DT Nordic No. 3, 2015

News / Study compares digital vs. conventional shade measurement / Interview with Dr Rickard Brånemark: “We need to stay open-minded to new crazy ideas” / FDI: Second edition of Oral Health Atlas / Celebrating 50 years of osseointegration / Dental material for the next generation / Nano-hybrid ORMOCER for the bulk-fill technique in the posterior region / Interview with University of Bern professor Dr Martin Schimmel: “Age per se is not a contra-indication” / Vertical reconstruction of soft peri-implant tissues / An unknown phototherapeutic tool / today Swedental Gothenburg

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DTNE0315_01-02_Title 03.11.15 11:58 Seite 1

DENTAL TRIBUNE
The World’s Dental Newspaper · Nordic Edition

Published in Scandinavia

www.dental-tribune.com

Vol. 1, No. 3

SHADE MEASUREMENT

INTERVIEW

A VERSATILE TOOL

A new study has compared two
digital shade measurement solutions with the conventional
method for colour assessment,
the human eye.
” Page 3

Prof. Martin Schimmel, Head of
the Division of Gerodontology at
the University of Bern, on ethical
and financial issues related to implant treatment of the elderly.
” Page 10

Light is capable of many things.
Swedish dentist Dr Jan Tunér on
using the composite curing lamp
as a phototherapeutic tool in daily
dental practice.
” Page 14

raises
Medical screening in dentistry Stress
caries risk
By DTI

By DTI

STOCKHOLM, Sweden: Although
medical screening in dental settings has been shown to be costeffective and beneficial for patients’
health outcomes, there have been
no widespread implementation
attempts in dental practice so far.
Various studies have found that
both patients and dental professionals regard such screening positively; however, the position of
health authorities and organisations in this regard has not been
established. Swedish researchers
have thus conducted a study to
elicit their views on the topic.
As associations between periodontal and cardiovascular disease and diabetes have become
evident in the past, research indicates that medical screening in
dentistry could be an effective
component of disease prevention
and enhance cross-border cooperation between dental and medical
care. In order to investigate the
attitudes of health authorities
and organisations regarding medical screening in dental settings,

SEATTLE, USA/LONDON, UK: New research has related chronic maternal
stress to a higher prevalence of cavities among children. While this is
not the first study to associate maternal exposure to stress with childhood cavities, it is the first to examine the relationship using biological
markers of chronic stress, an incident known as allostatic load (AL).
Caries was more common among
children whose mothers had two
or more biological markers of AL
compared with no such markers—
44.2 per cent vs. 27.9 per cent. They
further identified that maternal AL
was associated with socio-economic
status, affecting care-taking behaviors, such as breast-feeding, dental
visits, and giving breakfast daily.

A Swedish study found varying views on the implementation of medical screening in dentistry.

Swedish researchers from Karolinska Institutet and Karlstad
University interviewed 234 representatives of 13 institutions.
All of the respondents received
a standardised questionnaire of
18 questions concerning medical
screening in dental settings and

took part in subsequent personal
interviews.
The results showed 46 per cent
(108) positive responses to medical
screening in dental settings, 41 per
cent (95) negative responses and
13 per cent (31) non-responses. Al-

though health care officials generally had a positive view of medical screening in dentistry, they
reported a lack of facts concerning
the scientific communities’ position, guidelines and procedures
on the topic.

” Page 2

Periodontal and heart disease
By DTI
ÖREBRO, Sweden: Aiming to shed
new light on the mechanism behind
the relationship between periodontitis and cardiovascular disease,
researchers from Örebro University
in Sweden have cultured human

aortic smooth muscle cells and infected them with Porphyromonas
gingivalis, a periodontal pathogen
that has been found in coronary artery plaques of heart attack patients.
They found that gingipains,
which are virulence factors pro-

duced by the pathogen, promoted
expression of the pro-inflammatory growth factor Angiopoietin-2.
In contrast, the expression of
anti-inflammatory growth factor
Angiopoietin-1 in the smooth muscle cells was inhibited. Altogether,
the infection with P. gingivalis
changed the expression of 982
genes in the cells tested, resulting
in increased inflammation and
atherosclerosis.

PRINT
L
DIGITA N
TIO
EDUCA
EVENTS

In combination with the observed cellular effects, the findings
suggest that Angiopoietin-2 plays
a role in the association between
periodontitis and atherosclerosis,
the investigators said.
Their research clarifies the
mechanism behind the association
of the two diseases and may enable
researchers to find biomarkers
for them in the future, concluded
Boxi Zhang, a PhD student at the
Department of Health and Medicine
at the university.

“Policy that aims to improve dental health, particularly the prevalence of cavities among children,
should include interventions to improve the quality of life of mothers,”
Dr. Wael Sabbah from the Dental
Institute at King’s College remarked.

The DTI publishing group is composed of the world’s leading
dental trade publishers that reach more than 650,000 dentists
in more than 90 countries.

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DTNE0315_01-02_Title 02.11.15 11:38 Seite 2

WORLD NEWS

Dental Tribune Nordic Edition | 3/2015

Oral cells help to cure blindness
By DTI
OSLO, Norway: Findings from the
University of Oslo give hope to individuals suffering from impaired vision due to stem cell deficiency of the
cornea. Using cells harvested from
the patient’s mouth, researchers
have been able to grow new tissue
that, once transplanted into the damaged eye, helps to restore sight and
eliminate pain from the cornea.

due to the high number of nerve
fibres in the area.
For the last ten years, Dr Tor
Paaske Utheim, an ophthalmologist
and research associate at the University of Oslo, has been conducting
research on utilising stem cells from
the mouth in order to help patients
suffering from limbal stem cell deficiency. So far, almost 250 people
with the condition have undergone

most often affects people living in
developing countries, it is especially important that extracted cells
can be easily kept and transported,
he explained. As a result, the clinician developed a special storage
technology that enables the cultured tissue to be transported in
a small custom-made plastic container. According to Utheim, the
system allows for a completely new
level of flexibility.

not just close to the cell culture centers,” added Rakibul Islam, a PhD student from Utheim’s research group.
Islam’s PhD project at the Department of Oral Biology showed, among
other results, that cultured stem cells
retain their quintessential properties
best between 12 and 16 °C. He further
found that certain areas of the mouth
are better suited to use in regenerative medicine than others are. “Our
results show that the location from
which the mucosal tissue is harvested
has a striking impact on the quality of
the cultured tissue,” Islam said.
The group’s findings illustrate the
benefits of interdisciplinary efforts
in research, in this case between dentists and ophthalmologists. Their
results will help to simplify and
streamline the clinical procedures,
and therefore make the treatment
more accessible than it is today, Islam
concluded. The results of his PhD
study have not yet been published.

Tor Paaske Utheim (left) and Rakibul Islam at the Institute for Oral Biology. Their research aims at curing certain kinds
of blindness in a global context.

In individuals with limbal stem
cell deficiency, the stem cells cannot renew the cornea’s outermost
layer. Instead, other cells grow over
the cornea, resulting in the cornea
becoming fully or partially covered. In addition, some patients
experience severe pain, which is

treatment, involving transplantation of stem cells grown from their
own mouth cells.
Utheim’s research objectives further focused on optimising the
storage and transport potential of
the treatment. Because the disorder

“Today, cells from the mouth are
cultured for use in the treatment of
blindness in only a few specialized
centers in the world. By identifying
the optimal conditions for storing
and transporting the cultured tissue,
we would allow for the treatment to
be made available worldwide, and

Limbal stem cell deficiency can be
caused by factors such as ultraviolet
radiation, chemical burns, serious
infections like trachoma, and various other diseases, some of which
are heritable. The exact number of
people affected by the disorder is
unknown, but in India alone there
are an estimated 1.5 million people
suffering from the condition.

UPPSALA, Sweden: Tooth enamel is
the hardest substance produced by
the human body. Since enamel is
one of the four major tissues that
make up the teeth and gives them
their distinctive shiny white appearance, it comes as a surprise that
a study has found that enamel most
likely originated from an entirely
different part of the body: the skin.
Unlike humans, who only have
teeth in the mouth, certain fish
species have little tooth-like scales
on the outer surface of the body. In

Page 1

According to the researchers,
most participants believed that the
dental workforce has the relevant
professionals to implement medical screening. Dental hygienists
or dental nurses were considered
to be the most suitable group of
professionals for the performance

the study, researchers from Uppsala University in Sweden and the
Institute of Vertebrate Paleontology and Paleoanthropology in Beijing in China analysed Lepisosteus,
an ancient gar fish from North
America whose scales are covered
with an enamel-like tissue called
ganoine.
They found genes for two of the
three unique matrix proteins of
enamel expressed in the genes of
Lepisosteus’s skin, and this strongly
suggests that ganoine is a form
of enamel. In order to determine
where the enamel first origi-

of medical screening in dental settings, as medical questions could
form a natural part of hygienists’
health conversations with their
patients.
However, the majority of participants expressed their concern that
there was insufficient expertise

nated—the mouth or the skin—
the researchers then investigated
the dermal denticles on two fossil fishes: Psarolepis from China
and Andreolepis from Sweden. In
Psarolepis, the scales and the denticles of the face are covered with
enamel, but there is no enamel on
the teeth; in Andreolepis, only the
scales bear enamel.
Their findings suggest that
enamel in fact first evolved in the
skin. Dr Per Ahlberg, Professor of
Evolutionary Organismal Biology
at Uppsala University, explained:
“Psarolepis and Andreolepis are

among dental professionals to perform medical screening. Overall,
the results showed that further
knowledge and guidelines, as well
as additional research on implementation strategies and longterm follow-up of medical screening, are needed before medical
screening can be widely introduced

PUBLISHER:
Torsten OEMUS
MANAGING EDITOR DT NORDIC EDITION:
Kristin HÜBNER
k.huebner@dental-tribune.com
CLINICAL EDITOR:
Magda WOJTKIEWICZ
ONLINE EDITOR:
Claudia DUSCHEK
ASSISTANT EDITORS:
Anne FAULMANN
COPY EDITORS:
Sabrina RAAFF, Hans MOTSCHMANN
PRESIDENT/CEO:
Torsten OEMUS
CFO/COO:
Dan WUNDERLICH
MEDIA SALES MANAGERS:
Matthias DIESSNER
Peter WITTECZEK
Maria KAISER
Melissa BROWN
Weridiana MAGESWKI
Hélène CARPENTIER
Antje KAHNT
MARKETING & SALES SERVICES:
Nicole ANDRAE
ACCOUNTING:
Karen HAMATSCHEK
BUSINESS DEVELOPMENT:
Claudia SALWICZEK
EXECUTIVE PRODUCER:
Gernot MEYER
AD PRODUCTION:
Marius MEZGER
DESIGNER:
Franziska DACHSEL, Matthias ABICHT
INTERNATIONAL EDITORIAL BOARD:
Dr Nasser Barghi, Ceramics, USA
Dr Karl Behr, Endodontics, Germany
Dr George Freedman, Esthetics, Canada
Dr Howard Glazer, Cariology, USA
Prof. Dr I. Krejci, Conservative Dentistry, Switzerland

A summary of Utheim’s findings
was published in the June issue of
the STEM CELLS journal in an article
titled “Transplantation of cultured
oral mucosal epithelial cells for treating limbal stem cell deficiency—Current status and future perspectives”.

Tooth enamel ﬁrst evolved in skin
By DTI

IMPRINT

among the earliest bony fishes, so
we believe that their lack of tooth
enamel is primitive and not a specialisation. It seems that enamel
originated in the skin, where we call
it ganoine, and only colonised the
teeth at a later point.”
The study is the first to combine
novel palaeontological and genomic data in a single analysis to
explore tissue evolution. The results have been published online
on 23 September in the Nature
journal in an article titled “New
genomic and fossil data illuminate
the origin of enamel”.

in dental settings, the researchers
concluded.
The research article, titled “Medical screening in dental settings:
A qualitative study of the views of
authorities and organizations”, was
published online on 19 October in
the BMC Research Notes journal.

Dr Edward Lynch, Restorative, Ireland
Dr Ziv Mazor, Implantology, Israel
Prof. Dr Georg Meyer, Restorative, Germany
Prof. Dr Rudolph Slavicek, Function, Austria
Dr Marius Steigmann, Implantology, Germany

Published by DTI
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All rights reserved. Dental Tribune makes every
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responsibility for the validity of product claims,
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DTNE0315_03_News 02.11.15 10:58 Seite 1

NORDIC NEWS

Dental Tribune Nordic Edition | 3/2015

03

Study compares digital vs. conventional
shade measurement
By DTI
COPENHAGEN, Denmark/SKOPJE,
Macedonia: Matching the shade
of the natural dentition is of great
importance for achieving a good
aesthetic result in prosthetic reconstructions, especially in the anterior
region. Although various computerbased shade determination systems
have been developed in recent years,
the use of this new technology has
not been widely evaluated in clinical
settings. A study has now compared
the reliability of two digital shade
measurement solutions with the
conventional method for colour
assessment, the human eye.

measurement system achieved
the greatest agreement for colour
chroma and hue, whereas SpectroShade demonstrated the highest
agreement for colour value. How-

ever, no significant differences
were found between the TRIOS
tool and the colour tab system and
between SpectroShade and the
colour tab system.

According to the researchers,
the results support the use of
computer-based scanning and
shade measurement systems for
dentistry. They concluded that
further development of such systems for clinical use could be
valuable for material selection
and restoration design, particu-

larly in aesthetic and restorative
dentistry.

