Dental Asia November/December 2022

www.dentalasia.net
NOVEMBER / DECEMBER 2022
Dental Profile:
Advancing osseous surgery
Clinical Feature:
Augmented aesthetics in direct
composite layering
Behind the Scenes:
Attractive and with character

ANCHORING THE PRESENT,
ALIGNING FOR THE FUTURE
17-19 FEBRUARY 2023
Marina Bay Sands, Singapore
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Both companies use ‘Dental Protection’ as a trading name and have their registered office at Level 19, The Shard, 32 London Bridge Street, London, SE1 9SG. Dental Protection Limited serves and
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TRENDS
14 Top seven trends outlining the market growth of
dental practice management software
UNDER THE SPOTLIGHT
16 Encouraging, challenging and celebrating oral tissue
regeneration
18 Father and daughter, mentor and trainee —
two generations of dental expertise
20 Strength in unity
14
DENTAL PROFILE
24 Advancing osseous surgery
26 VITA Zahnfabrik: Quality that exceeds the norm
CLINICAL FEATURE
28 Augmented aesthetics in direct composite layering
34 Elevate patient experience with proactive dentistry
USER REPORT
38 All-ceramic restoration on discoloured teeth
40 GBR around implant using porcine-derived carbonate
apatite xenograft to optimise pink aesthetics
42 Morphology-focused direct composite restoration
BEHIND THE SCENES
44 Attractive and with character
48 Scanning spray for digital production
18
26
38
IN DEPTH WITH
50 Primescan Connect: Easy scan, seamless collaboration
51 Implant planning module from Carestream Dental
now accepts open files from intraoral scanners
52 Exceptional performance in a compact body
CONTENTS
SHOW PREVIEW
60 CDS 2022 and 24th CSA Annual Congress: The return
of much-awaited dental events in China
SHOW REVIEW
61 exocad Insights 2022: A highly anticipated digital
dentistry event
64 IDEM 2022 celebrates another great milestone
achieved
REGULARS
4 Editor’s note
6 Dental Updates
53 Product Highlights
67 Events Calendar
68 Advertisers’ Index
61
64
2
DENTAL ASIA NOVEMBER / DECEMBER 2022

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EDITOR’S NOTE
Save the best
for last
The success of the recently concluded
International Dental Exhibition and Meeting
(IDEM) signals that the dental field is on
its way to pre-pandemic normalcy (p.64).
Our team is ecstatic to be part of this event
and interact with exhibitors from different
parts of the world showcasing their
product portfolios.
It was a great and truly memorable
experience to meet colleagues in person
after a long time. In fact, we had an
opportunity to speak with Kelvin Liang,
sales area manager of Mectron in APAC,
to discuss their latest product launches
and strategies specific to the APAC
market as what he described as “very
versatile” (p.24).
We also met Emiliano Bini, regional
business manager of VITA, Australasia,
to learn more about how VITA Zahnfabrik
remained at the forefront of progress for
laboratory and practice since 1924, and
what more can the dental professionals
anticipate from the company in the next
five to 10 years (p.26).
And, of course, we did not miss the
opportunity to meet Dr Lawrence Yong,
president of the Singapore Dental
Association, to ask about his takeaways
from the pandemic, his thoughts on today’s
dental landscape, and what he thinks the
future holds for the industry (p.20).
Moreover, we witnessed the latest
innovations launched at IDEM — such
as the TRIOS 5 intraoral scanner from
3Shape, featuring a compact body
redesigned for ergonomics, effortless
scanning, and improved hygiene (p.52); as
well as dental scanning spray for digital
production from Scantist 3D that forms a
fine, homogeneous matte coating on shiny,
reflective dental objects (p.48).
Though the road to recovery was bumpy,
the industry embodied resilience and
proved its commitment to uplifting patient
experience. Indeed, dental professionals
can look forward to faster, more efficient
workflows in the future that will redefine the
standard of today’s dental care.
LET’S CONNECT!
Czarmaine Masigla
Assistant Editor
@dentalasia
PABLO SINGAPORE
Publisher
Assistant Editor
Graphic Designer
Circulation Manager
Media Representative
PABLO BEIJING
General Manager
PABLO SHANGHAI
Senior Editor
Cover credit
William Pang
williampang@pabloasia.com
Czarmaine Masigla
czarmaine@pabloasia.com
Cayla Ong
cayla@pabloasia.com
Shu Ai Ling
circulation@pabloasia.com
Jamie Tan
jamietan@pabloasia.com
Ellen Gao
pablobeijing@163.com
Daisy Wang
pabloshanghai@163.net
Amann Girrbach
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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
Dr Wong Li Beng
Dr Adrian U J Yap
Dr Christopher Ho
Dr How Kim Chuan
Dr Derek Mahony
Prof Alex Mersel

DENTAL UPDATES
New sustainable company headquarters for Amann Girrbach in Mäder, Austria
With its new, sustainability-oriented building,
which is to be constructed in just 15 months,
Amann Girrbach will be consolidating its sites
in Vorarlberg, Austria. All 350 employees
will be located in Mäder in the future, and
a further increase in personnel is planned
medium term. The intention of the new
building is to create a working environment
with added value for all employees and, at the
same time, to optimise all procedures and
processes. The investment costs amount to
€47m.
The new company headquarters in Mäder
are scheduled to be ready for occupancy at
the end of 2023. All Austrian facilities, from
manufacturing and warehousing to research
and development, administration and training,
will in future be located in the premises and
halls, covering a total of around 20,000sqm.
“With the new building in Mäder, we will be
implementing our own high standards when
it comes to creating an atmosphere for
our employees in which everyone can feel
comfortable and work productively. We are
pleased that in future we will be able to offer
a canteen as well as various recreational
lounges and green areas that meet the most
up-to-date and well-thought-out requirements,”
said Dr Wolfgang Reim, CEO of Amann
Girrbach, underlining the company’s intention.
The rapid growth of Amann Girrbach has also
prompted the need to merge the individual
sites while expanding them at the same time.
“There has been an increasing lack of space
in recent years due to our very satisfying
corporate development, and we have had
to resort to external premises on several
occasions. At the new, central location, it will
now also be possible to optimise cooperation
between the individual departments, resulting
in improved processes and workflows, and
the entire logistic chains between the present
locations will be eliminated,” added Dr Reim.
Another key brief in the planning of the
new headquarters was the commitment to
sustainably reduce the company’s carbon
footprint. The building will be fitted with
one of Vorarlberg’s largest photovoltaic
systems, with an output of up to 1.15MWp.
Amann Girrbach utilises heat from the
sintering furnaces to heat the building, and
the heat pumps operate with groundwater.
The planned green roof is also designed
to promote biodiversity. The cooperation
partner Garbe is a technical and structural
co-developer as well as being the owner of
the new building. DA
Carestream Dental partners with Overjet
Carestream Dental has partnered with
Overjet, the industry leader in dental
artificial intelligence. The partnership gives
Carestream Dental’s customers access to
Overjet’s AI-powered X-ray analysis tool that
detects decay, quantifies bone loss and
highlights other areas of concern.
Overjet’s FDA-approved technology can also
analyse 18 months of prior radiographs and
cross-reference them with an office’s practice
management system to identify potential
decay and periodontal disease that has not
been diagnosed.
Research shows that diseased teeth are
misdiagnosed nearly a quarter of the time
when using traditional methods*. However,
the AI technology eases the workload and
streamlines the diagnostic process for
practitioners, while building greater trust with
their patients.
“We’re seeing an increase in AI in every part of
the industry, which is giving clinicians greater
confidence in their diagnosis and treatment
planning,” said Jeremy Thomas, general
manager of the Americas for Carestream
Dental. “Now, Carestream Dental imaging
customers will experience a new level of
confidence and quantification with access to
Overjet’s AI analysis tool.”
“With this partnership, thousands of
more dentists will have AI technology at
their fingertips to help improve patient
care,” said Wardah Inam, co-founder and
CEO of Overjet. “Overjet is committed to
improving oral health by creating a future
that is clinically-precise, efficient and patient
centric.”
Carestream Dental is a catalyst for
technological innovation and continues
to expand its portfolio with ongoing
investments in solutions that drive practice
and partner value and differentiation. DA
*Ekert T, Krois J, Meinhold L, Elhennawy K, Emara
R, Golla T, Schwendicke F (2019) Deep Learning
for the Radiographic Detection of Apical Lesions.
J Endod. 2019 Jul;45(7):917-922.e5. doi: 10.1016/j.
joen.2019.03.016. Epub 2019 Jun 1.
6 DENTAL ASIA NOVEMBER / DECEMBER 2022

DENTAL UPDATES
Oracare Group-backed MOS Dental
unveils 28th clinic
PERFECTION IN
BONE SURGERY
MOS Dental, the market-leading chain of dental clinics in Thailand
under Oracare Group, has opened its 28th clinic in Bangkok. The new
clinic is strategically located in the residential district of Prawet, and
will unlock avenues for more dental patients to access quality dental
care backed by international dentistry standards, at accessible prices.
The launch is the latest addition to the MOS Dental network, furthering
the brand’s 22-year commitment to bringing smiles to its customers.
It also confirms the dental group as one of the fastest growing in
Bangkok, expanding from 14 to 28 clinics since joining forces with
the Oracare Group. The newest location meets a growing demand for
dental care by volumes of satisfied patients, allowing more people to
gain access to certified dental professionals and specialists.
→ YOUR SURGICAL
APPROACH WILL CHANGE -
THE PIEZOSURGERY® touch
→ best cutting efficiency
→ optimal intraoperative control
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→ made in Italy
“MOS Dental and Oracare Group share the same belief that embracing
technology is key to enhancing the customer journey and experience.
I am proud to have partnered with Oracare Group to take MOS’s
expansion to the next level whilst embracing digital technology and
dentistry, to make the ‘Miracle of Smile’ a reality for more patients
across Bangkok,” said Dr Adisorn Hanworawong, founder and CEO
of MOS Dental Clinic. Dr Hanworawong brings over 21 years of
experience as a seasoned dental practitioner, dedicating his career to
building the MOS Dental brand shortly after graduating from dental
school in 1999.
The integration of Oracare Group’s management systems and
standards into MOS Dental’s workflows and processes have placed
the dental chain at the forefront of quality dental care. With access to
Oracare Group’s hygiene standards and safety protocols, MOS Dental
was able to go above and beyond industry protocols for infection
control at the height of the COVID-19 outbreak in Thailand. MOS
Dental was recognised as a leader in implementing best practices for
infection control across their clinics and were subsequently invited to
support the formulation of industry-wide infection control policies for
private dental clinics across the country.
“Oracare Group is always looking for new ways to help our partners
grow in the industry, so we can better achieve shared goals and break
through glass ceilings to scale greater heights within the dentistry
space. MOS Dental’s newest expansion is testament to the strength
of the strategy and support that we provide to our partners. We are
excited to continue this journey with MOS Dental to collectively bring
the next level of dental care to South East Asia,” said Leon Luai, CEO of
Oracare Group. DA
→ www.mectron.com
DENTAL ASIA NOVEMBER/ DECEMBER 2022 7
ad_PStouch_dental_asia_95x250_en_211214.indd 1 14.12.21 15:38

DENTAL UPDATES
Neocis secures US$40m in additional funding to continue transforming dental
surgery with robotics
Neocis, manufacturer of Yomi and the global
leader in robot-assisted dental implant surgery,
has completed its latest round of financing.
The oversubscribed US$40m round was led by
one of the dental industry’s largest specialist
investors. They were joined by Intuitive
Ventures, the independent VC arm of Intuitive
Surgical that is accelerating the future of
minimally invasive care. These new investors
were joined by Neocis’ existing partners,
bringing total investment in the Miami-based
business to more than $160m since its
founding in 2009.
Started by Alon Mozes and Juan Salcedo,
Neocis manufactures and markets Yomi,
dentistry’s first and only FDA-cleared robotic
surgical system. The innovative platform
assists clinicians during all phases of implant
placement via streamlined digital planning and
haptic guidance of surgical instrumentation
— so they can place implants with accuracy,
efficiency, and confidence. The Yomi system
is often used to perform flapless procedures,
a less invasive surgical approach with proven
patient benefits.
“Neocis shares Intuitive Ventures’ commitment
to advancing positive patient outcomes in
minimally invasive care through innovative
technology and solutions,” said Oliver Keown,
MD, managing director at Intuitive Ventures.
“We believe Neocis’ deep commitment to
addressing customer and patient need through
a broadening robotic ecosystem and their
impressive technology platform that expands
access to high-quality dental care, makes them
a transformative force in this rapidly evolving
market.”
This latest infusion of capital will allow Neocis,
which the South Florida Business Journal
recently named one of the fastest growing
companies in South Florida, to advance its
mission of transforming dental surgery through
advanced robotics. The company will use
these funds to continue accelerating research
and development efforts, bolstering marketing
and educational initiatives, and expanding
the footprint of its sales, clinical support, and
business optimisation teams.
“We are thrilled to be joined by discerning
investors aligned with Neocis’ mission to
advance precision dentistry,” said Ajay Royan,
managing general partner and founder of
Mithril Capital Management, an early investor
in Neocis. “The future of dental robotics is
limitless, and this latest round of capital will
help the Neocis team continue innovating at
the highest level.”
“For a company in the dental robotics space,
I couldn’t dream up a better syndicate
of investors than this,” said Alon Mozes,
co-founder and CEO of Neocis. “This new
backing underscores Neocis’ strong position
in a growing market and will help us further
our product development and commercial
efforts.” DA
Planmeca launches new CAD/CAM module
Planmeca has introduced a new software
module for Planmeca Romexis, which makes
working with digital impressions easier
and faster than ever before. The Planmeca
Romexis CAD/CAM module streamlines
the scan-and-send workflow for capturing,
analysing and exporting digital impressions
and offers new intraoral scanner users a
smooth entry in the world of CAD/CAM
dentistry.
to enter the world of digital dentistry,”
explained Helianna Puhlin-Nurminen,
vice-president of Digital Imaging and
Applications at Planmeca. “Since intraoral
scans are stored and available in Romexis
along with patient photos as well as 2D
and 3D X-ray images, users can also
easily complete digital smile designs, plan
implant treatments and design surgical
guides in the same software. Romexis
simply makes your work flow.”
Planmeca Romexis CAD/CAM software
module has been designed to make capturing
and working with digital impressions easier
than ever. The module is part of the Planmeca
Romexis all-in-one software, which ensures
seamless daily workflows at a dental practice
with all clinical patient data available in a
single system.
“With the new Romexis CAD/CAM module,
intraoral scanning is exceptionally easy for new
and more experienced users alike. We have
paid special attention to usability and made
collaborating with external partners extremely
simple. The new module is thus a great tool
for working with digital impressions and an
excellent choice for dental practices looking
The new Romexis CAD/CAM module is
currently available for scanning only, i.e., for
Planmeca Emerald intraoral scanner users
who do not design or mill restorations
in house. For now, the entire restorative
workflow from scanning to design and
manufacturing can be carried out using the
Planmeca PlanCAD Easy software. DA
8 DENTAL ASIA NOVEMBER / DECEMBER 2022

simply.TRIOS 5
Intraoral scanning that simply makes sense
Hygienic by design for minimal risk of
cross-contamination. Smaller and lighter
than ever for next-level ergonomics. And
a ScanAssist engine with intelligent-alignment
technology that makes precision scanning
effortless, every time.

