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Dental Asia May/June 2022

For more than two decades, Dental Asia is the premium journal in linking dental innovators and manufacturers to its rightful audience. We devote ourselves in showcasing the latest dental technology and share evidence-based clinical philosophies to serve as an educational platform to dental professionals. Our combined portfolio of print and digital media also allows us to reach a wider market and secure our position as the leading dental media in the Asia Pacific region while facilitating global interactions among our readers.

For more than two decades, Dental Asia is the premium journal in linking dental innovators and manufacturers to its rightful audience. We devote ourselves in showcasing the latest dental technology and share evidence-based clinical philosophies to serve as an educational platform to dental professionals. Our combined portfolio of print and digital media also allows us to reach a wider market and secure our position as the leading dental media in the Asia Pacific region while facilitating global interactions among our readers.

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www.dentalasia.net<br />

MAY / JUNE <strong>2022</strong><br />

Behind the Scenes:<br />

Helping dental professionals find their ideal software package<br />

<strong>Dental</strong> Profile:<br />

The in-and-outs of the dental implant market<br />

User Report:<br />

Minimally invasive and highly aesthetic gap closure with<br />

feldspar ceramic<br />

Photo Courtesy of Renfert


User Report<br />

Join <strong>Dental</strong> Protection<br />

for world-class indemnity<br />

Unfortunately, things can go wrong. So, world-class<br />

protection for you and your career is just one reason to<br />

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throughout your career:<br />

• Support in <strong>Dental</strong> Council investigations and<br />

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• Help in disciplinary proceedings<br />

• Assistance with criminal investigations arising from your<br />

clinical practice<br />

• Help responding to patient complaints<br />

• Dentolegal advice line, available 24/7 in an emergency<br />

• Support for managing unwanted media attention<br />

• Protection for Good Samaritan acts worldwide<br />

• CPD courses and online learning to help prevent<br />

issues arising<br />

Find out more at<br />

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or email<br />

asiaenquiries@medicalprotection.org<br />

<strong>Dental</strong> Protection Limited is registered in England (No. 2374160) and is a wholly owned subsidiary of The Medical<br />

Protection Society Limited (“MPS”) which is registered in England (No. 00036142). Both companies use ‘<strong>Dental</strong><br />

Protection’ as a trading name and have their registered office at Level 19, The Shard, 32 London Bridge Street, London,<br />

SE1 9SG. <strong>Dental</strong> Protection Limited serves and supports the dental members of MPS with access to the full range of<br />

benefits of membership, which are all discretionary, and set out in MPS’s Memorandum and Articles of Association. MPS<br />

is not an insurance company. <strong>Dental</strong> Protection® is a registered trademark of MPS.<br />

2111032695:12/21<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 1


CONTENTS<br />

TRENDS<br />

22 Delivering tomorrow’s dentistry:<br />

National <strong>Dental</strong> Centre Singapore<br />

celebrates 25th anniversary<br />

DENTAL PROFILE<br />

24 The in-and-outs of the dental implant<br />

market<br />

26 Communication and collaboration<br />

drive exocad forward<br />

CLINICAL FEATURE<br />

30 Preventing implant complications<br />

34 PBM Implant: Intraoral<br />

Photobiomodulation Device<br />

USER REPORT<br />

38 Becoming a digital practitioner with<br />

TRIOS scanner<br />

40 Minimally invasive and highly<br />

aesthetic gap closure with feldspar<br />

ceramic<br />

44 Small diameter implants for single<br />

anterior edentulousness<br />

48 Light management with Zolid HT+<br />

BEHIND THE SCENES<br />

50 Validating 3D-printed direct bonded<br />

orthodontic appliances: Planning,<br />

bonding, and the first five months of<br />

treatment<br />

54 Helping dental professionals find<br />

their ideal software package<br />

IN DEPTH WITH<br />

57 3D filament printing with Renfert’s<br />

SIMPLEX all-in-one system<br />

58 Renew smile and confidence with<br />

Anthogyr Mini Implant System<br />

60 Neo edition of CS 8200 3D family<br />

makes CBCT more intuitive<br />

62 Ceramill Motion 2 upgraded with<br />

new features<br />

SHOW PREVIEW<br />

69 The 5th Malaysia International<br />

<strong>Dental</strong> Show returns with “Dentistry<br />

Advancement and Technologies”<br />

REGULARS<br />

4 Editor’s Note<br />

6 <strong>Dental</strong> Updates<br />

63 Product Highlights<br />

70 Giving Back to Society<br />

71 Events Calendar<br />

72 Advertisers’ Index<br />

2<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong>


A small step for dentists,<br />

a great step for dentistry!<br />

PRESIDENT ®<br />

The Original<br />

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

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

well-known A-Silicone brand has now been renewed.<br />

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

in the portfolio to satisfy dentist’s needs.<br />

002525<br />

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


EDITOR’S NOTE<br />

Something<br />

different this way<br />

comes<br />

PABLO SINGAPORE<br />

Publisher<br />

Publications Director<br />

Senior Editor<br />

Assistant Editors<br />

William Pang<br />

williampang@pabloasia.com<br />

Jamie Tan<br />

jamietan@pabloasia.com<br />

Josephine Tan<br />

josephine@pabloasia.com<br />

Agatha Wong<br />

agatha@pabloasia.com<br />

Two years on, COVID-19 has left an indelible<br />

mark on the dental community, compelling<br />

both practice and laboratory to change their<br />

operations. As the world assimilates these<br />

monumental changes, let us take stock of<br />

key moments that will remain vital to the<br />

industry moving forward.<br />

At exocad, collaboration and communication<br />

form the cornerstone of the company’s<br />

strategy and operations, allowing them to<br />

cope even in these difficult times. We spoke<br />

with Christine Amber McClymont, global<br />

head of marketing and communications<br />

for exocad, who attributed the firm’s<br />

success to its leadership and belief in flat<br />

hierarchies, new and creative approaches<br />

and embracement of new ideas (pp. 26).<br />

Meanwhile, photobiomodulation<br />

(PBM) continues to lay new ground for<br />

implantology. In a demonstration with an<br />

intraoral PBM device, Dr Alan Kwong Hing<br />

DDS and Dr Alpdogan Kantarci DDS, PhD,<br />

claimed the technology “results in greater<br />

patient satisfaction with less pain, swelling<br />

and discomfort”, with the device delivering<br />

enhanced productivity for the practice<br />

(pp. 36).<br />

Lastly, Dr Tom Shannon demonstrates<br />

the process of a phased, hybrid<br />

orthodontic treatment with the<br />

transition from fixed appliances to<br />

clear aligners, alongside the benefits<br />

of 3D printing in modern orthodontics.<br />

The use of the latest technology not<br />

only prompted patient interest but also<br />

enhanced the efficacy and affordability<br />

of patient treatment (pp. 50).<br />

As the dental industry heads into<br />

greater mobility with the easing of<br />

pandemic restrictions in parts of the<br />

world, let <strong>Dental</strong> <strong>Asia</strong> deliver stories<br />

that facilitate a renewed understanding<br />

of dental practices in this new normal.<br />

Agatha Wong<br />

Assistant Editor<br />

Scan for digital copy<br />

of <strong>Dental</strong> <strong>Asia</strong><br />

Graphic Designer<br />

Circulation Manager<br />

PABLO BEIJING<br />

General Manager<br />

PABLO SHANGHAI<br />

Senior Editor<br />

Yap Shi Quan<br />

shiquan@pabloasia.com<br />

Czarmaine Masigla<br />

czarmaine@pabloasia.com<br />

Jolin Tan<br />

jolintan@pabloasia.com<br />

Shu Ai Ling<br />

circulation@pabloasia.com<br />

Ellen Gao<br />

pablobeijing@163.com<br />

Daisy Wang<br />

pabloshanghai@163.net<br />

HEAD OFFICE<br />

PABLO PUBLISHING &<br />

EXHIBITION PTE LTD<br />

3 Ang Mo Kio Street 62 #01-23<br />

Link@AMK, Singapore 569139<br />

Tel: (65) 62665512<br />

Email: info@pabloasia.com<br />

Website: www.dentalasia.net<br />

Company Registration No.: 200001473N<br />

Singapore MICA (P) No. 104/12/2021<br />

Malaysia KDN: PPS1528/07/2013 (022978)<br />

REGIONAL OFFICES<br />

PABLO BEIJING<br />

Tel: +86-10-6509-7728<br />

Email: pablobeijing@163.com<br />

PABLO SHANGHAI<br />

Tel: +86-21-52389737<br />

Email: pabloshanghai@163.net<br />

ADVISORY BOARD<br />

Dr William Cheung<br />

Dr Choo Teck Chuan<br />

Dr Chung Kong Mun<br />

Dr George Freedman<br />

Dr Fay Goldstep<br />

Dr Clarence Tam<br />

Prof Nigel M. King<br />

Dr Anand Narvekar<br />

Dr Kevin Ng<br />

Dr William O’Reilly<br />

A DENTAL ASIA MARCH / APRIL <strong>2022</strong><br />

Dr Wong Li Beng<br />

Dr Adrian U J Yap<br />

Dr Christopher Ho<br />

Dr How Kim Chuan<br />

Dr Derek Mahony<br />

Prof Alex Mersel


DENTAL UPDATES<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 5


DENTAL UPDATES<br />

The Aspen Group and ACE Surgical Supply partner to streamline bone grafting<br />

solutions in US<br />

The Aspen Group (TAG), which includes Aspen<br />

<strong>Dental</strong>, a network of nearly 1,000 doctor-owned<br />

dental offices across the US, and ClearChoice<br />

<strong>Dental</strong> Implant Centres, have partnered with<br />

ACE Surgical Supply to supply TAG’s network<br />

of offices with a range of bone grafting and<br />

membrane solution.<br />

ACE Surgical Supply is accredited by the<br />

American Association of Tissue Banks and<br />

has built a supply chain for biomaterials,<br />

sourcing from multiple tissue banks to ensure<br />

a consistent supply. Over the years, ACE has<br />

built a portfolio of bone regenerative solutions,<br />

alongside new products, offering clinicians<br />

more options for treating patients.<br />

Products available to teams at Aspen <strong>Dental</strong><br />

and ClearChoice offices will include alloOss<br />

Allograft, NuOss Xenograft Particulate,<br />

NuOss Plug, MemGuide Resorbable Porcine<br />

Membrane, RCM6 Resorbable Collagen<br />

Membrane, Resorbable Collagen Plug, Foam<br />

and Tape, and several of the company’s other<br />

products.<br />

Image: Jonathan borba/Unsplash<br />

“At TAG, our core mission remains breaking<br />

down barriers and expanding access to<br />

care, keeping patients at the centre,” said<br />

Arwinder Judge, DDS, chief clinical officer<br />

at Aspen <strong>Dental</strong>. “We do this by providing<br />

the best resources, training, technology<br />

and treatment products to the doctors we<br />

support, so they can focus on providing<br />

attentive, tailored care to their patients.<br />

This partnership with a world-class provider<br />

like ACE Surgical Supply will support exactly<br />

that.”<br />

“We’re very excited to support TAG and<br />

the doctors they support across the<br />

country as they treat more patients<br />

with bone regenerative products,” said<br />

Michael Mancini, general manager and<br />

COO for ACE Surgical Supply. “Due to<br />

our abilities to process many of our<br />

regenerative products in house, we can<br />

be more responsive to our customers’<br />

needs, exert greater quality control<br />

over the product, and offer competitive<br />

pricing.” ■<br />

Benco <strong>Dental</strong> partners with AI dental company Overjet<br />

Benco <strong>Dental</strong> and dental artificial intelligence<br />

(AI) company Overjet have formed a<br />

partnership that provides dentists across<br />

the US access to Overjet’s US Food and Drug<br />

Administration (FDA)-cleared AI platform.<br />

“This partnership is bringing two<br />

companies together to improve oral health<br />

for all through innovation,” said Wardah Inam,<br />

CEO and co-founder of Overjet. “The<br />

combination of Overjet’s dental AI and<br />

Benco’s expansive dental distribution<br />

network will further accelerate the digital<br />

transformation of AI in dentistry.”<br />

The platform is designed to deliver clinical<br />

insights to improve the quality of<br />

patient care and practice performance.<br />

It leverages advanced machine learning<br />

methods to analyse the content of dental<br />

radiographs and identify and quantify<br />

important findings, ultimately improving<br />

case acceptance, automating administrative<br />

tasks and increasing productivity.<br />

Chuck Cohen, managing director of Benco<br />

<strong>Dental</strong>, said: “Doctors have embraced<br />

Benco as a trusted innovation pipeline,<br />

and Overjet is leading a machine learning<br />

revolution that, in the simplest terms,<br />

liberates them from the considerable<br />

workflow inefficiencies and clinical<br />

disadvantages of being their own<br />

radiologists.” ■<br />

Wardah Inam, CEO and co-founder of Overjet<br />

6 DENTAL ASIA MAY / JUNE <strong>2022</strong>


DENTAL UPDATES<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 7


DENTAL UPDATES<br />

BioHorizons Camlog outlines highlights for Global Education Tour <strong>2022</strong><br />

BioHorizons Camlog, a supplier of dental<br />

implant systems, is committed to driving<br />

aesthetic implantology forward through<br />

science, innovation and education. The<br />

company’s Global Education Tour (GET) aims<br />

to shape the world of implant dentistry by<br />

bringing educational programmes to numerous<br />

global locations in <strong>2022</strong>, allowing clinicians to<br />

share their experiences with their peers from<br />

around the world.<br />

In its fourth year, the GET offers insights<br />

on implant therapy by clinical specialists<br />

around the globe. So far, this lectures series<br />

was attended by more than 4,000 dental<br />

professionals, who valued the format of<br />

combining lectures and interactive hands-on<br />

workshops.<br />

The <strong>2022</strong> theme, “A Passport to Successful<br />

Outcomes Through Advanced Implant<br />

Dr Gomez-Meda at the BioHorizons Camlog Global<br />

Education Tour in Egypt in <strong>2022</strong><br />

Therapy”, once again invites clinicians to a<br />

journey on the management of advanced<br />

surgical procedures, regenerative solutions in<br />

the aesthetic zone, restorative results, as well<br />

as digital workflows.<br />

Dr Andres Pascual, Dr Dennis Tarnow, Dr Hom<br />

Lay Wang, Dr Ramon Gomez-Meda, Dr Pedro<br />

Gazzotti, and Dr David Troncoso are among the<br />

moderators and speakers who are scheduled<br />

to present.<br />

The <strong>2022</strong> tour locations include:<br />

• 29 Apr: Budapest, Hungary<br />

• 1-2 Jul: Athens, Greece<br />

• 5-6 Aug: Bogota, Colombia<br />

• 11-12 Nov: Sydney, Australia<br />

• 18-19 Nov: Mexico City, Mexico<br />

“The Global Education Tour will bring together<br />

leading implant specialists and forwardthinking<br />

attendees,” said Veronica Vargas, head<br />

of global events and education for BioHorizons<br />

Camlog. “These international speakers will provide<br />

insights into the latest advances in implant therapy.<br />

With the rapid development of new technologies<br />

and treatment protocols, continuous education<br />

these days offers great opportunities to streamline<br />

processes in their daily practice and offer real<br />

value to the patient.” ■<br />

CAD-Ray brings 3Shape’s intraoral scanners into US and Canada<br />

CAD-Ray Distribution has partnered with<br />

3Shape to sell their TRIOS intraoral scanners.<br />

According to CAD-Ray, this working<br />

relationship will further solidify their position<br />

as a distributor, supporter and educator of<br />

computer-aided design (CAD) / computeraided<br />

manufacturing (CAM) technology.<br />

Jonathan Acker, COO of CAD-Ray, commented:<br />

“This partnership serves as both confirmation<br />

that our model benefits customers in just the<br />

right way, and that we’re simply here to stay<br />

and grow in the CAD/CAM market. There are<br />

other dental distributors out there selling and<br />

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

we do it better than anyone.<br />

“Our equipment partners are strategically<br />

selected for quality and support because we<br />

only stand behind those products we truly<br />

believe in and would use ourselves.”<br />

Rich LaFergola, president of CAD-Ray,<br />

also said: “This partnership was a natural<br />

progression for us. Our team has experience<br />

selling and supporting TRIOS, so naturally<br />

we’re excited to join forces with the<br />

world’s number-one recognised brand of<br />

intraoral scanners known for industryleading<br />

scanning experience and the most<br />

collaborative clinic-to-lab workflows. 3Shape<br />

TRIOS has been named the best intraoral<br />

scanner by the industry for nine years in a<br />

row. We believe our personal touch can<br />

only enhance the customer experience.”<br />

“We are delighted to welcome CAD-<br />

Ray as a distributer partner of 3Shape<br />

TRIOS in the US and Canada,” said John<br />

Cusack, general manager of 3Shape North<br />

America. “We believe that our collective<br />

strong customer focus and passion for<br />

digital dentistry will result in a great<br />

partnership.” ■<br />

8 DENTAL ASIA MAY / JUNE <strong>2022</strong>


DENTAL UPDATES<br />

DenMat acquires Den-Shur product line<br />

PERFECTION IN<br />

BONE SURGERY<br />

<strong>Dental</strong> product manufacturer DenMat has acquired the Den-Shur<br />

product line from Prismatix Decal. Den-Shur denture cups are a<br />

removable appliance storage container available in multiple colours.<br />

“This acquisition is the latest product line to be added to the DenMat<br />

portfolio of professional dental products,” said David Casper, CEO of<br />

DenMat. “We continue to seek out innovative, premium products that<br />

support our customers around the world.”<br />

Den-Shur denture cups are manufactured in the US and are available<br />

from major dental distribution partners in a 12-pack configuration.<br />

They can be customised to include a practice or lab name. ■<br />

→ YOUR SURGICAL<br />

APPROACH WILL CHANGE -<br />

THE PIEZOSURGERY® touch<br />

→ best cutting efficiency<br />

→ optimal intraoperative control<br />

→ perfect ergonomics<br />

→ made in Italy<br />

National Dentex acquires Swan <strong>Dental</strong> Lab<br />

National Dentex Labs, a network of fully-owned dental labs in North<br />

America, has acquired Swan <strong>Dental</strong> Lab located in Brunswick, Ohio.<br />

Owned and operated by Martin Switalski and Maureen Antolik, Swan<br />

<strong>Dental</strong> Lab provides dental restorations fabricated by experienced<br />

technicians. The full-service lab offers case planning, customer service<br />

and a range of products.<br />

NDX Salem currently operates near Cleveland, Ohio, US, and, upon<br />

close of the deal, operations will be consolidated at the existing Swan<br />

<strong>Dental</strong> Lab facility. The facility will undergo additional renovations<br />

to accommodate the combined team of 30 employees and will be<br />

renamed NDX Cleveland.<br />

“Swan exemplifies the traits we value most in a partner as we continue<br />

to build NDX’s industry position and commitment to best-in-class<br />

technology and cost-effective solutions,” said Tom Daulton, CEO of<br />

NDX.<br />

“Joining forces with NDX is a win-win. Combining our teams will allow<br />

us to serve more dentists and serve them better,” added Switalski<br />

who will stay on with NDX as a customer relationship manager. Nader<br />

Salem, who has been the general manager of NDX Salem since 2008<br />

will remain in his current position and will oversee operations of the<br />

combined labs. ■<br />

→ www.mectron.com<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 9<br />

ad_PStouch_dental_asia_95x250_en_211214.indd 1 14.12.21 15:38


DENTAL UPDATES<br />

<strong>Dental</strong>Monitoring unveils new business unit<br />

<strong>Dental</strong>Monitoring has announced a<br />

new business unit, DM Lab, aimed at<br />

exploring, testing and validating business<br />

opportunities across the dental market,<br />

as the company expands its geographical<br />

presence in strategic regions, including<br />

China and Japan.<br />

As part of this change, Raphaël Pascaud<br />

has been appointed senior vice-president<br />

and executive director, spearheading this<br />

newly created venture, as well as other<br />

critical initiatives.<br />

Before joining <strong>Dental</strong>Monitoring, Pascaud<br />

worked for nine years with Align Technology,<br />

where he held various senior leadership<br />

roles, his final role being senior vice-president of<br />

business development and strategy.<br />

Alexandra Van der Stap was named chief growth<br />

officer of the DM Lab. She previously held senior<br />

leadership roles in consumer brands such as<br />

North Face, and recently as vice-president of<br />

marketing, strategy and consumer at Align<br />

Technology.<br />

Xavier Laniol will also join the lab as global head<br />

of commercial operations. Laniol has spent 27<br />

years in both the pharmaceutical and medical<br />

devices sectors, which includes 13 years with<br />

Johnson & Johnson, and most recently a role as<br />

vice-president of southern Europe with Mölnlycke,<br />

a company in wound care. ■<br />

Image: Quang Tri Nguyen/Unsplash<br />

Dentsply Sirona announces changes to management team<br />

Dentsply Sirona has appointed John<br />

Groetelaars as the interim CEO.<br />

He has succeeded Don Casey, who has<br />

been terminated as CEO and will cease<br />

to serve as a member of the board with<br />

immediate effect.<br />

Eric Brandt, non-executive chairman of the<br />

board stated: “We are pleased to welcome<br />

John as Dentsply Sirona’s interim CEO.<br />

John has a strong track record of driving<br />

innovative business strategies, and as<br />

a seasoned executive with more than<br />

30 years of industry experience, he is<br />

positioned to lead our company during this<br />

transition period.”<br />

Groetelaars commented: “I look forward<br />

to serving as interim CEO during this<br />

important time for the company. I joined<br />

the company’s board because of my<br />

deep appreciation for our mission and<br />

commitment to innovation, operational<br />

excellence and providing positive outcomes<br />

for patients and customers.<br />

“The board is confident that renewing the<br />

company’s focus on execution will stabilise<br />

the business and deliver strong performance<br />

despite ongoing macroeconomic challenges.<br />

This will be my focus from day one, and I<br />

am prepared to leverage my prior executive<br />

leadership experience as I work with the rest<br />

of the board and management team to drive<br />

the company’s strategy and advance its vision<br />

to transform dentistry and improve oral health<br />

globally.”<br />

Dentsply Sirona has also appointed Barbara<br />

Bodem as the interim CFO, effective upon Jorge<br />

Gomez’s previously announced departure on 6<br />

<strong>May</strong> <strong>2022</strong>. Bodem has joined the company in<br />

