DT Asia Pacific No.9, 2017

Asia-Pacific News / Business / The Clip Mirror: Increasing productivity and easing daily physical stressors / A convincing duo: Zirconium dioxide and fluorapatite glass-ceramic

Open PDF View E-paper Edit Epaper Edit Epaper ads save

Table of contents

Open Link

Open Link

) ) [pdf_filetime] => 1729676694 [s3_key] => 72368-935c8903 [pdf] => DTAP0917.pdf [pdf_location_url] => https://e.dental-tribune.com/tmp/dental-tribune-com/72368/DTAP0917.pdf [pdf_location_local] => /var/www/vhosts/e.dental-tribune.com/httpdocs/tmp/dental-tribune-com/72368/DTAP0917.pdf [should_regen_pages] => 1 [pdf_url] => https://epaper-dental-tribune.s3.eu-central-1.amazonaws.com/72368-935c8903/epaper.pdf [pages_text] => Array ( [1] =>

DENTALTRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition

Published in Hong Kong

www.dental-tribune.asia

BREATH ANALYSIS

Korean scientists have developed
high-sensitivity sensors to enable early monitoring of disease
biomarkers in breath.

Vol. 15, No. 9

INTERVIEW

An interview with Kenji Cheung,
CEO of Hong Kong-based supplier
Tesco Dental, about the business’s
vision and values.

” Page 04

By DTI

integral part of a healthy diet, and
we need to be able to separate sugars naturally present in dairy, fruits
and vegetables from sugars added
during manufacturing,” he said.
The aim of the study was to
show that greater transparency on
added sugar in packaged foods is
necessary. The researchers ana-

Drop in
denture use

lysed more than 34,000 packaged
foods—about 18,000 discretionary foods (those not necessary to
provide the nutrients the body
needs) and nearly 16,000 core
foods, like milk, cheese and bread—
to learn how the labelling could be
improved if added sugars were included. A report published earlier
this year found that consumers

could avoid 26 teaspoons of sugar a
day if they could identify added
sugars on food packs.
The study, titled “Incorporating added sugar improves the performance of the Health Star Rating
front-of-pack labelling system in
Australia”, was published on 5 July
in the Nutrients journal.

In an interview with Dental
Tribune, Cole explained the underlying reasons for this: “The current cohort of older adults has benefited
from substantial improvements
made after the post-war boom. These
improvements include community
water fluoridation and use of fluoride toothpaste, advancement in
dental technology and treatment
methods, access to healthier diets,
improved oral hygiene and more
regular dental check-ups.”

IV_Image_Anz_102x128_Layout 1 01.12.11 17:10 Seite 1

Erosive
potential

George Loh, Dr Yeoh Khay Guan, Dr Lily Chan, Amrin Amin, Dr Lim Jui, Prof. Kee
Chaing Chua and Kelvin Zin (from left) at the launch of the NUS Centre for Additive Manufacturing.
” News Page 02

World’s
Humans’
arrival in Asia longest tooth
According to recent fossil teeth
findings, the human dispersal out
of Africa and down to Australia may
have occurred 20,000 years earlier
than previously thought. Using a
new dating program, it was confirmed that the teeth came from
modern humans, Homo sapiens,
and most interestingly that they
dated to as long as 73,000 years ago.

” Page 13

MELBOURNE, Australia: From new
figures indicating a decline in denture use in Victoria, it appears that
more older people are retaining
their natural dentition. The data,
which was released by the Dental
Health Services Victoria (DHSV), relates to the number of dentures provided by Victorian public dental
clinics to patients aged 65 and older.
Overall, there was a 21 per cent drop
in denture use over the eight-year
period considered. “Older people
are keeping their teeth longer and
we hope this trend will continue,”
DHSV CEO Dr Deborah Cole said.

Seven out of ten packaged goods sold in supermarkets contain added sugar, the study found.

The Health Star Rating front-ofpack labelling system used in Australia rates the overall nutritional
profile of packaged foods and includes total sugar content as one of
the components. This has been criticised because sugars naturally
present in some foods are treated
the same as sugars added during
processing. However, according to
co-author of the study Prof. Bruce
Neal, only labelling total sugar content is misleading. This is particularly true for discretionary products containing a great deal of
added sugar. “Good sugars are an

Read all about the first edition of
the Indonesia Dental Congress and
Exhibition in our today specialty
section included in this issue.

” Page 06

Better sugar labelling required
NEWTOWN, Australia: In a new
study carried out by researchers at
the George Institute for Global
Health, it was found that a significant amount of sugar is added to
foods. Owing to a decline in the
oral health of Australians, dentists
have called on food manufacturers to state on their packaging
the amount of sugar added to
the products, according to the
Australian Dental Association.

today IDEC 2017

An 18-year-old teenager from
India holds the new Guinness
World Record for the longest
human tooth. With a length of
3.67 cm, the tooth beats the previous world record by almost 5 mm,
the records committee confirmed.
The canine was buccally located
and surgically extracted for aesthetic reasons.

The low cost and availability of
acidic fruit juices, fruit drinks and
carbonated beverages encourage
their consumption, and this may
lead to elevated prevalence of dental erosion. Researchers at the Federal University of Santa Catarina
in Brazil recently evaluated the
chemical characteristics of grape
and orange juice and their erosive
potential in the decrease of microhardness and the loss of enamel
structure.
The results showed that grape
juices presented greater erosive
potential than orange juices. Pure,
powdered and concentrated grape
juices showed similar loss of
enamel structure to that of a cola
soft drink. The erosive potential of
the beverages was statistically
correlated to pH, titratable acidity,
and calcium, phosphate and fluoride concentrations.

