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Dental Asia November/December 2022

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

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

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www.dentalasia.net<br />

NOVEMBER / DECEMBER <strong>2022</strong><br />

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

Advancing osseous surgery<br />

Clinical Feature:<br />

Augmented aesthetics in direct<br />

composite layering<br />

Behind the Scenes:<br />

Attractive and with character


ANCHORING THE PRESENT,<br />

ALIGNING FOR THE FUTURE<br />

17-19 FEBRUARY 2023<br />

Marina Bay Sands, Singapore<br />

www.aoscongress.com<br />

EARLY BIRD EXPIRES ON<br />

30 NOVEMBER <strong>2022</strong>!<br />

SCAN TO<br />

REGISTER<br />

Organised By:<br />

Held In:<br />

Supported By:<br />

Managed By:


Being 100% member owned means we put you first. We’re always working<br />

to enhance your support – protecting you for life, not for profit.<br />

• A wide range of protection beyond claims<br />

• Advice for any eventuality your career may face<br />

• Fast to respond to unexpected situations<br />

• Support today, tomorrow and yesterday<br />

Always there for you<br />

dentalprotection.org<br />

<strong>Dental</strong> Protection Limited is registered in England (No. 2374160) and is a wholly owned subsidiary of The Medical Protection Society Limited (“MPS”) which is registered in England (No. 00036142).<br />

Both companies use ‘<strong>Dental</strong> Protection’ as a trading name and have their registered office at Level 19, The Shard, 32 London Bridge Street, London, SE1 9SG. <strong>Dental</strong> Protection Limited serves and<br />

supports the dental members of MPS with access to the full range of benefits of membership, which are all discretionary, and set out in MPS’s Memorandum and Articles of Association. MPS is not<br />

an insurance company. <strong>Dental</strong> Protection® is a registered trademark of MPS.<br />

2207044050 07/22


TRENDS<br />

14 Top seven trends outlining the market growth of<br />

dental practice management software<br />

UNDER THE SPOTLIGHT<br />

16 Encouraging, challenging and celebrating oral tissue<br />

regeneration<br />

18 Father and daughter, mentor and trainee —<br />

two generations of dental expertise<br />

20 Strength in unity<br />

14<br />

DENTAL PROFILE<br />

24 Advancing osseous surgery<br />

26 VITA Zahnfabrik: Quality that exceeds the norm<br />

CLINICAL FEATURE<br />

28 Augmented aesthetics in direct composite layering<br />

34 Elevate patient experience with proactive dentistry<br />

USER REPORT<br />

38 All-ceramic restoration on discoloured teeth<br />

40 GBR around implant using porcine-derived carbonate<br />

apatite xenograft to optimise pink aesthetics<br />

42 Morphology-focused direct composite restoration<br />

BEHIND THE SCENES<br />

44 Attractive and with character<br />

48 Scanning spray for digital production<br />

18<br />

26<br />

38<br />

IN DEPTH WITH<br />

50 Primescan Connect: Easy scan, seamless collaboration<br />

51 Implant planning module from Carestream <strong>Dental</strong><br />

now accepts open files from intraoral scanners<br />

52 Exceptional performance in a compact body<br />

CONTENTS<br />

SHOW PREVIEW<br />

60 CDS <strong>2022</strong> and 24th CSA Annual Congress: The return<br />

of much-awaited dental events in China<br />

SHOW REVIEW<br />

61 exocad Insights <strong>2022</strong>: A highly anticipated digital<br />

dentistry event<br />

64 IDEM <strong>2022</strong> celebrates another great milestone<br />

achieved<br />

REGULARS<br />

4 Editor’s note<br />

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

53 Product Highlights<br />

67 Events Calendar<br />

68 Advertisers’ Index<br />

61<br />

64<br />

2<br />

DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


STAY AHEAD<br />

OF THE GAME.<br />

+45<br />

NEW FEATURES<br />

<strong>Dental</strong>CAD 3.1 Rijeka<br />

More than 45 new and over 85 enhanced features level up your journey to beautiful results. Faster<br />

design of single-unit restorations, reuse of custom tooth setups, highly automated pre-op workflows,<br />

a more intuitive Model Creator and more flexible denture design awaits you in <strong>Dental</strong>CAD 3.1 Rijeka.<br />

Contact your reseller to upgrade.<br />

Imagine the CADABILITIES


EDITOR’S NOTE<br />

Save the best<br />

for last<br />

The success of the recently concluded<br />

International <strong>Dental</strong> Exhibition and Meeting<br />

(IDEM) signals that the dental field is on<br />

its way to pre-pandemic normalcy (p.64).<br />

Our team is ecstatic to be part of this event<br />

and interact with exhibitors from different<br />

parts of the world showcasing their<br />

product portfolios.<br />

It was a great and truly memorable<br />

experience to meet colleagues in person<br />

after a long time. In fact, we had an<br />

opportunity to speak with Kelvin Liang,<br />

sales area manager of Mectron in APAC,<br />

to discuss their latest product launches<br />

and strategies specific to the APAC<br />

market as what he described as “very<br />

versatile” (p.24).<br />

We also met Emiliano Bini, regional<br />

business manager of VITA, Australasia,<br />

to learn more about how VITA Zahnfabrik<br />

remained at the forefront of progress for<br />

laboratory and practice since 1924, and<br />

what more can the dental professionals<br />

anticipate from the company in the next<br />

five to 10 years (p.26).<br />

And, of course, we did not miss the<br />

opportunity to meet Dr Lawrence Yong,<br />

president of the Singapore <strong>Dental</strong><br />

Association, to ask about his takeaways<br />

from the pandemic, his thoughts on today’s<br />

dental landscape, and what he thinks the<br />

future holds for the industry (p.20).<br />

Moreover, we witnessed the latest<br />

innovations launched at IDEM — such<br />

as the TRIOS 5 intraoral scanner from<br />

3Shape, featuring a compact body<br />

redesigned for ergonomics, effortless<br />

scanning, and improved hygiene (p.52); as<br />

well as dental scanning spray for digital<br />

production from Scantist 3D that forms a<br />

fine, homogeneous matte coating on shiny,<br />

reflective dental objects (p.48).<br />

Though the road to recovery was bumpy,<br />

the industry embodied resilience and<br />

proved its commitment to uplifting patient<br />

experience. Indeed, dental professionals<br />

can look forward to faster, more efficient<br />

workflows in the future that will redefine the<br />

standard of today’s dental care.<br />

LET’S CONNECT!<br />

Czarmaine Masigla<br />

Assistant Editor<br />

@dentalasia<br />

PABLO SINGAPORE<br />

Publisher<br />

Assistant Editor<br />

Graphic Designer<br />

Circulation Manager<br />

Media Representative<br />

PABLO BEIJING<br />

General Manager<br />

PABLO SHANGHAI<br />

Senior Editor<br />

Cover credit<br />

William Pang<br />

williampang@pabloasia.com<br />

Czarmaine Masigla<br />

czarmaine@pabloasia.com<br />

Cayla Ong<br />

cayla@pabloasia.com<br />

Shu Ai Ling<br />

circulation@pabloasia.com<br />

Jamie Tan<br />

jamietan@pabloasia.com<br />

Ellen Gao<br />

pablobeijing@163.com<br />

Daisy Wang<br />

pabloshanghai@163.net<br />

Amann Girrbach<br />

HEAD OFFICE<br />

PABLO PUBLISHING &<br />

EXHIBITION PTE LTD<br />

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

Link@AMK, Singapore 569139<br />

Tel: (65) 62665512<br />

Email: info@pabloasia.com<br />

Website: www.dentalasia.net<br />

Company Registration No.: 200001473N<br />

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

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

REGIONAL OFFICES<br />

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PABLO SHANGHAI<br />

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Email: pabloshanghai@163.net<br />

ADVISORY BOARD<br />

Dr William Cheung<br />

Dr Choo Teck Chuan<br />

Dr Chung Kong Mun<br />

Dr George Freedman<br />

Dr Fay Goldstep<br />

Dr Clarence Tam<br />

Prof Nigel M. King<br />

Dr Anand Narvekar<br />

Dr Kevin Ng<br />

Dr William O’Reilly<br />

Dr Wong Li Beng<br />

Dr Adrian U J Yap<br />

Dr Christopher Ho<br />

Dr How Kim Chuan<br />

Dr Derek Mahony<br />

Prof Alex Mersel


DENTAL UPDATES<br />

New sustainable company headquarters for Amann Girrbach in Mäder, Austria<br />

With its new, sustainability-oriented building,<br />

which is to be constructed in just 15 months,<br />

Amann Girrbach will be consolidating its sites<br />

in Vorarlberg, Austria. All 350 employees<br />

will be located in Mäder in the future, and<br />

a further increase in personnel is planned<br />

medium term. The intention of the new<br />

building is to create a working environment<br />

with added value for all employees and, at the<br />

same time, to optimise all procedures and<br />

processes. The investment costs amount to<br />

€47m.<br />

The new company headquarters in Mäder<br />

are scheduled to be ready for occupancy at<br />

the end of 2023. All Austrian facilities, from<br />

manufacturing and warehousing to research<br />

and development, administration and training,<br />

will in future be located in the premises and<br />

halls, covering a total of around 20,000sqm.<br />

“With the new building in Mäder, we will be<br />

implementing our own high standards when<br />

it comes to creating an atmosphere for<br />

our employees in which everyone can feel<br />

comfortable and work productively. We are<br />

pleased that in future we will be able to offer<br />

a canteen as well as various recreational<br />

lounges and green areas that meet the most<br />

up-to-date and well-thought-out requirements,”<br />

said Dr Wolfgang Reim, CEO of Amann<br />

Girrbach, underlining the company’s intention.<br />

The rapid growth of Amann Girrbach has also<br />

prompted the need to merge the individual<br />

sites while expanding them at the same time.<br />

“There has been an increasing lack of space<br />

in recent years due to our very satisfying<br />

corporate development, and we have had<br />

to resort to external premises on several<br />

occasions. At the new, central location, it will<br />

now also be possible to optimise cooperation<br />

between the individual departments, resulting<br />

in improved processes and workflows, and<br />

the entire logistic chains between the present<br />

locations will be eliminated,” added Dr Reim.<br />

Another key brief in the planning of the<br />

new headquarters was the commitment to<br />

sustainably reduce the company’s carbon<br />

footprint. The building will be fitted with<br />

one of Vorarlberg’s largest photovoltaic<br />

systems, with an output of up to 1.15MWp.<br />

Amann Girrbach utilises heat from the<br />

sintering furnaces to heat the building, and<br />

the heat pumps operate with groundwater.<br />

The planned green roof is also designed<br />

to promote biodiversity. The cooperation<br />

partner Garbe is a technical and structural<br />

co-developer as well as being the owner of<br />

the new building. DA<br />

Carestream <strong>Dental</strong> partners with Overjet<br />

Carestream <strong>Dental</strong> has partnered with<br />

Overjet, the industry leader in dental<br />

artificial intelligence. The partnership gives<br />

Carestream <strong>Dental</strong>’s customers access to<br />

Overjet’s AI-powered X-ray analysis tool that<br />

detects decay, quantifies bone loss and<br />

highlights other areas of concern.<br />

Overjet’s FDA-approved technology can also<br />

analyse 18 months of prior radiographs and<br />

cross-reference them with an office’s practice<br />

management system to identify potential<br />

decay and periodontal disease that has not<br />

been diagnosed.<br />

Research shows that diseased teeth are<br />

misdiagnosed nearly a quarter of the time<br />

when using traditional methods*. However,<br />

the AI technology eases the workload and<br />

streamlines the diagnostic process for<br />

practitioners, while building greater trust with<br />

their patients.<br />

“We’re seeing an increase in AI in every part of<br />

the industry, which is giving clinicians greater<br />

confidence in their diagnosis and treatment<br />

planning,” said Jeremy Thomas, general<br />

manager of the Americas for Carestream<br />

<strong>Dental</strong>. “Now, Carestream <strong>Dental</strong> imaging<br />

customers will experience a new level of<br />

confidence and quantification with access to<br />

Overjet’s AI analysis tool.”<br />

“With this partnership, thousands of<br />

more dentists will have AI technology at<br />

their fingertips to help improve patient<br />

care,” said Wardah Inam, co-founder and<br />

CEO of Overjet. “Overjet is committed to<br />

improving oral health by creating a future<br />

that is clinically-precise, efficient and patient<br />

centric.”<br />

Carestream <strong>Dental</strong> is a catalyst for<br />

technological innovation and continues<br />

to expand its portfolio with ongoing<br />

investments in solutions that drive practice<br />

and partner value and differentiation. DA<br />

*Ekert T, Krois J, Meinhold L, Elhennawy K, Emara<br />

R, Golla T, Schwendicke F (2019) Deep Learning<br />

for the Radiographic Detection of Apical Lesions.<br />

J Endod. 2019 Jul;45(7):917-922.e5. doi: 10.1016/j.<br />

joen.2019.03.016. Epub 2019 Jun 1.<br />

6 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


DENTAL UPDATES<br />

Oracare Group-backed MOS <strong>Dental</strong><br />

unveils 28th clinic<br />

PERFECTION IN<br />

BONE SURGERY<br />

MOS <strong>Dental</strong>, the market-leading chain of dental clinics in Thailand<br />

under Oracare Group, has opened its 28th clinic in Bangkok. The new<br />

clinic is strategically located in the residential district of Prawet, and<br />

will unlock avenues for more dental patients to access quality dental<br />

care backed by international dentistry standards, at accessible prices.<br />

The launch is the latest addition to the MOS <strong>Dental</strong> network, furthering<br />

the brand’s 22-year commitment to bringing smiles to its customers.<br />

It also confirms the dental group as one of the fastest growing in<br />

Bangkok, expanding from 14 to 28 clinics since joining forces with<br />

the Oracare Group. The newest location meets a growing demand for<br />

dental care by volumes of satisfied patients, allowing more people to<br />

gain access to certified dental professionals and specialists.<br />

→ YOUR SURGICAL<br />

APPROACH WILL CHANGE -<br />

THE PIEZOSURGERY® touch<br />

→ best cutting efficiency<br />

→ optimal intraoperative control<br />

→ perfect ergonomics<br />

→ made in Italy<br />

“MOS <strong>Dental</strong> and Oracare Group share the same belief that embracing<br />

technology is key to enhancing the customer journey and experience.<br />

I am proud to have partnered with Oracare Group to take MOS’s<br />

expansion to the next level whilst embracing digital technology and<br />

dentistry, to make the ‘Miracle of Smile’ a reality for more patients<br />

across Bangkok,” said Dr Adisorn Hanworawong, founder and CEO<br />

of MOS <strong>Dental</strong> Clinic. Dr Hanworawong brings over 21 years of<br />

experience as a seasoned dental practitioner, dedicating his career to<br />

building the MOS <strong>Dental</strong> brand shortly after graduating from dental<br />

school in 1999.<br />

The integration of Oracare Group’s management systems and<br />

standards into MOS <strong>Dental</strong>’s workflows and processes have placed<br />

the dental chain at the forefront of quality dental care. With access to<br />

Oracare Group’s hygiene standards and safety protocols, MOS <strong>Dental</strong><br />

was able to go above and beyond industry protocols for infection<br />

control at the height of the COVID-19 outbreak in Thailand. MOS<br />

<strong>Dental</strong> was recognised as a leader in implementing best practices for<br />

infection control across their clinics and were subsequently invited to<br />

support the formulation of industry-wide infection control policies for<br />

private dental clinics across the country.<br />

“Oracare Group is always looking for new ways to help our partners<br />

grow in the industry, so we can better achieve shared goals and break<br />

through glass ceilings to scale greater heights within the dentistry<br />

space. MOS <strong>Dental</strong>’s newest expansion is testament to the strength<br />

of the strategy and support that we provide to our partners. We are<br />

excited to continue this journey with MOS <strong>Dental</strong> to collectively bring<br />

the next level of dental care to South East <strong>Asia</strong>,” said Leon Luai, CEO of<br />

Oracare Group. DA<br />

→ www.mectron.com<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 7<br />

ad_PStouch_dental_asia_95x250_en_211214.indd 1 14.12.21 15:38


DENTAL UPDATES<br />

Neocis secures US$40m in additional funding to continue transforming dental<br />

surgery with robotics<br />

Neocis, manufacturer of Yomi and the global<br />

leader in robot-assisted dental implant surgery,<br />

has completed its latest round of financing.<br />

The oversubscribed US$40m round was led by<br />

one of the dental industry’s largest specialist<br />

investors. They were joined by Intuitive<br />

Ventures, the independent VC arm of Intuitive<br />

Surgical that is accelerating the future of<br />

minimally invasive care. These new investors<br />

were joined by Neocis’ existing partners,<br />

bringing total investment in the Miami-based<br />

business to more than $160m since its<br />

founding in 2009.<br />

Started by Alon Mozes and Juan Salcedo,<br />

Neocis manufactures and markets Yomi,<br />

dentistry’s first and only FDA-cleared robotic<br />

surgical system. The innovative platform<br />

assists clinicians during all phases of implant<br />

placement via streamlined digital planning and<br />

haptic guidance of surgical instrumentation<br />

— so they can place implants with accuracy,<br />

efficiency, and confidence. The Yomi system<br />

is often used to perform flapless procedures,<br />

a less invasive surgical approach with proven<br />

patient benefits.<br />

“Neocis shares Intuitive Ventures’ commitment<br />

to advancing positive patient outcomes in<br />

minimally invasive care through innovative<br />

technology and solutions,” said Oliver Keown,<br />

MD, managing director at Intuitive Ventures.<br />

“We believe Neocis’ deep commitment to<br />

addressing customer and patient need through<br />

a broadening robotic ecosystem and their<br />

impressive technology platform that expands<br />

access to high-quality dental care, makes them<br />

a transformative force in this rapidly evolving<br />

market.”<br />

This latest infusion of capital will allow Neocis,<br />

which the South Florida Business Journal<br />

recently named one of the fastest growing<br />

companies in South Florida, to advance its<br />

mission of transforming dental surgery through<br />

advanced robotics. The company will use<br />

these funds to continue accelerating research<br />

and development efforts, bolstering marketing<br />

and educational initiatives, and expanding<br />

the footprint of its sales, clinical support, and<br />

business optimisation teams.<br />

“We are thrilled to be joined by discerning<br />

investors aligned with Neocis’ mission to<br />

advance precision dentistry,” said Ajay Royan,<br />

managing general partner and founder of<br />

Mithril Capital Management, an early investor<br />

in Neocis. “The future of dental robotics is<br />

limitless, and this latest round of capital will<br />

help the Neocis team continue innovating at<br />

the highest level.”<br />

“For a company in the dental robotics space,<br />

I couldn’t dream up a better syndicate<br />

of investors than this,” said Alon Mozes,<br />

co-founder and CEO of Neocis. “This new<br />

backing underscores Neocis’ strong position<br />

in a growing market and will help us further<br />

our product development and commercial<br />

efforts.” DA<br />

Planmeca launches new CAD/CAM module<br />

Planmeca has introduced a new software<br />

module for Planmeca Romexis, which makes<br />

working with digital impressions easier<br />

and faster than ever before. The Planmeca<br />

Romexis CAD/CAM module streamlines<br />

the scan-and-send workflow for capturing,<br />

analysing and exporting digital impressions<br />

and offers new intraoral scanner users a<br />

smooth entry in the world of CAD/CAM<br />

dentistry.<br />

to enter the world of digital dentistry,”<br />

explained Helianna Puhlin-Nurminen,<br />

vice-president of Digital Imaging and<br />

Applications at Planmeca. “Since intraoral<br />

scans are stored and available in Romexis<br />

along with patient photos as well as 2D<br />

and 3D X-ray images, users can also<br />

easily complete digital smile designs, plan<br />

implant treatments and design surgical<br />

guides in the same software. Romexis<br />

simply makes your work flow.”<br />

Planmeca Romexis CAD/CAM software<br />

module has been designed to make capturing<br />

and working with digital impressions easier<br />

than ever. The module is part of the Planmeca<br />

Romexis all-in-one software, which ensures<br />

seamless daily workflows at a dental practice<br />

with all clinical patient data available in a<br />

single system.<br />

“With the new Romexis CAD/CAM module,<br />

intraoral scanning is exceptionally easy for new<br />

and more experienced users alike. We have<br />

paid special attention to usability and made<br />

collaborating with external partners extremely<br />

simple. The new module is thus a great tool<br />

for working with digital impressions and an<br />

excellent choice for dental practices looking<br />

The new Romexis CAD/CAM module is<br />

currently available for scanning only, i.e., for<br />

Planmeca Emerald intraoral scanner users<br />

who do not design or mill restorations<br />

in house. For now, the entire restorative<br />

workflow from scanning to design and<br />

manufacturing can be carried out using the<br />

Planmeca PlanCAD Easy software. DA<br />

8 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


simply.TRIOS 5<br />

Intraoral scanning that simply makes sense<br />

Hygienic by design for minimal risk of<br />

cross-contamination. Smaller and lighter<br />

than ever for next-level ergonomics. And<br />

a ScanAssist engine with intelligent-alignment<br />

technology that makes precision scanning<br />

effortless, every time.


