DT ASEAN No. 1, 2023
Cover
/ Editorial
/ Content
/ Study offers new insight into diversity and prevalence of bacteria in oral infections
/ Removable partial dentures may improve mortality among partially edentulous adults
/ World news
/ Introducing Dentaverse, a virtual reality platform that is changing the future of dentistry
/ Artificial Intelligence-based tele-dentistry programme gives housebound seniors access to dental care
/ Regional news
/ Interview with Ivan Choe, the Director of APEX Digital Dental
/ ADA announces wellness ambassadors to help dentists struggling with mental health
/ Excessive bleeding: ADA highlights importance of medical history taking in dentistry
/ From a small shop in Queens to a global partner: Henry Schein celebrates its 90th anniversary
/ Stock in major clear aligner companies slides as shipments fall short
/ ADVERTISER INDEX
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[1] =>
No.1, 2023 (Jan-Mar 2023)
New WHO report unveils
alarming state of global
oral health
ADA announces wellness
ambassadors to help
dentists struggling with
mental health
Image source: Freepik
Removable partial dentures
may improve mortality among
partially edentulous adults
In The Hot Seat
Interview with Ivan Choe,
the director of APEX Digital Dental
[2] =>
[3] =>
Dental Tribune ASEAN
EDITOR’S MESSAGE
D
Publisher
FBI Publications (M) Sdn. Bhd.
Digital Dental Cameras is
expected to grow at a rate
of more than 11% through
the year 2023. The dentistry
industry is growing at a steady and
fast pace as technological tools and
information are in demand for the
practical spectrum of digital harnessing.
As of today, this computer-aided image
capturing is deemed a small part of
what is meant by “digital dentistry”.
Digital dentistry refers to the use of
digital technology in the practice of
dentistry. Examples are digital X-rays,
3D imaging, and computer-aided
design and manufacturing (CAD/
CAM) to create dental restorations.
Digital dentistry will probably continue
to be integrated into dental practices
to improve effectiveness and accuracy,
together with the patient experience of
dental treatment.
Marketing Communication
Nur Izyan binti Dzulkifli
izyandzul@fireworksbi.com
Publication Manager
Vanny Lim
vanny@fireworksbi.com
Susan Tricia
Editor
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.
We have APEX for this issue where we
interviewed Ivan Choe, the director of
Digital Dental APEX talking about their
background and mission, and their
forte and focus on the dental industry.
Ivan also shared with us the challenges
that APEX faced in the adoption of 3D
printing and also his views on digital
dentistry in Malaysia.
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 GmbH
Holbeinstr. 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@asiafbi.com
asean.dental-tribune.com
International:
mediasales@dental-tribune.com
www.dental-tribune.com
Assistant Editor
Atthira Zawana
atthirah@fireworksbi.com
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.
[4] =>
4Dental Tribune ASEAN
CONTENTS
Clinical news
6
Study offers new insight into diversity
prevalence of bacteria in oral infections
and
8
Removable partial dentures may improve mortality
among partially edentulous adults
26
World news
9
Dentistry scrapes through thirdquarter check-up
13
New WHO report unveils alarming state of global
oral health
14
New Zealand increases dental grant after 25 years
Innovations
30
15
Introducing Dentaverse, a virtual reality platform
that is changing the future of dentistry
18
Artificial Intelligence-based tele-dentistry
programme gives housebound seniors access to
dental care
Regional news
20
While Healthier SG’s emphasis on chronic
diseases, Singapore’s health minister highlights the
importance of dental care
32
21
Medit Corp. has chosen MBK partners as its
winning bidder
Business
22
30
Indonesia now has access to OneSmile aligners
24
IDEC to hold its third edition in 2023
25
The ‘One Family One Professional’ initiative by YAN
aims to create 300 doctors in 5 years
In the hot seat
26
Interview with Ivan Choe, the Director of APEX
Digital Dental
Dental Tribune ASEAN | Jan-Mar 2023
ADA announces wellness ambassadors to help
dentists struggling with mental health
31
Excessive bleeding: ADA highlights importance of
medical history taking in dentistry
32
From a small shop in Queens to a global partner:
Henry Schein celebrates its 90th anniversary
36
Stock in major clear aligner companies slides as
shipments fall short
[5] =>
[6] =>
6 Clinical news
The study was financed by the Swedish Research Council, the Swedish Cancer Society and the Centre for Innovative Medicine. (Image: crystal
light/Shutterstock)
Study offers new insight into diversity
and prevalence of bacteria in oral
infections
By Iveta Ramonaite, Dental Tribune International
Mounting evidence suggests that oral infections can affect
the course and pathogenesis of systemic diseases and are an
emerging challenge for healthcare, which is why it is crucial
to detect and monitor severe oral infections and oral bacteria.
Since only few longitudinal studies have identified which
bacteria occur in infected oral and maxillofacial regions, in a
recent study, researchers from Karolinska Institutet in Sweden
identified the bacteria typically found in severe oral infections
and determined emerging oral microbiota trends. They hope
that the findings can provide more insight into the link between
oral bacteria and other diseases.
Dental Tribune ASEAN | Jan-Mar 2023
In their study, the researchers from Karolinska Institutet
examined samples from patients with severe oral infections,
mainly dental abscesses and jaw osteomyelitis. They collected
these samples between 2010 and 2020 at Karolinska University
Hospital and produced a list of the most common bacteria. The
study included a total of 1,014 samples, which were analysed
using a mass-spectrometric method called MALDI-TOF that
helps to quickly identify individual living bacteria.
A total of 102 bacteria species were reported during the entire
study period, with a range of one to seven species per sample.
[7] =>
Prof. Margaret Sällberg Chen. (Image:
Stefan Zimmerman)
commented. “The finding isn’t only of importance to dental
medicine, it also helps us understand the role of dental infection
in patients with underlying diseases. If a certain bacterium
infects and causes damage in the mouth, it’s very likely that it
can be harmful to tissues elsewhere in the body as the infection
spreads,” she added.
Since the study was a single-centre epidemiological study, larger
studies are needed to ensure the validity of the results. “We now
hope that dentists will collaborate with clinical microbiology
laboratories more to gain a better understanding of the
bacteria that cause dental infections, to improve diagnostics
and therapeutic management of oral infections,” said Dr
Volkan Özenci, adjunct professor of clinical bacteriology in the
Department of Laboratory Medicine at the institute.
“We’re reporting here, for the first time, the microbial
composition of bacterial infections from samples collected over
a ten-year period in Stockholm County,” Prof. Margaret Sällberg
Chen from the Department of Dental Medicine at Karolinska
Institutet said in a press release. “The results show that several
bacterial infections with link to systemic diseases are constantly
present and some have even increased over the past decade in
Stockholm.”
The study, titled “Clinical microbial identification of severe
oral infections by MALDI-TOF mass spectrometry in
Stockholm County: An 11-year (2010 to 2020) epidemiological
investigation”, was published online on 24 November 2022 in
Microbiology Spectrum, ahead of inclusion in an issue.
The researchers found that the most common bacterial phyla
among the samples were Firmicutes (51%), Bacteroidetes(19%),
Proteobacteria (12%) and Actinobacteria (5%). Additionally,
the most common genera were Streptococcus spp. (36%),
Prevotella spp. (18%) and Staphylococcus spp. (11%). Finally,
the researchers also noted a significant trend in the increase
of some bacteria, for example Streptococcus anginosus and
Eikenella corrodens, during the duration of the study. The levels
of other bacteria increased minimally or remained unchanged.
“Our results provide new insight into the diversity and
prevalence of harmful microbes in oral infections,” Prof. Chen
Dr Volkan Özenci. (Image: Stefan Zimmerman)
Dental Tribune ASEAN | Jan-Mar 2023
[8] =>
8 Clinical news
Removable partial dentures may
improve mortality among partially
edentulous adults
By Iveta Ramonaite, Dental Tribune International
Discussing the motivation behind the study, lead author Dr
Nasir Zeeshan Bashir, a researcher at the University of Leeds
in the UK, told Dental Tribune International: “Although I am
a dentist, I also retrained in mathematics and statistics and am
very interested in any research where I can utilise my statistical
inference skills. I think dentistry has a real lack of research on
long-term outcomes, so being able to assess the long-term effect
of dentures while using robust statistical methodology was ideal.
My colleague Dr Eduardo Bernabé is an epidemiologist who has
done previous research in this field, and this research question
followed up well on his previous work.”
New research has highlighted the effectiveness of removable partial
dentures in improving the long-term survival rates of patients.
However, further research is needed to validate the findings. (Image:
Sergii Kuchugurnyi/Shutterstock)
In a recent study, researchers have examined whether the use
of removable partial dentures has an impact on the long-term
survival outcomes of partially edentulous adults. They reported
that using removable partial dentures may indeed have longterm benefits in reducing mortality among adults with a nonfunctional dentition but cautioned that further research is
needed to validate the findings.
