DT Middle East & Africa No.4, 2020
HelloMask: First transparent surgical mask goes to manufacture
/ Single vs. multi-use dental products in a post-COVID dental setting
/ Ten guiding principles as we recover from lockdown and the COVID-19 pandemic
/ Light-curing micro-hybrid composites - Composan LCM and Composan LCM flow
/ INDUSTRY NEWS
/ The next generation of the composite veneering system
/ A new solution in the field of digital workflows
/ Investing in key pieces of dental equipment – the focus of your day and your business
/ INTERVIEWS
/ NEWS
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[1] =>
DTMEA_No.4. Vol.10_DT.indd
NL
Y
O
LS
NA
IO
SS
FE
O
PR
NT
AL
DE
www.dental-tribune.me
PUBLISHED IN DUBAI
July-August 2020 | No. 4, Vol. 10
ENDO TRIBUNE
LAB TRIBUNE
IMPLANT TRIBUNE
ORTHO TRIBUNE
HYGIENE TRIBUNE
Torsional resistance of two
nickel-titanium rotary
instruments
IPS e.max ZirCAD Prime:
Put to the ultimate test
Implant-retained overdenture
on a very thin bone ridge
Dentistry braces for COVID-19
losses
Mental health in the dental
profession during the COVID-19
pandemic
ÿD1-4
ÿE1-4
ÿA1-2
ÿB1-4
ÿC1-4
HelloMask:
First transparent surgical
mask goes to manufacture
DENTAL TRIBUNE
The World’s Dental Newspaper Middle East & Africa Edition
DÜBENDORF, Switzerland: Researchers of the Swiss Federal Laboratories for Materials Science and
Technology (Empa) and the Swiss
Federal Institute of Technology in
Lausanne (EPFL) have jointly developed a fully transparent surgical
mask that is intended to replace the
three-layer mask normally worn by
medical staff. The mask was developed primarily with the aim of improving non-verbal communication
between nursing staff and patients
but could also be worn by dentists
to protect against transmission of
bacteria and viruses, such as SARSCoV-2. The product is expected to be
launched in early 2021.
The transparent HelloMask facilitates non-verbal communication between patients and nursing staff.
In the past two months, people
in many places have experienced
how strange it is to talk to a person
whose face is partially hidden by a
mask worn to protect others and
the wearer from SARS-CoV-2. While
this makes it more difficult to deci-
pher facial expressions and impairs
acoustics for most, especially for
children, the elderly and the hearingimpaired, the masks pose a major
obstacle to communication. Owing
to these difficulties in the context of
© EPFL
By Dental Tribune International
surgical masks worn by healthcare
providers, a team of researchers from
Empa and EPFL’s EssentialTech Centre has been working for the past two
years on a completely transparent
surgical mask. The researchers have
now finalised the material, which
is made of organic polymers, and
recently founded the start-up company HMCARE. After completing a
ÿPage 2
AD
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20200416_AD_Dental Asia_Implantmed_245x167mm.indd 1
16.04.2020 10:48:05
[2] =>
DTMEA_No.4. Vol.10_DT.indd
2
NEWS
Dental Tribune Middle East & Africa Edition | 3/2020
◊Page 1
IMPRINT
PUBLISHER AND CHIEF EXECUTIVE OFFICER
Torsten R. OEMUS
CHIEF CONTENT OFFICER
Claudia DUSCHEK
DENTAL TRIBUNE INTERNATIONAL
Holbeinstr. 29, 04229 Leipzig, Germany
Tel.: +49 341 48 474 302
Fax: +49 341 48 474 173
www.dental-tribune.com
General requests:
info@dental-tribune.com
Sales requests:
mediasales@dental-tribune.com
CEO of HMCARE Dr Thierry Pelet (left) and Director of the EssentialTech Centre Dr Klaus
Schönenberger. (Image: EPFL)
The polymer fibres of which the HelloMask is made produce an apparently transparent
membrane but with pores too small for pathogens. (Image: EPFL)
CHF 1 million fundraising round, the
company is ready to move into the
production phase.
mask. Motivated by his experience
in Africa, Schönenberger did not
hesitate. Pelet and Sidjanski were
inspired by Diane Baatard, who was
formerly engaged in storytelling to
seriously ill children at Geneva University Hospitals. She thought it was
a pity that the children could not see
her facial expressions while she was
telling stories.
Transparency, resistance,
porosity
Dr Klaus Schönenberger, director of
the EssentialTech Centre, which is
involved in the provision of modern
technology and humanitarian
measures to developing countries,
was working in western Africa
during the 2015 Ebola outbreak. “It
was touching to see that nurses—
covered from head to toe in
protective gear—pinned photos of
themselves on their chests so that
patients could see their faces,” he
said.
The following year, Schönenberger
was approached by Dr Thierry Pelet,
now the CEO of HMCARE, and Dr Sacha Sidjanski, a project manager at
EPFL’s School of Life Sciences, with
an initial design for a transparent
“You can find prototypes of masks
that are partly transparent, but
AD
they’re just normal masks with some
of the fabric replaced by clear plastic,”
said Pelet. However, since this plastic
is not porous, it impedes breathing
comfort and makes the mask moist.
Over two years, the Empa and EPFL
researchers were able to combine
transparency, durability and porosity optimally. The result was a membrane made of a polymer specially
developed for this application. “We
can produce fine electrospun membranes with a pore size of about 100
nm,” explained Dr Giuseppino Fortunato from the Laboratory for Biomimetic Membranes and Textiles at
Empa, who developed the material
together with Empa postdoctoral fellow Dr Davide Barana. The structure
of the fibres creates extremely small
gaps that allow air to pass through
but not viral and bacterial particles.
In order to guarantee optimal protection, the new masks—just like
surgical masks currently in use—are
intended for single use. The question
of recycling or the use of a biodegradable material was raised at the
very beginning of the project. “Our
masks are made of 99% biomass derivatives, and we will keep working
on them until they are completely
eco-friendly,” commented Pelet.
Production facilities
in Switzerland
Bien-Air has always prioritized provider and patient safety by developing products that protects
against cross contamination. With the COVID 19 Pandemic, these features are more important than
ever.
The high-speed dental handpiece without anti-retraction valves may aspirate and expel the debris
and fluids during the dental procedures. More importantly, the microbes, including bacteria and virus,
may further contaminate the air and water hoses within the dental unit, and thus can potentially cause
cross-infection.
Bien-Air, being conscious of cross contamination risks, has designed its electric attachments and highspeed air handpieces with anti-retractive valves which protect fluid retraction from the oral cavity into
non-sterilizable dental handpiece tubing and water lines. Having an anti-retraction valve in the body of
the handpiece, which can be autoclaved, significantly reduces the backflow of oral bacteria and viruses
into the non-sterilizable dental unit hoses.
As an extra preventive measure for cross infection, Bien-Air Unifix® coupling are also equipped with a
unique anti-retraction features protecting the the exhaust air tubing.
Products with anti-retraction valve :
TURBINES
COUPLING
Bora / L / LED
Unifix® (Anti-reflux valve)
CONTRA-ANGLES
CA 1:1 / CA 1:1 L
Prestige / L / LED
CA 1:5 / CA 1:5 L
Tornado X LED
CA 10:1 / CA 10:1 L
Tornado LED
CA EVO.15 1:1 L
TornadoS LED
CA EVO.15 1:5 L
WWW.BIENAIR.COM
Bien-Air Dental SA Länggasse 60 Case postale 2500 Bienne 6 Switzerland
Tél. +41 (0)32 344 64 64 dental@bienair.com www.bienair.com
The material is made using electrospinning, for which electric force is
used to produce a mat of polymer fibres, and the researchers have adapted the method slightly for largescale production. The material will
be generated in spools, from which
individual masks can be cut and assembled. While the research team
initially planned to fabricate the
masks in Asia, it is now considering
keeping production in Switzerland.
In light of the increased demand for
conventional surgical masks owing
to the SARS-CoV-2 pandemic, production lines should soon be in place
and the developers foresee no problems in this regard. Pelet is currently
negotiating with several companies
and authorities.
The great demand for protective
masks owing to the pandemic has
made it easier for HMCARE to find
investors. The HelloMask project was
initially supported by a dozen nonprofit organisations and later by the
Swiss Innovation Agency. While the
masks will first be sold to the medical
community—including dentists—
they may eventually be marketed to
the general public.
DENTAL TRIBUNE MEA
EDITION EDITORIAL BOARD
Dr. Aisha SULTAN ALSUWAIDI, UAE
Prof. Paul TIPTON, UK
Prof. Khaled BALTO, KSA
Dr. Ninette BANDAY, UAE
Dr. Nabeel HUMOOD ALSABEEHA, UAE
Dr. Naif Almosa, KSA
Dr. Mohammad AL-OBAIDA, KSA
Dr. Meshari F. ALOTAIBI, KSA
Dr. Jasim M. AL-SAEEDI, Oman
Dr. Mohammed AL-DARWISH, Qatar
Dr. Dobrina MOLLOVA, UAE
Dr. Ahmed KAZI, UAE
Dr. Munir SILWADI, UAE
Dr. Khaled ABOUSEADA, KSA
Dr. Rabih ABI NADER, UAE
Dr. Ehab RASHED, UAE
Dr. Mohd Dashti, Kuwait
Aiham FARRAH, CDT, UAE
Retty M. MATTHEW, UAE
PARTNERS
Saudi Dental Society
Saudi Ortho Society
Lebanese Dental Association
Lebanese Orthodontic Society
Qatar Dental Society
Oman Dental Society
Kuwait Dental Association
International Federation of Dental
Hygienist
British Academy of Restorative Dentistry
British Academy of Dental Implantology
AALZ - Aachen Dental Laser Center
Singapore Dental Association
Saudi Dental Hygienist Society
DIRECTOR OF mCME
Dr. Dobrina MOLLOVA
mollova@dental-tribune.me
Tel.: +971 50 42 43072
DIRECTOR
Tzvetan DEYANOV
deyanov@dental-tribune.me
Tel.: +971 55 11 28 581
EDITING & DESIGN
Kinga MOLLOV
k.romik@dental-tribune.me
Tel.: +971 56 23 70 721
PRINTING HOUSE & DISTRIBUTION
Al Nisr Printing
P. O. Box 6519, Dubai, UAE
800 4585/04-4067170
Material from Dental Tribune International
GmbH that has been reprinted or translated
and reprinted in this issue is copyrighted by
Dental Tribune International GmbH. Such
material must be published with the permission of Dental Tribune International GmbH.
Dental Tribune is a trademark of Dental Tribune International GmbH.
All rights reserved. © 2020 Dental Tribune International GmbH. Reproduction in any
manner in any language, in whole or in part,
without the prior written permission of Dental Tribune International GmbH is expressly
prohibited.
Dental Tribune International GmbH makes
every effort to report clinical information
and manufacturers’ product news accurately
but cannot assume responsibility for the validity of product claims or for typographical
errors. The publisher also does not assume
responsibility for product names, claims or
statements made by advertisers. Opinions
expressed by authors are their own and may
not reflect those of Dental Tribune International GmbH.
[3] =>
DTMEA_No.4. Vol.10_DT.indd
» What drives me? Best
results. And Primescan
is my answer. «
Dr. Carlos Repullo, BDS, DipImpDent RCS (UK)
Primescan
Engineered for superior performance.
Innovation requires commitment to ambition: Primescan sets new standards in dental technology, making scanning
more accurate, faster and easier than ever. It is engineered to enable all kind of treatments, from single tooth to
full arch. Primescan produces highly accurate images and allows for fast scanning consolidating 50.000 images
per second. The new patented “High Frequency Contrast Analysis” delivers perfect sharpness and an outstanding
accuracy. With Primescan, intraoral scanning delivers excellent results like never before.
Enjoy the scan.
Learn more at: dentsplysirona.com/primescan
[4] =>
DTMEA_No.4. Vol.10_DT.indd
4
NEWS
Dental Tribune Middle East & Africa Edition | 4/2020
Single vs. multi-use dental products in
a post-COVID dental setting
Should you reprocess and reuse, or pitch after each patient?
Learn what to consider when choosing between single or
multi-use products in a post-COVID environment
Find out more by
scanning the QR code.
