Dental Asia November/December 2019

www.dentalasia.net
NOVEMBER / DECEMBER 2019
Waking up with a Smile
– AuDentes,
the Immediate Bridge
Implant Treatment
Adhesion:
Past, Present & Future
by Dr. George Freedman
Dentsply Sirona World
in Las Vegas:
The Ultimate Dental Meeting

Dental Management
20
A Breathtaking View
Word of Mouth
22
Picks by Dr. Derek Mahony
Under the Spotlight
24
Wake up with a Smile
30
Management of Peri-Implantitis
Dental Profi le
32
A Healthy Smile begins with a Healthy Practice
Clinical Feature
36
Adhesion: Past, Present & Future
40
Benefits that Last: Enamelast Fluoride Vanish
User Report
43
Rehabilitating a Complex Aesthetic Case with Minimally
Invasive Treatment
46
Harnessing Air with Primea Advanced Air Turbine
CONTENTS
NOVEMBER / DECEMBER 2019
Behind the Scenes
48
Tooth Shade Determination: Digital vs Visual
In Depth With
50
Tri Auto ZX2: Unique, Compact and Innovative
50
Size is Everything
54
Almost 70% of my Cases are Performed with X-Guide TM
Show Preview
65
Bridging the Past and Present of Dentistry:
Scientific Convention & Trade Exhibition (SCATE) 2020
Show Review
66
Dentsply Sirona World in Las Vegas:
The Ultimate Dental Meeting
68
Latest Trends in Dentistry in Indonesia:
Indonesian Dental Exhibition & Conference (IDEC) 2019
4
First Words
57
Product Highlights
71
Giving Back to Society
Regulars
6
Dental Updates
70
Events Calendar
72
Advertiser’s Index
2

First Words
ACHIEVING THE BEST OUTCOME FOR PATIENTS
Before you know it, we’ve come to the last
issue of the year. As I hear thought leaders
in the dental industry share what is closed
to their hearts, I found a common theme,
which is the desire to always keep patient
wellbeing at the forefront and centre of
what they do.
For instance, Dentsply Sirona invests
more than US$150 million every year to
advance dentistry as well as to create insight
and knowledge needed to develop the
next-generation solutions (p.32). This is
shared by Mr. Don Casey Jr., CEO of Dentsply
Sirona, who outlined the company’s mission
to innovate and provide dental professionals
with improved product solutions so as to
deliver better patient care. Mr. Matt Coggin,
Senior Vice President of Dentsply Sirona, also
reiterated with, “It’s our desire to develop
a deep understanding of what dental
professionals need.”
At the three-day event, Dentsply Sirona
World, thousands of dentists, dental
technicians and dental experts came
together to learn about the latest innovative
solutions while searching for knowledge to
better their practices and laboratories (p.66).
The common goal for everyone was to bring
healthy smiles to more patients through
happy and healthy practices, which is what
Dr. Philip Tan, Specialist Prosthodontist of
Bayside Dental Specialist, and Mr. Lachlan
Thompson, Managing Director of Omni
Dental Ceramics are doing — bringing
a smile to their patients through their
development of AuDentes, the innovative
solution for full bridge or fixed denture
needs (p.24). The treatment offers less
pain, recovery time and appointments while
still providing specialised care in a hospital
setting, hence, allowing their patients to
‘wake up with a smile’.
For Prof. Alessandro Pozzi, it is about
how technology can improve implant
treatment outcomes and why he thinks it
will a standard practice in years to come.
He is also an advocate for Nobel Biocare’s
X-GuideTM as it can deliver a guided surgery
with an open surgical field as no template
is obstructing the view. With the dynamic
navigated concept, the dentist can see what
is happening in real time and immediately
adopt a plan to overcome complications,
he explained.
As 2019 comes to a close, it will be exciting
to see what next year brings —
the growth, the innovation
and the transformation.
Pang Yanrong
Senior Editor
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ADVISORY BOARD
Dr William Cheung
Dr Choo Teck Chuan
Dr Chung Kong Mun
Dr George Freedman
Dr Fay Goldstep
Dr Clarence Tam
Prof Nigel M. King
Dr Anand Narvekar
Dr Kevin Ng
Dr William O’Reilly
Dr Wong Li Beng
Dr Adrian U J Yap
Dr Christopher Ho
Dr How Kim Chuan
Dr Derek Mahony
Prof Alex Mersel

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Dental Updates
Creating Bright Smiles for the Future: “The Quality of Esthetics” Conference in Mexico
On 16 th and 17 th August 2019, the World
Trade Center (WTC) in Mexico City was the
venue for the dental aesthetics and oral
health event. Ivoclar Vivadent hosted “The
Quality of Esthetics” conference, one of the
world’s largest dental industry meetings.
“Our goal is to consistently enhance
the quality of dental medicine,” said
David Hidalgo, managing director of
Ivoclar Vivadent Mexico & CAC.
Ivoclar Vivadent has played an active role
in improving dental standards in Latin
America by hosting “The Quality of Esthetics”
conferences since 1993. This year’s meeting
focused on digital and analogue smile design
work flow, which combines the latest digital
technology with traditional occlusal schemes,
and on new CAD/CAM solutions including
innovative materials for the dental practice
and laboratory. The i-Kids forum highlighted
the prevention and early recognition of caries.
Record attendance
Over 6300 visitors participated in this event,
including dental experts, students and
academics of well-known universities such
as the UNAM (Autonomous University of
Mexico) and the IPN (National Polytechnic
Institute), and journalists and representatives
of various institutions, such as the Ministry
of Health, the Nutrition Department at
the Children’s Hospital in Mexico and the
army. Sixty-four notable speakers from
14 different countries shared their knowledge
and expertise in their presentations and
showcased their techniques and methods
in live demonstrations. This year,
Ivoclar Vivadent also sponsored the entry
tickets to “The Quality of Esthetics” meeting
for students of the major Mexican universities,
and offered free access to more than 1,000
students from different parts of Mexico and
Central America. ■
Exploring Emerging Trends with Align Technology’s Growth Summit 2020
Align Technology will host its third annual
Growth Summit in Dubrovnik, Croatia from
19 th - 20 th June 2020.
Topics featured include business growth,
change management and mindset, marketing,
media, and competition. Leadership and
motivation, future technology, AI and
innovation, and optimised digital workflows
will also be discussed. In addition, there will
be exploration into dentistry, mental health,
and tooth movement within a standard of
care, as well as localised breakout sessions,
and segmented clinical and iTero workshops.
“As dental conferences go, this was as
good as they get,” said Dr. Safa Al-Naher of
Care Dental Platinum.
“The Invisalign Growth Summit 2019 embodied
a perfect blend of innovation, clinical expertise,
social events and networking, and offered a
real sense of future-proofing dentistry and the
patient journey. I have already signed up for
Growth Summit 2020.” ■
6
DENTAL ASIA NOVEMBER / DECEMBER 2019

Dental Updates
Align Technology and Covestro Jointly Develop Material Solution
The Invisalign clear aligner system for
straightening teeth, made with patented
SmartTrack material, was showcased at the
K 2019 Plastics Trade Fair in Düsseldorf,
Germany, from 16 th – 23 rd October, 2019.
The patented SmartTrack material used
to produce Invisalign clear aligners is a
multilayer, highly elastic, and transparent
material. It is jointly developed with
Covestro, and designed specifically for the
Invisalign system to achieve more predictable
orthodontic treatments.
Engineered over a span of eight years with
more than 260 material variations developed
and evaluated, the material exerts gentle,
constant force that enables doctors to better
control tooth movements.
Orthodontic treatment with clear aligners
is preceded by a patient assessment by the
treating doctor who takes a digital scan
or manual impression of a patient’s teeth.
A digital treatment plan is then created
and – once approved by the doctor –
the individual aligners are produced and
shipped. The treatment plan is digitally
staged, and custom-made digital aligners
are manufactured so that the patient’s
malpositioned teeth are corrected in small
steps to a better smile. The patient is required
to change the aligners at regular intervals as
directed by the doctor, and take them out for
eating and drinking.
Comfort and functionality
“The Invisalign system with SmartTrack
material, SmartForce ® features and
SmartStage ® technology enables tooth
misalignments to be corrected with greater
than 75% improvement in overall tooth
movement predictability,” said Zelko Relic,
chief technology officer and senior vice
president, Global R&D at Align Technology.
“This clear, highly elastic material makes
Invisalign aligners easily inserted and
removed by patients of all ages, from growing
patients who have a mixture of primary and
permanent teeth, to teens and adults.”
“The Invisalign system with patented
SmartTrack material is a combination of
an individual, digitally planned treatment
and individually customised aligners by
thermoforming films, which are manufactured
by Covestro,” said Dr. Thorsten Dreier, global
head of specialty films at Covestro, the
SmartTrack supplier to the Invisalign system.
“Thanks to our joint materials research with
Align Technology, we’re providing foundation
for a new, bright smile for millions of new
patients across Europe and worldwide.” ■
Amann Girrbach appoints Thomas Scherer as CCO
As part of the
Amann Girrbach
as CCO (Chief Commercial Officer).
Group’s continued
growth and ongoing
internationalisation,
the Executive Board
will be strengthened
further with Thomas
Scherer. He will be
Being an internationally experienced,
long-standing industry specialist, Scherer
possesses all the necessary skills to
successfully lead the global commercial
organisation into the future digitisation and
technological change.
Thomas Scherer
responsible for the
sales, marketing and
services in his function
“We are delighted to welcome Thomas
Scherer to our team and are confident that
his know-how and experience will make a
significant contribution to the continuation
of our growth story,” said Peter Nicklin,
CEO of Amann Girrbach AG. ■
8
DENTAL ASIA NOVEMBER / DECEMBER 2019

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Dental Updates
Jury of Experts Awards Primescan Campaign Film with Corporate Media & TV Award in Cannes
Dentsply Sirona recently introduced
Primescan, a new intraoral scanner that
has impressed the dental world with its
speed, easy operation, and precise results.
The film produced for the market launch of
Primescan, which was inspired by “Back to
the Future” and “James Bond”, was also a big
hit. It earned the Silver Dolphin at this year’s
Corporate Media & TV Awards in Cannes.
This award is presented annually to the best
business and corporate films.
Daniel Prime
Titled “It’s Prime Time,” the film developed who announced the winners at Cannes.
for the launch campaign
Dentsply Sirona was presented
provided an exciting backdrop
the Silver Dolphin in the category
for this innovation. The fictional
“Marketing Films – B2B”, a both
character, Daniel Prime, inspired
coveted and prestigious award.
by James Bond, presents
Primescan as a “masterpiece
“We are delighted to receive this
of engineering art” with
award,” remarked Dr. Alexander
a mixture of entertainment
Völcker, group vice president
flare and product information.
CAD/CAM & Orthodontics at
Dentsply Sirona. “We succeeded
Dr. Alexander Völcker
Produced by LINGNER.COM,
in introducing a unique
the setup impressed dental
product like Primescan to our
professionals at the Primescan launch in customers in an exciting and entertaining
Frankfurt/Main as well as the expert jury way. The fact that it was also well received by
at the Corporate Media & TV Awards, marketing experts makes us even prouder.” ■
U.S. Predoctoral Programmes Required to Educate Students on Managing Patients with Disabilities
Beginning in 2020, the
Commission on Dental
Accreditation will require
all U.S. predoctoral dental
education programmes to educate students
on managing patients with intellectual and
physical disabilities.
The new standard has been in the works
since February 2018 when CODA discussed
the National Council on Disability’s issue
brief, “Neglect for Too Long: Dental Care for
People with Intellectual and Developmental
Disabilities.” In it, the National Council
on Disability urged the commission
to modify dental school accreditation
requirements to include
“more robust training” in
caring for intellectually
and developmentally disabled patients as
opposed to “simply requiring that dental
students be competent in assessing the
treatment needs of patients with special
needs.”
The ADA Principles of Ethics and Code of
Professional Responsibility now explicitly
prohibits dental care providers from denying
care to patients because of their disability, and
also specifies that patients with disabilities in
need of another dentist’s skills, knowledge,
equipment or expertise should not be turned
away and should instead be referred to
dentists able to provide the necessary care. ■
10
DENTAL ASIA NOVEMBER / DECEMBER 2019

Dental Updates
Henry Schein Chairman and CEO Receives the National Network for
Oral Health Access President’s Award
Stanley M. Bergman, chairman of the
board and chief executive officer of Henry
Schein, received the National Network for
Oral Health Access (NNOHA) President’s
Award for his support of NNOHA as
well as his personal, professional,
and humanitarian accomplishments.
Mr. Bergman received the award before
his remarks at the 2019 NNOHA Annual
Conference in Las Vegas on October 14.
Under Mr. Bergman’s leadership, Henry
Schein played a pivotal role in developing the
organisation during its inception in 1991.
Mr. Bergman has continued to be a thought
leader for inclusive health by recognising
the importance of NNOHA at its founding,
and supporting its goal of strengthening and
Phillip Thompson, Stanley M. Bergman, Dr. Scott Wolpin
expanding the nation’s oral health safetynet
system.
“On behalf of Team Schein, it is an honour
to receive this recognition from NNOHA, a
partner that has helped pave the way for
access to care for underserved populations
across the country,” said Mr. Bergman.
“NNOHA’s mission to provide oral health
care for the most vulnerable individuals
in our society aligns with our belief that
all people deserve access to quality
health care.”
“The generosity from Henry Schein and
Mr. Bergman’s visionary thinking has
enabled us at NNOHA to contribute to
the success of oral health providers
in community health centres across the
country,” said Dr. Scott Wolpin, president of
NNOHA board of directors.
“And we are so appreciative that Henry Schein
has been with us every step of the way.” ■
NOVEMBER / DECEMBER 2019 DENTAL ASIA 11

Dental Updates
Providing Top-Notch Dental Care for the Local Community in Zaragoza, Spain
Dr. José Antonio Jiménez and Dr. José Manuel
Torralba Marco both have over 30 years
of experience in dentistry. At their clinics
in Zaragoza, Spain, they are committed
in providing high-quality dental care with
superior patient experience. Planmeca’s
state-of-the-art dental equipment helps them
to achieve this goal.
Modern equipment in a modern clinic
Having previously focused on general
dentistry, they are now performing surgical
operations at the clinic as Dr. Jiménez’s son
specialises in periodontics and microsurgery.
When designing the new clinic, the brief
was to create a comfortable and relaxing
environment for both the patients and
the staff. In addition, investing in modern,
cutting-edge technology was also important
for them.
“I had heard positive things about Planmeca
equipment and the technical support
the company provides,”said Dr Jiménez.
“The testimonials from my colleagues and
the fact that I had already worked with
the local distributor in the past encouraged
me to choose Planmeca,” he continued.
“I am really grateful for the guidance and
support I have received.”
Dr. José Antonio Jiménez
Dr. José Manuel Torralba Marco
Premium image quality for improved
diagnostics
Dr. José Manuel Torralba Marco from Clínica
Dental Dr. Torralba – Simón has worked in the
dental industry for nearly 35 years. His clinic
offers a wide range of dental treatments,
including general dentistry, implantology,
orthodontics, aesthetic dentistry, and
endodontics. Last year, the practice moved to
a new location where they have paid special
attention to the layout of the clinic to create
a calm, stylish and contemporary practice.
Dr. Torralba Marco explained that Clínica
Dental Dr. Torralba – Simón has a long history
using Planmeca’s dental equipment, starting
out with analogue devices.
Last year, along with the new clinic, they decided
to invest in a CBCT unit, the Planmeca ProMax
3D Classic. According to Dr Torralba Marco,
the new imaging unit has transformed his
dental practice. The premium image quality
provides plenty of information about the
bone structures, density and dimensions,
and enables seeing even the finest details.
“Planmeca ProMax 3D Classic allows us to
make more precise diagnoses,” he stated.
“This improves the predictability of the
procedures and leads to better treatment
results.” ■
Reducing Loud Noises in the Laboratory Helps Safeguard Dental Technicians’ Wellbeing
The processing of crowns, bridges and
removable partial dentures; the blowing out
of workpieces using compressed air and
steam as well as the deflasking of casting
rings are some of the most noise-intensive
activities in a dental laboratory.
Polishing machines, sandblasters and
dental vibrators also have a high sound
pressure level. Dental technicians may
be affected by the many loud noises in
the laboratory as noise-induced stress
causes hormones such as adrenaline,
noradrenaline and cortisol to be
released in the body; resulting in the
increase of blood pressure, a reduced
ability to concentrate, and reduced
quality of work.
One company that has been engaging with
the topic of noise and health protection
in laboratories for quite some time now is
Renfert. This long-established company
based near Lake Constance not only focuses
on manufacturing high-performance dental
products, it also emphasises that dental
technicians should have a lot more equipment
on hand to make their job easier on many
levels, and which is not harmful even when
used over a long period and for long hours.
Compared to conventional extraction units
on the market, Renfert’s equipment operates
very quietly, thanks to the reduction in
operational noise based on psychoacoustic
principles. Every product developed in
Hilzingen addresses the question of, “To what
extent does it provide true added value to
users and serves to protect their health?” ■
12
DENTAL ASIA NOVEMBER / DECEMBER 2019