The researchers used data from the Third National Health and
Nutrition Examination Survey conducted by the National Center
for Health Statistics, a division of the US Centers for Disease
Control and Prevention, and linked it to publicly viewable
mortality files for the period up to 2019. For the purpose of the
study, they included as participants 1,246 partially edentulous
adults with fewer than 20 teeth whose use of removable partial
dentures and dentition status had been determined by clinical
examination.
The findings showed that removable partial denture wearers
experienced a 26% increase in survival time. Additionally, the
researchers observed that for every 7.5 individuals treated with
removable partial dentures, one death would be prevented after
ten years of treatment.
Dental Tribune ASEAN | Jan-Mar 2023
Commenting on the findings, he added: “Rehabilitation of
patients with non-functional dentition could have a substantial
impact on these patients, beyond just restoring their dentition.”
When asked how exactly removable partial dentures could
improve mortality among partially edentulous adults, Dr Bashir
explained that the study did not specifically assess why dentures
have this effect. However, he noted that a few hypotheses were
put forward in the discussion section of the study.
“Firstly, eating a well-balanced diet is difficult when you are
lacking many teeth, as fibrous foods like vegetables can be tough
to chew. By restoring the dentition, it has been shown that
masticatory efficiency increases and, therefore, it may be that
these patients with dentures have an improved diet. Secondly,
it could be that those patients who wear and use their dentures
regularly are well motivated in other aspects of their general
health. They might also be more self-confident and lead a less
sedentary lifestyle,” he commented.
Although the findings are promising, Dr Bashir cautioned that
the results should first be validated in a randomised trial in order
to ratify the conclusions about the effectiveness of removable
partial dentures.
The study, titled “Removable partial dentures and mortality
among partially edentulous adults”, was published online in the
November 2022 issue of the Journal of Dentistry.
[9] =>
World news 9
Two of the most acute problems experienced by major dental companies during the third quarter were shrinking consumer confidence and foreign
exchange headwinds owing to a strengthening of the US dollar. (Image: Pop Paul-Catalin/Shutterstock)
Dentistry scrapes through
thirdquarter check-up
By Jeremy Booth, Dental Tribune International
The cascading effects of Russia’s invasion of Ukraine have
hobbled global pandemic recovery. Third-quarter reports from
the largest dental companies show that patients are thinking
twice about some elective treatments and that clinicians are
investing less in dental equipment. A strong performance by the
Straumann Group helped dentistry through its third-quarter
review, however, and milestones such as 14 million Invisalign
patients and 90 years at Henry Schein remind us that it is a
marathon, not a sprint.
Global player Straumann led the industry in the third
quarter with sales of CHF 550.5 million (€560.8 million),
representing overall organic revenue growth of 12.2%. Sales
increased by 7.0% (15.1% organic sales growth) in its home
region of Europe, the Middle East and Africa (EMEA), by 14.2%
(9.1%) in North America and by 8.4% (8.6%) in the Asia Pacific
region. The company performed the strongest in Latin America,
where sales increased by 25.9%, or by 20.9% on an organic basis.
Sales in Germany were the largest contributor to Straumann’s
performance in EMEA, and those in Australia, Taiwan and Japan
offset a growth slowdown in China and shored up earnings in
the Asia Pacific region. In Latin America, powerhouse Brazil
provided Straumann with robust demand, followed by Mexico,
Columbia and Peru.
Dental Tribune ASEAN | Jan-Mar 2023
[10] =>
10 World news
Align Technology CEO Joseph Hogan said that the number of adult clear aligner case starts in the third quarter had been volatile in the US,
Europe and Asia. (Image: Alexandr Grant/Shutterstock)
In the three-month period, Straumann launched the Neodent
ZI implant system in Brazil, had its ClearCorrect clear aligner
system approved by regulators in China and refocused its
European direct-to-consumer clear aligner portfolio under the
DrSmile brand.
Bill of US$1.2 billion brings Dentsply Sirona to a loss
Dentsply Sirona’s third-quarter results provided the first
detailed look at the company’s operations in 2022 and followed
an internal investigation that prevented it from filing reports
for the first and second quarters this year. Net sales at the
company during the third quarter decreased by 8.9% to US$947
million, and organic sales decreased by 0.7%. Foreign exchange
pushbacks hampered the company’s total sales by 8.2%. Dentsply
Sirona incurred a significant non-cash charge of just under
US$1.2 billion for goodwill impairment, leading to an operating
loss of US$1.2 billion.
Looking at the company’s regional performance, organic sales
declined by 5.2% in the US, increased by 3.0% in Europe and
remained flat in the rest of the world. Lower patient volumes
in the US and China affected the company’s sales of dental
consumables, and dental implant sales growth in the US and
Europe was offset by a drop in implant sales in China. Dentsply
Sirona’s new chief financial officer, Glenn Coleman, commented:
Dental Tribune ASEAN | Jan-Mar 2023
“In China, we continue to see prolonged impacts from COVIDrelated shutdowns, which we accounted for in our prior outlook.
Additionally, we are beginning to see the effects of volumebased procurement in China on our implants business. Over
the long term, we believe [that] presents an opportunity for the
business to increase volume, but in the near term the effects on
pricing will be a headwind.”
“We are not satisfied with [our] third-quarter results; however,
this quarter marks an important turning point as we enter our
company’s next chapter,” Dentsply Sirona’s new CEO, Simon
Campion, said in a press release, referring to a wide-ranging
review of the company’s business.
Henry Schein celebrates with steady performance
Global dental sales at Henry Schein for the quarter amounted
to US$1.8 billion, a year-on-year fall of 2.1% due largely to
unfavourable foreign currency exchange rates that resulted from
a strengthening of the US dollar. In local currencies, internal
sales in North America were steady, and international internal
sales increased by 3.3%, the company said in its earnings
statement.
Global sales of dental merchandise, at US$1.4 billion, were
down by 3.5% year on year, and global sales of dental equipment
[11] =>
Hogan said: “[We] think teens are somewhat shielded—not
completely but shielded from the economic environment
because of the time window for treatment and parents who want
to help their teens through that whole process.”
Dental Tribune International reported last week that major clear
aligner manufacturers’ stock prices have slid significantly this
year, owing to volume contractions.
Envista Holdings concludes successful quarter
Reported sales at Envista totalled US$631.1 million for the third
quarter—a year-on-year increase of 3.9%. According to Chief
Financial Officer Howard Yu, earnings during the period were
boosted by the company’s specialty products and technologies
segment and offset by weaker performance in dental equipment
and consumables.
Envista’s orthodontics business appears not to have suffered
during the quarter from the downturn in orthodontic patient
traffic. Envista earned more than twice as much from sales of
Spark clear aligners than it did in the same quarter last year, and
CEO Amir Aghdaei said that Envista’s traditional orthodontics
business—including its new Damon Ultima brackets system—
had also delivered growth.
rose by 2.6% to reach US$416.0 million. In local currencies
and excluding personal protective equipment sales, North
American and international sales of dental merchandise rose by
3.8% and 6.9%, respectively. Internal sales of dental equipment
in local currencies increased by 12.8% in North America and
by 1.4% in international markets. Henry Schein marked its
90th anniversary during the period, and CEO and Chairman
Stanley M. Bergman rang the Nasdaq bell to open trading at the
New York-based stock exchange on 13 September.
Align Technology navigates earnings drop
In a conference call, Align’s CEO, Joseph Hogan, commented
specifically on softening demand and changing demographics
in the clear aligner business, saying: “Third-party reports
indicate there are fewer new patient visits, less traffic flow and
lower orthodontic case starts overall. Our clear aligner volumes
further reflect the underlying orthodontic market trends and a
shift away from adults toward teens in [the third quarter].”
Teen case starts totalled 200,000 during the three-month
period—a 13% sequential increase and a near parity with
the record 206,000 teen case starts in the third quarter last
year. Regarding adult case starts, Hogan said that volatility in
numbers had been seen in the US, Europe and Asia.
Yu said that core sales growth in Western Europe increased by
9% during the quarter, but that sales in North America had been
flat. A return to typical levels of oral care provision in Shanghai
after COVID-19 lockdowns helped Envista’s sales in China to
increase by 9.2%, and other emerging markets had delivered
year-on-year sales growth of over 15% as they continued to
recover from the effects of the pandemic.
Robust patient volumes vs economic caution
Despite their varying performance, major dental companies
agree that the fourth quarter this year will be a challenge.
Aghdaei told analysts: “While private and group practices
and [dental support organisations] remain excited about
the promising outlook for dental, there is no doubt that the
impact of inflation and potential for an economic slowdown,
coupled with the various geopolitical risks around the world,
including the conflict in Ukraine, continue to [weigh] heavily
on clinicians’ minds.” He explained that robust patient volumes
were not making dentists less cautious about their investments.
