SEHA in cooperation with CAPP & BARD conducted GP Dentists upskilling programme in endodontics / Industry / Patient-centric treatment with composite Artistry / Direct composite restorations in orthodontic indications / News
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DTMEA_No.2. Vol.11_DT.indd
NL
Y
O
LS
NA
IO
SS
FE
O
PR
NT
AL
DE
www.dental-tribune.me
Published in Dubai
March-April 2021 | No. 2, Vol. 11
ENDO TRIBUNE
LAB TRIBUNE
IMPLANT TRIBUNE
ORTHO TRIBUNE
HYGIENE TRIBUNE
Reducing microleakage with
Er,Cr:YSGG and/or Nd:YAG
lasers
Dental technicians:
The missing link
Full arch implant rehabilitation
of the maxilla with the Straumann Pro Arch...
Stars and social media influencers are turning clicks into clear
aligner cases
Dental disaster: Dentists
evaluate consequences of the
COVID-19 pandemic
ÿC1-2
ÿD1-4
ÿA1-4
ÿB1-2
ÿE1-4
SEHA in cooperation with CAPP & BARD
conducted GP Dentists upskilling
programme in endodontics
DENTAL TRIBUNE
The World’s Dental Newspaper Middle East & Africa Edition
By Dental Tribune MEA
The programme took place in Sheikh
Shakhbout Medical City which is a
new hub for innovation and artificial intelligence on 08-10 March 2021
and welcomed over 25 dental professionals.
© SEHA
The main faculty lead of the programme was Prof. James Prichard
(BDS(ULond), MSc(ULond), LDSRCS
(Eng), MFGDP(UK), FIADFE(USA),
AFHEA(UK) F BARD (UK), MFDTEd)
and also Assistant Professor Rashid
El Abed and Dr Shaista Siddiqui. The
ÿPage 2
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[2] =>
DTMEA_No.2. Vol.11_DT.indd
2
NEWS
Dental Tribune Middle East & Africa Edition | 2/2021
◊Page 1
three-day workshop covered the latest in Diagnosis, Access and Prep,
Endo Obturation and Direct Composites all of which are the best practices in modern advanced dentistry.
The workshop was in alignment with
the upskilling program by SEHA
which aims at enhancing the GP dentists’ clinical skills which will immediately result in improving patient
care, experience, and satisfaction
“In dental practices, we have to take
proactive steps in training and educating our teams so that we all grow
along with the evolving dental industry and pick up on technology
trends” said Ms Mariam Al Zaabi, the
Group Education and Mobility Director. The workshop, which was led by
SEHA’s HR Education Department,
covered the best dental practices
and latest techniques in modern advanced dentistry.
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
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. © 2021 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.2. Vol.11_DT.indd
Healthy Practices.
Healthy Smiles.
CHALLENGE
ACCEPTED.
Nobody thought a bulk fill flowable was possible.
Until we invented Surefil® SDR flow+ Material. Today, we
redefine restorative materials again with Surefil one™ Restorative,
transforming how dentists manage challenging clinical situations where
isolation is difficult or when patient compliance is an issue.
• Self-adhesive—no separate adhesive
step needed
• Unlimited depth of cure—no layering of
composite materials, making it faster
than a traditional composite restoration,
especially in compromised cases.
Surefil one™ Restorative. Progress where you need it most.
For more information visit DentsplySirona.com
Surefil one™
Self-Adhesive Composite Hybrid
©2020 Dentsply Sirona. All rights reserved
ML450001A (9-3-20)
[4] =>
DTMEA_No.2. Vol.11_DT.indd
4
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2021
Full mouth periodontal treatment
using the new perio anatomic
inserts P15, P16R, P16L
P15
By Mectron spa
Mectron has recently launched on
the market 3 new ultrasound inserts
specially designed to perform gentle
and safe periodontal debridement.
The inserts guarantee maximum
efficacy without risk of injury to the
soft tissues and the periodontal ligament.
The inserts’ shape allows optimal
access to the areas difficult to reach
and characterized by deep periodontal pockets (furcations, root surfaces,
concavities).
cess to canine and anterior teeth.
Replaces manual curettes n° 1-2, 3-4,
5-6, 7-8.
P16R – P16L: right (P16R) and left
(P16L) angled periodontal curettes
for subgingival concrements and
biofilm removal from furcations and
deep pockets. Recommended for
supra and subgingival interproximal spaces and for an efficient root
planing on molars and premolars.
Replace manual curettes n° 11-12, 1314, 15-16, 17-18.
P16L
The preserved tissues allow a new attachment formation.
The cavitation effect allows mechanical biofilm disruption, bacteria
dispersion and periodontal pockets
detoxification, thanks to the oxygen
delivery.
The inserts in detail:
P15: universal curette for supra and
subgingival treatment. Recommended for the debridement of
deep periodontal pockets. Easy ac-
For more information contact:
mectron S.P.A.
Via Loreto, 15/A
16042 Carasco (GE) – Italy
Tel: +39 0185 35361
Fax: +39 0185 351374
E-mail: mectron@mectron.com
Web: www.mectron.com
P16R
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Kaltpolymerisierendes provisorisches Kronenund Brückenmaterial, Paste-Paste-System
Material provisório polimerizável a frio
para coroas e pontes, sistema pasta-pasta
Light-curing radiopaque calcium hydroxide
• Higher compressive strength than conventional
calcium hydroxides
• Excellent adhesion, especially to composites
• Effective pulp protection
• Acid resistant
• Radiopaque
50 ml cartridge / mixing tips
Made in Germany
0482
Temporary crown & bridge material
• Less than 5 min. processing time
• Strong functional load
• Perfect long-term aesthetics
• Excellent biocompatibility
Glass ionomer filling material
• Variable mixing time for adjustment of consistency
• Modulation is possible right after insertion
• Perfect marginal adaption
• High compressive strength and abrasion resistance
• Easy activation without the need of an activator
Visit www.promedica.de to see all our products
Dental Material GmbH
24537 Neumünster / Germany
Tel.
+49 43 21 / 5 41 73
Fax
+49 43 21 / 5 19 08
eMail
info@promedica.de
Internet www.promedica.de
[5] =>
DTMEA_No.2. Vol.11_DT.indd
[6] =>
DTMEA_No.2. Vol.11_DT.indd
6
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2021
EyeSpecial C-IV
Smart Digital Dental Camera
By Shofu
Equipped with state-of-the-art digital technology, this foolproof, ultralight and the compact dental camera
is designed exclusively for your dental team to shoot clear, consistent
clinical photos in true-colour each
time.
No prior photography knowledge required, as it comes with a one-touch
operation and an intuitive menu to
guide the user to select from any of
the 9 pre-set dental shooting modes.
Easy to wipe clean and disinfect in
between patients, it complies with
stringent infection control protocols
at the dental operatory.
This user-friendly camera is the ideal
choice for your practice as it meets
user-specific needs ranging from
routine intra-oral photography, diagnosis and treatment planning,
orthodontic evaluation, dental lab
and specialist collaboration, patient
communication and education to
legal documentation and insurance
verification.
EyeSpecial Features:
•
9 pre-set dental shooting
modes
•
Compact, Ultra-light & Easy to
hold with one hand
•
•
•
•
•
•
•
•
•
Fast auto-focus with built-in
anti-shake with image stabilization and anti-reflection features
Cutting edge Flashmatic System for True-colour reproduction with blockout of ambient
light
Water, chemical and scratch
resistance to prevent cross-contamination
Brilliant display with fast & Intuitive menu navigation
Video function
Micro HDMI connector
QR code features
Trigger Flash Mode for portrait
photography
Optional attachable cross polarizer
For further information, please contact:
SHOFU DENTAL ASIA-PACIFIC PTE LTD
10 Science Park Road, #03-12 The Alpha
Singapore Science Park II
Singapore 117684
Tel: (65) 6377 2722
Fax: (65) 6377 1121
E-mail: mailbx@shofu.com.sg
Web: www.shofu.com.sg
© Shofu
Shofu’s Gen 4 smart digital dental
camera is developed to shoot fast,
predictable and consistent clinical
photographs for everyday dentistry.
Cleaning, disinfection and sterilisation
to protect dentists clinics and technicians
laboratories against infection
By Zhermack
Zeta Hygiene is a complete range of
cleaning, disinfecting and sterilising
products, free from toxic substances
like phenols and aldehydes and formulated for high compatibility with
clinic and laboratory surfaces. These
innovative products are manufactured to the strictest quality standards and tested to ensure conformity
to the latest European regulations.
Zhermack always has your safety in
mind.
For more information contact:
Zhermack SpA
Via Bovazecchino
100 – 45021 Badia Polesine (RO), Italy
Tel: +39 0425 597611
Web: www.zhermack.com/en/
© Zhermack SpA
Rapid action, practicality and high
compatibility with dental clinic materials make Zeta Hygiene products
ideal for demanding dental professionals and guarantee a high level of
safety and protection for users and
patients alike.
Zeta Hygiene products deliver effective solutions for maintaining a high
level of protection.
© Zhermack
Just following the right procedure
is not enough to ensure adequate
protection against cross-infection
between patients and personnel.
Dental professionals also need safe,
effective and broad-spectrum products.
[7] =>
DTMEA_No.2. Vol.11_DT.indd
[8] =>
DTMEA_No.2. Vol.11_DT.indd
8
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2021
This is how laboratories
can benefit from digitisation
Amann Girrbach presents attractive gateways to the future at a virtual congress
By Amann Girrbach
evidently clear: the demand for direct straightforward restorations is
becoming increasingly greater. This
threatens to break down established
structures and traditional boundaries between the laboratory and the
clinician. However, digitisation is
ideally suited to expand the win-win
situation of dental technicians and
clinicians through new forms of collaboration. And the well-being of the
patient always remains the focus.
