Dental Tribune Middle East & Africa No. 5, 2021
CAPP signs marketing agreement with Gulf Medical University and Thumbay Dental Hospital
/ New CEREC Tessera high-strength glass ceramic blocks impress with fast processing, high aesthetics and robust strength
/ Industry
/ Interview - Dr Ansi Shayar Mohammed Ali obtains implantology privilege
/ Interview - New generation of W&H sterilizers: an incredible user experience
/ Links between oral microbiome, genetic variations and periodontitis examined in new study
/ Over 6,300 dental professionals joined first virtual MiCD Regional Symposium
/ News
/ Bondodontics update for indirect restorations
/ The Digital Age with Dr Patel
/ Global Clinical Case Contest 2020/2021
/ Why the colour of your instrument matters
/ Meta-analysis shows need for further evidence about rubber dam isolation
/ International iF Design Award for Axeos
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DTMEA_No.5. Vol.11_DT.indd
NL
Y
O
LS
NA
IO
SS
FE
O
PR
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AL
DE
www.dental-tribune.me
PUBLISHED IN DUBAI
September-October 2021 | No. 5, Vol. 11
ENDO TRIBUNE
LAB TRIBUNE
IMPLANT TRIBUNE
ORTHO TRIBUNE
HYGIENE TRIBUNE
FKG Dentaire expands its
endodontic motor range
with new Rooter X3000
Dental Technician Int’l Meeting
this year online on 5 November
2021
New study reaffirms Astra Tech
Implant System and the
OsseoSpeed surface...
Align Technology introduces
first professional whitening
system
In November, a cutting-edge
dental hygienist seminar will be
available online
ÿB1-2
ÿC1-4
ÿA1-6
ÿD1-4
ÿE1-4
CAPP signs marketing agreement
with Gulf Medical University and
Thumbay Dental Hospital
DENTAL TRIBUNE
The World’s Dental Newspaper Middle East & Africa Edition
By CAPPmea / Dental Tribune MEA
Impacted Wisdom Teeth Management Clinical Certificate is a
comprehensive live patient treatment programme, designed to
address one of the most common problems that a dentist faces,
which is managing patients with impacted wisdom teeth. Management of the patients requires an appropriate risk assessment
that leads to a decision of either to extract it or not. Moreover,
management might require a referral of the patient to a special-
ÿPage 2
© Gulf Medical University
CAPP has been appointed by Gulf Medical University and Thumbay Dental Hospital as a marketing partner for the Impacted Wisdom Teeth Management Clinical Certificate programme. The live
patient surgical course is starting on 4 November 2021 in UAE.
AD
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Now at
video.wh.com
or wh.com
your dealer
Our handpieces:
Real champions,
real winners!
Some impress with outstanding speed,
others with perfect control. Some
convince with innovative technology,
others with great service, but only one
combines all of this. This spirit drives
us forward and each of our handpieces.
20210914_AD_Synea_245x167mm.indd 1
14.09.2021 12:17:41
[2] =>
DTMEA_No.5. Vol.11_DT.indd
2
NEWS
Dental Tribune Middle East & Africa Edition | 5/2021
◊Page 1
The programme consists of ten days
– four theoretical days and six live
patient clinical sessions performed
by the participants. Each participant
will manage minimum of six patients with impacted teeth under the
supervision of the faculty members.
Faculty of the course are Prof Hesham Marei, UAE, Consultant of Oral &
Maxillofacial Surgery, Dean, College
of Dentistry, Gulf Medical University as well as Dr Andrew Cronin, UK,
Consultant of Oral & Maxillofacial
Surgery, Prof Angelo Cardarelli, Italy,
Specialist of Oral & Maxillofacial Sur-
gery and Dr. Ahmed Salloum, UAE
Assistant Professor and Specialist of
Oral & Maxillofacial Surgery.
IMPRINT
PUBLISHER AND CHIEF EXECUTIVE OFFICER
Torsten R. OEMUS
The signing of the Agreement was
completed online by Prof Hesham
Marei representing Gulf Medical
University, Dr Sanjeev Kumar Mehta, COO representing Thumbay
Dental Hospital and Petar Mollov,
Marketing Director and Shareholder
representing CAPP Events & Training.
CHIEF CONTENT OFFICER
Claudia DUSCHEK
© Gulf Medical University
ist when the case is outside the scope
of practice of a general dentist. The
main aim of the course is to enable
GP dentists to manage patients with
problems related to impacted wisdom teeth.
Further information about the Impacted Wisdom Teeth Management
Clinical Certificate programme can
be found on the following website:
www.cappmea.com/impactedteeth-live-patient-certificate
AD
FREE REGISTRATION
SPEAKERS SPOTLIGHT
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EDITION EDITORIAL BOARD
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[3] =>
DTMEA_No.5. 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
[4] =>
DTMEA_No.5. Vol.11_DT.indd
4
INDUSTRY
Dental Tribune Middle East & Africa Edition | 5/2021
New CEREC Tessera high-strength glass
ceramic blocks impress with fast processing,
high aesthetics and robust strength
By Dentsply Sirona
Dentsply Sirona is introducing
CEREC Tessera advanced lithium
disilicate CAD/CAM blocks, a new
material for CAD/CAM-fabricated
restorations for anterior and posterior regions. The advanced lithium
disilicate (ALD) ceramic is characterized primarily by the fact that it
can be fired exceptionally quickly.
The glaze firing takes only four and
a half minutes, so the entire manufacturing process is accelerated. In
addition, it offers high aesthetics
and flexural strength, making CEREC
Tessera blocks an attractive option
within single-visit dentistry.
High-strength glass ceramics are
frequently used by dentists when
fabricating a restoration. The reason
is mainly aesthetics – patients usually want restorations looking nearly
identical to their natural teeth. Lithium disilicates play an important role
in this group of materials: their results are convincing in all regions of
the mouth and they can be used for
CAD/CAM-fabricated restorations,
i.e. in CEREC Primemill.
Advanced material properties due
to optimised microstructure
CEREC Tessera blocks are an advanced lithium disilicate ceramic for
the CEREC workflow that accelerate
the entire manufacturing process
by shortening the glaze firing time
– a crown can be fired in the CEREC
SpeedFire in just 4 minutes and
30 seconds. Compared to other glass
ceramics, this represents a time savings in the entire manufacturing
process (grinding and firing).
The fast firing time is mainly made
possible by the special and new
composition of the ceramic made
of lithium disilicate and virgilite, a
lithium aluminum silicate. Tessera
blocks are composed of a new material containing virgilite. During the
firing process, new virgilite crystals
are formed and embedded in a zirconia enriched glass matrix. Together,
these material constituents combine
to create a robustly reinforced, highdensity restorative material. The
dense interwoven crystal composition of CEREC Tessera blocks is key
to their high strength and helps suppress the presence of microcracks
and subsequent crack propagation.
The same microcrystal composition
(lithium disilicate and virgilite) of
CEREC Tessera blocks that is responsible for the material’s high biaxial
and flexural strength also contributes to its highly aesthetic and dynamic light refraction, transmission, and absorptive properties that
mimic the visual vitality of natural
dentition.
CEREC Tessera is an advanced lithium disilicate ceramic for the CEREC workflow that can be excellently processed in the CEREC Primemill.
The high-strength nature of CEREC
Tessera blocks further provide clinical benefits via low minimal wall
thickness preparation guidelines
and the ability to use conventional
cementation. All CEREC Tessera restorations can be fixed adhesively (for
example with Prime&Bond and Calibra Ceram). Restorations with a wall
thickness of 1.5 mm can also be conventionally cemented with a glass
ionomer or hybrid glass ionomers
(for example Calibra Bio).
With high strength, sophisticated aesthetics and fast processing, CEREC Tessera blocks open up new possibilities for patient care in a
single visit.
restorative material. The combination of speed, strength and aesthetics
truly sets the material apart."
"With the new CEREC Tessera blocks,
we have achieved three essential
clinician requirements for a restorative ceramic – speed of processing,
aesthetics, and strength," explains
Tom Leonardi, group vice president
at Dentsply Sirona. "In this way, the
overall treatment time with CEREC
will be markedly shortened. This
helps to further improve the costeffectiveness of this concept and also
offers real added value to patients on
their way to a healthy smile."
CEREC Tessera blocks are indicated
for fully anatomical single-tooth restorations in the anterior and posterior regions, including crowns, inlays,
onlays, and veneers.
Glaze firing of CEREC Tessera blocks takes just four and a half minutes in the CEREC
SpeedFire, which reduces the overall fabrication process time.
For further information, please contact:
CEREC Tessera blocks as a solution
for three requirements
For Dr. Andrew Hall, dentist from Colorado Springs (Colorado), the glaze firing time of
CEREC Tessera is a real gamechanger.
The first users are enthusiastic about
CEREC Tessera blocks. Dr. Andrew
Hall, a key opinion leader who works
with Dentsply Sirona and general
dentist from Colorado Springs in the
U.S., states, “The extremely fast matrix firing cycle is unlike anything we
have seen. The time savings are tangible and really the whole process is
just simple, yet the result is a robust
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: dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
[5] =>
DTMEA_No.5. Vol.11_DT.indd
[6] =>
DTMEA_No.5. Vol.11_DT.indd
6
INDUSTRY
Dental Tribune Middle East & Africa Edition | 5/2021
Mectron prophylaxis
P3—the new full-scope maintenance insert
Mectron has recently launched on
the market a new ultrasound insert
specially designed to gently and effectively remove supra and subgingival biofilm.
•
Its slim shape allows an easy access in deep periodontal pockets and interproximal spaces in
all the quadrants.
•
Thanks to its remarkably linear
movement it is minimally invasive for the soft tissues and
root cementum and preserves
the epithelium.
•
•
•
•
intraoperative control and a
secure feeling while working
interproximally, supra and subgingivally.
Pleasant and comfortable treatment
for the patient thanks to the SOFT
MODE function, which reduces the
amplitude of the ultrasound oscillations and allows the insert to move
gently and efficiently. More sensitive
patients will benefit greatly from this
mode and will be more likely to trust
their dentists.
© Mectron s.p.a.
By Mectron
For more information, contact:
The best interproximal and
subgingival cleaning.
It effectively removes extrinsic
stains.
It gives the clinician an optimal
mectron S.P.A.
via Loreto 15/A,
16042 Carasco (Ge), Italy,
Web: www.mectron.com
Email: mectron@mectron.com
P3—the new full-scope maintenance insert
Planmeca to acquire Envista’s KaVo
treatment unit and instrument business
By Dental Tribune International
HELSINKI, Finland/BREA, Calif., US:
It was announced today that Planmeca, one of the largest privately
owned manufacturers in the dental field, has entered into a binding
agreement to acquire the KaVo treatment unit and instrument business
from Envista for up to US$455 million (AED 1,626 million), including a
potential earn-out payment of up to
US$30 million. The transaction is expected to close at the end of this year.
The business to be sold is part of Envista’s equipment and consumables
segment, and the business’s revenue
was approximately US$357 million and US$317 million in the fiscal
years 2019 and 2020, respectively.
Envista’s imaging business, which
currently also uses the KaVo brand
for select products, will remain with
Envista as part of the equipment and
consumables segment.
