DT Asia Pacific No. 1, 2012
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[1] =>
DTAP0112_01-02_Title
DTAP0112_01-02_Title 17.02.12 15:43 Seite 1
DENTAL TRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition
PUBLISHED IN HONG KONG
www.dental-tribune.asia
NO. 1+2 VOL. 10
The filter principle
Is every patient a finals
patient?
Composites
A minimally invasive
restoration of worn teeth
Dental-practice fraud
An interview with expert
David Harris, USA
4Page
6
4Page
10
4Page
13
school
Pakistani dental organisation holds first Islamic
and Planmeca
national conference for implantology
partner
As the first dental faculty in
South-East Asia to do so, the Kulliyyah of Dentistry at the International Islamic University Malaysia
(IIUM) in Kuala Lumpur will use
equipment from Planmeca exclusively to educate future dentists.
The partnership was announced
recently by the Finish dental equipment manufacturer and includes
dental units, as well as panoramic
and intra-oral imaging technology.
Daniel Zimmermann
DTI
KARACHI, Pakistan: Dental professionals in Pakistan lack awareness of and training on how to place
dental implants, experts have announced during the country’s first
ever implantology conference recently held in Karachi. Although
treatment costs for implants are
relatively low compared with
countries in the West, most dentists
in the country are still replacing
teeth with conventional bridges or
crowns, the President of the Federation of Implant Dentistry Pakistan
(FIDP) Dr Irfan Qureshi said.
The event, which was organised by the Pakistani organisation
and supported by the International
Congress of Oral Implantologists,
saw attendance by dental implantology experts from Asia, Europe
and the USA. Over the course of
three days, they presented on topics such as maintenance protocols,
mini implants and sinus bonegraft techniques, among others.
Qureshi told Dental Tribune
Asia Pacific that the aim of the congress is not only to train students
According to Planmeca’s VicePresident of Marketing and Sales
Tuomas Lokki, the equipment was
installed by the company’s distributor Amedix in November last year.
It will help to make operating and
teaching at the faculty more predictable and efficient, he said.
Dr Irfan Qureshi leading an hands-on demonstration at the congress. (DTI/Photo courtesy of FIDP, Pakistan)
and practitioners from the country
in diverse implant procedures but
also to promote dental implantology in Pakistan in general. He also
called for the specialty to be incor-
porated into the dental curriculum
in dental schools nationwide.
“There are many cases of malpractice with implants owing to
a lack of training and poor case
selection and planning,” he said.
“This is damaging the reputation
of the specialty and the product
itself.”
‡ DT page 2
Established in 2006, the IIUM’s
Faculty of Dentistry currently offers five-year Bachelor of Dental
Surgery programmes. According to
its website, 234 students are currently enrolled in the faculty, which
makes it one of the largest dental institutions nationwide alongside the
Universiti Sains Malaysia’s School
of Dental Sciences in Kubang
Kerian and Penang International
Dental College in Petaling Jaya. DT
AD
More recalls
for DYI teethwhiteners
Tokyo’s latest attraction is a dental clinic fully branded with the well-known
4ASIA NEWS, page 3
Hello Kitty trademark. (DTI/Photo ITmedia, Japan)
Sing meeting
announced
HK dean receives
professorship
The organiser of the CAD/
CAM & Computerized Dentistry
International Conference has
teamed up with the Singapore
Dental Association to hold its
first Asia Pacific edition inside
the city-state this year. The conference is scheduled for early
October and will be held at the
Marina Bay Sands Hotel. DT
Prof Lakshman Perera Samaranayake from the Hong Kong
University Faculty of Dentistry
has been named King James IV
Professor by the Royal College
of Surgeons of Edinburgh in the
UK. The 63-year old is the first
Asian to receive the prestigious
recognition which is awarded
annually. DT
The Australian government
has recalled two more products
for whitening teeth at home. The
Bright White Express Advanced
Teeth Whitening Kit and Pro
Teeth Whitening Professional
Teeth Whitening Pen, both distributed by Pro Teeth Whitening,
a dental company based in
Wellington Point in Eastern Australia, were found to contain
levels of hydrogen peroxide that
exceed common safety limits.
The country’s Poisons Standard 2011 currently categorises
all preparations containing more
than 6 % hydrogen peroxide as
unsafe.
Since December last year,
the Australian Competition and
Consumer Commission has been
recalling several DIY teethwhitening kits that exceed the
concentration considered to be
safe for home use. DT
Distinguished by innovation
Healthy teeth produce a radiant smile. We strive to achieve this goal on a daily basis. It inspires
us to search for innovative, economic and esthetic solutions for direct filling procedures and
the fabrication of indirect, fixed or removable restorations, so that you have quality products
at your disposal to help people regain a beautiful smile.
www.ivoclarvivadent.com
Ivoclar Vivadent AG
Bendererstr. 2 | FL-9494 Schaan | Liechtenstein | Tel.: +423 / 235 35 35 | Fax: +423 / 235 33 60
[2] =>
DTAP0112_01-02_Title
DTAP0112_01-02_Title 17.02.12 15:43 Seite 2
DENTAL TRIBUNE Asia Pacific Edition
AD
Higher than expected sports-related
dental injuries in Indian schools
Daniel Zimmermann
DTI
LUDHIANA, India: Calls for
the introduction of compulsory
morning sport sessions in Indian
schools have been overshadowed
by recent findings demonstrating
a high incidence of sports-related
injuries—including those to teeth
and jaws—among Indian scholars.
A study, conducted by researchers
from the Department of Paediatric
and Preventive Dentistry at Ludhiana’s Christian Dental College
in Northern India, found that
approximately 25 % of over 2,000
athletically active schoolchildren
in Ludhiana had suffered from
some form of sports-related injury
to the face.
Sports-related injuries to the
craniofacial apparatus were detected in one of ten of these children. The study also revealed that
more than 50 % of those observed
had suffered from bruises and
15 % from cuts to the face.
The figures confirm warnings
by dentists from the Kothiwal Dental College and Research Centre
in Uttar Pradesh that traumatic
dental injuries (TDJ) could pose
fl DT page 1
Qureshi, who received his
dental degree from King’s College
London, founded the FIDP in
summer 2011. He has actively
promoted the use of implants as
tooth replacements in Pakistani
dentistry for years.
Owing to the positive response,
Qureshi said that his organisation
A group of Indian schoolchildren in Puri. (DTI/Photo Steve Estvanik, United States)
a serious public health problem
among 12-year-olds. Their study,
which was published in 2010 by
the Chinese Journal of Dental Research, found that 20% of TDJ occurred at school and/or during
sporting activities. They called for
a collection of data from across the
country to obtain more information on the issue.
In December, the former captain of India’s national cricket team
and head of the Varroc Vengsarkar
Cricket Academy, Dilip Vengsar-
plans to hold a second conference
within the next 12 months. Smaller
meetings or workshops are also
in preparation and are expected
to be held during the course of this
year throughout different parts of
the country.
