Dental Asia November/December 2021

www.dentalasia.net 

NOVEMBER / DECEMBER 2021 

Under the Spotlight: 

Forging ahead to make the world smile 

Clinical Feature: 

Innovative dental implant solutions 

Behind the Scenes: 

Best strategies to jumpstart digital orthodontics 

Photo Courtesy of exocad

DentalCAD 

The powerful CAD software 

PASSION 

IS WHAT DRIVES US 

Imagine the CADABILITIES 

DENTAL ASIA NOVEMBER / DECEMBER 2021 51

I love using many different 

tools to create art. In my 

lab, I enjoy the infinite 

possibilities DentalCAD 

gives me. 

Carla Arancibia 

Dental technician 

and illustrator 

DentalCAD, with its cutting-edge features accelerated my 

lab’s workflows. Instant Anatomic Morphing adapts tooth 

anatomy in real time during anatomic tooth placement 

and AI detects facial features in Smile Creator, saving valuable 

time and boosting design speed. 

Explore how this powerful design software will 

make your life easier and improve your productivity. 

exocad.com/dentalcad

Contents 

DENTAL UPDATES 

6 Advertorial: Dental Technology 

Made in Germany 

36 

TRENDS 

18 Industrial design bridges the 

gap between technology and 

user 

20 Four tips on lowering risks to 

osseointegration 

22 Advertorial: Pay32: Clinic 

powered by artificial 

intelligence 

24 

UNDER THE SPOTLIGHT 

24 Forging ahead to make the 

world smile 

26 How digital technologies help 

Tee Hee Dental Works 

46 

62 

DENTAL PROFILE 

28 Dentsply Sirona continues to 

future-proof dentistry 

CLINICAL FEATURE 

31 Digital scans and human 

identification 

36 Innovative dental implant 

solutions 

42 Advertorial: CS MAR reveals 

pathology and reduces risk of 

misinterpretation 

USER REPORT 

46 Simplifying digital implant 

prosthetics 

49 Fast and predictable 

aesthetics with injectable 

composites 

54 Efficient conversion of a 

conventional complete 

denture to Straumann ® Pro 

Arch using Smile in a Box 

BEHIND THE SCENES 

60 More than a simple 

manufacturing alternative 

18 

61 Automatic denture cleaning that 

works 

62 Best strategies to jumpstart digital 

orthodontics 

IN DEPTH WITH 

66 Advancing oral prophylaxis 

67 Rolence Enterprise: Commitment 

to quality and added value 

68 Silicone hoses with spray water 

flow adjustment 

SHOW REVIEW 

76 Dentsply Sirona World 2021: The 

highly anticipated return of the 

Ultimate Dental Experience 

SHOW PREVIEW 

79 GC Corporation celebrates 

centennial anniversary and 

welcomes dental professionals 

to the Fifth International Dental 

Symposium 

80 Mectron Spring Meeting 

2022: The appointment with 

innovation 

REGULARS 

4 First Words 

70 Product Highlights 

81 Giving Back to Society 

82 Events Calendar 

84 Advertisers’ Index 

76 

2 

DENTAL ASIA NOVEMBER / DECEMBER 2021

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First Words 

A year of trailblazers 

Czarmaine Masigla 

Assistant Editor 

With the world wearied by the COVID-19 pandemic, developments 

to re-establish the pre-pandemic normalcy has now come 

to fruition as restrictions slowly eased. Regular testing, mass 

vaccination and continued social distancing measures mitigate 

the burden on the healthcare system, allowing us to live with the 

virus. 

It has been astonishing to witness this progress and how the 

dental industry has sustained the momentum to emerge 

stronger than ever from this challenging circumstance. 

PABLO SINGAPORE 

Publisher 

Publications Director 

Senior Editor 

Assistant Editor 

Graphic Designer 

William Pang 

williampang@pabloasia.com 

Jamie Tan 

jamietan@pabloasia.com 

Pang Yanrong 

yanrong@pabloasia.com 

Czarmaine Masigla 

czarmaine@pabloasia.com 

Jolin Tan 

jolintan@pabloasia.com 

For instance, Dentsply Sirona’s DS World 2021 concluded with an overwhelming 

success, connecting more than 7,000 world-leading experts, industry leaders, dental 

practitioners, and students in one memorable hybrid event (p.76). 

GC Corporation also celebrated its centennial anniversary this year alongside the 

announcement of its Vision 2031. In line with this milestone, the company is organising 

the Fifth International Dental Symposium in Tokyo, Japan, from 16 to 17 April 2022 to 

present the latest treatment concepts and practise techniques in the field (p.79). 

There is no stopping the dental industry especially with the open-minded and 

forward-thinking mentality of its practitioners as reflected in Dr Valerie Tey and Dr 

Keng Mun Wong utilisation of a fully outsourced digital workflow by Smile in a Box 

on a Straumann® Pro Arch protocol for the immediate conversion of a conventional 

complete denture into a fixed full-arch restoration (p.54). 

Dr Hanke Faust, on the other hand, shared how he optimised the advanced CS Metal 

Artifact Reduction technology of Carestream Dental’s CS 8100 to obtain a more 

accurate diagnosis and deliver a more predictable treatment to his patients (p.42). 

Indeed, the dental field has no shortage of innovations and evidence-based solutions. 

As the vibrant dentist of Teehee Dental Works, Dr Yang Xiao, emphasised: “Change is 

always happening, and you have the choice to either be proactive or reactive (p.26).” 

As we welcome the year 2022, let us make every step forward count, and embrace the 

uncertainty ahead with enthusiasm! 

LET’S CONNECT! 

Circulation Manager 

PABLO BEIJING 

General Manager 

PABLO SHANGHAI 

Senior Editor 

Shu Ai Ling 

circulation@pabloasia.com 

Ellen Gao 

pablobeijing@163.com 

Sharon Wu 

pabloshanghai@163.net 

HEAD OFFICE 

PABLO PUBLISHING & EXHIBITION PTE LTD 

3 Ang Mo Kio Street 62 #01-23 

Link@AMK, Singapore 569139 

Tel: (65) 62665512 

Email: info@pabloasia.com 

Website: www.dentalasia.net 

Company Registration No.: 200001473N 

Singapore MICA (P) No. 075/05/2019 

Malaysia KDN: PPS1528/07/2013 (022978) 

REGIONAL OFFICE (CHINA) 

PABLO BEIJING 

Tel: +86-10-6509-7728 

Email: pablobeijing@163.com 

REGIONAL OFFICE (CHINA) 

PABLO SHANGHAI 

Tel: +86-21-52389737 

Email: pabloshanghai@163.net 

@dentalasia 

Dr William 

Dr Choo Teck Dr Chung Kong Dr George 

Dr Fay 

Dr Clarence Prof Nigel M. 

Dr Anand 

Dr Kevin 

Dr William 

Dr Wong Li 

Dr Adrian U 

Dr Christopher 

Dr How Kim 

Dr Derek 

Prof Alex

invis is 

comprehensive 

care 

reimagined. 

Rethink comprehensive dentistry with pre-restorative orthodontic treatment. 

Invisalign treatment offers digital tools and support to help you design a more comprehensive treatment 

experience that works for your patients and your practice. 

Learn more about how you can become a provider today. 

5 

© 2021 Align Technology, Inc. All rights reserved. Invisalign, the Invisalign logo, among others, are 

trademarks and/or service marks of Align Technology, Inc. or one of its subsidiaries or affiliated companies 

and may be registered in the U.S. and/or other countries. | MKT-0005927 Rev A 


Dental Advertorial Updates 

Dental technology Made in Germany 

The German family business DÜRR DENTAL in Bietigheim-Bissingen is one 

of the few international market leaders in the dental industry. This year, the 

family business celebrates a momentous occasion: its 80 th anniversary. 

For 80 years, the brand DÜRR DENTAL 

has been known for its high-end “Made 

in Germany” products and technical 

innovations. How did it all start? With a root 

canal treatment and a broken dental drill. 

Frida Dürr, the wife of precision engineer 

Wilhelm Dürr, had to visit the dentist in the 

autumn of 1946. However, during the root 

canal treatment, the dental drill broke. Since it 

was very difficult to find new equipment after 

the war, the dentist had to finish the treatment 

manually. Knowing about Wilhelm‘s technical 

skills, the dentist gave his patient the broken 

drill to take home. Surprisingly, although 

Wilhelm had never repaired dental equipment, 

he managed to fix the drill and it all worked 

out. 

That was how Wilhelm, who ran a precision 

workshop with his brother Karl, discovered a 

gap in the market almost accidentally. From 

1948 onwards, the brothers established their 

business in the dental sector. Today, DÜRR 

DENTAL is one of the international leaders in 

the market, celebrating its 80th anniversary. 

A PIONEER AND RELIABLE PARTNER 

DÜRR DENTAL can look back on a successful 

company history. The name DÜRR DENTAL 

stands for innovation and a proud history of 

countless developments and enhancements 

in modern dentistry. The invention of the 

suction system enabled dentists to treat their 

patients lying down for the first time – a major 

step forward in dental care. DÜRR DENTAL 

has pioneered the development of effective 

spray mist extraction systems, in addition to 

the invention of oil-free compressors. DÜRR 

DENTAL has steadily refined and developed this 

technology and remained the industry specialist 

for the oil-free “heart of the practice” to this day. 

DÜRR DENTAL also has a pioneering role in 

value-preserving hygiene, low-pain therapy 

and products offering the best protection for 

the practice team and the patient. This position 

has been further strengthened in recent times. 

Milestones in imaging, such as image plate 

technology, round off DÜRR DENTAL’s extensive 

portfolio. 

SUCCESSFUL FAMILY BUSINESS 

DÜRR DENTAL is currently led by Martin 

Dürrstein, the third generation of the Dürr family. 

He continues to place great importance on 

innovation: “We strive to understand the dentists’ 

requirements and offer them exact and reliable 

solutions so that they can provide excellent 

treatment to their patients.” 

DÜRR DENTAL is known for innovative products 

such as the first suction unit or its long-time 

bestseller, the disinfectant Orotol. In general, 

the experts for dental technology offer products 

across four different ranges: compressed air and 

suction, imaging, dental care and hygiene, as 

well as prevention and therapy. 

At present, the team focuses on smart solutions 

for the dental practice 4.0. The experts are 

developing cloud-based software solutions and 

equipment, which can be connected and linked 

with each other. For example, VisaSoft Cloud 

allows the sharing of X-ray images quickly and 

directly with the lab. With VistaSoft 3.0, DÜRR 

DENTAL brings artificial intelligence into the dental 

practice and supports the practice team efficiently 

in their daily work. Numerous other pioneering 

techniques are currently being discussed and 

undergoing further development. Even after 80 

years, the pioneering spirit lives on at DÜRR DENTAL. 

DÜRR DENTAL also wants to pass on the 

necessary know-how in addition to selling 

products. Thus, DÜRR DENTAL Academy plays 

a crucial role for their business. It offers around 

140 seminars for dental staff, 

technicians and students 

around the year. 

“We accept responsibility 

with each product we sell 

in the dental field,” said 

Martin Dürrstein. “Therefore, 

it is essential for us to provide 

training, expertise and excellent 

service. Our customers’ and their 

patients’ satisfaction are of 

utmost importance to 

us.” DA 

Martin Dürrstein, 

CEO of DÜRR DENTAL 

6 


Discover the color ful world 

of Dürr Dental! 

www.duerrdental.com/80 

Dürr Dental celebrates its 80th company anniversary: Many innovations in dental 

practices can be traced back to developments from Dürr Dental. As a leader in quality 

and innovation, Dürr Dental supports dental practices and dental laboratories worldwide 

with its system solutions. Discover the colorful world of Dürr Dental and click 

through special moments of the 80-year company history. 

www.duerrdental.com/80

Dental Updates 

Align Technology announces exclusive supply and distribution agreement 

with Ultradent Products 

Align Technology, Inc., a leading global 

medical device company that designs, 

manufactures and sells the Invisalign 

system of clear aligners, iTero intraoral 

scanners and exocad CAD/CAM software 

for digital orthodontics and restorative 

dentistry, has announced an exclusive 

supply and distribution agreement 

with Ultradent Products Inc., a leading 

developer and manufacturer of high-tech 

dental materials, devices, and instruments 

worldwide. 

As part of the multi-year agreement, 

Align will offer Invisalign-trained doctors 

an exclusive professional whitening 

system with the leading Opalescence 

PF whitening formula from Ultradent, 

optimised for use with Invisalign clear 

aligners and Vivera retainers. 

The system will carry the co-branded 

name of “Invisalign Professional Whitening 

System – powered by Opalescence” 

and will offer the same great whitening 

outcomes and streamlined practice 

experience dental professionals expect 

from the Opalescence PF product during 

active tooth movement with Invisalign 

aligners, as well as during passive retention 

using Vivera retainers. The Invisalign 

Professional Whitening System will be 

commercially available globally in 2022. 

“A brighter, whiter smile is an important 

part of the Invisalign patient journey. In 

fact, a survey of North American Invisalign 

practices1 shows that half of their patients 

ask for teeth whitening during or after they 

complete Invisalign treatment,” said Raj 

Pudipeddi, chief product and marketing 

officer, SVP, and managing director of the 

Asia Pacific region at Align Technology. 

“We believe that by providing an all-in-one 

solution that combines a leading teethwhitening 

system with the most advanced 

clear aligner system in the world, we enable 

Invisalign-trained doctors to enhance 

their patients’ treatment experience with 

a seamless workflow that also enables 

practice efficiency and growth. We’re 

very excited to partner with Ultradent 

to offer the first professional whitening 

system optimised for use with Invisalign 

clear aligners and Vivera retainers. 

Invisalign system trained doctors can use 

Opalescence PF for in-office teeth whitening 

treatment and for doctor supervised athome 

whitening.” 

“We’re honoured to partner with Align to 

make the top professional teeth whitening 

products available to more clinicians and 

patients around the world,” said Dirk Jeffs, 

president and chief executive officer of 

Ultradent. “Providing Align with teeth 

whitening products, ideal for use with 

Invisalign aligners and Vivera retainers, is 

a considerable step toward our mission of 

improving oral health globally and we look 

forward to pursuing this mission together.” ■ 

Ultradent is an ISO13485 certified facility 

and will manufacture the products 

according to those standards. 

1 

2017 online survey of Invisalign doctors, 

data on file at Align Technology 

Amann Girrbach introduces fully automatic Ceramill Map 600+ 

The fully automatic Ceramill Map 600+, 

Amann Girrbach’s new scanner flagship 

for open articulator scanning, excels 

with outstanding precision for perfect 

restorations and optimally supports dental 

technicians in their work. 

The new high-performance scanner 

heralds the advent of Industry 4.0 in the 

laboratory. The intelligent software algorithm 

automatically assigns the upper and lower 

jaws, thereby eliminating the vestibular 

scan and up to 30% of the manual steps 

in the laboratory. Due to its integrated 

universal carrier plate for all common types 

of articulators, the Map 600+ saves timeconsuming 

plate changes and the intelligent 

scan height control automatically moves the 

object to be scanned into the best possible 

scanning area. 

In parallel, Amann Girrbach has equipped 

the Map 600+ with an Ultra HD camera. 

The highly sensitive industrial 3D sensor 

with blue light technology ensures 

outstanding depth of field and a 

scanning accuracy of four micrometres. 

The optimal use of the advantages of 

digitisation and a seamless workflow 

requires precise conversion of the model 

situation from the real articulator into a 

data set. 

The new, more efficient calculation 

algorithm also reduces the matching 

time by up to 35%, depending on the 

indication. This reduces the active waiting 

time of a scanning process by up to 25 

seconds. Depending on the indication, 

the Ceramill Map 600+ therefore provides 

time savings of between 15-38%. ■ 

8 


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SmileDirectClub allows new patent for innovative SmileBus concept 

SmileDirectClub, Inc., the next generation 

oral care company with the first medtech 

platform for teeth straightening, has 

announced that the United States Patent 

& Trademark Office (USPTO) will issue 

a patent on the company’s innovative 

SmileBus concept. SmileDirectClub’s 

investment in its SmileBus fleet and its 

SmileBus concept, which the USPTO 

has recognised as novel, underscores its 

commitment to its mission of increasing 

access to oral care. The patent will further 

strengthen protection for SmileDirectClub’s 

intellectual property as one of the 

methods for bringing premium, affordable, 

accessible oral care to more people 

through its telehealth platform. 

Since its launch in the United States in 

2018, SmileDirectClub’s fleet of SmileBuses 

has travelled across the continental US. 

Subsequently, a similar SmileBus concept 

was launched in the United Kingdom in 

2020. The US and UK fleets have made 

nearly 1,200 stops and empowered 

SmileGuides to take nearly 100,000 3D 

images to date, helping consumers get 

a smile that they love wherever they live, 

including the many areas without access 

to an orthodontist. 

“For far too long, access to orthodontic 

care was limited to only those areas 

that could support an in-person 

practice. Thanks to the SmileBus and 

SmileDirectClub’s industry-first telehealth 

platform for teeth straightening, more 

communities than ever now have a 

premium, affordable, accessible 

option,” said Susan Greenspon 

Rammelt, chief legal officer and 

executive vice-president of Business 

Affairs at SmileDirectClub. “We are 

pleased the USPTO has acknowledged 

the novelty of our SmileBus concept 

by allowing this patent. The SmileBus 

has helped thousands of people in the 

US and UK get started on their smile 

journey – many of whom live in ‘dental 

deserts’ without convenient access to 

orthodontic treatment.” 

This newest patent will join the 

company’s robust intellectual 

property portfolio, which includes 

SmileDirectClub’s patentprotected 

and innovative digital 

customer journey, ground-breaking 

advancements in the manufacture 

of clear aligners, award-winning 

whitening system and many other 

premium oral care offerings. ■ 

exocad’s ChairsideCAD is 2021 Cellerant Best of Class Technology 

Award Winner 

exocad GmbH (exocad), an Align 

Technology, Inc. company and a leading 

dental CAD software provider, was the 

2021 Cellerant Best of Technology Award 

winner for its ChairsideCAD, an openarchitecture 

CAD software for single-visit 

dentistry. This is the third consecutive year 

that ChairsideCAD has been recognised 

for this award. 

“We are honoured to receive this 

prestigious industry award from dental 

industry leaders once again for our 

best-in-class software solution, and 

we’re excited to share the power of 

ChairsideCAD with clinicians. This 

software can enhance the chairside 

design process, making it faster and more 

accurate,” said Larry Bodony, president 

of exocad America, Inc. “The intuitive 

design workflow of ChairsideCAD, plus the 

freedom to use any open hardware, makes 

this a fantastic tool to streamline even the 

most challenging cases.” 

exocad stands as the software of choice 

for leading manufacturers of dental 

CAD/CAM systems because it is flexible, 

reliable and intuitive. Dental professionals 

consistently turn to exocad software to 

streamline their workflows for a broad 

range of indications. 

Based on exocad’s renowned lab software 

DentalCAD, ChairsideCAD is the first 

complete open-architecture CAD software 

platform for single-visit dentistry. The 

software includes a step-by-step guide 

through the design process, simple 

integrations with a broad spectrum of 

devices and the ability to seamlessly share 

information between clinicians and labs. 

Since the inaugural presentation in 2009, 

the Cellerant Best of Class Technology 

Awards have grown to occupy a unique 

space in dentistry by creating awareness 

in the community of manufacturers who 

are driving the discussion in how practices 

operate now and in the future. The 2021 

Cellerant Best of Class Technology Award 

was judged by a panel of prominent 

technology leaders in dentistry. ■ 

10 


Study in JDE finds gender 

differences in dental students’ 

self-assessments 

Male dental students overestimate their performance more 

significantly than females, and both genders self-assess their 

skills more positively compared to scores given by faculty, 

according to a study published in the Journal of Dental Education 

(JDE), a peer-reviewed monthly journal that publishes a wide 

variety of educational and scientific research in dental, allied 

dental and advanced dental education. 

PIONEER SINCE 1985. 

A TRUSTED BEAUTY. 

The study, “The effect of gender on student self-assessment 

skills in operative preclinical dentistry”, focused on third-year 

dental students from six class years (Classes of 2016-2021), and 

its participants included students at the Harvard School of Dental 

Medicine, United States. 

“Recognising factors that affect self-assessment ability is 

important because dentists must learn to accurately evaluate 

their clinical work in order to improve through self-directed 

learning,” the authors wrote. “The results of this study illustrate 

that self-assessment skills differ between males and females, 

with males on average overestimating their performances to a 

greater extent than females in operative preclinical dentistry.” 

The results of the study, according to the authors, fall in line 

with previous studies that show gender differences in selfassessments 

in other health care training settings. The authors 

of the study are David L. Kornmehl, BS; Ruchika Agrawal, BS; 

Jacqueline R. Harris, BS; and Aisha K. Ba, BS (all with the Harvard 

School of Dental Medicine in Boston, MA, US); Eshani Patel, DMD 

(VA Loma Linda Healthcare System in Loma Linda, CA, US) and 

Hiroe Ohyama, DDS, MMSc, PhD, DMD (Department of Restorative 

Dentistry and Biomaterials Sciences, Harvard School of Dental 

Medicine, US). 

The student self-assessments used the same rubrics as faculty 

on four operative dentistry competency examination procedures: 

Class II amalgam preparation and restoration and Class III resincomposite 

preparation and restoration. The study found that the 

student-faculty (S-F) gap was 8.28% for males and 6.08% for 

females. The S-F gap is defined as the difference between the 

student’s self-assessment score and the faculty’s mean grade. 

“Knowledge of the findings in this study may allow faculty to 

be aware of how gender impacts self-assessment, which may 

impact curriculum design and implementation,” according to the 

article. “By recognising and addressing gender differences in selfassessment 

at earlier stages of dental training, a more equitable 

learning environment can be created. In addition to increasing 

faculty awareness, male and female students may be more 

attuned to their cognitive biases and become more conscious of 

them during self-assessment.” ■ 

VITABLOCS® 

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DENTAL ASIA NOVEMBER / DECEMBER 2021 11 

3591E_VITABLOCS_Gomez-Paris_95x250.indd 1 21.09.2021 10:58:43


DentalMonitoring launches ScanBox pro 

DentalMonitoring, the company that 

pioneered artificial intelligence in dental 

and orthodontic care, has launched the 

ScanBox pro . Built upon the success of 

their previous DM ScanBox, their latest 

FDA-registered innovation is a portable 

device that patients can take with them 

for precise AI-powered scans anytime and 

anywhere. 

This hardware accompanies the flagship 

software solution DentalMonitoring, a 

customisable cloud-based platform for 

remote clinical monitoring of orthodontic 

treatments designed to create a single 

automated workflow per patient and 

boost practice scalability. 

The device consists of two components 

— a cheek retractor tube designed to draw 

the cheeks and lips from the buccal and 

labial surfaces of the teeth and gums 

during scanning and a phone holder 

designed to accommodate a smartphone. 

Paired with the unique DM app for patients, 

the ScanBox pro offers: 

• Consistent imaging over time for precise 

tracking of treatment progress including 

aligners, braces and retainers of all brands 

• Excellent occlusal and lateral views, 

including molar occlusion 

• Increased portability 

• An adapted design for all patients from six 

years old 

• Easy storage capability with 41% less 

volume 

• Autoclavable capacity 

“We couldn’t be prouder to introduce our 

latest innovation as we continue to go 

further and break new ground with our 

solutions,” said Phillipe Salah, chief executive 

officer of DentalMonitoring. “The ScanBox pro 

is a game-changer for patients. It is 

lightweight, portable and can easily join them 

on-the-go, anywhere, for high-quality scans 

powered by the first and most robust AI in 

the industry. In turn, it allows doctors to have 

control at every stage of treatment and helps 

automate their workflow while enhancing their 

patient experiences.” 

The ScanBox pro is the newest addition to 

DentalMonitoring’s family of devices and 

software solutions including SmileMate, for 

engagement, triage and patient conversion; 

and DentalMonitoring, the only available AIbased 

remote monitoring solution available 

to both fixed and removable orthodontic 

appliances of all brands. ■ 

FDA grants 510(k) market clearance to Vivos Therapeutics’ mmRNA Oral 

Appliance 

Vivos Therapeutics, Inc., a medical 

technology company focused on 

developing and commercialising innovative 

diagnostic and treatment modalities for 

patients suffering from sleep-disordered 

breathing, including mild to moderate 

obstructive sleep apnoea (OSA), has been 

granted 510(k) market clearance by the 

US Food and Drug Administration (FDA) 

to its Vivos’ mmRNA (modified mandibular 

Repositioning Nighttime Appliance) device. 

This FDA clearance paves the way for 

expanded insurance reimbursement 

coverage for the mmRNA device, including 

Medicare, as well as for potential future 

government contracts and reimbursement 

from commercial payers that follow 

Medicare guidelines. 

More than one billion people globally 

and 54 million Americans suffer from 

sleep apnoea, 80% of whom remain 

undiagnosed. A serious chronic illness, sleep 

apnoea increases the risk of comorbidities, 

including high blood pressure, heart failure, 

stroke, diabetes, dementia and other lifethreatening 

diseases. Vivos’ oral appliances 

address the dental tissue anomalies and 

malformations known to be associated 

with OSA. Unlike current standard-of-care 

interventions, patients treated with the Vivos 

System typically complete their therapy in 

12 to 24 months and, in most cases, do not 

require lifetime intervention. 

“The FDA’s market clearance of Vivos’ 

newest device, the mmRNA appliance, 

represents a significant milestone in 

our ongoing efforts to provide the best 

possible treatment for people who 

continue to suffer needlessly from OSA, 

a debilitating condition that causes or 

contributes to a wide range of chronic 

health issues,” said Kirk Huntsman, 

chairman and chief executive officer 

of Vivos. “Next-generation products 

like the mmRNA are vital for allowing 

medical doctors and dentists to continue 

pushing forward in their joint mission 

to give patients a better alternative for 

effectively treating their OSA. Further, 

this FDA clearance for the mmRNA 

enables us to expand commercial 

insurance reimbursement, soon to 

include Medicare, making this a more 

cost-effective solution for patients 

suffering from OSA.” ■ 

12 


3Shape TRIOS 


Patient engagement 

you can sense. 

