DT Asia Pacific No. 6, 2017DT Asia Pacific No. 6, 2017DT Asia Pacific No. 6, 2017

DT Asia Pacific No. 6, 2017

Asia-Pacific News / Business / Promoting early diagnosis / Aesthetics in the anterior maxilla / Sagittal First - Using the Carriere Motion appliance to treat Class II and III patients

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            [1] => 







DENTALTRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition

Published in Hong Kong

www.dental-tribune.asia

DENTAL EARPLUGS

Dr Sam Shamardi, developer of
noise reduction earplugs for the
dental office, about the dangers
of hearing loss in the profession.

Vol. 15, No. 6

IDEC 2017

SALIVA SCREENING

Premiering in September, the Indonesia Dental Exhibition and Conference is anticipated with much excitement from the dental industry.

” Page 04

To facilitate oral prophylaxis in clinical practice, a new saliva testing
device measures seven oral health
parameters in a matter of minutes.

” Page 06

” Page 10

Smoking linked to hypodontia
© Dean Drobot/Shutterstock.com

By DTI
OTAGO, New Zealand: A study conducted by researchers at the University of Otago has found that
women who smoke more than ten
cigarettes a day while pregnant
may negatively impact the development of their children’s teeth.
The study looked at 83 children
with hypodontia—defined in the
study as the developmental absence of up to five permanent
teeth—and compared them with
253 children without the condition. The children’s mothers reported their levels of exposure to
active and passive smoking during pregnancy, along with their
caffeine and alcohol intake.
Prof. Mauro Farella, who led
the research, said that hypodontia
was positively linked to cigarette
smoking. The study found no association between the condition
and drinking alcohol or caffeinated drinks however.
“There was a suggestion of a
‘biological gradient’ effect with to-

bacco,” said Farella, who is head of
orthodontics at the University of
Otago’s Faculty of Dentistry. “The
more cigarettes a mother reported
smoking during pregnancy, the
greater the likelihood was of her
child having hypodontia.”
“Though more research is
needed to confirm the association

we found between maternal
smoking and the condition, a
plausible explanation is that
smoking causes direct damage to
neural crest cells in developing
embryos,” he explained.
The findings are in line with a
growing body of evidence that
demonstrates the negative impact

smoking while pregnant can have
on an unborn baby. Various studies
have shown that smoking during
pregnancy increases the risk of premature birth, a low birth weight or
a stillbirth. The study, titled “Maternal smoking during pregnancy is
associated with offspring hypodontia”, was published online on 23 May
in the Journal of Dental Research.

Australasia
­symposium
MELBOURNE, Australia: For the
first time in the Osteology
Foundation’s history, Melbourne
played host to one of the three
Asia-Pacific symposiums in 2017.
Themed “Strategies for predictable regeneration—Today and
­tomorrow”, the scientific programme delved intensively into
the current status of knowledge
and research in oral tissue
­regeneration, discussing new
trends and techniques in the
field.
Held on 2 and 3 June at the Arthur Streeton Auditorium in Melbourne, the two-day event was
one of four symposiums taking
place over the next 12 months.
Other host countries are Japan,
China and Russia. In addition to
such national events, the nonprofit organisation holds its international symposium in the Côte
d’Azur in Monaco every three
years.
More information can be
found at www.osteology.org.

IV_Image_Anz_102x128_Layout 1 01.12.11 17:10 Seite 1
AD

Facial
­features
Representatives of W&H and Planmeca during the celebratory opening of the two dental
companies’ joint office in Bangalore in India.
” Business Page 06

ADX Sydney: Aesthetics
New manager meeting
Linda Gaunt, former CEO of
Meetings & Events Australia, has
been appointed as the Exhibitions Strategy Manager of the
Australian Dental Industry Association. She will first be tasked
with making the upcoming
ADX18 Sydney, Australia’s largest
dental exhibition, an event that
captures the interest of the entire dental community.

The Aesthetic Dentistry Society
Singapore has announced the
launch of a new event focused on the
discipline for the Asia-Pacific region.
Making its debut in autumn 2018,
the Dental Aesthetics Meeting in
Asia will be held on 28 and 29 September and feature a conference
with papers by leading international
practitioners and researchers, as
well as an industry exhibition.

Researchers in the US have found
that genetics that shape dental and
thus facial features might also increase the likelihood of specific handedness. In a recently published study,
people with slender faces were found
to be predominantly left- rather than
right-handed. The findings of the
study were based on three national
health surveys, with a total of 13,536
participants, that were conducted in
the US in the 1960s and 1970s. In a
­review of these, researchers at the
­University of Washington School of
Dentistry found that bilateral retro­
gnathism—the dental marker for a
convex facial profile, slender jaws
and overbite—was associated with
25 per cent increased odds for lefthandedness in the study population. They further stated that prevalence of bilateral retrognathism in
all three surveys was significantly
higher among European Americans
than African Americans.

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[2] =>
02

ASIA PACIFIC NEWS

Dental Tribune Asia Pacific Edition | 6/2017

Unique root canal anatomy
­patterns in Indian population

IMPRINT
GROUP EDITOR:
Daniel ZIMMERMANN
newsroom@dental-tribune.com
Tel.: +44 161 223 1830

MANAGING EDITOR AP:
Kristin HÜBNER

EDITOR:
Yvonne BACHMANN

By DTI

Under the supervision of college deans Drs Shishir Singh and
Mansingh Pawar, about 20 students involved in the research
project have been investigating
5,000 teeth that were provided by
dental colleges and hospitals in
the region.
The results showed that the
anatomy of the mandibular ca-

© daybooklive/Shutterstock.com

NAVI MUMBAI, India: Provisional
findings of an Indian study have
suggested that the root canal anatomy of Indians might differ from
those of other ethnicities, and
hence, they may require adapted
care during root canal therapy.
The study, which began two years
ago, is being jointly conducted by
researchers at two local dental
­colleges, Terna Dental College and
the Government Dental College in
Mumbai.

nines and second premolars was
more complex than that of teeth
from other ethnicities. For example, the investigators found
that the extra mesiobuccal canal
often seen in European, Thai

and Japanese populations was
rare in the Indian maxillary molars examined. In addition, Indian teeth showed root canal
anatomy patterns that were different from those seen in Amer-

ican and African teeth. Consequently, the researchers concluded that Indians might require special care during dental
treatment in order to ensure
treatment success.

ONLINE EDITOR/SOCIAL MEDIA MANAGER:

Explaining the tooth preparation process, Singh said that the
teeth are cleaned and disinfected
before the root canals are accessed
and dye is injected into them.
After drying and decalcification,
the specimens are dehydrated
in ascending concentrations of
methanol, Singh told The Times of
India. “The students study the
specimens under special halogen
lighting and the root canal anatomy is classified using internationally accepted classifications,”
Singh explained regarding the
­research method.