Planmeca will acquire a 51% stake
of the KaVo treatment unit and in-
strument business, and the remaining 49% will be bought by Planmeca founder and President Heikki
Kyöstilä as a private individual.
According to Planmeca, the acquisition will strengthen Planmeca’s and
KaVo’s positions as leading providers of innovative dental solutions
and increase Planmeca Group’s annual revenue to more than €1.1 billion (US$1.3 billion).
“Envista is focused on its strategic
priorities to build and optimise a
more consumables and digitally enabled workflow-oriented portfolio.
This sale will better position Envista
to invest organically and inorganically and expand our product offerings
within these areas,” said Envista’s
CEO, Amir Aghdaei, in a company
press release.
are a great match—we share the
same standards and passion for high
technology, quality and innovation,
and for offering a complete digital
workflow for our customers. We also
share similar company cultures with
a strong family business heritage.
Caring for our employees and focusing on our customers have always
been important values for us both.”
Kyöstilä commented in a Planmeca
press release: “This partnership will
make us a very strong player in the
dental field. I believe our companies
AD
Light-curing micro-hybrid composite
Glass ionomer luting cement
• No temperature rise during setting
• Highly biocompatible, low acidity
• Micro-fine film thickness for occlusal accuracy
• Excellent adhesion to dentine and enamel
• High compressive strength and low solubility
• Universal for all cavity classes
• Sticks to the cavity not to the instrument
• Perfect aesthetics
• High translucency and perfect colour adaption
• Polishable to a high gloss
• Superior physical properties
• Packable consistency (also available as
Composan LCM flow)
Glass ionomer filling material
• Setting time is individually adjustable by light-curing
• No need to condition the dental hard tissue
• Immediately packable after placement in the cavity
• Does not stick to the instrument and is easy to model
• No varnish required - fill, polymerise and finish
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
[7] =>
DTMEA_No.5. Vol.11_DT.indd
ni
c
to
ot
r
o
w
l
d
h br
us h br an d
de
So
recommended
wi
Dental
Professional
[8] =>
DTMEA_No.5. Vol.11_DT.indd
8
INDUSTRY
Dental Tribune Middle East & Africa Edition | 5/2021
Zetaplus System
A range of condensation silicones for impression taking that responds
with versatility to the diverse needs of clinical practice.
The first Zhermack silicone
Zetaplus System was Zhermack’s
first ever range of silicones and has
been on the market for over 30 years.
From the initial concept to the final
product, all steps of the manufacturing process take place in-house, with
stringent controls on both the choice
of the starting materials and production processes. This allows us to offer
constant quality and high performance.
Zetaplus System, used and highlyregarded worldwide, has come to be
considered synonymous with guaranteed quality and reliability by dental sector practitioners.
1. Hydrocompatibility of the fluids
The more hydrocompatible a material is, the better it will flow and copy
details accurately in wet areas.
The hydrocompatibility of the
range’s fluids, Oranwash L and VL,
helps to obtain an accurate impression. Oranwash L and Oranwash VL
were seen to have one of the best
contact angles, when compared with
some of the market’s best-known
condensation silicones*.
2. Biocompatibility on damaged
mucosae
The degree of biocompatibility of
Zetaplus System makes it suitable
for use on both intact and damaged
mucosae, thereby favouring the
practitioner’s satisfaction.
3. High final hardness**
Contributes to obtaining an accurate
model once the gypsum has been
cast
4. Tear resistance
Reduces the risk of the impression
tearing when it is removed from the
patient’s mouth.
© Zhermack S.p.A.
By Zhermack
5. Safe for use even on intolerant
patients
All Zhermack condensation silicones
are gluten- and lactose-free, guaranteeing peace of mind and safety even
when used on intolerant patients.
This allows the dentist to perform
impression procedures with peace of
mind and in absolute safety.
All Zhermack condensation silicones
can be disinfected using products
containing quaternary ammonium
salts and alcohol, such as Zeta 7 Spray
and Zeta 7 Solution and Zhermack’s
Zeta Hygiene line.
A history of world-renowned quality
and reliability: Zetaplus System, our
hallmark of guaranteed quality.
To learn more please visit www.zhermack.com/en/product_category/
dental/dental-practice/impressionsystems/master-impression/condensation-silicones/ .
Zetaplus System.
Our product, your guarantee
*In-house tests
**Zetaplus compared to Zetaplus Soft
For further information, please contact:
Zhermack S.p.A.
Bovazecchino street, 100
Badia Polesine, 45021, Italy
Tel.: +39 0425597611
Fax: +39 042553596
Web: www.zhermack.com
Primescan Scanner and OraCheck Software
A new dimension in patient communication and treatment acceptance
•
Combine the Primescan intraoral
dental scanner with OraCheck software and you can visualize, document, and communicate patient
changes easily and effectively using
digital intraoral monitoring. Together, they deliver revealing, threedimensional comparisons between
digital scans to monitor for:
•
Loss of tooth substance (abrasions, erosions, and dental fractures)
•
•
Gingival changes (recession
and swelling)
Plaque buildup
Tooth movement (before, during and after treatment)
When you start every visit with an
intraoral scan, you can track and record changes in the intraoral space
and enhance patient communication for years to come. In the process,
you can also enhance patient confidence: 80% of patients would feel
more confident they’re getting the
best care if digital technology was
used.
Primescan and OraCheck make
changes in patients’ oral health
“pop”
“OraCheck shows me exactly what
has changed in my patients since I’ve
seen them,” says Dr Jake Skowronski
of Lakeshore Dentistry in Mooresville in the U.S. “No more assumptions and educated guesses based on
photos and analog methods.”
OraCheck software provides 3D
comparisons between two intraoral
scans by superimposing them and
highlighting differences with color,
to help you quickly visualize them
and aid in diagnoses and treatments.
It’s as simple as scan, import/
export, analyze
With the Primescan intraoral scanner and OraCheck software, it’s never
been easier to monitor your patients
and quickly identify any changes in
their oral health.
SCAN: Capture a highly accurate,
full-jaw scan (upper arch, lower arch,
and buccal bite) in under a minute
with Primescan.
EXPORT/IMPORT: Choose from
three different workflows to export
a Dentsply Sirona scan, or import an
STL scan to OraCheck. The reference
scan is superimposed over one or
more scans for comparison.
ANALYZE: Arrange the scans and
interpret them using the 3D models
with changes highlighted by the OraCheck software. It’s that easy—and
effective.
© Dentsply Sirona
By Dentsply Sirona
Add another powerful diagnostic
tool to your practice
Primescan and OraCheck, along with
traditional monitoring and diagnostic methods, give you the support
you need to create efficient and effective treatment plans for your patients.
“Having exact measurements not
only provides me with an accurate
assessment, but also allows me to
visually show the patient the quantifying erosion, abrasion, abfraction,
tooth chipping, tooth drift, and gingival changes,” says Dr Skowronski. “This builds trust and confidence
from my patients, allowing me to
provide a new standard level of exceptional dentistry.”
Enhance practice value
Taking digital impressions using
the Primescan intraoral scanner enhances your practice in other ways,
as well. It increases patient comfort
for your other workflows—and can
help elevate office efficiency by allowing you to delegate easy, intuitive
impression-taking with Primescan
to your assistants.
Now, see for yourself
Primescan intraoral scans are the
ideal entry point for digital dentistry—and when paired with OraCheck
software, can help take your patient
monitoring to another level to meet
the needs of your patients and practice.
For further information, please contact:
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: dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
[9] =>
DTMEA_No.5. Vol.11_DT.indd
multiPro
VERSATILE SOLUTIONS
THE FIRST
ZHERMACK
SILICONE
HYDROCOMPATIBLE
Rev. 2020-10
BIOCOMPATIBLE
ON DAMAGED
MUCOSAE
zetaplus system
Gluten
Lactose
FREE
A history of world-renowned quality and
reliability: Zetaplus System, our hallmark of
guaranteed quality.
Zetaplus System was Zhermack’s first ever range of
silicones and has been on the market for over 30 years.
In-house production allows us to offer a constant quality
and high performance.
Used and highly-regarded worldwide, Zetaplus
System has come to be considered synonymous with
guaranteed quality and reliability by dental sector
practitioners.
Our product, your guarantee.
ORANGE AND MINT SCENT
www.zhermack.com
Some products may not be available in all countries.
For further information on product availability, please contact your local representative.
[10] =>
DTMEA_No.5. Vol.11_DT.indd
10
INDUSTRY
Dental Tribune Middle East & Africa Edition | 5/2021
The truth behind popular
DIY teeth whitening trends
the staining from the activated charcoal experiment as well as plaque
and plaque indicator? We tried it, and
after brushing with activated charcoal, applying plaque indicator, and
oil pulling, the staining, plaque, and
charcoal residue were all still present
at the gum line. A toothbrush and a
good toothpaste, like Opalescence
Whitening Toothpaste, would have
done a far better job.”
By Ultradent Products
Self-reliance is having a moment in
2020. As COVID-19 shut down society, we leaned into our inner knowhow and developed new skills to
tackle tasks we may have previously
hired out… with varying results. DIY
projects of friends now fill our social
media timelines. While bathroom
remodels and kitchen upgrades can
often be done without the help of
professionals, DIY teeth whitening
trends can be often ineffective (at
best).
whitening, and examined some of
the popular DIY methods spreading
online.
There is no shortage of blogs and
social posts claiming to have uncovered the key to a bright, white
smile—and they can be as bizarre as
they are useless, even harmful.
Brushing with activated charcoal
Aesthetic dentist, Dr Jaimeé Morgan, lectures for Ultradent on teeth
Brushing with activated charcoal leaves big mess, but does it work?
Morgan: “My big question is ‘why?’
There’s no science to show that
brushing one’s teeth with activated
charcoal is better, safer, or more effective than toothpaste. [...] It’s a
widely known problem among dentists that brushing your teeth with
activated charcoal is a big mess, but
it also likes to settle at the gingival
margins. My hygienists then have
to go in and scrape it out from the
patient’s gumline. It’s very difficult
to get out! In fact, my office manager
and hygienist gave brushing with activated charcoal paste a whirl and the
results weren’t great, to say the least.
We even used a plaque indicator after she brushed with the charcoal
paste to show us how effective the
paste was, and the pictures speak for
themselves.”
A study review published by the British Dental Journal and reported by
BBC News says there’s no scientific
evidence to support the benefits of
brushing with charcoal toothpaste. It
alerts that these products can cause
considerable damage to teeth, including increasing the risk of decay
and staining. The report adds that
these pastes are more abrasive than
regular toothpaste (potentially posing a risk to enamel and gums) and
recommends the use of regular fluoride toothpaste instead.
The only substance proven to actually whiten tooth enamel colour is
peroxide—both hydrogen peroxide
and carbamide peroxide. Although
the abrasiveness of the charcoal may
help remove existing surface stains,
it cannot actually lighten the colour
of the tooth. In fact, patients that
brush with charcoal risk abrading
their enamel too much—something
that cannot be repaired once damaged. Furthermore, many people
that brush with activated charcoal
may experience a kind of illusion
that their teeth are in fact whiter due
to the contrast of the black charcoal
residue (often left in the gums and
between the teeth because it is very
difficult to remove). This contrast,
comparable to wearing a bright red
lipstick with blue undertones that
make the teeth appear whiter, is simply a trick played on the eye when
the substance is placed next to the
teeth.