Dental Updates
Ultradent Supports Innovation Through TEDxSaltLakeCity Partnership
Ultradent Products, Inc. partnered with
TEDxSaltLakeCity to bring 20 pioneering,
captivating, and inventive speakers and
performers to Kingsbury Hall stage at the
University of Utah campus on 21 st September
2019.
The lineup was selected from more than
350 applicants, each chosen for their
unique accomplishments, perspectives, and
creativity. For example, the LeBaron family
spoke on riding a viral vocal wave into the
national spotlight, Jessica Baynes shared on
using ballet to help people battle back from
brain injuries, while Karen Burns expounded
on using dogs to help children improve
their reading skills. Other speakers include
Denise Druce who is known for bringing yoga
to prison rehabilitation
systems, Dr. Joey Wilson,
who reimagines possible
uses for radio waves,
and Rob Landes, who
combines classically
trained violin abilities
with a pop culture savvy
to gain a seven-figure
YouTube following.
Ultradent is rooted in its
Jessica Baynes
“My hope is that
our team comes
away with new
ideas, whether
sparked directly
by the content
of the talks or
indirectly due
to the thought
patterns created
by the talks,”
five core values, which are reflected in the
TEDxSaltLakeCity presenters – specifically
innovation and hard work. Several Ultradent
executives and employees attended the
event, taking insights from the talks back to
Ultradent HQ to better achieve the company’s
vision of improving oral health globally.
said Ultradent President Dirk Jeffs. “I hope
they come away inspired and motivated—
not just for work, but all aspects of their
lives.” Ultradent provided all speakers and
performers with complimentary Opalescence
Go whitening kits, so their smiles can be
ready for the spotlight. ■
Virtual Mirror Enhances Consultations with Patients
IvoSmile is a dental app that gives patients
a picture of what they would look like after
a cosmetic dental makeover or a tooth
whitening procedure.
Augmented reality makes it possible: The
app allows dentists to present various
solutions and improvements to their patients
before deciding on a cosmetic procedure.
Patients can see themselves with their dental
makeover on an iPad in live mode - acting as
a virtual mirror.
A disharmonious smile line, teeth that are
out of line or unsightly discolourations: Many
patients consult their dentists because of
aesthetic concerns. IvoSmile is a dental app
that allows patients to obtain a quick and
realistic physical picture of what they would
look like after a cosmetic dental procedure.
Dentists can use the app to create a proposal
for a dental makeover and present it to their
patients as a still picture or a video sequence.
The patients can see how the enhanced teeth
would look on their face whilst speaking and
smiling - an impressive visualisation that
comes without any strings attached.
IvoSmile: a dental app that helps dentists advise their patients on cosmetic dental procedures
A way of helping patients to decide More effective practice-lab communication
Smile imaging helps patients to gain a The app offers an additional advantage: it
better idea of the results of a dental enhances the collaboration between the practice
procedure. It helps them decide whether and the lab. Dentist and technician have a clear
to commit to the detailed planning of a idea of the patient’s expectations due to the
cosmetic makeover. One of the services that visualisation of the prospective outcome, and
can be viewed on the IvoSmile app is tooth will, therefore, find it easier to achieve the desired
whitening. This helps dentists advise patients result. Practice-lab collaboration has only just
on the optimum degree of brightness. become more effective. ■
14
DENTAL ASIA NOVEMBER / DECEMBER 2019

Dental Updates
Dentsply Sirona Honours Young Dental Talents
Every year, Dentsply
Sirona’s Global Clinical
Case Contest (GCCC)
honours dental
students from around
the world who have
achieved excellent results
in aesthetic dentistry. The
three winners of the 14 th
GCCC presented their
successful case studies at
the CED-IADR in Madrid
where the audience
selected its personal
winner.
The first prize was awarded to Uwe
Walker (University of Tübingen,
Germany) for the aesthetic and
functional correction of multiple
erosive-abrasive tooth defects.
Second place went to Yannis Génique
(University of Bordeaux, France) for an
anterior smile design case, including
reshaping a riziform lateral incisor
and replacing several aging composite
restorations. The third prize went to
Mariangela Cernera (University of Naples
Federico II, Italy) for her renewal of several
large Class II composite restorations in the
posterior region.
More than 1,200 submissions from 140
universities
Dentsply Sirona’s Global Clinical Case
Contest (GCCC) has been taking place since
2004/2005. In 2018/2019 alone, Dentsply
Sirona received more than 1,200 submissions
from across 140 universities around the world.
Free access to restorative products
For direct anterior and posterior restorations,
students can use the entire Dentsply Sirona
Restorative product line as part of their
participation in the GCCC, if needed. The
competition is for students of dentistry with
less than two years of clinical practice. A
tutor from their university supports them.
The participants document their successful
treatment cases in text and images.
In the first round of the competition, national
or regional winners are chosen. The winners
from each country or region then participate
in the global final and present their cases to
a respected international jury that honours
the top three participants.
“Clinical Affairs plays a key role in connecting
our company with top talent globally,” said
Prof. Rainer Seemann, vice president, Global
Clinical Affairs at Dentsply Sirona (Konstanz/
Bern). “Through university collaborations
and competitions such as the GCCC, we are
bringing together Dentsply Sirona’s innovative
portfolio of restorative solutions with excellent
dentists of the next generation.” ■
Building a ‘Bridge to the Future’
The European Association for
Osseointegration held its 28 th scientific
meeting from 26 th to 28 th September 2019
in Lisbon, Portugal. The congress attracted
more than 3,500 attendees from around
the world. The global event provided a
valuable opportunity for networking, sharing
research and showcasing new technology.
Among the exhibitors, W&H shared its
connected ioDent ® solutions and concepts for
treatment workflows such as NIWOP. Together
with W&H Group member and technology
partner, Osstell AB, the latest developments
for optimised treatment planning were shown.
At the Osstell Scientific Symposium on
26 th of September, organisers and speakers
set a new visitor record with about
400 participants.
Inspire the future of implant dentistry –
with the ioDent ® system
The focus of W&H’s presence was on
connected products. With the new ioDent ®
system (Internet of Dentistry), W&H device
data is efficiently and securely transferred
to a cloud platform, where it is automatically
available to the dentist. In the dental field,
W&H is one of the first providers of this
pioneering system.
A special highlight was the demonstration
of the Implantmed Plus with its ioDent ®
system. It supports users in the planning and
documentation of implantations. Treatments
can be easily planned via PC or mobile device
in the ioDent ® online platform and transferred
to the respective W&H device. During the
product presentation, particular attention
was paid to the automated documentation
processes, which bring more security to the
practice. In addition, ioDent ® supports device
management and provides information on
services. Resources can be used efficiently
and with foresight. ■
16
DENTAL ASIA NOVEMBER / DECEMBER 2019

Mectron Spring Meeting 2020 will be at
San Servolo
To be held from 8 th to 9 th May 2020 in the island of San Servolo in
Venice, Italy, Mectron’s Spring Meeting 2020 will feature meetings
about innovations, minimally invasive and safe new techniques as
well as hands-on workshops on surgical techniques. There will also
be sessions on integrated approach in peri-implantitis treatment by
Gabriella Grusovin, Enrico Conserva, and Simone Verardi from Italy,
as well as corticotomy-assisted orthodontics by Robert Carvalho da
Silva from Brazil. Piezoelectric sinus lift repositioned bony window
technique by Philippe Russe from France, bone grafting state of the
art using PBS protocol by Michael A. Pikos from United States, and
simplifying complicated cases using piezoelectric bone surgery by
Dong-Seok Sohn from Korea will also be held.
Other topics include innovation in implantology, such as the aid of
navigation software in Piezosurgery, digital workflow, guided surgery
clinical experience, as well as case reports.
“This international meeting represents an important opportunity
to know the new REX PiezoImplant system characterised by a
rectangular cross-section to simplify the treatment of narrow
edentulous ridges,” said Dr. Tomaso Vercellotti. “Additionally,
for the first time the Spring Meeting will offer a Dental Hygiene
programme focussed on the use of ultrasound and air-polishing
in daily prophylaxis practice. It is my hope that you will decide to
participate in this innovative educational event, which was developed
with the primary objective of helping each participant to acquire an
improved understanding of new clinical developments and learn
about the scientific background.” ■
NOVEMBER / DECEMBER 2019 DENTAL ASIA 17

Dental Updates
DenMat Partners with Seattle Study Club
DenMat Holdings, an innovator and provider
of aesthetic dentistry and advanced oral
health solutions, enters into a strategic
partnership with Seattle Study Club. This
three-year partnership will focus on DenMat’s
oral hygiene portfolio of products and
services, and will include educational support
to Seattle Study Club members worldwide.
Seattle Study Club is an international
network of doctors interested in furthering
their knowledge to provide excellent care
to each and every patient that comes into
their practice. This group of esteemed
professionals, through membership, has
access to more than 265 affiliate study clubs
throughout the world. Club meetings provide
a sounding board for discussion on topics
that cultivate excellence in dentistry, such
as educational programmes, cutting-edge
products and techniques, complex case
planning and more. Seattle Study Club is
designed to help members strengthen their
practice, foster relationships and increase
their footprint within the dental community.
It boasts more than 6,000 members.
This strategic partnership between Seattle
Study Club and DenMat is well-matched;
each organisation is dedicated to providing
the highest level of quality and care through
superior products and services.
“DenMat has a long history and passion for
continuing education, and I can’t think of
a better organisation to partner with than
Seattle Study Club,” said David Casper,
DenMat chief executive officer.
“The club’s directors and members are
some of the most mindful clinicians, as
they exemplify comprehensive patient care
and a team approach. This partnership
is a perfect cultural and strategic fit
for DenMat.” ■
Seattle Study Club meeting
Planmeca’s Digital Dentistry World Tour 2019
The last week of Planmeca’s Digital Dentistry
World Tour 2019 kicked off on 14 th October in
Beijing. The full-day event included insightful
clinical lectures, live workflow demonstrations
on stage as well as the launch of a fast and
accurate intraoral scanner Planmeca Emerald
for the Chinese market. Keynote speaker
Dr. Kirill Kostin shared about the time
and cost savings as well as improved
communication with an in-house digital
smile design, intraoral
imaging, CBCT imaging, and
3D printing in the implant
planning and surgical
process. These workflows
bring together all aspects
of digital dental technology
and allow dentists to achieve
better outcomes in both
simple and complicated
clinical cases. ■
Demo on restorations
Lucky draw segment
dental lab. The lecture also highlighted the
advantages of a digital lab and showed how
to implement intraoral scanning, CAD/CAM
milling and 3D printing in a practice, covering
major aesthetic treatment strategies for
both implants and natural dentition. Fellow
speaker Dr. Zach Evans spoke about strategies
for digital implant planning, guided surgery,
and restoration. Attendees learned about
the incorporation of CAD/CAM, digital
Attendees find out how dental software meets imaging needs
18
DENTAL ASIA NOVEMBER / DECEMBER 2019

Dental Management
Outfitted with Dentsply Sirona equipment, the MAC Sedation Centre offers patients a private and comfortable environment throughout their treatment process.
A BREATHTAKING VIEW
By Dr. Edward Tam, Hong Kong
a view like
this, who needs
pictures on the
walls?”
“With
Dr. Edward Tam doesn’t need to think for
a long time when asked about his mindful
clarity, “The most precious moment of my
day is sipping my coffee and watching the
sun rise over the wide, open harbour. That’s
when I’m at my clearest.”
And the view over Victoria Harbour is
certainly the most prominent and attractive
feature of the MAC Sedation Centre.
Windows in clinics are often a luxury,
especially in Hong Kong.
Opened in early 2018, the centre is
conveniently located in the middle of the
island’s business district. First on the
centre’s agenda was to free itself from the
stark, modern look of the office building it’s
housed in.
Dr. Tam admitted that the purpose-built
design reflects his personal taste, “I worked
with designers on the new practice, but a lot
of the final result is my own input. Like the
colours and the use of wood for a homely feel.
There are lots of curves – even in the doors
– to break with the squares of the building.
There’s also a specially designed, curvy sofa
that forms the centrepiece in the waiting
room.”
Apart from a bright coffee area, the overall
mood in the practice is clean and modern,
maintaining a hi-tech look throughout.
The cupboard doors and drawer fronts are
furnished in colours contrasting with the
Intego chairs. The centre is outfitted with
Dentsply Sirona equipment, including a new
3D X-ray machine. One room is used solely
for recovery and is particularly comfortable,
20
DENTAL ASIA NOVEMBER / DECEMBER 2019

Dental Management
MAC Sedation Centre offers a view over Victoria Harbour in Hong Kong.
as patients may stay up to an hour following
sedation. This is the clinic’s main benefit: A
private practice environment for dentists
and other specialists to treat their own
patients under monitored anaesthesia care
(MAC). The clinic has four permanent staff,
with dedicated nurses for anaesthesia, and
most doctors bring their own assistants
when they use the facility.
With four or five people working at any
one time, it is important that the rooms
are of certain space. The large windows
overlooking the harbour emphasise the
feeling of space and openness, “so people
feel relaxed and not trapped,” explained
Dr. Tam. This equally applies to those people
accompanying the patients, which is why
the designer sofa is placed directly in front
of the window.
Once the sun sinks over the horizon, the
special use of LED lighting maintains the
overall modern look of the practice. This is
complemented by an eye-catching figure-ofeight
lamp in the waiting area and a stylish
pendulum light in the recovery room.
“I must admit this has more of a decorative
than practical function, but it does contrast
nicely with the other colours there,” he
explained.
On the technical side, the MAC Sedation
Centre has a laser projector for showing
movies for relaxation as well as patient
X-rays and for training purposes. This
is an important aspect for the clinic, as
Dr. Tam and his team conduct anaesthesia
talks to medical doctors and will soon extend
this to dentists, too. Regularly guests from
Mainland China visit the facility to make use
of the Dentsply Sirona treatment centers for
treatment demonstrations.
Gazing out over the harbour, Dr. Tam mused,
“If I had to explain our centre to someone
who has never seen it, I would compare it
to the nearby shopping mall, Pacific Place,
which is rather high-end and gives a superior
feel. And if I were to compare it to music,
then I think of the natural, relaxing sounds
you hear in an exclusive spa. And if the
practice were a brand of car, it would be a
Jaguar – a modern classic.”
In any case, he seems to have hit the right
note, as most patients compliment him on
the modern yet comfortable feel of the clinic
alongside the breathtaking city landscape
view. DA
NOVEMBER / DECEMBER 2019 DENTAL ASIA 21

Word of Mouth
WORD OF MOUTH
by Derek Mahony
This issue, Dr. Derek Mahony shares with us some new discoveries in the area of dental products and equipment. Dr. Mahony
approaches his orthodontic diagnosis from a ‘facial profile’ point of view. He sets his treatment goals to create not just straight
teeth, but beautiful faces and healthy temporomandibular joints.
BioMin F Toothpaste
Some of the best products can be thwarted by a lack of patient compliance.
Recently, I was introduced to BioMin F, a remineralising toothpaste
and alternative to ACP-CPP (amorphous calcium phosphate-casein
phosphopeptide). Containing bioavailable calcium, phosphate and fluoride,
the toothpaste works by simple brushing twice a day, without any extra
steps. So, it solves the compliance barrier.
Developed at Queen Mary University in London, BioMin F toothpaste is the first dentifrice to control the release of fluoride. It can maintain
therapeutic fluoride for up to 12 hours, compared to the approximately 90 minutes with regular adult toothpastes. It also has a 95% higher
remineralisation rate when compared with 9,000 ppm fluoride gel. The sub-surface enamel lesion is re-mineralised rather than just the outer
enamel surface.
BioMin F has become part of my standard protocol for all my orthodontic patients.
OrthoBoneScrew
OrthoBoneScrew (OBS) developed by Dr. Chris Chang from Taiwan is the mini-screw I use
for both self-ligation and aligner treatment. I like that it’s very simple to choose from and
use, that is there are only three sizes (1.5x8, 2x12, 2x14) and two designs, with or without
square holes. The former is best suited for impaction treatment and the latter is great with
providing general anchorage.
Dr. Chang’s personal YouTube channel features his latest case videos, which makes it
very easy for users to incorporate screws in their treatment. I’d highly recommend it to all
clinicians who are looking for excellent quality and reasonably priced mini-screws.
MLS Mphi Dental Therapeutic Laser
The Mphi D dental laser, manufactured by ASA Laser in Italy, is a dedicated therapeutic laser. It treats pain, inflammation and
oedema. As a Class 4 laser, it speeds the healing process. Patients benefit from shorter treatment times, fewer treatments,
and longer lasting results.
I use the MLS laser for patients with sleep problems and accompanying TMD pain. It can reduce pain by up to 50% at the
first treatment. You can treat the TM Joint, Masseters, C-spine and Trapezius quickly to resolve issues. Its intra oral tips can
be used in orthodontic application, to accelerate tooth movement.
DTR: T-Scan and EMG
Tekscan and BioRESEARCH have united to form a great combination of tools to deliver Disclusion
Time Reduction. DTR therapy is a computer-guided coronoplasty that is performed in the Maximum
Intercuspal Position (MIP). The neurologic occlusal treatment approach rapidly resolves many
muscular TMD symptoms, lessens bruxing habits, improves chewing efficiency, strength and speed,
and improves TM Joint pathology.
I use DTR as a finishing tool as an objective method to emphasise that proper finishing is mandatory
for obtaining functionally stable occlusion.
22
DENTAL ASIA NOVEMBER / DECEMBER 2019

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Start treatment planning today with greater confidence and predictability.
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Dentsply Sirona Orthodontics Inc. • ©2019 Dentsply Sirona. All Rights Reserved.

