DT ASEAN No. 4, 2022DT ASEAN No. 4, 2022DT ASEAN No. 4, 2022

DT ASEAN No. 4, 2022

Cover / Editorial / Content / Providing best orthodontic treatment in era of patient empowerment / Doctors should confirm penicillin allergy claims to prevent antibiotic overuse in dentistry / World News / “Our tools make so much sense for anyone who has teeth” / Researchers develop customised 3D-printed toothbrush handle for patients with limited dexterity / Regional News / In the hot seat / Business / ADVERTISER INDEX

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            [1] => 







No. 4, Oct-Dec 2022

Dentists across Scotland
are testing AI program
that can identify dental
caries

Study indicates denture
wearers may be more at risk
of nutritional deficiencies

Researchers develop
customised 3D-printed
toothbrush handle for
patients with limited dexterity

Image source: Freepik

In The Hot Seat
BADN launches menopause policy to
raise awareness and improve working
conditions for dental nurses


[2] =>

[3] =>
Dental Tribune ASEAN

EDITOR’S MESSAGE

W

Publisher
FBI Publications (M) Sdn. Bhd.

e have come to the
last issue of the Dental
Tribune ASEAN 2022
edition! We are proud
and grateful to come a long way since
when we first started last year. We hope
our coverage of the dentistry industry
across the world and specifically in
Southeast Asia is adequate for our
readers.
Unauthorized dental services offered
by fake dentists becomes a hot topic
again recently. This issue has been
around prior a few years back and as
the demand is still there, they’re still
operating to this day. Estimated around
130 reports in 2019 of fake dentists cases
were received by The Ministry of Health
in Malaysia. People especially teens
and young adults often seek treatment
from the unauthorized dentist at the
beautician parlor as it’s a lot cheaper
and more convenient.
This is alarming as not going to the
proper and authorized dentist can
cause irreversible damage to the teeth
and gums as the process only involves
wiring fake teeth or teeth to adjacent
teeth. This in return can risk tooth
decay and gum problems. Serious
treatment like this should be done by
a legitimate dentist as it needs a proper

Marketing Communication
Nur Izyan binti Dzulkifli
izyandzul@fireworksbi.com
Publication Manager
Vanny Lim
vanny@fireworksbi.com

Susan Tricia
Editor
assessment. As 2022 about to come
to an end, let’s be hopeful that fake
dentist service will susbside in the
near future.
On the other hand, we are glad
to announce that Dental Tribune
ASEAN will join the International
Dental Exhibition and Meeting
(IDEM) 2022 at Marina Bay Sands,
Singapore from the 7th of October
to the 9th of October. See you there!
Dental Tribune ASEAN will be
circulated in dental exhibitions,
seminars, and even webinars across
ASEAN
providing
additional
mileage for advertisers of the
magazine and reaching out to new
subscribers. Visit our website at
asean.dental-tribune.com for more
updates.

Malaysia Publishing Partner
FBI Publications (M) Sdn Bhd
Add: 9-3, Jalan PJU 5/6, Dataran Sunway, 47810, Petaling Jaya,
Selangor
Tel: +603-6151 9178
Email: my@fireworksbi.com
International Headquarters
Publisher and Chief Executive Officer
Torsten R. Oemus
Chief Content Officer
Claudia Duschek
Dental Tribune International GmbH
Holbeinstr. 29, 04229 Leipzig, Germany
Tel.: +49 341 4847 4302 | Fax: +49 341 4847 4173
General requests
info@dental-tribune.com
Sales requests
ASEAN region:
vanny@asiafbi.com
asean.dental-tribune.com
International:
mediasales@dental-tribune.com
www.dental-tribune.com

Assistant Editor
Atthira Zawana
atthirah@fireworksbi.com
Creative Designer
Muhammad Fadzil
design@fireworksbi.com
Board of Directors
Kenny Yong
Susan Tricia
Official Magazine of

Disclaimer
Material from Dental Tribune International GmbH that has been reprinted or translated
and reprinted in this issue is copyrighted by Dental Tribune International GmbH. Such
material must be published with the permission of Dental Tribune International GmbH.
Dental Tribune is a trademark of Dental Tribune International GmbH.All rights reserved.
© 2022 Dental Tribune International GmbH. Reproduction in any manner in any language,
in whole or in part, without the prior written permission of Dental Tribune International
GmbH is expressly prohibited. Dental Tribune International GmbH makes every effort
to report clinical information and manufacturers’ product news accurately but cannot
assume responsibility for the validity of product claims or for typographical errors. The
publisher also does not assume responsibility for product names, claims or statements made
by advertisers. Opinions expressed by authors are their own and may not reflect those of
Dental Tribune International GmbH.
Dental Tribune International GmbH, FBI Publications (M) Sdn Bhd nor its affiliated
entities make any promises, implied or otherwise, about the fitness of any technique, piece
of equipment, or material for a particular purpose.
Dental Tribune International GmbH, FBI Publications (M) Sdn Bhd, or its affiliated entities
will not be liable for any damages of any kind or loss of profits that might arise from
information found in this magazine regardless of whether Dental Tribune International
GmbH has been advised of the possibility of such damages.
The material contained in this magazine is offered as information only and should not be
used to replace any practice, financial, accounting, legal, or other professional advice that
users might obtain from their own professional advisors.
Information in this magazine should not be substituted for the individual judgment brought
to each clinical situation by a patient’s dental practitioner. The techniques and opinions
presented on this site reflect the science of dentistry at a particular point in time, and users
should be aware that continued research on these topics may provide new knowledge or
recommendations.
Dental Tribune International GmbH and FBI Publications (M) Sdn Bhd does not necessarily
endorse the non-Dental Tribune International resources that may appear or be referenced
in this magazine and offer no guarantee about the products or services they may provide.
Some sections in this magazine are published by separate organizations or entities, which
are solely responsible for their content. Statements appearing in those portions are not
necessarily endorsed by Dental Tribune International GmbH, FBI Publications (M)
Sdn Bhd, or any of its subsidiaries. Also, Dental Tribune International GmbH and FBI
Publications (M) Sdn Bhd does not offer any guarantee with respect to the accuracy of any
items or claims contained therein.
Dental Tribune International GmbH and FBI Publications (M) Sdn Bhd does not, via
this magazine or any of its affiliated media, encourage dentists to make any particular
business decision based on issues addressed herein. Business decisions and decisions about
individual patients and methods of practice are personal decisions, and the responsibility
for these decisions rests upon the shoulders of the attending dental practitioner.


