"Clinical education is key to us. Providing dental professionals with essential knowledge is one of our main goals" / Transforming treatment for the better with digital dentistry / News / RESTORATIVE / News / Smile rejuvenation with Biosmart restoratives / News / Industry / The complete digital implant workflow / International News
"Clinical education is key to us. Providing dental professionals with essential knowledge is one of our main goals"
01 - 33 viewTransforming treatment for the better with digital dentistry
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14 - 18 viewSmile rejuvenation with Biosmart restoratives
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24 - 24 viewIndustry
26 - 26 viewThe complete digital implant workflow
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NL
Y
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NA
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SS
FE
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PR
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AL
DE
www.dental-tribune.me
Published in Dubai
January-February 2020 | No. 1, Vol. 10
ENDO TRIBUNE
LAB TRIBUNE
IMPLANT TRIBUNE
ORTHO TRIBUNE
HYGIENE TRIBUNE
Bioceramic dispersion
root filling
The gold standard: IPS e.max
Press – one material for virtually
all indications?!
3D digital dentistry imaging
helps to push boundaries
SureSmile learning app honored
with AXIS award for learning
technology
Dentaid – improving the
world’s oral health
ÿA1-2
ÿB1-2
ÿC1
ÿD1
ÿE1-2
"Clinical education is key to us. Providing dental
professionals with essential knowledge is one
of our main goals"
DENTAL TRIBUNE
By Dr. Dobrina Mollova
DUBAI, UAE: Dental Tribune MEA
had the pleasure to interview Don
Casey, CEO of Dentsply Sirona and
Walter Petersohn, CCO of Dentsply
Sirona during their visit to Dubai
recently. The interview took place at
the beautiful Dentsply Sirona office
in Business Bay which is equipped
fully to provide outstanding training
to dental professionals from around products and offering outstanding
The
World’s
Middle
training facilities to our
customers. East & Africa Edition
the Middle
East region. Dental Newspaper
Dr. Mollova - DTMEA: A warm welcome to the Middle East. Is this
your first-time visiting Dubai, particularly the Dentsply Sirona Office
– Middle East?
Don Casey: Yes, this is my first visit
to Dubai. The Dentsply Sirona office
here is beautiful, showcasing our
We really appreciate the partnership
that we have with CAPP in terms of
focusing on clinical education. It is
a team effort to help dental professionals practice with new equipment
in new ways.
u Page 31
Dentsply Sirona CEO, Don Casey (right) and CCO, Walter Petersohn (left).
AD
Transforming
treatment for the
better with digital
dentistry
By 3D Systems
Capabilities in dentistry have evolved
at an astonishing rate over the past
several years, and the transformations are by no means slowing down.
The introduction of synergistic technologies such as intraoral 3D scanning, computer aided design (CAD)
software, 3D printing, and materials
science are creating new treatment
and business opportunities for dental professionals with equally positive impacts on patients. Offering
unprecedented speed, accuracy and
cost-effectiveness, the digital dentistry workflow is not theoretical; it is
in use in labs and clinics around the
world, and it is gaining traction daily.
Generally speaking, a complete
digital dentistry workflow includes
methods for digitizing patient information, precisely manipulating that
digital information, and transferring
digital information back into the
physical world in a suitable material.
Many dental offices have now adopted intraoral 3D scanning, which satisfies the first step of the workflow and
gives patients a more comfortable alternative to traditional impressions.
For the design and fabrication stages
of the workflow, access points vary.
Some dentists prefer to outsource
these operations to a lab, where
digital design and fabrication methods are becoming an increasingly
popular choice for fast, high quality and cost-effective dental models
and restorations. Other clinics find it
more cost-effective, productive and
valuable to have a complete digital
workflow available for immediate
use on site. For both labs and offices,
digital production has become far
more obtainable through the emergence of easy to operate dental 3D
printers like the NextDent 5100,
which offers high print speeds, a
small footprint, and high material
versatility. The NextDent portfolio
includes 30 unique biocompatible
and CE-certified materials, making it
capable of addressing a broad range
of clinical needs.
u Page 27
[2] =>
2
NEWS
IMPRINT
CEREC Primemill makes excellence easy
CEREC takes another big step forward with the introduction of CEREC Primemill,
a brand-new grinding and milling unit from Dentsply Sirona.
By Dentsply Sirona
Fabricating chairside restorations is
about to get easier and significantly
faster. Thanks to state-of-the-art
technology, a wide range of restorations can now be manufactured
with more speed and outstanding
results. Together with CEREC Primescan and the CEREC Software, CEREC
Primemill forms a modern setup for
achieving predictable results with
a completely new chairside experience – for both the user and patient.
CEREC Primemill, Dentsply Sirona’s
new grinding and milling machine,
ensures producing impressive restorations with precise margins and
a very smooth surface which results
from the high-speed-setup with two
spindles and four motors. CEREC
Primemill features a powerful 7-inch
touch interface, an integrated camera for scanning blocks with compatible data matrix code and an RFID
scanner for reading tool information.
It also works with a wide range of materials. The new design offers significantly smoother operation.
"CEREC Primemill is a real game
changer in the whole workflow,"
said Dr. Gertrud Fabel, dental practitioner in Munich (Germany) and
key opinion leader for Dentsply Sirona. "Everything works significantly
faster than before, the quality of the
restorations is convincing due to
the very fine margins and smooth
surfaces, and handling is more than
simple: the team can provide perfect
support and thus accelerate the entire workflow to make it even more
pleasant for the patient."
Guided operation for maximum convenience
When developing the new CEREC
Primemill, special attention was
paid to its user-friendliness: The
large touch interface guides the user
through all workflow processes. Each
workflow step is displayed in order
and shows, for example, which tools
are used for the selected material
and machining option. The tools are
outfitted with a color code depending on the material to be processed
and are therefore easy to distinguish.
Each tool also contains a small radio
frequency identification (RFID) tag
that can be read by an integrated
scanner in the CEREC Primemill. The
machine informs the user about the
tool’s status and if or when it should
be replaced with a new one. The new
user guidance makes it even easier
to delegate the operation of the machine.
can be milled even faster thanks to
new tools and improved technology. The time required to fabricate
a zirconia crown has been reduced
by more than half: It can be cut from
around 10-12 minutes to as little as
5 minutes using our new Super Fast
mode.
The results speak for themselves. Using newly developed, very fine tools
(0.5 mm) in the Extra Fine milling
mode, the unit achieves a high level
of detail for occlusal fissures as well
as interdental areas on bridges, enabling users to achieve predictable,
first-class results.
The entire CEREC system takes on a
new dimension with CEREC Primemill. For those customers who now
want to step into the chairside CAD/
CAM world and want to use CAD/
CAM technology in their practice,
with the all-new CEREC they get a full
system with great flexibility for reliable results. Users who are already
successfully using CEREC in their
practice will appreciate the system
with the new level of speed, high
level of quality, and convenience
provided by CEREC Primemill.
Fig. 2: Familiar usage of the touch interface. Easy and guided processes speed up the
workflow.
“It was important for us to create real
added value with CEREC Primemill,
both for the CEREC newcomer and
for those who have been passionate
CEREC users for years,” explained
Dr. Alexander Völcker, Group Vice
President CAD/CAM & Orthodontics at Dentsply Sirona. “We have
noticeably increased the process
speed while delivering outstanding
restoration results. The variety of
applicable materials leaves nothing
to be desired and operating the unit
has never been easier. The complete
system does not require any data
DENTAL TRIBUNE INTERNATIONAL
GmbH
Holbeinstr. 29, 04229 Leipzig,
Germany
Tel.: +49 341 4847 4302
Fax: +49 341 4847 4173
General requests:
info@dental-tribune.com
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mediasales@dental-tribune.com
www.dental-tribune.com
imports or exports. All processes are
coordinated with one another and
fully validated for an excellent and
seamless chairside experience.”
Due to various certification and registration periods, not all products are
immediately available in all countries.
For more information on Primemill
or CEREC please reach out to your
local Dentsply Sirona representative
or visit our website www.dentsplysirona.com
PARTNERS
Saudi Dental Society
Saudi Ortho Society
Lebanese Dental Association
Lebanese Orthodontic Society
Qatar Dental Society
Oman Dental Society
Kuwait Dental Association
American Academy of Implant
Dentistry 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
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Tel.: +971 56 23 70 721
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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.
For additional convenience, material
blocks with a compatible data matrix
code can be scanned with the integrated camera. With this the block
information including type, size,
color and zirconia enlargement factor are recorded. The unit’s LED light
strip also informs the user about the
unit’s status including a moving blue
progress bar which changes to green
when the manufacturing process is
finished. In addition, the interface
guides the user through routine
maintenance procedures and thus
facilitates the easy upkeep of CEREC
Primemill.
More esthetic, faster and
simply excellent
With CEREC Primemill, restorations,
especially those made of zirconia,
CHIEF CONTENT OFFICER
Claudia DUSCHEK
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
Fig. 1: CEREC Primemill: fast fabricating speed, excellent quality and easy to handle.
Superior chairside experience
PUBLISHER AND
CHIEF EXECUTIVE OFFICER
Torsten R. OEMUS
Fig. 3: The renewed CEREC system. CEREC Primemill proves to be a real gamechanger.
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] =>
[4] =>
4
NEWS
Dental Tribune Middle East & Africa Edition | 1/2020
The 100k foot VALO™ curing light
drop test: behind the scenes
The True Story of One VALO Curing Light's Journey to Space
By Daniel Lewis, USA
mospheric temperatures that could
derail video efforts.
There's a deflating helplessness all
golfers know, when you take two
shots to get the ball on the green,
then another two, three, or four
shots to reach the bottom of the cup.
Those final few feet between tee box
and pin routinely humble the most
optimistic golfer.
Ultradent's front lawn was converted
to a launchpad and employees made
up the peanut gallery. Dozens came
out to watch the liftoff, accompanied by their own festive balloons to
release alongside the main payload.
Following a "10, 9, 8, 7…" countdown
necessary for all space travel, the
balloons were released, with the
weather balloon and its cargo quickly ascending beyond its party-favor
brethren.
Ultradent teed-off on a celestial par5 when we launched a VALO Grand
dental curing light into space in May
of 2019. Our version of the putting
green was a mountain covered in
loose shale where the VALO Grand
light landed. We eventually "sunk
the put" by finding the curing light…
but we took several attempts to do it.
The Vision to Send a VALO
Light to Space
"We were on cloud nine as soon as
we saw it go up into the sky," says
Brown. "Now we know how NASA
feels," adds a smirking Simmons.
Logo and title excluded, the above is a non-doctored image of a VALO Grand curing light as it ascends through Earth's atmosphere.
As the VALO Grand curing light
climbed and slipped from view Simmons, Brown, and crew piled into a
vehicle to trail the balloon. "We had
the perfect day planned. We had this
van, we had the video crew with us.
We were going to follow the pings on
our phones and laptops," Simmons
says.
The 10thanniversary for a product
like the VALO curing light can't be a
simple wine and cheese party. The
line has set the bar for curing lights
for a decade—we had to set the bar
with a celebration. "This is the kind of
thing where I didn't ask a lot of permission," jokes Ultradent's Mike Simmons, a cornerstone architect of the
VALO Light to Space initiative.
Simmons brought the idea to the table, but he credits the inspiration to a
friend. "He had two very sick daughters with a rare immune deficiency.
One of their brothers donated his
bone marrow to his sister...and they
had a hero party for him, where they
sent a bobblehead of him to space
on a weather balloon and captured it
with GoPros."
With this concept in mind, Simmons
began formulating a plan to mark
the VALO curing light's decade on
the market with a true out-of-thisworld event. His team eyed May 1,
2019 for liftoff—10 years to the day
of the VALO curing light line's debut.
They had roughly 90 days of runway
to execute the mission and found
the process of entering Earth's atmosphere relatively uncomplicated.