COPY EDITORS:

Claudia DUSCHEK

MANAGING EDITOR &
HEAD OF DTI COMMUNICATION SERVICES:
Marc CHALUPSKY

JUNIOR PR EDITORS:
Brendan DAY
Julia MACIEJEK
Sabrina RAAFF
Ann-Katrin PAULICK

CLINICAL EDITORS:		
Magda WOJTKIEWICZ
Nathalie SCHÜLLER

PUBLISHER/PRESIDENT/CEO:
Torsten R. OEMUS

CHIEF FINANCIAL OFFICER:
Dan WUNDERLICH

BUSINESS DEVELOPMENT MANAGER:
Claudia SALWICZEK-MAJONEK

PROJECT MANAGER ONLINE:
Tom CARVALHO

JUNIOR PROJECT MANAGER ONLINE:
Hannes KUSCHICK

E-LEARNING MANAGER:
Lars HOFFMANN

MARKETING SERVICES:

The study is ongoing and the
researchers hope to make further
findings, Singh said.

Nadine DEHMEL

SALES SERVICES:
Nicole ANDRÄ

ACCOUNTING SERVICES:
Anja MAYWALD
Karen HAMATSCHEK
Manuela HUNGER

Neanderthal used natural
­analgesics, calculus shows

MEDIA SALES MANAGER:
Antje KAHNT (International)
Barbora SOLAROVA (Eastern Europe)
Hélène CARPENTIER (Western Europe)
Maria KAISER (North America)
Matthias DIESSNER (Key Accounts)
Melissa BROWN (International)
Peter WITTECZEK (Asia Pacific)
Weridiana MAGESWKI (Latin America)

EXECUTIVE PRODUCER:
Gernot MEYER

ADVERTISING DISPOSITION:

By DTI

© Petr Student/Shutterstock.com

ADELAIDE, Australia/LIVERPOOL, UK:
Ancient DNA in the calcified dental plaque of Neanderthals—the
nearest extinct relative to humans—has provided new insights
into their behaviour, diet and evolutionary history. An international
team of researchers has analysed
42,000- to 50,000-year-old dental
plaque DNA samples from four
Neanderthals found at cave sites
in Belgium and Spain. The findings revealed the complexity of
Neanderthal behaviour, including
knowledge of plant-based medication and dietary differences.

According to the researchers,
DNA preserved in the dental plaque
of Neanderthals is a notable source
of information about the behaviour
and health of ancient hominin specimens. From analysing the dental
plaque DNA samples, the researchers
learnt that the Neanderthals from
the cave sites of Spy in Belgium consumed woolly rhinoceros, European
wild sheep and wild mushrooms. In
contrast, those from El Sidrón cave in
Spain appeared to have a vegetarian
diet, including moss, mushrooms,
pine nuts and tree bark, but no evidence of meat was found. These
findings demonstrate that these
two groups had very different diets.

“Dental plaque traps microorganisms that lived in the mouth and
pathogens found in the respiratory
and gastrointestinal tract, as well as
bits of food stuck in the teeth—
preserving the DNA for thousands
of years,” said lead author Dr Laura
Weyrich, Australian Research Council Discovery Early Career Research
Fellow at the Australian Centre for
Ancient DNA (ACAD) of the University of Adelaide.
She added, “One of the most
surprising finds, however, was in a
Neanderthal from El Sidrón, who
suffered from a dental abscess visible on the jawbone. The plaque

showed that he also had an intestinal parasite that causes acute diarrhoea, so clearly he was quite sick.
He was eating poplar, which contains the pain killer salicylic acid
(the active ingredient of aspirin),
and we could also detect a natural
antibiotic mould (Penicillium) not
seen in the other specimens.”
Furthermore, dietary differences were associated with a general shift in the oral microbiota,
suggesting that meat consumption
contributed to substantial variation
in this regard. “Not only can we now
access direct evidence of what our
ancestors were eating, but differences in diet and lifestyle also seem
to be reflected in the commensal
bacteria that lived in the mouths of
both Neanderthals and modern humans,” said co-author Prof. Keith
Dobney, from the University of Liverpool. “Major changes in what we
eat have, however, significantly altered the balance of these microbial
communities over thousands of
years, which in turn continue to
have fundamental consequences
for our own health and well-being.”
The study, titled “Neanderthal
behaviour, diet, and disease inferred
from ancient DNA in dental calculus”, was published on 20 April in the
Nature journal. It was conducted by
ACAD in collaboration with the University of Liverpool in the UK.

Marius MEZGER

DESIGNER:
Nora SOMMER

Published by DT Asia Pacific Ltd.
DENTAL TRIBUNE INTERNATIONAL
Holbeinstr. 29, 04229, Leipzig, Germany
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Fax: +1 212 224 7185
© 2017, 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] =>
03

ASIA PACIFIC NEWS

Dental Tribune Asia Pacific Edition | 6/2017

© UnknownLatitude Images/Shutterstock.com

Australia: Royal Flying
Doctor Service receives
funding boost

The Royal Flying Doctor Service provides emergency and essential
health care to many of Australia’s
remote communities.

By DTI
AD

CAIRNS, Australia: The Royal Flying Doctor Service of Australia
(RFDS) has long provided muchneeded medical assistance to
many of the expansive country’s
most remote communities. Dr
David Gillespie, Assistant Minister for Health, has announced that
the Australian federal government will commit A$11 million in
funding to the not-for-profit organisation so that it can continue
to offer dental services to these
regions.

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Established in 1928 by Rev. John
Flynn, the RFDS utilises its fleet of
66 aircraft to offer both emergency
and essential health care to Australian residents who are unable to
access these services via more common modes of transport. It is
funded through a combination of
donations and financial support
from the Australian government’s
RFDS programme. It holds an important place in Australia’s medical
services sector and was described
by former Prime Minister Sir Robert Menzies as “perhaps the single
greatest contribution to the effective settlement of the far distant
country that we have witnessed in
our time”.

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on time
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and achieve amazing results

“The Royal Flying Doctor Service is well-placed to provide these
essential mobile outreach dental
services in rural and remote Australia,” said Gillespie in a statement. “Today we deliver on our
election commitment to ensure
people outside our major cities
have better access to high-quality
dental services.”

“This funding from the Federal Government will enable the
Flying Doctor to expand its dental
outreach programme to start
tackling the disparity that exists
between city and the bush—and
for that we are very, very thankful,” he added.

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“There are only one-third the
dentists in remote areas, with 72
dentists per 100,000 people in
major cities, and less than 23 per
100,000 people in remote areas,”
said Laverty. “When people from
remote areas visit the dentist,
they are more likely to require
acute intervention—1 in 3 had a
tooth extraction in a year, compared with less than 1 in 10 in
metropolitan areas.”