DENTAL UPDATES
Dentsply Sirona will continue to support World Oral Health Day in 2023
Dentsply Sirona was the award sponsor for
this year’s World Oral Health Day (WOHD) “Best
Branded Photo” award and has congratulated
the winners of the award — the Dental
Students Association from Etugen University in
Mongolia. The winning photo features teachers
and students posing with the WOHD 2022
#MouthProud frame and personalised posters
created by the group to teach kindergarten
children how to keep their teeth healthy.
“We have seen some great initiatives come
out of the 2022 campaign and we commend
the Etugen Dental Students Association for
their efforts to instill good oral health practices
in the next generation,” said Erania Brackett,
senior vice-president and chief marketing
officer at Dentsply Sirona. “Oral health is such
a central part of a person’s overall health and
wellbeing, and we are proud to once again
support World Oral Health Day in 2023.”
The award-giving ceremony took place
during the FDI General Assembly in Geneva,
Switzerland, on 22 Sep 2022. At the same
event, key results from WOHD 2022 were
presented and the 2023 campaign’s theme and
concept were disclosed. The 2023 campaign
focuses on the importance of maintaining lifelong
good oral health with its motto: “Be proud
of your mouth for a lifetime of smiles”.
Dentsply Sirona partners with FDI World
Dental Federation for WOHD 2022 as part
of its sustainability strategy “Beyond: Taking
action for a brighter world”. At its core is the
ambition to lead the transformation towards
a sustainable dentistry, increase quality of
and access to oral care globally and create 25
million smiles by 2025.
Brackett presented Dentsply Sirona’s ongoing
activities in which the company partnered
with dental professionals to promote the
importance of oral health for overall health to
their patients at the event at the FDI General
Assembly. To continue the momentum of WOHD
throughout the year, Dentsply Sirona recently
ran a social media campaign that promoted
the WOHD themes of emotional, social and
physical wellbeing, with a mixture of culture and
information posts to highlight oral health issues
and ways to create healthy smiles. Meanwhile,
DS Women, an employee resource group at
Dentsply Sirona, organised an employee-led
initiative to further oral health by collecting and
donating more than 4000 toothbrushes and
oral hygiene products for community-based
organisations serving families and individuals in
need in the US and Canada. DA
Ivoclar and exocad extend the options for digital
dentures with integration in DentalCAD
By integrating the Ivotion Denture add-on
module in the DentalCAD software solution
from exocad, Ivoclar has expanded its
partnership with exocad in the area of digital
dental workflows.
As one of the manufacturers of dental
CAD/CAM software in the dental industry,
exocad has a large customer base as
well as comprehensive experience in
dental software products. Thanks to this
collaboration, customers of both companies
can now enjoy a seamless workflow for
rapid digital fabrication of removeable
dentures.
As part of this cooperation, the Ivotion
Denture add-on module will be integrated
with the exocad DentalCAD system so that
users of the software can design their digital
dentures in the environment to which they
are accustomed. The optimised workflow
enables custom fabrication and a result that
is adapted to the needs of the patient.
Moreover, the integration also provides users
with access to the popular Ivoclar tooth libraries
with full-arch setups, morphing tools, and setup
features. For even better offer customisation,
the third gingival shade that was introduced for
the first time last year can also be used.
The Ivotion Denture add-on module from
Ivoclar also contains all the features of
the oversize workflow in combination with
the proven Ivotion Base, Ivotion Dent, and
Ivotion Dent Multi discs. To round off the
range of applications, the features of the
monolithic workflow with Ivotion and Shell
Geometry are also on board. DA
10 DENTAL ASIA NOVEMBER / DECEMBER 2022

DENTAL UPDATES
W&H receives Environmental Management Award 2022 from BMK
W&H is pushing ahead with its environmental
management in all projects with full vigour
to achieve the company’s ecological and
sustainable goals. This dedication has now
been recognised by the Federal Ministry for
Climate Protection, Environment, Energy,
Mobility, Innovation, and Technology (BMK)
with the Environmental Management Award in
the category “Best Measure — Environmental
and Climate Protection”.
As an international manufacturer of medical
technology products, W&H has major
responsibility for a healthy society and a
healthy environment. With the expansion of
Plant II, the company actively promotes climate
and environmental protection through state-ofthe-art
processes, as well as resource-saving
production and manufacturing procedures.
“As a sustainable family business, W&H relies on
durable and environmentally friendly solutions
in order to make a positive contribution,” said
Herbert Traschwandtner, managing director of
Operations.
Hundred percent of the metal shavings
produced at W&H are recycled after being
separated by type using an intelligent
collection system. The regenerative
system extends the resources’ life cycle,
thus minimising waste. On the roof of
the production plant, more than 1800PV
modules with an output of 536kWp generate
climate-neutral electricity. In addition,
environmentally friendly temperature control
is ensured by establishing particularly
efficient heat/cold controls systems that
operate via heat pumps. Rejected thermal
energy is used to heat the production
and manufacturing halls. Cooling is
provided by concrete core activation.
Furthermore, shortened transport routes in
logistics ensure reduced energy and fuel
consumption.
“We are very pleased that our expansion
and the measures implemented by W&H
have been honoured and handed over
the Environmental Management Award.
This strengthens our efforts and gives
us momentum for future projects,” said
Pamela Polanetz, sustainability manager,
on behalf of the entire W&H environmental
management team. DA
Zenyum expands oral care line with Invisible Whitening Strips
their application. This latest addition to the
Zenyum family aims to make teeth whitening
accessible for all, following through on the
brand’s mission to make Asia smile more.
Zenyum continues its next phase of oral care
innovation with the launch of ZenyumBright
Invisible Whitening Strips — an on-the-go,
fast-dissolving whitening strip now available in
Singapore and Hong Kong. The new convenient
strips are a discreet whitening option for those
with demanding schedules, dissolving in just
15-20 minutes. The no-rinse formula allows
users to reduce teeth stains on-the-go.
Available in packs of 14 and 28, customers
can use the strips twice daily throughout
“Since the successful launch of the
ZenyumSonic Toothbrush in 2020, Zenyum
has continuously expanded its market share in
the fast-growing consumer dental segment in
South East Asia. Our range of innovative smile
cosmetics ranks from invisible braces that
straighten your teeth to all-natural ingredients
toothpastes and water flossers. Within the
last three months alone, we released three
new product lines, which will be available in
our retail partner stores as well as our digital
distribution channels across our nine markets
in Asia,’’ said Julian Artopé, founder and CEO
of Zenyum. DA
12 DENTAL ASIA NOVEMBER / DECEMBER 2022

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.

TRENDS
Top seven trends outlining
the market growth of dental
practice management software
This has paved the way for several
technological advancements across
the regional industry, which may further
stimulate the industry forecast.
According to a recent study from market
research firm Graphical Research, the global
dental practice management software
market size is set to register significant
growth during the forecast period due to
rising disposable incomes and growing
awareness about maintaining good oral
hygiene.
The trend can be observed across both
emerging and prosperous regions. Explained
below are some notable factors likely to
redefine the market growth between 2022
and 2030.
Trend #1: Patient communication
components to drive lucrative gains in
North America
The patient communication segment could
exceed US$456m by 2030 in North America.
Patient communication software offers a
plethora of benefits ranging from the proper
execution of regular repetitive tasks like
appointment reminders to driving better
patient outcomes and online engagement
and reviews.
Leading tech players have been focusing
on developing integrated dental practice
management software with phone system
connectivity. Such innovations may
significantly increase the productivity and
efficiency of front desk attendants, which,
in effect, may fuel patient communication
software adoption in the forthcoming years.
Trend #2: Rising prevalence of dental
disorders in the US
US dental practice management software
market share was worth more than
US$628m in 2021, attributed to the rapidly
growing geriatric population and supportive
government policies pertaining to patient
care. Ageing people are more prone to
periodontal disorders, requiring proper patient
care and medical attention.
According to the US Center for Disease
Control and Prevention, about 47.2% of the
adult population in the country equivalent to
or above 30 years of age, and nearly 70.1%
of adults aged 65 years and older have some
form of periodontal disease.
Trend #3: Surging demand for
invoice/billing components across
APAC
Asia-Pacific (APAC) dental practice
management software market share from
the invoice/billing component accounted
for US$52m in 2021. Concerning invoice/
billing, dental practice management
software offers a range of benefits in
dental clinics. The software utilises proper
integration and standardisation to manage
end-to-end billing comprising transactions
made through cards, cash payments,
online wallets, bank payments, etc.
There has been a considerable rise
in efforts to enhance this software to
increase the number of patient footfalls
and optimise the revenue streams.
Besides, their ability to support distinct
taxes and payment modes like cash, card,
and cheque will augment the market share.
Trend #4: Growing popularity of webbased
software
The web-based segment may exhibit
a CAGR of around 16% through the
assessment timeframe across the
APAC. Usually comprising features like
billing, appointment management, and
electronic health records, web-based
software facilitates the workflow in a
clinic. This is achieved by making errorfree
documentation, storing patients’
complete medical history, and efficiently
managing appointments. These
remarkable attributes, coupled with
recent advancements and improvements,
14 DENTAL ASIA NOVEMBER / DECEMBER 2022

TRENDS
have helped web-based dental practice
management software gain a strong foothold
in the APAC market.
Trend #5: Positive industry outlook in
Japan
Japan's dental practice management
software market is anticipated to emerge as
a prominent revenue pocket and will hold a
valuation worth more than US$315m by 2030.
The growing prominence of dental disorders
and the presence of robust healthcare
infrastructure are among the primary factors
leading to regional expansion.
The country is equipped with an optimum
dental workforce and several governmentbacked
reimbursement and healthcare
policies enabling low-cost dental treatment. In
addition, the increased penetration of several
health insurance providers will positively
impact the regional market.
Trend #6: Cloud-based software to
create new growth prospects across
Europe
The cloud-based model accounted for
over 32% of the Europe dental practice
management software market share in 2021.
The amalgamation of cloud-based components
with this software help provide a seamless,
cohesive, comprehensive, and engaging patient
experience in a relatively lesser time.
These attributes make them apt for delivering
everything ranging from imaging, charting,
and group practices to administrative duties,
which is likely to help them gain substantial
impetus in the years ahead.
Trend #7: UK to account for a
significant market share
UK dental practice management software
market is expected to grow at an annual growth
rate of about 14.3% through 2030. The country
has witnessed a prominent rise in dental
disease over recent years.
According to a recent University of Birminghamled
research, patients with GP-inputted medical
history of gum disease have an increased risk
of developing mental illness, ill health, and heart
conditions. Such studies have raised concerns
regarding better oral health and treatment
and encouraged the government to roll out
supportive initiatives focusing on spreading
awareness of oral hygiene. More policy rollouts
like these may transform the dental practice
management software market dynamics.
Dental practice management software has
significantly improved workplace efficiency,
which passively reduces clinical fees and
related costs and charges. This has, in turn,
resulted in increasing patient footfalls and
growing expenditure on dental services,
further supporting the market growth. DA
DENTAL ASIA NOVEMBER/ DECEMBER 2022 15

UNDER THE SPOTLIGHT
Encouraging,
challenging and
celebrating oral tissue
regeneration
“We Are Re:Generation” is the motto of the next
International Osteology Symposium in Barcelona, Spain,
reflecting not only the focus of the Osteology Foundation
on oral regeneration but also their mission to link science
with practice by gathering all the globally available
knowledge in one place, at the same time.
In past years, the International Osteology
Symposia were considered by many in
dentistry to be the most successful and
prestigious event held on oral tissue
regeneration. This is set to continue with
the 2023 Jubilee Edition to celebrate
the 20th anniversary of the Osteology
Foundation, a global organisation that
supports science, research training,
and education in the field of oral tissue
regeneration.
Happening on 27-29 Apr 2023, the
educational programme promise
to attract up to 3000 motivated
participants from all over the world. Dr
Pamela McClain and Dr Istvan Urban,
the 2023 symposium’s scientific chairs,
share more about their role leading up
to this high-level scientific programme
and what participants can expect.
16 DENTAL ASIA NOVEMBER / DECEMBER 2022

UNDER THE SPOTLIGHT
What was the idea behind the
programme of the symposium?
Dr McClain: The focus of the Osteology
Foundation is on oral regeneration.
As a result, the programme for the
symposium will fully cover this field
which allows a more in-depth look at all
aspects involved with oral regeneration.
This all-around coverage is unique
and unlike other programmes. We are
looking at unique areas of regeneration,
for example, endodontic concerns,
orthodontic opportunities and aesthetic
surgical aspects.
Dr Urban: In addition to the clinical
aspects of oral regeneration, the
Osteology Foundation places equal
emphasis on education and research.
The programme perfectly reflects this
dual focus: we will see many exciting
contributions with high practical
relevance as presentations on the very
latest research.
In which way does the programme
attract both young, less experienced
clinicians and established oral
surgeons?
Dr Urban: Since its beginnings 20
years ago, the Osteology Foundation
has placed great emphasis not only
on working with well-known experts in
our field but also on being very active
in promoting young talents. This is still
very much the case today and therefore
we are in the fortunate position at the
International Osteology Symposium to
also offer young speakers from our own
training and research programmes the
opportunity to appear on the big stage.
Dr McClain: Incorporating these young
stars has always been a priority of
the foundation and allows them to
showcase their research and cases in
a world-class environment. To present
with individuals they have looked up to
is both exciting and motivating. This
headlining of young talent is also of
great interest to their peers as well as
their more experienced colleagues.
In which teaching formats do the
participants get to experience the
educational content?
Dr McClain: We are fortunate to offer
a wide range of formats from classic
lectures, numerous specific workshops,
moderated live surgeries, to the
interactive round table room, or the
new research networking day. There is
simply something for everyone.
Dr Urban: Therefore, the congress
participants actually have a luxury
problem. Their biggest challenge will
be to decide what they want to attend
from the whole programme and in what
order. But just as we offer both younger
and experienced participants content
tailored to them, everyone will find
their favourite learning format at this
symposium.
Do you have a personal programme
highlight?
Dr McClain: My personal highlight
is not a single programme item
— there are too many highly
attractive contributions — but the
list of speakers. Take a look at the
programme and see the global
scope of exceptional clinicians and
researchers presenting. With this
international gathering, it is impossible
to highlight a single course.
Dr Urban: Assuming an active interest
in the field of oral regeneration of the
participant, I would almost want to ask
the question the other way around:
How can one in good conscience
miss this truly unique concentration of
expertise and learning opportunities?
We will see an impressive density of
relevant information and a great quality
of human exchange in Barcelona, I’m
convinced, also from the experience
gained at previous IOS editions.
Final words: Why not miss the
International Osteology Symposium?
Dr Urban: I'm afraid I have to resort
to a commonplace argument — the
International Osteology Symposium
is simply the place to be in the field
of oral regeneration. Where else is
it possible to interact with so many
peers, meet world-renowned experts
face-to-face and be updated on the
latest knowledge in just three days?
And of course, the fact that this
symposium is taking place in one
of the most attractive cities is not a
disadvantage either.
Dr McClain: The value and rich depth
of the programme is not something
that you will find anywhere else, I
can’t think of a better programme
in regeneration. This symposium is
the go-to place for education in oral
regeneration. DA
DENTAL ASIA NOVEMBER/ DECEMBER 2022 17

UNDER THE SPOTLIGHT
Father and
daughter,
mentor
and trainee
— two
generations
of dental
expertise
French dental surgeon
Dr Guillaume Reys knows
that dental professionals
need to constantly upskill
themselves to keep up with
the pace of change. But to
embrace new technologies,
they must be able to master
traditional skills first — and
that’s precisely what he has
encouraged his daughter
Dr Rebecca Reys who works
alongside him to do.
Dental surgeon Guillaume Reys opened his practice in
Sélestat, France, in 2002. Besides running his clinic, he
teaches surgery to dental students at the Faculty of Dental
Surgery, University of Strasbourg.
As the son of a surgery professor, Dr Reys knew early on that
he would end up following the same path.
18 DENTAL ASIA NOVEMBER / DECEMBER 2022

UNDER THE SPOTLIGHT
In addition to the dental units, the clinic is
equipped with a Planmeca ProMax 3D Classic
imaging unit, two Planmeca ProX intraoral X-ray
units, a Planmeca Emerald S intraoral scanner,
and a Planmeca PlanMill 40 milling unit which
Dr Reys uses for making chairside crowns.
Moreover, Dr Reys performs all implant
planning with the Planmeca Romexis software.
He said: “I think it works very well. I can easily
merge a CBCT image, my implant plan and an
intraoral scan, and it’s all just so easy. I use the
software every day.”
“As a child, I had the chance to observe closely
what my father was doing. Growing up I knew
that surgery would be my choice too, but in
France, once you start studying medicine, you
don’t necessarily know which speciality you’ll
end up practising after finishing your studies
and internship. You don’t always get to work in
the field of your choice, and I wanted to make
sure that I could do what I wanted, which is
to practice surgery. That’s why I chose dental
surgery, and it has been exactly what I hoped
for,” said Dr Reys.
The clinic employs two other dentists and five
dental assistants. One of the dentists is his
daughter Dr Rebecca Reys, who just graduated
from dental school last summer.
“I did not choose dentistry because my father
is a dentist, but because I knew the profession
thoroughly, I thought it might be a good choice
for me as well,” explained Dr Rebecca. “I’m also
very interested in forensic medicine, and when I
learned that after dental school, it is possible to
pursue post-graduate training that could bring
me into the field, it sealed the deal for me.”
She shared that working with her dad is like
having a mentor around all the time.
“When I was still a student, I used to work at
another clinic once a week and I was all alone
there. There were plenty of situations where I
would have liked to ask questions, but it wasn’t
possible. In the beginning, you’re not sure of
yourself and you need a lot of reassurance.
My dad lets me do my job freely, but it’s
comfortable knowing that he is around should I
have any questions.”
Dr Reys is happy to have his daughter around
too. The clinic has recently seen a marked
increase in the number of patients, and
without the help of his colleagues, he would
not have been able to welcome any new
patients.
A PLANMECA CUSTOMER SINCE 1995
Dr Reys is a long-time user of Planmeca
dental units — he has been using them since
1995 — and his clinic is currently equipped
with three of them. When he first discovered
the company’s dental care units, he was
immediately impressed by their side-lifting
mechanism which provides plenty of
legroom.
“From an aesthetic point of view, their airy and
lightweight design appealed to me — they’re
not heavy-looking at all. The assistant’s side
is also very practical with easy access to all
essential functions, and of course, the units
are very comfortable. My patients always say
how they would love to have one at home. I
wouldn’t mind having one either.
“I also discovered that the technology was
relatively simple. I like to do as much as
possible myself, so if something needs to
be repaired, I often just call my distributor
and ask him what to do. Us dentists are
sometimes like spoiled children, we want
everything to be fixed immediately — even half
an hour is too long a wait,” he said laughing.
As for his daughter, Dr Rebecca had been
using Planmeca dental units already as a
dental student at the University of Strasbourg,
so she was well familiar with them.
Dr Rebecca is also planning to start using the
intraoral scanner and milling unit, but first, she
wants to master taking traditional impressions.
She shared: “My father encouraged me to learn
traditional working methods before moving to
digital ones. You must be able to do both since
you can’t always rely on technology. I feel like
I’m learning new things every day and can’t wait
to experience all the digital tools we have in our
clinic.”
LOOKING FORWARD TO A DIGITAL
FUTURE
According to Dr Reys, patients today are looking
for a dentist for life, someone they can trust.
“It’s not always easy to trust someone with your
teeth but once you find the right person, they
easily become your family dentist in a way.”
The world of dentistry has already become
digital, but Dr Reys believes there is much more
to come.
He concluded: “I’m sure that we will continue
to be blown away by new innovations — we
can’t even imagine all the things that will be
technologically possible in the years to come.
We can’t rest on our laurels and stay content
with what we have learned so far — we have to
keep training, learning new skills and acquiring
new knowledge. We have to stay curious and
keep up with the pace of change. DA
DENTAL ASIA NOVEMBER/ DECEMBER 2022 19

Strength in unity
As the president of Singapore Dental
Association, Dr Lawrence Yong aims
to continue the successes of their
organisation. But how will he make that
possible in today’s dental landscape?
Dental Asia finds out.
By Czarmaine Masigla
Founder of PKWY Dental Specialist Practice,
Dr Lawrence Yong is an orthodontist with 27
years of clinical experience under his belt.
With his success in practice, it became clearer
to him that as a member of the profession, it
is important for them to volunteer their time to
the association at some point in their career to
inject new ideas and direction. By doing so, he
emphasised, the Singapore Dental Association
(SDA) can continue to grow and be more
relevant over time.
Under his leadership, SDA is focused on
supporting the dental community in facing
the challenges of today’s practice and
empowering the next generation of dentists.
Read on as Dr Yong shares more.