Digitisation is the key topic of the
future for the dental industry. No
doubt this necessitates change, but
it also offers lucrative opportunities.
Amann Girrbach will be showcasing
how these opportunities can be easily exploited from April 20 to 24 in
the innovative AG.Live CON virtual
congress. Renowned dental technicians and clinicians will meet with
leading minds in research to explore
the attractive avenues into advanced
digitization. Amann Girrbach will
not be participating to the usual
extent at the International Dental
Show IDS in Cologne in 2021, which
has been postponed to September.
For many years now, Amann Girrbach has been supporting dental
technicians in the digitisation of
their workflows with its innovative
power. Stemming from its pioneering role, the Austrian company also
supports laboratories and clinicians
in taking the next step towards
digital transformation. The trend is
To provide optimal networking for
both sides, Amann Girrbach has developed the AG.Live platform, which
is now being presented as part of the
virtual congress and expo. AG.Live
provides infrastructure and patient
case management with a level of
consistency and efficiency which
has never been achieved before. For
example, this will make it possible to
offer laboratory-quality direct restorations. And the expertise of the dental technician is permanently available to the dentist. Even in the case of
simple restorations, a joint decision
can be made quickly as to whether
direct implementation is possible or
whether the specialist in the laboratory is required.
For further information and registration for the virtual congress with
expo go to: show.aglivecon.digital
For more information contact:
Amann Girrbach AG
Herrschaftswiesen 1
A-6842 Koblach/Austria
Tel: +43 5523 623 33-0
E-mail: austria@amanngirrbach.com
Dentsply Sirona’s new Surefil one:
An innovation in restorative filling materials
By Dentsply Sirona
Direct posterior restorations make
up two thirds of all direct restorations in a dental practice1 and composite resin is the preferred material
of choice for these restorations.2 Yet,
one out of four cases can be defined
as challenging due to isolation control, patient compliance or the margin being sub-gingival.3 Due to the
technique sensitivity of resin-based
materials, composites are not the
material of choice for these situations. Surefil one from Dentsply Sirona now offers an ideal alternative
for these situations by providing the
convenience of a glass ionomer with
the durability of a composite.
A growing number of patients today
are requesting amalgam free restorations for aesthetic and environmental reasons. The alternatives to amalgam are resin-based composites or
glass ionomers. Composites require
complete isolation throughout the
A real alternative for treating patients with a tooth-colored restoration quickly, safely,
and permanently: posterior restorations with the new Surefil one.
entire procedure and have a sensitive adhesive technique to ensure
maximum adhesion is obtained
between the composite and tooth
structure. Because the composite
procedure can be time consuming
and isolation is critical, it is not the
preferred material for certain clinical situations. Alternatively, many
glass ionomers available today are
not indicated for use as a permanent
restorative material due to their inferior mechanical properties. This
can lead to premature failure and required re-treatment at the expense
of the clinician resulting in patient
dissatisfaction and practice inefficiencies.
Surefil one, an innovative filling
material, now offers an ideal alternative. Procedures can be performed
quicker than using composites with
a more durable outcome than glass
ionomers.4 Surefil one is available in
five shades: Bleach White, A1, A2, A3,
and A3.5.
Convenience and Durability
For the first time ever, the simplicity
of a glass ionomer and the durability of a resin-based composite have
been combined to create an entirely
new material class, the first ever selfadhesive composite hybrid.
Surefil one offers a real alternative for these situations by providing the convenience of
a glass ionomer with the durability of a composite.
Surefil one has an unlimited depth
of cure - providing assurance in very
deep cavities that a complete cure
will be obtained without layering. It
can also be light cured, so the restoration can be finished and polished
immediately after surface light curing. Studies have demonstrated
that Surefil one restorations are as
durable as a composite: in chewing simulations, it was shown that
after 500,000 cycles, no evidence
of fractures or damage was present
while the glass ionomers tested in
this chewing simulation partially
showed fractures after fewer than
100,000 chewing cycles. 5
ently unpredictable, Surefil one rises
to the task unlike any restorative
material we’ve had up to this point
in our profession”.
Shorter treatment time due to
faster, more efficient handling
Conversely, when the situation is
ideal, in approximately 3 out of 4
cases6, adaptation at the floor of the
proximal box becomes the critical
factor in determining success of the
restoration. In those scenarios, the
Dentsply Sirona Class II Total Practice
solution with market leading SDR
flow+ material is recommended.
Fewer steps in the procedure make
the restorative treatment even more
efficient and faster. With Surefil one,
dentists can fill a cavity in just one
layer, without etching or bonding,
minimizing the window of risk for
when contamination can occur during the procedure.
The reduced procedure time is a
clinical advantage especially in cases
where isolation is a challenge or patient compliance is not ideal.
Surefil one joins the trusted
Class II Solution family
Surefil one now joins the Class II Total Practice Solution from Dentsply
Sirona as the solution for challenging Class II situations. Acknowledging that the clinical requirements
for a successful Class II restoration
change based on the situation, the
treatment recommendations differ.
In challenging situations when isolation becomes the critical factor in
determining success of the restoration, the Class II Total Practice Solution with Surefil one from Dentsply
Sirona is an excellent solution.
“Surefil one is a great innovation for
the dental practice” said Dr. Chris
Campbell of Columbia, SC. “One of
the things we look for as dentists are
products that solve real-world issues
that we encounter each and every
day. Surefil one allows us to predictably restore teeth in compromised
clinical situations. Whether it’s difficult isolation, a challenging patient,
or any other situation that is inher-
References
1. American Dental Association Procedure Recap Report, 2006.
2. The Key Group Omnibus survey,
2018, USA.
3. Data on file.
4. Prof. Frankenberger. Amalgam Alternatives Critically Evaluated: Effect
of Long-term Thermomechanical
Loading on Marginal Quality, Wear,
and Fracture Behavior. Journal of
Adhesive Dentistry 2018; Vol. 22(1):
p. 107-116
Further information on Surefil one
can be found at www.dentsplysirona.
com/surefilone
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
[9] =>
DTMEA_No.2. Vol.11_DT.indd
#DentistryUnified
register to unify:
show.aglivecon.digital
Amann Girrbach AG
Fon +43 5523 62333-105
www.amanngirrbach.com
[10] =>
DTMEA_No.2. Vol.11_DT.indd
10
INDUSTRY
Best of both worlds:
Opalescence PF
whitening for aligners
By Ultradent
Having a mouth full of misaligned,
yellowed teeth can be an intense,
even traumatizing experience. Folks
may spend years ashamed of their
smiles before they get to experience
the metamorphic powers of a smile
transformation. New Opalescence
PF whitening for aligners is made
for people who want to not only
straighten their teeth but to whiten
them at the same time.
The longtime dental assistant and
prolific lecturer Shannon Pace-Brinker has assisted countless patients
through their aligner journeys. She’s
also created hundreds of CE courses
featuring aligners. She says Opalescence whitening for aligners will help
legions of patients get the smile they
desire. “Now you’re giving [patients]
the best of both worlds. Not only are
you straightening their teeth, but
you’re making them whiter—which
go together.”
“There are a lot of perks. (Patients)
don’t have to take the tray in and out,
because the solution allows for longterm use and minimizes concerns
of sensitivity. Doctors don’t have to
fabricate new trays because the patient can use the aligner they were
going to be wearing anyway. It also
helps motivate the patient to keep
their aligner in their mouth—promoting compliance,” Pace-Brinker
says, adding that Opalescence whitening for aligners solution also keeps
teeth hydrated. “You’re covering the
teeth, so you have some water in
that solution, which is another perk.
That’s like a surprise, or a gift, to the
patient.”
Compliance is a huge factor in patient success with aligners. With
traditional brackets and wires, the
movement will be achieved because
the patient can’t remove them. With
aligners, a patient can simply take
them out. “We don’t want to give [patients] any reason to take [aligners]
out,” Pace-Brinker says.
their aligner, which keeps them in
compliance and maximizes the potential for movement of the teeth.
“The compliance factor is higher
(when using Opalescence whitening
for aligners vs. not) because if you’re
giving them a brighter smile, they’re
going to wear the tray more; because
they can easily see that result,” PaceBrinker says.
Pace-Brinker coaches practices whitening while straightening with aligners. She says many practices don’t realize that they don’t need to fabricate
additional trays for the whitening
solution. Opalescence PF whitening
for aligners works with the trays the
patients would be wearing anyway.
There’s also no special cleaning need-
Feeling sensitivity while whitening
with aligners could be a reason for
a patient to fall out of compliance.
With this in mind, Opalescence whitening for aligners comes in a mild
10% concentration. Patients can
comfortably wear the aligner with
the whitening solution throughout the day or night, for (up to) 8-10
hours/day throughout the duration
of the whitening treatment process.
Mitigating sensitivity issues minimize reasons for a patient to remove
Opalescence PF for Aligners joins the award-winning line of dental whitening products Opalescence
Dental Tribune Middle East & Africa Edition | 2/2021
Note: Opalescence PF for aligners kits do not come with aligners.
ed for the aligner after the whitening
solution has been used.
The kit also comes conveniently
packaged for the user who’s on the
go. Each kit is designed to be portable
and comes with four syringes.