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Martin Laverty, CEO of RFDS,
welcomed the funding and took
the opportunity to highlight the
disparity in dentist numbers between urban and remote areas.

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06

BUSINESS

Dental Tribune Asia Pacific Edition | 6/2017

First Indonesia Dental Exhibition a major
platform for dental industry
© Koelnmesse

By DTI

© Koelnmesse

JAKARTA, Indonesia: Being held for
the first time this September, the
Indonesia Dental Exhibition and
Conference (IDEC) is anticipated
with great interest from international dental companies and local
distributors alike. Featuring regional pavilions from China, Germany, Italy, South Korea and Switzerland, the organisers expect the
event to be an important business-to-business platform for the
dental industry.

Left: Dr Hananto Seno, President of the Indonesian Dental Association and Chairperson of the
­organising committee for IDEC 2017, at the IDEC Traders’ Meeting in January.

To be held from 15 to 17 September in Jakarta, the dental
event is being jointly organised
by the Indonesian dental association and trade show organisers
Koelnmesse and PT.Traya Eksibisi Internasional. “Local support for IDEC 2017 is strong with
key distributors and partners
coming in early at the IDEC Traders’ Meeting that was held in Jan-

uary. Dental professionals from
across Indonesia can look forward to a comprehensive threeday exhibition with numerous
products being showcased by
200 manufacturers, distributors and traders,” said Bambang
Setiawan, President Director of
­P T.­Traya Eksibisi Internasional,
giving a preview of the industry
exhibition.

In anticipation of the event,
representatives of attending dental companies expressed their
high expectations for IDEC. “Indonesia, being a leading emerging
market economy amongst southeast Asian countries, is valued as
an important market to GC Asia.
Given the expected growth, as well
as the number of new graduates
per year, GC foresees a huge poten-

tial for this blooming market,” said
Caroline Smessaert, Marketing
Manager for GC South East Asia.
Through its participation in
the event, GC South East Asia aims
to address the demand and awareness for dental care by supplying
high-quality and innovative products to meet everyday challenges,
Smessaert further stated.

Equally enthusiastic about
the event was Verena Schuetter,
Junior Marketing Manager for
South East Asia at Dentsply
Sirona. “IDEC 2017 gives us the
opportunity to not only showcase our latest innovations
shortly after IDS [International
Dental Show], but enables us to
also provide continuing education within the congress programme in Indonesia,” she remarked.
Complementing the industry
exhibition will be a conference,
with the theme “Modern science
and technology for the future of
dentistry”. Regarding the scientific programme, Dr Hananto
Seno, President of the Indonesian
Dental Association and Chairperson of the organising committee
for IDEC 2017, remarked that
growing competition in the era
of the ASEAN economic community is driving demand for better
dental care and devices that facilitate more efficient treatment.
“Thus, dental professionals need
to constantly upgrade, update
and familiarise themselves with
technological advances in dentistry,” Dr Seno emphasised.
More information about IDEC
2017, including registration, is
available on the event website.

W&H and Planmeca joint branch office
opens officially

professional application support
and education,” Malata added.

In the future, comprehensive
product training for customers will
be an essential part of the joint market activities, the companies’ representatives pointed out. “The new office was especially designed to provide basic product courses for Indian
customers followed by advanced
courses at respective facilities at the
company headquarters in Austria
and Finland,” explained Raghavan
Radhakrishnan, General Manager
of Planmeca India and W&H India.

Addressing the need for safer
and high-quality dental services for
India’s vast population, the new office includes a 2,800 m2 showroom
that is equipped with state-of-theart technology and offers the ideal
space for product presentation, live
demonstration and training. Ac-

After the official opening of
the new premises, representatives
of W&H and Planmeca, as well as
the Indian team, further discussed the synergistic product
portfolio and future activities of
the two companies in a get-­
together at the Taj Bangalore hotel.

© W&H

© W&H

cording to the companies, the facility places special emphasis on oral
surgery and implantology, restoration and prosthetics, sterilisation,
hygiene and maintenance, and
CAD/CAM and radiology.

Planmeca President Heikki Kyöstilä (left) and W&H Managing Director Peter Malata during the inauguration of the Bangalore office. —Space for product presentation,
live demonstration and training—the new showroom.

By DTI
BANGALORE, India: After having
announced their joining forces to
expand in the Indian dental market last autumn, W&H Managing
Director Peter Malata and Planmeca President Heikki Kyöstilä officially opened the new branch office in Bangalore with a celebratory
ceremony in April. A highlight of

the event, which was attended by
125 invited guests, was the unveiling of the new showroom for live
demonstrations and individual
customer training.
With the local office in the
country, both companies seek to
create a direct link to Indian customers to foster good relationships
with this client group. “Our aim is

to work for the good of the Indian
dental community, bringing good
quality dental and patient care to
the people of the country,” Kyöstilä
said. “We strive for a synergistic
product offering dedicated to the
Indian market demands. By sharing not only facilities but also other
practical activities with our partner Planmeca we want to establish
professional technical support,


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08

BUSINESS

Dental Tribune Asia Pacific Edition | 6/2017

Glidewell expands partnership with Structo
By DTI
SINGAPORE/NEWPORT BEACH, USA:
After testing three of Structo’s
­OrthoForm printers for its laboratory services over the last year,
Glidewell Dental has announced
the expansion of its partnership
with the Singapore-based 3-D printing solutions provider with an
­investment in two of the company’s newly launched DentaForm
3-D printers.
“Having one of the leading
dental labs in the world place its

trust in our technology shows
that our solution is addressing a
very critical need in digital dentistry,” commented Huub van Esbroeck, co-founder of Structo, on
the announcement.
The Structo printers are
equipped with MSLA (mask stereo­
lithography) technology. Owing
to the proprietary technology, the
3-D printers are able to achieve
speeds much higher than conventional SLA printers, resulting in
higher production throughput
and lower costs.

“Structo’s unique MSLA
technology is just the type of
innovation the industry needs,”
said David Leeson, Director of
Engineering at Glidewell Dental. “We are very excited to continue this partnership with
Structo and improve our production efficiency by adopting
the newly launched DentaForm
3D printer.” He remarked that
the company foresees further
expansion, with the acquisition
of additional DentaForm printers in the second half of this
year. “Operating two of Structo’s
new printers is not only sufficient to replace a number of our
existing printers, but also allows
us to increase capacity overall,”
he added.

Despite being halfway across
the world, the partnership has
been beneficial for both companies, according to van Esbroeck.
“David and his team have been
providing us with a lot of feedback that has contributed to new
features and design elements of
the DentaForm printer.”
More information about the
DentaForm printer and Structo’s
portfolio can be found at www.
structo3d.com. In addition to its
line of dental 3-D printers,
Structo manufactures control
systems and software and formulates its own photopolymer
materials tailored to each use in
a range of dental 3-D printing
applications.