They devised a payload that would
carry a VALO Grand curing light—
along with a bobblehead of Ultradent Founder and CEO Dr. Dan
Fischer—to 100 thousand feet of altitude, while also filming every angle
of the flight and fall.
The VALO Light to Space payload box, prior to launch
The predicted flight path for the payload
Helium in tow, Simmons' team narrowed their focus on the May 1, 2019
sendoff.
"The amount of preparation just
for [launch day] was pretty crazy. I
don't think either of us were breathing," jokes Oliver Brown, Ultradent's
Brand Manager for the VALO cur-
"When we got in the minivan to start
driving there, we were so excited,
thrilled, anxious, just to get to Wyoming," Brown adds.
The GPS pings were in line with the
predicted flight path, and the team
followed the digital footprints.
"It was following the trajectory of
the prediction calculator exactly. We
were like, 'ok this might be too good
to be true,'" says Simmons. "Then we
lost it."
Moments prior to liftoff on Ultradent's lawn
The halt of pings didn't alarm the
team – they anticipated losing communication with the payload when
it reached 40–50 thousand feet of
elevation. They expected to pick up
the pings again once the balloon
popped and the cargo descended
back toward Earth.
Successful launch
The crew pulled into a roadside diner
and bunkered down, eating lunch to
anxiously pass the time waiting for
the next GPS ping.
Waiting for the GPS pings to start again
Simmons ponders as he awaits a GPS ping
The point on the left marks where the payload landed, roughly
70 miles from the anticipated landing spot of Flaming Gorge
Reservoir.
Ultradent's Mike Simmons packs cargo for the (first) overnight
trip into the Uinta mountains.
The cargo consisted of a Styrofoam
box, four GoPro cameras, the VALO
Grand curing light, and the Dr. Fischer bobblehead–all carried into
space by a standard weather balloon
purchased on Amazon.
The heftiest complication came
from the fuel needed to power the
100k foot journey. "We're in a national helium shortage," says Simmons.
Just finding a vendor who would sell
helium became a difficult endeavor,
but a supply was eventually secured.
"We may have overpaid for that," he
chuckles.
Up, Up and Away
ing light line. "People were saying
'what's gonna happen? What are you
gonna do with this thing?' And I'm
like, 'we're just...gonna...launch it,'" he
adds with a shrug and a smile.
Countdown
Marketers don't tend to moonlight
as physicists, but Simmons, Brown,
and others involved in the launch
ran countless simulations to predict
the balloon's flight path and eventual landing spot for the payload.
Fortunately for the "mathematically
limited" folks of the world, there are
websites that do the heavy lifting on
these calculations and limit the potential for human error.
"We felt like we had a pretty good idea
where it would come down," says
Simmons. "All of the predictions we
ran [. . .] told us we were going to pick
it up at Flaming Gorge Reservoir, up
over the Uinta [mountain range] and
down around Flaming Gorge."
When May 1 rolled around, weather
was a large concern and the unpredictability of spring in Utah loomed
over liftoff. Atmospheric conditions
were favorable for the liftoff, despite
frost on the ground the morning of
the launch.
Dr. Fischer emblazoned his signature
across the VALO Grand dental curing
light and the team attached it to the
outside of the cargo box opposite the
bobblehead, both in frame of their
own GoPro. Handwarmers were added to the payload to battle frigid at-
"We had lunch with our laptops
open, thinking 'OK anytime now,'"
Simmons recounts. "A couple hours
later we're just sitting there, and
there's nothing. We knew the total
flight time would be somewhere
between 2.5 and 3.5 hours. And we
gave it...probably 4.5 hours, maybe 5
hours...just waiting, waiting, waiting.
We ordered dessert, and still, nothing. We kinda just licked our wounds
and went back to Ultradent."
"There was a totally different feel in
the van on the way back. Everybody
was quiet, nobody was really talking. People were making occasional
jokes, trying to cheer each other up...
but we were all just like 'ohhh nooo,'"
says Brown. "Just a real quiet ride
back. I think we stopped to film a
train. Like, 'Oh that will make up for
it, look at this train we saw.'"
u Page 16
[5] =>
AEEDC
Ultradent
Booth 5C06
Come and
visit us!
[6] =>
6
NEWS
Dental Tribune Middle East & Africa Edition | 1/2020
Beverly Hills formula set to dazzle this 2020
By Beverly Hills Formula
For Irish oral care brand, Beverly
Hills Formula 2019 can be seen as
their most successful year yet and
the past twelve months will certainly
prove difficult to beat. The brand saw
their business grow phenomenally,
particularly in Middle Eastern Markets which boasts an extremely loyal
following. The brand credit their
2019 success to a number of factors –
their commitment to providing topclass at- home teeth whitening with
formulations that are yet to be replicated, and their drive to bring first to
market products that wow both consumers and dentists alike. The brand
has always ensured that they stay
well ahead of competitors and are
certain that they will see even more
success this coming year.
If 2019 was anything to go by, this
year is set to be monstrous for the
brand. Not only are they entering the
new year with a number of prestigious accolades under their belt, they
will also be showcasing some of their
most ground-breaking products yet,
one of which is set to be released imminently.
This year, the ever-popular oral
care brand will be exhibiting at the
AEEDC Dental Exhibition in Dubai,
which takes place from February 0406. The team are really excited to be
heading back to what is seen as one
of the most prestigious dental exhibitions worldwide. The exhibition
offers Beverly Hills Formula the opportunity to meet with dentists and
suppliers who attend from countries
all over the world, whilst also allowing the brand to showcase their latest products and innovations. Their
stand, adorned in their trademark
bold and daring colours, is always a
must-visit for many attending over
the weekend.
The brand will be bringing along
their most prestigious ranges, including the NEW Professional White
Range and Perfect White Range. The
Professional White Range, which
was launched in 2019, consists of Advanced Black Pearl whitening toothpaste, Advanced Silver whitening
toothpaste and Advanced Sensitive
whitening toothpaste.
As well as this, the brand will also
be showcasing the ever popular
and iconic Perfect White Range. The
range consists of the first to market
activated charcoal toothpaste, Perfect White Black, as well as Perfect
White Gold, Perfect White Black Sen-
sitive and Perfect White Optic Blue.
Two high performing gold and black
mouthwashes also form part of the
range which has soared in popularity
and doesn’t look to be slowing down
any time soon.
This year, Beverly Hills Formula will
ensure that all eyes are on them as
they are set to launch their best ever
whitening toothpaste. Set to join the
Perfect White Family in 2020 is Perfect White Extreme Whitening. Their
latest product offers immediate optical whitening results and perfect
stain removal whilst still being kind
to teeth. The ground-breaking amethyst formula provides a whitening
effect that is visible after just one use
whilst hydrated silica and advanced
pyrophosphates ensure excellent
stain removal whilst working to lighten and brighten teeth. The product
offers a first to market formulation
which also works off light reflection
to further enhance whitening results.
Beverly Hills Formula are excited to
embark on another ground-breaking
and hugely successful year and look
forward to kicking this off at the
AEEDC Dental Exhibition. Be sure
to check them out at stand SRD08
– there is truly something for everyone.
DTI looks back on a successful 2019
By Dental Tribune International
LEIPZIG, Germany: There is seldom a
quiet news day in the dental industry
and it has been a pleasure for the DTI
team to bring you, throughout 2019,
the stories that mattered as well as
a suite of continuing education (CE)
opportunities and events. As 2020
approaches, we look back on some
of the milestones that DTI reached
as a publisher and industry partner
during the last twelve months, and
we also look ahead excitedly at what
promises to be another engaging
and prosperous year in dentistry.
Back in February, DTI shared with
readers that the industry was in
good shape. The global market for restorative dentistry products was experiencing strong growth, driven by
more dental implants being placed,
a higher market penetration of CAD/
CAM-produced prostheses and final
abutments, and thriving technological developments in segments such
as intra-oral scanners and clear aligners. Dental practices were reporting smoother operations owing to
advances in practice management,
and the importance of oral care was
increasingly being put in the international spotlight. As DTI worked to
bring these developments to you in
print and digital media, we had some
developments of our own.
An expanding international
network
The thirty-eighth International Dental Show (IDS) took place in Cologne
in March and DTI held its Annual
Publishers’ Meeting in the scenic
western German city during the
build-up to the event. Over two days,
75 members of the DTI network had
the opportunity to meet, share their
successes and discuss the latest projects being undertaken by the publishing group. One of the highlights
was an introduction to Dental Tribune Algeria, a new licence partner
and the first in North West Africa, led
by Dr Ouahes Aziouez. In March, DT
Algeria published the first of its quarterly French-language Dental Tribune Algeria Edition. The title focuses
on the Maghreb region and the first
issue was also the official newspaper
of this year’s instalment of the Dentex Algeria dental show.
Something to Smyle about
A completely new facet of DTI’s media portfolio was also revealed at the
publishers’ meeting: the glossy lifestyle-meets-prevention title, Smyle
magazine. Published in collaboration with the Berlin-based Luna Media Group, Smyle combines lifestyle,
beauty and wellness with a patientoriented focus on dentistry and oral
health.
Two issues of Smyle have already
landed in dental offices throughout
Germany, Austria and Switzerland.
The next issue will hit the shelves in
early 2020 and plans are being finalised for an English-language international edition.
E-learning remains a talking point
The online e-learning platform DT
Study Club was a hive of activity
throughout 2019 and this format of
free and easily accessible online CE
opportunities for dental professionals remains one of our fastest growing platforms.
In the e-learning space, DTI also
continued to work closely with
dental companies on bespoke educational projects and a number of
Campuses—customised e-learning
platforms—were developed. A good
example of developments in this
segment was DTI’s work with the
Straumann Group: in October, the
company expanded its global educational online platform, the Straumann Campus. The website now
offers up to 60 webinars per year, in
five languages, to its international
users. The webinars are free of charge
and the overall aim of the platform is
to build a true global e-learning community.
Another obvious highlight from
DTI's work in e-learning was the
world’s first 24-hour webinar in dentistry. Deriving from the EMS Swiss
Dental Academy Campus, the webinar included 31 speakers from 16
countries and attracted over 15,000
participants.
In the mix at dental trade fairs
As is the case every two years, IDS
dominated conversations among
dental professionals in 2019—in
all dental markets. Official figures
released after the event confirmed
its international relevance: 73% of
exhibitors and 62% of visitors came
from overseas, and 166 foreign
countries were represented in the
halls.
Over the course of the show, the
OEMUS MEDIA and DTI media
lounge was the scene of a number
of social occasions attended by key
opinion leaders, including one that
honoured a man who has dedicated
his life to advancing dentistry. The
Channel3 Evening was attended by
more than 80 industry professionals and the P-I Brånemark Award for
Lifetime Achievement in Dentistry
was presented for the fifth time.
This year, it was awarded to Prof. Jörg
Strub of the University of Freiburg in
Germany. Dr Kenneth Malament accepted the accolade on behalf of the
esteemed professor and he reminded the gathering of Strub’s friends
and colleagues that “[He] is an individual who has put his whole life
into dentistry—there is simply no
one like him”. Malament continued,
“He is the best of his generation.” Being part of this recognition of Strub’s
achievements was a clear highlight
of 2019 for the DTI team.
IDS aside, readers will agree that the
wider dental trade fair calendar did
not disappoint. DTI helped to keep
scores of visitors and exhibitors informed with the more than 65 today
show daily newspapers that were
published by the DTI network during the year. Available in print and
digital editions, today show dailies
joined CE magazines to keep you informed.
DTI’s CE magazine archive grew to
include 50 different titles during the
year. CAD/CAM -- international magazine of dental laboratories evolved
into a magazine dedicated to dental
laboratories, and the title digital -- international magazine of digital dentistry will focus specifically on the
topic of digital dentistry next year.
