today IDS 2013 Cologne Show Previewtoday IDS 2013 Cologne Show Previewtoday IDS 2013 Cologne Show Preview

today IDS 2013 Cologne Show Preview

High foreign demand drives the world’s largest dental showcase / Opinion / Trends & News / Science & Practice / Industry / Business / Useful information and travel tips

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TDIDS0013_01_Titel






TDIDS0013_01_Titel 22.02.13 09:50 Seite 1

IDS—35 th International Dental Show · Cologne · 12–16 March, 2013

Sonderausgabe · Special Issue

SHOW
PREVIEW
A view on European dental markets

IDS 2013 trends in focus

A preview of the industry

Markets in Europe have proven stable since the last IDS took place
in 2011. An interview with ADDE president Dominique Deschietere.

CAD/CAM and growth factors have become key areas of dental
innovation. Dr Nilesh R. Parmar provides an overview.

With more companies to be participating in IDS than ever before,
there will be plenty of new products to see and discover.

» page 02

» page 12

» page 28
AD

High foreign demand drives the
world’s largest dental showcase
Number of exhibiting companies increases by more than 10 per cent/According to the organiser Koelnmesse, dental
CAD/CAM, implant treatment and lasers will be mega trends at upcoming International Dental Show in Cologne, Germany

ACTIVATE INNOVATION

HALL 10.2
AISLE M/N-N/O
BOOTH 60-69
AD

formation on exhibitors and products
ahead of the show.
The next edition is scheduled to
open its doors soon with the usual
Dealers’ Day on Tuesday, 12 March
2013. More than 120,000 dental professionals from Germany and abroad
are expected to attend the event to
update their knowledge on the latest
developments and trends in dental
equipment and materials, according
to Hamma. 7
AD

5

The last IDS, held in March 2011, drew 1,954 exhibitors and 118,000 professional visitors to Cologne, according to reports.

n The development of CAD/CAM and
implantology will continue to be the
determining trends at the next International Dental Show, representatives
of the organiser Koelnmesse and the
Association of German Dental Manufacturers (VDDI) told reporters at a
press conference in December. Besides these mega topics, the use of
lasers in different fields of dentistry
will be given particular attention.
Reportedly, more than 2,000 dental manufacturers and distributors
have registered for this year’s event,
which has been expanded by 5,000
sqm and will fully occupy another
hall at the Koelnmesse fairground in
Cologne. According to Koelnmesse’s
chief operating officer, Katharina C.
Hamma, the increase in exhibitors
is due to the high demand from companies abroad, which has grown by
10 per cent compared with the last
IDS. While the number of domestic
businesses will remain the same, almost two-thirds (68 per cent) of all companies exhibiting in 2013 will come
from outside Germany.
“IDS will prove its position as the
global leading trade show in the den-

tal industry once again. Its success is
an endorsement of our trade show concept,” Hamma explained. “Therefore,

5

Katharina C. Hamma, Chief Operating Officer
of Koelnmesse.

we will be retaining the successful
formula for the upcoming event.”
Her company, which hosts other
well-known international trade events
like Art Cologne and gamescom,

stages the global dentistry showcase
in partnership with the commercial
enterprise of the VDDI and the Society
for the Promotion of the Dental Industry (Gesellschaft zur Förderung der
Dental-Industrie) every two years. The
last edition, held in March 2011, drew
1,954 exhibitors and 118,000 professional visitors to Cologne, according
to reports.
Hamma announced that in addition to professional activities presented by the German Dental Association and the Association of German
Dental Technicians’ Guilds (VDZI), the
Federal Association of Dental Alumni
(BdZA) in Germany will be hosting a
Generations’ Lounge for the first time
at next year’s IDS, which is intended
to serve as a meeting point for dental
students, practice newcomers and established practitioners. Furthermore,
visitors will be able to learn more
about the latest products and technologies at the customary Speakers’
Corner (in Hall 3.1).
The IDS app has recently been
updated. The application, available for
several smartphones, such as Apple’s
iPhone, allows users to search for in-


[2] => TDIDS0013_01_Titel
TDIDS0013_02_Deschietere 19.02.13 12:47 Seite 1

opinion

02

Show Preview IDS Cologne 2013

Digital technology and CAD/CAM will
determine dental market development
An interview with Dominique Deschietere, President of the Association of Dental Dealers in Europe
fit. As the dental industry and the
health-care sector in general produce
a wide range of products, from extremely sophisticated devices to consumables, we as distributors need to
be vigilant regarding medical device
regulations. The regulatory framework provided by the EU for market
access, international business relations and legal agreements is in the
patient’s best interest. However, we
also think that these matters should
be adapted to the dental distributor
market.

5

Dominique Deschietere

n Supported by growth in major markets like Germany, sales of dental
equipment in Europe have proven relatively stable since the last IDS took place
in 2011. today international had the
opportunity to speak with Arseus Lab
CEO and newly elected President of the
Association of Dental Dealers in Europe
(ADDE), Dominique Deschietere, Belgium, about the current state of the
industry, and the challenges that lie
ahead.
today international: Last year,
the European Union announced the
revision of its medical device regulations. How is this going to affect
the dental industry?
Dominique Deschietere: The diversity and potential for innovation
in our industry contribute to improved
dental procedures and prosthetics,
from which the patient can only bene-

Why do the current regulations
need to be changed at all?
The main reason for the revision is
that current EU legislation dates from
the late 1990s and is considered insufficient by many for our rapidly changing market. In addition, some member
states of the EU have tended to interpret some of these rules broadly,
which is not necessarily to the benefit
of the patient. It also makes competition uneven for those distributors who
adhere to the regulations. Therefore,
it is essential to impose new regulations in order to increase traceability
of dental products within and beyond
the borders of the EU.
According to a 2011 survey by
your organisation, sales of dental
materials and equipment in Europe
remained relatively stable. What is
the current state of the industry on
the continent?
Preliminary figures from our latest survey of the industry show that,

5

Visitors watching a product presentation at IDS 2011. According to Deschietere, European dental practitioners and laboratories have become rather
reluctant to make large investments.

except for a few countries, the market
has achieved good sales. There might
be a slight decrease in traditional product segments, as old technologies are
replaced by new ones but it is still
too early to provide a clear picture on
the current market situation. Unfortunately, not all figures from our 2012 industry survey to be discussed during
the IDS are available yet. However, we
would like to invite everyone to our

AD

Free
entry

During a press conference in
December in Cologne, the Chairman
of the Association of German Dental
Manufacturers, Dr Martin Rickert,
said that the outlook for markets in
Southern Europe is rather negative
owing to the financial constraints
the health-care sector is facing at
the moment. What is the situation
really like there?
It is no secret that some countries
in Southern Europe that suffered most
from the financial crisis are showing
a negative trend with regard to dental
investments. It is likely that this will
be reflected in the sales figures from
last year.

the continent have become rather reluctant to make large investments.
Where do you see the industry
heading, and what segments are
the most likely to grow in the next
few years?
We will definitely see significant
growth in digital dentistry as new
technologies like intra-oral scanners,
as well as digital imaging and planning instruments, find their way into
dental practices. Dental laboratories
too are increasingly making use of
CAD/CAM technology. Both these developments will determine how the
market and the dental business models will develop in the future.
Europe has traditionally been
one of the largest markets for dental

“...it is essential to impose new
regulations in order to increase
traceability of dental products within
and beyond the borders of the EU.”

Dental Tribune Study Club | Hall 3.1 | Booth J010/L019

IDS Speakers’ Corner
TUESDAY, MARCH 12

THURSDAY, MARCH 14

14:00 – 14:30 Dan McOwen
CBCT/DVT 2013: Latest information,
comparisons and purchasing guidelines

11:00 – 12:00

Dr. Gianluca Gambarini
TF adaptive—a novel approach
to canal instrumentation

15:30 – 16:00 Prof. Gianni Gaetta
Velscope—saving lives,
not only teeth

12:00 – 12:30

Dr. George Freedman
Cement free implants and long term
maintenance

WEDNESDAY, MARCH 13

FRIDAY, MARCH 15

11:00 – 11:30 Dr. Fay Goldstep
Predictable proactive periodontal
treatment

11:00 – 11:30

Dr. Henriette Lerner
DVT 2013: Neuigkeiten, Vergleiche und
Tipps zur Entscheidungsfindung

15:30 – 16:00 Michael Bauer, M.Sc.

16:00 – 16:30

Dr. Derry Rogers
Introduction of new SDI products.
Your Smile. Our Vision.

The Use of Erbium lasers for Stimulation of Bone Growth Factors (PDGF)/
Erbiumlasereinsatz zur Stimulierung
der Knochenwachstumsfaktoren (PDGF)

presentation to be held on Wednesday,
13 March, at 16:00 in the Blue Room at
the Koelnmesse fairground.

BECOME A FREE MEMBER AT WWW.DTSTUDYCLUB.COM

While sales of sundries and
technical services increased slightly in 2011, equipment sales decreased by over 2 per cent. Have
dentists become more wary of investments?
Socio-demographic developments
and changing patterns of reimbursements by public health services and
insurers have had an impact on patients’ health-care spending.
As a result of the financial crisis,
people have had difficulty accessing
capital through bank loans, renting,
etc. which means they have less
money available for medical and dental care. Consequently, dental practitioners and laboratories throughout

material and equipment, rivalled
only by North America. How important have markets overseas become?
It goes without saying that in
terms of economic growth, spending
ability and other factors, the BRIC
countries hold great potential. Dental
distributors in Europe will be involved
in this process as we gain access to
other products and technologies from
around the world. From this, competition will only increase within the
EU. Our members will have to follow
these changes carefully and learn to
respond to them in a professional and
transparent manner.
Thank you for the interview. 7


[3] => TDIDS0013_01_Titel
ACTIVATE
INNOVATION
Whatever you do at this IDS
Join us and discover the
latest innovations from the ACTEON® Group!
ACTEON® will introduce amazing technology:
discover the sensational NEWTRON® range and experience the
newest piezo-ultrasonic clinical applications, access to the
latest technologies in imaging and radiology with SOPROCARE™
and X-MIND™, attend to the live demonstrations and see the
beneÀts provided by METOO™ and AIR-N-GO™.

These are unique opportunities to show you how we active
innovation... for you!
We

to create
17 av. Gustave Eiffel • BP 30216 • 33708 MERIGNAC cedex • FRANCE
Tel + 33 (0) 556 340 607 • Fax + 33 (0) 556 349 292 • E-mail : satelec@acteongroup.com • www.acteongroup.com
Acteon Germany GmbH • Industriestraße 9 • D-40822 METTMANN
Tel. +49 (0) 21 04 / 95 65 10 • Fax +49 (0) 21 04 / 95 65 11 • Hotline 0800 / 728 35 32 • info@de.acteongroup.com • www.de.acteongroup.com


[4] => TDIDS0013_01_Titel
TDIDS0013_04_Greetings 19.02.13 11:58 Seite 1

opinion

04

Show Preview IDS Cologne 2013

Welcome to the International Dental Show 2013
By Dr Martin Rickert, Chairman of the Association of German Dental Manufacturers (VDDI)
work requiring large and expensive
machinery has been en vogue for
years. Recently, there has been the
opposite trend, which has been a
surprise to many, of insourcing previously outsourced manufacturing
steps.

5

Dr Martin Rickert, Chairman of the Association of German Dental Manufacturers (VDDI).

n The dental industry in Germany is
very dynamic in every aspect, technologically and economically. Particularly in the last ten years, the field
has seen the introduction of numerous preventative and treatment
procedures, all of which were inconceivable a mere 15 years ago. New
ceramic dental materials, synthetic
filling materials, CAD/CAM in restorative dentistry, digital imaging
and implant treatment planning—we
have been working as a team in every
area, keeping the German dental industry a world leader. Together, we
are smart and full of ideas, as well as
innovative and flexible in our thinking. Nowhere else can you feel this
more than at the International Dental
Show, which is to be held from 12 to
16 March in Cologne in Germany.
Well, what can you expect to
see at the show? CAD/CAM is in-

creasingly finding its way into daily
practice with an ever-expanding
offering of intra-oral scanners of all
varieties. Video signals, blue LEDs,
the confocal principle, with or without scanning powder, you will have
the opportunity to see and experience everything within a day to
help you make your purchasing decision.
At the same time, once-closed
systems can now be used with different software, production units
and scanners. This flexibility offers
numerous possibilities for you to
optimise work procedures in your
own practice and in collaboration
with your dental partners.
Likewise, more and more options are becoming available to you
owing to developments in the dental
industry. The outsourcing of dental

With the recent advancements
in CAD/CAM technology, decisions
regarding material selection can increasingly be tailored to every single
patient. With state-of-the-art ceramic materials, dentists and dental
technicians, for example, can work
on multiple indications and with
conventional metal ceramics using
high gold-content alloys, which
themselves are very up to date. Modern rapid-prototyping procedures
could also become more important
in the field of high-performance
ceramics.
Is everything becoming digital
then? The answer is yes, but everything is also becoming more biological and interdisciplinary—nowadays, dentists increasingly refer patients to other medical specialists.
The fight against periodontitis and
peri-implantitis has to be viewed in
the context of systematic disease,
a link clearly supported and illustrated by recent scientific results.
Therefore, microbiological studies
on genetics in particular have gained
a more prominent role in dental
science. In this field, the International Dental Show is also expected
to showcase more precise and faster
procedures.
In addition, innovations in the
field of imaging have made their
mark in the high-tech sector. Increas-

ingly combined into compact hybrid
systems, intra-oral cameras, fluorescent cameras and even polymerisation lamps have become effective
tools in the diagnosis of caries and
in dental filling.

The industry
highlight of the year
By Katharina C. Hamma, COO of Koelnmesse
n The countdown to the International
Dental Show (IDS) has started. In a few
weeks, the global dental community
will meet once again in Cologne.
The IDS is the undisputed leading
global trade show for the dental industry. A visit to the trade fair halls
in Cologne is a must for dentists and
dental technicians, other dental staff,
members of the specialist dental
trade, scientists and researchers.
There is no other event in which the
entire dental industry—including all
international market leaders—presents such a wide range of products
and services. The exhibition will be
showcasing items from many areas,
including dentistry and dental technology segments; infection prevention and maintenance; dental services; and all of the relevant information, communication and organisational channels.

