scanners and printers are becoming more

affordable even for smaller labs. No matter

which hardware a lab chooses, we believe

many will choose exocad because of our open

platform.

Labs are also feeling pressure to keep up with

dentists. Although the adoption rate is generally

lower in clinics than in labs, more dentists are

investing in intraoral scanners and 3D printers.

They want to increase their practice offerings

and patient satisfaction. They want to offer

intraoral scans instead of “messy” impressions

and provide patients with previews of their

proposed restorations using a 3D smile design

program like our Smile Creator. Old analogue

approaches will become a thing of the past at

some point in time.

What strategies are being implemented to

address this issue, and how does the company

support dental professionals in jumpstarting

their digital journey?

McClymont: We launched the Creator Center

last year — a destination on our website where

people can watch video tutorials available

in Chinese and numerous other languages.

We have great online content that includes

comprehensive cases and short video clips.

Our tutorials are also on new media channels

including TikTok and WeChat, following the

trends in information consumption within our

target groups. And we partner with our resellers

who are instrumental in communicating the

benefits of exocad to the dental community.

The Galway family of releases was recently

launched: DentalCAD for labs, ChairsideCAD

for single-visit dentistry, as well as exoplan for

implant planning. What is the significance of

this milestone?

McClymont: We’ve made single-visit

dentistry more achievable and increased

our software’s ease of use. There are new

time-saving features in the latest DentalCAD

and ChairsideCAD versions like Instant

Anatomic Morphing, and we now have artificial

intelligence-assisted features like for Smile

Creator where facial features are automatically

detected for faster smile design. exoplan,

which is often the link between clinicians and

labs, provides easy and intuitive to use tools

for implant planning, further increasing the

collaboration between labs and practices.

What other developments are being planned

to help early adopters of digital technology to

scale their workflow and further propel their

productivity?

McClymont: exocad continually focuses

on increasing productivity. We want to

support more volume in the labs by making

their workflows faster and the results more

accurate and predictable. On the clinical side,

we’re focused on using our tools to increase

productivity and patient engagement. Like with

Smile Creator, visualising restorative treatments

using a combination of 2D and 3D images helps

make patient outcomes more predictable.

exocad continues to be open and is integrating

new materials, implant systems and equipment

that are launched in the market. Our software

developers design and innovate based on

the needs of labs and clinicians. Then the

technicians and clinicians can choose the

software that best boosts their productivity. This

makes exocad an excellent choice for users at

all stages of the digital dentistry journey.

How does exocad ensure that practitioners

keep up with the advancements?

McClymont: If you want to stay on top of the

newest and latest information and products

from exocad, register for our News Bites

newsletter and discuss your goals with an

authorised exocad reseller in your region. We

also work with dental thought leaders around

the world who educate their peers on how to

best use exocad software for their specific

needs.


DENTAL PROFILE

What is your marketing strategy as it pertains

to the Asia-Pacific region?

McClymont: We have a dedicated and

experienced marketing team who oversee

the Asia-Pacific region and local teams in

China, South Korea and India who tailor our

marketing strategy to the needs of the dental

communities there. We are continuing to build

out our network of thought leaders and are

taking an increasingly regional approach to our

campaigns.

What makes exocad distinctive from other

brands?

McClymont: The exocad software is open and

so is our company culture. We like to have a

close and direct dialogue with our community.

We solicit feedback directly from users on

social media platforms. Our large, devoted user

base or “exoFamily” has grown organically and

has a strong sense of community. We cultivate

that spirit, and many users feel like they are

part of something important. exocad is also

distinctive because our software continues to

broaden and expand the possibilities of digital

dentistry. Like we say, all you have to do is

“Imagine the CADabilities.”

What more can the industry expect from

exocad in the next five to 10 years?

McClymont: We will continue to innovate

to serve our customers. Our software

development will be guided by the desire to

meet their needs today and in the future. We

will continue to push the boundaries of digital

dentistry and stay on the cutting edge.

What could be the long-term impact of the

pandemic on market trends?

McClymont: The pandemic showed that

going digital is beneficial to workflows. Digital

technology requires less physical contact and

offers more workplace flexibility.

What do you think is the most important

lesson the pandemic situation has imparted to

the dental community?

McClymont: The pandemic really highlighted

the benefits of digital dentistry: flexibility, fewer

physical meetings between lab technicians and

dentists, fewer patient visits, more remote work

options, and faster online communication — for

example with exocad’s online collaboration

platform dentalshare. Above all, digital

dentistry ensures treatment continuity for

patients, even in the midst of the pandemic.

What message you would like to leave to

your customers in the region?

McClymont: We are committed to engaging

directly with our users in this region. We have

some exciting interview on the horizon with

respected dentists and labs that we’ll post on

our exoBlog, and we’ll of course be at the big

dental gatherings this year, like SIDEX 2022 in

Seoul and Sino Dental in Beijing.

Please share also your cases with us on

Instagram and WeChat. We want to see

what you’re doing and look forward to your

joining us at upcoming in-person events. And

if you have any questions about the exocad

software solutions best fit your needs, check

out our CAD Configurator online. You can

find your ideal software package in just a few

clicks. *

Is there anything else you would like to add?

McClymont: As of February 2022, customers

can easily upgrade their DentalCAD license

in our online shop. They simply choose their

reseller and get a fast upgrade wherever they

are in the world. Make sure to check it out. We

are also building out our team in Asia-Pacific,

and will soon open a new headquarters in

Seoul, South Korea. DA

*

https://exocad.com/cadconfigurator/


DentalCAD

The powerful CAD software

DENTAL PROFILE

I love using many different

tools to create art. In my

lab, I enjoy the infinite

possibilities DentalCAD

gives me.

Carla Arancibia

Dental technician

and illustrator

DentalCAD, with its cutting-edge

features accelerated my lab’s workflows.

Instant Anatomic Morphing

adapts tooth anatomy in real time

during anatomic tooth placement

and AI detects facial features in

Smile Creator, saving valuable

time and boosting design speed.

Imagine the CADABILITIES

Explore how this powerful design

software will make your life easier

and improve your productivity.

exocad.com/dentalcad


CLINICAL FEATURE

Preventing

implant complications

By Dr Kevin Ng and Dr Zevon Ng

Implant complications arguably increase

the risk to patients. The term “success”

should be absent of any complications,

pathology or unpredicated which requires

chairside time to be treated or repaired.

Explaining to patients what is expected and

self-care are the most important factors.

Well treatment planning and regular reviews

every four to six months for maintenance

are the best ways to avoid complications. In

general, implants complications occur in the

following situations:

Fig. 1

DISCUSSION

A. Biological and technical complications

The most common reason for complications

to occur is insufficient implant treatment

planning which may lead to unnecessary

complications and positional failure. To

reduce complications, proper planning

requires a good understanding and

knowledge of anatomy, implant fixture or

prosthetic designs and the use of surgical

guides. Malposition of an implant can result

in long-term biological or mechanical

complications.

The aesthetic outcome of the crown relates

to the soft tissue profile, level, tone and

thickness. It is important to understand that

“the soft issue frames the restoration”.

Many authors have written on different

methods of increasing bulk by increasing

the volume of soft tissue. It is important

to manage at an early stage as part of

implant planning from start to finish.

Ensure atraumatic extraction and gentle

management of soft tissue during surgery.

Biomechanical failures: The most common

failures are the loosening of screws and

Fig. 3

breakage of implant components, which

can be avoided with proper planning

from the beginning. A thorough and good

understanding of the implant system and

screw joint mechanism and application

of proper torque as recommended by

the manufacturer. The failure rate in the

single-tooth restoration was reported as

10% 2 .

Today, with modern designs in connections

and components, we can avoid or minimise

failure by using a component that allows

us to reach high preloads and devices

that allow us to control torquing forces.

Implants made with internal connection

or are screw-free are less prone to screw

loosening and fracture.

Fig. 2

Another biomechanical failure could be due

to the fracture of the prosthesis caused by

metal fatigue. Porcelain fracture is common

and can be overcome by the choice of

zirconia material and a well-planned occlusal

scheme 2 .

Operators experiences: Failure rates were

twice higher for surgeons who had placed

50 or fewer implants compared with

surgeons who had placed 50-over implants.

Bone over-heating was the most common

problem during installations. However,

more experienced surgeons tend to be

overconfident to treat more complicated

cases which can be at an increased level of

implant failure.

Surgical trauma, contamination, medications:

The surgical preparation of the implant site

induces a zone of dead bone around the

fixture which affects the osseointegration to

take place. Micromovement of the implant

is related to the optimal fit between the

fixture and the drilled site. Adequate cooling


CLINICAL FEATURE

during drilling lowers the temperature

which could cause thermal injury to bone

and surrounding tissue. Overheating

reduces wound healing and leads to soft

tissue encapsulation. Bacteria provoke

inflammatory reactions and destroy the

surrounding tissue with the presence of

granulation tissue that can cause early

failure of implants. The aseptic technique

is important for all oral implant therapy.

Bacteria preferentially adhere to implant

surfaces and form a glycocalyx to protect

themselves from a host or even antibiotics.

Hollow implants were reported to host

more bacteria in the dead space, which

increases the risk for local infections.

Overdrill or overpreparation of the implant

site will damage vital structures such as

the nerve and blood vessel, which can

cause dislocation of fixtures, especially in

the lingual spaces (Figs. 1-3).

Fig. 4

Fig. 5

Other complications associated with

operating accidents include swallowing

implant fixtures, screwdriver and

abutments, and metal allergy. A dislodged

fixture in the maxilla sinus could migrate

to the orbital floor and lateral side of the

nasal concha which may require surgical

removal under general anaesthetic (GA)

(Figs. 4-7). Pain, bruise, oedema and

swelling after surgery are common if

blood vessels were damaged and these

cause great concerns to the patient.

Uncontrolled bleeding within tissue planes

could cause emphysema and airway

obstruction. Emergency tracheotomy may

be required to avoid suffocation and death

(Fig. 8).

Fig. 6

Fig. 7

B. Pre- or post-loading complications

1. Framework fracture

2. Technical veneer chip or fracture

3. Screw loosening or fracture

4. Abutment fracture

5. Loss of retention

6. Implant fracture

7. Loss of integration

8. Food trapping due to insufficient

contact points and black triangles

9. Misfit Implant abutment interface

and framework veneer interface

Fig. 8

10. Implant loosening and dislodgement

reported before and after loadings could

be due to post-operation infections or

overloading that causes supporting bone

destruction

A parallel x-ray technique can be used

to check the fitting of parts. Beams

should be direct to 90° to the film and

fixture. If the image is sharp on one

side and blurred on the other side, this


CLINICAL FEATURE

may indicate the beam angle to the

implant is not right.

Cement should complete settling first,

then screw-in abutment with a crown

to ensure no excess cement outside

the margin, which would increase

roughness and food trap that would

cause peri-implantitis in the long

term.

Papaspyridakos reported that 70%

of complications occurred in the

full-arch prosthesis in five years

and 91.5% in 10 years. The common

technical complications were veneer

chipping, abutment screw loosening,

and abutment screw fracture due

to heavy parafunctional habits that

caused overloading. They suggested

overcoming these complications by

proper planning and knowledge of

material including screw mechanism

and design.

Fig. 9 Fig. 10

High-risk patients should be informed

of the high incidence of complications

including fees concerned to repair

and replace, especially for high-risk

group patients like smokers, bruxism

and diabetics. Patients wearing

complete dentures exert less pressure

than natural teeth or implanted teeth

as opposing dentitions 4 .

Fig. 11 Fig. 12

C. Implantitis

Poor oral hygiene and plaque

accumulation cause marginal tissue

reactions in osseointegrated implants.