Distinguished by innovation
Healthy teeth produce a radiant smile. We strive to achieve this goal on a daily basis. It inspires
us to search for innovative, economic and esthetic solutions for direct filling procedures and
the fabrication of indirect, fixed or removable restorations, so that you have quality products
at your disposal to help people regain a beautiful smile.

www.ivoclarvivadent.com
Ivoclar Vivadent AG
Bendererstr. 2 | FL-9494 Schaan | Liechtenstein | Tel.: +423 / 235 35 35 | Fax: +423 / 235 33 60

[2] =>

ASIA PACIFIC NEWS

02

Dental Tribune Asia Pacific Edition | 9/2017

ADIA: Association of the Year
services at a cost to members lower
than would otherwise be the case.

IMPRINT
GROUP EDITOR:
Daniel ZIMMERMANN
newsroom@dental-tribune.com
Tel.: +44 161 223 1830

MANAGING EDITOR AP:
Kristin HÜBNER

EDITOR:

“Being named Association of
the Year is a great tribute to the
many individuals who, over many
years, have worked to ensure that
ADIA is an integral partner to the
industry it represents,” ADIA National President Phil Jolly said in his
acceptance speech. “ADIA’s commitment is to provide leadership,
strategy, advocacy and support.
Our members set our agenda, fund
our activities and directly benefit
from the results—this award is a
great independent recognition of
our success in this area,” he added.

Yvonne BACHMANN

ONLINE EDITOR/SOCIAL MEDIA MANAGER:
Monique MEHLER

MANAGING EDITOR &
HEAD OF DTI COMMUNICATION SERVICES:
Marc CHALUPSKY

JUNIOR PR EDITOR:
Julia MACIEJEK

COPY EDITORS:
Sabrina RAAFF
Ann-Katrin PAULICK

CLINICAL EDITORS:		
Magda WOJTKIEWICZ
Nathalie SCHÜLLER

PUBLISHER/PRESIDENT/CEO:
Torsten R. OEMUS

CHIEF FINANCIAL OFFICER:
Dan WUNDERLICH

ADIA National President Phil Jolly and ADIA CEO Troy Williams (fifth and sixth from left) celebrating their Association of
the Year Award at the award ceremony in July.

By DTI
SYDNEY, Australia: The Australian
Dental Industry Association (ADIA)
has been awarded the first Association of the Year Award presented
by Associations Forum, a body

committed to assisting non-profit
associations and charities in governance, operations, membership
and finances. According to the
panel, ADIA has distinguished itself by achieving all-round excellence.

The award recognises ADIA’s
ability to influence government decision-making, deliver world-class
exhibitions and publish meaningful market intelligence. In addition,
Associations Forums highlighted
that the dental body delivers its

The Association of the Year Award
was presented at a gala dinner held
in Sydney on 17 July. More than 300
stakeholders from across the notfor-profit sector attended the event.
Other award winners included
the Australasian Institute of Marine
Surveyors, which took home the Association Turnaround of the Year
Award, and Community Legal Centres
Queensland, which won the Association Achievement of the Year Award.

BUSINESS DEVELOPMENT MANAGER:
Claudia SALWICZEK-MAJONEK

PROJECT MANAGER ONLINE:
Tom CARVALHO

JUNIOR PROJECT MANAGER ONLINE:
Hannes KUSCHICK

E-LEARNING MANAGER:
Lars HOFFMANN

MARKETING SERVICES:
Nadine DEHMEL

SALES SERVICES:
Nicole ANDRÄ

ACCOUNTING SERVICES:
Anja MAYWALD
Karen HAMATSCHEK
Manuela HUNGER

MEDIA SALES MANAGER:

New NUS 3-D printing centre to
focus on healthcare applications

Antje KAHNT (International)
Barbora SOLAROVA (Eastern Europe)
Hélène CARPENTIER (Western Europe)
Maria KAISER (North America)
Matthias DIESSNER (Key Accounts)
Melissa BROWN (International)
Peter WITTECZEK (Asia Pacific)
Weridiana MAGESWKI (Latin America)

EXECUTIVE PRODUCER:
Gernot MEYER

ADVERTISING DISPOSITION:
Marius MEZGER

By DTI
SINGAPORE: The National University of Singapore (NUS) has for-

After bringing together expertise from the faculty of dentistry,
design, engineering and medicine,
among others, several key goals

Chiong from the Faculty of Dentistry. “Future dentists and medical professionals will be better educated right from the start.”

“AM.NUS will bring together
NUS technologies with industry
expertise, enabling the accelerated translation of NUS technolo-

“...we hope to boost technology capabilities as well as
advance intellectual property development...”

“The NUS Centre for Additive Manufacturing will play a critical role in
supporting Singapore’s vision of becoming a leading AM hub. Through
this inter-faculty pooling of expertise, we hope to boost technology
capabilities as well as advance intellectual property development and
commercialisation of AM-enabled
biomedical technologies,” said AM.
NUS co-director Prof. Jerry Ying Hsi
Fuh from the university’s department of mechanical engineering.

have been outlined for the centre’s
collaborative efforts. For example,
researchers from the university’s
Division of Industrial Design will
work on the development of 3-D
printed surgical instruments, simulators and prosthetics, while scientists from the NUS Yong Loo Lin
School of Medicine will study bioprinting techniques for tissue repair and tissue engineering. Moreover, the NUS Faculty of Dentistry
will focus on enhancing computer-aided oral surgery protocols and
surgical planning, as well as advancing 3-D printing for dental implant design and tissue engineering.
“Every project is a collaboration
of the industry, clinicians, engineers
and designers who all bring their
own unique perspectives to address
complex issues that cannot be solved
alone,” said Prof. Kelvin Foong Weng

The initial funding of S$18 million (US$13.2 million) for the
A M.NUS came from NUS, the
National Additive Manufacturing
Innovation Cluster and the Singapore Economic Development Board.
In addition, the centre will collaborate with different industry partners.

gies into innovative healthcare
products and services,” said Dr Lily
Chan, CEO of NUS Enterprise. “The
centre is already working on a
total of 17 collaborative projects,
and has raised about S$4.7 million
(US$3.5 million) in additional project funding.”

