DT ASEAN No. 1, 2022
Cover / Editorial / Contents / Dentsply Sirona and 3Shape expand their strategic partnership / World News / Business / ADVERTISER INDEX
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[1] =>
Vol. 1. No. 2, Jan-Mar 2022
Poor glycaemic control results in tooth
loss in middle age, study finds
Chewing gum sets trap for SARS-CoV-2,
reduces transmission
Image source: Freepik
Graphy presents first direct 3D-printed
aligner with shape memory function
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*The battery capacities of the Flow and Pack handpieces allow for them to be used up to fi ve procedures per day on a single charge.
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[4] =>
4Dental Tribune ASEAN
EDITOR’S MESSAGE
H
Publisher
FBI Publications (M) Sdn. Bhd.
appy New Year 2022 to all of
our readers! The first issue
of Dental Tribune ASEAN is
finally here. We’ve compiled
interesting news and interviews for
your pleasure reading this new year.
With nearly two years in the pandemic,
we have seen the first-hand aftermath
of the virus on people’s dental health.
The first wave of the pandemic has
forced dental practice to close due to
fear of infection. Most countries were
also following the standard operating
procedures (SOPs) that have been set by
the governments.
We have shifted and gone through
various SOPs and variants, from the
temporary closure of dental clinics to
opening only for urgent treatments.
As we reach endemic, the SOPs have
been lenient to dental practices in most
countries. People have started to go
back to their regular appointments and
routine check-up. Due to pandemic
that causes people to postpone or avoid
visiting the dentist, complications and
severe cases of toothaches arise.
According
to
World
Health
Organization oral health services were
among the affected during the emerges
of the COVID-19 pandemic. Although
the government has set up policies
Marketing Communication
Nur Izyan binti Dzulkifli
izyandzul@fireworksbi.com
Publication Manager
Vanny Lim
vanny@fireworksbi.com
Assistant Editor
Atthira Zawana
atthirah@fireworksbi.com
Susan Tricia
Editor
for dental services to follow and
practices, the fear of getting infected
to some people is still high as of
today. With people taking booster
shots successfully, let’s be hopeful
that 2022 will bring a stroke of luck.
Dental Tribune ASEAN will be
circulated in dental exhibitions,
seminars, and even webinars across
ASEAN
providing
additional
mileage for advertisers of the
magazine and reaching out to new
subscribers. Visit our website at
asean.dental-tribune.com for more
updates. Let’s do our part and get
vaccinated.
Malaysia Publishing Partner
FBI Publications (M) Sdn Bhd
Add: 9-3, Jalan PJU 5/6, Dataran Sunway, 47810, Petaling Jaya,
Selangor
Tel: +603-6151 9178
Email: my@fireworksbi.com
International Headquarters
Publisher and Chief Executive Officer
Torsten R. Oemus
Chief Content Officer
Claudia Duschek
Dental Tribune International
GmbHHolbeinstr. 29, 04229 Leipzig, Germany
Tel.: +49 341 4847 4302 | Fax: +49 341 4847 4173
General requests
info@dental-tribune.com
Sales requests
ASEAN region:
vanny@fireworksbi.com
asean.dental-tribune.com
International:
mediasales@dental-tribune.com
www.dental-tribune.com
Dental Tribune ASEAN | Jan-Mar 2022
Creative Designer
Muhammad Fadzil
design@fireworksbi.com
Board of Directors
Kenny Yong
Susan Tricia
Official Magazine of
Disclaimer
Material from Dental Tribune International GmbH that has been reprinted or translated
and reprinted in this issue is copyrighted by Dental Tribune International GmbH. Such
material must be published with the permission of Dental Tribune International GmbH.
Dental Tribune is a trademark of Dental Tribune International GmbH.All rights reserved.
© 2022 Dental Tribune International GmbH. Reproduction in any manner in any language,
in whole or in part, without the prior written permission of Dental Tribune International
GmbH is expressly prohibited. Dental Tribune International GmbH makes every effort
to report clinical information and manufacturers’ product news accurately but cannot
assume responsibility for the validity of product claims or for typographical errors. The
publisher also does not assume responsibility for product names, claims or statements made
by advertisers. Opinions expressed by authors are their own and may not reflect those of
Dental Tribune International GmbH.
Dental Tribune International GmbH, FBI Publications (M) Sdn Bhd nor its affiliated
entities make any promises, implied or otherwise, about the fitness of any technique, piece
of equipment, or material for a particular purpose.
Dental Tribune International GmbH, FBI Publications (M) Sdn Bhd, or its affiliated entities
will not be liable for any damages of any kind or loss of profits that might arise from
information found in this magazine regardless of whether Dental Tribune International
GmbH has been advised of the possibility of such damages.
The material contained in this magazine is offered as information only and should not be
used to replace any practice, financial, accounting, legal, or other professional advice that
users might obtain from their own professional advisors.
Information in this magazine should not be substituted for the individual judgment brought
to each clinical situation by a patient’s dental practitioner. The techniques and opinions
presented on this site reflect the science of dentistry at a particular point in time, and users
should be aware that continued research on these topics may provide new knowledge or
recommendations.
Dental Tribune International GmbH and FBI Publications (M) Sdn Bhd does not necessarily
endorse the non-Dental Tribune International resources that may appear or be referenced
in this magazine and offer no guarantee about the products or services they may provide.
Some sections in this magazine are published by separate organizations or entities, which
are solely responsible for their content. Statements appearing in those portions are not
necessarily endorsed by Dental Tribune International GmbH, FBI Publications (M)
Sdn Bhd, or any of its subsidiaries. Also, Dental Tribune International GmbH and FBI
Publications (M) Sdn Bhd does not offer any guarantee with respect to the accuracy of any
items or claims contained therein.
Dental Tribune International GmbH and FBI Publications (M) Sdn Bhd does not, via
this magazine or any of its affiliated media, encourage dentists to make any particular
business decision based on issues addressed herein. Business decisions and decisions about
individual patients and methods of practice are personal decisions, and the responsibility
for these decisions rests upon the shoulders of the attending dental practitioner.
[5] =>
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6Dental Tribune ASEAN
CONTENTS
World news
9
Omicron and NHS targets: Dentists in England
struggle to restore services
10
New study explains link between obesity and
periodontal disease
12
Stratasys introduces new dental 3D printer
13
Poor glycaemic control results in tooth loss in
middle age, study finds
14
11
COVID-19: Study shows benefits of local exhaust
ventilation in dental settings
16
General Dental Council commits to improving its
services
17
The bullwhip effect: Supply chain crisis increases
costs for dental practices
18
12
Danes’ oral health has improved significantly but
social inequalities persist, study says
Business
20
Calibrated IPR can improve predictability of clear
aligner therapy
21
Envista closes divestiture of KaVo treatment unit
and instrument business
24
17
23
Graphy presents first direct 3D-printed aligner
with shape memory function
26
Apple’s iOS 14 shakes up digital dental brands
28
Innovations
8
Dentsply Sirona and 3Shape expand their strategic
partnership
Dental Tribune ASEAN | Jan-Mar 2022
Nexa3D partners with 3D DDS to distribute
3D-printing technology to dentists and
laboratories
29
Pandemic headwinds batter SmileDirectClub
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Find more info and your local dealer www.planmeca.com
[8] =>
8
INNOVATIONS
Dentsply Sirona and 3Shape expand
their strategic partnership
By Dental Tribune International
3Shape Dental System users can now receive intra-oral scans from Dentsply Sirona’s intra-oral scanners, Primescan and Omnicam.