The inflammatory changes lead to

two stages of syndromes:

a) peri-implant mucositis confined to

superficial soft tissue

b) peri-implantitis that involves the

deeper soft tissue and bone around

implants (Figs. 9-10)

Fig. 13 Fig. 14

Patients with thick gingival biotype

and intact buccal bone, flapless

approach and provisional crown may

produce little risk. Patients with a

history of periodontitis are reported

with a lower success rate and require

Fig. 15 Fig. 16


CLINICAL FEATURE

antibiotics. Chronic infection is not an

absolute contra-indication.

The surface roughness of implants

increases bacterial colonisation both

supra- and sub-gingivally. It becomes

difficult to remove mechanically

and compromises the host’s defence

mechanism. The porous surface

provides an excellent environment

for bacteria to grow. Therefore,

the development and design of

biomaterials decrease adherences of

periodontal pathogens, which include

Gram-negative anaerobic, spirochetes

and anaerobes rods. The design of

abutment and implant junctions should

be stressed since they may play a vital

role in peri-implantitis.

The correlation found between deep

pockets of over 5mm and pathogens

provides ideal bleeding ground for a

pathogen to grow. However, whether

this is a specific or non-specific

infection is unknown. Peri-implant

mucositis is the most frequent

biological complication of implant

and is related to failure – it causes

excessive per implant crestal bone

loss that could exceed 2mm bone

loss vertically and horizontally 5 . The

horizontal bone lost will increase

fixture fracture (Figs. 11-12).

D. Patient satisfaction and aesthetic

complaints

A successful implant does not purely

rely on its survival rate over the years.

The aesthetic outcome has become a

particularly important requirement for

success. The mean recession of facial

marginal mucosa ranges from 0.5-

0.9mm, and by grafting the marginal

defects with autogenous bone on facial

bone, only 5% of patients showed

recession of over 0.5mm 1 .

Prolonged tooth loss can lead to severe

resorption of bone and soft tissue.

In the anterior region, smiling or

talking can cause aesthetic concerns

to patients. To improve the soft tissue

around the implant, soft-tissue grafting

has been used. In principle, both soft

and hard tissue can be augmented to

improve bulk and volume (Figs. 13-16).

Wiesner evaluated the efficacy of

soft tissue augmentation. The aim

of these randomised control trials

(RCTs) studies was to find out whether

connective tissue graft could be

effective in augmenting at peri-implant

soft tissue.

The result indicates augmentation was

effective in increasing thickness of

peri-implant soft tissue and resulted

in statistically significant better pink

aesthetic score (PES) 5 .

E. Infection

Bacteria multiply from contamination.

If the infection is allowed to mature

into biofilm, it will cause inflammation

of soft tissues, and increase bone loss

and probing depth. As pre-intervention,

evaluate prosthesis and design and

with regular maintenance of oral

hygiene and systematic health.

Bacteria cause damage to peri-implant

tissue, including the direct invasion

and destruction of peri-implant tissue;

release of enzyme and bone resorption

factors; evasion of host defences via an

indirect host-mediated inflammatory

reaction; and a combination of all

factors 3 .

F. Anti-biofilm intervention

To eliminate biofilm, disinfect exposed

implant surfaces and regenerate

defects. During post-intervention,

establish sustainable health protocols

and provide regular maintenance.

CONCLUSION

1. Review every four to six months

for regular maintenance. Explain

expectation to patients and seek

cooperation.

2. Reduce positional complications with

proper planning, risk evaluation, a

good understanding and knowledge

of implant system and materials and

use of the surgical guide.

3. Conduct implant placements

properly and avoid complications

with proper patient selection and

treatment planning. DA

References

1

Buser D., Chappulis V., Belser U., Chen S.

“Implant placement post-extraction in

esthetic single youth sites: when immediate,

when early, when late?” Periodontology 2000,

vol. 73, 2017, pp. 84-102

2

Chee W., Jivraj S. “Failures in Implant

Dentistry”. BDJ, 2007, pp. 123-129.

3

Esposito M. et al. “Preview different loading

strategies of dental implants:

a Cochrane systematic review of randomised

controlled clinical trials”.

European Journal of Implantology, 2008, 1.4:

pp. 259-276

4

Papaspyridakos P., Chen C.J., Chuang S.K.,

Weber H.P., Gallucci G.O.

“A systematic review of biologic and

technical complications with fixed implant

rehabilitations for edentulous patients”.

International Journal of Oral & Maxillofacial

Implants, 2012;27:102-110

5

Wiesner G., Esposito M., Worthington

H., Schlee M. “Connective tissue grafts

for thickening peri-implant tissues at

implant placement. One-year results from

an explanatory split-mouth randomised

controlled clinical trial”. European Journal of

Oral Implantology, 2010;3(1):27-35.

ABOUT THE AUTHORS

Dr Zevon Ng graduated

with a Bachelor of

Dental Surgery from

the University of Hong

Kong in 2012. She also

obtained a Master

of Science in Implant Dentistry from the

same university, where she is a visiting

lecturer.

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 to 2019.


CLINICAL FEATURE

PBM Implant: Intraoral

Photobiomodulation Device

By Dr Alan Kwong Hing DDS, MSc and Dr Alpdogan Kantarci DDS, PhD

Implant stability may be affected by

the initial resorption of bone at the

implant surface. This may dictate the

timing of implant loading and if the

implant will osseointegrate. Since

the discovery of osseointegration,

scientists and clinicians have

been investigating methods to

enhance osseointegration by

improving implant characteristics

and improving the environment

around the dental implant to

provide optimal conditions for bone

integration.

MITOCHONDRIAL MECHANISM OF ACTION

Cells and tissues are damaged and have decreased

blood supply leading to - decreased burning, proton

pumping and ATP production.

Photons from PBM Healing light stimulate

Cytochrome C oxidase to pump protons > increased

proton production > ATP production

Using the science of

photobiomodulation (PBM), the

PBM Implant does not address

the characteristics of the implant;

instead, its mechanism of action

is to enhance the biology of the

surgical area and improve the

healing of the bone and soft tissues,

which will improve initial stability

of the implant and the healing of

the bone and surrounding tissues.

The goal is to improve implant and

bone grafting success rates, reduce

post-operative pain and improve

long term soft tissue and bone

health. By improving the biology

and enhancing the person’s healing

process, implant treatment may be

considered for those who may not

have been a candidate before due

to medical compromise, timing and

others.

IMPLANT HEALING PROCESS

The energy of the light is absorbed by the cells

and converted into chemical energy ATP

The increased ATP is used by the cells allowing for

faster healing of the bone and surrounding tissues

around the implant which decreases healing time

Several In vivo and In vitro studies

have demonstrated that the use of

PBM may improve bone repair in

Damage to the bone and tissues with implant

placement

Tissue response with osteoclastic activity and loss

of implant stability—this process is reversed with the

enhanced bone healing associated with PBM Implant


CLINICAL FEATURE

surgical defects. Greater and faster bone

formation was seen in irradiated defects

and surgical wounds when compared

with control groups. Research has shown

that PBM will increase implant stability

after surgery and improve bone healing.

The use of PBM has also been shown to

decrease pain levels in medical and dental

treatment 1-6 .

WHY USE PBM IMPLANT?

Dentists who use PBM Implant can provide

their patients with increased success rates,

shorter healing periods and less pain. They

can treat more patients previously not a

good candidate and as a result, achieve

better treatment outcomes. This will allow

dentists to treat more implant patients

due to improved patient success and

satisfaction.

The PBM Implant offers the following

advantages:

• Simple and easy to use

• Hands-free use allows one to work while

being treated

• Portable and can be used anywhere

• One six-minute treatment per day per

surgical site

• Non-invasive, as it only uses light

• Drug-free

• Enhances patient’s healing ability

• Offered in one size, therefore minimising

inventory

• Can treat one sextant at a time, two

sextants on the opposite side of the

mouth or the entire arch in one session

• No changes made to existing implant

system or bone graft materials

• No changes to the clinic’s surgical or

prosthetic protocols

Segmental illumination to allow separate areas or the entire mouth to be treated

(625nm, 50 W/cm 2 ; six-minute application per sextant)

CLINICAL CASE USING PBM

SCIENCE OF PBM

How it works: Harnessing the photo

Cytochrome c oxidase present in

mitochondria can absorb photons and

convert this EMF energy into chemical

energy (ATP). During the implant placement

process, the wounded tissue and

bone around the implant are ischemic and

hematopoietic from the surgical manipulation

of the bone and soft tissues. Precursor

cells and fibroblasts have decreased ATP


CLINICAL FEATURE

Pharmacy, Tirgu Mures, Romania, Journal of

Optoelectronics and Advanced Materials. Vol.

17, No. 5-6, May – June 2015, p. 552 - 555

4

Beresescu, Gabriela, Baldean, Alina , Monea,

Adriana. “Effects of Low-Level Laser Therapy

on Bone Regeneration of Intrabony Defects

of Patient with Special Needs”. Division: World

Workshop on Oral Health and Disease In

AIDS Meeting: 2019 World Workshop on Oral

Health and Disease in AIDS (Bali, Indonesia)

Location: Bali, Indonesia. Year: 2019.

5

Tancan Uysal 1, Abdullah Ekizer, Huseyin

Akcay, Osman Etoz, Enis Guray. “Resonance

frequency analysis of orthodontic

miniscrews subjected to light-emitting diode

photobiomodulation therapy” Eur J Orthod.

2012 Feb;34(1):44-51. doi: 10.1093/ejo/cjq166.

Epub 2010 Dec 27.

6

Kulkarni, S., Meer, M. & George, R. “Efficacy

of photobiomodulation on accelerating bone

healing after tooth extraction: a systematic

review”. Lasers Med Sci 34, 685–692 (2019).

https://doi.org/10.1007/s10103-018-2641-3

and decreased metabolism. PBM treatment

delivers energy to the cells directly

to increase the production of ATP which

accelerates soft tissue wound healing and

bone formation. There is also increased

blood flow to the area to enhance the

healing process.

Additionally, the device features the

following:

• Can be used with any implant and bone

grafting system

• Applicable on the upper and lower arch

• Has a soft and comfortable mouthpiece

• Powered by a strong external battery

• Functions as a take home device and low

maintenance for use during the healing

period and after active treatment

Clinical benefits in implant dentistry and

bone grafting using PBM Implant are:

• Shortened treatment times and faster

integration

• Minimised early failures due to loss of

stability

• Faster loading

• Directly accelerate the regenerative

process of bone

• Enhanced soft tissue healing

• Decreased patient discomfort

• Compatible with existing implant

system

• Treat single or multiple sites with use of

the same device

Meanwhile, the practice benefits from:

• Improved patient satisfaction as

a faster, less painful treatment

experience

• Enhanced productivity

• Practice differentiator

• Faster implant loading with prosthesis

CONCLUSION

Using PBM results in greater patient

satisfaction with less pain, swelling and

discomfort. A warm soothing sensation

that is pleasant to the tissues makes the

healing process better. For the clinician,

the result is faster bone graft healing,

faster implant stability and faster

loading times, as well as treatment of

patients who would previously have not

been a good candidate. Long term use of

PBM Implant after active treatment may

enhance soft tissue and bone health to

lessen peri-implantitis. DA

References

1

Brawn P, Kwong Hing A, Boeriu S and Clokie

CM. Accelerated Implant Stability after LED

Photobiomodulation. J Dent Res 87 (Spec iss

B):2021, 2008

2

Ediz Deniz, Ahmet Arslan, Nurettin

Diker, Vakur Olgac & Ertugrul Kilic (2015):

“Evaluation of light-emitting diode

photobiomodulation on bone healing

of rat calvarial defects”. Biotechnology

& Biotechnological Equipment, DOI:

10.1080/13102818.2015.1036774

3

G. Bereşescu*, M. Monea, D. Pop, S. Mucenic,

A. Monea. University of Medicine and

ABOUT THE AUTHORS

Dr Alan Kwong Hing

DDS, MSc graduated

with his Doctor of

Dental Surgery degree

(with distinction)

from the University

of Western Ontario.

