Study finds varying disinfection protocols of endodontists & GPs / Bio-Emulation movement continues to grow / The rise and fall of mercury / International Interview: “There is a general sense of frustration throughout the world” / Crowdfunding campaign for no-drill repair tech / All-ceramics and CAD/CAM technology / today international HKIDEAS Hong Kong 2015
Study finds varying disinfection protocols of endodontists & GPs
01 - 02 viewBio-Emulation movement continues to grow
03 - 03 viewThe rise and fall of mercury
04 - 04 viewInternational Interview: “There is a general sense of frustration throughout the world”
05 - 06 viewCrowdfunding campaign for no-drill repair tech
09 - 09 viewAll-ceramics and CAD/CAM technology
10 - 12 viewtoday international HKIDEAS Hong Kong 2015
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DTAP0715_01-20.pdf
DENTAL TRIBUNE
The World’s Dental Newspaper · Asia Pacific Edition
www.dental-tribune.asia
Published in Hong Kong
Vol. 13, No. 7+8
MERCURY
INTERVIEW
TRENDS & APPLICATIONS
Since the Minamata Convention
finalised, the world has been taking serious action to eliminate
products and processes that use
or contain mercury.
” Page 4
Prof. Dov Sydney from USA/Israel
and Prof. Mauro Labanca from
Italy about the upcoming first
World Congress on Controversies
in Dentistry.
” Page 5
The use of all-ceramics and
CAD/CAM technology: An ideal
combination for optimised aesthetic success in restorative
dentistry.
” Page 10
printed
Study finds varying disinfection 3-D
MJ implant
protocols of endodontists & GPs
In collaboration with medical engineers, oral and maxillofacial surgeons at the University of Melbourne
have recently implanted a temporomandibular joint prosthesis in a young
man suffering from a rare congenital
jaw deformity. This is the first time
a custom-made mandibular joint replacement using 3-D printing technology has been performed in Australia.
By DTI
MADRID, Spain: A team of researchers from the department
of endodontics at Universidad
Rey Juan Carlos in Madrid has
conducted a study to determine
whether there are differences in
the disinfection protocols of endodontists and general dentists.
The scientists found that endodontists are more likely to keep up
to date with protocols published
in the literature, whereas general
dentists rely on protocols learnt
during their dental training.
The study authors sent out an
invitation to participate in an
online survey to 950 dentists affiliated with the Spanish board
of dentistry. The survey consisted
of nine questions regarding irrigation protocols and other factors
related to disinfection during root
canal therapy. It was completed
and submitted by 238 (25.05 per
The patient, Richard Stratton, was
born with condylar aplasia, a developmental defect of the mandibular
condyle. He was missing a temporomandibular joint, which resulted in
a lack of growth in the left side of his
face and a noticeably skew mandible.
The condition also affected jaw motion,
chewing capacity and facial expression.
The findings showed that general dentists and endodontists follow different and sometimes inadequate disinfection protocols.
cent) of those invited, divided
equally between general dentists
and endodontists.
The researchers found no statistically significant differences
in the respondents’ first choice
of an irrigant solution: sodium
hypochlorite. However, they noted
” Page 2
Stratton’s jaw was surgically reconstructed with a new titanium prosthesis. According to the university
surgeons, the biomechanical and
clinical results look promising. They
believe that this technology will help
facilitate the research and manufacture of customised high-tech implantable devices in Australia.
AD
ICOI World
Congress
in Berlin
About 300 participants from all over the world attended the second annual
Bio-Emulation colloquium in Berlin last month.
” WORLD NEWS Page 3
Better have breakfast Straumann prevails
A study in Japan has found that
skipping breakfast equally contributes to the development of
bad breath as insufficient tongue
hygiene. It recommended to advocate proper tongue coating
management together with other
healthy lifestyle behaviours, and
having breakfast in particular, in
adolescents’ health education.
After a significant patent dispute filed at the Delaware District
Court in the US, implant component manufacturer nt-trading from
Germany has agreed to remove
its imitations of Straumann’s
implant abutments from the US
market and to compensate the
company for the incurred legal
costs.
For more than three decades,
the International Congress of Oral
Implantologists (ICOI) has drawn
dental professionals to various
places around the globe each year.
This year, the ICOI World Congress
will be held in the German capital
Berlin from 15 to 17 October.
Under the theme “Evidencebased innovations in oral implantology”, it will address contemporary concepts and philosophies
related to the field. More than
1,000 dental professionals, including general dentists, specialists,
laboratory technicians, students
and industry representatives, from
all over the world are expected to
attend. More information about
the congress and registration can
be found at www.icoiberlin2015.org.
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[2] =>
DTAP0715_01-20.pdf
ASIA NEWS
02
¯
Page 1
statistically significant differences
in the protocols used by general
dentists and by endodontists in
relation to various factors.
These factors included the concentration of sodium hypochlorite, the use and type of irrigant
applied to remove the smear layer,
the use of adjuncts to irrigation,
the enlargement of the apical
preparation when shaping a
necrotic tooth, and the maintenance of apical patency throughout the debridement and shaping
procedure.
The study’s findings showed
that general dentists and endodontists follow different and
sometimes inadequate disinfection protocols. “The results of
the survey demonstrated that
endodontists keep up to date with
protocols published in the literature, whereas general dentists
use protocols learnt during their
dental training. Both groups of
clinicians should be aware of the
importance of disinfection techniques and their relationship to
treatment outcomes,” the researchers stated.
They pointed out that controlling micro-organisms during root
canal treatment—especially in
cases with necrotic pulp—is essential to improve treatment outcomes. “Clinicians should update
Dental Tribune Asia Pacific Edition | 7+8/2015
their protocols and also consider
referring patients to a specialist
when their protocols are based on
traditional techniques, especially
in those cases with necrotic pulp,”
they concluded.
IMPRINT
The study, titled “Differences
in disinfection protocols for root
canal treatments between general
dentists and endodontists”, was
published in the July issue of the
Journal of the American Dental
Association.
CLINICAL EDITOR:
Magda WOJTKIEWICZ
AD
PUBLISHER:
Torsten OEMUS
GROUP EDITOR/MANAGING EDITOR DT AP & UK:
Daniel ZIMMERMANN
newsroom@dental-tribune.com
ONLINE EDITOR:
Claudia DUSCHEK
ASSISTANT EDITORS:
Anne FAULMANN, Kristin HÜBNER
COPY EDITORS:
Sabrina RAAFF, Hans MOTSCHMANN
PRESIDENT/CEO:
Torsten OEMUS
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MEDIA SALES MANAGERS:
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ACCOUNTING:
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BUSINESS DEVELOPMENT:
Claudia SALWICZEK
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
Published by DT Asia Pacific Ltd.