Skip the charcoal and go straight for
gentle abrasion whitening toothpaste (like Opalescence Whitening
Toothpaste) which remove surface
stains without damaging or scratching the enamel. A professional whitening system containing peroxides
like Opalescence Boost in-office
whitening or Opalescence Go takehome whitening gives guaranteed
sparkling results!
Oil Pulling
Morgan: “Oil pulling has been touted
by some as a means to kill bacteria,
remove plaque, freshen breath, and
whiten teeth. But it takes 20 minutes! How are people supposed to
fit this into their busy schedules? It’s
easier to brush for three minutes,
which would be more effective anyway. Also, if oil pulling is supposed to
whiten the teeth and remove plaque,
shouldn’t it be effective in removing
Oil pulling, or swishing coconut oil around in the mouth and between the teeth for
20 minutes has become a popular fad for cleansing and whitening teeth. Dr Jaimee’
Morgan put it to the test.
The 3,000-year-old Ayurvedic practice of oil pulling (swishing a tablespoon of oil such as coconut or safflower oil around in the mouth for
20 minutes or so) is theoretically
supposed to cleanse the teeth and
gums of bacteria by clinging to the
cell membranes in the mouth. When
discarded (or spit out) the bad bacterium in the mouth allegedly goes
down the drain with the oil. It is also
said to whiten teeth, improve breath,
reduce headaches, clear the skin, and
increase energy. But there’s no data
to prove or disprove the benefits of
consistent oil pulling. All purported
benefits are supported by purely anecdotal evidence.
Contrary to this, plenty of data and
studies support the fact that: brushing and flossing regularly, visiting
the dentist, as well as whitening
with a professional and dentistsupervised whitening system (like
Ultradent’s Opalescence whitening
product family) is not only proven
effective, but also safe.
Brushing with a mix of baking
soda and lemon juice
Morgan: “Baking soda is basic, and
lemon juice is acidic, so they could
cancel each other out if mixed properly. However, there is the danger
that if not mixed properly the acid
in the lemon juice could damage the
enamel of the tooth, or the abrasiveness of the baking soda could take a
toll on the enamel. For patients who
like the odour-cancelling properties
of baking soda, I would advise them
to mix it with water and swish with it
rather than a brush with it.”
To show the danger of exposing
teeth to lemon juice, Morgan shared
a photo with us of one of her patients
who like to suck on lemons.
In the end, there are better ways
Dr Morgan recommends forgetting
about these at-home teeth whitening fads and simply brushing consistently with toothpaste. Instead of
risking enamel damage, Morgan has
her patients brush with Opalescence
Whitening Toothpaste for sparkling
results!
For more information on healthy and
effective professional tooth whitening, visit us at ultradent.com/eu or
opalescence.com/eu.
For further information, please contact:
Dr. Morgan warns against brushing with baking soda and lemon juice, as it could damage the enamel if the pH balance isn’t right.
Photo with us of one of the patients who likes to suck on lemons.
Ultradent Products Inc.
505 West Ultradent Drive
South Jordan, UT 84095
United States
Tel.: +18882301420
Web: www.ultradent.com/company
onlineordersupport@ultradent.com
[11] =>
DTMEA_No.5. Vol.11_DT.indd
30+
years of
experience
100
million smiles
brightened
8 00.552 .55 12 | ULTRAD ENT.CO M
© 2021 Ultradent Products, Inc. All rights reserved.
50+
industry awards
rd
in whitening
[12] =>
DTMEA_No.5. Vol.11_DT.indd
12
INDUSTRY
Dental Tribune Middle East & Africa Edition | 5/2021
The breakthrough in oral surgery
Piezo technology as a simple add-on for Implantmed
By W&H
The new Piezomed module from
W&H is THE game changer in piezo surgery. The module can now be
used in conjunction with Implantmed Plus as a simple add-on solution. With this innovation, W&H is
breaking new ground in surgical application. This ingenious modular
system combines expertise from different areas to meet requirements
for a maximum workflow.
The Implantmed Plus is now a true
all-rounder thanks to the new Piezomed module from W&H. The
new module can also be retrofitted
to the implantology motor easily
and affordably, combining piezo surgery and implantology in one device.
This, coupled with the implant stability measurement and documentation features, makes W&H the first
manufacturer to cover the entire
surgical workflow. Oral surgeons can
look forward to discovering a new
world of treatment possibilities.
The new module brings all the benefits of W&H piezo technology to its
users.
Surgical workflow redefined
The combination of Implantmed
Plus and Piezomed module is changing working methods in oral surgery
and implantology. All products and
functionalities that come with the
new modular system are fully tailored to the user’s workflow: W&H’s
surgical contra-angle handpieces
allow procedures to be performed
with unrivalled precision, while the
wireless foot control ensures greater
comfort and freedom of movement.
The Osstell Beacon for measuring
the implant stability provides certainty in assessing the correct loading time for an implant. Compre-
hensive documentation guarantees
full traceability.
The easy add-on ensures seamless
transition between the two technologies, representing a real step
forward. Implantology and piezo
surgery combined in a single unit – a
true breakthrough in every respect!
Find out more about the new Piezomed
module at wh.com
W&H Dentalwerk Bürmoos GmbH
Ignaz-Glaser-Str. 53 PO Box 1
Burmoos, A-5111, Austria
Tel.: +43 6274 6236-0
Web: www.wh.com
E-mail: office@wh.com.
Breaking through familiar processes
The Piezomed module simplifies
the processes in oral surgery and implantology, as users always have the
right device on hand in a compact
and space-saving form, whatever the
application. The modular system’s
standardised operation simplifies
the practice team’s daily workflows.
What’s more, only one irrigation
tubing and one saline solution are
required, which enables optimised
handling. In the ‘Piezomed Plus’ and
‘Piezomed Classic’, W&H has two
module versions available to meet
all piezo surgery requirements in
practice, whether for day-to-day or
intensive use:
•
The easiest operation
•
Patented automatic instrument detection
•
Flawless precision cutting performance
•
Optimal cooling of the treatment site due to a special spray
design
The new modular system from W&H simplifies the surgical workflow.
The new Piezomed module – the breakthrough in oral surgery.
The new Piezomed module: an important component that was previously missing on
the market.
Breaking through familiar processes!
AD
Implantology and piezo surgery merge into a modular system.
The Piezomed Plus module opens up new perspectives in treatment.
[13] =>
DTMEA_No.5. Vol.11_DT.indd
POSTGRADUATE EDUCATION
RESTORATIVE & AESTHETIC DENTISTRY DIPLOMA
CLINICAL ENDODONTICS DIPLOMA
LASERS IN DENTISTRY MASTERSHIP
ITI IMPLANT PRIVILEGE MASTERSHIP
MODERN AESTHETIC DENTISTRY MASTERSHIP | 100% ONLINE
FIXED & REMOVABLE PROSTHODONTICS
WWW.CAPPMEA.COM/DIPLOMAS
AWARDED AND DELIVERED BY
[14] =>
DTMEA_No.5. Vol.11_DT.indd
14
INTERVIEW
Dental Tribune Middle East & Africa Edition | 5/2021
Dr Ansi Shayar Mohammed Ali obtains
implantology privilege
Dental Tribune Middle East and Africa interviewed Dr Ansi Shayar Mohammed Ali
who is a general dentist and implantologist at Al Rehaan Medical Centre, Al Ain.
Ansi just recently obtained the Department of Health (DOH) Abu Dhabi
Implantology Privilege and gives her perspective about the same.
By CAPPmea/Dental Tribune MEA
Dr Ansi, it is a pleasure to feature
an experienced dentist such as
yourself on the Dental Tribune
Middle East and Africa edition.
First of all, tell us a little bit about
yourself, what is educational background and your work experience,
especially related to the UAE?
It is my pleasure to get featured in
this prestigious publication. I graduated from the Government Dental
College in India in 2012. My passion
even at that time was oral surgeries,
therefore I trained in implantology
which allowed me to practice as a
general dentist and as an Implantologist in India until 2017.
In 2018, I moved to the UAE after
clearing the Health Authority Abu
Dhabi (HAAD) exam and started
practicing in Al Ain, the garden city
of UAE. I was still very passionate
about implantology which made
me search for the right programme
which fulfils the requirements to
practise as an implantologist under
HAAD. Luckily, I found the CAPP
programme - Clinical Implantology
Dentistry Certificate and Diploma.
You have graduated from the Clinical Implantology Dentistry Certificate and Diploma programme
awarded by CAPP-Tipton Dental
Academy, British Academy of Dental Implantology (BADI) and the
British Academy of Restorative
Dentistry (BARD). Can you tell us
what was your experience from
the programme and what it exactly
consisted of?
My experience from the programme
was awesome. Everything I have
learned would stay with me for a lifetime. The modules were well organised and structured. The tutors, especially Prof Göran Urde, were always
ready to clear any doubts providing
the best knowledge from their own
experiences, both in the theory classes in Dubai as well as the live patient
practical classes in Ajman.
During the live surgeries on patients
in Ajman, I was able to bring my own
patients and in the cases I could not,
CAPP would organise these for us.
In fact, CAPP provided us with everything required for great clinical
sessions with all various materials,
equipment and instruments from
high reputable brands readily available.
After completing the Clinical
Implantology Certificate and Diploma, you also applied and successfully obtained from the DOH
Abu Dhabi your Implantology
Privilege. Could you share with our
readers more details on how you
achieved the privilege? What is
your advice to the dentists in Abu
Dhabi and Al Ain who would like to
obtain an Implantology Privilege?
Since the course itself was designed
in such a way that allowed us to appear for the DOH-Abu Dhabi implantology privilege exam, it was very
easy for me to complete the application process before sitting the exam.
CAPP provided me with all required
documents.
Dr Ansi receiving PG Certificate in Clinical Implantology from the faculty lead Prof Göran Urde and Prof Jonas Becktor.
The knowledge which I gained during the programme was the foundation for the preparation for the exam
as well as past experience and other
sources.
culture. The constant improvements
and developments which the country goes through make me more motivated towards the purpose of life.
Life in UAE is safe and dynamic and
in Al Ain is calm and peaceful. The
desert rides and the shallow beaches
add colours to the life here.
My advice to the dentists in Abu
Dhabi and Al Ain who would like to
obtain the implantology privilege
will be to join the CAPP programme
in order to fulfil the requirements
to appear for the exam and to learn
the current trends in implantology through journals and other CME
courses.
Currently you are working in Al Rehaan Medical Centre, Al Ain. Tell us
more about the clinic and the procedures which you perform?
Al Rehaan Medical Centre is located
in the heart of the city of Al Ain. I am
Under the supervision of the programme clinical lead Dr Maurizio Martini, Dr Ansi
placing multiple implants on a patient.
What are your hobbies and what
do you like doing in your private
time?
Travelling, exploring new places and
experiencing new cultures and vibes
give me adrenaline rush and this is
definitely my greatest hobby. The
limited leisure time I have, I prefer
to spend with my family. Reading,
writing, listening to music, trying
various cuisines, and learning more
about dentistry are also a few of the
things that I enjoy. Finally, I am a
philanthropist enjoying service to
humanity as part of which I am volunteering in the “We Are All Police”
initiative by the community police
Abu Dhabi.