He received the University Gold Medal

and completed a concurrent Master’s

Degree in Pathology with a focus on Bone

Biology. He has earned multiple degrees

and received numerous awards including

the IADR predoctoral Hatton Award.

Dr Alpdogan Kantarci,

DDS, PhD, is a

certified specialist

of Periodontology

(CAGS) and a

Diplomate of the

American Board of

Periodontology. He is a senior member

of the staff (Professor) at the Forsyth

Institute in Cambridge, MA, and serves as

a faculty member at Harvard University

School of Dental Medicine and an adjunct

professor at Boston University’s Henry

Goldman School of Dental Medicine.


CLINICAL FEATURE


USER REPORT

Becoming

a digital

practitioner with

TRIOS scanner

By Leif Svensson

Recording 2,500 scanning cases

for me is a great milestone with a

lot of clinical highlights. Amid the

2,500 cases, I was able to build a

specialised training programme for

the largest TRIOS scanner roll-out in

Asia-Pacific, spanning 100 locations

with over 500 practitioners. I have

had the opportunity to work with

many practitioners along the journey

and have learned so much, especially

in the world of digital implant

planning and scanning.

knowledge is attained so get to the

100th milestone as soon as possible

after the first training session.

3. In-surgery set-up: Set the scanner

on the most versatile rolling stand

or a TRIOS MOVE+. I have found

several good scanner accessories

from Anatomic4d, but there are

many alternatives available in

the market.

4. Adopt a good scanning posture:

This is critical—decide if a

stand-up, front approaching

posture, or sit-down, rear

approach scanner. Master

positioning the body according

to the arch and indication. I even

think about posture as it relates

to the quadrant I am working

on. Position the body where the

Here are my top 10 learnings after

scanning 2,500 dental cases.

1. Good hardware: Research and

acquire the best scanner you

find most affordable.

2. Be fearless: It is normal to

expect nervousness in the first

10-20 scans. But after conducting

100 scans, more experience and


USER REPORT

scanner head is parallel to the

area you are capturing. It is good

to learn and memorise these

positions in surgery.

5. Always support the scanner

tip: At all times, try to achieve a

bipodised support position for

the scanner tip with another

finger or part of the hand. The

support finger should thus be

supported by a patient landmark,

such as a tooth, sulcus or other.

Do take note that a swap of the

support finger might be required

when scanning around the

patient’s mouth. Use the support

finger to steer the scanner. It

is a handy pivot and scanner

head rotation point, especially

when crossing the patient’s

midline. I also use scanner

bipodisation positions to retract

soft tissue while still capturing

and supporting the scan head.

This is a great asset. OptraGate

is good when capturing tooth

surfaces. When capturing soft

tissue, however, this form of

retraction can get in the way.

Finger retraction is the best—the

retraction finger becomes the

support bridge between the

hand and scanner head support,

and just rolls along clearing a

path for capture.

6. Be critical of your scans: Do not

be afraid to ditch and go again.

7. Trim: Trim the scans according

to the application indication.

Look for foreign detached and

attached anomalies in the scans,

especially when conducting

non-artificial intelligence (AI)

scanning.

8. Find a good lab: Find a

laboratory that communicates

well. Some laboratories have

direct technology links these

days. Good support is key when

starting.

9. Be patient with edentulous

scans: Edentulous areas are

the most challenging to scan,

whether full or partial. Build up

to it. Start small and increase as

more confidence is gained.

10. Be inventive: It is not necessary

to follow the exact predefined

manufacturer scan strategy,

especially in cases with large

edentulous areas. My general rule

when there are missing teeth is

to always start where the hardest

structures are. In this case, start

where the most teeth are, then

build the scan path from there. DA

ABOUT THE AUTHOR

Leif Svensson

is the clinical

director of

Affordable

Dentures &

Implants in

Australia. He

is a clinical

practitioner with a history of working

with industry professionals to

achieve complex oral restorations,

especially in the realm of implant

prostheses. Having founded and led

a denture care roll-out in Australia

with over 44 locations, Svensson also

established a large dental laboratory

in Australia, as well as championing

industry digital innovation for implant

arch scanning.


USER REPORT

Minimally invasive and

highly aesthetic gap closure

with layered feldspar ceramic

By Dr Su Yu-Lung and Shih Tsai-Lieh

For some, a gap is a distinctive

feature. Others want to close the

gap of a pronounced diastema

between the two central incisors

in their upper jaw for cosmetic

or phonetic reasons. In such

cases, a disease involving the

hard tissue of the teeth is not the

reason for treatment. Therefore,

minimally invasive procedures are

essential for such purely cosmetic

restorations.

Fig. 1

In addition, preparations in enamel

are beneficial in terms of the

adhesive bond, and for clinical

long-term success. The restorative

material should be able to

reproduce the shade and character

of the natural hard tooth substance

in a limited space to be able to

achieve a harmonious morphology,

despite the low tissue removal. In

the following case study, dentist Dr

Su Yu-Lung from Pin Wei Dental

Clinic, Hsinchu, Taiwan, and dental

technician Shih Tsai-Lieh from

ChuangYi Dental Lab, Changhua,

Taiwan, show how they were

able to work together to close an

unwanted gap in the aesthetic zone

with layered fine-structure feldspar

ceramic.

CASE STUDY

A 30-year-old patient presented

a pronounced diastema between

the two anterior teeth in his

Fig. 2

Fig. 1: The patient was very dissatisfied with the aesthetic appearance of his teeth

Fig. 2: The pronounced diastema between the central incisors in the upper jaw

upper jaw. He was dissatisfied

with the aesthetics and wanted

the gap to be closed. Previous

orthodontic treatment had not

produced the desired results.

The clinical examination revealed

narrow central incisors that were

positioned in a slightly flared

lateral position and tapered

sharply in the incisal direction. The

diastema was approximately 2mm

wide in the marginal region and

widened successively to 6mm in

the incisal direction. To close the

gap, the practitioner and patient

opted for a minimally invasive

restoration using feldspar ceramic

veneers fabricated on refractory

dies, while simultaneously giving

teeth 11 and 21 a full morphology.

To enable the aesthetic work to

be carried out in a very confined


USER REPORT

space, the dental technician

selected the fine-structure feldspar

ceramic system VITA VM 9 for

layering.

PREPARATION AND TOOTH

SHADE DETERMINATION

For the minimally invasive

preparation, only slight chamfers

were created cervically; the

vestibular expansion was

recontoured minimally, and

the incisal area was shortened

moderately. Retraction threads

were placed to achieve a precise

impression with A-silicone. To

ensure basic shade harmony

between the restorations and the

natural dental hard tissue, the

tooth shade was determined using

the VITA Linearguide 3D-MASTER,

which reproduces the entire

tooth shade range using 26 shade

tabs. In two systematic steps, the

VITA Valueguide 3D-MASTER was

used to determine the lightness

from zero to five in the first step.

This was followed by matching

the colour saturation and hue

with the corresponding VITA

Chroma/Hueguide 3D-MASTER.

The selected shade tab 3M2 was

finally photographed intraorally for

orientation in the laboratory. Based

on the tooth shade determination,

a layering pattern was also created

on the patient. This was followed by

taking an impression and fabricating

the temporary restoration.

Fig. 3

Fig. 4

Fig. 5

FABRICATING THE MODEL AND

LAYERING

For fabricating the veneers, a model

with a gingival mask and refractory

dies at 11 and 21 was produced

based on the impression. In the

preliminary layering, the mesial

edges were built up with a mixture

of EFFECT LINER 2 (beige) and

6 (green-yellow) to support the

basic tooth shade in the enamelfree

area. After an initial firing,

the dentine core was layered with

Fig. 6

Fig. 3: Tooth shade determination with the VITA Linearguide 3D-MASTER

Fig. 4: A morphological layering pattern was created and transferred to digital photography

Fig. 5: A master model with refractory dies was fabricate based on an impression

Fig. 6: The alternating incisal layering with VITA VM 9 EFFECT ENAMEL 7, 9, 10, and 11


USER REPORT

BASE DENTINE 3M2 (70%) and

WINDOW (30%). After refiring,

the incisal area was created with

an alternating layering of EFFECT

ENAMEL 7 (orange translucent),

9 (bluish translucent), 10 (blue), and

11 (grayish translucent), and the

cervical area was intensified using

SUN DENTINE 2 (light orange).

Fig. 7 Fig. 8

After fixing the intermediate result

with another firing, the upper third

of the restoration was covered

with ENAMEL LIGHT, and the core

of the incisal area was modified

with EFFECT PEARL (pastel yellow)

to reproduce the effects of a

youthful tooth structure. After the

final enamel firing, the delicate

restorations were carefully finished

and polished using fine-diamond

instruments, which proved easy,

thanks to the fine-structure

feldspar ceramic. Finally, the two

veneers were finished with the

glaze firing.

Fig. 9 Fig. 10

Fig. 11 Fig. 12

INTEGRATION AND CONCLUSION

The wafer-thin restorations

were tried in with glycerine gel.

All parties were satisfied with

the results, and the restorations

were finalised by cleaning the

bonding surfaces, etching with

hydrofluoric acid and silanising.

This was followed by phosphoric

acid etching of the enamel areas

and fully adhesive cementation of

the restorations with composite

cement. After light-curing and

removal of the excess, aesthetic

restoration results that harmonised

with the natural hard tooth

substance of the adjacent teeth

were achieved. Despite preparation

limited by the enamel, and the

requirement for a minimally

invasive procedure, natural and

lively looking restorations made

of fine-structure feldspar ceramic

were created in an extremely

confined space. The patient was

very happy with his new smile. DA

Fig. 13

Fig. 7: The completed restorations after the finishing work on the model

Fig. 8: The gingival mask was used to check the cervical contouring

Fig. 9: The two delicate veneers before conditioning with hydrofluoric acid and silane.

Fig. 10: After fully adhesive cementation, aesthetic treatment results were achieved

Fig. 11: The two veneers harmonised with the natural hard tissue of the teeth

Fig. 12: The restorations looked vibrant and gave the teeth full morphology

Fig. 13: The patient was completely satisfied with the result of the minimally invasive restoration

ABOUT THE AUTHORS

Dr Su Yu-Lung graduated

from the department of

dentistry at National Yang

Ming University, and currently

practices at Premier Dental

Clinic and Prevail Dental

Clinic in Hsinchu.

Dental technician Shih Tsai-Lieh is

the deputy secretary-general of the

Taiwan Dental Technology Institute,

and the director of Changhua

Dental Association. He is also

an International Certified Master

Dental Technician of VITA.


USER REPORT


USER REPORT

Small diameter implants for

single anterior edentulousness

The limited bone volume often presented in anterior zones means that standarddiameter

implants are not always possible. To avoid bone grafts, we use narrow

implants that provide satisfactory results. By reviewing a few clinical cases, we will

see how the use of small diameter implants to replace maxillary lateral incisors and

mandibular incisors can be considerably simplified while providing results that are

entirely satisfactory for the patient on an aesthetic and functional level.