(Image: 3Shape)
Dentsply Sirona and 3Shape have recently expanded their
partnership to provide seamless and secure integration of
Dentsply Sirona’s Connect Case Center with 3Shape’s Dental
System software. Users who upgrade to Dental System 2021.2
software can now connect to the Dentsply Sirona Connect Case
Center to receive intra-oral scans from the company’s intra-oral
scanners, Primescan and Omnicam.
“I always want to give a patient the treatment I feel is best for
them. When companies like Dentsply Sirona and 3Shape choose
to work together, it gives all dentists and lab owners more
opportunities, and that means better outcomes for our patients,”
Dr Alan Jurim, owner of integratedDENTAL, a dental practice
in New York, said in a press release.
As a result of this agreement, 3Shape Dental System users
will no longer need to download cases via the Connect Case
Center platform or any other channel in order to receive cases
from Dentsply Sirona intra-oral scanners. Instead, they will be
able to receive these digital impressions directly in their 3Shape
Communicate account after updating their system to Dental
System 2021.2. This will allow them to receive both 3Shape
TRIOS and Dentsply Sirona intra-oral scanner cases in the same
inbox, 3Shape noted.
According to Dentsply Sirona, integrated hardware and
software will help dentists to efficiently plan and execute even
highly complex treatments and will simplify digital workflows.
Dental Tribune ASEAN | Jan-Mar 2022
This, in turn, will improve the relationship between dentists and
laboratories.
Dentsply Sirona’s Primescan intra-oral scanner. (Image: Dentsply
Sirona)
“Digital impressions facilitate communication. After scanning
I can discuss the digital model directly with my patient. And
because I now can communicate with the lab technician
seamlessly, I can share the planned outcome with my patient
much quicker—and that is a benefit to the patient that matters,”
Dr Sabrina Hoffmann, a dentist in Bürstadt in Germany,
commented in the same press release. “What we are experiencing
today is truly the dentistry of the future,” she added.
Last June, both companies announced an agreement aimed
at improving digital dentistry and oral health, intending to
support the dental community through the evolution of efficient,
simplified, and digitally-oriented workflows for dentists and
dental technicians. Users of 3Shape’s TRIOS intra-oral scanner
already have access to Dentsply Sirona’s SureSmile clear aligners
platform, and the companies are now working on further
expanding customer access to a range of technological choices.
[9] =>
WORLD NEWS 9
Omicron and NHS targets:
Dentists in England struggle to
restore services
By Iveta Ramonaite, Dental Tribune International
In a recent survey of high street dentists in England, nearly a
third of dentists (33%) said they have no intention of relaxing
COVID-19 precautions, mostly owing to the arrival of the
Omicron variant in England. Since winter is also often referred
to as the cold and flu season and may cause a surge in respiratory
illnesses that will automatically put patients on the respiratory
pathway, 62% of the respondents believe that the changes to
COVID-19 restrictions will have little to no effect on the patient
volumes in dental clinics.
The rapid spread of the Omicron variant in England and the start of
the winter season mean that the new standard operating procedures
for dentists are unlikely to restore patient access to services. (Image:
StepanPopov/Shutterstock)
Since the English government has decided to ease some of
the COVID-19 restrictions just as the winter season has
arrived, some professional bodies, including the British Dental
Association (BDA), are questioning the timing of the decision.
In light of the arrival of the Omicron variant and unattainable
National Health Service (NHS) targets, the BDA believes that
the new standard operating procedures for dentists will not
help improve access to dental care in the country. This is also
reflected in a recent survey that has highlighted issues about the
restoration of services in the country.
According to the BDA, over 37 million NHS appointments
have been lost since lockdown solely in England, including over
11 million lost appointments for children. The new standard
operating procedure model, which was introduced at the end
of November, is based on the likelihood of a patient carrying
respiratory infection and places them on two pathways,
respiratory and non-respiratory. Patients who are placed on
the non-respiratory pathway can be managed in line with preCOVID-19 standard infection control precautions, whereas
those placed on the respiratory pathway are subject to enhanced
precautions, including fallow periods of up to 60 minutes
between treatments.
The data has also revealed that, owing to the current pressures
on the service, over 40% of dentists are likely to change careers or
seek early retirement in the next 12 months. Additionally, more
than half of the respondents stated that they are considering
reducing their NHS commitment, and one in ten foresees
practice closure in the next 12 months.
The majority of the respondents, 72%, stated that the lack of
clarity over the activity targets, which were imposed by the UK
government and are expected to increase on 1 January 2022, is
affecting their confidence. Similarly, 70% of respondents believe
that the uncertainty over the direction of pledged reforms to the
service is undermining their morale, and nearly two-thirds of
practices (62%) estimate that they are still operating under 70%
of their pre-COVID-19 capacity.
Commenting on the situation, Dr Eddie Crouch, chair of the
BDA’s Principal Executive Committee, said in the BDA’s blog:
“We have long pressed for a roadmap to safely ease COVID
restrictions in dentistry. Yet the timing of this move, relaxing
many key measures in practice just as Government moves
to tighten others in wider society, has left some members
struggling with the mixed messages.” He added that, as a result
of the introduction of new standard operating procedures, the
arrival of Omicron and the imposed activity targets, dentists
are now faced with many unanswered questions regarding the
safety of teams and patients, as well as practical issues such as
the need for personal protective equipment supplies, proper air
ventilation and capital funding.
Dental Tribune ASEAN | Jan-Mar 2022
[10] =>
10 WORLD NEWS
According to a recent study, obesity may lead to the development of periodontal disease owing to an increased number of cells that initiate
bone degradation around teeth. (Image: TANAPAT LEK.JIW/Shutterstock)
New study explains
link between obesity
and periodontal
disease
By Iveta Ramonaite, Dental Tribune International
Dental Tribune ASEAN | Jan-Mar 2022
[11] =>
A graphic demonstrating the link between obesity and increased bone loss around teeth. (Image: Keith Kirkwood)
In a new study, researchers sought to gain a deeper understanding
of the link between obesity and periodontal disease. They
found that being overweight causes chronic inflammation, and
this may trigger the development of cells that break down the
bone responsible for holding the teeth in place. The researchers
believe that the findings may help improve the understanding
of certain chronic inflammatory bone-related diseases that
develop alongside obesity, including common comorbidities
such as periodontal disease, arthritis and osteoporosis.