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Owing to these developments,
I am looking forward to the upcoming International Dental Show,
and particularly to your visit and
expert opinion on the innovations
presented there. 7

This year, the show will occupy
150,000 m² of exhibition space for
the first time. More than 1,950 companies from over 55 countries will be
presenting the latest trends, as well as
many innovations and services. Once
again, the percentage of visitors and
exhibitors from outside Germany will
increase, as we are expecting to welcome 10 per cent more exhibitors
from abroad than we had two years
ago. Overall, 68 per cent of the exhibitors will be coming to Cologne
from outside Germany. From this, it is
clear that the IDS is cementing its position as the leading global trade fair.
Visitors to the IDS will be travelling to Cologne from all over the world.
Two years ago, some came from as
far away as the Bahamas, Trinidad
and Tobago, Zimbabwe, Togo, Madagascar, Qatar, Oman, Laos, Cambodia,
Tajikistan, Polynesia and Micronesia.
This year we are expecting to welcome more than 120,000 visitors from
every part of the world, professionals
who want to take a closer look at the
latest innovations in the industry.
Such an international exchange of experiences and business deals is only
possible at the IDS in Cologne.
Visitors can be sure that there
will be no lack of innovations at the
fair. The industry’s innovative capacity is well known, and the IDS is
the largest show of innovations in
the world of dentistry. However, new
products and technologies are only

5

Katharina C. Hamma, chief operating officer
of Koelnmesse.

one side of the coin. As usual, the supporting programme will offer added
value. At the Speakers’ Corner in
Hall 3.1, for example, IDS exhibitors
will provide information daily about
new products, services and technical
processes. They will also report on the
latest scientific and research findings.
In addition, the German Dental Association (BZÄK) and the Association of
German Dental Technicians’ Guilds
(VDZI) will round off the events at the
IDS with their professional activities.
For an event of this scope, excellent preparation is essential. We offer
visitors a number of tools to enable
them to plan their visit optimally.
These tools include the current update
of the IDS app for smartphones, which
now features an exhibitor search function and a navigation system to guide
visitors through the halls and to stands
of their interest. The update also provides information about catering options, local services and the IDS supporting programme. Thanks to the
Business Matchmaking 365 function,
exhibitors and visitors can communicate with each other even before
IDS 2013 begins and after it ends.
The online schedule planner makes it
possible to arrange meetings with exhibitors in advance via e-mail. Anyone
wanting an overview of the latest products can search for them in advance
using our online innovation database.
All these features will make it much
easier to prepare for a visit to the IDS.
You will not want to miss the IDS.
It is the ideal business, information
and communication platform for the
entire world of dentistry. And that
makes it essential for everyone active
in the dental industry.
I wish you a successful IDS 2013
and a enjoyable stay in Cologne! 7


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[6] => TDIDS0013_01_Titel
TDIDS0013_06_News 19.02.13 11:59 Seite 1

trends & news

Show Preview IDS Cologne 2013

EU faces serious recruitment
problems in the health-care sector

als in rural and sparsely populated
areas, an oversupply of doctors in
some urban areas, particularly in Germany, and an oversupply of nurses
in Belgium. In addition, the number
of medical specialists is increasing
much more rapidly than the number
of general practitioners.

06

n The EU health-care sector is facing
hard times. With an ageing work-force
and insufficient new recruits to replace those who are retiring, the future does not look promising. Owing to
demanding working conditions and
relatively low pay in some health occupations, recruits are not attracted to
the sector. A working document published by the European Commission
(EC) last year demonstrates the gravity of the situation.
A while ago, the EU member states
invited the EC to propose an action
plan to assist them in tackling the key
challenges facing the health workforce in the medium to longer term.
This commission staff working document describes the current status of
the sector, among other matters.

Health care is one of the largest
sectors in the EU, with around 17.1 million jobs in 2010, which accounts
for eight per
cent of all
jobs in the
EU-27. The
number of jobs
in the sector increased by 21 per cent
between 2000 and 2010, creating four
million new jobs. According to the EC
document, the health-care sector even
continued to grow during the economic crisis, with the positive
trend reflected in all age groups.
Forecasts predict that it will
remain a growing sector, even
though employment growth will
be more modest compared with 2000
to 2010.

A significant shortage of dentists
is evident in Finland. Additionally,
the Netherlands is short of dental surgeons. By 2020, there will be a shortage of 150,000 professionals in the
group including dentists, pharmacists
and physiotherapists in the EU. This
means that up to 13.5 per cent of care
will not be covered.

the EU’s health-care work-force. In
2009, about 30 per cent of all doctors
in the EU were over 55 years of age,
and by 2020 more than 60,000 doctors
or 3.2 per cent of all European doctors
are expected to retire annually.

Professionals leaving the EU
All 27 member states are experiencing migration of health professionals, but western and northern
member states are also receiving health professionals
from other countries. However,
based on the
limited data
available, outf lows have
rarely exceeded
three per cent of the
domestic work-force.

Lack of recruits
The health-care sector comprises
workers who primarily deliver healthcare services, including health professionals (doctors, nurses, midwives,
pharmacists and dentists), allied health
professionals, public-health professionals, health management, and administrative and support staff. Some
people also work for the health-care
sector indirectly, such as those employed in the health-care industries
and support services, pharmaceuticals, medical device industries, health
insurance, health research, e-health,
occupational health, spa, etc.
Most health-care workers are female. More than 13.1 million women
were employed in the sector in 2010,
making up more than three quarters of
the health work-force in the entire EU.

As the population ages, the
demand for health care and
thus for labour in this sector
will increase dramatically.
The number of elderly people
aged 65 and over is projected
to almost double over the next
50 years, from 87 million in
2010 to 152.7 million in 2060. According to the EC paper, long-term and
formal care is likely to increase, with
an expected reduction in the availability of informal careers, for example as
a result of changing family structures.
Currently, most member states
are facing critical work-force shortages in certain health professions and
medical specialisations or geographical areas. Resulting from this, the retirement bulge is drastically shrinking

5
According
to the EU document, Finland and the Netherlands face
a significant shortage of dentists
and dental surgeons.

At the same time, not enough
young recruits are coming through
the system to replace those who leave.
In Italy, 13,400 nurses were due to retire in 2010, but only 8,500 graduated
in 2008/2009. Germany is facing serious difficulties in training a sufficient
number of graduates, Slovakia has an
insufficient number of nurses, midwives, physiotherapists, radiological

Effects of tooth whitening under
inspection by European Union
carried out in accordance with an
agreement between the CED and
the European Commission that was
signed in March 2010 owing to the increasing availability of tooth whitening products on the EU market. The
agreement was signed to ensure appropriate tooth whitening treatment
through qualified dental professionals and to improve patient safety.

n The Council of European Dentists
(CED) is currently conducting a oneyear survey on possible negative
side-effects of tooth whitening and
bleaching products. The committee
has called upon dentists in the EU to
report their own and their patients’
observations.
The survey includes tooth
whitening and bleaching products
that are not freely available on the
market to consumers, that is, those

that contain between 0.1 and 6 per
cent hydrogen peroxide. It runs until
31 October 2013. The initial results will
be reported to the European Commission by the end of this year.

Over one year ago, the Council
of the European Union passed an
amended directive on tooth whitening products, which resolved that
tooth whitening or bleaching products containing more than 0.1 per
cent and up to 6 per cent hydrogen
peroxide will only be sold to dentists.
Products with concentrations of up
to 0.1 per cent continue to be freely
available on the market.

Dentists can access the survey
anonymously and voluntarily online
through the website of their national
dental association. According to the
CED, only a summary of all responses
will be published once the survey has
been completed. The research is being

The CED is a non-profit organisation, which represents over 340,000
dentists across Europe. It is aimed
at the promotion of high standards
of oral health care and effective
patient-safety-centred professional
practice in Europe.

assistants and
paramedics, and Hungary
faces serious bottlenecks in supply
caused by a reduced number of graduating nurses. Unfilled specialist training places have been reported in Austria, France, Hungary and Romania.

The brain drain, the high outflow
of health professionals, does not benefit the member states, as many health
professionals migrate to non-EU countries, according to the EC. Health
workers migrate to the US, Australia,
New Zealand and Canada, and the
inflows of foreign doctors with longterm permits have also increased
markedly in non-EU member Switzerland (70 per cent increase between
2001 and 2008), where mainly German professionals go.

Jobs not appealing
The reasons for the lack of healthcare workers are well known. Even
though the level of education among
health-care and social workers is
higher than average, many jobs in the
sector are poorly paid. Overall wage
levels in the health-care and social
services sectors tend to be lower than
in other sectors of the economy. This
tendency is related to the high rate
of female employment in the sector
and to the sex pay gap. On top of this,
employees are often faced with long
and demanding working hours, stress
or difficult work-life balance. Those
factors are reasons to quit for those
already working in health care and
make the sector unappealing to recruits.

In Austria, Belgium, Denmark,
Germany, the Netherlands and Poland, nearly 30 per cent of all migrant
doctors come from outside the EU. This
figure rises to 60 per cent in France
and Italy, and to 80 per cent in Ireland
and the UK.

European nurses in particular
are significantly unhappy with their
working conditions. According to the
EC document, many report that they
intend to leave their hospital positions,
with numbers reaching from 19 per
cent in the Netherlands to 49 per cent
in Finland and Greece.

These areas for action reflect feedback from the commission’s public
consultation on the “Green Paper on
the European Workforce for Health”,
which drew over 200 responses from
several stakeholders.

Dentists needed in Finland
and the Netherlands
The commission estimates a potential shortfall of around one million
health-care workers by 2020, increasing up to two million if long-term care
and ancillary professions are taken
into account. This means around
15 per cent of care will not be covered,
compared with 2010.
The EU research project on health
professional mobility and health systems (PROMeTHEUS) provides evidence from 17 European countries, for
example Denmark, Finland, France,
Germany and Romania, that there is
an undersupply of health profession-

Action to be taken
In the document, the EC proposed
three areas for action to help tackle
the EU health-care work-force shortages: forecasting work-force needs and
improving work-force planning methodologies, anticipating future skills
needs in the health professions, and
sharing best practice on effective recruitment and retention strategies for
health professionals.

The implementation of the actions
requires enhanced collaboration—
between the commission, the member states, stakeholders and social
partners—and improved coordination
across a range of policies (health, education, social, policy, employment, internal market, development and cohesion), the document says. Member
states are urged to maximise the use
of European funding instruments to
support the actions to tackle health
work-force shortages and to boost job
creation in the health-care sector.
The complete document, including a detailed action plan to tackle the
challenges for health-care systems,
can be found in the document section
at www.hospage.eu. 7


[7] => TDIDS0013_01_Titel
A whole new LEVEL

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14/02/13 13:00


[8] => TDIDS0013_01_Titel
Be prepared:
with W&H at the IDS 2013, Hall 10.1, Booth C10 – D11.
1. œÜ˜œ>`ÊÌ iʂ7EÊ,Ê>««ÊvÀiiʜvÊV >À}iÊvÀœ“Êœœ}iÊ*>ÞÊ­vœÀʘ`Àœˆ`®ÊœÀÊÌ iÊ««iÊ««Ê-̜Ài°
2. "«i˜ÊÌ iÊ>««Ê>˜`Ê œ`ÊޜÕÀʓœLˆiÊ« œ˜iʜÀÊÌ>LiÌʜÛiÀÊÌ iÊ>LœÛiÊÜ>ˆÌˆ˜}Ê«>̈i˜Ì½ÃÊ i>`ð
3. Be the f irst to see the latest W&H produc ts!

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24.01.13 10:44


[9] => TDIDS0013_01_Titel
See more in the future. The pic ture above is more than you might think
at f irst glance. It is ac tually a video that you can bring to life on this page
with your own hands. Don’t believe it? Try it for yourself!

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W&H Augmented Reality (AR)
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24.01.13 10:44


[10] => TDIDS0013_01_Titel
TDIDS0013_10_Zamanian 19.02.13 12:07 Seite 1

news

10

Show Preview IDS Cologne 2013

Conical internal connections will fuel future
growth in European dental implant market
By Dr Kamran Zamanian & Ian van den Dolder, iData Research Inc., Canada.
n The dental implant and bone graft
substitute market is the most rapidly
advancing segment of dental technology, and leading competitors in this
market must consistently develop
new products supported by research
from scientific and academic organisations to remain competitive. Recent
cases have demonstrated that when

larger market shares in almost every
European market. In many segments,
these competitors are either regional
or sourced from overseas markets such
as Brazil, Korea and Israel. Regenerative products and barrier membranes
have been particularly affected by
consumer austerity, as these products
are discretionary in many cases.

looked to expand their product portfolio or create new markets while they
create package deals to offset competition from rapidly emerging lowerpriced competitors. Significantly, many European and US companies involved in this market have begun to
invest in rapidly emerging periphery
markets such as Turkey.

Unit share by connection type, Dental Implant Market, Europe, from 2008 to 2018

Increasing prevalence of
conical internal connections
Dental implants are connected to
final abutments in one of three ways:
internal connections, external connections or single-unit devices in which
the implant and abutment are already
attached. Furthermore, internal connections have two sub-segments: buttjoint internal connections and conical
internal connections.

