DT Middle East & Africa No. 2, 2020
The International College of Dentists ME
/ News
/ Industry
/ The University Center for Dentistry in Basel
/ CEREC Primemill for a superior chairside CAD/CAM experience
/ What is the new generation of all-ceramics capable of doing?
/ Direct bonding in the smile frame
/ Clinical conduct for restoration of non-carious cervical lesions – Case report
/ The importance of going slow
/ Eight ways to keep your dental practice safer during COVID-19 crisis
/ Expert reports on COVID-19 situation in dental clinic in Wuhan
/ SDR® is celebrating 10 years of advanced bulk fill technology
/ Like soap for the patient’s mouth — cyclodextrins are important for future of oral care
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[1] =>
NL
Y
O
LS
NA
IO
SS
FE
O
PR
NT
AL
DE
www.dental-tribune.me
Published in Dubai
March-April 2020 | No. 2, Vol. 10
ENDO TRIBUNE
LAB TRIBUNE
IMPLANT TRIBUNE
ORTHO TRIBUNE
HYGIENE TRIBUNE
Maximum curve control
by Dr Antonis Chaniotis, Greece
COVID-19: FEPPD provides advice for dental technicians and
laboratory owners
Peri-implant bone
regeneration through laser
decontamination
Interview: “We are in the
forefront of CAD/CAM software
development”
Periodontal inflammation
simplified
ÿA1-8
ÿB1-4
ÿC1-4
ÿD1-4
ÿE1-4
The International College of Dentists ME
DENTAL TRIBUNE
Annual Convocation 2020
The International College of Dentists,
Middle East Section held its handover ceremony on February 4th, 2020
at the Novotel World Trade Center,
Dubai, UAE. The ceremony was attended by Fellow Dr Aisha Sultan,
President of Emirates Dental Society
in UAE, ICD fellows, general dentists,
friends and other related family
members.
Councilor DrvCedric Haddad welcomed the audience with a brief
speech. A word from Past ICD President Dr Youssef Talic, represented
by his son Dr Fouad Talic, was stated.
President Talic thanked all fellows
for their support during his term,
and congratulated the new elected
President, Dr Nadim Aboujaoude,
wishing him all the success during
his presidency.
The World’s Dental Newspaper Middle East & Africa Edition
Afterwards, fellow Dr. Nabil Barakat
presented the ICD golden
medal to President Aboujaoude who showed his gratiThe newly appointed board:
tude to ICD fellows for their
President: Dr Nadim Aboujaoude
trust and promised to put all
President Elect: Dr Nasir AlHamlan
his efforts to promote social,
Vice President: Dr Philip Souhaid
Immediate Past President: Dr Youssef Talic scientific and humanitarian activities under the ICD
Registrar: Dr Joseph Sabbagh
umbrella. The meeting was
Treasurer: Dr Fadl Khaled
concluded by taking memoEditor: Dr Ramzi Haddad
rial pictures with the elected
Councilor: Dr Cedric Haddad
president.
Regent District 1: Dr Edmond Koyess
Scientific Committee Chair: Dr Nicole Geha
Regent District 2: Dr Eman AlNamnakani
© ICD
By International College of Dentists
The newly elected ICD-ME board for the term 2020-2022. From left to right: Dr Fadl Khaled, Dr Ramzi Haddad, Dr Joseph Sabbagh,
Dr Nadim Aboujaoude, Dr Cedric Haddad, Dr Nicole Geha, Dr Philip Souhaid, Dr Edmond Koyess
On another hand, the ICD-Middle
East Section (Section X) convened for
its annual assembly meeting for the
election of a new board of officers on
February 27th, 2020 at the Lebanese
Dental Association headquarter, Beirut, Lebanon. The nominated officers
were unanimously approved and
elected by the attending fellows for
the term 2020-2022.
Eight ways to keep your
dental practice safer
during COVID-19 crisis
>read page 32
AD
[2] =>
2
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
Message to our dentists
PUBLISHER AND CHIEF EXECUTIVE OFFICER
Torsten R. OEMUS
CHIEF CONTENT OFFICER
Claudia DUSCHEK
Dear Colleagues,
In line with the recent developments
related to COVID-19, we understand
the need for you and your family to
stay protected and that your professional life can continue as safe as
possible.
DENTAL TRIBUNE INTERNATIONAL
Holbeinstr. 29, 04229 Leipzig, Germany
Tel.: +49 341 48 474 302
Fax: +49 341 48 474 173
www.dental-tribune.com
General requests:
info@dental-tribune.com
Sales requests:
mediasales@dental-tribune.com
Our company is built on loyalty
and we appreciate that taking care
of your patients and your safety is
most important in these unprecedented times.
Following the precautions and regulations, we have postponed our upcoming continuing education live
courses and seminars in March and
April to avoid mass gatherings. We
will continue to monitor the situation and keep you updated. Should
there be any changes, we will contact
and update you as soon as possible
by email and through our website
and social media channels.
CAPP has activated working from
distance and I would like to invite
you all to stay home and keep safe
as well. This is the time to take care of
your family and when you have time
to continue your professional education and current updates.
IMPRINT
Concerning the current situation
and to ensure you have one less
thing to be worry about, we have put
in place the CAPP online platform for
Self-Instructional Courses/Activities:
Continuing education courses in
printed and recorded format, including audio, video, and recordings that
may be used over time at various lo-
cations as well as live stream conferences and webinars.
Facebook; Instagram; LinkedIn and
Twitter.
Please feel free to call us at any time if
you have any questions – as always,
we are only a phone call away or contact us by WhatsApp and through
any of your preferred social network
channels:
Social distance yourself - Please stay
safe and in touch.
Yours sincerely,
Dr. Dobrina Mollova
CEO & Founder CAPP
CAPP Live Stream Dental Meeting
In COVID-19 Period Series
DENTAL TRIBUNE MEA
EDITION EDITORIAL BOARD
Dr. Aisha SULTAN ALSUWAIDI, UAE
Prof. Paul TIPTON, UK
Prof. Khaled BALTO, KSA
Dr. Ninette BANDAY, UAE
Dr. Nabeel HUMOOD ALSABEEHA, UAE
Dr. Naif Almosa, KSA
Dr. Mohammad AL-OBAIDA, KSA
Dr. Meshari F. ALOTAIBI, KSA
Dr. Jasim M. AL-SAEEDI, Oman
Dr. Mohammed AL-DARWISH, Qatar
Dr. Dobrina MOLLOVA, UAE
Dr. Ahmed KAZI, UAE
Dr. Munir SILWADI, UAE
Dr. Khaled ABOUSEADA, KSA
Dr. Rabih ABI NADER, UAE
Dr. Ehab RASHED, UAE
Dr. Mohd Dashti, Kuwait
Aiham FARRAH, CDT, UAE
Retty M. MATTHEW, UAE
PARTNERS
Saudi Dental Society
Saudi Ortho Society
Lebanese Dental Association
Lebanese Orthodontic Society
Qatar Dental Society
Oman Dental Society
Kuwait Dental Association
International Federation of Dental
Hygienist
British Academy of Restorative Dentistry
British Academy of Dental Implantology
AALZ - Aachen Dental Laser Center
Singapore Dental Association
Saudi Dental Hygienist Society
DIRECTOR OF mCME
Dr. Dobrina MOLLOVA
mollova@dental-tribune.me
Tel.: +971 50 42 43072
DIRECTOR
Tzvetan DEYANOV
deyanov@dental-tribune.me
Tel.: +971 55 11 28 581
EDITING & DESIGN
Kinga MOLLOV
k.romik@dental-tribune.me
Tel.: +971 56 23 70 721
PRINTING HOUSE & DISTRIBUTION
Al Nisr Printing
P. O. Box 6519, Dubai, UAE
800 4585/04-4067170
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 permission of Dental Tribune International GmbH.
Dental Tribune is a trademark of Dental Tribune International GmbH.
By Dental Tribune MEA/CAPPmea
CAPP (Centre for Advanced Professional Practices) organises its events
online and in a digitised format. This
allows dental professionals around
the world to continue their engagement and education with the latest
in dentistry during the challenging
time of the COVID-19 outbreak.
"One of our responsibilities is to do
what we can to keep going with dental education during this challenging
time and help and support the dental professionals" says Dr Dobrina
Mollova, CEO and Founder of CAPP.
On 16th of April 2020, we will be
hosting yet another live stream dental meeting of four hours for dental
professionals which is packed with
knowledgeable speakers. The live
stream event is a great way for everyone that would like to use the time
staying home to learn.
CAPP would like to invite everyone
to join the next series that will take
place on the 16th of April 2020 from
1 PM to 5 PM GST UAE Time. The programme is as following:
Moderator and chairperson of the
meeting: Asst Prof Dr Cagdas Kislaoglu, Turkey
13:00 – 14:00
Crisis – Survive - Future: Live Interview and Q&A with Dr Coachman –
Dr Christian Coachman, Brazil
Protocols in the Dental Office. What
Makes Sense and What doesn’t in
the COVID-19 Period? – Dr Eduardo
Mahn, Chile
14:00 – 14:45
Surgical Guidelines for Excellent Implant Esthetics: What are the Rules?
– Prof Christian Pierre Makary, Lebanon
Visit the event page to find out more:
https://cappmea.com/online-meeting-covid19
15:00 – 15:45
Simplified Direct Composite Restorations - When and How? – Dr. Rafael
Beolchi, Brazil
16:00 – 16:45
Evidence-based Infection Treatment
For further information, please contact:
CAPPmea
The Leader in Continuing Dental Education
Onyx Tower 2 | Office P204 & P205
The Greens | Dubai | UAE
P.O. Box: 450355
Tel: +971 4 347 6747
E-mail: events@cappmea.com
All rights reserved. © 2020 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 responsibility 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.
[3] =>
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The CEREC Primemill seamlessly combines with the highly accurate CEREC Primescan and new
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[4] =>
4
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
Education never ends
By Dental Tribune MEA/CAPPmea
According to the World Health Organisation (WHO), oral and dental
diseases are some of the fastest
growing global non-viral illnesses,
with 60% to 90% of school children
and almost 100% of adults having
dental cavities1. In the UAE, in 2017,
the Department of Health (DoH)
Abu Dhabi conducted a research
study that found more than 85,000
cases of gum disease and 134,000
incidents of tooth decay amongst
the adults studied2.
The UAE government has since put
in place plans to tackle this concern. DoH Abu Dhabi launched the
DentOral programme that focuses
on four main initiatives: developing awareness programmes in
dental and oral health, developing
oral health prevention and screening programmes, developing and
launching the Dubai Dental Protocol and developing innovative solutions for the delivery of dental services and treatment3. Meanwhile in
Dubai, the Dubai Health Authority
(DHA) expects demand for dental
services to rise by 156 percent by
2025 with stringent checks being
put in place to safeguard the integrity of dentists’ qualifications4.
In order to increase the likelihood
of reaching the targets of the local
Middle Eastern Health Authorities in elevating oral health, HuFriedy and CAPP Training Institute
engaged in an agreement in May
2019 where Hu-Friedy delivered
almost 700 dental instruments
to CAPP in order to support their
© CAPPmea
With good post-graduate education
acting as the cornerstone of providing excellence in patient care, the
alliance between Hu-Friedy (the
leading dental instruments provider in the middle east) and CAPP
Training Institute (one of the largest CME providers in the area) has
already proven its benefits.
Delegates during the Erbium module of the CAPP, Aachen Dental Laser Center (AALZ)
and RWTH International Academy - RWTH Aachen University
CME hands-on training educational
programmes throughout the Middle East which has dramatically increased the quality of the trainings
delivered. The instruments are clustered into three different kits focusing on endodontics, implantology
and restorative dentistry.
CAPP was founded in 2005 in
Dubai, UAE and is one of the largest
dental CME providers in the Middle
East. CAPP is an American Dental
Association (ADA) C.E.R.P Recognised Provider, specialising in Continuing Medical Education (CME)
and Continuing Professional Development (CPD) dental education
programmes and is quality controlled by the UAE government by
the Knowledge and Human Development Authority (KHDA) out of
which CAPP holds a training license
and receives local accreditations
from DHA, DoH Abu Dhabi, Ministry of Health and Prevention – UAE,
KDA (Kuwaiti Dental Association)
and SDC (Singapore Dental Council). It works with educational institutions including, King’s College
London Dental Institute, Aachen
Dental Laser Center (AALZ), RWTH
International Academy – RWTH
Aachen University, Tipton Training
Ltd., British Academy of Restorative
Dentistry (BARD) and British Academy of Implant Dentistry (BADI)
and others.
Over the past 14 years, CAPP has facilitated over 723 CME programmes
educating over 109,298 international participants and now HuFriedy instruments are being used
in almost all of the hands-on training courses at the CAPP Training
Institute. Opened in 2016, the institute is a world- class CPD facility located in Dubai, with the capacity to
accommodate up to 30 delegates. It
is equipped with phantom heads,
clinical units with high, low and
speed-increasing handpieces, microscopes, the latest TV/ AV equipment and a lot more. CAPP has
registered companies and offices
in Dubai, Singapore and Kuwait,
where similar activities are taking
place.
In 2020, CAPP will offer over 190
days of hands-on training courses
across a broad spectrum of subjects.
Classes vary in length from one-day
seminars and short courses to longterm hands-on training courses in
Restorative, Aesthetic, Endodontics, Implantology, Lasers and other
Implant surgery performed by the delegates on a patient superwised by Prof Göran
Urde, Sweden during the CAPP Clinical Implantology Dentistry Certificate and Diploma
programme
dental specialties leading to Certificates, Diplomas, Fellowships and
Master’s Degrees.
