Asia News / Interview: “In order for a business owner to be an effective leader, he or she must delegate” / Intraoral sodium sensor aims to simplify hypertension management / Successful communication in your daily practice Part I: Grumbling patients / Fixed complete prosthesis with no screws and no cement / Events / Interview: “I believe that innovation is the engine of a company”
Asia News
1 - 3 viewInterview: “In order for a business owner to be an effective leader, he or she must delegate”
4 - 4 viewIntraoral sodium sensor aims to simplify hypertension management
6 - 6 viewSuccessful communication in your daily practice Part I: Grumbling patients
8 - 9 viewFixed complete prosthesis with no screws and no cement
10 - 11 viewEvents
12 - 13 viewInterview: “I believe that innovation is the engine of a company”
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[1] =>
DENTALTRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition
Published in Hong Kong
www.dental-tribune.asia
INTERVIEW
Dental Tribune had the opportunity
to speak with Andrea Greer, who has
been working in the field of dentistry for over 25 years about what can
be done to improve business education for dentists.
” Page 04
Vol. 16, No. 6
PRACTICE MANAGEMENT
In addition to knowledge, experience and the latest technology,
communication is key in the success
of a dental practice. In this issue, an
expert talks about how to deal with
grumbling patients.
” Page 08
NO SCREWS, NO CEMENT
Case report about the fabrication
of a fixed superstructure for the
edentulous mandible that uses
an innovative attachment system.
” Page 10
HKIDEAS 2018 themed
“New millennium of oral health”
By DTI
HONG KONG, China: Organised by
the Hong Kong Dental Association, the Hong Kong International
Dental Expo and Sy mposium
(HKIDEAS) has established itself
as one of the leading events in the
f ield in China. Over time,
HKIDEAS has continued to grow
steadily to become an important
meeting ground for the Chinese
dental community. This year’s
HKIDEAS is starting on 24 August
at the Hong Kong Convention and
Exhibition Centre and will run
until 26 August.
The scientific programme at
HKIDEAS aims to introduce the latest trends in dentistry to its international audience and to discuss
important topics that affect industry bodies, as well as dental professionals and their patients. Attendees can expect talks by key opinion
leaders covering various fields, including aesthetic, implant and digital dentistry, across the three congress days. In addition, workshops
Envisioned as a platform for dental practitioners and researchers to exchange knowledge and skills in the field of dentistry, HKIDEAS is an important meeting point in
Hong Kong. (Photograph: PaulWong/Shutterstock)
will be presented by dentistry experts in the various specialties.
HKIDEAS 2017 attracted more
than 7, 400 attendees from 37
countries. In light of that success,
the organisers are confident that
this year’s event, offering abundant learning and networking opportunities, will appeal to even
more visitors. Congress attendees
can download the HKIDEAS app to
preview the list of speakers, create
a personalised schedule, view the
list of exhibiting companies.
More information about the event
can be found at www.hkideas.org.
IV_Image_Anz_102x128_Layout 1 01.12.11 17:10 Seite 1
AD
Researchers develop less
destructive method to whiten teeth
bat this problem, Chinese researchers have now developed a
new, less destructive method.
Chinese researchers have made a
promising discovery for a gentler
tooth whitening procedure.
(Photograph: REDPIXEL.PL/
Shutterstock)
By DTI
NANCHANG, China: Social media
adverts for whitening products
show celebrities flaunting their
pearly whites, putting pressure on
consumers to conform to the ideal
of white teeth. Patients can opt for
over-the-counter or professional
tooth whitening treatments, but
both can harm the teeth. To com-
As is commonly known, teeth
can become discoloured with the
consumption of staining foods
and drinks. As a result, many people turn to non-invasive whitening treatments. Currently, the
most common bleaching agent is
hydrogen peroxide, but high concentrations can break down the
enamel, causing sensitivity or
even cell death.
Researchers and senior authors of a recent study Xiaolei
Wang and Lan Liao, along with
their colleagues at Nanchang University, investigated whether a
different compound activated
with blue light could act as a safer,
yet still effective, alternative. The
team modified titanium dioxide
nanoparticles with polydopamine
(nano-TiO2@PDA) so that they
could be activated with blue light.
In a proof-of-concept experiment,
the particles were evenly coated
on the surface of a tooth and irradiated with blue light.
After 4 hours of treatment, the
whitening level was similar to that
obtained with hydrogen peroxide-based agents. The researchers
did not find significant enamel
damage on the surface of the tooth,
and the treatment was significantly less cytotoxic than hydrogen peroxide. In addition, the
nano-TiO2@PDA therapy showed
antibacterial activity against certain bacteria.
The study, titled “Blue-light
-activated nano-TiO2@PDA for
highly effective and nondestructive tooth whitening”, was published in ACS Biomaterials Science
and Engineering on 19 June 2018.
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[2] =>
02
ASIA NEWS
Dental Tribune Asia Pacific Edition | 06/2018
Survey reveals Australian dental
product suppliers face rising costs
By DTI
CANBERRA, Australia: To allow
manufacturers and suppliers of
dental products to express their
level of business confidence in
the industry, the Australian Dental Industry Association (ADIA)
conducts the Australian Dental
Products Business Conditions
Survey on a quarterly basis. Ac-
cording to the results of the
most recent survey, there is an
overall feeling that the industry
is facing some challenges,
mostly due to rising costs.
“Businesses that supply the
products used by dentists and allied oral healthcare professionals
are facing challenges that range
from rising electricity costs to
higher prices associated with importing products from overseas.
This doesn’t diminish the dental
industry’s commitment to making available the latest innovations, it just means that the businesses have increased challenges,”
said ADIA CEO Troy Williams.
AD
According to ADIA, the survey
is a clear indicator that the Australian government needs to maintain its efforts to reduce bureaucratic hurdles. However, a new
proposal by the Therapeutic
Goods Administration for a tax on
the supply of medical devices in
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Recent survey results have shown that
dental product suppliers are facing a
number of challenges, including rising
import costs. (Photograph:
jannoon028/Shutterstock)
the dental and medical industries
may be doing the exact opposite.