For its part, Dentsply Sirona expects to see a fall in elective
procedures in the coming months—clear aligner treatment and
implant therapy, specifically—owing to economic pressures on
consumers in major markets that the company serves.
Dental Tribune ASEAN | Jan-Mar 2023
[12] =>
12 World news
A recent report released by World Health Organization highlights the worrying state of oral care and serves as a call for political action for
improving oral health worldwide. (Image: Oakland Images/Shutterstock)
The World Health Organization (WHO) published the
latest Global Oral Health Status Report on 18 November, almost
20 years after its last publication. The document provides a
comprehensive picture of oral disease prevalence and includes
data profiles for 194 countries. The report is valuable both
to policymakers and stakeholders who wish to take action to
promote good oral health and access to dental care in their
respective countries or regions.
The oral health profiles are based on the latest available data from
the Global Burden of Disease project, the International Agency
for Research on Cancer and global WHO surveys. According to
the data collected, approximately half of the world’s population,
that is, 3.5 billion people, suffer from oral disease, and three out
of every four affected people live in low- and middle-income
countries. Additionally, it shows that the global oral disease
burden is even higher than that of non-communicable diseases
such as mental disorders, diabetes and cancer and has grown
substantially over the last 30 years owing to limited access to
prevention and treatment of oral disease.
“Oral health has long been neglected in global health, but
many oral diseases can be prevented and treated with the costDental Tribune ASEAN | Jan-Mar 2023
effective measures outlined in this report,” Dr Tedros Adhanom
Ghebreyesus, WHO director general, said in a press release.
“WHO is committed to providing guidance and support to
countries so that all people, wherever they live and whatever
their income, have the knowledge and tools needed to look after
their teeth and mouths, and to access services for prevention
and care when they need them.”
“Oral health has long
been neglected in
global health.”
— Dr Tedros Adhanom
Ghebreyesus, WHO
[13] =>
New WHO report unveils
alarming state of global
oral health
By Iveta Ramonaite, Dental Tribune International
According to the report, dental caries, severe periodontitis,
tooth loss and oral cancers are among the most common oral
diseases. Data shows that untreated dental caries affects an
estimated 2.5 billion people and is the most common condition
globally, and severe periodontitis is estimated to affect one
billion people worldwide. A staggering 380,000 new cases of
oral cancer are diagnosed every year.
Furthermore, the report found great disparities in access to oral
health services and concluded that oral diseases and conditions
significantly affect the most vulnerable and disadvantaged
populations, namely people living on low incomes, people living
with disabilities, older people living alone or in care homes,
people living in remote and rural communities, and people
from minority groups. High sugar intake, all forms of tobacco
use and harmful use of alcohol are all factors that contribute to
the global oral health crisis.
Finally, the report showed that only a small percentage of the
global population is covered by essential oral health services
and that those with the greatest oral care needs often have the
least access to services. The key barriers to delivering access to
oral health services include high out-of-pocket costs, reliance
on highly specialised providers, and ineffective oral health
interventions and policies.
Besides outlining hindrances to delivering oral care, the report
highlighted various facilitators for improving the state of global
oral health. These include addressing common risk factors
through a public health approach; integrating oral health into
national health and making it universal; redefining oral health
workforce models; and strengthening oral healthcare systems,
including collecting and integrating oral health data into
national health monitoring systems.
“Placing people at the heart of oral health services is critical if
we are to achieve the vision of universal health coverage for all
individuals and communities by 2030,” Dr Bente Mikkelsen,
WHO director for noncommunicable diseases, noted. “This
report acts as a starting point by providing baseline information
to help countries monitor progress of implementation, while
also providing timely and relevant feedback to decision makers
at the national level. Together, we can change the current
situation of oral health neglect,” she concluded.
Dental Tribune ASEAN | Jan-Mar 2023
[14] =>
14 World news
New Zealand increases dental
grant after 25 years
By Jeremy Booth, Dental Tribune International
Oral health inequality in New Zealand has been exacerbated by decades of inaction and insufficient funding by consecutive governments.
(Image: AsiaTravel/Shutterstock)
Oral healthcare campaigners in New Zealand are celebrating an
increase in the special needs dental grant and a broadening of
the criteria that patients need to meet in order to receive it. The
grant had not been increased since the 1990s, despite substantial
rises in the cost of living and around 40% of the population not
being able to afford a visit to the dentist.
The Ministry of Social Development dental grant more than
tripled on 1 December—from NZ$300 to NZ$1,000 (€181 to
€605)—and can now be used for immediate and essential dental
treatment such as dental restorations and the treatment of
gingival infections. Previously, the grant had only been available
to patients who were in pain and required emergency treatment,
as reported by state broadcaster Radio New Zealand.
The increase followed a mid-November report that highlighted
stinging inequalities in the accessibility of dental care in New
Zealand. According to the Tooth Be Told report, in 2020, 40%
of New Zealand adults and half of the Māori and Pasifika
population were unable to afford dental treatment. In the same
year, New Zealand had the highest unmet need for adult dental
care among 11 comparable countries, and around 250,000 adults
had teeth extracted owing to dental caries.
Dental Tribune ASEAN | Jan-Mar 2023
According to the New Zealand Dental Association (NZDA),
which has long campaigned for greater equality in oral care,
the increase constitutes a first step towards improving access
to dental treatment for low-income adults. “The NZ$300 limit
had not increased for a quarter of a century. The association is
pleased that our advocacy for increasing access to dental care
for low-income families has succeeded,” NZDA President Dr
Erin Collins said in a statement.
Patients do not need to pay back the NZ$1,000 grant, and it can
be used to fund a number of dental procedures over a 12-month
period. Last year, around 40,000 New Zealand beneficiaries
received advanced benefit payments for emergency dental care,
and the Ministry of Social Development said that the changes to
the grant would enable up to 50,000 adults to meet their dental
costs without having to take on debt.
[15] =>
Innovations 15
Dentaverse is a virtual environment where users can interact with one another, attend and host events and even
present and learn about dental treatments and products. (Image: Dentaverse)
Introducing Dentaverse, a virtual
reality platform that is changing
the future of dentistry
O
By Jeremy Booth, Dental Tribune International
n 1 December, dental professionals from around the
world gathered for the launch of a new, virtual reality
(VR) environment called Dentaverse. Based on Web3
technologies, Dentaverse aims to create a meeting point for
the global community of dentists, dental students and dental
industry professionals. According to its founder and CEO,
Martin Ravets, the platform has the potential to bridge the gap
between physical and virtual oral care and to overcome the
barriers of time and distance in order to create a truly inclusive
international dental community.
Dental Tribune International (DTI) spoke with Ravets just hours
before the launch using video call technology that connected
DTI’s editorial office in Leipzig in Germany with Dentaverse’s
headquarters in Brussels. Popularised during the SARS-CoV-2
pandemic, streaming and video call platforms can only take
connectivity to a certain point. Commenting on the immersive
experience that Dentaverse offers—including through the use of
VR headsets—Ravets said: “If we were meeting there, we would
have eye contact and you could see and follow my gestures and
body language, and I yours. It would be a completely different
type of interaction.”
Let us take a step back and explain exactly what Dentaverse
is. Popular community-based web tools—such as Instagram
and LinkedIn—underpin the platform, and these are mixed
with new Web3 technologies, like blockchain, metaverse
and cryptocurrency payment, in order to create a virtual
environment where users can interact with one another, attend
and host events, and even present and learn about dental
treatments and products.
Ravets says that, although Web3 technologies may not be widely
used by dental practices currently, they will quickly become
standard working tools. “Right now, it is similar to the late 1980s
and the 1990s,” Ravets explained. “We were told that websites
would become an essential tool for presenting your practice, to
share information. And the same thing happened again around
2010 with social media when we were told that communication
Dental Tribune ASEAN | Jan-Mar 2023
[16] =>
16 Innovations
Dentaverse Lounge Club booth at Dentex Dentalia 2022 in Brussels, Belgium.
(Image: Dentaverse)
and networking would be reinvented. These technologies are
now so commonplace that we cannot imagine working without
them. It will be the same with technologies like digital assets
and blockchain, simply because these technologies really allow
people to do a lot of great things.”
The immense potential of virtual interaction
Ravets believes that connecting the global dental community
will help to create a better future for dentistry, particularly
given the immense potential of virtual interaction in the realms
of connectivity and education. He explained: “What it means
for dentists, for example, is that they can organise and attend
workshops, thereby exchanging knowledge and experiences in
real time. Imagine the following scenario: for a certain complex
Is the future of dental education and events
already here?
Dental education and gatherings were largely shifted online
in 2020 and 2021, owing to travel restrictions and lockdowns.