“We believe that the FIDP will
very soon change the face of
implant dentistry in Pakistan by
improving clinical skills, as well
kar, called for morning sports to
be made compulsory in schools
nationwide. According to the
country’s Minister of Youth Affairs
and Sports, M.S. Gill, a lack of sports
facilities—particularly in larger
cities—and posts for teachers have
restricted physical education in
recent years. The Minister has
clashed repeatedly with the Ministry of Human Resource Development, responsible for primary and
secondary education, which he
has accused of having done little
to improve the situation. DT
as creating a culture of sharing
research and knowledge among
the dental profession,” he said.
Currently, dental implant treatment is only available in larger
clinics and costs between US$300
and $1600. A few international
specialist companies, including
Osstem (Korea), Dentaurum (Germany) and Zimmer Dental (USA),
hold the market share. DT
International Imprint
Licensing by Dental Tribune International
Publisher Torsten Oemus
Group Editor/Managing
Editor DT Asia Pacific
Daniel Zimmermann
newsroom@dental-tribune.com
Tel.: +49 341 48474-107
Copy Editors
Sabrina Raaff
Hans Motschmann
Editors
Claudia Salwiczek
President/CEO
Torsten Oemus
Editorial Assistant
Yvonne Bachmann
Marketing & Sales
Matthias Diessner
Vera Baptist
Peter Witteczek
Director of Finance & Controlling
Marketing & Sales Services
License Inquiries
Accounting
Product Manager
Executive Producer
Ad Production
Designer
Dan Wunderlich
Nadine Parczyk
Jörg Warschat
Manuela Hunger
Bernhard Moldenhauer
Gernot Meyer
Marius Mezger
Franziska Dachsel
International Editorial Board
Dr Nasser Barghi, Ceramics, USA
Dr Karl Behr, Endodontics, Germany
Dr George Freedman, Esthetics, Canada
Dr Howard Glazer, Cariology, USA
Prof. Dr I. Krejci, Conservative Dentistry, Switzerland
Dr Edward Lynch, Restorative, Ireland
Dr Ziv Mazor, Implantology, Israel
Prof. Dr Georg Meyer, Restorative, Germany
Prof. Dr Rudolph Slavicek, Function, Austria
Dr Marius Steigmann, Implantology, Germany
DENTAL TRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition
Published by Dental Tribune Asia Pacific Ltd.
© 2012, Dental Tribune International GmbH. All rights reserved.
Dental Tribune makes every effort to report clinical information
and manufacturer’s product news accurately, but cannot assume
responsibility for the validity of product claims, or for typographical errors. The publishers also do not assume responsibility
for product names or claims, or statements made by advertisers.
Opinions expressed by authors are their own and may not reflect
those of Dental Tribune International.
Dental Tribune International
Holbeinstr. 29, 04229, Leipzig, Germany
Tel.: +49 341 48474-302 · Fax: +49 341 48474-173
Internet: www.dental-tribune.com E-mail: info@dental-tribune.com
Regional Offices
Asia Pacific
DT Asia Pacific Ltd.
c/o Yonto Risio Communications Ltd, 20A, Harvard Commercial
Building, 105-111 Thomson Road, Wanchai, Hong Kong
Tel.: +852 3113 6177 · Fax: +852 3113 6199
The Americas
Dental Tribune America, LLC
116 West 23rd Street, Suite 500, New York, NY 10001, USA
Tel.: +1 212 244 7181 · Fax: +1 212 224 7185
[3] =>
DTAP0112_01-02_Title
DTAP0112_03_News 17.02.12 15:43 Seite 1
DENTAL TRIBUNE Asia Pacific Edition
Asia News
3
Osteoporosis drug ingredient found
useful against periodontitis
DTI
BANGALORE, India/CHICAGO,
USA: Certain kinds of bisphosphonates may have potential in
treating severe forms of gum disease, a clinical study conducted by
Indian researchers has revealed.
Clincial specialists from the Government Dental College and Research Institute in Bangalore are
reporting that a solution containing Alendronate acid was found to
stimulate an increase of probing
depth reduction as well as bone fill
in patients suffering from aggressive periodontitis.
During a six-month trial, the
researchers treated over 50 intrabony defects with a solution made
of 1 per cent Alendronate and a polyacrylic acid-distilled water mixture. Other patients with the same
conditions received a placebo.
The results showed an improvement of clinical parameters
such as probing depth reduction,
clinical attachment level and
bone fill in patients treated with
the Alendronate solution.
Preparations based on Alendronate, among them the controversial Fosamax distributed by
Merck, are available on the market
since 1995. They are used to treat
common bone diseases like osteoporosis.
Data derived from clinical
studies with these drugs has
demonstrated a reduction of fracture risks and normalisation of
bone turnover rate in postmenopausal women, amongst
other benefits. DT
AD
Tetric N-Collection
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Dental
practice goes
Kitty-crazy
A complete nano-optimized restorative system
DTI
TOKYO, Japan: With Hello Kitty,
the Japanese wholesale company
Sanrio created a trademark that is
recognised by consumers worldwide. Last month, the first dental
practice fully branded with the
white cat’s head and characteristic
red bow was opened in the capital
Tokyo.
(DTI/Photo ITmedia, Japan)
Bought by dentist Koshika
Masanori in November, the facility
has been completely renovated
over the past two months, featuring pink examination rooms, heartshaped waiting chairs and chandeliers. According to its website,
the practice is currently offering
a wide range of dental procedures,
including implants, cosmetic dentistry, prophylaxis, as well as periodontal and paediatric treatment.
EXPLORE OUR LATEST COLLECTION
Media reports said that the
unique project has received full
support by Sanrio, whose Japanese headquarters is only 20 minutes away from the practice.
®
The company introduced its
iconic logo modelled on a Japanese bobtail cat in 1974. Nowadays,
it can be found on almost any retail
product, including toys, clothing,
cellphones and even tooth caps
used in orthodontics.
Last year, the brand was reported to have generated over ¥80
billion (US$1.04 billion) revenues
in Japan only. DT
Tetric N-Collection
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Ivoclar Vivadent AG Clinical
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503/504 Raheja Plaza | 15 B Shah Industrial Estate | Veera Desai Road, Andheri (West) | Mumbai 400 053 | India
Tel.: +91 (22) 2673 0302 | Fax: +91 (22) 2673 0301 | E-mail: india@ivoclarvivadent.com
Ivoclar Vivadent Marketing Ltd. Singapore
171 Chin Swee Road | #02-01 San Centre | Singapore 169877 | Tel.: +65 6535 6775 | Fax: +65 6535 4991
[4] =>
DTAP0112_01-02_Title
DTAP0112_04_News 17.02.12 15:45 Seite 1
Opinion
DENTAL TRIBUNE Asia Pacific Edition
Dear
reader,
Trial and
“I just wanted to have a new chair!”
error
4
Daniel Zimmermann
DTI
Dr Aaqil Malik
Pakistan
In an interview with the
Bloomberg news corporation,
Henry Schein’s CEO and Chairman Stanley M. Bergman recently announced his company’s
significant investments in China.
Similar statements have been
made by the heads of other
dental manufacturers, including
DENTSPLYs Bret Wise. However,
when the leader of the largest
distributer of dental products
in the world says this, it clearly
means business.
Spearheaded by the rise of
India and China, prospects for
dental market players to expand
in Asia look promising indeed.
