DT Asia Pacific No. 3, 2011
Australian coalition clashes over dental care
/ Asia News
/ Opinion
/ World News
/ Worldental Communique
/ Business
/ IPS e.max Press and the Straumann Anatomic IPS e.max Abutment
/ “Seaweed can be found in many fluoridated toothpastes”
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DTAP0310_01-03_TitleNews
DENTAL TRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition
PUBLISHED IN HONG KONG
www.dental-tribune.asia
NO. 3 VOL. 9
Reciprocating files
An interview with WaveOne
developer Julian Webber
IPS e.max Press
Rehab with implant-borne
anterior reconstructions
6
4Page
4Page
Extra
The latest news from the
FDI head office
11
Australian coalition clashes over dental care
Labor’s scrap of coverage scheme snubs Green party
Daniel Zimmermann
DTI
7/8
Malaysia kicks
off oral health
campaign
The Malaysian Dental Association (MDA) and dental consumables manufacturer Colgate have
launched a nationwide campaign
to improve the neglected oral
health of Malaysians. During Oral
Health Month in April, free dental
checks will be provided to the
public in 711 clinics around the
country. Educational and promotional events in shopping malls
and supermarkets will also form
part of the campaign.
HONG KONG/LEIPZIG, Germany:
Nine months after its formation,
the government coalition between
the Labor and Green parties in
Australia is being severely tested
regarding the introduction of a
new dental subsidy scheme. The
clash came after Labor Health
Minister Nicola Roxon in an interview told The Australian newspaper that the scheme would be
scrapped from the next federal
budget in May in order to return
the nation’s balance to a surplus in
2012/13.
Improved funding of oral
health care for low-income Australians was one of the key motivations for the Greens in forming a
government coalition with Labor
when they failed to gain the majority vote during last year’s federal
elections against the Conservatives. Led by Senator Bob Brown,
the party has been pushing for an
AU$4.8billion (US$4.95 billion)
universal dental scheme that they
say would give half a million Australians access to much-needed
basic dental care.
4Page
Over half a million Australians are on waiting lists for dental treatment. (DTI/Photo courtesy of Monkey Business Images, UK)
Currently, a significant number of Australians using public
dental health care services have
to wait for long periods before
they receive treatment. The situation is particularly severe in the
southern parts of the country,
where patient waiting periods
have been reported as up to two
years.
Ms Roxon said that Labor is
still open for discussions with
the Greens about investment in
dental health and other neglected areas of health care. She
emphasised that despite the coalition’s agreement, a comprehensive dental scheme would not be
achievable in the next budget, but
that the government would be
committed to keeping its promise
in the longer term. According to
news sources, the CEO of the Australian Dental Association Robert
Boyd-Boland was disappointed
that there would be no subsidy
scheme in the May budget. Green
party members had not commented on the matter before this
edition went to press. DT
The Oral Health Month campaign complements the country’s
National Oral Health Plan 2010,
which aims to create awareness
and educate the public on better
oral hygiene. According to the
Ministry of Health, currently nine
out of 10 Malaysians and more
than 30 per cent of all children suffer from tooth decay, figures also
confirmed by the World Health
Organization.
The MDA and Colgate are
aiming for at least 30,000 dental
checks to be performed throughout the month of April. Malaysia’s
Oral Health Month has been held
annually since 2004. DT
AD
Fluoride in
focus at Thailand
meeting
These black teeth of a sea mollusc are capped with one of the hardest biominerals
known by science and subject of a US study that could explain the architecture of teeth
on a nanoscale level. (DTI/Photo courtesy of Northwestern University, USA)
Indian students
Implants need less
demand extra posts root than crown
Dental students in India have
protested for the creation of additional posts for dentists in public hospitals, as well as primary
health care centres. Despite having a degree, thousands of graduates in the country are currently
unable to find a job due to the lack
of dental posts available in the
public sector. DT
Researchers from the US have
found that the crown-to-implant
ratio that determines how much of
the tooth extends above the jawbone and how much is in the bone,
is not as important to the success of
implants as previously thought.
They evaluated the health of implants that had been in place more
than five years. DT
Effective strategies on fluoride administration have been recently presented at a workshop
held by the Dental Association
of Thailand in cooperation with
the World Health Organisation,
the FDI World Dental Federation
and the International Association
of Dental Research in Bangkok
in Thailand. The meeting, which
saw participants from over 16
Asian countries participating,
urged attendees to advocate for
more effective use of fluoride in
their respective countries.
Currently, the fluoridation of
water is only common practice in
few Asian countries such as Australia, China, Brunei, Malaysia
and New Zealand. Fluoride toothpaste and mouth-rinse are widely
available; however, improper
brushing techniques and poor
awareness particularly in rural
areas often negate their preventive potential. DT
Distinguished by innovation
We shape the future of dentistry with our innovative products and systems. They
distinguish us – in the field of restoratives, all-ceramics and esthetic prosthetic
solutions. A wealth of experience, great commitment and innovative ideas help us
to always find the optimum solution for high-quality products that allow you to
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Ivoclar Vivadent AG
Bendererstr. 2 | FL-9494 Schaan | Principality of Liechtenstein
Tel. +423 / 235 35 35 | Fax +423 / 235 33 60
[2] =>
DTAP0310_01-03_TitleNews
DENTAL TRIBUNE Asia Pacific Edition
AD
A study on Straumann Bone Level
SLActive® dental implants
Comparing change in peri-implant bone level between submerged versus transmucosal placement of bone level implants
in the anterior maxilla and mandible: 12-month results
Fig. 1
Fig. 2
Fig. 1: Mean bone level change from baseline at 6 and 12 months. – Fig. 2: Percentage of implants showing different categories of bone level change.
Materials and Methods
Christoph Hämmerle et al.
Switzerland
The surgical procedure and
implant design both influence
aesthetic outcomes. For example,
a submerged technique may be
preferred to establish aesthetics
and function in anterior sites,
and implants where the metallic
shoulder is reduced may help to
improve the aesthetics of the
restorations. The marginal bone
change over time is another important factor,1,2 with a historical
success criterion being bone loss
of no more than 0.5mm in the first
year and < 0.2mm annually thereafter.
This investigation was designed
to evaluate the amount of bone level
change with submerged and transmucosal healing, and to assess any
difference in bone level change between the two procedures with
Straumann Bone Level SLActive®
Implants.
Implants to replace single teeth
in the anterior region (maxilla or
mandible) were placed in a total of
146 patients in 12 centres in seven
countries. A temporary crown was
placed between eight and 14
weeks, and the final reconstruction
was placed after 26 weeks. The primary parameter was evaluation of
change in bone level, measured by
standardized radiographs taken at
the surgery (baseline), provisional
placement (approx. 14 weeks), final crown placement (six months)
and 12 months, with annual followup intended for up to five years. Secondary parameters included soft
tissue recession, implant survival
and success and prosthesis success.
Results
The Intent-to-Treat (ITT) population for the 1-year results included
127 patients (60 and 67 in the transmucosal and submerged groups, respectively, with a mean age of 45.5
and 47.3 years, respectively). Based
on the 12 month ITT population
data, the mean change in bone level
after six months, was -0.30 ±
0.47mm (-0.32 ± 0.47mm and -0.29
± 0.35mm for the submerged and
transmucosal groups, respectively),
while after 12 months the mean
change in bone level was -0.47 ±
0.64mm (0.47 ± 0.64mm and -0.48 ±
0.65mm for the submerged and
transmucosal groups, respectively)
(Fig. 1). There was therefore no significant difference in bone level
change between the two groups. Almost two-thirds of implants (64.8
per cent) showed less than 0.5mm
bone loss over 12 months (Fig. 2).