For more info, please contact your exclusive distributor in your country
sophia.yadi@ultradent.com
Each kit comes with four syringes of Opalescence PF whitening in
the 10% concentration
[11] =>
DTMEA_No.2. Vol.11_DT.indd
Opalescence PF
for Aligners
Straighteining
and Brightening
are Together at Last!
™
800. 552 . 55 12 | U LTR AD ENT.COM
© 2020 Ultradent Products, Inc. All rights reserved.
[12] =>
DTMEA_No.2. Vol.11_DT.indd
12
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2021
Ergonomics and wellness at work
Tips for relieving and preventing the aches and pains
of working as a dental professionals
Does your body hurt more
than usual?
Dentistry has always been a profession that taxes the mind and the
body. But you may be noticing a few
more physical aches and pains lately,
especially if you are hand scaling—
instead of using ultrasonics—to reduce aerosol production.
If you’re like most dentists, it’s not
just your hands, wrists, and arms
that hurt. Your daily work can also
take a toll on your back, neck, shoulders, and legs. Dentists are at risk for
conditions such as carpal tunnel syndrome, repetitive motion injuries,
and even chronic headaches.
This pain can strike at any point during your career: Between 64% and
93% of dental professionals experience general musculoskeletal pain.
In fact, musculoskeletal disorders are
the leading reason for early retirement among dentists.
What causes musculoskeletal
pain and how can you prevent
it?
Repeat the same motions from patient to patient, day in and day out,
often in awkward positions is a recipe for pain and physical disorders
that can derail a career.
Here are three ways to avoid pain
and repetitive stress injuries:
1.
Better positioning (for yourself
and your patients)
2. Ergonomic instruments and
equipment
3. Simple wellness exercises
Proper posture and patient positioning
than the next leading competitor
and remain 50% sharper after 500
strokes.
The less bending, hunching, twisting,
craning, leaning, or reaching you do,
the less tension you’ll put on your
muscles, joints, and bones.
Wellness exercises to relieve
and prevent pain
Before you undertake any physical
activity—from a morning run to a
day of treating patients—it’s always
a good idea to warm up your joints
and muscles. Dental hygiene blogger
Whitney DiFoggio (writing as “Teeth
Talk Girl”) recommends a set of daily
stretches for dental professionals
that target the wrists, neck, shoulders, and back.
The proper position for working
with a patient is seated, with your
spine in a neutral position and your
shoulders relaxed. Work as close to
the patient as possible to avoid overextending your arms or back, and
always face the patient.
Keep your feet flat on the floor and
adjust your stool’s height so your
thighs slope slightly downward.
Think of yourself as a tripod, with
your weight evenly distributed
through each foot and your buttocks.
If you need a better view of the patient’s oral cavity, ask the patient to
turn their head, and use HD mirrors
to improve visibility. Keep your instruments at roughly arm’s height
and within a 21-inch radius of yourself. The patient’s body position
also has a tremendous impact on
your ergonomics. According to RDH
Magazine, the patient should ideally
be positioned supine for treating the
upper arch and semi-supine for the
lower arch, but this practice is often
impractical due to time constraints.
Instead, they recommend positioning the back of the patient’s chair at
a 10- to a 15-degree angle from the
floor. Then, use a contoured dental
neck cushion to achieve the proper
orientation of the occlusal plane.
Be sure to ask your patients to scoot
to the end of the headrest. This will
eliminate the need to reach over the
empty space on the headrest.
DiFoggio writes that she tries to
stretch as often as possible, between
appointments and any time there’s
a chance to move around. “A great
time to stretch is when you’re going in and out of the room to take an
FMX,” she says.
© Hu-Friedy
By Hu-Friedy
Ergonomic instruments and
equipment
Ergonomics should be a key consideration when choosing dental instruments and equipment for your
practice.
The Operator Stool
From an ergonomic perspective, the
operator stool is the most important
chair in the treatment room. Proper
positioning begins by adjusting the
stool first and the patient second.
Your stool should be adjustable, with
adequate lumbar, thoracic, and arm
AD
support. It should allow for a space
of three finger-widths behind your
knee. If your stool has a tilting feature, tilt the seat forward between 5
and 15 degrees. (If not, use an ergonomic wedge cushion.)
Saddle-seat stools may be the ideal
option – especially for shorter people. This type of stool maintains your
pelvis in a neutral position and allows the optimal curve of your spine.
Lighting
Another helpful piece of ergonomic
equipment is a loupe with a built-in
headlight. Loupes provide magnification so you don’t have to bend to
see the patient’s oral cavity better.
Headlights move with your gaze,
eliminating the need (and annoyance) to continually readjust the
overhead light.
Instrumentation
The instruments you choose can
also make a significant difference.
Look for an instrument with an ideal
weight and large diameter that provides a textured grip surface. These
instruments will be easier to maneuver and cause less hand fatigue while
probing, scaling, and root planing.
The science behind ergonomic design matters too. The new Harmony
Ergonomic Scalers and Curettes are a
good example.
The result of a cutting-edge iterative
research and development process
that analysed over 2.8 million data
points, the Harmony Scaler reduces
pinch force up to 65% and pressure
on the tooth by 37%. The handle features a recessed double-helix texture
for optimal tactile sensitivity with
less tactile fatigue. The silicone grip
has been extended 30% to provide a
secure and nimble grasp.
Another important factor in instrument ergonomics is the sharpness
of the blade. Sharp scalers require
less force to do the same amount of
work, which can help both you and
your patient be more comfortable.
Harmony Scalers and Curettes feature EverEdge 2.0 Technology. With
EverEdge 2.0 Technology, working
ends are 72% sharper out-of-the-box
A regular yoga practice can also
help you maintain your fitness for
work—and you don’t have to attend
in-person classes to reap the benefits.
Countless high-quality yoga videos
are available for free online, such as
the popular Yoga With Adrienne series on Amazon Prime. Notably, this
series includes a video of yoga tips
for the hands.
You’re not suffering alone
Keep in mind there’s no shame in
feeling pain, and you’re far from
the only one to experience this. The
good news is that a few changes to
your routine, posture, instruments,
or fitness regimen can do wonders
for your body and can potentially
add years of injury-free practice to
your career.
References
1. Mj Hayes 1, D Cockrell, D R Smith,
A systematic review of musculoskeletal disorders among dental
professionals, Int J Dent Hyg. 2009
Aug;7(3):159-65.
2. Manohar Bhat, Tahir Mohammed,
Nikita Bansal, and Gaurav Gupta, Ergonomics in Dentistry, Int J Clin Pediatr Dent. 2014 Jan-Apr; 7(1): 30–34
All company and product names are
trademarks of Hu-Friedy Mfg. Co.,
LLC, its affiliates or related companies, unless otherwise noted.
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
[13] =>
DTMEA_No.2. Vol.11_DT.indd
HUFRIEDYGROUP INTRODUCES
HARMONY
SCIENTIFICALLY PROVEN ERGONOMIC
SCALERS AND CURETTES
Designed with TrueFit™ Technology, the optimized shape
with double helix grip reduces pinch force up to 65% 1 .
Its optimal proportions and ideal width provides a secure
and nimble grasp, which may alleviate hand fatigue and
injury risk due to repetitive motions. All Harmony™ scalers
and curettes have EverEdge™ 2.0 working ends, ensuring
you have sharp, long lasting blades to efficiently remove
calculus while applying less pinch force when holding
the handle.
Learn How to Scale in Perfect Harmony at
HuFriedy.eu/Harmony-Scaler
For more information or to place an order please contact
your local dealer or us at:
Free Call: 00800 48 37 43 39
E-Mail: info@hu-friedy.eu
All company and product names are trademarks of Hu-Friedy Mfg. Co., LLC, its affiliates or related companies, unless otherwise noted.
1. Compared to other leading scaler designs. Data on file. Available upon request.
©2020 Hu-Friedy Mfg. Co., LLC. All rights reserved. HFL-482/0820
Hu-Friedy is now a proud member of
™
[14] =>
DTMEA_No.2. Vol.11_DT.indd
14
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2021
Autoclavable stainless steel sleeve
with disposable window for Primescan
now available
By Dentsply Sirona
Primescan, the intraoral scanner
from Dentsply Sirona, ensures highquality digital impressions and
exceeds minimum recommended
hygiene guidelines. It is the only
scanner that provides a variety of
disinfection and sterilization procedures with three different sleeve
options. The new stainless steel
sleeve with a disposable window can
be reprocessed in an autoclave and
is now available. It completes the
comprehensive hygiene concept of
Primescan. As an intraoral scanner,
Primescan is a true all-rounder: it
enables very accurate digital impressions that meet the high demands
of speed, simplicity and hygienic
safety. The variety of workflows is
large. Primescan has proven itself in
restorative, implant and orthodontic
treatments as well as in the therapy
of obstructive sleep apnea. It also
supports patient monitoring and patient communication.
Outstanding hygiene The new stainless steel sleeve is available now and
can be purchased separately. It completes the comprehensive hygiene
concept of Primescan, which is characterized by great flexibility in the
selection of a total of three sleeves
that can be reprocessed using different procedures. The high-quality,
stainless steel sleeve with
exchangeable single-use
windows can be reprocessed in an autoclave. Autoclaving is the most commonly used sterilization
process in dental practices
and helps minimize crosscontamination risk. Stainless steel is a major factor
for a long lifetime. The
stainless steel sleeve with a
scratch-resistant sapphire
crystal window can be reprocessed with wipe disinfection, hot air sterilization
or high-level disinfection.