It is well documented that bone loss is closely connected
to periodontal disease and may lead to edentulism. Dental
Tribune International has also reported on studies that found
a link between periodontal disease and oral cancer, preterm
delivery and Alzheimer’s disease. The disease can be costly, both
financially and in terms of the human cost.
According to the Centers for Disease Control and Prevention,
periodontal disease affects approximately half of adults aged
30 years and older in the U.S., and the U.S obesity prevalence
reached 42.2% between 2017 and 2018. Obesity and periodontal
disease are some of the most common noncommunicable
diseases in the U.S., and the correlation between the two
conditions has been confirmed in some previous studies.
However, the link between obesity and periodontal disease is
still poorly understood, and the present study sought to provide
some insight into the mechanisms that underpin the link.
In the study, researchers from the University at Buffalo in New
York state examined two groups of mice who received distinct
diets over the course of 16 weeks. According to the study, the
first group was fed a low-fat diet that derived 10% of energy
from fat, whereas the second group followed a high-fat diet that
drew 45% of energy from fat.
The researchers later reported that the group that was fed a highfat diet experienced obesity, higher levels of inflammation and
a greater increase of myeloid-derived suppressor cells (MDSCs)
in the bone marrow and spleen compared with the low-fat
diet group. Additionally, the high-fat group lost more alveolar
bone and had an increased gene expression tied to osteoclast
formation as well as significantly more osteoclasts, which break
down bone tissue.
Commenting on the findings, Dr. Keith Kirkwood, professor
of oral biology in the University of Buffalo (UB) School of
Dental Medicine, said in a press release: “Although there is a
clear relationship between the degree of obesity and periodontal
disease, the mechanisms that underpin the links between these
conditions were not completely understood.”
Dr. Kyuhwan Kwack, who is a postdoctoral associate in the UB
Department of Oral Biology, added: “This research promotes
the concept that MDSC expansion during obesity to become
osteoclasts during periodontitis is tied to increased alveolar
bone destruction. Taken together, this data supports the view
that obesity raises the risk of periodontal bone loss.”
The study, titled “Novel preosteoclast populations in obesityassociated periodontal disease,” was published online on
12 October 2021, in the Journal of Dental Research.
Dental Tribune ASEAN | Jan-Mar 2022
[12] =>
12 WORLD NEWS
Stratasys introduces new
dental 3D printer
By Dental Tribune International
open material infrastructure that supports various applications
and enables higher throughput at a lower cost per part compared
with competing technologies. The printer is intended for flow
production and for small batches of a single material requiring
a short print time. In this way, the output of each application is
maximized and the production process streamlined.
In March 2021, Stratasys launched the J5 DentaJet, the only
multimaterial dental 3D printer capable of printing mixed
The Stratasys Origin One Dental 3D printer is intended for flow
production and for small batches of a single material requiring a short
print time. (Image: Stratasys)
dental parts in a single print tray without sacrificing accuracy.
The printer is ideal for large batch printing, especially when
printing mixed trays of parts overnight or unattended. Together,
the printers aim to provide dental customers with the ability to
streamline their processes while increasing production to meet
the demands of the dental industry.
On Dec. 7, Stratasys, a leader in polymer 3D-printing solutions,
introduced the Stratasys Origin One Dental, the latest addition
to the company’s growing portfolio of dental 3D-printing
solutions. It is the second 3D printer to have resulted from
Stratasys’ acquisition of Origin in December 2020, a significant
development in the company’s strategy to be the market leader
in polymer 3D printing for manufacturing.
The demand for dental solutions has, in recent years, experienced
significant growth driven by several trends, including the
digitization of dental workflows and an increased demand for
esthetic dentistry. These trends, coupled with the consolidation
of dental laboratories into production centers, and competitive
workforce conditions are causing dental laboratories to
embrace production solutions optimized for speed, quality and
throughput while remaining reliable, scalable and flexible.
According to Stratasys, the Stratasys Origin One Dental and the
recently introduced Stratasys J5 DentaJet 3D printer provide
dental laboratories with comprehensive additive manufacturing
solutions designed to meet the needs of the growing dental
customer base. The Stratasys Origin One Dental is powered
by a proprietary print technology called Programmable
PhotoPolymerization P3 that enables industry-leading accuracy,
part-to-part consistency and throughput. The printer offers an
Dental Tribune ASEAN | Jan-Mar 2022
The Stratasys Origin One Dental 3D printer. (Image: Stratasys)
“Stratasys is the only additive manufacturing company that is
offering multiple 3D-printing technologies to dental labs. We
enable labs to scale production today and stay prepared for
tomorrow,” said Osnat Philipp, vice president of healthcare for
Stratasys, in a press release.
“Each printer presents an additive manufacturing solution for a
different type of production need, maximized throughput and
production time, while providing flexibility in addressing the
changing needs of this growing market set to reach 6.5 billion
dollars by 2025,” Philipp stated.
[13] =>
WORLD NEWS 13
Poor glycaemic control results
in tooth loss in middle age,
study finds
By Dental Tribune International
groups and then assigned them to five groups based on their
HbA1c levels and three groups according to their FPG levels.
The researchers then compared the number of natural teeth
between the groups.
In a recent Japanese study, a continuous relationship between poor
glycaemic control and tooth loss across each age group, from 20 to
70 years of age, was found. (Image: girl-think-position/Shutterstock)
In the largest study of its kind, researchers in Japan have analysed
glycaemic control and natural tooth retention to investigate the
association between the two. They have uncovered evidence
that people with higher haemoglobin A1c (HbA1c) levels and
elevated fasting plasma glucose (FPG) levels, indices of poor
glycaemic control, have poorer tooth retention.
Speaking to Dental Tribune International, Dr Katsutaro Morino,
one of the researchers and an assistant professor in the Division
of Diabetology, Endocrinology, Nephrology and Neurology at
Shiga University of Medical Science, said: “There have already
been many reports on the relationship between diabetes and
periodontal disease and the risk of tooth loss. We wanted to
identify who are suitable subjects for an intervention. We
thought it would be important to analyse data obtained from the
real world with relatively large numbers to clarify the impact of
fasting glucose and HbA1c levels on tooth loss among multiple
age groups.”
For their large-scale study, the researchers employed the medical
records and information from health insurance claims of
They found that, compared with patients with normal FPG
levels, people with impaired fasting glucose levels were
already at risk of fewer teeth between 40 and 69 years of age.
Regarding the results, Dr Morino and his division colleague
Prof. Hiroshi Maegawa highlighted that at-risk patients who
smoked negatively impacted their likelihood of tooth retention.
Additionally, they advised that those diagnosed with diabetes
or prediabetes should improve their glycaemic control and
undergo regular dental check-ups and that patients with high
blood glucose levels should look to preventive oral care to
protect against tooth loss. In another study using the same
data, the high HbA1c group, which corresponded to HbA1c ≥
7%, showed a lower retention rate regarding many tooth types,
especially molars.