The implant survival and success
rate was 99.2 per cent.
Patient satisfaction with the final prosthesis was extremely high;
99 per cent of patients reported
their level of satisfaction as excellent or good (Fig. 3).
‡ DT page 3
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
Anja Worm
President/CEO
Torsten Oemus
Editorial Assistant
Yvonne Bachmann
Marketing & Sales
Peter Witteczek
Director of Finance & Controlling
Dan Wunderlich
Marketing & Sales Services
Nadine Parczyk
License Inquiries
Jörg Warschat
Accounting
Manuela Hunger
Product Manager
Bernhard Moldenhauer
Executive Producer
Gernot Meyer
Ad Production
Marius Mezger
Designer
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.
© 2011, 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] =>
DTAP0310_01-03_TitleNews
DENTAL TRIBUNE Asia Pacific Edition
Asia News
3
Dentistry in Singapore goes more digital
National Dental Centre launches new electronic record system
HONG KONG/LEIPZIG, Germany: Singapore’s largest dental
care facility is upgraded its patient
management. From April on treatment data of patients visiting the
National Dental Centre will be registered and stored within a new
electronic dental record system. The
US$3 million project took years to
complete and is the first custom-built
dental record system in the city state.
Launched by the end of March
in presence of Singapore’s Health
Minister Khaw Boon Wan, the system is supposed to allow dentists
better access to the dental history
and pre-medical conditions of patients. It will also significantly cut
down waiting times at the clinic,
officials told the newspaper The
Strait Times. In recent years, the
Centre has repeatedly been criticised for their long waiting lists,
particularly for specialist appointments such as root canal treatment
or bridge work.
The system will also be compatible with the electronic med-
ical record system by the country’s largest healthcare provider
SingHealth for sharing critical
medical information such as drug
allergies or lab tests results.
Wirth an annual influx of more
than 16,000 patients, the National
Dental Centre is one of the largest
centres for dental healthcare services in Singapore. It currently
maintains three specialist clinical
departments for oral and maxillofacial surgery, orthodontics as well
as restorative dentistry. They also
offer a range of dental training programmes and continuing professional education. DT
AD
fl DT Page 2
Discussion
Traditional implant success criteria include an acceptable bone
loss of ≤ 0.5mm in the first year and
< 0.2mm annually thereafter.3 Recently, however, there have been
suggestions for these criteria to
be revised, indicating that a more
acceptable bone loss for modern
TRAINER (ASIA PACIFIC)
Straumann is a global leader in implant and restorative dentistry and oral tissue regeneration. By offering a full spectrum of products
with cutting edge technology and service, Straumann has become the partner of choice for dental professionals worldwide. Training
& Education (T&E) is a core function at Straumann globally and in APAC regionally priding itself for its unique partnership with thought
leaders and clinicians in dental field in building awareness and expertise in implant, restorative and regenerative dentistry through
training and education of unmatched quality.
Straumann APAC is now looking to recruit a Regional Trainer who will be responsible for training customers as well as internal and
distributor staff on Straumann portfolio of products. The Trainer will also be responsible for the logistics of the courses, planning and
arranging the necessary training materials and equipment. He/she would be travelling frequently giving training support to the region.
The Trainer will also respond to customer inquiries with specific technical advice/support where necessary. The Trainer is responsible for
ensuring that training and education programs are conducted in accordance to global guidelines and with adaptation to local needs.
The position is based at the company’s regional Headoffice in Singapore and reports to the Director of Scientific Affairs, APAC.
Fig. 3: General patient satisfaction
with final prosthesis at 12 months.
implant systems would be 0.3mm
over five years. However, many of
the studies on which this suggestion is based use placement of the
temporary or final prosthesis
rather than placement of the implant as the baseline measurement
for bone level change.4
Studies that use implant placement as the baseline measurement
for bone level change have shown
relevant bone loss before loading;4,5
therefore, using prosthesis placement as the baseline may give an inaccurate reflection of the real
amount of bone loss.6,7 A more accurate picture can be obtained by
measuring bone levels at implant
placement and at regular intervals
thereafter (Fig. 1). Knowledge of the
amount of bone level change to expect has a huge clinical relevance in
treatment planning to achieve an optimum aesthetic outcome; for example, unexpected bone loss can cause
substantial soft tissue recession, resulting in an aesthetic failure.
Conclusions
Marginal bone level change
was small and not significantly different between submerged and
transmucosal implants.
• The marginal bone level change
from implant placement as baseline is -0.47mm (mean). The marginal bone level change from implant loading as baseline (at six
month) was -0.17mm (mean)
• Extremely high survival and success rates were observed (99.2 per
cent for both)
• Patient satisfaction with the outcome was extremely high (99 per
cent). DT
Editorial note: A list of references is
available from the publisher.
Tasks
Planning, organization and successful delivery
of high quality T&E courses
Planning for APAC HQ courses on a yearly basis in
collaboration with broader APAC T&E team
Setting and regular maintenance of APAC course/
activity database
Support to non-Straumann customer activities with
materials and equipment
Support to subsidiary and distributor programs
Post activity reporting
Internal/Staff Training
Planning, content development and execution
of staff training
Foreseeing the attendee criteria, agenda and
logistics of the event within allocated budget
Straumann Singapore Pte Ltd
#26-01 Fuji Xerox Towers
80 Anson Road
Singapore 079907
www.straumann.com
job.sg@straumann.com
External/Customer Training
Planning, organization and ensuring successful execution
of high quality and differentiated courses
Providing material and equipment support
Candidate Qualifications
Degree in Dentistry, Education or as a Dental Technician
Experience in dental industry and implant dentistry
is preferable
Professional experience in adult education is a bonus
Fluency in English (written and spoken) is a must. Asian
languages (Mandarin, Japanese) would be an advantage
Experience with Microsoft Office packages and
Powerpoint in particular is expected
Excellent interpersonal and presentation skills
Well-organized and structured person
Team player
Comfortable to interact with different cultures
and customer segments
[4] =>
DTAP0310_01-03_TitleNews
Opinion
DENTAL TRIBUNE Asia Pacific Edition
Dear
reader,
To the Editor
4
Re: “Specialists quarrel
over ‘single file endo’”,
(Dental Tribune Asia Pacific
No. 1+2, Vol. 9, page 5)
As a general dentist with a passion for
endodontics I am excited by each
new development in endodontic
training and equipment, especially
when these are driven by a desire to
improve outcome for our patients.
Where developments are driven primarily by a desire to speed up the
process I have less interest. “One file
systems” may make shaping marginally quicker but if they do not offer
greater canal wall contact or if they
distort the canal anatomy more than
previous systems then we have
gained little more than a couple of
minutes of working time.
Daniel Zimmermann
DTI
In view of the Japanese
tragedy and the still obscure situation at the Fukushima-1 nuclar
plant, it seems rather difficult at
this point to deal with other things
such as the future of dentistry.
However, with another record
IDS just having come to a close, it
becomes rather clear that there is
a revolution afoot that most dentists will not be able to afford to
miss.
The swift recovery of the dental markets was a clear indication for the fact that dentists
throughout the world have put
the recession behind and are beginning to spend money on new
equipment again.