This development increased the acceptance of online tools, and
Ravets and his team are thus particularly excited about what
Dentaverse could offer in these areas.
dental procedure, a dentist in Turkey could consult with an
expert in South Korea in real time, simulate and practise the
procedure, and learn the fine details of a specific technique,
receiving feedback and direction from his or her peers.”
More broadly, the technology is well positioned to build a strong
international dental community that includes dental students
and clinicians and enables networking between the two groups.
Ravets asked: “How exciting would it be for students to get
acquainted with their future mentors or colleagues while still
in university, to already secure an internship position through
connections in the Dentaverse environment? Quite simply, it
creates a place to connect, to grow and have fun, and to shape
the dental industry of tomorrow together with like-minded
individuals.”
Dental Tribune ASEAN | Jan-Mar 2023
Dentaverse Membership 4K Club NFT 3D animation, available
on Opensea and Dentaverse. (Image: Dentaverse)
[17] =>
First world VR dental hybrid event on 1 December 2022 between Dentaverse headquarters and
the virtual platform. Readers can browse the virtual platform here. (Image: Dentaverse)
Here, solutions are being created in partnership with
manufacturers, institutions and event organisers. Ravets
explained: “We have a partnership with Saratoga and we have
been working together for the past months, looking at how
online dental education is today and how it could be improved.
In addition to the manual work and physical classes at the
university, cameras record what students do on the frasaco
phantom head, and this is streamed. Student can rewatch these
streams, and the use of this technology increased a lot during
the pandemic. Using Dentaverse, a university can really know
whether students have attended and listened to a virtual class,
and it can allow students to do a lot of virtual test training. It is
much more fun for the students and really is a totally different
method in which students can connect with each other anytime.
That is how we are approaching this, collaborating with the
university to take streaming from 2D to a 3D communication
tool.”
VR technology is also well suited to dental events, and the
organisers of the AEEDC Dubai dental conference and
exhibition in the UAE recently announced a new partnership
with Dentaverse that “will break new ground in dental
education, connectivity, and networking”. The meeting will
take place from 7 to 9 February next year, and Dentaverse is
organising a special event in the city’s Museum of the Future on
the eve of the congress. There, dentists will have the chance to
see and experience the platform, and Dentaverse ambassadors
from around the world will be on-site at the Dubai event to offer
live workshops, experiences and events relating to Dentaverse
and virtual applications in the dental field.
The two partners are soon expected to unveil a joint virtual
exhibition platform that will offer a world premiere of the
immersive experience to the global dental community. “Dentists
will be able to join AEEDC Dubai using a phone or computer,
but of course, the best option would be to participate with a
VR set, to get that immersive experience,” said Ravets, adding
that the Dentaverse ambassador group was already in the
region, working on special projects that address topics such
as a new dental care research centre and the effectiveness of
toothbrushing using the platform.
Developing Dentaverse has been a labour of love for
Ravets—a young entrepreneur who feels equally at home in
the dental and digital worlds. When it comes to innovation,
he says that dentistry is on the cusp of great advancement.
He explained: “Usually, growth and innovation in the dental
industry occur mostly through the introduction of more
ergonomic equipment or better treatment techniques. However,
Dentaverse brings a fresh angle to dental collaboration and
adds new tools for spreading dental education and creating an
inclusive international community. Digital solutions bridge the
gap between physical care and virtual care, enabling healthcare
providers and educators to overcome the barriers of time
and distance. For this reason, I consider Dentaverse to be an
important milestone in the future of dentistry.”
Dental Tribune ASEAN | Jan-Mar 2023
[18] =>
18 Innovations
Artificial Intelligence-based
tele-dentistry programme
gives housebound seniors
access to dental care
W
ith the help of the Temasek Foundation, the
National Dental Centre Singapore (NDCS) carried
out a cooperative teledentistry initiative to provide
preventative dental treatment for elderly individuals who
are at risk of neglect, are housebound or confined to nursing
homes, and have mobility issues. In this experimental program,
Vanguard Healthcare and St. Andrew’s Community Hospital
(SACH) both took part.
This pilot program’s artificial intelligence (AI) software can
Older adults’ general health, sense of well-being, and level of life
enjoyment can all be impacted by bad dental health. The dental
health of Singaporean elders is frequently poor, with 31 percent
of them being fully disabled or wearing dentures and 38 percent
having fewer than 20 healthy teeth, according to a 2017 year
survey.
Following the examination, the intra-oral scans and medical
information are uploaded to an electronic system, which
enables NDCS dentists to access the patient’s records and offer
treatment plans that will be reported to SACH and Vanguard
Healthcare specialists for further action.
Clinical Associate Professor Christina Sim, Principal
Investigator, T-DOCS & Senior Consultant, Department of
Restorative Dentistry - Prosthodontics, NDCS, explained, “The
T-DOCS initiative uses teledentistry technology to monitor
and conduct routine oral examinations on elderly individuals
for early detection. This covers a crucial gap in preventative
oral care for elderly people from disadvantaged backgrounds,
among whom 80 percent of the 200 seniors who participated in
the pilot T-DOCS program had dental issues such tooth decay
and periodontal disease, which refers to gum infections.”
Professor Sim added, “This new form of care offers ease to
caregivers and our partners, prompt oral care for senior citizens,
and resource optimization for superior community care.”
More than 40 local nursing home staff members and volunteers
of the SACH homecare team have received training to conduct
oral health exams, intra-oral imaging of senior citizens’ oral
cavities, and basic oral and denture hygiene care.
Dental Tribune ASEAN | Jan-Mar 2023
automatically evaluate a patient’s early indicators of tooth decay
and gum inflammation using images taken with an intra-oral
camera equipped with fluorescence technology. By alerting the
remote dentist to any problematic areas, the AI will reduce the
amount of time needed to study and comprehend the images.
Additionally, it might give the home care nurse a visual cue on
the regions that need more focus.
Many of the nurses and staff members that regularly visit the 199
elders for health checks who were a part of the pilot program
took care of the seniors.
Due to mobility concerns, retired Lim Kwang Chuey has not
visited a dentist in more than ten years. Every six months,
a homecare team from SACH visits the 64-year-old man to
perform a health examination. The same team also included an
oral health examination at his home when he was enrolled in the
T-Docs program in February 2022.
Mr. Lim stated, “My previous dental checks were a hassle for
me to travel to. I am now overjoyed that I don’t have to leave
my house.” He continued, “Since I already know the nurse that
assists me, I feel secure and at ease when she examines my teeth.”
[19] =>
Head of SACH’s Home Medical Services, Dr. Patricia Lee
shared, “Patients in SACH Home Care who took part in the trial
program benefited from T-DOCS, as we saw. The home care
staff can solve the patient’s medical and dental problems in only
one visit. This can help control or possibly lessen the stress that
carers experience when they must make arrangements for their
loved ones to receive dental care if they are physically limited.”
Richard Lim, a retired taxi driver, is the primary caretaker
for his 89-year-old mother, who is housebound and unable of
performing any everyday activities. The 66-year-old claimed
that in January 2022, his mother was added to the program.
“We had a difficult time going to the dentist because my mother
is confined to her home. The home medical team introduced
us to T-DOCS and gave us their recommendation. This
program significantly lessens my burden as well, he said.” With
the homecare team’s instruction, Mr. Lim is now also better
Temasek Foundation’s Head of Programs, Mr. Lim Hock Chuan,
mentioned, “Many weak seniors require oral care from their
caretakers or healthcare assistants because they have cognitive
or physical limitations. While some of them require specific
arrangements to get oral care in the community, others are
unable to convey their needs. Temasek Foundation is pleased
to fund the T-DOCS initiative to provide these elders with
preventive oral care in recognition of these requirements.”
Temasek Foundation has provided $1.23 million over three
years to fund this program.
NDCS is expanding the T-DOCS program to accommodate
more senior citizens, including those who are in prison, in
special needs facilities, senior activity centers, and daycare
centers.
equipped to assist his mother with her oral hygiene.
Image source: Unsplash
Dental Tribune ASEAN | Jan-Mac 2023
[20] =>
20 Regional news
While Healthier SG’s emphasis on
chronic diseases, Singapore’s health
minister highlights the importance of
dental care
Although dental care is not heavily highlighted in the blueprint
of Singapore’s national preventive care policy, Mr. Ong Ye Kung,
Singapore’s health minister, said preventative oral and dental
care is of the greatest priority.
The minister also urged healthcare professionals to use the
National Electronic Health Record (NEHR) system that would
standardize patients’ data and make it accessible to various
healthcare service providers.
The minister explained to a group of dentists, at the International
Dental Exhibition and Meeting (IDEM), held at the Sands Expo
and Convention Centre, “Since dental care is ahead over physical
care, Healthier SG does not significantly focus on it.”