DENTAL TRIBUNE INTERNATIONAL
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© 2015, Dental Tribune International GmbH
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All rights reserved. Dental Tribune makes every
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responsibility for the validity of product claims,
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Scan this code to subscribe
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[3] =>
DTAP0715_01-20.pdf
03
WORLD NEWS
Dental Tribune Asia Pacific Edition | 7+8/2015
Bio-Emulation movement
continues to grow
By DTI
BERLIN, Germany: On 4 and 5 July,
the 2015 Bio-Emulation Colloquium was held in Berlin in
Germany. The event, which was
organised by the Dental Tribune
International team in close collaboration with the Bio-Emulation
Group, attracted more than twice
the number of participants compared with last year. Overall, more
than 300 dentists and dental technicians attended the extensive
programme on biomimetics in
dentistry, including 16 lectures and
13 workshops.
American Dental Systems, anaxdent
and Velopex International.
At the closing session in Berlin,
members of the Bio-Emulation
Group announced that the next
colloquium in 2016 will take place
in Barcelona in Spain. More Details
will be made available in due time
at www.bioemulationcampus.com.
AD
LIFELIKE ESTHETICS –
EFFICIENTLY PRESSED
After the successful première
of the Bio-Emulation Colloquium
last year in Santorini in Greece,
this year’s meeting was held under
the theme “Bio-Emulation Colloquium 360°”. Key opinion leaders
in adhesive and restorative dentistry educated the participants
on methods and techniques to
achieve high aesthetic standards
and emulate nature using a histoanatomical approach.
During the sessions, particularly the workshops, attendees had
the opportunity to learn more
about the mechanical and optical
properties of natural teeth and
gain knowledge on using existing
techniques and materials. A considerable number of workshops
were fully booked; for instance,
Dr Pascal Magne’s session on
dental morphology function and
aesthetics was among the most
requested.
Over 95 per cent of attendees
who took part in a representative
evaluation survey said that they
would definitely recommend the
event to others. They were most satisfied with the choice of speakers
and topics in particular.
Many of the participants took
advantage of the networking opportunities offered on the two
evenings of the meeting. Each day,
about 200 people attended the
social events.
This year’s colloquium was held
at the European School of Management and Technology, a historical
site in the centre of Berlin, next to
the office of the German Ministry
of Foreign Affairs. The building,
which has landmark status today,
was once the state council building
of the former German Democratic
Republic. After a lavish refurbishment in 2004 and 2005, it was
transformed into the current private business school.
GC Europe was the main sponsor
and SHOFU was the official partner.
In addition, the colloquium was
sponsored by Ivoclar Vivadent and
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[4] =>
DTAP0715_01-20.pdf
WORLD NEWS
04
Dental Tribune Asia Pacific Edition | 7+8/2015
By Anita Vazquez Tibau, USA
When most people hear the word
“mercury” most think of the planet.
There are many products that contain mercury, such as blood pressure
cuffs, thermometers, batteries, and
CFL light bulbs. There are processes
that use mercury and produce mercury pollution, like coal fire plants,
artisanal small-scale mining and chloralkali plants. However, the mercury
that truly affects the global population is the mercury that is implanted
in billions of people’s teeth.
Mercury dental fillings commonly referred to as silver fillings
or amalgam comprises of about
50 per cent mercury, along with
other metals.
It is indisputable that mercury in
all its forms is toxic. Mercury exposure has been linked to neurological problems such as Alzheimer’s
or Parkinson’s disease. Mercury
can also cross the placenta and
reach the central nervous system
of the foetus during pregnancy.
The element also accumulates in the
gastrointestinal tract, oral cavity,
lungs, thyroid gland, pituitary gland
and other target organs.
Since the United Nations Environmental Programme’s Minamata
Convention on mercury was finalized, the world has been taking serious action to eliminate products
and processes that use or contain
mercury. While dental mercury
amalgam is listed as a “phase down”
product, many countries are taking
proactive steps to eradicate its use
as soon as possible.
The dentistry industry can no
longer ignore the fact that mercury from dental fillings creates an
unnecessary risk of exposure, not
only to the patients, but also to the
dental workers. This can become
the litigation in the not too distant
future that proves catastrophic for
the dental industry, insurance carriers, and governments. Mercury
lawsuits can far exceed that of tobacco litigation, or more recently,
asbestos legal actions.
Norwegian dental workers who
have been injured by mercury due
to occupational exposure are now
being compensated, in both public
and private practices. In fact, the
court has reduced the criteria for
compensation after the acknowledgement of the original assess-
ment was deemed too strict, therefore allowing for more claims to
be considered or re-examined. The
legal victory of the dental workers
in Norway is being examined in
other countries too in order to see
what the potential for replicating
the case strategy for other dental
workers who have been affected by
mercury exposure.
A landmark settlement was recently reached in the dental mercury case of long-time activist
Freya Koss, who established the
Pennsylvania Coalition for MercuryFree Dentistry. The coalition is a
Philadelphia-based consumer advocacy group that aims to educate
the public on health, occupational
and environmental hazards of
dental mercury. Settled quietly in
the Supreme Court of the New York
State, the dental malpractice suit
was based on neurological injuries
Koss sustained as a result of the
dentist’s “Deviation from Standard
of Care” during the removal and
replacement of an existing mercury amalgam filling. Under court
orders, Koss is unable to discuss
the terms of the settlement, nor the
details of the defendant. However,
as the first US case settled in favour
© current value
The rise and fall of mercury
of an injured dental mercury patient, she is hopeful that, on some
level, a precedent will be set to
compensate others who have been
injured too and that the use of
mercury in dentistry will be banned
worldwide.
According to an article published
on 1 May 11, 85 per cent of Europeans voted for the removal of
mercury amalgam fillings. Michèle
Rivasi (Greens/EFA), a member of
the World Alliance for Mercury Free
Dentistry and a Member of the European Parliament, with support
from the European Environmental
Bureau, held a press conference on
May 7 to disseminate the results of
the consultation that was organized
by the European Commission on the
implementation of the Minamata
Convention on Mercury.
The results show that Europeans
do not want an application of mercury fillings and at least 85 per cent
of citizens want to get over with the
use of mercury fillings in dentistry
as quickly as possible.
Rivasi said: “Citizens have expressed a massive demand for amalgam to be removed. The institutions
cannot exclude such a pressing
appeal. The European Commission
must now make every effort to
ensure that dental amalgam is removed from the market in accordance with the will of the people.”
Recently, every dental school in
North America that teaches the
use of mercury silver fillings was
sent a legal notice that they were
not permitted to expose any student to the Environmental Protection Agency’s (EPSA) maximum
mercury air quality standards
promulgated to protect the public,
since students are not employees.
Many of the schools have mistakenly been using Occupational
Health and Safety standards to
evaluate exposure levels and at
the same time, not complying with
any of the other numerous requirements this law states. Failure to
comply with EPA standards may
be considered tortious conduct,
which may potentially render
these teaching facilities liable for
possible injuries of students who
are exposed to mercury.
