Dental Asia July/August 2022

www.dentalasia.net 

JULY / AUGUST 2022 

Dental Profile: 

Embarking on the digital journey and beyond 

Clinical Feature: 

Growing intimate with nature 

Behind The Scenes: 

Digital denture — The next big thing? 

Photo Courtesy of Align Technology

16 

26 

34 

CONTENTS 

TRENDS 

16 Connecting patients closer to 

their clinics 

18 NSK harnesses green power 

UNDER THE SPOTLIGHT 

19 Integration of guided surgery 

into practice 

DENTAL PROFILE 

20 ZimVie opens doors to 

integrated solutions 

24 Embarking on the digital 

journey and beyond 

CLINICAL FEATURE 

26 Immediate implant placement 

in the aesthetic zone 

30 Orthodontic space closure: 

Midline diastema related to 

mesiodens 

34 Growing intimate with nature 

42 

48 

USER REPORT 

39 Dental-specific solution for 3D 

model printing 

40 Centripetal layered build-up of 

posterior direct composite resin 

42 Digital aesthetic smile 

reconstruction 

46 Same-day visit implant treatment 

BEHIND THE SCENES 

48 Bringing 3D printing to the next 

level for sustainable healing 

50 Digital denture – The next big 

thing? 

52 The bridge between virtual 

platform and reality 

IN DEPTH WITH 

54 Practice transformation with 

Invisalign Outcome Simulator Pro 

55 Celebrating the anniversary of 

Zolid zirconia 

SHOW REVIEW 

63 GC’s centennial anniversary 

celebrations continue at GC 

International 

SHOW PREVIEW 

64 Dentsply Sirona announces 

the return off DS World 2022 

65 DentalForum APAC 2022: A 

networking hub for regional 

dental professionals 

REGULARS 

4 Editor’s Note 

6 Dental Updates 

56 Product Highlights 

66 Giving Back to Society 

67 Events Calendar 

68 Advertisers’ Index 

54 

2 

DENTAL ASIA JULY / AUGUST 2022

Dental Updates 

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DENTAL ASIA JULY / AUGUST 2022 3

EDITOR’S NOTE 

The world is digital 

PABLO SINGAPORE 

Publisher 

William Pang 

williampang@pabloasia.com 

Digital technologies have transformed the 

way we live and work. Almost everything 

can be done within a click at our fingertips, 

bringing us so much convenience 

and efficiency as we ease through our 

everyday. 

For the dental industry, the impact of 

digitalisation goes way beyond 

streamlining treatment procedures – it 

elevates patient care and effectively 

improves treatment outcomes. As 

emphasised by an implantologist, Dr 

Jonathan Loa, digital implant planning 

makes implant placement more 

predictable as it allows greater precision 

(pp. 19). 

Marie-Laure Pochon, CEO and president 

of 3Disc, also highlighted that embracing 

digital dentistry can allow practitioners 

to improve their treatment process. An 

intraoral scanner, for instance, brings more 

accuracy in the fabrication of prostheses, 

better comfort for the patients and allows 

a shorter turnaround time of dental 

treatment (pp. 24). 

On the laboratory side, 3D printing 

continues to benefit the manufacturing of 

regenerative implants. Dr Lim Jing, CTO of 

Osteopore, shared that this technological 

advantage has enabled them to create 

a microstructure that is representative 

of native bone while meeting the gross 

geometrical needs of the reconstruction 

area (pp. 48). 

However, Dr Naren Rajan, who presented 

a digital protocol for ceramic restoration, 

stressed: “Simply having technology is 

not enough. Using it thoughtfully is how 

we realise the true promise of digital 

dentistry (pp. 42).” 

Hence, as suggested by Maik Walther, 

general manager of ZimVie Dental 

Asia-Pacific, now is the time for 

manufacturers to focus on integrated 

solutions to better help dental 

professionals use new products and 

technologies (pp. 20). 

This issue highlights that the dental 

landscape is continually growing and 

evolving to redefine and innovate 

oral healthcare. Tapping into modern 

solutions allows practitioners to offer a 

wider range of treatments to ultimately 

transform their patients’ smiles. 

Czarmaine Masigla 

Assistant Editor 

Publications Director 

Senior Editor 

Assistant Editor 

Graphic Designer 

Circulation Manager 

PABLO BEIJING 

General Manager 

PABLO SHANGHAI 

Senior Editor 

Jamie Tan 

jamietan@pabloasia.com 

Josephine Tan 

josephine@pabloasia.com 

Czarmaine Masigla 

czarmaine@pabloasia.com 

Jolin Tan 

jolintan@pabloasia.com 

Shu Ai Ling 

circulation@pabloasia.com 

Ellen Gao 

pablobeijing@163.com 

Daisy Wang 

pabloshanghai@163.net 

HEAD OFFICE 

PABLO PUBLISHING & 

EXHIBITION PTE LTD 

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ADVISORY BOARD 

Dr William Cheung 

Dr Choo Teck Chuan 

Dr Chung Kong Mun 

Dr George Freedman 

Dr Fay Goldstep 

Dr Clarence Tam 

Prof Nigel M. King 

Dr Anand Narvekar 

Dr Kevin Ng 

Dr William O’Reilly 

A DENTAL ASIA JULY / AUGUST 2022 

Dr Wong Li Beng 

Dr Adrian U J Yap 

Dr Christopher Ho 

Dr How Kim Chuan 

Dr Derek Mahony 

Prof Alex Mersel

DENTAL UPDATES 

Envista to acquire Osteogenics Biomedical Business 

Envista Holdings Corporation has entered into 

a definitive agreement to acquire Osteogenics 

Biomedical, Allotech and OBI Biologics 

(together “Osteogenics”). The transaction is 

expected to close in the third quarter. 

regenerative therapies are often a critical 

step in implant-based tooth replacements. 

By improving bone stability, regenerative 

solutions support better clinical outcomes for 

more patients. 

Osteogenics is a developer of regenerative 

solutions for periodontists, oral and 

maxillofacial surgeons, and clinicians involved 

in implant dentistry throughout the world. 

Primarily sold under the Cytoplast brand 

name, Osteogenics offers a complete line of 

bone grafting products. Bone grafting and 

Amir Aghdae, CEO of Envista, said: “Increasing 

our capabilities in regenerative solutions 

is consistent with our intention to digitise, 

personalise, and democratise oral care. 

Osteogenics is a recognised pioneer in 

membrane technologies used in dental bone 

grafting procedures. They are a trusted brand 

and have a proven track record of growth. We 

are excited to welcome the Osteogenics team 

to Envista.” ■ 

Dentsply Sirona launches DS Core in collaboration with Google Cloud 

Dentsply Sirona has unveiled the DS Core, a 

new and open platform that integrates the 

whole workflow of digital dentistry in a virtual 

event, along with other services and solutions. 

Developed in collaboration with Google Cloud, 

DS Core allows dentists to focus on their 

patients and create ways to collaboratively 

work with laboratories, partners, and 

specialists. 

It connects to Dentsply Sirona equipment and 

is accessible across multiple devices. Hence, 

dentists can maximise the productivity of their 

practice by simplifying workflows and easily 

adding and integrating new ones. 

Furthermore, practitioners can use DS Core 

to store different types of patient files and 

making them accessible from multiple 

locations, while collaborating with partners 

and colleagues outside their practice. DS 

Core supports GDPR and HIPAA-compliant 

file sharing and cloud storage for patient case 

files. 

Cord Staehler, CTO at Dentsply Sirona, said: 

“We are very proud that we are now ready 

to take the next step in our mission to make 

digital dentistry easy to integrate into dental 

offices. In line with our recently launched 

collaboration with Google Cloud, this enables 

seamless workflows and the highest level of 

connectivity with the ultimate goal in mind: the 

best treatment outcome for patients.” 

Dentsply Sirona has also revealed two new 

services: the DS Core Create and DS Core Care. 

With the DS Core Create, dental practitioners 

can access designs that are tailored for each 

patient’s needs across a range of indications 

without having to use the software themselves. 

It can be integrated with Dentsply Sirona’s 

new Primeprint Solution and will grow in the 

future. On the other hand, the DS Core Care is 

an equipment service and support solution that 

helps to increase equipment uptime. 

Staehler concluded: “By launching this digital 

universe with DS Core at its centre and services 

like DS Core Create and DS Core Care, as well 

as solutions like Primeprint, we are positioning 

Dentsply Sirona at the forefront of digital 

dentistry. Most importantly, we help dental 

practitioners to unlock the full potential of their 

work so that they can focus on what matters 

most: treating patients and giving them healthy 

smiles.” ■ 

6 DENTAL ASIA JULY / AUGUST 2022




exocad Asia moves to Seoul 

exocad has relocated its Asia headquarters 

to Seoul, South Korea. The company will 

coordinate all services and operations 

for the Asia region from this new office, 

located in Seoul’s historic centre. 

“We look forward to strengthening our 

strategic partnerships in the region and 

to benefitting from the robust, high-tech 

infrastructure that Seoul offers,” said 

Novica Savic, CCO of exocad. “exocad 

has been working with a growing number 

of South Korean manufacturers for many 

years. With the relocation of our Asia 

HQ, we want to be closer to our strategic 

partners and users from South Korea.” 

South Korea’s digital dentistry market is well 

developed and world renowned, making it an 

ideal location for exocad’s Asian hub. 

“Many global manufacturers and dental 

collaborators are already located near exocad’s 

new headquarters,” said Kim Gunwoo, exocad’s 

sales representative in Asia. “The regional 

headquarters will allow exocad to deepen its 

relationships with these strategic partners 

and provide even more comprehensive 

services to customers in Asia.” ■ 

Dr Wolff debuts its biomimetic oral care range 

The Dr Wolff Group, a family-owned 

pharmaceutical and cosmetic company, 

has launched its Bioniq Repair Toothpaste 

in Singapore. For more than a decade, 

the Germany-based company, has led in 

the research and development of modern 

dental care products to cater to growing 

pains of consumers. 

Its dental care product, Bioniq Repair- 

Toothpaste’s main active ingredient 

is the biomimetic tooth enamel called 

hydroxyapatite (HAP), which remineralises 

the teeth and forms a protective layer 

against enamel erosion. This ingredient 

alone is known to remineralise the deeper 

layers of the teeth effectively, as compared 

to other common remineralising agents 

used in oral care. 

Eduard R. Dörrenberg, managing director, Dr 

Wolff, said: “For years, the team at Dr Wolff 

has dedicated its research to developing 

dental care products with hydroxyapatite as 

the main active ingredient, recognising its 

benefits for users. We’re excited to finally 

bring our product to Asia, with Singapore as 

the first stop. We hope to raise awareness 

on the importance of protecting teeth 

enamel with HAP and to plug the gap in the 

market with a product that caters to the 

dental care needs of Singaporeans, who 

predominantly suffer from issues linked to 

sensitive teeth and gums. HAP is a mineral 

from the calcium phosphate family and is a 

proven and effective way of remineralising 

our tooth enamel. Good oral health enriches 

your quality of life, and oral care can be as 

simple as using HAP-based products to keep 

oral health issues caused by dental cavities, 

sensitive teeth or gingivitis at bay.” 

The Bioniq Repair-Toothpaste and Bioniq 

Repair-Toothpaste PLUS are the only 

toothpastes from Germany to contain 20% 

HAP. 

Singapore is the first country that the 

product has been made available in Asia. 

Dr Wolff’s Bioniq Repair Toothpaste is 

currently available in Germany and Austria, 

with over two million units sold last year in 

Germany alone. Alongside the latest launch 

in Singapore, Dr Wolff has plans to launch 

its biomimetic oral care range in Switzerland 

and US soon. ■ 



FDI President addresses the 

challenges and opportunities in Africa 

for optimal oral health 

PERFECTION IN 

BONE SURGERY 

FDI President, Prof Ihsane Ben Yahya, was invited by the African 

Society of Dentistry and Implantology (ASDI) and the African 

Journal of Dentistry and Implantology (AJDI) to take part in a 

webinar, where she discussed “Optimal Oral Health: challenges 

and opportunities for Africa”. 

The event took place online and was moderated by Dr Abdellah 

Squalli, president of ASDI, and Prof Fethi Maatouk, president 

of Conférence des Doyens des Facultés de Médecine Dentaire 

d’Afrique. 

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Prof Ben Yahya outlined the epidemiological situation in Africa 

and stressed that to this day, millions of people in the region do 

not have access to oral healthcare. This is especially concerning 

as poor oral health can lead to absenteeism at school and work, 

and an overall poor quality of life. She then highlighted some of 

the major challenges and the most prevalent pathologies in the 

region, which must be tackled to achieve optimal oral health. 

Some of the recent positive developments in the oral health 

landscape were also shared and she put the spotlight on the 

landmark WHO resolution on oral health that was approved 

by members states in 2021, as an important indication of the 

commitment to the issue at the global policy level. 

Prof Ben Yahya also advised that the subsequent WHO oral 

health strategy is in line with FDI’s own Vision 2030 report. 

She also noted that WHO AFRO’s regional oral health strategy 

is currently ongoing and reminded webinar attendees of its 

five targets for monitoring and evaluation, emphasising that 

strategies to improve oral health must be adopted in regional and 

national contexts. 

Prof Ben Yahya stressed that while there is still much work to 

do, the challenges that confront dentistry can be turned into 

opportunities. It was important, now more than ever, to continue 

to show resilience and work to effectively prevent and manage 

oral diseases so that everyone can enjoy a good oral health, and 

thus a good quality of life. ■ 

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DENTAL ASIA JULY / AUGUST 2022 9 

ad_PStouch_dental_asia_95x250_en_211214.indd 1 14.12.21 15:38


Oral-B and Straumann partner on a landmark alliance for scientific education 

Oral-B and Straumann have announced a new 

global alliance to elevate the importance of 

prevention in periodontal and peri-implant 

health. The alliance will set new standards 

in quality scientific education for dental 

professionals and help their patients achieve 

better long-term outcomes. 

The Oral-B Straumann alliance has a longterm 

goal of delivering a holistic programme 

of scientific events, professional courses, 

webinars and publications, co-created with 

and delivered by the experts and thought 

leaders in dentistry. 

The alliance was launched on 17 Jun 2022 

with a Sponsored Scientific Session at 

EuroPerio10 Copenhagen – dental congress in 

periodontology and implant dentistry – where 

both companies also presented their recent 

innovations for periodontal and peri-implant 

patients. 

“As patients around the world invest in dental 

implants, they need to recognise that self-care 

around implants is just as important as around 

their natural teeth. The Oral-B Straumann 

Alliance will play an important role in enabling 

ongoing dialogue between dental professionals 

and their patients so both understand the most 

up to date science on prevention of implantrelated 

diseases and promotion of periodontal 

health,” said J. Leslie Winston, vice-president, 

global health care R&D, Procter & Gamble. 

Arik Zucker, vice-president, global head of 

biomaterials, Straumann Group, added: 

“Prevention of tooth or implant loss is for 

many years an important topic for us in the 

Straumann Group. As one of the world’s 

leading dental implant companies, we work 

closely with experts from the research and 

clinical fields to address the issues caused by 

peri-implantitis and periodontitis. The Alliance 

with Oral-B complements our efforts and 

offers a solid ground for further scientific and 

educational activities that will enable more 

dental professionals to improve their patients’ 

lives.” ■ 

Henry Schein launches NextDent Ortho Flex resin in Singapore in partnership 

with expatdental 

Medical supplier Henry Schein has launched the 

NextDent Ortho Flex in Singapore, a resin that 

offers accuracy, break resistance and flexibility 

to produce dental appliances in the right 

measurements. 

Certified by Singapore’s Health Sciences 

Authority, the NextDent Ortho Flex resin 

smooths key road bump in patients’ dental 

journey by providing comfortable dental 

appliances in a significantly reduced lead 

time in its manufacture for use in restorative 

dentistry services. 

“At Henry Schein, it is enshrined in our DNA to 

stay abreast of the digital advancements and 

bring this innovation to dental clinics and labs 

around the world. We are thrilled to announce 

this partnership with expatdental to enable 

in-house manufacturing of splints using 3D 

printing technology and recently launched 

NextDent Ortho Flex resin. It is also a testimony 

of expatdental’s commitment to continuously 

advance their clinical procedures and improve 

patients’ experience by embracing the latest 

available technology,” said Kateryna Iakovenko, 

regional sales manager of Henry Schein 

ConnectDental, SEA. 

The NextDent Ortho Flex resin makes its 

Singapore debut at expatdental, a premium 

proposition from Oracare Group, elevating 

its in-house lab capabilities to facilitate 

the printing of dental splints for bruxism 

treatments. The NextDent Ortho Flex is used in 

tandem with the NextDent 5100 3D Printer. 

Users can now receive their temporary crowns 

and splints in the same week, significantly 

faster than the traditional three to four weeks 

interval. Offering a broad range of services 

including cosmetic dentistry, implant surgery 

and bruxism solutions, expatdental’s expertise 

lies in providing a seamless, comfortable and 

effective experience to all patients through 

advanced technologies and dental equipment, 

alongside a dedicated, experienced team 

focused on dental excellence and quality. 

“Our priority at expatdental has always been to 

provide efficient, premium and timely services 

to all our patients, with their utmost comfort 

and convenience in mind. In today’s age of 

digital dentistry, the NextDent Ortho Flex resin 

presents a new dawn for the future of dentistry, 

paving the way for 3D printing innovation, dental 

technologies and dental care industries—a 

natural acquisition on our end to meet the 

unwavering promise of exceptional patient 

comfort,” said Dr Shaun Thompson, managing 

director of expatdental. ■ 


Torq Control® 


Universal Torque 

Wrench 

Torq Control® is the Anthogyr universal 

torque wrench offering the guarantee of 

tightening precision, whatever the type 

of implant connection or the difficulties of 

access. 

Precise tightening is a key factor to secure 

implant treatment success. Torq Control® 

has been specially designed by Anthogyr 

to meet these requirements for all 

prosthetic manipulations, in all safety 

thanks to automatic declutching. 

A must-have, especially for full-arch 

restorations. 



Medit and Panthera reveal integrated digital workflow for provision of dental 

sleep devices 

Panthera Dental, a provider of CAD/ 

CAM implant solutions and dental sleep 

appliances, has partnered with Medit to 

provide patients custom-made sleep apnoea 

devices from Panthera Dental that are 

integrated within the Medit software. 

After scanning the patient’s arches and 

registering the bite, Medit users can open the 

Panthera App from Medit Link, complete the 

prescription, and send everything to Panthera 

Dental. Within eight days, the D-SAD Classic 

or X3 will be designed and manufactured by 

Panthera Dental using its CAD/CAM process. 

The appliance will then be shipped to the 

dentist via express courier so the patient can 

begin treatment in as little as 10 days. 

“It is our great pleasure to announce a 

successful collaboration with Panthera 

Dental,” said Inhaeng Cho, CSO of Medit. 

“With a company that has long been a 

companion of Medit, we have developed 

another level of partnership, and we are 

eager to provide a seamless workflow to 

our users. This integration will provide both 

convenience and efficiency for our clinic 

users as well as our lab users.” 

The scanning process is comfortable and 

quick, and the D-SADs are made from 

100% medical-grade biocompatible type-12 

polyamide nylon, a durable material that is 

resistant to bruxism. 