Nora SOMMER

Published by DT Asia Pacific Ltd.
DENTAL TRIBUNE INTERNATIONAL
Holbeinstr. 29, 04229, Leipzig, Germany
Tel.: +49 341 48474-302
Fax: +49 341 48474-173
info@dental-tribune.com
www.dental-tribune.com

Regional Offices:
DT ASIA PACIFIC LTD.
c/o Yonto Risio Communications Ltd,
Room 1406, Rightful Centre,
12 Tak Hing Street, Jordan,
Kowloon, Hong Kong
Tel.: +852 3113 6177
Fax: +852 3113 6199

UNITED KINGDOM
535, Stillwater Drive 5
Manchester M11 4TF
Tel.: +44 161 223 1830
www.dental-tribune.co.uk

DENTAL TRIBUNE AMERICA, LLC
116 West 23rd Street, Suite 500, New York,
NY 10011, USA
Tel.: +1 212 244 7181
Fax: +1 212 224 7185
© 2017, Dental Tribune International GmbH

© National University of Singapore

mally opened its new US$18 million Additive Manufacturing Centre, AM.NUS. Primarily focusing
on healthcare applications, the facility aims to foster knowledge in
the field of 3-D printing and additive manufacturing [AM] among
NUS clinicians and to stimulate associated medical technology startups and spin-offs in the city.

DESIGNER:

A surgical guide for oral maxillofacial surgery created by a device that uses
UV light to cure photosensitive resins into 3-D structures.

All rights reserved. Dental Tribune makes every
effort to report clinical information and manufacturer’s product news accurately, but cannot assume responsibility for the validity of product claims, or for
typographical errors. The publishers also do not assume responsibility for product names or claims, or
statements made by advertisers.
Opinions expressed by authors
are their own and may not
reflect those of Dental Tribune
International. Scan this code
to subscribe our weekly Dental
Tribune AP e-newsletter.

[3] =>

ASIA PACIFIC NEWS

Dental Tribune Asia Pacific Edition | 9/2017

Biting and chewing
trigger tooth growth
By DTI
SYDNEY, Australia: Research conducted by the University of Sydney has found chewing and biting
to be the cause of adult teeth
breaking through the gums rather
than an innate, unknown force.
The researchers used CT scan images of an eight-year-old child’s
mandible to design a 3-D model
that could be used to observe the
forces produced by the jaw when
biting and chewing. The aim of the
research was to show the stress
dispersion within the jaw as a person bites and chews.

Researchers have developed a 3-D biomechanical model that shows
the stress distribution within the jaw as a person bites and chews.
AD

Tetric N-Ceram Bulk Fill
®

The efficient posterior composite

“We designed the hard and
soft tissues in the jaw and input
the data we had about jaw movements into the software,” said Dr
Babak Sarrafpour, an oral and
maxillofacial pathologist and dentist at the University of Sydney.
“We simulated both the back teeth
and front teeth chewing and we
could assess the stress on the
teeth, bone and soft tissue.”

Save

55%
on time

The multidisciplinary team at
the university found that the
chewing and biting actions of the
jaw deform the thin layer of soft
tissue surrounding the teeth that
are yet to appear, which forces
them outwards. During the study,
a number of other hypotheses
were investigated that were still
unsupported by clinical evidence.
“There were a number of hypotheses surrounding how adult teeth
erupted. Perhaps it was from the
root forming and pushing the
tooth towards the oral cavity,
maybe it was the blood pressure
in the dental pulp or perhaps it
was the periodontal ligaments
forming and contracting, pushing against the tooth,” said Sarrafpour.

More information about the
research project can be found at
the university’s website.

Data available on request.

E
AT

AS
W
O
!
N
FLOW

NTED

rin
Ivoce
IG

H T I NITI

* Compared with Tetric® N-Flow and Tetric® N-Ceram

The team believes that this
study could result in further preventive treatments that could
change the tooth angle before it
erupts, rather than depending on
orthodontic bands or braces to
realign the tooth later in life.

and achieve amazing results

However, a number of studies have shown that even with
the disconnection of the root
and the ligaments from the
tooth, the eruption through the
bone would still happen. Therefore, the researchers developed
another theory. “Perhaps soft tissue dental follicle around unerupted adult teeth acts as a
mechanosensor in response to
biting forces and remodels the
surrounding bone in a way that
carries the tooth to the mouth,”
Sarrafpour explained.

Tetric® N-Ceram Bulk Fill

Tetric® N-Flow Bulk Fill

sculptable

flowable

www.ivoclarvivadent.com
Ivoclar Vivadent AG

Bendererstr. 2 | 9494 Schaan | Liechtenstein | Tel.: +423 235 35 35 | Fax: +423 235 33 60

[4] =>

ASIA PACIFIC NEWS

Dental Tribune Asia Pacific Edition | 9/2017

Mobile breath analysis device promising
for early disease diagnosis
© Elvira Koneva/shutterstock.com

By DTI
SEOUL, South Korea: Breath pattern
recognition was once thought of as
a futuristic diagnostic platform.
Research in this area has been gaining much attention because breath
analysis is a non-invasive and lowcost method. Among the most critical challenges in this regard is the
development of sufficiently sensitive sensors. Korean scientists have
now developed high-sensitivity
sensors to enable early monitoring
of various diseases based on biomarker gases in breath.
The research group, led by Dr
Il-Doo Kim in the Department of
Materials Science and Engineering
at the Korea Advanced Institute of
Science and Technology, has developed highly sensitive and selective
chemiresistive sensors that can potentially diagnose specific diseases
by analysing exhaled breath gases.
The sensors were developed by
combining hollow protein-templated nanocatalysts with electro-

Breath analysis can detect trace changes in exhaled breath components, contributing to early diagnosis of disease.

spun metal oxide nanostructures,
which have large and highly porous surface areas and thus achieve
high sensitivity.
Human breath consists of
iverse components, including
d
water vapour, hydrogen, acetone,

toluene, ammonia, hydrogen sulphide and carbon monoxide, with
greater or lesser amounts exhaled
in the case of illness. Some of
these are closely associated with
diseases such as asthma, lung cancer, Type 1 diabetes mellitus, and
halitosis.

