Dental Tribune Middle East & Africa No. 2, 2022
Dentist who will make you laugh
/ News
/ Industry
/ New research outlines vaping’s unique connection to periodontal disease
/ New CEREC Tessera high-strength glass ceramic blocks impress with robust strength, high aesthetics and fast processing
/ Highly aesthetic results with CEREC Primemill
/ The MiCD approach to patient-centric smile enhancements
/ Interview: “My motivation is to serve my country through my society”
/ Interview: “The focus has been on bringing innovation and improved technology to dentistry”
/ Interview: “Patients’ awareness is growing, and we have to educate them and have to have the right treatments for them...”
/ Tackling complex cases with Opalescence Boost in-office whitening treatments
/ Interview: “The new materials launched on the market in recent years dramatically changed the way we do dentistry”
/ Talking: The first step to trusting
/ Dentistry ends 2021 with strong sales despite Omicron, supply chain troubles
/ Dentsply Sirona partners with University of Toulouse taking their preclinical laboratory equipment to a new level
/ Simple and inexpensive—xylitol chewing gum reduced preterm births in research
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DTMEA_No.2. Vol.12_DT.indd
NL
Y
O
LS
NA
IO
SS
FE
O
PR
NT
AL
DE
www.dental-tribune.me
PUBLISHED IN DUBAI
March-April 2022 | No. 2, Vol. 12
ENDO TRIBUNE
LAB TRIBUNE
IMPLANT TRIBUNE
ORTHO TRIBUNE
HYGIENE TRIBUNE
Machine-learning algorithms
may help in predicting tooth
loss
Formlabs Dental and Medit
partner to streamline chairside
3D-printing
Immediate functional implants
in the aesthetic zone of a heavy
smoker
Clear aligners: The star of 2021
Dentsply Sirona proudly supports World Oral Health Day
2022
ÿB1-4
ÿC1-4
ÿD1-4
ÿA1-4
ÿE1-8
Dentist who will make you laugh
DENTAL TRIBUNE
Interview with Dr Abdulla Ali, a dentist and a comedian
By Dental Tribune MEA
tell us a bit about your background?
Although he is enjoying very much
performing and is busy with many
activities, general dentist Dr Abdulla
says that his patients still come first.
Since he was 13, he wanted to do
stand-up comedy, but there was no
opportunity for that in the UAE.
I’m an Emirati born and bred in
Dubai. I went to New Zealand to
study dentistry on a scholarship.
Since I was 13, I had wanted to do
stand-up comedy, but there was no
opportunity for that in the UAE, it
being a mainly American format. I
also knew I wanted to do dentistry
because I wanted to help people
and be in the medical field. I was
going to be a doctor, but my dentist
uncle pointed out how depressed
his brothers, all doctors, looked
compared with how happy he was.
Dr Abdulla, thank you very much
for speaking with us. Could you
© Abdulla Ali
Dr Abdulla also knew he wanted to
do dentistry because he wanted to
help people and be in the medical
field. Dental Tribune MEA spoke with
Dr Abdulla about the role of comedy
and dentistry in his life.
The World’s Dental Newspaper Middle East & Africa Edition
ÿPage 2
Abdulla Ali — aka Abz Ali
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[2] =>
DTMEA_No.2. Vol.12_DT.indd
2
INTERVIEW
Dental Tribune Middle East & Africa Edition | 2/2022
◊Page 1
When I went to New Zealand, I had
the opportunity to do some standup comedy there. At one stage, I believed I would quit dentistry and do
comedy full-time, but I love them
both so much that I couldn’t stop
doing either. I was in New Zealand
for seven years studying, including a
foundation year, and I worked there
for two years after graduating.
How did you discover your talent?
I was quite lucky, not just with comedy but also with dentistry. I knew I
wanted to be a dentist from when I
was 15, thanks to my uncle. In Dubai
in the early 2000s, we’d go to network cafes, them being great places
to hang out and cheap, and I saw
stand-up comedy there for the first
time when I was 13. It was amazing. I
had had no idea that this was a profession. I knew I wanted to take it up,
regardless of whether it was wellpaid or not.
Could you tell us how and when
you started performing stand-up
comedy?
I started when I was about 18. I had already been in New Zealand for a year
and came back to the UAE for the
summer holiday. A comedy festival
was on in the UAE, and there were
American comedians I went to listen
to, and one of them suggested a short
workshop. They set up a night on
which 12 comedians of different nationalities living in Dubai could perform a show. I was the only Emirati
and I was lucky to have been able to
participate. Once we had finished the
show, Aron Kader asked me to open
for him the next day. I got to do these
two shows back to back and literally
on the third night had to go back to
New Zealand. Since it had worked
out well in Dubai, I just carried on in
New Zealand while studying.
IMPRINT
PUBLISHER AND CHIEF EXECUTIVE OFFICER
Torsten R. OEMUS
CHIEF CONTENT OFFICER
Claudia DUSCHEK
DENTAL TRIBUNE INTERNATIONAL
Holbeinstr. 29, 04229 Leipzig, Germany
Tel.: +49 341 48 474 302
Fax: +49 341 48 474 173
www.dental-tribune.com
General requests:
info@dental-tribune.com
Sales requests:
mediasales@dental-tribune.com
Do you have your own stage
name that you are using?
Yes, my stage name is Abz Ali. That's
how you can also find me on Instagram @iamabzali.
How do you manage being a
comedian while practising dentistry?
I used to think that you had to do
one or the other and then I realised
that I didn’t want to limit myself to
one thing. It’s not always easy. There
“I wanted to make
people laugh and smile,
so dentistry and comedy were
the perfect combination.”
© Abdulla Ali
I wanted to make people laugh and
smile, so dentistry and comedy were
the perfect combination.
are times when there’s a comedy opportunity and I can’t do it because
I have work commitments. I try to
keep the two separate. Dentistry is a
passion, but it’s also my main source
of income. During the day, I focus on
dentistry and at night on comedy.
Luckily, most of the time, they don’t
clash.
Have you ever considered committing yourself solely to comedy or dentistry?
I’m planning to specialise in dentistry and I’m also planning to pursue
comedy further. For most big-time
comedians, their main profession is
showbiz. I’m not interested in acting
or showbiz in general, but I like dentistry.
Do you use humour with your patients?
Yes, I do. Patients are not always
comfortable at the dentist. A lot of
patients will say that they hate the
dentist or that the dental clinic isn’t
their favourite place, so I try to use
humour to diffuse the situation and
make them feel comfortable. It’s a
good icebreaker. I don’t tell patients
that I’m a comedian, because I think
that they might then wonder what
kind of dentist is a comedian too.
I wanted to make people laugh and
smile, so dentistry and comedy were
the perfect combination.
Do you perform only in the UAE or
also internationally? Who is your
audience?
I used to travel a lot and did a comedy show wherever I travelled, so
it would be almost like a working
holiday. With COVID, it’s become difficult to travel and the UAE needs all
its medical staff in the country at this
time. These days, I’m performing
only in the UAE, but hopefully it’ll be
the rest of the world soon.
Do you belong to a comedic association and where do you perform
in the UAE?
Comedians all know each other;
we’re a small community—dentistry is almost like that as well. We all
perform in the same places. There’re
not a lot of Arab comedians. We don’t
have any formal association. Most
comedy shows take place in Dubai,
almost nightly. I prefer performing in Abu Dhabi, since I live there,
but shows aren’t as frequent, taking
place about three times a month. On
my Instagram page, I usually post
when my shows are happening and
other updates about my comedy career.
What topics do you talk about during your performances?
I don’t talk about politics or religion.
I talk about everything else, like relationships, mainly real-life situations,
my life abroad in New Zealand and
my life in the UAE and how they’re
different.
What advice would you give to
other dentists when it comes to expressing themselves?
Don’t feel like dentistry is your whole
life. It’s nice to fix smiles, but it’s also
important to make yourself smile
too.
Thank you for the interview.
DENTAL TRIBUNE MEA
EDITION EDITORIAL BOARD
Dr. Aisha SULTAN ALSUWAIDI, UAE
Prof. Paul TIPTON, UK
Prof. Khaled BALTO, KSA
Dr. Ninette BANDAY, UAE
Dr. Nabeel HUMOOD ALSABEEHA, UAE
Dr. Naif Almosa, KSA
Dr. Mohammad AL-OBAIDA, KSA
Dr. Meshari F. ALOTAIBI, KSA
Dr. Jasim M. AL-SAEEDI, Oman
Dr. Mohammed AL-DARWISH, Qatar
Dr. Dobrina MOLLOVA, UAE
Dr. Ahmed KAZI, UAE
Dr. Munir SILWADI, UAE
Dr. Khaled ABOUSEADA, KSA
Dr. Rabih ABI NADER, UAE
Dr. Ehab RASHED, UAE
Dr. Mohd Dashti, Kuwait
Aiham FARRAH, CDT, UAE
Retty M. MATTHEW, UAE
PARTNERS
Saudi Dental Society
Saudi Ortho Society
Lebanese Dental Association
Lebanese Orthodontic Society
Qatar Dental Society
Oman Dental Society
Kuwait Dental Association
International Federation of Dental
Hygienist
British Academy of Restorative Dentistry
British Academy of Dental Implantology
AALZ - Aachen Dental Laser Center
Singapore Dental Association
Saudi Dental Hygienist Society
DIRECTOR OF mCME
Dr. Dobrina MOLLOVA
mollova@dental-tribune.me
Tel.: +971 50 42 43072
DIRECTOR
Tzvetan DEYANOV
deyanov@dental-tribune.me
Tel.: +971 55 11 28 581
EDITING & DESIGN
Kinga MOLLOV
k.romik@dental-tribune.me
Tel.: +971 56 23 70 721
PRINTING HOUSE & DISTRIBUTION
Al Nisr Printing
P. O. Box 6519, Dubai, UAE
800 4585/04-4067170
Material from Dental Tribune International
GmbH that has been reprinted or translated
and reprinted in this issue is copyrighted by
Dental Tribune International GmbH. Such
material must be published with the permission of Dental Tribune International GmbH.
Dental Tribune is a trademark of Dental Tribune International GmbH.
All rights reserved. © 2022 Dental Tribune International GmbH. Reproduction in any
manner in any language, in whole or in part,
without the prior written permission of Dental Tribune International GmbH is expressly
prohibited.
Dental Tribune International GmbH makes
every effort to report clinical information
and manufacturers’ product news accurately
but cannot assume responsibility for the validity of product claims or for typographical
errors. The publisher also does not assume
responsibility for product names, claims or
statements made by advertisers. Opinions
expressed by authors are their own and may
not reflect those of Dental Tribune International GmbH.
[3] =>
DTMEA_No.2. Vol.12_DT.indd
Scan and connect
digitally. Or treat it
in a single visit.
Either way, it‘s prime.
Enjoy the scan.
With the connectivity options of Primescan.
Find out more on dentsplysirona.com/primescan
[4] =>
DTMEA_No.2. Vol.12_DT.indd
4
NEWS
Dental Tribune Middle East & Africa Edition | 2/2022
Part 1: Sustainable dentistry in
500 words or more
By Dr Sanjay Haryana, Singapore
The idea of writing an article series
on sustainable dentistry originated
from an article titled “A guide to ecofriendly dentistry” that provided
many aspects and opinions regarding sustainable dentistry, but from
which it was clear that there is no
real consensus or extensive framework for sustainable dentistry. This
first article will briefly introduce
FDI World Dental Federation’s new
initiative regarding sustainable dentistry.
© geralt/Pixabay
In March 2021, FDI published a press
release regarding a new initiative
to “lead the charge on sustainability in dentistry” by uniting sustainable leading dental industry partners
around common future aims. FDI’s
long-term aim is to create a sustainability code of practice that will offer
guidelines to green practice, including procurement and the practice of
dentistry.
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Sustainability is a broad and complicated subject and not the area of
focus of clinicians; therefore, it is of
great value that FDI is mapping out
future strategies and offering solutions for clinicians to implement in
day-to-day practice.
The three main goals are:
•
positive pressure
•
•
to increase awareness of the
need to implement sustainable
actions in the dental community;
to develop a guide for oral
health professionals to identify
actions that can lead to environmentally sustainable outcomes; and
to conduct a review of the current literature to identify the
current research and guidelines
and to identify any gaps in the
literature regarding sustainability in dentistry.
FDI has also included four domains
of dental care in its sustainability
framework, and these are the heart
of clinical dentistry: preventive care,
operative care, integrated care and
ownership of care.
Sustainable dentistry or green practice can be briefly summarised in the
following way:
For all dental specialties
•
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•
Aim to procure sustainably by
working with suppliers that
constantly improve their sustainable work throughout their
entire supply chain—including
sourcing of raw materials, production, and transport of ready
products.
Practise green by doing what
you do best, clinical dentistry.
Preventive dentistry, together
with high-quality dental care, is
the most efficient way to minimise carbon dioxide emissions
and waste. A series of papers
by Duane showed that close to
65% of all carbon dioxide emissions were related to travel by
patients and staff. A successful
preventive care programme
before, during and after treatment not only minimises the
likelihood of disease, but also
•
decreases the number of visits to the practice. By default,
this will result in less travel,
less material use, less waste
production, and less carbon
dioxide emissions. Preventive
care does not eliminate oral disease. Patients will still have, for
example, caries, periodontitis,
devitalised teeth, and fractures.
Working in a clean mouth gives
us the opportunity to provide
the highest standard of care,
not only to ensure duration of
the treatment outcome for as
long as possible, but also to improve the quality of life for the
patient. All dental work will fail,
but we as a profession have the
power to decide when.
Waste management should
cover all areas of the dental
practice, including the reception, waiting room, sterilisation,
treatment room and staff room.
Examples are going paperless,
recycling, and separating the
normal waste from clinical
waste. These are easy actions to
implement, but also requires
supervision and ownership by
someone in the practice. Waste
management is also dependent on a reliable waste management company to take care of
the waste so that it enters the
right facilities to continue the
sustainability cycle.