DENTAL UPDATES<br />

Dentsply Sirona will continue to support World Oral Health Day in 2023<br />

Dentsply Sirona was the award sponsor for<br />

this year’s World Oral Health Day (WOHD) “Best<br />

Branded Photo” award and has congratulated<br />

the winners of the award — the <strong>Dental</strong><br />

Students Association from Etugen University in<br />

Mongolia. The winning photo features teachers<br />

and students posing with the WOHD <strong>2022</strong><br />

#MouthProud frame and personalised posters<br />

created by the group to teach kindergarten<br />

children how to keep their teeth healthy.<br />

“We have seen some great initiatives come<br />

out of the <strong>2022</strong> campaign and we commend<br />

the Etugen <strong>Dental</strong> Students Association for<br />

their efforts to instill good oral health practices<br />

in the next generation,” said Erania Brackett,<br />

senior vice-president and chief marketing<br />

officer at Dentsply Sirona. “Oral health is such<br />

a central part of a person’s overall health and<br />

wellbeing, and we are proud to once again<br />

support World Oral Health Day in 2023.”<br />

The award-giving ceremony took place<br />

during the FDI General Assembly in Geneva,<br />

Switzerland, on 22 Sep <strong>2022</strong>. At the same<br />

event, key results from WOHD <strong>2022</strong> were<br />

presented and the 2023 campaign’s theme and<br />

concept were disclosed. The 2023 campaign<br />

focuses on the importance of maintaining lifelong<br />

good oral health with its motto: “Be proud<br />

of your mouth for a lifetime of smiles”.<br />

Dentsply Sirona partners with FDI World<br />

<strong>Dental</strong> Federation for WOHD <strong>2022</strong> as part<br />

of its sustainability strategy “Beyond: Taking<br />

action for a brighter world”. At its core is the<br />

ambition to lead the transformation towards<br />

a sustainable dentistry, increase quality of<br />

and access to oral care globally and create 25<br />

million smiles by 2025.<br />

Brackett presented Dentsply Sirona’s ongoing<br />

activities in which the company partnered<br />

with dental professionals to promote the<br />

importance of oral health for overall health to<br />

their patients at the event at the FDI General<br />

Assembly. To continue the momentum of WOHD<br />

throughout the year, Dentsply Sirona recently<br />

ran a social media campaign that promoted<br />

the WOHD themes of emotional, social and<br />

physical wellbeing, with a mixture of culture and<br />

information posts to highlight oral health issues<br />

and ways to create healthy smiles. Meanwhile,<br />

DS Women, an employee resource group at<br />

Dentsply Sirona, organised an employee-led<br />

initiative to further oral health by collecting and<br />

donating more than 4000 toothbrushes and<br />

oral hygiene products for community-based<br />

organisations serving families and individuals in<br />

need in the US and Canada. DA<br />

Ivoclar and exocad extend the options for digital<br />

dentures with integration in <strong>Dental</strong>CAD<br />

By integrating the Ivotion Denture add-on<br />

module in the <strong>Dental</strong>CAD software solution<br />

from exocad, Ivoclar has expanded its<br />

partnership with exocad in the area of digital<br />

dental workflows.<br />

As one of the manufacturers of dental<br />

CAD/CAM software in the dental industry,<br />

exocad has a large customer base as<br />

well as comprehensive experience in<br />

dental software products. Thanks to this<br />

collaboration, customers of both companies<br />

can now enjoy a seamless workflow for<br />

rapid digital fabrication of removeable<br />

dentures.<br />

As part of this cooperation, the Ivotion<br />

Denture add-on module will be integrated<br />

with the exocad <strong>Dental</strong>CAD system so that<br />

users of the software can design their digital<br />

dentures in the environment to which they<br />

are accustomed. The optimised workflow<br />

enables custom fabrication and a result that<br />

is adapted to the needs of the patient.<br />

Moreover, the integration also provides users<br />

with access to the popular Ivoclar tooth libraries<br />

with full-arch setups, morphing tools, and setup<br />

features. For even better offer customisation,<br />

the third gingival shade that was introduced for<br />

the first time last year can also be used.<br />

The Ivotion Denture add-on module from<br />

Ivoclar also contains all the features of<br />

the oversize workflow in combination with<br />

the proven Ivotion Base, Ivotion Dent, and<br />

Ivotion Dent Multi discs. To round off the<br />

range of applications, the features of the<br />

monolithic workflow with Ivotion and Shell<br />

Geometry are also on board. DA<br />

10 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


DENTAL UPDATES<br />

W&H receives Environmental Management Award <strong>2022</strong> from BMK<br />

W&H is pushing ahead with its environmental<br />

management in all projects with full vigour<br />

to achieve the company’s ecological and<br />

sustainable goals. This dedication has now<br />

been recognised by the Federal Ministry for<br />

Climate Protection, Environment, Energy,<br />

Mobility, Innovation, and Technology (BMK)<br />

with the Environmental Management Award in<br />

the category “Best Measure — Environmental<br />

and Climate Protection”.<br />

As an international manufacturer of medical<br />

technology products, W&H has major<br />

responsibility for a healthy society and a<br />

healthy environment. With the expansion of<br />

Plant II, the company actively promotes climate<br />

and environmental protection through state-ofthe-art<br />

processes, as well as resource-saving<br />

production and manufacturing procedures.<br />

“As a sustainable family business, W&H relies on<br />

durable and environmentally friendly solutions<br />

in order to make a positive contribution,” said<br />

Herbert Traschwandtner, managing director of<br />

Operations.<br />

Hundred percent of the metal shavings<br />

produced at W&H are recycled after being<br />

separated by type using an intelligent<br />

collection system. The regenerative<br />

system extends the resources’ life cycle,<br />

thus minimising waste. On the roof of<br />

the production plant, more than 1800PV<br />

modules with an output of 536kWp generate<br />

climate-neutral electricity. In addition,<br />

environmentally friendly temperature control<br />

is ensured by establishing particularly<br />

efficient heat/cold controls systems that<br />

operate via heat pumps. Rejected thermal<br />

energy is used to heat the production<br />

and manufacturing halls. Cooling is<br />

provided by concrete core activation.<br />

Furthermore, shortened transport routes in<br />

logistics ensure reduced energy and fuel<br />

consumption.<br />

“We are very pleased that our expansion<br />

and the measures implemented by W&H<br />

have been honoured and handed over<br />

the Environmental Management Award.<br />

This strengthens our efforts and gives<br />

us momentum for future projects,” said<br />

Pamela Polanetz, sustainability manager,<br />

on behalf of the entire W&H environmental<br />

management team. DA<br />

Zenyum expands oral care line with Invisible Whitening Strips<br />

their application. This latest addition to the<br />

Zenyum family aims to make teeth whitening<br />

accessible for all, following through on the<br />

brand’s mission to make <strong>Asia</strong> smile more.<br />

Zenyum continues its next phase of oral care<br />

innovation with the launch of ZenyumBright<br />

Invisible Whitening Strips — an on-the-go,<br />

fast-dissolving whitening strip now available in<br />

Singapore and Hong Kong. The new convenient<br />

strips are a discreet whitening option for those<br />

with demanding schedules, dissolving in just<br />

15-20 minutes. The no-rinse formula allows<br />

users to reduce teeth stains on-the-go.<br />

Available in packs of 14 and 28, customers<br />

can use the strips twice daily throughout<br />

“Since the successful launch of the<br />

ZenyumSonic Toothbrush in 2020, Zenyum<br />

has continuously expanded its market share in<br />

the fast-growing consumer dental segment in<br />

South East <strong>Asia</strong>. Our range of innovative smile<br />

cosmetics ranks from invisible braces that<br />

straighten your teeth to all-natural ingredients<br />

toothpastes and water flossers. Within the<br />

last three months alone, we released three<br />

new product lines, which will be available in<br />

our retail partner stores as well as our digital<br />

distribution channels across our nine markets<br />

in <strong>Asia</strong>,’’ said Julian Artopé, founder and CEO<br />

of Zenyum. DA<br />

12 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


Torq Control®<br />

Universal Torque<br />

Wrench<br />

Torq Control® is the Anthogyr universal<br />

torque wrench offering the guarantee of<br />

tightening precision, whatever the type<br />

of implant connection or the difficulties of<br />

access.<br />

Precise tightening is a key factor to secure<br />

implant treatment success. Torq Control®<br />

has been specially designed by Anthogyr<br />

to meet these requirements for all<br />

prosthetic manipulations, in all safety<br />

thanks to automatic declutching.<br />

A must-have, especially for full-arch<br />

restorations.


TRENDS<br />

Top seven trends outlining<br />

the market growth of dental<br />

practice management software<br />

This has paved the way for several<br />

technological advancements across<br />

the regional industry, which may further<br />

stimulate the industry forecast.<br />

According to a recent study from market<br />

research firm Graphical Research, the global<br />

dental practice management software<br />

market size is set to register significant<br />

growth during the forecast period due to<br />

rising disposable incomes and growing<br />

awareness about maintaining good oral<br />

hygiene.<br />

The trend can be observed across both<br />

emerging and prosperous regions. Explained<br />

below are some notable factors likely to<br />

redefine the market growth between <strong>2022</strong><br />

and 2030.<br />

Trend #1: Patient communication<br />

components to drive lucrative gains in<br />

North America<br />

The patient communication segment could<br />

exceed US$456m by 2030 in North America.<br />

Patient communication software offers a<br />

plethora of benefits ranging from the proper<br />

execution of regular repetitive tasks like<br />

appointment reminders to driving better<br />

patient outcomes and online engagement<br />

and reviews.<br />

Leading tech players have been focusing<br />

on developing integrated dental practice<br />

management software with phone system<br />

connectivity. Such innovations may<br />

significantly increase the productivity and<br />

efficiency of front desk attendants, which,<br />

in effect, may fuel patient communication<br />

software adoption in the forthcoming years.<br />

Trend #2: Rising prevalence of dental<br />

disorders in the US<br />

US dental practice management software<br />

market share was worth more than<br />

US$628m in 2021, attributed to the rapidly<br />

growing geriatric population and supportive<br />

government policies pertaining to patient<br />

care. Ageing people are more prone to<br />

periodontal disorders, requiring proper patient<br />

care and medical attention.<br />

According to the US Center for Disease<br />

Control and Prevention, about 47.2% of the<br />

adult population in the country equivalent to<br />

or above 30 years of age, and nearly 70.1%<br />

of adults aged 65 years and older have some<br />

form of periodontal disease.<br />

Trend #3: Surging demand for<br />

invoice/billing components across<br />

APAC<br />

<strong>Asia</strong>-Pacific (APAC) dental practice<br />

management software market share from<br />

the invoice/billing component accounted<br />

for US$52m in 2021. Concerning invoice/<br />

billing, dental practice management<br />

software offers a range of benefits in<br />

dental clinics. The software utilises proper<br />

integration and standardisation to manage<br />

end-to-end billing comprising transactions<br />

made through cards, cash payments,<br />

online wallets, bank payments, etc.<br />

There has been a considerable rise<br />

in efforts to enhance this software to<br />

increase the number of patient footfalls<br />

and optimise the revenue streams.<br />

Besides, their ability to support distinct<br />

taxes and payment modes like cash, card,<br />

and cheque will augment the market share.<br />

Trend #4: Growing popularity of webbased<br />

software<br />

The web-based segment may exhibit<br />

a CAGR of around 16% through the<br />

assessment timeframe across the<br />

APAC. Usually comprising features like<br />

billing, appointment management, and<br />

electronic health records, web-based<br />

software facilitates the workflow in a<br />

clinic. This is achieved by making errorfree<br />

documentation, storing patients’<br />

complete medical history, and efficiently<br />

managing appointments. These<br />

remarkable attributes, coupled with<br />

recent advancements and improvements,<br />

14 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


TRENDS<br />

have helped web-based dental practice<br />

management software gain a strong foothold<br />

in the APAC market.<br />

Trend #5: Positive industry outlook in<br />

Japan<br />

Japan's dental practice management<br />

software market is anticipated to emerge as<br />

a prominent revenue pocket and will hold a<br />

valuation worth more than US$315m by 2030.<br />

The growing prominence of dental disorders<br />

and the presence of robust healthcare<br />

infrastructure are among the primary factors<br />

leading to regional expansion.<br />

The country is equipped with an optimum<br />

dental workforce and several governmentbacked<br />

reimbursement and healthcare<br />

policies enabling low-cost dental treatment. In<br />

addition, the increased penetration of several<br />

health insurance providers will positively<br />

impact the regional market.<br />

Trend #6: Cloud-based software to<br />

create new growth prospects across<br />

Europe<br />

The cloud-based model accounted for<br />

over 32% of the Europe dental practice<br />

management software market share in 2021.<br />

The amalgamation of cloud-based components<br />

with this software help provide a seamless,<br />

cohesive, comprehensive, and engaging patient<br />

experience in a relatively lesser time.<br />

These attributes make them apt for delivering<br />

everything ranging from imaging, charting,<br />

and group practices to administrative duties,<br />

which is likely to help them gain substantial<br />

impetus in the years ahead.<br />

Trend #7: UK to account for a<br />

significant market share<br />

UK dental practice management software<br />

market is expected to grow at an annual growth<br />

rate of about 14.3% through 2030. The country<br />

has witnessed a prominent rise in dental<br />

disease over recent years.<br />

According to a recent University of Birminghamled<br />

research, patients with GP-inputted medical<br />

history of gum disease have an increased risk<br />

of developing mental illness, ill health, and heart<br />

conditions. Such studies have raised concerns<br />

regarding better oral health and treatment<br />

and encouraged the government to roll out<br />

supportive initiatives focusing on spreading<br />

awareness of oral hygiene. More policy rollouts<br />

like these may transform the dental practice<br />

management software market dynamics.<br />

<strong>Dental</strong> practice management software has<br />

significantly improved workplace efficiency,<br />

which passively reduces clinical fees and<br />

related costs and charges. This has, in turn,<br />

resulted in increasing patient footfalls and<br />

growing expenditure on dental services,<br />

further supporting the market growth. DA<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 15


UNDER THE SPOTLIGHT<br />

Encouraging,<br />

challenging and<br />

celebrating oral tissue<br />

regeneration<br />

“We Are Re:Generation” is the motto of the next<br />

International Osteology Symposium in Barcelona, Spain,<br />

reflecting not only the focus of the Osteology Foundation<br />

on oral regeneration but also their mission to link science<br />

with practice by gathering all the globally available<br />

knowledge in one place, at the same time.<br />

In past years, the International Osteology<br />

Symposia were considered by many in<br />

dentistry to be the most successful and<br />

prestigious event held on oral tissue<br />

regeneration. This is set to continue with<br />

the 2023 Jubilee Edition to celebrate<br />

the 20th anniversary of the Osteology<br />

Foundation, a global organisation that<br />

supports science, research training,<br />

and education in the field of oral tissue<br />

regeneration.<br />

Happening on 27-29 Apr 2023, the<br />

educational programme promise<br />

to attract up to 3000 motivated<br />

participants from all over the world. Dr<br />

Pamela McClain and Dr Istvan Urban,<br />

the 2023 symposium’s scientific chairs,<br />

share more about their role leading up<br />

to this high-level scientific programme<br />

and what participants can expect.<br />

16 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


UNDER THE SPOTLIGHT<br />

What was the idea behind the<br />

programme of the symposium?<br />

Dr McClain: The focus of the Osteology<br />

Foundation is on oral regeneration.<br />

As a result, the programme for the<br />

symposium will fully cover this field<br />

which allows a more in-depth look at all<br />

aspects involved with oral regeneration.<br />

This all-around coverage is unique<br />

and unlike other programmes. We are<br />

looking at unique areas of regeneration,<br />

for example, endodontic concerns,<br />

orthodontic opportunities and aesthetic<br />

surgical aspects.<br />

Dr Urban: In addition to the clinical<br />

aspects of oral regeneration, the<br />

Osteology Foundation places equal<br />

emphasis on education and research.<br />

The programme perfectly reflects this<br />

dual focus: we will see many exciting<br />

contributions with high practical<br />

relevance as presentations on the very<br />

latest research.<br />

In which way does the programme<br />

attract both young, less experienced<br />

clinicians and established oral<br />

surgeons?<br />

Dr Urban: Since its beginnings 20<br />

years ago, the Osteology Foundation<br />

has placed great emphasis not only<br />

on working with well-known experts in<br />

our field but also on being very active<br />

in promoting young talents. This is still<br />

very much the case today and therefore<br />

we are in the fortunate position at the<br />

International Osteology Symposium to<br />

also offer young speakers from our own<br />

training and research programmes the<br />

opportunity to appear on the big stage.<br />

Dr McClain: Incorporating these young<br />

stars has always been a priority of<br />

the foundation and allows them to<br />

showcase their research and cases in<br />

a world-class environment. To present<br />

with individuals they have looked up to<br />

is both exciting and motivating. This<br />

headlining of young talent is also of<br />

great interest to their peers as well as<br />

their more experienced colleagues.<br />

In which teaching formats do the<br />

participants get to experience the<br />

educational content?<br />

Dr McClain: We are fortunate to offer<br />

a wide range of formats from classic<br />

lectures, numerous specific workshops,<br />

moderated live surgeries, to the<br />

interactive round table room, or the<br />

new research networking day. There is<br />

simply something for everyone.<br />

Dr Urban: Therefore, the congress<br />

participants actually have a luxury<br />

problem. Their biggest challenge will<br />

be to decide what they want to attend<br />

from the whole programme and in what<br />

order. But just as we offer both younger<br />

and experienced participants content<br />

tailored to them, everyone will find<br />

their favourite learning format at this<br />

symposium.<br />

Do you have a personal programme<br />

highlight?<br />

Dr McClain: My personal highlight<br />

is not a single programme item<br />

— there are too many highly<br />

attractive contributions — but the<br />

list of speakers. Take a look at the<br />

programme and see the global<br />

scope of exceptional clinicians and<br />

researchers presenting. With this<br />

international gathering, it is impossible<br />

to highlight a single course.<br />

Dr Urban: Assuming an active interest<br />

in the field of oral regeneration of the<br />

participant, I would almost want to ask<br />

the question the other way around:<br />

How can one in good conscience<br />

miss this truly unique concentration of<br />

expertise and learning opportunities?<br />

We will see an impressive density of<br />

relevant information and a great quality<br />

of human exchange in Barcelona, I’m<br />

convinced, also from the experience<br />

gained at previous IOS editions.<br />

Final words: Why not miss the<br />

International Osteology Symposium?<br />

Dr Urban: I'm afraid I have to resort<br />

to a commonplace argument — the<br />

International Osteology Symposium<br />

is simply the place to be in the field<br />

of oral regeneration. Where else is<br />

it possible to interact with so many<br />

peers, meet world-renowned experts<br />

face-to-face and be updated on the<br />

latest knowledge in just three days?<br />

And of course, the fact that this<br />

symposium is taking place in one<br />

of the most attractive cities is not a<br />

disadvantage either.<br />

Dr McClain: The value and rich depth<br />

of the programme is not something<br />

that you will find anywhere else, I<br />

can’t think of a better programme<br />

in regeneration. This symposium is<br />

the go-to place for education in oral<br />

regeneration. DA<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 17


UNDER THE SPOTLIGHT<br />

Father and<br />

daughter,<br />

mentor<br />

and trainee<br />

— two<br />

generations<br />

of dental<br />

expertise<br />

French dental surgeon<br />

Dr Guillaume Reys knows<br />

that dental professionals<br />

need to constantly upskill<br />

themselves to keep up with<br />

the pace of change. But to<br />

embrace new technologies,<br />

they must be able to master<br />

traditional skills first — and<br />

that’s precisely what he has<br />

encouraged his daughter<br />

Dr Rebecca Reys who works<br />

alongside him to do.<br />

<strong>Dental</strong> surgeon Guillaume Reys opened his practice in<br />

Sélestat, France, in 2002. Besides running his clinic, he<br />

teaches surgery to dental students at the Faculty of <strong>Dental</strong><br />