April and has been working closely with Gomez<br />

to ensure a seamless transition.<br />

Bodem has over two decades of financial<br />

leadership experience in the healthcare industry,<br />

most recently serving as senior vice-president<br />

and CFO of Hillrom. Previously, Barbara served<br />

in senior leadership roles at Mallinckrodt<br />

Pharmaceuticals, Hospira and Eli Lilly and<br />

Company.<br />

Brandt commented: “We are fortunate to<br />

welcome Barbara, a proven finance executive,<br />

as our interim CFO during this transition<br />

period. Barbara brings extensive expertise in<br />

healthcare with an international perspective,<br />

having served in multiple leadership roles<br />

across finance organisations at global<br />

companies. As we continue our search for a<br />

permanent CFO, we believe that Barbara and<br />

our talented financial team will continue to<br />

deliver value for our patients, business partners<br />

and shareholders.” ■<br />

Barbara Bodem, interim<br />

CFO of Dentsply Sirona<br />

John Groetelaars, the new<br />

interim CEO of Dentsply Sirona<br />

10 DENTAL ASIA MAY / JUNE <strong>2022</strong>


DENTAL UPDATES<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 11


DENTAL UPDATES<br />

Carestream <strong>Dental</strong>’s intraoral scanner business acquired by Envista<br />

Envista Holdings Corporation has announced<br />

the complete acquisition of Carestream<br />

<strong>Dental</strong>’s Intraoral Scanner business. This<br />

business will be rebranded as DEXIS and will<br />

operate as part of the Envista Equipment and<br />

Consumables Segment.<br />

Amir Aghdaei, CEO of Envista Holdings<br />

Corporation, said: “We are very excited to<br />

add a suite of intraoral scanners and<br />

software to our portfolio. Intraoral scans are<br />

often the first step in the digital workflow and<br />

critical to many high value dental procedures<br />

including implants, prosthetics, and aligners.<br />

“This acquisition further enables our purpose<br />

of partnering with dental professionals<br />

to improve patients’ lives by digitising,<br />

personalising, and democratising dental<br />

care.”<br />

The business acquired does not include<br />

Carestream <strong>Dental</strong>’s imaging equipment or<br />

practice management businesses. ■<br />

Image: Quang Tri Nguyen/Unsplash<br />

Henry Schein announces retirement of CAO and appointment of new COO<br />

Henry Schein has announced the retirement of<br />

their executive vice-president and CAO, Gerald<br />

Benjamin, from 1 Jul <strong>2022</strong> onwards.<br />

After 34 years in the company, Benjamin<br />

will also retire from Henry Schein’s Board of<br />

Directors at the end of his current term in<br />

<strong>May</strong>, although he will remain an adviser to the<br />

company.<br />

Benjamin was responsible for developing<br />

and expanding the company’s supply chain<br />

system, which includes the management of<br />

approximately 5.6 million sqft of properties<br />

around the world, consisting of 27 distribution<br />

centres, offices, showrooms, manufacturing<br />

and sales space around the world.<br />

His work contributed to Henry Schein’s<br />

financial success, whose sales have grown at a<br />

compound annual rate of approximately 12.5%<br />

since it became a public company in 1995.<br />

“We are pleased that Gerry — who coined the<br />

term ‘Team Schein’ and contributed so much<br />

to advancing the values and culture of the<br />

company — will remain a member of Team<br />

Schein as an adviser following his retirement.<br />

On behalf of the board of directors and Team<br />

Schein, I would like to thank Gerry for his<br />

leadership and dedication to the Company,”<br />

said Stanley Bergman, chairman of the<br />

board and CEO of Henry Schein.<br />

Benjamin commented: “I am honoured to<br />

have worked alongside Stan, the board<br />

of directors, the company’s executive<br />

management committee members, and<br />

my fellow Team Schein members to help<br />

grow this organisation. I will miss my daily<br />

interactions with Team Schein, and I am<br />

confident that Stan, Michael, and our Team<br />

Schein members will continue to advance<br />

our philosophy of ‘doing well by doing<br />

good’.”<br />

In conjunction with Benjamin’s retirement,<br />

Michael Ettinger will be promoted to<br />

executive vice-president and COO, effective<br />

1 Jul <strong>2022</strong>, reporting to Bergman.<br />

Ettinger joined Henry Schein in 1994<br />

and has served as senior vice-president,<br />

corporate and legal affairs, and secretary<br />

since 2013, and chief of staff since 2015,<br />

responsible for the company’s corporate<br />

affairs, communications, legal, compliance,<br />

regulatory and security functions.<br />

Prior to his current position, he served<br />

as the company’s general counsel. The<br />

organisational changes announced<br />

reflect the implementation of the company’s<br />

succession plan for members of its senior<br />

corporate, shared services, and administrative<br />

teams.<br />

“Since Michael joined our company in 1994,<br />

he has established a well-deserved reputation<br />

for integrity, judgment, and wise counsel,” said<br />

Bergman. “I am confident in Michael’s talents,<br />

calm and steady leadership style, and huge<br />

respect for and credibility among all those<br />

who have had the pleasure of working with<br />

him.”<br />

“I am honoured to have the opportunity to<br />

work alongside this exceptional leadership<br />

team and to build upon their extraordinary<br />

achievements,” said Ettinger. ■<br />

Michael S. Ettinger<br />

(Image: Business Wire)<br />

Gerald A, Benjamin<br />

(Image: Business Wire)<br />

12 DENTAL ASIA MAY / JUNE <strong>2022</strong>


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DENTAL UPDATES<br />

ITI announces changes, new awards, and resume of in-person events<br />

The International Team for Implantology (ITI)<br />

has established three new ITI sections, two new<br />

ITI honorary fellowships, and launched the ITI<br />

Distinguished Achievement award.<br />

During the organisation’s annual general<br />

meeting, Charlotte Stilwell, president of ITI,<br />

announced three new ITI sections, bringing the<br />

overall total to 34. Until recently, Thailand and<br />

Vietnam were part of the regional section South<br />

East <strong>Asia</strong>, however their exponential growth and<br />

the concentration of activities in these countries<br />

made them excellent candidates for their own<br />

sections.<br />

Additionally, the ITI Board of Directors awarded<br />

the official section status to Ukraine as well, with<br />

immediate effect.<br />

“In the light of everything that is currently<br />

happening in Ukraine, it is more important<br />

than ever to uphold our community spirit,” said<br />

Stilwell. “We therefore took the opportunity, in<br />

however small a gesture, to grant well-deserved<br />

section status to our ITI community in Ukraine.<br />

The ITI extends its deeply felt compassion to all<br />

those affected by this humanitarian tragedy.”<br />

The ITI honorary fellowship recognises longstanding<br />

fellows with a distinguished career,<br />

and since 1992, has awarded 21 fellows. This<br />

year, the ITI added two new names to the list<br />

of eminent honourees: Lisa Heitz-<strong>May</strong>field from<br />

Australia and Frauke Müller from Switzerland, both<br />

former ITI board members and committee chairs,<br />

and also the first two women to be presented with<br />

the ITI’s highest recognition.<br />

The new ITI Distinguished Achievement Award is<br />

presented to professionals, within or outside ITI,<br />

who have made a strong and enduring contribution<br />

to either a specific milestone topic in implant<br />

dentistry or a particular ITI project.<br />

The first recipients of this award are Anthony<br />

Dawson from Australia and Steven Eckert from the<br />

US. Dawson received the award for his contribution<br />

to the ITI SAC Classification in Implant Dentistry,<br />

and Eckert for his work disseminating implantrelated<br />

research and knowledge in his editorial role<br />

for leading journals within the field.<br />

ANDRÉ SCHROEDER RESEARCH PRIZES<br />

<strong>2022</strong><br />

At the ITI Annual Conference, Ryan Lee from<br />

Australia and Stefan Bienz from Switzerland<br />

together with their co-authors were announced<br />

winners of the <strong>2022</strong> André Schroeder Research<br />

Prizes.<br />

Lee received the prize for pre-clinical research for<br />

his study on “Re-establishment of macrophage<br />

homeostasis by titanium surface modification in<br />

type II diabetes promotes osseous healing”, and<br />

Bienz for his paper on “Clinical and histological<br />

comparison of the soft tissue morphology between<br />

zirconia and titanium dental implants under<br />

healthy and experimental mucositis conditions — A<br />

randomized controlled clinical trial”.<br />

ITI CONGRESS ITALY AND ANNUAL<br />

CONFERENCE<br />

The ITI has also announced to hold again series<br />

of global on-site events, enabling ITI fellows and<br />

members to meet again in person, after a three-year<br />

hiatus.<br />

The AGM was preceded by the annual conference<br />

that focused this year on “Peri-implant soft-tissue<br />

integration and management”, in line with the<br />

recently published volume 12 of the ITI Treatment<br />

Guide book series.<br />

Preceding that, the ITI Congress Italy on “Esthetics<br />

in implant dentistry: Clinical and scientific evidence”<br />

was held from 31 Mar-1 Apr <strong>2022</strong>. Both events<br />

attracted 1,005 and 885 participants respectively, as<br />

reported by ITI. ■<br />

Mectron signs agreement with ITI<br />

Mectron, inventor and producer of<br />

PIEZOSURGERY, the piezoelectric bone<br />

surgery unit, and the ITI have signed a longterm<br />

sponsorship agreement.<br />

As the first sponsorship partner in a new<br />

initiative launched by the ITI to establish<br />

longer-term relationships with a small<br />

number of companies from the industry,<br />

Mectron will be working more closely with<br />

the ITI for an initial period of three years.<br />

The agreement encompasses primarily ITI<br />

congresses and symposia as well as the<br />

contribution of educational material for the ITI<br />

community in its area of expertise. Mectron is<br />

at present one of a select group of companies<br />

known as industry partners of the ITI.<br />

“This global ITI initiative is based on a<br />

modular sponsorship concept that allows us<br />

to meet the individual needs of our sponsors,”<br />

said Charlotte Stilwell, president of ITI. “It<br />

represents a mutually beneficial, longer-term<br />

commitment made by carefully selected<br />

companies that share similar educational and<br />

scientific, evidence-based principles as the<br />

ITI. We are very happy to welcome Mectron on<br />

board.” ■<br />

14 DENTAL ASIA MAY / JUNE <strong>2022</strong>


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DENTAL ASIA MAY / JUNE <strong>2022</strong> 15


DENTAL UPDATES<br />

uLab and People + Practice partner to drive higher profitability for orthodontists<br />

uLab Systems has partnered with People<br />

+ Practice, a dental marketing firm for<br />

doctors, to help orthodontist offices level<br />

up their aligner marketing strategy and<br />

understand how the uLab product offerings<br />

will differentiate them in their markets and<br />

increase profitability.<br />

"We noticed that our customers who adopted<br />

uLab have increased profit margins on more<br />

complex cases and are successfully tapping<br />

the limited treatment market with new product<br />

offerings," said Dr Leon Klempner, CEO of<br />

People + Practice. "People + Practice's focus<br />

is driving practice profitability and expanding<br />

market reach, so this is a natural partnership."<br />

uLab's pay-per-aligner business model<br />

enables orthodontists to make choices for<br />

their patients that were not available with<br />

traditional aligner companies. By eliminating<br />

the upfront fee for unlimited aligners,<br />

orthodontists can mix and match treatment<br />

modalities for a patient that they may<br />

want to start in brackets and finish in clear<br />

aligners.<br />

For complex cases, uLab's workflow and<br />

pricing structure enables improved practice<br />

profitability. Additionally, for patients who<br />

only need minor correction, or have relapse<br />

from their previous treatments, limited cases<br />

now are possible and profitable with uLab.<br />

People + Practice helps offices promote the<br />

patient benefits enabled by these offerings,<br />

including the convenience, flexibility, and<br />

affordability of clear aligners.<br />

uLab was founded in 2015 and offers the<br />

uDesign treatment planning software for inoffice<br />

printing purposes. In 2020, the uSmile<br />

clear aligner platform was launched, providing<br />

aligners manufactured in Memphis, Tennessee,<br />

US, in addition to maintaining the option for<br />

orthodontists to create aligners in-office. uLab<br />

uSmile aligners are available to all orthodontic<br />

practices in the US and Canada. Orthodontists<br />

have planned more than 450,000 cases on the<br />

uDesign software to date. ■<br />

The Oral Reconstruction Foundation organises two International Symposia <strong>2022</strong><br />

The Oral Reconstruction Foundation will be<br />

organising two International Symposia in<br />

<strong>2022</strong> with the foundation’s initial founders<br />

BioHorizons Camlog as the main sponsor.<br />

One symposium will take place from 12-14<br />

<strong>May</strong> <strong>2022</strong>, in Orlando, Florida, US, and the<br />

other from 13-15 October <strong>2022</strong>, in Munich,<br />

Germany.<br />

INTERNATIONAL SYMPOSIUM IN<br />

MAY <strong>2022</strong><br />

According to Oral Foundation, the US<br />

conference under the theme of “<strong>2022</strong><br />

Recharged: Strengthening Advanced<br />

Implant Therapy Skills”, will be held at the<br />

JW Marriott Orlando, Grande Lakes, and<br />

will present a line-up of speakers from all<br />

disciplines.<br />

The symposium will cover a range of<br />

contemporary issues in implant dentistry and<br />

tissue regeneration. It will feature immediate<br />

implant placement, digital workflow, tissue<br />

regeneration, aesthetics, and full-arch<br />

solutions in implant dentistry, and present<br />

the latest treatment options from specialists<br />

Two symposia will be held in <strong>May</strong> and October <strong>2022</strong> (Image: Oral Reconstruction Foundation)<br />

while enjoying time to collaborate with<br />

colleagues.<br />

The symposium also offers a choice of multiple<br />

breakout sessions and hands-on workshops<br />

from opinion leaders from around the world.<br />

INTERNATIONAL SYMPOSIUM IN<br />

OCTOBER <strong>2022</strong><br />

Under the motto “Dreams and Reality:<br />

Treatment Concepts and Trends”, the<br />

conference programme in Munich is designed<br />

for dental professionals from all disciplines<br />

of implantology, and in combination with<br />

the German <strong>Dental</strong> Technician Congress on<br />

Saturday will showcase success stories in the<br />

team approach.<br />

The symposium features a programme with a<br />

mix of scientific and practice relevant lectures,<br />

workshops, and a social event to round up the<br />

experience for all participants. ■<br />

16 DENTAL ASIA MAY / JUNE <strong>2022</strong>


DENTAL UPDATES<br />

ClearChoice partners with Planmeca to<br />

enhance digital imaging capabilities<br />

The specialists<br />

for „tough cases“<br />

The Planmeca Viso G7<br />

CBCT imaging unit will<br />

serve patients at more<br />

than 75 ClearChoice<br />

dental implant centres in<br />

the US<br />

Planmeca, Henry Schein and ClearChoice<br />

have partnered to further elevate patient<br />

experience with enhanced digital imaging<br />

technology.<br />

The ClearChoice doctors decided to<br />

integrate the Planmeca Viso G7, a conebeam<br />

computed topography (CBCT)<br />

imaging unit that Planmeca offers, into<br />

the ClearChoice network of more than 75<br />

centres across the US. The distribution<br />

and implementation of the full Planmeca<br />

suite to each ClearChoice <strong>Dental</strong> Implant<br />

Centre will be managed by Henry Schein<br />

<strong>Dental</strong>, the dental division of Henry<br />

Schein.<br />

Each ClearChoice <strong>Dental</strong> Implant Centre<br />

focuses on the same mission: delivering<br />

patient-centric, solutions and techniques<br />

that can improve the lives of those<br />

suffering from acute oral disease.<br />

ClearChoice envisions the CBCT as the<br />

'hub' of a digital treatment plan for a<br />

patient, with the ability to combine CBCT,<br />

intraoral and facial scans into a complete<br />

digital record that can then be utilised<br />

throughout the patient's treatment process<br />

from initial exam to final restoration.<br />

Dr Thomas Berry, vice-president of surgical<br />

support for the ClearChoice Management<br />

Services (CCMS), also favours the Planmeca<br />

system: "The Planmeca Viso G7 offers<br />

strikingly clear scans, modules for creating<br />

surgical guides, and significantly less<br />

radiation to the patient. The unit also has the<br />

ability to perform a 3D facial photo of the<br />

patient that overlays the CBCT image."<br />

"The combination of superior image quality,<br />

smooth workflow and ease of use made<br />

the Planmeca Viso G7 the perfect choice<br />

for ClearChoice," stated Glen Kendrick,<br />

president of Planmeca USA. "Many of the<br />

innovative features of the Planmeca Viso G7<br />

fit ClearChoice's patient-centric approach,<br />

including Planmeca Ultra Low Dose<br />

imaging protocols and Planmeca CALM, a<br />

proprietary patient movement correction<br />

algorithm.<br />

“Innovative technology coupled with our<br />

dedication to continuous and ongoing<br />

education of both clinicians and staff,<br />

Planmeca is ready to partner with<br />

ClearChoice to provide a high-quality and<br />

seamless experience for a complex dental<br />

procedure.”<br />

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Dr Theresa Wang, the lead pilot<br />

prosthodontist, noted that the Planmeca<br />

Viso G7 features a large field of view<br />

with low radiation to the patient, artificial<br />

intelligence that reduces noise and<br />

scatter, as well as movement correction<br />

to provide more diagnostic images and<br />

enrich treatment plan presentations.<br />

The Planmeca integration includes the<br />

Planmeca Romexis software. Romexis<br />

allows for 3D visualisation, customised<br />

treatment planning and centralises 3D<br />

imaging along with the 2D intraoral images<br />

captured by the Planmeca ProSensor HD<br />

and Planmeca ProX intraoral x-rays, further<br />

streamlining ClearChoice’s workflow. ■<br />

There is no substitute for quality<br />

<strong>Dental</strong> <strong>Asia</strong> GB 60 x 234 mm<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 17<br />

Ziramant_60x234mm_EN.indd 1 22.03.22 15:24


DENTAL UPDATES<br />

Penn <strong>Dental</strong> Medicine Online continues education programme enabling<br />

dentists to better serve persons with disabilities<br />

One in four US adults have some type of<br />

disability affecting mobility, cognition,<br />

hearing, or sight, according to the US Centre<br />

for Disease Control and Prevention. In<br />

addition, those with disabilities are more<br />

likely to be obese, smoke, and have heart<br />

disease and diabetes, further complicating<br />

their healthcare.<br />

To help address the oral health needs of this<br />

vulnerable population with more clinicians<br />

skilled in treating them, Penn <strong>Dental</strong> Medicine<br />

has developed the Persons with Disabilities<br />

presentation series — an online continuing<br />

education programme aimed at building<br />

competency among practicing clinicians in<br />

providing oral healthcare to persons with<br />

disabilities.<br />

“We see this series as an important way to<br />

not only build awareness of the barriers to<br />

equitable oral healthcare for individuals with<br />

disabilities, but also expand the number of<br />

dentists treating these individuals,” said Dr<br />

Miriam Robbins, director of Penn <strong>Dental</strong><br />

Medicine's care centre for persons with<br />

disabilities, who helps to develop topics and<br />

identify speakers for the series.<br />

The series launched last year with support<br />

from the Delta <strong>Dental</strong> Foundation of<br />

Michigan, Ohio, Indiana, and North Carolina<br />

(DDF), which recently renewed its support of<br />

the Series with a second US$50,000 grant this<br />

year.<br />

Since its launch, the lecture topics have ranged<br />

from defining disabilities across a lifetime<br />

and caring for older adults with cognitive<br />

impairments to how the payer system can be<br />

strengthened to improve care for persons with<br />

disabilities.<br />

Developed and offered through Penn <strong>Dental</strong><br />

Medicine's office of continuing education, the<br />

series is open to oral health professionals at no<br />

charge.<br />

Dentists completing 18 or more of the courses<br />

within a three-year period will receive a certificate<br />

of completion from Penn <strong>Dental</strong> Medicine as a<br />

disabilities dentistry clinician expert.<br />

Penn <strong>Dental</strong> Medicine offers a depth of live<br />

online and hybrid learning opportunities across<br />

dental disciplines and health policy as well<br />

as a library of self-paced courses that can be<br />

accessed at any time through its Penn <strong>Dental</strong><br />

Medicine Education Portal. ■<br />

quip acquires teledentistry company Toothpic<br />

quip has acquired Toothpic, a telehealth<br />

company that offers teledentistry care through<br />

dental insurers. Through this acquisition, quip<br />

will add virtual access to dental professionals<br />

through its mobile application.<br />

and manage their oral health,” Enever said.<br />

“We are excited to welcome the extremely<br />

talented Toothpic team to the quip community<br />

to help us continue building this much needed<br />

platform for patients and providers.”<br />

With quip, users will be able to track good<br />

habits, monitor any oral health changes,<br />

schedule virtual visits, and book appointments<br />

when necessary on the application. Toothpic<br />

will allow quip users wider access to vital<br />

virtual care, according to Simon Enever,<br />

co-founder and CEO of quip.<br />

“By embedding Toothpic’s teledentistry<br />

platform and nation-wide network of online<br />

dental professionals into our app, we will<br />

centralise access to a full suite of connected<br />

oral care products and dental services that<br />

will drastically alter the way people experience<br />

The application provided through quip<br />

and Toothpic will offer digital oral health<br />

monitoring, a digital directory of dental<br />

professionals, and personal care products<br />

such as quip electric toothbrushes.<br />

This acquisition was done to make oral care<br />

more accessible, according to Shane Owens,<br />

CTO and co-founder of Toothpic.<br />

“We have made incredible strides in making<br />

oral healthcare accessible to individuals and<br />

businesses around the country through our<br />

web and mobile applications,” Owens said.<br />

“We share a vision for shifting dentistry from<br />

a fee-for-service model to a preventativefocused,<br />

value-based care one.<br />

“We can’t imagine a better partner than quip<br />

as we seek to further our mission to provide<br />

innovative oral care solutions that not only<br />

improve the lives of patients, but also improve<br />

and modernise the delivery of care to our<br />

provider networks and lower the cost of care<br />

to our payers.” ■<br />

18 DENTAL ASIA MAY / JUNE <strong>2022</strong>


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DENTAL ASIA MAY / JUNE <strong>2022</strong> 19


