Cosmetic Tribune UK No. 1, 2014

Just fill! Constic - The self-etching and self-adhesive filling material / Conservative smile enhancement / Bioactive materials support proactive dental care / SIROLaser Factbook: Comprehensive information on diode lasers / Industry News

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Table of contents

Cosmetic Tribune
Cosmetic Tribune

Cosmetic Tribune

Cosmetic Tribune

Constic

Bioactive materials

Smile enhancement

A case presentation of the filling material

Dr John Comisi

Direct composite resin restoration

pages 11-12

pages 15-18

pages 13-14

Just fill! Constic - The self-etching
and self-adhesive filling material
A case presentation by Matthias Hodecker and Julia Gerke

B

ecause of today’s wide
selection of bonding
systems with complicated work processes the desire to simplify working steps
during restorative treatment
is becoming greater than ever
before. Particularly in the case
of small Class I restorations, as
well as fissure sealing and lining, which can be performed
relatively quickly, preparatory steps such as etching and
bonding protract the working time unnecessarily. At the
same time, they increase the
number of possible sources of
error since, if certain working

steps are neglected, the durability of the restoration can be
drastically reduced.
Many dentists would like
to have fewer work steps
required, in order to be able
to work more reliably and
focus primarily on the restoration. This can be achieved
through the use of self-etching and self-adhesive synthetic materials.
Constic is the new selfetching
and
self-adhesive
flowable
composite
from
DMG, which combines etch-

ing, bonding and filling in one
step and features superior adhesion to enamel and dentine
along with good aesthetics.
Case study
In the following case, a small
and inadequate Class I restoration on tooth 17 can be seen
(Fig 1).
Procedure
After preparing the cavity, it
is initially recommended to
clean the tooth, remove any
debris using water-spray and
blow it dry (Fig 2). Then an approximately 0.5mm thick layer

of Constic flowable composite
is applied to the cavity using
the Luer-Lock-Tip and massaged in for 25 seconds using
a brush (Figs 3&4). Thereafter
any excess should be removed
(Fig 5). Then the layer is lightcured using a polymerisation
light for 20 seconds (Fig 6).
The actual restoration is
then performed. For the restoration, the material is applied
in layers that are a maximum
of 2mm thick (Fig 7). The lowviscosity and uniform consistency of Constic ensures that
the restoration has no trapped

air or marginal gaps. This is
facilitated by the fact that no
additional bonding materials
are used. Each layer is lightcured for 20 seconds (Fig 8).
Using a dental probe, a
high-quality aesthetic fissure
surface can be achieved prior
to final curing (Fig 9). Apart
from
the
Luer-Lock-Tips
and the brush, which are included in the set, few additional modeling instruments
are required. Thus sterilisation costs and instrument
wear are kept to a minimum.
à DT page 12

Fig. 1 Baseline situation: Occlusal amalgam restoration in tooth 17

Fig. 2 The Class I cavity

Fig. 3 Application of Constic using the Luer-Lock-Tip

Fig. 4 Massaging in Constic with a small brush

Fig. 5 Removing the excess using a foam pellet

Fig. 6 Light polymerisation of the first layer

Fig. 7 Application of another layer of Constic

Fig. 8 Light polymerisation of the second layer

Fig. 9 Result after contouring the restoration using a probe

[2] =>

12 Cosmetic Tribune

Fig. 10 Polishing the restoration using a Super-Greenie

ß DT page 11

The cured restoration is then
checked for overhangs, which

United Kingdom Edition

Fig. 11 Constic restoration after finishing and polishing

are removed using a scaler ,
and then polished (Figs 1012).

Conclusion
Constic, as a self-etching and
self-adhesive flowable com-

April 2014

Fig. 12 Checking the occlusion

posite, stands out due to its
uncomplicated
application
with simultaneously high-

quality aesthetic results.
Since Constic is available
in many different shades, a
restoration that is individually
characterised can be prepared
for each tooth. The range includes shades A1, A2, A3, A3.5,
B1, as well as opaque-white.
Since the working steps of
etching, bonding and filling
are combined into one step,
the dentist is able to have a
shortened working time on
the one hand and also stressfree work on the other hand.
In addition, considerably
fewer instruments are required, which improves both
the work flow and also the
dentist’s concentration on his/
her own work and thus has a
positive effect on the final results.

Constic:
Do more with less.

Steps such as etching,
which represent a certain degree of patient risk, are combined with filling into one
work step and this increases
reliability for the dentist. In
addition, this ensures that no
intermediate step is forgotten.
Due to its versatile applicability - Constic is suitable for
lining and also for small Class
I restorations, as well as fissure sealing - the size of the
inventory improves, while
purchasing costs for other
systems are minimised at the
same time.

NEW !

The radiopacity of the material also ensures easy identification of the restoration by
dentists in the future.
Finally, it can be said that
Constic enables work to be
performed in a more relaxed
fashion, while decreasing
the amount of work and
achieving an aesthetically
challenging and functionally
high-quality result. DT

The new 3-in-1 flowable: etching, bonding, filling in one step.
Faster, easier, safer: experience Constic – the new
self-etching, self-adhesive flowable composite from DMG.
Constic combines etching gel, bonding agent and flowable
in one single product. You thus save treatment steps – and

thereby benefit from increased safety during
application. Whether for small Class I restorations,
linings or fissure sealing: start relying on Constic
- the 3-in-1 flowable now! www.dmg-dental.com

About the authors

Julia Gerke is doing doctoral studies
at the Pathological Institute of RWTH
Aachen.
Matthias Hodecker is currently doing
advanced training for a qualification
in Orthodontics in Aachen.
AZM_Constic_GB_E_2013_8.indd 1

16.08.13 12:50

[3] =>

United Kingdom Edition

April 2014

Cosmetic Tribune 13

Conservative smile enhancement
Dr Monika Marciniak presents a case showing direct composite resin restoration
of conoid lateral incisors

M

inimally
invasive
treatments
restore
form, function and
aesthetics with minimal removal of sound tooth structure. Understandably, the restorations age with the patient.
Eventually, teeth that have
been restored will break down
and patients will need to have
those restorations replaced.

Following enamel preserving preparation using a
tapered,
round-ended
fine
diamond
bur
and
sandblasting, a celluloid strip

was placed subgingivally and
fixed using flowable composite. This helped to create the
desired
emergence
profile
and contact points. Next, a
retraction cord was insert-

phoric acid for 30 seconds, then
thoroughly rinsed and dried. A
fifth-generation bonding agent
was then applied and light

ed into the labial part of the
gingival sulcus (Fig 5).
After isolation of the operative field, the preparation was
etched with 37 per cent phos-

à DT page 14

Only

Fortunately, restorative materials and procedures evolve
constantly. If an initial restoration was created using minimally invasive procedures,
there should be more tooth
structure to work with when a
second restoration is needed.
The following case report demonstrates such a conservative
approach.

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Fig 4
Case report
After orthodontic treatment,
a 19-year-old female patient
was dissatisfied with the unpleasant, disproportional appearance of her conoid maxillary lateral incisors. A direct
composite technique was selected for smile enhancement
at the initial appointment (Figs
1-4).