5

View of Istanbul. Turkey is expected to become one of the major growth markets for dental implants in Europe.

companies lose a segment of support
from the scientific community, their
market shares tend to suffer significantly.
The European dental implant and
bone graft substitute market has been
further challenged by recent economic
instability and the eurozone crisis,
which has created a consistent demand for lower-cost dental implant
products. As a result, many lowerpriced competitors have begun to seize

However, a growing number of
consumers continue to demand highquality products, guarantees of service and scientific improvements,
which only premium manufacturers
are equipped to offer. Conical internal
connections is one such recent innovation, and currently constitute the
fastest-growing connection type in
the dental implant industry.
Many dental implant and bone
graft substitute companies have

Research has shown that a lack of
intimate fit of the implant in the abutment or movement of the implant can
provide an area for bacterial growth.
Conventional butt-joint connections
provide a connection that can result in
micro-movement between the implant
and the abutment, creating a pump effect for bacteria into the connection
area. When bacteria are present in the
micro-gap, they can cause inflammation, tissue recession and bone loss.
Recent clinical studies have demonstrated that, on average, conical connections offer a smaller micro-gap
than butt-joint connections, in addition to a greater mechanical level of
stability. As a result, conical connection types have become hugely suc-

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epared
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cessful in the dental implant market,
and the majority of leading dental implant manufacturers have introduced
conical internal connection products.
Conical connection types will continue to represent one of the fastestgrowing segments of the dental implant market.

Turkey one of the fastest
growing markets in the world
Turkey is one of the fastest-growing dental implant markets, congruent
with strong economic growth that
weathered the recession far better
than the US and nearly any region in
Europe. The technology of dental implants in this country has advanced
rapidly, as most of the major players in
the European market moved quickly
to gain a strong market share in
Turkey. Additionally, this market benefits from low labour costs, which adds
to the incentive for implant companies
to establish domestic subsidiaries or
local distribution partners, fuelling
options for consumers. Turkey is also
a popular destination for dental
tourism, especially among patients
from more expensive European markets. From 2008 to 2018, the Turkish
dental implant, final abutment and
computer-guided surgery market is expected to grow at a compound annual
growth rate of 20.4 per cent.
In May 2011, AGS Medikal Ürünleri, the first major Turkish company to
produce dental implants, commenced
operations in the province of Trabzon,
on the coast of the Black Sea. The company was established with an initial
5 million Turkish lira investment. Market experts predict that the company
will soon be joined by other Turkish
dental implant manufacturers that will
offer lower-priced products to compete
domestically and later internationally
with larger implant companies.

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EU medical tourism to
strongly impact dental
implant market
The EU directive on cross-border
healthcare that comes into force in
2013 will have a strong impact on
the European dental implant market.
This directive will target the medical tourism market, which is significant, as dental treatment procedures
account for nearly half of medical
tourism in most major markets. The
directive gives patients the right to be
reimbursed for treatment they receive
in other EU countries. This could lead
to more Western Europeans traveling

to Eastern Europe, including Poland
and Bulgaria, which are rapidly developing the quality of the medical services they offer.
The UK features one of the highest
rates of outbound dental tourism, as
patients are unaccustomed to large outof-pocket costs for procedures, owing
to the legacy of the National Health
Service. Whereas rich patients from
developing countries used to come to
prestigious hospitals in the UK and
elsewhere for treatment, outbound
medical travel from the UK has been
growing far faster than inbound over
the past decade, as UK patients are increasingly traveling abroad for lowercost care. Figures suggest more than
50,000 citizens of the UK go abroad for
treatment annually. The number of outbound medical tourists from the UK
rose by 170 per cent from 2002 to 2009.

Dental implant companies
follow success of conical
internal connection
Internal connection types as a
whole are becoming increasingly dominant in the dental implant market.
Conical internal connections and buttjoint internal connections represented
83.4 per cent of implants with an internal connection in 2011. Conical internal connections is the fastest-growing
segment of the market and expected to
increase at a compound annual growth
rate of 10.1 per cent by 2018.
NobelActive (Nobel Biocare) was
one of the foremost early successes
of conical connection types, and was
rapidly adopted by consumers owing
to clinical results demonstrating its
greater stability and smaller microgap between implant and abutment.
The majority of large companies now
offer a conical connection, as this market is expected to overshadow buttjoint internal connections increasingly owing to the greater stability and
perceived smaller-diameter micro-gap
offered by conical internal connections. Many companies are combining
these connection types with tapered
shape and surface treatments as the
current generation of premium products. 7
iData Research is an international market
research and consulting firm focused on providing market intelligence for the medical
device, dental and pharmaceutical industries. For more information and a free synopsis of the above report, please contact iData
Research at dental@idataresearch.net.


[11] => TDIDS0013_01_Titel
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[12] => TDIDS0013_01_Titel
TDIDS0013_12_Pamar 19.02.13 12:00 Seite 1

science & practice

12

Show Preview IDS Cologne 2013

CAD/CAM and growth factors—
Key areas of dental innovation
By Dr Nilesh R. Parmar, UK
be important in the dental surgery
of the future.

CAD/CAM

5

Dr Nilesh R. Parmar

n Dentistry has come along way
since our colleagues were forced to
use foot powered drills and mix amalgam from its bare components. Modern day dental equipment and materials are at the cutting edge of medical
and dental innovation, and it’s shows
such as the International Dental
Show (IDS) where the developments
of the future are announced. Modern
dentists no longer have merely a
straight probe and a dental drill at
their disposal. We now have scans,
3-D images, growth factors and an almost unlimited choice of materials
available to use.
In writing this piece, I made a
tough decision to focus on what I believe to be key areas of dental innovation. It is in these areas of imaging,
CAD/CAM technology and growth
factors that I believe are going to

Computer-aided design/computer-aided manufacturing has had
a presence in dentistry for nearly
20 years. However, only it is only in
the last ten years that developments
have really made a difference in the
reliability, ease of use and functionality of these devices. We now have
CAD/CAM machines (e.g., CEREC,
iTero, Lava) that can scan an entire
arch, design and fabricate all-ceramic
restorations in the practice. The popularity of chairside CAD/CAM units
has never been greater. The materials
that we are able to use in conjunction
with CAD/CAM scanners have gone
from monolithic, one shade blocks
to multi-layered, all-ceramic, lithiumdisilicate constructions that can be
sintered and finalised in as little as
15 minutes.
The appearance of these restorations, although still needing a welltrained (and artistic) dentist, could
be said to be on par with certain
lab-based fabrications whilst maintaining the advantages of being
a chairside single visit restoration.
CAD/CAM technology is now almost
universally used in the fabrication of
dental implant abutments and bars,
reducing construction times, designs
and fit. Dentists are now beginning
to use chairside CAD/CAM devices to
restore dental implants without the
need for any impressions.

CBCT 3-D scanners and
CAD/CAM integration
Cone beam computed tomography
9CBCT) scans are now commonplace in
dentistry, particularly in implant dentistry where Grondahl (2007) found
that 40 per cent of all CBCT scans were

5

Fig. 1

taken for implant treatment. Where
3-D scans were reaching a shortfall
was in actually relaying the information obtained into the mouth during
the surgical procedure. One recent innovation has been to overlay scans of
the patient’s own teeth and soft tissues
onto the CBCT scan data. This gives an
accurate representation of the hard

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I have been fortunate to see a
prototype facial scanner from Sirona
and even managed to have my face
scanned (Figs. 1 & 2). The detail
achievable with these units is impressive. Once this information is combined with 3-D scans, teeth scans and
jaw articulation, a fully working and
movable representation of the patient’s head can be compiled on the
computer screen. Allowing for treatment planning and assessment to be
carried out without any need to see
the patient. One application of this
may be in developing countries,
where various experts from around
the world can examine complicated
facial reconstruction cases without
them actually seeing the patient.
As already mentioned, the opportunities for patient education are huge,
and with procedures such as plastic
surgery and orthognathic surgery
being so difficult to properly consent
for, facial scanners will greatly aid
clinicians.

Growth factors

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and soft tissues and their relationship
to each other. For example, an implant
can be planned in the implant software
with the angulation of the implant
taking into account the ideal position
of the final crown, which can also be
shown in the CBCT scan.

facial aesthetics, orthodontics, implant surgery and orthognathic surgery are endless.

HALL 11.3 - STAND K060

In order to do this previously, the
dentist would have to make a study
model and then wax up the ideal final
restoration contour, ensuring some
barium sulfate within in the wax in
order for it to show up in the scan. This
was both costly and time consuming.
Recent developments have allowed
one to take an intra-oral scan using
a suitable device, such as a CEREC or
iTero machine, and overlay this with
the CBCT scan. No models, no wax
ups; the procedure is almost instant
and can be done with the patient in
the chair. As a patient education
tool, this visual format
is invaluable, allowing
patients to fully understand the proposed
work and its execution.
Taking this one step
further, guided implant
surgery now allows us
to not only plan implant
placement using ideal
restoratively driven
protocols, but actually
allows us to make a
guided surgical stent,
made in-house or by a
lab, and place the implant through the stent.
Studies have found that
this is an accurate treatment modality that can
be reliably executed.
Flapless surgery with
immediate temporisation has the ability to 5 Fig. 2
revolutionise the patient journey and help us to meet
their expectations.

Available for a long time in medicine and dentistry, growth factors
have been the reserve of PhD students and professors until recently. The resurgence of the usage of
platelet rich plasma (PRP) has come
about with added research showing
that using PRP can greatly improve
osteoblast proliferation (Parmar 2009)
and accelerate soft-tissue healing.
Companies are now offering clinical
courses for dentists to make, produce
and use PRP in their own surgeries
within 15–30 minutes. The main advantage of PRP is that it’s free; is obtained from the patients’ own blood,
thus removing the risk of rejection;
and can be made in vast quantities.
As more research is published, coupled with simpler production kits,
PRP use will increase in all aspects
of invasive dental surgery.
The above is just a short description of what is being developed
for the future. Dentistry has never
been so intertwined with technology.

Facial scanners

The next ten years will prove to be
exciting and I eagerly await to hear,
see and use the new technologies that
are being developed today. 7

A small but rapidly developing
area of digital dentistry is facial scanners. These are in their infancy at
the moment, with a lot of companies
still trying to iron out the bugs in the
machines. Their potential applications in the field of plastic surgery,

Dr Nilesh R. Parmar runs a successful
five-surgery practice close to London and
is a visiting implant dentist to a central
London practice. His main area of interest is
in dental implants and CEREC CAD/CAM
technology.


[13] => TDIDS0013_01_Titel
High Strength and Minimally Invasive

Visit us at IDS 2013
Hall 3.1, Stand H-045

“More brawn than beauty” was the original slogan for monolithic, all-ceramic BruxZir ® restorations, but it has now progressed to become the most prescribed brand of full-contour zirconia. As seen in the “before” photo, the patient had two
base metal PFMs. Due to the irritated gingiva, the decision was made to go with BruxZir Solid Zirconia crowns.

Favorable contours are an important component of good esthetics. Often this is very difficult to achieve with bilayered
restorations such as PFMs. Due to BruxZir Solid Zirconia’s monolithic composition, it is much easier to achieve desirable
contours and esthetics when using this remarkable material.
– Case by Dr. Michael DiTolla, Newport Beach, Calif., USA

Call for more information

+49 69 247 5144-0
www.glidewelldental.de

GLIDEWELL
EUROPE GmbH


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science & practice

14

Show Preview IDS Cologne 2013

The new soft-tissue handpiece in laser dentistry
By Drs Fay Goldstep & George Freedman, Canada
gence of documented scientific evidence, ease of use and greater affordability that makes the diode laser
essential for every dental practice.

Diode lasers:
The science in brief

5

5

Dr Fay Goldstep

n While dental lasers have been
commercially available for several
decades and their popularity among
patients is unparalleled, the dental
profession has taken to this treatment modality rather slowly—although lasers have been thoroughly
documented in the dental literature.
The laser is an exciting technology,
widely used in medicine, kind to
tissue, and excellent for healing.

Dr George Freedman

So why have lasers not been more
widely embraced by the practising
dentist?
There is a widely held perception in the profession that somehow
the dental laser is not useful, too complicated, and too expensive. These
concerns changed forever with the
arrival of the diode laser on the dental market. There is now a conver-

LASER is an acronym for light
amplification by stimulated emission of radiation. Lasers are commonly named for the substance that
is stimulated to produce the coherent light beam. In the diode laser,
this substance is a semiconductor (a
class of materials that is the foundation of modern electronics, including
computers, telephones and radios).
This innovative technology has produced a laser that is compact and far
lower in cost than earlier versions.
Much of the research on lasers
has focused on the 810 nm diode
laser. This wavelength is ideally
suited to soft-tissue procedures,
since it is highly absorbed by haemoglobin and melanin. This gives the
diode laser the ability to precisely
cut, coagulate, ablate or vaporise the

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5



A

A

Fig. 1

target soft tissue with less trauma,
improved post-operative healing and
a faster recovery time. Given its incredible ease of use and versatility
in treating soft tissue, the diode laser
is the soft-tissue handpiece in the
dentist’s armamentarium.

 C 

Th
The revolutionary technique for immediate loading

®

The dentist can use the diode
laser soft-tissue handpiece to remove,
refine and adjust soft tissue in the
same way in which the traditional
dental handpiece is used on enamel
and dentine. This extends the scope
of practice of the general dentist to
many soft-tissue procedures.

portability, high maintenance profile, confusion of operating tips, and
complex procedural settings. Dentists are uncertain of which tip and
settings to use for each procedure,
and the need for a laser when their
conventional techniques have served
them well is not clear to them.
Enter the diode laser. It is compact and can easily be moved from
one treatment room to another.
Furthermore, it is self-contained,
and does not have to be hooked up to
water- or air-lines. It has one simple,
replaceable fibre-optic operating tip.

“Laser therapy expands the
clinical scope of practice”
Treatment with the Picasso 810 nm
diode laser (AMD Lasers; Fig. 1) has
been shown to have a significant
long-term bactericidal effect in periodontal pockets. Aggregatibacter
actinomycetemcomitans, an invasive
pathogen associated with the development of periodontal disease and
generally quite difficult to eliminate,
responds well to laser treatment.
Scaling and root planing outcomes
are enhanced when diode laser therapy is added to the dental armamentarium. The patient is typically more
comfortable during and after treatment, and gingival healing is faster
and more stable.

Come visit us!