DTI held its 15th Annual Publishers’ Meeting from 10-11 March in Cologne. (Image: Tom
Carvalho, DTI)
DDS.WORLD: the new digital marketplace
One of the most exciting developments of 2019 came in the third
quarter when DTI expanded into the
dental marketplace with its new online sales platform, DDS.WORLD.
DDS.WORLD has been designed to
meet the needs of the entire dental
team by simplifying access to the
products, equipment and supplies
that keep dental practices running.
The portal also gives manufacturers
and dealers the opportunity to list
their products in a highly targeted
environment and to communicate
discounts and promotions to dental
professionals.
Roll on 2020
One of the things that we are particularly excited about in 2020 is our expansion into the Scandinavian dental media market. From January, the
new licence partner DentaNet will
provide dental professionals in Denmark and Norway with local editions
of Dental Tribune and much more.
Various digital and print products—
such as webinars on DT Study Club
in English, Danish and Norwegian—
will help to tailor CE opportunities
to dental professionals in both countries and the regional Dental Tribune
websites in Danish and Norwegian
have already been launched.
There are a number of projects yet to
be revealed, so stay tuned for an even
greater focus on e-learning and other
educational opportunities.
ROOTS Summit 2020 is taking place
in Prague from 21–24 May and the
line-up of speakers, workshops, and
opportunities to engage with new
equipment and protocols looks very
Dr Kenneth Malament (left) accepted the
P-I Brånemark Award for Lifetime Achievement in Dentistry on behalf of Prof. Jörg R
Strub, with Mark Ferber (middle), founder
of Channel3, and DTI CEO Torsten Oemus.
(Photo: Luke Gribble, DTI)
promising. The event will bring endodontists and general dentists together and registrations are open—see
the event's website for information
on the programme and registrations.
DTI will be on-site at all of the major dental events next year, and
our today show dailies will keep
you informed at leading events,
including AEEDC Dubai 2020 (taking place from 4–6 February at the
Dubai International Convention and
Exhibition Centre); IDEM 2020 in
Singapore (taking place from 24–26
April at Suntec Singapore Convention and Exhibition Centre); and the
FDI World Dental Congress 2020 in
Shanghai (taking place from 1–4 September at the National Exhibition
and Convention Centre).
As we stand on the threshold of a
new decade, it is exciting to imagine
what the '20s could hold in store for
dental practice, international dental
markets, dental technologies, and
oral care. The DTI team would like
to take this opportunity to thank
all of our readers and industry partners for their continued support. We
wish you and your families a happy
and safe holiday season, and a “good
slide” into the new year, as the saying
goes in Germany.
[7] =>
[8] =>
8
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 1/2020
Midline diastema closure using
the front wing technique
By Dr. Walter Devoto, Italy
About the Case
A 35-year-old female patient expressed a desire to optimize existing composite restorations on her maxillary central incisors, which
had been placed 15 years previously to close
her diastema. Then, a silicone key had been
used for guidance. No tooth preparation was
carried out, as the composite was bonded to
the tooth structure.
Challenge
The surface of the restorations showed slight
discolorations which were removable by pol-
ishing. The shape of the teeth was acceptable,
but not perfect. A decision was made to retreat
her in a non-prep, single-shade approach. The
main goal was to create a more natural shape.
The front wing technique invented by the
StyleItaliano team was used. This approach
involved freehand modeling of the vestibular
part of the tooth, which was easily accessible.
Afterward, material was added to the palatal
side, and anatomical matrices were employed
for shape optimization.
Outcome
The technique worked beautifully to close
the diastema. Despite freehand modeling, it
was much easier and more precise than using a palatal silicone index. In addition to the
natural shapes that were achieved, 3M Filtek
Universal Restorative blended well with the
surrounding dentition, making the restorative work indistinguishable.
About the author
Dr. Walter Devoto graduated with honors in dentistry and dental prosthesis in 1991 at the University of Genoa, Italy. He is particularly interested in
the fields of conservative dentistry and esthetic
dentistry and runs his own private practices in
Sestri Levante and Portofino. In addition, he is collaborating with diverse prestigious dental offices
throughout Europe, which specialize in esthetic
dentistry. He has worked as a teacher and demonstrator at the University of Genoa and as a
lecturer at the universities of Siena and Madrid.
Now, he is a lecturer at the International University of Catalonia, Barcelona, Spain, and visiting
professor at the Aix-Marseille University in Marseille, France.
Case Overview
INITIAL SITUATION: 15 years after the initial non-prep
treatment, the restorations were still intact, but there
was room for improvement in regard to shape, especially in debri the vestibular area.
To ensure esthetic results and create favorable conditions for bonding, surfaces were roughened and
discloration and debris removed with 3M™ Sof-Lex™
Extra-Thin Finishing and Polishing Discs.
The surface was cleaned and slightly roughened for
etching and bonding. The selected treatment approach worked without tooth preparation.
Enamel was etched with 3M™ Scotchbond™ Universal Etchant. After 15 seconds, etchant was removed
by rinsing with water, and 3M™ Scotchbond™ Universal Adhesive was applied.
The preferred material for the single-shade technique
was 3M™ Filtek Universal Restorative ™ shade A1. The
composite has a universal opacity and lending a chameleon effect.
After application of the first layer of composite, the
diastema was closed from the vestibular surface. Vestibular wing was filled and cured on the palatal side.
Two anatomical matrices were used to close the diastema, create natural shape and ensure tight contact
between central incisors.
Matrices in contrasting colors were used. A drop of
uncured flowable composite between each matrix
and tooth helped hold matrix in place.
Composite material was applied to fill space between
each incisor and adjacent matrix. Matrix shape
helped establish tight contact points and desired
anatomical form.
After light curing, composite was added from the
palatal side. First matrix on right central incisor was
removed.
Removal of second matrix revealed a natural shape.
Composite excess was easily removed from the incisal
edge.
Restoration surface was polished with 3M™ Sof-Lex™
Pre-Polishing Spiral (beige) of the 3M™ Sof-Lex™ Diamond Polishing System.
FINAL RESULTS: Anterior restorations were naturally
shaped and virtually indistinguishable from natural
tooth structure. The composite blended in perfectly
with the color of the surrounding teeth.
Refer to Instructions for Use (IFU) for complete product information.
Restorations received final polish with 3M™ Sof-Lex™
Diamond Polishing Spiral (pink) of 3M™ Sof-Lex™ Diamond Polishing System.
New composite restorations blended well with natural surface of central incisors.
[9] =>
[10] =>
10
RESTORATIVE
Dental Tribune Middle East & Africa Edition | 1/2020
Mastering black holes with
premium endo-brands
By Coltene
COLTENE is a global leader in the development, manufacture and sale of consumables
and small equipment for endodontic treatment applications. The comprehensive portfolio of endodontic systems includes root
canal preparation with files and rinsing solutions, obturation and post systems. As the
inventor of controlled memory files with the
launch of HyFlex CM in 2011, COLTENE has
taken a lead in innovative products for modern endodontics treatments.
Additionally, the COLTENE Dental Group of-
fers a wide range of products, encompassing
three segments. This results in solutions for
almost all dental treatments ranging from
infection control to tooth preservation and
treatment efficiency. The COLTENE Group
strengthened its position in the Endo-Segment with the acquisition of the French expert MicroMega. The now combined product
portfolio offers an even more customized
range of files and endodontic equipment.
Product range for new endodontic dimensions:
• HyFlex EDM and CM, MicroMega One
Curve and MicroMega 2Shape NiTi file sys-
tems, allowing the fast and safe instrumentation of the various root canal anatomies
according to the preferences of the user.
• HyFlex paper and guttapercha points,
which perfectly match to the HyFlex CM
and HyFlex EDM NiTi file system.
• Well proven CanalPro and MicroMega Dual
Move endo motors, completed by CanalPro
and Dual Pex Apex Locators for working
length measurement.
• Innovative modular CanalPro rinsing solution system and MicroMega EndoUltra
for ultrasonic activation to ensure an optimized disinfection and long-term successful treatment.
• Bioactive GuttaFlow obturation material, which combines free-flow gutta-percha
with a sealer and bio ceramic at room temperature and actively supports regeneration in the root canal.
• Complete range of ParaPost systems, designed for perfect retention with superior
strength and excellent radiopacity for definitive restoration.
• Upcoming product innovation in 2020:
new fully automatic endo motor CanalPro
Jeni, which will be launched in the next few
months.
New SmartLite Pro – more than
just a curing light
By Dentsply Sirona
Primarily, a curing light is a device to polymerize restorative materials. But it can be so much
more, as shown by the new SmartLite Pro from
Dentsply Sirona. It is an outstanding tool that
allows for cutting-edge curing performance. In
addition, it features a forward-thinking modular concept with quick-connect tips for a variety of clinical indications. Last but not least it
exhibits an extraordinary design combining
high-tech elements and robustness with a
lightweight pen-style look-and-feel.
The SmartLite Pro is a unique modular curing
device in a remarkable, all-metal housing.
Designed to perform
Once you have taken the new curing light
into your hands you will immediately feel a
lightweight and well-balanced pen-style design which is beautiful in each of its details.
The SmartLite Pro’s housing is fabricated of
medical-grade stainless steel and anodized aluminium providing for robust durability and
elegant simplicity.
The user will love the easy and intuitive operation with only one single button. Feedback is
Fig. 1: Ergonomic, pure and elegant: the new curing light SmartLite Pro by Dentsply Sirona.
facilitated by precise audible and tactile signals. Its clinical performance in everyday practice is unarguable.
of the mouth. The dentist experiences excellent intraoral control and will easily maintain
a steady hand at the proper angle.
Top of the class in curing
Constant availability thanks to innovative battery management
SmartLite Pro features newly engineered
state-of-the-art optics to provide a homogeneous beam profile for a uniform curing performance. Unlike many conventional lights
the new device has an even and focused light
distribution over the whole curing area. Moreover, the SmartLite Pro features an active light
output diameter of 10 millimeters. This ensures that the beam completely encompasses
even fillings with a large horizontal extension.
The leading clinical performance is accompanied by a comfortable handling. The 360
degree rotatable tips and the low-profile head
with four high-performance LEDs guarantee
easy clinical access even in hard-to-reach areas
the user may easily change from the curing tip
to the transillumination tip. Within a few moments he holds a diagnostic aid for the visualization of interproximal caries and cracked
teeth in his hand. And in the area of root canal
treatment this tip will provide for endo access
illumination.
But the best news is: The platform technology
of the SmartLite Pro offers a forward-thinking
system, which gives way to numerous future
upgrades and will open up new worlds of indications and applications. The SmartLite Pro is
one of the most versatile dental instruments
because it features leading quality of cure, and
yet is so much more than just a curing light.
The futuristic multifunctional charging base
features a built-in radiometer and room for
extra tips. The intuitive battery management
system comes with two quick-connect batteries for constant availability. Cutting-edge lithium iron phosphate cell technology ensures
that the dentist may enjoy a full day of clinical
operation with only one charge.
Thinking ahead
The modular versatility expands the options
beyond the scope of a pure curing light and includes various other indications. For example,
Dental study of ancient chewing gum
informs about oral microbiomes of the past
was found that she probably possessed dark
skin, dark hair and blue eyes.
Traces of hazelnut and duck DNA were also
identified in the pitch, suggesting that these
may have formed part of the individual’s diet.
The researchers also successfully identified
DNA fragments from several bacterial and
viral taxa, including the Epstein–Barr virus,
which can cause glandular fever.
An artistic reconstruction of what "Lola", the woman who chewed the birch bark pitch, may have looked like.
(Image: Tom Björklund)
By Dental Tribune International
COPENHAGEN, Denmark: Though its popularity and constituent ingredients have changed
over time, chewing gum has been used by
humans for thousands of years. A new study
out of Denmark that analysed a 5,700-year-old
piece of chewing gum made from birch bark
pitch has succeeded in extracting a complete
human genome from the pitch, demonstrating its potential as a new source of ancient
DNA.
