digital international No. 2, 2024
Cover
/ Editorial
/ Content
/ News
/ Industry news
/ Trends & applications
/ The future of digital dentistry - An interview with Dr Miguel Stanley, Portugal
/ Advancing technologies in ceramic implantology—AI sets new milestones in dental treatment
/ Evaluating two newly launched intra- oral scanners against market favourites
/ The intersection of technology: Guided implant surgery and 3D printing
/ Digital technology for full-arch implant prostheses
/ Screw-retained solution for terminal dentition
/ Manufacturer news
/ Meetings
/ Submission guidelines
/ Imprint
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[1] =>
2/24
issn 2193-4673 • Vol. 5 • Issue 2/2024
U
case report
The intersection of technology:
Guided implant surgery and 3D printing
RS
O
0 YEA
& 2
IA
OF
E
D
R
Evaluating two newly launched intra-oral scanners
against market favourites
IB
EA
opinion
F
. • 30 Y
The future of digital dentistry
N TA L T R
INT
S
international magazine of digital dentistry
interview
DE
N
E
digital
OEMUS
M
[2] =>
[3] =>
editorial
|
Dr Scott D. Ganz
Editor-in-Chief
Are we there yet?
This is a common question that arises when discussing
advances in technology and whether we have arrived at
a point where progress has stabilised and brought us to
a satisfactory and stable state. It seems that no matter
how fast our computer is, wait a week and there will be a
faster version on the market. How about the recent advances
in laptop computing power? Is 32 GB of RAM enough to
make exocad fly, or do we need 64 GB or even 128 GB?
There was a time when a mobile phone did not even
have a camera, then there was one which took good
low-resolution images and now the iPhone 15 Pro Max
has an A17 Pro chip and a main camera that can capture
images of up to 48 MP! Who would have guessed that
our phones would be able take 4K video good enough
for making movies? How much memory or storage
capacity will we need to have to store not only all of the
patient images we take but all of our family videos?
How about our intra-oral scanners? We love our scanners
for their flexibility over conventional analogue impressions
for crown and bridge or implant restorations. We were so
happy to have the ability to digitise the mouth that speed
was an afterthought, accuracy being the goal. Then, of
course, we realised that time was money, so we pushed
the limits to achieve scanning of an arch at record speed!
Was that enough? Not while tethered with a cord!
Many scanners have made the move away from the cord
to a wireless solution and have not suffered a reduction
in speed or accuracy.
One of the major catalysts for the acceptance and
adoption of our digital workflows has been 3D printing.
At first, we had to send our STL files to a large commercial
3D printer because 3D printers were too expensive for
everyday clinicians to own. The bringing of 3D printers to
the masses was a huge catalyst because we could now
have technology right in our private clinic, ready to print
models for crown and bridgework or for surgical guides
to facilitate implant placement. We could print a mandible
for educational purposes or a full skull if the print platform was large enough. It was not long before the same
problem of speed arose. Stereolithography was slow.
Most printing happened over hours not minutes. The race
for speed then became a focus for the marketplace, and
printers became faster and faster without sacrificing
accuracy. Part of the speed problem was not just the
architecture of the printers but the resin utilised. New resins
for crowns and dentures were introduced to the market.
It was soon apparent that, if a laboratory was going to
move to 3D printing, it would also need more than one
printer, one for the crown and one for the model, which
would be fabricated using another resin.
We can all agree that technology is wonderful, essential
and helpful for our daily practice of dentistry. We can also
agree that, if we blink, we may miss the latest innovations
for devices and ancillary components of today’s digital
workflows. So, are we there yet? Our industry is on the
path to integrating technology into most aspects of
dental sciences, and while we might reach amazing
milestones, we may never be satisfied with the current
state of the art.
I am therefore personally pleased that we continue to
march forward and excited that many of these advances
will continue to be showcased within the pages of our
publication, digital. Enjoy our current issue!
Respectfully,
Dr Scott D. Ganz
Editor-in-Chief
2 2024
03
[4] =>
| content
© Phonlamai Photo/Shutterstock.com
editorial
Are we there yet?
03
news
page 20
page 32
Asia is booming and Europe is lagging behind
06
Mixed trends stir dentistry majors
08
industry news
Making implantology simple with the MIS digital workflow
12
Amann Girbach announces Ceramill update featuring new functions,
greater capabilities
14
ClearCorrect launches new digital solutions globally
16
Ivoclar and SprintRay launch collaborative partnership
18
trends & applications
The future of artificial intelligence in the dental landscape
20
interview
The future of digital dentistry
22
An interview with Dr Miguel Stanley
Advancing technologies in ceramic implantology—
AI sets new milestones in dental treatment
28
page 40
An interview with Dr Shepard DeLong
opinion
Evaluating two newly launched intra-oral scanners
against market favourites
32
case report
Cover image courtesy of
n.tati.m/Shutterstock.com
Splash template courtesy of
© gfx_nazim – stock.adobe.com
DE
F
N TA L T R
IB
U
RS
E
R
E
D
EA
IA
& 2
. • 30 Y
0 YEA
INT
OF
40
Screw-retained solution for terminal dentition
44
manufacturer news
52
O
N
S
Digital technology for full-arch implant prostheses
2/24
issn 2193-4673 • Vol. 5 • Issue 2/2024
digital
The intersection of technology:
Guided implant surgery and 3D printing
36
OEMUS
M
international magazine of digital dentistry
meetings
ITI World Symposium 2024 attracted more than 5,000 attendees
54
International events
56
about the publisher
interview
The future of digital dentistry
opinion
Evaluating two newly launched intra-oral scanners
against market favourites
submission guidelines
57
international imprint
58
case report
The intersection of technology:
Guided implant surgery and 3D printing
04
2 2024
[5] =>
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To become a partner
or learn more,
visit clearcorrect.com
480.2042_en_01 | Approved for global use.
[6] =>
| news
Asia is booming
and Europe is lagging behind
Dr Björn Kempe, Singapore
ASEAN presents fertile ground for business across
various industries, and healthcare is experiencing particularly vigorous growth. Constituting approximately
200,000 dentists serving over 650 million citizens,
ASEAN’s dental care workforce is poised to potentially
triple within the next decade. This trend underscores
the appeal of IDEM Singapore, which not only showcases the latest developments but also convenes the
entire industry and value chain.
This year and in 2025, Singapore is set to host more
healthcare- and medical-related shows. UK-based
conference and exhibition expert CloserStill Media,
for example, is organising digital healthcare shows, and
the Digital Dentistry Show (DDS), premiering in Berlin
in Germany this June, is to be expanded to Singapore
next year. Heralded as a groundbreaking event concept,
DDS is poised to emerge as the premier gathering for
the modern dental industry.
The proliferation of smaller, niche-oriented shows in
the region signifies ASEAN’s burgeoning specialisation
in specific industries. Whereas large horizontal exhibitions in Europe once monopolised global attention,
now more international exhibitors are eyeing ASEAN,
the Middle East and the US as markets of interest.
While China and Europe stabilise, ASEAN’s sustained
gross domestic product growth and relatively low inflation are drawing increased attention from international
enterprises.
Singapore, positioning itself as an ASEAN—if not Asian—
hub, has attracted a substantial influx of foreign investment
06
2 2024
and new corporate entrants establishing regional headquarters. Having prowess in the meetings, incentives,
conferences and exhibitions (MICE) industry, particularly
in the business-to-business arena, Singapore offers
an unparalleled environment for trade and networking,
complemented by exceptional entertainment options.
Moreover, the city-state fosters an ecosystem supportive of
start-ups, particularly those with a focus on environmental
technologies, service industries, banking and Industry 4.0
technologies.
The array of dental products being showcased at
IDEM Singapore reflects Singapore’s status as a hub
for dental services, solutions and cutting-edge tech
nologies across various specialist segments. While
physical instruments may wane in prominence, digital
tools augmented by artificial intelligence herald the future
trajectory of the industry.
Meanwhile, Europe faces the imperative to swiftly
bridge the gap in the rapidly expanding global MICE
markets and cultivate an ecosystem conducive to
showcasing modern innovations and technologies.
Encouragingly, Europe is witnessing growing trends in
start-up creation and intensified scientific endeavours,
setting the stage for it to reclaim global leadership.
I anticipate IDS 2025 and DDS to serve as potent
catalysts for growth in the dental industry, redirecting
focus towards the European market. Ultimately, market
dynamics will dictate where buyers converge and where
business flourishes.
about
Dr Björn Kempe is the founder and
CEO of Expos Asia, which is part of the
EXPOS Global network, headquartered
in Singapore. His consulting firm
specialises in mergers and acquisitions,
capital raising, investments, business
development consulting and strategy
consulting. Expos Asia also organises
its own events in China and Indonesia.
© sumire8/Shutterstock.com
Asia’s trade show industry is experiencing robust
growth, IDEM Singapore serving as a prime illustration
of this internal dynamic. While stalwart events like the
International Dental Show (IDS) are maintaining stability,
IDEM Singapore has witnessed remarkable expansion,
drawing a significant influx of new exhibitors, thus highlighting a disparity in growth rates between established
shows and those in the Association of Southeast Asian
Nations (ASEAN) region. Companies from Europe, the US,
South America, South Korea and, notably, China are
seizing this opportunity.
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Rely on implant performance that complements how you practice.
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[8] =>
© Sutthiphong Chandaeng/Shutterstock.com
| news
Mixed trends stir dentistry majors
Jeremy Booth, Dental Tribune International
The first quarter of 2024 has yielded mixed results for
dental companies. Leading dental laser provider BIOLASE
experienced a 22% drop in its US laser revenue, and
global distributor Henry Schein reported a decrease in
sales of dental consumables in North America. Meanwhile,
Dentsply Sirona increased its business in China by 53%,
and Align Technology announced a record shipment in
the coveted teens clear aligner category. The following
report looks at how the largest manufacturers fared
during the period amid restraint from clinicians, patients
and dental support organisations (DSOs).
08
2.6 and 1.9% negative organic growth—for which
currency fluctuations and other non-sales-related factors
are excluded. Sales increased by 1.5% in the US and
declined by 5.2 and 4.4% in Europe and the company’s
remaining markets, respectively.
Dentsply Sirona takes a cautious stance
Looking at its segmented results, Dentsply Sirona recorded global year-on-year sales declines of 6.9% for
its connected technology solutions segment and of 5.9%
for its essential dental solutions segment. Sales increases
of 4.4 and 5.4% were posted for its orthodontic and
implant solutions segment and its Wellspect Healthcare
business, respectively.
First-quarter net sales of US$953.0 million (€882.8 million*)
at Dentsply Sirona represented a year-on-year decline of
Simon Campion, CEO of Dentsply Sirona, told analysts
that organic sales were mostly flat during the period,
2 2024
[9] =>
news
except in Germany, where survey results showed that
procedure utilisation and dentist outlook had improved.
Sharing more of the company’s market intelligence,
Campion said that dentists in Australia continued to
exhibit some negative sentiment about market con
ditions, that patient volumes had declined in Japan
and were stable in China and that Canadian patients
seemed to have delayed treatment during the period,
owing to the phased roll-out of the country’s new
dental plan.
|
“We still see headwinds
in the doctor-led
direct-to-consumer
[clear aligner] business.”—
Guillaume Daniellot, CEO,
Straumann Group
“We are taking a cautious stance here with the macro
uncertainties that continue to impact parts of our business,
most notably imaging,” Campion said.
Glenn Coleman, Dentsply Sirona’s chief financial officer
(CFO), alerted investors to the company’s first-quarter
highlights—53% sales growth in China, a 14% increase in
global clear aligner sales and 9% growth in CAD/CAM—
all of which were offset by declines in sales of imaging
equipment. Global sales of SureSmile clear aligners increased by 9% and the company’s direct-to-consumer
aligner, Byte, grew by 18%, bucking a negative trend in
the demand for at-home aligner systems.
Align Technology ships more teen cases
than ever before
The maker of Invisalign had the first quarter it needed
after a run of disappointing results in 2023. Sales at the
company reached US$997.4 million, a 5.8% year-on-year
increase. Clear aligner revenues, at US$817.3 million,
were up by 3.5%, and those from imaging systems
and CAD/CAM services increased by 17.5% to reach
US$180.2 million.
First-quarter shipments of clear aligners increased by
2.4% year on year to reach 605,060. At 199,200, Align’s
teen shipments were up by 5.8% and greater than in
any quarter previously.
CEO Joseph Hogan told investors that Align had achieved
a number of milestones during the period, such as the
acquisition of Cubicure, a leader in direct 3D-printing
solutions, which Align hopes will revolutionise its production process. The company also launched the Invisalign
palatal expander system in the US and Canada, and
Hogan said that it was one of the most significant innovations in the company’s 27-year history.
Straumann Group posts 15% organic growth
Yang Xu, CFO of Straumann Group, told analysts in the
company’s earnings call that the multinational had had
a “solid quarter”. Sales of CHF643.8 million (€660.8 million*)
represented year-on-year growth of 8.1%, or 15.1% on
an organic basis.