IDS 35th International
International Dent
Dental
al Sho
Show
w | Col
Cologne,
ogne, 12-16.3.2013

Our booth: Hall 4.1, Aisl
Aisle
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C-090/Aisle
e D-091

www.intraoralwelding.com
contact: iic2@teletu.it Tel. +39 0372 43 99 57
Mobile +39 347 234 09 83

Diode laser: Ease of use
Early adopter dentists thrive on
new technologies. They enjoy the
challenges that come with being the
first to use a product. Most dentists,
however, are not early adopters.
Over the past two decades, lasers
have intimidated mainstream dentists with their large footprint, lack of

The units come with several presets,
although the operator quickly becomes so comfortable with the device that they are rarely needed.
The power and pulse settings are
easily adjusted to suit the particular
patient and procedure.
Many dentists do not thrive on
the challenges of brand new hightech, high-stress technology. In fact,
many lasers in the past promised to
be user-friendly but were anything
but. The 810 nm diode laser is a different experience; after a brief in-office demonstration, the dentist feels
comfortable enough to use the laser
handpiece to perform some simple
clinical procedures. Further online
training and lecture courses enhance both clinical comfort level and
competency.

Diode laser: Affordability
Laser technology has always
come with a high price tag. Manufacturing costs are high and cutting-


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science & practice

Show Preview IDS Cologne 2013

5

5

Fig. 2

edge technology commands steep
prices, but diode lasers are less expensive to produce. Breakthrough
pricing for this technology has now
reached under US$5,000. At this
level, the diode laser becomes eminently affordable for the average
practising dentist.
Gingivectomy, haemostasis and
gingival troughing for impressions
are easy entry points for the new
laser user. The Picasso diode laser
makes restorative dentistry a simple
task. Any gingival tissue covering a
tooth during preparation can easily
be removed, as haemostasis is simultaneously achieved (Figs. 2–5).
The restoration is no longer compromised due to poor gingival conditions and there is no more battling
with unruly soft tissue and blood.
Gingival troughing prior to impression taking ensures an accurate impression, particularly at the margins, and an improved restorative

5

Fig. 3

outcome. Packing cord is no longer
necessary.
Operculectomy, excision and/or
recontouring of gingival hyperplasia, and frenectomy are not commonly offered or performed by general dentists. However, they are
examples of the expanded range of
services readily added to the general
practice with the diode laser. Dentists become more proactive in dealing with hyperplastic tissue that
can increase risk of caries and periodontal disease. A frenectomy is now
a simple and straightforward procedure.
Two types of diode lasers have
been studied for their effects in laserassisted periodontal therapy: (a) the
diode laser (which emits high levels
of light energy); and (b) the low-level
diode laser (which emits low-intensity light energy). There is very compelling evidence in the dental literature that the addition of diode laser

Fig. 4

treatment to scaling and root planing
will produce significantly improved
and longer-lasting results. Scaling
and root planing is the gold standard
in non-surgical periodontal treatment.
Low-level lasers for biostimulation have been used in medicine
since the 1980s. The therapeutic effect is non-cutting and low intensity,
and covers a much wider area than
the traditional laser. Low-level laser
therapy is treatment in which the
light energy emitted by the laser elicits beneficial cellular and biological
responses. At a cellular level, metabolism is increased, stimulating
the production of adenosine triphosphate, the fuel that powers the cell.
This increase in energy is available
to normalise cell function and promote tissue healing.
The functions of the diode and
low-level diode lasers have remained separate until recently. With

15

5

Fig. 5

the Picasso biostimulation delivery
tip, the diode laser is now able to
provide both cutting and therapeutic effects.
When the low-level tip is used,
the laser energy is delivered over
a wider area, decreasing the energy
level and producing a low-level therapeutic effect.

Laser therapy expands the clinical scope of practice to new softtissue procedures that keep patients
in the office. The patient’s gingival
health is improved in a minimally
invasive, gentler manner. 7

The soft-tissue diode laser has
become an essential mainstream
technology for every general practice. Its science, ease of use, and
affordability make it simple to incorporate.

Dr Fay Goldstep has served on the teaching faculties of the postgraduate programmes in aesthetic dentistry at SUNY
Buffalo, the University of Florida (Gainesville) and the University of Minnesota
(Minneapolis), and has been an ADA
Seminar Series speaker. She is a consultant to a number of dental companies, and
maintains a private practice in Toronto,
Canada.

The laser is now the essential
soft-tissue handpiece for the practice. In fact, there is a case for having
a diode laser in each restorative and
each hygiene treatment room. Diode
lasers make restorative dentistry
less stressful, more predictable and
more enjoyable for the dental team
and the patient.

Dr George Freedman is a founder and
past president of the American Academy
of Cosmetic Dentistry, a co-founder of the
Canadian Academy for Esthetic Dentistry
and a diplomate of the American Board
of Aesthetic Dentistry. He was recently
awarded the Irwin Smigel Prize in Aesthetic Dentistry by the New York University College of Dentistry.
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science & practice

18

Show Preview IDS Cologne 2013

Raising the bar for endodontic success:
Where we were, where we are and where we are going
By Dr Gary Glassman, Canada
n Vince Lombardi so eloquently
stated, “Practice does not make perfect. Only perfect practice makes perfect.” In other words, we can perform
a procedure repeatedly over and over
again and not obtain the expected outcome for success. We must continually
advance in all disciplines of dentistry
in order to provide our patients with
the most predictable treatment regimens possible, understanding the
greatest variable that stands in our
way is the human variable. Elevating
the standards of endodontic care is inexorably tied to an important dynamic
in our armamentaria.48,50
The objective of endodontic treatment has continue to be a constant
since root canal treatment was first
performed; the prevention or treatment of apical periodontitis such that
there is complete healing and an absence of infection,1 while the overall
long-term goal is the placement of a definitive, clinically successful restoration and preservation of the tooth. After all, the main objective in dentistry
is to retain what nature has created!
From about 1985 to 1995 there
was more change in clinical endodontics than in perhaps the previous
100 years combined. In these 10 years,
clinical endodontics changed forever
with the emergence and development
of four very important technologies:
the dental operating microscope
(DOM), ultrasonics, nickel-titanium rotary file systems and mineral trioxide
aggregate (MTA).2,3,50

nificantly shown to improve the probability of locating a second mesial buccal canal in maxillary molars. Baldassari-Cruz et al.9 showed that the MB-2
canal was located in 90 per cent of
maxillary molars with the operating
micro-scope but only 52 per cent with
unaided vision.50

Sonics

5

Dr Gary Glassman

Where We Were
The Dental Operating Microscope
Superior vision became attainable
with the integration of the dental operating microscope (DOM). Diagnostically, the operating microscope is an indispensable aid in locating cracks and
tracking vertically fractured teeth.2,4 It
allows a more detailed view of root
canal intricacies, enabling the operator to more efficiently examine, clean
and shape complex anatomy.5 It provides superior resolution, thereby aiding the removal or bypassing of separated canals.6 A microscope provides
an improved surgical technique allowing for smaller osteotomies, shallower
bevels and the location of isthmi and
other canal irregularities,7 thereby allowing unprecedented success rates
of up to 96.8 per cent.8 A DOM has sig-

Piezoelectric ultrasonic energy, in
conjunction with the DOM, drove microsonic (sonic and ultrasonic) instrumentation techniques that are minimally invasive, efficient and precise.2
Refinement of access openings in a
controlled and predictable manner,
locating calcified canals with a reduced risk of perforation, removal of
attached pulp stones, removal of intracanal obstructions (separated instruments, root canal posts, silver points
and posts) and removal of the smear
layer, biofilm and remaining debris
are just some of the many uses that
microsonics are capable of doing.2,10,11

5

The operating microscope has become an indispensable aid in the field.

Nickel Titanium Instruments

with the emergence of nickel titanium
files (NiTi) files.2 This super-elastic
alloy has shape memory, allowing for
better maintenance of the original
canal anatomy. These files produce
less extrusion of debris, allow greater
cutting efficiency and reduce the time
for canal shaping compared to stainless-steel files. They are biocompatible, anticorrosive and do not weaken
following sterilization.12,13 Although
full rotary has been the mainstay for
nickel-titanium systems for years, reciprocating motors have taken the
market by storm by allowing less debris extrusion and quicker negotiation
to the apices and less file fatigue.

Canal preparation procedures became more predictably successful

Mineral Trioxide Aggregate

In surgical endodontics, specially
designed retro tips are used ultrasonically for superior root-end cavity
preparation. This allows minimal removal of root structure down the long
access of the root canal without the
creation of a bevel for surgical access.
This subsequently reduces the number of exposed dentinal tubules and
minimizes apical leakage.10,50

This decade of extraordinary
change concluded with the introduction of mineral trioxide aggregate
(MTA).2 This remarkable and biocompatible restorative material has become the standard for pulp capping
and has salvaged countless teeth that
previously had been considered hopeless.2 In vital pulp therapy, when MTA
is used as a direct pulp cap to maintain
pulp vitality, studies have shown that
these areas were free of inflammation
and all of them had calcified bridge
formation after five months.49

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MTA has proved to be the ideal
pulpotomy agent in terms of dentin
bridge formation and preserving normal pulpal architecture.49 MTA produces favourable results when it is
used as a root-end filling material in
terms of lack of inflammation, presence of cementum and hard-tissue
formation.49 It is used to repair both
furcal and lateral perforations with a
relatively high degree of success and
to seal both internal and external resorptive defects from an orthograde
and retrograde approach.49
The treatment of teeth with open
apices and necrotic pulps has always
been a challenge for the dental practitioner. MTA can effectively be used as
an apical barrier in teeth with necrotic
pulps and open apices.49, 50

Where We Are
Irrigants and Irrigant
Delivery Systems
Perhaps the greatest international attention in recent years has fo-

www.lascod.com

Hall 10.1, Stand D068/E069

cused on methods to improve endodontic disinfection in the root canal
system.2 The desired attributes of a
root canal irrigant include the ability
to dissolve necrotic and pulpal tissue,
bacterial decontamination with a
broad antimicrobial spectrum, the
ability to enter deep into the dentinal
tubules, biocompatibility and lack of
toxicity, the ability to dissolve inorganic material and remove the smear
layer, ease of use and moderate cost.
The combination of sodium hypochlorite and EDTA has been used worldwide for antisepsis of root canal systems.15 Sodium hypochlorite has the
unique ability to dissolve necrotic tissue and the organic components of
the smear layer.16–18 It also kills sessile endodontic pathogens organised
in a biofilm.19,20 There is no other
root canal irrigant that can meet all
these requirements, even with the use
of methods such as increasing the
temperature21–25 or adding surfactants
to increase the wetting efficacy of the
irrigant.26, 27
Demineralizing agents such as
EDTA have therefore been recommended as adjuvants in root canal
therapy in combination with sodium
hypochlorite20,28 as they dissolve inorganic dentin particles and aid in the removal of the smear layer during instrumentation.29 It is very important to
note that while sodium hypochlorite
has unique properties that satisfy
most requirements for a root canal irrigant, it also exhibits tissue toxicity
that can result in damage to the adjacent tissues, including nerve damage
should sodium hypochlorite incidents
occur during canal irrigation.15 It is
therefore very important that irrigant
delivery devices are used that not only
allow voluminous exchange right to
the apex but also deliver them in a safe
an deffective manner without apical
extrusion.
Root canal irrigation systems can
be divided into two categories: manual
agitation techniques and machine-assisted agitation techniques.11 Manual
irrigation includes positive pressure
irrigation, which is commonly performed with a syringe and a sidevented needle. Machine-assisted irrigation techniques include sonics and
ultrasonics, as well as newer systems

➟


[19] => TDIDS0013_01_Titel
AWAKEN YOUR INNER

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Choose Picasso as your brush to create masterpiece smiles.

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©2013 AMD LASERS, LLC All rights reserved. AMDADIDS0113


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science & practice

“Seeking new global partnerships”
An interview with Gary W. Price, CEO and president of the Dental Trade Alliance
n The Dental Trade Alliance (DTA) has
been representing the interests of the
North American dental industry since
2004, when the American Dental
Trade Association merged with Dental
Manufacturers of America. It is also
the organiser of the US pavilion at the
upcoming International Dental Show
(IDS) in Cologne. today international
had the opportunity to speak with
Gary W. Price, CEO and president of
the dental trade organisation, about
the state of the industry and the importance of the show to US manufacturers of dental equipment.
today international: At IDS Cologne 2011, the US dental industry
was the second-largest group of
manufacturers from one country.
Are we going to see another increase
in participation this year?
Gary W. Price: The International
Dental Show is a very popular venue
for the majority of American and
Canadian companies. We see this in
the increasing number of companies
exhibiting under the joint US dental
industry pavilion that we organize
in Hall 4.2. For the period 2011–2015,
we anticipate additional growth in
participating exhibitors of roughly
15 per cent.
The IDS attracts the largest number of distributors, government healthcare agencies and authorised buyers
of any dental meeting that US manufacturers can attend. It gives our
industry the best opportunity to connect with reputable and new strategic
partners.
The recession seems to have had
a significant impact on dental markets in North America. What’s the

current state of the industry there
and what are the most prominent
trends?
Sales of oral health-care products
and equipment have been increasing
moderately since the economic turndown. Certain segments like digital
radiography, however, are growing

companies and dentists from around
the world covet American dental products and equipment for their reliability, versatility and cost. Innovation
is important but in general the world
wants American products, whether
they are new cutting-edge technologies or tried-and-true products used
daily by dentists everywhere.
How does the show compare to
the big US shows like the Chicago
Midwinter Meeting or GNYDM?
The IDS is seven times larger than
all the dental meetings in New York,
Chicago or any show organised by the
American Dental Association. While
US meetings tend to be a more traditional model of companies selling to
or educating dentists, American companies typically exhibit in Cologne
because they are seeking new global
partnerships.