The pitch was found during archaeological excavations carried out by the Museum LollandFalster at Syltholm in southern Denmark, and
subsequent analysis was conducted by researchers at the University of Copenhagen. Radiocarbon dating of the pitch helped to place it
as a specimen from the early Neolithic period
in Denmark, while DNA sequencing revealed
that it was chewed by a female who was more
closely genetically related to the hunter-gatherers of mainland Europe than to those who
populated central Scandinavia at the time. It
“[Syltholm] is the biggest Stone Age site in
Denmark and the archaeological finds suggest that the people who occupied the site
were heavily exploiting wild resources well
into the Neolithic, which is the period when
farming and domesticated animals were first
introduced into southern Scandinavia,” said
Dr Theis Jensen, a postdoctoral student at the
University of Copenhagen’s Globe Institute
and a co-author of the study.
“We managed to extract many different bacterial species that are characteristic of an oral
microbiome,” added Dr Hannes Schroeder, associate professor at the Globe Institute.
“Our ancestors lived in a different environment and had a different lifestyle and diet,
and it is therefore interesting to find out how
this is reflected in their microbiome,” he continued.
Though still a relatively new form of analysis, DNA sequencing from birch bark pitch is
growing in popularity, in part owing to its potential to be a good proxy for human bones in
archaeogenetic studies. As reported by Dental
Tribune International last year, Scandinavian
researchers have previously used pitch to sequence DNA from the first humans who settled in the region some 10,000 years ago.
Though a considerable amount of information can be uncovered through the DNA
sequencing of pitch, several questions still
remain—including the question of what the
purpose of chewing it was. Some researchers have suggested that it may have been a
method for making the pitch more pliable for
further toolmaking purposes, while medicinal
and hunger-suppressing uses have also been
put forward for consideration.
The study, titled “A 5700 year-old human
genome and oral microbiome from chewed
birch pitch”, was published on 17 December
2019 in Nature Communications..
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RESTORATIVE
Dental Tribune Middle East & Africa Edition | 1/2020
Perform at your best in diagnostic
and restorative
Reduce glare and create beautiful restorations
By Hu-Friedy
strokes as they create superfine details during
biomimetic restorative dentistry,” said Jennifer Nemeth, Senior Product Manager at HuFriedy. “By introducing NiTi into the design,
we were able to create an extraordinarily flexible, wafer-thin composite instrument unlike
anything we currently offer. We are beyond
excited for clinicians to experience the flex of
Akro-Flex™!”.
Having a clear and precise diagnosis is needed
in order to correctly plan the necessary treatment and sight is the first sense that every clinician uses, therefore having the best possible
vision is crucial.
With this in mind, Hu-Friedy, the global leader
in dental instrument manufacturing and infection prevention solutions, leveraged the
success of HD Mirrors, Blackline and XTS product lines, to create HD Black Line Mirrors. This
innovation was engineered to optimize clinical outcomes by delivering superior visibility
throughout any dental procedure.
Designed for enhanced performance, HuFriedy’s HD Black Line Mirrors have a Diamond Like Carbon (DLC) coating, which reduces glare up to 80%** compared to a standard
metal mirror heads and handles. This helps to
reduce strain and fatigue, creating a more ergonomic mirror, as the user does not need to
adapt their viewing position due to unwanted
shine produced by traditional metal mirror
handles or frames.
Fig. 1
The resilient working ends rebound back to its
original shape after use and are excellent for
creating fine anatomical detail with delicate,
artistic strokes during aesthetic restorations
(Fig.4).
Fig. 2
Additionally, the black matte finish provides
enhanced contrast and visual acuity within
the oral cavity. This creates a distinct contrast
between the instrument, the tooth and/or the
surrounding tissue allowing for easy identification intraorally.
So, the DLC coating in combination with the
superior brilliance and color of Hu-Friedy’s
proprietary HD Mirror glass facilitates quicker
and more accurate visibility of the mouth.
Tami Wanless, RDH, MED, from USA, states
about the product: “I wear loupes with a LED
light and noticed a significant difference in the
amount of glare reflecting back into my field
of vision during patient care, allowing me to
see more detail. I realized, at the end of my
clinical day, I had less eye strain when I used
the HD Black Line Mirrors.” (Fig. 1).
Akro-Flex™, is an innovative, incredibly flexible spatula for restorative dentistry. The
unique composite instrument features hyperthin working ends made from Nickel-Titanium (NiTi) – an alloy known for its super elasticity. The thin, ductile instrument fits easily into
narrow interproximal spaces allow for better
visibility as compared to traditional composite instruments. (Fig.3).
Fig. 4
eas, it is often necessary to retract the tongue.
Unfortunately, our usual retractor, the dental
mirror, has a metal reflective back surface,
which is not ideal for light reflection; scanning may be interrupted or get distorted. By
using Hu-Friedy’s new HD Black Line Mirror I
definitely solved the light reflection issues.” he
quoted (Fig.2).
Fig. 3
Beautiful smile is what patients demand to
clinicians every day and therefore highly aesthetic restorations are the standard request in
each practice.
Dr. Carlo Poggio, from Italy, is also using HD
Black Line Mirrors in his digital dentistry cases:
“A very simple “digital dentistry” issue: when
dealing with intraoral scans in the posterior ar-
“In looking to enhance our product offering for aesthetic dentistry, we identified the
need for a resilient composite instrument
which would allow clinicians to use brush-like
In addition to its slender profile and innovative NiTi working ends, the handle of the AkroFlex™ composite instrument was designed
with the clinician in mind. The sleek, smooth
finish prevents buildup of excess composite
material while the lightweight, ergonomic
design allows for an enhanced grip with less
hand fatigue.
To learn more about HD Black Line Mirrors
and Akro-Flex™ visit www.hu-friedy.eu or
contact our local distributors.
Follow us on:
@HuFriedyEU
@hu_friedy_europe
@Hu-Friedy Mfg. Co., LLC.EU
Radical oral intervention not necessary
before stem cell transplants, study says
By Dental Tribune International
BASEL, Switzerland/HELSINKI, Finland: Haematopoietic stem cell transplantation is used
to treat cancers and severe blood and autoimmune diseases. Owing to slow immune
system recovery after the transplantation,
patients have a heightened risk of infection.
However, a recent study has reported that the
presence of acute or chronic oral foci of infection before the transplantation does not affect
the patient’s survival rate within six months
of the procedure.
The study was conducted by the University of
Helsinki, the Helsinki University Hospital, the
University of Basel, and the University Hospital Basel. It involved patients who had been
treated at the University Hospital Basel, of
whom 341 had received an allogeneic stem cell
transplantation and 125, an autologous stem
cell transplantation.
The procedures were carried out between
2008 and 2016. Before the transplantation,
all patients underwent a clinical and radiographic dental examination to identify any
potential foci of infection and the number of
missing and filled teeth.
A total of 51 stem cell transplant patients died
within six months of the procedure. However,
the data showed that the foci of infection, the
number of missing or filled teeth, and the
cases of periodontitis identified in the examinations were not associated with the patients’
lower survival rates.
“Contrary to our assumptions, untreated oral
infections had no connection with post-stem
cell transplantation survival during the sixmonth follow-up period. Another surprise was
that they had no link with any serious infectious complications occurring during the follow-up period,” said lead author Prof. Tuomas
Waltimo, assistant lecturer in the Department
of Biomedical Engineering at the University of
Basel.
“However, the patient’s health permitting, and
if the wound has enough time to heal before
chemotherapy, the radical treatment of such
infections is justified. Other than that, conservative, non-radical treatment that elimi-
The results of a recent study have suggested that radical treatment of acute and chronic oral infections could be
postponed until after haematopoietic stem cell transplantation. (Image: Vadym Wedmov/Shutterstock)
nates the infection carried out by a dentist
familiar with the case appears to be the lowestrisk option in terms of infectious and bleeding
complications,” Waltimo noted.
According to Waltimo, the study findings cannot be applied to any other patient groups, especially not to patients suffering from cancer
in the region of the head and neck, or those
with a heart valve or a prosthetic joint.
The study, “Associations of oral foci of infections with infectious complications and survival after hematopoietic stem cell transplantation,” was published on 18 December 2019 in
PLOS ONE.
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NEWS
Dental Tribune Middle East & Africa Edition | 1/2020
2019 GNYDM highlights latest dental
products and technologies
The 2019 GNYDM attracted more than 52,000 attendees from all parts of the dental industry. (Images: Dental Tribune International).
By Dental Tribune International
NEW YORK, U.S.: Held from Nov. 29
to Dec. 4 at the Jacob K. Javits Convention Center, the 2019 Greater
New York Dental Meeting (GNYDM)
demonstrated once again why it is
the country’s largest and most anticipated dental congress by offering
an inviting mix of educational sessions, hands-on workshops, product
launches and more.
The 95th iteration of the free-toattend annual event attracted more
than 52,000 attendees from all parts
of the dental industry. A large number of these visitors were international. The German Pavilion featured
a variety of companies displaying
their wares under a “made in Germany” banner, while another area
of the convention center showcased
a broad range of Korean companies
such as META BIOMED and DIGIRAY.
More than 300 educational courses
and events were conducted over the
course of the 2019 GNYDM, covering
topics as diverse as adhesive dentistry, guided implant surgery and early
detection of oral cancer. A number
of these courses were run entirely
in Spanish, an inclusive choice that
considered the approximately 41
million native Spanish speakers who
currently reside in the United States.
Live dentistry sessions were held
each day in the convention center
and proved to be a hit with audiences. Among these sessions were “Executing Accurate Aesthetic Dentistry,”
in which Dr. Michael Apa discussed
techniques for preparation, temporization and the integration of digital
technology, and “Modern Materials
in a Digital Era,” a session presented
by Dr. Justin Chi and sponsored by
Glidewell Dental.
The Utah-based startup company
Weave was present at the 2019 GNYDM
to publicly debut Weave Payments, a
full-scale payment processing platform for small and medium-sized
businesses, and 3DISC launched the
latest version of the Heron IOS, its
solution for intraoral scanning.
The 2020 GNYDM will be held once
again at the Jacob K. Javits Convention Center from Nov. 27 to Dec. 4,
2020.
AD
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Waiting is the Hardest Part
The next ping came in the middle
of the night, nearly 12 hours after
the team returned to Ultradent HQ.
"About 8:30 the next morning I
logged on and saw we got pings starting about 2 in the morning. But they
were veryremote, and we wondered
if it was right. The prediction calculator said it was supposed to be by
Flaming Gorge and this was in the
middle of the Uintas," Simmons exclaims.
The prognosis for recovery was far
from ideal—the payload landed
deep in the mountains, not far from
the second highest peak in Utah.
"The forest service told us it's not
accessible by car, it's 10–12 miles in
from the trailhead and they were sitting around 90 inches of snow at the
time," says Simmons. "We were like,
OK, we need snowmobiles, snowshoes, cross country skis [. . .] we're
going to get this thing."
"We knew we were going to go get it,
go rescue it. We were making jokes
like 'no VALO light left behind!' but
that's when we realized there might
be a real safety risk of getting stuck in
the Uintas," Brown says.
Reconnaissance missions got underway while the team waited for the
snow to melt, turning Brown into Ultradent's own Indiana Jones. "I would
drive out to the trailhead, which is
NEWS
15–18 miles on a dusty road, after a
three-hour drive from Ultradent, and
from the trailhead it was still 10 or
so miles of hiking to where the payload landed. One Saturday I woke up
early [. . .] figured I'd be fine because
I had a Jeep Grand Cherokee," Brown
says with a sarcastic grin. "I drove
two miles on the dirt road and got
stuck. I had to get pulled out by some
mountain-dwelling locals. That was
embarrassing. Then I got stuck again
driving down the mountain and had
to get pulled out...again."