We’re creating an 

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Dentist, Chatswood, Australia 

Boost case acceptance by engaging 

– even more – with your patients. 

Together, TRIOS 3D color scans and the TRIOS 

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to show patients their unique dentition and 

help them understand their treatment needs. 

These visual tools make it easy to personalize 

patient experiences and address all their 

concerns. They’ll notice the difference. And 

you’ll feel the engagement. 

Explore more at 3Shape.com 



W&H Sterilization in Brusaporto, Italy, celebrates its production of 

100,000 sterilisers 

W&H Sterilization in Brusaporto, Italy, 

has reached a milestone of producing 

100,000 sterilisers. These sterilisers 

ensure the highest levels of hygiene 

and safety and fit in every workflow. This 

achievement is celebrated with the W&H 

community on social media alongside an 

exclusive competition where the winner 

will receive a W&H steriliser of their 

choice. 

ITALIAN INNOVATION 

Brusaporto is W&H’s know-how centre 

for sterilisers. An experienced 120-strong 

team guarantees excellent quality 

and compliance with medical device 

standards and only high-end devices with 

the best properties make it to the market. 

A steriliser leaves the factory every eight 

minutes and is delivered all around the 

world – now for the 100,000 times. 

W&H Sterilization has been manufacturing 

medical devices since 1999. The best-selling 

steriliser is without a doubt Lisa – the 

result of Italian passion and the first B type 

steriliser on the market. Lisa has become 

a real stand out product over the past two 

decades. With its innovative functionalities, 

it meets the highest medical standards and 

fits in seamlessly in every hygiene workflow. 

The Lisa has now been backed up by a 

range of other devices such as the Lara, 

Lina, Lyla and Lexa sterilisers for different 

practice requirement. ■ 

Premier Dental ® continues strong innovation push with four new inspired 

solutions 

Premier Dental ® , a global privately-held 

developer, manufacturer and distributor of 

dental and medical products, has discussed 

its 2021 innovation agenda, encompassing 

four new products that will provide dental 

professionals with important new solutions 

that help deliver efficacy, convenience and 

improved patient outcomes. 

Julie Charlestein, chief executive officer of 

Premier Dental, stated: “Even during the 

challenges of the COVID-19 pandemic, we 

remain committed to delivering meaningful 

innovations that help enable first-rate care 

from the dental community to patients 

worldwide. As an agile fourth-generation, 

family-run business, we continue to identify 

unmet or under-served customer needs 

and deliver differentiated new products that 

become standard-setting solutions in the 

marketplace.” 

The new products include: 

• Premier X5 Sectional Matrix System: 

Built as a complete, high-quality, fivecomponent 

system, X5 is designed to deliver 

reliability, convenience and better value. The 

anatomically-shaped matrices ensure proper 

contouring and tight contacts each time. 

The proprietary resin rings are strong, flexible 

and reusable for up to five autoclave cycles. 

Compatible with other wedges and matrices, 

X5 is easy to use compared to Tofflemire-type 

retainers. 

• BioGREEN Biodegradable Micro-Applicators: 

Strong and bendable, these are smart, 

environmentally-friendly alternative to 

traditional plastic micro-applicators. Made from 

a food production straw-by-product, they are 

biodegradable and compostable. Even the 

packaging is made from post-recycled Kraft 

paper to embrace the sustainability mission. 

• NexTemp ® Clear Temporary Resin Cement: A 

reliable temporary cement with firm retention 

that lasts between patient visits and can easily 

be removed when needed. It is the only eugenolfree 

resin cement with a proprietary potassium 

nitrate, chlorohexidine and fluoride formula, 

which studies show may help prevent post-op 

sensitivity. It is available in two shades: opaque 

and clear. 

• BioCoat ® Opaque Bioactive Pit & Fissure 

Sealant: Now in a new opaque white shade that 

fluoresces under a black light for easy verification 

of placement and sealant integrity, BioCoat 

remains the only bioactive resin pit and fissure 

sealant that delivers daily remineralisation. This 

technology provides the benefits of extended 

release of calcium, phosphate and fluoride ions 

to strengthen tooth enamel and protect against 

acid attacks. It features excellent handling and 

adhesion properties for reliable results. ■ 

14 





How a microscopic fungus could lead to a breakthrough in oral cancer 

research 

Microscopic fungus may have more to do 

with oral cancer and ageing than initially 

thought, according to new research from 

Case Western Reserve University, United 

States. Researchers from the School of 

Dental Medicine, Case Comprehensive 

Cancer Center and School of Medicine are 

hoping a new study can lead to a medical 

breakthrough in understanding certain 

types of oral cancer. 

Pushpa Pandiyan, an associate professor 

of biological sciences at the dental school, 

led a team of local researchers studying the 

function of specific T cells, known as Tregs, 

during the development of oral cancer in 

ageing mucosa — the moist inner lining of 

some organs and body cavities, such as 

the nose, mouth and lungs. Their findings 

recently appeared in Frontiers in Oncology. 

Pandiyan and the researchers examined the 

role of dectin-1, a cell’s pattern-recognition 

and immune receptor, and its ability to 

trigger an inflammatory response that 

resists fungal infection. Dectin-1 is among 

the fungi receptors that expresses on a 

host cell. Typically, human white blood cells 

have regulatory (Tregs) and myeloid derived 

suppressor cells, which curb the immune 

responses of cancer-fighting immune 

cells. Problems occur when these cells 

accumulate during tumour growth. 

“What we’re finding now is that the dectin-1 

receptor, usually responsible for antifungal 

immunity, is now responsible for 

accumulation of these cells at excessive 

levels in tumours,” she said. 

Researchers pointed out that the culprit is 

likely the result of immune cells somehow 

overreacting to fungal microbiota. 

Although dectin in normal levels serves 

as a protective measure, Pandiyan said 

excessive amounts can promote tumour 

growth “because of its ability to recruit 

immunosuppressive cells”. 

“Accumulation of these cells were much 

worse during ageing. Our bodies produce 

more dectin-1 the older that we get. In other 

words, anti-tumour defence mechanisms 

are weakened with age,” explained 

Pandiyan. 

While the research was limited to studying 

ageing oral mucosa, Pandiyan said the 

findings may have broader implications 

for additional cancer research: “We don’t 

know about other cancers yet, but in oral 

cancers, if there is dectin-1, there’s a better 

chance that anti-tumour cells can be 

staved off.” 

The research was funded by the Case 

Comprehensive Cancer Center’s Specialized 

Program of Research Excellence (SPORE) 

pilot programme. Other researchers 

involved in the work include: Natarajan 

Bhaskaran, Sangeetha Jayaraman, 

Cheriese Quigley and Prerna Mamileti from 

the School of Dental Medicine; Mahmoud 

Ghannoum and Quinton Pan, from the 

School of Medicine; Aaron Weinberg, from 

the dental school and Case Comprehensive 

Cancer Center; and Jason Thuener from 

the Case Comprehensive Cancer Center. ■ 

Neoss ® shows off innovation at work at the IDS 2021 

At the latest International Dental 

Show (IDS) 2021 in Cologne, Germany, 

Neoss held a press conference with 

special guest, Dr Marcus Dagnelid, a 

prosthodontist from Sweden. Neoss 

presented their past and present 

innovations and introduced their strategic 

partnership with Purgo Biologics that 

will expand the Bone Regeneration 

product line. Neoss ® made the 

announcement at IDS as part of the 

company’s continued support for 

Koelnmesse and the event. 

In 2021, Neoss ® has seen significant 

growth in sales and expansion 

into new business areas. The 

Neoss ProActive ® Edge implant 

and the NeossONE concept 

also received industry leading 

attendance and attention 

during its global campaigns. 

As well as investing heavily in 

continued innovation of the 

Neoss ® product lines, Neoss 

actively creates key strategic 

partnerships across the globe to 

better service their customers with an 

extended offering. 

The first product out of the Purgo 

Biologics partnership is THE Graft, a 

natural porous bone matrix that likens 

the physical and chemical aspects of 

the mineralised matrix of human bone. 

The exciting Xenograft product line 

will add new dimensions to Neoss ® , 

existing bone regeneration offering. 

Dr Dagnelid showed how THE Graft 

was utilised in his ridge preservation 

after tooth extraction. This can be used 

both within conventional dentistry 

as well as implant dentistry. This 

procedure is a real benefit for the 

patient and for the long-term success 

of the treatment. ■ 

16 


Henry Schein announces new 

distribution leadership structure 

Henry Schein, Inc., the 

world’s largest provider of 

health care solutions to 

office-based dental and 

medical practitioners, has a 

new organisational structure 

to accelerate the company’s 

strategic goals of enhancing 

customer experience and 

operational performance. 

→ THE REVOLUTIONARY 

INVENTION IN 

BONE SURGERY 

PIEZOSURGERY® touch 

The new structure seeks to harness the benefits of consolidating 

the management of Henry Schein’s Dental and Medical distribution 

businesses while continuing to increase the company’s exposure to 

faster-growing and higher-margin markets through organic growth 

and acquisitions. 

Henry Schein will create two groups to lead the management 

globally of its Dental and Medical distribution businesses, as 

follows: 

• The North America Distribution Group 

• The International Distribution Group 

→ best cutting efficiency and 

maximum intraoperative control 

→ perfect ergonomics 

→ over 90 inserts specifically 

designed for a wide variety 

of clinical applications 

→ more than 250 clinical and 

scientific studies 

“As part of the continuous operational improvement of Henry 

Schein, we have been pursuing a strategy called ‘One Distribution’ 

to more tightly integrate the management of our distribution 

businesses globally,” said Mr Stanley M. Bergman, chairman of 

the board and chief executive officer of Henry Schein, Inc. “One 

Distribution is designed to more fully leverage functions, talent, 

processes, and systems across Henry Schein’s distribution 

businesses to enhance our customer experience and maximise 

efficiency and performance.” 

The company will continue to focus on addressing customer needs 

by expanding its three specialty products and services businesses 

that participate in higher-growth, higher-margin markets, as 

follows: 

• Henry Schein One 

• The Global Oral Reconstruction Group 

• The Strategic Business Units Group 

“These three business groups reflect the company’s long-standing 

commitment to provide software, specialty products, and services 

designed to help customers operate more efficient practices and 

support clinical care, while contributing to the Company’s financial 

performance,” said Mr Bergman. “Our customers increasingly rely 

upon Henry Schein’s comprehensive offering of innovative solutions 

and services, along with our distribution network, for their success 

in a digital world. We look forward to continuing to advance the 

seamless, unified integration of our suite of products and service 

solutions.” ■ 

→ www.mectron.com 

DENTAL ASIA NOVEMBER / DECEMBER 2021 17 

ad_PStouch_dental_asia_95x250_en_201210.indd 1 10.12.20 14:42

Trends 

Karl Malmén, industrial design manager at Planmeca 

Industrial design bridges the gap 

between technology and user 

Every product is created to meet a need, and industrial design 

attempts to identify and address them. But what does it take to go 

from good to great industrial design? 

Kari Malmén, Planmeca’s long-time 

industrial design manager, has seen 

a fair share of the company’s product 

development over time and knows well 

what can make or break a product. With 

more than 33 years at the company, he has 

worked alongside Timo Silvonen, senior 

industrial designer; Toni Leinvuo, industrial 

designer; Tapio Laukkanen, Planmed’s 

industrial and UI design manager; Tero 

Pihlajamäki and Veli Rundelin, usability 

specialists; and Henni Palomäki, UX/UI 

designer. Malmén shares what it takes to 

get from good to great industrial design. 

AT THE CORE OF USER NEEDS 

According to Malmén, great design comes 

from bringing in industrial designers into 

the development process from day one. 

“You get the absolute best result when 

the designer gets to work on, with and 

around the concept from the outset,” said 

Malmén. “An industrial designer is an idea 

man, and this is the time when you both 

can and should vent your wildest ideas.” 

In developing high-tech medical devices, 

such as Planmeca’s dental equipment, 

maintaining the all-important user 

perspective is critical. This is where the 

industrial designer plays a key role in 

bridging the gap between the technology 

and the user. At Planmeca, this means, 

among other things, a good deal of 

legwork as the designers visit partner 

clinics to interview dental professionals, 

hear their thoughts and concerns and see 

them in action. 

“We try to go quite deep into the user role 

to get at the core of what they need from 

the device: what does the user do, what’s 

the workflow, what’s the currently available 

technology. Then there’s the patient angle: 

how does the device look and feel to the 

patient and what can we do to make them 

more comfortable. Because, as we know, 

the calmer the patient, the better the result,” 

explained Malmén. 

DESIGNING FOR THE BIG FOUR 

Dental technology has made gigantic strides 

forward in recent years in transforming the 

practice of dentistry. Interestingly, however, 

the major design principles in the industry 

have stayed largely the same. The driving 

engines remain the big four: ergonomics, 

usability, safety, and aesthetics. 

18 


“Something I’ve always said is that one 

design element is the seam, and that 

remains true to this day. You can’t put a 

seam just anywhere, you have to look at the 

bigger picture – what’s behind the seam, 

who needs to access that, for instance, for 

maintenance and how often. You have to 

understand the environment the product is 

for,” shared Malmén. 

It is no surprise, however, that customer 

expectations have changed, especially in 

terms of user experience (UX) and user 

interface (UI). 

He noted: “In the early days, the UI of a 

dental unit was basically just buttons and 

a membrane keypad, but since then we’ve 

entered this whole new visual world of 

graphic UIs, touchscreens and what not. 

People now demand the same kind of 

usability and intuitiveness of a dental unit 

UI that they would expect of a smartphone. 

That’s something that we industrial 

designers need to carry over to the product.” 

FUNCTION AND FORM 

According to Malmén, a great industrial 

designer has a good visual eye and knowledge 

of manufacturing techniques, is cooperative 

and can put their thoughts and ideas down 

on paper. 

Everything starts from defining the 

product requirements, which is followed by 

brainstorming and ideation. The mechanics 

designers then determine the construction 

and dimensions, while the usability specialists 

work on the user interface. Finally, the product 

is tested and refined in cooperation with 

partner end-users. 

Yet, although many types of industrial design 

follow a similar trajectory, designing health 

technology comes with a unique human 

factor that sets it apart from other products. 

Take a dental unit for example. One dentist 

may be looking for easy access to essential 

instruments, another for left-handed 

operation. Larger clinics and dental schools 

are likely to need customisation options, such 

as personalised settings that are easy to 

enable in any unit. Then there is the patient, 

who is probably hoping to feel as comfortable 

and safe as possible during a potentially 

uncomfortable treatment. Besides all that, 

everyone is looking for reliability that can be 

counted on for years to come. 

A cleverly designed dental unit can respond 

to all these needs while conforming to today’s 

ever-increasing medical device regulation. 

How does one get there? Through great design 

that respects and reflects user needs in both 

function and form. DA 

HIGH-PERFORMANCE 

DYNAMIC INSTRUMENTS 

SIMPLIFYING DENTAL MOTION 

TeKne Dental srl – Italy 

info@teknedental.com www.teknedental.com 


Trends 

Four tips on lowering risks to 

osseointegration 

With the increasing demands for dental implants, oral surgeon, Dr 

Annette Felderhoff-Fischer, offers four tips on avoiding early risks to 

osseointegration and how the Nobel Biocare N1 system can improve 

the treatment outcome. 

By Dr Annette Felderhoff-Fischer 

Dental implants have become an extremely 

successful therapy in recent years, both in 

partially edentulous and edentulous cases 1,2,3,4 . 

In order to continue and even improve this 

success for as many patients as possible, 

some basic considerations should be included 

in the procedure, starting with the indication 

and planning. Based on my clinical experience 

and the training I have been involved in and 

provided over the past 20 years, I have some 

advice on optimising your chance for success 

from the start. 

TIP #1: CARRY OUT DETAILED 

IMPLANT TREATMENT PLANNING 

Careful patient selection and well-founded 

planning are essential. Before each procedure, 

always check whether the patient is suitable 

for implant treatment based on their general 

medical history, periodontal condition and oral 

hygiene. In addition, I strongly recommend 

diagnosis and planning of the procedure with 

3D imaging and planning software. Bone 

volume can be analysed with CBCT and allow 

for implant selection in terms of length and 

diameter preoperatively, taking into account 

anatomical risk structures (Fig. 1). Furthermore, 

the planning takes the tissue management and 

the final prostheses into consideration, allowing 

you to optimise the planned implant placement 

based on the final treatment outcome desired. 

TIP #2: ASSESS BONE QUALITY 

BEFORE IMPLANT SITE PREPARATION 

Implant site preparation should aim to keep 

bone trauma to a minimum and assist primary 

stability. Therefore, site preparation requires 

knowledge of bone quality. A big challenge at 

this stage is the degree of guesswork that this 

entails. While the experienced implantologist 

might “feel” the bone quality with the first drill, 

if you are not an implant specialist or have less 

experience in implant treatment, you should 

regularly attend hands-on training to improve 

this ability, and I particularly recommend 

attending cadaver training courses. 

This knowledge is important because the 

drilling protocol is adapted depending on bone 

quality, to not over- or under-size the implant 

site. Conventional site preparation requires the 

use of multiple drills with different diameters 

which, together with irrigation, cause trauma 

to the surrounding alveolar bone 5 : a so-called 

“zone of death”. If the trauma is too great, 

which can occur especially in a lower jaw with 

predominantly cortical bone (bone quality I), 

osseointegration might be impeded. If the 

trauma is mainly around the platform, vertical 

resorption can occur. Excessive preparation of 

predominantly cancellous bone (bone quality 

IV) also leads to a lack of primary stability of the 

implant, and potentially early implant loss 6 . 

TIP #3: IMPLANT TORQUE AND 

PRIMARY STABILITY 

The next step is the selection of the implant 

itself, which is again influenced by bone quality 

and the preparation of the implant site. The 

choice of the implant (geometry, diameter, 

platform) and implant site preparation (underpreparation 

of the osteotomy) influences 

primary stability and is, therefore, an important 

factor for osseointegration 7 . A muchdiscussed 

figure is the torque value. High 

torque values are often viewed as positive for 

Fig. 1: Detailed treatment planning is crucial. 

CBCT scanning can be used to analyse bone 

volume 

immediate loading. However, overtightening 

may damage or fracture the implant and 

could cause necrosis of the bone site and 

early dental implant failure 6 . A 35Ncm 

value is often recommended as standard, 

however, I personally do not see the torque 

values of the individual implant systems as 

being comparable with one another, as the 

individual geometry of an implant causes 

different reactions in the bone. The implant 

manufacturer provides guidance on maximum 

torque values, and you should follow this. 

TIP #4: PASSIVE FIT 

A gap-free and tension-free connection 

between the implant and the superstructure, 

and regular follow-ups soon after treatment, 

alongside stable oral hygiene are important 

for success. You should aim for a gap- and 

tension-free prosthetic reconstruction, both 

with immediate loading and with delayed 

restorations. If this is not the case, vertical 

bone loss or screw loosening occurs and 

results in peri-implant complications. 

20 


Trends 

Particularly with connections featuring a 

deep cone, taking an impression of multiple 

implants carries the risks of inaccuracies 

and tension, which should be taken into 

account when planning a screw-retained 

restoration. If screw loosening occurs, the 

restoration must be removed, the cause 

determined, and a new original screw of the 

implant system inserted again. 

NOBEL BIOCARE N1 DENTAL 

IMPLANT SYSTEM 

Assessing bone quality: How can site 

preparation with the Nobel Biocare N1 

implant system help? 

One of the critical factors in treatment 

planning and site preparation is the 

assessment of bone quality. Regardless of 

pre-surgical investigation, clinical decisions 

are often dependent upon tactile and visual 

judgement during surgery. Unfortunately, 

this is a skill that can only be acquired 

through experience 8 . 

This is one of the drawbacks that the Nobel 

Biocare N1 surgical protocol has been 

designed to address. After creating a pilot 

osteotomy with the OsseoDirector, the 

OsseoShaper site preparation instrument 

shapes the osteotomy at low speed and 

matches the shape of a co-packed implant. 

This protocol provides a gauge to indicate 

bone quality, minimising guesswork and 

decision making. If the OsseoShaper 1 

instrument can be fully seated at the 

planned depth, the implant can then be 

placed. In a survey of clinicians, the implant 

could be placed after just these two steps 

in the majority of cases – 87.8%*. 

If OsseoShaper 1 does not reach the 

planned implant depth before achieving 

a torque of 40Ncm, the OsseoShaper 

2 instrument can be used. If the same 

also occurs with the OsseoShaper 2 

instrument, then the N1 Twist Drill can 

be used (Fig. 2). Not only does this assist 

clinical decision making, but because the 

instrument operates at low speed and 

without irrigation, it has been shown to 

create less trauma, leading to earlier bone 

formation compared to conventional highspeed 

techniques 5 . It has been designed to 

preserve vital bone chips in the osteotomy 

to promote fast osseointegration. 

Fig. 2: Torques generated using the 

OsseoShaper concept guide the surgical 

workflow, assist in bone evaluation, and 

provide an early prediction of implant 

stability. Based on a survey of clinicians, the 

majority of cases require just two steps in site 

preparation before implant placement 

Why have I chosen to use the N1 implant 

system? 

As an oral surgeon, I am fascinated by the 

biological benefits of gentle implant site 

preparation based on osseointegration 

research by the team led by Prof Jill Helms. As 

well as knowing that bone experiences less 

biological trauma compared to conventional 

techniques, I also find the clinical procedure 

much simpler; and based on patients’ 

feedback, that the reduced noise and vibration 

makes it more comfortable for them. Coming 

from navigated implantology in which the 

drills are guided through sleeves, I also like 

minimising guesswork when not using guides. 

The OsseoDirector indicates direction, and 

the OsseoShaper and implant follow. In most 

cases, I can place the implant in just these 

three steps. I like the simplicity, and the 

benefits it brings to my patients. DA 

REFERENCES 

1 

Simonis P, Dufour T, Tenenbaum H. Long-term 

implant survival and success: a 10-16-year follow-up 

of non-submerged dental implants Clin Oral Implants 

Res; 2010 Jul;21(7):772 Read on PubMed 

2 

Wennerberg , Alrektsson T, Chracanovic B. 

Long-term clinical outcome of implants with 

different surface modification. Eur J Oral Implantol 

2018;11(Suppl 1): S123–S136 Read on PubMed 

3 

Karl M, Albrektsson T. Clinical performance of dental 

implants with a moderately rough (TiUnite) surface: 

a meta-analysis of prospective clinical studies. Int J 

Oral Maxillofac Implants 2017;32(4):717–734. Read on 

PubMed 

4 

Malo P, de Araujo Nobre M, Lopes A, et al. The Allon-4 

treatment concept for the rehabilitation of the 

completely edentulous mandible: A longitudinal study 

with 10 to 18 years of follow-up. Clin Implant Dent 

Relat Res 2019;21(4):565-577. Read on PubMed 

5 

Chen, C.-H.; Coyac, B.R.; Arioka, M.; Leahy, B.; Tulu, 

U.S.; Aghvami, M.; Holst, S.; Hoffmann, W.; Quarry, A.; 

Bahat, O.; Salmon, B.; Brunski, J.B.; Helms, J.A. A Novel 

Osteotomy Preparation Technique to Preserve Implant 

Site Viability and Enhance Osteogenesis. J Clin Med. 

2019 Feb 1;8(2):170 Read on PubMed 

6 

Ikar M, Grobecker-Karl T, Karl M, Steiner C. Mechanical 

stress during implant surgery and its effects on 

marginal bone: a literature review Quintessence Int. 

2020;51(2):142-150 Read on PubMed 

7 

Fawad Javed, George E. Romanos, The role of 

primary stability for successful immediate loading 

of dental implants. A literature review, J Dent., 2010 

Aug;38(8):612-20 Read on PubMed 

8 

Velikov S, Susin C, Heuberger P, Irastorza-Landa A. 

A New Site Preparation Protocol That Supports Bone 

Quality Evaluation and Provides Predictable Implant 

Insertion Torque. J Clin Med. 2020;9(2). Read on 

PubMed 

*303 implants in 160 patients using CE-marked 

pre-launch portfolio. April 2019 – May 2020. 

Data on file. 

Disclaimer: Some products may not be 

regulatory cleared/released for sale in all 

markets. Please contact the local Nobel Biocare 

sales office for current product assortment and 

availability. See Instructions For Use for full 

prescribing information, including indications, 

contraindications, warnings and precautions. 

About the author 

Dr Annette 

Felderhoff- 

Fischer is an oral 

surgeon with a 

referral practice 

for oral surgery in 

Munich, Germany, 

and has been working in the field 

of implantology for over 25 years. 

As a trainer and speaker, she 

has a special focus on navigated 

implantology. 


Advertorial 

Trends 

Pay32: Clinic powered by 

artificial intelligence 

Cloud-based solution digitising clinics’ inventory data and vendor 

payments. 

Industry watchers asserted that the current 

pandemic crisis could wholly change 

the clinical and dental practice sector. 

Furthermore, it could also change its role in 

healthcare systems globally. The bottom line is 

to maintain the momentum established during 

the pandemic. 

At present, Malaysia is pushing its medical 

and dental healthcare industry and there is 

a greater demand for dental supplies that 

are not readily available due to supply chain 

disruption. In fact, according to a Google and 

Temasek market study from 2020-21, there 

has been five times growth in the search 

trend for “online selling-related queries” in the 

region, possibly attributed to the lockdowns. 