5

Gary W. Price

rapidly. This year is shaping up to be
a good one for sales owing to pent-up
demand and new dentists wanting the
latest technology for their practices.
Retiring dentists are also increasingly
upgrading their equipment to make
their practices more attractive to potential buyers.
How important is the IDS for
American companies with regard to
sales, as well as a being a showcase
for innovation?
Based on demand for exhibition
space, attendee registrations and hotel
rooms, IDS 2013 is poised to be one of
the best meetings ever in the dental industry. While every edition showcases
new technologies, the reality is that

The EU has recently announced
a revision of its existing medical device regulations, which could also
affect manufacturers of dental materials and equipment. Do you think
that this will have any impact on
your industry?
The DTA is keenly aware of changing European and other international
regulations. The impact of these modifications will probably be low. Many
US companies export to Europe and
have EU specifications. Our organization is helping to bring international
accreditation to the industry so that a
company’s products can be accredited
and inspected once and approved for
sale in most countries. This is something DTA has taken the lead on.
Thank you very much for the
interview. 7

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Show Preview IDS Cologne 2013

➟

20

such as the EndoVac (SybronEndo,
USA), which delivers apical negative
pressure (ANP) irrigation,30 the plastic
rotary F File (Plastic Endo, Lincolnshire, IL),31,32 the Vibringe (Vibringe
BV, The Netherlands),33 the RinsEndo
(Air Techniques Inc., USA),9 and the
Endo-Activator (DENTSPLY Tulsa Dental Specialties, USA). Of all the techniques listed, only the Endo Vac has repeatedly shown to break the apical
vapour lock (the column of gas that is
formed at the apical 3 mm of the root
canal formed by the hydrolysis of
organic tissue by sodium hypochlorite), produce a current of irrigant, remove debris and deliver voluminous
amounts of irrigant to the apex without the risk of apical extrusion.15,50

Lasers
The integration of lasers is a viable
addition to the endodontic armamentarium and has the potential to overcome some of the challenges to successful root canal therapy.51 Of particular benefit is the ability to avoid
vibration pain upon access, even in
“hot” teeth that are difficult to anaesthetise, and the three-dimensional
ability to remove pulpal tissue, bacteria, smear layers and dentin from
canal walls via laser energy and hydrophotonic activity. Of particular
significance is the ability of laser light
to penetrate 1,000 microns into the
dentinal tubules.52 Bacterial infiltration into dentinal tubules has been reported to be 400 microns53 and chemical rinses have a penetration depth of
only 100 microns.54 This results in the
possibility of bacterial entombment
and microleakage. The resulting disinfection and reduction of bacteria in the
dentinal tubules is significant with respect to providing unparalleled levels
of endodontic success.50

Digital Radiography
Digital radiography has significantly reduced treatment time for
endodontic procedures with far less
exposure compared to conventional
film. High-resolution digital images
are instantaneously generated and
easily manipulated for enhanced diagnostic performance. Digital storage of
images is simple, allowing quick transfer and communication.34,35,50

Cone-Beam Computed
Tomography (CBCT)
What digital radiography has provided us for imaging in the present,
CBCT (cone-beam computed tomography) will carry us into the future.
CBCT technology has been around
since the1980s, however, only recently has it become a viable option for
the endodontic office.36 Cone-beam
technology uses a cone-shaped beam
of radiation to acquire a volume in
a single 360-degree rotation, similar
to panoramic radiography.36 It has
advantages over conventional medical CT, including increased accuracy,
higher resolution, scan-time reduction
and dose reduction.36 Endodontic uses
include but are not limited to diagnosis
of odontogenic and non-odontogenic
cysts, cysts vs. granulomas,37 location
of untreated canals and the diagnosis
of certain root fractures. The extent
of internal, external and cervical resorption can be accurately mapped
and the presurgical evaluation of
anatomic landmarks can be precisely
surveyed.36,50

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Indian food and drug administration

Corte del Medà, 27/B - 31053 Pieve di Soligo TV - ITALY - P.I. 04337970265
ÜÜÜ°Ã>vi>˜`ȓ«i°˜iÌʇʈ˜vœJÃ>vi>˜`ȓ«i°ˆÌÊUÊÌi°Ê³Î™Êä{ÎnÊnÎÇÓΣÊqÊv>ÝʳΙÊä{ÎnÊn{Ó{ÓÈ

Regenerative Endodontics
Regenerative endodontics has become an exciting possibility, allowing
stem cells found in the dental pulp
to regenerate and replace diseased
tissue with healthy tissue and revi-

talize a tooth.38 The vascularisation of
necrotic teeth with immature apices
can be a significant challenge to the
clinician. In the past, apexification
procedures have allowed root length
to continue, but the walls of the roots
remained thin, allowing the high risk
and probability of fracture. Revascularization techniques provide such a
tooth the ability to not only continue
linear root growth, but also to allow
increased thickness of dentin on the
root canal walls, which will ultimately
allow retention of the natural tooth,
obviating the need for extraction and
implant replacement.39 The technique
is uncomplicated and easy to learn.
Through the use of a specialized triantibiotic mixture, blood clot inducement and its coronal sealing with
MTA, many necrotic and immaturely
developed teeth that would otherwise be extracted can now be retained.40,50

Endodontics vs. Implants
With the advent of implants, patients were able to maintain their occlusion and health in those functional
areas that were missing teeth. Unfortunately implants are also being used
to replace viable teeth.41
If a tooth is sound from both a
restorative and periodontal aspect,
then endodontic therapy should be
the treatment of choice. However, if a
tooth is compromised from a restorative or periodontal perspective, then
an implant may be considered.42 Both
root canal therapy and orthograde retreatment as a first and second line of
intervention are more cost-effective
compared to implant therapy. Current
cost structures indicate that implants
are limited to a third line of inter vention.43
Confidence and embracing the
advances in the science and art of
endodontics is imperative if we are
to continue to achieve and improve
the successes that we have achieved.
There are numerous studies that support the excellent clinical results of endodontic treatment.44 Kim and Iqbal
conducted a review of the relative success rates of endodontic treatment and
implants. The literature review found
equal survival rates of single-tooth implants and endodontically restored
teeth. Both therapies had overall survival rates of 94 per cent, thus providing predictable outcomes.45,46 However, implants have a longer mean
and median time to function, and have
a higher frequency of postoperative
complications requiring additional
treatment intervention.47,50

Where We Are Going
Science and research will elevate
the specialty of endodontics to its
rightful pinnacle.48 The cornerstone of
our specialty’s integrity and relevance
must be built on a strong foundation
of randomized clinical trials and evidenced-based endodontics.48 The future of endodontics is bright as we continue to develop new techniques and
technologies that will allow us to perform endodontic treatment painlessly
and predictably, and continue to satisfy one of the main objectives in dentistry, that being to retain the natural
dentition.14,50 7
A complete list of references is available
from the publisher. Dr Gary Glassman maintains a private practice in Toronto, Canada,
and is on staff in the graduate department of
endodontics at the University of Toronto’s
Faculty of Dentistry. The author of numerous publications, he is a regular contributor
to today’s sister publication roots the international magazine of endodontics.


[21] => TDIDS0013_01_Titel
The best lubrication adapter. Ever.

Hall
2.2
Stand C 008

The universal solution for a trouble-free handpiece care.
EasyOil is the universal support that can conveniently gather
up to five different adapters to meet all your dental handpiece
maintenance needs.
An effective handpiece care results in fewer failures and great
savings on repair costs.
EasyOil allows you to take care of your handpieces in an easy,
fast and comfortable way because all you need is already there,
readily at hand.
With just a few, simple gestures EasyOil will help you make the
life of your handpieces longer.
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Example configuration

Perfect handpiece care has never been easier.

1

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2

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3

Wrap the handpiece in a
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button for a couple of second
to spray the oil.

Fit for any spray can.
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replacements, all handpiece constructors
reccommend to maintain the push-button
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All you have to do is spray a little lubricant in the
chuck to keep it clean and perfectly efficient.

4

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EasyOil comes with 1 EasyAdapter for contrangle and handpieces with ISO/E-Type (INTRAmatic®) attachment and
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dental handpiece service

KaVo, INTRAmatic and KaVo Spray are registered trademarks of Kaltenbach & Voight GmbH & Co.
Bien Air and Lubrifluid are registered trademarks of Bien Air Dental SA
Sirona and T1 Spray are registered trademarks of Sirona Dental Systems GmbH
W&H and F1 Service Oil are registered trademarks of W&H Dentalwerk Bürmoos GmbH
NSK and PANA SPRAY are registered trademarks of NSK Nakanishi Inc.


[22] => TDIDS0013_01_Titel
TDIDS0013_22_Newell 19.02.13 12:01 Seite 1

science & practice

22

Show Preview IDS Cologne 2013

“The surveillance of patients
is each and every dentist’s duty”
An interview with Prof. Newell Johnson, Australia
n Oral cancer poses a continuing challenge for dental practitioners worldwide. today international recently had
the opportunity to speak with oral
cancer expert Prof. Newell Johnson
from Griffith University’s School of
Dentistry and Oral Health in Southport, Australia, about the disease and
new methods of identification and
treatment.
today international: Oral cancer
figures seem to be increasing worldwide, despite awareness campaigns
run by dental organisations. Are we
in danger of losing the battle against
the disease?
Prof. Newell Johnson: There is
some good news. In countries that
have long had the reputation of having
very high rates of oral cancer, such as
parts of France, India and Sri Lanka,
the rates of alcohol and tobaccorelated oral cancer are indeed falling.

however, hundreds of thousands still
die of oral cancer every year. In parts
of Eastern Europe and the former
Soviet republics, rates of these cancers
are rising, we think, because of still
high tobacco use, abuse of alcohol and
a poor diet.
The other piece of bad news is
that the incidence of cancers of the
oropharynx (as opposed to the lip and
in the mouth itself) is also increasing
worldwide.

5

Prof. Newell Johnson

The same is true of the US, much of
Western Europe, and Australia. Here
rates are falling from a lower base.
In those countries or populations
with traditionally very high rates,

HPV has been identified as a
growing risk factor for oral cancer.
What part does the sexual transmission of the virus play in the development of the disease compared with
more commonly known factors like
smoking or drinking?
Certain types of the human papillomavirus are indeed strongly associated with cancers of the upper aero-

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digestive tract, particularly of the tonsils and base of the tongue, rather than
in the mouth itself. These are the same
viruses that we know cause cancers
of the uterine cervix, penis and anus.
It is generally thought that sexual
transmission is involved. The evidence is largely circumstantial; that is,
these cancers are more likely among
younger adults, and there are associations with the number of sexual partners. Fortunately—if that is an appropriate word—these cancers are more
sensitive to radiotherapy, and the survival rates/treatment outcomes are
better than for most other head and
neck cancers.
For the past decade, there have
been extensive immunisation programmes against these particular papillomaviruses delivered to girls in
many countries. These are intended
to prevent cancer of the uterine cervix
in later life. It will be very interesting
to observe, in another 20 years or
so, whether this has had an impact on
upper aero-digestive tract cancers too.
Fortunately, we are beginning to see
boys now included in the immunisation programmes in some countries.
Some forms of oral cancer have
a patient survival rate of only 50 per
cent. What makes it so difficult to
achieve a more successful therapeutic outcome?
The average survival at five years
after diagnosis of oral cancer has
hovered around 40 to 50 per cent for
decades in most countries. In the highvolume specialised treatment centres,
patients are indeed doing better, in
terms of long-term survival and quality of life/minimisation of disability
and side-effects.
The major reasons that we are
not doing even better is because so
many cases are diagnosed and treated
so late, and/or patients have severe
co-morbidities such as diseases of the
cardiovascular system or cancers at
other sites.
Dentists can play a vital role in
the identification of early signs of
oral cancer. Is the profession sufficiently prepared for this role?
Well, of course one cannot generalise. Many dentists and other members of the oral health team carry out
excellent surveillance of each patient. This is indeed our duty. It might
be called “opportunistic screening”.
Many national dental associations,
and the FDI World Dental Federation,
vigorously promote such behaviour.
There are many excellent training programmes for the detection of patients
and lesions at risk. This should go
hand in hand with support from dentists for tobacco prevention/cessation,
moderation of alcohol consumption,
promotion of healthy diets and good
hygiene (oral and sexual) for all their
clients.
On the other hand, the prevalence
of potentially malignant disorders,
and certainly of overt oral cancer, is
low in many countries, so maintaining
a high level of awareness and interest
among general practitioners is diffi-

cult. Some are discouraged because
cancer screening may not be a remunerable activity.
In South Asia, and emigrant communities therefrom, potentially malignant oral disorders are common, and
we have much activity with the professions and the public in these parts
of the world. Recently, a study published in the Cancer Research journal
has proposed a method of treatment
by blocking a protein that plays an important part in the spread and return
of oral cancer.
What are your views on this research and what are other promising
therapeutic approaches?
There are very many biochemical/molecular pathways involved in
cell division, maturation, migration
and metastasis, and death within tissues. Many are targets of investigation
and manipulation. Some will prove
irrelevant—or at best epiphenomena.
Interference with some will also affect
normal tissues, especially if they represent exaggeration of pathways that
are part of normal cellular controls.
An attraction of this particular
work is that it seeks to understand
pathways critical to stem cells—those
cells that provide the basis for continued cell renewal. At the moment,
the observations on this pathway in
human cancers have been explored in
experimental animals. It is some way
from human treatment trials, though
there are many human studies of other
putative biological treatments for oral
and other cancers. In principle, this is
the way forward.
There are a number of oral cancer-screening systems available on
the market but their penetration is
still very low. Why is this technology not yet part of dental practice?
For cancers, and for potentially
malignant disorders, in the mouth
itself, direct visual inspection and
palpation, followed by referral or biopsy, is the best approach. Adjunctive
screening tests have not been demonstrated to have utility beyond this
and commercialisation can be counterproductive.
You have already mentioned
genetics. What role will it play in
the evaluation of oral cancer in the
future?
Well cancer is, of course, a genetic
disease. There is a small component
of inherited genetic susceptibility, but
nothing as important as with breast
cancer, for example. There is a large
component of acquired genetic abnormality, which is being gradually
unravelled. So genetic testing is of increasing importance, perhaps for susceptibility, more so for early changes
in the tissue during carcinogenesis,
the latter perhaps detectable in saliva
or blood too.
However, every cancer is a unique
biological event in an unique individual. Detecting the spectrum of genetic
abnormalities in the individual patient, and targeting these with particular designer drugs, or gene therapy
or immunotherapy is exciting: we are
in the era of personalised medicine.
Extensive surgery, radiotherapy and
chemotherapy have not brought the
improved outcomes we so desperately
need. For the afflicted, the future will
be individualised biotherapies. For
the world, the future must be primary
prevention.
Thank you very much for this
interview. 7