The study, titled “Effectiveness
of shade measurements using a
scanning and computer software
system: A pilot study”, was published
on 25 April in the International
Journal of Oral and Dental Health.
AD

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of ak
cu e a
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fe e
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In the study, researchers from
the University of Copenhagen in
Denmark and the Saints Cyril and
Methodius University in Skopje
compared 3Shape’s TRIOS shade
measurement tool, MHT’s SpectroShade spectrophotometric computer-based system and VITA
Zahn fabrik’s VITA Toothguide
3D-MASTER, a conventional colour
tab system.
According to the researchers,
reliable visual shade selection by
the human eye can be inconsistent
owing to the complexity of tooth
colour and external factors, such as
room lighting, patient clothing and
even make-up. In order to compensate for these variables, the shade
determination was performed in
natural daylight, but away from
windows and with no direct light.
Lipstick or other factors that may
affect colour assessment were removed, and patients with brightly
coloured clothing were covered
with a neutral cloth.
Shade determination was tested
on 87 teeth in 29 patients between
the ages of 22 and 62. In order
to validate the various methods,
two dentists selected the colour
tab they considered to be the best
match for each tooth and with each
method. The colour tabs chosen
were then evaluated pairwise.
The study found that the reliability of the computer-based systems
was higher than that of the conventional visual system. The TRIOS

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DTNE0315_04_Branemark 02.11.15 10:59 Seite 1

NORDIC NEWS

Dental Tribune Nordic Edition | 3/2015

“We need to stay open-minded
to new crazy ideas”
An interview with Dr Rickard Brånemark, Sweden
The concept of osseointegration has
been applied to dental implants for
several decades. As an orthopaedic
surgeon and engineer, Dr Rickard
Brånemark has continued the work
of his famous father by adapting
the concept to the treatment of amputees. In an recent interview with
Dental Tribune at the EAO congress
in Sweden, Brånemark explained
the benefits and future possibilities of osseointegrated amputation
prostheses.
Dental Tribune: Dr Brånemark, could
you please give an outline of the
development of osseointegrated
prostheses?
Dr Rickard Brånemark: The work
started by my father was the foundation of what we do in ortho-

paedics today. Using his concept,
I developed new treatments for
amputees based on osseointegrated
implants, which I have been performing for about 25–30 years now.
Since 1998, I have mostly worked
with my own companies, namely
Brånemark Integration, the dental
company I started with my father,
and Integrum, which does all the
development for orthopaedic osseointegration. However, we now also
have multinational collaborations
with universities in Gothenburg,
Vienna, San Francisco and Chicago,
and hopefully also Göttingen in the
near future. As the Swedish implant
system has recently been approved
by the US Food and Drug Administration (FDA) for the treatment of

Dr Rickard Brånemark

amputees, I am currently establishing an orthopaedic osseointegration centre in San Francisco and am
working closely with the US Department of Defense, which has many
soldiers with amputations and is
thus very interested in supporting
our work.

The Dental Tribune International
C.E. Magazines
www.dental-tribune.com

What do you consider the main
challenges of this treatment?
Anchoring something to the
bone is the core of osseointegration
technology and that is a fairly robust
technology we have proven in millions of dental implants. However,
in orthopaedics, we face additional
challenges. There are, for example,
no materials available today that
are strong enough to withstand
20–50 years of high physical activity.
Therefore, we have developed and
continue to develop new materials
and surfaces that better withstand
the higher loads.

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Another important concern is the
mucosal area and skin penetration,
which is maybe even more challenging. We are working with a concept
very similar to the old Brånemark
protocol and the bone-anchored
hearing aid in that we have a smooth
surface that is not an attachment.
There are many groups working
with attachments and, as far as
I know, all have failed, especially in
the orthopaedic field.
However, just like with every
surgical procedure, the outcome
largely depends on the skills of the
surgeon too.

City

The main advantage of our
approach compared with our competitors is that they have to use
wireless technology because they
do not have the means to bring
wires out of the body owing to the
risk of infection. However, we have
this fantastic osseointegrated implant to use as a conduit so that
the wires can pass through the
implant system. Similar to a fibreoptic Internet connection, the wired
connection in a robotic arm is much
better, stable and robust.
We have already successfully
treated one patient. However, our
research is still in the early phase,
but I think we could do amazing
things in the future.

CAD/CAM

prosthesis, which helps us to direct
the prosthetic device in a much
better way and provides feedback.
This is extremely important for
truly restoring function.

Expiration Date

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fax: +49 341 48474 173 | e-mail: subscriptions@dental-tribune.com

For the last six years, you have also
been using osseointegration in conjunction with implanted electrodes.
Could you tell us more about this
programme?
Yes, we are also developing the
next generation of amputation
prostheses. In addition to the osseointegrated implant, we are able
to attach electrodes to muscles and
nerves to have a brain-controlled

Do you think that osseointegrated
prostheses could potentially replace
traditional prostheses in the future?
This treatment would not apply
to amputations of the lower leg as
a result of poor circulation caused
by diabetes or vascular diseases
related to smoking. Such patients
constitute about 90 per cent of the
amputee population. However, the
younger population who have been
in road or war accidents or who have
musculoskeletal tumours, which
are more likely to occur in younger
patients, will be candidates for this
treatment.
If the technology continues to be
as promising as it appears now, the
majority of patients will opt for it—
just like they now have the choice
between dentures or fixed dental
implants, which are much better
for the patient. There will be a shift,
but this will take some time. The
introduction of dental implants
took about 17 years; similarly, this
shift could take another ten to
20 years. However, receiving FDA
approval and having the system in
use by the military could definitely
speed up the establishment.
Overall, this treatment offers
many alternatives to conventional
treatments. However, there is often
too much conservatism in the dental and medical fields when it comes
to innovations, but I think we need
to stay open-minded to new crazy
ideas. This research shows what
might be possible in the future.
We might be able to restore sensory
function of a non-existing limb,
creating good artificial sensation.
It also shows that the dental and
the medical professions should
work more closely together. As one
can see, there are many synergies
that could be drawn from the fields
of dental and orthopaedic research
in our case. The idea of translation
of knowledge was also the original
idea of the EAO, which has now
become a purely dental meeting.
This is a pity because we have to collaborate more, but maybe there will
be more cross-disciplinary presentations and meetings in the future.
Thank you very much for the interview.

[5] => Standard_300dpi

DTNE0315_05_FDI 02.11.15 11:00 Seite 1

WORLD NEWS

Dental Tribune Nordic Edition | 3/2015

FDI: Second edition of Oral Health Atlas
By DTI

At the launch event held at the
Bangkok International Trade and
Exhibition Centre, Dr Habib Benzian
and Prof. David Williams, the publication’s editors-in-chief, presented
the new edition of the atlas and
spoke with DTI group editor Daniel
Zimmermann about the contents
of the book and the global challenge of preventing oral disease
and implementing adequate oral
health care worldwide.
The first edition of the Oral Health
Atlas, titled Mapping a Neglected
Global Health Issue, was released at
the FDI 2009 AWDC in Singapore
and highlighted the extent of the
problem of oral disease worldwide.
The second edition of the atlas provides an update of the global health
challenge and reflects on policies
and strategies that address the burden of oral disease, such as tooth
decay, periodontal disease and oral
cancer, Benzian pointed out.

The
of

CHALLENGE

ORAL DISEASE
A CALL FOR GLOBAL ACTION

Grams per person per day
2011
ICELAND
SWEDEN

more than 100

FINLAND

NORWAY

76 – 100

ESTONIA
UK

26 – 50

IRELAND
NETH.

POLAND

GERMANY
BELGIUM

Only 19 countries in the
world consume less than
the recommended 25g
(or 5 teaspoons) of sugar
per person per day.

51 – 75

LATVIA
LITHUANIA

DENMARK

ORAL HEALTH FACTS
<25g

CZECH
REP.

FAROELUX.
IS.

CANADA

BELARUS

SLOVAKIA

25 or less

UKRAINE
MOLDOVA

ITALY

KAZAKHSTAN

SPAIN
L
LIECHT.
T

MONGOLIA

GREECE

U S A

GEORG
GIA
A
GEORGIA

A healthy diet, low
ow in
n
t,
sugar, salt and fat,
and high in fruit
and vegetables
contributes to
reducing the risk
of oral diseases,
obesity and otherr
noncommunicable
ble
diseases.

BAHAMAS

VENEZUELA

PANAMA

GUYANA
SURINAME

COLOMBIA

EGYPT
CAPE
VERDE

SAMOA

PAKISTAN

NEPAL

INDIA

BANGLADESH
VIET NAM

MALI
NIGER

SUDAN

CHAD

GUINEABISSAU GUINEA
CÔTE
SIERRA LEONE
D’IVOIRE
LIBERIA

THAILAND

YEMEN

BURKINA
FASO

PHILIPPINES

CENTRAL
AFRICAN REP.

SÃO TOME
& PRINCIPE

ETHIOPIA

SOUTH
SUDAN

FRENCH POLYNESIA

SRI LANKA
BRUNEI

SOMALIA

UGANDA

MALDIVES

MALAYSIA

KENYA
RWANDA

GABON
CONGO

PERU

EAST TIMOR

ANGOLA
MALAWI

ZAMBIA

BOLIVIA

ZIMBABWE

NAMIBIA

CHILE

SOLOMON
ISLANDS

I N D O N E S I A

TANZANIA

BRAZIL

Use of fluorides is among the top 10
greatest public health achievements ever
(according to US Centers for Disease Control)

NEW CALEDONIA

CAMBODIA

DJIBOUTI

NIGERIA

FIJI

HK SAR
LAOS

MYANMAR

MAURITANIA

VANUATU

Macau SAR

UAE

SAUDI ARABIA

SENEGAL
GAMBIA

KIRIBATI

AFGHANISTAN

L I B YA

CAMEROON

ECUADOR

KUWAIT

WEST BANK

ALGERIA

CUBA

DOMINICAN
REP.
JAMAICA
ST KITTS & NEVIS
BELIZE
HAITI
ANTIGUA & BARBUDA
HONDURAS
GUATEMALA
DOMINICA
ST VINCENT & GRENAD.
EL SALVADOR
ST LUCIA
GRENADA
NICARAGUA
BARBADOS
TRINIDAD & TOBAGO
COSTA RICA

IRAN

JORDAN

GAZA

MEXICO

CHINA
IRAQ

JAPAN

SOUTH
KOREA

TAJIKISTAN

SYRIA

CYPRUS
LEBANON
ISRAEL

MALTA
TUNISIA

MOROCCO

NORTH
KOREA

KYRGYZSTAN

UZBEK.

AZERBAIJAN
ARMENIA TURKMEN.

TURKEY

BERMUDA

no data

RUSSIA

AUSTRIA HUNGARY
ROMANIA
SLOV.
CROATIA B-H SERBIA
BULGARIA
MONT.
KOSOVO
FYROM
ALBANIA

FRANCE SWITZ.

PORTUGAL

GHANA
TOGO
BENIN

BANGKOK, Thailand: The FDI World
Dental Federation has released the
second edition of its Oral Health
Atlas at the Annual World Dental
Congress (AWDC) in Bangkok in
Thailand. Titled The Challenge of
Oral Disease—A Call for Global
Action, it aims to serve as an advocacy resource for all oral health care
professionals and recommends
strategies to address the global
challenge of oral disease.

AVERAGE CONSUMPTION OF
SUGARS AND SWEETENERS

MADAGASCAR

MAURITIUS

BOTSWANA

MOZAMBIQUE

PARAGUAY

AUSTRALIA

SWAZILAND

SOUTH
AFRICA

LESOTHO

URUGUAY
ARGENTINA

Alcohol and tobacco are
major risk factors for
cancers of the mouth,
larynx, pharynx and
oesophagus, and for
periodontal disease.
The average 5-year
survival rate of patients
with oral cancer is
about 50%.

NEW
ZEALAND

50%

The Oral Health Atlas

WHO fact sheet
on oral health,
2012

SECOND EDITION

so that they can better advocate for
change in oral health-related policies, Williams said.

Oral health is
essential to general
health and quality
of life.

Dental Association and the FDI’s
Vision 2020 oral health initiative. The book content includes
chapters and data from 30 con-

tributors, and was reviewed and
edited by the two editors-in-chief.
The atlas can be downloaded free of
charge from the FDI website and will

be translated into the FDI’s official
languages of French and Spanish.
These versions will be available
electronically in early 2016.

According to the atlas, only about
two-thirds of the world’s population have access to adequate oral
health care, even though oral disease, particularly tooth decay, is
among the most common human
diseases. “Untreated tooth decay is
the most common health condition of children across all countries,
recently confirmed by the Global
Burden of Disease Study looking
at the burden of 281 diseases and
conditions”, said Benzian. “Children
with severe untreated tooth decay

www.DTStudyClub.com

Y education everywhere
and anytime
Y live and interactive webinars
Y more than 500 archived courses
Y a focused discussion forum
Y free membership
Y no travel costs
Y no time away from the practice

Dr Habib Benzian (left) and Prof. David Williams, editors-in-chief of the second
edition of the Oral Health Atlas.

The book summarises the key oral
health issues based on the latest
available information from various
international sources, Benzian and
Williams explained, including the
impact of oral disease, major risk
factors and inequalities in oral
health, as well as oral disease prevention and management. Moreover, it aims to ensure that oral
health is granted higher priority on
the global health and development
agendas. Written for national dental
associations, health organisations,
industry professionals and the general public, the atlas provides them
with the means to address policymakers, governments and local
authorities based on sound facts

are impacted in their growth, have
frequent episodes of pain, miss
days in school and have a generally
lower quality of life,” he continued.
They also usually have the lowest
access to oral health care and preventive services, added Williams.
Therefore, the two editors-in-chief
hope that the second edition of
the Oral Health Atlas will most of
all serve as an advocacy tool for
institutions, policymakers and
dental associations in their effort
to improve access to oral health
care worldwide.
The compilation of the new
edition of the Oral Health Atlas
was supported by the Hong Kong

Y interaction with colleagues and
experts across the globe
Y a growing database of
scientific articles and case reports
Y ADA CERP-recognized
credit administration

FREE!

ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providersof continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

[6] => Standard_300dpi

DTNE0315_06_Osseo 02.11.15 11:01 Seite 1

BUSINESS

06

Dental Tribune Nordic Edition | 3/2015

Celebrating 50 years of osseointegration
The organisers invited more than
50 experts from the Nordic countries
and abroad to present their work and
discuss the latest scientific findings
and clinical concepts in implantology.
In addition, new products and techniques were presented by leading
companies in the dental industry.
Overall, nearly 100 dental companies
exhibited at the congress.

Dental implantology community celebrates 50 years of osseointegration
By DTI
STOCKHOLM, Sweden: From 24 to
26 September, the annual congress
of the European Association for
Osseointegration (EAO) was held in
Sweden for the first time. Over 2,500

participants attended the organisation’s
24th scientific meeting in Stockholm.
The congress addressed challenges
in implant dentistry in numerous
symposia, workshops and poster
presentations. Over the course of
three days, the meeting in Stockholm

provided a thorough review of the
development of clinical osseointegration over the last 50 years, while
focusing on current and emerging
techniques. There was also a strong
emphasis on application in daily
practice.

AD

EAO president Björn Klinge

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EXHIBITION

MEET
BUYERS

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email dentistry@closerstillmedia.com

PRACTICE OWNERS
& MANAGERS

DENTISTS

DENTAL HYGIENISTS
& THERAPISTS

On the last day of the conference,
EAO President Prof. Björn Klinge
announced the winners of the EAO’s
prestigious European prizes for
research in implant-based therapy.
This year, the winners of the scientific awards were selected from about
600 submitted abstracts. In addition,
Prof. Daniel van Steenberghe, the first
President of the EAO, was awarded
honorary membership at the session.
Profs. Per-Ingvar Brånemark and
André Schroeder are the only other
honorary members of the organisation.
The congress’s social programme
boasted a number of special venues.
The pre-congress cocktail reception
on 23 September was held at the
Stockholm City Hall, which is best
known for hosting the annual Nobel
Banquet. The Vasa Museum was chosen as the location for the gala dinner.
The only preserved seventeenth-century ship in the world, the warship
Vasa, which sank on her maiden voyage from Stockholm in 1628 and was
salvaged 333 years later, is exhibited at
the museum. This year’s EAO annual
congress was dedicated to the work
of the late Brånemark, the father of
modern implant therapy, who passed
away in December 2014. On 27 September, the EAO recognised his
achievements with a special symposium in Aula Medica at Karolinska
Institutet in Stockholm.
The 25th scientific meeting will be
held from 29 September to 1 October
2016 at the Palais des Congrès de
Paris, which is located in the heart of
Paris near the Champs-Élysées. It is
being organised in collaboration with
the French Society of Periodontology
and Oral Implantology. The organisers have already announced that
the programme for the 2016 congress will focus on the many aspects
of treatment planning and decisionmaking.
The official language of the congress is English. In 2016, the EAO is
pleased to welcome Japan as the guest
country. Therefore, interpretation
into Japanese will be available for
some sessions.

DENTAL NURSES

TECHNICIANS
& CDTs

Registration will open in March
2016 at www.eao-congress.org. Abstracts in English can be submitted
online from December 2015 to 1 April
2016.

[7] => Standard_300dpi

DTNE0315_07_Adentatec 02.11.15 11:02 Seite 1

BUSINESS

Dental Tribune Nordic Edition | 3/2015

Dental material for the next generation
Entering Nordic markets, German dental manufacturer Adentatec aims to win over customers with high quality at fair prices.
of dealers here intensively. Focusing
in particular on our new products
System Sin and System PEEK-Blank,
we hope to spark the interest of new
customers who are looking for highquality products at a fair price.”

With extensive experience and expertise in the field of non-precious dental
materials, high product standards and
a focus on customer-oriented service,
German manufacturer Adentatec lives
up to its motto, “Competence in dental”. Based in Cologne in Germany, the
company specialises in the production and distribution of non-precious
dental alloys on a cobalt–chromium
and a nickel–chromium base, as well as
CAD/CAM discs on a cobalt–chromium
and a titanium base.
While Adentatec operates globally,
it values short decision paths and
personal contact, and is committed to
the quality associated with Germanmade products, Sales Director Julia
Grabensee told Dental Tribune. “Only
when our customers are satisfied are
we satisfied too,” she said. All medical
devices distributed by Adentatec are
exclusively produced in Germany and
are certified to the highest standards
(CE marking and US Food and Drug
Administration approval). The company is committed to the strict implementation of the quality and process
requirements of DIN EN ISO 13485 and
DIN EN ISO 9001 in relation to the
entire manufacturing process.“It is our
first priority to achieve a consistently
high level of quality. Furthermore, we

System Sin, the company’s new
metal powder, was first introduced
at this year’s International Dental
Show in Cologne in March. The
cobalt–chromium powder is used in
the production of crowns and bridges
for ceramic veneering, as well as removable dentures, via laser sintering.
Spherical powder components provide good flow and sintering properties and allow the fabrication of thin
and homogeneous framework structures.

Adentatec’s brand-name products, such as System NE, have long been widely used by dental technicians.

“The Nordic market is
especially interesting for us.”

Furthermore, with its newest addition, System PEEK-Blank, the company has yet another product in
store for 2015. The superlight, highperformance polymer will be available in diameters of 98.3 mm and
99.5 mm, with four different sizes and
two shades, white and tooth coloured,
from which to choose. The material is
mainly for use in the manufacture of
removable dentures and is designed
for high stability and ease, which are
essential for comfortable wear.

The German company specialises in the production and distribution of non-precious dental alloys on a cobalt–chromium and a nickel–chromium base (left), as well as CAD/CAM discs on a cobalt–chromium and a titanium base.

strive for continuous product development and constant optimisation
of production processes,” Grabensee
remarked.
Established in 1997, Adentatec initially distributed sandblasting material and plaster to dental laboratories
all over Germany. In 2003, the German company started production
of high-quality dental alloys, for
which it implemented a quality management system. As a manufacturer
of medical products, Adentatec has
always given priority to patient
health, Grabensee emphasised. Its
products undergo biocompatibility
and corrosion resistance tests, among
others, and are manufactured from
high-quality raw materials to ensure
consistent quality.
The company’s brand-name products, such as System KN, System MG
and System NE, have long been

widely used by dental technicians.
Its product range includes plaster,
investment material and sandblasting material. In 2009, Adentatec expanded the range to CAD/CAM discs
on a cobalt–chromium base (System
NE-Blank and System Soft-Blank).
The high-quality discs are available in

different diameters and heights, and
can be used for all open milling systems. In 2012, the company’s CAD/
CAM disc on a titanium base, System
Ti 5-Blank (Grade IV), was launched.
Over the last decade, Adentatec’s
export business has increased stea-

dily, resulting in more than 20 agents
worldwide who represent the company’s product range today. Targeting
even further growth, the dental manufacturer is now aiming to enter the
Scandinavian countries. “The Nordic
market is especially interesting for us.
We would like to enlarge our network

“What sets us apart are years of
experience and expertise in the production of cobalt–chromium dental
alloys,” said Grabensee. In order to
build strong customer relationships
and reach its key audience of dental
professionals, Adentatec regards it
as important to attend fairs and exhibitions around the globe. In 2016,
the company will be present at IDEM
Singapore, IDEX, DTS, AEEDC Dubai
and VIDEC Hanoi, among others.
The alloys from Adentatec are no
longer an alternative to precious
metals; they are high-quality dental
materials offering an up-to-date technology for the next generation, according to the company. As Grabensee puts
it: “We invite all dental professionals
to test our dental alloys without obligations and see for themselves”.

Established in 1997, Adentatec initially distributed sandblasting material and plaster to dental laboratories all over Germany.

Visit Adentatec at Swedental in Gothenburg at Booth B09:21.

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DTNE0315_08-09_Manhart 02.11.15 11:03 Seite 1

TRENDS & APPLICATIONS

08

Dental Tribune Nordic Edition | 3/2015

Nano-hybrid ORMOCER for the bulk-ﬁll
technique in the posterior region
A clinical case report
By Prof. Jürgen Manhart, Germany

1

2

3

Fig. 1: Situation before treatment: amalgam ﬁlling in tooth #46.—Fig. 2: Situation after removal of the amalgam ﬁlling.—Fig. 3: After excavation, the cavity was ﬁnished and isolated with a rubber dam.

Direct composites in posterior teeth
are a part of the standard therapy
spectrum in modern dentistry. The
excellent performance of this form
of restoration in the masticatory
load-bearing posterior region has
been demonstrated in numerous
clinical studies. The procedure is
usually carried out in an elaborate
layering technique. Aside from the
possibilities that highly aesthetic
composites offer in the application
of polychromatic multiple-layer
techniques, there is great demand
for the most simple and quick to use,
and therefore more economical, composite-based materials for posterior
teeth. This demand can be met with
ever more popular composites with
increased depths of cure (bulk-fill
composites).

Introduction
The range of products available
in the field of direct composites has
expanded greatly in recent years.1–3
In addition to the classic universal
composites, the enormous rise in
patients’ aesthetic expectations
has resulted in the launch of a large

number of so-called “aesthetic
composites” on the market, which
are characterised by composite
materials in a sufficient number
of different shades and different
grades of translucency and opacity.4 Opaque dentine shades,
translucent enamel pastes and,
if required, body shades make it
possible to achieve highly aesthetic
direct restorations using the multicoloured layering technique. They
are practically indistinguishable
from the dental hard tissue, and
they rival the aesthetics of all-ceramic restorations. Some of these
composite systems consist of more
than 30 different composite materials of various shades and degrees
of translucency. It is, however, essential to have appropriate experience in the handling of these materials, which are primarily used in
the anterior region with a layering
technique employing two or three
different opacities and translucencies.4, 5
Owing to their polymerisation
properties and limited depth of
cure, light-curing composites are

generally used in a layering technique with individual increments
of no more than 2 mm in thickness.
Each increment is polymerised
separately, with exposure times
ranging from 10 to 40 seconds, depending on the power of the curing
light and colour or translucency of
the composite paste.6 With the materials available up until recently,
thicker composite layers resulted
in insufficient polymerisation of
the composite resin and thus in
poorer mechanical and biological
properties.7–9 Applying the composite in 2 mm increments can be
a very time-consuming procedure,
especially in large posterior cavities. Consequently, there is considerable demand in the market
for composite-based materials that
are simple and quick to use, and
therefore more economical, for
this range of indications.10 In order
to satisfy this demand, bulk-fill
composites have been developed
over recent years that, given a sufficiently powerful curing light, can
be placed more quickly in the cavity, using a simplified application
technique, in layers 4 to 5 mm thick

and with short increment curing
times of 10 to 20 seconds.11, 12, 6, 13, 14
Taken literally, “bulk fill” means
that they can be used to fill the cavity in a single step lege artis without
the need for a layering technique.15
With plastic restorative materials,
this is currently only possible with
cements and chemically activated
or dual-curing core build-up composites. However, the former do
not possess adequate mechanical
properties for restorations that are
clinically stable in the long term
in the masticatory load-bearing
posterior region of the permanent
dentition and are consequently
only suitable for use as interim
restorations or long-term temporaries.16–18 The latter are neither approved as restoratives nor suitable
for such indications from a handling perspective (e.g. shaping of
occlusal surfaces). The bulk-fill
composites currently available for
the simplified filling technique in
the posterior region are not actually bulk materials in the true sense
when examined more precisely, as
the approximal extensions of clinical cavities, in particular, are gen-

4

5

6

7

8

9

10

11

erally deeper than the maximum
depth of cure (4–5 mm) specified
for these materials.19, 20 That said,
it is possible to fill cavities with
depths of up to 8 mm in two increments if a suitable material is
selected—and this covers the majority of defect dimensions encountered in routine clinical practice.
Most composites contain organic monomer matrices based on
conventional methacrylate chemistry.21 Silorane technology22–27 and
ORMOCER chemistry28–35 present alternative approaches. ORMOCERs
(organically modified ceramics)
are organically modified, nonmetallic inorganic composites.36
Ormocers can be classified between inorganic and organic polymers and possess both an inorganic and an organic network.37, 38, 34
This group of materials was developed by the Fraunhofer Institute
for Silicate Research in Würzburg in
Germany and marketed for the first
time as a dental restorative material in 1998 in collaboration with
partners in the dental industry.33, 34
Since then, there has been con-

Fig. 4: Demarcation of the cavity with a sectional matrix.—Fig. 5: Selective enamel etching with 35% phosphoric acid.—Fig. 6: Situation after rinsing off the acid and carefully drying the cavity.—Fig. 7: Application
of the bonding agent Futurabond M+ to the enamel and dentine with a micro-brush.—Fig. 8: Careful drying of the solvent from the adhesive system with an airstream.—Fig. 9: Light curing of the bonding
agent for 10 seconds.—Fig. 10: Once the adhesive had been applied, the entire sealed cavity had a shiny surface.—Fig. 11: The ﬁrst increment of Admira Fusion x-tra ﬁlled the mesial area of the cavity and shaped
the approximal wall up to the level of the marginal ridge.