Due to this growing need, Lumiere32, a 

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Asia, has bridged the gap by introducing 

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range of products and discounts, delivered to 

them in just three to five days. 

With a secure online platform, a vast array of 

products, and a passionate team, Lumiere32 

has already become Singapore’s leading dental 

supplies marketplace and is now envisioning 

a similar experience of high-quality products, 

and services to the Malaysian dental fraternity. 

A spokesperson from Lumiere32 said: “In 

the second quarter of 2021, we launched 

Lumiere32 in Malaysia to connect suppliers 

and healthcare professionals digitally but we 

realise how difficult it is to ‘manage inventory’ 

for all healthcare professionals. To solve this 

problem, Lumiere32 came up with one solution 

named Pay32 Clinic, a cloud-based software 

that makes inventory data and vendor 

payment processing a not so time-consuming 

and complicated task to manage.” 

According to the Lumiere32 Singapore Dental 

study, more than 75% of clinics have been 

spending six hours and more to manage and 

order supplies in a week, and 90% of private 

clinic owners are still writing more than 30 

cheques in a month to settle vendor payments. 

With Pay32 Clinic, users can digitise 

inventory data and vendor payments; do 

a straightforward tracking of the product 

expiration dates; optimise clinic inventory 

and control the bottom line seamlessly; track 

vendor payments and acquire clear records. 

Pay32 Clinic has helped a lot of clinics to go 

digital in Singapore, and its launch in Malaysia 

by the fourth quarter of 2021 is already 

underway. 

Lumiere32 is confident that Pay32 Clinic can 

address the struggles of dental clinics in 

managing tasks manually. Interested parties 

may visit https://www.pay32clinic.com/ for 

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https://www.pay32clinic.com/clinic-request. 

Pay32 Clinic offers a six-month free trial on 

board with the new normal (Note: Pay32 clinic 

is currently available in Singapore market 

only). DA 

22 


Trends 

Hybrid Event 

THE 

5 TH INTERNATIONAL 

DENTAL SYMPOSIUM 

2022.4.16 17 

100 th ANNIVERSARY 

of GC CORPORATION 

SAT 

SUN 

[Location] Tokyo International Forum 

Some sessions will be broadcasted online 

Changes might occur due 

to COVID-19 pandemic 

GC official 

website 

and app 

23 

DENTAL ASIA NOVEMBER / DECEMBER 2021 

GC Get 

Connected 


Under the Spotlight 

Forging ahead 

to make the 

world smile 

Dr Otani Kazunori, a 

prosthodontist and director of 

Otani Dental Clinic, has more 

than two decades of dental 

practice. Passionate in restoring 

and maintaining oral function, 

he shares a glimpse of his career 

and what dental professionals 

can expect from his lecture in 

the upcoming Fifth International 

Dental Symposium on 16 to 17 April 

2022 in Tokyo, Japan. 

What are the factors that have 

influenced your decision in pursuing a 

career in dentistry? 

Dr Otani: My father is a dentist, and I grew 

up in an environment where his dental 

clinic was located on the same premises 

as my home. Since then, I started thinking 

about dentistry as a career option. I was 

also influenced by the daily clinical training 

and clinical inquisitiveness of the senior 

students in the Department of Crown and 

Bridge programmes at Nihon University 

School of Dentistry, Japan, where I was 

enrolled after my undergraduate degree. 

Why did you choose to specialise in 

prosthodontics, and what is the most 

fulfilling aspect of it? 

I have been interested in the field 

of prosthodontics since I was an 

undergraduate student, so I joined the 

prosthodontics programme at graduate 

school. The professor of that course took 

good care of my extracurricular activities 

(club activities) in university. 

Currently, patients with various complaints 

visit my daily clinical practice. Most of the 

treatments is for missing tooth or teeth, 

but some patients may be treated for the 

entire jaw. In full-mouth reconstruction, 

defect treatment on an oral basis and 

recovery of function must be considered. 

When I get the expected treatment results, 

I feel glad that I gained experience in 

handling those cases by specialising in the 

prosthodontic field. 

What is the most challenging case 

you have handled, and how did you 

overcome it? 

A symptomatic TMJ patient had a difficult 

case of a full-mouth reconstruction 

with occlusal height modifications. We 

were able to overcome this problem by 

adapting a diagnostic splint, pursuing 

jaw position by occlusal analysis, and 

setting the final prosthesis after multiple 

evaluations with provisional restorations. 

As chairman of the Study Group 

Esthetic Explorers, what is your 

vision for it? 

Since many young dentists participate 

in this study group, I am conscious of 

organising a study group that is not 

biased towards any particular field, 

but rather provides a good balance 

of prosthetic treatment, conservative 

treatment, periodontal treatment, and 

implants. I hope that dentists of the 

study group will be able to increase the 

number of their treatment options. 

24 



With the advent of digital technologies, 

how has your practice, Otani Dental 

Clinic evolved? 

I have not yet been able to actively introduce 

digital technology in my chairside work, but 

I am beginning to use it for the fabrication 

of prosthetics. As a result, the quality of 

prosthetics has improved and the choice of 

materials has increased. 

How do you keep yourself updated with 

the latest technologies and techniques? 

I update myself on new technologies and 

treatment techniques as soon as possible by 

reading dental journals, attending seminars, 

and participating in hands-on seminars. 

Recently, I have also been attending more 

web seminars. 

What is your view on minimally invasive 

treatments? 

I propose minimally invasive (MI) treatment 

to patients not only for dental conservative 

treatment but for prosthodontic and implant 

treatments too. I believe that MI treatment 

can extend the life of the teeth because it 

can preserve sound tooth structure as much 

as possible. 

indispensable in the future because not all 

patients will have the mobility to visit a dentist. 

What do you hope future dental 

innovation will achieve? 

We hope that further innovations in digital 

technology will lead to the mechanisation 

(e.g., surgical robots) of precise treatment in 

the oral cavity (caries treatment, root canal 

treatment) by direct methods. 

Can you give us an overview of 

your lecture in the upcoming Fifth 

International Dental Symposium and its 

relevance in today’s practice? 

In the Fifth International Dental Symposium, 

I will talk about the clinical application of 

adhesive bridges for the prosthetic treatment 

of single tooth defects. Thus far, conventional 

three-unit bridges or implants have been the 

most common treatments for single missing 

anterior teeth. Since around 2013, I have been 

actively applying adhesive bridges, which are 

less invasive than other treatments, in clinical 

practice. I am convinced that the adhesive 

bridge has joined the list of treatment options 

with high patient satisfaction. 

What excites you the most about this 

event? 

I am looking forward to learning about 

the current trends in dentistry around the 

world. 

As we move forward from the 

pandemic situation, what do you think 

is the best lesson to take away? 

It is necessary to adapt constantly in 

response to the rapid changes in society. 

Any other closing message for our 

readers? 

Many dental events have been postponed 

or cancelled, and in this day and age, 

there is a lot of negative information flying 

around. However, just as the rain always 

stops, there will always come a day when 

the sky is blue and the sun is shining. I 

am looking forward to enjoying the Fifth 

International Dental Symposium with you. 

Let’s meet on that day. DA 

Interested participants may visit 

https://www.gcdental.co.jp/100thsymposium/ 

for more information. 

Could you share with us on the three 

must-have devices, systems or 

materials that have been useful for your 

practice and why? 

G-CEM ONE, the self-adhesive resin cement, 

is very convenient because it can be used 

to set not only ceramic inlays made with 

LiSi Press (lithium disilicate) but also various 

restorations with one cement. In addition, 

the G-Multi PRIMER is a primer that can be 

applied to all major restorative materials 

currently being used, so the dentist does not 

have to use individual primers. The progress 

and simplification of the bonding system will 

not only lead to more effective treatment 

but also to a more stable prognosis, which 

will be of great benefit to the patient. Lastly, 

G-Fix is useful for anchoring mobile teeth, 

and because it is a composite resin with 

a little toughness, it is sometimes used 

for reinforcing and splinting provisional 

restorations. 

How do you think an ageing society will 

impact dentistry in the years to come? 

We believe that home visit dentistry will be 



How digital technologies help 

Tee Hee Dental Works 

In this digital era, technology and enhanced patient 

experience often go hand in hand. From contactless 

payment to fast and efficient dental treatments, the 

possibilities are endless. For practitioners like Dr 

Yang Xiao, he beams with optimism as he explores the 

potentials of digital dentistry. 

Dr Yang Xiao, dentist at Teehee Dental Works 

Influenced by his father, an automotive 

engineer, Dr Yang Xiao developed a passion 

for craftwork and experimenting with new 

technologies from an early age. Deciding to 

pursue dentistry though is another interesting 

story. 

He recalled: “My fondest memories as a child 

were the times I spent with my father fixing 

model bikes and aeroplanes. Funnily enough, 

I stumbled across dentistry through a chance 

encounter, around the time I had to pick 

my university degree as a teenager. I spent 

an afternoon with a friend’s dad who was a 

dentist and he shared with me how the job 

was both hands-on and people-oriented. It 

sounded wonderful.” 

Now the owner of Teehee Dental Works 

Singapore, Dr Yang graduated from King’s 

College London, UK, and was awarded the 

A.H.R. Rowe Prize for clinical excellence. 

The prestigious British Endodontic Society 

also awarded him a National UK Prize for 

demonstrating excellence in root canal 

treatment. 

Humbled by these achievements, he shared: 

“Given the standard of work by many of the 

other dentists, I think it was a combination 

of luck and determination to have won these 

awards. I enjoy trying new things to challenge 

myself and I was fortunate to have been 

recognised for trying.” 

On top of this, Dr Yang enjoys educating not 

just his patients but also the general public 

on the importance of good oral health. Thus, 

with the advent of digital technologies that 

can enhance communication with the patient 

and improve their overall experience, Dr Yang 

is enthusiastic as he shares his journey in 

embracing digital workflow. 

ONE FOR ALL, ALL FOR ONE 

As a clinic owner and a practising dentist, Dr 

Yang’s role entails a lot of responsibility, such 

as attending to his patients and managing the 

clinic while continually bettering himself as a 

practitioner. For this reason, he is most grateful 

to see how his supportive team members grow. 

“I’m very lucky that my team has stuck by 

me through the good times and bad times. 

I would like to give special thanks to Chin, 

our clinic manager, for supporting our desire 

to continually introduce change and new 

technologies into the clinic. I would also like to 

thank Naufal, our resident dental technician 

for his top-notch lab work. I think that’s 

really important when implementing new 

technologies to improve patient outcomes – 

you need a team who believes and supports 

you through all difficulties,” he shared. 

In fact, even before COVID-19, their team at 

Teehee Dental Works had built a new clinic 

with a self check-in system. 

Dr Yang, said: “This allowed us to function 

well when the pandemic hit, given our 

systems were already equipped to provide 

a completely contactless experience for our 

patients. We also invested early on in robotic 

arms to automate our production process 

in our laboratory and that has been really 

helpful in improving our productivity and 

efficiency.” 

With these systems in place, Dr Yang takes 

pride in watching his patients leave the 

clinic happy. He revealed that addressing his 

patient’s problems and concerns is always a 

“wonderful and fulfilling feeling” for him. 

26 



THE FUTURE IS NOW 

As a practitioner, Dr Yang is an advocate of 

preventive and minimally invasive dentistry. 

He believes that communication is a key factor 

in the success of his treatments. With digital 

tools, he is more confident in providing a better 

patient experience, ensuring they are always 

on the same page every step of the treatment. 

“With the introduction of 3D printing and new 

CAD software in recent years, I am able to 

show the patient an almost exact replica of 

the final result even before treatment begins 

through the use of digital simulations or 

through 3D-printed mockups. It is a great 

communication tool which allows patients to 

visualise the treatment plan along with me, and 

give instantaneous feedback,” he said. 

Though a game-changer in improving 

the workflow in the clinic, digital tools and 

technology have a steep learning curve. Dr 

Yang acknowledges this, and he constantly 

immerses himself in learning the ropes. 

He shared: “Firstly, continuing education is 

really important – I love hearing how other 

dentists are overcoming their problems and 

coming up with great innovative solutions. 

Secondly, having a good relationship with 

your suppliers is essential – this means being 

open to try out new equipment and learn how 

new technologies can improve your existing 

workflows. Lastly, having a network of dentists 

to bounce ideas off is invaluable – I found 

it particularly rewarding working with other 

dentists (both local and international, for some 

different perspectives) and sharing new ideas.” 

Dr Yang said that these new ideas often lead 

to new solutions that solve old age problems 

more creatively and improves patients’ 

experience. For instance, the NextDent 5100 

3D printer from 3D Systems has tremendously 

improved his practice. He partnered with 3D 

Systems because they offer a wide selection 

of complete digital dental solutions to match 

specific patient requirements with their digital 

scalable workflows, materials and software. 

and retainers. We have four of these units 

because they are just so reliable and good 

to use. Our reputation as a clinic and lab is 

dependent on the quality of work we produce 

so consistency and reliability are keys.” 

Dr Yang also added that the clinic has two 

intraoral scanners to streamline their workflows 

together with a robotic arm. 

“Our Kuka robotic arm, affectionately termed by 

the team Naulfina, does all the pressure forming 

for dental models, for example, clear aligners 

and clear retainers. It’s also constantly in use 

and one of the centrepieces at our clinic,” he 

said. 

At present, the team is looking forward to the 

new 3D Systems’ NextDent Ortho Flex resin 

for making splints, as they heard a lot of great 

reviews about it. 

Dr Yang shared with enthusiasm: “We are really 

excited to try it here in Singapore when it lands 

on our shores!” 

MAKING STRIDES IN TREATMENT 

Moving forward, Dr Yang sees a positive trend in 

correcting malocclusions and that the demand 

for clear aligners is set to increase in the years 

to come leading to potentially higher costs. 

However, he added: “With the advancements 

being made in the spheres of 3D printing 

and CAD software, I am confident that 

the manufacture of clear aligners will also 

concurrently become more affordable and 

accessible to a wider number of dental 

practices. This will hopefully help to improve 

access to treatment for patients at lower costs.” 

In line with this, Dr Yang shared that patients’ 

perception of treatment might also change as 

they will be expecting their dentists to be able 

to offer more conservative, economical, and 

efficient solutions. He also noted that tapping 

digital marketing channels is substantial, 

especially for new practices in growing their 

practice as fast as possible. 

prepare for this is to test and try new ways 

of doing things now,” he said. 

Dr Yang keeps an open mind to new 

possibilities and aspires to be an inspiration 

to other practitioners too in achieving their 

fullest potentials. He also strives for work-life 

harmony so he can always present the best 

version of himself to his patients. 

“Change is always happening and you have 

the choice to either be proactive or reactive. 

You have to change before change changes 

you,” he advised. 

To end with, Dr Yang concluded: “I’d like to 

share a quote from Winston Churchill that goes 

’Success is not final and failure is not fatal, it’s 

the courage to continue that count’. I wish 

everyone reading this good health and that 

they may find the happiness they seek!” DA 

3D Systems’ NextDent 5100 3D Printer 

High precision stacked printing on 

NextDent 5100 

He explained: “We would not have been able 

to start our clinic lab without these wonderful 

printers. They print equipment which are 

absolutely essential to our work, from wax-up, 

study models, 3D printed splints, clear aligners 

“I look forward to embracing these challenges 

to come. I believe automation is going to be 

huge in dentistry like it is already becoming in 

many other industries. I believe we will be able 

to do much more with less. And the best way to 

3D Systems’ NextDent Ortho Flex for 

splints and retainers 


Dental Profile 

Dentsply Sirona continues to 

future-proof dentistry 

With the recent success of DS World 2021, 

Dentsply Sirona has once again secured 

their foothold as one of the leading dental 

companies around the globe. Dr Terri Dolan, 

the company’s chief clinical officer, talks 

about the latest ground-breaking technology 

from Dentsply Sirona and how the team 

continuously supports practitioners as the 

industry reopens. 

Dentsply Sirona’s pioneering role throughout 

its history has transformed dental practices 

worldwide. From developing complete solutions 

that seamlessly integrate hardware and software 

to optimising practice efficiency, the company 

has tremendously helped dental professionals 

deliver the best possible treatment and care to 

their patients. 

Inspired by this vision and success, Dr Terri Dolan 

takes pride in her role as the chief clinical officer 

of the company since 2013. With her background 

as a dentist and experience as a professor 

and dean of the University of Florida’s College 

of Dentistry (United States), she is the voice 

of clinicians and technicians within Dentsply 

Sirona, responsible for ensuring that they 

comply with regulations and ethical standards 

so customers will feel confident in their products 

and services. 

“In dentistry, we have a wonderful opportunity 

to help people maintain or restore healthy 

teeth and beautiful smiles. I have always been 

fascinated about how dentists are able to 

accomplish so much through their expertise 

in science, clinical skills, art, and of course, 

the use of modern technology. With the 

increasing evidence demonstrating the 

importance of oral health to overall health 

and well-being, I was most excited about 

joining a leading company with a vision to 

transform dentistry to improve oral health 

globally,” she shared. 

Dr Dolan oversees professional education 

activities and supports clinical initiatives 

and strategies of each Dentsply Sirona unit. 

She enjoys having a diverse and inclusive 

work environment and culture; and finds 

it incredibly fulfilling to be involved in 

the company’s support for student-led 

research through the Student Competition 

for Advancing Dental Research and its 

Application Awards (SCADA), which Dentsply 

Sirona helped initiate in 1959 and is cosponsored 

by the American Association for 

Dental, Oral and Craniofacial Research. 

“I truly enjoy working closely with experts 

from across the entire spectrum of dentistry 

around the world and collaborating with 

universities, dental schools and dental 

organisations to ensure that the courses 

and programmes we offer are not only of 

the highest quality but meet the needs of dental 

professionals today,” she said. 

ROAD TO RECOVERY 

Safety for the practitioners and their patients is 

of utmost importance as the industry recovers 

from the impact of COVID-19 pandemic. With 

their infection control solutions, Dentsply Sirona 

has made it possible for dental practitioners to 

re-open their practices confidently. 

According to Dr Dolan, safety begins with 

a comprehensive and thorough infection 

prevention concept. Consequently, Dentsply 

Sirona builds hygiene and infection prevention 

into their design language. 

She explained: “For example, Dentsply Sirona 

products have very smooth surfaces and are free 

from stylistic elements that could make cleaning 

challenging. Gaps and cracks are also avoided so 

that dirt and debris cannot get trapped in difficult 

to access areas. Our dental treatment centres 

are designed and equipped with materials that 

prevent moisture from penetrating into the chair 

and they even let the dentist or assistant know 

28 


that the hoses should be flushed for at least 

20 seconds after every patient’s appointment. 

Parts such as light handles and trays are 

removable so that they can be properly 

disinfected separately between uses.” 

Dr Dolan also highlighted how their intraoral 

scanner, Primescan, proved to be a true 

all-rounder as it ensures high-quality 

digital impressions and exceeds minimum 

recommended hygiene guidelines. 

“It is the only scanner that provides a variety 

of disinfection and sterilisation procedures 

with three different sleeve options. Thanks to 

the smooth surfaces of Primescan and the 

acquisition centre, the hygienically critical 

areas, which are often difficult to clean, can 

be reprocessed safely, quickly and easily,” she 

added. 

In achieving highest level of safety, Dr Dolan 

noted that the practice design can also 

influence the workflow to make cleaning even 

easier. 

“I would recommend having a sterilisation 

room that is located quite centrally, so that 

the team has short distances that ideally 

avoid many crossroads between staff and 

patients. In light of the COVID-19 pandemic, 

many practices have rethought their waiting 

room concepts as well to accommodate social 

distancing needs,” she said. 

When it comes to the important topic 

of reprocessing instruments, Dentsply 

Sirona offers the DAC Universal family 

of reprocessing units. With this device, 

all cleaning steps are standardised and 

fully automated at the touch of a button, 

minimising application errors to the greatest 

possible degree. Last year, independent 

testing confirmed full virucidal activity of the 

DAC Universal. This includes activity against 

all enveloped viruses such as SARS-CoV-2, 

and non-enveloped viruses. 

CONTINUING EDUCATION 

With the pandemic situation accelerating 

the digital revolution in the field, Dentsply 

Sirona ensures that the professionals can 

keep up with the advancements through their 

continuing education programmes. 

Dr Dolan, shared: “We have the strongest 

clinical education programme in the industry 

and are constantly upgrading the courses 

to meet the needs of dental professionals. 

During the COVID-19 pandemic, we quickly 

shifted much of our clinical education training 

to an online environment, but we also still 

have 60 training facilities, dental academies 

and showrooms around the world where 

dental professionals can take live courses and 

experience our cutting-edge technology that 

is transforming dentistry.” 

Furthermore, Dentsply Sirona is committed 

to supporting their customers’ needs all over 

the world as reflected in the new training 

facilities within the Asia Pacific they opened 

over the past several years in Singapore, Hong 

Kong, Jakarta, (Indonesia) and Kuala Lumpur 

(Malaysia). With the COVID-19 pandemic 

reducing their ability to train together in 

person, Dentsply Sirona quickly recalibrated 

their clinical education offerings at the 

beginning of the pandemic by moving most of 

their courses online and tailoring them to meet 

the current needs of dental professionals. 

“In 2020 alone, we had over a million 

participants in our clinical education courses. 

Especially in the APAC region, which was 

hit with COVID-19 before anywhere else 

in the world, we reacted fast. Numerous 

digital formats, such as online training, 

digital congresses, and trade fairs, as well 

as internal training and meetings, were 

set up immediately at the beginning of the 

pandemic,” she said. 

Dr Dolan added that one of the many initial 

highlights included a new online training 

programme that was developed and 

implemented in China when the COVID-19 

outbreak began in January 2020; the first 

real-time online course took place already on 

February 9, 2020. In less than three weeks, 46 

courses were set up, which were viewed by sixdigit 

strong audience of dental professionals. 

TRENDS AND SUSTAINABILITY 

Dentsply Sirona offers an extensive range of 

recent innovations in their solutions pipeline 

including Axeos, Astra Tech ImplantEV, Surefil 

one, SureSmile, Palodent 360, ProTaper Ultimate, 

CEREC MTL Zirconia, as well as updates to their 

CEREC and Connect software with many more 

highlights coming next year. 

Dr Dolan asserted that dental professionals can 

expect Dentsply Sirona to expand its research 

on the use of artificial intelligence for dental 

applications. In fact, this technology is already 

used in Primescan helping to compare intraoral 

impressions from different points in time for 

patient monitoring. 

“That gets me to another point about data – 

technologies like our Primescan capture an 

incredible amount of data and in the future, 

we will be able to even more efficiently utilise 

this wealth of data for even better diagnostics. 

There is also great potential in materials that 

can be digitally processed to provide longevity, 


Dental Profile 

compatibility and great aesthetics for 

patients,” she said. 

Dr Dolan also noted that patients want 

treatments that not only give a great result 

but also are more comfortable and even 

less time-consuming. Therefore, it is not 

just digitalisation of individual products, 

but entire workflows, which they strive for 

when developing new innovations. 

“There is tremendous potential for implant 

dentistry and integrated workflows by 

bridging the gaps between implant 

dentistry, imaging, and CAD/CAM, as 

well as connected software for smart 

procedures,” she said. 

Furthermore, in line with the global call 

for circular economy and sustainability, 

Denstply Sirona has recently released 

their inaugural sustainability report and 

announced their updated sustainability 

strategy aligned with 10 UN Sustainable 

Development Goals (UNSDGs) during the 

DS world. 

Dr Dolan, explained: “Dentsply Sirona’s 

sustainability strategy focuses on three 

strategic pillars: ‘Healthy Planet’, which 

strives to mitigate the environmental 

impact of our operations; ‘Healthy Smiles’, 

which focuses on improving oral health 

quality and access globally, supporting 

our customers and fostering a healthy 

company culture; and, ‘Healthy Business’, 

which ensures our business is built via 

responsible and transparent practices and 

the effective integration of sustainability 

principles across all aspects of our 

business.” 

With regards to the environment, Dentsply 

Sirona established a robust baseline for 

Scopes 1 and 2 greenhouse gas (GHG) 

emissions and implemented a range of 

on-site emissions reduction initiatives. 

They aim to reduce Scopes 1 and 2 GHG 

Emissions by at least 15% by 2025, and to 

achieve net zero carbon emissions (scopes 

1-3) by 2050. Dentsply Sirona also aims to 

reduce total waste by at least 15% by 2025 

and established a goal to reduce water 

withdrawal for manufacturing/warehouse 

operations by a minimum of 15% by 2025. 

“We have also become a founding partner 

in the FDI World Dental Federation’s 

‘Sustainability in Dentistry’ initiative, joining 

GSK, Procter & Gamble, Colgate and TePe to 

create a Code of Good Practice, which will 

provide guidelines and objectives for achieving 

a sustainable procurement and supply process 

throughout the dental industry,” shared Dr 

Dolan. 

FUTURE AND BEYOND 

The digital revolution is occurring in many 

industries and the dental field is no exemption. 

According to Dr Dolan, one can expect nothing 

less from the next generation of dental 

practitioners who are ready to embrace new 

technologies and seek out trainings to keep 

their techniques and practices at the cutting 

edge. 

However, she noted that it is also important to 

understand the specific needs of the patients 

and to tailor their dental experience to meet 

those needs especially for older patients. 

“One of the factors that will influence 

innovation and the types of solutions that 

need to be developed in the coming years is 

the increase in life expectancy in many places 

around the world. More and more patients 

expect to keep their natural teeth longer. How 

dentists care for older patients may therefore 

need to evolve to meet these expectations 

and challenges – for example, advances in 

endodontic care and restoring function with 

implant supported prostheses. 

“Having a significantly larger elderly patient 

population means that dental practices will have 

to consider how to best cater to this group – that 

may require rethinking how the practice is set up 

and designed to accommodate the specific needs 

of an older population, but also in the types of 

services provided,” she explained. 