[4] =>
4Dental Tribune ASEAN

CONTENTS
Clinical news

6

Providing best orthodontic treatment in era of
patient empowerment

8

Study indicates denture wearers may be more at
risk of nutritional deficiencies

World news

9

NHS releases worrying dental statistics for England

10

Osstell announces new CEO will take up position

20

in September

11

Dentists across Scotland are testing AI program
that can identify dental caries

12

Exhibitors stack up for IDS’s centennial event in
2023

Innovations

13

“Our tools make so much sense for anyone who has
teeth”

16

Researchers develop customised 3D-printed
toothbrush handle for patients with limited dexterity

Regional news

18

China caps cost of dental implant treatment

10 20

In the hot seat

Oral-B and iADH to put patients with disabilities at
heart of their partnership

22

BADN launches menopause policy to raise
awareness and improve working conditions for
dental nurses

Business

18
Dental Tribune ASEAN | Oct-Dec 2022

26

Oral-B and Straumann: Raising the bar to limit
periodontal and peri-implant disease, from chair to
self-care


[5] =>
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[6] =>
6

CLINICAL NEWS

Providing best orthodontic treatment in
era of patient empowerment
By Dental Tribune International

In the age of patient empowerment, consumers want digital solutions and they want to feel that their treatment is specifically designed for
them. (Image: Kulniz/Shutterstock)

Digital technologies have changed the way in which we live
and the ways in which we align teeth. According to leading UK
orthodontic specialist Dr Guy Deeming, these changes can no
longer be seen as being mutually exclusive. In a free webinar on
15 September, Dr Deeming will speak about the ways in which
new orthodontic technologies can address patients’ changing
behaviour and expectations and improve clinical outcomes and
the patient experience.
“The era of patient empowerment is here, and it is not going
away. It is right in front of our eyes, if we care to see it,” Dr
Deeming told Dental Tribune International.
The term patient empowerment is used increasingly today in
order to describe the greater level of control and involvement
that patients have in their dental care, particularly when it comes
to aesthetic treatments. Dr Deeming, who provides training
to other orthodontists and who has treated nearly 3,000 clear
aligner cases, explained that the term refers to the broader
Dental Tribune ASEAN | Oct-Dec 2022

empowerment of consumers in the digital age. He said: “Patient
empowerment is actually more about consumer empowerment
because one of the things that we see in our daily lives is that we
are more and more in control of how we interact with businesses,
whether it be online banking or appointment booking. Why
should dentistry—and orthodontics, in particular—be any
different?”
In his upcoming free webinar, Dr Deeming will provide
participants with a deeper understanding of the changing
landscape of orthodontic treatment and the ways in which
shifts in consumer behaviour have affected patient expectations.
He will go into depth about how dentists can leverage digital
communication channels in order to improve interaction
with new and existing patients, and he will also detail the
clinical benefits offered by technologies that increase patient
empowerment, such as remote monitoring, artificial intelligence
and teledentistry platforms.


[7] =>
7

Leading UK orthodontic specialist Dr Guy Deeming. (Image Guy Deeming/DT Study Club)

“What we are seeing is that consumers want faster
treatments. They want digital solutions, and they
want fewer appointments”
According to Dr Deeming, the new and emerging technologies
that he will discuss enable dentists to deliver patient-centred
oral care and align treatment with patient expectations. “These
technologies fit well with how people are used to interacting
and, most importantly, they do not compromise the quality
of work that you are able to deliver to your patients,” he said.
They include messaging systems or technologies based on
mobile applications, such as those seen within the DentalMind
and DentalMonitoring platforms, and those that offer virtual
consultations and in-face visualisations.

“What we are seeing is that consumers want faster treatments.
They want digital solutions, and they want fewer appointments.
They want to feel that they have ownership of their treatment
and to feel that their care is specifically designed for them,” Dr
Deeming stated.
An orthodontist and partner at Queensway Orthodontics, Dr
Deeming runs seven specialist orthodontic clinics in north-east
England and is a clinical speaker for the Invisalign system and
for DentalMonitoring. He was formerly director for clinical
practice at the British Orthodontic Society.

Dental Tribune ASEAN | Oct-Dec 2022


[8] =>
8

CLINICAL NEWS

Doctors should confirm penicillin allergy claims to prevent antibiotic overuse in
dentistry
By Anisha Hall Hoppe, Dental Tribune International
Antibiotic resistance as a result of overprescription is a
topic of great concern for researchers and activists across all
specialties within medicine, dentistry not excluded. Dr Bodil
Lund, professor of oral and maxillofacial surgery and head of
the Department of Dental Medicine at Karolinska Institutet in
Sweden is a supporter of rational antibiotic therapy in dentistry.
“Penicillin works very well on dental infections. However,
about 10% of patients tell their dentist that they’re allergic to
penicillin, even though only about 1% of the population actually
is. The allergic patients are given clindamycin, which is a broadspectrum antibiotic. I usually urge dentists here to ask their
patients to get checked out by a doctor,” said Prof. Lund in an
interview conducted by the Karolinska Institutet.
Prof. Lund cited examples from Sweden where there has been
a 30% drop in the number of prescriptions written by Swedish
dentists since 2007. However, there are still stark differences in
the number of antibiotic prescriptions in different regions, and
there is a greater reduction in prescriptions in public dental care
than there is in the private sector.
Dentists the world over have initiated antibiotic education
campaigns in recent years. In the UK, a number of organisations,
including the British Dental Association, the College of General
Dentistry and the Association of Clinical Oral Microbiologists,
have joined forces to encourage dental professionals and
patients to remember the simple message that “Antibiotics do
not cure toothache”. In addition, recent studies have indicated
that antibiotic prophylaxis may not prevent postoperative
infections.
According a 2020 study published in the British Dental Journal,
even prior to the pandemic, 80% of the antibiotics prescribed by
dentists in the UK and the US resulted in unnecessary antibiotic
use that was not in accordance with general guidelines.
Dental Tribune ASEAN | Oct-Dec 2022

According to Dr Bodil Lund, about 10% of patients tell their dentist
that they’re allergic to penicillin, even though only about 1% of the
population actually is. (Image: SnapshotPhotos/Shutterstock)

Meanwhile, in Sweden, Prof. Lund is pushing for more
education and research into antibiotic overuse. She co-authored
a recent study that indicated that the risk of endocarditis is
not heightened with reduced antibiotic administration. The
study found no significant indications of increased morbidity
in patients at high risk of infective endocarditis after Sweden’s
move to reduce antibiotic use—a move meant to reduce
antibiotic resistance and borne of a lack of evidence of its
necessity.
“Treating infections ‘just to be on the safe side’ is a thing of the
past,” commented Prof. Lund on the troubling trend. “Broadspectrum antibiotics also need to be used less,” she added.
Lund and her colleagues at Karolinska Institutet are striving
to understand where knowledge is lacking within dentistry
in order to best respond to the large number of unnecessary
prescriptions.