FDI taking the lead on creating a
manual with clear targets and action
points will be a good first step and
provide a code of conduct for global
use and adaptation to the different
environments we operate in. Over
the next year, we will dive deeper
into sustainability, specifically regarding procurement, green practice, and waste management, while
incorporating updates from FDI and
its progress.
About the author:
Dr Sanjay Haryana is an Education and
Odontology Specialist at TePe Oral Hygiene Products.
[5] =>
DTMEA_No.2. Vol.12_DT.indd
[6] =>
DTMEA_No.2. Vol.12_DT.indd
6
NEWS
Dental Tribune Middle East & Africa Edition | 2/2022
DT MEA named offith
cial partner for 18 ISLD
World Congress in Cairo
By Dental Tribune MEA
Dental Tribune MEA is pleased to announce that it has been named the
official media partner of the upcoming International Society for Laser
Dentistry (ISLD) World Congress in
Cairo, Egypt that will take place from
26 to 28 May 2022. The event will
give the participants an exclusive
opportunity to explore the world of
laser dentistry.
Be a part of the 18th World Congress
in Laser Dentistry 2022 in Cairo! Get
a chance to hear the most prominent
researchers in the field of laser dentistry and participate in enlightening workshops and conversations.
This year, the orgenisers are expecting even more participants this time.
AD
DENTAL CME TRAININGS
F2F/ONLINE
Call/WhatsApp: +971502793711 | Web: www.cappmea.com/courses
Upcoming courses
ABU DHABI | UAE
27 Mar 2022
Dr Yasmin Kottait, UAE
Nitrous Oxide Conscious Sedation
12-13 May 2022
Dr Rafael Beolchi, Brazil
Direct aesthetic dentistry: new materials
and techniques for anterior restorations
14 May 2022
Dr Rafael Beolchi, Brazil
Dental bleaching: fundamental knowledge.
How to treat even the most complex cases
14 May 2022
Dr Rafael Beolchi, Brazil
Diode lasers and new generation LEDs in
modern dentistry
20-21 May 2022
Dr Hugo Grancho Pinto, Portugal
Aesthetic perio connective tissue grafting &
crown lengthening – improve your crown
and veneer work (on Sheep Cadavers)
23-24 Sep 2022
Prof Paul A. Tipton, UK
Occlusion concepts introduction into every
day practice
25 Sep 2022
Prof Paul A. Tipton, UK
Post and core - Modern techniques
26 Sep 2022
Prof Paul A. Tipton, UK
How to restore root filled posterior teeth Practical concepts
29-30 Sep 2022
Prof Paul A. Tipton, UK
Bridge design – Making bridges aesthetic
and increasing longevity
01 Oct 2022
Prof Paul A. Tipton, UK
Articulator selection in restorative dentistry
13-14 Nov 2022
Prof Paul A. Tipton, UK
Minimally invasive veneer preparation,
cementation & smile design masterclass
28 May 2022
Prof Christian Pierre Makary, Lebanon
Narrow ridge treatment revolutionized
– the Piezo Implant
15 Nov 2022
Prof Paul A. Tipton, UK
TMD, diagnosis and treatment protocols
with occlusal splints (Michigan and T-Splints)
10-11 June 2022
Dr Faysal G. Succaria, UAE
Ceramic veneers: Planning, smile design,
preparation, provisionals and cementation
16 Nov 2022
Prof Paul A. Tipton, UK
Adhesive bridge preparation techniques
Call/WhatsApp: +971 50 279 3711
E-mail: events@cappmea.com
Web: www.cappmea.com/courses
The ISLD is a nonprofit organization.
It promotes professional excellence
in the use of laser dentistry through
scientific research and education. It
is striving to enrich the knowledge
of its members and to elevate the
scientific and technical standards
of lasers dentistry research, practice
and teaching to its highest levels. It
is motivated to cultivate and foster
international professional relationships and cooperation with scientific
organizations.
Professor Norbert Gutknecht Research Award
In memory of its late president, Prof.
Norbert Gutknecht, who passed
away in July 2021, the ISLD has
announced the establishment of
the “Professor Norbert Gutknecht
Research Award” which will offer
€1,000 to a young researcher in the
field of laser dentistry starting from
ISLD Cairo 2022. Dental professionals
would like to participate, may read
the research proposals instructions
and submit their application and a
short CV to info@isldlaser. com.
Organising committee
Prof. Dimitris Strakas
Leon Vanweersch
Dr. Youssef Sedky
Prof. Marcia Matqes
02 Oct 2022
Prof Paul A. Tipton, UK
Porcelain inlays & onlays
27 May 2022
Prof Christian Pierre Makary, Lebanon
Sinus grafting, GBR and narrow ridge
reconstruction: State of the art surgical
techniques using piezosurgery
TO REGISTER CONTACT US
"Thank you so much for your support, it’s a real pleasure to have Dental Tribune MEA as our congress media partner" said Dr. Youssef Sedky
from Misr International University
(MIU), organising chairman of the
upcoming ISLD congress in Cairo.
CAPP Events & Training is an ADA CERP Recognized Provider. ADA
CERP is a service of the American Dental Association to assist dental
professionals in identifying quality providers of 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.
CAPP Events & Training designates this activity for
161 CE Credits
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[7] =>
DTMEA_No.2. Vol.12_DT.indd
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[8] =>
DTMEA_No.2. Vol.12_DT.indd
8
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2022
From body positioning to ergonomic
instrumentation, here are a few options
to help relieve pain
By HuFriedyGroup
Dentistry has always been a taxing
profession both on the mind and the
body. And dentists and hygienists
who scale by hand instead of using
ultrasonics may be noticing a few
more physical aches and pains, especially if hand scaling.
That pain is also not just in the
hands, wrists, and arms; hand scaling
can also take a toll on the back, neck,
shoulders, and legs. Dentists and
hygienists are at risk for conditions
such as carpal tunnel syndrome, repetitive motion injuries, and even
chronic headaches. This pain can
strike at any point during a hygienist's career: Between 64% and 93%
of dental professionals experience
general musculoskeletal pain. In fact,
musculoskeletal disorders are the
leading reason for early retirement
among dental professionals.
Musculoskeletal pain—cause
Average everyday hand scaling leads
to repetitive motions, often in awkward positions, a recipe for pain and
physical disorders that can derail a
career.
Musculoskeletal pain—prevention
During hand scaling, you can avoid
pain and repetitive stress injuries
with the following tips:
Better positioning for doctors and
patients
The less bending, hunching, twisting,
craning, leaning, or reaching you do,
the less tension you'll put on their
muscles, joints, and bones.
The proper position for working with
a patient is seated, with the spine in
a neutral position and shoulders relaxed. Working as close to the patient
as possible avoids overextending the
arms or back and always facing the
patient.
You should also keep their feet flat
on the floor and adjust the stool's
height so the thighs slope slightly
downward. Weight should be evenly
distributed between each foot and
your buttocks, similar to a tripod.
If the procedure calls for a better
view of the patient's oral cavity, you
can ask the patient to turn their head
and use high-definition mirrors to
improve visibility. Keeping instruments at roughly arm's height and
within a 21-inch radius is ideal.
The patient's body position also has
a tremendous impact on ergonomics. According to RDH magazine, the
patient should ideally be positioned
supine for treating the upper arch
and semi-supine for the lower arch,
but this practice is often impractical
due to time constraints.
Instead, they recommend positioning the back of the patient's chair at a
10- to 15-degree angle from the floor.
Then, use a contoured dental neck
cushion to achieve the proper orientation of the occlusal plane.
You should be sure to ask your patients to position their heads at the
end of the headrest to eliminate the
need to reach over the empty space
on the headrest.
Ergonomic instruments and
equipment
Ergonomics should be a key consideration when choosing dental instruments and equipment.
The operator stool
From an ergonomic perspective, the
operator stool is the most important
chair in the treatment room. Proper
positioning begins by adjusting the
stool first and the patient second.
A stool should be adjustable, with
adequate lumbar, thoracic, and arm
support. It should allow for a space
of three finger-widths behind the
knee. If the stool has a tilting feature,
tilt the seat forward between 5 and
15 degrees. (If not, use an ergonomic
wedge cushion.)
Saddle-seat stools may be the ideal
option for dental hygienists – especially shorter people. This type of
stool maintains the pelvis in a neutral position and allows the optimal
curve of the spine.
Lighting
Another helpful piece of ergonomic
equipment is a loupe with a built-in
headlight. Loupes provide magnification, so you don't have to bend
to see the patient's oral cavity better. Headlights move with the head,
eliminating the need (and annoy-
ance) to continually readjust the
overhead light.
Instrumentation
Instruments can also make a significant difference. You should look for
an instrument with an ideal weight
and large diameter that provides a
textured grip surface. These instruments will be easier to maneuver
and cause less hand fatigue while
probing, scaling, and root planing.
The science behind ergonomic design matters too. The new Harmony
Ergonomic Scalers and Curettes are a
good example.
The result of a cutting-edge iterative
research and development process
that analysed over 2.8 million data
points, the Harmony Scalers and
Curettes reduce pinch force up to
65% and pressure on the tooth by
37%. The handle features a recessed
double-helix texture for optimal
tactile sensitivity with less tactile fatigue. The silicone grips are extended
by 30% to provide a secure and nimble grasp.
Another essential factor in instrument ergonomics is the sharpness
of the blade. Sharp scalers require
less force to do the same amount of
work, which can help both clinician
and patient be more comfortable.
Harmony Scalers and Curettes feature EverEdge 2.0 technology with
working ends that are 72% sharper
out-of-the-box than the next leading
competitor and remain 50% sharper
after 500 strokes.
Simple wellness exercises
Before undertaking any physical activity—from a morning run to a day
of treating patients—it's always a
good idea to warm up the joints and
muscles. Daily stretches and regular
yoga practice can help maintain fitness for work without attending inperson classes to reap the benefits.
Countless high-quality yoga videos
are available for free online.
Musculoskeletal pain is not rare nor
even uncommon. There's no shame
in feeling pain as a dental professional, as it is fairly common to experience this. The good news is that a few
changes to your working routine,
posture, instruments, or fitness regimen can do wonders for the body
and can potentially extend your careers by years of injury-free practice.
Follow us on
@HuFriedyGroupMiddleEast
@HuFriedyGroupEurope
@HuFriedyGroup Europe
For more information, visit
www.hufriedygroup.eu
Hu-Friedy Mfg. Co., LLC.
European Headquarters
Astropark - Lyoner Str. 9
60528 Frankfurt am Main
Tel.: +49 (0)69 24753640
Fax: +49 (0)69 25577015
Free Call: 0080048374339
New Neo Spectra ST flow – the simpler,
more versatile aesthetic flowable composite
The SphereTEC revolution continues
By Dentsply Sirona
shaped filler particles allow for excellent adaptation to cavity surfaces,
and work together with smaller irregular-shaped filler particles in the
material to achieve versatile, flow-ondemand-handling. Precise match of
SphereTEC filler to the Neo Spectra ST
flow resin matrix creates an excellent
chameleon shade blending effect,
and a perfect match to Neo Spectra
ST universal composite shades. The
unique structure of SphereTEC fillers
maximizes composite strength and
durability, while their sub-micron
primary particle size ensures excellent aesthetics and polishability.
Dentsply Sirona’s new Neo Spectra
ST flow extends the benefits of novel
SphereTEC filler technology to flowable composites. Excellent chameleon blending enables five shades to
cover the full VITA* range, and flowon-demand handling provides versatility across all traditional flowable
indications.
Dentsply Sirona’s latest innovation in composite filler technology,
SphereTEC, was introduced to the
dental industry in 2015. Over 14 million composite restorations later,
Dentsply Sirona introduces an expanded portfolio with SphereTEC
technology. Clinicians will now be
able to enjoy SphereTEC benefits in
all composite cases with the comprehensive Neo Spectra ST portfolio. ‘Neo’, meaning ‘new’ or ‘revived’
emphasizes the modern, cutting
edge approach taken to optimise
our composite portfolio. The ‘Spectra ST’ part of the brand explains the
portfolio’s coverage of the full range
or ‘Spectra’ of handling preferences
and aesthetic needs optimised with
SphereTEC (ST) technology.
Designed to perfectly complement
Neo Spectra ST universal composite, new Neo Spectra ST flow is characterized by its cutting-edge filler
technology, SphereTEC - like with its
universal composite counterpart,
SphereTEC technology enables Neo
Spectra ST flow composite to excel
in the areas that matter most to dentists: handling, aesthetics, and durability. SphereTEC fillers, proprietary
to Dentsply Sirona and Neo Spectra
ST Composites, arespherical-shaped,
pre-polymerised fillers created from
sub-micron barium glass. Spherical-
The new Neo Spectra ST flow composite uses five universal CLOUD
shades A1 to A4 to cover the entire
VITA* Classic range, streamlining
flowable composite inventory and
ensuring highly aesthetic clinical results thanks to their distinct chameleon effect. Neo Spectra ST flow composite also offers one bleach shade
(BW), two opaque dentin shades (D1
and D3), and one translucent enamel
shade (E1) to accommodate less frequent case demands.
For further information about the
new Neo Spectra ST flow composite
available from Dentsply Sirona, visit
dentsplysirona.com/NeoSpectraSTflow.
References
*VITA is not a registered trademark
of Dentsply Sirona Inc.
Find out more by
scanning the QR code.
[9] =>
DTMEA_No.2. Vol.12_DT.indd
HUFRIEDYGROUP INTRODUCES
HARMONY
SCIENTIFICALLY PROVEN ERGONOMIC
SCALERS AND CURETTES
Designed with TrueFit™ Technology, the optimized shape
with double helix grip reduces pinch force up to 65% 1 .
Its optimal proportions and ideal width provides a secure
and nimble grasp, which may alleviate hand fatigue and
injury risk due to repetitive motions. All Harmony™ scalers
and curettes have EverEdge™ 2.0 working ends, ensuring
you have sharp, long lasting blades to efficiently remove
calculus while applying less pinch force when holding
the handle.
Learn How to Scale in Perfect Harmony at
HuFriedyGroup.eu/Harmony-Scaler
For more information or to place an order please contact
Free Call: 00800 48 37 43 39
E-Mail: info@hu-friedy.eu
Hu-Friedy Mfg. Co., LLC. • European Headquarters • Lyoner Str. 9 • 60528 Frankfurt am Main, Germany • HuFriedyGroup.eu
1) Compared to other leading scaler designs. Data on file. Available upon request.