Surgery, University of Strasbourg.<br />

As the son of a surgery professor, Dr Reys knew early on that<br />

he would end up following the same path.<br />

18 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


UNDER THE SPOTLIGHT<br />

In addition to the dental units, the clinic is<br />

equipped with a Planmeca ProMax 3D Classic<br />

imaging unit, two Planmeca ProX intraoral X-ray<br />

units, a Planmeca Emerald S intraoral scanner,<br />

and a Planmeca PlanMill 40 milling unit which<br />

Dr Reys uses for making chairside crowns.<br />

Moreover, Dr Reys performs all implant<br />

planning with the Planmeca Romexis software.<br />

He said: “I think it works very well. I can easily<br />

merge a CBCT image, my implant plan and an<br />

intraoral scan, and it’s all just so easy. I use the<br />

software every day.”<br />

“As a child, I had the chance to observe closely<br />

what my father was doing. Growing up I knew<br />

that surgery would be my choice too, but in<br />

France, once you start studying medicine, you<br />

don’t necessarily know which speciality you’ll<br />

end up practising after finishing your studies<br />

and internship. You don’t always get to work in<br />

the field of your choice, and I wanted to make<br />

sure that I could do what I wanted, which is<br />

to practice surgery. That’s why I chose dental<br />

surgery, and it has been exactly what I hoped<br />

for,” said Dr Reys.<br />

The clinic employs two other dentists and five<br />

dental assistants. One of the dentists is his<br />

daughter Dr Rebecca Reys, who just graduated<br />

from dental school last summer.<br />

“I did not choose dentistry because my father<br />

is a dentist, but because I knew the profession<br />

thoroughly, I thought it might be a good choice<br />

for me as well,” explained Dr Rebecca. “I’m also<br />

very interested in forensic medicine, and when I<br />

learned that after dental school, it is possible to<br />

pursue post-graduate training that could bring<br />

me into the field, it sealed the deal for me.”<br />

She shared that working with her dad is like<br />

having a mentor around all the time.<br />

“When I was still a student, I used to work at<br />

another clinic once a week and I was all alone<br />

there. There were plenty of situations where I<br />

would have liked to ask questions, but it wasn’t<br />

possible. In the beginning, you’re not sure of<br />

yourself and you need a lot of reassurance.<br />

My dad lets me do my job freely, but it’s<br />

comfortable knowing that he is around should I<br />

have any questions.”<br />

Dr Reys is happy to have his daughter around<br />

too. The clinic has recently seen a marked<br />

increase in the number of patients, and<br />

without the help of his colleagues, he would<br />

not have been able to welcome any new<br />

patients.<br />

A PLANMECA CUSTOMER SINCE 1995<br />

Dr Reys is a long-time user of Planmeca<br />

dental units — he has been using them since<br />

1995 — and his clinic is currently equipped<br />

with three of them. When he first discovered<br />

the company’s dental care units, he was<br />

immediately impressed by their side-lifting<br />

mechanism which provides plenty of<br />

legroom.<br />

“From an aesthetic point of view, their airy and<br />

lightweight design appealed to me — they’re<br />

not heavy-looking at all. The assistant’s side<br />

is also very practical with easy access to all<br />

essential functions, and of course, the units<br />

are very comfortable. My patients always say<br />

how they would love to have one at home. I<br />

wouldn’t mind having one either.<br />

“I also discovered that the technology was<br />

relatively simple. I like to do as much as<br />

possible myself, so if something needs to<br />

be repaired, I often just call my distributor<br />

and ask him what to do. Us dentists are<br />

sometimes like spoiled children, we want<br />

everything to be fixed immediately — even half<br />

an hour is too long a wait,” he said laughing.<br />

As for his daughter, Dr Rebecca had been<br />

using Planmeca dental units already as a<br />

dental student at the University of Strasbourg,<br />

so she was well familiar with them.<br />

Dr Rebecca is also planning to start using the<br />

intraoral scanner and milling unit, but first, she<br />

wants to master taking traditional impressions.<br />

She shared: “My father encouraged me to learn<br />

traditional working methods before moving to<br />

digital ones. You must be able to do both since<br />

you can’t always rely on technology. I feel like<br />

I’m learning new things every day and can’t wait<br />

to experience all the digital tools we have in our<br />

clinic.”<br />

LOOKING FORWARD TO A DIGITAL<br />

FUTURE<br />

According to Dr Reys, patients today are looking<br />

for a dentist for life, someone they can trust.<br />

“It’s not always easy to trust someone with your<br />

teeth but once you find the right person, they<br />

easily become your family dentist in a way.”<br />

The world of dentistry has already become<br />

digital, but Dr Reys believes there is much more<br />

to come.<br />

He concluded: “I’m sure that we will continue<br />

to be blown away by new innovations — we<br />

can’t even imagine all the things that will be<br />

technologically possible in the years to come.<br />

We can’t rest on our laurels and stay content<br />

with what we have learned so far — we have to<br />

keep training, learning new skills and acquiring<br />

new knowledge. We have to stay curious and<br />

keep up with the pace of change. DA<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 19


Strength in unity<br />

As the president of Singapore <strong>Dental</strong><br />

Association, Dr Lawrence Yong aims<br />

to continue the successes of their<br />

organisation. But how will he make that<br />

possible in today’s dental landscape?<br />

<strong>Dental</strong> <strong>Asia</strong> finds out.<br />

By Czarmaine Masigla<br />

Founder of PKWY <strong>Dental</strong> Specialist Practice,<br />

Dr Lawrence Yong is an orthodontist with 27<br />

years of clinical experience under his belt.<br />

With his success in practice, it became clearer<br />

to him that as a member of the profession, it<br />

is important for them to volunteer their time to<br />

the association at some point in their career to<br />

inject new ideas and direction. By doing so, he<br />

emphasised, the Singapore <strong>Dental</strong> Association<br />

(SDA) can continue to grow and be more<br />

relevant over time.<br />

Under his leadership, SDA is focused on<br />

supporting the dental community in facing<br />

the challenges of today’s practice and<br />

empowering the next generation of dentists.<br />

Read on as Dr Yong shares more.


UNDER THE SPOTLIGHT<br />

What are your takeaways from the<br />

pandemic and how do they affect your<br />

vision for SDA?<br />

Dr Yong: I think the main takeaway from<br />

the pandemic is that the profession is<br />

intrinsically and extremely strong and<br />

resilient. Mr Ong Ye Kung, the Minister<br />

of Health, actually mentioned during the<br />

opening ceremony of the International<br />

<strong>Dental</strong> Exhibition and Meeting (IDEM)<br />

that he was surprised that although<br />

dentists were operating at a lower level,<br />

the reality is that we still have to treat<br />

patients without their masks on. And<br />

despite those challenges, the profession<br />

lived up to its name in terms of infection<br />

control. There were no surprises. I think<br />

that it is a collective responsibility that<br />

has been shown by every member of the<br />

profession. It is definitely not just 1% or<br />

2%. It is a collective effort.<br />

Can you enumerate and briefly discuss<br />

some of SDA’s ongoing projects?<br />

Dr Yong: We are focusing on three<br />

main areas in the near future in<br />

concert with the government. The first<br />

area would be in terms of how are<br />

we going to support members during<br />

the transition process of onboarding<br />

clinics onto the national electronic<br />

health records. The second one would<br />

be in terms of the implementation<br />

of the Health Care and Services Act<br />

recently passed by the parliament.<br />

These areas involve support in terms<br />

of communicating with doctors to<br />

ensure that they understand how<br />

this new licensing affects them and<br />

what they need to do. We are also<br />

working with the Ministry of Health in<br />

promoting public awareness about the<br />

ills of illegal dentistry.<br />

On the association's front, there is<br />

a strong need to support the newly<br />

registered doctors. This could be in<br />

terms of providing relevant courses or<br />

workshops, so that they can continue<br />

to advance their learning, especially<br />

in areas which are not covered<br />

during their undergraduate days. The<br />

second one is in terms of developing<br />

the top and idea leaders of the next<br />

generation. This will involve training<br />

local speakers so that they feel<br />

comfortable to sharing their thoughts<br />

on the regional as well as on a global<br />

platform.<br />

Regarding the IDEM in-person<br />

meeting, what is the significance of its<br />

return for dentists in the APAC region?<br />

Dr Yong: I think we have to look at<br />

IDEM from two angles. The first is<br />

from the angle of the organisers. The<br />

in-person meeting is an extremely<br />

important message to all our trade<br />

partners — that IDEM will continue<br />

to be the frontrunner in terms of<br />

international dental exhibitions, at<br />

least in this region, if not greater.<br />

The second one would be from<br />

the angle of the participants or the<br />

attendees for the trade exhibition or<br />

the scientific conferences. We want<br />

them to feel that besides the trade<br />

exhibition, we continue to have novel<br />

ideas shared by people from different<br />

parts of the world, and we hope<br />

that this will actually inspire them<br />

to continue to come to Singapore in<br />

person simply for the fact that we offer<br />

a superior range of topics or ideas.<br />

How has digital dentistry impacted the<br />

behaviour of patients regarding dental<br />

care?<br />

Dr Yong: From the patient's point<br />

of view, I can tell you that patients<br />

are extremely receptive to digital<br />

dentistry. And the main reason is that<br />

the patient of today is educated. They<br />

understand that there is a science<br />

behind everything that we do, and then<br />

they can see it visually as we present<br />

an image or analysis to them. This<br />

helps doctors to create awareness on<br />

behavioural changes that they need to<br />

do for them to get a better outcome. It<br />

also adds value in terms of presenting<br />

treatment options and monitoring the<br />

progress of the case.<br />

What are your thoughts on dental<br />

tourism?<br />

Dr Yong: <strong>Dental</strong> tourism will always<br />

be around and the main reason is that<br />

patients would like to get the best<br />

value for money. The issue with dental<br />

tourism is probably in the types of<br />

procedures which are suitable for such<br />

approach. So, for example, it is unlikely<br />

that we will go to a foreign country<br />

for an invasive procedure, because<br />

usually these procedures need a lot<br />

of aftercare. We have to note that the<br />

quality of care is not only in the ability<br />

to do a particular procedure but also<br />

in how well the patient is taken care<br />

of and supported during the recovery<br />

period.<br />

Of course, there are non-invasive<br />

procedures such as teeth whitening<br />

that some people would like to do as<br />

they are vacationing. I think those are<br />

probably less scary, and something<br />

that we should not think too much<br />

about. But what we do not want is<br />

to create the impression that dental<br />

tourism is all about getting it cheap or<br />

about convenience. It should not be<br />

that. <strong>Dental</strong> tourism, just like normal<br />

dental care, should always have a high<br />

standard of care. That's the important<br />

thing. Anything else is just value<br />

added.<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 21


UNDER THE SPOTLIGHT<br />

How do you envision the future of<br />

dentistry?<br />

Dr Yong: In the future, patients will<br />

continue to demand more evidence in<br />

terms of how the treatment should be.<br />

And the main reason is because they<br />

would want to exercise autonomy on<br />

how their care should be. Patients have<br />

move away from paternalistic medicine<br />

whereby the doctor decides on what<br />

should be done. Because why? They feel<br />

that they are knowledgeable enough to<br />

make that decision. So, patients need<br />

evidence. And that actually strongly<br />

supports the cause of digital dentistry.<br />

The second one would be in terms of<br />

the doctors that we have. In fact, they<br />

are probably the most intelligent group<br />

we have seen since the profession has<br />

started. The main reason is because<br />

we are very successful in education.<br />

The new generation is extremely noble<br />

hearted too. They feel a strong need to<br />

make the world a better place. Yet, the<br />

number of resources that is needed<br />

to help them pursue their profession<br />

or their education has also gotten to<br />

be more expensive over time. And this<br />

creates a slight tug-of-war whereby<br />

doctors have to decide how they can<br />

achieve the right work life balance. So,<br />

I think the new doctors definitely face a<br />

harder career scape compared to when<br />

I started 27 years ago. Nonetheless,<br />

young doctors themselves need to be<br />

resilient enough in order to navigate this<br />

so-called new landscape.<br />

And the third one would be, in terms<br />

of our collective responsibility<br />

together with the Ministry of Health.<br />

In Singapore itself, we have gotten<br />

so good at treating patients that it<br />

is no debate that the level of care<br />

is extremely high. But the reality is<br />

that it has also gotten extremely<br />

expensive. There is no way we can<br />

maintain this type of spending<br />

pattern or treatment fee pattern. This<br />

has to be looked at. And of course,<br />

we are definitely supportive of<br />

Singapore's Healthcare SG initiative<br />

whereby we will start to shift our<br />

focus to preventive care. I think that<br />

dentistry have a head start on this<br />

area but we need to continue to build<br />

on that. DA<br />

22 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


REGISTER<br />

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HIGHLIGHTS<br />

Latest developments in<br />

rege nerative therapies<br />

Live surgeries<br />

Hands-on workshops<br />

Case session<br />

Morning with master clinicians<br />

Clinical round tables<br />

Poster exhibition<br />

Research networking day<br />

Joint sessions with AAP and SEPA<br />

SCIENTIFIC COMMITTEE<br />

Pamela K. McClain, USA (Chair)<br />

Istvan Urban, Hungary (Chair)<br />

William V. Giannobile, USA<br />

Franck Renouard, France<br />

Frank Schwarz, Germany<br />

Anton Sculean, Switzerland<br />

osteology–barcelona.org<br />

be part of #OsteologyBarcelona


DENTAL PROFILE<br />

Advancing osseous<br />

surgery<br />

An Italian company established in 1979, Mectron is committed<br />

to providing dental and medical professionals with innovative<br />

clinical solutions. With the recent launch of Rex PiezoImplant,<br />

the company is poised to remain the market leader of<br />

Piezosurgery in the <strong>Asia</strong>-Pacific and beyond.<br />

By Czarmaine Masigla<br />

Mectron Medical Technologies, based<br />

on the Ligurian Coast in Italy, was<br />

founded over four decades ago by two<br />

engineers, who today are still active<br />

company owners.<br />

With their dedication to product<br />

development and innovation, Mectron<br />

now has a sales network in over 80<br />

countries offering products for preventive<br />

and restorative dentistry, as well as for<br />

oral surgery. These different treatment<br />

fields are covered with the following<br />

product ranges: the Piezosurgery line,<br />

ultrasonic scalers, air polishers and<br />

curing lights.<br />

Mectron prides itself on introducing the<br />

patented ultrasonic micro-vibrations of<br />

the original PIEZOSURGERY ® technique<br />

in the market. Providing micrometric<br />

cuts for minimally invasive surgeries with<br />

surgical precision and intra-operative<br />

tactile sensation, it also selectively cuts<br />

and protects any kind of soft tissue —<br />

nerves, vessels and membranes will not<br />

be injured while cutting bone.<br />

Kelvin Liang, sales area manager of<br />

Mectron in <strong>Asia</strong>-Pacific (APAC), is elated<br />

to bring this Mectron’s expertise to the<br />

region, which enables surgeons to work<br />

with more precision while at the same<br />

time reducing postoperative discomfort<br />

for the patients.<br />

24 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


DENTAL PROFILE<br />

However, he noted that the APAC market<br />

is very versatile and given its unique<br />

demographics and socioeconomic<br />

differences, the maturity of products<br />

and technology highly differ from each<br />

country.<br />

EVOLVING DENTAL LANDSCAPE<br />

As a company, Mectron has continuously<br />

grown despite the challenges of COVID-19.<br />

Liang shared that during this period,<br />

Mectron focused on converting their license<br />

to comply with European registration.<br />

“In some countries, they’ve accepted<br />

Piezosurgery many years ago; but some<br />

of the countries here are still trying to<br />

accept the concept. It is a good thing<br />

that I am based in Singapore, hence,<br />

I am able to travel across the region<br />

without much hindrance and reach out<br />

to our customers,” he explained.<br />

As a customer-centric company, Liang<br />

added, it is vital for Mectron to attend<br />

congresses like the recently concluded<br />

International <strong>Dental</strong> Exhibition and<br />

Meeting to connect and educate more<br />

practitioners on the clinical advantages<br />

of Piezosurgery. They also conduct<br />

seminars with hands-on sessions to<br />

help their clients to further leverage their<br />

product solutions.<br />

Liang elaborated: “We invite our key<br />

opinion leaders from Europe to come<br />

to APAC to give lessons. We are also<br />

collaborating with countries like South<br />

Korea to send their key opinion leaders<br />

to give lectures in Europe. We do this to<br />

have some sort of connection between<br />

the lecturers in Europe and APAC. This<br />

is something that we do to add value to<br />

our customers and their patients.”<br />

“This saves time for both patients and<br />

doctors because if they use bone<br />

substitutes like in GBR, for example, they<br />

will require a year before they place the<br />

implant. So, with this, you can reduce it<br />

by six months,” explained Liang.<br />

Rex PiezoImplants are designed for a<br />

minimally invasive surgical treatment<br />

on the patient. And to optimise every<br />

clinical benefit of Piezosurgery, a<br />

personalised range of specific inserts<br />

for specific procedures was also<br />

created.<br />

Liang shared his excitement for this<br />

line, as there is a pipeline of solutions<br />

awaiting to be launched in the market in<br />

the next years to come.<br />

“This is what the rest of the European<br />

countries are doing currently and we are<br />

already 90% done with this,” he shared.<br />

To support their clients in these trying<br />

times, Mectron pivoted to conducting online<br />

seminars to continue to provide a learning<br />

platform for practitioners. Liang said that<br />

they liaised with their key opinion leaders to<br />

plan out relevant topics to tackle.<br />

As the dental industry embarks on the<br />

recovery road from the pandemic, Liang<br />

foresees that the dental trend will move<br />

into preventive care in the next three to<br />

five years.<br />

Rest assured, he said, that Mectron will<br />

continue to support dental professionals<br />

in providing the best possible clinical<br />

technology ranging from their ultrasonic<br />

and prophylaxis range to conservative,<br />

minimally invasive surgical solutions. DA<br />

NARROW RIDGE? PROBLEM<br />

SOLVED<br />

Innovation never stops at Mectron<br />

with the addition of Rex PiezoImplant<br />

to their dental portfolio. Launched this<br />

year and is now undergoing registration<br />

in different countries, Liang highlighted<br />

that this tissue-level implant offers a<br />

revolutionary solution in the market.<br />

“Rex PiezoImplant is our new<br />

Piezosurgery implant that is used<br />

with our Piezosurgery device. This<br />

is a useful solution for our APAC<br />

customers because this solves a very<br />

interesting problem — which is the<br />

narrow ridge.<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 25


DENTAL PROFILE<br />

VITA Zahnfabrik: Quality<br />

that exceeds the norm<br />

From life-like denture teeth and<br />

precise shade determination to a wide<br />

range of CAD/CAM and veneering<br />

materials — dental professionals<br />

from over 150 countries benefit from<br />

VITA Zahnfabrik’s products and<br />

technologies.<br />

By Czarmaine Masigla<br />

Driven by an innovative mindset, VITA<br />

Zahnfabrik continues to thrive in the everevolving<br />

field of dentistry. To learn more<br />

about their success and strategies specific<br />

to the <strong>Asia</strong>-Pacific region, <strong>Dental</strong> <strong>Asia</strong><br />

speaks with Emiliano Bini, VITA’s regional<br />

business manager, Australasia.<br />

VITA Zahnfabrik has been at the forefront<br />

of progress for laboratory and practice<br />

since its establishment in 1924. What is<br />

the recipe for this success?<br />

Bini: “VITA — perfect match” is the tangible<br />

benefit we offer our users and customers<br />

for unrivalled patient treatment. Qualified<br />

employees committed to the company<br />

and the consistent expansion of core<br />

competencies within the framework of<br />

clearly defined business areas are part<br />

of the secret to success. The perfect<br />

combination of tradition and experience<br />

with forward-looking vision and inspiring<br />

dynamism forms the foundation of the<br />

internationally active VITA Zahnfabrik.<br />

In recent years, can you enumerate VITA’s<br />

top three best-selling products in the<br />

<strong>Asia</strong>-Pacific (APAC) market and briefly<br />

discuss the factors that swayed these<br />

demands?<br />

Bini: These reside within our veneering<br />

materials, CAD/CAM and denture teeth<br />

portfolio — although we had an important<br />

spike in demand within our shade<br />

guide range. Thanks to strong and<br />

long-lasting relationships with our local<br />

distribution network, we are sure to<br />

deliver our products to local users in<br />

the area.<br />

Together with our internal training<br />

team and leveraging our recently<br />

build VITA Hybrid Studio, we<br />

ensure to provide constant learning<br />

opportunities. Partnering with VITAcertified<br />

labs and milling centres, put<br />

us in the position to provide the VITA<br />

offering to local communities, yielding<br />

particular success within the<br />

veneering material range.<br />

What is unique about<br />

the APAC market,<br />

and how does it<br />

affect VITA’s sales<br />

and marketing<br />

strategies?<br />

Bini: Today,<br />

dentists<br />

and dental<br />

technicians<br />

in more<br />

than 150<br />

countries<br />

work with<br />

VITA’s quality<br />

26 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


DENTAL PROFILE<br />

products and restoration solutions.<br />

The APAC market is a very important<br />

one in the dental industry and for<br />

VITA — although it needs special<br />

catering due to its vastity, diversity<br />

and dynamicity. An important shift<br />

noticed is an exponential increase in<br />

E-commerce environments, and we<br />

will need to increase our investment<br />

in social media platforms to expand<br />

our audience on digital channels and<br />

leverage new marketing tools such as<br />

retargeting ads to convert the already<br />

engaged customers.<br />

“ The perfect combination of tradition<br />

and experience with forward-looking<br />

vision and inspiring dynamism forms<br />

the foundation of the internationally<br />

active VITA Zahnfabrik.”<br />

How does VITA ensure that dental<br />

practitioners can keep up with the<br />

advancement of the field, and how do<br />

you support your customers to further<br />

leverage on VITA’s product solutions?<br />

Bini: Firstly, “VITA is characterised<br />

by its closeness to the user”. Being<br />

closer to the user than anyone else is<br />

the company’s vision and therewith<br />

a key element to support users<br />

and customers worldwide. Shade<br />

systems, CAD/CAM materials, press<br />

and veneering materials as well as<br />

ready-made teeth and materials for<br />

the digital fabrication of dentures are<br />

offered through an international sales<br />

network that is very close to the users<br />

and customers.<br />

Secondly, “VITA is pioneering”. Better<br />

and better solutions for perfect<br />

prosthetics, that is the “VITA — perfect<br />

match” our qualified employees are<br />

working for day by day. Moreover,<br />

VITA can rely on its own very strong<br />

research and development team,<br />

based in the headquarter in Bad<br />

Säckingen, Germany, with a clear focus<br />

on the innovation fields of the future.<br />

And for VITA, being close to the user<br />

also means imparting knowledge.<br />

The VITA Academy lives and breathes<br />

advanced training and as a competent<br />

knowledge partner for dental<br />

laboratories and practices, offers<br />

comprehensive, customised advanced<br />

and further training formats.<br />

Sustainability in dentistry has been a<br />

hot topic recently — what are the steps<br />

VITA has taken to support this cause?<br />

Bini: VITA considers sustainability<br />

as a top priority. Now more than<br />

ever, manufacturers must consider<br />

the sustainability of production<br />

processes to guarantee that levels of<br />

emissions, energy consumption and<br />

waste be kept at a reasonable level.<br />

We are undergoing a process of lean<br />

transformation, intending to improve<br />

our manufacturing processes, but also<br />

the transactional everyday business<br />

way of things. We are constantly<br />

working to eliminate paper printouts,<br />

these being in the financial sector, but<br />

also in the commercial one. Drastic<br />

reductions in brochure printing and the<br />

introduction of QR codes support us<br />

in this mission. Everything that can be<br />

saved in the elimination of wastes and<br />

inefficiencies, can and will be reinvested<br />

in R&D and marketing activities to<br />

support our customers.<br />

What other developments from Vita<br />

should the industry look forward to,<br />

and how do you envision the company<br />

in the next 5–10 years?<br />

Bini: Our goal is to develop and<br />

continuously improve our solutions<br />

for ideal aesthetic and functional<br />

restorations. By delivering continuous<br />

improvements in safety, quality,<br />

innovation, and manufacturing processes,<br />

we hope to offer a key element for the<br />

quality of life to people throughout the<br />

world. Stay tuned for exciting news in the<br />

digital denture offering! DA<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 27