On the other side, the mission of
Hu- Friedy is: “To Improve Lives By
Advancing Dental Performance...
Smile After Smile”. Hu-Friedy’s mission remains the same today as it
has always been – to help dental
professionals perform at their best.
To do this, dental professionals require access to good post-graduate
education where high-quality
materials, equipment and dental
instruments are being used. The
ability to enhance the educational
experience is why Hu-Friedy lends
support to CAPP through the supply of dental instruments.
Since the partnership began over
450 delegates have been exposed
to and used Hu-Friedy instruments.
CAPP’s faculty leads have commended the use of Hu-Friedy’s instruments in the hands-on training
courses by saying:
– “Hu-Friedy instruments are superbly designed and made from
only the very best materials. The
design enhances the precision
placement of composite resins and
definitely makes the final restoration more predictable. The students
at CAPP certainly notice and appreciate the difference” – Dr. Matthew
Holyoak (U.K.) who has taught delegates using the “Restorative kit”
on the Restorative and Aesthetic
Diploma programme.
– Prof. Göran Urde (Sweden) who is
the faculty lead on Clinical Implantology Diploma programme which
includes live-patient implant placement also shared his views: “Just by
looking at the instruments from
Hu-Friedy you know that they are
very high quality and the moment
you touch them and start working
with them, you get a confirmation
of this – a nice feeling of precision
and quality. Quality instruments
makes the life of a surgeon so much
nicer and easier but also enables
you to work faster and more precisely.
– Prof. James Prichard (U.K.) who is
the main lead on the Clinical Endodontics Diploma programme says:
“The Hu-Friedy instruments are
a pleasure to use. Endodontics is
made so much simpler and easier
with these types of high-quality instruments. It is a pleasure to teach
the delegates using them.
The partnership between the two
companies will continue to deliver
excellence in dental post-graduate
education.
For more information contact:
Proj James Prichard, UK demonstrating surgical retreatment in the CAPP Training Institute during the Clinical Endodontics Diploma programme
Implant surgery performed by 24 delegates on a real live patients during the CAPP Clinical Implantology Dentistry Certificate and Diploma programme
CAPPmea
The Leader in Continuing Dental Education
Onyx Tower 2 | Office P204 & P205
The Greens | Dubai | UAE
P.O. Box: 450355
Tel: +971 4 347 6747
E-mail: events@cappmea.com
Phantom head hands-on training in the CAPP Training Institute in Dubai, UAE
[5] =>
CAD/CAM &
CAPP DENTAL
Digital
Dentistry
CONFEXPO
Conference
Dental
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1 2 - 1 4 N O V 2 0 2 0
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DUBAI | UAE
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+971 50 279 3711
1 2 - 1 4 N O V
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DENTAL
CONFEXPO HYGIENIST
SEMINAR
CAPP DENTAL
13-14 NOV
DUBAI, UAE
1 3 N O V 2 0 2 0
DUBAI, UAE
CAPP DENTAL
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Centre for Advanced Professional Practices (CAPP) is an ADA CERP Recognized Provider.
ADA CERP is a service of the American Dental Association to assist dental professionals in
identifying quality providers of continuing dental education. ADA CERP 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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90 LECTURES | 40+ SPEAKERS | 21 CME | 13 PROGRAMMES | 3 DAYS | 100+ COMPANIES
CONFEXPO Dental
Technician
Int’l Meeting
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6
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
The Masterpiece Guide: Top-Tier restorations
with the Uveneer Extra template system
By Daniel Lewis, USA
Michelangelo took four years to
paint the Sistine Chapel and two
years to complete the sculpture of
David.
Masterpieces take time, which is a
luxury most dentists aren't typically
afforded. Creating art within the
real-world constraints of a dentist's
schedule is a daunting task—but
tools exist that can turn Joe Schmo
into a Renaissance savant.
"I don't want to be recognized as an
artist, because I want this to be reproducible," says restorative wizard, Dr.
Rafael Beolchi. "If you don't have any
method, or as I call them, parameters
[…] then you're wandering around
in the dark. You're trying and trying
and trying… but blindly."
The Uveneer template system is the
dentistry equivalent of tracing paper. It guides clinicians through the
"dark" toward consistent, predictable, symmetrical direct composite
veneers, mock-ups, temporaries, and
more. The Uveneer Extra template
system supplements the Uveneer
templates family, giving clinicians
the ability to provide a more natural
contoured anatomy to their composite restorations.
The Tried and True Method
Behind the Art of Veneers
I was recently chatting with one of
Ultradent's in-house designers about
a series of pieces he's working on in
his spare time. His specialty is airbrush work and I had a lightbulb moment as he was walking me through
his process—he doesn't freehand
his work, he cuts out a series of templates to layer together, then airbrushes the white space step after
step until the work is completed.
A similar concept came up in a recent conversation I had with Dr.
Beolchi. "I can practice the 'art' but I
don't want to rely on that," he says.
"That's why I like creating methods
and parameters, so I can guard myself; because it's not every day I wake
up feeling like a Leonardo Da Vinci or
a Michelangelo."
Dr. Beolchi sees these parameters
in some of history's most iconic art.
"I remember the first time I went to
see [Michelangelo's] famous sculpture of David in Florence. There's two
of them, there's a replica in the city
square and the original is in the mu-
seum. The original is mind blowing
[…] you can see his method. There's a
lot of art there, but there's way more
method than just art."
Utilizing the Uveneer Extra templates connects these parameters to
the art of creating minimally invasive direct composite veneers.
Consistently
Creating Quality
Patients count on clinicians to produce predictable work. Online reviews and word of mouth are the
kings of dental industry marketing.
Choosing a dentist based on reviews
or recommendations means the
patient has certain expectations of
quality toward the dentist's work.
Uveneer Extra templates take the
guesswork out of this consistency.
"I don't want my patients to rely on
my artistic [abilities] because what
happens if they fail me?" says Beolchi. "As in, if it's a day I'm not feeling
good or I've received bad news […]
I don't want to rely on myself as an
artist."
Having consistent, high quality work
walking out of your office is the first
step to securing high quality reviews.
With the rise of social media, it's also
imperative to remember that clinicians aren't just creating veneers for
a patient's real world life. Their smile
is also important to their digital life.
Not only that, a smiling Instagram
post showcasing new veneers can
have exponential return for a practice. Sometimes all it takes is just that
one post to unlock an entire new
audience of potential patients—and
that new audience will be expecting
the dentist to recreate the quality
they saw in the post.
The Uveneer template system unlocks extra time and saves money
when you're working with direct
composite veneers. All Uveneer templates work with any preferred composite to facilitate a beautiful tooth
shape on individual or multiple
teeth. While the Uveneer system has
templates for upper and lower anterior teeth, the Uveneer Extra system
offers additional designs for the upper anterior teeth. They're modeled
from real tooth anatomy, eliminating the potential for errors that can
extend a procedure and destroy the
day's schedule. The Uveneer Extra
templates require minimal adjusting or polishing, also saving ample
time.
In Their Words – Dentists
Review the Uveneer Templates System
Clinicians across the globe count on
the Uveneer template systems to
create top-tier composite restorations and the benefits of this system
are spreading:
"In a single day I was able to do 11
mock-up veneers that were not part
of the original schedule, resulting in
several new cases being accepted. I
wouldn't want to work without them
now."—Dr. Chad Wagener, DDS.
"Terrific tool to quickly and easily create beautiful anterior restorations."
—Dr. Gary M. Radz, DDS
There's a massive shortage plaguing
the dental industry—time. There's
never enough and clinicians continually wring their calendars to extract
more.
Uveneer Extra templates provide predictable, beautiful, and natural results through innovative designs.
"Uveneer makes the practice of the
anterior esthetic dentistry easier,
faster, and better." —Dr. George
Freedman, DDS.
Beauty Through
Predictability
Some people are born artists, some
are natural scientists. Some are neither and have to work tirelessly to
develop skills on both sides of the
brain. "I wasn't born a dentist. When
I was born I didn't even know how
to tie my shoes, but now I do. And
that's definitely more complicated
than fixing a tooth, but I have 40
years of experience learning how
to do that," Beolchi chuckles. "Some
people might need more effort in
order to accomplish something […]
by having method and by training,
we get there, and by getting there, we
feel secure enough to develop those
artistic feelings."
Time and Money – The Cost
Savings of the Uveneer System
"[Dentists] have to follow a schedule. I have probably what, an hour?
An hour and half? Sometimes thirty
minutes to accomplish something,"
says Dr. Beolchi. "So being held by
method feels safer to […] develop
your artistic sense."
"The simplicity of Uveneer is absolutely remarkable. Why didn't I think
of this?" —Dr. John C. Comisi, DDS,
MAGD.
Uveneer Extra templates complement the original Uveneer templates while providing
four new upper anterior designs: Extra Large, Large, Medium, and Square.
The Uveneer and Uveneer Extra
template systems allow clinicians to
create consistent, schedule-friendly,
natural-looking veneers—and they'll
turn you into the Michelangelo of
composite restorations.
The Uveneer Extra template system mimics real tooth anatomy for authentic, natural results.
[7] =>
[8] =>
+
Retract
3M™ Astringent
Retraction Paste
+
Impress
3M™ Express™ XT VPS
Impression Materials
+
Temporize
3M™ Protemp™ 4
Temporization Material
+
Restore
3M™ Lava™ Plus
High Translucency Zirconia
3M, ESPE, Express, Lava, Protemp and RelyX are trademarks of 3M or 3M Deutschland GmbH. Used under license in Canada. © 3M 2017. All rights reserved.
Cement
3M™ RelyX™ U200
Self-Adhesive Resin Cement
[9] =>
2
3
Syringe
3M™ Intra-oral Syringe
Impress
3M™ Imprint™ 4 VPS
Impression Material
3M
M and Imprint are trademarks of 3M or 3M Deutschland GmbH. Used under license in Canada. © 3M 2018. All rights reserved.
1
[10] =>
10
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2020
By Planmeca
Renate Vries has been a dental hygienist for over 20 years. Currently,
she works at Tandartspraktijk Linde,
a small clinic located in the town of
Zwolle in the north-east of the Netherlands.
“We have a very tight-knit, small
team. There are three of us. It’s really
enjoyable! I like people and having
people around me,” says Vries.
In addition to spending time with her
colleagues, Vries is able to spend ample time with patients every working
day, and helping them is perhaps the
single most rewarding aspect of her
job. “Not only can I help their teeth,
but I can also help them be relaxed
and more comfortable during treatments. When patients do not feel
anxious during treatments, they
keep coming back,” Vries adds.
Vries’s affection for dentistry is one
that runs in the family. “My dad was
a dentist and my older sister is also
a dental hygienist. When I was in
high school, I visited her school and
thought it was very interesting. I saw
that I could help people,” she states.
Compact i Touch dental unit. As a
left-handed user, it is very easy for
me to adjust the unit and work with
it. There is also a lot of space for my
legs under the patient chair,” she
says.
Ambidextrous dental units
Working with Planmeca dental
units has shown Vries that they are
also extremely comfortable for patients—so comfortable that they do
not want their treatments to end, she
jokes.
Living in a world designed by righthanded people can present certain
problems for left-handers. This is
also the case in dentistry, as dental
units have often been manufactured
to fit the needs of right-handed users
exclusively.
Planmeca has been an industry
leader in introducing dental units
designed for ambidextrous use.
These dental units can be converted
quickly from right- to left-handed
dentistry with ease. This is a great
advantage for dental units that have
several users and is something that
Vries also greatly appreciates.
“I’m very happy with our Planmeca
“Every patient says, ‘I don’t want to
get up, I just want to lie here!’—the
chair is so soft and comfortable,”
Vries says, laughing.
Setting an example
very good example for others,” Vries
states.
features and innovations are on the
way.
Vries already has extensive experience working with Planmeca dental
units, and she regards the company
as setting something of a benchmark in the field. “I have a lot of history with Planmeca. It is such a great
company, and I think it has been a
The company that started small in
1971 has steadily grown into one of
the biggest in its field over the course
of several decades. Planmeca’s 50th
anniversary is fast approaching,
and it is certain that further great
“The owner, Heikki Kyöstilä, built
the company starting from dental
chairs—and look at it now! It has
set a very good example,” Vries concludes.
AD
5
© Planmeca
The right dental unit—
also for left-handed users
YEARS
WARRANTY
Planmeca wins
2020 Red Dot
Award for best
product design
60 years of know-how and passion is the secret
that leads Bien-Air Dental today to offer exceptionally
reliable products. Discover all our expertise and
attention to detail in the new TORNADO X turbine.
© Planmeca
The most reliable
turbine on the market
By Planmeca
The Planmeca Solanna Vision operating light with integrated 4K cameras has been awarded a Red Dot in
this year’s Red Dot Award: Product
Design competition.
The Planmeca Solanna Vision dental operating light with integrated
4K cameras and microphones impressed the jury of the renowned
Red Dot design competition, which
this year received more than 6,500
product entries from manufacturers
all over the world.
For brighter workdays
WWW.BIENAIR.COM
Bien-Air Dental SA Länggasse 60 Case postale 2500 Bienne 6 Switzerland
Tél. +41 (0)32 344 64 64 dental@bienair.com www.bienair.com
The operating light can be used for
taking still images of the patient’s
teeth or for recording dental procedures, among other things. The light
opens up completely new possibilities for patient communication, consultation, documentation and dental education. Built on an evolving
platform, Planmeca Solanna Vision
will allow dental professionals to
enjoy groundbreaking new features
through software upgrades in the
future as well.