Breath analysis starts with
capturing exhaled breath in a Tedlar bag and subsequently injecting
the captured breath gases into a
miniaturised sensor system, similar to an alcohol detector. It is possible to analyse exhaled breath
very rapidly with a simple analysing process. Breath analysis can
detect trace changes in exhaled
breath components, contributing
to early diagnosis of disease. However, gases in the breath occur at
very low levels, from 1 ppb to 1
ppm, and so extremely sensitive
sensors are needed for accuracy.
In particular, it has been a challenge for chemiresistive chemical
sensors to selectively detect specific biomarkers.
Conventionally, platinum and
palladium are used in developing
the catalysts; however, the sensitivity is insufficient. The sensors
in the current study were specially optimised for selective
detection of specific biomarkers.
Their performance was approxi-

mately three to four times better
than that of platinum and palladium catalyst-loaded nanofibre
sensors. In particular, their sensitivity to acetone and hydrogen
sulphide was the highest reported
in literature.
“New types of heterogeneous
nanocatalysts were synthesised
using protein templates with
sizes around 2 nm and functionalised on various metal oxide nanofiber sensing layers. The established sensing libraries can detect biomarker species with high
sensitivity and selectivity. The
new and innovative breath gas
analysis platform will be very
helpful for reducing medical expenditures and continuous monitoring of physical conditions,”
said Kim.
The study, titled “Innovative
nanosensor for disease diagnosis”,
was published in the July issue of
the Accounts of Chemical Research
journal.

Study evaluates digital scanners
By DTI
CHARLESTON, USA: With intraoral scanning becoming increasingly prevalent in dentistry, knowing which scanner will give the
best performance is essential. In a
new study led by Dr Walter Renne,
from the Department of Oral Rehabilitation at the Medical University of South Carolina, re-

searchers looked at seven scanners and analysed their performance based on 3-D comparisons.
They found that Planmeca PlanScan and 3Shape’s TRIOS performed the best.
The study’s main objective
was to compare the trueness and
precision of the scanners in both
posterior sextant and complete-

arch scenarios. Additionally, it
looked at the time each scan required and correlated it with trueness and precision.
To achieve the most accurate
and no-bias results, a custom complete-arch model was fabricated
with a refractive index similar to
that of tooth structure. Six digital
intraoral scanners and one digital

laboratory scanner were used to
scan the custom model for both
scenarios. Analysis was performed using 3-D metrology software to measure discrepancies between the master model and experimental casts.
According to the study,
lanmeca PlanScan was found to
P
have the best trueness and preci-

sion for sextant scanning, and
3Shape’s TRIOS the best balance of
speed and accuracy for completearch scanning.
The study, titled “Evaluation of
the accuracy of 7 digital scanners:
An in vitro analysis based on
3-dimensional comparisons,” was
published in the July issue of the
Journal of Prosthetic Dentistry.

DenTech

25.10 - 28.10.2017

Shanghai / China

Self-curing calcium hydroxide paste
• For indirect pulp capping and linings under dental filling materials
• Sufficient working time
• A short setting time in the mouth
• Bacteriostatic
• Antimicrobic effect due to a high pH-value
• Contains 26% calcium hydroxide
• Preservation of vitality due to pulp recovering

Light-curing micro-hybrid composite
• Applicable for various indications and all cavity classes
• High translucency and a perfect colour adaption
• Polishable to a high gloss
• Excellent physical properties for durable fillings
• High filler content
• Packable consistency
(also available as Composan LCM flow)
Visit www.promedica.de to see all our products

Dental Material GmbH

24537 Neumünster / Germany
Tel.
+49 43 21 / 5 41 73
Fax
+49 43 21 / 5 19 08
eMail
info@promedica.de
Internet www.promedica.de

[5] =>

[6] =>

BUSINESS

Dental Tribune Asia Pacific Edition | 9/2017

“We are seeking business
opportunities worldwide”
An interview with Kenji Cheung, CEO of Hong Kong-based supplier Tesco Dental

Fig. 1: Tesco Dental CEO Kenji Cheung.—Fig. 2: The companies booth at HKIDEAS 2017.—Fig. 3: The logo of the com
pany’s recently introduced For You, For Him/Her, For China campaign.

By Kristin Hübner, DTI
Established in 1974, Tesco Dental is
a leading Asian dental supplier.
The family-owned company is
based in Hong Kong, with subsidiaries in Shenzhen, Shanghai , Taiwan and Beijing. Dental Tribune
spoke with Tesco CEO Kenji Cheung about the company’s values
and its vision of leading modern
dentistry into the future.
Could you introduce Tesco briefly
for our readers?
The Tesco Dental group offers a
one-stop solution for the dental industry. Our portfolio includes dental education, different types of advanced dental products and equipment for dental practices and
laboratories, including aftersales
training and consultant services.
Our professionals are dedicated to providing training in advanced dental technology to lead
modern dentistry into the future.
Tesco Dental offers quality services and technical support and
brings bright smiles to our customers through our genuine aesthetics
concept. We listen carefully to our
customers and treat them with
consideration and respect.
Which regional markets are you
targeting specifically?
Tesco Dental is a leading dental supplier with subsidiaries in
our main markets of Hong Kong,
China and Taiwan.