However, this willingness to
invest will not only benefit shortterm clinical outcomes but most
likely effect a dramatic change in
how dental practices will be run
in the future.
The majority of products
presented at IDS are based on
digital technology and offer outstanding connectability for an
almost complete workflow that
is able to incorporate all members of a dental team as well as
third party service providers
such as dental labs. It is most
likely that dental practices will
look very different in a few years
from now. DT
Yours sincerely,
Daniel Zimmermann
Group Editor
Dental Tribune International
In Memoriam Frederic Suter
charmed by his natural, elegant
and sympathetic character.
Friedrich A. Herbst
Germany
Un grand homme dentaire, un
grand home d’affaires, et grand
personne, Frederic Suter.
Dental salesman, manager
with profound even encyclopedic
expert knowledge, lovely personality; these are attributes that
characterise the French in Frederic Suter, a language that he as
a Swiss native spoke as fluently as
Italian, German or English.
On Thursday, 10 February,
2011, Frederic Suter passed away
after long illness in Geneva in
Switzerland near his long-term
residence in Versiox.
Frederic Suter was a Dental
Grande, who left his mark on the
trade and the industry for
decades. Those who were lucky to
meet him, where immediately
Due to his personality, he was
an appreciated and beloved dialogue partner for dentists and
business partners not only at the
beginning of his career (His father
was longterm purchasing agent of
Kölliker & Ciethe in Zurich, the
largest Swiss dental dealer of the
1950s.)
His popularity and loyal and
unselfish dedication to customers, as well as the motivation
and encouragement he gave
particularly young colleagues
made him climb the ladder to
the executive boards of large international companies like USA
Healthco and, lately, for the European business operations of
Morita Japan.
In addition to this, he even
found time to be involved into
dental trade association work.
For many years, Frederic Suter
was president of the well-reputed
Swiss Dental Trade Association.
I will gladly remember Frederic
Suter, the many expert discussions
with him as well as some of the fast
rides in his Sting Ray Corvette over
the passes of the Swiss Alps. Frederic Suter also was a fast-paced
skier and a great yachtsman on the
Lac Leman. Privately, he never
found someone to share his many
interests. He lived most of his life as
a convinced bachelor.
With Frederic Suter, the dental
community has lost a great and
universal beloved character. Our
sympathies go out to his brother
Ulrich.
Friedrich Herbst is the Executive
Director of international dental
manufacturers (idm), an independent umbrella organisation
that globally represents the common interests of the dental trade.
He can be contacted at idm-vox@
t-online.de.
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more information:
Understanding the 3-D aspect of the
canal anatomy is essential and should
be an important part of training. Predictable endodontic outcomes are
achievable by all dentists with appropriate training and adequate time in
practice. Any new system that assists
this goal should be applauded.
Un dernier au revoir! DT
AD
All our products convince by
excellent physical properties
If a guide path is still required along
with coronal flaring then just how
much time we have saved is questionable. Any system that enhances
our ability to irrigate a canal system
more fully is likely to improve outcome and is worth considering no
matter how many files are required.
Endodontic training needs to emphasis the comprehensive nature of
planning (both endodontic and
restorative) and the biological nature
of the condition.
Glass ionomer filling cement
– perfect packable consistency
– excellent durable aesthetics
– also available as handmix version
Dental Tribune
welcomes comments,
suggestions and
complaints at feedback@
dental-tribune.com
[5] =>
DTAP0310_01-03_TitleNews
DENTAL TRIBUNE Asia Pacific Edition
World News
5
Industry veteran honoured with first DT Award
2011 nominations are now open at Dental Tribune website
Yvonne Bachmann
DTI
COLOGNE & LEIPZIG, Germany:
Robert Gottlander from Sweden
was announced the first winner
of the Dental Tribune Industry
Leadership Award, an honour for
outstanding achievements in
dental education and innovation.
Gottlander received the award
from DTI CEO Torsten Oemus
during a recent award reception
at IDS Cologne.
reer at Nobelpharma in 1984,
which was later consolidated
into Nobel Biocare. During his
time as executive vice president
for education and products, from
1986 to 1987, Gottlander was responsible for the internationally
acclaimed educational training
Nobel World Tour.
programme,
T
Being awarded annually, the
Dental Tribune International’s
Global Dental Tribune Awards
aims to recognise outstanding
individuals, teams and practices that have an active interest in continuing professional
development and staying at the
top of the profession. The audi-
ence consists of over 650,000
dental professionals, all readers of the Dental Tribune newspaper, which the network is
publishing in more than 25 languages.
Mr Oemus said that 15 categories are now open for nomi-
nations including Lifetime
Achievement, Innovation in
Dentistry or Dental Educator of
the Year Award at the Dental
Tribune Website (www. dentaltribune.com/awards.) The winners will be announced at this
year’s Greater New York Dental
Meeting in November. DT
AD
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A complete nano-optimized restorative system
Torsten Oemus (right) handing over
the first Dental Tribune Award to
Robert Gottlander. (DTI/Photo Yvonne
Bachmann, DTI)
Gottlander attended the School
of Dentistry at the University of
Gothenburg. He started his ca-
DT Group
extends to
platform
Daniel Zimmermann
DTI
Members of the Dental Tribune
International Publishing Group
(DTI) met in Cologne recently
for the 7th Annual Dental Tribune
International Publishers Meeting.
The gathering, which is traditionally held prior to IDS, saw new
licence partners from Slovenia,
the Netherlands and the Czech
Republic joining the Group. The
largest global dental publisher’s
network now comprises 28 partners, including Russia, China and
India, to name a few.
New features of DTI’s online
portfolio were also revealed in
Cologne. According to Publisher
and CEO Torsten Oemus, users of
the website www.dental-tribune.
com will now be able to post and
search jobs and classifieds worldwide and in their respective local
markets. He also announced a free
app featuring a selection of news
articles and videos from the DTI
network and in different languages
for Apple’s iPhone and iPad.
Based in Hong Kong, New York
and Leipzig in Germany, DTI currently publishes over 100 newspapers and magazines in 90 countries worldwide. Their offering is
extended by online education realised by the Dental Tribune Study
Club. DT
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[6] =>
DTAP0310_01-03_TitleNews
6
DENTAL TRIBUNE Asia Pacific Edition
World News
“The WaveOne system is a simple system”
An interview with Julian Webber, UK
Julian Webber (DTI/Photo Johannes
Eschmann, DTCH)
At IDS, the Swiss manufacturer DENTSPLY Maillefer introduced their new NiTi file system
WaveOne to the public. DT editors Claudia Salwiczek and Robin
Goodman spoke with developer
Julian Webber, UK, about the
benefits and the response the system has received so far.
Claudia Salwiczek/Robin
Goodman: Would you describe
the benefits of WaveOne to our
readers?
Dr. Julian Webber: I think the
benefits of WaveOne are principally
for general practitioners who are
looking for a mechanical means to
prepare their root canals. And, for
various reasons, possibly, those who
are concerned about instrument
fracture are reluctant to use some
of the standard systems. The
WaveOne system is a simple system
involving only one file in many
cases, and the cost of which is very
reasonable compared to a package
of files to prepare the whole root
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canal and as such, it would be very
appealing. We’re talking about one
file to produce a perfectly shaped
root canal; and when the root canal
is perfectly shaped, we can irrigate
and clean it properly and then fill it
properly.