A range of plateaus and bands are available, 

allowing for over 300 design combinations 

to maximise comfort and tongue space, 

and minimise side effects, regardless of 

the complexity of the patient’s morphology. 

D-SADs are also simple for the patient to 

adjust and care for at home. 

“We are excited to collaborate with a 

company that shares our values and vision 

for digital dentistry,” said Beatrice Robichaud, 

co-founder and vice-president of marketing 

and customer experience at Panthera Dental. 

“Medit has created a workflow that is perfectly 

streamlined. There is no need to leave the 

Medit app to provide everything we need to 

make a great appliance for that customer. It 

represents a truly seamless and efficient user 

experience that we know customers will love.” 

Both Panthera Dental’s D-SADs, the Classic 

and X3, have FDA 510(k) clearance for snoring 

and obstructive sleep apnoea, bear the CE 

mark, and comply with the Canadian Medical 

Devices Regulations. ■ 

National Dental Centre Singapore held its first international symposium on 

oral health research 

National Dental Centre Singapore (NDCS) has 

collaborated with oral health experts from 

Sweden, Australia, Hong Kong and Japan 

to hold its first International Oral Health 

Symposium conducted virtually. 

materials research by a young scientist. 

Five scientists from each participating 

institute presented their novel innovations 

and studies that will contribute to the 

advancement of oral health. 

The two-day symposium comprised of topics 

that have impact on the oral health industry 

such as regenerative medicine in the area 

of tissue engineering, digital transformation 

in oral health, oral health policies, precision 

medicine and the study of the oral 

microbiome. 

The symposium, themed “Innovation, 

Strategy and Future Perspectives” aimed 

to foster stronger collaborations and 

exchanges, share research, innovation and 

developments in the field of oral health, 

and be a learning platform for aspiring 

researchers. 

The symposium hosted an award 

ceremony for the Early Career Investigator 

Award, which recognises outstanding, 

interdisciplinary scientific work in 

“This is an exciting platform for the oral 

health research community to gather, 

discuss and work together. Beyond 

fostering greater collaboration, we 

hope it will inspire our researchers and 

clinical professionals to continually push 

the boundaries for innovative benchto-bedside 

solutions,” shared Clinical 

Associate Professor Goh Bee Tin, deputy 

CEO (Research), NDCS. ■ 



Ivoclar commits to energy 

sustainable future 

Ivoclar North America has announced a major investment in solar 

energy to power its corporate headquarters located in Amherst, 

New York transitioning from fossil fuel dependent to renewable 

energy as part of the company’s continued global commitment to a 

safer, healthier environment. 

PERFECTLY SHAPED. 

NATURALLY. 

The nearly US$1 million clean energy project started in 2020 

and completed in December 2021 is projected to supply the 

100,000-square-foot facility with 750MWh of energy per year 

with any unused energy returned to the grid for the benefit of the 

community. The project included the installation of 1,640 solar 

panels by locally owned Buffalo Solar and benefits the environment 

by saving the emissions of approximately 532 metric tons CO2 

yearly into the air, the equivalent of planting approximately 8,789 

trees per year. The company estimates that 65% of its annual 

energy requirement will be generated by this project. 

As an international company, the Ivoclar Group is a global 

manufacturer of dental products, with an ongoing commitment 

to supporting people, communities and the environment. The 

company aims to sustainably improve the health and quality of 

the life of people all over the world. In addition to manufacturing 

high-quality products, Ivoclar Group wishes to make an active 

contribution to sustainable development as defined by the United 

Nations in its Sustainable Development Goals (SDG) and in 

accordance with the requirements of the Global Reporting Initiative 

(GRI). 

The power facility at the headquarters in Schaan, Liechtenstein 

which began operating in 2018, supplies the company headquarters 

with electricity, warm and cold water, as well as with compressed 

air and reduces its consumption of natural gas. Heat recovery 

technology is further helping the company's efforts to reduce 

its need for natural gas. In the course of the project ‘Global 

greenhouse gas balance of the Ivoclar Group", CO2 emissions have 

been reduced globally. Moreover, the Ivoclar Group increases its 

use of photovoltaics – not only at the NY corporate headquarters in 

Amherst, New York. 

In addition to the solar panel project, Ivoclar North America has 

created an internal task force to explore and evaluate a cleaner and 

more sustainable business operation. Some of these initiatives 

include new packaging and transportation solutions, utilisation of 

hybrid vehicles and reducing plastic water bottle usage. 

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“We are moving deliberately forward to reduce our carbon emission 

footprint in our locality and worldwide as part of Ivoclar’s global 

commitment to improving the environment and addressing climate 

change,” said Christian Brutzer, president, Ivoclar North America. ■ 

DENTAL ASIA JULY / AUGUST 2022 13 

3603EN_VITAPAN EXCELL_AZ_95x250.indd 1 15.06.2022 16:14:53


Septodont releases new version of Biodentine 

Since its launch a decade ago, Biodentine, 

based on Septodont’s Active Biosilicate 

Technology platform, has proven successful in 

replacing dentin in the crown and in the root. 

Sold in more than 60 countries and with more 

than 1,000 worldwide publications, Biodentine 

has saved more than five million teeth. 

With this success, Septodont has launched 

a new version of Biodentine: Biodentine XP, 

which includes all the science of Biodentine 

embedded in an upgraded system, designed 

to provide practitioners an optimal daily 

experience from crown to root with nine 

indications. 

Due to its unique features, Biodentine has 

become a gold standard in preserving tooth 

structure by offering high bioactivity with 

complete dentin bridge formation and sealing 

properties. The clinical benefits promote vital 

pulp therapy and help save teeth from root 

canal treatment and possible extraction. 

Biodentine XP ensures a consistent and 

perfect mix thanks to its proprietary mixer 

and easy delivery directly into the tooth with 

the Biodentine applicator gun. The all-in-one 

cartridges are available in two formats, XP 

200 and XP 500, depending on the procedure 

and volume of material needed. 

The Biodentine XP Starter Pack contains the 

mixer, applicator gun, and packages of XP 200 

and XP500 cartridges. Biodentine XP is also 

available in boxes of 10 refill cartridges. ■ 

Formlabs launches Dental Academy 

Formlabs, a 3D printing company, has launched 

Formlabs Dental Academy, a new educational 

platform dedicated to advancing 3D printing in 

dentistry with online and in-person courses, step-bystep 

guides, webinars, and more. 

The platform includes free and paid courses 

designed to enable dental professionals, such as 

dental lab technicians, orthodontists, and clinicians 

to learn and successfully implement 3D printing 

technology in their businesses. Dental Academy 

courses are available online and in-person. 

Implementing 3D printing into a dental treatment 

plan benefits practitioners by enabling more 

efficient workflows and less downtime while giving 

patients access to personalised yet affordable 

solutions such as custom dental models, crowns, 

dentures, implants, and more. 

To address this skills gap, Formlabs created 

Dental Academy as a free resource for dental 

professionals to unlock these benefits with 

comprehensive training and educational 

content on 3D printing’s uses and benefits, 

dental applications, and materials to deliver 

the best clinical outcomes, user satisfaction, 

and improved performance and print results. 

Focus areas will include an introduction to 

stereolithography (SLA) 3D printing and its use 

for orthodontic and restorative applications, 

digital dentistry benefits, training on technology 

basics, materials, and implementation strategies 

within the clinic and lab, and more. At launch, 

courses will be available in English, Spanish, 

Swedish and German. 

Formlabs Dental, a division of Formlabs, has worked 

closely with key stakeholders and leaders within 

the dental industry to deliver accessible 3D printing 

solutions and materials. While Formlabs users have 

printed more than 25 million dental parts ranging 

from models to surgical guides, Formlabs Dental 

identified a gap in 3D printing education in the field, 

slowing further adoption of the technology. 

The platform includes a variety of courses with 

subject-matter to suit a range of participants’ 

knowledge, providing both online and inperson 

instruction in Formlabs Boston, Berlin, 

and Budapest offices as well as trusted private 

educational centres. Dental Academy will 

continue to evolve as new content becomes 

available. 

“The Swedish organisation for Computer Aided 

Digital Dentistry is honoured to be part of the 

Formlabs Dental Academy. Formlabs has long 

been in the forefront of additive manufacturing in 

dentistry and now they have a great educational 

portal for everyone,” Dr Michael Braian, DDS, CDT, 

PhD, founder of SWECADD and Formlabs Dental 

key opinion leader. ■ 



ZimVie introduces two next-generation dental solutions in the US 

ZimVie, a global life sciences company 

in the dental and spine markets, has 

announced the joint launch of the new, 

FDA-cleared T3 PRO Tapered Implant and 

Encode Emergence Healing Abutment in 

the US. 

The T3 PRO is the newest addition to 

ZimVie’s family of dental implants and 

builds on the proven solutions of the T3 

Tapered Implant. The Encode Emergence 

Healing Abutment builds upon ZimVie’s 

3-in-1 Encode Impression System which 

provides clear intraoral scans and 

aesthetics, and is designed for patient 

comfort and healing. 

Both the T3 PRO and the Encode 

Emergence reflect significant innovation 

to ZimVie’s previous products and promise 

an optimised implant experience for both 

dentists and patients. ZimVie will begin 

commercial rollout of these solutions 

in the US, with an intention to expand to 

additional countries pending necessary 

regulatory approvals. 

“We are excited to launch the next 

evolution in our T3 family of implants 

and Encode impression system, which 

has been used in more than two million 

implant restoration procedures to date,” 

said Indraneel Kanaglekar, senior vicepresident 

and president of ZimVie Dental. 

“ZimVie is committed to providing innovative 

treatment options to improve patient care 

while partnering with dental professionals 

globally to advance dental technology and 

end-to-end workflow solutions.” ■ 

US study analysing tooth survival after root canal reveals the factors impacting 

longevity of treated teeth 

Teeth survive about 11 years after a root canal, 

according to new research from Regenstrief 

Institute and Indiana University School of 

Dentistry, US. This study is the first to analyse 

records from community dental practices, 

where most Americans receive dental care. 

“The findings of this study give deeper insight 

into the longevity of dental procedures 

because it provides real-world data on a wider 

range of patients, not just those receiving 

care in large health systems or those who 

are insured,” said first author Thankam 

Thyvalikakath, DMD, MDS, PhD, director of 

the Regenstrief-IU School of Dentistry dental 

informatics programme. “This information 

can be used to inform dental practice, and 

help patients and dentists make better care 

decisions.” 

Root canals are an important treatment 

to maintain natural teeth affected by 

disease. However, over time, the treated 

tooth eventually becomes brittle and dies. 

Understanding the outcomes of the procedure 

is essential to improving dental treatments. 

For this study, the research team gathered 

deidentified electronic dental records from 

the National Dental Practice-Based Research 

Network, consisting of 99 small group and 

solo dentistry practices from around the 

country. The data covered more than 46,000 

patients who received root canals. 

BREAKING DOWN THE ROOT CANAL 

DATA 

Data analysis revealed that the median 

survival time of a tooth after a root canal 

is 11.1 years. However, several factors can 

impact that, including follow-up treatments. 

•Teeth that receive a root canal, and a 

subsequent filling and crown last about 

20 years 

• Teeth that receive either a filling or a 

crown after a root canal last around 11 

years 

• Teeth that receive no restorative work 

after a root canal only last about 6.5 years 

There were also wide disparities in longevity 

among geographic regions. 

• Northeast – 20.5 years 

• Midwest – 11.2 years 

• Southwest – 11.2 years 

• South Atlantic – 9.1 years 

• South Central – 9.0 years 

• Western – 8.7 years 

Insurance status also played a significant 

role in tooth survival time. 

“This data could also inform dental 

insurance coverage by demonstrating the 

value of crowns and permanent restoration 

options,” said Dr Thyvalikakath. “Oral health 

is a public health issue that significantly 

affects people’s overall health. Leveraging 

dental records can help us better 

understand ways to improve treatment, 

identify causal relationships and maintain 

the health of teeth and gums.” 

This study provides more representative 

data of the overall population than 

previous studies. It also demonstrates that 

meaningful insights can be gained through 

analysis of existing data from routine 

dental care. ■ 


TRENDS 

Connecting patients 

closer to their clinics 

As a provider of cloud-based mobile and online customer-tech 

solutions, Ouch enables the connection between brands and their 

consumers. Czarmaine Masigla speaks with Anil Kumar, co-founder 

of Ouch, to elaborate on the company’s perspective as a service 

provider to the dental industry and beyond. 

Technology has become an integral 

part of the lives of many around the 

world, transforming the way people 

live and work. In the healthcare sector, 

particularly in dentistry, digitalisation 

in this space has raised the bar in 

patient care and improved operational 

efficiency, thus enhancing the overall 

experience for both patients and 

medical professionals, Anil Kumar, 

co-founder of Ouch, suggested. 

There are several automated solutions 

available in dentistry, one of which 

is automated recalls using a preprogrammed 

customer management 

system (CMS) and another is the use 

of digital scanners. The use of digital 

scanners allows dental practitioners 

to reduce the need to take physical 

impressions, which, in turn, minimises 

the need to manually cast and send 

models to the labs. 

He told Dental Asia: “During the pandemic, 

with borders closed and tight social 

distancing regulations, many clinicians 

in Singapore found their income streams 

from both foreign and domestic patients 

had dropped significantly. However, they 

need to continue to pay for ongoing 

operating costs, among which rental 

expenses proved to be significant. 

“Telemedicine, which offered an 

alternative option for some practices, 

unfortunately, was not a viable option for 

dentistry.” 

THE OUCH APP 

Living digitally employs more than 

just technologies and tools. This led 

Kumar to develop Ouch, a healthcare 

app dedicated to providing access to 

healthcare services to users. Combining 

advanced functions with 

an intuitive design 

philosophy to 

provide the public 

with better access 

to healthcare, the 

Ouch app allows 

users to 

However, such technologies can be 

rather costly and hence the slow 

adoption rate, despite the need to 

reduce manual courier services 

during the COVID-19 pandemic to 

help minimise the delivery time of 

appliances. That said, Kumar pointed 

out that the adoption rate for medicallyrelated 

solutions in Asia-Pacific has 

generally been lukewarm until the 

emergence of the pandemic. 


TRENDS 

schedule appointments across 

multiple specialities such as general 

practitioners, dental, veterinary and even 

traditional Chinese medicine clinics. 

With the Ouch app, several workflows 

can be automated. For instance, 

appointment registration can be done 

via QR code scanning, and payment can 

be automatically deducted via the app 

after the consultation. The appointment 

details – including invoice and medical 

certificates – are all consolidated in the 

patient’s Ouch app and patients can 

conveniently retrieve the information 

they need via the app. 

Ouch has also planned to introduce two 

new modules – the queue management 

system (QMS) where walk-in patients 

can first request a queue number 

virtually before making their way to the 

clinic, and group medicine purchase 

(GMP) which will enable clinical 

practitioners to take advantage of betterpriced 

medicine made available when 

making bulk purchases by joining other 

Ouch clinics. 

And in the face of an ageing population, 

Ouch has planned to roll out different 

languages to the app as well as voice 

activation functions in the near future 

to help the older generation adapt and 

adopt Ouch with ease. Kumar further 

stressed the importance for the family 

to be able to reach their elderly timely 

during emergencies. As such, Ouch 

introduced an SOS function, whereby 

tapping on the button will trigger a text 

message to be sent to the user’s next of 

kin, informing them that the user is in an 

emergency. 

ENDLESS POSSIBILITIES 

Looking ahead, Kumar foresees collective 

patient empowerment that comes along 

with advances in technology noting that 

the pandemic has become the catalyst 

for the adoption of technology across 

different age groups. He explained: 

“During the past two years, 

awareness, adoption 

and proficiency of 

technology usage have been greatly 

enhanced among the public across 

different age groups, from the young to 

the old. Healthcare providers should tap 

on technology platforms that focus on 

the medical care sector to reach out to 

more people.” 

And where cybersecurity is concerned, 

Kumar acknowledged the importance 

of data privacy as theft or leakage of 

personal information can put individuals 

at risk for fraud, identity theft and 

cyberattacks. He emphasised that Ouch 

has measures in place to protect the 

confidentiality of the patients, including 

the collection of only information that 

is required and storing and using this 

information securely and responsibly. 

He concluded: “We aim to digitally 

transform clinics, offering software-asa-service 

(SaaS) solutions for clinic’s 

backend system and connecting them 

effectively and smartly with their patients 

via the Ouch mobile app. 

“There are numerous advantages to 

adopting SaaS as opposed to traditional 

customary business software or 

hardware installation models, including 

cost-effectiveness, swift configuration 

and deployment, seamless updates, 

better accessibility and forward 

adaptability and scalability. This will be 

the starting point and beyond this, the 

possibilities are unlimited.” DA 


TRENDS 

NSK harnesses green power 

Switching the electricity used at their headquarters and A1 Factory in Japan 

entirely to renewable energy including photovoltaic power, NSK paves their 

path to zero CO2 manufacturing. 

Addressing global warming, which is 

accompanied by severe climate change, has 

become an urgent problem and international 

efforts such as the Paris Agreement and the 

United Nations Sustainable Development 

Goals (SDGs) are becoming more active. 

In October 2020, the Japanese government 

announced its policy of achieving carbon 

neutrality by 2050 and the trend towards 

decarbonisation has accelerated in the 

country. 

Since acquiring the ISO 14001 environmental 

management system in 1999, Nakanishi 

(NSK), a manufacturer of dental, surgical 

and general industrial products, has been 

reducing energy consumption by maintaining 

environmental conservation at headquarters 

and production sites, introducing photovoltaic 

power, groundwater recycling air conditioning 

systems and automatic air conditioning 

control systems. 

As a global company, NSK has switched all 

energy consumed in domestic production 

activities to green power from photovoltaic 

power as a further measure to play a more 

active role in realising a sustainable society. 

NSK has entered into an electric power 

purchase contract with EneresPower 

Marketing, an electric power retail company, 

and has started using its service. Greenhouse 

gas (GHG) emissions will be calculated every 

physical year and third-party verification 

will be conducted to ensure the validity 

of emissions while promoting zero CO2 

manufacturing. 

Looking ahead to acquiring the Environmental 

Initiative in the future, NSK is committed to 

actively reduce GHG emissions throughout 

its business activities in its entire supply 

chain and fulfil its social responsibility as a 

company in the dental and medical equipment 

industry promoting decarbonisation in the 

society. 

EFFORTS TO REDUCE GHG 

EMISSIONS IN ITS SUPPLY CHAIN 

Based on GHG Protocol , an international 

standard for calculating GHG emissions, 

and Basic Guidelines for Calculating GHG 

Emissions through the Supply Chain from the 

Japanese Ministry of the Environment, NSK will 

calculate and reduce emissions from business 

activities (Scope 1 and Scope 2) and indirect 

emissions outside the scope of its business 

activities (Scope 3). 

Furthermore, NSK has planned to switch the 

energy used in its production activities in Scope 2 

to renewable energy-based electricity and reduce 

GHG emissions to zero. And under Scope 3, the 

company will measure GHG emissions during the 

procurement of raw materials and the use and 

disposal of products by its customers. Moreover, 

NSK will address reducing emissions by 

promoting its products that consume less power, 

are smaller and lighter, and by reviewing logistics. 

