DT Middle East & Africa Edition No. 3, 2024
Aesthetic Dentistry MENA Awards 2024: Elevating Excellence
/ Industry
/ “I'm proud to be the leader of such a competent team and such a great product that has its roots in scientifi c evidence-based technique.” - The interview with Malin Gustavsson, the new CEO of Osstell
/ Innovating global dental care: An interview with HuFriedyGroup's strategic leaders
/ Events
/ Interdisciplinary treatment of an adult patient with worn anterior teeth
/ Low-cost tooth sensitivity liquid found to combat dental caries
/ Events
/ IDEM 2024 delivers on “Exceptional dentistry: Techniques, technologies and trends”
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[1] =>
LY
N
O
S
AL
N
IO
SS
FE
O
PR
TA
L
EN
D
PUBLISHED IN DUBAI
ENDO TRIBUNE
Clinical Endodontics Symposium
(CES) unveils speaker lineup for
November event
www.dental-tribune.me
LAB TRIBUNE
How far has 3D printing brought
clear aligners?
Insertion A
Insertion B
IMPLANT TRIBUNE
Periodontitis increases risk of
stroke among young people, study
finds
Insertion C
Vol. 14, No. 3
ORTHO TRIBUNE
Growing patient roadshow hosted
by Align Technology aims to accelerate dental care for children...
Insertion D
HYGIENE TRIBUNE
Exploring dental hygiene innovations in Dubai during the Dental
Hygienist Seminar
Insertion E
Aesthetic Dentistry MENA
Awards 2024: Elevating Excellence
By CAPP Events & Training
DUBAI, UAE: The Aesthetic
Dentistry MENA Awards 2024 returns with renewed vigor, set to reignite the spirit of excellence and innovation in Aesthetic Dentistry.
Early bird submissions are open until
01 July 2024.
This prestigious competition,
originally launched in 2009, is a beacon for recognizing the outstanding
achievements of dental professionals in the Middle East and North Af-
rica region. Hosted by the Centre for
Advanced Professional Practices
(CAPP), the awards celebrate modern trends and advances in dentistry, shaping the future of the field
and raising the bar for excellence.
The Aesthetic Dentistry MENA
Awards 2024 invites submissions
across a wide array of categories, allowing dental professionals to showcase their expertise and innovation.
► Page 02
The MENA Aesthetic Dentistry Awards 2024 promises to be a remarkable event, marking dental calendars and placing regional achievements on the global dental professional map. (Image: CAPP Events & Training)
AD
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Now at
video.wh.com
or wh.com
your dealer
Our handpieces:
Real champions,
real winners!
Some impress with outstanding speed,
others with perfect control. Some
convince with innovative technology,
others with great service, but only one
combines all of this. This spirit drives
us forward and each of our handpieces.
20210914_AD_Synea_245x167mm.indd 1
14.09.2021 12:17:41
[2] =>
NEWS
02
Dental Tribune Middle East & Africa Edition | 03/2024
◄ Page 01
AD
Whether it's conservative aesthetic
cases, pediatric dentistry, restorative
procedures, implantology, or multidisciplinary teamwork, there's a category for every outstanding case
presentation. From cutting-edge
digital workflows to charitable endeavors, this prestigious event recognizes excellence across the spectrum of dental care.
The Vision
The Awards aim to create a platform that sets a benchmark for dental care in the MENA region, showcasing the ultimate in health, the latest in science, and the art of dentistry.
•
•
•
•
•
•
•
•
Objectives
Encourage, recognize, and reward achievers, performers,
and contributors within Dental
Care.
Recognize excellence in dental
practices, proving the highest
standards to patients and competitors alike.
Promote a balance between
professional, personal, and
moral performance in dental
care, shaping the future of aesthetic dentistry.
Benefits
Establish a standard for the
quality of dentistry for patient
well-being.
Encourage excellence in dental
practices.
Foster innovation and collaboration within the dental community.
Contribute to the progress and
development of aesthetic dentistry worldwide.
Elevate the region's quality and
standards of dentistry on a
global scale.
Jury and Voting
An independent judging panel
of leading figures in dentistry will select the best cases from each category.
Ceremony
The glamorous Gala Awards ceremony will take place at the Madinat
Jumeirah Hotel, Dubai, on 15 November 2024. Winners, nominees,
and judges from across the MENA
region will gather to honor outstanding achievements in dentistry.
The MENA Aesthetic Dentistry
Awards 2024 promises to be a remarkable event, marking dental calendars and placing regional achievements on the global dental professional map. Join us at the Madinat
Jumeirah Hotel, Dubai, UAE, on 15
November 2024, for a night of celebration and recognition.
For more information and registration, CAPP invites dental professionals to visit the website www.cappmea.com/awards2024
IMPRINT
INTERNATIONAL
HEADQUARTERS
PUBLISHER AND CHIEF EXECUTIVE OFFICER:
Torsten Oemus
CHIEF CONTENT OFFICER:
Claudia Duschek
Glamorous Gala Dinner to Celebrate the Winners
Madinat Jumeirah Hotel, Dubai, UAE | 15 November 2024
AESTHETIC DENTISTRY MENA
AWARDS 2024 | DUBAI
2024
EARLY BIRD SUBMISSION
01 JULY 2024
Submission Deadline 01 OCTOBER 2024
Winners Announcement 01 NOVEMBER 2024
Celebration of Winners and Nominees 15 NOVEMBER 2024
WWW.CAPPMEA.COM/AWARDS2024
Dental Tribune International GmbH
Holbeinstr. 29, 04229 Leipzig, Germany
Tel.: +49 341 4847 4302
Fax: +49 341 4847 4173
General requests: info@dental-tribune.com
Sales requests:
mediasales@dental-tribune.com
www.dental-tribune.com
Material from Dental Tribune International GmbH that
has been reprinted or translated and reprinted in this
issue is copyrighted by Dental Tribune International
GmbH. Such material must be published with the per-
mission of Dental Tribune International GmbH. Dental
Tribune is a trademark of Dental Tribune International
GmbH.
All rights reserved. © 2024 Dental Tribune International GmbH. Reproduction in any manner in any language, in whole or in part, without the prior written
permission of Dental Tribune International GmbH is
expressly prohibited.
Dental Tribune International GmbH makes every effort to report clinical information and manufacturers’
product news accurately but cannot assume respon-
sibility for the validity of product claims or for typographical errors. The publisher also does not assume
responsibility for product names, claims or statements
made by advertisers. Opinions expressed by authors
are their own and may not reflect those of Dental Tribune International GmbH
MEA PUBLISHER:
Dr. Dobrina MOLLOVA
SALES:
Tzvetan DEYANOV
Petar MOLLOV
DENTAL TRIBUNE MEA
Onyx Tower 2, Office P204, Dubai, UAE
Mob.: +971 55 112 8581
www.dental-tribune.com
General requests:
dtmea@dental-tribune.me
[3] =>
[4] =>
INDUSTRY
04
Dental Tribune Middle East & Africa Edition | 03/2024
Osstem Implant invites dentists
around the world to its headquarters
in Korea
Providing Clinical Training, Promoting Local Distribution of Implant Treatment and Accelerating Digital Dentistry
By Osstem Implant
Osstem Implant (CEO Eom Tae
Kwan), the world's No. 1 company in
implant sales, provided clinical education to 135 Mexican dentists who
visited its Central Research Institute
in September. The clinical education
program and the headquarters tour
program were held for two days at
the place.
Curriculum with a focus on
digital education including ‘OneGuide’…Contribute to the popularization of implant surgery in
Mexico
Osstem Implant invited Professor Park Ji Man of Seoul National
University School of Dentistry to enhance the students’ basic understanding of digital dentistry and
provide education on the digital
planning process. As part of the digital dentistry education, the Head of
Osstem Implant Education and Research Institute lectured on the
basic concept and usage of ‘OneGuide’, and application techniques
in various implanting environments
using ‘OneCAS’ and ‘OneMS’ kits
and templates. Furthermore, an ex-
perienced dental director who
serves as a lecturer for Osstem Implant, gave a lecture on the outline
of implant overdenture and carried
out hands-on practice using ports
and dentures.
Osstem Implant explained that
the curriculum was organized in
consideration of the current status
of the local dental industry and the
penetration rate of implant surgery
in Mexico.
According to the Korea Trade-Investment
Promotion
Agency
(KOTRA), the World Dental Federation (FDI), and the Health Insurance
Review and Assessment Service in
Korea, Mexico has 132,000 dentists,
which is 4 times as many as Korea,
and 24,000 dental clinics. However,
the number of Mexican dental clinics
which can perform implant surgery
is as small as 6,200, which account
for 25.8% of all dental clinics, making it one of the countries with a
high demand for dental implant
clinical education. ‘OneGuide’, which
can make up for the insufficient skill
or experience of dental technicians
and guarantee placement accuracy
and stability, is considered optimal
to Mexico where only a few number
Mexican dentists are looking around the ‘Product Showroom in the Osstem Implant Research Institute’ in September.
(Image: Osstem Implants)
of dentists have completed implant
training courses and the implant
penetration rate is not high.