Under the Spotlight
Wake up with a smile
Managing Director of Omni Dental Ceramics, Mr. Lachlan Thompson with Specialist Prosthodontist of Bayside Dental Specialists, Dr. Philip Tan
Using a cutting-edge technology, AuDentes is a unique treatment that reduces the number of pre- and postoperative
visits, enhance positive experience at the dentist with less pain and swelling, and provide faster recovery
and personalised treatment for the patient.
The word ‘audentes’ is the
Latin word for confidence. But
for Dr. Philip Tan, specialist
prosthodontist of Bayside
Dental Specialists clinics; and
Mr. Lachlan Thompson, digital technical
expert and managing director of Omni
Dental Ceramics, ‘Au’ means Australia and
‘Dentes’ is teeth — Australian teeth.
In fact, AuDentes is the result from the
great teamwork and strong dynamics
between Dr. Tan and Mr Thompson.
Smile with confidence
Set to shake up the dentistry industry,
AuDentes is the innovative solution for full
bridge or fixed denture needs. It offers an
easier treatment with less pain, recovery
time and appointments, while still providing
the specialised care in a hospital setting.
The innovative implant bridge utilises
precision digital technology to offer
exquisite accuracy, highly aesthetic and
superbly functional result.
“At 90 minutes, the surgery is significantly
shorter than other techniques. The soft tissues
and bone are exposed for a shorter time, and
the patient wakes up with less swelling,” Dr Tan
explained. “The healing is better too.”
They can simply just go home to rest and
recover.
“For a lot of our patients who have
neglected their teeth because they’re
afraid of dentists, not having to come back
for injections is a huge thing,” explained Dr. Tan.
With the traditional way, there is a risk of
contamination as the bridges are glued
together during surgery. In addition, the
patient is required to come back again to
have the final bridge made.
On the laboratory side, there is also the race
against time to have the final bridge made.
24
DENTAL ASIA NOVEMBER / DECEMBER 2019

Under the Spotlight
“The staff sometimes stay till 9pm,” said
Mr. Thompson.
As the bridges are now pre-made,
Mr Thompson and his team will just need
to plan ahead and have them made in two
weeks.
“And it can all be done between 9am to
5pm,” he said.
“The staff are a lot happier.”
The AuDentes implant bridge was invented by Dr. Philip Tan after he saw the needs of his patients not being
met by traditional techniques
The genesis of the collaboration
In the past, there had been many attempts
to achieve immediate bridge implant,
but were all unsuccessful. Hence, the
perception that a treatment like AuDentes
will not be possible.
The AuDentes procedure proved to be a highly successful treatment option for those patients with multiple teeth missing, or no teeth
NOVEMBER / DECEMBER 2019 DENTAL ASIA 25

Under the Spotlight
With AuDentes, the surgeon can head out
to the rural area to do the surgeries, and
not have to worry about where the lab is.
But the complexity and the high precision
needed for AuDentes means that a good
lab is needed to make the bridge.
“Lachlan has the most advanced lab in
Australia,” said Dr. Tan. “He has a lot of
experience fiddling and changing things to
optimise them.”
The team had their first patient about 18
months ago and launched their website in
August this year.
For the AuDentes treatment protocol to work, planning is key
“It may ruffle some feathers that we are
doing something people say can’t be done.
Others may also be prompted to say, “We
can do the same thing,” said Dr. Tan. “But
when you look at it in-depth, it’s not the
case.”
AuDentes gives patients the opportunity
to get an immediate bridge. But in
advertisements which say they can achieve
an ‘immediate bridge’ (Immediate means a
couple of days).
“With AuDentes, you’re really getting them
now,” explained Dr. Tan.
The feedback Dr. Tan received has been
positive. There were cases where patients
had tears of joy or continuously used the
word ‘confidence’ to describe the happiness
of having nice looking teeth.
The AuDentes treatment protocol offers a reduced number of pre- and post-operative visits, less pain and
swelling, and faster recovery
“But Philip said, “I have some ideas
which may give us a better outcome.
Let’s press through and see how we go,””
Mr. Thompson recounted. “Miraculously,
what we tried, worked.”
They pushed on because they saw the
need for an immediate bridge implant. For
instance, patients from the countryside
faced difficulties flying into the city to
get the surgery done, and being unable
to leave until three or four days later.
“Those are memorable because you know
you’ve changed someone’s life, and that’s
why you go into healthcare — to change
people’s lives for the better,” said Dr. Tan.
For the technicians, the defining factor is
seeing that they’re able to give the best
possible treatment.
26
DENTAL ASIA NOVEMBER / DECEMBER 2019

Under the Spotlight
Dr. Tan is a passionate exponent of digital dentistry, and lectures
throughout Australia and internationally on the topic
“When the patient is ‘losing their
mind’ about how good the outcome
is, aesthetically; that’s amazing!” said
Mr. Thompson.
A touch of difference with digital
Throughout the process of developing
AuDentes, Mr. Thompson and his team
at Omni Dental Ceramics have been
incorporating digital workflow. It was this
year that Mr. Thompson realised they have
reached a point where patients can identify
that there’s a positive difference.
“When you’re using a digital workflow in
a clinic, the communication improves,”
Mr. Thompson explained.
Although his team had a
steep learning curve with 3D
printing, they are starting to
see that the end results are
worth it.
“Some of the patients said,
“My dentist doesn’t have
this,” or “I prefer this so much
more; I don’t understand
why my dentist doesn’t get
this.” It’s such an advantage
when the patient can actually
see what’s happening in
their mouth. For me, it’s an
investment that’s financially
advantageous,” he said.
The team also implemented
a handheld scanner from
Imetric, known as iCam4D,
which has improved
the accuracy in taking
impressions. After doing
about 150 to 200 arches this
year with the scanner, his
verdict is it’s ‘flawless’ and “it
saves the technician an hour
each time.”
While the laboratory
is still in early days in
terms of full end-to-end solution,
Mr. Thompson believes that the integration
will get better as 3D printing grows; with
labs focusing on challenges of greater
complexity.
“When a client has a scanner and if
something goes wrong, there is a better
chance for us at the lab to sort it out and
do what we can to quickly fix it,” said
Mr. Thompson.
For Dr. Tan, when considering an equipment
for his practice, he looks at improving
a patient’s outcome, the efficiency with
which he can deliver the healthcare service,
quality, as well as support.
“For high-tech products, invariably,
something doesn’t work at some point,”
he said. “And with Australia being somewhat
removed from the manufacturers, there is
the challenge of getting support, or backup,
when something isn’t working.”
Mr. Thompson added, “We need to find
the best solution for the patient and work
out the most efficient way to manufacture.
There’s always room for improvement and
it’s a constant revolution with digital.
“You have to be aware of the white noise
and the misinformation out there. With
what’s happening on the digital side of
things, a lot of the products on the market
probably wouldn’t be around anymore in a
couple of years.”
Encouraging dental innovation
To encourage dental innovations, Dr. Tan
runs three study groups for local dentists
— meeting about three or four times
annually to talk about new technology,
what’s happening in the clinics, and the
challenges with patients.
“There’s camaraderie, solidarity,
and communication about how we’re
helping people. On the state-based and
international level, we give presentations.
We’ve also ran some educational courses
in Melbourne, Sydney, and Perth, as well as
in South East Asia, where we try to engage
with more dentists and laboratories,” said
Dr. Tan.
Omni Dental Ceramics does small and
intimate evenings with existing clients to
give them an update on where the lab is
currently at.
“Dentists already have a lot of education
to get through each year,” explained
Mr. Thompson. “So, they rely on the lab to
get information on how they should best
manufacture things and which way to best
treat their patients.”
28
DENTAL ASIA NOVEMBER / DECEMBER 2019

Under the Spotlight
At these informational evenings, he goes
through different cases and explains his
recommendations.
Virtual vs Reality
“As technicians, we spend so much time
in the lab with our heads down developing
things that when I pick up the phone to
speak to clients, I’d find that they have no
idea what we’re doing,” said Mr. Thompson.
“So, six months ago, I decided to get the
word out on social media, especially with
regards to the implant solutions and digital
workflow that we’ve implemented. The
feedback’s been positive.”
in a lot of the negativity. For technicians,
there’s this preconceived notion in the
industry that we’re not needed in the
workflow. That’s not true.”
While he was going through his training, he
was told, a lot of times, that there’ll not be
a job for him.
“I had four or five friends that I went
training with who stopped because they
believed it. If you’re good at something, it
doesn’t matter what you do, there’s going to
be an opportunity,” he said.
And that is true. With AuDentes, he is still
looking at ways to improve and optimise it
further.
“Not a massive goal, perhaps. But each day, I
have that at the back of my mind — to have a
better end result for the patient,” he said. DA
But Dr. Tan also noted that social media
tends to emphasise “Look how great I
am…!” He said, “I don’t want you to get
sucked into the view that everyone doing
dentistry is perfect all the time. That’s not
reality. Keep things in perspective.
“Yes, there are some patients where we
do these fancy, big things, but there’re a
lot of stuff we do that’s just day-to-day
restorative and surgical work. Big, glamour
cases are great, but they’re not the most
common.”
The other thing is, on social media, there
could be a lot that’s not said, he explained.
“If you see a case that’s saying, “I did
this, this, and this…,” it’s not always the
complete truth,” said Dr. Tan.
“When I say ‘tooth impression’, and
someone says, ‘I took an impression’, we
could have done two very different things.
Your learning doesn’t stop, and it shouldn’t
be just on social media. There’s a lot to
be said for proper mentorship; someone
holding your hand and showing you
through what they actually do. Because
there’s so much more than ‘I took this
impression.’”
Mr. Thompson, on the other hand, said he’d
go on the flipside, “I’ll say, don’t believe
Dr. Tan believes that even those patients with significant dental issues should be able to enjoy a confident
and healthy smile every day
NOVEMBER / DECEMBER 2019 DENTAL ASIA 29

Under the Spotlight
Management of Peri-Implantitis
By W&H
An interview with Prof. Andreas Stavropoulos, a periodontology specialist, about
managing peri-implantitis in patients.
The 17 th Biennial conference
of the International Academy
of Periodontology (IAP) in
Bangkok presented a variety
of talks and workshops in
the field of periodontology. In addition
to discussing new developments and
current approaches to the management
of periodontal diseases, further insights
on the associations of systemic – and
periodontal diseases as well as therapeutic
approaches were shown. A practice day
offered hands-on workshops with the
opportunity to learn from acclaimed experts
in their respective fields and discuss patient
cases.
Prof. Stavropoulos’ workshop on
management of peri-implantitis: a pragmatic
approach unites theoretical knowledge
and practical application. Among other
things, he also teaches various techniques
applying different instruments and
devices.
Fig.1: Prof. Stavropoulos shows a video of a patient case during the introductory
lecture of the workshop
Fig.2: Prof. Stavropoulos goes around during the hands-on part of the workshop
to demonstrate and give tips to the participants
30
DENTAL ASIA NOVEMBER / DECEMBER 2019

Under the Spotlight
Fig.3: Course participants practise the various surgical techniques on specially
designed peri-implantitis models with soft-tissue imitation
Fig.4: Course participant trying out the Proxeo Aura airflow device
What motivates you to continuously
conduct these immersive workshops,
especially in different parts of the world?
Prof. Andreas Stavropoulos (AS):
Peri-implantitis is rather common among
patients with implants and the dental
community started accepting to diagnose it
only relatively recently. Previously, implants
were for life and one should not touch them,
meaning not probing the pockets around an
implant. Probably, there is not a big variation
in prevalence of the disease in various parts
of the world, but we, in Europe, may be more
sensitised to the problem and look more
readily for possible signs of peri-implantitis,
compared with other parts of the world. In
addition, management of peri-implantitis is
not straightforward and there is no standard
treatment, as it is with the treatment of
periodontitis. However, if one considers
some important aspects of the condition,
and one has a pragmatic approach and
expectation, then the clinical outcomes are
actually quite good in majority of the cases. I
think it is our duty to educate our colleagues
on the topic, when there is such opportunity,
irrespective of the part of the world.
Kindly give us a brief description of
your workshop?
AS: The workshop always starts with a
lecture on the basics regarding diagnosis,
etiology and pathogenesis of periimplant
biological complications, and on
the important parameters that influence
progression or treatment outcome. I
include a lot of videos of clinical procedures
and several patient cases, so that the
participants can see how things are done
in the clinic and the outcome of treatment.
Then there are the hands-on exercises,
using specially developed plastic models
with soft tissue imitation and different
types of peri-implant bone defects. This
allows practise with different types of
surgical techniques – from resective to
regenerative.
Depending on the timeframe (half- or
one- day workshop), the lecture takes one
to two hours and the practical part two to
four hours. There are always good industry
partners supporting the workshops with the
most up-to-date instruments and devices,
and a variety of regenerative products.
Without the partners, the workshops would
not be possible to do. DA
NOVEMBER / DECEMBER 2019 DENTAL ASIA 31

A healthy smile begins
with a healthy practice
Dentistry is more than just managing the physical area of the mouth. Helping patients to have a healthy smile, and supporting
Psychologically, it contributes to one’s confidence when a healthy
clinicians and technicians with healthy practices – this
smile is placed on the patient’s face. Ms Jamie Tan, Dental Asia’s
has been a consistent objective for Dentsply Sirona
Publications Director speaks with Don Casey Jr., CEO of Dentsply
since the coming together of DENTSPLY International
Sirona; and Matt Coggin, Senior Vice President & Chief Strategy and
and Sirona Dental System more than three years ago.
Business Development Officer of Dentsply Sirona, on the company’s To date, the brand has empowered dental professionals, in both
plans in bringing better dental care to not only the patients, but the practices and laboratories, to provide better dental care across all
entire dental industry too.
dental disciplines.
Mr. Don Casey Jr., CEO of Dentsply
Sirona, outlined the mission of
the company, which is to provide
dental professionals with solutions
that allow them to deliver better
patient care
Innovation counts
Dentsply Sirona has identified innovation and education as one
of the business’ core principles. The company has invested over
US$150 million every year to advance dentistry, and has an R&D
platform that houses over 600 scientists and engineers. Dentsply
Sirona Research was established to create the insight and
knowledge needed to develop next-generation solutions. It is also
open to collaborations that share the same goal.
Mr. Don Casey Jr., CEO of Dentsply Sirona, outlined the company’s
mission to innovate and provide dental professionals with product
solutions that allow them to deliver better patient care. To achieve
this, Dentsply Sirona has developed several approaches, including
combining all its R&D efforts into a single portfolio. Mr. Casey
explained that this will enable the team to be more organised
32
DENTAL ASIA NOVEMBER / DECEMBER 2019