By Dr Richard Marcelat

CLINICAL CASE 1: SMALL VESTIBULO-

PALATINE BONE VOLUME

A 42-year-old patient presented a bilateral

agenesis of the maxillary lateral incisors

(Fig. 1). The smile line analysis indicated

a low smile line associated with toned

lips. The oral examination showed small

mesiodistal spaces in 12 and 22 as well as a

rather thick gingival biotype.

The patient’s reason for consultation was

aesthetic. After discussing alternative

solutions with the patient: orthodontic

space closure, replacement with fixed

dentures—bridge or crown, the patient

ultimately chose implant-supported

dentures. We worked in close collaboration

with an orthodontist colleague, Dr Frédéric

Chalas, who took responsibility for adapting

the mesiodistal spaces which were required

for the placement of the endosteal implants

in positions 12 and 22. We saw the patient

again after 14 months of orthodontic

treatment (Figs. 2a–b), which consisted of

wearing a multi-bracket appliance to open

up the spaces at 12 and 22, while aligning

the apices of adjacent teeth.

Fig. 1

Fig. 2a

Fig. 2b

CT SCAN ANALYSIS AND CHOICE OF

IMPLANTS

The CT scan cross sections of 12 and 22

showed a limited bone volume on the

Fig. 3a Fig. 3b Fig. 3c Fig. 3d

Fig. 1: Baseline panoramic x-ray

Figs. 2a–2b: End of orthodontic treatment

Figs. 3a–d: CT scan cross sections showing the small exploitable volume on the vestibulo-palatine plane


USER REPORT

vestibulo-palatine plane which would

not allow standard diameter implants

to be put in place without the use of a

bone augmentation technique; the bone

cortices were nevertheless preserved

(Figs. 3a–d, 4).

Narrow implants (Axiom 2.8 by Anthogyr)

Fig. 4

were used for this restoration. Axiom

2.8 was designed exclusively to replace

mandibular incisors or maxillary lateral

incisors. It is equipped with a 3° Morse

taper-type connection system with

an integrated switching platform. The

special feature of the system is the fact

that the abutment is impacted without a

transfixation screw. The false stumps are

available in several gingival heights and

angulation, which makes it adaptable for

any prosthetic situation.

Fig. 5a

Fig. 5b

Fig. 5c

Fig. 5d

PLACING THE IMPLANTS AND MAKING

THE PROSTHESIS

Placement of the implants in positions

12 and 22 was done during the same

operation: Under local anaesthesia,

two 2.8x10 implants were placed in a

subcrestal position of 0.5mm (Figs. 5a–d).

Very slight sub-drilling enabled bone

condensation of the specific sites. The

correct three-dimensional positioning of

the implant was vital for the final aesthetic

result. The delay period was managed by

the use of temporary crowns stuck to the

orthodontic archwire, left in place for the

three months of osteointegration in order

to ensure post-orthodontic fixation of the

teeth.

Three months post-surgery, the

patient’s brackets were removed by the

orthodontist and the temporary crowns

made directly on Peek (polyether-etherketone)

healing caps (Fig. 7). The basal

surface of the temporary crowns was

carefully polished.

Fig. 6

Fig. 7

Fig. 8a

Fig. 8b

Fig. 9 Fig. 10

Fig. 4: 3D reconstruction of the CT scan cross sections of the premaxillary zone. The high concavity of the

vestibular cortical plates can be noted in 12 and 22

Figs. 5a–d: Pre- and post-surgery x-rays of sites 12 and 22

Fig. 6: The impressions were made by Pop-in technique

Fig. 7: The temporary crowns were made on Peek healing caps

Figs. 8a–b: Master model with abutments

Fig. 9: Ceramic and metal crowns on the master model

Fig. 10: The crowns were sealed outside the mouth and the unit was impacted with the Safe Lock system

After a period of two months of gingival

maturation which was put to good use by

carrying out dental bleaching in an outpatient

setting, the prosthetic phase could

begin. The implant impressions were made

with the Pop-in technique (Fig. 6), with

an individual impression tray made in the

laboratory. The choice of the best adapted

abutment by means of the planning kit by

the laboratory was a vital step. In fact, the

abutment tooth could only be very slightly

retouched or not retouched at all. Having

four gingival heights and four angulations

enabled us to adapt to any clinical

situation.

The laboratory made the ceramic and

metal crowns (Figs. 8a–b, 9). The dentures


USER REPORT

were verified in the mouth and then the

ceramic crown was sealed outside of the

mouth on the abutment with Fuji plus

cement (Figs. 10-13b). This allowed for

perfect control of excess cement and to

guard against any risk of “cementitis”.

The abutment and crown system was

impacted with the Safe Lock system,

mounted on the chair unit. The Safe

Lock system made it possible to secure

the impaction. The recommended five

impacts were applied and the prosthetic

restorations set permanently (Figs. 10 to

13b). The good aesthetic result is related

to the symmetry of the emergence

profiles; the narrow diameter of the

implant was perfectly adapted to this

clinical situation.

Fig. 11

Fig. 12

CLINICAL CASE 2: LIMITED

MESIODISTAL SPACE AND CLOSENESS

OF THE APICES OF THE ADJACENT

TEETH

A 20-year-old man presented a unilateral

agenesis at 12. This patient had just

finished his orthodontic treatment.

His brackets had been removed a few

months before. He presented with a

removable partial denture while waiting

for the placement of an implant. The

retroalveolar x-ray exams and CT scan

cross sections showed an extremely small

mesiodistal space, especially at the level

of the apices of the adjacent teeth (Figs.

14–16).

The treatment of this small space required

increased precision during the surgical

phase. The insertion axis was visualised

on the 3D reconstruction of the CT scan

cross sections using Simplant software;

peroperative retroalveolar x-rays were

carried out at each drilling sequence.

The treatment of this very small

mesiodistal space was only made possible

by the use of an implant, 2.8mm in

diameter (Axiom 2.8 by Anthogyr), without

which it would have been necessary to

resume orthodontic treatment in order

to align the apices of the adjacent teeth,

which this young patient did not want

(Figs. 17-18).

Fig. 13a

Fig. 13b

Fig. 13b

Fig. 14

Fig. 17 Fig. 18

Fig. 15

Fig. 16

Fig. 11: Safe Lock impactor and the

different caps

Fig. 12: Diagram showing the

number of impacts required

for permanent insertion of the

prosthetic parts

Figs. 13a–b: Standard crowns in

positions 12 and 22 in the mouth

Figs. 14–16: The retroalveolar x-rays

and 3D reconstructions

showed significant closeness of the

apices of the adjacent teeth to the

agenesis in 12

Figs. 17–18: 2.8 implant right false

stump


USER REPORT

CLINICAL CASES 3 AND 4: SMALL

ANTERO-POSTERIOR VOLUME

Clinical case 3

A 25-year-old woman at the end of

orthodontic treatment presented with an

agenesis of 22. The smile line was mediumhigh,

associated with right-left asymmetry

of the positioning of the anterior teeth in

relation to a midsaggital plane. The analysis

of the CT scan cross sections showed a small

bone volume on the vestibulo-palatine plane

(Figs. 19-20).

Fig. 19

Fig. 20

Fig. 21a

A narrow 2.8x12 implant was put in place

(Fig. 21a). The orthodontic archwire served as

fixation during the osteointegration phase of

the implant and were removed three months

postoperatively. A temporary crown was made

on a Peek healing cap in order to manage

the peri-implant soft tissues. The permanent

crown would be made four months after

surgery (Fig. 21b).

Clinical case 4

A 59–year–old patient presented with

edentulousness at 31, compensated for

years by a glued metal brace. After frequent

detachment of this denture, the patient

wanted a fixed denture. The periodontal

condition of the surrounding teeth was

stabilised; the available bone volume at 31 on

the vestibulo-lingual plane was small. There

were two surgical options: to either expand

the bone and place a standard implant, or use

a narrow implant. A 2.8x10 implant was put in

place. After a healing period of three months,

the standard ceramic and metal denture were

made (Figs. 22–24).

DISCUSSION

The 2.8 Axiom implant made it possible

to restore units in the incisor area using

implant-supported dentures in cases where

there was a small mesiodistal space. Having

narrow implants available relieved us of

having to use bone augmentation techniques

by guided bone regeneration or onlay graft;

techniques that can be restrictive for patients

and are not always accepted.

Small space, the closeness of the apices

of adjacent teeth and small bone volume

present real surgical difficulties in the ideal

Fig. 21b

positioning of implants. We believe it is

important to have machined abutment

teeth that integrate the concept of

“platform shifting”, including on implants

with a small diameter. The important

choice of abutment, machined in terms of

gingival height and angulation, makes it

possible to adapt to any clinical situation.

CONCLUSION

Although we do not have the clinical

retrospection to give our opinion on the

strength and long-term durability of

implants with small diameters at this point,

the average success rate of these narrow

implants is comparable to standard

implants. The use of narrow implants

in the management of single anterior

edentulousness, especially for the

replacement of mandibular incisors and

maxillary lateral incisors, constitutes an

important option that makes it possible to

simplify the surgical approach by sparing

patients from more invasive techniques and

by “securing” the surgical act in relation to

the roots of adjacent teeth.

Many thanks to Laurent Bougette,

Laboratoire Creadent in Grabels, and Dr

Frédéric Chalas in Montélimar for the

orthodontic treatment of the first clinical

case. DA

Fig. 22

Fig. 23

ABOUT THE AUTHOR

Fig. 24

Figs. 19–20: Implant plan and end of orthodontic

treatment

Fig. 21a: 2.8x12 implant

Fig. 21b: Appearance 18 months after placement

of the denture and after gingival maturation.

Reforming of the papillae can be noted

Figs. 22–23: Implant plan: 2.8x10 implant

Fig. 24: Ceramic and metal, the day of the

placement

Dr Richard Marcelat holds a university

diploma in oral implantology (Corte) and

basal implantology (Nice). He received

his implantology studies certificate from

CURAIO Lyon, and currently serves as a

member of ICOI. different caps.


USER REPORT

Light management with Zolid HT+

A smart choice of framework material for full-colour control.

By Joachim Maier, MDT

Dental technicians have waited long for

high translucent zirconias like Zolid FX.

The natural light transmission enables us

to reproduce natural aesthetics with a low

thickness of ceramics. A prerequisite, however,

is the appropriate shade of the tooth stump

substrate, one which has no negative influence

on the shade result of the final restoration.

Fig. 1 Fig. 2

A young female patient was troubled by the

discolouration of the devitalised tooth 11 and

the inwardly inclined position of the two

central incisors. The discoloured composite

abutments on both teeth further intensified

the patient’s desire to optimise her visual

appearance (Figs. 2-3). Together with the

patient, the dentist and I decided on crowning

teeth 11 and 21 and reconstruction with

all-ceramic crowns.

Fig. 1

Fig. 3 Fig. 4

MASKING THE DARK TOOTH STUMP

Due to the darker tooth stump 11, the

dentist and I decided against the super

high translucent Zolid FX in favour of the

slightly less translucent Zolid HT+ (Fig.4).

The frame material was to reduce the

influence of the dark stump at a wall thickness

of approximately 0.5mm, such that the

subsequent veneer layer could achieve an

identical brightness value and remain stable

even under different light sources. The

different translucencies are represented in

Figure 6b.