A general practitioner might
be inclined to have the impression
that the WaveOne system makes
root canals easy. Do you think
encouraging this view might be
cause for concern among endodontists?
Well, I have read this argument
about making root canal treatment
simple. I don’t see why can’t root
canal treatment be simple. Why
can’t dentistry be simple? Dentistry
is all about manual skills, and dentists have manual skills. Therefore, if
we can make root treatment simpler
for them, I think we are providing a
great benefit to not only the dentists,
but more importantly, the patients. If
you look at the majority of root canal
files, preparation systems on the
market, they have an end result in
mind. So you use three or four files to
get to a specific shape. Yet with the
WaveOne system you only need one
file to get to that shape.
What sort of response to the
system have you had thus far?
I really think people are very excited by the concept. And yes root
canals are difficult for many; they’re
not easy. There’s a lot of anxiety
when you prepare a root canal
preparation, and I think people
coming by the stand and trying out
the technique are able to appreciate
the simplicity, but also appreciating
the benefits for themselves.
Is the WaveOne system already available in Europe and
North America?
Yes, in Europe it was launched
on February 10. I believe it is launching in North America at the American Association of Endodontists
meeting in San Antonio in April.
Will there be courses offered so
people can learn how to use the
WaveOne system?
DENTSPLY Maillefer has a great
continuing education program, and
they work with all their dealers in
the countries where their products
are for sale by putting on events. In
Europe, I will be traveling extensively, with some courses coming up
in the Czech Republic, Bulgaria, Slovakia, Spain and Poland, which are
organized by the local DENTSPLY
dealers. is also very involved with
dental schools, so there will be some
great teaching going on in different
venues. We’ve got a team of six involved on WaveOne with three of us
in Europe. We’ve got Pierre Machtou from Paris, Willy Pertot from
Paris and me in London. In the US,
there is Sergio Cutler from Fort
Lauderdale, Florida, John West
from Seattle, and Cliff Ruddle from
Santa Barbara, California. So hopefully, between the six of us, we
should be able to get this exciting
message out to dental colleagues.
Thank you very much for this
interview. DT
[7] =>
DTAP0310_01-03_TitleNews
Message of the FDI President
Dear FDI Members and friends,
I write to you with the mixed
feelings of sadness and joy. I am
deeply saddened by the recent
natural and nuclear disasters
affecting Japan. On behalf of
FDI World Dental Federation I
would like to express our deepest sympathy and concern for
the people of Japan. I would also
like to let our colleagues in the
Middle East/North Africa know
that our thoughts are with them
during these turbulent times of
transition in the region.
However, I am pleased to report to you that despite the grave
world news, the FDI has many positive accomplishments to share
with you. It is with great pleasure
that I announce the recent appointment of Dr Jean-Luc Eiselé
as the new FDI Executive Director,
effective from 7 March. Dr Eiselé
brings a wealth of experience to
the post including over 11 years in
the medical and association management fields. Educated at Lausanne University, Basel University
and the European Molecular Biology Laboratory in Heidelberg, Dr
Eiselé brings a unique mix of scientific knowhow and managerial
experience to the FDI. Dr Eiselé is
already hard at work at the head office and meeting with our Corporate Partners at the International
Dental Show in Cologne, Germany.
I would also like to take this opportunity to thank Mr Jérôme Estignard for his service as Interim
Executive Director from September 2010 to March 2011. Mr Estig-
nard not only successfully managed the transition between Executive Directors but also put in
place several new initiatives and
projects including: overseeing
the development and implementation of a new model for the selection of the FDI Annual World
Dental Congresses (AWDC) in
2012 (Hong Kong, China S.A.R.)
and 2013 (Seoul, South Korea),
helping to organise the web-casting of the 2011 AWDC in Mexico,
and overseeing the successful
outsourcing of the International
Dental Journal to Wiley-Blackwell. Mr Estignard will return to
his previous role of Finance and
Operations Director.
Another recent accomplishment is the agreement between the
World Health Professions Alliance
Dr Roberto Vianna, FDI President in front of the WHO Office in Geneva, Switzerland.
and the International Federation of
Pharmaceutical Manufactures &
Associations to launch a FDI lead
Noncommunicable Disease Campaign. Please see the article on
NCDs in this issue of the Communiqué for more information about
this exciting new project.
I hope you enjoy this issue of
the World Dental Communiqué.
I look forward to seeing you all in
September for the 2011 AWDC in
Mexico City. FDI
Dr Roberto Vianna
FDI President
Interview with the FDI Executive Director
The Council of the FDI World
Dental Federation is pleased to
announce the appointment of
Jean-Luc Eiselé as the new
Executive Director, effective
from 7 March 2011.
Jean-Luc Eiselé
In his role as Executive Director,
Jean-Luc Eiselé will head the FDI
Office based in Geneva, Switzerland. Responsible for the overall
management of activities for the
Federation, he will be charged with
implementing the organisation’s
strategic and operational plans under the direction of the FDI Council
and General Assembly.
Jean-Luc Eiselé, PhD, has
worked in medical professional association management for 11 years.
He earned a MSc in Natural Sciences from Lausanne University,
Switzerland. He received a PhD in
Microbiology from Basel University, Switzerland. Part of his PhD
work was conducted at the European Molecular Biology Laboratory
in Heidelberg, Germany. After com-
pleting a post-doc at the Institute
Pasteur in Paris, France, he was offered a permanent position. In 1999,
Jean-Luc joined the European Respiratory Society (ERS) in Lausanne
as Scientific and Educational Activities Manager. In 2001 he was promoted to Deputy Executive Director and in 2007 appointed Executive
Director of ERS.
WDC: Why did you apply to
this position?
Jean-Luc Eiselé: First let me say
how honoured I am to have been appointed to this position. The World
Dental Federation is one of the few
organisations, representing the important area of oral health and medical care at the global level. Having
gained a strong experience in association management, advocacy and
congress organisation with the ERS
at the European level, it seemed as
a natural step at this time in my career, to move to a truly international
organisation. FDI, because of its
global reach is also present in developing countries, with projects,
educational courses and other activitie—a challenge that I was also
looking for.
How do you see your role
within the organisation?
I do see my role as an active communication interface between the
members, the committees, the
leadership, and the professional
staff in the office. Over the last years,
FDI has been missing stability. In
my different positions at ERS, I had
the pleasure collaborating with
over 100 top leaders and 11 different
Presidents and I am happy to bring
this expertise to FDI. We need to
build a transparent relationship, rebuild trust and create a positive energy that will help FDI to grow and
develop. There are a lot of expectations, both from the leadership and
the staff, together with a lot of good
will on both sides to have things
moving professionally.
public website and Vox should bring
more information relevant to our
members and the professionals.
The Council is sharing this priority
and has given me immediate support to further develop this area.
Similarly with our publications, we
need to have a clear editorial line for
the International Dental Journal
(IDJ)which has a fantastic potential
and is a strong brand
What do you see as the immediate challenges?
The 2011 Annual World Dental
Congress taking place in Mexico
City this September is certainly our
most immediate priority. After two
difficult years in Singapore and Salvador, there are a lot of expectations
from our members, participants,
corporate partners and sponsors.
During my first weeks, I had a pleasure meeting with Dr. Jaime Edelson
and Dr Victor Guerrero from the
Local Organising Committee. I am
very confident that Mexico will be a
tremendous success. The staff in
the office has worked very hard,
with all their experience and professional expertise to make this
event highly memorable. The programme and the speakers are outstanding, and we will also have
some very important and interesting developments to mark this Congress, such as the launch of the new
Caries Classification system.
