DT Asia Pacific No. 3, 2016

Asia Pacific News / World News / Business / Aesthetic composite layering of implant-supported restorations in an edentulous jaw / Between BOPT and BTA / Individuals play the game - but teams win championships / Interwiew: “Prevention of sex trafficking is our ultimate aim” / today ADX Sydney 18-20 March - 2016

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DTAP0316_01-02_Title 04.03.16 11:53 Seite 1

DENTAL TRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition
Published in Hong Kong

www.dental-tribune.asia

Vol. 14, No. 3

BETWEEN BOPT & BTA

MANAGEMENT

today

A case report on shaping the
gingival contour around toothsupported restorations by means
of provisional resin crowns.

Practice consultant Lina Craven,
Dynamic Perceptions, explains
what it takes to build the ultimate
practice team.

Read all about Australia’s largest dental show in Sydney
in our today specialty section
included in this issue.

” Page 10

” Page 14

” Page 17

Dental4Windows now has wings
Introducing D4W Cloud

Stand 222

All the features of Dental4Windows. Now online for one fixed monthly fee.

Study finds high urinary mercury levels
in children with amalgam fillings
By DTI
DAEGU, South Korea: Although
equivalent alternatives have become available over the past decade,
dental amalgam remains in use as
a restorative material for dental
caries in children in many countries.
The safety of dental amalgam, however, is still a controversial issue
among experts, as it has been associated with developmental disorders

and systemic conditions. A Korean
study has recently provided evidence that dental amalgam exposure can affect systemic mercury
concentration in children.
In order to assess chronic exposure to elemental mercury, researchers at Kyungpook National
University in South Korea evaluated mercury concentrations in
urine samples from more than

1,000 children aged 8–11, who also
underwent oral examination.
They found that children with
more than one amalgam-filled
tooth surface exhibited significantly higher urinary mercury concentrations than those with none.
The researchers thus concluded
that dental amalgam exposure
could affect systemic mercury
concentration in children.

are still taught in the dental curriculum in South-East Asia. In
Myanmar, for example, about
50 per cent of fillings placed are
of amalgam.

The study, titled “Dental amalgam
exposure can elevate urinary mercury concentrations in children”,
was published online on 1 February
in the International Dental Journal.
AD

A number of studies have indicated that mercury exposure
could be involved in problems in
early brain development. Mercury
has also been associated with adverse health effects relating to the
digestive and immune systems, as
well as the lungs, kidneys, skin and
eyes. Awareness and recognition
of these health and environmental implications have led to a ban
on the use of dental amalgam in
some high-income countries. However, dental amalgam restorations

Distinguished by innovation

The use and toxic risk of dental amalgam fillings in children is a controversial issue
among health care experts. © Robert Przybysz

Dental Tribune welcomes comments, suggestions and complaints
at newsroom@dental-tribune.com.
For quick access to
our contact form, you
may also scan the
following QR code.

Healthy teeth produce a radiant smile. We strive to achieve this goal on a daily basis. It inspires
us to search for innovative, economic and esthetic solutions for direct filling procedures and
the fabrication of indirect, fixed or removable restorations, so that you have quality products
at your disposal to help people regain a beautiful smile.

www.ivoclarvivadent.com
Ivoclar Vivadent AG
Bendererstr. 2 | FL-9494 Schaan | Liechtenstein | Tel.: +423 / 235 35 35 | Fax: +423 / 235 33 60

[2] =>

DTAP0316_01-02_Title 23.03.16 17:29 Seite 2

ASIA PACIFIC NEWS

Dental Tribune Asia Pacific Edition | 3/2016

Indian dental patients in favour
of chairside medical screening

IMPRINT

By DTI

ONLINE EDITOR:
Claudia DUSCHEK

were willing to have a dentist perform screenings for this purpose.
Willingness was highest for screening for diabetes, with 85 per cent
in the clinical group and 78 per
cent in the private practice group.
Over 70 per cent in both groups
reported willingness to undergo
HIV/Aids screenings in a dental
setting.

MUMBAI, India: A number of international studies have already indicated that oral health professionals
could play a greater role in detecting chronic disease. Given the high
prevalence of cardiovascular disease, diabetes mellitus, tuberculosis,
HIV/Aids and hepatitis B in India,
researchers have now assessed patient attitudes towards and willingness to participate in medical
screenings in dental settings in the
country.
In the study, adult patients visiting five university-based dental
clinics and one private practice
were asked about their attitude
towards and willingness to participate in chairside screening.

In addition, the researchers
found that the majority of patients
were willing to pay 150 Indian rupees (56 per cent in the clinical
group and 92 per cent in the private practice group; US$ 2.25) for
medical screenings. According to
the World Bank statistics, the gross
national income per capita in
the country is 1,570 Indian rupees
(US$ 23.47).

Almost 90 per cent of the study
participants in the clinical group
and about 95 per cent in the private
practice group said that they believe that it is important for dentists to identify increased risk of
developing certain medical conditions. The majority of patients

According to a US study published in the American Journal of
Public Health in 2014, chairside
screenings in dental practices for
the most common chronic diseases could save the health care
system more than US$100 million
annually.

PUBLISHER:
Torsten OEMUS
GROUP EDITOR/MANAGING EDITOR DT AP & UK:
Daniel ZIMMERMANN
newsroom@dental-tribune.com
CLINICAL EDITOR:
Magda WOJTKIEWICZ

ASSISTANT EDITORS:
Anne FAULMANN, Kristin HÜBNER
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
INTERNATIONAL EDITORIAL BOARD:
Dr Nasser Barghi, Ceramics, USA
Dr Karl Behr, Endodontics, Germany

Roland DG announces
changes in leadership
AD

By DTI
HAMAMATSU, Japan: Roland DG,
which offers a range of milling machines for dental laboratories and
technicians, has announced that
Masahiro Tomioka is resigning as
president of the company and will
be succeeded by Hidenori Fujioka,
current vice president. Tomioka,
however, will continue as representative director and chairman.
The change is subject to the resolutions at the upcoming shareholder and board of directors’
meetings at the end of March.
The leadership change will be
implemented as part of the midterm business plan for 2016–2020
and a new organisational structure to facilitate new business
development.
Tomioka has been the President of Roland DG for 30 years.
Among other important projects,
he spearheaded the transformation of the company from manufacturing pen plotters to producing 3-D desktop fabrication tools,
vinyl cutters and wide-format
inkjet printers while achieving
worldwide sales leadership with
high profitability. Only recently,
the company invested in inkjet
and 3-D technologies to expand
into the on-demand digital print-

Dr George Freedman, Esthetics, Canada
Dr Howard Glazer, Cariology, USA
Prof. Dr I. Krejci, Conservative Dentistry, Switzerland

ing and health care industries
under his management.

Dr Edward Lynch, Restorative, Ireland
Dr Ziv Mazor, Implantology, Israel
Prof. Dr Georg Meyer, Restorative, Germany

Fujioka, who joined the company in 2014, has broad experience in ink, inkjet print head,
3-D and UV technologies. His expertise will help the company
quickly develop a variety of new
products and solutions, Roland
DG stated. Prior to his employment at Roland DG, Fujioka was
a director at Riso Kagaku, a manufacturer of copy and printing machines, and before that he spent
25 years at Seiko Instruments,
where he oversaw the integration
of profitable service components
into core offerings.
“These are exciting times at
Roland DG and I am honoured to
serve as President,” Fujioka said.
“Roland DG offers a sophisticated
product line with a passionate
culture and family spirit. While
upholding its corporate culture
and spirit, I intend to turn the
company into a more progressive and innovative organisation
to achieve sustainable growth,”
Fujioka added.
“My goal is to shift our business
to a new digital era model that will
serve as a foundation for the next
big leap in growth by capitalising
on our GlobalOne business platform. Together, we will unlock the
full potential of our employees
worldwide in order to realise new
market creation with products
and services that exceed customer
expectations.”

Prof. Dr Rudolph Slavicek, Function, Austria
Dr Marius Steigmann, Implantology, Germany

Published by DT Asia Pacific Ltd.
DENTAL TRIBUNE INTERNATIONAL
Holbeinstr. 29, 04229, Leipzig, Germany
Tel.: +49 341 48474-302
Fax: +49 341 48474-173
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© 2016, Dental Tribune International GmbH

All rights reserved. Dental Tribune makes every
effort to report clinical information and manufacturer’s product news accurately, but cannot assume
responsibility for the validity of product claims,
or for typographical errors. The publishers also do
not assume responsibility for product names or
claims, or statements made by advertisers. Opinions
expressed by authors are their
own and may not reflect those
of Dental Tribune International.
Scan this code to subscribe
our weekly Dental Tribune AP
e-newsletter.

[3] =>

DTAP0316_03_News 04.03.16 11:55 Seite 1

WORLD NEWS

Dental Tribune Asia Pacific Edition | 3/2016

03

World Oral Health Day 2016:
Healthy Mouth. Healthy Body.
By DTI
GENEVA, Switzerland: Every World
Oral Health Day (WOHD), which is
celebrated annually on 20 March
around the world, is held under
a new and specific theme. This

video, new smartphone game,
media strategy and social media
content have been designed to
inspire people across the world
to participate in the WOHD cam-

paign and improve their oral
health regime.
Dental professionals, companies
and institutions that would like

to be involved in this year’s WOHD
activities are invited to e-mail
WOHD@fdiworldental.orgfor a full
campaign guide, which is available
in English, French and Spanish and

World Oral
Health Day
20 March
includes materials for download,
such as poster visuals, social meme
designs and information on the
WOHD video and smartphone
game.
AD

Tetric N-Ceram Bulk Fill
®

The nano-optimized 4-mm composite

Discover the new
time-saving

composite
year’s WOHD will focus on raising
awareness of the link between
good oral health and overall wellbeing, with the slogan “It all starts
here. Healthy mouth. Healthy
body.”
Oral disease affects 3.9 billion
people worldwide, with between
60 per cent and 90 per cent of
children globally suffering from
tooth decay. Yet, poor oral health
goes far beyond the initial implications of dental disease and tooth
decay; it has been associated with
a number of health conditions,
such as heart disease, pancreatic
cancer, pneumonia and lung disease. In a recent study, 40 per cent
of people with serious periodontal
disease also reported suffering
from an additional chronic condition.
Despite these links, people are
unaware of the long-lasting and
wide-ranging effects of poor oral
health. Therefore, WOHD 2016 will
shed light on the importance of
good oral health in a simple and
engaging way, encouraging understanding that good oral health is
fundamentally intertwined with
overall well-being.
The WOHD 2016 website,
www.worldoralhealthday.org, focuses on communicating that
prevention, early detection and
treatment are key to ensuring the
best outcomes and reducing oral
disease and associated health
complications.
A series of dynamic and engaging material, including a global

4 mm

4 mm to success
• Bulk filling is possible due to Ivocerin®, the patented light initiator
• Special filler technology ensures low shrinkage stress
• Esthetic results are achieved quickly and efficiently in the posterior region

www.ivoclarvivadent.com
Ivoclar Vivadent AG
Bendererstr. 2 | 9494 Schaan | Liechtenstein | Tel.: +423 235 35 35 | Fax: +423 235 33 60

[4] =>

DTAP0316_04_News 04.03.16 11:55 Seite 1

BUSINESS

Dental Tribune Asia Pacific Edition | 3/2016

SHOFU: Fastest growth New permanent
resin cement
from China
By DTI
SINGAPORE: SHOFU Dental Asia-Pacific attended the UAE International
Dental Conference and Arab Dental
Exhibition (AEEDC) in Dubai this
year to introduce its new abrasive

Iran and Iraq. This is a big market,
especially for Asian companies,
but the market needs to open more
to ease import and export,” stated
Patrick Loke, Managing Director of
SHOFU Dental Asia-Pacific, during
AEEDC. Given the company’s his-

SHOFU Dental Asia-Pacific’s booth at AEEDC Dubai 2016.

and restorative materials to professionals in the Middle East. The global
dental materials and equipment
manufacturer has been eyeing the
region for a long time, but ongoing
market restrictions remain a challenge. However, SHOFU is also targeting countries in Asia Pacific that
promise stronger growth.
While trade show attendees from
the Middle East expressed great interest in Shofu’s materials and digital dental cameras, the company
feels that the market conditions do
not facilitate foreign investment.
“Our meetings were good—although the fair could have been
stronger. We met dentists and dental students from the UAE, Kuwait,

tory, SHOFU is continuing its careful assessment of business opportunities before possibly opening a
production facility or sales office in
the Middle East.
SHOFU was founded in 1922 in
Kyoto at the time when growing
national debt and political uproar
endangered Japan’s strong economy.
The company initially produced
high-quality porcelain teeth for
the local market, but soon added
abrasives, silicone polishers, composites and amalgam fillings to
its portfolio. The 1970s saw the
opening of new manufacturing
facilities in Japan and sales offices
in the US and Germany, while Asia
Pacific remained relatively un-

touched despite SHOFU’s geographical proximity.
SHOFU finally established a new
subsidiary in Singapore in 1980.
Since then, Shofu Dental AsiaPacific has reached a number of
milestones in the region. In 1985,
Shofu began operating in China
with the establishment of a worldwide sales network and opened a
production facility and sales office
20 years later. Back then, the country had only 50,000 dentists and
fewer than 200 dental clinics to
serve its 1.3 billion people—about
440,000 dental professionals would
have been needed to provide adequate oral health care according to
Western standards.
In the last decade, the Chinese
government has invested substantially in dental training facilities
and schools. The result was an increase in dental clinics that led to
double-digit growth in relatively
new market segments, such as dental implants.
Loke is very pleased with SHOFU’s
sales in China. “We see the fastest
growth coming from China. For
the most part, China is now a fully
developed country with huge opportunities to conduct business.
We have experienced a double-digit
increase in Chinese sales and the
nation remains our most important
market in the region,” he said during AEEDC. “Other countries in the
South-East Asian region are also
developed but growth is slower.
However, India is coming up. SHOFU
will start operating in India soon.
There is growing awareness regarding dental health there.”