The frame is milled in Zolid HT+ White and

adjusted to the desired dentin shade by

applying the liquid staining technique before

sintering. The frame shade selected was about

half a shade lighter than the dentin of the

veneer ceramics. This ensured a finely-dosed

and sufficient light reflection in the depth of

Fig. Fig. 3 5

Fig. 6b

Fig. 6a

Fig. 5

Fig. 1: Restoration of teeth 11 and 21 with crowns made of Ceramill HT+ and Creation CT

Fig. 2: Initial situation with insufficient composite abutments and discoloured tooth 11

Fig. 3: The patient wished to have a prosthetic correction of the retruded middle incisors

Fig. 4: Dissimilar shade basis: the darker tooth 11 is devitalised and must be masked with a more

opaque frame material

Fig. 5: Natural, simple characterisation with Creation CT as full veneer

Fig. 6a: Ceramill HT+ with its reduced translucency is very suitable for masking the slightly

discoloured residual stump of tooth 11

Fig. 6b: Comparison of translucency, from left to right: ZI, Zolid HT+ and Zolid FX


USER REPORT

Fig. 7

Fig. 8

Fig. 9

Fig. 10

Fig. 11

Fig. 12

The patient opted for the second variant

as she preferred the larger teeth. The

selected pair of crowns were inserted and

presented at the final photoshoot in

Figure 13.

Fig. 13 Fig. 14

Figs. 7-9: Variant 1: Crowns 11 and 21 appear unobtrusive due to the same brightness value. The lower

translucency of Zolid HT+ successfully masked the devitalised, discoloured residual stump at 19

Figs. 10-12: Variant 2: the line angles are positioned more to the outside to allow them to appear larger

Figs. 13-14: The patient chose Variant 2 with the larger looking crowns

the tooth structure without unwanted greying

at low light. The aim was to create vibrantlooking

teeth with natural translucency, true

colour depth and a reliable brightness value.

Intact canine guidance and diagnosed normal

loading of the teeth allowed both labial and

complete veneer of the growns. To do this, we

used Creation CT.

VARIATIONS IN SHAPE

The dentist and I produced two different pairs

of crowns. Varying the tooth width of the two

crown sets by positioning the mesial and distal

lines differently, the character of the teeth was

changed.

Both variants were tried at two different

appointments, and both sets match the

patient’s face. After some minor changes,

both pairs of crowns are completed. The

choice of crown variation was decided by

the patient. Figures 7-9 show the visually

narrower variant, which fitted discreetly,

inconspicuously and thus very credibly

into the dental arch – this was my personal

favourite.

The image sequence in Figures 10-12 shows

the second variant. These teeth appear

bolder, larger and more rounded.

A MATTER OF TASTE

At my courses and lectures, I presented both

restoration variants to the expert audience

and had them decide which execution they

liked best. The majority voted in favour of

the first variant (Figs. 7-9).

Our goal was to fabricate prosthetics that

pleased all parties involved. In this case,

the patient was satisfied with the results

of the crowning, making the restoration

successful. We would also like to take

this opportunity to thank Dr Julia Lorenz

for the documentation, which made a

significant contribution to the successful

result. DA

ABOUT THE AUTHOR

Joachim Maier is

regarded as one of

the first adopters

of zirconia, having

devoted the past 20

years to metal-free

dental technology.

Since 2003, Joachim Maier has been a

member of the Oral Design Foundation

headed by Willi Geller. He also founded

an independent high-tech laboratory in

Überlingen, where he provides innovative

technologies and materials to patients.


BEHIND THE SCENES

Validating 3D-printed direct bonded

orthodontic appliances: Planning,

bonding, and the first five months of treatment

This case study documents a phased hybrid orthodontic treatment plan,

regulatory approval for this application is currently valid only in the US.

Subsequent papers will document the transition from fixed appliances to

clear aligners and the advantages of 3D printing in modern orthodontics.

By Dr Tom Shannon

INTRODUCTION

Advances in digital case planning, design,

and 3D printing continue to transform

orthodontic practice. In 2020, Braces

On Demand introduced a 510(K)-cleared

platform for clinicians to design, order,

and even fabricate their brackets and

other direct bonded appliances in-office.

Using advanced biocompatible materials

and 3D printing, they introduced a

solution for on-demand manufacturing of

orthodontic appliances.

Fig. 1a

To see these advanced concepts in action,

a clinical case was carried out. The focus

consists of a phased orthodontic hybrid

treatment:

• Phase I - Fixed orthodontic treatment

via 3D-printed brackets designed and

ordered through the Braces On Demand

platform and printed with the Form 3B

and Denture Teeth Resin.

• Phase II - Clear aligner treatment

produced by thermoformed sheets upon

3D-printed models that were fabricated

with the Form 3B and Draft Resin. A

final retainer will be produced at the

end of the treatment via this technique

as well.

HISTORY AND CLINICAL EXAMINATION

A healthy 12-year-old female patient

presented for a consultation with the

Two months of upper orthodontic alignment with Braces On Demand appliances

chief complaint: “Please align my

TREATMENT PLAN

crooked top right tooth and also fix my A phased hybrid orthodontic treatment

overbite.”

plan was chosen, utilising fixed appliances,

followed by clear aligner treatment. This

The patient presented with a missing paper describes the first phase of the

LR2, buccally impacted UR3, canted

treatment with fixed appliances that were

maxilla, and moderate upper and mild fabricated in-office with 3D printing.

lower crowding. She also has an excessive

curve of Spee and a curve of Wilson.

The bracket system chosen was the Braces

This patient also had no nasal breathing On Demand’s aesthetic twin, Shade B1. This

or sleep concerns. Patient and parent bracket matched the shade of this patient’s

consent was obtained before starting and teeth and will maximise the initial rotational

for case presentation purposes.

and levelling benefits of bonded braces.


BEHIND THE SCENES

Since these braces were fabricated in-office

at a much lower price point than traditional

aesthetic brackets, this will also enable a

cost-effective transition to in-office clear

aligners. Clear aligners will then facilitate

additional expansion movements, molar

uprighting, and occlusion detail. Since this

patient was missing a lower incisor, utilising

3D orthodontic simulation software will

idealise the position of the lower arch with

the missing lower incisor.

After logging into the Braces On Demand

platform and ordering the desired bracket

prescription, a 3D file is sent directly to

Form 3B via the Remote Print feature. If

the printer already has a resin tank, build

platform and the correct Denture Resin

cartridge inserted, the print job will start

automatically once the upload is received.

After printing is completed, the build

platform containing the printed brackets

is removed from the printer and, using a

squeeze bottle filled with isopropyl alcohol,

the parts are lightly rinsed to remove excess

resin. A paper towel can also be used to

remove any additional resin released from

the printed appliances.

The newly rinsed build platform is then

placed into the Form Wash post-processing

unit for 10 minutes, where it is gently

agitated in an alcohol bath. After the Form

Wash, the parts are dried using compressed

air to remove residual alcohol from the

surface.

Fabrication of fixed appliances prior to same-day start

The printed appliances are then removed

from the build platform and allowed to

air-dry for 20 minutes. The dried appliances

are then post-cured in the Form Cure at

80°C for 30 minutes, while submerged in a

glycerine bath.

Build platform

Form Wash and Form Cure

Once the post-curing process is completed,

the appliances are removed from the

glycerine bath and rinsed with water.

Once thoroughly rinsed with water, the

appliances are left to dry until they are

ready to be removed from their supports

and organised into bonding cards for future

use.


BEHIND THE SCENES

FIRST APPOINTMENT: INITIAL BONDING

OF UPPER FIXED APPLIANCES

Following the initial consultation and

development of the phased hybrid

treatment plan, the patient had upper

fixed appliances bonded on the same day.

The initial bonding appointment took

approximately 60 minutes.

The patient was bonded with Reliance

Etchant (85% phosphoric acid), Reliance

Assure bonding agent, and American no

drift resin on the same day with aesthetic

Braces On Demand braces. Since the

bonding pad utilised micromechanical

retention, there was no need to prepare

the bonding pad of the Braces On Demand

brackets. An upper 014 NiTi wire was

placed after the brackets were bonded and

ligated with O-Ties.

Same day start with upper Braces On Demand appliances

SECOND APPOINTMENT: TWO MONTHS

OF PROGRESS

After two months of treatment progress,

this patient returned for her follow-up

appointment.

The patient reported excitement about the

progress on her UR3 and was extremely

happy with how quickly her teeth had

started to align. Since the overall bracket

characteristics and sliding mechanics of

each bracket were comparable to other

aesthetic brackets on the market, there

were no discernable differences in the

levelling and aligning process. An upper

16x16 NiTi was placed at this appointment.

Two months of upper orthodontic alignment with Braces On Demand appliances

This patient did not report any discomfort

or aesthetic concerns with the upper

3D-printed braces. Moreover, she was

surprised by the efficiency of the teeth

movement produced. When given the

choice, she decided to have 3D-printed

brackets bonded to her lower teeth as

well, which was done at the following

appointment.

THIRD APPOINTMENT: THREE MONTHS

OF PROGRESS AND BONDING OF LOWER

APPLIANCES

At the three month appointment, the lower

arch was bonded with Braces On Demand

Intraoral photo of three months of upper progress and lower Braces On Demand appliances

(along with O-ties)

braces at the patient’s previous request.

The upper 16x16 NiTi wire was re-tied to

continue the alignment of the upper arch

and a lower 014 NiTi wire was placed to

start initial alignment. The included clinical

photos show very significant changes from

the initial same-day start to the threemonth

point. The patient is motivated

with the treatment plan and advances seen

compared to the initial situation.

FOURTH APPOINTMENT: FIVE MONTHS

OF PROGRESS AND ADDING A REVERSE

CURVE LOWER ARCHWIRE

After five months of treatment, the upper

16x16 NiTi wire continued to align the


BEHIND THE SCENES

In other words, a motivated patient is a

successful patient.

Three months of progress with Braces On Demand appliances

Second, because 3D-printed resin brackets

do not provide the same amount of

enamel fracture risk and wear as porcelain

brackets, the clinician has more flexibility

to place 3D-printed aesthetic braces,

especially on the lower arch. This is

anticipated to have a positive impact on the

debonding process as well. Debonding

3D-printed braces is much less likely

to cause enamel fracture compared to

debonding porcelain brackets, making it

safer for the patient’s enamel.

Intraoral photo after five months of progress

upper arch and the lower 014 has provided

initial de-rotation of the lower arch. At this

point, a lower reverse curve 16x16 NiTi was

inserted to level the lower curve of Spee.

This lower levelling will then be evaluated

in eight to 10 weeks.

until she is ready to transition to clear

aligners. As it can be seen in the clinical

pictures above, the initial difficult rotation

and levelling challenges have been

completed on the upper arch and the lower

teeth will be completed soon.

Lastly, and most importantly, the efficacy

and affordability of 3D-printed brackets

made it possible to undertake a hybrid

treatment in the first place. Since the

braces were printed in-office, there was

no cost concern about making changes

mid-treatment, such as bonding additional

braces or transitioning to aligners. As

a result, the patient experience can be

adjusted “on the fly”, which provides a

competitive advantage in the modern

orthodontic landscape. For doctors, as well

as for patients and parents, this results in

less stress because both sides have more

control over the orthodontic journey. DA

CLINICAL CONSIDERATIONS WITH

AESTHETIC BRACKETS

From a clinical perspective, bonding the

lower arch with aesthetic brackets can be

a complex consideration for orthodontists.

Since the primary material for aesthetic

brackets is porcelain, orthodontists must

take great care to protect the opposite

arch against excessive occlusal wear.

In contrast, 3D-printed resin brackets

have less risk of enamel fracture and

wear than porcelain brackets, given the

material composition and properties.

The 3D-printed resin will perform safely

against normal forces of occlusion and do

not necessitate bite turbos to protect the

upper arch from enamel fracture.

The patient will continue to be treated

with upper and lower fixed appliances

The transition from fixed appliances to

clear aligners, including debonding the

3D-printed brackets, will be covered in a

future paper.

CONCLUSION

Using 3D-printed brackets made the first

five months of this case unusual in several

ways.