Similar to mercury thermometers
being banned in the US and other
countries, mercury use in dentistry
is declining fast. The question remains, how soon will mercury be
banned completely in dentistry?
Anita Vazquez
Tibau has travelled the world
for over a decade
as a speaker,
working with
various nongovernmental
organizations as
an international
advocate against the use of mercury in
dentistry. She is the Executive Director
of Californians for Green Dentistry, a
grassroots organization that has successfully garnered resolutions from the
city councils of three California cities
asking dental professionals to eliminate
the use of mercury in their practices. She
has testified at city, state, national and
international levels on dental mercury.
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[5] =>
DTAP0715_01-20.pdf
Dental Tribune Asia Pacific Edition | 7+8/2015
WORLD NEWS
05
“There is a general sense of frustration
throughout the world”
An interview with CoDent founders Profs. Dov Sydney, USA, and Mauro Labanca, Italy
With the first World Congress on
Controversies in Dentistry (CoDent),
Prof. Dov Sydney from USA/Israel
and Prof. Mauro Labanca from Italy
are aiming to make news by reaching
current conclusions to ongoing debates in the field through evidencebased dentistry, as well as expert
opinion and speaker–audience discussions. Dental Tribune International had the opportunity to speak
with them about their concept, general information overload in dentistry and the upcoming launch of
CoDent in Barcelona in Spain in 2016.
Dental Tribune International: Could
you briefly introduce your project?
Prof. Dov Sydney: It is called
CoDent and it is part of a company
called CongressMed, which has
developed a model for congresses
based on the concept of “Controversies in…”.
CongressMed’s education is devoted to addressing controversial
medical issues in a debate format.
Our role is to bring the concept to
the dental field, and this involves
defining the first topic, finding the
moderators and generally advancing the project. We thought it good
to start with implants because it is
one of the most difficult issues we
are faced with as dentists. In this regard, the first congress will address
the topic of controversies in dental implantology and will be held
in Barcelona from 3 to 5 November
2016.
What distinguishes this congress
concept from other meetings?
Prof. Mauro Labanca: We hope
to promote real discussions and
interaction between practising
physicians and researchers on unresolved pressing clinical issues.
We do not want to be a substitute
for any other existing meeting.
For the first congress, we will be
discussing implants, but future
topics do not have to be surgical
ones. Congresses could address adhesive and restorative dentistry or
different kinds of treatments in orthodontics. We are not an academy
or a scientific society; we already
have so many and we do not want to
compete with them. We are doing
something totally different.
What will the programme cover?
Prof. Labanca: Right now, we have
eight topic modules that we feel
are very interesting and will foster
debate, as well as greater knowledge at the end of the meeting,
hopefully. The programmes are
designed to provide an effective
forum for debate by allowing
ample time for speaker–audience
discussion. There are not going
to be long presentations by one
single speaker. Instead, we will have
very short addresses of about 10
to 15 minutes during which the
speakers will seek to answer a specific question. The result will be
that, after approximately 1.5 hours,
the audience will have had a sum-
mary by some of the most important speakers on that topic.
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[6] =>
DTAP0715_01-20.pdf
WORLD NEWS
06
Dental Tribune Asia Pacific Edition | 7+8/2015
What impact do you hope to have
with this idea?
Prof. Sydney: We expect to make
news. Up to now, dental companies
have mostly marketed their products in a way they think is most appealing to their target customers,
but the individual dentist who is
going to buy the products, quite
frankly, does not have all the information to make a decision. And
even if he or she does have a sense of
direction regarding which implant
system to choose, he or she is often
not totally sure of the optimum
selection. Our concept provides an
industry. How can a busy and especially non-academic practitioner
properly compare all the information that is available? What we will
offer is the scientifically accurate
information in order to help them
interpret the efficacy and applicability of the message they receive
from companies.
You are both dentists. Have you experienced this problem yourselves?
Prof. Labanca: Exactly. When I
started with implants many years
ago, I had this idea to bring the most
important companies together to
Dental Tribune editors in talks with Prof. Dov Sydney and Prof. Mauro Labanca
(from left to right. © Kristin Hübner/DTI)
Prof. Sydney: It will be the first
time that dental companies will be
on the podium together, presenting their best speakers but without
the restrictions of having to identify that they work for the company
etc. Afterwards, the companies will
be able to debate with each other on
a number of points. We also aim
to initiate an interactive exchange
between speakers and the audience
with questions via microphone
and social networks, in order to
cover all the questions that may
arise. At the end of each small
section, the aim is to have achieved
a fair and balanced coverage of
the respective subject.
“In many countries, dentistry is
generally a private practice industry.”
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opportunity to cut through the
indecision and doubt. All the companies sitting up on the podium
will have the opportunity to explain why their implant is great and
the other companies will be able to
join in and explain to the audience
about their product’s features. The
dentist in the audience will then be
able to participate as well to obtain
the answers that they are really
interested in, bottom line—what’s
best for me?
Prof. Labanca: In the long term,
we hope to initiate an annual meeting that will cover different topics
in dentistry. There are many issues
that are not so clear and dentists
wish to become more informed
about these.
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So this is an opportunity for dentists
to obtain a market-independent
view of a certain product or topic in
general?
Prof. Sydney: Right. Moderators
will monitor the scientific level of
speakers and the information they
provide. Among the criteria for
selecting moderators are that they
be well respected in their fields and
well known in the academic world.
In particular, they should not be
connected in any significant manner with a particular company.
That is the way we qualify them and
that is also what draws the companies in. We represent a programme
of a uniquely remarkably high
level, and this means that when
speakers present and say something that might not be evidence
based or may leave some questions,
the moderators, in a polite and
non-offensive manner, will be step
in. I believe this will make the audience extremely receptive to the
results.
Prof. Labanca: We would define
ourselves as a sort of supervisor in
this project. In many countries, dentistry is generally a private practice
initiate open and honest debate
between them. At that time I probably didn’t have enough cards to
play, but now it is the time! The
reality dentists are facing today is
that companies are approaching
them and claiming to have something special and something new.
This could be true, but you do not
have the means to compare or to
confirm whether it is. You could
try the products on your patients,
but that would not be the right
thing to do.
Prof. Sydney: Both of us travel
quite a bit. Mauro and I have a
global understanding of dentists’
concerns in many parts of the
world. There is universally a common sense of frustration regarding
the different implant systems. I regard our role as providing a safe,
scientifically enabled and controlled environment for implant
companies to proactively present
the advantages of their systems
directly to the end users.
Will there be follow-up documentation after the meeting?
Prof. Sydney: The existing congress model involves a journal
issue that is published afterwards
and compiled in such a way that
it is relevant not only to the event,
but also to anybody interested in
reading about what was discussed
and summarised by creating a
permanent and easily-referenced
resource.
