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Dental Asia March/April 2024

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 />

MARCH / APRIL <strong>2024</strong><br />

Practice performance<br />

is a heavy lift.<br />

Think again.<br />

Introducing the new iTero Lumina intraoral scanner.<br />

With effortless scanning and superior visualization 1 , this game-changing innovation sets a new<br />

standard for practice performance.<br />

Learn more and request a demo today at iTero.com<br />

1. For Invisalign record-taking cases only. Based on a survey in September 2023 of n=22 users who participated in a global limited market release, working with iTero Lumina intraoral<br />

scanner for an average period of 6 months, representing both Invisalign trained general practitioners and orthodontists, and their staff in NA, EU and APAC, who were presented with a 4<br />

point level of agreement scale from strongly agree to strongly disagree with the following statement: “iTero Lumina intraoral scanner 3D model's superior 3D model eliminates the need to<br />

take intraoral photos.” Data on file at Align Technology, as of November 15, 2023.<br />

©<strong>2024</strong> Align, iTero, iTero Element, iTero Lumina, and Invisalign are trademarks of Align Technology, Inc.


CONTENTS<br />

26<br />

30 36 54<br />

TRENDS<br />

12 Overcoming a personal addiction by<br />

spreading positivity on TikTok<br />

UNDER THE SPOTLIGHT<br />

15 Realising a vision with FDI World<br />

<strong>Dental</strong> Federation president, Dr Greg<br />

Chadwick<br />

18 Inside a look at a free clinic for<br />

underprivileged neighbours<br />

20 Unlocking the power of digital<br />

dentistry at the University of Helsinki<br />

DENTAL PROFILE<br />

24 Advancing dental 3D printing and<br />

access to affordable restorations<br />

26 Celebrating a lifetime of smiles<br />

CLINICAL FEATURE<br />

30 Photobiomodulation for treatment of<br />

low back pain in dental professionals<br />

33 Revolutionising oral mucositis<br />

treatment: Antibacterial lightactivated<br />

therapy in future protocols<br />

36 Copy denture technique for function<br />

and aesthetics: Case report<br />

USER REPORT<br />

40 A natural tooth whitening alternative<br />

for reduced tooth and gingival<br />

sensitivity<br />

BEHIND THE SCENES<br />

45 Achieving a natural aesthetic<br />

appearance with porcelain veneers:<br />

Case reports (Part 1)<br />

IN DEPTH WITH<br />

47 Why nitrogen is essential for dental<br />

3D-printing curing oven<br />

50 Clinux CAD expands the range of<br />

design possibilities and capabilities<br />

with a suite of new features<br />

SHOW PREVIEW<br />

54 Sino-<strong>Dental</strong> <strong>2024</strong>: Explore a<br />

dynamic market all in one show<br />

56 Excitement for IDEM <strong>2024</strong><br />

builds as speakers share more!<br />

59 Deep insights from Mallorca:<br />

exocad’s wide-ranging view of<br />

digital dentistry<br />

SHOW REVIEW<br />

62 AEEDC Dubai <strong>2024</strong> concludes<br />

with US$5bn worth of trade<br />

deals<br />

REGULARS<br />

4 Editor’s Note<br />

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

51 Product Highlights<br />

63 Events Calendar<br />

64 Advertisers’ Index<br />

2 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


EDITOR’S NOTE<br />

On the road<br />

PABLO SINGAPORE<br />

PUBLISHER<br />

William Pang • williampang@pabloasia.com<br />

ASSISTANT EDITOR<br />

James Yau • james@pabloasia.com<br />

As <strong>2024</strong> rounds the corner into spring,<br />

this season of dentistry blooms with an<br />

inspiring array of oral health activities,<br />

programmes, and campaigns as dental<br />

professionals from all parts of the<br />

globe celebrate World Oral Health Day<br />

(WOHD).<br />

In this spirit of raising global awareness<br />

on the importance of oral health, <strong>Dental</strong><br />

<strong>Asia</strong> speaks with different stakeholders<br />

who are actively driving better oral<br />

health outcomes in their respective<br />

communities.<br />

TikTok personality Rohit Roy recounts<br />

the struggles of overcoming his<br />

addiction to fizzy drinks and highlights<br />

the power of social influence in a<br />

digital age (p.12). In the Singaporean<br />

neighbourhood of Kembangan-Chai<br />

Chee, Q & M <strong>Dental</strong> Group is piloting<br />

a dental clinic staffed by volunteer<br />

dentists and funded by donations, where<br />

under underprivileged residents can<br />

receive basic dental care for free (p.18).<br />

Global partners of WOHD, Smile Train and<br />

Dentsply Sirona, detail the synergy and<br />

relationship between private enterprises<br />

and charity organisations as the partners<br />

collaborate in a targeted mission of<br />

providing comprehensive cleft care<br />

(p.26). FDI president Dr Greg Chadwick<br />

shares his vision for the federation and<br />

how it strives to advance oral health<br />

outcomes for all the associations and<br />

organisations it works with (p.15).<br />

As each individual partakes in WOHD<br />

and beyond, it calls to mind the role<br />

and influence that every party has in<br />

the collective effort to advance oral<br />

health. Regardless of the scale, paths,<br />

or methods taken to get there, while the<br />

spotlight shines on oral health on 20<br />

Mar, let us remain united in the roads<br />

that lead to a brighter smile for all.<br />

James Yau<br />

James Yau Assistant Editor<br />

BUSINESS DEVELOPMENT MANAGER<br />

Pang YanJun • yanjun@pabloasia.com<br />

GRAPHIC DESIGNER<br />

Cayla Ong • cayla@pabloasia.com<br />

CIRCULATION MANAGER<br />

Shu Ai Ling • ailing@pabloasia.com<br />

MEDIA REPRESENTATIVE<br />

Jamie Tan • jamietan@pabloasia.com<br />

PABLO BEIJING<br />

GENERAL MANAGER<br />

Ellen Gao • pablobeijing@163.com<br />

PABLO SHANGHAI<br />

SENIOR EDITOR<br />

Daisy Wang • pabloshanghai@163.net<br />

PABLO PUBLISHING &<br />

EXHIBITION PTE LTD (Head Office)<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. 058/11/2023<br />

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

ADVISORY BOARD<br />

REGIONAL OFFICES<br />

PABLO BEIJING<br />

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

Email: pablobeijing@163.com<br />

PABLO SHANGHAI<br />

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

Email: pabloshanghai@163.net<br />

Dr William Cheung Dr Choo Teck Chuan Dr Chung Kong Mun Dr George Freedman Dr Fay Goldstep<br />

Dr Clarence Tam Prof Nigel M. King Dr Anand Narvekar Dr Kevin Ng Dr William O’Reilly Dr Wong Li Beng<br />

All rights reserved. Views of writers do not necessarily reflect the views of the<br />

Publisher. No part of this publication may be reproduced in any form or by any<br />

means, without prior permission in writing from the Publisher and copyright<br />

owner. Whilst every care is taken to ensure accuracy of the information in<br />

this publication, the Publisher accepts no liability for damages caused by<br />

misinterpretation of information, expressed or implied, within the pages of<br />

the magazine. All advertisements are accepted on the understanding that<br />

the Advertiser is authorised to publish the contents of the advertisements,<br />

and in this respect, the Advertiser shall indemnify the Publisher against all<br />

claims or suits for libel, violation of right of privacy and copyright infringements.<br />

<strong>Dental</strong> <strong>Asia</strong> is a controlled-circulation bi-monthly magazine. It is mailed freeof-charge<br />

to readers who meet a set of criteria. Paid subscription is available<br />

to those who do not fit our terms of control. Please refer to subscription form<br />

provided in the publication for more details. Printed by Times Printers Pte Ltd<br />

LET’S CONNECT<br />

@dentalasia<br />

Dr Adrian U J Yap<br />

Dr Christopher Ho<br />

Dr How Kim Chuan<br />

Dr Derek Mahony<br />

Prof Alex Mersel<br />

Dr Alan Kwong Hing<br />

Scan for<br />

digital copy of<br />

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

4 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


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DENTAL UPDATES<br />

VITA Zahnfabrik celebrates 100 years of innovation<br />

Since its foundation in 1924, VITA<br />

Zahnfabrik has continuously blended<br />

craftsmanship and innovative technology<br />

to drive progress in dentistry. Through<br />

targeted research, pioneering evolutions<br />

and high-quality standards, the company<br />

has shaped the dental technology and<br />

dentistry sector.<br />

In <strong>2024</strong>, VITA Zahnfabrik is proud to<br />

celebrate its 100th anniversary, marking 100<br />

years of innovation in providing solutions<br />

for prosthetics. Keeping a focus on the<br />

future and remaining close to users, the<br />

forward-thinking commitment of the<br />

fourth-generation family business based in<br />

southern Germany is the pursuit of better<br />

and more efficient solutions for prosthetics,<br />

both in functionality and aesthetics using<br />

the VITA PERFECT MATCH.<br />

The VITA PERFECT MATCH experience will<br />

be part of the user, customer and employee<br />

experience throughout the anniversary<br />

year, bringing innovative prosthetics<br />

and user proximity to life. The centenary<br />

celebration encompasses a variety of<br />

activities, events, and special educational<br />

formats, including 100 highlighted<br />

educational courses worldwide and<br />

100-minute webinars.<br />

"<strong>2024</strong> is a very special year for VITA.<br />

Founded 100 years ago, we have been able<br />

to work together with dental technicians<br />

and dentists for a long time on ever better<br />

prosthetics for patients. So when we<br />

celebrate our 100th anniversary, we do<br />

so with great gratitude. Grateful for the<br />

loyalty of our users and grateful for the<br />

commitment of so many employees who<br />

have contributed to this success,” said Dr<br />

Emanuel Rauter, managing partner of VITA<br />

Zahnfabrik.<br />

Dr Rauter added: “And we look back on VITA<br />

with pride, because we know that many<br />

milestones in dentistry are associated with<br />

our name. This is both an incentive and<br />

motivation for us to see <strong>2024</strong> as the first<br />

year of VITA's second century. Together<br />

with dental technicians and dentists, we<br />

want to continue working on ever better<br />

solutions for the perfect care of patients in<br />

the future."<br />

<strong>Dental</strong> technicians and dentists in more<br />

than 150 countries around the world rely<br />

on VITA Zahnfabrik's solutions to provide<br />

their patients with the best possible care.<br />

An international distribution network<br />

grants access to innovative products for<br />

shade determination, CAD/CAM materials,<br />

pressing and veneering materials, as well as<br />

denture teeth and solutions for the digital<br />

fabrication of dentures.<br />

Being close to the user also means sharing<br />

knowledge. The VITA ACADEMY lives and<br />

breathes continuing education, and as<br />

a competent knowledge partner, offers<br />

comprehensive and customised professional<br />

education programmes. VITA Zahnfabrik<br />

proudly reaffirms its role as a reliable,<br />

global partner for dental technicians,<br />

dentists and customers, optimistically<br />

looking forward to another 100 years of<br />

innovative solutions.<br />

VITA Zahnfabrik extends its heartfelt<br />

thanks to all users, customers, partners and<br />

employees for their trust over the years.<br />

Operating under the motto ‘Bringing <strong>Dental</strong><br />

Prosthetics to Life – VITA PERFECT MATCH<br />

Experience’, the company looks forward<br />

to many more years of collaborative<br />

innovation and successful cooperation. DA<br />

Leixir <strong>Dental</strong> Laboratory Group<br />

appoints John Krier as CEO<br />

(Image: Leixir)<br />

Leixir <strong>Dental</strong><br />

Laboratory<br />

Group (Leixir),<br />

an operator of<br />

a full-service,<br />

state-of-the-art<br />

dental laboratory<br />

network,<br />

announced the appointment of John Krier<br />

as CEO, effective 2 Jan <strong>2024</strong>. Krier succeeds<br />

Leixir founder Harmeet Bindra, who will<br />

continue as executive chairman.<br />

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

work alongside Leixir’s terrific leadership<br />

team and employees at such an exciting<br />

time. Leixir is well-positioned for strong<br />

continued growth as a dental lab provider<br />

of choice. I look forward to continuing to<br />

expand Leixir’s customer base, advance<br />

its DSO relationships, and grow its service<br />

offering in support of best-in-class dental<br />

patient care,” said Krier.<br />

Krier brings nearly two decades of<br />

executive leadership experience in<br />

the medical device manufacturing and<br />

distribution industries. He joins Leixir from<br />

Dynatronics Corporation where he was<br />

most recently president and CEO.<br />

Before that, he held senior roles in corporate<br />

strategy and commercial execution, including<br />

marketing and customer experience, over<br />

seven years at Breg, Inc. Prior to that, Krier<br />

was president of Viscent, LLC. He began his<br />

career at Deloitte, US, where he served in a<br />

variety of client servicing positions over eight<br />

years with the firm.<br />

“We are delighted to welcome John<br />

to Leixir,” said Bindra. “His wealth of<br />

multidisciplinary experience spans<br />

operations, new product launches, strategic<br />

acquisitions, customer-focused strategies,<br />

and team development. With a long track<br />

record of developing values-based company<br />

culture and driving operational excellence,<br />

John is well-suited to lead Leixir in its next<br />

phase of expansion.” DA<br />

6 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


DENTAL UPDATES<br />

ADA releases new guideline<br />

for acute pain management<br />

strategies<br />

Nonsteroidal antiinflammatory<br />

drugs (NSAIDs)<br />

taken alone or along<br />

with acetaminophen are<br />

recommended as first-line<br />

treatments for managing<br />

short-term dental pain in<br />

adults and adolescents aged<br />

12 or older, according to a<br />

new clinical practice guideline developed by the American <strong>Dental</strong><br />

Association (ADA), the University of Pittsburgh School of <strong>Dental</strong><br />

Medicine and the Center for Integrative Global Oral Health at<br />

the University of Pennsylvania School of <strong>Dental</strong> Medicine. The<br />

guideline has been endorsed by the ADA and is now available in the<br />

February issue of The Journal of the American <strong>Dental</strong> Association.<br />

Based on review of the available evidence, a guideline panel<br />

concluded that, when used as directed, NSAIDs, like ibuprofen<br />

and naproxen, alone or in combination with acetaminophen can<br />

effectively manage pain after having a tooth removed or when<br />

experiencing a toothache when dental care is not immediately<br />

available.<br />

(Image: American <strong>Dental</strong> Association)<br />

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The guideline also offers clinicians recommendations for<br />

prescribing opioid medications in the limited circumstances<br />

in which they may be appropriate. These include avoiding “just<br />

in case” prescriptions, engaging patients in shared decisionmaking<br />

and exerting extreme caution when prescribing opioids<br />

to adolescents and young adults. When prescribing opioids,<br />

the guideline suggests advising patients on proper storage and<br />

disposal and considering any risk factors for opioid misuse and<br />

serious adverse events.<br />

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“It is important to take special consideration when prescribing<br />

any type of pain reliever, and now, dentists have a set of evidencebased<br />

recommendations to determine the best care for their<br />

patients,” said Dr Paul Moore, DMD, PhD, MPH, the guideline’s<br />

senior author and panel chair and professor emeritus at the<br />

University of Pittsburgh’s School of <strong>Dental</strong> Medicine.<br />

“Patients are encouraged to discuss pain management<br />

expectations and strategies with their dentist so they can feel<br />

confident that they are receiving the safest, most effective<br />

treatment for their symptoms.”<br />

This is the second of two guidelines on acute dental pain<br />

management. A previous set of recommendations for paediatric<br />

patients was published in 2023. DA<br />

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DENTAL ASIA MARCH / APRIL <strong>2024</strong><br />

7


DENTAL UPDATES<br />

<strong>Dental</strong> Bridge enters Indian market with<br />

the launch of DoctorBridge platform<br />

(Image: Dbridge India)<br />

Dbridge India,<br />

a subsidiary of<br />

South Korea’s<br />

<strong>Dental</strong> Bridge<br />

Co, has launched<br />

their platform<br />

‘Doctorbridge’ to link medical device<br />

manufacturers with end-users, especially<br />

doctors. Their strategy involves establishing<br />

a robust online ecosystem and prioritising<br />

continuous clinical education, fostering<br />

knowledge exchange among doctors on a<br />

global scale.<br />

India, with a growing market expected to<br />

reach US$2.67bn by 2028, is experiencing<br />

a surge in demand for facial aesthetics<br />

procedures. This is driven by factors like<br />

increased disposable income, impact of<br />

social media, and a growing interest in antiageing<br />

solutions.<br />

<strong>Dental</strong> Bridge is a company in the Korean<br />

facial aesthetics market, and their subsidiary<br />

Dbridge India is bringing the latest trends<br />

and techniques for those aspiring to achieve<br />

the coveted “korean glass skin” look.<br />

DBridge has started their foray in the market<br />

by launching 'DoctorBridge' – a platform for<br />

dentists and doctors, at the World <strong>Dental</strong><br />

Show (WDS) in Mumbai, India, and the<br />

Annual Conference of the Association of Oral<br />

and Maxillofacial Surgeons of India (AOMSI)<br />

at New Delhi, India, in November 2023. It has<br />

already secured numerous Memorandum of<br />

Understandings (MoUs) with doctors in India<br />

for future collaborations.<br />

Recently, Dbridge India was also part of<br />

the K-Startup Center (KSC) India 2023<br />

programme which is run by The Circle FC,<br />

a business accelerator based in Gurugram,<br />

India. The programme supports startups<br />

to soft-land in India by providing valuable<br />

insights through mentoring, resources and<br />

partner network for market access. DBridge<br />

India also secured the '1st Runner Up Prize'<br />

during the KSC India Demoday.<br />

The founder of <strong>Dental</strong> Bridge, Ms Lina Ahn<br />

is a former dental student in the UK with<br />

extensive experience in healthcare sales<br />

and marketing at global giants like GSK<br />

and P&G, and brings a deep understanding<br />

of the industry. Inspired by doctors’<br />

enthusiasm to learn and grow, Ahn aims to<br />

bridge Korean medical device companies<br />

with Indian doctors, elevating the<br />

experience of facial aesthetic treatments in<br />

India and positioning the country as a hub<br />

for such services in neighbouring countries<br />

as well. DA<br />

‘Mewing’ stars in new Netflix documentary, AAO warns<br />

of its “thin” claims<br />

Netflix released a new documentary titled<br />

‘Open Wide’ on 23 Jan about orthodontists<br />

John Mew and Mike Mew. The documentary<br />

explores the father-and-son duo who are<br />

fighting to upend mainstream orthodontics<br />

through their ‘mewing’ techniques which<br />

purports to transform the shape of one’s<br />

jawline through the placement of one’s<br />

tongue in the mouth.<br />

The technique and buzz it gathered on<br />

social media was seen by different members<br />

of the dental and scientist community<br />

as highly contentious due to its lack of<br />

scientific evidence. Mike Mew’s mewing<br />

techniques reported gathered nearly 2bn<br />

views on TikTok and he faced a misconduct<br />

hearing at the General <strong>Dental</strong> Council of the<br />

UK in November 2022.<br />

The American Association of Orthodontists<br />

(AAO) has spoken out against the technique<br />

in the past when consumer awareness<br />

of it was growing. The AAO further said<br />

that it has developed a consumer blog,<br />

From left: John Mew and Mike Mew are the<br />

subjects over their controversial ‘mewing’ which<br />

went viral on social media (Image: A24)<br />

organic social media posts, press releases,<br />

and some additional outreach, via the<br />

Consumer Awareness Program and paid<br />

digital media. The AAO is developing these<br />

additional consumer-focused materials<br />

on mewing to inform the public about<br />

the inflated promises and complicated<br />

treatment issues that can arise from this<br />

practice.<br />

Moreover, the AAO wrote in an article<br />

that the scientific evidence supporting<br />

mewing’s jawline-sculpting claims is “as<br />

thin as dental floss” and that there is<br />

no current research that suggests the<br />

technique provides any benefit to one’s<br />

jawline or oral health.<br />

It asserted that facial restructuring is<br />

simply not achievable by changing the<br />

resting position of one’s tongue. It is a<br />

complex process that involves moving<br />

jaw bones, facial bones, and soft tissue,<br />

and maxillofacial deformities are usually<br />

corrected with orthodontic treatment.<br />

Moreover, the AAO added that improperly<br />

forcing one’s tongue into unnatural<br />

positions may lead to undesired effects<br />

and could actually disrupt tooth alignment,<br />

worsen bite problems and speech issues,<br />

and require complicated treatment to<br />

resolve.<br />

While DIY methods for facial restructuring,<br />

like mewing, are appealing options for those<br />

seeking an easy, at-home solution, it does<br />

not fully account for what is happening<br />

below the surface and the AAO does not<br />

recommend any attempts to move teeth or<br />

align jaws without appropriate supervision,<br />

as one likely will not achieve the results<br />

desired. DA<br />

8 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


DENTAL UPDATES<br />

EU votes to ban dental<br />

amalgam, BDA fears it<br />

could be the straw that<br />

“breaks NHS dentistry”<br />

A European Parliament vote on 17 Jan <strong>2024</strong> to ban dental<br />

amalgam has been met with breaking concerns from the British<br />

<strong>Dental</strong> Association (BDA) over the strains it would put on an<br />

already precarious NHS dentistry.<br />

On 14 Jul 2023, the European Commission adopted a proposal to<br />

revise the Mercury Regulation. This included introducing a total<br />

phase-out of the use of dental amalgam, and prohibiting the<br />

manufacture and export of dental amalgam from the EU from<br />

1 Jan 2025 — five years earlier than expected.<br />

Responding to the vote, chair of the BDA, Eddie Crouch wrote<br />

in an open letter to the UK Chief <strong>Dental</strong> Officers (CDO) seeking<br />

their commitment to address the development concluding that<br />

“without decisive action, this could be the straw that breaks<br />

NHS dentistry”.<br />

Crouch wrote: “This has taken a new urgency now that the<br />

European Parliament has voted in favour of a proposal to<br />

phase-out amalgam by 1 Jan 2025. We are extremely concerned<br />

about the impact this EU phase-out will have on services across<br />

the UK, both directly under post-Brexit arrangements and<br />

indirectly as a result of supply chain collapse in Europe.”<br />

“NHS dentistry is already in precarious situation across the<br />

UK, with the Nuffield Trust recently warning that the service<br />

has most likely ‘gone for good’. The loss of a vital restorative<br />

material and its replacement with more expensive and timeconsuming<br />

alternatives is only a further blow to the financial<br />

viability of NHS dentistry.”<br />

Crouch urged all four UK CDOs to urgently address the impact<br />

of the direct application of the EU regulation to Northern<br />

Ireland; adopt a renewed focus on prevention to reduce the<br />

need for dental restorations; work with industry to secure an<br />

ongoing supply of amalgam; and work with the BDA to ensure<br />

that there is no financial impact on dentists from the need to<br />

use alternative materials.<br />

Silver amalgam is currently the most<br />

common material for NHS permanent<br />

fillings across the UK. Fillings represent<br />

around a quarter of all courses of NHS<br />

treatment delivered in England, according<br />

to the BDA, with amalgam used in around<br />

one-third of procedures. DA<br />

(Image: Facebook/<br />

British <strong>Dental</strong><br />

Association)<br />

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DENTAL ASIA MARCH / APRIL <strong>2024</strong><br />

9


DENTAL UPDATES<br />

Study on oral stem cells opens new<br />

doors for regenerative medicine<br />

A team of researchers from the ADA Forsyth<br />

Institute and University of North Carolina<br />

(UNC), Chapel Hill recently announced<br />

that it had used single-cell transcriptomic<br />

analysis to successfully map dental pulp<br />

stem cells (DPSC) and periodontal ligament<br />

stem cells (PDLSC) and found remarkable<br />

differences between them. The study, which<br />

appeared in the Journal of <strong>Dental</strong> Research,<br />

is said to provide the most detailed analysis<br />

of these stem cells to date, identifying the<br />

entire genome of the stem cells and their<br />

potential differentiation trajectories.<br />

“<strong>Dental</strong> pulp and periodontal ligament stem<br />

cells both have the potential to develop<br />

into any type of cell in the body,” said ADA<br />

Forsyth scientist, Alpdogan Kantarci, DDS,<br />

MSc, PhD, who led the study with UNC<br />

biostatistician, Di Wu, PhD. “We wanted<br />

to discover how they were different and<br />

whether there were differences in their<br />

capacity to differentiate into other cell<br />

types.”<br />

The team discovered that both types<br />

of stem cells have seven different gene<br />

clusters, with different categories of genes<br />

reflecting different stages in the process of<br />

differentiation. Four of those gene clusters<br />

were similar when comparing the two<br />

types of stem cells. Three of the clusters<br />

were uniquely different. While PDLSC’s<br />

were more like fibroblasts — cells that can<br />

become connective tissue — because of an<br />

increased proportion of certain clusters,<br />

DPSCs had higher differentiation potential<br />

and converted more easily into bone cells.<br />

“This new information on the specific<br />

genetic composition and mechanisms<br />

of differentiation in dental pulp and<br />

periodontal ligament stem cells will<br />

generate a new era of work in regenerative<br />

medicine,” said Dr Kantarci. “We could<br />

potentially select a stem cell based on<br />

its distinct properties to create targeted<br />

regenerative dental tissue repair and other<br />

regenerative therapies.”<br />

ADA Forsyth scientists obtained the<br />

stem cells from extracted teeth without<br />

culturing them, unlike other studies of<br />

these stem cells, and sent them unfrozen to<br />

(Image: Freepik)<br />

UNC for single-cell transcriptomic analysis.<br />

Meanwhile, they also took the same cells<br />

and differentiated them into known cell<br />

types such as osteoblasts, bone cells, and<br />

fibroblasts. The team then used advanced<br />

bioinformatics to compare and document<br />

the capacity of the two populations of<br />

stem cells to differentiate into osteoblasts<br />

or fibroblasts. The results of the bulk RNA<br />

sequencing validated the findings of the<br />

single-cell transcriptomics.<br />

“Prior to this study, people believed that<br />

stem cells were either very similar to each<br />

other, or very different from one another.<br />

Now we have enough information to<br />

see the huge potential for using specific<br />

features of these stem cells to create<br />

more effective and targeted regenerative<br />

therapies,” said Dr Kantarci. DA<br />

Neocis secures US$20m in additional funding<br />

Surgical robotics company Neocis has<br />

announced that the company raised<br />

US$20m in additional funding. This latest<br />

round of financing included Mirae Asset<br />

Capital/Mirae Asset Venture Investment,<br />

venture capital firms affiliated with the<br />

Mirae Asset Financial Group that invest in<br />

growth-stage healthcare and technology<br />

businesses, and NVentures, NVIDIA’s<br />

venture capital arm.<br />

Neocis manufactures and markets Yomi, in<br />

what is said to be dentistry’s first and only<br />

robotic surgical system cleared by the US<br />

Food and Drug Administration (FDA). The<br />

Yomi platform, which has received a total of<br />

16 FDA 510(k) clearances, assists clinicians<br />

during all phases of implant placement via<br />

streamlined digital planning and haptic<br />

guidance of surgical instrumentation, so<br />

users can deliver precise and efficient<br />

treatment. According to the company, more<br />

than 40,000 implants have been placed<br />

with robotic assistance.<br />

“The latest investment is a testament to<br />

our growth as a company and how far<br />

dental robotics has come since the first<br />

Yomi systems were installed,” said Alon<br />

Mozes, Neocis’ co-founder and CEO. “We<br />

are tremendously grateful to have the<br />

backing of our newest investors, including<br />

NVentures and Mirae Asset Financial<br />

Group, as well as our existing partners.<br />

This funding positions us for continued<br />

success in the market and will help us<br />

drive meaningful innovation in implant<br />

dentistry.”<br />

Neocis will use the additional funds to bolster<br />

a wide range of business initiatives from<br />

product development and sales enablement<br />

to clinical education. To keep pace with the<br />

company’s steady growth, Neocis moved<br />

into a larger space last summer. The new<br />

headquarters, which houses a state-ofthe-art<br />

manufacturing facility, is located in<br />

Miami’s Wynwood neighborhood.<br />

“Robotics and AI are changing the face of<br />

dentistry, enabling innovations that increase<br />

doctor efficiency and help them improve<br />

the quality of life for their patients,” said<br />

Mohamed “Sid” Siddeek, corporate vicepresident<br />

and head of NVentures. “Neocis<br />

is transforming dental implant procedures,<br />

demonstrating the benefits of robotics and AI<br />

in healthcare.” DA<br />

10 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


DENTAL UPDATES<br />

New headquarters of<br />

the National <strong>Dental</strong><br />

Commission inaugurated<br />

Union minister of Health and Family Welfare Dr Mansukh<br />

Mandaviya inaugurated the new headquarters of the National<br />

<strong>Dental</strong> Commission (NDC), in New Delhi, India, on 5 Feb. Dr<br />