“The operating light is an important
working tool for the dentist, since a
great part of dental work is based on
visual perception,” explained Planmeca’s senior industrial designer,
Timo Silvonen. “Taking photos of the
patient’s teeth is also an everyday
task at a dental clinic. We decided to
combine the patient light and camera into one product, which makes
the clinical workflow much smoother. Receiving the Red Dot is a great
recognition and really confirms that
our focus on innovative design that
improves the everyday life of dental
professionals is the right approach.”
About Red Dot Award
The Red Dot distinction has become
established internationally as one of
the most sought-after seals of quality
for good design. In order to appraise
the diversity in the field of design in
a professional manner, the award is
broken down into three disciplines:
product design, brands and communication design, and design concept.
Each competition is organised once
every year.
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INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2020
Beverly Hills Formula
set for excellence once more
By Beverly Hills Formula
Beverly Hills Formula are not afraid
to think outside the box, and their
success is attributed to the fact that
they can bring their bold ideas to life,
resulting in highly innovative and
effective teeth whitening products
that any competitor is yet to match.
The brand has recently returned
from another stellar year at the
AEEDC in Dubai where they showcased their stylish range of products
to dental experts from across the
globe. Those who visited the stand
were treated a sneak peak of what’s
to come this year, and needless to
say, our smiles will shine brighter
than ever before.
Fans of the iconic Perfect White
Range will be delighted to know that
the brand are set to expand to this,
with a number of must-have products set to hit shelves later on in the
year. The Perfect White Range has become synonymous with excellence,
innovation and top-quality.
Launched in 2012, the range became
an overnight success thanks to a
number of never before seen formulations. The brand was first to market
with Activated Charcoal - known
for its love of tannins. Perfect White
Black quickly became the range’s
hero product thanks to its effectiveness at removing stains.
The brand’s most luxurious product
yet – Perfect White Gold, containing
real Gold Particles. Gold is known for
its antibacterial properties and the
brand were the first to use this in a
toothpaste – resulting in a top-class
tooth whitening product which aims
to sooth and care for gums, help tissue regeneration as well as giving
consumers the all-important Hollywood smile.
NEW Perfect White Extreme White,
containing Hydrated Silica, Advanced Pyrophosphates & Cetraria
Islandica Extract is designed to provide natural whitening and plaque
protection, perfect stain removal
whilst ensuring it’s free from all the
bad including parabens and other
ingredients that cause abrasion
in teeth and gums. The brand has
worked tirelessly to perfect the formula, and are confident that this is
one of their best tooth whitening
formula yet.
The Perfect White Range strives to
have a product to suit all tastes, with
Perfect White Black Sensitive, designed to whiten teeth and to ensure
rapid sensitivity action, and Perfect
White Optic Blue, which gives immediate optic whitening results, also to
be found in the range.
The brand will be releasing the much
anticipated 5008 Toothbrush, containing five times more filaments
for extra stain removal. This highquality brush is gentle to gums and
enamel whilst ensuring a deep clean
every time.
Our Perfect White Black and Perfect
White Gold Mouthwashes, ‘Shake
to Activate’ formulations, products
ensure fresh breath after every use
whilst providing excellent stain removal.
The Perfect White Range recently
expanded to include two brand new
teeth whitening kits – The Perfect
White Black Kit, containing Activated Charcoal, and the Perfect White
1% kit, which contains real hydrogen
peroxide.
It is not difficult to see why Beverly
Hills Formula have become known
as the experts in oral care. Thanks
to their ability to develop first-class
whitening products, and a dedication to researching the most cuttingedge methods available, the brand
has set themselves apart from their
competitors and has worked hard to
become the go-to oral care company
in the Middle East.
For more information contact:
Beverly Hills Formula
Unit P1/P2 North Ring Business Park
Swords Road
Dublin, 9, Ireland
Web: www.beverlyhillsformula.com
E-mail: info@beverlyhillsformula.com
Tel: + 353 1 842 6611
Fax: + 353 1 842 6647
Align Technology launches iTero Element 2
intraoral scanner in the Middle East
The introduction of the iTero Element 2 scanner showcases Align’s commitment
to advancing digital dentistry in the Middle East
By Align Techmology, Inc
Align Technology, Inc. (NASDAQ:
ALGN), a global medical device company engaged in the design, manufacture and marketing of the Invisalign system, the most advanced
clear aligner system in the world, and
the iTero Intraoral scanning systems
and services, has announced the
launch its iTero Element 2 intraoral
scanner in the Middle East market.
Offering a fully optimized digital
workflow, the iTero Element 2 scanner and the Invisalign system complement each other to help dental
practices grow by offering Invisalign
trained doctors an integrated digital
platform.
The iTero Element 2 scanner was
engineered for greater performance
with 2X faster start-up* and 25% faster scan processing, compared to the
iTero Element scanner**. The scanner provides doctors with the highdefinition colour imaging precision,
intuitive chairside visualization and
patient communication tools that
enable efficient workflows for a full
range of case assessment, restorative
and orthodontic treatment.
Markus Sebastian, Align Technology Senior Vice President, Managing Director EMEA, said: “As doctors
continue grow their practices in the
region and want to become more
digitized, they need a powerful technology that will benefit dentists and
patients alike.
The launch of the iTero Element 2 in
the Middle East exemplifies Align
Technology’s commitment to continued innovation and investment
in advancing digital dentistry. As
one of the most digitally advanced
regions in EMEA, I am confident that
this state-of-the-art scanner can become a game-changer for Invisalign
doctors across the Middle East.”
Thanks to increased digital capabilities and convenience, the iTero family of scanners are more than digital
impression-taking devices. With
unique features, such as the iTero
TimeLapse Technology, dentists and
orthodontists can track and show
patients how their teeth have moved
over time, how gingival recession is
progressing and more importantly –
do so in real-time. This allows them
to provide their patients with a holistic understanding of their dentition,
visualise their treatment outcome,
make real-time adjustments to simulations and easily project corrections and extractions.
The iTero Element 2 scanner restorative workflows include crowns,
bridges, implant abutments, on-
lays, inlays and veneers. The newly
launched iTero scanner also allows
greater mobility from practice to
practice, without the need to plug in
for power or reboot with its lithiumion battery***.
The iTero Element 2 is now available
in the UAE, Saudi Arabia, Bahrain,
Kuwait and Qatar. For more information, visit http://www.itero.com/
products/itero_element_two.
*Based on comparison of 40 start up
times between each: iTero Element
and iTero Element 2.
**Based on comparison of 40 Invisalign scans and 40 restorative scans
with 3 prep teeth processed by each:
iTero Element and iTero Element 2.
*** With a fully charged battery, the
user can scan for 30 minutes without
having to plug in for power.
iTero Element 2 scanner
For additional information about the
Invisalign system or to find an Invisalign
provider in your area, please visit www.
invisalign.com.ae. For additional information about the iTero digital scanning system, please visit www.itero.com
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[14] =>
14
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2020
Hu-Friedy Black Line surgical collection:
a growing passion for innovation
By Hu-Friedy
More than six years have passed
since the initial launch of the innovative Hu-Friedy Black Line Surgical
Collection. Its black coated instruments, designed and meticulously
handcrafted to meet the always increasing clinicians' needs, have provided to our valued customers across
the globe a new and reliable solution
to enhance their performance in surgical procedures, by offering a variety of unique points of performance
and clinical benefits.
Always with a future-oriented vision
and approach towards innovation,
Hu-Friedy is proud to continue investing in this request of precision,
control and handling, always with
the focus on the patient satisfaction,
by extending and enriching its Black
Line Surgical portfolio.
New solutions for the ever advancing clinical needs
The Hu-Friedy Surgical Black Line
aids clinicians by providing efficiency and performance across a wider
range of clinical applications - im-
plant and periodontal surgery, microsurgery, atraumatic extractions
and tunnelling techniques.
"The inclusion of a wider line of products utilizing the performance engineered coating is crucial in bringing
a greater advantage to the professional and enhancing their work."
- shares Francesco Merlettini, EMEA
Surgical Product Manager - "We were
asked about possible additions to
the line in the future, which clearly
meant that the value and advantages offered through the Black Line
concept were deemed successful and
beneficial by our audience. We are
now happy and proud to share that
the family is growing."
The original portfolio included selection of periosteals, periodontal
knives, periotomes, luxating elevators, surgical curettes, bone chisels,
sinus lift instruments and SuperCut scissors, and has now expanded
and added additional categories, like
Luxating Hybrids, syndesmotomes
and retractors, all improved by the
innovative performance engineered
coating.
A wide range of benefits to perform
at your best and in the best conditions
Why are Hu-Friedy Black Line instruments your perfect choice? The
matte finish handle reduces glare
when the oral cavity is brightly illuminated and the performance
engineered coating guarantees an
excellent contrast against the gingival tissue and can be distinguished
clearly at all times, enhancing control and precision during the tunneling and microsurgical techniques
of intervention.
Moreover, due to the special surface
performance engineered coating,
the working tips remain hard and
smooth for optimized edge retention. Try our expanded collection
and experience a higher level in surgical treatments.
What KOL think about it
Hu-Friedy is enthusiastic and proud
to share how much the quality, features and the clinical advantages of
the Black Line instruments are appreciated and recognized among
our Key Opinion Leaders, who have
been enjoying working with them
since their initial launch and who
are providing us a precious support
in delivering a genuine message of
value. "I love the Black Line instruments - share Dr. Istvan Urban,
whose famous "Mini Me" is now also
available in the black version - and in
addition to their perfect quality they
are super cool."
Prof Christian Makary is also a big
supporter of the Hu-Friedy Black
Line “The black, mate and non-reflective working ends ensure better
visual acuity and reduce vision discomfort making surgeries less challenging. Black Line instruments are
also very efficient and well designed,
their engineered coating allow better
control and precision through their
prolonged edge retention and enhanced lubricity, giving the surgeon
a “new instrument feeling” at every
surgery.”
To learn more about Black Line, visit
www.hu-friedy.eu or contact our local distributors.
Scan this QR code to watch Dr.
Isabella Rocchietta and Francesco
Merlettini talking about Black Line.
Follow us on
@HuFriedyEU
@hu_friedy_europe
@Hu-Friedy Mfg. Co., LLC.EU
For more information contact:
Hu-Friedy Italy Srl
Showroom Italia
Via Mauro Macchi, 27
20124 Milano, Italy
Tel.: +39-02-36589600
Fax: +39-02-36589604
CEREC software wins Red Dot Design Award
for outstanding user experience
By Dentsply Sirona
world. The Brands & Communication Design award was initiated in
1993 as the "German prize for communication design". Since then, the
award has been given every year to
the world's best brand designs and
most creative projects of designers,
agencies, and companies in the categories "Brands" and "Communication". Around 1,400 international
guests celebrated the winners at the
Red Dot Gala on November 1 in the
Konzerthaus Berlin. After the awards
were presented, winners and guests
had the opportunity to experience
the winning projects up close at the
Designer's Night in ‘ewerk’.
The redesigned user interface of the
CEREC software from Dentsply Sirona won a coveted Red Dot Award for
Brands and Communication Design
in November. The software is the
centerpiece of CEREC, a leading CAD/
CAM system that enables dentists to
complete restorations – from digital
impressions to the finished crown
– in just a single session. The new
digital user interface, enhanced help
functions, and the intuitive Touch
Pad make it easier to use than ever
before.
The "Rebrush CEREC Software" project from Dentsply Sirona and Ergosign was awarded a coveted Red Dot:
Brands & Communication Design
Award in the "Interface and User Experience Design" category in Berlin.
From the 8,697 applicants, the jury
chose the high design quality and intuitive user interface of this project.
Teams from Dentsply Sirona and
Ergosign accepted the award at the
awards ceremony. "This is recognition of the outstanding work and
remarkable creativity that our teams
have put into the development of
CEREC", stressed Dr. Alexander Völcker, Group Vice President Digital &
Orthodontics at Dentsply Sirona. "We
are proud of having created a new
software design with our colleagues
at Ergosign that makes CEREC even
easier, faster, and more intuitive to
use than before. I warmly congratulate all involved in this success."
Just 5 clicks from the digital
impression to the crown
The jury was especially impressed by
the intuitive and visually appealing
user interface and intelligent auto-
The CEREC team from Dentsply Sirona and Ergosign at the presentation of the Red Dot Awards in Berlin. Left to right: Christian Murra
(Lead UX Designer, Ergosign), Jochen Hartmann (Global Product Management CEREC SW, Dentsply Sirona), David Detzler (Head of Site
Berlin, Ergosign), Ravid Aloni (Software Developer HMI, Dentsply Sirona), Rebecca Collong (Global Product Management CEREC SW,
Dentsply Sirona), Isabelle Geri (UX Designer, Ergosign), Daniela Hery (Senior UX Designer, Ergosign), Federica Lignini (Project Manager,
Ergosign).
mation of the CEREC software. It allows dentists to design high-quality,
esthetic crowns easily with just 5
clicks, produce them in one of the
CEREC milling units, and insert them
in the same session. After making
the digital impression with the Primescan intraoral scanner, the preparation margin is then automatically
marked, but can be modified manually at any time.
This, in addition to functional adjustments within the software and
a changed biogeneric algorithm
with improved consideration of
the minimum material thickness,
leads to initial proposals that require
practically no modification. Numerous feedbacks and help functions
shorten the learning curve and ensure that the CEREC software can be
operated effectively from the start.
Examples of the help functions are
the color analysis function for support when selecting the suitable
tooth color and the virtual articulator to determine functional contacts
for improved static and dynamic occlusion.