Straumann had minor year-on-year revenue declines
in the Europe, Middle East and Africa (EMEA) and
the North America regions, where sales decreased by
0.9 and 2.3%, respectively. However, all regions returned
organic sales increases: 5.2% in EMEA, 3.7% in North
America and 11.5% in Latin America. Straumann banked
CHF130.8 million from sales in the Asia Pacific region,
representing a 63.7% increase in revenue and an 82.0%
increase in organic sales. This strong year-on-year
growth is partly due to the company’s comparatively
weak performance in the region in the first quarter of
2023.
Guillaume Daniellot, CEO at Straumann, remarked that
the company’s performance in China had been a highlight of the quarter. He said that Straumann’s business in
the burgeoning dental market continues to grow, having
gained momentum last year, when the company doubled
its implant shipments compared with 2022.
EMEA remains Straumann’s largest market, and regional sales to clinicians of the ClearCorrect aligner
brand increased by double digits during the period.
ClearCorrect performed well in the North America and
the Asia Pacific regions, contributing to strong orthodontic sales in established markets such as the US,
Australia and Japan and in emerging markets such as
Vietnam and India.
“On the challenging side, we still see headwinds in the
doctor-led direct-to-consumer business, namely DrSmile,”
Daniellot said, citing persisting macroeconomic challenges
among consumers. He said that Straumann had shifted
from paid marketing to organic demand generation
for DrSmile and had achieved 3.7% growth in North
America, despite a “softening market”.
Envista says patients
will prioritise dental care
In Amir Aghdaei’s last earnings call as Envista CEO, and
his successor’s first, the outgoing chief said that the
quarter had proved challenging and resulted in modest
2 2024
09
[10] =>
© G Estudios Multimedia/Shutterstock.com
| news
“Long-term, we are confident [...]
that clinicians will proactively
invest in areas that help them
digitise their practice [...].”
—Amir Aghdaei,
former CEO, Envista
growth. Envista earned US$623.6 million in sales during
the period, some US$3 million less than a year earlier.
Core sales (for which the impact of foreign currencies and
acquisitions are excluded) were flat, at 0.4% growth,
and a year-on-year gain in operating expenses led to a
US$24 million drop in operating profit.
Addressing Envista’s double-digit decline in North
America in the prior quarter, Aghdaei said that aggressive and proven steps had been taken to return to
growth in the region, including investing in implant
and clear aligner sales and training over 3,000 dental
professionals. First-quarter growth in North America
eluded the company, despite strong orthodontic sales
led by Spark aligners and a stabilisation of demand in
diagnostics.
10
2 2024
Envista CFO Stephen Keller said that first-quarter sales
in the company’s developed markets had declined by
1.7% and that the sales declines seen in North America
and Western Europe were similar in size. “Our emerging
markets grew 10.2% in the quarter with very strong
growth in China, offset by continued volatility in Russia
as well as weaker demand in Latin America,” Keller
added.
Succeeded by Paul Keel on 1 May, Aghdaei led Envista
and its dental companies—previously under the Danaher
banner—for nearly ten years. The widely respected CEO
said that the company continues to see mixed trends
across dental markets, despite a largely stable macroeconomic environment. He explained: “Overall, patient
traffic remains resilient; however, demand appears to be
[tending] more towards basic hygiene and restorative
treatments. Demand for higher-end specialty procedures,
including adult orthodontic cases and full-arch implant
restorations, remains more muted [and] private practice
clinicians and DSOs remain cautious about near-term
investments in both equipment and clinic level inven
tories.” Aghdaei added: “Long-term, we are confident
that patients will prioritise dental care and that clinicians
will proactively invest in areas that help them digitise
their practice, making them more productive and en
suring that they can provide high-quality personalised
care.”
* Calculated on the Oanda platform for 31 March 2024.
[11] =>
For details and
registration
GLOBAL CONFERENCE
September 12-15, 2024 | Palma de Mallorca, Spain
MIS is proud to introduce the Global Conference Speakers Team:
Tara Aghaloo
Juan Arias
Serhat Aslan
Nitzan
Bichacho
Darko Božić
Victor Clavijo
Tali
Chackartchi
Pablo Galindo
Moshe
Goldstein
Gustavo
Giordani
Galip Gurel
Hilal Kuday
Stefen Koubi
Alberto Monje
Ariel
Raigrodski
Ausra
Ramanauskaite
Isabella
Rocchietta
Mariano Sanz
Alonso
Join us
for 3 days of education, workshops
and inspiration alongside the
MIS community!
Ignacio Sanz
Sanchez
Ventseslav
Stankov
Stavros
Pelekanos
Live
Surgery
Mario Alonso
Puig
Guest
Speaker
[12] =>
| industry news
Making implantology simple
with the MIS digital workflow
MIS Implants Technologies
MIS digital workflow for conical connection implants. (Image: © MIS)
Digital workflows connect the dots in modern dentistry
by merging several connected procedures into one
complete treatment. The harnessing of digital tools
facilitates accurate diagnosis and treatment planning,
significantly improving patient outcomes and clinical
efficiency. Being part of Dentsply Sirona, MIS Implants
Technologies is uniquely positioned to offer its customers comprehensive digital workflows, combining
MIS solutions with the latest Dentsply Sirona equipment
and materials.
MIS has been investing in digital solutions for many years,
and the company has watched with enthusiasm as its
digital workflow has been adopted by clinicians around
the world. The workflow incorporates digital imaging,
intra-oral scanning, guided surgery and CAD/CAM technologies designed to enhance every step of the treatment
process. According to Orit Kario, digital solutions product manager at MIS, the aim is to simplify treatment for
clinicians, laboratories and patients through seamless
communication and data transition.
MIS offers workflows for single-tooth, partial-arch and
full-arch procedures that are tailored to general dentists
and specialists and the setting, whether chairside or
laboratory. They include implant-level and tissue-level
solutions and enable implant-to-crown procedures.
For example, the company’s workflow for conical
connection implants begins with a Primescan intra-oral
scan and efficient prosthetically driven MSOFT planning,
assisted by the MCENTER team, which provides
12
2 2024
omprehensive digital dentistry services and detailed
c
surgical plans. In the surgical step, bone augmentation
is done with the use of OSSIX biomaterials, and clinicians
benefit from the advantages of the unique MGUIDE sur
gical guides. The C1 implant and MIS CONNECT stay-in
abutment provide primary and long-term stability and
offer the ability to maximise tissue-level restoration, and
the use of a computer-guided approach contributes
to the reduction of patient visits, treatment steps and
corrections. For final restoration, MIS customers are
offered a wide range of implant-level and tissue-level
digital prosthetic solutions, all implemented in leading
CAD software.
Kario said that being a Dentsply Sirona company allows
MIS to offer clinicians significant advantages. She explained: “MIS can offer its customers a complete digital
workflow that incorporates the MIS guided surgery
system, the unique implant connections and the com
prehensive digital prosthetic line, in combination with
Dentsply Sirona equipment and materials, all under one roof.
We believe that providing tools of this quality strengthens
the brand and contributes to customer trust.”
What can clinicians and laboratories gain from adopting
the digital workflow? Kario emphasised: “Digital workflows address procedural challenges that impact clinical
efficiency, may improve profit potential and drive actual
practice growth.”
To learn more, visit www.mis-implants.com/products/
digital-workflow.
[13] =>
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[14] =>
| industry news
To provide maximum process reliability and an automated production workflow from scanning through to milling, all new features of the Ceramill Mind 4.7
upgrade have been integrated with the Ceramill Match 2 CAM software. (Image: © Amann Girrbach)
Amann Girbach announces
Ceramill update featuring new
functions, greater capabilities
Amann Girrbach
Amann Girrbach has expanded the functionality of its
Ceramill software, providing valuable new capabilities
that promise greater efficiency and convenience, as
well as a wider range of applications, in the design and
fabrication of dental restorations. Among other things,
users will benefit from new CAD/CAM features for fabrication of implant-supported prostheses, copy dentures
and splints.
Since the market launch of Ceramill CAD/CAM in 2009,
the Ceramill Mind CAD software has been a core element
of the system, ensuring the realisation of dental restorations at the highest level. For this purpose, the software’s
functionality is regularly optimised and expanded.
The comprehensive package of new functions in the
4.7 upgrade include the ability to design maxillary and
mandibular splints simultaneously, to create extended screw
access channels for screw-retained implant prostheses
and to design copy dentures. In addition, many features from
the recent exocad 3.2 Elefsina release have been adapted
and fully integrated into the Ceramill workflow.
14
2 2024
To provide maximum process reliability and an automated production workflow from scanning through to
milling, all new features of the Ceramill Mind 4.7 upgrade
have been integrated with the Ceramill Match 2 CAM
software. Furthermore, the Ceramill Match software update provides numerous new possibilities, including the
fabrication of hybrid abutments from blocks of material
without a prefabricated interface for specific titanium
bases. It also allows users of the Ceramill Matron milling
machine to upgrade to a 6 mm collet, which significantly
reduces milling time and tool wear.
Amann Girrbach has now been supporting dental
practices and laboratories with its innovative system
solutions for over 20 years. The dental manufacturer’s
prime objective is to provide dental technicians and
dental practitioners with the best possible support in the
fabrication of high-quality precision restorations.
More information about the Ceramill 4.7 upgrade can
be found at www.amanngirrbach.com.
[15] =>
Visit us at
Booth F55
24 – 26 October
EAO Milan 2024
CONELOG®
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at bone level
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Long conus for reduced micromovements
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Integrated platform switching supporting the preservation
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[1] Semper-Hogg, W, Kraft, S, Stiller, S et al. Analytical and experimental position stability of the abutment in different dental
implant systems with a conical implant–abutment connection Clin Oral Invest (2013) 17: 1017.
[2] Semper Hogg W, Zulauf K, Mehrhof J, Nelson K. The influence of torque tightening on the position stability of the
abutment in conical implant-abutment connections. Int J Prosthodont 2015;28:538-41.
CONELOG® is a registered trademark of CAMLOG Biotechnologies GmbH. It may however not be registered in all markets.
[16] =>
| industry news
1
Fig. 1: The expanded Virtuo Vivo workflow can be connected to all ClearCorrect workflows. (All images: © ClearCorrect)
ClearCorrect launches
new digital solutions globally
ClearCorrect
ClearCorrect recently unveiled a new suite of products
and features aimed at supporting clinicians in their pro
vision of orthodontic care and in their practice efficiency.
This launch includes improvements to the ClearCorrect
digital workflow, helping dentists to advance their digital
orthodontic treatment. Upgrades to the Virtuo Vivo scanning
workflow and ClearCorrect Sync mobile app optimise
efficiency, streamlining record collection, case submission,
and case review and management. A new version of
ClearCorrect’s treatment planning tool, ClearPilot, has also
been released, offering enhanced features and improved
set-up control and accuracy.
Expanded Virtuo Vivo workflow
The expanded Virtuo Vivo workflow supports all ClearCorrect
workflows, including new aligner orders, new retainer orders
and case revisions, giving clinicians maximum flexibility and
empowering them to do their best work. Virtuo Vivo also now
offers a fast scanning feature for ClearCorrect cases.
The latest integrations of ClearCorrect with intra-oral
scanners, including the expanded Virtuo Vivo workflow,
make it easy for clinicians to delegate operational steps
in the intra-oral scanning process to their staff.
Fig. 2: ClearCorrect Sync mobile app. Fig. 3: ClearPilot 8.0 software experience.
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2
2 2024
3
[17] =>
4
5
6
Fig. 4: Florian Kirsch, head of the orthodontic business unit and Connected Customer Solutions at the Straumann Group. Fig. 5: ClearCorrect’s new practice
growth resources include designated kits and handy guides. Fig. 6: Dr Mostafa Altalibi, chief orthodontist at the Canadian dental practice Transforme Ortho.
ClearCorrect Sync 2.0
Practice growth offering
Clinicians can further simplify their workflows with the
latest version of the ClearCorrect Sync app, digitising
their operations for greater efficiency in practice man
agement. The app now has an expanded range of
features that enable clinicians to start, review and
manage cases easily:
ClearCorrect’s practice growth offering provides a
comprehensive suite of marketing, education and busi
ness resources to empower clinicians and their staff to
offer ClearCorrect with confidence and to grow their
practices. These resources include a patient marketing kit,
a patient conversion kit, and practice growth education
and guides.
– View all cases from the Doctor Portal.
– Receive notifications for cases that need attention.
– Access case details, such as shipment tracking.
– Access the Doctor Portal and ClearPilot directly in
the app.
ClearCorrect Sync 2.0 offers clinicians a seamless digital
end-to-end experience, streamlining the collection and
submission of records and the review and management
of cases.
ClearPilot 8.0
ClearPilot 8.0 gives clinicians greater control and an
improved user experience. The latest version of the
software empowers clinicians in their treatment planning
with advanced editing tools. Bite jump editing allows the
position of the jaw to be adjusted in order to more accu
rately visualise potential treatment outcomes when using
advanced techniques.