Commenting on how dentists can best implement the findings
into their clinical practice, Dr Morino noted: “Since this is a
cross-sectional study, caution must be exercised in interpreting
causality. However, I believe that the importance of smoking
cessation has been reaffirmed, as lifestyle improvement and
oral care with awareness of blood glucose control are necessary
from a young age to prevent tooth loss. I am convinced that
collaboration between dentistry and internal medicine will
lead to the prevention of mutual diseases and improvement of
quality of life.”
The study, titled “Glycemic control and number of natural
teeth: Analysis of cross-sectional Japanese employmentbased dental insurance claims and medical check-up
data”, was published on 28 August 2021 in Diabetology
International, ahead of inclusion in an issue.
233,567 patients between 2015 and 2016. They split the patients,
who were between 20 and 70 years old, into five ten-year age
Dental Tribune ASEAN | Jan-Mar 2022
[14] =>
14 WORLD NEWS
Though local exhaust ventilation systems are primarily used in industrial settings, a team of UK researchers has found them to also be effective
in controlling the dispersion of airborne droplets in a dental context. (Image: Roman Zaiets/Shutterstock)
COVID-19: Study shows benefits
of local exhaust ventilation in
dental settings
By Brendan Day, Dental Tribune International
One of the main ways in which SARS-CoV-2 is communicated
is through airborne respiratory droplets—droplets that can
be dispersed as a result of dental procedures. In a new study,
researchers from Newcastle University have examined the
applicability of local exhaust ventilation (LEV) systems for
controlling the dispersion of these droplets and aerosols and
found that they could be quite valuable for this purpose.
According to James Allison, lead author of the study and a
clinical research fellow at the university’s School of Dental
Sciences, LEV is often referred to as extra-oral scavenging or
Dental Tribune ASEAN | Jan-Mar 2022
James Allison, lead author of the study in question.
(Image: James Allison)
[15] =>
“For me, the most interesting finding of our study was just how
effective LEV is at capturing aerosols produced during dental
procedures,” Allison told Dental Tribune International (DTI).
“We expected the device to have an effect, but the magnitude of
this was quite surprising, particularly for droplets and aerosols
produced during ultrasonic scaling. We think that this is because
the tiny droplets in the aerosols produced by the scaler have less
momentum than those from a dental drill, for example, and so
are captured more easily by LEV,” he added.
Scope for wider LEV use in dentistry
As DTI has previously reported, a number of recent studies have
discovered that the rate of SARS-CoV-2 transmission in dental
settings has been lower than expected during the pandemic
and that air purifiers could play a role in reducing transmission
rates. One particular study conducted by researchers from
the UK found that aerosol-generating procedures carried out
in mechanically ventilated treatment rooms produced a low
particle count that returned to the pre-existing level within
10 minutes of the procedure. LEV systems, meanwhile, were
found to have a greater effect in non-mechanically ventilated
environments and to reduce the spike in particle counts in
mechanically ventilated rooms.
suction when used in dental settings. While such systems are
employed in other industries to reduce exposure to airborne
contaminants, their use is not currently commonplace in
dentistry. To investigate the potential benefits of LEV systems in
dentistry, Allison and a research group conducted a number of
experiments on dental mannequins in both an open-plan dental
clinic and a single surgical room.
Ten-minute crown preparations were conducted in the openplan clinic using an air turbine handpiece, and full-mouth
ultrasonic scaling was conducted over the same duration in the
surgery. In both settings, fluorescein was added as a tracer to
the instruments’ irrigation reservoirs and an LEV system with
HEPA filters and a flow rate of 5,000 l/min was used.
Overall, it was found that using the LEV system reduced aerosol
dispersion from the air turbine handpiece by 90% within
0.5 m of the procedure—a figure that increased to 99% for the
ultrasonic scaler within the same proximity. For the air turbine
handpiece, the detection of larger droplets within 0.5 m was also
reduced by 95%.
“We expected the [LEV] device to have an effect,
but the magnitude of this was quite surprising” –
James Allison, Newcastle University
According to Allison, there is “certainly a place” for LEV systems
to be more widely used in a dental context. “In our experience,
LEV systems are very unobtrusive for dentists to work with and
for patients too,” he noted.
“They do take up a little bit of space and some units can be
somewhat noisy, but in the context of making the dental
environment safer for patients and staff this shouldn’t be
too much of a barrier. The obvious scenario is during dental
treatment where community prevalence rates of respiratory
diseases are high, as we have seen in the COVID-19 pandemic,
but also during seasonal outbreaks of diseases such as influenza
and respiratory syncytial virus,” Allison concluded.
The study, titled “Local exhaust ventilation to control
dental aerosols and droplets”, was published online on 10
November 2021 in the Journal of Dental Research.
Dental Tribune ASEAN | Jan-Mar 2022
[16] =>
16 WORLD NEWS
General Dental Council commits to
improving its services
By Dental Tribune International
A recent survey has shown a high degree of dissatisfaction with the General Dental Council among dental professionals.
(Image: Tero Vesalainen/Shutterstock)
In 2020, UK regulator the General Dental Council (GDC)
commissioned a survey by DJS Research to identify and better
understand the perceptions and communication preferences
of GDC members. Focusing on the regulator’s core functions
and performance, the survey highlighted several areas of
dissatisfaction.
According to the survey, overall perceptions of the GDC
were 58% negative to 21% positive, highlighting a decrease in
approval since the last assessment done in 2018. This was mainly
driven by the response to COVID-19, ongoing dissatisfaction
with fitness to practise processes and communications, and
decisions about fees.
In a press release, GDC Chief Executive and Registrar Ian
Brack said, “The findings in this report illustrate some of the
frustrations felt in the sector and where we can direct our
efforts. The pandemic has thrown up new challenges for us all
and exposed some historic ones, not least the need for those we
regulate to understand our role and our shared responsibilities
in ensuring patients are protected, and public confidence is
maintained.”
Dental Tribune ASEAN | Jan-Mar 2022
In the report, the lack of universal understanding about the
GDC’s responsibilities as a regulator was evident from the high
number of dental professionals (48%) who believed that the
regulator is responsible for setting dentistry’s clinical standards.
Executive Director of Strategy at the GDC Stefan Czerniawski
said in a letter responding to the survey results: “We will
be working on building trust and credibility amongst the
professionals and students we regulate, by being responsive to
what we’ve been told. We hope our stakeholders will respond
too. Those relationships become even more important as we
continue developing our upstream agenda, moving towards a
regulatory system that is increasingly based on principles rather
than prescriptive standards, and preparing to take advantage of
the opportunities created by regulatory reform.”
While many areas need to be worked on, the survey also showed
that views of the GDC did improve slightly among dental
students and stakeholder representatives. However, Brack was
adamant that things needed to change, commenting: “I am
accountable for performance of the GDC and very clear about
what has not gone well and what we’re doing about it.”