NSK believes that the creation of environmentally 

conscious products also leads to more 

business opportunities, so it intends to 

actively work towards the realisation of carbon 

neutrality by considering the promotion of its 

business strategy and its efforts to tackle the 

environmental problem in an integrated manner 

with an eye to active participation in climate 

protection projects. DA 


UNDER THE SPOTLIGHT 

Integration of guided surgery 

into practice 

Digital workflow combined with usability and performance – there is no better 

time than now to embrace digital implant technology as Czarmaine Masigla 

writes more. 

Breakthrough in dental technology has 

empowered dentists to be more confident in 

carrying out treatment procedures for their 

patients. And patients can ultimately benefit 

from more treatment options available and 

have procedures performed with higher 

accuracy and less discomfort. 

In the area of digital implant dentistry, 

advancement in treatment planning software, 

surgical guides and digital scanning 

technology allows for greater precision and 

implant reliability. This is particularly true for 

Dr Jonathan Loa, a Belgian implantologist, 

who believed that implants will more often 

be placed in a guided manner and the 

developments in implant platforms have 

enabled more dentists to integrate dental 

implant procedures into their practices. 

“Surgical guides are more accessible and 

affordable nowadays which is a good thing,” 

he noted. “Digital planning makes the implant 

placement more predictable and therefore 

I expect more general dentists to place 

implants.” 

For Dr Loa, his first step into digital dentistry 

started with the acquisition of an intraoral 

scanner in 2020. He was also introduced to 

exoplan by a dental technician he works with 

who was passionate about digital dentistry. 

He shared: “exoplan gives me peace of mind 

when placing implants because I know for 

sure that the position will be as planned.” 

The exoplan from exocad is an implant 

planning and surgical guide design software 

that allows dental labs, dentists, implant 

specialists and surgeons to either plan and 

produce surgical guides in-house or outsource 

the planning, design and manufacturing. 

Besides supporting prosthetic-driven planning, 

exoplan offers a comprehensive selection 

of validated and tested implant, drill and drill 

sleeves libraries. 

When using exoplan, Dr Loa valued the wizard 

mode which takes the user to the surgical 

guide production process, thus making the 

software user-friendly. He also favoured the 

virtual extraction tool as the cases he performs 

are immediate placements after extractions. 

He continued: “I like to fact that exoplan is an 

open system which, on top of that, is the same 

ecosystem my dental technicians work in. This 

comes in handy when they need to fabricate 

immediate provisional restorations based on 

my implant planning.” 

STEP AHEAD 

Moving forward, Dr Loa remains positive on 

the outlook on technological innovations 

in the dental industry. One of which is the 

advancements in artificial intelligence (AI) 

which might leave different degrees of 

impact across different fields in dentistry. 

He highlighted that AI will not only improve 

dentists’ workflows but also enhance the 

quality of the work they do. 

And in embracing digital dentistry, his advice 

to fellow dentists was to keep an eye on the 

horizon. “Surround yourself with 

passionate people, also 

on social media. A 

lot of information 

can be found on 

several social media 

platforms, which 

can serve as an 

inspiration to discover 

new techniques or 

improve on existing 

ones. Of course, you 

have to be careful and 

critical towards all 

this information 

but there are a 

lot of people 

who like to 

share their 

knowledge,” 

he concluded. 

DA 



ZimVie opens doors to 

integrated solutions 

Zimmer Biomet reaches a new milestone following the completion 

of its spinoff, ZimVie. As the former dental and spine business of 

Zimmer Biomet, ZimVie is poised to unleash new opportunities in 

the dental industry. Czarmaine Masigla speaks with Maik Walther, 

general manager of ZimVie Dental Asia-Pacific, about this move 

and his plans in driving growth in the dental market. 

Moving from a dental solutions 

provider to now a medical device 

company, what are some of the key 

takeaways you have brought along 

with you and how will they help shape 

the strategies you have developed for 

ZimVie Dental? 

Maik Walther: First, I would say that our 

customers – the dental professionals 

— are looking for the best patient 

outcome based on treatment plans, 

and this is true across all segments of 

the dental industry. So, no matter what 

the company’s focus is, one should 

keep this in mind. This is the meaning 

of being customer-centric from my 

point of view, and at ZimVie our vision 

is totally in line with it. 

The second takeaway for me is that the 

dental space, whether it is the industry 

or the providers, is currently challenged 

by new technologies. Many call it 

digital technology, but I would argue 

that it is not so much about digital, 

but using those new technologies, 

like software for design, planning and 

guided surgery, 3D printing hardware 

and CAM, new materials for digital 

technologies, training and education 

using digital technologies, advanced 

technical service and support to enable 

dentists to improve patient outcome 

in a quality-assured, repeatable and 

integrated way that benefits both their 

patients and their practice. 



With ZimVie Dental, traditionally our 

focus is on a very specific application 

– implants. But our company as well 

as our competitors are shifting from 

being a medical parts manufacturer 

to an integrated total solutions 

provider. My background in a broader 

scope of dental products provides 

me with a holistic view of customer 

needs and enables me to put implant 

treatment in the bigger picture of oral 

healthcare. With my knowledge and 

experience, I am confident in leading 

ZimVie Asia-Pacific to become the 

next leader in integrated solutions. 

Can you elaborate more on the debut 

of ZimVie, and how can this spinoff 

better serve the dental industry? 

Walther: With the spinoff, there is the 

opportunity for us to combine the 

best of two worlds. Number one, with 

our background and history where 

we are coming from out of Zimmer 

Biomet, we have a strong history of 

innovation and providing best-in-class 

patient outcomes. We have products 

which are proven with clinical studies, 

clinical outcomes, and more. We 

also have built a loyal customer base 

and a strong footprint in the implant 

industry globally, including Asia- 

Pacific. 

Number two is that with that spinoff, 

we are a large part of a smaller 

company, similar to a start-up 

but with established brands and 

products. We will be able to use our 

entrepreneurial spirit to advance 

what we are doing and be able to 

focus on our core business, to create 

resources by growing our business 

so that we can have innovations to 

support our dental professionals, our 

customers, and ultimately the patient. 

We will also be able to think outside 

the box, be curious and authentic, 

and eventually be accountable for 

our outcome with a strong growth 

mindset. 

spinoff, we will focus on patient 

outcomes and provide solutions 

that dental professionals are looking 

for. We will be able to tap into that 

growth in the area here in Asia-Pacific 

and deliver what the community is 

expecting from us, which are new 

products, new technologies, new 

integrated workflow solutions for the 

best possible clinical outcomes and 

of course, patient satisfaction. 

I think with a focus on speed, 

connectivity and reducing complexity, 

we can be more focused on 

employees and our customers – two 

of our most important assets. 

How will digital dentistry transform 

the dental landscape, and more 

crucially, how can embracing this 

concept ultimately benefit both 

dental practitioners and their 

patients? 

Walther: Digital dentistry is 

transforming the dental landscape. 

This is correct, but I would again see 

it more holistically. 

The world is already digital. The 

key is how can we embed digital 

technologies into current workflows 

to improve patient outcomes, as well 

as the needs and expectations of 

dental professionals. Those needs 

and expectations can be several: 

reduced chair time, fewer patient 

visits and reduced margins of 

error resulting from the process of 

software data capturing to design to 

production. The more you can bring 

this together, the better. 

A smoother workflow not only 

improves outcomes and reduces 

stress, but also improves staff 

retention and satisfaction at the 

clinic. To achieve this, the new 

technologies need to be validated, 

easy to use, integrated and serviced – 

ideally out of one provider. 

is up to the dental professionals to 

decide whether they want to still have 

a manual workflow, a fully digital 

workflow, or a hybrid of both. And 

many parties need to collaborate to 

make this happen. 

Thus, the better, we as the industry 

can help and support the integration 

of workflows, new materials and 

software with training, education, and 

service into the needs of the specific 

environment of the healthcare 

professionals, the more satisfied our 

customers and the patients will be. 

This is our purpose, a job we do 

because ultimately, we want to enable 

our customers to have the benefits 

and outcomes they expect. With that, 

the dental professionals provide the 

patients with what they ultimately 

want – a happy and healthy smile. 

This is what I believe makes a spinoff 

like this exciting and also beneficial 

for the dental community. With the 

Therefore, I believe that the focus 

needs to be on the integration of 

automated workflows. Of course, it 



In your opinion, how will new 

technologies drive growth in the 

dentistry market in the Asia-Pacific 

region? 

Walther: The dental landscape in 

Asia-Pacific is poised for growth not 

only based on demographics but also 

on global developments which are 

changing the world order and shifting 

growth, innovation and scale towards 

this region. Therefore, the adoption 

of new technologies, new business 

models for sustainable healthcare 

outcomes and healthcare economics 

will be accelerated by this vibrant, 

fast-paced, solution-oriented, and very 

diverse landscape in Asia-Pacific. 

I see the growth opportunities in a few 

areas: restorations solutions based 

on integrated digital technologies that 

drive patient outcomes and efficiency; 

higher adoption rates of biomaterials 

in implant surgeries which lead to 

predictability and long-term success; 

new implant surfaces and macro 

design that drive upgrades from older 

products; and lastly, more accessible 

medical education that increases the 

penetration rate of implant treatment, 

especially in emerging markets. 

What other trends do you see taking 

place that will have a sustained impact 

on the Asia-Pacific dental industry, 

and how does ZimVie envision the next 

milestone in dentistry? 

Walther: We are in the middle of 

finishing a milestone a few years from 

now. And that is to fully integrate new 

technologies to create a dental solution 

that improves patient outcomes. There 

are new emerging technologies like 3D 

printing that will open up possibilities 

for new materials and platforms for 

producing dental parts. 

Our job as a manufacturer is not only 

to develop new technologies but also 

to do a better job of helping our dental 

professionals use new technologies 

and new products — this is where 

an integrated solution comes in. Our 

industry is pursuing solutions with 

products that help patients heal faster 

by using new surfaces on implants, 

combining them with biomaterials, 

and then using digital technologies for 

a more efficient surgery and healing 

process. 

Oral health drives the overall health 

of the patient, and if you look at 

healthcare in a holistic view, dental 

health requires a lot of out-of-pocket 

money for the patients. But we all 

know that oral health will impact your 

whole body, whether it is your spine 

or whether you will have infections or 

not that cause a lot of diseases. So 

better outcomes, fewer complications 

and shorter chair times at the dental 

office will contribute to overall health 

economics and also help governments 

move forward in addressing the issues 

they have with increasing costs for 

healthcare. 

I believe that like other industries 

where new technologies drive 

innovation, which then helps our world 

to be greener, to overcome the current 

threats we have to our environment 

and ultimately to mankind, the same 

will happen in the dental industry. And 

I think Asia-Pacific, with the diversity 

we have, will drive this trend. DA 


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Embarking on the digital 

journey and beyond 

From its headquarters in the US and France, 3Disc sets its sight to 

pioneer the digital dentistry landscape of tomorrow. Founded in 

2010, the company now has R&D divisions located in the US, France 

and South Korea to better support clinicians in bringing the highest 

quality treatment to their patients, as Czarmaine Masigla finds out 

more from Marie-Laure Pochon, CEO and president of 3Disc. 

The digital revolution in the dental 

industry is unyielding. Not only has it 

accelerated equipment innovation, but 

embracing new technologies has also 

helped streamline dental procedures, 

thus enhancing how dentistry is 

performed today. 

Suggesting digital adoption as the 

driving force in the dental market, Marie- 

Laure Pochon, CEO and president of 

3Disc, explained that embracing digital 

dentistry allows dentists to offer a wider 

range and more predictable treatments 

to their patients. She told Dental Asia: 

“The dentists’ practice relies on very 

delicate manual processes with high 

technology devices and reliability. This 

blend is unique in healthcare and at each 

point in time, the question is, therefore, 

how to maximise the quality and 

reliability of the clinical processes and 

the time spent. 

“Technology should improve both 

the quality of care and the efficiency 

of the dentists. This fine balance is 

a daily challenge and that is why the 

relationship between dentists and their 

distributor is so important.” 

In Pochon’s perspective, the invention 

of the intraoral scanner (IOS) is central 

in this transition to a digital dental 

landscape as it streamlines dental 

practitioners’ workflows. Describing 

IOS as the starting point of many 

treatments, she explained that IOS 

is the first step of the digitalisation 

of the dental practices, bringing 

more accuracy in the fabrication 

of prostheses, better comfort for 

the patients and allows a shorter 

turnaround time of dental treatment. 

“It is interesting to notice that when 

a dentist starts to use an IOS, they 

would never consider going 

back and realise that it has 

brought more changes and 

advantages than they initially 

expected,” she added. 

“Today, only a minority of 

general or family dentists 

are equipped and we see 

that the new generation of 

IOS, which is more userfriendly 

and intuitive, 

will help speed up the 

adoption. This shift is 

happening and doctors 

no longer have questions 

about precision and returnon-investment 

but focus on 

how to apply it to all areas 

of their daily practice.” 



3DISC HERON IOS 

In an attempt to bring simplicity into 

dental practitioners’ workflows, 3Disc 

developed the Heron IOS, an ergonomic 

and compact digital 3D imaging solution. 

Weighing just 150g, the Heron IOS can 

be operated with all CAD/CAM systems 

available for clinicians and laboratories. 

And when paired with the HeronClinic 

software, dental practitioners can 

navigate the intuitive interface to meet 

their restorative, orthodontic and implant 

needs. From case creation, scanning or 

case integration, the Heron IOS with a 

cloud sharing platform enables dental 

practitioners to create and browse 

patient cases, scan and share with 

labs. 

restricted among hyper-specialists and 

digital-friendly dentists. 

“Our vision is supported by the fact we are 

offering an alternative in the marketplace 

and continuously developing new features 

and open systems that are capable of 

driving customised integration with other 

systems employed in the dental clinics,” 

she added. 

THE FUTURE IS DIGITAL 

A study by iData Research revealed that 

the Asia-Pacific digital dentistry market is 

expected to reach US$1.1 billion by 2027. 

This is fuelled by the emergence of 3D 

printers, IOS and CAD/CAM technologies 

which will lead to an increase in digital 

dentistry procedures moving forward. 

She concluded: “We think that the 

digitalisation will improve immensely 

the way patients are followed by their 

dentists in the long run with treatments 

and prostheses which will be more 

accurate and last longer. The second 

benefit will rely on the improved 

efficiency of the dentists which will 

more than probably allow more patients 

to have access to dental care, while 

today we know it is less than 40% of the 

population who is regularly treated.” DA 

The mission of 3Disc has always 

been focused on the creation 

of an IOS for all dental offices 

through a philosophy of 

being easy and intuitive, 

thereby allowing general 

dentists to use it daily, 

Pochon emphasised. This 

vision, she recalled, was 

driven by a realisation 

that the first generation 

of IOS devices was 

complex, hence usage was 

Commenting on the Asia-Pacific dentistry 

market, Pochon described this region as 

an “exciting market” because of the high 

professionalism of the dentists combined 

with their technology-driven mentality 

and a strong will to be more efficient, 

accelerating the region’s entry into the 

digital world. Furthermore, dental 

labs have led the transition to 

digital over the years and are 

now supporting and driving the 

adoption of new technologies in dental 

clinics to offer new types of prosthetics. 



Immediate implant placement 

in the aesthetic zone 

In treating a fractured tooth with external root resorption on upper left central 

incisor, Dr Eirik Aasland Salvesen and Dr Ida Koll-Frafjord perform a successful 

treatment using Straumann’s BLX implant system, XenoFlex and immediate 

chairside manufactured provisional crown. 

Many factors can be related to apical root 

resorption and roundening, ranging from 

orthodontic movement to occlusal trauma. 

In severe cases, the tooth can even become 

mobile. 

In normal situations, a fractured tooth 

above the gingival margin can be restored 

with conventional dentistry with the use 

of an intra radicular post and prosthetic 

crown. However, in cases where the root 

length is no longer optimal to be used as 

a retentive element for an intra radicular 

post, alternative options must be planned, 

which can go from removable partial 

prosthesis to a fixed three-unit bridge or 

dental implants. 

Fig. 1 Fig. 2 

Fig. 3 

Fig. 4 

One of the main benefits of an implant that 

is placed and provisionalised immediately 

is the potential for aesthetic outcomes 

preserving the existing bone morphology 

and gingival architecture. To enable this 

type of treatment, adequate primary 

stability is a prerequisite and the choice 

of implant design is directly linked to 

the expected outcome. Straumann BLX 

implants combine all properties to match 

the clinical situations from the surgical to 

the restorative perspective. 

INITIAL SITUATION 

A 53-year-old female patient presented 

to the office with a fractured left central 

incisor tooth (tooth 21) which had been 

repeatedly bonded to a ceramic crown 

Fig 1: Initial situation – extraoral view 

Fig. 2: Initial situation – intraoral view 

Fig. 3: Preoperative periapical radiograph 

Fig. 4: Preoperative CBCT scan 

(Figs. 1-2). After anamnesis and examination, 

we recorded good systemic and oral health 

conditions with well-balanced occlusion and 

no smoking habits. 

Cone beam computed tomography (CBCT) 

and periapical x-ray showed external root 

resorption with a very small insertion in 

the alveolar bone not allowing adequate 

conventional intra radicular post (Figs. 3-4). 

Considering the fractured tooth was in an 

aesthetic zone, the patient requested to have 

the tooth restored in the safest and fastest 

way possible. 

TREATMENT PLANNING 

Given the clinical and radiographic 

situation with the roots positioned towards 

the buccal wall and sufficient apical bone, 

extraction followed by immediate implant 

placement and immediate restoration was 

chosen as the treatment option. 

The procedure will be carried out by 

placement of a Straumann BLX Roxolid, 

SLActive ø4.0x14mm implant with 

immediate temporary abutment and 

chairside tooth shell pickup technique as 

provisional restoration. 



Fig. 5 

Fig. 6 Fig. 7 

Fig. 8 Fig. 9 Fig. 10 

Fig. 11 Fig. 12 Fig. 13 

Fig. 14 

Fig. 15 

Fig. 5: Initial osteotomy with needle drill 

Fig. 6: Osteotomy with Ø2.2mm drill 

Fig. 7: Tri-dimensional confirmation with Ø2.2 

alignment pin 

Fig. 8: Osteotomy with Ø3.2mm drill 

Fig. 9: Implant pickup 

Fig. 10: Implant placement with a surgical handle 

Fig. 11: Implant final position assessment 

Fig. 12: Implant final position assessment about 

HHHgingival margins 

Fig. 13: Healing abutment to protect the connection 

Figs. 14-15: Straumann Xenoflex application in the 

buccal gap 

SURGICAL PROCEDURE 

Intra sulcular incisions were performed to 

release the marginal gingival fibres, allowing 

a minimally invasive extraction. The socket 

was carefully cleaned to remove ligament 

and debris left. Special attention was given 

to assessing the integrity of alveolar walls. A 

distance of 3mm was observed between the 

gingival margin and the buccal wall margin. 

Implant bed preparation is considered a 

medium density bone workflow starting 

with the use of the needle drill aiming at the 

palatal wall, creating an entry point for the 

next drills with an osteotomy that allows for 

a greater area of implant engagement (Fig. 5). 

The Ø2.2mm pilot drill was used to the 

respective implant length planned followed 

by the use of an alignment pin to check 

the tri-dimensional orientation (Figs. 6-7). 

The drills Ø2.8mm and Ø3.2mm were used 

to finalise the osteotomy (Fig. 8). The site 

was then probed to assess for possible wall 

perforation. 