Speaking about some of the
positive aspects of the survey,
Williams noted that the dental industry is growing, and the survey
provides clear indication that
businesses are employing more
people. In addition, the survey revealed that large-scale trade
shows such as ADX18 Sydney, Australia’s largest healthcare trade
show, can positively influence
sales volumes. This result Williams
said reinforces ADIA’s commitment to providing the industry
with “world-class trade shows”.
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Summing up the results of the
survey, Williams went on to say
“ADIA member businesses want to
invest in their business and want
to create jobs. This survey shows
they are being challenged by rising business costs and that’s why
we need government to cut the
red tape, which will lead to reduced compliance costs.”
[3] =>
03
ASIA NEWS
Dental Tribune Asia Pacific Edition | 06/2018
Researchers pinpoint mutations that
give bacteria antibiotic resistance
By DTI
to the article, a Novartis representative said the move would allow
the firm to “prioritise resources in
other areas where we believe we
are better positioned to develop innovative medicines”.
The study, titled “Functional
metagenomic approach to identify overlooked antibiotic resis-
tance mutations in bacterial
rRNA”, was published in Scientific
Reports on 3 April 2018.
AD
Antibiotic restistance is a growing
major healthcare concern.
(Photograph: Sirirat/Shutterstock)
Tetric N-Line
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HOKKAIDO, Japan: The researchers, from Hokkaido University
and the National Institute of Advanced Industrial Science and
Technology, have developed an
approach to systematically screen
for resistant ribosomal RNA
(rRNA) genes. RRNA is the indispensable part of the cell that creates proteins. It is one of the primary targets of antibiotics, but
rRNA mutation is now a wellknown route to resistance. That resistance has many healthcare professionals concerned. In a recently
presented study at EuroPerio9 in
Amsterdam, results showed that
antimicrobial resistance is on the
rise among German patients with
severe periodontitis.
High-quality composites for esthetic anterior and posterior restorations
Dr Kei Kitahara, a molecular microbiologist at Hokkaido University
and co-author of the current paper,
said: “Our results suggest that there
are many unfound and uncharacterised antibiotic resistance point
mutations in rRNA genes.”
In order for Kitahara and co-author Prof. Kentaro Miyazaki to arrive at this conclusion, they took
rRNA from a wide range of bacterial species in the natural, or
non-clinical, environment, where
mutations are continually taking
place. From there, the researchers
were able to insert them into inactive Escherichia coli lacking in
rRNA and found that more than
2,000 imported rRNA could compensate for this lack, thereby preventing the E. coli from dying.
They then tested whether a common antibiotic, spectinomycin, effectively killed the bacteria or if the
rRNA gave the E. coli resistance.
The discovery by the researchers comes at a time when antibiotic
research is becoming increasingly
challenging. Earlier this year, the
Star Tribune reported that Novartis, a Swiss multinational pharmaceutical company based in Basel,
was the latest drug-manufacturing
giant to announce it was shutting
down its antibiotics and antiviral
research programmes. According
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According to the study results,
the screening found three previously unreported mutations in
rRNA from the pathogens that resisted the antibiotic, along with
other mutations that were already
known. Although using inactive E.
coli to test for mutations has been
proposed before, this screening
can analyse rRNA from other
pathogens rather than just what is
present in the E. coli.
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[4] =>
04
INTERVIEW
Dental Tribune Asia Pacific Edition | 06/2018
“In order for a business owner to be an
effective leader, he or she must delegate”
The idea that in this day and age dentists can keep the business side of the practice
in-house is considered by some as no longer possible.
In this interview with Dental Tribune, consultant Andrea Greer reflects on how dentistry has changed,
the most common business mistakes dentists make and what can
be done to improve business education for dentists.
Andrea Greer has over 25 years of experience in dentistry and since 2013
has worked as a dental consultant
and speaker. In an interview with
Dental Tribune Online, she shares
some of her experience and ideas
about the business side of the industry. (Photograph: Brio)
In what capacity have you been
working within dentistry?
I like to say that I fell into dentistry by accident! After moving
from Washington state to Colorado without a job, a friend asked
if I would be interested in training chairside as an assistant, and
I jumped at the prospect of a paycheck! I fell in love with dentistry
and immediately started prerequisites for hygiene school. Eventually, I transitioned into office
management, and then software
training and light consulting. Ultimately, in 2013, I achieved a
long-term goal of becoming a
full-time consultant for a well-respected national firm in the U.S.
In January this year, I struck out
on my own as a consultant and
speaker, and I am loving it!
How do you think the business of
dentistry has changed over the last
two decades?
In a hundred ways! When I was
practicing hygiene in Colorado,
implant dentistry and integration
of practice software and electronic health records were the
frontier we were navigating. At
that time, running a dental practice from within was completely
manageable, and we had all the
time we needed to stay on top of
the systems we had in place. However, with time we have seen technology, student debt, patient expectation, science, materials, employee expectation, insurance,
regulations, marketing, connectivity and work–life balance shift
in drastic ways. I don’t believe it is
possible for a business owner to
expect to keep it all in-house any
longer. It is costlier, and there is a
greater chance of mismanagement. I believe that, in order for a
business owner to be an effective
leader, he or she must delegate and
outsource tasks and systems in
the practice.
You have met with many dentists
over the years. When it comes to
the difficulties of running a business, have there been any recurring
issues?