According to a recent report by
the Asian Development Bank in
the Philippines, the middle class
in most Asian countries is expected to rise by an incredible
rate of nine per cent annually.
With more money to gain from
potential taxpayers, governments will most likely invest
in their health infrastructure,
which could mean an increasing
number of health professionals
and, more importantly, improved
working conditions for a whole
new generation.
For dentists, this development means that they will be able
to get hands-on with the latest
equipment much faster than
before. Whereas previously, it
took years before a product was
launched and companies were
reluctant to invest in a market
owing to difficult regulations and
low demand, nowadays products
tend to be available only months
or even weeks after they have
been introduced to dentists in
Europe or the USA.
The upcoming IDEM exhibition will be an important indicator of the extent to which the
industry is willing to invest in the
continent. The latest participant
figures from Singapore suggest
that more companies are willing
to take the markets here seriously. For German companies,
which exported a record number
of goods worth €1 trillion last
year, Asia has already become
the largest growth market worldwide. DT
Yours sincerely,
Daniel Zimmermann
Group Editor
Dental Tribune International
Dental Tribune
welcomes comments,
suggestions and
complaints at feedback@
dental-tribune.com
The dentist to patient ratio in
Pakistan has has improved significantly from 1:44,223 in 1995
to 1 : 22,000 in 2006. Despite this
development, the country is
in dire need of skilled dental
professionals. As regulating authorities contemplate including
dental implantology in the BDS
curriculum, implant knowledge acquired by dentists is limited to private courses.
Continuing dental education, which is a means of acquiring new knowledge, is alien to
Pakistan’s dental community,
despite implants being placed
without formal knowledge or
education owing to their lucrative nature.
Why branding matters
point of patient interaction to
work together and reinforce this
response.
James Küster
USA
Competition is ever increasing in this world of ours and dentistry is not immune from this
trend. So, how do you set yourself
and your dental practice apart
from the competition and elevate
yourself from being merely a
commodity service?
Take for example one of the
best examples of a distinctively
crafted brand—Starbucks. For
me, it is a warm, comfortable
place where I’m always greeted
by smiling, friendly staff, and a
consistent, quality product. Yes,
Starbucks is a coffee shop and
sells coffee, but they can command a premium in the marketplace for a cup of coffee because
quality and success, or is it tired
and worn?
In designing the brand for
your dental practice, each of
these factors is important and
each of them contributes to how
people remember you and what
comes to mind when they think
of you and the dental treatment
you provide.
“But none of these things
has anything to do with the expert care I provide as a dentist,”
“...an emotional response that stems from the
sum of all experiences your patients have.”
The key is to establish your
practice’s brand.
Your brand is what comes to
mind when your patients and
prospective patients think of
your practice. This is not your
logo. Your logo is one piece that
fits into what comprises a brand,
but your brand is an emotional
response that stems from the
sum of all experiences your patients have while interacting
with your practice. This starts
from the first point of contact all
the way through to check-up and
any treatment follow-up that
takes place.
The key to establishing your
brand is to make a conscious
decision on what you want this
emotional response to be for your
practice and designing each
of the quality of the overall experience that they provide, from the
colours, smells, lighting, sounds,
to service.
Now, think of your own dental
practice.
What does it sound like, smell
like, and look like when you first
walk up to the front door? Once
inside the door, how do these factors change? Does the staff greet
each new person with a warm
smile and a friendly greeting?
Does the front desk staff sit behind glass or are they out front
and approachable? What is the
lighting like and what is the
colour of the walls? Are they
warm and inviting or cold and institutional? When you sit down
on the reception area furniture,
is it comfortable? Does it express
you say. No kidding! But, none of
these factors has anything to do
with brewing a cup of coffee,
either. All these factors working
together generate the experience you are creating for your patients, which along with your
logo, signage and website, is
the true essence of your brand.
None of it comes about by accident. Each component must be
thought about and choices made
on how well the components fit
together to create a cohesive
whole. DT
The prospects of dental implantology in the country are
promising owing to new regulations and improvements in the
health care system put forward
by the Pakistan Medical and
Dental Council. A large part of
the population is willing to have
implant restorations, ranging
from the elite, who are easily
able to afford treatment, to the
middle class, who would definitely have implants if treatment costs were a little more
reasonable.
If dentists were given an opportunity to learn about implants, they would gladly learn,
and this would bring costs down
and a larger part of the population would be able to afford
them. However, current implant success and survival, let
alone optimal implant aesthetics, are often achieved by trial
and error. Implant centres have
been established in a few institutions and there are universities at which implants are
placed but these hardly cater
for the dearth of formal education and much-needed mandatory education in implant
dentistry.
The recent FIDP conference
held in Karachi is a positive step
towards implant education in
Pakistan. It is a great opportunity for young graduates and
private clinicians to learn from
internationally qualified and
acclaimed professionals, and
gain exposure to the wealth of
knowledge regarding what implantology has to offer. DT
Contact Info
Contact Info
James Küster is founder and CEO of
Küster Dental Office Design in Indianapolis in the US. He can be contacted at james@kusterdental.com.
Dr Aaqil Malik is Assistant Professor in the Department of Crown,
Bridge and Implantology, Faculty
of Dentistry, University of Lahore,
in Pakistan. He can be contacted at
aaqilmalik@gmail.com.
[5] =>
DTAP0112_01-02_Title
DTAP0112_05_News 17.02.12 15:45 Seite 1
DENTAL TRIBUNE Asia Pacific Edition
World News
Cold plasma ‘a blast’ for teeth
Daniel Zimmermann
DTI
MEMPHIS & COLUMBIA, USA:
Human trials on a revolutionary
method to prepare dental cavities are expected to commence
soon in the US. In collaboration
with Nanova Inc., a Columbiabased startup, a research team
from the University of Missouri
(MU) will test a device that is
said to improve longevity of fillings through treatment with
streams of low-temperature ionized gas.
The “plasma brush” first received recognition in 2009 when
the Small Business Innovation
Research program of the US
government awarded US$157,000
to Nanova for the development
of the device. According to company representative Meng Chen,
the first lab test using the method
was successful and produced no
side effects.
food industry to sanitize fragile
surfaces like those of fruit permanently. Through a similar process, the MU research team found
that it also helped to disinfect oral
cavities by producing oxygenfree radicals that are able to destroy biological microorganisms
like bacteria by disrupting their
cellular membranes.
The technology exploits the
properties of non-thermal plasma, also known as cold plasma
owing to its low temperature,
which has been used in other
In addition, cold plasma enindustrialIDEM12
sectors
such DTI
as APAC5
the Ad.ai
hances
the bond
the
210mmx297mm
1/16/12
4:30:49 between
PM
“Colgate has been a longstanding partner of dental professionals worldwide,” said Barbara
Shearer, Director of Scientific
Affairs at Colgate Oral Pharmaceuticals. “The launch of the Colgate Oral Health Network marks
an expansion of our commitment
to oral health education as we
continue to help keep the profession connected with up-to-date
news and E-learning opportunities.”
By offering these resources
online, the Colgate Oral Health
Network also serves as an interaction platform for dental professionals worldwide by incorporating various cultures and new
perspectives into the educational
mix, Shearer added.