Mandaviya also laid the foundation stones for three Nursing<br />

Colleges in Andhra Pradesh and one in Jammu and Kashmir<br />

virtually.<br />

The inauguration comes after of passing of the National<br />

<strong>Dental</strong> Commission Bill, 2023, on 8 Aug in the previous year by<br />

the Indian Parliament in a step towards enhancing healthcare<br />

quality and aligning dental education with global standards.<br />

The National <strong>Dental</strong> Commission Act 2023 introduced<br />

a regulatory framework by establishing the NDC, which<br />

replaced the <strong>Dental</strong> Council of India (DCI) and repealed the<br />

Dentists Bill, 1948.<br />

Dr Mandaviya also presided over the MoU between the <strong>Dental</strong><br />

Council of India and Quality Council of India for the assessment<br />

and rating of undergraduate dental colleges and launched<br />

the National <strong>Dental</strong> Register (NDR) under the National Health<br />

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“The advent of <strong>Dental</strong> Commission heralds marking a new<br />

era in dental education and administration. Through the<br />

<strong>Dental</strong> Commission Act, the government has made an effort<br />

to make dental education more practical, affordable and bring<br />

transparency in the entire system, simultaneously providing<br />

patients with affordable and good treatment,” said Dr Mandaviya.<br />

Addressing the gathering, Dr Mandaviya emphasised that with<br />

the launch of NDR created under One Nation One Register,<br />

the people of the country will get the identity and qualification<br />

of dentist in a transparent manner. “NDR will provide Unique<br />

Identification (DCIID) to all dentists practicing in India after<br />

verification from the respective State <strong>Dental</strong> Council. The NDR<br />

will also help citizens identify dentists verified by state dental<br />

councils,” he said.<br />

Highlighting the government’s commitment to strengthen<br />

the nursing workforce and mitigate healthcare disparities<br />

across regions, Dr Mandaviya stated the ceremony is a part of<br />

government’s scheme to establish 157 new nursing colleges colocated<br />

with existing medical colleges.<br />

“The advancements made in the sphere of health and medical<br />

infrastructure will provide quality and affordable healthcare<br />

and open many opportunities in the healthcare sector, vastly<br />

benefitting the nation,” said Dr Mandaviya. DA<br />

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DENTAL ASIA MARCH / APRIL <strong>2024</strong><br />

11


Overcoming a personal<br />

addiction by spreading<br />

positivity on TikTok<br />

By James Yau<br />

On 8 May 2020, Rohit Roy uploaded his first<br />

video to TikTok. His intention was simple.<br />

Upload a video every day to keep himself<br />

accountable in his progress of quitting fizzy<br />

drinks. And with that, his iconic catchphrase —<br />

“Hello everyone. No fizzy drinks for me today.”<br />

— was born.<br />

“At the time I came across TikTok for the first<br />

time. The videos were in a short format so<br />

it was easy to post. My thinking was that if<br />

I posted a video every day and kept people<br />

updated, it would provide the accountability<br />

that I was looking for. And that was when I<br />

chose to start posting on TikTok and social<br />

media,” said Roy.<br />

As the days passed and his streak kept going,<br />

Roy’s videos reached more and more people,<br />

view by view. Four years in, Roy’s journey has<br />

reached day 1351, accumulating over 523,200<br />

followers and 8.7 million likes at the time of<br />

writing, inspiring many in the process with his<br />

cheerful demeanor.<br />

But according to Roy, his addiction started<br />

long before his rise to social media fame since<br />

the age of five in his native country. “Even<br />

when I was India, I was heavily addicted to<br />

fizzy drinks because I started at a very young<br />

age. Since then, I have been having fizzy<br />

drinks continuously,” he said, estimating that<br />

he consumed about six fizzy drinks each day<br />

at the peak of his addiction.<br />

In December 2022, a global tax manual<br />

for sugar sweetened beverages (SSBs)<br />

published by the World Health Organization<br />

highlighted the robust evidence associating<br />

the consumption of SSBs with a growing<br />

global burden of obesity and other<br />

associated disease. In particular, increased<br />

intake of SSBs is associated with increased<br />

risk of dental caries, type 2 diabetes<br />

mellitus and excess weight and obesity,<br />

which in turn increase the risk of heart<br />

disease, stroke, other cardiometabolic<br />

conditions and some cancers.<br />

Even though Roy was not affected by<br />

serious health conditions, he was conscious<br />

of the negative impacts through the weight<br />

he gained. After many unsuccessful<br />

attempts to kick the habit, with his longest<br />

period off the drink at 45 days, that was<br />

when the 45-year-old financial planner from<br />

Melbourne took to social media with a new<br />

game plan.<br />

As dental professionals and organisations<br />

across the globe celebrate World Oral Health<br />

Day on 20 Mar and beyond, <strong>Dental</strong> <strong>Asia</strong><br />

speaks with the TikTok sensation on his<br />

journey of overcoming addiction and sharing<br />

positivity.<br />

BEFORE AND AFTER<br />

Roy credits the support he received online as<br />

a large motivator in his journey as compared<br />

to his previous attempts to quit his habit.<br />

“When I started my journey, I thought I would<br />

be craving fizzy drinks. That was why I said in<br />

my first video that I will try to have one fizzy<br />

drink every week. But that never happened<br />

because when I started, I received so much<br />

support from people which motivated me,”<br />

Roy said. “To be honest, it was lucky for me to<br />

get so much support.”<br />

Not wanting to let his supporters down, Roy<br />

made concerted changes to his daily habits<br />

to ensure that he would not break his streak.<br />

For instance, he was more careful about the<br />

content of the beverages he consumed to<br />

avoid any accidental consumption of fizzy<br />

drinks. This included not just sugary drinks,<br />

but carbonated drinks as well.<br />

12 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


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TRENDS<br />

and remains committed to posting his daily<br />

videos for the sake of those who helped him<br />

along the way. He also shared that he might<br />

expand his content to include other aspects<br />

of healthy living such as weight training and<br />

health routines.<br />

“It is safe to say that I do not crave fizzy drinks<br />

anymore. I am no longer addicted. Before I<br />

was looking for motivation myself and now<br />

people get motivated by me, so it is my duty<br />

now to continue my journey,” Roy said.<br />

Roy filming his daily updates with a group of fans encountered at a beach in Melbourne<br />

“I want to thank people, which are<br />

DAY 1352 AND COUNTING<br />

communities who supported my journey. Sharing his advice for any individuals and<br />

I try to meet people wherever I can. If they organisations striving to promote similar<br />

recognise me, I thank them personally,” outcomes to that of his own journey, Roy<br />

Roy added.<br />

believes that honesty and genuity is the way<br />

to go.<br />

However, Roy was clear to make the distinction<br />

between his addiction and fizzy drinks itself. “What I suggest for any organisation or any<br />

committee who want to have a positive<br />

“Throughout the journey I have maintained impact on social media, is that they should<br />

that there is nothing wrong with fizzy drinks. portray themselves as honest and genuine<br />

If you have one fizzy drink here and there, that with a clear message. And then I believe many<br />

is fine. My fight is not against any product, it is people will follow,” he said.<br />

against any addiction we have,” Roy said.<br />

For individuals struggling with addiction, he<br />

Since making these changes to his daily encouraged long-term thinking. “Ten, 15, or 20<br />

routines, in combination with a healthy diet years ahead, if you continue your addiction,<br />

and an exercise routine, Roy has noticed what will happen? For example, if someone<br />

tangible improvement to his physical and is 25 years old now, they might not see the<br />

mental health. He reported feeling less anxiety, negative impacts of the addiction now, but at<br />

stress, fatigue and better sleeping patterns. He some stage in their life the addiction will catch<br />

also shared that the most amount of weight he up with them and will start to have negative<br />

had lost was about 20kgs.<br />

impacts.”<br />

Reflecting on his past journey and his future<br />

plans for his online community, Roy shared<br />

that he might consider having a fizzy drink the<br />

day when his one-year-old daughter grows<br />

up to offer him one during an occasion.<br />

Looking forward to that day, Roy concluded his<br />

thoughts on a note of positivity.<br />

“For dental professionals or anyone who is<br />

reading. The best advice I have is to spread<br />

positivity. I am a Hindu from India and I believe<br />

in karma. Even though not everyone believes in<br />

it, what I believe is what you give, you get back<br />

anyway. In our daily lives, we are busy with our<br />

family and jobs, but we can still sort of find<br />

some time to make positive experiences for<br />

other people as well.” DA<br />

“Before the start of my journey, I used to go to<br />

the shopping centre for example, and would<br />

look for places to sit because I could not walk<br />

too much,” Roy added.<br />

Moreover, Roy emphasied that motivation<br />

should stem ultimately from intrinsic reasons,<br />

with realistic targets and plans to maintain<br />

progress of one’s journey.<br />

His oral health improved as well. With the habit<br />

of fizzy drinks for over 35 years, Roy had 14<br />

teeth with cavities which has since been filled.<br />

“Whatever damage I had, it stopped there<br />

and I prevented any new damage. I go for a<br />

dental checkup once a year and they check the<br />

previous damage which happened and repair<br />

it if required. But there is no new damage or<br />

anything,” Roy said.<br />

“Whenever you are in your journey, do not do<br />

it because I or anyone else did it. If you are<br />

just trying to do it because you are copying<br />

another person, that probably would not work<br />

for long. Unless you have a genuine reason<br />

inside you, then it would not be last for long.”<br />

With over 1351 days free of fizzy drinks, Roy<br />

is assured that he has bested his addiction<br />

Roy and his daughter in one of his daily videos<br />

14 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


UNDER THE SPOTLIGHT<br />

Realising a vision<br />

with FDI World<br />

<strong>Dental</strong> Federation<br />

president, Dr Greg<br />

Chadwick<br />

“ I invite individuals,<br />

advocates, and<br />

policymakers globally<br />

to consult the many<br />

resources FDI has<br />

developed over the<br />

years for enhancing oral<br />

health. Together, let us<br />

achieve FDI’s vision of a<br />

world with optimal oral<br />

health.<br />

Dr Greg Chadwick,<br />

FDI World <strong>Dental</strong> Federation president<br />

By James Yau<br />

Across the time that Dr Greg Chadwick<br />

has spent in private practice, academia<br />

and with national organisations, at the<br />

local, state, national and international<br />

levels, he sees his 30-year journey<br />

as a “rewarding” participation in the<br />

dentistry profession.<br />

This journey includes serving as the<br />

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

Association from 2001-02 and a<br />

trustee from 1996-2000, leading the<br />

efforts to start the East Carolina<br />

University School of <strong>Dental</strong> Medicine<br />

where he has been serving as dean for<br />

almost 12 years, and dedicating six<br />

years to the role of speaker of the FDI<br />

General Assembly.<br />

At the FDI World <strong>Dental</strong> Federation<br />

(FDI) General Assembly in Sydney<br />

on 26 Sep 2023, Dr Chadwick was<br />

installed as the new president for<br />

the federation. Reflecting on how<br />

he will channel the lessons learnt<br />

throughout this journey in guiding the<br />

FDI to achieve its mission and vision,<br />

Dr Chadwick distilled his answer into<br />

three aspects.<br />

“First, there is no limit to what we can<br />

accomplish when we work together<br />

and with a plan. Second, prevention is<br />

key and must be prioritised if we are<br />

expecting improvement in oral health<br />

in a cost-effective and strategic way.<br />

Last, but not least, advocacy efforts<br />

cannot be overstated as they are<br />

crucial to drive effective and lasting<br />

change,” said Dr Chadwick.<br />

VISIONS AND PILLARS<br />

Over the next two years, FDI’s priorities<br />

as an organisation will continue to<br />

focus on achieving the goals detailed<br />

in its Vision 2030 report.<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong><br />

15


UNDER THE SPOTLIGHT<br />

The report, ‘Vision 2030: Delivering Optimal<br />

Oral Health for All’, was first published in 2021<br />

and identifies challenges that will confront<br />

dentistry and the oral health community over<br />

the next decade. By turning these challenges<br />

into opportunities, it proposes strategies to<br />

to improve oral health, reduce oral health<br />

inequalities, and contribute to reducing the<br />

global burden of oral diseases.<br />

“The challenges that the dental professions<br />

must be aware of are outlined in FDI’s Vision<br />

2030 report and are intricately tied to the three<br />

fundamental pillars of this report that present<br />

opportunities for enhancing oral health,”<br />

Dr Chadwick said.<br />

Under its ambit, the report is constructed<br />

around three pillars, each with a major goal<br />

to be achieved by 2030. These pillars are<br />

supported by a strategy for education that will<br />

create a responsive and resilient profession,<br />

with the knowledge and skills to lead systems<br />

reforms.<br />

Pillar one aims for essential oral health<br />

services to be integrated into healthcare in<br />

every country and appropriate quality oral<br />

healthcare to become available, accessible,<br />

and affordable for all; pillar two seeks the<br />

integration of oral and general personcentred<br />

healthcare, leading to more effective<br />

prevention and management of oral diseases<br />

and improved health and well-being; pillar<br />

three envisions oral health professionals<br />

collaborating with a wide range of health<br />

workers to deliver sustainable, health-needsbased,<br />

and people-centred healthcare.<br />

For instance, outlined under pillar two of the<br />

report, the federation’s General Assembly<br />

approved the FDI ‘Position on Free Sugars’,<br />

aimed at addressing the pressing public health<br />

crisis of excessive sugar consumption at<br />

the 2023 World <strong>Dental</strong> Congress in Sydney,<br />

Australia.<br />

Following the endorsement of the Position<br />

on Free Sugars, FDI is actively increasing its<br />

efforts to tackle the challenge through its<br />

advocacy, capacity building and knowledge<br />

sharing, in collaboration with important<br />

stakeholders, including other health<br />

organisations.<br />

“Additionally, we aim to strengthen<br />

collaborations with various health<br />

organisations, leveraging our membership in<br />

the World Health Professions Alliance, and<br />

seeking support from industry partners for our<br />

public health initiatives,” said Dr Chadwick.<br />

Dr Chadwick added: “Of course, none of this<br />

would be possible without the support of our<br />

member national dental associations, and<br />

therefore we will continue to keep their interest<br />

at the heart of our efforts to improve global<br />

oral health.”<br />

Moreover, the recently adopted ‘FDI strategic<br />

plan <strong>2024</strong>-2027’ is another important focus Dr<br />

Chadwick is directed towards executing. The<br />

new organisational plan for <strong>2024</strong>-2027 forms<br />

a strategic framework formed upon three<br />

pillars — advocacy, knowledge exchange, and<br />

innovation.<br />

The advocacy pillars is seen as a mean to<br />

drive the implementation of FDI's Vision 2030.<br />

It mobilises advocacy efforts to increase<br />

oral health literacy and achieve political<br />

commitment and action on oral health for all.<br />

The knowledge exchange pillar which was<br />

revised from a previously titled ‘knowledge<br />

transfer’ pillar, builds a robust community<br />

of skilled, engaged, and informed dental<br />

professionals and partners.<br />

A newly added innovation pillar<br />

positions the oral health community<br />

to ensure the dental profession<br />

is responsible, sustainable, and<br />

responsive to emerging and evolving<br />

technologies in dentistry.<br />

“The oral healthcare landscape is<br />

rapidly changing and ever evolving, so<br />

it is our duty to ensure that we keep up<br />

to speed with the changes and that we<br />

do so in a balanced and sustainable<br />

manner,” explained Dr Chadick. “We<br />

are paying, of course, close attention<br />

to digitalisation, the development of AI<br />

and sustainability in dentistry, as seen<br />

in FDI’s initiatives.”<br />

At the 154th WHO Executive Board meeting, FDI and the International Association for <strong>Dental</strong>, Oral, And<br />

Craniofacial Research (IADR) expressed its concern in a joint statement regarding global oral health<br />

targets<br />

PROGRESS AND CHALLENGES<br />

As the main driver of its work at<br />

FDI, Vision 2030 is at the heart of its<br />

advocacy efforts. The developments in<br />

the global oral health landscape with<br />

the approval and formal adoption of<br />

the World Health Organization (WHO)<br />

16 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


UNDER THE SPOTLIGHT<br />

Resolution, Strategy and Action Plan on<br />

oral health have moved oral health into the<br />

spotlight, making it a public health priority.<br />

“We are of course pleased that WHO’s<br />

position aligns with our own Vision 2030,” said<br />

Dr Chadwick.<br />

Dr Chadwick shared that FDI has been<br />

proactive in working with its members to<br />

implement Vision 2030 through diverse<br />

initiatives. In 2023, FDI co-organised advocacy<br />

and capacity building workshops with its<br />

regional organisations in Europe and Latin<br />

America. The workshops were aimed to<br />

equip national dental associations with<br />

the knowledge and resources to support<br />

governments in developing ambitious national<br />

oral health policies with measurable targets<br />

and monitoring mechanisms.<br />

“Through relevant discussions on the oral<br />

health burdens specific to each region and<br />

the identification of advocacy priorities, we<br />

collaborated to create action plans tailored<br />

to the needs of each region,” Dr Chadwick<br />

explained.<br />

empower people with the knowledge, tools<br />

and confidence to secure good oral health.<br />

Under a new three-year cycle for the global<br />

campaign, the campaign theme for <strong>2024</strong>-2026<br />

is: ‘’A HAPPY MOUTH IS…’’. For each year<br />

of the three-year campaign, the “A HAPPY<br />

MOUTH IS…” theme will be qualified by a focus<br />

area, which aligns with broader developments<br />

on the global health agenda, including the<br />

adoption of the WHO’s Oral Health Resolution<br />

in 2021.<br />

“In <strong>2024</strong>, the campaign spotlights the intricate<br />

link between oral health and general health<br />

because: A HAPPY MOUTH IS... A HAPPY<br />

BODY. Through this year’s campaign, we<br />

aim to encourage people to understand the<br />

benefits of a happy, healthy mouth by raising<br />

awareness of the interconnected nature of<br />

oral health and general health,” Dr Chadwick<br />

said. “‘A HAPPY MOUTH IS…’ is not merely<br />

a slogan; it is a way of life. It celebrates and<br />

promotes the multi-faceted nature of oral<br />

health, revealing its significant connections to<br />

our overall well-being.”<br />

With a host of resources, initiatives, and<br />

roadmaps, guiding FDI and its partners in<br />

the current decade to achieve its oral health<br />

goals, Dr Chadwick ended with a message of<br />

unity, urging stakeholders to collaborate with<br />

the federation in achieving the vision it has<br />

laid out for dental professionals and people<br />

globally.<br />

“Our organisation plays a significant role<br />

in advocating for global oral health. I invite<br />

individuals, advocates, and policymakers<br />

globally to consult the many resources FDI<br />

has developed over the years for enhancing<br />

oral health. Together, let us achieve FDI’s<br />

vision of a world with optimal oral health,”<br />

Dr Chadwick concluded. DA<br />

In addition, FDI has also developed a Vision<br />

2030 Advocacy in Action Implementation<br />

Toolkit, designed to empower advocates<br />

worldwide to champion oral health. Dr<br />

Chadwick noted a growing interest from<br />

various stakeholders, including members,<br />

industry and civil society to address oral<br />

health as part of the broader health agenda.<br />

Consequently, FDI aims to make as much<br />

information available as possible to empower<br />

all to advocate for oral health through tools<br />

such as the implementation toolkit.<br />

“We now need to continue leveraging this<br />

momentum to bring about positive change in<br />

oral health worldwide. We remain committed<br />

to collaborating with our members and<br />

partners to ensure that we have a united voice<br />

on global platforms. We are confident that<br />

through our collective efforts, we can achieve<br />

meaningful and sustainable advancements in<br />

global oral health,” Dr Chadwick added.<br />

Looking forward to achieving such oral<br />

health outcomes, the World Oral Health Day<br />

celebrations observed annually on 20 Mar by<br />

dental professionals, healthcare institutions,<br />

and the public, forms a crucial period to<br />

Toothie, the FDI’s mascot, will be leading the World Oral Health Day campaign from <strong>2024</strong>-2026 as a<br />

new three-year cycle aimed at raising the awareness of the interconnected nature of oral health and<br />