By Emily Waller, RM (NRCM), 3M
Specialist Microbiology
There’s more to infection control
than masks and hand sanitizer. It’s
time to take a closer look at consumables: reuse and reprocess, or go
disposable?
Nonetheless, products under each
umbrella can be reprocessed safely.
After use, non-critical items should
be cleaned, and then disinfected if
the product is visibly soiled. Guidelines indicate that heat-tolerant,
semi-critical dental products should
be heat sterilized. The CDC recommends that heat sensitive, semi-critical products should be reprocessed
using high level disinfection or replaced with a disposable alternative.
The FDA has published an additional
guidance for multiple use intra-oral
dental dispensers, such as those that
deliver adhesive or composite materials.2 It states that these devices
that cannot be sterilized or high level
disinfected based upon their design
AD
Post-COVID, everything will change – from your approach to PPE and scheduling patients, to the
procedures you perform. But should your products change too? One factor you may be considering is when to incorporate a single-use solution and when to stick with multi-use delivery. Let’s
take a closer look at infection prevention, product choices and what you may choose to change
in a post-COVID dental setting.
The CDC classifies product infection risk on a scale of non-critical to critical. Non-critical products
pose the lowest risk, as they only encounter intact skin, which acts as a barrier to most microorganisms. Semi-critical products are those that are used intra-orally or on non-intact skin, increasing the risk of infection. Critical products are considered high risk, as they’re used to penetrate
soft tissue or bone. The infection risk is lowest when it comes to non-critical products and highest
when it comes to critical products.1
must be covered with a barrier sleeve
during use to prevent contact with
mucous membranes. Multi-use critical
products, on the other hand, must always be sterilized between patient uses.
needs, ergonomic or control considerations, and more may well be worth reprocessing a multi-use version of a product rather than switching to a single-use
option.
According to the CDC, dental offices
should consider adopting single-use
products when they replace multi-use,
semi-critical products that cannot tolerate heat sterilization.3 The guidelines
also indicate that similarly classified,
multi-use products may be used safely
if the manufacturer’s reprocessing instructions are followed correctly.
Before making a commitment to adopting single-use products, allow these
considerations to guide your decisionmaking process:
1) Consider replacing heat-sensitive
products that encounter the intra-oral
environment with single-use options
2) Single-use products eliminate the
risk of cross contamination between
patients
3) Single-use products may increase efficiency by reducing reprocessing time
and effort
4) Multi-use products can also be used
safely by following appropriate reprocessing protocols
But why should you consider single-use
products and delivery systems? Singleuse products take the risk of patient-topatient infection out of the equation
– infection control is baked into the
product design. Of course, the risk of
patient-to-patient transmission is also
addressed when a multi-use device has
been appropriately reprocessed. But if it
gives you peace of mind, or if you think
it may give your patients confidence, replacing multi-use products that are routinely used intraorally with single-use
alternatives may be the right way to go.3
Further, the CDC advises that offices
should consider not just the initial product cost of a single-use item, but also the
time, cost and material savings obtained
by eliminating the need for sterile processing of that product.3 At a time when
so many procedures and protocols have
ratcheted up and your office workflow
is almost unrecognizable, every factor –
from expenses to application needs to
infection risk – is worth exploring.
Dental products, of course, are not onesize-fits all. Variables like application
References
1. https://www.cdc.gov/oralhealth/infectioncontrol/pdf/safe-care2.pdf
2. https://www.fda.gov/medical-devices/dental-devices/multiple-use-dentaldispenser-devices
3. https://www.cdc.gov/oralhealth/infectioncontrol/faqs/single-use-devices.
html
For further information, please contact:
3M Gulf
Dubai Internet City, Bldg 11
3rd Floor
Dubai, UAE
[5] =>
DTMEA_No.4. Vol.10_DT.indd
Dental Tribune Middle East & Africa Edition | 4/2020
5
NEWS
Ten guiding principles as we recover from
lockdown and the COVID-19 pandemic
By Chris Barrow, UK
One of the lessons we have all observed in recent months is that the
effects of COVID-19 and the responses of populations and their governments have varied from one country
to another. This has had a knock-on
effect in dentistry, with variations in
the instructions and guidance given
by academia and those who regulate
the profession.
Here in the UK, the situation has
been made even more complicated
by the four governments of England, Scotland, Northern Ireland
and Wales issuing different instructions and guidelines to their respective dental populations, leading to
wholesale confusion and frustration
for both professionals and the patients they serve.
“All things must pass” is a phrase I
have reminded my clients of during
the lockdown weeks and as they now
return to work. Patients, team members and clinicians are having to
learn a new dance, Dentistry 2.0, and
that takes time. Perhaps the most
useful advice I find myself offering
is to use the mantra of a marathon
runner—“pace not race”— recommending that dental teams ease
themselves into the new routines
that have been imposed upon them.
An interesting and inspiring observation has been the level of trust
and loyalty that has been demonstrated by many patients. They have
waited for lockdown to end, have
sometimes maintained dental plan
payments throughout and now recognise that the catch-up may take
some time as patients are triaged according to urgency and importance.
Patients have also displayed high
levels of trust in the ability of their
dentist to take appropriate measures
to ensure their safety and that of the
team. It may be unfamiliar for them
to see their regular nurse, hygienist
or dentist covered in personal protective equipment (PPE), but they
know that it is you under there, doing your best.
I have observed that dental team
members have sometimes presented more of a challenge when invited
back to work. Perhaps because they
are healthcare-trained, there have
been requests for reassurance that
standard operating procedures and
PPE will be adequate to ensure their
safety.
Also, many have had to deal with domestic issues that have complicated
their decision to return to work. Personal health, childcare and vulnerable relatives count among the most
common of the issues raised. It has
been important for any dental practice owner to maintain a regular and
personal dialogue with salaried team
members and self-employed clinicians to provide either reassurance
or offer compassionate leave.
This month, most of my English clients are making their way back. In
the other UK nations (at the time of
writing) the debate rages and pressure is building. In Europe, many,
if not most, are back and operating
with different levels of compliance.
Who could have foreseen that dentistry would differ so much, depending on where you are standing?
However confusing this many seem,
we all still seek the same ultimate objectives:
1. a safe environment for our patients
and team;
2. the opportunity to provide appropriate care, whether that be pain
relief, functional repair, preventative
maintenance, specialist services or
elective treatments;
3. businesses that are solvent and
profitable so that trade creditors,
lenders, landlords, teams and selfemployed subcontractors can be
paid in a fair and timely fashion
and, equally, that owners can make
a decent living and grow prosperous
businesses;
4. businesses that play a responsible
role in their community, respect the
environment and value their people.
These core values remain unchanged, and yet it is important to
remind ourselves of them after what
has been many months of distraction and crisis management.
Almost all of us are beginning the
slow journey back to normality. I
recently shared with my UK clients
some guiding principles that I hope
will assist in this process:
1. This is what we are good at. Humans are designed to adapt and
survive. Consider, if you will, the
250,000 years over which Homo sapiens has evolved and the unimaginable hardships that humans have
endured on that journey. I do not
wish to make light of any individual’s personal or professional challenges, but I do want to remind you
that we are wired to win. COVID-19 is
undoubtedly the greatest challenge
to humanity that I have witnessed in
my lifetime, and I am confident that
we can and will prevail.
2. Stay calm. When all about you are
losing it, leadership is about calmly
taking control and demonstrating the way forward. Every dental
team member has a leadership role,
whether it is calming team members
or patients, answering the phone, offering virtual consultations or meeting patients face to face (at a safe
distance or in PPE). Emotion is contagious and your calm demeanour can
help all of those around you.
3. Be kind. That may sound cheesy to
you, but I have witnessed many random acts of kindness during the pandemic, and people remember the
way you show up in times like this.
ÿPage 6
AD
3M™ Filtek™ Dental Restoratives
Also available in unit dose simplify infection control
[6] =>
DTMEA_No.4. Vol.10_DT.indd
6
NEWS
Dental Tribune Middle East & Africa Edition | 4/2020
◊Page 5
4. Learn a new routine. During the
first weeks of lockdown, what we all
had in common was that our existing routines were stolen from us by
circumstance. We are creatures of
habit, and even though we may have
complained about the commute to
work, the office hours or other aspects of our pre-COVID-19 life, the
fact is that lockdown threw us all into
chaos. Some reinvented new lockdown routines quickly; others floundered. Whichever group you found
yourself in, return to work is now yet
another new landscape, and you will
have to develop your new routines
quickly and settle in to them.
5. Communicate. The winners in
lockdown were those who communicated regularly with patients, team
members and clinicians via video
calls, newsletters and messages. Just
because you are back to work, do not
stop! It is essential that you listen
to the feed- back on how your dental business is perceived by all concerned; essential that your communities have the opportunity to tell
you how they feel; essential that you
tell everyone what you are thinking
and what is going on.
6. Do not be afraid of giving and
receiving feedback. As we all learn
the new dance steps, mistakes will
be made—and that is OK. That is
how we grow. So be open to feedback
and be ready to give feedback when
you see things that are not right. At
the moment, your patients and your
team are some of the best consultants you could ask for.
7. Do not be afraid to ask for help.
When the COVID-19 dental history
book of 2020 is written, I like to think
that one of the benefits of this horrible situation will have been the
growth in unity of the dental profession, both nationally and globally.
Have you ever seen so many free
webinars? I hope that continues over
the years ahead and that dentists do
not disappear back into their former silos. Asking for help is a sign of
personal strength and confidence.
Membership of trade associations
and other representative bodies has
grown. My wish is that this momentum continues into post-graduate
education and beyond.
8. Be patient. Dentistry will not be
back to how it was before, perhaps
ever. However, that indomitable
spirit of enterprise that identifies humans will, in my opinion, drive even
more experimentation, invention
and innovation over the years ahead.
I believe that we will see a sudden
acceleration in digital innovation, in
virtual consulting and in the arrival
of new procedures, materials and
techniques in every aspect of dentistry and patient care.
9. Take time to think. Please do not
jump into a new hamster wheel to
replace the one you were running in
before COVID-19. This is a once-in-alifetime opportunity to start again,
knowing what you know now. If you
were starting your business again,
what would you do differently? Well
do it!
10. Seek balance. Back to that oncein-a-lifetime moment—I have had
many of my clients use this time to
create lists of aspects of their personal and professional lives that they
like and dislike. I have asked them to
seriously consider eliminating the
tolerations—the people, things and
situations that get in the way of their
happiness. You can.
Over the months ahead, there is a
great deal to consider:
– financial modelling and forecasting;
– marketing for new patients;
– the new patient journey;
– clinical and non-clinical operational systems;
– your team—their structure, roles
and responsibilities; – your overall
game plan.
Each of these is on my task list to
consider, decide and execute new
versions for my clients that apply
to the post- lockdown time and (we
hope) post-COVID-19 landscape. I am
working with a community of over
120 UK practices, and we are taking
that journey together, sharing our
experiences and collaborating on so-
lutions. Dentistry can no longer be a
fragmented collection of small business owners. As I heard on a webinar
a few days ago: “We may not all be in
the same boat but we are in the same
storm”. It is only by staying together
that we can enjoy strength in numbers.
Editorial note:
This article was published in digital—
international magazine of digital
dentistry Vol. 1, Issue 2/2020.
About the author
Chris Barrow
He has been active as a consultant, trainer and coach to the UK dental profession
for over 24 years. His main professional
focus now is through his Extreme Business company, providing coaching and
mentorship to independent dentistry
around the world via face-to-face meetings, a workshop programme and an online learning platform.
Light-curing micro-hybrid composites
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Composan LCM is a universal lightcuring micro-hybrid composite suitable for fillings in the anterior and
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Composan LCM convinces with its
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Also available
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© Promedica Dental Material GmbH
By Promedica
For more Information, please contact
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Tel: +49 43 21 / 5 41 73
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Email: info@promedica.de
AD
Light-curing micro-hybrid composite
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Dental Material GmbH
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Internet www.promedica.de
[7] =>
DTMEA_No.4. Vol.10_DT.indd
[8] =>
DTMEA_No.4. Vol.10_DT.indd
Dental Tribune Middle East & Africa Edition | 4/2020
8
INDUSTRY
Beverly Hills Formula Range
Perfect White Black
Whitening Kit
By Beverly Hills Formula
Beverly Hills Formula
Perfect White Smile
Scientifically formulated to reduce
plaque and harmful bacteria, the
peroxide free whitening kit includes
28 charcoal infused strips and as well
as a highly innovative whitening
pen. The flexible strips are infused
with charcoal powder which ensures
whitening results after one use with
no abrasion or damage to the enamel. The whitening pen is ideal for
touch-ups on the go. This ultimate
whitening duo ensures a whiter,
brighter smile in 5 simple steps.