DENTAL UPDATES<br />

Retrace founder & CEO recognised as Incisal Edge 40 Under 40<br />

Retrace, a native-built artificial intelligence (AI)<br />

healthcare clearinghouse to provide real-time<br />

connectivity between dental practices and<br />

payers, has announced that their founder<br />

and CEO, Ali Sadat, DDS, was honoured as an<br />

Incisal Edge 40 Under 40 dentist.<br />

“Today with Retrace, patients, providers, and<br />

payers are benefiting from a seamless dental<br />

experience as a result of efficiency gains from<br />

the novel AI we’ve created. We are honoured<br />

and humbled that this award is a testament to<br />

how Retrace supports every stakeholder in the<br />

dental ecosystem,” said Sadat.<br />

Since the launch in October 2021, Retrace<br />

has filed over 25 patents, eight of which<br />

have already been granted for their novel AI<br />

technology, established over 503 direct<br />

insurance connections, and is integrating<br />

with providers and dental service<br />

organisations to improve oral health for<br />

millions of members.<br />

“Being recognised amongst leading industry<br />

peers by Incisal Edge as a 40 Under 40<br />

honouree exemplifies the hard work we<br />

poured into creating the most interconnected<br />

healthcare network,” said Sadat, DDS.<br />

“Today with Retrace, patients, providers,<br />

and payers are benefiting from a seamless<br />

dental experience as a result of efficiency<br />

gains from the novel AI we’ve created. We<br />

are honoured and humbled that this award is<br />

a testament to how Retrace supports every<br />

stakeholder in the dental ecosystem.” ■<br />

Image: Cristi Ursea/Unsplash<br />

Acquisition of Sterisil expands Solmetex’s business into dental water<br />

treatment and safety<br />

Solmetex, a provider of amalgam separators<br />

and other waste compliance products, has<br />

signed an agreement to acquire Sterisil, an<br />

innovator of dental unit water line infection<br />

control products.<br />

The combined company will create a<br />

business in dental water treatment and<br />

safety management for the US and<br />

international markets. This includes a<br />

commitment to strengthen and expand<br />

partnerships built over a combined 50 years,<br />

driving more effective compliance with water<br />

treatment requirements for both individual<br />

dental practices and <strong>Dental</strong> Service<br />

Organisations (DSO).<br />

Sterisil brings 25 years of specialty in<br />

dental waterline infection control and, as<br />

part of the Solmetex platform, will expand<br />

and strengthen its ability to develop and<br />

implement transformational technologies.<br />

The two companies will continue focusing<br />

on clean water, safety, and waste recycling<br />

solutions to improve the ecological impact<br />

of caring for patients within the dental<br />

category.<br />

Gene Dorff, CEO of Solmetex, stated: “This is an<br />

incredibly exciting time for Solmetex, and I am<br />

confident that adding Sterisil to our platform<br />

will ensure growth and expansion opportunities<br />

as we continue to deliver excellent customer<br />

service and high-quality, reliable products. I<br />

look forward to collaborating with the team to<br />

develop and execute our strategic vision for a<br />

successful future.”<br />

Theresa Downs, Sterisil’s vice-president<br />

and co-owner, added: “We were meticulous<br />

in our search for a partner that would<br />

ensure Sterisil’s next chapter combined<br />

the ‘best of’ our proud legacy with the<br />

resources, potential and platform to<br />

help us launch our next phase of growth<br />

and diversification. Solmetex delivers<br />

on all accounts, and I am certain both<br />

companies will provide environmentally<br />

sound, effective, and safe products for the<br />

dental industry.” ■<br />

20 DENTAL ASIA MAY / JUNE <strong>2022</strong>


DENTAL UPDATES<br />

Today's <strong>Dental</strong> Network adds<br />

Middleton Oral Surgery to partner<br />

network<br />

Today’s <strong>Dental</strong> Network (TDN) has formed a partnership<br />

with Middleton Oral Surgery, a oral and maxillofacial surgery<br />

(OMFS) practice in Sarasota, Florida, US, led by Scott<br />

Middleton, DMD, MD. This is the second oral surgery centre<br />

in the network, further enhancing the company’s ability to<br />

provide technology-enabled care to patients.<br />

NEW<br />

3D printing with<br />

“Dr Middleton is an exceptional and highly respected oral<br />

and maxillofacial surgeon in our community,” said Todd<br />

Reuter, DMD, MD, head of oral surgery at TDN and founder<br />

of Sarasota Oral and Implant Surgery. “He exemplifies all the<br />

professional qualities of a top tier OMFS and we are proud<br />

to have him on our surgical team.”<br />

Dr Middleton has practiced implant dentistry and oral<br />

surgery in Sarasota for over 20 years and has placed more<br />

than 10,000 implants. He uses advanced 3D imaging<br />

equipment to identify and diagnose prosthetic and surgical<br />

needs with accuracy and efficiency. He also provides a<br />

full spectrum of sedation services, ensuring the highest<br />

possible level of comfort to patients.<br />

“We have worked alongside Dr Middleton for more than 13<br />

years and have witnessed, first-hand, an unprecedented<br />

level of surgical precision,” said Kevin Krause, DMD, CEO of<br />

TDN. “His partnership strengthens our surgical presence in<br />

Sarasota and elevates our clinical excellence.”<br />

Dr Middleton works closely with a support team of trained<br />

assistants, patient coordinators, and an implant coordinator<br />

to manage a variety of problems relating to the mouth, tooth<br />

and facial regions.<br />

“After working with Dr Krause, Dr Reuter and Dr Roemer for<br />

many years, my team and I are very excited to join such a<br />

high-quality group,” said Middleton. ■<br />

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DENTAL ASIA MAY / JUNE <strong>2022</strong> 21<br />

<strong>2022</strong>0412_SIMPLEX_Anzeige_95x250_EN.indd 1 12.04.<strong>2022</strong> 09:16:33


TRENDS<br />

Delivering tomorrow’s dentistry:<br />

National <strong>Dental</strong> Centre Singapore<br />

celebrates 25th anniversary<br />

As the National <strong>Dental</strong> Centre Singapore (NDCS) celebrates 25 years of founding,<br />

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

present of NDCS as well as the future of Singapore’s dental landscape.<br />

What are the milestones NDCS has achieved<br />

over the last 25 years?<br />

Cl A/Prof Poon Choy Yoke: On a national<br />

level, in alignment with the Ministry of Health’s<br />

(MOH) vision to improve the population health<br />

outcomes and keep Singaporeans healthy for<br />

as long as possible safely and sustainably,<br />

the National <strong>Dental</strong> Centre Singapore (NDCS)<br />

is strengthening its network with community<br />

general dental practitioners (GDPs) through<br />

its Care Partnership Programme (CaPP) and<br />

building an ecosystem of integrated and holistic<br />

dental care for its patients.<br />

NDCS has launched several upstream preventive<br />

health efforts such as the Infant Oral Health<br />

Programme (IOHP), to advise appropriate<br />

preventive strategies and guide parents for their<br />

child’s dental development, and the Oral Health<br />

Movement (OHM) 8020 which helps detect<br />

early and treat oral frailty or pre-frailty in adults<br />

aged 40 years and above, in partnership with<br />

community nurses.<br />

In 2015, NDCS opened the Geriatric Special<br />

Care Dentistry Clinic (GSDC), Singapore’s first<br />

purpose-built dental clinic to deliver integrated<br />

oral care for patients with complex medical and,<br />

geriatric conditions as well as intellectual and<br />

physical disabilities. It also provides holistic<br />

management to elderly patients who have<br />

functional dependency and other medical comorbidities,<br />

in our efforts to meet the needs of<br />

Singapore’s ageing population.<br />

Piloted in 2018, Tele-Dentistry Oral Care for<br />

Seniors (T-DOCS) is a programme that aims<br />

to improve and maintain the oral health of<br />

seniors aged 60 years and above in nursing<br />

homes or those who live alone and require<br />

home care. The Centre aims to further expand<br />

this initiative with other community partners<br />

in the future.<br />

In embracing digital and innovative<br />

technologies for the future, NDCS has also<br />

embarked on digital dentistry in the areas<br />

of intraoral scanning and 3D printing of<br />

dentures and will further integrate digital<br />

technology to enhance patient experience<br />

and improve care outcomes.<br />

In 2019, the National <strong>Dental</strong> Research<br />

Institute Singapore (NDRIS), the research<br />

arm of NDCS was established to further<br />

areas in oral health research and innovation<br />

to spearhead new technologies and<br />

therapies to meet the increasing burden of<br />

“<br />

We aspire to<br />

co-create a very<br />

different experience with<br />

our patients, combining<br />

digital dentistry and<br />

digital patient journey<br />

to improve care delivery<br />

and clinical outcomes<br />

for the patients.”<br />

Clinical Associate<br />

Professor Poon Choy Yoke,<br />

CEO of NDCS<br />

22 DENTAL ASIA MAY / JUNE <strong>2022</strong>


TRENDS<br />

chronic oral diseases. It is <strong>Asia</strong>’s first national<br />

institute dedicated to oral health research and<br />

will focus on three key areas: oral medical<br />

devices and technology, oral microbiome and<br />

oral population health studies.<br />

How will programmes like IOHP, CaPP, and<br />

OHM 8020 impact the oral health status of<br />

the community and influence their healthseeking<br />

behaviour?<br />

Cl A/Prof Poon: NDCS IOHP and OHM 8020<br />

are upstream preventive health programmes<br />

that will screen out and identify early at-risk<br />

individuals and provide preventive intervention<br />

programmes to help them with their oral care<br />

conditions. These programmes aim to create<br />

greater oral health awareness among the<br />

population and emphasise the importance of<br />

oral health as part of total general health. They<br />

will also help to facilitate access to care in the<br />

right setting and timely manner.<br />

Early childhood caries (ECC) is prevalent but<br />

largely preventable. IOHP will engage and<br />

educate parents before the onset of ECC,<br />

screen and empower parents to develop good<br />

oral health and oral health behaviours for<br />

their children at an early age. With an early<br />

healthy start, good oral health behaviours can<br />

potentially carry on to adulthood, improving<br />

the oral health status of adults in Singapore.<br />

In OHM 8020, the programme screens out oral<br />

frailty or pre-frailty in adults aged 40 years and<br />

above in the community. At these screening<br />

sessions, the community nurses will also<br />

conduct oral health education to encourage<br />

good oral care habits among the seniors,<br />

prevent further tooth loss and maintain good<br />

oral function throughout life.<br />

NDCS CaPP works with primary care providers<br />

in the community to right site care, where<br />

basic and intermediate care can be provided<br />

by its network of GDPs, while complex and<br />

severe conditions are referred to NDCS. This<br />

will allow more seamless delivery of care to<br />

our patients.<br />

Can you elaborate on some of the research<br />

NDCS has published and its significance to<br />

the field?<br />

Cl A/Prof Poon: The NDRIS translates<br />

research discoveries into novel effective<br />

therapies through its three initiatives: Singapore<br />

Oro-facial Initiative (SOFI), Singapore Oral<br />

Microbiomics Initiative (SOMI) and Singapore<br />

Oral Population Initiative (SOPI).<br />

SOFI focuses on the development of oral<br />

devices and technologies. Some research<br />

projects include the development of<br />

microneedles, a non-invasive, painless and<br />

efficient local anaesthetic delivery in dentistry,<br />

a biodegradable scaffold for jaw implant that<br />

will improve bone regenerative capabilities,<br />

and new equipment known as Aeroshield that<br />

uses an air barrier to isolate airflow between<br />

dentists and patients’ mouths to reduce the<br />

chances of COVID-19 spread in the dental<br />

setting.<br />

SOMI focuses on the studies on the oral<br />

microbiome and its links to other diseases.<br />

One of the key research discoveries last<br />

year was the efficacy of mouthwash in<br />

substantially reducing coronavirus load in<br />

saliva, which can be used as a pre-procedural<br />

step before dental treatment to help reduce<br />

the transmission of the virus through<br />

aerosols. This research finding will also<br />

impact future mouth rinses for the public.<br />

SOPI looks at behavioural, clinical and<br />

population-based oral health studies for<br />

educational intervention and policy purposes<br />

to improve oral and general health nationally,<br />

regionally and internationally. One of the key<br />

studies aims to identify risk and protective<br />

factors for oral diseases such as dental<br />

caries, traumatic dental injuries, periodontitis,<br />

and maxillofacial development early in life<br />

and its consequences later on. Known as the<br />

Oral Health Birth Cohort Studies, the research<br />

is the first of its kind in the field of child oral<br />

health.<br />

Moving forward, how do you see dentistry<br />

developing both locally and regionally in the<br />

next 5-10 years, and what are some of the<br />

strategies you have set out for NDCS to better<br />

meet patients’ care?<br />

Cl A/Prof Poon: NDCS and its programmes<br />

aim to move in alignment with MOH’s 2030<br />

Vision of a healthcare system that is focused<br />

on preventative, primary, community and valuebased<br />

care, with a strong emphasis on good<br />

patient reported outcomes and experience.<br />

NDCS has strategies in place to improve the<br />

oral health of our community with initiatives<br />

that target all life stages. With programmes<br />

such as CaPP, a formal shared care<br />

arrangement with 81 partner clinics islandwide,<br />

the community would be able to seek<br />

quality oral care close to home, and our GDP<br />

colleagues would have opportunities to build<br />

on their capabilities.<br />

In the pipeline, the proposed <strong>Dental</strong> Primary<br />

Care Network aims to collaborate with<br />

polyclinics and GDPs in their region and the<br />

national dental centres for referrals of complex<br />

cases and sharing of best clinical practices.<br />

This next-generation primary care initiative<br />

matches the right care in the right setting,<br />

provides greater convenience for patients, and<br />

ensures prompt and timely access to dental<br />

care. DA<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 23


DENTAL PROFILE<br />

The in-and-outs<br />

of the dental<br />

implant market<br />

Lingga Tanamal<br />

Vice-president of sales - <strong>Asia</strong>-Pacific<br />

of Henry Schein’s Global Oral<br />

Reconstruction Group<br />

Henry Schein’s global oral reconstruction<br />

group focuses on implant specialities, featuring<br />

brands such as ACE Surgical Supply Company,<br />

BioHorizons, Camlog and medentis medical,<br />

which are all vertically integrated — from the<br />

manufacturing to the market, including post-sales<br />

services. <strong>Dental</strong> <strong>Asia</strong> speaks with Lingga Tanamal,<br />

vice-president of sales, <strong>Asia</strong>-Pacific, Global Oral<br />

Reconstruction Group, Henry Schein, Inc. to find<br />

out more insights on dental implants.<br />

Being in the medical device industry for almost<br />

three decades, what are some of the key<br />

takeaways you have brought along with you<br />

to the Henry Schein dental implant business,<br />

and how do they help shape your vision for the<br />

company?<br />

Lingga Tanamal: Within the last 20 years,<br />

dentistry and how it is performed have changed<br />

enormously. In the field of implantology, digital<br />

workflows have advanced the speciality with<br />

the introduction of intraoral scanners, 3D<br />

printing and local milling. This streamlines<br />

treatment protocol, improves practice efficiency<br />

and increases patient comfort while delivering a<br />

high standard clinical outcome.<br />

Partnerships with universities are of increased<br />

importance. Documenting clinical evidence<br />

helps to identify optimum treatment options<br />

and workflow while reducing healthcare costs.<br />

Integrating implantology innovations through<br />

continuing education for the next generation of<br />

dental practitioners is crucial.<br />

The advent of innovation has also elevated the<br />

focus on the patient experience. Patients are<br />

becoming more educated, which drives their<br />

interest to understand their treatment options.<br />

This has led to a more detailed conversation<br />

between dentist and patient.<br />

Finally, the regulatory landscape is rapidly<br />

evolving with ever-changing and stringent<br />

requirements. While fulfilling the new<br />

requirements may be challenging for implant<br />

manufacturers, they are necessary to ensure the<br />

patient’s safety and efficacy. This also eliminates<br />

“fly by the night” implant manufacturers.<br />

All of this has shaped my vision as well as the<br />

company’s drive to provide innovative, integrated<br />

dental implantology products and services to<br />

our customers to help them to deliver clinically<br />

proven dental implant solutions for the patients.<br />

We act as trusted advisors and partner with our<br />

customers to tailor solutions to their needs.<br />

<strong>Dental</strong> implants are arguably an indispensable<br />

part of today’s clinical dentistry. Is there a<br />

reason for this, and how will you envision the<br />

next milestone in implant dentistry?<br />

Tanamal: The awareness of the importance<br />

of good oral health is growing, perhaps as an<br />

impact of COVID-19. As patients learn about the<br />

benefits of dental implants for their well-being,<br />

they also realise the cosmetic benefits of getting<br />

implants. With advancements in treatment<br />

protocols, patients accept dental implants as a<br />

long-term solution.<br />

We will see more remote patient monitoring<br />

appointments, an expansion of the use of digital<br />

workflows, and more artificial intelligence and<br />

augmented reality in dentistry, and above all in<br />

implantology. Insurance companies may come<br />

up with more varieties of dental coverage, which<br />

right now is still rather limited in <strong>Asia</strong>-Pacific.<br />

<strong>Dental</strong> tourism is offsetting the redistribution<br />

of services and related costs while maintaining<br />

high-quality care. With an increased demand for<br />

high-quality products and stricter regulations for<br />

market entry, I am convinced that only the best<br />

dental implant brands will survive in the long<br />

term.<br />

Tanamal with her team members<br />

24 DENTAL ASIA MAY / JUNE <strong>2022</strong>


DENTAL PROFILE<br />

How would you describe the importance and<br />

the demand for dental implants in the context<br />

of an ageing population in <strong>Asia</strong>-Pacific and<br />

healthy longevity?<br />

Tanamal: According to the World Economic<br />

Forum, <strong>Asia</strong>-Pacific is likely to face the world’s<br />

fastest-growing ageing population by 2050.<br />

Four out of the top 10 countries with a large<br />

number of older people are in <strong>Asia</strong> 1 . Oral health<br />

has a direct impact on total health and poor oral<br />

health, and irregular preventive check-ups and<br />

treatment can impact the entire body negatively.<br />

Oral diseases, such as gum disease or tooth<br />

decay, may lead to the need for dental implants.<br />

<strong>Asia</strong>-Pacific is also one of the fastest-growing<br />

middle-class income populations, more than<br />

the EU or North America. This group has<br />

more purchasing power than before, is better<br />

educated than the previous generation and<br />

pays more attention to healthcare not only for<br />

themselves but also to their elderly. The longterm<br />

success of dental implants is also driving<br />

market demand too.<br />

What innovations have BioHorizons Camlog<br />

put in place within its dental implant portfolio<br />

to meet clinicians’ and patients’ needs in this<br />

region?<br />

Tanamal: BioHorizons and Camlog are two of<br />

the industry’s suppliers with a comprehensive<br />

range of dental implant systems, restorative<br />

components, a line of biologics products, and<br />

digital workflow solutions.<br />

The latest innovations within the implant<br />

portfolio are Tapered Pro from BioHorizons and<br />

the PROGRESSIVE-LINE from Camlog for initial<br />

immediate stability and versatility in different<br />

treatment protocols. BioHorizons’ Tapered<br />

Pro Implant system offers predictable results<br />

for immediate loading treatments; the new<br />

PROGRESSIVE-LINE implants are designed to<br />

achieve high primary stability even in soft bone<br />

— including a simplified surgical kit, the Flex kit.<br />

One of the highlights of the BioHorizons implant<br />

lines is Laser-Lok, a surface treatment to attract<br />

a true, physical connective tissue attachment.<br />

Laser-Lok is a series of precision-engineered<br />

cell-sized channels laser-machined onto the<br />

surface of dental implants and abutments. In<br />

addition, the BioHorizons surgical kit can be<br />

used for several BioHorizons implant systems.<br />

For bone defects, the MinerOss product family<br />

offers an array of complete choices of the<br />

appropriate bone substitute material which is<br />

crucial to achieving the desired clinical outcome<br />

in functional, structural, and aesthetic terms.<br />

For soft tissue management, the AlloDerm<br />

SELECT product family supports soft tissue<br />

regeneration. The Mem-Lok membrane family<br />

provides a variety of resorption timeframes and<br />

handling characteristics for graft containment<br />

applications. The innovative regenerative<br />

materials from BioHorizons, from synthetic<br />

to xenograft to allograft, cover almost all<br />

conceivable application areas, material<br />

requirements, and surgical preferences.<br />

What can clinics, especially in <strong>Asia</strong>-Pacific,<br />

expect from BioHorizons Camlog dental implant<br />

brands in the next five years?<br />

Tanamal: We are committed to continuously<br />

expanding our portfolios to help dental<br />

practitioners and lab technicians to run effective<br />

practices and labs by providing the support<br />

and the solutions they need. In addition, we are<br />

recognised for our excellent customer service.<br />

We aim to expand our footprint across <strong>Asia</strong>-<br />

Pacific by seeking additional distribution partners<br />

for new markets, offering additional brands<br />

through existing distributors, and by increasing<br />

our reach in the existing countries and regions.<br />

Another focus for the upcoming years is the<br />

expansion of our training and education.<br />

Together with our scientific and education<br />

partner, the Oral Reconstruction Foundation, we<br />

will organise symposia, hands-on courses, and<br />

webinars. The Oral Reconstruction Foundation<br />

supports basic and applied research projects,<br />

grants research funding to young scientists, and<br />

promotes training and continuing education. It<br />

offers a networking platform for international<br />

experts in a wide range of disciplines to foster<br />

the exchange of knowledge and ideas.<br />

Equally important to our business offerings is our<br />

commitment to society. This is achieved through<br />

our global commitment to corporate citizenship.<br />

Over the past decade, we have further sharpened<br />

our commitment to corporate citizenship through<br />

the formalisation of our environmental, social,<br />

and governance (ESG) strategy. BioHorizons<br />

Camlog, like many Henry Schein companies<br />

around the world, has begun a journey toward<br />

better measuring and progressing on ESG<br />

action and disclosure and recognises the critical<br />

importance of this work and our global alignment<br />

for maximum impact.<br />

We strongly believe that our sustainability efforts<br />

today build on our long history of integrating our<br />

sense of purpose into the way we operate our<br />

business. DA<br />

References<br />

1<br />

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

India Team of the Global Oral Reconstruction Group honored with the 2021<br />

Marketing Events Award.<br />

The AltaDent Camlog team<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 25


DENTAL PROFILE<br />

Communication and<br />

collaboration drive exocad<br />

forward<br />

Having joined exocad, an Align Technology company, in 2020, Christine Amber<br />

McClymont has brought extensive knowledge in the dental and medical<br />

industries as well as financial services. She has succeeded in expanding<br />

exocad’s visability within the dental software market. McClymont speaks with<br />