Dental Profile
around procedures, while allowing the company to continue its
focus on building areas where it has successes.
He said, “As part of our restructuring, we would like to see the
company grow consistently, improve its margins, and deliver for
our shareholders. We are on target financially, and the reaction we
have received from dental professionals who are using our products
made me feel that we have been listening to our customers pretty
well.”
“SureSmile has already been launched in Australia and Hong
Kong. Building up KOLs and product registrations is a prerequisite
to a successful launch. The next countries to launch are Japan,
Thailand and Singapore.”
In addition, Mr. Casey explained that this acquisition has the
potential to augment and build out Dentsply Sirona’s offerings
into bigger places, as it is a “very important way of accelerating
growth.”
On product solutions, Mr. Casey described the responses on
the company’s new products as “terrific”, and in many ways,
succeeded their expectations. An example was Primescan, which
was introduced in February this year. He revealed that the intraoral
scanner has received “huge demand and positive responses” from
dentists in more than 100 countries, as the solution has enabled
them to take digital impressions with outstanding accuracy.
“It’s our desire to develop a deep understanding of what dental
professionals need,” he added.
Mr. Matt Coggin joined Dentsply
Sirona as Senior Vice President
& Chief Strategy and Business
Development Officer
He added, “The opportunity for us though, is as we look out the next
two years, we want to be less about single product. For instance,
the discussion about Astra Tech Implant EV is interesting because
it made me start thinking about the implant procedure in totality –
from diagnosis with imaging to the final crown that we put on top.
We want to support dental professionals from the beginning stage
in making the decision of which imaging device to use all the way
to the end on how they place the final crown.
“We are anxious to bring the full potential of the company to dental
professionals in a way that they can take full advantage of the
service.”
Expansion through acquisition
In March 2018, Dentsply Sirona announced the acquisition of
OraMetrix, a provider of 3D technology solutions that are designed
to improve the quality and efficiency of orthodontic care. The
addition of OraMetrix enables Dentsply Sirona to provide a
comprehensive orthodontic offering.
The new SureSmile Aligners from Dentsply Sirona are planned and
produced based on a digital impression, X-ray data and patient
photographs. The process makes use of the new cloud-based
SureSmile software. The combination of X-ray data, 3D model,
and patient photos enables impressive esthetics and clinically
achievable results.
Mr. Casey pointed out that Dentsply Sirona is now in the process
of getting the new software registered around the world, and when
this happens, it will be available in Asia-Pacific as the opportunities
for the business in Asia-Pacific are significant.
Managing talents
Dentsply Sirona has a talent development strategy that takes into
account human capital risk assessment by considering the specific
skill requirements at each level of the organisation. For instance,
Mr. Matt Coggin, who has been in the role of Senior Vice President
& Chief Strategy and Business Development Officer for over six
months, refers himself as a communicator that brings points to
strategy.
Mr. Coggin said, “It’s like creating a process to ensure we identify
the areas of potential growth and opportunities, and develop an
approach to strategy with various tactics before we proceed to
execute the plan.”
The key to being competitive, according to Mr. Coggin, is about
unlocking the value of people by placing them in the right roles. For
instance, the shift of R&D to a more centralised approach allows
the company to assign people who are already experts in their field
to have the capability to help others.
“Our job is like creating a ‘northern star’ and having our talents
NOVEMBER / DECEMBER 2019 DENTAL ASIA 33

Casey providing an overview of Dentsply Sirona’s business in Asia-Pacific
chase for the big next thing. In terms of competition, the advantage
we have is in the breadth of our offerings. The joining of DENTSPLY
International with Sirona Dental System unlocks a lot of value, and
is already showcased in some of our newest innovations,” he said.
Prior to joining Dentsply Sirona, Mr. Coggin has been with other
industries throughout his career. A greater part of his career was in
medical, from investment to advisory roles and manufacturing as well.
One similarity he has found between the dental sector and other
industries is that the health of the patient is the key to driving
innovation in the industry. The long-term thinking, he continued,
is centred on the patients and the conditions of the dental
professionals who are using Dentsply Sirona’s product solutions.
On differences, he commented, “Dentistry is a very visual
industry. In medicine, doctors usually utilise third-party tests
to assess improvement, and that improvements may could be
delayed as the body responds to treatment. But in dentistry, in
the case of treating a decayed tooth, dentists get an immediate
visual response from a patient when they show them a newly
restored tooth. It’s the immediate reaction you get from treating
a patient—you give them their smile and confidence back.”
Declaring dentistry as a big piece of healthcare, Mr. Coggin pointed
out that oral healthcare can be traced back to almost 2,500
years ago where ancient Egyptians were already scaling and root
planting patients.
“They understood the importance of the mouth and the body
connection, and I think we are just on a tipping point of being able
to do it – this is what really excites me,” he added.
Footprint in Asia-Pacific
Dentsply Sirona has been building its educational footprint
through the Dentsply Sirona Dental Academy to reach out to
dental professionals across the globe. The Dentsply Sirona Dental
Academy provides worldwide access to evidence-based education,
delivered by key opinion leaders (KOLs).
Mr. Casey revealed that the team has been looking into translating
the educational materials into online activity and ensure that they
are available in all languages. In addition, Dentsply Sirona is also
in the midst of revamping its approach to KOLs.
34
DENTAL ASIA NOVEMBER / DECEMBER 2019

Dental Profile
He elaborated, “We understand the importance of our KOL
relationships, and want to organise in a way that we not only have
product-specific KOLs, but also region-specific KOLs.”
Most of the Dentsply Sirona Dental Academies are located in Asia-
Pacific, like Shanghai, Tokyo, Australia, Hong Kong and across
Southeast Asia.
He continued, “Asia-Pacific is the fastest growing market in the
world. If we look at Asia as one of the critical growth elements
and pillars, we start questioning about the possibility to develope
products specifically for Asia because there will be an opportunity
in many parts of the world for products that would be developed
that way. It’s important to start with a good portfolio and focus
on specific areas, such as Asia’s growth market, and there will be
opportunities to come.”
On trends, Mr. Casey highlighted the demand for digital intraoral
scanner, which is one of the most discussed topics among Asia-
Pacific dentists.
“The penetration of 2D and 3D scanners is moving quickly in Asia
as there are many local manufacturers that have jumped into the
marketplace. Asia-Pacific will take every clear liner that the world
could make right now, just like what the industry sees in Europe
and North America,” he explained.
2020 and beyond
Mr. Casey is positive about the company’s current investment level,
and further expressed interest in investing more over time. This
year, Dentsply Sirona has introduced many innovations and saw
“positive growth”. He is satisfied with the pace and level of activity
the company has had this year, and stressed the importance of
building and bringing the success into next year.
He concluded, “As we move into the next year, we look forward
to seeing even more growth. It will be exciting to see these newly
launched products flow into next year. For 2020 and beyond,
it’s about growth, innovation, and how Dentsply Sirona can help
transform the dental industry.” DA
Coggin described dentistry as a very visual
industry because dentists are able to observe
a visual response from their patients.

Clinical Feature
Adhesion:
Past, Present and Future
By Dr. George Freedman DDS, DiplABAD, FIADFE, FAACD
Following up from Dr. Freedman’s 7 th Generation bonding agent article on
our previous MarchApril 2019 issue, this issue looks at the development
of new 8 th Generation bonding agents.
Bonding agents were tentatively
introduced in the early 1970s.
Since then, the evolution
of adhesive techniques has
transformed the scope of dental
practice. Arguably, the high impact of
bonded, appearance-transforming dental
restoratives has propelled the dental
profession into its greatest prominence in
history. In fact, most direct and indirect
restorations are adhered to natural
tooth structure rather than cemented or
mechanically retained. For more than 30
years, highly competitive research and
aggressive product development have
improved adhesives, initiating, and then
fueling, patient demands for conservatively
improved oral appearance.
The widespread demand and universal use of
dental adhesives has largely been a function
of two factors: Composite restorations are
more aesthetic than their precursors, and the
adhesive margin is clinically more predictable
than a non-bonded interface. The rapid and
intensive development of better and easier
dental adhesives has focused on simplifying
the clinical procedure; decades ago, resin
practitioners were faced with a veritable
chemistry set of materials to mix and match,
in very specific sequences, in order to develop
a suitable micromechanical bond between
the tooth and the restoration. Adhesion,
as defined by most current materials, is
micromechanical attachment, not chemical
bonding, to enamel and dentin.
Fig. 1: Bonding agents evolve to fewer components,
fewer steps, and better chairside predictability
Dentists were inundated by successive
“generations” of adhesive materials in
relatively rapid succession. While there is
no scientific basis for the term “generation”
in dental adhesives, and the classification
is to some extent, arbitrary, it has served
a very useful purpose in the organisation
of hundreds of commercially available
products into a small number of more
comprehensible and readily manageable
categories. Generational designations
assist in classifying the specific adhesive
chemistries involved. They are also very
useful in predicting the strengths of the
dentinal bond and the ease of clinical
use. Generational classification benefits
both dentist and patient by simplifying the
clinician’s chairside tasks and workflow.
The last disruptive advance in adhesive
generations (7 th generation iBond) was
introduced in 2002. Since then, many
competitive and innovative bonding agents
have been developed, ranging from 4 th to
7 th generation. The vast majorities of these
adhesives perform well, and can be used
confidently, regardless of their generation;
the only major trend is that higher
generations offer fewer components, fewer
steps, and better chairside predictability
(Fig. 1). In order to best envisage the
future of dental adhesives, it is essential to
briefly outline their past evolution and their
current state.
Bond strength parameters
Fig 2: Less than 17 MPa adhesion: polymerisation
forces cause resin to contract towards composite
centre pulling restorative material away from cavity
walls. (Courtesy Dr. Ray Bertolotti.)
Fig. 3.: More than 17 MPa adhesion: polymerisation
contraction causes shrinkage of composite towards
cavity walls. (Courtesy of Dr. Ray Bertolotti.)
Bonding interface strength is a critical
consideration in selecting an adhesive. Some
of the basic parameters are conclusively
established and well accepted. Munksgaard
in 1985 and Retief in 1994 found that
17 MPa was the minimum required for
successful adhesion to tooth structure.
This figure represents the composite
resin polymerisation contraction force. If
adhesion to either enamel or dentin is less
36
DENTAL ASIA NOVEMBER / DECEMBER 2019

Clinical Feature
than 17 MPa, the polymerisation force of
the composite resin is greater than the force
adhering the material to the enamel, dentin,
or both. As the polymerisation force causes
the resin to contract toward the center
of the composite, it pulls the restorative
material away from the walls of the cavity,
creating a small gap, (Fig. 2) which then
allows micro-infiltration of bacteria and
plaque that eventually cause marginal
breakdown. If the bonding agent’s adhesive
strength to dentin and enamel exceed the
17 MPa of polymerisation contraction, the
shrinkage of the composite is toward the
walls of the cavity, (Fig. 3) and no marginal
gaps develop, making marginal infiltration
of bacteria and oral fluids far less likely,
preventing redecay and eventual breakdown.
1 st to 3 rd Generations
In the late 1970s, dentistry was just
beginning to look at adhesive. In fact,
there were serious debates as to whether
adhesives actually improved longevity.
The 1 st generation adhesives were rather
unsuccessful. Their bond strength to enamel
was high (generally, all adhesive generations
bond well to the microcrystalline structure
of enamel); unfortunately, their dentinal
adhesion was virtually non-existent, typically
less than 2 MPa. In dental adhesion, it is the
bond strength to the semi-organic dentin
that is, by far, the greater concern (Fig. 4).
“Bonding”, such as it was, was achieved
through chelation to the calcium component
of the dentin. Some tubular penetration
did occur, but not enough to contribute
to retention. Debonding at the dentinal
interface was quite common within several
months of placement. 1 First generation
bonding agents were recommended for
small, retentive Class III and Class V
cavities. 2 When these bonding agents were
used for posterior occlusal restorations,
post-operative sensitivity was common. 3
The 2 nd generation adhesives were
introduced in the early 1980s. The concept
at that time was to use the smear layer,
which adhered to the underlying dentin at a
negligible 2-3 MPa, as a bonding substrate. 4
The weak 2-8 MPa dentinal bonding strength
of 2 nd generation adhesives still required
mechanical retention. Restorations with
dentinal margins had extensive microleakage,
and posterior occlusal restorations exhibited
significant post-operative sensitivity. Oneyear
retention rates were as low as 70%,
making the long-term stability of 2 nd
generation adhesives problematic. 5,6
Revolutionary two-component primary/
adhesive systems were introduced in the
late 1980s. An innovative application
process and significant clinical adhesive
improvement (dentin bonding strength of
8-15 MPa), warranted their classification as
3 rd generation adhesives. These advances
diminished the need for cavity retention
form. It is noteworthy that erosion, abrasion,
and abfraction lesions were treatable with
minimal tooth preparation, heralding the
dawn of ultraconservative dentistry.
still a major problem: Intraoral adhesive
retention with 3 rd generation bonding
agents decreased significantly after three
years. Interestingly, while patients reported
significant levels of posterior post-operative
sensitivity, their increasing demands for
tooth-coloured restorations pushed many
dentists to begin providing routine posterior
composite fillings. 7,8,9
4 th Generation: Predictable adhesion -
the tipping point
The early 1990s transformed dentistry,
and predictable adhesion was largely
responsible. 4 th generation agents had a
bond strength to dentin (17-25 MPa) that
overcame the polymerisation shrinkage
that had bedeviled adhesive dentistry
previously. For the first time, dentists had
a predictable adhesive that could compete
in longevity to traditional techniques, and
most jumped at the opportunity. Aesthetic
and cosmetic dentistry can date their growth
and continuing popularity to the adhesives
from the 4 th to 7 th generations (Fig. 5). Postoperative
sensitivity for posterior teeth was
still an issue (at 30%+), but it was finally
manageable enough that it encouraged
many dentists to switch from amalgam
to direct posterior composite fillings. 4 th
generation adhesion is characterised by
hybridisation at the dentin-composite
interface.
Fig. 4: Generations 1, 2 and 3. Low bond strength
to dentin
With posterior occlusal restorations, there
was a noticeable decrease in post-operative
sensitivity; this signaled the practical launch
of aesthetic, direct posterior restorations.
These adhesives were the first generation
that bonded not only to tooth structure,
but (weakly) to dental metals and ceramics
as well. However, the issue of longevity was
Fig. 5: Generations 4, 5, 6 and 7. Acceptable to
excellent bond strength to dentin
NOVEMBER / DECEMBER 2019 DENTAL ASIA 37

Clinical Feature
Hybridisation involves resin replacing
hydroxyapatite and water in the surface
dentin. The resin and the remaining
collagen fibres constitute the hybrid layer.
Hybridisation occurs in both the dentinal
tubules and the intratubular dentin,
dramatically improving bond strength
to dentin. 13-16 Total etching and moist
dentin bonding, concepts developed by
Fusayama and Nakabayashi in Japan in
the 1980s, introduced to North America
and popularised by Gwinnett and Bertolotti
are the innovative hallmarks of the 4 th
generation adhesives. 17,18
The products in this generation have three
or more components (Fig. 6). One is the
etch (typically 37% orthophosphoric acid).
The other two or more ingredients must be
mixed and applied, in very precise ratios
and sequences; this is easy at the bench,
but rather more complicated chairside. The
number of precise ratios and mixing steps
tend to confuse the process, increasing the
likelihood of technique sensitivity, thereby
reducing actual bonding strength.
Fig. 6: Components of 4 th generation adhesives
5 th Generation: More predictable,
two components
Within five years, in the mid 1990s, the highly
popular 5 th generation dental adhesives were
introduced. Their major advance was that
they had only two components: the etch and
a pre-mixed adhesive (Fig. 7). Etching is still
required but there is no mixing, and thus,
less possibility for error. The bond strength
to dentin is 20-25+ MPa; not as high as the
4th generation, but not as variable either.
These adhesives are indicated for all dental
procedures (except self-curing resin cements
and composites). They adhere well to enamel,
dentin, ceramics and metal, and postoperative
sensitivity is significantly reduced.
Dental procedures tend to be both stressful
and technique sensitive. 5 th generation
bonding agents are very easy to use and
predictable, reducing the strain on dentist,
staff and patient. The adhesive is applied
directly onto the prepared tooth surface
and polymerised.
Fig. 7: Components of 5 th generation adhesives
6 th Generation: No separate etching step
There were extensive efforts to eliminate
the separate etching step, culminating
in the introduction of 6th generation
adhesives in 2000. These bonding agents
have a dentin-conditioning (surface
etching) liquid incorporated into one of
their components. The acid treatment of
the dentin is self-limiting, and the etch byproducts
are permanently incorporated into
the dental-restorative interface. No rinsing is
required. There is virtually no post-operative
sensitivity.
Some of the early 6 th generation adhesives
bonded well to dentin, but the unetched,
unprepared enamel bond interface was
prone to early failure. These issues have been
addressed with the current 6 th generation
products that are on the market.
Fig. 8: Components of 6 th generation adhesives
These adhesives are characterised by the
absence of a separate etch component
(Fig. 8). There are typically two (sometimes
more) components that must be mixed prior
to use or applied in a specific sequence;
either protocol can cause some confusion.
Fig. 9: Components of 7 th generation adhesives
7 th Generation: One component, one step
An innovative, simplified adhesive system,
the 7th generation, was introduced in 2002.
Just as the 5th generation bonding agents
made the leap from earlier multi-component
systems to a rational and easy-to-use
single bottle (plus etch), 7 th generation
simplified 6th generation materials into
a single component, single bottle system
(Fig. 9). No-mix 7 th generation adhesives
self-etch and self-prime and self-bond to
streamline procedures with no technique
sensitivity and no post-operative sensitivity;
they represent the most advanced
formulation of dentinal adhesives available.
Eliminating mixing uncertainty eliminates
technique sensitivity. No etching step is
required. The priming and bonding of tooth
surfaces are accomplished simultaneously,
significantly simplifying the adhesive
procedure. The 7 th generation adhesives are
predictable one-step, one-bottle systems
for the complete etching and bonding of all
enamel and dentin surfaces with no rinsing.
Excellent dentin bonding (18-35 MPa) and
similar micromechanical adhesion strength
to both prepared and unprepared enamel
allow effective use for direct and indirect
composite.
“Moist” bonding is not required. 7 th generation
adhesives are insensitive to the amount
of residual moisture (not contaminating
saliva) or dryness on the surface of the
preparation. The acid-base reaction of the
7 th generation creates its own moisture at
the restorative interface. The bond strength
to both dentin and enamel are essentially the
same, regardless of the moisture or lack of
moisture on the prepared surfaces.
38
DENTAL ASIA NOVEMBER / DECEMBER 2019