By DTI
PARIS, France: Complementing its
bonding range with TOTALCEM, dental product manufacturer and restoration expert Itena Clinical has
launched a new self-etching and selfadhesive permanent resin cement.
The TOTAL C-RAM is particularly
indicated for the cementation on
enamel, dentine, metal, ceramic,
porcelain, zirconium & composites
and features a bonding strength
that is 50 per cent superior to that
of CIVMAR on zirconia, the French
company said.

The gel state has been
further improved for
easy excess removal. Dual
curing is
simple
too and only
lasts two seconds. According to
Itena, patients will also
appreciate better comfort, as
the cement is odour and tasteless.
TOTAL C-RAM is available in two
shades (translucent and opaque) and
comes in automix syringes as well as
with fine and extra-fine intra-oral tips.

Straumann,
Anthogyr partner
By DTI
BASEL, Switzerland/SALLANCHES,
France: Straumann and Anthogyr
have announced that they have
entered into a new partnership that
will see Anthogyr’s business activities in China being transferred to
Straumann by the middle of the
year. Furthermore, the Swiss dental implant company has acquired
a 30 per cent stake in the French
manufacturer.
The agreement, according to both
parties, is to become effective by
the end of March this year. Financial details of the deal were not
disclosed.

Straumann said in a press release
that the sales capabilities of the two
companies are expected to provide
the critical mass to compete and
grow successfully in the premium
segment, where they have already
been active for a number of years.
In an effort to extend its leading
market position, Straumann recently established a new country
organisation and distributor network that is intended to cover all of
the provinces of China. Anthogyr’s
dental implant system has been
registered in and is established in
China, where it is positioned as a
high-quality, attractively priced
option, according to the company.

Light-curing micro-hybrid composite
• applicable for various indications and all cavity classes
• high translucency and a perfect colour adaption
• Polishable to a high gloss
• excellent physical properties for durable fillings
• high filler content
• packable consistency
(also available as Composan LCM flow)

Dental Material
Material GmbH
Dental
GmbH

24537Neumünster
Neumünster // Germany
24537
Germany
Tel.
+49 43
43 21
Tel.
+49
21 // 55 41
4173
73
Fax
+49
43
21
/
5
19
08
Fax
+49 43 21 / 5 19 08
eMail
info@promedica.de
eMail
info@promedica.de
Internet
www.promedica.de
Internet www.promedica.de

[5] =>

[6] =>

DTAP0316_06_08_Margossian 04.03.16 11:56 Seite 1

TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 3/2016

Aesthetic composite layering
of implant-supported restorations in an edentulous jaw
A good option for the lifelike recreation of gingival tissue
By Drs Patrice Margossian & Pierre Andrieu, France
Careful planning is indispensable in
the treatment of an edentulous jaw
with implant-supported restorations.
The axes and positions of the implants
must correspond to the given biological, mechanical and aesthetic conditions. In situations in which severe
bone recession has occurred, the work
of the dental team has to involve the
reconstruction of the dental and the
gingival tissue. The flawless reconstruction of gingival tissue requires
sound teamwork, as well as excellent
materials and exceptional skill. Layering with the light-curing laboratory
composite SR Nexco (Ivoclar Vivadent)
takes this procedure to a new level.

Surgical phase
Owing to the sufficient bone
structure in the lower jaw, this part
of the mouth could be restored at
once with four immediately loadable implants. During the reconstructive phase, the upper jaw had
to be treated with a provisional
removable denture owing to the
atrophied alveolar ridge. The tooth
extractions from the upper and lower jaw were performed on one day.
At the same time, four mandibular
implants were placed and loaded.
An immediate denture was seated
in the upper jaw.

The determination of the occlusal
plane and the ideal incisal line allows
the dental arches to be integrated
more easily in terms of aesthetics
and function. Open-tray impressions
were taken with a special plaster
(Snow White, Kerr Dental) and unsplinted impression posts. The considerable stiffness of the impression
material completely immobilised
the impression posts, thereby preventing any errors in the casting of
the study models.

loaded provisional restorations. For
this purpose, however, the model
has to be mounted in the articulator.
In the present case, the masticatory
model was positioned in correct relation to the hinge axis-orbital plane.
Subsequently, we adjusted the bite
patterns in order to record the vertical
dimension of occlusion.
The centric relation is regarded as
the reference position for adjusting
the muscles to the centric and functional jaw relation. The mandibular
model was mounted in the articulator with the help of an antagonist jaw
relation record. If the centric relation

An articulator allows the kinematics of the jaw to be correctly
simulated. The goal of this part of

We selected the tooth shade and
the teeth on the basis of the SR
Phonares II tooth mould chart
(Ivoclar Vivadent). Holding the teeth
up against the lips of the patient
quickly revealed whether they were
in harmony with her facial features.
The set-up of the teeth according
to the Ditramax markings (Fig. 6)
allows the situation to be clinically
validated. In this case, attention was
given in particular to the aesthetic
integration of the dentogingival
complex when the patient was smiling. The lip dynamics were shown
with video clips. The functional criteria were also checked. The vertical
dimension of occlusion had to be
harmonious in order to achieve a balanced lower facial third and proper
phonation.

Fig. 1: Initial photograph of the patient.—Fig. 2: Extremely poor oral condition:The teeth could not be saved.The alveolar ridge in the upper jaw was considerably atrophied.—
Fig. 3: After bone augmentation, ten implants were placed. The photograph shows the situation prior to the prosthetic phase.—Fig. 4: Four implants were placed in the lower
jaw. Bone augmentation measures were not necessary in this case.—Figs. 5a & b: Recording of the aesthetic facial axes with the Ditramax system.—Fig. 6: The denture was
set up with prefabricated teeth (SR Phonares II).—Fig. 7:Try-in of the CAD/CAM-fabricated titanium framework in the upper jaw.—Fig. 8:The ground-down composite resin
areas were conditioned for receiving the light-curing laboratory composite SR Nexco.—Fig. 9: Application of the colour-saturated intensive gingiva materials (SR Nexco Paste
Intensive Gingiva).—Fig. 10:The application of various translucent materials imparted the prosthetic gingiva with the desired depth effects.—Fig. 11:Lifelike, vital, aesthetic—
the white and pink aesthetics were optimally imitated.—Fig. 12: The restorations on the implants in the upper and lower jaws.—Fig. 13: Close-up view: the macro- and
microstructure of the teeth and the characteristic play of colour of the gingiva is clearly visible.—Fig. 14: The complex restoration gave the patient a new lease on life.

A 37-year-old female patient
presented to our practice with her
teeth and the surrounding bone
structure in very poor condition
(Figs. 1 & 2). Numerous teeth were
missing from both the upper and
lower jaws. In addition, the upper
jaw showed considerable bone
and gingival resorption. The patient wished to have her teeth
restored to regain an attractive appearance. Owing to the extensive
damage, complete restoration of
both jaws with implants was indicated.

During the osseointegration period of the mandibular implants, the
maxillary bone was reconstructed.
The maxillary sinus and the alveolar
ridge were augmented in one appointment. At a later appointment,
ten implants were placed according
to the treatment plan and exposed
after six more months. As a result of
well-planned soft-tissue management, adequate firm keratinised
tissue had formed. The permanent
restorations for the upper and lower
jaws were fabricated two months
later (Figs. 3 & 4).

the treatment is of a functional nature. It is intended to ensure optimal
occlusal integration of the restorations and the proper jaw movements during mastication, speaking
and swallowing. In this particular
case, the maxillary model was positioned with the help of a facebow.
Four impression posts were screwed
on to the implants in order to provide strong support and enhanced
reliability.
Alternatively, this step can take
place directly on the immediately

were marked on the plaster base of
the model (vertical and horizontal).
The vertical axis represents the
midsagittal plane. From the front,
the horizontal axis is aligned parallel
to the interpupillary line and from
the side to Camper’s plane. These
markings, which should be very
close to the working area, function as
a guide for the dental technician in
setting up the teeth. Therefore, the
incisal line has a predictable parallel
alignment with the interpupillary
line. The incisal axis is aligned parallel with the midsagittal plane.
The Camper’s plane markings indicate the alignment of the occlusal
plane. All these elements provide a
sound rationale for the tooth set-up
according to aesthetic and functional principles.

and the vertical dimension of occlusion are correct, the immediately
loaded provisional restorations can
be used for this purpose. The restorations have to be immobilised when
they are mounted in the articulator.
The Artex system (Amann Girrbach)
allows the articulator of the dental
practice and that of the laboratory to
be synchronised.
The Ditramax system was used
to transfer the precise data on the
aesthetic facial axes to the maxillary model (Figs. 5a & b). Two axes

We felt that a CAD/CAM-fabricated
titanium framework (NobelProcera,
Nobel Biocare) would best fulfil this
indication. The double-scan technique allowed the implant model to
be superimposed on the tooth set-up
to construct the framework. In the
next step, the framework was machined and then tried on the model
and in the patient’s mouth (Fig. 7).
The cast impression and the highperformance processing systems
significantly contributed to providing the optimal passive (tension-free)
fit of the framework, which is decisive for the long-term success of the
restoration.
The areas that needed to be built
up with gingival materials were
blasted with aluminium oxide at
200 to 300 kPa pressure. Subsequently, the SR Link bonding agent
(Ivoclar Vivadent) was applied, followed by a thin layer of the lightcuring SR Nexco Gingiva Opaquer
to mask the metal framework. The
Opaquer was polymerised and
then a second coating was applied
and polymerised. The resulting inhibition layer was removed.

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DTAP0316_06_09_Margossian 04.03.16 13:22 Seite 2

Dental Tribune Asia Pacific Edition | 3/2016

The conventional flask technique
with a heat-curing denture base
material (ProBase Hot, Ivoclar
Vivadent) was used to produce the
denture. After the polymerisation
process, the denture base was ground
and space was made for building up
the Gingiva composite. The surface
was conditioned by blasting it with
aluminium oxide (50 µm) at 200 kPa
(Fig. 8). A bonding agent was then
applied and left to react for three
minutes before it was light cured.
In order to achieve very lifelike
results in the layering of the gingival
tissue, saturated (intensive) materials (SR Nexco Paste Intensive
Gingiva) were used first (Fig. 9). Next,
translucent, light-curing gingival
materials (SR Nexco Paste Gingiva
and SR Nexco Paste Basic Gingiva)
were used to impart the gingival areas with the desired depth (Fig. 10).
The colours of the Gingiva composites range from pale pink through
reddish and orange to purple. A certain amount of time and effort are
necessary to master the necessary
mixing techniques and achieve a
harmonious interplay of the intensive and the translucent materials.
Practical experience is essential.
With some technical skill, the gingival areas can be naturally reproduced in terms of shape, texture and
shade.
All the individual layers were precured (Quick curing light, Ivoclar
Vivadent) in segments. A high-performance curing light was used for
the final polymerisation. Prior to
this step, a coating of glycerine
gel (SR Gel, Ivoclar Vivadent) was
applied to the surfaces to prevent
oxygen inhibition, which could lead
to an unattractive result that is difficult to polish. The surfaces of the
teeth were characterised with a vertical and horizontal macrostructure. Particular attention was paid
to mechanical polishing. Once the
glycerine gel had been removed,
the restorations were finished with
different polishing instruments
(various grit sizes, pumice, leather
buffing wheels and universal polishing paste; Fig. 11). In the present
case, mechanical polishing was preferred to glazing with a light-curing
composite in order to prevent premature ageing of the surface.
The dentures were seated manually with the help of multi-unit

Dr Patrice Margossian maintains a private
practice specialising in implantology und
prosthetics in
Marseille in
France. He can
be contacted at
pm@patricemargossian.com.

Dr Andrieu Pierre
is a practising
prosthodontist in
Aix-en-Provence
in France. He
can be contacted
at andrieupi@
wanadoo.fr.

abutments from Nobel Biocare
(Fig. 12). The screw channels were
sealed with Teflon and light-curing
composite resin. The position of
maximum intercuspation was
checked and the occlusal pathways were adjusted to the protrusive and laterotrusive movements.
In addition, the restorations were
checked in terms of the ability
to clean them with interdental
brushes, and the patient was given
special instructions regarding her
oral hygiene.

TRENDS & APPLICATIONS

Conclusion
For a long time, ceramics were
considered to be the aesthetic
benchmark. With the introduction
of state-of-the-art industrially fabricated acrylic teeth specially designed for implant applications, the
bar for aesthetics has been raised in
this category of materials. The teeth
used in this case exhibit a true-tonature morphology, which allows
the restoration to be functionally
integrated without any problems.

Using the laboratory composite
SR Nexco to recreate gingival tissue
is an effective restorative approach.
In contrast to ceramic materials, the
composite resin is easy to handle
and delivers exceptionally aesthetic
results (Fig. 13). The light weight of
the material is an added benefit. An
all-ceramic restoration (zirconium
dioxide framework, layering ceramic, gingival mask) weighs almost
twice as much as a titanium and
composite resin denture. Another
advantage of the type of restoration

described here is its long service life.
The success of an implant-supported denture depends on the
systematic coordination of all the
surgical and prosthetic requirements. A strict procedure needs to
be followed from the treatment
plan to the final outcome. Layering
gingival portions with a laboratory
composite represents a genuine
improvement on previous materials and methods with regard to
aesthetics, handling and hygiene
(Fig. 14).
AD

[10] =>

DTAP0316_10-13_Liu 04.03.16 11:58 Seite 1

TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 3/2016

al resin crowns. The treatment
process will be demonstrated in
this article through a typical case
with a seven-year retrospective
review.