<strong>Dental</strong> <strong>Asia</strong> about why exocad’s open software and open communication style<br />

inspire loyalty and commitment within the digital dental community.<br />

You have vast experience in marketing and<br />

communications. What piqued your interest<br />

to work in the dental industry, particularly at<br />

exocad?<br />

Christine Amber McClymont: I was in financial<br />

services for a decade, and in the medical<br />

industry for a couple of years before working<br />

in the dental industry. One of the main reasons<br />

why I was excited about the opportunity to<br />

join the exocad team was because exocad is<br />

a leading company in digital dentistry. And at<br />

exocad, everyone is really working together as<br />

one team. We have a great team spirit, plus<br />

lots of opportunities to advance professionally,<br />

to collaborate and grow. I enjoy working<br />

with so many highly motivated people who<br />

are passionate about making a difference<br />

for dental professionals, paving the way in<br />

the growing digital dentistry, and, ultimately,<br />

creating better patient care. What I like about<br />

the dental sector is that it’s very close-knit.<br />

In general, dental is a very progressive and<br />

dynamic industry. I’ve met many thought<br />

leaders, who are very inspirational people, and<br />

I appreciate working with them.<br />

What excites you the most in this role?<br />

McClymont: I have enjoyed building out an<br />

integrated marketing and communications<br />

team. We’re creating global campaigns with<br />

regional focus, in collaboration with regional<br />

and local partners, and with very broad-level<br />

support from within the company. exocad<br />

succeeds because the leadership believes in flat<br />

hierarchies, trying new and creative approaches,<br />

and being brave with new ideas. That’s a very<br />

inspiring environment within which to work. I’ve<br />

also had the opportunity to develop exocad’s<br />

brand from that of a start-up company into an<br />

industry leader.<br />

How would you describe your leadership style,<br />

and how does it complement the company’s<br />

culture?<br />

McClymont: In one word: collaborative. I like<br />

to motivate people, cheer them on, and see<br />

them grow and advance in their careers. I think<br />

it’s important to learn each team member’s<br />

strengths and help them grow. I don’t believe<br />

in micromanagement. I delegate where<br />

appropriate, and there’s a lot of opportunity for<br />

team members to take ownership of projects.<br />

Above all, I think it’s important maintain a<br />

positive vibe.<br />

Despite the promising outlook of digital<br />

dentistry, there are still a number of dental<br />

professionals (especially in South East <strong>Asia</strong>)<br />

taking a conservative approach to adopting<br />

the technology. What do you think causes<br />

the bottleneck in the transition to digital<br />

technology?<br />

McClymont: The majority of labs in Europe<br />

and the US use digital technology. In the <strong>Asia</strong>n<br />

Christine Amber McClymont,<br />

Global Head of Marketing and<br />

Communications at exocad<br />

26 DENTAL ASIA MAY / JUNE <strong>2022</strong>


DENTAL PROFILE<br />

region, we actually see a rising trend of labs<br />

adopting digital technologies. That’s largely due<br />

to a greater awareness of the benefits of digital<br />

dentistry and also because the initial investment<br />

costs for hardware are dropping. High-quality<br />

scanners and printers are becoming more<br />

affordable even for smaller labs. No matter<br />

which hardware a lab chooses, we believe<br />

many will choose exocad because of our open<br />

platform.<br />

Labs are also feeling pressure to keep up with<br />

dentists. Although the adoption rate is generally<br />

lower in clinics than in labs, more dentists are<br />

investing in intraoral scanners and 3D printers.<br />

They want to increase their practice offerings<br />

and patient satisfaction. They want to offer<br />

intraoral scans instead of “messy” impressions<br />

and provide patients with previews of their<br />

proposed restorations using a 3D smile design<br />

program like our Smile Creator. Old analogue<br />

approaches will become a thing of the past at<br />

some point in time.<br />

What strategies are being implemented to<br />

address this issue, and how does the company<br />

support dental professionals in jumpstarting<br />

their digital journey?<br />

McClymont: We launched the Creator Center<br />

last year — a destination on our website where<br />

people can watch video tutorials available<br />

in Chinese and numerous other languages.<br />

We have great online content that includes<br />

comprehensive cases and short video clips.<br />

Our tutorials are also on new media channels<br />

including TikTok and WeChat, following the<br />

trends in information consumption within our<br />

target groups. And we partner with our resellers<br />

who are instrumental in communicating the<br />

benefits of exocad to the dental community.<br />

The Galway family of releases was recently<br />

launched: <strong>Dental</strong>CAD for labs, ChairsideCAD<br />

for single-visit dentistry, as well as exoplan for<br />

implant planning. What is the significance of<br />

this milestone?<br />

McClymont: We’ve made single-visit<br />

dentistry more achievable and increased<br />

our software’s ease of use. There are new<br />

time-saving features in the latest <strong>Dental</strong>CAD<br />

and ChairsideCAD versions like Instant<br />

Anatomic Morphing, and we now have artificial<br />

intelligence-assisted features like for Smile<br />

Creator where facial features are automatically<br />

detected for faster smile design. exoplan,<br />

which is often the link between clinicians and<br />

labs, provides easy and intuitive to use tools<br />

for implant planning, further increasing the<br />

collaboration between labs and practices.<br />

What other developments are being planned<br />

to help early adopters of digital technology to<br />

scale their workflow and further propel their<br />

productivity?<br />

McClymont: exocad continually focuses<br />

on increasing productivity. We want to<br />

support more volume in the labs by making<br />

their workflows faster and the results more<br />

accurate and predictable. On the clinical side,<br />

we’re focused on using our tools to increase<br />

productivity and patient engagement. Like with<br />

Smile Creator, visualising restorative treatments<br />

using a combination of 2D and 3D images helps<br />

make patient outcomes more predictable.<br />

exocad continues to be open and is integrating<br />

new materials, implant systems and equipment<br />

that are launched in the market. Our software<br />

developers design and innovate based on<br />

the needs of labs and clinicians. Then the<br />

technicians and clinicians can choose the<br />

software that best boosts their productivity. This<br />

makes exocad an excellent choice for users at<br />

all stages of the digital dentistry journey.<br />

How does exocad ensure that practitioners<br />

keep up with the advancements?<br />

McClymont: If you want to stay on top of the<br />

newest and latest information and products<br />

from exocad, register for our News Bites<br />

newsletter and discuss your goals with an<br />

authorised exocad reseller in your region. We<br />

also work with dental thought leaders around<br />

the world who educate their peers on how to<br />

best use exocad software for their specific<br />

needs.<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 27


DENTAL PROFILE<br />

What is your marketing strategy as it pertains<br />

to the <strong>Asia</strong>-Pacific region?<br />

McClymont: We have a dedicated and<br />

experienced marketing team who oversee<br />

the <strong>Asia</strong>-Pacific region and local teams in<br />

China, South Korea and India who tailor our<br />

marketing strategy to the needs of the dental<br />

communities there. We are continuing to build<br />

out our network of thought leaders and are<br />

taking an increasingly regional approach to our<br />

campaigns.<br />

What makes exocad distinctive from other<br />

brands?<br />

McClymont: The exocad software is open and<br />

so is our company culture. We like to have a<br />

close and direct dialogue with our community.<br />

We solicit feedback directly from users on<br />

social media platforms. Our large, devoted user<br />

base or “exoFamily” has grown organically and<br />

has a strong sense of community. We cultivate<br />

that spirit, and many users feel like they are<br />

part of something important. exocad is also<br />

distinctive because our software continues to<br />

broaden and expand the possibilities of digital<br />

dentistry. Like we say, all you have to do is<br />

“Imagine the CADabilities.”<br />

What more can the industry expect from<br />

exocad in the next five to 10 years?<br />

McClymont: We will continue to innovate<br />

to serve our customers. Our software<br />

development will be guided by the desire to<br />

meet their needs today and in the future. We<br />

will continue to push the boundaries of digital<br />

dentistry and stay on the cutting edge.<br />

What could be the long-term impact of the<br />

pandemic on market trends?<br />

McClymont: The pandemic showed that<br />

going digital is beneficial to workflows. Digital<br />

technology requires less physical contact and<br />

offers more workplace flexibility.<br />

What do you think is the most important<br />

lesson the pandemic situation has imparted to<br />

the dental community?<br />

McClymont: The pandemic really highlighted<br />

the benefits of digital dentistry: flexibility, fewer<br />

physical meetings between lab technicians and<br />

dentists, fewer patient visits, more remote work<br />

options, and faster online communication — for<br />

example with exocad’s online collaboration<br />

platform dentalshare. Above all, digital<br />

dentistry ensures treatment continuity for<br />

patients, even in the midst of the pandemic.<br />

What message you would like to leave to<br />

your customers in the region?<br />

McClymont: We are committed to engaging<br />

directly with our users in this region. We have<br />

some exciting interview on the horizon with<br />

respected dentists and labs that we’ll post on<br />

our exoBlog, and we’ll of course be at the big<br />

dental gatherings this year, like SIDEX <strong>2022</strong> in<br />

Seoul and Sino <strong>Dental</strong> in Beijing.<br />

Please share also your cases with us on<br />

Instagram and WeChat. We want to see<br />

what you’re doing and look forward to your<br />

joining us at upcoming in-person events. And<br />

if you have any questions about the exocad<br />

software solutions best fit your needs, check<br />

out our CAD Configurator online. You can<br />

find your ideal software package in just a few<br />

clicks. *<br />

Is there anything else you would like to add?<br />

McClymont: As of February <strong>2022</strong>, customers<br />

can easily upgrade their <strong>Dental</strong>CAD license<br />

in our online shop. They simply choose their<br />

reseller and get a fast upgrade wherever they<br />

are in the world. Make sure to check it out. We<br />

are also building out our team in <strong>Asia</strong>-Pacific,<br />

and will soon open a new headquarters in<br />

Seoul, South Korea. DA<br />

*<br />

https://exocad.com/cadconfigurator/<br />

28 DENTAL ASIA MAY / JUNE <strong>2022</strong>


<strong>Dental</strong>CAD<br />

The powerful CAD software<br />

DENTAL PROFILE<br />

I love using many different<br />

tools to create art. In my<br />

lab, I enjoy the infinite<br />

possibilities <strong>Dental</strong>CAD<br />

gives me.<br />

Carla Arancibia<br />

<strong>Dental</strong> technician<br />

and illustrator<br />

<strong>Dental</strong>CAD, with its cutting-edge<br />

features accelerated my lab’s workflows.<br />

Instant Anatomic Morphing<br />

adapts tooth anatomy in real time<br />

during anatomic tooth placement<br />

and AI detects facial features in<br />

Smile Creator, saving valuable<br />

time and boosting design speed.<br />

Imagine the CADABILITIES<br />

Explore how this powerful design<br />

software will make your life easier<br />

and improve your productivity.<br />

exocad.com/dentalcad<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 29


CLINICAL FEATURE<br />

Preventing<br />

implant complications<br />

By Dr Kevin Ng and Dr Zevon Ng<br />

Implant complications arguably increase<br />

the risk to patients. The term “success”<br />

should be absent of any complications,<br />

pathology or unpredicated which requires<br />

chairside time to be treated or repaired.<br />

Explaining to patients what is expected and<br />

self-care are the most important factors.<br />

Well treatment planning and regular reviews<br />

every four to six months for maintenance<br />

are the best ways to avoid complications. In<br />

general, implants complications occur in the<br />

following situations:<br />

Fig. 1<br />

DISCUSSION<br />

A. Biological and technical complications<br />

The most common reason for complications<br />

to occur is insufficient implant treatment<br />

planning which may lead to unnecessary<br />

complications and positional failure. To<br />

reduce complications, proper planning<br />

requires a good understanding and<br />

knowledge of anatomy, implant fixture or<br />

prosthetic designs and the use of surgical<br />

guides. Malposition of an implant can result<br />

in long-term biological or mechanical<br />

complications.<br />

The aesthetic outcome of the crown relates<br />

to the soft tissue profile, level, tone and<br />

thickness. It is important to understand that<br />

“the soft issue frames the restoration”.<br />

Many authors have written on different<br />

methods of increasing bulk by increasing<br />

the volume of soft tissue. It is important<br />

to manage at an early stage as part of<br />

implant planning from start to finish.<br />

Ensure atraumatic extraction and gentle<br />

management of soft tissue during surgery.<br />

Biomechanical failures: The most common<br />

failures are the loosening of screws and<br />

Fig. 3<br />

breakage of implant components, which<br />

can be avoided with proper planning<br />

from the beginning. A thorough and good<br />

understanding of the implant system and<br />

screw joint mechanism and application<br />

of proper torque as recommended by<br />

the manufacturer. The failure rate in the<br />

single-tooth restoration was reported as<br />

10% 2 .<br />

Today, with modern designs in connections<br />

and components, we can avoid or minimise<br />

failure by using a component that allows<br />

us to reach high preloads and devices<br />

that allow us to control torquing forces.<br />

Implants made with internal connection<br />

or are screw-free are less prone to screw<br />

loosening and fracture.<br />

Fig. 2<br />

Another biomechanical failure could be due<br />

to the fracture of the prosthesis caused by<br />

metal fatigue. Porcelain fracture is common<br />

and can be overcome by the choice of<br />

zirconia material and a well-planned occlusal<br />

scheme 2 .<br />

Operators experiences: Failure rates were<br />

twice higher for surgeons who had placed<br />

50 or fewer implants compared with<br />

surgeons who had placed 50-over implants.<br />

Bone over-heating was the most common<br />

problem during installations. However,<br />

more experienced surgeons tend to be<br />

overconfident to treat more complicated<br />

cases which can be at an increased level of<br />

implant failure.<br />

Surgical trauma, contamination, medications:<br />

The surgical preparation of the implant site<br />

induces a zone of dead bone around the<br />

fixture which affects the osseointegration to<br />

take place. Micromovement of the implant<br />

is related to the optimal fit between the<br />

fixture and the drilled site. Adequate cooling<br />

30 DENTAL ASIA MAY / JUNE <strong>2022</strong>


CLINICAL FEATURE<br />

during drilling lowers the temperature<br />

which could cause thermal injury to bone<br />

and surrounding tissue. Overheating<br />

reduces wound healing and leads to soft<br />

tissue encapsulation. Bacteria provoke<br />

inflammatory reactions and destroy the<br />

surrounding tissue with the presence of<br />

granulation tissue that can cause early<br />

failure of implants. The aseptic technique<br />

is important for all oral implant therapy.<br />

Bacteria preferentially adhere to implant<br />

surfaces and form a glycocalyx to protect<br />

themselves from a host or even antibiotics.<br />

Hollow implants were reported to host<br />

more bacteria in the dead space, which<br />

increases the risk for local infections.<br />

Overdrill or overpreparation of the implant<br />

site will damage vital structures such as<br />

the nerve and blood vessel, which can<br />

cause dislocation of fixtures, especially in<br />

the lingual spaces (Figs. 1-3).<br />

Fig. 4<br />

Fig. 5<br />

Other complications associated with<br />

operating accidents include swallowing<br />

implant fixtures, screwdriver and<br />

abutments, and metal allergy. A dislodged<br />

fixture in the maxilla sinus could migrate<br />

to the orbital floor and lateral side of the<br />

nasal concha which may require surgical<br />

removal under general anaesthetic (GA)<br />

(Figs. 4-7). Pain, bruise, oedema and<br />

swelling after surgery are common if<br />

blood vessels were damaged and these<br />

cause great concerns to the patient.<br />

Uncontrolled bleeding within tissue planes<br />

could cause emphysema and airway<br />

obstruction. Emergency tracheotomy may<br />

be required to avoid suffocation and death<br />

(Fig. 8).<br />

Fig. 6<br />

Fig. 7<br />

B. Pre- or post-loading complications<br />

1. Framework fracture<br />

2. Technical veneer chip or fracture<br />

3. Screw loosening or fracture<br />

4. Abutment fracture<br />

5. Loss of retention<br />

6. Implant fracture<br />

7. Loss of integration<br />

8. Food trapping due to insufficient<br />

contact points and black triangles<br />

9. Misfit Implant abutment interface<br />

and framework veneer interface<br />

Fig. 8<br />

10. Implant loosening and dislodgement<br />

reported before and after loadings could<br />

be due to post-operation infections or<br />

overloading that causes supporting bone<br />

destruction<br />

A parallel x-ray technique can be used<br />

to check the fitting of parts. Beams<br />

should be direct to 90° to the film and<br />

fixture. If the image is sharp on one<br />

side and blurred on the other side, this<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 31


CLINICAL FEATURE<br />

may indicate the beam angle to the<br />

implant is not right.<br />

Cement should complete settling first,<br />

then screw-in abutment with a crown<br />

to ensure no excess cement outside<br />

the margin, which would increase<br />

roughness and food trap that would<br />

cause peri-implantitis in the long<br />

term.<br />

Papaspyridakos reported that 70%<br />

of complications occurred in the<br />

full-arch prosthesis in five years<br />

and 91.5% in 10 years. The common<br />

technical complications were veneer<br />

chipping, abutment screw loosening,<br />

and abutment screw fracture due<br />

to heavy parafunctional habits that<br />

caused overloading. They suggested<br />

overcoming these complications by<br />

proper planning and knowledge of<br />

material including screw mechanism<br />

and design.<br />

Fig. 9 Fig. 10<br />

High-risk patients should be informed<br />

of the high incidence of complications<br />

including fees concerned to repair<br />

and replace, especially for high-risk<br />

group patients like smokers, bruxism<br />

and diabetics. Patients wearing<br />

complete dentures exert less pressure<br />

than natural teeth or implanted teeth<br />

as opposing dentitions 4 .<br />

Fig. 11 Fig. 12<br />

C. Implantitis<br />

Poor oral hygiene and plaque<br />

accumulation cause marginal tissue<br />

reactions in osseointegrated implants.<br />

The inflammatory changes lead to<br />

two stages of syndromes:<br />

a) peri-implant mucositis confined to<br />

superficial soft tissue<br />

b) peri-implantitis that involves the<br />

deeper soft tissue and bone around<br />

implants (Figs. 9-10)<br />

Fig. 13 Fig. 14<br />

Patients with thick gingival biotype<br />

and intact buccal bone, flapless<br />

approach and provisional crown may<br />

produce little risk. Patients with a<br />

history of periodontitis are reported<br />

with a lower success rate and require<br />

Fig. 15 Fig. 16<br />

32 DENTAL ASIA MAY / JUNE <strong>2022</strong>


CLINICAL FEATURE<br />

antibiotics. Chronic infection is not an<br />

absolute contra-indication.<br />

The surface roughness of implants<br />

increases bacterial colonisation both<br />

supra- and sub-gingivally. It becomes<br />

difficult to remove mechanically<br />

and compromises the host’s defence<br />

mechanism. The porous surface<br />

provides an excellent environment<br />

for bacteria to grow. Therefore,<br />

the development and design of<br />

biomaterials decrease adherences of<br />

periodontal pathogens, which include<br />

Gram-negative anaerobic, spirochetes<br />

and anaerobes rods. The design of<br />

abutment and implant junctions should<br />

be stressed since they may play a vital<br />

role in peri-implantitis.<br />

The correlation found between deep<br />

pockets of over 5mm and pathogens<br />

provides ideal bleeding ground for a<br />

pathogen to grow. However, whether<br />

this is a specific or non-specific<br />

infection is unknown. Peri-implant<br />

mucositis is the most frequent<br />

biological complication of implant<br />

and is related to failure – it causes<br />

excessive per implant crestal bone<br />

loss that could exceed 2mm bone<br />

loss vertically and horizontally 5 . The<br />

horizontal bone lost will increase<br />

fixture fracture (Figs. 11-12).<br />

D. Patient satisfaction and aesthetic<br />

complaints<br />

A successful implant does not purely<br />

rely on its survival rate over the years.<br />

The aesthetic outcome has become a<br />

particularly important requirement for<br />

success. The mean recession of facial<br />

marginal mucosa ranges from 0.5-<br />

0.9mm, and by grafting the marginal<br />

defects with autogenous bone on facial<br />

bone, only 5% of patients showed<br />

recession of over 0.5mm 1 .<br />

Prolonged tooth loss can lead to severe<br />

resorption of bone and soft tissue.<br />

In the anterior region, smiling or<br />

talking can cause aesthetic concerns<br />

to patients. To improve the soft tissue<br />

around the implant, soft-tissue grafting<br />

has been used. In principle, both soft<br />

and hard tissue can be augmented to<br />

improve bulk and volume (Figs. 13-16).<br />

Wiesner evaluated the efficacy of<br />

soft tissue augmentation. The aim<br />

of these randomised control trials<br />

(RCTs) studies was to find out whether<br />

connective tissue graft could be<br />

effective in augmenting at peri-implant<br />

soft tissue.<br />

The result indicates augmentation was<br />

effective in increasing thickness of<br />

peri-implant soft tissue and resulted<br />

in statistically significant better pink<br />

aesthetic score (PES) 5 .<br />

E. Infection<br />

Bacteria multiply from contamination.<br />

If the infection is allowed to mature<br />

into biofilm, it will cause inflammation<br />

of soft tissues, and increase bone loss<br />

and probing depth. As pre-intervention,<br />

evaluate prosthesis and design and<br />

with regular maintenance of oral<br />

hygiene and systematic health.<br />

Bacteria cause damage to peri-implant<br />

tissue, including the direct invasion<br />

and destruction of peri-implant tissue;<br />

release of enzyme and bone resorption<br />

factors; evasion of host defences via an<br />

indirect host-mediated inflammatory<br />

reaction; and a combination of all<br />

factors 3 .<br />

F. Anti-biofilm intervention<br />

To eliminate biofilm, disinfect exposed<br />

implant surfaces and regenerate<br />

defects. During post-intervention,<br />

establish sustainable health protocols<br />

and provide regular maintenance.<br />

CONCLUSION<br />

1. Review every four to six months<br />

for regular maintenance. Explain<br />

expectation to patients and seek<br />

cooperation.<br />

2. Reduce positional complications with<br />

proper planning, risk evaluation, a<br />

good understanding and knowledge<br />

of implant system and materials and<br />

use of the surgical guide.<br />

3. Conduct implant placements<br />

properly and avoid complications<br />

with proper patient selection and<br />

treatment planning. DA<br />

References<br />

1<br />

Buser D., Chappulis V., Belser U., Chen S.<br />

“Implant placement post-extraction in<br />

esthetic single youth sites: when immediate,<br />

when early, when late?” Periodontology 2000,<br />

vol. 73, 2017, pp. 84-102<br />

2<br />

Chee W., Jivraj S. “Failures in Implant<br />

Dentistry”. BDJ, 2007, pp. 123-129.<br />

3<br />

Esposito M. et al. “Preview different loading<br />

strategies of dental implants:<br />

a Cochrane systematic review of randomised<br />

controlled clinical trials”.<br />

European Journal of Implantology, 2008, 1.4:<br />

pp. 259-276<br />

4<br />

Papaspyridakos P., Chen C.J., Chuang S.K.,<br />

Weber H.P., Gallucci G.O.<br />

“A systematic review of biologic and<br />

technical complications with fixed implant<br />

rehabilitations for edentulous patients”.<br />

International Journal of Oral & Maxillofacial<br />

Implants, 2012;27:102-110<br />

5<br />

Wiesner G., Esposito M., Worthington<br />

H., Schlee M. “Connective tissue grafts<br />

for thickening peri-implant tissues at<br />

implant placement. One-year results from<br />

an explanatory split-mouth randomised<br />

controlled clinical trial”. European Journal of<br />

Oral Implantology, 2010;3(1):27-35.<br />

ABOUT THE AUTHORS<br />

Dr Zevon Ng graduated<br />

with a Bachelor of<br />

<strong>Dental</strong> Surgery from<br />

the University of Hong<br />

Kong in 2012. She also<br />

obtained a Master<br />

of Science in Implant Dentistry from the<br />

same university, where she is a visiting<br />

lecturer.<br />

Dr Kevin Ng is<br />

a specialist in<br />

community dentistry.<br />

He was a visiting<br />

professor at<br />

Guangzhou Medical<br />

University, and a<br />

Hon. a/Clinical Professor at the University<br />

of Hong Kong from 2017 to 2019.<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 33