Clinical Feature
8 th Generation: What does it look like?
There has been no quantum leap
advancement in adhesion technology in
more than 17 years! The simple reason
is that adhesives are so predictable and
effective that there has been little incentive
to support research and development.
The existing adhesives are well-known,
universally accepted, and represent a very
sizable market worldwide.
Some manufacturers have claimed to
introduce 8th generation adhesives, but
on closer inspection, they turn out to be
earlier generation adhesives reconfigured
for marketing purposes. By consulting the
Adhesive Classification Table (Fig. 10), it is
easy to assign every existing adhesive to
one of the four generations from 4 th to 7 th .
Given the trends described above, it can
be readily seen that each “generation” has
simplified the adhesion process significantly:
fewer components, fewer steps, less chairside
time, easier use, and better predictability.
Fig. 10: Adhesive Classification Table – determine
the classification of any adhesive
How can a single-component, single-step,
total-comfort process be improved upon?
The answer is as simple as it is difficult
to develop: zero-step adhesives (Fig. 11).
The only possible evolution is to eliminate
the remaining component and single step
entirely. The 8th generation adhesive will
have no bottle and no components, at
least as a distinct, separate, clinical step.
The adhesive will be incorporated into the
restorative material. As the practitioner
inserts the restorative composite resin, the
contained adhesive will etch, prime, and
bond both the dentin and enamel surfaces,
Fig. 11: What is the 8 th generation adhesive?
requiring only polymerisation to finalise the
restoration.
These chemistries are already available to
the dental profession: self-etching, selfpriming,
and self-bonding one-step resin
cements and post-and-core composites. The
next major evolution of dental adhesives, the
8th generation, will see the elimination of
this treatment process as a separate step.
The only task that remains is to incorporate
these 8th generation adhesives into direct
restorative materials. It is only a matter of
time. DA
References:
1. Harris RK, Phillips RW, Swartz ML. An evaluation
of two resin systems for restoration of abraded
areas. J Prosthet Dent 1974;31:537-546
2. Albers HF. Dentin-resin bonding. Adept Report
1990;1:33-34.
3. Munksgaard EC, Asmussen E. Dentin-polymer
bond promoted by Gluma and various resins. J
Dent Res 1985;64:1409-1411.
4. Causlon BE, Improved bonding of composite
resin to dentin. Br Dent J 1984;156:93.
5. Joynt RB, Davis, EL Weiczkowski G, Yu XY. Dentin
bonding agents and the smear layer. Oper Dent
1991;16:186-191.
6. Lambrechts P, Braem M, Vanherle G. Evaluation
of clinical performance for posterior composite
resins and dentin adhesives. Oper Dent
1987;12:53-78.
7. Christensen GJ. Bonding ceramic or metal
crowns with resin cement. Clin Res Associatees
Newsletter 1992;16:1-2.
8. O’Keefe K, Powers JM. Light-cured resin cements
for cementation of esthetic restorations. J Esthet
Dent 1990;2:129-131.
9. Barkmeier WW, Latta MA. Bond strength of Dicor
using adhesive systems and resin cement. J Dent
Res 1991;70:525. Abstract.
10. Holtan JR, Nyatrom GP, Renasch SE, Phelps
RA, Douglas WH. Microleakage of five dentinal
adhesives. Op Dent 1993;19:189-193.
11. Fortin D, PerdigaoJ, Swift EJ. Microleakage
of three new dentin adhesives. An J Dent
1994;7:217-219.
12. Linden JJ, Swift EJ. Microleakage of two dentin
adhesives. Am J Dent 1994;7:31-34.
13. Barkmeier WW, Erickson RL. Shear bond
strength of composite to enamel and dentin
using Scotchbond multi-purpose. Am J Dent
1994;7:175-179.
14. Bouvier D, Duprez JP, Nguyen D. Lissac M. An in
vitro study of two adhesive systems: third and
fourth generations. Dent Mater 1993;9:355369.
15. Gwinnett AJ. Shear bond strength, microleakage
and gap formation with fourth generation dentin
bonding agents. Am J Dent 1994;7:312-314.
16. Swift EJ, Triolo PT. Bond strengths of Scotchbond
multi-purpose to moist dentin and enamel. Am J
Dent 1992;5:318-320.
17. Gwinnett AJ. Moist versus dry dentin; its effect on
shear bond strength. Am J Dent 1992;5:127129.
18. Pashley DH. The effects of acid etching
on the pulpodentin complex. Oper Dent
1992;17:229242.
About the author
Dr. George Freedman
is a founder and past
president of the
American Academy of
Cosmetic Dentistry,
a co-founder of the
Canadian Academy
for Esthetic Dentistry
and the International
Academy for Dental
Facial Esthetics, and
a Diplomate and Chair of the American
Board of Aesthetic Dentistry. He is Adjunct
Professor of Dental Medicine, Western
University, Pomona, California and Professor
and Program Director, BPP University, London,
UK, MClinDent programme in Restorative and
Cosmetic Dentistry. His most recent textbook
is “Contemporary Esthetic Dentistry (Elsevier).
He is the author or co-author of 14 textbooks,
more than 800 dental articles, and numerous
webinars and a Team Member of REALITY,
and the International Editor-in-Chief of Dental
Tribune. Dr Freedman received the Irwin Smigel
Prize in Aesthetic Dentistry (NYU College
of Dentistry). He lectures internationally on
aesthetic restorative dentistry, adhesion,
composites, implants, oral health maintenance,
porcelain veneers, 3D printing, and dental
technologies. A graduate of McGill University in
Montreal, Dr. Freedman is a Regent and Fellow
of the International Academy for Dental Facial
Esthetics and maintains a private practice
limited to Esthetic Dentistry in Toronto,
Canada.
NOVEMBER / DECEMBER 2019 DENTAL ASIA 39

Clinical Feature
Benefits That Last:
Enamelast Fluoride Varnish
By Christian Larsen
A fluoride vanish with benefits that last
Dentists treat patients who
complain about sensitive teeth
every day, and, as diligently as
people may try to avoid them,
sugary drinks and candy have
become ubiquitous! Given these realities,
it’s no wonder that fluoride treatments
have become so popular. But, before you
begin fluoride treatments how should
you determine what to use? Is fluoride
toothpaste or mouthwash sufficient? Should
you use a fluoride varnish? How should
you choose which fluoride varnish to use
and why? The answers might surprise you.
teeth. In fact, a recent survey showed that
more than 80% of dental professionals
feel that the product’s texture on the
teeth is an important aspect to consider
when choosing a fluoride varnish. The
more natural a varnish looks and feels,
the longer the patient will leave it on
their teeth, allowing the varnish to deliver
the maximum amount of fluoride ion to
every tooth. Enamelast fluoride varnish
has a smooth texture and translucent
appearance that increase patient comfort
and, as a result, probable wear time.
How fluoride works
Fluoride is an important part of a lifetime
of good oral health. Not only has the use
of fluoride varnish for caries prevention
been endorsed by the ADA 1 , it also helps
treat tooth hypersensitivity to hot or
cold temperatures and tooth whitening
treatments 2 .
Fluoride is a negatively charged ion that
is naturally attracted to the calcium and
phosphate ions that make up tooth enamel.
Calcium and phosphate ions are susceptible
to acid, which leads to caries and decay.
Although regular hygiene and brushing
can sweep away bacteria, brushing does
not address damage already done to the
enamel. Introducing fluoride ions to calcium
and phosphate strengthens the enamel and
can even help to remineralise it.
Before-and-after photos of an Enamelast fluoride
varnish application show the smooth texture and
nearly invisible appearance
Many toothpastes and mouthwashes
contain fluoride, but the longer fluoride is
in contact with the tooth the more effective
it is. Using a fluoride varnish will keep
fluoride on the teeth for a longer period
of time, ensuring that patients get all the
benefits a fluoride treatment can offer.
How to choose a fluoride varnish
Taste and texture are decisive factors to
consider when choosing a fluoride varnish.
Your patient’s compliance may drop or
they may brush the varnish off too soon
if it feels gritty or fuzzy, do not like the
flavour, or are embarrassed because of
the visible texture of the varnish on their
The syringe delivery method facilitates the ability
to express Enamelast fluoride varnish through
Ultradent’s SoftEZ tip directly onto the teeth for
fast application
40
DENTAL ASIA NOVEMBER / DECEMBER 2019

Clinical Feature
Ultradent’s Enamelast fluoride varnish comes in
the delicious flavors of Walterberry, Bubblegum,
Orange Cream, Cool Mint, and Caramel
A blister pack includes a prefilled well and
applicator brush, allowing the clinician to dip the
brush in the well and paint the varnish on the teeth
Of course, the effectiveness of a fluoride
varnish is incredibly important. Major
factors to consider when selecting a
fluoride varnish include adhesion, fluoride
release, and fluoride uptake. A study
found that Enamelast varnish delivered
the highest overall amount of fluoride to
the patient’s teeth and sustained a higher
fluoride release over a 24-hour period than
its competitors, with peak fluoride release
at four hours wear time.
As a whole, the ability of fluoride varnish
to adhere to the teeth for an extended
period of time is responsible for its rise in
popularity among clinicians. In contrast,
mouthwashes and gels that contain
fluoride are easily washed away, and
adhesion and fluoride uptake vary greatly
among varnishes currently available on the
market. For a fluoride varnish to provide
the best results it must adhere to the teeth
for the entire recommended time. Thus, the
product’s adhesive capabilities play a direct
role in the varnish’s ability to deliver the full
benefits of fluoride to the patient. Enamelast
varnish features a patented adhesionpromoting
agent that enhances retention
and allows for higher fluoride uptake than
any other fluoride varnish in its class,
including the market leader, 3M Vanish 3 .
Lately there has been much discussion in
the dental community about varnishes and
rapid fluoride release. Much of this is in
response to concerns about efficacy and
patient comfort.
Enamelast fluoride varnish’s superior
adhesion, fluoride release, and fluoride
uptake, as well as its great taste, smooth
texture, and nearly invisible appearance
make it the right choice for the clinician
and their patients.
How to use Enamelast fluoride varnish
Enamelast varnish comes in two convenient
delivery options: unit-dose blister packs,
or Ultradent’s signature syringe and
tip application. The Enamelast varnish
unit-dose blister packs provide an ideal
delivery option for clinicians who prefer the
convenience of a one-time-use application,
or for dental clinics in hospital settings that
require the use of unit-dose treatments in
which all materials are packaged together.
Each blister pack includes a prefilled
well and applicator brush, allowing the
clinician to dip the brush in the well and
paint the varnish on the teeth. Conversely,
the syringe delivery method facilitates
the ability to express Enamelast fluoride
varnish through Ultradent’s SoftEZ tip
directly onto the teeth for fast application.
As opposed to the unit-dose blister packs,
each syringe of Enamelast fluoride varnish
provides enough varnish for three to four
patients. DA
References:
1. American Dental Association Council on Scientific Affairs. Professionally applied topical fluoride: evidence-based clinical recommendations. J Am Dent Assoc.
2006; 137(8):1151-9. The use described in the text might not be claimed by the FDA.
2. ADA Scientific Panel issues evidence-based clinical recommendations: Patients at elevated risk for developing cavities benefit from applying topical fluoride.
American Dental Association website. Published November 01, 2013.
3. Schemerhorn BR. Sound enamel fluoride uptake from a fluoride varnish. 2013.
NOVEMBER / DECEMBER 2019 DENTAL ASIA 41

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Singapore Dental Association

User Report
REHABILITATING A
COMPLEX AESTHETIC
CASE WITH MINIMALLY
INVASIVE TREATMENT
By Dr. Mirela Feraru, Dr. Galit Talmor,
Prof. Nitzan Bichacho and Mr. Stefano Inglese
Ivoclar Vivadent, Liechtenstein
One day at the Bichacho Clinic in Tel Aviv, Israel, a
55-year-old woman introduced herself to us. She
had been unhappy with her smile for a long time
and wanted an aesthetic smile makeover. Although
she has undergone numerous treatments in other
practices, she still sees a need for improvement. To make her ordeal
worse, one of her treatments had been terminated prematurely to
avoid the devitalisation of her teeth and the associated need for
root canal treatment, and even more comprehensive therapies.
This situation has caused a considerable level of suffering to the
patient.
would be fully satisfied with the outcome while all the functional
requirements would also be met.
And so, we — Dr. Mirela Feraru, Dr. Galit Talmor and Prof. Nitzan
Bichacho — took care of the case. Mr. Stefano Inglese from the
Oral Design Center in Pescina, Italy, also came on board to carry
out the dental lab work.
According to Dr. Feraru, in addition to using a material that meets
the aesthetic and functional requirements of the case, effective
communication between the treatment team and the patient,
combined with a sound treatment protocol including photographic
documentation, was essential to achieve an optimum final result.
Fig. 1
Fig. 2
Fig.1-2: The patient’s smile prior to the minimally invasive treatment
A minimally invasive treatment option
We settled on a minimally invasive treatment option. The task
was to improve the smile of the patient in such a way that she
Carefully designed treatment plan
Before the treatment began, a plan was set up, including the
following phases:
1. Aesthetic analysis based on the clinical examination, as well
as static photographic documentation of the preoperative
situation and dynamic documentation using video
2. Replacement of the defective composite fillings in the posterior
region
3. Refurbishment of the buccal corridor in the premolar area with
glass-ceramic restorations (right and left)
4. Replacement of the defective composite restorations in the
anterior region and evaluation of the remaining tooth structure
5. Guided ¾-veneer and crown preparation with the aim of
improving the proportions and shapes of the teeth in the
aesthetic zone
6. Adhesive bonding
The results were accurate restorations and a harmonious smile in
terms of morphology, function and aesthetic appearance, with the
restorations blending in well with the existing dentition and the face
NOVEMBER / DECEMBER 2019 DENTAL ASIA 43

User Report
of the patient. The vitality of all the restored teeth was preserved
and the patient was completely satisfied. DA
Fig. 3
Fig. 5
Fig. 4
Fig. 6
Fig. 3-6: Stages on the road
to a restoration that provides
optimal morphology, function
and esthetics
About the authors
Dr. Mirela Feraru, DMD, graduated
in 2005 from the Dental Faculty of
Timisoara University in Romania. She
joined Bichacho Clinic in Tel Aviv in 2009.
She has gained knowledge and experience
in the fields of perio-prosthetics and
aesthetic dentistry, focusing on restorative
and perio-plastic surgical treatments.
Dr. Galit Talmor, DMD, MSc, graduated from
the Dental Faculty of Hebrew University
in Jerusalem, Israel, in 2003. She is a
Faculty Member of the Department of Oral
Rehabilitation of both dental facilities at
the Hebrew University in Jerusalem and
at Tel Aviv University in Tel Aviv, Israel.
Prof. Dr. Nitzan Bichacho, DMD, holds
the post of expert in prosthodontics at
the rank of Professor, at the Faculty of
Dental Medicine of the Hebrew University
and Hadassah, Jerusalem, Israel. He is a
Faculty Member of the Departments of
Oral Rehabilitation of both dental facilities
at the Hebrew University in Jerusalem, and
at Tel Aviv University in Tel Aviv, Israel.
Stefano Inglese, MDT, completed
his degree in Dental Technology, and
further pursued his strong interest in
high-accuracy aesthetic and functional
production of dental restorations,
concentrating on dental ceramics. He
has perfected his technique and precision
in aesthetic, function and biological
integration due to this passion for the
artistic and scientific aspects of his
profession and the participation in numerous courses and work
experiences with renowned master technicians and clinicians
abroad.
44
DENTAL ASIA NOVEMBER / DECEMBER 2019