When it comes to safe, highly effective, and affordable teeth whitening;
oral care experts Beverly Hills Formula know exactly how to achieve
just that. The iconic Irish brand have
risen through the ranks and have
firmly cemented themselves as one
of the top teeth whitening and oral
care brands on the market today.
The brand, established in 1992, have
taken their passion for oral care and
created a range of teeth whitening
products that exceed in quality and
value for money.
New Professional White
2 in 1 Whitening Kit
Rapid, easy to use whitening strips
and whitening pen formulated with
safe levels of hydrogen peroxide and
professional whitening ingredient
PAP for extra whitening power. This
powerful formulation offers up to 6
shades whiter teeth. This product is
developed to achieve professional
whitening results in the comfort of
your own home.
With a range of toothpastes and
mouthwashes specially formulated
to effectively yet gently remove
stains, Beverly Hills Formula provides everything you need for a perfect white smile.
Each product offers premium quality whitening oral care, incorporating scientific advancements and
the finest low abrasion ingredients,
whitening teeth without harming
the enamel.
Beverly Hills Formula are not afraid
to think outside the box, and their
success is attributed to the fact that
they can bring their bold ideas to life,
resulting in highly innovative and
effective teeth whitening products
that any competitor is yet to match.
Perfect White
Extreme White toothpaste
Extreme White’s next generation
teeth whitening formulation uses
high grade Japanese Pyrophosphates and Hydrated Silica to provide an Extreme Whitening effect
to your smile. This toothpaste takes
whitening and oral healthcare to the
next level by preventing food particles settling on the teeth in the first
place, with ingredients Pentasodium
Triphosphate and Isosorbide providing a long-lasting freshness.
To help keep your teeth in tip -top
condition and to help prevent those
dreaded fillings, Perfect White Extreme white toothpaste also includes
Sodium Fluoride to help strengthen
and harden tooth enamel for cavity
protection.
Perfect White
Optic Blue Toothpaste
The Blue Filter Technology forms
a special layer over teeth during
brushing to reflect light and yellow
discolouration which creates an immediate optical whitening effect
after each use. The time-tested formulation containing Advanced Hydrated Silicas and Pyrophosphates
also provides effective stain removal
while protecting your enamel and
teeth from dental caries at the same
time.
Perfect White Black
Sensitive Toothpaste
Formulated for sensitive teeth to
help remove surface and deep stains,
Perfect White Black Sensitive Tooth-
paste contains a combination of Hydroxyapatite – a natural compound
that helps repair and remineralise and Potassium Nirate that provides
rapid sensitivity action.
out damage. In addition, Pyrophosphates help remove surface and
deep stains. Added Fluoride helps
to prevent decay and keep teeth
healthy.
Perfect White Black
Mouthwash and Toothpaste
Perfect White Gold
Mouthwash and Toothpaste
Formulated with Activated Charcoal,
Perfect White Black toothpaste and
mouthwash ultimate combination
help to eliminate the bacteria that
cause bad breath and neutralises remaining odours. Charcoal helps remove tannins – compounds in food
and spices that stain teeth, offering
high performance whitening with-
Contains REAL Gold particles, renowned for its anti-bacterial, anti-inflammatory and blood flow
regulating properties. The Gold
Whitening Toothpaste helps to fight
stains whilst boosting holistic oral
care while the Gold Mouthwash
eliminates bad breath and provides
a long-lasting freshness.
For more information contact:
Beverly Hills Formula
Unit P1/P2 North Ring Business Park
Swords Road
Dublin, 9, Ireland
Web: www.beverlyhillsformula.com
E-mail: info@beverlyhillsformula.com
Tel: + 353 1 842 6611
Fax: + 353 1 842 6647
[9] =>
DTMEA_No.4. Vol.10_DT.indd
[10] =>
DTMEA_No.4. Vol.10_DT.indd
10
INDUSTRY
Dental Tribune Middle East & Africa Edition | 4/2020
Hu-Friedy introduces HuFriedyGroup
as the dental division of cantel
Divisional name and purpose align with expanded capabilities around performance,
protection, education,and compliance
By Hu-Friedy
Hu-Friedy, the world leader in dental instrument manufacturing and
instrument reprocessing workflows,
today introduced HuFriedyGroup
as the Dental Division of Cantel. This
announcement follows an extensive
and ongoing integration period that
began in October when Cantel officially completed the acquisition of
Hu-Friedy.
As the Dental Division of Cantel, HuFriedyGroup represents the union
of brands, products, services, and
solutions under one roof, including
Crosstex, Omnia, Accutron, SPSmedical, Palmero Healthcare, J & J
Instruments, and Hu-Friedy. Dental
professionals looking to improve
clinical outcomes, reduce risk, improve efficiencies, drive compliance,
and enhance patient and staff safety
can take advantage of the unique solutions offered by this group, including unrivaled premium instrumentation, comprehensive infection
prevention services and support,
and extensive education and community offerings. “When we agreed
to be acquired by Cantel, we knew it
would be important that the identity of our dental division reflect the
larger value that we are able to bring
to the industry,” said Ron Saslow,
Chairman, HuFriedyGroup. “We are
excited about where we landed and
feel that our new name reflects our
desire to direct our combined resources and talent to provide more
value to our customers and partners,
as well as the patients who count
on manufacturers, distributors and
dental professionals to deliver safe
conditions and optimal clinical care.”
“In a world that gets more complex
every day in terms of compliance
and infection prevention, we feel
that HuFriedyGroup is uniquely positioned through expertise, focus,
and solutions to emerge as an essential global partner in the area of infection prevention solutions.” said Ken
Serota, President, HuFriedyGroup.
“We continue to see breaches and realize the challenges dental practices
face in understanding and adapting
to compliance standards. We feel we
are uniquely suited to provide guidance, education, and solutions in
this area. With HuFriedyGroup, we
can address critical intersections of
performance and protection needs
for the modern dental professional,
which range from instrumentation
to PPE, instrument management solutions, waterline maintenance, and
biological and chemical monitoring.
We call this approach our Circle of
Protection, and we are more than excited about the value it will bring to
dentistry.”
Follow us on
@HuFriedyEU
@hu_friedy_europe
@Hu-Friedy Mfg. Co., LLC.EU
For more information visit
www.hu-friedy.eu,
Hu-Friedy Mfg. Co., LLC.
European Headquarters
Astropark - Lyoner Str. 9
60528 Frankfurt am Main
E-Mail: info@hu-friedy.eu
Tel.: +49 (0)69 24753640
Fax: +49 (0)69 25577015
Free Call: 0080048374339
We're celebrating 30 years
of brightening smiles
By Ultradent
The Opalescence whitening brand turns 30!
Here is an interview to Garred Lentz, Global
Brand Manager Opalescence.
cification. Providing a full menu of both medical and cosmetic whitening options allows clinicians to treat a wide range of individualized
patient needs.
What makes the Opalescence brand
unique?
The Opalescence name brings with it an unmatched level of whitening expertise and experience while still innovating and adapting
to changing lifestyles and patient demands.
Unlike many teeth whitening brands, we are
not interested in a “quick fix” or whitening
that will relapse after a few days. We provide
dentists with the very best and most flexible
whitening options that allow them to create
custom whitening solutions based on their
expertise and patient knowledge.
How did the Opalescence
story begin?
The story of Opalescence whitening began
with a teenage girl, Jaleena, who desperately
wanted whiter teeth and her father, Dr.
Fischer – Founder of Ultradent Products, Inc.
– who promised to create a safe and effective
product to fulfill her wish. After some trial
and error, Dr. Fischer made good on his
fatherly promise and created the world’s first
sticky, viscous whitening gel. 30 years later,
this same Opalescence formula remains the
gold standard in teeth whitening. Jaleena –
obviously happy with the results – eventually
became Dr. Jaleena Jessop who now heads up
all clinical affairs at Ultradent.
Which are the products the Opalescence
line is made of?
Opalescence is the global leader in in-office
medical whitening with Opalescence Boost
and waiting room whitening with Opalescence Office. Opalescence PF for custom whitening trays and Opalescence Go (pre-filled onthe-go trays) lead the take-home whitening
market. We also have a unique line of specialty whitening products for less common cases
like whitening of nonvital teeth and removal
of surface enamel imperfections and hypocal-
Could you share some Opalescence numbers?
Here are some fun numbers to consider:
- Opalescence whitening has been around for
30 years and is sold in more than 125 countries
- We have brightened over 100 million smiles
- 3x more clinical studies have been published
on Opalescence whitening than any other
whitening brand
- We have received over 50 industry awards
for tooth whitening
What about the future?
Opalescence whitening has always been
pushed forward by a culture of innovation.
You don’t remain the global leader in professional teeth whitening for 30 years without
constantly improving on existing products,
creating new and exciting ways to whiten,
and focusing on improving the patient experience at every chance possible. The ongoing
challenge for any whitening brand is how to
improve efficacy, speed, and comfort for the
For more information contact
Ultradent
505 West Ultradent Drive
South Jordan, UT 84095
Web: www.ultradent.com
patient. Every innovation that we develop is
informed by these three factors while always
maintaining the highest standards in safety
and scientifically proven methods. While I can’t
disclose what our next great product will be, I
can tell you that we will never release anything
that isn’t truly safe, comfortable, and effective
enough for a father to give his own daughter.
[11] =>
DTMEA_No.4. Vol.10_DT.indd
NO SHARPENING...
DO YOU
REALLY
BELIEVE IT?
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STAYS
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EVEN LONGER
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SHARP INSTRUMENTS REMOVE
ENTIRE DEPOSITS
TOOTH
AND ROOT
SURFACE
REVOLUTIONARY
TESTING
SYSTEM
NEW
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DULL INSTRUMENTS ONLY “BURNISH”
OR REMOVE PART OF A DEPOSIT
DEPOSIT
CURETTE, LATERAL SIDE
YOUR HU-FRIEDY DEALER
Bahrain: Gulf Pharmacy
Egypt: Safwan Egypt Co.
Iraq: Al-Hijazi scientific bureau
Jordan: Basamat Medical Supplies
Kuwait: Advanced Technology Company K.S.C.
Lebanon: Pharmacol
Oman: Al Farsi National Enterprises LLC
Qatar: Ali Bin Ali
Saudi Arabia: Al-Turki Medical Group Ltd.
NEW! Utd.Arab Emirates: ALPHAMED General Trading LLC
Visit us online at hu-friedy.eu
©2020 Hu-Friedy Mfg. Co., LLC. All rights reserved.
Hu-Friedy, Omnia, and Crosstex are now proud members of HuFriedyGroup
[12] =>
DTMEA_No.4. Vol.10_DT.indd
12
INDUSTRY
Dental Tribune Middle East & Africa Edition | 4/2020
Purevac HVE System
By Dentsply Sirona
Dentsply Sirona is proud to announce the launch of the Purevac®
HVE System. The Purevac® HVE
System enhances the line of infection prevention products managed
by Dentsply Sirona. It fits our overall
mission of stopping the spread of
infectious diseases in dental offices
worldwide.
High-speed handpieces, ultrasonic
scalers, air polishers and air/water
syringes produce potentially infectious droplets, splatter and aerosols.
It is recommended that dentists
should utilize a multi-layered approach in order to minimize the risk
of cross-contamination in a dental
setting. Using high-volume evacuation (HVE) instead of standard saliva
ejectors is an important component
to reduce the amount of aerosol. Several studies published show that utilizing HVE can reduce the amount of
aerosol by 90%-98%.1
The Purevac® HVE System is designed to provide oral high-volume
evacuation, visualization, illumination, and retraction during dental
procedures. It consists of the HVE
Mirror Tip which is a high-volume
evacuation tip with built-in dental
mirror This enables a one-handed
approach to evacuate the patient’s
oral cavity of aerosols, splatter, fluid,
and debris, while also providing visibility and illumination to the treatment area. An HVE Hose Adapter is
available and consists of a flexible
and lightweight HVE hose connected
to a 360-degree swivel for the HVE
Mirror Tip.