More information are available at www.colgateoralhealth
network.com. DT
Chen said that if the trials produce clinical data that confirm
the initial findings, the device
could be available to dentists by
the end of next year, depending
on regulatory approval. DT
www.idem-singapore.com
THE BUSINESS OF DENTISTRY
Ear
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bef bird
reg
10% ore
dis 10 Ap istrati
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2
T& r gro . Add ailabl
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app reg iona
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atio
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INTERNATIONAL
DENTAL EXHIBITION
AND MEETING
APRIL 20 - 22, 2012
DTI
Since December last year,
dental professionals are able to
access the free benefits of the
Colgate Oral Health Network. It
will offer educational resources
such as live online webinars and
on-demand seminars, the company said.
natural tooth surface and different filling materials by changing the surface of dentine through
a chemical reaction. “Our studies indicate that fillings are
60 per cent stronger with the
plasma brush, which would increase the filling’s lifespan,” Hao
Li, professor in the University of
Missouri College of Engineering
said.
AD
Colgate
and DTSC
launch
network
NEW YORK, USA: ColgatePalmolive has announced the
launch of the Colgate Oral Health
Network for Professional Education and Development—a new
online resource dedicated to
helping dental professionals improve the oral health and wellbeing of their patients. Through
a partnership with the Dental
Tribune Study Club, the Colgate
Oral Health Network provides
access to some of the latest information and developments in oral
health.
5
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[6] =>
DTAP0112_01-02_Title
DTAP0112_06_08_News 17.02.12 15:45 Seite 1
6
DENTAL TRIBUNE Asia Pacific Edition
World News
“Most dental practices will encounter fraud”
An interview with expert David Harris, United States
David Harris: There have
been several studies by the American Dental Association and others. Collectively they suggest that
the probability of a dentist being
a fraud victim in his or her career
is between 50 and 60 per cent.
However, such statistics are necessarily low because there is an
unquantifiable amount of fraud
that is never detected or is detected but not disclosed.
David Harris
The potential for embezzlement and theft is a problem no
business is immune to. And research shows that smaller businesses are more likely to experience problems than larger ones.
For dental practice owners, it’s
not just being small that increases risk. The typical dental
office management structure is
inherently vulnerable to fraud.
Adding to the challenge, detection can be trickier in a dental
practice compared with other
small businesses. And the bad
news continues: David Harris,
who has 20 years of experience
in dental-practice fraud investigation, puts little stock in
deterrence. Instead he emphasizes early detection as the
only viable defense. Recently,
he shared those thoughts and
more with Dental Tribune US
editor Robert Selleck.
Robert Selleck: What is the
likelihood of a dental office experiencing fraud?
AD
functions to a single dentist.
Given that there are many thefts
perpetrated against a solo dentist,
imagine the fraud possibilities
when one dentist is overseeing a
much larger business activity.
A second type of fraud that
we are seeing involves creation
of “phantom” revenue. Insurance
companies are billed for work
that was never done, with funds
either stolen directly or “lapped”
restorations to misappropriating
dental supplies and instruments
and selling them online. However,
embezzlement typically involves
larger amounts and takes place
undetected for a longer period.
Do you have statistics for
average or median losses to
fraud based on various sized
dental practices?
Unfortunately, there isn’t any
published data specific to practice
size. Bill Hiltz, who heads our
investigation department, has a
hypothesis that frauds typically
range between 4 and 7 per cent of
monthly revenue while the fraud
is going on. In its 2007 Survey of
Current Issues in Dentistry, the
ADA surveyed dentists who had
been fraud victims. The average
estimated loss was US$18,174.
Based on our own experience,
this number is tremendously low.
That’s not surprising because in
the same survey only 51.3 per cent
of the dentists who were fraud
victims completed a fraud investigation, raising questions on how
the remainder determined their
losses. We normally find that the
amount of fraud that dentists are
able to identify without the benefit of professional assistance is far
less than the true fraud.
(used to pay someone else’s balance to cover a stolen payment).
Obviously, if discovered by an
insurance company, this type of
activity can have serious consequences for the innocent dentist.
What motivates the typical
perpetrator?
We see two types of fraudsters.
One type we call “dishonest”—
these people typically believe that
they should live better than their
“official” compensation permits.
I immediately think of one thief
who rented a private plane with
stolen funds for a New York City
shopping trip with girlfriends.
Funds from another major theft
were used to purchase a yacht and
the most expensive BMW available. The other group I would
characterize as “desperate.” These
people struggle to meet basic
needs. There might be an addiction, an uninsured medical condition, a divorce or an unemployed
spouse. In contrast to the dishonest fraudsters, these people have
their moral compass altered by
their desperation. Many initially
plan to repay what they “borrow,”
but a continuing deficit frustrates
this. Interestingly, the desperate
thieves have normally worked
for more than eight years at their
office.
Are there any reasons why
dental practices would be more
likely or less likely than other
types of small businesses to experience fraud?
Two main points influence the
prevalence of fraud in dentistry.
First, the clinical responsibilities
carried by dentists effectively reduce them to being absentee owners in their own businesses. Second, the fact that so much of dentistry is paid for by third parties
removes one of the most basic
controls that businesses depend
on.
Is there a difference in potential for fraud in a three- or
four-person office compared
with a practice with 20 or
more?
Intuitively, one would think
that a larger practice should be
able to have tighter controls
through increased separation of
duties. But many group practices
are essentially several solo practices sharing space, thus offering
no particular administrative synergy. When a group practice is run
as a single unit, the dentists owning the clinic tend to delegate
oversight of the administrative
We surveyed our own files several years ago and found an average theft of more than US$150,000.
This is superficially consistent
with the Association of Certified
Fraud Examiners number of
US$200,000 for the average small
business loss, but many of its
“small businesses” are much bigger than most dental practices.
We have seen a number of dental
frauds of more than US$500,000
and a few exceeding US$1 million.
What are the most typical
types of fraud cases seen in dental practices?
Most of the fraud that we see is
“revenue fraud.” Some examples
are writing off amounts that were
actually collected, deleting treatment that was done so that collections are “off the books” and
billing the full amount to two insurance companies when someone has dual coverage.
Most thieves use more than
one method of stealing; very few
stick to a single methodology.
Also, we are continually seeing
new variants. For example, we recently saw a thief take advantage
of a server crash to decrease some
accounts receivable balances.
When patients paid the correct
balances, they would be paying
more than the “official” balance
in the practice management software, with the thief pocketing the
difference.
Is there a type of fraud more
prevalent in a dental practice
compared with other small or
similarly sized businesses?
Since we investigate only dental embezzlement, my knowledge
of fraud patterns in other small
businesses is limited to what I
read. My perception is that much
of the fraud committed against
other businesses involves expenses: payroll, paying non-existent suppliers, padding expense
claims, etc. The majority of embezzlement that we see in dental
practices involves revenue.
While we do see a fair number of thieves who will steal revenue and also manipulate their
payroll or create a phony supplier,
very few will commit expense
fraud while concurrently resisting stealing some of the cash that
patients hand them daily.