UNDER THE SPOTLIGHT
What are your takeaways from the
pandemic and how do they affect your
vision for SDA?
Dr Yong: I think the main takeaway from
the pandemic is that the profession is
intrinsically and extremely strong and
resilient. Mr Ong Ye Kung, the Minister
of Health, actually mentioned during the
opening ceremony of the International
Dental Exhibition and Meeting (IDEM)
that he was surprised that although
dentists were operating at a lower level,
the reality is that we still have to treat
patients without their masks on. And
despite those challenges, the profession
lived up to its name in terms of infection
control. There were no surprises. I think
that it is a collective responsibility that
has been shown by every member of the
profession. It is definitely not just 1% or
2%. It is a collective effort.
Can you enumerate and briefly discuss
some of SDA’s ongoing projects?
Dr Yong: We are focusing on three
main areas in the near future in
concert with the government. The first
area would be in terms of how are
we going to support members during
the transition process of onboarding
clinics onto the national electronic
health records. The second one would
be in terms of the implementation
of the Health Care and Services Act
recently passed by the parliament.
These areas involve support in terms
of communicating with doctors to
ensure that they understand how
this new licensing affects them and
what they need to do. We are also
working with the Ministry of Health in
promoting public awareness about the
ills of illegal dentistry.
On the association's front, there is
a strong need to support the newly
registered doctors. This could be in
terms of providing relevant courses or
workshops, so that they can continue
to advance their learning, especially
in areas which are not covered
during their undergraduate days. The
second one is in terms of developing
the top and idea leaders of the next
generation. This will involve training
local speakers so that they feel
comfortable to sharing their thoughts
on the regional as well as on a global
platform.
Regarding the IDEM in-person
meeting, what is the significance of its
return for dentists in the APAC region?
Dr Yong: I think we have to look at
IDEM from two angles. The first is
from the angle of the organisers. The
in-person meeting is an extremely
important message to all our trade
partners — that IDEM will continue
to be the frontrunner in terms of
international dental exhibitions, at
least in this region, if not greater.
The second one would be from
the angle of the participants or the
attendees for the trade exhibition or
the scientific conferences. We want
them to feel that besides the trade
exhibition, we continue to have novel
ideas shared by people from different
parts of the world, and we hope
that this will actually inspire them
to continue to come to Singapore in
person simply for the fact that we offer
a superior range of topics or ideas.
How has digital dentistry impacted the
behaviour of patients regarding dental
care?
Dr Yong: From the patient's point
of view, I can tell you that patients
are extremely receptive to digital
dentistry. And the main reason is that
the patient of today is educated. They
understand that there is a science
behind everything that we do, and then
they can see it visually as we present
an image or analysis to them. This
helps doctors to create awareness on
behavioural changes that they need to
do for them to get a better outcome. It
also adds value in terms of presenting
treatment options and monitoring the
progress of the case.
What are your thoughts on dental
tourism?
Dr Yong: Dental tourism will always
be around and the main reason is that
patients would like to get the best
value for money. The issue with dental
tourism is probably in the types of
procedures which are suitable for such
approach. So, for example, it is unlikely
that we will go to a foreign country
for an invasive procedure, because
usually these procedures need a lot
of aftercare. We have to note that the
quality of care is not only in the ability
to do a particular procedure but also
in how well the patient is taken care
of and supported during the recovery
period.
Of course, there are non-invasive
procedures such as teeth whitening
that some people would like to do as
they are vacationing. I think those are
probably less scary, and something
that we should not think too much
about. But what we do not want is
to create the impression that dental
tourism is all about getting it cheap or
about convenience. It should not be
that. Dental tourism, just like normal
dental care, should always have a high
standard of care. That's the important
thing. Anything else is just value
added.
DENTAL ASIA NOVEMBER/ DECEMBER 2022 21

UNDER THE SPOTLIGHT
How do you envision the future of
dentistry?
Dr Yong: In the future, patients will
continue to demand more evidence in
terms of how the treatment should be.
And the main reason is because they
would want to exercise autonomy on
how their care should be. Patients have
move away from paternalistic medicine
whereby the doctor decides on what
should be done. Because why? They feel
that they are knowledgeable enough to
make that decision. So, patients need
evidence. And that actually strongly
supports the cause of digital dentistry.
The second one would be in terms of
the doctors that we have. In fact, they
are probably the most intelligent group
we have seen since the profession has
started. The main reason is because
we are very successful in education.
The new generation is extremely noble
hearted too. They feel a strong need to
make the world a better place. Yet, the
number of resources that is needed
to help them pursue their profession
or their education has also gotten to
be more expensive over time. And this
creates a slight tug-of-war whereby
doctors have to decide how they can
achieve the right work life balance. So,
I think the new doctors definitely face a
harder career scape compared to when
I started 27 years ago. Nonetheless,
young doctors themselves need to be
resilient enough in order to navigate this
so-called new landscape.
And the third one would be, in terms
of our collective responsibility
together with the Ministry of Health.
In Singapore itself, we have gotten
so good at treating patients that it
is no debate that the level of care
is extremely high. But the reality is
that it has also gotten extremely
expensive. There is no way we can
maintain this type of spending
pattern or treatment fee pattern. This
has to be looked at. And of course,
we are definitely supportive of
Singapore's Healthcare SG initiative
whereby we will start to shift our
focus to preventive care. I think that
dentistry have a head start on this
area but we need to continue to build
on that. DA
22 DENTAL ASIA NOVEMBER / DECEMBER 2022

REGISTER
NOW!
HIGHLIGHTS
Latest developments in
rege nerative therapies
Live surgeries
Hands-on workshops
Case session
Morning with master clinicians
Clinical round tables
Poster exhibition
Research networking day
Joint sessions with AAP and SEPA
SCIENTIFIC COMMITTEE
Pamela K. McClain, USA (Chair)
Istvan Urban, Hungary (Chair)
William V. Giannobile, USA
Franck Renouard, France
Frank Schwarz, Germany
Anton Sculean, Switzerland
osteology–barcelona.org
be part of #OsteologyBarcelona

DENTAL PROFILE
Advancing osseous
surgery
An Italian company established in 1979, Mectron is committed
to providing dental and medical professionals with innovative
clinical solutions. With the recent launch of Rex PiezoImplant,
the company is poised to remain the market leader of
Piezosurgery in the Asia-Pacific and beyond.
By Czarmaine Masigla
Mectron Medical Technologies, based
on the Ligurian Coast in Italy, was
founded over four decades ago by two
engineers, who today are still active
company owners.
With their dedication to product
development and innovation, Mectron
now has a sales network in over 80
countries offering products for preventive
and restorative dentistry, as well as for
oral surgery. These different treatment
fields are covered with the following
product ranges: the Piezosurgery line,
ultrasonic scalers, air polishers and
curing lights.
Mectron prides itself on introducing the
patented ultrasonic micro-vibrations of
the original PIEZOSURGERY ® technique
in the market. Providing micrometric
cuts for minimally invasive surgeries with
surgical precision and intra-operative
tactile sensation, it also selectively cuts
and protects any kind of soft tissue —
nerves, vessels and membranes will not
be injured while cutting bone.
Kelvin Liang, sales area manager of
Mectron in Asia-Pacific (APAC), is elated
to bring this Mectron’s expertise to the
region, which enables surgeons to work
with more precision while at the same
time reducing postoperative discomfort
for the patients.
24 DENTAL ASIA NOVEMBER / DECEMBER 2022

DENTAL PROFILE
However, he noted that the APAC market
is very versatile and given its unique
demographics and socioeconomic
differences, the maturity of products
and technology highly differ from each
country.
EVOLVING DENTAL LANDSCAPE
As a company, Mectron has continuously
grown despite the challenges of COVID-19.
Liang shared that during this period,
Mectron focused on converting their license
to comply with European registration.
“In some countries, they’ve accepted
Piezosurgery many years ago; but some
of the countries here are still trying to
accept the concept. It is a good thing
that I am based in Singapore, hence,
I am able to travel across the region
without much hindrance and reach out
to our customers,” he explained.
As a customer-centric company, Liang
added, it is vital for Mectron to attend
congresses like the recently concluded
International Dental Exhibition and
Meeting to connect and educate more
practitioners on the clinical advantages
of Piezosurgery. They also conduct
seminars with hands-on sessions to
help their clients to further leverage their
product solutions.
Liang elaborated: “We invite our key
opinion leaders from Europe to come
to APAC to give lessons. We are also
collaborating with countries like South
Korea to send their key opinion leaders
to give lectures in Europe. We do this to
have some sort of connection between
the lecturers in Europe and APAC. This
is something that we do to add value to
our customers and their patients.”
“This saves time for both patients and
doctors because if they use bone
substitutes like in GBR, for example, they
will require a year before they place the
implant. So, with this, you can reduce it
by six months,” explained Liang.
Rex PiezoImplants are designed for a
minimally invasive surgical treatment
on the patient. And to optimise every
clinical benefit of Piezosurgery, a
personalised range of specific inserts
for specific procedures was also
created.
Liang shared his excitement for this
line, as there is a pipeline of solutions
awaiting to be launched in the market in
the next years to come.
“This is what the rest of the European
countries are doing currently and we are
already 90% done with this,” he shared.
To support their clients in these trying
times, Mectron pivoted to conducting online
seminars to continue to provide a learning
platform for practitioners. Liang said that
they liaised with their key opinion leaders to
plan out relevant topics to tackle.
As the dental industry embarks on the
recovery road from the pandemic, Liang
foresees that the dental trend will move
into preventive care in the next three to
five years.
Rest assured, he said, that Mectron will
continue to support dental professionals
in providing the best possible clinical
technology ranging from their ultrasonic
and prophylaxis range to conservative,
minimally invasive surgical solutions. DA
NARROW RIDGE? PROBLEM
SOLVED
Innovation never stops at Mectron
with the addition of Rex PiezoImplant
to their dental portfolio. Launched this
year and is now undergoing registration
in different countries, Liang highlighted
that this tissue-level implant offers a
revolutionary solution in the market.
“Rex PiezoImplant is our new
Piezosurgery implant that is used
with our Piezosurgery device. This
is a useful solution for our APAC
customers because this solves a very
interesting problem — which is the
narrow ridge.
DENTAL ASIA NOVEMBER/ DECEMBER 2022 25

DENTAL PROFILE
VITA Zahnfabrik: Quality
that exceeds the norm
From life-like denture teeth and
precise shade determination to a wide
range of CAD/CAM and veneering
materials — dental professionals
from over 150 countries benefit from
VITA Zahnfabrik’s products and
technologies.
By Czarmaine Masigla
Driven by an innovative mindset, VITA
Zahnfabrik continues to thrive in the everevolving
field of dentistry. To learn more
about their success and strategies specific
to the Asia-Pacific region, Dental Asia
speaks with Emiliano Bini, VITA’s regional
business manager, Australasia.
VITA Zahnfabrik has been at the forefront
of progress for laboratory and practice
since its establishment in 1924. What is
the recipe for this success?
Bini: “VITA — perfect match” is the tangible
benefit we offer our users and customers
for unrivalled patient treatment. Qualified
employees committed to the company
and the consistent expansion of core
competencies within the framework of
clearly defined business areas are part
of the secret to success. The perfect
combination of tradition and experience
with forward-looking vision and inspiring
dynamism forms the foundation of the
internationally active VITA Zahnfabrik.
In recent years, can you enumerate VITA’s
top three best-selling products in the
Asia-Pacific (APAC) market and briefly
discuss the factors that swayed these
demands?
Bini: These reside within our veneering
materials, CAD/CAM and denture teeth
portfolio — although we had an important
spike in demand within our shade
guide range. Thanks to strong and
long-lasting relationships with our local
distribution network, we are sure to
deliver our products to local users in
the area.
Together with our internal training
team and leveraging our recently
build VITA Hybrid Studio, we
ensure to provide constant learning
opportunities. Partnering with VITAcertified
labs and milling centres, put
us in the position to provide the VITA
offering to local communities, yielding
particular success within the
veneering material range.
What is unique about
the APAC market,
and how does it
affect VITA’s sales
and marketing
strategies?
Bini: Today,
dentists
and dental
technicians
in more
than 150
countries
work with
VITA’s quality
26 DENTAL ASIA NOVEMBER / DECEMBER 2022

DENTAL PROFILE
products and restoration solutions.
The APAC market is a very important
one in the dental industry and for
VITA — although it needs special
catering due to its vastity, diversity
and dynamicity. An important shift
noticed is an exponential increase in
E-commerce environments, and we
will need to increase our investment
in social media platforms to expand
our audience on digital channels and
leverage new marketing tools such as
retargeting ads to convert the already
engaged customers.
“ The perfect combination of tradition
and experience with forward-looking
vision and inspiring dynamism forms
the foundation of the internationally
active VITA Zahnfabrik.”
How does VITA ensure that dental
practitioners can keep up with the
advancement of the field, and how do
you support your customers to further
leverage on VITA’s product solutions?
Bini: Firstly, “VITA is characterised
by its closeness to the user”. Being
closer to the user than anyone else is
the company’s vision and therewith
a key element to support users
and customers worldwide. Shade
systems, CAD/CAM materials, press
and veneering materials as well as
ready-made teeth and materials for
the digital fabrication of dentures are
offered through an international sales
network that is very close to the users
and customers.
Secondly, “VITA is pioneering”. Better
and better solutions for perfect
prosthetics, that is the “VITA — perfect
match” our qualified employees are
working for day by day. Moreover,
VITA can rely on its own very strong
research and development team,
based in the headquarter in Bad
Säckingen, Germany, with a clear focus
on the innovation fields of the future.
And for VITA, being close to the user
also means imparting knowledge.
The VITA Academy lives and breathes
advanced training and as a competent
knowledge partner for dental
laboratories and practices, offers
comprehensive, customised advanced
and further training formats.
Sustainability in dentistry has been a
hot topic recently — what are the steps
VITA has taken to support this cause?
Bini: VITA considers sustainability
as a top priority. Now more than
ever, manufacturers must consider
the sustainability of production
processes to guarantee that levels of
emissions, energy consumption and
waste be kept at a reasonable level.
We are undergoing a process of lean
transformation, intending to improve
our manufacturing processes, but also
the transactional everyday business
way of things. We are constantly
working to eliminate paper printouts,
these being in the financial sector, but
also in the commercial one. Drastic
reductions in brochure printing and the
introduction of QR codes support us
in this mission. Everything that can be
saved in the elimination of wastes and
inefficiencies, can and will be reinvested
in R&D and marketing activities to
support our customers.
What other developments from Vita
should the industry look forward to,
and how do you envision the company
in the next 5–10 years?
Bini: Our goal is to develop and
continuously improve our solutions
for ideal aesthetic and functional
restorations. By delivering continuous
improvements in safety, quality,
innovation, and manufacturing processes,
we hope to offer a key element for the
quality of life to people throughout the
world. Stay tuned for exciting news in the
digital denture offering! DA
DENTAL ASIA NOVEMBER/ DECEMBER 2022 27