Moreover, given that Mexico is
an emerging market in the dentistry
field, the ease of dissemination of
new digital dentistry technologies
and the supply of digital dental
equipment are also characteristics
of Mexico. Osstem Implant said, “In
countries where the implant industry is in a sufficiently maturity stage,
they should make efforts to shift the
perception of existing consumers
Dr. Noe Francisco Santana Dominguez at the National Autonomous University of
Mexico (UNAM). (Image: Hiossen Implant México)
Dr. Perla Isabel Diaz Lara (left) and Dr. Hugo Mendoza Suarez (right).
(Image: Osstem Implant’s Mexican corporation)
Osstem Dental Clinic Model House (215 m2).
Osstem Implant Training Center (OIC)
from an analog to a digital approach
through various marketing and educational activities, but in a newly rising market like Mexico, a digital dental market can be formed from the
very beginning.”
Professor Park Ji Man of Seoul
National University School of Dentistry, who delivered the lecture, explained the basic concept of “understanding digital workflow” to Mexican dentists and emphasized that an
'In-office All in One System' can be
built when utilizing an intraoral
scanner or CBCT dental 3D printer
and milling equipment. At the end of
the lecture, Professor Park commented to Mexican dentists, “It’s
time now to put your hands on fascinating digital dental medicine,”
underlining the advent of the digital
era.” He added, “Digital planning
that can effectively respond to any
clinical condition and produce accurate results is now an essential element.” Osstem Implant arranged a
separate time to demonstrate its
CBCT ‘T2’ to help the attendees better understand digital equipment.
Dr. Noe Francisco Santana
Dominguez, professor at the National Autonomous University of
Mexico (UNAM) and an orthodontist, said with anticipation, “Among
the various clinical education programs provided by Osstem Implant’s headquarters in Korea, lectures on ‘Digital Dentistry’ and
‘Digital Planning’ were the most satisfactory. Many dentists in Mexico
need to explore digital dentistry.
Therefore, I expect to have more indepth education on digital dentistry.
► Page 06
[5] =>
[6] =>
INDUSTRY
06
Dental Tribune Middle East & Africa Edition | 03/2024
◄ Page 04
I hope that the latest digital products that I saw at the Osstem Implant
headquarters’ showroom are available in Mexico as soon as possible."
Dr. Perla Isabel Diaz Lara, an orthodontist who has 25 years of experience and is conducting procedures closely related to dental implant placement, said, “Osstem Implant’s products made in Korea are
already enjoying a good reputation
thanks to their excellent quality. All
the clinical education programs provided by the headquarters were satisfactory, but it would be much more
helpful if the education on the procedure that combines orthodontics
and dental implants are provided as
well.” With respect to the tour program, she mentioned, "I did not
know there are so many product
lines. As I looked around the Osstem
showroom, I was particularly impressed with the high level of digitalization in the field of orthodontics.”
She added, “I liked the tour of the
model dental clinic the most, and
especially the explanations of the
dental hygiene treatment line were
remarkable.”
Dr. Hugo Mendoza Suarez, a
maxillofacial surgeon who served as
a professor at the CLEO (Centro
Latinoamericano
de
Estudios
Ortodonticos), the Latin American
Institute of Orthodontics, said, “The
visit to Osstem Implant's Korean
headquarters and production base
in Busan has changed my impression of Korean brands and products.
I not only verified the superiority of
Osstem Implant's products in person, but also felt the company's vision and mission. Osstem Implant is
competitive not only in Mexico, but
across the globe.”
And he commented, “I felf the
effrts and sincerity of Osstem Implant, which prepared the tour program introducing major tourist destinations in Korea for us. I think Koreans’ perserverence, pertinacity,
and hardwork can serve as an example for many countries."
Continue to provide clinical
training by inviting dentists
around the world to the Korean
headquarters, enhancing brand
trust and product understanding
Osstem Implant is also scheduled to provide clinical training to
local dentists from Malaysia, India,
Mongolia, Turkiye, Vietnam, Tunisia,
and Hong Kong, who will visit the
headquarters in November and December. The curriculum focuses on
lectures to help participants better
understand digital dentistry, including ‘OneGuide’, and adds courses
which the participants can selectively take based on the needs of
each country.
Osstem Implant’s confidence in
conducting invitational training
comes from its dentist clinical training know-how accumulated over
20 years and the establishment of
the environment equipped with the
industry's best educational facilities
and practice equipment.
Osstem Implant established Korea's first implant training center in
2001 and provided dentists with free
training on implant surgery procedures. Also, in 2006, a year before
the set up of the office and production plant of the US corporation in
Philadelphia, USA, Osstem Implant
established the LA branch and pro-
vided training for Korean dentists
seven hours a day every weekend.
As of the end of 2021, the
Osstem Implant Training Center
(OIC) conducted implant surgery
training for more than 100,000 dentists across the globe, 85% of whom
are foreign dentists. Osstem Implant
has established OICs in its 30 overseas corporations in 26 countries to
operate more than 100 regular education sites and also deliver online
lectures on live surgery, etc. Osstem
Implant explained that 160,000 dentists are expected to complete its
clinical training programs by 2026,
through which it aims to become the
world's No. 1 implant company.
Osstem Implant Central Research Institute has a separate OIC
training facility. The institute provides the best educational environment by securing specialized facilities for each training course, including a digital seminar room, implant
seminar room, and a live surgery
dentistry and technician seminar
room. Students can also experience
the latest devices for practical
demonstration, including implant
engine, 5-axis dry milling machine 'OneMill 5x', ISQ measuring instrument - 'BEACON', wireless oral scanner - 'TRIOS4', etc. (one for each
person).
The Head of the OIC said, “Dental professors who visit our training
facilities also admire the quality of
the latest equipment and teaching
materials. Some universities of dentistry even use our training materials
as textbooks for their lectures.”
On-site lectures by Korean authorities possessing abundant implant know-how, the best educational infrastructure, and a large exhibition space of 300 pyeong where
students can see and experience in
person various products introduced
through education guarantee a
higher brand trust and product understanding of foreign dentists who
visit the Osstem Implant’s headquarters in Korea.
Medifi l
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indicated for cavities caused by carious lesions, fillings of Class III and
small fillings of Class I (including extended fissure sealing) as well as
build-up fillings for crowns, linings.
During treatment, Medifil convinces with its spreadable consistency and very good wetting behaviour, as well as its close marginal
adaptation. Medifil is available in
three shades and helps aesthetically
pleasing restorations.
For more information contact
Promedica Dental Material GmbH
Domagkstrasse 31
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Germany
Tel: +49 43 21/5 41 73
www.promedica.de
(Image: Promedica)
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[8] =>
INDUSTRY
08
Dental Tribune Middle East & Africa Edition | 03/2024
Understanding the causes behind
teeth staining
By Ultradent Products
Starting your journey toward a
bright smile begins with understanding the diverse factors that can
introduce stains to our teeth. While
some staining factors are out of our
control, understanding the various
causes can help you make informed
decisions about your dental health.
Recognizing these factors can help
you take preventative measures and
maintain a dazzling smile.
Certain Diseases and Medical
Treatments
•
Chemotherapy: This powerful cancer treatment can
discolor teeth.
•
Infection during pregnancy: Some infections can
impact tooth coloration in
the unborn child.
•
Medications: The antibiotics tetracycline and doxycycline, if given to children
under age 8, can darken
their teeth. Additionally,
antihistamines,
antipsychotic drugs, and antihypertensive medications can
affect tooth color.
•
Mouthwashes: Rinses containing chlorhexidine and
cetylpyridinium
chloride
can result in staining.
Aging
•
As we grow older, the
enamel on our teeth wears
down, revealing the yellower dentin underneath.
Concurrently, the dentin
grows, which reduces the
size of the pulp, making the
teeth look darker.
Diet
•
Certain drinks and foods,
such as coffee, tea, colas,
wines, and starchy foods
like pasta or potatoes can
stain teeth. To minimize
this, consider rinsing with
water and brushing after
consumption.
Tobacco Use
•
The black tar from tobacco
products builds up on
teeth, leading to noticeable
staining.
Poor Hygiene
•
Neglecting to brush and
floss can lead to the accumulation of plaque and
food stains. Regular dental
cleanings are essential for
preventing stain build-up.
Genetic Variation
•
• Genetics can play a role in
the thickness and color of
tooth enamel. Some people are naturally blessed
with thicker, whiter enamel.
Dental Materials
•
Certain dental restorations,
especially those containing
silver sulfide, can impart a
gray-black hue to the teeth.
Blunt Trauma
•
Injuries, especially in kids
under 8, can disturb enamel
formation. Trauma in adults
can also cause discoloration if it impacts blood
flow or kills the tooth's
nerve.
Environment
•
Excessive fluoride exposure
during tooth development
can result in fluorosis, which
manifests as permanent
white spots on the teeth.
Regular dental check-ups, a balanced diet, and good oral hygiene
practices can go a long way in preserving the natural whiteness of
your teeth.
For more information about
Transcend please contact Sophia at
sophia.yadi@ultradent.com.
[9] =>
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[10] =>
INTERVIEW
10
Dental Tribune Middle East & Africa Edition | 03/2024
“I'm proud to be the leader of such
a competent team and such a great
product that has its roots in scientific
evidence-based technique.”