Between BOPT and BTA
A case report on shaping the gingival contour around
tooth-supported restorations by means of provisional resin crowns

Case report
A 48-year-old female patient
whose general health condition
was good, was referred to the
Peking University Hospital of
Stomatology in Beijing in China
in 2008. The patient’s main concern was the restoration of her
maxillary anterior teeth that had
been compromised by severe
dental caries and treated with
root canal therapy. The patient
had no discomfort and desired
not only restoration of the defective anterior teeth but also an
aesthetic outcome. However, financial limitations meant not all
of her dental problems could be
addressed.

By Dr Feng Liu, China
Shaping the soft-tissue contour
around implants with provisional
resin crowns after implant placement has become a frequently used
technique in implant dentistry.1 For
most implant-supported restorations, there is a 3 to 4 mm transmucosal attachment surrounding both
the implant and the restoration.2
Therefore, adjusting the soft-tissue
contour by modifying the emergence profile of the provisional
crowns to optimise the aesthetic
outcome has become a regular
practice in implant dentistry.3

In consideration of the health
of periodontal tissue around
natural teeth, the location of the
crown margin is preferably placed
supragingivally or flush with the
gingival margin so that the contour of the restoration will not
influence the gingival contour.4, 5
However, in the case of covering
the original colour of the abutment tooth, forming the ferrule,
and/or improving retention and
resistance form, the crown margin can be placed subgingivally.6
Because the sulcular depth

around a healthy natural tooth is
around 1 mm, the cervical margin
of the crown is usually located
0.5 mm below the free gingival
margin.7, 8 Thus, un-like an implantsupported crown, a tooth-supported crown can hardly influence
the gingival contour.

However, when the sulcular
depth of the abutment is sufficiently deep, as with a thick gingival biotype, it is possible to sculpt
the gingival contour around the
abutment teeth using provision-

Fig. 1: Frontal view of the patient’s smile before treatment.—Fig. 2: Pre-op photograph showing the occlusal relationship of the anterior teeth.—Fig. 3: Pre-op photograph of
the maxillary anterior teeth.—Fig. 4: Pre-op photograph of the maxillary anterior dental arch.—Fig. 5:The inclined axis of the tooth would have resulted in an unfavourable
aesthetic outcome.—Fig. 6: The labial side of the restorations would be shifted labially.—Fig. 7: The probing depth of the gingival sulcus around the maxillary left central
incisor was 3 mm.—Fig. 8: The probing depth of the gingival sulcus around the maxillary right central incisor was 1 mm.—Fig. 9: Frontal view of the pre-op model.—
Fig. 10:The gingival contour was marked on the model.—Fig. 11:The gingival contour was modified on the model.—Fig. 12:The diagnostic wax-up showing the upward-shifted
gingival contour.—Fig. 13: Occlusal view of the diagnostic model.—Fig. 14: The diagnostic wax-up showing the labially shifted restorations.—Figs. 15 & 16: The tooth
preparation was guided by the silicone index.—Fig. 17: The completed tooth preparation.—Fig. 18: The provisional restorations replicated from the diagnostic wax-up.—
Fig. 19: The provisional restorations placed in the mouth.—Figs. 20 & 21: The gingiva was covered by the labial side of the provisional restorations.—Fig. 22: The gingiva was
covered by the labial side of provisional restorations (diagrammatic sketch).—Fig. 23: The provisional restorations appeared just as if they had erupted from the gingival
sulcus (diagrammatic sketch).—Fig. 24:Two weeks after placement of the provisional restorations, the gingival contour had begun preliminary remodelling and the margin
of the abutment teeth had been exposed.

The dental examination revealed that tooth #22 was missing and tooth #23 had shifted
mesially. In addition, there were
visible defects on teeth #21, 11 and
12. The roots of teeth #21 and 12 were
apparently palatally inclined and
so were the crowns. Tooth #11 was
slightly inclined to the palatal side
and so was the crown.
During examination of the
occlusion, a deep overbite and a
large overjet of the anterior teeth
became evident. In addition, the
contour of the patient’s gingival
line was inharmonious. The angle
of her mouth was asymmetrical
when she smiled (Figs. 1–4).

Treatment plan
For patients with malocclusion
and misalignment of teeth, the
restorative procedures should
be performed once the primary
orthodontic treatment has been
completed. However, considering
the length of treatment and her
financial limitations, the patient
refused orthodontic treatment
and only accepted the restorative
treatment. Since the patient’s
inharmonious gingival line may
have interfered with the final
aesthetic outcome, certain methods to improve the gingival contour were considered before tooth
preparation.
Crown lengthening has been
widely used for improving the
contour of the gingival line.9–11
However, even if the contour of
the gingival line could be modified through periodontal surgery
from the vertical direction, the
palatally inclined maxillary anterior teeth would cause the inclination of the teeth’s long axes in
the sagittal direction. Therefore,
the ideal aesthetic outcome would
be difficult to achieve (Figs. 5).
In this case, the restoration’s
entire labial face needed to be
shifted labially so that the height
of the gingival contour could be
improved (Figs. 6). Therefore, a
more suitable treatment option
was considered.
During further examination, we
found that the patient had a thick
gingival biotype with a 3 mm deep
gingival sulcus around the maxillary right lateral incisor and maxillary left central incisor and 1 mm
deep around the maxillary right
central incisor (Figs. 7 & 8). In
implant dentistry, when the soft
tissue around the implant is of a
thick biotype, modifying the contour of the soft tissue by shaping
the transmucosal soft tissue with
a provisional resin crown of a certain shape has been proved to be
an effective method for improving the aesthetic outcome.12–15
However, for restoring defective
natural teeth, there is insufficient
clinical evidence to prove whether
provisional resin crowns are capable of shaping the gingival contour. Such a treatment protocol
was deemed worth attempting in
the current case.

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DTAP0316_10-13_Liu 04.03.16 11:58 Seite 2

TRENDS & APPLICATIONS

12
Diagnostic wax-up
In order to preview the expected
outcome and guide the treatment,
a diagnostic wax-up was prepared.
On the model, the incisal edges of
both central incisors were located
on the palatal side of the red line
(wet–dry border) of the lower lip;
hence, the position of the incisal

right central incisor and maxillary
left central incisor would be
shifted in the apical direction by
2.5 mm, 0.7 mm and 2.5 mm, respectively. The entire restoration
would be inclined to the labial side
by 1.5 to 2 mm so that the palatally
inclined roots would not interfere with the aesthetic outcome
(Figs. 9–14).

Dental Tribune Asia Pacific Edition | 3/2016

cording to the other silicone index,
in which the improvement of the
aesthetic outcome could be observed clearly. However, the shape
of the provisional restorations
was not designed to emulate the
erupted natural teeth, but for the
cervical part of the restorations to
cover the labial gingiva. After a long
period of remodelling and reshap-

that time, the intra-oral examination showed recession of the gingiva and exposure of the shoulders on the labial side of both
tooth #21 and tooth #12 (Fig. 24).
The margins of tooth #11 could
also be observed and the gingiva
was healthy. At this appointment,
the post and cores were placed
and further tooth preparation was

val contour had changed noticeably and the reconstruction of the
transmucosal gingival contour
was almost complete. The gingiva
around the restorations was
healthy (Fig. 28). The transgingival
parts of the restorations were
modified and the incisal edges
were shortened in keeping with
the patient’s wishes.
Two weeks after the new provisional crowns had been placed,
the patient returned to our clinic
for further treatment. At that time,
the patient expressed her satisfaction with both the gingival
contour and the position of the
incisal edges (Fig. 29). Once the
provisional crowns had been
removed, the gingival contour
around the abutment teeth was
similar to the soft-tissue collar
around dental implants. The final
impression was taken in order to
fabricate the master model, which
would replicate the gingival contour accurately (Figs. 30–32). The
final all-ceramic restorations were
fabricated according to the master
model.

Completing the final
restorations
33

Once the final restorations had
been completed, the clear transgingival contours of the crowns
could be seen and were consistent
with the shape of the gingival collars around the abutment teeth
on the master model (Figs. 33–35).
During the try-in procedure, the
marginal fit, the shape and the
contact points, the consistency of
the transgingival contours of the
restorations and gingival collars
around the abutment teeth were
examined carefully. The transgingival contours of the restorations
should maintain the shape of
the gingiva, but not increase the
pressure, allowing the gingiva to
remain healthy and maintaining
the contour in the long term
(Figs. 36–39).

Revisits
45

47a

47b

Fig. 25: Gold alloy cast post and core.—Figs. 26 & 27: The second provisional restorations with advanced gingival contour remodelling.—Fig. 28: Two weeks after placement
of the second provisional restorations with advanced modification.—Fig. 28: Four weeks after placement of the second provisional restorations. The gingival contour and
the shape of the crowns were satisfactory.—Fig. 30: Once the second provisional restorations had been removed, the ideal gingival contour could be observed.—Fig. 31:
The gingival collars of the abutment teeth.—Fig. 32: Regular shoulders did not form around teeth #12 and 11.—Fig. 33: The restorations showing remarkable transgingival
convexity.—Fig. 34: The transgingival contour of the restoration was closely matched to the gingival collars on the model.—Fig. 35: Restoration showing remarkable transgingival convexity.—Fig. 36: The transgingival contour of the restoration was closely matched to the gingival collars on the model.—Fig. 37: The final restoration seated
on the maxillary anterior dental arch.—Fig. 38: Left lateral view of the patient’s smile after placement of the restoration. —Fig. 39: Right lateral view of the patient’s smile
after placement of the restoration.—Fig. 40: One-week post-op photograph of the maxillary anterior teeth.—Fig. 41: Frontal view of the patient’s smile after treatment.—
Fig. 42: One-week post-op photograph of the left lateral view of the patient’s smile.—Fig. 43: One-week post-op photograph of the right lateral view of the patient’s
smile.—Fig. 44: The gingiva around teeth #21, 11 and 12 was healthier than the gingiva around any other teeth. The photograph was taken seven years after restorative
treatment.—Figs. 45 & 46: The seven-year follow-up showed that the gingiva of the anterior maxillary teeth was healthy.—Figs. 47a & b: When comparing the seven-year
post-op photograph (left) to the immediate post-op photograph (right), the gingival contour and position around teeth #21 and 12 were evidently stable.

edges was to be shifted 2 mm to the
labial side. Furthermore, in order
to improve the patient’s deep
overbite and large overjet, we decided to shift the incisal edges of
the maxillary central incisors by
2 mm in the vertical direction,
where the lip–teeth relationship
could still tolerate changes palatally. According to the varied
gingival sulcular depth, in order to
protect the connective epithelium
of the gingival sulcus, the top of
the gingival line of the maxillary
right lateral incisor, maxillary

Tooth preparation
and provisional
restoration
According to the diagnostic
wax-up, two silicone indices were
fabricated. One of the indices was
cut in the labiolingual direction
to guide the preparation of the
abutment teeth. The margin of
the prostheses was designed to
be placed 0.5 mm subgingivally
(Figs. 15–17). The provisional restorations would be fabricated ac-

ing, the form of erupted natural
teeth would be established (Figs. 22
& 23).The impressions for the post
and cores were taken at the same
time. Because the restorations
were labially inclined, a gold alloy
post and cores was chosen.

Shaping the gingival
contour

carried out to shift the margins in
the apical direction. The new provisional restorations were fabricated to increase the convexity
of the cervical part in order to
enhance the effect of the gingival
contour shaping. In accordance
with the patient’s wishes, the incisal edges of the crowns were
extended slightly by about 1 mm
(Figs. 25–27).

The patient attended a followup two weeks after placement of
the provisional restorations. At

After another two weeks, the
patient returned to our clinic and
examination found that the gingi-

The one-week follow-up after
placement of the final restorations found that the gingiva was
healthy and stable around the
crowns. When compared with the
preoperative intra-oral photographs, the aesthetic outcome
was a significant improvement
(Figs. 1, 3, 40–43).
The patient unfortunately did
not attend the remainder of the
follow-ups until seven years after
placement of the final restoration.
At this appointment, the examination revealed an undesirable
oral health status, with a Debirs
Index (+) and Dental Calculus
Index (++). The gingiva was mildly
reddened and swollen. However,
the health of the gingiva around
teeth #21, 11 and 12 was better than
around any other teeth. Around
teeth #21 and 12, the gingiva was
healthy and the gingival contour
was stable without noticeable gingival recession. Around tooth #11,
slight gingival recession was

[13] =>

DTAP0316_10-13_Liu 04.03.16 11:58 Seite 3

Dental Tribune Asia Pacific Edition | 3/2016

found with slight reddening and
swelling of the gingiva. However,
the aesthetic outcome of the modified gingival contour had been
maintained (Figs. 44–47).