First, 3D printing had a positive impact

on patient interest and engagement. In

this case the patient was motivated by the

innovative approach and the excitement

of using the latest technology, even to the

point of requesting 3D-printed brackets for

the treatment of the lower arch. Patients

who show a genuine interest in the details

and technology of their treatment plan

take more ownership of the process.

ABOUT THE AUTHOR

Dr Tom Shannon

is a board certified

orthodontist and

graduate of the

University of Michigan

(DDS), the University of

North Carolina (AEGD),

as well the University

of Tennessee (MDS, Orthodontics). As a

leader in orthodontic simulation design,

Dr Shannon has been at the forefront of

in-office aligner production, 3D-printed fixed

appliances, and hybrid treatment options.

Currently in private practice in Southwest

Michigan, Dr Shannon is also a co-founder

of Braces On Demand and holds multiple

patents in the 3D printing space.


BEHIND THE SCENES

Helping dental

professionals find their

ideal software package

exocad’s new online tool, the CAD

Configurator, can help dentists and dental

technicians assemble the right exocad

software package to meet the specific

needs of their practices or labs. Inka

Müller, product manager at exocad,

explains how the CAD Configurator

works.


BEHIND THE SCENES

Fig. 1 Fig. 2

Fig. 3

Fig. 4

Figs. 1 to 4: With CAD Configurator, dentists and dental technicians can receive an individualised exocad software solution recommendation in three steps:

country selection, place of use, and planned indication, with the option to select useful add-on modules


BEHIND THE SCENES

What is the idea behind exocad's CAD

Configurator?

Inka Müller: We developed CAD

Configurator to help dental professionals

compile an individualised software

solution from our product offering. exocad’s

DentalCAD and ChairsideCAD provide

dental professionals with the necessary

tools to handle a multitude of indications.

To customise the software solutions for

each practice or laboratory’s specific needs,

exocad offers supplementary modules that

augment the basic versions of DentalCAD

and ChairsideCAD. Dental professionals can

use CAD Configurator to specify their needs

and receive a customised recommendation

with the software products that best

meet those needs. Our global distribution

partners also use CAD Configurator when

advising their customers.

Fig. 5

How do users get their software solution

recommendations?

Müller: First, users select their country.

Second, they select the setting in which the

software will be used, such as chairside,

practice laboratory or laboratory. And third,

they define which indications they want

to handle with the software. Individual

software recommendations and license

models are then sent directly to the

user via email.

How easy is it to purchase the software

after receiving the recommendation?

Müller: The software recommendation

includes the names and contact information

of exocad resellers active in the customer’s

region. We want to make it as easy as

possible for dental professionals to

contact the reseller of their choice.

Fig. 6

Figs. 5 and 6: The recommendation is sent by email within a few minutes and includes a

list of sales partners with their contact details

Is the online tool available worldwide?

Müller: Yes, CAD Configurator recommends

software packages based on countryspecific

availability and is accessible to

interested dental professionals globally.

Where can users try out CAD

Configurator?

Müller: If users want to try out our CAD

Configurator, head over to the exocad

website, exocad.com/cadconfigurator. DA

Our online CAD Configurator asks dental

professionals about their needs and then

creates a customised software product

recommendation.”

Inka Müller,

Product Manager, exocad


IN DEPTH WITH

3D filament printing with Renfert’s

SIMPLEX all-in-one system

Renfert offers a dental-specific solution for efficient, eco-friendly 3D model

printing, designed for both digital novices and professionals.

Whether it be for planning, working or aligner

models, modern fused deposition modelling

(FDM) and fused filament fabrication (FFF)

technology have been more widely adopted

for producing models in orthodontics. With

SIMPLEX, Renfert has brought a filament

printer system to the market that is designed

for dental practitioners and beginners.

The system consists of a modified filament

printer, dental-specific slicer software with

parameters that are already stored, and

resource-saving filaments — for simplicity,

reliability and environmental friendliness

in the additive printing process. With the

coordinated components and the Plug ‘n’ Print

process, SIMPLEX allows users to get started

with digital model production.

The SIMPLEX 3D filament printer system

was developed especially for dental-specific

requirements. With the complete package

of 3D filament printer, dental-specific slicer

software and special filaments, the entire

spectrum of orthodontic model fabrication

can be handled in a controlled way. The

feature is the pre-installed pre-sets for

various models.

Once the print bed has been loaded virtually,

the user can carry out 3D filament printing of

diagnostic, working, or aligner models using

Plug ‘n’ Print; the optimised slicer software

selects the appropriate parameters. The result

is a controlled manufacturing process and

detailed print results.

With a dimensional accuracy of more than

50µm, which can be achieved by the updatecapable

filament printer and the “filament

monitoring system”, the user can receive a

Orthodontic model production with Plug ‘n’ Print and special filaments

precise, reproducible result. The low-noise bio-filament with a high level of

production process, the intuitive touchscreen detail reproduction, made for accurate

navigation and the closed building chamber fitting working models.

with a lockable door and removable cover • SIMPLEX aligner model is a white special

with an integrated fan also make the unit

filament. It is temperature-resistant and

a convenient and safe companion for daily

dimensionally stable and therefore ideally

model production in the field of orthodontics. suited for aligner production.

• SIMPLEX multi-use model is a special

The colourfast and UV-resistant materials are white filament with a high hard gypsum

manufactured in Germany and designed for content for a natural surface effect. It

four defined areas of application. They are

can be optimally worked with rotary

not only free of irritant substances but can

instruments or a scalpel.

also be used directly after printing, requiring

no chemical post-processing, cleaning, or In a nutshell, Renfert’s SIMPLEX is a

light polymerisation. At the same time, the dental-specific all-in-one 3D filament printer

four special filaments with their high layer system with Plug ‘n’ Print and specified

and print bed adhesion, as well as constant filaments on the market. It is a solution for

dimensional accuracy, have mechanical and producing precise planning, working and

physical printing properties:

aligner models for print-savvy users in the

• SIMPLEX study model is a white

orthodontic sector, but also for those who

bio-filament with a high level of detail consider themselves novices in the digital

reproduction that is free of irritant

world — designed for fewer application steps

chemicals. It is suitable for producing and chemicals and more process reliability

planning and diagnostic models.

and sustainability in the field of orthodontic

• SIMPLEX working model is a viridian green model production. DA


IN DEPTH WITH

Renew smile and confidence

with Anthogyr Mini Implant System

Anthogyr Mini Implant System offers a one-piece, small-diameter implant,

combined with an integrated Optiloc prosthetic connection, dedicated to

removable overdenture stabilisation.

The Mini Implant System from

Anthogyr is designed for patients

with totally edentulous mandible and

maxilla presenting severe reduced

horizontal bone availability. It offers

minimally invasive treatment and

delivers reliability, performance and

patient comfort.

The one-piece Ø2.6mm Mini Implant

for minimally invasive treatment

features a tissue-favoured design

for soft tissue volume optimisation.

The cylindrical-conical shape and

self-tapping thread ensure stability,

potentially allowing immediate loading

if a minimum of 35N/cm torque is

reached, thus resulting in a shorter

treatment time.

The Mini Implant System supports

implant divergence compensation up

to 40º between two implants. This

freedom of movement of the matrix

system allows operators to provide

advanced patient comfort. It is packed

with six retention levels from extralight

to ultra-strong retention force;

three matrix versions in standard,

elliptic and with attachment titanium

matrices; and three mini-implant

lengths in 10, 12 or 14mm.

The Mini Implant System is further

integrated with the Optiloc

prosthetic connection that provides

space optimisation with a compact

and slim connection. Long-lasting

wear resistance and performance

are also assured due to the contact

of the diamond-like carbon (DLC)

carbon-based coating to the Optiloc

connection with the retention insert

PEEK material. The system also offers

medical-grade V Titanium and biphasic

calcium phosphate (BCP) treatment

for optimal mechanical resistance and

performance and biocompatibility and

osseointegration properties.

With Anthogyr’s Mini Implant System,

practitioners will be able to develop

their practice through larger coverage

of indications for edentulous patients

and increased patient acceptance for

implant treatment by minimising bone

regeneration. DA


Torq Control®

IN DEPTH WITH

Universal Torque

Wrench

Torq Control® is the Anthogyr universal

torque wrench offering the guarantee of

tightening precision, whatever the type

of implant connection or the difficulties of

access.

Precise tightening is a key factor to secure

implant treatment success. Torq Control®

has been specially designed by Anthogyr

to meet these requirements for all

prosthetic manipulations, in all safety

thanks to automatic declutching.

A must-have, especially for full-arch

restorations.


IN DEPTH WITH

Neo edition of CS 8200 3D family

makes CBCT more intuitive

Carestream Dental has introduced more

dentists to CBCT imaging — and giving

current CS 8200 3D users more options

— by launching the Neo Edition of the

CS 8200 3D Family. The Neo Edition

is an evolution of the CS 8200 3D, and

the optional Scan Ceph module that

improves ease of use contributes to a

better clinical experience, and leads to

more successful outcomes for patients.

“The benefits CBCT can bring to

diagnosis and treatment are well

recognised, but barriers like perceived

cost, concerns around the potential

learning curve and even lack of

education from manufacturers keep

doctors from taking that next step,”

Stéphane Varlet, product line manager

of Carestream Dental, said. “The Neo

Edition of the CS 8200 3D Family makes

our most popular 3D systems even more

user friendly with features and benefits

designed with new CBCT users in mind.

Plus, practitioners already using the CS

8200 3D can easily upgrade to the Neo

Edition to take advantage of all the new

features.”

The Neo Edition includes 2D panoramic

imaging, CBCT imaging, 3D object

scanning and optional cephalometric

imaging. Up to nine selectable fields

of view (FOV), from 4x4cm to 12x10cm,

cover both daily clinical applications

and more advanced treatments. For

a full picture, and to reduce dose for

full arch scans on smaller patients, the

Neo Edition features additional FOV

including 10x5cm and 10x10cm. For

endodontists focusing on the smallest

details of root and canal morphology, the

EndoHD mode delivers high-resolution

scans (75µm); the system can also

capture full arch images at the highest

resolution for endodontic scans, making

it ideal for cases involving multiple

quadrants and teeth.

The new 5x8cm FOV of the CS 8200

3D also enables doctors to capture

opposing teeth to better manage

occlusion for implant cases. Optional

add-on software and modules like

prosthetic-driven implant planning

and Swissmeda, integrate with the CS

Imaging software suite to help doctors

create more comprehensive implant

treatment plans, or design and order

surgical guides.

To facilitate proper patient positioning,

a low-dose scout image lets users

control the imaging area prior the

examination to reduce the need for

retakes. Follow-up exams are also

faster and easier to compare over time

since the unit memorises the scanning

parameters used for each. Plus, the

system’s new user interface makes it

easier, faster and more intuitive to

set up the unit for exams — meaning

fewer clicks and more confidence.

Since panoramic image remains the

foundation of most treatment plans,

the system comes with a new low dose

panoramic programme, reducing dose

to 50% without compromising image

quality.

Once CBCT is adopted into their

practice, doctors will want to ensure

they are gaining the most from their

investment. The optional CS UpStream,

a 24/7 advanced equipment monitoring

service, leads to faster, more responsive

service while reducing equipment downtime

through automated diagnostic feedback to

Carestream Dental. CS UpStream is available

as an add-on to the CS Advantage program.

The Neo Edition of the CS 8200 3D Family

follows the same compact footprint of the CS

8100 3D, recognised for its slim profile,

user-friendly features, and ease of

installation. DA


IN DEPTH WITH

Ceramill Motion 2 upgraded

with new features

On the 10th anniversary of the Ceramill Motion 2 five-axis milling unit

by Amann Girrbach, an update was introduced with the new Mark IV

generation of machines together with a new package: the DRY Package

for dry milling.