The Red Dot Award: Brands &
Communication Design 2019
The Red Dot Award is one of the
largest design competitions in the
Find out more by
scanning the QR code.
For more information about the full
Dentsply Sirona portfolio please contact
your local representative.
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0)4 523 0600
Web: www.dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
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16
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
The University Center for Dentistry in Basel
One of the most modern dental clinics in Europe, is Dentsply Sirona's first
major university project in Switzerland
By Dentsply Sirona
Since 2019 dentists, dental and prophylactic assistants and hygienists
have been performing more than
80,000 treatments a year in the new
five-story UZB building. By merging
the previously separate sites, the goal
is to offer personnel, patients and
students the best possible technical
infrastructure for working, a complete range of treatments and an innovative learning environment that
satisfies the state of the art. Dentsply
Sirona International Special Clinic
Solutions was selected as the project
© Dentsply Sirona
For the very first time the International Special Clinic Solutions (ISCS)
team at Dentsply Sirona brought to
life a major project at a Swiss university. The university dental clinics, the
school dental clinic and public dental clinic of the University Center for
Dentistry in Basel (UZB) have been
brought together in the new building, allowing patient treatments,
teaching and research to be closely
interlinked under a single roof.
partner after a public tender and accompanied this pioneering turnkey
solution from the groundbreaking
ceremony through to the handover
of the keys in August 2019
Everything under a single roof
The UZB provides dental care at cantonal, regional and national level
and, as a Basel-based center of expertise for dentistry, offers both primary care and specialist treatments
for demanding cases in addition to
university research and teaching.
Thanks to the organizational, procedural and spatial pooling of expertise and strengths, the UZB promises
to ensure more efficient interdisciplinary exchanges, less bureaucracy
and enhanced teaching and research.
To achieve this goal, the UZB opted
for 84 Dentsply Sirona Sinius treatment centers with additional stateof-the-art endodontics and implantology functions as well as a further
5 Intego Pro Turn treatment centers,
which enable ergonomic working for
both right- and left-handed users.
Moreover, the 57 intraoral Heliodent
Plus X-ray units can be used in a variety of ways in all areas of the UZB.
During pre-clinical training at the
UZB, future dentists and dental technicians have 33 simulation units at
their disposal.
With this large-scale project, Dentsply Sirona is underpinning its position
as a global market and technology
leader in the field of digital dentistry:
Students and teachers are supported
during pre-clinical training by a multimedia teaching system. The clinical
equipment management software
solution Vionex offers safe and configurable hygiene management and
is a valuable tool for all Dentsply
Sirona treatment centers and simulation units. With this, the hygiene
and technical status can be quickly
monitored from anywhere in the
clinic. Furthermore, the tracking of
all instruments in the center ensures
smooth work processes, the highest
possible hygiene standards and comprehensive work documentation.
With commissioning now complete,
Andreas Stutz, CEO of the UZB, draws
a positive conclusion: "The University Center for Dentistry in Basel,
UZB, chose Dentsply Sirona within
the scope of a public tender as its
offering best satisfied the criteria. In
addition to the price and functional
requirements, we also set store by
reference projects and services and
support. The delivery, installation
and commissioning of the 89 treatment centers and the 32 simulation
units in the phantom hall went without a hitch, something which certainly cannot be taken for granted.
Just a few months after commissioning, we can confirm that, based on
user feedback, the decision for Dentsply Sirona was spot on."
First visitors and further
projects
The first delegations of foreign university deans, professors and dental
specialists have already visited the
new building and were able to see for
themselves the impressive realization of this project against the backdrop of day-to-day university life.
Following the success seen in Basel,
the next major Swiss project for ISCS
is pending: In opting for 78 Sinius
treatment centers and 14 Heliodent
Plus X-ray units, the Center of Dental
Medicine in Zurich has also chosen
in favor of solutions from Dentsply
Sirona.
Find out more by
scanning the QR code.
For more information about the full
Dentsply Sirona portfolio please contact
your local representative.
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0)4 523 0600
Web: www.dentsplysirona.com/en
MEA-Marketing@dentsplysirona.com
[17] =>
SURGICAL
AFTER
WHITE
BLACK LINE
SURGICAL
COLLECTION
The Black Line surgical collection is aimed to cover
a wider range of surgical procedures.
With the intention of meeting the always increasing need and request of precision, control and
handling, Hu-Friedy Black Line surgical collection allows professionals to tackle even the most
advanced surgical procedures with the confidence they need to be successful.
The recently extended line adds new products to the already robust portfolio of surgical
instruments, to aid in implant and periodontal surgeries, atraumatic extractions, tunneling
techniques and periodontal surgeries.
YOUR HU-FRIEDY DEALER
Bahrain: Gulf Pharmacy
Egypt: Safwan Egypt Co.
Visit us online at hu-friedy.eu
©2020 Hu-Friedy Mfg. Co., LLC. All rights reserved.
Iraq: Al-Hijazi scientific bureau
Jordan: Basamat Medical Supplies
Kuwait: Advanced Technology Company K.S.C.
Lebanon: Pharmacol
Oman: Al Farsi National Enterprises LLC
Qatar: Ali Bin Ali
Saudi Arabia: Al-Turki Medical Group Ltd.
NEW! Utd.Arab Emirates: ALPHAMED General Trading LLC
[18] =>
18
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2020
CEREC Primemill for a superior chairside
CAD/CAM experience
Even faster milling and grinding processes on a wide variety of materials
with predictable, excellent results:
With CEREC Primemill, Dentsply
Sirona takes the CEREC system to a
new level of excellence compared
to previous solutions. Dr. Alexander
Völcker, Group Vice President CAD/
CAM & Orthodontics at Dentsply
Sirona, explains how these changes
will positively impact the chairside
CAD/CAM experience.
1. With CEREC Primemill you have
renewed the next component in
the CEREC workflow after the intraoral scanner and the software.
What considerations led up to this?
Today, digital technologies are a
matter of course in dental practices.
CEREC plays a leading role in this
context. To date more than 40,000
CEREC units of the current generation have been installed worldwide.
This was by no means self-evident
when we started. We had to overcome significant hurdles during the
continuing development of CEREC.
But we have never lost sight of the
goal. We have always believed that
digital technologies are essential to
modern dentistry. That's why we
never stop evolving our products
and workflows further. In the last
12 months we have completely renewed virtually all components of
the unique CEREC workflow. We are
convinced that with CEREC Primemill we can now offer our customers a setup that really leaves nothing
to be desired. Now is the time to go
chairside.
2. You already have an established
chairside concept. Why does it
need a new milling machine?
It is always our ambition to make
the good even better by developing completely new components or
significantly improving state-of-theart solutions - always with a view to
what our customers need, what they
want, what they expect from us.
CEREC Primemill is the result of such
considerations. The operation of the
milling machine via the touch interface is based on the everyday experience of dentists and assistants –
therefore it is very thought-through.
The process is very simple and can
easily be delegated to an assistant.
With CEREC Primemill, restorations
can now be fabricated even faster,
resulting in noticeable time and efficiency gains.
© Dentsply Sirona
By Dentsply Sirona
The milling of a zirconia crown now
takes approximately 5 minutes in
the new Super Fast mode. Additionally we have improved processing
times for grinding. There is a wide
versatility in terms of materials
and processing modes including
wet and dry milling as well as wet
grinding. As a user, you experience
exceptional quality of restorations
AD
with high marginal stability, perfect
fit and a very smooth surface due
to improvements of the technology
used in the new unit. Additionally,
users can select a new milling option
which utilizes a new very fine tool
with 0.5mm diameter for extra fine
fissures and embrasures on bridges.
3. Competition in the field of digital technologies, especially CAD/
CAM applications, is very intense.
Digital impression taking and fabrication of restorations directly
in the practice is becoming more
and more popular, various manufacturers are taking up this trend.
Where does CEREC Primemill fit in
with CAD/CAM workflows?
Our CEREC system enables dentists
to treat patients chairside in just a
single visit. This only works if they
have equipment that can be used to
manufacture restorations in a very
short time from materials that can
safely and permanently remain in
the patient's mouth and meet the
highest esthetic standards. Speed is
crucial for the treatment: It is clear
that patients wish to stay in the
practice no longer than necessary,
and dentists want to be able to help
as many patients as possible in their
workday in an efficient way with an
easy-to-use workflow.
Chairside CAD/CAM, however,
means much more than single visit
dentistry. The variety of potential
applications which CEREC brings to
the clinic is immense. Think, for example, of veneers, long-span bridges,
but above all the possibilities in implantology: fabrication of surgical
guides, abutments and crowns, also
for screw-retained fixation.
In this respect, CEREC Primemill
plays an outstanding role within the
entire chairside workflow, which,
along with the CEREC Primescan, the
CEREC Software Generation 5 and
the CEREC SpeedFire, offers genuine
added value as a completely new
setup. The initial feedback from
users who were able to test CEREC
Primemill in advance showed us that
they are fascinated and enthusiastic
about it.
4. The CEREC system already included milling machines. How can
users who already have a CEREC
system benefit from the new features of CEREC Primemill?
We are very proud that so many dentists today are enthusiastic CEREC users. They are also the ones who help
us to advance thanks to their feed-
back and ideas. Our latest innovations, such as CEREC Primescan and
CEREC Primemill, are our responses.
CEREC Primemill offers exceptional
quality of the restorations, which
you will recognize from the very fine
marginal integrity, the extremely
smooth surface and the fine fissures.
In addition, as already mentioned,
there is significant time saving in
processing zirconia and very simple
operation and CEREC Primemill can
be easily integrated into an existing
practice setup with just a few adjustments. Another advantage, evident
in daily use, is that CEREC Primemill
is easy to care for. The touch interface guides the user through the
entire workflow, the service protocol.
Maintenance can therefore be carried out quickly and easily.
In larger practices, we are observing
the trend towards multi-treatment
practices – working with more than
one milling machine has proven
successful. So, all components including CEREC Primescan, the CEREC
Software and the CEREC SpeedFire,
ensure an outstanding solution that
is now available. Ultimately, the system enables the use of state-of-theart digital technology on a daily basis
to make dental practices even more
efficient and to achieve the most important goal of all: the ability to treat
patients every day consistently with
excellent results.
I am convinced that CEREC users as
well as new customers alike will be
enthusiastic about CEREC Primemill,
especially once they have experienced it in action.
Find out more by
scanning the QR code.
For more information about the full
Dentsply Sirona portfolio please contact
your local representative.
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0)4 523 0600
Web: www.dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
[19] =>
[20] =>
20
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 2/2020
What is the new generation of all-ceramics
capable of doing?
By Federico Narducci, Ascoli Piceno,
Gennaro Narducci, Italy
Like many other laboratories and
practices, we have begun to use zirconium oxide for a large share of
our all-ceramic restorations, as this
class of materials offers now both
high strength and attractive esthetics. Material manufacturers have
tried to develop zirconia materials
that incorporate varying degrees
of translucency already in the past.
So far, however, more translucency
has always been associated with less
strength. Building up blanks in different layers of shades presents an
interesting approach, but ultimately
does not correspond to the structure
of the natural tooth. With the introduction of IPS e.max ZirCAD Prime
from Ivoclar Vivadent, we asked ourselves whether the development of
this material would provide a solution to the problem – combination
of strength and esthetics - we had
encountered in the past.
What’s new
We decided to have a go at the new
IPS e.max ZirCAD Prime from Ivoclar
Vivadent. According to the manufacturer, this material combines high
strength with the superior esthetic
qualities expected from high-quality
ceramic materials. The key feature
distinguishing IPS e.max ZirCAD
Prime is its unique “gradient technology” (GT).
This process technology provides a
number of advantages that are particularly relevant for use in dental
applications:
1. High-translucent 5Y-TZP zirconia
(650 MPa1) for the incisal area AND
high-strength 3Y-TZP zirconia (1200
MPa ) for the replacement of dentin
- combined in just one disc
2. Continuous seamless progression
of shade and translucency within the
material due to a specially designed
filler technology
3. The microstructure achieved by
"Cold Isostatic Pressing" (CIP) ad-
ditionally optimizes the material’s
translucency and ensures a very
high accuracy of fit.
On the test bench
Fully dedicated to digital dentistry,
our practice is equipped with DVT
equipment, CAD/CAM milling machine and other digital tools. To offer
our patients the best possible care,
we are open towards new, promising
treatment methods and materials
and always try to be up to date with
the latest possibilities. We are especially passionate about providing
highly esthetic metal-free restorations. So, we decided to test drive IPS
e.max ZirCAD Prime in two initial
applications to see if, in everyday
use, it can keep the promise that the
manufacturer made in theory about
its Gradient Technology. Since everyday applications in prosthetic dentistry mostly involve single-tooth
crowns and three-unit bridges, the
new material would be tested in one
of each of these two clinical cases.
First patient: This patient presented
with pain to our practice: A metalceramic restoration on tooth 45 to 47
was fractured. Replacement with an
all-ceramic monolithic restoration
appeared to be a valid alternative in
this case. The basic advantage of allceramic restorations is that no subgingival preparation is necessary to
conceal metal restoration margins. A
major advantage of monolithic restorations is that they help minimize/
prevent ceramic chipping. Figures 1a
to 1g show the restoration procedure
with a three-unit posterior bridge
made of IPS e.max ZirCAD Prime.
Second patient: This patient presented with a fracture (up to the
cervical third) of the maxillary lateral incisor on the right. The tooth
structure at the site of tooth no. 12
had already weakened as the result
of a previous endodontic treatment
and composite filling. In view of the
limited space available for the new
restoration and the functional dy-
namics of the patient, we decided to
use a monolithic zirconium oxide
restoration in spite of the tooth being in an exposed zone. Figures 2a
to g show the restorative procedure
with a crown made of IPS e.max ZirCAD Prime.