It was a real delight to have you with
us on the Dental Tribune Middle East
and Africa edition. Thank you very
much for the informative and interesting interview.
Prof Göran Urde guiding Dr Ansi on the treatment planning and execution of implant
placement.
proud to say that this was my initial
step towards becoming entrepreneur in the UAE having the support
from my family. It is a new venture
and there were a lot of challenges
which we had to go through, however we rely on providing quality
patient care and this is the key to our
current and future success.
Dr. Ansi Shayar Mohammed – GP and Implantologist at Al Rehaan Medical Centre, Al
Ain
In my clinic I do many different procedures within the scope of general
dentist focusing more on cosmetic,
minor oral surgical procedures and
of course implantology.
You have been working in UAE for
a long time. What is to your experience as a dentist in one of the most
diverse and cosmopolitan countries in the world? How is the life in
UAE in general?
UAE is a country which welcomes
all nationalities and respects their
CAPP is currently the Marketing Partner of the ITI (International Team for
Implantology) for the “ITI Implant
Privilege Mastership” taking place in
the UAE. More information can be
found here:
https://cappmea.com/implant/
or call/WhatsApp +9715278423659
[15] =>
DTMEA_No.5. Vol.11_DT.indd
[16] =>
DTMEA_No.5. Vol.11_DT.indd
16
INTERVIEW
Dental Tribune Middle East & Africa Edition | 5/2021
New generation of W&H sterilizers:
an incredible user experience
By W&H
for the entire process. This not only
refers to fast sterilization cycles and
the sterilization process itself, but
also to the entire reprocessing workflow in practice. For example, an
automated documentation process
saves valuable time. There are lot of
countries where documentation is
still done manually. With EliTrace – a
special feature of our new generation of Lisa sterilizers – we provide a
new enhanced and automated documentation system. The intention of
our further development is to make
the process faster and traceable.
New safety and new intelligence.
These are two key terms for the
new generation of W&H sterilizers.
Equipped with the latest technology,
the new Lisa and Lara support customers to face their daily and future
challenges. They help to make the
reprocessing workflow in the dental
practice more efficient and secure.
Dr Marino Luigi Magno, Member of
the General Management of W&H
Sterilization, knows what is important in current product development and what today's customers
are looking for.
This means, the new generation of
sterilizers is an answer to changing
market needs?
It is always our customer, who makes
us doing something better and finding innovative solutions. For this
reason, for example, we have introduced activation codes to our second
model of sterilizers, the new Lara. Depending on the future requirements
of the practice or regulatory requirements, these activation codes ensure
that practice demands can be covered at any time. In case of new legal
Dr Magno, you have recently
launched a new generation of
sterilizers. W&H products are well
known for high-end sterilization
on the market – what was the intention of the further development?
Dentistry is evolving very fast. We
are observing a growing need of controlling the process, more documentation and full traceability. Especially
time efficiency is always required
Dr Ing. Marino Magno - R&D, Product Management | W&H Sterilization
regulations, customers can easily
update their sterilizer by activating
additional features. This also means
that you only pay for features you
activate and actually use.
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Henrique José Piccin
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The adjustment of the Condylar Guidance and Bennett angles
are resources available in the semi and fully adjustable
articulators, while the professional is able to customize them
according to each patient.
Bennett’s angle inuence: Because it is horizontal, it does
not clinically focus on the height of the cusp, but in the mesiodistal direction of the buccal and lingual grooves.
Inuence of condylar guide inclination: This is a variable
of anteroposterior determination in the sagittal plane
because it is a forward and downward trajectory, inuencing
the mesio-distal inclination of the cuspid slopes.
Inuence of the Bennett angle on
the horizontal plane: working
side (blue) and non-working or
balancing side (red).
Inuence of the Condylar
Guide inclination in the
sagittal plane.
1
2
3
Mesio-distal inclination of the cuspid slopes: low, medium
and high slope.
Please note that no articulator, whether semi or fully
adjustable, analog or digital, recognizes the resilience of the
mucosal tissue, does not interpret pulpal and periodontal
proprioception, nor does it identify the variables of a patient's
mandibular movements; therefore, occlusal adjustment is
invariably necessary when working with the mouth (dental
prostheses and devices). On the other hand, the assembly of
models in ASA is compulsory, simply minimizing these
adjustments and, accordingly, facilitating clinical procedures.
1
1
2
3
low
2
intelligent solutions
3
medium
high
Extracted article
from the book:
Logical - A clinical
approach to occlusion
What features does the new generation of Lisa sterilizers offer to
dental practices?
The clear aim of our premium
line is to improve the user experience. Therefore, we equipped Lisa
with artificial intelligence. We call
it “EliSense”, but in simple words, it
is a kind of artificial intelligence, we
are providing the sterilizer with. It
turns high-end type B sterilizing into
an efficient and safe work process.
EliSence offers three features or benefits let's say: EliSense Smart Sense
provides important statistics on efficiency. This means Lisa is learning
use-by-use and makes suggestions
for more efficiency in the sterilization process. EliSense Status Sense
allows users to remotely identify the
status of the sterilizer using LEDs. It
indicates whether the device is working properly or not. At least EliSense
Temperature Sense, which is something completely new in industry,
warns if the door is already open, but
the load is still too hot to be touched.
What about documentation then?
Everything is developing in more
stringent documentation. Since
now, there was only the possibility
of documenting the sterilization cycle. It was not possible to identify the
instruments in the sterilization cycle
automatically. Existing systems require a separate computer with separate software for documentation.
Lisa's new EliTrace system manages
all documentation by the sterilizer
itself, which means a significant simplification of the process.
Can you give us a summary of the
benefits of Lisa?
A completely new user experience,
time efficiency, the best performance, high efficiency and a complete, automated documentation –
these are the four main pillars of the
premium line.
And Lara? What are the core benefits that haven’t existed before?
Lara is the fastest sterilizer in its segment. Users can process 2 kg of load
in 38 minutes, which is an amazing
cycle time for a sterilizer in this category. We have also taken a huge
step ahead with the user interface.
Basically we are using a premium
user interface. Therefore, Lara stands
for best performance and usability.
In addition, Lara stands for more.
Because with Lara, you are optimally
positioned for the future. It allows
an update of the sterilizer through
activation codes. Depending on the
future needs of the practice or the
regulatory requirements, Lara can
be easily customized and upgraded.
This enables users to activate more
speed and an extended documentation. These are features which are
usually requested in premium countries. However, the dental industry
continues to evolve, and we are
confident that documentation and
legal requirements will be more requested and mandatory in the near
future. We are convinced that Lara
is the perfect solution for Midrange
Markets.
What is the idea behind the upgradeability of Lara?
If you have all the activation codes
from Lara, you can take advantage
of premium features by only paying
the price for a mid-range sterilizer.
That is the point.
Why shall customers rely on W&H
the product portfolio?
We are experts in the dental sector
for 130 years now, and we are looking
back on 20 years of experience in the
development and manufacture of
sterilizers. In the innovation process,
we always focus on the customers
and their needs. Therefore, we know
his entire working process, the application and the international legal
regulations. One very important
point is that we always work on the
basis of the latest scientific findings.
With our sterilization portfolio, we
offer our customers a flexible, secure,
high quality and reliable package not
only today, but also in the future.
What are the further aims of W&H
regarding infection prevention
and reprocessing of instruments?
The philosophy of the W&H Group
is not only to provide products, but
real solutions for daily work. Today's
customer is no longer only interested in individual products. He has
a problem and is looking for support
to solve it – this is exactly where we
come in, with our many years of application experience to be able to
offer the best solution for the reprocessing workflow.
Thank you for the interview.
For more information, contact:
W&H Dentalwerk Bürmoos GmbH
Ignaz-Glaser-Str. 53 PO Box 1
Burmoos, A-5111, Austria
Tel.: +43 6274 6236-0
Web: www.wh.com
E-mail: office@wh.com
[17] =>
DTMEA_No.5. Vol.11_DT.indd
Fixed & Removable
Prosthodontics
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[18] =>
DTMEA_No.5. Vol.11_DT.indd
18
NEWS
Dental Tribune Middle East & Africa Edition | 5/2021
© PublicDomainPictures/Pixabay
Links between oral microbiome,
genetic variations and periodontitis
examined in new study
By Dental Tribune International
OKAYAMA, Japan: Since periodontitis has been linked to systemic health
conditions, including heart disease,
diabetes, cancer and Alzheimer’s
disease, research is continually being conducted to better understand
its causes. To this end, a new study
out of Japan has interrogated the associations between genetic polymor-
phisms—the most common type of
human genetic variation—oral microbiome statuses, and the development of periodontal disease.
A team of researchers spread across
several Japanese universities conducted the study. They first performed a cross-sectional analysis
during which they genotypically
analysed 14,539 participants and car-
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ried out saliva sampling of a group
of 385. Of this group, 22 individuals
were retained for the study and divided into a periodontitis group and
a control group based on their periodontal status.
In a press release, the researchers
explained that the development of
infections, oral or otherwise, is affected by genetic differences among
individuals, as these differences can
affect susceptibility to certain pathogens and the likelihood of contracting certain diseases.
“Several studies on periodontitis
have shown that the development of
the disease is associated with the nature of the oral microbiome as well as
with genetic polymorphism,” said Dr
Naoki Toyama, assistant professor in
Okayama University’s Department
of Preventive Dentistry.
“However, there is no study that
simultaneously assesses the importance of these two risk factors in developing the disease.”
Upon examination, the research
team found that the beta diversity
of the microbes—the ratio between
regional and local microbe species
diversity—was significantly different between the periodontitis group
and control group. Two bacterial
families (Lactobacillaceae and Desulfobulbaceae), as well as the bacterium Porphyromonas gingivalis,
were found only in the periodontitis
group. However, no relationship was
found to exist between genetic polymorphism and periodontal status,
suggesting that the make-up of one’s
oral microbiome plays a greater role
in periodontal health than genes do.
“The fact that the prevalence of
periodontitis is associated with the
members of the microbiome rather
than the genetic identity of the individual would motivate clinicians to
pay more attention to microbiome
composition than to host factors in
the routine work of periodontal examination, and design customised
treatment strategy for periodontitis,” Toyama commented.
The study, titled “Comprehensive
analysis of risk factors for periodontitis focusing on the saliva microbiome and polymorphism”, was published online on 14 June 2021 in the
International Journal of Environmental Research and Public Health.
→ www.mectron.com
[19] =>
DTMEA_No.5. Vol.11_DT.indd
[20] =>
DTMEA_No.5. Vol.11_DT.indd
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[22] =>
DTMEA_No.5. Vol.11_DT.indd
22
EVENTS
Dental Tribune Middle East & Africa Edition | 5/2021
Over 6,300 dental professionals joined
first virtual MiCD Regional
Symposium
By Dental Tribune MEA
SINGAPORE: The Minimally Invasive
Cosmetic Dentistry (MiCD) Regional
Symposium, initially planned as a
face-to-face gathering, took place
virtually for the first time, catering
to 6,311 dental professionals from
around the world with a majority
from Asia-Pacific and Middle East regions.