CLINICAL FEATURE<br />

PBM Implant: Intraoral<br />

Photobiomodulation Device<br />

By Dr Alan Kwong Hing DDS, MSc and Dr Alpdogan Kantarci DDS, PhD<br />

Implant stability may be affected by<br />

the initial resorption of bone at the<br />

implant surface. This may dictate the<br />

timing of implant loading and if the<br />

implant will osseointegrate. Since<br />

the discovery of osseointegration,<br />

scientists and clinicians have<br />

been investigating methods to<br />

enhance osseointegration by<br />

improving implant characteristics<br />

and improving the environment<br />

around the dental implant to<br />

provide optimal conditions for bone<br />

integration.<br />

MITOCHONDRIAL MECHANISM OF ACTION<br />

Cells and tissues are damaged and have decreased<br />

blood supply leading to - decreased burning, proton<br />

pumping and ATP production.<br />

Photons from PBM Healing light stimulate<br />

Cytochrome C oxidase to pump protons > increased<br />

proton production > ATP production<br />

Using the science of<br />

photobiomodulation (PBM), the<br />

PBM Implant does not address<br />

the characteristics of the implant;<br />

instead, its mechanism of action<br />

is to enhance the biology of the<br />

surgical area and improve the<br />

healing of the bone and soft tissues,<br />

which will improve initial stability<br />

of the implant and the healing of<br />

the bone and surrounding tissues.<br />

The goal is to improve implant and<br />

bone grafting success rates, reduce<br />

post-operative pain and improve<br />

long term soft tissue and bone<br />

health. By improving the biology<br />

and enhancing the person’s healing<br />

process, implant treatment may be<br />

considered for those who may not<br />

have been a candidate before due<br />

to medical compromise, timing and<br />

others.<br />

IMPLANT HEALING PROCESS<br />

The energy of the light is absorbed by the cells<br />

and converted into chemical energy ATP<br />

The increased ATP is used by the cells allowing for<br />

faster healing of the bone and surrounding tissues<br />

around the implant which decreases healing time<br />

Several In vivo and In vitro studies<br />

have demonstrated that the use of<br />

PBM may improve bone repair in<br />

Damage to the bone and tissues with implant<br />

placement<br />

Tissue response with osteoclastic activity and loss<br />

of implant stability—this process is reversed with the<br />

enhanced bone healing associated with PBM Implant<br />

34 DENTAL ASIA MAY / JUNE <strong>2022</strong>


CLINICAL FEATURE<br />

surgical defects. Greater and faster bone<br />

formation was seen in irradiated defects<br />

and surgical wounds when compared<br />

with control groups. Research has shown<br />

that PBM will increase implant stability<br />

after surgery and improve bone healing.<br />

The use of PBM has also been shown to<br />

decrease pain levels in medical and dental<br />

treatment 1-6 .<br />

WHY USE PBM IMPLANT?<br />

Dentists who use PBM Implant can provide<br />

their patients with increased success rates,<br />

shorter healing periods and less pain. They<br />

can treat more patients previously not a<br />

good candidate and as a result, achieve<br />

better treatment outcomes. This will allow<br />

dentists to treat more implant patients<br />

due to improved patient success and<br />

satisfaction.<br />

The PBM Implant offers the following<br />

advantages:<br />

• Simple and easy to use<br />

• Hands-free use allows one to work while<br />

being treated<br />

• Portable and can be used anywhere<br />

• One six-minute treatment per day per<br />

surgical site<br />

• Non-invasive, as it only uses light<br />

• Drug-free<br />

• Enhances patient’s healing ability<br />

• Offered in one size, therefore minimising<br />

inventory<br />

• Can treat one sextant at a time, two<br />

sextants on the opposite side of the<br />

mouth or the entire arch in one session<br />

• No changes made to existing implant<br />

system or bone graft materials<br />

• No changes to the clinic’s surgical or<br />

prosthetic protocols<br />

Segmental illumination to allow separate areas or the entire mouth to be treated<br />

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

CLINICAL CASE USING PBM<br />

SCIENCE OF PBM<br />

How it works: Harnessing the photo<br />

Cytochrome c oxidase present in<br />

mitochondria can absorb photons and<br />

convert this EMF energy into chemical<br />

energy (ATP). During the implant placement<br />

process, the wounded tissue and<br />

bone around the implant are ischemic and<br />

hematopoietic from the surgical manipulation<br />

of the bone and soft tissues. Precursor<br />

cells and fibroblasts have decreased ATP<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 35


CLINICAL FEATURE<br />

Pharmacy, Tirgu Mures, Romania, Journal of<br />

Optoelectronics and Advanced Materials. Vol.<br />

17, No. 5-6, <strong>May</strong> – <strong>June</strong> 2015, p. 552 - 555<br />

4<br />

Beresescu, Gabriela, Baldean, Alina , Monea,<br />

Adriana. “Effects of Low-Level Laser Therapy<br />

on Bone Regeneration of Intrabony Defects<br />

of Patient with Special Needs”. Division: World<br />

Workshop on Oral Health and Disease In<br />

AIDS Meeting: 2019 World Workshop on Oral<br />

Health and Disease in AIDS (Bali, Indonesia)<br />

Location: Bali, Indonesia. Year: 2019.<br />

5<br />

Tancan Uysal 1, Abdullah Ekizer, Huseyin<br />

Akcay, Osman Etoz, Enis Guray. “Resonance<br />

frequency analysis of orthodontic<br />

miniscrews subjected to light-emitting diode<br />

photobiomodulation therapy” Eur J Orthod.<br />

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

Epub 2010 Dec 27.<br />

6<br />

Kulkarni, S., Meer, M. & George, R. “Efficacy<br />

of photobiomodulation on accelerating bone<br />

healing after tooth extraction: a systematic<br />

review”. Lasers Med Sci 34, 685–692 (2019).<br />

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

and decreased metabolism. PBM treatment<br />

delivers energy to the cells directly<br />

to increase the production of ATP which<br />

accelerates soft tissue wound healing and<br />

bone formation. There is also increased<br />

blood flow to the area to enhance the<br />

healing process.<br />

Additionally, the device features the<br />

following:<br />

• Can be used with any implant and bone<br />

grafting system<br />

• Applicable on the upper and lower arch<br />

• Has a soft and comfortable mouthpiece<br />

• Powered by a strong external battery<br />

• Functions as a take home device and low<br />

maintenance for use during the healing<br />

period and after active treatment<br />

Clinical benefits in implant dentistry and<br />

bone grafting using PBM Implant are:<br />

• Shortened treatment times and faster<br />

integration<br />

• Minimised early failures due to loss of<br />

stability<br />

• Faster loading<br />

• Directly accelerate the regenerative<br />

process of bone<br />

• Enhanced soft tissue healing<br />

• Decreased patient discomfort<br />

• Compatible with existing implant<br />

system<br />

• Treat single or multiple sites with use of<br />

the same device<br />

Meanwhile, the practice benefits from:<br />

• Improved patient satisfaction as<br />

a faster, less painful treatment<br />

experience<br />

• Enhanced productivity<br />

• Practice differentiator<br />

• Faster implant loading with prosthesis<br />

CONCLUSION<br />

Using PBM results in greater patient<br />

satisfaction with less pain, swelling and<br />

discomfort. A warm soothing sensation<br />

that is pleasant to the tissues makes the<br />

healing process better. For the clinician,<br />

the result is faster bone graft healing,<br />

faster implant stability and faster<br />

loading times, as well as treatment of<br />

patients who would previously have not<br />

been a good candidate. Long term use of<br />

PBM Implant after active treatment may<br />

enhance soft tissue and bone health to<br />

lessen peri-implantitis. DA<br />

References<br />

1<br />

Brawn P, Kwong Hing A, Boeriu S and Clokie<br />

CM. Accelerated Implant Stability after LED<br />

Photobiomodulation. J Dent Res 87 (Spec iss<br />

B):2021, 2008<br />

2<br />

Ediz Deniz, Ahmet Arslan, Nurettin<br />

Diker, Vakur Olgac & Ertugrul Kilic (2015):<br />

“Evaluation of light-emitting diode<br />

photobiomodulation on bone healing<br />

of rat calvarial defects”. Biotechnology<br />

& Biotechnological Equipment, DOI:<br />

10.1080/13102818.2015.1036774<br />

3<br />

G. Bereşescu*, M. Monea, D. Pop, S. Mucenic,<br />

A. Monea. University of Medicine and<br />

ABOUT THE AUTHORS<br />

Dr Alan Kwong Hing<br />

DDS, MSc graduated<br />

with his Doctor of<br />

<strong>Dental</strong> Surgery degree<br />

(with distinction)<br />

from the University<br />

of Western Ontario.<br />

He received the University Gold Medal<br />

and completed a concurrent Master’s<br />

Degree in Pathology with a focus on Bone<br />

Biology. He has earned multiple degrees<br />

and received numerous awards including<br />

the IADR predoctoral Hatton Award.<br />

Dr Alpdogan Kantarci,<br />

DDS, PhD, is a<br />

certified specialist<br />

of Periodontology<br />

(CAGS) and a<br />

Diplomate of the<br />

American Board of<br />

Periodontology. He is a senior member<br />

of the staff (Professor) at the Forsyth<br />

Institute in Cambridge, MA, and serves as<br />

a faculty member at Harvard University<br />

School of <strong>Dental</strong> Medicine and an adjunct<br />

professor at Boston University’s Henry<br />

Goldman School of <strong>Dental</strong> Medicine.<br />

36 DENTAL ASIA MAY / JUNE <strong>2022</strong>


CLINICAL FEATURE<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 37


USER REPORT<br />

Becoming<br />

a digital<br />

practitioner with<br />

TRIOS scanner<br />

By Leif Svensson<br />

Recording 2,500 scanning cases<br />

for me is a great milestone with a<br />

lot of clinical highlights. Amid the<br />

2,500 cases, I was able to build a<br />

specialised training programme for<br />

the largest TRIOS scanner roll-out in<br />

<strong>Asia</strong>-Pacific, spanning 100 locations<br />

with over 500 practitioners. I have<br />

had the opportunity to work with<br />

many practitioners along the journey<br />

and have learned so much, especially<br />

in the world of digital implant<br />

planning and scanning.<br />

knowledge is attained so get to the<br />

100th milestone as soon as possible<br />

after the first training session.<br />

3. In-surgery set-up: Set the scanner<br />

on the most versatile rolling stand<br />

or a TRIOS MOVE+. I have found<br />

several good scanner accessories<br />

from Anatomic4d, but there are<br />

many alternatives available in<br />

the market.<br />

4. Adopt a good scanning posture:<br />

This is critical—decide if a<br />

stand-up, front approaching<br />

posture, or sit-down, rear<br />

approach scanner. Master<br />

positioning the body according<br />

to the arch and indication. I even<br />

think about posture as it relates<br />

to the quadrant I am working<br />

on. Position the body where the<br />

Here are my top 10 learnings after<br />

scanning 2,500 dental cases.<br />

1. Good hardware: Research and<br />

acquire the best scanner you<br />

find most affordable.<br />

2. Be fearless: It is normal to<br />

expect nervousness in the first<br />

10-20 scans. But after conducting<br />

100 scans, more experience and<br />

38 DENTAL ASIA MAY / JUNE <strong>2022</strong>


USER REPORT<br />

scanner head is parallel to the<br />

area you are capturing. It is good<br />

to learn and memorise these<br />

positions in surgery.<br />

5. Always support the scanner<br />

tip: At all times, try to achieve a<br />

bipodised support position for<br />

the scanner tip with another<br />

finger or part of the hand. The<br />

support finger should thus be<br />

supported by a patient landmark,<br />

such as a tooth, sulcus or other.<br />

Do take note that a swap of the<br />

support finger might be required<br />

when scanning around the<br />

patient’s mouth. Use the support<br />

finger to steer the scanner. It<br />

is a handy pivot and scanner<br />

head rotation point, especially<br />

when crossing the patient’s<br />

midline. I also use scanner<br />

bipodisation positions to retract<br />

soft tissue while still capturing<br />

and supporting the scan head.<br />

This is a great asset. OptraGate<br />

is good when capturing tooth<br />

surfaces. When capturing soft<br />

tissue, however, this form of<br />

retraction can get in the way.<br />

Finger retraction is the best—the<br />

retraction finger becomes the<br />

support bridge between the<br />

hand and scanner head support,<br />

and just rolls along clearing a<br />

path for capture.<br />

6. Be critical of your scans: Do not<br />

be afraid to ditch and go again.<br />

7. Trim: Trim the scans according<br />

to the application indication.<br />

Look for foreign detached and<br />

attached anomalies in the scans,<br />

especially when conducting<br />

non-artificial intelligence (AI)<br />

scanning.<br />

8. Find a good lab: Find a<br />

laboratory that communicates<br />

well. Some laboratories have<br />

direct technology links these<br />

days. Good support is key when<br />

starting.<br />

9. Be patient with edentulous<br />

scans: Edentulous areas are<br />

the most challenging to scan,<br />

whether full or partial. Build up<br />

to it. Start small and increase as<br />

more confidence is gained.<br />

10. Be inventive: It is not necessary<br />

to follow the exact predefined<br />

manufacturer scan strategy,<br />

especially in cases with large<br />

edentulous areas. My general rule<br />

when there are missing teeth is<br />

to always start where the hardest<br />

structures are. In this case, start<br />

where the most teeth are, then<br />

build the scan path from there. DA<br />

ABOUT THE AUTHOR<br />

Leif Svensson<br />

is the clinical<br />

director of<br />

Affordable<br />

Dentures &<br />

Implants in<br />

Australia. He<br />

is a clinical<br />

practitioner with a history of working<br />

with industry professionals to<br />

achieve complex oral restorations,<br />

especially in the realm of implant<br />

prostheses. Having founded and led<br />

a denture care roll-out in Australia<br />

with over 44 locations, Svensson also<br />

established a large dental laboratory<br />

in Australia, as well as championing<br />

industry digital innovation for implant<br />

arch scanning.<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 39


USER REPORT<br />

Minimally invasive and<br />

highly aesthetic gap closure<br />

with layered feldspar ceramic<br />

By Dr Su Yu-Lung and Shih Tsai-Lieh<br />

For some, a gap is a distinctive<br />

feature. Others want to close the<br />

gap of a pronounced diastema<br />

between the two central incisors<br />

in their upper jaw for cosmetic<br />

or phonetic reasons. In such<br />

cases, a disease involving the<br />

hard tissue of the teeth is not the<br />

reason for treatment. Therefore,<br />

minimally invasive procedures are<br />

essential for such purely cosmetic<br />

restorations.<br />

Fig. 1<br />

In addition, preparations in enamel<br />

are beneficial in terms of the<br />

adhesive bond, and for clinical<br />

long-term success. The restorative<br />

material should be able to<br />

reproduce the shade and character<br />

of the natural hard tooth substance<br />

in a limited space to be able to<br />

achieve a harmonious morphology,<br />

despite the low tissue removal. In<br />

the following case study, dentist Dr<br />

Su Yu-Lung from Pin Wei <strong>Dental</strong><br />

Clinic, Hsinchu, Taiwan, and dental<br />

technician Shih Tsai-Lieh from<br />

ChuangYi <strong>Dental</strong> Lab, Changhua,<br />

Taiwan, show how they were<br />

able to work together to close an<br />

unwanted gap in the aesthetic zone<br />

with layered fine-structure feldspar<br />

ceramic.<br />

CASE STUDY<br />

A 30-year-old patient presented<br />

a pronounced diastema between<br />

the two anterior teeth in his<br />

Fig. 2<br />

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

Fig. 2: The pronounced diastema between the central incisors in the upper jaw<br />

upper jaw. He was dissatisfied<br />

with the aesthetics and wanted<br />

the gap to be closed. Previous<br />

orthodontic treatment had not<br />

produced the desired results.<br />

The clinical examination revealed<br />

narrow central incisors that were<br />

positioned in a slightly flared<br />

lateral position and tapered<br />

sharply in the incisal direction. The<br />

diastema was approximately 2mm<br />

wide in the marginal region and<br />

widened successively to 6mm in<br />

the incisal direction. To close the<br />

gap, the practitioner and patient<br />

opted for a minimally invasive<br />

restoration using feldspar ceramic<br />

veneers fabricated on refractory<br />

dies, while simultaneously giving<br />

teeth 11 and 21 a full morphology.<br />

To enable the aesthetic work to<br />

be carried out in a very confined<br />

40 DENTAL ASIA MAY / JUNE <strong>2022</strong>


USER REPORT<br />

space, the dental technician<br />

selected the fine-structure feldspar<br />

ceramic system VITA VM 9 for<br />

layering.<br />

PREPARATION AND TOOTH<br />

SHADE DETERMINATION<br />

For the minimally invasive<br />

preparation, only slight chamfers<br />

were created cervically; the<br />

vestibular expansion was<br />

recontoured minimally, and<br />

the incisal area was shortened<br />

moderately. Retraction threads<br />

were placed to achieve a precise<br />

impression with A-silicone. To<br />

ensure basic shade harmony<br />

between the restorations and the<br />

natural dental hard tissue, the<br />

tooth shade was determined using<br />

the VITA Linearguide 3D-MASTER,<br />

which reproduces the entire<br />

tooth shade range using 26 shade<br />

tabs. In two systematic steps, the<br />

VITA Valueguide 3D-MASTER was<br />

used to determine the lightness<br />

from zero to five in the first step.<br />

This was followed by matching<br />

the colour saturation and hue<br />

with the corresponding VITA<br />

Chroma/Hueguide 3D-MASTER.<br />

The selected shade tab 3M2 was<br />

finally photographed intraorally for<br />

orientation in the laboratory. Based<br />

on the tooth shade determination,<br />

a layering pattern was also created<br />

on the patient. This was followed by<br />

taking an impression and fabricating<br />

the temporary restoration.<br />

Fig. 3<br />

Fig. 4<br />

Fig. 5<br />

FABRICATING THE MODEL AND<br />

LAYERING<br />

For fabricating the veneers, a model<br />

with a gingival mask and refractory<br />

dies at 11 and 21 was produced<br />

based on the impression. In the<br />

preliminary layering, the mesial<br />

edges were built up with a mixture<br />

of EFFECT LINER 2 (beige) and<br />

6 (green-yellow) to support the<br />

basic tooth shade in the enamelfree<br />

area. After an initial firing,<br />

the dentine core was layered with<br />

Fig. 6<br />

Fig. 3: Tooth shade determination with the VITA Linearguide 3D-MASTER<br />

Fig. 4: A morphological layering pattern was created and transferred to digital photography<br />

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

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

DENTAL ASIA MAY / JUNE <strong>2022</strong> 41


USER REPORT<br />

BASE DENTINE 3M2 (70%) and<br />

WINDOW (30%). After refiring,<br />

the incisal area was created with<br />

an alternating layering of EFFECT<br />

ENAMEL 7 (orange translucent),<br />

9 (bluish translucent), 10 (blue), and<br />

11 (grayish translucent), and the<br />

cervical area was intensified using<br />

SUN DENTINE 2 (light orange).<br />

Fig. 7 Fig. 8<br />

After fixing the intermediate result<br />

with another firing, the upper third<br />

of the restoration was covered<br />

with ENAMEL LIGHT, and the core<br />

of the incisal area was modified<br />

with EFFECT PEARL (pastel yellow)<br />

to reproduce the effects of a<br />

youthful tooth structure. After the<br />

final enamel firing, the delicate<br />

restorations were carefully finished<br />

and polished using fine-diamond<br />

instruments, which proved easy,<br />

thanks to the fine-structure<br />

feldspar ceramic. Finally, the two<br />

veneers were finished with the<br />

glaze firing.<br />

Fig. 9 Fig. 10<br />

Fig. 11 Fig. 12<br />

INTEGRATION AND CONCLUSION<br />

The wafer-thin restorations<br />

were tried in with glycerine gel.<br />

All parties were satisfied with<br />

the results, and the restorations<br />

were finalised by cleaning the<br />

bonding surfaces, etching with<br />

hydrofluoric acid and silanising.<br />

This was followed by phosphoric<br />

acid etching of the enamel areas<br />

and fully adhesive cementation of<br />

the restorations with composite<br />

cement. After light-curing and<br />

removal of the excess, aesthetic<br />

restoration results that harmonised<br />

with the natural hard tooth<br />

substance of the adjacent teeth<br />

were achieved. Despite preparation<br />

limited by the enamel, and the<br />

requirement for a minimally<br />

invasive procedure, natural and<br />

lively looking restorations made<br />

of fine-structure feldspar ceramic<br />

were created in an extremely<br />

confined space. The patient was<br />

very happy with his new smile. DA<br />

Fig. 13<br />

Fig. 7: The completed restorations after the finishing work on the model<br />

Fig. 8: The gingival mask was used to check the cervical contouring<br />

Fig. 9: The two delicate veneers before conditioning with hydrofluoric acid and silane.<br />

Fig. 10: After fully adhesive cementation, aesthetic treatment results were achieved<br />

Fig. 11: The two veneers harmonised with the natural hard tissue of the teeth<br />

Fig. 12: The restorations looked vibrant and gave the teeth full morphology<br />

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

ABOUT THE AUTHORS<br />

Dr Su Yu-Lung graduated<br />

from the department of<br />

dentistry at National Yang<br />

Ming University, and currently<br />

practices at Premier <strong>Dental</strong><br />

Clinic and Prevail <strong>Dental</strong><br />

Clinic in Hsinchu.<br />

<strong>Dental</strong> technician Shih Tsai-Lieh is<br />

the deputy secretary-general of the<br />

Taiwan <strong>Dental</strong> Technology Institute,<br />

and the director of Changhua<br />

<strong>Dental</strong> Association. He is also<br />

an International Certified Master<br />

<strong>Dental</strong> Technician of VITA.<br />

42 DENTAL ASIA MAY / JUNE <strong>2022</strong>


USER REPORT<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 43


USER REPORT<br />

Small diameter implants for<br />

single anterior edentulousness<br />

The limited bone volume often presented in anterior zones means that standarddiameter<br />

implants are not always possible. To avoid bone grafts, we use narrow<br />

implants that provide satisfactory results. By reviewing a few clinical cases, we will<br />

see how the use of small diameter implants to replace maxillary lateral incisors and<br />

mandibular incisors can be considerably simplified while providing results that are<br />

entirely satisfactory for the patient on an aesthetic and functional level.<br />