What are your values as a familyowned business?
Trust in the family allows us to
share our opinions openly and
freely. It enhances our company’s
efficiency, since decisions do not
need to pass through a complicated hierarchy. It really took a
while for us to understand our
strengths and beliefs. Over the past
few years, we have summarised
the core values of our company: integrity, creativity and passion.
How would you describe your position in the market?
I would say we are a pioneer and
a market leader in terms of offering
complete dental solutions. In the
very beginning, my father, Cheung
Tak, who founded the company, together with VITA Zahnfabrik was
among the few introducing metal–
ceramic restorations to China in the
early 1980s. Today, we focus on both
analogue and digital restorations,
as well as infection control, endodontics and oral healthcare.
Have you observed any trends that
you feel Tesco ought to follow?

“The core values of our company:
integrity, creativity and passion.”
Artificial intelligence must
be the leading trend regarding
future developments and an increasing digitalisation. We have
adopted the latest payment
technologies, now offering users
the convenience of Alipay and
UnionPay and credit payments
using Visa or Mastercard.
Regarding our social media
activities, we have a WeChat fan
page that provides dental information, news and updates and that
links dental professionals. Currently, we have over 176,000 followers; this number represents about
70 per cent of all dentists in China.
Moreover, the Asian market
has been growing rapidly, resulting
in huge demand in the dental industry. This is mainly due to a general increase in income and people
seeking a better quality of life.
Consider Taiwan, for example.
It is a market with increased emphasis on and concern regarding
infection control and oral health
care, so we provide a variety of re-

lated products to meet the country’s shifting needs.
Do you plan to make inroads into
other fields or regions?
We plan to expand geographically, but focus only on dentistryrelated industries, as it is our main
expertise—especially for emerging markets such as the Philippines, which we believe represents
great growth potential for us.
You are actively promoting the advancement of dentistry in China.
Could you describe your engagement in this area?
Yes, we have continued to introduce advanced dental technology
in China. As an organiser of training events, we have also put tremendous effort and resources into
the education of dental students
and we offer many workshops and
courses for continuing professional
development of dentists and dental
technicians in China.
Regarding charitable initiatives,
we recently introduced our For You,
For Him/Her, For China campaign,

through which we provide free materials to laboratories and dentists
to help those in need of dental treatments who cannot afford it.
With which institutions or research
bodies are you working?
We are working closely with
almost all reputable universities
and hospitals in Hong Kong, China
and Taiwan.
What are your strategic plans for
the future?
We are seeking business opportunities worldwide. In recent
years, we have acquired several
quality dental enterprises, manufacturers and research projects.
Our goal is to become a comprehensive dental solutions provider
all over the world.
Thank you very much for the interview.

[7] =>

BUSINESS

Dental Tribune Asia Pacific Edition | 9/2017

DTI welcomes new partner from Japan
By DTI

ket exclusively. Another step towards internationalising business
will be the opening of a dental
clinic in Bangkok in Thailand in
September, he said.

LEIPZIG, Germany: Dental Tribune
International (DTI) has added a
new licence partner to its global
publishing network. Together with
Tokyo-based company Medical
Net, the DTI publishing group will
now also be providing dental professionals with the latest news in
Japanese. The first issue of the new
edition is set to be published in
October.
In Medical Net, DTI has found
a strong local partner in the country. The listed Japanese company
is engaged in portal site management and runs a variety of medical and dental search sites.
“We are pleased to have finally
joined DTI,” commented Medical
Net President and Chief Operating
Officer Yuji Hirakawa on the new

Medical Net President and Chief Operating Officer Yuji Hirakawa (right) and
Dental Tribune International CEO Torsten Oemus shaking hands at a meeting
at the DTI headquarters in Leipzig in Germany.

Launching in autumn, Dental
Tribune Japan aims to reach about
20,000 dentists and 10,000 dental hygienists through its local
website. The first issue of the
print edition will be published on
2 October with a print run of approximately 20,000 copies. As of
2018, the targeted publication frequency will be four editions a
year with a print run of 30,000
copies.

The alliance is part of the company’s efforts to expand its business outside of Japan. According to
Hirakawa, who established Medical
Net in 2001, the company had previously focused on its home mar-

With more than 100,000
dentists and about 64,000 dental clinics, the Japanese dental
health care sector is one of the
largest worldwide. Figures from
Statistica on the number of den-

partnership. “Japan is the thirdlargest economic power in the
world and there are many good
dental companies in the country.
We want to be a bridge between
Japan and the rest of the world.”

tists between 2000 and 2014
show that the profession enjoys
great popularity and has continued to grow. The number of dental practitioners per 100,000 inhabitants rose from 70.3 in 2000
to 80.7 in 2014.
Catering to the needs of the
growing number of dental professionals, Medical Net also
plans to add an educational offering to its portfolio in the future,
utilising DTI’s expertise as an organiser of continuing education
programmes, including e-learning, through the Dental Tribune
Study Club.
The combined DTI portfolio
currently includes more than 130
print publications and multiple
websites that reach over 650,000
dentists in more than 90 countries and 25 languages.

Sulzer enforces its rights against South
Korean counterfeit products
actions against three South
Korean suppliers and a manufacturer of copies of
the company’s patented
MIXPAC tips. According to Sulzer, it is not
the first time that
counterfeits of its
static mixing tips for
two-component cartridges and syringes
have been discovered.

By DTI
WINTERTHUR, Switzerland: Swissbased dental manufacturer Sulzer
Mixpac has successfully filed legal

Shortly before the
2017 International Dental
Show (IDS), the three Korean
infringers accepted the preliminary injunctions filed at the Düsseldorf regional court. Furthermore, the manufacturer of the patent-infringing mixing tips, Seil
Global, has agreed to respect

ulzer’s rights worldwide for all
S
members of the patent family for
their remaining lifetimes, the company stated.
In addition, 11 preliminary injunctions for unfair competition
were issued by the court against
various providers during IDS 2017
in which the offering, advertising
and marketing of these counterfeit
mixing tips for the dental industry
were prohibited.

strict quality controls and not covered by its warranty. In addition to
violating intellectual property
rights, unauthorised products can
lead to incomplete mixing and
failed procedures, as they are
manufactured under unspecified
conditions with unknown plastics
and colours, the company warned.

look very similar to its MIXPAC
mixing tips, since they mimic the
dome shape and trademark colours of the original. However, genuine tips can be identified by the
MIXPAC trademark name stamped
on the retaining ring and the
CANDY COLOUR quality seal
stamped on the top edge.