Handpiece-deployed caries detection
COLOGNE, Germany/CHICO, USA:
Lares Research, a global leader in
handpiece manufacturing, introduced Fluoresce HD, its revolutionary new handpiece-deployed
caries detection technology at the
2017 International Dental Show in
Cologne in Germany. It is available
for both high- and low-speed
handpieces. The light emitted
from the handpiece causes caries
to fluoresce orange-red, while
healthy dental tissue appears
green, enabling the dentist to
visualise the margins and easily
remove the carious tissue.
Conventionally, dentists decide whether dentine is diseased
and should be excavated based on
the colour and hardness of the tis-

sue. Determining whether all the
decayed tissue has been removed
is still clinically difficult with current techniques.1–3 In addition, recurrent caries remains one of the
major reasons for restoration replacement. Thus, Fluoresce HD
was developed for effective, yet
minimally invasive, removal of
diseased dentine.
A ground-breaking advancement in the removal of caries,
­Fluoresce HD utilises the patented Fluorescence-Aided Caries
Excavation (FACE) restorative
technique. A study conducted at
the University of Zurich in Switzerland in 2006 showed that FACE
achieves a better combination of
excavation time and successful

removal of infected dentin compared with conventional excavation, caries detector dye, and chemomechanical caries removal. 4
For deep caries excavation,
Lares offers a 0–25,000 rpm
­Fluoresce HD low-speed handpiece with a 405 nm LED light integrated into the motor. The emitted light accentuates the margins
between healthy tooth structure
and restorative materials, and thus
helps preserve healthy tissue and
maximise the remaining strength
of the tooth, leaving it less prone to
breakage. Fluoresce HD provides
the dentist with visual confirmation that all carious tissue has been
removed, thereby minimising the
risk of reinfection.

Simple and cost-effective to
use, Fluoresce HD can be deployed
with Lares’s turbines or with any
KaVo MULTIflex-compatible turbines (KaVo Dental) by the addition
of a Lares Fluoresce HD LED swivel
coupler. For low-speed caries excavation, Fluoresce HD may be deployed with the addition of the
­Fluoresce LED-lit low-speed motor
and a 1:1 fibre-optic contra-angle
handpiece. Adoption of Fluoresce
HD in the dental practice is easy.

and waiting for dye to detect unremoved caries during preparation.
More information about
­Fluoresce HD, relevant studies and
articles can be found at www.­
­laresdental.com.
Editorial
note: A list of
references is
available from
the publisher.

In comparison with current
methods, Fluoresce HD saves significant chair time because the dentist
does not need to repeatedly interrupt the decay removal process by
putting the handpiece down and
picking up an explorer or applying

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Glass ionomer luting cement
• High level of adhesion
• Highly biocompatible, low acidity
• Continuous fluoride release
• Precision due to micro-fine film thickness
• Translucency for perfect aesthetic results
• High compressive strength and low solubility

Glass Ionomer Filling Cement
• For fillings of classe I, III and IV
• Excellent biocompatibility and low acidity
• High compressive strength
• No temperature rise during setting
• Enamel-like translucency
• Excellent radiopacity
• Stable and abrasion resistant

Visit www.promedica.de to see all our products

Dental Material GmbH

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


[9] =>
Dental Tribune Asia Pacific Edition | 6/2017

BUSINESS

09

Ivoclar varnish Cervitec F
well-liked, survey indicates
By DTI
SCHAAN, Liechtenstein: In a survey
recently conducted by Ivoclar
Vivadent on its new protective varnish, Cervitec F, respondents commented favourably on its aesthetics, range of applications, delivery
form, fluoride and chlorhexidine
concentrations, and taste. Overall,
the dentists reported that the significant advantage of the combination product is that it saves time.

Cervitec F differs owing to its
innovative formulation, merging 1,400 ppm fluoride, chlorhexidine and cetylpyridinium
chloride, according to the com-

pany. This means that fluoride
application and bacterial control
can now be achieved in one working step, the representative explained.

Cervitec F: The significant advantage
of the combination product is that it
saves time in the practice, a survey
among 279 dentists found.
AD

The survey invited dental professionals to rate the properties of
the varnish, which was launched in
all European markets in September
2016 and is now available in Australia and New Zealand. “Their
opinion is important to us,” a representative of Ivoclar told Dental
Tribune. A total of 279 dentists
tested and commented on Cervitec F.
According to Ivoclar, more than
80 per cent of the survey participants were generally satisfied or
very satisfied with the results of the
varnish system, reporting that
they would recommend using the
product after professional teeth
cleaning. Over half of the surveyed
dentists also said that they would
recommend using the product
during orthodontic treatment for
high-risk patients or patients with
motor impairments. In addition,
respondents indicated that they
use Cervitec F for patients with root
caries, implants or erupting teeth.

DGSHAPE
3-D printer
HAMAMATSU, Japan: Roland DG
Corporation has announced the release of its first dental 3-D printer,
the DWP-80S, to assist in the production of dentures. Launched at
the same time, the DWX-52DC is
the newest addition to the popular
DWX series dental mills and
­includes several new automated
functions for the unattended production of precision dental restorations. With the announcement, the
company now offers the dental industry both additive (3-D printing)
and subtractive (milling) manufacturing processes to improve the
workflow of dental technicians,
representatives said.
“The DWP-80S 3-D printer
­expands the field of digital dentistry with advanced 3-D printing
technology, while the DWX-52DC
mill introduces a new level of
­automation for the production of
dental restorations,” Kohei Tanabe,
Roland DG’s general manager of
medical market development, explained.

Hingis_DailyRitual_A4.indd 1

23.03.17 09:23


[10] =>
10

SCIENCE & PRACTICE

Dental Tribune Asia Pacific Edition | 6/2017

Promoting early diagnosis
A novel saliva test allows dentists to measure crucial oral health parameters in a matter of minutes
By DTI
KYOTO, Japan:
With the launch
of its novel saliva-testing device,
SPOTCHEM ST
ST-4910, Japanese
company ARKRAY
has introduced a
system that measures multiple parameters associated with oral
health within
5 minutes. The measuring
instrument is complemented by a
testing kit, ST Check, and is to be
distributed internationally, Aiko
Hitomi from the Scien marketing
team told Dental Tribune.
Using a small sample of saliva,
the device screens parameters
such as cariogenic bacteria, salivary acidity, buffer capacity, leukocyte count, traces of blood, protein status and ammonia values
applying the dual-wavelength
­reflectance method, Hitomi explained. The patient’s individual
results are visualised in an
easy-to-analyse chart that is
printed about 5 minutes after the
saliva has been applied to the test
strip.
Through analysis of the individual parameters, dental professionals may be able to recognise
early warning signs of conditions
such as caries or periodontal disease, according to the company.
For example, studies have shown
that gingival inflammation increases leucocytes in the saliva.
Therefore, a high leucocyte count
may be an indicator of gingivitis
even though the patient is not experiencing obvious symptoms of
the condition yet.
Since its launch, the palmsized device has already attracted