What about fraud that’s
more indirect, such as questionable workers’ compensation
claims?
We have seen an astonishingly
wide variety of unconventional
thefts, everything from stealing
the gold that is recovered from old
What are the strongest deterrents?
Deterrence is effective with
crimes of opportunity or where
thieves can choose their target.
Embezzlement is not a crime of
opportunity; it is carefully planned
with complete awareness of the
control systems in place, and it is
crafted to bypass these controls.
Adding more controls simply increases the circumvention challenge. Most of the thieves we see
can easily adapt.
Because shoplifting is a crime
of opportunity, control systems
such as video cameras and radiofrequency identification tags on
merchandise are effective at helping to prevent pilferage; however,
such deterrence is unlikely to
work in a dental practice.
‡ DT page 8
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[8] =>
DTAP0112_01-02_Title
DTAP0112_06_08_News 17.02.12 15:46 Seite 2
8
DENTAL TRIBUNE Asia Pacific Edition
World News
fl DT page 6
The other point I will make is
that fear of punishment seems
to be virtually ineffective in deterrence. Embezzlers we see are
well aware of the consequences of
their actions, which include loss
of livelihood and potentially, loss
of liberty. Because of the needs of
each group, we should not expect
punishment to deter either the dishonest or the desperate fraudsters.
Are there any effective deterrents?
My suggestion is that deterrence strategies that provide no
collateral benefit (i.e., are done
only to discourage fraud) are a
waste of resources; instead dentists should focus on early detection of fraud.
I will again disagree with
much of the collective “wisdom”
that exists on dental embezzlement when I say that for a dentist
or advisors to try to confirm fraud
by some form of audit or analysis
is unproductive and possibly dangerous. Because there are many
possible ways to steal from a dentist, without considerable knowledge and some specialized software, this activity is looking for
a needle in a field of haystacks.
Fortunately for dentists, even
though there are myriad ways to
steal, the behaviour of embezzlers
is remarkably consistent. With the
right knowledge, identifying embezzlement through behavioural
analysis is painless and reliable.
We have a behavioural assessment questionnaire requiring
less than five minutes to com-
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plete, which dentists can request
from our website.
How does an economic
downturn affect dental-practice fraud?
Difficult economic times create more of these desperate people
I mentioned earlier, which creates
more fraud. We did notice a much
larger incidence of fraud in the
Detroit area after the auto industry
downsizing a few years ago.
What are the first critical
steps a dental practice owner
should take if he or she suspects
internal fraud is occurring?
Unfortunately, intuitive steps
are not always the right ones at
this point. Dentists try to conduct
their own investigation, bring
their CPA into the office, or call
the police. Doing any of these will
likely alert a perceptive thief to
your suspicions.
The overarching objective is
not to telegraph your suspicion
to the suspect. When fraudsters
think they are about to be discovered, their strong urge is to
destroy evidence. This invariably
causes collateral damage. Destruction might consist of wiping
the computer’s hard drive and
destroying all backup media.
In one spectacular case, the
victims did not engage us but
began their own (clumsy) investigation. The thief, once alerted,
burned down the office!
This is really the point where
expert guidance is needed. We
have an “immediate action
checklist” for dentists who suspect fraud in their office. They can
request the checklist from our
website.
Our investigative process is
completely stealthy. I promise
never to send a nerdy-looking
investigator to your office. This
helps ensure that evidence is protected, and also that working relationships are not destroyed in
the event that suspicions are
groundless.
What is the most unusual
fraud case you have encountered?
About once a month we see
something innovative. The alteration of receivable balances after
the server crash is one I think of—
we suspect that the thief caused
the server to crash. By placing
a magnet inside one of our lab
computers, we could replicate the
crash quite easily.
Is there specific insurance
owners can buy to protect their
business against loss to fraud?
Is such insurance worth getting?
This insurance is either included in the basic insurance
package that offices already have
or an “employee dishonesty”
rider can be added. I don’t have
cost details, but understand that
it is quite inexpensive. Based on
what I said about the probability of
fraud in offices, I think everyone
should have this coverage.
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How much of a problem is
external fraud involving customers, vendors, suppliers or
other business relationships
compared with internal fraud?
It certainly happens. We see
a fair amount of identity theft
from people trying to make use
of someone else’s insurance
coverage or to obtain prescription medication. However, the
financial and other damage that
this type of activity normally
causes pales in comparison to
the damage caused by embezzlement.
Thank you very much for
this interview. DT
[9] =>
DTAP0112_01-02_Title
DTAP0112_09_Nsk 17.02.12 15:46 Seite 1
DENTAL TRIBUNE Asia Pacific Edition
Business
9
Japanese handpiece manufacturer NSK
boosts North American presence
Robert Selleck
Dental Tribune America
LITTLETON, Colo., USA: For
years, NSK dental handpieces
have had a strong base of devoted
users in the USA and Canada who
are attracted to the company’s
reliable, user-friendly performance and reputation for quality. A word-of-mouth advertising
strategy combined with highly
targeted customer relationships
has worked well for the organisation.
NSK handpiece and experience
first-hand what has enabled the
company to become one of the
top handpiece manufacturers in
the world.
“We’re making the investment in an opportunity to connect with more customers,” Gochoel said. “Not only will we be
able to handle customer questions and enquiries much faster,
but we also will be able to further develop a sense of loyalty by
developing even more personal
relationships with doctors.”
NSK is able to respond quickly
and specifically to local needs
because it maintains complete inhouse control of the manufacturing process. An example of how
such a philosophy translates into
real products is the NSK S-Max
Pico, which has the smallest head
and neck size of any handpiece
on the market. NSK developed
this device in response to requests
from practices in Asian markets
with high numbers of patients with
smaller-than-average mouths. Interestingly, a bonus realised by the
company’s willingness to address
Focus on quality starts
at the top
In addition to supporting its
market responsiveness, NSK’s
keep-it-in-house philosophy enables it to control quality at every
step of the development, testing
and manufacturing process.
“Quality is really the top priority
for us,” Stiehle said, “especially
for Eiichi Nakanishi (NSK President and CEO).”
Nakanishi, confirmed that
statement: “Since the founding
of the company,” he said, “we
But the strategy has also
meant that there are many dental
professionals who still aren’t sure
about what makes NSK so different in the handpiece market.
That’s about to change.
The dental equipment manufacturer, founded in 1930 in
Japan, is raising its US and Canadian profile in a big way, perhaps
most tangibly to date by the May
2011 opening of its newly constructed North American headquarters in Illinois. The facility
includes a showroom, training
facility, expanded warehouse
space and a larger parts and service centre.
“The company made the decision last year to increase its
investment in North America in
2011,” said NSK Dental Marketing Manager Rob Gochoel.
“We’ve also added office and
technical-service staff, and an
internal team of representatives
who will be able to work directly
with a greater number of dental
practices.”
The company is also expanding its distributor relationships.
As a whole, the efforts should enable NSK to provide information
about its unique business model
to most of the dental practices in
North America.