According to Sulzer, counterfeit mixing tips

Although Sulzer has enforced
its rights in dozens of cases already,
copies of its mixing tips and patent-infringing mixing tips have increasingly been discovered in recent years, the company said. Counterfeit products from other manufacturers are not subject to Sulzer’s
AD

•
•

Non-precious dental alloys on nickel-chrome
base System KN and System NH
Non-precious dental alloys on cobalt-chrome
base System NE and System Duro

•

Partial alloy System MG

•

CAD/CAM discs on cobalt-chrome
base System NE-Blank and System Soft-Blank

•

CAD/CAM disc on titanium base System Ti5-Blank

Adentatec GmbH

•

Investment for crowns and bridges ADENTA-VEST CB

Konrad-Adenauer-Str. 13
50996 Koeln-GERMANY

•

Investment for partial denture ADENTA-VEST PA

Phone + 49 2 21 - 35 96 - 100
Fax
+ 49 2 21 - 35 96 - 170
info@adentatec.com
www.adentatec.com

[8] =>

SCIENCE & PRACTICE

Dental Tribune Asia Pacific Edition | 9/2017

The Clip Mirror: Increasing productivity
and easing daily physical stressors
An interview with dental hygienist Patricia Blundon, Canada

By Julia Maciejek, DTI
Dental hygienist Patricia Blundon
is the developer of a mirror that
clips on to a saliva ejector to aid
dental hygienists, therapists and
assistants in treating patients. In
response to growing demand for
the Dental Hygiene Clip Mirror, she
has introduced the device to the US
market and plans to expand her
business globally. Dental Tribune
Online spoke with Blundon, who
has 30 years’ experience and graduated from the Algonquin College
of Applied Arts and Technology in
Ottawa, to learn more about the
mirror.
Helping to improve treatment has
always been important in dentistry. Why did you decide on developing the Clip Mirror and set-

ting up your business, D.H.
Essentials?
The Clip Mirror idea came
to me about ten years into my
career. I was working on a patient
with a super strong lower lip and a
protruding tongue. With a scaler
in one hand and mirror in the
other and the patient’s tongue
pushing out the saliva ejector, I
thought to myself, “Why does this
need to be so hard?”. I thought
about having a mirror clip directly on to the saliva ejector to
free up a hand and wondered why
no one had invented this. Then I
thought to myself, “Who better to
invent a dental tool than a dental
hygienist?”.
When designing the Clip Mirror,
what did you pay attention to?
I knew the design I wanted and
I visited a multitude of hardware
stores to see what clips were available. The steel for the clip had to be
medical grade and 400 series so
that it would not rust or corrode
with sterilization, and the clip itself was designed to snap securely
to the saliva ejector while still allowing rotation if needed. I designed the rolled clip ends so one
can feed a line of floss through and
attach the Clip Mirror to the saliva
ejector using sterile tape as an
added precaution in hospital set-

tings or compromised patients. I
chose the brighter size 5 titanium
mirror, as the standard rhodium
pales in brightness and quality in
comparison, and then decided to

tal clinicians may find themselves
using a less than ideal posture
while craning their necks and contorting their bodies to complete
the necessary treatment. I would

Dental hygienists have been asking about the Clip Mirror, stating
they wish their employers would
purchase them for their hygiene tray
setups. Many have seen the value of

“Dentistry can take a
huge toll on one’s body.”
encourage dental care providers
to try various products to find
what works best for them to help
maintain proper posture, as we all
know dentistry can take a huge
toll on one’s body.
Patricia Blundon, developer of the
Dental Hygiene Clip Mirror, is dedicated to providing innovative quality
tools for dental hygienists.

have the clip electron beam welded
by hand for the best results.
What is the importance of good
ergonomics for dental hygienists
and clinicians?
The key reason I designed the
Clip Mirror was to make the job of
dental hygienists and clinicians
easier on their body and more efficient. As the population ages, den-

What has user feedback been so far?
Feedback on the Clip Mirror has
been great, and for those who have
struggled in the past, like I have,
with no help from a dental nurse or
assistant, it has been a great body
and time saver. Many report finding it very helpful when they have
a patient who cannot recline and
need to scale the maxillary lingual
surface. I have received some feedback requesting a smaller mirror
size for use with patients with a
narrow or smaller arch and will be
introducing the Clip Mirror MINI
in the near future.

the Clip Mirror in increasing their
productivity and easing the daily
physical stressors of providing
dental hygiene treatment. The majority of purchases are by dental
hygienists who are already suffering from a career of dental hygiene.
How has the success of the Clip
Mirror been globally?
I decided to introduce the Clip
Mirror to the US after years of
market research and positive
feedback from my Canadian customers. I have had customer interest from Australia, Ireland and the
UK and would love to team up
with a partner to serve these markets and many others. Dentistry is
worldwide, so the sky is the limit.
Thank you very much for the interview.

The four-day course held in Hong Kong offered intensive education on good
scientific practice and research methodology.

By DTI
HONG KONG: For the first time
ever, Asia played host to an Osteology Research Academy Course.
Held from 3–6 June in Hong Kong,
the Core Module Course received
enthusiastic feedback from participants and presenters alike, the
Osteology Foundation stated.