In the course of our lives, many of us routinely visit a variety
of healthcare institutions, including hospitals, therapy centers,
general practitioner clinics, and polyclinics. Each of these
healthcare professionals will consequently have some knowledge
of our medical history.
IDEM is a three-day convention and trade expo for the dental
industry where members of the global dental community can
share innovations and ideas. The Singapore Dental Association
(SDA) and Koelnmesse Pte. Ltd. are the organizers of this event.
Speaking at the occasion, he described how the dental sector is
part of the overall Healthier SG effort, which aims to improve
Singapore’s healthcare system to put more importance on
preventive care.
Although the plan appears to be primarily focused on general
practitioners (GP), he reinforced that preventive care in all
aspects, including dental and oral care, is crucial, since it is not a
major component of the white paper that parliament approved.
“As you get older, a lot of Singaporeans develop the practice of
occasionally visiting the dentist to check on their oral health
and clean their teeth, whereas we don’t do that with our GPs to
perform our health screenings,” said the minister.
The government would therefore place a higher priority on
more critical matters, with chronic illnesses now being the most
urgent, rather than oral health.
Dental Tribune ASEAN | Jan-Mar 2023
The NEHR is a safe system that compiles summaries of patient
health records from various healthcare organizations. This
makes it possible for authorized medical professionals to get a
complete view of your medical history. Your care team will be
able to provide you with safer, better, and more individualized
care with ‘One Patient, One Health Record.’
“A patient and doctor can have a very good relationship, and
all of the information is recorded in the doctor’s steel cabinet.
However, if the patient requires to see a different doctor one day,
let’s say in the A&E department, and the other system does not
have any details, it does not benefit the patient any good,” he
stated.
He described this move as a valuable effort to further improve
Singapore’s healthcare system and indicated that the government
will be offering grants to ease the process.
[21] =>
Regional news 21
Medit
Corp. has
chosen MBK
Partners as
its Winning
Bidder
Image source: Medit
A
prominent Asian private equity firm, MBK Partners,
will acquire Medit Corp., the third-largest supplier
of 3D dental scanners in the world. Both companies
were able to reach an agreement on this deal for less money than
the multinational consortium led by the GS Group and Carlyle
Group.
Investment banking sources stated that South Korean PE
company Unison Capital Inc., Medit Corp.’s largest shareholder,
and Citigroup Global Markets, the deal’s advisor, selected MBK
Partners as the preferred bidder for a 100 percent stake in the
regional provider of dental scanning systems.
MBK Partners is said to have made a bid of roughly 2.6 trillion
won ($2 billion), although the last round of negotiations could
result in a price modification. The value is roughly 10 percent
less than what the GS-Carlyle team proposed in their initial bid
in October. A primary auction that was conducted the previous
month was won by the consortium, which put out the highest
bid of 3 trillion won ($2.26 billion). The acquisition price
controversy caused it to lose its top bidding position.
The Carlyle Group-GS Group consortium, KKR, Blackstone, and
CVC Capital were among the bidders in the competitive field
for 3D dental solutions. The Canada Pension Plan Investment
Board conducted a review right up until the deadline.
Chang Min Ho, a professor of machinery engineering at Korea
University, established Medit Corp. in the year 2000. Since 2019,
Medit Corp. has been actively expanding in foreign markets to
speed up growth.
In contrast to the 72 billion won recorded in 2019, Medit Corp.
had a significant revenue growth last year, reaching 190 billion
earned. The corporate value of Medit Corp., which was roughly
640 billion won in 2019 when Unison Capital Inc. purchased a
50 percent stake in the business, also rose quickly behind the
revenue increases, reaching almost 3 trillion won today. As a
result of its 3D scanning technology, Medit Corp. is currently
one of the leading companies in the global digital dental sector.
To complete the acquisition in early 2023, MBK Partners and
Medit Corp. are anticipated to sign a stock purchase agreement
(SPA) before the year ends.
Unison Capital Inc. began negotiating with KKR and CVC
Capital as well as other significant international private equity
firms after GS-Carlyle lost the preferred bidder position. While
these discussions were going on, MBK Partners quickly seized
the chance to buy the company because it believed that the
worldwide digital dental market had significant potential for
medium-and long-term growth.
Dental Tribune ASEAN | Jan-Mar 2023
[22] =>
22 Regional news
Indonesia now has access to
OneSmile aligners
OneSmile’s all-in-one orthodontic clear aligner system is the
first of its kind in the world to be Halal-certified and now
available in Jakarta. At a price that is less than a third of what
the top clear aligner clinic brands charge their clients, OneSmile
aligners are made with the most advanced digital technology
from Germany, France, and the United States.
Dental Tribune ASEAN | Jan-Mar 2023
One Smile is a therapy program created to make getting
the perfect smile simple and comfortable. Wearing metal
components in your mouth for an extended amount of time
was a part of traditional orthodontic appliances. Instead of
using traditional braces to align and straighten teeth, One Smile
aligners are nearly invisible with a detachable option.
[23] =>
For more than 20 years, millions of new patients have
started using clear aligners to straighten their teeth. This is
the orthodontic treatment of choice for selective adults and
teenagers in Australia, the United States, and Europe. Southeast
Asia is now following this trend and swiftly catching up to
the market conversion rates in the west as it spreads quickly
throughout Asia.
The main selling point of clear aligners as opposed to traditional
braces is that they eliminate all of the bad experiences users had
as teenagers with braces. Most people appreciate the fact that
transparent aligners are precisely what they claim to be. Nobody
can tell you are straightening your teeth when you wear them
because they are clear and undetectable.
How are OneSmile aligners able to accomplish this?
With the help of digital technology, OneSmile can put you
in contact with the world’s leading clear aligner specialist
orthodontist, who has worked remotely on more than 500,000
cases. Through its Dental Monitoring home scan box and app,
you and your dentist can create a customized treatment plan
and get weekly progress updates.
What distinguishes OneSmile aligners from its rivals
as being the affordable local Indonesian alternative?
OneSmile is a company that offers more than simply transparent
orthodontic aligners. Unlike other businesses, OneSmile sells
its aligners to dental and orthodontic clinics via businessto-business (B2B) channels and promotes to you, the patient,
through business-to-consumer channels (B2C). OneSmile
genuinely cares about each one of its clients, and it will go above
and beyond to make their orthodontic journey and experience
enjoyable, painless, and quick. OneSmile is the company that
OneSmile is the only brand that holds the best aligner digital
technology, 3D printing production solutions, and worldwide
patented Dental Monitoring (exclusive to OneSmile) for
Indonesia.
With recyclable aligners, a single-cost treatment, and technology
that can treat patients from the age of 10 to seniors, OneSmile is
a completely sustainable business.
allows you to visit the clinic in the luxury of your own home.
Dental Tribune ASEAN | Jan-Mar 2023
[24] =>
24 Regional news
IDEC to hold its third edition in 2023
The Indonesia Dental Exhibition & Conference (IDEC) 2023
will take place after a four-year gap following its postponement
in 2021 due to the pandemic. Held at the Jakarta Convention
Center, the event will last three days from September 15-17,
2023.
IDEC is seen as a platform for ‘knowledge transfer’ for all dentists
and the dental sector in Indonesia with developed countries
being more receptive to the growth of dentistry technology.
Over 250 exhibitors, 20 international group pavilions, and 5000
local and foreign visitors are anticipated by IDEC covering 2500
square meters of exhibition space. Throughout the three days of
IDEC 2023, more than 20 speakers will lead over 18 seminars.
As a result, IDEC is showcasing not only a wide range of scientific
workshops and demonstrations of dentistry technology, but also
displaying three national pavilions made up of China, Korea,
and Germany, the three key pioneering countries in the global
dental health industry.
The third edition of IDEC arrives with the concept of ‘The
Transformation of Dental Health Resiliency’. This concept is
created to establish a platform for attendees to take up new skills
and knowledge, and actively future-proof their skill sets.
IDEC 2023 is organized by the Indonesian Dental Association
(PDGI) in partnership with PT Traya Eksibisi International
(Traya Events) and Koelnmesse Pte. Ltd. Earlier in 2019, this
same group hosted IDEC’s second edition. This ongoing
Dental Tribune ASEAN | Jan-Mar 2023
partnership enables IDEC to reach new heights in subsequent
editions.
“We are overjoyed to have IDEC back following the pause
in 2021. Attendees will meet significant stakeholders in the
Indonesian dentistry industry and have the chance to reconnect
with one another while learning about and exploring the most
recent breakthroughs in oral health,” according to Mathias
Kuepper, managing director of Koelnmesse Pte. Ltd.
Koelnmesse Pte. Ltd. has organized several major trade shows
for Southeast Asia, one of which is IDEM Singapore, a highly
recommended dental exhibition in the Asia Pacific.
