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
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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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. Distinguished by innovation 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] => 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 Tel.: +49 341 48474-302 Fax: +49 341 48474-173 info@dental-tribune.com www.dental-tribune.com Regional Offices: DT ASIA PACIFIC LTD. c/o Yonto Risio Communications Ltd, Room 1406, Rightful Centre, 12 Tak Hing Street, Jordan, Kowloon, Hong Kong Tel.: +852 3113 6177 Fax: +852 3113 6199 UNITED KINGDOM 535, Stillwater Drive 5 Manchester M11 4TF Tel.: +44 161 223 1830 www.dental-tribune.co.uk DENTAL TRIBUNE AMERICA, LLC 116 West 23rd Street, Suite 500, New York, NY 10011, USA Tel.: +1 212 244 7181 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. Tetric N-Ceram Bulk Fill ® The efficient posterior composite Save 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”. 55% on time * 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. Data available on request. NTED rin Ivoce H T I NITI A IG ® R E AT AS W O ! N W O L F TO P A L “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.” * Compared with Tetric® N-Flow and Tetric® N-Ceram Martin Laverty, CEO of RFDS, welcomed the funding and took the opportunity to highlight the disparity in dentist numbers between urban and remote areas. Tetric® N-Ceram Bulk Fill Tetric® N-Flow Bulk Fill sculptable flowable www.ivoclarvivadent.com Ivoclar Vivadent AG Bendererstr. 2 | 9494 Schaan | Liechtenstein | Tel.: +423 235 35 35 | Fax: +423 235 33 60[4] => [5] => © MIS Implants Technologies Ltd. All rights reserved. WE CAN IMPLE S T I E K A M FOR YOU ! i w.m pla nts. co m PLE ® ww sim OW ASK US H[6] => 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,[7] => Introducing Innovative and High-Quality Restorative Solutions [ Industry-standard Internal Hex Connection ] NEW! [ Industry-standard Conical Connection ] PROSTHETIC COMPONENTS [ Industry-compatible Prosthetics ] For more information +49 69 50600-5312 glidewelldirect.com | orders@glidewelldental.de Glidewell Direct Europe is actively seeking distribution channels[8] => 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 AD 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 ONLINE 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] => register for FREE – education everywhere and anytime – live and interactive webinars – more than 1,000 archived courses – a focused discussion forum – free membership – no travel costs – no time away from the practice – interaction with colleagues and experts across the globe – a growing database of scientific articles and case reports – ADA CERP-recognized credit administration www.DTStudyClub.com Join the largest educational network in dentistry! ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providersof continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.[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. AD 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).[19] => 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[20] => “ F I R S T HANDPIECE DEPLOYED CARIES DETECTION ! 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For Excellent Visibility and Accessibility SEEKING INTERNATIONAL DISTRIBUTORS Contact Christian Godoy: cgodoy@laresdental.com Mobile: 1-530-717-3145 www.laresdental.com *KaVo and MULTIflex are trademarks of KaVo Dental GmbH) [page_count] => 20 [pdf_ping_data] => Array ( [page_count] => 20 [format] => PDF [width] => 846 [height] => 1187 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] => [cover] => [toc] => Array ( [0] => Array ( [title] => Asia-Pacific News [page] => 01 ) [1] => Array ( [title] => Business [page] => 06 ) [2] => Array ( [title] => Promoting early diagnosis [page] => 10 ) [3] => Array ( [title] => Aesthetics in the anterior maxilla [page] => 12 ) [4] => Array ( [title] => Sagittal First - Using the Carriere Motion appliance to treat Class II and III patients [page] => 15 ) ) [toc_html] =>[toc_titles] =>Table of contentsAsia-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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