In so many practices, there is a
lack of general understanding of
putting systems in place and then
creating a culture of accountability. Basic leadership skills are
missing from our education system, so when a business owner is
challenged with controlling the
chaotic schedule or helping his or
her team understand how to answer the phone, or even making
“I believe that there is a huge need
for more business exposure in medical
cades—consultants,
speakers,
teachers and writers. All of us have
many, many testimonials from
clients who recognized the benefit
of getting help within a few years
of starting their businesses and
have been successful in implementing what they have been
taught. And yet they often say
they wish they had contacted us
sooner. Just like decay is easier to
fix when it is small and doesn’t
hurt, hiring an outside source
early to help you determine what
to put in place and how to do that
will be the best investment in
yourself and your business.
and dental education.”
sure that the money owed to the
practice is collected, he or she does
not know how to train and motivate the team to accomplish these
tasks. And it is never just one
thing! There are always multiple
systems out of place and lacking,
and it becomes overwhelming for
dentists to try and implement successfully—they just want to practice dentistry! Eventually, chaos
ensues, and all the systems fail.
That’s when I usually hear from a
dentist.
How do you think practice owners
would be best served in understanding what it means to run a
business?
I believe that there is a huge
need for more business exposure
in medical and dental education.
Almost every dentist that I have
spoken to talks about the dental
school experience having emphasized physiological systems and
processes that are not critical to
the day-to-day practice of dentistry; however, there is no discussion about how to understand a
profit and loss statement, leadership, or the why behind creating
and understanding the business
figures. I am a part of a Facebook
group led by a dentist who is on a
mission to provide a taste of what
it takes to run a practice for dental
students and business owners
alike. He told me once that he has
never seen a dentist lose his or her
practice over a poor Class II composite restoration, but we have all
seen practices flounder and fail
because of poor customer service
or because the dentist does not
understand the overhead.
I have heard it said that the dental curriculum does not allow time
for business education, although
some have shared with me that this
is an excuse to avoid change. Can a
single semester (which is still not
enough!) of basic dental practice
business be so difficult to carve out?
Or what if business courses were required as prerequisites for dental
school? Help students understand
basic economic principles for the
self-employed, human resources
do’s and don’ts, etc. That would be a
great start.
What are some of the most prominent business mistakes you have
seen dental practice owners make
over the years?
Waiting too long to ask for
help. Often, the excuse for the new
business owner is budgeting, and I
completely understand that. However, carving out the means to pay
for help early on will save the business owner so much money, time
and heartache down the road!
I have been around some of
the best people in dentistry for de-
Dentist can profit from business
education as it helps understand
profit and loss statement, leadership,
and business figures in general.
(Photograph: Matej Kastelic/
Shutterstock)
For someone who might be struggling with the business side of the
practice, what would your advice
be?
Seek education from reputable sources. Connect with people
who have been in the industry for
many years and are successful. Receiving advice from someone who
has experience can provide you
with the solid facts and training
needed to improve your business.
And the adage “you get what you
pay for” still rings true!
Thank you very much for this interview.
About: Andrea Greer has been
working in the field of dentistry for
over 25 years and since 2013 has
worked as a consultant and
speaker, helping a number of practices and dentists improve their
business and reach new levels of
success.
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[5] =>
Planmeca Emerald intraoral scanner
Dental Tribune Asia Pacific Edition | 06/2018
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05
[6] =>
06
WORLD NEWS
Dental Tribune Asia Pacific Edition | 06/2018
Intraoral sodium sensor aims to
simplify hypertension management
By DTI
ATLANTA, U.S.: Many people have
acquired a taste for high-salt foods,
which, over the years, may result in
health issues related to high blood
pressure. Monitoring salt consumption can help patients suffering from hypertension and certain
other conditions to minimize the
symptoms. In order to do that, researchers from the Georgia Institute of Technology have developed
a flexible and stretchable intraoral
wireless sensing system—which
resembles a dental retainer—to
measure the amount of sodium the
wearer consumes.
Based on an ultrathin, breathable elastomeric membrane, the
sensor is integrated into a miniaturized flexible electronic system
that uses Bluetooth technology
to wirelessly report the sodium
consumption to a smartphone or
tablet up to 10 m away. The device
has been tested in three adult
study participants, who wore the
sensor system for up to a week
while eating both solid and liquid
foods, including vegetable juice,
chicken soup and potato chips.
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The intraoral sodium sensor is based
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transmit data up to 10 m.
(Photograph: Rob Felt, Georgia Tech)
“By monitoring sodium in real-time, the device could one day
help people who need to restrict
sodium intake and learn to
change their eating habits and
diet. Our device could have applications for many different goals
involving eating behavior for diet
management or therapeutics,”
explained Dr. Woon-Hong Yeo, an
assistant professor in the George
W. Woodruff School of Mechanical Engineering at the Georgia Institute of Technology.
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He added: “The sensor is comfortable to wear, and data from it
can be transmitted to a smartphone or tablet. Eventually the
information could go a doctor or
other medical professional for remote monitoring.”
The device can record daily
amounts of sodium intake as it is
consumed. Thus, using a smartphone or tablet application, the
system could advise users planning meals how much of their
daily salt allocation they had already consumed.
Yeo and his team are currently working on improving the
device by further miniaturizing
it, aiming for the eventual size of
a tooth, and testing it with users
who have the relevant medical
conditions, such as hypertension,
obesity or diabetes.
The study, titled “Wireless, intraoral hybrid electronics for real-time quantification of sodium
intake toward hypertension management,” was published in the
Proceedings of the National Academy of Sciences of the United
States of America in May 2018.
[7] =>
Dental Tribune Asia Pacific Edition | 06/2018
07
[8] =>
08
TRENDS & APPLICATIONS
Dental Tribune Asia Pacific Edition | 06/2018
Successful communication in your daily
practice Part I: Grumbling patients
by Dr Anna Maria Yiannikos
Imagine getting to your clinic
every day and feeling confident
that whatever happens to you, you
will be able to resolve it. Resolve a
problem easily—in a way that not
only you will feel happy with your-
AD
self but also your patients and
staff will stay loyal to you, because
they will also be happy with the
service and solutions you provide
them!
You might be one of the best
dentists in your area that has all
the knowledge, the experience
and the latest technology. But
your clients do not see that, they
might not understand it. Maybe
they cannot see your expertise
because of the way you are dealing and communicating with
them; maybe your way of communication is not clear enough or
not at the level that some of your
clients desire!