The director of PT Traya Eksibisi International, Andy
Wismarsyah, said, “Indonesia’s trade fairs are booming back
to life, and we are excited to gather all together local and
international dentistry sector through IDEC. We are pleased to
personally welcome participants back and present a fresh and
new IDEC 2023.”
Traya Events established in 2015, is one of the top organizers of
expos in Indonesia.
IDEC is currently accepting bookings for exhibition space.
Registration for business visitors will start in March 2023.
[25] =>
Regional news 25
The ‘One Family One Professional’
initiative by YAN aims to create 300
doctors in 5 years
Datuk Shahrul Nizam Yunos, the deputy president of the YAN,
who attended the program event with MUCM vice chancellor
Prof. Dr. Patrick Kee Peng Kong.
17 MUCM students studying medicine and dentistry have
already received letters of approval for their ‘tertiary education
sponsorship program.’
Faziatul Dayana Sharudin, a 19-year-old first-year medical
student, expressed her gratitude for receiving a loan because it
will lessen the financial strain on her family given the high cost
of the program.
YAN deputy president Datuk Shahrul Nizam Yunos said the
programme was a joint-initiative between YAN and Kolej Universiti
Manipal Malaysia (MUCM) through an association with Majlis
Amanah Rakyat (Mara). -BERNAMA PIC
With students from the B40 and other economically
disadvantaged groups, Yayasan Angkasawan Negara (YAN) aims
to create 300 doctors in the next five years. This initiative will be
carried out via the ‘One Family One Professional’ program.
Under a partnership with Majlis Amanah Rakyat (MARA), this
program is a joint effort of YAN and Manipal University College
Malaysia (MUCM).
MUCM is one of Malaysia’s oldest and most prestigious
educational institutions with more than 20 years of experience
in providing medical and dental education.
As part of the ‘One Family One Professional’ action plan,
qualified students will be offered convertible loans to cover the
cost of their medical or dental studies at MUCM as well as a
monthly allowance to help with living expenses.
The main objective of the ‘One Family One Professional’ project
is to help Malay and Bumiputera students from low-income
families to pursue careers in dentistry or medicine, according to
“Receiving the loan will lessen the stress on my family because
my mother is a housewife and my father is a retired army
soldier. Along with the loan, I will also get an RM870 monthly
allowance and other benefits like accommodation.”
The youngest of five siblings added, “I can now fully concentrate
on my education and work persistently to attain outstanding
grades just so my family will not be obligated to pay back the
loan.”
Furthermore, Datuk Shahrul Nizam made it clear that medical
and dental students who took up student loans and succeeded
in their careers over the next five years would not be required to
pay back their loans.
Additionally, YAN collaborated with orphanages across the
country, and with the Department of Orang Asli Development
(JAKOA) to gather information or numbers on students who
excelled in their academics and wanted to become doctors.
The One Family One Professional project will also be expanded
to include various professions to aid the country in producing
more professionals.
Dental Tribune ASEAN | Jan-Mar 2023
[26] =>
26 In the hot seat
Interview with Ivan Choe,
the Director of APEX Digital Dental
1 As the first Digital Dental Laboratory in Malaysia
founded in 2016, share with us APEX’s background
and mission.
APEX was set up in 2016. We started as a small company
doing restoration of dentures and fixing single crowns. Today,
by going digital, we can open up our channels to the world
with manufacturing facilities all around the globe. In 2021
December, Apex Digital Dental has practiced a voluntary
Merger & Acquisition (M&A) exercise with MODERN
DENTAL HOLDINGS incorporated in Hong Kong and listed in
HKSE. APEX is the first full fledge Digital Dental Laboratory in
Malaysia. We provide full & complete digital dental laboratory
solutions for the entire Digital Dentistry & 3D process, from
Treatment Planning (TX), Digital Smile Design to Final
Prosthetics Manufacturing. We have more than 10 Designing
Stations (CAD), 7 Milling Machines (WET & DRY), and
multiple 3D Printing Machines. Benefiting the whole ecosystem,
APEX Digital Dental strives to create more high-paid salaries
jobs in the nation and continue to elevate the country’s dental
technologies.
Dental Tribune ASEAN | Jan-Mar 2023
2 Do share with us APEX’s core business. What’s APEX
focused on in the dental industry in Malaysia?
APEX offers services in digital-assisted implant treatment
planning and guided surgery, implant bars and bridges,
surgical guide, customized abutments, 3D printing, CADCAM
prosthetics, and digital smile designs and we also provide
education and training.
[27] =>
Dental Tribune ASEAN | Jan-Mac 2023
[28] =>
28 In the hot seat
3 What does APEX bring to the table for 3D printing in
the dental industry? What is APEX’s forte?
APEX offers computer-guided implant surgery in 3D printing.
The advantages and benefits of it are it helps dentists achieve
predictable and safe implant placements. Its ability to visualize
vital anatomical structures allows dentists to better preserve
them during guided surgery. Detailed treatment planning
beforehand also helps to reduce or eliminate unexpected events
during surgery. Plus, the time required for implant surgery can
be substantially reduced. The only drawbacks are the initial cost
of investing in specialized surgical equipment and planning
software, as well as the time needed for training. It’s however not
unusual for clinicians to spend more time planning the surgery
compared to traditional implant treatments.
So, when is using computer-guided implant surgery advisable?
The patient requires three or more implants to be placed
sequentially or when implant placement is critical to the success
of the proposed restoration. Patients who have problems with
the structure or volume of their bone, or require significant
alteration of bony anatomy, may benefit from computer-guided
implant surgery. It helps to reduce problems concerning the
proximity of existing implants or adjacent teeth. People who are
fully edentulous or patients who require immediate extraction
followed by immediate implant placement.
APEX use computer-guided implant surgery to achieve a
more desirable outcome. It allows clinicians to plan the exact
morphology and position of planned restorations before placing
and positioning implants, helping to create the ideal treatment
plan. It also can ensure vital anatomical structures are avoided, it
fully visualizes the anatomy surrounding the implant locations
Dental Tribune ASEAN | Jan-Mar 2023
while still ensuring the implant is placed in the ideal position.
The entire dental team was able to visualize and approve the
treatment plan, including the final prosthesis. Experienced
dental technicians are frequently able to adjust planned
restorations to accommodate dental implants in less-than-ideal
locations, often by using custom abutments. This type of digital
workflow can result in a better treatment outcome, particularly
when an immediate prosthesis is required. This technique can
reduce pain and discomfort post-operatively. It provides patients
with implant survival rates comparable to conventional implant
treatment. Visualize their virtual treatment plans, making it
easier for the dentist to explain possible treatment options and
potential risks, all while showing them the predicted outcome.
This increased level of patient education can provide greater
acceptance of a proposed treatment plan.
[29] =>
4 As digital dentistry has become more accessible over
the years, how it can be a game changer in the dental
industry? What are the challenges that APEX faced in
its adoption of it?
Digital dentistry has been here for a while. The effects bring 3D
printing and CAD-CAM technology. CAD CAM computer,
CAD Computer, and 10 CAD CAM has been around for
a long time, but we choose 3D printing over it because of its
reduction method. It’s faster and the result will be better plus
more accurate. It’s also more sustainable as you’ll have lesser
wastage. Metaphorically, it’s nothing you build into something
hence you won’t waste a lot of things. As an industry player, I
will say they both complement each other and digital dentistry
is not there to replace anyone or anything. It’s there to help you,
that is the keyword and the tagline. Digital dentistry is there to
make your life better. It’s to help people without going through
the hassle and just clicking on computers. Hence, what I can say
is technology does improve lives.
APEX is one of the pioneers entering this industry. We have
gained enough traction and recognition from the market. We
have built up a reputation. We have a slight influence in today’s
world of digital dentistry. As digital dentistry becomes more
accessible over the years, it’s a game changer, especially during
the COVID-19 pandemic. Why? The frontline is the one who’s
at risk of being exposed to the virus. We’re conventionally
using a dental mole, recoil, dental impression, or molding. It’s
the general practice that exposes you to any infection from the
patients. Most times, the material might not able to portray the
discrepancy right away.
5 Do share with us a few of APEX’s views on digital
dentistry in Malaysia.
Industry players need to understand the challenge of the
technology as such the adaptation rate is high. APEX focuses on
the dental industry and providing high technology as we plan to
synergize the whole business in terms of integrating equipment
and also education. Doctors who opt for digital dentistry require
types of equipment which we can supply for them. The demand
and supply are there. Manufacturers also will opt for something
higher in ROI.
Doctors opt for the equipment we, APEX can supply, of course
manufacturers also developing more new and advanced
technology for the dental industry.
Therefore APEX’s principle is being the leading example by
bringing in the new technology of dentistry to help people
develop the industry together for the advancement of the
landscape in Malaysia.