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14 Cosmetic Tribune

Fig 10

Fig 11

Fig 12

Fig 13

Fig 14

Fig 15

Fig 16

Fig 17

Fig 18

Fig 19

The step-by-step images illustrate how dentists can solve
this cosmetic issue without using aggressive techniques and
with the advantage of being in
full control of shade matching

Fig 20

Fig 21

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O F F

Dr Monika Marciniak
from
andgraduated
characterithe Medical
Universation. DT
sity of Białystok in
Poland in 1992, and
runs a private practice with her husband. She has been
publishing articles
on direct composite restorations since 2007. She is a
member of the European Society of
Cosmetic Dentistry. Contact her at
dentystamarciniak@dentonet.pl

PA I R

About the author

R E

The same procedures were
followed during reconstruction
of the left lateral incisor (Figs
12&13). Figures 14 to 16 show
the situation 30 days post-operatively. The lateral incisors
show favourable integration of

Fig 9

After completion of composite applications and polymerisation, fine flame-tipped
finishing diamond burs and
Sof-Lex discs (3M ESPE) were
used for gross contouring and
creating texture. The final polish was achieved using rubber finishers, a brush, a felt
wheel and a paste kit (Fig 11).

Conclusion
Conoid lateral incisors are
not uncommon. They may be
found unilaterally or bilaterally. Their poor appearance
can spoil an otherwise attractive smile. The case presented
describes a minimally invasive
way of addressing this problem
using direct composite bonding.

Fig 8

Dentine in a darker shade was
placed onto the cervical third.
Prior to light curing, the white
strip was painted horizontally
along the incisal edge of the
enamel shelf using a white
tint and smooth brush (Fig
9). Finally, an enamel resin
layer was placed, contoured,
smoothed with a brush and
light cured (Fig 10).

In presented cases, the recontouring procedure was
carried out using a Soft Tissue Trimmer bur (Edenta).
Modifications were limited
by
the
patient’s
biologic
width. As observed at fourweek follow-up visits, there
was a very good gingival response to the polished restorations (Figs 19&21).

Fig 7

‘The case presented describes a
minimally
invasive way of
addressing this
problem using
direct composite
bonding’

Fig 6

The appropriate dentineshade resin was then applied
in order to create distal and
mesial lobes. These were light
cured for ten seconds (Fig 8).

Some cases present with
conoid lateral incisors displaying a lack of gingival
harmony, as were the cases with those patients (Figs
17&20). This usually manifests
as the translocation of the gingival contour coronal to the
zenith of the canine and the
central incisor. Such a clinical
situation requires gingival recontouring before direct restoration.

Fig 5

M A

The next step entailed creating palatal and two lateral
enamel walls that were completed using increments of
enamel-shade resin. Creating
a lingual shelf in this manner
left room for the subsequent
dentine layering (Fig 7).

cured (Fig 6).

form and colour as achieved
through the direct composite
resin restoration procedure.
Adequate contours and proportions create a smile with harmonious symmetry and a natural appearance.

April 2014

O T

ß DT page 13

United Kingdom Edition

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United Kingdom Edition

Cosmetic Tribune 15

April 2014

Bioactive materials support
proactive dental care
Dr John C Comisi discusses bioactive materials

esin bonding of the human dentition has become a ‘standard’ in
the United States and Canada.
There are more than 80 different bonding systems on the
market today. We have seen
them evolve through multiple generations in an attempt
to ‘simplify’ the bonding process. Yet, as these agents have
simplified, many in our profession have seen many challenges arise.

acids and cause hydrolytic and
enzymatic breakdown of the
dentin and resin bonding agent

interface.5 These enzymes are
called matrix metalloproteinases (MMPs).

Currently, there are only
three methods of reducing these
MMPs: two per cent chlorhex-

£3,300

idine solutions that are used
prior to application of bondà DT page 16

inc.

A significant number of reports in the literature have been
showing that the “immediate
bonding effectiveness of contemporary adhesives are quite
favourable, regardless of the
approach used (however) in
the long term, the bonding effectiveness of some adhesives
drops dramatically.”1 The hydrophillicity that both etch and
rinse and self-etch bonding
agents offer initially in the dentin bonding process becomes
a significant disadvantage in
terms of long-term durability.2
It is this hydrophillicity of
simplified adhesive systems
combined with other operatorinduced challenges that contribute to these failures. Tay,
Carvalho, Pashley, et al. have
reported repeatedly in the literature of this problem.3,4 They
continue to report that these
bonding agents do not coagulate the plasma proteins in the
dentinal fluid enough to reduce
this permeability. The fluid
droplets contribute to the incompatibility of these simplified adhesives and dual-/autocured composites in direct restorations and the use of resin
cements for luting of in direct
restorations.

The previously mentioned
plasma proteins are released
by the dentin when subjected to

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The term “water-tree” formation has been coined to
describe this process, which
originated from the treelike
deterioration
patterns
that were found within polyethylene insulation of underground electrical cables. It is
now being applied to the water
blisters formed by the transfer
of dentinal fluid across the dentin bonding interface. These
“water blisters... act as stress
raisers and form initial flaws
that cause subsequent catastrophic failure along the adhesive composite interfaces.”

All-in-one Laser

[6] =>

16 Cosmetic Tribune

United Kingdom Edition

April 2014

ß DT page 15

Fig 1

ing agents; etchants containing
benzalkonium chloride, otherwise known as BAC (ie Bisco’s
Uni-etch products); and polyvinylphosphonicacid-producing
products (glass ionomer and
resin modified glass ionomers).
Due to the short efficacy of
these chlorhexidine solutions
being used before bonding, this
methodology has come into
question as of late.6 Etchants
with BAC have been shown to
be valuable in the reduction of
MMPs and should be considered
in all bonding processes.7 However, the most intriguing methodology of reducing MMPs and
remineralising tooth structure
is with the use of glass ionomer
cements (GIC) and resin-modified glass ionomers (RMGIC).
Glass ionomers and resinmodified glass ionomers
Glass ionomer cements have
long been used as a direct restorative material. Their early
formulations made the material difficult to handle, and
the breakdown of the material
made it an undesirable solution
in dental restoration. However,
these materials, especially in
today’s formulations and preencapsulated
presentations,
have many properties that make
them very important in the restorative process.
The work at companies such
as SDI North America (Riva
product line), GC America (Fuji
product line) and VOCO (Iono
product line) have continued to
make great strides in improving
these products for easier and
longer-lasting use of GIC and
RMGIC products.
First, these materials are
bioactive, and up until recently,

Fig 5

Fig 2

Fig 3

Fig 4

they were the only materials
with this property; that is they
have the capacity to interact
with living tissue or systems.
Glass ionomers release and recharge with ions from the oral
cavity.

better internal adaption and resistance to microleakage over
extended periods of time, have
no free monomers, can be bulk
filled and offer excellent biocompatibility.11

bacterial invasion of the restored
tooth. RMGIC biomaterials are
multifunctional molecules that
can adhere to both tooth structure and composite resin, thus
providing an improved sealing
ability by chemical or micromechanical adhesion to enamel,
dentin, cementum and composite resin.