This is my gift for you today:
A whole new series of the most
popular and challenging scenarios that might happen at your
dental practice and how you will
deal with them so that your patients will leave your practice
with the feeling: “My dentist is
THE BEST!”
How to deal with…grumbling
patients?
Let’s start with the first script:
How to deal with a patient that
complains just for the sake of
complaining? In the following, I
will introduce to you 5 steps of
how to deal with this problem
successfully and peacefully.
How many times have we
completed an excellent work or
Communication is the key for a
successful dentist-patient relationship.
(Image: Visual Generation)
Organizer
[9] =>
have we followed every step of the
treatment protocol (for example
whitening)? How many times
have we informed our patient in
detail regarding any discomfort
that he or she might feel during a
treatment? But the patient still
loves to grumble: “Doc, I feel…, the
bleeding is excessive…, I have such
sensitivity after the whitening…”
and so on.
5 steps for a successful
communication
09
TRENDS & APPLICATIONS
Dental Tribune Asia Pacific Edition | 06/2018
lem is acknowledged and that it
will be resolved immediately by
you—her trusted doctor! This
could be an advice like “Do not
rinse for 6 hours”, or a prescription as “Use this cream, it will reduce the sensitivity”.
Step 4: Follow-up
Of course, it is a must to call
her and check that she is all
right some hours before she
calls you (which might the same
or the next day, it depends on
the case).
Step 5: Ask the right question!
Do never ask her: “Is everything all right?” Why not? Just
because of the fact that she will
then start complaining again.
Ask instead: “I just call to check
that everything is ok!” By using
this phrase you will not allow
space or thought for more complains.
It is so simple!
Start using the described 5
steps each time that you have this
‘invisible problem’. At least, try it
as an experiment and see if it
works for you as well! Write me
your comments or even add-ins. I
will love to hear them!
In the next issue of laser magazine, I will present you the second part of this new series of
communication concepts that
will teach you with 5 simple steps
how to shush the patients that
have too many questions with
courtesy and caring. Until then,
remember that you are not only
the dentist of your clinic, but also
the manager and the leader. You
can always send me your questions and request for more information and guidance at dba@
yiannikosdental.com or via our
website www.dbamastership.com.
Looking forward to our next trip
of business growth and educational development!
Editorial note: This article was
published in roots – international
magazine of endodontics No.
04/2017.
Of course, in view of such a
patient you might get upset,
angry or frustrated; this is absolutely normal and an expected
reaction. The important thing is
to deal with your patients, to keep
them and nothing else. Let’s investigate now the steps that we
can apply to get a successful result.
AD
Step 1: Breath
I know it’s hard to not get
angry with grumbling patients,
but let’s vision ourselves as the
conductor of an orchestra: We are
responsible to guide them all in
the path that we desire.
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Step 2: Listen
What is the real problem?
Maybe the patient just wants to be
listened at and pampered a little
bit? Or she wants her ‘problem’ to
be resolved by giving her something back (see Step 3). Of course,
she has nothing to complain
about, everything is normal and
expected, but you will never say
that to her!
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[10] =>
10
CLINICAL
Dental Tribune Asia Pacific Edition | 06/2018
Fixed complete prosthesis with no
screws and no cement
New restoration concept using LOCATOR F-Tx®
Dr Karl-Ludwig Ackermann, Gerhard Neuendorff & Janez Fiderschek, Germany
The fifth German oral health
study (Deutsche Mundgesundheitsstudie) showed that the population in many countries are
ageing and the desire for better
quality of life related to the preservation of teeth and their functionality, among other things is
constantly increasing. Periodontal disease is a major cause of
tooth loss, as tooth loss results in a
decreased ability to maintain
1
treatment concepts. Attempts
have even been made to implement treatment without bone
augmentation procedures (e.g. Dr
Paulo Maló’s All-on-4 concept).
Most restorations are cement- or
screw-retained solutions. For the
past year, an innovative attachment system has been available
that combines the clinical comfort and structured laboratory
techniques of a fixed complete
2
Case presentation
The treatment plan consisted
of a removable overdenture on
four implants in the maxilla and a
fixed prosthesis on four implants
for the edentulous mandible with
the aid of the LOCATOR F-Tx attachment system (Figs. 1–3). This
treatment procedure, managed by
means of prefabricated system
components, will be presented in
the following section step by step.
positioning of teeth in the patient’s mouth in order to meet the
functional, phonetic and aesthetic
demands of the patient (Figs. 6–8).
Of course, the focus was also on
the spatial orientation of the attachments (LOCATOR F-Tx abutments and denture attachment
housings), the prosthetic teeth
and the prosthetic restorative material.
3
using laboratory analogs. The use
of digital impression techniques
to transfer implant positions is
also possible. A metal framework
was milled to fit over the denture
attachment housings (Figs. 9 &
10). The selected abutment cuff
heights matched the sulcus depth.
This decision is preferably determined by the clinician intraorally
(Figs. 11–14). It is recommended
that the denture attachment
4
Figs. 1–3: Initial situation: an 83-year-old patient for whom the retention of the maxillary and mandibular prostheses was severely impaired resulting in successive tooth loss and the associated bone loss, making a
conventional removable complete prosthesis virtually impossible. Fig. 4: Implant placement with backward planning.
physiological masticatory function, as well as a decreased general
quality of life. Edentulous people
exhibit a lower self-esteem by
being excluded from normal masticatory function. The following
article describes the fabrication of
a fixed superstructure for the
edentulous mandible that uses an
innovative attachment system.
Dental implants as support for
a removable dental prosthesis
were introduced many years ago
as a treatment option and as an alternative to a conventional complete denture. In the past ten
years, considerable efforts have
been made to develop new fixed
prosthesis without the need for it
to be cemented or screw-retained.