CLINICAL FEATURE<br />

Augmented aesthetics in direct<br />

composite layering<br />

Presenting a tedious but effective technique, Dr John Rundell Paredes details the<br />

use of modifying stains in conjunction with a mono-shade composite system to<br />

fabricate natural-looking restorations.<br />

Translucency in composites and other<br />

dental restoratives are ever present. The<br />

effects of translucency largely affects the<br />

final restoration, the thickness and type of<br />

this layer will dictate corresponding optical<br />

effects, especially on composites (Fig. 1).<br />

Thickness of the translucency layer reduces<br />

the chroma or the intensity of the shade (Figs.<br />

2-3). It also reduces the value, or the overall<br />

brightness of the shade. Differences in the<br />

type of translucency layers is also important,<br />

as higher value translucencies, in which being<br />

a brighter, milky-white layer, increases the<br />

value of the restoration while also decreasing<br />

chroma in increasing its thickness (Fig. 4).<br />

Lower value translucency layers in contrast,<br />

darkens the restoration and produces an<br />

amber shade to the restoration.<br />

It is worth noting that some types of<br />

translucencies vary in its translucency<br />

itself. Translucency in general lessens<br />

the definition of the layers and colours<br />

underneath it, like stains for example, but<br />

highly translucent, almost transparent/<br />

achromatic composite variants also exist,<br />

for those cases in which patterns and<br />

shades on the underlying layer should be<br />

better observed.<br />

The knowledgeable use of these types<br />

of layers can be an indispensable tool in<br />

creating high level aesthetics in anterior<br />

restorations. Typically found in multi shade<br />

system composites, mono shade systems<br />

can also have a translucency layer available<br />

to it, typically labelled as Incisal.<br />

CASE STUDY<br />

A 30-year-old female patient has undergone<br />

a class III non-extraction, compensated<br />

orthodontic treatment; the previous situation<br />

was a severe crowding on the anterior teeth with<br />

crossbite. The orthodontic treatment was done<br />

in the concept of using an accentuated curve<br />

of Spee to accommodate the spacing needed<br />

for the anterior teeth, without extraction of the<br />

lower premolar teeth to avoid resulting in an<br />

excessive retraction of the mandibular teeth.<br />

A disadvantage of this technique is the overinclination<br />

of the anterior teeth facially, but<br />

with the advantage of being less invasive due<br />

avoidance of extraction (Figs. 5-7)<br />

The patient wanted a better smile, but is<br />

not amenable to indirect restorations due<br />

Fig. 1: One type of translucency layer; TN-<br />

Translucent Neutral, Amaris, Voco<br />

Figs. 2-3: Note the thickness differences and its<br />

effect on the underlying layer<br />

Fig. 4: TL-Translucent Light; Amaris, Voco<br />

Figs. 5-7: Pre-operative pictures<br />

28 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


CLINICAL FEATURE<br />

Figs. 8-9<br />

Fig. 10<br />

Figs. 11-12<br />

Fig. 13<br />

Figs. 14-15<br />

Figs. 16-17<br />

to the preference of minimising tooth<br />

reduction. So, the treatment plan was<br />

to first lengthen the anterior teeth in an<br />

attempt to “test out” the function and<br />

phonetics of the proposed new length<br />

of the anterior teeth, keeping in mind<br />

minimising or possibly avoiding tooth<br />

reduction as per patient’s request. The<br />

patient also wanted to try out a brighter<br />

shade during this phase. Harmony is not<br />

yet a concern initially because of the<br />

prevailing COVID-19 restrictions of using a<br />

mask, the patient was more than willing to<br />

do this phase.<br />

Subsequent proposed procedures would<br />

be an in-office bleaching appointment,<br />

then a minimally invasive direct veneering<br />

or bonding smile makeover to recreate<br />

the smile with the least tooth reduction<br />

possible. Direct composite restorations<br />

also have the advantage of easy<br />

adjustments, considering that the patient<br />

had a crossbite and may not adjust to<br />

the new anterior design easily, while also<br />

enabling the us to layer a more natural<br />

looking restoration, as compared to a<br />

monolithic composite injection technique.<br />

A final, more durable, indirect restoration<br />

was also proposed, after a three-month<br />

period following the final direct restoration,<br />

if the patient would want to change it and<br />

would be amenable to tooth reduction.<br />

PRE-PROCEDURAL PREPARATION<br />

Direct addition of composite material was<br />

added to the tooth to simulate the new<br />

length of the anterior teeth, using a direct<br />

ormocer composite, Admira Fusion from<br />

VOCO; shade B1 and Incisal are layered in<br />

using a freehand technique. This phase<br />

was supposedly only for two-three weeks,<br />

but the patient wanted to delay the final<br />

treatment (Figs. 8-9).<br />

Patient came back for the definitive<br />

treatment citing the different adjustments<br />

she wanted for the teeth. The planned inoffice<br />

bleaching was done after reduction of<br />

the existing layered composite. Initial shade<br />

was at VITA Classical A4 (Fig. 10), noting the<br />

strong chroma and low value of the existing<br />

natural teeth, the patient was made to<br />

understand that a high value and target<br />

shade of B1 may not be achieved. This was<br />

understood and accepted by the patient<br />

before we continued with our bleaching<br />

procedure after impression and removal of<br />

the existing composite material (Figs. 11-12).<br />

A request of bonded temporaries was<br />

made by the patient during this time, as<br />

she is already accustomed to the new<br />

shape of her teeth. It was planned that<br />

we will be fabricating a direct temporary<br />

and mock up of the planned makeover<br />

for her to wear after a week from the<br />

bleaching procedure, to minimise possible<br />

discolouration of the natural teeth due to<br />

the possible effects of the bonding agent.<br />

A combination of A1 and B2 shades were<br />

achieved after the bleaching procedure<br />

(Figs.13-15), the patient was appointed a<br />

week after for her bonded temporaries. An<br />

appointment after two weeks was also set<br />

for the definitive composite restorations.<br />

The shade is still consistent after a week<br />

the bleaching procedure (Figs. 16-17).<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 29


CLINICAL FEATURE<br />

MOCK UP TRY-IN/TRANSFER<br />

The mock up was done using the impression<br />

from the first composite bonding. Specific<br />

parts were built up by wax, but reductions<br />

were also done for the planned smile. The<br />

proclination of the anterior teeth were<br />

considered and were mocked up with less<br />

material on the facial side and more towards<br />

the palatal area. The facial-incisal plane of<br />

the mock up is now slightly accentuated<br />

to give the effect of retroclination and to<br />

approximate the overjet of the anterior teeth<br />

to facilitate proper phonetics. A silicone<br />

stent was prepared using putty-wash<br />

technique, and then trimmed to the shape of<br />

the cervical scalloping of the teeth (Fig. 18).<br />

Transfer of the mock up was done by line<br />

etching the teeth with 37% phosphoric acid<br />

(Fig. 19), and then application of a bonding<br />

agent (Futurabond U, VOCO: Fig. 20) to all<br />

labial surfaces was done and cured after<br />

evaporation of the solvent; this is to facilitate<br />

good bonding to withstand some function for<br />

a week, but reassuring the removal process<br />

during the preparation phase will be easier as<br />

compared to a fully etched tooth.<br />

A self-curing, injectable temporisation material<br />

(Structur 3, VOCO) was injected into the<br />

silicone stent (Fig. 21) and then placed on<br />

top of the natural dentition, excess removed<br />

from the cervical area before removal of the<br />

silicone stent after four minutes (Fig. 22),<br />

then light-cured for bonding assurance. The<br />

surface oxygen inhibited layer was wiped<br />

off with alcohol and then the temporaries<br />

were adjusted as per the patient’s request.<br />

Final minimal polishing for gloss was done<br />

with a single-step polisher (Dimanto, VOCO)<br />

with smooth strokes under low speed with<br />

water cooling. Impression was taken after the<br />

final polishing procedure for the basis of the<br />

definitive composite restorations (Figs. 23-27).<br />

GUIDED PREPARATION THROUGH THE<br />

MOCK UP<br />

Preparation of the teeth were done after<br />

a week from temporisation. The plan was<br />

for a minimally invasive reduction as per<br />

patient’s request, and the target shade<br />

that the patient wanted was still B1 despite<br />

final shade matching being stable at B2. A<br />

reduction through the mock up was done at<br />

1mm on the incisal and 0.5mm on the incisal<br />

and middle facial thirds (Figs. 28-29), no<br />

reduction was done on the cervical third.<br />

Fig. 18<br />

Fig. 19<br />

Fig. 20<br />

Fig. 21<br />

Fig. 22 Fig. 23<br />

Fig. 24<br />

Fig. 25 Fig. 26<br />

Fig. 27<br />

Fig. 28 Fig. 29<br />

30 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


CLINICAL FEATURE<br />

Fig. 30 Fig. 31<br />

Fig. 32<br />

Fig. 33<br />

Fig. 34<br />

Fig. 35<br />

Fig. 36<br />

Fig. 37<br />

Fig. 38<br />

Fig. 39 Fig. 40 Fig. 41<br />

Reduction through the mock ups showed<br />

that minimal to no reduction was done<br />

on the natural teeth (Figs. 30-31), so the<br />

surface enamel was only roughened with<br />

fine grit diamonds and abrasive disks.<br />

COMPOSITE BONDING TECHNIQUE<br />

Rubberdam isolation was done for optimum<br />

moisture control and bonding, the teeth<br />

surfaces to be layered upon were fully<br />

etched with 37% phosphoric acid (Fig. 32),<br />

then bonding agent applied on all etched<br />

areas (Futurabond U, VOCO) (Fig. 33). A<br />

palatal stent that was fabricated from<br />

the adjusted mock up impression used to<br />

facilitate the buildup of the palatal shell<br />

using a nano-hybrid pure-silicate based<br />

direct composite, incisal translucent<br />

shade (Admira Fusion, VOCO) (Fig. 34),<br />

interproximal shells were also built up using<br />

the same shade and material (Fig. 35), this<br />

is to facilitate an easier layering of the body<br />

shades.<br />

Layering of the body shade was done using<br />

B1 (Admira Fusion, VOCO) (Fig. 36), the<br />

blending of the layered body shade to B2<br />

shade tooth structure is crucial, the B1 body<br />

shade should be tapered off properly and<br />

equally on contralateral teeth for proper<br />

cervical gradience and blending, the use<br />

of a nylon brush (Anterior Composite<br />

Brush, Smile Line) was used with a minimal<br />

amount of modelling liquid (Ceramage<br />

Modelling Liquid, Shofu), taking care not to<br />

use an excessive amount of modelling liquid<br />

as this can potentially create voids and<br />

therefore compromise the strength of the<br />

composite buildup.<br />

The incisal internal mamelons were shaped,<br />

leaving space for translucency and other<br />

incisal effects for optimal aesthetics. A thin<br />

layer of B1 shade was layered on the incisal<br />

edge to imitate the incisal halo, small incisal<br />

detailing was also layered using A2 shade<br />

(Admira Fusion, VOCO), this will render<br />

vertical lines inside the incisal translucency<br />

(Figs. 37-38). Multiple stains were applied<br />

to the various areas of the layered<br />

restoration; Blue on incisal areas to simulate<br />

incisal depth and translucency, blue on<br />

developmental grooves/fossa to increase<br />

the effect of depth in between the layered<br />

lobes, a combination of yellow and white on<br />

the mesial and distal lobes to increase value<br />

on those areas, and a combination of yellow<br />

and brown on some selected areas in the<br />

incisal to simulate chromatic irregularities,<br />

typically found on natural teeth (Final<br />

Touch Stains, VOCO) (Fig. 39 and 40), a<br />

cross-polarised photo shows the subtle<br />

effects that the stains (Fig. 41).<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 31


CLINICAL FEATURE<br />

Fig. 42 Fig. 43 Fig. 44<br />

Fig. 45<br />

Fig. 46<br />

Fig. 47a<br />

Fig. 47b<br />

Fig. 48 Fig. 49<br />

All layered and painted stains are overlaid<br />

upon by a final Incisal shade, this will<br />

guarantee that the painted stains will<br />

not be erased due to abrasions of<br />

normal wear and tear. The incisal shade<br />

composite also tapers off to blend in with<br />

the body shade on the middle third, this<br />

will decrease the chroma of the layers on<br />

the incisal area and gradually increasing<br />

towards the middle to cervical (Fig 42). A<br />

final curing of the composites was done<br />

under block-out gel to cure any oxygeninhibited<br />

layer present (Fig. 43).<br />

Sculpting was commenced using as<br />

low speed red band long flame bur,<br />

minimal reduction is needed due to the<br />

anatomical layering technique, thus<br />

saving time (Figs. 44-45). Finishing and<br />

polishing done with a combination<br />

of abrasive discs (Soflex Discs, 3M),<br />

finishing spirals (Soflex Spirals, 3M),<br />

Silicone Polishers with different<br />

pressures to achieve different results<br />

(Dimanto Polishers, VOCO), and final<br />

buffing of a fine aluminium oxide wax<br />

(Ceramage Dura Dia, Shofu) using a<br />

goat’s hair brush at low speed under<br />

isolation (Fig. 46).<br />

Final smile photos render a naturalistic<br />

design of the composite restorations<br />

with subtle anatomical effects and<br />

translucencies. (Figs. 47a-b: High<br />

contrast photo) A before and after photo<br />

with the pre-operative photo adjusted<br />

to approximate the colours of the post<br />

operative photos, as these were taken<br />

with different camera systems and<br />

lenses (Figs. 48-49). DA<br />

ABOUT THE AUTHOR<br />

Dr John Rundell<br />

Paredes is the<br />

head dentist<br />

and owner of<br />

Esthetique<br />

Smiles <strong>Dental</strong><br />

(Philippines). He graduated from<br />

Centro Escolar University with a<br />

degree of Doctor of <strong>Dental</strong> Medicine<br />

and has undergone intensive<br />

orthodontics training under Center<br />

for Orthodontic Training Seminars,<br />

Inc. A key opinion leader of VOCO<br />

Philippines and clinical advisor of<br />

Shofu, he also conducts training<br />

programmes and lectures with the<br />

organisation PIPE (Perio, Implant,<br />

Prostho, Esthetics).<br />

32 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


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CLINICAL FEATURE<br />

Elevate patient experience<br />

with proactive dentistry<br />

With the advantage of data recording capability and visualisation of oral<br />

conditions at the chairside for patient communication, Dr Tak-On Tse<br />

Ryan explains why intraoral scanners (IOS) have become a substantial<br />

instrument for oral health assessment and risk assessment of potential<br />

oral diseases.<br />

Balancing the quality of care and<br />

practice efficiency becomes a question<br />

for almost every dental professional.<br />

Having a long-term relationship<br />

with patients is ideal even for dental<br />

professionals, but prolonged hours at<br />

the clinic are exhaustive and it requires<br />

additional resources and manpower.<br />

Thankfully, digital technologies in<br />

dentistry have evolved so that multiple<br />

clinical conditions can be diagnosed<br />

with efficiency. The perception that<br />

oral health needs to be checked by<br />

clinicians only when there are identified<br />

symptoms makes it hard for patients to<br />

develop a long-term relationship with<br />

dental clinics, resulting in transactional<br />

types of patients.<br />

The problem with this approach is that<br />

often patients wait until they develop<br />

serious oral diseases which may require<br />

restorative treatments and cause<br />

anxiety about dental treatments and<br />

clinic visits (Armfield and Heaton, 2013).<br />

Personally, I categorise this practice<br />

pattern as a “Hitman” approach which<br />

is to find out the disease in a routine<br />

dental appointment that was not<br />

present six months ago, followed by<br />

treating the problem.<br />

However, the adoption of new<br />

digital technology into practice<br />

may result in practice style changes<br />

and steep learning curves for dental<br />

professionals, especially due to<br />

digital literacy. Often, clinicians<br />

find it difficult to develop new skills<br />

or evolve their practice due to<br />

time constraints and staff training,<br />

resulting in limited benefits despite<br />

significant investments (Mascitti<br />

and Campisi, 2020).<br />

In addition, patients in the digital<br />

era prefer to have autonomy in the<br />

dental treatment decision-making<br />

with more understanding of their<br />

oral health conditions to accept<br />

any diagnosis or treatments and<br />

manage their oral health (Benecke<br />

et al., 2020).<br />

HEALER APPROACH VS HITMAN<br />

APPROACH<br />

In contrast, there is another<br />

practice style that implements<br />

a risk assessment strategy to<br />

provide proactive care and develop<br />

a long-term relationship with<br />

patients: a healer approach. The<br />

latter method is through evidencebased<br />

evaluation and made<br />

recommendations based on diet,<br />

homecare habits, and other preventive<br />

measures and monitoring to minimise<br />

the potential risk of dental problems.<br />

Preventive dental care is indeed found<br />

to be cost-saving and effective at<br />

achieving better oral health conditions<br />

overall (Pourat, Choi, and Chen, 2018).<br />

The concept closely resembles<br />

the periodic vehicle (automobile)<br />

inspection or regular health<br />

screening. <strong>Dental</strong> health also needs<br />

to be checked on a regular basis so<br />

that patients can take better care<br />

of their oral health. Some common<br />

problems that can be detected early<br />

and prevented include the following:<br />

periodontal, biomechanical,<br />

functional, and dentofacial issues.<br />

The concept of diagnostic options is<br />

like the vehicle inspection categories.<br />

ADVANTAGES OF IOS OVER<br />

CONVENTIONAL TOOLS<br />

Intraoral scanner (IOS) such as iTero<br />

Element 5D scanners is an ideal<br />

solution for preventive oral health<br />

assessment and risk assessment. The<br />

comprehensive diagnostics features<br />

and data record capability of the<br />

scanners for oral health assessment<br />

streamline the subsequent dental<br />

check-ups as well as the initial visit.<br />

34 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


CLINICAL FEATURE<br />

In just one scan, multiple types of<br />

information are captured within<br />

minutes and visualised on-screen<br />

for communication with patients:<br />

iTero NIRI (Near Infra-Red Imaging)<br />

technology for early enamel/dentinal<br />

interproximal caries (Metzger, et al.,<br />

<strong>2022</strong>); iTero Occlusogram for bite<br />

force/malocclusion/arch contact<br />

relationship; iTero TimeLapse<br />

technology and integrated 3D intraoral<br />

camera for teeth, tooth structures and<br />

oral soft tissues (Figs. 1a-b).<br />

These features can be used to<br />

identify cracks and visualise trauma<br />

as well. If needed, the scanned<br />

results can be used to demonstrate<br />

the needs of orthodontics<br />

treatments to patients (in certain<br />

versions of scanners) and the<br />

expected treatment outcomes can<br />

be visualised through an application<br />

called Invisalign Outcome Simulation<br />

(IOSim)/IOSim Pro at chairside.<br />

The strength of iTero Element<br />

scanners is the scan report feature,<br />

which packages the oral health<br />

condition pictures/data of a patient<br />

into one document and is formulated<br />

to be sent to the e-mail or mobile<br />

device of a patient.<br />

This is the reason why iTero Element<br />

scanners could be advantageous over<br />

mirrors and transilluminators which<br />

are far more affordable. It is the<br />

report and shared communication<br />

with patients that help clinicians<br />

build stronger relationships with<br />

patients.<br />

In addition, the record-sharing<br />

practice is effective to raise<br />

patient awareness of oral health<br />

management as well as for patients<br />

to take their time to understand and<br />

appreciate the additional time and<br />

resources spent on the assessment.<br />

The visualisation and the handson<br />

copy of oral conditions support<br />

patients to comprehend their oral<br />

conditions and accept diagnosis and<br />

treatments. Moreover, it is a practice<br />

to provide warnings for potential<br />

dental problem risks, educate how<br />

their oral conditions need to be<br />

taken care of, and therefore reduce<br />

the liability of dental professionals.<br />

PRACTICE SHARING<br />

To provide an example of how oral<br />

health assessment is integrated into<br />

my clinical practice, I will introduce<br />

a workflow. Upon arrival at the<br />

clinic, patients are asked to fill out<br />

an initial visit survey (from Kois<br />

Centre, Seattle) to assess their oral<br />

health conditions and report their<br />

daily oral management behaviours<br />

while they are waiting. This is a<br />

great gateway for patients to think<br />

about their oral health and feel the<br />

need for comprehensive check-ups.<br />

The survey provides oral health<br />

assessment recommendations based<br />

on the number of answers requiring<br />

the monitoring of oral health. Thus,<br />

if patients are willing to assess their<br />

oral health conditions or if a certain<br />

number of answers are ticked, an<br />

assessment is recommended.<br />

Once patients are under the oral health<br />

assessment, multiple diagnostics tools<br />

including IOS are used to analyse the<br />

oral conditions. The core value of IOS<br />

such as iTero Element scanners is that<br />

oral health conditions can be visualised<br />

and communicated with patients at the<br />

chairside concurrently. While scrolling<br />

over different angles of oral health<br />

components, dental professionals can<br />

explain the current oral conditions to<br />

patients, what oral problems are being<br />

suspected, and possibly share the<br />

treatment plans if needed.<br />

Since the saying “seeing is believing”<br />

is often a very fundamental belief<br />

system in humans, patients tend to<br />

trust and accept the diagnosis and<br />

treatment plans more easily after the<br />

visualised oral health assessment.<br />

Additionally, patient’s decision<br />

to accept treatment is heavily<br />

affected by their relationship with<br />

their dentists which is the first and<br />

foremost factor over cost and time<br />

(Kalsi and Hemmings, 2013).<br />

Figs. 1a-b: Clinical condition of attrition detected during oral health assessment which is difficult to detect without magnification<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 35