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DTNE0315_08-09_Manhart 02.11.15 11:03 Seite 2

TRENDS & APPLICATIONS

Dental Tribune Nordic Edition | 3/2015

Fig. 12: Light curing of the restorative material for 20 seconds.—Fig. 13: Situation after removal of the matrix.—Fig. 14: The second increment of Admira Fusion x-tra ﬁlled the cavity completely.

siderable further development of
ORMOCER-based composites for
this range of application. However,
the use of ORMOCERs is not limited
to dental restoratives. These materials have been successfully employed for years in fields such as
electronics, microsystems technology, plastic refining, preservation,
anticorrosion coatings, functional
coatings for glass surfaces, and
highly resistant, scratch-proof protective coatings.39–41
ORMOCER-based dental restorative composites are currently available from two dental companies,
VOCO (Admira product range) and
DENTSPLY (Ceram·X). In the dental
ORMOCER products to date, additional methacrylates were added
to the pure ORMOCER chemistry

Clinical case
A 47-year-old patient presented
at our clinic requesting the gradual replacement of his remaining
amalgam fillings with toothcoloured restorations. In the first
treatment session, we replaced the
old amalgam filling in tooth #46
(Fig. 1). The tooth was immediately
responsive to the cold test and the
percussion test too was normal.
Having been informed of the possible treatment alternatives and
their costs, the patient elected to
have a composite restoration with
Admira Fusion x-tra using the
bulk-fill technique.
Treatment started with thorough cleaning of the tooth with
a fluoride-free prophylaxis paste

dam is compensated for by avoiding the changing of cotton rolls and
the patient’s requests for rinsing.
The cavity was then demarcated
with a sectional matrix made of
metal (Fig. 4). The universal adhesive Futurabond M+ (VOCO) was
chosen for the adhesive pretreatment of the dental hard tissue.
Futurabond M+ is a modern onebottle adhesive compatible with
all conditioning techniques: the
self-etch technique and the phosphoric acid-based conditioning
techniques (selective enamel etching or complete etch-and-rinse pretreatment of enamel and dentine).
In this case, we chose the selective
enamel etching technique, applying 35 % phosphoric acid (Vococid,
VOCO) along the enamel margins

In the next step, the cavity, measured in advance with a periodontal
probe (6 mm deep from the floor
of the box to the occlusal marginal
ridge), was filled with Admira Fusion
x-tra in the area of the mesial box
until a residual depth in the entire
cavity of no more than 4 mm remained. At the same time, the
mesial approximal surface was built
up completely to the level of the
marginal ridge (Fig. 11). The restorative material was cured by a polymerisation lamp (light intensity of
> 800 mW/cm2) for 20 seconds
(Fig. 12). The build-up of the mesial
approximal surface converted the
original Class II cavity into an effective Class I cavity, and then the
matrix system was removed, as it
was no longer required (Fig. 13). This
facilitated access to the cavity with

appearance. Finally, a foam pellet was
used to apply the fluoride varnish
(Bifluorid 12, VOCO) to the teeth.

Final remarks
The importance of direct composite-based restorative materials will
continue to increase in the future.
They produce scientifically verified,
high-quality permanent restorations
for the masticatory load-bearing
posterior region, and the reliability
of these has been documented in the
literature. The results of an extensive
review have shown that the annual
loss rate for composite restorations
in the posterior region (2.2 per cent) is
not statistically different from that of
amalgam restorations (3.0 per cent).43
The increasing economic pressure in
the health care sector has created the

Fig. 15: Shaping of a functional, but uncomplicated, occlusal anatomy.—Fig. 16: Curing the restoration. The vestibular cavity was ﬁlled in the next step.—Fig. 17: Result: ﬁnished, highly polished restoration.
The function and aesthetics of the tooth were successfully restored.

(as well as initiators, stabilisers, pigments and inorganic fillers) in order to improve workability.42 Therefore, it is more accurate to refer to
ORMOCER-based composites.
According to the manufacturer,
the new bulk-fill ORMOCER Admira
Fusion x-tra (VOCO), launched in
2015, no longer contains any conventional monomers in addition
to the ORMOCERs in the matrix.
It features a nano-hybrid filler
technology with an inorganic filler
content of 84 per cent by weight.
It is available in a universal shade
and displays polymerisation shrinkage of just 1.2 per cent by volume
and consequently low shrinkage
stress. Admira Fusion x-tra can be
applied in layers of up to 4 mm,
with each increment being cured in
20 seconds (curing light intensity
of > 800 mW/cm2). The malleable
consistency and the other material
properties of Admira Fusion x-tra
allow the dentist to restore cavities
using the bulk technique with a
single material; an occlusal covering layer with an additional composite—as required when flowable
bulk composites are used—is no
longer necessary.

and a rubber cup to remove external deposits. As Admira Fusion
x-tra is only available in a universal
shade, there is no need for detailed
determination of the tooth shade.
After administration of local anaesthetic, the amalgam was carefully
removed from the tooth (Fig. 2).
After excavation, the cavity was
finished with a fine-grit diamond
bur and a rubber dam was placed to
isolate the tooth (Fig. 3). The rubber
dam separates the operating site
from the oral cavity, facilitates
clean and effective working, and
guarantees that the working area
remains free of contaminating
substances, such as blood, sulcular
fluid and saliva. Contamination
of the enamel and dentine would
result in considerably poorer adhesion of the composite to the dental
hard tissue and would endanger
the optimal marginal integrity of
the restoration for long-term success. Additionally, the rubber dam
protects the patient from irritating
substances, such as the adhesive
product. The rubber dam is thus an
essential aid in ensuring quality
and facilitating work in the adhesive technique. The minimal effort
required in applying the rubber

and allowing it to work for 30 seconds (Fig. 5). The acid was then
rinsed off for 20 seconds with a
compressed air and water jet, and
excess water carefully removed
from the cavity with compressed
air (Fig. 6). Figure 7 shows the application of a generous amount of
Futurabond M+ to the enamel and
dentine with a micro-brush. The
adhesive was thoroughly rubbed
into the dental hard tissue with
the applicator for 20 seconds. The
solvent was then carefully evaporated with dry, oil-free compressed
air (Fig. 8) and the bonding agent
light cured for 10 seconds (Fig. 9).
The result was a shiny cavity surface, evenly covered with adhesive
(Fig. 10). This should be carefully
checked, as any areas of the cavity
that appear matt are an indication
that insufficient adhesive was applied to those sites. In the worst
case, this could result in both reduced bonding of the restoration
in these areas and reduced dentine
sealing, which may lead to postoperative sensitivity. If such areas
are found in the visual inspection,
additional bonding agent must
again be selectively applied to
them.

hand instruments for shaping the
occlusal structures in the further
course of the treatment and, owing
to the improved visibility of the
treatment area, allowed improved
visual control of the material layers
subsequently applied. The second
increment of Admira Fusion x-tra
filled the residual volume of the
cavity completely (Fig. 14). After the
shaping (Fig. 15) of a functional, but
uncomplicated, occlusal anatomy
—which also helps to ensure rapid
finishing and polishing—the restorative material was cured again
for 20 seconds (Fig. 16). The vestibular cavity was filled in the next step.
After removal of the rubber dam,
the restoration was carefully finished with rotary instruments and
abrasive discs, and the static and
dynamic occlusion adjusted. Diamond-impregnated silicone polishers (Dimanto, VOCO) were then used
to give the surface of the restoration
a smooth and shiny finish. Figure 17
shows the finished direct ORMOCER
restoration, which reproduced the
original tooth shape with an anatomically functional occlusal surface,
physiologically shaped approximal
contact and aesthetically acceptable

need for a simpler, faster and thus
more cost-effective basic treatment
alongside the time-consuming highend restorations. For some time now,
there have been composites with
optimised depths of cure on the market for this purpose that can be used to
create clinically and aesthetically acceptable posterior restorations using
a procedure that is more cost-effective compared with traditional hybrid
composites.44, 45 In addition to the bulkfill composites with classic methacrylate chemistry, the range of products on offer in the field of composite
adhesive materials with a large depth
of cure has now been expanded with
a nano-hybrid ORMOCER version.
Editorial note: A list of references is available from the publisher.

Prof. Jürgen
Manhart works
in the Department of Restorative Dentistry
and Periodontology at the
University of
Munich in Germany. He can be
contacted at manhart@manhart.com.

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DTNE0315_10_Schimmel 02.11.15 11:04 Seite 1

TRENDS & APPLICATIONS

Dental Tribune Nordic Edition | 3/2015

“Age per se is not a contra-indication”
An interview with University of Bern professor Dr Martin Schimmel, Switzerland
By Daniel Zimmermann, DTI
State of health and risk factors differ
distinctly among individuals, especially the elderly. In an interview with
Dental Tribune, Prof. Martin Schimmel,
Head of the Division of Gerodontology
at the University of Bern, spoke about
ethical and financial challenges regarding implant treatment of the elderly and the importance of offering this
vulnerable population the benefits of
implant therapy.
Dental Tribune: Implant manufacturers seem to be exclusively targeting
younger age groups nowadays. Do you
think the silver generation is being
overlooked when it comes to implant
therapy and, if so, what could be the
reasons for this?
Prof. Martin Schimmel: I do not
think that statement is true. Tooth
loss is increasingly associated with
elderly people. In my opinion, most

manufacturers of dental implants
are aware of the fact that people in
the Western world are retaining their
own teeth for longer owing to the
successful implementation of preventive measures.
The treatment of trauma cases in
younger people is rather limited.
At the same time, the clientele for
implant treatment is becoming increasingly older. Data from the Department of Oral Surgery and Stomatology at the University of Bern’s
dental clinic clearly demonstrates
this. Narrow-diameter implants are
also explicitly marketed as “Gero” implants nowadays.
Why do older patients benefit from
implant therapy in particular?
Particularly fully edentulous patients and those with an edentulous

Dr Martin Schimmel

mandible benefit the most. Stabilising mandibular complete dentures

with the help of endosteal implants
is one of the greatest achievements
in dentistry. Scientific studies have
found many positive effects, including improved quality of life, satisfaction with dentures, masticatory
functionality and reduced bone
atrophy.
Partially edentulous patients can
benefit from fixed implant prostheses functionally, as well as structurally.
Conventional removable dentures
have proven to be inferior, especially
in free-end situations.

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identifying quality providers of continuing dental education. ADA CERP
does not approve or endorse individual courses or instructors, nor does it
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Tribune Group GmbH i is designated as an Approved PACE Program Provider by the
Academy of General Dentistry. The formal continuing dental education programs of this
program provider are accepted by AGD for Fellowship, Mastership, and membership
maintenance credit. Approval does not imply acceptance by a state or provincial board of
dentistry or AGD endorsement.

During a panel discussion at the EAO
congress last year in Rome,it was found
unanimously that there is no age limit
for implant therapy. What is the maximum age at which dental implants
could reasonably be used?
Age per se is not a contra-indication.
Even in palliative care, implants may
still play a valid role. Excluding people
from the benefits of this therapy owing to their statistically lower remaining lifespan is unethical. However,
one must consider exactly the point
at which implants in the mouth do
more harm than good—primum non
nocere [above all, do no harm]—particularly in situations where cleaning
is no longer possible and implants
become merely a surface to which
biofilms adhere. Furthermore, the possibility of medical contra-indications
does increase with old age.
What factors play a crucial role in the
implant treatment of elderly patients,
and what factors do clinicians need to
consider compared with treatment of
other age groups?
Of course, the interindividual variability between patients increases
with age, meaning that the older
the patient, the more personalised
treatment strategies have to be. The
planning and implementation need
to be constantly adjusted to medical,
psychological and social individualities. Minimally invasive surgical
approaches and prosthetic treatment methods that take the reduced
adaptability and other physiological
changes due to age into account have
proven successful in this respect.

InWestern countries,the gap between
rich and poor is ever widening. Elderly
people are increasingly falling into the
latter group. What measures can help
to ensure their access to dental implant treatment?
The only path to broad access to
these therapies for financially less
well-off patients lies in private or
public insurance systems. These are
political issues. However, dentists,
dental technicians and the industry
are constantly working on industrial
production structures and thereby
reducing costs. Digital developments in dentistry will surely help to
provide patients with otherwise expensive treatments for a much more
reasonable price. Nevertheless, oversimplified production methods are
often not suitable for the complex
treatment needs of the elderly.
You have pointed out the benefits of
digital production methods. What
other measures could also facilitate
access to dental implants for the
elderly?
Nowadays, the bulk of the costs
incurred is due to the hours of work
performed by the dental team and
technicians. Digital processes can
help to shorten treatment times
through innovative workflows. Moreover, quasi-industrial production
methods can be used in less-complex
cases, thus reducing costs further.
It is important to note that implant
manufacturers have maintained or
even lowered their price levels for
quite some time. However, it remains
important to evaluate the economic
value of using low-cost implants, because they can have a much higher
failure rate, as demonstrated by a
recent Swedish study (Editorial note:
Derks et al. 2015).
From a health policy standpoint, do
you see any deficits in the subsidisation of dental implants for the elderly?
This might differ from country to
country. In Switzerland, for example,
the subsidisation of patients with
low income is evaluated individually
by local authorities. The treatment of
persons who receive social security
benefits or needs-based minimum
benefits is subsidised if implant
therapy can be performed in a simple, economical and appropriate
way. Two inter-foraminal implants,
for example, will be reimbursed if
conventional prosthetic treatment is
not able to restore a patient’s chewing
ability.
In the statutory health insurance
system, there is an obligation to perform the therapy if the loss of teeth
was due to the occurrence or treatment of a severe disease, or to an accident or birth defect. There is certainly
room for other indications, but one
also has to consider the burden for
the social security systems. In my
opinion, Switzerland has established
a sufficient and balanced system.