This transfer of calcium
phosphate, fluoride, strontium
and other minerals into the
tooth structure helps the dentition deal with the constant
assault of the acidic nature of
day-to-day ingestion of food
and beverages and encourages
remineralisation; and the incorporation of phosphorous into
the acid in today’s GICs creates
polyvinylphosphonic acid.8
This property of GICs makes
them a major agent in the reduction of MMP formation, and
thereby minimising if not eliminating the collagen breakdown
commonly found in many resindentin bonding procedures.9
Second, they bond and
ultimately form a union with
the dentition by chemically fusing to the tooth. The combination of the polyacrylic acid and
the calcium fluoro-alumino
silicate glass typically found in
GICs reacts with the tooth surface, which releases calcium
and phosphate ions that then
combine into the surface layer
of the GIC and forms an intermediate layer called the “interdiffusion zone.”10
No resin bonding agents are
required due to this chemical
fusing to the tooth structure.
This ion release helps inhibit
plaque formation and provides
an acid buffering capability
that helps to create neutralisation effect intraorally. In addition, these GICs have very good
marginal integrity with better
cavity-sealing properties, have

Fig 6

Another important consideration is that GICs are moistureloving materials, which makes
them very sensible for use in
the intraoral cavity. The transfer
of dentinal fluid from the tooth
to the GIC essentially creates a
“self-toughening mechanism of
glass ionomer based materials…
serves to deflect or blunt any
cracks that attempt to propagate
through the matrix [and]…plays
an adjunctive role by obliterating porosities [which] delay the
growth of inherent cracks in the
GIC under loading.”4
The intermediate layer of
the GIC provides flexibility
during functional loading and
acts as a stress absorber at the
interface of the restoration and
the tooth.12
Resin-modified glass ionomers (RMGIC), which are a hybrid of traditional glass ionomer
cements with a small addition
of light-curing resin, exhibit
properties intermediate of the
two materials.13 This material
has been shown to have properties similar to GIC, but with
better aesthetics and immediate
light cure. RMGICs have been
shown to undergo slight internal fracturing from polymerisation shrinkage, yet have an inherent ability to renew broken
bonds and reshape to enforce
new forms.12
Application of RMGIC to all
cut dentin in Class II composite
restorations has been shown to
“significantly reduce micro-leakage along (the) axial wall” of the
restoration,14 and helps prevent

They, like GICs, can be bulk
filled to reduce the amount of
composite necessary to restore
the cavity preparation and act
as dentin substitutes in the
restoration.15
The use of GIC and RMGIC
in the restoration of posterior
Class V restorations and conservative Class I restorations
provides many benefits. They
are easy to place and reasonably forgiving, even in a slightly
moist environment. They should
be placed in a moist but not wet
environment, so familiarity with
technique is imperative as it is
with all dental restorations. I
will often use Riva SC (SDI) or
Fuji 9 GP Extra (GC America) in
posterior Class I and V restorations (Figs 1-7).
Polishing and shaping of the
materials must be done with
water spray and fine/ultra-fine
composite finishing burs and
polishers so as not to destroy
the surface of the material (Fig
8). The use of RMGIC products,
such as Riva LC or Fuji II LC, is
great in bicuspid and anterior
Class V restorations, especially
in high caries prone patients
(Figs 9-12).
Class II restorations, however, have always presented a
challenge to the clinician. If the
operator wanted to use GIC or
RMGIC, there was no easy way
to do this that appeared to provide satisfactory results. It is

Fig 7

with this in mind that the ‘sandwich technique’ was developed.
It was thought that using
the properties of GIC to bond
to the tooth and then applying resin bonding agents and
composite to the set GIC could
help reduce sensitivity and bond
failures typically seen in many
resin-bonded composite (RBC)
techniques.
Typically, the GIC is placed
in the preparation, allowed to
set, cut back to ideal form and
then bonded to with an RBC
technique. However, the inability of RBCs to adhere to the set
GIC often creates many failures.
The materials by themselves
are incompatible over the long
term.
The
modified
sandwich
technique evolved as a means
to overcome this problem. Placing RMGIC over set GIC - and
then adding a RBC to that provided a better solution, but
was as laborious and time
consuming to do, as is the sandwich technique.
The ‘Co-Cure Technique’
In 2006, an article was published16 that, in my opinion, has
revolutionised the way I approach direct posterior restorations and direct restorations as
a whole. The article presented
a radical approach to direct posterior restorations, called the
Co-Cure Technique. This technique is defined as the simultaneous photo-polymerisation
of two different light activated
materials that involves “the
sequential layering of GIC,
RMGIC and composite resin prior to photo-polymerisation and
before the initial set of the GIC
[which] enables an efficient single-visit placement of a [direct]
restoration…”16

[7] =>

United Kingdom Edition

unfilled resin material (ie Riva
Coat by SDI or G-Coat by GC),
wipe away the excess GIC and
composite restoration material
to create your margins and prevent ditching and white lines.

Fig 8

In the Co-Cure Technique,
the composite restoration does
not require a bonding agent because the bonding agent is essentially the RMGIC. The RMGIC
acts as the interface between the
GIC and the composite material.
It combines the GIC, RMGIC and
composite in a way to form what
can best be described as a ‘monolithic biomimetic restoration.’

The occlusal table of the restoration can then be compressed gently with a plastic
occlusal matrix by either having the patient bite or by the
operator pressing gently with
his thumb or forefinger to
improve the coalescence of

Cosmetic Tribune 17

April 2014

the three materials. This can
help reduce the time involved
in creating the final occlusion
of the restoration by creating a
functional occlusal table.
The restoration is then
cured for 30 to 40 seconds with
an LED curing light that generates at least 1,500mW/cm2.
Appropriate light output is
critical for all direct cured restorations, and assurance that
appropriate output is provided
by the curing light is needed

Fig 10

à DT page 18

This restoration is an ‘open
sandwich’ type of sandwich
technique. That is, the GIC
component is exposed to the
oral environment (Fig 13) at
the gingival portion of the restoration. It is quickly and efficiently accomplished and has
significantly reduced postoperative sensitivity compared with
typical direct RBC techniques.
I have been placing these types
of direct posterior restorations
since 2008. They have become
the cornerstone of my practice.
Technique procedure (Fig 14)
After placement of an appropriate dental matrix, the technique
incorporates the use of 37 per
cent phosphoric acid to prepare the tooth for restoration.
The acid is essentially ‘flooded’
into the preparation in a similar
manner to doing a ‘total-etch’
RBC. It is, however, washed off
after five seconds of placement.
The tooth is then dried but not
desiccated. The area remains
slightly moist because the GIC
that will be placed next is hydrophilic.
Fill the preparation with
the triturated GIC material
up to the level of the DEJ, then
immediately place the triturated RMGIC in a very thin layer
to cover the GIC and walls of
the preparation. Finally, place
the composite over the previous materials to slightly overfill
the preparation. With a large
round burnisher dipped in an

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Fig 9

[8] =>

18 Cosmetic Tribune

United Kingdom Edition

April 2014

Fig 13

Fig 11

ß DT page 17

for complete cure of any direct
restoration.
The restoration is evaluated for complete cure and
then a layer of an unfilled resin
is placed on the exposed GIC/
RMGIC/composite complex and
cured for an additional 10 seconds. The matrix band is removed and the restoration is
trimmed and polished as any typical RBC restoration would be.
I have found that an entire
three-surface posterior restoration can be accomplished in
less than three minutes once the
matrix has been placed. Typically, finishing the restoration
can also be done in less than
three minutes. This makes the
direct posterior restoration quite
efficient and beneficial to the clinician and the patient because
we are providing a restoration
that will help enhance healing
of the dentition and reduce recurrent decay and restorative
failure.
Nanotechnology in dental
materials
Nanotechnology involves the
production of functional materials and structures in the range of
0.1 to 100 nanometers by various
physical or chemical methods.
Today, the development of nanotechnology has become one
of the most highly energised disciplines in science and technology because it can stimulate the
creation of many new materials
with previously unimagined applications and properties.
Several studies17,18have shown
that the inclusion of these types
of nano-fillers and nano-fibres
into the dental materials (dental
composites and bonding agents)
can improve the physical properties by increasing the strength,
polishability, wear resistance,
aesthetics and bond strengths in
many dental applications.