CLINICAL FEATURE
Augmented aesthetics in direct
composite layering
Presenting a tedious but effective technique, Dr John Rundell Paredes details the
use of modifying stains in conjunction with a mono-shade composite system to
fabricate natural-looking restorations.
Translucency in composites and other
dental restoratives are ever present. The
effects of translucency largely affects the
final restoration, the thickness and type of
this layer will dictate corresponding optical
effects, especially on composites (Fig. 1).
Thickness of the translucency layer reduces
the chroma or the intensity of the shade (Figs.
2-3). It also reduces the value, or the overall
brightness of the shade. Differences in the
type of translucency layers is also important,
as higher value translucencies, in which being
a brighter, milky-white layer, increases the
value of the restoration while also decreasing
chroma in increasing its thickness (Fig. 4).
Lower value translucency layers in contrast,
darkens the restoration and produces an
amber shade to the restoration.
It is worth noting that some types of
translucencies vary in its translucency
itself. Translucency in general lessens
the definition of the layers and colours
underneath it, like stains for example, but
highly translucent, almost transparent/
achromatic composite variants also exist,
for those cases in which patterns and
shades on the underlying layer should be
better observed.
The knowledgeable use of these types
of layers can be an indispensable tool in
creating high level aesthetics in anterior
restorations. Typically found in multi shade
system composites, mono shade systems
can also have a translucency layer available
to it, typically labelled as Incisal.
CASE STUDY
A 30-year-old female patient has undergone
a class III non-extraction, compensated
orthodontic treatment; the previous situation
was a severe crowding on the anterior teeth with
crossbite. The orthodontic treatment was done
in the concept of using an accentuated curve
of Spee to accommodate the spacing needed
for the anterior teeth, without extraction of the
lower premolar teeth to avoid resulting in an
excessive retraction of the mandibular teeth.
A disadvantage of this technique is the overinclination
of the anterior teeth facially, but
with the advantage of being less invasive due
avoidance of extraction (Figs. 5-7)
The patient wanted a better smile, but is
not amenable to indirect restorations due
Fig. 1: One type of translucency layer; TN-
Translucent Neutral, Amaris, Voco
Figs. 2-3: Note the thickness differences and its
effect on the underlying layer
Fig. 4: TL-Translucent Light; Amaris, Voco
Figs. 5-7: Pre-operative pictures
28 DENTAL ASIA NOVEMBER / DECEMBER 2022

CLINICAL FEATURE
Figs. 8-9
Fig. 10
Figs. 11-12
Fig. 13
Figs. 14-15
Figs. 16-17
to the preference of minimising tooth
reduction. So, the treatment plan was
to first lengthen the anterior teeth in an
attempt to “test out” the function and
phonetics of the proposed new length
of the anterior teeth, keeping in mind
minimising or possibly avoiding tooth
reduction as per patient’s request. The
patient also wanted to try out a brighter
shade during this phase. Harmony is not
yet a concern initially because of the
prevailing COVID-19 restrictions of using a
mask, the patient was more than willing to
do this phase.
Subsequent proposed procedures would
be an in-office bleaching appointment,
then a minimally invasive direct veneering
or bonding smile makeover to recreate
the smile with the least tooth reduction
possible. Direct composite restorations
also have the advantage of easy
adjustments, considering that the patient
had a crossbite and may not adjust to
the new anterior design easily, while also
enabling the us to layer a more natural
looking restoration, as compared to a
monolithic composite injection technique.
A final, more durable, indirect restoration
was also proposed, after a three-month
period following the final direct restoration,
if the patient would want to change it and
would be amenable to tooth reduction.
PRE-PROCEDURAL PREPARATION
Direct addition of composite material was
added to the tooth to simulate the new
length of the anterior teeth, using a direct
ormocer composite, Admira Fusion from
VOCO; shade B1 and Incisal are layered in
using a freehand technique. This phase
was supposedly only for two-three weeks,
but the patient wanted to delay the final
treatment (Figs. 8-9).
Patient came back for the definitive
treatment citing the different adjustments
she wanted for the teeth. The planned inoffice
bleaching was done after reduction of
the existing layered composite. Initial shade
was at VITA Classical A4 (Fig. 10), noting the
strong chroma and low value of the existing
natural teeth, the patient was made to
understand that a high value and target
shade of B1 may not be achieved. This was
understood and accepted by the patient
before we continued with our bleaching
procedure after impression and removal of
the existing composite material (Figs. 11-12).
A request of bonded temporaries was
made by the patient during this time, as
she is already accustomed to the new
shape of her teeth. It was planned that
we will be fabricating a direct temporary
and mock up of the planned makeover
for her to wear after a week from the
bleaching procedure, to minimise possible
discolouration of the natural teeth due to
the possible effects of the bonding agent.
A combination of A1 and B2 shades were
achieved after the bleaching procedure
(Figs.13-15), the patient was appointed a
week after for her bonded temporaries. An
appointment after two weeks was also set
for the definitive composite restorations.
The shade is still consistent after a week
the bleaching procedure (Figs. 16-17).
DENTAL ASIA NOVEMBER/ DECEMBER 2022 29

CLINICAL FEATURE
MOCK UP TRY-IN/TRANSFER
The mock up was done using the impression
from the first composite bonding. Specific
parts were built up by wax, but reductions
were also done for the planned smile. The
proclination of the anterior teeth were
considered and were mocked up with less
material on the facial side and more towards
the palatal area. The facial-incisal plane of
the mock up is now slightly accentuated
to give the effect of retroclination and to
approximate the overjet of the anterior teeth
to facilitate proper phonetics. A silicone
stent was prepared using putty-wash
technique, and then trimmed to the shape of
the cervical scalloping of the teeth (Fig. 18).
Transfer of the mock up was done by line
etching the teeth with 37% phosphoric acid
(Fig. 19), and then application of a bonding
agent (Futurabond U, VOCO: Fig. 20) to all
labial surfaces was done and cured after
evaporation of the solvent; this is to facilitate
good bonding to withstand some function for
a week, but reassuring the removal process
during the preparation phase will be easier as
compared to a fully etched tooth.
A self-curing, injectable temporisation material
(Structur 3, VOCO) was injected into the
silicone stent (Fig. 21) and then placed on
top of the natural dentition, excess removed
from the cervical area before removal of the
silicone stent after four minutes (Fig. 22),
then light-cured for bonding assurance. The
surface oxygen inhibited layer was wiped
off with alcohol and then the temporaries
were adjusted as per the patient’s request.
Final minimal polishing for gloss was done
with a single-step polisher (Dimanto, VOCO)
with smooth strokes under low speed with
water cooling. Impression was taken after the
final polishing procedure for the basis of the
definitive composite restorations (Figs. 23-27).
GUIDED PREPARATION THROUGH THE
MOCK UP
Preparation of the teeth were done after
a week from temporisation. The plan was
for a minimally invasive reduction as per
patient’s request, and the target shade
that the patient wanted was still B1 despite
final shade matching being stable at B2. A
reduction through the mock up was done at
1mm on the incisal and 0.5mm on the incisal
and middle facial thirds (Figs. 28-29), no
reduction was done on the cervical third.
Fig. 18
Fig. 19
Fig. 20
Fig. 21
Fig. 22 Fig. 23
Fig. 24
Fig. 25 Fig. 26
Fig. 27
Fig. 28 Fig. 29
30 DENTAL ASIA NOVEMBER / DECEMBER 2022

CLINICAL FEATURE
Fig. 30 Fig. 31
Fig. 32
Fig. 33
Fig. 34
Fig. 35
Fig. 36
Fig. 37
Fig. 38
Fig. 39 Fig. 40 Fig. 41
Reduction through the mock ups showed
that minimal to no reduction was done
on the natural teeth (Figs. 30-31), so the
surface enamel was only roughened with
fine grit diamonds and abrasive disks.
COMPOSITE BONDING TECHNIQUE
Rubberdam isolation was done for optimum
moisture control and bonding, the teeth
surfaces to be layered upon were fully
etched with 37% phosphoric acid (Fig. 32),
then bonding agent applied on all etched
areas (Futurabond U, VOCO) (Fig. 33). A
palatal stent that was fabricated from
the adjusted mock up impression used to
facilitate the buildup of the palatal shell
using a nano-hybrid pure-silicate based
direct composite, incisal translucent
shade (Admira Fusion, VOCO) (Fig. 34),
interproximal shells were also built up using
the same shade and material (Fig. 35), this
is to facilitate an easier layering of the body
shades.
Layering of the body shade was done using
B1 (Admira Fusion, VOCO) (Fig. 36), the
blending of the layered body shade to B2
shade tooth structure is crucial, the B1 body
shade should be tapered off properly and
equally on contralateral teeth for proper
cervical gradience and blending, the use
of a nylon brush (Anterior Composite
Brush, Smile Line) was used with a minimal
amount of modelling liquid (Ceramage
Modelling Liquid, Shofu), taking care not to
use an excessive amount of modelling liquid
as this can potentially create voids and
therefore compromise the strength of the
composite buildup.
The incisal internal mamelons were shaped,
leaving space for translucency and other
incisal effects for optimal aesthetics. A thin
layer of B1 shade was layered on the incisal
edge to imitate the incisal halo, small incisal
detailing was also layered using A2 shade
(Admira Fusion, VOCO), this will render
vertical lines inside the incisal translucency
(Figs. 37-38). Multiple stains were applied
to the various areas of the layered
restoration; Blue on incisal areas to simulate
incisal depth and translucency, blue on
developmental grooves/fossa to increase
the effect of depth in between the layered
lobes, a combination of yellow and white on
the mesial and distal lobes to increase value
on those areas, and a combination of yellow
and brown on some selected areas in the
incisal to simulate chromatic irregularities,
typically found on natural teeth (Final
Touch Stains, VOCO) (Fig. 39 and 40), a
cross-polarised photo shows the subtle
effects that the stains (Fig. 41).
DENTAL ASIA NOVEMBER/ DECEMBER 2022 31

CLINICAL FEATURE
Fig. 42 Fig. 43 Fig. 44
Fig. 45
Fig. 46
Fig. 47a
Fig. 47b
Fig. 48 Fig. 49
All layered and painted stains are overlaid
upon by a final Incisal shade, this will
guarantee that the painted stains will
not be erased due to abrasions of
normal wear and tear. The incisal shade
composite also tapers off to blend in with
the body shade on the middle third, this
will decrease the chroma of the layers on
the incisal area and gradually increasing
towards the middle to cervical (Fig 42). A
final curing of the composites was done
under block-out gel to cure any oxygeninhibited
layer present (Fig. 43).
Sculpting was commenced using as
low speed red band long flame bur,
minimal reduction is needed due to the
anatomical layering technique, thus
saving time (Figs. 44-45). Finishing and
polishing done with a combination
of abrasive discs (Soflex Discs, 3M),
finishing spirals (Soflex Spirals, 3M),
Silicone Polishers with different
pressures to achieve different results
(Dimanto Polishers, VOCO), and final
buffing of a fine aluminium oxide wax
(Ceramage Dura Dia, Shofu) using a
goat’s hair brush at low speed under
isolation (Fig. 46).
Final smile photos render a naturalistic
design of the composite restorations
with subtle anatomical effects and
translucencies. (Figs. 47a-b: High
contrast photo) A before and after photo
with the pre-operative photo adjusted
to approximate the colours of the post
operative photos, as these were taken
with different camera systems and
lenses (Figs. 48-49). DA
ABOUT THE AUTHOR
Dr John Rundell
Paredes is the
head dentist
and owner of
Esthetique
Smiles Dental
(Philippines). He graduated from
Centro Escolar University with a
degree of Doctor of Dental Medicine
and has undergone intensive
orthodontics training under Center
for Orthodontic Training Seminars,
Inc. A key opinion leader of VOCO
Philippines and clinical advisor of
Shofu, he also conducts training
programmes and lectures with the
organisation PIPE (Perio, Implant,
Prostho, Esthetics).
32 DENTAL ASIA NOVEMBER / DECEMBER 2022

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CLINICAL FEATURE
Elevate patient experience
with proactive dentistry
With the advantage of data recording capability and visualisation of oral
conditions at the chairside for patient communication, Dr Tak-On Tse
Ryan explains why intraoral scanners (IOS) have become a substantial
instrument for oral health assessment and risk assessment of potential
oral diseases.
Balancing the quality of care and
practice efficiency becomes a question
for almost every dental professional.
Having a long-term relationship
with patients is ideal even for dental
professionals, but prolonged hours at
the clinic are exhaustive and it requires
additional resources and manpower.
Thankfully, digital technologies in
dentistry have evolved so that multiple
clinical conditions can be diagnosed
with efficiency. The perception that
oral health needs to be checked by
clinicians only when there are identified
symptoms makes it hard for patients to
develop a long-term relationship with
dental clinics, resulting in transactional
types of patients.
The problem with this approach is that
often patients wait until they develop
serious oral diseases which may require
restorative treatments and cause
anxiety about dental treatments and
clinic visits (Armfield and Heaton, 2013).
Personally, I categorise this practice
pattern as a “Hitman” approach which
is to find out the disease in a routine
dental appointment that was not
present six months ago, followed by
treating the problem.
However, the adoption of new
digital technology into practice
may result in practice style changes
and steep learning curves for dental
professionals, especially due to
digital literacy. Often, clinicians
find it difficult to develop new skills
or evolve their practice due to
time constraints and staff training,
resulting in limited benefits despite
significant investments (Mascitti
and Campisi, 2020).
In addition, patients in the digital
era prefer to have autonomy in the
dental treatment decision-making
with more understanding of their
oral health conditions to accept
any diagnosis or treatments and
manage their oral health (Benecke
et al., 2020).
HEALER APPROACH VS HITMAN
APPROACH
In contrast, there is another
practice style that implements
a risk assessment strategy to
provide proactive care and develop
a long-term relationship with
patients: a healer approach. The
latter method is through evidencebased
evaluation and made
recommendations based on diet,
homecare habits, and other preventive
measures and monitoring to minimise
the potential risk of dental problems.
Preventive dental care is indeed found
to be cost-saving and effective at
achieving better oral health conditions
overall (Pourat, Choi, and Chen, 2018).
The concept closely resembles
the periodic vehicle (automobile)
inspection or regular health
screening. Dental health also needs
to be checked on a regular basis so
that patients can take better care
of their oral health. Some common
problems that can be detected early
and prevented include the following:
periodontal, biomechanical,
functional, and dentofacial issues.
The concept of diagnostic options is
like the vehicle inspection categories.
ADVANTAGES OF IOS OVER
CONVENTIONAL TOOLS
Intraoral scanner (IOS) such as iTero
Element 5D scanners is an ideal
solution for preventive oral health
assessment and risk assessment. The
comprehensive diagnostics features
and data record capability of the
scanners for oral health assessment
streamline the subsequent dental
check-ups as well as the initial visit.
34 DENTAL ASIA NOVEMBER / DECEMBER 2022

CLINICAL FEATURE
In just one scan, multiple types of
information are captured within
minutes and visualised on-screen
for communication with patients:
iTero NIRI (Near Infra-Red Imaging)
technology for early enamel/dentinal
interproximal caries (Metzger, et al.,
2022); iTero Occlusogram for bite
force/malocclusion/arch contact
relationship; iTero TimeLapse
technology and integrated 3D intraoral
camera for teeth, tooth structures and
oral soft tissues (Figs. 1a-b).
These features can be used to
identify cracks and visualise trauma
as well. If needed, the scanned
results can be used to demonstrate
the needs of orthodontics
treatments to patients (in certain
versions of scanners) and the
expected treatment outcomes can
be visualised through an application
called Invisalign Outcome Simulation
(IOSim)/IOSim Pro at chairside.
The strength of iTero Element
scanners is the scan report feature,
which packages the oral health
condition pictures/data of a patient
into one document and is formulated
to be sent to the e-mail or mobile
device of a patient.
This is the reason why iTero Element
scanners could be advantageous over
mirrors and transilluminators which
are far more affordable. It is the
report and shared communication
with patients that help clinicians
build stronger relationships with
patients.
In addition, the record-sharing
practice is effective to raise
patient awareness of oral health
management as well as for patients
to take their time to understand and
appreciate the additional time and
resources spent on the assessment.
The visualisation and the handson
copy of oral conditions support
patients to comprehend their oral
conditions and accept diagnosis and
treatments. Moreover, it is a practice
to provide warnings for potential
dental problem risks, educate how
their oral conditions need to be
taken care of, and therefore reduce
the liability of dental professionals.
PRACTICE SHARING
To provide an example of how oral
health assessment is integrated into
my clinical practice, I will introduce
a workflow. Upon arrival at the
clinic, patients are asked to fill out
an initial visit survey (from Kois
Centre, Seattle) to assess their oral
health conditions and report their
daily oral management behaviours
while they are waiting. This is a
great gateway for patients to think
about their oral health and feel the
need for comprehensive check-ups.
The survey provides oral health
assessment recommendations based
on the number of answers requiring
the monitoring of oral health. Thus,
if patients are willing to assess their
oral health conditions or if a certain
number of answers are ticked, an
assessment is recommended.
Once patients are under the oral health
assessment, multiple diagnostics tools
including IOS are used to analyse the
oral conditions. The core value of IOS
such as iTero Element scanners is that
oral health conditions can be visualised
and communicated with patients at the
chairside concurrently. While scrolling
over different angles of oral health
components, dental professionals can
explain the current oral conditions to
patients, what oral problems are being
suspected, and possibly share the
treatment plans if needed.
Since the saying “seeing is believing”
is often a very fundamental belief
system in humans, patients tend to
trust and accept the diagnosis and
treatment plans more easily after the
visualised oral health assessment.
Additionally, patient’s decision
to accept treatment is heavily
affected by their relationship with
their dentists which is the first and
foremost factor over cost and time
(Kalsi and Hemmings, 2013).
Figs. 1a-b: Clinical condition of attrition detected during oral health assessment which is difficult to detect without magnification
DENTAL ASIA NOVEMBER/ DECEMBER 2022 35