By Dr Richard Marcelat<br />

CLINICAL CASE 1: SMALL VESTIBULO-<br />

PALATINE BONE VOLUME<br />

A 42-year-old patient presented a bilateral<br />

agenesis of the maxillary lateral incisors<br />

(Fig. 1). The smile line analysis indicated<br />

a low smile line associated with toned<br />

lips. The oral examination showed small<br />

mesiodistal spaces in 12 and 22 as well as a<br />

rather thick gingival biotype.<br />

The patient’s reason for consultation was<br />

aesthetic. After discussing alternative<br />

solutions with the patient: orthodontic<br />

space closure, replacement with fixed<br />

dentures—bridge or crown, the patient<br />

ultimately chose implant-supported<br />

dentures. We worked in close collaboration<br />

with an orthodontist colleague, Dr Frédéric<br />

Chalas, who took responsibility for adapting<br />

the mesiodistal spaces which were required<br />

for the placement of the endosteal implants<br />

in positions 12 and 22. We saw the patient<br />

again after 14 months of orthodontic<br />

treatment (Figs. 2a–b), which consisted of<br />

wearing a multi-bracket appliance to open<br />

up the spaces at 12 and 22, while aligning<br />

the apices of adjacent teeth.<br />

Fig. 1<br />

Fig. 2a<br />

Fig. 2b<br />

CT SCAN ANALYSIS AND CHOICE OF<br />

IMPLANTS<br />

The CT scan cross sections of 12 and 22<br />

showed a limited bone volume on the<br />

Fig. 3a Fig. 3b Fig. 3c Fig. 3d<br />

Fig. 1: Baseline panoramic x-ray<br />

Figs. 2a–2b: End of orthodontic treatment<br />

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

44 DENTAL ASIA MAY / JUNE <strong>2022</strong>


USER REPORT<br />

vestibulo-palatine plane which would<br />

not allow standard diameter implants<br />

to be put in place without the use of a<br />

bone augmentation technique; the bone<br />

cortices were nevertheless preserved<br />

(Figs. 3a–d, 4).<br />

Narrow implants (Axiom 2.8 by Anthogyr)<br />

Fig. 4<br />

were used for this restoration. Axiom<br />

2.8 was designed exclusively to replace<br />

mandibular incisors or maxillary lateral<br />

incisors. It is equipped with a 3° Morse<br />

taper-type connection system with<br />

an integrated switching platform. The<br />

special feature of the system is the fact<br />

that the abutment is impacted without a<br />

transfixation screw. The false stumps are<br />

available in several gingival heights and<br />

angulation, which makes it adaptable for<br />

any prosthetic situation.<br />

Fig. 5a<br />

Fig. 5b<br />

Fig. 5c<br />

Fig. 5d<br />

PLACING THE IMPLANTS AND MAKING<br />

THE PROSTHESIS<br />

Placement of the implants in positions<br />

12 and 22 was done during the same<br />

operation: Under local anaesthesia,<br />

two 2.8x10 implants were placed in a<br />

subcrestal position of 0.5mm (Figs. 5a–d).<br />

Very slight sub-drilling enabled bone<br />

condensation of the specific sites. The<br />

correct three-dimensional positioning of<br />

the implant was vital for the final aesthetic<br />

result. The delay period was managed by<br />

the use of temporary crowns stuck to the<br />

orthodontic archwire, left in place for the<br />

three months of osteointegration in order<br />

to ensure post-orthodontic fixation of the<br />

teeth.<br />

Three months post-surgery, the<br />

patient’s brackets were removed by the<br />

orthodontist and the temporary crowns<br />

made directly on Peek (polyether-etherketone)<br />

healing caps (Fig. 7). The basal<br />

surface of the temporary crowns was<br />

carefully polished.<br />

Fig. 6<br />

Fig. 7<br />

Fig. 8a<br />

Fig. 8b<br />

Fig. 9 Fig. 10<br />

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

vestibular cortical plates can be noted in 12 and 22<br />

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

Fig. 6: The impressions were made by Pop-in technique<br />

Fig. 7: The temporary crowns were made on Peek healing caps<br />

Figs. 8a–b: Master model with abutments<br />

Fig. 9: Ceramic and metal crowns on the master model<br />

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

After a period of two months of gingival<br />

maturation which was put to good use by<br />

carrying out dental bleaching in an outpatient<br />

setting, the prosthetic phase could<br />

begin. The implant impressions were made<br />

with the Pop-in technique (Fig. 6), with<br />

an individual impression tray made in the<br />

laboratory. The choice of the best adapted<br />

abutment by means of the planning kit by<br />

the laboratory was a vital step. In fact, the<br />

abutment tooth could only be very slightly<br />

retouched or not retouched at all. Having<br />

four gingival heights and four angulations<br />

enabled us to adapt to any clinical<br />

situation.<br />

The laboratory made the ceramic and<br />

metal crowns (Figs. 8a–b, 9). The dentures<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 45


USER REPORT<br />

were verified in the mouth and then the<br />

ceramic crown was sealed outside of the<br />

mouth on the abutment with Fuji plus<br />

cement (Figs. 10-13b). This allowed for<br />

perfect control of excess cement and to<br />

guard against any risk of “cementitis”.<br />

The abutment and crown system was<br />

impacted with the Safe Lock system,<br />

mounted on the chair unit. The Safe<br />

Lock system made it possible to secure<br />

the impaction. The recommended five<br />

impacts were applied and the prosthetic<br />

restorations set permanently (Figs. 10 to<br />

13b). The good aesthetic result is related<br />

to the symmetry of the emergence<br />

profiles; the narrow diameter of the<br />

implant was perfectly adapted to this<br />

clinical situation.<br />

Fig. 11<br />

Fig. 12<br />

CLINICAL CASE 2: LIMITED<br />

MESIODISTAL SPACE AND CLOSENESS<br />

OF THE APICES OF THE ADJACENT<br />

TEETH<br />

A 20-year-old man presented a unilateral<br />

agenesis at 12. This patient had just<br />

finished his orthodontic treatment.<br />

His brackets had been removed a few<br />

months before. He presented with a<br />

removable partial denture while waiting<br />

for the placement of an implant. The<br />

retroalveolar x-ray exams and CT scan<br />

cross sections showed an extremely small<br />

mesiodistal space, especially at the level<br />

of the apices of the adjacent teeth (Figs.<br />

14–16).<br />

The treatment of this small space required<br />

increased precision during the surgical<br />

phase. The insertion axis was visualised<br />

on the 3D reconstruction of the CT scan<br />

cross sections using Simplant software;<br />

peroperative retroalveolar x-rays were<br />

carried out at each drilling sequence.<br />

The treatment of this very small<br />

mesiodistal space was only made possible<br />

by the use of an implant, 2.8mm in<br />

diameter (Axiom 2.8 by Anthogyr), without<br />

which it would have been necessary to<br />

resume orthodontic treatment in order<br />

to align the apices of the adjacent teeth,<br />

which this young patient did not want<br />

(Figs. 17-18).<br />

Fig. 13a<br />

Fig. 13b<br />

Fig. 13b<br />

Fig. 14<br />

Fig. 17 Fig. 18<br />

Fig. 15<br />

Fig. 16<br />

Fig. 11: Safe Lock impactor and the<br />

different caps<br />

Fig. 12: Diagram showing the<br />

number of impacts required<br />

for permanent insertion of the<br />

prosthetic parts<br />

Figs. 13a–b: Standard crowns in<br />

positions 12 and 22 in the mouth<br />

Figs. 14–16: The retroalveolar x-rays<br />

and 3D reconstructions<br />

showed significant closeness of the<br />

apices of the adjacent teeth to the<br />

agenesis in 12<br />

Figs. 17–18: 2.8 implant right false<br />

stump<br />

46 DENTAL ASIA MAY / JUNE <strong>2022</strong>


USER REPORT<br />

CLINICAL CASES 3 AND 4: SMALL<br />

ANTERO-POSTERIOR VOLUME<br />

Clinical case 3<br />

A 25-year-old woman at the end of<br />

orthodontic treatment presented with an<br />

agenesis of 22. The smile line was mediumhigh,<br />

associated with right-left asymmetry<br />

of the positioning of the anterior teeth in<br />

relation to a midsaggital plane. The analysis<br />

of the CT scan cross sections showed a small<br />

bone volume on the vestibulo-palatine plane<br />

(Figs. 19-20).<br />

Fig. 19<br />

Fig. 20<br />

Fig. 21a<br />

A narrow 2.8x12 implant was put in place<br />

(Fig. 21a). The orthodontic archwire served as<br />

fixation during the osteointegration phase of<br />

the implant and were removed three months<br />

postoperatively. A temporary crown was made<br />

on a Peek healing cap in order to manage<br />

the peri-implant soft tissues. The permanent<br />

crown would be made four months after<br />

surgery (Fig. 21b).<br />

Clinical case 4<br />

A 59–year–old patient presented with<br />

edentulousness at 31, compensated for<br />

years by a glued metal brace. After frequent<br />

detachment of this denture, the patient<br />

wanted a fixed denture. The periodontal<br />

condition of the surrounding teeth was<br />

stabilised; the available bone volume at 31 on<br />

the vestibulo-lingual plane was small. There<br />

were two surgical options: to either expand<br />

the bone and place a standard implant, or use<br />

a narrow implant. A 2.8x10 implant was put in<br />

place. After a healing period of three months,<br />

the standard ceramic and metal denture were<br />

made (Figs. 22–24).<br />

DISCUSSION<br />

The 2.8 Axiom implant made it possible<br />

to restore units in the incisor area using<br />

implant-supported dentures in cases where<br />

there was a small mesiodistal space. Having<br />

narrow implants available relieved us of<br />

having to use bone augmentation techniques<br />

by guided bone regeneration or onlay graft;<br />

techniques that can be restrictive for patients<br />

and are not always accepted.<br />

Small space, the closeness of the apices<br />

of adjacent teeth and small bone volume<br />

present real surgical difficulties in the ideal<br />

Fig. 21b<br />

positioning of implants. We believe it is<br />

important to have machined abutment<br />

teeth that integrate the concept of<br />

“platform shifting”, including on implants<br />

with a small diameter. The important<br />

choice of abutment, machined in terms of<br />

gingival height and angulation, makes it<br />

possible to adapt to any clinical situation.<br />

CONCLUSION<br />

Although we do not have the clinical<br />

retrospection to give our opinion on the<br />

strength and long-term durability of<br />

implants with small diameters at this point,<br />

the average success rate of these narrow<br />

implants is comparable to standard<br />

implants. The use of narrow implants<br />

in the management of single anterior<br />

edentulousness, especially for the<br />

replacement of mandibular incisors and<br />

maxillary lateral incisors, constitutes an<br />

important option that makes it possible to<br />

simplify the surgical approach by sparing<br />

patients from more invasive techniques and<br />

by “securing” the surgical act in relation to<br />

the roots of adjacent teeth.<br />

Many thanks to Laurent Bougette,<br />

Laboratoire Creadent in Grabels, and Dr<br />

Frédéric Chalas in Montélimar for the<br />

orthodontic treatment of the first clinical<br />

case. DA<br />

Fig. 22<br />

Fig. 23<br />

ABOUT THE AUTHOR<br />

Fig. 24<br />

Figs. 19–20: Implant plan and end of orthodontic<br />

treatment<br />

Fig. 21a: 2.8x12 implant<br />

Fig. 21b: Appearance 18 months after placement<br />

of the denture and after gingival maturation.<br />

Reforming of the papillae can be noted<br />

Figs. 22–23: Implant plan: 2.8x10 implant<br />

Fig. 24: Ceramic and metal, the day of the<br />

placement<br />

Dr Richard Marcelat holds a university<br />

diploma in oral implantology (Corte) and<br />

basal implantology (Nice). He received<br />

his implantology studies certificate from<br />

CURAIO Lyon, and currently serves as a<br />

member of ICOI. different caps.<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 47


USER REPORT<br />

Light management with Zolid HT+<br />

A smart choice of framework material for full-colour control.<br />

By Joachim Maier, MDT<br />

<strong>Dental</strong> technicians have waited long for<br />

high translucent zirconias like Zolid FX.<br />

The natural light transmission enables us<br />

to reproduce natural aesthetics with a low<br />

thickness of ceramics. A prerequisite, however,<br />

is the appropriate shade of the tooth stump<br />

substrate, one which has no negative influence<br />

on the shade result of the final restoration.<br />

Fig. 1 Fig. 2<br />

A young female patient was troubled by the<br />

discolouration of the devitalised tooth 11 and<br />

the inwardly inclined position of the two<br />

central incisors. The discoloured composite<br />

abutments on both teeth further intensified<br />

the patient’s desire to optimise her visual<br />

appearance (Figs. 2-3). Together with the<br />

patient, the dentist and I decided on crowning<br />

teeth 11 and 21 and reconstruction with<br />

all-ceramic crowns.<br />

Fig. 1<br />

Fig. 3 Fig. 4<br />

MASKING THE DARK TOOTH STUMP<br />

Due to the darker tooth stump 11, the<br />

dentist and I decided against the super<br />

high translucent Zolid FX in favour of the<br />

slightly less translucent Zolid HT+ (Fig.4).<br />

The frame material was to reduce the<br />

influence of the dark stump at a wall thickness<br />

of approximately 0.5mm, such that the<br />

subsequent veneer layer could achieve an<br />

identical brightness value and remain stable<br />

even under different light sources. The<br />

different translucencies are represented in<br />

Figure 6b.<br />

The frame is milled in Zolid HT+ White and<br />

adjusted to the desired dentin shade by<br />

applying the liquid staining technique before<br />

sintering. The frame shade selected was about<br />

half a shade lighter than the dentin of the<br />

veneer ceramics. This ensured a finely-dosed<br />

and sufficient light reflection in the depth of<br />

Fig. Fig. 3 5<br />

Fig. 6b<br />

Fig. 6a<br />

Fig. 5<br />

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

Fig. 2: Initial situation with insufficient composite abutments and discoloured tooth 11<br />

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

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

opaque frame material<br />

Fig. 5: Natural, simple characterisation with Creation CT as full veneer<br />

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

discoloured residual stump of tooth 11<br />

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

48 DENTAL ASIA MAY / JUNE <strong>2022</strong>


USER REPORT<br />

Fig. 7<br />

Fig. 8<br />

Fig. 9<br />

Fig. 10<br />

Fig. 11<br />

Fig. 12<br />

The patient opted for the second variant<br />

as she preferred the larger teeth. The<br />

selected pair of crowns were inserted and<br />

presented at the final photoshoot in<br />

Figure 13.<br />

Fig. 13 Fig. 14<br />

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

translucency of Zolid HT+ successfully masked the devitalised, discoloured residual stump at 19<br />

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

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

the tooth structure without unwanted greying<br />

at low light. The aim was to create vibrantlooking<br />

teeth with natural translucency, true<br />

colour depth and a reliable brightness value.<br />

Intact canine guidance and diagnosed normal<br />

loading of the teeth allowed both labial and<br />

complete veneer of the growns. To do this, we<br />

used Creation CT.<br />

VARIATIONS IN SHAPE<br />

The dentist and I produced two different pairs<br />

of crowns. Varying the tooth width of the two<br />

crown sets by positioning the mesial and distal<br />

lines differently, the character of the teeth was<br />

changed.<br />

Both variants were tried at two different<br />

appointments, and both sets match the<br />

patient’s face. After some minor changes,<br />

both pairs of crowns are completed. The<br />

choice of crown variation was decided by<br />

the patient. Figures 7-9 show the visually<br />

narrower variant, which fitted discreetly,<br />

inconspicuously and thus very credibly<br />

into the dental arch – this was my personal<br />

favourite.<br />

The image sequence in Figures 10-12 shows<br />

the second variant. These teeth appear<br />

bolder, larger and more rounded.<br />

A MATTER OF TASTE<br />

At my courses and lectures, I presented both<br />

restoration variants to the expert audience<br />

and had them decide which execution they<br />

liked best. The majority voted in favour of<br />

the first variant (Figs. 7-9).<br />

Our goal was to fabricate prosthetics that<br />

pleased all parties involved. In this case,<br />

the patient was satisfied with the results<br />

of the crowning, making the restoration<br />

successful. We would also like to take<br />

this opportunity to thank Dr Julia Lorenz<br />

for the documentation, which made a<br />

significant contribution to the successful<br />

result. DA<br />

ABOUT THE AUTHOR<br />

Joachim Maier is<br />

regarded as one of<br />

the first adopters<br />

of zirconia, having<br />

devoted the past 20<br />

years to metal-free<br />

dental technology.<br />

Since 2003, Joachim Maier has been a<br />

member of the Oral Design Foundation<br />

headed by Willi Geller. He also founded<br />

an independent high-tech laboratory in<br />

Überlingen, where he provides innovative<br />

technologies and materials to patients.<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 49


BEHIND THE SCENES<br />

Validating 3D-printed direct bonded<br />

orthodontic appliances: Planning,<br />

bonding, and the first five months of treatment<br />

This case study documents a phased hybrid orthodontic treatment plan,<br />

regulatory approval for this application is currently valid only in the US.<br />

Subsequent papers will document the transition from fixed appliances to<br />

clear aligners and the advantages of 3D printing in modern orthodontics.<br />

By Dr Tom Shannon<br />

INTRODUCTION<br />

Advances in digital case planning, design,<br />

and 3D printing continue to transform<br />

orthodontic practice. In 2020, Braces<br />

On Demand introduced a 510(K)-cleared<br />

platform for clinicians to design, order,<br />

and even fabricate their brackets and<br />

other direct bonded appliances in-office.<br />

Using advanced biocompatible materials<br />

and 3D printing, they introduced a<br />

solution for on-demand manufacturing of<br />

orthodontic appliances.<br />

Fig. 1a<br />

To see these advanced concepts in action,<br />

a clinical case was carried out. The focus<br />

consists of a phased orthodontic hybrid<br />

treatment:<br />

• Phase I - Fixed orthodontic treatment<br />

via 3D-printed brackets designed and<br />

ordered through the Braces On Demand<br />

platform and printed with the Form 3B<br />

and Denture Teeth Resin.<br />

• Phase II - Clear aligner treatment<br />

produced by thermoformed sheets upon<br />

3D-printed models that were fabricated<br />

with the Form 3B and Draft Resin. A<br />

final retainer will be produced at the<br />

end of the treatment via this technique<br />

as well.<br />

HISTORY AND CLINICAL EXAMINATION<br />

A healthy 12-year-old female patient<br />

presented for a consultation with the<br />

Two months of upper orthodontic alignment with Braces On Demand appliances<br />

chief complaint: “Please align my<br />

TREATMENT PLAN<br />

crooked top right tooth and also fix my A phased hybrid orthodontic treatment<br />

overbite.”<br />

plan was chosen, utilising fixed appliances,<br />

followed by clear aligner treatment. This<br />

The patient presented with a missing paper describes the first phase of the<br />

LR2, buccally impacted UR3, canted<br />

treatment with fixed appliances that were<br />

maxilla, and moderate upper and mild fabricated in-office with 3D printing.<br />

lower crowding. She also has an excessive<br />

curve of Spee and a curve of Wilson.<br />

The bracket system chosen was the Braces<br />

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

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

consent was obtained before starting and teeth and will maximise the initial rotational<br />

for case presentation purposes.<br />

and levelling benefits of bonded braces.<br />

50 DENTAL ASIA MAY / JUNE <strong>2022</strong>


BEHIND THE SCENES<br />

Since these braces were fabricated in-office<br />

at a much lower price point than traditional<br />

aesthetic brackets, this will also enable a<br />

cost-effective transition to in-office clear<br />

aligners. Clear aligners will then facilitate<br />

additional expansion movements, molar<br />

uprighting, and occlusion detail. Since this<br />

patient was missing a lower incisor, utilising<br />

3D orthodontic simulation software will<br />

idealise the position of the lower arch with<br />

the missing lower incisor.<br />

After logging into the Braces On Demand<br />

platform and ordering the desired bracket<br />

prescription, a 3D file is sent directly to<br />

Form 3B via the Remote Print feature. If<br />

the printer already has a resin tank, build<br />

platform and the correct Denture Resin<br />

cartridge inserted, the print job will start<br />

automatically once the upload is received.<br />

After printing is completed, the build<br />

platform containing the printed brackets<br />

is removed from the printer and, using a<br />

squeeze bottle filled with isopropyl alcohol,<br />

the parts are lightly rinsed to remove excess<br />

resin. A paper towel can also be used to<br />

remove any additional resin released from<br />

the printed appliances.<br />

The newly rinsed build platform is then<br />

placed into the Form Wash post-processing<br />

unit for 10 minutes, where it is gently<br />

agitated in an alcohol bath. After the Form<br />

Wash, the parts are dried using compressed<br />

air to remove residual alcohol from the<br />

surface.<br />

Fabrication of fixed appliances prior to same-day start<br />

The printed appliances are then removed<br />

from the build platform and allowed to<br />

air-dry for 20 minutes. The dried appliances<br />

are then post-cured in the Form Cure at<br />

80°C for 30 minutes, while submerged in a<br />

glycerine bath.<br />

Build platform<br />

Form Wash and Form Cure<br />

Once the post-curing process is completed,<br />

the appliances are removed from the<br />

glycerine bath and rinsed with water.<br />

Once thoroughly rinsed with water, the<br />

appliances are left to dry until they are<br />

ready to be removed from their supports<br />

and organised into bonding cards for future<br />

use.<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 51


BEHIND THE SCENES<br />

FIRST APPOINTMENT: INITIAL BONDING<br />

OF UPPER FIXED APPLIANCES<br />

Following the initial consultation and<br />

development of the phased hybrid<br />

treatment plan, the patient had upper<br />

fixed appliances bonded on the same day.<br />

The initial bonding appointment took<br />

approximately 60 minutes.<br />

The patient was bonded with Reliance<br />

Etchant (85% phosphoric acid), Reliance<br />

Assure bonding agent, and American no<br />

drift resin on the same day with aesthetic<br />

Braces On Demand braces. Since the<br />

bonding pad utilised micromechanical<br />

retention, there was no need to prepare<br />

the bonding pad of the Braces On Demand<br />

brackets. An upper 014 NiTi wire was<br />

placed after the brackets were bonded and<br />

ligated with O-Ties.<br />

Same day start with upper Braces On Demand appliances<br />

SECOND APPOINTMENT: TWO MONTHS<br />

OF PROGRESS<br />

After two months of treatment progress,<br />

this patient returned for her follow-up<br />

appointment.<br />

The patient reported excitement about the<br />

progress on her UR3 and was extremely<br />

happy with how quickly her teeth had<br />

started to align. Since the overall bracket<br />

characteristics and sliding mechanics of<br />

each bracket were comparable to other<br />

aesthetic brackets on the market, there<br />

were no discernable differences in the<br />

levelling and aligning process. An upper<br />

16x16 NiTi was placed at this appointment.<br />

Two months of upper orthodontic alignment with Braces On Demand appliances<br />

This patient did not report any discomfort<br />

or aesthetic concerns with the upper<br />

3D-printed braces. Moreover, she was<br />

surprised by the efficiency of the teeth<br />

movement produced. When given the<br />

choice, she decided to have 3D-printed<br />

brackets bonded to her lower teeth as<br />

well, which was done at the following<br />

appointment.<br />

THIRD APPOINTMENT: THREE MONTHS<br />

OF PROGRESS AND BONDING OF LOWER<br />

APPLIANCES<br />

At the three month appointment, the lower<br />

arch was bonded with Braces On Demand<br />

Intraoral photo of three months of upper progress and lower Braces On Demand appliances<br />