Our findings
- Given the high strength of IPS
e.max ZirCAD Prime, we felt assured
that we could use this material - with
peace of mind - for the load-bearing
region and for a case involving unfavourable functional dynamics. The
material is also suited for long-span
bridges.
- With its decreasing chroma and increasing translucency in the incisal
area, the material reproduces the
tooth structure in a seamless flowing
pattern, similar to the natural dentition.
- As the material provides a higher
ÿPage 22
Fig 1a: Three-unit bridge milled from IPS e.max ZirCAD Prime
Fig. 1b-c: The restoration showed a natural continuous progression of shade immediately after the sintering procedure, without any additional processing.
Fig. 1d: Customizations were applied using the IPS Ivocolor range of universal stains and glazes.
Fig. 1e: An impressive result achieved by simple means
Fig: 1f: Restorations made of IPS e.max ZirCAD Prime can be inserted using conventional or self-adhesive cementation techniques.
Fig. 1g: A quick high-gloss polish – e.g. with OptraGloss – and the restoration was done.
Fig 2a: Having sustained a fracture, the endodontically treated tooth was
prepared to receive a monolithic all-ceramic restoration.
Fig. 2b: The single restoration was milled from IPS e.max ZirCAD Prime.
Fig. 2c: The sintered crown showed an excellent fit at the intraoral try-in.
Fig. 2d: The crown was placed on a die model made of IPS Natural Die
material to simulate the natural abutment and final characterizations
were applied using the staining technique and IPS Ivocolor materials.
Fig. 2e: The completed restoration was checked on the plaster model one
more time.
[21] =>
[22] =>
22
INDUSTRY
Dental Tribune Middle East & Africa Edition | 2/2020
◊Page 20
- Speed sintering and efficient finishing procedures enabled the laboratory to deliver the restorations on the
dot. In addition, the high accuracy
of fit minimized the need for subsequent adjustments by grinding.
References
1. Typical mean value of biaxial flexural strength, R&D Ivoclar Vivadent
AG, Schaan, Liechtenstein
Conclusion
Fig. 2f: Self-adhesive cementation can be achieved with materials
such as SpeedCEM Plus.
opacity in the dentin portion, it can
be expected that any discoloured
tooth structure would be reliably
concealed, even in restorations involving thin wall thicknesses.
- In addition to the monolithic
Fig. 2g: Full contour and stained, the IPS e.max ZirCAD Prime
crown delivered an impressive result.
technique, veneering and cut-back
techniques can be used to process
the material in lab fabricated restorations. Customized and highly
esthetic results can also be achieved
by characterizing the surfaces of the
restorations using the staining technique and IPS Ivocolor. The staining
technique is ideal for cases in which
function-related ceramic chipping
cannot be ruled out or veneering is
not possible due to a lack of space.
As esthetic as lithium disilicate and
as strong as zirconium oxide - IPS
e.max ZirCAD is a material that combines the best of two materials in
one. The material stands out from
comparable products on the market
due to its innovative process technology (GT) and seemingly small but
decisive details. The material passed
its acid test with flying colours - this
progressive all-ceramic solution
matches our high expectations perfectly.
For more information contact:
Ivoclar Vivadent AG
Bendererstrasse 2
9494 Schaan/Liechtenstein
Tel.: +423 235 35 35
Fax: +423 235 33 60
E-mail: info@ivoclarvivadent.com
Web:www.ivoclarvivadent.com
Combi touch:
The all in one in prophylaxis
By Mectron S.P.A.
The greatest advantage is the ability
to manage the use of both powders
on the same patient with a simple
click. Furthermore, it is not necessary
to change the air-polishing handpiece. Instead, simply insert any one
of the 3 available spray nozzles with
different orientation (120°, PERIO
and the optional 90°), combi touch
technology made it possible for the
operator to decontaminate the oral
cavity in an effective manner, with
the advantage of being able to work
in an ergonomic fashion, easily
reaching all necessary sites.
The combi touch combines ultrasound and air-polishing in one unit
to provide a complete prophylaxis
treatment from removal of supragingival and subgingival calculus to
gentle removal of stain and biofilm
and even implant cleaning.
Thanks to the ergonomic touch panel, allows to control every function as
fast and intuitive as never before and
at the same time clean and disinfect
the device in literally no time.
© Mectron S.P.A.
The ultrasound unit, thanks to its
“SOFT MODE” function, allows for ultra-gentle scaling, which reduces the
insert's oscillation amplitude, rendering its motion compatible with
even the most sensitive of patients.
While also guaranteeing optimal
performance with prosthetics and
extractions treatments thanks to the
“pulse mode” function transforming
the ultrasound oscillation to a new
profile. The air-polishing unit allows
for the use of different types of powder (supra or subgingival), depending on the desired treatment type.
The greatest advantage for the operator, therefore, is that the technology provides a complete set of tools
for effective, fast and minimally
invasive Non Surgical Periodontal
Therapy, even in periodontal pockets deeper than 5 mm, thanks to the
dedicated subgingival perio tips simply attached to the perio nozzle. Soft,
flexible, and anatomically adjustable
to the periodontal pocket, this tip
gentle removes bacterial biofilms
from the periodontal and peri-implant pockets.
This combined technique allows the
operator to obtain an excellent clinical result, with an advantage in the
timing of the procedure much appreciated by patients.
Device maintenance is fast and simple, thanks to containers that can be
removed without having to switch
off the device, and an exclusive anti-clogging system for the powder.
What's more, it can either be hooked
up to the office’s regular water system or used with a 500-ml external
bottle.
For more information contact:
Mectron S.P.A.
Via Loreto, 15/A
16042 Carasco (GE) – Italy
Tel.: +30 0185 35361
E-mail: mectron@mectron.com
Web: www.mectron.com
Web: www.we-love-prophylaxis.com
AD
Kaltpolymerisierendes provisorisches Kronenund Brückenmaterial, Paste-Paste-System
Self-curing calcium hydroxide paste system
• For indirect pulp capping and linings
under dental filling materials
• Sufficient working-time and a short setting
time in the mouth
• Contains 26% calcium hydroxide
• Recovering of the pulp - Preservation of vitalit
• Bacteriostatic and antimicrobic due to a high pH-value
• Highly radiopaque for a good diagnostic control
Material provisório polimerizável a frio
para coroas e pontes, sistema pasta-pasta
50 ml cartridge / mixing tips
Made in Germany
0482
Temporary crown & bridge material
• Less than 5 min. processing time
• Strong functional load
• Perfect long-term aesthetics
• Excellent biocompatibility
Glass ionomer filling material
• Variable mixing time for adjustment of consistency
• Modulation is possible right after insertion
• Perfect marginal adaption
• High compressive strength and abrasion resistance
• Easy activation without the need of an activator
• Perfect for smaller cavities and difficult to reach areas
Visit www.promedica.de to see all our products
Dental Material GmbH
24537 Neumünster / Germany
Tel.
+49 43 21 / 5 41 73
Fax
+49 43 21 / 5 19 08
eMail
info@promedica.de
Internet www.promedica.de
[23] =>
→ THE FUTURE OF BONE SURGERY
PIEZOSURGERY® white
→ best cutting efficiency and
maximum intraoperative control
→ perfect ergonomics
→ over 90 inserts specifically
designed for a wide variety
of clinical applications
→ www.mectron.com
[24] =>
24
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 2/2020
Direct bonding in the smile frame
Merging new technologies and human touch for the best
By Dr Didier Dietschi, Switzerland
Introduction
Restorative dentistry has entered a
phase of deep conceptual rupture,
demarcating two camps, the traditional one, pursuing the convention
of human-conceived and fabricated
restorations, and the modern one,
celebrating new technologies in all
aspects and steps of a restorative
treatment and limiting tremendously the manual contribution of
the dentist. However, even the most
enthusiastic, modern professionals
recognize that no technology can
equate to the excellence and perfection of a powerful brain and agile
hands acting in synergy, while the
most conservative ones also admit
that digital dentistry has the potential to elevate the level of mass dentistry. What is the most reasonable
attitude? Probably a position in between the extremes. Freehand direct
bonding can then be looked at from
different perspectives as well: it will
soon be abandoned and replaced by
either CAD/CAM and 3-D printed
restorations, or on the contrary, even
further developed, using some new
digital technologies to improve its
outcome and practicality, fueled
worldwide by a slowing economy
and the quest for an ultraconservative treatment approach. The latter
vision is from far the most realistic
one, as many restorations cannot be
approached simply by new technologies owing to the limits of the cavity or restorative geometries and the
irrational complexity, preparation
imperatives or technology immaturity of CAD/CAM and 3-D printing
systems if applied unrestrictedly.
This report aims then to discuss and
illustrate current and future indications and application protocols of
direct bonding, as a way to bridge
classical and modern dentistry.
Overall considerations and
indications for direct bonding
The use of composite is likely to
continue, probably even develop, in
the forthcoming decade. Actually,
no foreseen new technology seems
able to allow soon the intraoral
fabrication of highly esthetic and
strong restorations in a simple, efficient and cost-effective way. In the
case of extraoral fabrication, tapered
cavities or at least different cavity
designs are required, generating as
well undesired complications and
costs. Keeping this in mind, direct
composite application has unique
advantages in the following precise
indications (Figs. 1a–e):1, 2 –Class III–
V restorations; ––form corrections
(tooth shape; proportions and dimensions);
–– esthetic enhancements in young
patients;
–– diastema and black triangle closure;
–– veneering of anterior and lateral
teeth (if limited discoloration);
–– interceptive approach to tooth
wear.
The advantages of a direct approach
are multifold, including tissue conservation, use in young patients
(aiming for treatment reversibility),
reduced execution time and lower
cost (as opposed to indirect or CAD/
CAM restorations), providing also
satisfactory longevity.3, 4 Conversely,
some limits exist, related to the
practitioner’s experience, composite
shading and layering concept (some
systems are still overcomplicated
and unreliable in terms of esthetic/
shade outcome) and application of
detailed protocols, although the last
point or shortcoming is truly a relative one. The use of direct techniques
has only few limits in terms of extent,
namely nonvital teeth or very large
carious lesions, for which crowns or
extended bonded porcelain restorations are usually preferred. Likely
in-between indications for direct
or indirect solutions – some cases
lie within a gray zone – are resolved
mainly according to the operator’s
preference rather than any other
strong rationale (Figs. 2a–s).
Fig. 1a: Pretreatment of a 14-year-old patient after a sport trauma having resulted in major fractures of both maxillary central
incisors, repaired in an emergency department in a public hospital.
Fig. 1b: Intraoperative view showing the application of an effect
shade (Ice, inspiro) to emulate hypocalcifications. This effect is
placed directly over the dentin buildup.
Fig. 1c
Fig. 1d
Shading and layering concept
Overall, layering concepts evolved
from a primitive approach to emulating natural dental anatomy and
optical properties to more reliable
protocols for matching tooth color
and its many dimensions.5-7
Actually, color integration as perceived by patients implies correct
hue, opacity, opalescence and fluorescence regarding optical determinants and surface gloss and light
reflection (mainly related to the
restorative microanatomy). An optimal result in terms of esthetic integration is feasible today, although
it will rarely be achieved without
proper material choice and an appropriate layering approach and application, which are largely productspecific.7
We normally classify composite
systems in relation to the number
of recommended layers, as well as
some selected optical properties,
which allow for finer differentiation
among brands. In parallel, filler technology has considerably evolved,
aiming to offer the practitioner
various options, such as universal
materials (superfine hybrids or homogeneous nanohybrids), which
can be used for both posterior restorations, owing to their excellent mechanical properties, wear resistance
and esthetics, or specific composite
formulations (spherical or mixedfiller composites) aimed to be used
mainly in anterior teeth owing to
lower mechanical performance. Our
preference today is toward universal
composites as far as material technology is concerned and a bilaminar
application approach, considered
simple, reliable and highly esthetic.
The use of the natural tooth as a
model has been then a logical evolution of direct restorative materials,
leading to an improved shading and
layering concept, the natural layering concept (NLC), logically named
“An optimal result in terms of esthetic
integration is feasible today,
although it will rarely be achieved without proper
material choice and an appropriate
layering approach and application, which are
largely product-specific”
Fig. 1e
(c-e): Post-treatment view showing better smile harmony with proper tooth dimensions and proportions, which would facilitate the
scheduled orthodontic treatment as well.
after nature’s original model and
source of inspiration.8, 9 It resulted
from a comprehensive study of natural dentin and enamel optical properties, recognizing the variations in
tissue quality related to tooth age
and functional maturing. Related
findings have logically drawn the
lines of this new concept (Fig. 3).6, 7,
Spectrophotometric measurements
(tristimulus L*a*b* color and opacity
values) of natural teeth belonging to
various VITA shade groups led to the
conclusion that the use of distinct
dentin colors for a direct composite
restorative system could be avoided,
provided that enamels would offer
not only different value/opacity levels but also different tints. Likewise,
limited natural dentin opacity within a given chroma level variation did
not support the use of different dentin opacities (i.e., translucent, regular
or opaque dentins).6, 7, 9
Then, a new concept was born, allowing the emulation of practically
all of the VITA shades by using an
appropriate combination of universal dentin shades of a single opacity
level and presenting a wide chroma
range that extends beyond VITA
classical shades and multi-tint/
multi-translucency enamels (typical brands named after their development period: Miris and Miris 2
[COLTENE], ceram.X duo [Dentsply
Sirona], Enamel Plus HFO and HRi
[Micerium], and inspiro [Edelweiss
DR]).