Straumann BLX Ø4.0x14mm implant 

was placed starting with the surgical 

handle engaging the apical part of the 

implant following the same orientation 

of the needle drill, correcting the implant 

direction as it moves inside the osteotomy 

(Figs. 9-10). 

A 45Ncm primary stability was achieved 

at the final position. After placement, the 

implant position was verified horizontally 

with an occlusal mirror, and vertically with 

the use of surgical probe. At this moment, 

the abutment gingival height was also 

selected (Figs. 11-12). 

A healing abutment was placed onto the 

implant (Fig. 13) to protect the connection. 

With this, a granular bone substitute 

(Xenoflex) could be applied in the gap 

between the implant and buccal wall, 

which was gently compacted in with the 

2.8mm side of the surgical probe (Figs. 

14-16). Collacone was used to hold the bone 



granules distant from the gingival margins, 

avoiding the possibility of soft tissue 

fenestration and protecting them from 

fibroblastic infiltration (Figs. 17-18). 

PROSTHETIC PROCEDURE 

A Ø4mm with 2.5mm gingival height 

temporary abutment was placed onto the 

implant and it showed no crestal bone 

interference allowing for the appropriate 

creation of emergence profile (Fig. 19). The 

tooth shell that was designed and milled in 

PMMA before the procedure (Figs. 20-21) 

was tested to make sure the contours and 

retention wings were appropriate without 

interference (Figs. 22-23). 

The palatal side including a small portion 

of the incisal edge to allow screw channel 

access was opened (Figs. 24-25). The 

lateral wings of the tooth shell allow the 

provisional temporary crown to stay 

immobile during the pickup procedure, 

which is a common problem clinicians face 

when performing the immediate pickup 

technique. 

Fig. 16 Fig. 17 

Fig. 18 

Fig. 20 

Fig. 19 

The tooth shell was bonded to the 

temporary abutment with the use of 

flowable light-curing composite and a slim 

emergence profile was created for the 

subgingival portion using the same material 

(Fig. 26). At this moment the retention 

wings have been removed. 

With no compression to the soft tissue, 

the provisional crown was seated and the 

incisal edge adjusted to make sure the 

antagonist teeth were not touching it in 

excursive movements. The provisional 

crown was torqued to 25Ncm and the screw 

access was properly closed and polished 

(Fig. 27). The patient was again seen seven 

days after for post-operative and periapical 

radiographic control (Figs. 28-29). 

The final prosthesis was designed using 

Straumann CARES Visual with digital 

workflow. During the designing step, it 

was possible to see that the screw access 

would stay completely to the palatal side 

with no interference in the aesthetics of the 

restoration. 

Fig. 21 

Fig. 22 

Fig. 23 Fig. 24 

Fig. 16: Granules condensation with the surgical probe 

Fig. 17: Application of Straumann collacone 

Fig. 18: Biomaterials application finalised 

Fig. 19: Periapical radiograph to confirm temporary abutment gingival height 

Fig. 20: Temporary crown designed in CoDiagnotiX 

Fig. 21: Temporary crown milled in PMMA 

Figs. 22-23: Fitting assessment of provisional tooth shell 

Fig. 24: Screw access open 



Fig. 25 Fig. 26 

A monolithic ceramic (Zirconiam Prettau) 

crown with a facial cutback and layering 

technique was milled and cemented 

extraorally to RB/WB Variobase with 

1,5mm gingival height corresponding to 

the remodelling of the bone architecture 

as it heals (Fig. 30). The restoration was 

seated and screwed to a torque of 25Ncm 

after occlusion, contact points and 

excursive movements have been checked 

(Figs. 31-33). 

Fig. 27 Fig. 28 

Fig. 30 

TREATMENT OUTCOME 

The patient works as a dental nurse 

herself in a dental practice and has 

direct interaction with many patients 

during her working shifts. For her, it was 

extremely gratifying that she was able 

to leave the dental chair knowing the 

compromised tooth had been extracted 

and the implant placed and restored 

immediately. The final crown matched 

the texture and shade of the adjacent 

teeth bringing harmony to the smile. 

The patient refers the final crown as “the 

cherry on the cake”. DA 

ABOUT THE AUTHORS 

Fig. 29 

Fig. 32 

Fig. 25: Temporary provisional tooth shell in 

position for pick up 

Fig. 26: Temporary provisional tooth shell after 

pick up and emergence profile 

Fig. 27: Temporary crown seated and polished 

Fig. 28: Temporary crown one-week post 

operative 

Fig. 29: Periapical radiograph one-week post 

operative 

Fig. 30: Monolithic ceramic crown cemented to 

RB/WB Variobase abutment 

Fig. 31: Final result smile 

Fig. 32: Final result close up 

Fig. 33: Final result radiograph 

Fig. 31 

Fig. 33 

Dr Eirik Aasland 

Salvesen 

graduated as a 

Doctor in Dental 

Surgery from 

the University 

of Bergen and 

specialised in Periodontology. He is 

the co-founder of Oris Dental, a dental 

service organisation in Stavanger, 

Norway, and the executive director of 

Oris Academy. He is a long time ITI 

fellow and a proponent of immediate 

treatment protocols. 

Dr Ida Koll-Frafjord is 

a general practitioner 

at Oris Dental. 



Orthodontic space closure: Midline 

diastema related to mesiodens 

A comprehensive treatment approach to address severe midline diastema 

associated with mesiodens and malocclusion by Dr Emil Angelo Santos. 

A 10-year-old male patient was 

referred to our private office (Figs. 

1a-c). His chief complaint was the 

presence of a large midline gap 

accompanied by an unidentified 

structure in between the upper 

central incisors. His medical history 

was uneventful. 

Fig. 1a Fig. 1b Fig. 1c 

Previous dental history revealed 

that the patient has never visited a 

dentist before due to poor socioeconomic 

status. 

Intraoral examination, in the 

correlation of his panoramic 

radiograph, showed that the patient 

was in the mixed dentition stage 

with the permanent maxillary central 

incisors and first molars erupted 

(Fig. 2). A 6mm midline diastema due 

to an erupted mesiodens along with 

anterior crossbite associated with 

crowding was noted. The molars 

on the right side were in Class I 

relationship, whereas on the left side 

were in Class II (Figs. 3a-c). 

Fig. 2 

The panoramic radiograph also 

revealed that there is an impacted 

mesiodens in addition to the one 

that is clinically visible. 


The postero-anterior radiograph 

was unremarkable (Fig. 4), but the 

cephalometric radiograph indicated 

that the patient has an orthognathic 

maxilla and a retrognathic mandible, 

leading to a Class II malocclusion 

(Fig. 5). 

Fig. 4 

Fig. 5 



Fig. 6a 

Fig. 6b 

Fig. 6c 

Fig. 7a 

Fig. 7b 

Fig. 7c 

Fig. 8a 

Fig. 8b 

Fig. 8c 

Treatment options were 

outlined including removal of 

the infected primary teeth, 

surgery of the mesiodens, 

and finally the orthodontic 

treatment to address the spaces 

and locked lateral incisors. 

Aesthetic restorative composite 

treatment was also suggested to 

close the diastema, but further 

on decided that orthodontic 

treatment would be a better 

choice to address the patient’s 

malocclusion at the same time. 

TREATMENT 

The first step in interceptive 

treatment was to inform the 

patient and his parents of the 

need for extraction of the 

infected primary tooth and 

the surgical removal of the 

erupted and impacted mesiodens 

in between the upper central 

incisors to reestablish the normal 

dental occlusion and tooth 

position. 

Surgical removal of the mesiodens 

was then performed and comanaged 

with the oral surgeon, 

and after two weeks, orthodontic 

treatment was introduced to 

the patient through the use of 

standard edgewise brackets (Figs. 

6a-c). 

The first stage of orthodontic 

treatment was done through 

an initial 2x2 appliance bracket 

system in the upper arch and a 2x4 

fixed appliance in the lower with 

both having 0.016 stainless steel 

wires as the initial wires. 

A month after the orthodontic 

treatment was started, 1mm 

spontaneous closure on the 

diastema was noted. Central 

incisors observed a more levelled 

position than the initial position. 

At this stage, space closure was 

initiated on the space left by the 

mesiodens, before starting to 

align the upper lateral incisors. 

A 0.016x0.016 square stainlesssteel 

wires were placed on both 

upper and lower arches, followed 

by initial space closure of upper 

diastema (Figs. 7a-c). 

Total space closure was almost 

2mm during this stage. After 

three months of treatment, 

space closure was almost done, 

therefore allowing space to be 



Fig. 9a 

Fig. 9b 

Fig. 9c 

Fig. 10a 

Fig. 10b 

Fig. 10c 

Fig. 11a 

Fig. 11b 

Fig. 11c 

regained in the area of the upper 

lateral incisors (Figs. 8a-c). 

Four months of treatment led 

to complete space closure of 

the upper incisors, and brackets 

are now placed on teeth 12 and 

22 to initiate their levelling and 

alignment. At this time, both the 

upper and lower arches were now 

in a 2x4 fixed appliance set-up 

as a part of the first phase of 

orthodontic treatment (Figs. 9a-d). 

Overlay 0.014 nickel-titanium 

wires were used to align the lateral 

incisors. Replacement of the 0.014 

thermal nickel-titanium wires 

for the piggyback technique was 

done after a month with an 0.016 

thermal nickel-titanium wire. 

An additional two months were 

spent bringing teeth 12 and 22 into 

the arch alignment. The final wire 

that was used was a 0.017x0.025 

stainless steel wire where bends 

were incorporated for detailing 

the occlusion for the first phase of 

orthodontic treatment (Figs. 10a-c). 

The analysis of the final 

photographs showed the 

reestablishment of normal dental 

development, highlighting the 

efficiency and effectiveness 

of the treatment (Figs. 11a-c). 

Furthermore, due to the aesthetic 

improvement of the smile, the 

patient reported a higher level of 

self-confidence and was generally 

happier than in the original 

situation. 

A re-evaluation of the case will 

be done once all the permanent 

teeth have erupted to determine 

the need for a complete fixed 

appliance in the future. 

DISCUSSION 

In the course of dental 

development, the interaction 

of different factors can cause 

malocclusion. This case involved 

the interaction of two major 

factors: two mesiodens, one visible 

clinically and the other needs 

surgical removal. This has led to a 

6mm midline diastema and a lack 

of space for the lateral incisors to 

erupt properly. 

Prompt detection of large midline 

diastemas and erupted mesiodens 



is more common because they are 

located in the maxillary anterior 

region and are easily noticed by 

parents or general practitioners or 

even the patient himself. 

This case, however, does not ratify 

this idea because the patient was 

only referred to the orthodontist at 

the age of 10 years and two months, 

although his parents reported that 

they noticed it when the patient 

was still seven years old. 

Before 

Along with this problem, the 

maxillary lateral incisors were 

misaligned and did not erupt at 

the expected age, which is seven 

to eight years old. This is due to 

the presence of the mesiodens and 

diastema, blocking the space for 

the lateral eruption. 

A simple space regaining could 

encourage the spontaneous 

eruption of lateral incisors, which 

is a more logical and conservative 

approach similar to the case 

presented. 

Older literature also supports 

the cause-and-effect connection 

between the mesiodens and the 

midline diastema as described in 

this clinical case. Therefore, there 

was a call for closing the diastema 

related to the mesiodens present. 

For the patient’s chief complaint, 

the clinical option was the surgical 

removal of the mesiodens followed 

by the orthodontic space closure of 

the remaining space in the midline. 

A month after the mesiodens 

removal, there was a 1.5mm 

reduction in the diastema due 

to the immediate availability 

of the space which allowed 

the teeth to move with a fixed 

appliance. Although there is a 

biological tendency to initiate 

the unconstrained closure of the 

After 

midline diastema, this case showed 

that an orthodontic intervention 

was necessary to facilitate the 

alignment of the maxillary lateral 

incisors. 

With a straightforward and rapid 

method of using an orthodontic 

fixed appliance and 2x4 appliance, 

the treatment objective was 

successfully achieved in six months, 

showing the effectiveness and 

coherence of the procedure. DA 

REFERENCES 

1. 

Edwards JG. Soft tissue surgery to 

alleviate orthodontic relapse. Dent Clin 

North Am. 1993 Apr;37(2):205–225. 

2. 

Beckar A. The median diastema. Dent 

Clin Nirth Am. 1978 Oct;22(4):685–710. 

3. 

Bishara SE. Management of diastema 

in orthodontics. Am J Orthod. 1972 

Jan;61(1):55–63. 

4. 

Steigman S, Weissberg Y. Spaced 

dentition. An Epidemiologic Study. 

Angle Orthod.1985;55(2):167–176. 

doi:10.1043/0003- 

3219(1985)0552.0.CO;2 

5. 

Andrews LF. The six keys to normal 

occlusion. Am J Orthod. 1972;62(3):296– 

309. 

ABOUT THE AUTHOR 

Dr Emil Angelo 

Santos graduated 

with a degree of 

Doctor of Dental 

Medicine in 2015 

and Masters 

of Science in 

Clinical Dentistry 

major in Orthodontics in 2018 from 

the University of the East, College 

and Graduate School of Dentistry, 

respectively. He is a lecturer at De 

Ocampo Memorial College, a clinical 

consultant at the Graduate School of 

Orthodontics, Manila Central University, 

and a core trainer at UY Dental Clinic 

Group. Dr Santos is also the owner and 

head dentist of the Dayanghirang Dental 

Clinic Manila branch. 



Growing intimate with nature 

An increase in social media applications and online video conferencing has 

created a surge in patient demand for smile enhancements. With their high 

expectations, Dr Anand Narvekar discusses a treatment technique that enables 

a clinician to achieve the right balance of aesthetics, function and longevity to 

satisfy their patients. 

As dentists, we often play the role of an 

oral architect as we constantly strive to 

reproduce and replicate natural aesthetics 

and function while meeting our patient’s 

needs. We have the responsibility to not 

only meet the patient’s ever-growing 

demands but to also adopt a minimally 

invasive treatment approach that could 

deliver predictable outcomes with long-term 

treatment success. 

Another area of dentistry that has gained 

popularity among young adults is cosmetic 

orthodontic treatment with the quest to 

enhance smiles. I have been seeing more 

patients with relapse after orthodontic 

treatment in my practice recently mainly due 

to poor treatment planning, cosmetic-driven 

orthodontic treatment without the use of 

post ortho retainers, and poor oral hygiene 

maintenance leading to caries. 

The clinical case showcased below is a classic 

case of post orthodontic relapse where the 

spacing between the upper front teeth had 

occurred affecting the patient’s smile. 

CASE STUDY 

A 36-year-old female patient visited the 

dental office with a chief complaint of 

spacing between her upper front teeth. 

The patient presented with a history of 

orthodontic treatment a couple of years 

ago to close the gap between her teeth. 

This appeared to be a typical case of relapse 

possibly caused by infrequent wearing or 

complete lack of retention plates in the posttreatment 

maintenance phase. 

Initial photographic documentation revealed 

prominent diastemas between the central 

incisors and minor spacings in the laterals. 

In terms of morphology, the teeth have no 

prominent line angles, hence appearing flat 

and squarish. Both centrals were different 

in size and anatomical form, with the distal 

part of tooth 21 appearing straighter than 

tooth 11. There were no signs of traumatic 

occlusion such as abfraction or loss of canine 

tips and no history of parafunctional habits. 

The smile line was average with a thick and 

healthy gingival tissue type (Figs. 1-2). 

Upon further observation and detailed 

communication with the ceramist, we 

decided to proceed with indirect lithium 

disilicate ceramic laminates (Shofu Vintage 

LD) for teeth 12, 11, 21 and 22. The canines 

were not included as the teeth showed 

healthy morphology with no signs of 

structural loss. The treatment plan was 

completely briefed to the patient and was 

finalised. 

INDIRECT AESTHETIC SIMULATION 

The essential photographic and clinical 

findings were noted down and all the 

information was sent to the laboratory 

for the ceramist to proceed with the wax 

mockup. The mockup was done on the cast 

without any teeth preparation in line with 

the minimally invasive treatment approach 

adopted to preserve as much enamel as 

possible. A very thin layer of wax was layered, 

taking perfect care of the morphology, and 

few textures and contours were created on 

the labial surface (Figs. 3a-b). 

Fig. 1 

Fig. 2 

Fig. 1: Patient smile before treatment 

Fig. 2: Intraoral view of the patient smile before 

treatment 

SIMULATION IN THE PATIENT’S MOUTH 

The first impression from the wax mockup 

was made with putty to create an index, which 

aided in transferring the idealised aesthetic 

and functional outcome intraorally without any 

tooth preparation. The same index was also 

used to fabricate the temporary restorations, 

which were placed in the patient’s mouth to 

simulate the final form and function of the 

restorations. The index was cut back following 

the garland-shaped gingival line to ensure easy 

excess removal. 

PREPARATION CONTROL 

Two impressions were made with putty, the 



first one was for the incisal edge and the 

second one for maintaining the labial 

surface in three planes (cervical, middle and 

incisal). 

MOCKUP TRANSFER AND 

TEMPORISATION 

Luxatemp (DMG) was dispensed into the 

first putty index labially and was placed over 

the upper arch with mild to firm pressure 

both labially and incisally. The excess was 

removed in the semi-hard phase along the 

gingival margin (approximately after two 

minutes), guided by the garland-shaped 

cut-back. The wax-up was then transferred 

to the aesthetic zone from teeth 12 to 22. 

Fig. 3a Fig. 3b 

Fig. 4 

Fig. 4a 

Fig. 5 

This procedure was carried out without 

any local anaesthesia and lip controls were 

checked with the thickness of the material. 

The Aesthetic Pre-Evaluative Temporary 

(APT), a term coined by author Gürel in 

2003, helps the patient to experience 

the outcome in terms of tooth form, 

function, and phonetics without any tooth 

preparation. This technique provides the 

clinician with the opportunity to make 

minor adjustments and address any patient 

concerns before tooth preparation. In 

this case, we decided to follow the more 

feminine tooth anatomy where the line 

angles and incisal edges were slightly 

rounded (Fig. 4). 

Fig. 6 Fig. 7 

After the patient approved the APT, we 

proceeded with minimal preparation using 

a 0.5mm depth cutting diamond bur (Shofu). 

The diamond bur was moved in horizontal 

directions in sections cervical, middle and 

incisal third. These horizontal depths were 

marked by pencil. The residual mockup was 

removed with a scaler and probe (Figs. 5-6). 

Surfaces that needed to be reduced during 

the tooth preparation remained within the 

imprint of the pencil mark. 

For the incisal edge, a 1mm depth cutting 

diamond bur was used to create the butt 

joint (Fig. 7). As planned, we increased 

the length of the incisor by 0.75mm to 

compensate width to the height ratio. 

The butt joint on the palatal surface was 

Fig. 8 

Figs. 3a-b: Non-prep wax mockup created by the ceramist with surface texture and contours 

Fig. 4: Temporisation using the putty index to simulate the outcome 

Fig. 5: Minimal tooth preparation using 0.5mm depth cutting diamond bur (Shofu) 

Fig. 6: The horizontal depths were marked, and residual temporary material was removed with a scaler 

and probe 

Fig. 7: 1mm depth cutting diamond bur was used to create the butt joint at the incisal edge 

Fig. 8: The labial and incisal edge preparation was checked with the putty index 

selected instead of the step design for the 

flush and smooth interface of ceramic and 

the natural tooth. In case of a step, a very 

thin layer of ceramic is created that may 

lead to chipping over time. 