general health<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong><br />

17


Inside a look at<br />

a free clinic for<br />

underprivileged<br />

neighbours<br />

Dr Mohanarajah speaking at the opening<br />

ceremony of the Q & M Free <strong>Dental</strong> Clinic<br />

By James Yau<br />

Situated at the void deck of a government<br />

housing block in the neighbourhood of<br />

Kembangan-Chai Chee in Singapore, lies a<br />

dental clinic that provides basic dental care to<br />

surrounding residents in need — all at no cost.<br />

Launched on 10 Jul 2023, the Q & M Free<br />

<strong>Dental</strong> Clinic is a registered charity under the<br />

banner of the Q & M <strong>Dental</strong> Group, dedicated<br />

to delivering essential dental treatment to<br />

underprivileged individuals and communities<br />

in need.<br />

“The idea was first mooted at a meeting<br />

between then speaker of parliament Tan<br />

Chuan-Jin and CEO of Q & M <strong>Dental</strong> Group Dr<br />

Ng Chin Siau. The discussion centred on how<br />

to make basic dental treatment available to<br />

underprivileged individuals and families. This<br />

led to the setting up of the charity, Q & M Free<br />

<strong>Dental</strong> Clinic, which will provide free basic<br />

dental treatment to residents in need,” shared<br />

Dr Mohanarajah, chairman of Q & M Free<br />

<strong>Dental</strong> Clinic.<br />

and referred by collaborating grassroots<br />

organisations within the Kembangan-Chai<br />

Chee neighbourhood. At the clinic, they receive<br />

free dental consultation and treatments that<br />

are essential to oral health, such as scaling<br />

and polishing, fillings, and extractions.<br />

Moreover, in an economy marked by high labour<br />

and rent cost for dental clinics, the Q & M Free<br />

<strong>Dental</strong> Clinic is the first in Singapore set up<br />

by a private dental group, representing the<br />

viability and sustainability of such a charity.<br />

The clinic is staffed by about 50 volunteer<br />

dentists on a rotational basis and serves up to<br />

an estimated 1,400 patients a year.<br />

“Another initial challenge was finding dentists<br />

to work in the free clinic. We were fortunate<br />

when we were about to launch as many Q & M<br />

dentists stepped forward to volunteer their<br />

services to work in the free clinic during their<br />

off days. The dentists working in the clinic<br />

are purely volunteers from Q & M <strong>Dental</strong><br />

Group who come down during their off days<br />

to provide free dental treatment for the<br />

patients,” said Dr Mohanarajah.<br />

Q & M <strong>Dental</strong> Group led the fundraising<br />

efforts to fully equip and set up the Free<br />

<strong>Dental</strong> Clinic, donating S$500,000 to<br />

fund the initial costs of renovation and<br />

equipment. The clinic is equipped with two<br />

consultation rooms, including an x-ray room,<br />

and state-of-the-art machines. In total, close<br />

to $1m was raised together with the support<br />

of other key donors.<br />

“We received donations in terms of<br />

equipment and material from dental<br />

suppliers and this is used in the clinic to<br />

treat patients. The cash donations help to<br />

lower the cost of other expenses including<br />

the utilities and rental,” Dr Mohanarajah<br />

added.<br />

Dr Mohanarajah further highlighted that<br />

the challenges faced by patients besides<br />

accessibility to dental facilities is also the<br />

The primary aim of the Free <strong>Dental</strong> Clinic is<br />

to alleviate dental pain and to help restore<br />

the ability to chew comfortably among<br />

needy patients. Working with the People’s<br />

Association office in Kembangan-Chai Chee,<br />

a statutory board which promotes racial<br />

harmony and social cohesion in Singapore,<br />

the location of the clinic identified was an<br />

accessible venue for many seniors and<br />

underprivileged residents since it was sited<br />

near government rental housing units and<br />

elderly homes.<br />

Patients who are in need of basic dental care<br />

but have little access to it are first screened<br />

With over 100 clinics to its name, the Q & M Free<br />

<strong>Dental</strong> Clinic relies upon the volunteer work of<br />

dentists<br />

The clinic is funded through equipment and cash<br />

donations to cover its expenses<br />

18 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


UNDER THE SPOTLIGHT<br />

With the successful launch of the Free<br />

<strong>Dental</strong> Clinic, Q & M <strong>Dental</strong> Group is<br />

looking to provide accessible dental care<br />

to more people<br />

need for proper dental education. At<br />

the clinic, dentists provide oral hygiene<br />

instructions and emphasise the need<br />

to maintain proper oral care so that<br />

patients can chew properly, achieve<br />

an aesthetic smile and are able to<br />

eliminate dental pain.<br />

Furthermore, he highlighted the role<br />

of other stakeholders in supporting<br />

the clinic to ensure its sustainability.<br />

“Other professionals can also step<br />

forward to provide dental treatment<br />

to the underprivileged in our<br />

communities. Private organisations<br />

can also help by donating to charities<br />

that are helping to provide medical<br />

or dental services to needy patients.<br />

Donations in cash or equipment go a<br />

long way in helping the project remain<br />

sustainable.”<br />

Although, the role of donations play a<br />

significant role in the operation of such<br />

projects, Dr Mohanarajah reminds that<br />

the culture and participation in charity<br />

is not happenstance.<br />

“Within the company, Q & M has<br />

enabled our staff to embody the<br />

company values by providing them the<br />

opportunity to do volunteer activities<br />

during working hours. The company<br />

also demonstrated our genuine<br />

commitment to charitable initiatives<br />

through closing one of our clinics to<br />

the public on Sunday mornings to cater<br />

solely to foreign domestic workers,”<br />

said Dr Mohanarajah. “Our senior<br />

leadership too have demonstrated<br />

commitment to this purpose by<br />

encouraging staff to get involved<br />

and walking the talk by volunteering<br />

themselves.”<br />

The company set up its ‘Q&M Cares<br />

Committee’ where community<br />

projects are launched, consisting of<br />

dentists, nurses, administrative staff,<br />

management, and suppliers. Besides<br />

the Free <strong>Dental</strong> Clinic and as part of<br />

its broader initiatives, the ‘Q & M Cares<br />

Committee’ also identified migrant<br />

workers as greatly underserved in the<br />

community, with many being unable to<br />

access dental care due to prohibitive<br />

costs.<br />

Leveraging its capacity to provide<br />

quality dental work, the ‘Q & M Cares<br />

Committee’ collaborated with the nongovernment<br />

organisation ‘Its Raining<br />

Raincoats (IRR)’ on an initiative<br />

where its dentists could volunteer to<br />

provide free dental care to migrant<br />

workers. Another initiative includes<br />

a collaboration with the Foreign<br />

Domestic Worker Association for<br />

Social Support and Training (FAST)<br />

to provide free wisdom tooth surgery<br />

to domestic workers who are FAST<br />

members.<br />

With the free clinic up and running for<br />

over six months, improving the lives<br />

of each patient seen in the course,<br />

Q & M <strong>Dental</strong> Group hopes that the<br />

pilot clinic will be the only the start of<br />

providing accessible dental care to all<br />

who need it.<br />

It aims to ramp up the current capacity<br />

to serve up to 5,000 patients per<br />

year in the free clinic’s next phase<br />

of operations and is working closely<br />

with the People’s Association office<br />

in Kembangan-Chai Chee to identify<br />

patients from government rental<br />

blocks and under government financial<br />

assistance for this pilot clinic, with the<br />

intention of opening more free clinics<br />

in the future. DA<br />

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19


UNDER THE SPOTLIGHT<br />

Unlocking the power of digital<br />

dentistry at the University of<br />

Helsinki<br />

In 2021, the dentistry programme at the University of Helsinki embarked<br />

on a learning journey towards digital dentistry at its newly constructed<br />

Oral and <strong>Dental</strong> Centre. Providing students with brand-new facilities as<br />

their first touch to the craftsmanship of dentistry, Planmeca facilitated<br />

the incorporation of the latest digital technologies into the dentistry<br />

curriculum. Antti Kämppi and Jaana Rautava from the University of<br />

Helsinki share more about how their journey has enabled new approaches<br />

to learning and teaching.<br />

Antti Kämppi (left) and Jaana Rautava (right) recount their experiences in transforming the skills<br />

laboratory<br />

Three years ago, the dentistry programme<br />

at the University of Helsinki found a new<br />

home in the recently constructed Oral and<br />

<strong>Dental</strong> Centre. At the centre, the university<br />

runs a simulation facility known among the<br />

students as the skills laboratory.<br />

Equipped with 59 Planmeca Compact<br />

iSim simulation units and three Planmeca<br />

Compact i Classic dental units for live<br />

demonstrations, the skills laboratory<br />

provides dentistry students with a new<br />

learning environment for training basic<br />

clinical procedures.<br />

"I am confident to say our department<br />

and our simulation laboratory are at the<br />

cutting edge. Our equipment, software and<br />

infrastructure are top-notch and functioning<br />

well. We have all the prerequisites for doing<br />

everything we want and to accomplish all<br />

workflows we want,” said Antti Kämppi,<br />

university lecturer and vice-head of <strong>Dental</strong><br />

Undergraduate Programme at the university.<br />

20 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


UNDER THE SPOTLIGHT<br />

NAVIGATING TRADITIONAL AND<br />

DIGITAL DENTISTRY<br />

The challenge faced by the University of<br />

Helsinki mirrors that of dental universities<br />

worldwide: Balancing traditional and digital<br />

methods in dentistry within a fixed timeframe.<br />

The digital revolution not only affects<br />

prosthetics but also other areas of dentistry.<br />

For example, it is already common to use<br />

automated devices for root canal treatments<br />

instead of mere hand instrumentation. For<br />

dental schools, it is necessary to cover both.<br />

Kämppi joined the University of Helsinki five<br />

years ago, just as the dentistry curriculum<br />

was being revised to include courses in digital<br />

dentistry. Previously, the students had learned<br />

to capture 3D images and utilise implant<br />

planning software on the go, usually during<br />

their practical training.<br />

"With the curriculum update, we wanted to<br />

ensure our department can keep up with<br />

the latest technological developments in<br />

dentistry. With our digital dentistry curriculum,<br />

we are now teaching digital workflows and<br />

offering digital implant planning and clear<br />

aligner courses,” Kämppi said.<br />

In Finland, the duration of dentistry studies<br />

has been determined for all universities<br />

by a government decree. Accordingly, the<br />

studies span five-and-a-half years, leading<br />

to a Licentiate in Dentistry degree, which<br />

is equivalent to a Doctor of <strong>Dental</strong> Science<br />

(DDS). Five of those years are dedicated<br />

to theoretical and clinical studies at the<br />

university, followed by six months of practical<br />

training at a dental practice somewhere<br />

in Finland. For many students, the touch<br />

point of the simulation units forms a pivotal<br />

experience in their learning outcomes.<br />

"If we could decide ourselves, we would<br />

probably extend the dental curriculum by<br />

another six months, so we could focus<br />

more on the latest and future technologies.<br />

However, since this is not possible, we are<br />

determined to find other ways to keep our<br />

fingers on the pulse and keep up with the<br />

development of digital dentistry,” Kämppi<br />

added.<br />

By incorporating software in the pre-clinical<br />

learning environment, Kämppi found a<br />

solution to provide student with the learning<br />

objectives desired. The Planmeca Romexis<br />

software is available at every simulation unit,<br />

which allows students to view x-ray images<br />

directly at their units. This streamlines the<br />

teaching of different dental specialties<br />

utilising radiology.<br />

In the skills laboratory, students also learn to<br />

capture intraoral images with two Planmeca<br />

ProX intraoral imaging simulation cabinets.<br />

The images captured with the intraoral x-ray<br />

are then available on any workstation in the<br />

skills laboratory. Six Planmeca Emerald S<br />

intraoral scanners are also actively used in the<br />

teaching of digital workflows. The scanners<br />

combined with Romexis software have proven<br />

useful for self-evaluation.<br />

"Our students can prep a tooth, scan it<br />

with Planmeca Emerald S and analyse<br />

the preparation in Romexis, comparing<br />

their results with an example preparation.<br />

The students can always discuss their<br />

performance with a teacher, too, but ideally,<br />

Romexis helps them analyse the scans by<br />

themselves and spot the areas in which<br />

tissue still needs to be removed,” Kämppi<br />

explained.<br />

NEW DIMENSIONS ERGONOMICS<br />

AND TEACHING<br />

Compact instrument consoles, usability, and<br />

adaptability to suit different learning scenarios<br />

and preferences were some of the reasons<br />

why Planmeca Compact iSim simulation units<br />

were selected for the skills laboratory.<br />

The units allows working both in sitting<br />

and standing positions and offers good<br />

ergonomics for both right- and left-handed<br />

users for students to adopt correct working<br />

ergonomics. The height and angle of the<br />

monitor can be flexibly adjusted, and the<br />

phantom heads of the simulation units move<br />

the same way real heads do.<br />

"Good ergonomics is something we pay<br />

attention to from day one, even if some of our<br />

students would rather focus fully on dental<br />

procedures and consider ergonomics only<br />

after they have mastered different techniques<br />

with their hands. But it is always difficult to get<br />

rid of the habits you have already gotten used<br />

to, so learning good ergonomics from the getgo<br />

actually makes practising dentistry much<br />

more comfortable in the long run,” explains<br />

Jaana Rautava, Assoc Prof and head of <strong>Dental</strong><br />

Undergraduate Programme.<br />

For many students, the touch point of the<br />

simulation units forms a pivotal experience in<br />

their learning outcomes.


compelling way in comparison to just giving<br />

them top-down instructions,” Kämppi said.<br />

According to Rautava, the feedback from<br />

students and lecturers has also been nothing<br />

but positive. Still, with new equipment,<br />

it always takes some time to see all the<br />

possibilities for which it could be used for.<br />

Each simulation unit has<br />

a small footprint and its<br />

structure allows clearing<br />

up space on the table for<br />

a wide range of exercises<br />

when needed<br />

The skills acquired in the simulation<br />

laboratory are later trained at the dental wards<br />

of the Oral and <strong>Dental</strong> Centre and finally at<br />

dental practices around the country. Since<br />

Planmeca simulation units have the same<br />

functions and features as actual Planmeca<br />

dental units, the transition from pre-clinical to<br />

clinical work made easier for students.<br />

Digital technology also introduces novel<br />

possibilities for teaching dentistry in a modern<br />

and compelling way. The Planmeca Solanna<br />

Vision operating light is used to demonstrate<br />

dental procedures to students as it is capable<br />

of recording treatment sessions with two<br />

integrated 4K cameras. At the skills laboratory,<br />

the lecturer’s simulation unit has been<br />

equipped with Planmeca Solanna Vision so<br />

that the students can easily follow on screen<br />

what the lecturer is doing and repeat it on<br />

their simulation units.<br />

The three Planmeca Compact i Classic dental<br />

units of the skills laboratory are equipped with<br />

Planmeca Solanna Vision operating lights<br />

to live stream actual patient treatments to<br />

students. While the operating light takes care<br />

of capturing the treatment, the lecturer can<br />

explain the ongoing treatment using a headset.<br />

"The three demo units of our skills laboratory<br />

allow me to stream patient treatments to<br />

our students while I explain what I am doing<br />

and why. We have actually installed two-way<br />

audio systems, so that the students can also<br />

ask questions during the treatment and I can<br />

answer them simultaneously. This allows<br />

us to engage the students in a new and<br />

"Every day, we are becoming more and more<br />

familiar with the full potential of our Planmeca<br />

devices and software. They are packed with<br />

so many intelligent features and functions,<br />

which could be used in a number of ways. We<br />

just need to keep exploring and come up with<br />

new ways that the technology could be used<br />

for teaching,” Kämppi added.<br />

Planmeca was also quick to provide a method<br />

which combines three sets of 3D data into<br />

a virtual patient — a CBCT image, a 3D face<br />

photo, and an intraoral scan. Kämppi is<br />

planning to utilise this data in combination<br />

with virtual reality (VR) solutions for dental<br />

education.<br />

"For me, personally, digital dentistry is of<br />

particular interest. I enjoy being able to<br />

integrate it into our studies and figure out<br />

new ways to visualising treatment options<br />

to students. Currently, we are investigating<br />

opportunities to integrate VR solutions into<br />

our learning environment. We want to map<br />

CBCT images, 3D face photos captured with<br />

Planmeca ProFace, intraoral scans and MRI<br />

data together and examine it in artificial<br />

reality,” Kämppi said.<br />

He added: "With the help of virtual patient<br />

data and VR, I would like to be able to examine<br />

a case with recurrent dislocation of the TMJ<br />

and use this data to examine different jaw<br />

movements and determine what causes the<br />

disc displacement.”<br />

Although available technology is rarely the<br />

reason why a student decides to apply for one<br />

university, not being able to keep up with the<br />

pace of digital dental evolution might well be a<br />

reason to choose another option.<br />

The capabilities of the different units<br />

enables new approaches to teaching<br />

and inspires Kämppi to explore more<br />

novel uses of the technology<br />

"The future is digital and I feel it is a positive<br />

competitive advantage for us that we have the<br />

latest technology available for our students,"<br />

Rautava concluded. DA


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DENTAL PROFILE<br />

Advancing dental 3D<br />

printing and access to<br />

affordable restorations<br />

By James Yau<br />

During its 130-year-long history, BEGO<br />

has remained on the lookout for new<br />

and innovative solutions, offering many<br />

products and services in the dental<br />

market.<br />

“This starts with dental implants and<br />

ends with crowns and bridges as well<br />

as our well-known partial dentures<br />

or even complete dentures as a final<br />

product. For labs, BEGO offers most<br />

of what is needed to manufacture final<br />

products, be it machines, equipment or<br />

materials,” said Tobias Speicher, area<br />

sales manager APAC at BEGO.<br />

This spirit of innovation is engrained<br />

deeply in the company’s DNA and is<br />

credited as the driver of its success,<br />

enabling the company to provide<br />

a wholesome concept, from root<br />

to crown, for more than 20 million<br />

patients globally each year.<br />

As the German manufacturer strives<br />

toward upholding its legacy of<br />

innovation, BEGO is preparing to<br />

launch a series of new products for the<br />

APAC region in <strong>2024</strong>, which is seen a<br />

crucial market in the years to come.<br />

Tobias Speicher (left) and Marius Kempf<br />

(right) share what BEGO has in store for<br />

its APAC customers in <strong>2024</strong><br />

<strong>Dental</strong> <strong>Asia</strong> catches up with Speicher<br />

and Kempf as they share more about<br />

their plans for the region and the latest<br />

developments in 3D printing.<br />

DRIVING DENTAL 3D PRINTING<br />

In Kempf’s view, there are three main<br />

factors that he expects to drive dental<br />

3D printing within the next five years.<br />

First, the increasing availability coupled<br />

with the continuously decreasing<br />

prices of intraoral scanners will lead<br />

to an even wider adoption of this<br />

technology than what is seen today.<br />

In turn, this will encourage further<br />

adoption of digital workflows.<br />

real unique selling propositions.<br />

However, from our point of view, this<br />

is a reflection of the maturity of this<br />

technology; ultimately, most models<br />

are suitable for producing dental<br />

parts that meet the requirements<br />

of the application in question. The<br />

main differences lie in printing speed,<br />

reliability, service and price, and in this<br />

respect, we expect faster, more reliable<br />

and more affordable devices,” Kempf<br />

explained.<br />

He further noted that user confidence<br />

plays a major role when deciding<br />

on a material. Acceptance of new<br />

technologies requires time as dental<br />

professionals are very careful to select<br />

restorative materials and treatment<br />

methods based on scientific data.<br />

Acting in a responsible and datadriven<br />

way generates confidence from<br />

patients on treatment plans.<br />

“We proactively support this by<br />

being one of very few companies<br />

in the dental 3D printing industry to<br />

initiate and support clinical studies<br />

“We have different activities planned.<br />

We just celebrated the registration<br />

of our resins in Malaysia with a great<br />

event which was attended by more<br />

than 150 dentists and practitioners. We<br />

see tremendous interest in these new<br />

technologies and their application,”<br />

said Marius Kempf, team leader of 3D<br />

Printing at BEGO.<br />

Second, the maturity of both<br />

equipment and material will lead<br />

to an increase in 3D-printing<br />

capacity on the market.<br />

“I know that almost all 3D printer<br />

manufacturers will probably disagree<br />

with me when I say that the resin<br />

printers available today have no<br />

Kempf believes that the 3D-printing<br />

industry is primed to provide new<br />

capabilities for dental professionals<br />

24 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


DENTAL PROFILE<br />

with our innovative materials. To this<br />

end, with more than eight tons of<br />

3D-printing material sold for permanent<br />

restorations, the large number of<br />

patients treated will also contribute<br />

to increased trust in BEGO’s material<br />

and promote the acceptance of this<br />

technology overall,” Kempf added.<br />

The launch of<br />

VarseoSmile TriniQ<br />

signals BEGO’s<br />

commitment to new<br />

capabilities in 3D<br />

printing which offers<br />

professionals with<br />

more choices for<br />

affordable and durable<br />

restorations<br />

Third, new generations of materials<br />

are expected in the near future that<br />

will advance the use of 3D-printed<br />

restorations. BEGO’s research and<br />

development department is pushing<br />

the material properties of 3D-printed<br />

polymers to the limits of what is<br />

chemically possible. New printer<br />

technologies are expected in the next<br />

five years, including multi-material<br />

printers, which will open completely<br />

new possibilities for dental 3D printing.<br />

NEW PRODUCTS AND<br />

REGIONAL AMBITIONS<br />

In <strong>2024</strong>, BEGO will be launching various<br />

products in different markets around<br />

the world. This includes the launch of a<br />

new implant prosthetic line — the BEGO<br />

Semados Esthetic Line.<br />

“The Esthetic Line considers the desire<br />

for a tulip-shaped emergence profile<br />

of the components and has extensive<br />

design improvements in impression<br />

and scanning as well as a complete<br />

portfolio with no exceptions that<br />

require explanation. The ease of use is<br />

supported by a complete colour coding<br />

of the components according to the<br />

implant diameter and the complete<br />

availability of all variants for all implant<br />

diameters,” Speicher said.<br />

Another highlight of <strong>2024</strong> for BEGO is<br />

the introduction of VarseoSmile TriniQ,<br />

a new 3D-printing material for multiple<br />

indications. According to Speicher,<br />

VarseoSmile TriniQ goes beyond that<br />

of many other resins as it allows not<br />

only for printing crowns, but also the<br />

printing of permanent bridges.<br />

“The global launch of VarseoSmile<br />

TriniQ will definitely be with us<br />

throughout the year. Following approval<br />

in the EU and the US, we are currently<br />

also working on the market launch of<br />

this revolutionary new product in the<br />

APAC region starting with Indonesia,<br />

Malaysia, and Vietnam,” Kempf said.<br />

“Our research and development<br />

team has already started the next<br />

development project, the result of<br />

which we want to bring to market<br />

maturity in the course of this year.”<br />

Apart from crowns and bridges BEGO<br />

also sees removable dentures as an<br />

application perfectly suited for the<br />

3D-printing workflow. To facilitate the<br />

adoption of 3D printing in the dental<br />

field, BEGO is working closely with<br />

companies in the 3D printing hardware<br />

industry such as Ackuretta, Asiga,<br />

Formlabs, Rapid Shape, Shining 3D,<br />

SprintRay and others. The company<br />

also supports its academic partners to<br />

conduct studies with BEGO materials<br />

and work with them to build confidence<br />

and prove their durability.<br />

Moreover, the APAC region is<br />

viewed as an important market in<br />

the company’s pipeline. “It is our<br />

understanding that the APAC region<br />

will be one of the key markets in the<br />

coming years. Economic development<br />

together with innovation in dental<br />

CAD/CAM will open new markets and<br />

treatment opportunities to patients<br />

who were not able to afford or had<br />

access to dental treatment in the past.<br />

This will be one of the key areas BEGO<br />

will be active in,” said Speicher.<br />

Along with its innovative 3D printing<br />

resins, the VarseoSmile TriniQ and the<br />

current flagship VarseoSmile Crown<br />

Plus, BEGO is looking to expand its<br />

presence in emerging economies. The<br />

company is looking out for partners in<br />

the selective laser melting (SLM) field<br />

to offer premium SLM powders for<br />

dentures in the future.<br />

“Partial dentures printed with SLM<br />

machines will be something to look<br />

out for in the APAC region. Once<br />

SLM machine manufacturers start<br />

producing more affordable and reliable<br />

devices, this will offer an additional<br />

treatment accessible cost effective<br />

to APAC practitioners and patients,”<br />

Speicher added.<br />

Kempf highlighted that as per capita<br />

expenditure on dental care varies<br />

greatly in different regions of APAC,<br />

these developments with provide<br />

greater equity to clinical outcomes:<br />

“We believe that with our 3D-printing<br />

materials, we give both dentists and<br />

dental labs in regions where dental care<br />

needs to be affordable the opportunity<br />

to offer exactly what is required<br />

everywhere else — durable, aesthetic<br />

and affordable dental restorations.”<br />

With 3D printing very much at the heart<br />

of it the current focus of its innovation<br />

portfolio, Speicher and Kempf are<br />

excited as they gear up for upcoming<br />

exhibitions in APAC, with their next<br />

stop at IDEM <strong>2024</strong> in Singapore in<br />

<strong>April</strong>. Speicher concluded: “I firmly<br />

believe that the APAC region has an<br />

exciting future ahead of it. Economies<br />

are growing while technological<br />

advancement offers new options in<br />

dentistry. We have been active in the<br />

region for decades with a vast network<br />

of partners and are happy to be part of<br />

this progress.” DA<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 25


Celebrating a lifetime of smiles<br />

As <strong>2024</strong> marks the 11th-annual World Oral Health Day (WOHD), it also<br />

commemorates the 25th anniversary of Smile Train, a global partner of the<br />

campaign. <strong>Dental</strong> <strong>Asia</strong> speaks with Dr Mónica Domínguez, director of Global<br />

Oral Health Programs at Smile Train, and Bruce Peatey, group vice-president<br />

APAC RCO at Dentsply Sirona, to learn about the role of sustainable models<br />

and partnerships in supporting comprehensive cleft care.<br />

By James Yau<br />

Around the world, a baby with a cleft is<br />

born every three minutes, and many will not<br />

receive the reconstructive surgery they need.<br />

A cleft occurs when certain body parts and<br />

structures do not fuse together during foetal<br />

development and can cause difficulties eating,<br />

breathing, hearing, and speaking.<br />

Since its founding in 1999, Smile Train has<br />

grown to become the world’s largest cleftfocused<br />

organisation, supporting over 1.9<br />

million free cleft surgeries.<br />

“Smile Train is on track to achieve its vision<br />

of a world where every person has access to<br />

high-quality comprehensive cleft care. The<br />

life-changing impact we have had on cleftaffected<br />

children, health systems, and patient<br />

outcomes over 25 years is unmatched,” said<br />

Dr Domínguez, director of Global Oral Health<br />

Programs at Smile Train.<br />

As compared to mission-trip-based cleft<br />

organisations, Smile Train credits the impact it<br />

has had on the field to its sustainable model,<br />

which focuses on establishing partnerships<br />

with local, in-country medical professionals to<br />

sponsor cleft treatments for patients in their<br />

own communities. In other words: “teaching a<br />

man to fish.”<br />

This model enables Smile Train’s network to<br />

be more efficient and effective in acheiving<br />

its goals. “Smile Train is built on the belief<br />

that supporting and training local medical<br />

professionals to provide high-quality<br />

comprehensive cleft treatment will not only<br />

lead to patients receiving superior care 365<br />

days a year — but can also build better,<br />

stronger, more resilient healthcare systems<br />

worldwide,” Dr Domínguez said.<br />

This model has allowed the organisation to<br />

train more than 40,000 medical professionals<br />

globally; launch seven Cleft Leadership<br />

Centers that serve as regional hubs for cleft<br />

treatment, education, training, and research;<br />

put cleft care on the global health agenda<br />

at various UN meetings; and even develop<br />

a novel virtual surgery simulator for cleft<br />

treatment.<br />

SUSTAINABILITY, SUPPORT, AND<br />

PARTNERSHIP<br />

During the COVID-19 pandemic, Smile Train’s<br />

sustainable model was reaffirmed at a time<br />

when other organisations that relied on<br />

26 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


DENTAL PROFILE<br />

medical mission trips were shut down entirely.<br />

The organisation and its beneficiaries relied<br />

upon the robust network of local medical<br />

professionals established to react quickly<br />

and resume care as soon as local authorities<br />

determined it was safe.<br />

“In that time of uncertainty and ambiguity for<br />

the world, our sustainable ‘teach a man to fish’<br />

model allowed us to safely sponsor more than<br />

68,000 safe cleft surgeries in over 60 countries<br />

from <strong>March</strong> through December in 2020,” said<br />

Dr Domínguez.<br />

During the same period, Smile Train further<br />

expanded its telehealth programmes to<br />

monitor patients who still could not receive<br />

surgery and provide virtual check-ups, speech<br />

therapy sessions, and other remote care as<br />

needed.<br />

Dr Domínguez shared that in its early years,<br />

Smile Train focused almost solely on cleft<br />

surgeries in areas and regions where cost was<br />

the main barrier families faced in accessing<br />

cleft treatment. As the organisation’s<br />

partnerships and impact expanded to reach<br />

new countries and regions, so did the scope<br />

of its medical programmes. Today, the<br />

organisation supports not only cleft surgery,<br />

but also oral health, nutrition, speech services,<br />

psychosocial care, and other essential<br />

services that families and children affected by<br />

clefts often need.<br />

The organisation’s model and partnerships<br />

have also enabled them to invest in lasting<br />

medical infrastructure, increase local<br />

expertise, and redefine the public health<br />

landscape through research, innovation,<br />

training, and advocacy, to ensure safe and<br />

holistic patient- and community-centred care.<br />

Smile Train’s focus on comprehensive cleft<br />

care is not only about supporting free cleft<br />

surgeries, but extending support for additional<br />

services such as dental, psychosocial, speech,<br />

and nutrition care.<br />

In September 2021, Smile Train and Dentsply<br />

Sirona launched a five-year partnership to<br />

improve access to global oral health care and<br />

create a more sustainable future for cleftaffected<br />

children and families worldwide.<br />

The joint goal of the partnership is to improve<br />

the entire spectrum of cleft care, leveraging<br />

advanced dental technologies for safe,<br />

efficient, and expert patient care.<br />

Their newly launched ‘Digitalization in<br />

Comprehensive Cleft Care’ Massive Open<br />

Online Course and cleft treatment workflows<br />

provide the first-ever global treatment<br />

standards and best practices for digitised<br />

dental cleft care. Moreover, such partnerships<br />

across different corporate and private sectors<br />

highlight the synergies and opportunities to be<br />

realised for all parties involved.<br />

“In addition to this significant development<br />

that genuinely advances the future of cleft<br />

care as part of our partnership with Smile<br />

Train, we also provide cash donations to fund<br />

cleft surgeries and donate digital equipment<br />

units including intraoral scanners and x-ray<br />

units, to improve cleft treatment outcomes,”<br />

said Bruce Peatey, group vice-president APAC<br />

RCO at Dentsply Sirona.<br />

Dentsply Sirona further supports Smile<br />

Train by providing its expertise in clinical<br />

education to empower Smile Train’s partner<br />

professionals to innovate and digitalise cleft<br />

care treatments for their patients that would<br />

otherwise not be possible.<br />

“Corporate partnerships are essential to<br />

providing funding and visibility, and they<br />

also go beyond monetary contributions.<br />

Partners like Dentsply Sirona offer invaluable<br />

infrastructure, know-how, contacts, and<br />

innovation, propelling Smile Train towards<br />

achieving our goals and maximising our<br />

impact,” Dr Domínguez added.<br />

In addition to maximising impacts within their<br />

respective fields, Smile Train and Dentsply<br />

Sirona are also long-term global partners of<br />

FDI World <strong>Dental</strong> Federation’s (FDI) yearly<br />

WOHD programmes, which strive towards<br />

aligned oral health outcomes. In 2022, Smile<br />

Train, Dentsply Sirona, and FDI announced<br />

a partnership to develop global standard<br />

protocols for digital cleft treatment.<br />

“By actively participating in initiatives like<br />

WOHD, we can all contribute to raising<br />

awareness and making a positive change<br />

in securing good oral health for millions of<br />

people worldwide,” said Peatey.<br />

To celebrate WOHD in <strong>2024</strong>, Dentsply<br />

Sirona is providing a free-of-charge<br />

‘Patient Communication Toolkit’ to dental<br />

professionals to empower them to educate<br />

their patients about the importance of oral<br />

health and its direct impact on overall health.<br />

These efforts are extended to its Smile Train<br />

Through resources such as its Virtual Surgery Simulator and training<br />

programmes, Smile Train’s model seeks to build up the clinical abilities of<br />

local professionals<br />

A technician at Smile Train partner FISULAB in Colombia using Dentsply<br />

Sirona’s Primescan AC with a cleft-affected patient<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong><br />