[11] => Standard_300dpi

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DTNE0315_12_Linkevicius 02.11.15 11:05 Seite 1

TRENDS & APPLICATIONS

Dental Tribune Nordic Edition | 3/2015

Vertical reconstruction of soft
peri-implant tissues
By Dr Tomas Linkevičius, Lithuania
Crestal bone stability around dental implants remains one of the
most important features of successful implant treatment. Besides
major clinical advantages for the
patient, stable marginal bone provides the clinician with psychological comfort and satisfaction, because of the positive long-term outcome (Fig. 1). Therefore, we all need
to be aware of possible causes of
loss of crestal bone stability and
exercise every method to prevent
bone resorption.
For almost one decade, platform
switching has been considered
to be the most effective way to
achieve this outcome. It is so effective that almost all implant
companies have implemented
platform switching as an essential
feature of implant manufacture.
It has generally be concluded that
implant design is more important
than the biology itself. However,
recent clinical research conducted
by our group has found that softtissue thickness is an important
factor in preserving crestal bone
stability around implants. It was
determined that if vertical softtissue thickness is 2 mm or less,
there will be crestal bone resorption of 1.5 mm in extent during
formation of a biological seal between the soft tissue and the implant, abutment or restoration
surfaces (Fig. 2).
Furthermore, it was clearly
shown that even implants with
platform switching could not
maintain bone if at the time of
implant placement vertical soft
tissue was thin (Fig. 3). That returns
us to the discussion of whether
biology or implant design is more
important. Well, we need to understand that vertical soft-tissue
thickness is a prerequisite of the
biological width around implants.
Biological width around implants
starts to form at the time of healing abutment connection and is
complete after eight weeks. This
biological seal is the only barrier
protecting the osseointegrated
implant from the contaminated
intra-oral environment and hence
most important. Thus, there is
a direct connection between the
peri-implant mucosa of an edentulous alveolar ridge and periimplant soft tissue.
It seems that the soft-tissue
thickness required to protect the
underlying bone around implants
is approximately 4 mm, which is
longer than the biological width
around teeth. There are two ways
in which biological width around
implants is formed: with crestal
bone loss or without bone resorption. Which one would you like
your patient to have? Or which

one would you like your mother
to have? That is the question we
all as clinicians should answer
sincerely.
So if we diagnose thin vertical
tissue at the time of implant placement, what should we do? There
are no current guidelines to follow; however, we need to do some-

considering the prosthetic superstructure and implant–crown ratio. Some implant manufacturers
have launched implants of 4 mm
in length, making soft-tissue
thickness even more important
for users of these products.
So what should the approach be?
There are several options, some of

sure, which usually follow bone
resorption. It is well known that
the exposure of the rough implant
surface enhances plaque accumulation and the development of
peri-implantitis. In other words,
the future of such an implant
would only depend on the scrupulous cleaning abilities of the patient,
what is usually not the case.

Fig. 1: Crestal bone stability around the implant and abutment (Tapered, BioHorizons).—Fig. 2:Thin vertical soft tissue measured
at the crest (≤ 2 mm).—Fig. 3: Crestal bone loss around an implant with platform switching.—Fig. 4: Sub-crestal placement of
an implant (Tapered Plus, BioHorizons).—Fig. 5: Flattening of the ridge for the regular matching connection implant (green)
will increase soft-tissue thickness. The implant is placed supra-crestally to isolate the microgap and thin polished collar.—
Figs. 6a & b: Original vertical soft-tissue thickness (a); soft-tissue thickness after augmentation with an acellular dermal matrix (b).

thing, because crestal bone resorption will otherwise result.
This is especially important for
short implants, which are increasingly being used. Today, an implant of 8 mm in length is no
longer considered short, and we
have sufficient data to determine
that implants of 6 mm in length
work as well as longer ones do in
the posterior of both jaws. However, imagine the outcome if a
6 mm implant is placed in the
posterior mandible, where thin
vertical soft tissue is frequently
present. We would have approximately 2 mm of bone resorption,
due to biological width formation,
leaving only two-thirds of the
implant surface to become osseointegrated. Such a circumstance
poses a risk of implant failure,

them already researched clinically
and some based on clinical experience without any objective evidence. An initial thought may be
to place the implant deeper subcrestally (Fig. 4). Firstly, there must
be adequate distance from the alveolar nerve to position the implant
sub-crestally in a safe manner. It is
advised that the implant stop at
least 1 mm from the nerve.
Extensive sub-crestal positioning of the implant, of course, does
not prevent crestal bone loss, as
the microgap at the implant–
abutment interface will form an
inflammatory infiltrate, which
will cause bone resorption anyway; however, it is likely that the
implant will not have soft-tissue
recession or rough surface expo-

Another option might be recontouring of the bone during basic
implant bed preparation, especially if a narrow ridge is present.
Careful reduction and smoothening of the narrow ridge will not
only provide a flat bone surface
and a sufficiently wide area of
bone for implant positioning, but
will increase soft-tissue thickness
as well (Fig. 5). While the concept of
bone removal to preserve the bone
might be acceptable to some clinicians, there is no strong clinical
evidence that this procedure increases soft-tissue thickness and
reduces crestal bone remodelling.
Consequently, we might think
in another direction and consider
a third option, vertical reconstruction of the soft-tissue thickness,

which in my opinion is the most
logical approach. Increasing softtissue thickness vertically compensates for the lack of vertical
tissue. Already in a 2009 paper,
we suggested that clinicians
“consider the thickening of thin
mucosa before implant placement”;
therefore, this concept is not entirely new.1 The idea is to place
some sort of autogenous, allogeneic or xenogeneic material
over the implant to increase softtissue thickness after healing.
A connective tissue graft is
considered the gold standard for
soft-tissue augmentation around
implants. However, this technique
has some serious disadvantages,
such as donor site morbidity and
the difficulty of the harvesting
procedure. Therefore, allogeneic
substitutes might be considered a
viable option to replace autogenous grafts in vertical soft-tissue
reconstruction. The use of an acellular dermal matrix is thus far
the only approach backed by solid
clinical research, including a controlled clinical prospective study.2
In this study, implants were placed
in three groups of patients with (a)
thin vertical tissue, (b) thick vertical
tissue or (c) thin vertical tissue augmented with an acellular dermal
matrix material (AlloDerm, BioHorizons). Radiographic assessment showed a reduction of crestal
bone loss from 1.74 mm in the
thin-tissue group to 0.32 mm in
the augmented group. In addition,
soft-tissue thickness increased by
2.33 mm, from 1.50 mm to 3.83 mm,
after augmentation with the allograft (Figs. 6a & b). This research
proves that the lack of vertical softtissue thickness required for biological width formation without
crestal bone loss can be compensated for by the use of an acellular
dermal matrix material at the time
of implant placement.
In conclusion, it must be emphasised that diagnosis of thin vertical
soft tissue is very important in implant treatment. Only by acknowledging that tissue thickness is an
important factor can we follow protocols that allow us to reconstruct
vertical peri-implant tissue and
reduce crestal bone loss.
Editorial note: A list of references is available from the publisher.

Dr Tomas Linkeviçius is an Associate Professor
at the Institute
of Odontology
at Vilnius University in Lithuania. He can
be contacted
at linktomo@
gmail.com.

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DTNE0315_14_Tuner 02.11.15 11:06 Seite 1

TRENDS & APPLICATIONS

Dental Tribune Nordic Edition | 3/2015

An unknown phototherapeutic tool
Using the composite curing lamp in daily dental practice
By Dr Jan Tunér, Sweden
All dentists are familiar with the
composite curing lamp. Some may
not use it in their clinical work, like
oral surgeons, but everyone has seen
and used one. Most current curing
lights are based upon light-emitting
diodes (LEDs). This blue light has
a centre wavelength of around
460 nm and the power density is
around 1,000 mW/cm2. The output
power is typically 200–250 mW.
Light is capable of many things
and a curing light achieves more
than curing of composites and
cements. In 2008, Enwemeka et al.
published a study showing that
blue light at 405 nm could efficiently kill strains of methicillinresistant Staphylococcus aureus
(MRSA) in vitro.1 However, there
may be safety concerns in clinical
practice regarding the 390–420 nm
spectral width of the 405 nm LED
source owing to the trace of
ultraviolet light within the spectrum. Therefore, in 2009, the same
researchers published a similar

Fig. 1: Original situation after an MRSA infection on the scalp for about ten years.—Fig. 2: Suppuration after two sessions. —Fig. 3: Situation after ten sessions.

stimulation. Toothbrushes that use
blue light are already on the market.
In Soukos et al.,3 the 11 study subjects refrained from brushing their
teeth for three days. One side of
the dental arch was irradiated with
blue light at 455 nm with a power
density of 70 mW/cm2 twice a day
for four days. On the fourth day,
plaque was collected from both
sides and analysed by checkerboard
DNA probe analysis of 40 perio-

50 mW/cm2 once a day for 4 minutes (12 J/cm2) for three days and
four exposures. The photo-targeting effect was studied using whole
genomic probes in the checkerboard DNA–DNA format. In cultures, all eight species showed
significant growth reduction. After
irradiation, the mean survival was
reduced by 28.5 and 48.2 per cent in
plaque suspensions and biofilms,
respectively. DNA probe analysis
showed significant reduction in
relative abundances of the eight
bacteria as a group in plaque suspensions and biofilms. The cumulative blue light treatment suppressed biofilm growth in vitro.

ments under the layer at the interface of the irradiated blood.
Okamoto et al.6 from the same
group of researchers then went on
to use a blue-violet LED in patients
on warfarin who required tooth
extraction. The patients were divided randomly into three groups.
The first group was irradiated with
blue LED after tooth extraction.
The second group was treated with
haemostatic gelatin sponges and
LED irradiation. The third group
was treated with only haemostatic
gelatin sponges. Haemostasis was
evaluated at 30 seconds after treatment. Less than 30 per cent of the

The power of the curing light
is similar to that of a traditional
low-level laser (200–250 mW). The
“power” referred to in LED manuals
is actually the power density, which
is the output power in mW divided
by the irradiated area. So if the
output power is 250 mW and the
tip of the probe is 0.25 cm2, the
power density is 250 mW ÷ 0.25 cm2
= 1,000 mW/cm2.
There is a trend towards increasing the power of the curing light in
order to shorten the time necessary
to cure a filling. Rapid curing may
or may not be optimal for the
quality of the filling, but care

“The power of the curing light is similar
to that of a traditional low-level laser.”

experiment,2 but using an LED
with a centre wavelength of 470 nm.
They found that this wavelength
was just as effective: an energy density of 55 J/cm2 killed over 90 per
cent of the MRSA. This wavelength
seems familiar because we have it
in our curing lamps. Since 405 and
470 nm produced similar results,
the choice of blue wavelength does
not appear to be crucial.
In everyday dentistry, we do not
see many cases of MRSA, but
should still be aware of the potent
tool at our disposal if such cases
arise. However, what we do see daily
is dental plaque, and it is full of
bacteria. So, could the curing light
be used to reduce dental plaque?
Using the curing light to reduce
dental plaque seems a bit impractical, but it is an idea for innovative
products in the near future. A product with the shape of an impression
tray emitting blue light could be
quite practical and could be combined with red light, for tissue bio-

dontal bacteria. Porphyromonas
gingivalis and Prevotella intermedia were significantly reduced on
the irradiated side by 25 and 56 per
cent, respectively, compared with
the non-irradiated side. Five other
species were identified as being
sensitive to this irradiation. Further, there was a slight decrease of
gingival redness on the irradiated
side, whereas there was a slight increase on the non-irradiated side.
Fontana et al. exposed cultures
of eight bacteria to blue light at
455 nm with a power density of
80 mW/cm2 and an energy density
of 4.8 J/cm2. Human dental plaque
bacteria were also exposed once to
blue light with a power density of
50 mW/cm2 and an energy density
of 12 J/cm2. In order to study the
cumulative effect of phototherapy
on the eight previously identified
photosensitive pathogens and on
biofilm growth, microbial biofilms
developed from the same plaque
were irradiated with blue light
at 455 nm with a power density of
4

What else could a curing light do?
Ishikawa et al.5 state that dental
curing lamps can emit blue-violet
wavelengths of around 380–515 nm
with two peaks (410 and 470 nm).
These wavelengths cover the maximum absorption spectra of haemoglobin (430 nm). So could it be
used to improve the coagulation
process after extractions? In ten
cases, irradiation of the extraction
socket was performed 1 mm from
the socket with a power density of
750 mW/cm2 and an energy density
of 7.5 J/cm2 for 10 seconds. Bleeding
was stopped by conventional roll
pressure in another five cases as a
control. Bleeding time for both procedures was measured. Irradiation
with the LED resulted in immediate
haemostasis of the socket. Five
cases showed coagulation within
the first 10 seconds and another
five cases required an additional
10 seconds to control the bleeding
fully. In contrast, the roll pressure
method required 120–300 seconds
(median 180 seconds) to obtain
haemostasis. One week later, the
irradiated sockets had healed with
epithelial covering. Transmission
electron microscopy showed the
formation of a thin amorphous
layer and an adjacent agglutination
of platelets and other cellular ele-

patients in the haemostatic sponge
group achieved haemostasis within 30 seconds, approximately 50 per
cent of the patients in the simple
LED irradiation group achieved
haemostasis within 30 seconds,
and 86.7 per cent of the patients in
the LED and haemostatic sponge
combined group achieved haemostasis within 30 seconds. In conclusion, the additional use of the LED
improved the effect of the haemostatic sponge.
The studies by Enwemeka et al.
and Ishikawa et al. stimulated my
own curiosity, and I have used my
curing light for several indications
lately. A special case was an elderly
male patient who had suffered from
an MRSA infection on his scalp for
about ten years. Every conceivable
treatment had been tried, but in
vain. We later discovered that he had
been wearing the same cap for many
years and thereby constantly reinfected himself. A combination of
irradiation with the curing light and
ozone led to almost complete healing. The first photograph shows the
situation on the first day, the second
photograph shows suppuration at
the second session and the third
photograph shows the situation at
the last session.

should be taken not to let the high
temperatures harm the pulp. There
are now curing lights with output
in the W range and power densities
of up to 5,000 mW/cm2. Certainly
fast curing, but what about the
temperature rise? Runnacles et al.7
tested the temperature rise in human premolars using different intensities from a standard curing
light. All irradiations produced a
higher peak temperature than the
baseline temperature, with some
teeth exhibiting a temperature rise
of higher than 5.5 °C, an increase
thought to be associated with pulpal necrosis.
Utilise the versatility of your
curing light, but be careful not to
harm the pulp.
Editorial note: A list of references is available from the publisher.

Dr Jan Tunér
specialises in the
ﬁeld of laser
photo therapy.
He maintains a
private practice
in Grängesberg
in Sweden and
can be contacted
at jan.tuner@
swipnet.se.