CLINICAL FEATURE
Figs. 2a-b: Oral health assessment summary shared with patients via email or mobile phones
Fig. 3: iTero TimeLapse technology image
The benefits of iTero Element scanners do
not end here. Even if patients do not accept
treatments onsite or do not possess any oral
health issues, the Scan Report feature of iTero
Element scanners can be used to provide a
summary of oral health conditions to patients
via mobile phone or e-mail (Figs. 2a-b).
It provides another opportunity for
patients to be reminded of their oral health
conditions and the importance of good
management of their oral hygiene. Over
multiple visits and several summary reports,
patients can track the changes of their oral
health over time and their awareness of oral
health management is likely to increase.
With the baseline record and additional
record over times, the clinician can use the
Timelapse function and monitor the oral
health of the patient (Fig. 3).
Furthermore, the summary is shared with a
risk assessment scoring I provide for patients
to be aware of potential oral health diseases.
Based on the risk assessment scoring, the
schedule for the next clinic visits could be
estimated for individual patients and be
arranged before they leave the clinic, which
contributes to the continuous relationship
with patients.
Besides, convenience is guaranteed for
patients and clinics from the long-term
relationship. The oral health history of
patients will be recorded in the database
after initial visits. The patient profiles and
records can be retracted at any time and
36 DENTAL ASIA NOVEMBER / DECEMBER 2022

CLINICAL FEATURE
Fig. 4: Flowchart of oral health assessment practice
compared with the most recent conditions
to examine any changes. This database will
build a foundation for patients to establish
their primary dental care and eventually lead
to a long-term relationship.
With the establishment of long-term
patients, the predictability of clinic
resource and manpower management
is achieved, resulting in efficiency
and effectiveness in clinic schedule
arrangement. The productive cycle of oral
health assessment practice is illustrated in
the flowchart (Fig. 4).
CONCLUSION
Collectively, the proactive oral health
assessment of patients using IOS provides
benefits to patient lifestyle and dental
professional clinic practice management in a
few ways including:
1. Efficiency of practice (reduced chairside
time from the use of iTero Element scanners
which feature comprehensive oral health
assessment diagnostics applications)
2. Effective patient communication and
education (visualisation and comparison of
oral health condition changes over time)
3. Increased volume of long-term patients
(with the practice of “seeing is believing”
to establish trust and the record-keeping
capability of IOS)
With the constant evolution of technology
in dentistry and the emergence of a new
generation of patients in the digital era, it
is critical to adapt versatile equipment to
promote efficiency and effectiveness of
clinical practice and enable a continuous
relationship with patients to maintain
good oral hygiene, which in turn returns
sustainable relationship with dental
professionals. DA
REFERENCES
• Armfield, J. M., & Heaton, L. J. (2013).
Management of fear and anxiety in the dental
clinic: a review. Australian dental journal, 58(4),
390–531. https://doi.org/10.1111/adj.12118
• Benecke, M., Kasper, J., Heesen, C., Schäffler,
N., & Reissmann, D. R. (2020). Patient autonomy
in dentistry: demonstrating the role for shared
decision making. BMC medical informatics and
ABOUT THE AUTHOR
Dr Tak-On Tse Ryan
graduated from the
University of Hong Kong,
and completed the
whole comprehensive
curriculum of Kois Centre
in Seattle, US, involving
aesthetic, occlusion and restorative dentistry.
He eventually became a mentor in 2021. A
fellow of International Dental College and
Pierre Fauchard Academy, Dr Tse was also
an instructor at the Implant and Aesthetic CE
decision making, 20(1), 318. https://doi.org/10.1186/
s12911-020-01317-5
• Kalsi, J. S., & Hemmings, K. (2013). The influence
of patients’ decisions on treatment planning in
restorative dentistry. Dental update, 40(9), 698–
710. https://doi.org/10.12968/denu.2013.40.9.698
• Mascitti, M., & Campisi, G. (2020). Dental Public
Health Landscape: Challenges, Technological
Innovation and Opportunities in the 21st Century
and COVID-19 Pandemic. International journal of
environmental research and public health, 17(10),
3636. https://doi.org/10.3390/ijerph17103636
• Metzger, Z., Colson, D. G., Bown, P., Weihard, T.,
Baresel, I., & Nolting, T. (2022). Reflected nearinfrared
light versus bite-wing radiography for
the detection of proximal caries: A multicenter
prospective clinical study conducted in private
practices. Journal of dentistry, 116, 103861. https://
doi.org/10.1016/j.jdent.2021.103861
• Pourat, N., Choi, M. K., & Chen, X. (2018).
Evidence of effectiveness of preventive dental
care in reducing dental treatment use and related
expenditures. Journal of public health dentistry,
78(3), 203–213. https://doi.org/10.1111/jphd.12262
programme at the University of Southern
California Esthetic Dentistry. He was also
invited to be one of the experts in Dental
XP and is a Digital Smile Design Global
instructor. At present, Dr Tse is the vicepresident
of the Chinese Academy of
Esthetic Dentistry (CAED) and the chairman
of the Accreditation Board of CAED and is
recognised as an associate fellow member
of the American Academy of Esthetic
Dentistry for his contribution in aesthetic
dentistry.
DENTAL ASIA NOVEMBER/ DECEMBER 2022 37

USER REPORT
All-ceramic restoration
on discoloured teeth
Dr Christopher Ho outlines strategies to overcome the challenges
of restoring a severely discoloured tooth with high-aesthetic
requirements.
With the increasing use of all
ceramic restorations, clinicians
may encounter difficulty matching
shades on discoloured teeth. This
discolouration may be due to many
factors, including metallic post and
core, previous restoration, or other
extrinsic or intrinsic factors.
There is often a need to mask
discolouration. However, allceramic
restorations have inherent
translucency within the material.
It may be advantageous in most
situations but may allow shine
through of underlying dark stumps,
negatively impacting the final shade
match.
Several strategies can be adopted
to influence the final colour of the
restoration including:
• Choice of resin cement. Most
dental companies manufacture
shaded and opaque resin cement,
which may assist in blocking
discolouration. However, it should
be noted that with the cement film
thickness being 80-120 microns,
it may not assist sufficiently
in blocking the dark tooth. In
my experience, it improves the
situation by 10-15%.
• Selecting an opaque ceramic
material. The majority of materials
for indirect restorations are
available in different opacities
and translucencies. Advising
the ceramist that the tooth is
dark and taking photographs
of the stump shade may result
in the selection of an opaquer
ceramic material (e.g., Zirconia
first generation materials, lithium
disilicate – medium opacity ingot).
The opaque ceramic will block
the underlying dark tooth from
showing through.
• Thickness of material and
preparation depth. All-ceramic
restorations allow more
conservative preparation, but
with a dark tooth substrate,
there may be the need to prepare
deeper to allow greater material
thickness which will be better
at masking the dark tooth.
Duraes et al. (2022) reported
that the best thickness and
opacity combination for masking
discoloured dental substrates is
to use 1.2mm thickness and LT
(low translucency)/MO (medium
opacity) lithium disilicate
restorations.
38 DENTAL ASIA NOVEMBER / DECEMBER 2022

USER REPORT
Fig. 1: Patient wants to replace the crown on tooth 11 due to poor
marginal fit and discolouration of underlying stump
Fig. 2: Removal of old crown reveals dark tooth substrate
Fig. 3: Sub-opaquing the discoloured stump with opaque resin tints
e.g., Kerr Kolor Plus A1 opaque, GC masking liner, Cosmedent Pink
opaquer
Fig. 4: Final all-ceramic crown
• Porcelain fused to metal (PFM)
crown. A conventional PFM
restoration with a metallic coping
is blocked out with an opaquer
allowing the ceramist to start
the layering on a white canvas.
It should not be forgotten as
a possible option. Clinicians,
however, must remember that the
depth of preparation would need to
be at least 1.5mm with a shouldertype
margin to achieve adequate
thickness for the metal coping and
the overlying feldspathic porcelain.
• Sub-opaquing the stump. The final
technique is to sub-opaque the
stump with an opaque resin tint.
Several manufacturers provide
opaque resin tints that are thin
and possess titanium dioxide,
which effectively scatters light
providing white opacity to block
out discolouration. This opaquer
is like a flowable resin applied
by adhesive bonding and placed
precisely with a thin layer that
extends along the axial wall
extending sub-gingivally when
tissue biotype is thin (Figs. 1-4).
Matching discoloured teeth is
always a challenge; both the
clinician and laboratory team need
to work synergistically to achieve
an ideal outcome. Communication
is paramount to success with
clinicians providing detailed
instruction about the stump colour
as well as allowing sufficient
thickness and understanding the
selection of materials to effectively
block any dark stump colour.
Possessing other strategies such
as the sub-opaquing method may
reduce the difficulty in the shade
matching by having an idealcoloured
substrate and should be
part of your armamentarium in
tackling these tough cases. DA
ABOUT THE AUTHOR
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. He is the
head of the School of Postgraduate
Dentistry, Australasian College of
Dental Practitioners, and a visiting
lecturer for the postgraduate oral
implant diploma and prosthodontic
programmes at the University of
Sydney, and Kings College London, UK.
DENTAL ASIA NOVEMBER/ DECEMBER 2022 39

USER REPORT
GBR around implant
using porcine-derived
carbonate apatite
xenograft to optimise
pink aesthetics
Dr Akshay Kumarswamy elaborates on the use of
RegenerOss resorbable xenograft for guided bone
regeneration (GBR) procedure.
A 40-year-old female presented to us
was unhappy about her longstanding
existing two-unit cantilever bridge
with tooth 25 being the abutment
tooth and tooth 24 as the pontic. She
wished to get rid of the pontic and
hoped for something more aesthetic.
Fig. 1
Fig. 2
After a thorough examination – the
crown on tooth 25 seemed to have
good margins and could be salvaged.
The initial picture (Fig. 1) was taken
after the pontic was cut off from
tooth 25. The pontic had created
an ideal soft tissue profile. A buccal
defect was noted in tooth 24 region.
Implant placement with guided
bone regeneration (GBR) followed
by a screw-retained restoration was
planned at that site.
TREATMENT PLAN
The initial plan consisted of placing
the implant in its most ideal position
Fig. 3 Fig. 4 Fig. 5
Fig. 1: Cantilever pontic cut from parent
prosthesis and soft tissue profile created
by it
Fig. 2: Buccal defect seen – 4.1x10mm
implant placed in ideal position keeping in
mind future screw-retained restoration
Fig. 3: Buccal view of the buccal defect and
thin bone around the implant
Fig. 4: RegenerOss resorbable xenograft
placed at the site
Fig. 5: Membrane cut to desired shape and
placed over the bone graft
40 DENTAL ASIA NOVEMBER / DECEMBER 2022

USER REPORT
Fig. 6a
Fig. 6b
Fig. 7a
Fig. 7b Fig. 8
Fig. 9a
ABOUT THE AUTHOR
Fig. 9b
Figs. 6a-b: Flap mobilised and sutures were
placed with no tension
Fig. 7a-b: Second stage surgery after four
months and placing of healing abutment
to facilitate a screw-retained
restoration. This would also involve
GBR with the help of a xenograft
material (RegenerOss, ZimVie) and a
collagen membrane to ensure that
the lost buccal bone was regenerated.
Since it was a premolar site, a
4.1x10mm implant was planned. The
ideal depth of placement was 3mm
below the buccal CEJ of the adjacent
tooth. This would help in an ideal
emergence profile of the future
restoration.
CONCLUSION
GBR with an implant can have
great results — both functional and
aesthetic. The following points need
to be kept in mind:
• Primary closure of the grafted site
is of prime importance
Fig. 10
Fig. 8: Emergence profile post healing
Figs. 9a-b: Screw retained crown placed
Fig. 10: Final restoration
• Placement of implant in the most
ideal position is paramount to
achieve a good aesthetic and
functional restoration. In case the
bone is absent, it needs to be built
before implant placement.
In the case above, the bone was
adequate enough to facilitate the
placement of an implant with good
primary stability which in turn helped
us to graft the buccal defect at the
same time as implant placement.
The handling properties of
RegenerOss Resorbable Xenograft are
excellent. I hydrate them in normal
saline for about 10 minutes before
placing them in the desired site. I have
had great results when I use them in
GBR procedures. DA
Dr Akshay
Kumarswamy is a
diplomate of the
American Board
of Periodontology
and is board
certified in
periodontics and implant surgery.
He completed his graduation from
the College of Dental Sciences,
Davangere, Karnataka. He pursued
Advanced Education in General
Dentistry (AEGD) from Boston
University Goldman School of Dental
Medicine, US, and completed his
Master of Science in Periodontics
from the University of North
Carolina at Chapel Hill School of
Dentistry, US. Dr Akshay is also
a fellow and diplomate of the
International Congress of Oral
Implantologists (ICOI) and was
awarded the American Academy
of Periodontology Educator
Award in 2016 and the American
Academy of Periodontology (AAP)
Foundation scholarship for the year
2012. Currently, he is a consultant
periodontist and implantologist
at Dr Kumarswamy’s PerioFamily
Advanced Dentistry Clinic in Mumbai,
India.
DENTAL ASIA NOVEMBER/ DECEMBER 2022 41

USER REPORT
Morphologyfocused
direct
composite
restoration
By highlighting the distinct characteristics of a tooth,
clinicians can create natural-looking composite restoration
as Dr Nokame Yoshinori explains.
Dental resin composites (DRCs)
are widely used for restorative and
aesthetic repairs. To achieve clinical
success, the process of adhesion is
crucial. Hence after complete caries
removal, composite restoration
must be done with rubber dam
isolation to prevent contamination
of moisture and saliva.
The key to the aesthetic outcome
of direct molar restorations is the
understanding of the anatomical
characteristics of the teeth and
the techniques used to express
them. Commonly, shade is less
of an issue in direct restoration
of molars, particularly for new
generation composites that can
easily blend naturally with the
tooth.
Therefore, focusing on the
morphological characteristics of
the tooth is more important than
ever in doing direct restoration.
CASE STUDY
The first case is a Class 2 direct
restoration of a first and second
maxillary premolar. Even though they
are the same maxillary premolar,
each has unique characteristics.
For example, the first premolar
has larger crown than the second
premolar, a wider central groove,
and a less developed secondary
ridge. Without understanding these
characteristics, the restoration will
not look as natural as it does in this
case (Figs. 1-2).
The second case is a mandibular first
molar restored by direct restoration
on the same day after debridement
Fig. 1: Pre-treatment condition: The metal inlay of the maxillary second
premolar cuts into the distal side of the first premolar, taking up space
Fig. 2: Postoperative condition: Direct composite restorations captured
the characteristics of each tooth type
42 DENTAL ASIA NOVEMBER / DECEMBER 2022

USER REPORT
of the large cavity underneath the
metal inlay. Partial pulpotomy was
also performed using MTA cement
(Figs. 3-6).
Fig. 3
Fig. 4
At first glance, the restoration appears
to be typical of Class 2. But if you look
carefully, there is a nodule — a rare
mandibular first molar morphology
— on the centro-lateral side. Called
the “sixth cusp” in Japan, the nodule
occurs in 10-20% of mandibular first
molars.
Fig. 5
Fig. 6
When I treated this tooth, I determined
from preoperative observation of
the crown morphology that there
was originally a sixth cusp. This is
because the crown is wider toward the
centro-lingual side, and the centrolingual
occlusal head would have been
abnormally large if I had tried to create
the usual type of crown (Figs. 7-9).
Figs. 7a-c
If the sixth cusp was not restored,
the outcome would probably be
unacceptable. Hence, whether or not
the surgeon knows that a sixth cusp
can exist in this area can make all the
difference in the result.
Fig. 8 Fig. 9
Fig. 3: Pre-treatment condition: The
mandibular first molar with metal inlay
showing marginal leakage. There are no
spontaneous symptoms, but stimulated by
cold stimulator
Fig. 4: The old restoration was removed and
the tooth was isolated with rubber dam.
Large cavity was observed underneath the
metal inlay
Fig. 5: After removing the decay, a part of
the dental pulp was exposed. It was free
of abnormal finding in the preoperative
diagnosis with microscope. It was decided to
perform partial pulpotomy using MTA cement
Fig. 6: Completion of the partial pulpotomy
procedure and the removal of the
remaining infected dentin and beveling.
In this phase, I make the prediction of the
final morphology
Figs. 7a-c: If we simply think of the
mandibular first molars as five cusps and
place them in textbook form, the final
restorations would appear too large as
shown in Figs. 7a-b.
Fig. 8: Post operative condition: As shown
in Fig. 7c, the restoration settled into a
morphologically comfortable arrangement
Fig. 9: Post-treatment one year later
ABOUT THE AUTHOR
Dr Nokame Yoshinori graduated from Nihon University
School of Dentistry in Matsudo, Japan, in 2010. Since 2011,
he has served as the deputy director of Nokame Dental
Clinic. He is board certified by the Japanese Association of
Microscopic Dentistry (JAMD) and The Academy of Clinical
Dentistry.
CONCLUSION
Knowing the textbook morphology
of teeth is important, but merely
memorising them will not
automatically lead to aesthetic
results, as not all teeth have the same
shape. The teacher to learn from is
the natural teeth, and observation
teaches us that there are many
variations. That is the fun of direct
restorations. DA
DENTAL ASIA NOVEMBER/ DECEMBER 2022 43