The interview with Malin Gustavsson, the new CEO of Osstell.
By Dental Tribune MEA
resonance of an Osstell SmartPeg,
which is a small aluminum pin with
a magnet on top. The SmartPeg is
attached to the implant prosthetic
connection.
Our patented technology has
been available now for almost 25
years and has a strong evidence-base with more than 1500
published studies.
Dental Tribune Middle East had
the pleasure of speaking with Malin
Gustavsson, the new CEO of Osstell. In this interview, she chats
about her choice to pursue this role
at the W&H Group and reveals
what she finds most rewarding
about leading the dental brand’s
team. She explains how Osstell’s
patented technology works and
what the solution is and talks about
the company’s newest features.
What is the ISQ measuring
Osstell Beacon? Could you walk
us through the Osstell procedure
and its significance in dental implantology?
Can you share the reasons behind your decision to accept the
position of CEO at Osstell in
2023? What challenges do you
foresee in leading such a highly
recognised brand in the dental
market?
One and a half years ago, I decided to join the company because
I believe in the journey that we have
in front of us. At W&H, we are seeking to connect all devices and
thereby contribute to a digital
workflow—and that is one of my
main interests. I really would like to
take part in that journey, specifically in the context of the medical
device industry because at the end
of the day, there is a patient who
has the benefit of all the improved
procedures and products. That’s
why I love the dental industry, both
from a digital perspective and a patient benefit perspective. The journey that W&H is on is bringing innovative products to the market
that are focused on enabling digital
workflows. That is what motivated
me to become part of the W&H
Group - it genuinely stems from my
passion for oral surgery and improving workflows.
Could you explain the technique behind Osstell’s approach
to measuring implant stability
with the use of resonance frequency analysis (RFA), which has
made a significant contribution
Malin Gustavsson, the CEO of Osstell, shares her perspective on leading Osstell
into the future. (Image: Osstell)
to the predictability of dental implant treatment? Could you share
the story behind the development
and evolution of this technology?
Our mission at Osstell is to help
clinicians provide each patient with
optimal time to teeth. Osstell’s implant stability technology is based
on Resonance Frequency Analysis
(RFA). RFA normally gives you a frequency value in Hertz. To make it
easier to interpret the measured
value, Osstell introduced the ISQ
unit.
The implant stability measurement is objective and non-destructive, meaning, it does not impact
the osseointegration. There is no
discomfort for the patient during
the measurement and it takes less
than a minute to measure the implant stability utilizing a non-invasive measurement technique using
magnetic pulses to excite the
SmartPeg.
Just like a tuning fork resonates
with different pitches based on its
length, RFA involves assessing the
Consider the scenario of having
a fever: I can feel on your forehead
whether you are warm or hot or
seem normal, but I’d have to take
your temperature with a thermometer to be sure. The reading will tell
you it’s an emergency. Using the
device tells you in black or white
whether you have a fever.
The same applies to implant
stability. Is it stable or not? When
you place the implant, you can feel
whether you’re implanting into soft
or hard bone. Immediately, you can
feel the mechanical stability when
you place the implant, but it doesn’t
tell you anything about the degree
of stability in the osseointegration
process. You’ll have to see whether
it is ready for restoration, right? You
don’t know, but you just have to
follow the standard protocol that
after the standard healing period
the dental implant is osseointegrated.
We truly believe that we must
respect bone remodelling and the
biological process. The only way to
know whether the implant is ready
for loading or not is to objectively
measure stability. Every patient is
unique—may be a smoker, may
have diabetes, may have poor oral
hygiene—and his or her health is
relevant to the healing process.
So how do you know? Of
course, there are many studies
Clinicians need objective measurements to ensure optimal patient outcomes. Osstell's technology
provides that certainty.
from implant manufacturers telling
you that you should wait for a sixweek or eight-week healing period
to be on the safe side. Sometimes
though, that is not enough, and
you need to wait for a longer time.
Osstell’s technology really tells you
when you can load the implant
since it’s based on factual measurements that reflect the current clinical reality of that patient.
There are so many factors that
the dentist needs to take into account, and we try to simplify to
make it as smooth as possible for
both the dentist and for the patient
to make the right decision. That’s
really what drives me—Osstell’s
approach is reliable, it’s measured,
it’s stable. It supports the dentist in
providing a predictable treatment.
What are the standard and
lower-risk ISQ threshold values
when using Osstell, and how do
these values impact decision-making in dental procedures?
The ISQ value ranges from 1 to
100. We present this numerically
and visually according to a scale we
developed. For example, below a
certain value range, the dentist will
be shown the associated traffic
light colour of red, meaning the implant cannot yet be loaded. After a
longer healing period, the dentist
will call the patient back into the office again and measure osseointegration again. Hopefully, this time
the ISQ reading will indicate yellow
or even green. Some implants
never get a green light, and then
the dentist knows to be careful. It
may be necessary to call the patient
into the dental office more regularly than she or he would do for
another patient.
Can RFA be effectively used
in cases involving bone grafting?
To measure RFA, it does not
matter if the area has been grafted
or a sinus lift has been performed,
for example, because the measurement concerns implant stability in
the bone it has been placed into.
For stability, you need to have remodelling, whether that has been
established aided by the grafting
material or by the natural bone.
► Page 11
[11] =>
INTERVIEW
11
Dental Tribune Middle East & Africa Edition | 03/2024
◄ Page 10
Osstell offers a range of instruments to assist practitioners.
Which instrument is particularly
beneficial for dentists, and how
does it enhance their daily work?
For readers who may not be familiar with Osstell products,
could you provide a brief description of the Osstell Beacon and its
role in implant stability measurement?
Our latest version of the measuring device is the Osstell Beacon.
It uses bluetooth and can be connected to a computer, iPad or cellphone. The Osstell Beacon converts the RFA measured and communicates this to the connected
device as an ISQ value.
The Osstell Beacon is used with
the SmartPeg, which is specific to
the implant connection used. We
have SmartPegs suitable for all the
major implant systems all over the
world, regardless of whether the
clinician is in South America or the
Middle East. The SmartPeg is
mounted onto the implant manually to the correct torque to ensure
it is stable on the implant. SmartPegs are single-use per patient because they are delicate and made
of a soft material to avoid any damage to the implant. The Osstell device, however, can be used for
many, many years.
I have been traveling around a
lot for the last year to understand
the different markets. In Turkey last
year, the government issued guide-
lines on the implant treatment of
patients that include a requirement
to measure the implant stability as
part of this procedure. In some
states of the US, this is also mandatory as part of insurance for the
dentist. The requirement to know
the implant’s ISQ value provides
security for the patient and the
dentist.
How does OsstellConnect enhance the workflow for practitioners, and what advantages
does it bring to the table?
OsstellConnect is a free cloudbased solution and tool offering a
new way for clinicians to use data to
enhance their dental implant treatments. It is one of the world’s largest implant online portal with more
than a quarter of a million datapoints. It is a free access to with
their purchase of the Osstell Beacon and Osstell IDx. The back-
ground for developing OsstellConnect is that we understood from
dentists that sometimes it is difficult to explain to a patient what the
ISQ number means and why he or
she must wait for example eight
weeks for a restoration when he or
she knows of someone else who received his or her restoration within
two weeks or even immediately. In
our scientific network, we thus
started discussing this feedback
and worked out that we could support the communication between
the dentist and the patient. That is
why we developed this software. It
is a great visual aid to the dentist
and helps him or her guide the patient through the implant journey
based on the ISQ value and supports his or her understanding.
What are your goals for Osstell’s product line, both in the
short term and long term? Can we
expect any exciting developments
or surprises?
W&H as a group has many interesting products and solutions
that will be released in the coming
years and will add new areas of application—W&H is not just a handpiece or steriliser manufacturer.
Also, more devices will be connected to one another, in support
of the knowledge that every aspect, such as instrument cleanliness and drill speed, affects treatment. This will allow us to collect a
lot of information and in the future
learn from it which enables us to
give more valuable guidance to the
professionals.
Lastly, as the CEO, what do
you consider the best and worst
parts of your role in leading a
prominent dental brand like Osstell?
I would like to highlight that we
have a dedicated team. Many of the
employees within Osstell have
been working at the company for
many years. They know the products and really have a passion and
heart for our technologies and customers. We are convinced that this
technology improves not only dentists’ or nurses’ work but also patients’ health. This engagement
and commitment is heartening and
makes me proud. I’m proud to be
the leader of such a competent
team and such a great product that
has its roots in an evidence-based
technique. Now, we are part of the
W&H family, part of a larger network. Osstell’s devices are not a
single technology, but part of a
greater portfolio of technologies.
W&H as a group has many interesting products and
solutions that will be released in the coming years
and add new areas of application—W&H is not just a
handpiece or steriliser manufacturer.
AD
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[12] =>
INTERVIEW
12
Dental Tribune Middle East & Africa Edition | 03/2024
Innovating global dental care:
An interview with HuFriedyGroup's
strategic leaders
By Dental Tribune MEA
sign, and create our product offerings. We place great emphasis on
maintaining collaborative relationships between our company and
opinion leaders, so much so that
more than 60% of our instrument
product portfolio has been developed in partnership with dental
professionals, institutions, or universities.