The plastic sleeve is an alternative for the highest
hygiene requirements and
can be disposed of after
each use. All sleeves have a
completely closed viewing
window to prevent liquid
from entering during scanning. A suitable sleeve for
practice-specific reprocessing protocols These three
options make taking digital
impressions as easy and
hygienic as ever. Primescan provides a variety of
disinfection and sterilization procedures exceeding
minimum recommended
hygiene guidelines. Since
legal requirements vary
Three different sleeve options for each of your hygiene needs, to ensure safe intraoral scanning. New to the family: The autoclavable stainlesssteel sleeve with disposable window (right).
Dr Daniel Aniol, dentist from Bornheim, Germany: “Safety and flexibility in the way we work are of
central importance to me and my practice team. The ability to choose from a variety of reprocessing
methods with Primescan is an important benefit of the system.”
from country to country and practice situations differ, it is important
that users can decide which cleaning and disinfection option fits their
needs best. This way, practices are
given the option of following one of
the five common sterilization procedures after digital impression taking.
In combination with the acquisition center, Primescan offers a hygienically excellent
workflow in digital impression taking with outstanding clinical results.
For Dr Daniel Aniol, dentist from
Bornheim, Germany, sterilization is
more important than ever because
of the new environment in which
dentists are working. “Safety and
flexibility in the way we work are of
central importance to me and my
practice team. The ability to choose
from a variety of reprocessing methods with Primescan is an important
benefit of the system.” “The auto-
clavable sleeve completes the versatile hygiene options,” summarizes
Dr Alexander Völcker, Group Vice
President CAD/CAM at Dentsply Sirona. “Dentists and practice teams
can count on optimal infection control at all times. In combination with
the Acquisition Center, Primescan
offers a hygienically excellent workflow in digital impression taking
with outstanding clinical results.”
Find out more information about Primescan at www.dentsplysirona.com/
primescan
Due to different approval and registration times, not all technologies and
products are immediately available
in all countries.
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
[15] =>
DTMEA_No.2. Vol.11_DT.indd
Scan and connect
digitally. Or treat it
in a single visit.
Either way, it‘s prime.
Enjoy the scan.
With the connectivity options of Primescan.
Find out more on dentsplysirona.com/primescan
[16] =>
DTMEA_No.2. Vol.11_DT.indd
Could your patients be at risk of
THEIR ENAMEL?
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to help your patients protect their teeth against acid erosion
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weakened enamel1,2
Locks in vital
minerals1,2
Helps relieve
tooth sensitivity
No. 1 Dentist Recommended Brand
To Strengthen Enamel And Protect Against Acids
References:
1. GSK data on file. Study number 18005; 2. GSK data on file. Study number 208166.
[17] =>
DTMEA_No.2. Vol.11_DT.indd
Dear Doctors,
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References: 1.
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[18] =>
DTMEA_No.2. Vol.11_DT.indd
18
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2021
Imaging Reimagined
How technology can enhance practice
efficiency—and optimize time with patients
By Dentsply Sirona
Streamlining your imaging workflow paves the way for time and
cost savings in all of your procedural
workflows. That’s because imaging is
key to diagnosis and treatment planning—from general to specialty dentistry. In fact, the efficiencies made
possible by new imaging technolo-
gies can help you make the most of
every patient visit.
ance. It’s a win-win: a healthy practice, and more healthy smiles.
The possibilities should make both
patients and practitioner’s smile.
For example, using 3D imaging can
help reduce patient visits for implant placement by up to 50%. And
sharing images chairside can help
streamline and increase case accept-
These efficiencies extend to both extraoral and intraoral imaging, when
you use the Axeos 3D/2D imaging system and Xios AE intraoral sensor. Here
are just some of the ways these reimagined imaging solutions offer opportunities for enhanced efficiency.
Proper Alignment and Automating of Process Steps, thanks
to easy-to-use patient positioning aids
Axeos’ patented auto-positioner
automatically determines the correct head tilt and positions patients
quickly in the occlusal plane—no
need for a second exposure. This en-
AD
sures optimal image quality, saves
time, and supports patient safety by
limiting exposures.
Used with Xios AE, the AimRight adhesive positioning system facilitates
proper alignment and automates
process steps—maximizing comfort
and convenience without adding to
sensor dimensions.
Minimal Retakes and Improved
Diagnostics, made possible
with built-in image quality
Axeos offers multiple 3D volume
sizes (up to Ø17x13) and excellent 2D
panoramic images with autofocus
and sharp layer technology. With
16-second scans to reduce waiting
time, it all adds up to everyday practice flexibility and efficiency.
Dentsply Sirona Imaging Solutions
Axeos.
Experience the difference.
Xios AE’s advanced filtering, increased sensor sensitivity, and enhanced low-dose optimized exposure spectrum allow for increased
visibility. A dynamic sharpening
slider further optimizes the image,
enabling adjustments for sharpness,
brightness, and contrast.
Time Savings, through seamless extraoral and intraoral integration
With both Axeos and Xios AE, images are automatically available for
diagnosis and treatment planning.
Plus, Sidexis 4 enables simultaneous
and side-by-side viewing of 3D and
2D data, without switching between
programs. All media stored in one
place enables quick accessibility.
Connectivity between software and
hardware is seamless and easy to use.
And direct integration with CEREC—
and more than 200 Practice Management Software systems—helps
reduce chair time and patient visits.
Disinfection Made Simple, designed for quick, easy transition between patients
Both systems feature removable, sterilizable components and
smooth, easy-to-wipe and disinfect
surfaces made of high-quality materials.
Single-use accessories—including
Xios AE sensor sheaths, Axeos bite
tabs, and the AimRight adhesive positioning system—simplify how you
help eliminate cross-contamination
risk.
A new generation of progressive imaging is here – experience the difference with Axeos.
• 2D/3D hybrid device equipped with new technology and a broad Field of View (FoV) range,
from a focused FoV (Ø5 x 5.5 cm) for endodontic cases up to a large FoV (Ø17 x 13 cm)
that covers complete dentition, including both TMJs
• Seamless connectivity and individualized treatment workflow with Sidexis 4 Software
• Patient Positioning and Image Assistant (PIA) for increased patient comfort and image accuracy
Near Zero-Day Downtime, reliably keeping your practice up
and running
Xios AE’s system durability features
include an in-office replaceable cable. In the event a sensor cable gets
damaged, you can change it completely within minutes.
Because every patient deserves a healthy, happy smile and every practice team deserves the tools
to make this a reality. It’s time to elevate and expand your treatment offer. It’s time for Axeos.
For more information on Axeos please contact your local dealer,
Dentsply Sirona sales representative or visit
Experience the efficiency
dentsplysirona.com/axeos
We’ve made streamlining your
workflows a painless procedure. To
schedule a demo of Dentsply Sirona
imaging solutions—and learn more
about how they
can help you
achieve procedural efficiency
and practice success please reach
out to your local
representative.
THE DENTAL
SOLUTIONS
COMPANY TM
200723_IMG-Ad-Print-Axeos-Blue-EN_210x297mm_RZ_v4.indd 1
27.07.20 17:44
[19] =>
DTMEA_No.2. Vol.11_DT.indd
HELP KEEP
YOUR
OUR PATIENTS
PA
ON A JOURNEY
TO
O HEA
HEALTHY
THY GUMS
T
LLTHY
PARODONTAX® TOOTHPASTE IS CLINICALLY PROVEN TO
REDUCE PLAQUE, BLEEDING GUMS AND INFLAMMATION
4X 48%
greater plaque
removal *1
greater reduction
in bleeding gums*1
Recommend parodontax® toothpaste to help
patients maintain their optimal gum health
between dental visits.
*Compared to a regular toothpaste following a professional clean and 24 weeks’ twice-daily brushing.
* Compared to aReference:
regular toothpaste
and professional clean and 24 weeks’ twice-daily brushing.
1.
PM-BH-PAD-20-00018
[20] =>
DTMEA_No.2. Vol.11_DT.indd
20
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2021
Palodent 360 is here
Place. Twist. Done. With the Palodent 360 Circumferential Matrix System
By Dentsply Sirona
Dentsply Sirona, the world’s largest manufacturer of professional dental products and technologies, introduces the new
Palodent 360 circumferential matrix system. This revolutionary new design means a twist of your fingers is all it takes
to achieve tight contacts with anatomically natural contours
without an awkward retainer or applicator. For better restorations, faster and easier than you ever thought possible. Success comes full circle.
Like the Palodent Plus sectional matrix system, the Palodent
360 circumferential matrix system has an anatomically
shaped matrix band to provide predictable, tight contacts
that replicate natural tooth anatomy. This means minimal
finishing of the restoration and improved outcomes.
No Separate Retainer or Instruments Needed
© Dentsply Sirona
Efficient Restorations
AD
The integrated tightener/retainer
allows matrix placement and retention without the need for bulky retainers or accessory placement and
tightener instruments, allowing for
efficiency (no set up required), ease
of placement, better access, clear
view of the operating field and greater patient comfort.
Tackle the Most Difficult Cases
Palodent 360 circumferential matrix
bands can be for all Class II restorations, but especially difficult Class
II Cases when there is no adjacent
tooth, too much tooth structure is
missing to use a sectional matrix, or
if there is a mis-aligned or severely
rotated tooth.
More Efficient Core Buildups
Throw away
your Tofflemire.
NEW!
Using the Palodent 360 contoured
circumferential matrix bands results
in reduced time needed to drill less
material away to achieve the optimal
core build-up shape vs. creating the
right shape from scratch with less
coronal excess.