(along with O-ties)<br />

braces at the patient’s previous request.<br />

The upper 16x16 NiTi wire was re-tied to<br />

continue the alignment of the upper arch<br />

and a lower 014 NiTi wire was placed to<br />

start initial alignment. The included clinical<br />

photos show very significant changes from<br />

the initial same-day start to the threemonth<br />

point. The patient is motivated<br />

with the treatment plan and advances seen<br />

compared to the initial situation.<br />

FOURTH APPOINTMENT: FIVE MONTHS<br />

OF PROGRESS AND ADDING A REVERSE<br />

CURVE LOWER ARCHWIRE<br />

After five months of treatment, the upper<br />

16x16 NiTi wire continued to align the<br />

52 DENTAL ASIA MAY / JUNE <strong>2022</strong>


BEHIND THE SCENES<br />

In other words, a motivated patient is a<br />

successful patient.<br />

Three months of progress with Braces On Demand appliances<br />

Second, because 3D-printed resin brackets<br />

do not provide the same amount of<br />

enamel fracture risk and wear as porcelain<br />

brackets, the clinician has more flexibility<br />

to place 3D-printed aesthetic braces,<br />

especially on the lower arch. This is<br />

anticipated to have a positive impact on the<br />

debonding process as well. Debonding<br />

3D-printed braces is much less likely<br />

to cause enamel fracture compared to<br />

debonding porcelain brackets, making it<br />

safer for the patient’s enamel.<br />

Intraoral photo after five months of progress<br />

upper arch and the lower 014 has provided<br />

initial de-rotation of the lower arch. At this<br />

point, a lower reverse curve 16x16 NiTi was<br />

inserted to level the lower curve of Spee.<br />

This lower levelling will then be evaluated<br />

in eight to 10 weeks.<br />

until she is ready to transition to clear<br />

aligners. As it can be seen in the clinical<br />

pictures above, the initial difficult rotation<br />

and levelling challenges have been<br />

completed on the upper arch and the lower<br />

teeth will be completed soon.<br />

Lastly, and most importantly, the efficacy<br />

and affordability of 3D-printed brackets<br />

made it possible to undertake a hybrid<br />

treatment in the first place. Since the<br />

braces were printed in-office, there was<br />

no cost concern about making changes<br />

mid-treatment, such as bonding additional<br />

braces or transitioning to aligners. As<br />

a result, the patient experience can be<br />

adjusted “on the fly”, which provides a<br />

competitive advantage in the modern<br />

orthodontic landscape. For doctors, as well<br />

as for patients and parents, this results in<br />

less stress because both sides have more<br />

control over the orthodontic journey. DA<br />

CLINICAL CONSIDERATIONS WITH<br />

AESTHETIC BRACKETS<br />

From a clinical perspective, bonding the<br />

lower arch with aesthetic brackets can be<br />

a complex consideration for orthodontists.<br />

Since the primary material for aesthetic<br />

brackets is porcelain, orthodontists must<br />

take great care to protect the opposite<br />

arch against excessive occlusal wear.<br />

In contrast, 3D-printed resin brackets<br />

have less risk of enamel fracture and<br />

wear than porcelain brackets, given the<br />

material composition and properties.<br />

The 3D-printed resin will perform safely<br />

against normal forces of occlusion and do<br />

not necessitate bite turbos to protect the<br />

upper arch from enamel fracture.<br />

The patient will continue to be treated<br />

with upper and lower fixed appliances<br />

The transition from fixed appliances to<br />

clear aligners, including debonding the<br />

3D-printed brackets, will be covered in a<br />

future paper.<br />

CONCLUSION<br />

Using 3D-printed brackets made the first<br />

five months of this case unusual in several<br />

ways.<br />

First, 3D printing had a positive impact<br />

on patient interest and engagement. In<br />

this case the patient was motivated by the<br />

innovative approach and the excitement<br />

of using the latest technology, even to the<br />

point of requesting 3D-printed brackets for<br />

the treatment of the lower arch. Patients<br />

who show a genuine interest in the details<br />

and technology of their treatment plan<br />

take more ownership of the process.<br />

ABOUT THE AUTHOR<br />

Dr Tom Shannon<br />

is a board certified<br />

orthodontist and<br />

graduate of the<br />

University of Michigan<br />

(DDS), the University of<br />

North Carolina (AEGD),<br />

as well the University<br />

of Tennessee (MDS, Orthodontics). As a<br />

leader in orthodontic simulation design,<br />

Dr Shannon has been at the forefront of<br />

in-office aligner production, 3D-printed fixed<br />

appliances, and hybrid treatment options.<br />

Currently in private practice in Southwest<br />

Michigan, Dr Shannon is also a co-founder<br />

of Braces On Demand and holds multiple<br />

patents in the 3D printing space.<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 53


BEHIND THE SCENES<br />

Helping dental<br />

professionals find their<br />

ideal software package<br />

exocad’s new online tool, the CAD<br />

Configurator, can help dentists and dental<br />

technicians assemble the right exocad<br />

software package to meet the specific<br />

needs of their practices or labs. Inka<br />

Müller, product manager at exocad,<br />

explains how the CAD Configurator<br />

works.<br />

54 DENTAL ASIA MAY / JUNE <strong>2022</strong>


BEHIND THE SCENES<br />

Fig. 1 Fig. 2<br />

Fig. 3<br />

Fig. 4<br />

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

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

DENTAL ASIA MAY / JUNE <strong>2022</strong> 55


BEHIND THE SCENES<br />

What is the idea behind exocad's CAD<br />

Configurator?<br />

Inka Müller: We developed CAD<br />

Configurator to help dental professionals<br />

compile an individualised software<br />

solution from our product offering. exocad’s<br />

<strong>Dental</strong>CAD and ChairsideCAD provide<br />

dental professionals with the necessary<br />

tools to handle a multitude of indications.<br />

To customise the software solutions for<br />

each practice or laboratory’s specific needs,<br />

exocad offers supplementary modules that<br />

augment the basic versions of <strong>Dental</strong>CAD<br />

and ChairsideCAD. <strong>Dental</strong> professionals can<br />

use CAD Configurator to specify their needs<br />

and receive a customised recommendation<br />

with the software products that best<br />

meet those needs. Our global distribution<br />

partners also use CAD Configurator when<br />

advising their customers.<br />

Fig. 5<br />

How do users get their software solution<br />

recommendations?<br />

Müller: First, users select their country.<br />

Second, they select the setting in which the<br />

software will be used, such as chairside,<br />

practice laboratory or laboratory. And third,<br />

they define which indications they want<br />

to handle with the software. Individual<br />

software recommendations and license<br />

models are then sent directly to the<br />

user via email.<br />

How easy is it to purchase the software<br />

after receiving the recommendation?<br />

Müller: The software recommendation<br />

includes the names and contact information<br />

of exocad resellers active in the customer’s<br />

region. We want to make it as easy as<br />

possible for dental professionals to<br />

contact the reseller of their choice.<br />

Fig. 6<br />

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

list of sales partners with their contact details<br />

Is the online tool available worldwide?<br />

Müller: Yes, CAD Configurator recommends<br />

software packages based on countryspecific<br />

availability and is accessible to<br />

interested dental professionals globally.<br />

Where can users try out CAD<br />

Configurator?<br />

Müller: If users want to try out our CAD<br />

Configurator, head over to the exocad<br />

website, exocad.com/cadconfigurator. DA<br />

Our online CAD Configurator asks dental<br />

professionals about their needs and then<br />

creates a customised software product<br />

recommendation.”<br />

Inka Müller,<br />

Product Manager, exocad<br />

56 DENTAL ASIA MAY / JUNE <strong>2022</strong>


IN DEPTH WITH<br />

3D filament printing with Renfert’s<br />

SIMPLEX all-in-one system<br />

Renfert offers a dental-specific solution for efficient, eco-friendly 3D model<br />

printing, designed for both digital novices and professionals.<br />

Whether it be for planning, working or aligner<br />

models, modern fused deposition modelling<br />

(FDM) and fused filament fabrication (FFF)<br />

technology have been more widely adopted<br />

for producing models in orthodontics. With<br />

SIMPLEX, Renfert has brought a filament<br />

printer system to the market that is designed<br />

for dental practitioners and beginners.<br />

The system consists of a modified filament<br />

printer, dental-specific slicer software with<br />

parameters that are already stored, and<br />

resource-saving filaments — for simplicity,<br />

reliability and environmental friendliness<br />

in the additive printing process. With the<br />

coordinated components and the Plug ‘n’ Print<br />

process, SIMPLEX allows users to get started<br />

with digital model production.<br />

The SIMPLEX 3D filament printer system<br />

was developed especially for dental-specific<br />

requirements. With the complete package<br />

of 3D filament printer, dental-specific slicer<br />

software and special filaments, the entire<br />

spectrum of orthodontic model fabrication<br />

can be handled in a controlled way. The<br />

feature is the pre-installed pre-sets for<br />

various models.<br />

Once the print bed has been loaded virtually,<br />

the user can carry out 3D filament printing of<br />

diagnostic, working, or aligner models using<br />

Plug ‘n’ Print; the optimised slicer software<br />

selects the appropriate parameters. The result<br />

is a controlled manufacturing process and<br />

detailed print results.<br />

With a dimensional accuracy of more than<br />

50µm, which can be achieved by the updatecapable<br />

filament printer and the “filament<br />

monitoring system”, the user can receive a<br />

Orthodontic model production with Plug ‘n’ Print and special filaments<br />

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

production process, the intuitive touchscreen detail reproduction, made for accurate<br />

navigation and the closed building chamber fitting working models.<br />

with a lockable door and removable cover • SIMPLEX aligner model is a white special<br />

with an integrated fan also make the unit<br />

filament. It is temperature-resistant and<br />

a convenient and safe companion for daily<br />

dimensionally stable and therefore ideally<br />

model production in the field of orthodontics. suited for aligner production.<br />

• SIMPLEX multi-use model is a special<br />

The colourfast and UV-resistant materials are white filament with a high hard gypsum<br />

manufactured in Germany and designed for content for a natural surface effect. It<br />

four defined areas of application. They are<br />

can be optimally worked with rotary<br />

not only free of irritant substances but can<br />

instruments or a scalpel.<br />

also be used directly after printing, requiring<br />

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

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

four special filaments with their high layer system with Plug ‘n’ Print and specified<br />

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

dimensional accuracy, have mechanical and producing precise planning, working and<br />

physical printing properties:<br />

aligner models for print-savvy users in the<br />

• SIMPLEX study model is a white<br />

orthodontic sector, but also for those who<br />

bio-filament with a high level of detail consider themselves novices in the digital<br />

reproduction that is free of irritant<br />

world — designed for fewer application steps<br />

chemicals. It is suitable for producing and chemicals and more process reliability<br />

planning and diagnostic models.<br />

and sustainability in the field of orthodontic<br />

• SIMPLEX working model is a viridian green model production. DA<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 57


IN DEPTH WITH<br />

Renew smile and confidence<br />

with Anthogyr Mini Implant System<br />

Anthogyr Mini Implant System offers a one-piece, small-diameter implant,<br />

combined with an integrated Optiloc prosthetic connection, dedicated to<br />

removable overdenture stabilisation.<br />

The Mini Implant System from<br />

Anthogyr is designed for patients<br />

with totally edentulous mandible and<br />

maxilla presenting severe reduced<br />

horizontal bone availability. It offers<br />

minimally invasive treatment and<br />

delivers reliability, performance and<br />

patient comfort.<br />

The one-piece Ø2.6mm Mini Implant<br />

for minimally invasive treatment<br />

features a tissue-favoured design<br />

for soft tissue volume optimisation.<br />

The cylindrical-conical shape and<br />

self-tapping thread ensure stability,<br />

potentially allowing immediate loading<br />

if a minimum of 35N/cm torque is<br />

reached, thus resulting in a shorter<br />

treatment time.<br />

The Mini Implant System supports<br />

implant divergence compensation up<br />

to 40º between two implants. This<br />

freedom of movement of the matrix<br />

system allows operators to provide<br />

advanced patient comfort. It is packed<br />

with six retention levels from extralight<br />

to ultra-strong retention force;<br />

three matrix versions in standard,<br />

elliptic and with attachment titanium<br />

matrices; and three mini-implant<br />

lengths in 10, 12 or 14mm.<br />

The Mini Implant System is further<br />

integrated with the Optiloc<br />

prosthetic connection that provides<br />

space optimisation with a compact<br />

and slim connection. Long-lasting<br />

wear resistance and performance<br />

are also assured due to the contact<br />

of the diamond-like carbon (DLC)<br />

carbon-based coating to the Optiloc<br />

connection with the retention insert<br />

PEEK material. The system also offers<br />

medical-grade V Titanium and biphasic<br />

calcium phosphate (BCP) treatment<br />

for optimal mechanical resistance and<br />

performance and biocompatibility and<br />

osseointegration properties.<br />

With Anthogyr’s Mini Implant System,<br />

practitioners will be able to develop<br />

their practice through larger coverage<br />

of indications for edentulous patients<br />

and increased patient acceptance for<br />

implant treatment by minimising bone<br />

regeneration. DA<br />

58 DENTAL ASIA MAY / JUNE <strong>2022</strong>


Torq Control®<br />

IN DEPTH WITH<br />

Universal Torque<br />

Wrench<br />

Torq Control® is the Anthogyr universal<br />

torque wrench offering the guarantee of<br />

tightening precision, whatever the type<br />

of implant connection or the difficulties of<br />

access.<br />

Precise tightening is a key factor to secure<br />

implant treatment success. Torq Control®<br />

has been specially designed by Anthogyr<br />

to meet these requirements for all<br />

prosthetic manipulations, in all safety<br />

thanks to automatic declutching.<br />

A must-have, especially for full-arch<br />

restorations.<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 59


IN DEPTH WITH<br />

Neo edition of CS 8200 3D family<br />

makes CBCT more intuitive<br />

Carestream <strong>Dental</strong> has introduced more<br />

dentists to CBCT imaging — and giving<br />

current CS 8200 3D users more options<br />

— by launching the Neo Edition of the<br />

CS 8200 3D Family. The Neo Edition<br />

is an evolution of the CS 8200 3D, and<br />

the optional Scan Ceph module that<br />

improves ease of use contributes to a<br />

better clinical experience, and leads to<br />

more successful outcomes for patients.<br />

“The benefits CBCT can bring to<br />

diagnosis and treatment are well<br />

recognised, but barriers like perceived<br />

cost, concerns around the potential<br />

learning curve and even lack of<br />

education from manufacturers keep<br />

doctors from taking that next step,”<br />

Stéphane Varlet, product line manager<br />

of Carestream <strong>Dental</strong>, said. “The Neo<br />

Edition of the CS 8200 3D Family makes<br />

our most popular 3D systems even more<br />

user friendly with features and benefits<br />

designed with new CBCT users in mind.<br />

Plus, practitioners already using the CS<br />

8200 3D can easily upgrade to the Neo<br />

Edition to take advantage of all the new<br />

features.”<br />

The Neo Edition includes 2D panoramic<br />

imaging, CBCT imaging, 3D object<br />

scanning and optional cephalometric<br />

imaging. Up to nine selectable fields<br />

of view (FOV), from 4x4cm to 12x10cm,<br />

cover both daily clinical applications<br />

and more advanced treatments. For<br />

a full picture, and to reduce dose for<br />

full arch scans on smaller patients, the<br />

Neo Edition features additional FOV<br />

including 10x5cm and 10x10cm. For<br />

endodontists focusing on the smallest<br />

details of root and canal morphology, the<br />

EndoHD mode delivers high-resolution<br />

scans (75µm); the system can also<br />

capture full arch images at the highest<br />

resolution for endodontic scans, making<br />

it ideal for cases involving multiple<br />

quadrants and teeth.<br />

The new 5x8cm FOV of the CS 8200<br />

3D also enables doctors to capture<br />

opposing teeth to better manage<br />

occlusion for implant cases. Optional<br />

add-on software and modules like<br />

prosthetic-driven implant planning<br />

and Swissmeda, integrate with the CS<br />

Imaging software suite to help doctors<br />

create more comprehensive implant<br />

treatment plans, or design and order<br />

surgical guides.<br />

To facilitate proper patient positioning,<br />

a low-dose scout image lets users<br />

control the imaging area prior the<br />

examination to reduce the need for<br />

retakes. Follow-up exams are also<br />

faster and easier to compare over time<br />

since the unit memorises the scanning<br />

parameters used for each. Plus, the<br />

system’s new user interface makes it<br />

easier, faster and more intuitive to<br />

set up the unit for exams — meaning<br />

fewer clicks and more confidence.<br />

Since panoramic image remains the<br />

foundation of most treatment plans,<br />

the system comes with a new low dose<br />

panoramic programme, reducing dose<br />

to 50% without compromising image<br />

quality.<br />

Once CBCT is adopted into their<br />

practice, doctors will want to ensure<br />

they are gaining the most from their<br />

investment. The optional CS UpStream,<br />

a 24/7 advanced equipment monitoring<br />

service, leads to faster, more responsive<br />

service while reducing equipment downtime<br />

through automated diagnostic feedback to<br />

Carestream <strong>Dental</strong>. CS UpStream is available<br />

as an add-on to the CS Advantage program.<br />

The Neo Edition of the CS 8200 3D Family<br />

follows the same compact footprint of the CS<br />

8100 3D, recognised for its slim profile,<br />

user-friendly features, and ease of<br />

installation. DA<br />

60 DENTAL ASIA MAY / JUNE <strong>2022</strong>


IN DEPTH WITH<br />

Ceramill Motion 2 upgraded<br />

with new features<br />

On the 10th anniversary of the Ceramill Motion 2 five-axis milling unit<br />

by Amann Girrbach, an update was introduced with the new Mark IV<br />

generation of machines together with a new package: the DRY Package<br />

for dry milling.<br />

Designed as a milling machine that<br />

can be deployed for both dry and<br />

wet fabrication, the Ceramill Motion<br />

2 has shifted the value-creation<br />

chain back to the laboratories since<br />

its introduction a decade ago. The<br />

machine has since then clocked over<br />

10 million operating hours worldwide,<br />

and its success was confirmed<br />

by customer testimonials, such<br />

as that of Benjamin Votteler from<br />

<strong>Dental</strong>technik Votteler, who said: “My<br />

Ceramill Motion 5x DNA works just<br />

like me: precise, fast, aesthetic and<br />

versatile.”<br />

To mark the 10th anniversary, a machine<br />

update has been implemented and<br />

the Ceramill Motion 2 DRY has been<br />

upgraded with milling strategies and a<br />

new, open C-Clamp blank holder.<br />

Nikolaus Johannson, head of the global<br />

business unit lab CAD/CAM at Amann<br />

Girrbach, elaborated: “The Ceramill<br />

Motion 2 DRY continues to represent the<br />

benchmark in terms of fabrication quality.<br />

The update enables laboratories to work<br />

even more efficiently, accurately and<br />

faster. Above all, the package impresses<br />

with its price-performance ratio.”<br />

The Ceramill Motion 2 DRY can be<br />

upgraded with a wet processing<br />

module. Additionally, it is equipped<br />

with DNA grinding and milling<br />

strategies, a C-Clamp sculpturing<br />

technology and an intelligent<br />

machine concept with a highfrequency<br />

spindle.<br />

In addition to the DRY package,<br />

two further anniversary packages —<br />

Hybrid and Capacity — are available.<br />

The former allows both wet and dry<br />

processing, while the latter consists<br />

of two milling units. DA<br />

62 DENTAL ASIA MAY / JUNE <strong>2022</strong>


PRODUCT HIGHLIGHTS<br />

Align Technology<br />

Align Technology integrates CBCT<br />

into ClinCheck treatment planning<br />

software<br />

Align Technology has announced the new cone beam computed<br />

tomography (CBCT) integration feature for ClinCheck digital<br />

treatment planning software, a tool that combines roots, bone, and<br />

crowns into a single 3D model that enables clinicians to visualise a<br />

patient’s roots as part of the digital treatment planning process.<br />

MINIMALLY<br />

INVASIVE?<br />

NO PROBLEM!<br />

The CBCT integration feature will help dentists expand diagnosis<br />

and treat a broader range of cases with Invisalign clear aligners by<br />

increasing visibility and control of a patient’s underlying anatomical<br />

structures during the digital treatment planning process.<br />

“The integration of CBCT scan data into digital treatment planning<br />

gives doctors the control and confidence to leverage their expertise<br />

and expand treatment to all types of malocclusions, including<br />

ortho-restorative cases with implant site preparation, deciding<br />

upon different treatment planning options, as well as teen cases to<br />

navigate impacted or unerupted teeth,” said Graham Gardner, an<br />

orthodontist inRichmond, Virginia, US.<br />

Raj Pudipeddi, chief product and marketing officer, executive<br />

vice-president and managing director, <strong>Asia</strong>-Pacific, Align Technology,<br />

added: “Align is proud to be at the forefront of digital orthodontics<br />

and dentistry, building an integrated platform of digital products and<br />

services that provide a seamless solution for doctors to efficiently<br />

and effectively treat their patients and build their practices.”<br />

The new solution features an easy-to-use interface; CBCT scan data<br />

is digitally fused with an intraoral scan resulting into a manoeuvrable<br />

3D ClinCheck treatment plan model, making it convenient for<br />

doctors to tailor their treatment plans based on their patients’ needs.<br />

It is designed to deliver a high-quality, automated feature that is easy<br />

for doctors to use and incorporate into their digital workflow.<br />

“Using CBCT scan data integrated into the ClinCheck plan now allows<br />

me to see crown, roots, and underlying bone structure from different<br />

angles,” said Alain Souchet, an orthodontist in Mulhouse, France. “I<br />

can now visually see and take into account the location of impacted<br />

teeth, unerupted teeth for my teen patients, and root position of<br />

teeth for all my cases. Treatment planning is significantly easier now<br />

because I can leverage the power of the ClinCheck software and its<br />

many features, such as 3D controls for roots.”<br />

The CBCT integration feature for ClinCheck treatment planning<br />

software is currently in technical design assessment and will be<br />

scaled in phases across Align’s customer population starting in H2<br />

<strong>2022</strong>. ■<br />

VITA ENAMIC®<br />

Thanks to high resilience, VITA ENAMIC<br />

enables fabrication of minimally invasive<br />

restorations. Natural tooth structure<br />

can be preserved due to reduced<br />

wall thickness.<br />

Simply scan to discover this and other<br />

interesting clinical cases in detail!<br />

www.vita-zahnfabrik.com/casesENAMIC<br />

VITA – perfect match.<br />

© Dr. Cheng-Han<br />

Li,<br />

T iwan<br />

Ta<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 63<br />

3588E_VITA ENAMIC_Dr_Cheng-Han_AZ <strong>Dental</strong> <strong>Asia</strong>_95x250.indd 1 15.02.<strong>2022</strong> 14:14:31