A selective preparation was performed 

on the labial surface ensuring sufficient 

thickness for the all-ceramic restoration 

which will provide harmony in the alignment. 

The labial and incisal edge preparation were 

checked with the putty index (Fig. 8). 

This was followed by creating a smooth 

chamfer on the enamel surface to establish 

a reliable bond. The cervical preparation was 

then extended into the interproximal areas 

keeping all enamel intact. The prepared 



tooth surfaces of all four teeth were 

smoothened with a fine diamond bur and a 

Super-Snap Purple polishing disk (Shofu). 

Retraction cord #000 was placed gently 

inside the sulcus and impressions were 

made with a one-step technique using heavy 

and light body impression material (Fig. 9). 

Temporary restorations were placed with 

the same putty index using the spot etching 

technique. 

Fig. 9 

Fig. 10 

Finishing of the temporary restorations was 

performed with a finely tapered diamond 

bur and Super-Snap X-Treme polishing disks 

without touching the soft tissues. To achieve 

a smooth and shiny surface, a coat of glazing 

agent was applied to the temporaries to 

avoid plaque accumulation. 

Fig. 11 Fig. 12 

INDIRECT LAMINATE VENEER 

FABRICATION PROCESS 

Lithium disilicate laminates with Shofu 

Vintage LD pressable system were created 

by Ceramist Madan Soman. Below is an 

explanation of the fabrication steps followed 

to create the life-like restorations. 

• No prep mockups were created paying 

attention to the incisal plane and diastema 

to facilitate temporisation using the APT 

technique. 

• The mockup was then transferred to 

the patient’s mouth and was thoroughly 

checked and examined before tooth 

preparation. 

• The final impressions were made and the 

master casts were retrieved using die 

stone. 

• Dies were made and additional casts were 

poured for checking the fit in all possible 

angles. 

• Wax-up was done followed by investing 

and pressing of the Shofu Vintage LD 

lithium disilicate ingots under the 

recommended parameters. 

• Devesting was done followed by fitting 

and finishing, further cutback was carried 

out using Shofu Dura green DIA WH6 and 

TC4 abrasives. 

• The incisal third build-up was done using 

Shofu Vintage LD opal 58 porcelain and 

fired as per the recommended firing 

schedule. 

Fig. 13 Fig. 14 

Fig. 9: Placement of retraction cords #000 

Fig. 10: Indirect lithium disilicate laminates with Vintage LD Press system for try-in 

Fig. 11: Final indirect lithium disilicate laminate veneers with Vintage LD Press system ready for placement 

Fig. 12: Preparation of teeth with split rubber dam technique and adjacent teeth protected from etching 

and air abrasion procedure using Teflon tape 

Fig. 13: Final adjustments in the margins using the Compomaster diamond impregnated polishers 

Fig. 14: Recall visit after three to four months showing good tissue response 

• Upon successful firing, the laminates were 

sent to the clinic for try-in. 

• After try-in and confirmation by the 

clinician the laminates were sent back 

to the lab for a final check and surface 

detailing. 

• Final glazing and staining were carried 

out using Vintage ART LF stains AS and 

GP and firing were done under the 

recommended protocols. 

• Upon satisfactory final firing, the 

laminates were delivered to the clinic. 

The indirect laminates created by the 

ceramist using pressable lithium disilicate 

Shofu Vintage LD were received from the 

laboratory for try-in. Upon confirmation, 

the glazed laminate veneers were endorsed 

for final delivery and cementation (Figs. 

10-11). 

CEMENTATION PROTOCOL 

The veneers were tried-in using glycerine 

gel to simulate the outcome. When the fit 

and shade results were satisfactory for the 

clinician and the patient, the restorations 

were sent back to the lab for final glazing. 

Upon receipt of the final laminate veneer 

restorations from the lab, we proceeded 

with the veneer cementation. 

The veneers were cleaned using 

ultrasonic cleaner and later etched with 

5% hydrofluoric acid for 60 seconds, 

which was then cleaned and checked for 

frosty appearance. They were further 

conditioned for 20 seconds with 37% 

phosphoric acid. After a thorough 

cleaning, a silane coupling agent was 

applied and the veneers were covered 

under the lid. 





instructed to wear twice weekly during the 

night. The patient was recalled after three 

to four months to check tissue response and 

hygiene maintenance (Figs. 14-17). 

Fig. 15 Fig. 16 

CONCLUSION 

When the treatment plan involves an 

indirect restoration, working closely with the 

ceramist and identifying the most suitable 

type of restoration to meet the patient’s 

expectations while preserving sound tooth 

structure is crucial. Today, lithium disilicate 

laminate veneers are considered one of the 

most widely accepted indirect restorations 

that are precise and reliable for transforming 

smiles with laminate veneers. 

Fig. 17 

For the preparation of teeth before bonding 

veneers, the split rubber dam technique 

was used. Adjacent teeth (canines) were 

protected from etching and air abrasion 

procedures using Teflon tape (Fig. 12). 

Air abrasion was done on all the prepared 

teeth using 50-micron aluminium oxide 

powder for 5-10 seconds each, which 

removed all temporary residues and biofilm. 

After this step, all the prepared teeth were 

cleaned thoroughly with water and dried and 

37% phosphoric acid was applied entirely on 

the labial surface and the incisal edges. 

After 15 seconds, the teeth were cleaned with 

water for approximately 10 seconds. The 

prepared teeth were air dried with highvacuum 

suction before uniformly applying 

the sixth-generation bonding agent (Shofu 

FL Bond II) to all the prepared teeth. The 

excess was removed using a dry applicator 

tip, ensuring an equal amount of bonding 

agent on the entire surface. For luting, 

Beautifil Injectable X (Inc shade) was selected. 

Figs. 15-16: Before and after images of the 

patient smile 

Fig. 17: Close-up view of the final restorations 

showcasing natural like-like aesthetics 

This shade does not interfere with the final 

colour of the restorations after bonding. In 

addition, its high compressive strength can 

contribute to the longevity of the restoration 

inside the patient’s mouth. 

The veneers were manually placed all 

together, gently adding pressure with the 

thumb and forefinger, from the incisal to 

the cervical surface. Once the restorations 

were finally seated, we light-cured each 

veneer from all sides for only two seconds 

(tack-cure). Removal of the excess cured 

gelatinous luting cement was done using a 

periodontal sickle or a curve probe. The final 

cure was performed on each veneer for 40 

seconds from each side. Any further excess 

material was removed using a no. 12 blade. 

Final adjustments in the marginal areas were 

carried out using the Shofu Compomaster 

diamond impregnated polishers (Fig. 13). 

Bite adjustment was then checked using a 

40-micron and 8-micron foil followed by a 

negative fremitus test. Finally, the pathway 

motion (dynamic occlusion) was checked 

using 200-micron horseshoe paper. A soft 

night guard was given to the patient for the 

initial phase till she got acquainted with her 

new restorations. An impression was made 

for an ortho clear retainer which she was 

Shofu Vintage LD press system offers 

natural aesthetics and predictability for 

long-lasting restorations as showcased in 

this clinical case. It is equally important to 

pay attention to detail when bonding the 

indirect restoration as following the bonding 

protocols plays an essential role in the 

longevity of the restoration. DA 

REFERENCES: 

• Minimally invasive veneers. Galip Gürel 

• Gürel G (2003) Predictable, precise, and 

repeatable tooth preparation for porcelain laminate 

veneers. Pract Proced Aesthet Dent 15:17-24 

• Gürel G (2007) Porcelain laminate veneers: 

Minimal tooth preparation by design. Dent Clin 

North Am 51: 419-431 

• Piemjai M, Arksornnukit M (2007) Compressive 

fracture resistance of porcelain laminates bonded 

to enamel or dentin with four adhesive systems. J 

Prosthodont 16: 457-464 

• Magne P, Belser UC (2004) Novel porcelain 

laminate preparation approach driven by diagnostic 

mockup. J Esthet Restor Dent 16: 7-16 


Dr Anand Narvekar 

is an adjunct 

faculty at various 

private dental 

institutes and is a 

clinical trainer for 

Minimally Invasive Cosmetic Dentistry 

(MiCD). He is a key opinion leader and 

advisor for many global manufacturers 

and routinely conducts courses on 

various aesthetic and occlusion-related 

techniques in India and internationally. 


USER REPORT 

Dental-specific 

solution for 3D model 

printing 

Consistency and accuracy – an example of how 

Prof Shen Yung-Kang embraces technology 

advancements by deploying Renfert’s Simplex 3D 

filament printer to streamline model production. 

Integrating modern technology into 

everyday dental practice enables dental 

clinicians to provide more precise and, 

perhaps, more economical, treatment 

options to their patients. In the planning 

stage of treatment, for example, the 

process can be simulated and optimised in 

the virtual world made possible by today’s 

advances in digital dentistry. 

The preparation required prior to 

treatment can be broken into several 

aspects and, depending on the treatment 

plan, might involve digital model 

production. To better support the 

practitioners in fabricating dental models, 

Renfert developed Simplex, a dentalspecific 

all-in-one 3D filament printer 

system. 

A user of Simplex is Prof Shen Yung-Kang, 

a professor at the School of Dental 

Technology at Taipei Medical University 

(TMU) and a member of the TMU Research 

Centre of Biomedical Devices, who has 

deployed the system for the production 

of oral guide plates. Highlighting speed 

as one of the features he favoured about 

Simplex, Prof Shen elaborated on other 

aspects a 3D printer should be equipped 

with, one of which is printing orientation 

as it impacts the quality, accuracy and 

surface finish of the final product. 

“It is crucial to have reproducible and 

reliable results in using a 3D printer to 

ensure consistent product quality every 

time. For clinics, 3D printers can help 

technicians deepen their knowledge about 

this industry,” he shared. 

Renfert’s Simplex consists of a modified 

filament printer, slicer software with 

parameters that are already stored, and 

high-quality special filaments. Designed 

with a plug-and-play concept, Simplex 

offers a spectrum of orthodontic model 

fabrication and pre-installed pre-sets 

for various models. Once the print bed 

has been loaded virtually, the optimised 

slicer software will select the appropriate 

parameters for the user to carry out 3D 

filament printing of diagnostic, working or 

aligner models. 

Particularly, Simplex is designed with four 

filaments with their high layer and print bed 

adhesion, as well as constant dimensional 

accuracy with improved mechanical and 

physical printing properties. The four 

filaments are the Simplex study model, 

a white bio-filament with a high level of 

detail reproduction suitable for producing 

planning and diagnostic models; Simplex 

working model, a viridian green bio-filament 

for accurate fitting working models; Simplex 

aligner model, a white special filament 

that is designed for the special needs of 

aligner production and thermoforming 

technology and Simplex multi-use 

model, a white bio-filament with a 

high hard gypsum content for a natural 

surface effect. 

Featuring a dimensional accuracy of 

≥50µm, Simplex boost a low-noise 

production process of 47-48dB and is 

packed with the Filament Monitoring 

System function that allows the user to 

receive a precise, reproducible result. 

It also features intuitive touchscreen 

navigation and a closed 

building chamber with 

a lockable door and 

removable cover 

with a fan integrated, 

making the unit a 

“convenient and safe 

companion” for daily 

model production. DA 


USER REPORT 

Centripetal layered build-up of 

posterior direct composite resin 

To achieve better marginal adaptation to the gingival floor and long-term 

aesthetic of posterior composite restoration, Dr Christopher Ho presents a novel 

technique which replaces the lost tooth structure by layering from the periphery 

towards the centre of the cavity. 

There has been the emergence of nanohybrid 

composite resins that enable 

dentists to provide strong, life-like aesthetic 

restorations. They promise better polish, 

the longevity of lustre, better handling and 

high strength. All composite resins when 

polymerised shrink from 1.6-5% which 

can lead to marginal openings, internal 

debonding, cuspal flexure and microfracture. 

This polymerisation shrinkage can further 

lead to microleakage and marginal staining, 

caries, post-operative sensitivity, and pulpal 

problems. 

The nanohybrid-filled composites, such 

as Harmonise, contain much smaller filler 

particles of 0.02 microns compared to 0.4-1 

microns with the hybrids. With the smaller 

particle size, there is a subsequent higher 

filler loading, which enables considerably less 

shrinkage and also allows better polish and 

gloss retention. 

In considering the restoration of teeth, 

layering of composite resin is carried out to: 

• Minimise polymerisation stresses, 

• Increase polymerisation depth, 

• Achieve good anatomic contour, and 

• Obtain the best aesthetic result. 

Implementation of different incremental 

layering techniques is used to achieve the 

best aesthetic result but also to minimise 

the stresses that are encountered with a 

direct composite restoration. There are 

many different layering techniques used 

for posterior teeth from the horizontal and 

vertical build-up to oblique layering and 

successive cusp build-up techniques. 

No clear advantage for any technique has been 

evidenced from the literature, but a thorough 

understanding of composite shrinkage and 

how to combat the stresses induced to a tooth 

are the responsibility of every clinician that 

places direct resin restorations. 

RESTORATIVE SEQUENCE 

Shade Selection (Fig. 1): Selection should be 

made at the start of the appointment and 

before rubber dam placement to prevent 

incorrect matching due to dehydration and 

the subsequent increase in value. 

Rubber dam placement (Fig. 2): After the 

administration of local anaesthesia, the teeth 

were isolated with a rubber dam to achieve 

adequate isolation. This allows protection 

from contaminants like blood, saliva and 

crevicular fluid. 

Preparation (Fig. 3): Removal of amalgam and 

caries were done using a rotary instrument, 

which included carious dentin and residual 

amalgam staining. The preparation only 

involved affected tooth structure, and the 

adhesive preparation allowed maximum 

preservation of tooth structure. 

Etching (Fig. 4): The Selective Etch technique 

was performed with 37% phosphoric acid 

on enamel only. The tooth was then washed 

thoroughly with water spray. Optibond 

Versa (Kerr) was applied with a disposable 

Fig. 1 

Fig. 2 

Fig. 3 

Fig. 4 


USER REPORT 

applicator for 20 seconds. This was done with 

a scrubbing motion and left the dentin glossy, 

demonstrating good resin impregnation. The 

bond was light cured. 

Internal adaptation (Fig. 5): A layer of 

flowable composite resin was used as the 

first increment. Due to its lower viscosity, 

it is self-adapting and enables an intimate 

contact with the dentin. This was first placed 

at the gingival margin and cured followed by 

another very thin layer at the pulpal floor. 

Flowable composite resin has also been 

discussed to have a stress-absorbing property 

with it having a high modulus of elasticity, 

which allows it to bend and stretch more, and 

absorb stress from polymerisation shrinkage. 

Fig. 5 

Fig. 6 

Incremental layering: Layering the 

restoration reduces polymerisation 

shrinkage and enhances the aesthetics of the 

restoration. 

Fig. 7 Fig. 8 

Building the proximal contact (Fig. 6): A 

sectional matrix was used with a Lucidwedge 

(Hawe-Neos). The proximal contact was 

then built up with Harmonise composite to 

simulate the enamel in this area. This cavity 

form has become a simple Class I restoration. 

Fig. 9 Fig. 10 

Building the artificial dentin (Fig. 7): The 

artificial dentin layer was built up with an 

incremental technique. Each layer was built 

up in diagonal increments of less than 2mm. 

Opposing walls were not contacted by the 

same increment to minimise wall-to-wall 

shrinkage and cuspal deflection. The shade 

used was an A3 body shade of composite. This 

layer of artificial dentin was stopped short of 

where the anatomic layer of enamel begins 

and was approximately 1mm short of the final 

anatomic contour. 

Building the artificial enamel layer (Fig. 8): It 

has been stated by Muia that the colour of a 

tooth comes from the dentin with the enamel 

acting like a fibreoptic rod transmitting the 

light. Therefore, the final enamel layer was 

translucent. Any warming effects like yellow 

tints or opacities like white spots can be 

added before this final layer of translucent 

goes on. These tints are built up internally 

giving them a real depth to them. A layer 

of enamel composite was built up and the 

surface was invaginated with an instrument 

while still soft. This layer is contoured with 

its associated fissures and cusps and light 

cured. 

Addition of occlusal staining (Fig. 9): 

This can be achieved with a number 10 

endodontic file or a probe with some brown 

or ochre tint (Kerr Kolor Plus). The tint was 

run into the fissures and the excess was 

removed with a disposable micro brush. 

This final layer was cured. 

Finishing and polishing (Fig. 10): This was 

performed to reproduce the shape, contour 

and lustre of the natural dentition. Initial 

contouring was done with multi-fluted 

finishing burs and finishing discs for the 

proximal contours. All areas of the 

restoration were polished and checked for 

occlusal interferences. Polishing was carried 

out with rubber silicone points and the 

Optishine (Hawe-Neos), which maintained 

the surface texture and anatomy. DA 


Dr Christopher 

Ho is a specialist 

prosthodontist 

who completed 

postgraduate 

studies in Masters of 

Clinical Dentistry in 

Prosthodontics from 

the University of London, and a Doctorate in 

Clinical Dentistry in Prosthodontics from the 

University of Sydney. He is a fellow of the 

Pierre Fauchard Academy, American College 

of Dentists, and a special field member of 

the Royal Australasian College of Dental 

Surgeons in Prosthodontics. 


USER REPORT 

Digital aesthetic smile 

reconstruction 

A digital protocol was adopted for an eight-unit ceramic restoration 

utilising 3Shape clinical and laboratory workflows as Dr Naren Rajan 

elaborates more. 

The patient was a 53-year-old 

female in good overall health 

with a non-contributory medical 

history. She wanted to have 

a natural-looking upgrade to 

her teeth without the result of 

looking too white and was not 

interested in treating the lower 

teeth. 

Fig. 1 Fig. 2 

Upon clinical examination, the 

patient presented with an edgeto-edge 

bite with asymmetric 

wear on the upper anterior as 

well as two existing laminates 

on the upper right cuspid and 

lateral. 

The treatment plan included 

a referral for pre-prosthetic 

orthodontic therapy followed by 

restoration of the upper eight 

anterior teeth with layered 

ceramic restorations. 

The intended outcome was to 

restore symmetry, form, function 

and aesthetics to the patient’s 

smile without significantly 

altering her overall appearance. 

TREATMENT 

The patient was first referred to 

the orthodontist to address her 

edge-to-edge occlusion prior to 

any restorative treatment. The 

goals of orthodontic treatment 

Fig. 3 

Figs. 1-2: Post ortho presentation 

Fig. 3: TRIOS Smile Design – proposed outcome 

Fig. 4: Dental System digital waxup 

were to level the gingival 

margins, align the teeth and to 

re-establish correct overjet and 

overbite. 

We utilised TRIOS Smile Design at 

the time of orthodontic referral 

to communicate our treatment 

goals to the orthodontist as 

well as share our vision of the 

potential results with the patient. 

When orthodontic treatment was 

completed, the patient returned 

for updated records that included 

new photography and postorthodontic 

TRIOS scans (Visit 1). 

Fig. 4 

The TRIOS scans were brought 

into Dental System and a digital 

waxup was created using the Temp 

on Prepared Model workflow. The 

digital waxup was output as a 

stereolithography (STL) model and 

printed using a desktop 3D printer. 

A Dental Desktop order was created 

for crowns on teeth 14, 13, 12, 22, 23 

and 24, and veneers on teeth 11 and 

21. The Pre-Preparation scan was 

enabled. 