Ultradent videographer David
Landeen succeeded where Brown's
recon efforts fell short. He was able
to get fairly close to the landing zone
and returned with a realistic perspective on what a retrieval mission
would entail. "He came back and said,
'it's at least a two-day trip,'" Simmons
says.
Dental Tribune Middle East & Africa Edition | 1/2020
Simmons, Brown, and Ultradent's Martin Webb trek to Dead Horse
Lake on horseback.
Brown and Webb prep the drone to fly over the landing zone.
Simmons and Brown secure the payload.
Brown and the payload box.
Recovered GoPro footage showing the moment the weather balloon popped, sending the payload tumbling toward Earth.
The team analyzing footage of the VALO Grand curing light detaching from the payload.
Into the Wild
Back at Ultradent, the team regrouped and picked August 8, 2019
to set out and recover the payload.
Horses were enlisted to help the
would-be
mountaineers
trek
through the wilderness. The venture
into the backcountry began exactly
99 days after the launch.
It was a rainy morning and they arrived at the trailhead to find a waterlogged path. After a few soggy hours
of riding, the team made it to their
picturesque day-one destination.
"We spent the night at a place called
Dead Horse Lake in the middle of the
Uintas. Beautiful scenery," says Simmons.
Tired, soaked, and sore, the crew set
up their camp for the night. "Oliver
AD
bought a whole new hammock and
chains, actual chains to hang it up,
and a brand-new sleeping bag. But
his sleeping bag didn't get packed, so
he was up there without one," adds
Simmons. "We had to find Oliver
'accommodations' so we flipped the
horses' wool pads upside down in his
hammock."
"The wool pads from horses that had
just ridden in the rain for 10 miles,"
Brown quickly interjects. "They
smelled like butt."
At sunrise the team awoke and
launched a drone in hopes of spotting the payload box from above, but
alas, no visual—for that, more hiking
was in order. "I thought at that elevation (roughly 12k feet) it would be all
barren with just rocks," says Brown.
"But it was like the Sound of Music
set up there. Beautiful."
The team searched and searched until a whistle pierced the stillness of
the mountain air. "Mike got visual of
the payload box and blew the whistle. And we started screaming, we ran
over and it's in the middle of a hill of
loose shale," Brown says.
The team scampered to the payload,
sliding around on the shale as they
tried to stay upright, relieved and rejuvenated from finding the box.
The jubilee was short lived, as they
soon realized the VALO Grand curing
light was no longer attached to the
payload...nor was it anywhere in the
vicinity. "We knew we had to head
out of this area by noon, to get off
the trail by dark, so we can get home
without our families calling search
and rescue," says Simmons. "Noon
comes, and we didn't find the VALO
light...we got completely dogged."
After a few hours of searching, the
team resigned to leaving without
the curing light, but their spirits were
nonetheless boosted from finding
the payload. "We were all beat at the
end of that day...but when we started
charging the GoPros in the car and
started seeing the footage, it was really exciting," says Brown.
Video evidence in tow, the team returned—without the VALO light for
the second time—to Ultradent HQ.
CSI – Crash Site Investigation
The video investigation got underway immediately, with all five camera angles providing clues to the potential whereabouts of the missing
VALO Grand curing light. The footage became Ultradent's version of
the Zapruder film.
"We started to dig into the videos,
seeing the footage, and started determining that where the VALO light
went down was not the final resting
place of the payload box," says Simmons. "We put everything in slow
motion, all angles from the cameras,
sleuthing around. We saw the VALO
light detach right when the payload
touched down."
Frame by frame, the footage was
examined and the team developed
theories for where the VALO curing
light came to rest. They didn't know
exactly where it was, but they knew
they needed to go back to the landing zone to find it. "There was basically a 75-yard section of steep embankment, a 200-foot cliff, and 300–400
yards of very steep shale that we
needed to search," Simmons says.
"No VALO light left behind," right?
Return to the Wild
Powered by dedication and persistence (and a desire to spend additional days in the woods instead of the office) the search party–now including
Ultradent's Katie Loyola–returned to
the trailhead once more and began
their journey toward Dead Horse
Lake and the landing zone for the
payload. They reached the campsite
and bedded down to prepare for another day of scouring the shale-covered slopes. Brown even managed to
pack a sleeping bag this time.
"I had a metal detector, and we were
really concerned that we were going
to have to scan all this shale with it,"
Brown says.
Search number two got underway at
sunrise, with the team determined
to track down the missing VALO curing light more than 17 weeks after it
was launched.
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t Page 16
"When I saw photos of it I didn't realize how large it is," says Loyola of the
landing zone. "You see these boulders on the top of the mountain and
think 'they aren't so big' then you get
up to them and they're the size of a
school bus."
The hunt was physically taxing but
it soon provided hope—they found
batteries that had been inside the
payload box, but still no VALO curing light. "We also found a bell from a
goat that's probably long since been
dead. A relic, it'll be in the Smithsonian later," Brown recalls, smiling.
After several hours of searching
with only batteries and a goat's bell
to show for their efforts, the team
threw in the towel for the day without securing the VALO Grand curing light. They returned to camp to
spend another night at Dead Horse
Lake with one final day of searching
ahead of them.
Spotting the VALO Curing
Light
The next morning it was déjà vu at
12k feet as the crew hiked to the landing zone for the third time.
NEWS
When the batteries were found, the
team had been searching the lower
"bowl" section of the landing zone.
Now they had to canvas the upper
rim and slope. "When you're down
in the lower part of the valley and
you're looking at the upper shelf,
you don't realize how steep it is,"
Simmons says, eyes wide.
"The enormity of it was so weird.
When you'd look at it, you'd get
this vertigo type feeling like from a
Hitchcock movie," says Brown.
"It was so steep, we were thinking,
'can you even walk on that? Should
we have brought rope to harness in?'
It took 40 minutes just to hike to the
top," Simmons sighs. "We went to the
very end of the cliff face and started
to zig zag back and forth...and...it
was...horrible."
Dental Tribune Middle East & Africa Edition | 1/2020
The Dr. Fischer bobblehead, floating tens-of-thousands of feet
above Earth's surface.
The daunting hill of shale.
Ultradent's Katie Loyola balances on a downed log to cross a creek.
Brown and Loyola hunt for the VALO Grand light on a mountain
of loose shale.
A needle in a haystack may have been simpler to track down than a
VALO Grand curing light on a mountainside of shale.
The VALO Grand curing light, resting where it was spotted by
Simmons.
Fortunately for the crew, they soon
caught their biggest break yet.
"Probably 15 minutes after we hiked
up, I look down and 20–25 feet away
from me, I see this metallic signature. I don't see the VALO light, I see
Dan Fischer's signature," Simmons
says with a visible glow. He enthusiastically blew his whistle and the
crew scampered over to his location.
AD
Brown and Loyola hear the VALO Grand curing light's BEEP. The LED of the VALO curing
light firing up after a trip to space and 126 days in the elements.
Legend says Brown's shrieks still echo in the valley below.
The VALO Grand dental curing light overlooking the valley.
Brown grabbed the VALO Grand curing light and as soon as he put batteries in, it gave off a BEEP, signaling it still
worked. That seemingly innocuous
BEEP cascaded unfiltered elation over
the search crew as pride in the curing light's durability flooded through
them.
"I was yelling so loud, somebody else
came over from a different mountain range thinking I was hurt. Full
throated bellows," Brown recounts,
visibly relieved by the successful
mission.
With the slog now finished, a victorious search team retreated from
the landing zone for the final time,
to proudly return the fully functional VALO Grand curing light to
Ultradent HQ 126 days after it left.
AEEDC Ultradent Booth 5C06
Come and visit us!
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RESTORATIVE
Dental Tribune Middle East & Africa Edition | 1/2020
Smile rejuvenation with
Biosmart restoratives
Dr. Hussein Naama
Alghadeer Center, Iraq
Introduction
Dentists today are spoilt for choice with a variety of direct and indirect treatment options
for aesthetic restorations in the anterior zone.
We are often challenged to create restorations
that mimic natural teeth or enhance smiles to
meet patient desires and expectations. I have
recently adopted the Minimal Invasive Cosmetic Dentistry (MiCD) concept introduced
by Dr. Sushil Koirala which is based on a holistic patient-centric treatment approach that
integrates minimally invasive treatment techniques with aesthetic dentistry to enhance
the smile while taking into consideration the
psychology, health, function and aesthetics of
the patient.
Diastema or space between the teeth is a common dental condition that can create cosmetic
issues in adults and often corrected with orthodontic treatment or indirect veneers.
The clinical case below highlights a different
treatment approach where direct aesthetic
restorations were selected after assessing the
following 5 factors which we take into consideration when treatment planning in my practice. 1-Treatment longevity, 2-Cost estimation,
3-Vitality of the tooth, 4-Biological cost, 5-Expectation of the patient.
To achieve predictable aesthetic outcomes
when opting for diastema closure and smile
rejuvenation with direct restorations, it is very
important to understand the optical characteristics and properties of the composite material being used. For this clinical case I have
used a BEAUTIFIL II LS bioactive, low shrinkage
composite resin with life-like aesthetics and
high polishability to mimic nature with longterm predictability. (Fig 1a &1b)
Patient Case
A 28 years old female patient visited our
clinic requesting for a beautiful smile with
less tooth destruction at a reasonable cost as
the gap between her front teeth had affected
her confidence to smile for a long time (Fig.
2). Other dentists had suggested orthodontic
treatment with indirect veneers which she
had refused and was in search of an alternate
option that would meet her needs.
Treatment Plan
The smile defects were determined upon
careful clinical examination. The patient presented with reverse smile line and median
diastema that needed cosmetic correction. A
direct mock-up was planned as an initial step
to help evaluate the patient perception and
visual interpretation of the expected final outcome as there were limitations in the selected
direct restorative approach to rejuvenate the
patient’s smile. (Fig. 1)
Materials Used
After careful examination the following materials and Composite shades were selected
• Tooth preparation
Fine Diamond points (Red band on the
shank) and Super-Snap Violet Disk
• Etching and Bonding – 37% Phosphoric acid
and FL-Bond II
• Composite materials
- Palatal Shell - Beautifil II Enamel shade T
- First Dentin layer - Beautifil II LS opaque
shade A2O
- Second Dentin layer - Beautifil II LS shade
A2
- Enamel Layer - Beautifil II Enamel shade
HVT (High Value Translucent)
• Finishing & Polishing - Fine Diamond
Points, Super-Snap X-treme Kit
• Super Polishing for high gloss – DirectDia
polishing paste with Buff disk
Restorative Approach
Direct Mock-up and Shade Selection
Composite mock-up can be used as an aid in
both diagnostic and aesthetic evaluation. In
this instance, a prepless direct mock-up technique was selected with the aim of motivating the patient, evaluation of patient expectations by directly checking the smile design
and to create the silicone index for fabrication
of the palatal shell in the final restorations .
(Fig 3). During the direct mock-up, composite
material was added to the distal side of the left
lateral incisor tooth to enhance the overall appearance while preserving tooth structure as
per the MICD approach. (Fig. 4)
Clinical Tip: It is important to check occlusion
and identify the high points using articulating
paper to ensure that an accurate silicone index
can be created for the palatal shell. (Fig. 5)
There are many different methods used for
shade selection to achieve an accurate shade
match with the natural tooth. In my practice,
we prefer to use the direct technique for shade
selection, where the enamel and dentin shades
of composite materials are placed directly on
the tooth surface and compared with the
shade of the natural tooth. Shade selection
procedure is completed with digital photography taking into consideration the 3 dimensions of color with “Hue, Value and Chroma”
(Fig. 6). A composite recipe is identified for
build-up of each restoration.