[23] => TDIDS0013_01_Titel
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[24] => TDIDS0013_01_Titel
Advanced Smilecare
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[26] => TDIDS0013_01_Titel
TDIDS0013_26_Nsk 19.02.13 12:02 Seite 1

26

industry

Show Preview IDS Cologne 2013

AD

NSK aims for
global leadership
A visit to the company’s headquarters in Tokyo

®

5

Eiichi Nakanishi, right, in talks with DTI Publisher and CEO Torsten R. Oemus.

n It is no secret that the years since
the global financial crisis have not been
very kind to companies in Japan. First,
the recession slowed business investments significantly down, then the negative effects of last year’s tsunami and
the massive destruction it wrought almost brought the world’s third largest
economy to a halt.
For NSK, one of the country’s largest
dental manufacturers, troubles in the
home market are its least concern because the company conducts most of its
business elsewhere. According to president and CEO Eiichi Nakanishi, with
whom Dental Tribune International recently had the opportunity to speak at
the company’s headquarters in Tochigi,
more than 80 per cent of the company’s
revenues are now generated by its operations outside of Japan. In the last three
years, NSK has been performing particularly well in mature markets such as
Europe and North America, where it
boosted its presence with the
opening of its new headquarters
near Chicago last year, despite
unfavourable conditions such
as high market saturation and
the ongoing decline of the yen
against the dollar.

sively and now employs more than 700
people in its Japanese offices in Tochigi
and Tokyo.
NSK still produces most of the precision parts in-house, which, according
to Nakanishi, is one of the reasons
that dentists now identify the company
with high-quality products. “We employ
many good engineers and marketing
people who help us to constantly improve our brand and make it more attractive to dentists,” he says. One of
NSK’s recent innovations, launched at
last year’s IDS in Cologne, for example,
is the Ti-Max Z series, a durable premium handpiece that is claimed to have
the smallest heads and necks in the industry, as well as an exceptionally low
noise level and virtually no vibration.
The Surgic Pro surgical micromotor has
also received much interest, particularly by dental implant surgeons, and is
now distributed alongside systems by
major implant manufacturers.

Since 2009, Nakanishi has
also seen his company regaining
its former market shares in Asia
through centralised distribution
and after-sales support offered
by its new subsidiary in Singapore. Another significant contributor has been NSK’s European office in Germany, which
accounted for almost one third of
the 22.2 billion Yen ($278 million) in sales the company re- 5 NSK still manufactures most of the precision parts in-house.
ported in 2011. “That is why economic conditions in our home market
NSK asserts it pays close attention
have little or no impact on our overall
to the needs of its customers, a philosobusiness. We really think globally,”
phy that has resulted in products such
Nakanishi explains.
as the S-max pico, which was developed
solely for the treatment of patients with
According to the 48-year-old, who
smaller mouths, such as children.
has run the company since 2000, one of
Moving into other markets is conthe major reasons for NSK’s strong marceivable but unlikely to happen anytime
ket position, even in established marsoon, Nakanishi says. Even though his
kets, is its dedication to innovation and
company has begun to enter new areas
quality, combined with the excellent
in the last decade with the launch of inafter-sales service it is able to provide
struments such as ultrasonic scalers and
to customers in almost every country expolishers, its core business will remain
cept North Korea. But this hasn’t always
dental handpieces and other small-mobeen the case. Founded in the 1930s,
tor equipment. “When it comes to handthe company had a rough start and operpieces, we have produced more innovaations were completely halted during
tions than our competitors,” he remarks.
World War II. Since the production of
“Our goal is to become the No. 1 company
dental handpieces resumed in 1951,
worldwide in this segment.” 7
however, the company has grown exten-


[27] => TDIDS0013_01_Titel
FDI 2013 Istanbul

Annual World Dental Congress
28 to 31 August 2013 - Istanbul, Turkey

Bridging Continents for Global Oral Health

www.fdi2013istanbul.org
congress@fdi2013istanbul.org


[28] => TDIDS0013_01_Titel
TDIDS0013_28_PR 19.02.13 12:02 Seite 1

business

28

Show Preview IDS Cologne 2013

BRUXZIR SOLID ZIRCONIA MEETS AN ANTERIOR AESTHETIC CHALLENGE
(Ultrapak cord #2E) was
placed before refining the
preparation.
As the top #2E cord on
tooth #8 was packed, the
top cord on tooth #9 exposed the margin (Fig. 3).
Now finishing the preps
begun using a fine grit
856-025 bur.

5

5

Fig. 1

As the R&D department of Glidewell Laboratories refines its processes, as well as improving the material’s
translucency, aesthetics continue to
improve. Advancements to improve
the aesthetic properties of BruxZir
Solid Zirconia restorations were recently achieved as demonstrated in
this case by Dr Michael C. DiTolla,
Newport Beach, Calif., USA.
While Gidewell does not suggest
that dentists suddenly switch all of
their anterior restorations to BruxZir
crowns, they may want to consider
using it for patients with parafunctional habits or old PFMs, where an
aesthetic improvement is essentially
guaranteed, the company said.
During the first appointment, the
PFM crowns on tooth #8 and #9 (Fig. 1)
were removed with BruxZir Solid
Zirconia crowns (Glidewell Laboratories). Then the shade was taken with
help of the VITA Easyshade Compact
which displayed the shade in both
VITA Classical and VITA 3D-Master
shades. Next, the selected 2M1 3DMaster shade tab was held to the
tooth, along with the 1M1 3D-Master
shade tab for contrast.

Fig. 2

The shade tabs in the mouth were
photographed. PFG gel was placed
into the sulcus of tooth #8 and #9 with
an Ultradent syringe. Next, they were

5

5

Fig. 4a: Before.

anaesthetised with an STA Single
Tooth Anesthesia System device. The
Razor Carbide bur easily cuts through
porcelain and metal substructures,
and when used in combination with
an KaVo ELECTROtorque handpiece,
it easily cuts through the existing
PFM. The crown was torqued with a
Christensen Crown Remover.
After using a periodontal probe
to ensure there is enough biologic

Fig. 3

width to safely remove some tissue
(Fig. 2), a NV MicroLaser was used
to remove 1.5 mm of tissue. With the
margins exposed, a 856-025 bur and

5

the gingival margins were not overextended and the emergence profile
was flat. TempBond Clear was used
to cement the BioTemps, and loupes

Fig. 4b: After.

KaVo ELECTROtorque handpiece was
used to drop the margins to the new
gingival level.

were used to inspect around the
temps and gingival embrasures for
excess cement.

The dental assistant relined BioTemps Provisionals (Glidewell Laboratories) on tooth #8 and #9 with
Luxatemp provisional material. Using
a thin, perforated diamond disc, the
gingival embrasures were opened
to avoid blunting the interproximal
papilla, as well as to make sure

After two weeks, the temps were
removed and the preps cleaned
with a KaVo SONICflex scaler. After
trimming the gingival margin with
the diode laser, an Ultrapak cord
#00 (Ultradent) was placed, cutting
the cord intraorally on the lingual
to avoid any overlap. A second cord

Two moistened ROEKO
Comprecap Anatomic compression caps were placed
on the preps. Then the patient bit with
medium pressure for 8–10 minutes.
The Comprecaps were removed and
the top cords pulled. For the impression, medium body impression
material was applied around the
preparations with a syringe and a
bite registration was taken. Then the
temporaries were replaced.
During the third and final appointment—another two weeks later—the
temps were off, the BruxZir crowns
were approved and a layer of desensitizer was placed on the teeth
(G5 All-Purpose Desensitizer). A warm
Air Tooth Dryer was used after applying both coats of the G5, while the assistant placed Z-PRIME Plus inside the
crowns. The crowns were then loaded
with a resin-modified glass ionomer
cement (RelyX Luting Plus Automix)
and seated, using a pinewood stick
to ensure that they were fully seated
and had the same length. In the
“after” picture (Fig. 4b), there is not
any porcelain on the BruxZir crowns.
GLIDEWELL
LABORATORIES, USA
www.glidewelldental.com

Hall 3.1 Booth H045

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A ‘SAFE AND SIMPLE’ IMPLANT SYSTEM
Unscrewing and bacterial infiltration are
known to be some of the
major factors leading to
implant failure.

sum3ddental.com

Full integration with all systems
The best CAM solutions
for dental labs and technicians
Via Monfalcone,
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12-16 March, 2013
Hall 3.2 - Booth G069

Tel.+39 02 87213185
Fax +39 02 61293016
info@cimsystem.com
www.sum3ddental.com

The S1 implant system
manufactured and distributed by the Italian
company Safe&Simple is
supposed to eliminate
the risks of breaking implants and bacterial infiltration by a perfectly sealed and
stable abutment-fixture connection.
A modular design,
enabling the clinician to
customise the prosthesis
and adjust it to all needs
through the use of standardised components, makes the
system also extremely versatile and price-competitive
to other implant systems
that are currently available
on the market, the company
said.
According to Safe&Simple,
its S1 system is based on 15 years
of research conducted in collaboration with the universities in Modena
and Reggio Emilia and was designed
on the premise to make dental im-

plantology “a streamlined,
innovative and non-invasive practice with definite
results”.
The implants are currently available in three
diameters and in three
lengths.
They are indicated for
immediate loading procedures, two-stage implant surgery as well as for partial and
total edentulism.
The system also comes
with a surgical guide, called
Fly one, that uses a stereolitographic model attached
to the articulator.
Based in Pieve di Soligo on
Northern Italy, Safe&Simple
also offers regular and customised training courses held
in partnership with renown
Italian dental schools and
universities. Their implants
will be on display during IDS
in hall 10.2.

SAFE&SIMPLE, ITALY
www.safeandsimple.net

Hall 10.2 Booth L065


[29] => TDIDS0013_01_Titel
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Used Two Striper® bur tip

Used electroplated bur tip

740.548.4100 | www.abrasive-tech.com


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Show Preview IDS Cologne 2013

EASY IMPLANTATION WITH EASYFOR

ITALY’S ANSWER TO LOW COST DIODE LASERS

Based on a treatment method developed by implant specialist Dr Bruno Fornengo from Italy over
twenty years ago, the
EasyFor implant system will be on display
to visitors at IDS at
booth K060 in hall
11.3.
Available in five different diameters and 10 lengths, the titaniumbased implants of the EasyFor system boast a dual acidification sandblasted surface that enhances longterm stability of hard and soft tissue
for a beautiful, long-lasting smile.
The system allows immediate
loading as well as minimally invasive
implant surgery through a surgical

5

Fig. 1

perience from specialists
in the industry.
Available by the company with the same name
since 2010, it aims to provide clinicians with cutting-edge products that
are safe, reliable and easy
to use in prosthetic implant rehabilitation procedures.
guide. It also features a conical connection that allows platform switching. This is supposed to provides
an antibacterial seal and prevent the
occurrence of implant-abutment micro-motion.

EasyFor says to offer full support
to different customers needs as well
as a number of training programmes
that include Enterprise Content Management (ECM)—Basic & Advanced—
for medical doctors and staff.

According to the company, the
system was developed with a biological and biomechanical approach in
mind and is based on year-long ex-

5

Fig. 2

EASYFOR, ITALY
www.easyfor.it

Hall 11.3 Booth K060

Low cost diode lasers have increasingly found their way into dental practices thanks to their versatility and easy handling. The Italian medical and dental products manufacturer Dental Medical Technologies
(DMT) is now adding another sophisticated device to the market
with its new all-purpose diode laser
Giotto.
Named after the 12th century
Italian painter Giotto di Bondone,
the laser can be used for a wide range
of dental procedures, according to
the Milan-based company. Boasting
an effective power of 7 watts, it combines reliability with high clinical
efficacy, they said. Safety has also
been improved through an interactive software with touch-screen func-

tionality that guides the clinician
and provides educational videos for
up to 50 procedure that have been
developed in cooperation with leading clinicians and institutions in the
field of laser dentistry.
The company said it will offer
the device for a net price of €3,900.
The Giotto diode laser comes with
a bleaching kit suitable for 12 applications, among other equipment.
Visitors of IDS will be able to get
hands on the company’s complete
portfolio including DMT’s dual wavelength lasers Raffaello and Leonardo
at its booth F058 in hall 10.1.
DMT, ITALY
www.dmt.biz

Hall 10.1 Booth F058

AD

ARE YOU READY FOR
THE NEXT GENERATION
OF DENTURE MATERIAL?
JUVORA™ is at the forefront of the dental industry with our
advanced material for removable dentures.
Dentist benefits
· Improved patient experience
· Metal free solution
· Precise patient specific dentures
Dental lab benefits
· State of the art denture material
· Improved processing efficiency
· Design flexibility
· Utilise CAD/CAM technology for design and
manufacturing accuracy

Find out more by visiting us or our certified partners
at IDS 2013:

IDS 2013, Hall 4.1 Stand D018
www.juvoradental.com

Hall 4.1 Stand D030

Hall 4.2 Stand J018


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LAB QUALITY TOOLS NOW AVAILABLE FOR DENTISTS

CRANEX NOVUS E

Processing using zirconium oxide
has evolved from being a niche concept to one of the most common techniques to have ever been developed
for dentistry. Probably more than
ever, clinicians now need to have the
right tools for preventing the formation of surface micro-cracks and for
achieving the best results for their
patients.

The next generation of
CRANEX Novus e provides
excellent image quality with
extended imaging values as
well as enhanced operation
with the ClearTouch control
panel. According to the manufacturer SOREDEX, a part of
the Finish PaloDEx Group,
the system was designed for
fast operation at maximum efficiency as well as an easy
workflow.

The polishing of lithium silicate
ceramics also come with particular
challenges as their unique design
and micro-morphological structure
require specially adapted material
compositions.
With DIACERA, EVE Ernst Vetter
already introduced a specialised polishing system based on zirconium
oxide and specifically developed for
these challenges at IDS 2007. The system has been providing outstanding
quality and safety required by dental

labs for years. At IDS 2013, this line is
now also becoming available for dental practice in order to provide dental
clinicians with a safe option to perform necessary adjustments
professionally.