Dr Dolan also emphasised the importance 

of attending clinical education events for 

exchanging best practices in light of the 

pandemic situation reinforcing dental care as an 

essential health service. 

“Oral health is an important precondition for 

general health and teeth require thorough care. 

Prevention and other important dental treatments 

are crucial for the health and well-being of 

patients,” explained Dr Dolan. 

To conclude, Dr Dolan extends her gratitude 

to their customers in the region: “It has been 

a challenging 1.5 years for all of us in the 

industry and yet, we all came together as a 

united community to bring the practice of 

dentistry forward and to continue to give healthy 

smiles to patients. Dentsply Sirona salutes 

you – and we remain committed to providing 

dental professionals with the most advanced 

technologies, training and support so we can 

always be prepared for the future.” DA 

30 


Clinical Feature 

Digital scans and 

human identification 

The advances in digital technology have evolved dental 

models into highly reliable tools for human identification. 

Addressing the limitations of traditional stone models and 

DNA analysis, it is now possible to utilise 3D digital palatal 

model to distinguish monozygotic twins. 

By Dr Botond Simon, Dr Ajang Armin Farid, Dr George Freedman, and Dr Janos Vag 

The exponential growth of digital 

technology in dentistry is inherently 

accompanied by a significant 

expansion of 2D and 3D dental image 

records. Traditional stone models are 

impractical to keep long-term due to 

storage volume and fragility. 

Comprehensive and accurate 

models offer an excellent record of 

the preoperative dentition for the 

complete restoration of a smile that 

matches the original (Renne, Evans 

et al. 2017, Revilla-Leon, Raney et 

al. 2020). The longer-term storage 

of dental models facilitates the 

resolving legal cases, and might aid 

bite mark analysis in some criminal 

cases (Khatri, Daniel et al. 2013). Yet 

another application of dental models 

is for human identification. 

In addition to DNA and fingerprints, 

dental examination is a primary tool 

for disaster victim identification (DVI) 

(Interpol, Tsokos, Lessig et al. 2006). 

Dental models that are discarded or 

lost may deprive biologically driven 

oral rehabilitation of historical tooth, 

bite, and bone reference points, and 

may hamper positive identification. 

Population-wide databases for 

fingerprints (Peralta, Triguero et al. 

2016, Thalesgroup.com 2021) and 

DNA (Smith 2006, Amankwaa and 

McCartney 2018) are limited and 

very fragmented. After the 2004 

tsunami disaster in Thailand, 46% of 

the victims were identified by dental 

records, as compared to only 19% 

by DNA and 34% by fingerprints. 

The dental identification method is 

an analogous visual comparison of 

the ante- and post-mortem dental 

records (Miki, Muramatsu et al. 2017, 

Alsalamah and Nuzzolese 2020). 

The basis of this concept is that 

dental treatments are always very 

specific and unique (Pretty and 

Sweet 2001, Ata-Ali and Ata-Ali 

2014). To further complicate matters, 

teeth are continually impacted by 

abrasion, disease, trauma, and dental 

treatment. Thus, the available antemortem 

data might not correlate 

well to the post-mortem data. 

Furthermore, treatment notation and 

information are not standardised, 

and it is exceedingly difficult to 

run an automatic search in a large, 

fragmented database. 

Identifying the victim’s dentist, 

or, at the very least, the area 

where the victim was treated, is a 

mandatory prerequisite for a DVI 

search. Antemortem dental records 

can be very challenging if no other 

victim information is available. In 

fact, younger patients may have 

only orthodontic records. The 

search process can be accelerated 

dramatically by accessing the everincreasing 

number of digital scans and 

cloud-based data storage systems. 

Digital dental records must be 

retained, depending on national 

regulations, from years to decades 

(Charangowda 2010, Devadiga 

2014). With digital dental records, 

new pathways are open for DVI. The 

next logical step is to find oral cavity 

characteristics with universality, 

uniqueness, invariability (stable 

throughout the life), and ease of 

access. 

Monozygotic (MZ) twins cannot be 

distinguished by DNA analysis (Bell 

and Spector 2011) and they look very 

similar (phenotypes). Hence, one 

way to prove the uniqueness of an 

identification method is its ability to 

reliably distinguish MZ twins. This is 

compounded by the recent revelation 

that palatal morphology (palatal vault 

and surface texture) can differentiate 

MZ twins through intraoral scans 

(Simon, Liptak et al. 2020). 

Rugoscopy (also known as 

palatoscopy, calcorrugoscopy) is 



based on the difference in palatal 

rugae pattern, and can distinguish 

among ethnic and race groups, 

offering great assistance during 

DVI (Hermosilla Venegas, San Pedro 

Valenzuela et al. 2009, Bajracharya, 

Vaidya et al. 2013, Azab, Magdy et 

al. 2016, Suhartono, Syafitri et al. 

2016, Kommalapati, Katuri et al. 2017, 

Saadeh, Ghafari et al. 2017, Barbo, 

Azeredo et al. 2018, Basman, Puspita 

et al. 2018). 

The palate is more resistant to burn 

deformation injury when compared to 

the skin (Muthusubramanian, Limson 

et al. 2005). It is stable over time and 

varies little after orthodontic treatment 

(Bailey, Esmailnejad et al. 1996, Abdel- 

Aziz and Sabet 2001, Ali, Shaikh et al. 

2016, Lanteri, Cossellu et al. 2020). 

OBJECTIVE 

The aim of this pilot study was to 

compare teeth and palate uniqueness 

using the intraoral scans (IOS) of MZ 

twins. 

METHODS 

Three MZ pairs, aged 17, 22, and 

26 were enrolled in the study. The 

complete maxillary arch, including the 

palate, was scanned by the Emerald 

intraoral scanner (Planmeca, Helsinki, 

Finland, software version: Romexis 

5.2.1). The palate was carefully isolated 

on each scan and was exported to 

a separate model. The left maxillary 

first molar was intact in five subjects 

and filled in one subject. The left 

maxillary second molar was intact in 

each subject. These two teeth were 

segmented, and the images were 

exported to respective new files. 

Palatal digital models and tooth 

digital models were aligned between 

nonrelatives (Fig. 1) and between 

siblings (Fig. 2). The superimpositions 

were made using the GOM Inspect 

software (GOM GmbH, Germany), 

utilising the local best-fit algorithm. 

The mean absolute deviations were 

calculated for each superimposition 

with the surface comparison tool. The 

Fig. 1: The surface comparison maps of nonrelative subjects of the maxillary first molars, of the 

maxillary second molars, and of the palate. None of the teeth had restorations. Deep red and 

blue areas indicate distance deviation higher than the range of the colour scale 

data were statistically analysed by 

the generalised linear mixed method 

using SPSS (IBM SPSS Statistics for 

Windows, Version 27.0., United States). 

RESULTS AND DISCUSSION 

The mean absolute deviations 

(± the standard deviation) of the 

first and second molars between 

non-relatives (Fig. 1) were not 

significantly different (0.259±0.039 

mm, 0.277±0.037 mm, p=0.733), 

but the mean absolute deviation of 

the palates was significantly higher 

(1.061±0.314 mm, p


higher than the IOS trueness, they 

jeopardise the confidence in MZ twin 

identification. 

The palatal deviation between 

siblings was three to four times higher 

(0.393±0.079 mm, p


the determination of human identity.” Br 

Dent J 190(7): 359-366. 

• Renne, W. G., Z. P. Evans, A. Mennito and 

M. Ludlow (2017). “A novel technique 

for reference point generation to aid 

in intraoral scan alignment.” J Esthet 

Restor Dent 29(6): 391-395. 

• Revilla-Leon, M., L. Raney, W. Piedra- 

Cascon, J. Barrington, A. Zandinejad 

and M. Ozcan (2020). “Digital workflow 

for an esthetic rehabilitation using a 

facial and intraoral scanner and an 

additive manufactured silicone index: 

A dental technique.” J Prosthet Dent 

123(4): 564-570. 

• Saadeh, M., J. G. Ghafari, R. V. Haddad 

and F. Ayoub (2017). “Palatal rugae 

morphology in an adult mediterranean 

population.” J Forensic Odontostomatol 

35(1): 21-32. 

• Simon, B., L. Liptak, K. Liptak, A. D. 

Tarnoki, D. L. Tarnoki, D. Melicher and 

J. Vag (2020). “Application of intraoral 

scanner to identify monozygotic twins.” 

BMC Oral Health 20(1): 268. 

• Smith, M. E. (2006). “Let’s Make the DNA 

Identification Database as Inclusive as 

Possible.” The Journal of Law, Medicine 

& Ethics 34(2): 385-389. 

• Smith, R. N., G. Townsend, K. Chen 

and A. Brook (2009). “Synetic 

superimposition of dental 3D data: 

application in twin studies.” Front Oral 

Biol 13: 142-147. 

• Suhartono, A. W., K. Syafitri, A. D. 

Puspita, N. Soedarsono, F. P. Gultom, 

P. T. Widodo, M. Luthfi and E. I. Auerkari 

(2016). “Palatal rugae patterning in a 

modern Indonesian population.” Int J 

Legal Med 130(3): 881-887. 

• Taneva, E., C. Evans and G. Viana (2017). 

“3D Evaluation of Palatal Rugae in 

Identical Twins.” Case Rep Dent 2017: 

2648312. 

• Thalesgroup.com. (2021, 06 March 

2021). “Biometrics: definition, trends, 

use cases, laws and latest news.” from 

https://www.thalesgroup.com/en/ 

markets/digital-identity-and-security/ 

government/inspired/biometrics. 

• Tsokos, M., R. Lessig, C. Grundmann, 

S. Benthaus and O. Peschel (2006). 

“Experiences in tsunami victim 

identification.” Int J Legal Med 120(3): 

185-187. 

• Uhm, S. H., J. H. Kim, H. B. Jiang, C. W. 

Woo, M. Chang, K. N. Kim, J. M. Bae and 

S. Oh (2017). “Evaluation of the accuracy 

and precision of four intraoral scanners 

with 70% reduced inlay and four-unit 

bridge models of international standard.” 

Dent Mater J 36(1): 27-34. 

• Vag, J., Z. Nagy, B. Simon, A. Mikolicz, E. 

Kover, A. Mennito, Z. Evans and W. Renne 

(2019). “A novel method for complex 

three-dimensional evaluation of intraoral 

scanner accuracy.” Int J Comput Dent 

22(3): 239-249. 

• Zhongpeng, Y., X. Tianmin and J. 

Ruoping (2019). “Deviations in palatal 

region between indirect and direct 

digital models: an in vivo study.” BMC 

Oral Health 19(1): 66. 

About the authors 

Dr Botond Simon 

Dr Ajang Armin 

is a PhD student 

Farid is the 

at Semmelweis 

chief forensic 

University, 

odontologist 

Hungary. He 

of Hungary’s 

is a specialist 

Interpol DVI 

in Restorative 

dental unit, and 

Dentistry and 

a member of 

Prosthodontists. His research 

Interpol’s DVI Odontology subworking 

group. He is a fellow of 

combines digital dentistry with 

dental twin research and human the American Academy of Forensic 

identification. He is co-founder 

Sciences and a member of the 

of Scrunch Ltd., an early-stage 

American Society of Forensic 

start-up company for providing 

Odontology. He lectures at 

personalised online dental care 

Semmelweis Medical University, 

for patients. Dr Simon maintains a Hungary, and maintains a private 

private practice. 

dental practice. 

Dr George 

János Vág 

Freedman is a 

DMD, PhD, 

founder and past 

is associate 

president, AACD, 

professor 

a co-founder 

and head, 

CAED, regent 

Department of 

and fellow, 

Conservative 

International Academy for Dental Dentistry, Semmelweis University, 

Facial Esthetics, and Diplomate and Hungary. He is a specialist in 

Chair, American Board of Aesthetic Restorative Dentistry, Endodontics, 

Dentistry. He is adjunct professor and Prosthodontists. His research 

of Dental Medicine, Western 

focuses on the microcirculation 

University, Pomona, California of the gingiva, intraoral scanner 

and Professor and Programme accuracy, and digital forensic 

Director, BPP University, London, odontology. He has published 45 

UK, MClinDent Programme 

refereed papers. He is co-founder 

in Restorative and Cosmetic 

of Scrunch Ltd., a start-up company 

Dentistry. 

for providing personalised online 

dental care for patients. 

34 


A 

Bone Level 

REG & PX designs for 

biological integration 

With more than 30 years of experience 

in implantology, Anthogyr launched the 

Axiom® implant system 10 years ago to 

improve access to implantology by 

offering innovative and accessible 

solutions, a greater comfort for practitionners 

and performance in their 

everyday practice. 



Innovative dental implant 

solutions 

Through innovation and creativity, Anthogyr offers a complete range 

of implants, instruments and digital solutions to support dental health 

professionals in restoring their patients’ smiles. Dr Albert Chou and 

Dr Sebrina Malik share how these solutions have allowed them to deliver 

effective and predictable implant treatments in their daily practice. 

First experience with 

Anthogyr Axiom® TL 

implant 

By Dr Albert Chou 

The dental profession has been helping 

patients restore their chewing functions and 

aesthetics using modern dental implants 

since the 60s. There are a variety of designs 

and shapes of implants produced since then. 

Macroscopically, the most distinctive feature 

of a modern dental implant is either a soft 

tissue level implant or a bone level implant. 

Fig. 1 Fig. 2 

However, any attempts to justify which 

implant design is superior will probably 

end up with a non-conclusive agreement 

between different dentists as the decision 

to choose one design over the other can be 

due to the operator’s training and experience. 

What is crucial to know is that both bone level 

and tissue level implant offer good implant 

survival rate 1 . 

Fig. 3 Fig. 4 

CLINICAL CASE 

A 46-year-old female without any pertinent 

medical issues wanted to have her missing 

lower right first molar (tooth 46) replaced. 

During the first consultation, her dentition 

presented a moderate amount of attrition. 

Abfraction was also noted, and she 

mentioned that she did brux at night from 

time to time. 

Fig. 5 Fig. 6 

Her lower left second molar (tooth 47) was 

replaced with a Straumann Tissue level 

implant some years ago and it had served 

Fig. 7 Fig. 8 

36 



her well without any issues. It was then 

proposed to her to have Anthogyr Axiom ® 

TL implant with simultaneous guided bone 

regeneration on the lower right first molar 

site (Figs. 1-8). 

Upon detailed examination of the CBCT 

(cone beam computed tomography) image, 

a radiolucent area was noted at the distal 

aspect of the root and the bone of the lower 

right second premolar (tooth 45) (Figs. 

9a-c). 

Fig. 9a 

Fig. 9b 

The patient was referred to see the 

endodontist to assess if the tooth was 

restorable. Unfortunately, the tooth was 

deemed untreatable and would need to be 

extracted. The tooth was then extracted 

carefully and with as little trauma as 

possible (Fig. 10). Upon inspection of the 

extracted tooth, a perforation at the coronal 

third of the root at the distal aspect of the 

tooth was observed (Figs. 11-12). 

Fig. 9c 

Fig. 10 

Theoretically, it was possible to place an 

implant at the tooth 46 site and perform 

immediate implant placement at tooth 45 

with simultaneous bone graft procedure, 

but doing so would be challenging. Since 

bone graft was already planned, it was 

decided to wait for 12 to 16 weeks (Type 3C 

– early placement with partial bone healing 

plus conventional loading) of healing before 

the implant placement to have a higher 

degree of survival rate 2 . 

Fig. 11 

Fig. 12 

SURGICAL PLANNING 

CBCT was taken to check the location of the 

inferior alveolar nerve. For implant viewing 

and planning, both Dentsply Sirona Gallileos 

and Dental Wings coDiagnostiX were used 

(Figs. 13-14). From the CBCT scan, it was 

noted that bone agumentation on the 

buccal side of the two proposed implants 

was needed. For implant planning purpose, 

Anthogyr Axiom ® TL PX R2 4.0mmX8mm 

was used (Fig. 15). At tooth 46, Anthogyr 

Axiom ® TL PX R2 4.6mmX6.5mm was used 

for surgical planning (Fig. 16). 

Fig. 13 Fig. 14 

Fig. 17 

On the day of surgery, a surgical stent was 

used to aid the implant placement (Fig. 

17). Two Anthogyr Axiom ® TL were placed 

following manufacturer’s surgical protocol 

(Fig. 18). 

Fig. 15 Fig. 16 

Fig. 18 



After the two implants were placed with 

good primary stability, guided bone 

regeneration procedure was carried out 

(Figs. 19-20). Two implants placed were 

Anthogyr Axiom ® TL PX 4.6X6.5mm with 

R2.5 at tooth 46 and Anthogyr Axiom ® TL 

PX 4.0X8mm with R2.5 at tooth 45. Cover 

screws were used for both implants at the 

end of the surgery. Geistlich Bio-Oss 0.25g 

was used as the bone graft material with 

Geistlich Bio-Gide 13X25mm for membrane. 

Primary closure was achieved at the tooth 46 

site but it was not possible at the tooth 45 

site. Flap was closed with non-absorbable 

monofilament 5/0 Prolene by Ethicon and 

absorbale glyconate monofilament 5/0 

Monosyn by B. Braun (Fig. 21). 

When the implants were placed in March 

2021 in Singapore, the only collar height for 

the Anthogyr Axiom ® TL was R2.5. Hence, 

it was different from what was planned 

when using the coDiagnostiX. The healing 

phase for the patient was uneventful and 

after the suture removal, she was seen 

again two months after the surgery. The 

soft tissue was healing well but the metal 

collar at 45 implant was exposed (Figs. 

22-23). 

Implants at 45 and 46 were left to heal 

for three months before the stage two 

surgery was carried out (Fig. 24). The 

healing abutment used at 45 was 2mm 

in height and 4.8mm in diameter. At 

46, it was 4mm in height and 4.8mm in 

diameter. 

Digital implant impression was utilised 

and two Anthogyr Axiom ® TL scan bodies 

were used (Figs. 25-26). The data was 

acquired using Medit i500 scanner (Figs. 

27-29). 

The patient preferred to have a toothcoloured 

restoration, with monolithic 

zirconia crown as the material of choice. It 

was also decided that it will be beneficial 

to splint the two crowns together due 

to the shorter implant used at 46. The 

abutment used for both 45 and 46 was 

non-engaging Flexibase TL R plural (Figs. 

30-34). 

CONCLUSION 

In dentistry, one may face an unplanned 

situation. In this case, tooth 45 was not 

supposed to be replaced by a dental 

implant. Using Anthogyr implant system 

has made day-to-day clinical practice 

more flexible and straightforward when 

dealing with unexpected changes. 

Fig. 19 Fig. 20 Fig. 21 

Fig. 22 Fig. 23 

Fig. 24 

Fig. 25 

Fig. 26 Fig. 27 

38 



Fig. 28 Fig. 29 

Regrettably, the soft tissue height at 45 was 

not ideal. However, Anthogyr Axiom ® TL implant 

demonstrated excellent tissue response around 

the gingival soft tissue. In hindsight, implant 45 

could have been placed a bit deeper or if there 

was preferably an option to use a shorter collar 

height. Unfortunately, a shorter collar height 

was unavailable in Singapore when the surgery 

was done. Nevertheless, it will be of great 

interest to monitor and observe the longevity of 

this implant system for the years to come. DA 

ACKNOWLEDGEMENT 

The author would like to extend his gratitude to 

Patrick Dental Lab for their prosthetic work and 

support. 

REFERENCES 

1 

Vouros, Ioannis D.; Kalpidis, Christos D. R.; Horvath, 

Attila; Petrie, Aviva; Donos, Nikolaos. Systematic 

Assessment of Clinical Outcomes in Bone-Level 

and Tissue-Level Endosseous Dental Implants. 

International Journal of Oral & Maxillofacial Implants. 

2012, Vol. 27 Issue 6, p1359-1374 

2 

German O. Gallucci; Adam Hamilton; Weniji Zhou; 

Fig. 30 

Daniel Buser; Stephen Chen. Implant placement and 

loading protocols in partially edentulous patients: A 

systematic review. Clin Oral Impl Res 2018:29 (Suupl. 

16): 106-134 


Fig. 31 

Fig. 32 

Fig. 33 

Fig. 34 

Dr Albert Chou 

obtained his 

Bachelor of Dental 

Surgery from the 

University of Otago, 

New Zealand, 

in 2004, and 

completed his Graduate Diploma in 

Dental Implantology with the National 

University of Singapore in 2013. He 

was president for the NUS Graduate 

Diploma in Dental Implantology from 

2018 to 2020 and now serves as an 

executive committee in the Alumni. 

A partner at Canaan Dental Surgery, 

he has always been involved in the 

private practice. He is a member of the 

International Team for Implantology 

(ITI) and the Asia Pacific Society of 

Osseointegration. 



Immediate implant 

surgery with Anthogyr 

Axiom®BL PX Implant 

System 

By Dr Sebrina Abdul Malik 

A 60-year-old healthy female patient presented 

a fractured upper left second premolar (tooth 

25). She visits the dental office regularly and is a 

non-smoker with good oral hygiene. 

Fig. 1 

Clinically, she had lost over three-quarters of 

the lingual wall and the caries had extended 

subgingivally (Figs. 1-2). There was insufficient 

ferule to restore the tooth as it would need 

crown lengthening as well as a root canal 

with a post and core. Thus, the prognosis was 

considered to be guarded. 

Treatment options were explained to the patient. 

She preferred to extract the broken tooth and 

place an implant crown, as she felt that it 

was a more predictable treatment option with 

longer longevity. The panoramic radiograph 

showed that she has a healthy generalised 

periodontium. 

Fig. 2 Fig. 3 

Treatment protocol for the implant procedure 

and technique were discussed in detail, 

including whether a delayed or an immediate 

approach was to be done. In this case, an 

immediate implant placement was equally 

predictable as the delayed approach in the right 

hands. Since the patient was asymptomatic 

with no existing acute periapical lesion or 

infection, she was considered suitable for an 

immediate implant procedure. She was elated 

as she only had to go through one surgical visit 

as opposed to two. 

An immediate implant procedure entails a 

flapless extraction of the tooth followed by 

implant insertion into the socket at the same 

visit. Since there is no surgical incision nor 

buccal flap raised, this results in less surgical 

trauma, shorter surgical time, reduction in postoperative 

swelling and pain as well as the need 

for suturing. Most patients are inclined towards 

this technique due to the above advantages. 

TREATMENT 

A flapless atraumatic extraction of the broken 

Fig. 4 Fig. 5 

Fig. 1: Pre-op 

Fig. 4: Extracted tooth 25 

Fig. 2: Fractured tooth 25 

Fig. 5: One-stage surgery with healing screw 

Fig. 3: Extracted tooth 25 socket 

abutment was used to maintain the gingival 

tooth 25 was carried out with Coupland 

emergence profile and aid in healing for the 

elevators and upper premolar forceps (Figs. 

future prosthetic crown. Implant positioning 

3-4). The empty socket was irrigated with 

was verified by a post-operative panoramic 

saline and curetted leaving only healthy 

radiograph (Fig. 6). 

surrounding alveolar bone. It was followed by 

insertion of an optimally positioned Anthogyr 

Three months later, a closed tray impression 

Axiom ® BL PX 4.6x 10.0mm with great 

technique was carried out and successful 

primary stability of 35Ncm (Fig. 5). Since 

delivery of a screw-retained zirconia crown 

the ‘’jumping gap’’ was less than 2.0mm, 

was achieved (Figs. 7-10). 

a bone graft was not required. A healing 

40 



Fig. 6 

CONCLUSION 

This case delivered a high-quality dental 

implant and crown treatment without the 

need for more surgical downtime, including 

minimal surgical trauma and reduced 

post-operative swelling and pain. Anthogyr 

Axiom ® BL PX dental implant is designed 

to engage well in the socket for immediate 

implantation with great stability. Studies 

have shown the success rate of immediate 

implant technique is nearly as successful 

as the delayed approach if done the correct 

way. DA 


The author would like to extend her sincere 

appreciation to Yttria Lab for their highquality 

prosthetic work. 

Fig. 7 

Fig. 8 

REFERENCES 

1 

Fernando Salimon Ribeiro et al. Implant Dent. 

2008 Mar. Success rate of immediate nonfunctional 

loaded single-tooth implants: immediate versus 

delayed implantation._ 

2 

Stephen T Chen et al. Int J Oral Maxillofac 

Implants. 2004. Immediate or early placement 

of implants following tooth extraction: review of 

biologic basis, clinical procedures, and outcomes. 


Fig. 9 

Fig. 10 

Fig. 6: Post-op 

Fig. 7: Pop-in impression closed tray technique 

Fig. 8: Crown received from lab 

Fig. 9: Final restoration 

Fig. 10: Post-op radiograph to verify the fully seated restoration 

Dr Sebrina Abdul 

Malik graduated 

from the Trinity 

College Dublin, 

University of 

Ireland, with 

a Bachelor of 

Dental Science in 2009 and has been 

practicing general dentistry since 

then. With special interest in dental 

implants and dentoalveolar surgery, 

she co-founded Azure Dental in 

Singapore where she currently works. 

A certified implant dentist, she is also 

a fellow of International Congress 

of Oral Implantologist and an active 

member of the International Team 

of Implantology and Academy of 

Osseointegration. 


Advertorial 


CS MAR reveals 

pathology and reduces 

risk of misinterpretation 

Carestream Dental’s CS 8100 3D features the CS MAR (Metal 

Artifact Reduction) technology, which drastically reduces metal 

artefacts caused by dental restorations, implants, and fillings. 

As discussed by Dr Hanke Faust, this feature compares images 

dynamically to obtain a more accurate and advanced diagnosis. 

By Dr Hanke Faust 

A 50-year-old patient with extended 

soft tissue swelling around teeth 43 

and 44 came to the practice (Figs. 