27


DENTAL PROFILE<br />

partnership also where in 2023, 500 oral health<br />

kits and educational flyers were created and<br />

donated to children with clefts around the world.<br />

“Oral diseases and conditions are a major<br />

health concern among the global cleft<br />

community. Babies with clefts are twice as<br />

likely as their peers without clefts to face<br />

oral health challenges throughout their lives,"<br />

added Dr Domínguez. She highlighted FDI’s<br />

role in implementing prevention strategies<br />

and providing access to care where otherwise,<br />

these oral health conditions and diseases can<br />

cause pain and discomfort and contribute to<br />

serious long-term health problems.<br />

“Most oral health diseases, however, are largely<br />

preventable and can be treated in their early<br />

stages. WOHD inspires people across the world<br />

to take charge of their oral health at all ages<br />

through the adoption of good hygiene habits,<br />

having regular dental check-ups, and managing<br />

risk factors,” said Dr Domínguez. “Through this<br />

campaign, we are excited to raise the voices of<br />

our cleft community members and empower<br />

them with the knowledge and confidence to<br />

prevent the oral health challenges that people<br />

with clefts often encounter throughout their<br />

lives. Optimal prevention and early treatment of<br />

oral disease is less costly and less stressful for<br />

patients, providers, and the health care system<br />

as a whole.”<br />

25 MORE YEARS OF TEACHING<br />

Celebrating its 25th anniversary, <strong>2024</strong> marks a<br />

proud moment for Smile Train and its partners<br />

in the progress made to provide access to<br />

comprehensive cleft care.<br />

Since the start of the partnership, Dentsply<br />

Sirona has sponsored more than 2,700<br />

lifechanging cleft surgeries, including more<br />

than 1,200 cleft surgeries in nine countries<br />

in <strong>Asia</strong> and the Middle East and North Africa<br />

region. At the beginning of <strong>2024</strong>, Smile Train<br />

and Dentsply Sirona officially activated their<br />

partnership in APAC, where the prevalence of<br />

cleft is one in 500.<br />

To celebrate this, Dentsply Sirona’s APAC<br />

team prepared 300 oral health kits for<br />

children undergoing cleft care at Smile Train<br />

partner centres. The kits include get-well<br />

cards prepared by over 1,700 Dentsply Sirona<br />

employees in APAC.<br />

Dentsply Sirona APAC Leadership Team with the dental kits prepared for APAC cleft patients to<br />

celebrate the activation of Dentsply Sirona and Smile Train partnership in APAC<br />

Furthermore, Dentsply Sirona has signed<br />

agreements with Smile Train to donate<br />

equipment to seven Smile Train partner<br />

centres in five countries. The Philippines<br />

is the first country in APAC to receive the<br />

donation, with installation recently completed<br />

in February <strong>2024</strong>.<br />

“We are currently looking into other countries<br />

for potential donations, such as China and<br />

India. Meanwhile, we will continue to sponsor<br />

surgeries for patients in <strong>Asia</strong>, including<br />

in China, India, the Philippines, Indonesia,<br />

Vietnam, and Thailand,” said Peatey.<br />

With a host of programmes, plans, and<br />

partnerships in place, Smile Train is poised<br />

to achieve its ultimate goal of providing<br />

access to high-quality comprehensive cleft<br />

care for every person with a cleft in need. The<br />

biggest challenges and barriers Dr Dominguez<br />

observes in accessing care are the lack of<br />

trained professionals and the long distances<br />

patients need to travel to a cleft centre<br />

regularly for appointments. She added that<br />

new and emerging technology has shown<br />

promise for treating patients remotely and can<br />

often make travelling to a centre unnecessary.<br />

Such technology can also help standardise<br />

the quality of care, making it a more effective<br />

way of reducing the burden of care.<br />

For Peatey, sustainability and digitalisation are<br />

two key trends he believes are transforming<br />

the world at large and impacting the dental<br />

industry. Digitalisation enables remote<br />

treatment and check-ups in underserved<br />

communities. Furthermore, oral health can<br />

become more sustainable by reducing the<br />

need for paper-based resources and patient<br />

travel.<br />

“We truly believe that digitalised cleft care<br />

treatment with technology such as the<br />

PrimeScan intraoral scanner and the<br />

PrimePrint 3D printing equipment will<br />

continue to transform traditional cleft<br />

treatment to improve access to high-quality<br />

care for communities in need,” Peatey said.<br />

“We strongly believe our partnership with<br />

Smile Train is making a positive impact every<br />

day and we at Dentsply Sirona are committed<br />

to supporting cleft patients through our<br />

innovative technology.”<br />

Dr Domínguez concluded by reaffirming Smile<br />

Train’s partnership with Dentsply Sirona,<br />

highlighting the power of collective action:<br />

“Cleft-affected individuals can experience<br />

isolation and often face prejudice in their<br />

communities. No child deserves to feel like<br />

an outcast. You can save a child’s life with<br />

the gift of cleft treatment. With the help of<br />

partners like Dentsply Sirona, we can truly<br />

change the world one smile at a time.”<br />

She added: “Looking forward, Smile Train will<br />

continue to innovate, collaborate, and not rest<br />

until every cleft-affected person receives the<br />

safe and high-quality comprehensive care they<br />

deserve." DA<br />

Bruce Peatey, group<br />

vice-president APAC<br />

RCO at Dentsply Sirona<br />

Dr Monica Domínguez,<br />

director of Global Oral<br />

Health Programs at<br />

Smile Train<br />

28 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


CLINICAL FEATURE<br />

Photobiomodulation for<br />

treatment of low back pain in<br />

dental professionals<br />

By Dr Alan Kwong Hing, DDS, MSc, Dr Jacqueline Crossman, PhD, MSc, and Dr Michael R Hamblin, PhD<br />