Prof. Labanca: We are not just
trying to look for something different; we have seen that there is
a need for this congress. We want to
achieve a high level of academic
acceptability, as well as accessibility
for the general dentist population.
That is the balance that we hope
will lead to success.
Thank you very much for this interview.
[7] =>
DTAP0715_01-20.pdf
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DTAP0715_01-20.pdf
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does not approve or endorse individual courses or instructors, nor does it
imply acceptance of credit hours by boards of dentistry.
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[9] =>
DTAP0715_01-20.pdf
BUSINESS
Dental Tribune Asia Pacific Edition | 7+8/2015
09
Crowdfunding campaign
for no-drill repair tech
Reminova aims to raise £0.5 million for advanced remineralisation device
By DTI
LONDON, UK: Teeth restored without drilling is the dream of almost
every dental patient. A new approach developed in the UK that
utilises an electrical current to
remineralise the tooth promises
exactly that. Reminova, the developer of the technology, has now
announced the start of an equity
crowdfunding campaign for the
UK and the US in an effort to raise
£0.5 million to bring it to market.
in 2014. A King’s College London
spin-out, the company is based
in Perth in Scotland and managed
by tooth decay experts, including Prof. Nigel Pitts and dentist
Dr Chris Longbottom.
(From left to right) Reminova founders Prof. Nigel Pitts, Dr Chris Longbottom and
Dr Jeff Wright. (Photo David N. Anderson, UK)
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It will be the first fundraising
campaign of its kind to target
shareholders in both countries
simultaneously. If reached, the
sum will be used to expand the
company’s development and operational team and to seek strategic partnerships with dental companies interested in selling the
technology, Reminova executives
said.
1
HyFlex™ EDM
> Up to 700% higher fracture resistance
> Specially hardened surface
> Less filling required for treatment success
Initial clinical studies are also
planned.
2
Reminova expects a potential
market for the device of 700,000
dentists worldwide. In a press note
released, the company said that
individuals who are interested
in becoming shareholders will
have 60 days to contribute to the
project. The minimum investment is £1,000 for those from the
UK or Europe and US$5,000 for
Americans.
CanalPro™ Syringe Fill Station
> One-hand dosing
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GuttaFlow® bioseal
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In return, they will help to get
rid of drilling in dentistry and
transform global dental health.
> Excellent flow properties
“With their help and investment,
our tooth rebuilding treatment
could be available to patients
within three years,” predicted
Reminova CEO Dr Jeff Wright.
COMING
SOON!
According to Reminova, its technology, first released in 2014, prepares damaged tooth enamel in
such a way that the ions of minerals required to remineralise the
tooth, such as calcium and phosphate, can be pushed to the deepest parts of lesions faster. This
remineralisation process is stimulated by short electronic pulses
emitted by a specially developed
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to cost less than £10,000 once it
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Bioactive obturation
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Electrical Discharge Machining
1
“With our treatment you can
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Reminova claims to currently
hold or to have applied for 17 patents for the technology, which
was first presented to the public
Stainless steel
bottle holder
with dosing
mechanism
Extremely breakresistant file for
quick preparation
2
3
[10] =>
DTAP0715_01-20.pdf
TRENDS & APPLICATIONS
10
Dental Tribune Asia Pacific Edition | 7+8/2015
All-ceramics and CAD/CAM technology
The ideal combination for optimised aesthetic success in restorative dentistry
By Dr Marko Jakovac, Croatia & Michele Temperani, Italy
1
2
5
6
3
4
7
8
Fig. 1: Patient before treatment.—Fig. 2: On examination, a substantial loss of tooth structure in the cervical and palatal region was observed.—Fig. 3: Mock-up and temporaries were created using a silicone matrix of
the wax-up.—Fig. 4: Mock-up placed in the patient’s mouth.—Fig. 5: Situation after surgical crown lengthening.—Fig. 6: Long-term temporaries were instrumental in stabilising the vertical dimension of occlusion.—
Fig. 7: After long-term temporisation a bite record was taken to document the occlusal position created in the course of long-term temporisation.—Fig. 8: Anterior teeth prepared for the final restoration.
Modern dentistry is not only concerned with oral hygiene or caries
prevalence—wear from attrition,
abrasion or erosion is increasingly
becoming a subject of concern.
These destructive oral processes are
in large measure attributable to
stress. Stress can trigger parafunctional habits and lead to gastric
reflux and low pH values in saliva.
Additional factors such as bulimia
and excessive consumption of soft
drinks also come into play.
A 30-year-old female patient
presented at our practice with pain
in the posterior region. She was
also dissatisfied with the aesthetic
appearance of her anterior teeth
(Fig. 1). Considerable erosive loss
of tooth structure on the palatal
and cervical surfaces was observed
at the preliminary examination
(Fig. 2). An initial interview revealed
that the patient consumed large
quantities of soft drinks. On the
9
12
basis of the clinical findings, we
concluded that the woman was
suffering from stomach problems
with suspected bulimia.
After careful history taking and
a thorough assessment including
a radiographic evaluation, we began to develop a treatment plan.
The plan was to rehabilitate the entire oral cavity, to restore all teeth
that had been damaged by erosion
or tooth decay and to protect the
existing dentition from further
damage. We aimed at restoring the
shape and function of the teeth by
raising the vertical dimension of
occlusion. Interventions involving
such a high level of complexity require both a comprehensive plan
outlining in detail every part of the
treatment and close collaboration
between dentist and dental technician. Following initial examination, an impression and bite record
were taken. Portray imagery and
DSD technology (Digital Smile
Design) have proven to be highly
useful in situations where the
dental technician cannot gain an
impression of the patient’s oral
situation in person.
As provided for in the treatment
plan, the dental technician fabricated a diagnostic wax-up to visualize the ideal oral situation. Wax-ups
are convenient to assess the feasibility of such complex prosthetic
treatments. Duplicate casts were
made from the contoured wax-up
and silicone matrices were created
(Fig. 3). In the first step, the matrices
assisted in the construction of
the mock-up and, further on, in the
fabrication of the baseline temporaries in the patient’s oral cavity.
The mock-up was completed on the
basis of the wax-up. It was then
used to simulate the final outcome
on the patient and visualize the
inclination of the occlusal plane
(Fig. 4). The patient agreed to the
treatment plan and we proceeded
to implement the necessary surgical measures—i.e. tooth extraction
and crown lengthening. It is important to consider the form identified
in the wax-up when performing
surgical crown lengthening (Fig. 5).
Subsequently, the patient underwent periodontal treatment and
root canal therapy. Additionally,
all existing restorations were replaced.
The teeth were prepared in two
sessions. At the first session, we
prepared the teeth along the gingival margin. Impressions were
taken and temporaries fabricated.