It offers:
• Visibility and suction all in one
hand
• Increased safety
– HVE removes 90% more aerosols
generated during ultrasonic scaling
compared to a low-volume saliva
ejector.1
• Better visibility
– Fog-free mirror with continuous
suction of fluids and debris.
• Greater fluid reduction
– 135% more than a low-volume
saliva ejector.
•Easier maneuverability
– 69% lighter and 130% more flexible than a standard HVE hose.
– 5-foot, kink-resistant hose with
360° swivel connection for HVE
Mirror Tip.
• Reduced noise
– 14% less than a standard HVE tip.
– 5% less than a low-volume saliva
ejector.
If you have any questions then
please do not hesitate to contact
your Dentsply Sirona sales representative.
References
1. Jacks MJ: A laboratory comparison
of evacuation devices on aerosol
reduction. J Dent Hig 2002, 76, 202206.
Find out more by
scanning the QR code.
For more information about the full
Dentsply Sirona portfolio please contact
your local representative.
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0) 4 523 0600
Web: www.dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
Connect Case Center: Send and manage
scan data quickly and reliably
By Dentsply Sirona
"Users of both Primescan and Omnicam benefit from modern digital impression technology, while remaining flexible in selecting partners for
the manufacture of restorations,
orthodontic devices and implant
abutments," explains Dr. Alexander
Völcker, Group Vice President CAD/
CAM and Orthodontics at Dentsply
Sirona. "The new Connect Case Centre thus provides the ideal environment for the digital workflow between laboratory and practice."
A seamless transition into digital
impressions
and
CAD/CAM
dentistry: With the new Primescan
from Dentsply Sirona, the new
Connect software and the Connect
Case Center, it's a breeze. The portal
for cooperation with the lab, which
has been known as Sirona Connect
until now, has been completely
overhauled and is now even
more convenient and flexible.
Validated interfaces enable secure
transmission of data to many
important partners.
Easy, quick, and above all, accurate
– intraoral scanning with the new
Primescan from Dentsply Sirona
meets the clinical requirements for
impressions, making it a first-class
method. The Connect Case Center is
a portal for further processing of the
scan with versatile options and full
flexibility. The Connect Case Center
replaces the Sirona Connect Portal
which, until now, has enabled practices to link to laboratories that use
the inLab software.
The basic function of the new platform is the secure transmission of
scan data and case information. Photos can also be transmitted to the lab
as attachments. If you want to communicate directly with the dental
technician, you can make use of the
chat function.
Numerous interfaces,
improved communication
with the Inbox
The new Connect Case Centre has
numerous validated interfaces to
important partners of the dental
practice: The seamless connection
to Simplant enables users to use the
Dentsply Sirona implant planning
service quickly and easily. There is
Dentsply Sirona's Connect Case Center replaces the Sirona Connect Portal, with both proven and new functions.
Via the Inbox, all labs can access the Connect Case Center.
also a seamless interface to Atlantis,
the central production service for
patient-specific abutments and suprastructures on implants.
The connection to SureSmile was
created for the IDS 2019. This enables
the user to order full service aligners,
a model print, IDB trays for indirect
bracket bonding and the production
of aligners directly from the practice
following the clinical diagnosis and
Smile Design in the lab. Labs that
work with the inLab software are also
seamlessly integrated and can offer CEREC users an attractive design
service.
One significant new feature is the
Connect Case Center Inbox – re-
ceiver software that enables all labs
to access the Connect Case Center,
regardless of their CAD software.
The Inbox clearly displays all of the
cases that need to be processed with
the corresponding information on a
dashboard and it also enables a 3D
preview of the order, which can be
accepted with a mouse click. For further processing with the preferred
lab software, the Inbox generates
common open data formats, such as
STL and OBJ.
The Inbox has proven to be particularly convenient in the workflow
with inLab or exocad labs that are
connected via appropriate interfaces: It provides a format that is
validated by exocad that includes
model and case data, colour information and preparation margins. In this
way, dentists also have the option
of cooperating with exocad labs in a
validated workflow.
Find out more by
scanning the QR code.
Portal for all intraoral scanners from Dentsply Sirona
When purchasing a Primescan AC
or a new Omnicam AC, dentists also
receive the Connect software, which
enables quick and easy access to the
Connect Case Centre. The user also
gets a license for the Inbox, which
can be passed on to the lab of choice,
so that the lab is also able to access
the portal. Of course, labs can also
buy their own Inbox license to obtain access to the Connect Case Centre.
For more information about the full
Dentsply Sirona portfolio please contact
your local representative.
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0) 4 523 0600
Web: www.dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
[13] =>
DTMEA_No.4. Vol.10_DT.indd
Opalescence
™
tooth
whitening
systems
We're celebrating 30 years of
brightening smiles!
Follow us!
© 2020 Ultradent Products, Inc. All rights reserved.
© 2017 Ultradent Products, Inc. All Rights Reserved. 1006563.1
091517
[14] =>
DTMEA_No.4. Vol.10_DT.indd
14
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 4/2020
The next generation of
the composite veneering system
By Dr med. dent. Mario Besek, Switzerland
After almost ten years, the leading
composite veneering system shines
with a new brilliance: the customisable BRILLIANT COMPONEER composite shells have been optimised
in terms of gloss stability and colour
blending. In the following case report, Dr. Mario Besek explains the advantages of the concept and demonstrates the consequences in practice.
After many years of research, the
international dental specialist COLTENE developed a system in 2010
that was to make anterior tooth restoration much easier for dentists:
COMPONEER are polymerised, pre-
fabricated composite enamel shells,
which improve the usual freehand
technique for major anterior tooth
restorations. The customisable composite shells are completely free of
inclusions due to mechanical fabrication, are homogeneous and have a
layer thickness of only 0.3 mm in the
cervical area at the thinnest point.
When launched on the market, a
silky gloss was already achieved owing to the material properties, but
the maximum of what was technically possible had by no means been
exploited (Fig. 1).
Brilliant further
development
In the following years COLTENE
developed its composite materials
further with regard to their physical and chemical properties, paying
particular attention to the gloss of
the material. This research resulted
in both the submicron composite
BRILLIANT EverGlow and the corresponding ONE COAT 7 UNIVERSAL
bond. In addition to its smooth application, the new composite is particularly notable for its gloss stability.
Conversely, the perfectly matched
bond contains the proven MDP
(10-methacryloyloxydecyl dihydrogen phosphate), which provides excellent adhesion on the tooth side
as well as on composite and other
restorative materials. The insights
gained from this development finally led to the revision of the classic
COMPONEER.
Of particular interest here was gloss
stability, which depends largely on
filler density and size. The first generation COMPONEER had a filler
size of up to 1μm. Abrasion through
toothbrushes allows the matrix to
be released between larger fillers,
which refract and scatter light on the
surface. However, under a viewing
angle of 60° incident light and reflection, only a part of the light reaches
the human eye (Fig. 2). Therefore, the
composite, which is capable of machine processing, has been further
developed so that the average particle size is only 0.4 μm.
On the one hand this results in less
matrix being released and on the
other hand the smaller particles lead
to less refraction of light (Fig. 3). Furthermore, the particle size lies below
the wavelength of visible light (400 –
700 nm). This new development not
only led to new shells, but also to the
improved new concept of BRILLIANT
COMPONEER.
Perfect surface gloss and
improved bonding
A few work steps have changed
through this reformulation and
these are described below: the initial
situation in the present case shows
older, abraded anterior tooth veneers
ÿPage 16
Fig. 1: Silky gloss of classic composite shells
Fig. 2: Incidence of light on the human eye
Fig 3: Reduced particle size
Fig. 4: Older, abraded anterior tooth veneers
Fig. 5: Shade selection with BRILLIANT EverGlow shade guide
Fig. 10: Integration into the natural tooth row after completion
Figs. 7/8: Placement of the composite shells
Fig. 9: Placement of the composite shells
Fig. 6: Overall shade impression when placing the composite shell on
the colour strip
Fig. 11: No visible transitions to the tooth substance
Fig. 12: Brilliance at speaking distance
Figs. 13/14: Restoration in amelogenesis with classical COMPONEER
[15] =>
DTMEA_No.4. Vol.10_DT.indd
DISCOVER
a brilliant smile
BRILLIANT
®
COMPONEER
Direct Composite Veneering System
A Smile Made Brilliant –
Reliable. Affordable. Time-saving.
005345 01.20
www.componeer.info
[16] =>
DTMEA_No.4. Vol.10_DT.indd
16
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 4/2020
◊Page 14
(Fig. 4). The basic shade of the tooth is
now determined with the BRILLIANT
EverGlow shade guide, as the BRILLIANT COMPONEER is preferably
used with the optimally matched
material (Fig. 5). The shade guide
can be used to determine the shade
of the composite shells. The disposable colour strip printed with the
BRILLIANT EverGlow shade equivalents is simply torn from the block
for hygienic application. BRILLIANT
COMPONEER is basically available in
two enamel shades, Bleach Trans and
Trans, which are exactly matched to
BRILLIANT EverGlow. A prospective
overall shade impression can be
obtained by placing the composite
shells on the colour strip (Fig. 6).
The proven retention structure on
the rear of the COMPONEER remains
intact. Due to the optimal consistency and improved bonding of
ONE COAT 7 UNIVERSAL, it can be
light-cured after application as an
option, which simplifies wetting of
the composite and thus the placement of the shells (Figs. 7, 8). ONE
COAT 7 UNIVERSAL is also used on
the tooth side after etching. Due to
its universal applicability and selfetching effect, bonding at critical
points can be improved. Light curing
is used to establish bonding (Fig. 9).
BRILLIANT COMPONEER integrates
harmoniously immediately after
completion of the restorations (Fig.
10). The close-up view of the restoration, which is distinguished through
its perfect surface gloss, is remarkable. The outstanding bond and ideal
shade matching result in perfect
blending of the luting composite.
There are also no visible transitions
to the tooth substance in the cervical
region (Fig. 11). While dentists often
only pay attention to microscopic
details, the brilliance at speaking
distance is important for the patient
(Fig.12).
Case 3 is interesting in that the patient was treated nine years ago with
COMPONEER of the first generation
(Figs. 17-19). After nine years, the
natural ageing process can be observed through a loss of initial brilliance. What is remarkable is that the
renewed preparation did not cause
any additional loss in hard tooth
substance. In this example one can
see the initial difference after treatment compared to the condition
nine years ago (Figs. 20-22). Nor can
any defects be seen in the close-up
view and even the incorporated
structures appear in high brilliance
(Figs. 23, 24).
Conclusion
The new formulation of the BRILLIANT COMPONEER composite veneering system has indeed proven
successful. The combination of individual elements improves the initial
surface brilliance as well as the permanent gloss stability. Colour blending, brilliance and bonding phases
have also been optimised – leading
to a «more durable» smile for the patient in the long term.
For more information contact:
Dr. med. dent. Mario Besek
Swiss Dental Center Zurich
Heinrichstrasse 239
8005 Zurich
Tel: +41 (0)43 444 74 00
E-Mail: info@swissdentalcenter.ch
www.swissdentalcenter.ch
Patient case: natural ageing process
after nine years
The concrete application options are illustrated in the following
patient cases, such
as in the case of two
siblings with amelogenesis. Case 1 was restored with classical
COMPONEER (Figs. 13,
14), the new BRILLIANT
COMPONEER was used
in case 2 (Figs. 15, 16).