Fig 12

It is also envisioned that the
incorporation and utilisation
of these nanoparticles in the
form of nano-rods, nano-fibres,
nano-spheres, nano-tubes and
ormocers (organically modified
ceramics) into dental restorative and bonding agents can create more biomimetic (life-like)
restorations. This will not only
enable these materials to mimic
the physical characteristics of
the tooth structure, but will also
be able to facilitate the remineralisation of that structure.
As Saunders states in his conclusion, “such nano-restorative
biomaterials could very credibly be the next transfor-mative
clinical leap” in restorative dentistry.
Giomers
In that vein, an exciting advancement in bioactive materials is the development of giomer products (SHOFU Dental,
Beautifil II, and Beautifil Flow
Plus). These giomers are resinbased composites that contain
pre-reacted glass ionomer particles (S-PRG). These particles
are made of fluorosilicate glass
reacted with polyacrylic acid
(just like a GIC), just before being incorporated into the resin.
This creates a new type of bioactive material.
These giomer products display properties in a manner similar to GICs19: they release ions
and recharge with ions from the
oral cavity, inhibit plaque formation and neutralise and buffer
the acids of the mouth.20
No other composite material
has this property to date. I use
these giomers instead of traditional nano-hybrid composites
in my restorations because of
these properties. They complete
the entire biomimetic and bioactive nature of all the co-cure
procedures that I create.

The Beautifil Flow Plus product line has also expanded the
way that I create restorations
due to their unique viscosities.
These materials can be stacked
(Fig 15) and used in a restorative
process I call the ‘modified resin
cone technique’ (Fig 16).

desiccate
3) Triturate and apply the
RMGIC bonding agent with a
micro-brush and cure for 20
seconds
4) Place composite to fill the
preparation and cure as appropriate

They can also be applied to
create direct composite veneers
that can be easily placed, sculpted and highly polished (Fig 17).
Easy placement, the ability to
stack and maintain position
and shape, plus their bioactive
nature, make these materials a
‘game changer.’

When I use this material in
the Co-Cure Technique, I just
substitute it for the traditional
RMGIC material that I would
have used otherwise.

Resin-modified, light-cured
bonding agents
Another advancement that I
have been working with is a
product that is a resin-modified,
light-cured bonding agent (SDI,
North America: Riva Bond LC).
This product is a specially formulated liquid RMGIC that can
be used to bond composite restorations in the traditional sense,
used in traditional sandwich and
modified sandwich techniques
and, of course, used in the CoCure Technique.
This concept is especially
appealing in light of research
that indicates RMGICs provide
quite good marginal seal when
used as a bonding agent on cut
dentin surfaces.14 I especially
like to use it with the Co-Cure
Technique and when doing anterior restorations.
Using this technique I am
able to get a completely biomimetic, bioactive restoration in
both situations because of the
bioactive nature of the materials
used.
The technique for use of
this RMGIC bonding agent with
composite is as follows:
1) Etch with 37 per cent phosphoric acid for five seconds
2) Wash and dry but do not

Resin-modified calcium
silicates
Another
recent
interesting
product release is from Bisco
and is called TheraCal LC. This
light cured bioactive material
is used to seal and protect the
dentin-pulp complex. It is the
first of a new class of internal
pulpal
protectant
materials
known as resin modified calcium silicates (RMCS).
It acts as a pulp capping and
liner material. Calcium hydroxide (CH) has been the “gold”
standard for pulp capping for
many years. However, it has always had difficulties in use as a
liner under RBC adhesives. In
fact, despite their frequent use,
the success of CH based therapies is only 30 to 50 per cent.21
It has also been shown that
traditional resin-based lightcured liners have been cytotoxic to cultured odontoblast-like
cells, while light-cured resinbased MTA cements presented
the lowest cytopathic effects.22
Based on this, the creation of
light-cured RMCS is a logical
step in developing a solution for
direct pulpal protection. Calcium has been shown to be crucial
to the formation of apatite, dentin bridge formation and re-apatite potential of affected dentin.
Additionally, alkalinity also
seems to be contributory toward
this goal. This combination in
the RMCS material appears to

Fig 14
Fig 15

Fig 16

Fig 17

form good, hard and thick dentin bridges and stimulates dentin pulp cells to turn into odotoblastic dentin cells.23
This type of material represents a promising new direction
in direct pulp-capping clinical
procedures with its ability to
form apatite and further contribute to the formation of new
dentin.
Conclusion
It is my belief that using bioactive materials in the provision of care for my patients
has been paramount to the
success of the care I have
been providing. In this way,
I have provided ways to heal
the dentition, enhance the restoration and improve the health of
my patients.
I believe we are on the
threshold of further bioactive
material advancements and that
learning
and
incorporating
these restorative materials into
the day-to-day provision of care
will continue to help our patients, our practices and our profession. DT
Editorial note: A complete list
of references is available from
the publisher.

About the author
Dr John C Comisi,
DDS, MAGD, has
been in private practice in Ithaca, NY,
since 1983. He is a
graduate of Northwestern University
Dental School and
received his Bachelor of Science in biology at Fordham
University. He is a member of the
American Dental Association and its
tripartite organisations, the Academy
of General Dentistry, the American
Equilibration Society, the International and American Association of Dental
Research, a research associate at New
York University Dental School and
an editorial board member of Dental
Products Shopper Magazine. Comisi
is a Master of the Academy of General
Dentistry, and holds fellowships in the
Academy of Dentistry International,
the American College of Dentistry,
the Pierre Fauchard Academy and the
International College of Dentistry. He
may be contacted at jcomisi@jcomisi.
com. (Photos provided by Dr John C
Comisi unless noted otherwise)

[9] =>

“ I’m really impressed
with the DEPPA report.”
Lucy, Denplan Excel patient

“ I now know I’m looking
after my teeth well and my
risk of health problems is
reduced because of this.”
Tom, Denplan Excel patient

It’s been a great
year for DEPPA,
but don’t just take
our word for it.

Over 10,000 patient assessments and counting
It’s been a year since we launched DEPPA, the UK’s only
independently validated dental quality assurance programme.
DEPPA features an easy to follow ‘traffic light’ system and
produces a personalised and straightforward assessment to
enable you and your team to take an active role in advising and
reassuring patients about their oral health. Dentists and patients
are really seeing the benefits.