a
great
deal of interest in
the market. Having promoted
it at several dental exhibitions,
the company has received positive feedback from regional and
foreign dentists, hopefully indicative of the device’s successful distribution worldwide, Hitomi said.
Although there are some
competitors in the field, he emphasised that the company’s system is unique in that it can assess seven items at once—more
than any other saliva test on the
market. Aimed at professional
use, the technology is targeted at
dentists and dental hygienists,
and it is to be used for reference,
but not for stand-alone diag­
nostic purposes, according to
Hitomi.
Since saliva screening with
devices such as the SPOTCHEM ST
ST-4910 system has not been
standardised yet, there is no compatibility between the ARKRAY
kit and saliva test systems from
other companies, Hitomi said.
Currently, the device is available
in Europe and selected Asian
countries.
More information can be found
at www.arkraydental.com.

ROOTS SUMMIT 2018: Registration open
By DTI
BERLIN, Germany: Online registration for the next ROOTS SUMMIT,
the premier global discussion
forum dedicated to endodontic
dentistry, is now open. The event,
featuring lectures and workshops,
will be held at the European School
of Management and Technology
(ESMT) in Berlin from 28 June to
1 July 2018. Approximately 500 visitors are expected at next year’s
ROOTS SUMMIT, which is again
being organised in collaboration
with Dental Tribune International.
Although the 2018 ROOTS SUMMIT
will mainly feature presentations
on the latest techniques and technologies in endodontics, the organ-

isers are inviting dental professionals in all fields, as well as manufacturers in the industry, suppliers of
endodontic products and anyone
involved in the practice of endodontic treatment, to attend.
It has been announced that foremost opinion leaders, including Drs
Frederic Barnett, Gergely Benyőcs
and Elisabetta Cotti, will be speaking
at the conference next year. There
will also be the opportunity to participate in hands-on workshops,
speak to industry professionals onsite and engage with new equipment, procedures and protocols in
endodontic dentistry. A number of
dental companies specialising in endodontics, including META BIOMED

ROOTS SUMMIT evolved into one
of the most prominent global
learning forums in the dental
­industry. Previous conferences
have been held in Canada, the US,
Mexico, Spain, the Netherlands,
Brazil and India. The 2016 ROOTS
SUMMIT took place in the UAE
and was one of the most important events in endodontics, drawing over 300 dental professionals
to Dubai.

and FKG Dentaire, have already
confirmed their participation.
The ROOTS SUMMIT, which
started as a mailing list of a large

group of endodontic enthusiasts
in the 1990s, has grown significantly over the last few years. With
currently more than 24,000 members from over 100 countries, the

An early bird discount of
20 per cent is being offered and
dental students too will be
granted a 20 per cent discount.
Additional information and online registration can be found at
www.roots-summit.com.


[11] =>

[12] =>
12

TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 6/2017

Aesthetics in the anterior maxilla
A team-oriented approach

1

4

2

5

3

6a

6b

Fig. 1: Disharmonious transition between the gingival margin and the metal–ceramic crown. The collapse of the emergence profile at site #11 was clearly visible.—Fig. 2: Eight weeks after extraction of
tooth #11: convex contour of the alveolar ridge and preservation of the soft tissue.— Fig. 3: After insertion of the implant at site #11. Ten weeks later, an impression was taken and a temporary bridge with
an extension for site #21 was fabricated.—Fig. 4: The second implant was placed immediately after extraction of tooth #21. —Fig. 5: The temporary bridge with the extension for site #21 was screwed to implant
#11. After two months, the buccal contour at site #21 was corrected with a connective tissue graft.—Figs. 6a & b: Fabrication of the individualised impression coping for the implant at site #11. The emergence
profile of the temporary should be transferred to the final restoration. This procedure prevents the emergence profile from collapsing during impression taking.

By Drs Sofie Velghe and
Aryan Eghbali, Belgium
Multidisciplinary collaboration plays
a significant part in achieving predictable treatment results. This article demonstrates the importance
of accurate case analysis and preoperative planning.
This case report describes the
reconstruction of two lost central
incisors in the anterior maxilla.
After tooth #11 had been extracted, measures for preserving
the alveolar ridge were performed.
After eight weeks, an implant was
placed and a screw-retained tem-

7a

8b
1

porary bridge was fabricated.
Prior to inserting the temporary
bridge, tooth #21 was extracted
and immediately replaced with an
implant.

Introduction
The impending loss of a tooth
in the aesthetic zone can be a distressing experience for the patient.1 As the success rates and
predictability of dental implants
have improved over the years,
implant-based treatments have
gained in popularity. 2, 3 Osseointegration is no longer the only
criterion for successful implant

7b

therapy; the aesthetic outcome
of the implant reconstruction is
also important.
The aesthetic peri-implant
tissue should be in harmony
with the healthy surrounding
dentition in terms of height, volume, shade and contour. The restoration should appear lifelike
and imitate the appearance of
the missing tooth in terms of
shade, shape, structure, size and
optical properties. 4 In a multidisciplinary team approach, several
treatment modalities, such as
minimally invasive methods,
ridge preservation protocols,

connective tissue grafting, provisionalisation and plastic-­
aesthetic periodontal surgery,
should be considered. In addition, a thorough analysis, for example with digital smile design,
is crucial.5

Case report
A few years ago, both central
incisors of this young male patient were restored with metal–
ceramic crowns. From today’s
perspective, the restoration would
be categorised as an aesthetic
failure (Fig. 1). Both teeth showed
significant amounts of gingival

7c

9a

recession, visible crown margins,
and a loss of harmony between
the gingival architecture and the
restoration. The treatment plan
was to replace the two central
­incisors with two implants with
screw-retained monolithic lithium disilicate crowns. In order to
create a harmonious aesthetic
appearance, the two lateral incisors would be built up with composite material.
Surgical phase
The initial assessment resulted in a treatment plan in
which both incisors were to be replaced with implants (NobelActive,

8a

9b

Figs. 7 a – c: Impressions of the implants at site #11 and 21 with an individualised and standard impression coping and the model fabricated on the basis of these impressions.—Figs. 8a & b: Implant model. The ­basal
region at site #21 was modified by grinding, and the emergence profile of the pontic at site #21 of the temporary bridge was recorded using silicone.—Figs. 9a & b: Analysis and planning using the digital
smile design method. Compared with the lateral incisors, the central incisors were too wide.