For 2 years, I managed a small
family publication company in
Switzerland and I also successfully
launched a new medical journal for
ERS. Communication is nowadays
an essential tool for international
organisations and we need to be at
the forefront.
Another challenge is to develop
our communication strategy. We
need to have clear messages and a
coherent way to deliver them. The
How would you see FDI activities developing in the future?
FDI has to concentrate on a few
core activities with clear objectives
and deliverables for each one. In a
preliminary discussion with the
leadership, we have identified four
pillars on which FDI can grow.
1.) Governance: FDI exists to serve
our members, the National Dental Associations, to facilitate the
communication and the networking. This political dimension is at the heart of FDI.
2.) Advocacy: FDI is the primary organisation representing the interests of dentists, patients and
the oral health industry. The office is based in Geneva, the home
of the World Health Organiza-
tion, where we need to be even
more present and visible. The
United Nations initiative on noncommunicable diseases (NCD)
offers a unique opportunity, and
FDI will send a clear message at
the summate in September in
New York. We are also taking the
lead to launch a World Health
Professions Alliance Campaign
on Noncommunicable Diseases.
The Campaign will provide us
with the resources to emphasise
the message that oral diseases
are important NCDs that should
be considered by the UN. We also
need to empower our Member
National Dental Associations by
giving them the tools and support
to lobby at the national level. Together with Ms Pam Clark from
IDM and Dr Julian Fisher from
the office, I also had a pleasure of
meeting Dr Petersen from WHO,
and Dr Piper from United Nations
Environmental Programme regarding the future of amalgam in
restorative dentistry.
3.) Science and education; We need
strong science and evidence to
support our advocacy messages.
FDI already develops policy
statements, however, we need
to disseminate these messages
better and to ensure they are
acted upon for the benefits of patients. Our Congress and the
website are unique tools that I
hope to further leverage to help
us achieve this goal.
‡ FDI page 8
[8] =>
DTAP0310_01-03_TitleNews
8
Worldental Communiqué
fl FDI page 7
4.) The relations with our corporate partners; Industry is key
in developing and bringing to
market new technologies that
will help professionals to provide the best possible quality
of care to patients. FDI will
work at improving the close
collaboration with the industry, developing strategies for
win-win partnerships in areas
of common interest without
jeopardising our independence or credibility.
What are the main strengths
of the FDI?
Empowering our members is
the way forward. The main
strength of any membership association is their members. FDI
should keep in mind that members engage with associations not
only to receive benefits but, more
importantly to serve, help and get
involved.
The other key FDI asset is our
professional staff. We have a team
that is dedicated to the organisation as shown by the fact that they
have stayed with FDI despite the
changes of the last few years. With
AD
a more stable office structure, I am
confident that they will deliver the
best possible services to our members. Without the staff or their support, we will not be able to move
ahead. I would like to take this opportunity to warmly thank Mr
Jérôme Estignard, who acted as
FDI Interim Executive Director
over the last months, and managed
not only to keep the boat running,
but also develop new initiatives.
You are the first FDI Executive Director who is not a dentist, how will this effect your
work?
The fact that I am not a dentist
can be seen as an advantage. With
the support and professional expertise of the FDI leadership and
staff I will have access to the highest level of dental knowledge
available. My scientific background should allow me to understand the basics concepts of oral
health, something that I see as
very interesting aspect for my personal development. I believe that
I bring a unique blend of skills
such as association management
and publishing know-how to the
FDI which will prove complementary to existing body of oral
health expertise.
Today, medical societies are
facing a very competitive environment for funding, lobbying
and visibility. I hope to be able to
help FDI more professionally
manage our image, develop new
business and run our daily operations.
Any final thoughts?
We have a lot of challenges
ahead of us and a lot to deliver.
We need to show, all together,
that FDI is back I am keen to not
only deliver this message, but
also to demonstrate it through
our success and results. I look
forward to working hard to help
FDI for provide more benefits to
our Members, dentists, patients
and the whole world.
Join us in Mexico City for
the 2011 Annual World Dental
Congress to see the results of
this collective effort and discover
all the benefits and values that
FDI can bring to your daily practice.
I am looking forward meeting
with you all soon. Should you have
any comments or suggestions,
please do not hesitate to contact me
at: jleisele@fdiworldental.org. FDI
DENTAL TRIBUNE Asia Pacific Edition
Annual World Dental
Congress in Mexico 2011
Important dates
Registration to the 2011 FDI Annual World Dental Congress in
Mexico City, September 14–17 2011
is now open. Early registrants enjoy
lower registration fees and will
have a wider choice of available hotels to choose from. Please note that
low cost early registrations are
available only until May 29 2011.
Your contribution to
furthering dental science
All professionals in dentistry
are invited to submit results of their
work in oral heath, whether in prevention, research or treatment.
Our user-friendly online abstract
submission system is gathering
worldwide contributions on a large
number of topics including: Cariology, Dental Education, Endodontics, Epidemiology, Implantology,
Occlusion, Oral Surgery, Orthodontics, Paediatric Dentistry, Periodontology, etc… in order to see the
complete list of topics and to submit
your abstract, please click here
http://www2.kenes.com/fdi/ scientific/Pages/Submit_Abstract. aspx
before our cut off date of April 15!
and leisure opportunities on offer.
Mexico’s rich history through the
legacies of the many cultures, including the Maya and Aztec, provides numerous opportunities to
travel through time and discover
the lifestyles of these fascinating
ethnicities. Not surprising that
Mexico City has more museums
than any other place in the world! In
under an hour, you can leave town
and explore the beautifully well
preserved Teotihuacan pyramids.
You can even challenge yourself to
a steep climb to the top. The “conquistadores” (Spanish conquerors)
ruled Mexico for 3 centuries before
independence was proclaimed 16th
September 1810. This date, known
as “El Grito”, is celebrated in a colorful and festive way throughout
the country and we are fortunate
the congress will be in Mexico on
this occasion.
Did you know? 10-interesting facts about Mexico
• Mexico is the most populated
Spanish-speaking country in the
world.
• Texas was a Mexican province
which declared its independence
from Mexico in 1836, resulting in
war with the United States
(1836–1838).
• The National University of Mexico was founded in 1551 by
Charles V of Spain and is the oldest university in North America.
• One unusual Mayan weapon was
a “hornet bomb,” which was an
actual hornet’s nest thrown at enemies during battle.
• The descendants of the Aztecs
speak a form of the Aztec language called Nahuatl. Many of its
words, particularly for types of
food, passed into English...such as
tomatoes (tomatl), chocolate
(chocolatl), and avocados (ahuacatl).
• Mexico introduced chocolate,
corn, and chilies to the world.
• The Caesar salad is named after
Caesar Cardini who prepared the
salad in his Caesar’s Palace
Restaurant in Tijuana, Mexico.
• Mexican children do not receive
presents on Christmas Day. They
receive gifts on January 6, the day
on which Mexicans celebrate the
arrival of the Three Wise Men.
• Because it is built on a lake, Mexico is sinking at a rate of 6 to 8
inches a year as pumps draw water out for the city’s growing population.
• Mexico’s flag is made up three
vertical stripes. The left green
stripe stands for hope, the middle
white stripe represents purity,
and the right red stripe represents
the blood of the Mexican people.
How to discover Mexico
before, during and after the
congress?