The LOCATOR F-Tx system
(Zest Dental Solutions, USA) makes
it possible to produce an aesthetic
dental restoration. The prosthesis
is attached to the implants by
means of a snap-in attachment
system. This new attachment
gives the patient greater assurance of function and quality of
life. It also allows the practitioner
to remove the prosthesis and
make corrections at any time. Furthermore, complex laboratory
procedures, that require channels
and screw retention, are not required.
Surgical measures
The surgical procedure was
performed after clinical and osseous diagnostics and by using surgical templates (Figs. 4 & 5). Both
arches were planned with a minimum of four implants in a cross
arch placement and symmetrical
distribution which is advantageous in order to guarantee optimised
support
and
load
distribution.
Prosthetic measures
Initially, complete prosthetic
planning and laboratory procedures to re-establish the proper
vertical and occlusal dimensions
was completed. This required the
The LOCATOR F-Tx attachment system is delivered from the
manufacturer in an all-in-one
package. The spherical geometry
interface between the abutment
and denture attachment housings
allows the correct positioning of
the housing in the proper angulation for the best prosthetic outcome of the prosthesis. This
spherical feature also makes it
possible to use the attachment
system with implants with up to
20 degrees of divergence from a
common vertical.
An indirect technique was
used to transfer the position of the
implants to a working model
5
6
7
8
9
10
housing be placed supra-gingival
for maximum adhesion to the
prosthesis. Also, the denture attachment housings with the processing balls must be seated on
the abutments before the pick-up
procedure of the metal framework. The framework should always be designed and milled in
such a way that a small (max.
0.2 mm) cement gap exists between the framework and denture
attachment housings.
In order to ensure a passive
fitting framework, final pick-up
of all the denture attachment
housings in the framework must
be done chairside, all at the same
Fig. 5: Post-op control radiograph. Fig. 6: Completed set-up and wax-up of the maxilla and mandible. Fig. 7: Sufficient inter-arch distance between the opposing dentition and the retentive elements must be
assured. Fig. 8: The framework dimension is defined by the available space between the anterior and posterior walls of the alveolar bone. Fig. 9: Trapezoidal and symmetrical distribution of implant placement
across the midline for a balanced load distribution. Fig. 10: Preparation of the metal framework.
[11] =>
time, and before any further laboratory adjustment steps are performed. The denture attachment
housings were aligned as parallel
as possible within the aesthetic
contour of the prosthesis and
block-out spacers were placed on
the abutments below the denture
attachment housings to block out
all undercuts. The framework was
cemented on using a metal-tometal cement (Figs. 15–17). The
setting time of the cement is ten
minutes.
Final adjustments of the
framework
were
performed
(Fig. 18). In order to maximise aesthetics, the metal framework was
coated with an opaque material
(Fig. 19). In the meantime, a panoramic radiograph was taken to
confirm that the abutments were
seated gap-free on the four implants in the mandible (Fig. 20).
In the maxilla, four telescopic
11
CLINICAL
Dental Tribune Asia Pacific Edition | 06/2018
11
12
13
14
Figs. 11–14: Insertion of the abutments.
self-cleaning (Figs. 22 & 23). A
symmetrical implant-placement
distribution in the mandible and
maxilla guaranteed a stable centric relation and articulation with
no aesthetic compromise.
Integration
After removal of the process-
stabilise the
(Figs. 27–29).
fixed
prosthesis
Anatomically correct final
prosthetic designs of the prostheses must be done similar to
screw-retained restorations in the
edentulous maxilla and mandible. This is most evident from the
tool allows easy removal of the
prosthesis by leveraging off the
retention balls. However, it also
must be emphasised that the retention balls are single use only, so
new unused retention balls must
be used when reseating the prosthesis.
15
16
17
18
19
20
21
22
extension/cantilever ensures the
secure retention of the prosthesis
and contributes to the optimisation of speech and the recovery of
unrestricted masticatory function. If required, alternative measures such as the fabrication of a
removable prosthesis are quite
possible.
Figs. 15 & 16: Placement of block-out spacers at the point of transition between the denture attachment housings and the abutments. Fig. 17: Passive try-in of metal framework without pressure. Fig. 18: Further
adjustments of the framework were performed in the laboratory. Fig. 19: For maximum aesthetics, coating the metal framework with an opaque material is recommended. Fig. 20: The panoramic radiograph
demonstrated the abutments seated gap-free on the four implants in the mandible. Figs. 21 & 22: Inter-maxillary adjusted occlusion and shaping.
abutments were screwed into the
maxillary implants (Fig. 21).
The teeth were attached to the
metal framework using denture
acrylic. In addition to the aesthetic requirement of the case, it
is important to design the shape
of the prosthesis’ intaglio surface
to be functional, aesthetic and
offer better oral hygiene, which
allows the patient easy access for
ing balls, the appropriate retention balls were screwed into the
denture attachment housings
(Fig. 23). It is always advisable to
inspect the abutments for a secure
fit at the end of all treatment steps
(Figs. 24–26). Seating the prosthesis should start in posterior, moving anteriorly, one attachment at a
time. This is necessary for the LOCATOR F-Tx attachment system to
be effective, as it is the only way to
23
27
frontal view (Fig. 30). The edge of
the mandibular prosthesis is
given a scalloped shape to allow
self-cleaning through salivary
flow, use of a water pick and accurate intraoral cleaning.
In addition, it should be mentioned that the LOCATOR F-Tx
prosthesis can easily be removed
by the clinician at any time. A user-friendly metal bar and loop
24
28
25
29
Conclusion
The attachment system presented here is a valuable addition
to the prosthetic therapy options
for fixed restorative procedures
in the edentulous mandible and
maxilla. The cost-benefit ratio is
also favourable when compared
to other options. The principle of
a stable occlusion with symmetrical lateral distribution of implants and a limited posterior
Dr Karl-Ludwig Ackermann
Talstraße 23
70794 Filderstadt, Germany
Tel.: +49 711 7088166
kl.ackermann@kirschackermann.de
The article was published in
implants_international magazine
of oral implantology No. 02/2018
26
30
Figs. 23–26: Tightening of the processing balls and inspection of abutments for a secure fit. Figs. 27 & 28: A posterior/anterior seating of the superstructure is necessary for the LOCATOR F-Tx system to be effective.