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DTNE0315_17-18_today01-02 02.11.15 11:07 Seite 1

Swedental · Gothenburg · 12–14 November, 2015

Independent news for visitors and exhibitors

Welcome to Scandinavia’s biggest dental show
Gothenburg welcomes dental professionals to Swedental 2015
 From 12 to 14 November, Swedental 2015 will present the latest
developments in dentistry at Svenska Mässan, the Swedish Exhibition
and Congress Centre, in Gothenburg.
More than 11,000 visitors are expected for this year’s meeting, which
takes place every year in autumn
and alternates between Gothenburg
and Stockholm.
Dentists, dental technicians and
other dental professionals from
Scandinavia and abroad are invited
to discover new products, innovative materials and the latest dental
equipment at the congress centre,
one of Europe’s largest, fully integrated hotel and congress facilities,
located in the heart of Sweden’s
second largest city.
Up to 200 dealers and manufacturers from the region and elsewhere have registered for the dental
exhibition, which will be held in
conjunction with the Annual Dental
Congress. Both events are organised by the Swedish Dental Society.
This year’s focus is the relationship
between oral and systemic health.

As dental and oral health are known
to affect other parts of the body and
general well-being, and vice versa,
Swedental aims to emphasise the importance of the whole-body concept
and foster the exchange of opinion
between society, technology and research.
Highlights of the scientific programme at Swedental include a tribute to Prof. Per-Ingvar Brånemark,
the father of osseointegration; emerging research findings on uterine
transplants and stem cells; as well as
an extensive programme on maxillofacial surgery. On Thursday and
Friday, visitors will be able to meet
with friends and colleagues in a relaxed atmosphere at the After Dent
party at the twentyfourseven restaurant in the Gothia Towers lobby from
17:00 to 19:00.
First held in 1973, Swedental has
become the leading forum and trade
fair for the dental industry in the
Nordic countries. More information
about the meeting, the parallel scientific sessions and the exhibition is
available at www.swedental.se. 

Useful information
Contact information

Opening times

Swedish Exhibition & Congress Centre
Mässans Gata/Korsvägen
412 94 Gothenburg
Tel.: +46 31 708 8000
Fax: +46 31 16 0330
swedental@svenskamassan.se

• Thursday, 12 November:
9:00 to 17:00
• Friday, 13 November:
9:00 to 17:00
• Saturday, 14 November:
10:00 to 14:00

AD

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DTNE0315_17-18_today01-02 02.11.15 11:07 Seite 2

news

Swedental Gothenburg 2015

The smart simplification of a composite system
Easy and effective aesthetic restoration with GC Essentia. By Dr Javier Tapia Guadix, Spain
Leonardo da Vinci said that simplicity is the ultimate sophistication. When it comes to developing
an aesthetic dental composite material, we tend to overcomplicate
things, owing to convention, industry competitiveness, or errors of
observation of natural dentition.
However, ultimate simplification
is possible if we place such matters aside and start from scratch.
Developed by the GC Europe
Restorative Advisory Board, Essentia brings minimalism to the
composite world, with a simplified system that enables
easy and effective aesthetic restoration using a
very limited number of
shades.
The complete kit, with just
seven shades and four modifiers,
represents a paradigm shift in layering composites. The classic concept of a composite material with a
great variety of hues and chromas
within its range is starting to become obsolete. The trend is to have
a unique hue but with a large
range of chroma options. GC has
taken the simplification further to
create a new approach with only
three dentine and two enamel
base shades.
In teeth, the base colour (hue,
value and chroma) is mainly determined by dentine, followed by
modulation of value by enamel.
Value is also determined by the
opacity of a translucent material:
opaque materials have a higher
value, whereas translucent materials have a lower value. It is
known that matching hue and
chroma is not as important for a
successful restoration as matching value. Using the same base

opacity for all dentine shades in a
system can result in problems, as
younger
teeth have
a very

low
chroma and
high opacity,
and older teeth have
very high chroma and low
opacity. Essentia uses just three
dentine shades (light, medium and
dark) with increasing chroma and
decreasing opacity in order to
match the natural ageing process.
Enamels act in a similar manner, with whiter and more opaque
enamel on young teeth and more

dentine and two enamel shades
produce four basic combinations
that can be used as a base for any
anterior restoration:
Light Dentin with
Light Enamel
(junior/bleach),
Medium Dentin
with Light Enamel

“...a paradigm shift in
layering composites.”

(young),
Medium
Dentin with Dark
Enamel (adult)
and Dark Dentin
with Dark Enamel (senior).

contains a high-filled opaque flowable composite in order to block
discolourations with a very thin
layer application. For young incisors with a strong opalescent halo,
Essentia provides a special enamel shade, optimised for a very
natural opalescent effect. For intrinsic or extrinsic characterisation, such as fissure staining or
white spots, Essentia also features
three flowable stains: White, Black,
and Dark Red Brown.

Dark Dentin and Light Enamel
can be combined for posterior
restorations, enabling a highly
chromatic dentine substrate to

Finally, to aid further simplification, one universal shade with
an optimised chameleon effect is
included in the system too. This

“Essentia uses just three dentine
shades with increasing chroma and
decreasing opacity in order to match
the natural ageing process.”
translucent and chromatic enamel
on older teeth. Essentia uses just
two enamel shades, one with
a high value (light) and another
one with a low value (dark) and a
low chroma. Together, these three

be modulated by a higher value
enamel on the occlusal surface.
Some specific situations, such as
a discoloured substrate, might
require an additional step when
layering composites. The system

material is designed to be used
mainly in the posterior region for
one-shade restorations. Its properties also make it a good option
for heated composite cementation
procedures.

From a chemical perspective,
it is important to observe that dentine and enamel shades have different compositions. While dentine shades are optimised for
a higher scattering effect mimicking that of natural dentine,
enamel shades are designed for a
higher translucency with very
high polishability and gloss retention.
As demonstrated in the case
reports, this simplified material
achieves clinical outcomes of a
high standard, with naturally
blending restorations that integrate harmoniously in the mouth.
This demonstrates that the ultimate simplification of composite
systems is no longer a future possibility but a present reality.
GC NORDIC AB, Sweden
www.gceurope.com
Booth C01:22

Dr Javier Tapia Guadix is
a member of
the GC Europe Restorative Advisory
Board. In his
private practice in Madrid in Spain, he
focuses on restorative dentistry and
aesthetics. He can be contacted at
j.tapia@bio-emulator.com.

Provicol QM Plus, temporary luting cement
with even better adhesion
Boasting all of the benefits of the
proven Provicol QM, but with even
greater adhesion and enhanced
strength, VOCO’s new temporary luting cement Provicol
QM Plus is ideally suited for
application in clinical situations requiring particularly
high levels of adhesion.
The material is indicated for the temporary
luting of provisional
and definitive restorations
(crowns, bridges, inlays and
onlays), as well as for the temporary obturation of small single-surface cavities. With its increased
strength, self-curing Provicol QM
Plus is ideal for use in clinical situations that require a particularly
strong hold. Whether luting on

short or small tooth stumps or if
retention between the temporary
restoration and the tooth stump is

of Provicol QM and a syringe of
Provicol QM Plus. Together, these
two materials offer users flexibility and security for
all types of temporary luting.
Its low film
thickness, which
facilitates

poor, with Provicol
QM Plus Provicol QM users can
select the ideal luting cement on
a case-by-case basis. This is made
even easier with the new kit
featuring two QuickMix syringes

precise placement at all times, and optimum
flowability make the highly radiopaque Provicol QM Plus an
easy-to-use material, which can be
correctly mixed in the QuickMix
syringe and applied with pinpoint

accuracy. Moreover, it is absolutely stable, thus simplifying the
precise removal of excess.
As with all products in the
Provicol range, Provicol QM Plus
is eugenol-free and thus has no
impact on either the curing or the
properties of composite materials
used subsequently for permanent luting. Provicol
QM Plus also contains calcium hydroxide, promoting the formation of secondary dentine and exerting a
bacteriostatic effect, as well as zinc
oxide, known for its antibacterial
effect.
VOCO, Germany
www.voco.com
Booth B01:41

About the
Publisher

Editorial/
Dental Tribune
Administrative Office International GmbH
Holbeinstraße 29
04229 Leipzig
Germany
Phone
Fax
Internet

+49 341 48474-302
+49 341 48474-173
www.dti-publishing.com
www.dental-tribune.com

Publisher
Torsten Oemus
Director of Finance
Dan Wunderlich
and Controlling
Managing Editor
Kristin Hübner
Product Manager
Claudia Salwiczek
Production Executive Gernot Meyer
Production
Franziska Dachsel
today appears during Swedental in Gothenburg,
12–14 November, 2015.
The magazine and all articles and illustrations
therein are protected by copyright. Any utilisation without prior consent from the editor
or publisher is inadmissible and liable to prosecution. No responsibility shall be assumed
for information published about associations,
companies and commercial markets. General
terms and conditions apply, legal
venue is Leipzig,
Germany.

[19] => Standard_300dpi

DTNE0315_19_today03_Cura 02.11.15 11:08 Seite 1

news

Swedental Gothenburg 2015

Choose black, get white—The gentle approach to whitening
lemon taste and is available in an
extra mild flavour under the name
White Is Black.
Swiss-owned company Curaden
is a pioneering expert in oral health
and individual dental prophylaxis,
based in Kriens near Lucerne. Its
unique range of oral health products
have been created and developed in

Switzerland under the brand name
CURAPROX since 1972. Together
with dental professionals in teaching, research and practice, the company introduces products that serve
one purpose only: to keep teeth
healthy for a lifetime.
Today, CURAPROX is represented
in more than 60 counties worldwide.

In 2013, the company ventured
into the Swedish market and began
building up distribution channels.
Its range of atraumatic and effective
products suit a mature oral health
market such as that of Sweden,
a market looking for non-abrasive
toothbrushes, durable interdental
brushes and non-staining chlorhexidine. Now they are all here! The prod-

ucts are available for consumers via
dental clinics and the CURAPROX
online shop. In the near future,
the company’s key products will be
obtainable from well-stocked and
updated pharmacies.
CURAPROX, SWITZERLAND
www.curaprox.com
Booth B06:20
AD

Swiss brand CURAPROX is now
offering a whitening toothpaste. Activated carbon gives the toothpaste
both its colour and its name: Black Is
White. To maintain good oral health,
stains are removed by activated carbon instead of abrasion or chemical
bleaching.
In pursuing its goal of effective and
atraumatic products, CURAPROX
chose activated carbon as the active
ingredient for its gentle whitening
toothpaste. This ingredient removes
stains without abrading the enamel
or using a chemical bleaching agent.
Instead, it absorbs stain particles and
gently eliminates them. Moreover,
the whitening effect of activated carbon is enhanced by optical means:
a blue filter reduces yellow discolouration. This helps to make teeth
appear whiter without the use of
chemical agents.
As the toothpaste is gentle and
contains 1,450 ppm sodium fluoride,
it can be used as regular toothpaste
without any limitations. Sodium fluoride acts quickly and creates a more
neutral environment. Black Is White
also contains enzymes that occur naturally in the saliva. These enzymes
enhance the saliva’s antibacterial
and antiviral functions. In addition,
they protect against tooth decay and
help to combat dry mouth. Another
component, nano-hydroxyapatite,
aims to protect the teeth. Owing to
the close similarity of its structure to
tooth enamel, it serves as a protective
layer on the tooth. Additionally, it has
been found to have a remedial effect
on damaged tooth enamel and can
even reverse incipient caries.
Black Is White does not contain
triclosan or sodium lauryl sulphate.
This surfactant, which is present
in almost all toothpastes, dries
the mouth and causes damage to
the mucous membranes, leaving the
mouth susceptible to aphthous ulcers. Black Is White has a refreshing

I AM
EXCLUSIVE

Compact design and easy to access: the smallest
imaging plate scanner on the market for your personal
convenience.
Images in seconds: you no longer need to move to another
room to scan your images.
Featuring an exclusive Click & Scan concept, the new
PSPIX is totally intuitive: Make your selection on the
large touchscreen, drop in your imaging plate and let
the PSPIX do the rest

B10:33
SOPRO a company of ACTEON Group ZAC Athélia IV Avenue des Genévriers 13705 LA CIOTAT cedex FRANCE
Tel +33 (0) 442 980 101 Fax +33 (0) 442 717 690 E-mail: info@sopro.acteongroup.com www.acteongroup.com

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C01:19

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C02:29

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C02:51

Ekulf
C02:31

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M-Tec Dental
C01:02

Denthouse
C01:14

Bigman
C01:20

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Med Nordic
C01:30
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GC Nordic
C01:22

3.0

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Supplier/
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C01:32

Depro
C01:40

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Philips Glasbox

2.0
Smileffect.se
C01:21

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C01:56

Shafqat Inform
C01:50
C02:41
3.0
Ångtvättbilen
C01:42

Entré 5

BP

Incontro
Stanza
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BP

Väggpark.

Fimet
C01:41

Lågtak

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Philips Glasbox

3.0

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BP

6.0

8.0

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Tandläkarstol

Trollhätteplast
C00:05
2.0

9.0

DentsplyIH
W ellspectHealthcare
C02:02

3M Svenska
C01:12

Nordenta
C02:22

9.0

PlandentForssbergsDental
C02:32

9.0

Heraeus KulzerNordic
C02:42

Colténe
C02:52

Lågtak
Väggpark.

Lounge

Café

Lågtak

Lågtak

10.0

BP

W & H Nordic
C03:12

10.0

Philips Glasbox

Dab Dental
C00:07
7.0

10.0

Dentsply DeTrey
C03:02

C

10.0

PlandentForssbergsDental
C03:22

10.0

Humble Brush
C04:52
5.0

D

PlandentForssbergsDental
C03:32

DürrDental
C03:42

5.0

Hultén & Co
C03:52

4.0

Prospect
D02:02

Väggpark.