Discussion
Shaping the transmucosal contour around implants using provisional crowns has been frequently used in implant dentistry. By
using an individualised transfer
coping, the collar-like soft-tissue
contour around an implant can be
replicated on the working model
accurately.3, 16, 17 In this manner, the
contour of the final restoration
will fit the exact contour of the
soft tissue, thus assuring the longterm stability of the shape and
position of the soft tissue around
the implant.
In this case, the treatment protocol was drawn from the experience of the restorative process
of implant-supported crowns.
Taking advantage of the relatively
deep gingival sulcus and thick
biotype, the gingival contours
around the abutment teeth were
modified by the provisional
restorations; therefore, the gingival contour was reshaped in 3-D
and the ideal aesthetic outcome
was achieved.
Throughout the relatively longterm follow-up period, the gingiva
around the maxillary right lateral
incisor and left central incisor

TRENDS & APPLICATIONS

“In this case, the treatment protocol lay
between the concept of the
biologically oriented preparation technique (BOPT)
and biological tissue adaptation (BTA),
both of which have gained gradual acceptance.”
with their larger transgingival
depth and convexity was quite
stable. The stability of the gingiva around these two teeth was
greater than around the maxillary
right central incisor with its relatively shallow transgingival depth
and smaller convexity. In addition,
the gingiva was healthy, proving
the effectiveness of the treatment
protocol applied.
In this case, the treatment protocol lay between the concept of
the biologically oriented preparation technique (BOPT) and biological tissue adaptation (BTA), both
of which have gained gradual acceptance. The BOPT approach suggests modification of the gingival
contour by provisional restorations. Once the ideal gingival
contour has been achieved, the
gingival contour is replicated to
the final restorations precisely.
The BOPT approach suggests finishing the tooth preparation with-

out a defined shoulder so that the
gingival margin can be modified
freely. In the present case, the
maxillary right lateral incisor and
maxillary left central incisor were
prepared without a defined shoulder, thus fulfilling BOPT’s requirements for tooth preparation.18
However, for BOPT, the convexity
of the final restoration should be
similar to that of the natural teeth
and could play a role in remodelling the cemento-enamel junction. For the present case, the convexity of the final restorations
was greater than that of the natural teeth and in that manner
the current treatment protocol
differed from BOPT.
The BTA protocol suggests cutting and modifying the gingiva in
order to achieve an ideal gingival
contour, and thereafter fabricating provisional restorations with
a larger cervical convexity to remodel the gingiva. Once the gingi-

val contour is stable and meets the
requirement, the final restoration
with the same transgingival contour is placed to maintain the
gingival contour.19
According to the BTA approach,
cutting part of the gingiva directly
may damage the biologic width;
thus, the gingiva is stimulated to
regrow. However, the larger labial
cervical convexity of the provisional or final restoration will interfere with the regeneration of
gingiva in the vertical direction.
The gingiva will only be able to regenerate along the contour of the
restorations, and thus a gingival
sulcus with a sealing function will
develop and the gingival contour
will be consistent with the shape
of the restorations.19
In the BTA approach, the gingival–alveolar relationships are
defined as 3-D biologic widths
and the relationship between the

gingival contour and restorations
is deemed to be a stable relationship.19 In the present case, the
treatment protocol differed from
BTA; however, the outcome of
the final restorations was similar.
Both BOPT and BTA are creative
aesthetic gingival treatment concepts that have been established
in recent years. The protocol applied in the current study lay
somewhere between these two
approaches. After seven years of
follow-up, the maxillary right
lateral incisor and maxillary left
central incisor demonstrated better final aesthetic outcomes compared with the maxillary right
central incisor, for which the
restorative procedure was close
to conventional restoration. Such
a result encourages some consideration.
Editorial note: A complete list of references is available from the publisher.

Dr Feng Liu is a
Clinic Professor
and Vice Director of Clinical
Division of Peking University
School and Hospital of Stomatology. He is also
the director of
the Clinical Division Esthetic Dentistry
Training Center.
AD

[14] =>

DTAP0316_14_Craven 04.03.16 11:59 Seite 1

TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 3/2016

Individuals play the game, but teams
win championships
What it takes to build the ultimate practice unit
By Lina Craven, UK

chewing gum and has a can’t-do,
won’t-do attitude. Is Cinderella
playing her role? It takes the right
attitude and focused commitment from every member of the
team to turn the vision into a reality. When that patient your practice dreads is due to arrive, how
do you all respond? With “I will
not take any nonsense from this
patient today!” or “I’ll show her
who’s right!”? When we choose
the right attitude and choose to
stay true to our purpose, we will
help others to do the same. A cando attitude makes the impossible
possible.

It is said that all teams are groups,
but not all groups are teams. What
separates the two is interdependence. A true team is focused on a
common purpose; team members
support one another and enhance
each other’s work and contribution. Andrew Carnegie captured
this accurately when he said,
“Teamwork is the ability to work
together toward a common vision.
It is the fuel that allows common
people to attain uncommon results.”
I know that achieving the ultimate team is possible, because
when I was a dental nurse many
years ago in America, I was part of
an ultimate team. What made us
great was our leader, Dr Derick
Tagawa. He and his partner had
a very clear vision and they knew
exactly what was needed from
each one of us to ensure the
practice achieved its desired results. In turn, each one of us
knew that every challenge we
faced was an opportunity for personal, professional and practice
growth.
Practices with a motivated,
focused and empowered team
produce excellent results; consequently, patient satisfaction is
high and practitioners realise
increased financial rewards.
Achieving such a team is not pie
in the sky, but it does require complete commitment from the
whole team. Based on my own experience of being a part of a highperforming team and my observations as a consultant to practices, here are my key principles
for the creation of an ultimate
team.
Do not confuse being the boss
with being a leader. Leaders set
the tone for the practice. They
lead by positive example. Successful teamwork starts at the top
with leaders who provide strategic vision and establish team
goals. Effective leaders clearly define their vision and share it with
their team to establish a common
purpose.
Any successful relationship can
only survive if values are shared,
believed and agreed upon; values
like honesty, respect, integrity,
commitment to each other, commitment to the practice success.
Shared values help to build an
effective team and to establish
its culture, conduct, rules and
policies. The key is to ensure
the entire team agrees on the
same values and is prepared to
work by them. According to the

world’s finest flight demonstration team (the Blue Angels, US
Navy), “without shared values,
peak performance isn’t possible”
and “a team’s values must align
with its purpose, mission, and
actions”.
Every team member, from the
leader to the cleaner, must learn
to communicate clearly and effectively. Successful relationships

tions? Are they all qualified to
undertake their roles? Are there
written procedures for every area
of the practice? I often hear team
members say they are not sure
who is responsible for something,
or they do not have a job description, or they were promised
training when they started, but
have not yet received any owing
to the practice being too busy.
Empowerment results from clear-

their peak and more than justify
his investment.
Every morning in Dr Tagawa’s
practice as part of our commitment to the team, we would meet
10 minutes prior to the start of
the day to prepare for the show.
The head receptionist had a simple but effective system for updating us with vital information,
including how many patients we

“Successful leaders embrace the power of
teamwork by tapping into the innate
strengths each person brings to the table.”
Blue Angels, US Navy
are built on positive, honest and
open feedback. Is information
shared openly and honestly in
your team? Does gossip or negative chatter exist in your practice?
Team members must learn to address concerns, deal with conflict
and accept responsibility for the
success of other team members.
When conflict occurs, it must be
dealt with honestly, directly and
openly as soon as possible and
in line with the team’s adopted
values. Foster positive attitudes
and creative thinking—attitudes
can either make or break the team
dynamics, so there is no place for
negative people.
Do all your team members have
clear and up-to-date job descrip-

ly defined roles and practice
procedures and a shared understanding of one another’s roles.
Cross-training increases efficiency and makes each person more
productive and valuable to the
team.
Each team member is a cog in
the practice’s wheel of success.
However, many are often underutilised to his or her full potential
and thus become bored or complacent. Dr Tagawa believed in
providing the best training for his
staff. He also recognised that he
may lose some individuals who
desired greater career progression than the practice could offer.
He knew nevertheless that those
who remained would perform at

would be seeing, special recognitions (like patients’ birthdays),
identifying difficult patients,
where staff were expected to be
(from the rota) and anyone off
that day. It only took 5 minutes for
the update and 5 minutes more to
review the day before regarding
what had worked well and what
had not. It helped us to focus on
the day ahead.
Walt Disney once famously
said, “You can dream, create, design and build the most wonderful place in the world, but it
requires people to make the
dream a reality.” Imagine a girl
visiting Disney World hoping to
see Cinderella, but when she
encounters her, Cinderella is

Consistency is critical to creating the ultimate team; it fosters credibility and trust. Ken
Blanchard and Sheldon Bowles
wrote in their book Raving Fans,
“customers allow themselves to
be seduced into becoming raving
fans only when they know they
can count on you time and time
again”. This is also true for teams:
just replace the word “customers”
with “team members”. I often
hear people say things like “one
day we’re instructed to something and the next day it becomes
something else”. If you want to
be part of the ultimate team, be
consistent.
It is said that what motivates individuals the most is recognition
—a pat on the back or a word of
praise here and there for a job well
done. Embrace this principle and,
although it may feel awkward at
first, if it is done often enough
it becomes a habit. Sam Walton,
founder of Wal-Mart Stores, said:
“Appreciate everything your associates do for the business.
Nothing else can quite substitute
for a few well-chosen, well-timed,
sincere words of praise. They’re
absolutely free and worth a fortune.”
Building the ultimate team
does represent a challenge, but
once achieved it is hugely rewarding. There is no point implementing one principle in isolation.
It is like baking a cake without
the eggs.

Lina Craven is
founder and Director of Dynamic Perceptions,
an orthodontic
m a n a g e m e nt
consultancy and
training firm in
Stone in the UK,
and has many
years of practice-based experience. She
can be contacted at info@linacraven.com

[15] =>

DTAP0316_15-16_Ubhi 04.03.16 13:15 Seite 1

TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 3/2016

“Prevention of sex trafficking is our
ultimate aim”
An interview with York dentist Dr Andrea Ubhi
Sex trafficking remains a major
issue in many parts of Asia, not
only in sex tourism hot spots like
in Indonesia or Thailand but also
in smaller countries like Nepal.
UK-based charity Asha Nepal
(hope for Nepal) tries to prevent
children becoming involved in the
sex trade and helps victims of trafficking and sexual abuse in the
country to re-establish themselves
in society. Dental Tribune spoke
about the organisation’s work and
its impact on the lives of survivors
with one of the charity’s trustees,
Dr Andrea Ubhi from York, who is
to take over as chairperson later
this year and who runs one of the
country’s leading private dental
practices.
Dental Tribune: Dr Ubhi, you run a
successful dental practice in York.
How did you first become involved
with Asha Nepal?
Andrea Ubhi: I have been involved with a few charities over
the years; however, it has been
difficult for me to find as much
time as I wanted to give to charity
work, as I have been busy building
up dental businesses, in addition
to bringing up three children.
Several years ago, I sold one of
my practices, an NHS practice, and
that reduced my workload, finally
giving me the time and money to
expand my interest in charity. Although I had never really focused
on women’s issues before, knowing that men and women are
equal in the world, I decided to become involved in Asha Nepal, as
I had been becoming increasingly
aware of the issue of trafficking
and Asha was at a small size where
I thought my management skills
would be of better use than in
a larger organisation and, frankly,
I wanted to know exactly where
my money was going.
Nepal usually does not make the
headlines when it comes to sex
trafficking. To your knowledge, how
extensive is the problem in the
country?
Although its neighbour India
has much more children involved
in sex trafficking, estimated at one
million, about 30,000 girls from
Nepal are tricked into going over
the border each year and trafficked, and they end up as sex
workers in the major cities. When
you actually consider the difference in size of population between
the two countries, proportionally
this is a large number. One of
the greatest issues is poverty.
Attending a reasonably good
school requires school fees. That
is why many children in Nepal
do not have the opportunity to
go to school. The only thing they
are often left to do is to work in

Asha Nepal also works with the
mothers of poor families; for example, the father may be unemployed, drink too much or abandon his family altogether. If there
are issues with providing for the
family, Asha Nepal assists with
emergency rent and food so that
the mothers can get on their feet.
Asha has a job coordinator who
helps mothers or trafficking survivors obtain a place in a training
programme and then work.

Dr Andrea Ubhi (second from right) with Asha Nepal children. © Asha Nepal, UK

domestic labour, often from as
young as the age of four, and they
are at risk of sexual abuse.

at home and be reintegrated into
the community. Independence is
one of our main aims.

help give their children an
education, which in turn provides
the hope of dignified employment

“I want to see the team consolidate.”
Once a child is in domestic
labour, there is also a high risk
of being trafficked. Sometimes,
this happens insidiously: someone
might say that he or she has a better
job in the next town, then someone
might offer the child a job in Delhi,
which in the end turns out to be
captivity in a brothel.
How is your organisation helping
victims of sex trafficking in Nepal
itself?
Some of the girls who come to
Asha have been trafficked and
rescued from cabin bars in the
tourist district of Kathmandu.
They started as dancers and were
then forced into the sex trade.
What is great about Asha Nepal is
that it does not provide an orphanage or children’s home as such but
a transitional home. Asha seeks to
work with the child’s or teenager’s
immediate family or the extended
family to help the child/teenager
transition back safely into the
community. Asha offers counselling after trauma, provides education and a safe home, and then
Asha’s social workers work with
their families to give parenting
training, life skills and access to
safe accommodation so that the
child/teenager can return to living

Asha Nepal considers the whole
picture and tries to prevent children being trafficked by providing funding to very poor families to

when the child reaches adulthood.
If children are attending school,
their families do not allow them
into domestic servitude.