All company and product names are trademarks of Hu-Friedy Mfg. Co., LLC, its affiliates or related companies, unless otherwise noted.
©2022 Hu-Friedy Mfg. Co., LLC. All rights reserved. HFL-482/0820
Hu-Friedy is now a proud member of
™
[10] =>
DTMEA_No.2. Vol.12_DT.indd
10
NEWS
Dental Tribune Middle East & Africa Edition | 2/2022
New research outlines vaping’s unique
connection to periodontal disease
By Anisha Hall Hoppe, Dental Tribune International
NEW YORK, US: Smoking tobacco
has long been known to be detrimental to oral health, but the risks of
newer simulations of smoking such
as vaping are less well-known though
they are often believed to be healthier alternatives. Now, researchers
from the New York University (NYU)
College of Dentistry have completed
the first study on the oral health of
users of e-cigarettes. They found that
vaping created a unique periodontal
microbiome, compared with that of
non-smokers and conventional cigarette smokers, and that participants
who vaped experienced a worsened
state of periodontal disease at the
end of the study.
The study compared the bacterial
composition and cytokine concentrations of the subgingival plaque
in conventional cigarette smokers,
e-cigarette users and non-smokers
over the course of six months. The
participants in all groups exhibited
some evidence of periodontal disease at baseline.
In the e-cigarette users, the detected
cytokine levels indicated inflammation, but some cytokines were
at lower levels than expected. The
researchers believe this was possibly due to the strains of bacteria
present in those who vaped but not
present in those who smoked or who
had never smoked. The researchers
hypothesised that it was possible
that these bacteria were actively supressing the immune reactions that
would normally have been expected.
Co-author of the study Fangxi Xu, a
junior research scientist at NYU, said
in a press release: “Vaping appears
to be driving unique patterns in bacteria and influencing the growth of
some bacteria in a manner akin to
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cigarette smoking, but with its own
profile and risks to oral health.”
Even worse was the finding that clinical attachment loss after six months
was signficantly worse in the e-cigarette smokers. This was measured in
the same groups of participants but
in a separate, earlier study.
Lead author of the most recent
study Dr Scott Thomas, an assistant research scientist at NYU, said
of the findings: “E-cigarette use is a
relatively new human habit. Unlike
smoking, which has been studied extensively for decades, we know little
about the health consequences of ecigarette use and are just starting to
understand how the unique microbiome promoted by vaping impacts
oral health and disease.”
More long-term research is needed
for dentists to feel comfortable offering counsel to their patients regarding e-cigarette use. E-cigarettes and
alternative tobacco products fall under the umbrella of what some call
tobacco harm reduction.
Dental Tribune International reported that a survey of German dentists by the German subsidiary of
Philip Morris International (PMG), a
cigarette company moving towards
smoke-free products, found that
58% of the respondents did not feel
informed on the subject of tobacco
harm reduction and that 69% were
not aware of the concept.
Dr Charilaos Avrabos, then PMG’s
manager of scientific and medical affairs, claimed in a 2018 press briefing
regarding the survey that “it is clear
that e-cigarettes are not risk-free
products; neither are tobacco heating devices. For non-smokers, these
are not products that offer any benefits. For smokers, who use the most
damaging form of nicotine delivery
continually over a period of years,
switching to these products can
make a huge difference by reducing
the amount of harmful substance.”
However, PMG’s claims seem to be
contradicted by the findings of the
NYU research and the results of a
2020 study on vaping’s effect on
periodontal health. Senior author of
that study Dr Purnima Kumar, professor of periodontics at Ohio State
University, said: “If you stop smoking and start vaping instead, you
don’t move back toward a healthy
bacterial profile but shift up to the
vaping profile. Knowing the vaping
profile is pathogen-rich, you’re not
doing yourself any favours by using
vaping to quit smoking.”
A new generation of progressive imaging is here – experience the difference with Axeos.
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• Seamless connectivity and individualized treatment workflow with Sidexis 4 Software
• Patient Positioning and Image Assistant (PIA) for increased patient comfort and image accuracy
The recent study, titled “Electronic
cigarette use promotes a unique
periodontal microbiome”, was published in the February 2022 issue of
mBio.
Because every patient deserves a healthy, happy smile and every practice team deserves the tools
to make this a reality. It’s time to elevate and expand your treatment offer. It’s time for Axeos.
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THE DENTAL
SOLUTIONS
COMPANY TM
200723_IMG-Ad-Print-Axeos-Blue-EN_210x297mm_RZ_v4.indd 1
27.07.20 17:44
[11] =>
DTMEA_No.2. Vol.12_DT.indd
[12] =>
DTMEA_No.2. Vol.12_DT.indd
12
NEWS
Dental Tribune Middle East & Africa Edition | 2/2022
New CEREC Tessera high-strength glass
ceramic blocks impress with robust
strength, high aesthetics and fast processing
By Dentsply Sirona
Dentsply Sirona has introduced
CEREC Tessera advanced lithium
disilicate (ALD) CAD/CAM blocks, a
new material for CAD/CAM-fabricated restorations for anterior and
posterior regions. The ALD ceramic
is characterized primarily by its robust strength and high aesthetics.
The glaze firing takes only four and
a half minutes, so the entire manufacturing process is accelerated.
CEREC Tessera blocks are therefore
an attractive option within singlevisit dentistry. CEREC Tessera is now
available on the Middle East market.
© Dentsply Sirona
High-strength glass ceramics are frequently used by dentists for CAD/
CAM-fabricated restorations. The
reason is mainly aesthetics – patients
usually want restorations looking
nearly identical to their natural
teeth.
Advanced material properties due to
optimised microstructure
The new CEREC Tessera blocks have
proven to be very strong, meet very
high aesthetic demands and accelerate the entire manufacturing process within the chairside workflow
by shortening the glaze firing time.
A crown can be fired in the CEREC
SpeedFire in just 4 minutes and 30
seconds. Compared to other glass ceramics, this represents a time saving
across the entire manufacturing process of about 44%. Before firing, the
application of a glaze is necessary to
achieve the final properties, such as
the high biaxial flexural strength of
over 700 MPa.
The fast-firing time is mainly made
possible by the special and new composition of the ceramic made of lithium disilicate and virgilite, a lithium
aluminum silicate. The innovative
microcrystalline composition with
the material virgilite is patent pending in both the USA and the EU. During the firing process, new virgilite
crystals are formed and embedded
in a zirconia enriched glass matrix.
Together, these material constitu-
ents combine to create a robustly
reinforced, high-density restorative
material. The dense interwoven crystal composition of CEREC Tessera
blocks is key to their high strength
and helps suppress the presence of
microcracks and subsequent crack
propagation. In the CEREC Tessera
blocks, the lithium disilicate provides the high tensile strength, while
the newly formed virgilite increases
the precompression stress. The same
microcrystalline composition also
contributes to the highly aesthetic
and dynamic light refraction, transmission and absorptive properties
that mimic the visual vitality of a
natural dentition and enables the desired high aesthetics.
Another advantage of the new material: All CEREC Tessera restorations
can be grinded to a very fine finish
and then be fixed adhesively (for example with Prime&Bond active and
Calibra Ceram). From a wall thickness of 1.5 mm, restorations with
CEREC Tessera can also be conven-
tionally cemented with a resin modified glass ionomer cement.
The first users are enthusiastic
about CEREC Tessera blocks. Dr.
Stephanie Holländer, dentist from
Frechen (Germany), states that the
short time for glaze firing was a real
game changer. She was also particularly taken with the simplicity of the
whole process: "I didn't have to make
any adjustments – the crowns fabricated in the CEREC Primemill show
beautifully finished margins, and
the colours available fit perfectly."
CEREC Tessera blocks are available
as of now and are indicated for fully
anatomical single-tooth restorations
in the anterior and posterior regions,
including crowns, inlays, onlays, and
veneers.
Celtra Ceram for additional aes-
thetic demands
In cases where aesthetics is top of
priority, Celtra Ceram is a reliable
veneering ceramic and has now also
been validated for combined use
with CEREC Tessera in the cutback
technique. It offers more options,
particularly when it comes to highlight subtleties in the translucency
and opalescence of the tooth, to
create mamelon structures or to
achieve an aesthetically sophisticated match with the adjacent teeth.
This option provides dentists and
dental technicians with an extremely versatile and proven ceramic system. Celtra Ceram is a low-fusing
system specifically designed for
veneering all-ceramic frameworks
such as lithium silicates and zirconium oxide.
Both materials were optimally
matched to each other by Dentsply
Sirona during validation.
Find out more by
scanning the QR code.
[13] =>
DTMEA_No.2. Vol.12_DT.indd
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[14] =>
DTMEA_No.2. Vol.12_DT.indd
14
DIGITAL DENTISTRY
Dental Tribune Middle East & Africa Edition | 2/2022
Highly aesthetic results with
CEREC Primemill
Case study
By Dr Josef Kunkela, Czech Republic
CEREC Primemill, Dentsply Sirona’s
new milling machine, has taken
chairside dental restorations to the
next level. Thanks to its state-of-theart technology, a wide range of restorations can now be manufactured
faster, using a large variety of materials with results that are very precise
and particularly easy to achieve.
Josef Kunkela, DMD, PhD, an innovative and renowned dentist and
founder of the Kunkela Academy
in the Czech Republic, has offered
chairside restorations in his practice for the past 13 years. As a clinical
tester for Dentsply Sirona, he had the
opportunity to comprehensively
evaluate the new milling machine.
The following is a description of his
first experiences with CEREC Primemill based on a patient case.
I have two essential requirements
for digital restorative dentistry: I
want to satisfy my patients to the
best of my ability for example by
producing accurately fitting and
very aesthetic restorations. I also
want to retain complete control over
the workflow. This is exactly what
CEREC has offered me for 13 years.
It's not just about switching from
conventional to digital impression
taking, it's about the entire process.
With the right workflow, I can work
very efficiently. This is where CEREC
Primemill takes us to a new level. It is
a machine that is simple to operate,
AD
Complex anterior cases, simplified.
Neo Spectra™ ST
Neo Spectra™ ST flow
Your most common cases, covered.
Efficient esthetic flowable versatility.
New brand for ceram.x® SphereTEC™ one composite
Efficient esthetics with
Neo Spectra™ ST Composites
Our proven SphereTEC® formula now spans the full range, or ‘Spectra’, of shades and handling
preferences, offering the perfect balance of everything that matters most to clinicians.
Easy adaptation & handling
➥ Spherical filler shape produces a “ball bearing-like” effect
Ingenious simple shading system & accurate shade match
➥ Chameleon effect from precise match of fillers to resin matrix
High strength & outstanding gloss
➥ Unique, pre-polymerized submicron glass filler particle structure
To learn more, visit: dentsplysirona.com/NeoSpectraST-composites
Made possible by
SphereTEC® Technology
20µm
As a beta tester of CEREC Primemill,
I had the opportunity to follow the
development process. When this
milling machine was set up in my
practice, I immediately noticed the
new touch interface. In my opinion,
it is a great feature to get information about milling cycles and the
right instrument recommendation
for every procedure.
The second striking point is that the
machine works very quietly and
above all quickly. CEREC Primemill
only takes approximately five minutes using Super Fast mode to fabricate a zirconia crown. In my practice,
the assistant takes over the first scan
with the new CEREC Primescan. After I have examined the patient and
made the therapy decision (which
restoration, which shade), the assistant can prepare the CEREC Primemill. Meanwhile, I prepare the teeth
to be restored and take the digital impression with CEREC Primescan. The
fabrication process then starts directly after the design of the restoration, which is carried out by a dental
technician in my affiliated practice
laboratory. I can fully concentrate on
my work with the patient and on his
dental situation. This is efficient and
very important for me.
Neo Spectra™ ST Effects
SEM image of SphereTEC® fillers
works with a really fascinating speed
and yields high-quality results.
Of course, a perfect workflow also requires the right quality. How useful
is it to be finished with everything
in the shortest possible time if the
restoration does not fit exactly or is
visually unattractive? This is where
CEREC Primemill once again offers
impressive results. The surface of
the materials is extremely smooth
and the margins are very clearly defined. From a clinical point of view,
the following aspects convince me
above all else about CEREC: The entire scanning process, including bite
registration and preparation control,
is very simple. In addition, there are
the advantages of the initial scan:
catalogue of beautiful natural smile,
recycle patient smile, family cross
copy smile, gingiva mask over design proposal model, index for direct
restorations. If you are going to fabricate a direct restoration of broken
incisal edge or corner and if you
would like to use layering technique,
you benefit from having scanned
the initial situation before and from
having made a silicone index according to the 3D-printed model
of patient's natural dentition. And
there is greater patient convenience
because of the reduction of appointments for treatment and temporary
restorations. From an organizational
and economic point of view, the efficient workflow, the reduced number
of appointments and the ability to
delegate many work steps are particularly noteworthy. My experience
shows that CEREC begins to pay off
at the reception desk when a welltrained assistant plans the appointments and can explain the advantages of this treatment method to
the patient.
©2018 Dentsply Sirona. All rights reserved. ML420109A (11-8-18)
ÿPage 15
[15] =>
DTMEA_No.2. Vol.12_DT.indd
15
DIGITAL DENTISTRY
Dental Tribune Middle East & Africa Edition | 2/2022
◊Page 14
The most important thing is that
CEREC Primescan and CEREC Primemill work together to create a great
setup for everyday restorative dentistry. The CEREC system is exceptionally versatile and allows us to
freely scan, design and switch from
laboratory to chairside software according to our requirements and
the daily needs for different material
choices and workflows. The following case illustrates this.
Case study
A 23-year-old female patient came
to my practice and asked for an aesthetic solution to her diastema and
tremata. The challenge was to preserve the natural surface structure as
much as possible. In this case we used
the so-called Biocopy Stretch Technique. It is a fairly simple technique
that uses the scanned anatomy to
create a larger version of the original
while maintaining anatomical accuracy. It is essential that the scanned
anatomy is used for the restorations
that are to be fabricated. At the same
time, it is possible to build a custom
tooth library in this way. This can be
used for future restorations. This initial scan also offers the possibility to
use the gingival mask as a reference
for the emergence profile when designing anterior restorations.