CLINICAL FEATURE<br />

Figs. 2a-b: Oral health assessment summary shared with patients via email or mobile phones<br />

Fig. 3: iTero TimeLapse technology image<br />

The benefits of iTero Element scanners do<br />

not end here. Even if patients do not accept<br />

treatments onsite or do not possess any oral<br />

health issues, the Scan Report feature of iTero<br />

Element scanners can be used to provide a<br />

summary of oral health conditions to patients<br />

via mobile phone or e-mail (Figs. 2a-b).<br />

It provides another opportunity for<br />

patients to be reminded of their oral health<br />

conditions and the importance of good<br />

management of their oral hygiene. Over<br />

multiple visits and several summary reports,<br />

patients can track the changes of their oral<br />

health over time and their awareness of oral<br />

health management is likely to increase.<br />

With the baseline record and additional<br />

record over times, the clinician can use the<br />

Timelapse function and monitor the oral<br />

health of the patient (Fig. 3).<br />

Furthermore, the summary is shared with a<br />

risk assessment scoring I provide for patients<br />

to be aware of potential oral health diseases.<br />

Based on the risk assessment scoring, the<br />

schedule for the next clinic visits could be<br />

estimated for individual patients and be<br />

arranged before they leave the clinic, which<br />

contributes to the continuous relationship<br />

with patients.<br />

Besides, convenience is guaranteed for<br />

patients and clinics from the long-term<br />

relationship. The oral health history of<br />

patients will be recorded in the database<br />

after initial visits. The patient profiles and<br />

records can be retracted at any time and<br />

36 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


CLINICAL FEATURE<br />

Fig. 4: Flowchart of oral health assessment practice<br />

compared with the most recent conditions<br />

to examine any changes. This database will<br />

build a foundation for patients to establish<br />

their primary dental care and eventually lead<br />

to a long-term relationship.<br />

With the establishment of long-term<br />

patients, the predictability of clinic<br />

resource and manpower management<br />

is achieved, resulting in efficiency<br />

and effectiveness in clinic schedule<br />

arrangement. The productive cycle of oral<br />

health assessment practice is illustrated in<br />

the flowchart (Fig. 4).<br />

CONCLUSION<br />

Collectively, the proactive oral health<br />

assessment of patients using IOS provides<br />

benefits to patient lifestyle and dental<br />

professional clinic practice management in a<br />

few ways including:<br />

1. Efficiency of practice (reduced chairside<br />

time from the use of iTero Element scanners<br />

which feature comprehensive oral health<br />

assessment diagnostics applications)<br />

2. Effective patient communication and<br />

education (visualisation and comparison of<br />

oral health condition changes over time)<br />

3. Increased volume of long-term patients<br />

(with the practice of “seeing is believing”<br />

to establish trust and the record-keeping<br />

capability of IOS)<br />

With the constant evolution of technology<br />

in dentistry and the emergence of a new<br />

generation of patients in the digital era, it<br />

is critical to adapt versatile equipment to<br />

promote efficiency and effectiveness of<br />

clinical practice and enable a continuous<br />

relationship with patients to maintain<br />

good oral hygiene, which in turn returns<br />

sustainable relationship with dental<br />

professionals. DA<br />

REFERENCES<br />

• Armfield, J. M., & Heaton, L. J. (2013).<br />

Management of fear and anxiety in the dental<br />

clinic: a review. Australian dental journal, 58(4),<br />

390–531. https://doi.org/10.1111/adj.12118<br />

• Benecke, M., Kasper, J., Heesen, C., Schäffler,<br />

N., & Reissmann, D. R. (2020). Patient autonomy<br />

in dentistry: demonstrating the role for shared<br />

decision making. BMC medical informatics and<br />

ABOUT THE AUTHOR<br />

Dr Tak-On Tse Ryan<br />

graduated from the<br />

University of Hong Kong,<br />

and completed the<br />

whole comprehensive<br />

curriculum of Kois Centre<br />

in Seattle, US, involving<br />

aesthetic, occlusion and restorative dentistry.<br />

He eventually became a mentor in 2021. A<br />

fellow of International <strong>Dental</strong> College and<br />

Pierre Fauchard Academy, Dr Tse was also<br />

an instructor at the Implant and Aesthetic CE<br />

decision making, 20(1), 318. https://doi.org/10.1186/<br />

s12911-020-01317-5<br />

• Kalsi, J. S., & Hemmings, K. (2013). The influence<br />

of patients’ decisions on treatment planning in<br />

restorative dentistry. <strong>Dental</strong> update, 40(9), 698–<br />

710. https://doi.org/10.12968/denu.2013.40.9.698<br />

• Mascitti, M., & Campisi, G. (2020). <strong>Dental</strong> Public<br />

Health Landscape: Challenges, Technological<br />

Innovation and Opportunities in the 21st Century<br />

and COVID-19 Pandemic. International journal of<br />

environmental research and public health, 17(10),<br />

3636. https://doi.org/10.3390/ijerph17103636<br />

• Metzger, Z., Colson, D. G., Bown, P., Weihard, T.,<br />

Baresel, I., & Nolting, T. (<strong>2022</strong>). Reflected nearinfrared<br />

light versus bite-wing radiography for<br />

the detection of proximal caries: A multicenter<br />

prospective clinical study conducted in private<br />

practices. Journal of dentistry, 116, 103861. https://<br />

doi.org/10.1016/j.jdent.2021.103861<br />

• Pourat, N., Choi, M. K., & Chen, X. (2018).<br />

Evidence of effectiveness of preventive dental<br />

care in reducing dental treatment use and related<br />

expenditures. Journal of public health dentistry,<br />

78(3), 203–213. https://doi.org/10.1111/jphd.12262<br />

programme at the University of Southern<br />

California Esthetic Dentistry. He was also<br />

invited to be one of the experts in <strong>Dental</strong><br />

XP and is a Digital Smile Design Global<br />

instructor. At present, Dr Tse is the vicepresident<br />

of the Chinese Academy of<br />

Esthetic Dentistry (CAED) and the chairman<br />

of the Accreditation Board of CAED and is<br />

recognised as an associate fellow member<br />

of the American Academy of Esthetic<br />

Dentistry for his contribution in aesthetic<br />

dentistry.<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 37


USER REPORT<br />

All-ceramic restoration<br />

on discoloured teeth<br />

Dr Christopher Ho outlines strategies to overcome the challenges<br />

of restoring a severely discoloured tooth with high-aesthetic<br />

requirements.<br />

With the increasing use of all<br />

ceramic restorations, clinicians<br />

may encounter difficulty matching<br />

shades on discoloured teeth. This<br />

discolouration may be due to many<br />

factors, including metallic post and<br />

core, previous restoration, or other<br />

extrinsic or intrinsic factors.<br />

There is often a need to mask<br />

discolouration. However, allceramic<br />

restorations have inherent<br />

translucency within the material.<br />

It may be advantageous in most<br />

situations but may allow shine<br />

through of underlying dark stumps,<br />

negatively impacting the final shade<br />

match.<br />

Several strategies can be adopted<br />

to influence the final colour of the<br />

restoration including:<br />

• Choice of resin cement. Most<br />

dental companies manufacture<br />

shaded and opaque resin cement,<br />

which may assist in blocking<br />

discolouration. However, it should<br />

be noted that with the cement film<br />

thickness being 80-120 microns,<br />

it may not assist sufficiently<br />

in blocking the dark tooth. In<br />

my experience, it improves the<br />

situation by 10-15%.<br />

• Selecting an opaque ceramic<br />

material. The majority of materials<br />

for indirect restorations are<br />

available in different opacities<br />

and translucencies. Advising<br />

the ceramist that the tooth is<br />

dark and taking photographs<br />

of the stump shade may result<br />

in the selection of an opaquer<br />

ceramic material (e.g., Zirconia<br />

first generation materials, lithium<br />

disilicate – medium opacity ingot).<br />

The opaque ceramic will block<br />

the underlying dark tooth from<br />

showing through.<br />

• Thickness of material and<br />

preparation depth. All-ceramic<br />

restorations allow more<br />

conservative preparation, but<br />

with a dark tooth substrate,<br />

there may be the need to prepare<br />

deeper to allow greater material<br />

thickness which will be better<br />

at masking the dark tooth.<br />

Duraes et al. (<strong>2022</strong>) reported<br />

that the best thickness and<br />

opacity combination for masking<br />

discoloured dental substrates is<br />

to use 1.2mm thickness and LT<br />

(low translucency)/MO (medium<br />

opacity) lithium disilicate<br />

restorations.<br />

38 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


USER REPORT<br />

Fig. 1: Patient wants to replace the crown on tooth 11 due to poor<br />

marginal fit and discolouration of underlying stump<br />

Fig. 2: Removal of old crown reveals dark tooth substrate<br />

Fig. 3: Sub-opaquing the discoloured stump with opaque resin tints<br />

e.g., Kerr Kolor Plus A1 opaque, GC masking liner, Cosmedent Pink<br />

opaquer<br />

Fig. 4: Final all-ceramic crown<br />

• Porcelain fused to metal (PFM)<br />

crown. A conventional PFM<br />

restoration with a metallic coping<br />

is blocked out with an opaquer<br />

allowing the ceramist to start<br />

the layering on a white canvas.<br />

It should not be forgotten as<br />

a possible option. Clinicians,<br />

however, must remember that the<br />

depth of preparation would need to<br />

be at least 1.5mm with a shouldertype<br />

margin to achieve adequate<br />

thickness for the metal coping and<br />

the overlying feldspathic porcelain.<br />

• Sub-opaquing the stump. The final<br />

technique is to sub-opaque the<br />

stump with an opaque resin tint.<br />

Several manufacturers provide<br />

opaque resin tints that are thin<br />

and possess titanium dioxide,<br />

which effectively scatters light<br />

providing white opacity to block<br />

out discolouration. This opaquer<br />

is like a flowable resin applied<br />

by adhesive bonding and placed<br />

precisely with a thin layer that<br />

extends along the axial wall<br />

extending sub-gingivally when<br />

tissue biotype is thin (Figs. 1-4).<br />

Matching discoloured teeth is<br />

always a challenge; both the<br />

clinician and laboratory team need<br />

to work synergistically to achieve<br />

an ideal outcome. Communication<br />

is paramount to success with<br />

clinicians providing detailed<br />

instruction about the stump colour<br />

as well as allowing sufficient<br />

thickness and understanding the<br />

selection of materials to effectively<br />

block any dark stump colour.<br />

Possessing other strategies such<br />

as the sub-opaquing method may<br />

reduce the difficulty in the shade<br />

matching by having an idealcoloured<br />

substrate and should be<br />

part of your armamentarium in<br />

tackling these tough cases. DA<br />

ABOUT THE AUTHOR<br />

Dr Christopher<br />

Ho is a specialist<br />

prosthodontist<br />

who completed<br />

postgraduate<br />

studies in Masters<br />

of Clinical<br />

Dentistry in<br />

Prosthodontics from the University<br />

of London, and a Doctorate in Clinical<br />

Dentistry in Prosthodontics from the<br />

University of Sydney. He is a fellow<br />

of the Pierre Fauchard Academy,<br />

American College of Dentists, and<br />

a special field member of the Royal<br />

Australasian College of <strong>Dental</strong><br />

Surgeons in Prosthodontics. He is the<br />

head of the School of Postgraduate<br />

Dentistry, Australasian College of<br />

<strong>Dental</strong> Practitioners, and a visiting<br />

lecturer for the postgraduate oral<br />

implant diploma and prosthodontic<br />

programmes at the University of<br />

Sydney, and Kings College London, UK.<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 39