On the day of preparation (Visit 

2), a putty matrix was made and 

used to create a biscaryl intraoral 


USER REPORT 

mockup prior to beginning tooth 

preparations. While waiting for 

anaesthesia, we scanned the 

upper arch with a mockup applied 

as a Pre-Preparation, the lower 

opposing arch and two-bite 

registrations. After marking the 

teeth as directed, we carefully 

trimmed away the clinical crowns 

of the teeth being treated to 

maintain as many attached tissues 

to allow for easily scannable areas 

while capturing the preparations. 

Fig. 5 

The initial depth cuts were made 

directly through the bisacryl 

mockup to ensure conservative 

tooth reduction in additive design 

areas. After the preparations 

were completed and refined, we 

placed dual retraction cords and 

allowed them to remain in place 

for 10-15 minutes. The top cord 

was then removed and all eight 

preparations were scanned to 

complete the necessary records. 

The case was post-processed and 

evaluated to ensure all areas were 

adequately recorded. 


Fig. 7a 

Fig. 7b 

Provisional restorations were 

fabricated with a bisacryl shrink 

wrap technique using the same 

putty matrix from the mockup. 

The provisionals were trimmed 

and polished, and the patient was 

dismissed. 

Fig. 7c 

Fig. 5: Bisacryl mockup applied before preparation 

Figs. 6a-6c: Preparation 

Figs. 7a-d: Final outcome 

Fig. 7d 

We saw the patient after a week 

from post-op (Visit 3) at which 

time we evaluated the 

provisionals and made minor 

occlusal adjustments in 

excursions. Once both the patient 

and clinician were satisfied, 

we obtained a TRIOS scan of 

the provisionals. It was only at 

this time that we instructed 

the laboratory to proceed 

with manufacturing the final 

restorations copied as close 

as possible to the approved 

provisionals. 

Approximately three weeks later, 

the patient returned for her delivery 

visit (Visit 4). The provisionals were 

removed and the restorations were 

tried in. The restorations required 

only one minor contact adjustment 

between teeth 22 and 23 where we 

felt the contact was slightly tight. 

Otherwise, the units fit impeccably 

well and satisfied the patient’s initial 

treatment goals. 

The units were isolated and bonded 

with resin cement and the patient 

was seen another week later for a 

post insertion visit (Visit 5) where 

we checked the occlusion and took 

postoperative photographs. A posttreatment 

TRIOS scan was also taken 

in centric relation (CR) to be used for 

the fabrication of an occlusal guard. 

DIGITAL ECOSYSTEM 

The long-term benefit of using 

3Shape digital workflows is being 

able to implement and grow 

digital skills over time at your 

own pace. Being a TRIOS user 


USER REPORT 

since 2015, I began by scanning 

and outsourcing design and 

manufacturing. I started with 

routine cases and slowly moved 

into more complex cases as my 

skills developed and I gained 

confidence with my laboratory 

partners. 

Fig. 8 

As we mastered scanning 

techniques, we added more 

components to our digital 

ecosystem. We began with the 

3Shape excitement apps built into 

Dental Desktop then added 3D 

printing and more recently 3Shape 

Dental System lab software. 

Fig. 9 Fig. 10 

In this case, we combined TRIOS, 

TRIOS Smile Design and TRIOS 

Patient Monitoring as well as 

Dental System to complete the 

treatment. The initial smile design 

not only engaged the patient about 

the potential result, but it helped 

to guide the orthodontist as to 

our restorative end goals. The 

smile design was then also used 

in Dental System in the RealView 

engine to help interpret the design 

into a 3D waxup model. 

After the provisionals were made 

and TRIOS scans taken at critical 

milestones, we were able to align 

the preoperative, mockup and 

provisional scans in TRIOS Patient 

Monitoring to ensure that the 

original design was respected and 

transferred to the patient before 

having the final restorations 

fabricated. The TRIOS scan of the 

final ceramics was also aligned 

to evaluate if the results were 

accomplished in harmony with the 

initial design. 

The benefits to the patient were 

being able to have substantive 

engagement in the entire process 

from inception to execution. 

She was able to contribute her 

wishes and envision the scope 

of treatment and was also able 

to have the treatment completed 

without a single physical 

impression taken in her mouth. 

As a clinician, utilising the entire 

3Shape digital ecosystem allows 

me to offer precision with more 

predictability and less stress 

than ever before in my 18 years of 

practice. Being able to accomplish 

the digital waxup myself ensures 

the case is designed according 

to my vision and my lab partners 

simply need to copy my 

provisionals. Using the ecosystem 

in this manner has essentially 

helped me to undertake more 

comprehensive treatments with 

confidence in my practice that I 

was previously hesitant to treat. 

Simply having technology is not 

enough. Using it thoughtfully is 

how we realise the true promise of 

digital dentistry. DA 

Fig. 11 

Fig. 8: TRIOS Patient Monitoring of planned digital waxup vs. executed provisionals 

Figs. 9-10: Comparison of pre-op – mockup – provisionals 

Fig. 11: TRIOS Patient Monitoring of final restorations vs provisionals 


Dr Naren Rajan 

has over 18 years 

of experience 

as a full-time 

general practice 

in Mendham, 

New Jersey, 

and focuses on 

restorative, implant and aesthetic 

dentistry. He graduated from Rutgers 

School of Dental Medicine with 

honours, followed by a general 

practice residency at Jersey Shore 

University Medical Centre. Dr Rajan 

was inducted into OKU, the national 

dental honour society and received 

his fellowship in the AGD. He is 

actively involved in dental education 

serving as assistant director of 

digital dentistry at the Touro College 

of Dental Medicine and a founding 

member at CADPro Academy in 

Woodbury, New York. 


The perfect duo 

USER REPORT 

BRILLIANT EverGlow ® & 

ONE COAT 7 UNIVERSAL 

BRILLIANT EverGlow is a universal submicron hybrid 

composite of the latest generation and a true all-round 

material. It has been developed with special focus on high, 

long-lasting gloss and shade aesthetics and handling 

convenience. Meeting highest requirements for “brilliant” 

anterior and posterior restorations, it is the ideal modern 

filling material. 

ONE COAT 7 UNIVERSAL is a light-cured, 

one component bonding agent used 

effortlessly, for all adhesive restoration 

techniques. The outstanding shear bond 

strength ensures excellent adhesion to 

enamel and dentine. 

More information about 

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USER REPORT 

Same-day visit implant treatment 

What does an immediate implant procedure entail? As a user of the Anthogyr 

Axiom PX implant system, Dr Sebrina Abdul Malik expounds and highlights its 

advantages over delayed loading. 

A 42-year-old anxious healthy 

male patient presented with a 

fractured grossly decayed tooth 

on his upper left lateral incisor 

(Tooth 22). Clinically, he had 

completely lost his crown due to 

untreated caries, leaving no ferrule 

for restoration, therefore it had 

to be extracted. He is an irregular 

attender to the dental office, very 

anxious with a dentist, a nonsmoker 

who has a moderate oral 

hygiene. 

Pre-operative panoramic radiograph Fractured tooth 22 

There was insufficient ferrule to 

restore the tooth as it would need 

crown lengthening, a root canal 

with a post and core, therefore the 

prognosis was guarded. Treatment 

options were explained to the 

patient and he asked for the tooth 

extraction and the immediate 

implant placement. He was more 

comfortable with this treatment 

option which he considered more 

suitable for him. The panoramic 

radiograph showed a generalised 

healthy periodontium. 

Treatment options for the implant 

procedure and technique were 

discussed in detail including 

whether a delayed or an immediate 

approach has to be done. In this 

case, both immediate or delayed 

implant placement approaches 

are equally successful. Since the 

patient is asymptomatic, with no 

existing acute periapical lesion or 

Socket of extracted tooth 22 Extracted tooth 22 

infection, he is considered suitable and pain as well as reduces the need 

for an immediate implant procedure. for suturing. Most patients would be 

inclined towards this technique due 

What does an immediate implant to the above advantages. 

procedure require? This procedure 

first involves a flapless extraction TREATMENT 

of the tooth followed by an implant A flapless atraumatic extraction of 

insertion into the socket during the broken upper left lateral incisor 

the same surgery. Since there is was carried out with coupland 

no surgical incision nor buccal flap elevators and upper incisor forceps. 

raised, this results in less surgical The empty socket was irrigated 

trauma, shorter surgical time, 

with a saline solution and curetted, 

reduction in post-operative swelling leaving only a healthy surrounding 


USER REPORT 

alveolar bone. Then, an Axiom 

PX (Anthogyr) 4.0x14.0mm was 

optimally positioned, and a great 

primary stability of 40Ncm is 

obtained. 

Since the ‘jumping gap’ is bigger 

than 2.0mm, a Xenogeneic bone 

graft – Bio Oss 0.25gram was 

packed and compressed into the 

socket. A healing abutment was 

used to maintain the gingival 

emergence profile and favour the 

healing of the soft tissue for the 

future prosthetic crown. Implant 

positioning was controlled by 

a post operative-panoramic 

radiograph. 

One-stage surgery with healing screw 

Post-operative x-ray 

Four months later, a closed tray 

impression technique was carried 

out and a cement retained zirconia 

crown was successfully placed. 

Three months review 

Final restoration 

CONCLUSION 

This case has changed the patient 

perception of a dentist and that 

gave him the motivation to care 

for his dental health. He has 

other carious teeth as well which 

are undergoing treatment with 

dental restorations and he is now 

much more motivated to care for 

his dentition after the implant 

placement. He has now become 

more comfortable at the dental 

office and no longer anxious to 

attend for treatments. 

A high-quality dental implant 

and crown treatment have 

been devered in only one visit 

with minimal surgical trauma, a 

reduced post-operative swelling 

and pain. The Axiom PX (Anthogyr) 

dental implant is designed to 

engage well in the socket for 

immediate implantation with great 

stability. Studies have shown the 

success rate of immediate implant 

technique is nearly as successful 

to delayed approach if done the 

correct way. DA 

Closed tray techniques 

Crown received from the lab 

ACKNOWLEDGEMENT 

The author would like to extend her 

appreciation to Patrick Lab for their 

prosthetic work. 

Radiograph to verify fully seated restoration 


Dr Sebrina Abdul Malik 

graduated from the 

Trinity College Dublin, 

University of Ireland, 

with a Bachelor of 

Dental Science in 

2009 and has been 

practising general dentistry since then. 

With an interest in dental implants and 

dentoalveolar surgery, she co-founded 

Azure Dental in Singapore where she 

currently works. A certified implant dentist, 

she is also a fellow of the International 

Congress of Oral Implantologist and 

an active member of the International 

Team of Implantology and Academy of 

Osseointegration. 



Bringing 3D printing to the 

next level for sustainable healing 

What can 3D printing bring forth to the manufacturing of regenerative implants? 

Dr Lim Jing, CTO of Osteopore, elaborates more. 

Three dimensional or 3D printing is an 

additive manufacturing process that has 

been around for a while now – but is 

still guaranteed to attract attention. It 

produces a physical object from a digital 

design and has been creating a buzz in the 

healthcare industry since the 1990s when 

dental implants and custom prosthetics 

took off. 

While there are many different types of 

3D printing available, Osteopore has been 

embracing the technological advantage 

that 3D printing has over traditional 

manufacturing techniques. This has 

enabled us to create a microstructure 

that is representative of native bone while 

meeting the gross geometrical needs of 

the reconstruction area and facilitating 

technology differentiation from other 

medical implant providers. 

It involves harnessing the body’s 

regenerative capacity to rebuild lost 

tissues and the bioresorbable materials 

in Osteopore’s implants leverage 

the combined technologies of tissue 

engineering, regenerative medicine and 3D 

printing techniques. 

3D printing technology allows us to 

make regenerative implants. Osteopore’s 

bioresorbable implant is the first of its 

kind to be successfully developed and 

commercialised for surgical use, and this 

technology paves the way for the future 

of healthcare. When used appropriately, 

the solutions created with 3D printing 

regularly outperform traditional implant 

methods in terms of design and associated 

long-term healthcare costs. 3D printing 

allows the creation of complex geometries 

that copy the shape and function of natural 

bone and allows efficient productisation, 

particularly in customised implants. 

Given the complex nature of bone 

microarchitecture, 3D printing enables 

production at a cost-effective scale. 

Pairing advancements in technology 

and automation enables the production 

of implants around the clock and even 

remotely, bringing forth a compelling 

commercial industrial business case for 

the technology alongside the medical 

rationale of what is possible. 

But most importantly, 3D printing is 

reshaping what implants can do, and how 

patients can be treated – often patient 

comfort and experience during recovery 

are improved. 

Additive manufacturing’s role in the medical 

field continues to develop and mature, 

and while in some medical specialities the 

hype of 3D printing has gone down – the 

value that 3D printing can provide to this 

field will be recognised once the industry 

understands and accepts the technology 

and its benefits. 

The compelling argument for the technology 

is that it has the combination of being able 

to produce something as specific as the 

biomimetic architecture at Osteopore, 

as well as its scalability at the same time. 

Besides being consistent and reproducible, 

3D printing allows Osteopore to 

manufacture products at scale and produce 

them in a way that meets quality standards. 



What is the largest implant Osteopore has 

printed? 

The largest implant Osteopore has 

produced is 36cm in length and was 

implanted in an Australian patient in 

Queensland for a shin bone reconstruction 

surgery. He has since recovered well and 

can ambulate without crutches. 

Osteopore honeycomb microstructure 

BREAKDOWN OF 3D PRINTING 

Choice of 3D Printing 

Osteopore utilises Fused Deposition 

Modelling, or Fused Filament Fabrication 

as it has been more recently called. This 

method of 3D printing is so far one of the 

most reliable and reproducible among other 

techniques and hence is suited to producing 

parts and design. 

In addition, the microstructure that is 

incorporated into Osteopore products 

can be consistently reproduced in good 

quality using this method. Also, the physical 

properties of parts produced by this method 

of 3D printing fit well with the needs of the 

application area. 

What are the available products? 

Osteopore’s product portfolio includes 

Osteomesh, Osteoplug and Osteoplug-C 

in various sizes. These are available offthe-shelf 

to allow surgeons quick access 

to products so that they can treat patients 

as soon as possible. In addition, Osteopore 

provides customised implants designed based 

on the patient’s and surgeon’s treatment plan. 

What are bone graft substitutes? 

Traditionally, bone graft substitutes are 

derived from animal, cadaveric, or synthetic 

sources. 

Osteomesh 

Guided Bone 

Regeneration 

They are used to fill bone voids in the 

skeletal system. Although their particulate 

nature allows them to fill irregularly sized 

bone voids easily, they do not provide 

structural support to the skeletal system. 

As a result, they are mostly used in smaller 

areas of bone loss, or areas of lower stress 

activation. 

Why is porosity necessary? 

Porosity is a basic requirement for bone 

ingrowth and blood vessel ingrowth. It is 

also representative of the natural structure 

of bone: a highly porous and interconnected 

pore system. Without an interconnected 

pore system, bone tissue may consequently 

grow around the implant rather than 

through the implant – this may not lead 

to the intended outcomes of bridging and 

providing support to the skeletal system. 

Are bone graft substitutes porous? 

They are in a way, but there is a substantial 

amount of variability depending on how 

they are packed into the bone void. If they 

are packed too tightly, the pores become 

compressed or are isolated, making them 

unamenable to the ingrowth of tissue. If 

they are packed too loosely, it may not be 

ideal for bone formation. 

How does 3D printing create consistent 

porosity? 

3D printing with Osteopore’s microstructure 

allows us to define the pore spaces and 

reproduce them consistently. In this 

way, the consistency of providing open 

channels for bone and vessel ingrowth is 

ensured. 

How does 3D printing enable the implant 

to work? 

The pillars of tissue engineering include 

scaffolds, cells and growth factors. 

Osteopore’s technology provides a scaffold 

that is bioresorbable and designed to allow 

cells and growth factors to be incorporated 

at the point of surgery. In our off-the-shelf 

products, cells and growth factors can grow 

into the scaffold structure due to the open 

pore system. 

How does the Osteopore design facilitate 

bio-stimulation? 

The combination of our choice of material, 

3D printing technique, and pore design 

allows the scaffold to withstand some level 

of compression forces. This is important as 

it allows these forces to be transmitted to 

cells for them to experience appropriate 

levels of mechanical stimulation to aid in 

bone repair and growth. DA 


Dr Lim Jing holds a 

PhD from Nanyang 

Technological University, 

Singapore. Prior to 

joining Osteopore, 

Dr Lim researched 

biomaterials for tissue 

engineering and regenerative medicine and 

developed material fabrication platforms. 

He published 14 articles in internationally 

peer-reviewed journals during that time. 

Dr Lim joined Osteopore in December 

2014 and has led Osteopore to important 

regulatory and quality milestones, 

expanded product and therapy portfolio 

and contributed to the improvement in 

manufacturing efficiency. 



Digital denture – 

The next big thing? 

An insight into his everyday practice, Michael Wiernek, CEO and 

founder of Tandprotetikeren Aarhus Laboratory, shares his personal 

yet holistic view of digital dentures. 

There is hardly an area of life that 

has not yet been affected by the 

far-reaching technical change in 

recent years: Digitalisation is on 

everybody’s mind and, of course, 

dentists and dental technicians and 

their day-to-day practice have not 

been left untouched. 

This also holds for digital dentures, 

according to Michael Wiernek, CEO 

and founder of Tandprotetikeren 

Aarhus Laboratory. From his base 

in Denmark, Wiernek has over 22 

years of work experience and is 

also a denturist himself. Here, he 

elaborates on the opportunities 

and challenges in the area of digital 

dentures. 

hours. In the beginning, we couldn't 

believe it ourselves, but it is true. 

Did you go through a big learning 

process for digital manufacturing 

or was it easy and intuitive for 

you? 

Wiernek: For me, going digital has 

been a unique yet tough journey, 

which I started in March 2018. 

The following six months involved 

truly hard work because no one in 

Denmark knew how to do it. After 

the summer of 2018, I acquired a 

lot of know-how, but still, I could 

not do everything I wanted to. So, 

I went outside Denmark to the US, 

Holland and Germany to network and 

exchange knowledge with experts in 

the field. It took me many evenings 

and nights trying to figure things 

out at home, but after a year I fully 

committed to it and it paid off. I 

know almost everything about digital 

dentures now and even when I do not, 

I always find a way to make it work. 

What convinced you to manufacture 

your dentures with Ivotion, and what 

difference do you see compared with 

Do you only work digitally or do 

you also manufacture conventional 

dentures? 

Michael Wiernek: We work only 

digitally; never with conventional 

dentures. I consider us to be an 

almost completely digital laboratory. 

My colleagues and I were one of 

the first dental technician teams in 

Scandinavia to use digital dentures. 

As a result, we have created a 

laboratory that almost eliminates 

the need for gypsum for producing 

dentures. With the digital denture 

method, we have reduced 10 hours 

of lab work to approximately 1.5 

Michael Wiernek, CEO and founder of Tandprotetikeren Aarhus Laboratory 



Upper and lower jaw dentures milled in 

a PrograMill PM7 

Wiernek designing an Ivotion denture in the 3Shape Dental System 

how conventional dentures are 

fabricated? 