[17] =>
WORLD NEWS 17
The bullwhip effect: Supply chain crisis
increases costs for dental practices
By Jeremy Booth, Dental Tribune International
Experts say that it could take at least two years for ports to recover from the 2021 supply chain crisis. (Image: Travel mania/Shutterstock)
Many consumers became aware of supply chain disruptions
during the holiday period. Christmas lights were hard to come
by in some cities, as were toys and certain electronics; more
earnest, however, were the recent shortages of commodities such
as paracetamol and semiconductors and the raw materials used
to make prostheses and other medical devices. As healthcare
providers, dentists have been conscious of the pandemic’s effect
on global supply chains since personal protective equipment
(PPE) became scarce in early 2020. Nearly two years on, dental
practices are still facing higher costs for essential supplies
owing to the disruptions.
Economists speak about the “bullwhip effect” to describe how
significant distortions in demand send ripples throughout global
supply chains. The COVID-19 pandemic has not only triggered
such fluctuations in demand but also compounded their effects by
grounding flights, shuttering ports and manufacturing facilities
and causing bottlenecks in global shipping lanes. Healthcare
supply chains “suffered the equivalent of a cardiac arrest” when
Chinese exports stalled in early 2020, said Magnus Meier,
vice president and chief of wholesale distribution at business
software developer SAP. Writing in Forbes in December, Meier
said that healthcare was now feeling the bullwhip effect in the
form of pent-up elective procedures and the over-ordering of
supplies—both of which send unclear signals to manufacturers.
high despite the demand for PPE having stabilised. He explained
that, whereas US dental clinics had been, on average, spending
5.5% to 6.0% of their revenue on dental supplies before the
pandemic, this spending has increased to 8.0% to 9.0%.
Fear of running out of stock and delays caused by supply chain
bottlenecks have resulted in over-ordering by buyers, and this
has helped to keep prices elevated, and Spielman wrote that
dentists should expect to continue to shoulder higher costs for
supplies in 2022. Dr Chris Salierno, chief dental officer at New
York-based dental start-up Tend, told NYSDA: “We are at risk
for seeing new waves of supply delays and price increases as long
as our global supply chain is stretched thin.”
Jorge M. Gomez, vice president and chief financial officer at
Dentsply Sirona, commented last year that it was difficult to
say when supply chain issues would ease. Gomez told analysts
in October: “It’s hard to predict how long the supply chain
issues are going to last because, again, this is not something
unique to the dental industry. This is impacting pretty much all
manufacturing industries globally, so we are a relatively small
piece of that big, big equation.” He added: “We are taking a lot of
actions to minimise the impact.”
What does the supply chain crisis mean for dentists?
In an article published by the New York State Dental Association
(NYSDA), Burke Spielmann, general manager at Henry Schein
subsidiary TDSC.com, said that the cost of supplies remained
Dental Tribune ASEAN | Jan-Mar 2022
[18] =>
18 WORLD NEWS
Danes’ oral health has
improved significantly The researchers also found that incidence of edentulism, which
used to be a major oral health issue, has dropped dramatically in
but social inequalities the whole population, from 18% to 3%. Dr Petersen commented:
“The improvement is especially evident among citizens aged
persist, study says
65–74 years. In 1987, half of them suffered from toothlessness;
Petersen, professor emeritus in the Department of Odontology
at the University of Copenhagen, said in a press release.
By Iveta Ramonaite, Dental Tribune International
today, it is true of merely 6%. Similarly, the share of adults who
have managed to keep at least 20 of their natural teeth has
increased from 16% to 69%,”
“The number of Danes who suffer from complete loss
of natural teeth is significantly lower today than it
was in 1987” — Dr Poul Erik Petersen, University of
Copenhagen
According to a large study of oral health in Denmark over a period
of 30 years, Danish adults are now seeing their dentist more often
and taking better care of their teeth, and as a result, they retain
more natural teeth. (Image: Krakenimages.com/Shutterstock)
In a recent study, researchers examined the dentate status and
the frequency of preventive dental visits of Danish adults over
a period of 30 years. Additionally, they assessed whether the
patients’ oral health had been influenced by social determinants.
The study found that, although Danes now show a significant
improvement in their oral health behaviours, there are still
social inequalities in dental health across the population. In
light of the findings, the researchers highlighted the need for
sociopolitical actions to help improve the dental health of Danes
across various social backgrounds.
The study was conducted by the Department of Odontology
of the University of Copenhagen and the National Institute of
Public Health at the University of Southern Denmark. In the
study, the researchers collected dental health information from
representative samples of the Danish population between 1987
and 2017. By surveying the participants seven times, they
compiled data on the participants’ dentate status and dental
visits over a period of 30 years.
After analysing the results, the researchers found that Danes
show a vast improvement in their oral health. For example,
adult Danes have preserved more of their natural teeth, which
has resulted in an improvement in their quality of life.
“The number of Danes who suffer from complete loss of natural
teeth is significantly lower today than it was in 1987, and
people now go to the dentist more often to prevent oral health
problems. This is the positive result of our study: that the Danes’
oral health has improved significantly,” lead author Dr Poul Erik
Dental Tribune ASEAN | Jan-Mar 2022
Dr Petersen went on to explain that various factors might have
contributed to the improvements in the dentate status of Danes,
including a healthier lifestyle, improved standard of living and a
general decline in smoking. Furthermore, there is new legislation
on dental care and more participation in preventive dental care
programmes, as well as improvements in dental treatments and
the use of toothpaste containing fluorides, he noted.
The researchers have also found that adult Danes pay more
visits to the dentist than before. According to the findings, less
than a third of senior citizens went to the dentist once a year in
1987, but the figure had increased to 79% in 2013. However, the
results are less positive for the younger population. The study
reported that only 61% of young adults aged 25–44 go to the
dentist annually compared with 88% in 1987.
Finally, evidence shows that oral health inequality is still a
topic of concern in Denmark. “The downside is that the social
inequalities in dental health and health in general have not
changed in the past 30 years. For instance, people’s dental health
largely depends on their level of education, occupation, financial
status and ethnic background,” Dr Petersen explained.
In 2017, only 32% of adult Danes with significant financial
difficulties received preventive dental care. Among adult Danes
with some financial problems the figure was 43%, whereas 62%
Danes with no financial difficulties received preventive dental
care.
The article, titled “Trends in dentate status and preventive
dental visits of the adult population in Denmark over
30 years (1987–2017)”, was published in the October 2021
issue of the European Journal of Oral Sciences.
[19] =>
HUGE - GLOBAL
DENTAL MATERIAL
SUPPLIER Since 1985
Dental Tribune ASEAN | Jan-Mar 2022
[20] =>
20 BUSINESS
Calibrated IPR can improve
predictability of clear aligner therapy
By Jeremy Booth, Dental Tribune International
is the thinnest in the mandibular incisors, having a mean value
of about 0.6 mm. Using any kind of uncalibrated device to cut
away the interproximal enamel and shape the teeth will carry a
major risk of exposing the dentin,” he explained.