Designed as a milling machine that

can be deployed for both dry and

wet fabrication, the Ceramill Motion

2 has shifted the value-creation

chain back to the laboratories since

its introduction a decade ago. The

machine has since then clocked over

10 million operating hours worldwide,

and its success was confirmed

by customer testimonials, such

as that of Benjamin Votteler from

Dentaltechnik Votteler, who said: “My

Ceramill Motion 5x DNA works just

like me: precise, fast, aesthetic and

versatile.”

To mark the 10th anniversary, a machine

update has been implemented and

the Ceramill Motion 2 DRY has been

upgraded with milling strategies and a

new, open C-Clamp blank holder.

Nikolaus Johannson, head of the global

business unit lab CAD/CAM at Amann

Girrbach, elaborated: “The Ceramill

Motion 2 DRY continues to represent the

benchmark in terms of fabrication quality.

The update enables laboratories to work

even more efficiently, accurately and

faster. Above all, the package impresses

with its price-performance ratio.”

The Ceramill Motion 2 DRY can be

upgraded with a wet processing

module. Additionally, it is equipped

with DNA grinding and milling

strategies, a C-Clamp sculpturing

technology and an intelligent

machine concept with a highfrequency

spindle.

In addition to the DRY package,

two further anniversary packages —

Hybrid and Capacity — are available.

The former allows both wet and dry

processing, while the latter consists

of two milling units. DA


PRODUCT HIGHLIGHTS

Align Technology

Align Technology integrates CBCT

into ClinCheck treatment planning

software

Align Technology has announced the new cone beam computed

tomography (CBCT) integration feature for ClinCheck digital

treatment planning software, a tool that combines roots, bone, and

crowns into a single 3D model that enables clinicians to visualise a

patient’s roots as part of the digital treatment planning process.

MINIMALLY

INVASIVE?

NO PROBLEM!

The CBCT integration feature will help dentists expand diagnosis

and treat a broader range of cases with Invisalign clear aligners by

increasing visibility and control of a patient’s underlying anatomical

structures during the digital treatment planning process.

“The integration of CBCT scan data into digital treatment planning

gives doctors the control and confidence to leverage their expertise

and expand treatment to all types of malocclusions, including

ortho-restorative cases with implant site preparation, deciding

upon different treatment planning options, as well as teen cases to

navigate impacted or unerupted teeth,” said Graham Gardner, an

orthodontist inRichmond, Virginia, US.

Raj Pudipeddi, chief product and marketing officer, executive

vice-president and managing director, Asia-Pacific, Align Technology,

added: “Align is proud to be at the forefront of digital orthodontics

and dentistry, building an integrated platform of digital products and

services that provide a seamless solution for doctors to efficiently

and effectively treat their patients and build their practices.”

The new solution features an easy-to-use interface; CBCT scan data

is digitally fused with an intraoral scan resulting into a manoeuvrable

3D ClinCheck treatment plan model, making it convenient for

doctors to tailor their treatment plans based on their patients’ needs.

It is designed to deliver a high-quality, automated feature that is easy

for doctors to use and incorporate into their digital workflow.

“Using CBCT scan data integrated into the ClinCheck plan now allows

me to see crown, roots, and underlying bone structure from different

angles,” said Alain Souchet, an orthodontist in Mulhouse, France. “I

can now visually see and take into account the location of impacted

teeth, unerupted teeth for my teen patients, and root position of

teeth for all my cases. Treatment planning is significantly easier now

because I can leverage the power of the ClinCheck software and its

many features, such as 3D controls for roots.”

The CBCT integration feature for ClinCheck treatment planning

software is currently in technical design assessment and will be

scaled in phases across Align’s customer population starting in H2

2022. ■

VITA ENAMIC®

Thanks to high resilience, VITA ENAMIC

enables fabrication of minimally invasive

restorations. Natural tooth structure

can be preserved due to reduced

wall thickness.

Simply scan to discover this and other

interesting clinical cases in detail!

www.vita-zahnfabrik.com/casesENAMIC

VITA – perfect match.

© Dr. Cheng-Han

Li,

T iwan

Ta


3588E_VITA ENAMIC_Dr_Cheng-Han_AZ Dental Asia_95x250.indd 1 15.02.2022 14:14:31

PRODUCT HIGHLIGHTS

Dentsply Sirona

New inLab Software 22.0 solution by Dentsply Sirona streamlines CAD/CAM workflow

Dentsply Sirona has announced the latest

inLab Software 22.0, with its computeraided

design (CAD) and computer-aided

manufacturing (CAM) applications offering

users a harmonised new user interface at a

design and manufacturing level, additional

design options, and extended connectivity

to CEREC Primemill.

The software offers the extension for fullover-natural

dentures, such as single arch

denture, optimises gingiva designs, and

integrates new Digital Genios and Digital

Portrait tooth libraries from Dentsply Sirona

used in milling and 3D print production.

The new software can also now support the

design and manufacturing of a CEREC Guide

3 surgical guide in an improved workflow,

as well as the implant supported restoration

design for DS PrimeTaper implant system.

inLab CAD Software 22.0 users can

integrate CEREC Primemill into the digital

production processes of laboratories and

Support for CEREC Primemill in the inLab CAM

Software 22.0 opens up additional milling and

grinding options in the laboratory

dental practices, benefiting from design and

manufacturing workflow that adjusts to the

machine’s parameters.

Users of other CAD/CAM manufacturing

systems can also integrate CEREC Primemill

via the open inLab CAM Software 22.0,

although Dentsply Sirona warned that such

users will be solely liable for risks with all

associated components when processing

designs based on .stl file format.

“The connection of CEREC Primemill to

the open inLab CAM Software opens up

additional performance potential for me in

the lab, not only with respect to the superfast

milling of zirconia or the extra-fine

grinding of glass-ceramics, but also in terms

of the ability to process restoration data

from other CAD software,” said Jens Richter,

dental technician, Zahntechnik Kerstin

Strassburger in Rochlitz, Germany. “With

the 0.5 milling tools, I achieve very good

surfaces in a short time. I really enjoy using

the Primemill.”

Dentsply Sirona also reported that the

inLab CAM Software is set to become an

integral part of the company’s most recently

announced device Primeprint Solution.

inLab CAD Software 22.0 and inLab CAM

Software 22.0 are available online as full

versions. inLab users and new customers

can reach out to their point of contact in the

regional sales organisations to purchase full

licenses or updates. ■

VOCO

VOCO Grandio blocs integrated with Planmeca PlanMill system

VOCO has announced a material partnership

with Planmeca, integrating VOCO materials

to the Planmeca system, designed to help

service a growing segment of computeraided

design (CAD)/computer-aided

manufacturing (CAM) users.

The company is releasing the fire-free

nano-ceramic hybrid Grandio blocs PlanMill.

VOCO reported that Grandio blocs are high

quality with many other milling systems, and

with its tooth-like properties, aesthetics, and

time-saving attributes.

The nano-ceramic hybrid block minimises

the need for firing, saving time and money

while simplifying optional characterisation

and intraoral repair. The high filler degree of

86% allows for wear resistance and longterm

colour stability.

In addition, its toothlike elasticity and

thermal expansion behaviour enhance

marginal integrity compared to ceramic or

zirconia. The blocs are formulated to offer

precision-milled, thin, tapered edges as low

as 0.8mm for crowns, without concern for

chipping or breakage.

Grandio blocs PlanMill is indicated for

crowns, inlays, onlays, veneers, and

implant-supported crowns. Planmeca’s

latest software update allows PlanMill users to

select the ideal milling strategy for Grandio blocs

PlanMill. ■

VOCO’s Grandio blocks


PRODUCT HIGHLIGHTS

Medit

Medit launches wireless version of i700 intraoral scanner

Built on the success of the i700 intraoral

scanner, Medit has launched the i700

wireless intraoral scanner, a newly-designed

wireless wand with the same speed, accuracy

and lightness.

The i700 Wireless is said to offer a smooth,

quick scanning experience that is powered

by 60GHz wireless technology for a highspeed

connection. All-day scanning is

supported by a single battery offering one

hour of continuous scanning or eight hours

in standby mode.

According to Medit, the camera captures

up to 70 frames per second, collecting more

data with each pass in realistic colour and

crisp images.

The new i700 wireless intraoral scanner

Its updated design features a reversible tip

and wider scanning area, allowing for easy,

comfortable scanning at any angle with

minimal constraints to movement. A remote

control button allows clinicians to check scan

data from the scanner itself and also show

data to patients. The self-disinfecting UV-C

LED keeps the unit clean.

The i700 Wireless runs on MEDIT Link, the

company’s software featuring integration

with other computer-aided design (CAD)/

computer-aided manufacturing (CAM)

providers, as well as Medit’s own applications

for smile design, orthodontic simulation,

crown fit, and other patient communication

tools. ■

HIGH-PERFORMANCE

DYNAMIC INSTRUMENTS

SIMPLIFYING DENTAL MOTION

TeKne Dental srl – Italy

info@teknedental.com www.teknedental.com


PRODUCT HIGHLIGHTS

vhf

Improved working efficiency and new look with vhf’s DENTALCAM

vhf has upgraded to the machining

software, DENTALCAM, allowing users to

get to ideal restorations faster.

According to vhf, a time saving of up to

30% is achieved when milling zirconia

and PMMA with the new DENTALCAM 8.

On top of that, the grinding times on the

R5 and N4+ could also be improved by

up to 30%. Lastly, the working efficiency

is further increased because of quicker

data import, which makes nesting faster.

focused on the particular job. At the

same time, DENTALCAM 8 follows the

same operating logic like DENTALCAM 7,

so the switch to the new version will be

intuitive.

The material database of DENTALCAM 8

automatically updates, so vhf can release

new materials for general usage without

a software update. Users can also now

label their objects individually and

durably with the new engraving function.

The new programme package comes with

a new look and feel while maintaining

an easy-to-use user interface. It has

been optimised for an even quicker user

guidance, and the views are now more

In case of an error message, the user

will benefit from guided troubleshooting

which leads to the corresponding online

help with an interactive guide for error

recovery. ■

DENTALCAM 8 by vhf has a new look and feel

Excelitas

Excelitas Technologies introduces new indoor, upper-air disinfection system

Excelitas Technologies has introduced a

new disinfection system called the Kepri

Upper-Air UVC Disinfection System,

designed to neutralise bacteria, mould,

and other viruses such as COVID-19,

without ozone emissions.

Kepri meets the UL-8802 standard for

minimising UVC energy in the lower

part of the room while assuring safe

operation. It features a triple sensor

safety monitoring system containing a

Tilt Sensor for temperature regulation, a

presence sensor for people detection, and

a motion-activated occupancy sensor and

switch to allow users to select operating

preferences.

“In addition to being one of the smallest

and most aesthetically pleasing devices

on the market, Kepri’s 3 safety sensors

and UL-8802 approval make it one of

the safest upper-air products available

today. We’re proud to introduce a system

featuring solid state lighting technology

and state-of-the-art safety to the UVC

upper-air disinfection market for use in

a variety of indoor spaces.”

Kepri Upper-Air UVC Disinfection System is a

lightweight solution for dental practices looking

to improve indoor air quality

“Upper-level room air disinfection is

a highly effective technology that has

been used in healthcare for over 20

years. We are pleased to apply Excelitas’s

established LED expertise to expand the

technology’s reach, making effective air

disinfection more widely accessible,”

said Mark Gaston, product manager at

Excelitas.