Tilt/cant positioning allows adjustment of the 3D model’s
position to more accurately reflect the jaw position
and match the patient’s facial lines. Multiple inter
proximal reduction editing applies and distributes
interproximal reduction values among several teeth
at once. The user interface of ClearPilot 8.0 has
also been improved with a keyboard shortcut guide,
enhanced visualisation and optimised utility for a better
user experience.
“This launch is about transforming smiles and lives.
I am excited to witness the positive impact that
ClearCorrect’s digital workflow and practice growth
offering will have on clinicians, their staff and their
patients,” said Florian Kirsch, head of the orthodontic
business unit and Connected Customer Solutions at
the Straumann Group.
The partnership that elevates
“As an orthodontist, ClearCorrect has been my trusted
ally in crafting countless smiles, each one a testament
to its power and reliability. Now, with the launch of the
new software, I cannot wait for even more precision and
efficiency that it will bring to my treatments, enabling
me to do more, in less time and with less effort,” said
Dr Mostafa Altalibi, chief orthodontist at the Canadian
dental practice Transforme Ortho.
Created by dentists for dentists and aspiring to be the
world’s most customer-centric aligner brand, ClearCorrect
carefully listens to the needs of clinicians, swiftly responding
with solutions they need to reach their practice goals,
ultimately changing patients’ lives. With a foundation
clinicians can trust, along with comprehensive continuing
education options, ClearCorrect is proud to offer a part
nership that helps clinicians build a thriving practice.
ClearCorrect is committed to the empowerment of
clinicians, development of their staff and elevation of
their practices.
ClearCorrect is backed by the Straumann Group, which
encompasses brands with a history of over 70 years
of research and innovation. This support enables the
creation of cutting-edge products featuring advanced
technology and fully integrated digital workflows. These
products are complemented by outstanding service, support
and educational offerings. All of this had established
ClearCorrect as the partner in clinical excellence.
To date, the company has supported partners across
more than 60 countries and transformed over a million
smiles. Together with clinicians, ClearCorrect looks
forward to creating healthier, more confident smiles
around the world.
2 2024
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[18] =>
© Rostyslav Drala/Shutterstock.com
| industry news
Ivoclar and SprintRay launch
collaborative partnership
Ivoclar Group
Digital technologies and processes are constantly
driving changes in the dental industry and have a major
impact on the way dental professionals work. To enhance
customer support, the Ivoclar Group, one of the world’s
leading manufacturers of integrated solutions for high-
quality dental restorations, has recently announced a
partnership with the US technology company SprintRay,
which develops end-to-end 3D-printing solutions for dental
practices and laboratories. The partnership is planned to
set new standards in the field of 3D printing.
Creating smart synergies
Ivoclar is one of the world’s leading material manu
facturers in the dental industry and has been providing
solutions for high-quality fixed and removable prostheses
for more than a century. For about 20 years, Ivoclar has
been inspiring with efficient and aesthetic solutions that
set new standards for CAD/CAM workflows in dental
practices and laboratories.
SprintRay boasts a coordinated and thought-through
product portfolio that meets the needs of customers purposefully now and in the long term. With this partnership,
18
2 2024
the expertise of both companies will be aligned cleverly,
allowing their customers to ideally combine state-of-the-art
solutions for 3D printing with high-quality materials.
Together for the next generation
With the announcement of their partnership, Ivoclar
and SprintRay revealed that further innovations can be
expected as early as this autumn.
“We are very pleased to partner with SprintRay—an equal
partner with whom we want to set new standards together. The philosophies of our companies complement
each other perfectly and we are striving to provide our
customers with the best possible support in their daily
work,” Ivoclar’s CEO, Markus Heinz, commented.
SprintRay’s CEO, Dr Amir Mansouri, added: “Ivoclar and
SprintRay both have extensive internal dental expertise.
Our aim is to really understand the problems and needs
of our customers in order to provide optimally coordinated solutions. With Ivoclar, we are delighted to have
one of the dental industry’s leading material manu
facturers at our side.”
[19] =>
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19.09. – 21.09.2024
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[20] =>
© Phonlamai Photo/Shutterstock.com
| trends & applications
According to dental business coach Chris Barrow, artificial intelligence is here to stay—both in g eneral life and in dentistry.
The future of artificial intelligence
in the dental landscape
Chris Barrow, UK
In this article, I would like to share my thoughts on the
impact of artificial intelligence (AI) on the dental profession
and explore potential advantages of integrating AI into
dental practices.
I would like to begin with a quotation from an article
by Dental Tribune International published in late March:
“The passing of the EU’s Artificial Intelligence Act (AI act)
on 13 March marks a pivotal moment in the regulation
of AI technologies, holding profound implications for
various industries, particularly healthcare.” The article
drew my attention, as it coincided with a number of
e-mails and social media posts inviting me to learn more
about the role of AI in dentistry at various webinars and
conferences. Clearly, the subject is topical across the
dental landscape.
Before looking into possible future applications of AI in
dentistry, I would like to go back in time to Manchester
in 1975–49 years ago!—when I was an office administrator
for an insurance company in the North West England
20
2 2024
city centre. One fateful day that summer, we were called
into a team training session for a demonstration of
a new computer-guided administration system. On
beige-coloured desktops that looked like a cross between our television at home and a child’s pram without
the wheels, we were introduced to GLADIS (General
and Life Assurance Data Information System I think)—
is it not interesting that, even then, hardware developers
were inventing acronyms to humanise their boxes?
On a small black screen, a fluorescent green cursor
gently pulsed, waiting for an operator to start punching
a clunky keyboard.
After a morning watching experienced head office personnel typing away at data entry, we withdrew to a local
pub—the Sir Ralph Abercromby (still there today)—and
discussed our observations over a ploughman’s lunch
and a pint. I will never forget the comment from one of our
sales representatives, Martin Bracegirdle, who had been
press-ganged into the training session: “Computers will
never replace people in business.”
[21] =>
trends & applications
|
comfortable with AI-written blogs, newsletters and
articles (but check the facts).
Let us look into current and future applications of AI in
dentistry. At BDCDS, I will be considering these possi
bilities. I would like to take a low-altitude swoop over the
dental AI landscape and get my audience thinking about
how they can embrace these potential uses:
Quite apart from his Dickensian surname, which might
have betrayed an ancestral reluctance to change,
Bracegirdle was not impressed by the technology.
Looking back from half a century later, I think it is fair to
say that he was rather like Canute the Great, King of
England in the eleventh century, willing the waves of
progress to reverse and getting wet feet. This experience
was a precursor to a lifetime of listening to technology
laggards, who at every stage of digital evolution have
predicted either rejection (“that will never work”) or doom
(“just you wait, the millennium bug will close us all down”).
If we re-enter the time machine, US American engineer
Gordon Moore predicted back in 1965 that the number
of transistors in an integrated circuit would double every
two years—and history has proved him correct.
I spoke to a client earlier this week who had just returned
from a dental AI conference, and I could hardly get a word
in edgeways as he gushed about the many ways AI is
driving the dental practice. So, is AI going to revolutionise
the way we work and replace people in key moments
of a dental patient’s journey? The simple answer is
“Hell yes!—and get over it.”
I am writing this article myself by the way—no AI in my
writing ever, whether it is my daily blog, monthly news
letter or articles for the media—that is just a matter of
personal integrity and, frankly, because I enjoy writing.
However, I recognise that, when I am advising my clients
to embrace the magic of inbound marketing and to
create a wealth of online oral health education to position
themselves as the expert in their postcode, I am totally
– new patient enquiries handled by AI capable of answering
initial questions and able to triage the patient to the
right clinician;
– calendar management by AI to maximise the pro
ductivity of fee-earners and negotiate convenient
appointment times for patients;
– initial assessments by AI that will speed up the
diagnostic element of patient consultations;
– treatment planning by AI that will combine the sales
element of the conversation with precise itemisation
of the treatment pathway;
– AI smile design, allowing patients to see a realistic
improvisation of their post-treatment appearance and
functionality;
– guided implant surgery with AI acting as an autopilot to
the clinician and increasing accuracy of placement;
– dental office administration utilising AI to streamline
every aspect of financial monitoring;
– AI-driven marketing activities that will automate external,
internal and inbound marketing systems; and
– compliance checked by AI regularly to ensure that your
team stays in their lane.
For all of that, I can imagine a modern Luddite re-enacting
my 70s pub scene, arguing: “AI will never replace people
in the business of dentistry or the delivery of clinical
dentistry.” Canute was wrong, so was Bracegirdle, and
so has every critic or doubting Thomas been ever since.
I doubt things are going to change—because everything
is about to change. Be prepared.
about
Chris Barrow has more than 50 years
of work experience and has been active
as a consultant, trainer and coach to
the UK dental profession for over
25 years. His main professional focus is
through his Extreme Business company,
providing coaching and mentorship to
independent dentistry around the world
via virtual consultancy, practice visits,
a workshop programme and an online learning platform.
His blog, Thinking Business, enjoys a strong following.
During the COVID-19 pandemic, Barrow created the Regeneration
Coaching Programme to help practices to survive lockdowns
and to bounce back higher after their return to work. More
information on his work can be found at www.coachbarrow.com.
2 2024
21
[22] =>
| interview
The future of digital dentistry
An interview with Dr Miguel Stanley, Portugal
Nathalie Schüller, Dental Tribune International
Dr Miguel Stanley
Staying at the forefront of innovation and patient
care requires passion, dedication and a commitment to
learning and mentorship. During exocad Insights 2024,
Dr Miguel Stanley, the director of the White Clinic in Lisbon
in Portugal, not only highlighted his personal evolution in
dentistry—navigating through challenges and embracing
technological advancements such as digital diagnostics—
but also reflected his deep-seated desire to inspire the
next generation. Based on an unyielding pursuit of quality
and a thoughtful approach to patient care, his journey
resonates with many, having a profound impact on how
dentistry is practised and perceived. In this interview at
the event, he delved into the transformative potential of
digital dentistry, including how he is using technology
to reintegrate dentistry into medicine, and he shared
principles and practices of stress management to
support dentists.
22
2 2024
Dr Stanley, you are a key opinion leader and a
sought-after speaker, and patients come from all
over the world to the White Clinic for treatment.
In many ways, you are a pioneer in dentistry and
overall healthcare. What important influences have
made you who you are?
Looking back, there have been many different influences
over the years. My father was a profoundly honest man.
He valued principles and ethics above anything else. I think
your values should always come before business and money.
I had a strong Catholic upbringing; we were taught to have
moral values. I am not talking about religion but about having
a code of ethics. I come from a very conservative background,
so that too has influenced the way I see the world.
I would say that some of my greatest mentors in dentistry have been Drs Maurice Salama and David Garber.
[23] =>
interview
Almost 20 years ago, I saw a lecture by Dr Sascha Jovanovic,
and he disrupted my thinking. I hope I can do the same
for new generations of dentists and inspire them.
My experiences, including traumas, failures and negative
influences, have shaped me significantly. I’ve encountered many industry trends not supported by science,
and this taught me the importance of adhering to core
principles. This is partly why I chose not to expand into a
network of clinics; I prefer to maintain control to ensure
the highest quality of care for my patients. At the White
Clinic, it’s the dedicated people, not the brand, that
define our success.
Why do you feel the need to share your knowledge
and what you feel is important in dentistry? Is this
driven by your passion for what you do or is it more
than that?
Everybody likes to be recognised for what they do, to be
valued and appreciated. I gave my first lecture in 2002.
Back then, when you got invited to give a lecture, there
was no social media. It was an opportunity to talk about
science and share an idea, and of course, you felt appreciated. I’m a musician at heart, and I have always enjoyed
entertaining and feel comfortable in a crowd. I guess
public speaking triggered my love for being on stage and
entertaining other people.
Nowadays, I am so privileged to have this platform, but
still every time I finish my presentation, I get off the stage
and begin beating myself up about what I’d forgotten to
say. I don’t take this privilege for granted, and I put a lot
of time and thought into my lectures.
In a way, it feels like being a mountain climber in that each
summit is a challenge or a surfer for whom every wave is
different. Every lecture is unique because the audience
is unique and the feedback is unique. It is, to me, an art
in itself to keep an audience engaged. By keeping the
audience engaged, I hope to inspire them and have
a deep impact on the lives of their patients. Therefore,
|
“By keeping the audience
engaged, I hope to
inspire them and have
a deep impact on the lives
of their patients.”
it is a responsibility I take on with huge accountability and
with a strong sense of ethics and principles because of
my values. I do it nowadays because if I can inspire just
one dentist to do something better, to go back and
improve on his or her skills, the way that he or she does
things, then the lives of his or her patients will also be
affected by that. I think I have had a little bit of an impact
in my industry that way, and I am happy about that.