1-2). The patient reported no pain 

and irritability on the lesion but the 

panoramic image revealed multiple 

coronal and apical pathological 

findings (Fig. 3). An extraoral image 

was captured with the CS 8100 3D. 

Fig. 1 Fig. 2 

A CBCT volume was taken with 

a 150-micron resolution for 

further diagnostics using the FDK 

reconstruction, as well as the new 

CS MAR (Metal Artifact Reduction) 

algorithm, which greatly increased 

the spectrum of diagnostic 

possibilities. The 3D view revealed 

osteolysis (Fig. 4). 

Fig. 3 Fig. 4 

When comparing the panoramic 

images extracted from the 3D scan 

(Figs. 5-6), the image with CS MAR 

applied (Fig. 6) showed significantly 

lower artefacts caused by implants, 

fillings and dental crowns. Various 

pathological findings, such as apical 

brightening at teeth 15, 26, 37 and 

47; coronal brightening at teeth 

15 and 45; and osteolysis at 15, 43 

Fig. 5 Fig. 6 

Figs. 1-2: Initial clinical finding 

Fig. 3: Coronal and apical pathological findings 

Fig. 4: Osteolysis in the region indicated by the blue arrows 

Figs. 5-6: Panoramic reconstruction from the 3D volume showed FDK and CS MAR 

42 



Advertorial 

Fig. 7 Fig. 8 

and 44, were easily identified. For 

confirmation of the diagnosis, the 

transverse and horizontal planes 

were also examined in both FDK and 

with CS MAR applied (Figs. 7-11). 

The artefacts shown in the FDK 

reconstruction consisted mainly 

of hardening, extinction, noise and 

motion artefacts. 

DIAGNOSIS 

The osteolytic-pathogenic 

processes in 3D X-ray diagnostics 

were assessed preoperatively 

within the framework of the WHO 

classification of odontogenesis 

Fig. 9 

Fig. 10 

Fig. 11 

lesions: 

1. Neoplasms and other tumours of 

the odontogenic apparatus (benign/ 

malign) 

2. Tumours and other lesions of the 

bone (osteogenic tumours, nonneoplastic 

bone lesions) 

3. Epithelial cysts (developmental or 

inflammatory) 

There was a need to distinguish 

between giant cell granulomas, 

fibromas and ameloblastic fibromas, 

as well as other osteolytic tumours. 

In this case, a polycystic 

ameloblastoma at teeth 43 and 

44 was suspected. The displaced 

expulsion of the bone and 

degradation of the bone and teeth 

where the tumour had penetrated 

them were all typical clinical 

characteristics. 

Fig. 12 Fig. 13 

Figs. 7-8: Coronal cross section of FDK reconstruction and with CS MAR algorithm applied at 

150microns 

Figs. 9-10: 1x1 slice for detailed display 

Fig. 11: Coronal plane shows the vertical section of teeth 37 and 47 

Figs. 12-13: The CS MAR reconstruction (Fig. 13) provided additional diagnostic capability 

compared to the FDK reconstruction 


Advertorial 


Fig. 14 Fig. 15 Fig. 16 

Fig. 17 Fig. 18 Fig. 19 

Fig. 20 

When comparing the two 

reconstructions, the CS MAR 

reconstruction clearly revealed 

radicular processes in teeth 37 and 

47; the osteolysis at 43 and 44; a 

mesioperiodontal lightening; as well as 

a distal fracture line at tooth 45 (red 

arrows in Fig. 13). 

Using CS MAR in the CS 3D Imaging 

software allowed for more advanced 

diagnostics while decreasing the 

chance of misidentifying artefacts 

with moiré patterns and motion 

artefacts. For example, several 

implants (34, 35, 36) in the FDK 

reconstruction caused a strip-like 

hardening and extinguishing artefacts 

that made it hard to make a diagnosis. 

When applying CS MAR, the hardening 

and artefacts were significantly 

reduced. With the aid of CS MAR, the 

suspicion of root canal fracture was 

confirmed at tooth 45 (Fig. 14). 

Fig. 14: Extracted tooth 45 

(horizontally cut at the level of the 

fracture line) 

Fig. 15: Surgical removal of the 

pathology 

Fig. 16: Excised polycystic 

ameloblastoma 

Figs. 17-20: Post-op follow-up 

TREATMENT AND RESULTS 

Teeth 15, 37, 45 and 47 were extracted. 

Based on the main finding of the 

CBCT volume, the space-demanding 

osteolysis with a suspected tumour 

at teeth 43 and 44, a fine-tissue 

examination (histological clarification) 

of the tumorous tissue was conducted 

to confirm the initial diagnosis. The 

tumour was then surgically treated 

(Fig. 15). After the tumour was 

removed (Fig. 16), the bone defect was 

reconstructed. 

The patient returned about three 

months later for a post-op follow-up 

showing good signs of healing (Figs. 

17-20). 

However, current literature shows 

a recurrence rate of up to 30% for 

these types of tumours. Therefore, the 

patient will be recalled and observed 

for several years. DA 


Dr Hanke Faust 

successfully 

completed an 

apprenticeship 

as a dental 

technician and 

studied at the 

University of Hamburg, Germany, 

where he also received his 

doctorate in dental studies with a 

focus on fully ceramic restorations. 

Instead of an in-university career, 

he decided early on to work in his 

own practice where he mainly 

focuses on aesthetic prosthetic 

care and the field of adhesive 

composite trusts. 

In addition to guided surgery, Dr 

Faust is particularly interested 

in radiological imaging using 

Carestream Dental imaging system. 

He has also written for and been 

published by the German Medical 

Publishers. 

44 


User Report 

Simplifying digital implant 

prosthetics 

Digital technologies have enabled simplified and predictable protocols 

for interdisciplinary treatment planning, surgical placement and 

prosthetic implant rehabilitation. This case study highlights how to use 

the TRIOS intraoral scanner and 3Shape scan bodies, and seamlessly 

transfer the digital data to 3Shape Dental System software. 

By Dr Anthony Mak 

CASE INFORMATION 

This case study describes a prosthodontic 

restoration of the lower right first premolar 

(tooth 44) with a screw-retained, implantsupported 

crown. Planning was driven by TRIOS 

implant scanning, software and 3Shape scan 

bodies. 

CLINICAL PHASE OF TREATMENT 

Upon completion of the eight-to-12-week 

post-surgery healing phase and the integration 

of the fixture, a master digital impression 

using the TRIOS implant scan strategy was 

performed. 

Fig. 1 

In this scan strategy (Figs. 1-6), the following 

sequence of digital scans was taken: 

1. A pre-preparation scan with the healing 

abutment in situ 

2. An emergence profile scan taken immediately 

after the healing abutment was removed to 

record gingival contours around the implant 

before any collapse of the tissues 

3. The scan body scan 

Fig. 2a 

Fig. 2b 

All other prosthodontic records including the 

bite registration and the opposing arch were 

also captured with the intraoral scanner. The 

data were then sent to the ceramist through 

the 3Shape Communicate portal for the 

fabrication of the screw-retained crown. 

Fig. 3a 

Fig. 3b 

LABORATORY FABRICATION OF THE 

FINAL PROSTHESIS 

A direct access screw-retained crown (Lithium 

Disilicate crown to a zirconia abutment with a 

Fig. 1: Shade image prior to intraoral 3Shape TRIOS surface scan 

Figs. 2a-b: Pre-preparation scan with healing abutment in situ 

Figs. 3a-b: An emergence profile scan that was taken immediately after the healing abutment 

was removed to record gingival contour around the implant before any collapse of the tissues 

46 


User Report 

titanium interface) was then fabricated and 

the contact and occlusion were verified by 

means of printed models (Figs. 7-8). 

The completed prosthesis was then sent back 

for the restoration to be inserted (Figs. 9-10). 

CONCLUSION 

Digital implant impressions constitute a major 

role in developing a fully digital workflow 

for fixed implant prosthetic restorations 

(Christensen 2009). Intraoral scan bodies 

have been developed for most major implant 

brands that facilitate the transfer of the 

implant specifics, position and alignment by 

scanning; and the transmission of information 

to the laboratory CAD software. 

Fig. 4a Fig. 4b Fig. 4c 

Once received in the CAD software, 3Shape 

Dental System, the corresponding abutment 

library is matched to allow the dental 

technician to design the implant prosthesis 

and manufacture the abutment and crown. 

However, each company traditionally 

manufactures a specific scan body for their 

digital library, causing problems between 

the clinical team and the dental laboratory 

fabricating the implant prosthesis in many 

occasions. The common problem is when 

dentists and technicians are not in harmony 

and do not have the same clinical and 

laboratory parts, as well as information to put 

the digital pieces of the puzzle together. 

Fig. 5 

An example is when a dentist scans an 

implant fixture with one type of scan body 

and then sends it to a laboratory without 

all the information, parts (e.g., implant 

analogue) or access to the library of that 

scan body. This has been challenging and 

has made clear communication with the 

dental technician crucial, particularly prior 

to implant scanning of a case, and in 

the final design and manufacture of the 

prosthesis. 


3Shape has solved this with their universal 

scan body that will marry up all original and 

third-party implant libraries with whom they 

collaborate. This has allowed for a much 

simpler system, where one scan body can 

be used with multiple implant abutment 

libraries in the laboratory lab software 

3Shape Dental System. 

Fig. 6d 

Fig. 6e 

Figs. 4a-c: 3Shape scan body positioned and screwed into position 

Fig. 5: Periapical radiograph confirming the seat of the scan body 

Figs. 6a-e: The scan body scan digitally capturing the position and orientation 

of the implant fixture 


User Report 

This is a world-first that has eliminated many of 

the limitations and boundaries for both the clinical 

and laboratory team in dentistry. Most importantly, 

it has made digital implant prosthetics more “open 

sourced” as the libraries in 3Shape Dental System 

is available at no additional cost to the user. 

3Shape scan bodies (Figs. 11a-b) provide the 

following benefits in simplifying the digital 

implant impression process: 

• Auto-recognition of the implant system 

and connection: The new 3Shape scan bodies 

feature a unique ID code to determine the implant 

system and connection. When scanned with the 

3Shape TRIOS intraoral scanner, the software 

will detect and read the ID code on the scan 

body and automatically fill out the order form 

with the correct implant system and connection. 

Fig. 7 

• Scan bodies are manufactured 

from titanium, highly durable and 

autoclavable: Scan bodies can be used 

up to 100 times if proper care and cleaning 

is maintained between each use. Since 

they are made from titanium, the 3Shape 

scan bodies will not bend or deform if the 

screw is over-tightened. Most other scan 

bodies are made from PEEK (polyetherether-ketone), 

which is a softer material 

that can be more prone to bending. Once 

a scan body is bent, the alignment will be 

off, which will result in errors in the final 

restoration design. 

• Visible in clinical X-rays to confirm fit 

to implant: It is vital to be able to see the 

implant scan body connecting accurately 

with the implant fixture. 

Fig. 8 

• One piece, one material manufacture: 

This allows for optimal accuracy and 

minimises tolerance issues if different 

materials are used and need to be placed 

together in a scan body. DA 


This article was co-written with Dr Andrew Chio from 

Melbourne, Australia. The author would like to extend 

his gratitude to him for his support and input. 


Dr Anthony Mak 

graduated with multiple 

awards from the 

University of Sydney, 

Australia, in 2002 and 

went on to complete his 

Post Graduate Diploma 

in Clinical Dentistry 

(Oral Implants). He is a much sought-after 

speaker, especially in the field of digital 

and restorative dentistry, and has lectured 

extensively in Australia, New Zealand and 

across Asia. His hands-on workshops have 

gained such popularity that they are almost 

always booked out soon after registrations 

open. He is also gaining great popularity on 

the International circuit. 

Fig. 9a 

Fig. 9b 

Dr Mak is the author of two compelling 

compendiums detailing direct composite 

and indirect ceramic restorations, the 

clinical photography and documentation 

can only be described as exceptional. He 

has published numerous case studies and 

articles for local and international dental 

bodies and associations. His interest lies in 

dental technologies, advances in materials 

and techniques; and he has a unique 

understanding of CAD-CAM digital dentistry. 

Fig. 10 Fig. 11a Fig. 11b 

Figs. 7-8: A direct access screw-retained crown (Lithium Disilicate crown to a zirconia abutment 

with a titanium interface) was then fabricated and the contact and occlusion verified by means of 

printed models 

Figs. 9a-b: Final screw-retained restoration inserted 

Fig. 10: Final peri-apical radiograph of completed implant retained restoration on the lower right 

first premolar (tooth 44) 

Figs. 11a-b: 3Shape intraoral scan body 

At present, Dr Mak runs two practices in 

metropolitan Sydney, focusing on quality 

modern comprehensive care, including 

implant dentistry. He is also a clinical 

consultant and key opinion leader for 

several global dental companies focusing on 

development of new dental technologies. 

48 


User Report 

Fast and predictable 

aesthetics with 

injectable composites 

Restoring young permanent teeth with distinct internal and surface 

characteristics can pose a challenge in daily clinical practice. With the 

new Beautifil range of bioactive nano-hybrid Injectable composites, 

clinicians can efficiently achieve a high degree of aesthetic 

predictability with a fast and simple technique. 

By Dr Amit Gulati 

Aesthetic dentistry is a highly demanding clinical science especially 

when it comes to restoring anterior dentition in young individuals. 

Young permanent teeth display an array of characterisations. 

These characterisations range from visible dentinal effects like 

mamelon patterns to enamel effects like high translucency, 

opalescence, surface effects and macro-micro textures. 

These variations and characterisations make it challenging for 

clinicians to create natural, life-like restorations in the anterior 

aesthetic zone with predictability and long-term success. 

Achieving the desired aesthetic outcomes in such cases generally 

requires intricate layering of packable composites that consequently 

takes up a significant amount of clinical chairside time. However, 

with advances in composite resin technology today, clinicians have 

the option to replicate natural aesthetics with increased efficiency. 

The Beautifil range of bioactive nano-hybrid composites 

from Shofu provides additional benefits of minimising plaque 

accumulation 1 with anti-bacterial 2 and acid-neutralising 

properties to reduce secondary caries 3 , promoting gingival health 

and enhancing the longevity of the restorations. The following 

clinical case demonstrates an anterior Class IV restoration 

where bioactive Beautifil Injectable X composites and colour 

tints were used to achieve a high degree of aesthetic success 

in a fraction of the chair time as compared to the conventional 

layered technique commonly used for anterior restorations. 

PATIENT CASE 

A young, 15-year-old female patient was presented with 

an Ellis Class I fracture involving tooth 21 (Fig. 1), caused 

due to a minor traumatic sports injury that occurred almost 

immediately after debonding of her orthodontic appliance 

Fig. 1 

Fig. 1: Ellis Class-I fracture in tooth 21 

a few months ago. The patient had no symptom of pain or 

discomfort to said tooth and the concern was purely aesthetic. 

Upon intraoral examination, there was no pain or sensitivity 

observed in relation to tooth 21. It was not tender to percussion 

and the radiographic examination revealed healthy peri-radicular 

tissues. Vitality test was performed and the tooth gave similar 

readings as the adjacent teeth. It was concluded that the tooth 

was healthy and free from any pulpal or peri-radicular pathology. 

After careful examination and discussion with the patient, it was 

decided that the fractured tooth will be restored with a minimally 

invasive treatment approach utilising MiCD (Minimally Invasive 

Cosmetic Dentistry) concept. As the patient was a 15-year-old, the 

restorative procedure was modified to reduce the clinical chairside 

time using a new type of bioactive injectable composite materials. 

MATERIALS AND RESTORATIVE PROCESS 

Shade selection, mock-up and putty index 

Tooth 21 was thoroughly examined for internal and external 


User Report 

characterisations. A high degree of enamel translucency was 

observed in the incisal third, along with a fair amount of surface 

texture and incisal opalescence. Before commencing isolation of 

the anterior segment with rubber dam, shade selection was 

completed using the VITA classical shade guide. The closest shade 

tab in terms of hue and chroma match was identified as A2 (Fig. 2). A 

quick freehand mock-up was created using Beautifil II LS Composite 

shade A2 (Shofu Inc. Japan) and aesthetic evaluation was done 

for shade verification (Fig. 3). After occlusal adjustment, a palatal 

putty index was made with A-Silicon impression material (Fig. 4). 

Isolation and tooth preparation 

The anterior sextant was isolated with a rubber dam (Sanctuary 

Dental, Malaysia) with its margins everted, and floss ties were 

secured to maintain retraction (Fig. 5). The teeth were polished 

with pumice slurry using a prophy rubber cup to remove the 

plaque biofilm (Fig. 6). Sharp enamel edges were removed 

and a long bevel was created on the facial surface with TR11F 

fine-grit bur (Mani Inc. Japan) (Fig. 7), followed by smoothing 

of the prepared surface and defining short and long bevels 

with Super-Snap coarse disk (Shofu Inc. Japan) (Fig. 8). 

Etching and bonding 

The prepared tooth was ready for the bonding protocol. First, the 

prepared palatal putty index was checked to confirm the fit (Fig. 9). 

Then, the enamel was etched with 37% ortho-phosphoric acid 

(Etch-Rite, Pulpdent, USA) for 30 seconds (Fig. 10). The adjacent 

central incisor, tooth 11, was protected with Teflon tape. The 

etching was done slightly beyond the long bevels prepared on 

the tooth to help achieve a smooth restorative margin. FL-Bond 

II Primer was applied on a slightly exposed dentin surface and 

left undisturbed for 10 seconds followed by FL-Bond II bonding 

agent (Shofu Inc. Japan) applied in an even layer over the entire 

etched tooth surface (Fig. 11) and photocured for 20 seconds. 

Fig. 2 Fig. 3 Fig. 4 



Fig. 2: Shade selection using Vita Classical shade guide 

Fig. 3: Free hand mock-up created with Beautifil II LS shade A2 

Fig. 4: Putty index made with A-Silicon impression 

Fig. 5: Isolation achieved with rubber dam 

Fig. 6: Teeth polished with pumice slurry to remove the plaque 

biofilm 

Fig. 7: Minimal surface preparation and bevels done with a fine 

diamond point 

Fig. 8: Smoothening of prepared surface and defining of the short and 

long bevels with Super-Snap coarse disk 

Fig. 9: Palatal putty index checked before the bonding protocol 

Fig. 10: Etching of enamel surface with 37% phosphoric acid 

50 


User Report 

Creating the palatal shell 

A small amount of Beautifil Injectable XSL shade A2 (Shofu Inc. Japan), a 

bioactive restorative material, was injected in a small amount and placed 

on the palatal putty index in the area of the tooth to be restored (Fig. 12). 

The putty index was then placed on the palatal aspect of anterior teeth. 

The restorative material was spread and teased with a thin probe onto the 

palatal aspect of the preparation and photocured for 20 seconds (Fig. 13). 

The self-levelling flow properties of this novel restorative material permits 

gentle spread and preparation of a thin even palatal base layer. The 

putty index is removed and the prepared palatal shell is examined (Fig. 

14). Photocuring is done for 20 seconds from the palatal aspect. Excess 

material was gently trimmed using No.12 surgical blade. This palatal 

shell will serve as a base for further placement of restorative material. 

Inject and shape with bioactive injectable composite 

A layer of Beautifil Injectable X was then placed on the palatal shell 

layer and gently spread using a probe and No. 5 Unibrush (Shofu Inc. 

Japan). The unique properties of this restorative prevented the material 

from flowing freely and allowed the material to holds its shape. The 

material was injected and shaped to be slightly thick on the apical 

aspect of the defect and gently spread over the fracture line while 

forming a thinner layer towards the incisal aspect (Figs. 15-16). The 

injectable composite layer was then photocured for 20 seconds. 

The translucency effect was created by adding Lite Art blue stain 

(Shofu Inc. Japan) on the incisal aspect and gently spread using 

No. 5 Unibrush before photocuring for 20 seconds (Figs. 17-18). Two 

more layers of Beautifil Injectable X A2 were added subsequently 

to get the desired shape and anatomy of the fractured segment 

(Figs. 19-20). Each layer was photocured for 20 seconds and final curing 

of 40 seconds for each surface was carried out after application of 

glycerine to minimise the oxygen inhibited layer on the surface (Fig. 21). 

Fig. 11 

Fig. 12 Fig. 13 

Fig. 14 Fig. 15 

Fig. 16 

Fig. 17 

Fig. 18 

Fig. 19 

Fig. 20 

Fig. 21 

Fig. 11: Bonding with FL-Bond II sixth generation bonding system 

Fig. 12: Small amount of Beautifil Injectable XSL bioactive composite 

injected on to the putty index 

Fig. 13: Putty index placed on palatal aspect injected material spread 

evenly and photocured 

Fig. 14: Palatal shell created to form a thin and even base layer 

Fig. 15: Beautifil Injectable X was injected and placed on the palatal shell layer 

Fig. 16: Material was gently spread using a probe and No. 5 Unibrush 

Figs. 17-18: Translucency effect was created by adding Lite Art blue 

stain 

Figs. 19-20: Beautifil Injectable X was injected in layers to obtain the 

desired anatomy and minimise adjustments 

Fig. 21: Oxy-barrier applied and light-cured to minimise the inhibition 

layer 


User Report 

Finishing and polishing protocol 

Gross finishing was completed under 

rubber dam using Super-Snap medium 

disk (purple) and TR21F (Mani Inc. Japan) 

fine-grit bur on slow speed handpiece 

(Figs. 22-23). OneGloss Midi point (Shofu 

Inc. Japan) was then used to smoothen 

the surface and create secondary surface 

anatomy (Fig. 24). After fine finishing, 

the rubber dam was removed, occlusion 

was adjusted and the final aesthetic 

outcome was examined (Figs. 25-26). 

The patient was recalled after three 

days for the final finishing and polishing 

of the restoration (Fig. 27). The aesthetic 

outcome observed after hydration appeared 

satisfactory. Final finishing was done using 

One-Gloss with minimal pressure and 

fleeting strokes (Fig. 28). This method of 

finishing with One-Gloss can be easily termed 

as pre-polishing as it creates a smooth 

surface ready to be polished (Fig. 29). The 

polishing step was initiated with Super- 

Snap X-Treme Disk fine (Green) followed 

by extra-fine (Pink) (Figs. 30-31). As the 

disks are flat and tend to flatten the surface 

characterisations, they should be held at a 

slight angle while polishing the facial surface 

so as not to flatten the lobular anatomy. 

Fig. 22 

Fig. 23 

Fig. 23 Fig. 24 

Fig. 25 

Fig. 26 

Fig. 27 

Fig. 28 

Fig. 29 

Fig. 30 

Fig. 30 Fig. 31 

Fig. 22: Gross finishing with fine diamond CA point 

Fig. 23: Finishing with Super-Snap medium disk (purple) 

Fig. 24: OneGloss Midi point was used to smoothen the surface and 

obtain surface texture 

Fig. 25: Fine finishing completed before removal of the rubber dam 

Fig. 26: Immediate post-op 

Fig. 27: Restoration at the three-day recall visit for finishing and polishing 

Fig. 28: Final finishing was done using One-Gloss with minimal 

pressure and fleeting strokes 

Fig. 29: Pre-polished surface after finishing with OneGloss Midi 

Fig. 30: Polishing step was initiated with Super-Snap X-Treme disk 

fine (Green) 

Fig. 31: Further polish was achieved with Super-Snap X-Treme super 

fine disk (Pink) 

52 


User Report 

attempt was made to create an incisal halo using any opaque tints, 

except for mimicking the natural incisal edge slope towards palatal, 

the incisal halo was still distinctly visible in the final restoration. 

This points towards the good refractive opalescence properties of 

the restorative material. The final finish and polish of the restoration 

were easily achieved with the comparable lustre of the natural 

enamel surface. DA 

Fig. 32 

REFERENCES 

1 

Miki S et al. Antibacterial activity of resin composites containing surface prereacted 

glass-ionomer (S-PRG) filler. Dent Mater. 2016 Sep;32(9):1095-102 

2 

Koji Yoshida et al: Anti-plaque property of newly developed fluoride releasing 

adhesive system; Japanese Journal of Conservative dentistry magazine. Vol.51, 

No.5, 493-501, 2008. 

3 

Hiraishi N et al. Interactions of boron released from surface pre-reacted glass 

ionomer with enamel/dentin and its effect on pH. Sci Rep. 2021 Aug 3;11(1):15734. 

Fig. 33 

Fig. 32: Final lustre was achieved with Super-Snap Buff disk used with 

fleeting strokes 

Fig. 33: Final restoration with natural aesthetics that blend well with 

the rest of the dentition 

Final lustre was achieved with Super-Snap Buff disk (Shofu 

Inc. Japan) used with fleeting strokes (Fig. 32). 

RESULT AND CONCLUSION 

An aesthetically pleasing restoration was easily created using the 

above protocol, where the restoration was almost undetectable 

from the rest of the tooth and also the adjacent tooth (Fig. 33). 

The translucency of the incisal third appeared optimal with 

the body of the restoration having the depth of colour which 

matched perfectly with the rest of the tooth structure making 

the restoration invisible. The fracture line appeared well masked 

where the restoration margins were well blended with the natural 

tooth surface. Overall, the aesthetic outcomes achieved were 

beyond the patient’s expectations and she was very happy. 

The new injectable restorative materials, Beautifil Injectable 

XSL and Beautifil Injectable X, used in this clinical case 

demonstrated very good handling and optical properties 

to make a complicated restoration plan simple and 

predictable with a mono shade restorative procedure. 