“ It’s a great tool for
summarising and explaining
various aspects of my dental
health and treatment
programme.”
Alison, Denplan Excel patient

“ The DEPPA assessment
process is really
comprehensive.”
Sarah, Denplan Excel patient

For further information call 0800 169 9962 or
watch the video at www.denplan.co.uk/excel

That’s the world of Denplan for you.

Denplan Limited, Denplan Court, Victoria Road, Winchester, SO23 7RG, UK.
Tel: +44 (0) 1962 828 000. Fax: +44 (0) 1962 840 846. Email: denplan@denplan.co.uk
Part of Simplyhealth, Denplan Ltd is an Appointed Representative of Simplyhealth Access for arranging and administering dental insurance. Simplyhealth Access is incorporated in England and Wales, registered no.
183035 and is authorised by the Prudential Regulation Authority and regulated by the Financial Conduct Authority and the Prudential Regulation Authority. Denplan Ltd is regulated by the Jersey Financial Services
Commission for General Insurance Mediation Business. Denplan Ltd only arranges insurance underwritten by Simplyhealth Access. Premiums received by Denplan Ltd are held by us as an agent of the insurer.
Denplan Ltd is registered in England No. 1981238. The registered offices for these companies is Hambleden House, Waterloo Court, Andover, Hampshire SP10 1LQ.
CAM1093 04-14

[10] =>

20 Advertorial

United Kingdom Edition

April 2014

SIROLaser Factbook: Comprehensive
information on diode lasers
The SIROLaser Factbook – Clinical articles about SIROLaser Advance and Xtend applications includes research by experts as well as reports from users of laser technology

C

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collected by Sirona in “SIRO-

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on the many uses and treatment options of diode lasers
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Interesting facts and figures,
study results, documented
case studies with descriptive
pictures, and recommendations for further reading complete the compendium.

‘Anyone with an
interest in laser
dentistry should
read the SIROLaser
Factbook. The book
is especially meant
for beginners, however, experienced
users will also find
it worth reading.’
“Anyone with an interest
in laser dentistry should read
the SIROLaser Factbook,”
says Ingo Höver, product
manager at Sirona. The book
is especially meant for beginners, says the laser specialist.
“However, experienced users
will also find it worth reading.
I am sure that they will be surprised to learn the many possibilities of diode lasers and
the range of applications that
are open to them with models
like the SIROLaser Advance
or SIROLaser Xtend.”
Routine and less common
aspects of dental treatment
The 970-nm diode laser discussed in the SIROLaser
Factbook covers a variety of
dental indications, says copublisher and co-author Professor Doctor Andreas Braun
from the Center for Dental
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[11] =>

United Kingdom Edition

University of Marburg. These
include incision/excision associated with gingivectomy,
gingivoplasty, implant exposure, and removal of abnormal tissue and reducing bacteria as a supporting measure
in periodontal, peri-implant
or endodontic procedures as
well as adjunctive therapy in
the treatment of aphthous ulcers. “The selected articles
cover both routine and less
common aspects of dental
treatment with a particular
focus on new treatment strategies combined with conventional techniques,” says Prof.
Dr. Braun.

Relaxed
dentists
and
patients
Sirona,
global
innovation
leader for dental equipment,
has two laser models in its
product portfolio that set new
standards: SIROLaser Xtend
with an upgrade option for
beginners and SIROLaser Advance for experts. The lasers

ORTHOPANTOMOGRAPH ® is a registered trademark of Instrumentarium Dental, PaloDEx Group Oy.

‘Academic articles
and real-life user
reports by wellknown experts provide information on
the many uses and
treatment options
of diode lasers with
a wavelength of
970nm. Interesting
facts and figures,
study results, documented case studies with descriptive pictures, and
recommendations
for further reading
complete the
compendium’

recommendations for day-today practice will result from
the treatment procedures described.”

Advertorial 21

April 2014
October
2013

stand for safe, precise procedures, gentle, pain-free treatment, lasting product quality,
and top design. The SIROLaser Advance and SIROLaser
Xtend ensure relaxed dentists
and relaxed patients. More
information for dentists and
the compendium “SIROLaser
Factbook – Clinical articles
about SIROLaser Advance and
Xtend applications” are available for download at www.sirona.de. DT

SIROLaser Advance and Xtend – two models for safe, precise, pain-free treatment

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“There are few instruments
that symbolise modernity and
innovation in dentistry more
than the laser,” says Prof. Dr.
Roland Frankenberger. Laser
applications in dentistry are
now scientifically established.
The President of the German
Society for Restorative Dentistry (DGZ) writes in his foreword, “I am especially pleased
that a variety of interesting
aspects of routine work are
examined and laser treatment
is conveyed objectively, but
with enthusiasm.” Prof. Dr.
Braun hopes, “Perhaps new

With a legacy of innovation and experience
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systems for computer-assisted ceramic restorations (CEREC), digital
imaging systems for intraoral and
panoramic x-rays, as well as volume tomography (3D), treatment
centres, instruments and hygiene
devices. Sirona’s largest development and production site is in Bensheim, Germany. The company has
more than 3,200 employees around
the world and has been listed on the
NASDAQ since 2006 (symbol: SIRO).
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1961 | ORTHOPANTOMOGRAPH® OP1

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2011 | ORTHOPANTOMOGRAPH® OP300

2013 | The journey continues

[12] =>

22 Industry News
3M ESPE
Mix and match

United Kingdom Edition

7 Connections
MagicBox

3M ESPE is dedicated to developing practical
and affordable solutions for dentists. The
Pentamix Lite automatic mixing unit is
lightweight, simple to use and can be stored
upright when on standby. It also has an
integrated handgrip, allowing it to be easily moved around the practice as
required.
The Pentamix Lite automatic mixing unit is suitable for all viscosities and works
beautifully with all 3M ESPE impression materials, dispensing a void-free mix
for accurate and precise restorations.

Providing an array of both digital and hard copy
marketing resources, the innovative MagicBox
delivers all the tools you need to market your
practice effectively for the next year.
Posters, personalised referral cards and social media
banners are all featured to name but a few, as well as a 12-month marketing
plan and a return on investment tracker enabling you to monitor your progress
throughout.

The Pentamix Lite automatic mixing unit can be used almost immediately after
delivery – just plug it in, turn it on and start mixing.

And more information is available on the fresh new website, www.7connections.
com, where you can find out more about other business services available, the
team’s backgrounds or upcoming events, while also keeping up-to-date with
the industry by reading the team’s blogs.

For more information, call 0845 602 5094 or visit www.3Mespe.co.uk

Marketing – it’s amazing what you can achieve with a little Magic….