Dental Tribune ASEAN | Jan-Mar 2023
[30] =>
30 Business
ADA announces wellness
ambassadors to help dentists
struggling with mental health
By Anisha Hall Hoppe, Dental Tribune International
The first cohort of wellness ambassadors will learn how to connect dentists in their organizations to mental health services and offer support
against burnout. (Image: Shutterstock/Monkey Business Images)
The American Dental Association (ADA) has announced
the launch of a unique programme designed to connect
dentists having mental health challenges with resources and
support services through wellness ambassadors. The volunteer
ambassadors represent dental organisations of all sizes.
one of my best friends, a member of the dental family, to suicide.
I want to do everything in my power to keep our family safe and
being a wellness ambassador lets me honour his memory and
take action toward my passion of prioritising mental health for
all, especially dentists.”
According to a press release, the programme is intended to
address the dramatically increased numbers of clinicians
who are reporting struggles with mental health, including
anxiety. Although not mental health professionals, the wellness
ambassadors will help provide support and connection to
professional resources to dentists who are struggling. The hope
is that these measures will also mitigate the role of burnout in
reducing the number of practising dentists across the field.
ADA President Dr George Shepley said, “This is such important
work. I’m grateful we’re doing this. We have to take care of our
family.”
Among the ambassadors is Dr. Karen Foster of Colorado, who
drafted a resolution on prioritising the mental health of dentists,
which was passed by the ADA’s 2021 house of delegates. She
commented, “The ADA and dentistry are like a family to me. I
believe we discover our passions in life from experience. I lost
Dental Tribune ASEAN | Jan-Mar 2023
The first cohort of the programme travelled to Chicago in
November to participate in the initial training in a yearlong
onboarding process. The members of this inaugural group are Dr
Alejandro Barrera from Texas, Dr Amisha Singh from Colorado,
Dr Cathy Hung from New Jersey, Dr Julie Spaniel from Oregon,
Dr David Lesansky from North Carolina, Dr William Hamel III
from Illinois, Dr.Brian Toorani from California, Anne Morrison
from Nebraska and Dr Joel Collins from Georgia. Each of these
volunteers will be responsible for heading up three projects that
further the programme in their local areas.
[31] =>
Business 31
Excessive bleeding: ADA highlights
importance of medical history
taking in dentistry
By Iveta Ramonaite, Dental Tribune International
supplements and herbal remedies, including turmeric, ginger,
garlic, ginkgo biloba, ginseng, glucosamine, evening primrose
oil and fish oil, are risk factors for patient bleeding. Additionally,
some prescription medications, such as antidepressants, nonsteroidal anti-inflammatory drugs and blood thinners as well as
certain combinations of drugs, may enhance bleeding.
An understanding of patients’ medical history may give important
insights into their health, help the delivery of the most appropriate care
and help complications to be avoided during treatment. (Image: Valeri
Potapova/Shutterstock)
Taking a thorough medical history is vital as it helps to identify
conditions that may affect dental treatment and consequently
reduces the risk of a patient experiencing a medical emergency.
Additionally, it helps to identify the oral manifestations of
systemic disease. Given that certain medications and supplements
that patients are taking might also increase the risk of bleeding
during dental treatment, Australian Dental Association (ADA)
President Dr Stephen Liew cautioned dental professionals not
to underestimate the importance of recording patients’ medical
history in order to improve treatment outcomes.
Earlier last week, the ADA elected Dr Liew to be its new
president. Dr Liew has been a general dentist for 15 years and
has had over ten years of experience serving on numerous
boards. He has worked in both private and public sectors and
has been the recipient of various awards and fellowships for his
contributions to dentistry. On commencing his role, Dr Liew
warned dental professionals about the dangers of not knowing a
patient’s medical history.
According to the ADA, two-thirds of Australians regularly
take complementary medicines. Evidence suggests that certain
“Dentists sometimes treat people without knowing the full
range of prescription, complementary or over-the-counter
medications patients are taking as many Australians aren’t aware
of the importance of sharing this vital information with their
clinician,” he commented. “This can be problematic when we
perform a procedure where bleeding needs to be controlled,
such as a tooth extraction,” he added.
“Many Australians aren’t aware of
the importance of sharing this vital
information with their clinician.”
— ADA President Dr Stephen Liew
Taking a full medical history during the patient’s first visit is a
crucial step in patient evaluation. It includes information on
family history, past operations and procedures, illnesses, and
current and previous medications. It is the cornerstone of safe
and effective treatment as well as personalised care.
“It’s
about
an
open
and
trusting
relationship
between clinician and patient,” Dr Liew commented.
According to the ADA, its members receive regular training
and updates regarding how various medicines act in the body
and interact with one another and have access to a consultant
pharmacist who can respond to individual situations.
“Sometimes that may mean advising the patient to come off a
certain medication for a period—in consultation with their
doctor—in the run up to a dental procedure which could result
in bleeding.”
Dental Tribune ASEAN | Jan-Mar 2023
[32] =>
32 Business
From a small shop in Queens to
a global partner: Henry Schein
celebrates its 90th anniversary
By Jeremy Booth, Dental Tribune International
From one pharmacy to One Schein
And what a journey it has been! Henry Schein was founded
by Henry and Esther Schein during the Great Depression,
and the entrepreneurial couple made bold moves that helped
them stand out from their competitors, such as fulfilling mail
order prescriptions as early as 1935 and introducing privatelabel dental, medical, and veterinary products in the 1940s.
Stanley Bergman is CEO and chairman of the board at
Henry Schein. (Image: Henry Schein)
Just over 90 years ago, the shop bell of a humble storefront
pharmacy in Queens rang for the very first time. The year was
1932 and the young Columbia University graduate behind the
counter was Henry Schein. Nine decades later, a very different
bell was rung by Stanley M. Bergman, chairman and CEO
of the global healthcare company that grew out of Schein’s
successful business venture. As the company marks 90 years of
service to healthcare professionals, its top executives spoke to
Dental Tribune International (DTI) about success, supporting
customers and the future of oral care.
“Today, we are excited to celebrate the bold step Henry Schein
took in 1932 to establish our company at a time of great
economic turmoil. And what better way to do so than by
joining the exceptional team at Nasdaq to ring the opening bell,”
Bergman said as he opened trading at the stock exchange on
13 September this year. With a jubilant Team Schein visible on
the Nasdaq tower, Bergman thanked the company’s customers,
supplier partners, shareholders, and Team Schein for being part
of the outstanding journey, adding: “Our best years are yet to
come.”
Dental Tribune ASEAN | Jan-Mar 2023
Henry Schein shifted its focus to office-based practitioners in
the 1950s, topped US$1 million in sales in 1959 and introduced
the first Henry Schein catalogue in 1962. In the ensuing
decades, the company expanded its business exponentially and
developed an ever-increasing focus on new technologies in oral
care, philanthropy, and social responsibility. To pick out just a
few of the company’s most recent accolades, Henry Schein was
this year named one of the world’s most admired companies
for the 21st consecutive year and has been one of the world’s
most ethical companies since 2012. Its global dental sales alone
reached US$1.80 billion (€1.75 billion) in the third quarter of
this year, and total net sales at the company for the three-month
period eclipsed US$3.0 billion.
In 1984, Henry Schein became the first in the industry to fully
automate the distribution cycle. (Image: Henry Schein)
[33] =>
But how does one measure success at Henry Schein nowadays?
According to Bergman, who has been CEO of the company since
1989, it is about far more than yearly growth. He told DTI: “Our
mission is to provide our customers with innovative, integrated
healthcare solutions and to serve as the dental professional’s
trusted adviser. We want to support dental practitioners in
the delivery of the best-quality patient care and at the same
time to help enhance their practice management efficiency.
Customers’ success is our success, and that is how we measure
our performance.”
Understanding the goals and needs of customers is crucial for
supporting their success. With this objective in focus, Henry
Schein works as One Schein throughout its comprehensive
portfolio. “This means cooperating as one team across
borders, businesses and specifications, no matter whether it
is endodontics, orthodontics, implantology, digitalisation,
practice management software or our private-label products,”
Bergman explained. Another example of Henry Schein’s team
approach is its network of service technicians in Europe, the
largest such team in the region, which exchanges best practices
for the ultimate benefit of customers.
Lessons from the past and social responsibility
The SARS-CoV-2 pandemic and a difficult operating
environment have made the past (nearly) three years challenging
for all healthcare companies. However, according to Michael
Ettinger, executive vice president and chief operating officer at
Henry Schein, lessons from the company’s past have shown the
importance of helping customers during difficult times.
Henry Schein at work in his pharmacy, circa 1932. (Image:
Henry Schein)
“Over the past 90 years, the company has continuously grown
through a steady process of reinvention to remain at the forefront
of market changes. In doing so, we help our customers to
successfully navigate through a constantly changing healthcare
arena and to provide efficient high-quality patient care,” Ettinger
explained, adding: “We deeply believe that ‘doing well by doing
good’ is part of our DNA.”