The four-day course, which
was jointly organised by the
foundation and the University of
Hong Kong’s Faculty of Dentistry,
brought together 33 participants
from 11 different countries, including Australia, China, Japan, Malaysia, South Korea, Taiwan and the
UK. Equally international were the
presenters, who came from Ger-

many, Japan, Hong Kong, South
Korea, Spain and Switzerland.
In lectures and workshops, the
participants elaborated on all
kinds of topics related to the field
of dental and craniofacial research,
including good research practice,
methodology and design, as well
as strategies to obtain research
funding and managing research
communication.
Designed for postgraduates
and dentists who are more scientifically inclined, the research-
focused educational courses are
available as core and expert modules. So far, more than 200 young
clinicians from all over the world
have participated in the programme.
More information about the
registration process, study grants
and upcoming courses can be
found at www.osteology.org/education/research-academy/.

Asia’s first Research Academy Course
in Hong Kong a success

[9] =>

register for

FREE

– education everywhere
and anytime
– live and interactive webinars
– more than 1,000 archived courses
– a focused discussion forum
– free membership
– no travel costs
– no time away from the practice
– interaction with colleagues and
experts across the globe
– a growing database of
scientific articles and case reports
– ADA CERP-recognized
credit administration

www.DTStudyClub.com

Join the largest
educational network
in dentistry!
ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providersof continuing dental education.
ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.

[10] =>

TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 9/2017

A convincing duo: Zirconium dioxide
and fluorapatite glass-ceramic
The symbiosis of different procedures and materials for simplified and safe outcomes

Fig. 1: The situation after the implants in the maxilla had healed. All-ceramic restorations were planned.—Fig. 2: Diagnosis according to photographs in the design software.—Figs. 3a & b: The master model with the gingival mask in the
articulator. —Fig. 4: The upper wax-up in the planned final situation. —Figs. 5a & b: CAD construction of the abutments.

Planning and temporisation
5a

By Dr Torsten Seidenstricker &
Dominique Vinci, Switzerland
This patient case demonstrates
how a monolithic zirconium dioxide framework can ensure stability
and function in a complex prosthetic restoration. The ceramic veneering of the vestibular surfaces
gives the restoration natural light
optical properties, contributing to
the very pleasing final results.

Initial situation
A 60-year-old patient came to
the dental practice as an emer-

gency case. In addition to aesthetic and functional problems,
there was severe periodontal
damage. The treatment began
with an in-depth diagnosis and an
informative consultation. First,
teeth #25, 26, 14, 16, 11 and 12 were
extracted. The periodontitis was
then targeted. Treatment of the
periodontitis was successfully completed approximately 13 months
later. Implants needed to be placed
in regions #11, 12, 14, 16, 25 and 26.
The clinical situation meant that
all teeth in the maxilla and some
teeth in the mandible had to be
restored.

Before starting such an extensive prosthetic reconstruction, photographic documentation of the oral situation and the
patient’s face is essential. Primarily, the photographs help in
assessing the axes and planes in
terms of optimum aesthetics
and function. We work with a 3-D
design program (Digital Smile
System, DSS). This tool enables
us to simulate the possible results virtually. Another advantage of this software is that the
photographs can be used in the
CAD software while the restoration is being produced. The teeth
to be extracted were removed
from the situation model, and
the remaining teeth were prepared using the information
provided by the dentist.
On this foundation, we designed a wax-up with the CAD
software (3Shape) and then
transferred it to wax. This was
the basis for a matrix made from
transparent silicone, which was
sent to the practice. After the

dental preparation was complete
(implant placement, preparation,
etc.), the matrix was filled with
an auto-polymerising temporary composite (Telio CS C&B,
Ivoclar Vivadent) and a temporary restoration was produced
and then inserted into the
mouth. The temporary restoration served as a dental prosthesis
during the implant healing
phase, and it allowed us to determine whether the situation, which
was planned in the laboratory,
harmonised in a functional and
aesthetic manner in the patient’s
mouth. The patient wore the
adapted temporary restoration
for approximately six months up
to the osseointegration of the
implants.

Production of the final
dental restoration
Implant abutments
The wax-up was positioned
on the master model and adapted
based on the patient’s and dentist’s feedback. A double scan followed. We digitised both the
model and the wax-up using the
laboratory scanner. Subsequently,

the implant abutments were produced via CAD/CAM. The implant abutments were milled
from a new translucent zirconium dioxide material (IPS
e.max ZirCAD, Ivoclar Vivadent).
Before sintering, we stained the
cervical areas of the frameworks.
We used a liquid with a warm
yellow tone for the infiltration.
After sintering, the implant
abutments were adhesively
bonded to the titanium bases
(TiBase, Straumann) with a luting composite (Multilink Hybrid
Abutment, Shade HO, Ivoclar
Vivadent) specifically designed
for this indication. The self-curing composite provides excellent
adhesion qualities. After adhesive
bonding, the abutments were integrated.
Production of the framework
The following restorations
were planned for the final prosthetic restoration:
1. a bridge in regions #11–13;
2. a bridge in regions #14–16;
3. a crown on tooth #17;
4. seven single crowns on teeth
#21–24 and 27, as well as in
regions #25 and 26.

Fig. 6: The CAD/CAM-fabricated abutments (hybrid abutments) were screwed on to the implants.—Figs. 7a & b: The CAD framework construction after the buccal areas had been cut back.