How many of the children you
look after find their way back into
society?
All of them. In some cases in
which children have been trafficked or are victims of sexual
abuse by their own family and
are in high danger of being retrafficked, there is no hope of
safe reintegration with their own
family. Asha assigns such children
to foster families. They remain
there with Asha until they are old
enough to be integrated into society independently when they
are adults.
The April earthquake last year had
a devastating effect on the country’s infrastructure. Has this affected your work and, if so, to what
extent?
When I went over in September,
they were still terrified because it
was not just only one earthquake,
but about 300. There were continual tremors and many people
were sleeping outside, even when
it was cold and raining. While the
destruction in Kathmandu was
significant, in the north-eastern

When I went over in September, they were still terrified because it was not just only one earthquake, but about 300. © Asha Nepal, UK

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DTAP0316_15-16_Ubhi 04.03.16 13:15 Seite 2

TRENDS & APPLICATIONS

region almost four out of five
houses were destroyed or significantly damaged. When we spoke
with one of the children’s ministers in that area to find out what
the need was, she said that there
were about 7,000 children displaced through the earthquake.
Throughout the Sindhupalchowk
border, guards were checking papers of children going out. There
was such an increased risk of
trafficking and they were trying
to reduce that. All children had to

Dental Tribune Asia Pacific Edition | 3/2016

“...about 30,000 girls from Nepal
are tricked into going over the border
each year and trafficked...”
have papers that allowed them to
exit the area.

Generally, our work became
more complicated and more ex-

pensive, as prices rose throughout
the earthquake period. On top of

www.idem-singapore.com

STRIVING FOR CLINICAL EXCELLENCE

Online Registration Now Open!

APRIL 8 - 10, 2016
Suntec Singapore Convention & Exhibition Centre

Featured Speakers
IDEM Singapore 2016’s conference theme is built upon the common goal of all dentists – both general and specialist:
Striving for Clinical Excellence. Look forward to world-class clinicians, researchers and educators discussing
contemporary issues in the field of dentistry.
Hien Ngo, Kuwait
Chairperson of the Full
Day Symposium: Towards
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Walter Dias, Germany
Clinical Excellence in Aesthetic
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Techniques Using Smart Composites

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PiezocisionTM for Rapid
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Pre-Register and Meet Over 500 Exhibitors!
Join the IDEM Singapore Trade Fair to meet over 500 internationally recognized manufacturers, distributors and
traders. With exhibitors showcasing their latest products and services on levels 4 and 6, your visit will be packed with
opportunities to strike new deals and re-enforce existing partnerships.

that, there is the recent fuel crisis
that Nepal has been facing over
the past few months, as no oil or
gas has been available from India
for political reasons. This has
slowed the country down, which
is such a shame considering how
difficult the year had already been
with the earthquake. It has also increased the cost of our work again
owing to the increased costs of
supplies because of the increasing
costs of petrol and transport.
Nepal is a landlocked country, so
everything has come through
India or China. If there is a blockade, it poses a significant problem
to the entire infrastructure in
Nepal.
You are soon to take over the responsibility of chairperson from retiring Asha founder Peter Bashford.
What will the focus of your work be
in the years to come?
I want to see the team consolidate. The organisation has grown
dramatically in the last two years,
going from eight to 23 employees.
Currently, we are looking after
107 children, of whom 51 are in our
residential care.
We want to concentrate on reintegration into the community
and more community support,
which means fewer children in residential care and more supported
by our social welfare team in the
community. This way, we keep
children more independent and
prevent them from being institutionalised.
However, prevention of trafficking is our ultimate aim. We have
just started a new Facebook page
for teenagers in Nepal, called
“Keeping SAFE”, to teach them to
avoid traffickers and recognise
their tricks. The page has an enormous following, with up to a quarter of a million people viewing
each post. We are also planning
to go into schools and hold presentations about the dangers of
trafficking, not only for the children but also for the teachers so
that they can teach their future
pupils about the tricks that traffickers use to force children into
domestic or sex labour and how to
avoid being trafficked.
Dr Ubhi, thank you very much for
the interview and good luck for the
future.

Dental Tribune Study Club in Cooperation with IDEM Singapore
Visit the Dental Tribune Study Club in the exhibition hall on level 6 to attend free live lectures on the
latest in dental technology and procedure. Widen your networking possibilities and assess new products
and techniques. Information on Study Club lectures will be avaliable online closer to the event. Sign up
as an exhibition visitor online today to guarantee your complimentary entry.
Endorsed By

Supported By

Held In

In Co-operation With

Co-organizer

Dr Andrea Ubhi
Singapore Dental Association

Ms. Cindy Tantarica
Tel: +65 6500 6721
Fax: +65 6294 8403
idem-reg@koelnmesse.com.sg

For further information, please visit
www.asha-nepal.org.

[17] =>

DTAP0316_17_todayADX 04.03.16 12:01 Seite 1

ADX · Sydney · 18–20 March, 2016

Official news for visitors and exhibitors

Interview

Avoiding marketing mistakes

What’s on

Troy Williams, CEO of the Australian Dental
Industry Association, reports on the return of
confidence to and positive sentiments across
the Australian dental industry.

Marketing specialist Carolyn S. Dean talks
you through the essentials of successful
dental marketing by highlighting common
pitfalls and errors made by many practices.

Whether you want to explore Sydney’s annual
food and wine festival or enjoy a free concert
at the park, the Harbour City has much to
offer this weekend.

»Page 18

»Page 22

»Page 31

Introducing two firsts at
Experience innovations intended to enhance daily practice
AD

Two New Dental Mills Designed to Meet Your Needs

www.rolanddg.com.au/dwx
Dental Mill

sations’ advocacy efforts to secure
a future for Australia’s dental laboratories.
There is certainly a great deal
to see and do at Australia’s largest
dental exhibition; its significance

Wet Dental Mill

is perhaps best captured by ADIA
CEO Troy Williams: “Make no mistake about it, ADX16 Sydney is an
event that allows dentists and allied oral health care professionals
to see more, buy more and learn
more.” 7
AD

nWhile visiting an exhibition stand
usually allows customers only to
see a product, ADX16 Sydney is
introducing a novel way for visitors
to experience the latest dental products from Australia and overseas:
the Product Showcase.
In two purpose-built theatrettes
in the designated showcase area,
visitors can sit down and learn how
novel technology is changing the
instruments, equipment and materials that leading dentists use.
During interactive 45-minute sessions, this innovative component of
ADX16 gives dental professionals the
unique opportunity to talk to suppliers to obtain in-depth knowledge
of their new products and insights

into the field of dentistry. Topics of
the Product Showcase sessions vary and include business enhancement strategies, product introductions and clinical demonstrations.
For example, dental marketing
specialist Jonathan Engle from Software of Excellence will advise on
how to attract new patients online,
Dr Andreas Kurbad will review
the success of Ivoclar Vivadent’s
all-ceramic restorations system
IPS e.max and Dr Phillip Palmer
from Prime Practice will introduce
dentists to the concept of outsourcing non-core functions in practices.
Showcase sessions run from
10:30 to 16:30 on Friday and Satur-

day and from 10:30 to 13:30 on Sunday. The timetable can be accessed
at www.adx.org.au/showcase.
Complementing this novel handson approach is the ADIA–OHPA
Dental Laboratory Pavilion. Also
new at Australia’s premier dental
event, the pavilion highlights the
quality products manufactured by
the local laboratory industry. Designed to maximise participation
by dental technicians, the pavilion
offers information on the commercial framework and changes to regulations and exhibits the latest
technology from Australia and overseas.
The free pavilion, which is located in the main exhibition space
on the left-hand side directly behind the entry turnstiles, includes
working demonstrations of the
latest CAD/CAM technology. As a
collaborative effort between the
Australian Dental Industry Association (ADIA) and the Oral Health
Professionals Association (OHPA),
the initiative recognises the unique
challenges that the country’s laboratories face from international competition and technological
changes and reflects both organi-

[18] =>

DTAP0316_18_20_Williams 04.03.16 12:03 Seite 1

news

ADX Sydney 2016

“The industry has moved beyond
subdued business conditions”
An interview with Troy Williams, CEO of the Australian Dental Industry Association (ADIA)
n Jam-packed with a broad range
of product innovations, ADX16
Sydney is expected to draw a
record number of dentists and
allied oral health care professionals. today international had the opportunity to speak with ADIA CEO
Troy Williams about awe-inspiring
new treatment pathways, the remarkable growth in professional
services to enhance dental businesses, as well as the focus of
this year’s continuing professional
development sessions, which feature some of Asia Pacific’s best
speakers.
today international: According
to the latest ADIA Bite Magazine
Dental Practice Business Conditions
Survey, the number of patients

visiting dental practices is increasing and confidence is returning
across the industry. What are the
prospects for the industry in 2016
and in the years to come?
Troy Williams: This is an exciting time for the Australian dental
industry, as new products, both
those manufactured locally and
those from overseas, are entering
the market, giving dentists and
allied oral health care professionals more options for treating
patients than ever before. What’s
great about ADX16 Sydney is that
many of these products are being
launched at this event.
The industry has moved beyond the subdued business conditions that existed in recent times

and there is a high degree of confidence about the prospects for
the year ahead. ADIA collects and
publishes a great deal of data on
the market in which dental products are sold; this provides us
with a unique insight into what’s
happening and this data validates
the positive sentiment that exists
across the dental industry. For
example, the ADIA Australian
Dental Products Business Conditions Survey published last month
shows eight consecutive quarters
of growth, with businesses recording increased sales over this period. The great news is this data
also shows that businesses expect this growth to continue; however, this is somewhat tempered
by the fall in the value of the

PRINT
L
DIGITA N
TIO
EDUCA
EVENTS

Australian dollar, which
places upward price
pressures on imported
products.
The same survey
also showed a unique
factor about ADX16
Sydney, this being
that the event in itself
drives business confidence. That so many
suppliers of dental
products see ADX16
Sydney as a strong
sales platform is an important point of differentiation.

Troy Williams, CEO of the Australian Dental Industry Association (ADIA)

ADX16 Sydney is expected to
draw a record number of dentists
and allied oral health care professionals and spaces sold out
quicker than ever. What feedback
have you received from visitors and
exhibitors?
This is an event that just keeps
on growing. At ADX12 Sydney,
attendance by dentists grew by
around 14 per cent compared with
the previous event, and at ADX14
Sydney, the number of dentists
attending grew by a further 23 per
cent. If there was any doubt that
the ADX Sydney series is Australia’s premier dental event, then
these figures speak for themselves.
It is important to ADIA to understand why dentists and allied
oral health care professionals are
coming to ADX16 Sydney and our
market research has identified
three key reasons. The first is that
they are coming to see the largest
range of dental products available
under one roof. The second is that
they are coming to buy the products. Finally, dentists and allied

It is difficult to identify a segment that has not seen change.
In the dental laboratory segment,
CAD/CAM technology continues
to evolve, with milling now augmented by 3-D printing. Similarly,
the pioneering work being done
both within Australia and internationally to bring to market
new types of restorative materials offers dental professionals
more choices that ever before,
and that is what ADX16 Sydney
is all about. Similarly, there isn’t
an orthodontist in Australia who
wouldn’t benefit from attending ADX16 Sydney to look at
the awe-inspiring advances that
offer different treatment pathways.
However, some of the most
interesting trends are not in the
clinical area, but have come about
by an understanding that dental
practices, just like any business,
can enhance their profitability
through business improvement
reform. The growth in professional services, including marketing,
finance, insurance and patient

“The event in itself drives
business confidence.”

URI
D
S
U
T
VISI

ADX16102
TH

AT BOO

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.

oral health care professionals are
coming to learn more, through the
comprehensive continuing professional development programme—
some 39 seminar sessions that
feature some of Asia Pacific’s best
speakers.
What industry trends stand out
this year?
What makes dentistry such a
fascinating industry to work in is
the continual evolution in treatment pathways, something made
possible by the advent of new
products.

management software, is amazing
and will all be featured at ADX16
Sydney.
The Sydney Exhibition Centre
@ Glebe Island will again host
ADX this year. In your opinion, what
makes the venue special?
Two words: the view! There isn’t
a venue anywhere in the world
that seriously challenges the Sydney Exhibition Centre @ Glebe Island as having the best view—and
it’s not just that you can see the
Sydney Harbour Bridge from the
registration desks; if you take one

[19] =>

[20] =>

DTAP0316_18_20_Williams 04.03.16 12:03 Seite 2

news

20

of the free ferries to the exhibition
centre, you can get up close and
personal with this iconic structure.
Feedback from visitors and
exhibitors at the last event rated
the Sydney Exhibition Centre
@ Glebe Island as an ideal venue. The abundance of natural
light makes the event something
special; it creates a really positive vibe within the exhibition
hall.

ADX Sydney 2016

“The growth in professional services,
including marketing, finance, insurance and patient
management software, is amazing.”
What is great about ADX16
Sydney is that visitors are spoilt
for travel and accommodation

choices. Options include free
ferries that will get you to the
venue by water, free shuttle

buses, ample on-sight car parking and discounted accommodation.