It would truly be a shame to
travel to Mexico and not take advantage of the wealth of cultural
If Yukatan, Cancun or Cabo San
Lucas sound familiar, make sure
that you extend your stay in Mexico
beyond the Capital City to further
explore the history, beaches and
biodiversity of the country. We have
in place several proposed pre or
post congress excursions to choose
from or alternatively our local
agency will be happy to create a tailored programme.
Full information is one click
away
We look forward to welcoming
you to Mexico and suggest you visit
www.fdicongress.org for the latest
updates on the 2011 FDI Annual
World Dental Congress, or email us
at congress@fdiworldental.org for
any further information. FDI
About the publisher
Publisher
FDI World Dental Federation
Tour de Cointrin, Avenue Louis Casaï 84,
Case Postale 3
1216 Cointrin – Genève
Switzerland
Phone: +41 22 560 81 50
Fax: +41 22 560 81 40
E-mail: media@fdiworldental.org
Web site: www.fdiworldental.org
FDI Worldental Communiqué is published by the FDI World Dental Federation.
The newsletter and all articles and illustrations therein are protected by copyright. Any utilisation without prior consent
from the editor or publisher is inadmissible and liable to prosecution.
[9] =>
DTAP0310_01-03_TitleNews
DENTAL TRIBUNE Asia Pacific Edition
Business
9
IDS shows growth, stimulated by dental markets
Digitalisation increasingly entering treatment processes in general dental practice
Daniel Zimmermann
DTI
LEIPZIG, Germany: Attendance figures from the Interna-
tional Dental Show in Cologne
have confirmed the upward
trend in the dental industry. According to the latest numbers released by the organiser Koelnmesse in March,
9 per cent more visitors attended the
world’s largest dental trade show than
in 2009. With more
than 1,950 exhibitors, the show also
saw a 7 per cent increase in industry
participation.
The promising
figures are in line
with the latest reports from the dental industry, particularly in Germany.
There, the market
has gained new
momentum following a slight drop in
sales in 2009. The
latest figures from
the Association of
German Dental Manufacturers (VDDI)
suggest that revenues grew from
€ 3.75 to over € 4
million last year
Visitors swarm the Piazza of the Koelnmesse fairground and further growth
is expected in 2011.
(DTI/Photo courtesy of Koelnmesse, Germany).
Held every two years in
Cologne in Germany, IDS is one
of the most important international platforms for launching
and marketing new products
for the dental industry. This
year, dentists were able to see a
large number of new technologies in the fields of prevention
and diagnostics on display.
Digitalisation of dental treatment processes is also increasingly entering the general dental
practice, with improved intraoral scanners, imaging systems
and CAD/CAM technologies.
VDDI Chairman Dr Martin Rickert said that the show demonstrated that digital processes and
technologies have become increasingly popular, as they offer
greater quality and effectiveness
of treatment.
Even though there was a
definite digital trend, new simplified endodontic file systems,
as well as improved filling materials and dental instruments
were also launched.
In view of a successful IDS,
German Dental Association
President Dr Peter Engel called
on policy-makers to conduct
overdue revision of regulations
on licences and fees for dentists
“The dental market is
providing Germany with
economic drive.”
in the country. “The dental
market is providing Germany
with economic drive,” Dr Engel
commented. “Policy-makers
have to create health policy
frameworks so that these innovations can be put into practice.” Interest groups and dentists have sought a revision of
the current dental fee system
for years, which they say penalises patients and limits the
financial autonomy of dentists.
The next IDS will be held
from 12 to 16 March 2013 at the
Koelnmesse fairground in
Cologne. DT
Japanese takes over European Demand for dental
operations of SHOFU
gold declines
Daniel Zimmermann
DTI
GmbH headquarters in Germany in 1984.
HONG KONG/LEIPZIG, Germany: The Japanese dental
company SHOFU Inc. is changing its management offshore.
During the International Dental
Show in Cologne, the company
officially announced that Akira
Kawashima of SHOFU Japan
will take over the management
of the European subsidiary in
Germany from April 2011.
“The German dental market
differs greatly from the Japanese,” Kawashima said. “While
in Japan there are many independent and smaller dealers, in
Germany the main revenue is
achieved by dealer groups that
use a common sales and infrastructure. This demands a different approach for us as an
manufacturer than in Japan.”
Based in Ratingen near Düsseldorf, SHOFU Dental GmbH
currently operates in more than
60 markets in Europe, North
Africa and the Middle East.
Its product portfolio consists
of instruments and materials for
restorative and cosmetic dental
procedures.
SHOFU Inc. also maintains a
sales office in Tonbridge in the
UK. DT
Wolfgang van Hall, the current Managing Director of
SHOFU Dental GmbH, will step
down but hold a consulting position for another year. He has
been with the company for more
than 30 years.
Kawashima announced his
intention to expand the company’s product line for dentists
and intensify sales activities in
European markets. Prior to his
appointment as General Manager of SHOFU GmbH, he
worked in the International
Department of SHOFU Inc. in
Kyoto in Japan, where he was
responsible for several product
launches, including Vintage
and the zirconium silicate Ceramage. He also spent one year
as a trainee in the SHOFU
Yvonne Bachmann
DTI
LONDON, UK/LEIPZIG, Germany: The demand for gold
used in dental applications has
reached a new record low in the
last quarter of last year. According to the latest report by the
World Gold Council, UK, dental
applications made of the precious metal recorded a year-onyear decline of 8 per cent in the
last three months of 2010. The
annual worldwide demand declined by 5 per cent compared to
2009 to 49.8 tons worth US$ 2
billion.
The negative trend may
have been accelerated by the
24 per cent year-on-year rise in
the dollar gold price over a period, suggests the World Gold
Council’s Gold Demand Trend,
a leading industry resource for
data and opinion on worldwide gold demand.
Akira Kawashima addressing colleagues and friends at a IDS reception of SHOFU in
Cologne. (DTI/Photo Kristin Jahn, Oemus Media)
“This segment has been
steadily declining in recent
years due to a migration to more
affordable applications and the
elevated gold prices during the
quarter served only to accelerate the rate of attrition”, it states
in the Demand Trend. Substantial falls were recorded in al-
most every market. Most significant changes in volume terms
were recorded in Germany and
the United States.
Goldquadrat, a German manufacturer of dental alloys, approves the latest statistics. “The
demand for gold used for dental
applications has noticeably declined since 2005,” chief executive officer Wilhelm Mühlenberg
told Dental Tribune Asia Pacific.
Owing to rising prices, gold has
become very attractive to investors but very unattractive to
patients, he said.
According to Mühlenberg,
this trend is irreversible, even
though there is still a demand
for gold as it is a reliable dental
material and has been used
successfully for a very long
time.
In contrast with this decline,
the worldwide gold demand for
all industries, including dentistry, surged to 3,812.2 tons in
2010, reaching a ten-year high
and a 9 per cent rise compared
with 2009, as per the World
Gold Council. The major reason for this positive trend was
the demand for jewelry, which
saw a rise of 17 per cent. DT
[10] =>
DTAP0310_01-03_TitleNews
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[11] =>
DTAP0310_01-03_TitleNews
DENTAL TRIBUNE Asia Pacific Edition
Trends & Applications 11
IPS e.max Press and the Straumann
Anatomic IPS e.max Abutment
Rehabilitation with implant-borne anterior reconstructions
August Bruguera &
Dr Pedro Couto Viana
Spain & Portugal
The patient in this case presented with a missing upper central incisor, which she had lost in
an accident. She was dissatisfied
with her smile and wished for her
upper anterior teeth to be realigned in order to re-establish a
natural overall appearance. Following orthodontic treatment, a
Straumann Bone Level Implant
(RC 4.1 mm SLActive) was placed
in the optimal 3-D position (Figs.