With this
world premiere each stage of
treatment can now be polished,
according to the company, which
makes these tools an alternative in
addition to the familiar high quality
achieved in the dental laboratory.
An optimised heat flow is also
supposed to prevent both local phase
transitions, a cause for a non-uniform
surface and material failure, the
company said.

EVE ERNST VETTER,
GERMANY

AN “ALL-IN-ONE” IMPLANT SOLUTION

been reduced, the company
said. In addition, the renown
SOREDEX 5-point patient
stabilisation system guarantees accurate and stable patient positioning.
Operating worldwide,
SOREDEX says to offer quality imaging systems of true
diagnostic value, which are
based on an in-depth understanding of daily practice.

With a 9-second adult
panoramic exposure time, the
exposure of patients has been
minimised and the potential
for movement artifacts has

SOREDEX PALODEX
GROUP, FINLAND
www.soredex.com

Hall 11.2 Booth N050

SUNI’S DIGITAL X-RAY SENSORS
At its ISO-certified facility in San
Jose, CA, in the US, Suni Medical
imaging manufactures two lines of
digital X-ray sensors, the flagship
SuniRay sensor and the Dr Suni Plus
sensor. This award-winning product
line has propelled the company to a
leadership position within the digital
dental industry.

www.eve-rotary.com

Hall 10.1 Booth F043

31

According to Suni, the Suni-Ray
digital X-ray sensor offers high flexibility owing to an integrated USB
module and a powerful software
package that allows Window-based
practitioners to use it with any practice management system. It has
rounded corners for increased patient comfort and is available in two
sizes for different anatomic requirements. Independent third-party stud-

ies have also shown
that SuniRay uses the
lowest amount of radiation—as compared to competitive systems—to produce a
true, diagnostic quality image.
Recent improvements
to the Dr SuniPlus
have resulted in
high ratings in
the robustness
category making
the sensor one of
the most durable products available on the market today.
Since its creation in 1995, Suni
Medical Imaging has gained a leading
position in the digital radiography
market, pioneering the development

of digital sensor technology for dental
clinical applications, and is best
known for designing and manufacturing sensors for many of the
early leaders in
this field. In
2002, however, the company added
its own brand of high
quality sensors and intraoral
cameras to its product portfolio.
Suni says that its corporate culture is
built on three
basic principles–technological
innovation, continuous improvement
an exceptional customer service.
SUNI MEDICAL IMAGING, USA
www.suni.com

Hall 4.2 Booth K060

AD

The Easy Grip line from T.F.I.
System was designed for the purpose of providing dental professionals with everything that is needed
for a standard clinical implant solution, according to the Swiss-Italian
dental implant manufacturer.
All threaded implants of its Easy
Grip line come in an “all-in-one” kit
containing an implant, which is
mounted over the original transfer
system that engages the head of

the implant at 90° for easy insertion
even when operational space is limited, a surgical and connecting screw,
as well as a mounter that can be used
as an abutment or as a screw.
According to T.F.I., its Easy Grip implants are receiving state-of-the-art
surface treatment for high osseointegration that includes sandblasting,
etching and plasma glow discharging.
Quality controls on the implants and
its individual components are performed during every step of the production process, the company said.
Infection control requirements are
also being met by the kit’s package
using a double blister.
The company, which is based in
Rome, says that simplification of the
surgical protocol, functionality and
technical innovation are the cornerstones of its business. T.F.I. has been
developing implants since 1994.
T.F.I. SYSTEM, ITALY
www.tfisystem.it

Hall 3.2 Booth D068


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az_rz_yoshida_Layout 1 18.02.13 11:00 Seite 1

DIE NEUE GENERATION

Die moderne Röntgeneinheit für die richtige Diagnose.
Alles umfassend 2D und 3D in einem

Höchste Bildqualität

Flexibel und funktionell

Das Röntgengerät X-ERA SMART
vereint Technologie und Innovation
auf eindrucksvolle Weise. Es erlaubt
sowohl 2D als auch 3D Bildbearbeitung.
Maximaler Bedienungskomfort und
Effektivität wird durch einen großen
Touchscreen, eine übersichtliche und
bedienerfreundliche Struktur für ein
schnelles und fehlerfreies Arbeiten
erreicht.

X-ERA SMART verfügt über ein einzigartiges Patientenpositionierungssystem,
das jede Bildverzerrung durch Patientenbewegung komplett ausschließt.
Das Technologiekonzept ist für eine
maximale Bildqualität ausgelegt.
Zwei verschiedene Aufnahmegrößen mit
extra hoher Auflösung liefern in jedem
Modus zuverlässige Ergebnisse für die
weitere Behandlung.

Das X-ERA SMART-System können
Sie individuell für viele Anwendungen
einsetzen.
Beispielsweise für Implantologie,
Endodontie, Chirurgie oder Kiefergelenkbeurteilungen.

Besuchen Sie uns!
Halle 04.1
Stand C060 D061

X-ERA SMART bietet mit seiner Vielfalt
neue Perspektiven für eine genaue und
sichere Diagnose.

www.yoshida-net.co.jp


[33] => TDIDS0013_01_Titel
D i git a l Pro v is i o n al Rest o r ati o n S ystem ®

Hall: 4.1
Booth: A069

T E M P O R I S ® D P R S ® ( D i g i t a l P r o v i s i o n a l R e s t o r a t i o n S y s t e m ®)

T h e c o re o f D W S S r l p ro j e c t i s t o i n n o v a t e t h e m a n u f a c t u r i n g
p ro c e s s i n o rd e r t o m a k e p ro t o t y p i n g a n d p ro d u c t i o n f a s t e r a n d
m o re f l e x i b l e . D i g i t a l Wa x ® s y s t e m s a re s o l d i n 4 2 c o u n t r i e s
a ro u n d t h e w o r l d a n d p ro v i d e c o m p a n i e s w i t h t h e l a t e s t
A d d i t i v e M a n u f a c t u r i n g t e c h n o l o g y f o r t h e c re a t i o n o f h i g h
q u a l i t y a n d a c c u r a t e m o d e l s , t h u s d r a s t i c a l l y re d u c i n g
m a n u a l f i n i s h i n g o p e r a t i o n s a n d p ro d u c t i o n c o s t s .

consists of a patented additive manufacturing process and a
bio-compatible materials proprietary portfolio, perfectly
compatible with the majority of Intraoral Scanners and open
CAD/CAM solutions available in the dental field. Available
in different shades, they can be trimmed, shaped,
polished and layered using light curable composites.

TEMPORIS® MANUFACTURING CYCLE

SCAN FILE

THIRD PARTY INTRAORAL SCANNER

THIRD PARTY DENTAL CAD/CAM

STL FILE

BUILDING FILE

STL file editing and slicing

BUILDING COMPLETE

TEMPORIS® building process

SUPPORT REMOVAL

TEMPORIS® platform completed

Bridge ready for the insertion

w w w . d w s s y s t e m s . c o m

ESEC_IDS_280X400.indd 1

30/01/13 12:59


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REPORT ON IPS E.MAX SYSTEM STUDIES AVAILABLE FROM IVOCLAR VIVADENT
A scientific report combining
more than 20 clinical in-vivo as well as
in-vitro studies on Ivoclar Vivadent’s
all-ceramic system has been recently
launched by the Liechtenstein dental

5

manufacturer. The report is intended
to present—in a clear and structured
manner—the most important studies
on IPS e.max that have been conducted over the course of the past
ten years.

IPS e.max from Ivoclar Vivadent
is a high-performance all-ceramic restorative system comprising lithiumdisilicate glass-ceramic and zirconium oxide materials for the press
and CAD/CAM technique.

They attest to the successful performance and
reliability of the IPS e.max
system, according to the
company.

The system is complemented by
a universally applicable nano-fluorapatite glass-ceramic which is suitable for veneering all its components.
Since development started more than
a decade ago, the IPS e.max has also
been investigated by researchers on
a regular basis. Many reputable experts have contributed to what has
become a valuable resource for scientific data on IPS e.max, according to
Ivoclar Vivadent.

Fig. 1: The Scientific Report presents results from studies
conducted on IPS e.max and its components over the course
of the last 10 years.

Among other things,
the report summarises
data on the clinical performance that cover longer
periods of time: up to five
years for zirconium oxide
and up to ten years for
lithium disilicate. An overall survival rate of 96.8
per cent for the entire
system was calculated
by combining the survival
rates of IPS e.max Press
(six studies), IPS e.max
CAD (six studies) and
IPS e.max ZirCAD (eight
studies).

5

Fig. 2: Success and failure rates of restorations (crowns and bridges) fabricated with the IPS e.max
system from Ivoclar (in per cent).

A total of 1,071 restorations were
observed in all 20 studies.
Apart from these findings, the
report also provides the results of
a number of clinical trials that have
focussed on the system’s individual
components, such as the lithiumdisilicate glass-ceramics IPS e.max

Press and IPS e.max CAD, the zirconium oxide-based IPS e.max ZirCAD
as well as related products such as
IPS e.max ZirPress and IPS e.max
Ceram.
According to the report, the survival rates of these materials ranged
between 93.7 and 98.4 per cent.

The IPS e.max Scientific Report
Vol. 01/2001–2011 in English is available for downloading at the company’s website.

IVOCLAR VIVADENT AG,
LIECHTENSTEIN
www.ivoclarvivadent.com

Hall 11.3 Booth A020

AD

USERS RANK PICASSO LITE MOST POPULAR
DIODE LASER IN INDUSTRY REPORT
AMD LASERS’s diode laser Picasso
Lite was recently voted the most popular dental laser, as surveyed by
diode laser users in the most recent
Clinicians Report titled “Are Diode
Lasers Worth the Investment?”

support,” he said. “Picasso Lite delivered what no other laser could
and continues to be the top pick
against new lasers that are on the
market.”

In the June 2012 report, Picasso laser technology was evaluated
and compared against
eight other current
diodes in the market.
Clinicians Report (CR),
an independent, nonprofit, dental education and product testing foundation, concluded that “Picasso
Lite has a good combination of features, ease
of use, low cost, and is
a valuable adjunct for
soft tissue surgery and
hemostasis”.
Picasso Lite was
awarded an ExcellentGood rating overall
with top ratings in several categories, includ- 5
LASER’s diode laser Picasso Lite was launched to dental
ing hand piece and AMD
markets in the year 2010.
cord, simple controls,
He added that “CR is the most
and has most affordable disposable
highly respected global testing faciltips amongst eight leading brands.
ity for dental products and is the ‘go
According to CR, 73 per cent of clinito’ report used by the majority of clicians surveyed would recommend
nicians looking to make educated
a laser and 80 per cent felt it was a
product purchases.”
good investment.
Picasso laser technology continues to be the game changer it was in
2009 when it was launched. In three
short years its popularity has skyrocketed, according to President and
Founder of AMD.
“We gave doctors what they
asked for, an affordable dental
laser for soft tissue that was easy to
use and had world class training

Based in Tulsa, IN, in the US,
AMD LASERS is an internationally
recognized market leader in dental laser technology and education.
Since 2011, the company belongs to
the DENTSPLY International group.

AMD LASERS, USA
www.amdlasers.com

HALL 11.3 BOOTH E010


[35] => TDIDS0013_01_Titel
tfi-adv-ids_Layout 1 23/01/13 16:21 Pagina 1

Easy Grip

®

Implants

Perfection is an art,
its secret is simplicity

always a user friendly system
One abutment connection
for all our implants
Reduced cost of storage

affordable system
All-in-One package
• Implant
• mounter/abutment
• cover screw
• connecting screw
A complete system for the price of one implant

Complete implant line
Three morphologies with prosthetic solutions for all your needs

Monoblock
Cylindrical morphology is also
available with a screwless connection,
protected by a specific patent

Conical

Anatomical

Cylindrical

We are looking
for distributors

For further informations visit www.tfisystem.it or contact us at info@tfisystem.it
®

Easy Grip All solutions in one

Via Alessandro D’Ancona 23
00137 Roma - Italy


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JUVORA LAUNCHES NEXT GENERATION OF DENTURE MATERIAL AT IDS
JUVORA, a dental innovations
company, has announced that the
generation of denture material will
be on display at this year’s IDS.

tures, the JUVORA Dental Disc uses
only the purest biomaterial sourced
from the market leading provider of
PEEK-OPTIMA biomaterials, Invibio®

metal free properties patients are free
from allergy, thermal and electrical
conductivity. Additionally due to the
absence of metal the patient’s taste
remains unaffected.
The material also offers an elastic
modulus similar to bone and a high
strength to weight ratio for increased
flexibility in both denture design and
manufacture. Other benefits include
a high resistance to wear, abrasion
and corrosion and X-ray transparency
(which allows clinical diagnostics and
treatment to be made through the
denture without the need for screw
fix denture removal or replacement).

Their JUVORA Dental Disc is the first
approved high performance polymer
device that allows the CAD/CAM of
a removable denture framework from
a non-metal.
Intended for use in telescope attachments, precision attachments
and implant supported superstruc-

Biomaterial Solutions (which has
more than a decade of experience and
proven success in over 4 million implanted devices globally).
By utilizing a high performance
polymer, the JUVORA Dental Disc
provides a number of distinct material benefits. First of all due to its

“The JUVORA Dental Disc offers
significant benefits for patients as
both the design and material properties of the device enable the manufacture of precise, lightweight and
comfortable non-metal removable
dentures,” said Marcus Jarman-Smith,
JUVORA Technology Leader.
Compared to traditional metal
casting methods, which are labour
intensive with lengthy production

times, the JUVORA Dental Disc is
specifically designed to take advantage of CAD/CAM manufacturing
and design of removable dentures.
By allowing removable dentures to
be manufactured utilising digital
processes, the JUVORA Dental Disc
provides dental labs with a faster production route, reduced labour requirements, improved denture accuracy and reproducibility. Patients,
therefore will receive a removable
denture that is more comfortable
because it has been precisely customised and accurately manufactured.