Compatible for use with Palodent Plus.
Palodent 360 matrix bands are compatible with Palodent Plus retaining
rings that can be used to gain temporary required space in tight interproximal spaces and also to further
stabilize and assist with proper embrasure form. They are also compatible with Palodent Plus wedges for an
optimal seal.
With the addition of the Palodent
360 circumferential matrix system,
the Palodent family of matrix systems can cover all posterior Class II
restorations.
Palodent® 360
Circumferential Matrix System
Place. Twist. Done. A twist of your fingers is all it
takes to achieve tight contacts with anatomically
natural contours. No more struggling with an awkward
retainer or applicator. No more obstructions to your
view or working space. For better restorations,
faster and easier than you ever thought possible,
Palodent® 360 Matrix System.
Success comes full circle.
Tofflemire is not a registered trademark of Dentsply Sirona.
©2019 Dentsply Sirona. All rights reserved. ML590016A (8-19-19)
PART OF DENTSPLY SIRONA’S
Visit www.palodent360.com to learn
more.
Proper interproximal
contours achieved with a
Palodent® 360 matrix system
Poor interproximal contours
achieved with a Tofflemire
matrix system
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.2. Vol.11_DT.indd
Modern Aesthetic Dentistry
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[22] =>
DTMEA_No.2. Vol.11_DT.indd
22
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2021
Maximizing efficiency using 3M
impression products
Clinical Case Report
Introduction
Making an acceptable impression in
dentistry requires not only the use
of precision impression material but
also the use of adjunct materials to
help support the accuracy of the final impression. 3M introduced a line
of products that are intended to be
used together to maximize the efficiency of taking an impression while
offering predictablity to the clinican.
The following products were selected for this case:
• 3M Retraction Capsule
• 3M Intra-oral Syringes
• 3M Impression Trays
• 3M Imprint 4 Penta Heavy and Imprint 4 Light VPS Impression Material
Clinical Case
An 80-year-old male presented with
a fractured and decalcified upper
right canine (tooth #6). After reviewing clinical and radiographic findings it was determined that a full
porcelain crown was the best treatment of choice.
Initial impressions were obtained
including a template for temporary
fabrication, a study model and an
opposing full arch mandibular impression (using 3M impression tray).
After placing local anaesthetic, the
tooth was prepped for a full porcelain crown (Fig. 1). Prior to the final
impression, 3M retraction capsule
(3M) paste was injected into the sulcus of tooth #6 (Fig. 2). The retraction
paste contains 15% aluminum chloride and is intended to provide temporary tissue retraction and enable a
clean, dry and controlled sulcus. 3M
retraction capsule paste material can
be used alone or in conjunction with
retraction cord. The soft and narrow
tip of the 3M retraction capsule corresponds in size and shape to a periodontal probe; designed for direct
placement in the sulcus (Fig. 3).
While the retraction paste is in place,
a 3M impression tray (Fig. 4) is fitted.
The trays come in three sizes and require no adhesive. The self-retentive
strips are designed to direct the flow
of the impression material, minimizing defects and voids.
The 3M intra-oral syringe is loaded
with the appropriate amount of Imprint 4 Light (Fig. 5). The syringes are
single use, ergonomically designed,
and can be prepared in advance (Figures 6-7). The syringe is designed for
the loading of consistent amounts
of wash for both single and multiple preps. There are markings and
characteristics on the syringe that
will accommodate specific amounts.
Using the syringe is much easier
than trying to guide the 3M Garant
cartridge with extended mixing tips.
The 3M intra-oral syringe uses less
material and allows more accurate
placement.
Fig. 1. Prepared tooth #6
Once the Retraction Capsule material is placed, simply rinse the material at the time limit making sure no
residue remains in the sulcus.
Next, Imprint 4 material is extruded
from a Pentamix mixing unit into a
3M impression tray (Figure 8). Since
the 3M intra-oral syringes can be prepared in advance, the material can be
syringed around the prep while the
tray is being loaded. The tray is gently placed and allowed to set. Imprint
4 Light (regular set material) has a
maximum 1:00 minute intra-oral
syringing time at room temperature.
Intra-oral set time for Imprint 4
regular set material is 2:00 minutes.
When the impression is set, remove
it and check for blue residue and
excess pieces of impression ‘flash’.
These may be on teeth or soft tissue. The final impression (Figs. 9-10)
shows excellent marginal detail.
The colour contrast is easy to read,
crisp and accurate, with no delamination.
Worth noting: In addition to providing a precise impression medium,
Imprint 4 material (3M) has an active
self-warming feature that accelarates
the intraoral setting time. The setting time starts after placement and
speeds up with body temperature.
A temporary crown (Figure 11) is fabricated using the pre-prep impression template. The Imprint 4 impression and models were sent to the lab
© 3M
By Dr Gary Bloomfield, USA
where an all porcelain crown was
fabricated.
The patient returned 10 days after
the prep work for delivery of the
restoration (Figure 12). No complications or problems occurred during
temporization. The restoration was
tried in, adjusted and bonded into
place.
The patient is comfortable and
pleased with the final result. Figure
11. Temporary crown. Figure 12. Final
restoration.
Conclusion
These products are designed to be
used sequentially and gives the clinician confidence in accuracy of both
impression and final restoration.
The 3M products used in this restorative process helped create a beautiful
restoration. The materials and delivery system are excellent.
Fig. 2. 3M retraction paste in place around preparation
Fig. 3. 3M Retraction Capsule and periodontal probe
tips are similar in size.
Fig. 6
Fig. 7
Fig. 5. 3M Intra-oral Syringe connects easily to a
cartridge
Fig. 6-7. 3M Imprint 4 Light is placed from the 3M Garant Dispenser into a 3M Intraoral Syringe, and the tip
can be directed for precise application
Fig. 9. Full-arch final impression
Fig. 10. Detail of impression
Fig. 11. Temporary crown
Fig. 4. 3M Impression Tray
Fig. 8. Loading 3M Imprint 4 material into the
3M Impression Tray using a 3M Pentamix 3
Automatic Mixing Unit
Fig. 12. Final restoration.
[23] =>
DTMEA_No.2. Vol.11_DT.indd
Rev. 2020-09
zeta hygiene
We take care of your safety
Protection against cross infection means not just
following procedures correctly, but also using safe,
effective and broad spectrum products.
Zeta hygiene is a complete range of cleaning, disinfecting
and sterilising products in the dental sector.
Quick action, ease of use and high compatibility with
materials make Zeta hygiene the effective solution for
the most demanding dental professionals, guaranteeing
complete safety and maximum protection for both
professionals and patients.
Instruments and burs • Surfaces • Special applications
www.zhermack.com
Not all products are sold in every country. For further information on product availability, please contact your local representative.
EFFECTIVE AGAINST
CORONA
VIRUS
[24] =>
DTMEA_No.2. Vol.11_DT.indd
24
GENERAL DENTISTRY
Dental Tribune Middle East & Africa Edition | 2/2021
Patient-centric treatment with
composite Artistry
By Dr Melvin Sia, Malaysia
Direct restorations to date remain
the most common type of treatment
provided by dentists in routine clinical practice. With the advances in information technology and social media taking centre stage with the selfie
culture, there is an increase in oral
health awareness leading to a higher
demand for smile enhancements
with aesthetic restorations. Today
we see more and more patients
visiting the clinic with a common
request to enhance their smiles or replace discoloured old dental fillings
with more aesthetic, tooth-coloured
life-like restorations. Meeting patient
demands and expectations is something we have to address carefully as
its always important to provide the
desired aesthetic outcomes to our
patients while preserving maximum
healthy natural tooth structure for
the best long-term prognosis of the
restorative treatment. This holistic
treatment approach is best achieved
by adopting the Minimally Invasive
Cosmetic Dentistry (MICD) concept
and treatment protocol in routine
clinical practice.
The clinical case shared below explains an MICD restorative protocol
adopted for replacing a posterior
old amalgam restoration using the
Beautifil range of bioactive composite resin to achieve the patient’s desired aesthetic outcomes (Figs 1a, 1b).
Patient Case
A female patient visited the clinic
complaining of unsightly “silver”
coloured fillings on her lower molar
teeth and requested for replacement
with more aesthetic tooth coloured
fillings as she was embarrassed to
laugh with her mouth opened which
resulted in a lack of self-confidence.
Upon discussion of the treatment
plan, it was agreed to initially replace
only the first molar tooth due to her
limited budget.
Material Selection
•
•
•
•
•
Isolation – Rubber Dam
Tooth preparation and caries
removal – Diamond Points
Etching & Bonding – 35% Phosphoric acid and BeautiBond
bonding agent
Mask discolouration – Beautifil
Opaquer # UO
Deep Dentin layer – Beautifil Injectable X #A1O
•
•
•
Dentin layer – Beautifil II LS #A3
Characterization – Dark Brown
Stains
Finishing & Polishing – OneGloss 2in1 Smart Polisher
Restorative Process
Rubber dam isolation has become
more mainstream in clinical practice
today providing the clinicians with
improved access and visibility during
the restorative process. After rubber
dam isolation the old amalgam restoration was removed and amalgam
tattoo was observed in the deeper
section of the cavity (Fig 2 & 3).
for the aesthetic outcome required
a 2 layer build-up technique was
used for this restoration (Fig 8). The
surface characterization and groves
were created with LM Arte Fissura &
Dark Brown stain (Fig 9).
prevent secondary caries. I adopted
a simplified finishing and polishing
protocol to achieve the high gloss
enamel-like the lustre of the final
restoration as this step is key to increasing longevity for a long-lasting
restoration.