BEHIND THE SCENES
Attractive and with character
With sophisticated techniques, DT Luís Manuel Rocha Saraiva presents a
step-by-step guide to high-aesthetic zirconia restorations.
This is my protocol about the correct
handling of zirconia materials such as Zolid
HT+ Preshades which can be applied to all
kind of aesthetic restorations starting with
single crowns up to implant-supported full
arch cases.
In this article, I will show how to individualise
and characterise high-aesthetic monolithic
zirconia restorations in a very efficient and
easy way. For this case, I have chosen two
cases. A monolithic tooth-supported fullarch
bridge which is only stained and an
implant-supported bridge with monolithic
teeth and a veneered gingiva (Fig. 1). Both
cases are made using Zolid HT+ Pre-shades.
DIGITAL DESIGN
For the design of the crowns, we usually
follow the digital workflow which is given
by our CAD Software. Because this article
relates more to the manual processing of
zirconia, we will go through it quickly. But
there are some very important rules you
should always consider in your design:
1. Use an Artex articulator before the
digital design for all preparations of the
models and use the digital articulator to
finalise the functional design.
2. Never start the digital workflow
without using an approved wax-up or
test model.
3. Use the approved wax-up or test model
as a pre-op scan (Fig. 2).
4. Always remember the basics of a dental
restoration: we are trying to imitate
nature, so never forget the importance of
shape and anatomy.
5. Always follow the manufacturer’s
instructions and the given indications of
the material.
GREEN STATE CHARACTERISATION
To achieve an optimum aesthetic result,
we need to remember the basics of tooth:
anatomy and shape. In the second phase, it is
necessary to use our knowledge in anatomy
and dental morphology. For this we must
Fig. 1: High-aesthetic zirconia restorations with an individual character
Fig. 2: Pre-op scan
Fig. 3: Working model scan
Fig. 4: Matching process, pre-op scan and working model
Fig. 5: Final CAD design tooth-supported bridge
Fig. 6: Final CAD design implant-supported bridge
44 DENTAL ASIA NOVEMBER / DECEMBER 2022

BEHIND THE SCENES
prepare ourselves accordingly and I would
recommend the following actions:
1. Always use tools that are suitable for
zirconia finishing in the green state. I use
the Amann Girrbach Green State Finishing
Kit, it contains all the tools I need.
2. The speed specifications of the tools
should always be observed.
3. Zirconia in the green state is very
sensitive, never use too high pressure
and/or blunt tools.
4. Always keep in mind that the zirconia
shrinks by almost 20%. Due to that fact,
the surface characterisation should be
a bit deeper, but never make notches in
areas under tensile stress.
5. Use gloves and a mask and work cleanly,
milling dust must be completely removed
before sintering.
We should always should bear in mind that
although we infiltrate the zirconia with
liquids for shading, we still apply stains,
glazes and veneering ceramics later. Of
course, we want to keep the microstructure
even if these ceramic materials are applied.
We should also take this into account in
this phase, too. The microstructure we
create in the green state is later decisively
involved in the aesthetics and the natural
appearance of the restoration.
INFILTRATION
This stage has the least influence on the
final result, but it is the trickiest step. We
must improve the chroma and the effects
of the restoration without a real and
immediate visualisation of the colours we
use. The final colour becomes visible for
the first time after the sintering process.
To achieve aesthetic results, we must
understand the principle of the white and
porous zirconia foundation. I therefore
recommend to people who do not have a
lot of experience with the application of
colouring liquids to always start with tests
on blank leftovers or practice restorations,
to take photos of the last results and to
record everything you do.
If the principle is once understood, the
mental visualisation and implementation
works quite easy. For this process step, I
recommend the following preparation:
1. Prepare all the colours to be used and
follow the instructions for the materials.
2. Clean the zirconia surface with
compressed air, milling dust needs to be
fully removed.
3. Carefully start infiltration with small
brushstrokes and small amounts of liquid.
The zirconia in this stage has a high
absorption behaviour (Fig. 12).
4. Apply the chroma (dentin liquid) to the
intended areas, i.e., approximal, cervical
and occlusal. Due to the use of preshaded
zirconia, the colour only needs to
be reinforced in those areas.
5. Apply the effects e.g., in the incisal area.
SURFACE PREPARATION AND COLOUR
CUSTOMISATION
Figures 13-16 show the results after
sintering. Despite all the work, the excellent
quality of this material is evident. It is
only possible with a material like Zolid
HT+ Preshades to have such results after
sintering and to perceive the excellent
optical behaviour of zirconia. If the
restoration meets all requirements after
sintering, we can concentrate on the most
important aspect, the aesthetics.
In that case, I used the staining system
Ivocolor from Ivoclar Vivadent. This has
two reasons. The first is the wide range of
possible firing cycles, I am able to choose a
temperature between 700-890ºC without
harming its properties. The second reason
is its optical behaviour. This kit has three
unique colours on the market: Ivocolor E22,
Magenta Ivocolor E21 and Neutral Gray
Ivocolor E17. It also has three basic shades
SD0, SD1 and SD2, that form the base of
the chroma that we will need for this type
Figs. 7-8: Initial situation after milling
Fig. 9: Manual re-work of zirconia in the green state
Figs. 10-11: Final restoration after manual re-work, ready for sintering
Fig. 12: Application of the colouring liquid
DENTAL ASIA NOVEMBER/ DECEMBER 2022 45

BEHIND THE SCENES
Figs. 13-16: Final result after the sintering process
Figs. 17-20: First firing, only glaze and some chroma intensification
Figs. 21-22: Second stain firing with predictable results
Figs. 23-24: Applied stains in the monolithic areas and veneered gingiva
before the firing
of work. This system allows users to apply
smaller amounts of material, saving on
costs, reducing time and errors.
FIRST STAIN FIRING
For the first firing, I apply glaze as a base. At
this stage, it is possible to take advantage of
the great margin of fusion that these stains
have and also to apply a little chroma (SD2)
to the body of the teeth and to increase
depth in the approximal spaces (Ivocolor
E11 Mahogany).
The first bake is the most important to
prepare the surface for good aesthetic
results, facilitating the application of the
next layers, but also providing a good base
for the adhesion of the ceramics used.
To achieve high-aesthetic results, a lot of
attention must be paid to the consistency
of the glaze. Apply small amounts of stains
in each application, maintaining a smooth
and uniform colour. It is crucial to be
careful with this detail for every firing. Keep
in mind that in all firings, effects can be
added and chroma can be improved.
SECOND STAIN FIRING
With the next stain firing, we have the
opportunity to work very predictably. The
anatomy, the shape and the function are
done and now we can apply the necessary
colours to make the work look as natural
as possible. One of the great advantages of
using only stains for monolithic restorations
is the possibility of seeing the result of the
firing before going to the furnace.
The colours of the stains stay the same
before and after the firing, so besides
the form, we also achieve predictability
in colours and effects (Figs. 21-22). The
ceramic firing in this stage of the protocol,
we add veneering ceramics to the surface
of zirconia. Again, let’s take the advantage
of all the firings to add more detail so that
we can finish the job as quickly and simply
as possible.
Ideally, we will try to make just one our
two ceramic firings. We apply the ceramic
materials in the desired places and in the
monolithic areas and, of course, we can
also add effects and improve the chroma
with stains. Thus, we reduce the thermal
stress of the zirconia and ceramic, and we
gain time. Remove the zirconia frames from
the furnace when the temperature reaches
250ºC, too high temperatures can lead to
thermal stress and fractures.
FINALISATION
In this case, I will not go into the surface
treatment any further. That would go
beyond the scope here and is also very
individual from technician to technician
and highly dependent on personal taste.
Although I would still like to give a hint.
Zirconia is characterised among other
things by its high biocompatibility, which
demonstrates very good behaviour on the
contact points with the tissue if properly
46 DENTAL ASIA NOVEMBER / DECEMBER 2022

BEHIND THE SCENES
processed. There are already
numerous studies that prove this.
When zirconia is high-gloss polished,
the material shows an extremely
smooth surface. This prevents the
excessive colonisation of bacteria
and significantly improves wearing
comfort for the patient. So, when
finishing the restoration, we have to
make sure that all contact points with
the gingiva are carefully polished.
Figs. 25-26: Applied stains in the monolithic areas and some small cutback for the incisals before firing
In addition, these areas should never
be stained or veneered, as this in
turn could lead to a deterioration
of wearing comfort and to plaque
adhesion. It is also essential to ensure
a clean and gap-free connection
between the titani-m base and
the zirconia frame. A gap can lead
to the colonisation of undesirable
bacteria (Figs. 27-29). For monolithic
zirconia restorations, the polishing
of the occlusal contact points is also
extremely important. Only a highgloss
polished surface prevents
abrasion of the antagonist.
CONCLUSION
With the arrival of CAD/CAM
technologies, the doors for zirconia
were opened. Nowadays, the great
evolution of this material allows us
to obtain highly aesthetic results in a
predictable way, by using only small
cut-backs or even full-contours.
Mechanically, we reduce the
possibility of fractures, and if we apply
this protocol to any ceramic system,
we should have a homogeneous
restoration with predictable results.
I believe that Zolid HT+ Preshade
changed the game in a lasting way.
This article is based on two cases,
where we show a characterisation
with a lot of effort and in the end,
with a high-aesthetic result in a
simple and fast way. This shows that
for daily work it will be even easier to
achieve the desired results. DA
This article was first published in March
2019 issue of “BYT- Another Dental
Magazine” by Amann Girrbach
Figs. 27-29: mechanical polished contact areas
Figs. 30-32: The final result — predictable aesthetics simple and fast
ABOUT THE AUTHOR
DT Luís Manuel Rocha Saraiva
his debut as a speaker at several
graduated from CESPU (Portugal) in conferences and as an instructor
2012 in dental prosthetics field. In of Amann Girrbach. In 2019,
the same year, he began his career at he joined the team of August
a laboratory in Matosinhos for fixed Bruguera in Barcelona, Spain.
denture where he worked with his
In 2020, he became one of the
mentor: Domingos America. Saraiva founders of the ClarityLab, a
also worked as the technical director laboratory and training centre, in
of the Dental Solutions Lab and made Porto, Portugal.
DENTAL ASIA NOVEMBER/ DECEMBER 2022 47

BEHIND THE SCENES
Scanning spray for
digital production
Scantist 3D spray forms a fine, homogeneous matte
coating on shiny, reflective dental objects. At Handrich
Dental Laboratory, this dental spray is used daily.
The Handrich Group, comprising five dental
laboratories and its production centre,
fabricates the entire spectrum of dental
restoration products. Handrich always
embraces the latest technology, so the
production of models is increasingly digital.
In fact, the group has been using digital
technology since the 1990s and was one of
the first laboratories with a 3D scanner.
Today, it has a good dozen scanners from
3Shape, and that number is likely to increase.
Around 80% of dental products are produced
digitally at Handrich. In the field of dental
implants, that figure rises to 95%. Quality
has always come first for Handrich. In 2001,
the company was certified under the Medical
Devices Act, making Handrich a forerunner
in manufacturing following the European
directive on implantable medical devices.
Handrich’s recipe for success involves always
trying out materials as well as testing and
implementing new technologies.
“We are always looking for new ways to
optimise what we do,” said Rolf Ebert,
managing director at Handrich.
That does not only apply to production
technologies and processes. Recently, the
entire company group changed to a new
dental spray for scanning objects.
MARKS AND PUDDLES
In recent years, Handrich has tried many
different scanning sprays. The biggest problem
in the past was that the sprays did not provide
reproducible results.
Uniform application of the spray coating was
seldom achieved, and each spraying process
would lead to a different result. Some sprays
would leave behind marks, while others
formed puddles. The coating was thick and
uneven, which affected the results.
Especially in telescopic technology, for which
every micrometre is vital for the accuracy of
fit, the quality of the scanning spray used can
have a significant impact. With conventional
sprays, a considerable amount of time was
required to obtain reliable data.
PIGMENT DUST SETTLES EVERYWHERE
With many conventional sprays, the objects
have to be cleaned again after the scan. The
spray coating often adheres stubbornly to
the surfaces. Since the pigment dust also
spreads to the surrounding area, the cleaning
process is very time-consuming.
Although the extraction system installed
in Handrich Dental Laboratory was able
to capture most of the pigment dust, the
white dust settled everywhere in the room.
If the dust is not removed, it “bakes” into all
surfaces, including printers, keyboards and
furnishings. The health aspect is also very
concerning. In particular, titanium dioxide,
which most conventional sprays contain, is
said to have carcinogenic effects.
Ebert shared: “With previous sprays, the work
was very complicated and time-consuming.
The captured scan data were not reliable.
There was no repeatability. A colleague told
me about the new dental spray, so I tested
Scantist 3D and was immediately impressed.”
INNOVATIVE DENTAL SPRAY
Scantist 3D dental spray can be applied very
evenly. It forms a fine and homogeneous
layer that offers the best conditions
for scanning. The measurements are
reproducible. The repeat measurements
carried out by Handrich employees
yielded consistent results. After testing it
successfully, all five laboratories are now
using the new spray.
Scantist 3D was developed to make
transparent and reflective parts matte in
a few seconds. It has been on the market
since 2021 and has already become
established in many dental laboratories,
including at Handrich. The spray forms a
thin, homogeneous layer, so the scanners
can capture accurate surface data. The
reliable data quality enables the precise
fabrication of dental restorations. Moreover,
Scantist 3D adheres to all surfaces and is
dry to the touch, making it particularly easy
to use.
Another advantage is that the spray
evaporates by itself, so time-consuming
cleaning is eliminated. An entire work
step is saved. In addition, the fact that the
spray coating completely disappears after
approximately 20 minutes makes the whole
process very hygienic.
“We just feel better working with a spray
that is pigment-free and thus harmless to
health,” explained Ebert. “We’re pleased
that we discovered Scantist 3D, and we
immediately stocked up with a year’s
supply.” DA
48 DENTAL ASIA NOVEMBER / DECEMBER 2022

IN DEPTH WITH
Primescan Connect: Easy scan,
seamless collaboration
Achieve better
diagnostics, treatment
planning, and
accelerated financial
growth all while
improving the patient
experience.
Primescan Connect is Dentsply Sirona’s highperforming
intraoral scanner now available
in a laptop configuration. Clinicians can
enjoy all the benefits of Primescan at a more
accessible price.
Primescan is an intraoral scanner that allows
clinicians to perform high-precision digital
impressions of the patient’s mouth, without
the use of traditional impression material.
With simplified scanning and streamlined
workflows, Primescan Connect is a great
starting point to digital dentistry.
Primescan Connect features:
• Speed: Full arch scan possible in less than
a minute.
• Ease of use: Helps to simplify the scanning
process, so dentists can delegate the
impression taking process to their team
and spend more time with patients.
• Accuracy: Excellent scans no matter which
material or how difficult the area is to
capture.
• Flexibility: Takes up little space and is easy
to integrate into the practice workflows
and set-up.
FREEDOM TO CHOOSE PREFERRED
PARTNER
Connect Case Center, Dentsply Sirona’s
digital ordering system, enables seamless
lab ordering from start to finish. Primescan
Connect is an open scanner, which means
users can send data to any lab of their choice,
and they’ll receive the information exactly in
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• Transfer digital orders to dental labs
within seconds — all compliant to HIPPA
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• No license fees for dentists and their lab
partner
• Validated connectivity with major lab
software: 3Shape, exocad, etc.
• Access to validated workflows from
Dentsply Sirona: SureSmile aligners,
digital implant workflows via Simplant and
Atlantis
WORKFLOWS
From single unit procedures to more
challenging cases, Primescan Connect
provides seamless integration and expansion
into any workflow: restorative, implantology,
orthodontics and sleep appliance treatment. DA
50 DENTAL ASIA NOVEMBER / DECEMBER 2022

IN DEPTH WITH
Implant planning module from
Carestream Dental now accepts
open files from intraoral scanners
Carestream Dental’s Prosthetic-
Driven Implant Planning (PDIP)
module can now accept scans from
intraoral scanners that generates
STL/PLY files, giving clinicians
greater flexibility when planning and
placing implants. The PDIP module
is the implant planning solution
that supports more confident
diagnoses, improves treatment
predictability, reduces the number
of visits and leads to better patient
communication and enhanced
collaboration.
“Opening up the module to accept
STL/PLY files gives practitioners
more options and helps them make
better decisions about optimal
crown and implant position, which
leads to more control over the final
clinical and aesthetic outcomes,”
said Stephane Varlet, global product
line manager for extraoral imaging,
Carestream Dental.
The PDIP module, which is an option
available with CS 3D Imaging, makes
it easy for doctors to ensure implants
are positioned according to the ideal
future restoration by letting them
virtually plan a crown and implant
on the same screen. The module
automatically aligns the STL/PLY
files from an intraoral scanner and
DICOM file from either the CS 8100
3D, CS 8200 3D or CS 9600 CBCT
systems to create a virtual set-up
with little to no manipulation from
the doctor.
Users then add a crown to the
combined scanner/CBCT datasets
and place the implant from a
library featuring more than 90
manufacturers. They can also
add abutments, create their own
implants and manage their own
library. Practitioners can also
generate an implant report to
order the components required
for surgery and to share with their
treatment network.
Because the PDIP module produces
files in an open format, implant
planning output can be easily
exported with a single click into
third-party software including
Swissmeda or BlueSky Bio for the
creation of surgical guides. DA
DENTAL ASIA NOVEMBER/ DECEMBER 2022 51