With regard to the patient's youth,
we opted for non-prep veneers for
both the central and lateral anterior teeth. We used the initial scan
to make a mockup of the planned
veneers in order to get a better idea
of the final treatment result. We sent
this scan via the Case Connect Center
to our own laboratory where it was
processed in the inLab software 19.
To further modify the initial proposal, we used the aforementioned
Biocopy Stretch Technique. Subsequently, the virtual articulator was
used to ensure function in all jaw
movements (protrusive and laterotrusive). The mockup was then
milled from PMMA in an MC X5
(Dentsply Sirona). I prefer this method to others because its distinct edge
sharpness helps to avoid undercuts
and transitions in the final restora-
tions, especially laterally. The PMMA
veneers were then temporarily fixed
with a small amount of a flowable
composite.
A few days later, the patient returned
to the practice. Depending on the degree of satisfaction, the veneers are
either re-shaped or used directly as
a template for the final restoration.
In this case everything fit perfectly.
We then imported the data seamlessly from the inLab software into
the CEREC software in dxd-format.
In the CEREC software, we simply
changed the material setting to composite block and then fabricated the
veneers in the new CEREC Primemill.
In doing so, we were able to achieve
a high level of precision. We used the
fine mode because it is ideally suited
for the production of ultra-thin veneers.
In order to maintain the high transparency of her natural teeth, the
milled veneers were slightly cut back
at the incisal edge and constructed
with the same restoration mate-
rial as the blocks used for milling. We
then polished the surface in a twostage system and bonded it adhesively under a rubber dam with composite. The result shows very natural
anatomy of the anterior teeth.
To sum it up: The CEREC system is
exceptionally versatile in allowing
us to freely scan, design and switch
from lab side to chairside software
and then mill or grind a restoration
in the extraordinarily precise and accurate CEREC Primemill. Capturing
the patient’s initial situation, position, shape and surface structure for
potential future reference, which can
also serve as donor anatomies for
other patients, will serve more and
more purposes not just in dental
prosthetics but also for the manufacturing of 3D models and silicone
keys, which are then used for layering restorative materials, digital implantology or dentures.
For more information about the full
Dentsply Sirona portfolio, please contact
your local representative.
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0)4 523 0600
Web: www.dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
Find out more by
scanning the QR code.
Fig. 1: Initial situation: The patient wants to have an aesthetic solution
for her diastema.
Fig. 2: This is the natural structure of the teeth we wanted to adapt in
the final restorations.
Fig. 3: As there are different methods of copying natural teeth shapes,
we decided to categorize them into these three categories of Biocopy.
Fig. 4: Face-Scan for setting up the occlusal plane and the patient’s
midline.
Fig. 5: Mockup-design of the veneers in the inLab SW 19.
Fig. 6: Try-in of the milled mockup-veneers.
Fig. 7: Export of the data into the CEREC SW 5.1.1 and final design of the
veneers.
Fig. 8: Milling-preview.
Fig. 9: Milled veneer in detail.
Fig. 10: Inserting the veneers using rubber dam for perfectly dry luting
surface.
Fig. 11: Close-up of the veneer surface which shows the good adaption
of the natural surface of the teeth.
Fig. 12: Final situation – the new smile.
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GENERAL DENTISTRY
Dental Tribune Middle East & Africa Edition | 2/2022
The MiCD approach to patient-centric
smile enhancements
By Dr. Hussein Naama, Iraq
Minimally Invasive Cosmetic Dentistry (MiCD) is gaining popularity
in routine clinical practice as it aims
to provide a holistic patient-centric
treatment approach with a focus on
preserving sound tooth structure.
Recent advances in composite resin
technology have paved the way for
dentists to further expand on the
clinical applications of direct restorative materials to adopt a more
conservative treatment plan while
addressing the patients’ needs and
meeting expectations.
The incorporation of an operative
microscope in my routine clinical
practice has helped revolutionize
the standard of care provided to
my patients. The magnification and
increased visibility obtained with
operative microscopes have pushed
me to enhance my skills and achieve
a higher level of aesthetics and function with direct restorations.
The clinical case shared below highlights, how the MiCD concept and
treatment approach can be successfully adopted to create natural
life-like restorations using the “ONE
layering Technique” to create individualized smile enhancements
based on the patient’s needs and
desires.
Patient case
A 35-year-old male patient visited the clinic requesting a smile
enhancement. As a MiCD clinical
trainer before making a clinical diagnosis, I usually spend time getting
to know my patient's personality, expectations, habits, and behaviour as
this provides a deeper understanding to customize the most suitable
treatment plan for the patient. This
patient is a highly qualified dental
technician with a demanding work
schedule therefore his expectations
were to rejuvenate his smile within
a short period of time while preserving his natural tooth structure (less
biological cost).
After performing a thorough intraoral examination and careful
clinical evaluation, a history of diastema closure, discoloured composite fillings in both lateral incisors
and one protruded central incisor
was identified. As the patient was
well informed on dental procedures
and possible restorative options he
requested for modification of the
central incisors to appear longer
and more symmetrical with replacement of the old restoration on both
lateral incisors.
In addition to obtaining all the patient information, clinical evaluation, analysis and treatment
planning it is very important to
understand the new advances in
dental materials as direct restorative
options have become more mainstream for a wider range of clinical
applications today, enabling dentists
like me to explore more conservative treatment approaches while
meeting patient needs.
After checking the patient's occlusion we decided to proceed with
direct composite veneers for the
ÿPage 17
Fig. 1a: Intraoral view before treatment.
Fig. 1b: Intraoral view after smile enhancement.
Fig. 1c: Patient’s smile after placing direct composite restorations on the
upper central and lateral incisors.
Fig. 2: Asymmetrical central incisors with old restorations on central and
lateral incisors, tooth # 11,12 & 21, 22.
Fig. 3: After removal of old composite restorations on tooth #11 & 21
and minimal tooth preparation for direct veneers with Shofu Diamond
Points.
Fig. 4: Total etching completed with 37% Phosphoric acid.
Fig. 5: Application of 7th generation Bonding Agent on the entire
surface of the prepared tooth #11 & 21.
Fig. 6: Free hand palatal shell created with Beautifil II Enamel shade T
(Translucent).
Fig. 7: Sectional matrix band placed and stabilized with Beautifil II
Enamel shade HVT (High Value Translucent).
Fig. 8: Build-up of proximal area and establishing contact with Beautifil
II Enamel shade HVT.
Fig. 9: Mamelons created with deep dentin opaque shade of Beautifil II
LS shade A2O.
Fig. 10: Build-up of dentin layer with Beautifil II LS shade A2.
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GENERAL DENTISTRY
Dental Tribune Middle East & Africa Edition | 2/2022
◊Page 16
two centrals with 75% width to high
ratio as the patient requested long
centrals and replacement of the old
composite fillings on both lateral incisors with the Shofu range of Beautifil bioactive composites containing
the clinically proven benefits of its
patented S-PRG filler technology.
Materials and restorative process
Preparation
Shofu Diamond points
Restoration
Palatal shell – Beautifil II Enamel #T
(Translucent)
Mamelon and dentin layer – Beautifil
II LS #A2O, #A2
Proximal area and Enamel layer –
#HVT (High Value Translucent)
Internal Characterization – Lite Art
stains # White & Yellow
Anterior Matrix – sectional matrix
band
Finish and polish
Anatomical contouring and finishing – Fine Diamond Point
Fine finishing – Super – Snap Disks
(Purple)
Surface texture and pre-polishing –
One gloss
Polishing – Super-Snap X-Treme
Disks (Green, Pink)
Super Polishing – Super Buff
Magnification
Zumax microscope
Camera – Canon 5D with 100 mm
macro lens
Conclusion
MiCD treatment concept and protocols are easy to understand and
immediately adopt into clinical
practice. As a MiCD clinical trainer, I
have been able to successfully incorporate this patient-centric conservative treatment approach routinely in
my practice where we focus on the
patient needs and evaluate all treatment options with minimal biological cost, select the most suitable
restorative materials and obtain the
patient's commitment to maintaining the restorations with good oral
hygiene and regular recall visits. As
clinicians, our aim is to help patients
achieve their desired smile while
preserving natural tooth structure
taking into consideration time and
the cost involved.
The Beautifil range of Shofu bioactive direct composites used in this
clinical case helps to showcase that
material selection plays an important role to help achieve predictable
direct restorations with life-like aesthetics that meet the patient's expectations. The final step to achieving
long-term success with direct restorations lies in the finishing and polishing protocol where attention to
detail with a step-by-step approach
helps to obtain enamel-like lustre
optimising the aesthetic and functional outcomes.
About the author:
Dr Hussein Naama, Iraq
Alghadeer Dental Trainng Center
Dr Hussein Naama holds a Bachelor of
Dental Surgery from the University of
Baghdad, a professional diploma in cosmetic dentistry and has obtained a certificate in dental implants from Charité—
Universitätsmedizin Berlin. He is also an
International DSD certified member.
Dr Hussein is a MiCD clinical trainer and
advocates the minimally invasive treatment approach in clinical practice. He has
a passion for cosmetic dentistry and loves
to share his knowledge and skills with the
wider dental community through online
and offline lectures as well as hands-on
workshops both locally and internationally.
Fig. 11: Characterization of incisal area with Lite Art internal stains #
Yellow & White.
Fig. 12: Build-up of entire enamel layer with Beautifil II Enamel shade
HVT.
Fig. 13: Finishing and polishing protocol with a selection of Fine
Diamond Points for anatomical contouring, Super-Snap Xtreme purple
disk for fine finishing , OneGloss 2in1 Polisher for surface texture, Super
Snap-Xtreme Green and Red disks for polishing.
Fig. 14: Initial finishing and polishing after build-up of the direct veneers
on tooth #11, 21.
Fig. 15: Final polishing and super polishing with SuperBuff impregnated
polishers completed after 7 days during the recall visit .
Fig. 16: Direct Aesthetic veneer restorations completed on tooth 11 &
21.
Fig 17a
Fig 17b
Fig. 17a & 17b: Old composite fillings on tooth # 12 & 22 were replaced during the recall visit with Class III Direct composite restorations using the
same layering technique with the Beautifil range of bioactive composites.
Fig. 18: Final restorations on tooth 11,12,21 & 22 completed with bioactive direct composites that helped enhance the patients smile and meet
his expectations.
AD
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18
INTERVIEW
Dental Tribune Middle East & Africa Edition | 2/2022
Interview: “My motivation is to serve
my country through my society”
By Dental Tribune MEA
Dental Tribune MEA had a great
please to speak to Dr Samira Osailan,
a vice president of the Saudi Dental
Society and ask her for the coming
future in the region.
Dr Samira, it is a great honour to
have you speak with Dental Tribune MEA. Could you please share a
bit of your background with us for
any of our readers who might not
be familiar with you?
I am a Saudi woman and was born
in Medina. I completed my BDS at
King Saud University in Riyadh, as
well as my master’s and residency
training in oral and maxillofacial
surgery, and I was the first Saudi
female oral and maxillofacial surgeon. After this, I was employed at
the Saudi Ministry of Health. For my
PhD, I went to King’s College London
in the UK. After obtaining a PhD in
2005, I earned my fellowship from
the Royal College of Surgeons of England. That same year, I was offered a
job at King’s as a lecturer in the oral
and maxillofacial surgery department. I went on to work there for
seven years and, during this time,
achieved a master’s degree in education. In 2010, I was appointed head
of undergraduate teaching in my
department, supervising 25 members of staff. In this role, I developed
the teaching strategy in my department and established a standardised
structure which is still followed to
this day. In 2012, I was recruited by
the dean of the dental school at King
Abdulaziz University and joined the
university in 2013. I was appointed
postgraduate director and was an ex-
ecutive member of many committees. I introduced the objective structured clinical examination format to
the school, and I am the main organiser. I recently established the University Dental Hospital CPR Training
Centre and am currently its director.
Additionally, I am head of the supervisory committee of health colleges
for clinical skills centres and simulation in education at the university.
In 2015, I was elected an executive
committee board member and head
of the Western region committee of
the Saudi Dental Society.
My stay in the UK helped me ensure
that I fulfil my roles to my maximum potential through training
in leadership, professional communication, public relations and
media engagement. I founded the
Saudi Arabia Women’s Association,
whose mission was to establish the
right image for professional Saudi
women.
In January 2022, you were appointed a vice president of the
Saudi Dental Society. Did you expect this, and what did you feel
when you found out about your
appointment?
I am thrilled to be a vice president
of the Saudi Dental Society in order
to carry on serving my society and
dentists in my country. I was a board
member from 2015 to 2022 and have
been an active member of the society since I was an undergraduate.
You are the first woman to be
elected a vice president of the society since its establishment in 1981.
How does that make you feel?
Dr Samira Osailan, a vice president of the Saudi Dental Society
I am proud of being the first Saudi
woman to be a vice president of the
mother society of dentistry in my
country. I am known to be a strong
and confident Saudi woman.
What motivated you to accept your
appointment as vice president?
My motivation is to serve my country through my society. I like to help
in my community and always try to
empower young dentists from the
start of their careers. Since 2013, I
have been an active member of the
Saudi Dental Society in Jeddah and
have served the society via organising lectures and workshops, as well
as participating in community ser-
"My plan is aligned with the society’s vision
that we become one of the leading
organisations globally..."
vice.
Could you please tell us briefly
about the society and what is
stands for, its major activities and
whom it represents?
The Saudi Dental Society was the first
dental society in the country. Our
mission is to give comprehensive
support to dentists on three levels:
education, research and community
service in the field of dentistry.
increase the work of dental research
and awareness of the importance of
oral health and reduce the incidence
of caries. We have a five-year strategic plan, which we as the current
board hope to complete most of during the next three years, the remainder of our term.