Fig. 15
Fig. 16
Figs. 15/16: Restoration in amelogenesis with novel BRILLIANT COMPONEER
AD
Fig. 17: Original initial situation 9 years ago
Fig. 18: Original preparation 9 years ago
Fig. 19: Restoration with COMPONEER (first generation) 9 years ago
Fig. 20: COMPONEER (first generation) after 9 years
Fig. 21: Current preparation, not more invasive than 9 years ago
Fig. 22: Restoration of the same case with BRILLIANT COMPONEER
Figs. 23: Detailed view
Figs. 24: Detailed view
[17] =>
DTMEA_No.4. Vol.10_DT.indd
15
CAD/CAM &
Digital Dentistry
Conference
th
12-14 Nov 2020
Preliminary Programme
12-14 Nov 2020
Thursday-Saturday
Online Event
Prof Chung How Kau, USA
Prosumerism in the Dental and
Orthodontic Industry. An Understanding
of the Landscape we Live in
Dr Julian Caplan, UK
Improving Aesthetics for
In-Surgery Ceramic Restorations
FREE REGISTRATION
Vanik Kaufmann-Jinoian, Switzerland
Aesthetic Dentistry, Digital Solutions &
Understanding Materials Optimized for
Digital Dental Applications
Dr Julian Caplan, UK
Intraoral Scanning
Dr Miles Reed Cone, USA
Exposed: The Art and Science of
Emotive Digital Photography for
the Dental Clinician
Dr Ruper Austin, UK
Management of Erosive Tooth
Wear using CAD/CAM
Prof Chung How Kau, USA
An Understanding of the Aesthetic
Orthodontic Industry. A Clinician’s Guide
to the Range of Treatment Options
Eric Berger, France
Aesthetic Revolution Through
New Fields of Applications
Marcio Breda MDT, Brazil
"Natural Oral Aesthetics" Crowns, Lenses and Bridges
Visit for more info: www.cappmea.com/digital-dentistry/speakers
CONTACT
CAPP EVENTS & TRAINING
Onyx Tower 2 | Office P204 & P205
The Greens | Dubai | UAE
Mobile: +971 502 793 711
Tel: +971 4 347 6747
E-mail: events@cappmea.com
Centre for Advanced Professional Practices (CAPP) is an ADA CERP
Recognized Provider. ADA CERP is a service of the American Dental
Association to assist dental professionals in identifying quality
providers of 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.
CAPP designates this activity for 21 CE Credits
[18] =>
DTMEA_No.4. Vol.10_DT.indd
18
INTERVIEW
Dental Tribune Middle East & Africa Edition | 4/2020
A new solution in
the field of digital workflows
By OEMUS MEDIA AG
In this interview, new Dentalpoint
CEO Adrian Hunn talks about the
new competence centre for Zeramex
Digital Solutions and master dental
technician Peter Hölldampf, laboratory manager at the Germany-based
machining centre Geiger Dentaltechnik, a close partner of Zeramex,
discusses material-specific aspects of
zirconium dioxide.
Mr Hunn, the company Dentalpoint, which owns the Zeramex
brand, opened its new competence
centre for Zeramex Digital Solutions last year. There are probably
at least some users, dental technicians and dentists who have not
heard of it yet. Can you explain exactly what a competence centre is
and how the customer can benefit
from it?
Hunn: The market is demanding
new solutions in the field of digital
workflows, so it is a logical step for
the R&D department at Zeramex
to find new ways, approaches and,
ultimately, solutions for our twopart and 100% metal- free systems
to meet this demand. And our R&D
department has done a great job in
this regard over the past two years.
We are now able to offer fully customised and 100% metal-free solutions from the new Zeramex Digital
Solutions competence centre. Our
customers now have the possibility of sending digital data to our
competence centre by secure data
exchange, which enables them to
order, for instance, customised abutments directly from us. But that is by
no means all. Our product portfolio
embraces fully customised abutments, one-piece monolithic crowns,
and custom-made crowns with and
without screw holes for ZERABASE
abutments, all made to the highest degree of precision. Whether for
restorations of anterior or posterior
teeth, we have the perfect solution
for each and every situation. In addition, customers can choose to have
their crowns ready coloured and
glazed. A 3D-printed model can also
be produced on request so that the
practitioner can check the restora-
tion before insertion and show it to
the patient as a tangible model. Of
course, every order comes as standard with the required 100% metalfree VICARBO screw. In addition to
the direct implementation of the
orders, our competence centre offers
advice in the field of data processing
and in the selection of the perfect
product for the individual needs of
the customer.
It has been a few months now since
Zeramex Digital Solutions was first
launched. How much has the new
competence centre appealed to users and how strong is the demand?
Hunn: As I pointed out earlier, the
ordering process is very simple and
uncomplicated and therefore runs
very smoothly. This meant that, at
start-up, only minor changes to the
ordering process were necessary.
The simplicity with which customers can get high-quality, customised
and, above all, metal-free solutions
adapted to the specific gingival situation generated a great deal of very
positive feedback. This interest,
combined with the fact that the demand for digital solutions is already
very great, made it possible for us to
achieve an even better start than we
expected. Customers and users with
whom we have long-standing, close
relationships naturally knew about
our project at an early stage and were
involved in product and process optimisation. Not only did they support us in this project, but they also
con- firmed that there will almost
certainly be great demand for the
new competence centre in future.
The word “future” brings us to
the next question. Will the digital
workflow at Zeramex offer even
more options in future? Are you already working on further developments in the Zeramex Digital Solutions department, and if so, what
form will these take?
Hunn: I thought you might put this
question to me [laughs]. Indeed,
there are product enhancements
that are already in development and,
in some cases, almost completed.
In the near future, the competence
centre will certainly provide us-
Fig. 1: Adrian Hunn was elected new CEO of Dentalpoint at the beginning of 2020.
ers with innovations as well as enhancements of existing products. Of
course, I cannot yet tell you exactly
what these will be. In addition to the
product, delivery times are an issue.
We are already working intensively
on offering the customer shorter
delivery times as soon as possible.
The aim is that, in future, Zeramex
Digital Solutions products will be
received by the customer within two
days of placing the order.
Mr Hölldampf, you are the laboratory manager at Geiger Dentaltechnik, one of the longest established
machining centres in southern
Germany and a close partner of
Zeramex. In 2000, your laboratory
was the first in Germany to use 3M
ESPE to implement a pilot project
for milling zirconium dioxide with
Fig. 2: Peter Hölldampf is the laboratory manager at Geiger Dentaltechnik, one of the longest established machining centres in
southern Germany.
CNC machines which operated on a
CAD/CAM basis. What can you tell
us about this material, the machining process and your experience
with it?
Hölldampf: Yes, that was very exciting back then. Zirconium dioxide
was still in its infancy, and when 3M,
then ESPE, came to us to test this
new process, we were initially quite
sceptical about whether it would
work. In the test phase, we realised
that the material zirconium dioxide
was unique and functioned really
well and that it would, therefore, be
possible to do quite a lot with it. Of
course, zirconium dioxide has its
pitfalls, and there are a few things
to consider when preparing and
machining it. At the end of the day,
zirconium dioxide is a ceramic. This
means that you have to carefully investigate factors like stability values,
connector cross sections for bridges
and the creation of the correct substrate for subsequent veneering ceramics. There are many factors that
come into play. Extremely precise
processing must be ensured over all
the manufacturing steps. In the past,
full-ceramic restorations were really
only possible using pressed ceramics
or the hot isostatic pressed variant.
Milling in the green state, however,
was a complete innovation. This new
approach was gentle on the material,
the machine and the milling tool. In
addition, it was possible to achieve
much more detailed and precise results.
It is said that stability is still an issue with zirconium dioxide. You
have been working with this material for over 20 years. What is your
opinion about its stability?
Hölldampf: Zirconium dioxide is a
very hard material. If we take a gold
crown for comparison, it is much
more forgiving in terms of chipping. This is because gold is much
more malleable than ceramic. For
the ceramic process, this means that
an absolutely perfect impression is
required in advance. If uncertainties are already present in the impression, this can lead to inaccuracies, and there is a risk of parts of it
breaking off. Since pressure cannot
be used to apply zirconium dioxide
restorations, a perfect fit must be
assured. A gold matrix is more forgiving. Because zirconium dioxide
is such a hard material, the product
has to be extremely precise and a
perfect fit, as I said. The fit is the absolutely crucial. In the further course
of machining, it is also important to
process it carefully without pressure
and with the right cooling. Especially
in the area of the geometry of implant connections, it is important to
use extremely stable ceramic material. The pressure on a natural tooth
is simply very different from that on
an implant. An implant is firmly anchored in the bone and allows practically no further movement.
Are there still problems with fitting with zirconium dioxide, and
does this require a lot of reworking?
Hölldampf: Actually, this is no longer really the case. Above all, owing
to improvements in the software
in recent years, it is now possible to
work much more precisely in scanning and then digitally designing the
implant. As a result, significantly less
reworking has been required in recent years.
Zeramex Digital Solutions offers
customised and completely metalfree abutments, crowns and even
one-piece monolithic crowns. To
what extent have you, in the laboratory, been able to benefit from
these innovations?
Hölldampf: The issue is really the
connection geometry of the abutment, that is, the prosthetic restora-
ÿPage 19
[19] =>
DTMEA_No.4. Vol.10_DT.indd
Dental Tribune Middle East & Africa Edition | 4/2020
19
INTERVIEW
◊Page 18
Figs. 3–5: Zeramex Digital Solutions offers customised and completely metal-free abutments, crowns and even one-piece monolithic crowns.
AD
tion of the dental implant. Milling
this connection geometry in zirconium dioxide is highly problematic,
since no manual post-machining
should be carried out in this area.
Only a perfect first-time fit in the
transition area will provide a product that functions perfectly. Because
this connection geometry is milled
directly by the Zeramex Digital Solutions competence centre, you have
to be able to simply count on it being a perfect first-time fit. And this
means that we immediately get a
super-functioning product in original manufacturer quality that we
can use to create our custom restorations.
Are there comparable products
on the market with regard to customised abutments or customised
monolithic crowns?
Hölldampf: In the past few years,
we have had products from various
zirconium dioxide implant manufacturers. I would say that there are
comparable products, yes, but there
have never been other products
where you can safely assume there
will never be complications when
it comes to fitting in the patient’s
mouth. In Zeramex, we have found
a partner whose product simply
works. The product is carefully considered and planned down to the
last detail and perfectly harmonised
with other components. The system
is logically structured, all parts fit together perfectly, and the great thing
for us is that we can rely on finding
the best solution for every job, regardless of the size. We have never
had any other product in our laboratory that comes close to the quality
of Zeramex.
Editorial note:
This interview was first published in
the ceramic implants magazine, volume 4, issue 1/2020.
The Importance of Proper Light Curing
There are several clinical challenges dentists encounter if they choose an inadequate curing light or apply inappropriate light
curing techniques including weak adhesion and compromised physical and chemical properties of the restorative material.
In fact, studies revealed that more than 37% of composite restorations are insufficiently cured.1 This will likely have a negative
impact on the longevity of the restoration.
The following guidelines are based on the Consensus Statements on Light Curing2 (Northern Light Meetings, Halifax) and are
intended to help you achieve more predictable and reliable outcomes.
Shining A Light On Curing
Not all lights are created equal
Be aware of the key performance indicators: Make sure
your light delivers a minimum of 500 mW/cm2 in standard
mode. Be cautious when using high output lights (above
2.000 mW/cm2) that advocate very short exposure times
(e.g. 1-5 seconds).
• SmartLite® Pro: ~1.250 mW/cm2 over the whole curing area
SmartLite® Pro
Competitor
10 mm
7 mm
Maximize Coverage. Choose a light with a uniform
output that covers as much of the restoration as
possible. If the light tip is smaller than the restoration,
use overlapping exposures.
• SmartLite® Pro: Large active curing area of 10 mm diameter
Cure Over Distance. Select a light that offers the least
reduction in irradiance as distance from the tip increases.
REDUCTION
• SmartLite® Pro: Collimated beam for reliable curing over
larger distances
How To Properly Light Cure
0%
28%
40%
0 mm
4 mm
8 mm
Before getting started, be sure to:
• Use eye protection • Watch position of curing light
Inspect And Clean. First make sure the light is free of defects and debris. Apply barrier sleeve to protect
lens and handpiece from gross contamination.
For more information contact:
Adrian Hunn
Dentalpoint
Bodenäckerstr. 5, 8957 Spreitenbach
Switzerland
Phone: +41 44 3883636
info@zeramex.com
Peter Hölldampf
Geiger Dentaltechnik GmbH
Gottlieb-Daimler-Straße 3
73529 Schwäbisch Gmünd, Germany
Phone (laboratory): +49 7171 9806-11
Phone (milling centre): +49 7171 9806-29
info@geiger-dentaltechnik.de
millingcenter@geiger-dentaltechnik.de
Place Light. Position light as close as
possible (without touching) and with tip
parallel to the surface of the restoration.
Double Check. Light cure restoration for recommended time.
Follow the resin manufacturer’s curing table.