Henry Schein’s efforts to increase access to care for those in need
has led to a number of public–private partnerships. One example
is the Wearing is Caring initiative, which was established in
partnership with the UPS Foundation and in alignment with
guidance from the World Health Organization. “It aimed to raise
awareness of healthcare disparities in underserved communities
during the pandemic and of the need for social distancing and
the importance of wearing face coverings to help reduce the
spread of SARS-CoV-2,” Ettinger said.
Early adopters: Schein embraced technology at an early stage.
(Image: Henry Schein)
Dental Tribune ASEAN | Jan-Mar 2023
[34] =>
Business
34 Business
Henry Schein Inc has been publicly listed on the Nasdaq since 1995—here, executive officers celebrate the company’s success in 2005.
(Image: Henry Schein)
Dental Tribune ASEAN | Jan-Mac 2023
[35] =>
According to Allison Neale, vice president of public policy at
Henry Schein, the company has always bee n driven by a strong
sense of purpose and dedication when it comes to supporting
customers in times of crisis. She said: “Even before the
COVID-19 pandemic, we were deeply committed to improving
the resilience of global supply chains as an important means of
serving our customers and contributing to a healthier world.”
Neale highlighted two recent key initiatives through which
the company has contributed. As co-founder of the Pandemic
Supply Chain Network—an initiative that was formed after
the 2014 Ebola outbreak in West Africa—Henry Schein had
the opportunity to work with leaders from all sectors of
society towards the aim of increasing pandemic preparedness
and response. Through its long-time global corporate social
responsibility programmes, Henry Schein Cares and the Henry
Schein Cares Foundation, the company also works with nongovernmental organisations and healthcare professionals to
expand global access to healthcare and promote a healthier
tomorrow for people and the planet. “We help to build capacity
to empower healthcare professionals, advance wellness and
prevention, promote the integration of oral health and overall
health, and work closely through public–private partnerships
to build innovative models of emergency preparedness and
response,” Neale explained.
Henry Schein Dental Catalog 1976. (Image: Henry Schein)
Braced for the future of oral care
A key driver of Henry Schein’s success has been the company’s
support for innovation in the dental industry. Dr Bruce
Lieberthal, vice president and chief innovation officer at Henry
Schein, told DTI that the company expects the importance of
digital technologies to increase.
“Customers’ success is our success, and
that is how we measure our performance.” –
Stanley Bergman, CEO, Henry Schein
Henry Schein Dental Catalog 1980. (Image: Henry Schein)
Dr Lieberthal said, “Digital technology is and will remain an
important part of dental innovations. We continuously see rapid
technological advances that are being incorporated in dentistry.”
He also said that he expects artificial intelligence to play an
increasingly important role, particularly in clinical detection and
decision support, and that other advancements aimed at patients
will improve preventive care. He explained: “Another example
of innovation in dentistry involves electric toothbrushes with
sensors that can send data to an app, and thanks to integrated
automation, an individual’s oral hygiene can be reported and
analysed and merged with his or her electronic dental record.
Knowledge gained from the data can improve the patient’s oral
health and, more importantly, overall systemic health.”
Dental Tribune ASEAN | Jan-Mar 2023
[36] =>
36 Business
Leading clear aligner stocks have had a bearish performance so far in 2022. (Image: Rawpixel.com/Shutterstock)
Stock in major clear aligner companies
slides as shipments fall short
By Jeremy Booth, Dental Tribune International
Disappointing third-quarter results from SmileDirectClub
(SDC) and Align Technology show that clear aligners are
struggling to live up to high sales expectations in the midst
of shrinking consumer confidence. The two companies are
respective market leaders in at-home and dentist-led clear
aligner treatment, and both are experiencing significant
macroeconomic headwinds. According to Align, demand for
adult clear aligner treatment is slipping.
On 8 November, lacklustre results from SDC caused the
company’s stock (listed as SDC on Nasdaq) to dip by 8.7%
before midday ET. The company’s share price fell to a low of
US$0.5922 by 9 November, rebounding to US$0.6938 the
following day. SDC’s stock was worth US$2.63 when trading for
Dental Tribune ASEAN | Jan-Mar 2023
the year opened on 3 January, and the company first offered its
stock at a price of US$23.00 per share when it went public on
Nasdaq on 12 September 2019.
Investors also showed their concerns about Align’s third-quarter
results when the company released its earnings report on 27
October. Align shares (ALGN) had fallen by 18% to a value of
US$176.00 by early afternoon trading. On that day, a 72% yearto-date fall made Align the worst performer of the S&P 500
stock market index, and a further dip in value earned Align’s
stock the Zacks Investment Research’s Bear of the Day award on
7 November. These milestones are a far cry from Align’s strong
historic performance on Nasdaq and from that of 2021, in
particular, when its share price peaked at US$737.45.
[37] =>
represented a 16.5% sequential slide and a significant drop from
the first quarter of this year, when case shipments numbered
76,254.
“For [the third quarter], third-party reports
indicate there are fewer new patient visits, less
traffic flow and lower orthodontic case starts
overall.” – Joseph Hogan, CEO, Align Technology
Troy Crawford, chief financial officer at SDC, said in a call with
analysts that performance during the period had been driven
by a worsening of macroeconomic conditions and increasing
inflation. Commenting on the coming year, David Katzman, the
company’s CEO, said that SDC was seeing positive data for the
coming months, but that demand remained low. “We’ve seen it
from competitors,” he stated. SDC is active in six markets, and
Katzman said that the inflationary pressures were not unique to
the US. “It’s not unique to one country. It’s not worse; it is not
better. It’s pretty much universal,” Katzman noted.
Align says demand for adult orthodontic
treatment is falling
SDC provides clear aligners to dental clinics, but the bulk of
its aligner shipments goes directly to consumers for remote
therapy. Align, however, manufactures the dentist-led Invisalign
clear aligner system. Dental Tribune International reported in
May that Align’s results were being dragged down by the ongoing
effects of the SARS-CoV-2 pandemic and macroeconomic
headwinds in a number of markets that it serves. In the same
month, SDC signalled a major strategy change for 2022 after
confirming that its key demographic was struggling to pay its
bills and changing its spending habits as a result of financial
pressures. Half a year later, both companies are shipping fewer
aligners.
Align shipped 577,170 Invisalign cases in the third quarter,
representing a 3.6% sequential decrease and an 11.9% year-onyear drop. Its clear aligner net revenues of US$732.8 million were
down 12.5% year on year. SDC’s third-quarter report showed
that its 52,367 unique aligner shipments during the quarter
Joseph Hogan, CEO of Align, told analysts that the company’s
result reflected a downward trend in the demand for
orthodontic treatment. He said: “For our clear aligner segment,
macroeconomic uncertainty and [waning] consumer confidence
continues to impact the dental market overall, making for a
challenging operating environment across the board. For [the
third quarter], third-party reports indicate there are fewer new
patient visits, less traffic flow and lower orthodontic case starts
overall.”
More dentists were using the Invisalign system during the third
quarter, and the number of new trained Invisalign treatment
providers was up 8.5% sequentially. Hogan said that US sales of
aligners for teens had been strong, but that falling demand for
adult cases was being felt throughout the orthodontics industry.
“[That] is not just in the US; we see that all over the world,” he
added.
A Zacks Investment Research analyst wrote in November that
economic uncertainties were making consumers less likely to
spend on orthodontics, and that this was tugging at Align’s
margins and affecting its stock price. “Align stock, like many
others, soared too high too fast during the post-lockdown
surge,” the analyst claimed.
Before this article went to press, on 17 November, Align shares
closed at US$194.96, having lost just over 70% of their value so
far this year. SDC shares closed at US$0.6498, representing a
year-to-date fall of 72.35%.
Dental Tribune ASEAN | Jan-Mar 2023
[38] =>
38
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Dental Tribune ASEAN | Jan-Mar 2023
[39] =>
D
T
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Now in South East Asia!”
www.dental-tribune.com
[40] =>
Image source: Freepik
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/ Editorial
/ Content
/ Study offers new insight into diversity and prevalence of bacteria in oral infections
/ Removable partial dentures may improve mortality among partially edentulous adults
/ World news
/ Introducing Dentaverse, a virtual reality platform that is changing the future of dentistry
/ Artificial Intelligence-based tele-dentistry programme gives housebound seniors access to dental care
/ Regional news
/ Interview with Ivan Choe, the Director of APEX Digital Dental
/ ADA announces wellness ambassadors to help dentists struggling with mental health
/ Excessive bleeding: ADA highlights importance of medical history taking in dentistry
/ From a small shop in Queens to a global partner: Henry Schein celebrates its 90th anniversary
/ Stock in major clear aligner companies slides as shipments fall short
/ ADVERTISER INDEX
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