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User Report
Harnessing Air with Primea
Advanced Air Turbine
By Dr. Grant Dean
Nowadays, the challenges
during preparations for
prosthetics restoration are
diverse. Combining precise
top quality preparations
and high safety with efficient operations
is among the desired goals. Excellent
ergonomics, good light conditions in the
oral cavity, as well as simple and intuitive
handling are requirements for dental
devices and instruments.
The new W&H Primea Advanced Air turbine
handpiece can fulfil all these expectations.
The high performance turbine, which
has been awarded the Austrian National
State Prize for Innovation, combines the
benefits of an electric motor with those of
a turbine handpiece: Precisely setting the
recommended rotary bur speed according
to material and process step, and the
constant removal rate with increasing
pressure on the bur during preparation are
among the Primea Advanced Air’s great
achievements.
Meeting different speed recommendations
All bur manufacturers recommend
predefined speeds for optimum
performance of their instruments. Dental
burs are designed with different flute
angles, cutting characteristics specific
to the task for which they are designed 1 .
Rotations per minute (rpms) will vary
depending on the OD (Outside Diameter) of
the blade, material to be cut 2 and vibration
characteristics 3 . To improve blade life;
reduce wreckage 2 and heat generation; and
maximise efficiency 3 and tactile sense 4 , it is
important to run blades at the appropriate
RPMs 2 and follow the bur manufacturer´s
specifications of speed 1 . By accurately
adjusting the Primea in accordance with
these recommended speeds, the
user can get a much better clinical
performance out of the bur.
For instance, I used 180,000 rpm
to complete the initial shaping of
the restoration before reducing
the speed to 100,000 rpm for
more intricate shaping, and
sometimes even as low as 60,000
rpm to get a super-smooth finish.
Each step was completed with a
single bur, which is not a problem
for the Primea Advanced Air
turbine, due to adjustment of the
speed (Fig. 1). It can be adjusted
quickly and easily on the display. I
reduced the speed to control the
bur cutting a GI (glass ionomer)
Dr. Grant Dean is dental head and practice owner of Central Dental
Group in Wodonga, Australia. With the establishment of Central Dental
Group in 2008, Dr. Dean has been able to continue his commitment to
dentistry in an environment that aims to provide the best in patient care
restorative placed in the distal of
an upper tooth. It was difficult to place.
The surplus material was added to trim
back to the tooth shape. Using the 60,000
rpm speed, I have far greater control and
can avoid the bur ‘burrowing in’ to the
restorative — and could even use the root
surface as a ‘guide’ to ensure a seamless
margin without any effect on the root
surface.
on the module’s display, a sensor in the
turbine head continuously measures the
bur’s actual rotary speed on the tooth. The
bur is then aligned with the rotary speed
set. As soon as the speed threatens to slow,
the control module adjusts the air supply
immediately to ensure constant removal. In
addition to the “Power” mode with constant
rotary speed, there is also a “Tactile mode”
for allowing a defined loss of speed, and
It is also possible to perform a preparation therefore, greater control.
with a constant bur speed, regulated on
the device. With conventional air-driven
turbine handpieces, increasing pressure
during preparation was associated with
decreasing performance, but the Primea
Advanced Air adds constant performance
during increased load just as used with
Better results for patients and dentists
Not only does this new technology enable
work in a more precise, straightforward,
faster and safer way, it also guarantees a
smoother cutting pattern and result for the
patient.
electric motors and speed increasing
contra angles.
With a conventional turbine, loading
of the bur slows the bur speed down.
After setting the required or recommended
rotary speeds for the various applications
The consequent foot pedal ‘feathering’ that
we all do creates an uneven cutting pattern.
46
DENTAL ASIA NOVEMBER / DECEMBER 2019

User Report
The light weight of the turbine and
the design of the handpiece with its
advantageous weight distribution and
non-slip surface render the devices highly
ergonomic. Furthermore, the W&H Roto
Quick coupling system RQ-24 allow a 360°
handpiece rotation without twisting the
hose, supporting an ergonomic operation.
Quiet treatment despite high performance
Arranging the treatment to be as quiet
as possible without high-frequency noise
helps to create a positive atmosphere for
the patient.
A conventional turbine’s free-running
speed is 350,000 rpm or more. The Primea
turbine is set to the application speed
(i.e. 180,000 rpm) and is, therefore, far
quieter, with the pitch far lower — which
is more convenient for the patient’s
experience and which I certainly appreciate
too. I’ve always linked the pitch or noise
of the turbine to the performance, that is,
the higher the noise, the higher the cutting
speed. Not anymore. Tremendous cutting
performance but at a lower speed means
less noise pollution; a far more pleasant
atmosphere for me, my staff and the
patient. DA
References:
1. Elias K, Amis AA, Setchell DJ. The
magnitude of cutting forces at
Fig. 1: Optimal speed ranges of the Primea Advanced Air according to the different steps of the treatment
and related intended burs
Sometimes the bur will bounce or walk
across the preparation, creating uneven
cutting depths. This almost never happens
with Primea: Completing intricate work like
crown preps is made simpler and quicker.
Bulk amalgam removal, in particular, is
now much faster with the Primea Advanced
Air. Having used a number of different
bur types and shapes (both tungsten and
diamond) — the Primea turbine does not
slow down with any of them. I have gone
back to an old favourite bur (JET FG TC 330),
simply because I am used to the small
instruments working part which supports
my MID (minimal intervention dentistry)
philosophy.
The new W&H 5x Ring LED+ system (RK-97 L)
reduces reflection from moist surfaces and
offers perfect interpretation of the tooth
surface, which is among others crucial for
a minimally invasive performance as well.
Due to superior distribution of the light,
shadows are non-existent.
high speed. J Prosthet Dent. 2003
Mar;89(3):286-91.
2. Manual of the UKAM Industrial
Superhard Tools Division of LEL
Diamond Tools International, Inc.,
Valencia, CA 91355 USA
3. Vaughn RC, Peyton FA. The influence
of rotational speed on temperature
rise during cavity preparation. J Dent
Res. 1951 Oct;30(5):737-44.
4. Krejci I, Lutz F, Boretti R. Resin
composite polishing—filling the gaps.
Quint Int 1999;30(7):490-495.
NOVEMBER / DECEMBER 2019 DENTAL ASIA 47

Behind the Scenes
TOOTH SHADE DETERMINATION:
DIGITAL VS VISUAL
Up till now, tooth shade in dentistry has mainly been determined by visually comparing a shade tab with the natural tooth. However, visual
shade determination is influenced by numerous factors, such as the subjective shade perception of the observer, the lighting conditions and
the surface structure of the teeth. With digital shade measuring devices, potential sources of error can be eliminated. One study shows that
tooth shade can be reliably determined with the digital spectrophotometer VITA Easyshade, than with a shade guide. To determine this,
Dr. Karl Martin Lehmann shares the study results and provides suggestions for everyday issues in dental practices and laboratories.
48
DENTAL ASIA NOVEMBER / DECEMBER 2019

Behind the Scenes
VISUAL
SPECTROPHOTOMETER
Matches
Agreement
No.
Agreement
%
Matches
Agreement
No.
Agreement
%
1600 1160 72,5 1600 1583
98,9
M 640 434 67,8 640 630 98,4
Gender F 960 726 75,8 960 953 99,3
Fig. 1: The results graph shows a shade match of > 98% (all subjects) for digital shade determination.
On the other hand, with visual shade determination, a shade match of only > 70% was achieved
(all subjects). (PubMed link: https://www.ncbi.nlm.nih.gov/pubmed/28717795):
Lehmann K, Devigus A, Wentaschek S, Igiel C, Scheller H, Paravina R. Comparison of visual shade
matching and electronic color measurement device.Int J Esthet Dent. 2017;12(3):396-404.
Eight seconds to decide
The goal of the study was to determine how
reliably and reproducibly male and female
study participants can determine tooth
shades using visual and digital processes.
To do this, 100 subjects determined the
shades of standardised VITA classical A1-
D4 tooth shade tabs in various sessions
under ideal lighting conditions, both
visually and digitally.
In the first step of this investigation, the
subjects had to visually determine the
tooth shades of 16 previously anonymised
VITA classical A1-D4 shade tabs using the
VITA classical A1-D4 shade guide and,
in a second step, perform the procedure
again digitally with the VITA Easyshade
spectrophotometer. Each participant had
a maximum of eight seconds to determine
the tooth shade. A total of 3200 visual and
digital shade determinations were made.
Digital trumps visual
In the digital procedure with the
spectrophotometer VITA Easyshade, the
correct tooth shade was determined in
nearly 100% of the measurements. This
showed a significantly greater precision
for the digital procedure than for the visual
method. When using the shade guide, the
subjects determined the correct tooth
shade in only about 72% of the shade
determinations. The gender-specific analysis
showed that female subjects recognised
the shade of the teeth in the visual shade
determination more often than male
participants. In contrast, there was no
significant difference in the digital shade
determination.
Due to the high precision of the digital
method, the tooth shade determination
should be as digital as possible, ideally
complemented by photos of the intraoral
situation of the respective patient, which
can provide further information on shape
design and surface structures. Detailed
information enables the dental laboratory
to produce a high-precision, true-to-life
shade reproduction. With such tooth
shade and image information,
additional time and expense
due to subsequent shade corrections or
even completely new productions, can be
avoided.
Simple and easy to use
In principle, operating the VITA Easyshade
is self-explanatory and very simple. You
should just make sure that the measurement
is carried out before the start of treatment
and that the measuring tip rests perfectly
flat on the tooth surface. Thanks to the use
of standardised LED white light, neither the
influence of the lighting conditions, nor the
surrounding colours has to be considered. DA
Dr. Karl Martin Lehmann, Mainz, Germany
NOVEMBER ER / DECEMBER BER2
2019 DENTAL ASIA 49

In Depth With
Tri Auto ZX2 :
Unique, Compact and Innovative
Tri Auto ZX2 cordless endo motor with apex locator from Morita is the first of the kind
system that integrates the tasks of apex localisation and root canal preparation in a single
handpiece. Designed for maximum safety, Tri Auto ZX2 has both Optimum Torque Reverse
(OTR) and the new Optimum Glide Path (OGP) function.
Optimum Torque Reverse changes the direction of rotation of the file as soon as ‘overtorque’
occurs, i.e., when the individually preset torque level is exceeded. After turning back 90
degrees, it again rotates in the cutting direction; if the torque is still too high, the process
is repeated 3 / 4 after an additional 180 degrees. OTR also works with a very small angular
rotation to minimise the risk of file breakage and microcracks. Moreover, the system
preserves the original morphology of the root canal system and facilitates the reliable
removal of debris. All these factors combine to shorten the treatment time.
Optimum Glide Path (OGP) provides rapid and automated preparation of the glide path,
which is the first actual preparation step, and thus prepares the root canal for safe
endodontic procedures. In combination with the OTR function, the clinician can bring
the endodontic instrument down to working length without fractures, blockage, or ledge
formation. Ingeniously simple and absolutely safe. An LCD display provides full feedback
from the root canal by showing the exact measurement data acquired by the handpiece,
most importantly the distance of the
file from the root apex.
All in all, the Tri Auto ZX2 conserves
natural tooth structure and makes
the treatment even more efficient
because of the reduction of number
of files. Another striking feature
of this endodontic system is its
small head and low weight (140g),
making it extremely handy to use.
The futureproof cordless concept
significantly improves treatment
flexibility for the operator and
optimises the clinical workflow.
Simple, intuitive operation and
automated functions ensure reliable
and safe results at all times. DA
50
DENTAL ASIA NOVEMBER / DECEMBER 2019

#exocadInsights
exocad Insights 2020
GLOBAL EVENT FOR
DENTAL TECHNICIANS
AND DENTISTS
Hello,
digital experts
Nice to
meet you
Knowledge. Inspiration. Networking. The Event of the Year.
Be there when the international exocad community meets at a top class event!
Gain insights into the benefits and services we offer as a leader in the development of CAD software.
Experience lectures by renowned experts, industry partner shows, solutions for specific case studies as
well as software sessions with our exocad specialists and take advantage of the evening event with dinner
and live music to exchange knowledge with colleagues.
March 12 and 13, 2020, Darmstadt, Germany
Book your ticket today!
exocad.com/insights

In Depth With
Size is
EVERYTHING
Modular nickel-titanium systems enable the endoexpert
to work flexibly in a variety of indications.
Meanwhile, most patient cases can be prepared
efficiently and reliably with a reduced file sequence.
For slightly more curved canals, the dentist can now
use a special glide path file in addition to the classic file sequence.
Additional glide path file for strongly curved canals
Dental specialist Coltene once again complements its versatile
HyFlex NiTi range with a useful component – a new HyFlex EDM
glide path file. It is now available in the range for the preparation
of strongly curved and very narrow canals. The HyFlex EDM GPF
15/.03 is a flexible glide path file that ensures optimum shaping
of access cavity. Even S-shaped canals can be prepared safely and
competently with the additional instrument. As accustomed, the
dentist subsequently enlarges with the glide path file size 10/.05
and the HyFlex EDM preparation file 20/.05. The sequence for very
narrow canals thus remains clearly structured and well manageable
for the entire practice team. Depending on the initial situation
and personal preferences, the 25/.12 orifice opener can be used
beforehand as an option.
The good cutting performance and break resistance of the flexible
nickel-titanium files is due to a special manufacturing process
referred to as Electrical Discharge Machining (EDM). The highperformance
instruments are designed for endo beginners and
dentists who wish to produce results quickly with a reduced number
of files.
Expanded file sequence for maximum flexibility
The novel HyFlex EDM GPF 15/.03 fits into the existing portfolio of
HyFlex files from Coltene. One feature of the NiTi file series is the
specially developed CM treatment: due to the Controlled Memory
process, the files can be pre-bent similar to classic stainless steel
files and demonstrate almost no recovery effect. This allows them
to move optimally in the centre of the canal, prepare all canal walls
evenly and thus significantly improve preparation efficiency. The risk
of a false canal is also minimised.
With the HyFlex EDM Shaping Set Max Curve, the complete sequence
of special files for strongly curved canals will also be available as
a practical box from dental retailers from Q2 2019. Due to its high
flexibility, the file configuration is suitable for preparatory work in
limited spaces as well as for instruments use in normal to extremely
curved canals.
Incidentally, the Coltene Group’s merger with the French endo expert
MicroMega in Q3 2018 will also expand its portfolio of clever endo
solutions ranging from preparation to obturation in the long term. DA
52
DENTAL ASIA NOVEMBER / DECEMBER 2019

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In Depth With
ALMOST 70% OF MY
CASES ARE PERFORMED
WITH X-GUIDE
An interview with Prof. Alessandro Pozzi, Italy
An advocate for dynamic navigated surgery, Prof. Alessandro Pozzi has been
performing with the X-Guide system in his dental studio in Rome, Italy.
An internationally acclaimed implant surgeon from Italy,
Prof. Alessandro Pozzi is currently one of the biggest
advocates for dynamic navigated surgery, which he
performs with the X-Guide TM system in his dental studio
in Rome. In September, he shared his expertise with
dental professionals at a launch event in Hong Kong, where the
system is available from Nobel Biocare. He spoke about how the
technology sparked his interest, how it can help to improve implant
treatment outcomes and why he thinks it will be standard practice
in the years to come.
A flexible treatment plan
“I have been placing implants using surgical templates since I
entered dentistry back in the 1990s and always thought it to be
the perfect way to perform guided surgery,” explained Prof. Pozzi.
“Four years ago, I first discovered the X-Nav system through Prof. Peter Moy
from the UCLA University of California.”
As a clinical researcher, Prof. Pozzi was initially skeptical, and tried
to challenge the system and compare it with static guided surgery in
order to find out about the advantages and limits of each approach.
Using a surgical template is a very static concept which means that
what is planned with the software cannot be changed or modified
thereafter in accordance to the outcome of the surgery or the need
to find out a better primary stability for the Immediate Function.
“With the implant planning dynamically navigated surgery
empowered by DTX Studio Implant, we now have a very flexible
system at our disposal that allows us to adapt our treatment plan
in real time and provide quick, safe and predictable treatment
outcomes, even in challenging cases or emergencies,” he said.
Dynamic guided surgery in modern dental practice
According to Prof. Pozzi, the main advantage of systems like X-Guide
is having full control of the surgery.
“When placing an implant in an immediate fresh extraction socket,
for example, it can be difficult to previsualise the anatomy of the
recipient site in the software or be fully confident that the buccal
plate is maintained after the extraction,” he said. “I can’t remember
how many times in the past 15 years I was not perfectly sure about
the level of the buccal plate, because it was hidden by the metal
artifacts of a PFM crown or post, or it was indeed disrupted during
the extraction.”
With X-Guide, dentists can deliver guided surgery with an open
surgical field since there is no template obstructing the view. “We can
see and immediately adapt to eventual complications, for example,
when the alveolar wall or a knife-edge shaped edentulous bone crest
is driving the drill into the wrong position,” he continued, “With a
template the dentist is unable to visualise those events, as it would
need to be removed.”
But with the dynamic navigated concept, the dentist can see what is
54
DENTAL ASIA NOVEMBER / DECEMBER 2019