When asked about the greatest challenges relating to IPR, Dr.
Hatt said that, although IPR is planned meticulously in software
such as Invisalign ClinCheck or ClearCorrect, there are few tools
that enable clinicians to follow the computer-designed plan in
a fast and predictable manner. “So, we tend to do all kinds of
workarounds in order to kind of get the desired result,” he said,
“and this often results in challenges with the final occlusion,
posterior open bites, sensitive teeth and increased risk of caries.”
As an international speaker, teacher and coach, Dr. Hatt helps
clinicians succeed with clear aligner treatment in private
practice. He is hosting a free webinar on Dec. 20 that will
aim to help dentists improve the predictability of clear aligner
therapy using a safe, fast and efficient IPR protocol. He told DTI
that every dentist performing clear aligner treatments in their
practice should attend.
Dr. Jesper Hatt is an international speaker, teacher and coach,
and co-founder of clear aligner treatment planning, training and
education platform Alignerservice.com. (Image: Jesper Hatt)
The number of dental practices that offer clear aligner treatment
is increasing, and so too is the need for interproximal reduction
(IPR) as a technique to reshape enamel in order to achieve
sufficient space to keep the tooth movements within the
biological limitations of the patient’s jaws. According to Dr.
Jesper Hatt, co-founder of clear aligner treatment planning,
training and education platform Alignerservice.com, IPR can
often be used as an alternative to tooth extractions, but the
technique is not without its challenges.
Dr. Hatt told Dental Tribune International (DTI) that IPR can
help to gain space during orthodontic treatment and to prevent
teeth from moving out of the bone. However, “the risk of using
IPR is cutting away too much enamel and exposing the dentin,”
Dr. Hatt said, adding that this can lead to a higher risk of caries,
wear and hypersensitivity. “We know the width of the enamel
Dental Tribune ASEAN | Jan-Mar 2022
In the webinar, Dr. Hatt will introduce what he says is a calibrated,
faster and much easier protocol for IPR, employing Dentatus’s
IPR tips. The learning objectives will be improved predictability
of clear aligner treatments; the ability to recognize when to stop
and reconsider the treatment plan; an understanding of the
biological considerations regarding extractions, round tripping
and IPR; and the ability to conduct safer and faster IPR.
Dr. Hatt’s webinar, titled “Calibrated IPR— guesswork not
required,” is available on demand at https://www.dtstudyclub.
com. Participants will have the opportunity to earn a continuing
education credit by taking a quiz upon completion of the webinar.
[21] =>
BUSINESS 21
The divestiture will allow the company to make further investments and to expand its product offerings. (Image: tsyhun/Shutterstock)
Envista closes divestiture of KaVo
treatment unit and instrument business
By Dental Tribune International
BREA, Calif., US: Envista, a dental equipment and supplies
manufacturing company, has recently announced that it has
closed the previously disclosed divestiture of its KaVo treatment
unit and instrument business. The company says it will use the
proceeds to fund strategic acquisitions and internal investments.
As previously reported by Dental Tribune International, a 51%
stake of the KaVo treatment unit and instrument business
was acquired by Planmeca, one of the largest privately owned
manufacturers in the dental field, and the remaining 49% was
bought by Heikki Kyöstilä, founder and president of Planmeca.
According to Planmeca, the acquisition is planned to strengthen
Planmeca’s and KaVo’s positions as leading providers of
innovative dental solutions and to increase Planmeca Group’s
annual revenue to over €1.1 billion (US$1.3 billion).
Upon closing the divestiture, Envista received US$317.3 million
(€281 million) in cash and expects to receive total gross proceeds
of US$383 million (€339 million), which includes an earnout
and certain adjustments to be paid out in the first half of 2022.
Commenting on the announcement, Envista CEO Amir
Aghdaei noted: “Envista is focused on its strategic priorities to
build and optimise a more consumables and digitally enabled,
workflow-oriented portfolio. This divestiture further enables
Envista to invest organically and inorganically, expand our
product offerings, and realise our purpose of partnering with
dental professionals to improve patients’ lives by digitising,
personalising, and democratising dental care.”
The business sold was part of Envista’s equipment and
consumables segment. However, the company says it will keep
its imaging business, which currently uses the KaVo brand for
select products, as part of the same segment.
Additional details about the transaction will be set out in a
Current Report on Form 8-K, which is to be filed by Envista and
which will be available at www.sec.gov.
Dental Tribune ASEAN | Jan-Mar 2022
[22] =>
22 BUSINESS
Graphy presents first direct
3D-printed aligner with shape
memory function
By Franziska Beier, Dental Tribune International
At the 39th International Dental Show (IDS) September 2021,
South Korean manufacturer Graphy showcased the world’s first
direct 3D-printed aligner, produced from the company’s own
3D printing resin. The aligner is equipped with a shape memory
function, meaning the polymers remember the original printed
shape. According to Graphy, its product is the only one available
on the market featuring this property. To find out more about this
innovative orthodontic solution, Dental Tribune International
(DTI) visited the company’s booth at IDS 2021.
Graphy’s aligners can be produced using any 3D printer. Owing
to the direct production process, no printing models or vacuum
forms are needed, resulting in time and cost savings. Moreover,
this printing process reduces carbon emissions and produces
less refuse because no cutting is needed, which benefits the
environment.
According to Un seob Sim, CEO and president of the company,
after two to three days of wearing an aligner, it becomes deformed
and with the changed shape, the aligner loses its orthodontic
Dental Tribune ASEAN | Jan-Mar 2022
Owing to its shape memory function, the Graphy aligner regains
its original printed form after being put into hot water. (All images:
Dental Tribune International)
force. This is why usually two to three aligners are needed to
complete one treatment step. However, owing to their shape
memory function, Graphy aligners do not need to be replaced
and thus accelerate the treatment process. If the aligner is put
into hot water for less than 1 minute, it will regain its original
shape. Tap water can be used, and no additional equipment is
needed for this step.
[23] =>
has CE certification, and 510k clearance from the US Food and
Drug Administration is pending. “We can provide our patients
with same-day solutions, and patient satisfaction has been very
high. Dental professionals also like our product,” said Sim.
The problem with aligners from other companies is that, owing
to the shape of the teeth, the aligner is narrower at the bottom
than in the middle or on the top, said Sim. He added that this
may cause harm to the patients’ teeth when the aligners are put
into their mouths. The advantage of the shape memory polymer
is that the aligner is still quite flexible shortly after it has been
removed from the hot water, and placing the aligner on the teeth
is less painful for patients.
When asked how he and his company had experienced the 2021
IDS, Sim responded: “The first IDS I went to was in 2005, and
this is the second IDS for Graphy. We have grown since then.
In the beginning, people didn’t believe in our technology, but
now we are often congratulated, and customers really like our
product. We are very happy to be here, because for almost two
years, we have not been in contact with dental professionals
owing to the pandemic. IDS 2021 was good for us personally
and financially, and now we can focus on the future.”