6.0
3.0

2.0
Bendent
C01:13

9.0

9.0

10.0

7.0

Dab Dental
C04:02

Dab Dental
C04:12

NobelBiocare
C04:22

9.0

Kavo Scandinavia
C04:32

9.0

Kavo Scandinavia
C04:42

Hager& W erken
C04:60
7.0

Lå
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2.0

Väggpark. Alt.2

Väggpark. Alt.1

BP

BP

BP

Harry Holms
C01:17

4.0

Dab Dental
C05:02

4.0

4.0
Dentalringen
C05:32

Rini
Ergoteknik
B01:39

BP
1.
0

Seger
Dental
B01:37
3.0
Dental
Doctors
B01:31
3.0
MGline
B01:27

4.0

Voco
B01:41

4.0

Se-Bra
B01:49

IvoclarVivadent
B01:30

5.0

Svensk
Privattandvård
B01:36

4.0

4.0
CMT Andréasson
Group
B01:01

4.0
Dentman
B01:07

Neoss
B01:19

CCS Healthcare
B01:20

3.0
Röntgenutbildarna
Stockholm
B01:23
3.0
Resmed Sweden
5.0
B01:21
Gama Dental
B01:22
4.0

10.0

10.0

BP

internetodontologi.se
B02:19

10.0

5.0

Ellman Produkter
(Åhrén DentalConsult)
B02:29

5.0

6.0

6.0
PraxisA/S
B02:01

Dentaleye
B02:09

Johnson & Johnson AB
B00:01
9.0

5.0

KarAna
Ädelmetall
B01:02

6.0

5.0
6.0
Svensk
Renishaw
Dentalåtervinning B02:11
B01:12

5.0

3.0

4.0

7.0
Elos
B03:51

10.0
15.0

3.0

2.0

BP

Meridentoptergo
B04:11

2.0

Keystone Dental
B00:17
5.0

5.0

SolidentSweden
B03:02

3.0

Swedish
Care
B03:12

5.0

Unident
B03:22

5.0

3.0
Lågtak

Sign
B03:64

Teethrus Sweden AB
B03:42

3.0

3.0
Koinè
B03:52

Sveriges W ests.
Tandtekniker
Res.
-förbund B04:51
B03:60

5.0

Klinik Support
B03:62
3.0

3.0

DAB
B03:84

BP

Folktandvården
Västra Götaland
B04:02

11.0

11.0

11.0

5.0

9.0
Dental
Export
B05:64
3.0
3.0
4.0

Fairnet
B05:65

4.0

Straumann
B05:42

6.0

4.0

3.0
Meda OTC
B07:31

7.0

3.0

Tanja Unlimited9.
i0
Göteborg
B00:33

9.0

5.0

Curaprox
(Curaden Scandic)
B06:20
8.0
Elysee
Preventum
Dental
Partner
B06:14
B07:11
3.0
Shofu
Dental
B06:12

Smileco Group
(Colloseum)
B06:02

3.0

2.0
AB Götene Specialinredningar
B07:21

7.0

Svensk JB DentalTechnology
DentalservicB07:
e 23
B06:22

4.0

Proxident
B06:32

BP

DMG
B07:39

Dö
rr

Café

3.0

twentyfourseven

BP

SweDenCare8.0
B00:27

12.0

7.0

12.0
BiteDentaliÖrebro
B06:11

Procter& Gamble Sverige
B05:02

5.0

Tieto
Sweden
B05:12

T S DentalSales
B05:20

10.0

Svensk Dentalservice
B05:22

11.0

8.0

4.0
4.0
Plackers Scandinavia
B06:41

Combimed AB
B06:49

6.0

6.0
Pastelli
(Skåneposten)
B06:51

6.0

iTeve Production
B05:72

Café/Scen

Scen/Café
B05:52

Scheu
-Dental
B05:62
3.0

Förråd FTV
B05:74

Philips
B05:32

Don Marc Spain S.L
B00:21 7.0

5.0

5.0
Umec Earfoon
B05:51

B

Port B1

DentalDirekt
B05:59

11.0

PepsodentUnilever
(FairFactoryoy)
B04:40
11.0
ApoEx
B04:32

Unident
B04:22

2.0

Meda
B03:90
5.0
2.0
Zirkonzahn
B03:70

Tandläkaretidningen
(Sveriges Tandläkarförbund)
B04:42

6.0

6.0
BiCefSolutions
B04:52

Försäkringskassan
B04:60

4.0

DentalZone HB
B03:66

West Coast

9.0

7.0

Dynamo Stol
B00:09

AlmaSoft
B02:02

7.0

TePe Munhygienprodukter
B02:12

8.0

Praktikertjänst
B02:22

Dentalmind
B02:32

8.0

CengerScandinavia
B02:42

3.0

Bettec
B02:52

Studentlounge
(Tandteknikerförbundet)
B02:60

1.5

2.01

RÄCKE

OBS! Ingen takhängning här!

OBS! Ingen takhängning här!

10.0
SupportDesign
B02:31

Danderyds Snickeri/
Dandent
B01:34

Directa
B02:41

McNeilSweden /J&J
Listerine /Nicorette
B02:43

Hotel
Gothia
Towers

10.0

Forshaga Dental
depå
C05:30

4.0

Swede Dental
iÖrebro
C05:42

D01:14

D01:12

D01:16
Res.Rehab

D01:10

KB Dental
D01:28
D01:20
Tandsköterske
Tandvård CaresumablesAB
Förb
motTobak D01:30
D01:22
D01:26
D01:24
D01:32
hEAR Nordic AB
Mun-H-Center

D01:18

Verdent
D01:08
Verdent

D01:02

D01:04

För utställare

.5

Service Center

2.0

1.0

3.0

2.0

3.0

BP

4.0

Port B2

MedidentItalia
B00:
39
BP 4.
0

BioGaia
B07:10

6.0

Colgate-Palmolive
B07:12

8.0

3.0
SunstarSverige
B07:22

5.0

Gingi
Tingstad Prowear
Produkter B08:29
B07:30

6.0

3.0

Sun Dental
laboratories
B09:39

3.0
3.0
Qinamaste Athletica
B08:22
6.0

6.0
TIC Tandteknik
B08:02
6.0

Lilleborg
B08:04

3.0

Thusab / Hådéns
Tandhygieni
B09:
st 19
-föreningen
B08:20
3.0
EXACTODENT
SW EDEN
3.0
B08:12
Stena
Recycling
B09:11
3.0

6.0

3.0

4.0

European
StockholmsMedia mässan
PartnerB10:29
B09:28
2.0
Olorin
B09:24
3.0
FDI
B10:21
2.0
3.0
TrendRehab
B09:22
5.0

Hejco
B10:19

3.0

Dreve
Prospect
Dentamid B10:39
B09:40
3.0
POLIDENT
B09:34
4.0
3.0
Nordic Dream
ACTEON
ImplantKA)B10:33
B09:32

Bien AirDental
B09:41

OBS! Ingen takhängning här!

Sweden Apotek
Recycling B09:29
B08:24
3.0
DentalMagazinet
B09:23
3.0
Cloetta
3.0
Sverige Adentatec
B08:26
B09:21

3.0
Actavis
B08:32

6.0

Brotech
B08:40

GlaxoSmithKline
ConsumerHealthcare
B07:32

4.0

5.0
Plagg &
Design
B07:42

Förråd Sv.
Dentalservice
B07:44

Nordiska
Dental
B08:09
3.0
Prospect
B08:03
3.0
2.0
BPR SwissGnbH
B07:02
6.0

2.0

Unionen
B07:41

Lågtak

BP

4.0

4.0

Sableline
B10:01

3.0

4.0
Akvarie-Leasing
B09:02

Pro Curis
B09:10

2.0

5.0
Dental24
SemorrMedical
B09:12 B10:11

ADM -Idé
B10:40

3.0
Prospect
B10:32
3.0
Prospect
B10:30

Stålbalk, fri höjd 2,4m

3.0
Prospect
B10:14

3.0
FSD
Sv Dentalhandels
Service
B10:16

3.0
Prospect
B10:20

3.0
Prospect
B10:24

3.0
Prospect
B10:26

BP

Ej lämpligt för montrar. Uppstickande bultar i golv

BP

2.0
Astro
Sweden
B10:02
3.0

BP

2.0
Tandläkare
utan gränser
B10:08
2.0
Tidningskungen
(Mediafy)
B10:04

3.0
i-dental
B10:10

BP

BP

A

BP

Philips Glasbox

Philips Glasbox

Entré 2

BP

BP

BP

BP

Entré 1

service

3.0

Fr

e
ag
ss

Incontro

BP

E

Takhöjd 2,5m

30

20

10

0

Plan 1

12.0

5.0

9.0

5.0 Lufttrumma

5.0

13.0

2.0
Lågtak

5.0

6.0

5.0

10.0

3.0

3.0

7.0

11.0

7.0

Lågtak

Lågtak

3.0

7.0

5.0

5.0

2.0

BP

2.0

3.0
7.0
11.0
10.0
10.0
7.0

7.0
11.0

3.0
6.0
6.0
3.0

3.0

4.0

3.0

5.0

7.0
11.0
10.0
10.0
7.0

8.0
3.0

12.0
12.0
21.0

8.0
4.0

5.0

8.0

2.0

7.0
3.0
5.0
5.0
4.0

4.0

3.0
11.0
10.0
7.0

10.0
12.0
5.0
2.0

BP

2.0

6.0

3.0
10.0

4.0
5.0

3.0

4.0

9.0
10.0
10.0

6.0

4.0
11.0
19.0

7.0

5.0
4.0

3.0
10.0

5.0
11.0
7.0

3.0
1.5

5.0

Port D2

2.0

4.0

6.0
7.0
8.0
1.0

6.0

11.0

2.0
11.0
1.0

4.0
4.0
6.0
8.0

3.0

4.0

11.0
10.0
7.0

5.0
4.0
4.0
Lågtak
2.0

Stålbalk, fri höjd 4,8m

5.0

5.0

3.0

8.0

5.0

2.0

4.0
6.0
5.0
4.0

3.0
7.0

4.0
6.0
5.0

5.0
4.0

6.0

6.0

1.0

2.0

3.0

3.0

4.0

10.0
10.0
3.0

2.0

2.0

5.0

4.0

3.0

3.0

3.0

2.0

5.0
4.0
6.0

3.0

4.0

3.0

6.0

4.0

5.0

3.0

4.0
4.0
2.0

7.0
3.0

5.0
2.0
4.0
3.0
3.0
4.0
5.0

3.0

3.0

2.0
6.0

3.0

5.0

5.0

3.0

5.0

5.0

5.0

11.0

3.0

3.5

2.5
8.0

9.0
Lågtak

04

12.0

Swedental 2015
12 -14 november

DTNE0315_20-21_today04-05_List 02.11.15 11:18 Seite 1

Swedental Gothenburg 2015

[21] => Standard_300dpi

DTNE0315_20-21_today04-05_List 02.11.15 11:19 Seite 2

service

Swedental Gothenburg 2015

05

Swedental 2015—Floor plan & exhibitors list
Company name
3M Svenska AB
AB Depro
AB Götene Specialinredningar
Actavis AB
ACTEON
Adentatec GmbH
ADM – Idé AB
Akvarie-Leasing Väst AB
ALMASOFT AB
Ania Witwitzka
ApoEx AB
Apotek Produktion & Laboratorier AB
Astro Sweden AB
Bendent AB
Bettec AB
BiCef Solutions AB
Bien Air Dental SA
Bien-Air UK LTD
Bigman AB
BioGaia AB
BiteDental i Örebro AB
BPR Swiss GmbH
Brotech AB
CADstar GMBH
Carestream Dental AB
Caresumables AB
Carl Martin GmbH
CCS Healthcare AB
Cenger Scandinavia AB
Cliniclands AB
Cloetta Sverige AB
Colgate-Palmolive AB
Coltène/Whaledent
Marketing & Vertriebsservice GmbH
Combimed AB
CURAPROX
Dab Dental AB
Dab Dental AB
Dab Dental AB
Dab Dental AB
Dandent
Dental Direkt GmbH
Dental Doctors Supply & CDT AB
Dental Doctors Supply & CDT AB
Dental Export
Dental Technology AB
Dental Zone

Booths
C01:12
C01:40
B07:21
B08:32
B10:33
B09:21
B10:40
B09:02
B02:02
B10:20
B04:32
B09:29
B10:02
C01:13
B02:52
B04:52
B09:41
B09:41
C01:20
B07:10
B06:11
B07:02
B08:40
B08:42
GBALKONG
D01:30
C04:60
B01:20
B02:42
B07:11
B08:26
B07:12
C02:52
B06:49
B06:20
C04:12
C04:02
C05:02
C00:07
B01:34
B05:59
B01:31
U01:04
B05:64
B07:23
B03:66

Company name

Booths

Dental24
B09:12
Dental24
B09:12
Dentaleye AB
B02:09
DentalMagazinet i Sverige AB
B09:23
Dentalmind AB
B02:32
Dentalringen AB
C05:32
Denthouse AB
C01:14
DentMan Sten Lagerstedt AB
B01:07
DENTSPLY DeTrey GmbH
C03:02
DENTSPLY Implants
C02:02
Directa AB
B02:41
DMG Chemisch-Pharmazeutische Fabrik GmbH B07:39
Don Marc Spain S.L
B00:21
Dreve Dentamid GmbH
B09:40
Dynamo Stol ApS
B00:09
Dürr Dental AG
C03:42
Edenta
C01:39
Ekulf AB
C02:31
Ellman Produkter AB/Åhrén Dental Consult
B02:29
Elos Medtech AB
B03:51
Elysee Dental AB
B06:14
Endomark Dental AB
C02:22
Exactodent Sweden AB
B08:12
Extra Tuggummi
C01:56
Fairnet AB
B05:65
FDI World Dental Federation
B10:21
Fimet oy
C01:41
Folktandvården Blekinge
B04:02
Folktandvården Dalarna
B04:02
Folktandvården Gotland
B04:02
Folktandvården Gävleborg
B04:02
Folktandvården Halland
B04:02
Folktandvården Jönköping
B04:02
Folktandvården Kalmar
B04:02
Folktandvården Kronoberg
B04:02
Folktandvården Norrbotten
B04:02
Folktandvården Skåne
B04:02
Folktandvården Stockholm
B04:02
Folktandvården Sörmland
B04:02
Folktandvården Uppsala
B04:02
Folktandvården Värmland
B04:02
Folktandvården Västerbotten
B04:02
Folktandvården Västernorrland
B04:02
Folktandvården Västmanland
B04:02
Folktandvården Västra Götaland
B04:02
Folktandvården Örebro
B04:02
Folktandvården Östergötland
B04:02