Fig. 29: Final control radiograph. Fig. 30: Final situation.
[12] =>
12
EVENTS
Dental Tribune Asia Pacific Edition | 06/2018
66th JADR meeting to be held in
Sapporo
By DTI
SAPPORO, Japan: Annually, the
Japanese Association for Dental
Research (JADR) holds a meeting
AD
at which the top craniofacial and
dental scientists convene to share
knowledge and discuss new ideas.
To be held on 17 and 18 November,
this year’s edition will cover a wide
variety of scientific and technolog-
ical fields in dentistry to advance
the dental sciences, the association has announced.
“JADR has played important
roles in global development of
dental science in Japan. Although
we should always focus on the
clinics, sometimes we wander in
a labyrinth of basic research. Accordingly, we have decided to designate ‘Back to the tangible—the
symbiosis of basic research and
clinical dentistry’ as the main
theme of this meeting,” said Prof.
Hidehiko Sano, chairman of the
66th annual meeting of JADR.
Over the course of the two
days of the congress, which will
take place at Hokkaido University’s Clark Hall, attendees will
have the opportunity to enjoy
various papers featuring some of
the most prestigious speakers
from the industry. The scientific
programme will include lectures
by Profs. Yoshimasa Kitagawa,
Hideharu Hibi and Junji Tagami,
to name just a few.
“It is our great honour and
pleasure to hold such a prestigious
meeting in Sapporo. We would like
to take this opportunity to express
our sincere gratitude to Professor
Kazuhisa Yamazaki, along with all
our distinguished guests for their
attendance and participation,”
Sano added.
JADR is extending a sincere invitation to all interested dental professionals and scientific researchers
to attend the event this November.
More information can be obtained
at www.jadr66.umin.jp.
The non-profit scientific and
educational organisation is a division of the International Association for Dental Research.
Sapporo, known for the annual
Sapporo Snow Festival, will also be the
meeting place of the 66th annual
meeting of the Japanese Association
for Dental Research.
Photo Credit: beeboys/Shutterstock
[13] =>
13
EVENTS
Dental Tribune Asia Pacific Edition | 06/2018
Programme released for inaugural
Dental Aesthetics Meeting in Asia
By DTI
SINGAPORE: The Dental Aesthetics
Meeting in Asia (DAMA) has released its conference programmet.
This first edition of DAMA is to be
held on 28 and 29 September in Singapore at the Marina Bay Sands
hotel.
Organised by the Aesthetic
Dentistry Society Singapore
(ADSS), DAMA 2018 is themed
“Learning | Collaboration | Inspiration” and will inform dental
professionals on the latest in
dental science and practice to assist them in achieving aesthetic
outcomes for their patients. To
encourage dentists in the Asia
Pacific region to update their
skills and knowledge of aesthetic
dentistry, the event will also host
the biennial meeting of the
Asian Academy of Aesthetic Dentistry (AAAD), where its next
president, Dr Kim Myung Jin
from South Korea, will be inaugurated.
“Today’s patients are increasingly demanding regarding aesthetic outcomes for their dental
treatment. DAMA intends to assist
dental practitioners in meeting
this demand by inspiring attendees with the latest developments
in aesthetic dentistry,” explained
Dr Jeffrey Seow, chairperson of
the organising committee.
The main scientific programme will feature lectures on
various topics. Highlighted papers include “Teamwork in everyday practice: Cosmetic/worn
dentition/implant; a guided and
predictable approach between
the dental clinician and the dental technician” by Koubi and
Kuday, “The power of pink: Techniques for pink composite restorations with bioactive giomer
composites” by Milnar and “Simplified restorative procedures in
the daily practice” by Dr Giulio
Pavolucci.
In addition, the conference
will include the Asian Showcase
of the AAAD, during which
speakers from Asia will highlight
the interactions between various
dental specialties and aesthetic
dentistry. “With the development of materials, digital technologies and imaging hardware
and software, it is now easier to
incorporate aesthetic treatment
into every dental professional’s
daily workflow,” explained Dr
Ronnie Yap, President of the
AAAD.
Seven hands-on workshops on
the pre- and post-congress days
have been planned for dentists
who wish to supplement the theoretical knowledge that will be
shared at DAMA 2018. These workshops have limited spaces available to ensure an optimal presenter–attendee ratio.
DAMA 2018 attendees will be
able to meet exhibitors at the Exhibition Networking Reception, to
be held on 28 September, to help
them expand their professional
network. Guests at the reception
will have time to talk over light refreshments in the exhibition hall.
Online registration for DAMA
2018 is now open at www.dama.sg.
AD
6th Biennial Meeting of ADSS
|
15th Biennial Meeting of AAAD
Pre-Congress Day: 27 September 2018
Main Congress: 28-29 September 2018
Post-Congress Day: 30 September 2018
Level 4, Marina Bay Sands, Singapore
LEARNING | COLLABORATION | INSPIRATION
REGISTRATION NOW AVAILABLE ONLINE!
2018 SPEAKERS
LUCKY DRAW
Frank Milnar
Stefen Koubi
Hilal Kuday
Shamsul Alam
Cheung Lai Chun
Ratna Dissanayake
Onny Eryanto
Ho Feng Chuan
USA
Philippines
France
Sri Lanka
Turkey
Indonesia
Bangladesh
REGISTER AS A
DELEGATE FOR
DAMA 2018 AND
STAND A CHANCE
TO WIN!
Taiwan
NEWLY LAUNCHED
Kim Ki-Seong
South Korea
Jerry Lim
Singapore
Joan Lim Zhi Yin
Malaysia
Paulo Monteiro
Portugal
EYESPECIAL C-III
worth SGD 3,500.