Specific characteristics
of NLC dentins and enamels
In summary, in an NLC composite system, the specific material
optical properties for dentin are a
single hue, a single opacity and an
extended chroma range (Fig. 3). For
enamel, three specific enamel types
are needed: to mimic young enamel:
white tint and reduced translucency;
adult enamel: neutral tint and intermediate translucency; and elderly
enamel: yellow tint and higher trans-
lucency, maintaining a natural opalescence among the three aforementioned basic enamel types. Various
levels of translucency complete the
different tints, forming then a multitint/multi-translucency system that
emulates most natural enamel variations.
Effect shades
For teeth with richer color composition (strong opalescent halo, noticeable dentin mamelons, enamel
opacities, etc.), special effect shades
produced in a flowable consistency
are available in some NLS systems to
surpass esthetic boundaries (typical
brand: inspiro).
Case presentation
A patient, aged 16, presented with an
esthetic complaint, after orthodontic
closure of spaces owing to missing
lateral incisors. The functional and
ÿPage 26
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26
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 2/2020
◊Page 24
Fig. 2a
Fig. 2b
Fig. 2c
Fig. 2d
Fig. 2e
Fig. 2f
Fig. 2g
Fig. 2h
Fig. 2i
Fig. 2j
Fig. 2k
Fig. 2l
Fig. 2m
Fig. 2n
Fig. 2o
Fig. 2p
Fig. 2q
Fig. 2r
Fig. 2s
Fig. 3
Figs. 2a & b: Pretreatment smile showing major esthetic discrepancies. The space distribution was insufficient to allow for satisfactory forms and proportions to be obtained with restorations.
Figs. 2c–f:
(c–e): Intraoral status confirming that existing tooth positions and dimensions were incorrect. Former orthodontic treatment had failed to provide the necessary conditions for the final restorative phase.
(f): An esthetic template was placed over the frontal smile photograph to confirm the aforementioned observations.
Fig. 2g: Better distribution of space and tooth position was achieved by orthodontic correction using transparent aligners.
Figs. 2h & i: A 2-D template (balanced tooth form and smile configuration) was used to confirm the desired smile configuration. This simple digital simulation helps both the patient and practitioner to confirm the extent and
outcome of planned restorations.
Figs. 2j–m: Form corrections and change in tooth dimensions and proportions was performed with a no-preparation approach, using composite bonded directly on enamel after sandblasting as the only pretreatment for
optimal adhesion.
Fig. 2n: The selected composite masses are shown: Bi2 = dentin shade; SW = Skin White enamel; A = Azur effect shade: blue opalescent; I = Ice effect shade: whitish, opaque (all shades from the inspiro system).
Fig. 2o: Post-treatment smile showing improved harmony and configuration.
Fig. 2p: Lateral view of the smile with soft inconspicuous integration of the composite restorations.
Figs. 2q–s: Views at 1.5 years post-treatment showing optimal behavior of the direct composite restorations. This treatment can be considered an optimal treatment option for young patients owing to the possibility of
further corrections, tissue conservation, cost-effectiveness and esthetics.
Fig. 3: Modern composite systems show a clear simplification of the shading concept, and improved practicability; a proper shade guide is a crucial tool to achieve optimal color integration of the future restoration. Example of
a bilaminar shade guide (inspiro), which allows individual selection of dentin and enamel shades, emulating the natural disposition and thickness of dentin and enamel
esthetic analysis revealed improper
distribution of teeth and extra space
(Figs. 2a & b). A more detailed analysis of the smile showed excessive
space distal to the maxillary right
lateral and mesial to the maxillary
left one, associated with an excessive diastema between both central
incisors.
The simulation of space closure with
restorations confirmed the need
for orthodontic correction; it was
decided to use the Invisalign system (Align Technology; Figs. 2c–f) to
achieve a better pre-restorative configuration. After better space distribution was obtained (Fig. 2g), a new
analysis was performed to assess the
potential esthetic outcome of smile
enhancement using direct bonding
and a no-preparation approach (Figs.
2h–i). The improved, post-Invisalign
configuration confirmed the possibility of obtaining a satisfactory result, although the mesial movement
of the four incisors did not allow the
possibility of eliminating some remaining excess space.
The preparation of surfaces was
limited to sandblasting, after rubber
dam placement, as a unique procedure prior to adhesive procedures.
Sectional matrices were used to close
the diastemas (Adapt system, KerrHawe), the curvatures of which help
in recreating the natural convexity
of proximal surfaces. The NLC of a
bilaminar buildup approach was
applied (Figs. 2j–m) with one dentin
(Body i2, inspiro) and one enamel
(Skin White, inspiro) shade. Small additional increments of effect shades
(Azur and Ice, inspiro) were applied
to emulate chromatic details and
enhance the opalescence halo at the
incisal edge. Finishing and polishing were performed using conventional discs and fine diamond burs
(40 μ) for primary anatomy and a
combination of two silicone instruments for polishing and high gloss
(Identoflex Minipoint and HiLuster,
KerrHawe; Figs. 2n–p).
The 1.5-year post-treatment examination (Figs. 2q–s) revealed the satisfactory behavior of the restorations,
with absolutely no form or surface
alteration, as well as healthy soft tissue and no marginal discoloration.
These findings supported the treatment option selected.
Conclusion
As said, the freehand application
of composite is to remain and even
likely to further develop, and we do
not foresee new techniques challenging the simplicity and efficiency
of direct composites. Actually, on
one hand, 3-D intraoral printing of
composite restorations with a high
filler load seems unlikely to happen
soon owing to the viscosity of such
material, while on the other hand,
extraoral fabrication would require
a tapered cavity design with a significant, nonconservative alteration.
In short, there is not any technology
that can replace direct composites
yet. Having said that, achieving optimal forms, smile configuration
and color is not so simple, and improved clinical protocols are needed
to obtain highly esthetic results
with direct bonding in a predictable
manner. This is where existing technologies can make a significant contribution in the form first of digital
diagnostics (digital smile design)10
and 3-D printed mock-ups to support
treatment planning, constrain clinical difficulties and, therefore expand
successful use of direct bonding. The
next milestone in treatment reliability is the use of a highly effective and
simple layering approach such as the
NLC. The last two improvements in
direct bonding application are keys
to success for the modern practitioner, specialist or not.
Editorial note
About the author
A list of references is available from
the publisher.
Dr Didier Dietschi, Switzerland
Dr. Didier Dietschi received his DDM in
1984, his MD in 1989, his PhD in 2003
and his habilitation qualification (postdoctoral) in 2004, all from the University
of Geneva, Switzerland. He is currently a
senior lecturer at the university and an associate professor at Case Western Reserve
University in Cleveland, Ohio, U.S. Dr.
Dietschi is in charge of anterior adhesive
restorations and periodontal and implant
surgery at the Geneva Smile Center.
This article was first published in the
Clinical MastersTM Magazine, Volume 5, Issue 2019.
[27] =>
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Partners
Call/WhatsApp: +971528423659 | www.cappmea.com/diplomas
[28] =>
28
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 2/2020
Clinical conduct for restoration of
non-carious cervical lesions – Case report
By Dr. Raphael Monte Alto, Dra.
Madelaine Torres da Silva, Dra.
Amanda Vaz dos Reis, Dr. Gustavo
Oliveira dos Santos, Portugal
Non-carious cervical lesions (NCCL)
are characterized by loss of dental
structure near the cementoenamel
junction, which may extend to the
coronary and radicular portion,
and by an association with dentin
hypersensitivity and gingival reces-
sion. NCCLs are not related to caries
and their etiology is multifactorial, including both endogenous and
exogenous factors related to the
processes of biocorrosion, tension
and friction. NCCLs mainly affect
the vestibular surface of the molars
and premolars and are frequently
observed in clinical practice. This
report aims to describe the case of
a 45-year-old male patient identified as ALMM and treated in the
Fig. 1: Initial appearance of NCCL (frontal view)
integrated clinic of the Faculty of
Dentistry of Universidade Federal
Fluminense with a main complaint
of dental wear.
Clinical examination revealed NCCL
and gingival recession in elements
11, 12, 13, 14, 15, 16, 33, 34 and 35, with
no complaint of dentin hypersensitivity. Rehabilitation treatment
through NCCL restorations using
composite resin was proposed,
starting with anterior teeth; then,
rehabilitation with removable partial dentures was performed. The
patient will be followed up and
there will be a thorough investigation to control the etiological factors
involved, thus enabling treatment
success.
This case was realized at UFF (Universidade Federal Fluminense) with
the following Team:
Dr. Raphael Monte Alto
Dra. Madelaine Torres da Silva
Dra. Amanda Vaz dos Reis
Dr. Gustavo Oliveira dos Santos
For further information, please contact:
Coltène/Whaledent AG
Feldwiesenstrasse 20
9450 Altstätten SG
Switzerland
Fig. 2: Initial appearance of NCCL (proximal view)
Fig. 3: Absolute isolation performed
Fig. 4: Long diamond tip FF bevel on cervical enamel
Fig. 5: Long diamond tip FF bevel on cervical enamel
Fig. 6: Long diamond tip FF bevel on cervical enamel
Fig. 7: Long diamond tip FF bevel on cervical enamel
Fig. 8: Prophylaxis with pumice and water
Fig. 9: Selective enamel acid etching (acid application for 30 seconds)
Fig. 10: Rinse with water for at least 30 seconds
Fig. 11: Appearance of the enamel after acid etching
ÿPage 29
[29] =>
[30] =>
30
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
◊Page 28
Fig. 12: Active application of ONE COAT 7 UNIVERSAL adhesive on
dentin and enamel
Fig. 13: Active application of ONE COAT 7 UNIVERSAL adhesive on
dentin and enamel
Fig. 14: Active application of ONE COAT 7 UNIVERSAL adhesive on
dentin and enamel
Fig. 15: Photopolymerization of the adhesive
Fig. 16: Measuring the depth of the lesion. Lesions up to 2 mm deep can
be restored with a single increment
Fig. 17: Composite resin is selected (BRILLANT EverGlow – COLTENE)
Fig. 18: Application of composite resin
Fig. 19: Application of composite resin
Fig. 20: Application of composite resin
Fig. 21: Application of composite resin
Fig. 22: Removal of excess material using No. 12 scalpel blade
Fig. 23: Appearance after removal of absolute isolation
Fig. 24: Polishing of the cervical margin using flame tips.
(DIATECH System – COLTENE)
Fig. 25: Initial finish with lilac spiral
(DIATECH Shapeguard – COLTENE)
Fig. 26: Initial finish with lilac spiral
(DIATECH Shapeguard – COLTENE)
Fig. 27: Final polishing with blue spiral
(DIATECH Shapeguard COLTENE)
Fig. 25: Initial finish with lilac spiral
(DIATECH Shapeguard – COLTENE)
Fig. 26: Initial finish with lilac spiral
(DIATECH Shapeguard – COLTENE)
[31] =>
31
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
The importance of going slow
By Dr Miguel Stanley
For the longest time, I have been
talking about how important it is to
practise Slow Dentistry. Never before
has it made more sense to take the
appropriate amount of time to correctly disinfect your hands and properly disinfect the treatment room
in between patients. In my practice,
this has been standard protocol for
over 20 years. What it really means
behind the scenes is that, as a rule, we
never see more than one patient per
hour per dental chair and we properly disinfect the treatment room in
between patients.
To be clear, I am not saying a dentist
cannot see 30 patients a day; you can
see as many patients a day as you
can. If you can perform your treatment with quality quickly and safely,
that is fine. What cannot happen is
a fast turnaround time in between
patients. All clinics must invest a
minimum of 10 minutes in between
appointments to properly disinfect
all surfaces.
will eventually create a marketplace
that is solely focused on giving people what they appear to want: cheap
dentistry.
We must start taking this very
seriously!
A recent article in the New York
Times showed how dentists are
among the professionals that are
at the highest risk of contracting
SARS-CoV-2. This also means we can
spread it to patients. So why should
we be taking any further risks in the
future with public health? It is time
to go slow.
A few months ago in London, we
held the very first Slow Dentistry
meeting. A major concern raised by
some of the attendees was that the
average appointment time on the
National Health Service was 15 minutes. In my opinion, this is a health
risk and certainly not conducive to
high-quality dentistry. Dentists are
faced with the difficult dilemma of
surviving financially and providing
for their families, or ensuring public
health. No one should have to make
that decision. But the truth is that
most clinics, corporate dental practices and dental support organisa-
tion business models would collapse
if they started practising Slow Dentistry. They simply could not afford
to invest the appropriate amount of
time in between patients. This means
that many business models for dental provision practised around the
world today choose profit over safety. This is simply a fact. I predict that
in a few months after this pandemic
passes, and it will, people will change
the way they choose a dental clinic.
Cost will become secondary to
safety
It has always been the goal of Slow
Dentistry to endorse dentists and
clinics that go the extra mile to protect their patients and we make it a
point to follow the ten steps to fight
cross contamination.
The world will be different after this.
What are you going to do to change
with it? Email enquiries@slowdentistry.com to learn how you can join
our global network and help to collectively shift the paradigm.
For more information:
www.slowdentistry.com
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Complex anterior cases, simplified.
Now if you are managing a practice,
it is legitimate to accept that one of
your primary objectives is financial
profit. It is normal and healthy in
any business. The problem is, where
do you draw the line between risking your health and the health of
those around you in order to make
a profit?