IN DEPTH WITH
Exceptional performance
in a compact body
3Shape introduces TRIOS 5 Wireless,
a completely new intraoral scanner
designed to make it easier than ever
for dentists to go digital with their
dentistry.
A breakthrough in intraoral scanners, TRIOS
5 Wireless makes scanning smoother and
faster with its all-new ScanAssist intelligent
alignment technology that comes housed
in a redesigned compact and hygienically
optimised scanner — to deliver the highest
standard in imaging performance and
infection control.
With over 50 improvements in ease of use
and design, TRIOS 5 Wireless is 3Shape’s
smallest and lightest scanner to date and
is perfectly balanced to fit comfortably in
clinician’s hand.
TRIOS 5 Wireless delivers an unprecedented
level of scanning simplicity. An LED ring and
haptic sensory feedback guide users while
they scan to make digital impression taking
smoother and faster than ever.
And now with ScanAssist technology, which
minimises misalignment and distortion in 3D
models, users can scan their patients in any
direction they want — just create the scan
path that works best for them.
TRIOS 5 Wireless features, an FDA cleared,
closed autoclavable scanner tip protected
by scratch-free sapphire glass to define a
new level of hygiene. And includes ultrathin,
snug, and near-invisible single-use
sleeves to cover the scanner body and
minimise risk for cross-contamination.
“At 3Shape, we have strived for perfection
through five generations of intraoral
scanner evolution. Using state-of-the-art
scan software and artificial intelligence to
deliver sharper colours, improved accuracy,
and increased efficiency, we believe TRIOS
5 surpasses all expectations. With its
ergonomic and well-balanced look inspired
by classic Danish design, TRIOS 5 Wireless
simply, makes sense,” said Jakob Just-
Bomholt, CEO of 3Shape.
TRIOS 5 digital images are indicated for use
in restorations, orthodontics, implantology,
and assessment of dental status.
Specifications:
• 30% smaller and 20% lighter compared
to TRIOS 4
• ScanAssist provides clinicians with easier
scanning independent of scan strategy
• Improved battery technology, requiring
only one battery per day
• Calibration-free scanner
• LED ring and haptic feedback for better
user guidance
• Two-button design for improved software
navigation and scan analysis
• Autoclavable scan tips providing a
microbial barrier on the scan tip
• Body sleeves to significantly reduce risk
of cross contamination
• Closed tip design to avoid cross
contamination
• Scanner body has been designed for
cleaning and disinfection DA
52 DENTAL ASIA NOVEMBER / DECEMBER 2022

PRODUCT HIGHLIGHTS
GC Asia Dental
Simplifying all cementation
procedures
G-Cem One Paste Pak, the new self-adhesive resin cement
from GC simplifies all cementation procedures. G-Cem One
Paste Pak brings together high bond strength, effortless
clean-up and long-lasting aesthetics as well as an excellent
self-curing ability for a wide range of indications in one
product solution.
TITANUS ® LED
BRILLIANT
PERFORMANCE
A truly universal, non-technique sensitive, versatile and
reliable product, G-Cem One Paste Pak gives the flexibility
of being effective in all cementation procedures for any type
of restorations; from metal-based to resin and all-ceramic
inlays, onlays, crowns, bridges, and posts. It demonstrates
excellent bond strength to enamel, dentin and all indirect
restorations.
In addition, the optional Adhesive Enhancing Primer (AEP)
and its GC Touch Cure feature provides optimal bond
strength in challenging clinical situations, such as low
retentive surfaces.
The chemical initiator in the AEP accelerates the chemical
cure of the cement to ensure optimal bonding. The AEP is
easy to apply; no additional light-curing is needed — apply
and air-dry.
G-Cem One Paste Pak offers clinicians a reduced inventory
with less components for a reproducible workflow. Its
starter kit include G-Cem One Paste Pak A2 or Translucent
(7.6mL), Adhesive Enhancing Primer (2mL) and a mixing pad.
TITANUS ® ELED/SLED ULTRASONIC SCALERS
G-Cem One Paste Pak is simply the one for peace of mind
when it comes to clinicians adhesive requirements. DA
SIMPLIFYING DENTAL MOTION
info@teknedental.com
www.teknedental.com
DENTAL ASIA NOVEMBER/ DECEMBER 2022 53
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PRODUCT HIGHLIGHTS
SprintRay
Best-in-class toughness
SprintRay has launched OnX Tough, a
next-generation hybrid ceramic resin
designed for 3D printing dental prosthetics.
Leveraging SprintRay’s proprietary
NanoFusion technology, this new resin
delivers unparalleled durability and lifelike
translucency for high-quality, same-day
smiles.
“SprintRay was founded on the promise
of building carefully-curated 3D printing
solutions to enable dental providers to
deliver an exceptional patient experience,”
said Amir Mansouri, PhD, CEO and cofounder
of SprintRay. “This breakthrough
OnX Tough material represents a paradigm
shift for chairside dentistry, delivering
customised, beautiful and functional dental
prosthetics while the patient is in the chair.”
The need for dental prosthetics is on the
rise, with the global market projected
to reach US$9.71bn by 2026. In the US
alone, approximately 178 million adults are
missing at least one tooth and 40 million
are edentulous. Conventional methods to
manufacture dental prosthetics involve
sending digital or analogue impressions to a
lab with turnaround times averaging three
to four weeks for some patients. With the
advent of digital dentistry and 3D printing,
first generation 3D printing technologies
have enabled in-office manufacturing of
dental prosthetics, but with significant
limitations.
“When creating OnX Tough, we set out
to design a next generation resin that
addressed a key limitation of 3D printed
prosthetics today — durability and
toughness,” said Sumeet Jain, PhD, vicepresident,
Materials. “To address these
limitations, we developed NanoFusion
technology, a new approach to dental
chemistry. NanoFusion materials have
a novel composition and form dense
polymer chains to deliver dental
prostheses with best-in-class fracture
toughness, five times that of firstgeneration
technology. Furthermore, the
composition brings a perfect combination
of translucency and opacity to mimic that
of natural dentition.” DA
3M Oral Care
Making restorative procedures more affordable for patients, more
predictable for dentists
Today’s dental patients are looking for lessinvasive
options to improve their smile at
a price they can afford. That’s why 3M has
introduced the 3M Filtek Matrix — a new
restorative solution that makes composite
placement less stressful and more
predictable for dentists, while making it
more affordable for their patients.
Dental composites can be a great choice
to restore or improve the aesthetics of a
patient’s smile. However, the traditional
process can be long and complicated.
The Filtek Matrix procedure begins with
a digital restoration design. A patientspecific
matrix is created that helps
the clinician transfer the digital design
to the patient’s teeth using 3M dental
composites.
Unlike more invasive ceramic procedures
which often require the removal of tooth
structure, the Filtek Matrix relies on
additive composite techniques where
little to no tooth reduction is required.
In a clinical evaluation, dentists reported
that using the matrix increased their
confidence, delivered predictable and
aesthetic results, and saved chair time.
“This product brings together leading
material science and digital innovation
to enable clinicians to predictably and
efficiently transform patient smiles,” said
Andrew Milder, global portfolio director,
3M Oral Care. “It is exciting to see the
amazing results that clinicians have
delivered using the Filtek Matrix.”
The Filtek Matrix is the latest innovation
in 3M’s portfolio of restorative solutions.
Clinicians can pair the Filtek Matrix with
3M Filtek Dental Restoratives to deliver
excellent composite strength and wear
resistance for patients. DA
54 DENTAL ASIA NOVEMBER / DECEMBER 2022

PRODUCT HIGHLIGHTS
VOCO
Built to last
VOCO celebrates the 10-year anniversary of GrandioSO — a
universal, light-cured, 89% filled nano-hybrid composite for
anterior and posterior fillings of all classes.
→ DISCOVER PERFECTION
IN PROPHYLAXIS -
THE NEW COMBI touch
Formulated to match toothlike physical properties, GrandioSO
has the modulus of elasticity, thermocycling coefficient,
surface hardness, edge strength and several other properties
that individually and even more so collectively, closely mirror
that of natural dentition.
These unique toothlike qualities makes for long-lasting,
aesthetic and robust restorations. Practitioners for a decade
have enjoyed GrandioSO with its easy, non-stick consistency,
setting a new standard for composite handling and exceptional
aesthetics. It also provides instant and tangible results.
Additionally, its toothlike physical properties and high-fill rate
deliver proven superior quality and enhanced longevity that can
be trusted.
→ ultra-gentle prophylaxis
→ ergonomic handling
→ made in Italy
→ 40 years experience
GrandioSO is indicated for Class I-V restorations, reconstruction
of traumatically damaged anteriors, faceting of discoloured
anterior teeth, correction of shape and shade for improved
aesthetic appearance, locking, splinting of loosened teeth,
repairing veneers, restoration of deciduous teeth, core buildup
under crowns, and composite inlays.
Over the past 10 years, GrandioSO has been at the centre of
clinical successes in millions of restorations worldwide. As a
universal restorative and a perfect workhorse composite for
any practice, it has provided reliable results for practitioners
and patients alike. GrandioSO is one of Voco’s most successful
products; built on high-quality chemistry that provides
reliable, long-term aesthetic restorations.
Specifications:
• 89% fillers by weight: Outstanding wear resistance, and
enhanced colour stability
• 30-50% less resin compared to classic hybrid and pseudo
nano composites: Low shrinkage of only 1.6 vol.%, nonsticky,
prolonged working time under ambient light DA
→ www.mectron.com
DENTAL ASIA NOVEMBER/ DECEMBER 2022 55

PRODUCT HIGHLIGHTS
W&H
More features, more innovation, more capacity
Lara XL steriliser from W&H is now breaking
the ground for even more innovation and
usability. It has been further developed by
providing a larger capacity and even more
useful features. In addition, the advanced
technology is geared to adapt to future
developments and ensure comprehensive
connectivity as well as upgradeability.
The patented Eco Dry+ technology
automatically adjusts drying times to the
mass of the load, thus reducing cycle times
and optimising energy consumption. A green
solution for sterilisation processes, that as
a side effect also extends the service life of
instruments by keeping heat exposure to a
necessary minimum.
In addition, Lara XL features a chamber
size of 28 litres. The higher volume allows
for up to 7kg of wrapped instruments to
be reprocessed in one go. A unique and
extremely flexible rack system with six large
trays makes clever use of the increased
capacity.
Based on a sophisticated and futureoriented
technical concept, Lara XL can be
easily connected to other devices in order
to simplify handling, documentation and
reporting. Innovations such as the ioDent
system or the W&H Steri App are forwardlooking
ways of integrating practical digital
tools into the workflow.
Moreover, Lara XL can be upgraded with two
W&H Activation Codes: EliTrace and Fast
Cycle. Traceability is a key feature for making
workflows efficient, safe, and transparent.
With its advanced documentation system,
EliTrace offers traceability down to the
single instrument. A barcode labels each
pouch and informs on when its content has
been successfully sterilised. Fast Cycle is an
additional function that allows sterilisation of
unwrapped items in just 20 minutes.
Intelligent menu structures enable intuitive
navigation through all functions of the Lara
XL steriliser. A wide range of options can
be operated via the colour touch display.
Manual filling of the water tank is facilitated
by an integrated funnel. Connection to a
demineralisation system is also possible,
which automates filling and draining. DA
Tekne Dental
Achieve high precision and scaling efficiency
TITANUS ELED and TITANUS SLED
ultrasonic scalers are Tekne Dental’s new
piezoelectric ultrasonic scalers, equipped
with integrated LED light that ensures
natural bright light on the operating area.
The core of the scaler — its titanium
transducer — has been further improved to
get higher efficiency and reliability.
The scaler comes complete with three
inserts for general scaling and the handy
DYNO dynamometric wrench, useful for
precisely screwing the insert onto the
scaler and safeguarding the transducer
thread.
The ultrasonic inserts feature high precision,
high scaling efficiency and smooth surface,
thanks to their special polishing process.
The scaler, inserts and wrench can be fully
sterilised in autoclave and thermodisinfected.
The scaler kit comprises the USC60
ultrasounds generator which delivers gentle
yet powerful sinusoidal output signal and
combined with the linear oscillating action,
allows to achieve high precision and patient
comfort.
The generator produces optimum power
control for all applications: endodontics,
periodontics, scaling, restorative. DA
56 DENTAL ASIA NOVEMBER / DECEMBER 2022

PRODUCT HIGHLIGHTS
Kulzer
More gain, less pain
One for
All Ceramics
and More
Introduced by Kulzer, Gluma desensitiser is indicated for the
reduction or elimination of pain in exposed cervical areas that
do not require restoration and the reduction or elimination of
dentin sensitivity after preparation of teeth to receive a fixed
prosthesis.
One drop of Gluma desensitiser has been sufficient to reduce
and prevent hypersensitivity. The results are quick and effective,
without mixing, curing or multiple applications and patients feel
immediate relief.
Proven efficacy in over 50 million restorations, it can be used
with all common adhesives and restoration materials in every
treatment situation.
Moreover, Gluma is the only desensitiser that has been proven
to penetrate exposed dentinal tubules up to 200μm 1 . This leads
to the formation of multi-layered protein walls which prevent
an osmotic fluid exchange with the internal tubules.
It also forms a hermetic seal which traps the bacteria and
prevents bacterial growth 2 while reorganising collapsed
collagen fibres, improving the bond strength of several
adhesives.
Part of the Mitsui Chemicals Group, Kulzer has been a reliable
partner for all dental professionals for more than 80 years.
Whether analogue or digital dentistry, aesthetic or tooth
preservation, prosthetics or periodontology — as a polymer
specialist and digital solution provider, Kulzer stands for
trusted and innovative dental solutions. DA
1
Schüpbach P, Lutz F, Finger WJ: Closing of dentinal tubules by GLUMA
desensitizer. Eur J Oral Sci, 1997, 105 (5Pt): 414-21
2
Felton D, Bergenholtz G, Cox CF: Inhibition of bacterial growth under
composite restorations following GLUMA pretreatment. J Dent Res,
1989, 68: 491-5
VITA LUMEX® AC
• For all frameworks
made out of ceramic and titanium
• For all techniques
from micro veneering to refractory veneers
• For all precise effects
stable in layering and firing
Find out more here:
www.vita-zahnfabrik.com/LUMEX_AC
DENTAL ASIA NOVEMBER/ DECEMBER 2022 57
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PRODUCT HIGHLIGHTS
Morita
Unsurpassed image clarity
3D Accuitomo 170 is Morita’s most
advanced CBCT unit. Highly refined, it is
the fourth generation of the Accuitomo
product line. It offers a voxel size of just
80µm and displays even the most subtle
details of bone structure.
This super-fine voxel combined with the
unit’s 14-bit grayscale capability creates a
wide dynamic range which produces many
grayscale values for visualising both hard
and soft tissue areas with a subtle spread of
contrast.
It enables a comprehensive examination for
diagnosing apical lesions, fractures, cysts,
tumours, TMJ problems, caries, and allows
for treatment planning for implants and
much more.
The 3D Accuitomo 170 offers unsurpassed
image clarity. With nine fields of view
and multiple acquisition modes, the
3D Accuitomo 170 can meet clinicians’
diagnostic needs with unparalleled quality.
Additionally, it is equipped with four imaging
modes that allow flexibility when scanning
patients with a variety of diagnostic needs
and clinical indications. Clinicians can
choose High Resolution and High Fidelity
modes for the best quality images, or High
Speed for patients that have difficulty
remaining still.
3D Accuitomo 170 comes with two PCs (i-Dixel
software pre-installed with VolR, Curved MPR,
One Data Viewer Plus and One Volume Viewer
functions) and one monitor. DA
COLTENE
Precise impression of details
With the Affinis product family from
COLTENE, clinicians will be well prepared
for any patient situation, no matter
how complicated. This reliable, precise
impression material is characterised not only
by its speed but also by its flowability and,
where necessary, by the required stability.
With the aid of its highly active surfactant
system and the resulting surface affinity,
Affinis captures even the smallest detail
under the most difficult conditions.
Even in a moist environment, it exhibits
outstanding flow behaviour.
Affinis impression material has become an
indispensable material in my daily dental
routine due to its good processing, high
precision and good patient compliance,”
shared Dr Sylvia Rahm (Germany).
Prof Dr Salomão Rocha (Portugal) added:
“The combination of heavy body and light
body provides an impression with excellent
detail reproduction. Even in situations
where it is difficult to control moisture.
The fast version is characterised by a short
working time and high impression quality,
and is therefore very comfortable for the
patient and effective for the dentist. To
prevent cross-infection, the option to
autoclave the impression when taken with a
heat resistant tray is definitely a plus.” DA
The impressive flowability and self-levelling
of Affinis wash materials not only lead to
highly precise capture of details, but also
avoid air voids, flashes and imperfections.
“The reproducibility of work steps creates
safety, speed and reliability. COLTENE’s
58 DENTAL ASIA NOVEMBER / DECEMBER 2022