How do you see dentistry in the
Middle East, particularly in Saudi
Arabia? How has it evolved in the
With a new role comes new oppor- past few years?
tunities. Could you share with us In my opinion, dentistry in the Midwhat your plans are for the future dle East is continuously improving.
regarding the society?
The region is up to date in technolMy plan is aligned with the society’s ogy, especially in Saudi Arabia, but
vision that we become one of the we need to boost our exposure in
leading organisations globally and the Western media. We have many
play more evident roles in the in- talented Arab speakers who are well
ternational community in order to known in their countries and in the
have our voices heard in bodies such Middle East, are but not yet known in
Scanned
CamScanner
Europe or the US, for example.
as the World
Healthwith
Organization
and UNESCO and to see more Saudis
in leading positions in the field of Thank you for your time.
dentistry globally. Locally, we seek to
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22
INTERVIEW
Dental Tribune Middle East & Africa Edition | 2/2022
Interview: “The focus has been on bringing
innovation and improved technology
to dentistry”
Dipl.-Ing. Peter Malata, President of W&H
By Dental Tribune MEA
Dental Tribune MEA interviewed
Dipl. Ing. Peter Malata, Managing Director and owner of the W&H Group
during his past visit to the Middle
East. The focus was to better understand the growing presence of W&H
in the MEA region and thoughts on
trends in the market.
Having been leading the company for over 25 years, the familyowned W&H is one of the leading
manufacturers of dental precision
instruments and devices in the
world. How would you introduce
the company to our readers?
W&H is the oldest company in existence that produces dental handpieces. It’s a family-run business. Our
focus is on innovation, and we have
introduced quite a few innovations
throughout the years. Although our
origins are in dental handpieces, we
have over time expanded to autoclaves, implant motors, oral surgery,
and electronically driven products.
Furthermore, we have become involved in technology enabling digitalisation.
Today, W&H is situated in Austria,
has about 1,200 employees worldwide and exports to 130 countries.
Our aim is to achieve a sustainable
long-term business and personal
relationships with the end user,
and our innovation is driven by the
desire to simplify the daily work of
dentists.
The company was founded in 1890
in Berlin. During the Second World
War, it was moved from Berlin to
Bürmoos. After the Second World
War, my father was installed to run
the company. In 1958, my parents
were able to purchase the company
from the government, and it has
been a family-run business since
then. Also, since then, the focus has
been on bringing innovation and
new and improved technology to
dentistry. A few of these developments are the speed-increasing
contra-angle, the press button chuck
system, the autoclavable motor for
implantology and the first-Class B
autoclave for dentistry.
This brings us to the reason why
you are here today: to focus on a
new product being introduced to
the MEA region?
This is another innovation of ours,
the combination of two units into
one. On the existing unit, Implantmed, we were able to make Piezomed an add-on module, allowing
it to be docked on. This means that
you don’t need two units and you
only need to have one main unit,
one screen, one bottle and one tubing set, reducing the space needed,
which is always an issue in the operating theatre. This development is
also a contribution to the environment. It’s more efficient and more
cost-efficient.
During its first launch in the MEA
region here today, what has feedback from dealers and customers
been so far?
The market has said that the product
is what it needed. A major advantage
is that the module can be docked
on Implantmed SI-1023, which was
launched in 2016 already, yielding a
large base of already installed units.
The oral surgeon who purchased this
unit five years ago can now simply
add on the Piezomed module. An
“W&H strongly believes in
personal relationships with our
partners and customers as well as
in innovation”
update is needed for Implantmed,
but this is easily done. This has made
it the unit to have for oral surgery
employing piezo-technology.
trade show in Dubai, despite all the
restrictions, difficulties, and safety
concerns. They are here to support
W&H.
Is this already available in the
whole of the Middle East?
Today, it is launching activities at
the dental trade show in Dubai,
UAE. For countries that don’t need
registration, it’s already available.
For countries like Saudi Arabia and
UAE that require registration, it will
be available in two to three months
from now. I want to strengthen the
relationship with our customers and
AEEDC is the hub for meeting our
partners and to be present when the
product launches. It is important for
us to be in direct contact with our
representatives.
What is your view on your position in the industry regarding the
products you have now launched
in comparison with your competitors?
The ability of W&H to establish its
technology as an industry standard
is a critical determinant of its longterm position and success. W&H is
setting the golden standards in the
dental industry and constantly striving to lead the industry with innovations that set the benchmark. Some
of the important factors that contribute to W&H success are:
1.
W&H knows its customers, because we are very close to the
Dentists and to our partners.
2. W&H has a great innovative
team and we keep on investing.
These factors surely helped W&H to
maintain this position in the market.
Have you received any direct feedback from your dealers and customers here in the Middle East on
the new product?
I can confirm that all the dealers are
very excited about the new product.
The module represents state of the
art technology which can provide
additional value to their customers.
As always, they are proud of stocking
W&H, as this reinforces their position of selling high-quality and stateof-the-art products in dentistry,
always ahead of other dental companies by far. That is why our dealers
have attended the current ongoing
You have a large research and development centre. Could you comment on the education that you
run across the world? How important is education of dental professionals for W&H?
Education itself is essential. Good education yields good knowledge and
good knowledge yields good medical
treatment. If education teaches how
to use the newest technology, then
the newest technology is applied and
this is to the benefit of the patient.
Recently, you won a large tender in
Saudi Arabia, and W&H has been
very active in the past five to six
years regarding education and
events in the Middle East. How important is the Middle East for W&H?
The Middle East is a very important
market. Our dedication to the region
is underlined by us having importers
in every country. These importers
are asked to provide education on
our technology to the dental market
and to run service centres in which
they give a quick service to the dental professional. The Middle East has
always been important, but in recent
years, we have intensified our presence in this market in order to have
a good relationship with our importers to provide the right products for
the market and to provide the right
information to universities, education centres and private dentists.
Do you have any closing remarks
or comments for our MEA dental
professional audience?
W&H strongly believes in personal
relationships with our partners and
customers as well as in innovation.
These are the reasons for us to attend
AEEDC and keep contact with our
business partners through education and technology advancements.
Following the exhibition, we provided a three-day technical training for
our partners. We strive to continuously assist and provide our markets
with all the necessary support they
require.
Thank you for the interview.
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24
INTERVIEW
Dental Tribune Middle East & Africa Edition | 2/2022
Interview: “Patients’ awareness is growing,
and we have to educate them and have to
have the right treatments for them...”
Wolfgang Becker, Executive Vice President, Head CEEMEA & Distributor Markets at the Straumann Group
By Dental Tribune MEA
The Straumann Group held Esthetic
World 2022 in Dubai in January. In
this interview, Dental Tribune MEA
speaks to Wolfgang Becker, Executive Vice President, Head CEEMEA
& Distributor Markets at the Straumann Group; and Michael Bender,
Vice President, Regional Head Marketing and Education CEEMEA at the
Straumann Group, about the event
and about the company’s commitment to dental education.
This year’s Esthetic World was
expected to be a very successful
high-level scientific event with
many inspirational speakers.
Did it meet the attendees’ and
your expectations?
Becker: Yes, we were very happy
because we had more than 500 attendees, and the feedback was really
positive. The participants had been
looking forward to a face-to-face
meeting. They mentioned that we
had a good balance between scientific evidence and practical tips and
covered a lot of different topics. It
was very busy for everybody, but
they really appreciated the combination of good speakers on stage, workshops and everything else. I think we
fulfilled expectations, and we were
also happy as a company to be able
to hold such an event after a hiatus
of two years.
What were your personal programme highlights?
Becker: That’s very difficult to answer
because we had so many good speakers on stage.
Bender: Yes, I can only echo what
Wolfgang just said. It’s really difficult
to pick one element that really stood
out, but I would say, in general, the
topic of immediacy is really one of
the leading trends at the moment.
It’s not only about the products; it’s
really about immediacy in general
and what immediacy means to you
as a dentist and your dental practice, such as practice productivity,
the efficiency gains that are behind
these trends, as well as how to serve
the patient in the best way. Overall,
aesthetic dentistry, focusing on immediacy, was definitely a topic that
stood out. Last but not least was the
closing session, during which Gabriela Pueyo, general manager of Bupa,
a leading global health and care company from the UK, spoke on what
the future of dentistry will look like.
She said something along the lines
of my thinking when she mentioned
that we all have to invest in our own
capabilities. We have to take care of
our own development and invest in
our own learning and capabilities to
really keep up and even stay ahead
of the game. Those are the two topics
that stood out.
The congress was held under
the theme “WELCOME TO OUR
WORLD OF ESTHETIC DENTISTRY”. What was meant by “our
world”?
Bender: First of all, I have to say that
the dental environment is really
changing big time at the moment,
and it is driven by one leading trend:
patients have increasingly higher
demands of what they would like to
see and what they expect from the
dental professional and from the
dental environment. Our task and
our intention is really to show what
the Straumann Group has to offer to
really satisfy the needs of patients, to
show our world of aesthetic dentistry and how to use our solutions and
products to really help dentists, our
customer base, to satisfy the needs of
patients now and in the future.
What role did education play
during Esthetic World 2022?
Bender: Education is still one of the
key pillars, not only today but also
in the near future, because we see
education really as one of the key elements that can bring us as the Straumann Group closer to our customer
base as well as to patients. The overall
intention is really to help and to support our customers to continue to
grow in skill and in knowledge over
their lifetime in practice. For this,
we also split this educational event
Michael Bender, Vice President, Regional Head Marketing and Education CEEMEA at the Straumann Group
“We had a good balance between
scientific and practical tips and
covered a lot of different topics.”
– Wolfgang Becker
into different sessions. For example,
we had focus sessions that gave participants the chance to dive a little
bit deeper into their areas of interest,
such as the surgical session, the prosthodontic session and the orthodontic session. We also had workshop
sessions, both theoretical workshops
as well as practical workshops, where
the participants had the opportunity
to really work with our products, to
touch and feel them, and to see in
reality how our products work. We
also had panel discussions with our
speakers and our key opinion leaders in break-out sessions, and we had
dedicated product kiosk sessions
where the participants also had the
opportunity to take a deep dive into
our products and to discuss productspecific questions with our people
behind the kiosk session. In the end,
it’s really an educational event. The
event awarded quality continuing
education credits, since the education provider has been recognised
by the American Dental Association
Continuing Education Recognition
Program.
Could you tell us a bit more,
based on the event, what trends
dental professionals can expect
in the future?
Becker: I think the event showed
this very nicely. We had four or five
trends that I believe will influence
the whole of dentistry in the next
couple of years extremely, because
when you see the top topic of digitalisation, I believe every dental clinic
has to go deeper and to understand
what is going on. That also concerns
one of the topics clinicians are interested in: seamless workflows, what
makes treatments more reliable but
also more predictable. One of the
top topics was immediacy where
the patient need is very high. The
patient is looking for a predictable
outcome of treatment. I think that
will also be one of the topics in the
future. Orthodontics and prosthodontics are areas important to the
company, but we have also seen and
will continue to see trends in this regard in the future. I think technology
is always important. For example,
in his presentation, Holger Haderer
[head of marketing and education
at the Straumann Group] discussed
dynamic navigation, and this concerned both education and future
trends. I think new technologies will
come up, as well as material; for example, we showcased our new ceramic material. Therefore, aesthetics
may be important. People would like
to have easy treatment, and we know
that the patient is more educated.
Patients’ awareness about implantology and orthodontics is growing,
and we have to educate them in the
right way, and we have to have the
right treatments for them.
What do you think was essential
to make this event face to face for
your audience and not online,
considering the pandemic?
Becker: After two years, everybody
was eager to have a face-to-face discussion. I believe that the whole online education is a great tool, and we
have seen great success over the last
few years, but I also had the impression that people had become a little
bit tired of it. They wanted to attend
this conference to have this interaction with colleagues and to see each
other. That was important, and we
were happy to be able to hold the
event in Dubai because you have a
high vaccination rate. We are still in
a pandemic, and we have to respect
this, but I think the location, everything, was really perfect.
Bender: I fully agree. It was a clear
request from our customers to
come together in such an environment where people can really share,
exchange and connect with each
other, not only with their peers but
also with the speakers. We decided
to accept this mandate and to set up
an event where we could offer this
possibility and foster this kind of
interaction to really have a kind of a
reunion after almost two years of no
events. This was also a kind of a kickoff event. We are more than happy
that we could realise it in an environment that allowed people to spend
face-to-face physical time together
and quality time in the evening.
Overall, I would say that it was really
a very successful event for all of us,
and it will hopefully be repeated in
the near future.
What is your personal headline
for 2022? What are the big upcoming topics?
Becker: If we take the event as informing my answer, I think digital
transformation will be something
that will be very important for the
company and for our customers. I
think that we are in the same boat,
but we have to help our customers to
transform in this new world. I think
that new material is important, as
well as immediacy and patient flow.
That’s something I believe will bring
greater comfort for the patient in the
future: faster access to treatment
and a faster outcome. I think those
are the focus topics in the next couple of months.
Bender: I would say that one of the
biggest topics is the patient experience, creating a patient experience
that will keep patients happy and
help dental professionals to differentiate themselves and their dental
practices, to also make sure we can
ÿPage 25
[25] =>
DTMEA_No.2. Vol.12_DT.indd
Dental Tribune Middle East & Africa Edition | 2/2022
25
INTERVIEW
◊Page 24
help patients to have some “WOW”
effects and to talk about convenience
to really help dental professionals to
make life easier, also for patients and
us thinking of higher treatment predictability and less treatment time.
Also aesthetic dentistry and digital
transformation. I always call this
emotional dentistry because we are
somehow emotionally attached to
smiles. We would like to have great
smiles because this will increase our
attractiveness and the well being
of all people and here we also have
some great tools when it comes to
software solutions but also other
equipment that will help dentists to
visualise and show patients how an
effective aesthetic dental treatment
will look in the end, for example.
What about the focus on digitalisation and customer experience?
How important role do these
play in dentistry at the moment?
Becker: One of our core focuses is customer obsession, and that’s exactly, I
Panel discussion session
Hands-on course offered during the event
Showcase of the products
“The overall intention is really to help and to
support our customers to continue to grow in skill
and in knowledge over their lifetime in practice.”