USER REPORT<br />

GBR around implant<br />

using porcine-derived<br />

carbonate apatite<br />

xenograft to optimise<br />

pink aesthetics<br />

Dr Akshay Kumarswamy elaborates on the use of<br />

RegenerOss resorbable xenograft for guided bone<br />

regeneration (GBR) procedure.<br />

A 40-year-old female presented to us<br />

was unhappy about her longstanding<br />

existing two-unit cantilever bridge<br />

with tooth 25 being the abutment<br />

tooth and tooth 24 as the pontic. She<br />

wished to get rid of the pontic and<br />

hoped for something more aesthetic.<br />

Fig. 1<br />

Fig. 2<br />

After a thorough examination – the<br />

crown on tooth 25 seemed to have<br />

good margins and could be salvaged.<br />

The initial picture (Fig. 1) was taken<br />

after the pontic was cut off from<br />

tooth 25. The pontic had created<br />

an ideal soft tissue profile. A buccal<br />

defect was noted in tooth 24 region.<br />

Implant placement with guided<br />

bone regeneration (GBR) followed<br />

by a screw-retained restoration was<br />

planned at that site.<br />

TREATMENT PLAN<br />

The initial plan consisted of placing<br />

the implant in its most ideal position<br />

Fig. 3 Fig. 4 Fig. 5<br />

Fig. 1: Cantilever pontic cut from parent<br />

prosthesis and soft tissue profile created<br />

by it<br />

Fig. 2: Buccal defect seen – 4.1x10mm<br />

implant placed in ideal position keeping in<br />

mind future screw-retained restoration<br />

Fig. 3: Buccal view of the buccal defect and<br />

thin bone around the implant<br />

Fig. 4: RegenerOss resorbable xenograft<br />

placed at the site<br />

Fig. 5: Membrane cut to desired shape and<br />

placed over the bone graft<br />

40 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


USER REPORT<br />

Fig. 6a<br />

Fig. 6b<br />

Fig. 7a<br />

Fig. 7b Fig. 8<br />

Fig. 9a<br />

ABOUT THE AUTHOR<br />

Fig. 9b<br />

Figs. 6a-b: Flap mobilised and sutures were<br />

placed with no tension<br />

Fig. 7a-b: Second stage surgery after four<br />

months and placing of healing abutment<br />

to facilitate a screw-retained<br />

restoration. This would also involve<br />

GBR with the help of a xenograft<br />

material (RegenerOss, ZimVie) and a<br />

collagen membrane to ensure that<br />

the lost buccal bone was regenerated.<br />

Since it was a premolar site, a<br />

4.1x10mm implant was planned. The<br />

ideal depth of placement was 3mm<br />

below the buccal CEJ of the adjacent<br />

tooth. This would help in an ideal<br />

emergence profile of the future<br />

restoration.<br />

CONCLUSION<br />

GBR with an implant can have<br />

great results — both functional and<br />

aesthetic. The following points need<br />

to be kept in mind:<br />

• Primary closure of the grafted site<br />

is of prime importance<br />

Fig. 10<br />

Fig. 8: Emergence profile post healing<br />

Figs. 9a-b: Screw retained crown placed<br />

Fig. 10: Final restoration<br />

• Placement of implant in the most<br />

ideal position is paramount to<br />

achieve a good aesthetic and<br />

functional restoration. In case the<br />

bone is absent, it needs to be built<br />

before implant placement.<br />

In the case above, the bone was<br />

adequate enough to facilitate the<br />

placement of an implant with good<br />

primary stability which in turn helped<br />

us to graft the buccal defect at the<br />

same time as implant placement.<br />

The handling properties of<br />

RegenerOss Resorbable Xenograft are<br />

excellent. I hydrate them in normal<br />

saline for about 10 minutes before<br />

placing them in the desired site. I have<br />

had great results when I use them in<br />

GBR procedures. DA<br />

Dr Akshay<br />

Kumarswamy is a<br />

diplomate of the<br />

American Board<br />

of Periodontology<br />

and is board<br />

certified in<br />

periodontics and implant surgery.<br />

He completed his graduation from<br />

the College of <strong>Dental</strong> Sciences,<br />

Davangere, Karnataka. He pursued<br />

Advanced Education in General<br />

Dentistry (AEGD) from Boston<br />

University Goldman School of <strong>Dental</strong><br />

Medicine, US, and completed his<br />

Master of Science in Periodontics<br />

from the University of North<br />

Carolina at Chapel Hill School of<br />

Dentistry, US. Dr Akshay is also<br />

a fellow and diplomate of the<br />

International Congress of Oral<br />

Implantologists (ICOI) and was<br />

awarded the American Academy<br />

of Periodontology Educator<br />

Award in 2016 and the American<br />

Academy of Periodontology (AAP)<br />

Foundation scholarship for the year<br />

2012. Currently, he is a consultant<br />

periodontist and implantologist<br />

at Dr Kumarswamy’s PerioFamily<br />

Advanced Dentistry Clinic in Mumbai,<br />

India.<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 41


USER REPORT<br />

Morphologyfocused<br />

direct<br />

composite<br />

restoration<br />

By highlighting the distinct characteristics of a tooth,<br />

clinicians can create natural-looking composite restoration<br />

as Dr Nokame Yoshinori explains.<br />

<strong>Dental</strong> resin composites (DRCs)<br />

are widely used for restorative and<br />

aesthetic repairs. To achieve clinical<br />

success, the process of adhesion is<br />

crucial. Hence after complete caries<br />

removal, composite restoration<br />

must be done with rubber dam<br />

isolation to prevent contamination<br />

of moisture and saliva.<br />

The key to the aesthetic outcome<br />

of direct molar restorations is the<br />

understanding of the anatomical<br />

characteristics of the teeth and<br />

the techniques used to express<br />

them. Commonly, shade is less<br />

of an issue in direct restoration<br />

of molars, particularly for new<br />

generation composites that can<br />

easily blend naturally with the<br />

tooth.<br />

Therefore, focusing on the<br />

morphological characteristics of<br />

the tooth is more important than<br />

ever in doing direct restoration.<br />

CASE STUDY<br />

The first case is a Class 2 direct<br />

restoration of a first and second<br />

maxillary premolar. Even though they<br />

are the same maxillary premolar,<br />

each has unique characteristics.<br />

For example, the first premolar<br />

has larger crown than the second<br />

premolar, a wider central groove,<br />

and a less developed secondary<br />

ridge. Without understanding these<br />

characteristics, the restoration will<br />

not look as natural as it does in this<br />

case (Figs. 1-2).<br />

The second case is a mandibular first<br />

molar restored by direct restoration<br />

on the same day after debridement<br />

Fig. 1: Pre-treatment condition: The metal inlay of the maxillary second<br />

premolar cuts into the distal side of the first premolar, taking up space<br />

Fig. 2: Postoperative condition: Direct composite restorations captured<br />

the characteristics of each tooth type<br />

42 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


USER REPORT<br />

of the large cavity underneath the<br />

metal inlay. Partial pulpotomy was<br />

also performed using MTA cement<br />

(Figs. 3-6).<br />

Fig. 3<br />

Fig. 4<br />

At first glance, the restoration appears<br />

to be typical of Class 2. But if you look<br />

carefully, there is a nodule — a rare<br />

mandibular first molar morphology<br />

— on the centro-lateral side. Called<br />

the “sixth cusp” in Japan, the nodule<br />

occurs in 10-20% of mandibular first<br />

molars.<br />

Fig. 5<br />

Fig. 6<br />

When I treated this tooth, I determined<br />

from preoperative observation of<br />

the crown morphology that there<br />

was originally a sixth cusp. This is<br />

because the crown is wider toward the<br />

centro-lingual side, and the centrolingual<br />

occlusal head would have been<br />

abnormally large if I had tried to create<br />

the usual type of crown (Figs. 7-9).<br />

Figs. 7a-c<br />

If the sixth cusp was not restored,<br />

the outcome would probably be<br />

unacceptable. Hence, whether or not<br />

the surgeon knows that a sixth cusp<br />

can exist in this area can make all the<br />

difference in the result.<br />

Fig. 8 Fig. 9<br />

Fig. 3: Pre-treatment condition: The<br />

mandibular first molar with metal inlay<br />

showing marginal leakage. There are no<br />

spontaneous symptoms, but stimulated by<br />

cold stimulator<br />

Fig. 4: The old restoration was removed and<br />

the tooth was isolated with rubber dam.<br />

Large cavity was observed underneath the<br />

metal inlay<br />

Fig. 5: After removing the decay, a part of<br />

the dental pulp was exposed. It was free<br />

of abnormal finding in the preoperative<br />

diagnosis with microscope. It was decided to<br />

perform partial pulpotomy using MTA cement<br />

Fig. 6: Completion of the partial pulpotomy<br />

procedure and the removal of the<br />

remaining infected dentin and beveling.<br />

In this phase, I make the prediction of the<br />

final morphology<br />

Figs. 7a-c: If we simply think of the<br />

mandibular first molars as five cusps and<br />

place them in textbook form, the final<br />

restorations would appear too large as<br />

shown in Figs. 7a-b.<br />

Fig. 8: Post operative condition: As shown<br />

in Fig. 7c, the restoration settled into a<br />

morphologically comfortable arrangement<br />

Fig. 9: Post-treatment one year later<br />

ABOUT THE AUTHOR<br />

Dr Nokame Yoshinori graduated from Nihon University<br />

School of Dentistry in Matsudo, Japan, in 2010. Since 2011,<br />

he has served as the deputy director of Nokame <strong>Dental</strong><br />

Clinic. He is board certified by the Japanese Association of<br />

Microscopic Dentistry (JAMD) and The Academy of Clinical<br />

Dentistry.<br />

CONCLUSION<br />

Knowing the textbook morphology<br />

of teeth is important, but merely<br />

memorising them will not<br />

automatically lead to aesthetic<br />

results, as not all teeth have the same<br />

shape. The teacher to learn from is<br />

the natural teeth, and observation<br />

teaches us that there are many<br />

variations. That is the fun of direct<br />

restorations. DA<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 43


BEHIND THE SCENES<br />

Attractive and with character<br />

With sophisticated techniques, DT Luís Manuel Rocha Saraiva presents a<br />

step-by-step guide to high-aesthetic zirconia restorations.<br />

This is my protocol about the correct<br />

handling of zirconia materials such as Zolid<br />

HT+ Preshades which can be applied to all<br />

kind of aesthetic restorations starting with<br />

single crowns up to implant-supported full<br />

arch cases.<br />

In this article, I will show how to individualise<br />

and characterise high-aesthetic monolithic<br />

zirconia restorations in a very efficient and<br />

easy way. For this case, I have chosen two<br />

cases. A monolithic tooth-supported fullarch<br />

bridge which is only stained and an<br />

implant-supported bridge with monolithic<br />

teeth and a veneered gingiva (Fig. 1). Both<br />

cases are made using Zolid HT+ Pre-shades.<br />

DIGITAL DESIGN<br />

For the design of the crowns, we usually<br />

follow the digital workflow which is given<br />

by our CAD Software. Because this article<br />

relates more to the manual processing of<br />

zirconia, we will go through it quickly. But<br />

there are some very important rules you<br />

should always consider in your design:<br />

1. Use an Artex articulator before the<br />

digital design for all preparations of the<br />

models and use the digital articulator to<br />

finalise the functional design.<br />

2. Never start the digital workflow<br />

without using an approved wax-up or<br />

test model.<br />

3. Use the approved wax-up or test model<br />

as a pre-op scan (Fig. 2).<br />

4. Always remember the basics of a dental<br />

restoration: we are trying to imitate<br />

nature, so never forget the importance of<br />

shape and anatomy.<br />

5. Always follow the manufacturer’s<br />

instructions and the given indications of<br />

the material.<br />

GREEN STATE CHARACTERISATION<br />

To achieve an optimum aesthetic result,<br />

we need to remember the basics of tooth:<br />

anatomy and shape. In the second phase, it is<br />

necessary to use our knowledge in anatomy<br />

and dental morphology. For this we must<br />

Fig. 1: High-aesthetic zirconia restorations with an individual character<br />

Fig. 2: Pre-op scan<br />

Fig. 3: Working model scan<br />

Fig. 4: Matching process, pre-op scan and working model<br />

Fig. 5: Final CAD design tooth-supported bridge<br />

Fig. 6: Final CAD design implant-supported bridge<br />

44 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


BEHIND THE SCENES<br />

prepare ourselves accordingly and I would<br />

recommend the following actions:<br />

1. Always use tools that are suitable for<br />

zirconia finishing in the green state. I use<br />

the Amann Girrbach Green State Finishing<br />

Kit, it contains all the tools I need.<br />

2. The speed specifications of the tools<br />

should always be observed.<br />

3. Zirconia in the green state is very<br />

sensitive, never use too high pressure<br />

and/or blunt tools.<br />

4. Always keep in mind that the zirconia<br />

shrinks by almost 20%. Due to that fact,<br />

the surface characterisation should be<br />

a bit deeper, but never make notches in<br />

areas under tensile stress.<br />

5. Use gloves and a mask and work cleanly,<br />

milling dust must be completely removed<br />

before sintering.<br />

We should always should bear in mind that<br />

although we infiltrate the zirconia with<br />

liquids for shading, we still apply stains,<br />

glazes and veneering ceramics later. Of<br />

course, we want to keep the microstructure<br />

even if these ceramic materials are applied.<br />

We should also take this into account in<br />

this phase, too. The microstructure we<br />

create in the green state is later decisively<br />

involved in the aesthetics and the natural<br />

appearance of the restoration.<br />

INFILTRATION<br />

This stage has the least influence on the<br />

final result, but it is the trickiest step. We<br />

must improve the chroma and the effects<br />

of the restoration without a real and<br />

immediate visualisation of the colours we<br />

use. The final colour becomes visible for<br />

the first time after the sintering process.<br />

To achieve aesthetic results, we must<br />

understand the principle of the white and<br />

porous zirconia foundation. I therefore<br />

recommend to people who do not have a<br />

lot of experience with the application of<br />

colouring liquids to always start with tests<br />

on blank leftovers or practice restorations,<br />

to take photos of the last results and to<br />

record everything you do.<br />

If the principle is once understood, the<br />

mental visualisation and implementation<br />

works quite easy. For this process step, I<br />

recommend the following preparation:<br />

1. Prepare all the colours to be used and<br />

follow the instructions for the materials.<br />

2. Clean the zirconia surface with<br />

compressed air, milling dust needs to be<br />

fully removed.<br />

3. Carefully start infiltration with small<br />

brushstrokes and small amounts of liquid.<br />

The zirconia in this stage has a high<br />

absorption behaviour (Fig. 12).<br />

4. Apply the chroma (dentin liquid) to the<br />

intended areas, i.e., approximal, cervical<br />

and occlusal. Due to the use of preshaded<br />

zirconia, the colour only needs to<br />

be reinforced in those areas.<br />

5. Apply the effects e.g., in the incisal area.<br />

SURFACE PREPARATION AND COLOUR<br />

CUSTOMISATION<br />

Figures 13-16 show the results after<br />

sintering. Despite all the work, the excellent<br />

quality of this material is evident. It is<br />

only possible with a material like Zolid<br />

HT+ Preshades to have such results after<br />

sintering and to perceive the excellent<br />

optical behaviour of zirconia. If the<br />

restoration meets all requirements after<br />

sintering, we can concentrate on the most<br />

important aspect, the aesthetics.<br />

In that case, I used the staining system<br />

Ivocolor from Ivoclar Vivadent. This has<br />

two reasons. The first is the wide range of<br />

possible firing cycles, I am able to choose a<br />

temperature between 700-890ºC without<br />

harming its properties. The second reason<br />

is its optical behaviour. This kit has three<br />

unique colours on the market: Ivocolor E22,<br />

Magenta Ivocolor E21 and Neutral Gray<br />

Ivocolor E17. It also has three basic shades<br />

SD0, SD1 and SD2, that form the base of<br />

the chroma that we will need for this type<br />

Figs. 7-8: Initial situation after milling<br />

Fig. 9: Manual re-work of zirconia in the green state<br />

Figs. 10-11: Final restoration after manual re-work, ready for sintering<br />

Fig. 12: Application of the colouring liquid<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 45


BEHIND THE SCENES<br />

Figs. 13-16: Final result after the sintering process<br />

Figs. 17-20: First firing, only glaze and some chroma intensification<br />

Figs. 21-22: Second stain firing with predictable results<br />

Figs. 23-24: Applied stains in the monolithic areas and veneered gingiva<br />

before the firing<br />

of work. This system allows users to apply<br />

smaller amounts of material, saving on<br />

costs, reducing time and errors.<br />

FIRST STAIN FIRING<br />

For the first firing, I apply glaze as a base. At<br />

this stage, it is possible to take advantage of<br />

the great margin of fusion that these stains<br />

have and also to apply a little chroma (SD2)<br />

to the body of the teeth and to increase<br />

depth in the approximal spaces (Ivocolor<br />

E11 Mahogany).<br />

The first bake is the most important to<br />

prepare the surface for good aesthetic<br />

results, facilitating the application of the<br />

next layers, but also providing a good base<br />

for the adhesion of the ceramics used.<br />

To achieve high-aesthetic results, a lot of<br />

attention must be paid to the consistency<br />

of the glaze. Apply small amounts of stains<br />

in each application, maintaining a smooth<br />

and uniform colour. It is crucial to be<br />

careful with this detail for every firing. Keep<br />

in mind that in all firings, effects can be<br />

added and chroma can be improved.<br />

SECOND STAIN FIRING<br />

With the next stain firing, we have the<br />

opportunity to work very predictably. The<br />

anatomy, the shape and the function are<br />

done and now we can apply the necessary<br />

colours to make the work look as natural<br />

as possible. One of the great advantages of<br />

using only stains for monolithic restorations<br />

is the possibility of seeing the result of the<br />

firing before going to the furnace.<br />

The colours of the stains stay the same<br />

before and after the firing, so besides<br />

the form, we also achieve predictability<br />

in colours and effects (Figs. 21-22). The<br />

ceramic firing in this stage of the protocol,<br />

we add veneering ceramics to the surface<br />

of zirconia. Again, let’s take the advantage<br />

of all the firings to add more detail so that<br />

we can finish the job as quickly and simply<br />

as possible.<br />

Ideally, we will try to make just one our<br />

two ceramic firings. We apply the ceramic<br />

materials in the desired places and in the<br />

monolithic areas and, of course, we can<br />

also add effects and improve the chroma<br />

with stains. Thus, we reduce the thermal<br />

stress of the zirconia and ceramic, and we<br />

gain time. Remove the zirconia frames from<br />

the furnace when the temperature reaches<br />

250ºC, too high temperatures can lead to<br />

thermal stress and fractures.<br />

FINALISATION<br />

In this case, I will not go into the surface<br />

treatment any further. That would go<br />

beyond the scope here and is also very<br />

individual from technician to technician<br />

and highly dependent on personal taste.<br />

Although I would still like to give a hint.<br />

Zirconia is characterised among other<br />

things by its high biocompatibility, which<br />

demonstrates very good behaviour on the<br />

contact points with the tissue if properly<br />

46 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


BEHIND THE SCENES<br />

processed. There are already<br />

numerous studies that prove this.<br />

When zirconia is high-gloss polished,<br />

the material shows an extremely<br />

smooth surface. This prevents the<br />

excessive colonisation of bacteria<br />

and significantly improves wearing<br />

comfort for the patient. So, when<br />

finishing the restoration, we have to<br />

make sure that all contact points with<br />

the gingiva are carefully polished.<br />

Figs. 25-26: Applied stains in the monolithic areas and some small cutback for the incisals before firing<br />

In addition, these areas should never<br />

be stained or veneered, as this in<br />

turn could lead to a deterioration<br />

of wearing comfort and to plaque<br />

adhesion. It is also essential to ensure<br />

a clean and gap-free connection<br />

between the titani-m base and<br />

the zirconia frame. A gap can lead<br />

to the colonisation of undesirable<br />

bacteria (Figs. 27-29). For monolithic<br />

zirconia restorations, the polishing<br />

of the occlusal contact points is also<br />

extremely important. Only a highgloss<br />

polished surface prevents<br />

abrasion of the antagonist.<br />

CONCLUSION<br />

With the arrival of CAD/CAM<br />

technologies, the doors for zirconia<br />

were opened. Nowadays, the great<br />

evolution of this material allows us<br />

to obtain highly aesthetic results in a<br />

predictable way, by using only small<br />

cut-backs or even full-contours.<br />

Mechanically, we reduce the<br />

possibility of fractures, and if we apply<br />

this protocol to any ceramic system,<br />

we should have a homogeneous<br />

restoration with predictable results.<br />

I believe that Zolid HT+ Preshade<br />

changed the game in a lasting way.<br />

This article is based on two cases,<br />

where we show a characterisation<br />

with a lot of effort and in the end,<br />

with a high-aesthetic result in a<br />

simple and fast way. This shows that<br />

for daily work it will be even easier to<br />

achieve the desired results. DA<br />

This article was first published in March<br />

2019 issue of “BYT- Another <strong>Dental</strong><br />

Magazine” by Amann Girrbach<br />

Figs. 27-29: mechanical polished contact areas<br />

Figs. 30-32: The final result — predictable aesthetics simple and fast<br />

ABOUT THE AUTHOR<br />

DT Luís Manuel Rocha Saraiva<br />

his debut as a speaker at several<br />

graduated from CESPU (Portugal) in conferences and as an instructor<br />

2012 in dental prosthetics field. In of Amann Girrbach. In 2019,<br />

the same year, he began his career at he joined the team of August<br />

a laboratory in Matosinhos for fixed Bruguera in Barcelona, Spain.<br />

denture where he worked with his<br />

In 2020, he became one of the<br />

mentor: Domingos America. Saraiva founders of the ClarityLab, a<br />

also worked as the technical director laboratory and training centre, in<br />

of the <strong>Dental</strong> Solutions Lab and made Porto, Portugal.<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 47


BEHIND THE SCENES<br />

Scanning spray for<br />

digital production<br />

Scantist 3D spray forms a fine, homogeneous matte<br />

coating on shiny, reflective dental objects. At Handrich<br />

<strong>Dental</strong> Laboratory, this dental spray is used daily.<br />

The Handrich Group, comprising five dental<br />

laboratories and its production centre,<br />

fabricates the entire spectrum of dental<br />

restoration products. Handrich always<br />

embraces the latest technology, so the<br />

production of models is increasingly digital.<br />

In fact, the group has been using digital<br />

technology since the 1990s and was one of<br />

the first laboratories with a 3D scanner.<br />

Today, it has a good dozen scanners from<br />

3Shape, and that number is likely to increase.<br />

Around 80% of dental products are produced<br />

digitally at Handrich. In the field of dental<br />

implants, that figure rises to 95%. Quality<br />

has always come first for Handrich. In 2001,<br />

the company was certified under the Medical<br />

Devices Act, making Handrich a forerunner<br />

in manufacturing following the European<br />

directive on implantable medical devices.<br />

Handrich’s recipe for success involves always<br />

trying out materials as well as testing and<br />

implementing new technologies.<br />

“We are always looking for new ways to<br />

optimise what we do,” said Rolf Ebert,<br />

managing director at Handrich.<br />

That does not only apply to production<br />

technologies and processes. Recently, the<br />

entire company group changed to a new<br />

dental spray for scanning objects.<br />

MARKS AND PUDDLES<br />

In recent years, Handrich has tried many<br />

different scanning sprays. The biggest problem<br />

in the past was that the sprays did not provide<br />

reproducible results.<br />

Uniform application of the spray coating was<br />

seldom achieved, and each spraying process<br />

would lead to a different result. Some sprays<br />

would leave behind marks, while others<br />

formed puddles. The coating was thick and<br />

uneven, which affected the results.<br />

Especially in telescopic technology, for which<br />

every micrometre is vital for the accuracy of<br />

fit, the quality of the scanning spray used can<br />

have a significant impact. With conventional<br />

sprays, a considerable amount of time was<br />

required to obtain reliable data.<br />

PIGMENT DUST SETTLES EVERYWHERE<br />

With many conventional sprays, the objects<br />

have to be cleaned again after the scan. The<br />

spray coating often adheres stubbornly to<br />

the surfaces. Since the pigment dust also<br />

spreads to the surrounding area, the cleaning<br />

process is very time-consuming.<br />

Although the extraction system installed<br />

in Handrich <strong>Dental</strong> Laboratory was able<br />

to capture most of the pigment dust, the<br />

white dust settled everywhere in the room.<br />

If the dust is not removed, it “bakes” into all<br />

surfaces, including printers, keyboards and<br />

furnishings. The health aspect is also very<br />

concerning. In particular, titanium dioxide,<br />

which most conventional sprays contain, is<br />

said to have carcinogenic effects.<br />

Ebert shared: “With previous sprays, the work<br />

was very complicated and time-consuming.<br />

The captured scan data were not reliable.<br />

There was no repeatability. A colleague told<br />

me about the new dental spray, so I tested<br />

Scantist 3D and was immediately impressed.”<br />

INNOVATIVE DENTAL SPRAY<br />

Scantist 3D dental spray can be applied very<br />

evenly. It forms a fine and homogeneous<br />

layer that offers the best conditions<br />

for scanning. The measurements are<br />

reproducible. The repeat measurements<br />

carried out by Handrich employees<br />

yielded consistent results. After testing it<br />

successfully, all five laboratories are now<br />

using the new spray.<br />

Scantist 3D was developed to make<br />

transparent and reflective parts matte in<br />

a few seconds. It has been on the market<br />

since 2021 and has already become<br />

established in many dental laboratories,<br />

including at Handrich. The spray forms a<br />

thin, homogeneous layer, so the scanners<br />

can capture accurate surface data. The<br />

reliable data quality enables the precise<br />

fabrication of dental restorations. Moreover,<br />

Scantist 3D adheres to all surfaces and is<br />

dry to the touch, making it particularly easy<br />

to use.<br />

Another advantage is that the spray<br />

evaporates by itself, so time-consuming<br />

cleaning is eliminated. An entire work<br />

step is saved. In addition, the fact that the<br />

spray coating completely disappears after<br />

approximately 20 minutes makes the whole<br />

process very hygienic.<br />

“We just feel better working with a spray<br />

that is pigment-free and thus harmless to<br />

health,” explained Ebert. “We’re pleased<br />

that we discovered Scantist 3D, and we<br />

immediately stocked up with a year’s<br />

supply.” DA<br />

48 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


IN DEPTH WITH<br />

Primescan Connect: Easy scan,<br />

seamless collaboration<br />

Achieve better<br />

diagnostics, treatment<br />

planning, and<br />

accelerated financial<br />

growth all while<br />

improving the patient<br />

experience.<br />

Primescan Connect is Dentsply Sirona’s highperforming<br />

intraoral scanner now available<br />

in a laptop configuration. Clinicians can<br />

enjoy all the benefits of Primescan at a more<br />

accessible price.<br />

Primescan is an intraoral scanner that allows<br />

clinicians to perform high-precision digital<br />

impressions of the patient’s mouth, without<br />

the use of traditional impression material.<br />

With simplified scanning and streamlined<br />

workflows, Primescan Connect is a great<br />

starting point to digital dentistry.<br />

Primescan Connect features:<br />

• Speed: Full arch scan possible in less than<br />

a minute.<br />

• Ease of use: Helps to simplify the scanning<br />

process, so dentists can delegate the<br />

impression taking process to their team<br />

and spend more time with patients.<br />

• Accuracy: Excellent scans no matter which<br />

material or how difficult the area is to<br />

capture.<br />

• Flexibility: Takes up little space and is easy<br />

to integrate into the practice workflows<br />

and set-up.<br />

FREEDOM TO CHOOSE PREFERRED<br />

PARTNER<br />

Connect Case Center, Dentsply Sirona’s<br />

digital ordering system, enables seamless<br />

lab ordering from start to finish. Primescan<br />

Connect is an open scanner, which means<br />

users can send data to any lab of their choice,<br />

and they’ll receive the information exactly in<br />

the format they need.<br />

• Transfer digital orders to dental labs<br />

within seconds — all compliant to HIPPA<br />

and GDPR<br />

• No license fees for dentists and their lab<br />

partner<br />

• Validated connectivity with major lab<br />

software: 3Shape, exocad, etc.<br />

• Access to validated workflows from<br />

Dentsply Sirona: SureSmile aligners,<br />

digital implant workflows via Simplant and<br />

Atlantis<br />

WORKFLOWS<br />

From single unit procedures to more<br />

challenging cases, Primescan Connect<br />

provides seamless integration and expansion<br />

into any workflow: restorative, implantology,<br />

orthodontics and sleep appliance treatment. DA<br />

50 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


IN DEPTH WITH<br />

Implant planning module from<br />

Carestream <strong>Dental</strong> now accepts<br />

open files from intraoral scanners<br />

Carestream <strong>Dental</strong>’s Prosthetic-<br />

Driven Implant Planning (PDIP)<br />

module can now accept scans from<br />

intraoral scanners that generates<br />

STL/PLY files, giving clinicians<br />

greater flexibility when planning and<br />

placing implants. The PDIP module<br />

is the implant planning solution<br />

that supports more confident<br />

diagnoses, improves treatment<br />

predictability, reduces the number<br />

of visits and leads to better patient<br />

communication and enhanced<br />

collaboration.<br />

“Opening up the module to accept<br />

STL/PLY files gives practitioners<br />

more options and helps them make<br />

better decisions about optimal<br />

crown and implant position, which<br />

leads to more control over the final<br />

clinical and aesthetic outcomes,”<br />

said Stephane Varlet, global product<br />

line manager for extraoral imaging,<br />

Carestream <strong>Dental</strong>.<br />

The PDIP module, which is an option<br />

available with CS 3D Imaging, makes<br />

it easy for doctors to ensure implants<br />

are positioned according to the ideal<br />

future restoration by letting them<br />

virtually plan a crown and implant<br />

on the same screen. The module<br />

automatically aligns the STL/PLY<br />

files from an intraoral scanner and<br />

DICOM file from either the CS 8100<br />

3D, CS 8200 3D or CS 9600 CBCT<br />

systems to create a virtual set-up<br />

with little to no manipulation from<br />

the doctor.<br />

Users then add a crown to the<br />

combined scanner/CBCT datasets<br />

and place the implant from a<br />

library featuring more than 90<br />

manufacturers. They can also<br />

add abutments, create their own<br />

implants and manage their own<br />

library. Practitioners can also<br />

generate an implant report to<br />

order the components required<br />

for surgery and to share with their<br />

treatment network.<br />

Because the PDIP module produces<br />

files in an open format, implant<br />

planning output can be easily<br />

exported with a single click into<br />

third-party software including<br />

Swissmeda or BlueSky Bio for the<br />

creation of surgical guides. DA<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 51