The EYESPECIAL C-III
is sponsored by Shofu
Dental Asia-Pacific
Pte Ltd
Park Chul-Wan
South Korea
Organiser
Giulio Pavolucci
Italy
Rita Singh
Nepal
Co-host
Kazunobu Yamada
www.dama.sg
Japan
Event Manager
[14] =>
14
INTERVIEW
Dental Tribune Asia Pacific Edition | 06/2018
Interview: “I believe that innovation is
the engine of a company”
Founded in 1890, W&H today operates globally as a leading manufacturer of dental instruments and deAD
vices. With over 1,200 employees
worldwide, the company exports
its products to over 110 countries.
The family-owned business runs
two production sites in Bürmoos
and one in Brusaporto in Italy, as
well as 19 subsidiaries in Europe,
Asia and North America. Recently,
W&H President Peter Malata sat
down with Dental Tribune to discuss the enduring success and philosophy of the company.
Only a few dental companies
worldwide can look back at a 125year history. In your opinion, what
are the main reasons for the
long-standing success of W&H?
There are several factors to
which I would attribute our successful participation in the den-
W&H President Peter Malata.
(Photograph: Gregor Sams/
PunktFormStrich)
tal market for such a long time.
Firstly, innovation: W&H’s history is a story of numerous technological developments and innovations, such as the Roto Quick
coupling; the first push-button
chuck system for turbines; the
first high-speed contra-angle
handpiece for preparation up to
200,000 rpm; Assistina, the
world’s first cleaning and maintenance unit; Lisa, the first Class B
steriliser available on the market;
Synea Vision, the first turbine
with 5× ring LED+; and our latest
innovation, the Primea Advanced
Air turbine. We have continuously provided products and services—tailored customer solutions made in Austria—that not
only support dentists and their
teams on a daily basis, but also
make their daily work easier. Our
products are used in dental practices, dental clinics, dental laboratories, and oral and maxillofacial surgeries in over 110 countries around the world.
Secondly, our internal apprenticeship programme is of particular priority to us. We regard this as
an investment in the future. With
our comprehensive training programme, we not only focus on the
professional education of young
people, but also support their personal development.
Third, we rely on continuity: we
put an enormous amount of trust
into our employees. Team spirit is
of utmost importance to us. The
level of education of our workforce
[15] =>
Dental Tribune Asia Pacific Edition | 06/2018
15
INTERVIEW
IMPRINT
PUBLISHER/PRESIDENT/CHIEF EXECUTIVE OFFICER
Torsten R. Oemus
CHIEF FINANCIAL OFFICER
Dan Wunderlich
DIRECTOR OF CONTENT
Claudia Duschek
Osstell is known for its implant
stability measurement and osseointegration monitoring products.
The acquisition was part of our
strategy to expand into the surgical segment. Our aim is to broaden
our competence and strengthen
our position as a leader in the field
of implantology.
W&H’s production site. (Photograph: W&H)
is very high and expertise is passed
on from colleague to colleague. Additionally, we rely on a generational mix within our teams and a
long-lasting staff membership, enabling continuity and thus productivity at a very high level.
As a member of the Malata family,
you have headed the company for
over 20 years. Looking back, what
have been the most significant developments
or
achievements
during that time?
I took over the business from
my father, Consul DI Peter
Malata, in 1996. My goal was not
only to grow the business, but
also to keep our processes lean.
That’s why I decided in 1998 to
introduce a team-oriented structure in the company, just to
name one significant measure of
many. Today, about 700 employees at our headquarters in Bürmoos are organised into over
100 teams.
Another important cornerstone was the internationalisation of W&H. Today, we operate
three production sites—two in
Bürmoos and one in Brusaporto—and 19 subsidiary companies around the globe.
How do you approach innovation
at W&H?
The basis for W&H’s steady
growth is the consistent employment of state-of-the-art technologies and a dedicated focus on research and development. I believe that innovation is the engine of a company and my
personal goal is to create more
room for it. The continuous expansion of our R & D department
involves not only the hiring of additional staff, but also the creation of workspaces that allow for
and foster creative collaboration
and communication. In addition,
we focus on collaboration with
universities and research centres,
as well as obtaining ongoing feedback from users regarding their
experiences.
Currently, around 13 per cent
of our employees work in the R &
D department at our headquarters. The focus of their activities
is on innovative, high-quality
medical devices and intelligent
solutions for our customers and
partners. The goal is optimal support for dentists in their day-to-
day work with advanced hardware and software solutions. The
close cooperation between the
development and manufacturing
departments has allowed W&H to
respond quickly to changes in the
market and incorporate customer requirements into new,
sustainable solutions.
most to support them in overcoming their daily challenges.
In practice, this means that
our products offer true added
value to the treatment process.
By optimising and streamlining
workflows, we want to enable
dentists and their teams to give
W&H President Peter Malata and the entire team were delighted to have won the
Staatspreis Innovation [national innovation award]. Dr Margarete Schramböck
(Federal Minister for Digital and Economic Affairs in Austria), Peter Malata, Dr
Wilhelm Brugger (head of W&H research and development), Michael
Rothenwänder (W&H research and development), Johann Eibl (W&H Vice
President of Product Innovation) and Thomas Irran (W&H research and
development) accepted the award (from left). (Photograph: W&H)
At W&H, “People have Priority”.
Would you please explain the philosophy behind this slogan?
As a global dental company,
we serve all people in maintaining
and improving dental health. We
are a family business and have
been family-owned for 60 years.
We strive for long-term, trusting
and appreciative relationships
with patients, customers, partners
and employees, relationships on
which one can depend. Our corporate values—reliability, expertise,
openness and sustainability—are
therefore not just on paper, but actually realised.
In March 2018, you launched a new
image campaign, “From a patient
to a fan”. How has this influenced
the perception of your company by
partners and customers?
We have received very positive feedback on our new image
campaign, directly from customers and partners, as well as via
our social media channels. We
want to make it clear to dentists
and their practice teams that
W&H is there for them as a solutions provider and does its ut-
their undivided attention to patients throughout the treatment
process. Since the light conditions in the mouth are usually
poor, it is our task, for example,
to ensure that our products
provide sufficient light. When
the dentist’s hands ache after a
long day’s work, it’s up to us to
create lighter, more ergonomic
instruments.