[9] =>
WORLD NEWS 9

NHS releases worrying dental
statistics for England
By Iveta Ramonaite, Dental Tribune International
Late in August, the National Health Service (NHS) released
the annual dental statistics for England. The report provides
information on NHS dental activity in the country for the
12-month period ending March 2022 and includes data on the
number of patients seen by NHS dentists up to the end of June
2022.
To limit the spread of SARS-CoV-2 transmission, dental
practices in England were instructed to close from 25 March
2020 and provide emergency care only until the government
announced the slow reopening of the businesses from 8 June
2020.
According to the report, only 16.4 million adults (34%) accessed
NHS dental care in the 24 months prior to 31 March 2022.
Similarly, the number of children seen by an NHS dentist
dropped to 5.6 million (44.8%). According to the British
Dental Association (BDA), the figures were at 48.6% and 58.7%
respectively in the last full year before the pandemic.
Additionally, the data showed that as few as 26.4 million
courses of NHS dental treatment were delivered between 2021
and 2022, compared with an average number of 39.4 million
courses delivered annually in the five years before the pandemic.
Unfortunately, although dental professionals have been required

to deliver 100% of their pre-pandemic activity from April this
year, the BDA noted that the imposed targets have not resulted
in an increase in the volume of NHS dentistry delivered.
Mounting crisis and looming death of NHS
Since the beginning of the lockdown, the NHS has experienced
enormous patient backlogs owing to limited access to dental
services. Highlighting the true extent of the NHS dentistry
crisis, recent research conducted by the BBC reported that nine
in ten NHS practices have said that they are unable to accept
new adult patients.
In response to the recent dental statistics for England, the BDA
noted that there is an urgent need for radical change in order to
reform dental services in the country.
“What we’re seeing isn’t a recovery but a service on its last legs,”
said Dr Eddie Crouch, chair of the BDA Principal Executive
Committee, in a press release.
“NHS dentistry is light years away from where it needs to be.
Unless ministers step up and deliver much needed reform and
decent funding, this will remain the new normal,” he concluded.

A recent report published by NHS England showed a staggering drop in the number of patients accessing NHS dental services in recent
years. (Image: LunaKate/Shutterstock)
Dental Tribune ASEAN | Oct-Dec 2022


[10] =>
10 WORLD NEWS

Osstell announces new CEO will
take up position in September
By Dental Tribune International

Osstell’s new CEO Malin Gustavsson brings more than 15 years of experience in the medical device sector to her new position. (Image: Osstell)

O

sstell, a W&H company that is known for the development of its unique ISQ diagnostic technology,
recently announced that Malin Gustavsson will succeed Jonas Ehinger as CEO at the end of September.
Having more than 15 years of senior management in the medical device industry, Gustavsson brings extensive experience to
her new position. Her former employers include Straumann and
Elos Medtech, a leading global development and manufacturing
company.
“I am very happy to have been entrusted to lead and contribute to the company’s continued growth together with the board
and the team at Osstell. Since I worked in the dental industry
for many years, I know the company from before and its strong
brand,” Gustavsson commented.
She continued: “I am very much looking forward to taking over
as CEO at Osstell shortly and to getting to know both the customers, partners and the employees more closely, along with its
business, to drive the company’s strategy with a strong focus on
delivering clinical value to the market.”
Dental Tribune ASEAN | Oct-Dec 2022

Klaus Maier, W&H Group CEO, said: “Malin’s extensive experience within the dental market her business development and
managerial skills will help drive further growth of Osstell and
will be of great value to the W&H Group. We are excited to welcome Malin.”
He added: “We are sad to see Jonas leave Osstell and the W&H
Group but are very grateful for his contributions and dedicated
continuous development and now wish him the very best in his
new assignment.”
Ehinger has led Osstell for the past 12 years, which were characterised by strong growth and different ownership structures.
During this time, the company strengthened its focus on its
ISQ technology and, more recently, developed OsstellConnect,
which will be a main focus in the coming years. Ehinger will
take on another CEO position outside of the dental and medical
industry.


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WORLD NEWS 11

AssistDent is a program that utilises artificial intelligence to aid dentists in more accurately detecting dental caries. (Image: shmai/Shutterstock)

Dentists across Scotland are testing AI
program that can identify dental caries
By Anisha Hall Hoppe, Dental Tribune International

A

pioneering study is being carried out across both
National Health Service (NHS) and non-NHS dental
practices in Scotland in which software driven by
artificial intelligence (AI) is helping practitioners locate caries
more effectively. The program, AssistDent, was developed by
Manchester Imaging, a spin-off company from a collaboration
between dentistry and imaging sciences at the University of
Manchester in the UK.
Aimed at early detection, AssistDent utilises machine learning
algorithms to evaluate dental radiographs to note or confirm
areas of potential enamel-only proximal caries. With early
identification of dental caries, patients can avoid fillings through
preventive care such as fluoride treatments.
With more than 65 practices and 200 dentists serving over
half a million patients across Scotland, Clyde Munro Dental
Group is using AssistDent in a pilot test with five of its dentists
located across Scotland. Fiona Wood, the chief operating officer
for Clyde Munro, explained the use of AI as a powerful tool
for prevention, stating: “We always aim for prevention—and

this technology has the potential to support our dentists in
identifying the early signs of tooth decay before it develops and
to direct the prevent care needed to the correct teeth. The AI is
a useful tool to show and demonstrate to patients areas of dental
need or concern to give the patient the chance to reverse enamel
changes with support from Clyde Munro dentists.”
AssistDent’s capability has been evaluated in peer-reviewed
research conducted by experts from the University of
Manchester’s dental school published in the British Dental
Journal. In the study, the group that used AssistDent found
76% of the caries previously identified by expert dentists on
24 bitewing radiographs, compared with 44% of the problem
areas found by the group that did not utilise the AI software. The
researchers concluded that AssistDent significantly improves
dentists’ ability to identify enamel-only proximal caries.
According to the 2019 Global Burden of Disease study and
the World Health Organization, untreated dental caries affects
44% of the global population, some 3.5 billion people, making it
the most common condition out of nearly 300 evaluated.
Dental Tribune ASEAN | Oct-Dec 2022