AD

38 Asia Pacific
Dental Congress
th

17-19 June, 2016

Hong Kong Convention and Exhibition Centre

Advancing Dentistry with Modern Science and Technology
On behalf of the Asia Pacific Dental Federation and the Hong
Kong Dental Association, we would like to invite you to attend
the 38th Asia Pacific Dental Congress (APDC 2016) to be held
at Hong Kong Convention and Exhibition Centre from 17-19
June 2016.
Theme ‘Advancing Dentistry with Modern Science and
Technology’, APDC 2016 will be an excellent platform to meet
and dissect challenges in the field with leading experts from
around the world.
INVITED SPEAKERS
· Dr Chris Chang
· Dr Stanley Malamed
· Dr Hiroshi Ogawa
· Dr Frankie So
· And many more…

ABSTRACT TOPICS INCLUDE
· Endodontics
· Geriatric Dentistry
· Implantology
· Infection Control
· Neuroscience / TMD
· And many more…
IMPORTANT DATES
Abstract Submission Deadline: 29 February 2016
Early Bird Registration Deadline: 1 April 2016
APDC 2016 SECRETARIAT

· Professor Monty Duggal
· Professor Hsu Ming-Lun
· Professor Mariano Sanz
· Professor Adrian Yap

KEYNOTE & PLENARY LECTURE TOPICS
· Innovations in Dental Traumatology. Tradition Versus
a Bright New Future
· Is the Mandibular Block Passé?
· Emergency Medicine - Sudden Cardiac Arrest and AEDs?
· Prevention of Peri Implant Disease for Implant Success
· The Implications of Population Aging to General
Dental Practice
· Guided Surgery: Application in Complex
Edentulous Cases and Use of a New Digital
Workflow for Partial and Single Cases
· Simplified Mechanics for Challenging
Cases, Part I & II
· Improve Population Oral Health by Targeting NCDCommon
Risk Factors
· “Oh My Aching Jaw”: Detection and Management of
TMD in Primary Care
· Bone Biomechanics of Implant Dentistry
ABSTRACT SUBMISSION
APDC 2016 is now accepting abstracts. Submit your abstract
now and let your voice be heard!
Visit www.apdc2016.org for more information.

www.apdc2016.org

Registration & Accommodation:
for your queries and requirements about registration and
accommodation;
-RSá0ÞNARáaOBANOÛLU á2EGISTRATIONáANDá!CCOMMODATIONá
Manager
E-mail: pcobanoglu@kenes.com
Scientific Information:
for your queries about scientific programme;
Ms. Selen Akün, Scientific Programme Coordinator
E-mail: sakun@kenes.com
Sponsorship & Exhibition Requirements:
for your queries about sponsorship & exhibition opportunities
and application process;
Mr. Veysel Güzel, Project Manager
E-mail: vguzel@kenes.com
General Details for all other queries;
Mr. Veysel Güzel, Project Manager
E-mail: mailto:vguzel@kenes.com
-Sá-ARALá"ALIMOÛLU á0ROJECTá-ANAGER
E-Mail: mbalimoglu@kenes.com

What is this year’s focus in
the professional development
programme? Could you give us
an overview of the speakers and
topics?
The ADX16 Sydney continuing professional development programme is exceptionally strong
and offered by professional organisations, including the Australian
Dental Association (NSW Branch),
the Royal Australasian College of
Dental Surgeons, the Australian
Dental Prosthetists Association,
the Australasian Academy for
Dental Sleep Medicine and the
Australian Association of Practice
Management, in addition to leading local suppliers.
There are 39 individual sessions, which have a strong focus
on restorative dentistry, and the
presenters are recognised across
the region as leaders in the field.
A number of sessions focus on
orthodontics and implants—which
is hardly surprising given the increasing interest of dental professionals in the new products available in these segments.
Reflecting ADIA’s commitment
to supporting research, the proceeds from the ADX16 Sydney
seminar programme are going to
the Australian Dental Research
Foundation.
ADX16 Sydney is an excellent
opportunity to meet with clients
and professionals in a relaxed
atmosphere. What programme
features can visitors particularly
look forward to?
In many respects, ADX16
Sydney is more than a dental
exhibition; it is an unparalleled
opportunity for dentists and allied oral health care professionals
to develop new, and cement existing, contacts with their peers.
The free welcome reception on
the Friday night is typically attended by some 2,000 people and
there is no better way to meet
colleagues than over a relaxing
beer or glass of wine. Throughout
ADX16 Sydney, visitors to the
event can sit in one of the cafés
in the exhibition hall and have
lunch while discussing all the
products they have seen.
A first for ADX16 Sydney is
the product showcase, which
will allow people to set back and
learn about the latest innovative
products from the businesses
that are introducing them to
the Australian market for the
first time. Make no mistake about
it, ADX16 Sydney is an event
that allows dentists and allied
oral health care professionals to
see more, buy more and learn
more. 7

[21] =>

DTAP0316_21_News 04.03.16 12:06 Seite 1

news

ADX Sydney 2016

Traditional treatment
of tooth decay is outdated
By DTI
n Researchers from the University of Sydney have found that
tooth decay can be stopped, reversed and prevented without
the traditional “drill and fill” approach that has dominated dental
care for decades. Acknowledging
the outcomes of the seven-year
study, the researchers called for a
general shift towards preventive
measures in early caries treatment.
Developing a set of protocols
that they called the Caries Management System (CMS), the researchers compared people who
received traditional “drill and fill”
treatment with those who received CMS treatment, focusing
on prevention. The CMS protocols
included the assessment of decay
risk, the interpretation of dental
X-rays and the specific treatment
of early decay.

Caries Management System: Are
preventive effects sustained postclinical trial?” which was pub-

lished online in the Community,
Dentistry and Oral Epidemiology
journal on 7 December 2015. 7

Early tooth decay could be stopped and reversed by preventive oral care measures. © Vinne
AD

TRIOS — #1 in accuracy

Among other things, preventive measures included the application of high concentration fluoride varnish to the sites of early
decay and, on the patient’s side,
restricting sugary snacks and beverages between meals.
In testing the CMS protocols on
1,000 patients from 22 general
dental practices in New South
Wales and Australian Capital Territory, decay risk was substantially reduced during the sevenyear study.
Moreover, the need for fillings
was 30 to 50 per cent lower among
CMS patients in comparison to
the control group. At 80 per cent,
the reduction was even greater
among those considered at a highrisk, patients who were getting as
many as two fillings per year.
“This research signals the need
for a major shift in the way tooth
decay is managed by dentists,”
said Associate Professor Wendell
Evans from the University of
Sydney. “A tooth should only be
drilled and filled where an actual
hole-in-the-tooth is already evident,” he said.

TRIOS® was named the most accurate in a comparison study of leading
intraoral scanners published by the American Dental Association. All TRIOS®
intraoral scanners feature Ultrafast Optical Sectioning™ technology to provide
you with industry-leading precise 3D color digital impressions.
What TRIOS® accuracy means to your dental practice:

According to Evans, tooth decay is not the rapidly progressive
phenomenon that dentists long
believed it was. Instead, it develops more slowly, leaving plenty of
time for the decay to be detected
and treated before it becomes
a cavity and a filling is required.
On average, it takes four to eight
years for decay to progress from
the tooth’s outer layer (enamel) to
the inner layer (dentine), he explained.
The results of the study were
presented in the article “The

•

Confidence and reliability

•

Fewer remakes, retakes and adjustments

•

Improved patient experience

See TRIOS® live at ADX

Find 3Shape online

3Shape.com

[22] =>

DTAP0316_22_Dean 04.03.16 12:07 Seite 1

practice & science

ADX Sydney 2016

Seven dental marketing mistakes
...and how to avoid them
By Carolyn S. Dean, Sydney
n As a dental professional, you
face unfamiliar challenges in
running and marketing your practice. You are confronted with increased competition (both locally
and abroad), an oversupply of dentists, ever-rising practice operating
costs, and more marketing-savvy
patients. On top of this, your potential patients are becoming more
discerning about where they go
for dental treatment, with many
heading overseas.

3. Wanting a silver bullet
Marketing your dental practice
to attract the right kind of patients,
keep them active and encourage
them to refer you to their contacts
is no easy task.

but nearly all of these have been
done in a haphazard way and in
short bursts. I call this a “scattergun approach” to marketing.
It does not work to try one
approach for a month or two in

home-made brochures and other
marketing collateral that use
different colours, fonts and even
versions of the logo. If you are
not consistent, your attempts at
establishing a brand will be ineffective.

There is no magic when it
comes to marketing your practice successfully. Quite simply, it
comes down to:
8 picking the aspects of marketing you want to use, wisely and
with due care and thought
8 ensuring that, whatever marketing activities you decide to
undertake, you perform to the
best of your ability and budget
8 being consistent
8 tracking your results—setting
your goals and reviewing or refining them on a regular basis
8 getting good advice from trusted
experts in the area of marketing you are undertaking.

Over my years working with
hundreds of dentists as a marketing consultant, I have observed the common mistakes
that prevent them being able to
market their practices successfully.

1. Not knowing
your numbers and
not tracking them

There are just so many things to think about when it comes to successful dental marketing.

“Many practices think (and hope)
that there is a silver bullet to solve
their marketing issues.”

The significant numbers that
you need to know and track are:
8 average lifetime value of a patient
8 marketing return on investment
8 new patients
8 patient loss.

2. Not knowing
your ideal patient
One of the cornerstones of any
marketing campaign is knowing
who your ideal patient is. Many
practices make the mistake of not
identifying this in their eagerness
to go ahead with their marketing
campaign as soon as possible.
You need to stop and think about
whom your marketing will be
directed to, what this group of
patients wants, what problems
they have, and what solutions they
need.
The key to implementing a
strategic marketing plan is identifying your practice’s ideal patient
or target patient profile. Once you
know your market, you need to establish how best to communicate
with them.

The problem is that many dentists are not getting the right dental marketing advice. They may
listen to many different sources
and form opinions based on advice
from people who may not understand the business of dentistry.

8. Summary

In order to achieve practice success, it is essential to build longterm relationships with patients
and prospects. Long-term patients
are more likely to feel satisfied. It
is they who welcome the opportunity to refer others to you and who
will continue to use your services
in the future.

One of the most common mistakes that I see is that many dental practices just do not track their
numbers. There is a saying that
“if you fail to plan, you plan to fail”.
It is critical that you track all
of the metrics in your business,
and your marketing spend is no
exception.

experience of wasting time or
money on poor advice.

Many practices think (and hope)
that there is a silver bullet to solve
their marketing issues. This leaves
them open to unscrupulous sales
people and to disillusionment and
frustration when their marketing
efforts fail.
The companies trying to sell
you the marketing silver bullet
that will solve all your marketing
worries are constantly calling.
Well-meaning friends, colleagues
and patients may give you advice
on what they think you should do
to market your practice. The range
of marketing media is evolving,
and the rapid changes in online
marketing make it almost impossible to keep up.

4. Taking a scatter-gun
approach
I speak to many dentists who
tell me that they have tried many
different types of marketing and
they have all failed and nothing
has worked for them. When I dig
deeper, I discover that they have
tried many different approaches,

an inconsistent manner without
tracking the results or refining the
campaign. This will always end in
failure.
It has been shown that it can
take between six and eleven repetitions for patients to see or hear
a message before they act on it.
Do you know how many ways and
how many times you communicate with your patients?

5. Doing it all by yourself
You have to remember that
patients are more savvy than
ever before. They are constantly
exposed to a huge amount of marketing and their expectations of
what is and is not professional are
continually increasing. The reality is that when you are competing against the corporates, you
need to ensure that your marketing is up to scratch.
It is very common for practices
to have their branding and logo
professionally designed and then
decide to take it over, producing

It takes time, but the effort that
you put in will be rewarded by
more patients, increased production, better relationships with
your team and patients, and a
sense of control when it comes to
your marketing.
It is now time for you to focus
on your marketing. By marketing
well, doing it consistently, and
avoiding the scatter-gun approach,
you can avoid making the common mistakes that many practices
make. 7

6. Procrastinating
There are just so many things
for you to think about when it
comes to your dental marketing.
How can you fix your website that
is not effective? Should you be engaging with your patients on social
media and how to start? You know
that you need to educate your
patients on a regular basis, but
what are they best ways to do this?
You need reactivation and referral
campaigns, but you have no idea
how to carry this out in a professional and consistent manner.
It is not uncommon to be so confused and overwhelmed that you
spend your time procrastinating
and doing nothing.

7. Not getting the right
advice
When you own or run a dental
practice, in fact any kind of business, there is no shortage of marketing advice to follow; there is an
overwhelming amount of advice
out there. You may have had the

Carolyn S. Dean is a dental marketing and communications specialist
and seminar speaker. As Managing
Director of My Dental Marketing, she
works with practitioners throughout
New Zealand and Australia on enhancing websites, improving branding and growing dental practices. Her
book Fully Booked: Dental Marketing
Secrets for a Full Appointment Book
will be published in March and be on
sale at ADX16 Sydney. At the event,
Carolyn will be presenting three different lectures on the importance of
marketing for dental practices as part
of the ADX16 continuing professional
development programme.

[23] =>

[24] =>









BOARDROOM

BOARDROOM



510

500

499

498

406

405

403

402

401

414

418

530 533

531 532

516 519

517 518

525

529 534



522

523



416

226

438

428

227



545 546

544 547

543 548

539

422

246 247

245

244

242 249



559 560

558 561

557 562

553

451

454

255

254

127

128

569

567

570

571

572

573

574

575

576

577

466

256

260

265 266 267

BROCHURE STAND

253 257

252

251

126

125

121

467

392

350

296

468

389

358

148





153

377

CAFE

373

372

159

176

175 178

371

156

200 SEAT THEATRE

200 SEAT THEATRE

200 SEAT THEATRE

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ADX16 Sydney Exhibition Map



475

471 472

470

386

382

379

158

171

170 173

363

380

476

 150

144 143

141 142

355

147

146

140

483 482 MEETING
481 480 479 478
ROOM

281

277

134

166 167

161

133

165 168

136 137 138

160 163

129



© Australian Dental Industry Association Limited







ADX16 Sydney—Floor plan

515 520

513

512

511

411

410 413

409

408

419

420

421 417

404 407

210

206

197 200

241

116

114 115

109

107

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CPD
REGISTRATION



201

222

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111

104

102

24

PRODUCT
SHOWCASE



CAFE

100 101



139 MEETING
ROOM

DTAP0316_24_26_Exhibitors 04.03.16 12:08 Seite 1

service
ADX Sydney 2016

18–20 March, 2016
Sydney Exhibition Centre

[25] =>

Introducing Innovative and High-Quality Restorative Solutions

Industry-standard Internal Hex Connection

NEW!