Dental Tribune MEA had the
pleasure of speaking with Stephane
Loth, International Strategic Markets Director, and Giana Spasic, Director of Professional Relations.
During the insightful conversation,
they shared valuable insights on
the future of dentistry, key initiatives driving oral healthcare advancements on a global scale, and
the importance of collaboration
and education within the dental
care community. Stay tuned for a
comprehensive overview of their
perspectives and expertise in shaping the future of dentistry.
Collaborating with professional associations is crucial.
How does HuFriedyGroup establish and maintain relationships
with clinical associations to stay
connected with the dental community and contribute to advancements in dental care?
Can you provide a brief overview of HuFriedyGroup's mission
and values, and how your respective roles align with the company's overall commitment to advancing dental care globally?
Giana Spasic: To answer this
question, we should first understand what HuFriedyGroup is. We
are a combination of different companies, solely focused on dental,
that have come together to deliver
the products, services, and solutions every dental professional
needs to be “The Best In Practice.”
This is also what we state in the
payoff of our logo. Our mission is to
provide the best dental experience
to the industry, with our unique
combination of products, services,
and support, to enable dental professionals to reduce risk, improve
efficiencies, drive compliance, and
enhance patient and staff safety.
Stephane Loth: We are a group
of different companies that altogether have more than 200 years of
dental experience. The most important are Hu-Friedy, Omnia,
Crosstex, and Accutron, and each
one has its specific expertise: premium instrumentation, infection
prevention solutions, sterile and
non-sterile disposables, sutures,
and conscious sedation. This allows
us to offer a unique dental experience to all the different players in
the industry, from hygienists to
dentists, from universities to DSOs
and government institutions.
Giana Spasic: My role embodies
our connection to one key driver of
dental care: the improvement in
the quality of clinical procedures.
We believe that, while technological development allows for a democratization of dental care, raising the standards everywhere, the
pursuit of clinical excellence will increase its importance and become
a key factor of choice for patients
Giana Spasic, Director of Professional Relations & Stephane Loth, International Strategic Markets Director at HuFriedyGroup.
(Image: CAPP Events & Training)
globally, thereby driving clinicians’
behavior.
Stephane Loth: Strategic Markets in HuFriedyGroup include
every customer who is not a traditional dentist, so they link with two
key trends and challenges in global
dental: the growth of group practices’ market share and the rising
importance of universities as clinical and educational hubs. As we
know, DSOs are the fastest-growing market segment almost everywhere in the world, and they’re becoming increasingly international,
with some of them spreading their
activities across different countries
and even continents. Our Strategic
Markets Program is designed to
address the challenges of managing a group practice. We developed
a University Program to establish a
direct connection with students,
universities, and institutions, to
promote a high level of support for
students and faculties, providing
them with innovative products and
solutions throughout their careers.
Simply put: the university world
represents the future of dental for
us.
Can
you
elaborate
on
HuFriedyGroup's strategic vision
and approach towards Dental
Service Organizations (DSOs) internationally and within specific
regions? How does the company
aim to collaborate and support
the evolving needs of DSOs?
Stephane Loth: Our vision towards DSOs is embodied in the Hu-
FriedyGroup Strategic Markets
Program. It’s designed to help dental practices improve their business
by leveraging five pillars that are
fundamental to their success:
•
•
•
•
•
Patient experience, through
our world-class products and
compliance solutions
Staff experience, via comprehensive educational support
Office efficiency, prioritizing
efficiency, safety, and standardization
Brand awareness, enhancing
practices' reputation for clinical excellence
Compliance and sustainability,
thanks to our IMS system
Universities play a pivotal
role in dental education. How do
you envision collaborating with
universities on a global scale to
advance dental education, research, and innovation?
Stephane Loth: We believe that
the university world represents the
future of the dental sector. That's
why we created our HuFriedyGroup
University Program, developed to
establish a direct connection between students, universities, institutions, and our company. Our goal
is to promote a high level of support for students and faculties by
providing them with innovative
products and solutions throughout
their careers, as they move from
students to practicing dentists or
hygienists. We achieve this by supporting educational programs
worldwide, creating networking
and community opportunities for
them, and providing dedicated
conditions.
How does the company approach market expansion in the
Middle East, in strategic markets?
Stephane Loth: The Middle East
is a key development region for us
and for the market in general, specifically the Gulf area. As we see
every year during AEEDC, it is becoming the epicenter of all connections and opportunities in the Middle East, Africa, and South Asia.
This is why our goal is to strengthen
our team in the region, focusing resources and people to develop this
market, particularly targeting government and university institutions. I’m pleased to announce that
from July 2024, we have a new very
experienced Sales Manager for the
Middle East and Gulf area, based in
Dubai, mr. Mohamed Fehri.
Can you discuss the significance of building relationships
with Key Opinion Leaders in the
dental field? How do you collaborate with KOLs to enhance product development and market understanding?
Giana Spasic: At HuFriedyGroup, we are strongly aware that
the dental field is relationship-based. That’s why Professional Relations is a key part of our
strategy. To demonstrate this, we
have a Key Opinion Leader program that significantly impacts and
influences the way we shape, de-
Giana Spasic: Following the
previous point, relationships are
also key with dental associations,
as they are focal players in the development and dissemination of
clinical protocols and innovation,
thereby moving the dental field toward the future. We work hard to
build and foster deep and strong
relationships with the most important associations all over Europe,
the Middle East, and ultimately, the
world, such as SEPA in Spain, SIdP
in Italy, and the Saudi Perio Society
in Saudi Arabia, for example.
In a rapidly evolving dental
landscape, how do you envision
the company’s role in shaping the
future of dentistry, and what key
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18
EVENTS
Dental Tribune Middle East & Africa Edition | 03/2024
AD
Artificial
Intelligence in
medicine:
Webinar review
By Remedico
This April, In Dubai, UAE, CAPP
platform – the local leader in contributing dental education in collaboration
with the Remedico.app – the dental
clinic management software provider
– hosted an online webinar about Artificial Intelligence technology in medicine and the dental industry in particular.
Prof. Falk Schwendike – a German
specialist in medical Artificial Intelligence, restorative and preventive dentistry, dental diagnostic, health economics, and services – who was invited
as an expert, kindly shared insights
from the forefront of AI science and explained its history, problematics, capabilities, and ways of implementation in
the dental industry, relying on his scientific experience.
The webinar brought together
thousands of viewers – much more
than organizers estimated – which is
not surprising, considering that AI topics are at the front edge of modern
medical practices. The lecture covered
plenty of complicated topics from
modern AI science, and this article is a
summarisation of Prof. Schwendike’s
points.
The Nature Of the AI
To understand how we can use
technology in any field of science, we
should first learn how it works. That's
why, at the beginning of the lecture,
Prof. Schwendike points our attention
to the history of AI.
The idea of an algorithm that can
mathematically mimic human neurons
was born about 80 years ago, along
with the first computers. The conception of artificial neurons was complemented by the idea of an artificial neural network, and over the years, this research area got its modern name – AI.
To be precise, these algorithms are
not something like a biological intellect – the letter is a much-complicated
mechanism powered by various biochemical processes that guarantee
cognitive flexibility. On the other hand,
Artificial Intelligence – is a tool that
should be tuned only for specific tasks,
and the lack of flexibility is compensated by high productivity in some
fields of work.
The Evolution of The AI
The first AI models (before 20052010) were based on the rules model.
In simple words, program architects
build a system with specific limitations
over one or a group of mathematical
processes – like a very complicated
Excel sheet.
However, new technological capacities in computing capabilities and
data management have allowed scientists to invent deep learning models. It
is a system that allows algorithms to
find patterns and (in some sense) write
the rules for specific tasks by themselves, analyzing a large amount of
similar data.
The Problematics of AI “Education”
Also, Prof. Schwendike highlighted
the main complications in the field of
Deep Learning. Modern learning models require masses of information to
learn how to do the simple task. For example, distinguishing a cat from a dog
is easy to do when you are a human
and know that one is barking – another
meowing and has funny ears, but for
machines, these facts are not obvious.
First, we have to upload millions of
annotated images with the correct answers to teach AI the difference. Then,
the system will memorize the specific
patterns and use them with future
tasks. How can we collect such data?
Every time you pass the captcha in
Google, Meta, and other services, you
provide a small part of educational
data for some AI system.
At that point, we meet a few problems with the education of medical AI:
•
The lack of input data – typically,
doctors and scientific groups have
thousands or dozens of thousands of photos – is a quite small
selection compared to the “catdog” problem.
•
The lack of experts – you can’t
just show the photo of the tooth
to everyone on the internet and
ask them where the cavity is located. You need to involve a group
of experts to receive qualitative
and correct results.
Dental AI in Details
Along with diagnostic instruments
– dental clinic management and therapeutic software are also necessary for
the industry because they can save you
a lot of time on administrative tasks, or
attract a doctor's attention to some
important details during the clinical
case examination. RemedicoGPT – a
feature from Remedico.app – is an example of how AI’s speaking abilities
may be used to save human time, by
delegating some bureaucratic work.
Prof. Schweiniche described a few
main branches of using AI models in
medical practice that can be effective
at the current moment of technological progress.