3M ESPE and Pentamix are trademarks of the 3M Company

Book your free marketing review with 7connections today, and quote discount
code MB004 to receive a 25% on your first three months of MagicBox*!
For more information about 7connections and the MagicBox,
please call 01647 478145, email phillippa.goodwin@7connections.com. or
visit the brand new website www.7connections.com
Discount code valid until the end of May 2014

CB12
Effective relief from the
effects of halitosis
Patients who suffer from
chronic bad breath have to
contend with both the physical and psychological effects of their condition.
In a seven-year Swiss study, halitosis has been found to bring about inhibition,
insecurity, withdrawal and reduced social contact to chronic sufferers.
You can greatly help by recommending CB12, which has been proven to
effectively neutralise all three odour-causing Volatile Sulphur Compounds
better than 18 other leading mouthwash brands.
For all-day freshness and confidence, patients can also use CB12 boost. This
new product is a scientifically formulated two-layer, sugar-free gum that
contains zinc, fluoride and xylitol – three ingredients that prevent bad breath,
strengthen teeth and prevent caries, and reduce plaque.
For effective relief from halitosis that can help set your patients’ minds at ease,
you can confidently recommend these two products from CB12.

RelyX Unicem Self-adhesive Resin
Cement
10-year clinical performance

A recently published 10-year clinical study from The Dental Advisor gives RelyX
Unicem self-adhesive resin cement five stars and a 98% clinical rating.
Through scientific evaluation protocol, over one thousand three hundred
anterior and posterior restorations were examined over six-months for postoperative sensitivity, marginal discolouration and retention.
RelyX Unicem self-adhesive resin cement performed well under all criteria,
leading The Dental Advisor to conclude that “RelyX Unicem has proven to be a
reliable self-adhesive resin cement over the 10-year recall period.”1
The UK’s leading permanent dental cement proves itself once again through
outstanding clinical performance.1
For more information, call 0845 602 5094 or visit 3Mespe.co.uk
3M ESPE and RelyX are trademarks of the 3M Company

At EndoCare we don’t just aim to meet
patients’ expectations, we aim to surpass
them. That’s because we believe in
something better. We believe that every
patient is unique and deserves to be
treated with the same level of care that we would expect to receive ourselves.
Our light, airy practices are located across London, and are equipped with
the latest cutting-edge equipment designed to meet the exacting needs of
modern Endodontic practise. Not only will your patients receive the very best
care in a warm and friendly environment, but they will also receive treatment
from recognised experts in their field.
Our team of highly qualified Specialist Endodontists are wholly committed
to diagnosing and treating dental pain, and are widely published in the
professional press.
For the very best Endodontic patient referrals, call the EndoCare team today.
We pride ourselves on forming close working relationships with all our
referring practices, and aim to become an integral part of your practice team.

Let The Dental Directory help
you take a BIG BITE out of your
spending
The Dental Directory’s latest edition
of Big Bite is out now, with offers
on a wide range of oral hygiene
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MaxWhite One Professional Kit, 25% on SofGrip Scalers, and 30% on Wisdom
Micropower battery toothbrush, plus savings on many other products too.
For many dentists, supplying oral hygiene products to patients has proved to
be a valuable revenue builder for their practice. Big Bite is an ideal source of
inspiration and supplies, ranging from toothbrushes to xylitol chewing gum,
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Our sales teams are ready to help and with no minimum order value, no
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For further information please call EndoCare on 020 7224 0999
Or visit www.endocare.co.uk

The Independently Verified Best Priced Dealer!
For more information, contact The Dental Directory on
0800 585 586, or visit www.dental-directory.co.uk.

BPE guidance at your fingertips - new gum
health app available now!
GlaxoSmithKline
Consumer
Healthcare,
manufacturer of Corsodyl mouthwash, has
launched a new mobile app to help support
dental professionals with the use of the Basic
Periodontal Examination (BPE). The app provides
information on:
• Background to the BPE codes
• Description and clinical image of each BPE code
• Summary of recommended treatment

The University of Buckingham and LDTA agreement
The University of Buckingham and the Leicester Dental Teaching Academy
(LDTA) signed a joint venture agreement on April 27th 2012 to establish a
Dental School in Leicester which would initially provide a five year BDS degree
course. This was to complement a new Medical School which the University
was also pursuing at the time.

Developed by the British Society of Periodontology, the BPE allows dental
professionals to consistently & accurately assess their patients’ gum health.1
The assessment of gum health, together with the provision of support
for patients to help prevent periodontal disease, will be of even greater
importance once the Dental Quality & Outcomes Framework comes into force
in the revised dental contract. The Corsodyl brand is committed to supporting
dental professionals when educating patients on the importance of gum
health and the early signs of gum disease. This app forms part of a range of
materials that also includes the Corsodyl Gum Care Guidance Pack which can
be requested for dental practices.
Compatible with iphones and ipads, the app can be downloaded from the app
store by searching “bpe app” and further information can be accessed from
www.gsk-dentalprofessionals.co.uk

Spoilt for choice
Carestream Dental at BDA Conference
and Exhibition
Delegates visiting Carestream Dental at
this year’s BDA Conference and Exhibition
had access to a huge range of cutting-edge
technologies on display.
From the innovative CS Solutions system that enables dentists to scan, design,
mill and place restorations in a single appointment, to the eSignatures module
enhancing patient consent and the time-saving AutoPost service, delegates
were truly spoilt for choice.
The award-winning CS 8100 OPG Unit was particularly popular feature on the
stand, having recently been voted ‘Top Panoramic Imaging System of 2014’
by The Dental Advisor. Delegates were also keen to find out more about the
innovative CS 9300 CBCT impression scanner and CS 3500 intraoral scanner
available. In addition, the team from Carestream Dental introduced the brand
new CS 8100 3D from within the Innovation Zone, demonstrating the many
benefits of easy-to use technology and high quality 3D images in everyday
practice.
For further information on any of the award-winning technologies from
Carestream Dental, contact the experts today.
For more information, contact Carestream Dental on 0800 169 9692 or visit
www.carestreamdental.co.uk

High performance LED technology from
Clark Dental
New from Clark Dental, the Zenium ZYO
is the latest high performance operating
light featuring ‘shadowless’ technology for
perfect clarity of vision.
Designed with the modern practice in mind,
the ZYO is the perfect blend of style and sophistication. The unit consists of
six powerful LED lights that can be adjusted to produce between 5,000 and
32,000 Lux, while innovative new materials improve heat dissipation while
ensuring the unit remains light and compact.
With ergonomics such an important consideration, users will appreciate the
excellent freedom of movement offered by the articulating ZYO arm, which
has been designed to offer maximum fluidity and variety so you can illuminate
your procedures from any angle.
The Zenium ZYO can be purchased as an LED light only as above and also
offers clinicians the additional option of a fully integrated digital HD camera,
complete with zoom function.
For more information call Clark Dental Sales on 01270 766167,
email info@clarkdentalsales.co.uk
or visit www.clarkdentalsurgerydesign.co.uk

For more information about CB12 and how it could benefit your patients,
please visit www.cb12.co.uk

Endocare
Exceeding expectations

April 2014

In October 2012 the University and the LDTA hosted a launch in Leicester to an
invited audience of 200 delegates drawn from Leicester’s dental professionals
and a small number of other interested parties. Both the University and the
LDTA pursued this venture with enthusiasm. However, delays in the anticipated
start date for the Medical School and the large amount of resource required for
this project alone has left the University with no choice but to delay the Dental
School until the Medical School is established. As the University is unable to
commit to a start date this has made it impossible for the LDTA to complete
contracts for the provision and construction of facilities as required in the joint
venture. Both parties therefore reached an amicable agreement to end the
joint venture in January 2014.
The University of Buckingham will support, as far as it is able, the efforts by the
LDTA to attract an alternative venture partner.