The optical properties of these bioactive composites are truly 

impressive as the restoration does not appear too translucent or 

greyish in colour, however at the same time permits the optical 

effects of tints used in sub-surface layer to create the effect of 

the natural translucency required to perfectly match the adjacent 

tooth. The fracture lines were masked well, along with seamless 

integration of restoration margins and tooth surface. Though no 


Dr Amit Gulati, is a BDS and MDS from the 

University of Mumbai, India. He completed 

an advanced training in aesthetic perioplastic 

surgery, implantology and osseous 

regeneration at the University of Hamburg, 

Germany, and further expanded his 

expertise with advanced prosthodontic 

training under eminent clinicians in Germany. 

A diplomate of the Indian Society of Oral Implantologists (ISOI), 

a fellow of International Congress of Oral Implantology (ICOI) 

and associate fellow of World Clinical Laser Institute (WCLI), Dr 

Amit is trained in Digital Smile Design (DSD) under Dr Christian 

Coachman and was instrumental in introducing the Style 

Italiano concept in India through his academy. He also had 

extensive training on Minimally Invasive Cosmetic Dentistry 

(MiCD) and is a certified MiCD clinical trainer. 

During his 17 years of aesthetic and implant practice, Dr 

Amit has delivered numerous scientific presentations and 

conducted training programmes on implants and aesthetics 

both locally and internationally. Apart from consulting for 

various aesthetic clinics in Mumbai, he also runs a busy 

practice with special focus on aesthetics, implantology 

and oral rehabilitation. He is a passionate teacher and runs 

“Synqronize”, an academy established with other like-minded 

colleagues, to share knowledge and train extensively on 

implant and aesthetic dentistry. 


User Report 

Efficient conversion of a 

conventional complete denture to 

Straumann® Pro Arch using 

Smile in a Box 

Outsourcing digital workflows have found its way into the dental field. 

Dr Keng Mun Wong and Dr Valerie Tey share how they utilised a fully 

outsourced digital workflow by Smile in a Box on a Straumann® Pro 

Arch protocol for the immediate conversion of a conventional complete 

denture into a fixed full-arch restoration. 

By Dr Valerie Tey and Dr Keng Mun Wong 

Immediate implant-supported full arch 

restorations represent a well-established 

and increasingly endorsed treatment 

modality for the rehabilitation of fully 

edentulous patients 1,2 . Survival rates as 

high as 97% and more have been reported 

for this type of restoration, with an average 

follow-up period of five years 3 . Attributed 

to favourable bone quality and anatomy, 

mandibular immediate full-arch restorations 

have been documented to display even 

higher success rates 4 . 

Digital technologies like guided implant 

placement and computer-assisted 

prosthetic planning and manufacturing 

can significantly facilitate diagnosis, 

treatment planning and surgical procedures, 

and therefore provide more predictable 

and efficient treatments 5,6 . In particular, 

surgically advanced procedures like full-arch 

reconstructions may significantly benefit 

from these advantages, which may reduce 

chair time and invasiveness for the patient 5,7 . 

Access to digital technologies may be 

hindered by financial and time constraints, 

as well as a steep learning curve that has 

been associated with such technologies 8,9 . 

Recently, digital workflows have become 

available as part of an outsourced service 

through Smile in a Box. This enables 

practitioners using conventional 

workflows to readily benefit from the 

advantages of digital technologies 

without having to overcome the hurdles 

associated with their first-time access. 

This case report describes a successful 

immediate conversion of a conventional 

complete denture into an immediate 

full-arch restoration by applying an 

outsourced fully digital workflow provided 

by Smile in a Box. The application 

of a Straumann ® Pro Arch protocol, 

combined with Smile in a Box, allowed 

ready access to a fully digital workflow 

that could efficiently be integrated 

into conventional prosthetic workflow, 

providing a highly satisfying clinical result. 

INITIAL SITUATION 

A 65-year-old male patient, fully 

edentulous restored with conventional 

acrylic full dentures, visited the clinic 

complaining of unsatisfactory mandibular 

denture retention and associated 

problems. It included poor speech and 

masticatory function, specifically related 

to his lower denture. Clinical examination 

revealed a round to knife-edge mandibular 

ridge form, and adequate vertical but 

inadequate horizontal bone availability 

specifically in the posterior aspects 10 . 

Fig. 1 

Fig. 2a 

Fig. 2 

Fig. 2b 

Fig. 2c 

Fig. 1: Pre-treatment diagnostic panoramic 

radiograph 

Figs. Fig. 2a-c: 4 Pre-treatment intra-oral situation: 

(a) existing conventional complete dentures 

(b) maxillary and mandibular arches at the 

approximate occlusal vertical dimension 

(c) horizontal mandibular 

54 


User Report 

The diagnostic panoramic radiograph 

revealed a mandibular arch presenting 

moderate atrophy of Class III to IV, with a fair 

volume of relatively dense cortical bone of 

type I - II present in the interforaminal area 

(Fig. 1). 

The patient both had well-controlled type 

II diabetes and hypertension. No systemic 

and local risk factors or contraindications 

that would have excluded the patient from 

implant treatment were identified. After a 

thorough discussion on various treatment 

options with their advantages and 

limitations, the patient opted for an implantsupported 

mandibular restoration combined 

with a new conventional full upper denture. 

TREATMENT PLANNING 

The treatment strategy included the 

determination of the maxillomandibular 

relationship, occlusal vertical dimension, and 

teeth position using conventional complete 

denture techniques (Figs. 2a-c). The findings 

were used as prosthetic references for the 

delivery of the fixed mandibular restoration 11 

(Figs. 3a-b, 4a-b). 

Data acquisition for the generation of the 

virtual patient model was based on dual 

cone beam computed tomography (CBCT) 

scans using a radiographic template of the 

new conventional dentures 12 (Figs. 5a-b). 

Equidistant radiopaque fiducial markers 

(gutta-percha) were positioned along the 

vestibular rim of the template, allowing for 

precise matching of the individual DICOM 

data sets from patient scans wearing the 

radiographic template and the template 

alone. 

Conversion of the lower mandibular 

conventional denture into a fixed implantsupported 

restoration was accomplished 

using Straumann ® Smile in a Box. DICOM 

data sets from dual CBCT scans were used by 

the Smile in the Box team to establish the 

virtual patient model. Based on this model, 

the team explored possible concepts for the 

implant restoration and associated surgical 

protocols and guides using coDiagnostiX ® 

surgical planning software. 

Fig. 3a Fig. 3b Fig. 4a 

Fig. 4b 

Fig. 5a 

Fig. 5b 

Fig.6a 

Fig. 6b 

Fig. 6c 

Fig. 7a 

Fig. 7b 

Figs. 3a-b: Maxillomandibular occlusal records 

and final wax-up on master casts 

Figs. 4a-b: New set of acrylic dentures on the 

master casts and in close-up 

Figs. 5a-b: (a) Transparent radiographic template 

on master cast (b) After the modification of 

template with radiopaque fiducial markers in 

preparation for the dual scan CBCT 

Figs. 6a-c: Implant restoration planned in 

coDiagnostiX ® (a) 2D projection (b-c) 3D 

representations of the planned implant and 

prosthetic restorations 

Figs. 7a-b: (a) Pin guides for pin fixation (b) 

surgical guide for implant placement designed 

in coDiagnostiX ® 


User Report 

Subsequently, the team designed the 

immediate provisional restoration using 

CARES ® Visual software. Specific details and 

aspects of the planned restorations and 

treatment concepts were explored, validated 

and approved during virtual planning 

sessions between the Smile in a Box team 

and the clinicians. 

Following approval, the surgical templates, 

provisional restoration, implants, and 

any additional prosthetic parts and 

surgical tools required for the full surgical 

treatment procedure were conveniently 

assembled by the Straumann team and 

delivered in an all-in-one shipment to the 

clinic. 

Specifically, the plan involved a firstmolar-to-first-molar 

prosthetic restoration 

supported by four interforaminal BLX 

Roxolid ® SLActive ® implants, consisting 

of two anterior Ø3.75 x 12mm implants in 

positions 32 and 42, and two Ø4.75 x 12mm 

implants in positions 35 and 45. Inclination 

of the posterior implants by 17 degrees 


Fig. 9a 

Fig. 9b 

Fig. 9c 

Fig. 10a 

Fig. 10b 

Fig. 10c 

Fig. 11a 

Fig. 11b 

Fig. 11c 

Fig. 12a 

Fig. 12b 

Fig. 12c 

Figs. 8a-c: Clinical situation on the day of surgery 

Figs. 9a-c: Positioning of the lower pin guide in occlusion with the opposing transparent radiographic template. An occlusal record was used to 

further stabilise the mandibular pin guide in the correct position 

Figs. 10a-c: Fixation of the BLX surgical guide 

Figs. 11a-c: Osteotomy preparation (position 32) (a) Access preparation using a mucosal punch (b) flattening of the alveolar crest using a milling 

cutter and (c) pilot drilling with a Ø 2.2mm pilot VeloDrill 

Figs. 12a-c: Finalisation of the osteotomy and implant placement (position 32) (a) Final drilling with a Ø 2.8mm VeloDrill (b) BLX Roxolid ® 

SLActive ® implant Ø 3.75 x 12mm (c) implant placement using a motorised handpiece 

56 


User Report 

Fig. 13a 

Fig. 13b 

Fig. 13c 

Fig. 14a 

Fig. 14b 

Fig. 14c 

Fig. 15a 

Fig. 15b 

Fig. 15c 

Fig. 15d 

Fig. 15e 

Fig. 15f 

Figs. 13a-c: (a) Occlusal view after implant placement (b) mounting of screw-retained abutments (SRAs) and (c) fixation of the temporary 

provisional 

Figs. 14a-c: Installation of shortened titanium copings and fixation of the provisional restoration 

Figs. 15a-f: (a-c) Before and (d-f) after the removal of anchoring flanges and polishing of the finalised temporary prosthesis with installed 

titanium copings in occlusal, frontal, and intaglio views 

increased the A/P spread and helped reduce 

the distal prosthetic cantilevers, removing 

the need for any augmentative procedures 

(Figs. 6a-c) 13 . 

The planned surgical templates consisted of 

a combination of a pin guide for pin fixation 

and a surgical guide for implant placement. 

Both guides were supported by crestal 

mucosa and four anchoring pins in positions 

36, 33, 43 and 46 (Figs. 7a-b). 

SURGICAL PROCEDURE 

Surgery was carried out under local 

infiltration anaesthesia (Figs. 8a-c). Proper 

seating and positioning of the mandibular pin 

guide on the alveolar crest were verified with 

the upper radiographic template in occlusion 

(Figs. 9a-c). After the correct positioning 

of the anchoring pins, the pin guide was 

removed and replaced with the surgical 

guide, and secured with anchoring pins (Figs. 

10a-c). 

Osteotomy preparation was carried out 

corresponding to the instructions and 

surgical protocols provided by coDiagnostiX ® . 

This included the preparation of a defined 

access profile to the alveolar bone with a 

mucosa punch (Ø4.7mm), flattening of the 

alveolar ridge with a milling cutter (mesial 

Ø3.5mm, distal Ø4.2mm) and pilot drilling 

with a Ø2.2mm pilot VeloDrill at 800rpm 

(Figs. 11a-c). 

All osteotomies were prepared to a final 

diameter of Ø2.8mm to achieve good 

primary stability and retain a high degree 

of surgical flexibility 14-16 . Straumann ® BLX 

implants were placed using a motorised 

handpiece, followed by manual insertion 

and final verification of appropriate insertion 

torque of >35Ncm (Figs. 12a-c). 

PROSTHETIC PROCEDURE 

The surgical procedure was directly 

followed by immediate provisionalisation, 

which includes the installation of screw- 


User Report 

retained abutments (SRAs) with a 

torque of 35Ncm and pin fixation 

of the temporary provisional (Figs. 

13a-c). An optimal fit of the premanufactured 

provisional restoration 

with the prosthetic emergence 

profiles of the implant restoration was 

achieved. 

Next, titanium copings were adjusted 

in length to suit the contours of the 

provisional and mounted on the 

implant restoration. Subsequently, 

the immediate provisional was 

mounted, secured with anchoring 

pins and fixed to the titanium copings 

using flowable composite (Figs. 14ac). 

Fig. 16a 

TREATMENT OUTCOMES 

Optimal functional and aesthetic 

results were achieved thanks to 

the digital pre-planning. There was 

a satisfactory occlusal fit with the 

maxillary complete denture, and no 

adjustments were required (Figs. 

15a-f). The patient showed optimal 

immediate phonetic and functional 

adaptation to the new provisional and 

reported that he was pleased and 

satisfied with the results (Figs. 16a-c). 

Fig. 16b 

DISCUSSION 

The presented case illustrated 

the conversion of a mandibular 

conventional complete denture into 

an implant-supported fixed fullarch 

restoration using Straumann ® 

Pro Arch and Straumann ® Smile in 

a Box. Conversion of the existing 

restoration included the delivery of 

a new set of stable conventional 

dentures after re-establishing the 

maxillomandibular relationships 

and occlusal vertical dimensions by 

conventional laboratory workflows. 

Smile in a Box facilitated quick and 

easy access to a digital workflow, 

with the associated advantages 

of precise prosthetically driven 

implant planning, guided flapless 

implant placement and immediate 

restoration 6,8 . The outsourced 

workflow could be perfectly 

Fig. 16c 

Figs. 16a-c: Delivery of the immediate provisional on the day of surgery 

integrated into the clinic’s existing of the virtual planning models 

clinical and prosthetic setup. 

based on the visualisations from 

coDiagnostiX ® and CARES ® Visual 

Key success criteria that contributed to provided by the team. 

seamless integration of the outsourced 

workflows and an optimal result for Efficient communication with the 

the patient included appropriate 

team also ensured that all other 

and accurate data collection and critical factors related to immediate 

communication with the Smile 

implant placement and restoration 

in a Box team. This allowed a 

were appropriately addressed, 

straightforward definition and approval without having to overcome the 

58 


User Report 

initial learning curves associated with 

digital techniques 8 . 

CONCLUSION 

The application of Smile in a Box on 

a Straumann ® Pro Arch protocol has 

enabled convenient and seamless 

access to a digital workflow for 

the immediate conversion of a 

conventional complete denture into a 

fixed full-arch restoration. DA 

For more information: 

https://bit.ly/siab-sg 

REFERENCES 

1 

Rohlin M, Dr O, Nilner K, et al (2012) Treatment 

of Adult Patients with Edentulous Arches: A 

Systematic Review. The International Journal 

of Prosthodontics 25:553–567 

2 

Pera P, Menini M, Pesce P, et al (2018) 

Immediate Versus Delayed Loading of Dental 

Implants Supporting Fixed Full-Arch Maxillary 

Prostheses: A 10-year Follow-up Report. 

Int J Prosthodont 32:27–31. https://doi. 

org/10.11607/ijp.5804 

3 

Daudt Polido W, Aghaloo T, Emmett TW, 

et al (2018) Number of implants placed for 

complete‐arch fixed prostheses: A systematic 

review and meta‐analysis. Clin Oral Impl Res 

29:154–183. https://doi.org/10.1111/clr.13312 

4 

Papaspyridakos P, Mokti M, Chen C-J, et al 

(2014) Implant and Prosthodontic Survival 

Rates with Implant Fixed Complete Dental 

Prostheses in the Edentulous Mandible 

after at Least 5 Years: A Systematic Review: 

Implant and Prosthesis Survival Rates 

in Edentulous Mandible. Clinical Implant 

Dentistry and Related Research 16:705–717. 

https://doi.org/10.1111/cid.12036 

5 

Wismeijer D, Joda T, Flügge T, et al (2018) 

Group 5 ITI Consensus Report: Digital 

technologies. Clin Oral Impl Res 29:436–442. 

https://doi.org/10.1111/clr.13309 

6 

Colombo M, Mangano C, Mijiritsky E, et al 

(2017) Clinical applications and effectiveness 

of guided implant surgery: a critical review 

based on randomized controlled trials. BMC 

Oral Health 17:150. https://doi.org/10.1186/ 

s12903-017-0441-y 

7 

Arisan V, Karabuda CZ, Ozdemir T (2010) 

Implant surgery using bone- and mucosasupported 

stereolithographic guides in 

totally edentulous jaws: surgical and postoperative 

outcomes of computer-aided vs. 

12 

standard techniques. Clin Oral Implants Res Ramasamy M, Giri, Raja R, et al (2013) 

21:980–988. https://doi.org/10.1111/j.1600- Implant surgical guides: From the past 

0501.2010.01957.x 

to the present. J Pharm Bioall Sci 5:98. 

8 

Al Yafi F, Camenisch B, Al-Sabbagh M 

https://doi.org/10.4103/0975-7406.113306 

13 

(2019) Is Digital Guided Implant Surgery 

Morton D, Gallucci G, Lin W-S, et al 

Accurate and Reliable? Dental Clinics of 

(2018) Group 2 ITI Consensus Report: 

North America 63:381–397. https://doi. 

Prosthodontics and implant dentistry. Clin 

org/10.1016/j.cden.2019.02.006 

Oral Implants Res 29 Suppl 16:215–223. 

9 

Tahmaseb A, Wismeijer D, Coucke W, 

https://doi.org/10.1111/clr.13298 

14 

Derksen W (2014) Computer Technology 

Javed F, Ahmed HB, Crespi R, Romanos 

Applications in Surgical Implant Dentistry: GE (2013) Role of primary stability for 

A Systematic Review. Int J Oral Maxillofac successful osseointegration of dental 

Implants 29:25–42. https://doi.org/10.11607/ implants: Factors of influence and 

jomi.2014suppl.g1.2 

evaluation. Interventional Medicine and 

10 

Cawood JI, Howell RA (1988) A 

Applied Science 5:162–167. https://doi. 

classification of the edentulous jaws. 

org/10.1556/IMAS.5.2013.4.3 

15 

International Journal of Oral and 

Javed F, Romanos GE (2010) The role of 

Maxillofacial Surgery 17:232–236. https://doi. primary stability for successful immediate 

org/10.1016/S0901-5027(88)80047-X 

loading of dental implants. A literature 

11 

Terzioğlu H, Akkaya M, Ozan O (2009) The review. Journal of Dentistry 38:612–620. 

use of a computerized tomography-based https://doi.org/10.1016/j.jdent.2010.05.013 

16 

software program with a flapless surgical 

Ophir Fromovich, Karim Dada, Leon 

technique in implant dentistry: a case report. Pariente, Marwan Daas (2019) BLX: a new 

Int J Oral Maxillofac Implants 24:137–142 

generation of self-drilling implants 

About the authors 

Dr Valerie Tey graduated with Bachelor and Master of 

Dental Surgery degrees from the National University of 

Singapore, where she is currently serving as a part-time 

tutor. In the course of her study, she was placed on the 

Dean’s list and awarded a number of medals, including 

the Academy of Medicine Prize, Dr FAC Oehlers Medal 

(Best clinical student), Terrell Silver Medal (Best student 

with distinction in prosthodontics) and the Q&M Dental Surgery Medal for 

Operative Dentistry (Best student with distinction in operative dentistry). 

She holds a membership in Prosthodontics from the Royal College of 

Surgeons, Edinburgh, and is also a fellow of the Academy of Medicine, 

Singapore. 

Dr Keng Mun Wong is a member of numerous 

professional organisations. He is an affiliate assistant 

professor at the University of Washington, United States, 

and a visiting senior lecturer at the National University 

of Singapore. In 2005, Dr Wong founded T32 Dental 

Academy, a centre dedicated to educating, motivating, 

stimulating and sharing knowledge with other dental 

professionals. Dr Wong is currently the managing director of T32 Dental 

Group. His practice focuses on all areas of restorative care including 

aesthetic dentistry, full mouth reconstruction, fixed, removable and implant 

prosthodontics. 


Behind the Scenes 

More than a simple 

manufacturing alternative 

Thanks to validated Ceramill workflow, precisely fitting 

3D-printed full dentures is now possible. 

Ceramill workflow is a “for Ceramill” support 

and Buildstyle for the printing process we 

developed together with 3D Systems. These 

are adapted to the workflow of Amann 

Girrbach and also contribute to creating 

an excellent fit. The focus here was on 

the fit of the teeth and bases. 

in the final fabrication of the full denture. 

Additionally, there is a checklist which, in case 

of problems, points out possible sources of 

error and highlights the important steps for an 

accurately fitting result. DA 

Amann Girrbach has successfully developed 

and marketed innovations for digital dentures 

over the years. With the addition of 3D printing 

capabilities, the Ceramill Full Denture System 

offers the broadest range of digital denture 

fabrication options in the industry – from 

the highest quality, highly individual milled 

dentures to cost-efficient 3D printed dentures. 

So, how can these benefit the users? 

Gerrit Scholz, MSc, development engineer at 

Amann Girrbach’s Research and Development 

department (above), answers this question 

by giving light to the integrated and easy-toimplement 

workflows of the Ceramill System. 

What makes 3D printing of full dentures 

within the Ceramill System so unique? 

Scholz: The Denture 3D+ material from 3D 

Systems has been extensively validated by 

our research and development department. 

This thorough examination has enabled us 

to greatly optimise both the design and the 

production process, so that reproducible and 

accurately fitting full dentures are guaranteed 

and can be fabricated by Ceramill customers 

in a most efficient manner (Fig. 1). 

On the software side, validated and 

coordinated CAD parameters are essential for 

the 3D printing result. To this end for example, 

the Ceramill D-Flow software offers tooth 

pocket gap parameters adapted to the tooth 

concept (Ceramill FDS or Vigo) (Fig. 2). On the 

production side, the special feature of the 

In addition, during validation of the material at 

our facility, the print or fit accuracy was found 

to be dependent on the material level or level of 

the 3D printer. To this effect, we have developed 

a Level Tool (available in the C3 and/or AG.Live 

portal) (Fig. 3), with which the appropriate 

filling level for the respective printing job can 

be achieved. In direct interaction with the “for 

Ceramill” Buildstyle, the Filling Level Tool creates 

precisely fitting results for the customer. 

Automatic orientation and additional 

assistance structures are further features 

offered by the Ceramill workflow. What 

roles do they play? 

Both are important factors which influence an 

accurately fitting result. Even slight deviations in 

orientation can significantly influence the fit of 

full dentures. For this reason, orientation of the 

full dentures in the Ceramill workflow is selected 

such to ensure an optimal tooth and base fit 

on the model. This orientation is automatically 

transferred from the Ceramill software to the 3D 

Sprint 3D-printing software from 3D Systems, 

thus avoiding incorrect orientation. The placing 

of additional assistance structures (Fig. 4) 

serves as stabilisation during the printing 

process and thus prevents distortion during the 

fabrication process with the NextDent5100 for 

Ceramill. 

How difficult is this step for beginners? 

To provide customers with a quick and 

easy introduction, detailed instructions are 

available, which explain all the steps involved 

Fig. 1: Checking the final fit of the printed full 

dentures in the articulator 

Fig. 2: Selecting the tooth pocket gap (here: FDS 

system) in the Ceramill Mind Software 

Fig. 3: The Filling Level Tool helps to find the 

appropriate material level 

Fig. 4: Assistance structures (yellow) in the 3DSprint 

for Ceramill Software 

60 



Automatic denture cleaning 

that works 

SYMPRO is a compact denture cleaning unit from Renfert especially 

suited for cleaning removable dental restorations, orthodontic 

appliances, and splints. Dr Christopher Tuxford shares his experience 

using the system and how he integrated it into his daily practice. 

Upper denture with stubborn deposits before 

initial cleaning 

Upper denture after cleaning 

FIRST IMPRESSIONS 

Trade Exhibition Stuttgart: Full aisles, lots 

of booths, practically information overload! 

Everything new, everything great and 

everything expensive. But then, I saw 

something out of the corner of my eye 

as I passed it by. Small, white-grey and 

unspectacular but somehow, something 

special. I only then realised that it was 

the Renfert stand where I had stopped. 

Laboratory stuff! I’m a dentist! What is that? 

The friendly answer was on point: SYMPRO 

Denture Cleaning Unit; also for, or only for the 

practice. Great! The laboratory has something 

like that in large. It takes two to three hours 

to get the teeth back again. But then again, 

they looked new. Hence, I asked for more 

information. For 20 to 40 minutes of cleaning 

time, post-polishing is not necessary. Wow! 

And that works? Okay, the price was less than 

I expected. 

Whilst waiting for the device to arrive, I did 

my research. It all sounded very positive. And 

then, at last, my first practice run. It was all 

true, within 20 to 40 minutes, depending on 

the state of the denture, one can achieve 

very good results, which are very close to 

professional cleaning in the laboratory. It is 

ideal for cleaning the dentures at the same 

time as the professional oral prophylaxis 

and be able to send the patient away with 

completely clean teeth. 

It is fair to say that now, approximately 80% of 

denture cleaning is done in the practice. The 

unit is now well and truly integrated within 

the daily practice routine and works reliably. 

FOLLOW UP 

We see the dentures again, which were 

cleaned a few months ago. There are no 

increased deposits on the dentures that 

indicate any micro-abrasion that may have 

occurred. In the meantime, patients with 

heavily discoloured dentures due to smoking 

have spoken to us and asked directly for the 

denture cleaning service. 

The plan to use the device for regular 

cleaning of the dentures from retirement 

home residents is currently still failing due to 

logistics. There is a need, but whether this will 

be paid for remains to be seen. 

A year has passed. With the exception 

of new patients, there are hardly any 

dentures requiring significant and 

therefore longer cleaning times of more 

than 20 minutes. 

CONCLUSION 

Denture cleaning only takes less than 20 

minutes and can be easily carried out 

during half a professional tooth cleaning 

session. I would say the introduction of 

the SYMPRO Denture Cleaning system 

into my dental office has been a great 

success. DA 


Dr Christopher 

Tuxford studied 

dentistry in 

Heidelberg, 

Germany (1996 

to 2001), after 

completing his 

professional training as a dental 

technician. He has been working 

as a dentist since 2002, initially as 

an assistant dentist. At present, Dr 

Tuxford now runs his own dental 

office in Linkenheim-Hochstetten, 

Germany, since 2006. As a dental 

technician and dentist, he focuses 

his work on prosthodontics, aesthetic 

and conservative dentistry. 