[13] =>
Dental Tribune Asia Pacific Edition | 6/2017

13

TRENDS & APPLICATIONS

10a

10b

10c

10d

10e

10f

10g

10h

10i

10j

10k

10l

10m

10n

10o

Nobel Biocare). In order to maintain the central papilla between
the incisors, a gradual extraction
of the two teeth was performed,
starting with tooth #11. A few
weeks later, tooth #21 was extracted, followed by immediate
implant placement. A temporary
bridge with an extension as pontic #21 was fabricated in order to
contour the soft tissue. Figures 2
to 5 show the surgical phase
aimed at preserving the soft
­tissue.

success of treatment. Transmitting this data to the dental technician presents a challenge.6 In
order to replicate the soft-tissue
architecture, a standard impression coping on implant #11 was
individualised. Then, an impression was taken of the implants at
sites #11 and 21 using an individualised and standard impression
coping, respectively (Figs. 6a & b).
The resulting plaster model was
modified by grinding at site #21.
Then, a silicone impression material was used to record the emergence profile of pontic #21 of the
temporary bridge (Figs. 7a–c).
This information was trans-

ferred to a standard impression
coping, which resulted in an individualised impression at implant site #21 (Figs. 8a & b). At the
next step, the situation was assessed using digital smile design
analysis (Figs. 9a & b). The evaluation revealed a disproportionate distribution of volume between the central and lateral incisors. The lateral incisors were
too narrow compared with the
wide and square shape of the
central incisors. In order to enhance the harmony, the volume
should be distributed across the
four incisors. New screw-retained temporaries were fabri-

Prosthetic phase
Preserving the soft tissue
plays an important part in the

10p

10q

10s

11a

cated. Prior to this, a wax model
was adapted and tested intra-orally to visualise the outcome. A silicone key was created
to first build up the lateral incisors with a temporary composite
material.7
With the temporary crowns
and the composite mock-up of
the lateral incisors, the shape
of the wax-up could be transferred. This blueprint served to
evaluate the new smile intra-orally prior to fabricating
the permanent restorations.
Shade selection was performed
with the help of cross-polarised

light. Undesirable reflections
were effectively eliminated with
a polar eye filter. In order to fabricate the final prosthetic restorations, the temporaries were
duplicated and 1:1 copies were
made using IPS e.max Press
(monolithic lithium disilicate;
Ivoclar Vivadent). Screw-retained IPS e.max Press crowns
were placed on the implants
and the screw openings were
filled with PTFE and covered
with composite. Once the restorations had been placed, the lateral incisors were built up with
IPS Empress Direct composite
(Ivoclar Vivadent). A palatal ma-

10r

11b

Figs. 10 a – s: Individual stages in the intra-oral fabrication of the composite build-ups on the lateral incisors.—Figs. 11a & b: Result: the shape, shade and size of the anterior teeth created a harmonious
appearance.


[14] =>
14

trix made of silicone putty was
used as an auxiliary. The shade
match of the chosen composite
and the IPS e.max ceramic was
deemed ideal. A rubber dam
was used for isolation (OptraDam Plus, Ivoclar Vivadent).
A composite stratification technique was used to build up the
incisors (Figs. 10a–s­). The enamel
was slightly roughened, etched
(37 % phosphoric acid, 15 seconds, total etch) and then coated

TRENDS & APPLICATIONS

with a light-curing adhesive
(Adhese
Universal,
Ivoclar
Vivadent). The adhesive was
scrubbed into the bonding surface and then light cured (Bluephase Style, Ivoclar Vivadent).
First, the palatal enamel shell
was built up using IPS Empress
Direct Enamel A2 and a palatal
silicone key created from the
mock-up. Dentin A3 was used
for the dentine core and the
­mamelons.

A natural-looking result was
achieved owing to the translucent incisal effect created between the mamelons using IPS
Empress Direct Trans Opal. After
that, the build-up was covered
with a layer of IPS Empress Direct Enamel A2. The morphological structures were contoured
and accentuated using fine diamond grinders, Arkansas stones,
green grinders and polishing
discs. Silicone polishers and dia-

Dental Tribune Asia Pacific Edition | 6/2017

mond paste were used for polishing. The outcome was a harmonious appearance of the maxillary
anterior in terms of shape, shade
and size (Figs. 11a & b).

Discussion
Although the presence of the
papilla may not be the key issue
after single implant treatment,8–10 preserving the papilla
between two implants remains a

AD

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REGISTRATION
NOW OPEN!

challenge. The decision in this
case was to extract the two teeth
in stages and use temporary restorations to preserve the papilla.
In addition, connective tissue
grafts carried out at various
points ensured ideal soft-tissue
contours. Although only a few
references regarding the stability of connective tissue grafts
can be found in the literature, recent studies have shown promising results.11
Since the aim is to establish a
harmonious balance between
the teeth and ensure appropriate
white aesthetics, pre-operative
planning and a detailed case
analysis are advisable.12 It is also
important to consider carefully
which materials to use. In contrast to zirconium dioxide and
titanium, monolithic lithium
disilicate restorations do not
stimulate subgingival attachment to the soft tissue.13 Therefore, a hybrid abutment including zirconium dioxide or titanium could present an alternative.

Conclusion
A multidisciplinary team approach is essential to achieve a
predictable treatment outcome.
In addition, a detailed analysis
and pre-operative planning procedure play a crucial part. Here,
photograph- and video-based
evaluations present powerful instruments.
Acknowledgements: All prosthetic procedures were conducted
by Dr Sofie Velghe and all restorations were fabricated by dental
technician Stephan van der Made.
The authors wish to acknowledge
the Kwalident dental laboratory
and especially Mr van der Made for
their contribution.
Editorial note: A list of references is
available from the publisher.

Exhibition
Panel Discussion
Seminar
Hands-On
PDGI - Persatuan Dokter Gigi Indonesia
Drg. Monica Dewi R
T: +62 812 9495 037
E: monic@pdgi.or.id

Persatuan Dokter Gigi Indonesia

REGISTRATION
INQUIRY
PT. Traya Eksibisi Internasional
Putri Damayanti
T: +62 877 7767 3180
E: putri@trayaindonesia.com

Dr Aryan E­ ghbali
is Deputy Head
of the Department of Periodontology and
Oral Implantology of the Vrije Universiteit
Brussel in Belgium. He can be contacted
at aryan.eghbali@vub.ac.be.

Dr Sofie Velghe
A specialist in
prosthodontics,
Dr Sofie Velghe
is the founder
of the Policlinic
Tandheelkunde
multidisciplinary
dental clinic, which was established
in 2007. She can be contacted at
­sofie.velghe@me.com.


[15] =>
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[16] =>
16

TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 6/2017

Sagittal First
Using the Carriere Motion appliance to treat Class II and III patients
By Dr Luis Carrière, Spain
When Dr Edward Angle first classified malocclusions for orthodontic
treatment, he created the categories of Class I, Class II and Class III,
the principal categories by which
cases are still identified today. In
basing his classification system on
this one dimension—the sagittal
dimension—Angle confirmed the
sagittal relationship as being of
primary importance and the one
most critical and, indeed, most difficult to correct.