[11] =>

TRENDS & APPLICATIONS

Dental Tribune Asia Pacific Edition | 9/2017

11
12a

12b

Figs. 8a & b: Colouration of the zirconium dioxide before sintering.—Fig. 9: The zirconium dioxide frameworks prepared
for veneering in the buccal area. —Fig. 10: The ceramic build-up in the anterior region (IPS e.max Ceram).—Fig. 11: Prepared
for the second firing. Finely detailed adjustments in the shape and morphology.—Figs. 12 a & b: The finished restorations. The
vestibular areas were layered individually. In the occlusal and palatal areas, the framework was designed in full anatomical
contour. —Fig. 13: Natural-looking translucency with internal shade effects.
AD
13

The ceramic materials (IPS e.max Ceram)
for veneering the buccal areas:
Cervical Transpa orange-pink with Special Incisal yellow 50 %
and Transpa neutral 50 % and Power Dentin A2
Power Incisal I for greater brightness at the transition lines
Transpa blue 50 % and Opal Effect 1 50 %
Transpa orange-grey to create a contrast in the incisal areas
Transpa orange-grey with Special Incisal yellow on the incisal edges
Transpa neutral
Transpa clear 50 % and Opal Effect 1 50 %
Power Incisal 2

We designed the tooth shape
and the occlusal morphology in
full anatomical contour in the
CAD software. The buccal surfaces
should be built up in ceramic in
order to achieve optimum aesthetics. In preparation for this, the
software performed a cut-back.
After the framework design, the
individual elements were milled
from zirconium dioxide (IPS
e.max ZirCAD). The material used
has interesting mechanical properties, which, among other quali-

ties, guarantee the long-term stability of the restorations. The selected shade of LT sun offers a
light chroma that matched perfectly the envisaged Shade A restorations. After milling the frameworks, we corrected the morphology slightly, paying particular attention to the interdental areas.
For excellent aesthetic results, we
infiltrated the frameworks with
the special IPS e.max ZirCAD LT
colouring liquids (Ivoclar Vivadent)
before sintering.

Fig. 14: The all-ceramic restorations looked very natural and vital in the mouth.

[12] =>

12
In the incisal and occlusal
areas, the chroma was increased
and the translucency was
adapted in the appropriate areas.
As only the buccal surfaces were
veneered in this case, the framework volume was relatively solid.
We always carry out a slow sintering procedure (9 h) in our
laboratory for complex restorations, such as the reconstruction
presented here. Subsequently,
the surfaces of the monolithic

TRENDS & APPLICATIONS

zirconium dioxide parts were
polished, paying special attention to the occlusal areas. For
polishing, we used polishing
cones from SHOFU or anaxdent.
These cones guarantee thorough
polishing so that the surface can
subsequently be easily polished
to a high lustre. We do not use silicone cones or discs, as they leave
residues on the surface, making
the application of glazing materials difficult. Areas that are dif-

ficult to access during polishing
are covered with a thin glaze
layer.
This was followed by a restoration try-in in the patient’s mouth.
The dentist checked the occlusion
and function.
Veneering
After conditioning of the
framework parts to be veneered, a
fluorescent liner (IPS e.max Ceram

Dental Tribune Asia Pacific Edition | 9/2017

ZirLiner, Ivoclar Vivadent) was applied; this gave the restoration
fluorescence from the depths in
order to achieve light effects resembling that of the natural dentition. Non-fluorescent materials
(e.g. pure zirconium dioxide) appear dull and dark. Since the
framework was already coloured,
we opted for a clear liner. This additionally enhanced the light
transmission and contributed to
the adhesion of the ceramic ve-

neer to the zirconium dioxide. A
classic ceramic veneering build-up
was then carried out. We used a
special indicator (Smile Line) to
mix the ceramic powder in order
to differentiate the individual materials better. The IPS e.max Ceram
range includes Power materials,
which provide an increased level
of brightness, particularly for
translucent framework materials.
In this case, we decided to use the
Power materials. A further advantage of the IPS e.max Ceram material is its excellent stability. The individual areas do not merge during the build-up of the ceramic
veneer, allowing for the exact desired effects to be achieved. In
order to achieve the correct shape,
morphology and liveliness, a second firing was necessary. The restorations were then glazed and
finished. We like to use the glaze
material (IPS Ivocolor FLUO,
Ivoclar Vivadent) in a creamy consistency.

Conclusion
In the design illustrated, only
the buccal surfaces of the otherwise monolithic zirconium dioxide framework are veneered. An
aesthetic and durably stable result
was achieved with relatively minimal effort. The qualities of the
materials are used to their full advantage. These include the excellent light optical properties of IPS
e.max Ceram, in this case especially the Power materials; the
high strength of zirconium dioxide; the possibility of colouring
the zirconium dioxide to achieve
a warmer colour effect (white zirconium dioxide is far too bright
for this type of restoration, and reducing the degree of brightness
would have been difficult in view
of the low thickness of the veneering ceramic); and the low amount
of ceramic material (this allows
minimal controlled shrinkage
and ensures easy handling).

Dr Torsten
Seidenstricker
is Clinical Director of the Adent
Dental Clinic in
Allaman in Switzerland. He can
be contacted at
t.seidenstricker@gmx.net.

Master dental
technician
Dominique Vinci
runs a private
laboratory, Vinci
Dental Concept,
in Petit-Lancy in
Switzerland. He
can be contacted at Dominique@Vinci.ch.

Interdental brush
CPS prime

Martina Hingis

curaprox.com

) [page_count] => 12 [pdf_ping_data] => Array ( [page_count] => 12 [format] => PDF [width] => 852 [height] => 1192 [colorspace] => COLORSPACE_UNDEFINED ) [linked_companies] => Array ( [ids] => Array ( ) ) [cover_url] => [cover_three] =>

[cover] => DT Asia Pacific No.9, 2017

[toc] => Array ( [0] => Array ( [title] => Asia-Pacific News [page] => 1 ) [1] => Array ( [title] => Business [page] => 6 ) [2] => Array ( [title] => The Clip Mirror: Increasing productivity and easing daily physical stressors [page] => 8 ) [3] => Array ( [title] => A convincing duo: Zirconium dioxide and fluorapatite glass-ceramic [page] => 10 ) ) [toc_html] =>

Table of contents

[toc_titles] =>

Asia-Pacific News / Business / The Clip Mirror: Increasing productivity and easing daily physical stressors / A convincing duo: Zirconium dioxide and fluorapatite glass-ceramic

[cached] => true )