Given your expertise and the focus of your exocad
Insights lecture on the power of virtual patient representations—avatars you called them—in dentistry,
could you elaborate on how digital tools are
transforming the diagnostic and treatment planning
processes in dentistry?
For younger dentists accustomed to digital tools, the
transition might seem straightforward. However, for
Gen X and baby boomer dentists raised on analogue
techniques—like taking moulds, shipping them off and
waiting for the finished dental work—there was often
little communication with the lab. This lack of control
over the process could lead to significant frustration due
to the reliance on external factors that were difficult to
manage.
Companies like exocad developed this extraordinary tool
that allows you to see the future. Everybody knows that
AutoCAD is one of the top tools for architectural design.
Similarly, exocad is the software for designing teeth.
There is an absolute similarity between building a house
2 2024
23
[24] =>
| interview
and building a new smile. You need to establish the
foundation first, and that requires a survey of the site,
which in dentistry translates to the intra-oral scan, the
CBCT scan, the facial scan and dynamic motion tracking.
Exocad aggregates the content of all these files to create
an avatar. Patients and clinicians can see all this, and
it allows you to avoid treatment complications virtually
even before you start.
When aligners first emerged in the late 1990s, the concept was to straighten teeth with an extraordinary treatment modality! Almost three decades later, we have the
capacity to design smiles, involving very complex thought
processes, virtually. We carefully select the appropriate
materials, determine the optimal sequence for each
phase, understand the precise timing for each step,
and then seamlessly integrate everything to achieve the
desired results. The beauty of the software is that you
can monitor each phase, you can do quality checks, and
you can communicate and interact with everybody who
is able to see the same thing.
Your lecture at exocad Insights 2024 focused on
the intersection of technology, patient engagement
and clinical outcomes. How do you see events like
exocad Insights contributing to the advancement of
digital dentistry and enhancing collaboration among
dental professionals?
Well, the beauty about exocad is that it is an open
platform. It works no matter what scanner you have, what
CBCT device you have, what kinds of materials you work
with, what 3D printer you use or what milling machine
you work with. That open-platform mindset is beautiful;
it is universal—and for that, I have a great deal of respect.
It is the most democratic software available. The patient
24
2 2024
is also able to engage with his or her treatment thanks
to this software. It is a tool for the patient, for the dentist,
for the lab, for the practice or business owner and even
for the manufacturer; it is an industry connector.
Meetings like exocad Insights, where you can collaborate
and connect, are important because trade companies
can attend and showcase their software, hardware, solutions and products. It is open to everybody because
everybody can work with everything on offer, and it allows
dentists from all walks of life to share and engage with
their way of doing things at their own speed and within
their own budget.
Any dentist looking to gain insights into the industry’s
future over the next three to four years, especially those
considering major decisions or investments, should
attend this event. It’s not just another dental congress;
it’s a crucial educational opportunity that brings together
some of the brightest minds in the field. This is a really,
really good meeting for dentists, lab technicians and
business owners to come together, and I recommend
it to everybody.
As a pioneer in clinical implementation of advanced
technology, you’ve probably witnessed significant
shifts in dental practice over the years. How do you
envision the role of digital tools evolving in the near
future, and what impact do you anticipate these
advancements will have on patient care?
In my exocad Insights presentation, I showed a video
of an interview I had with Dr Howard Farran in 2015 in
New York, where I started by saying that, in the future,
it would be the patient who decides. Consumer-led revolutions have been a long-standing trend in most industries.
[25] =>
interview
Imagine this happening in dentistry. Of course, patients
can’t treat themselves, but what if we gave patients tools
to make better-informed decisions?
Currently, patients choose dentists based on location,
cost, accessibility and recommendations—criteria that
lack a scientific basis. Yet, everyone is seeking the best
care. I envision a future where patients don’t go to dentists
for initial check-ups; instead, they visit scanning centres.
There, they will be able to get comprehensive scans,
like CBCT, panoramic and facial scanning, integrated with
dynamic motion tracking. After the visit, the data will be
uploaded to the cloud, where an ethically designed biological treatment plan will be created. The patient will then
receive recommendations for a dentist based on clinician
experience, technology available to the dentist and user
feedback. This approach will revolutionise patient acqui
sition, moving beyond traditional referrals to a system
driven by artificial intelligence (AI) feedback.
Many lab technicians globally face a common issue:
they receive poor-quality scans from dentists, but are
expected to work with them regardless, as there’s little
hope for improved scans. This situation isn’t ideal, and
patients deserve to be aware of this. I foresee a shift
driven by patients themselves, revolutionising how they
choose their dentists. With advancements in technology
and AI, this change is imminent. I am eager to lead this
revolution, empowering consumers to make informed
decisions about their dental care.
|
“The beauty of the software is
that you can monitor each phase,
you can do quality checks,
and you can communicate
and interact [...].”
Your work with the Slow Dentistry Global Network
emphasises the patient experience and safety
during dental visits. How do you see the integration
of digital dentistry aligning with the principles of
Slow Dentistry and improving the overall patient
journey in dental care?
People may believe that Slow Dentistry is about working
very slowly. It is not. It is about having time in your daily
workflow to do things properly. If you are seeing
20–30 patients a day, you will not have time to properly
disinfect the room, for example. Taking an intra-oral scan
properly can take 15 or 20 minutes, depending on the
case, whereas a traditional silicone impression can take
5 minutes, so technically, it is faster to take a silicone
impression than an intra-oral scan. It takes, let’s say,
5–8 minutes to take a CBCT scan and 30 minutes to
interpret it. A facial scan can take seconds, but it takes
you an hour to fuse it in exocad. You must have time in
2 2024
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[26] =>
| interview
your workflow to use these technologies. Time is a very
under-appreciated commodity in dental care, and we
are not paid for it. We are paid for the result, not for the
thought process behind the result. Why aren’t dentists
or lab technicians valued for their time to think? I think
that that’s another consumer change that must happen.
We should get paid for the time we need to get the best
results, just like doctors are. Slow Dentistry endorses
and supports dentists.
Being a digital dentist involves significant data acquisition
and processing. For example, creating an avatar requires
an intra-oral scanning file, a CBCT scanning file, a facial
scanning file and a dynamic motion file, and it can
take around an hour and a half just for data collection.
Afterwards, you must integrate these files on the exocad
platform and analyse the data, further extending the process by a few hours. Given these time-intensive requirements, rushing is not advisable. Embracing Slow Dentistry
is essential for any dentist aiming to excel in the digital
realm, and this may necessitate hiring additional staff
or allocating more time per patient.
What drives you to take on a new project, to embark
on a new adventure, in dentistry?
This is my hobby. You know the saying “Find something
you love to do and never work another day in your life.”?
Take Cristiano Ronaldo, a person I have had the privilege of
knowing for many years. He has all the money in the world.
26
2 2024
Why does he still play football? Because when he plays,
he loves it. It is as simple as that. What drives me is that
I want to change the world. Nobody asked me to do it.
I am under no obligation to do it. It would be a lot easier for
me to stay in my lane and just work at my clinic and focus
on my business. I like to connect the dots, and so it upsets
me to hear “You are not a doctor; you are just a dentist.”
The medical industry looks at dentists as mechanics,
and dentists, unfortunately, may inadvertently give support
to this by focusing on tooth alignment, tooth whiteness,
and their shape and function. I thought about what we
could do to change that. During the pandemic, I understood the importance of inflammation. People were dying
of inflammation, and I started studying all of this with my
team. I have a brilliant dentist on my team, Dr Ana Paz,
who does a lot of research into this. We were always
challenging each other and inspiring and learning and
researching and then testing, going to some of the
top minds in the world and looking at this connection.
Then it just hit us one day: the jawbone is part of the
immune system, and the teeth as well are connected
to the brain. It is therefore not just a question of having
a healthy smile; it is about healthy teeth.
We also must consider a healthy bone marrow. “Bone
marrow”, “jawbone”, “inflammation” and “cytokines” are
terms that immunologists and doctors understand.
I asked myself if this could be a way to connect with the
[27] =>
interview
medical industry and have doctors prescribe dental treatments—because they typically do not. A patient can have
cancer, and his or her physician may not know that it
might be linked to an oral cyst. I decided to use my platform
to get dentistry back into mainstream medicine.
That leads to a question I wanted to ask you, relating
to your new passion, biological dentistry, and its
impact on systemic health. Is it your goal then to
reconnect dentistry with medicine?
I am so passionate about this, and frustrated at the
same time, that I developed an AI-based program called
Missing Link. The goal is to use an existing panoramic
X-ray, which many people have, to support doctors and
patients who are looking for answers and not getting
them. We know that most doctors are overwhelmed with
work and that healthcare systems are overburdened.
Even in rich countries, it is difficult to get a good doctor
to spend time with you. What if the missing link in healthcare is dentistry? The doctor can scan the patient’s panoramic X-ray very quickly using Missing Link to detect any
inflammation in the jaw. The patient might not be aware
of low-grade inflammation, especially if he or she has no
pain, which is not always the first symptom of a problem.
Missing Link provides screening and not a diagnosis.
So Missing Link is directed at medical doctors not
at dentists?
Yes, it is aimed at medical doctors. Based on the findings
of Missing Link, the doctor will refer the patient to a dentist
for proper diagnosis and treatment. In that way, Missing
Link will generate a whole new set of patients for the dental
community. The dentist too might want to use Missing Link
for his or her patients to confirm his or her findings.
We developed this platform for the medical community
to provide a clear rationale for dental visits. Using AI,
it helps doctors demonstrate the necessity of specific
diagnostics like CT scans, enhancing patient understanding and cooperation. Traditionally, radiologists use similar
processes to identify fractures that require surgery.
Our tool fills a crucial gap in healthcare communication by
facilitating requests for detailed diagnosis and follow-ups
between dentists and other medical professionals.
How do you manage all you do and stay sane and
have a good work–life balance and the time to take
good care of yourself? In short, what is a day in the
life of Miguel Stanley like?
Firstly, I have a very stable family life. Secondly, I have
a very limited social life. Thirdly, I have an incredible
team of people working with me. I have 48 people at the
White Clinic, and we only have seven treatment rooms
and do not work on weekends.
I only attend about 12 international conferences a year
and carefully pick the ones I want to go to. I make sure
|
“Our tool fills a crucial gap
in healthcare communication
by facilitating requests
for detailed diagnosis and
follow-ups [...].”
I go to events where I can have a huge impact and
change people’s lives or at least give them new perspectives.
My day starts at 6:00 a.m. Because I am a surgeon, I do
not smoke and I do not drink alcohol. The level of focus
I need for my surgeries is like that of a chess player or an
athlete. I need to be incredibly focused for a long period.
I started fasting about seven years ago. One of the keys to
longevity is fasting. We’ve known that since Hippocrates.
I never have breakfast and two to three times a week, I only
have dinner. This allows the body to go into ketosis and
gives you an extraordinary amount of focus and clarity.
I use ancient integrative knowledge to keep my body very
healthy. I sleep well and monitor my sleep.
I treat my job like a religious duty; it is a very sacred thing
to me. When I show up to work in the morning, I need to
be focused and rested and ready for my commitment to
help my patients heal. It is not just a job; it is a mission.
The older I get, the more I am committed to having
a healthy mind in a healthy body. So, when I go home,
my phone is off, and it is family time. I need to really focus
on what matters. I can also say, even if people don’t really
believe this, that I am where I want to be, it is my luxury
to be able to decide this, and I do not try to please
anybody.
You have previously said that dentistry is one of the
most stressful professions. How do you manage
stress personally?
Managing stress in dentistry requires discipline and
a dependable team, which I’m fortunate to have. I don’t
handle everything on my own; I rely heavily on my trusted
colleagues. We maintain constant communication and
share responsibilities. For instance, my orthodontist has
been with me for 22 years, and my cosmetic restorative
dentist for 18 years. These long-standing relationships
contribute to a solid support system. Additionally, by
focusing solely on one clinic and selectively accepting
only 30–40% of potential patients, I ensure that we
never overextend ourselves, and that helps keep our
work environment manageable and stress at bay.
All images: © Akira Schüttler, exocad
2 2024
27
[28] =>
| interview
Advancing technologies in ceramic
implantology—AI sets new
milestones in dental treatment
An interview with Dr Shepard DeLong, owner of the holistic
dental practice Lotus Dental Wellness, USA
© Shepard DeLong
Artificial intelligence (AI) in dentistry has started to
bloom in recent years. From a dental perspective,
applications of AI can be classified into diagnosis,
decision-making, treatment planning and prediction of
28
2 2024
treatment outcomes. Computer programs for dental
use are becoming increasingly intelligent, accurate and
reliable. OEMUS MEDIA had the great opportunity to
interview Dr Shepard DeLong, who is known for his use
[29] =>
interview
|
of and knowledge on advanced dental technologies
and their application to holistic dental care, about his
approach, findings and experience with AI in dentistry
and implantology in particular.
The integration of AI in dentistry can have various
effects on the dentist–patient relationship. From
your perspective, what are the major benefits of
using AI in the dental practice in this regard?