[12] =>
12 WORLD NEWS

IDS 2023 will mark 100 years of the trade fair and more than 1,000 exhibitors have already registered for the jubilee event—pictured is the
Dr. Jean Bausch stand at IDS 1962. (Image: IDS/Koelnmesse)

Exhibitors stack up for IDS’s centennial
event in 2023
By Dental Tribune International
The International Dental Show (IDS) will take place from 14
to 18 March next year, and more than 1,000 exhibitors have
already registered for the event. The organisers say that the
growing exhibitor list already includes some of the key players
in dentistry, such as Dentsply Sirona, which opted not to attend
the event in 2021 owing to concerns relating to the SARS-CoV-2
pandemic.
IDS 2023 is set to be a jubilee event. It will be the 40th iteration
of the trade fair and will mark 100 years since the first IDS took
place in 1923. The organisers—the Association of the German
Dental Industry (VDDI) and Koelnmesse—say that these
milestones are a testament to the strength of the international
dental industry, and dentists from around the world are no doubt
looking forward to seeing their industry return to Cologne in
full force.
Owing to the pandemic, the 39th IDS was postponed by six
months and took place without a number of its stalwarts.
Dentsply Sirona and Ivoclar opted not to attend the event in
2021 and have now both returned to the preliminary exhibitor
list.
Dentsply Sirona said in a press release that the company will
showcase its latest innovations in digital dentistry at the event.
Walter Petersohn, chief commercial officer at the company,
stated: “We are very excited to join IDS 2023 and reconnect
Dental Tribune ASEAN | Oct-Dec 2022

with dental professionals from all over the world for a week
of knowledge sharing and networking.” He added that a full
programme of events will take place at the company’s booth.
Norbert Wild, managing director at Ivoclar Germany, said in
a VDDI and Koelnmesse press release that participating in
the event will allow the company “to present products and
solutions and engage in a targeted exchange with dentists,
dental technicians and dental hygienists at one location”.
VDDI and Koelnmesse said that 400 companies from
11 countries have already registered for IDS 2023. Registrations
from China, Japan, South Korea and Singapore indicate that
companies from the Asia Pacific region are poised to make their
mark on the event, and those from Argentina, Brazil, Israel, Italy
and the US suggest that next year’s IDS will live up to the event’s
reputation as a truly international snapshot of the contemporary
dental industry.
IDS 2023 will be staged across 7 halls of the Koelnmesse trade
fair grounds in Cologne, and a total exhibition space of 180,000
m² will make it larger than pre-pandemic events. In 2019, the
38th IDS covered 170,000 m² of exhibition space and featured
2,260 vendors from more than 60 countries. In 2021, the 39th IDS
was downsized to 115,000 m² and featured 830 exhibitors from
59 countries.


[13] =>
INNOVATIONS 13

“Our tools make so much sense for
anyone who has teeth”
By Anisha Hall Hoppe, Dental Tribune International
Toothbrushing has not changed all that much over the last
century, and other than the advent of individual flossers, neither
has flossing. Inventor and business owner Chris Martin decided
to change all of that by attempting to improve his own oral
hygiene habits by designing an easier method of getting the job
done than a standard toothbrush and floss. His goal was to make
cleaning fool proof and save time, and in doing so, he created
two devices that make oral hygiene a much easier prospect for
people all over the world. Dental Tribune International was able
to speak with Martin about the development of his bestselling
products, Blizzbrush and Blizzflosser.
Mr Martin, could you give us some information about
your professional background?
I studied mechanical engineering, computer science and
economics. During and after my studies, I worked for my family’s
engineering business, where we designed and manufactured
components for the automotive industry. There I developed
virtual reality CAD software which enabled Formula One racing
teams and the automotive industry at large to design, optimise,
rapid prototype and manufacture complex and innovative
vehicle components.

What was the inspiration behind the Blizzflosser?
Throughout my life I have suffered from dental problems, mainly
as a result of bad cleaning habits, and I observed many friends
and relatives having the same problems. I had many discussions
with my dentist friends about possible new solutions. I believed
that, having a background in engineering, manufacturing
and CAD software development, I could be able to develop a
solution.
The main problem is that most people don’t have the patience and
discipline to brush long enough and with the correct techniques.
According to studies, people only brush for about 40 seconds
on average instead of the recommended 2–3 minutes and, of
course, without the correct techniques. It is often difficult, if not
impossible, to reach every surface and space that needs cleaning
using traditional toothbrushes. Problems then develop in those
parts of the oral cavity that cannot be easily cleaned.
My initial idea was to create a solution that could ensure perfect
cleaning and only took seconds. I thought people needed an
innovative tool, tailored to their individual mouth, that could
provide that cleaning by just biting and grinding a little.

The Blizzflosser is the latest creation by Chris Martin, who sought a faster way for anyone to have great oral hygiene. (All images: Chris
Martin, Blizzbrush)
Dental Tribune ASEAN | Oct-Dec 2022


[14] =>
14 INNOVATIONS
What was the development process for your product
like? Were there many prototypes and much trial and
error, or did you have a clear end product in mind?
I had an idea of the end product, but the journey to achieve that
was much longer and more difficult than I had ever anticipated.
I thought I would be able to solve the problem in half a year, but
it ultimately took ten years of constant innovation to create the
perfect solutions we offer today.
Regarding the Blizzbrush, the end product I had in mind was
the customised 3D-printed brush we developed between 2012
and 2019. But through our efforts we also developed the sponge
brush concept that you can see and buy now. The current
Blizzbrush is a completely different product that cleans even
better and costs less. And even this design changed considerably
from the initial version designed in 2020 to the final version in
2022.

Product creator Chris Martin with the Blizzbrush, a sponge-like
brushing device that thoroughly cleans teeth in far less time than
traditional brushing.

The development, testing and refining processes for hardware
solutions take an enormous amount of time as well. We
developed many different designs and prototypes over the years,
and whenever we had ideas for improvements, we developed
them. The final versions of both the toothbrush-sponge and
the flosser are extremely simple and efficient tools. We are still
working on optimising manufacturing, an important part of
product development that people don’t see.
In both the brush and the flosser, there are several major hidden
innovations, that each took weeks or months, sometimes years
of development time and that people are seldom aware of.