4P Medicine
Precision, Personalization, Prevention, and Perceptions of the patient. All
these areas include processing a large
► Page 19
[19] =>
EVENTS
19
Dental Tribune Middle East & Africa Edition | 03/2024
◄ Page 18
systems trained on Norwegian
data, etc.
Thus, before the AI diagnostic
systems integration, Prof. Schwendicke recommends you first ask
providers which data they have
used in the learning processes.
amount of data, including demographics, biomarkers, specific clinical and environmental data, information about individuals' habits,
etc.
Such an approach allows every
doctor, regardless of his professional specifications:
•
to understand the disorders'
nature precisely.
•
to get to know which drug or
therapy will be more effective
with the particular organism.
•
to prevent some disease development.
Prof. Schwendike noted that 4P
medicine – is a theoretical conception for now. We still have no system in any clinic field that can absorb and aggregate such an
amount of personal biological
data.
Supporting Therapy
Novel Artificial and Augmented
reality technology allows us to improve the therapy processes.
Glasses of Virtual Reality (despite
the brand) are a powerful instrument, allowing scientists to control
operations on the most accurate
levels.
This software, using various visual data (including x-rays, radiographs, scans, etc.), is able to build
a 3D model of your mouth and
skull, allowing dentists to see
through the particular area during
operation.
Briefly,
dentists,
equipped with VR helmets receive
an X-ray vision that helps them
conduct the procedure more successfully.
Or they can use this environment to learn 3D visualization of
some operations to expand their
knowledge, or even use it during
AD
(Image: Remedico)
dental therapy to familiarize their
patients with their mouth health
condition.
Educational VR hardware is also
used by Remedico in the visual educational platform – Dentaverse.
This digital tool allows dentists to
show patients their health condition via VR/AR interface, discuss
treatment plans, and educate them,
making the operations and procedures more understandable and
creating an emotional bond with
their patients.
Chatbots
The area where AI is really efficient now – is communications.
ChatGPT showed us how good chat
models can answer complex questions, provide guides, and understand and generate human speech.
These systems learn how to
recognize human questions and
give meaningful answers by reading tons of texts and articles. They
do not understand the speech in
the way we do it: the AI algorithm
knows the probability of which
word should follow the previous
one and which answer fits the particular question. But he is good at
probabilities, at least good enough
to hold a conversation, not worse
than most educated people.
Thus, companies like Remedico.app use AI capabilities mentioned above to build a virtual personal assistant that allows you to
get any information about your
clinic, including analytics, patients’
documents, accountant data, appointment schedules, and many
more. Also, in the future, Remedico
plans to adapt this interface for patients’ usage, to help them book
and manage appointments, define
the right specialist to plan a visit, or
learn more details about the treatment plan.
AI Issues
Unfortunately, AI – like every
technology – is far from perfect,
and we can face a few severe problems implementing AI practices in
the dental field.
The most common fear related
to AI technology – is a fear of its
disruptive capabilities. There are a
lot of speculations among experts
about how this technology will affect the labor market and its potential to eliminate some professions,
like translators. AI will probably replace some human professions,
but, Prof. Schwendicke is confident
that it is unlikely to see such
changes in medicine and dental in
particular. The most terrible thing
that could happen is over-trusting
the AI: if humans switch off their
brains and trust the AI absolutely.
However, there are a few technical issues left that we should take
into account in case we decide to
use this technology in dental practice.
Explainability
Today, Deep Learning is the
most efficient way to teach AI to do
a complicated task (to answer a
question or distinguish images).
But in the case of the "educated"
model, we have barely understood
how this system actually works. We
enter some input data and receive
answers, but it is hard to get to
know what happened inside "AI's
brain" that made him answer this
way.
This issue is called a "Black Box
problem," and sometimes it is a really complicated task - to tune such
systems and explain their decision-making processes.
Generalisability
Diagnostic AI in dental, oncology, dermatology, and any field of
medicine usually uses visual data
from specific regions and demographic groups in Deep Learning
processes. Practice application of
such systems shows that neural
networks trained on (for instance)
Indian data are irrelevant for German users, Colombians can not use
Robustness
As Prof. Schwendicke mentioned before, AI does not understand things like humans do. Such
systems have a set of specific patterns that a few little changes made
in the input information can easily
disrupt.
For instance, visual systems
may begin to hallucinate if you
change a few pixels in the analyzed
photo. Also, humankind has already invented special bizarre pullovers and freaky makeup that make
human beings invisible for visual
recognition platforms.
In the case of medical AI, this
issue is particularly dangerous because some glitches in the X-ray,
photo, or radiographs can disturb
all diagnostic mechanisms and affect people's health.
Let's sum up
The list of the main Prof.
Schwendike's statements:
•
The conception of AI emerged
about 80 years ago from the
idea of artificial neurons.
•
First AI algorithms use a rulebased decision-making system limited by human-write
patterns.
•
The next step of AI evolution is
Deep Learning – a modern
system that mathematically
emulates the learning processes in real brains.
•
Deep Learning requires billions of images to teach the AI
to do a simple visual-distinguishing task.
•
The lack of input data and
qualified experts – are causes
of why medicine AI development is so slow.
•
There are four main branches
of medical AI: diagnostics,
Support Therapy, 4P Medicine
(Precision, Prevention, Personalization, Perception), and
Management AI.
•
Three main problems with AI:
Explainability (we do not know
exactly how it makes decisions), Generalisability (data
collected in different parts of
the world are hard to compare), Robustness (AI work is
easy to disrupt by a few small
changes in the analyzed data)
Summarizing the above, we
should admit that Artificial Intelligence is an inevitable modification
of modern medicine. For now, as
specialists, we have to carefully
plan our cooperation with this digital tool and highlight the most
problematic areas that require improvements. At the same time, we
have to get rid of fears of AI, as a
tool that can replace the clinician.
Existing ways of AI implementation
consider only symbiotic relations
between the specialist and computer to improve their effectiveness.
[20] =>
CLINICAL CASE
20
Dental Tribune Middle East & Africa Edition | 03/2024
Interdisciplinary treatment of an adult
patient with worn anterior teeth
1a
1b
1c
1d
1e
1f
By Drs Elia Diana Boangar &
Ionut Branzan, Romania
Introduction
The process of decision making
is nowadays influenced by the continuous flux of information, the advancement of technology and the
development of new protocols and
evidence-based procedures, but
the most powerful tool that we
have available is collaboration with
other specialists. Published in 2010,
a study conducted by the Massachusetts Institute of Technology
and Union College demonstrated
that collective intelligence exceeds
2
the cognitive abilities of individual
group members.1 This principle
also applies to dentistry, where
complex problems can usually be
solved by the intervention of several specialists, with the aim of
making treatment more predictable and less invasive.
In such cases, the calibration of
knowledge, technology and treatment objectives, as well as excellent communication between dentists, dental technicians and patients, is paramount for aesthetic
and functional outcomes.
In daily practice, we are used to
requests for functional or aesthetic
3a
improvements from adult patients
with multiple associated problems
and deal with these in a very precise, objective-oriented manner.
The present case report describes
the orthodontic and prosthetic
treatment of an adult patient with
worn maxillary and mandibular anterior teeth, open bite and implants
replacing the mandibular first molars.
Case report
The 38-year-old female patient
complained of her deteriorating
maxillary and mandibular incisors
and associated sensitivity to cold
3b
3c
and warm food and beverages. Her
medical history was non-specific.
On history taking, the patient reported past and present sleep
bruxism (apparent from night-time
sounds reported by her husband),
morning muscle fatigue in the masseter area, and daytime clenching
and bracing of the mandible. She
drank carbonated drinks on a daily
basis. In the psychosocial evaluation, she reported high scores of
anxiety and stress. On palpation,
the bilateral anterior articular space
was slightly painful (as a value of 5,
reported on a scale of 1–10). There
were also bilateral reciprocal artic-
3d
3e
4a
4b
4c
4d
4e
4f
ular clicks, but no functional restriction and no pain on movement
or on loading of the temporomandibular joint. The retrospect, the
history and the clinical examination
indicated that she likely had sleep
and awake bruxism. 2
The clinical evaluation revealed
maxillary and mandibular wear extending into the dentine. She presented with a left class II subdivision occlusion and 1.5 mm of anterior overbite and with two lithium
disilicate crowns supported on im► Page 21
3f
[21] =>
CLINICAL CASE
21
Dental Tribune Middle East & Africa Edition | 03/2024
◄ Page 20
5a
5b
5c
6a
6b
6c
7a
7b
7c
8a
8b
8c
8d
8e
8f
9a
10a
9b
9c
10b
9d
9e
9f
10c
► Page 22
[22] =>
CLINICAL CASE
22
Dental Tribune Middle East & Africa Edition | 03/2024
◄ Page 21
10d
10e
10f
11a
11b
11c
11d
11e
11f
12a
12b
12c
12d
12e
12f
12g
12h
13a
14a
13b
13c
14b
13d
13e
13f
14c
► Page 23
[23] =>
CLINICAL CASE
23
Dental Tribune Middle East & Africa Edition | 03/2024
◄ Page 22
15a
15b
15c
16a
16b
16c
17a
17b
17c
17d
17e
17f
18a
18b
18c
18d
18e
18f
19a
19b
19c
19d
19e
19f
► Page 24
[24] =>
CLINICAL CASE
24
Dental Tribune Middle East & Africa Edition | 03/2024
◄ Page 23
20a
20b
20c
20d
20e
20f
plants in the positions of the mandibular first molars. The implants
had been placed two years prior
(Figs. 1a–f).