INTRODUCTION<br />

The International Association for the Study<br />

of Pain defines pain as “an unpleasant<br />

sensory and emotional experience associated<br />

with, or resembling that associated with,<br />

actual or potential tissue damage”. Pain is a<br />

distressing sensation caused by inflammation<br />

or damaging stimuli. 1 It causes the individual<br />

to withdraw from potentially dangerous<br />

situations to protect a damaged body part<br />

while it heals, and to avoid similar experiences<br />

in the future. 2 Usually, the pain resolves after<br />

the noxious stimulus is removed and the body<br />

has healed, but it may persist despite the<br />

removal of the stimulus and apparent healing.<br />

Sometimes pain can arise in the absence of<br />

any detectable stimulus, damage, or disease. 3<br />

Pain is the most common reason for<br />

physician consultation in most developed<br />

countries. 4,5 It is the major symptom in<br />

many medical conditions and can interfere<br />

with a person’s quality of life and general<br />

functioning. 6 According to the Centers for<br />

Disease Control and Prevention (CDC), one in<br />

five adults in the US experiences chronic pain,<br />

which negatively impacts their mental and<br />

physical health. 7<br />

To manage this pain, most people will<br />

consider the use of painkillers, and simple<br />

pain medications are useful in up to 70% of<br />

cases. However, there are concerns about<br />

the long-term use of painkillers, especially<br />

if the drugs used by patients are narcotics.<br />

Other methods of decreasing pain intensity or<br />

discomfort include social support, hypnotic<br />

suggestion, cognitive behavioural therapy,<br />

electrical nerve stimulation, or distraction. 8,9<br />

Low back pain is a common type of acute<br />

and/or chronic pain with a high global<br />

prevalence. In a systematic review by Hoy et<br />

al., they reviewed studies published between<br />

1980-2009 on the global prevalence of low<br />

back pain. They reported that that the highest<br />

prevalence of this type of pain was in females,<br />

particularly in those aged 40-80. 10 This type of<br />

pain was defined as pain or discomfort that is<br />

localised above the inferior gluteal folds and<br />

below the costal margin. Low back pain may or<br />

may not be accompanied by leg pain.<br />

Due to its prevalence, it is one of the most<br />

common reasons individuals seek medical<br />

care, such as a visit to a physician’s office.<br />

It is also the second highest cause of sick<br />

leave, and because of the high costs, direct<br />

or indirect associated with this condition, it<br />

has significant medical, social, and economic<br />

effects on individuals, families, and society. 11<br />

One common pain management strategy is<br />

the use of pharmaceutical drugs, such as<br />

painkillers. However, the long-term use of such<br />

medications has undesired side effects, and<br />

their effectiveness can decrease over time<br />

due to increased drug tolerance. Furthermore,<br />

stronger painkillers such as opiates for<br />

treating chronic pain have been blamed for<br />

triggering the current epidemic of overdoseinduced<br />

deaths across the globe. Therefore,<br />

alternative approaches for managing acute<br />

Fig. 1: PBM PRB with the LEDs activated. The red<br />

light is visible, but the infrared light is not visible<br />

without specialised optical detectors<br />

and even chronic pain, including low back pain,<br />

should be urgently introduced.<br />

Photobiomodulation (PBM), also known as<br />

low-level laser or light therapy (LLLT), is one<br />

suitable alternative approach to pain relief<br />

because it stimulates healing, promotes<br />

tissue regeneration, and reduces pain and<br />

inflammation. 12 Application of PBM also<br />

results in vasodilation, an increase in the size<br />

of smaller arteries and lymph vessels. 13 This<br />

article describes PBM and its effect on pain<br />

and inflammation, as well as providing case<br />

reports where the use of PBM delivered by<br />

the PBM Pain Rehabilitation Belt (PRB) was<br />

successful in resolving low back pain (Fig. 1).<br />

PREVIOUS PBM CLINICAL STUDIES<br />

PBM was first used in clinical practice over 40<br />

years ago and its mechanisms of action have<br />

been studied for over 30 years. 14 It has been<br />

widely accepted as a simple, efficient, and<br />

cost-effective method of treating both acute<br />

and chronic pain.<br />

One preclinical animal study investigated the<br />

effect of PBM on pain. The pain threshold<br />

was tested in the right hind paw of mice after<br />

the application of PBM to various anatomical<br />

locations on the body. Their results showed<br />

that when PBM was applied to the low back,<br />

head, neck, and ipsilateral paw, there was<br />

a significant decrease in pain. 12 However<br />

when PBM was applied to irrelevant sites,<br />

contralateral paw, tail, or abdomen, there was<br />

no effect.<br />

Other previous studies have demonstrated<br />

how PBM could decrease pain in patients with<br />

non-specific knee pain, 15 temporomandibular<br />

disorders, 16 fibromyalgia, 17 osteoarthritis, 18<br />

and neck pain. 19 A range of previous trials<br />

have also shown the effects of PBM on acute,<br />

30 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


CLINICAL FEATURE<br />

subacute, and chronic low back pain. Basford<br />

et al. and Gur et al. investigated whether PBM<br />

was effective in reducing pain and disability<br />

triggered by subacute and chronic low back<br />

pain. 20,21<br />

In a double-blind, placebo-controlled trial,<br />

PBM was shown to be easy to use, safe and<br />

effective, and it reduced chronic back pain by<br />

50% over six weeks. 22 The American College<br />

of Physicians’ clinical practice guidelines now<br />

recommend PBM as a noninvasive treatment<br />

for low back pain. 23<br />

Although these study results show the positive<br />

effect of PBM on pain, including low back pain,<br />

these studies used a variety of wavelengths<br />

and combinations of red and infrared light.<br />

The choice of red and infrared light used in<br />

combination in PBM treatment is due to its<br />

differing effects on the tissues.<br />

Red light penetrates the deeper layers of the<br />

skin, stimulating cellular repair and increasing<br />

circulation. Although infrared light is invisible<br />

to the naked eye, it can penetrate more deeply<br />

and cause mild thermal effects that increase<br />

tissue temperature, promote blood circulation,<br />

enhance metabolism, improve cell viability and<br />

regenerative capacity, and accelerate healing<br />

of scars, wounds, cuts, and nerve damage. 24<br />

PBM THERAPY DEVICES<br />

PBM is non-toxic, non-invasive, and has no<br />

side effects, providing an option for people<br />

looking for a natural solution for healing and<br />

pain relief. The benefits of PBM include:<br />

1. Decreased inflammation<br />

2. Less pain<br />

3. Improved circulation<br />

4. Faster recovery<br />

5. Faster healing<br />

6. Relief from symptoms<br />

7. Decreased medication usage and risk of<br />

dependency<br />

8. Avoidance of potential drug side effects<br />

such as gastric ulcers<br />

PBM PRB uses light emitting diodes (LEDs)<br />

which are embedded in a soft flexible pad.<br />

The device is intended to reduce the pain<br />

and discomfort of an acute or chronic nature<br />

in the lower back that individuals may be<br />

experiencing. It is a take home device to be<br />

used to treat an area of pain or discomfort.<br />

The treatment parameters and number of<br />

sessions needed for PBM are dependent upon<br />

the location and cause of the pain.<br />

PBM usually requires more than one treatment<br />

for optimal pain relief. It may take several<br />

treatments for the results to become evident.<br />

The total number of treatments needed<br />

depends on the condition being treated, the<br />

severity of the condition, and each patient’s<br />

individual response.<br />

The device is a wired take-home device<br />

powered by an external 5,000maH battery<br />

(Fig. 2). The light energy is a mix of red<br />

660nm and infrared 850nm LEDs, delivered<br />

over a treatment time of 20mins. It can be<br />

used two to three times per day; however,<br />

it is recommended that there is a 6hrs<br />

break between applications. As such, the<br />

recommended treatment regimen includes<br />

8-12 treatment sessions until the symptoms<br />

are relieved. It is also recommended that<br />

the device should be worn consistently and<br />

applied to the painful area (Fig. 3).<br />

Musculoskeletal diseases and pain have a<br />

high prevalence among dental professionals,<br />

and one systematic review reported a high<br />

prevalence of 78%. Pain was most common in<br />

Fig. 2: PBM PRB components consists of an<br />

external battery, LED pad power cable, LED pad,<br />

and a Velcro strap<br />

Fig. 3: PBM PRB in place on the lower back<br />

Fig. 4: Application of PBM PRB for wrist/arm pain<br />

Fig. 5: A dental hygienist using PBM PRB on their<br />

left shoulder<br />

the neck (58.5%), lower back (56.4%), shoulder<br />

(43.1%) and upper back (41.1%). 25 Since dental<br />

professionals sometimes experience pain in<br />

areas beyond the lower back, the PBM PRB<br />

could be employed to alleviate pain in other<br />

anatomical sites (Figs. 4 and 5).<br />

DISCUSSION<br />

Case reports have described the success of<br />

PBM PRB used for low back pain and muscle<br />

aches. One case report described a patient<br />

who experienced immediate pain relief,<br />

which helped them decrease their usage of<br />

painkillers from several times each day to<br />

once every 10-14 days. Another case report<br />

described a patient that received immediate<br />

relief coupled with a decrease in the need for<br />

pain medications.<br />

The use of the PBM PRB is a safe, convenient<br />

and drug-free alternative to the treatment<br />

of low back pain in dental professionals.<br />

PBM body wellness products are intended<br />

to help reduce the risk of medication use or<br />

to help people living with a chronic disease<br />

or condition. This use relates to sustaining<br />

or offering general improvement in functions<br />

associated with an optimal state of health<br />

without treating specific medical diseases<br />

or conditions, such as physical stiffness,<br />

discomfort, pain, mental wellness, memory,<br />

and sleep.<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong><br />

31


CLINICAL FEATURE<br />

It is also well understood and accepted<br />

that healthy lifestyle choices may play an<br />

important role in health outcomes for specific<br />

diseases or conditions. Consultation with the<br />

healthcare provider should always be obtained<br />

prior to use. DA<br />

DECLARATIONS<br />

Dr Alan Kwong Hing is the founder and<br />

chairman of The PBM Group of Companies,<br />

which makes medical devices focused on use<br />

of photobiomodulation to enhance healing and<br />

decrease pain in humans and animals. He is<br />

also the founder and chairman of A&H Academy.<br />

Dr Jacqueline Crossman, PHD, MSc, is the<br />

director of research at PBM Healing. She has<br />

published several original research articles,<br />

review papers, and book chapters, and has<br />

received many awards during her recent<br />

graduate studies.<br />

Dr Michael R Hamblin, PhD, is a scientific advisor<br />

to PBM Healing. He has published over 800<br />

peer-reviewed articles, over 150 conference<br />

proceedings, book chapters and international<br />

abstracts and holds 10 patents. He is editor-inchief<br />

of Photobiomodulation, Photomedicine<br />

and Laser Surgery, associate editor for 10<br />

journals, and on the editorial board of a further<br />

60 journals.<br />

REFERENCES<br />

1. Raja S, Carr D, Cohen M, Finnerup N, Flor H,<br />

Gibson S, Keefe F, Mogil J, Ringkamp M, Sluka K,<br />

Song X, Stevens B, Sullivan M, Tutelman P, Ushida<br />

T, Vader K. The revised IASP definition of pain:<br />

concepts, challenges, and compromises. Pain.<br />

2021;161(9):1976-1982.<br />

2. Cervero F. Understanding Pain: Exploring the<br />

Perception of Pain. 2012. Cambridge, Mass.: MIT<br />

Press. Chapter 1. ISBN 9780262305433.<br />

3. Raj P. “Taxonomy and classification of pain<br />

“. In: The Handbook of Chronic Pain. 2007. Nova<br />

Biomedical Books. ISBN 9781600210440.<br />

4. Debono D, Hoeksema L, Hobbs R. Caring for<br />

patients with chronic pain: pearls and pitfalls. The<br />

Journal of the American Osteopathic Association.<br />

2013;113(8):620-627.<br />

5. Turk D, Dworkin R. What should be the core<br />

outcomes in chronic pain clinical trials? Arthritis<br />

Research & Therapy. 2004;6(4):151-154.<br />

6. Breivik H, Borchgrevink P, Allen S, Rosseland L,<br />

Romundstad L, Hals E, Kvarstein G, Stubhaug A.<br />

Assessment of pain. British Journal of Anaesthesia.<br />

2008;101(1):17-24.<br />

7. Dahlhamer J, Lucas J, Zelaya C, Nahin R, Mackey<br />

S, DeBar L, Kerns R, Von Korff M, Porter L, Helmick<br />

C. Prevalence of chronic pain and high-impact<br />

chronic pain among adults — United States, 2016.<br />

MMWR Morb Mortal Wkly Rep. 2018;67:1001–1006.<br />

8. Moore R, Wiffen P, Derry S, Maguire T, Roy Y,<br />

Tyrrell L. Non-prescription (OTC) oral analgesics<br />

for acute pain – an overview of Cochrane reviews.<br />

The Cochrane Database of Systematic Reviews.<br />

2015;11(11):CD010794.<br />

9. Eisenberger N, Lieberman M. Why it hurts to<br />

be left out: The neurocognitive overlap between<br />

physical and social pain. In Williams KD (ed.). The<br />

Social Outcast: Ostracisms, Social Exclusion,<br />

Rejection, & Bullying. 2005. Sydney Symposium of<br />

Social Psychology.<br />

10. Hoy D, Bain C, Williams G, et al. A systematic<br />

review of the global prevalence of low back pain.<br />

Arthritis Rheum. 2012;64:2028–2037.<br />

11. Vrbanić TS. Krizobolja--od definicije do<br />

dijagnoze [Low back pain--from definition to<br />

diagnosis]. Reumatizam. 2011;58(2):105-107.<br />

Croatian.<br />

12. de Sousa MVP, Kawakubo M, Ferraresi C,<br />

Kaippert B, Yoshimura EM, Hamblin MR. Pain<br />

management using photobiomodulation:<br />

Mechanisms, location, and repeatability quantified<br />

by pain threshold and neural biomarkers in mice. J<br />

Biophotonics. 2018;11(7):e201700370.<br />

13. Cardoso, F. D. S., Salehpour, F., Coimbra,<br />

N. C., Gonzalez-Lima, F., & Gomes da Silva, S.<br />

(2022). Photobiomodulation for the treatment<br />

of neuroinflammation: A systematic review of<br />

controlled laboratory animal studies. Frontiers<br />

in neuroscience, 16, 1006031. https://doi.<br />

org/10.3389/fnins.2022.1006031<br />

14. Karu T. Is it time to consider<br />

photobiomodulation as a drug equivalent?.<br />

Photomed Laser Surg. 2013;31(5):189-191.<br />

15. Leal-Junior E, Johnson D, Saltmarche A,<br />

Demchak T. Adjunctive use of combination of<br />

super-pulsed laser and light-emitting diodes<br />

phototherapy on nonspecific knee pain: Doubleblinded<br />

randomized placebo-controlled trial.<br />

Lasers Med Sci. 2014;29(6):1839-1847.<br />

16. Xu G, Jia J, Jin L, Li J, Wang Z, Cao D. Low-level<br />

laser therapy for temporomandibular disorders: A<br />

systematic review with meta-analysis. Pain Res<br />

Manag. 2018;2018:4230583.<br />

17. Da Silva MM, Albertini R, de Tarso Camillo de<br />

Carvalho P, et al. Randomized, blinded, controlled<br />

trial on effectiveness of photobiomodulation<br />

therapy and exercise training in the fibromyalgia<br />

treatment. Lasers Med Sci. 2018;33(2):343-351.<br />

18. Stausholm M, Naterstad I, Joensen J, et al.<br />

Efficacy of low-level laser therapy on pain and<br />

disability in knee osteoarthritis: Systematic review<br />

and meta-analysis of randomised placebocontrolled<br />

trials. BMJ Open. 2019;9(10):e031142.<br />

19. Chow R, Johnson M, Lopes-Martins R, Bjordal<br />

J. Efficacy of low-level laser therapy in the<br />

management of neck pain: a systematic review<br />

and meta-analysis of randomised placebo<br />

or active-treatment controlled trials. Lancet.<br />

2009;374(9705):1897-1908.<br />

20. Basford J, Sheffield C, Harmsen W. Laser<br />

therapy: a randomized, controlled trial of the<br />

effects of low intensity Nd:YAG laser irradiation on<br />

musculoskeletal back pain. Arch Phys Med Rehabil.<br />

1999;80:647–652.<br />

21. Gur A , Karakoc M , Cevik R , et al . Efficacy of<br />

low power laser therapy and exercise on pain<br />

and functions in cParameters for SE25 and<br />

LaserShower cluster probehronic low back pain.<br />

Lasers Surg Med. 2003;32:233–238.<br />

22. Gale G, Rothbart P, Li Y. Infrared therapy for<br />

chronic low back pain: a randomized, controlled<br />

trial. Pain Res Manag. 2006;11(3):193-196.<br />

23. Qaseem A, Wilt T, McLean R, Forciea M. Clinical<br />

guidelines committee of the american college of<br />

physicians. noninvasive treatments for acute,<br />

subacute, and chronic low back pain: A clinical<br />

practice guideline from the american college of<br />

physicians. Ann Intern Med. 2017;166(7):514– 530.<br />

24. Huang Y, Sharma S, Carroll J, Hamblin MR.<br />

Biphasic dose response in low level light therapy -<br />

an update. Dose Response. 2011;9(4):602-618.<br />

25. Lietz, J., Kozak, A., & Nienhaus, A. (2018).<br />

Prevalence and occupational risk factors of<br />

musculoskeletal diseases and pain among dental<br />

professionals in Western countries: A systematic<br />

literature review and meta-analysis. PloS one,<br />

13(12), e0208628. https://doi.org/10.1371/journal.<br />

pone.0208628<br />

Dr Michael R Hamblin, PhD,<br />

was a principal investigator<br />

at the Wellman Center<br />

for Photomedicine at<br />

Massachusetts General<br />

Hospital, an associate<br />

professor of Dermatology<br />

at Harvard Medical School for 25 years, and is<br />

now a distinguished visiting professor at the<br />

University of Johannesburg, South Africa and<br />

affiliated faculty at Radiation Biology Research<br />

Center, Iran University of Medical Sciences,<br />

Tehran, Iran.<br />

Dr Alan Kwong Hing DDS,<br />

MSc graduated with his<br />

Doctor of <strong>Dental</strong> Surgery<br />

degree with distinction from<br />

the University of Western Ontario. He received<br />

the University Gold Medal and completed a<br />

concurrent Master’s Degree in Pathology with a<br />

focus on Bone Biology. He has earned multiple<br />

degrees and received numerous awards<br />

including the IADR predoctoral Hatton award.<br />

Dr Jacqueline Crossman,<br />

PhD, is the director<br />

of research at PBM Healing.<br />

She graduated with her<br />

Doctor of Philosophy in<br />

Medical Sciences, Oral<br />

Biology in 2022 from the<br />

University of Alberta after completing a Master<br />

of Science in Medical Sciences, Oral Biology in<br />

2015 from the same institution.<br />

ABOUT THE AUTHORS<br />

32 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


CLINICAL FEATURE<br />

Revolutionising oral<br />

mucositis treatment:<br />

Antibacterial light-activated<br />

therapy in future protocols<br />

By Dr Matti Mauramo and Prof Tuomas Waltimo<br />

INTRODUCTION<br />

Oral mucositis, an inflammation<br />

of the oral mucosa, often occurs<br />

in association with cancer<br />

treatments, particularly radiation and<br />

chemotherapy. It manifests as severe<br />

pain, redness, and swelling in the<br />

patient’s mouth, potentially impacting<br />

the success of cancer therapy. To date,<br />

no existing medication has effectively<br />

prevented the development of<br />

mucositis. Recent research suggests<br />

that antibacterial dual light therapy<br />

may be an effective method to manage<br />

the symptoms of this condition.<br />

Traditional approaches to treating oral<br />

mucositis include preventive measures<br />

such as maintaining good oral hygiene<br />

and ice therapy during chemotherapy.<br />

If bacterial infection is present, the<br />

use of antibiotics may be considered<br />

by the physician. Corticosteroids are<br />

also a treatment option to alleviate<br />

pain and the inflammatory response<br />

associated with mucositis. However,<br />

corticosteroid use poses risks, as it<br />

can suppress the immune system,<br />

making cancer patients more<br />

susceptible to infections. 1,2<br />

Ongoing research explores novel<br />

methods for preventing and treating<br />

oral mucositis. Mitochondriastimulating<br />

red-light therapy has<br />

proven to be very effective in treating<br />

oral mucositis, particularly as a<br />

preventive measure. Although light<br />

therapy is estimated to be the most<br />

effective treatment modality, its<br />

widespread implementation faces<br />

challenges such as availability and<br />

practical issues. 3<br />

The latest studies investigate<br />

antibacterial treatments to preventively<br />

address oral mucosal ulcers<br />

originating from mucositis, aiming<br />

to mitigate the adverse effects of<br />

aggressive cancer treatments.<br />

IMPROVING PATIENT QUALITY OF<br />

LIFE<br />

In the bachelor’s thesis from the<br />

Faculty of Medicine at the University<br />

of Helsinki titled ‘Oral Mucositis<br />

– Antibacterial Dual Light in the<br />

Treatment of Oral Mucositis’, medical<br />

student Jessica Hentilä explores the<br />

effects of antibacterial photodynamic<br />

therapy (aPDT) and antibacterial blue<br />

light (aBL) on mucositis ulcers as local<br />

treatments. 3<br />

Hentilä’s research evaluates the<br />

efficacy of dual light therapy against<br />

Streptococcus Oralis — a common<br />

bacterium in the oral microbiome.<br />

Bacterial colonies form over ulcers on<br />

the oral mucosa from the mouth’s own<br />

bacterial flora.<br />

Drawing of the mechanism of action<br />

of aPDT, the study indicates that<br />

antibacterial dual light, a combination<br />

of aPDT and aBL, not only effectively<br />

targets streptococcal infections found<br />

in mucositis-induced ulcers but provides<br />

red light therapy simultaneously (Fig. 1).<br />

The target tissue is treated with a<br />

selected photosensitiser and is irradiated<br />

with visible light. The photosensitiser<br />

absorbs the photon of visible light and<br />

is raised to a higher energy state from<br />

Fig. 1: After this cycle, the photosensitiser<br />

is back in the ground state and ready to<br />

absorb a new photon<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 33


CLINICAL FEATURE<br />

cancer patients due to an increased<br />

risk of bacteraemia — a bacterial<br />

infection that occurs when bacteria<br />

entering the bloodstream trigger the<br />

body’s defence reaction. In severe<br />

cases, bacteraemia can lead to lifethreatening<br />

sepsis. 6<br />

Fig. 2: Mucositis incidence depending on cancer type and mode of therapy. Data<br />

extracted from Pulito et al 8<br />

its ground state. From this higher<br />

energy state, the photosensitiser can<br />

either lose its energy and return to the<br />

ground state, or it can be raised to an<br />

even higher, more permanent level.<br />

From this higher, more permanent<br />

level, it can return to the ground state<br />

either by phosphorescence emission<br />

or by producing reactive oxygen<br />

species (ROS).<br />

According to Dr Tommi Pätilä, the<br />

thesis advisor of Hentilä’s project and<br />

specialist in paediatric heart and organ<br />

transplantation surgery, the reduction<br />

of oral bacterial load in the mouth<br />

promotes mucosal wound healing,<br />

concurrently reducing the risk of local<br />

and systemic infection complications<br />

common in cancer patients (Fig. 2).<br />

This is an important addition to<br />

the conventionally applied red light<br />

therapy. 3<br />

mucositis-related inflammation or<br />

potentially spreading to other parts of<br />

the body.<br />

Alongside mucosal inflammation,<br />

cancer treatments often induce dry<br />

mouth, exposing cancer patients to<br />

various other oral diseases as well,<br />

such as tooth decay, gingivitis, and<br />

challenging periodontal and periimplant<br />

diseases. 4,5<br />

Oral infections are detrimental to<br />

overall health, causing a low-grade<br />

inflammatory state and potentially<br />

affecting the entire body. Oral<br />

infections are particularly harmful to<br />

Good oral care can prevent infection<br />

complications, which cancer patients<br />

are more susceptible to, given their<br />

increased risk of diseases. Maintaining<br />

oral health is crucial for cancer<br />

patients, as the mouth is the primary<br />

source of routine bacterial seeding in<br />

the body. Mucous membranes, teeth,<br />

and gums must be kept in impeccable<br />

condition through daily effective oral<br />

hygiene.<br />

Antibacterial treatment from<br />

manufacturers such as Lumoral can<br />

influence the inflammatory process<br />

and induce an anti-inflammatory<br />

effect. Additionally, antibacterial<br />

dual light therapy can complement<br />

traditional bactericidal treatments (Fig.<br />

3). 7,9 Moreover, antibacterial dual light<br />

therapy could potentially serve as a<br />

preventive measure to support the oral<br />

health of cancer patients before the<br />

initiation of cancer treatments.<br />

Oral mucositis is a prevalent side<br />

effect in cancer patients undergoing<br />

chemotherapy, radiation therapy, or<br />

combined chemo-radiation therapy.<br />

Its pathophysiology stems from the<br />

ability of cancer treatments to inhibit<br />

rapidly dividing cells, present not only<br />

in cancer tissues but also in the oral<br />

mucosa. 4,5<br />

Clinically, oral mucositis induces<br />

an inflammatory reaction in the<br />

oral mucosa, leading to swelling,<br />

redness, and painful ulcers. 5 These<br />

mucosal variations create an entry<br />

point for oral bacteria, exacerbating<br />

Fig 3: Number of deep pockets at three months in patients who had 10 pockets or fewer<br />

at the beginning of the study<br />

34 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


CLINICAL FEATURE<br />

CONCLUSION: A HEALTHY MOUTH<br />

GUARDS AGAINST SERIOUS INFECTIONS<br />

Maintaining good oral hygiene is crucial for<br />

overall wellbeing. For cancer patients, oral<br />

health preservation is especially vital, as a<br />

clean mouth reduces the inflammatory burden<br />

caused by bacteria, worsening mucositis.<br />

Cancer patients must maintain good chewing<br />

ability and a diverse, high-calorie diet<br />

during intensive cancer treatments to avoid<br />

malnutrition and the development of a general<br />

weakness known as cachexia. 4,5<br />

While mucositis can occur in any part of<br />

the digestive tract, its manifestation on the<br />

oral mucosa poses specific challenges for<br />

cancer patients. Severe cases may hinder<br />

oral nutrition intake, leading to premature<br />

discontinuation of cancer treatments and<br />

compromising overall prognosis.<br />

In the early 2000s, the importance of oral<br />

health in the context of general healthcare<br />

was not systematically recognised as it is<br />

today in many European countries. However,<br />

there is an improvement in managing the side<br />

effects of cancer treatments since with dental<br />

care becoming a standard practice before<br />

initiating stem cell transplantation treatments<br />

in countries like Switzerland.<br />

Simultaneously, patients’ prognoses have<br />

improved and most importantly, the quality<br />

of life for many patients has improved as the<br />

management and prevention of side effects<br />

of cancer treatments have become more<br />

efficient.<br />

Preliminary observations suggest that<br />

Lumoral’s antibacterial dual light therapy<br />

might be an important tool in the armoury<br />

for oral mucositis treatment. Confirmation<br />

studies will be set up to further investigate the<br />

effectiveness of the novel approach. A new<br />

doctoral dissertation study will commence at<br />

the University of Helsinki in the spring to delve<br />

into this topic. DA<br />

REFERENCES<br />

1. Brown TJ, Gupta A. Management of Cancer<br />

Therapy-Associated Oral Mucositis. JCO Oncol<br />

Pract. 2020 Mar;16(3):103-109. doi: 10.1200/<br />

JOP.19.00652. Epub 2020 Feb 3. PMID: 32048926.<br />

2. Al-Rudayni AHM, Gopinath D, Maharajan MK,<br />

Veettil SK, Menon RK. Efficacy of Oral Cryotherapy<br />

in the Prevention of Oral Mucositis Associated<br />

with Cancer Chemotherapy: Systematic Review<br />

with Meta-Analysis and Trial Sequential Analysis.<br />

Curr Oncol. 2021 Jul 29;28(4):2852-2867. doi:<br />

10.3390/curroncol28040250. PMID: 34436016;<br />

PMCID: PMC8395421.<br />

3. Hentilä, Jessica. “Oral Mucositis – Antibacterial<br />

Dual Light in the Treatment of Oral Mucositis.”<br />

Bachelor of Medicine, University of Helsinki,<br />

Faculty of Medicine, October 22, 2023.<br />

4. Rapone B, Nardi GM, DI Venere D, Pettini F,<br />

Grassi FR, Corsalini M. Oral hygiene in patients<br />

with oral cancer undergoing chemotherapy and/<br />

or radiotherapy after prosthesis rehabilitation:<br />

protocol proposal. Oral Implantol (Rome). 2017<br />

Feb 14;9(Suppl 1/2016 to N 4/2016):90-97. doi:<br />

10.11138/orl/2016.9.1S.090. PMID: 28280537;<br />

PMCID: PMC5333751.<br />

5. https://www.nidcr.nih.gov/health-info/cancertreatments<br />

6. Zimmer AJ, Stohs E, Meza J, Arnold C, Baddley<br />

JW, Chandrasekar P, El Boghdadly Z, Gomez CA,<br />

Maziarz EK, Montoya JG, Pergam S, Rolston KV,<br />

Satlin MJ, Satyanarayana G, Shoham S, Strasfeld<br />

L, Taplitz R, Walsh TJ, Young JH, Zhang Y, Freifeld<br />

AG. Bloodstream Infections in Hematologic<br />

Malignancy Patients With Fever and Neutropenia:<br />

Are Empirical Antibiotic Therapies in the United<br />

States Still Effective? Open Forum Infect Dis.<br />

2022 May 18;9(7):ofac240. doi: 10.1093/ofid/<br />

ofac240. PMID: 35854988; PMCID: PMC9277632.<br />

7. Gholami L, Shahabi S, Jazaeri M, Hadilou M,<br />

Fekrazad R. Clinical applications of antimicrobial<br />

photodynamic therapy in dentistry. Front<br />

Microbiol. 2023 Jan 5;13:1020995. doi: 10.3389/<br />

Antibacterial dual light therapy devices like Lumoral could serve as future protocols in oral mucositis<br />

treatment<br />

fmicb.2022.1020995. PMID: 36687594; PMCID:<br />

PMC9850114.<br />

8. Pulito C., Cristaudo A., La Porta C., Zapperi S.,<br />

Blandino G., Morrone A., Strano S. Oral mucositis:<br />

The hidden side of cancer therapy. J. Exp. Clin.<br />

Cancer Res. 2020;39:210. doi: 10.1186/s13046-<br />

020-01715-7.<br />

9. Pakarinen, S.; Saarela, R.K.T.; Välimaa, H.;<br />

Heikkinen, A.M.; Kankuri, E.; Noponen, M.; Alapulli,<br />

H.; Tervahartiala, T.; Räisänen, I.T.; Sorsa, T.; et al.<br />

Home-Applied Dual-Light Photodynamic Therapy<br />

in the Treatment of Stable Chronic Periodontitis<br />

(HOPE-CP)—Three-Month Interim Results. Dent. J.<br />

2022, 10, 206. https://doi.org/10.3390/dj10110206<br />

ABOUT THE<br />

AUTHORS<br />

Dr Matti Mauramo<br />

is a comprehensive<br />

oral healthcare<br />

professional, PhD,<br />

dentist, and a specialised physician,<br />

holding a DDS degree and a MD degree.<br />

As a dentist, he has been working since<br />

2004 in both public and private sectors,<br />

including specialised healthcare settings<br />

such as the Oral Specialized Care Unit in<br />

the City of Helsinki and at the University<br />

of Basel in Switzerland. Currently,<br />

Dr Mauramo works as a specialised<br />

physician, a clinical instructor in<br />

medicine, and conducts research on oral<br />

diseases in patients with blood cancers.<br />

Prof Tuomas Waltimo<br />

is an experienced<br />

healthcare<br />

professional and<br />

clinical university<br />

professor specialising<br />

in oral health and medicine. He<br />

holds qualifications in prevention,<br />

operative dentistry, and experimental<br />

microbiology, with expertise in clinical<br />

dentistry. Proficient in clinical, in vitro,<br />

and epidemiological research, with a<br />

proven track record in diverse clinical<br />

and research environments, Prof<br />

Waltimo is internationally recognised as<br />

a clinician and scientist, particularly in<br />

supportive care in cancer over the last<br />

two decades.<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 35


CLINICAL FEATURE<br />

Copy denture technique<br />

for function and<br />

aesthetics: Case report<br />

By Darius Northey<br />

INTRODUCTION<br />

The VITA Multifunctional Teeth (MFT) offers<br />

reproducible and reliable rehabilitations for a<br />

fair price-performance ratio.<br />

This case report demonstrates how efficient<br />

and aesthetic results can be created with the<br />

copy denture technique using VITA MFT.<br />

COPY DENTURE TECHNIQUE<br />

The teeth of the patient’s old and unstable<br />

dentures were severely worn. The<br />

vertical dimension was diminished, and a<br />

malocclusion established. The dentures were<br />

stabilised with soft relining material to find a<br />

new, raised centric relation (Figs. 1-2). After<br />

that, both dentures were copied with the help<br />

of a silicone matrix and articulated in the<br />

determined centric relation (Figs. 3, 4 and 6).<br />

The copies of the teeth were gradually<br />

reduced and then set (Figs. 7-10).<br />

Mucodynamic impressions were taken with<br />

the new setups, which were poured in and<br />

rearticulated after the successful clinical try-in<br />

(Figs. 11-16). Finally, the rehabilitations were<br />

processed in polymer, finished, and polished<br />

(Figs. 17 and 18). The results were functional<br />

and aesthetic rehabilitations which had been<br />

manufactured efficiently and economically<br />

(Figs. 19-21). The frail patient was satisfied<br />

with the quick procedure and the outcome<br />

(Figs. 22 and 23).<br />

Fig. 1<br />

Fig. 2 Fig. 3<br />

Fig. 4 Fig. 5 Fig. 6<br />

Fig. 1: The lower denture with worn teeth after<br />

intraoral soft relining<br />

Fig. 2: A new centric relation was determined with<br />

the old dentures to raise the diminished vertical<br />

dimension<br />

Fig. 3: Initial lab putty base with a land area for<br />

the duplication of the lower denture<br />

Fig. 4: The completed silicone matrix on the<br />

lower denture after isolating the land area with<br />

Vaseline<br />

Fig. 5: The VITA MFT Anteriors with their natural<br />

morphology and life-like play of light and<br />

colours<br />

Fig. 6: The duplicated dentures were articulated<br />

according to the centric registration<br />

36 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


CLINICAL FEATURE<br />

Fig. 7 Fig. 8<br />

Fig. 9<br />

Fig. 10 Fig. 11<br />

Fig. 12<br />

Fig. 13 Fig. 14<br />

Fig. 15<br />

Fig. 16 Fig. 17<br />

Fig. 18<br />

Fig. 7: The teeth of the copy dentures were<br />

gradually reduced and then set<br />

Fig. 8: The bite was raised 2-3mm according to<br />

the new centric relation<br />

Fig. 9: After the front setup had been realised, the<br />

molar areas were reduced and replaced with VITA<br />

MFT Posteriors<br />

Fig. 10: The completed setup situation before the<br />

mucogingival anatomy was waxed<br />

Fig. 11: During the phonetic try-in, the patient felt<br />

comfortable<br />

Fig. 12: The occlusion was checked and minimally<br />

optimised on the patient<br />

Fig. 13: After the successful try-in, mucodynamic<br />

impressions were taken with the duplicated<br />

denture bases<br />

Fig. 14: After a medium body impression, light<br />

body was applied for the next impression step<br />

Fig. 15: The final mucodynamic impressions.<br />

Heavy body was additionally used on the lower<br />

setup base<br />

Fig. 16: Both mucodynamic impressions were<br />

poured with vacuum mixed stone gypsum<br />

Fig. 17: The rearticulated and waxed setups could<br />

be transferred into polymer<br />

Fig. 18: First occlusion check, after the wax<br />

setups were processed in polymer<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 37


CLINICAL FEATURE<br />

Fig. 19<br />

Fig. 19: The final dentures in the articulator after high-gloss<br />

polishing<br />

Fig. 20: The natural play of light and colours in the aesthetic zone<br />

Fig. 21: Pink and white aesthetics harmonised. The lingualised<br />

occlusion offered reliable function<br />

Fig. 22: The patient was pleased with the aesthetic outcome of<br />

her new rehabilitations<br />

Fig. 23: The new dentures looked natural and harmonised well<br />

with their intraoral environment<br />

Fig. 20<br />

Fig. 21<br />

Fig. 22<br />

Fig. 23<br />

DISCUSSION<br />

The morphology of VITA MFT Anterior is designed<br />

according to aesthetic rules. Its tooth axis, angle<br />

characteristics and dimensions of the basal tooth neck<br />

simulate the shape of natural front teeth (Fig. 5). The<br />

surface texture establishes a life-like appearance, and the<br />

structural composition conforms the tooth anatomy. The<br />

well-arranged neck, dentin and enamel layers lead to an<br />

aesthetic play of light and colours with harmonic shade<br />

gradients and reflecting mamelon structures.<br />

Due to the occlusal surface design, the centric position can<br />

easily be found. This leads to a reliable and time-saving<br />

reproduction of the function without extensive grinding. The<br />

posterior teeth can be used universally with any occlusion<br />

concept because of the multifunctional occlusal surface<br />

design. They standardise the workflow of the setup and<br />

provide constant and solid results. This routine helps to<br />

increase general productivity. DA<br />

ABOUT THE AUTHOR<br />

Darius Northey is a denturist from<br />

Buderim, Australia who specialises in<br />

acrylic cases, working with dentists<br />

and also directly with patients.<br />

He graduated as a dental technician in 1993 after<br />

working in the family business for many years, before<br />

establishing his own dental laboratory, Jade <strong>Dental</strong><br />

Laboratory, in 2006 in Sydney, Australia.<br />

Northey has a strong interest in furthering his<br />

education and attends regular courses and seminars,<br />

completing an ‘Advanced Diploma of <strong>Dental</strong><br />

Prosthetics’ in 2006. He also lectures in Australia and<br />

overseas on implant over dentures and CAD/CAM bars.<br />

38 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


USER REPORT<br />

A natural tooth whitening<br />

alternative for reduced tooth<br />

and gingival sensitivity<br />

PBM White is a photobiomodulation (PBM) light emitting diode<br />

(LED) device that is used in combination with a proprietary carbamide<br />

peroxide gel, intended to reduce the pain associated with<br />

tooth whitening and to lighten the colour of the existing teeth.<br />

By Dr Alan Kwong Hing, DDS, MSc, Dr Michael R Hamblin, PhD, Dr Jacqueline Crossman, PhD, MSc, and<br />

Brenda Kwong Hing, CEO of PBM Wellness<br />

WHAT IS TEETH WHITENING?<br />

Teeth whitening involves the bleaching<br />

of one’s teeth to make them lighter<br />

in colour. Although the process can<br />

lighten the existing colour by several<br />

shades, it cannot make teeth brilliant<br />

white.<br />

The first step of the teeth whitening<br />

process will be to make two to three<br />

visits to your dentist. The dentist will<br />

take an impression of the patient’s<br />

teeth to make a mouthguard and<br />

inform users how to use it with a<br />

bleaching gel. Using the mouthguard at<br />

home, users would regularly apply the<br />

gel for a specified period over a few<br />

weeks. Some whitening gels can be<br />

left on for up to 8hrs at a time, which<br />

can shorten the treatment duration.<br />

Another type of teeth whitening system<br />

that a dentist can provide is called<br />

laser whitening or power whitening. A<br />

bleaching product is painted onto one’s<br />

teeth and a light or laser is shone on<br />

them for about an hour to activate the<br />

whitening process while the patient is<br />

seated in a dental chair.<br />

The use of LED-assisted teeth<br />

whitening has been widely adopted for<br />

in-office use. LED-assisted whitening<br />

is used in place of a laser to reduce<br />

tooth sensitivity. In some cases, a gel<br />

is applied by the patient and a portable<br />

light device is utilised at home.<br />

What are the risks of teeth<br />

whitening?<br />

Some home kits do not have a<br />

sufficient quantity of the whitening<br />

product, preventing this product from<br />

being effective. If the mouthguard<br />

provided is not customised by a<br />

dentist, it may not fit properly and<br />

may leak the bleaching gel onto the<br />

gums and into the mouth, resulting in<br />

blistering and sensitivity.<br />

Teeth whitening is also not permanent.<br />

It can last from a few months to up<br />

to three years. This time varies from<br />

person to person. Additionally, the<br />

whitening effect would not last as<br />

long if a patient smokes or consumes<br />

beverages which can stain teeth such<br />

as red wine, tea, or coffee.<br />

No matter what treatment use, there<br />

is a chance a patient’s gums will be<br />

sensitive to the chemicals used in<br />

teeth whitening, particularly if they<br />

already have sensitive teeth. There is<br />

also a chance of burns to the gums,<br />

and some of the whitening kits used at<br />

home can harm tooth enamel.<br />

PREVIOUS CLINICAL STUDIES<br />

Dentists are acutely aware of the value<br />

of tooth bleaching to their practice<br />

and patients, and they want to provide<br />

treatment based on reliable evidence.<br />

The challenge for dentists is to<br />

determine the effectiveness of various<br />

teeth-whitening systems while keeping<br />

patients’ safety paramount.<br />

There has been an increased demand<br />

for aesthetic dental treatments<br />

in recent years. One conservative<br />

aesthetic solution to treat tooth<br />

discolouration is bleaching of the<br />

teeth. A common chemical agent used<br />

A PBM White intraoral light application<br />

40 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


USER REPORT<br />

in teeth whitening is hydrogen peroxide<br />

(HP). 1 HP acts as an active oxidising<br />

agent, and can be used directly, or even<br />

indirectly when it is produced during a<br />

chemical reaction involving carbamide<br />

peroxide (CP). 2<br />

and their effects on the enamel surface<br />

are probably clinically irrelevant.<br />

These findings showed that bleaching<br />

procedures are minimally invasive<br />

treatments that are safe for the enamel<br />

surface.<br />

experience a breakage of chemical<br />

bonds, photolysis. Photo-assisted<br />

oxidation is when the oxidation of<br />

molecular bonds in the chromophores<br />

requires a specific activation energy, or<br />

wavelength.<br />

Although the exact mechanism of how<br />

HP bleaches teeth and its associated<br />

effects are not fully understood, it is<br />

known that HP diffuses through the<br />

organic matrix of the tooth structure<br />

because HP has a low molecular<br />

weight. 3 Unfortunately, because the<br />

HP oxidative effect is not only specific<br />

to the long organic chains in coloured<br />

stains, it can also have an effect on<br />

the organic matter of the teeth by this<br />

oxidation. 4,14 Higher concentrations of<br />

CP (35-37%) and HP (30-35%) are used<br />

in professional settings like dental<br />

offices, but at-home bleaching kits<br />

contain formulations with up to 20%<br />

CP and 10% HP. 5<br />

A systematic review by Matis et al.<br />

compared nine studies published on<br />

different tooth whitening systems.<br />

These studies looked at 25 products<br />

used in four different systems.<br />

Although tooth whitening was seen<br />

with all methods, the best system<br />

was a dentist-prescribed overnight<br />

bleaching method. 6<br />

The aim of a study by Abouassi,<br />

Wolkewitz, and Hahn was to evaluate<br />

changes in the surface of the enamel<br />

after bleaching with two different<br />

concentrations of HP and CP. Only<br />

minimal morphological changes<br />

were observed after bleaching with<br />

high concentrations of the agents. 7<br />

Surfaces treated with CP showed<br />

somewhat less alterations compared<br />

to HP. There was no decrease in<br />

enamel micro-hardness in any of the<br />

groups.<br />

The main effect of bleaching on the<br />

morphology of enamel surface is<br />

thought to be related to the oxidation<br />

and subsequent partial lysis of organic<br />

material within the enamel. However,<br />

the differences between CP and HP,<br />

Another study by Tavares et al. tested<br />

the use of light combined with a 15%<br />

peroxide gel in a single office visit<br />

for teeth whitening. 8 Eighty-seven<br />

patients were randomised to receive<br />

peroxide and light, peroxide only, or<br />

light only. The combination of peroxide<br />

gel and light resulted in a significant<br />

increase in lightness and decrease<br />

in yellowness. Tooth sensitivity or<br />

gingival redness were not observed<br />

at the three- and six-month follow-up<br />

visits.<br />

Gottenbos et al. investigated the use<br />

of blue light and HP gel for tooth<br />

whitening. 9 In this study, extracted<br />

teeth were divided into five groups:<br />

Group 1: 9hrs of blue light, 10 hours<br />

of 6% HP gel, and then 6hrs of light<br />

combined with 6% HP gel<br />

Group 2: 9hrs of 6% HP gel, 10hrs of<br />

light, and then 6hrs of light combined<br />

with 6% HP gel<br />

Group 3: 11hrs of light combined with<br />

6% HP gel<br />

Group 4: 8.25hrs of 25% HP gel,<br />

10hrs of light, and then 6hrs of light<br />

combined with 25% HP gel<br />

Group 5: 10.45hrs of light combined<br />

with 25% HP gel<br />

The most significant colour change<br />

was found in groups 1, 2 and 4 that<br />

received 6hrs of light and gel at<br />

the end. This study showed that a<br />

combined treatment with light and HP<br />

gel resulted in better tooth whitening.<br />

De Moor et al. provided an overview<br />

on the chemistry of light accelerated<br />

whitening (LAW) for enhanced<br />

bleaching. 10 Direct photobleaching is a<br />

process involving the chromophores in<br />

the teeth. These chromophores absorb<br />

the light and the excited state can<br />

react with oxygen in the air to become<br />

oxidised, photo-oxidation, or they can<br />

CP is a chemical complex that breaks<br />

down into HP and urea. HP makes up<br />

about one-third of the CP complex. 11<br />

The comparisons between CP and HP<br />

in terms of whitening were studied<br />

by Mokhlis et al. and discussed by<br />

Asmussen. 12 CP has a slower rate of<br />

reaction compared to HP. This slow<br />

breakdown makes it more popular for<br />

in-office whitening procedures. Both<br />

CP and HP are oxidising agents which<br />

whiten teeth but may cause some<br />

sensitivity, and neither of them cause<br />

rebound, which is when teeth appear<br />

to be whiter after a procedure due to<br />

dehydration. An obvious difference<br />

between CP and HP is that CP also<br />

contains urea in addition to HP, while<br />

HP is just composed of hydrogen and<br />

oxygen. As mentioned, HP breaks<br />

down faster than CP. Finally, CP has a<br />

longer shelf life than HP, which needs<br />

cooler temperatures to extend its life.<br />

Because of the differences between<br />

the two chemicals, pros and cons<br />

that come with each whitening agent<br />

are expected. CP is effective and<br />

safe for bleaching teeth because<br />

its longer activity whitens teeth at a<br />

sustained rate and kills bacteria, it<br />

lasts a long time without the need<br />

for refrigeration, and it does not<br />

cause rebound. However, because<br />

CP requires higher concentrations,<br />

these may damage tooth enamel, and<br />

typically the treatment sessions take<br />

longer. In comparison, HP is also a<br />

safe and effective method of whitening<br />

teeth with rapid results, and it also<br />

does not cause rebound. However,<br />

it may also damage tooth enamel,<br />

and as mentioned, it does need to be<br />

refrigerated to extend its shelf life.<br />

Due to the apparent advantages<br />

of CP over HP, determining which<br />

concentrations of CP are more<br />

42 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


USER REPORT<br />

Fig. 1: Actual patient results of whitening with PBM White before treatment (left) and after treatment (right)<br />