The MiCD Regional Symposium
livestream event took place on 2 and
4 September 2021 with two evening
sessions on 2 and 3 September and
one afternoon session on 4 September catering to the Asia-Pacific and
the Middle East regions.
The event was initiated by the MiCD
Global Network, organized by CAPP
in partnership with Shofu. A select
group of internationally renowned
speakers shared their best practices,
featuring Dr Sushil Koirala, Nepal
(founder of the MiCD Global Academy), Prof Satoshi Imazato, Japan;
Dr Jose Roberto Moura, Brazil; Dr
Anand Narvekar, India; Dr Marcelo
Lasmar, Brazil; Dr Sonny Burias, Philippines’ Dr Hussein Naama, Iraq and
Dr Amit Gulati, India. The three-day
series was moderated by some of
South-East Asia’s most experienced
moderators including Dr Ronny
Yap, Singapore; Dr Kimberly Fajardo, Philippines, and the refreshing
Dr Cez Margaret Acero, Philippines
who represents the next generation
of dentists through digital content
creation on her blog Life Beyond
Dentistry.
Day 1 – 2 September 2021
The MiCD Regional symposium
kicked off with Dr Sushil Koirala,
Nepal who is known as the founder
of the MiCD Global Academy. His
presentation focused on MiCD in
the post-pandemic era – highlighting the 4P’s to success. The lecture
covered MiCD philosophy, protocol,
practice, and partnerships (4P’s), focusing on the importance of simple
restorations (alignment, brightening
Lecture of Dr Sushil Koirala, Nepal
and contour) whilst understanding
aesthetics form and function at a low
biological cost. His final take-home
message was to focus on case documentation, discussion, do no harm,
and knowledge dissemination (4D’s).
Dr Jose Moura, Brazil followed the
opening with a presentation on the
role of precision in MiCD, with a detailed focus on magnification, lighting, and ergonomics in daily practice.
Special attention was placed on operative microscopes having a learning
curve and the essential role of bioactive direct composites to obtain longlasting results. The day concluded
with Dr Anand Naverkar who explained the multiple advantages of
quadrant dentistry approaches, how
increasing bond strength ensures
restoration longevity and showcased
IDS and DME techniques as part of
the improvement in clinical outcomes. Dr Kim Fajardo, Philippines
moderated the session and provided
a moderator’s take while summarizing the day’s key take-home messages from the speakers.
Day 2 – 3 September 2021
Lecture of Dr Jose Roberto Moura, Brazil
Lecture of Dr Anand Narvekar, India
Lecture of Dr Marcelo Lasmar, Brazil
Lecture of Dr Sonny Burias, Philippines
The second day of the MiCD Regional
Symposium was moderated by Dr.
Ronnie Yap, Singapore and included
lectures by Dr Marcelo Lasmar, Brazil
and Dr Sonny Burias, Philippines. Dr
Marcelo focused on sports dentistry
and showcased how MiCD can have
long-term health benefits for athletes emphasizing the importance
of prevention and treatment of oral
issues such as tooth wear. Dr Sonny
presented the practical approach
to MiCD with direct composite restorations, covering the benefits of
adopting MiCD, expanding clinical
applications of direct restorations
to detailed case analysis on simplified layering technicians to achieve
predictable results. Day 2 marked the
highlight of the regional symposium
with a compelling panel discussion
moderated by Dr Cez Margaret Acero, Philippines, entertaining the virtual audience by engaging with the
panelists Dr Ronnie Yap, Dr Sonny
Burias and Dr Marcelo Lasmar., on
how MICD can be adopted in clinical practice, addressing the current
trend of “Less is IN” while embracing
MICD in the new normal.
Day 3 – 4 September 2021
The MiCD Regional Symposium concluded with three lectures on Day 3,
including Prof Satoshi Imazato from
Japan who provided a very detailed
evidence-based presentation on bioactive restoratives containing S-PRG
Filler technology and their role in
achieving aesthetics and longevity.
Following the session, Dr Hussein
Naama from Iraq provided a cosmetic dentistry artistry masterpiece
The Panelists and the moderator during the Panel Discussion
Panel discussion
ÿPage 24
[23] =>
DTMEA_No.5. Vol.11_DT.indd
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[24] =>
DTMEA_No.5. Vol.11_DT.indd
24
EVENTS
Dental Tribune Middle East & Africa Edition | 5/2021
◊Page 22
Closing ceremony
Lecture of Prof Satoshi Imazato, Japan
Lecture of Dr Amit Gulati, India
Mr Patrick Loke, Managing Director,
Shofu Dental Asia-Pacific Pte Ltd,
provided a heartfelt closing speech
addressing the virtual audience by
thanking all speakers, moderators,
guests and dental professionals for
their attendance and support during
the current ongoing global pandemic. Mr Loke commented, “Although
minimally invasive cosmetic dentistry has been practised in the United States since 20 years back, it has
not been advocated enough, to reach
everyone in the dental fraternity.
About 11 years ago; Dr Sushil Koirala
conceptualized the treatment and
educational protocols for MiCD with
a few like-minded dentists in order
to promote this movement and provide skill-based training in the AsiaPacific region. Since then, Shofu has
been the official partner of the MiCD
Global Network and the MiCD Global
Academy”. Mr Patrick Loke concluded the session by welcoming all
dental professionals to join the MiCD
Global Network and adopt the MiCD
concept and treatment protocols in
their daily clinical practice.
Lecture of Dr Hussein Naama, Iraq
Closing Address by Mr Patrick Loke, Singapore
To find out more, go to: https://www.
cappmea.com/micd-symposium
by showcasing multiple clinical cases where he focused on identifying
smile defects and careful treatment
planning using smile design. Dr Amit
Gulati ended the scientific program
with his views on the preservation
of tooth structure, utilizing direct
composites, aesthetic planning us-
ing DSD and the use of injectables. Dr
Cez Acero, Philippines concluded the
session with the moderator’s take
providing a summary, highlighting
the key insights and learning of the
day before handing over for the closing remarks by the organizers.
IDS 2021 attracted 23,000 visitors
from 114 countries
COLOGNE, Germany: From 22 to 25
September, the 2021 International
Dental Show (IDS), held six months
later than usual owing to the COVID-19 pandemic, offered the dental
industry and dental professionals
the opportunity to experience products live and, above all, to socialise
with one another in person. This IDS
was the first to be held in a hybrid
format, so that visitors who were unable to travel owing to restrictions
were still able to participate digitally.
A total of 830 companies from 59
countries participated in IDS 2021 in
a gross exhibition space of 115,000
m². There were 228 exhibitors and
five additionally represented companies from Germany together
with 591 exhibitors and six additionally represented companies from
abroad. The foreign share of company participation was 72%. Including
estimates for the last day of the fair,
more than 23,000 trade show visitors from 114 countries attended IDS
2021. Of these visitors, around 57%
came from abroad—from Europe,
especially Italy, France, the Netherlands and Eastern Europe, as well as
from the Middle East and overseas.
IDSconnect, the digital platform of
the fair, featured 77 exhibitors from
16 countries with 88 daily contributions and 1,310 minutes of broadcast
time. Oliver Frese, chief operating officer of Koelnmesse, commented on
© Koelnmesse/IDS/Harald Fleissner
By Franziska Beier, Dental Tribune
International
Despite travel restrictions, 57% of the visitors to IDS 2021 came from abroad.
the hybrid format in a press release:
“We offered the physical meeting
place here in Cologne in the exhibition halls and, in addition, the digital platform IDSconnect with added
opportunities for presentations and
networking, which was very well received.”
“Optimism has returned within the
international dental family. We held
intensive discussions with interested visitors and most of them ultimately came to make investment
decisions,” said Mark Stephen Pace,
chairman of the executive board of
the Association of the German Dental Industry.
Heikki Kyöstilä, president of Planmeca, commented: “IDS 2021—a
feeling almost as normal. In my
view, IDS has been going on surpris-
ingly well—about the same as normal. September as the new date for
the fair has turned out to be the best
choice. Friends and customers were
coming up to say hello or to decide
and buy their new equipment. There
were not as many visitors as in 2017
or 2019, and even for the future, I expect the IDS to be a bit smaller than
in the past. But we will still initiate
and maintain a lot of communication here in Cologne—which is the
fuel for innovation and success.”
The next IDS will take place from 14
to 18 March 2023.
[25] =>
DTMEA_No.5. Vol.11_DT.indd
25
NEWS
Dental Tribune Middle East & Africa Edition | 5/2021
Quest for tooth whitening
By Iveta Ramonaite, Dental Tribune
International
natural mitigation strategies that exist within our dental pulp.”
TORONTO, Canada/LONDON, UK:
Additionally, Redha commented
that performing similar experiments directly on patients could
jeopardize the vitality of the tooth,
but that this would help provide
crucial evidence and reaffirm earlier
findings. “Considering the natural
function of the dental pulp stem
cells in the production of odontoblasts to create reparative dentin and
of the pulp itself to support the vitality of the entire tooth, it is critical
nonetheless to evaluate how these
byproducts have an impact on the
population of such a critical stem cell
reservoir,” she stated.
As the quest for having whiter teeth
continues, it is crucial to fully understand the extent of damage that
tooth-whitening agents could have
on oral health. In the first study of its
kind, researchers sought to dig a little deeper into the issue and investigated the possibly deleterious effect
of hydrogen peroxide-derived free
radicals on dental cells. They found
that exposing teeth to certain concentrations of carbamide peroxide
gel harms the dental pulp cells and
that this damage is irreversible.
It has long been established that
tooth whitening may cause gingival irritation and hypersensitivity
of teeth. However, although dental
professionals have been warning
patients against tooth whitening at
home, little has been known about
the actual, long-term damage that
tooth-whitening agents could have
on dental cells.
In light of the findings, Bozec noted
that patients ought to be made aware
© Bozec-Lab/University of Toronto
Study reports extensive damage to dental cells by carbamide peroxide
A recent study found that whitening teeth with high concentrations of carbamide
peroxide gel can dramatically reduce the enamel protein.
of the potential oral health risks of high
concentrations of tooth-whitening
gels. He also suggested that products
containing high concentrations of car-
“This study is long overdue in dentistry, and we expect that it may impact how this routine dental procedure is viewed and developed in the
future,” co-author Dr. Ola Redha, a
student in the Eastman Dental Institute in London, told Dental Tribune
International (DTI). “Our goal has always been to increase the awareness
of patients of the possible dangers
of this procedure,” she added. In the
study, the researchers directly or indirectly exposed 30 teeth to a tooth
whitening gel that contained 5% or
16% carbamide peroxide. The experiment was carried out for two weeks,
and the gel was applied for 4 hours
daily. They were able to demonstrate
how the dental pulp cells react adversely to exposure to carbamide
peroxide through a 3 mm dentin
layer and how this, in turn, makes
the enamel more porous, which facilitates the penetration of the whitening agents into the dentin and,
eventually, the pulp.
Discussing the possibly harmful
effects of tooth whitening, lead researcher Dr. Laurent Bozec, an associate professor in the Faculty of Dentistry at the University of Toronto,
told DTI: “Unfortunately, because
the patients cannot see any damage
to their teeth, besides the immediate
hypersensitivity, there is a false feeling that the procedure is harmless.”