Creator of the Blizzflosser, Chris Martin and the results of years of
development, a Blizzflosser device.

As for the Blizzflosser, the first idea and the final product are very
similar, but the journey of developing the product was longer
because we initially tried to make it work with widely available
flosses. That lead to designs that were difficult to manufacture
and use even after experimenting with many different variations
and flosses. What ended up bringing the present product to life
was the idea to use a completely different innovative floss design
that is actually robust, soft and washable. Making such drastic
changes usually happens after considerable experience, after you
have tested everything and you are confident that you can take
bold decisions, because by that point you have become an expert
in the field.
Dental Tribune ASEAN | Oct-Dec 2022

Blizzfloss creator Chris Martin demonstrating how to use the device.


[15] =>
The Blizzbrush can easily fit in any mouth and is recommended for anybody who wants to save time while still thoroughly cleaning their
teeth.

Are there any particular demographics you are
targeting with your product?
Our tools make so much sense for anyone who has teeth—not
just for people with dexterity issues. They solve the previously
mentioned patience and discipline issues, with which many
people struggle. And even people who are able to clean their
teeth perfectly are happy to save time and make life easier. The
advantages these tools provide are not only marginal or nice to
have but also make the cleaning process automatic and reduce
the needed time to just a few seconds.

The first idea of a product is often far removed from the final
product, and just as often, an enormous amount of expertise,
creativity and time is needed to bring a product to life.
So, one piece of advice would be that, whereas it is great to be
an expert in all aspects needed to solve the problems, it is also
valuable to be a quick learner, because there will be new fields
you will invariably need to tap into as well.

Do you have any advice for practitioners who have an
idea for a useful dental product but don’t know where
to start in the process of bringing it to life?
For us, it was fundamental to have a great deal of expertise in all
the relevant fields. That made it doable to begin with. Otherwise,
one most likely needs to consult experts from several different
fields, for example, from an engineering office. Before you start
the development journey you will need to determine from
which fields you will need to source the knowledge to create
your product.

The Blizzbrush is an easy-to-use alternative to traditional brushing.
Dental Tribune ASEAN | Oct-Dec 2022


[16] =>
16 INNOVATIONS

Researchers develop customised 3D-printed toothbrush
handle for patients with limited dexterity
By Jeremy Booth, Dental Tribune International
A team of researchers from universities in India has developed
a method of fabricating a customised, interchangeable handle
for tooth cleaning products for patients having limited manual
dexterity. The 3D-printed handle brings cost-saving advantages
and could improve the oral health and quality of life of patients
having restricted hand and finger movement, such as stroke
survivors, elderly patients and those with arthritis.
A technical report summarising the research explained
that patients with diminished manual dexterity face greater
challenges when it comes to maintaining their oral health and
that these challenges can be compounded by impaired sensory
and masticatory function. Oral self-care can empower these
patients and prevent the onset of oral diseases; however, it is
essential that oral care products can be used easily.

The researchers developed a simple technique whereby silicone
putty impressions of the patient’s grip are made manually and
then used to 3D-print a customised handle using polylactic
acid. The handle features the patient’s name, is durable and costs
approximately INR2,500 (€31) to produce. The technique used
is simple and requires less time than other techniques do. The
handle can be used interchangeably to hold a toothbrush or an
interdental brush and reused with different toothbrush designs
and is, therefore, cost-effective.
Modifications of toothbrush handles for patients having limited
manual dexterity are mentioned in existing literature; however,
the researchers emphasised the need for modified handles to be
customised to the patient’s hand.

Researchers in India have developed a customised and interchangeable 3D-printed handle for tooth cleaning products for patients with limited
manual dexterity. (Image: Dr Shreya Colvenkar et al./Cureus)
Dental Tribune ASEAN | Oct-Dec 2022


[17] =>
Oral self-care can empower patients who have limited manual dexterity; however, it is essential that oral care products can be used easily.
(Image: ovnelli/Shutterstock)

Corresponding author Dr Shreya Colvenkar, professor in the
department of prosthodontics at MNR Dental College and
Hospital in Sangareddy, told Dental Tribune International (DTI)
that the 3D-printed two-in-one customised handles will improve
the oral health of patients having limited manual dexterity.
She said that elderly people and other patients having limited
finger and hand movement need extra help to maintain good
oral health and that being able to do so reduced dependency
on others and brought a sense of empowerment. “Although
caregivers can help in such a situation, maintaining their own
oral hygiene by self-brushing can increase patients’ self-esteem,”
she explained, adding that it was very much necessary to have a
design that properly fits in the patient’s hand in order to improve
the quality of brushing.

In their report, the authors emphasised: “To maintain good
oral care, the focus should be on preventing oral diseases and
reducing the need for comprehensive dental treatment. The final
objective should focus on maintenance and self-care to improve
quality of life.”
The report, titled “Individually modeled 3D printed toothbrush
and interproximal brush handle with name for patients with
limited manual dexterity”, was published online on 21 July
2022 in the Cureus Journal of Medical Sciences.

Dr Colvenkar told DTI that the research team was waiting for
expressions of interest from manufacturers and researchers so
that the 3D-printed handle can be made available and benefit
the population.

Dental Tribune ASEAN | Oct-Dec 2022


[18] =>
18 REGIONAL NEWS

Health authorities in China want to make dental implant therapy cheaper—about 80% of the country’s elderly population had missing teeth in
2017, according to national health survey data. (Image: Peakstock/Shutterstock)

China caps cost of dental
implant treatment
By Jeremy Booth, Dental Tribune International
The National Healthcare Security Administration (NHSA)
has taken steps to lower the cost of dental implant treatment
at public hospitals in China, including placing a price cap on
medical service fees per tooth. The administration hopes that
lowering the cost of implant treatment will further improve
China’s quality of living standards, particularly as its population
ages.
Dental Tribune ASEAN | Oct-Dec 2022

The NHSA will cap the medical service fee per dental implant
placed at public hospitals at CNY 4,500 (€642), making it
significantly lower than the fees of CNY 6,000 to CNY 9,000 that
are currently charged. Centralised bulk procurement of dental
implant consumables at a provincial level is also planned, which
one expert said could result in a 25% reduction in price.