I had the opportunity to use an AI diagnostic tool with one
of my patients yesterday. I asked the patient how it made
her feel to see me using AI as an aid in my diagnosis of
her health, and she said that she thought it was a good
thing as long as I employing my own experience and
knowledge to interpret the AI findings. I reassured her
that this was the case and that when used with care and
expertise AI is becoming an invaluable tool. Actually,
the biggest benefit I see is that I am less likely to miss a
meaningful finding, and it greatly enhances trust between
dentist and patient.
Can AI tools help address dental anxiety among
patients? How do patients perceive the trustworthiness
of AI-driven diagnostic and treatment recommen
dations?
I think the key here is that care, compassion and the
goal of improving well-being drive the entire dentist–patient
relationship when it is functioning properly. With the aid
of AI, trust no longer relies solely on a dentist’s personality
or powers of persuasion, both of which are pretty irrelevant
to quality of care. Much of what drives patient anxiety is
the loss of control or of confidence that what is being
done is the right thing. AI helps with that.
Robotic surgery conducted by Dr Shepard DeLong and Dr Travis G. Hunt.
Let’s dig a bit deeper into the clinical aspects and
benefits of AI to your work and your routines in your
clinic. We know that you are using a robotic surgery
aid. What is it exactly that you have implemented?
What are specific challenges in oral surgery utilising
a robot?
This question strikes close to home. I pour my soul into
advancing technology for the dental industry. In almost
every way, the quality of care, the beauty of form and
the nuts and bolts of strength and function have been
enhanced with digital workflows. The ease of operating
has increased for our dentists, and our practice has a
cult-like following of believers. Good ergonomics and
long-term well-being of dentists and other members of the
dental team are part of our core values. Robotic surgery
for implant placement is the latest addition in our office.
2 2024
© pinkeyes – stock.adobe.com
Does it save time? How efficient is the use of AI in
your office?
Yes, it saves time, because it draws out and quantifies
findings that may otherwise be unremarkable. In the case
of periodontitis and bone loss, I found myself making
different treatment recommendations based on seeing
measurements of the cemento-enamel junction to the
crest visible on routine radiographs. The severity of caries
is also now quantified, so decision-making is facilitated,
as well as risk assessment.
© Shepard DeLong
Have you been able to further individualise treatment
plans since you implemented AI in your office?
Our dentists and patients at Lotus Dental Wellness have
all experienced the benefits of cutting-edge technology
for almost a decade. Each patient already receives very
individualised care with every case and treatment. AI only
enhances our sensitivity and ability to stay true to a preventive, minimally invasive, accurate diagnostic and treatment workflow. Now, if it is not used, patients will ask for
it. Some of the data is still anomalous, so it can be overwhelming or hard to explain. Overall, it adds value for
me and my patients.
29
[30] =>
© Shepard DeLong
| interview
Our commitment is not only to electronic, digital or AI-driven
tech but to biotech and biomaterial advancement too.
We are the only team in the world dedicated to the placement and restoration of zirconia dental implants utilising
dynamic navigation and robotic assistance in all but the
unavoidable freehand cases.
The challenges are still great. It’s 8 p.m., and I literally
just finished a dual-arch ceramic implant case for which,
after much planning, the robotic workflow had to be
abandoned. This can happen. Time, cost and new obstacles
are all part of the puzzle, but we have gotten glimpses
of the future. Terms like “ultra-precision” started to pop
up as we planned in robotic software, then we were able
to make micro-modifications during surgeries, and the
results have been fantastic. For the early adopters that
have made their way through CEREC or digital dentistry,
CBCT, and guided and ceramic implantology, we can
already see the other side.
Does AI contribute to the diagnostic phase of treatment planning in oral surgery? How do AI algorithms
assist in analysing patient data such as obtained
from CT scans or 3D imaging for optimal implant
placement?
I would lean heavily on companies like 3DDX,
ImmersiveTouch, CAD-Ray or Anatomage to do
segmentation and deeper analysis of CBCT data.
Implant positioning for the various ceramic systems
I use still requires significant thought and prosthetic
tweaking so that our placement and restoration
are near ideal. There are some tools in use within
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2 2024
YomiPlan software, things like automatic segmen
tation of the sinus cavity to aid in sinus lifts, but the
software is not yet predictably mapping for us. Nerve
segmentation is still through third-party software or
radiology services.
And how does the incorporation of dental robots
enhance the precision and efficiency of oral surgery
procedures?
This is something that I got great perspective on last
year at the first Mayo Clinic Robotics and Advanced
Surgical Technologies symposium. Other surgical specialties were discussing the overwhelming adoption
of robotics in enhancing patient outcomes. Freehand
skills, static guides and dynamic navigation all can
lead to excellent outcomes, but robotics allows a less
skilled surgeon to perform at or near the level of the
best, especially when mentored, and it demands that
dentists keep learning and practising so that the
results continue to improve. I’ve been using the term
“ultra-precision” to describe some of what I have seen
during surgery and, even more impressively, during
restoration of zirconia dental implants placed utilising
robotics.
We have learned that the implementation of dental
robots works wonderfully with titanium implants.
You are using zirconia implants. What are the differences
and challenges for both the surgeon and the robotbased system, if any?
It has been a remarkable year and a half! We have now
placed four ceramic implant systems—SDS, CeraRoot,
[31] =>
interview
How does AI play a role in selecting the most suitable
zirconia implant size, shape and placement for each
patient?
At this point, AI plays a negligible role in implant selection.
I know this will come. As talk to text and AI can code,
we will move towards an automated, ultra-precise surgical
and restorative plan. For now, it is a lot of thought,
experience and care that goes into making each case
a success.
In what ways can AI assist in real-time decision-making
during surgery, considering factors like bone density
and tissue response?
This is where the haptic guidance of the Yomi robot and
the freehand feel of the X-Guide allow the surgeon to feel
the bone. Visualisation of the surgical site with physical
guidance is where Yomi shines. During surgery with
X-Guide, the surgeon’s eyes must be on the screen.
With Yomi, you get both freehand tactile feel and
haptic feedback, and you can use real-time visual observations to modify surgery towards achieving great
outcomes.
How are ethical concerns addressed, such as patient
consent, data security and the responsible use of
AI in the context of oral surgery? Have you faced
any issues on that?
Thank you for asking. Almost all our patients have been
very receptive of Yomi. Its use in our practice was preceded by X-Guide and my previous commitment to
place ceramic implants exclusively. There is regulatory
clearance on all these products and devices, and yet
we encounter the unknown and untested when using all
of them together. This is where new connections, new
workflows and, ultimately, new solutions to human health
problems will come from. We have a thorough understanding of risk and believe privacy, autonomy and
informed consent are all paramount in modern medicine.
There will be new standards of care. It is up to us to
define them.
We seem to have entered an unprecedented time of
new and exciting discoveries in dentistry. Please would
you share this journey with us and give us a few concluding remarks?
I know that the readers of digital will take what
I have said here with a proverbial grain of salt or a bit
of healthy caution. I think that is wise. Let experience
guide your wisdom and opinion. After you see something intriguing, promising even, follow your own in
tuition and go where it leads. If we utilise new ideas
and technology while allowing our human knowledge
and hearts to guide what to do, the results are going to
build a new reality. This is just the beginning. AI, robotics,
ceramic implants—the future we are creating is already
here. When we see solutions, I think we must share.
I look forward to continuing our conversation and
journey!
Editorial note: This article was first published in
implants—international magazine of oral implantology,
Vol. 25, Issue 1/2024.
about
Dr Shepard DeLong is a third-generation
dentist at the forefront of digital
evolution and the development of novel
technological workflows in dentistry.
He holds a BS from Portland State
University and a DMD from Oregon Health
and Science University in Portland and
completed a general practice residency
at the Queen’s Medical Center in
Honolulu in Hawaii, all in the US. He has a part-time position at
Pure Health Dentistry in Maui in Hawaii and owns Lotus Dental
Wellness in Lake Oswego in Oregon. He is a residency site
director for the MSc in implantology programme at
Jacksonville University in Florida in the US and lectures on
ceramic implantology, robotics, lasers and digital dentistry.
His latest project has been the sharing of the profound
advantages of combinational technologies for the health
of both dentist and patient. He is a member of the Academy of
Microscope Enhanced Dentistry, International Academy of Ceramic
Implantology, European Academy of Ceramic Implantology,
and International Academy of Oral Medicine and
Toxicology and has served as a mentor for CDOCS.
He can be reached at drdelong@lotusdentalwellness.com.
contact
Dr Shepard DeLong
Lotus Dental Wellness
om@lotusdentalwellness.com
www.lotusdentalwellness.com
2 2024
© pinkeyes – stock.adobe.com
Zeramex/Nobel and Z-SYSTEMS—successfully and fully
guided. It was laborious to get all the companies to work
together to put the sizes and shapes into the software as
fast as possible, and yet we placed a lot of implants while
calculating all the data the software didn’t have right yet.
Other challenges include carrier systems and implant
mounts that are not retentive enough or too retentive for
the rigidity and freedom of a robotic arm and incorporated dental handpiece. Also, driver lengths, hand-based
carriers and low maximum torque values add to the
challenges.
|
31
[32] =>
| opinion
Evaluating two newly launched
intra-oral scanners
against market favourites
Dr Ahmad Al-Hassiny, New Zealand
1a
1b
1c
1d
1e
2
Figs. 1a–e: TRIOS 5 (a). Aoralscan 3 (b). Medit i900 (c). ITero Lumina (d). CEREC Primescan (e). Fig. 2: Example of colour scan capture.
2024 has been a busy and exciting time for the digital
dentistry industry, so many new products having been released every three to four weeks this year. And we are only
six months in! Two launches, in particular, have captured
attention: iTero Lumina, the latest intra-oral scanner (IOS)
from Align Technology since iTero Element 5D, and the
Medit i900, which is Medit’s most premium scanner to date
and said to be one of the lightest IOSs on the market.
At the Institute of Digital Dentistry, we are very lucky to be able
to test all our IOSs on real cases and actual patients within a
clinical environment. By doing so, we can provide an honest
and unbiased review when comparing the performance of
each IOS. We put these IOSs to the test to see how well they
perform compared with some of the most popular IOSs in the
market right now, and in this article, you can see the results of
the individual scans—colour scans, exported STLs, tessellated
meshes and close-up images of the preparation margins.
For the evaluation, I scanned the crown preparation of
tooth #36 in the same patient with the following five
scanners (Fig. 1) on the same day:
– TRIOS 5 (3Shape);
– Aoralscan 3 (SHINING 3D);
32
2 2024
– Medit i900;
– iTero Lumina; and
– CEREC Primescan (Dentsply Sirona).
Individual scans in their native software
Every IOS is equipped with its own scanning software.
Most scanners can automatically remove scanning artefacts such as movable soft tissue, cheeks and tongue
through artificial intelligence-driven algorithms, and some
perform better at this than others.
We can preview how these scanners capture colour
(called texture) using the scanner’s native software.
Every scanner captures colour slightly differently, depending on how accurately the scanner can pick up the
light bouncing back off the prepared tooth and adjacent
teeth. It also depends on the software algorithms that
convert this data into colour (Fig. 2).
Colour scans of the same tooth preparation were
captured using the five scanners and previewed in their
native software. The TRIOS 5 scan was less bright (lower
value) than the others (Figs. 3a–e). Both the TRIOS 5 and
Medit i900 scans were less warm in colour (hue) than the
[33] =>
opinion
3a
4a
3b
4b
3c
4c
3d
4d
3e
4e
|
Figs. 3a–e: Processed colour scans of the same tooth preparation, previewed in the scanners’ native software. TRIOS 5 (a). Aoralscan 3 (b). Medit i900
(c). ITero Lumina (d). CEREC Primescan (e). Figs. 4a–e: Processed monochromatic scans of the same tooth preparation, previewed in the scanners’ native
software. TRIOS 5 (a). Aoralscan 3 (b). Medit i900 (c). ITero Lumina (d). CEREC Primescan (e).
richer, warmer scans of Aoralscan 3, iTero Lumina and
CEREC Primescan. The Aoralscan 3 scan appeared to
be the most photorealistic in comparison. This type of
scan texture is characteristic of many IOSs manufactured
in China—whether you prefer realistic-looking capture of
the intra-oral structures or a more illustrative representation
is purely personal preference.
Monochromatic scans can also be taken and previewed
in scanners’ native software. Scans in monochrome provide
a better view of the preparation quality and are even recommended to check for any scan issues that are not as obvious when viewed in colour. Monochromatic scans of the
same tooth preparation were captured using the five scanners
and previewed in their native software. Unlike the native
colour rendering, only two notable differences were evident
between the five scans (Figs. 4a–e). The iTero Lumina
monochromatic scan was bright, almost overexposed,
and the edges looked sharply defined. The CEREC Primescan
scan had slightly more definition of the occlusal morphology
and the mesial and distal margins.