As there were minimal adjustments
of the occlusal surface a OneGloss
2in1 Smart Polisher was used with
more pressure for fine finishing followed by feather light pressure to
achieve the final polish. (Fig 10, 11)
Conclusion
After performing selective etching
with 35% phosphoric acid and application of the 7th generation bonding system BeautiBond, Beautifil
Opaquer shade UO was applied to
mask the discolouration at the base
of the cavity (Fig 4& 5& 6). The deep
dentin layer build-up was with Beautifil Injectable X shade A1O which
helps to apply the material exactly
where you need it with the convenience of injecting as you shade. (Fig 7)
After light-cure the build-up of dentin layer was completed with Beautifil II LS shade A3. As the translucency
of the dentin shade was sufficient
In order to achieve both the desired
aesthetics and function, material selection plays a very important role
when replacing old amalgam restorations as often discolouration
known as amalgam tattoo remains
on the tooth surface. In this patient
case where aesthetics were the first
priority a bioactive nano-hybrid
composite Beautifil II LS was selected
as an ideal choice since the sculptable non-tacky consistency and easy
blending of shades and polishability
helped to achieve the desired aesthetics while the bioactive properties
and low polymerization shrinkage
provided additional protection to
Fig 1a
Fig 1b
About the author
Dr Melvin Sia, Malaysia
Dr Melvin Sia received his Bachelor of
Dental Surgery from AIMST University,
Malaysia in the year 2011. He is currently
the Clinical Director of his private dental
clinic, M Dental Clinic. Dr Melvin is particularly interested in restorative dentistry
– direct and indirect aesthetic restorations. In pursuit of his passion for aesthetic dentistry, Dr Melvin has attended
numerous training courses by renowned
clinicians and is a clinical trainer for MICD
(Minimally Invasive Cosmetic Dentistry).
CLINICAL TIPS
1. TO PREVENT OVERBUILDING THE CUSP, CHECK THE PATIENTS BITE/OCCLUSION
WITH ARTICULATING PAPER BEFORE THE START OF THE TREATMENT. THE ARTICULATING PAPER MARKING ON THE OCCLUSAL SURFACE, HELPS GUIDE THE BUILD-UP OF
THE COMPOSITE RESIN MINIMIZING HIGH POINTS.
2. USE LM ARTE FISSURA OR A SIZE #10 K FILE TO CARVE AND CHARACTERIZE THE
GROOVES ON THE OCCLUSAL SURFACE TO ACHIEVE MORE LIFE-LIKE AESTHETICS.
Fig 3: Removal of old amalgam with presence of amalgam “tattoo” at the base
Fig 4: Etching and bonding with 35%
phosphoric acid and Beautibond
Fig 8: Build-up of final layer with Beautifil IILS shade
A3
Fig 1a, 1b: Before and after Amalgam replacement with Beautifil range of bioactive
nanohybrid composite
Fig 2: Rubber dam isolation
Fig 5: Beautifil Opaquer Shade UO applied to mask the amalgam “tattoo” at
the base of the cavity
Fig 7: Replacing deep dentin layer with
bioactive Beautifil Injectable X shade A10
Fig 9: Create the groves with LM Arte Fissura & Dark
Brown stain
Fig 6: After placement of Beautifil
Opaquer UO
Fig 10: Polishing with OneGloss Midi point 2in1
smart polisher
Fig 11: Final restoration after removal of rubber dam
[25] =>
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[26] =>
DTMEA_No.2. Vol.11_DT.indd
26
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 2/2021
Direct composite restorations in
orthodontic indications
Concept and case reports
By Dr Sylvia Rahm, Germany
In the past, we used to prepare teeth and sacrifice tooth substance to protect our prosthetic work due to the required minimum wall thickness. Today we protect the teeth with additive,
adhesive restorations!
In our daily practice, we repeatedly perform restorations based
on orthodontic or anatomical indications.
There are different aplasias of permanent teeth, which is one
of the most common craniofacial malformations with a prevalence of approximately 1-11%. Here we encounter agenesis with
and without gaps or in the form of altered teeth - such as the socalled conical teeth in region 12 or 22. Often we also find persistent deciduous teeth with agenesis of the permanent dentition.
Apart from mandibular second premolar agenesis, the lateral incisors are the most frequent places where aplasia occurs - apart
from the wisdom teeth. In terms of the development process,
this results from the lip-jaw-palate cleft and is the smallest form
of this characteristic, which can also occur without the formation of a cleft. However, as this is in the visible and aesthetic region, the patient's desire for correction is considerable.
In the following cases, different options for restoration using
direct composite restoration techniques will be presented. Of
course, ceramic restorations are also possible, but considering
the young age of the patients, a minimally invasive therapy is
advisable. The teeth can still elongate during a secondary erup-
tion, which can lead to the preparation margins
becoming visible.
Orthodontists choose different therapeutic approaches. In some cases, gaps are closed, but the
trend tends towards keeping them open. This can
have consequences for the entire dental arch and
also for aesthetic rehabilitation.
There are different parameters to consider as to
whether the gap should be closed or kept open.
On the one hand, a micrognathic maxilla is more
likely to speak against a gap closure, as the distal
movement of the anterior teeth and mesial movement of the posterior teeth can result in an inverted anterior overjet. A compensatory extraction of
the lower premolars could be indicated. However,
in the case of a distal bite, compensation by closing
the gap can approximate the dental arches.
The profile of the patient should also be taken into
consideration. The upper lip tends to revert back
when closing gaps, which is more disadvantageous
with a concave profile type than with a convex
profile type.
If the necessary movement of the teeth is taken
into account, a penetration position of the canine
near the middle incisors tends to favour closing
the gap, a distance position tends to favour keeping the gap open.
The colour and shape of the canines are only of
limited importance, as both can be changed minimally invasively. Visually more challenging is the
gingival profile, which can be positively influenced
by orthodontic intrusion or extrusion.
Nonetheless, the changed position
of the canine teeth often results in a
less favourable dental arch or leads
to gaps between the canines and the
premolars. The transition in the buccal corridor is altered and narrows
the visual appearance. This should
also correspond to the width of the
nose and the shape of the face.
The following cases show that significantly improved results can be
achieved by additive restoration
with composite, even under unfavourable conditions. In most cases
this is also possible without preparation of the tooth structure.
Case presentations
The timing of the intervention may
vary. In the case of reduced conical
teeth, it may sometimes prove difficult for the orthodontist to position a
bracket at all. It is therefore necessary
to build up the teeth prior to orthodontic treatment to be able to move
the teeth correctly and thus to set the
correct axial direction and position
in the arch.
This can be achieved quite easily
with BRILLIANT COMPONEER or a
direct composite build-up with BRILLIANT EverGlow. In this case (Figs. 1 –
6; page 2) there were two differently
developed, reduced lateral incisors,
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 17
Fig. 18
Fig. 19
which were additively restored prior
to orthodontic treatment and subsequently provided with brackets.
After building up the incisors, orthodontic treatment could be performed and completed. Due to their
impeccable optical appearance, the
COMPONEER veneers can remain in
the mouth after removing the brackets.
In a second case a 14-year-old female
patient presented following recommendation after orthodontic treatment had already been completed
(Fig. 7).
The initial situation was a unilateral
aplasia of the left lateral incisor, a
mesially erupted canine, so that the
deciduous canine could be preserved
in its position. The gaps were closed,
however the patient regarded the
interincisal larger retractions and
triangular formations in particular
as displeasing. The different shade of
the more saturated canine was less
relevant for her.
We opted for an additive structure of
the teeth. Unfortunately, the width
ÿPage 28
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DTMEA_No.2. Vol.11_DT.indd
Enduring gloss –
made brilliant
BRILLIANT EverGlow®
Universal Submicron Hybrid Composite
Ò Outstanding polishability and gloss retention
Ò Brilliant single-shade restorations
Ò Ideal handling through a smooth consistency
Ò Good wettability on the tooth surface
005343 01.20
everglow.coltene.com
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DTMEA_No.2. Vol.11_DT.indd
28
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 2/2021
◊Page 26
of the canine was greater than that
of the contralateral lateral incisor, so
that small lateral deviations could
not be avoided as non-invasive surgery was specified (Fig. 8).
On tooth 12, the incisal edge was
lengthened slightly and the edge was
straightened. A stronger mesial lightreflecting ridge was applied with
enamel masses to create a larger appearance.
Tooth 23 was also lengthened to an
edge incisally, the lateral facets were
filled in and the marginal ridges were
shaped. To avoid a greyish appearance due to too much enamel, it was
necessary to add Universal shade A1/
B1 to the BRILLIANT EverGlow Translucent enamel masses.
The deciduous canine was lengthened significantly and built up vestibularly to ensure a transition into
the buccal corridor. Minor gingivectomy was necessary cervically to create an aesthetic garland profile.
We are aware of the paradigm that
form is decisive for aesthetics - as
opposed to colour. Once the macroscopic shape has been realised, close
attention must be paid to the micromorphology, particularly in young
patients.
In a further case the canines were
pulled to the second position, however
these canines were rather delicate and
symmetrically placed. The white decalcification present around the brackets
on the vestibular surface created an additional problem (Figs. 11 - 12).
And this is where the special properties of the composite material become relevant. BRILLIANT EverGlow
is an extremely supple and easy to
shape composite, which can be processed well and delicately with very
thin Heidemann spatulas, brushes
and pads, yet still remains dimensionally stable.