The gingival phenotype was
thin, and there was localised gingival recession. There was increased
probing depth of 4 mm distal to the
maxillary right first and left second
molars. There was a probing depth
of 7 mm distal to the left implant
and 5 mm distal to the right implant, and both exhibited bleeding
on probing. Therefore, the patient
was referred to the periodontist for
initial therapy and re-evaluation.
As the wear facets of the anterior teeth could not be solely explained by the grinding activity,3
we considered them to be of mixed
aetiology: chemical (erosion) and
mechanical (attrition). Therefore,
the patient was advised to abandon drinking carbonated drinks
and to control the daytime clenching and bracing of the mandible by
using visual reminders (coloured
stickers that she would change
every week for eight weeks). She
was also prescribed a night-time
Michigan splint (Fig. 2) in order to
protect the dentition during grinding.
After eight weeks of behaviour
control, the muscle tenderness disappeared and the pain on palpation of the anterior articular space
decreased to a value of 2 (as reported on a scale of 1–10). The patient then requested restoration of
the worn maxillary and mandibular
incisors and canines. A complete
aesthetic and functional analysis
was therefore done, and the following points were established:
slight facial asymmetry and good
middle–lower facial third proportion, good projection of the mandible, prominent chin, 4 mm display
of the maxillary incisors at rest,
normal smile line, straight incisal
curve, asymmetric gingival margins, maxillary occlusal plane was
irregular and canted to the left
(maxillary first molars had overerupted), altered dental proportions
and maxillary midline deviation
0.5 mm to the right (Figs. 3a–4f).
However, when determining the
arc of closure, a single intermaxillary contact was found (tooth #18
with tooth #48) and anterior and
posterior open bite, a bilateral
Class II occlusion and an anterior
shift into intercuspal position
(Figs. 5a–c).
Because the occlusal scheme
would have not allowed for minimally invasive prosthetic restoration, the patient was referred for
orthodontics first. As the patient
was not bothered by the facial
asymmetry, and her facial and skeletal balance were satisfactory, she
declined orthognathic surgery and
opted for an orthodontic and
prosthodontic solution for her deteriorating dentition.
After orthodontic case analysis
and interdisciplinary discussion
with the prosthodontist, the following treatment objectives were
established: levelling of the gingival margins of the maxillary incisors
and canines, intrusion of the overerupted maxillary molars, reduction
of the Class II occlusion and overjet, levelling of the mandibular occlusal plane and uprighting of the
mandibular second molars, removing the premature contacts and allowing for multiple, stable intermaxillary contacts in the registered
arc of closure.
Sometimes, after removing
premature posterior contacts by
extraction of third molars and/or
intrusion of terminal molars, the
mandible autorotates into a Class I
occlusion, making the orthodontic
strategy clear: vertical control. That
is why, on the registered and
mounted casts, we removed the
mandibular second (which would
have been intruded using the existing implant-supported crowns) and
third molars in order to see whether
we would obtain any change in the
sagittal intermaxillary relationship
(Figs. 6a–c). Unfortunately, this
quick treatment simulation showed
us that vertical control would not
be enough and that sagittal correction biomechanics would also need
to be considered.
The best anchorage in orthodontics is skeletal anchorage. In the
mandible, the implants would be
used for intrusion and uprighting
of the second molars, and in the
maxilla, we had planned to use orthodontic mini-implants to intrude
the overerupted first molars 4,5 and
for en masse distalisation of the
maxillary arch into a Class I occlusion.
After the treatment strategy
was decided on, an orthodontic
digital set-up (Figs. 7a–c) was created and discussed with the prosthodontist and then with the patient
so that she could better understand and visualise the need for
treatment and the restoration requirements after orthodontics. This
step was very important for the interdisciplinary treatment, as the
patient needed to understand that,
in order to reach the desired aesthetic and functional result, she
needed to complete both orthodontic and prosthodontic treatment.
After she gave her informed
consent, extraction of all four third
molars was performed and orthodontic treatment was initiated.
Four mini-implants (MCTBIO) were
placed buccally between the first
and second molars and palatally
between the second premolars and
first molars. They were used at first
for vertical anchorage for intrusion
of the maxillary first molars and
then for en masse distalisation of
the maxillary arch in order to reduce the Class II occlusion and
overjet (Figs. 8a–f). When the orthodontic treatment entered the
finishing phase, the case was discussed again with the treating
prosthodontist, who validated the
results. The intention of doing so
was to make the case less invasive
and more predictable.
After bonding of fixed retention wires in order tomaintain tooth
position, the patient entered the
prosthodontic phase. First, new implant-supported crowns were delivered for the mandibular first molars with the aim of gaining interproximal and occlusal contacts
with the neighbouring teeth. A new
aesthetic and functional analysis
was then performed (Figs. 9a–10f),
after which a wax-up for the six
maxillary and mandibular anterior
teeth was done (Figs. 11a–f)—in
order to restore tooth proportions
and correct dental contacts and
function. The wax-up was transformed into a mock-up, which was
tested both aesthetically and functionally, without any modifications
(Figs. 12a–13f).
After the test-drive phase, because of the minimal additive requirements of the mandibular anterior teeth, composite was chosen
as the restorative material. However, feldspathic ceramic resto-
rations were chosen for the maxillary anterior teeth owing to the
high aesthetic demands of the
case.
Minimally invasive preparations were performed, as the patient did not want colour changes,
with the aim of allowing space for
the restorations and having a path
of insertion (Figs. 14a–c). In the
same appointment, the colour of
the substrate and an analogue impression were taken (Fig. 15). The
restorations were received from
the laboratory the following week
and were then tried in and bonded
using the split-dam technique
(Figs. 16a–17f). The composite
build-ups on the mandibular anterior teeth were done in the same
appointment. After one week, the
restorations were biologically, aesthetically and functionally integrated (Figs. 18a–19f). At the threeyear recall, the restorations were
Dr Elia Diana
Boangar graduated from
the Iuliu Hațieganu University of Medicine and Pharmacy in Cluj-Napoca
in Romania in 2006 and finished her
master’s degree in orthodontics in
Cluj-Napoca and Bordeaux in France in 2010. Ever since, she has been
exclusively practising orthodontics in
Cluj-Napoca and Zalău in Romania.
In 2015, she joined the Romanian
Learning by Doing multidisciplinary
educational platform, which advocates for solid professional and ethical
principles in dentistry. Apart from
her private practice, she likes to share her experience and advocate for
the integration of interdisciplinarity in
the protocols of complex treatment
planning. She lectures nationally
and internationally on the subjects
of skeletal anchorage and interdisciplinary treatment of adult patients,
emphasising the importance of properly sequencing orthodontic, periodontal and restorative treatment. She
is an active member of the World Federation of Orthodontists, American
Association of Orthodontists and European Orthodontic Society.
still performing very well aesthetically and functionally, and the interdisciplinary treatment results remained stable (Figs. 20a–f).
Conclusion
By integrating orthodontics,
challenging prosthodontic cases
can be managed in a less invasive
and more aesthetic, functional and
predictable way. Good communication between the professionals
involved and with the patient, as
well as a comprehensive case analysis, is of utmost importance for
the success of such cases.
Editorial note: This article was first published in cosmetic dentistry beauty &
science, Vol. 17, Issue 1/2023.
Please scan this QR code
for the list of references.
Dr Ionut Branzan graduated
from the Iuliu
Hațieganu University of Medicine and
Pharmacy in Cluj-Napoca in Romania
in 2005. Since then, he has been working in Zalău in Romania, where he
established an interdisciplinary clinic
and team. Currently, he focuses on
dental and implant prosthetics. He
lectures extensively in Romania and
abroad on the topic of aesthetics in
dentistry and implant prosthodontics. He is a member of the Romanian
teaching platform Learning by Doing,
a project aimed at educating young
dentists of different specialties. Dr
Branzan has published articles concerning the clinical aspect of his work
in numerous journals in Romania,
Italy, Japan, China, Germany, Canada
and Poland. He contributed several chapters to Incursiune în Estetica
Dentară (Society of Esthetic Dentistry
in Romania, 2013; available in English
as Comprehensive Esthetic Dentistry,
Quintessence Publishing, 2015). In
2017, he won the Award Excellence
in Prosthodontics, presented by the
Italian Academy of Prosthetic Dentistry, American Prosthodontic Society,
Journal of Prosthetic Dentistry and
Zerodonto blog.
[25] =>
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[26] =>
EVENTS
26
Dental Tribune Middle East & Africa Edition | 03/2024
Recap of the dynamic pediatric
hands-on course led by Dr. LaRee
Johnson in Dubai
By CAPP Events & Training
CAPP recently hosted an engaging pediatric hands-on course led by
the esteemed Dr. LaRee Johnson
from USA at the CAPP Training Centre in Dubai. The event, held on 03
and 04 May, saw enthusiastic participation from dedicated delegates
eager to enhance their skills and
knowledge in pediatric dentistry.