Generally, temporization is essential to achieve an optimum healing
result after surgical crown lengthening and tooth extraction. Since
the temporaries should follow
the parameters established in the
wax-up, we decided to employ
CAD/CAM technology for this step.
The wax-up and master models
were digitized using a lab scanner
(Wieland Dental) and the resulting
data sets superimposed using dental design software (3Shape). This
method allowed us to transfer the
shape of the wax-up to the model
that contained the tooth preparations. The virtual project is automatically converted into a STL data
format and sent electronically to
the program responsible for the
CAM process.
In this case, the STL data were
imported into the milling program
of a Zenotec mini CAD/CAM unit
(Wieland Dental) to manufacture
temporaries from Telio CAD PMMA
material (Fig. 6). Occlusal and functional adjustments were repeatedly performed over the threemonth healing period (Fig. 7). After
successful healing, the second
stage of the preparation process
11
10
13
14
Fig. 9: The master models were digitised to create the final restorations.—Fig. 10: Virtual construction based on the situation created by the long-term temporaries.—Fig. 11: Restorations after having been milled
from pre-shaded Zenostar T1 zirconia material (Wieland Dental).—Fig. 12: Molars were created in full contour. Vestibular aspects of the premolars were layered over.—Fig. 13: Frontal view of the completed restorations
on the model.—Fig. 14: Two weeks after the restorations had been seated, we achieved an optimal situation with successful pink and white aesthetics.
[11] =>
DTAP0715_01-20.pdf
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Restorations created with Planmeca FIT™ have
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[12] =>
DTAP0715_01-20.pdf
TRENDS & APPLICATIONS
12
Dental Tribune Asia Pacific Edition | 7+8/2015
over with a veneering ceramic
(IPS e.max Ceram) (Fig. 12). We used
a conventional press technique in
conjunction with IPS e.max Press
ingots (shade LT A1) to fabricate the
anterior lithium disilicate restorations and then completed the
pressed crowns individually using
the cut-back technique (Fig. 13).
Seating
the restorations
15
17
16
Fig. 15–17: All-ceramic restorations: integrated harmoniously and unobtrusively into the dentition and facial appearance of the patient.
was implemented. When carrying
out this step, visual aids like
loupes or dental microscopes are
recommended to achieve accurate
results. After completion of the
preparation procedure, an impression of the oral situation was taken
(Fig. 8). Jaw relations were established with the help of a bite record. The jaw position was “test
driven” during the healing phase
when the patient was wearing the
temporaries. A special procedure
(cross-mounting method) enables
the clinician to communicate the
jaw relations to the technician
without loss of information.
Creating the final
restorations
We used the Zenotec CAD/CAM
system and Zenostar zirconia materials (Wieland Dental) to fabricate
full-contour crowns and bridges
for the premolar and molar region.
The plan was to customize the premolar restorations with IPS e.max
Ceram veneering ceramic using the
layering technique. The anterior
restorations were manufactured
using the press technique with IPS
e.max Press lithium disilicate glassceramics. These restorations were
also customized using IPS e.max
Ceram. On the one hand, the final
restorations had to be manufactured in such a way that they were
faithful to the parameters established in the simulation models.
On the other hand, the final restorations should reproduce the
shape and occlusal dimension of
the temporaries, which had been
AD
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Y education everywhere
and anytime
Y live and interactive webinars
consistently optimised during the
long-term temporisation stage. To
achieve an ideal outcome, the laboratory was provided with a range of
useful data to allow the technician
to mount the models on the articulator and to interchange them with
one another:
• Impressions for master models
• Impressions of the temporaries
after functional and occlusal adjustments
• Occlusal record
• Facebow.
The master models and the models of the most recently modified
temporaries were scanned and uploaded to the 3Shape software program using the “cross-mounting”
method (Figs. 9 & 10). Given the
level of complexity involved in this
case, we preferred to mill the components first from wax to be able to
assess the quality of the virtual construction in a conventional fashion.
With this inexpensive method, we
were able to assess the shape and
function of the structures in “real
life”. In the present case, we noticed
that a few areas had not been properly contoured in the wax. These
areas were corrected accordingly.
The corrected STL data were processed in the CAM module and
the data required for the milling
process imported into the program
of the Zenotec mini milling unit.
The restoration was then milled
from a pre-shaded Zenostar zirconia disc in shade T1 (Fig. 11).
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Y interaction with colleagues and
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ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providersof continuing dental education.
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It is an advantage of this material
that it is supplied in discs that are
pre-shaded. Normally, framework
shading requires a separate working step to apply metal-oxide based
colouring liquids either by an immersion or brush-on technique
prior to sintering. In pre-shaded
discs, the shades are added to the
zirconia powder and homogenised
during the industrial production
process. The result is a material
that demonstrates a highly homogeneous shade. As the need for
manual shading is eliminated, time
savings can be gained in the fabrication of restorations, providing
an additional advantage. Colour
consistency is another advantage
that should not be underestimated.
A consistent colour is achieved, irrespective of the skills and experience of the technician. To ensure an
optimum integration of the posterior restorations made of zirconia
and the anterior restorations made
of lithium disilicate, the vestibular
areas of the premolars were layered
CAD/CAM technology was used
to fabricate the posterior crowns
and bridges from monolithic zirconia. The occlusal conditions established in the long-term temporaries
were accurately taken into account.
Prior to seating the final restorations, we checked their accuracy
of fit and shade match intraorally
using glycerine-based try-in pastes
(Variolink Esthetic Try-In). The
crowns and bridges were permanently cemented using the dualcuring luting composite Variolink
Esthetic DC. In the mandible, the
veneers were luted using the lightcuring variant of the same luting
composite (Variolink Esthetic LC) in
a neutral colour. This luting composite is easy to apply and excess material can be effortlessly removed
during the cementation process.
Two weeks after the restorations
had been placed, the patient came
for another visit to our practice.
Pink and white aesthetics was harmoniously balanced (Figs. 14–17).
This outcome was possible due to
the careful adaptation of the treatment to the needs of the patient
and the smooth communication
between practice and lab.
Conclusion
Successful treatment of young
patients with complex treatment
needs requires a high degree of
accuracy and minimally invasive
preparation methods. Full-contour
zirconia restorations milled using
CAD/CAM strategies provide a
straightforward method to achieve
accurate restorations, particularly
for the posterior region. The success
of anterior restorations continues
to depend largely on the skills of the
technician and on the use of materials with optimum properties, such
as the IPS e.max lithium disilicate
glass-ceramics.
Dr Marko Jakovac
is an Assistant
Professor at the
School of Dental
Medicine’s Department of Fixed
Prosthodontics in
Zagreb in Croatia.
He can be contacted
at jakovac@sfzg.hr.
Michele Temperani
is a dental technician from Florence in Italy.