[19] =>
The newspaper highlighted the plight of one 82-year-old patient
who had had four dental implants placed at private hospitals in
the past two years. The patient said that the implant portfolio
that she was offered featured consumables from the US, the UK
and Germany and that the cost of the implants ranged from a
few thousand yuan to over CNY 30,000 (€4,285). The patient
settled for value implants made in South Korea which incurred a
total treatment cost of around CNY 5,500 per tooth. The patient
commented: “I would certainly pick more expensive ones if I
were younger. But as I’m over 80, I think these cheaper ones will
suffice.”
Some of the public submissions that expressed concerns or were
not in favour of the proposed changes pointed to the risk and
complexity of the surgical work performed by implantologists.
One submission said that the sector should not be stigmatised
and added: “The impression that the service is overpriced
primarily stems from a lack of qualified dentists. More effort
should be devoted to training before considering a move to cut
prices.”
The number of implantologists and clinicians trained to perform
dental implant surgery in China is estimated to be less than
10,000.
The manager of a private hospital in Beijing opposed the
lowering of service fees and stated: “It is the cost of consulting
a professional dentist that makes up the bulk of the price—
roughly 40%–50%.” The manager stressed that the skill of the
surgeon was very important.

According to the English-language newspaper China Daily, the
NHSA holds that excessive treatment fees have long hampered
the field of dental implantology. The NHSA drafted regulatory
measures aimed at reining in fees for implant treatment
and sought feedback from the public in August. China
Daily reported that around 90% of the 230 submissions received
supported the measures and that the remaining 10% expressed
concerns.
Public submissions that were shared with China Daily included
statements such as “We don’t want our pension lining the
pockets of dental clinics” and “We are looking forward to the
campaign because stomatology departments charge very high

Announcing the price cap in a later article in China Daily, the
NHSA said that it would first be enforced at public hospitals and
that requests for a higher maximum price would be permitted
in those parts of China that have higher labour costs. Regional
healthcare authorities would help to expose institutions that
insist on “overpriced products” and that do not participate in
bulk procurement programmes, the newspaper reported.
According to financial news publisher Yicai Global, standardised
pricing would also be introduced for dental crown treatments
and bone grafting surgeries. It added that implementing the bulk
procurement of dental implants would be challenging owing to
the fact that most dental implant clinics are privately run. Citing
figures from China Insights Consultancy, Yicai Global said that
around 21 dental implants are placed per 10,000 inhabitants in
China, compared with 630 in South Korea.

fees”.

Dental Tribune ASEAN | Oct-Dec 2022


[20] =>
20 IN THE HOT SEAT

President of oral care for Europe at Procter & Gamble, and Dr Alison Dougall, iADH president. (Image: Djibrann Hass)

Oral-B and iADH to put patients with
disabilities at heart of their partnership
By Iveta Ramonaite, Dental Tribune International

Dental Tribune ASEAN | Oct-Dec 2022


[21] =>
Seeking to make oral care more inclusive, accessible and
positive for people living with disabilities, Oral-B has recently
announced a partnership with the International Association for
Disability and Oral Health (iADH). In this interview, Dental
Tribune International had the opportunity to speak with
Benjamin Binot, senior vice president of oral care for Europe
at Procter & Gamble, and Dr Alison Dougall, iADH president,
about some of the hurdles that people living with disabilities
face in managing their oral health and accessing dental care.
They discussed how the partnership can help make a positive
difference to the oral care experience of these patients.
Mr Binot, why has Oral-B partnered with iADH?
Binot: A large proportion of the population are affected by some
kind of disability, and they experience periodontal issues owing
to struggles with maintaining their oral health. At Oral-B, we
recognise that it is our responsibility to help ensure that oral
care is accessible for all, and iADH shares the same values.
What are you hoping to learn from the iADH Congress 2022?
Binot: We want to learn about the great work that is being done
by industry leaders to inform our thinking, accelerate progress
in the area and provide the best care for people with disabilities.
We will use these insights to co-create the Positive Practices
programme, which is designed to train and educate dental
practices on how to become more confident and inclusive when
it comes to their patients.
How are you planning to work with oral health professionals as
part of your work with iADH?

What barriers or challenges do dentists face when facilitating
care to those with disabilities?
Dougall: The main barrier is the lack of education. Sadly, it is
still possible to qualify as a dentist without having even met
somebody with a disability or let alone having been shown how
to provide care for this audience. This is unacceptable because
dental professionals are there to serve their whole community.
Dentists need to be trained that there are various ways to
maintain and provide the right level of oral care, and they need
to be introduced to people with disabilities in order to become
comfortable with treating them. They might think that getting
dental implants or undergoing complex endodontic procedures
is not even in the ballpark for somebody with a disability.
However, dentistry has come a long way and, in many cases,
these limitations no longer apply.
How can brands like Oral-B help to support those with visible
and invisible disabilities, and what do you hope to see come
out of the partnership?
Dougall: I think that Oral-B can help by making sure that people
do not forget about disability and that they include it at every
level. It can help by raising awareness that it is the responsibility
of the dentist to provide oral care for people with disabilities.
Oral-B has a unique relationship with the dental and the hygiene
profession and can help educate dental professionals and share
the messages that we need to put across. I believe that we can
build a sustainable, mutually beneficial partnership which will
put the patient at its the heart.

Binot: We plan to leverage the connections, network, expertise
and experience of iADH in order to accelerate our learning. It
is our responsibility to drive change and make both business
and products more accessible for everyone. We will continue to
work closely with dental professionals and consumers in order
to understand better where and how we can help to improve oral
health outcomes for everyone.
Dr Dougall, what struggles do people with disabilities face
when managing their oral health?
Dougall: One of the greatest struggles is physical inability to
provide themselves with the right level of oral care. This is often
because they have not been shown the different techniques that
might help their particular disability. However, the main issue
is that the expectation is not there. People with disabilities have
a sense of inevitability that their oral care is not going to be as
good as that of others, and some dentists think this too. Yet we
need it to be better.

Dental Tribune ASEAN | Oct-Dec 2022


[22] =>
22 IN THE HOT SEAT

In order to educate the dental community about the challenges that menopausal women face in the workplace, the British Association of Dental
Nurses launched a menopause policy at the beginning of this year. (Image: Visual Generation/Shutterstock)

BADN launches menopause policy to
raise awareness and improve working conditions for dental nurses
By Franziska Beier, Dental Tribune International
Dental Tribune ASEAN | Oct-Dec 2022


[23] =>
Jacqui Elsden qualified at the then King’s College Hospital Dental
School in 1983 as a dental nurse and has been the president of the
BADN since 2019. (Image: BADN)

the British Association of Dental Nurses (BADN) launched a
menopause policy at the BDIA Dental Showcase in London in
March. Dental Tribune International spoke with Jacqui Elsden,
president of the BADN, about her personal experience of going
through the menopause while working as a dental nurse and
about how dental practices can help their employees to feel
more comfortable during this period of their lives in order to
keep their current staff or recruit new staff.
Ms Elsden, thank you and the BADN for raising
awareness of such an important topic. Even though
thorough information material about the menopause in
the workplace was probably long overdue, what made
you decide to react and launch a policy at this specific
point in time?