Here we had to deviate slightly from
the non-invasive concept and work
from micro-abrasively to minimally
invasive. Therapy planning was as
follows: The middle incisors were prepared micro-abrasively and restored
only with BRILLIANT EverGlow
Bleach Translucent. The canines were
transformed completely vestibularly
with BRILLIANT EverGlow A1/B1 and
Bleach Translucent as the patient
wished for a whitening effect. The interincisal retraction of the premolars
was also minimised in terms of optical appearance. The mesial marginal
ridge was highlighted for light reflection purposes and was converted
to more transparent enamel ridges
in terms of colour - resembling the
natural tooth (Figs. 13 - 14).
Once we have implemented the micromorphology (Fig. 9), a little polishing is sufficient to achieve a captivating and durable gloss.
This is very important as all the light
reflection characteristics otherwise
often disappear again due to too
much polishing and the tooth appears rather lifeless (Fig. 10).
In cases where the gap is to be kept
open early, composite teeth can be
included in the gap using brackets
at the beginning and then followed
by inserting a single-wing Maryland
composite bonded bridge. This can
also be regarded as a longterm provisional restoration to keep the gap
free for a future implant. The implant should not be placed too early
as it remains in it position but the
jaw continues to grow. This gives it
a much too caudal position and the
alveolar ridge develops a concavity,
which is difficult to remedy with renewed bone augmentation.
Milled, single-wing composite Maryland bridges have the same flexural
strength due to a tooth-like modulus of elasticity, which supports
prolonged durability. One can still
colour the bridge individually with
stains or have it milled in cutback
design and veneered with individual
layers.
AD
Sydney, Australia
Late intervention
Even at an advanced age, we can realise aesthetics in a minimally invasive manner, even if it has not been
practised in this case by colleagues
before. Thus, this female patient presented in my practice with the notion that no improvement could be
achieved without extracting teeth,
crowns or implants (Fig. 15).
Several problems were posed at once
here:
•
Agenesis of the lateral incisors
without orthodontic gap closure
•
Downward opening diasthema
•
Teeth very prominent in terms
of colour with enamel stains
and decalcification as well as
brown discolouration
•
Surface-structured teeth with
asymmetrical abrasion of the
incisal edge
•
Beginning periodontitis with
loss of the papillae
•
Deep bite with protrusion
If one wants to close the diasthema,
one has to consider the biological
width so that the papilla has the opportunity to grow up to the contact
point.
In this case, an elongated contact surface needs to be established in order
to reach relatively far to cervical. In
addition, the gap must be closed in
the form of small wings. These have
to be fitted exactly to the gingiva to
make it look as if the tooth also has
a wider root. If one leaves a slightly
larger bar in the rubber dam between the two middle incisors, one
can model directly on the rubber
dam.
26-29 September 2021
Due to the pronounced micromorphology of these teeth, it is important to extend these into the diasthema. The whitish coloured band must
also be continued, otherwise the widening of the teeth looks artificial.
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Using the Miris2 effect shades White
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and applied very finely with brushes.
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Of course, such cases can also be
solved with crowns, partial crowns
or veneers, but the more minimally
invasive we proceed, the more likely
we are to protect the patient's tooth
and, for the benefit of the stability
of our restoration, not remove any
hard tooth substance.
Meet the exhibitor’s in a virtual showroom
Interact live with speakers, ask questions
Passport competition with great prizes
Australian CPD Requirements
Conclusion
Dental practitioners in Australia are required to complete a minimum
of 60 hours of CPD activities over a three-year CPD cycle (current cycle
ends Wednesday 30th November 2022).
Using the BRILLIANT EverGlow composite, its very natural shades and
the natural layering technique of
opaque, universal and translucent
shades, we can achieve invisible
adhesive direct restorations. Due
to their excellent polishability and
good material properties, they are
very durable on the one hand, and
on the other hand, the patient can no
longer distinguish between a restoration or his/her own tooth.
ADA CERP
The FDI World Dental Association is an ADA CERP Recognised 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.
This continuing education activity has been planned and implemented in
accordance with the standards of the American Dental Association Continuing
Education Recognition (ADA CERP) through joint efforts between FDI
World Dental Association and the Australian Dental Association.
Concerns or complaints about a CE provider may be directed to the provider
or to the Commission for Continuing Education Provider Recognition
at ADA.org/CERP.
About the author
Educating for Dental Excellence
www.world-dental-congress.org
Dr Sylvia Rahm
Wagenerstraße 9
65510 Idstein, Germany
T +49 6126 44 04
F +49 6126 57 111
www.zahnarzt-balzer-rahm.de
[29] =>
DTMEA_No.2. Vol.11_DT.indd
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[30] =>
DTMEA_No.2. Vol.11_DT.indd
30
NEWS
Dental Tribune Middle East & Africa Edition | 2/2021
Periodontitis increases risk of bacteria in
donated blood
By Franziska Beier, Dental Tribune
International
COPENHAGEN, Denmark: Recent
research from the University of Copenhagen and Næstved Hospital in
Denmark has demonstrated that
periodontitis leads to an increased
risk of bacterial contamination of
donor blood. The study findings indicate that bacteria originating from
the oral cavity evade the routine
screening systems commonly used
by blood banks. Despite this, the researchers emphasised the safety of
blood donations.
According to the World Health Organization (WHO), approximately
120 million blood donations are collected globally per year. On average,
six to 68 people per 1,000 inhabitants donate blood in Europe—Denmark being the country with the
highest blood donation rate. To avoid
infection from donated blood in re-
cipients, WHO recommends that all
blood donations should be screened
for infections such as HIV, hepatitis
B, hepatitis C and syphilis. According
to the University of Copenhagen, all
donor blood in Denmark is screened
for hepatitis and HIV to reduce the
risk of transfusion-transmitted infection.
A considerable number of the global
population has periodontitis, and
studies have increasingly linked this
disease to other systemic diseases.
Therefore, the researchers aimed to
determine whether periodontitis,
which often causes transient bacteraemia, may be associated with viable bacteria in standard blood donations.
searchers tested donor blood samples using different methods, including the same method as blood banks
(oxygen-rich incubation). They also
isolated the red blood cells and investigated growth under oxygen-free
conditions.
As the risk of developing periodontitis increases with age, the research
team analysed blood samples from
60 donors over the age of 50, 62%
of whom had periodontitis. The re-
In a university press release, lead author Dr Christian Damgaard, associate professor at the Department of
Odontology of the University of Copenhagen, explained that the team
had made an important observation:
“None of the samples studied by the
usual screening method showed
bacterial contamination; thus, these
products would have been approved
for transfusion. On the contrary,
when we studied the same samples
using our more advanced method,
we actually found viable bacteria in
the blood.”
AD
POST-GRADUATE DENTAL EDUCATION
DUBAI | UAE
The researchers also found that the
risk of bacterial contamination increases if donors suffer from periodontitis. “Our results show a 6.4
times higher prevalence of viable
bacteria in the blood donated by donors suffering from periodontitis
compared to donors not suffering
from periodontitis. That is a highly
significant difference,” said Damgaard.
Donor blood still considered
safe
The present study is an important
contribution to the quality control
of donor blood. However, the researchers stress that it is currently
unknown whether the observed
bacterial contamination has any
clinical consequences. According to
co-author Dr Susanne Gjørup Sækmose, consultant at the Department
of Clinical Immunology of Næstved
Hospital, clinical experience shows
that receiving donor blood is generally safe.
She commented: “Patients can safely
receive blood transfusions. In Denmark, we conduct around 360,000
blood transfusions a year, and infections due to blood transfusions are
extremely rare—with less than one
per year on average. In addition, we
have a national system for monitoring side effects.”
It is important to identify risk factors
such as periodontitis that may lead
to bacterial contamination. Even
though donors report any diseases
that they may have that may affect
blood quality to the best of their
knowledge, few consider periodontitis a relevant disease and therefore
might not inform the blood bank
about it, said Sækmose.
ITI Implant
Privilege Mastership
Organiser
Partners
She added: “Our study suggests that
we may have to develop new methods for efficient screening of donor
blood in the future. But really, the
most important point is to make
sure that everyone sees the mouth
as a part of our organism. Basically,
diseases in the mouth may affect our
overall state of health.”
The study, titled “Periodontitis increases risk of viable bacteria in
freshly drawn blood donations”, was
published online on 2 February 2021
in Blood Transfusion, ahead of inclusion in an issue.
[31] =>
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DTMEA_No.2. Vol.11_DT.indd
32
NEWS
Dental Tribune Middle East & Africa Edition | 2/2021
Dentsply Sirona continues to empower
women in dentistry
ager, Dentsply Sirona Implants. Since January 2021,
the Female Speaker Development Program is in its
second round. There was
already a waiting list from
the first round! This time,
the program also covers
the areas of imaging, pediatrics, dental assisting and
orthodontics.
By Dentsply Sirona
As the world's largest manufacturer
of dental products and technologies
for dentists and dental technicians,
Dentsply Sirona is strongly committed to the advancement and needs
of women in dentistry. Choose to
challenge: The motto of this year's
International Women's Day underlines the importance of equal rights
for women and men in an everchanging world. A challenged world
is an alert world and from challenge
comes change. Each year, Dentsply
Sirona supports various programs
and events that encourage women's
professional development and celebrate women's achievements.
This year’s International Women’s
Day theme highlights the importance of collective action and shared
ownership for driving gender parity.