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Fig 1a & 1b. Before and After smile rejuvenation with BioSmart restorative materials
Fig 2. Pre-operative diastema between upper central incisors
Fig.3 after prepless direct mock up
Fig 4. Patient smile after direct mock-up
Fig 5. Occlusion and high points checked with articulating paper
Fig 6. Direct shade selection with Beautifil II LS
enamel and dentin shades
Fig 7. Preparation of enamel surface with SuperSnap Violet disk
Fig 8. Selective etching of the enamel surface with
Phosphoric Acid
Fig 9. Application of FL-Bond II bonding agent
Fig 10. Palatal shell created with Beautifil II Enamel
shade T and incisal edge with Beautifil II LS opaque
shade A2O
Fig 11. Diastema closure with Beautifil II LS shade
A2 and Beautifil II Enamel shade HVT
Fig 12. Build-up of incisal area of central incisors with Beautifil II LS shade A2 and Beautifil II
Enamel shade HVT
Fig 13. Restored central incisors before finishing
and polishing
Fig 14. Gross finishing with Fine Diamond Point
(Red Band on the shank) at very low speed with
no water
Fig 15. Marking of mesial line angle and macro
anatomy
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22
RESTORATIVE
Fig 16. Anatomical contouring of Mesial Line Angles with Fine Diamond Point
Fig 17. Anatomical contouring of labial grooves
with Fine Diamond Point
t Page 20
and polishing of the final restoration.
Tooth Preparation -
Rubber dam was placed from premolar to premolar to help isolate the teeth to enhance visibility and eliminate contamination with sulcular fluid. The labial enamel surface of both
central incisors were minimally prepared using Super-Snap Violet disk to seamlessly blend
the restoration margins on both labial and palatal sides. (Fig 7). Before proceeding with the
adhesive step, it was important to protect the
adjacent lateral incisor teeth with Teflon tape.
Composite Build-up
After selective etching of the restorative enamel surface with Phosphoric acid (Fig.8), FL-Bond
II, a 6th generation 2-step adhesive system was
selected. First the Primer was applied, left for
10 seconds and air dried; followed by the application of bonding agent which was light cured
for 10 seconds. (Fig. 9) . The palatal shell was
created with the silicone index using Beautifil
II Enamel shade T. Beautifil II LS opaque shade
A2O was placed on the incisal edge to achieve
a natural halo effect for enhanced aesthetics.
(Fig. 10)
Clinical Tip: Palatal shells technique helps to
prevent over build-up of composite on the
palatal surface resulting in efficient finishing
Diastema closure between central incisors
was completed using the naturomimetic layering technique with incremental build-up
and 10 second light-cure. The dentin layer was
created using Beautifil II A2 followed by Beautifil II enamel high value translucent shade
HVT. (Fig 11). For the incisal surface build-up,
a thin layer of Beautifil II LS shade A2 was
used followed by Beautifil II enamel shade
HVT. (Fig 12). The restored central incisors after composite build-up demonstrated that
life-like aesthetics had been achieved successfully. (Fig 13) .
Clinical Tip: Spend time to achieve the accurate
shade match and tooth anatomy during the
composite build-up phase to save chair time
Finishing and Polishing Protocol
Selection of the right tools for finishing and
polishing of direct composite restorations to a
high gloss, still remains a challenge for many
clinicians. It is always helpful to identify a predictable finishing and polishing protocol for
your composite material, that would help to
achieve the desired final surface lustre while
saving valuable chair time. For this case, after
final light-cure and rubber dam removal, the
gross finishing was done using a Fine Dia-
Dental Tribune Middle East & Africa Edition | 1/2020
Fig 18. Smoothening of the labial grooves with
Dura Green Stone
Fig 19. Polishing of the restorative surface with
Super-Snap X-Treme Green and Red Disks
Fig 20-21. Rejuvenated smile achieved with MICD restorative approach
mond point (Red band on the shank) at very
low speed with no water to smoothen the restorative surface.(Fig. 14). The mesial line angles and macro anatomy was marked using a
lead pencil. (Fig 15) The anatomical contouring
of line angles and labial grooves were completed using a tapered fissure Fine Diamond
Point (Red band on the shank) with intermittent water spray (Fig 16, 17). Dura Green stone
was used to smoothen the labial grooves. (Fig
18) Polishing of the restoration was completed
using Super-Snap X-Treme Green and then
Red Disks. The restoration was super-polished
to high gloss natural enamel-like lustre with
DirectDia diamond polishing paste and a buff
disk. (Fig 19)
Conclusion
The above clinical case illustrates that optimal
life-like restorations can be achieved using BioSmart composite material with predictable
aesthetics and function. By adopting the Minimally Invasive Cosmetic Dentistry (MiCD) concept and treatment protocols, we have been
able to provide patients with direct restorative
treatment options that exceeds their expectations while preserving natural tooth structure.
The inclusion of Beautifil II LS and Beautifil II
Enamel range of composites with a predictable
finishing and polishing protocol has helped to
minimize armamentarium and meet patient’s
aesthetic demands more efficiently in my daily
clinical practice. (Fig 20,21).
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[23] =>
[24] =>
24
NEWS
Dental Tribune Middle East & Africa Edition | 1/2020
Oral-B IO unveiled at consumer electronics
show, marking the brand’s most innovative
power toothbrush to date
A CES Innovation Award 2020 honoree, the new Oral-B iO reimagines brushing from the inside out,
delivering superior design, performance and experience for a professional clean feeling every day
By Oral-B
Oral-B, the industry leader in oral
care innovation, today unveiled the
most revolutionary technology in
its history with the Oral-B iO. Introduced at a press conference hosted
by parent company Procter & Gamble during the Consumer Electronics
Show (CES) in Las Vegas, the Oral-B
iO signals the latest addition to the
brand’s impressive line of power
toothbrushes. Further validating
the product’s exemplary design and
engineering, the Oral-B iO was given
the distinction of being one of this
year’s CES Innovation Award Honorees, an annual accolade that recognizes outstanding new consumer
technology products.
Oral-B iO is a new power toothbrush
series that has been reimagined
and redesigned from the inside out,
combining best-ever clinical performance with a superior user experience, making it one of the industry’s
most advanced brushing products.
Oral-B iO was designed as a result of
insights collected from more than
six years of product research and
development and over 250 patents
from around the world. Oral-B iO
uniquely features a frictionless magnetic drive, which distributes energy
more efficiently to the tips of the
bristles, resulting in a smooth, quiet,
sensational cleaning experience. The
new magnetic drive delivers cleaning
energy to the redesigned iO brush
head, which has been engineered
to combine oscillating and rotating
cleaning motions with micro-vibrations for a professional clean feel.
“There is nothing like the Oral-B iO.
It introduces a new era in brushing
and is a monumental leap in innovative oral care technology,” said
Steve Bishop, P&G Health Care CEO.
“The result of years of expert development, Oral-B iO strikes the right
balance between effectiveness and
experience and reimagines how a
brush performs, cleans and feels. It is
a brush that people will look forward
to using and will deliver superior oral
health.”
As a result of input from more than
1,800 consumers, the Oral-B iO includes five key pillars of design features and experience capabilities:
• Linear Magnetic Drive: created
from the need to deliver a more
effective and enjoyable brushing
routine. Producing controlled,
harmonious movements, the
quiet and frictionless linear drive
system efficiently transfers more
energy directly to the bristle tips.
• Superior Cleaning Action and Redesigned Brush Head: Oral-B iO
brush heads combine oscillating,
rotating movements with microvibrations to ensure a deep clean
that reaches every contour. The
brush head has been redesigned
with twisted bristles, and reinforced with high-density tuft-intuft configuration, for a sensational brushing experience.
• Bimodal Smart Pressure Sensor:
an innovation that is the first of its
kind to provide positive brushing
feedback, identifying and guiding
users to brush in the optimal pressure range. The Sensor features a
variable-speed smart drive that
adjusts frequency to protect gums
and enamel.
• Smart Display with Personalized
Brushing Modes: an intuitive interface that greets users, while also
providing coaching and motivation throughout the cleaning pro-
cess. Features up to seven brush
modes for a highly personalized
experience.
• Artificial Intelligence Tracking
via the Oral-B iO App: provides
real-time individual tracking and
coaching, thanks to artificial intelligence informed by thousands of
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AD
[25] =>
[26] =>
26
INDUSTRY
Dental Tribune Middle East & Africa Edition | 1/2020
Digital chairside dentistry. Redefined.
For CEREC users, it’s simple: CEREC makes even the best dentists better.
By Dentsply Sirona
CEREC users will tell you going
digital was a great decision, but until they did it they too sometimes
had doubts. Would everything go
smoothly right away? No. Could they
learn to handle the technology? Absolutely. What about the quality of
restorations? Outstanding in every
way.
With a new, best-in-class milling unit
and highly automated, intuitive software to go with the CEREC Primescan, there’s never been a better time
to future-proof your practice with
CEREC.
The all-new CEREC gives you the
tools for superior digital chairside
dentistry.
The latest generation of our CEREC
system sets new standards so you
can offer patients an unmatched
combination of single-visit dentistry
and excellent quality. After 35 years
of continuous optimization, CEREC
gives you the options you need to
treat multiple indications with the
confidence that comes from outstanding results.
A unique solution designed for superior digital dentistry.
The CEREC system comprises worldclass components that interact perfectly ensuring seamless workflows.
CEREC Primescan quickly delivers
highly accurate scan data to the new
CEREC Software 5, supporting you
with patient-specific proposals based
on the patented biojaw algorithm.
But the powerhouse of the system is
the new CEREC Primemill. With this
state-of-the-art milling unit, digital
chairside dentistry is faster, easier
and more reliable than ever before.
The all-new CEREC. Now is the time.
The SphereTEC revolution continues…
Introducing the complete Neo Spectra ST
composite portfolio for efficient esthetics.
By Dentsply Sirona
adapt, sculpt, and shape, and are resistant to slumping. For applications
where higher flowability is preferred,
the nanofillers in Neo Spectra ST flow
help to create a versatile, thixotropic
‘flow on-demand’ handling that
stays put until the user initiates the
flow. Each of the three viscosities offers proven durability, excellent chameleon blending ability, high polish
and stain resistance.
With the new Neo Spectra ST composite portfolio, dental professionals
can now find the full range of handling preferences and esthetic needs
covered by a single product line.
Thanks to SphereTEC filler technology, the portfolio offers optimized
performance in the areas that matter most, helping clinians to achieve
reliable, esthetic results efficiently.
Dentsply Sirona’s latest innovation in composite filler technology,
SphereTEC, was introduced to dentistry in 2015. SphereTEC fillers are
spherical-shaped, pre-polymerised
fillers created from sub-micron barium glass. Their morphology, particle
size distribution, and surface microstructure deliver the benefits that
matter most to dentists. Over 24 million restorations after the new technology’s debut, Dentsply Sirona introduces an expanded portfolio with
SphereTEC technology. Clinicians
can now enjoy SphereTEC technology benefits in all composite cases
with the comprehensive Neo Spectra ST portfolio. ‘Neo’, meaning ‘new’
or ‘revived’ emphasizes the modern, cutting edge approach taken to
optimize our composite portfolio.
‘Spectra ST’ explains the portfolio’s
coverage of the full range or ‘Spectra’
of handling preferences and esthetic
needs optimized with SphereTEC
(ST) technology.
Covering the Full Range of Handling Preferences
Dentsply Sirona recognizes that
every clinician is unique and when
it comes to composites, so are their
handling preferences. That’s why the
Neo Spectra ST composite portfolio
was designed to cover a full range of
handling options, enabling clinicians
to select their preferred viscosity for
placement ease and efficiency. Neo
Spectra ST High-Viscosity (HV) universal composite has a firm, packable
handling, while the Low-Viscosity
(LV) option offers a creamy, spreadable handling. Thanks to SphereTEC
technology, both the HV and LV
universal composite viscosities are
non-sticky to the instrument, easy to
Covering the Full Range of Esthetic
Needs
In addition to satisfying the range
of handling preferences, the Neo
Spectra ST composite portfolio
makes it easy to achieve natural
esthetic results with a streamlined
shade inventory and simplified techniques. The unique construction of
SphereTEC fillers creates an excellent chameleon shade blending effect that enables five shades A1 to A4,
called universal CLOUD shades, to
cover the entire VITA1 Classic range,
and satisfy the esthetic demands
for the vast majority of cases with a
single shade. One additional shade,
BW (bleach white), is also available
for restoration of bleached teeth. For
esthetically demanding anterior cases, Neo Spectra ST Effects offers two
opaque dentin shades and one translucent enamel shade that work to-
gether in a simplified layering technique with Neo Spectra ST universal
CLOUD shades. The simplified shade
concept and layering technique result in streamlined composite inventory while ensuring reliable, highly
aesthetic clinical results. The unique
structure of SphereTEC fillers also
maximizes composite strength and
durability, while their sub-micron
primary particle size ensures excellent polishability.