We are all now paying far more attention to the importance of properly disinfecting all surfaces. Like
recently reported in an article, the
recent global pandemic due to the
SARS-CoV-2 virus has raised awareness of the problem of cross-contamination by viral particles on surfaces
and fabrics and how these pathogens
can stay active for a long period.
Obviously my medical training at
university taught me the importance of properly tackling this problem, so when I started managing my
own practice, I was presented with
one simple choice: to see many patients a day to make more profit, at
the risk of cross-contamination, or
to reduce the number of patients
and invest correctly in gold standard
disinfection protocols, even if that
meant less in the register at the end
of a workday. Obviously I chose the
latter, and it has been standard practice in my universe for my entire
career. This means that, at the end of
the year, my financial figures might
not be as positive as a potential investor would like to see, but I am almost certain that there if was some
kind of reward for reducing drastically the risk of cross-contamination
between patients we would be at the
top of the candidate list. If only we
could bank ethics!
Only now are we understanding the
importance of these little details,
which actually cost my company
quite a lot to perform. The time invested behind the scenes is never rewarded and nobody ever asks for it.
We simply do it because of the ethical understanding that it is our duty
to do no harm.
Patients too have a role to play here.
They will call the practice and ask
about the price of tooth cleaning, for
example. They will not ask how the
procedure is performed, how many
people will perform it, or what technology is used. They very rarely will
ask about the disinfection protocols
employed. They simply ask for price.
Obviously, if patients keep on asking that question long enough, they
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[32] =>
32
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
Eight ways to keep your dental practice
safer during COVID-19 crisis
By CURADEN
KRIENS, Switzerland: During the
ongoing COVID-19 crisis, the dental
profession forms one of the most
threatened groups. Close contact
with patients, exposure to bodily
fluids and the handling of sharp instruments all increase the risk of infection. So what can you do to keep
yourself, your dental practice and
your patients safe? We have compiled a list of procedures that you can
implement in order to contribute to
fighting any epidemic, not only the
COVID-19 one, in your dental office.
While thorough handwashing and
social distancing may be sufficient
for the general populace, for dental
practitioners, it is necessary to take
far more complex precautions. This
is because of the three principal
modes of virus spread, all of which
are relevant to the dental practice:
– airborne spread—owing to exposure to bodily fluids and generated droplets and aerosol;
– contact spread—owing to contact with bodily fluids, patient
materials, contaminated dental
instruments and environmental
surfaces; and
– contaminated surface spread—
since coronaviruses can persist on
various surfaces for a prolonged
time and could contaminate your
whole dental office.
A recent study published in the International Journal of Oral Science
has investigated the ways in which
you can contribute to preventing
infection in your dental practice and
protect yourself, your staff and your
patients from unnecessary viral contamination. These are the most important tips:
Evaluate your patients
The first step is identifying suspected cases of COVID-19 in order to
avoid extended contact with a potentially infected patient. Screening
your patients using a prepared questionnaire and taking adequate steps
based on the results and the patient’s
body temperature can go a long way.
First of all, the body temperature
of the patient should be measured.
It is strongly recommended that a
contact-free forehead thermometer
is used for this.
The following set of screening questions can help identify potential infection:
1. Do you have a fever or have you
experienced a fever within the
past 14 days?
2. Have you experienced a recent
onset of respiratory problems,
such as a cough or difficulty in
breathing, within the past 14 days?
3. Have you, within the past 14
days, travelled to areas with documented 2019-nCoV transmission?
4. Have you come into contact
with a patient with confirmed
2019-nCoV infection within the
past 14 days?
5. Have you come into contact
with people who come from areas
with recent documented fever or
respiratory problems within the
past 14 days?
6. Are there at least two people
with documented experience
of fever or respiratory problems
within the last 14 days, having had
close contact with you?
7. Have you recently participated
in any gathering, meetings, or had
close contact with many unacquainted people?
After the screening questionnaire:
– If the patient replies yes to any
of the screening questions, and his
or her body temperature is below
37.3°C, you can postpone the treatment until 14 days after the exposure event.
– If the patient replies yes to any
of the screening questions, and his
or her body temperature is 37.3°C
or higher, the patient should be
immediately quarantined, and
you should report the case to the
infection control department of
the hospital or the local health department.
– If the patient replies no to all
the screening questions, and his
or her body temperature is below
37.3°C, you can treat the patient
with extra protection measures
and do your best to avoid spatter
or aerosol-generating procedures.
–Finally, if the patient replies no to
all the screening questions, but his
or her body temperature is 37.3°C
or higher, the patient should be directed to the fever clinic or special
COVID-19 clinic for further medical care.
Reinforce your hand hygiene
Although appropriate hand hygiene
should already be a routine prerequisite, further reinforcement can help
mitigate the risk of viral spread.
The study recommends following
the two-before and three-after hand
hygiene guidelines for dental professionals:
– before patient examination;
– before dental procedures;
– after touching the patient;
– after touching the surroundings
and equipment that have not been
disinfected; and
– after touching the oral mucosa,
damaged skin or a wound, blood,
bodily fluid, secretion or excreta.
Moreover, all staff should take extra care to avoid touching their own
eyes, mouths and noses.
Take personal protective
measures
Since airborne droplets are considered to be the main route of infection spread, three-level protective
measures are recommended:
– Standard protection for staff in
clinical settings: Disposable working caps, surgical masks and working clothes (white coat), protective
goggles or face shields, and disposable latex or nitrile gloves.
– Advanced protection for dental
professionals: Additional disposable isolation clothing or surgical
clothes over working clothes in addition to standard protection.
– Strengthened protection for being in contact with patients with
suspected or confirmed COVID-19:
If this does occur, and you cannot
avoid close contact, special protective outerwear is needed. If not
available, working clothes with ex-
tra disposable protective clothing
over them and impermeable shoe
coverings should be added to what
has already been listed.
Consider a mouth rinse before
dental procedures
Since SARS-CoV-2 is vulnerable to oxidation, preprocedural mouthrinse
containing oxidative agents such as
1% hydrogen peroxide or 0.2% povidone-iodine is recommended for the
purpose of reducing the salivary load
of oral microbes, including potential
SARS-CoV-2 carriage. (Note that chlorhexidine, most commonly used as
mouthrinse, may not be effective at
killing SARS-CoV-2.)
Furthermore, recent studies show
that
cyclodextrins—broad-spectrum antivirals—show promise for
combating viruses. A preprocedural
mouthrinse would therefore be
most useful in cases when a dental
dam cannot be used.
Use dental dam isolation
when possible
The use of dental dams can significantly minimise the production of
saliva- and blood-contaminated
aerosol or spatter, particularly when
high-speed handpieces and dental
ultrasonic devices are used. The use
of a dental dam could reduce airborne particles by 70% within a 1 m
radius of the operational field. This
benefit is especially valuable now.
When a dental dam is applied, additional high-volume suction should
be used (for aerosol and spatter) during the procedures along with regular suction. If dental dam isolation is
not possible, manual devices, such as
CariSolv and a hand scaler, are recommended for caries removal and
periodontal scaling, in order to minimise the generation of aerosol as
much as possible.
Employ anti-retraction
handpieces
A high-speed dental handpiece with
no anti-retraction valves may suck
in and expel debris and fluids. Microbes may further contaminate the
air and water tubes within the dental unit and thus potentially cause
cross-infection as well.
Compared with that, anti-retraction
high-speed dental handpieces can
significantly reduce the backflow
of oral bacteria and viruses into the
tubes of the dental unit. As a result,
it is strongly recommended that
dental handpieces without an antiretraction function should not be
used at this time and that, as an extra preventive measure, only antiretraction dental handpieces should
be used.
Disinfect the clinic environment
While you might be doing your best
within your dental clinic, others
might not. Therefore, you should
take effective and strict disinfection
measures in both your clinic settings
and public areas. The clinic should be
cleaned and disinfected regularly in
accordance with available safety protocols, as should the public areas and
appliances, including door handles,
chairs, desks and lifts.
Manage your medical
waste properly
Remember to dispose of your medical waste, including disposable protective equipment, timeously. Mark
the surface of the bags and handle
them according to the requirements
for the management of medical
waste. Also keep in mind that the
waste generated by the treatment
of patients with suspected or confirmed COVID-19 is regarded as infectious medical waste.
Reusable instruments and items
should be properly pretreated,
cleaned, sterilised and stored in accordance with your local protocols.
While none of these precautions
can prevent or resolve COVID-19 on
their own, all of them can contribute
to keeping your dental practice and
staff and patients safer and healthier—whether there is an ongoing viral epidemic or not.
[33] =>
33
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
Expert reports on COVID-19 situation in
dental clinic in Wuhan
dure arising, Bian recommended the
use of dental dams and high-volume
saliva ejectors. Since intra-oral radiography stimulates saliva secretion
and coughing, he said it should be
replaced by extra-oral radiography.
In an online presentation, Prof. Zhuan Bian explained how his clinic in Wuhan in China
had reacted to the outbreak of the SARS-CoV-2 pandemic.
(Image: German Association of Oral Implantology)
“Our dental community is especially
worried about aerosols. Aerosols
containing the virus would be very
dangerous. So far, I have not found
any evidence in the literature that
aerosols containing the virus have
affected people. Of course, I have no
evidence to deny that, either. So, this
makes it very complex. In case aerosols contained the virus, we put off
our air conditioner so that it did not
spread air from one room to another,
and in our emergency department,
we sterilised the air twice a day,” said
Bian in the discussion after the presentation.
In answering the question of whether any specific mouthwash might
be more effective in killing off SARSCoV-2 than another, Bian replied: “So
far, we do not have any data about
which rinse is better, but I think a
rinse will dilute the possible concentration of the virus in the oral cavity.
So, it may be helpful, and we provide
our doctors with it.”
AD
By Franziska Beier, DTI
WUHAN, China: As dean of the
School and Hospital of Stomatology
of Wuhan University, Prof. Zhuan
Bian has had first-hand experience
of the working situation of dentists
and dental staff in the city of Wuhan,
the capital of Hubei province, where
SARS-CoV-2 reportedly first broke
out. In an online webinar, organised
by the German Association of Oral
Implantology, he described how the
COVID-19 pandemic had changed
the daily workflow of his team, and
he shared insights about the infection control procedures which he regarded as most important for dental
professionals.
Durable, cordless
performance
According to Bian’s presentation,
the first patient carrying the new
virus, officially named SARS-CoV-2
by the World Health Organization
(WHO) at the beginning of January,
was hospitalised in mid-December
2019. Owing to the rapidly increasing numbers of infected patients,
the National Health Commission of
the People’s Republic of China assigned COVID-19 to the category of
infectious diseases Group B on 20
January, which meant that heightened prevention measures were required for all health workers. Three
days later, the lockdown of Wuhan
city, which has more than 11 million
inhabitants, started, followed by the
institution of a policy that only dental emergency treatments were allowed to be performed. Private dental practices throughout China were
closed in accordance with the epidemiological situation in each area.
However, private practices outside of
Hubei province have now gradually
resumed their work.
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Protective measures against
COVID-19 for dental
professionals
To protect employees, the precautionary measures in Bian’s clinic
were increased. During treatments,
dental staff wore extensive protective clothing such as medical masks,
caps, gloves, goggles or face shields,
shoe covers up to the knee and surgical gowns. Procedures which generated spatter or aerosols had to be
avoided or at least minimised. In
case of the necessity for such a proce-
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Total Cordless Obturation Solution
ZKD B EN GSIQ ADV 000 / 01/18 – created 11/18
As reported by Bian, 3,000 healthcare workers, including dentists,
were infected in China by 25 February. He explained that dentists and
dental staff have a high risk of contracting SARS-CoV-2 owing to close
contact with their patients, possible
spatter of patients’ secretions, saliva
or blood, aerosols generated by highspeed handpieces and ultrasonic devices, and pathogenic microorganisms attached to the various dental
instruments.
ÿPage 34
The warm vertical solution
that flows together
Designed to work together, Gutta-Smart™ and Conform Fit™ Gutta-Percha feature
the same low-temperature flow characteristics and radiopacity for a total
warm vertical obturation solution.
Visit dentsplysirona.com/gutta-smart to learn more.
The Bluetooth® word mark and logos are registered trademarks owned by the Bluetooth SIG, Inc. and any use of such marks
by Dentsply Sirona Endodontics is under license. Other trademarks and trade names are those of their respective owners.
*The battery capacities of the Flow and Pack handpieces allow for them to be used up to five procedures per day on a single charge.
[34] =>
34
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
◊Page 33
The Dental South China International Expo 2020 has been postponed to a later date.
(Image: Dental South China International Expo)
Frequent evaluation of dental
staff and patients
The medical staff of the School and
Hospital of Stomatology of Wuhan
University are regularly examined
for COVID-19 symptoms and their
temperatures are measured. Anyone
who shows respiratory symptoms is
taken off the work shift for the time
being. The same applies if family
members of employees show such
symptoms. In addition, an emergency care work log of treatments has
been established in order to be able
A screenshot from Bian's presentation shows how protective measures in his clinic have been increased after the outbreak of
SARS-CoV-2. (Image: Zhuan Bian)
AD
to trace the transmission path in the
event of a SARS-CoV-2 infection.
Effective from 22 January, the Wuhan government released an official
statement which obliges management teams of all public places to
require all customers to wear masks
before entering. Therefore, patients
are instructed to wear mouth protection before their treatment and
afterwards. In addition, their temperatures are taken and their general
condition checked.
“It is almost impossible to distinguish between asymptomatic and
non-contagious patients. So protective equipment is very important,”
emphasised Bian.