Wiernek: For me, the most 

convincing argument was the fact 

that with Ivotion, you have a full 

denture plate in one, which no 

one else can provide. In addition, 

speed is an enormous advantage, 

since you do not have to glue the 

denture base and teeth together. 

The biggest difference between 

a conventional denture and 

a digital denture is that I can 

significantly reduce patient 

visits by working with the 

Ivotion Denture System. We 

can cut them down from five to 

six visits to two to three visits 

per denture, and we are fully 

done with satisfied and smiling 

patients. 

What was the feedback you have 

received from your patients? 

Wiernek: The feedback is 

great because patients only 

have to come for one or two 

appointments before the denture 

fits. The patients are much more 

satisfied than in the past. They 

have also become much more 

relaxed since I can assure them 

that the result will fit them 

perfectly. 

With Ivotion, they no longer have 

the same pain level as with the 

conventional method, since it is 

not only much better and faster 

but also fits them perfectly. In 

addition, the reproducibility of 

the created prosthesis is simple. 

Digital dentures are an absolute 

win from the patient's point of 

view. 

Did you invest directly in the 

entire system or did you do it 

in stages? You also purchased 

a PrograMill PM7. How did you 

feel when you made the decision 

to purchase it and how would 

you evaluate the situation 

today? 

Wiernek: In the beginning, I 

started by using the scanner and 

the 3Shape dental system. At a 

very early stage, I also decided 

to only implement and follow the 

respective Ivoclar Digital Denture 

workflow and take it step by step. 

Ivotion Denture System helps Wiernek 

deliver ideal results for his patients 

Seven months later I made the next 

move and got the lab scanner and 

then the 3D printer. 

About the PrograMill PM7, I thought 

about it for two years, because of the 

high investment amount. However, 

I knew I could not resist because 

the PM7 is a very capacious mill for 

high productivity. If I am investing 

in something new, I am going to 

go with the best. I knew that in the 

long run, I would invest in the PM7 

anyway, knowing that if I wanted 

to hire more denturists or increase 

my production, the PM7 would be 

the right one. I have never regretted 

it, as for me it is the best available 

machine. And it has paid off. DA 



The bridge between virtual 

platform and reality 

With Dicom to Print (D2P) and Geomagic Freeform software, 

practitioners can work interactively with patient-specific virtual models 

to simulate surgical procedures and improve the planning process. 

As a reseller of Oqton software 

solutions, Chennai-headquartered 

Graft3D Healthcare Solutions 

provides design and metal 3D 

printing of patient-specific 

implants (PSIs). With its team of 

PSI design engineers and medical 

professionals including surgeons, 

Graft3D can create individualised 

implants for complex surgical 

procedures using 3D solutions. 

Rebuilding any anatomical defect 

is a difficult skill that involves 

surgeons manually shaping 

modeling, and placing bone 

cement, bone grafts, or titanium 

meshes. Surgeons can use PSIs 

to correct complex, symmetrical 

anatomical defects and develop 

healthcare treatment for greater 

accuracy and shorter rehabilitation 

times. Dental work is a prime 

candidate for PSIs. 

For example, a 50-year-old female 

patient was having difficulty 

chewing due to the loss of her 

posterior teeth. Subperiosteal 

implants are ideal for cases such 

as atrophic maxilla and mandible 

ridges. Using Oqton’s D2P software 

and Geomagic Freeform organic 

3D design software, as well as 

3D printing for the anatomical 

model and implants, Graft3D 

restored her edentulous jaw 

Fig. 1: Conversion of DICOM to STL file in D2P software 

with a subperiosteal implant 

Image processing with D2P 

and minimally-invasive surgery Dr Preetha referred the patient for 

while improving results. Surgical a cone beam computed tomography 

planning facilitated the precise 

(CBCT) scan of both maxilla and 

design of the implant and screw mandible with less than 0.6mm 

position, which reduced repetitive slicing thickness. She rendered 

drills during surgery. 

the image in digital imaging and 

communication in medicine (DICOM) 

SURGICAL PLANNING 

and converted it into an STL file 

Graft3D CEO V. Iraimudi, BE, 

using D2P software from Oqton, 

MS (by research) designed and 

which provides information including 

analysed the patient-specific 

bone density and soft tissues. The 

implant. Dental surgeon Dr C. 

D2P software has received a US FDA 

Viha Preetha, BDS, processed the 510(k) device clearance, European 

images and planned the surgery Economic Area (EEA) CE mark and 

virtually with the maxillofacial 

Israeli AMAR for medical use. Using 

surgeon, Dr B. Karthick, MDS. 

D2P, she extracted the exact amount 



of bone exposed during CBCT 

radiation to perform an accurate and 

minimally invasive osteotomy (Fig. 1). 

Plan and design with Geomagic 

Freeform 

Next, Iraimudi virtually planned and 

designed customised subperiosteal 

implants for every step of the 

procedure using Oqton’s Geomagic 

Freeform software and a Touch haptic 

device. 

Fig. 2 Fig. 3 

He imported the converted STL file 

into Geomagic Freeform as an exact 

virtual replica of the patient’s jaw. 

He then used Geomagic Freeform 

and a Touch haptic device to design 

the implant framework for location, 

length, depth, and angle using the 

interocclusal distance to position the 

abutment length and angulation for 

the prosthetic replacement 

(Fig. 2). 

By superimposing the pre-operative 

impression over the mandibular 

STL file in Geomagic Freeform, he 

designed a custom implant and saved 

time by assessing the procedure 

50–60% faster, avoiding clinical 

obstacles, and eliminating multiple 

post-operative impressions and 

patient appointments. 

3D printing anatomical models and 

implants with plastic and metal AM 

Next, Iraimudi used the mandibular 

STL file to 3D print an anatomical 

model of the patient’s jaw and 

customised implants for the surgical 

procedure with a combination 

of plastic and metal additive 

manufacturing (AM) technologies 

(Fig. 3). 

He had the anatomical model of the 

patient’s jaw 3D printed on a plastic 

3D printer with fused deposition 

modelling (FDM) technology using 

PLA. He had the customised implants 

3D printed on a metal 3D printer 

using medical-grade titanium 

Fig. 4 Fig. 5 

Fig. 2: Customised implants and anatomical model designed in Geomagic Freeform 

Fig. 3: 3D-printed plastic anatomical model of patient’s jaw with customised metal implants 

Fig. 4: Modified Ginwalla incision and elevated buccal flap 

Fig. 5: Post-operative orthopantomogram 

Ti6Al4V (Ti-64), which is compatible 

with human anatomy. 

SURGICAL PROCEDURE 

The prosthetic replacement operation 

was comprised of three steps that took 

place over one week. The surgeon 

informed the patient of each step 

before surgery. 

Dr Karthick diagnosed the patient 

with a posterior edentulous mandible 

and administered local anaesthesia 

(inferior alveolar nerve block) to each 

side of the mandible. Then, an alveolar 

incision was performed in the middle 

third of the premolar region (modified 

Ginwalla incision) and the buccal flap 

was elevated, relieving the underlying 

periosteum (Fig. 4). 

A customised subperiosteal implant 

was placed on the edentulous ridge, on 

each side of the mandible. Dr Karthick 

also placed the screws and adjusted 

the implants accordingly with minimal 

bone scraping and closed the buccal 

flap with simple suturing. Finally, a 

post-operative radiograph was taken 

(Fig. 5). 

OUTCOME 

Periodontal disease is the main cause 

of edentulous conditions. Bone loss 

occurs in infectious conditions, which 

can lead to standard dental implant 

failure. Clinicians can avoid such 

outcomes by customising minimallyinvasive, 

patient-specific subperiosteal 

implants through surgical planning. 

Using Oqton’s D2P and Geomagic 

Freeform software, clinicians can work 

interactively with patient-specific 

virtual models to simulate surgical 

procedures and improve the planning 

process. 3D-printed patient-specific 

implants are the bridge between a 

virtual platform and reality. DA 


IN DEPTH WITH 

Practice transformation with 

Invisalign Outcome Simulator Pro 

Align Technology introduces the next generation of its advanced patient 

communication tool. 

Invisalign Outcome Simulator Pro enables 

doctors to show patients their potential new 

smile after Invisalign treatment, using in-face 

visualisation or 3D dentition view, all done 

chairside in minutes. 

It is available on iTero Element Plus Series 

scanners and imaging systems, and expands 

Align’s existing Invisalign Outcome Simulator 

technology. It adds the benefits of the 

ClinCheck ‘In-Face’ Visualisation tool that 

combines a photo of a patient’s face with 

their 3D treatment simulation, creating a 

personalised view of how their new smile 

could look. 

“The Invisalign Outcome Simulator Pro 

with in-face visualisation has completely 

transformed my consultation process. It’s 

been a real game changer in driving case 

acceptance as the emotional impact from 

a patient seeing their smile transformation 

in their own face is incredibly powerful,” 

said Dr Johnathan Fitzpatrick, an aesthetic 

and restorative dentist based in Glasgow, 

Scotland, who participated in the limited 

market release of the Invisalign Outcome 

Simulator Pro. “I recently had a patient who 

came in for a hygiene appointment and 

ended up accepting an Invisalign treatment 

after seeing the in-face visualisation of their 

potential future smile.” 

Invisalign Outcome Simulator Pro supports 

a more streamlined workflow and overall 

consultation, making the most of patient 

chair time. Patient photos are easily captured 

on a mobile device using the Invisalign 

Practice App and the scan is taken on 

the iTero Element Plus series scanner. 

With those digital patient images, the 

Invisalign Outcome Simulator Pro starts 

automatically in the background, enabling 

doctors to continue the consultation 

using other iTero tools in their chairside 

discussions with their patients while 

the Invisalign treatment simulation is 

generated. 

“The new Invisalign Outcome Simulator 

Pro tool is a demonstration of our 

continued commitment to bringing 

greater efficiency and more value 

to doctors through innovation and 

simplified workflows via the iTero 

Element portfolio,” said Yuval Shaked, 

executive vice-president, iTero scanners 

and services business. “It is an exciting 

new development that furthers Align’s 

vision of an integrated platform of digital 

products and services, providing a 

seamless solution for doctors to efficiently 

and effectively treat their patients with 

Invisalign clear aligners and to build their 

practices through a holistic, end-to-end 

digital treatment experience.” 

“Invisalign Outcome Simulator Pro is 

another example of our drive to empower 

doctors with the latest advances in dental 

science and technology via the Align 

Digital platform to help doctors transform 

smiles and change lives with Invisalign 

treatment,” said Raj Pudipeddi, chief 

product and marketing officer, executive 

vice-president and managing director, 

Asia-Pacific. 

Invisalign Outcome Simulator Pro is 

currently in limited market release and 

will be available on all iTero Element Plus 

Series scanners and imaging systems 

starting in H2 2022. DA 


IN DEPTH WITH 

Celebrating the anniversary of 

Zolid zirconia 

This year, Amann Girrbach celebrates two anniversaries at once: 15 years of 

zirconia production at the Austrian site and 10 years of Zolid. 

Amann Girrbach, a manufacturer in 

the field of zirconia, is celebrating two 

anniversaries this year: 15 years ago, the 

company produced zirconia blocks for 

the fabrication of dentures for the first 

time, and exactly 10 years ago, the Zolid 

brand was launched. Customers will 

therefore receive a 10-year warranty 

on all Zolid materials as of immediate. 

At the same time, Amann Girrbach will 

be hosting various webinars on zirconia 

throughout the year under the hashtag 

#nosurprisezirconia. 

Amann Girrbach was one of the first 

companies to start manufacturing 

zirconia for dentures 15 years ago. Due 

to the rising demand for increasingly 

aesthetic zirconias and the desire 

for increased cost-effectiveness and 

process reliability, the manufacturer 

introduced the Zolid brand five 

years later. With Zolid, computeraided 

design (CAD)/computer-aided 

manufacturing (CAM) blanks that 

achieved high aesthetics without 

requiring complex veneering processes 

were available to users. 

Since then, the company has 

been continuously developing the 

corresponding materials and processing 

methods. Meanwhile, blanks such as 

the Zolid Gen-X allow for life-like 

restorations with integrated colour 

gradients in 16 Vita shades. Amann 

Girrbach reported that in the context 

of quality assurance, only the best 

raw materials are processed using the 

strictest test methods and certified 

processes. To give an example, it is 

one of the first dental companies to be 

certified by the new Medical Device 

Regulation (MDR), thus supporting users 

in complying with MDR obligations. 

“This year we are celebrating two 

special anniversaries that once again 

demonstrate that we at Amann Girrbach 

are constantly driving the boundaries 

of technical possibilities forwards. 

At the same time, we are taking this 

opportunity to underline our quality 

promise with a 10-year warranty 

on all Zolid materials,” said Melanie 

Röschmann, director of global business 

unit — consumables at Amann Girrbach. 

“We view ourselves as a holistic system 

provider and support our customers 

along the entire customer journey. With 

this in mind, we will also be focusing 

more on training and education in the 

coming years about zirconia. This year, 

we will be kicking off with a series of 

webinars on the subject of working with 

zirconia.” DA 


PRODUCT HIGHLIGHTS 

Mectron 

Next-generation ultrasonics 

Mectron has developed Micropiezo, 

a piezoelectric scaler designed to 

simplify day-to-day clinical practice. 

Micropiezo helps to minimise 

patients’ discomfort when 

undergoing a treatment, which, in 

turn, increases the quality of care for 

both the patient and the clinician. 

The compact, ergonomic and 

minimalistic MICROPIEZO device is 

the ideal solution for meeting the 

needs of hygienists and their patients. 

Supporting the needs of hygienists 

and their patients, the compact and 

ergonomic Micropiezo is packed 

with a ultra-slim ultrasonic handpiece 

with circular LED light for optimal 

illumination surrounding the treatment 

area at all times and a multifunctional 

touch keyboard with colour coding 

according to the clinical indication 

selected. 

Micropiezo features three functions 

with 12 dedicated power settings: 

scaling and perio, endodontic and 

prosthetics. 

The Soft Mode ensures ultra-gentle 

scaling for sensitive patients. This 

function avoids excessive ultrasound 

oscillation, allowing a gentle and 

efficient insert movement. ■ 

Kerr Dental 

Power obturation with no strings attached 

Obturation is a critical step in root canal 

procedure as it helps to prevent leakage, 

entomb remaining bacteria and reduce the 

chance of reinfection. 

The elements IC obturation system from 

Kerr Dental is designed to be used with 

the Continuous Wave warm vertical 

condensation technique. The new extended 

battery life and inductive charging base 

makes the elements IC the latest technology 

for 3D endodontic obturation without cords 

or wires getting in the way. 

With elements IC, users can get excellent, 

predictable results faster and easier, and 

rely on its longer lasting battery, inductive 

charging, and a comfortable, ergonomic 

design. 

The downpack device provides fast heating 

of the heat plugger with precisely controlled 

temperature and timing, making it suitable 

for single-motion downpack obturation of the 

apical portion of the root canal. It features an 

adjustable heating range from 140-400°C and 

heats to 200°C in less than 0.5 seconds. 

The ergonomic backfill device features 

a motorised extruder system for precise 

temperature and speed control for a 3D 

obturation of the root canal system, utilising 

single-use gutta percha cartridges. 

“I really liked elements IC. Thanks to the 

developments, it is faster and more efficient 

to work with, than elements Free. I like that 

I can check the gutta percha level on the 

backfill unit. Easier to keep it clean thanks 

to the new induction charger. My assistant 

loves it. Thanks to the ring button on the 

backfill unit more comfortable to use under 

microscope,” said Dr Janos Zoltan from Nagy, 

Hungary. ■ 



DENTAL ASIA MAY / JUNE 2022 57


VITA 

The system solution for zirconia reconstructions 

Vita YZ Solutions makes it possible to 

have a precise and accurate shade 

production of fully or partially veneered 

and monolithic restorations. 

It is a coordinated material system made 

from ZrO2 blanks and accompanying 

system components, such as liquids and 

stains, and available as non-coloured, 

monochromatic and multichromatic 

versions in up to four translucency levels 

(T/HT/ST/XT). 

Vita YZ Solutions reproduces tooth shades 

usinga material system with ideally matched 

components and create highly accurate 

restorations with material blanks with edge 

stability, homogeneous microstructures and 

tested sintering properties. 

Users are able to achieve efficient, solid and 

aesthetic results thanks to tooth-shaded 

pre-coloured (multi)colour blanks with good 

shades matching to the Vita classical A1–D4 

shade guide. ■ 

Ultradent 

LED curing light suited for all photocurable dental materials 

Equipped with a lens that is 50% larger 

than other lights, the VALO Grand Curing 

Light has all the features of the VALO 

Curing Light family. The 12mm lens is 

designed to easily adapt to 10mm size 

molars for fast and effective curing. The 

second operation button at the bottom 

allows for more intuitive operation. 

VALO Grand Lights use custom multiwavelength 

LEDs required to produce 

high-intensity light from 385-515nm 

to polymerise all photocurable dental 

materials. With this strength, it can 

penetrate even ceramic materials and 

harden the base resin cement, similar 

to high-quality halogen light. 

All VALO Grand Hardened Light 

products start from solid rods of highgrade 

aerospace-reinforced aluminium 

that are precision-machined in 

Ultradent, Utah, US. The one-piece 

construction ensures durability 

and provides improved 

heat dissipation. 

With an ergonomic and streamlined 

design, the VALO Grand Light can easily 

reach all treatment areas. Aluminium 

rods, machined components and 

tempered glass lenses create the most 

durable hardened light. 

VALO Grand Wired Curing Lights 

have a medical grade, internationally 

approved power supply and are suitable 

for 100-240V electrical outlets. These 

handpieces can be fitted into standard 

dental unit brackets or custom mounted 

using the brackets included in the kit. 

The VALO Grand Wireless Curing 

Light is powered by two rechargeable 

lithium iron phosphate batteries that 

consistently provide the high-energy 

power required by the VALO light. ■ 



GC Asia Dental 

Force-absorbing hybrid ceramic CAD/CAM block 

GC Dental’s CERASMART270 is developed 

using the full-coverage silane coating 

(FSC) technology, a filler treatment 

method for homogeneous filler dispersion, 

having a great impact on physical 

properties. 

A stronger bond between the filler and 

matrix is achieved, together with an 

increase in filler load, resulting in a 

stronger material with improved aesthetic 

properties. 

With its improved strength and wear 

resistance, the surface of CERASMART270 

remains smooth and glossy over time, 

which is not only beneficial for the 

aesthetic appearance, but also limits the 

wear of the opposing dentition. 

The improved breaking energy 

and flexibility of the material are 

contributing to buffer the masticatory 

forces. This makes the material suitable 

for treatment of the worn dentition. 

The milling of CERASMART270 is fast 

and efficient, making it possible to 

create restorations with precise, fine 

margins and an optimal fit in a very 

short time. 

Additionally, it can easily be polished, 

saving time and money. When higher 

aesthetics outcome is desired, the 

material can easily be glazed and 

characterised using the wear resistant 

coating OPTIGLAZE colour. 

The flexibility of CERASMART270 also 

lies in its ability to be either sandblasted 

or etched before luting, so that it adapts 

to every practice. ■ 



Neoss 

Scan with precision 

As part of Neoss’ milestone celebration, 

delegates at the Neoss Integrate 2022 

congress in Gothenburg, Sweden were 

given the first access to the NeoScan 

1000 intraoral scanner which is set for full 

commercial launch in September 2022. 