Best strategies to jumpstart 

digital orthodontics 

There is no way around it: the future of orthodontics is inevitably 

digital. With cutting-edge digital solutions for digital impressions, 

treatment planning, design, and 3D printing, what was once 

prohibitively expensive is now accessible, transforming thousands 

of orthodontic practices worldwide. 

As CAD/CAM technology continues to replace 

traditional workflows and become the standard 

of care, digital solutions have become a 

necessary consideration for any orthodontic 

practice or laboratory for the following: 

• High quality and precision: No two 

orthodontic treatments are the same. 

Achieving consistent, high-quality and 

affordable orthodontic products with so 

many potential sources of error is incredibly 

difficult. Fully digital orthodontic treatments 

reduce the risks and uncertainties caused by 

human factors, providing higher consistency, 

accuracy, and precision at every stage of the 

workflow. 

• Improved efficiency: In terms of time 

and cost savings, digital orthodontics 

can be a no-nonsense business choice, 

improving efficiency in clinical procedures 

and streamlining workflows. For instance, 

fast and efficient impression taking with 3D 

intraoral scanners reduces chair time, provides 

instant feedback and omits manual errors like 

voids, bubbles, or tears, reducing the need for 

secondary or duplicate impressions. 

• Better patient experience and 

outcomes: Quicker appointments, more 

comfortable treatments, and better, faster 

results can be accomplished. A satisfied 

patient is more likely to return and recommend 

a clinic to others, contributing to the long-term 

success of any orthodontic business. 

THE DIGITAL DENTISTRY WORKFLOW 

While the design of different orthodontic 

treatments varies depending on the 

application, they all follow the same basic 

workflow: 

1. Scan (Fig. 1): 3D intraoral scanners can 

be used to capture scans digitally from the 

patient, replacing manual impressions with 

fast, accurate, digital impressions. Alternatively, 

desktop optical scanners, typically used by 

dental and orthodontic labs, can be used to 

scan traditional impressions or plaster models. 

62 



2. Plan and design (Fig. 2): After scanning, 

patients’ digital impression is imported into 

orthodontic CAD software for planning 

treatments. For simple diagnostic models, 

users can also convert intraoral 3D scan 

files directly into printable models such as 

in PreForm, Formlabs’ print-preparation 

software. Most software packages use design 

processes similar to traditional workflows, 

employing highly visual interfaces. After 

the treatments are designed, models can 

be exported for manufacturing. If a remake 

is needed, the same digital design can be 

reused without additional effort. 

Fig. 1 

3. Manufacture (Fig. 3): 3D models are 

uploaded to the CAM or print-preparation 

software and then sent to a 3D printer or 

a milling machine. They work by solidifying 

parts layer by layer to form the shape of the 

appliances and models. 

With the traditional workflow, the practice 

takes a physical impression of the patient 

and ships it to a lab that creates the required 

models or other indications. The lab then 

ships back to the practice for the treatment. 

In digital workflows, the individual steps can 

alternate easily between lab and practice, 

depending on the complexity of the case, 

indication and tools available at a practice. 

Fig. 2 

Thus, digital technologies simplify the 

process, improve communication and make 

interactions nearly instantaneous between 

the practice and lab (Fig. 4). 

DENTAL AND ORTHODONTIC 3D 

PRINTING TECHNOLOGIES 

Additive manufacturing is the latest piece 

of the workflow in digital orthodontics that 

has become a logical business choice for 

orthodontic practices and labs, combining 

high quality with low costs and streamlined 

processes. The market has been expanding 

rapidly, bringing this technology within reach 

for more businesses. 

Today, two 3D printing technologies are 

common in orthodontics: stereolithography 

(SLA) and digital light processing (DLP). 

Fig. 3 

Fig. 3 

Fig. 1: 3D intraoral scanners capture 

scans digitally from the patient 

Fig. 2: Digital design results in easier, 

more precise treatments and simplified 

communication 

Fig. 3: 3D models are uploaded to the 

CAM or print-preparation software and 

then sent to a 3D printer or a milling 

machine 

Fig. 4: The digital orthodontics workflow 

can move back and forth between 

practice and lab, increasing efficiency 

and collaboration 

In SLA, a vat of liquid resin is selectively 

exposed to a laser beam across the print 

area, solidifying resin in specific areas. Low 

Fig. 4 



For example, the Form 3B LFS 3D printer can 

produce a single orthodontic model in about 

20 minutes with Draft Resin and eight models 

per print in approximately one hour, while the 

large build volume of the printer also allows 

users to produce up to 18 models at once 

for overnight “lights out” production. The 

Form 3BL, Formlabs’ large-format dental and 

orthodontic 3D printer, can produce up to 52 

models per print. 

Fig. 5: The most common dental and orthodontic 3D printers work by selectively exposing liquid 

resin to a light source — SLA and LFS a laser, DLP a projector— to form very thin solid layers of 

plastic that stack up to create a solid object 

Force Stereolithography (LFS) technology, 

used by Formlabs’ Form 3B 3D printer, is the 

next phase in SLA 3D printing that reduces 

the strain created on a part when peeling it 

from the resin tank between layers, producing 

parts with unmatched surface finish, clarity, 

and accuracy. 

DLP operates with the same chemical process 

as SLA and LFS, but uses a digital projector as 

a light source to solidify the resin rather than 

a laser. 

SLA, LFS and DLP 3D printers work similarly 

— the differences in print quality, workflow, 

available materials, costs, and other factors 

are bigger from machine to machine more 

than technology to technology (Fig. 5). 

HOW TO EVALUATE ORTHODONTIC 3D 

PRINTING SOLUTIONS 

Accuracy and precision: Guaranteeing 

high-quality, accurate, final parts is the 

most important concern for any orthodontic 

practice. Unfortunately, not all 3D printers 

marketed for dentistry or orthodontics can 

deliver the quality, precision, and accuracy 

needed for orthodontic applications. 

Additionally, comparing different 3D printing 

solutions goes beyond looking at technical 

spec sheets. 

Fundamentally, accuracy and precision 

depend on many different factors: the quality 

of the 3D printer, the 3D printing process, 

materials, software settings, post-processing, 

and how well-calibrated all of these systems 

are, so a 3D printer can only be judged on its 

final printed parts. 

Users must always evaluate accuracy studies 

with real scan data of printed parts; or better 

yet, ask for a free sample part or a custom 

sample of their own design to check the fit 

or measure themselves against the original 

design. 

Speed and productivity: When thinking 

about speed in 3D printing, it is important to 

consider not just raw print speed, but also 

the overall productivity of an orthodontic 3D 

printer. Raw print speed for SLA, LFS and 

DLP 3D printers is comparable in general. As 

the projector exposes each entire layer all at 

once, print speed in DLP 3D printing is uniform 

and only depends on the height of the parts, 

whereas SLA and LFS 3D printers draw out 

each part with a laser. As a rule of thumb, 

this results in SLA and LFS 3D printers being 

comparable or faster when printing a single 

part or smaller parts, while DLP 3D printers are 

faster to print multiple parts that fill up much of 

the platform. 

However, there is a trade-off between 

resolution and build volume for DLP printers: a 

small DLP 3D printer might be able to print fast, 

but users can only fit a few models on the build 

platform. A different machine with a larger build 

volume might be able to print more parts, but 

only at a lower resolution, which means that 

it might not be accurate enough for printing 

indications that require higher accuracy. 

SLA and LFS 3D printers can produce all 

of these options in one machine and offer 

orthodontic practices the freedom to decide 

whether they want to optimise for resolution, 

speed, or throughput, depending on the case. 

Ease of use: Another important 

consideration is the ease of using a 3D 

printer, as users should know how to use the 

equipment and maintain it on a daily basis. 

Practices can get a sense of the learning 

curve that will come with a new 3D printer by 

watching videos online, visiting a trade show, 

contacting sales teams, or asking colleagues 

about their experience. 

It is also critical to consider the types of 

everyday interactions and maintenance the 

printer will need once it is up and running. 

For example, automatic resin dispensing on 

Formlabs SLA and LFS 3D printers means 

that users never need to worry about running 

out of material (Fig. 6). 

Costs and return on investment: When 

adopting a new technology, it needs to 

make sense for the business. The cost 

of orthodontic 3D printers has dropped 

significantly since early days and the systems 

on the market today offer the lowest costs for 

many applications. 

Fig. 6: Modern 3D printers, like the Form 

3B, are designed intuitively so that any 

orthodontic lab or practice can get familiar 

with the process easily 

64 



For example, a practice printing models to 

produce thermoformed aligners in-house can 

often reduce costs by 80% for each treatment 

compared to outsourcing to labs or service 

providers — enough to pay for a 3D printer in a 

few months and save many times its price tag 

over the years. 

When comparing different 3D printing 

solutions, remember to consider: 

• Upfront costs, including not just the 

machine cost, but also training, setup, and 

potentially software 

• Running costs, best estimated with per-part 

material costs 

• Service and maintenance costs 

Materials and applications: Professional 3D 

printers are some of the most versatile tools 

found today in orthodontic practices and labs, 

and the key to their versatility is dedicated 

materials. Formlabs 3D printers can produce 

a variety of orthodontic indications, including 

models for thermoforming aligners and 

retainers, diagnostic models, splints, indirect 

bonding trays, and more. 

Some 3D printers work only with proprietary 

materials, where options are limited to the 

offerings of the printer manufacturer. Others 

have an open system, and can use materials 

made by third-party manufacturers. 

However, when using third-party materials, it 

is important to ensure that the results achieve 

clinically acceptable quality and accuracy. 

Furthermore, using biocompatible materials 

on non-validated 3D printers that claim to 

be “open” breaks the usage requirements 

and thus will produce non-biocompatible 

appliances. It is vital to know the risk that 

the practice takes by using non-validated 3D 

printers and materials. 

products to 3D print because they do not 

require a third-party design software to 

prepare a digital impression for printing. 

For instance, Formlabs Dental 3D printer 

customers can use the Scan to Model feature 

in PreForm to turn their digital impressions 

into physical models for free. 

Once simple models and retainer fabrication 

were mastered, expanding to clear aligners 

is only a matter of adding the treatment 

planning component. After aligners, users 

can also expand to other indications using 

the same 3D printer, like indirect bonding 

trays, occlusal guards, or even direct-printed 

brackets. 

Define and test a digital workflow: With 

a specific application in mind, piece together 

the complete step-by-step digital workflow 

for that application, ensuring that all the 

pieces needed for scanning, design, and 

manufacturing are understood. 

First, consider whether it makes sense to 

invest in an intraoral scanner for the practice 

or it will be better to send stone models or 

physical impressions to the lab for scanning. 

For designing parts in-house, ensure to 

get a demonstration of the workflow of any 

design software to understand the stepby-step 

process before adopting it. Then, 

select a software package compatible with 

the scanning and manufacturing equipment 

according to preference. 

When considering different 3D printers, 

always source samples before buying 

equipment. Technical data and marketing 

specs can be misleading and hard to 

decipher. Instead of comparing sales 

brochures, compare actual parts — do not 

hesitate to ask for a physical sample. 

ever before and affordable machines enable 

users to add capacity as needed. 

GET STARTED WITH DIGITAL 

ORTHODONTICS AND 3D PRINTING 

With thousands of orthodontic practices 

and labs already adopting digital workflows, 

there has never been a better time to start 

exploring how to take advantage of new 

technology in the business. While 3D printers 

were only affordable to the largest dental and 

orthodontic labs and milling centres a few 

years ago, they are now a common sight in 

orthodontic practices and labs (Fig. 8). 

Consider the factors discussed above and the 

needs of the practice, some solutions might 

suit some businesses better than others. 

Ensure to do research, evaluate actual parts, 

and avoid paying a hefty premium. DA 

Fig. 7: An in-house 3D printer empowers users 

to create advanced applications like indirect 

bonding trays 

Manufacturers release new materials on a 

regular basis, so there is a good chance the 

printer bought today will become capable of 

creating an increasing variety of orthodontic 

products in the near future. 

HOW TO IMPLEMENT DIGITAL 

WORKFLOWS IN AN ORTHODONTIC 

PRACTICE OR LAB 

Pick an application: Simple models are 

the best place to start. These are the easiest 

Start small and scale up: To start, trial the 

workflow for a few weeks before going to 

full production, leaving time to learn each 

step and iron out any wrinkles. As the user 

gets comfortable with the results, it is time 

to switch the workflow fully to digital, and 

start scaling up. In digital workflows, scaling 

up is a simple matter of adding scanning, 

design, or production capacity, depending on 

where bottlenecks appear (Fig. 7). Desktop 3D 

printers offer more production flexibility than 

Fig. 8: Manufacturing thermoformed appliances 

like clear retainers and aligners over 3D printed 

orthodontic models is fast and affordable 


In Depth With 

Advancing oral prophylaxis 

Mectron has launched ultrasound inserts specially designed for 

gentle and effective removal of supra- and subgingival biofilm as 

well as for safe periodontal debridement. 

PERIO P3: THE FULL SCOPE 

MAINTENANCE INSERT 

Perio P3 is indicated for the removal of supraand 

subgingival biofilm. Its slim shape allows 

easy access in deep periodontal pockets and 

interproximal spaces in all the quadrants. 

Thanks to its remarkable linear movement, 

it is minimally invasive for the soft tissues 

and root cementum. Hence, it is ideal for 

preserving the epithelium. 

It is best utilised for interproximal and 

subgingival cleaning. It effectively removes 

extrinsic stains too. 

Perio P3 gives the clinician an optimal 

intraoperative control and a secure feeling 

while working interproximally, supra- and 

subgingivally. 

With its Soft Mode function which 

reduces the amplitude of the ultrasound 

oscillations and allows the insert to 

move gently and efficiently, it is highly 

recommended for sensitive patients 

for a more pleasant and comfortable 

treatment. 

PERIO ANATOMIC INSERTS P15, 

P16R, P16L FOR FULL MOUTH 

PERIODONTAL TREATMENT 

Perio anatomic inserts P15, P16R, 

P16L are indicated for periodontal 

debridement. The inserts guarantee 

maximum efficacy without risk of injury to 

the soft tissues and periodontal ligament. 

Its shape allows optimal access to hardto-reach 

areas, characterised by deep 

periodontal pockets such as furcations, 

root surfaces, and concavities, thereby 

preserving epithelial tissue and promotes 

new attachment formation. 

Additionally, the cavitation effect allows 

for mechanical biofilm disruption, bacteria 

dispersion, and periodontal pockets 

detoxification. 

The inserts in detail: 

P15: Recommended for the debridement 

of deep periodontal pockets. Easy access 

to canine and anterior teeth. Replaces 

manual curettes n° 1-2, 3-4, 5-6, 7-8 

P16R – P16L: Recommended for supraand 

subgingival interproximal spaces and 

an efficient root planing on molars and 

premolars. Replace manual curettes n° 

11-12, 13-14, 15-16, 17-18 DA 

Perio P3 for interproximal and 

subgingival cleaning 

P15: Universal curette for supra- and 

subgingival treatment 

P16R – P16L: angled periodontal curettes for 

subgingival concrement and biofilm removal 

from furcations and deep pockets 

66 


Rolence Enterprise: 

Commitment to quality and 

added value 

In Depth With 

Rolence Enterprise Inc. has been highly 

devoted to the research, development, and 

manufacturing of high-quality equipment 

for dental professionals for over 40 years. 

Their factory has been awarded Taiwan’s 

GMP of excellence. All of their products 

are extremely high quality and efficient. 

They also supply ODM dental products, 

OEM design, and development with their 

professional expertise. 

The company is always actively engaged 

in product research, development and 

innovation. Not only have they achieved an 

excellent outcome in innovating curing light 

technology, but they are also continuously 

developing new high-tech products. 

Rolence Enterprise is are fully fully committed 

to continuing their innovative research 

and development in advanced dental 

technology, and to vigorously improve 

the worldwide competitiveness of their 

products. All Rolence products have been 

awarded ISO 13485:2016 certification and 

meet FDA, CE standards, besides, their 

current products chain are distributed 

through a worldwide network of partners 

in the United States, Europe, Japan, India, 

China, Middle East and others. 

Rolence always carefully examines their 

customers’ needs and adapts their products 

to real world demands. The key ingredient 

to their success has been, and will always 

be, their commitment to quality and added 

value. They look forward to offering this 

commitment to their customers. 

Rolence Enterprise is the partner that every 

dental professional can trust. Head on to 

www.rolence.com.tw for more information. DA 

X-Ray Series 

Magneto Scaler Systems 

Portable X-RAY 

Large capacity battery of Panasonic able to take more than 1000 shots after fully charged. 

Latest TOSHIBA X-RAY Tube specifically for Portable X-ray. 

Unique double scatted shield provide extremly low dose during operation. 

MS-1 

LAB Curing Box Series 

Digital Sensor 

Extremely durable cable passed 70,000+ bending test 

Exchangeable cable easily replaced. 

Up to 50,000 shots with no quality loss. 

Theoretical 33/lp in high resolution 

Tray-LED 

LQ-BOX 

 

 

 

 


In Depth With 

Silicone hoses with spray 

water flow adjustment 

Reducing aerosols in dental clinics has become a priority in today’s 

practice with the current pandemic threat. With TeKne Dental’s silicone 

hoses, clinicians can finely adjust the spray water level from their 

handpieces to minimise potential contamination from the COVID-19 virus. 

Aerosol-generating procedures carry 

exposure risks that are almost inevitable in 

dental practices. Hence, with the pandemic 

threat, it has become a priority for dental 

professionals to reduce their exposure and 

potential contamination. 

TeKne Dental (TKD), an independent Italian 

manufacturer of dental handpieces, offers 

silicone hoses with adjustable spray water 

level to aid dental professionals in minimising 

exposure to harmful aerosols. Exporting their 

products worldwide, the company offers four 

types of silicone hoses: 

• Pneumatic: A wide range of pneumatic 

straight silicone hoses is available for 

turbines, air micromotors and scalers. Sizes 

of the internal polyurethane tubing have 

been optimised to get the best performance 

of the attached instrument and minimise the 

kinking effect of sharp bends. 

• Electric: A wide range of straight silicone 

hoses is available for supply of electric 

micromotors, piezo-electric scalers and 

curing lamps. The electric contacts are goldplated 

and crimped according to a precise 

standard to guarantee the best electric 

connection. All electric wires are extraflexible 

and adequately sized to the passing 

current, and are insulated with a special 

oil-resistant material. 

• Swivelling: Straight silicone hoses with 

540° (270° clockwise, 270° anti-clockwise) 

swivelling connection are available for 

pneumatic instruments and electric 

micromotors. 

• Multifunction: There is a range of straight 

silicone hoses with a special multi-function 

connection on the unit side. This special 

connection permits to manufacture dental 

units with easily detachable hoses. Four 

pneumatic ways and up to 11 electric ways are 

available on each multi-function connection. 

Multifunction silicone hoses come only in grey 

with special connectors suitable for use with 

KaVo, Anthos, Stern Weber, Castellini dental 

units. 

Pneumatic, electric, and swivelling hoses 

feature a silicone sheath and the connectors 

can be easily and safely cleaned with any 

commercial cleansers. Nuts and sleeves are 

chrome-plated and specially stained to reduce 

uncomfortable surface glare. 

In addition, the internal tubing is extruded in 

a controlled environment without added latex 

and phthalates, meeting main food regulations 

(Directive 2002/72/EC and FDA standard) 

and therefore comply with Directive 2007/47/ 

EC. The inner waterline tubing can also be 

extruded with an antimicrobial additive on 

special request to prevent the proliferation 

of bacteria on the inner surface. DA 

68 


User Report 


Product Highlights 

Meyer 

Meyer Dental CBCT 3D PRO: Smart all-in-one tailored for 

professional needs 

The Meyer extraoral 3D PRO CBCT 

system collects complete oral data in 

one scan and reconstructs all aspects 

of high-resolution images as needed for 

accurate clinical diagnostics. The resulting 

3D images and analytical data provide 

essential basis for dental filling, implant, 

and orthodontics. The device is fully 

upgradable to include the cephalometric 

device with acquisition modes including 

CBCT, Pano, Ceph, Part CT, and model 

scanning. 

Offering multiple FOV (field of view) 

configurations, the advanced algorithms 

of 3D PRO integrate with advanced 

hardware technology to achieve higher 

quality, closer-to-reality images, providing 

dentists with more accurate clinical 

information for diagnosis. 

In addition, 

the patented 

hybrid pulsed 

X-ray source 

technology enables lower dose 

radiation, while allowing accurate 

diagnosis with high-definition 

images. The X-ray dose can be 

adjusted according to the patient 

age and physique to minimise 

radiation exposure. 

With self-built mass data of clinical 

images, 3D PRO overturns the traditional 

iterative reconstruction algorithm by its 

image reconstruction technology that has 

greatly enhanced computing capacity. 

The instantaneously reconstructed mass 

images have also significantly saved the 

waiting time. 

ROBUST DIAGNOSTIC 

SOFTWARE 

Meyer’s MyDent Viewer 3D diagnostic 

software implements advanced 

software engineering through modular 

design, with functional modules 

including multiplanar reconstruction, 

curved surface reconstruction, implant 

simulation, TMJ modelling, and 3D 

orthodontic simulation. 

Functions associated with various 

modules also include 3D panoramic 

view, 3D positioning, automatic neural 

tube labelling, and bone density 

measurements. ■ 

The machine is now available in 

Singapore under A2Z Dental & Medical 

Supplies and Oracare Group. 

W&H 

The breakthrough in oral surgery 

The Implantmed Plus is now a true allrounder 

thanks to the new Piezomed on hand in a compact and space-saving 

as users always have the right device 

module from W&H. The new module can form. The modular system’s standardised 

also be retrofitted to the implantology motor operation simplifies the practice team’s 

easily and affordably, combining piezo daily workflows. In addition, only one 

surgery and implantology in one device. irrigation tubing and one saline solution are 

This, coupled with the implant stability required, enabling optimised handling. 

measurement and documentation features, 

makes W&H the first manufacturer to cover With the Piezomed Plus and Piezomed 

the entire surgical workflow. Oral surgeons Classic, W&H has two module versions 

can look forward to discovering a new world available to meet all piezo surgery 

of treatment possibilities. 

requirements in practice, whether for 

day-to-day or intensive use including easy 

The Piezomed module simplifies the 

operation, patented automatic instrument 

processes in oral surgery and implantology, detection, precise cutting performance and 

optimal cooling of the treatment site from a 

special spray design. 

SURGICAL WORKFLOW REDEFINED 

The combination of Implantmed Plus 

and Piezomed module changes working 

methods in oral surgery and implantology. 

All products and functionalities that 

come with the new modular system 

are fully tailored to the user’s workflow: 

W&H’s surgical contra-angle handpieces 

allow procedures to be performed with 

unrivalled precision, while the wireless 

foot control ensures greater comfort and 

freedom of movement. 

The Osstell Beacon for measuring the 

implant stability provides certainty in 

assessing the correct loading time for an 

implant. Comprehensive documentation 

guarantees full traceability. The easy addon 

ensures seamless transition between 

the two technologies, representing a real 

step forward. Implantology and piezo 

surgery combined in a single unit – a true 

breakthrough in every respect. ■ 

70 


COLTENE 

Great on their own, 

inseparable in a team 

SOLOCEM® 

SoloCem® is a resin cement for almost all indirect luting 

indications, such as cementing crowns and bridges, root posts, 

inlays and onlays on tooth structure or implant abutments. 

Depending on the situation, SoloCem can be used either selfadhesively 

or adhesively, in combination with ONE COAT 7 

UNIVERSAL. 

SoloCem offers aesthetically pleasing luting due to its fluorescent 

properties. The fillings remain invisible under special lighting 

conditions, such as black light in a nightclub. Available in three 

shades – Dentin, Trans, and White Opaque – it virtually matches the 

natural tooth shade, and offers good colour stability and resistance 

to foods with a strong discolouration effect to achieve perfect 

integration. 

A safe luting for universal use, SoloCem results in long-lasting 

restorations. With SoloCem’s simple and straightforward range, 

clinicians can avoid marginal gaps from low shrinkage and 

streamline their procedures. 


→ THE EVOLUTION 

OF PROPHYLAXIS 

COMBI touch 

→ AIR-POLISHING AND 

ULTRASOUND IN ONE UNIT 

→ easy switch from supra to subgingival 

air-polishing by a simple click 

→ subgingival perio air-polishing tip – flexible, soft 

and anatomically adjustable to the periodontal pocket 

→ more than 40 inserts for scaling, perio, endo and prosthetics 

→ SOFT MODE: the ultra-gentle scaling 

for sensitive patients 

ONE COAT 7 UNIVERSAL 

ONE COAT 7 UNIVERSAL is a light-cured, one-component bonding 

agent used with the self-etching, selectively etching or total etch 

technique for adhesive restoration. 

It features a low-evaporation formula; nanofilled technology, 

delivering a homogenous bond layer and improves mechanical 

properties; an outstanding shear bond strength; and superior 

marginal integrity with low risk of marginal sensitivity. 

ONE COAT 7 UNIVERSAL is proven to be antibacterial by the Quality 

Labs (Germany) after conducting a proliferation assay for testing 

the antimicrobial activity with S. epidermidis. 

Available in a user-friendly bottle or single dose, ONE COAT 7 

UNIVERSAL can be used as an adhesive attachment of composite 

materials and compomers on enamel and dentine; ceramic and 

composite restorations to enamel and dentin; composite material 

on ceramic, composite material, metal and amalgam; and dentin 

sealing. 