Major dental events postponed
or cancelled
Just like in many other countries,
important dental shows have been
cancelled or postponed in China owing to the COVID-19 pandemic. As
reported by Dental Tribune International, the World Dental Congress,
which was scheduled to take place
in Shanghai from 1 to 4 September
and which is organised by FDI World
Dental Federation, has been called
off.
The Dental South China International Expo 2020, which is celebrating its
25th anniversary this year, has been
postponed to a later date. It was originally planned to take place from 2 to
5 March in Guangzhou.
Online education has never
been more important
Dr Michael Yu, editor-in-chief of Dental Tribune China, told Dental Tribune International that, even though
dental practices in more than 20
provinces had gradually resumed
their work in mid-March, many Chinese dentists had suffered financial
losses because they had been unable
to generate much income during
February and March.
He reported that online training
through Weibo, a social media platform, had become very popular
among dentists during their home
quarantine. A great deal of information had been provided by various
suppliers in training webinars. He
said that there had been more than
ten webinars on at the busiest time
every day, seven days a week.
By 6 April, there had been 83,005
reported cases of COVID-19 in China
and 3,340 associated deaths, according to the WHO.
[35] =>
[36] =>
36
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
SDR® is celebrating 10 years of advanced
bulk fill technology
By Dentsply Sirona
When Dentsply Sirona introduced
its new bulk fill flowable composite
in 2010, clinicians gained the ability
to place a full 4 millimeters of highly
flowable and self-leveling material,
greatly simplifying posterior restoration procedures.
The new SDR® material provided
seamless adaptation to cavity walls
for excellent marginal integrity
with no additional manipulation required. It also offered low shrinkage
stress with minimal risk of gap formation during light curing.
In 2020, Dentsply Sirona is happy
to celebrate the 10th anniversary of
SDR® materials — the global market
leader for bulk fill of posterior restorations.
The challenge of posterior restorations
Posterior Class II restorations account for 45 percent of all direct restorations.1
While esthetically less demanding, posterior restorations are often
challenging due to restricted access,
limited visibility, and in many cases
the large size of the cavity. Placing a
standard composite in these conditions can be difficult, as the material
must be adapted manually and layered in several increments to control
shrinkage stress.
lation that makes SDR® Plus material
the first flowable composite to allow
for bulk fill placement at a depth of 4
millimeters.
Behind the technology
SDR® Plus material has quickly become the most widely used bulk
fill flowable. It’s also the most researched and proven one, as shown
by several long-term clinical studies, flourishing support throughout
the dental community, and more
than 62 million clinical applications
worldwide.
SDR® technology incorporates
unique resins in an advanced formu-
In a six-year study, SDR® technology
SDR® introduced industry-leading
technology for bulk fill of cavities,
making Class II procedures significantly more efficient with no sacrifice to restoration longevity.
used in a bulk fill technique in conjunction
with a Dentsply Sirona universal composite showed long-term
survival rates equal to
restorations that used
a conventional layering technique. Investigators compared 38
Class II and 15 Class I
restorations using the
SDR® material bulk
fill technique against
the same number of
restorations using a
layering technique. They concluded
that the bulk fill technique is clinically safe and exceptionally durable,
with equivalent failure rates in both
groups (three Class II failures in each
group).2
The standard of care
Dentsply Sirona made bulk fill flowable composites possible, establishing
the bulk fill technique as a standard
of care for direct posterior restorations. For 10 years, SDR® has exemplified our mission of creating better,
faster, and safer dental care. We look
forward to another 10 years of continued and growing clinical success.
1. Data on file
2. van Dijken JWV, Pallesen U., 2017:
Bulk-filled posterior resin restorations based on stress-decreasing
resin technology: a randomized, controlled 6-year evaluation. Eur J Oral
Sci. 2017 Aug; 125(4):303-309.
Find out more by
scanning the QR code.
For more information about the full
Dentsply Sirona portfolio please contact
your local representative.
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0)4 523 0600
Web: www.dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
German Design Award 2020
for the SmartLite Pro
Outstanding design, unique functionality
By Dentsply Sirona
Esthetics meet high-tech: The SmartLite Pro, the new curing light from
Dentsply Sirona, has won the German Design Award 2020 for outstanding design quality. The prize
is awarded in the category Excellent
Product Design – Medical, Rehabilitation and Health Care.
Dentsply Sirona set new standards
with its SmartLite Pro, an innovation in light curing. The curing light,
which combines elegant design
and maximum efficiency, also impressed the jury of the German Design Award 2020.
"We are very pleased to have won
this prestigious award. It acknowledges our goal of always focusing on
our customers' needs for maximum
functionality and esthetics when
developing new products," says Michael Kleinhaus, Senior Global Brand
Manager.
Platform solution grows with
future technological innovations
The SmartLite Pro's lightweight and
finely balanced pen-style design
makes it unique. As a future-oriented platform solution, the curing light
grows with technological innovations. It can be upgraded at any time
with further attachments so that
dentists can continue to offer their
patients the best possible treatment
in the future.
Functionality is tailored in detail to
the requirements of daily practice
routines. A single button enables
easy and intuitive use of the SmartLite Pro. Four high-performance
LEDs ensure homogeneous light
distribution over the entire 10 mm
active curing area, even completely
covering fillings with a large horizontal extension. The additional Transillumination Tip detects interproximal caries or fractures with a focused
white light. It also illuminates endodontic access cavities. The stainless
steel and anodized aluminum housing provide robustness and durability.
Find out more by
scanning the QR code.
The award ceremony took place in
Frankfurt on February 7, 2020. The
German Design Award is one of the
most prestigious design competitions across the globe and has an excellent reputation far beyond professional circles.
The SmartLite Pro intro kit includes the curing light, a charging base with built-in radiometer, a Transillumination Tip,
and an extra battery.
Logo of the German Design Award 2020
Dentsply Sirona
21st Floor, The Bay Gate Tower
Business Bay, Al Sa’ada Street
Dubai, United Arab Emirates
Tel.: +971 (0)4 523 0600
Web: www.dentsplysirona.com/en
E-mail: MEA-Marketing@dentsplysirona.com
Performance at its most beautiful: The SmartLite
Pro curing light combines elegant design and
maximum efficiency.
[37] =>
37
NEWS
Dental Tribune Middle East & Africa Edition | 2/2020
Like soap for the patient’s mouth
— cyclodextrins are important
for future of oral care
By Dental Tribune International
During viral epidemics, dental offices face significant challenges. There
are requirements for meticulous
hygiene and virus spread prevention, and cyclodextrins in oral care
products could help dentists do their
jobs while keeping everyone healthy
and safe. While cyclodextrins are
not primarily meant for the prevention or cure of viral infections, in the
same way as soap does, they destroy
the membranes of viruses and make
them weaker.
In times of viral epidemics, the dental profession ranks as one of the
most vulnerable professions when
it comes to risk of viral infection. As
a result, dental offices need to take
exceptional precautions in order to
prevent virus transmission and ensure the health and safety of both
patients and staff. Oral care products
should contribute to these efforts
and make dental practices a healthier place altogether.
Using cyclodextrins as a broadspectrum antiviral is one of the ways
oral care products can help with the
prevention and treatment of viral
infections in dental offices. Although
it is not at all common today, more
and more oral care products could
include cyclodextrins in the future
in order to take advantage of their
virus-fighting properties, as well as
their other attributes.
What are cyclodextrins?
Cyclodextrins are substances commonly used in drug delivery as solubilisers, that is, media that help deliver drugs to where they are needed.
This includes, for example, antiviral
drugs that need to reach the mucous
membranes where viruses tend to
settle in and spread.
More importantly though, modified cyclodextrins act as effective
broad-spectrum antivirals. According to a recent study published in
Science Advances, a cyclodextrin
developed by researchers “exhibits
a broad-spectrum virucidal, irreversible mechanism of action, presents a
high barrier to viral resistance, and is
biocompatible”.
How does it work?
Cyclodextrins fight viruses through
sequestering the cholesterol from viral particles, causing lipid raft disruption. In other words, cyclodextrins
disturb the lipid membrane of the
virus, effectively defeating its activity and spread. Cyclodextrins can
also deplete cholesterol from host
cell membranes, rendering them less
susceptible to viral infection.
Applying cyclodextrins to the mucous membranes of the mouth can
therefore help prevent infection and
the spread of viruses in the mouth,
nose and throat. Prophylactic nasal
and throat sprays can be developed
to prevent viral transmission via the
respiratory route.
What does it mean for
the future of oral care?
At present, there are very few oral
care products on the market that
contain cyclodextrins. In order to
actively fight the spread of viral infections, cyclodextrins should be
included in future mouthwash and
rinse solutions as active agents.
This will not only help dental offices maintain higher standards of
viral safety, but also enable each and
every one of us to actively treat and
prevent infections through everyday gargles that are easy to use and
beneficial for the general health of
the mouth, throat and nose and thus
effectively the whole body.
prove the health of mucous membranes, they are not a primary
means of prevention or treatment of
viruses. Using cyclodextrin-containing mouthwashes is just a part of a
larger effort.
What else can I do to help
prevent infection in my dental
office?
There are many useful manuals that
describe what to do to protect yourself and your patients during viral
epidemics.
While cyclodextrins can help im-
Combating Coronavirus: Key Role of Cyclodextrins in Treatment and Prevention
AD
The Danube Private University: Studying where others go on holiday –
in the Wachau UNESCO World Heritage Cultural Landscape
© Thomas Eder
Do not miss out on the opportunity of
university-based continuing education
Master of Science in Oral Surgery/Implantology (MSc)
Academic Director: Prof. Dr. Dr. Ralf Gutwald
Master of Science in Orthodontics (MSc)
Academic Director: Prof. Dr. Dr. Dieter Müßig
The fields of implantology and oral surgery are important
elements of dental and oral medicine, and they support and
complement each other unequivocally in their understanding.
Implantology is thereby one of the major growth areas in
dentistry. No other field has developed as strongly, from a
diagnostic, therapeutic and scientific perspective, in recent
years. Other factors, such as demographic developments,
multimorbidity among older patients and the constantly
changing spectrum of medicine with new therapy possibilities,
also place new and increasingly greater demands on surgical
treatments. The needs of the patients should thereby not be
forgotten.
The high quality of our Master of Science in Orthodontics
(MSc) programme is known throughout the world, as can
be seen by the countless number of students coming from
abroad to attend our courses and complete the programme at
our university in English.
Despite the general trend towards specialization, the majority
of patients want holistic treatment from their family dentist.
It therefore goes without saying that the practice of today
should also offer implantology and oral surgery. Anyone who
has dealt with implantology and oral surgery, wants to expand
their intellectual and manual spectrum. One should not
immediately push oneself to one’s limits, but rather subject
oneself to a well-founded scientific learning process.
In addition to the predominant treatment of children and
adolescents practiced in orthodontics to this day, periodontaltherapeutic, functional-therapeutic, pre-prosthetic and
aesthetic treatments for adults also play a major role. New
treatment techniques and methods that meet the needs of
orthodontic treatments for adults are taught in great detail
and with a practical orientation. As a result, orthodontics
becomes a treatment method for (almost) all ages, thus
significantly expanding the area of activity for orthodontists
and making the orthodontic professional a valuable addition
to any practice.
The knowledge transfer of secure concepts and alternatives,
combined with manual skills, aims to enable the participants
of the Master of Science in Oral Surgery/Implantology
programme to also master the demands of successful implant
insertion and surgery in complicated situations and to also
handle complications with confidence. This university
course meets the modern and increasingly surgical demands.
Rise to the challenges of a modern society’s expectations
and qualify yourself for the future.
Recent programmes have included participants from, e.g. the
Netherlands, Poland, Switzerland, Austria, Greece, Egypt,
Libya, Dubai and Yemen. The current developments in the
field of orthodontics play an important role in the Master
of Science in Orthodontics (MSc) programme, which is
naturally also available in German.
For further information on our university-based Master of
Science continuing education programmes please contact:
PUSH Information Office Bonn,
Ms. Irene Streit (Mag.)
Tel .: +49 228 96 94 25 15
e-mail: streit@dp-uni.ac.at or info@dp-uni.ac.at
Danube Private University (DPU) - Faculty of Medicine/Dentistry
Steiner Landstraße 12, 3500 Krems-Stein, Austria
www.dp-uni.ac.at
[38] =>
[39] =>
[40] =>
» What drives me? Best
results. And Primescan
is my answer. «
Dr. Carlos Repullo, BDS, DipImpDent RCS (UK)
Primescan
Engineered for superior performance.
Innovation requires commitment to ambition: Primescan sets new standards in dental technology, making scanning
more accurate, faster and easier than ever. It is engineered to enable all kind of treatments, from single tooth to
full arch. Primescan produces highly accurate images and allows for fast scanning consolidating 50.000 images
per second. The new patented “High Frequency Contrast Analysis” delivers perfect sharpness and an outstanding
accuracy. With Primescan, intraoral scanning delivers excellent results like never before.
Enjoy the scan.
Learn more at: dentsplysirona.com/primescan
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/ The University Center for Dentistry in Basel
/ CEREC Primemill for a superior chairside CAD/CAM experience
/ What is the new generation of all-ceramics capable of doing?
/ Direct bonding in the smile frame
/ Clinical conduct for restoration of non-carious cervical lesions – Case report
/ The importance of going slow
/ Eight ways to keep your dental practice safer during COVID-19 crisis
/ Expert reports on COVID-19 situation in dental clinic in Wuhan
/ SDR® is celebrating 10 years of advanced bulk fill technology
/ Like soap for the patient’s mouth — cyclodextrins are important for future of oral care
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