E

ven though it effects roughly half of the population, the
menopause is still a taboo subject in our society. According
to an article in the British Dental Journal, menopausal
women are the fastest-growing workforce demographic. Around
eight in ten menopausal women are working, three out of four
experience symptoms and one in four has serious symptoms.
In severe cases, menopausal symptoms can lead to employees
leaving their jobs. In order to educate the dental community
about the challenges that menopausal women face in the
workplace and the ways in which employers can support them,

That’s a really good point, and the answer is actually the
COVID-19 pandemic. During that period, where we initially
were locked in, some of us still had to work in practices in
the UK in dental emergency hubs. And at that time, there
was less awareness of the effect of aerosols. So, many dental
care professionals and dentists were clad in plastic from head
to toe. Coupled with that, the summer of 2020 was really hot.
Having a hot flush, covered in plastic, and unable to leave the
room was really tough. The temperature in the room couldn’t be
controlled, and early on, we had the windows open and didn’t
know whether we could use fans. During that time, we received
many calls at the BADN head office from nurses who asked
about what they could do because they were suffering great
discomfort from having to wear personal protective equipment
(PPE) in combination with the heat and were afraid of passing
out.
Dental Tribune ASEAN | Oct-Dec 2022


[24] =>
24 IN THE HOT SEAT
Many people announced that they were leaving the profession.
Dental nurses in particular had had enough. They are paid
poorly in primary dental care in the UK, and on top of that,
they had to put up with the additional stress of wearing PPE.
Considering that dental nurses are predominantly female, we
decided to raise awareness about the menopause and its impact
on dental nurses in order to help practices understand how we
might retain more of our workforce in practice.
Menopausal symptoms surely vary from person to
person, but what are some of the typical symptoms
that menopausal women experience? And how do
these symptoms affect them in relation to working in a
dental office?
I’m going through the menopause myself, so I can offer insight
from a personal point of view. Symptoms do vary, and some
colleagues of mine, who are in the same age group and are going
through the menopause, have not experienced a hot flush or a
sleepless night once. However, for me, it has not been an easy
ride.
The flushes are a problem not only because you feel very hot but
also because you sweat a great deal. As a result, you are afraid
of body odour while working in close contact with the patient
and other staff members, and this makes it necessary for you to
apply toiletries often or change your working clothes. I’ve even
fainted once. I was travelling on a train, commuting to work,
and I needed to get off because it was so hot. And as I got off the
train, I passed out on the platform.
Another really important issue is insomnia. I find myself wide
awake in the middle of the night, and I’m lucky if I can string two
hours of sleep together. With a sleepless night comes fatigue in
the day and the inability to concentrate, which makes you rather
irritable at work. Brain fog is another symptom. Sometimes I
find myself in the middle of a sentence, and I just forget what I
wanted to say. This brain fog can really make you think you are
going mad.
Those are some of the physical symptoms but there are also
psychological symptoms. I haven’t suffered from depression,
which is known to be a possible problem; however, I do
sometimes feel a bit low and fed up with it. Some people even
suffer panic attacks.
What measures can practices take to make working life
easier for menopausal staff?
There are quite a few things that I can think of. We put together
an overview in our advice sheet, and we also created a policy.

Dental Tribune ASEAN | Oct-Dec 2022

I suppose the most important thing would be to allow open
communication within the practice. Employers should have
conversations with employees who often phone in or who do not
seem to feel comfortable at the workplace in order to find out
the reason. And employees should feel able to actually bring up
the topic with their employer. We hope that our advice sheet and
the specimen policy will help encourage these conversations.
Regarding the style of the uniform, there are different aspects
to consider. To make it more comfortable for people who
experience hot flushes, you may choose lightweight cotton
instead of heavyweight cotton. Also, some employees might not
want to wear trousers, as they can be restrictive, so give them
different options. The colour of the uniform is another crucial
factor. Because, during perimenopause, it can happen that you
miss one or more periods, and then you just flood and have a
period for about two weeks. When this happens, working in a
dental practice where your uniform is white is the last place you
want to be.
Other measures include offering staff members who suffer
from insomnia the option of coming in later or working the
afternoon shifts, if the practice schedule allows this. Also, air
conditioning or fans can be really helpful in order to control the
room temperature.
I think it is really important for employers to understand what
is being experienced. If an employee feels that she is listened
to and understood it makes a great difference, and she will do
everything she can to perform her work in the best possible way.
Those of us who are going through the menopause don’t want to
be lying in bed during the day to catch up on our sleep, we want
to act in a normal way.

If we all decide that this is enough
and leave, then there’s an entire
cohort of dental nurses with a
considerable amount of knowledge
and experience that will be lost
I am sure menopause-friendly measures benefit not
only the staff but also the practice. Could you highlight
some of the advantages for those dental practices
which are willing to adapt? As you said, most dental
nurses are female, and if the majority decide to stop
working, this could turn into a real problem for the
profession?


[25] =>
Yes, it could, that’s exactly right. I think in terms of recruitment,
if you demonstrate that you do have a menopause policy in
place, it might make the difference of having ten applicants for
a post compared with two applicants. I’m 57 now, and I’m still
struggling with the menopause. I started to work as a dental
nurse when I was 17, so I have 40 years of experience. I’m not
saying that I have all the knowledge in the world about dentistry
and dental nursing, but I have a fair amount, and so do my
colleagues. If we all decide that this is enough and leave, then
there’s an entire cohort of dental nurses with a considerable
amount of knowledge and experience that will be lost, when
there is, perhaps, a simple solution to avoid this happening.

Group and the British Society of Dental Hygiene and Therapy.
We also received support from a non-dental organisation, the
British Veterinary Nursing Association, whose members are
also predominantly female and work in similar conditions.

In a BADN press release, you stated that legal cases
related to the menopause have doubled in recent
years. What is the current legal situation? Are there
any laws in place that regulate working conditions for
menopausal employees?