CAPP extends its sincere gratitude
to all the attendees for their active
involvement and to Dr. LaRee for
generously sharing her expertise
and experience.
During the course, participants
delved into various essential topics
in pediatric dentistry, gaining insights and practical skills in key
areas.
Here's a glimpse of what was
covered:
•
Direct Pulp Treatment, Crown
Preps, and Space Maintainers
•
Clinical keys for precision caries
removal and successful pulpotomies for primary teeth
•
Restorative techniques encompassing stainless steel crowns,
zirconia crowns, and resin polymer crowns
•
Essential tips for minimizing
root fractures during tooth extractions
•
Hands-on sessions focusing on
perfecting the adaptation of
bands and loops, and distal
shoe space maintainers
The hands-on sessions were
particularly enriching, providing attendees with valuable opportunities
to refine their techniques under the
guidance of Dr. LaRee Johnson.
The Pediatric Dentistry session
at CAPP's Training Centre concluded
on a high note, with participants
leaving equipped with newfound
knowledge and skills.
A special acknowledgment goes
to our sponsors, nusmile and Smile
Agents, whose invaluable support
contributed to the success of the
event.
As we wrap up this course, CAPP
invites dental professionals to stay
tuned for updates on future courses
and exciting opportunities. Keep
learning, keep growing, and let's
continue to elevate standards in
dental care together!
CAPP Events & Training
Web: www.cappmea.com/courses
Mob: +971502793711
E-mail: events@cappmea.com
Photos: CAPP Events & Training
[27] =>
THE CLEAR WAY
SMILE
[28] =>
NEWS
28
Dental Tribune Middle East & Africa Edition | 03/2024
Low-cost tooth sensitivity liquid
found to combat dental caries
By Dental Tribune International
NEW YORK, US: Silver diamine fluoride
(SDF) has clearance by the US Food and Drug Administration for treatment of tooth sensitivity, and
there is strong research interest in its off-label use
to arrest dental caries. A study at the New York
University College of Dentistry has now compared the efficacy of SDF with that of dental sealants as a primary intervention for the prevention
and control of caries and found that it achieved
comparable results in school-based caries prevention. According to the study authors, SDF
presents a faster, less expensive treatment option
that could reduce the need for invasive tooth
preparation.
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The four-year study focused on the
local school population with the highest
risk of caries, which was low-income minority children at primary schools where
at least half of the enrolled students were
Black or Hispanic. Participants were randomly assigned to receive either SDF or
dental sealant and atraumatic restorative
treatment, and a total of 4,100 children
completed follow-up observation and
were included in the final analysis. The
baseline prevalence of caries was 27.2%,
and decay prevalence was found to decrease over time across the study group.
All participants were found to have a
comparable crude incidence of caries, indicating that the rate at which new carious lesions occurred was similar across
the study population.
Discussing the results, the authors
pointed out that the demonstrated efficacy of school sealant programmes was
undermined by their burdensome cost.
“We conclude that SDF is an effective alternative for community-based prevention that may help address these existing
barriers,” they wrote.
The research follows a two-year
study by the same research team that
was published in February 2023 in JAMA
Network Open. It found that a single
dose of SDF or dental sealant prevented
80% of caries and stopped 50% of existing caries from progressing.
Senior author of the study Dr Richard
Niederman, professor of epidemiology
and health promotion at the dental
school, commented in a university press
release: “A growing body of research
shows that SDF—which is quicker to
apply and less expensive than sealants—
can prevent and arrest cavities, reducing
the need for drilling and filling.” Co-author Dr Tamarinda Barry Godín, the research project’s associate director and
supervising dentist, emphasised: “Most
research shows that SDF can stop a cavity
from progressing further. Our study
demonstrated that SDF can prevent cavities from happening in the first place.”
Lead author Dr Ryan Richard Ruff, associate professor of epidemiology and
health promotion at the dental school,
said: “Our longitudinal study reaffirms
that both sealants and SDF are effective
against cavities. SDF is a promising alternative that can support school-based
cavity prevention—not to replace the
dental sealant model, but as another option that also prevents and arrests decay.”
At least 25% of the study participants
who received SDF were treated by registered nurses, and Dr Ruff commented
that the health professionals may be an
untapped resource for addressing inequalities in oral care. “Our results suggest that nurses can effectively provide
this preventive care, which could dramatically improve access, given the role of
school nurses and the size of the nursing
workforce,” he said.
The study, titled “Noninferiority of
silver diamine fluoride vs sealants for reducing dental caries prevalence and incidence: A randomized clinical trial”, was
published in the April 2024 issue of
JAMA Pediatrics.
[29] =>
Restorative & Aesthetic Dentistry
Professional Training
DUBAI
2024-2026
GROUP 10 REGISTRATION OPEN
STARTS ON 10 OCT 2024
189 CME & DAILY HANDS-ON
100% MONEY BACK GUARANTEE
VENEERS | OCCLUSION | COMPOSITES | ORTHODONTICS & CLEAR ALIGNERS
NEUROTOXIC PROTEIN & FILLERS | DSD & CONVENTIONAL SMILE DESIGN
DIGITAL DENTISTRY | PHOTOGRAPHY | TREATMENT PLANNING
TOOTH PREPARATION | TOOTH WEAR | ENDO | EMAX & ZIRCONIA | BRIDGES
PERIO | POST & CORE | ARTICULATORS | INLAYS & ONLAYS
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[30] =>
EVENTS
30
Dental Tribune Middle East & Africa Edition | 03/2024
CAPP collaborates in hosting the
th
10 Lebanese Int'l Dental Congress
By CAPP Events & Training
From 25-27 April 2024, the 10th
Lebanese International Dental Congress, titled "Scan the Future," took
place at the Beirut Arab University
- Tripoli Campus. This esteemed
event, held in collaboration with
Beirut Arab University and the Lebanese Dental Association, was conducted under the patronage of the
President of the Council of Ministers, His Excellency Mr. Najib Mikati.
CAPP proudly participated as a
joint provider of continuing education accreditation, furthering its
commitment to enhancing dental
education. The event featured inspiring speakers discussing the latest advancements and future directions in the field. As an American
Dental Association (ADA) C.E.R.P.
recognized provider, CAPP designated this three-day event for 15 CE
credits, underscoring a shared dedication to advancing dental education and professional growth within
the dental community.
The congress gathered dental
professionals, scholars, and industry
leaders to explore the latest advancements in dental technology
and practices. The theme, "Scan the
Future," highlighted the transformative potential of digital innovations
in dentistry, emphasizing cutting-edge techniques and tools that
are revolutionizing patient care and
clinical outcomes.
The collaboration with Beirut
Arab University and the Lebanese
Dental Association underscored the
event's commitment to advancing
dental education and practice in the
region. Their support ensured a
comprehensive program that catered to both academic and clinical
interests, fostering an environment
of learning and professional growth.
Overall, the 10th Lebanese International Dental Congress was a resounding success, leaving attendees
inspired and equipped with the
knowledge to "Scan the Future" of
dentistry. The event marked a significant milestone in the ongoing effort
to integrate advanced technologies
into dental practice, paving the way
for improved patient care and clinical excellence.
CAPP Events & Training
Web: www.cappmea.com/courses
Mob: +971502793711
E-mail: events@cappmea.com
Photos from the 10th Lebanese International Dental Congress. (Photos: LDA Tripoli)
Extensive study links e-cigarette use
with increased risk of heart failure
By Iveta Ramonaite, Dental
Tribune International
WASHINGTON, US: In recent
years, there has been an increase in
studies on vaping and its link to oral
and overall health. Adding to existing research, a new study has found
that people who use e-cigarettes
are at an increased likelihood of developing heart failure compared
with non-smokers. The study is considered to be one of the largest and
most comprehensive prospective
studies to date to investigate possible links between vaping and heart
failure.
According to the Centers for
Disease Control and Prevention,
heart failure affects over six million
adults in the US. Its symptoms can
be debilitating and are often associated with frequent hospitalisation,
especially in the elderly. Although
the media has often presented vaping as a safer alternative to smoking,
mounting research shows that it
causes adverse oral and general
health effects.
“More and more studies are
linking e-cigarettes to harmful effects and finding that it might not be
as safe as previously thought,” lead
author Dr Yakubu Bene-Alhasan, a
resident physician at MedStar Health
in Baltimore, said in a press release.
“The difference we saw was substantial. It’s worth considering the consequences to your health, especially
with regard to heart health.”
Long-overdue research
In the study, the researchers analysed the link between e-cigarette
use and new cases of heart failure.
They used data from surveys and
electronic health records from the
All of Us Research Program—a comprehensive nationwide study involving US adults conducted by the National Institutes of Health. The analysis included 175,667 participants
with an average age of 52 years,
60.5% of whom were female. More
than 3,000 of the study population
were diagnosed with heart failure
during a median follow-up period of
45 months.
The study found that e-cigarette
users were 19% more likely to develop heart failure than those who
had never used them, even after adjusting for demographic and socio-economic factors and other
heart disease risks, including the use
of alcohol and tobacco. It was observed that factors such as sex, age
and tobacco smoking status did not
alter the association between e-cigarette use and heart failure risk.