PRODUCT HIGHLIGHTS
Dr Wolff
Mouthwash to protect teeth, prevent tooth sensitivity, gum problems and bad breath
Dr Wolff’s Bioniq Repair Tooth-Milk has
all the characteristics of a conventional
mouthwash with the added benefits of
hydroxyapatite.
It has long-lasting antibacterial effect, cleans
the entire oral cavity, protects against bad
breath and gum problems, and prevents
cavities and tartar. With its artificial enamel
(hydroxyapatite) with valuable calcium, it
also protects natural enamel from wear.
Given its high degree of similarity to the
natural enamel structure, the artificial
enamel attaches to the surface of teeth
and seals microscopically small defects. A
protective layer is formed.
Thanks to its slightly gel-like consistency,
it sticks to the enamel very well and makes
the surface so smooth that it is extremely
hard for bacteria and stains build-up. This
can make the teeth appear whiter.
The Tooth-Milk contains two active
ingredients that protect healthy gums
against inflammation:
• Lactoferrin is a natural antimicrobial active
ingredient which is also present in saliva.
It removes the iron (lat. ferrum) which is
necessary for bacteria to survive.
• Hyaluronic acid supports the healthy moist
environment of the oral cavity. Medical
research has shown that human saliva is an
important barrier against bacteria. DA
DENTAL ASIA NOVEMBER/ DECEMBER 2022 59

SHOW PREVIEW
CDS 2022 and 24th CSA
Annual Congress: The return
of much-awaited dental
events in China
Together with the 24th China Stomatological Association Annual Congress,
China Dental Show 2022 will be held from 9-11 Dec 2022 in Suzhou, Jiangsu.
Held along with the China Stomatological
Association (CSA) Annual Meeting, China Dental
Show (CDS) is a leading trade show which
covers brand and product promotion, continuing
education, trade negotiation and equipment
procurement.
This year, they open the door in Suzhou, Jiangsu,
to the largest number of dentists from private
and public hospitals as well as clinics and
distributors in the Yangtze River Delta and China
overall, showcasing products and services from
the entire value chain of the dental field.
Through the CDS, new products and
technologies are presented by over 500
companies including leading international and
local brands to tens of thousands of industry
professionals who are there to learn, trade and
network at one of the most important dental
events of the year in China.
CDS has an exhibition area of more than 60,000
sqm. Exhibiting brands come from over 30
countries and regions, including China, Singapore,
Malaysia, Germany, the US, France, Italy, South
Korea, Japan, Switzerland, Finland, Denmark,
Israel, Brazil, Hong Kong, Taiwan and much more.
Every year, the Japan Dental Trade Association
(JDTA), Seoul Dental Association and Trade
Development Authority of Pakistan (TDAP)
send official delegates to CDS. They also obtain
strong support from USDOC/SIMAP/MEPRC
and so on.
Moreover, the CSA Annual Meeting, hosted
by CSA and undertaken by Reed Sinopharm
Exhibitions, is held at the same time as CDS
as usual in Suzhou this year. CSA altogether
held 400 academic seminar sessions,
operation and demonstration shows and
prize competitions. More than 350 leading
international and domestic experts attended
its Annual Meeting.
It is no surprise that CDS is witnessing
exponentially growing demands for exhibition
space in Suzhou Jinji Lake International
Convention Centre this year, which is equipped
with all the latest high-tech amenities to
facilitate a global dental show. The venue is
also planned in the most ergonomic fashion,
allowing exhibitors and visitors within the
same product portfolio to interact on the
same floor, thus obtaining great results within
the limited time. DA
60 DENTAL ASIA NOVEMBER / DECEMBER 2022

exocad Insights 2022:
A highly anticipated digital
dentistry event
Around 700 participants from more than 45 countries attended the full,
two-day programme.
Tillmann Steinbrecher, CEO of exocad
exocad, an Align Technology company
and dental CAD/CAM software provider,
successfully concluded Insights 2022, the third
edition of its global digital dentistry event, under
the motto “Learn. Connect. Enjoy.” The biennial
meeting took place on 3-4 Oct 2022 in Palma
de Mallorca, Spain.
“Insights 2022 truly exceeded our expectations,”
said Tillmann Steinbrecher, CEO of exocad.
“International speakers and attendees from
around the world joined us to explore the future
of digital dentistry together and share best
practices.”
Dentists, dental technicians and industry
partners from more than 45 countries attended
the educational CAD/CAM event. The full,
two-day programme included informative
presentations from top industry experts and indepth
learning sessions run by exocad software
experts for both clinical and lab communities.
Insights industry partners offered sessions as
well, rounding out the diverse agenda of tips,
tricks, and deep learning opportunities.
“ exocad is our collaboration
partner on the CAD
software. Amann Girrbach
is still the largest distributor
of exocad software
worldwide, even though
we have our own branded
version. We’re very happy
with our collaboration with
exocad. We can provide our
input, and this flows into
product development. So
that’s really helpful.”
Stephan Domschke,
director of Global Training and
Education, Amann Girrbach.
DENTAL ASIA NOVEMBER/ DECEMBER 2022 61

SHOW REVIEW
Novica Savic, CCO of exocad
“This event provided us all with a muchneeded
opportunity to connect face-toface,”
said Novica Savic, CCO of exocad.
“Being in one location for two days of
high-quality networking, learning and
hands-on demonstration provided us
all with great inspiration for the digital
dentistry era we are in.”
New Rijeka 3.1 release series and
exocad software sessions
At Insights 2022, exocad’s software
solutions DentalCAD, ChairsideCAD and
exoplan, and the new Rijeka 3.1 release
series took centre stage.
MDT Michael Kohnen, head of Global
Application Support and Education
at exocad, presented the 45 new
and over 85 enhanced features for
DentalCAD 3.1 Rijeka and provided
a first look at the Rijeka 3.1 version
of exoplan, exocad’s open implant
planning software. In dedicated
software sessions, users were guided
through new software features and
demonstrated how to reap the full
benefits of seamless digital workflows
using exocad software.
International top speakers
Dental industry trailblazers ran
presentations on how to use digital
tools to achieve better aesthetic
treatment results for patients and to
work even more productively.
The speaker lineup covered all points
along the treatment spectrum. Dentist
and dental technician speaker duo,
Prof Dr Guilherme Saavedra from Brazil
and Spain’s MDT Waldo Zarco Nosti
addressed the question of how digital
dentistry works, from virtual planning
to finished high-quality prosthetics.
US-based restorative dentist Dr Lori
Trost inspired participants on the topic
of dentures and presented her digital
treatment concept. UK lab owner CDT
Steven Campbell discussed how digital
workflows can help address looming
staff shortages for clinics and labs.
MDT Sascha Hein from Germany
offered valuable tips on how to reliably
determine the correct tooth shade for
aesthetically high-quality restorations in
the digital age.
“Dentist-lab synergy in the digital
era” was the focus of Smile Design
founder, Dr Christian Coachman,
from Brazil. His lecture provided
dentists and dental technicians
with inspiration on ways to produce
predictable high-quality aesthetic
restorations. UK’s Dr Gulshan Murgai
presented his digital workflow based
on a patient case with a focus on
implant planning with exoplan. He
discussed the planning of singletooth
implants, also with immediate
restoration, and the restoration of
edentulous jaws. Dr Diana Tadros
from the US discussed aesthetics in
her clinical session, explaining her
digital treatment concept and how
exocad’s Smile Creator can be used in
the patient journey to highly aesthetic
restorations.
Partner exhibition, partner sessions
and software integrations
More than 50 of the top companies in
dental materials, equipment and CAD/
CAM presented their latest innovations
as part of the Insights partner
exhibition. The Insights Diamond,
Platinum and Gold partners ran a total
of 14 special sessions to introduce
attendees to their products and shared
Press conference at exocad Insights
Dr Lori Trost on stage
62 DENTAL ASIA NOVEMBER / DECEMBER 2022

SHOW REVIEW
valuable ideas for the application
of exocad software solutions in
connection with digital hardware.
Three new DentalCAD Rijeka 3.1
features and modules were launched.
iTero NIRI technology and intraoral
camera images are now automatically
imported when designing restorations,
enabling technicians to visualise the
internal and external tooth structure
and optimise the process of margin
line tracing. The new xSnap module
is a model attachment for a printable
3D articulated system featuring a
spherical head, which allows a precisely
executed protrusion, laterotrusion and
mediotrusion. And Ivoclar’s Ivotion
Denture System, a complete workflow
for the digital production of high-quality,
removable dentures is now available in
exocad.
Growth to meet demand
To provide space for its growing
workforce, exocad announced it will
open a new high-tech headquarters
in Darmstadt, Germany, this
November. exocad also opened a new
headquarters in South Korea this past
May. With the relocation of exocad’s
Asia headquarters, the company said
it aims to be closer to its resellers and
users from South Korea and to provide
even more comprehensive services to
customers in Asia.
Community, collection, and
connection
Insights 2022 provided a welcome
opportunity to network in person with
exocad experts, strategic partners
and resellers. Following a rigorous
educational agenda, attendees had
the opportunity to unwind at the end
of day one with an evening dinner and
live music. exocad once again offered
attendees the chance to participate in
a charity drive by selling T-shirts. The
“We became partners with
exocad when we launched the
Freedom dental lab scanner.
The team is very friendly. This is
the third time we’ve participated
in exocad Insights and many
visitors of the show are
interested in our products.”
Esther Son,
marketing manager, DOF
collected funds go toward supporting a
dental non-profit organisation.
The future is digital
At the press briefing, speakers agreed
that open software architecture is a key
to creating a comprehensive future in
digital dentistry. Insights partners also
reflected on the general direction of the
dental industry saying that all processes
are moving toward digital. They advised
labs and dentists to embrace this digital
transition and to discover what tools are
available to help them reach the ultimate
goal: better patient care. DA
DENTAL ASIA NOVEMBER/ DECEMBER 2022 63

SHOW REVIEW
IDEM 2022 celebrates
another great
milestone achieved
The in-person event exceeded expectations by over 30% and welcomed
6530 attendees, and marked a record number of represented countries.
The 12th edition of the International Dental
Exhibition and Meeting (IDEM), held from 7-9
Oct, has successfully concluded. Co-organised
by Koelnmesse and the Singapore Dental
Association, the first physical IDEM after the
pandemic hosted 6530 attendees from 67
countries, exceeding the record number of
attendee countries.
This edition featured a total of 46 scientific
conference sessions and workshops, covering
on the latest trends and innovations curated
for the dental community. The exhibition floor
hosted nine national pavilions and a total of
540 exhibiting brands from 37 countries of
which 90% were returning exhibitors and 10%
were exhibiting for the first time.
“Words cannot fully express my heartfelt
gratitude to our sponsors, speakers,
exhibitors, and delegates,” said Mathias
Kuepper, managing director of Koelnmesse.
“This year, IDEM welcomed a strong number
of quality dental traders and distributors
from the region. In addition to the elevated
interaction from an in-person setting, the
number of quality leads that our exhibitors
have secured is also testament to the
success of IDEM 2022. With the support
of our stakeholders, we continue to strive
towards excellence at the next IDEM event.”
Zaamigo, one of the exhibitors, took this
chance to showcase their latest dental camera
to the attendees of IDEM 2022. The sleek
and waterproof design of the dental camera
allows users to understand the situation of
their dental health at a glance with Zaamigo’s
mobile application. The smart analytics are
the results of annotating thousands of images
together with dentists, allowing users to
understand their teeth brushing and flossing
patterns and keep their teeth in pristine
condition all the time.
Keni Kubo, country manager of Envista
Holdings, shared: “Nothing compares to inperson
conversations with like-minded dental
professionals and the brightest minds in the
industry. IDEM 2022 in person gave Envista
the opportunity to showcase and share about
our new products to the fullest, meet old and
64 DENTAL ASIA NOVEMBER / DECEMBER 2022

SHOW REVIEW
new connections, and explore new business
opportunities. We look forward to the next
IDEM edition in 2024.”
Adrian Tan, dentist of Dent1st Limited from
New Zealand, added: “IDEM 2022 was an
opportunity for us to conveniently meet
all the major manufacturers and suppliers
in the world in one place. The scientific
conference was led by quality speakers who
presented niche and relevant topics that
practitioners can immediately apply as well.”
Dr Jerry Lim, one of the speakers at IDEM
2022, conducted a conference on the topic:
Comprehensive Aesthetic Rehabilitation:
A Multidisciplinary Approach to a Complex
Problem. More than 750 delegates attended
the session to learn about the process of
treatment planning for complex aesthetics
rehabilitation. The conference aimed to
expose participants to digital smile design
and neuromuscular occlusion concepts
and to appreciate digital integration in
comprehensive aesthetic rehabilitation.
The digital community platform, IDEM360+,
specially created to supplement the
in-person event, recorded close to 4500
of new connections made. Exclusively
made available for attendees to explore
in-app business matching and networking
opportunities, and build wider customers
and partners database beyond the physical
conference. Of the new users onboarded,
half of these users connected with a fellow
delegate, speaker, or exhibitor, and about
40% engaged in online discussions via the
IDEM360+ app.
The platform continues to run post-show, with
32 of the scientific conferences made available
on-demand from 17 Oct–17 Nov 2022.
“IDEM continues to propel and invigorate
the dental industry with not only the inperson
event but also the IDEM360+ mobile
application which continues to run after
today,” said Prof Patrick Tseng, scientific
chairperson of IDEM 2022. “Continued
learning is key for our industry, and we look
forward to the next edition of IDEM as we
aim to reach a wider audience and create a
more insightful event for our participants.”
The next edition of IDEM will take place
on 19-21 Apr 2024 at Marina Bay Sands
Singapore. Attendees will be able to look
forward to the latest developments in
dental research and practice with more
intensive educational sessions, interactive
presentations, engaging meetings, and the
latest advancements in dentistry. DA
““IDEM 2022 was an
opportunity for us to
conveniently meet all
the major manufacturers
and suppliers in the
world in one place. The
scientific conference was
led by quality speakers
who presented niche
and relevant topics
that practitioners can
immediately apply as well.”
Adrian Tan,
dentist of Dent1st Limited
from New Zealand
DENTAL ASIA NOVEMBER/ DECEMBER 2022 65

EVENTS CALENDAR
NOVEMBER
2 – 4 Phar-med Cambodia 2022
Phnom Penh, Cambodia
Venue: DIECC (KohPich)
25 – 30 Greater New York Dental Meeting 2022
DECEMBER
New York City, US
Venue: Jacob K. Javits Convention Center
1 – 3 The International Vietnam Dental Equipment and
Materials Exhibition
Hanoi City, Vietnam
Venue: ICE – 91 Tran Hung Dao Str., Dist Hoan Kiem
2 – 4 Hong Kong International Dental Expo and
Symposium
Hong Kong
Venue: Hong Kong Convention and Exhibition Centre
6 – 8 The 3rd Taiwan International Orthodontic Forum
Taipei, Taiwan
Venue: Taipei Nangang Exhibition Center
9 – 11 China Dental Show 2022 and
24th CSA Annual Congress
Suzhou, Jiangsu
Venue: Suzhou Jinji Lake International Convention Centre
12 – 13 Advanced Asian Dental Summit
Manila, Philippines
Venue: Philippine International Convention Center
2023
JANUARY
20 – 21 ITI Congress Switzerland
Engelberg, Switzerland
Venue: Kursaal Engelberg
26 – 28 Barcelona Dental Show 2023
FEBRUARY
Barcelona, Spain
Venue: Centro de Convenciones Internacional Barcelona
7 – 9 AEEDC Dubai 2023
Dubai, United Arab Emirates
Venue: Dubai World Trade Centre
17 – 19 Association of Orthodontists (Singapore)
Congress 2023
Singapore
Venue: Marina Bay Sands
23 – 26 Dental South China 2023
MARCH
Guangzhou, China
Venue: China Import and Export Fair Pazhou Complex
14 – 18 International Dental Show 2023
Cologne, Germany
Venue: Cologne Fair Grounds
14 – 17 DenTech China 2022
Shanghai, China
Venue: National Exhibition and Convention Center
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.
DENTAL ASIA NOVEMBER / DECEMBER 2022 67

ADVERTISERS’ INDEX
COMPANY
PAGE
3Shape A/S 9
Align Technology Inc.
OBC
Anthogyr France 13
Association of Orthodontists (Singapore)
Congress 2023
IFC
Carestream Dental 5
COLTENE 33
Dental Asia House Ad 68
Dental South China 2023 66
exocad GmbH 3
International Osteology Symposium 2023 23
Mectron S.p.A. 7, 55
Medical Protection Society Limited (MPS) 1
Rolence Enterprise Inc. 59
Shofu Inc. 11
Tekne Dental 53
For information, visit us at www.dentalasia.net or
contact us at sales@pabloasia.com
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prior permission in writing from the Publisher and copyright owner. Whilst every care is taken to ensure accuracy of the information in this publication, the Publisher accepts no
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68 DENTAL ASIA NOVEMBER / DECEMBER 2022

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