Fig. 2: Actual patient results of whitening with PBM White after<br />

treatment (top) and before treatment (bottom)<br />

Fig. 3: PBM White device components<br />

effective for tooth bleaching in<br />

combination with light activation<br />

is essential. An in vitro study by<br />

Meireles et al. evaluated different CP<br />

concentrations and their effects. 13<br />

This study looked at 10%, 16% and<br />

37% CP, and they used water as a<br />

control. Bovine dental slabs were<br />

used to test these concentrations.<br />

Under their testing parameters, 37%<br />

CP had a better whitening effect after<br />

one week of treatment, but there<br />

were no differences between the<br />

three treatment groups at one-week<br />

post-bleaching. This study shows that<br />

all three concentrations performed<br />

similarly in terms of tooth whitening.<br />

PBM WHITE<br />

PBM White is a tooth whitening kit that<br />

provides PBM treatment to enhance<br />

the effect of a proprietary CP gel and<br />

other ingredients (Figs. 1 and 2).<br />

Reports from patients using PBM<br />

White experienced no teeth or gum<br />

sensitivity.<br />

The PBM White device is battery<br />

operated, easy to use at home, and<br />

portable. The device comprises a<br />

mouthpiece, external battery pack,<br />

USB charging cables, wall charger, and<br />

pens with whitening gel loaded inside<br />

(Fig. 3). The gel comes in a pen with<br />

an applicator tip which allows the gel<br />

to be applied to the teeth surfaces.<br />

The PBM White gel contains CP,<br />

glycerol, propylene glycol, deionised<br />

water, carbomer, carboxymethyl, polyvinylpyrrolidone,<br />

sodium hydroxide, and<br />

menthol.<br />

The mouthpiece is a wireless device<br />

made from a biocompatible material<br />

that houses LED cores. The LEDs<br />

emit light with two colours, red and<br />

blue. The mouthpiece has a biteplate<br />

for the patient to bite on, and when<br />

seated properly, it will emit PBM<br />

energy onto the gums and teeth<br />

to activate the whitening gel. The<br />

USB charging cable connects the<br />

mouthpiece to the power source. It<br />

is used to charge the mouthpiece<br />

battery.<br />

To charge the device, the USB cable<br />

is inserted into the USB port of the<br />

battery pack and connected to the<br />

power adapter, while the other end<br />

of the cable is connected to the<br />

mouthpiece. A fully charged device<br />

is ready to be used for approximately<br />

four sessions. The power adapter is a<br />

wall mounted charger, and the charger<br />

allows the PBM White battery to be<br />

recharged in between the treatments.<br />

DISCUSSION<br />

Using a non-toxic gel, PBM White<br />

can remove tooth discolouration<br />

slowly without damaging teeth. It is<br />

convenient to use at home, allowing<br />

users to do touch-ups easily at any<br />

time. PBM White utilises the power<br />

of light activation in a process<br />

called photodynamic therapy using<br />

a proprietary gel to gently and<br />

effectively whiten teeth over a period<br />

of two to three weeks. The process<br />

may be slower than conventional HP<br />

gels, however there is no tooth or<br />

gingival sensitivity.<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 43


USER REPORT<br />

However, there are several potential risks<br />

associated with PBM White. First, irritation<br />

can occur from the CP whitening product<br />

itself. If the whitening product is in contact<br />

with the gums for a long time, the person<br />

may experience irritation. Second, users<br />

may experience increased tooth sensitivity,<br />

including sensitivity to air or temperature<br />

changes.<br />

Lastly, the PBM device may cause throat<br />

irritation. A person can accidentally swallow<br />

CP gel while whitening their teeth. This is<br />

especially true if they use the product<br />

overnight. Throat contact can lead to<br />

irritation. However, since the product is<br />

usually in contact with the throat for a short<br />

time, this side effect should resolve quickly.<br />

Uneven whitening is more common with<br />

high concentrations of peroxide. This effect<br />

usually diminishes after a few uses.<br />

Regardless, these above side effects are<br />

typically not noticeable or sufficiently<br />

severe to stop a person from using the<br />

product. DA<br />

ABOUT THE AUTHORS<br />

Dr Alan Kwong Hing DDS,<br />

MSc graduated with his<br />

Doctor of <strong>Dental</strong> Surgery<br />

degree with distinction<br />

from the University of Western Ontario.<br />

He received the University Gold Medal and<br />

completed a concurrent Master’s Degree in<br />

Pathology with a focus on Bone Biology. He<br />

has earned multiple degrees and received<br />

numerous awards including the IADR<br />

predoctoral Hatton award.<br />

DECLARATIONS<br />

Dr Alan Kwong Hing is the founder and<br />

chairman of The PBM Group of Companies,<br />

which makes medical devices focused on<br />

use of photobiomodulation to enhance<br />

healing and decrease pain in humans and<br />

animals. He is also the founder and chairman<br />

of A&H Academy.<br />

Dr Jacqueline Crossman, PHD, MSc, is the<br />

director of research at PBM Healing. She has<br />

published several original research articles,<br />

review papers, and book chapters, and has<br />

received many awards during her recent<br />

graduate studies.<br />

REFERENCES<br />

1. Jansen E, Meyer-Lueckel H, Esteves-Oliveira M,<br />

Wierichs R. Do bleaching gels affect the stability<br />

of the masking and caries-arresting effects of<br />

caries infiltration – in vitro. Clin Oral Investig.<br />

2021;25(6):4011-4021.<br />

2. Burrows S. A review of the efficacy of tooth<br />

bleaching. Dent Update. 2009;36:537–538,<br />

541–544, 547–548.<br />

3. Dias S, Casqueiro L, Pereira R, Silveira J,<br />

Mata A, Marques D. Hydrogen peroxide diffusion<br />

through dental tissues – in vitro study. Materials<br />

(Basel). 2023;16(16):552.<br />

4. Moreira R, Calazans F, Santos R, Assis J,<br />

Miranda M, Anjos M. Study of the hydrogen<br />

peroxide bleaching agent effects on bovine<br />

enamel using x-ray fluorescence. INAC 2013,<br />

Recife, PE, Brazil.<br />

5. Alqahtani M. Tooth-bleaching procedures and<br />

their controversial effect: a literature review. The<br />

Saudi <strong>Dental</strong> Journal. 2014;226(2):33-46.<br />

6. Matis BA, Cochran MA, Eckert G. Review of the<br />

effectiveness of various tooth whitening systems.<br />

Oper Dent. 2009;34:230–235.<br />

7. Abouassi T, Wolkewitz M, Hahn P. Effect of<br />

carbamide peroxide and hydrogen peroxide on<br />

enamel surface: an in vitro study. Clin Oral Invest.<br />

2011;15:673–680.<br />

8. Tavares M, Stultz J, Newman M, Smith V, Kent<br />

Dr Michael R Hamblin, PhD, is a scientific<br />

advisor to PBM Healing. He has published<br />

over 800 peer-reviewed articles, over 150<br />

conference proceedings, book chapters and<br />

international abstracts and holds 10 patents.<br />

He is editor-in-chief of Photobiomodulation,<br />

Photomedicine and Laser Surgery, associate<br />

editor for 10 journals, and on the editorial<br />

board of a further 60 journals.<br />

Brenda Kwong Hing is CEO of PBM Wellness<br />

and PBM Pet, which includes products<br />

for overall body wellness including tooth<br />

whitening with PBM White and products for<br />

helping animal friends.<br />

R, Carpino E, Goodson J. Light augments tooth<br />

whitening with peroxide. The Journal of the<br />

American <strong>Dental</strong> Association. 2003;134(2):167-<br />

175.<br />

9. Gottenbos B, de Witz C, Heintzmann S, Born M,<br />

Hötzl S. Insights into blue light accelerated tooth<br />

whitening. Heliyon. 2021;7(2):e05913.<br />

10. De Moor R, Verheyen J, Diachuk A, Verheyen<br />

P, Meire M, de Coster P, Keulemans F, de<br />

Bruyne M, Walsh L. Insight in the chemistry of<br />

laser-activated dental bleaching. Sci. World J.<br />

2015;2015:650492.<br />

11. Mokhlis G, Matis B, Cochran M, Eckert G. A<br />

clinical evaluation of carbamide peroxide and<br />

hydrogen peroxide whitening agents during<br />

daytime use. JADA. 2000;131(9):1269-1277.<br />

12. Asmussen N. (2023, December 12). Carbamide<br />

Peroxide vs. Hydrogen Peroxide for Teeth Whiten.<br />

<strong>Dental</strong>y. https://www.dentaly.org/us/teethwhitening/carbamide-vs-hydrogen-peroxide/#<br />

13. Meireles SS, Fontes ST, Coimbra LA, Della<br />

Bona Á, Demarco FF. Effectiveness of different<br />

carbamide peroxide concentrations used for<br />

tooth bleaching: an in vitro study. J Appl Oral Sci.<br />

2012;20(2):186-191.<br />

14. Jiang T, Ma X, Wang Z, Tong H, Hu J, Wang Y.<br />

Beneficial effects of hydroxyapatite on enamel<br />

subjected to 30% hydrogen peroxide. Journal of<br />

Dentistry. 2008;36(11):907-914.<br />

Dr Jacqueline Crossman,<br />

PhD, MSc, is the director<br />

of research at PBM Healing.<br />

She graduated with her<br />

Doctor of Philosophy in<br />

Medical Sciences, Oral<br />

Biology in 2022 from the<br />

University of Alberta after completing a Master<br />

of Science in Medical Sciences, Oral Biology in<br />

2015 from the same institution.<br />

Dr Michael R Hamblin, PhD,<br />

was a principal investigator<br />

at the Wellman Center<br />

for Photomedicine at<br />

Massachusetts General<br />

Hospital, an associate<br />

professor of Dermatology<br />

at Harvard Medical School for 25 years, and is<br />

now a distinguished visiting professor at the<br />

University of Johannesburg, South Africa and<br />

affiliated faculty at Radiation Biology Research<br />

Center, Iran University of Medical Sciences,<br />

Tehran, Iran.<br />

Brenda Kwong Hing had a<br />

career in the culinary world<br />

where she ran a cooking<br />

school, catering company<br />

and was a corporate chef.<br />

During the pandemic she<br />

switched to focus on PBM<br />

Wellness and PBM Pet products to help humans<br />

and animals achieve higher levels of physical<br />

and mental health. She brings her considerable<br />

experience running teams and managing<br />

introduction of new ideas and techniques to<br />

grow the positive impact of PBM technology<br />

around the world.<br />

44 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


BEHIND THE SCENES<br />

Achieving a natural aesthetic<br />

appearance with porcelain<br />

veneers: Case reports (Part 1)<br />

By Somano Luang Phaxay, director of Oral Design Phuket<br />

INTRODUCTION<br />

Materials like zirconia oxide block and lithium disilicate<br />

block are very popular in the modern dentistry era of CAD/<br />

CAM restorations. The market is flooded with lab scanners<br />

and milling machines which have become a standard<br />

of industrialisation and mass production for quicker<br />

treatment times.<br />

Fig. 1<br />

Fig. 2<br />

Lithium disilicate and feldspathic ceramics restoration are<br />

widely used in Europe for minimal invasive and long-term<br />

treatments. They are also bonded friendly materials which are<br />

good for the tooth structure for long-lasting bonding and less<br />

aggressive preparation.<br />

Fig. 3<br />

Fig. 4<br />

The materials used mostly in my daily work are the Creation<br />

LS press and Creation LS veneering materials for lithium<br />

disilicate, which is a continuation of the high-end Creation<br />

Willi Geller ceramic system known and tested over 35 years<br />

for it exceptional aesthetics and stable results for any types<br />

of materials used such as metal frame and zirconia oxide.<br />

Fig. 5<br />

Fig. 6<br />

However, I am still partial towards handmade fabrication,<br />

customisable workflows, working with old traditional<br />

pressable or feldspathic techniques, and fully handmade on<br />

plaster or digitally printed models. Such techniques have<br />

proven to deliver highly aesthetic results and biocompatibility.<br />

CASE ONE: FELDSPATHIC MINIMAL NONINVASIVE<br />

PREP<br />

A young female patient was referred from a previous client.<br />

Her main complaint was about teeth 11 and 21, which kept<br />

falling due to some composites on the incisal edges. She<br />

had also undergone some orthodontic treatment which did<br />

not work out for her.<br />

Fig. 7<br />

Fig. 8<br />

The patient desired to close the diastema between the<br />

maxillary centrals and laterals incisors. After the consultation,<br />

it was decided to use noninvasive porcelain laminate veneers<br />

to help the patient fill the spaces (Figs. 1-10).<br />

CASE TWO: THE ULTRACONSERVATIVE APPROACH<br />

The patient presented with lost tooth structure due to the<br />

fall of the composite filling. In such cases, porcelain veneers<br />

Fig. 9<br />

Fig. 1: A simple additional diagnostic<br />

wax up<br />

Fig. 2: Porcelain build-up using the<br />

platinum foil technique<br />

Fig. 3: After removing the foil and<br />

checking on an uncut model<br />

Fig. 4: Porcelain veneers, very thin in<br />

some areas<br />

Fig. 10<br />

Fig. 5: Initial situation<br />

Fig. 6: Final result, balance proportions<br />

with lips<br />

Fig. 7: Left profile view post-operative<br />

Fig. 8: Left profile view pre-operative<br />

Fig. 9: Full view intraoral<br />

Fig. 10: Intraoral view<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 45


BEHIND THE SCENES<br />

may be used to provide additional volume.<br />

The approach is mostly non-preparation and<br />

ultraconservative. The bonding is the same<br />

procedure with a heated composite resin.<br />

The use of porcelain veneers feldspathic<br />

or lithium disilicate with or without tooth<br />

preparation is an excellent technique when<br />

preservation of the existing tooth structure<br />

is a primary requirement. This conservative<br />

noninvasive and ultraconservative approach<br />

provides good aesthetics and acceptable<br />

long-term results while also meeting patient<br />

demands for noninvasive treatment and<br />

beautiful results (Figs. 11-19).<br />

Fig. 11<br />

Fig. 13<br />

Fig. 12<br />

Fig. 14<br />

DISCUSSION<br />

Today, dental labs that do not use CAD/<br />

CAM units to design or mill lithium disilicate<br />

framework in-house can focus on fabrication<br />

in a traditional way. Concentrating fully on<br />

every aspect of creating bespoke quality<br />

ceramics veneers from the start to finish<br />

achieves a stunning high-end result.<br />

Fig. 15<br />

Fig. 16<br />

Feldspathic on platinum foil or refractory<br />

materials using just pure porcelain for a<br />

non-preparation porcelain veneer or minimal<br />

preparation, is a preferred technique to<br />

emulate natural dentition. By keeping to the<br />

basic principles of layering, the end-results will<br />

be in harmony with natural aesthetics.<br />

The material’s biocompatibility and high<br />

strength make it suitable for premium dentistry<br />

because it has been continually optimised to<br />

the highest longevity in the mouth.<br />

Fig. 17<br />

Fig. 19<br />

Fig. 18<br />

Fig. 11: An ultraconservative non prep porcelain veneer<br />

Fig. 12: Preoperative tooth chipping<br />

Fig. 13: Filling up of composite and smooth surface<br />

Fig. 14: Foil application<br />

Fig. 15: Porcelain build up<br />

Fig. 16: Shaping and contouring<br />

Fig. 17: Foil removed and fitting on model<br />

Fig. 18: Veneer try-in and etching with 9% hydrofluoric<br />

acid and 37% phosphoric acid, then silane application.<br />

Bonded with heated translucent composite resin<br />

Fig. 19: Well bonded and highly polished final results<br />

Despite the popularity and economic benefits<br />

of CAD/CAM restorations, the materials<br />

and techniques discussed still hold an<br />

important place in the lab for aesthetics teeth<br />

restorations. DA<br />

ACKNOWLEDGEMENTS<br />

The author would like to thank Dr Hafid<br />

Soubane for case report one for his trust and<br />

collaboration, and Dr A Warum for case report<br />

two for his time and clinical skill.<br />

The author also wishes to thank members<br />

of the Oral Design International Foundation<br />

and its founder Willi Geller, for sharing their<br />

expertise and guidance in shaping him to<br />

become the ceramist he is today.<br />

ABOUT THE AUTHOR<br />

Somano Luang Phaxay qualified<br />

as a dental technician in<br />

1998 from ‘CEPAL — CENTRE<br />

ENSEIGNEMENT PROMOTION DES METIERS<br />

(<strong>Dental</strong> Technology)’ in Nancy, France, and<br />

spent a 3 month internship at the Ivoclar<br />

Vivadent International Training Center in Schaan<br />

Liechtenstein for Dentists and Technicians. Since<br />

then, Somano has undergone many courses in<br />

ceramics and collaborated with other technicians<br />

to learn new techniques.<br />

Somano worked three master class per year<br />

from 2006-2017 with MDT Gérald Ubassy at his<br />

International Training Center in Avignon, France.<br />

In 2015 Somano also worked with Dr Cyril<br />

Gaillard to translate from French into English<br />

the 1st DSD Course by Dr Christian Coachman<br />

in Paris, France. Somano became a member<br />

of the Oral Design International Foundation in<br />

2022 by maestro Willi Geller.<br />

Since 2018, Somano moved to Phuket,<br />

Thailand, and opened ‘Oral Design Aesthetic &<br />

Function <strong>Dental</strong> Studio Phuket’, a member of<br />

the Oral Design International Foundation, where<br />

he focuses on aesthetic veneer and full mouth<br />

rehabilitations cases, and training master<br />

classes on ceramics for dental technicians and<br />

dentists in the region.<br />

46 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


IN DEPTH WITH<br />

Why nitrogen<br />

is essential for<br />

dental 3D-printing<br />

curing oven<br />

The popularity of 3D printing in the dental industry<br />

has been arguably expanding, and along with it<br />

the technology itself and the quality of output it<br />

can produce. Today a dentist or lab technician<br />

can create a print faster, more easily, and more<br />

accurately than before. These improvements have<br />

led to an increasing number of dental professionals<br />

seeking the latest developments to add to their<br />

arsenal of tools — including the most advanced UV<br />

curing ovens and nitrogen sources.<br />

Having all the right elements working<br />

together from design to delivery is the key to<br />

getting consistent results every time. A fully<br />

synchronised UV curing station is the final step<br />

to ensure high quality, precise, and accurate<br />

results.<br />

The dental 3D printing workflow includes the<br />

initial intraoral scanning and digital design,<br />

followed by the printing itself and most<br />

importantly, post curing steps. The final<br />

application is made from liquid resin which<br />

creates a solid print through a process of<br />

polymerisation. UV light curing — especially<br />

the final cure after printing — is what ensures<br />

the quality and biocompatibility of a print; it is<br />

where the majority of curing happens.<br />

UV lights at specific wavelengths ensure the<br />

optimal strength, biocompatibility and aesthetic<br />

of the print. Incorporating nitrogen into post<br />

curing to enhance this final result aims to<br />

augment the dental 3D printing workflow.<br />

Compared to a traditional analogue workflow,<br />

3D printing speeds up the process for the<br />

patient and the dental professional. The<br />

addition of nitrogen when curing 3D prints<br />

brings additional improvements to the<br />

accuracy and quality of the final result.<br />

BENEFITS OF POST CURING WITH<br />

NITROGEN<br />

Post curing with nitrogen using UV light<br />

solidifies the final print, and ensures it has met<br />

a set of health standards which reaffirm that<br />

it is safe to place in a patient’s mouth. This is<br />

especially important for restorative treatments<br />

and Class II applications.<br />

Enhanced mechanical properties<br />

Incorporating nitrogen increases the quality<br />

of prints by enhancing their mechanical<br />

properties, including up to 25% higher flexural<br />

strength. The cross-linking that is achieved<br />

through post curing is improved, leading to a<br />

stronger and more durable result. Furthermore,<br />

incorporating nitrogen into the post curing<br />

process ensures more consistent results. This<br />

means that patients can receive a better and<br />

more comfortable solution, and practitioners<br />

can deliver better results each time.<br />

Better aesthetics for dental applications<br />

In addition to improved comfort and durability,<br />

nitrogen integration yields a higher-quality<br />

print with fewer sticky areas and cracks.<br />

It also creates enhanced aesthetics for<br />

transparent resins and avoids the distorted<br />

appearance that often appears after post<br />

curing. Nitrogen integration improves the<br />

colour and smoothness of the final result,<br />

providing a more natural look and feel for<br />

applications that will be placed in a patient’s<br />

mouth on a more permanent basis. This in<br />

turn leads to better patient satisfaction, and<br />

the potential for more referrals or practice<br />

expansion.<br />

Post curing with nitrogen provides benefits<br />

such as higher flexural strength and a more<br />

natural look and feel for 3D-printed products<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 47