– Michael Bender
think, what we need because this industry is going through the biggest
transformation ever, I believe, and
it’s driven by digitalisation. The aim
is really to get seamless workflows
that people can rely on, from the
beginning, from the discussion with
the patient until the finalisation of
the treatment. For us, this is really
key, to have platforms and support
in all dimensions that we can get our
customers on board and help them
to transform and of course to be in
a leading position with new technologies. Everybody’s looking for
procedures that are very predictable
and fast and without any problems.
I think digitalisation can help to steer
this. It’s a big topic, bigger than one
might have ever thought before, not
only for us but also for people outside of our industry.
What do you think the participants visited the event for? Was it
for the scientific part, taking into
consideration that the online
education component was accessible to everyone, or was it for the
exhibition, to see the new products and the new developments?
Becker: I think it was a mix of everything. Of course, participants were
eager to see each other, to be together with colleagues, to have this
interaction, but that was also the aim
of this event, to have all disciplines,
to have good speakers on stage communicating a lot of new information
and to focus on the evidence base
because that’s a very important part
for our company. We have to show
that the products we bring to market
work. I think people attended also
to see new trends. Overall, I believe
that we met participants’ needs, and
therefore we are very happy with the
outcome of this conference.
Bender: I also think it was really a mix
of everything. Regardless of whether
participants were driven by the scientific part or the products, what I
Panel discussion session
Practical session
The event welcomed more than 500 attendees
observed from conversations with
customers was that all the people
who attended this congress have
an intrinsic motivation and natural
passion for learning. They attended
the congress for learning purposes,
being really eager to learn about the
latest developments and the latest
trends, especially trends that have
developed during the two years of
the pandemic. They were really eager to learn, to interact, to network
and to collaborate, but also to build
up communities across the different regions, it being a regional event
with participants from across our
region from different markets and
of different nationalities. The event, I
think, was an ideal platform for this,
and we created an ideal learning environment.
Thank you for the interview.
[26] =>
DTMEA_No.2. Vol.12_DT.indd
26
NEWS
Dental Tribune Middle East & Africa Edition | 2/2022
Tackling complex cases with Opalescence
Boost in-office whitening treatments
By Ultradent
Whether it’s a patient presenting
with one front tooth that’s several
shades darker than the rest or teeth
with tetracycline staining so severe
that the patient refuses to smile,
most dentists can agree that not all
teeth whitening cases are cut and
dry. Certainly, some are easier to
treat than others... by a long shot.
While all Opalescence teeth whitening products essentially work the
same way (varying in concentration
and required wear time from product to product), different Opalescence teeth whitening product combinations and protocols often work
better for one patient than another.
Depending on the kind of staining,
severity of the case, and how quickly
the patient would like to get to their
ideal result, the trick lies in determining the best approach for the unique
patient in the chair. That’s where
renowned dentist and Ultradent
clinical researcher, Dr. Renato Miotto
Palo comes in.
Thanks to Dr. Palo's deep knowledge
of the science of teeth whitening, he
has garnered a well-earned reputation for his incredible results, even
with the toughest whitening cases.
One of his secret weapons is Ultradent’s Opalescence Boost in-office
whitening, which he often combines
with take-home Opalescence teeth
whitening products like Opalescence
Go prefilled whitening trays or Opalescence PF custom teeth whitening
gel.
ing tooth whitening case, “A 60-yearold woman, who happened to be a
dentist, attended one of my lectures
and approached me afterward. She
showed me her severely discoloured
teeth due to tetracycline staining and
asked if I thought anything could be
done with her case. As a long-practic-
He recalls one particularly challeng-
ÿPage 26
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[27] =>
DTMEA_No.2. Vol.12_DT.indd
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[28] =>
DTMEA_No.2. Vol.12_DT.indd
28
NEWS
Dental Tribune Middle East & Africa Edition | 2/2022
◊Page 24
CASE 1
ing dentist herself, she’d never trusted another dentist to whiten her
teeth out of fear they would end up
damaged, or that she’d experience
severe pain in the process.”
Fig. 1
Fig. 2
Patient’s initial severe tetracycline stained teeth
Fig. 2
Fig. 3
Patient using Opalescence Go take home whitening trays between Opalescence Boost in-office treatments
Fig. 4
Fig. 5
Patient using Opalescence Go take home whitening trays between Opalescence Boost in-office treatments
Fig. 6
Fig. 7
Patient using Opalescence Go take home whitening trays between Opalescence Boost in-office treatments
CASE 2
Fig. 8
Patient using Opalescence Go take home whitening trays
between Opalescence Boost in-office treatments
Fig. 9
The darker tooth prior to treatment on the left
Fig. 10
The special custom tray designed by Dr. Palo to only apply bleach on one of the patient’s front teeth, to be work overnight with
Opalescence PF take-home gel
Fig. 11
Patient wearing Opalescence PF take-home gel in her custom
tray, only applying the whitening gel to one tooth
Fig. 12
Applying Opalescence Boost in-office whitening to a single
tooth
Fig. 13
Fig. 14
Opalescence Boost in-office whitening gel doing its work
The patient’s results, with both front teeth finally at the same
shade
Not one to shy away from a challenge, Dr. Palo took on the case. He
continued, “I decided to approach
this doctor’s unique case with Opalescence Boost in-office whitening
treatments combined with Opalescence Go whitening treatments at
home in between her in-office whitening treatments to achieve our mutual goal of healthy, white teeth that
she would no longer be ashamed of,”
he says.
Over the next five months, Dr. Palo
administered a round of Opalescence Boost in-office whitening every three weeks for five months, and
then between Opalescence Boost inoffice treatments, she’d use Opalescence Go whitening trays at home—
wearing them every evening for one
hour. He notes, “I’m proud to say
that throughout the process, she
didn’t experience any sensitivity, so
the experience was pretty easy from
start to finish.”
approach teeth whitening, depending on the unique case they’re looking at.”
He says he often uses Opalescence
Boost whitening because, “Opalescence Boost in-office whitening
tends to be very stable and pH controlled. This is important because if
the pH of a whitening agent changes,
the product becomes less dependable.” He continues, “I also love the
consistency of Opalescence Boost
whitening gel. If you mix it well and
according to the instructions, you
can really trust it to do its job. I’m
always confident that when I use it,
I can depend on its outcome and efficacy. I also love that because of its
controlled pH, it’s never too acidic,
and therefore, provides a safe teeth
whitening product you can rely on.”
Most importantly, Dr. Palo says he
finds the greatest satisfaction in restoring the patient’s confidence. “By
strategizing how I’m going to approach the case, I’m confident that
Opalescence teeth whitening system
has all of the products I’m going to
need to achieve dependable, predictable, results every time. And that’s
an amazing thing to be able to give
to your patients.”
“With time and patience, we slowly
saw improvement, until this dentist
who was once too shy and self-conscious to smile, ended up with teeth
as white or whiter than my own,”
Dr. Palo says with a grin. “Watching
her smile at the end of everything
made it all worth it. She invited me
to lunch to her after we finished her
treatments and we took a photo,
and in it, her teeth are brighter than
mine. It’s amazing.”
Another challenging teeth whitening case Dr. Palo took on involved
a patient with one front tooth that
was several shades darker than the
rest of her teeth. Upon further inspection, Dr. Palo discovered that the
tooth presented more yellow than
the rest due to extensive internal
calcification. He said, “Instead of being filled with typical dental pulp tissues, this particular patient’s tooth
was filled with calcified dentin, so I
knew I needed to use a more aggressive approach to get it white enough
to match the rest of her teeth.”
Dr. Palo’s first step involved creating
a customized tray that the patient
would wear overnight that would
allow her to apply Opalescence PF
whitening gel to the single front
tooth.
Next, he says “I chose to use Opalescence Boost in-office whitening on
her as well because of its powerful
results in less time. I knew the in-office treatments would give us a nice
jump-start on what was sure to be a
challenging case.”
Like the previous case, Dr. Palo saw
the patient every three weeks for
in-office whitening treatments, and
that, combined with nightly Opalescence PF whitening applications in
her custom tray, eventually brightened the patient’s front tooth to a
shade that matched the rest of her
smile.
He explains, “While more concentrated whitening agents require
less time for many stain types, we
know that in some cases, lower concentrated whitening products used
over a longer period of time give the
patient a more favourable result because some stain molecules require
prolonged and repeated exposure
over a longer period of time to completely be broken down.”
Dr. Palo adds, “Dentists need to realize that there are so many ways to
About the author
Dr. Renato Miotto Palo, Brazil
Dr. Palo is a graduate of the Paulista University - Sao Paulo - Brazil. He obtained a
specialized level of endodontics in a postgraduate program of the University of
Sao Paulo - USP - Bauru - Brazil. Dr. Palo
received his master's degree from the
State University of Sao Paulo - Sao Jose
dos Campos campus, where he was a
collaborating professor of endodontics.
The doctorate was achieved at the State
University of Sao Paulo - Araraquara
campus. Prof Cornelis Pameijer, Emeritus
Professor of the University of Connecticut,
was a tutor in his Post-Doctoral study. He
has worked as a part-time and part-time
professor in his clinical practice dedicated
to endodontics and whitening. Dr. Palo
presided over two postgraduate programs in Brazil. He has organized several
dental congresses, including as scientific
coordinator of Sao Paulo Dental Meeting.
His scientific background includes books,
published articles, book chapters and scientific awards. He has been interviewed
to talk about the action of bleaching and
risks in media programs in different countries. He is often invited to judge master's
and doctoral thesis, and has also worked
as an article reviewer. Dr. Palo has carried
out in vitro and in vivo experiments and
has worked as a developer and evaluator
of new materials. Dr. Palo gave more than
250 presentations in 66 countries and
today works in the Clinical Affairs Department at Ultradent Products.
[29] =>
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DTMEA_No.2. Vol.12_DT.indd
30
INTERVIEW
Dental Tribune Middle East & Africa Edition | 2/2022
Interview: “The new materials launched
on the market in recent years dramatically
changed the way we do dentistry”
Interview with Prof. Lorenzo Breschi, Italy
By Dental Tribune MEA
to achieve dry dentistry, which is a
fundamental pillar of adhesive dentistry; we have to have an adequate
isolation of the working field.
Prof. Lorenzo Breschi is the head of
restorative dentistry at the University of Bologna, and he is an university
lecturer. He also has the privilege of
working with students and teaching
them restorative dentistry, conservative and fixed prosthodontics, additionally he is a private practitioner.
Prof Breschi try to manage both the
teaching part and clinical practice of
restorative dentistry.
What about the dental industry?
Where do you see the next five to
ten years in relation to the products now released? What are you
missing as a clinician? What do
you think could be even further
improved?
My main topic has always been
bonding, so I’ve seen the bonding
revolution since the start. I’ve had
the privilege of working with many
giants of this field, starting from
Jean-Francois Roulet, and I’ve also
had the privilege of serving as the
associate editor of the Journal of
Adhesive Dentistry, so I work also on
the research side. I believe that adhesion has changed the way we do and
manage dentistry, starting from an
extension of prevention to what we
do today, which is prevention of extension, but I think it’s a revolution
not only for us as dentists but also
particularly for patients. Nowadays,
patients can really understand many
of the clinical treatments we are doing and why we do it, thanks to digital dentistry and the possibility to
simulate all the steps and the final
outcome of our dental treatment.
The new materials that have been
launched on the market in recent
years dramatically changed the way
we do dentistry, and this is something that we must keep in mind.
Shifting from metals to ceramics
and composites definitely changed
not only the mind of the dentist only
but also that of the patient and his or
her willingness to go to the dentist,
along with other important aspects,
including aesthetics. The aesthetic
requirements today are very high.
Bleaching, for example, is a crucial
aspect in this regard. Adhesion,
bleaching and new materials are the
three things or aspects which in my
opinion completely changed the
way we do dentistry today.
We are here today at the Ultradent booth. Can you tell us a
little bit about the new generation of the one-shade composite?
This is indeed the future. We’ve been
through simplification processes
in the last few years. Regarding adhesive systems, we simplified from
the three steps to the one step. We
simplified luting materials, and we
simplified composites. Having the
possibility of using a single-shade
material is a great advantage because this allows us to work easier,
faster and smarter. Furthermore,
it enables us better control of the
material and its expiration date be-
© Dental Tribune MEA
You’re well known across the
world for your minimally invasive dentistry and that’s the
reason you are here at the trade
show in Dubai, UAE. What are
the techniques and the tools that
you use that have made you so
successful, and could you maybe
give us some tips and tricks?
Prof Lorenzo Breschi at the Ulltradent booth at the trade show in Dubai, UAE
cause we can reduce the number of
syringes that we need to keep in our
office. Interestingly, while the very
first versions were probably not effective from an aesthetic point of
view, today’s versions are indeed
excellent in reproducing the colour
match, the opacity, and viscosity
and handling of these materials have
been improved. In particular, I have
had the privilege of working handson here with FORMA. By using this
material, you can really observe an
excellent result in terms of aesthetics that can be achieved by simplification and application of only one
material. The technique of placing
an entire composite restoration in a
single-shade material is very effective, particularly for posterior teeth.
Of course in the anterior region you
may use additional effects if you
have a single incisor with specific requirements seen in young patients.
However, for an older patient, for
example, with layers that are more
opaque, this single-shade material is
highly indicated also in the anterior
region, so I think it can be used in
more than 95% of clinical cases with
excellent results. The same results
are achieved with multi-shade materials, so this is indeed a great simplification of our daily work.
Let’s talk a little about the course
that you gave here. What was it
on?
The course was about minimal intervention, and we went through
minimal restorative procedures and
how to use dental adhesive systems
and how to use single-shade composites, such as FORMA. The idea
was also to look at the state of the art
from a theoretical point of view as
well as work hands-on on a Class II
restoration on simulators, and it was
very effective. I had the privilege of
working with 20 participants from
all over the Middle East, so it was an
excellent situation in which we had
the opportunity to exchange ideas
and interact. It’s wonderful also from
my side to see different techniques,
opinions and ways of doing things.
What was the feedback from the
participants?