The application techniques include: 

• Self-etch: ONE COAT 7 UNIVERSAL is 

applied on enamel and dentin 

• Selective-etch: Enamel is 

etched, ONE COAT 7 UNIVERSAL 

is applied on enamel and dentin 

• Total-etch: Enamel and dentine 

is etched, ONE COAT 7 UNIVERSAL is 

applied on enamel and dentin. ■ 

→ www.mectron.com 

DENTAL ASIA NOVEMBER/ DECEMBER 2021 71 

ad_ct_dental_asia_95x250_en_201210.indd 1 10.12.20 14:42


Dentsply Sirona 

Performance unlimited with ProTaper Ultimate 

With ProTaper Ultimate, Dentsply Sirona and uninstrumentable portion of the root 

has introduced a technologically driven, canal space, utilising the novel SmartLite 

fourth generation system. The treatment Pro EndoActivator, which will be launched 

concept is based on three pillars: shaping, soon. 

3D cleaning, and filling root canal systems 

while the standard sequence of the shaping The SmartLite Pro platform offers three 

pillar includes three file types: slider, shaper attachments: the SmartLite Pro curing light, 

and finishers. These feature-specific files the transilluminator, and the EndoActivator. 

are designed to safely prepare a full range Finally, the obturation pillar enables dentists 

of endodontic anatomy. Novel auxiliary files to successfully fill and seal the root canal 

are available for larger and straighter canals system thanks to predictable shaping and 

and all files are available to prepare canals cleaning. 

mechanically and/or manually. 

The ProTaper Ultimate Solution also 

The ProTaper Ultimate Solution offers 

includes dedicated gutta-percha master 

extensive options. The cleaning pillar is cones based on the unique Conform Fit 

focussed on eliminating pulp, bacteria, concept and technology. Jointly used with 

debris, and breaking down products 

a Conform Fit gutta-percha master cone, 

when present. To facilitate cleaning, a the new AH Plus Bioceramic Sealer will help 

highly flexible, polymer canula with a bifid ensure filling root canal systems where the 

apical flow channel can safely deliver 

sealer bonds to the cleaned dentin walls to 

irrigant deep into the apical portion of ensure healing. 

the preparation. With a fluid-filled canal, 

a reagent of the clinician’s choice can be “From its inception so many years ago, 

exchanged into both the instrumentable our thinking has always been continuous 

improvement,” said Dr Clifford Ruddle, 

endodontist and one of the inventors of 

ProTaper Ultimate from Santa Barbara, 

United States. “ProTaper Ultimate has 

been designed to provide confidence and 

predictability for the clinician and patient 

alike. This comprehensive file system 

balances safety and efficiency when 

preparing canals that range from easy 

and straightforward, to large and open, or 

that exhibit challenging curvatures and 

recurvatures.” ■ 

VITA 

Bringing colour and character to hybrid ceramic, composites and 

polymers 

The light-curing composite stain system VITA 

AKZENT LC brings colour and character to 

the digital workflow. Monolithic restorations 

made of hybrid ceramic, composites or 

polymers are growing increasingly popular as 

a straightforward and economical all-ceramic 

alternative. 

With 14 multi-faceted effect stains, VITA 

AKZENT LC breathes new life into these types 

of restorations with natural stain effects. With 

four glazing chroma stains, shade adjustments 

can be made within a shade group in 

VITA classical A1-D4 and in VITA SYSTEM 

3D-MASTER, if required. 

VITA AKZENT LC GLAZE provides the final 

surface sealing. The external and internal stain 

system can also be used in the same way in 

combination with veneering composites and 

ready-made teeth. ■ 

72 


ONE-COMPONENT LIGHT-CURED UNIVERSAL ADHESIVE 


ONE COAT 7 UNIVERSAL 

The bond for all situations 

The light-curing ONE COAT 7 UNIVERSAL is the only bond you 

need for direct and indirect filling therapy in your practice. No 

priming, no silanising – just apply, disperse with air and cure – 

finished. 

up to 300 

applications 

per bottle 

https://www.facebook.com/COLTENE.AsiaPacific 

006957 09.21 

DENTAL ASIA NOVEMBER/ DECEMBER 2021 73


Ivoclar Vivadent 

Ideal solution for the efficient and gentle cleaning and polishing of 

teeth 

Systematic and professional cleaning and 

polishing of teeth, restorations and implants 

are standard treatments for preventing 

caries, periodontal and peri-implant 

diseases. Smooth, clean and polished dental 

surfaces offer few possibilities for bacteria 

and plaque to accumulate. Apart from 

promoting oral health, professional oral care 

enhances pink and white aesthetics, making 

the teeth and gums look their best. 

The new Proxyt Single Dose pastes from 

Ivoclar Vivadent have been developed with 

the aim of ensuring the efficient and effective 

cleaning and polishing of natural teeth, 

dental restorations and implants. They help 

keep teeth and restorations in impeccable 

condition and maintain their natural-looking 

and aesthetic shine. 

The Single Dose cups can be inserted into 

the corresponding prophy ring with ease. 

The unique formula and smooth consistency, 

as well as the easy-rinse properties, allow 

plaque and tartar to be removed quickly and 

effectively and the surfaces to be polished to 

a high lustre. Furthermore, the Proxyt pastes 

adhere well to the teeth and instruments, 

making handling easy. All these features 

combined speed up the treatment process 

considerably. Moreover, the pastes do not 

splatter or create a mess. 

Customers can choose between two new 

Proxyt Single Dose paste options: fine and 

coarse. This helps to avoid unnecessary 

wear or abrasion of the tooth structure, 

restorations, implants or other prosthodontic 

appliances. Patients who have implants 

require special attention. Since they need 

professional teeth cleaning at regular 

intervals, the treatment they receive must be 

gentle and comfortable. 

Proxyt fine is a pumice-free polishing paste 

that is exceptionally kind to sensitive fillings 

and tooth structure, such as dentin and 

dental enamel; as well as the surfaces of 

high-quality composite resin and ceramic 

restorations, for example, IPS e.max from 

Ivoclar Vivadent. Proxyt fine is effective, 

gentle and minimally abrasive. It is suitable 

for restorations and implants. Furthermore, 

it is kind to sensitive gum tissue. The 

Proxyt pastes from Ivoclar Vivadent contain 

xylitol, which disturbs the metabolism of 

cariogenic bacteria. 

Available in mild mint flavour leaving a 

clean and fresh feeling in the mouth, Proxyt 

pastes is also 100% gluten and lactose 

free. A packet contains 1.8g, including an 

adjustable prophy ring into which the cups 

can be effortlessly inserted. ■ 

Amann Girrbach 

The gold standard for precisely fitting dentures 

The key to a perfect restoration is based The Artex CR universal diagnostic and 

on flawless model management. Amann therapeutic device in Arcon design 

Girrbach offers specifically developed features a reproducible centric system 

and perfectly coordinated premium 

that ensures a safe start and end position 

solutions for every single work step in of each patient movement. Defects of less 

the process chain – for both digital and than 20µm can be detected, controlled 

classical workflows. This enables efficiency and eliminated with the Artex articulator. 

from model fabrication to analysis of 

the finished model in the articulator, 

The Artex is lightweight, stable, ergonomic 

preventing inaccuracies from sneaking in. and highly precise – features which 

simplify and speed up working on the 

Working with the articulator is 

model. This drastically reduces errors and 

indispensable for maximum fit accuracy saves on material and labour costs in the 

of the denture in the classic analogue laboratory and dental practice. Therefore, 

workflow. In this context, the Artex system not only the patient benefits from a 

is an effective tool for the laboratory perfectly fitting restoration. 

and dental practice to record static oral 

situations with maximum precision and Amann Girrbach now presents the special 

simulate jaw movements 1:1. 

edition Artex CR Gold, limited to 1000 

units. The carbon gold-look of the 

articulators is symbolic of the Artex 

premium quality and its status as the 

most widely used chewing simulator 

in the world. ■ 

74 


Show Review 

Don Casey, chief executive officer of Dentsply Sirona 

Dentsply Sirona World 2021: The 

highly anticipated return of the 

Ultimate Dental Experience 

Keeping with the company’s commitment to 

empowering dental professionals, Dentsply 

Sirona hosted its annual Dentsply Sirona 

World 2021 from 23 to 25 September 2021 

with overwhelming success, connecting more 

than 7,000 world-leading experts, industry 

leaders, dental practitioners, students and 

more in one memorable hybrid event. 

“The past 18 months have pushed the dental 

industry to new heights and challenges. 

Dentsply Sirona World is our special way to 

connect with an ever-growing community of 

practitioners, elevate the future of dentistry 

and celebrate as a community together,” said 

Don Casey, chief executive officer of Dentsply 

Sirona. “On behalf of Dentsply Sirona, we 

would like to thank all participants and 

partners who enabled us to come and learn 

together how to better serve patients and 

bring them healthier smiles.” 

Guests were given the option to join this 

year’s Dentsply Sirona World (DS World) 

either in person at Caesars Forum in Las 

Vegas, Nevada, United States, or virtually via 

livestreams and special digital programming. 

To ensure the health and safety of DS World 

attendees, exhibitors, vendors and staff 

present onsite, the company established 

a health and safety protocol that aligned 

with state and local mandates as well as 

requirements of the venues. 

GROUND-BREAKING TECHNOLOGY 

AND SUSTAINABILITY GOALS 

RELEASED 

Dentsply Sirona kickstarted the three-day fest 

with its most notable product and corporate 

announcements of the year. The theme of DS 

World 2021 was to “connect”, focussing not 

only on the human connection of smiles and 

coming together again after more than a year 

apart, but also the power of the connected 

workflows of Dentsply Sirona. 

In front of thousands of participants from 

across the dental community, Dentsply 

Sirona announced the re-launch of their 

Implant Business to focus on integrating 

innovative technologies with quality and 

reliability. It offers clinicians connected, 

seamless workflows that enable dental 

professionals to take full advantage of digital 

dentistry and conduct more accurate and 

efficient procedures, resulting in excellent 

patient outcomes. 

This was marked by a comprehensive 

restage of the company’s Implant 

Business, including three signature 

workflows to provide dental professionals 

with a completely new way of practicing 

implantology and the unveiling of DS 

76 


Our dental implants have 

an outstanding survival rate 

98% 

Show Review 

With maintained marginal 

bone after 5 years 

0.3 mm 

Great today 

and even better 

tomorrow. 

Thanks to 

science. 

After 30 years of research and more 

than 1,000 scientific publications, we can 

confidently say that Astra Tech Implant 

System® EV delivers life-long function and 

natural esthetics. 

Thanks to science, our implants have an 

outstanding survival rate and a marginal 

bone maintenance far better than the 

industry standard. 

If you are looking for endless possibilities and 

superior outcomes, this is the only system you 

need. Today and tomorrow. 

Follow Dentsply Sirona Implants 

for the latest in implant dentistry 

dentsplysirona.com/implants

Show Review 

PrimeTaper, a self-tapping implant with a 

tapered design that can be inserted with 

ease. 

Other notable product announcements 

included: 

• A series of updates to the SureSmile Aligner 

Software, enhancing the user experience and 

making treatment planning with SureSmile 

easier than ever. 

• The latest 5.2 upgrades to the Connect and 

CEREC Software, providing users both new 

and improved functionalities and even better 

performance, making Primescan twice as 

fast. 

• The introduction of ProTaper Ultimate, 

specifically designed for clinicians who 

frequently perform endodontic procedures 

and wish to expand the range of anatomical 

treatment they provide their patients. 

• Based on the validation of the Atlantis IO 

FLO-S scanbody, Primescan is now the first 

and only intraoral scanner validated for a full 

digital workflow for full arch fixed implant 

restorations with Atlantis suprastructures. 

“After 18 months of being distanced from 

colleagues during the COVID-19 pandemic, 

it was extremely exciting to come together 

with peers and continue learning how to offer 

the best possible treatments to patients,” 

said Dr Shivi Gupta, a dentist from San 

Diego, California, US. “In this industry, it is so 

important to remain current on new products 

and technologies, and I am looking forward 

to putting the noteworthy updates from 

Dentsply Sirona to use in my practice as we 

continue to innovate in digital dentistry.” 

Beyond product updates, Dentsply Sirona 

also announced its future-focused 

sustainability strategy, coinciding with the 

release of its inaugural Sustainability Report 

(SASB-aligned) and including a five-year 

partnership with Smile Train, the world’s 

largest cleft-focused non-profit organisation. 

13 educational tracks offering 159.5 hours of 

educational content covering nearly every 

area of dentistry. Other highlights included 

an inspirational presentation by motivational 

speaker and international best-selling author 

Mel Robbins, whose most recent works 

include The 5 Second Rule and The High 5 

Habit. 

Dentsply Sirona was also proud to enable 

networking across the dental industry, 

including among top female leaders in 

dentistry. Women across dentistry gathered 

for a dinner during DS World to honour their 

important contributions to the field. 

“I am thrilled to be here in person teaching 

alongside many industry-leading experts 

while continuing to deepen my knowledge 

of the latest advancements in the dental 

industry,” said Dr Dan Butterman, a dentist 

from Centennial, Colorado, US. “It truly is a 

different and more enriching experience to be 

here in person, and I cannot wait to leverage 

the new innovations announced at Dentsply 

Sirona World in my practice.” 

winning acts, including Gwen Stefani and 

The Chainsmokers entertained onsite event 

guests with their hit songs. 

Additionally, early bird pricing for Dentsply 

Sirona World 2022 Las Vegas from 15-17 

September 2022 is already available. DA 

Press conference speakers (from the left) 

Don Casey, Dr Dan Buterman, Dr John West, 

Dr Shivi Gupta, Dr Terri Dolan, and Marion 

Par-Weixlberger 

WORLD-CLASS EDUCATION 

MIXED WITH CHART-TOPPING 

ENTERTAINMENT 

DS World is renowned for its first-class 

educational programme in a unique modern 

atmosphere. This year was no different as 

inspiring leaders and experts in the dental 

industry led more than 100 courses across 

More than the educational activities, DS 

World is also known for bringing today’s top 

acts to close each day of the event, and this 

year was no exception. On the first evening, 

Emmy award-winning writer-comedian 

John Mulaney kept the smiles and laughs 

going with fresh jokes and witty stories. The 

next two evenings major Grammy award- 

78 


Show Preview 

GC Corporation celebrates centennial 

anniversary and welcomes dental professionals 

to the Fifth International Dental Symposium 

The origins of GC can be found in Tokyo, 

Japan, where three young Japanese 

chemists created the first standard cement 

in 1921 that served as the stepping stone 

to today’s one of the largest and most 

successful dental materials companies 

in the world. 

Well-known for its high-performance 

materials and an enduring ambition to 

improve and promote oral health worldwide, 

GC continues to develop materials and 

equipment designed to give effective and 

simple solutions to dental professionals. 

Rejoicing its 100 years of history, GC 

announced their Vision 2031 to all its 

associates across the group of companies: 

“To become the leading dental company 

committed to realising a healthy and longliving 

society”, on 11 February 2021. 

President Kiyotaka Nakao, explained: “While 

achieving sustainable growth, GC strives to 

bring value in dental care to realise a healthy 

long-living society. Instead of just seeking 

to be the first in sales volume, the goal is to 

become an ‘incomparable’ company for all 

the stakeholders of GC.” 

The celebrations continue in 2022, on 

16 and 17 April, with GC hosting the Fifth 

International Dental Symposium in Tokyo, 

Japan. 

With the overall theme of “Smile for the world 

– beyond the century”, the event will bring 

together over 100 prominent lecturers from 

all over the world. In the programme, there 

will be 28 sessions presenting advanced 

insights on academic and dental practice 

topics as well as relevant information on 

improving oral health around the globe. From 

one session to another, the participants will 

be offered the opportunity to test the latest 

GC products and equipment at the GC Dental 

Show. 

As a 100-year company, GC Corporation 

encourages the entire organisation to realise 

the challenge of becoming the world’s best 

dental company that contributes to a healthy, 

long-lived society, while being continuously 

open to practitioners’ feedbacks. DA 

To become the 

leading dental 

company committed 

to realising a healthy 

and long-living 

society” 


Show Preview 

Mectron Spring Meeting 

2022: The appointment with 

innovation 

After the success of the first edition, Mectron 

welcomes dental professionals to the Spring 

Meeting 2022 on 6 and 7 May (Friday- 

Saturday) in Venice, Italy. The scientific 

programme is focused on the new REX 

PiezoImplant, a revolutionary wedge-shaped 

implant specifically developed to simplify the 

surgical treatment of narrow ridges. 

The second important topic involves a new 

piezoelectric surgical protocol dedicated to 

the third-molar extraction procedure, which 

will make such an advanced technique safer 

and faster in daily clinical practice. 

Illustrious international and national 

speakers will introduce different piezoelectric 

surgical techniques such as: sinus lift by 

crestal and lateral approach, peri-implantitis 

therapy, bone augmentation procedures 

and corticotomy-assisted orthodontics. 

Each technique will be presented in detail 

by the clinicians who developed them, 

with particular attention to relevant clinical 

protocols illustrated by a wide range of 

clinical cases, arising from great experience 

and continuous scientific research. This is an 

innovative one-day chance to get the most 

out of PIEZOSURGERY ® techniques in daily 

practice. 

PROGRAMME AT A GLANCE 

Friday, 6 May 2022 

Update in piezoelectric extraction techniques 

(morning session): 

• Germectomy 

• Third molar extraction 

• Root extractions with new piezoelectric 

tools 

Update in daily practice (afternoon 

session): 

• Sinus Lift procedures 

• Periodontitis and peri-implantitis 

procedures 

• Corticotomy techniques 

• Bone augmentation procedures 

Saturday, 7 May 2022 

REX PiezoImplant state of the art (morning 

session): 

• Advances in narrow ridges treatment 

• Clinical outcome 

• Digital workflow 

• Clinical innovation and what is coming 

next. DA 

80 


Giving Back To Society 

Dentsply Sirona announces five-year partnership agreement with 

Smile Train and US$5 million donation 

Globally, one in 700 babies are born with 

a cleft lip and/or palate. Clefts can have 

devastating effects on the quality of life 

of a child by compromising the ability to 

communicate and to eat properly, and 

from social stigma resulting in feelings of 

anxiety and a lack of self-confidence. A 

child with a cleft requires more than just 

surgery. Essential cleft care includes nutrition 

programmes, dental and orthodontic care, 

speech therapy, and social and emotional 

support. 

Smile Train’s sustainable model empowers 

local medical professionals to provide free 

cleft surgery and essential cleft care in their 

own communities. Hence, Dentsply Sirona 

has launched a partnership with Smile Train 

to improve oral health globally and to build a 

brighter, more sustainable future for children 

and families affected by clefts worldwide. 

The company goes beyond traditional 

financial and equipment donations. The 

Dentsply Sirona and Smile Train partnership 

will advance the future of cleft care by: 

• Supporting global treatment standards 

and best practices for digitised cleft care 

• Leveraging digital technologies to make 

treatments more efficient and convenient 

for children 

• Providing high quality equipment to 

develop state-of-the-art centres for cleft 

treatment 

• Making their entire online catalogue of 

clinical education courses available to all 

Smile Train oral health professionals 

• Offering financial support for cleft 

surgeries 

The company is focused on making sure 

that the benefits of Smile Train partnership 

have a lasting impact. Therefore, in 

addition to funding life-changing cleft 

surgeries and providing free dental 

equipment, the collaboration focuses on 

global, oral healthcare training initiatives 

to equip people in local communities with 

the skills needed to provide treatment and 

raise the standard of care to the highest 

level through clinical education and the use 

of cutting-edge technologies in the long 

term. 

Additionally, the partnership includes the 

development of an International Smile Train 

Scholars programme, which will support 

in-person and virtual training, and learning 

opportunities for Smile Train dental partners. 

A group of 16 scholars attended DS World 

2021, participating in clinical education 

sessions and growing their professional 

networks. ■ 

TePe expands its support for Pink Ribbon in favour of cancer 

awareness and research 

October has become known as the pink 

month when companies and individuals 

come together to raise awareness for 

cancer. In 2020, TePe’s Pink Ribbon 

initiatives was a success, resulting in 

around 60,000 euros for cancer research 

in Sweden and Finland. This year, the 

TePe Group hopes for even better results 

by extending its campaign collaboration 

with cancer awareness organisations in 

Europe and the United States. 

and France, as well as distributors in 

Greece, Ukraine, Portugal, and Serbia, 

also participated in various Pink Ribbon 

initiatives. 

“We constantly work to raise awareness 

of oral health and its connection to 

general health. Since cancer research is so 

important for global health development, 

we are glad to support the Pink Ribbon 

campaign as part of our sustainability 

initiatives,” said Helena Ossmer Thedius, 

director of Marketing and Innovation at 

TePe. ■ 

In particular, the company has 

expanded the Nordic collaborations 

to include Denmark and Iceland, and 

engaged several other markets across 

the globe. TePe subsidiaries in Italy, 

the Netherlands, the United States, 

DENTAL ASIA NOVEMBER/ DECEMBER 2021 81

EVENTS CALENDAR 

NOVEMBER 

3 – 6 DenTech China 2021 

Shanghai, China 

Venue: Shanghai World Expo Exhibition and 

Convention Centre 

https://www.dentech.com.cn/en-us/index 

5 (Virtual) Dental Technician International 

Meeting 2021 

https://www.cappmea.com/dtim-2021 

11 – 14 (Virtual) 16 th CAD/CAM & Digital Dentistry 

Conference 

www.cappmea.com/digital-dentistry 

18 – 21 (Virtual) 13 th Dental Facial Cosmetic Conference 

https://cappmea.com/aesthetic-dentistry 

19– 20 (Virtual) DICE 2021 – Dental International Congress 

and Exhibition 

https://cappmea.com/aesthetic-dentistry 

24 – 26 IndoHealthcare Expo 2021 

Jakarta, Indonesia 

Venue: JIExpo Kemayoran 

https://indohealthcareexpo.com 

26 (Virtual) Digital Orthodontics Symposium 2021 

https://cappmea.com/digital-ortho-2021 

26 (Virtual) Dental Hygienist Seminar 2021 

https://cappmea.com/dhs-2021 

28- 1Dec 97 th Greater New York Dental Meeting 2021 

DECEMBER 

New York, United States 

Venue: Jacob K. Javits Convention Centre 

https://www.gnydm.com 

1 – 3 Vietnam Medi-Pharm Expo 2021 

Hanoi, Vietnam 

Venue: Hanoi International Centre for Exhibition 

http://hn.medipharmexpo.com/en 

2 – 4 Barcelona Dental Show 

Barcelona, Spain 

https://www.dentalshowbcn.com/en 

10 –12 10 th Hong Kong International Dental Expo 

and Symposium 

Hong Kong 

Venue: Hong Kong Convention and Exhibition Centre 

https://hkideas.org 

15 – 17 Annual General Meeting and 112 th Academic 

Conference 

2022 

JANUARY 

Thailand 

https://www.thaidental.or.th 

20 – 22 SIDC 2022 – 33 rd Saudi Dental Society 

International Dental Conference 

FEBRUARY 

Riyadh, Saudi Arabia 

Venue: Hilton Riyadh Hotel and Residence 

https://sidc.org.sa 

1 – 3 AEEDC 2022 – The 26 th edition of the UAE International 

Dental Conference & Arab Dental Exhibition 

Dubai, United Arab Emirates 

Venue: Dubai World Trade Centre 

https://aeedc.com 

11– 13 Famdent Mumbai 2022 

Mumbai, India 

Venue: Bombay Exhibition Centre Goregaon (East) 

https://www.famdent.com/mumbai-show 

24 – 26 157 th Midwinter Meeting – Chicago Dental Society 

Chicago, United States 

https://www.cds.org 

82 

DENTAL ASIA NOVEMBER / DECEMBER 2021 

With the evolving COVID-19 situation, kindly check with organisers 

for updates on the related events. Please refer to the local airports’ 

websites for the latest travel advisories too.

NEW 

VENUE 

THE LEADING DENTAL 

EXHIBITION AND CONFERENCE 

IN ASIA PACIFIC 

8-10 

APRIL 2022 

MARINA BAY SANDS 

SINGAPORE 

www.idem-singapore.com 

Connect with us 

Endorsed by 

Supported by 

Held in 

Organised by 

IDEM Singapore 

IDEM Singapore 

idem.sg 

@IDEMSingapore 

83 DENTAL ASIA NOVEMBER / DECEMBER 2021 

Singapore Dental Assocation

Advertisers’ Index 

COMPANY 

PAGE 

3Shape A/S 13 

Align Technology 5 

Anthogyr France 35 

APAC Oral Care International Exchange Summit 69 

Carestream Dental 45 

Coltene 73 

Dental South China 2022 75 

Dentsply Sirona 77 

Social Distancing? 

No problem! 

It’s safe. 

Connect your 

brand through our 

media platforms. 

DÜRR Dental (advertorial) 7 

exocad IFC , 1 

exocad 

IBC 

GC Asia 23 

IDEM Singapore 2022 83 

Mectron 17 

Mectron 71 

Medical Protection Society 

OBC 

Rolence inc 67 

Shofu inc 15 

Tekne Dental 19 

VITA 11 

For information, visit us www.dentalasia.net or 

contact us at sales@pabloasia.com 

@dentalasia 

VOCO 9 

W&H 3 

Company Registration No: 200001473N 

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 damages caused by misinterpretation of information, expressed or implied, within the pages of the magazine. All advertisements are accepted on the understanding 

that the Advertiser is authorised to publish the contents of the advertisements, and in this respect, the Advertiser shall indemnify the Publisher against all claims or suits for 

libel, violation of right of privacy and copyright infringements. Dental Asia is a controlled-circulation bi-monthly magazine. It is mailed free-of-charge to readers who meet a set 

of criteria. Paid subscription is available to those who do not fit our terms of control. Please refer to subscription form provided in the publication for more details. 

Printed by Times Printers Pte Ltd 

84 


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2109272550 10/21

Dental Asia November/December 2021

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