In Depth With
happening in real time, and immediately adopt a plan to overcome
complications.
Surpassing limitations
There are still some clinical scenarios where the use of templates
has advantages. However, with the continuous use of X-Guide,
Prof. Pozzi found more and more indications becoming possible to treat.
“Over the last three years, I have been treating single tooth, partial,
full arch as well as terminal dentition cases with the navigation
system,” he said. “Performing the latter with a template in particular
can be tricky as you need to keep strategic teeth that can support
the template and this sometimes is unrealistic and can affect the
proper prosthetically driven implant positioning. With dynamic
navigated surgery, the dentist will be able to position the implants
exactly where the ideal prosthetic outcome demands.”
Transformation starts now
“Especially for beginners it can be a good tool for helping them increase
their confidence when they start their career as a surgeon,” said
Prof. Pozzi.
“For clinicians that do not have much surgical experience, X-Guide
can be a way to improve the safety and predictability of their
treatment.”
Prof. Pozzi emphasised, however, that there is no shortcut to
treatment because dentists are still required to be knowledgeable in
the basics of implant surgery. While the use of a template may work,
he pointed out that it may hinder the dentist from clinical reality. He
further referred to X-Guide as a GPS, and suggested that this will
match the virtual patient with the real patient, and offer the dentist
guidance through the procedure.
A standard for the future
Having performed guided surgery for more than 15 years, the
dynamic navigation concept has completely changed how Prof. Pozzi
approaches his work.
“I have been training people from all over the world on treatment
with X-Guide, and it is amazing to see how quickly they are able to
overcome the learning curve and improve their clinical performance,”
he said.
“Almost 70% of the cases in my practices are now performed with
the help of the X-Guide system,” he proudly said, “I think that is
amazing! My patients can be treated on the same day without the
delay of surgical template production.”
With this technology, Prof. Pozzi is able to meet
patient expectations in terms of reliability and
effectiveness.
“From my experience, it usually takes them less than 10 procedures
to switch from performing simple cases on a model to a real patient.” DA
Prof. Pozzi has been treating single tooth, partial, full
arch as well as terminal dentition cases with the X-Guide
system. Here, he is shown during a live demonstration at
the product launch in Hong Kong
“I believe that in a few years we won’t be
talking about freehand, static or dynamic
guided surgery anymore, because dynamically
guided surgery will be the standard of practice,”
said Prof. Pozzi. “With surgical templates, the
surgeon often had to make compromises in
the past but now they are in full control of their
procedure.”
He is heartened that even with advances,
surgeons are still following the proven concepts
they learned from P.I. Brånemark and other
implant pioneers from the last 50-60 years.
“X-Guide can be a system for everyone,” said
Prof. Pozzi. “Beginners as well as experienced
clinicians who want to challenge themselves to
take on more demanding cases with confidence.”
NOVEMBER / DECEMBER 2019 DENTAL ASIA 55

Product Highlight
Comparing Cost and Profit with the TRIOS ROI Calculator
3Shape
Adding an intraoral scanner to a practice is
a huge step, as it means learning to do what
you have always done differently. In addition,
it’s a major investment. To provide clinicians
a clearer picture of what going digital can
mean to their pocket, 3Shape introduces the
TRIOS ROI calculator.
Using the calculator, data such as monthly
case load and fees can be entered. Then,
based on workflow and costs, the calculator
custom tailors the ROI results. This gives a
much more transparent tool with which to
evaluate the financial impact of going digital.
The TRIOS ROI calculator can be found on the
3Shape website: https://triosroi.3shape.com/
Combining the TRIOS ROI Calculator
with Dr. Mark McOmie’s formula
Dr. Mark McOmie of McOmie Family Dentistry
developed a formula for determining the
actual cost of owning an intraoral scanner.
He compared the value of several intraoral
scanners by calculating, upfront cost of
the scanner plus fees and maintenance
Your Z4 – Your Style
agreements times six years (cost to own and
operate scanner for six years) versus savings
from his lab on digital crown production and
impression material and tray costs. Based on
this formula, Dr. McOmie determined 3Shape
TRIOS as the lowest cost scanner.
Using his formula combined with the ROI
Calculator gives an excellent overview of
what any intraoral scanner will mean to a
practice’s budget.
For Dr. McOmie, the cost of the scanner
was crucial but equally significant was the
scanner’s ease of use. He went to several events
and tested different scanners for usability and
speed. Again, he found TRIOS best.
“With a 3Shape TRIOS, you will be amazed
at how good you become using it in a short
period of time,” said Dr. McOmie. “Your lab
will like it, your impressions will become
better, and the quality of your restorations
will improve.” Seeing a scan of the prep on
a big computer screen will allow clinicians
to see their preps in a brand new way. The
tolerances on the restorations are tight.
There is less margin for error in the scan than
in a PVS impression.
“The 3Shape TRIOS scanner is the best
scanner there is,” said Dr. McOmie. “Treat
yourself to something great and it will return
great things to you and your practice.”
You can read Dr. McOmie’s story here:
https://ww2.3shape.com/en/knowledgecenter/news-and-press/news/2017/howto-price-an-intraoral-scanner-for-yourdental-practice.
■
Z4
Customers can now order the high-precision
milling and grinding machine Z4 from vhf as
custom-design versions. They can choose
between their portrait and name on the
machine or two limited edition designs.
Dentists and lab technicians can either
choose between a Black Forest, a U.S. design
or personalise their very own machine with
a picture.
“With the vhf designs, we are featuring our
roots that lie in the Black Forest, in Germany,
as well as our strong ties to the U.S.,
where our North American headquarters
is. Additionally, we are excited to now offer
our customers the unique opportunity to
customise their milling machines and add
a personal touch to their facility,” said
Christine McClymont, head of Marketing
and Communications at vhf camfacture AG.
“One more reason to show off the Z4 to the
patients.”
The Z4 is a groundbreaking milling and
grinding machine for same-day dentistry,
which fabricates restorations from any block
material in mere minutes. Users benefit from
previously unattained quality standards
for restorations, intuitive operation and
validation for all common scanners and CAD
software. The special campaign will run until
the end of this year. ■
NOVEMBER / DECEMBER 2019 DENTAL ASIA 57

Product Highlight
Amann Girrbach
As Aesthetics are Not Happenstance
Aesthetic management concept with
interactive practice guide
Shape, colour, tooth position, surface
topography – the human tooth is as individual
as man himself. With the product and
processing concept “Esthetic Management”
for Zolid zirconium oxides, Amann Girrbach
has succeeded in being able to replicate the
complexity of nature in a systematic and
holistic process. With the aim of keeping
the focus on the essentials – the restoration
itself – the user has at his/her disposal a
well thought-out product portfolio with
numerous aids for processing the materials.
Tailor-made staining liquids, ceramic mixing
palettes and brushes through to accessories
for the firing process, guarantee beautiful
results all around. The focus has currently
shifted to the work steps following the
milling process. This is accompanied by
step-by-step instructions, video tutorials,
courses and, last but not least, a newly
compiled, interactive practice manual. In
specific – the “Processing Technology” guide
not only accompanies the user from the very
beginning, i.e. from CAD design to the final
aesthetics, but also links online and offline
information with interactive interfaces to
application videos or other in-depth training
material. In line with the actual applicationoriented
processing chain, the manual
efficiently helps to achieve perfect results
right from the start. ■
KaVo
KaVo Kerr Announces New PROPHYflex 4 Air Polishing Device
KaVo Kerr has upgraded the
PROPHYflex 4 portable air cleaning
device for removal of stains,
bacterial plaque, and cleaning
of enamel surfaces prior to
fissure sealing. With its improved
ergonomics, efficiency, and
versatility, the PROPHYflex 4
provides dental hygienist with a
simpler and more effective way
to polish teeth, both above and
below the gum line, as compared
to earlier models.
Its three adjustable pressure
settings streamline supragingival
cleaning, giving hygienist more
control over cleaning performance — from
a gentle powder-free setting to more precise
cleaning. The narrow shape of the cannula
and minimised mist formation also provide
enhanced visibility, less mess, and better
preservation of the tooth structure.
For subgingival treatment and more precision
of pocket areas, PROPHYflex 4 is designed
with individually adjustable hand pieces and
an optional Perio Kit that delivers optimised
pressure — a feature that is also ideal for
cleaning of bridges, implants and crowns.
From working in subgingival to supragingival
regions, and accessing hard-to-reach spots,
the PROPHYflex 4 ensures a more ergonomic
and comfortable working experience. Its
ultra-lightweight, balanced handpiece,
adjustable length, and 360° rotation grip
sleeve adjusts accordingly to users’ needs so
that polishing procedures can be completed
with ease. ■
58
DENTAL ASIA NOVEMBER / DECEMBER 2019

Will my
dentist
understand
my concerns?
Patients have many questions. Get the right answers
at the ITI World Symposium 2020 in Singapore!
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Product Highlight
Kerr
Faster and More Predictable Results with Elements IC Obturation System
Already an award-winning
endodontic device,
elements free from Kerr
Endodontics now comes with
longer battery life, enhanced
ergonomic design, and an
improved OLED interface in
the form of elements IC
Obturation System.
element IC is particularly
suitable for single-motion
downpack obturation of the
apical portion of the root canal as its downpack
heat source has precisely controlled electric
heat pluggers that reach full 200°C in less
than 0.5 seconds.
Compared to elements
free, the device’s
backfilling has a reduced
extrusion time of at least
20%. In addition, each
single charge of backfill
is able to complete more
than 16 canals. With its
streamlined interface,
faster performance, and
responsive controls,
the new element IC
brings clinicians a
more predictive and efficient outcome in
obturations. ■
Carestream
Carestream Dental Delivers Sophisticated Scanning Solution with
New Premium Intraoral Scanner
High performance meets ergonomic design
for uncompromised scanning in Carestream
Dental’s newest intraoral scanner: The
CS 3700. The latest scanner centres
around the doctors’ needs and
preferences with customer-centric workflows,
smart-shade matching, high-speed
scanning and processing, and touchscreen
capabilities.
It addresses restorative, orthodontic, implantborne
prosthetic and sleep device treatments.
Its new software, CS ScanFlow, allows users
to select any workflow from a single screen for
convenience and control.
To ensure remarkably beautiful aesthetic
restorations, the CS 3700 features smartshade
matching that automatically detects
the enamel colour of the scan area to identify
the ideal match. This patented technology,
known as bidirectional reflectance distribution
function (BRDF), captures actual shade values
from several views, considering all angles of
the scanner—unlike other systems that collect
RGB values from a single view.
Users will also notice increased scanning
speeds with the CS 3700—a 20% increase
over previous Carestream Dental intraoral
scanner models.
“All dentists are artists at heart, their eye is trained
to recognise symmetry and aesthetics,” said Ed
Shellard, D.M.D., chief dental officer, Carestream
Dental. “The CS 3700 combines performance
and modern design that doctors practicing at
the highest level will truly appreciate.” ■
60
DENTAL ASIA NOVEMBER / DECEMBER 2019

Product Highlight
Ivoclar Vivadent
The Efficient Fissure Sealant
Helioseal F Plus, the fissure sealant from Ivoclar
Vivadent, is able to assist in the prevention of
caries: The new sealant is flowable and can be
optimally spread on complex surfaces – even
in the upper jaw. It forms a tight marginal seal,
which provides effective protection against
cariogenic germs. Fine filler particles ensure
a smooth sealant surface.
Efficient treatment
This easy-to-use syringe allows you to dispense
and apply the right amount of Helioseal F Plus
precisely where needed. The fine tip promotes
swift and exact placement in fissures. With
the help of a suitable polymerisation light,
The Helioseal F Plus is available in syringes containing 1.25g, and in Cavifils containing 0.1g of the product
such as Bluephase Style or Bluephase G4 with short light-curing times make Helioseal
from Ivoclar Vivadent, the sealant can be F Plus the choice when it comes to sealing
cured in only 10 seconds. Precise application, fissures quickly and effectively in children and
excellent flow and wetting properties together adolescents. ■
Scan, Plan, and Navigate in a Day with X-Guide
Nobel Biocare
With the latest 3D-navigated surgery technology, X-Guide
from Nobel Biocare, clinicians can plan their treatments in
DTX Studio Implant and proceed to implant surgery; taking
speed, precision and accuracy to whole new level.
X-Guide is a dynamic 3D-navigation system that can become
part of a streamlined workflow for same-day guided surgery.
On the day of treatment, the clinician carries out the 3D (CB)
CT scan, and intraoral surface scans, creates the treatment
plan in DTX Studio Implant, and immediately exports it with
all the planning components to X-Guide. The practice is ready
to perform the 3D navigated dental implant surgery on the
very same day. Furthermore, DTX Studio Implant gives the
clinician direct access to the Nobel Biocare implant library
when creating their treatment plan.
Dynamic 3D navigation makes same-day guided surgery
possible without the need for a conventional surgical template.
It guides the clinician through their treatment plan, providing
a 360-degree, real-time view of the drill and anatomy during
osteotomy and implant insertion. The ability to oversee every
movement of the handpiece helps achieve a more exact
implant placement compared to freehand surgery. X-Guide’s
impressive tracking technology even makes it possible to
control the drill when it is out of sight. ■
NOVEMBER / DECEMBER 2019 DENTAL ASIA 61

Product Highlight
Straumann
Straumann BLX Implant System for Excellent Osseointegration
Straumann BLX implant system, which offers
one connection platform for all restorative
components, features dual threads,
bi-directional cutting, Roxolid, and
Straumann SLActive technology.
Patients’ healing time are reduced by 50%
with Straumann SLActive, a hydrophilic
surface treatment for high predictability
and accelerated osseointegration. Heat
generation is minimised with the Straumann
VeloDrill system, which delivers high
drilling stability.
“I’ve used some short lengths in narrow
ridges,” said Dr. Jeffrey Ganeles. “I got very
good primary stability right off the bat.”
Roxolid gives clinicians the confidence
to place reduced diameter implants,
and provides excellent osseointegration
capabilities.
“With the BLX implant, I was able to
engage the very limited septal bone
and a little bit of the lingual bone
to get excellent primary stability,”
said Dr. Tassos Irinakis.
Additionally, the one connection platform
allows for a simpler restorative workflow.
With a fully digital integrated workflow,
Straumann digital solutions help clinicians
increase their efficiency in the planning and
placement of implants. ■
Kuraray
PANAVIA SA Cement Universal Now Available from Kuraray Noritake
Innovators of adhesion and silane technology
Kuraray Noritake Dental has launched the
self-adhesive resin cementation, PANAVIA
SA Cement Universal.
Incorporating a unique silane coupling
agent, LCSi monomer, PANAVIA SA Cement
Universal delivers strong, durable chemical
adhesion to virtually all materials – porcelain,
lithium disilicate, composite resin, and even
glass ceramics, without the need for a
separate silane or primer. In addition, high
concentrations of the original MDP monomer
allow for increased chemical reactiveness
with zirconia, dentin, and enamel.
It is recommended for prosthetic restorations
including crowns, bridges, inlays, onlays,
and implant abutments. Aside from simple
application and easy excess removal, it also
allows for room temperature storage.
“It’s a great one-step cement that doesn’t
require a separate silane or primer, creating
a very efficient workflow,” said Dr. Troy
Schmedding. “I know with PANAVIA I’m
always going to have the bond strength
needed for long-lasting clinical outcomes.”
“We are committed to our partnership with
the dental community and will continue to
serve them with innovative solutions that help
them provide better care to their patients,”
said Dr. Dinesh Weerasinghe, senior technical
and marketing manager at Kuraray Noritake.
“We believe PANAVIA SA Cement Universal
will facilitate a simplistic and cost-efficient
workflow for all types of restorations without
compromising bond strength, ultimately
resulting in better clinical outcomes.” ■
62
DENTAL ASIA NOVEMBER / DECEMBER 2019