The feedback was great. We had a
wonderful talk. People here are always smiling and happy, way more
friendly than one might expect, and
hungry for education, but they start
already from a very high level of education. You see that they have specific bases for everything, because
they pose the right questions at the
right time, so they know what they
are talking about. They know the
properties of the materials and how
to use them and they have excellent
handling ability.
Why is photopolymerization so
important?
This is a crucial aspect that we have
under-estimated for years. We have
to start from one critical point. There
are no over-cured composites in
the mouth. In fact, all the materials
we’ve used in the mouth are undercured. The materials we use have a
curing degree of approximately 60%
to 64%, and this is way lower than
what we would expect in order to
achieve the best mechanical properties. What are the key aspects of this?
The very first important aspect is the
curing lamp, and the dentist must
invest in this. The lamp must be
poly-wave. In other words, it’s very
important to have a lamp that delivers not only blue light but also violet
light. Why is this important? Because
we know that many new materials
today, particularly super-white ones,
used for bleached teeth, do not contain camphorquinone but contain
other initiators, and these hydrophilic new initiators, such as Lucirin
TPO, are not activated by blue, but
by violet light. We need a light that
delivers not only 460 nm, as we are
used to, but also 395 nm, which is
violet to purple. It’s important to
use lamps such as VALO. VALO is an
excellent light curing unit because
it has three LEDs which deliver blue
light and a fourth LED which delivers violet light. This is very important so that the final outcome of
the light is not only centred on the
blue but is centred on a poly wave.
This is crucial, particularly for selfadhesive cements, the new universal
adhesives and the new composites
that are very white. We know that
camphorquinone is yellow, so if we
add a lot of camphorquinone, these
composites become yellowish, and
so these materials need something
different to be activated. Indeed, we
have under-estimated these aspects
for many years. The dentist typically
invests a lot of money in buying a
handpiece, loupes and expensive
equipment, like for CAD/CAM and
microscopes. This should be the case
for the curing lamp too.
How long have you been using
VALO for?
I think since it was launched in 2009.
What is your opinion of the new
cheek retractor, the Umbrella?
I use it and recommend it. It’s particularly useful for bleaching procedures and anterior restorations
in which dental dam isolation
might be challenging, as well as for
Class V. It has important advantages
with respect to other similar devices,
namely tongue and cheek retraction.
The ability to keep the tongue low in
the mouth and the cheeks retracted
in the lower and upper jaw areas allows the dentist to work in a very dry
environment. This is particularly important for in-office bleaching procedures and Class V restorations. For
direct restorations, however, I prefer
using a dental dam, but I know that
some dentists are not familiar with
its use, so this is another great tool
Being a restorative dentist, I must say
the materials. I think that we could
have biologically active materials; in
other words, materials that will not
only be used as replacement of tooth
substance, but smart materials that
will allow healing of carious tissue
or that could reduce microbial contamination. This is indeed another
crucial aspect. We know that the
material will not last in the mouth
forever. We know that retreatment is
a large part of our work, and patients
would like to reduce that. Having
smart materials that could decrease,
for example, bacterial contamination may be a way to achieve bond
and restoration longevity over time.
Simplification is what a dentist requires, so in the short term I would
say that we need simple materials
and a simple way to use them. In
the long term, I’d say smart materials that are biologically active to the
benefit of patients’ oral health.
What is the longest-lasting restoration in one of your patients?
Some that I did when I just graduated, so more than 20 years. Another
key important factor that we haven’t
spoken about is the operator. We
know that the operator in adhesive
dentistry is crucial. Besides using
excellent materials, you need to use
your hands in the proper way and
you have to follow strict protocols
and stay focused on the timing and
on the details. We know that these
techniques either work or they don’t
work. There is no middle ground. For
bonding, it’s well known that you do
the procedure properly and you get
excellent bonding or if you make a
little mistake it will fail, so it’s either a
good bond or zero bond. This is true
for many aesthetically demanding
situations and procedures: either
you do them well or the result is a
catastrophe.
Do you have any final advice for
dentists in the Middle East?
I’d advise them to stay up to date on
their education, for example by taking CAPP’s courses.
Thank you for your time.
[31] =>
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DTMEA_No.2. Vol.12_DT.indd
32
GENERAL DENTISTRY
Dental Tribune Middle East & Africa Edition | 2/2022
Talking: The first step to trusting
By GSK
It’s a tough fact to face but people
generally don’t like going to their
dentist. Good communication skills
and talking about issues at the mild
end of the oral health spectrum, like
sensitive teeth, can help patients feel
more comfortable.
It should be a given that the patient
feels that their dentist provides good
dental care, says New York-based
dentist Dr Liz Mitrani. But what
makes someone feel they have a
great dentist, she believes, comes
down to the relationship the dentist
cultivates with their patient. “I want
them to know that I really do care
and I want them to feel comfortable
that I care enough to help them,” she
says.
She recognises, however, that, for
some patients, the dental practice is
a stressful environment. Data show
that around one in five people experiences moderate to high dental anxiety.1 All the more reason to make
them feel comfortable. Her advice
is to try to create an environment
where the patient feels safe enough
to talk about anything.
Opening the conversation to talk
about perceived minor oral health issues, such as dentine hypersensitivity (DH), could be one way to do this.
“The patient may think that sensitivity is a little thing that’s not worth
mentioning but I want them to know
that any concern they have is worth
mentioning,” says Dr Mitrani.
Dr Koula Asimakopoulou, Reader in
Health Psychology, King’s College,
London, believes DH allows dentists
to demonstrate their empathy for
the patient. “Empathy is about being able to put yourself in the shoes
of your patient and seeing the world
from their perspective and in this
case, to the extent that the condition
is not causing huge problems to patients’ lives, it should be fairly easy to
be empathic.”
A sensitive subject
Although data show one in three
people experience DH, Dr Mitrani’s
personal experience is around half
of her patients are affected.2 This
high prevalence makes it an issue
worth putting on the patient’s – and
dentist’s agenda. “Sensitivity is a real
pain, it’s a real feeling,” she says. “I
think the concern the patient has
is that they’re afraid that it's something serious besides the fact they
don't like the feeling.”
Communica�on �p3,4
Dr Mitrani’s �ps to talk about DH in prac�ce
Use open, not closed ques�ons
where possible
(to invite conversa�on, with no sense
of right or wrong answer)
“How can I help you?”
“Is there anything you want to focus on today?”
“Is there anything that's bothering you?”
“Do you find yourself wai�ng for a cold drink to warm up
a bit, or a hot drink to cool down a bit, before drinking
it?”
“Do you make sure food doesn’t touch certain teeth?”
Ac�ve listening
(Shows understanding and a
response tailored to the pa�ent’s
needs)
Listen to what they say a�er they’ve been to the
hygienist, do they men�on sensi�vity?
Explain using non-jargon, easily
understood language
Use sensi�vity, not den�ne hypersensi�vity
Clarify informa�on and check that
the pa�ent understands
Think body language – look like you want to hear what
the pa�ent is telling you
Mirror the language the pa�ent uses to describe their
sensa�ons (twinge, shoo�ng pain, ache...)
“I just give out so much informa�on. Is there anything
that I could do to clarify or write down for you?”
“Do you have any ques�ons?”
“It’s OK if you miss something”
Make sentences more
understandable
(e.g. use personal statements)
“It's really common, you’re not alone”
Avoid the passive voice
(suggest simple ac�on)
“Let's try something as simple as changing your
toothpaste”
Provide reassurance
“This is quite normal”
“I think we can help you”
“I’ve had sensi�vity”
There may also be a concern that
it could progress. “For the patient
they think: ‘Oh my nerve!’ Then they
think the progression is root canals”
she adds. Being able to recommend
something as simple as toothpaste
to manage DH can make the dentist-patient interaction reassuring
and highly relatable. “They're using
toothpaste anyway, so this is not
starting up a new regimen or new
routine.”
Addressing the symptoms is only
part of the picture, however. DH is
a chronic condition, but patients
may not perceive it that way. “I don't
know if they think of it in terms of
acute and chronic,” explains Dr Mitrani. “It just hurts when it hurts. I
had this hot or cold drink, and this
happened. So, to them, it's usually
episodic.”
Helping patients understand it is
a chronic condition that is underpinned by their existing behaviours
and habits is important, she believes.
“If we don't curtail or take care of habits, dietary or mechanical, or reflux
or other systemic issues. There will
be a progression. We have to go back
to the source to modify the change.”
Encouraging patients to change
their behaviour has benefits for the
dentist too, says Dr Asimakopoulou: “A dentist who shows they care,
and they are empathic about simple
behaviour change, is probably in a
better place to tackle more complex
changes further down the line because they will have a better relationship with their patients.”
Let’s talk
Communication principles such as
open questions, using simple language, mirroring patients’ words,
providing reassurance, personalising
and empathising during the conversation and seeking clarification
throughout, can all be utilised when
talking about DH.
Raising it as an issue and giving the
patient the opportunity to talk about
it also helps legitimise it for the patient. “Talking about something that
they view as mild and they wouldn't
maybe necessarily raise, opens the
floor to the patient,” says Dr Mitrani.
She recommends starting the consultation with a blank slate that the
patient can fill with their concerns.
Asking the patient if there is anything they want to talk about or wish
to focus on at the start of the consultation, gives the patient permission
to talk about what matters to them,
before moving onto any action-oriented tasks, such as investigations
and procedures. “Don’t ask: ‘is this
working?’ as that closes down the
conversation.”
Language is important too. Although
the definition is dentine hypersensitivity, patients may opt for “sensitivity” or “sensitive teeth”. “Take their
lead how they want to describe it.
That’s how they're interpreting it
and that's their truth,” is Dr Mitrani’s
advice.
Clarify as you go along and ask patients if they have any questions or
if they need the information written
down. Also be aware of body language. She uses visual cues to “look
like I really want to hear what they
have to say, because I do”.
How to end a conversation is important too. “I want to see a positive outcome. So they'll trust me more when
they can relate to me and they'll trust
me when I make a recommendation
for toothpaste or treatment or procedure.” Offering the last chance to
ask about anything, or even chatting
as you walk the patient to the door
are common approaches Dr Mitrani
uses in practice.
Conclusion
Taking the time to talk about DH in
practice can not only put the patient
at ease but can legitimise a problem
that can be easily managed with a
change of toothpaste.
Editorial note:
A list of references can be obtained
from the publisher.
[33] =>
DTMEA_No.2. Vol.12_DT.indd
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[34] =>
DTMEA_No.2. Vol.12_DT.indd
34
NEWS
Dental Tribune Middle East & Africa Edition | 2/2022
Dentistry ends 2021 with strong sales
despite Omicron, supply chain troubles
By Jeremy Booth, Dental Tribune International
LEIPZIG, Germany: The performance
In 2021, the SARS-CoV-2 pandemic
left many consumers in the Global
North with excess disposable income and a desire to prioritise health
spending over other expenses. This
helped dental manufacturers to return to, and even exceed, pre-pandemic sales, despite supply chain
issues and a particularly contagious
though less virulent variant of SARSCoV-2. Leading dental laser manufacturer BIOLASE was a good example: its fourth-quarter revenues
increased by 44% over the fourthquarter 2020 results and by as much
as 23% compared with pre-pandemic
fourth-quarter results from 2019.
Most companies acknowledged in
their fourth-quarter results that difficulties related to Omicron and the
supply chain have persisted into the
new year and that dentistry will not
be given a free ride. Global distributor Henry Schein also warned that
prices were increasing and that these
higher costs would need to be passed
on to end users.
During the three-month period,
Henry Schein’s sales of global dental
consumables displayed 6.6% yearover-year internal growth to reach
US$1.5 billion (€1.32 billion), driven by
strong recovery in dental markets.
Dental equipment sales at the major
player showed 5.6% internal growth
and reached US$510 million.
CEO Stanley M. Bergman commented that equipment sales had
benefited from dental office owners
continuing to invest in their clinics.
However, he cautioned about price
increases: “We expect additional
price increases from suppliers to be
made by the end of the first quarter,
which, unfortunately, we’re having
to pass on to our customers, and
there may be more throughout the
year.” Bergman noted that patient
traffic had declined in January owing to higher rates of patient cancellations and staff shortages at clinics.
Ongoing supply chain disruptions
had affected the company. “During
the fourth quarter, we continued to
experience some delivery and installation delays in the US,” Bergman explained, adding that he expected the
difficulties to extend into the second
half of 2022.
Straumann full-year sales show
global recovery
Straumann Group earned CHF 2.022
billion (€1.950 billion) from core
sales last year—41.8% more than it
did in 2020, when the pandemic had
a heavy impact on the company’s
sales. In terms of revenue, the fourth
quarter accounted for the company’s strongest ever performance,
© geralt/Pixabay
of the companies that supply dentists can be described as a thermometer in the mouth of dentistry
at large. And whereas some major
dental manufacturers ended 2021
by beating pre-pandemic sales, for
others, the Omicron variant of SARSCoV-2 and ongoing supply chain
disruptions cast a shadow over their
fourth quarter performance which is
expected to continue into 2022.
and sales reached CHF 540 million,
an increase of 21.1%.
Full-year sales in all regions in which
Straumann operated showed at least
40% organic growth.
The company’s organic sales growth
in the Europe, Middle East and Africa (EMEA) region was 41.3%, with
leading contributions from markets
Germany, France and Spain. The
company launched its BLX implant
in Russia in the fourth quarter, and
those sales contributed strongly to
the end result. Full year EMEA sales
topped CHF 891 million.
In the North America region, Straumann posted revenues of more than
CHF 590 million, which represented
organic growth of 40%, and the company said that growth in the region
had been driven by sales of challenger implant brands, such as Neodent,
and sales of digital scanners and other digital equipment.
The Asia Pacific region accounted for
one-fifth of the group’s total revenue
in 2021 with sales of CHF 408 million—an organic increase of 40.6% .
In Latin America, sales reached CHF
130 million which represented organic growth of 56.8%, and Brazil remained the largest market for Straumann in the region.
Dentsply Sirona channels revenue
into research and development
Net sales of Dentsply Sirona’s dental
consumables and technology and
equipment increased by 25.0% and
28.7% respectively during the full
year and the company posted total
net sales of US$4.251 billion—on an
organic basis, this was an increase of
24.6%.