The NeoScan 1000 is an intraoral scanner 

that supports a flexible workflow with 

open and compatible output. 

“The NeoScan 1000 is a superfast, 

lightweight, and easy-to-use scanner. I 

had the pleasure of being part of early 

testing and have used the scanner for 

several digital impression indications at 

my clinic with excellent results. Digital 

dentistry is in need of more cost-efficient 

solutions so that clinicians can use it to 

its full potential. The NeoScan 1000 has 

the potential to do just this,” said Dr 

Marcus Dagnelid, DDS, board-certified 

prosthodontist. 

With a simplified cable connection, 

full-touch screen support, and without 

the need for powder or pre-heating, the 

NeoScan 1000 delivers the practice’s 

need at a competitive price. Its motioncapture 

feature and buttons on the 

handpiece allows users to complete the 

entire process of scanning, optimising, 

and exporting without touching the 

computer. 

Moreover, thanks to high-resolution 

and true-colour images, it allows users 

to distinguish tooth structure and soft 

tissues, so that margin lines and undercut 

areas can be easily identified. 

“I am excited to introduce the NeoScan 1000 

into our range of intuitive dental solutions. 

The performance of the scanner is beyond 

my expectations with clear competitive 

advantages. The scanner will allow Neoss’ to 

significantly expand its proprietary digital 

dental offering,” said Dr Robert Gottlander, 

CEO and president of Neoss Group. ■ 

W&H 

Innovative tools for excellent preparation results 

The Synea dental turbine line from W&H 

comprises two key handpieces - Synea 

Fusion and Synea Vision - that can be 

adopted for daily clinical needs. 

Synea Vision is the instrument line in 

the Synea series. It features two head 

sizes and delivers a quiet operation due 

to ceramic ball bearings and the gearing 

technology, WK-99/WK-93. 

Synea Vision has a comprehensive 

protection and long-term value 

retention with the new surface coating. 

Grip and ergonomics are enhanced with 

optimised shank profile and monobloc 

design. 

The compact glass rod allows for 

illumination of the treatment site paired 

with durable instrument construction 

with stainless-steel external parts that 

can be disinfected with thermo washer 

and is sterilisable. It also has an integrated 

maintenance-free spray filter for top water 

quality. 

On the other hand, Synea Fusion assures 

clinicians with proven Synea quality at an 

outstanding price. It has long lifespan and 

quiet running with ceramic ball bearings 

for model WG-99. It has optimum access, 

offering best view due to small head-size. 

Synea Fusion features safe cooling with 

Quattro Spray (four port spray) for model 

WG-99 and monobloc design for optimum 

hygiene and ergonomics. ■ 



DÜrr Dental 

Compressed air meeting the 

highest demands 

→ DISCOVER PERFECTION 

IN PROPHYLAXIS - 

THE NEW COMBI touch 

As a member of the Dürr Dental portfolio, the Tornado 

series of compressors are said to consume less energy 

while boosting increased efficiency to help users 

reduce their practice’s operating costs and protect the 

environment at the same time. 

→ ultra-gentle prophylaxis 

→ ergonomic handling 

→ made in Italy 

→ 40 years experience 

The Tornado series of compressors is equipped with a 

membrane drying unit that ensures the power of the 

compressor is always available. Furthermore, it also 

enables a continuous supply of dry compressed air even 

in continuous operation. 

In terms of audibility, the compressor unit ensures quiet 

operation for both the practitioner and the patient at 

just 56dbA made possible via the aerodynamic, soundabsorbing 

housing. 

All compressor components are designed to operate for 

10,000 hours, which is equivalent to about 20 years of 

service life, Dürr Dental claimed. However, the filters are 

recommended to be changed regularly. 

The Tornado range comes in three designs: one-cylinder 

unit and 20-litre tank for one user, two-cylinder and 

20-litre tank for two users, and four-cylinder compressor 

with 50-litre tank to cater four users in the operatory. ■ 

→ www.mectron.com 



BUSCH 

Filigree all-ceramic cutters 

From Busch is a new range of Kera cutters of 

ceramic materials for rotary instruments. The 

ceramic material is 25% up to 60% lighter, 

according to Busch, offering a different 

cutting experience and milling behaviour for 

both patient and user. These ceramic tools 

can also be fully disinfected and sterilised. 

Application advantages are evident in terms 

of processing acrylics and zirconia blanks. Its 

ceramic white surface brings sophistication, 

making it ideal for chairside use when 

processing splints or plastic prostheses in 

the treatment room. 

The medium (X) and fine X-cut (FX) are 

used for shaping and precision milling, the 

effective GQSR cut guarantees excellent 

results when processing non-hardening 

acrylics. ■ 

All-ceramic cutters, one per cut type and 

application 

Carestream Dental 

Making CBCT even more intuitive 

Carestream Dental has launched the Neo Edition 

of the CS 8200 3D family. The Neo Edition is 

an evolution of the CS 8200 3D, and optional 

Scan Ceph module, that improves ease of use, 

contributes to a better clinical experience, and 

leads to more successful outcomes for patients. 

As with the original CS 8200 3D family, the 

Neo Edition includes 2D panoramic imaging, 

CBCT imaging, 3D object scanning and optional 

cephalometric imaging. Up to nine selectable 

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

cover both daily clinical applications and more 

advanced treatments. 

To reassure doctors that they are seeing the full 

picture, and to reduce dose for full arch scans 

on smaller patients, the Neo Edition features 

additional FOV including 10x5cm and 10x10cm. 

For endodontists focusing on even the smallest 

details of root and canal morphology, the 

EndoHD mode delivers high-resolution scans 

(75µm); the system can even capture full arch 

images at the highest resolution for endodontic 

scans, making it ideal for cases involving multiple 

quadrants and teeth. 

Doctors who introduce CBCT to their practices 

are often looking to expand their treatment 

capabilities, like placing implants or designing 

surgical guides. So, the new 5x8cm FOV of 

the CS 8200 3D enables doctors to easily 

capture opposing teeth to better manage 

occlusion for implant cases. Optional add-on 

software, and modules like Prosthetic-Driven 

Implant Planning and Swissmeda, integrate 

with the CS Imaging software suite to help 

doctors create more comprehensive implant 

treatment plans, or design and order surgical 

guides. 

To facilitate proper patient positioning, a 

low-dose scout image lets users control 

the imaging area prior the examination to 

reduce the need for retakes. Follow-up exams 

are also faster and easier to compare over 

time since the unit memorises the scanning 

parameters used for each. 

Plus, the system’s new user interface makes 

it easier, faster and more intuitive to set up 

the unit for exams—meaning fewer clicks and 

more confidence. And since panoramic image 

remains the foundation of most treatment 

plans, the system comes with a new low dose 

panoramic programme, reducing dose to 50%. 

Once CBCT is adopted into their practice, 

doctors will want to ensure they are gaining 

the most from their investment. The optional 

CS UpStream, an advanced equipment 

monitoring service, leads to faster, more 

responsive service while reducing equipment 

downtime through automated diagnostic 

feedback to Carestream Dental. CS UpStream 

is available as an add-on to the CS Advantage 

programme. ■ 


SHOW REVIEW 

GC’s centennial anniversary 

celebrations continue at 

GC International 

Having unveiled a new company 

motto “100 years of Quality in Dental” 

last February, GC hosted numerous 

celebratory events globally to mark 

its centennial anniversary. The latest 

celebration, hosted by GC International, 

took place at the Grand Casino Luzern 

in Switzerland on 25 Apr 2022. 

Over 250 attendees were at the event 

where they had a glimpse into GC’s 

plans for the next decade. Among 

the guests were Prof Ihsane Ben 

Yahya, president of the FDI World 

Dental Federation; Kojiro Shiraishi, 

ambassador of Japan to Switzerland; 

and Prof Dr Christian Schwarzenegger, 

vice-president of the University of 

Zurich. 

The opening remarks were delivered 

by Dr Kiyotaka Nakao, president 

and CEO of GC Corporation and GC 

International. He expressed gratitude 

to all stakeholders and highlighted the 

advancements in dentistry as well as 

the growth and evolution of GC going 

forward. 

GC International was established in 

the Swiss city in 2013 to facilitate 

GC’s internationalisation, promote 

new product development on a global 

scale and manage other multinational 

business operations. As GC’s global 

headquarters, GC International leads the 

organisation towards its Vision 2021 

strategy, which is to become the leading 

dental company committed to realising 

a healthy and long-living society. 

Prior to the celebration in Luzern, GC 

hosted the fifth International Dental 

Symposium at the Tokyo International 

Forum from 16-17 Apr 2022. This 

educational event gathered over 100 

lecturers across the globe, united around 

the symposium’s theme of “Smile for 

the World – Beyond the Century”. 

The symposium held a total of 28 

educational sessions where attendees 

gained insights into dentistry and had a 

hands-on experience with the latest GC 

products and equipment. DA 

GC Chairman Makoto Nakao 


SHOW PREVIEW 

Dentsply Sirona 

announces the return off 

DS World 2022 

Dentsply Sirona World 2022 will once 

again bring together the ultimate 

experience in digital dentistry with 

a line-up of clinicians, industry 

professionals and speakers as well as 

multiple networking opportunities. 

Taking place from 15-17 Sep 2022 

at the Caesars Forum in Las Vegas, 

DS World 2022 will be hosted by 

Dr Sameer Puri, vice-president of 

education at CDOCS, who said: “This 

event offers an opportunity to engage 

with dental experts, gain access 

to the latest education course and 

innovation in dentistry and earn CE 

credits. 

“It allows dental professionals to 

be the first to experience the latest 

systems and equipment, get hands-on 

with the most cutting-edge technology 

in the dental industry and discover 

how to apply these learnings to grow 

their practice.” 

One highlight at DS World 2022 will 

be the live surgery component where 

Dr Farhad Boltchi, a periodontist and 

CDOCS resident faculty member, will 

perform simulcasted dental surgery 

live. Attendees will be able to follow 

the entire implant surgery process 

and witness how digital technology 

can help achieve desired outcomes. 

Full practices are encouraged 

to attend with a new Bring your 

Team offer to enable all dental 

professionals to meet and learn 

from each other. 

Besides educational activities, DS 

World 2022 will also provide 

entertainment with performances 

from rock band Journey and 

comedian David Spade. 

And as part of Dentsply Sirona’s 

commitment to transforming 

dentistry to improve oral health and 

engaging dental professionals all over 

the world, the company has extended 

this experience in digital dentistry 

beyond the US. Local DS World events 

will also be held in Madrid, Spain, from 

16-17 Sep 2022 , and in Fethiye, Turkey, 

from 27-29 Oct 2022. DA 

Dr Sameer Puri, vice-president of 

education at CDOCS, will be the host for 

DS World 2022, which is scheduled to 

take place from 15-17 Sep 2022 at the 

Caesars Forum in Las Vegas 


SHOW PREVIEW 

DentalForum APAC 2022: 

A networking hub for regional 

dental professionals 

The Asia-Pacific dental industry 

will be coming together to discuss 

topics such as artificial intelligence 

(AI) in dentistry, procurement trends 

and the effects of the Dental Service 

Organisation (DSO) model on the 

sector at DentalForum APAC 2022. 

Industry professionals will be joined 

by a range of international suppliers 

and solutions providers to explore the 

future of dentistry in Asia, Australia 

and New Zealand. 

Several senior dentists, practice 

owners and clinical directors from 

Singapore, Malaysia, Indonesia, 

Vietnam and Australia have confirmed 

their attendance, which will not only 

see presentations from industry 

innovators but also the return of 

DentalForum’s one-on-one meetings 

between dental groups and suppliers. 

The keynote speech will be delivered 

by Dr Vimal Arora, CCO of Clove Dental, 

who will examine the DSO model’s 

effect on the industry landscape. 

DentalMonitoring will be investigating 

the future of AI in dentistry, and there 

will be a presentation of the findings of 

Group Dentistry Now’s global survey on 

procurement. 

With such rapid changes in the 

industry, DentalForum APAC 2022 

offers an opportunity for industry 

peers to meet, reflect and share best 

practices. Attendees will also be able 

to network, develop and grow their 

practice. 

Organised by OpenRoom Events, 

this will be the second iteration of 

DentalForum APAC and will mark 

a return to the region after a threeyear 

hiatus due to the pandemic. 

It adds to OpenRoom’s portfolio 

of DentalForum events, which are 

already crucial fixtures in the US, UK 

and European dental industry. Next 

year, DentalForum will also expand 

into the Middle East and North Africa 

(MENA) region. 

DentalForum APAC 2022 will take 

place from 15-16 Aug 2022 at the 

Shangri-La Hotel in Singapore. DA 


GIVING BACK TO SOCIETY 

FDI and Toothy Tigers team up 

Led by Prof Peter Mossey, FDI’s Oral Health 

in Comprehensive Cleft Care Task Team 

has teamed up with the Dundee University 

Dental School students, called “Toothy 

Tigers”, to produce age-specific leaflets 

for people born with cleft as well as their 

families and caregivers. 

A total of five leaflets have been developed 

for age groups ranging from 0 to above 

18 that provide tips on preventing oral 

diseases such as reducing the frequency 

and amount of sugar consumed and visiting 

the dentist regularly. They also offer advice 

on cultivating good oral hygiene habits from 

a young age such as brushing teeth twice 

daily, using a toothpaste with fluoride, and 

flossing everyday. 

Recently Toothy Tigers, whose aim is to 

educate children about the value of their 

oral health, were selected to present 

posters showcasing their contribution to 

the cleft care leaflets during two events, 

including at the National Education for 

Scotland virtual conference in April 2022. 

They also provided children with guidance 

on how to maintain good oral hygiene as 

well as dietary tips, during educational oral 

health workshops. 

TWO ORGANISATIONS WITH A 

COMBINED GOAL 

FDI and Toothy Tigers believe it is crucial 

to educate, guide and encourage children 

to adopt positive habits from their 

youngest years to reduce dental fear and 

set in motion good oral health practices for 

life. FDI encourages everyone to use the 

leaflets to either learn about cleft care or to 

educate patients with cleft, their families and 

caregivers about the importance of taking care 

of their mouth to live with a healthy smile.■ 

exocad supports National Association of Dental Laboratories Disaster 

Relief Fund for US lab industry 

exocad has donated €10,000 to the USbased 

National Association of Dental 

Laboratories (NADL) Disaster Relief Fund, 

a portion of which included proceeds 

made from a charitable t-shirt campaign at 

International Dental Show (IDS). 

“On behalf of the National Association of 

Dental Laboratories we are grateful for 

the significant contribution by exocad to 

NADL’s Disaster Relief Fund,” said Tad 

Friess, president of NADL. “The Relief Fund 

was established by NADL in 2005 after 

Hurricane Katrina. Since the fund was 

launched, the Relief Fund has provided 

emergency assistance to hundreds of 

dental laboratory professionals who have 

been personally or professionally impacted 

due to damage stemming from hurricanes, 

tornadoes, wildfires, floods and other 

natural disasters. exocad’s contribution will 

ensure NADL is able to continue to provide 

emergency assistance to those impacted.” 

exocad contributes this effort to provide 

financial assistance to dental laboratory 

professionals affected by natural disasters. 

“The impact of natural disasters touches 

everyone,” said Tillmann Steinbrecher, CEO 

of exocad. “We are glad we can help support 

people in the dental lab industry who are 

facing hardships.” 

NADL is a trade organisation representing 

nearly 1,000 commercial laboratories in 

the US. ■ 

66 


EVENTS CALENDAR 

AUGUST 

4 – 7 Malaysia International Dental Exhibition and 

Conference 2022 

Kuala Lumpur, Malaysia 

Venue: Kuala Lumpur Convention Centre 

https://web.mda.org.my/midec2022 

11 – 13 The International Vietnam Dental Equipment 

and Materials Exhibition 

Ho Chi Minh City, Vietnam 

Venue: SECC – 799 Nguyen Van Linh Str., Dist 7 

http://vietnamdental.com.vn 

15 – 16 DentalForum APAC 2022 

Singapore 

Venue: Shangri-La, Singapore 

https://openroomevents.com/dentalforum- 

apac-2022.php 

18 – 20 NZDA Conference and Expo 2022 

Christchurch, New Zealand 

Venue: Te Pae 

https://www.nzdaconference.org.nz 

20 – 21 Interdental Indonesia 2022 

Jakarta, Indonesia 

Venue: Pullman Hotel Jakarta Central Park 

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

24 – 26 The 5th Medical Philippines 2022 

Manila, Philippines 

Venue: SMX Exhibition and Convention Center 

http://www.philmedical.com 

25 – 27 Indo Healthcare Expo 

Jakarta, Indonesia 

Venue: Jakarta International Expo 

https://indohealthcareexpo.com 

27 – 28 Famdent Hyperabad 

Hyperabad, India 

Venue: Hitex Exhbition Centre 

https://www.famdent.com/famdent-hyderabad 

SEPTEMBER 

13 – 16 China Dental Show 2022 

Shanghai, China 

Venue: National Exhibition and Convention Center 

http://www.chinadentalshow.com/en 

15 – 17 Dentsply Sirona World 2022 

Las Vegas, NV, US 

Venue: Caesars Forum 

https://www.dentsplysirona.com/en-us/ds-world.html 

26 – 29 Dental Expo 2022 – The 52nd Moscow 

International dental forum and exhibition 

OCTOBER 

Moscow, Russia 

Venue: Crocus Expo Fairgrounds 

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

7 – 9 International Dental Exhibition and 

Meeting 2022 

Singapore 

Venue: Marina Bay Sands, Singapore 

https://www.idem-singapore.com 

13 – 15 Central Asia Dental Expo 2022 (CADEX) - 

6th International Dental Exhibition 

Almaty, Kazakhstan 

Venue: ATAKENT Expo 11th Pavilion Timiryazev Str 

https://cadex.kz/en 

13 – 15 Dental World 2022 

Budapest, Hungary 

Venue: HUNGEXPO Budapest Fair Center 

https://dentalworld.hu/dental-world-2022-en 

With the evolving COVID-19 situation, kindly check with 

organisers for updates on the related events. Please refer to the 

local airports’ websites for the latest travel advisories too. 


ADVERTISERS’ INDEX 

COMPANY 

PAGE 

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Inside Front Cover 

3Shape A/S 1 

Align Technology 5 

Anthogyr France 11 

Carestream Dental 7 

Coltene 45 

Dentsply Sirona 

Outside Back Cover 

exocad GmbH 

Inside Back Cover 

IDEM Singapore 57 

Mectron 61 

Mectron 9 

Medical Protection Society 3 

Rolence 59 

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

contact us at sales@pabloasia.com 

Shofu Dental Asia-Pacific 37 

VITA 13 

@dentalasia 

VOCO 23 

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68 


LEARN. 

CONNECT. 

ENJOY. 

October 3–4 

SECURE 

YOUR 

TICKET 

Secure your ticket to Insights 2022! 

Join exocad on the sun-soaked island of Mallorca for this year’s premier digital dentistry 

event. Enjoy our exciting program of software demos, partner lectures and international 

guest speakers. Then unwind to live music at our fabulous welcome party. 

Don’t miss out. Book today! 

exocad.com/insights2022

Only 

makes it happen 

Digital solutions for 

Chairside Dentistry 

Learn more about 

www.dentsplysirona.com/CEREC 

CEREC SpeedFire 

CEREC Primemill 

CEREC Primescan

Dental Asia July/August 2022

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