1. Boksman L, Santos GC. Principles of Light Curing. Inside Dentistry 2012; 8: Issue 3.
2. Price R., Light Curing Guidelines for Practitioners: A Consensus Statement from the 2014 Symposium on Light Curing in Dentistry,
Dalhousie University, Halifax, Canada, J Can Dent Assoc 2014;80:e61.
Strassler H., Oxman J., Rueggeberg F., What should you look for in a curing light? CDAessentials, 2015;3(6):30-3.
Price R., Guidelines For Using Bulk Fill Resin Composites, CDAessentials 2017;4:39
[20] =>
DTMEA_No.4. Vol.10_DT.indd
20
NEWS
Dental Tribune Middle East & Africa Edition | 4/2020
Investing in key pieces of dental equipment –
the focus of your day and your business
By Dentsply Sirona
Some pieces of dental equipment
have a greater effect on a clinician’s
working day than others. But the
dental treatment centre, also referred to as the dental chair, has the
greatest effect of all.
Equipment quality has a significant
effect on the ability of professionals to do their job, particularly those
for whom the equipment is the
central focus of their work. Clinicians rely on their skills and professional judgement to give patients
the appropriate treatment, but they
cannot achieve these goals without
high-quality dental equipment and
materials, and the starting point for
quality is the treatment centre.
The perfect combination
Dental treatment centres rely on excellent structural engineering and
exceptional software design. An appropriate analogy to describe the importance of the treatment centre to a
clinician is the modern smartphone.
Phone manufacturers have invested
millions over the years to design
robust, yet beautifully crafted hardware, which, combined with cutting
edge technology, enables users to
perform a multitude of functions
efficiently and often concurrently,
whilst still sustaining enough battery life to last the day. This is what
their customers demand, and they
have risen to the challenge.
Dental manufacturers such as Dentsply Sirona have also responded to
demands from their customers with
regards to dental chairs, and the reason is the same; clinicians rely on
these sophisticated pieces of equipment, which must be reliable and
functional, yet with a degree of style
and certainly comfort, to support the
effective treatment of patients.
The ideal treatment centre provides
much more than a basic dental chair
and must have a wide range of functions that cover every workflow that
the practice offers. It must be easy to
use, with all equipment within easy
reach and with integrated hardware
and software to create a streamlined
patient journey. It must also set the
right tone for the practice, in terms
of style and comfort. In essence, it
must have the perfect balance of
function and design; keeping the patient comfortable and the clinician
equipped to deliver outstanding
treatment outcomes.
implant dentistry which can be accessed easily within the software and
operated by intuitive touchscreen
controls.
Great dentistry by design
A comfortable patient is more likely
to be at ease, so the design of the dental chair is also extremely important.
Soft, comfortable upholstery helps
the patient relax, whilst controlled
mechanical chair movements move
smoothly into the clinician’s perfect
working position. A motorised headrest positions the head comfortably,
regardless of body build or size, with
minimal effort from the operator.
A treatment centre that is well-designed and built with high-quality
components gives clinicians the
confidence that it will perform when
needed. Dentsply Sirona’s Teneo®
treatment centre, for instance, includes many finely tuned motorised
elements that can be used to move
the patient and instruments into
the perfect position. It also enables
a neutral, ergonomic posture and
excellent visibility for the procedure.
Further innovations extend to the
easy integration of different workflows, such as endodontics and
AD
Smooth and largely gap-free surfaces
make it easier to keep the equipment
clean and disinfected and foot-pedal
or sensor-activated operation reduces the risk of cross-contamination
during use. Together with intelligent,
automatic flushing and cleaning
processes, these features mean the
decontamination of the treatment
centre can be performed more quickly and efficiently than ever before.
Good for business
WE’RE ON A MISSION:
TO REDUCE BACTERIAL
AEROSOLS
in dental procedures worldwide.
A treatment centre that enables a
clinician to give patients excellent
treatment and a comfortable experience must be good for business.
Satisfied patients will continue to
visit the practice, which keeps the appointment book busy and maintains
revenue levels.
A treatment centre that enables the
operator to work freely and without
pain because of its ergonomic design
and motorised functions increases
the working comfort of the whole
practice team, which in turn helps
maintain health and wellbeing.
And finally, a treatment centre that
can easily accommodate a variety of
workflows not only enables the clinician to switch from one discipline to
another efficiently, but also futureproofs the equipment for any future
plans to expand into other treatment areas or upgrade.
Purevac® HVE System
with Mirror Tips and Hose Adapter
In the CDC guidelines for infection control in dental settings, the use of
HVEs are considered to be “appropriate work practices” — precautions
that always should be followed during dental proceures.1
That’s why we developed the Purevac HVE System, a high volume
evacuation mirror tip with ergonomic hose adapter designed to improve
the evacuation of splatter, fluids and debris— reducing 90% more aerosols
than a low-volume saliva ejector.2
NEW!
High Volume
Evacuation and
Mirror Tip in a
Single Instrument
The purchase of a treatment centre
is a long-term investment decision
which must be carefully considered.
Finding a manufacturer that has
taken the time to research what clinicians really require is therefore essential from both a clinical and business point of view. Once excellent
customer support, installation and
long-term warranties are added to
the equation, the business case for a
high-quality dental treatment centre
couldn’t be clearer.
Promoting better, safer, faster
dental procedures
• 135% greater removal of fluids than a low-volume saliva ejector.
• HVE removes 90% more aerosols generated during ultrasonic scaling
compared to a low-volume saliva ejector.2
• High Volume Evacuation + Mirror in a single instrument = visibility and
suction all in one hand.
1
For more information visit dentsplysirona.com
1. Harrel SK, Molinari J: Aerosols and splatter in dentistry: a brief review of the literature and infection control implications. J Am Dent Assoc 2004, 135, 429-437
2. Jacks MJ: A laboratory comparison of evacuation devices on aerosol reduction. J Dent Hig 2002, 76, 202-206.
© 2018 Dentsply Sirona Preventive. INF05-0118-1
Find out more by
scanning the QR code.
For more information about the full
Dentsply Sirona portfolio please contact
your local representative.
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0) 4 523 0600
Web: www.dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
[21] =>
DTMEA_No.4. Vol.10_DT.indd
#whdentalwerk
wh.com
Incredible
inside &
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New Lara sterilizers. Ready for the future.
Discover simple operation and reliable
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And discover unique upgradeability whenever
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or upcoming legal requirements.
[22] =>
DTMEA_No.4. Vol.10_DT.indd
22
INTERVIEW
Dental Tribune Middle East & Africa Edition | 4/2020
How to become a
successful implantologist in Dubai
Interview with Dr Deborah Rello, implantologist and cosmetic dentist
at the Dental Studio Dubai
Dental Tribune MEA had the pleasure to interview Dr Deborah Rello,
implantologist and cosmetic dentist
at the Dental Studio Dubai, United
Arab Emirates. Dr Deborah shares
her experience in Dubai and how she
achieved an implantology privilege
from Dubai Health Authority (DHA).
DT MEA: Greetings Dr Deborah, it is
a pleasure for us to feature an experienced dentist such as yourself in
the Dental Tribune Middle East and
Africa edition. First of all, could you
share a short introduction about
yourself, what is your educational
background and work experience,
especially related to the UAE?
The pleasure is entirely mine, it is
an honour for me to feature in your
print and digital media publication.
Let me tell you a little about myself.
I completed my bachelor’s degree in
dentistry at the International University of Catalonia (Barcelona, Spain) in
2003, and my postgraduate degree
in implantology in 2006. I have always been very passionate about
dental surgery, mainly implantology, a field in which I have been
practising for over 12 years. Yet, us
dentists are aware that our patients
do not want implants but beautiful
smiles, hence I decided to embark on
further training to combine surgery
with cosmetics, completing my diploma in dental cosmetics in Barcelona in 2014.
During my career, I worked for over
seven years between Spain and the
UK focusing on dental cosmetics and
implantology. In 2015, I made the
With this programme, I was given
the opportunity to work on my own
private patients as well as patients in
need from the University of Ajman.
After completing the Clinical Implantology Dentistry Diploma,
you also applied and successfully
obtained your implantology privilege from DHA. Could you share
more details with our readers on
how you achieved this privilege?
What is your advice to other general practitioners in Dubai who
would like to obtain an implantology privilege?
From my experience, after completing the course the delegates have solid knowledge in implantology. In addition, the DHA exclusively requires
the highest standards for dentists
wishing to attain the Privilege, hence
continuous thorough research and
reading of the most updated articles
is a must.
Currently, you are working as implantologist and cosmetic dentist
at the Dental Studio Dubai. Tell us
more about the clinic and the pro-
cedures which you perform?
Dental Studio is an award-winning
dental practice established in Dubai
for over thirty years. I am proud to
belong to a team that focuses on delivering exceptional patient care and
promoting lifelong oral health, and
we really pride ourselves on treating
patients with empathy, respect, and
individuality.
Daily, I focus my work on patients requiring regular care, cosmetic dental
treatments, and of course, dental implants and restorations. I work very
closely with my specialist colleagues
and hygienist to ensure our patients
receive the highest quality advice
and the personalized attention they
require.
You have been working in Dubai
since 2015. What is to your experience as a dentist in one of the most
diverse and cosmopolitan cities in
the world? How is life in general in
Dubai?
Having spent the last five years of
my life in Dubai, I can only mention
that my experience in all aspects has
been highly positive. As a diverse and
multicultural city, I have been able
to enrich my skills from dental colleagues from the most diverse parts
ÿPage 23
© Dr Deborah Rello
By Petar Mollov, Dental Tribune
MEA
You completed the Clinical Implantology Dentistry Certificate and
Diploma programme provided by
the CAPP-Tipton Dental Academy,
British Academy of Dental Implantology (BADI) and the British
Academy of Restorative Dentistry
(BARD) in 2019 in Dubai, UAE. What
was your experience throughout
the programme and what did it
consist of?
When I arrived to the UAE in 2015,
my main objective was to be able to
practice my speciality of implantology following the DHA rules and
regulations. I not only wished to attain the UAE privilege required to
practice as an implantologist, but
also to refresh my knowledge with
the newest techniques in this field.
Having worked with part of the team
previously back in Europe, it was an
absolute privilege to follow a series
of modules which consisted of live
surgical patient treatment hands-on
trainings, live surgery demonstrations, lectures, and seminars.
All delegates were provided with adequate diagnostic tools to predict the
treatments success under the close
advice of the team. In my opinion, it
was an honour to share this experience with talented and highly qualified professionals such as Prof Goran
Urde and Dr Ninnette Banday. They
not only guided me through the full
process, but we created a bond of
friendship that will always prevail.
© CAPPmea
© Dr Deborah Rello
decision to move to Dubai and have
since built a strong relationship with
my patients, prioritising their care
and interest.
[23] =>
DTMEA_No.4. Vol.10_DT.indd
INTERVIEW
Dental Tribune Middle East & Africa Edition | 4/2020
23
◊Page 22
of the world, an experience which in
fact is rather difficult to gain in Europe, where I am originally from.
two stray cats Nelson and Greta live a
much better life than me. Travelling
is undoubtfully my other passion.
On a personal level, I have enriched
myself not only from expat traditions, but as well, built wonderful
and lifelong friendships with the
local community and their fascinating culture. Emiratis are kind and
respectful to our heritage, just as I
am towards theirs, and for this I am
forever grateful for the opportunity
I have been given to live and thrive
in this region.
Thank you, Dr Deborah, for sharing your journey with us.
© CAPPmea
The SARS-CoV-2 virus has changed
dentistry forever. What precautionary measures are taken in your
clinic to protect your patients and
all dental staff? Do you believe
these measures will become the
new norm?
Infection control and patient safety
have always been our top priority
at the clinic, prior to the outbreak
of COVID-19, and the guidelines imposed to prevent spreading of the
virus are taken extremely seriously
by our staff.
More information about the
"Clinical Implantology Certificate &
Diploma" by CAPP, BARD and BADI
can be found on:
https://cappmea.com/implant/ or
call/WhatsApp +971528423659
AD
POST-GRADUATE DENTAL EDUCATION
DUBAI | UAE
We have implemented extra preventative measures on top of the safety
protocols; on arrival, our patients
immediately have their temperature screened (including all staff)
using a no-contact thermometer,
while our waiting rooms will show
minimal activity and have publicly
displayed hand sanitizer units to offer the highest protection while waiting for the dental appointment. For
every visit, our patients will fill in the
same questionnaire to help identify
possible viral exposure. It also assists
in identifying patients who could
experience the most severe effects of
COVID-19.