The study found that higher concentration and longer application
time of the carbamide peroxide gel
directly threaten the viability of the
dental cells. According to the data,
applying only 10% carbamide peroxide gel on teeth reduces the enamel
protein content by up to 50%, whereas applying higher concentrations of
around 35% could lead to pulp necrosis.
“We would welcome any direct interactions with the industry to develop
joint approaches to develop safe
tooth whitening,” Bozec concluded.
The study, titled “Compromised
dental cells viability following teethwhitening exposure,” was published
online on July 30, 2021, in Nature Scientific Reports.
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Study limitations and take-home
message
Discussing the findings with DTI,
Bozec noted that the results should
be interpreted with caution: “We
ought to be a little careful in the interpretation of our study as we performed an in vitro study, and it is
likely that the cytotoxic side effect
of carbamide peroxide tooth whitening would be lessened to some
extent in the patient owing to the
bamide peroxide should include warning or educational labeling. Finally, he
acknowledged that, even though the
concentrations of carbamide perox-
ide used in dental offices are much
lower, dental professionals should
discuss the long-term effect of tooth
whitening with their patients and
recommend alternative products
that contain a lower concentration
of carbamide peroxide or no peroxide at all.
Tofflemire is not a registered trademark of Dentsply Sirona.
©2019 Dentsply Sirona. All rights reserved. ML590016A (8-19-19)
PART OF DENTSPLY SIRONA’S
Proper interproximal
contours achieved with a
Palodent® 360 matrix system
Poor interproximal contours
achieved with a Tofflemire
matrix system
[26] =>
DTMEA_No.5. Vol.11_DT.indd
26
GENERAL DENTISTRY
Dental Tribune Middle East & Africa Edition | 5/2021
Bondodontics update
for indirect restorations
By Prof. Brian Millar & Dr Stephen
Denny UK
There has been a sustained move
from conventional cementation to
adhesive luting as clinicians move
away from cast restorations to aesthetic materials (Fig. 1). In line with
this there has been a shift away
from conventional cements (e.g.
zinc phosphate) to dual-curing resin
based luting materials.
Ideally these adhesive luting materials should bond to both tooth
tissue and the restoration, be tooth
coloured and easy to use. Ease of use
would include: syringeable, dualcure, suitable viscosity and no need
for separate etch and bond stages.
One of the first was ParaCore
(COLTENE) and although this was
designed as a core build-up material it’s flow properties, dual-cure
and colour also made it suitable as
an adhesive cement. Even if most of
the requirements mentioned above
were met, ParaCore, like many earlier resin-based luting materials (e.g.
Nexus, Calibra, Panavia), required
an additional bonding agent. Therefore, further development resulted
in built-in adhesives bringing us
to the popular current materials in
this range, so-called self-adhesive cements, such as RelyX Unicem (3M)
or SoloCem (COLTENE). These are
designed to be used directly onto the
tooth without the need for neither
acid-etching nor the application of
a separate bonding agent. However,
the bond strengths resulting from
self-adhesive cements were lower
than the ones from adhesive luting materials which have been used
with additional bond. Whereas in
some situations the bond strengths
resulting from a self-adhesive protocol would be sufficient, in other situations they are not.
This is why the newest evolution in
adhesive cementation are the universal luting materials (e.g. RelyX
Universal, 3M). Companies recognized that in some situations additional bond strength may be required and made their self-adhesive
luting materials compatible with
bond. Solocem (originally a self-
adhesive material) can now be used
with a layer of the universal bond
ONE COAT 7 UNIVERSAL (COLTENE)
if the clinician chooses to improve
bond strength on enamel and dentin. Even if ONE COAT 7 UNIVERSAL
is light-curing, it is designed so that
its acidity does not affect the curing
properties of the luting material SoloCem. This means that there is no
need of using an additional activator
for ONE COAT 7 UNIVERSAL. In order
to improve bond strengths on enamel even more, I recommend to additionally use the selective etch technique. I would consider this essential
when bonding a metal framed resin
bonded bridge to enamel. So, etch
the enamel (not dentine) with standard 35% phosphoric acid gel (e.g.
Etchant Gel S, COLTENE) for 25 seconds, wash and gently dry. Be careful
not to get the acid on adjacent teeth,
otherwise clean-up becomes more
difficult. Ideally, protect the adjacent
teeth with a barrier and proceed with
the adhesive luting protocol (Fig. 1218). Please note that as the bonding
agent needs to be light-cured this has
to be carried out before placing the
restoration. Therefore the bond layer
must be very thin otherwise can prevent seating of the restoration.
ÿPage 28
Fig. 1: Traditional gold crowns (left) and metal-ceramic crowns can be
conventionally cemented (e.g. zinc phosphate) and have exceptional survival rates in practice of close to 50 years1. They can also be adhesively
luted. Aesthetic indirect restorations (right) require more complex adhesive luting techniques.
Fig. 2: Initial situation in the patient’s mouth
Fig. 3: Scan
Fig. 4: Scan
Fig. 5: Removed amalgam filling and preparation
Fig. 6: Scan after preparation, checking the preparation margin
Fig. 7: Design of the onlay and checking the occlusion
Fig. 8: Indirect restoration material: BRILLIANT Crios Block
Fig. 9: Onlay before polishing
Fig. 10: Onlay after polishing
Fig. 11: Products used for the restoration: ONE COAT 7 UNIVERSAL,
Etchant Gel S and SoloCem
Fig. 12: PTFE-Tape for protection of adjacent teeth
[27] =>
DTMEA_No.5. Vol.11_DT.indd
AFFINIS
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[28] =>
DTMEA_No.5. Vol.11_DT.indd
28
GENERAL DENTISTRY
Dental Tribune Middle East & Africa Edition | 5/2021
◊Page 28
Conclusion
•
There is a good reason to simplify
luting restorations. The new universal self-adhesive luting composites
are a help to clinicians. Reduced
bond strengths when using them
self-adhesively can be enhanced by
adding the options of:
•
Use with acid-etching enamel
where necessary, and
Use with an additional bond
layer to improve bond strength
References
About the authors:
1. Olley RC, Andiappan M, Frost
PM. An up to 50-year follow-up of
crown and veneer survival in a dental practice. J Prosthet Dent 2018
Jun;119(6):935-941.
Prof. Brian Millar
BDS, PHD, FDSRCS, FHEA, FDT
Clinical Professor of Dental Education at
King’s College London and NHS Consultant in Restorative Dentistry. Programme
Director for the internationally popular
MClinDent (Fixed & Removable Prosthodontics) in its 24th year with graduates in
over 60 countries.
Dr. Stephen Denny
BChD (Merit), MJDF, MFGDP (UK), FAIDFE
(USA), MFDS RCS (Eng)
Principal Dentist at Honesty Dental Care,
Shipley, West Yorkshire. Special interest in
restorative dentistry including endodontics
and all aspects of the new digital restorative methods. Mr. Denny currently undertaking the final year of a restorative MSc.
Fig. 13: Selective etch with Etchant Gel S
Fig. 14: Onlay after pre-treatment of the restoration surface, application
and light-curing of ONE COAT 7 UNIVERSAL
Fig. 15: Preparation after application and light-curing of ONE COAT 7
UNIVERSAL
Fig. 16: Application of SoloCem onto the onlay
Fig. 17: Placement of the onlay
Fig. 18: Post-op
AD
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SINGAPORE
THE LEADING DENTAL
EXHIBITION AND
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IN ASIA PACIFIC
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Connect with us
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[29] =>
DTMEA_No.5. Vol.11_DT.indd
[30] =>
DTMEA_No.5. Vol.11_DT.indd
30
INTERVIEW
Dental Tribune Middle East & Africa Edition | 5/2021
The Digital Age with Dr Patel
By Dentsply Sirona
Dr Neal Patel, a dentist and a certified
dental technician, opened Infinite
Smiles in Powell, Ohio, in 2008. An
authority on 3D diagnostic imaging with CBCT and same-day dental
restorations with CAD/CAM, Patel
travels the U.S., Canada and overseas
to train doctors in the use of modern dental technology in procedures
such as computer-guided dental implant placement. He graduated from
The Ohio State University, where he
served as implant prosthodontic fellow and helped establish techniques
and protocols for digital implantology and prosthetics.
The digital age
When I opened my dental practice in
2008, I was awed by the transformative power of technology. Through
the years, I’ve stayed up to date with
the latest dental technology trends
to expand beyond private practice to
teaching and research. Understanding the intricacies of new technology
is hard work and takes a lot of time,
but I believe it’s a requirement for
successful modern dentistry. The latest digital tools—ranging from practice management software and conebeam imaging to intraoral scanning
and chairside milling—have dramatically streamlined processes
and improved patient diagnosis and
treatment in fewer visits. Digital dentistry is quickly revolutionizing the
practice of dental medicine, yet the
concept still isn’t quite mainstream.
Many practitioners are timid about
investing in new and unproven digital equipment, citing cost concerns
and the time constraints of proper
training. While there is a certain
amount of risk involved, I believe in
leveraging new technology to better treat complex cosmetic/beauty
Fig. 2
and restorative cases. Research has
shown that integrated digital solutions can improve the clinical efficacy of dental implant restoration,
compared with conventional analog
dental implants.1
Our office’s digital platform is centered around a highly accurate
intraoral scanner, state-of-the-art
cone-beam imaging, versatile practice management software and the
latest digital design and milling
software and hardware. In our practice, 3D CBCT is the cornerstone of
care. The Axeos scanner (Fig. 1) from
Dentsply Sirona is my imaging solution of choice because it offers a
precise measurement of the teeth,
soft tissues, nerve pathways and
bone, and seamlessly connects with
add-on technology. In addition, 3D
diagnostic imaging offers patients
a more interactive care experience,
leading to increased case acceptance.
CAD/CAM technology is a foundational element of our integrated digital workflow for prosthetic implant
placement and restoration. CAD/
CAM allows for imaging, design and
chairside milling in one visit, making
appointments more convenient for
both clinicians and patients.
These instruments, along with
CEREC Primescan intraoral scanners,
enable our practice to provide exceptional oral health care to patients
(Fig. 2). This entire suite of integrated
solutions has transformed our practice, allowing us to do more, better.
For one, I use CBCT imaging data for
implant placement (Fig. 3) in a range
of other modalities, including sleep
apnea, endodontics and orthodontics. With the newest addition to our
digital arsenal, 3D printers, we’re able
to scan, design, print and produce a
range of applications, such as crown/
bridge models, surgical guides, indirect bonding trays and gingival
masks.
Digital dentistry in practice
In the traditional analog world of
dentistry, several different variables—the clinician’s experience and
skill set, the lab technician’s skills and
bandwidth, and the patient’s comfort level—must all work in tandem;
a single mistake can cause delays,
worsen clinical outcomes, and pose a
significant travel and cost burden for
patients. The beauty of digital dentistry is that it streamlines services
across the gamut of dental care and
comprehensive
interdisciplinary
procedures. In our practice, digital technology has reduced clinical
time for a comprehensive implant
procedure by more than half—from
eight visits to three visits from consultation to final fitting, as described
below.