Exported scans in third-party software
All IOSs have an open architecture that allows scans to be
exported and sent to laboratories. These scans are usually
exported in three various formats: STL, PLY or OBJ.
STL files are exported as monochromatic scans, whereas
OBJ and PLY files store colour. Not all IOSs can export
OBJ and PLY files, whereas STL files are widely used as a
default in the entire industry. This particular set of scanners
is capable of exporting scans in these formats:
– Aoralscan 3 and Medit i900: STL, PLY and OBJ
– TRIOS 5 and iTero Lumina: STL and PLY
– CEREC Primescan: STL
Table 1: File sizes of the file formats each scanner can export.
Scanner
Size of STL file (MB)
Size of PLY file (MB)
Size of OBJ file (MB)
TRIOS 5
8.8
3.6
–
Aoralscan 3
8.8
8.8
11.8
iTero Lumina
6.8
6.8
–
Medit i900
8.3
3.4
8.3
CEREC Primescan
26.0
–*
–
*PLY can be exported if scans are sent to inlab.
2 2024
33
[34] =>
| opinion
5a
5b
5c
5d
5e
8
6
7
9
10
Figs. 5a–e: Scans in STL format previewed in the Medit Design app. TRIOS 5 (a). Aoralscan 3 (b). Medit i900 (c). ITero Lumina (d). CEREC Primescan (e).
Fig. 6: Preparation margins on the TRIOS 5 scan. Fig. 7: Preparation margins on the Aoralscan 3 scan. Fig. 8: Preparation margins on the Medit i900 scan.
Fig. 9: Preparation margins on the iTero Lumina scan. Fig. 10: Preparation margins on the CEREC Primescan scan.
The files of the exported scans for all the scanners
were of a similar size, except for CEREC Primescan
(exported on its high-resolution option), which was
three times larger (Table 1). The higher resolution or
encoding of larger objects requires more facets
11a
(triangles within the tessellation) to cover the 2D surface
of the scan.
Laboratories often use third-party CAD software like
exocad. In this case, we used Medit Design to preview
12a
13a
11b
11c
12b
12c
13b
13c
11d
11e
12d
12e
13d
13e
Figs. 11a–e: Close-up images of the tooth preparation scans and their tessellated meshes. TRIOS 5 (a). Aoralscan 3 (b). Medit i900 (c). ITero Lumina (d).
CEREC Primescan (e). Figs. 12a–e: Preparation margins captured by each intra-oral scanner. TRIOS 5 (a). Aoralscan 3 (b). Medit i900 (c). ITero Lumina (d).
CEREC Primescan (e). Figs. 13a–e: Buccal and lingual margins on the scans. TRIOS 5 (a). Aoralscan 3 (b). Medit i900 (c). ITero Lumina (d). CEREC Primescan (e).
34
2 2024
[35] =>
opinion
|
the STL, PLY or OBJ files received and to take a closer
look at the detail captured within each scan and the
amount of data (Figs. 5a–e). By exporting the scans
outside their native software, we can view the scans
objectively without the customised colour and optimised surface rendering of the individual scanner’s
built-in software.
Preparation margins can also be reviewed using this
software (Figs. 6–10). In the close-up images of the
preparation margins and the tessellated mesh (Figs. 11a–e),
CEREC Primescan seemed to have had the densest
mesh, closely followed by Aoralscan 3 and then the
Medit i900, TRIOS 5 and iTero Lumina. There are yet
to be any studies investigating the clinical significance
of mesh density, and it is important to note that a
denser mesh does not necessarily indicate a better
scan.
When comparing IOSs, we usually compare them to
CEREC Primescan, which is commonly regarded as one
of the best IOSs in terms of accuracy. It is also a scanner
I use daily in the office to fabricate same-day crowns
that fit perfectly. In that light, when we compared the
preparation margins captured by each IOS (Figs. 12a–e),
the iTero Lumina scan also looked quite sharp. The buccal and lingual margins were very defined (Figs. 13a–e).
Overall, all the scanners did a very good job, especially
on the lingual margin, which was supragingival and sharper.
The buccal margin, which was closer to the retraction cord,
seemed to look less sharp but still acceptable.
Keep in mind that iTero Lumina is not currently approved
for restorative use by the company—in fact you cannot
even choose this in the laboratory form. This option will
be released later this year. The company says the scans will
be even better once this is released. We will soon find out.
Just for interest, iTero Lumina’s scanning technology
has a maximum capture distance of 25 mm, whereas
CEREC Primescan can measure depth of up to 20 mm.
The Medit i900 is around 30 mm.
We allocated CEREC Primescan as our reference point
when looking for capture deviations to compare against
the other scanners (Figs. 14a–c). Based on the coloured
deviation key, the meshes of the scans taken with the
other scanners were within 50 μm compared with the
scan taken with CEREC Primescan. Within the same
display mode, we also viewed the aligned scans in
a sectional view, which showed minimal differences
between the scans.
Conclusion
It is important to remember that the precision in
capturing the details of the restoration preparation
14a
14b
14c
Figs. 14a–c: Deviation map of the scans compared with CEREC Primescan’s
scan (a; scale of 50 μm) and sectional view (b & c). Very little deviation
around the preparation area.
may vary slightly based on the combination of the
clinician’s scanning technique and the specific scanner
used. This variation can influence the final outcome
of the dental laboratory technician’s restoration
margin.
Overall, iTero Lumina and the Medit i900 look promising and add to the long list of capable IOSs on the
market right now. Did these perform as well as you
thought they would? Let us know your thoughts at
www.instituteofdigitaldentistry.com.
about
Dr Ahmad Al-Hassiny is a global
leader in digital dentistry and intra-oral
scanners, carrying out lectures as a
key opinion leader for many companies.
He is one of the few in the world who
owns and has tested all mainstream
scanners and CAD/CAM systems.
Dr Al-Hassiny is also the director
of the Institute of Digital Dentistry,
a world-leading digital dentistry education provider with a mission
to ensure dentists globally have easy and affordable access
to the best digital dentistry training possible.
2 2024
35
[36] =>
| case report
The intersection of technology:
Guided implant surgery and 3D printing
Dr Diogo Viegas, Spain
1a
“The surgical placement
of an implant is not always
predictable, and sometimes
a minor deviation can
compromise the ideal
position [...].”
1b
1c
of simple and complex cases. Arising complications
result from inadequate diagnosis, lack of planning,
poor choice of surgical technique and deficient implant
placement.
1d
Figs. 1a–d: Initial intra-oral photographs of tooth #11, anterior (a), lateral (b),
occlusal (c) and palatal views (d).
Implant-supported restorations are becoming increasingly popular in contemporary dentistry, and the
study of the osseointegration process has led to
the massive use of dental implants in recent years.
In the past, the practice of implant surgery was limited
to periodontists and maxillofacial surgeons; however,
today, it is carried out by many dental clinicians with
different levels of expertise and skill for the management
2
It is well established that the success of implant treatment is directly related to patient assessment and
proper planning.1 Implant surgery performed without
adequate 3D-planning software uses the adjacent
teeth and antagonists as references, and the final
positioning of the implant is evaluated by the surgeon
at the time of placement. This can result in complications such as nerve injury, injury of adjacent roots,
perforation of the maxillary sinus, implant fracture,
peri-implantitis, compromised aesthetics, interproximal
bone loss and implant loss.2
3
Fig. 2: Pre-op maxillary intra-oral scan superimposed with CBCT segmentation, anterior view. Fig. 3: Pre-op intra-oral image during planning with exoplan, palatal view.
36
2 2024
[37] =>
case report
4a
4b
5a
5b
6
7
|
Figs. 4a & b: Initial models 3D-printed from Asiga DentaMODEL using the MAX UV, anterior (a) and occlusal views (b). Figs. 5a & b: Models
after virtual extraction 3D-printed from Asiga DentaMODEL using the MAX UV, anterior (a) and occlusal views (b). Fig. 6: Intra-oral image of
the crowns and roots adjacent to the extraction site in exoplan, anterior view. Fig. 7: Intra-oral image of the crowns adjacent to the extraction site
in exoplan, occlusal view.
8a
8b
8c
Figs. 8a–c: Virtual implant placement in exoplan in region #11, showing the location relative to the adjacent crowns and roots, lateral (a & b) and occlusal views (c).
2 2024
37
[38] =>
| case report
9a
9b
9c
10
11a
11b
Figs. 9a–c: Virtual surgical guide design in exoplan with a sleeve for implant placement, palatal (a), anterior (b) and lateral views (c). Fig. 10: 3D-printed
surgical guide, occlusal view. Fig. 10: 3D-printed surgical guide, occlusal view. Figs. 11a & b: Try-in of the surgical guide on the resin model, anterior (a)
and occlusal views (b).
The surgical placement of an implant is not always
predictable, and sometimes a minor deviation can
compromise the ideal position and cause difficulties in
the manufacture of the final restoration. The failures
arise during presurgical planning. As the alveolar ridge
is a relatively narrow space, accuracy in implant placement is extremely important for the long-term success
of the final restoration.
Placement can be done through a surgical guide;
however, the clinical outcome is often unpredictable if the planned location of the implant or
any deviation therefrom does not meet the ideal
prosthetic requirements. Accuracy in the planning
and in the execution of placement is important to
38
2 2024
ensure treatment success and to avoid iatrogenic
damage.3, 4
Guided implant surgery is considered a safe and
minimally invasive procedure without drawbacks.
For the patient, the great advantage of guided implant
surgery is that it supports performing the procedures
of dental extraction, immediate implant placement
into the fresh extraction socket and immediate loading with a provisional restoration in a single surgical
session and thus requires fewer surgical and prosthetic sessions and consequently reduces the overall
treatment time.5 This treatment approach reduces
patient discomfort and facilitates the patient’s return
to work, for example, and provisional restoration
[39] =>
case report
“For the patient,
the great advantage
of guided implant surgery
is that it [...] requires fewer
surgical and prosthetic
sessions [...].”
12a
12b
13a
13b
|
guides the healing of the soft tissue for an optimal
aesthetic result.6
The integration of virtual engineering and the digiti
sation of information in dentistry has led to a new par
adigm in dental diagnosis and treatment. Specifically,
computer-guided implant surgery was developed to
address the limitations of traditional surgical planning,
significantly improving the accuracy of implant placement.7
14
15a
15b
16a
Undoubtedly, guided surgery represents a considerable advance in dentistry and is increasingly used
by implant surgeons owing to its many advantages,
including excellent predictability. These advantages
are illustrated in the following clinical case involving
the management of a root fracture of a maxillary central
incisor using the current technologies.
Case summary
A 60-year-old male patient had sustained trauma to the
maxillary right central incisor (tooth #11), and it showed
signs of mobility and pain on mastication (Figs. 1a–d).
A periapical radiograph and CBCT scan were taken
and root fracture diagnosed. The treatment plan involved extraction followed by immediate implant placement and loading. Implant planning was performed in
exoplan 3.1 Rijeka (exocad; Figs. 2–8), and a surgical
guide was designed and 3D-printed from Asiga
DentaGUIDE on the MAX UV printer (Asiga; Figs. 9–11).
After tooth extraction (Figs. 12a & b), implant surgery
was carried out (Figs. 13–17) and a provisional crown
was fitted.
Editorial note: Please scan this QR code for
the list of references.
16b
17
Figs. 12a & b: After extraction of tooth #11, anterior (a) and occlusal views (b).
Figs. 13a & b: Surgical guide in place in the mouth, anterior (a) and
occlusal views (b). Fig. 14: Guide drill in the extraction socket, anterior view.
Figs. 15a & b: Situation after implant placement, anterior (a) and occlusal
views (b).Figs. 16a & b: Implant with the titanium base inserted, anterior (a)
and occlusal views (b). Fig. 17: Post-op radiograph after implant placement.
about
Dr Diogo Viegas is both a
prosthodontist and a dental technician,
a rare combination that has given him
a comprehensive understanding of
dental practice. His experience behind
the bench has been invaluable, shaping
his professional journey s ignificantly.
After dedicating 21 years to his studies
he pursued a PhD, a decision that
enriched his critical thinking skills and paved the way for his
research interests. Dr Viegas’s primary focus lies in digital
dentistry, an increasingly important aspect of the field.
2 2024
39
[40] =>
| case report
Digital technology
for full-arch implant prostheses
Drs Edmond Bedrossian & Armand Bedrossian, US
1
2
Introduction
The following case report was planned and executed
using the DIGILOG concept, which is a hybrid of digital
and analogue workflows that combines the best features
of both approaches for the creation of temporary and
definitive prostheses. This concept allowed us to have
optimal communication with the implant team and our
patient, who received two full-arch implant prostheses.
In the maxilla, two Straumann zygomatic implants and
two Straumann BLX implants were placed, and in the
mandible, four Straumann BLX implants were placed.