Kepri is said to be easy to incorporate

into a dental practice with it weighing in

at 2.5kg. It also features a relatively easy

to use interface so anyone in the dental

practice can easily configure settings as

needed.

The Kepri is available now for indoor

dental and medical spaces. ■


PRODUCT HIGHLIGHTS

W&H

W&H celebrates 30 years of

maintenance system Assistina 301

→ DISCOVER PERFECTION

IN PROPHYLAXIS -

THE NEW COMBI touch

It takes 35 seconds for the lubrication process to be finished,

leaving a maintained instrument (Image: W&H)

W&H has just celebrated 30 years of Assistina 301, a

maintenance device released in 1992 which provides

care and performs accurate lubrication cycles for the

function and long working life of dental handpieces.

→ ultra-gentle prophylaxis

→ ergonomic handling

→ made in Italy

→ 40 years experience

The air-driven Assistina 301 plus is designed for straight

and contra-angle handpieces, turbines, air motors, and

air-driven scalers. During a maintenance cycle, it cleans

the spray channels with cleaning fluid, lubricates the

gear parts with W&H Service Oil, and finally dries the

instruments with compressed air. According to W&H,

these steps are completed within “35 seconds” at the

touch of a button.

In combination with the W&H thermal washer

disinfectors Teon or Teon +, and one of W&H’s steriliser

models, Assistina 301 plus ensures high hygienic

standards.

Compared to traditional oil spray cans, the automatic oil

dispensing system accounts for a cost reduction of 90%,

as claimed by W&H. This makes automatic instrument

maintenance not only convenient, but also effective in

caring for transmission instruments.

Adaptors to fit other manufacturers’ handpieces are

yet another convenient feature: straight and contraangle

handpieces with ISO connection do not require

adaption at all, and there is a portfolio of adaptors to

ensure compatibility with any other certified system. ■

→ www.mectron.com


SHOW PREVIEW

Supporters: Speaker Sponsors :

Media Partners: Social Media Partners: Show Manager: Official Contractor:

68 DENTAL ASIA MARCH / APRIL 2022

SHOW PREVIEW

The 5th Malaysia International

Dental Show returns with “Dentistry

Advancement and Technologies”

The Malaysia International Dental Show (MIDS) 2022 features international

and local exhibitors, and visitors can look forward to learning and discovering

the latest in dental materials and technologies.

The Malaysia International Dental Show (MIDS)

will be returning in a physical format after two

years due to the pandemic. Jointly organised

by MAHSA University and the Malaysia Dental

Industry Association (MDIA), the fifth edition

of MIDS will be the platform that encourages

cooperation, networking and growth among the

dental community which comprises hygienists,

nurses, assistants, dental technologists,

laboratory owners, governmental dental bodies,

dental schools of universities, suppliers and

their associations from Malaysia and the Asia-

Pacific region.

MIDS 2022 will feature both scientific

conferences and a trade exhibition with the main

objective of enhancing the skills and knowledge

of dentistry among dental professionals and

encouraging collaboration with dental suppliers

in promoting the growth of the industry.

Under the theme “Dentistry Advancement and

Technologies”, MIDS 2022 will feature about

100 booths by international and local exhibitors

showcasing the latest dental materials, products

and technologies. Organisers are expecting

to attract over 1,500 delegates and visitors

comprising private and government dental

professionals, exhibitors, trade visitors and

industry and association leaders from Malaysia

and overseas.

For instance, delegates attending MIDS 2022

will be able to learn from industry speakers and

improve their knowledge of modern dentistry;

network with dentists, dental hygienists, nurses

and assistants, practice managers, dental

technologists and laboratory owners; witness

the latest display of dental technologies and

innovative products in the market; and enjoy

products and services provided by suppliers

during the exhibition.

Labelled as the upcoming dental exhibition and

conference in ASEAN Economic Community

(AEC), the event will be officiated by the guest

of honour, YB Khairy Jamaluddin Abu Bakar,

Minister of Health, Malaysia.

Associate Prof Dr Kacharajy Kranthi Raja, deputy

dean for research, postgraduate and clinical

services, faculty of dentistry of MAHSA University

and organising chairman of MIDS 2022 scientific

conference, commented: “In order to take MIDS

2022 to a higher level, we’ll continue to feature

professional speakers from around the world.”

MIDS 2022 will feature three workshops and 15

lectures presented by 15 international speakers

from India, the Philippines, Thailand and

Malaysia. Some key topics that will be discussed

include facial aesthetics, periodontal therapy in

general dental practice and understanding the

principles and philosophy of clear aligners. Dental

professionals will earn Continuing Professional

Development (CPD) points for participating in the

conferences and workshops.

MIDS 2022 is endorsed by Malaysia External

Trade Development Corporation (MATRADE),

and will be held from 20-22 May 2022 at Sunway

Pyramid Convention Centre (SPCC), Selangor,

Malaysia. DA


GIVING BACK TO SOCIETY

Henry Schein donates PPE items to Legion of Goodwill in Brazil

Henry Schein, in partnership with the Legion

of Goodwill — Brazil, a non-profit organisation

that provides educational and social

assistance programmes for economically

disadvantaged communities, announced

a donation of more than 400,000 personal

protective equipment (PPE) items to help

mitigate the spread of COVID-19 across Brazil.

Henry Schein’s global distribution and supply

chain network managed the donation working

through Henry Schein Cares, the company’s

global corporate social responsibility

programme.

The donation includes KN95 face masks and

face shields, which were gathered at Henry

Schein’s distribution centre located in Denver,

Pennsylvania, US and transported by sea to

the Port of Santos, São Paulo, Brazil.

From there, the product was sent by ground

to LGW Brazil headquarters, where the

items were distributed by ground and air

across Brazil, reaching more than 165,000

at-risk individuals living in vulnerable

situations.

“Since the start of the COVID-19 pandemic,

Henry Schein Cares has donated more than

10 million PPE items to help mitigate the

spread of the virus,” said Jennifer Kim Field,

vice-president of CSR, Henry Schein. “We’re

thankful to the Legion of Goodwill, and our

non-governmental organisation (NGO) and

supplier partners, for their support in this

most recent effort in Brazil, and we will

remain vigilant, prioritising safety as society

continues to navigate this pandemic.”

Other organisations that assisted in

facilitating this donation of product include:

Anvisa, Associação Educacional Boa

Vontade (AEBV), C.H. Robinson, Dental

Speed, Henry Schein Brazil, and Latam

Airlines.

“We are thankful to Henry Schein Cares for

their generous donation of PPE products

in response to the recent high COVID-19

infection rates in Brazil,” said Silvana Balbo,

vice-president of marketing, Henry Schein

Brazil. “This donation, and the overall

mission of Henry Schein Cares, align

nicely with our commitment to assisting

economically disadvantaged communities

across Brazil.” ■

Planmeca technology brings dental treatments and education to

Papua New Guinea

The lack of infrastructure in Papua New Guinea

makes delivering health care services quite

challenging in a country where 84% of the

population lives in mostly inaccessible rural

areas, often completely without electricity.

Four Planmeca Compact i Classic units on

board a cruise vessel will bring healthcare

services to the country. The ship also includes a

laboratory to test for tuberculosis, malaria and

other diseases as well as an ophthalmology

clinic for eye surgeries. Additionally, a truck

equipped with three new Planmeca Compact

i3 dental units will visit local schools for dental

screenings and education. Educating children

to take care of their teeth early on is essential,

since the country has one of the highest rates

of oral cancer in the world.

The medical vehicles are both initiatives

by the Townsville association of a global

humanitarian movement Youth with a Mission

(YWAM). For the past 11 years, the volunteers

of the association have been operating

medical ships to Papua New Guinea to

reach remote coastal communities and offer

them medical care and training they would

otherwise have no access to.

The truck offers even more opportunities

for providing dental care and education with

a proper infrastructure, including offering

training in dental basic procedures for the

local health workers. Although the country has

a population of about nine million, there are

currently only 62 dentists in the country, so the

support is much needed.

have allowed hundreds of locals the chance for

proper dental care, which they often need. ■

Melissa Kauk, YWAM, and Clive Dodd, Henry

Schein, in the truck with the recently equipped

Planmeca Compact i3 dental unit

Besides bringing medical and dental care and

education to the local population, both vehicles

are also used to offer local dentists the chance

for practical training.

Planmeca’s local distributor in Australia,

Henry Schein, and the Henry Schein Cares

Foundation, donated the dental equipment

for both vehicles. The Planmeca dental units

The truck arrived in Port Moresby in March

2022 and was welcomed by the YWAM team

Images courtesy of YWAM Mercy Ships

70


EVENTS CALENDAR

MAY

6 – 7 Mectron Spring Meeting

Venice, Italy

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, Republic of Korea

Venue: COEX Hall C and Hall D

https://eng.sidex.or.kr/

31 – 2/6 Kazdent Expo 2022

Almaty, Kazakistan

Venue: EC “Atakent”, 11th pavilion

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

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.

AUGUST

11 – 13 Vietnam Medi-Pharm Expo

Ho Chi Minh City, Vietnam

Venue: Saigon Exhibition and Convention Centre

http://hcm.medipharmexpo.com/en

20 – 21 Interdental Indonesia 2022

SEPTEMBER

Jakarta, Indonesia

Venue: Pullman Hotel JakartaCentral Park

https://www.asa-exhibitions.com/interdental

26 – 29 Dental Expo 2022 – The 52nd Moscow

International dental forum and exhibition

OCTOBER

Moscow, Russia

Venue: Crocus Expo, pavillion 2

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

7 – 9 IDEM 2022 - International Dental

Exhibition and Meeting

Singapore

Venue: Sands Expo & Convention Centre,

Marina Bay Sands

https://www.idem-singapore.com/

12 – 14 Central Asia Dental Expo 2022 (CADEX) -

6th International Dental Exhibition

Almaty, Kazakhstan

Venue: ATAKENT Expo 11th Pavilion Timiryazev Str

https://cadex.kz/en/


Advertisers’ Index

COMPANY

PAGE

3Shape A/S 15

Align Technology 19

Amann Girrbach 13

Anthogyr 59

Busch 17

Carestream Dental 61

Coltene 3

Dentsply Sirona 5

exocad GmbH 29

Fotona 7

Mectron 9

Mectron 67

Medical Protection Society 1

MIDS 2022 68

PBM Healing 37

Renfert 21

Shofu Dental Asia-Pacific 11

SIDEX Seoul 2022

Inside Front Cover

Sino-Dental 2022 43

Tekne Dental 65

For information, visit us at www.dentalasia.net or

contact us at sales@pabloasia.com

VITA 63

VOCO

W&H

Outside Back Cover

Inside Back Cover

@dentalasia

Company Registration No: 200001473N

All rights reserved. Views of writers do not necessarily reflect the views of the Publisher. No part of this publication may be reproduced in any form or by any means, without

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

libel, violation of right of privacy and copyright infringements. Dental Asia is a controlled-circulation bi-monthly magazine. It is mailed free-of-charge to readers who meet a set

of criteria. Paid subscription is available to those who do not fit our terms of control. Please refer to subscription form provided in the publication for more details.

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72


VOCO's

product

FLOWABLE AND YET PACKABLE

IonoStar ® Plus

Fast-setting glass ionomer restorative material

• Perfect marginal adaptation and packability in one product,

thanks to a change in viscosity during application

• Fast setting time of only 2 minutes from placement of filling

• The first glass ionomer material with tooth-like fluorescence

• High level of fluoride release

VOCO GmbH · Anton-Flettner-Straße 1-3 · 27472 Cuxhaven · Germany · Tel. +49 4721 719-0 · www.voco.dental

Dental Asia May/June 2022

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