Traditional analog dentistry: Visit
one, the consult, requires obtaining a
filmbased image for diagnostics and
overall examination to determine if
the patient is a candidate for dental
implant therapy. At visit two, the
clinician acquires diagnostic impressions for creation of a radiographic
scanning appliance. At visit three,
the patient is imaged with the scanning appliance with either 2D imaging or 3D imaging for evaluation of
the future restorative plan relative to
existing anatomy. If the patient is a
candidate for implant, the clinician
may prescribe additional grafting
or creation of a surgical guide. On
visit four, the patient is scheduled
for implant placement. Visit five is
traditionally a postoperative visit
to ensure proper healing. Another
appointment, visit six, may need to
be scheduled to address soft-tissue
Fig. 1
contouring or even uncovering the
implant. At visit seven, the dentist
obtains the final impression for the
laboratory to create the abutment
implant crown. Finally, on visit eight,
the final implant prosthetic is seated.
On occasion, additional appointments may be required if the shade
and contour from the previous visit
were not appropriate. Keep in mind,
extra time must also be built in for
lab delays and additional cosmetic
refinements if necessary. All of these
factors can affect the patient because
of time off from work and travel to
and from appointments.
Digital dentistry: At visit one, we
are able to acquire digital intraoral
scans of both hard and soft tissues
using Primescan and merge that
data with the Axeos CBCT image to
design and place a virtual, customfit 3D prosthetic. The software allows
us to provide patients with a visual
representation of the implant and
the procedure itself. From this data
at the initial consultation, the dentist and laboratory are able to create
a surgical guide and even potentially
an immediate implant provisional,
using CAD/CAM with either milling or printing technology. This removes all the analog methods of impressions and stone models, along
with manual labor for fabrication of
said surgical guide and provisional.
On visit two, the clinician is able to
place the implant fully guided with
immediate prosthesis or even custom healing abutment. Because of
this minimally invasive procedure,
additional follow-up visits may not
be required. On visit three, we can
provide the final implant restoration
in a single visit with chairside CAD/
CAM prosthetics, which are fully customized and aesthetically matched
to the patient’s smile.
Empowering patients and building trust
We dentists expect our patients to
trust what we stand for and what we
have to offer. 3D diagnostic images
help us build this trust because they
help patients understand why they
need a given procedure. Visual data
and education help foster a mindset
shift that increases case acceptance
and patient satisfaction. A recent
study has shown that dental patients
are embracing the new era of advanced digital technology and visual
communications.2
Fig. 3
My practice prides itself on being a
front-runner in the latest technology
and equipment. With CBCT as our
“workhorse,” we are able to deliver
highly personalized treatment with
reduced chair time, fewer visits and
more predictable outcomes— making for a better patient experience.
When patients are more involved
and engaged with their care, they are
more likely to agree to our recommendations and interventions.
Looking to the future
Ultimately, dental professionals define our practices by the experience
our patients receive. Contemporary
digital dentistry gives us an opportunity to elevate our treatment
modalities and results in the best
dental care for our patients. Patients
are more confident in our ability to
manage their long-term oral health
care, boosting the potential for longterm relationships and increased
referrals. From a practice efficiency perspective, workflows can be
streamlined and new service offerings can be uncovered, maximizing
the potential of our practices. To clinicians who may still be hesitant to
dive in: Now is the time to push forward! Of course, with anything new,
there is a learning curve to adapt to
the technology. The key to success
and productivity is adequate training and education for all of those
involved in using the equipment. As
you gain experience with today’s innovative digital tools, you’ll be better
prepared for the next generation of
digital dentistry technology. It will be
a win for the practice from a business
and clinical perspective, a win for office staff members who are working
in a more modern, progressive atmosphere and, most importantly, a
win for your patients.
References
1. Gedrimiene A, Adaskevicius R,
Rutkunas V. Accuracy of digital and
conventional dental implant impressions for fixed partial dentures:
a comparative clinical study. J Adv
Prosthodont. 2019;11:271-279.
2. Saponaro PC, Yilmaz B, Johnston
W, et al. Evaluation of patient experience and satisfaction with CADCAM-fabricated complete dentures:
a retrospective survey study. J Prosthet Dent. 2016;116:524-528.
[31] =>
DTMEA_No.5. Vol.11_DT.indd
SUBSCRIBE NOW
digital magazine | 4 issues per year
digital—international magazine of digital dentistry
Scan the QR code and choose your subscription or go to
www.dental-tribune.com/shop
Dental Tribune International GmbH
Holbeinstr. 29 | 04229 Leipzig | Germany
Tel.: +49 341 48 474 302
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info@dental-tribune.com
Subscriptions will be renewed automatically, unless a written cancellation is sent via email or
post 6 weeks prior to renewal date. Prices include VAT, shipping & handling.
[32] =>
DTMEA_No.5. Vol.11_DT.indd
32
NEWS
Dental Tribune Middle East & Africa Edition | 5/2021
Global Clinical Case Contest 2020/2021
Dentsply Sirona honors excellent treatment
results of dentistry students
By Dentsply Sirona
With the Global Clinical Case Contest (GCCC),
every year Dentsply Sirona honours students
around the world for outstanding achievements
in the field of aesthetic dentistry. As in the previous year, the final round was held virtually. An
international panel of judges selected the three
best contributions on clinically challenging case
studies.
The anticipation of an upcoming end to the
pandemic is something that is currently uniting people around the globe. Many are looking
forward to embracing friends and family with
a smile again. Young dentists all over the world
are committed to the beauty of a radiant smile
with both their passion and their skills. Dentsply
Sirona's Global Clinical Case Contest recognizes
particularly talented dental students.
This year's circumstances were once again
unique due to the COVID-19 pandemic, and the
competition judges revealed this year's winners
during an online global judging event on June
24. Dr Terri Dolan, Vice President and Chief Clinical Officer at Dentsply Sirona, welcomed the finalists live to the awards ceremony.
The best representatives in their categories were
honoured by a international panel of three judges led by Prof Dr Rainer Seemann, Vice President
Global Clinical Research and Scientific Support
The original situation of the winner case.
The winner of the Global Clinical Case Contest
2020/2021: Emin Ismaylov from the State University
of Medicine and Dentistry in Moscow, Russia.
at Dentsply Sirona, and the internationally renowned dentists and university professors Prof.
Ian Cline (UK) and Prof Gaetano Paolone (Italy).
AD
The final situation of the winning case, after the use of products from Dentsply Sirona's Restorative range.
First place went to Emin Ismaylov from the
State University of Medicine and Dentistry in
Moscow, Russia.
Second place went to Rosalba Diana from the
Università Cattolica del Sacro Cuore, Milan/
Rome, in Italy.
And the third place was jointly awarded to
Lizhong Sun, Sichuan University, China, and
José Muñoz Peñalver, Universidad Católica San
Antonio in Murcia, Spain.
The ongoing pandemic presented challenges
for many participants. "This year, once again,
some students were unable to participate
due to the difficult situation in their country.
Nevertheless, the Global Clinical Case Contest
remains a fixed element of the curriculum
at global universities,” said Dr Markus Kopp,
Senior Manager Global Clinical Education
at Dentsply Sirona. “With the Global Clinical
Case Contest, we are sending a clear signal of
the ongoing collaboration between Dentsply
Sirona and universities around the world. In
exchange with talented international dental
experts, we consistently develop our innovative portfolio for restorative dentistry.”
Emin Ismaylov said: "I think it's great that
Dentsply Sirona gives young professionals
the opportunity to prove their skills and motivates us in every way to develop further."
This year's competition attracted over 390 students from 91 universities around the globe.
In total, more than 5,500 students from recognized dental schools worldwide have participated over the years.
The worldwide finalists will receive a copy of
the textbook "Direct Restorations in the Posterior Region" – co-authored by Prof Paolone. The
three best-placed participants will be presented with an award. The students also enjoy recognition from the professional world, with the
competition always receiving a high degree of
attention in the international dental press.
The application process for the Global Clinical
Case Contest 2021/2022 is due to start in summer of 2021. Further information on how to
enter the Dentsply Sirona contest is available
on www.dentsplysirona.com/gccc or via the
respective local Dentsply Sirona branches.
Find out more by
scanning the QR code.
Nearly 400 participants
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The Dentsply Sirona Global Clinical Case Contest has been held since 2004/2005. The contest invites worldwide participation by dental
students with less than two years of clinical experience. Participants document their successful treatments in the form of text and images.
They are supported by a tutor from their university. For direct restorations in the anterior
and posterior region, the complete restorative
product range from Dentsply Sirona is available free of charge to participants.
For further information, please contact:
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: dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
[33] =>
DTMEA_No.5. Vol.11_DT.indd
NEW
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They are protected by their own coat of armor. This new latest
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to withstand the rigours of intensive everyday use. The protection
offered by this coating prevents all traces of wear on the surface of
the turbine. This shield, formed of a latest generation PVD (Physical
Vapour Deposition) treatment, is unique on the market. It provides
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As of now, the Tornado are not only
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[34] =>
DTMEA_No.5. Vol.11_DT.indd
34
NEWS
Dental Tribune Middle East & Africa Edition | 5/2021
Why the colour of your instrument matters
SURGICAL INSTRUMENTATION
By HuFriedyGroup
In the world of dentistry, small improvements can make a big difference. The same can be said for dental instrumentation - a small detail
may have a major impact on your
ability to conduct a procedure with
ease and efficiency. Consider the decisions you make when selecting the
appropriate hand instrument for a
procedure – the shape of the working end is certainly important, but so
is the weight of the instrument, the
surface of the handle which you feel
while gripping it, and more.
When small improvements make a
big difference, every element of the
design matters. This includes the
instrument finish. When operating
in the mouth, visual acuity is critical, and glare from bright operatory
lights or headlamps can be detrimental to your accuracy and outcomes.
ENDODONTIC INSTRUMENTATION
This is one of the many reasons why
we developed the Black Line Collection of instruments. The product
portfolio has grown tremendously
over the years. Not only does it include surgical instruments, but
diagnostic, endodontic, and restorative instruments as well. You may
be curious how much of an impact
the dark coating can truly have, and
here’s how:
The science behind the Black Line
collection
Black Line instruments are engineered to optimise clinical outcomes
by delivering efficiency throughout the entire procedure. The
unique matte black coatings, which
have been applied to a plethora of
HuFriedyGroup instruments, reduce
light reflection and enrich visual contrast. This is a game-changer when it
comes to improving accuracy and
patient care. The following sections
explore the impact of our Black Line
Collection in each area where they
have been introduced.
Surgical instrumentation
The surgical Black Line collection is
comprised of scissors, atraumatic
extraction instruments, periodontal
instruments, and implant instruments.
The dark coating provides supreme
contrast and allows for increased
visual acuity while reducing light
reflection. The ability to see the instruments through tissue during
surgical procedures helps you gain
even more confidence about the
precise movements you are making. The performance engineered
coating also provides enhanced edge
retention. Black Line scissors, for example, feature a razor-sharp blade
and serrated edge for reduced tissue
slippage.
AD
DIAGNOSTIC INSTRUMENTATION
In addition, surgical Black Line instruments improve accuracy and
enhance control thanks to their
smooth, lightweight, ergonomic
handle.