Additionally, the researchers reported that the increased risk associated with e-cigarette use was statistically significant for heart failure
with preserved ejection fraction but
not for heart failure with reduced
ejection fraction. Heart failure with
preserved ejection fraction occurs
when the heart muscle contracts
normally, but does not relax properly during filling. Heart failure with
Lead author Dr Yakubu Bene-Alhasan. (Image: Matilde Barbosa)
reduced ejection fraction is when
the heart muscle does not contract
effectively.
The results are consistent with
earlier animal studies that suggested that e-cigarette use may
have an impact on the heart in ways
that contribute to the changes seen
in heart failure. Similar studies in humans have also established connections between e-cigarette use and
several risk factors for heart failure.
In light of the findings, there is
an urgent need to further investigate the impact of vaping on heart
health, especially because of its
popularity among the youth.
“I think this research is long
overdue, especially considering how
much e-cigarettes have gained traction,” Dr Bene-Alhasan commented.
“We don’t want to wait too long to
find out eventually that it might be
harmful, and by that time a lot of
harm might already have been
done.” He added that, with further
research, more would be uncovered
about the potential health consequences and better information
could be made available to the public.
[31] =>
EVENTS
Dental Tribune Middle East & Africa Edition | 03/2024
University of Sharjah and CAPP
nd
collaborate in hosting the 2 UOS
International Dental Symposium
By Dental Tribune MEA
On Wednesday, 15 May 2024,
the University of Sharjah, in collaboration with CAPP (Centre for
Advanced Professional Practices),
hosted the 2nd UOS International
Dental Symposium. The event, organized by the College of Dental Medicine and held under the patronage
of Prof. Hamid M. Al Naimiy, Chancellor of the University of Sharjah,
took place at the Medical & Health
Sciences Colleges Campus, Al-Razi
Hall (M24).
CAPP proudly participated as a
joint provider of continuing education accreditation, furthering its
commitment to enhancing dental
education. The symposium, themed
“Current Trends and Future Perspectives in Dentistry,” featured inspiring
keynote addresses from prominent
local and international speakers, discussing the latest advancements
and future directions in the field.
Additionally, the symposium
provided a platform for postgraduate dental students to present their
research, fostering an environment
of learning and professional development.
CAPP as an American Dental Association (ADA) C.E.R.P recognized
provider, designated this symposium for 5 CE credits. This collaboration between the University of Sharjah and CAPP underscores a shared
dedication to advancing dental education and professional growth
within the dental community.
(Photos: CAPP Events & Training)
31
[32] =>
EVENTS
32
Dental Tribune Middle East & Africa Edition | 03/2024
Align Technology held specialised
education events to elevate digitisation
journey for Middle East dentists
By Align Technology
Align Technology, a leading
global medical device company
that designs, manufactures, and
sells the Invisalign system of clear
aligners, iTero intraoral scanners,
and exocad CAD/CAM software for
digital orthodontics and restorative dentistry, recently held a series of specialised education events
aimed at empowering dental professionals in the Middle East to enhance their practices through the
adoption of digital dentistry and a
comprehensive approach to dental
treatment. The events, titled ‘How
to Build a Successful Dental Practice Using the Ortho-restorative
Approach’, took place from April 22
to 25 in Dubai and Kuwait and welcomed over 230 dental professionals from the region to experience
the agenda of educational sessions.
Align Technology’s face-toface sessions featured Dr. Michaela
Sehnert, DMD a speaker in the field
of restorative dentistry, with academic tenure at Leipzig University
and the University of Greifswald,
both in Germany. The sessions
were designed to equip dentists
with the knowledge and tools to
employ a comprehensive approach
to patient treatment, leading to
better patient outcomes and practice growth through increased efficiency.
Specifically,
attendees
learned how the integration of digital tools such as the iTero intraoral
scanner can accelerate the end-toend digital experience and increase
treatment efficiency in their own
practice whilst ensuring more accurate clinical outcomes.
Various case examples were
shared, demonstrating how adopting a holistic, comprehensive approach to dentistry using systems
for tooth alignment such as
Invisalign Go - a versatile simplified
clear aligner treatment specifically
designed to treat mild and moderate misalignment cases - can help
to ensure the effectiveness and
longevity of treatments when employed as part of a pre-restorative
treatment plan.
When undertaking a comprehensive approach to dentistry, Invisalign Go enables dentists to address individual patient needs, resulting in improved oral health,
function, restoration and aesthetics. The adoption of digital tools
and workflows in this modern approach enhances every aspect of a
dental practice's workflow, leading
to increased patient conversion,
practice efficiency, and more accurate clinical outcomes.
Angelo Maura, General Manager Middle East, Align Technology, said, "Align Technology is ded-
Educational events in Dubai and Kuwait were held in collaboration with the Centre for Advanced Practice (CAPP). Photo: (CAPP Events & Training)
icated to empowering dental professionals in the Middle East to
leverage digital dentistry for a
more elevated patient experience
and practice growth. Through our
education events, we aim to create
awareness of the benefits of prerestorative teeth alignment and
ortho-restorative treatment, a
more advanced approach to modern dental treatment."
Markus Sebastian, Senior Vice
President, EEMA, Align Technology,
emphasised the transformative potential of the Align Digital Platform,
Align Technology’s integrated suite
of unique, proprietary technologies and services in dental prac-
tices, stating, "Our digital platform
offers comprehensive solutions
that streamline workflows, driving
practice efficiency. By digitising the
dental workflow, we aim to empower dentists in the region to realise their full potential and achieve
greater success within their prac-
tices, ultimately resulting in happier patients."
For more information about the latest
innovation at Align Technology for your
practice, visit: www.digitalplatform.me.
[33] =>
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[34] =>
NEWS
34
Dental Tribune Middle East & Africa Edition | 03/2024
IDEM 2024 delivers on “Exceptional
dentistry: Techniques, technologies
and trends”
By Koelnmesse
SINGAPORE: The highly anticipated 13th International Dental Exhibition and Meeting (IDEM 2024)
concluded on 21 April at the Marina
Bay Sands Expo and Convention
Centre with record-breaking success. IDEM 2024 welcomed 8,917 attendees from 74 countries and regions, exceeding the previous participation record by 36%. The event
offered a showcase of cutting-edge
dental innovations and expertise,
spanning over 17,000 m2 of exhibition space.
Commenting on the event’s
achievements, Mathias Küpper,
managing director and vice president for Asia Pacific at Koelnmesse
in Singapore, said: “The success of
IDEM 2024 was based on the reputation and the credibility we have
developed here in Singapore for
over 20 years. The feedback from
the exhibitors and the delegates has
been excellent. We will build on
what we have achieved this year
here at IDEM and continue to emphasise a quality, high-level scientific programme and bring the latest
technologies and innovations to future editions of IDEM.”
The exhibition floor hosted 500
exhibitors showcasing 629 brands
from 35 countries and regions, covering prosthodontics, orthodontics,
endodontics, paediatric dentistry
and more. There were 12 national
pavilions, representing Australia,
China, France, Germany, Italy, Japan,
Singapore, South Korea, Spain, Switzerland, Taiwan and the US. Exhibitors presented their newly launched
products and unveiled their latest
technologies, highlighting IDEM’s
role as a go-to launch pad for dental
brands in the Asia Pacific region.
In addition to the exhibition,
IDEM 2024 featured a comprehensive scientific conference programme and hands-on workshops,
presented by 44 speakers. The sessions included the Dental Hygienist
and Therapist Forum and the inaugural Asian Speaker Series and covered a wide range of topics across
three tracks running concurrently.
The lecture titled “SDA Masterclass:
The black, white and gray of crack
management” attracted 904 delegates, making it the most attended
session of the conference programme.
The event also offered networking and educational opportunities
for dentistry professionals and aspiring dentists at the Innovation
Arena. Additionally, the student programme, themed “Crafting Bright
Smiles, Shaping Future Dentists”,
provided a platform for dental students to connect with industry leaders and build valuable connections
with mentors.
With the resounding success of
this year’s event, IDEM looks forward to welcoming attendees to the
next edition, which will take place on
17–19 April 2026 at Marina Bay Sands
Expo and Convention Centre, promising even more innovation, education and collaboration.
For more information and updates on
IDEM, please visit
www.idem-singapore.com.
IDEM 2024 sees a 41% surge in exhibitors from the previous edition, with 172 first-time exhibitors making up 38% of total exhibitors at the event. (Photos: Koelnmesse)
[35] =>
From wow to
yes in minutes.
Introducing
Invisalign Outcome
Simulator Pro
A powerful tool for driving treatment
acceptance, providing highly realistic in-face
visualizations of your patient’s potential future
smile at chairside. Exclusively available on the
iTero Element Plus Series.
Together,
T
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streamline your
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yo
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improv
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rom first
fi consultation
l i to final
fi l smile.
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and improve
from
Together, Invisalign clear aligners and iTero scanners help you deliver
enhanced patient experiences and practice outcomes.
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Element,
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logo, among
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increase patient acceptance
acce
cceptance for treatment”.
[36] =>
#whdentalwerk
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)
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[page] => 12
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/ Innovating global dental care: An interview with HuFriedyGroup's strategic leaders
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