IN DEPTH WITH<br />

Exceptional performance<br />

in a compact body<br />

3Shape introduces TRIOS 5 Wireless,<br />

a completely new intraoral scanner<br />

designed to make it easier than ever<br />

for dentists to go digital with their<br />

dentistry.<br />

A breakthrough in intraoral scanners, TRIOS<br />

5 Wireless makes scanning smoother and<br />

faster with its all-new ScanAssist intelligent<br />

alignment technology that comes housed<br />

in a redesigned compact and hygienically<br />

optimised scanner — to deliver the highest<br />

standard in imaging performance and<br />

infection control.<br />

With over 50 improvements in ease of use<br />

and design, TRIOS 5 Wireless is 3Shape’s<br />

smallest and lightest scanner to date and<br />

is perfectly balanced to fit comfortably in<br />

clinician’s hand.<br />

TRIOS 5 Wireless delivers an unprecedented<br />

level of scanning simplicity. An LED ring and<br />

haptic sensory feedback guide users while<br />

they scan to make digital impression taking<br />

smoother and faster than ever.<br />

And now with ScanAssist technology, which<br />

minimises misalignment and distortion in 3D<br />

models, users can scan their patients in any<br />

direction they want — just create the scan<br />

path that works best for them.<br />

TRIOS 5 Wireless features, an FDA cleared,<br />

closed autoclavable scanner tip protected<br />

by scratch-free sapphire glass to define a<br />

new level of hygiene. And includes ultrathin,<br />

snug, and near-invisible single-use<br />

sleeves to cover the scanner body and<br />

minimise risk for cross-contamination.<br />

“At 3Shape, we have strived for perfection<br />

through five generations of intraoral<br />

scanner evolution. Using state-of-the-art<br />

scan software and artificial intelligence to<br />

deliver sharper colours, improved accuracy,<br />

and increased efficiency, we believe TRIOS<br />

5 surpasses all expectations. With its<br />

ergonomic and well-balanced look inspired<br />

by classic Danish design, TRIOS 5 Wireless<br />

simply, makes sense,” said Jakob Just-<br />

Bomholt, CEO of 3Shape.<br />

TRIOS 5 digital images are indicated for use<br />

in restorations, orthodontics, implantology,<br />

and assessment of dental status.<br />

Specifications:<br />

• 30% smaller and 20% lighter compared<br />

to TRIOS 4<br />

• ScanAssist provides clinicians with easier<br />

scanning independent of scan strategy<br />

• Improved battery technology, requiring<br />

only one battery per day<br />

• Calibration-free scanner<br />

• LED ring and haptic feedback for better<br />

user guidance<br />

• Two-button design for improved software<br />

navigation and scan analysis<br />

• Autoclavable scan tips providing a<br />

microbial barrier on the scan tip<br />

• Body sleeves to significantly reduce risk<br />

of cross contamination<br />

• Closed tip design to avoid cross<br />

contamination<br />

• Scanner body has been designed for<br />

cleaning and disinfection DA<br />

52 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


PRODUCT HIGHLIGHTS<br />

GC <strong>Asia</strong> <strong>Dental</strong><br />

Simplifying all cementation<br />

procedures<br />

G-Cem One Paste Pak, the new self-adhesive resin cement<br />

from GC simplifies all cementation procedures. G-Cem One<br />

Paste Pak brings together high bond strength, effortless<br />

clean-up and long-lasting aesthetics as well as an excellent<br />

self-curing ability for a wide range of indications in one<br />

product solution.<br />

TITANUS ® LED<br />

BRILLIANT<br />

PERFORMANCE<br />

A truly universal, non-technique sensitive, versatile and<br />

reliable product, G-Cem One Paste Pak gives the flexibility<br />

of being effective in all cementation procedures for any type<br />

of restorations; from metal-based to resin and all-ceramic<br />

inlays, onlays, crowns, bridges, and posts. It demonstrates<br />

excellent bond strength to enamel, dentin and all indirect<br />

restorations.<br />

In addition, the optional Adhesive Enhancing Primer (AEP)<br />

and its GC Touch Cure feature provides optimal bond<br />

strength in challenging clinical situations, such as low<br />

retentive surfaces.<br />

The chemical initiator in the AEP accelerates the chemical<br />

cure of the cement to ensure optimal bonding. The AEP is<br />

easy to apply; no additional light-curing is needed — apply<br />

and air-dry.<br />

G-Cem One Paste Pak offers clinicians a reduced inventory<br />

with less components for a reproducible workflow. Its<br />

starter kit include G-Cem One Paste Pak A2 or Translucent<br />

(7.6mL), Adhesive Enhancing Primer (2mL) and a mixing pad.<br />

TITANUS ® ELED/SLED ULTRASONIC SCALERS<br />

G-Cem One Paste Pak is simply the one for peace of mind<br />

when it comes to clinicians adhesive requirements. DA<br />

SIMPLIFYING DENTAL MOTION<br />

info@teknedental.com<br />

www.teknedental.com<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 53<br />

Spazio pubblicitario 95x250_def.indd 1 27/10/22 14:43


PRODUCT HIGHLIGHTS<br />

SprintRay<br />

Best-in-class toughness<br />

SprintRay has launched OnX Tough, a<br />

next-generation hybrid ceramic resin<br />

designed for 3D printing dental prosthetics.<br />

Leveraging SprintRay’s proprietary<br />

NanoFusion technology, this new resin<br />

delivers unparalleled durability and lifelike<br />

translucency for high-quality, same-day<br />

smiles.<br />

“SprintRay was founded on the promise<br />

of building carefully-curated 3D printing<br />

solutions to enable dental providers to<br />

deliver an exceptional patient experience,”<br />

said Amir Mansouri, PhD, CEO and cofounder<br />

of SprintRay. “This breakthrough<br />

OnX Tough material represents a paradigm<br />

shift for chairside dentistry, delivering<br />

customised, beautiful and functional dental<br />

prosthetics while the patient is in the chair.”<br />

The need for dental prosthetics is on the<br />

rise, with the global market projected<br />

to reach US$9.71bn by 2026. In the US<br />

alone, approximately 178 million adults are<br />

missing at least one tooth and 40 million<br />

are edentulous. Conventional methods to<br />

manufacture dental prosthetics involve<br />

sending digital or analogue impressions to a<br />

lab with turnaround times averaging three<br />

to four weeks for some patients. With the<br />

advent of digital dentistry and 3D printing,<br />

first generation 3D printing technologies<br />

have enabled in-office manufacturing of<br />

dental prosthetics, but with significant<br />

limitations.<br />

“When creating OnX Tough, we set out<br />

to design a next generation resin that<br />

addressed a key limitation of 3D printed<br />

prosthetics today — durability and<br />

toughness,” said Sumeet Jain, PhD, vicepresident,<br />

Materials. “To address these<br />

limitations, we developed NanoFusion<br />

technology, a new approach to dental<br />

chemistry. NanoFusion materials have<br />

a novel composition and form dense<br />

polymer chains to deliver dental<br />

prostheses with best-in-class fracture<br />

toughness, five times that of firstgeneration<br />

technology. Furthermore, the<br />

composition brings a perfect combination<br />

of translucency and opacity to mimic that<br />

of natural dentition.” DA<br />

3M Oral Care<br />

Making restorative procedures more affordable for patients, more<br />

predictable for dentists<br />

Today’s dental patients are looking for lessinvasive<br />

options to improve their smile at<br />

a price they can afford. That’s why 3M has<br />

introduced the 3M Filtek Matrix — a new<br />

restorative solution that makes composite<br />

placement less stressful and more<br />

predictable for dentists, while making it<br />

more affordable for their patients.<br />

<strong>Dental</strong> composites can be a great choice<br />

to restore or improve the aesthetics of a<br />

patient’s smile. However, the traditional<br />

process can be long and complicated.<br />

The Filtek Matrix procedure begins with<br />

a digital restoration design. A patientspecific<br />

matrix is created that helps<br />

the clinician transfer the digital design<br />

to the patient’s teeth using 3M dental<br />

composites.<br />

Unlike more invasive ceramic procedures<br />

which often require the removal of tooth<br />

structure, the Filtek Matrix relies on<br />

additive composite techniques where<br />

little to no tooth reduction is required.<br />

In a clinical evaluation, dentists reported<br />

that using the matrix increased their<br />

confidence, delivered predictable and<br />

aesthetic results, and saved chair time.<br />

“This product brings together leading<br />

material science and digital innovation<br />

to enable clinicians to predictably and<br />

efficiently transform patient smiles,” said<br />

Andrew Milder, global portfolio director,<br />

3M Oral Care. “It is exciting to see the<br />

amazing results that clinicians have<br />

delivered using the Filtek Matrix.”<br />

The Filtek Matrix is the latest innovation<br />

in 3M’s portfolio of restorative solutions.<br />

Clinicians can pair the Filtek Matrix with<br />

3M Filtek <strong>Dental</strong> Restoratives to deliver<br />

excellent composite strength and wear<br />

resistance for patients. DA<br />

54 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


PRODUCT HIGHLIGHTS<br />

VOCO<br />

Built to last<br />

VOCO celebrates the 10-year anniversary of GrandioSO — a<br />

universal, light-cured, 89% filled nano-hybrid composite for<br />

anterior and posterior fillings of all classes.<br />

→ DISCOVER PERFECTION<br />

IN PROPHYLAXIS -<br />

THE NEW COMBI touch<br />

Formulated to match toothlike physical properties, GrandioSO<br />

has the modulus of elasticity, thermocycling coefficient,<br />

surface hardness, edge strength and several other properties<br />

that individually and even more so collectively, closely mirror<br />

that of natural dentition.<br />

These unique toothlike qualities makes for long-lasting,<br />

aesthetic and robust restorations. Practitioners for a decade<br />

have enjoyed GrandioSO with its easy, non-stick consistency,<br />

setting a new standard for composite handling and exceptional<br />

aesthetics. It also provides instant and tangible results.<br />

Additionally, its toothlike physical properties and high-fill rate<br />

deliver proven superior quality and enhanced longevity that can<br />

be trusted.<br />

→ ultra-gentle prophylaxis<br />

→ ergonomic handling<br />

→ made in Italy<br />

→ 40 years experience<br />

GrandioSO is indicated for Class I-V restorations, reconstruction<br />

of traumatically damaged anteriors, faceting of discoloured<br />

anterior teeth, correction of shape and shade for improved<br />

aesthetic appearance, locking, splinting of loosened teeth,<br />

repairing veneers, restoration of deciduous teeth, core buildup<br />

under crowns, and composite inlays.<br />

Over the past 10 years, GrandioSO has been at the centre of<br />

clinical successes in millions of restorations worldwide. As a<br />

universal restorative and a perfect workhorse composite for<br />

any practice, it has provided reliable results for practitioners<br />

and patients alike. GrandioSO is one of Voco’s most successful<br />

products; built on high-quality chemistry that provides<br />

reliable, long-term aesthetic restorations.<br />

Specifications:<br />

• 89% fillers by weight: Outstanding wear resistance, and<br />

enhanced colour stability<br />

• 30-50% less resin compared to classic hybrid and pseudo<br />

nano composites: Low shrinkage of only 1.6 vol.%, nonsticky,<br />

prolonged working time under ambient light DA<br />

→ www.mectron.com<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 55


PRODUCT HIGHLIGHTS<br />

W&H<br />

More features, more innovation, more capacity<br />

Lara XL steriliser from W&H is now breaking<br />

the ground for even more innovation and<br />

usability. It has been further developed by<br />

providing a larger capacity and even more<br />

useful features. In addition, the advanced<br />

technology is geared to adapt to future<br />

developments and ensure comprehensive<br />

connectivity as well as upgradeability.<br />

The patented Eco Dry+ technology<br />

automatically adjusts drying times to the<br />

mass of the load, thus reducing cycle times<br />

and optimising energy consumption. A green<br />

solution for sterilisation processes, that as<br />

a side effect also extends the service life of<br />

instruments by keeping heat exposure to a<br />

necessary minimum.<br />

In addition, Lara XL features a chamber<br />

size of 28 litres. The higher volume allows<br />

for up to 7kg of wrapped instruments to<br />

be reprocessed in one go. A unique and<br />

extremely flexible rack system with six large<br />

trays makes clever use of the increased<br />

capacity.<br />

Based on a sophisticated and futureoriented<br />

technical concept, Lara XL can be<br />

easily connected to other devices in order<br />

to simplify handling, documentation and<br />

reporting. Innovations such as the ioDent<br />

system or the W&H Steri App are forwardlooking<br />

ways of integrating practical digital<br />

tools into the workflow.<br />

Moreover, Lara XL can be upgraded with two<br />

W&H Activation Codes: EliTrace and Fast<br />

Cycle. Traceability is a key feature for making<br />

workflows efficient, safe, and transparent.<br />

With its advanced documentation system,<br />

EliTrace offers traceability down to the<br />

single instrument. A barcode labels each<br />

pouch and informs on when its content has<br />

been successfully sterilised. Fast Cycle is an<br />

additional function that allows sterilisation of<br />

unwrapped items in just 20 minutes.<br />

Intelligent menu structures enable intuitive<br />

navigation through all functions of the Lara<br />

XL steriliser. A wide range of options can<br />

be operated via the colour touch display.<br />

Manual filling of the water tank is facilitated<br />

by an integrated funnel. Connection to a<br />

demineralisation system is also possible,<br />

which automates filling and draining. DA<br />

Tekne <strong>Dental</strong><br />

Achieve high precision and scaling efficiency<br />

TITANUS ELED and TITANUS SLED<br />

ultrasonic scalers are Tekne <strong>Dental</strong>’s new<br />

piezoelectric ultrasonic scalers, equipped<br />

with integrated LED light that ensures<br />

natural bright light on the operating area.<br />

The core of the scaler — its titanium<br />

transducer — has been further improved to<br />

get higher efficiency and reliability.<br />

The scaler comes complete with three<br />

inserts for general scaling and the handy<br />

DYNO dynamometric wrench, useful for<br />

precisely screwing the insert onto the<br />

scaler and safeguarding the transducer<br />

thread.<br />

The ultrasonic inserts feature high precision,<br />

high scaling efficiency and smooth surface,<br />

thanks to their special polishing process.<br />

The scaler, inserts and wrench can be fully<br />

sterilised in autoclave and thermodisinfected.<br />

The scaler kit comprises the USC60<br />

ultrasounds generator which delivers gentle<br />

yet powerful sinusoidal output signal and<br />

combined with the linear oscillating action,<br />

allows to achieve high precision and patient<br />

comfort.<br />

The generator produces optimum power<br />

control for all applications: endodontics,<br />

periodontics, scaling, restorative. DA<br />

56 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


PRODUCT HIGHLIGHTS<br />

Kulzer<br />

More gain, less pain<br />

One for<br />

All Ceramics<br />

and More<br />

Introduced by Kulzer, Gluma desensitiser is indicated for the<br />

reduction or elimination of pain in exposed cervical areas that<br />

do not require restoration and the reduction or elimination of<br />

dentin sensitivity after preparation of teeth to receive a fixed<br />

prosthesis.<br />

One drop of Gluma desensitiser has been sufficient to reduce<br />

and prevent hypersensitivity. The results are quick and effective,<br />

without mixing, curing or multiple applications and patients feel<br />

immediate relief.<br />

Proven efficacy in over 50 million restorations, it can be used<br />

with all common adhesives and restoration materials in every<br />

treatment situation.<br />

Moreover, Gluma is the only desensitiser that has been proven<br />

to penetrate exposed dentinal tubules up to 200μm 1 . This leads<br />

to the formation of multi-layered protein walls which prevent<br />

an osmotic fluid exchange with the internal tubules.<br />

It also forms a hermetic seal which traps the bacteria and<br />

prevents bacterial growth 2 while reorganising collapsed<br />

collagen fibres, improving the bond strength of several<br />

adhesives.<br />

Part of the Mitsui Chemicals Group, Kulzer has been a reliable<br />

partner for all dental professionals for more than 80 years.<br />

Whether analogue or digital dentistry, aesthetic or tooth<br />

preservation, prosthetics or periodontology — as a polymer<br />

specialist and digital solution provider, Kulzer stands for<br />

trusted and innovative dental solutions. DA<br />

1<br />

Schüpbach P, Lutz F, Finger WJ: Closing of dentinal tubules by GLUMA<br />

desensitizer. Eur J Oral Sci, 1997, 105 (5Pt): 414-21<br />

2<br />

Felton D, Bergenholtz G, Cox CF: Inhibition of bacterial growth under<br />

composite restorations following GLUMA pretreatment. J Dent Res,<br />

1989, 68: 491-5<br />

VITA LUMEX® AC<br />

• For all frameworks<br />

made out of ceramic and titanium<br />

• For all techniques<br />

from micro veneering to refractory veneers<br />

• For all precise effects<br />

stable in layering and firing<br />

Find out more here:<br />

www.vita-zahnfabrik.com/LUMEX_AC<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 57<br />

3610E_LUMEX Anzeige_95x250_V01.indd 1 27.10.<strong>2022</strong> 16:14:32


PRODUCT HIGHLIGHTS<br />

Morita<br />

Unsurpassed image clarity<br />

3D Accuitomo 170 is Morita’s most<br />

advanced CBCT unit. Highly refined, it is<br />

the fourth generation of the Accuitomo<br />

product line. It offers a voxel size of just<br />

80µm and displays even the most subtle<br />

details of bone structure.<br />

This super-fine voxel combined with the<br />

unit’s 14-bit grayscale capability creates a<br />

wide dynamic range which produces many<br />

grayscale values for visualising both hard<br />

and soft tissue areas with a subtle spread of<br />

contrast.<br />

It enables a comprehensive examination for<br />

diagnosing apical lesions, fractures, cysts,<br />

tumours, TMJ problems, caries, and allows<br />

for treatment planning for implants and<br />

much more.<br />

The 3D Accuitomo 170 offers unsurpassed<br />

image clarity. With nine fields of view<br />

and multiple acquisition modes, the<br />

3D Accuitomo 170 can meet clinicians’<br />

diagnostic needs with unparalleled quality.<br />

Additionally, it is equipped with four imaging<br />

modes that allow flexibility when scanning<br />

patients with a variety of diagnostic needs<br />

and clinical indications. Clinicians can<br />

choose High Resolution and High Fidelity<br />

modes for the best quality images, or High<br />

Speed for patients that have difficulty<br />

remaining still.<br />

3D Accuitomo 170 comes with two PCs (i-Dixel<br />

software pre-installed with VolR, Curved MPR,<br />

One Data Viewer Plus and One Volume Viewer<br />

functions) and one monitor. DA<br />

COLTENE<br />

Precise impression of details<br />

With the Affinis product family from<br />

COLTENE, clinicians will be well prepared<br />

for any patient situation, no matter<br />

how complicated. This reliable, precise<br />

impression material is characterised not only<br />

by its speed but also by its flowability and,<br />

where necessary, by the required stability.<br />

With the aid of its highly active surfactant<br />

system and the resulting surface affinity,<br />

Affinis captures even the smallest detail<br />

under the most difficult conditions.<br />

Even in a moist environment, it exhibits<br />

outstanding flow behaviour.<br />

Affinis impression material has become an<br />

indispensable material in my daily dental<br />

routine due to its good processing, high<br />

precision and good patient compliance,”<br />

shared Dr Sylvia Rahm (Germany).<br />

Prof Dr Salomão Rocha (Portugal) added:<br />

“The combination of heavy body and light<br />

body provides an impression with excellent<br />

detail reproduction. Even in situations<br />

where it is difficult to control moisture.<br />

The fast version is characterised by a short<br />

working time and high impression quality,<br />

and is therefore very comfortable for the<br />

patient and effective for the dentist. To<br />

prevent cross-infection, the option to<br />

autoclave the impression when taken with a<br />

heat resistant tray is definitely a plus.” DA<br />

The impressive flowability and self-levelling<br />

of Affinis wash materials not only lead to<br />

highly precise capture of details, but also<br />

avoid air voids, flashes and imperfections.<br />

“The reproducibility of work steps creates<br />

safety, speed and reliability. COLTENE’s<br />

58 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


PRODUCT HIGHLIGHTS<br />

Dr Wolff<br />

Mouthwash to protect teeth, prevent tooth sensitivity, gum problems and bad breath<br />