Improvements in digital technologies in recent years
have transformed several industries, including implant
dentistry. These novel methodologies have several ad
vantages over standard procedures, including increased
efficiency, accuracy and patient satisfaction.1–3 Further
more, a digital approach enables the development of
customised prostheses supported by conventional and
zygomatic implants. The Straumann Zygomatic Implant
System provides a predictable, immediate fixed resto
ration option that does not necessitate bone augmenta
tion, offering a dependable treatment for patients with
significant maxillary bone loss and hopeless circum
stances.4
Additionally, digital technology improves communication
and collaboration between the patient, dental team and
laboratory. The computerised process enables seamless
information sharing and virtual treatment planning, re
sulting in a coordinated and exact approach to the
production of full-arch implant prostheses.
3
40
2 2024
Initial situation
A 57-year-old female patient who was systemically
healthy and a non-smoker and had no relevant medical
history came to our clinic stating that she was unable
to eat without pain and had absolutely no confidence
or pride in her smile or overall appearance. She had also
noticed flaring and progressive spacing of her anterior
teeth and complained of food impaction. She desired a
full-mouth fixed rehabilitation and wanted to improve the
position of her teeth to regain the confidence to smile.
4
[41] =>
case report
5
6
No abnormalities were found during the extra-oral
examination. The patient presented with a low smile line.
The intra-oral examination revealed terminal dentition
due to generalised periodontal disease. The patient
presented with severe resorption of the posterior maxilla
bilaterally (Fig. 1). The radiographic examination showed
generalised alveolar bone resorption with vertical bone
defects (Fig. 2).
CoDiagnostiX software (Dental Wings) was used for
planning the analogue surgical placement of two
Straumann zygomatic implants and two Straumann BLX
implants in the maxilla and of four Straumann BLX implants
in the mandible. The protocol chosen was immediate
placement after atraumatic extraction of the remaining
teeth while protecting the remaining bone (Figs. 4 & 5).
The patient’s STL file was generated and sent to the in-house
laboratory to create a 3D-printed model for the surgical
planning, allowing us to obtain a surgical model (Fig. 6).
In accordance with the radiographic and clinical evalua
tion, the patient case was classified as surgically and
prosthodontically complex in terms of the International
Team for Implantology’s SAC classification (Fig. 3).
The SAC classification aids in assessing the degree
of difficulty and risk associated with implant-related
rehabilitation.
|
Treatment planning
Our patient was presented with various treatment plans,
encompassing both removable and fixed rehabilitation
options. Among these, the patient was informed about
the DIGILOG treatment concept. After considering the
choices presented, the patient chose to proceed with
the DIGILOG option.
The DIGILOG concept was developed in collaboration with
oral and maxillofacial surgeon Dr Christopher A. Gurries.
This approach enables communication between surgeon
and prosthodontist with the use of digital technology
and analogue surgical treatment, supporting predictable
treatment outcomes. Two steps were included in our
workflow for immediate full-arch treatment using the
DIGILOG concept: the printing of prototypes of the
prostheses to assess the peripheral borders, vertical
dimension of occlusion, aesthetics, phonetics and occlusion;
and the scanning of the intaglio surfaces, peripheral
borders and occlusion and transfer of that information
to the laboratory to finalise the peripheral borders
and vertical dimension of occlusion before milling the
monolithic final prostheses.
8
9
7
To avoid complex procedures for implant placement
and to decrease morbidity and costs for the patient,
no augmentation was planned. On the same day as implant
placement, the milled prostheses would be delivered.
Six months later, two digitally fabricated fixed full-arch
implant prostheses would be placed.
In summary, the treatment workflow was as follows:
1. data acquisition for fabrication of two temporary
PMMA prostheses;
2. implant surgery and immediate placement of the
temporary prostheses;
3. digital design and manufacture of the final zirconia
prostheses; and
4. delivery of the final prostheses and an occlusal splint
six months after implant surgery.
10
2 2024
41
[42] =>
| case report
11
12
13
14
Surgical procedure
implants (4.5 × 10.0 mm, SLActive, Roxolid) and two
Straumann zygomatic implants (4.3 × 40.0 mm) were
placed in the maxilla (Fig. 8). Following the same protocol,
four Straumann BLX implants (4.5 × 10.0 mm, SLActive,
Roxolid) were inserted in the mandible. Straumann
screw-retained abutments were positioned on to the
implants (Fig. 9).
Before surgery, an intra-oral scanner was employed to
acquire the digital data for the design of the temporary
prostheses (Fig. 7). The teeth were digitally removed, and
digital prostheses were created. The data of the virtually
constructed prostheses was subsequently transmitted
to a milling machine for the fabrication of monolithic
PMMA prostheses.
The treatment was carried out under local anaesthesia
with 2% lidocaine and 1:100,000 adrenaline. A crestal
incision was made and a full-thickness mucoperiosteal
flap raised. The implant beds were prepared with the
Straumann Surgical Cassette, and two Straumann BLX
15
42
2 2024
The mucoperiosteal flap was carefully adapted and sutured.
The temporary screw-retained prostheses were then
placed on the day of the surgery (Fig. 10). The protheses
were checked for areas of excessive pressure and
adjusted. The patient was given postoperative and oral
hygiene instructions. Two weeks after surgery, the sutures
were removed, and the healing had been uneventful.
[43] =>
case report
16
17
Prosthetic procedure
Authors’ testimonial
The DIGILOG concept, using digital technology to com
plement fundamental surgical and prosthetic principles,
along with a scientifically designed armamentarium, allowed
for treatment of this case and a predictable outcome.
The patient was followed up, and at six months after
implant placement, an indirect digitisation of the backpoured master cast was done, allowing for superimposi
tion of the tooth position to the implant position (Fig. 11).
The final tooth set-up and occlusal scheme were done
digitally to ensure optimised aesthetics and function (Fig. 12).
Once everything had been digitally verified, the final
zirconia prostheses with layered porcelain gingivae were
fabricated (Fig. 13). The occlusion was checked, and the
patient was given a 3D-printed occlusal splint to protect
the implant-supported prostheses, acting as an absorber
and distributor of occlusal forces (Fig. 14). A panoramic
radiographic was taken to monitor the health around
the dental implants at delivery of the prostheses (Fig. 15).
The patient was provided with hygiene instructions and
scheduled for regular check-ups to ensure ongoing care
and monitoring.
Treatment outcomes
Digital and analogue can be seamlessly integrated to
enable a comprehensive assessment and treatment.
Optimal planning and meticulous examination play pivotal
roles in determining the outcomes of the treatment.
A personalised surgical approach is imperative to address
the diverse needs and requirements of each individual
patient.
On the same day as extraction surgery, employing the
principle of immediacy and without the necessity of
guided bone regeneration, an outstanding functional
and aesthetic outcome was accomplished with two
Straumann BLX implants and two Straumann zygomatic
implants in the maxilla and four Straumann BLX implants
in the mandible. Six months later, the patient was very
pleased with the retention and aesthetics of the final fullarch implant prostheses. The clinical and radiographic
evaluation yielded stable and favourable results, indi
cating positive progress. The prostheses fulfilled the
patient’s expectations and needs. She was delighted
with the significant change in her smile and in her quality
of life (Figs. 16 & 17).
|
Editorial note: Please scan this QR code for
the list of references.
about
Dr Edmond Bedrossian, who is
a diplomate of the American Board
of Oral and Maxillofacial Surgery,
is a well-known figure in oral and
maxillofacial surgery and an honorary
member of the American College
of Prosthodontists. Currently,
Dr Bedrossian is a clinical professor
in the department of oral and
maxillofacial surgery at the Arthur A. Dugoni School of
Dentistry of the University of the Pacific in San Francisco in the US.
In addition to his teaching role, Dr Bedrossian contributes to
dental research as a member of the editorial review board for
respected journals such as the International Journal of Oral
and Maxillofacial Implants, the Journal of Oral and Maxillofacial
Surgery and Clinical Implant Dentistry and Related Research.
Additionally, he is a fellow of the International Team for
Implantology, showcasing his dedication to excellence
in implant dentistry and related fields.
Dr Armand Bedrossian is a
prosthodontist with a master’s degree
from the University of Washington in
Seattle in the US and is a diplomate of
the American Board of Prosthodontics,
demonstrating his expertise in the
field. Dr Bedrossian is also an affiliate
assistant professor at the University
of Washington School of Dentistry,
where he shares his knowledge and trains future dental
professionals. Additionally, he is a fellow of the International
Team for Implantology, further highlighting his commitment
to excellence in prosthodontics and implant dentistry.
2 2024
43
[44] =>
| case report
Screw-retained solution for
terminal dentition
Tissue-level implants and no multi-unit abutments
Dr Gian Battista Greco, Italy
Full-mouth rehabilitation of the terminal dentition with
implant-supported screw-retained prostheses represents
the gold standard of dental rehabilitation today.1, 2 In the
planning phase, once the patient’s general medical condition has been evaluated, a multitude of aspects must
be taken into consideration, involving the patient’s hard
and soft tissue and the morphology that the prosthetic
frameworks will have to assume in order to comply with
functional (mastication, deglutition and phonation) and
aesthetic requirements.
In cases where many or all of the functional parameters
(overjet, overbite, vertical dimension of occlusion, inclination of the occlusal plane, median and occlusal plane
cant, etc.) are altered, it may be useful to precede guided
surgery with a phase of rehabilitation, even a short one,
through removable prostheses in order to be able to test
our design and possibly correct it in the postoperative
phase. To this end, sagittal skeletal assessment through
orthognathic analysis is very useful in guiding the clinician
towards the functionally and aesthetically ideal result.3
Furthermore, with regard to the possibility of performing
immediate functional loading, it will be important to assess bone density through a CBCT examination and to
choose an implant with a morphology suitable for obtaining an implant insertion torque sufficient for the purpose.
The use of guided surgery will shorten the surgical time
and minimise implant placement errors.4
Patient history
1
A non-smoker and systemically healthy 72-year-old male
patient came to our clinic complaining of difficulty chewing owing to mobility of his maxillary fixed prosthesis
(Fig. 1). On radiographic examination, the four incisors
were found to be present in the maxillary arch, which clinically showed a high degree of periodontal and structural
compromise (Fig. 2). In the mandibular arch, the patient
had only the left canine remaining, to which a removable
partial prosthesis was attached.
Treatment plan
2
Fig. 1: Pre-op smile. Fig. 2: Pre-op panoramic radiograph.
44
2 2024
The patient expressed a desire to receive a fixed prosthetic solution anchored on implants. We decided to
initially construct a removable prosthesis (maxillary arch)
to correct the anterior and sagittal parameters, and the
mandibular canine would be left in place until guided
surgery.
[45] =>
case report
3
4a
|
4b
Fig. 3: Pre-op intra-oral scan. Figs. 4a & b: 2D digital smile planning, before (a) and after (b).
5
6
Fig. 5: 2D digital smile planning, close-up. Fig. 6: Appearance of the maxillary removable prosthesis.
7b
7a
7c
8
Figs. 7a–c: Lateral profile radiograph (a) and radiopaque cement applied to the removable prosthesis (b & c). Fig. 8: 3D markers applied to the maxillary and
mandibular prototypes.
9a
9b
10a
10b
Figs. 9a & b: 3D view of the implant planning, maxilla (a) and mandible (b). Figs. 10a & b: Mandibular (a) and maxillary surgical guides (b).
2 2024
45
[46] =>
| case report
An intra-oral scan (TRIOS 3, 3Shape; Fig. 3) and
a 2D digital smile design were then performed
(Smilecloud, Straumann; Figs. 4 & 5). With this
data, the laboratory (Nuova Eliodent) constructed
the maxillary removable prosthesis with a fully
digital flow.
11a
11b
12
13a
Under local anaesthesia, the four maxillary incisors were extracted, and the removable maxillary
prosthesis was delivered. The prosthesis still
showed some cant in the frontal plane (Fig. 6)
probably due to the mandibular occlusal plane;
therefore, a lateral profile radiograph was taken
after applying radiopaque temporary cement
(TempBond, Kerr) on the maxillary prosthesis to
highlight the course of the occlusal plane and the
position of the incisors (Fig. 7). Orthognathic analysis revealed the need to raise the occlusal plane
posteriorly and revealed the tilt of the occlusal
plane on the frontal plane (adjusting the two lines).
The prostheses were then scanned in the clinic
and duplicated in the laboratory and the necessary corrections effected digitally using two extraoral 3D markers (3DIEMME). The two resin prototypes were relined, and the intermaxillary relationship was determined (Fig. 8). Next, a CBCT scan
was performed, and the files were sent to the
laboratory, which performed CBCT and STL
matching within the guided surgery software
(RealGUIDE, 3DIEMME).
The placement of ten implants (Axiom X3 Tissue
Level, Anthogyr) with a narrow (4 mm) prosthetic
platform was planned, six in the maxillary arch
and four in the mandibular arch (Fig. 9). The laboratory constructed two surgical guides (INTEGRAL
fully guided surgery, Anthogyr; Fig. 10), the corresponding silicone splints for guide placement and
two open trays for plaster impression taking with
the pick-up technique. The two prototypes already
used for CBCT scanning were used to determine
the intermaxillary relationship.