IN DEPTH WITH<br />

Consistent UV Curing for resin 3D printing<br />

Nitrogen maximises the consistency of the<br />

3D-printed application and ensures that<br />

the print is cured evenly. This increased<br />

consistency helps reduce material waste.<br />

A curing method that is pre-tested and<br />

validated reduces trial-and-error, mistakes<br />

and re-prints, leading to the maximised use of<br />

all material investments.<br />

Maximised efficiency for dental workflows<br />

With the oxygen-inhibition effect negated,<br />

curing happens faster and more evenly,<br />

reducing curing time and giving the patient<br />

a high-quality result. Today, patients are<br />

better educated on the treatment options<br />

available to them, and the technologies that<br />

are emerging. They are more interested and<br />

involved in their treatment and want the best<br />

quality and the best price on the market. They<br />

also want the least number of visits possible,<br />

and will seek dentists with established<br />

expertise, knowledge, and technology<br />

offerings.<br />

THE SCIENCE OF CURING WITH<br />

NITROGEN<br />

Post printing UV light curing is a continuation<br />

of the polymerisation that takes place during<br />

the printing process. The print is placed<br />

inside a UV curing chamber, where it is then<br />

hit with UV light of specific wavelengths at all<br />

angles. This process ensures that the print<br />

is fully cured from all directions, and safe for<br />

the patient. While a print may look solid from<br />

the outside, it is possible that some uncured<br />

resin remains inside. Uncured resin can be<br />

toxic and harmful to a patient, which is why<br />

UV curing is essential.<br />

layers between the UV light and the print,<br />

which means there is more efficient light<br />

absorption. Substituting air with 95% pure<br />

nitrogen also prevents contamination from<br />

dust or other particles which might be present<br />

in the chamber, as well as oxidation and<br />

discolouration.<br />

How does a nitrogen generator extract<br />

nitrogen from the air?<br />

There are several different ways to extract<br />

nitrogen from the environment. Two of<br />

the most common ways to do this are<br />

though pressure swing adsorption (PSA) or<br />

membrane nitrogen generation.<br />

In the digital dental realm, the most common<br />

way to extract nitrogen from the environment<br />

is PSA. PSA has the potential to deliver topquality<br />

results by creating extremely high<br />

nitrogen purity up to 99.9995%, while being<br />

reliable and having a long lifespan.<br />

PSA works by separating the nitrogen<br />

molecules from the oxygen molecules that<br />

are present in the compressed air being fed<br />

into the generator. Each generator has two<br />

towers or adsorber vessels, which contain<br />

carbon molecular sieve designed to adsorb the<br />

oxygen molecules. While one tower is going<br />

through a process of adsorption, also known<br />

as separation or pressurisation, the other<br />

is going through desorption also known as<br />

regeneration or depressurisation. Both towers<br />

work simultaneously performing opposite<br />

functions, and alternate in a cyclical way, thus<br />

achieving a constant flow of nitrogen.<br />

Another way for a nitrogen generator to extract<br />

nitrogen from the air is through membrane<br />

nitrogen generation. This method involves<br />

forcing compressed air to flow through hollow<br />

fibre membranes. These membranes allow<br />

the nitrogen molecules to pass through more<br />

easily than other gasses such as oxygen.<br />

They are semi-permeable and allow for easier<br />

permeation of oxygen and other gasses,<br />

while the nitrogen gets pushed through<br />

and collected on the other side. Additional<br />

processing is done after that to remove any<br />

remaining gasses or other impurities. The<br />

result is high-purity nitrogen gas.<br />

When the print is placed in the curing<br />

chamber, oxygen is also present inside. This<br />

can be problematic due to oxygen’s inhibiting<br />

effect on a UV reaction, which reduces curing<br />

performance by preventing UV rays from<br />

fully penetrating inside the print and curing<br />

it completely. In addition, oxygen can create<br />

light distortions, causing certain areas to<br />

cure unevenly.<br />

When nitrogen is introduced into the<br />

chamber, it displaces the oxygen, thereby<br />

creating an inert oxygen-free environment,<br />

where the UV light is able to cure the print<br />

without any inhibiting effect — there are no<br />

Adsorption and desorption towers in nitrogen generators alternate simultaneously to provide a flow of<br />

constant nitrogen<br />

48 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


IN DEPTH WITH<br />

UV light curing oven. Once it is in the inert<br />

environment, oxygen can no longer affect<br />

how the light accesses and penetrates the<br />

print, thus eliminating the issues oxygen can<br />

cause during UV light curing. By placing the<br />

print in a liquid which then gets placed inside<br />

the curing unit, the light will be unhindered<br />

and allow the print to cure evenly. While this<br />

can work for certain applications, not all<br />

resins are compatible with this method, and<br />

placing them in a liquid for the purpose of<br />

improved curing can be problematic.<br />

Despite the many options available to<br />

improve a 3D printed application and reduce<br />

the negative effects of oxygen, nitrogen<br />

is seen as the optimal solution, especially<br />

when evaluating application quality and<br />

convenience.<br />

NITROGEN GENERATOR AND NITROGEN<br />

TANKS<br />

The two methods to integrate nitrogen into<br />

compatible UV curing units and dental 3D<br />

printing workflows are the use of a nitrogen<br />

generator or nitrogen tanks.<br />

Nitrogen tanks are the more traditional option.<br />

They are an accessible, cost-efficient method<br />

with an intuitive installation process. A variety<br />

of different types and sizes of manufactured<br />

tanks can be used in the UV curing process.<br />

One aspect that users should be aware of<br />

is that tanks need to be replaced after 35<br />

curing cycles to ensure the inert environment<br />

contains minimal oxygen.<br />

Nitrogen generators offer an unlimited<br />

supply of nitrogen eliminating the need for<br />

refills and reducing material waste from the<br />

disposal of used tanks. Once a generator is<br />

installed, minimal maintenance is required<br />

which can be more convenient for some<br />

practices. Generators are on average smaller<br />

than a nitrogen tank, taking up less space in a<br />

practice.<br />

With pre-set settings in nitrogen generators,<br />

users need not worry about potentially<br />

inconsistent results or malfunctions that could<br />

result in a loss of time and material resources.<br />

A benefit for some nitrogen generators is that<br />

they are built and validated for a specific dental<br />

3D printing workflow, which will lead to higherquality<br />

dental applications, less trial and error,<br />

cost savings, and productivity enhancements.<br />

Overall, both tools can be a positive addition<br />

for dental 3D printing workflows.<br />

NITROGEN VS VACUUM VS GLYCERIN:<br />

WHICH METHOD IS BEST FOR CURING<br />

RESIN?<br />

While the use of nitrogen as a tool to prevent<br />

oxygen inhibition during the curing of a print is<br />

the most common, other methods also exist<br />

to eliminate oxygen’s negative effects on the<br />

final print result.<br />

Vacuum purging<br />

Vacuum purging refers to the removal of<br />

oxygen from the resin before it begins printing.<br />

This process ensures that once the resin is<br />

removed from the vacuum environment, the<br />

bubbles will be removed, and the final print will<br />

have no inconsistencies or flaws because of<br />

bubbles being trapped in the resin.<br />

While this can be good to improve the quality<br />

of the print and reduce failure rates, it can be<br />

very time consuming, expensive to integrate,<br />

and result in material waste.<br />

Glycerin or other liquids<br />

Another way to prevent oxygen from<br />

negatively affecting the print is to place it into<br />

a liquid before curing, or to coat the print with<br />

a thin layer of glycerin before placing it in the<br />

CONCLUSION<br />

Today, the dental 3D printing market is<br />

trending towards permanent materials<br />

and 3D-printed restorations that need to<br />

achieve optimal mechanical properties<br />

such as flexural strength, hardness, surface<br />

roughness, and wear resistance.<br />

There is an increasing demand for nitrogencompatible<br />

UV curing units which can merge<br />

with a clinic or lab’s current workflow. Curing<br />

units with nitrogen integration are providing<br />

dental professionals with the best results for<br />

their customers, with long-lasting features.<br />

Ackuretta’s 3D Printing Solution offers<br />

a complete end-to-end solution that<br />

incorporates a full workflow where each<br />

device is integrated, streamlined, and fully<br />

compatible. With its ALPHA AI slicing<br />

software, the SOL and DENTIQ 3D printers,<br />

the CLEANI washing station, and the<br />

recently released CURIE Plus UV Oven,<br />

this complete workflow allows users to<br />

maximise their output while minimising<br />

costs, training, and time spent on<br />

trial-and-error.<br />

CURIE Plus provides a pre-loaded set of<br />

curing parameters to make it even easier<br />

for users to achieve safe and biocompatible<br />

outputs, and is specifically designed to work<br />

with nitrogen sources capable of integrating<br />

a nitrogen flow directly into the UV curing<br />

chamber. DA<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 49


IN DEPTH WITH<br />

Clinux CAD expands the range of<br />

design possibilities and capabilities<br />

with a suite of new features<br />

A literal namesake for ‘Clinical User Experience’, Clinux CAD has updated<br />

their CAD software that provides users more choice and freedom in the everimproving<br />

world of digital dentistry.<br />

After over three years in development, Clinux<br />

CAD has launched several innovations to<br />

expand the range of possibilities for users’<br />

workflows. The upgraded Clinux CAD<br />

features include new indications, new margin<br />

tool function, and a pay-per-export license<br />

option.<br />

With its fully open system, the enhancements<br />

enable the dentist to easily import from any<br />

intraoral scanner and export to milling CAMs<br />

or 3D-printing software, thus streamlining the<br />

workflow of designing crowns, inlays, onlays,<br />

overlays, multiple-unit designs, anatomical<br />

and flat plane night guards/splints.<br />

NEW MARGIN TOOL FUNCTION: SEMI-<br />

AUTOMATIC MARGIN<br />

When performing their next case, Clinux<br />

users will now find a fully functioning semiautomatic<br />

margin finder. This semi-automatic<br />

function traces the user’s cursor and finds the<br />

shortest distance along an edge. This allows<br />

the clinician to complete the margin process<br />

quickly and efficiently.<br />

Additionally, users can revert to the previous<br />

manual margin by toggling these functions<br />

through a simple tap of the spacebar key on<br />

their keyboard.<br />

NEW INDICATION: INLAY/ONLAY<br />

The Inlay/Onlay indication addresses a<br />

growing demand from dentist to 3D print<br />

their inlays and onlays. With this addition,<br />

such applications are now fully supported to<br />

provide Clinux users with comfort in familiar<br />

workflow as they have with crowns.<br />

Furthermore, multiple-unit design for Inlay/<br />

Onlay is also fully supported, even in opposing<br />

quadrants.<br />

“The new indications open up a world of<br />

possibilities for dentists wishing to make<br />

their own CAD designs,” said Roddy MacLeod,<br />

Clinux CEO. “Multiple-unit, simultaneous<br />

designing unlocks profitable workflows for the<br />

dentist, whether restoring a quadrant in one<br />

visit or a patient’s new smile.”<br />

PAY-PER-EXPORT LICENSE OPTION<br />

In addition to a monthly, annual, or fiveyear<br />

license options, all of which provide<br />

reportedly unlimited exports, Clinux now<br />

offers a new Pay-per-Export license option<br />

which allows users to pay only when they<br />

export their design, when accessing and<br />

using Clinux CAD.<br />

Exports are purchased in blocks of credits,<br />

with each credit costing between US$3.69-<br />

4.50, based on the volume of credits<br />

purchased.<br />

The clinical convenience continues as Clinux<br />

allows users to mix and match the optimal<br />

design method on a tooth-by-tooth basis. “As<br />

an example, a user may use Database design<br />

when there is no useful pre-existing occlusion<br />

or Copy design — a 1:1 copy of the pre-existing<br />

occlusion which is ideal for reproducing<br />

wax-ups in the anterior. In any scenario,<br />

we have worked to ensure the maximum<br />

clinical outcome through guided and intuitive<br />

workflows,” added MacLeod.<br />

The release of inlays and onlays is timely<br />

with dentistry’s recent and growing interest<br />

in 3D-printing large restorations, rather<br />

than building them by hand with materials<br />

such as composite. The timing also aligns<br />

with concurrent market release of more<br />

durable, ceramic-filled resins from material<br />

manufacturers.<br />

Clinux CAD was founded in 2020 by CAD-Ray<br />

Manufacturing and aims to provide a cloudbased<br />

CAD for dentists with guided workflows<br />

as a key feature. DA<br />

50 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


PRODUCT HIGHLIGHTS<br />

VITA presents VITA MFT denture<br />

tooth with East Centric principle<br />

The universal prefabricated tooth VITA<br />

MFT is now available in 16 VITA classical<br />

A1-D4 shades and 16 VITA SYSTEM<br />

3D-MASTER shades, including three<br />

bleached shades. This range of shades<br />

enables the denture tooth to provide a<br />

variety for individual requirements.<br />

and stress. Through the predefined contact<br />

points, the teeth find the ideal position<br />

almost automatically while also increasing<br />

precision. Morphology, incisal design and<br />

the shade match with the VITA shade<br />

guides, also ensure an aesthetically pleasing<br />

result.<br />

In addition to its attractive priceperformance<br />

ratio, the VITA MFT denture<br />

tooth is great due to its aesthetics and<br />

quality. The VITA HC-polymer material,<br />

highly cross-linked polymer, has a matrix<br />

of highly cross-linked MMA and monomers.<br />

The result is good mechanical stability<br />

and surface resistance. The product is<br />

EN ISO 13485 tested and certified for its<br />

manufacturing processes according to<br />

German quality standards in production<br />

and design for consistently high quality. DA<br />

The VITA MFT standing for “Multi<br />

Functional Teeth” lives up to its namesake<br />

as it can be used in a variety of ways — for<br />

partial and total dentures, as well as hybrid<br />

and implant prosthetics. Since the chewing<br />

surface is designed to be multifunctional,<br />

the tooth line is suitable for all common<br />

setup concepts.<br />

Furthermore, the VITA Easy Centric<br />

principle simplifies the set-up process to<br />

save dental professionals on time, money<br />

Renfert releases Kolinsky evo, a<br />

new ceramic dental brush<br />

In response to the changing demands of<br />

the daily lab routines, Renfert has released<br />

a ceramic brush, the Kolinsky evo.<br />

An extension to the Kolinsky natural bristle<br />

brush line, the Kolinsky evo new brush<br />

hair features a bionic hair tip designed to<br />

complement its natural hair counterparts<br />

in the dental toolkit.<br />

Kolinsky evo is built on more than 40<br />

years of Renfert experience blended with<br />

a passion for dental technology and a<br />

desire to explore new approaches. This is<br />

seen in the brush’s bionic hair tip which<br />

combines the benefits of a synthetic bristle<br />

brush with those of a natural bristle brush.<br />

The combination provides the brush with<br />

exceptional durability, great moisture<br />

management and a precise tip. With its<br />

bionic hair, the brush features a long service<br />

life free from separation or “bunching”.<br />

The fineness, elasticity, and resilience of<br />

the brush tip stand for targeted layering.<br />

With greater tension and firmness, even the<br />

smallest quantities of ceramic can be taken<br />

up and applied with precision. At the same<br />

time, the special molecular structure allows<br />

users to replicate the typical moisture<br />

management of a natural hair brush.<br />

Like the range of Kolinsky brushes with<br />

natural hair, Kolinsky evo aims to provide<br />

users with a high-performance ceramic<br />

brush that offers durability and efficiency.<br />

Its streamlined design and low weight<br />

ensure convenient handling. The Kolinsky<br />

evo brush is avalible in six different sizes for<br />

a range of different applications DA<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong><br />

51


PRODUCT HIGHLIGHTS<br />

DMG launches Ecosite One, a oneshade<br />

layering composite<br />

DMG has launched Ecosite One, its new<br />

one-shade layering composite. The new<br />

composite is the latest member of the<br />

complete family of Ecosite restorative<br />

composite materials that includes Ecosite<br />

Bulk Fill and the newly-launched anterior/<br />

posterior nanohybrid composite, Ecosite<br />

Elements.<br />

Ecosite One aims to set new standards in<br />

the field of posterior restorations with just<br />

a single shade. According to the company,<br />

it has a curing depth of 3mm and a rapid<br />

polymerisation within 10secs to provide<br />

great aesthetics of composite layering<br />

technology while saving significant time in<br />

the process.<br />

Present in all DMG’s composites is the<br />

eye-catching “Push-and-Flow effect”.<br />

Noticeably firm at the onset, the material<br />

quickly becomes significantly softer for<br />

ideal sculptability, enabling adaptation<br />

and eliminating cracks and bubbles in<br />

the critical contact surfaces between the<br />

individual layers.<br />

Unique DMG-NC-1, non-clustering,<br />

technology, also present across the entire<br />

product portfolio, enables a homogenous<br />

(Image: DMG)<br />

distribution of particles to deliver<br />

optimum working characteristics and easy<br />

polishability for a high-gloss finish, and<br />

aesthetic results.<br />

The new composite is indicated for Class I<br />

and II posterior fillings including individual<br />

cusps, Class V fillings, core build-up,<br />

extended fissure sealing, and restorations in<br />

deciduous teeth. Other key benefits include<br />

low shrinkage stress stain resistance for<br />

long-term colour stability. DA<br />

Amann Girrbach unveils Ceramill<br />

Matron, fifth-gen milling machine<br />

results with a precision that is on a par<br />

with any milling centre. It can even be used<br />

to effortlessly machine hard metals such<br />

as titanium or cobalt-chrome up to 16mm<br />

in-house,” said Daniel Leitner, a product<br />

manager at Amann Girrbach.<br />

The new milling machine from Amann<br />

Girrbach is said to be designed for the<br />

precise and fast processing of carbide and is<br />

equipped with the latest tool technology and<br />

a 3mm or 6mm milling shaft.<br />

(Image: Amann Girrbach)<br />

The 45° arrangement of the A/B axes<br />

ensures high rigidity and accuracy with<br />

vibration-damping properties in the milling<br />

process. “With the Ceramill Matron, we<br />

achieve unprecedented running smoothness,<br />

which has an extremely positive effect on<br />

the surface quality and the service life of the<br />

milling cutters,” said Leitner.<br />

Amann Girrbach has announced the launch<br />

of its first fifth-generation milling machine<br />

on the market with the Ceramill Matron,<br />

which aims to provide improved precision<br />

and milling results at maximum intuitive<br />

handling, compared to its predecessors.<br />

The Ceramill Matron can be used for a<br />

wide range of materials, particularly in<br />

the carbide sector, and is suitable for<br />

autonomous order processing with up<br />

to eight blanks owing to the integrated<br />

Performance Blank Changer and can be<br />

fully integrated into the digital workflow.<br />

According to the company, the userfriendly<br />

Ceramill Matron makes it an ideal<br />

partner for all users who place highest<br />

demands on quality, economy and enjoying<br />

their craftsmanship.<br />

“The Ceramill Matron offers a completely<br />

new digital experience and achieves<br />

“The 5-axis plus technology allows operating<br />

at extreme angles, resulting in very high<br />

precision, even in pronounced undercuts. In<br />

combination with our RFID technology, the<br />

SnapMag, a magnetically interchangeable<br />

11-position tool carrier, makes tool changes<br />

quick and convenient. An unlimited number<br />

of cutters can be easily introduced via<br />

Plug&Play. With intelligent preloading, many<br />

materials and indications can be processed<br />

without the need for changing.” DA<br />

52 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


PRODUCT HIGHLIGHTS<br />

Shofu presents<br />

BeautiBond Xtreme<br />

BeautiBond Xtreme is an all-in-one, universal adhesive<br />

that aims to provide a strong and reliable adhesion to<br />

a multitude of substrates, for both direct and indirect<br />

restorations without requiring any additional primers. The<br />

adhesive bonds equally well to wet and dry dentin, with no<br />

post-op sensitivity. It is suitable for multiple applications<br />

from bonding of direct composite restorations, intraoral<br />

repair, cavity seal and immediate dentin sealing, immediate<br />

hypersensitivity relief and cementation of indirect<br />

restorations.<br />

BeautiBond Xtreme is developed with the Quadra<br />

functional monomer technology featuring novel acid<br />

resistant silane coupling agent (ARS) and phosphate ester<br />

monomer, for predictable adhesion to natural teeth and<br />

various restorative materials ranging from direct and<br />

indirect composites, hybrid ceramics, zirconia ceramics,<br />

lithium silicate, glass ceramics and metal. The HEMA-free<br />

formulation enables easy removal of residual solvents and<br />

eliminates the risk of allergies and bond hydrolysis, thus<br />

assuring a stable and lasting bond.<br />

Furthermore, BeautiBond Xtreme provides flexibility to<br />

bond restorations in the way that suits each practice’s daily<br />

workflow. Users are afforded the choice of three different<br />

adhesion methods, self-etch, selective-etch or total-etch to<br />

reduce steep learning curves.<br />

PERFECTION IN<br />

BONE SURGERY<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 />

→ VISIT OUR BOOTH<br />

J01<br />

AT IDEM SINGAPORE<br />

19-21 APRIL<br />

<strong>2024</strong><br />

In addition, a single bottle, easy to use adhesive system<br />

simplifies the bonding protocol for the dental team and<br />

saves chair time while streamlining inventory for greater<br />

savings. While the specially designed nozzle facilitates<br />

controlled delivery to minimize wastage, BeautiBond<br />

Xtreme exhibits optimal viscosity for easy application and a<br />

uniform bonding layer of 5μ. Discover more at IDEM <strong>2024</strong>,<br />

Shofu Booth No: J17. DA<br />

→ www.mectron.com<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 53


Sino-<strong>Dental</strong> <strong>2024</strong>:<br />

Explore a dynamic market<br />

all in one show<br />

From 9-12 Jun, Sino-<strong>Dental</strong> will be returning with its 28th edition as one of<br />

the largest dental exhibitions in China and the <strong>Asia</strong> Pacific region. Held in<br />

Beijing, the capital of China, Sino-<strong>Dental</strong> <strong>2024</strong> invites visitors to establish<br />

business cooperation, experience innovative technologies and exchange<br />

professional experiences.<br />

54 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


SHOW PREVIEW<br />

As one of the largest dental events in a<br />

dynamic <strong>Asia</strong>n Pacific dental market, Sino-<br />

<strong>Dental</strong> is shaping up to be its biggest and<br />

brightest exhibition and scientific conference<br />

yet in its 27-year history.<br />

Set in the country’s capital city of Beijing,<br />

the blend of ancient and modern culture is<br />

reflected in the four-day event organised by the<br />

International Health Exchange and Cooperation<br />

Center, National Health Commission, PR China,<br />

and the Chinese Stomatological Association.<br />

Sino-<strong>Dental</strong> aims to provide a platform for<br />

national and international dental companies to<br />

introduce and promote advanced technologies<br />

and products, while facilitating opportunities<br />

for dental professional in a region that<br />

presents one of the largest and most fastgrowing<br />

dental market in the world.<br />

Nearly 900 exhibitors are expected to be in<br />

attendance where they will be treated to a<br />

trove of over 300 new products set to debut in<br />

the Chinese market. Held at the China National<br />

Convention Center (CNCC), a total exhibition<br />

area of over 50,000sqm 2 will host six national<br />

pavilions from Germany, Japan, South Korea,<br />

Switzerland, the US and Brazil, as well as an<br />

expected crowd of about 160,000 visits during<br />

the four days.<br />

Among the highlights of Sino-<strong>Dental</strong> <strong>2024</strong><br />

are a new ‘Innovation Zone’, which will<br />

showcase innovative and transformative<br />

dental products empowered by industryacademia<br />

collaboration. A ‘New Products and<br />

Technologies Launch Stage’ will be dedicated<br />

for over 50 products launch activities as well<br />

as a special ‘Product Showcase Zone’ of over<br />

300 new products set for launch.<br />

Besides the exciting showcase of products<br />

and technologies presented by the exhibitors,<br />

Sino-<strong>Dental</strong> <strong>2024</strong> also represents a<br />

network for exhibitors and professionals to<br />

communicate and exchange professional<br />

experiences and knowledge.<br />

Over 100 top-level academic seminars and<br />

workshops covering over 400 topics are linedup<br />

to introduce the most updated academic<br />

and technology developments in the dental<br />

field. An exclusive ‘International <strong>Dental</strong><br />

Industry Summit’ event will spotlight industry<br />

KOLs discussing the future development of<br />

dental industry, through the sharing insights,<br />

in-depth data analysis and comprehensive<br />

information.<br />

As Sino-<strong>Dental</strong> <strong>2024</strong> gears up to establish<br />

business cooperation for its guests, the event<br />

organisers are ready to receive them with a<br />

host of services prepared for international<br />

dealers and online pre-registration.<br />

A dedicated ‘Business information release<br />

service’ will help to facilitate matchmaking<br />

with local partners and suppliers. A<br />

complimentary on-site interpretation service<br />

will also be catered for on a booking basis.<br />

Complimentary accommodation will be<br />

provided during the exhibition period for those<br />

who invite 10 or more dealers to Sino-<strong>Dental</strong>.<br />

The international dealer’s lounge will also<br />

provide a free access private space with<br />

complimentary snack and beverage. No<br />

registration fee is required for online visitor<br />

pre-registration and an on-site quick pass<br />

counter will be present for badge claim. DA<br />

As one of the largest and<br />

fastest-growing dental<br />

market in the world,<br />

Sino-<strong>Dental</strong> <strong>2024</strong> is<br />

shaping up to showcase<br />

the best innovations and<br />

opportunities for dental<br />

professionals<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 55


SHOW PREVIEW<br />

Excitement for<br />

IDEM <strong>2024</strong> builds as<br />

speakers share more!<br />

The upcoming IDEM <strong>2024</strong> is set to present a<br />

well-rounded experience for all participants<br />

from 19-21 Apr at Marina Bay Sands,<br />

Singapore.<br />

Over 500 exhibitors from over 33 countries<br />

are expected to showcase their latest<br />

products and innovations. Spanning a fully<br />

booked 17,000 sqm 2 , exhibitors will present<br />

a diverse range of products and services,<br />

showcasing the latest industry innovations.<br />

Eleven national pavilions including China,<br />

France, Germany, Italy, Japan, Singapore,<br />

South Korea, Spain, Switzerland, Taiwan, and<br />

the US, will also be present underscoring the<br />

wide scope of the dental industry showcased<br />

at the event.<br />

“We are delighted to collaborate again with<br />

our esteemed partners to present IDEM<br />

<strong>2024</strong> to the dental industry. Following the<br />

resounding success of IDEM as an in-person<br />

event last year, we eagerly anticipate the<br />

amalgamation of innovation and expertise<br />

that will undoubtedly mould the future<br />

landscape of dentistry,” said Mathias<br />

Kuepper, managing director and vicepresident<br />

<strong>Asia</strong>-Pacific of Koelnmesse.<br />

This gathering of industry leaders and<br />

innovators such as GC <strong>Asia</strong>, Straumann, 3M,<br />

imes-icore GmbH, and many more, creates<br />

an immersive experience designed to inspire<br />

and inform dental professionals. Attendees<br />

can expect to engage with the latest industry<br />

offerings, witness live demonstrations, and<br />

explore groundbreaking solutions that have<br />

the potential to reshape the landscape of<br />

dentistry.<br />

“IDEM provides a unique platform for industry<br />

leaders to connect, share knowledge, and<br />

contribute to advancing dental science. We<br />

eagerly anticipate the exciting interactions<br />

and collaborations that will unfold. Attendees<br />

can look forward to scientific education, new<br />

products, and hands-on demonstrations,” said<br />

Kae Moe Wong, <strong>Asia</strong> Area marketing leader at<br />

3M, one of IDEM <strong>2024</strong> sponsors.<br />

IDEM <strong>2024</strong> also welcomes more than 40<br />

first-time exhibitors this edition. These new<br />

companies bring forth a diverse array of<br />

products, ranging from orthodontics and<br />

endodontics to prosthodontics and paediatric<br />

dentistry.<br />

In addition to the opportunities for business<br />

exchange, attendees can learn from a line-up<br />

of renowned experts at its comprehensive<br />

three-track scientific conference featuring<br />

more than 30 speakers from around the world,<br />

featuring a wide range of topics.<br />

The 5th edition of the <strong>Dental</strong> Hygienist and<br />

Therapist Forum (DHTF) will take place from<br />

20-21 Apr, providing a dedicated platform for<br />

dental hygienists and therapists to engage in<br />

discussions and knowledge-sharing, with a<br />

variety of topics such as oral ulcers, paediatric<br />

patient management, digital workflows, and<br />

oral care for older adults.<br />

Dr Lawrence Yong, president of the Singapore<br />

<strong>Dental</strong> Association shared: “I am thrilled to<br />

welcome dental professionals from around<br />

the world to IDEM <strong>2024</strong>. This conference is a<br />

powerful testament to Singapore’s unwavering<br />

commitment to advancing dental science and<br />

education. I am particularly enthusiastic about<br />

the conference sessions, which will delve<br />

into burning topics within our field — offering<br />

valuable insights that attendees can readily<br />

apply in their practices the next day.”<br />

<strong>Dental</strong> <strong>Asia</strong> catches up with speakers set for<br />