Under the hashtag #ChooseToChallenge, this year's campaign highlights how individual and collective
efforts can contribute to positive
change and empower women in society. International Women's Day on
March 8 is an opportunity for Dentsply Sirona to both demonstrate and
further strengthen its own commitment to gender equality in the dental world. The various internal and
external programs and events that
support women in their career development range from female speaker
development programs, competitions for visionary treatment concepts and outstanding achievements in research to networking
opportunities and the exchange of
experiences at panel discussions and
conferences.
“We want to support women in
dentistry by more thoroughly understanding their needs and advancing their skills, and thereby making
dentistry even better,” explains Lisa
Yankie, Senior Vice President, Chief
Human Resources Officer and Communications at Dentsply Sirona. “Additionally, we want to support their
professional development and encourage and acknowledge their outstanding achievements in research
and development, entrepreneurship, mentorship, and education.
These efforts align with our overall
purpose to empower dental professionals all over the world to provide
millions of patients with better dental care and make people smile.”
Smart Integration Award 2021
The Dentsply Sirona Smart Integration Award for innovative women in
digital dentistry plays a special role
among these programs. The award
recognizes inventive ideas as well as
successful and visionary treatment
concepts from women in dentistry.
This includes new concepts or stories
of how female dentists inspire their
patients in therapy and diagnosis or
how they envision optimally connected and efficient workflows in
the practice and dental laboratory of
tomorrow. It is also a reflection of the
company's commitment to incorporating the skills and expertise of
women into product development
more than ever before. The award
was created by Dentsply Sirona and
presented to the winners for the first
time in November 2019. In total, 24
female award winners were recognized for their unique success stories
in making workflows at treatment
units more efficient and convenient.
Dr. Tara Aghaloo, Assistant Dean for Clinical Research, UCLA School of
Dentistry, participant of
the first Female Speaker
Development
program,
summarizes: "One of the
things I wanted to get
from this program was to
build my confidence. It
has really helped a lot to
get these new techniques.
The second objective was
to become aware of where
I should be speaking, and
then take action. We have
Under the hashtag #ChooseToChallenge, the Dentsply Sirona Team highlights how individual and collective efforts can contribute to positive
definitely increased the
change and empower women in society.
number of women speaking at these industry events. I truly
thank you for that. I feel very lucky to
have been part of the group."
Dentsply Sirona Women
The winners of the first Smart Integration Award at the ceremony in Heidelberg, Germany in 2019.
The application phase of the second
Dentsply Sirona Smart Integration
Award for interested female dentists
begins on April 12. This year, not only
dentists but female dental technicians are invited to apply for the
award to present their best dentistlaboratory cooperation.
“The initiation of the Smart Integration Award is an expression of how
we accept the challenge, embrace
change and move forward together”, says Susanne Schmidinger, Vice
President Global Brand Marketing
& Clinical Affairs Equipment and Instruments at Dentsply Sirona. “The
dental profession is becoming increasingly female. We therefore work
together with female and male dentists in the development of products.
It is important to engage in dialog
and listen to all customers’ needs in
detail. This is the only way we can
continue to offer high-quality solutions in the future. Only when the
different perspectives in the dental
profession become transparent is it
possible to further develop the technological solutions offered.”
Dr. Cécile Gütermann, winner of
the Smart Integration Award 2019,
Zurich, Switzerland: “We really liked
the concept of the Smart Integration
Award. It's great that such publicity
is being created for the many successful women in our field. After all,
it is still the case that some women
tend to be more reserved are often
not used to presenting their achievements. Against this background, it's
even better that the success stories
of female dentists from all over the
world are visible through the award
and that women are motivated to
show what they can do.”
Female Speaker Development
Programme
Another program successfully implemented by Dentsply Sirona to
promote women in dentistry is the
Female Speaker Development Pro-
gram. The program was launched in
March 2020 by Dentsply Sirona Implants. The goal is to offer personal
development for female dentists,
specialists and dental assistants and
promote them as speakers, whether
they are experienced or new to
speaking. This promotion includes
strategy, script and style. In the first
round, which was held virtually because of the pandemic, ten women
had the opportunity to work with a
speaker coach, Elisabeth Bachman
and further develop their material
and overall confidence. Six of them
committed to conducting a webinar
series by women for Dentsply Sirona. These webinars had 1,403 views
of the recordings after the live presentations and there was a significant
increase in the percentage of women
among the attendees. “Many women
like to see someone who looks like
them speaking and we would like
to be the leaders in creating gender
parity across the industry.” says Lisa
Thoms, DDS, MSD, FACP, Sr. Man-
Within Dentsply Sirona, there are
numerous Employee Resource
Groups (ERGs), groups of interest
to support employee diversity and
inclusion, sponsored by the company itself. DS Women launched in
October 2020 is one of them. It has
gained over 500 members from 30
nations. The mission of DS Women,
led by Tiffany Readinger, Dentsply
Sirona Women Global Chairperson,
is to empower all women to excel
to their fullest potentials. It does so
by creating a forum of support and
growth through enabling channels
of advocacy, talent development and
resource sharing. The group is inclusive of all gender identities and its
defined goal is to see more females
in senior level roles, owning practices
and taking center stage. “Building a
diverse organization starts with creating a culture that celebrates people’s unique experiences and challenges,” says Melanie Jenkins, Senior
Global Manager Diversity & Inclusion and Early Career Programs and
member of Dentsply Sirona Women
ERG. “Providing a space for women
to discuss equality, celebrate their
achievements and propel awareness
is key to building a more inclusive
workplace where women’s voices are
heard, valued and engaged.”
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
[33] =>
DTMEA_No.2. Vol.11_DT.indd
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[34] =>
DTMEA_No.2. Vol.11_DT.indd
34
NEWS
Dental Tribune Middle East & Africa Edition | 2/2021
How diseases change standards in dentistry
By Monique Mehler, Dental Tribune
International
LEIPZIG, Germany: In the 1980s,
HIV—which causes Aids—modified
the practice of oral healthcare. Now
40 years later, the COVID-19 pandemic has brought on similar changes, such as the improved use of personal protective equipment (PPE).
allel effects of HIV and SARS-CoV-2
on dentistry. Among other things,
they looked at changes in PPE measures. To do that, they interviewed 45
local dental professionals, who all
stated that, without a question of a
doubt, dentistry could currently not
be practised without the use of protective gloves and masks as a minimum.
A 2020 study by researchers from
the University of British Columbia
in Canada has investigated the par-
One of the study participants, a certified dental assistant, explained that
barehand dentistry was the norm
until the arrival of HIV: “When I
first started we didn’t use masks or
gloves. But that all changed—we
were all tested for HIV. And we were
very mindful of that and that was
when we started wearing glasses, and
masks and gloves. Now you would
never consider working on somebody without any of it.”
In an interview with Dental Tribune
International, European Federation
of Periodontology President-Elect
Prof. Lior Shapira shared his experi-
ences during his long and successful career in dentistry: “When I was
a student many years ago [laughs], I
was working without gloves, masks
or gowns and then HIV appeared.
And then we learned how to protect
ourselves from that virus through
improving PPE measures. Today, I
could not even imagine thinking
about treating a patient without
gloves, but back then, it was normal.”
“And now the same is happening
with the coronavirus, and I think
AD
the most important lesson we have
learned from it is the realisation that
dental professionals need to fully
protect themselves. Especially when
performing aerosol-generating procedures, we will use gowns and caps,
N95 masks—which we didn’t use
before—and a face shield on top of
it all. All these improved measures
are probably here to stay and will
become the new standard of care,”
he added.
COVID-19 pandemic more difficult to handle
During the height of the HIV/Aids
pandemic, oral healthcare providers
were especially cautious of avoiding
contact with blood during procedures. Now, with COVID-19, the concern is heightened because the virus
is airborne and spreads through
droplets and aerosols, which are everywhere whenever care is provided.
The Canadian scientists explain that
this concern is chiefly influenced “by
a lack of a full understanding about
transmissibility and the perceived
impact of the virus on the cost and
time associated with minimising or
eliminating the risk of transmission
within a dental setting”.
Like many other governmental bodies around the world, the Occupational Safety and Health Administration (OSHA), which is part of the US
Department of Labor, has released
guidance for dentistry workers and
employees on its website. OSHA’s
PPE standards are not a new legal
obligation but include recommendations that should be executed in
the workplace to protect patients
and staff from potential transmission. As mentioned by Prof. Shapira,
OSHA also lists disposable N95 filtering face piece respirators, gowns and
face shields certified by the National
Institute for Occupational Safety and
Health as appropriate PPE ensemble.
A glimpse of what is to come
The general public is hoping that the
coronavirus pandemic will be over
at some point—preferably sooner
rather than later. However, a recent
survey conducted and published
by Nature put a damper on that. It
showed that “scientists expect the virus that causes COVID-19 to become
endemic, but it could pose less danger over time”.
In the article, Dr Jesse Bloom, an evolutionary biologist at Fred Hutchinson Cancer Research Center in Seattle
in the US, suggested that SARS-CoV-2
will probably become “a less serious
problem and something like [the]
flu”. Nevertheless, he also said that
some people will still develop serious symptoms.
Just like HIV or any other disease that
has heavily struck society, the coronavirus is here to stay in one way
or another and will therefore have a
lasting impact on the use of PPE in
dentistry.
[35] =>
DTMEA_No.2. Vol.11_DT.indd
#whdentalwerk
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[36] =>
DTMEA_No.2. Vol.11_DT.indd
Are you ready for CEREC?
For CEREC users, it’s simple: CEREC makes even the best dentists better. So going
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Learn more at: dentsplysirona.com/cerecprimemill
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