Another benefit of the Graphy aligner is the opportunity for
thorough disinfection. “Most companies do not recommend
brushing their aligners because, if they get scratched, bacteria
might enter, and this makes additional cleaning agents
necessary,” Sim told DTI. Graphy recommends brushing its
aligners. The material is able to stay in hot water of up to 100°C
for 1 to 2 minutes, and this also helps with disinfection.
According to Sim, two more special features of the aligner
are worth highlighting. Firstly, the aligner can move teeth
backwards, and secondly, it can rotate teeth by up to 35°. No
other aligner can achieve these results. In addition, the product
Dental Tribune ASEAN | Jan-Mar 2022
[24] =>
24 BUSINESS
Apple’s iOS 14 shakes up digital
dental brands
By Jeremy Booth, Dental Tribune International
But are internet users opting in?
This flow of data from IDFAs was sizable—picture Niagara
Falls—and extremely lucrative for all parties, bar those to whom
the data pertained. This fact was not lost on users, if current optin rates are anything to go by.
Privacy changes launched with iOS update 14.5 have hammered
social media platforms and resulted in challenges for companies that
rely heavily on online advertising. (Image: Elizaveta Galitckaia/
Shutterstock)
In the past, key steps in maintaining one’s privacy might have
entailed drawing the curtains after dark, planting a hedge or
shredding documents that contained personal information.
Nowadays, in a world increasingly ruled by digital data, privacy
begins with not opting in. Privacy changes in the 14th major
release of Apple Inc.’s mobile operating system, iOS, have made
it more difficult for companies to track users’ virtual activities
and caused headaches for marketing departments—including
those at leading digital dental brands.
U.S.-based mobile apps analytics company Flurry surveyed
user privacy choices from two billion mobile devices and found
that users opted out in 96% of cases and that just a quarter of
users had agreed when presented with an ATT opt-in prompt.
The worldwide opt-in rate was 25% and the U.S. rate was 17%,
according to Flurry, whose data related to the period between
April and August 2021. When the data was published, around
half of users had either not been exposed to the prompt or
deactivated such prompts in their device settings, and Flurry
estimated that the ultimate tally of opt ins would be around
21%—a number “too small to support robust user-level targeting
and attribution.”
Flurry wrote that it was time to move forward without IDFAs
and proclaimed the time of death of the individual-level
identifier as August 2021.
Digital-native dental brands forced to pivot on the
back foot
Apple’s iOS 14 has significantly raised the bar for internetbrowsing privacy. The tech giant’s new application tracking
transparency (ATT) measures were launched with
iOS update 14.5 and went live in April this year. Crucially,
users are now required to actively opt in in order to share their
device’s identifier for advertisers (IDFA)—a random identifier
that Apple assigns to its products—with the websites and apps
that they use. Before the update, users were required to actively
opt out. Apple has effectively closed the faucet that allowed userrelated data to flow freely to those who sold adverts online.
The changes have hammered social media platforms such as
Facebook (which commissioned academic research that found
that they represented an “anti-competitive strategy disguised as
a privacy-protecting measure”) and resulted in challenges for
the scores of companies that rely heavily on online advertising
to inform consumers about their products, including digital
dental brands.
Dental Tribune ASEAN | Jan-Mar 2022
Many companies that provide clear aligner therapy are digital at heart.
(Image: edwardolive/Shutterstock)
Digital dental brands are proliferating, and many of them reach
consumers in the same way that their treatment does: largely
via virtual means. This is particularly the case for companies
that offer partially or primarily remote treatments, such as clear
aligner therapy, and the CEO of Align Technology, Joseph M.
[25] =>
Hogan, confirmed that the privacy changes had been felt by the
company.
He told analysts in late October 2021 that the company had
registered some impact from iOS 14; however, he played down
the significance of the privacy changes for the company’s brand
marketing. “The thing is, there’s a lot of other media you can pivot
to in order to find those patients,” he said. Hogan confirmed that
Align had needed to adjust its marketing strategy, but suggested
that the changes may result in lasting impacts. “I wouldn’t
discount [the impact of the changes] in any way, in the sense
of that change being material in some sense in the near future.”
David Katzman, chairman and CEO of remote clear aligner
treatment provider SmileDirectClub (SDC), was more candid.
In early November 2021, he reminded analysts that SDC had
called out the privacy changes as representing a problem for
digital-native brands.
Dental companies now have to work harder to reach consumers who
love Apple Inc.’s products. (Image: Luke Wroblewski/flickr, (CC BY
2.0), no changes)
“In the past three months, there have been no fewer
than 20 companies noting this change as a substantial headwind
in [the second and third quarters],” Katzman said. “Facebook
and Snapchat’s earnings last month reinforced just how material
this change has been to their business. Similar to all of these
companies, the privacy changes required us to pivot quickly to
different lead strategies,” he explained.
A step forward for big tech and a challenge for
marketers
“The new privacy rules, by design, reduce the
amount of information marketers can collect” –
Nishat Mehta, IRI
Writing in Forbes in November 2021, Mehta said that raising
the bar for data collection had provided marketers with a new
challenge. He wrote: “The new privacy rules, by design, reduce
the amount of information marketers can collect from thirdparty sources and thereby create new hurdles for marketers who
have relied on that data to reach target audiences with relevant,
effective marketing messages.”
A large portion of SDC’s marketing budget was previously spent
on advertising on Facebook’s platforms, and this had a high rate
of conversion into sales. Now, the company is spending at least
part of those funds elsewhere. “We’ve not only been shifting
marketing spend away from these platforms to more TV, but
we’ve also changed our lead strategy,” Katzman explained. “We
are now focused on higher funnel leads to more efficiently and
effectively drive long-term growth.”
Commenting on the “iOS effect,” Katzman highlighted that
changes in the conversion funnel (digital lead tools that result in
sales) required a re-optimization and re-targeting “because you
really can’t follow these people around the internet.”
Kyle Wailes, SDC’s chief financial officer at the time, commented
in a media release that, together with pandemic headwinds, the
“Apple privacy changes earlier this year have presented significant
challenges to digitally native brands such as SmileDirectClub.”
The privacy changes that came with iOS 14 represent a positive
step for the tech industry, according to Nishat Mehta, chief
product officer at media analytics and marketing research
company IRI.
Providing advice to marketers, Mehta said that first-party
customer databases have been undervalued and could be
further exploited. He explained that companies could further
invest in existing customer relationship management systems,
email subscription lists and followers on social media. Engaging
with social media influencers and working together with
retail and distribution partners are further strategies that
he recommended to help marketers adapt to the new data
landscape.
“Finally, an efficient marketing strategy—in today’s postiOS 14 landscape and beyond—includes constant, accurate
measurement so marketers can validate which marketing
investments are driving the strongest results,” Mehta wrote.