the stage in Singapore in a preview of what<br />

IDEM has in store.<br />

‘EXCEPTIONAL DENTISTRY:<br />

TECHNIQUES, TECHNOLOGIES AND<br />

TRENDS’<br />

Dr Wong Keng Mun<br />

will be showcasing<br />

treatment<br />

techniques in<br />

his workshop<br />

on ‘Treatment<br />

of Complete<br />

Edentulism: Fullarch<br />

Concept II’<br />

Your dental academy and practice provide<br />

treatment and education in a variety of<br />

areas. Why did you choose to showcase the<br />

‘Full-arch Concept’ for your workshop?<br />

Statistics illustrate that nearly one in<br />

three Singaporeans beyond age 60 have<br />

no teeth. Many older Singaporeans are<br />

reliant on dentures or are left with exposed<br />

gums, which can lead to a wealth of health<br />

problems. Full-arch is not only among the<br />

most innovative approaches to full mouth<br />

restoration practiced internationally, but<br />

it is also a potentially ideal procedure for<br />

our aging population, many of whom are<br />

edentulous.<br />

I consider dental implants optimal for such<br />

patients and the Full-arch system streamlines<br />

the process significantly while carrying a<br />

higher success rate. With Full-arch, only<br />

4-6 implants are needed to “anchor” the<br />

new set of teeth, far fewer compared to<br />

older methods. This allows patients shorter<br />

recovery times and a less painful procedure<br />

and is also less expensive than individual<br />

implants throughout the mouth.<br />

However, even though we often refer to<br />

Full-arch as “teeth-in-a-day” it is not to be<br />

56 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


SHOW PREVIEW<br />

mistaken for an easy procedure. Through<br />

this workshop, I wanted to share some of<br />

my experiences to shed some light on this<br />

complex and regionally relevant topic for<br />

others.<br />

How did you come to gain the expertise and<br />

competence needed to treat complex fully<br />

edentulous patients?<br />

During my university days, dental<br />

implantology was not nearly as common<br />

in Singapore as it is today. Then, most<br />

edentulous patients here relied on dentures,<br />

which have their drawbacks and are thus<br />

slowly being phased out in recent years.<br />

The epicentre for dental implantology<br />

advancements was in North America and<br />

Europe, so I seized an opportunity to pursue<br />

my postgraduate studies at the University of<br />

Washington.<br />

My studies abroad introduced and<br />

accustomed me to many other methods that<br />

were at that time relatively novel, or not yet<br />

implemented here in Singapore. I believe<br />

a great deal of the expertise I have today<br />

can be attributed to my further education<br />

abroad, and I am immensely grateful for that<br />

experience.<br />

Above dental expertise and clinical skillset,<br />

one also needs communication, compassion<br />

and empathy to treat patients, something<br />

often overlooked but no less important. This<br />

is achieved through interacting with patients<br />

and understanding their needs.<br />

Dr Gabriel Lee will<br />

be at the <strong>Dental</strong><br />

Hygienist & Therapist<br />

forum presenting his<br />

lecture on ‘Oral Care<br />

for the Dependent<br />

Older Adult: How Can<br />

I Help?’<br />

Your teaching and research areas focus on<br />

geriatric oral health and oral health services<br />

in nursing homes. Why did you choose to<br />

focus onto these areas?<br />

The choice to dive into geriatric oral health<br />

stems from a combination of understanding<br />

societal needs and a personal desire to help<br />

address healthcare disparities. My interest is<br />

rooted in the belief that oral health is integral to<br />

overall well-being, particularly in older adults.<br />

The demographic shift towards an ageing<br />

population, particularly in Singapore,<br />

underscores the growing importance of<br />

catering to the unique oral health needs of<br />

older adults. With one in four individuals<br />

projected to be aged 65 and above by the<br />

end of the decade, there is a pressing need<br />

for specialised attention to the oral health<br />

challenges that come with ageing.<br />

A personal focus on oral health services in<br />

nursing homes also aligns with the broader<br />

context of healthcare accessibility. Nursing<br />

home residents often face distinct oral health<br />

issues, and there is a recognised gap in<br />

delivering comprehensive dental care within<br />

the long-term care setting. Through research<br />

and contributing to clinical services this<br />

area, I aim to contribute to filling this gap and<br />

improving the overall quality of oral health<br />

services for a vulnerable segment of the<br />

population.<br />

What is the role of international collaboration<br />

and knowledge exchange in delivering better<br />

health outcomes for older adult populations<br />

globally?<br />

The exploration of oral health needs, access<br />

challenges, and the role of dental professionals<br />

in enhancing oral health for Singapore's<br />

older adult population prompts a broader<br />

consideration of the global scenario. In<br />

addressing the shared challenges faced by<br />

numerous societies, regional and international<br />

collaboration and knowledge exchange play<br />

pivotal roles in fostering improved health<br />

outcomes for older adult populations globally.<br />

Partnerships that extend beyond borders<br />

facilitates the exchange of best practices and<br />

innovative approaches within geriatric oral<br />

health care. By learning from the experiences<br />

and successes of different countries, dental<br />

professionals can gain valuable insights<br />

into effective strategies and care models<br />

for addressing common challenges such as<br />

access to care, preventive measures, and<br />

tailored treatment approaches.<br />

Knowledge exchange also promotes the<br />

development of interdisciplinary approaches<br />

to geriatric oral health. Establishing<br />

collaborations between dental professionals,<br />

healthcare providers, researchers, and<br />

policymakers from various countries<br />

can potentially lead to a comprehensive<br />

understanding of the multifaceted nature of<br />

oral health in older adults.<br />

What is the significance of the new<br />

Dr Andrew Fish<br />

will be presenting<br />

in the scientific<br />

conference on<br />

‘Bone Regeneration,<br />

A Scientific and<br />

Clinical Review<br />

of New Synthetic<br />

Material and Surgical<br />

Protocols’<br />

synthetic materials and surgical protocols<br />

for bone regeneration reviewed in your<br />

session?<br />

Modern synthetics are revolutionising<br />

the dental bone grafting world. With<br />

these products eliminating the need for a<br />

separate collagen membrane, they make<br />

my surgery quicker, easier and more<br />

predictable. The fact you can load your<br />

implant at three months with enough<br />

vital bone to have great stability is a<br />

game-changer.<br />

From experience, we also see it completely<br />

replaced by host bone at around 12 months,<br />

so there are no foreign body particles<br />

left in the body, which you often see from<br />

xenografts and other synthetics. These<br />

materials have transformed the way I do<br />

surgery, giving me greater predictability and<br />

ultimately better care for my patients.<br />

As new materials and protocols continue<br />

to develop, what trends are you keeping<br />

an eye on to achieve optimal long-term<br />

outcomes for bone regeneration?<br />

I have always strived to look for what is<br />

best for my patients. I really believe that<br />

minimally invasive surgery helps patients<br />

heal. The way I see dentistry moving is<br />

more towards giving the body what it needs<br />

to heal, to get it as close to the patient’s<br />

original state as possible, instead of relying<br />

on foreign materials that can linger in the<br />

site long-term. DA<br />

58 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


SHOW PREVIEW<br />

Deep insights from Mallorca:<br />

exocad's wide-ranging view<br />

of digital dentistry<br />

From 9-10 May, exocad will be hosting its global event — Insights <strong>2024</strong>. The<br />

event will bring together some of the world's leading figures from the field of<br />

digital dentistry, over 50 strategic partner companies of exocad, and around<br />

850 attendees from all over the world to the Palau de Congressos in Palma de<br />

Mallorca, Spain. Novica Savic, chief commercial officer and managing director at<br />

exocad, shares more on what exocad has in store for visitors at Insights <strong>2024</strong>.<br />

‘Network. Innovate. Lead.’ is the motto for<br />

exocad Insights <strong>2024</strong> — what does the event<br />

motto stand for?<br />

One of the reasons we launched Insights<br />

in 2018 was to offer our global exocad<br />

community and strategic partners a common<br />

meeting place for personal exchanges.<br />

"Network" has been an important goal of the<br />

event from the very beginning.<br />

For us, "innovate" and "lead" belong together.<br />

Whether you are a company, laboratory, or<br />

practice — if you want to set new standards<br />

in the field of digital dentistry and be at the<br />

forefront, you need to be innovative and<br />

leading the latest digital technologies and<br />

trends.<br />

Who are the speakers on the main podium<br />

that participants can look forward to hearing<br />

from?<br />

We are delighted to have some of the world's<br />

leading experts in digital dentistry from<br />

Europe, North and South America as speakers<br />

for Insights <strong>2024</strong>, including Dr Miguel Stanley<br />

from Portugal, dental technician Vincent<br />

Fehmer from Switzerland, Dr Eimear O'Connell<br />

from Scotland, dental technician Kristina<br />

Vaitelytė from the UK, dental technician<br />

Edris Rasta from the Netherlands, assistant<br />

professor Dr Guilherme Saavedra from Brazil,<br />

Dr Elaine Halley from Scotland and Dr August<br />

de Oliveira from the US.<br />

They all "innovate” and “lead” because they<br />

implement future-oriented treatment methods,<br />

supported by the latest digital technologies, in<br />

their practices and labs.<br />

Which aspects of the digital workflow will be<br />

the main focus?<br />

Over the two days of Insights <strong>2024</strong>, the entire<br />

digital workflow of restorative dentistry will<br />

be highlighted, from smile design and implant<br />

planning to the production of restorations. We<br />

will introduce new digital approaches, such<br />

as innovative prosthetic materials and a new<br />

digital, multidisciplinary planning approach.<br />

The topics of digital occlusion, digital<br />

diagnosis, and treatment planning as well as<br />

3D printing will also be exciting.<br />

Novica Savic, chief commercial officer and<br />

managing director at exocad<br />

What is in store for the future of digital<br />

dentistry?<br />

Our outlook on the digital interface between<br />

aligner therapy and restorative dentistry will<br />

be particularly compelling. This innovation<br />

will revolutionise restorative dentistry in many<br />

cases because multidisciplinary treatment<br />

concepts can be planned and implemented<br />

on a digital platform using aligner therapy as<br />

a pre-treatment for prosthetic measures. New<br />

developments in the field of AI will also be<br />

presented.<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong><br />

59


Palau de<br />

Congressos<br />

in Palma de<br />

Mallorca,<br />

Spain<br />

exocad Insights is taking place in Palma de<br />

Mallorca for the second time. Why did you<br />

decide on this location again?<br />

There were several reasons. Above all, it was<br />

the positive response from the participants<br />

and strategic partners who participated in<br />

2022. They voted by a large majority for<br />

Insights <strong>2024</strong> to be held again at the Palau<br />

de Congressos in Palma de Mallorca, and we<br />

were happy to fulfil this wish.<br />

This modern location with its facilities and<br />

associated hotel is simply ideal for our global<br />

event. Palma de Mallorca is easily accessible<br />

from Europe as well as from the US, South<br />

America and <strong>Asia</strong>. Visitors can usually fly to<br />

Mallorca from the larger US cities with just<br />

one transfer.<br />

Traditionally, multiple exocad strategic<br />

partners are always present. How many<br />

partners are you expecting in May?<br />

Once again, over 50 strategic partner<br />

companies that are helping to shape digital<br />

dentistry with their innovations in the fields of<br />

dental production, materials and diagnostics<br />

will be on site. Insights <strong>2024</strong> attendees will<br />

discover a wide range of products for the<br />

digital workflow in dentistry. They will receive<br />

concrete added value to enable them to work<br />

Partner exhibition at exocad Insights 2022<br />

digitally in their practices and laboratories in a<br />

future-oriented way.<br />

With iTero as a diamond partner and Amann<br />

Girrbach, GC, Ivoclar, Shining 3D and Schütz<br />

<strong>Dental</strong> as platinum partners, our long-standing<br />

partners recognise the important value of the<br />

exocad Insights event on the industry and<br />

their continuing contributions to its success.<br />

Together with the gold partners, these brands<br />

will be presenting many informative lectures<br />

with international speakers in breakout<br />

sessions.<br />

We are also delighted that a partner from<br />

India will be presenting for the first time.<br />

India is a very interesting and fast-growing<br />

market for us. The digital dentistry segment<br />

in particular is developing rapidly there — this<br />

makes the Indian dental market very attractive<br />

for exocad.<br />

How will the companies present themselves?<br />

Firstly, via the exhibition, then on the first day<br />

the popular sessions of the diamond, platinum<br />

and gold partners will occur, with inspiring<br />

lecture topics presented by renowned<br />

speakers. We expect numerous innovations<br />

and technological advancements to be<br />

presented during the event.<br />

A new addition to the<br />

programme is a session<br />

for dental assistants.<br />

Why are you also<br />

addressing dental<br />

assistants and the entire<br />

practice team?<br />

Feedback from our<br />

dentist customers is<br />

that they would like to<br />

see a special training<br />

programme for dental<br />

assistants. This is because, in many practices,<br />

dental assistants are increasingly involved<br />

thanks to advancements in digital dentistry.<br />

For this reason, there will be a three-and-ahalf-hour<br />

programme for dental assistants for<br />

the very first time on Friday morning, with a<br />

hands-on scan and material sessions.<br />

Can practice team members purchase a<br />

group ticket?<br />

Yes, this option is available, and not only for<br />

practice teams, but also for lab teams and for<br />

the prosthetics teams of dental technicians/<br />

dentists. This offer has already been well<br />

received.<br />

<strong>Dental</strong>CAD, ChairsideCAD, exoplan – these<br />

are the stars of the exocad software<br />

sessions. Which exocad specialists will be in<br />

Mallorca? What will they discuss?<br />

Almost our entire team of software experts<br />

will be represented at Insights <strong>2024</strong>. Our<br />

users can hear and interact with them live at<br />

the exocad Lab Sessions where the exocad<br />

experts will introduce users to the new<br />

features of the current <strong>Dental</strong>CAD 3.2 Elefsina<br />

release in even greater depth and share<br />

numerous tips and tricks.<br />

Why should dental technicians, dentists and<br />

their teams participate in exocad Insights?<br />

We see the event as a kind of wide-angle<br />

view of digital dentistry. With the numerous<br />

innovative impulses on future-oriented<br />

treatment options that visitors receive from<br />

the speakers, our strategic partner companies<br />

and among themselves, they broaden their<br />

horizons. They also experience the positive<br />

vibe of the exocad community.<br />

In summary: for those who want their labs<br />

and practices to be leaders in digital dentistry,<br />

Insights <strong>2024</strong> is simply the place to be. DA<br />

60 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


SHOW REVIEW<br />

AEEDC Dubai<br />

<strong>2024</strong> concludes<br />

with US$5bn worth<br />

of trade deals<br />

The 28th UAE International <strong>Dental</strong> Conference<br />

and Arab <strong>Dental</strong> Exhibition (AEEDC<br />

Dubai <strong>2024</strong>) concluded on 8 Feb with a<br />

groundbreaking record of business deals<br />

amounting to US$5bn (AED19bn) and 70,000<br />

attendees and participants representing<br />

180 countries. HH Sheikh Mansoor bin<br />

Mohammed bin Rashid Al Maktoum, vicechairman<br />

of the Dubai Health Board of<br />

Directors, inaugurated the event on 6 Feb.<br />

Organised annually by INDEX Conferences<br />

and Exhibitions Org LLC, the conference<br />

and exhibition attracted a vast gathering<br />

featuring 5,328 brands represented by 3,924<br />

international companies specialising in oral<br />

health supplies and dental technology.<br />

The exhibition floor spanned 59,074sqm 2<br />

across Halls 1–8 of the Dubai World Trade<br />

Centre with 12 international pavilions<br />

present representing Italy, Brazil, Switzerland,<br />

Germany, Türkiye, South Korea, China, Spain,<br />

Italy, Russia, France, and the US.<br />

The Emirates Pediatric Dentistry Club (EPDC)<br />

Forum, in collaboration with esteemed<br />

scientific partners including the Saudi Society<br />

of Pediatric Dentistry and the American<br />

Academy of Pediatric Dentistry, convened<br />

on the second day of AEEDC Dubai, offering<br />

a comprehensive programme addressing<br />

critical issues in paediatric dental care.<br />

The forum commenced with a thoughtprovoking<br />

session on ‘Challenges Associated<br />

with <strong>Dental</strong> Treatment of Medically<br />

Compromised Children’ presented by Dr Aziza<br />

Johar Aljohar. His insights shed light on the<br />

complexities and considerations involved<br />

in treating paediatric patients with medical<br />

conditions, providing valuable perspectives<br />

for dental practitioners. Following this, Dr<br />

Deema Farsi led a discussion on ‘Bridging<br />

the Gap Between the Medical and <strong>Dental</strong><br />

Teams’, emphasising the importance of<br />

interdisciplinary collaboration in delivering<br />

holistic healthcare to paediatric patients.<br />

The second day of AEEDC Dubai <strong>2024</strong><br />

unfolded with a series of insightful scientific<br />

lectures delivered by renowned figures in<br />

the dental field. The dynamic programme<br />

lineup further included the AEEDC Scientific<br />

Conference, Advanced Specialty Courses, and<br />

engaging competitions such as the Poster<br />

Competition and AEEDC Student Competition.<br />

On the third day, AEEDC Dubai <strong>2024</strong> hosted<br />

the 21st annual meeting of the Global<br />

Scientific <strong>Dental</strong> Alliance (GSDA), a gathering<br />

that drew 383 members from across the<br />

globe. These delegates represented 184<br />

international medical organisations, hospitals,<br />

academic institutions, dental associations,<br />

global health ministries, and various<br />

governmental and private sectors.<br />

The GSDA, a non-profit organisation dedicated<br />

to advancing education and scientific<br />

research, is one of 32 alliances operating<br />

under the umbrella of the International<br />

Congress for Health Specialties (ICHS), which<br />

tackles pressing challenges in over 438<br />

specialties and branches of the medical and<br />

healthcare landscape.<br />

During the meeting, Global <strong>Dental</strong> Alliance<br />

launched the ‘GSDA <strong>2024</strong> Declaration’, a<br />

collective initiative that is designed as a<br />

strategic framework providing essential<br />

guidelines, recommendations, and solutions<br />

to steer future innovations and improvements,<br />

and consists of eight main pillars.<br />

These pillars include leadership in dentistry,<br />

dental operational efficiency, dental innovation<br />

advancement, dental education, patientcentric<br />

dental care, dental community<br />

engagement, sustainable dental practices,<br />

and dental procedure guidelines and policy<br />

excellence.<br />

"Through this annual meeting, we seek to<br />

emphasise the importance of continuous<br />

education and scientific research to promote<br />

the message of the dissemination of science<br />

and knowledge. There is no ceiling to<br />

developing the dental and oral health sector,”<br />

said His Excellency Amb Dr Abdulsalam<br />

AlMadani, PAM roving ambassador for<br />

the GCC Region, executive chairman for<br />

AEEDC Dubai, and the GSDA. “Consequently,<br />

I extend an invitation to all scientific<br />

bodies and organisations specialising in<br />

dentistry to collaborate and contribute to<br />

the dissemination of the noble scientific<br />

message by engaging in this global forum<br />

annually.”<br />

Anas AlMadani, vice-chairman and group<br />

CEO of INDEX Holding, reflected on the<br />

future of AEEDC Dubai, stating: "There will<br />

be a strong and remarkable presence of<br />

AI in the dental and digital transformation<br />

sectors. Our adaptation to these technological<br />

advancements is crucial for integrating with<br />

the future outlook of the dental and oral health<br />

sectors."<br />

He added: "AEEDC Dubai will witness a<br />

significant and distinctive presence of<br />

institutions and companies specialising in the<br />

digital industry, which we believe is essential<br />

to the advancement of this sector, and we are<br />

happy to announce that there will be three<br />

additional halls next year in AEEDC Dubai." DA<br />

62 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


E ENTS CALENDAR 2 24<br />

MARCH<br />

3 – 6<br />

<strong>Dental</strong> South China<br />

Guangzhou, China<br />

8 – 10<br />

12th Borneo <strong>Dental</strong> Congress<br />

Sarawak, Malaysia<br />

14 – 16<br />

Expodental <strong>2024</strong><br />

Madrid, Spain<br />

14 – 16<br />

<strong>Dental</strong> Expo<br />

Auckland, New Zealand<br />

20 – 23<br />

ADX <strong>2024</strong><br />

Sydney, Australia<br />

22 – 23<br />

BDIA <strong>Dental</strong> Showcase - London <strong>2024</strong><br />

London, UK<br />

APRIL<br />

19 – 21<br />

IDEM <strong>2024</strong><br />

Singapore<br />

21 – 23<br />

<strong>Dental</strong>Forum USA Spring<br />

Texas, US<br />

MAY<br />

2 – 5<br />

47th <strong>Asia</strong> Pacific <strong>Dental</strong> Congress<br />

(APDC) <strong>2024</strong><br />

Taipei, Taiwan<br />

3 – 6<br />

AAO Annual Session <strong>2024</strong> - American<br />

Association of Orthodontists<br />

New Orleans, US<br />

8 – 11<br />

IDEX <strong>2024</strong> - International Istanbul <strong>Dental</strong><br />

Equipment and Materials Exhibition<br />

Istanbul, Turkey<br />

9 – 11<br />

International Team for Implantology (ITI)<br />

World Symposium <strong>2024</strong><br />

Singapore<br />

15 – 17<br />

MIDS <strong>2024</strong><br />

Kuala Lumpur, Malaysia<br />

16 – 18<br />

Expodental Meeting <strong>2024</strong><br />

Rimini, Italy<br />

31 May – 2 June<br />

Famdent<br />

Mumbai, India<br />

JUNE<br />

7 – 9<br />

SIDEX <strong>2024</strong><br />

Seoul, South Korea<br />

9 – 12<br />

Sino <strong>Dental</strong> China<br />

Beijing, China<br />

13 – 15<br />

Implant Solutions World Summit<br />

Miami, US<br />

17 – 18<br />

<strong>Dental</strong>Forum UK<br />

Alicante, Spain<br />

AUGUST<br />

1 – 3<br />

Vietnam <strong>Dental</strong> Expo <strong>2024</strong> – Ho Chi Minh<br />

Ho Chi Minh, Vietnam<br />

21 – 23<br />

Vietnam International <strong>Dental</strong> Exhibition &<br />

Congress (VIDEC) <strong>2024</strong><br />

Hanoi, Vietnam<br />

23 – 25<br />

Hong Kong International <strong>Dental</strong> Expo and<br />

Symposium (HKIDEAS) <strong>2024</strong><br />

Hong Kong, Hong Kong (China)<br />

SEPTEMBER<br />

8– 10<br />

<strong>Dental</strong>Forum USA Fall<br />

Florida, US<br />

12 – 15<br />

FDI World <strong>Dental</strong> Congress (WDC)<br />

Istanbul, Türkiye<br />

19 – 21<br />

International Congress of Oral Implantologists<br />

(ICOI) World Congress <strong>2024</strong><br />

Orlando, US<br />

OCTOBER<br />

10 – 12<br />

<strong>Dental</strong> World <strong>2024</strong><br />

Budapest, Hungary<br />

13 – 15<br />

<strong>Dental</strong>Forum Europe <strong>2024</strong><br />

Sitges, Spain<br />

24 – 26<br />

31th EAO annual congress<br />

Milan, Italy<br />

NOVEMBER<br />

13 – 15<br />

Swedental <strong>2024</strong><br />

Gothenburg, Sweden<br />

29 Nov – 4 December<br />

Greater New York <strong>Dental</strong> Meeting <strong>2024</strong><br />

(GNYDM)<br />

New York City, US<br />

DECEMBER<br />

5 – 7<br />

Vietnam <strong>Dental</strong> Expo <strong>2024</strong> - Hanoi<br />

Hanoi, Vietnam<br />

13 – 14<br />

International Congress of Adhesive &<br />

Aesthetic Dentistry (CIDAE <strong>2024</strong>)<br />

Brussels, Belgium<br />

14 – 15<br />

8th Korea International <strong>Dental</strong> Exhibition<br />

(KDX <strong>2024</strong>)<br />

Seoul, South Korea<br />

DENTAL ASIA MARCH / APRIL <strong>2024</strong> 63


ADVERTISERS’ INDEX<br />

COMPANY PAGE COMPANY PAGE<br />

3Shape<br />

IBC<br />

IDEM <strong>2024</strong> 13<br />

Align Technology - Invisalign<br />

OBC<br />

Mectron 11, 53<br />

Align Technology - iTero<br />

FC<br />

Ningbo Woson Medical Instrument Co., Ltd 57<br />

Busch 19<br />

Coltene 5<br />

<strong>Dental</strong> South China 41<br />

exocad IFC, 1<br />

FDI 29<br />

Fotona 3<br />

Shofu inc 39<br />

SIDEX 61<br />

SurgiTel 7<br />

TeKne <strong>Dental</strong> 64<br />

VITA Zahnfabrik 9<br />

W&H 23<br />

HIGH-PERFORMANCE<br />

DYNAMIC INSTRUMENTS<br />

SIMPLIFYING DENTAL MOTION<br />

TeKne <strong>Dental</strong> srl – Italy<br />

info@teknedental.com www.teknedental.com<br />

64 DENTAL ASIA MARCH / APRIL <strong>2024</strong>


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Technology, Inc. or one of its subsidiaries or affiliated companies and may be registered in the U.S. and/or other countries. | A021515 Rev A

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