We have disposable masks available
at the reception desk on offer in case
our patients need one, as well as increasing the number of hand sanitizers and clearly marked our public
spaces to ensure social distancing.
We also allow for greater gaps between patient appointments to reduce waiting time whilst limiting
the number of patients in the clinic
at any one time to ensure everyone’s
safety.
When it comes maintaining the
cleanliness of the clinic, our cleaning
schedule has been increased so that
all non-clinical surfaces are disinfected every 15 minutes. All clinical areas
and instruments are fully sterilized
between every patient visit.
However, albeit extra precautions
having been taken in consideration
during these difficult times, at the
Dental Studio our patient’s well-being has always been our priority, and
many safety protocols as mentioned
before were already in place as a routine and will definitely be introduced
as the new norm in all dental clinics.
Dr Deborah, what are your hobbies
and what do you like doing in your
private time?
Whilst out of the office, my family
is my absolute priority and what is
most important to me in life. I love
spending as much time as possible with them and with my closest
friends, enjoying meals together
whenever possible.
To stretch my body and mind I practice Pilates and any outdoor sports
whenever the weather allows it in
Dubai. I volunteer during intermittent weekends providing meals to
lower-income groups that are struggling in the COVID-19 era, as well as
being an active member of animal
welfare in UAE helping animal shelters and rescue groups. In fact, my
Organiser
Partners
+971528423659 | p.mollov@cappmea.com
www.cappmea.com/diplomas
[24] =>
DTMEA_No.4. Vol.10_DT.indd
24
INTERVIEW
Dental Tribune Middle East & Africa Edition | 4/2020
How does COVID-19 affect dentistry and
what can we do to survive?
During the CAPP Live Stream Dental Meeting last April,
acting moderator of the online conference, Dr Çagdas Kislaoglu interviewed Dr Christian Coachman
on dentistry in the COVID-19 pandemic period.
By CAPPmea / Dental Tribune MEA
In March 2020, when the COVID-19 disease had
just become an official global pandemic, CAPP
began a series of online accredited educational
programmes to support dental professionals
across the world during the lockdown period.
On 16 April, at the second planned scientific
programme, the organisers included an interactive interview between conference moderator Dr Çagdas Kıslaoglu and conference speaker Dr Christian Coachman, with a focus on the
COVID-19 pandemic in dentistry.
Dr Çagdas Kıslaoglu is an international renowned aesthetic dentist from Turkey, well
known for the smile and face makeover shows
streamed on national television focussing on
one-day smile design makeovers.
Dr Christian Coachman is a Brazilian sixth
generation dentist. His family line has worked
in dentistry for 170 years, as verified by Guinness World Records. Not only did he qualify
as a dentist from the most recognized dental
school in Latin America, the University of São
Paulo Dental School in 2002, he has a double
degree, having also graduated from the same
institution as a dental laboratory technician in
1995. In 2018 he was in the top 19 of the Most
Influential People in Dentistry by Incisal Edge
magazine. He is a member of the Brazilian, European and American Academy of Aesthetic
Dentistry, becoming the only dentist to have
been invited to be a member of these three
prestigious organisations.
Welcome online Dr Christian Coachman live
streaming from Madrid, Spain during the
COVID-19 period where we are on lockdown
Logical
AD
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A C L I N I CA L A P P ROAC H TO O C C LU S I O N
intelligent solutions
Occlusion as a factor for the diagnosis, planning and
execution of restorative work.
The main objective of the work is to demystify
occlusion through simple language and in a logical
sequence, so that it is easy to understand and
memorize.
Sales record with the Portuguese version, now
available in English and Spanish.
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ISSUE
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more information
and connected globally, greetings from Istanbul, Turkey. How have you experienced
the past month since the global pandemic
became a reality?
Dr Christian Coachman: Thank you for the kind
introduction and a thank you to CAPP for organising this interview and live stream during
COVID-19 period. We plan to discuss important
and useful topics with good insights in a tough
moment for our profession, and for our planet.
We will do our best to remain positive and to
utilize our time in smart ways, glad to be here.
The current pandemic forced us to close
our offices with many dental professionals
becoming depressed and worried. Having
unplanned free time, many started watching online videos, webinars and began
self-improving through online education,
including myself. In your view, how did the
crisis affect dentistry and what can we do to
survive?
This is the most important question we are all
asking ourselves as dental professionals. There
is no way we can answer this question without
understanding that we can take advantage of
this time to improve as persons and as human
beings. Unfortunately, things are completely
out of our control. Nothing is certain. Our leaders and authorities cannot provide us with
direct answers since they themselves do not
know as well. The only thing we can do is to
accept the current situation and embrace that
tough times are still ahead of us, in terms of
our business. Understanding this is out of our
control, we may be harmed and hit by this crisis in either a large or small way, but we need to
look at the things which are still in our control.
One thing we have absolute control over is, to
invest in ourselves and take advantage of the
moment, to become better human beings, better persons, and ultimately better dental professionals. At this moment, we need to focus
on two things in my opinion, our health, and
our relationships. Perhaps a bit philosophical
however these are the things which matter in
life. Regardless of what happens next, even if
the worst is to follow in terms of business, we
do not know if our business will survive three
months from now and that is the truth. Owners in dentistry are not sure they will survive,
if they will be able to stay open and how will
this hit us financially? We just do not know.
We really believe that this will be over and
that more people will survive financially. As
owners we need to prepare ourselves to succeed regardless of what happens next. Even if
the worst occurs, closing down our business,
or starting from scratch, looking for a different job, or whatever you might do to cope to
increase your chance of succeeding in the near
future, you will need your health and your relationships. With health, I focus on physical and
mental health – becoming stronger physically
and mentally so we can face whatever happens
next. We should also strengthen our relationship – we must start with family and friends
because we need them more than ever during these moments. Even in the professional
environment, strengthening our relationship
means keeping in contact with our existing patients and staying connected whilst generating
useful content for them. Keeping things rolling
even though we are not seeing our patients.
We must show that we are ready, that we are
working hard to be available as soon as possible for the patients. Improving relationships
with your suppliers, with your landlord, with
people that you owe money to, with the bank,
with your account manager, people that provide education, with your colleagues and with
your community. Just invest in your relationships because regardless of what is going to
happen, the better your relationships are, the
bigger your chances are to succeed, no matter
what happens.
ÿPage 25
[25] =>
DTMEA_No.4. Vol.10_DT.indd
25
INTERVIEW
Dental Tribune Middle East & Africa Edition | 4/2020
◊Page 24
First, you mention the situation
about your clinic. This is the attitude
that we need to have. We cannot take
on this situation with anger or look
for someone to blame because the
situation is unfair for all of us. These
feelings do not help us. I have a similar situation with where we recently
opened our new office in Madrid. We
invested a lot of time and money in
it. It has an auditorium, a new lab,
everything the way we wanted it to
be. We opened a few weeks before
the lockdown and now occasionally,
I also go to the office and do not allow myself to wallow in negative
feelings.
In this regard, with the strategy that
you mentioned, you were right. We
must be wise when we go back to our
normal business. However, things
will not be the same. We should stay
relevant and plan on our strategy.
The first one, as you mentioned, is
to be more efficient because dental
procedures generate fear amongst
dental professionals that they will be
contaminated. At our DSD courses,
we teach to combine procedures
with new technologies to become
more efficient and shrink the treatment time. We know that crisis
speeds up the changes that are already in place. The things that we
will see implemented after this crisis
are the things that we already see as
important before this crisis. All solution that we have been talking about,
not in digital dentistry but based on
experience, we can add biosafety on
top of it.
This is the topic that dentistry, in
general has, kind of, neglected a little bit over the years. We were not
paying attention and we were not
specializing enough on the basic
rules of biosafety. And this is going
to become mandatory. In the beginning we are going to have to adapt,
we are going to have to retain our
staff, make physical changes in our
office, invest in some remodelling,
new equipment and increase the
quality of biosafety. This is going to
be key, because patients will want
to feel safe, patients will ask tough
questions and the dentists that are
one-step ahead in this perspective
will make their patients feel more
safe which is why they will want to
come back.
Having listened some lectures discussing topics on life after the crisis involved opinions that once the
crisis is over, people will not have
money to spend on treatment, but
I feel there are always some who
think differently. There are some
patients who call me and request
to make exceptions for them even
during the current situation. It is
interesting how diverse people
think. What are your thoughts on
that? Will patients have the same
spending habits? Or will the rich
be always rich and poor always be
poor?
Yes, I have been hearing the same
contradictions. I think that the highend world, the luxurious world,
the chances for our dental offices
to be amongst the winners post the
pandemic crisis.
© Dr Christian Coachman
That is very true. Speaking out of
experience, having gone through
a similar situation where I finally
opened my new clinic last month,
I was forced to shut down after a
day due to the lockdown. It was depressing and after two-three days
of sitting at home, I finally decided
to dress up, shave and come to my
clinic and spend time to read articles and start to realise what I needed to improve. I reflected on what
happened in the past and tried to
gauge the things I did right and as
a result I developed vast interest
in knowing more about the Digital
Smile Design (DSD) concept, something you are very familiar with.
Please share your thoughts with
us regarding DSD and reducing patients’ chair-time?
the rich world, we see that during a
crisis, at recession moments in history, people with a lot of money,
they spend less on things that makes
them happy. Like in 2008, the average dentist suffered. They were postponing things that were not vital or
essential. I do believe the tip of the
pyramid (meaning the few doctors
that take care of the very rich people)
will probably feel the recession less.
The second layer of dental offices
will probably suffer. It does not mean
that people will not want to rehabilitate their smile, but I believe that
people will tend to postpone. People
will look and compare dental offices,
and this is a moment of reflection
where a patient might go to a dentist
who caters more to what really matters. Every crisis has its winners. We
need to understand how to increase
Dr Christian Coachman, so how
can we increase our chances to be
amongst the winners, post crisis?
Unfortunately, most of the things
that would make us winners are the
things that we should already be doing before the crisis. Now, in a desperate mode, it is going take a while to
be that model dental office. I believe
that there are two things that we
can do as dental office owners. First
is, become experts in office management, financial management,
team management, leadership – the
professional side of our business.
Now if you are not investing much
time or energy on that, this is the
time you have to do that. Not only
that you must be efficient on emergency, financial strategy for the next
three months, but also, understand
what the next six months will bring.
Thinking outside the box to grow a
little bit your income on things that
maybe were not your main priority
before. I believe that as we go back
to work, we are going to have two
very specific moments to consider.
We are going to have a moment that
is an crisis management moment,
meaning do whatever you can to
generate any type of income, trying
as much as you can to break even, to
survive, negotiate payments and create new revenue stream, do whatever you can to make some money and
spend as little bit as possible. This is
the challenge, spend as little as you
can, but at the same time invest on
key factors to prepare yourself to be
different right around the corner. So,
it is a challenging moment. That is
why people say that crisis regenerate
opportunities because you need to
be very smart about where to invest
in a right way.
Thank you for your time Dr Coachman.
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[26] =>
DTMEA_No.4. Vol.10_DT.indd
26
INTERVIEW
Dental Tribune Middle East & Africa Edition | 4/2020
IPS Implants Preprosthetics is a
“useful addition for a specific patient group”
All images: © MHH_MKG Chirurgie
“With the IPS, we can operate
independently of the bone volume”
– Dr Björn Rahlf
Fig.1: With the IPS Implants Preprosthetic, Dr Björn Rahlf (left) and Prof. Nils-Claudius Gellrich offer their patients a customised dental
implant solution.
By Franziska Beier, DTI
In order to provide an alternative
implant solution for those patients
with poor medical preconditions,
Prof. Nils-Claudius Gellrich, director
of the clinic for oral and maxillofacial surgery at the Hannover Medical School in Germany, and Dr Björn
Rahlf, senior physician for oral surgery at the same clinic, designed the
IPS (individual patient solution) Implants Preprosthetic. In conversation
with Dental Tribune International,
Gellrich and Rahlf spoke about the
patients for whom it is suitable and
how they developed this individual
implant.