Surgical procedures
Two months after delivery of the removable maxillary prosthesis, bimaxillary guided surgery under
venous sedation was performed. The osteotomies in the maxillary arch were performed flapless
13b
46
2 2024
Figs. 11a & b: Maxillary (a) and mandibular arches before osteotomy
preparation (b). Fig. 12: Axiom X3 Tissue Level implant before its
placement. Figs. 13a & b: Maxillary (a) and mandibular arch pickup impression copings placed (b).
[47] =>
case report
14a
14b
15a
15b
|
Figs. 14a & b: Maxillary (a) and mandibular arch plaster impressions (b). Figs. 15a & b: Adaptation of the prototypes to the healing screws.
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[48] =>
| case report
with the exception of position #16, since it required a small guided bone regeneration procedure (Figs. 11a), in addition to a transcrestal sinus
lift using the Osteo Safe system (Anthogyr). The
osteotomies in the mandibular arch were performed after raising a mucoperiosteal flap to allow
for osteoplasty in the area of position #33 and to
preserve keratinised soft tissue (Fig. 11b).
Implant insertion torques ranged from 35 Ncm to
50 Ncm (Fig 12). Pick-up impression copings were
then connected directly to the heads of the implants, without the interposition of multi-unit abutments (Fig. 13), and plaster impressions were
taken (Fig. 14). Two prostheses screwed directly
to the heads of the implants were planned to be
fabricated using the inLink prosthetic connection
system (Anthogyr). Then, after connecting the
healing screws, the intermaxillary relationship was
recorded by relining the two prototypes on to the
healing screws (Fig. 15).
16
The laboratory then constructed two screwretained prostheses by making two milled titanium bars that were bonded to the inLink (stock)
abutments (Fig. 16). The prostheses were delivered
to the patient without local anaesthesia 24 hours
after the guided surgery (Fig. 17). Occlusal adjustments were performed to optimise the static
and dynamic intermaxillary relationship. A dental
panoramic radiograph was then performed, and it
showed the perfect connection of the prosthetic
structures (Fig. 18).
17
18
Fig. 16: Screw-retained maxillary and mandibular temporary prostheses. Fig. 17: Postop view 24 hours after implant placement. Fig. 18: Post-op panoramic radiograph
24 hours after implant placement.
19a
Figs. 19a & b: Soft-tissue healing at five months, maxilla (a) and mandible (b).
48
2 2024
19b
After five months, the prostheses were unscrewed
and mounted on to the master models. The appearance of the peri-implant soft tissue was satisfactory (Fig. 19). Scans (TRIOS 3) of the prostheses on the models were taken (Fig. 20), and the
intermaxillary relationship was then determined in
the mouth. The laboratory then produced two
new prototypes incorporating a 1 mm reduction
[49] =>
case report
20a
|
20b
Figs. 20a & b: Extra-oral scans of the maxillary (a) and mandibular temporary prostheses (b).
21a
21b
Figs. 21a & b: Cobalt–chromium CAD/CAM structures (Simeda, Anthogyr), complete maxillary (a) and complete mandibular structures (b).
22a
22b
Figs. 22a & b: Mandibular final screw-retained prosthesis, occlusal (a) and intaglio surfaces (b).
23a
23b
Figs. 23a & b: Maxillary final screw-retained prosthesis, occlusal (a) and intaglio surfaces (b).
2 2024
49
[50] =>
| case report
24
25
Fig. 24: Intra-oral view of the final fixed restorations. Fig. 25: Final smile.
in the vertical dimension of occlusion at the mandibular
arch (the exposure of the mandibular incisors was excessive, and the patient exhibited slight difficulty swallowing).
The two prototypes were tested in the mouth and relined
with elastomer to take the soft-tissue impression. The
laboratory then designed the final prostheses, and the
files were sent to the Simeda manufacturing centre
(Anthogyr) to make two inLink milled bars in cobalt–
chromium (Fig. 21). The material chosen for the final prostheses, for both the gingival and tooth portions, was
PMMA (Figs. 22 & 23). The patient was informed of the
need for tooth replacement every five to eight years, depending on the degree of wear found during periodic
controls. The two screw-retained prostheses were then
delivered, and the screws were tightened to 25 Ncm as
prescribed by the manufacturer (Figs. 24 & 25). Finally, a
radiographic check was performed (Fig. 26).
Conclusion
The treatment performed did not lead to any surgical or
prosthetic complications. The use of the INTEGRAL guided
surgery system reduced the surgical time and avoided
implant placement errors. The morphology of the chosen
implant allowed for rapid and accurate implant placement and provided adequate torque for immediate functional loading. In addition, Anthogyr’s inLink connection
reduced the surgical time and the rehabilitation costs
because no multi-unit abutments were used. Overall,
both the clinical team and the patient expressed a high
degree of satisfaction with the result achieved.
Editorial note: This article was first published in
implants—international magazine of oral implantology,
Vol. 25, Issue 1/2024.
Please scan this QR code for the list of references.
about
Dr Gian Battista Greco graduated
in dentistry and dental prosthetics
from the University of Trieste in
Italy in 2000.He completed a biennial
course in prosthetics and implant
prosthetics with Dr Stefano Gracis,
Milan, Italy in 2008 and a biennial
course in periodontal and
peri-implant plastic surgery
with Prof. Giovanni Zucchelli, Bologna, Italy in 2017.
He is in private practice in Milan and has a main focus
on implant-supported prosthetic therapy,
periodontal plastic surgery and cosmetic dentistry.
contact
26
Fig. 26: Control radiograph.
50
2 2024
Dr Gian Battista Greco
Dentalnarco S.r.l.
Trezzano
Italy
gianbattista.greco@dentalnarco.com
www.dentalnarco.com
[51] =>
dental-tribune.com
dtstudyclub.com
E-newsletter
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15
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Celebrating 20 years of
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Interview
Prof. Phoebus
Madianos discloses
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An interview with
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tendees of EuroPerio
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Dental Tribune International
[52] =>
| manufacturer news*
Innovative cloud-based solution from Straumann
Track success and pinpoint opportunities for enhancement
Straumann has introduced an innovative cloud-based solution
that enables clinicians to measure their implant treatment success and identify areas for improvement. The Implant Registry
offers four key benefits: traceability of products and patients,
streamlined insights for better clinical decision-
making, automation of clinical tasks, and convenience and safety. This product is an expression
of Straumann’s core values, emphasising patient
satisfaction, treatment reliability and clinician
education.
More than 88,000 implant products covered
The Implant Registry contains a vast database,
covering over 88,000 Straumann and non-
Straumann implant products, enabling clinicians
52
2 2024
to track procedures and devices, including implants and related
materials, as well as potential complications. By recording their
implant treatments in the Implant Registry, clinicians can identify
the strengths of their protocols and decisions, as well as areas
for improvement in practice, supporting clinician confidence.
Short videos for self-paced learning on using the
Implant Registry are available at bit.ly/4aYphTk.
For more information, please visit the Implant
Registry homepage on the Straumann website.
www.straumann.com/en/discover/
implant-registry-app.html
* The articles in this category are provided by the manufacturers or distributors and do not reflect the opinion of the editorial team.
Implant Registry—collect, store and analyse your implant data
[53] =>
G
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26 & 27 JUNE 2026
D
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REVOLUTIONISING
D I G I TA L D E N T I S T R Y
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SAV E T H E DAT E
[54] =>
| meetings
ITI World Symposium 2024
attracted more than 5,000 attendees
Dental Tribune International
The seven-year wait since the last on-site International
Team for Implantology (ITI) World Symposium has finally
come to an end. On 9 May, the 2024 edition in Singapore
kicked off with a rousing opening ceremony, including
a vibrant dragon dance for the 5,700 delegates. Attendees
experienced three days of lectures, discussion and learning opportunities, focused on evidence-based science
and patient-centred care and presented by the brightest
minds in dentistry. The event also offered an engaging
industry exhibition.
The meeting featured over 50 globally recognised
speakers, who shared their expertise on a range of
topics, including soft-tissue management, guided bone
regeneration, bone augmentation, immediate implant
placement, peri-implantitis and digital workflows.
Notable speakers at this premier scientific event
in implant dentistry included Prof. Daniel Buser,
Prof. Giovanni Zucchelli, Prof. Irena Sailer, Dr Stephen Chen,
Dr Helena Francisco, Dr Lisa Heitz-Mayfield and
Dr Charlotte Stilwell.
54
2 2024
“The ITI has given us so much on protocol and made
my treatment success fairly predictable,” attendee
Dr Michael Cai from Australia said at the event.
The 2024 ITI World Symposium is not only highlighting
innovative dental content and esteemed speakers,
but also celebrated the rich culinary diversity of
Singapore. Attendees enjoyed live cooking demon
strations by chefs specialising in Chinese, Indian and
European cuisines. Additionally, the entire event area
was Singapore-themed, immersing attendees in an
experience of the essence of this vibrant Asian
metropolis.
The symposium served as an excellent platform for
dental professionals to reconnect with colleagues and
forge new connections. An accompanying mobile app
enhanced networking opportunities by helping attendees
identify and make contact with like-minded peers.
Social engagement was further supported with designated areas for casual meet-ups over coffee or tea.
[55] =>
meetings
A particular highlight of the social programme was
the Straumann Beach Party on Sentosa Island on
10 May, providing a relaxed setting for informal inter
action.
To enhance the accessibility of the event, the sym
posium offered artificial intelligence-supported simul
taneous interpretation of all lectures, workshops
and partner sessions into more than 50 languages,
including major Asian and European languages.
This feature ensured that all attendees could fully
engage with the content, regardless of their linguistic
background.
|
“The meeting featured over
50 globally recognised speakers,
who shared their expertise
on a range of topics.”
More information on the event can be found at
worldsymposium.iti.org.
All images: © Dental Tribune International
2 2024
55
[56] =>
| meetings
56
2 2024
FDI World Dental Congress
IAO-EAO-SIdP
Joint Meeting
12–15 September 2024
Istanbul, Turkey
www.2024.world-dental-congress.org
24–26 October 2024
Milan, Italy
www.congress.eao.org/en
MIS Global Conference
CEDE 2024
12–15 September 2024
Palma de Mallorca, Spain
www.mis-implants.com
07–09 November 2024
Łódź, Poland
www.cede.pl/en
ICOI World Congress 2024
CAD/CAM Digital
& Oral Facial Aesthetics
37th Int’l Dental
ConfEx
26–28 September 2024
Orlando, US
www.icoicampus.org/upcoming-events
15–16 November 2024
Dubai, UAE
www.cappmea.com/confex2024
17th International
Sofia Dental Meeting
French Dental Association
Annual Meeting
26–28 September 2024
Sofia, Bulgaria
www.sofiadentalmeeting.com
26–30 November 2024
Paris, France
www.adfcongres.com
DenTech China 2024
Greater New York
Dental Meeting 2024
24–27 October 2024
Shanghai, China
www.dentech.com.cn
01– 04 December 2024
New York, US
www.gnydm.com
© 06photo/Shutterstock.com
International events
[57] =>
|
© 32 pixels/Shutterstock.com
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2 2024
57
[58] =>
| international imprint
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58
2 2024
[59] =>
STRAUMANN® REVEX SCANBODY
DO YOU WANT
TO ACHIEVE
THESE GOALS?
→ Reduce visits from 5 to 3 (up to 40 %)
→ Provide more comfort to your patients
and increase efficiency¹,²
Then Straumann® RevEX is your tool:
it’s digital, comfortable and simple – and
the key to a fully digital workflow for
the final full-arch restoration.
www.straumann.com/revex
”
Dr. Panos Papaspyridakos, USA
”
1 Panos Papaspyridakos, Armand Bedrossian, Yukio Kudara, Panagiotis Ntovas, Abdullah
Bokhary, Konstantinos Chochlidakis. Reverse scan body: A complete digital workflow
for prosthesis prototype fabrication. Journal of Prosthodontics, 2023 2 E. Armand
Bedrossian DDS, MSD, FACP, Panos Papaspyridakos DDS, MS, PhD, Edmond Bedrossian
DDS, FACOMS, FAO, FITI “The Reverse Scan Body protocol”: Completing the Digital
Workflow, Compendium June 2023 (will be published in August 2023).
A0056/en/A/00 08/23
A REAL GAMECHANGER.
[60] =>
THE
Zirconia
Implant Bridge
Available through DTX Studio™, exocad™ or 3Shape™ via OpenAccess.
Made for
esthetics.
Cementfree.
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Achieve natural looking
restorations with our
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Reduce complexity and save
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Angulated screw channel
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connection platforms.
4
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/ Evaluating two newly launched intra- oral scanners against market favourites
/ The intersection of technology: Guided implant surgery and 3D printing
/ Digital technology for full-arch implant prostheses
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