In addition, of course, the
products have to work intuitively,
reliably and, above all, precisely.
Our products are characterised not only by innovative solutions, but also by many small details that make a real difference in
the daily work of our customers.
You recently announced your acquisition of Swedish company Osstell.
How has this step complemented
your offering?
Osstell and W&H have successfully worked together since
2016. The first result of this cooperation was the new Implantmed
with the integrated Osstell ISQ
module.
SENIOR EDITOR
Yvonne Bachmann
CLINICAL EDITORS
Nathalie Schüller
Magda Wojtkiewicz
EDITOR & SOCIAL MEDIA MANAGER
Monique Mehler
EDITORS
Brendan Day
Kasper Mussche
In addition to your production facilities in Austria and Italy, you currently maintain subsidiaries in 19
countries around the world. What
are the key markets for you, and
where do you see most potential
for growth in the future?
W&H is active globally and
our efforts are extended to all
markets. We do of course have specific goals for the different markets according to their needs. To
identify these, we have our 19 subsidiaries, 16 area managers, and a
vast number of outstanding and
reliable partners, who allow W&H
to guarantee rapid delivery and
seamless technical service anywhere in the world.
JUNIOR EDITORS
Franziska Beier
Luke Gribble
In recent years, we have also
established subsidiaries in China
and India and strengthened our
sales activities in the Asia Pacific
region. These are the markets in
which we see the greatest potential at the moment.
GRAPHIC DESIGNER
Maria Macedo
The dental market is changing
faster than ever before. What are
your strategies for staying ahead in
this challenging environment?
Our main goal is to provide true
added value to our clients with all
our products and services. As mentioned before, we are focused
strongly on R & D and—I am personally very proud to say—doing so
with great success. The Primea Advanced Air, for example, recently received the Staatspreis Innovation
[national innovation award] from
the Austrian Ministry of Economy.
With the Primea Advanced
Air turbine, the rotation speed of
the bur can now be set precisely
and as a result of electronic regulation remains constant even
when the contact pressure increases during the treatment. In
addition to the innovative drive
technology, the turbine offers all
the advantages of a W&H Synea
Vision turbine.
Finally, the interconnectivity
of our products and services is
playing an increasing role, for example the option to control our
tools via a smartphone or tablet,
and automated inventory management and service scheduling.
Where do you see W&H in the next
ten to 20 years?
W&H has further expanded
its position in the global dental
market—appreciated by customers and respected by competitors.
Thank you very much for the interview.
COPY EDITORS
Ann-Katrin Paulick
Sabrina Raaff
JUNIOR BUSINESS DEVELOPMENT &
MARKETING MANAGER
Alyson Buchenau
DIGITAL PRODUCTION MANAGER
Tom Carvalho
JUNIOR DIGITAL PRODUCTION MANAGER
Hannes Kuschick
PROJECT MANAGER ONLINE
Chao Tong
IT & DEVELOPMENT
Serban Veres
E-LEARNING MANAGER
Lars Hoffmann
PRODUCT MANAGER CME
Sarah Schubert
PRODUCT MANAGER SURGICAL TRIBUNE &
DDS.WORLD
Joachim Tabler
SALES & PRODUCTION SUPPORT
Nicole Andrä
Puja Daya
Madleen Zoch
ACCOUNTING
Karen Hamatschek
Manuela Hunger
DATABASE MANAGEMENT & CRM
Annachiara Sorbo
MEDIA SALES MANAGERS
Antje Kahnt (International)
Melissa Brown (International)
Hélène Carpentier (Western Europe)
Matthias Diessner (Key Accounts)
Weridiana Mageswki (Latin America)
Barbora Solarova (Eastern Europe)
Peter Witteczek (Asia Pacific)
EXECUTIVE PRODUCER
Gernot Meyer
ADVERTISING DISPOSITION
Marius Mezger
DENTAL TRIBUNE INTERNATIONAL GMBH
Holbeinstr. 29, 04229 Leipzig, Germany
Tel.: +49 341 48 474 302
Fax: +49 341 48 474 173
info@dental-tribune.com
www.dental-tribune.com
©2018, Dental Tribune International GmbH.
All rights reserved. Dental Tribune International
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, claims,
or statements made by
advertisers. Opinions expressed
by authors are their own and
may not reflect those of Dental
Tribune International.
[16] =>
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[title] => Asia News
[page] => 1
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[title] => Interview: “In order for a business owner to be an effective leader, he or she must delegate”
[page] => 4
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[2] => Array
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[title] => Intraoral sodium sensor aims to simplify hypertension management
[page] => 6
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[3] => Array
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[title] => Successful communication in your daily practice Part I: Grumbling patients
[page] => 8
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[title] => Fixed complete prosthesis with no
screws and no cement
[page] => 10
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(
[title] => Interview: “I believe that innovation is the engine of a company”
[page] => 14
)
)
[toc_html] =>
Table of contents
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Asia News
1 - 3
view
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Interview: “In order for a business owner to be an effective leader, he or she must delegate”
4 - 4
view
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Intraoral sodium sensor aims to simplify hypertension management
6 - 6
view
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Successful communication in your daily practice Part I: Grumbling patients
8 - 9
view
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Fixed complete prosthesis with no
screws and no cement
10 - 11
view
-
Events
12 - 13
view
-
Interview: “I believe that innovation is the engine of a company”
14 - 15
view
[toc_titles] => Asia News
/ Interview: “In order for a business owner to be an effective leader, he or she must delegate”
/ Intraoral sodium sensor aims to simplify hypertension management
/ Successful communication in your daily practice Part I: Grumbling patients
/ Fixed complete prosthesis with no
screws and no cement
/ Events
/ Interview: “I believe that innovation is the engine of a company”
[cached] => true
)