The company’s efforts also
include an expanded dental convention presence, which began
with the 2011 Greater New York
Dental Meeting, so practitioners
are more easily able to hold an
Picture showing production facilities with more than 100 Computerised Numerical Control machines. (DTI/Photo courtesy
of NSK Dental, Japan)
Innovation based on input
Close relationships with its
customers are critical to the
company because that is what
has driven its global growth for
more than eight decades. “Everybody is pretty excited,” said NSK
Dental President Mirco Stiehle.
“We have very good feedback
from the market so far. I am
looking forward to working with
dental professionals and learning more about what they want
from us because that’s where
we’re coming from. We need to
understand what we need to be
doing to be successful in the
US. And that means providing
products that fit to the customer
demand.”
this need is that the S-Max Pico has
gone on to also receive high interest from paediatric practitioners
throughout the world.
“We know there are other
needs out there that aren’t being
met,” Gochoel said. “We want to
provide options based on what
customers are asking for.”
Key to the company’s ability
to develop equipment in direct
response to customer need is its
commitment to controlling the
entire manufacturing process.
Nearly 90 per cent of the 17,000plus parts that go into the creation of its handpieces are manufactured in-house.
have adhered to very strict quality controls to make sure our
products earn dentists’ satisfaction. We have strong policies on
manufacturing almost all components in-house. Currently
about 90 per cent of the mechanical components, including
electric micromotors and highspeed ball bearings, are manufactured in-house. No other
competitors can make ball bearings and micromotors in-house
like we do. This is one of our
biggest strengths and competitive advantages.”
Based in Japan, but a frequent
traveller, Nakanishi described
his core role at NSK as being to
ensure the global organisation
has a strong, motivated team in
place with a clear understanding
of what it takes to please customers.
“We have the engineering excellence needed to enable dental
professionals to make their
dream products real,” Nakanishi
said. “We want to listen to the
voices of dentists in order to develop very useful and wonderful
products.”
Stiehle said that responding
to specific customer demand is
not limited to a product’s purpose
and function. “It’s not just that we
offer a product in every category
of dentistry from a clinical point
of view,” Stiehle said. “It also
means offering a range of price
points.”
Cost sensitivity also drives the
company’s focus on providing
one of the largest selections of
coupler adapters available to
make it easier for practitioners to
test and purchase an NSK handpiece. “Our intent is to make it as
easy as possible to integrate an
NSK handpiece into the practice,” Gochoel said. “By being
compatible with virtually all
competitor coupler systems, we
eliminate the need to buy a lot
of additional couplers or incur
the expense of retrofitting all the
operatories. It’s just one more
example of a smart, customercentric focus.”
Rounding out the commitment to quality assurance, pricing options and responsiveness
is awareness that the ultimate
customer is the patient. “I am
a strong believer in the need to
be aware that we are a medical
device company, and that with
that comes a huge responsibility, not just in terms of quality,
but also comfort and safety of
the patient,” Stiehle told Dental
Tribune. “When I am sitting in
the dentist’s chair, I want to
make sure that I am worked on
with the best product out there.
That’s what is most important
to us: the safety and comfort of
the patient.” DT
Specialist dental clinic in Malaysia bought by Q&M
Daniel Zimmermann
DTI
KUALA LUMPUR, Malaysia/
SINGAPORE: One of South-East
Asia’s largest dental groups is expanding its international chain of
clinics.
Q&M Dental Group in Malaysia has announced the acquisition of the White Smile Orthodontic Dental Braces Specialist
Clinic in Kuala Lumpur, currently owned by orthodontic specialist Dr Reuben Axel How Wee
Ming.
Singapore Exchange-listed
Q&M, which went public in 2009,
maintains over 40 clinics with
100 dentists nationwide. The
group has also a number of associated clinics and businesses
in countries like China and
Malaysia.
According to the Reuter Business Report, Dr How agreed on
Wednesday to transfer monetary
assets worth 400,000 Ringgit
(US$120,000) and his patients’
database to Q&M. He has also
agreed to practise exclusively for
the group for the next two years,
the report said.
The practice currently offers orthodontic treatment and
other procedures like toothwhitening. On its website, it
claims to be the first to have offered lingual braces treatment
in Malaysia.
White Smile Orthodontic is the third dental aquisition of Q&M in Malaysia.
(DTI/Photo courtesy of VojtechVlk)
Recent aquisitions include
the Chinese dental laboratory
providers PRC Dental Laboratory Group and Shenzhen New
Perfect Exact Research, as well
as Quantumleap Healthcare Pte
Ltd, a dental equipment manufacturer based in Singapore. DT
[10] =>
DTAP0112_01-02_Title
DTAP0112_10-12_Hocken 17.02.12 15:47 Seite 1
DENTAL TRIBUNE Asia Pacific Edition
10 Trends & Applications
The filter principle:
Is every patient a finals patient?
Simon Hocken
UK
“Your work is going to fill
a large part of your life, and the
only way to be truly satisfied is to
do what you believe is great work.
And the only way to do great work
is to love what you do. If you
haven’t found it yet, keep looking.
Don’t settle.
like any great relationship, it just
gets better and better as the years
roll on. So keep looking until you
find it. Don’t settle.”
As with all matters of the heart,
you’ll know when you find it. And,
Steve Jobs, CEO of Apple Inc.
in 2005
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You remember finals, don’t
you? Of course you do. Your
examiners carefully selected a
patient(s) for you to examine
and diagnose and for whom to
present a treatment plan. The
finals patients were unlucky
enough to have more than one
dental problem and you were
marked on finding all of them
and your ability to determine
a set of solutions for the patient.
Afterwards, most of us
headed off into practice, where a
series of finals patients are paraded in front of us on a daily basis. Now these patients willingly
pay us to make our professional
judgements, offer our best solutions and suggest a fee for doing
the dentistry.
However, that’s not always
what happens, is it?
There’s something that happens in general dental practice
(be it public like the National
Health Service [NHS] here in the
UK, mixed or private practice)
that is rarely spoken about in
dental magazines, online forums
or even at the bar at dental conferences. And it’s this: many dentists consult with, examine, diagnose and treatment plan their
patients, not in the way that they
did for their finals patient, but by
applying some sort of filter—a
filter of which the patients are
completely unaware. Such filters
have several elements and in my
25 years of being a dentist, followed by ten years of coaching
dentists, I think I’ve probably
heard or seen them all, or at least
their effects.
The filter may have some or
all of these components:
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1. Will the patient like me if I tell
him about all of this?
2. Will the patient come back if
I tell him about all of this?
3. Will the patient think I am
overprescribing?
4. (For returning patients) If I tell
the patient about all of this
now, will he wonder why on
earth I haven’t mentioned it
before?
5. Will the patient be willing to
pay for all of this?
6. If I persuade the patient to have
the big treatment plan, what
happens if it goes wrong?
7. As long as I make a note on the
records, I am keeping myself
within the legal rules.
The enemy within here is
fear, and not the patient’s but the
clinician’s. And so the filter is
applied and the patient is offered
the treatment plan that the clinician believes is absolutely necessary or the one he feels the
patient needs. Presumably, he
leaves the rest until such treatment becomes (as he deems it)
necessary or needed. An additional filter, of course, is the one
that pushes the dentist towards
offering treatments that are well
paid or earn the most number of
units of dental activity.
www.coltene.com/contact
‡ DT page 12
[11] =>
DTAP0112_01-02_Title
[12] =>
DTAP0112_01-02_Title
DTAP0112_10-12_Hocken 17.02.12 15:47 Seite 2
DENTAL TRIBUNE Asia Pacific Edition
12 Trends & Applications
fl DT page 11
Let me run this analogy past
you.