Product Highlight
V-Posil Putty Fast, Available in 380ml cartridges
VOCO
Dentists want a high level of precision when
considering materials to take an impression.
In addition to dimensional accuracy, a short
intraoral setting time is also preferred as
well as hydrophilicity, tear strength, and
elasticity.
The material to meet these requirements
is V-Posil, the vinylpolysiloxane (VPS)
impression material from VOCO. In fact,its
putty viscosity (Putty Fast) is now available
in a large 380ml cartridge.
The V-Posil Putty Fast is used as a tray
material for the following techniques:
• Putty and wash technique (two step)
• Sandwich technique (single step)
• Putty and wash technique using a spacer
(foil)
• Or as an impression material for functional
margin shaping
Its intraoral setting time of two and a half
minutes makes it a fast-setting material —
saving time for the dentist while improving
patient comfort. The medium hardness
(Shore A hardness of 63) renders it suitable
for putty and wash technique in particular.
It also has a 99.5% elastic recovery from
deformation, allowing precise pouring
results and ultimately, restorations that fit
perfectly. ■
DenMat
Longer Lasting Restorations with DenMat’s Zirconia Prime
Aesthetic dentistry innovator, DenMat, has
expanded its line of high-quality restorative
products for crown cementation to include
Zirconia Prime.
The primer for zirconia, metal, and alumina
restorations is compatible with self-, light-, and
dual-care resin luting cements. When preparing
zirconia and metal restorations for cementation,
Zirconia Prime significantly enhances the
bond between indirect restorative materials,
composite resin cements, and resin-based
bonding agents.
“DenMat Lab has seen a steady increase in
customer demand for our highly aesthetic
LumiZir zirconia crowns,” said Mr. David Casper,
chief executive officer of DenMat.
“With this growth, we are proud to offer a critical
component to our crown cementation system,
providing our customers with predictable results
and ensuring their patients with long-lasting
restorations.”
Studies have shown that primers containing MDP
such as Zirconia Prime have increased bond strength
between zirconia restorations and cement of up to
119%, and between metal restorations of up to
21%.
“Application of Zirconia Prime is a vital step for all
my zirconia and metal indirect restoration cases,”
said Apolinar Madrigal, DDS.
“It allows me to provide my patients with high-bond
strength and longevity for their dental investment.” ■
NOVEMBER / DECEMBER 2019 DENTAL ASIA 63

Show Preview
Bridging the Past and
Present of Dentistry
To be held from 14-16 th
February 2020 at the Kuala
Lumpur Convention Centre
(KLCC) in the vibrant city of
Kuala Lumpur, Malaysia, the
27 th edition of Scientific Convention and
Trade Exhibition (SCATE) 2020 presents
“Bridging the Past and Present of Dentistry”.
said Dr. Lim Chiew Wooi, organising
chairman of SCATE 2020.
Online registration is now open. DA
SCATE 2020 will focus on the evolving art
and science of dentistry with an increasing
trend towards digitisation. The array
of speakers from the various fields of
dentistry include Dr Jone Kim, Associate
Professor Dr Adrian Yap, Dr Loh Kai Woh,
Dr Michael Tsao, Dr Hsuan Chen, Dr Neoh
Ein Yau, Dr Simon Ng, Prof David Ngeow, to
name a few.
Cutting-edge Technology
Running alongside the scientific
conference, the trade exhibition will
see dental manufacturers and traders
showcasing a myriad of products and
cutting-edge technological advancements
in dentistry, where visitors and delegates
will be able to source for the latest dental
products and services.
Presenting New Research
In the free communication competition,
students; researchers; and practitioners
will have the opportunity to present and
share their research findings with peers
and leading experts in dentistry.
“SCATE is also a good platform
and opportunity for participants
to mingle around and rekindle old
friendship while making new ones,”
NOVEMBER / DECEMBER 2019 DENTAL ASIA 65

Show Review
Dentsply Sirona World in Las Vegas:
Ultimate Dental Meeting Impresses Thousands of Guests
Held from 3 rd to 5 th October 2019 in Las Vegas, USA,
Dentsply Sirona World 2019 brought together
thousands of dentists, dental technicians, and dental
experts for three days of innovations, trends, and
high-calibre specialist presentations. Aside from a
unique mix of clinical training units, presentations by more than
100 renowned dental experts, and a first-class entertainment
programme, the highlight was the live treatments streamed into
the auditorium.
For instance, Dr. Tarun Agarwal performed a full arch restoration
using the Smartfix concept with the new Astra Tech Implant EV;
Don Casey, Chief Executive Officer of Dentsply Sirona
Dr. Erin Elliot presented a treatment for obstructive sleep apnea;
while Dr. Meena Barsoum shared an orthodontic session with
SureSmile with the audience. The live treatments were used as an
opportunity for discussions about the topics that practitioners deal
with in their practice routines.
“It is precisely these interactions that are crucial to us,” said
Don Casey, Chief Executive Officer of Dentsply Sirona. “We
consistently direct our innovations to what our customers need in
practices and labs. This is why we focus on entire workflows and
solutions that integrate seamlessly with one another. Underlying
these solutions is our commitment to R&D, into which we are
investing more than US$150 million this year alone. Over the past
several years we invested close to US$1 billion – more than any
other company in the dental industry.”
Specialist training: Personal and intensive
The advanced training programme offered a broad overview with
more than 100 intensive workshops on a comprehensive range of
topics and lectures in 12 different areas, such as implant dentistry,
laboratory and hygiene, and presentations of new products and
solutions by Dentsply Sirona. On the podium, dentists such as
Dr. Karyn M. Halpern, Dr. Todd Ehrlich, Dr. Sameer Puri,
Jasmin Haley, Dr. Tarun Agarwal, and Shannon Pace Brinker, as
well as many other well-known names of the industry, spoke about
trends and developments.
For Dentsply Sirona it is certain: Continuous, professional clinical
education is a factor to success for practices and laboratories. In
addition, innovative product solutions and a close relationship with
customers are part of the common goal, which is bringing healthy
smiles to more people through happy and healthy practices.
Astra Tech Implant System: Dentsply Sirona World, proved again
this year to be an excellent platform for getting first-hand knowledge
66
DENTAL ASIA NOVEMBER / DECEMBER 2019

Show Review
of new products and solutions. The new Astra Tech Implant EV is
a further development of the Astra Tech Implant System, one of
the best-documented implant systems on the market. The modified
implant design brings significant improvements: The apical implant
thread ensures that the desired primary stability can be achieved.
uncomplicated and thorough tooth polishing with easy intraoral
access and no annoying cables. The ultrasonic scaling system
of the Cavitron 300 series is the latest member of the Cavitron
system family. The exclusive Steri-Mate 360 rotating handpiece
allows easy handling without stopping, adjusting, and laboriously
Additionally, the handling for inserting the implant has been
simplified. This innovation is available starting October 2019 in the
North American market and from the beginning of 2020 in Europe.
turning the ultrasonic probe during scaling treatment. The new
digital operating system generates less heat and requires less
water for improved patient comfort.
Digital, validated and successful workflows: Optimal X-ray
diagnostics is the basis for almost all indications. With the three
different Orthophos models with varying features, every user –
whether general or specialised dentist – can use the latest X-ray
technology for the specific needs of his or her practice. Images
created with the Orthophos S 3D and Orthophos SL 3D devices
can now also be used to plan treatment with SureSmile aligners. In
conjunction with an optical scan, they were validated for use in the
SureSmile Aligner and SureSmile Ortho software.
At the cutting edge of hygiene, Dentsply Sirona World focused
extensively on this topic again this year with its own hygiene
track, including presentations by Linda Harvey, Dr. Mia Geisinger,
and Katrina Sanders. When it comes to hygiene, Dentsply Sirona
offers a comprehensive product range that greatly simplifies
treatment for patients and hygiene assistants. For example, the
Nupro Freedom cordless prophylaxis handpiece allows
Highlights: Jerry Seinfeld and Zac Brown Band
The first-class entertainment programme has made
Dentsply Sirona World an industry event that continues to thrill
dental experts and dentists. This year, Dentsply Sirona surprised
the participants with two special highlights. On the first evening,
the world-renowned stand-up comedian, actor, screenwriter,
producer, and author Jerry Seinfeld welcomed the audience to
the evening event in the Mandala Bay Resort and Casino. After an
intensive day of advanced training, another highlight awaited the
participants on Friday evening: Multiple Grammy Award-winning
Zac Brown Band rocked the stage in a private concert.
As Dentsply Sirona World has ended, planning for the next one
begins: Next year the successful congress will take place in Las
Vegas again, this time at the Caesars Forum, from 1st to 3 rd
October 2020. DA

Show Review
latest trends
in dentistry in
indonesia
in modern endodontics, as well as design, material, and methods
for indirect posterior restoration. More than 4,000 attendees
attended the event to look for the latest dental solutions such as
CEREC Primescan intraoral scanner, as well as software supported
with artificial intelligence offered by Dentsply Sirona Indonesia.
These are in addition to surgical instruments and medical devices
from China, Germany, and South Korea.
Following the inaugural edition in 2017, the second
Indonesian Dental Exhibition & Conference was held
from 13 th to 15 th September 2019 at Jakarta Convention
Centre where 232 brands and companies from across
18 countries exhibited at the show.
“Dental professionals are constantly looking to update and
improve their knowledge and skills,” said Diono Susilo, chairman of
IDEC 2019.
“As an extension of IDEM Singapore, IDEC plays an important role
in bridging the gap between international companies looking to
enter the Indonesian market and vice versa,” said Mathias Kuepper,
managing director of event organiser, Koelnmesse.
“Nonetheless, IDEM Singapore continues to receive strong support
from dental professionals in Indonesia, and the next edition in
2020 is no exception.” DA
“To meet this demand, IDEC’s scientific programme comprised of
diverse topics including the latest trends in dentistry.”
Visitors were graced with a range of seminars such as ‘Digital
solutions from scan body to restoration in full-mouth rehabilitation’
by Dr. How Kim Chuan; ‘New frontiers in peri-implant bone and
soft tissue management’ by Dr. Giorgio Tananella; and ‘Enhancing
the quality of fixed prosthodontics and restorative works’ by
Dr. Mohd. Muzafar Hamirudin.
At the hands-on sessions, experts demonstrated step-by-step
photography for direct restoration, shaping, cleaning, and packing
68
DENTAL ASIA NOVEMBER / DECEMBER 2019

70
2019
NOVEMBER
8 – 9 11 th Dental Facial Cosmetic Conference and Exhibition
Dubai, UAE
Website: www.cappmea.com/aesthetic
26 – 30 ADF 2019 – The French Dental Association Annual
Meeting
Paris, France
Website: www.adfcongress.com/en
DECEMBER
1 – 4 Greater New York Dental Meeting 2019 (GNYDM)
New York, USA
Website: www.gnydm.com
18 – 20 Thai Dental Show 2019
2020
Bangkok, Thailan d
Website: www.thaidental.or.th
FEBRUARY
14 – 16 MDA SCATE 2020 - 27th MDA Scientific Convention &
Trade Exhibition
Kuala Lumpur - Malaysia
Venue: KLCC - Kuala Lumpur Convention Centre
www.mda.org.my
20 – 22 155 th Chicago Midwinter Meeting
Chicago, IL - USA
Venue: McCormick Place West Building
www.cds.org/meetings-events/midwinter-meeting
MARCH
2 – 5 Dental South China 2020 - The 25 th Dental South China
International Expo
Guangzhou - China
Venue: China Import & Export Fair Panzhou Complex
www.dentalsouthchina.com/En
13 – 15 ADX20 Sydney
Sydney - Australia
Venue: ICC - International Convention Centre
www.adx.sydney
14 – 15 AADS 2020 - Advanced Asian Dental Summit
Manila - Philippines
Venue: Manila Hotel
aads2020.com
DENTAL ASIA NOVEMBER / DECEMBER 2019
Events Calendar
APRIL
24 – 26 IDEM Singapore 2020 - International Dental Exhibition
and Meeting
Singapore - Singapore
Venue: Suntec Singapore Convention & Exhibition Centre
www.idem-singapore.com
JUNE
5 – 7 SIDEX 2020 - The 17th Seoul International Dental
Exhibition & Scientific Congress
Seoul - Korea, South
Venue: COEX (Seoul Convertion and Exhibition Center)
www.sidex.or.kr
9 – 13 APDC 2020 - 42nd Asia Pacific Dental Congress
Colombo - Sri Lanka
Venue: BMICH Convention Center
www.slda.lk/apdc2020/index.php
AUGUST
14 – 15 The 2020 Dental Expo
Auckland - New Zealand
Venue: ANZ VIaduct Events Centre
www.dentalexpo.co.nz
SEPTEMBER
1 – 4 FDI 2020 - Annual World Dental Congress
Shanghai - China
www.fdiworlddental.org/events/fdi-world-dental-congress
23 – 26 IFEA 2020 - 12 th World Endodontic
Congress
Chennai - India
Venue: Chennai Trade Centre
www.ifea2020india.com
OCTOBER
8 – 10 ICOI World Congress 2020 -
International Congress of Oral
Implantologists
Sydney - Australia
www.icoi.org
8 – 11 DAMA 2020 - Dental Aesthetics Meeting
in Asia
Singapore - Singapore
Venue: Marina Bay Sands
www.dama.sg

Giving Back to Society
Henry Schein’s Pracce Pink programme advocates for the
global fight against cancer
To help dental and medical healthcare professionals raise awareness
and support a cure for breast cancer and other cancers, Henry
Schein is offering its customers a range of pink products including
healthcare consumables, practice supplies, and apparel. The
company’s global corporate social responsibility programme, Henry
Schein Cares, runs the international effort, named Practice Pink.
“The fight against cancer is everyone’s fight, and it is only by
joining together and leveraging our collective strengths that our
efforts will have the greatest effect,” said Stanley M. Bergman,
Chairman of the Board and Chief Executive Officer of Henry Schein.
“We at Team Schein thank our customers and supplier partners for
their support of the Practice Pink programme, and we look forward
to continuing to work toward our shared goal of a world free of
cancer.”
U.S.-based organisations supported by the programme include
the American Cancer Society, Cohen Children’s Medical Centre
of Northwell Health, Stony Brook Children’s Hospital, and the
Memorial Sloan Kettering/Henry Schein Cares Women’s Health
Centre. In Europe, the programme supports organisations such as
the Italian League for the Fight Against Cancer (LILT), Germanybased
Brustkrebs Deutschland e.V., and Federacja Stowarzyszeń
Amazonki in Poland. DA
Ivoclar Vivadent supports “Lanka Help” in Sri Lanka
In 1990, on a trip through Sri Lanka, Liechtenstein nationals Heinz
and Luisa Mülegg came across a preschool where a black packaging
material was used as a blackboard. It was there and then that the
couple decided to provide a proper blackboard for the school. This
was later followed by chairs and tables as well as replacing the
ramshackle mud hut, which had served as the school with its small
but stable structure.
A lot has happened since then. The private initiative has since
evolved into a non-profit organisation called “Lanka Help”.
to transport children to and from school and trying to convince
sceptical parents with the benefits of a formal education. For Lanka
Help, building awareness is a constant and important task as many
parents have accepted the fact that their children and them will live
out their lives as cheap unskilled labourers at the numerous tea
and rubber plantations in the country.
Despite the hard work and many successes, there is still much to
do for these children in Sri Lanka. And so, Ivoclar Vivadent aims to
continue supporting “Lanka Help” in its efforts. DA
Today, donations are available to finance
lunch packs for the children of various
educational institutions. In fact, for some
of them, the lunch pack was the only meal
they had for the day.
Donations were also used to build new
schools and homes for the children as
well as upgrade existing facilities. In many
cases, the donations were also required
to fund bursaries for
teachers and students
in an effort to keep
the schools running
properly. This is on top
of paying for shared taxis
Corporate Social
Responsibility
NOVEMBER / DECEMBER 2019 DENTAL ASIA 71

Advertisers’ Index
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Cantel Medical 45
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exocad GmbH 51
IDEM Singapore 2020 42
ITI World Symposium 2020, Singapore 59
Ivoclar Vivadent AG
Outside Back Cover
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liuyu@pabloasia.com
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Mectron S.p.A 17
Nobel Biocare Services AG 27
NSK Asia Inside Front Cover, 1
SCATE 2020 – Malaysian Dental Association 56
Shofu Dental Asia-Pacific Pte. Ltd. 15
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Inside Back Cover
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All rights reserved. Views of writers do not necessarily reflect the views of
the Publisher. No part of this publication may be reproduced in any form
or by any means, without prior permission in writing from the Publisher
and copyright owner. Whilst every care is taken to ensure accuracy of
the information in this publication, the Publisher accepts no liability for
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Publisher against all claims or suits for libel, violation of right of privacy and
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72
DENTAL ASIA NOVEMBER / DECEMBER 2019

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