Invisalign university programme for post graduate orthodontic training
expands
Align Technology has reached agreement with a further four dental schools
to join its orthodontic training programme, bringing the number at which it
teaches to seven. The Invisalign University Training Programme starts with
an introduction to the Invisalign Doctor Site; treatment options and treatment
selection; record submission; the use of the ClinCheck® software and aligner
delivery, through to monitoring and finishing. Each university is provided
with a University Kit which includes Invisalign materials and access to the
Clincheck software programme - everything the students need to get started.
The participating university is also issued with a username and password for
students to use to access the Invisalign Dr Site which is a website portal for
submitting cases. In addition to this, the site includes an educational sub-site
which is continuously updated with clinical tips, hints, clinical presentations
and publications. Other benefits include additional free Invisalign treatments
and discounts once the first student intake has submitted their first cases.
Every student who participates is also entitled to an Invisalign account which
is activated after their graduation, which allows them to care for patients using
the Invisalign system once they start in practice.
An authorised member of the faculty of universities interested in adding
Invisalign® to its orthodontic training curriculum is requested to email:
eu-universities@aligntech for more information.

Aligned with the British Dental
Health Foundation
Align Technology is supporting the
British Dental Health Foundation’s
2014 National Smile Month campaign.
Orthodontic treatment has the
potential to help some patients
overcome their dental phobia. The
most recent Adult Dental Health
Survey1 showed that 12% of people surveyed in the UK experience extreme
dental anxiety. However orthodontic treatment is viewed as a positive aspect
of dentistry – where people are motivated to actually seek out treatment from
their dental professional to improve their smiles. To back up the campaign,
Align Technology is developing a number of promotions with the BDHF
to educate the public and drive potential patients to enquire about tooth
straightening.
Invisalign providers are also being encouraged to hold open days to capitalise
in the interest being generated during National Smile Month and to support
this initiative; Align is offering them 50% discounts on their lab fees between
19 May and 19 June. The company is also branding the famous National Smile
Month ‘smile on a stick’ providing participating practices with something to
promote Smile Month events.
For more information visit www.nationalsmilemonth.org or
www.invisalign.co.uk

[13] =>

United Kingdom Edition

Carl Zeiss Loupes from Nuview – “The field of
vision is brilliant.”
Many dentists are discovering the numerous
advantages that a set of loupes can bring to their
clinical work. The name Carl Zeiss is recognised
for creating visualisation systems of the very
highest standard and Carl Zeiss’ range of loupes
is no exception.
However, using a set of Carl Zeiss loupes doesn’t
just guarantee enhanced visualisation, it also
ensures comfort. Carl Zeiss loupes allow the user
to sit in an upright position, this improved posture
makes developing back and neck problems a lot
less likely. Dr Uns Moutiz, Dental Associate at All Saints Green Dental Practice
says: “With the loupes I can see minor details, which can otherwise be missed
and helps in diagnostics. I can add finesse to a greater degree, which was not
achievable with naked eye, especially when I am doing cosmetic work and a
higher level of finesse is expected. I don’t have to adjust the light if I want to
see in odd corners of the mouth as the light follows my direction of the head. I
would absolutely recommend these to every dentist.”
Available exclusively in the UK from Nuview, Carl Zeiss loupes offer comfort,
sophisticated technology and unparalleled visualisation.

Industry News 23

April 2014

Enhance Your Patient Service With The
Experts At The London Smile Clinic
Regardless of your dedication to training and education, at some point you will
come across a patient that requires treatment outside of your skill set.
In those cases, offer patients the widest range of treatment options by referring
to the award-winning London Smile Clinic. The practice is open for referrals for
orthodontic treatment, implant work and complex multi-disciplinary cases.
The expert team includes implantologist Dr Zaki Kanaan and Specialist
Orthodontist Dr Preet Bhogal, two highly experienced and qualified
professionals dedicated to ensuring the success of your patient’s treatment.
As the referring dentist, you will be involved in the treatment planning, have
regular progress updates, and be required to approve each stage of the
treatment. Every case is documented with before and after photographs,
while orthodontic referrals receive treatment-planning models to send to their
ceramist. Offer your patients more – contact the London Smile Clinic and see
how they can work with you to provide optimum treatment and patient care.

The Carl Zeiss OMPI Pico microscope – “I
remain as impressed now as I was when I
purchased it
“I’ve been using the OMPI Pico microscope
for about 18 months now and I remain as
impressed now as I was when purchased it,”
says Dr Devin Vaghela of The Morgan Clinic in
Maidenhead. “The unit is very well designed.
Its arms and Mora interface allow it to be
positioned at a wide range of angles over a
two-metre span. Its locking screws hold very
well even when gently tightened, allowing
minor degrees of movement, especially
important when under high magnification. A DSLR or Camcorder specific
adaptor can be mounted on the unit. It’s great for presentations to colleagues
and patients. Assistants like it too!”
The Carl Zeiss OMPI Pico microscope is available exclusively from Nuview
in the UK. “John and his team at Nuview recognise this purchase as a large
investment,” continues Dr Vaghela. “I have dealt with the team for a few years
now and have no hesitation in recommending them. They offer good technical
support, advice and a prompt service.”

For more information, please contact 020 7255 2559
or visit www.londonsmile.co.uk/refer - your patients will be glad you did!

For more information please call Nuview on 01453 872266,
email info@nuview-ltd.com or visit www.nuview.co

BPE guidance at your fingertips - new gum health app available now!
GlaxoSmithKline Consumer Healthcare, manufacturer of Corsodyl mouthwash,
has launched a new mobile app to help support dental professionals with the
use of the Basic Periodontal Examination (BPE). The app provides information on:

Let The Dental Directory help
you take a BIG BITE out of your
spending
The Dental Directory’s latest
edition of Big Bite is out now,
with offers on a wide range of
oral hygiene products. Save over
30% on Colgate MaxWhite One
Professional Kit, 25% on SofGrip
Scalers, and 30% on Wisdom Micropower battery toothbrush, plus savings on
many other products too.

For more information please call Nuview on 01453 872266.

• Background to the BPE codes
• Description and clinical image of each BPE code
• Summary of recommended treatment

The power of information from Christie + Co
Whatever questions you may have about selling of buying a practice, Christie
+ Co can help provide you with the right answers.
From the best strategy to sell your practice to the best specialist dental finance
to suit your needs, Christie + Co can draw upon its years of experience and
expertise to provide you with the right information and the best guidance.
Whether you’re buying or selling a dental practice, Christie + Co knows how
the right information presented in the right way can lead to the most desirable
result – your business or retirement goals, met with ease.