Imagine taking your threeyear-old, £25,000 car in for a
30,000-mile service. During the
course of this, the technician discovers that as well as the regular
service items needed, your car
also has two sets of worn brake
pads. In addition, the front brake
discs are warped, the rear
dampers are leaking and two
“We agree to compromise our professional
skill set and integrity in order to be liked.”
tyres are nearly at their worntread marks.
As a customer, which of these
phone calls would you like the
garage to make?
1. The call that lists the faults,
your options and the costs for
having everything put right?
2. The call that tells you about the
faults they think you will want
to hear?
3. The call that tells you about the
faults that you will be able to
see?
4. The call that tells you about the
faults they think you will be
willing to have fixed?
5. The call that tells you about the
faults that will earn them the
biggest margin?
And what will the garage do
about the faults they don’t tell you
about? Perhaps, put a ‘watch’ on
their records and consider telling
you at the next service?
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So, how does that sound? Not
so great from where I’m sitting
and let’s not tell the national
newspapers. When I left the NHS
in 1992, I decided to get rid of all
the filters I had acquired, and
simply show and tell my patients
what I could do for them as if they
were one of my family and money
and time weren’t an issue. I’ve
used exactly the same approach
in my coaching practice. I was
lucky enough to be mentored by
some great coaches on the idea
that you often do your best coaching just before you get fired (for
telling it like it is). And that’s what
I do for our clients.
29 August - 1 September 2012
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Design: b’com · +33 (0)6 50 46 60 70
Deadline for abstract submission: 30 March 2012
Early Bird registration until 31 May 2012
Leading the world into a new century of oral health
[[[JHMGSRKVIWWSVK
GSRKVIWW$JHM[SVPHIRXEPSVK
I know that some of you will
be wincing already at my comparison between a clinician and
a mechanic but there’s more
mileage in this analogy still to
come. After paying for just the
service, you drive off from the
garage with the faults left unreported. A child runs out in front
of your car and you fail to stop in
time because of the worn tyres/
brake pads/discs/dampers. In
the investigation that follows,
these things come to light and
spark a witch-hunt.
A good garage owner dare
not risk this and the inevitable
damage to the garage’s reputation. He takes his duty of care
seriously and must tell you exactly what the garage has found
wrong with your car. So what’s
really going wrong when a patient leaves a dental surgery with
half a treatment plan? In my
opinion, this happens because
we’ve lost the simple, straightforward, trusting relationship
between patient and clinician
that we had as a final-year student. External circumstances
such as insurance companies,
the economy, the practice finances and, probably most importantly, our lack of confidence
and self-esteem have filtered our
behaviour so that we agree to
compromise our professional
skill set and integrity in order to
be liked, keep the patient or stay
within our comfort zone.
AD
for a
Duty of care
In my view, you have to decide what sort of dentist you want
to be: either an anxious singleunit, one-tooth-at-a-time dentist, forever destined to gross a
thousand pounds a day, whilst
complaining that patients don’t
want your treatment; or a dentist
who communicates clearly and
straightforwardly with your patients about what you can see in
their mouths and the best way to
fix it, thereby giving them back
their responsibility for their
health and leaving the decision
about whether to proceed with
them. DT
Contact Info
Simon Hocken is
Director of Coaching at Breathe Business, a businesscoaching consultancy based in
Kingsbridge in the UK. He can be
contacted at info@nowbreathe.co.uk.
[13] =>
DTAP0112_01-02_Title
DTAP0112_13-14_Ivoclar 17.02.12 15:49 Seite 1
DENTAL TRIBUNE Asia Pacific Edition
Trends & Applications 13
A minimally invasive restoration of worn teeth
Juan Manuel Liñares Sixto
Spain
Composites were first used as
restorative dental materials
during the 1960s. Since then,
their field of application has
been significantly expanded
to include indications in both
the anterior and posterior region.
Modern materials allow the
fabrication of highly aesthetic
restorations with minimal loss
of tooth structure. This is a clear
advantage, as it has become an
overriding objective for many
dentists to keep the biological
cost of restorations to a minimum.
Composite materials are
successfully used for anterior
restorations to reconstruct lost
tooth structure caused by carious lesions, fractures or wear
processes. They are also suited
for complex rehabilitations that
have to meet exacting aesthetic
requirements, such as the closure of diastemas or the realignment of teeth.
Nowadays, dental professionals can choose from a
wealth of composite material
systems offered by plenty of
manufacturers. Ideally, the
physico-chemical properties of
the material should ensure easy
handling and provide optical
characteristics that allow the
healthy natural teeth to be
mimicked accurately. Detailed
knowledge of the material
properties and strict adherence
to the instructions for use and
the adhesive protocol are essential to achieve predictable
and durable results that satisfy
both the patient and the dentist.
Tooth wear, that is, the progressive loss of tooth structure,
is a frequently occurring problem among today’s population.
The reasons for tooth wear
vary. One reason is bruxism and
it is difficult to determine how
widespread bruxism is. Dental
professionals, however, are increasingly faced with the challenge of finding a minimally
invasive treatment option for
patients who suffer from this
condition.
Case report
A 27-year-old female patient
came to our practice with her
upper anterior teeth showing
signs of severe attrition (Fig. 1).
She told us that her central incisors had been getting smaller
over the past two years and
their shape had been changing.
We found that teeth grinding
during sleep was responsible
for the attrition.
The patient wanted the progressive tooth wear to be
stopped and the original shape
of her teeth restored. At the beginning, clinical and radiological examinations were carried
out and the initial situation was
documented with photographs.
Subsequently, study models
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 1: Initial situation: severe attrition of upper anterior teeth caused by bruxism.—Fig. 2: Diagnostic wax-up.—Fig. 3: Adhesive was applied to the slightly bevelled
enamel edges.—Fig. 4: Composite material was applied in layers using the silicone key as a reference.—Fig. 5: The surface was given the necessary characteristics before the composite is polymerised.—Fig. 6: The high-gloss restorations on teeth #21 and 11 are virtually indistinguishable from the natural tooth structure.
AD
were fabricated and mounted
on a semi-adjustable articulator. As the canine guidance and
lateral movements of the teeth
were found to work perfectly
and the patient was of a relatively young age, we opted for
a minimally invasive treatment
option.
Only the incisal third of the
upper anterior teeth should be
restored with composite. The
function and anatomy of the
teeth were evaluated using a diagnostic wax-up (Fig. 2). The
envisaged result was simulated
in the oral cavity with a silicone
key, which allowed the patient
to view the aesthetic and functional characteristics before
beginning restorative treatment. Silicone keys are generally useful as a reference to reproduce the shape of the tooth
as determined at the beginning
of the treatment.
After the patient had been
appropriately informed of the
treatment, the restorative procedure was commenced.
As the first step, the incisal
edge was given a slight bevel.