1 & 2).
With a bit of practice and dexterity, the anatomy of a single anterior tooth can be reproduced
with relative ease, provided that
the model gives a detailed rendering of the adjacent teeth and thus
provides all the relevant information. In contrast, the determination and reproduction of the tooth
shade is a complex and difficult issue. Even small deviations may
have a major detrimental effect on
the success of the case. There are
two reliable ways for dentists to
communicate shade-related information to the dental laboratory:
1. either the attending dentist provides detailed shade information by means of digital photographs; or
2. the patient pays a visit to the
laboratory so that the dental
technician can establish a layering scheme. However, it is important to note that a good layering protocol is only the first step
in the creation of an aesthetic
restoration, which does not
guarantee its “perfect” implementation.
Photographs are an important
tool in this type of procedure. In order to employ them effectively, the
following conditions have to be
met when taking photographs:
• The remaining dentition has to
be completely moistened.
• The vestibular aspect of the reference tooth must be on one
level with the natural tooth. Both
teeth must be positioned perpendicular to the lens of the camera.
• The shade designation on the
shade tab must be clearly visible.
• Extensive reflection areas both
on the surface of the natural
tooth and that of the shade tab reduce the informative value of the
picture and should thus be
avoided.
Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Figs. 1 & 2: Implantation of a Straumann Bone Level Implant with radiographic control. – Figs. 3 & 4: The Straumann Anatomic IPS e.max Abutment used in combination with IPS e.max Press in the anterior region allows highly predictable aesthetics and high biocompatibility to be achieved. – Fig. 5: Comparison of LS2 glassceramic (left) and veneered ZrO2 ceramic (right). LS2 is the material of choice when it comes to single crowns.
Digital photographs simplify
the identification of the differently
shaded areas of natural teeth. Precise shade matching can only be
accomplished if the patient visits
the dental laboratory. In the present case, the necessity of a patient
visit to the laboratory was discussed with Dr Couto Viana, the
attending dentist. The patient fully
understood our request and was
prepared to pay our laboratory a
visit despite the distance between
Porto and Barcelona.
Zirconium oxide (ZrO2) abutments are amongst the most disputed products in implantology:
their fracture strength, the internal and external connections, the
interaction between retention
screw and abutment—all these issues are raised repeatedly. However, there appears to be agreement that ZrO2 abutments lead to
highly predictable results, especially in the restoration of anterior
teeth.
Another aspect that speaks in
favour of ZrO2 abutments is the
material’s high biocompatibility.
Soft-tissue management using
consistent emergence profiles requires the given emergence profiles to be maintained (clearly discernible in Figs. 3 & 4). A comparison of ZrO2 and lithium disilicate
(LS2) crown materials shows that
the latter can be etched and
silanised and thus be optimally
prepared for adhesive cementation. A special tip for readers: in order to create an etchable surface
on the Straumann Anatomic IPS
e.max Abutment, the bonding surface may be covered with a thin
layer of veneering ceramic prior to
the modelling of the crown. For
this purpose, IPS e.max Ceram
ZirLiner is applied first. Then a
layer of IPS e.max Ceram Deep
Dentin in the desired shade is applied. As a result, the dentine
shade will shimmer through from
within the restoration and a basis
will be created for an adhesive cementation protocol.
Why use IPS e.max Press to
fabricate the crown?
LS2 is the material of choice in
our opinion for the fabrication of
single crowns (Fig. 5). Owing to
its high flexural strength and aesthetic properties, this material
offers the best options. However,
a clear distinction must be made
between anterior and posterior
teeth. The occlusal load an anterior crown has to withstand is
hardly comparable to the stress a
posterior crown is exposed to. If a
posterior tooth is restored with a
crown, IPS e.max Press allows a
reliable solution to be achieved
(monolithic restoration), independent of whether the restoration is tooth or implant supported.
IPS e.max Press can be used in the
staining technique, the cut-back
technique or the layering technique. Layered crowns have the
advantage that they allow custom
shade matching. However, if a
simple layering scheme is applied,
the range of stains available provides sufficient options for matching the shade of the crown to that
of the remaining dentition. Consequently, I use IPS e.max Press HT
ingots in the restoration of posterior teeth, since they offer a wellbalanced mix of translucency and
chroma. As far as brightness is
concerned, I prefer to use shades
that are one or two tones lighter
‡ DT page 12
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Replacing a single missing central incisor is quite challenging,
particularly if implants are
used. The precise reproduction
of the anatomy and morphology
of the natural tooth, as well as
the recreation of its characteristic layers, is not an easy task.
Complementary information
provided by the attending dentist is therefore very important.
[12] =>
DTAP0310_01-03_TitleNews
DENTAL TRIBUNE Asia Pacific Edition
12 Trends & Applications
fl DT page 11
than the final tooth shade. This
allows me to better control the
brightness value. Colour saturation can be adjusted by means of
Shades. In the anterior region,
the requirements are completely
different. While high flexural
strength is not an issue, a more
complex layering scheme is essential. I usually work with
medium-opacity (MO) ingots,
which are one tone lighter than
the final shade planned. In the
case presented in this article, an
MO1 ingot was pressed.
AD
Fig. 6
Fig. 7
Figs. 6 & 7: A nearly perfect copy of the natural counterpart was achieved with
LS2 (IPS e.max Press). Implant-supported reconstruction of tooth #21.
Fine tuning and adjusting
the fit of the restoration
The final adjustment of the
shade of the restoration in the
mouth of the patient plays an important role in the treatment success—
any mistakes can be corrected at
once. First, the IPS e.max Dentin and
Incisal shades are applied together
with individual characterisations,
based on the layering scheme, and
fired. The surface layer, which imparts translucency to the IPS e.max
restoration, is not applied yet. This
allows possible colour deficiencies
to be adjusted directly in the mouth
and inadequately shaded ceramic
portions to be removed if necessary.
The brightness of the first layer
should not be too low, as this will
make the restoration appear greyish. As indicated above, this can be
avoided by using a somewhat
lighter press ingot.
Fig. 8: A happy patient—LS2 enables
the demands of patients to be fulfilled
in an optimal way.
In the case presented, the patient visited the laboratory personally. This made it easy to establish
the right level of colour saturation
and brightness. Once the ceramic
build-up had been optimally adjusted in terms of shade, the
translucent portions could be
added. At the same time, the
anatomy and surface texture were
completed. This was relatively
easy to accomplish, as the natural
counterpart reproduced in plaster
provided excellent guidelines. The
final stain firing cycle is important,
as with the ceramic layering technique alone restorations cannot be
characterised as required and the
optimum dentine shade cannot
be achieved. With Shades and
Essences, the intensity of the different shade areas can be perfectly
adjusted. The combination of the
Straumann Anatomic IPS e.max
Abutment and IPS e.max Press enables restorations to be achieved
that perfectly match the neighbouring teeth (Figs. 6–8). DT
A detailed account of the surgical procedure was published in issue 03/2010 of
the Straumann STARGET magazine.