Developed by the British Society of Periodontology, the BPE allows dental
professionals to consistently & accurately assess their patients’ gum health.1 The
assessment of gum health, together with the provision of support for patients to
help prevent periodontal disease, will be of even greater importance once the
Dental Quality & Outcomes Framework comes into force in the revised dental
contract. The Corsodyl brand is committed to supporting dental professionals
when educating patients on the importance of gum health and the early signs
of gum disease. This app forms part of a range of materials that also includes the
Corsodyl Gum Care Guidance Pack which can be requested for dental practices.
Compatible with iphones and ipads, the app can be downloaded from the app
store by searching “bpe app” and further information can be accessed from
www.gsk-dentalprofessionals.co.uk

To discuss how Christie + Co might help you achieve your future plans please
contact Simon Hughes on 0207 227 0749

Give your business the MyRay
Boost
Whether you are looking to enhance
the quality of dental care you
provide, increase your patients’ trust
in you or generate more business
through patient referrals, you need
first-class dental equipment.

Everyday materials and consumables, whitening products and innovative
equipment and imaging systems all feature in this issue. There is even a very special
offer on the Belmont Compass treatment centre that could save you an astonishing
£6,100! Also featured is the Mikrozid disinfection range with savings of up to 27%,
PLUS you can get your hands on FuturaBond U – the latest universal adhesive from
VOCO.

Offering a wide variety of leading digital imaging systems and dental radiography
equipment, MyRay provides a solution. From cutting-edge intraoral cameras to
top-of-the-range Hyperion X7 OPG machines and the advanced Hyperion X9 CBCT
equipment, all products are designed to produce the very best image quality, while
encouraging an efficient and streamlined workflow.
Unique features and styling, free software and more importantly free upgrades as
developments take place have convinced many UK MyRay users, that they made the
right choice when it came to going digital. Two Year warranty on all equipment and
a comprehensive network of Service Technicians, gives the confidence practitioners
require. MyRay have raised the bar in quality whilst striving to reduce costs.

You always get a PLUS from The Dental Directory - the company independently
verified as the Best Priced Dental Dealer in both 2012 and 2013.
The Independently Verified Best Priced Dealer!
For more information, contact The Dental Directory on
0800 585 585, or visit www.dental-directory.co.uk.

Excavating caries: check-ups are
good, SIROInspect is better
In May Sirona, technology leader in the
dental industry, is bringing a detection
system onto the market that enables
dentists to identify reliably, quickly and
simply where caries does or does not
exist: SIROInspect.
SIROInspect is based on Fluorescence-Aided Caries Excavation technology,
known as FACE®, which exploits the fluorescence characteristics of teeth. If
teeth are illuminated with violet light in the spectrum of around 405 nm, it
doesn’t only stimulate degradation products of caries bacteria but also healthy
dentine to fluoresce. Healthy dental tissue lights up green whereas carious
areas are visibly red. The attending dentist can therefore see at first glance –
and very clearly - which areas are carious and which ones are not.
Henry Schein
Belfast: +4 (0) 28 9037 0702 . Cork: +33 (0) 21 434 6392 Dublin . +353 (0) 1 456
5288

Our sales teams are ready to help and with no minimum order value, no delivery
charge and same day dispatch for orders received before 5pm, we are at your
service. Make The Dental Directory your first choice for your oral hygiene needs.
Order by telephone, fax or through our comprehensive website, where you can
view more of the 27,000 products we offer.
The Independently Verified Best Priced Dealer!
For more information, contact The Dental Directory on
0800 585 586, or visit www.dental-directory.co.uk.

There’s Value, and then there’s
VALUE PLUS!
The Dental Directory’s VALUE PLUS
brochure is out now.
This latest issue of Value Plus
features special offers and
impressive savings on a wide range
of products from many of dentistry’s leading brands.

PLUS, don’t forget all this is backed up by The Dental Directory’s commitment to
outstanding customer service, massive stock holdings and free delivery with no
minimum order value and same day dispatch on orders received before 5pm.

For many dentists, supplying oral hygiene products to patients has proved to
be a valuable revenue builder for their practice. Big Bite is an ideal source of
inspiration and supplies, ranging from toothbrushes to xylitol chewing gum,
waterflossers to Tooth Fairy envelopes.

Discover how MyRay could help you improve your practice and boost your patient
service today.

Visualisation solutions for all
situations
Delegates at the BDA Conference and
Exhibition 2014 were given the opportunity to
test for themselves the Carl Zeiss visualisation
systems provided exclusively in the UK by
Nuview. They were particularly impressed by
the incredible image quality and ergonomic
sophistication on display.
With a selection of loupes and dental microscopes ranging from the fantastic TTL
Teleloupe and the GTX, to the top-of-the-range OPMI Pico dental microscope, the
team from Nuview were happy to explain the many advantages of these fantastic
dental tools.
Whether delegates were endodontic specialists looking for the perfect microscope
to see deep down into the root of a problem, or GDPs looking for a set of loupes
to accompany their everyday dentistry, Nuview exhibited an effective solution for
every scenario.
Discover the benefits that employing a Carl Zeiss visualisation system can bring to
your daily practise by contacting the team at Nuview today.
For more information please call Nuview on 01453 872266,
email info@nuview-ltd.com or visit www.nuview.co

Call 0870 752 1121for MyRay in the UK or visit www.my-ray.co.uk

The Best of British
Delegates visiting the award-winning
Sparkle Dental Labs at this year’s BDA
Conference and Exhibition were eager to
find out what the company can offer their
business.
Visitors were keen to find out more about
Sparkle Dental Labs’ courier service to and
from dental practices. The first of its kind when it was introduced by the company, the
service offers free pick up and delivery with fast lab-work turnaround times.
The team were on hand to pass on information about the full certification provided
for each restoration, which complies fully with GDC regulations, and spoke about the
benefits of buying British hand-crafted dental products.
All in all the exhibition was a great success for the company, which looks set to
continue leading the way in product excellence.
For any additional information please call 0800 138 6255 or email
customerservice@sparkledentallabs.com or visit:
www.sparkledentallabs.com

Providing Effective Aftercare
Tandex provide quality Orthodontic Kits to help aid
your patients’ aftercare following treatment.
An effective way to ensure that patients maintain
efficient oral health care after a dental procedure is
complete is to offer a fully prepared kit that contains all
of the necessary tools.
The Tandex Orthodontic Kit has a selection of adjuncts
ranging from an Advance Medium toothbrush to eliminate bacteria from around the
oral cavity, to the SOLO Medium brush for precise interdental cleaning. It also comes
with 4 FLEXI Lime interdental brushes with non-slip flexible grip for pleasant and
versatile maintenance.
The kit includes a detailed user guide that comprehensively instructs patients on
optimum cleaning protocols. Produced in cooperation with dentists and hygienists
the in-depth information allows patients to use the products as they were intended,
for easily achievable and excellent results.
Tandex Orthodontic Kits offer your patients the highest quality tools and direction for
effective aftercare. Contact the team at Tandex today to find out more.

For more information on Tandex’s range of products, visit www.tandex.dk
or email: martin@tandex.dk

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[cover] => Cosmetic Tribune UK No. 1, 2014

[toc] => Array ( [0] => Array ( [title] => Just fill! Constic - The self-etching and self-adhesive filling material [page] => 11 ) [1] => Array ( [title] => Conservative smile enhancement [page] => 13 ) [2] => Array ( [title] => Bioactive materials support proactive dental care [page] => 15 ) [3] => Array ( [title] => SIROLaser Factbook: Comprehensive information on diode lasers [page] => 20 ) [4] => Array ( [title] => Industry News [page] => 22 ) ) [toc_html] =>

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