Company name

Booths

Forshaga Dentaldepå AB
C05:30
FSD
B10:16
Försäkringskassan
B04:60
Gama Dental AB
B01:22
GC Nordic AB
C01:22
GINGI Produkter AB
B07:30
GlaxoSmithKline Consumer Healthcare AB
B07:32
Hager & Werken GmbH & Co. KG
C04:60
Harry Holms AB
C01:17
Health Workers
C01:32
HEAR Nordic AB
D01:24
Hefei Medicon Plastic Products Co.LTD
B10:41
Hejco
B10:19
Heraeus Kulzer Nordic AB
C02:42
HULTÉN & Co ab
C03:52
Humble Brush AB
C04:52
Hådéns Dental Original Products HB
B09:19
I-dental
B10:10
Inform A/S
C02:41
internetodontologi.se (Internetmedicin AB)
B02:19
iTeve Production AB
B05:72
Ivoclar Vivadent AB
B01:30
Johnson & Johnson (Listerine and Nicorette)
B02:43
Johnson & Johnson AB
B00:01
KarAna Ädelmetall AB
B01:02
Kavo Scandinavia AB
C04:42
Kavo Scandinavia AB
C04:32
Keystone Dental AB
B00:17
KLARDENT AB
C02:51
Klinik Support Sverige AB
B03:62
Koinè Italia S.A.S. Lastrucci Stefano & c.
B03:52
Lilleborg A/S
B08:04
LM-Dental
C03:22
M-Tec Dental AB
C01:02
Meda OTC AB
B07:31
Medident Italia
B00:39
Meditreno Instruments Spain
C01:50
MELIN MEDICAL AS
C01:25
Meridentoptergo AB
B04:11
MGline AB
B01:27
Museenämnden, Svenska Tandläkare-Sällskapet D02:02
Neoss AB
B01:19
Nobel Biocare AB
C04:22
Nordenta AB
C02:22
Nordisk Väntrums-TV AB
B10:14
Nordiska Dental AB
B08:09
Odontologiska kompetenscenter
D01:32

Company name
Olorin AB
Opus Systemer AS
Ortopro AB
PASTELLI
Pepsodent Unilever
Philips AB
Plackers Scandinavia AB
Plagg & Design i Mölndal AB
Plandent AB
Plandent AB
Plandent AB
Plandent Forssbergs Dental AB
Polident d.o.o.
Praktikertjänst AB
Praxis Kläder och Skor
Preventum Partner AB
Pro Curis AB
Procter & Gamble Sverige AB
Proxident AB
Qinamaste Athletica AB/Qina Workwear
Redent AB
Renishaw AB
Resmed Sweden AB
Rini Ergoteknik AB
Röntgenutbildarna Stockholm AB
Sableline Sweden AB
SCHEU-DENTAL GmbH
SDC SweDenCare AB
SE-BRA Scandinavia AB
Seger Dental i Kista AB
SHOFU Dental GmbH
Sign Communication Sweden AB
Smila/Snygg på jobbet!
Smile Tandvård
Smileffect.se
Solectro AB
Solident Sweden AB
SomnoMed Nordic AB
Stena Recycling AB
Straumann AB
Sun Dental laboratories
Sunstar Sverige AB
Support Design AB
Suzhou Semorr Medical Tech Co. Ltd
Svensk Dentalservice
Svensk Dentalservice ek för
Svensk Dentalåtervinning AB

Booths
B09:24
C03:32
C02:29
B06:51
B04:40
B05:32
B06:41
B07:42
C03:32
C03:22
C02:32
U01:08
B09:34
B02:22
B02:01
B07:11
B09:10
B05:02
B06:32
B08:22
C01:19
B02:11
B01:21
B01:39
B01:23
B10:01
B05:62
B00:27
B01:49
B01:37
B06:12
B03:64
B01:01
B06:02
C01:21
B08:03
B03:02
C01:30
B09:11
B05:42
B09:39
B07:22
B02:31
B10:11
B06:22
B05:22
B01:12

Company name

Booths

Svensk Privattandvård AB
Svenska Mässan Mässor & Möten AB
Svenska Tandsköterske-Förbundet
Sveriges Odontologiska Lärare (SOL)
Sveriges Tandhygienistförening, STHF
Sveriges Tandläkarförbund
Sveriges Tandläkarförbunds
studerandeförening
Sveriges Tandteknikerförbunds Service AB
Sveriges Tandteknikerförbunds Service AB
Swede Dental i Örebro AB
Sweden Recycling AB
Swedental Stockholm 2016/
Stockholmsmässan AB
Swedish Care System i Staffanstorp AB
Tandläkare egen Verksamhet (TEV)
Tandläkare utan gränser
Tandläkartidningen
Tandvård mot Tobak
Tanja Unlimited i Göteborg AB
Teethrus Sweden AB
TePe Munhygienprodukter AB
TIC Tandteknik i Centrum AB
Tidningskungen
Tidningspaketet
Tieto Sweden Healthcare&Welfare AB
Tingstad Prowear
Tjänstetandläkarna (TT)
TrendRehab i Sverige AB
Trollhätteplast AB
Trollhätteplast AB
TS Dental /NSK
Umec Earfoon AB
Unident AB
Unident AB
Unionen
Verdent sp. z. o.o
VOCO GmbH
W&H Nordic AB
Westside Resources
Wilmann & Pein GmbH
Zeedent AB
Zirkonzahn GmbH / Srl
Ångtvättbilen AB

B01:36
H01:01
D01:22
B04:42
B08:20
B04:42
B04:42
B03:60
B02:60
C05:42
B08:24
B10:29
B03:12
B04:42
B10:08
B04:42
D01:26
B00:33
B03:42
B02:12
B08:02
B09:28
B10:04
B05:12
B08:29
B04:42
B09:22
C00:01
C00:05
B05:20
B05:51
B03:22
B04:22
B07:41
D01:08
B01:41
C03:12
B04:51
B09:21
C01:01
B03:70
C01:42

Floor plan and exhibitors list are subject to change.
Last update was 19 October, 2015.
AD

• Non-precious dental alloys on nickel-chrome
base System KN and System NH
• Non-precious dental alloys on cobalt-chrome
base System NE and System Duro
• Partial alloy System MG
• CAD/CAM discs on cobalt-chrome
base System NE-Blank and System Soft-Blank
• CAD/CAM disc on titanium base System Ti5-Blank
• Investment for crowns and bridges ADENTA-VEST CB
• Investment for partial denture ADENTA-VEST PA

1
2
:
9
0
B
.
o
booth n
Adentatec GmbH
Konrad-Adenauer-Str. 13
50996 Koeln-GERMANY
Phone + 49 2 21 - 35 96 - 100
Fax
+ 49 2 21 - 35 96 - 170
info@adentatec.com
www.adentatec.com

[22] => Standard_300dpi

DTNE0315_22_today06_Pr 02.11.15 11:11 Seite 1

business

Swedental Gothenburg 2015

PLANMECA ROMEXIS—CAD/CAM AND CBCT IN ONE
The field of digital dentistry is
rapidly evolving, with new dental
technologies emerging as part of
a more efficient and comprehensive workflow. Pairing Planmeca
CAD/CAM solutions with radiographic units in the Planmeca
ProMax 3D family allows dental
professionals to bring together
a wide range of detailed information for treatment planning and diagnostic purposes. This seamless
combination of CAD/CAM and
CBCT technology presents new
possibilities for an improved standard of care for patients, offering
several high-quality specialist features—all available through one
software interface.
Planmeca Romexis is the only
dental software platform in the
world to combine all imaging and
the complete CAD/CAM workflow. This powerful solution is at
the heart of the Planmeca ecosystem, as it provides dental professionals with the ability to acquire

datasets that are more detailed
than ever before. Planmeca
Romexis includes advanced
tools for all specialties, such as
implant planning and other restorative treatments. The software presents dental clinics
with a superior way to improve their patient flow and
enhance the level of care offered.
Bringing together CBCT
data and CAD/CAM work provides a comprehensive level of
clarity. Planmeca ProMax 3D
imaging units reveal intricate
information on soft- and hardtissue structures, including
the mandibular nerve canal,
while the Planmeca PlanScan
intra-oral scanner captures
precise data above the gingival
margin. This combination of data
ensures a complete understanding of any case and renders 3-D
prosthetic design quick, accurate
and easy. Clinics are able to oper-

ate more flexibly, as restorations
can either be milled in-house with

the Planmeca PlanMill 40 milling
unit or easily sent to a dental laboratory in an open STL data format.
A more active role in the manufacture of restorations opens up

avenues for dental clinics to increase their patient volume signif-

icantly and grow their business.
A streamlined digital workflow
ensures the full utilisation of resources, leading to a more efficient
treatment environment. Same-day
dentistry is as beneficial for pa-

tients as it is for clinics: instead of
two visits, patients can be treated
in one hour—with no temporary crowns or physical
dental models required.
Standardised data is the
driving force behind many
of the latest developments
in digital dentistry, as it
guarantees the interoperability of images and dental
data across different hardware platforms, reducing
costs, increasing predictability and enhancing patient
safety. Bringing Planmeca’s
CBCT and CAD/CAM systems together through the
Planmeca Romexis software platform makes effective chairside dentistry a reality and presents dentists with
an opportunity to grow their practice substantially.
PLANMECA, FINLAND
www.planmeca.com

ACTEON INTRODUCES THE FIRST PERSONAL
IMAGING PLATE SCANNER, NEW PSPIX

ACTEON, a world leader in
dental imaging, officially presents the new PSPIX, the first imaging plate scanner for the practitioner’s personal convenience.
Its revolutionary size, design and
user friendliness will appeal to
all dentists. This affordable scanner is aimed at improving efficiency and enabling the dentist
to be more dedicated to patient
care.
The advanced technology
used in the scanner marks a
defining moment in terms of
excellence. The new PSPIX is as
much as three times smaller than
other imaging plate scanners,
making it the most compact system on the market. Dentists can
now put a PSPIX next to each operating chair to improve their
workflow and productivity. An

exceptionally sharp, high-quality
image can be obtained within a
few seconds, allowing a clinical
diagnosis to be made very quickly.
Featuring the exclusive Click
& Scan concept, the new PSPIX
has been designed for multiple
use and can be shared by up to
ten workstations at any one time.
Finally, the device is the only
scanner on the market with optional removable parts that can
be sterilised in an autoclave to
give maximum protection, thus
fulfilling even the highest expectations in terms of hygiene.
The new PSPIX produces the best
results for every dentist, making
it exclusive.
ACTEON, FRANCE
www.acteongroup.com

Booth B10:33

[23] => Standard_300dpi

»

Europe’s largest fully integral
hotel and congress facility is

located here.«

CLOSE TO PERFECT – PERFECTLY CLOSE
Gothenburg has an almost unbelievable
concentration of big-city attributes — all
contained within a pocket-sized format.
Meeting venues, hotels and entertainment
are located within walking distance.

Our bustling city is often host to major international meetings and events.
The entire city is your venue thanks to its size and that is only one of the reasons that make Gothenburg the leading destination for sustainable meetings
in the Nordic region. Great quality comes at a cost below average European
level — the relaxed and friendly atmosphere is just part of the deal.

Welcome to Gothenburg — a part of West Sweden.

Göteborg & Co. Convention Bureau | T: +46 (0)31-368 4000 | E: convention@goteborg.com | corporate.goteborg.com

[24] => Standard_300dpi

Aesthetics brought
back to the essentials

Essentia
from GC
™

Light-cured radiopaque universal composite restorative

Open the door to

simpliﬁcation
Follow your intuition

GC EUROPE N.V.
Head Ofﬁce
Researchpark
Haasrode-Leuven 1240
Interleuvenlaan 33
B-3001 Leuven
Tel. +32.16.74.10.00
Fax. +32.16.74.11.99
info@gceurope.com
http://www.gceurope.com

GC NORDIC AB
tel: 08-506 361 85
info@nordic.gceurope.com
http://nordic.gceurope.com
www.facebook.com/gcnordic

) [page_count] => 24 [pdf_ping_data] => Array ( [page_count] => 24 [format] => PDF [width] => 846 [height] => 1187 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] =>

[cover] => DT Nordic No. 3, 2015

[toc] => Array ( [0] => Array ( [title] => News [page] => 01 ) [1] => Array ( [title] => Study compares digital vs. conventional shade measurement [page] => 03 ) [2] => Array ( [title] => Interview with Dr Rickard Brånemark: “We need to stay open-minded to new crazy ideas” [page] => 04 ) [3] => Array ( [title] => FDI: Second edition of Oral Health Atlas [page] => 05 ) [4] => Array ( [title] => Celebrating 50 years of osseointegration [page] => 06 ) [5] => Array ( [title] => Dental material for the next generation [page] => 07 ) [6] => Array ( [title] => Nano-hybrid ORMOCER for the bulk-fill technique in the posterior region [page] => 08 ) [7] => Array ( [title] => Interview with University of Bern professor Dr Martin Schimmel: “Age per se is not a contra-indication” [page] => 10 ) [8] => Array ( [title] => Vertical reconstruction of soft peri-implant tissues [page] => 12 ) [9] => Array ( [title] => An unknown phototherapeutic tool [page] => 14 ) [10] => Array ( [title] => today Swedental Gothenburg [page] => 17 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

[cached] => true )