It really is, it’s happening all over. Just looking at my own family,
my mother belonged to a generation that never spoke about it.
It was all hushed in whispers, so she never spoke about it to me
either. It sounds ridiculous but, when I got the first symptoms, I
didn’t even know what was going on.

We think that, under the Equality Act 2010, the menopause is
covered under the three protected characteristics of age, sex and
disability. Although the menopause isn’t a disability in itself, it
can be considered as such if it has a sustained effect on a woman’s
ability to complete daily activities for more than 12 months.

In my parents’ generation, usually the mothers were housewives
and the fathers went to work. However, I wanted to work because
I didn’t want to be at home. And those generations coming on
behind me sometimes do not have a choice—they need to work.
Thus, the whole approach to work and careers for women has
changed in quite a short space of time, really—in a generation.

If a person is suffering from menopausal symptoms, we believe
that the employer should make reasonable adjustments to ensure
that the employee is able to work in a manner that’s comfortable.
However, there are no specific measures on the menopause yet
because many policies and laws are too vague.
Nevertheless, I think employers would be keen to avoid any
sort of legal case. And if it’s something as simple as buying a fan
or being flexible about working hours, that’s quite an easy fix,
compared with facing claims in court.

My colleague Anita Stanforth, who is the BADN’s education
representative, is going to speak about the menopause in the
workplace at the London Dentistry Show at ExCel in October.
We will also have a booth at the show (#A48). Hopefully, this
will raise awareness further.
Is the menopause regarded as a taboo subject in areas
other than the dental profession?

I feel it’s partly my responsibility to educate our younger
generation. Of course, the younger generation is more curious
and has the internet and easily accessible information. However,
in spite of this, I do feel that the menopause is still a neglected
topic.

I feel it’s partly my responsibility to
educate our younger generation
How has the policy been received so far?
We have had a good response, and some of our members took
it back to their own practices to use as a conversation tool in
meetings.
The policy and the advice sheet have been endorsed by other
dental organisations, including the College of General Dentistry,
the Dental Technologists Association, the British Association
of Dental Therapists, the Dental Laboratories Association, the
British Dental Industry Association, the Orthodontic National

Dental Tribune ASEAN | Oct-Dec 2022


[26] =>
26 BUSINESS

Oral-B and Straumann sponsored a scientific session at Europerio10 Copenhagen highlighting the importance of limiting periodontal and periimplant disease. From left: Dr Giorgio Pagni, Dr Martina Stefanini and Prof. Filippo Graziani. (Image: Oral-B)

Oral-B and Straumann:
Raising the bar to limit periodontal
and peri-implant disease, from
chair to self-care
By Dental Tribune International

Dental Tribune ASEAN | Oct-Dec 2022


[27] =>
In June 2022, Oral-B and Straumann announced a headlinegrabbing alliance with an ambitious vision: to be a force for good
in highlighting the importance of prevention through scientific
education. The alliance’s focus is to help dental professionals
achieve better outcomes with their implant and periodontal
patients, from the chair to self-care.
Tooth loss as a result of periodontal disease is a major global oral
health concern. Whereas dental implants are an increasingly
popular method of replacing missing teeth, both the dental
professional and the patient must understand what it takes to
achieve successful treatment outcomes.
The alliance was officially launched with a jointly sponsored
scientific session at EuroPerio10 in Copenhagen, featuring
lectures by Dr Giorgio Pagni (University of Milan) and Prof.
Filippo Graziani (University of Pisa) and moderation by Dr
Martina Stefanini (University of Bologna). On the eve of the
symposium, the three thought leaders sat down with Dental
Tribune International to discuss the alliance.
How do you feel about Oral-B and Straumann joining
forces to help educate dental professionals on the value
of prioritising prevention for periodontal and peri-implant
health?
Dr Stefanini: The alliance between Straumann, the most
important dental implant brand, and Oral-B, the most important
brand in prevention, is crucial. I think that preventive measures
are the secret to maintaining good oral health in our periodontal
and implant patients.
Prof. Graziani: Alliances are always beneficial. If two companies
are able to talk with one another, there will be tremendous
benefits for us as professionals and for the patients.
Why is it important for dental professionals to discuss the
overall health benefits of limiting periodontal and periimplant disease with their patients?
Prof. Graziani: Regarding the overall benefits of limiting
periodontal disease, a dental practice does not solely act as the
first line of defence against the spread of infectious diseases.
Everything from oral hygiene instruction to surgical treatment
has a tremendous impact on the patient’s health—not just the
oral health but also the systemic health and overall well-being.

from the moment we extract the tooth. Mucositis and periimplantitis are two very prevalent diseases, and in order to
prevent the loss of the implant, we need to start treating them
very early.

“I think that preventive measures are
the secret to maintaining good oral
health in our periodontal and implant
patients.”
— Dr Martina Stefanini, University of
Bologna
Your lectures at the EuroPerio10 symposium discuss
current practices and recommendations to help dental
professionals achieve successful treatment outcomes.
What key messages about this and the Oral-B–Straumann
alliance do you wish your audiences to take back to their
clinics?
Dr Pagni: Dental professionals should adopt a holistic approach
that combines evidence-based chairside periodontal and
peri-implant treatments with educating patients to perform
effective oral hygiene at home. This includes personalised
recommendations for appropriate oral hygiene products. Both
Straumann and Oral-B share the same focus on the well-being
of the patient and the long-term success of their products.
Dr Stefanini: When talking about health and disease, another
important keyword is prevention. In general, we talk about how
to prevent and treat periodontal and peri-implant diseases for
our patients. Today, we discussed why it is important not only
to look at the tooth and its surrounding hard and soft tissue, or
not only to check the status of the patient’s oral health, but also
to really evaluate the overall well-being of the patient.
Prof. Graziani: I strongly believe that, with the changes in
society and in patients’ behaviour, it is fundamental to provide
a large array of solutions for general health. There are so many
options at hand and such a plethora of products and indications
that the patient may get confused. Thus, this alliance should be
cherished in order to simplify the life of our patients and to
provide additional benefits for their health.

Dr Pagni: In addition to what Filippo said, to reduce the impact
of peri-implant disease, we need to start planning for prevention

Dental Tribune ASEAN | Oct-Dec 2022


[28] =>
28

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Dental Tribune ASEAN | Oct-Dec 2022


[29] =>
D

T

“The World’s Dental Newspaper...

Now in South East Asia!”
www.dental-tribune.com


[30] =>
Image source: Freepik


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