Care was taken to remove as little tooth structure as possible
and yet to achieve optimum retention and ensure an accurate
fit of the restoration. As the next
step, the enamel areas were
etched with phosphoric acid
and ExciTE F adhesive (Ivoclar
Vivadent) was applied (Fig. 3).
In this case, we decided to
use the IPS Empress Direct
composite system (Ivoclar Vivadent). The materials were applied in layers using the silicone
key fabricated beforehand. The
silicone key enabled us to reproduce the anatomical characteristics of the tooth as true
to nature as possible (Fig. 4).
To build up the tooth shade, we
‡ page 14
[14] =>
DTAP0112_01-02_Title
DTAP0112_13-14_Ivoclar 17.02.12 15:49 Seite 2
DENTAL TRIBUNE Asia Pacific Edition
14 Trends & Applications
Fig. 7
Fig. 8
Fig. 9
Fig. 10
Figs. 7 & 8: The lateral incisors were restored using the same procedure.—Figs. 9 & 10: A night guard enhances the durability and long-term prognosis of the optically pleasing result.
AD
fl DT page 13
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MARK YOUR CALENDAR
ScienƟĮc MeeƟng:
Friday - Wednesday,
November 23 - 28
Exhibit Dates:
Sunday - Wednesday,
November 25 - 28
AããÄ Aã NÊ CÊÝã
Never a pre-registraƟon fee at the
Greater New York Dental MeeƟng
MÊÙ ãHÄ 600 EXH®B®ãÊÙÝ
Jacob K. Javits ConvenƟon Center 11th Ave.
between 34-39th Streets (ManhaƩan)
,QçÙãÙÝ ,Êã½
New York MarrioƩ Marquis ,otel
L®V DÄã®ÝãÙù AÙÄ - NÊ Tç®ã®ÊÄ
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MÊÙ THÄ 350 S®Ä㮥® PÙʦÙÃÝ
Seminars, ,ands-on Workshops, Essays
& ScienƟĮc Poster Sessions as well as
Specialty and Auxiliary Programs
Eçã®ÊĽ PÙʦÙÃÝ
®Ä VÙ®ÊçÝ ½Ä¦ç¦Ý
SÊ®½ PÙʦÙÃÝ ¥ÊÙ ãH EÄã®Ù Fî½ù
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:::*1<'0&20
FOR MORE INFORMATION:
Greater New York Dental MeeƟng®
570 Seventh Avenue - Suite 800
New York, NY 10018 USA
Tel: (212) 398-6922 / Fax: (212) 398-6934
E-mail: victoria@gnydm.com
decided to use shade A1 Enamel
to achieve increased brightness
and a halo effect in the incisal
third and create intensely
translucent areas. Shades A2
and A1 Dentin were selected to
simulate the mamelons.
Some of the material extended into the bevelled enamel edges to mask the transition between the tooth and
restoration. The grooves between the mamelons were
filled with Trans Opal. Finally,
the restoration was covered
with a thin coating of Trans 30.
This layer also extended into
the bevelling (Fig. 5).
Each individual composite
layer was polymerised with a
bluephase curing light for ten
seconds using the High Power
mode Upon completion of the
layering procedure, the re storation was finished using
multiblade burs and aluminium oxide discs. Finally, the
restoration was carefully polished using the three-step Astropol polishing system (Ivoclar
Vivadent), felt discs and aluminium paste until the desired
high-gloss surface was attained
(Fig. 6).
The incisal third of the upper lateral incisors was built
up using the same procedure to
achieve the appropriate anatomical and functional characteristics (Figs. 7 & 8).
Although the anterior guidance was re-established, parafunctional activity may still
occur. Therefore, the patient
received a night guard.
Bruxism may compromise
the outcome and durability of
any restoration, no matter how
well designed. Detailed knowledge of the material in use,
the tooth anatomy, shade design and occlusion, among
other things, were instrumental in achieving the optically
pleasing result in this case
(Figs. 9 & 10). DT
Sponsored by the New York County Dental Society and the Second District Dental Society
Contact Info
Juan Manuel
Liñares Sixto
maintains a private dental practice in La Coruña
in Spain. He can
be contacted at
juanmlinaressixto@yahoo.es.
[15] =>
DTAP0112_01-02_Title
DTAP0112_15_Idem 17.02.12 15:51 Seite 1
DENTAL TRIBUNE Asia Pacific Edition
Meetings & More 15
Numbers increase for sixth
Singapore dental show
DTI
SINGAPORE: This year’s International Dental Exhibition and
Meeting in Singapore will welcome a number of new faces to
Asia’s largest dental meeting.
Several companies from around
the globe have announced their
first ever participation at the biennial event, which will be held
at the end of April.
Among the new exhibitors will
be dental heavy-weights Astra Tech
and Biomet 3i, as well as specialist companies like Roland DG, a
milling machine manufacturer
from Japan, and the Finnish clinical furniture company Salli, the
organiser said. In total, over 380
manufacturers and dealers have
registered for the three-day event,
including large joint participations
from players operating in key dental markets like Germany, Italy,
South Korea and the USA. In addition to new implant systems, dental
instruments and the latest restorative materials, advanced digital
dentistry solutions will be on display.
With over 6,000 trade visitors
in 2010, IDEM Singapore has become one of the largest dental
shows for the ASEAN and APAC
region. Recently recognised as
“Trade Conference of the Year” by
the country’s Tourism Board at the
Singapore Experience Award 2011,
it was launched in 2000 with the
participation of approximately 200
exhibitors. This year’s show will
be held from 20 to 22 April at the
Suntec Singapore International
Convention & Exhibition Centre.
“Demand for advanced dental
care and services is growing in
Asia. In addition to a more affluent
population and increasing awareness in oral health, Asia’s growing
sophistication in dental treatment
is also attracting patients from
other parts of the world,” said
Michael Dreyer, Asia-Pacific VicePresident for Koelnmesse, the
organiser. “IDEM Singapore 2012
continues to be an important platform that will bring innovations
from the West to Asian dental practitioners, while opening up opportunities in regional markets to
players from the West.”
According to the 2010 visitor
survey, almost two-thirds of all visitors were from outside Singapore
with many coming from neighbouring countries such as Malaysia, Thailand, Indonesia, the Philippines and Vietnam. Half of them
were dentists while the other half
were dental nurses, dental technicians or dental students.
Singapore Dental Association
President Dr Philip Goh said that in
addition to the larger exhibition,
IDEM’s scientific programme aims
to help dental professionals keep
pace with the rapidly advancing
innovations in the field. He added
that attendees will be able to earn
up to 30 continuing professional education points by attending
the seminars and workshops held
during the show.
Titled “Advances and Controversies”, the conference programme will include such topics as
trends in the non-surgical treatment
of periodontitis, the prevention and
control of early caries, and implant
therapy in the aesthetic zone. For
the first time, IDEM will offer a postcongress workshop (sponsored by
Invisalign) on Monday, 23 April.
The educational offering will
be complemented by the second
forum organised by the Dental
Tribune Study Club. DT
Visitors queuing up at the SUNTEC registration counter in 2010.
AD
[16] =>
DTAP0112_01-02_Title
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