[13] =>
DTAP0715_01-20.pdf
HKIDEAS · Hong Kong · 7–9 August, 2015
Official news for visitors and exhibitors
HKIDEAS: Shaping the future of oral health
A welcome message by HKDA Vice President and Chairman of the Organising Committee of the HKIDEAS 2015, Dr Nelson Wong
The Hong Kong Dental Association is proud to present the
Hong Kong International Dental
Expo and Symposium (HKIDEAS)
2015 which will be held on
7–9 August 2015. It will be a
continuation of our commitment
to foster advancement and exchange of knowledge and skills
in dentistry.
It is now the fifth time we host
HKIDEAS since it was launched
in 2010. The theme of this year’s
Congress is “Shaping the Future
of Oral Health”. We are honoured
to have attracted once again prominent figures from the field who
will deliver stimulating lectures
for the three-day scientific programme that will cover the latest
trends in various specialties in
dentistry, ranging from best clinical practices, aesthetics, implantology to endodontics, periodontics and other areas of interest.
Alongside the scientific programme, the trade exhibition
offers a perfect opportunity for
manufacturers and dealers to
showcase their latest state-ofthe-art products and devices to
all the participants. We also
believe the great diversity of at-
tractions in Hong Kong will impress every participant, giving
them memorable and interesting
experiences.
I sincerely look forward to seeing you at the HKIDEAS 2015. Your
participation will make this event
another outstanding success.
Growing CAD/CAM abutment adoption vs
increasingly popular discount implants
Opposing pricing trends to influence Asia Pacific dental implant market. By Dr Kamran Zamanian & Celine Mashkoor, Canada
The various countries in the
Asia Pacific region are all expected to demonstrate an increasing demand for dental implant
treatments as a result of growing
consumer awareness, the ageing
population, growing accessibility
(such as through the National
Health Insurance Service coverage in South Korea), as well as
greater product availability and
other influencing factors. Traditionally, premium implant companies have dominated the dental
implant market globally. However, in recent years, discounted
implants have become increasingly popular, especially in the
Asia Pacific region.
Fig. 1: Unit analysis of dental implant fixtures for Australia. By 2021, units of premium implants will drop dramatically to represent 42 per cent of the overall dental implant fixtures in the country. (Source: iData Research Inc.)—
Fig. 2: China’s dental implant market. The adoption of CAD/CAM final abutments, which are more expensive, and a growing discount implant segment are set to result in the final abutment market representing a larger portion
of the dental implant market throughout the forecast period.
The growth of the discount
implant segment will emerge at
the expense of the premium
segment and as a result is set to
limit market growth for dental
implant fixtures by lowering
the market’s overall average
selling price (ASP). In contrast,
the final abutment market is
set to experience an increasing
ASP owing to the growing adoption of CAD/CAM abutments in
the place of stock abutments.
While commoditisation of stock
abutments has greatly depressed
the ASP of the final abutment
market, growing adoption of
CAD/CAM abutments is set to
stimulate the final abutment market by pulling the ASP upwards.
Therefore, the dental implant
market is set to grow in all four
countries included in the Asia
Pacific region in this report,
namely Australia, South Korea,
[14] =>
DTAP0715_01-20.pdf
news
14
HKIDEAS Hong Kong 2015
Japan and China, despite varying
pricing trends.
In the Asia Pacific dental implant market, consumer awareness, cultural tendencies and
domestic regulations vary greatly. South Korea represents the
most highly developed dental
implant market as a result of
being home to a number of global leading dental implant companies. This in turn has led to
a high level of consumer awareness and early accessibility to a
variety of dental implant products. However, the dental implant
market in South Korea is also
highly discount dominant and
led by domestic implant producer
OSSTEM IMPLANT and as a result demonstrated the lowest
regional dental implant ASP of
US$86 in 2014.
In contrast, the Australian
market remains highly dominated by leading premium implant companies, which collectively held over 70 per cent of the
domestic market. Consequently,
Australia demonstrated the high-
Fig. 3: OSSTEM IMPLANT, a Korean discount dental implant company, led the Asia Pacific market for dental implant fixtures and final abutments in 2014. The company is expected to continue to capitalise on the growing
popularity of discount implants.—Fig. 4: Growing CAD/CAM abutment market vs declining unit share of stock and custom cast abutments. (Source: iData Research Inc.)
est dental implant fixture ASP
in the region at US$345 in 2014.
An increasing number of general
practitioners are being trained
in dental implant procedures in
Australia, and general practitioners have been observed to be
more cost sensitive relative to specialists. As a result of a growing
number of general practitioners
in the market, consumer preferences are shifting towards dis-
counted solutions. Discount implant companies from the US
and South Korea have recently
been gaining market share in
Australia. Throughout the forecast period, the premium segment of the market is expected to
grow at far lower annual growth
rates relative to the discount and
value segments in Australia. By
2021, it is expected that discount
implants will represent 43 per
AD
The Dental Tribune International
C.E. Magazines
www.dental-tribune.com
gums*
€ 44/magazine (4 issues/year;
incl. shipping and VAT for customers
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The Japanese and Chinese
markets for dental implants are
also dominated by premium companies. In recent years, OSSTEM
IMPLANT has had a significant
impact on the Chinese market,
however, especially as a result of
the training programme offered
by the company’s Advanced
Dental Implant Research and
Education Center. All segments
of the dental implant market in
China are expected to demonstrate double-digit annual growth.
However, the discount market is
set to grow far more dramatically
throughout the forecast period.
By 2021, discount implant fixtures are set to represent over
50 per cent of the overall units
in the Chinese dental implant
market.
The shift towards discount
implants in Japan is expected to
be far less dramatic, especially
owing to cultural barriers that
limit the success of Korean dental
implant companies. The premium
implant segment is expected to
remain the dominant dental implant market throughout the forecast period. Unit representation
of discount implants is expected
to increase slightly from 12.5 per
cent currently to 14.6 per cent by
2021.
I would like to subscribe to
CAD/CAM
cone beam
cosmetic dentistry*
DT Study Club (France)***
cent of the overall units in the
Australian market.
Expiration Date
Security Code
The growing acceptance of
discount implants has been
driven by Korean companies. The
regional market leader, OSSTEM
IMPLANT, held a 21.9 per cent
share of the total dental implant
market for the Asia Pacific region
in 2014. The company has invested significantly in marketing
efforts, which has led to the growing popularity of its products.
Throughout the forecast period,
OSSTEM IMPLANT and other
discount implant companies,
such as MegaGen, Dentium and
Neobiotech, are expected to capitalise on the growing popularity
of discount implants. In contrast,
premium implant companies, such
as Straumann and Nobel Biocare,
are expected to face increasing
competitive pressures, especially
in China and Australia.