1a

1b

1c

1d

1e

1f

1g

1h

The Carriere Motion appliance (Henry Schein Orthodontics) is a technology that first addresses the patient’s sagittal dimension to establish a Class I
platform prior to comprehensive
orthodontic treatment. This is accomplished usually within the
initial three months of treatment. We call this protocol Sagittal First. Sagittal First eliminates
competing force vectors inherent
in traditional methodologies
when traction is employed concurrent with fixed appliance
treatment. After establishing a
Class I platform in the buccal segments (intercuspation of the molars, premolars and canines), the
clinician finishes therapy with
Carriere SLX brackets (Henry
Schein Orthodontics) or another
finishing appliance of choice, including Invisalign (Align Technology) if appropriate. Employing the Sagittal First approach
using the Carriere Motion appliance makes achieving high-quality finishes easier and simpler.

2a

3a

4a

5a

2b

3b

4b

5b

2c

3c

4c

5c

The purpose of this article is to
demonstrate application of the
Sagittal First concept using the
Carriere Motion appliance to treat
Class II and III patients. The following two cases offer typical examples of the types of difficult sagittal corrections the appliance can
address.

Case 1
Diagnosis and treatment plan
A 23-year-old female patient
presented for treatment exhibiting a moderate Class III malocclusion with a negative overjet, proclined lower lip with a flat supramentale, open bite and crowding
in the lower arch (Figs. 1a–h). The
treatment plan was to distalise
the mandibular dentition into a
Class I occlusion (Sagittal First)
using the Carriere Motion Class III
appliance, then generate space to
alleviate the lower arch crowding
and close the bite, utilising lightforce archwires in a passive,
self-ligating (PSL) system. While
tongue trainers would be bonded
in conjunction with the fixed appliances later in treatment, the
patient would also engage in
tongue training exercises to correct her improper tongue positioning, especially while swallowing. Incorrect tongue positioning
can compromise a satisfactory
result. Bite closing would be accomplished by action of the archwires in the PSL brackets, not by
use of any vertical elastics. Vertical elastics would be employed
only during the finishing phase
of treatment. In this way, gentle

Figs. 1 a–h: Initial situation: facial views of the patient (a–c), intra-oral views (d–f), cephalometric radiograph (g), dental panoramic tomogram (h).—Figs. 2 a– c: Situation after one month of correction with the
Sagittal First approach. —Figs. 3 a– c: Situation after three months of correction.—Figs. 4 a– c: Situation after 12 months of treatment.—Figs. 5 a– f: Final situation after 14 months of treatment: intra-oral views
(a–c), patient’s face (d), cephalometric radiograph (e), dental panoramic ­tomogram (f).


[17] =>
Dental Tribune Asia Pacific Edition | 6/2017

TRENDS & APPLICATIONS

17

forces would be acting on the
roots, minimising stress to the
periodontal ligament.
Treatment sequence
Motion Class III appliance bonded
Treatment commenced with
the Motion Class III appliance
bonded directly to the mandibular canines and first molars with
6 oz, ¼ in. intra-oral elastics, engaged for Class III traction to
molar tubes bonded to the maxillary second molars (Figs. 2a–c). An
Essix 0.04 in. vacuum-formed retainer (DENTSPLY Raintree Essix)
was employed in the upper arch
for maximum anchorage.
Three months: Class I platform
achieved
By three months, the sagittal
aspect had been corrected to the
occlusal lock of the Class I platform (Sagittal First) with the anticlockwise movement of the mandibular occlusal plane (Figs. 3a–c).
The mandibular canines had extruded slightly. Some extrusion of
canines is a positive sign of the anticlockwise rotation of the mandibular posterior occlusal plane
that promotes better positioning
of the mandible in relation to the
maxilla—a direct effect of the appliance. The Motion appliance was
removed and tongue trainers
were bonded to the lingual aspects of the mandibular incisors
to continue to train the tongue to
position itself properly in the oral
cavity, specifically during swallowing and mastication. Concurrent with the tongue trainers,
Carriere SLX 0.022 in. PSL brackets
were bonded. Treatment followed
the Carriere System archwire sequence. The archwires were all
thermally activated wires with
lower transformation temperatures chosen as archwire sizes increased to limit forces on the periodontium.

5d

5e

5f

2017

HKIDEAS

Hong Kong International Dental Expo And Symposium

4 – 6 AUGUST
Hong Kong Convention and Exhibition Centre

w w w.hk idea s .o rg

CALL FOR ABSTRACT

Wire sequence:
1. 0.014 in. Cu Nitanium (Henry
Schein Orthodontics; 27 °C)
2. 0.014 × 0.025 in. Cu Nitanium
(27 °C)
3. 0.017 × 0.025 in. Cu Nitanium
(35 °C)
4. 0.019 × 0.025 in. Cu Nitanium
(35 °C).

Deadline: 15 May 2017

E A R LY - B I R D R E G I S T R A T I O N
Deadline: 15 May 2017

P R E L I M I N A R Y F A C U LT Y
Professor Patrick Allen
(Singapore)
Professor Michael Bornstein
(Hong Kong)
Dr. Alex Chan
(Hong Kong)
Dr. Yu-chih Chiang
(Taiwan)
Dr. Jeanette Chua
(Malaysia)
Dr. Thomas Hart
(United States)
Dr. Stephen Henderson
(United Kingdom)
Professor Li-jian Jin
(Hong Kong)
Dr. Meetu Kohli
(United States)

When the upper 0.019 × 0.025 in.
archwires were engaged, three
links of power chain were run bilaterally from the second premolar to the first premolar and from
the first premolar to a crimpable
hook attached to the wire distal
to the lateral incisor to retract
the anterior segment, bringing it
into the final desired position
(Figs. 4a–c).
Fourteen months: Sagittal and fixed
appliance treatment complete
With three months of sagittal
treatment and 11 months of fixed
appliance treatment, the case was
finished to a satisfactory result
(Figs. 5a–f). The final cephalometric
radiographs and dental panoramic
tomograms highlight the positioning and health of the roots, a
positive sign that these ­appliances
respect the periodontium.

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Dr. Kenneth Luk
(Hong Kong)
Dr. Eduardo Mahn
(South America)
Professor Won Moon
(United States)
Dr. Peter Moy
(United States)
Dr. Peter Pospiech
(Germany)
Professor Iain Pretty
(United Kingdom)
Dr. Alan Reid
(Australia)
Dr. Keng-mun Wong
(Singapore)

Many more distinguished overseas speakers to follow...