Dr Wolff’s Bioniq Repair Tooth-Milk has<br />

all the characteristics of a conventional<br />

mouthwash with the added benefits of<br />

hydroxyapatite.<br />

It has long-lasting antibacterial effect, cleans<br />

the entire oral cavity, protects against bad<br />

breath and gum problems, and prevents<br />

cavities and tartar. With its artificial enamel<br />

(hydroxyapatite) with valuable calcium, it<br />

also protects natural enamel from wear.<br />

Given its high degree of similarity to the<br />

natural enamel structure, the artificial<br />

enamel attaches to the surface of teeth<br />

and seals microscopically small defects. A<br />

protective layer is formed.<br />

Thanks to its slightly gel-like consistency,<br />

it sticks to the enamel very well and makes<br />

the surface so smooth that it is extremely<br />

hard for bacteria and stains build-up. This<br />

can make the teeth appear whiter.<br />

The Tooth-Milk contains two active<br />

ingredients that protect healthy gums<br />

against inflammation:<br />

• Lactoferrin is a natural antimicrobial active<br />

ingredient which is also present in saliva.<br />

It removes the iron (lat. ferrum) which is<br />

necessary for bacteria to survive.<br />

• Hyaluronic acid supports the healthy moist<br />

environment of the oral cavity. Medical<br />

research has shown that human saliva is an<br />

important barrier against bacteria. DA<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 59


SHOW PREVIEW<br />

CDS <strong>2022</strong> and 24th CSA<br />

Annual Congress: The return<br />

of much-awaited dental<br />

events in China<br />

Together with the 24th China Stomatological Association Annual Congress,<br />

China <strong>Dental</strong> Show <strong>2022</strong> will be held from 9-11 Dec <strong>2022</strong> in Suzhou, Jiangsu.<br />

Held along with the China Stomatological<br />

Association (CSA) Annual Meeting, China <strong>Dental</strong><br />

Show (CDS) is a leading trade show which<br />

covers brand and product promotion, continuing<br />

education, trade negotiation and equipment<br />

procurement.<br />

This year, they open the door in Suzhou, Jiangsu,<br />

to the largest number of dentists from private<br />

and public hospitals as well as clinics and<br />

distributors in the Yangtze River Delta and China<br />

overall, showcasing products and services from<br />

the entire value chain of the dental field.<br />

Through the CDS, new products and<br />

technologies are presented by over 500<br />

companies including leading international and<br />

local brands to tens of thousands of industry<br />

professionals who are there to learn, trade and<br />

network at one of the most important dental<br />

events of the year in China.<br />

CDS has an exhibition area of more than 60,000<br />

sqm. Exhibiting brands come from over 30<br />

countries and regions, including China, Singapore,<br />

Malaysia, Germany, the US, France, Italy, South<br />

Korea, Japan, Switzerland, Finland, Denmark,<br />

Israel, Brazil, Hong Kong, Taiwan and much more.<br />

Every year, the Japan <strong>Dental</strong> Trade Association<br />

(JDTA), Seoul <strong>Dental</strong> Association and Trade<br />

Development Authority of Pakistan (TDAP)<br />

send official delegates to CDS. They also obtain<br />

strong support from USDOC/SIMAP/MEPRC<br />

and so on.<br />

Moreover, the CSA Annual Meeting, hosted<br />

by CSA and undertaken by Reed Sinopharm<br />

Exhibitions, is held at the same time as CDS<br />

as usual in Suzhou this year. CSA altogether<br />

held 400 academic seminar sessions,<br />

operation and demonstration shows and<br />

prize competitions. More than 350 leading<br />

international and domestic experts attended<br />

its Annual Meeting.<br />

It is no surprise that CDS is witnessing<br />

exponentially growing demands for exhibition<br />

space in Suzhou Jinji Lake International<br />

Convention Centre this year, which is equipped<br />

with all the latest high-tech amenities to<br />

facilitate a global dental show. The venue is<br />

also planned in the most ergonomic fashion,<br />

allowing exhibitors and visitors within the<br />

same product portfolio to interact on the<br />

same floor, thus obtaining great results within<br />

the limited time. DA<br />

60 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


exocad Insights <strong>2022</strong>:<br />

A highly anticipated digital<br />

dentistry event<br />

Around 700 participants from more than 45 countries attended the full,<br />

two-day programme.<br />

Tillmann Steinbrecher, CEO of exocad<br />

exocad, an Align Technology company<br />

and dental CAD/CAM software provider,<br />

successfully concluded Insights <strong>2022</strong>, the third<br />

edition of its global digital dentistry event, under<br />

the motto “Learn. Connect. Enjoy.” The biennial<br />

meeting took place on 3-4 Oct <strong>2022</strong> in Palma<br />

de Mallorca, Spain.<br />

“Insights <strong>2022</strong> truly exceeded our expectations,”<br />

said Tillmann Steinbrecher, CEO of exocad.<br />

“International speakers and attendees from<br />

around the world joined us to explore the future<br />

of digital dentistry together and share best<br />

practices.”<br />

Dentists, dental technicians and industry<br />

partners from more than 45 countries attended<br />

the educational CAD/CAM event. The full,<br />

two-day programme included informative<br />

presentations from top industry experts and indepth<br />

learning sessions run by exocad software<br />

experts for both clinical and lab communities.<br />

Insights industry partners offered sessions as<br />

well, rounding out the diverse agenda of tips,<br />

tricks, and deep learning opportunities.<br />

“ exocad is our collaboration<br />

partner on the CAD<br />

software. Amann Girrbach<br />

is still the largest distributor<br />

of exocad software<br />

worldwide, even though<br />

we have our own branded<br />

version. We’re very happy<br />

with our collaboration with<br />

exocad. We can provide our<br />

input, and this flows into<br />

product development. So<br />

that’s really helpful.”<br />

Stephan Domschke,<br />

director of Global Training and<br />

Education, Amann Girrbach.<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 61


SHOW REVIEW<br />

Novica Savic, CCO of exocad<br />

“This event provided us all with a muchneeded<br />

opportunity to connect face-toface,”<br />

said Novica Savic, CCO of exocad.<br />

“Being in one location for two days of<br />

high-quality networking, learning and<br />

hands-on demonstration provided us<br />

all with great inspiration for the digital<br />

dentistry era we are in.”<br />

New Rijeka 3.1 release series and<br />

exocad software sessions<br />

At Insights <strong>2022</strong>, exocad’s software<br />

solutions <strong>Dental</strong>CAD, ChairsideCAD and<br />

exoplan, and the new Rijeka 3.1 release<br />

series took centre stage.<br />

MDT Michael Kohnen, head of Global<br />

Application Support and Education<br />

at exocad, presented the 45 new<br />

and over 85 enhanced features for<br />

<strong>Dental</strong>CAD 3.1 Rijeka and provided<br />

a first look at the Rijeka 3.1 version<br />

of exoplan, exocad’s open implant<br />

planning software. In dedicated<br />

software sessions, users were guided<br />

through new software features and<br />

demonstrated how to reap the full<br />

benefits of seamless digital workflows<br />

using exocad software.<br />

International top speakers<br />

<strong>Dental</strong> industry trailblazers ran<br />

presentations on how to use digital<br />

tools to achieve better aesthetic<br />

treatment results for patients and to<br />

work even more productively.<br />

The speaker lineup covered all points<br />

along the treatment spectrum. Dentist<br />

and dental technician speaker duo,<br />

Prof Dr Guilherme Saavedra from Brazil<br />

and Spain’s MDT Waldo Zarco Nosti<br />

addressed the question of how digital<br />

dentistry works, from virtual planning<br />

to finished high-quality prosthetics.<br />

US-based restorative dentist Dr Lori<br />

Trost inspired participants on the topic<br />

of dentures and presented her digital<br />

treatment concept. UK lab owner CDT<br />

Steven Campbell discussed how digital<br />

workflows can help address looming<br />

staff shortages for clinics and labs.<br />

MDT Sascha Hein from Germany<br />

offered valuable tips on how to reliably<br />

determine the correct tooth shade for<br />

aesthetically high-quality restorations in<br />

the digital age.<br />

“Dentist-lab synergy in the digital<br />

era” was the focus of Smile Design<br />

founder, Dr Christian Coachman,<br />

from Brazil. His lecture provided<br />

dentists and dental technicians<br />

with inspiration on ways to produce<br />

predictable high-quality aesthetic<br />

restorations. UK’s Dr Gulshan Murgai<br />

presented his digital workflow based<br />

on a patient case with a focus on<br />

implant planning with exoplan. He<br />

discussed the planning of singletooth<br />

implants, also with immediate<br />

restoration, and the restoration of<br />

edentulous jaws. Dr Diana Tadros<br />

from the US discussed aesthetics in<br />

her clinical session, explaining her<br />

digital treatment concept and how<br />

exocad’s Smile Creator can be used in<br />

the patient journey to highly aesthetic<br />

restorations.<br />

Partner exhibition, partner sessions<br />

and software integrations<br />

More than 50 of the top companies in<br />

dental materials, equipment and CAD/<br />

CAM presented their latest innovations<br />

as part of the Insights partner<br />

exhibition. The Insights Diamond,<br />

Platinum and Gold partners ran a total<br />

of 14 special sessions to introduce<br />

attendees to their products and shared<br />

Press conference at exocad Insights<br />

Dr Lori Trost on stage<br />

62 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


SHOW REVIEW<br />

valuable ideas for the application<br />

of exocad software solutions in<br />

connection with digital hardware.<br />

Three new <strong>Dental</strong>CAD Rijeka 3.1<br />

features and modules were launched.<br />

iTero NIRI technology and intraoral<br />

camera images are now automatically<br />

imported when designing restorations,<br />

enabling technicians to visualise the<br />

internal and external tooth structure<br />

and optimise the process of margin<br />

line tracing. The new xSnap module<br />

is a model attachment for a printable<br />

3D articulated system featuring a<br />

spherical head, which allows a precisely<br />

executed protrusion, laterotrusion and<br />

mediotrusion. And Ivoclar’s Ivotion<br />

Denture System, a complete workflow<br />

for the digital production of high-quality,<br />

removable dentures is now available in<br />

exocad.<br />

Growth to meet demand<br />

To provide space for its growing<br />

workforce, exocad announced it will<br />

open a new high-tech headquarters<br />

in Darmstadt, Germany, this<br />

<strong>November</strong>. exocad also opened a new<br />

headquarters in South Korea this past<br />

May. With the relocation of exocad’s<br />

<strong>Asia</strong> headquarters, the company said<br />

it aims to be closer to its resellers and<br />

users from South Korea and to provide<br />

even more comprehensive services to<br />

customers in <strong>Asia</strong>.<br />

Community, collection, and<br />

connection<br />

Insights <strong>2022</strong> provided a welcome<br />

opportunity to network in person with<br />

exocad experts, strategic partners<br />

and resellers. Following a rigorous<br />

educational agenda, attendees had<br />

the opportunity to unwind at the end<br />

of day one with an evening dinner and<br />

live music. exocad once again offered<br />

attendees the chance to participate in<br />

a charity drive by selling T-shirts. The<br />

“We became partners with<br />

exocad when we launched the<br />

Freedom dental lab scanner.<br />

The team is very friendly. This is<br />

the third time we’ve participated<br />

in exocad Insights and many<br />

visitors of the show are<br />

interested in our products.”<br />

Esther Son,<br />

marketing manager, DOF<br />

collected funds go toward supporting a<br />

dental non-profit organisation.<br />

The future is digital<br />

At the press briefing, speakers agreed<br />

that open software architecture is a key<br />

to creating a comprehensive future in<br />

digital dentistry. Insights partners also<br />

reflected on the general direction of the<br />

dental industry saying that all processes<br />

are moving toward digital. They advised<br />

labs and dentists to embrace this digital<br />

transition and to discover what tools are<br />

available to help them reach the ultimate<br />

goal: better patient care. DA<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 63


SHOW REVIEW<br />

IDEM <strong>2022</strong> celebrates<br />

another great<br />

milestone achieved<br />

The in-person event exceeded expectations by over 30% and welcomed<br />

6530 attendees, and marked a record number of represented countries.<br />

The 12th edition of the International <strong>Dental</strong><br />

Exhibition and Meeting (IDEM), held from 7-9<br />

Oct, has successfully concluded. Co-organised<br />

by Koelnmesse and the Singapore <strong>Dental</strong><br />

Association, the first physical IDEM after the<br />

pandemic hosted 6530 attendees from 67<br />

countries, exceeding the record number of<br />

attendee countries.<br />

This edition featured a total of 46 scientific<br />

conference sessions and workshops, covering<br />

on the latest trends and innovations curated<br />

for the dental community. The exhibition floor<br />

hosted nine national pavilions and a total of<br />

540 exhibiting brands from 37 countries of<br />

which 90% were returning exhibitors and 10%<br />

were exhibiting for the first time.<br />

“Words cannot fully express my heartfelt<br />

gratitude to our sponsors, speakers,<br />

exhibitors, and delegates,” said Mathias<br />

Kuepper, managing director of Koelnmesse.<br />

“This year, IDEM welcomed a strong number<br />

of quality dental traders and distributors<br />

from the region. In addition to the elevated<br />

interaction from an in-person setting, the<br />

number of quality leads that our exhibitors<br />

have secured is also testament to the<br />

success of IDEM <strong>2022</strong>. With the support<br />

of our stakeholders, we continue to strive<br />

towards excellence at the next IDEM event.”<br />

Zaamigo, one of the exhibitors, took this<br />

chance to showcase their latest dental camera<br />

to the attendees of IDEM <strong>2022</strong>. The sleek<br />

and waterproof design of the dental camera<br />

allows users to understand the situation of<br />

their dental health at a glance with Zaamigo’s<br />

mobile application. The smart analytics are<br />

the results of annotating thousands of images<br />

together with dentists, allowing users to<br />

understand their teeth brushing and flossing<br />

patterns and keep their teeth in pristine<br />

condition all the time.<br />

Keni Kubo, country manager of Envista<br />

Holdings, shared: “Nothing compares to inperson<br />

conversations with like-minded dental<br />

professionals and the brightest minds in the<br />

industry. IDEM <strong>2022</strong> in person gave Envista<br />

the opportunity to showcase and share about<br />

our new products to the fullest, meet old and<br />

64 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


SHOW REVIEW<br />

new connections, and explore new business<br />

opportunities. We look forward to the next<br />

IDEM edition in 2024.”<br />

Adrian Tan, dentist of Dent1st Limited from<br />

New Zealand, added: “IDEM <strong>2022</strong> was an<br />

opportunity for us to conveniently meet<br />

all the major manufacturers and suppliers<br />

in the world in one place. The scientific<br />

conference was led by quality speakers who<br />

presented niche and relevant topics that<br />

practitioners can immediately apply as well.”<br />

Dr Jerry Lim, one of the speakers at IDEM<br />

<strong>2022</strong>, conducted a conference on the topic:<br />

Comprehensive Aesthetic Rehabilitation:<br />

A Multidisciplinary Approach to a Complex<br />

Problem. More than 750 delegates attended<br />

the session to learn about the process of<br />

treatment planning for complex aesthetics<br />

rehabilitation. The conference aimed to<br />

expose participants to digital smile design<br />

and neuromuscular occlusion concepts<br />

and to appreciate digital integration in<br />

comprehensive aesthetic rehabilitation.<br />

The digital community platform, IDEM360+,<br />

specially created to supplement the<br />

in-person event, recorded close to 4500<br />

of new connections made. Exclusively<br />

made available for attendees to explore<br />

in-app business matching and networking<br />

opportunities, and build wider customers<br />

and partners database beyond the physical<br />

conference. Of the new users onboarded,<br />

half of these users connected with a fellow<br />

delegate, speaker, or exhibitor, and about<br />

40% engaged in online discussions via the<br />

IDEM360+ app.<br />

The platform continues to run post-show, with<br />

32 of the scientific conferences made available<br />

on-demand from 17 Oct–17 Nov <strong>2022</strong>.<br />

“IDEM continues to propel and invigorate<br />

the dental industry with not only the inperson<br />

event but also the IDEM360+ mobile<br />

application which continues to run after<br />

today,” said Prof Patrick Tseng, scientific<br />

chairperson of IDEM <strong>2022</strong>. “Continued<br />

learning is key for our industry, and we look<br />

forward to the next edition of IDEM as we<br />

aim to reach a wider audience and create a<br />

more insightful event for our participants.”<br />

The next edition of IDEM will take place<br />

on 19-21 Apr 2024 at Marina Bay Sands<br />

Singapore. Attendees will be able to look<br />

forward to the latest developments in<br />

dental research and practice with more<br />

intensive educational sessions, interactive<br />

presentations, engaging meetings, and the<br />

latest advancements in dentistry. DA<br />

““IDEM <strong>2022</strong> was an<br />

opportunity for us to<br />

conveniently meet all<br />

the major manufacturers<br />

and suppliers in the<br />

world in one place. The<br />

scientific conference was<br />

led by quality speakers<br />

who presented niche<br />

and relevant topics<br />

that practitioners can<br />

immediately apply as well.”<br />

Adrian Tan,<br />

dentist of Dent1st Limited<br />

from New Zealand<br />

DENTAL ASIA NOVEMBER/ DECEMBER <strong>2022</strong> 65


EVENTS CALENDAR<br />

NOVEMBER<br />

2 – 4 Phar-med Cambodia <strong>2022</strong><br />

Phnom Penh, Cambodia<br />

Venue: DIECC (KohPich)<br />

25 – 30 Greater New York <strong>Dental</strong> Meeting <strong>2022</strong><br />

DECEMBER<br />

New York City, US<br />

Venue: Jacob K. Javits Convention Center<br />

1 – 3 The International Vietnam <strong>Dental</strong> Equipment and<br />

Materials Exhibition<br />

Hanoi City, Vietnam<br />

Venue: ICE – 91 Tran Hung Dao Str., Dist Hoan Kiem<br />

2 – 4 Hong Kong International <strong>Dental</strong> Expo and<br />

Symposium<br />

Hong Kong<br />

Venue: Hong Kong Convention and Exhibition Centre<br />

6 – 8 The 3rd Taiwan International Orthodontic Forum<br />

Taipei, Taiwan<br />

Venue: Taipei Nangang Exhibition Center<br />

9 – 11 China <strong>Dental</strong> Show <strong>2022</strong> and<br />

24th CSA Annual Congress<br />

Suzhou, Jiangsu<br />

Venue: Suzhou Jinji Lake International Convention Centre<br />

12 – 13 Advanced <strong>Asia</strong>n <strong>Dental</strong> Summit<br />

Manila, Philippines<br />

Venue: Philippine International Convention Center<br />

2023<br />

JANUARY<br />

20 – 21 ITI Congress Switzerland<br />

Engelberg, Switzerland<br />

Venue: Kursaal Engelberg<br />

26 – 28 Barcelona <strong>Dental</strong> Show 2023<br />

FEBRUARY<br />

Barcelona, Spain<br />

Venue: Centro de Convenciones Internacional Barcelona<br />

7 – 9 AEEDC Dubai 2023<br />

Dubai, United Arab Emirates<br />

Venue: Dubai World Trade Centre<br />

17 – 19 Association of Orthodontists (Singapore)<br />

Congress 2023<br />

Singapore<br />

Venue: Marina Bay Sands<br />

23 – 26 <strong>Dental</strong> South China 2023<br />

MARCH<br />

Guangzhou, China<br />

Venue: China Import and Export Fair Pazhou Complex<br />

14 – 18 International <strong>Dental</strong> Show 2023<br />

Cologne, Germany<br />

Venue: Cologne Fair Grounds<br />

14 – 17 DenTech China <strong>2022</strong><br />

Shanghai, China<br />

Venue: National Exhibition and Convention Center<br />

With the evolving COVID-19 situation, kindly check with<br />

organisers for updates on the related events. Please refer to the<br />

local airports’ websites for the latest travel advisories too.<br />

DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong> 67


ADVERTISERS’ INDEX<br />

COMPANY<br />

PAGE<br />

3Shape A/S 9<br />

Align Technology Inc.<br />

OBC<br />

Anthogyr France 13<br />

Association of Orthodontists (Singapore)<br />

Congress 2023<br />

IFC<br />

Carestream <strong>Dental</strong> 5<br />

COLTENE 33<br />

<strong>Dental</strong> <strong>Asia</strong> House Ad 68<br />

<strong>Dental</strong> South China 2023 66<br />

exocad GmbH 3<br />

International Osteology Symposium 2023 23<br />

Mectron S.p.A. 7, 55<br />

Medical Protection Society Limited (MPS) 1<br />

Rolence Enterprise Inc. 59<br />

Shofu Inc. 11<br />

Tekne <strong>Dental</strong> 53<br />

For information, visit us at www.dentalasia.net or<br />

contact us at sales@pabloasia.com<br />

VITA Zahnfabrik 57<br />

VOCO 49<br />

@dentalasia<br />

W&H<br />

IBC<br />

Company Registration No: 200001473N<br />

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68 DENTAL ASIA NOVEMBER / DECEMBER <strong>2022</strong>


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