Prof. Gellrich and Dr Rahlf, you
provide your patients with the IPS
Implants Preprosthetic. For which
patients is it intended?
Gellrich: We only use the IPS implant
in patients for whom a clinical necessity exists. These include tumour
patients and patients with acquired
malformations caused by trauma
or atrophy but also those with congenital malformations who, as they
get older, lose their teeth and exhibit
poor bone and soft tissue. When attempting to provide these patients
with a conventional dental implant
restoration, you reach a point where
you can no longer treat them adequately, resulting in the need for an
alternative.
What inspired you to create this
implant solution, and how does it
work?
Gellrich: In addition to the clinical aspect, which I have just described, we
have been focusing on computer-assisted surgery for 20 years. We have
been dealing with modern biomedical technology, patient-specific implants that are functionalised and 3D
analysis. Based on this experience,
we realised that it could be advantageous to attach the bone anchorage for our patient-specific implant
made of titanium at a location remote from the point where the post
passes through the mucosa into the
oral cavity. This avoids lengthy treatment protocols that would normally
require at least three surgical procedures and a delay of one year before
a patient receives a prosthesis.
Our initial goal was to be able to guarantee prostheses after six to 12 weeks.
Today, we can even offer immediate
care on the day of outpatient treatment. Although this means that the
planning phase for the implant is
somewhat more intensive, the time
for invasive clinical procedures for
the patient has become significantly
shorter.
Rahlf: Also important to mention is
that our patients are spared a major
operation in which bone is usually
transplanted from their iliac crest or
the fibula to the jaw, because these
operations often result in complications. With the IPS, we can operate
independently of the bone volume
because the bone does not necessarily have to be situated where conventional implants would be placed.
Instead, we can analyse the existing
bone structure, which determines
the implants, and we can have the
posts emerge from the bone where
they are needed for the prosthetic
solution. Soft tissue must, neverthe-
less, be transplanted in many cases,
for example to ensure the unrestricted movement of the lips. However,
this is not a problem, as the human
body has sufficient soft tissue and
this transplantation is not very difficult to perform.
Gellrich: The clinic’s cooperative
partner is the KLS Martin Group, a
globally operating medical technology company based in Tuttlingen
in Germany. IPS Implants Preprosthetic is a registered trademark. KLS
Martin now also offers the digital interface to prosthetic solutions.
of the implants has failed. I hope
that, with this method, we will also
be able to show that, for example,
even very old people can still live for
many years with a high load capacity
and chewing comfort. The oldest patient we treated was 91 years old and
the youngest 19.
Is the IPS implant currently only
available in your clinic?
Rahlf: We organised an event where
we showed other university professors in Hanover how the method
works. We have also been to international congresses and have presented the method at these. The demand
is great, and some colleagues have
already planned and implemented
their first major cases.
Gellrich: In Germany, colleagues are
now slowly starting to use the method, some of them at a clinic in Kassel.
We also have guest students who
come from other clinics to watch live
operations at our hospital.
Are there clinical studies on your
implant application available?
Rahlf: We have already published
a clinical study1 that described the
kind of system it is and how it works.
In a current follow-up study2, we
have been investigating whether the
quality of life of our patients was improved by the IPS implant.
Would you like to add anything
else?
Gellrich: To avoid any misunderstandings, I would like to emphasise
that the IPS, contrary to some misconceptions, is not a reinvention of
the old subperiosteal implants that
were used from the 1930s or 1940s
up until the 1970s. The great difference is that subperiosteal implants
were an alternative to normal implants at that time; however, this
does not apply to our implant solution. Firstly, the indication is different, and secondly, subperiosteal implants were not functionally stable at
any time. The IPS implant, however,
is a functionally stable anchorage
that a normal implant restoration
could never achieve in a comparable form in one of our patients, even
under the ideal conditions of a perfect bone graft. It is a line extension
in implant dentistry, an individual
supplement, not a replacement, and
certainly not in competition with
conventional implants. We consider
it a useful addition for a specific patient group.
Editorial note: A list of references is
available from the publisher.
This article was originally published
in digital-international magazine of
digital dentistry, Vol. 1, Issue 2/2020.
How many patients have received
the IPS so far?
Rahlf: The first time we considered
this idea was in 2014; the first treatment followed in 2015, and the current number of patients is 41. However, some of them have received
more than one IPS, which means
that we have placed a total of 45 implants.
Gellrich: We treat sick patients, patients who are often also undergoing
irradiation and patients with congenital malformations—meaning
all of them have poorer medical preconditions. However, so far, over a
period of more than five years, none
Fig.3: Dr Björn Rahlf (left) and Prof. Nils-Claudius Gellrich at the clinic for oral and maxillofacial surgery at the Hannover Medical School in Germany.
Fig.2: So far, 41 patients have been treated with the IPS Implants Preprosthetic.
Fig.4: IPS Implants Preprosthetic can be individually adapted to each patient, since the
framework structure and the post length can be individually adapted to the defect
situation.
[27] =>
DTMEA_No.4. Vol.10_DT.indd
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[28] =>
DTMEA_No.4. Vol.10_DT.indd
28
NEWS
Dental Tribune Middle East & Africa Edition | 4/2020
IES 2020: Watch expert lectures on demand
By Ivoclar Vivadent
Innovative, interactive and informative – this is a succinct description
of the online version of this year’s
International Expert Symposium
(IES), which was organized by Ivoclar
Vivadent for the dental industry. The
symposium lectures are now available online – free of charge and at
any time.
On five consecutive days at the end
of May, a series of online lectures
was presented in line with the symposium title of “Succeeding together
in tomorrow’s dentistry”. The event,
which involved 17 well-known dental
experts from all over the world, drew
an audience of more than 8,000
people. The speakers talked about
new technologies and current trends
and developments and they interacted with the audience in live panel
discussions hosted by Dr Jean-Pierre
Attal from the University of Paris,
making the event a truly unique experience. Aljan de Boer from TrendsActive, a respected trend research
agency based in the Netherlands,
presented an enlightening keynote
lecture, entitled “How to attract and
manage talent”. He provided the audience with interesting insights and
practical tips and tricks on a topic
which affects everyone, including
the dental industry. The online symposium was presented in partnership with the dental firms 3Shape,
Dürr Dental and Komet.
The drivers of
the dental industry
In 18 technical lectures, dental specialists discussed the following topics from different perspectives and
showed how theory and practice are
inexorably linked, and they provided
valuable advice for dental experts
and practitioners:
• Digital dentistry – what’s real,
what’s next?
• Digital procedures in fixed and
removable prosthetics
• Teamwork in prosthodontics –
analog and digital
• Anterior aesthetics – patient expectations and clinical realities
• Efficient aesthetic dentistry
• “How to attract and manage talent”: Keynote lecture from the human resources industry
17 renowned dental experts from all over the world inspired 8000 participants from 126 countries in their online lectures.
Moving forward together
“I am pleased that our program attracted viewers from 85 different
nations” said Diego Gabathuler, CEO
of Ivoclar Vivadent. “The knowledge
and skill of our customers together
with our system solutions and our
training and education offerings will
allow all of us to identify and take advantage of new opportunities in the
future.”
Event documentation online
This is where everything came together: The online control centre of the International
Expert Symposium 2020 at the Ivoclar Vivadent headquarters in Schaan, Liechtenstein.
For those of you who missed the
IES, but are interested in staying up
to date about all the latest trends
and developments in the industry,
you now have the chance to watch
the lectures free of charge and at
your leisure by logging in to the ondemand sessions at ivoclarvivadentacademy.com/ies. You can also access the questions raised during the
panel discussions and the answers
of the speakers. You will find all this
The symposium lectures are now available on demand at ivoclarvivadentacademy.
com/ies – they are free of charge and can be viewed at your leisure.
information on the Ivoclar Vivadent
Academy website at ivoclarvivadent.
com/academy. If you are interested
in watching additional exciting
training courses, you will find a large
selection of exciting topics in the webinar series of the Ivoclar Vivadent
Academy.
For more information contact:
Ivoclar Vivadent AG
Bendererstrasse 2
9494 Schaan/Liechtenstein
Tel.: +423 235 35 35
E-mail: info@ivoclarvivadent.com
Web: www.ivoclarvivadent.com
#dentalsunited – From right now
back to business
By W&H
It is times of crisis that show how important it is to stick together. For this
reason, we want to share our know-how
and send professionals back to a normal
business life all over the world. We want
to face the challenges of the COVID-19
pandemic together, provide the best
support possible and break new ground.
For this purpose we have launched the
campaign #dentalsunited.
We want to face the challenges of the COVID-19 pandemic together.
The whole world is holding its breath
because of the coronavirus. There is a lot
of uncertainty even in dental practices.
More than ever, it is about mastering
the challenges posed by lockdown in
an imaginative and responsible manner and to gradually return to a regulated and safe daily routine. As experts
within the dental community, we want
to actively support our customers and
partners during this challenging time.
Via #dentalsunited we provide valuable
Logo #dentalsunited
tips for a professional hygiene management and how to deal with aerosols. We
answer questions about service and provide special offers. In every action, we
use interactive dialogue as well as quick,
individual solutions – strengths that distinguish W&H even in times of crisis.
With #dentalsunited we want to provide dentists around the world with
guidance and a positive perspective on
the way back to normality.
Follow #dentalsunited on social media
or visit dentalsunited.com
For further information, please contact:
W&H Dentalwerk Bürmoos GmbH
Tel.: +43 6274 6236-0
Web: www.wh.com
Email: office@wh.com
[29] =>
DTMEA_No.4. Vol.10_DT.indd
[30] =>
DTMEA_No.4. Vol.10_DT.indd
12
Dental Facial
Cosmetic Conference
th
19-21 Nov 2020
Preliminary Programme
19-21 Nov 2020
Thursday-Saturday
Online Event
FREE REGISTRATION
Dr Antonis Chaniotis, Greece
Management of Severe Curvatures and
Complex Anatomy with a New Generation
of Martensitic files: A New Approach for
Safer and More Predictable Results
Vanik Kaufmann-Jinoian, Switzerland
Aesthetic Dentistry, Digital Solutions &
Understanding Materials Optimized for
Digital Dental Applications
Asst Prof Dr Phophi Kamposiora, Greece
Being Impressed: Predictable paths
Dr Stefan Helka, Germany
Aesthetic & Function: Techniques for
Everlasting Implants Success Preventing
Bone Loss and Limiting Peri-implantitis
Prof Göran Urde, Sweden
Implant Dentistry Past & Present
Dr Alberto Miselli, Venezuela
Healing Optimisation in Implant Surgery
Dr Susan McMahon, USA
A New Generation for Cosmetic
Dentistry: Elective Procedures
Dr Costa Nicolopoulos, Greece
Optimising Zygomatic Implant Surgery
Dr Rafael Beolchi, Brazil
Lecture 1: Direct Aesthetic Dentistry: New
Materials and Techniques for Imperceptible
Anterior Restorations
Lecture 2: Lights and Colors: Diode Lasers and
New Generation LEDs in Modern Dentistry
Dr Jaimeé Morgan, USA
Whitening and Aesthetic Dentistry
Dr Ahmad Abdl Salam Hamdan, Jordan
New Perspective in Non-surgical
Periodontal Therapy
Dr Renato Miotto Palo, Brazil
Coming soon
Visit for more info: www.cappmea.com/aesthetic-dentistry/speakers
CONTACT
CAPP EVENTS & TRAINING
Onyx Tower 2 | Office P204 & P205
The Greens | Dubai | UAE
Mobile: +971 502 793 711
Tel: +971 4 347 6747
E-mail: events@cappmea.com
Centre for Advanced Professional Practices (CAPP) is an ADA CERP
Recognized Provider. ADA CERP is a service of the American Dental
Association to assist dental professionals in identifying quality
providers of 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.
CAPP designates this activity for 21 CE Credits
[31] =>
DTMEA_No.4. Vol.10_DT.indd
[32] =>
DTMEA_No.4. Vol.10_DT.indd
CEREC Primemill
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The CEREC Primemill seamlessly combines with the highly accurate CEREC Primescan and new
CEREC Software 5 to redefine performance in daily practice. Join us at your local CEREC event
and test it yourself.
The all-new CEREC. Now is the time.
Learn more at: dentsplysirona.com/cerecprimemill
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