Endodontic instrumentation
The sense of precision and accuracy
that Black Line instruments provide to surgical instrumentation is
perhaps even more evident when it
comes to endodontic instruments.
The precise nature of endodontic
procedures necessitates instruments
that exhibit exceptional attention
to detail while still being durable
enough to accommodate various
endodontic procedures – from basic
endodontic procedures to complex
microsurgery. Endo Black Line instruments feature the same performance engineered coating which
increases lubricity, reduces light
reflection under harsh lighting, and
optimises edge retention.
Black Line Rubber Dam Clamps are
another fantastic way to further reduce light reflection while increasing visual acuity. This is achieved
thanks to the extreme contrast the
dark clamp provides throughout the
procedure.
Diagnostic instrumentation
The HD Black Line Mirrors are the
latest addition to the Black Line collection, and they underscore the
benefits that the black matte coating
provides to instruments since visual
acuity is a critical component to accurate diagnoses. The frames and
handles of HD Black Line Mirrors
are created using a Diamond-Like
Carbon (DLC) coating engineered to
optimise clinical outcomes by delivering superior visibility throughout
any dental procedure. The durable
black matte coating reduces the glare
by up to 80% compared to a standard metal mirror head and handle.1
The black colour of the coating creates a distinct contrast between the
instrument, the tooth and/or the
surrounding tissue allowing for easy
identification intraorally* and facilitating quicker and more accurate
visibility. The reduction in glare can
also help improve 3D intraoral scan
accuracy for better modelling.
www.cappmea.com/courses
Don’t miss a diagnosis. It’s also worth
pointing out that the material used
in a dental mirror plays an important
role in visibility, as well. Most mirrors
are coated in rhodium or feature a
resin (plastic) casing. In contrast, the
High-Definition Mirror Glass used
in the HD Black Line Mirror is 38.5%
brighter than rhodium-coated mirror glass and 50% brighter than other
front-surface mirror glass and offers true to life colour accuracy. The
matte finish means this brightness
does not increase glare and instead
facilitates a sharper, distortion-free
image for quicker and more accurate
visibility.
Small changes can make a big difference
If this review of the Black Line Collection makes one thing clear, it’s that
small innovations, like the dark coating on these instruments, can make
a world of difference in the operatory. Whether you’re a specialist focusing on oral surgery or endodontic
procedures or a general dentist or
hygienist performing diagnostics,
the quality of your instrument can
vastly improve your experience.
References
1. When comparing the HuFriedyGroup DLC coated mirror head and
handle to the HuFriedyGroup noncoated stainless-steel mirror head
and handle. Data on file and available
upon request.
All company and product names are
trademarks of Hu-Friedy Mfg. Co. LLC,
its affiliates or related companies, unless otherwise noted.
Follow us on
@HuFriedyGroupEurope
@HuFriedyGroupEurope
@HuFriedyGroup Europe
For more information, visit
www.hufriedygroup.eu
Hu-Friedy Mfg. Co., LLC.
European Headquarters
Astropark - Lyoner Str. 9
60528 Frankfurt am Main
Tel.: +49 (0)69 24753640
Fax: +49 (0)69 25577015
Free Call: 0080048374339
[35] =>
DTMEA_No.5. Vol.11_DT.indd
BLACK LINE
DESIGNED FOR PERFORMANCE
Surgical, Restorative, Diagnostic and Endodontics:
enjoy and experience the great features of the Black Line
Collection on an extended range of hand instruments
across different product lines.
• Optimal edge retention and enhanced lubricity.
• Enriched contrast and visual.
• Reduced light reflection.
• Maximum comfort.
• Optimal strength and corrosion resistance.
For more information or to place an order please contact
Free Call: 00800 48 37 43 39 | E-Mail: info@hu-friedy.eu
Visit us online at HuFriedyGroup.eu
Hu-Friedy Mfg. Co., LLC. • European Headquarters • Lyoner Str. 9 • 60528 Frankfurt am Main, Germany • HuFriedyGroup.eu
All company and product names are trademarks of Hu-Friedy Mfg. Co. LLC, its affiliates or related companies, unless otherwise noted.
©2021 Hu-Friedy Mfg. Co., LLC. All rights reserved. HFL-620GB/0721
[36] =>
DTMEA_No.5. Vol.11_DT.indd
NEWS
Dental Tribune Middle East & Africa Edition | 5/2021
© Roman Zaiets/Shutterstock
36
Meta-analysis shows need for further
evidence about rubber dam isolation
AD
By Dental Tribune International
CHENGDU, China: For restorative
dental treatments to be successful,
proper dental isolation and moisture control are essential. One of the
more widely applied traditional isolation methods involves the use of
a rubber dam. A team of researchers
from Sichuan University in Chengdu
conducted a meta-analysis of studies
regarding the rubber dam method
and found that, although there is
some evidence correlating its use to
lower restoration failure rates, more
research on the topic is needed.
The team of researchers had previously published a review study
on the same topic in 2015, which
included the results of four studies measuring the efficacy of rubber dam isolation against isolation
conducted with cotton rolls. For this
update, they conducted a new search
for relevant studies and included an
additional two, though their conclusions remained the same.
“Low- and very low-certainty evidence suggests that compared to traditional cotton rolls isolation method, the use of rubber dam in dental
direct restorative treatments may
lead to a higher survival rate of dental restorations,” the authors noted.
They cautioned, however, that there
was “a high risk of bias in the analysed studies” owing in part to their
“being conducted in ways that may
have introduced errors into their results”.
“The fact that we are unable to make
a robust conclusion on the effects of
using rubber dam isolation during
restorative treatments in dental patients demonstrates that more welldesigned randomised controlled
trials with longer follow-up periods
are needed,” the authors added. They
recommended that future studies of
the rubber dam isolation method’s
effectiveness should consider indirect as well as direct restorations and
should also include factors such as
the direct cost of the treatment and
patient acceptance and satisfaction
rates.
The study, titled “Rubber dam isolation for restorative treatment in dental patients”, was published online in
the Cochrane Database of Systematic
Reviews on 17 May 2021.
[37] =>
DTMEA_No.5. Vol.11_DT.indd
37
NEWS
Dental Tribune Middle East & Africa Edition | 5/2021
International iF Design
Award for Axeos
The new 3D/2D X-ray system for cutting-edge
imaging in a wide range of indications
By Dentsply Sirona
Axeos, the versatile 3D/2D extraoral
imaging solution from Dentsply
Sirona, recently received the
international iF Design Award. The
98-member international jury
recognized the device primarily for
its form and functionality – in these
categories the product achieved
the best ratings. Axeos provides
general practitioners and specialists
with a hybrid system that covers
a wide range of dental indications
and meets modern imaging
requirements: sharp images with
the lowest possible dose, various
selectable volumes and intuitive
operability.
The new extraoral imaging system
from Dentsply Sirona, Axeos, has
been awarded another prestigious
design prize. In 2020, the imaging device received the esteemed Red Dot
Award for product design. In 2021,
Axeos has received another award
by the international iF Design Award.
In their evaluation, the 98-member
international jury awarded points
for the product idea, form, function,
distinctiveness and utility. Axeos
received superior marks in all areas.
The jury members were particularly
impressed by its form and functionality, which leads to an increased
quality in performance and treatment comfort.
This makes Axeos an imaging solution particularly beneficial to clinicians in various disciplines.
About the iF Design Award
Every year, the iF Design Award recognizes outstanding design, its rel-
evance to business and everyday life,
and distinguishes one of the world's
most important seals of excellence.
Awarded in Germany since 1953, the
iF label is a reliable sign of good design for both consumers and the design community.
Dr Neal Patel, dentist and owner of the Infinite Smiles clinic in Powell, Ohio:
"Axeos gives us all the X-ray diagnostic options we need. Both temporomandibular
joints can be displayed in one image, we receive information about the airways, and we
can take HD images when it comes to special endodontic aspects. The low-dose mode
further expands the range of indications.”
AD
Dentsply Sirona Imaging Solutions
Axeos.
Experience the difference.
"We are very delighted to receive this
award," said Niels Plate, Group Vice
President, Digital Devices & Solutions at Dentsply Sirona. "It confirms
our goal of offering our customers
solutions that stand for high clinical
safety, patient comfort and efficient
treatment processes. A successful
form and functionality of the device
contribute to this."
Imaging solution for general practitioners and specialists
As a modern imaging solution, Axeos
offers excellent image quality in 2D
and 3D, flexible volumes, seamless
connection to Sidexis 4 software as
well as to numerous treatment programs. In addition, several features
focus on maximum patient comfort:
positioning aids (e.g. unique autopositioner with patented occlusal
bite block, automatic temple width
measurement, smart height adjustment) support in rapidly achieving
the optimum alignment for the image. Lastly, lighting concepts like
ambient light create a more pleasant,
calming atmosphere for patients.
With Axeos, both classic standard
panoramic exposures – which is
especially good for children – and
extraoral bite wing exposures can
be taken. If desired, Axeos can be
equipped with a cephalometric arm
(left or right) that can be retrofitted
at any time. This versatility also convinces users. Dr. Neal Patel, dentist
and owner of the Infinite Smiles clinic in Powell, Ohio, says: "Axeos gives
us all the X-ray diagnostic options
we need. Both temporomandibular
joints can be displayed in one image,
we receive information about the
airways, and we can take HD images
when it comes to special endodontic
aspects. The low-dose mode further
expands the range of indications.”
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
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
dentsplysirona.com/axeos
THE DENTAL
SOLUTIONS
COMPANY TM
200723_IMG-Ad-Print-Axeos-Blue-EN_210x297mm_RZ_v4.indd 1
27.07.20 17:44
[38] =>
DTMEA_No.5. Vol.11_DT.indd
#whdentalwerk
video.wh.com
Now at
your dealer
or wh.com
The breakthrough
in oral surgery
Piezo surgery for Implantmed
- now as a simple add-on.
The new Piezomed module.
W&H presents the game changer in piezo surgery. As a
simple add-on solution, the Piezomed module can now
be used in conjunction with Implantmed Plus. W&H is
breaking new ground in surgical applications. This ingenious
modular system combines expertise from different areas.
[39] =>
DTMEA_No.5. 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
• 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)
[40] =>
DTMEA_No.5. Vol.11_DT.indd
Are you ready for CEREC?
For CEREC users, it’s simple: CEREC makes even the best dentists better. So going
digital was a great decision, but until they did it they too had their doubts. Would
everything go smoothly straight away? No. Could they learn to handle the technology?
Absolutely. What about the quality of restorations? Outstanding in every way.
There’s never been a better time to future-proof your practice with CEREC.
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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/ New CEREC Tessera high-strength glass ceramic blocks impress with fast processing, high aesthetics and robust strength
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/ Interview - New generation of W&H sterilizers: an incredible user experience
/ Links between oral microbiome, genetic variations and periodontitis examined in new study
/ Over 6,300 dental professionals joined first virtual MiCD Regional Symposium
/ News
/ Bondodontics update for indirect restorations
/ The Digital Age with Dr Patel
/ Global Clinical Case Contest 2020/2021
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/ Meta-analysis shows need for further evidence about rubber dam isolation
/ International iF Design Award for Axeos
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