Contact Info
Dr Pedro Couto Viana is working as a dentist at the Faculty of
Dental Medicine, University of
Porto in Portugal. He can be
contacted at pedrocoutoviana@
netcabo.pt
August Bruguera is the head
of the dental lab and training
centre “Disseny Dental bcn” in
Barcelona in Spain. He can be
contacted at bruguera.lab@
infomed.es
[13] =>
DTAP0310_01-03_TitleNews
[14] =>
DTAP0310_01-03_TitleNews
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Straumann has devised one system for all indications. The Straumann ® Dental Implant System –
excellent product quality designed for convincing, naturally esthetic outcomes.
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Company of the Year
[15] =>
DTAP0310_01-03_TitleNews
DENTAL TRIBUNE Asia Pacific Edition
Off time 15
“Seaweed can be found in many
fluoridated toothpastes”
An interview with dentist and toothpaste collector Dr Val Kolpakov
“high-tech” toothpastes that rebuild enamel, re-mineralise
teeth and halt the development of
caries.
Dentist Dr Val Kolpakov has
an unusual hobby: He collects
toothpaste. His collection is
currently recognised as the
largest in the world by the
World Records Academy. Born
in Russia, Dr Kolpakov moved
to the US in 1993 to work as a
researcher at the University of
Michigan. For the past nine
years he has been in practice
at his own dental offices in
Saginaw (Michigan) and Alpharetta (Georgia). Dr Kolpakov
spoke to Yvonne Bachmann,
DTI, about his collecting passion, radioactive collectibles
and seaweed in our toothpaste.
Yvonne Bachmann: When
did you get the idea to start
collecting toothpaste?
Dr Val Kolpakov: It was 2002
and I was browsing the Internet.
This was when I found some
information on Carsten Gutzeit,
a man from Germany who collected toothpaste. His collection stood at roughly 500 tubes.
This was when I realised what
a wonderful hobby collecting
toothpaste would be for a dental
professional. Imagine the opportunities it offers to learn about
other variations of your profession. With this in mind, I decided
to start my own collection of
toothpaste.
Is there something people
may not know about toothpaste?
You may not recognise the
scientific names listed on toothpaste packaging, and thus may
be surprised to know that ingredients such as seaweed can be
found in many fluoridated toothpastes. According to the American Dental Association, thickening materials include seaweed
colloids, mineral colloids, and
natural gums.
Dr Kolpakov has collected 2,000 samples of toothpaste. (DTI/Photo Dr. Kolpakov)
The most difficult part of
collecting toothpaste is keeping
track of all the samples I get. I estimate that I have 2,000 samples.
However, I cannot tell you the
exact number at this time. I have
more than 1,700 tubes counted
and entered into my database,
but there are several big boxes
with more samples waiting for
their turn.
“I estimate that I have
2,000 samples.”
How did you get your collection?
I have friends living all over
the world, so I asked them to mail
me some of the toothpaste sold
in their countries. In addition,
I bought old toothpaste on eBay
while acquiring contemporary
ones in stores. After putting up
the Toothpaste World website,
people began finding me on the
Internet. There were several
people who donated their small
collections to me. Companies
also donated their old and recent
products.
Where do you keep your
toothpastes?
Some of them are displayed
in the waiting room of my dental
office in Saginaw. However, most
of them are stored in boxes. We
are currently remodelling our
office and planning to build a
huge custom-made display for
my collection, pretty much making a toothpaste museum of some
sort. Anybody can come to my
office and look at the samples
displayed. I can also show other
samples stored in boxes to interested people.
Do you usually buy two samples – one to try and one to keep?
No, I normally just get one
sample. I already spend a lot of
money on my toothpaste collection and doubling the amount
would be too much. Often, it is not
even possible in the case of old
tubes—which are rare finds to
begin with. If I am tempted to try
a toothpaste that I have in my collection, I just open the only sample I have. All my old toothpastes
are so dried up, that I don’t think
anybody would be willing to try
them in their mouth.
Do you know any other people who collect toothpaste or
dental equipment?
I keep in touch with Carsten
Gutzeit from Germany, whose
collection inspired me. We have
exchanged some toothpaste
tubes. Since I started my collection, I have been contacted by
several people who have small
collections of toothpaste. Some of
them have donated their entire
collections to me. There is also
a good collection of toothpowder tins at my alma mater, the
University of Michigan dental
school. They also have a very
good collection of various vintage dental items.
How many items do you
have in your collection?
Which are the most interesting items in your collection?
I would consider one item to
be the oldest, most rare, and most
expensive: a silver English Antique Georgian toothpowder box
from 1801. This was a time when
toothpaste had not yet been invented and toothpowders were
used instead. I paid over US$
1,500 for it. The oldest toothpaste
I have is dated 1908 and made by
Colgate.
My favourite kinds of toothpaste are alcohol flavoured.
These range from whiskey, like
scotch, rye, bourbon, to red wine,
amaretto, champagne and many
more. Another passion of mine is
chocolate-flavoured toothpaste.
I have a set of pure chocolate cream
packaged in a toothpaste tube
with a toothbrush for chocolate
lovers. This is more of a gag-gift,
considering that it is not intended
for brushing teeth regularly.
However, there are several real
tubes of toothpaste with chocolate
flavouring as well. Speaking of
unusual flavours, the Breath
Palette Company tops them all.
They came up with 31 flavours,
including some of the oddest
kinds such as Green Tea, Pumpkin
Pudding, and Indian Curry.
What do you estimate the
value of your collection to be?
I have spent close to US$
20,000 on all my samples. Considering all the work and time
I have spent on my collection
over the last nine years, I would
estimate it at US$ 30,000. But at
this time, I have no intention of
selling it. It is my hobby, my passion, the way for me to attract
Do you hold a Guinness
World Record?
I’ve considered applying to
the Guinness World Records for
a long time, but just can’t seem
to find the time. Recently, I was
These tubes were used in World War II. (DTI/Photo Dr. Kolpakov)
people’s attention to my dental
practice and spread information
about this wonderful topic.
Are toothpastes generally
the same? Is toothpaste bought
in Japan any different from
toothpaste bought in Italy?
“My favourite kinds
of toothpaste are
alcohol flavoured. ”
My most unusual collectible
is Doramad toothpaste dug out
of World War II trenches that has
an active radioactive compound.
At that time, some people believed that radiation could revive
dead tissues and that radioactive
toothpaste could revive gums.
Do you collect any other unusual items?
I have a small collection of
denture containers—holders of
different shapes in which edentulous people place their dentures for the night. I also have a
collection of dental movie props,
including some fake teeth that
actors put over their own teeth to
look like vampires, or homeless
people with rotten teeth.
The main ingredients of all
toothpastes are basically the
same. However, there are local
differences in flavour and some
ingredients. Oriental toothpastes often contain ingredients
like bamboo salt or ginseng.
Japan is well-known for its
contacted by an English journalist who interviewed me and
wrote a story about my collection
for an English newspaper. Somebody at the Guinness World
Records Committee came across
the article and e-mailed me
suggesting I apply for a record.
I submitted my application, but
as there was no current record
involving toothpaste tubes, they
had to review whether they could
open a new category. Finally, it
was approved.
Now I have to submit evidence that I possess all this toothpaste. The evidence must include pictures, a detailed list of
all my toothpaste, publications,
and statements from witnesses.
I do not actually hold this record
yet, as was mistakenly reported
in the media, but I hope to in the
near future.
Thank you very much for
this interview. DT
[16] =>
DTAP0310_01-03_TitleNews
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