Dental Tribune ASEAN | Jan-Mar 2022
[26] =>
26 BUSINESS
Ultrafast 3D printing will become a reality for more dentists and dental technicians owing to increased accessibility and distribution.
(Image: Nexa3D)
Nexa3D partners with 3D DDS to
distribute 3D-printing technology
to dentists and laboratories
By Jeremy Booth, Dental Tribune International
Dental professionals can now make the most of Nexa3D’s
portfolio of ultrafast polymer 3D printers owing to a new
reseller partnership between the company and 3D DDS. The
latter is a leading dental distributor of digital and 3D-printing
technologies and supplies and a provider of technical services
and training to dental professionals. The two companies say that
the development will make ultrafast 3D printing a reality for
more dentists and dental technicians.
CAD/CAM systems and is a leading digital dental company,
which provides end-to-end workflow solutions and integrated
design and technical services for dental laboratories, dental
offices and on-demand manufacturers. According to the press
release, it strives to deliver support across the entire additive
manufacturing process and shares with Nexa3D a belief in
providing dedicated support to customers throughout the
manufacturing process.
Nexa3D announced the new partnership in a press release,
which specified that 3D DDS will be reselling the company’s
dental portfolio, including its NXD 200 ultrafast printer, to
dental customers.
The company specified: “As a new partner and reseller, 3D
DDS will be supplying Nexa3D’s dental portfolio alongside
dedicated support for its customers. Its customers can therefore
benefit from the NXD 200 photoplastic printer, which comes
with an unprecedented 8.5 l build volume measuring 275 x
155 x 200 mm, as well as being the fastest dental printer on
the market. 3D DDS will also offer Nexa3D’s xWASH washing
station and the xCURE post-processing system to help dental
customers streamline their 3D-printing and post-processing
operations.”
“The strategic collaboration will combine Nexa3D’s ultrafast LSPc
3D-printing technology with 3D DDS’s training, personalized
technical support, backup print services and custom workflow
management integration tools to deliver unmatched part quality,
throughput and performance,” Nexa3D explained.
“We are looking forward to introducing the
complete line of Nexa3D solutions to our clients”
– Colin Barnhard, CEO 3D DDS
Colin Barnhard, founder and CEO of 3D DDS, commented: “We
are looking forward to introducing the complete line of Nexa3D
solutions to our clients, as they have come to trust us as their
primary source for leading-edge technologies and services.” He
Based in the state of Georgia, 3D DDS has over 20 years of
experience in providing 3D-printing solutions to the dental
industry. The company was an early distributor of scanners and
emphasized that “the Nexa3D ecosystem produces high-quality
parts quickly and consistently.”
Dental Tribune ASEAN | Jan-Mar 2022
[27] =>
BUSINESS 27
Pandemic
headwinds batter
SmileDirectClub
By Jeremy Booth, Dental Tribune International
tending not to spend money on tooth straightening. He said that
a combination of factors was constraining the demographic’s
spending, including rising inflation, underemployment and a
struggle to pay household expenses.
“[Our] demographic is also finding it difficult to pay
household expenses” – David Katzman, SmileDirectClub
“The increased cost of nondiscretionary goods and services is
likely limiting the ability to spend on discretionary goods and
services,” Katzman said, noting that inflation had accelerated
during the second quarter of 2021 and was having a higher
relative impact on those with lower incomes. He said that, when
it came to purchasing choices, the company’s key demographic
was prioritizing goods over services. “In that same vein, our
demographic is also finding it difficult to pay household
expenses,” he continued, adding that, during the third quarter,
44% of U.S. households surveyed by the Census Bureau had
reported difficulty in covering household costs.
Those with lower incomes have struggled more during the pandemic and
are tending not to spend money on services such as tooth straightening,
according to SmileDirectClub. (Image: Viacheslav Lopatin/Shutterstock)
SmileDirectClub (SDC) is a leading provider of remote clear
aligner therapy, but the company has missed out on the economic
immunity to COVID-19 that seems to have been afforded
to some other clear aligner manufacturers. The company’s
results slumped in the third quarter and, according to its CEO,
the difficulties can be attributed to the financial effects of the
pandemic on its target demographic.
Since its founding in 2014, SDC has steadfastly positioned
itself as a disruptor within orthodontics and treated
around 1.5 million consumers for malocclusion using its virtual
teledentistry platform and flagship stores. The company prides
itself on offering “clinically safe and effective treatment but
without the three-times markup,” and therein also lies the root
of SDC’s present troubles.
Speaking to analysts in November 2021, David Katzman, CEO
and chairman of SDC, described the company’s patients as
those who “historically could not afford the $5,000 to $8,000
[€4,400 to €7,000] price tag for clear aligners. From day one,
these customers have been a massive tailwind to our business in
the Americas and rest of the world.”
Katzman explained, however, that the company’s core
demographic—which has a median household income of
$68,000—has struggled financially during the pandemic and was
For the third quarter, SDC posted revenues of $138 million,
which represented a year-over-year decline of 18.3% and a
sequential decline of 20.6%—or $36 million—compared with
the prior quarter. Unique clear aligner shipments during the
period totaled 69,906, compared with 90,006 in the second
quarter.
SmileDirectClub to challenge Invisalign maker
Align Technology
“We are disappointed with our third-quarter results driven by the
macroeconomic headwinds that are influencing the spending of
our core demographic,” Katzman said in a statement. He said
that the company had responded quickly to support its core
demographic, but that it was also moving “upstream” to attract
customers from higher income brackets through its challenger
campaign.
“[It’s] a natural kind of progression, going from a disruptor
to a challenger,” Katzman said, referring to the fact that SDC
was now actively competing against Align Technology, which
has consistently beaten its own revenue and unit shipment
records during the pandemic.
Katzman explained to analysts that SDC launched the challenger
campaign in the third quarter “to target Invisalign’s end user
users with our value proposition.” He said that “the early results
from the campaign have been encouraging and we expect to
continue to do well into 2022.”
Dental Tribune ASEAN | Jan-Mar 2022
[28] =>
28
ADVERTISER INDEX
Dental Tribune ASEAN
Page
Advertisers
Websites
IFC
PFIFC
IBC
19
5
Curaden Malaysia Sdn Bhd
Dentsply Sirona
Dental Tribune ASEAN
HUGE (MJ Dental Supplies)
KaVo Kerr Group Malaysia Sdn. Bhd.
7
Planmeca South-East Asia
www.facebook.com/curaproxmalaysia
bit.ly/dentsplysirona-contactus.
asean.dental-tribune.com
www.mjdentalsupplies.com.my
m.facebook.com/NobelBiocareSEA
m.facebook.com/OrmcoAPAC
www.planmeca.com
INTERNATIONAL SALES OFFICES
Dental Tribune ASEAN | Jan-Mar 2022
[29] =>
D
T
“The World’s Dental Newspaper...
Now in South East Asia!”
www.dental-tribune.com
[30] =>
Image source: Freepik
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