Emphasis on CAD/CAM
fax: +49 341 48474 173 | e-mail: subscriptions@dental-tribune.com
In the dental implant market,
the final abutment market is
undergoing an opposing pricing
trend relative to dental implant
fixtures. CAD/CAM abutments
are being increasingly utilised in
the place of cheaply produced
stock abutments. CAD/CAM development has been relatively
rapid in the Asia Pacific region in
recent years. A growing number
of CAD/CAM milling centres have
emerged to produce CAD/CAM
abutments for the dental implant
market. The overall region is set
to demonstrate significant growth
in the CAD/CAM segment for
final abutments. In contrast to the
dental implant fixture market,
where discount products are gaining share, the overall final abutment market is set to demonstrate
an increasing ASP. CAD/CAM
final abutments are relatively
more expensive than stock abutments, which have traditionally
dominated the market. The shift
towards CAD/CAM abutments
is set to be most significant in
China. For the overall region,
units of CAD/CAM abutments are
set to grow at a compound annual
growth rate of 22.1 per cent. By
2021, CAD/CAM abutments are
forecast to represent 31.6 per cent
of the overall abutment units in
Asia Pacific.
Conclusion
Overall, the dental implant
market, including fixtures and
abutments, is set to grow at a
compound annual growth rate of
11.5 per cent for the Asia Pacific
region. The unit growth will far
outweigh the ASP effects, and the
dental implant market will grow
to reach a higher penetration
ratio for the overall Asia Pacific
region.
Dr Kamran
Zamanian is
a market research analyst for iData
Research
in Canada
(idataresearch.com). He can be contacted at info@idataresearch.net.
Celine
Mashkoor is
also a market
research analyst at iData
Research.
[15] =>
DTAP0715_01-20.pdf
T
N
I
R
P
L
A
T
I
G
I
D
N
O
I
T
A
EDUC
S
T
N
E
V
E
T
A
S
U
T
VISI
5
1
0
2
S
A
E
HKID C04
BOOTH
The DTI publishing group is composed of the world’s leading
dental trade publishers that reach more than 650,000 dentists
in more than 90 countries.
[16] =>
DTAP0715_01-20.pdf
business
16
HKIDEAS Hong Kong 2015
HKIDEAS Hong Kong 2015—Floor plan
Registration: Hall 5F&G Concourse, Level 5, Phase 1, HKCEC
Exhibition: Hall 5G, Level 5, Phase 1, HKCEC
SCIENTIFIC PROGRAMME
PARALLEL SESSION B
RESERVED
AREA
*The floor plan is subjected to change without prior notice.
ACCESS TO SCIENTIFIC PROGRAMME PARALLEL SESSION A
[17] =>
DTAP0715_01-20.pdf
[18] =>
DTAP0715_01-20.pdf
business
18
HKIDEAS Hong Kong 2015
HKIDEAS Hong Kong 2015—Exhibitors
Company name
Booths
3M Unitek & Evergreen
Dental Supplies Company Limited C17
A.R. Medicom Inc (Asia) Limited C03
Advance Dental
Consulting Ltd.
C16, C18, C19
APDC 2016
G08
Company name
Booths
Bauhinia Dental Limited
A08, A10
Being Foshan
Medical Equipment Co., Ltd.
A05
Bode Well Limited
E18, F15, F17
Carestream Health
Hong Kong Limited
B06
Company name
Booths
Carl Zeiss Far East Co., Ltd. A06, B05
Colgate-Palmolive
E02, E04, E06,
(H.K.) Ltd.
F01, F03, F05
Cooper Trading Company A02, B01, B03
Dental Clinic
F24, F26,
Management System
G03, G04
Company name
Dental Tribune
International GmbH
C04
DENTSPLYAsia
D20, E17, E19
Dentz HK Ltd.
C01
eClear International Co., Ltd.
G05
Focus Medical Instrument Ltd. B16, B18
AD
www.idem-singapore.com
STRIVING FOR CLINICAL EXCELLENCE
Early Bird Registration Opens in September
INTERNATIONAL DENTAL
EXHIBITION AND MEETING
APRIL 8 - 10, 2016
Suntec Singapore Convention & Exhibition Centre
Scientific Poster Competition:
Submit your outstanding research to the IDEM Singapore Scientific Poster
Competition and stand a chance to win up to SGD 6,000 in cash prizes. All
submitters will receive the chance to have their posters displayed at IDEM
Singapore 2016.
Submit your poster competition abstract via the online submission portal
bitly.com/idempostercomp in the following categories:
General
Dentistry and
Oral Health
Preventive
Dentistry
Dental Treatment
& Restorative
Dentistry
Submi
ssio
Deadli n
ne:
30 Nov
2015
Oral Surgery &
Oral Medicine
More details are available at www.idem-singapore.com/scientific-poster-competition
An Event for the Entire Dental Team:
Building on their succesful introduction at IDEM Singapore 2014, the supporting forums for
technicians, hygienist & therapists as well as for new dentists will be back at IDEM Singapore 2016:
Endorsed By
Supported By
Held In
In Cooperation With
Co-organizer
Singapore Dental Association
Ms. Cindy Tantarica
Tel: +65 6500 6721
Fax: +65 6294 8403
idem-reg@koelnmesse.com.sg
Booths
Company name
Booths
Foshan Hongke
Medical Instrument Factory
A01
Foshan Roson
Medical Instruments Co., Ltd.
A11
Foshan Wenjian
Precision metal Co., Ltd.
F19
FOTONA D.D.
F10
GlaxoSmithKline
Limited
B12, B14, C11, C13
Green Paradise International Ltd. E08
Guangdong Harmonic
Medical Company Limited
E20
Hager & Werken (Asia) Co. Ltd.
C06
Healthcare Dental
Limited D10, D12, D14, E9, E11, E13
Henry Schein Hong Kong
Limited
B08, B10, C05, C07, C09
HKU Faculty of Dentistry
D15
Hong Kong Council
on Smoking and Health
C15
Hong Kong Dental Association
F18
Hong Kong Dental Association—
Office for Community Care Fund Elderly
Dental Assistance Programme
F22
Interdental Limited
F06, F08
Johnson & Johnson (Hong Kong)
Limited D02, D04, D06, E01, E03, E05
KaVo Kerr Group
D05
Keenworld Technology Limited
D19
Kingdom Medical Limited
B02
Logic Tech
F14
Loyal King Asia Limited
F12
maxill hong kong limted
F02
Modern Precision
Dental Instruments Co., Ltd.
A03
Nanjing North Vision Co., Ltd.
G12
Oral Health Education Unit
D16
Osstem Hong Kong Limited C02, D01
Pacific Blossom HK Limited
C08
Pfizer Corporation
Hong Kong Limited
G07
Procter & Gamble
HK Ltd.
C10, C12, D09, D11
QST Technologies
(HK) Company Limited
F07
Singapore Dental Association
E07
Sirona Dental Systems
(HK) Ltd.
E14, E16, F13
Tesco Dental (H.K.) Ltd.