PRODUCT HIGHLIGHTS<br />

Dentsply Sirona<br />

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

Dentsply Sirona has announced the latest<br />

inLab Software 22.0, with its computeraided<br />

design (CAD) and computer-aided<br />

manufacturing (CAM) applications offering<br />

users a harmonised new user interface at a<br />

design and manufacturing level, additional<br />

design options, and extended connectivity<br />

to CEREC Primemill.<br />

The software offers the extension for fullover-natural<br />

dentures, such as single arch<br />

denture, optimises gingiva designs, and<br />

integrates new Digital Genios and Digital<br />

Portrait tooth libraries from Dentsply Sirona<br />

used in milling and 3D print production.<br />

The new software can also now support the<br />

design and manufacturing of a CEREC Guide<br />

3 surgical guide in an improved workflow,<br />

as well as the implant supported restoration<br />

design for DS PrimeTaper implant system.<br />

inLab CAD Software 22.0 users can<br />

integrate CEREC Primemill into the digital<br />

production processes of laboratories and<br />

Support for CEREC Primemill in the inLab CAM<br />

Software 22.0 opens up additional milling and<br />

grinding options in the laboratory<br />

dental practices, benefiting from design and<br />

manufacturing workflow that adjusts to the<br />

machine’s parameters.<br />

Users of other CAD/CAM manufacturing<br />

systems can also integrate CEREC Primemill<br />

via the open inLab CAM Software 22.0,<br />

although Dentsply Sirona warned that such<br />

users will be solely liable for risks with all<br />

associated components when processing<br />

designs based on .stl file format.<br />

“The connection of CEREC Primemill to<br />

the open inLab CAM Software opens up<br />

additional performance potential for me in<br />

the lab, not only with respect to the superfast<br />

milling of zirconia or the extra-fine<br />

grinding of glass-ceramics, but also in terms<br />

of the ability to process restoration data<br />

from other CAD software,” said Jens Richter,<br />

dental technician, Zahntechnik Kerstin<br />

Strassburger in Rochlitz, Germany. “With<br />

the 0.5 milling tools, I achieve very good<br />

surfaces in a short time. I really enjoy using<br />

the Primemill.”<br />

Dentsply Sirona also reported that the<br />

inLab CAM Software is set to become an<br />

integral part of the company’s most recently<br />

announced device Primeprint Solution.<br />

inLab CAD Software 22.0 and inLab CAM<br />

Software 22.0 are available online as full<br />

versions. inLab users and new customers<br />

can reach out to their point of contact in the<br />

regional sales organisations to purchase full<br />

licenses or updates. ■<br />

VOCO<br />

VOCO Grandio blocs integrated with Planmeca PlanMill system<br />

VOCO has announced a material partnership<br />

with Planmeca, integrating VOCO materials<br />

to the Planmeca system, designed to help<br />

service a growing segment of computeraided<br />

design (CAD)/computer-aided<br />

manufacturing (CAM) users.<br />

The company is releasing the fire-free<br />

nano-ceramic hybrid Grandio blocs PlanMill.<br />

VOCO reported that Grandio blocs are high<br />

quality with many other milling systems, and<br />

with its tooth-like properties, aesthetics, and<br />

time-saving attributes.<br />

The nano-ceramic hybrid block minimises<br />

the need for firing, saving time and money<br />

while simplifying optional characterisation<br />

and intraoral repair. The high filler degree of<br />

86% allows for wear resistance and longterm<br />

colour stability.<br />

In addition, its toothlike elasticity and<br />

thermal expansion behaviour enhance<br />

marginal integrity compared to ceramic or<br />

zirconia. The blocs are formulated to offer<br />

precision-milled, thin, tapered edges as low<br />

as 0.8mm for crowns, without concern for<br />

chipping or breakage.<br />

Grandio blocs PlanMill is indicated for<br />

crowns, inlays, onlays, veneers, and<br />

implant-supported crowns. Planmeca’s<br />

latest software update allows PlanMill users to<br />

select the ideal milling strategy for Grandio blocs<br />

PlanMill. ■<br />

VOCO’s Grandio blocks<br />

64 DENTAL ASIA MAY / JUNE <strong>2022</strong>


PRODUCT HIGHLIGHTS<br />

Medit<br />

Medit launches wireless version of i700 intraoral scanner<br />

Built on the success of the i700 intraoral<br />

scanner, Medit has launched the i700<br />

wireless intraoral scanner, a newly-designed<br />

wireless wand with the same speed, accuracy<br />

and lightness.<br />

The i700 Wireless is said to offer a smooth,<br />

quick scanning experience that is powered<br />

by 60GHz wireless technology for a highspeed<br />

connection. All-day scanning is<br />

supported by a single battery offering one<br />

hour of continuous scanning or eight hours<br />

in standby mode.<br />

According to Medit, the camera captures<br />

up to 70 frames per second, collecting more<br />

data with each pass in realistic colour and<br />

crisp images.<br />

The new i700 wireless intraoral scanner<br />

Its updated design features a reversible tip<br />

and wider scanning area, allowing for easy,<br />

comfortable scanning at any angle with<br />

minimal constraints to movement. A remote<br />

control button allows clinicians to check scan<br />

data from the scanner itself and also show<br />

data to patients. The self-disinfecting UV-C<br />

LED keeps the unit clean.<br />

The i700 Wireless runs on MEDIT Link, the<br />

company’s software featuring integration<br />

with other computer-aided design (CAD)/<br />

computer-aided manufacturing (CAM)<br />

providers, as well as Medit’s own applications<br />

for smile design, orthodontic simulation,<br />

crown fit, and other patient communication<br />

tools. ■<br />

HIGH-PERFORMANCE<br />

DYNAMIC INSTRUMENTS<br />

SIMPLIFYING DENTAL MOTION<br />

TeKne <strong>Dental</strong> srl – Italy<br />

info@teknedental.com www.teknedental.com<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 65


PRODUCT HIGHLIGHTS<br />

vhf<br />

Improved working efficiency and new look with vhf’s DENTALCAM<br />

vhf has upgraded to the machining<br />

software, DENTALCAM, allowing users to<br />

get to ideal restorations faster.<br />

According to vhf, a time saving of up to<br />

30% is achieved when milling zirconia<br />

and PMMA with the new DENTALCAM 8.<br />

On top of that, the grinding times on the<br />

R5 and N4+ could also be improved by<br />

up to 30%. Lastly, the working efficiency<br />

is further increased because of quicker<br />

data import, which makes nesting faster.<br />

focused on the particular job. At the<br />

same time, DENTALCAM 8 follows the<br />

same operating logic like DENTALCAM 7,<br />

so the switch to the new version will be<br />

intuitive.<br />

The material database of DENTALCAM 8<br />

automatically updates, so vhf can release<br />

new materials for general usage without<br />

a software update. Users can also now<br />

label their objects individually and<br />

durably with the new engraving function.<br />

The new programme package comes with<br />

a new look and feel while maintaining<br />

an easy-to-use user interface. It has<br />

been optimised for an even quicker user<br />

guidance, and the views are now more<br />

In case of an error message, the user<br />

will benefit from guided troubleshooting<br />

which leads to the corresponding online<br />

help with an interactive guide for error<br />

recovery. ■<br />

DENTALCAM 8 by vhf has a new look and feel<br />

Excelitas<br />

Excelitas Technologies introduces new indoor, upper-air disinfection system<br />

Excelitas Technologies has introduced a<br />

new disinfection system called the Kepri<br />

Upper-Air UVC Disinfection System,<br />

designed to neutralise bacteria, mould,<br />

and other viruses such as COVID-19,<br />

without ozone emissions.<br />

Kepri meets the UL-8802 standard for<br />

minimising UVC energy in the lower<br />

part of the room while assuring safe<br />

operation. It features a triple sensor<br />

safety monitoring system containing a<br />

Tilt Sensor for temperature regulation, a<br />

presence sensor for people detection, and<br />

a motion-activated occupancy sensor and<br />

switch to allow users to select operating<br />

preferences.<br />

“In addition to being one of the smallest<br />

and most aesthetically pleasing devices<br />

on the market, Kepri’s 3 safety sensors<br />

and UL-8802 approval make it one of<br />

the safest upper-air products available<br />

today. We’re proud to introduce a system<br />

featuring solid state lighting technology<br />

and state-of-the-art safety to the UVC<br />

upper-air disinfection market for use in<br />

a variety of indoor spaces.”<br />

Kepri Upper-Air UVC Disinfection System is a<br />

lightweight solution for dental practices looking<br />

to improve indoor air quality<br />

“Upper-level room air disinfection is<br />

a highly effective technology that has<br />

been used in healthcare for over 20<br />

years. We are pleased to apply Excelitas’s<br />

established LED expertise to expand the<br />

technology’s reach, making effective air<br />

disinfection more widely accessible,”<br />

said Mark Gaston, product manager at<br />

Excelitas.<br />

Kepri is said to be easy to incorporate<br />

into a dental practice with it weighing in<br />

at 2.5kg. It also features a relatively easy<br />

to use interface so anyone in the dental<br />

practice can easily configure settings as<br />

needed.<br />

The Kepri is available now for indoor<br />

dental and medical spaces. ■<br />

66 DENTAL ASIA MAY / JUNE <strong>2022</strong>


PRODUCT HIGHLIGHTS<br />

W&H<br />

W&H celebrates 30 years of<br />

maintenance system Assistina 301<br />

→ DISCOVER PERFECTION<br />

IN PROPHYLAXIS -<br />

THE NEW COMBI touch<br />

It takes 35 seconds for the lubrication process to be finished,<br />

leaving a maintained instrument (Image: W&H)<br />

W&H has just celebrated 30 years of Assistina 301, a<br />

maintenance device released in 1992 which provides<br />

care and performs accurate lubrication cycles for the<br />

function and long working life of dental handpieces.<br />

→ ultra-gentle prophylaxis<br />

→ ergonomic handling<br />

→ made in Italy<br />

→ 40 years experience<br />

The air-driven Assistina 301 plus is designed for straight<br />

and contra-angle handpieces, turbines, air motors, and<br />

air-driven scalers. During a maintenance cycle, it cleans<br />

the spray channels with cleaning fluid, lubricates the<br />

gear parts with W&H Service Oil, and finally dries the<br />

instruments with compressed air. According to W&H,<br />

these steps are completed within “35 seconds” at the<br />

touch of a button.<br />

In combination with the W&H thermal washer<br />

disinfectors Teon or Teon +, and one of W&H’s steriliser<br />

models, Assistina 301 plus ensures high hygienic<br />

standards.<br />

Compared to traditional oil spray cans, the automatic oil<br />

dispensing system accounts for a cost reduction of 90%,<br />

as claimed by W&H. This makes automatic instrument<br />

maintenance not only convenient, but also effective in<br />

caring for transmission instruments.<br />

Adaptors to fit other manufacturers’ handpieces are<br />

yet another convenient feature: straight and contraangle<br />

handpieces with ISO connection do not require<br />

adaption at all, and there is a portfolio of adaptors to<br />

ensure compatibility with any other certified system. ■<br />

→ www.mectron.com<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 67


SHOW PREVIEW<br />

Supporters: Speaker Sponsors :<br />

Media Partners: Social Media Partners: Show Manager: Official Contractor:<br />

68 DENTAL ASIA MARCH / APRIL <strong>2022</strong>


SHOW PREVIEW<br />

The 5th Malaysia International<br />

<strong>Dental</strong> Show returns with “Dentistry<br />

Advancement and Technologies”<br />

The Malaysia International <strong>Dental</strong> Show (MIDS) <strong>2022</strong> features international<br />

and local exhibitors, and visitors can look forward to learning and discovering<br />

the latest in dental materials and technologies.<br />

The Malaysia International <strong>Dental</strong> Show (MIDS)<br />

will be returning in a physical format after two<br />

years due to the pandemic. Jointly organised<br />

by MAHSA University and the Malaysia <strong>Dental</strong><br />

Industry Association (MDIA), the fifth edition<br />

of MIDS will be the platform that encourages<br />

cooperation, networking and growth among the<br />

dental community which comprises hygienists,<br />

nurses, assistants, dental technologists,<br />

laboratory owners, governmental dental bodies,<br />

dental schools of universities, suppliers and<br />

their associations from Malaysia and the <strong>Asia</strong>-<br />

Pacific region.<br />

MIDS <strong>2022</strong> will feature both scientific<br />

conferences and a trade exhibition with the main<br />

objective of enhancing the skills and knowledge<br />

of dentistry among dental professionals and<br />

encouraging collaboration with dental suppliers<br />

in promoting the growth of the industry.<br />

Under the theme “Dentistry Advancement and<br />

Technologies”, MIDS <strong>2022</strong> will feature about<br />

100 booths by international and local exhibitors<br />

showcasing the latest dental materials, products<br />

and technologies. Organisers are expecting<br />

to attract over 1,500 delegates and visitors<br />

comprising private and government dental<br />

professionals, exhibitors, trade visitors and<br />

industry and association leaders from Malaysia<br />

and overseas.<br />

For instance, delegates attending MIDS <strong>2022</strong><br />

will be able to learn from industry speakers and<br />

improve their knowledge of modern dentistry;<br />

network with dentists, dental hygienists, nurses<br />

and assistants, practice managers, dental<br />

technologists and laboratory owners; witness<br />

the latest display of dental technologies and<br />

innovative products in the market; and enjoy<br />

products and services provided by suppliers<br />

during the exhibition.<br />

Labelled as the upcoming dental exhibition and<br />

conference in ASEAN Economic Community<br />

(AEC), the event will be officiated by the guest<br />

of honour, YB Khairy Jamaluddin Abu Bakar,<br />

Minister of Health, Malaysia.<br />

Associate Prof Dr Kacharajy Kranthi Raja, deputy<br />

dean for research, postgraduate and clinical<br />

services, faculty of dentistry of MAHSA University<br />

and organising chairman of MIDS <strong>2022</strong> scientific<br />

conference, commented: “In order to take MIDS<br />

<strong>2022</strong> to a higher level, we’ll continue to feature<br />

professional speakers from around the world.”<br />

MIDS <strong>2022</strong> will feature three workshops and 15<br />

lectures presented by 15 international speakers<br />

from India, the Philippines, Thailand and<br />

Malaysia. Some key topics that will be discussed<br />

include facial aesthetics, periodontal therapy in<br />

general dental practice and understanding the<br />

principles and philosophy of clear aligners. <strong>Dental</strong><br />

professionals will earn Continuing Professional<br />

Development (CPD) points for participating in the<br />

conferences and workshops.<br />

MIDS <strong>2022</strong> is endorsed by Malaysia External<br />

Trade Development Corporation (MATRADE),<br />

and will be held from 20-22 <strong>May</strong> <strong>2022</strong> at Sunway<br />

Pyramid Convention Centre (SPCC), Selangor,<br />

Malaysia. DA<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 69


GIVING BACK TO SOCIETY<br />

Henry Schein donates PPE items to Legion of Goodwill in Brazil<br />

Henry Schein, in partnership with the Legion<br />

of Goodwill — Brazil, a non-profit organisation<br />

that provides educational and social<br />

assistance programmes for economically<br />

disadvantaged communities, announced<br />

a donation of more than 400,000 personal<br />

protective equipment (PPE) items to help<br />

mitigate the spread of COVID-19 across Brazil.<br />

Henry Schein’s global distribution and supply<br />

chain network managed the donation working<br />

through Henry Schein Cares, the company’s<br />

global corporate social responsibility<br />

programme.<br />

The donation includes KN95 face masks and<br />

face shields, which were gathered at Henry<br />

Schein’s distribution centre located in Denver,<br />

Pennsylvania, US and transported by sea to<br />

the Port of Santos, São Paulo, Brazil.<br />

From there, the product was sent by ground<br />

to LGW Brazil headquarters, where the<br />

items were distributed by ground and air<br />

across Brazil, reaching more than 165,000<br />

at-risk individuals living in vulnerable<br />

situations.<br />

“Since the start of the COVID-19 pandemic,<br />

Henry Schein Cares has donated more than<br />

10 million PPE items to help mitigate the<br />

spread of the virus,” said Jennifer Kim Field,<br />

vice-president of CSR, Henry Schein. “We’re<br />

thankful to the Legion of Goodwill, and our<br />

non-governmental organisation (NGO) and<br />

supplier partners, for their support in this<br />

most recent effort in Brazil, and we will<br />

remain vigilant, prioritising safety as society<br />

continues to navigate this pandemic.”<br />

Other organisations that assisted in<br />

facilitating this donation of product include:<br />

Anvisa, Associação Educacional Boa<br />

Vontade (AEBV), C.H. Robinson, <strong>Dental</strong><br />

Speed, Henry Schein Brazil, and Latam<br />

Airlines.<br />

“We are thankful to Henry Schein Cares for<br />

their generous donation of PPE products<br />

in response to the recent high COVID-19<br />

infection rates in Brazil,” said Silvana Balbo,<br />

vice-president of marketing, Henry Schein<br />

Brazil. “This donation, and the overall<br />

mission of Henry Schein Cares, align<br />

nicely with our commitment to assisting<br />

economically disadvantaged communities<br />

across Brazil.” ■<br />

Planmeca technology brings dental treatments and education to<br />

Papua New Guinea<br />

The lack of infrastructure in Papua New Guinea<br />

makes delivering health care services quite<br />

challenging in a country where 84% of the<br />

population lives in mostly inaccessible rural<br />

areas, often completely without electricity.<br />

Four Planmeca Compact i Classic units on<br />

board a cruise vessel will bring healthcare<br />

services to the country. The ship also includes a<br />

laboratory to test for tuberculosis, malaria and<br />

other diseases as well as an ophthalmology<br />

clinic for eye surgeries. Additionally, a truck<br />

equipped with three new Planmeca Compact<br />

i3 dental units will visit local schools for dental<br />

screenings and education. Educating children<br />

to take care of their teeth early on is essential,<br />

since the country has one of the highest rates<br />

of oral cancer in the world.<br />

The medical vehicles are both initiatives<br />

by the Townsville association of a global<br />

humanitarian movement Youth with a Mission<br />

(YWAM). For the past 11 years, the volunteers<br />

of the association have been operating<br />

medical ships to Papua New Guinea to<br />

reach remote coastal communities and offer<br />

them medical care and training they would<br />

otherwise have no access to.<br />

The truck offers even more opportunities<br />

for providing dental care and education with<br />

a proper infrastructure, including offering<br />

training in dental basic procedures for the<br />

local health workers. Although the country has<br />

a population of about nine million, there are<br />

currently only 62 dentists in the country, so the<br />

support is much needed.<br />

have allowed hundreds of locals the chance for<br />

proper dental care, which they often need. ■<br />

Melissa Kauk, YWAM, and Clive Dodd, Henry<br />

Schein, in the truck with the recently equipped<br />

Planmeca Compact i3 dental unit<br />

Besides bringing medical and dental care and<br />

education to the local population, both vehicles<br />

are also used to offer local dentists the chance<br />

for practical training.<br />

Planmeca’s local distributor in Australia,<br />

Henry Schein, and the Henry Schein Cares<br />

Foundation, donated the dental equipment<br />

for both vehicles. The Planmeca dental units<br />

The truck arrived in Port Moresby in March<br />

<strong>2022</strong> and was welcomed by the YWAM team<br />

Images courtesy of YWAM Mercy Ships<br />

70<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong>


EVENTS CALENDAR<br />

MAY<br />

6 – 7 Mectron Spring Meeting<br />

Venice, Italy<br />

https://www.springmeeting<strong>2022</strong>.com/<br />

19 – 21 Expodental Meeting <strong>2022</strong><br />

Rimini, Italy<br />

Venue: Fiera, Rimini<br />

https://www.expodental.it/en/expodental-<br />

meeting/<br />

26 – 29 IDEX Istanbul Fair <strong>2022</strong><br />

Istanbul, Turkey<br />

Venue: Istanbul Expo Centre<br />

https://cnridex.com/<br />

27 – 29 SIDEX <strong>2022</strong> – Seoul International <strong>Dental</strong><br />

Exhibition and Scientific Congress<br />

Seoul, Republic of Korea<br />

Venue: COEX Hall C and Hall D<br />

https://eng.sidex.or.kr/<br />

31 – 2/6 Kazdent Expo <strong>2022</strong><br />

Almaty, Kazakistan<br />

Venue: EC “Atakent”, 11th pavilion<br />

https://en.dental-expo.com/kazdentexpo-en<br />

With the evolving COVID-19 situation, kindly check with<br />

organisers for updates on the related events. Please refer to the<br />

local airports’ websites for the latest travel advisories too.<br />

AUGUST<br />

11 – 13 Vietnam Medi-Pharm Expo<br />

Ho Chi Minh City, Vietnam<br />

Venue: Saigon Exhibition and Convention Centre<br />

http://hcm.medipharmexpo.com/en<br />

20 – 21 Interdental Indonesia <strong>2022</strong><br />

SEPTEMBER<br />

Jakarta, Indonesia<br />

Venue: Pullman Hotel JakartaCentral Park<br />

https://www.asa-exhibitions.com/interdental<br />

26 – 29 <strong>Dental</strong> Expo <strong>2022</strong> – The 52nd Moscow<br />

International dental forum and exhibition<br />

OCTOBER<br />

Moscow, Russia<br />

Venue: Crocus Expo, pavillion 2<br />

https://en.dental-expo.com/dental-expo-en<br />

7 – 9 IDEM <strong>2022</strong> - International <strong>Dental</strong><br />

Exhibition and Meeting<br />

Singapore<br />

Venue: Sands Expo & Convention Centre,<br />

Marina Bay Sands<br />

https://www.idem-singapore.com/<br />

12 – 14 Central <strong>Asia</strong> <strong>Dental</strong> Expo <strong>2022</strong> (CADEX) -<br />

6th International <strong>Dental</strong> Exhibition<br />

Almaty, Kazakhstan<br />

Venue: ATAKENT Expo 11th Pavilion Timiryazev Str<br />

https://cadex.kz/en/<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong> 71


Advertisers’ Index<br />

COMPANY<br />

PAGE<br />

3Shape A/S 15<br />

Align Technology 19<br />

Amann Girrbach 13<br />

Anthogyr 59<br />

Busch 17<br />

Carestream <strong>Dental</strong> 61<br />

Coltene 3<br />

Dentsply Sirona 5<br />

exocad GmbH 29<br />

Fotona 7<br />

Mectron 9<br />

Mectron 67<br />

Medical Protection Society 1<br />

MIDS <strong>2022</strong> 68<br />

PBM Healing 37<br />

Renfert 21<br />

Shofu <strong>Dental</strong> <strong>Asia</strong>-Pacific 11<br />

SIDEX Seoul <strong>2022</strong><br />

Inside Front Cover<br />

Sino-<strong>Dental</strong> <strong>2022</strong> 43<br />

Tekne <strong>Dental</strong> 65<br />

For information, visit us at www.dentalasia.net or<br />

contact us at sales@pabloasia.com<br />

VITA 63<br />

VOCO<br />

W&H<br />

Outside Back Cover<br />

Inside Back Cover<br />

@dentalasia<br />

Company Registration No: 200001473N<br />

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<br />

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<br />

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

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<br />

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

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.<br />

Printed by Times Printers Pte Ltd<br />

72<br />

DENTAL ASIA MAY / JUNE <strong>2022</strong>


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• High level of fluoride release<br />

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

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