Industry-standard Conical Connection

PROSTHETIC COMPONENT
COMPONENTS

Industry-compatible Prosthetics

PACIFIC
DENTAL SPECIALTIES

www.glidewelldirect.com • mail@glidewelldirect.com

Glidewell Direct is actively seeking distribution channels throughout the Asia-Pacific region

info@pacificspecialties.com.au

Authorized Distributor of Glidewell Direct Implant Products

[26] =>

DTAP0316_24_26_Exhibitors 04.03.16 12:09 Seite 2

service

26

ADX Sydney 2016

ADX16 Sydney—List of exhibitors
Company name

Booths

3M Dental
281
AADFA
472
Acteon Australia / New Zealand
158
A-dec
363, 371
Adentatec GmbH
420
ADR Dental
200
Ainsworth Dental
548
Air Liquide Healthcare
166
AJ Barber
523
Alldent
140
Alphabond Dental
104
Alphapharm Mylan
245
Alpro Medical GmbH
409
Amalgadent
171, 405
Amann Girrbach
500
Ampac Dental
545
Andent
165
Anthos in Australia
553
ANZ Health
379
Ark Health
260
AD

Company name

Booths

A. R. Medicom (Australia)
Australasian Academy
for Dental Sleep Medicine
Australasian Dental Practice
Australasian Dentist
Australian Association
of Practice Management
Australian Dental and Oral Health
Therapists’ Association
Australian Dental Association
(NSW Branch)
Australian Dental Industry
Association
Australian Dental Prosthetists
Association
Australian Dental Students
Association
Australian Imaging
Australian Medical Suction
Systems

475
575
201
153
571
573
265
499
570
266
206
100

Company name

Booths

Bambach Saddle Seat
143
Best Practice Management
Group
137, 138, 139
Bioart Dental
170
Biodegree
409
Biomedex
121
Biomet 3i
533
Bite Magazine
476
BOQ Specialist
392
Carestream Dental
134
Cattani
129
ClearCorrect
136
ClearPath Orthocare Australia
471
CMA Ecocycle
163
Colgate
525
Commodore Joinery
531
Core 3d Centres
210
Core Ceramic Studio
160
Critical Dental
148
Dentacast Australia
534

Company name

Booths

Dental4Windows
222
Dental Asia
558
Dental Axess
249
Dental Business Brokers
522
Dental Fitout Projects
519
Dental Hygienists Association
of Australia
576
Dentalife
246
Dental Innovations
543
Dental Installations
386
Dental Protection
168
Dental Tribune
102
Dentaurum Australia
414
Dentavision
358
Dentplex
257
DENTSPLY (Australia)
466
Designs for Vision
408
Detax GmbH & Co. KG
417
Dr Jean Bausch GmbH & Co. KG 419
Dunedin Dental Attachments
252
Durodent Dental Supplies
557
Dürr Dental AG
418
EKOM
500
Elite Fitout Solutions
517
Erskine Dental
569
Essential Medical Dental Health
Supplies and Services (EMDHSS) 530
exocad GmbH
410
Filling the Gap
267
Finlease (Aust)
253
Foundation Education
483
Gallay Medical & Scientific
141
Garrison Dental Solutions
512
GC Australasia
539
GlaxoSmithKline
125
Gold and Ceramics
175
Gritter Dental
133
Gulmohar Dental
242
Gunz Dental
389, 468
Gunz Dental–DMG
478
Gunz Dental–VDW
479
Gunz Dental–Kettenbach
480
Gunz Dental–Premier
481
Hager & Werken (Asia) Co. Ltd
404
Hawker Richardson
150
Heine Australia
559
Henry Schein
416, 422, 428,
Halas
438, 451, 539
Hogies Australia
529
Horseley Dental Supplies
547
ID Health
156
Impulsedent Australia
107
Independent Dental Supplies
112
Information VMWi / AUMA
401, 402
Inline Medical & Dental
277
Innovatio Dental Supplies
500
Innovative Medical Technologies 120
Invisalign Australia
372
Ivoclar Vivadent
226, 227
Johnson and Johnson Pacific
127
Kaeser Compressors Australia
516
Kerr Australia
128
Leading Dental
546
Levitch Design Australia
197
Macono Ortho Laboratory
520
Medentra
561

Company name

Booths

Medical Equipment
and Gases Australia
382
Medical Equipment Services
513
Medifit Design & Construction
161
Mega-Physik GmbH & Co. KG
407
Minimax Implant
(Dentium Australia)
126
My Dental Marketing
142
Myofunctional Research Co.
167
NAB Health, Medfin Finance,
HICAPS
244
National Dental Foundation
251
Nobel Biocare
176
NSK Oceania
116
One Dental
470
Oral Health Professionals
Association
572
Oral 7
482
Orien Dental Supplies
373
Osseo Dental
403
Osstem Australia
355
Osteon Medical
115
Philips Oral Healthcare
350
Polyflor Australia
178
Practice Sale Search
296
Praktika
518
Presidental
147
Prime Practice
296
Queensland Ophthalmic Industries 173
Race Dental Laboratory
210
RCR International
411
Ridley Dental Supplies
511
Roland DG Australia
406
Royal Australasian College
of Dental Surgeons
574
Rural Health Workforce Australia 544
SDI
510
Sieverts Radiation Protection
Consultancy
247
Sirona Dental Systems
255, 256
Software of Excellence
454
Southern Cross Dental
175
Stoneglass Industries
413
Straumann
377
Supreme Orthodontic Supply (Aust) 111
Surgery Plus Solutions
386
The Australian Academy
of Facial Aesthetics
114
Therapeutic Goods Administration 498
TrollDental
159
Ultimate Dental Supplies
567
Ultimo Health Technologies
241
Ultradent Products
109
VOCO Australia
146
W&H
371
Westpac
254
William Green
467
Willman & Pein GmbH
421
Wisbey Dental
560
Xcellent Dental World
562
XO Care / Fairway Dental
532
XYZ Dental
515
ZEISS (Australasia)
380
Floor plan and exhibitors list are subject to
change. Last update was 24 February, 2016.

[27] =>

DTAP0316_27_Centaur 04.03.16 12:10 Seite 1

business

ADX Sydney 2016

Introducing D4W Cloud
Moved to the cloud yet? Centaur Software explains the benefits
of using cloud practice management software in dental practice.
n Now you can have all the benefits of online practice management
software without having to sacrifice any of the comprehensive
features of Dental4Windows that
has made it the favourite choice of
Australian dentists.

bersome manual back-ups, owing
to automatic back-ups to the
cloud. We have installed safeguards and procedures to ensure

eServices, including our integrated online patient booking
engine, eAppointments, and our
new integrated electronic patient

7. Choices
We understand dentists and
practices are unique and there

Cloud computing is a general
term for the delivery of hosted
services over the Internet. With
D4W Cloud, we deliver the practice management software to you
over the Internet and we provide
and manage all the IT back-up
and storage so you don’t have to.
Support and free upgrades are
provided as part of the fixed
monthly fee. There’s no upfront
payment apart from set-up and
training and no separate support
or maintenance payments. We
also offer D4W Subscription for
those who prefer their system
in practice as opposed to on the
cloud but who don’t want to
buy Dental4Windows outright.
No other dental practice management solution offers you such
flexibility in choice.

So what are the benefits
of online/cloud dental
practice management
software for single and
multi-site dental practices?
1. Freedom of access to your
dental software solution
wherever you are and whenever
With D4W Cloud, you now
have the freedom to log in with
your own password anywhere
—at home, work or a conference—
at any time of the day or night
that suits you. That means you
can access important information without necessarily being in
the practice. That gives you freedom and allows you to be in control of your business even if you’re
not in the practice. And if you’re
running more than one practice,
that’s indispensable. D4W Cloud
even runs on iPads and Macs.
Multi-location practices can store
data on a universal database or on
separate databases: If you have
more than one practice, then you
may want to have a single database for all of your practices to
centralise business operations.
Alternatively, you could have
them in the cloud and manage
them separately if that suits your
reporting processes better.
2. Automatic data back-up to
secure servers located in Australia
in real time means no more
time-consuming data back-up
With D4W Cloud, you now
don’t have to worry about cum-

How is D4W Cloud different
from the classic
Dental4Windows?

the security of your data. In fact,
our servers are as secure as
a bank, since we use a secure,
authenticated and encrypted
communication protocol widely
used by banking and payment
systems.
3. Reduced IT costs
No more complicated IT networking is required. As long as
you have a good Internet provider
with cloud services, it is taken care
of over the Internet and should be
a fraction of the cost.
4. Free updates and new features
All new upgrades including
new standard features are provided free of charge and automatically. That includes new compliance standards added to D4W
Cloud which mean you are always up to date. Regular updates
and new features will be added
automatically with some the latest including appointment and
recall automation. There’s no downtime and no disruption to the business.
5. One fixed monthly fee
One of the great benefits of
cloud products is they run on
a software as a service model.
What is that? Rather than an
initial large cost (capital cost) to
acquire the product, you pay a
fixed monthly fee (operating cost)
to use the solution. With D4W
Cloud, the only upfront cost is
set-up and training. There is one
fixed monthly fee and the option
to add extra modules for an additional fee.
6. All you’ve come to expect from
the classic Dental4Windows
The great thing about D4W
Cloud is that it doesn’t sacrifice
the abundance of features in the
classic Dental4Windows, so if
you know Denta4Windows then
you’ll know D4W Cloud. Also, you
can obtain all the new integrated

forms, eForms, all for one fixed
monthly fee.

is not a “one-size-fits-all” solution.
That’s why we now have a range

of methods as to how Dental4Windows can be delivered in your
practice(s). If you’d rather buy
Dental4Windows outright that’s
still available, but now you have
the option to gain the benefits
of Dental4Windows for a fixed
monthly fee with D4W Cloud. If
Cloud isn’t an option for you, you
still can with D4W subscription
pay a fixed monthly fee and have
Dental4Windows set up in your
practice, not online. It’s all about
making Australia’s favourite dental practice management solution
accessible to as many practices as
possible. 7

Visit Centaur Software at ADX16 at
Stand 222 or go to the company’s
website centaursoftware.com.au to learn
more about D4W Cloud.
AD

[28] =>

DTAP0316_28_Business 04.03.16 12:10 Seite 1

28

business

ADX Sydney 2016

TRIOS scans most accurate and consistent
Study compares leading intra-oral scanning systems in terms of trueness and precision
n A new study evaluating the
accuracy of six leading intra-oral
scanners in the dental market has
found 3Shape’s TRIOS to be both
the most accurate and consistent
performer of the scanners tested.
The study, which was conducted
jointly by the University of Mary-

land in Baltimore and the University of Freiburg in Germany, aimed
to compare the ability of intraoral scanning systems of different
brands to accurately scan a single
molar abutment tooth in vitro.
The analyses included the following six scanners: iTero (Align

Technology), 3M True Definition
(3M ESPE), PlanScan (Planmeca),
CS 3500 (Carestream Dental),
TRIOS and CEREC AC Omnicam
(Sirona Dental Systems).
In order to compare the accuracy of each system, the investigators

used an industrial-grade, highly accurate reference scanner to create
a digital reference dataset for
an acrylic dental model. A single
trained, experienced dentist then
scanned the acrylic model on three
separate occasions using each of
the six intra-oral scanning systems.

AD

Dental4Windows now has wings
5

Introducing D4W Cloud

3Shape’s
intra-oral scanner
TRIOS delivered the most accurate results
when compared with other leading scanning
systems in a recent study.

Trueness (accuracy) was defined by superimposing the three
digital datasets over the reference
dataset, with 3-D comparisons then
performed. Precision (consistency) was defined by superimposing
each dataset over the other two
datasets obtained and then evaluating for 3-D deviations.
Of the 18 datasets analysed, the
smallest deviations for the trueness measurements (± standard
deviation) between the reference
dataset and the various intra-oral
scanner datasets were obtained
from TRIOS (6.9 ± 0.9 µm), followed
by CS 3500 (9.8 ± 0.8 µm), iTero
(9.8 ± 2.5 µm), 3M True Definition
(10.3 ± 0.9 µm), PlanScan (30.9 ±
10.8 µm) and CEREC AC Omnicam
(45.2 ± 17.1 µm).
As for precision values, here too
TRIOS was identified as the most
accurate (4.5 ± 0.9 µm), followed by
3M True Definition (6.1 ± 1.0 µm),
iTero (7.0 ± 1.4 µm), CS 3500
(7.2 ± 1.7 µm), CEREC AC Omnicam
(16.2 ± 4.0 µm), and PlanScan (26.4
± 5.0 µm).
“The TRIOS scanning technology, in combination with the wand
design, seems to be beneficial for
capturing high quality datasets
with excellent trueness and precision values,” the investigators
said.
However, the results obtained
do not provide any information
about the quality of a fabricated
restoration based on these digital
datasets, the researchers stressed.
Moreover, in an in vivo design,
the outcomes might be different
owing to the presence of blood,
saliva, and patient movements,
they concluded.

D4W Cloud gives you the freedom of having your practice management software online without having to sacrifice
all the features of Dental4Windows that has made it the favourite choice of Australian dentists. All for one fixed
monthly fee. Visit us at ADX16 on Stand 222 or go to www.centaursoftware.com.au and learn to fly.