B07, B09
The College of Dental Surgeons
of Hong Kong
D03
The Royal Australasian College
of Dental Surgeons (RACDS)
D17
TOSI Foshan
Medical Equipment Co., Ltd.
A09
Truly Dental Material Co., Ltd. C14, D13
Young’s L&S Dental Supplies Ltd. D07
The floor plan and exhibitors list are subject
to change. Last update was 22 July, 2015.
[19] =>
DTAP0715_01-20.pdf
business
HKIDEAS Hong Kong 2015
19
HKIDEAS 2015—Scientific programme
Friday, 7 August
9:30–10:30
Periodontal medicine:
A New Frontier for Periodontology,
Hall 5F (Parallel Session A)
Speaker: Prof. Mark Bartold
Photodynamic Therapy
for Periodontitis,
Hall 5G (Parallel Session B)
Speaker: Prof. Michael Wilson
9:30–12:45
2nd Cross-Strait Forum
on Dental Service for the Elderly,
Meeting Room
New Trends in Oral Health Care
for the Elderly in Taiwan
Speaker: Prof. Chun-pin Lin
The Development of
Geriatric Dentistry in Hong Kong
Speaker: Dr Frankie So
10:30–11:15
Saturday, 8 August
11:30–12:45
14:15–16:45
11:15–12:45
9:30–10:30
Managing Dentin Hypersensitivity
to Improve Quality of Life,
Hall 5F (Parallel Session A)
Speaker: Prof. Liang-lin Seow
Local and General Risk Factors
for Implant Failure—Prevention
of Early and Late Complications,
Hall 5F (Parallel Session A)
Speaker: Prof. Bilal Al-Nawas
Augmentation procedures:
Simple and predictable?
Hall 5G (Parallel Session A)
Speaker: Prof. Bilal Al-Nawas
Simplifying Root Canal
Preparation
—The Next Generation,
Meeting Room
Speaker: Dr Patrick Tseng
Break
Towards Functional Foods
for Oral Health Care: Isolation,
Identification and Evaluation of
Food Components with Anti-caries
and/or Anti-gingivitis Activities,
Hall 5G (Parallel Session B)
Speaker: Prof. Michael Wilson
12:45–14:15
Lunch Break
Conservative, conventional
and unconventional endodontics,
Hall 5G (Parallel Session B)
Speaker: Dr Patrick Tseng
9:30–11:30
Digital dentistry: CAD/CAM,
Meeting Room
Speaker: Dr Myung-ho Maeng
14:15–15:45
10:30–11:15
Challenges in Modern Implant
Practice: The Multidisciplinary
Team Approach,
Hall 5F (Parallel Session A)
Presenters: Dr Alfred Lau
& Prof. Nikos Mattheos
Break
Restorations Utilizing
Bulk Filling Technique,
Hall 5G (Parallel Session B)
Speaker: Prof. Chooi-Gait Toh
Conservative, conventional
and unconventional endodontics,
Hall 5G (Parallel Session B)
Speaker: Dr Patrick Tseng
12:45–14:15
Lunch Break
14:14–15:45
Implant Design, Length, Diameter
—Real Innovation or Common
Sense?, Hall 5F (Parallel Session A)
Speaker: Prof. Bilal Al-Nawas
The Art of Smile,
Hall 5G (Parallel Session B)
Speaker: Dr Derek Mahony
15:45–16:30
Sunday, 9 August
9:00–10:00
Meeting the Challenges of
Infection Prevention and Infection
Control in Clinical Dentistry,
Hall 5F (Parallel Session A)
Speaker: Professor Laurence Walsh
Break
16:30–18:00
Implant in the Aesthetic Zone
—Socket Preservation,
Staged Approach or
Immediate Implants?,
Hall 5F (Parallel Session A)
Speaker: Prof. Bilal Al-Nawas
Dentist Role in Snoring
and Sleep Apnea,
Hall 5G (Parallel Session B)
Speaker: Dr Derek Mahony
Tough Class III Malocclusions Made
Easy, Hall 5G (Parallel Session B)
Speaker: Dr John Lin
10:30–11:15
Break
11:15–12:45
Meeting the Challenges of
Infection Prevention and Infection
Control in Clinical Dentistry,
Hall 5F (Parallel Session A)
Speaker: Prof. Laurence Walsh
Tough Class III Malocclusions Made
Easy, Hall 5G (Parallel Session B)
Speaker: Dr John Lin
12:45–14:15
Lunch Break
14:15–15:45
15:45–16:30
Break
16:30–18:00
Clinical Challenges and Solutions,
Hall 5F (Parallel Session A)
Speakers: Drs Jeffrey Chang,
George Pelekos & Edmond Pow
Challenges in Modern Implant
Practice: The Multidisciplinary
Team Approach,
Hall 5F (Parallel Session A)
Presenters: Dr Francis Chan
& Dr James Chow
Monitored Anaesthesia Care
in the Dental Clinic,
Hall 5G (Parallel Session B)
Speakers: Dr John Low
Digital dentistry:
Where do we stand?,
Hall 5G (Parallel Session B)
Speaker: Dr Maeng Myung-Ho
Implant Treatment of the
Periodontally Compromised
Patient, Hall 5F (Parallel Session A)
Speaker: Prof. Saso Ivanovski
15:45–16:30
[20] =>
DTAP0715_01-20.pdf
Assistina 3x3:
Clean inside, clean outside
The new Assistina 3x3 cleans and maintains up to
three instruments automatically.
Automatic internal and external cleaning, short cycle time,
easy to use: perfect preparation of straight and contra-angle
handpieces and turbines for sterilization.
wh.com
Bring me to life!
Download the »W&H AR« App free of charge from
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Open the App and hold your device 50 cm from the ad.
)
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[page] => 01
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[page] => 03
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[2] => Array
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[title] => The rise and fall of mercury
[page] => 04
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[title] => International Interview: “There is a general sense of frustration throughout the world”
[page] => 05
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[page] => 09
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[page] => 10
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[toc_html] =>
Table of contents
-
Study finds varying disinfection protocols of endodontists & GPs
01 - 02
view
-
Bio-Emulation movement continues to grow
03 - 03
view
-
The rise and fall of mercury
04 - 04
view
-
International Interview: “There is a general sense of frustration throughout the world”
05 - 06
view
-
Crowdfunding campaign for no-drill repair tech
09 - 09
view
-
All-ceramics and CAD/CAM technology
10 - 12
view
-
today international HKIDEAS Hong Kong 2015
13 - 20
view
[toc_titles] => Study finds varying disinfection protocols of endodontists & GPs
/ Bio-Emulation movement continues to grow
/ The rise and fall of mercury
/ International Interview: “There is a general sense of frustration throughout the world”
/ Crowdfunding campaign for no-drill repair tech
/ All-ceramics and CAD/CAM technology
/ today international HKIDEAS Hong Kong 2015
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