Consumable sales of US$412 million
for the fourth quarter were down by
8.3%, owing to a difficult comparison
with the final quarter of 2020, when
pent-up demand distorted sales
figures. The company’s technology
and equipment portfolio performed
strongly during the three-month
period, and sales of CAD/CAM, dental implants and orthodontic products helped the company to reach
US$676 million in sales, up 6.8%.
The company’s continued investment in digital dentistry remained
relentless, and its research and development expenses for 2021 totalled
4% of full-year revenue. In the weeks
prior to publishing, the company announced major new developments
in the digital space, including a partnership with Google Cloud and its
new Primeprint 3D-printing system
designed for dental settings.
Global supply chain problems, however, have affected the company.
Chief Financial Officer Jorge Gomez
told analysts: “In the fourth quarter,
we started to face significant component shortages impacting the production of imaging equipment and
treatment centres.” CEO Donald Casey added that the supply chain constraints had slowed the company’s
ability to meet customer demand
in late 2021 “and we are seeing those
challenges continuing in 2022”.
Envista sales exceed pre-pandemic
benchmark
Envista CEO Amir Aghdaei said that
in 2021 the company had experienced a transformative year and had
surpassed its pre-pandemic performance. He told analysts: “We took
significant steps to reorient our portfolio to higher growth, higher margin segments of the dental industry
where we can create competitive,
sustainable advantage.” A key step
in this process was the divestiture of
the multinational’s KaVo treatment
unit and instrument business to
Planmeca, the proceeds from which
were not included in continuing operations for the fourth quarter.
Howard Yu, Envista’s chief financial
officer, explained to analysts that
fourth-quarter core sales had increased by 6.6%. The company posted US$651.8 million in revenue for
the period and sales for the full year
reached US$2.50 billion, up from
US$1.92 billion in 2020. Yu said that
the figures reflected solid growth in
the company’s orthodontic, implant
and imaging businesses. “Geographically, Western Europe grew 15.0%,
while North America grew 1.8%,
dragged down by its greater exposure to infection prevention. Overall,
emerging markets continue to expand from pandemic lows, growing
12.8% despite relative weakness in
China driven by localised pandemic
lockdown,” Yu explained.
Envista’s orthodontic business grew
by 20% during the fourth quarter
and sales of its Spark clear aligner
system surpassed US$100 million in
sales during 2021 and reached its one
hundred thousandth patient.
Align Technology continues record
run
Invisalign maker Align Technology
had a good year—continuing its record-breaking sales announcements.
Total revenues for 2021 reached a
staggering US$4 billion, which represented an equally jaw-dropping increase of close to 60%. This figure is a
comparison with pandemic-stricken
2020, but the Invisalign maker performed notably well in 2020, even
as dental offices turned away all but
emergency cases.
Align’s revenues for the fourth quarter were US$1.03 billion, an increase
of 23.6%. Clear aligner sales for the
full year were worth US$3.2 billion,
up 54.5%, and Align earned a record
US$705.5 million in sales from its
imaging systems and CAD/CAM services portfolio—90.4% more than
what it banked from the digital solutions in 2020. However, the US$815.3
million in clear aligner sales that the
company posted for the fourth quarter represented a rare sequential
decline for the company, being 2.7%
lower than in the previous quarter,
and those in the key Americas region
also recorded a sequential dip of
7.9%. CEO Joseph Hogan attributed
these negative figures to the spread
of the Omicron variant of SARSCoV-2 in December, which he said
had caused staff shortages at laboratories, dental clinic closures and
lower patient volumes. Hogan added
that these difficulties were expected
to spill over into its results for 2022.
Invisalign case shipments totalled
631,145 for the fourth quarter and
2,547,685 for the twelve-month period.
Dental companies upbeat on 2022
Despite the challenging business
environment, major dental companies remain optimistic about their
performance this year. Straumann
CEO Guillaume Daniellot said that
consumer trends in the US had been
promising so far in 2022. “[We] have
not seen a major inflection point on
patient traffic or patient demand
which has been really positive so
far,” he stated. He added that the
company expected that the worst of
the supply chain crisis was behind it.
Commenting on the prevalence of
SARS-CoV-2 infections in late 2021
and in the first quarter of this year,
Aghdaei said: “What we are seeing
now [is] a ramp back up to normal
demand and patient volumes. And
we think that as infections move past
the peak, we believe patient volumes
would come back with limited loss
of demand.” He said that the company was “really optimistic about
underlying demand [but remained]
mindful of continued risk [posed by
COVID-19]”.
Hogan commented: “While there
is still uncertainty, it has become
increasingly clear over the last year,
with the first spread of the Delta variant and now Omicron, that COVID-19
may never fully go away and may be
a virus that persists in one variant
form or another for the foreseeable
future.” He said that governments
and communities were beginning
to acknowledge and prepare for the
reality of living with the SARS-CoV-2,
and that Align was doing the same.
[35] =>
DTMEA_No.2. Vol.12_DT.indd
NEWS
Dental Tribune Middle East & Africa Edition | 2/2022
35
Dentsply Sirona partners with University
of Toulouse taking their preclinical
laboratory equipment to a new level
By Dentsply Sirona
The University Toulouse III Paul Sabatier in France, founded in 1229,
partners with Dentsply Sirona to
professionally equip its renovated
preclinical lab. Dentsply Sirona is
providing the Faculty of Dental Surgery with state-of-the-art simulation
units and multimedia components.
The new equipment will take the
education of young dental professionals in Toulouse to a higher level.
The University Toulouse III Paul
Sabatier has carried out extensive
modernization and equipped its
preclinical laboratory with 21 Sim Intego units and a multimedia system.
Thanks to this technology, students
can follow the tutor’s activities on
their own monitor, including audio
communication, which enhances
the overall visibility and interactive
collaboration during lectures.
Launching the project and the dental student experience
The inauguration ceremony of the
new lab took place on on 9 November 2021 in the presence of Dean Prof.
Philippe Pomar and professors of the
dental faculty, as well as the management team of Dentsply Sirona France
and the International Special Clinic
Solutions (ISCS) business unit. The
University Toulouse III Paul Sabatier
has been relying on quality products
from Dentsply Sirona for some time,
using the CEREC Omnicam in teaching. The last time Dentsply Sirona
was involved in such project with a
French university was in the 1990s.
In his speech at the inauguration
ceremony of the new preclinical
training rooms, Prof. Pomar appreciated the cooperation with Dentsply
Sirona:
"With their outstanding work and
support in modernizing our simulation laboratory, they have made a
significant contribution to enabling
us to optimally prepare our students
for their clinical training. Throughout the project and afterwards, we
always experienced a real partnership."
The students and staff were enthusiastic about the new facility and
the many opportunities it opens up
for their studies. "The new lab fully
meets our expectations and allows
for more efficient teaching," said
Prof. Dr. Karim Nasr. "Combining the
deep historical knowledge and expertise of the University with these
new, modern-day tools will catapult
the whole learning experience.
Almost 1,000 universities and clinics equipped
Olivier Lafarge, General Manager
Dentsply Sirona France, sees a lot of
potential in this exceptional partnership: "We have the same goal as
the University of Toulouse and as
all dental education and training institutions – to ensure that students
become outstanding dentists and
the next leaders in dentistry. We
want to keep evolving our solutions
to transform dentistry and improve
oral health to make the next generation of dental experts fit for the digital age of dentistry."
In his speech at the inauguration ceremony Dean Prof. Pomar praised the cooperation with Dentsply Sirona.
Dentsply Sirona draws on decades of
extensive experience in equipment
projects. To date, the world's largest
manufacturer of dental products
and technologies for dentists and
dental technicians has supported
nearly 1,000 universities, clinics and
hospitals around the globe in the
planning and construction of new
wings and facilities. These include
the National University Center for
Oral Health, Singapore, the University Center for Dentistry in Basel, Switzerland, and the University of Otago
in New Zealand.
Find out more by
scanning the QR code.
The newly renovated and modern simulation laboratories in the University Toulouse III Paul Sabatier, France.
The new equipment allows practical work with the tools and devices offered by modern dentistry.
Students can follow the tutor’s activities on their own monitor.
[36] =>
DTMEA_No.2. Vol.12_DT.indd
36
NEWS
Dental Tribune Middle East & Africa Edition | 2/2022
Simple and inexpensive—xylitol chewing
gum reduced preterm births in research
© Sepph/Pixabay
By Franziska Beier, Dental Tribune
International
HOUSTON, US/LILONGWE, Malawi:
ing caries. It found that daily usage of
the gum before or in early pregnancy
significantly reduced the number of
preterm births.
Studies have shown a link between
maternal periodontal disease and
preterm birth—delivery before the
37th week of pregnancy. However,
scaling and root planing in pregnant women have not been shown
in randomised trials to be successful
in preventing preterm birth, despite
improving periodontitis. A recent
multicentre randomised controlled
trial by researchers in the US and
Malawi has investigated a different
intervention: chewing gum containing xylitol, which is known for reduc-
The study, the largest of its kind,
included 9,670 women from eight
healthcare centres in Malawi—the
country with the highest known preterm birth rate (18.1 per 100 births)—
and was conducted over six years. All
of the eight health centres provided
the participants with perinatal and
oral health education and four of the
health centres additionally administered the daily use of xylitol chewing
gum.
A study conducted in Malawi—the country with the highest preterm birth rate in the world—has investigated whether chewing
xylitol gum would improve the periodontal health of pregnant women and thereby lead to a decrease in premature deliveries.
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The research team found that the
daily intake of xylitol gum significantly reduced the risk of preterm
birth (12.6% compared with 16.5%
in the control group) and hence reduced the likelihood of birthweight
of less than 2.5 kg (8.9% compared
with 12.9%).
“Using xylitol chewing gum as an
intervention prior to 20 weeks of
pregnancy reduced preterm births,
and specifically late preterm births
between 34 to 37 weeks,” commented lead author Dr Kjersti Aagaard,
Henry and Emma Meyer chair in
obstetrics and gynaecology at Texas
Children’s Hospital and Baylor College of Medicine in Houston, in a
press release.
She added: “What’s unique about
our study is that we used a readily
available, inexpensive, and palatable
means to reduce the risk of a baby
being born too soon or too small.
There is some real science behind
the choice of xylitol chewing gum to
improve oral health, and our novel
application to improving birth outcomes is exciting.”
According to Dr Aagaard, the results
are consistent with longstanding
evidence linking oral health status
to preterm birth. In the future, the
researchers would like to conduct
similar studies in other parts of the
world, including in the US, to find
out whether the study results can be
reproduced in settings where there
may be a lower burden of preterm
birth tied to oral health.
Around 15 million babies, which is
more than one in ten births, are born
prematurely each year, according to
the World Health Organization. Preterm babies are of higher risk of dying shortly after birth or of suffering
from lifelong health problems.
The study was presented at this
year’s annual meeting of the Society for Maternal-Fetal Medicine. The
study abstract, titled “LB 1: PPaX:
Cluster randomized trial of xylitol
chewing gum on prevention of preterm birth in Malawi”, was published
online in the January 2022 supplement of the American Journal of Obstetrics and Gynecology.
[37] =>
DTMEA_No.2. Vol.12_DT.indd
[38] =>
DTMEA_No.2. Vol.12_DT.indd
Speed
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[39] =>
DTMEA_No.2. Vol.12_DT.indd
#whdentalwerk
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[40] =>
DTMEA_No.2. Vol.12_DT.indd
Are you ready for CEREC?
For CEREC users, it’s simple: CEREC makes even the best dentists better. So going
digital was a great decision, but until they did it they too had their doubts. Would
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Absolutely. What about the quality of restorations? Outstanding in every way.
There’s never been a better time to future-proof your practice with CEREC.
Join us at your local CEREC event and test it yourself.
The all-new CEREC. Now is the time.
Learn more at: dentsplysirona.com/cerecprimemill
)
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[title] => New research outlines vaping’s unique connection to periodontal disease
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[title] => New CEREC Tessera high-strength glass ceramic blocks impress with robust strength, high aesthetics and fast processing
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[title] => Highly aesthetic results with CEREC Primemill
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[title] => The MiCD approach to patient-centric smile enhancements
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[title] => Interview: “My motivation is to serve my country through my society”
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[title] => Interview: “The focus has been on bringing innovation and improved technology to dentistry”
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[title] => Interview: “Patients’ awareness is growing, and we have to educate them and have to have the right treatments for them...”
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[title] => Tackling complex cases with Opalescence Boost in-office whitening treatments
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[title] => Interview: “The new materials launched on the market in recent years dramatically changed the way we do dentistry”
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[title] => Talking: The first step to trusting
[page] => 32
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[title] => Dentistry ends 2021 with strong sales despite Omicron, supply chain troubles
[page] => 34
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[title] => Dentsply Sirona partners with University of Toulouse taking their preclinical laboratory equipment to a new level
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[title] => Simple and inexpensive—xylitol chewing gum reduced preterm births in research
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[toc_html] =>
[toc_titles] => Dentist who will make you laugh
/ News
/ Industry
/ New research outlines vaping’s unique connection to periodontal disease
/ New CEREC Tessera high-strength glass ceramic blocks impress with robust strength, high aesthetics and fast processing
/ Highly aesthetic results with CEREC Primemill
/ The MiCD approach to patient-centric smile enhancements
/ Interview: “My motivation is to serve my country through my society”
/ Interview: “The focus has been on bringing innovation and improved technology to dentistry”
/ Interview: “Patients’ awareness is growing, and we have to educate them and have to have the right treatments for them...”
/ Tackling complex cases with Opalescence Boost in-office whitening treatments
/ Interview: “The new materials launched on the market in recent years dramatically changed the way we do dentistry”
/ Talking: The first step to trusting
/ Dentistry ends 2021 with strong sales despite Omicron, supply chain troubles
/ Dentsply Sirona partners with University of Toulouse taking their preclinical laboratory equipment to a new level
/ Simple and inexpensive—xylitol chewing gum reduced preterm births in research
[cached] => true
)