NEW HORIZON IN DENTISTRY
Organizer


[18] =>
18

TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 6/2017

6a

6b

6c

6d

6e

7a

7b

7c

8a

8b

8c

9a

9b

9c

10a

10b

10c

11a

11b

11c

11d

11e

11f

11g

Figs. 6 a– e: Initial situation: lateral facial view of the patient (a), intra-oral views (b–d), cephalometric radiograph (e).—Figs. 7 a– c: Situation after one month of correction with the Sagittal First approach.—
Figs. 8 a– c: Situation after three months of correction: Class I had been achieved.—Figs. 9 a– c: Situation after seven months of treatment (0.019 x 0.025 in. archwire was engaged with power chain to retract
the anterior segment and bring it into the final desired position).—Figs. 10 a– c: Final situation after 11 months of treatment.—Figs. 11 a– g: Comparison of pre- and post-treatment situations. Cephalometric radiographs: initial situation (a), after three months of correction—Class I had been achieved (b), final result (c). Lateral facial view of the patient: initial situation (d), post-treatment situation (e). Post-treatment
­intra-oral situation: buccal view of mandibular forward movement (f), central view of mandibular forward movement (g).­


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TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 6/2017

12

19

13

14

Figs. 12–14: The mandibular repositioning due to balancing the structures of the temporomandibular joints.

“After treatment, the patient was able to protrude her
mandible beyond her maxilla.”
Case 2
Diagnosis and treatment plan
A 27-year-old female patient
presented for treatment exhibiting a Class II, Division 1, malocclusion with a severely protrusive maxilla and a severely retrusive mandible (Figs. 6a–e). The
patient had had previous orthodontic treatment with extraction of the mandibular premolars. In consultation with other
orthodontists, orthognathic surgery was recommended, which
she wanted to avoid. The treatment plan was to reposition the
mandible forward, placing the
case into a Class I occlusion
(Sagittal First) using the Carriere
Motion Clear Class II appliance,
then complete treatment utilising light-force archwires in a PSL
system. The Motion Clear appliance is the latest addition to the
family of Motion appliances, designed for the patient with high
aesthetic demands.
Treatment sequence
Motion Clear Class II appliance
bonded
Treatment commenced with
the Motion Clear Class II appliance bonded directly to the maxillary canines and first molars
with 6 oz, 1/4 in. intra-oral elastics
for the first month and 8 oz,
3/
16 in. elastics for the second and
third months, engaged for Class II
traction to molar tubes bonded
to the mandibular second molars. An Essix 0.04 in. vacuum-formed retainer was employed in the lower arch for maximum anchorage.
Three months: Class I platform
achieved
By the end of the first month
of sagittal correction, there was
already evidence of some de-rotation of the maxillary first molars and movement of the buccal
segment (molars, premolars and
canines) toward a Class I occlusion (Figs. 7a–c). Space was also
beginning to open between the
maxillary incisors. After three
months of sagittal correction,
the occlusal lock of the Class I

platform had been accomplished
(Sagittal First) and the case was
ready to progress to the next
stage (Figs. 8a–c). The Motion appliance was removed. While it
would have been easy to finish
this case with Invisalign, the patient chose fixed appliances, so
Carriere SLX 0.022 in. PSL brackets were bonded. Treatment followed the wire sequence stated
in Case 1.
The first wire, a 0.014 in. round
Cu Nitanium wire, corrected the
rotation of the incisors. With the
0.014 × 0.025 in. Cu Nitanium
wire, power chain was used to
close the spaces between the incisors. After these spaces had been
closed, the 0.017 × 0.025 in. Cu
­Nitanium wire began torque control with the final archwire, the
0.019 × 0.025 in. Cu Nitanium
wire, to finalise the axial angulations of the anterior teeth. When
the upper 0.019 × 0.025 in. archwire was engaged, three links of
power chain were run bilaterally
from the second premolar to the
first premolar and from the first
premolar to a crimpable hook attached to the wire distal to the lateral incisor to retract the anterior
segment, bringing it into the final
desired position (Figs. 9a–c).
Eleven months: Sagittal and fixed
appliance treatment complete
With three months of sagittal
treatment and eight months of
fixed appliance treatment, the
case was finished to a harmonious occlusal and facial result
(Figs. 10a–c). The result exhibited
excellent repositioning of the
mandible, held in position by the
occlusal lock of the Class I platform (intercuspation of the molars, premolars and canines). The
mandibular repositioning was
obviously not a result of growth
in a 27-year-old woman, but the
result of balancing the structures of the temporomandibular
joints, repositioning the mandible in the temporomandibular
space. Prior to treatment, she
could not protrude her mandible
even to position her mandibular
anterior teeth into the lingual as-

pect of her maxillary anterior
teeth. For this patient, the mandibular repositioning effected a
dramatic, positive change in her
facial profile to c­ reate a beautiful
symmetry (Figs. 11a–g). Figures 12

to 14 illustrate this repositioning. An indication of the extent
of this movement is the fact that,
after treatment, the patient was
able to protrude her mandible
beyond her maxilla.

Editorial note: This article was first
published in ortho—international
magazine of orthodontics, No. 1, 2017.

Dr Luis Carrière
is the inventor
of the internationally known
­Carriere
SLX
bracket and the
Carriere Motion
appliance. He
maintains a private practice in Barcelona in Spain and can be contacted at
luis@carriere.es.
AD

第 65 回国
回国際歯科研究学会
国 際歯科研究学会
会(JA
D R)
日 本 部 会(
JAD
術大会
総会・学術
大会
[日 程]

2017 年 11 月 18 日(土)・19 日(日)

[会 場]

昭和大学

旗の台キャンパス

[ テーマ ]

[ 大会長 ]

上條

竜太郎

(昭和大学歯学部口腔生化学講座)

[ 基調講演 ]
森 和俊(京都大学 大学院理学研究科 教授)
[ 特別講演 ]
Dr. Angus William G. Walls(President, International Association for Dental Research)
Dr. Seong-Ho Choi(President, Korean Division of the International Association for
Dental Research)
Dr. Harry-Sam Selikowitz(Chair, Science Committee, FDI World Dental Federation)
[ シンポジウム ]
シンポジウム I 「Cutting-edge etiology of periodontitis: Next sights for host-parasite
interaction」
シンポジウム II 「Life science in space - biomedical researches performed in the international
space station」
シンポジウム III 「Advances in iPS cell research and its application to dental medicine」
[ 審査 ]
JADR/GC 学術奨励賞
(38 歳未満)
JADR/Joseph Lister 賞(歯学部学生)
[ 大会事務局 ]
〒142-8555 東京都品川区旗の台 1-5-8
TEL:03-3784-8163 FAX:03-3784-5555
大会ウェブサイト:http://jadr65.umin.jp

責了_The 65th JADRチラシ和文_A4.indd

1

2017/05/23

9:23:26


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