For further information about Neo
Spectra ST composites available
from Dentsply Sirona, please contact
your local Dentsply Sirona representative or visit our website www.
dentsplysirona.com
VITA® is not a registered trademark
of Dentsply Sirona Inc.
1
ML420155M (12-7-18)
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Dental Tribune Middle East & Africa Edition | 1/2020
NEWS
27
t Page 1
The reality is that digital dental
technology has now become userfriendly and affordable enough to
be adopted by anyone who wants to
access its benefits. Clinics and labs of
all sizes are unlocking substantial efficiency and productivity gains with
no compromise in quality. In fact,
many digital workflow users’ credit
digital dentistry tools with contributing to improved quality in care due
to the level of precision that is now
possible, and the fidelity of planned
versus actual outcomes.
Digital scans and digital designs
fuel accurate digital production that
increasingly requires less and less
post-processing before next steps
can be taken. This is true for everything from prosthodontic models to
long-term, full-arch dentures. These
advancements are exciting and beneficial to everyone involved. Labs can
handle higher volumes, practitioners can expand in-house services,
and patients can get precise treatment faster, with fewer visits.
For instance, the new capabilities in
3D printing speed make it possible
for clinicians to deliver complete restorations within a same-day appointment that have historically required
multiple visits. On the NextDent
5100, for example, it is now possible
to 3D print a full arch in half-an-hour
or less. For practitioners, this means
the ability to see more patients over
time while offering a more convenient, expedited treatment experience.
For patients, the integration of this
technology means fewer scheduling
conflicts and life disruptions to address their concerns.
For dental laboratories of all sizes,
increases in digital production
speeds are of tremendous value.
Large laboratories are able to in-
t Page 24
recorded brushing sessions. Oral-B
iO has a simple and intuitive user
interface that guides consumers
through a two-minute brushing
session with 3D teeth tracking to
ensure a professional clean feeling
every time.
“Oral-B iO goes beyond being a new
toothbrush – it is an innovative
brushing technology with a truly
sensorial experience that users will
feel, hear and see, transforming the
act of brushing teeth from something they have to do into something they actually want to do,” said
Lisa Ernst, P&G VP Global Health
Care R&D. “Six years of dedicated research were undertaken with dental
professionals to discover a wholly
original brushing experience.”
In clinical tests, Oral-B iO provided a
deeper cleaning of teeth and gums,
allowing users to easily and effectively maintain oral health. When
compared to manual toothbrushes,
Oral-B iO users experienced:
• 100 percent healthier gums in just
one week
• Six times more plaque removal
along the gumline
• 83 percent of gingivitis patients
moved from unhealthy to healthy
gums in eight weeks
The new Oral-B iO will be available
for purchase beginning in August
2020. For more information about
Oral-B iO, visit oralb.io. To join the
Oral-B iO waitlist and be among the
first to receive it, visit oralb.io/signup.
crease productivity to keep production volumes up, and small laboratories are able to avoid backlogs to
maintain availability to take on new
jobs. Fast and highly accurate 3D
printing also enables superior communication between dentists and
laboratories to enable streamlined
restoration fabrication and delivery
and increased patient satisfaction.
The expedient input to output
loop created by the digital dentistry
workflow is more comfortable and
convenient to the patient than the
traditional processes it replaces.
Furthermore, digital precision at
every stage gives care providers
higher confidence in fit. The author
of this piece has firsthand experi-
ence to support these statements,
as I was one of the first patients to
receive a 3D printed restoration. I
had a tooth replaced in 2016 using
3D printing, and it works and looks as
great as it did on day one!
As dentistry and 3D printing continue to evolve and synergize, my
experience is becoming less and
less unique, which I view as a wonderful thing. From high production
labs where large volumes of unique
parts must be fabricated quickly, to
private clinics where the provider
wants to enhance patient experience with high quality expedited
treatment: 3D printing technology
is leading a transformation in dental
occupations that allows everybody
to win.
AD
[28] =>
28
SCIENTIFIC
Dental Tribune Middle East & Africa Edition | 1/2020
The complete digital implant workflow
By Drs Kirill Kostin, Mikhail Erohin,
Oleg Ponomarev & Maxim Kozhevin, Russia
Planmeca is known for high-tech
innovations and continuous product development. The company’s
pow-erful Planmeca Romexis software platform allows all stages of
the dental implant and aesthetic
prosthodon-tic treatment to be completed using one piece of soft-ware,
from the computer-assisted design
of patients’ smiles to the fabrication
of surgical guides.
The following clinical case, which
I performed together with my colleagues Dr Ponomarev, Dr Kozhevin and Dr Yarokhin, illustrates
how digital solutions can be used in
prosthodontic treatment, implant
placement and res-toration design.
According to our experiences, digital
CAD/CAM technologies enable maximal functional and aesthetic results
compared to traditional methods.
Clinical case report
The clinical case illustrates the advantages of using Planmeca CAD/
CAM solutions in the digital planning of an implant placement and
surgical guide, as well as in the fabrication of a ceramic restoration. This
arti-cle presents a clinical case in
which the treatment was completed
using the Planmeca Romexis 3D
Implant Guide software, Planmeca
PlanCAD Premium software and
Planmeca PlanMill 40 milling unit.
The clinical case features a female
patient, who com-plained about
missing tooth #22, as well as the
shield-like shape of tooth #12 (Figs. 1
& 2). During the initial examination,
the area around the missing tooth
was estimated to be quite narrow for
an implant. How-ever, the patient
declined orthodontic preparation,
as she had already previously had
orthodontic treatment with orthodontic surgery.
In this particular case, we started
with an aesthetic analysis of the patient’s CBCT data and concluded that
a Straumann implant with a 2.9 mm
diameter would fit in the area of
tooth 22, if we used a surgical guide
for maximum precision (Figs. 3–5).
For tooth #12, we decided to fabricate a thin-walled IPS e.max ceramic
restoration (Ivoclar Vivadent).
Figs. 1 & 2: The patient’s upper teeth before treatment.
Thanks to digital planning and a
carefully fabricated surgical guide,
the implant was placed successfully,
even though the anatomical conditions appeared to be less than advantageous. We achieved a torque of
30 Ncm and attached a healing abutment to the im-plant (Figs. 6 & 7).
Three months after the implant
placement operation, the osseointegration of the implant fixture was
com-pleted. A temporary crown was
fabricated on the im-plant from a
u Page 29
Fig. 2
Fig. 4
Figs. 3 & 4: Digital implant and surgical guide planning in Planmeca Romexis software.
Figs. 6 & 7: Successful placement of the implant.
Fig. 8
Fig. 9
Fig. 5: Surgical guide was fabricated for maximum precision.
Fig. 7
Fig. 10
Figs. 8–10: Temporary crown was installed to support the formation of soft tissues.
Fig. 11
Figs. 11–13: Crown lengthening was performed on tooth #12.
[29] =>
29
SCIENTIFIC
Dental Tribune Middle East & Africa Edition | 1/2020
t Page 28
VITA ENAMIC multiColor block to
support the formation of soft tissues
(Figs. 8–10). We improved the original design on the Straumann superstructure with gum contouring. On
tooth #12, crown lengthen-ing was
performed with an electrocoagulator (Figs. 11–13).
Once the formation of the soft tissues was complete, tooth #12 was
minimally prepared for the ceramic
crown with the help of a surgical microscope. After the preparation, the
teeth were scanned in order to digitally design a custom abutment and
crowns (Figs. 14–19).
The final smile design was planned
digitally together with the patient.
For the implant structure, we chose
an individual zirconium abutment
screw with a ceramic facing and a
fully anatomical Empress crown
(Figs. 20 & 21). The ceramic facing
concealed the excessive bright-ness
of the zirconium, and we were able to
achieve the desired colour. Thanks to
the digital workflow, we man-aged to
fulfil the wishes of the patient. (Figs.
22–24).
Fig. 12
Fig. 13
Conclusion
With digital technologies, the entire
implant workflow can be completed
in the dental clinic, from planning to
fabrication of the restorations. Digital planning in-creases the reliability
of the implant treatment and helps
the dentist to succeed in the operation. Digital tools allow achieving the
maximum functional and aesthetic
result even in combined operations
in which an i m- plant p lacement
and ceramic restoration are performed simultaneously.
Fig. 14
Fig. 17
Thanks to the development of modern technologies, a 3D model of a
patient’s set of teeth can now be acquired in only a few minutes, without infringing on the com-fort of the
patient. At the same time, combining a CBCT image with an intraoral
scan enables the dentist to plan the
implant placement and surgical
guide accurately and with just a few
mouse clicks.
Finally, digital technologies also
enable visualising the treatment
Fig. 15
outcome for the patient. Clear visualisations of the end result facilitate
communication with the patient,
which, in turn, can increase case acceptance.
About the author
Dr Kirill Kostin graduated from Saint
Petersburg State Medical Uni-versity
in Russia in 2004. He became the cofounder of the PerfectSmile dental
clinic and dental study centre in 2014.
At his clinic in Saint Petersburg, Dr Kostin runs a private practice concentrat-
Fig. 16
Fig. 18
Fig. 19
Figs. 14–19: The final restorations were designed in Planmeca PlanCAD Premium.
Fig. 21
Fig. 20
Figs. 20 & 21: Final restorations: Zirconium abutment screw with a ceramic facing and a fully anatomical Empress crown.
Fig. 22
Figs. 22–24: Final outcome after the completion of the treatment.
Fig. 23
Fig. 24
ing on the aesthetic and functional
rehabilitation of natural dentition
and implants, applying various digital
instruments as part of restorative procedures (digital smile design, intraoral
scanning, CAD/CAM milling, 3D printing, and guided surgical procedures).
Using a dental microscope on a daily
basis, Dr Kostin focuses on minimally
invasive restorative procedures with direct and indirect restorations. This particular case Kostin per-formed together
with his colleagues Drs Mikhail Erohin,
Oleg Ponomarev and Maxim Kozhevin.
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INTERVIEW
Dental Tribune Middle East & Africa Edition | 1/2020
31
t Page 1
I was a witness to the opening of
the first ever Sirona showroom office opening in Dubai, 10 years ago.
Remembering Dr. Amro Adel, your
General Manager for the MENA
region, working countless hours,
from making everything himself
even the design and it was excellent. I am a witness of this long
successful journey and to reach
the success with Sirona here, now
Dentsply Sirona, what is your first
impression of the Dentsply Sirona
Middle East office?
Don Casey: The office is gorgeous
and highly well-staffed, with the
right equipment and great space.
I would say this is one of our best
training facilities in the world. Walter Petersohn and I travel constantly,
and I would put this office among
the best.
learned a lot, and with Dr. Amro’s
help, we have put together a magnificent team and all the building blocks
to accelerate growth. Compared to
Europe or the U.S., there are different
aspects in this market, and you need
a leadership team that is aware of
these elements. The formulation for
success involves local partnerships,
local involvement of trainers, customers and key opinion leaders. All
that combined with a good portion
of focus is really the basis for growth.