Stand 222

The study, titled “Evaluation of
the accuracy of six intraoral scanning devices: An in-vitro investigation”, was published in Volume 10,
Issue 4, of the ADA Professional
Product Review. 7

[29] =>

DTAP0316_29_Business 04.03.16 12:11 Seite 1

business

ADX Sydney 2016

What makes a good dental practice a great business?
More patients, fully booked chairs, happy staff, increased efficiency and profitability? In an increasingly competitive market,
the answer is probably a mix of these and many more.
n Software of Excellence has the
tools to help take your practice to
new levels. We have worked with
thousands of practices around
the world and developed a best
practice approach based on
global research from more than
1,500 dental practices in Australia, New Zealand and the UK.

How does your business
compare with topperforming dental practices
in the following areas?

Patient marketing: Running
successful marketing campaigns
is key to new patient acquisition
and increasing the value of existing patients. You need the tools to
set up your campaigns, monitor
what works and measure your return on investment while ensuring your online reputation stays
ahead of your competitors’.
Optimised diary: How do you
achieve your perfect day, ensuring the right treatment mix to
meet your patients’ needs while
maximising your hourly earnings? You need a system to help
you plan your forward cover to
minimise time not booked, that
reduces the number of patients
who fail to attend appointments
and effectively manages cancellations at short notice.

oral health surveys and treatment cost estimates.

Clinical excellence: Successful
patient outcomes and a streamlined chair time experience are of
vital importance to your practice.
You need tools that make life
easier for you as a clinician, such

as integrating digital imagery
with a patient’s record.

development opportunities, and
learn the necessary skills to boost
practice performance.

Treatment acceptance: Research
shows that 80 per cent of practice
revenues are generated by 12 treatment items from two main categories: (a) high-volume, low-margin
items (such as fillings, examinations and radiographs); and (b)
low-volume, high-margin items
(such as restorative crown and
bridge work). To increase the latter, you need the tools to boost your
chairside treatment acceptance.

Performance management: Measuring business performance is
the first step towards improving
the efficiency of your practice.
You need help looking inside your
business to see how effectively it
is operating using a range of key
performance indicators and the
ability to make the changes that
can have a dramatic impact on
your profitability. 7

Employee empowerment: Running a successful practice requires a team that is highly skilled
and motivated. You need to ensure
that your employees are gaining
the most from your business systems, receive clear training and

Visit Software of Excellence at Stand
454 during ADX16 for a free business
consultation and speak with one of
our experts to learn more about our
best practice approach and how you
compare to top performing dental
practices in each of these areas.
AD

Recall effectiveness: An effective patient recall system is the
backbone of any successful dental
practice, as this ensures that patients remain loyal and regularly
return to the practice for treatment. A best practice approach
means you can achieve a recall
success rate of over 85 per cent.
New patients: Acquisition of
new patients remains one of the
most challenging aspects of running a dental practice. Whatever
your practice type, you need the
tools to promote your practice, reengage lapsed patients and make
it easy for new patients to book
their first appointment.

Paperless: Running a paperless practice will streamline your
operations, reducing storage requirements and time spent on
administration. It is now possible
for patients to complete and sign
electronic versions of patient detail and medical history forms,

The 20th
China Int’l Exhibition & Symposium
on Dental Equipment , Technology & Products

Approved by: Ministry of Science and Technology of the People’s Republic of China
Organized by: China International Conference Center for Science & Technology /
Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University / Shanghai UBM ShowStar Exhibition Co., Ltd.
Co-organized by: Shanghai Stomatological Association / College of Stomatology, Shanghai Jiao Tong University / Shanghai Research Institute of Stomatology /
School of Stomatology, Tong Ji University / Shanghai Stomatological Disease Center

Shanghai World Expo Exhibition and
Convention Center, Shanghai, China

October 26~29, 2016

[30] =>

DTAP0316_30_Business 04.03.16 12:11 Seite 1

business

TWO NEW DENTAL MILLS DESIGNED TO MEET YOUR NEEDS
Designed for the effortless
production of dental prostheses,
Roland DG dental mills deliver
quality, efficiency and value in a
compact, user-friendly device. Ideal
for labs or office environments,
the open architecture of the DWX
series allows you to work with the
latest materials, CAD/CAM software and scanners, without having to rely on a single source.
Whether you’re looking for a dedicated dry or wet milling machine,
or both, Roland DG has the ideal
solution. Run the DWX-51D and
DWX-4W side by side for the most
flexible and productive dry and
wet milling solution, giving you the
confidence to take on the maximum amount of glass-ceramics and
zirconia restorations without the
need for back-and-forth set-up and
cleaning of a single machine.
The DWX-51D and DWX-4W
dental mills have recently been

validated by VITA Zahnfabrik
(Germany) for use with the
company’s dental prosthetic
materials, including VITA
ENAMIC, VITA SUPRINITY
and VITABLOCS Mark II.
DWX-51D
With a host of automated
features and precise fiveaxis milling, the DWX-51D
is the perfect solution for
labs wanting to increase
production or those looking
to start with digital milling
for the first time. Equipped
with a ten-station automatic
tool changer (ATC), a new
C-clamp with torque wrench
for easier loading of materials, and an expanded Virtual Machine Panel with built-in maintenance routine,
the DWX-51D takes dry milling to a whole new level. It’s
capable of producing copings,
crowns, complete bridges, abut-

ments and other prostheses from
zirconia, wax, PMMA, composite

resin, PEEK and gypsum with
unparalleled speed and precision. When equipped with ZDB-

ADX Sydney 2016

100D/50D/30D milling burs, the
DWX-51D is certified for milling
VITA ENAMIC.
The DWX-51D is a smooth and
steady ball screw-driven machine that operates on the X-,
Y- and Z-axes, simultaneously
rotating blocks and discs. Tilting on the b-axis, it supports
deep undercuts and the complex milling of large-arch restorations and other fullmouth prostheses. For higher
quality output, the DWX-51D
employs an improved airflow system, which boosts
vacuum performance and
prevents dust from building
up in the milling area. For
optimum convenience, a colour-coded light informs the
technician of the machine’s
operational status.
DWX-4W
The DWX-4W wet mill has
been specially designed for milling glass-ceramics and composite
resins, which are popular with

both dentists and patients for
producing aesthetically superior
crowns, inlays, onlays and veneers, and is certified to mill VITA
ENAMIC, VITA SUPRINITY and
VITABLOCS Mark II. In addition to
milling on the X-, Y- and Z-axes, the
DWX-4W rotates pin-type blocks
360° on a fourth axis (a-axis) to
support undercuts. The DWX-4W
also features a high-performance
Jäger DentaDrive spindle that
operates at speeds of up to 60,000
rpm for precision milling and
unmatched reliability. A multi-pin
clamp allows you to mill up to
three different pin-type materials
simultaneously, while a four-station ATC changes grinding burs
as needed without interrupting
production. The DWX-4W is also
equipped with a fully integrated
pump and coolant system with a
slide-out container for easy maintenance.
ROLAND DG,
AUSTRALIA
www.rolanddg.com.au

Stand 406

SYNEA VISION TURBINE WITH 5X RING LED+
Complete elimination of shadows during preparation has
long been the unfulfilled dream
of many a dentist. In 2014, W&H
achieved a technological masterpiece: five high-intensity pinhead-sized light-emitting diodes
(LEDs) in a ring shape integrated
into the small head of the new
Synea Vision TK-98 L turbine.
With the new sterilisable 5x ring
LED+, dentists for the first time
have the benefit of completely

ment site. The innovative W&H
turbine is particularly robust
with a special scratch-resistant
surface coating that extends
the life of the instrument. A
unique ergonomic design and
a small instrument head contribute to comfortable and fatiguefree work.
The Synea Vision TK-98 L turbine with 5x ring LED+ is the
result of intensive research and

The new Synea Vision turbine with 5x ring LED+ is evidence of W&H’s technological superiority
in the LED segment for dental instruments. For the first time, dentists can operate with a
completely shadow-free view of the treatment field.

shadow-free illumination of the
preparation site and patients also
benefit from the resulting improved treatment safety.
The preparation site is not
only illuminated from the mesial
aspect, but also from the buccal,
distal and lingual/palatal aspects
simultaneously with the new
light design. Full light intensity
is guaranteed even in the most
difficult situations.

development. Close cooperation
with internationally prominent
dentists during development of
the product lends this innovative
turbine the best possible support
for use in routine practice.
Distributor:

A-DEC, AUSTRALIA
www.a-dec.com
Manufacturer:

W&H, AUSTRIA
www.wh.com

An integrated spray with five
outlet nozzles ensures perfect
cooling and cleaning of the treat-

For more information, visit us at:

Stand 371

[31] =>

DTAP0316_31_WhatsOn 04.03.16 12:20 Seite 1

travel

ADX Sydney 2016

31

What’s on in Sydney from 18 to 20 March
French Film Festival
Dates: 18–20 March
Venues: Palace Cinemas
Times: Films will be screened daily
between 13:45 and 21:00
www.affrenchfilmfestival.org
With film classics such as
Breathless, a Nouvelle Vague
masterpiece, and world-acclaimed
hits Amélie and The Intouchables,
French cinema is in a league of its
own. Returning to Palace Cinemas
for its 27th season, the 2016 line-up
of the Alliance Française French
Film Festival—which is not only
Australia’s biggest film festival,
but also the largest festival of
French films outside of France—

Are you up for a culinary surprise? On Sunday, you can add
an element of mystery to your
dinner plans by attending Mystery
Feasts. All you have to do is pick
the time and Merivale will pick the
place. The A$75 dinner package
will then give you a three-course
dining experience in one of the
city’s premier restaurants.

Sydney Symphony
in Parramatta Park
Date: 19 March
Venue: The Crescent
at Parramatta Park
Starting time: 20:00
www.sydneysymphony.com

ductor Benjamin Northey, the concert promises jazz from Dixieland
to Duke Ellington, with roof-raising hits like “Basin Street Blues”
and Judy Bailey’s “Four Reasons”.
Making the event even more special is Australian jazz superstar
James Morrison, who will be joining the orchestra on stage.

Including the new singles
“Living for Love” and “Ghosttown”,
Rebel Heart is Madonna’s 11th No. 1
album on the Australian charts. As
the last stop on her homonymous
world tour, the 57-year-old pop

will not be just a concert but an
event with major costume changes,
spectacular dance pieces and of
course many (thought-) provoking
lines, for which the Queen of Pop
is world famous. UK newspaper

icon will perform live Down Under
for the first time since 1993 (!).
Anyone who has ever attended a
Madonna show knows that this

The Telegraph wrote: “Inarguably
another fantastic display of showbiz shock and awe from a mistress
of the form.” 7

Food and drinks will be available
to purchase on-site or you can bring
your own delicious picnic full of
tasty treats to take you through
the night. If all of the above is not
enough to convince you to attend
this fabulous concert, consider the
venue itself a must-see for visitors to
Sydney. First declared a People’s
Park in 1858, UNESCO World Heritage-listed Parramatta Park is more
than a green retreat and has much to
offer, including the Old Government
House, Australia’s oldest surviving
public building, erected in 1799.
includes 42 superb contemporary
features, one timeless classic and a
fabulous new programme strand
that will showcase five of France’s
premier television series.
Whatever your preferred genre,
do not miss the unique opportunity
to experience the very essence
of French culture by indulging in
the latest comedies, dramas and
thrillers from la belle France. You
might consider Julien Rappeneau’s
enchanting directorial debut Rosalie
Blum, a witty comedy that follows a
thirty-something hairdresser transfixed by a chance encounter with
a mysterious woman that inadvertently rejuvenates his outlook
on life. Tickets can be purchased
online, over the phone, or at the box
office at each venue. Amusez-vous
au cinéma!

March into Merivale Food
and Wine Festival
Date: 18–20 March
Venues and events are available at
www.merivale.com.au
Spanning restaurants and event
locations across the city, Sydney’s
annual food and wine festival is a
month-long extravaganza of foodand drink-related events. Including food markets, wine tastings,
chef competitions, cooking classes
and anything else food enthusiasts
fantasize about, each event has a
quirky theme to keep guests entertained. In addition, foodies are
given the opportunity to interact
with some of the best chefs and
sommeliers in Sydney.

Be enthralled with a magical
night under the stars when the
Sydney Symphony performs their
annual free concert at Parramatta
Park for the tenth time. With con-

Madonna
Dates: 19 and 20 March
Venue: Allphones Arena
Starting time: 20:00
www.allphonesarena.com.au

AD

[32] =>

WHAT A DIFFERENCE
A YEAR CAN MAKE!
360% MORE PATIENTS SEEN!
AFTER

BEFORE

38%

107

OUT OF

282

82%

386

OUT OF

472

OF PATIENTS
SUCCESSFULLY
RECALLED

OF PATIENTS
SUCCESSFULLY
RECALLED

JANUARY 2015

JANUARY 2016

Are you missing something?
Visit stand 454 to find out more...
* Figures are based on an actual dental practice in Victoria, Australia.

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[cover] => DT Asia Pacific No. 3, 2016

[toc] => Array ( [0] => Array ( [title] => Asia Pacific News [page] => 01 ) [1] => Array ( [title] => World News [page] => 03 ) [2] => Array ( [title] => Business [page] => 04 ) [3] => Array ( [title] => Aesthetic composite layering of implant-supported restorations in an edentulous jaw [page] => 06 ) [4] => Array ( [title] => Between BOPT and BTA [page] => 10 ) [5] => Array ( [title] => Individuals play the game - but teams win championships [page] => 14 ) [6] => Array ( [title] => Interwiew: “Prevention of sex trafficking is our ultimate aim” [page] => 15 ) [7] => Array ( [title] => today ADX Sydney 18-20 March - 2016 [page] => 17 ) ) [toc_html] =>

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