The Middle East is complex, and a
lot of countries fear the region, but
we have a long history in the region
and expertise. We have many people
with over 20 years’ experience on
our team, so we know how to grow
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The Dentsply Sirona MENA team with Don Casey and Walter Petersohn.
AD
“The Dentsply Sirona
office here is beautiful, showcasing our
products and offering
outstanding training
facilities to our customers.” – Don Casey,
CEO, Dentsply Sirona.
In February 2016, Dentsply and
Sirona merged resulting in the
largest dental manufacturing company in the world in dental products and technology. Currently the
company has 15,000 employees so
how have you managed to keep the
company consistently strong in
terms of strategy and culture? This
question is in particular regarding
the Middle East due to its multicultural environment, religions
and most importantly crucial parties having different educational
backgrounds.
Don Casey: When trying to integrate
companies, whether it is a homogenous market, like North America or a
multicultural environment, like the
Middle East, you have to start with
a single goal: the customer. At Dentsply Sirona, we are all unified around
the idea that if we focus on helping
the half million dental professionals around the world and improve
their practices, that’s what will create
a united culture. Whether you are
Egyptian, German or American, our
goal is to help dentists deliver better
oral care and smiles to their patients.
That is what we do.
The education here in the Middle
East is the challenge especially due
to the different educational backgrounds coming with different approaches from different countries.
This is very challenging, but I am
certain we can manage well in the
Middle East in terms of education.
Don Casey: Clinical education is key
to us. Providing dental professionals
with essential knowledge is one of
our main goals. One of the conversations we’ve had with Dr. Amro Adel
was this region has done an exceptional job because of great partnerships, like we have with you, in focusing on clinical and lab education.
We have to consider that we need to
do things differently in Saudi Arabia
compared to Egypt or Morocco. For
example, how we teach Class II restoration or digital dentistry, when dealing with different backgrounds and
the complexity of each region.
How important is the Middle East
dental market to Dentsply Sirona?
And for which reasons?
Walter Petersohn: Super important.
This isn’t an easy market, but it is a
growth market. Growth markets attract us. Over the last five years we’ve
[32] =>
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INTERVIEW
Dental Tribune Middle East & Africa Edition | 1/2020
t Page 31
the business, to build it, accelerate
it, and we are excited. This is why we
continue to invest in facilities here,
and why we continue to grow the
team and increasingly invest in clinical education.
Which product line do you feel
is best represented in the Middle
East region and which ranges still
require more awareness? What are
some of the solutions dental professional can expect in the Middle
East in the future?
Walter Petersohn: First, it is important to understand that people know
our brand. It is known through our
presence, our innovation and how
we remain active in certain segments and fields. Clearly, everything
that is digital, combining procedures
into digital workflows, aligners, implants, restorative materials and the
The Dentsply Sirona MENA team with Don Casey and Walter Petersohn.
AD
endo solution process, have become
very popular. Our task is to make
sure we stay with our strongholds
and accelerate in these areas, and we
continue to support dental professionals with our innovations, both in
the product and the procedure level,
so they can be successful and help
patients smile. Again, this means
focus. Countries vary, hurdles vary,
it is multidimensional but a big opportunity.
“Over the last five
years we’ve learned
a lot, and with Dr.
Amro’s help, we have
put together a magnificent team and all
the building blocks
to accelerate growth.”
– Walter Petersohn,
CCO, Dentsply Sirona
How far ahead down the years do
you plan when it comes to innovation planning and introducing
novelties in the Middle East? What
is your forecast and vision?
Don Casey: You will understand
some we cannot talk about. We want
to emphasize a number of different
businesses, but I think Walter Petersohn said it very well: we believe
digital is the future. Whether that is
the evolution of 2D to 3D, the migration with CAD/CAM, chairside dentistry or Primescan, it’s a substantial
digital business. But there is also
Orthodontics and the Implants business too. When we look at the region,
our Endodontic business plays an
important role. This is an area where
we have a lot of history and tenure.
We went from hand files to digital,
to reciprocating files. And the Middle East has played an important
role in the growth and will continue
to be a great emphasize here. In our
mind, we look at different blocks of
innovation, and digital will be one.
We believe that we are at the beginning of what we think endodontics
will be like over the next decade.
We’re also excited about our implant
business, which traditionally has not
been a focus in the Middle East. But
with someone like Dr. Amro, who
has been making investment decisions in the region, we’re changing
our direction and structure. Working
closely with our customers in the region, he’s able to inform us on what
should be our focus. From our point
of view, the implants business will
be good opportunity over the longu Page 33
[33] =>
Dental Tribune Middle East & Africa Edition | 1/2020
33
INTERVIEW
t Page 32
term. At Dentsply Sirona, we used to
think we have 10 digital businesses
that all had to move at the exact
same speed. But we’ve learned that
it makes more sense combining separate businesses to sensible product
solutions and then sell the solution
outside the box.
I am very excited about the advancements of digital dentistry
and the digital workflow and with
your new scanning system it can
keep the data of the patient even
after 10-20 years from now. We can
see how important it is starting
from the patient’s treatment plan
to the production, to the scanning
and diagnostic.
I remember we talked about this at
Dentsply Sirona World in Las Vegas last year. We are not sure where
digital dentistry will lead us. Imagine if you had an impression of a
patient’s mouth, and you as a dentist could tell them that their teeth
will get worse and a years later it really does. I think the opportunity to
show patients a coherent long-term
treatment plan over several years is
very important. I am excited about
the early stages of digital dentistry.
Who knows where we will be in five
years? I don’t think we have figured
it out yet.
“Clearly, everything
that is digital, combining procedures
into digital workflows,
aligners, implants,
restorative materials
and the endo solution
process, have become
very popular.” –
Walter Petersohn,
CCO, Dentsply Sirona
It is good because we can keep
data of the patient, even in investigations, accidents, we will not
search for the papers in the clinic.
It’s just digital. What is the process
of education at Dentsply Sirona
starting from the product innovation down to educating the dental
professional, dental technician,
dental hygienist, dental assistant,
even now, dental managers - the
full circle?
Walter Petersohn: As you mentioned, it is a multi-element process.
The one thing we can clearly state: the
more, the better, the deeper we educate and train, the more awareness
about the product, the procedure and
the solution we generate. This is why
we invest in facilities like in Dubai,
with training and lecture rooms, and
not just here in Dubai, but in all major cities. As you may know, we have
two big centres in Charlotte, North
Carolina, and Bensheim, Germany,
and we are constantly expanding
our dental academy facilities because
we realize this is the future. Given all
the geographical diversity here in the
Middle East but also the challenges-i.e., people from country A cannot
easily travel to country B-- we think
increasing investments and activities
in webinars can be a solution. The local team can train customers in India
and in Morocco simultaneously, so
training can be highly digital in the
future for sure.
We have a very huge platform
with Dental Tribune International
Study Club, recently opening our
Middle East platform as well. We
also produce a lot of webinars
and its really working. Minimum
number of delegates attending in
our region is usually between 400
- 800 dental professionals. These
are new customers, usually not
only from our database but from
the region who are interested in
education. It will be good in the future to process more webinars.
Walter Petersohn: We always try to
tailor our activities to the country
and partner with institutions from
other countries. Some countries are
already advanced, so we try to team
up with institutions and create partnerships whenever it makes sense.
This creates a win-win situation and
the purpose of both organisations
can overlap to combine forces.
This is the international platform.
These webinars are going to our
139 publishers in the world. From
China to the States. States is a big
partner. Middle East is the second
largest after the United States.
Don Casey: As you think about
your platform, and it’s a conversation we had today, we really heard a
lot of buzz from Russia. I would love
to see the development and recognition of more local KOLs. As we do
webinars, let’s not make them the
same way, with the same guys who
always do them. I think people are
doing great dentistry all over the
world. One of the things I’d like for
Dentsply Sirona to do is make our
webinars and our dental education
to reflect the style and culture of
countries around the world, including local voices and faces. Two days
ago, we were in the office in Moscow and the technique and work
were probably better than anything
I have ever seen. I would love the
world to learn best practices from
all over the globe. There’s not just
one centre. The power sits in localising activities. We reduced the regional responsibilities to have our
leaders be more engaged and involved with our customers, dealer
partners and staff. The same is true
for training. The more you can get
local leaders involved in training
and education, same country, same
language, the faster you can convince local customers of the quality
of products.
How important are the dental dealers in Middle East for Dentsply Sirona International.?
Walter Petersohn: They’re very
important, also because of the geographic diversity. There’s no way we
would ever be able to cover this gigantic region without the help of the
dealers. But that means we also have
to train the dealers on our products
so they can train the dental professionals. We usually bring together all
the dealers, that’s what we do during
our so-called Dealer days. One of the
challenges, depending on the region,
is how can we help them with credit.
Economically, it’s a challenge when
dealing with different parts of the
world, and different economical situations and so on. Ultimately, every
day starts with us asking, how do we
help our customers - and the dealers
are a critical way for us to help.
Do you have anything else to say to
Dental Tribune Middle East readers?
Don Casey: First, we’re excited about
your presence and the excitement of
all your readers in the field of dentistry. We want your readers in the
region to know that we mean it very
serious. This is why we believe in a
local footprint and local staff. As you
know, we are not just in Dubai, we
have our teams all over the Middle
East and North Africa region. This is a
significant commitment! By putting
the focus on the right areas and growing education, all of our customers
and dental professionals around the
region will see that, which will translate into new partnerships.
AD
[34] =>
34
INTERNATIONAL NEWS
Dental Tribune Middle East & Africa Edition | 1/2020
Cervitec liquid: new formula is a success!
Cervitec liquid from Ivoclar Vivadent now features an enhanced formula.
By Ivoclar Vivadent
The composition of the mouth rinse
has been further optimized to improve the product’s taste. The new
delicate mint flavour has been wellreceived, even by very taste-sensitive
individuals. Cervitec Liquid makes
the oral hygiene routine a pleasant and refreshing experience. This
has been confirmed in a recent survey conducted by Ivoclar Vivadent
amongst around 150 test subjects.
Cervitec Liquid is a ready-to-use
alcohol-free mouth rinse for professional oral hygiene in the dental office and at home. The new formula
contains xylitol, the provitamin Dpanthenol and 0.1 % chlorhexidine.
Cervitec Liquid made an excellent
first impression on the participants
of the survey on the basis of its scent.
Ninety-seven per cent of the respondents said that they liked it very
much. They also gave the taste and
feel of the liquid in the mouth a posi-
tive review. Eighty-six per cent rated
the mouth rinse as being very mild
to mild. Nonetheless, 89% reported
that their breath felt clean and fresh
after rinsing. As a result, it is not
surprising that around 90% of the
respondents said that they would
continue using Cervitec Liquid in the
future and recommend the product
to someone else. In fact, two thirds
of the group already knew that they
could buy Cervitec Liquid from pharmacies.
Rinsing with Cervitec Liquid is recommended for patients before and
after implant, periodontal or orthodontic surgery in order to control
bacteria in the oral cavity. It is also
recommended for patients with a
high caries risk, impaired oral hygiene or bad breath. Children over
the age of six years may use Cervitec
Liquid.
Cervitec® is a registered trademark of
Ivoclar Vivadent AG.
AD
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Table of contents
-
"Clinical education is key to us. Providing dental professionals with essential knowledge is one of our main goals"
01 - 33
view
-
Transforming treatment for the better with digital dentistry
01 - 27
view
-
News
02 - 06
view
-
RESTORATIVE
08 - 12
view
-
News
14 - 18
view
-
Smile rejuvenation with Biosmart restoratives
20 - 22
view
-
News
24 - 24
view
-
Industry
26 - 26
view
-
The complete digital implant workflow
28 - 29
view
-
International News
34 - 34
view
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/ Transforming treatment for the better with digital dentistry
/ News
/ RESTORATIVE
/ News
/ Smile rejuvenation with Biosmart restoratives
/ News
/ Industry
/ The complete digital implant workflow
/ International News
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