“For the first time, JUVORA has
allowed high performance polymers
to enter the automated route,” said
Joerg Schlegel, JUVORA Sales Leader.
“We understand the changing
needs of the dental industry and it is
through the use of the JUVORA Dental Disc that dental labs and dentists
can take advantage of greater design
freedom, flexibility and accuracy,” he
added.
JUVORA, UNITED KINGDOM
www.juvoradental.com

Hall 4.1 Booth D018

AD

OPTICAL MEASURING MACHINES BY VICI VISION
TO IMPROVE DENTAL IMPLANT PRODUCTION
Implants are highprecision medical devices that require constant quality controls
during the manufacturing process. Developed to provide implant manufacturers
and other industries
with a reliable tool to
precisely measure micromechanical components, the Italian
company Vici Vision
is offering a optical
measuring machine
that allows operators
to use their CNC to
an optimum by taking dimensional
measurements like diameter, length
and angle onsite, right next to the
CNC lathe.
With the MTL X5, external dimensional controls can be carried
in a single cycle that only lasts a
few seconds, according to the Italian
company. The system, which works
as an enlarger, is easy to use for any
operator and allows to pass from
one batch to another with one mouse
click. Machine parameters can be set
with MTL X5 before
values are out of tolerance to prevent discarded items. Furthermore, all data can be
collected for statistical controls as well as
for producing control
certificates that are
required to have for
quality assurance in
different markets.
With the MTL X5
the quality of dental
implants can be significantly improved and
machine downtimes
reduced, which are
key advantages in

the current challenging market environment. During IDS, the machine
will be on display at Vici’s booth in
hall 2.2.
The company, based in Santarcangelo di Romagna near Rimini,
Italy, has been manufacturing vision
systems and industrial automation
solutions since the late 1970s.
VICI VISION, ITALY
www.vici.it

Hall 2.2 Booth C011


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DENTALEZ EXPANDS CLINICAL OFFERING WITH CANCER DETECTION DEVICE
A sophisticated novel device for
the detection of oral pathologies including oral cancer will be on display
from DentalEZ at the upcoming IDS
in Cologne. According to the US dental
group, the Identafi is able to detect biochemical and morphological changes
in the cells of the mouth, throat,
tongue, and tonsils. The small cordless
handheld device uses a three-wavelength optical illumination and visualization system that allows dental
professionals to identify oral mucosal
abnormalities not visible to the naked
eye, they said.

DentalEZ
acquired the Identafi technology from
biomedical and bio-optics technologies provider Trimira in early 2011.
Along with the device, the company is
offering a number of continuing education courses, educational seminars,
and online resources geared toward

AD

educating dental professionals
on the specific use of the Identifa
and oral cancer in general.

tion do just that—identify changes in
the mouth that may be a sign of something more serious.”

“We are extremely pleased
to provide dental professionals
with a device that can help
them detect abnormal pathologies, including

“This effective and affordable device aids in the early detection of oral
cancer, which has reached epidemic
levels, due in part to the lack of effective, broad-based early detection programmes,” remarked Gordon Hagler,
President and COO. “In addition to our
full line of dental equipment,
handpieces, utility room
equipment, and dental
lab products, our newest
offering enables us to
proudly proclaim the
evolution toward a more
clinical product mix from
DentalEZ.”

oral
cancer in its
early stages, and
possibly save lives,”
remarked Randy Arner,
Vice President of Marketing for DentalEZ Group. “Because the signs and
symptoms of oral cancer are often
missed by the naked eye, Identafi technology enables dental professionals
on the front line of oral cancer detec-

Comprising six product brands,
the group manufactures a wide range
of dental equipment including hand
pieces, dental chairs, vacuum systems
and dental simulation models.
DENTALEZ, USA
www.dentalez.com

Hall 4.2 Booth L079

Show Preview IDS Cologne 2013

DENTAL MATERIALS LAUNCHED BY LASCOD

A reliable partner for dental
laboratories and users of products
making use of the latest CAD/CAM
systems, the Italian company Lascod is going to bring a number of
new products and dental materials
to this year’s International Dental
Show. Among them will be Oklurest,
a 90 Shore A-silicone for the purpose
of orthodontic bite registration. According to the company, the material has a tixotropic, imperceptible
consistency for patients with regular occlusion and remains dimensionally stable even during disinfection.
The 70 Shore laboratory A-silicone Xilgum can be used for a fast
and detailed reproductions of gum
morphology in order to survey cervical limits in prosthesis manufacturing with details definition of 20 μ.
Also available to IDS visitors will
be the Ergamix A+B laboratory
A-silicone with details definition of

40 μ, which comes in the colours
brown (for 70 Shore hardness) and
blue (for 90 Shore hardness).
Specifically developed for master models, extractable strumps
for permanent or temporary prosthesis as well as implants, the type 4
extrahard die stone Singletypo 4
Light Grey is said to improve chromatic contrast with materials used
in the manufacturing of prosthesis
like waxes, acrylics or aesthetic
materials through its new colour
soft grey
Originally a manufacturer of
dental cements, Lascod manufactures and distributes a wide range of
dental materials and instruments
for use in different fields of dentistry.
LASCOD, ITALY
www.lascod.it

Hall 10.1 Booth D068

IDS SEES NEW INTRAORAL CAMERA FROM ACTEON

Sopro, a division of the French
Acteon Group, is presenting its latest
development in the field of intraoral imaging exclusively to visitors
of this year’s International Dental
Show. Officially available since
June 2012, the new SOPROCARE
camera is supposed to complete the
company’s market-proven range of
SOPRO imaging devices that include
internationally recognised products
such as SOPRO 617, SOPRO 717 first
and SOPROLIFE.
According to the company, the
new camera uses light induced autofluorescence for improved assessment of a patient’s oral health and
for the early recognition of dental
diseases like periodontitis. In PERIO
mode, one of three modes, the device

is able to highlight gingival inflammation as well as old and new dental
plague. In addition, enamo-dentinal
caries from stage 1 (ICDAS II) can be
detected (CARIO mode) as well as the
stability of micro lesions and their
progression monitored (DAYLIGHT
mode).
Acteon said that the new device
is minimal-invasive compared to conventional methods of diagnosis and
enhances communication through
the fact that results of the clinical
assessment can immediately demonstrated to and discussed with the
patient.
ACTEON GROUP, FRANCE
www.soprocare.com

Hall 10.2 Booth M060


[39] => TDIDS0013_01_Titel
BIOLASE & THE AACHEN DENTAL LASER CENTER (AALZ)

A worldwide partnership
FOR Clinical Laser educatION,
Training AND research

NEXT WCLI INSTITUTE SUPER SYMPOSIUM:
."3$)Þ03"/(&$06/5: $"-*'03/*" 64"
,FZOPUF4QFBLFS""-;'06/%&3130'%S/PSCFSU(VULOFDIU

BECOME A DENTAL
Laser Specialist

INTERNATIONAL
COOPERATION

QUALITY LASER
EDUCATION

Led by Prof. Dr. Norbert Gutknecht, the
AALZ has been providing the M.Sc. in
Lasers in Dentistry since 2004. The
M.Sc. programme was developed in
order to enable dentists to specialize in
a full range of laser therapies.

The education provided by AALZ at
RWTH Aachen International Academy
is affiliated with numerous universities
worldwide. Also recognized and
accredited in Germany, the EU, and
countries that are signatories to the
Washington Accord.

The AALZ also provides threehour introductory courses, full-day
wavelength workshops, laser safety
classes, and other types of laser
education. Visit www.aalz.de for
upcoming courses & dates.

Become one of the first Dental Laser Specialists in the world!
FOR WCLI Institute or AALZ EDUCATION DATES AND INFORMATION
visit wcli.org or WWW.AALZ.DE

Visit us at BIOLASE Stand in Hall 4.2 N060

© BIOLASE, Inc. All rights reserved.


[40] => TDIDS0013_01_Titel
BE AMAZED BY

WATERLASE

®

The WaterLase iPlus dental laser is simply amazing. It is our
most powerful, versatile and faster WaterLase yet. But
don’t take our word for it! See the WaterLase iPlus in
action at BIOLASE Stand N060 in Hall 4.2!

BREAKS THE SPEED BARRIER
- Cuts enamel as fast as a high speed drill
- Pulses up to 100 Hz for versatility with hard/soft tissue
- Patented technology delivers up to 600 mJ/pulse

LARGE TOUCH SCREEN
- Vivid, illustrated procedural pre-sets and user guide
- Save up to 9 frequently used settings
- Flexible individual settings for advanced users

EXPANDS CLINICAL CAPABILITIES
- New ‘radial firing’ tips for perio and endo applications
- No micro-fractures or thermal damage
- Wide range of clinical accessories for many uses

iLASE 940nm DOCKING STATION
- Adds dual wavelength convenience
- First totally wireless diode laser
- Battery operated with finger operation

See WaterLase iPlus in action
at BIOLASE Stand in Hall 4.2 N060
or visit www.biolase.com to learn more!
© BIOLASE, Inc. All rights reserved.

Dealer Inquiries Welcome

Dealer Inquires Welcome


[41] => TDIDS0013_01_Titel
THE TOTAL DIODE

ELEVATED
NEW!

Deep-Tissue
Handpiece

Whitening
handpiece

Introducing the all-new EPIC diode laser from the world leader
in dental lasers. With new ComfortPulse settings and surgical
handpieces, EPIC is ideal for surgery, perio and more. Plus, EPIC
has 10 watts of power for Laser Whitening and Pain Therapy.
EPIC 10 is the Total Diode, Elevated.

Enter to Win an EPIC
at the BIOLASE Stand
in Hall 4.2 N060
© BIOLASE, Inc. All rights reserved.

Dealer Inquiries Welcome

Dealer Inquiries Welcome


[42] => TDIDS0013_01_Titel
™

The iLase
Diode Laser
from BIOLASE.
No foot pedal, power cord
or external controls.
Visit us at BIOLASE Stand in Hall 4.2 N060

Vertriebspartner in Deutschland
NMT München GmbH - sanfte Zahnheilkunde
www.biolase-germany.de

Dealer Inquiries Welcome


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TDIDS0013_43_PR 19.02.13 12:10 Seite 1

business

Show Preview IDS Cologne 2013

SWISS DENTAL DIAMONDS BY VANETTI SA

DENTAL CAM SOFTWARE ON DISPLAY BY CIMSYSTEM
Ease of use and specific
functions are the ingredients
that make CIMsystem’s SUM3D
Dental a high productivity
CAM application for the dental
field. Dental labs, who are looking for the best technological
solutions to improve efficiency and quality of production
process, can take advantage
of the huge CAM experience of
CIMsystem to guarantee the
production of precise items,
in line with the end user’s-dentists- best expectations.

In recent year, the Swiss dental
manufacturer Vanetti has increasingly expanded its reach into international dental markets. Originally
sold primarily in Switzerland and
Italy, its Dia Tessin branded surgical
instruments are now available to
dentists and dental surgeons in almost 50 markets in Europe, Northand South America, the Middle East
and Asia.
Vanetti promotes its products actively through its participation at international trade fairs, such as the upcoming International Dental Show in
Cologne, as well as through other marketing efforts. Based in Gordevio in
the heart of the Maggia Valley, the
company has been run by members
of the Vanetti family since the late
1960s. In the mid 1990s, the company
was transformed into a limited company by the current CEO and son of
the company founder Pablo Vanetti.

According to the company, its success is based not only on the production and distribution of high–quality products but also on short delivery times and excellent customer
services.
In order to achieve this, the company said to have pushed automatisation and rationalisation of its manufacturing processes to a maximum
despite its small staff of eight in the
company’s headquarter, who make
sure that products do not only have
the quality that customers demand
but also offer competitive prices.
More information about the company and its products are available
on its website as well as its booth in
hall 3.2 at IDS.
VANETTI SA, ITALY
www.vanetti.ch

Hall 3.2 Booth D081

ENLIGHTEN TO (R)EVOLUTIONISE TEETH WHITENING

Recently conducted surveys in
the US and the UK suggest that an
increasing number of people are
considering to have their teeth whitened by a dentist. With its evolution
3 system, the UK company Enlighten
claims to offer the only teeth whitening system to guarantee VITA shade
B1 irrespective of the starting shade.
Available both as Home and Office kit, the gel has the lowest concentration on the market and fully complies with the new EU legislation
(6 % Hydrogen Peroxide), according
to the company. Enlighten also says
that with its system, no lights, gingival protection or dehydration whitening is required.
The system comprises impression materials, as well as home and
office whitening gels, desensitisers,
tooth serum whitening toothpaste
and locked seal lab for three patients.

Every kit also comes with a free tooth
serum paste. For the purpose of practice branding, a number of materials
for evolution marketing are available
upon request.
Among other publications, the
system has been featured by the
Daily Mail, OK, Glamour and Heat
magazine. The company, which is
based in London, is now also looking
for prospects to distribute the system internationally. Applicants are
invited to visit their booth in hall 11.3
during IDS, Enlighten said.
Besides its line of whitening solutions, the London company also
manufactures advanced oral care
products including toothpaste and
desensitisers.
ENLIGHTEN SMILES, UK
www.enlightensmiles.com

Hall 11.3 Booth B080

43

on the criteria established by
experience or by particular circumstances.

5

Automatic detection of holes and their angles.

The operational simplicity
meets the needs of an industry which is unused to a complex computer technology: with
SUM3D Dental the operator can
split the work and benefit from
the strategies suggested from
time to time by the software. It
is also possible to store, in special libraries, custom procedures
together with machine tools
and machining parameters’ customizations.

The first step of the process
involves the acquisition of the
The dental world is characgeometries: whether it is a denterized by procedures that are
tal, intraoral or implant imprestreated subjectively and the ausion, the file is imported into
tomation of SUM3D Dental meets
SUM3D Dental which can acthe need to standardize these
quire the geometry defined by
procedures with respect to the
.stl standard, as well as those
specificities of manufacturing,
coming from other formats,
obtained from 3-D scanning or 5 Milling of undercuts with a lollipop tool on 3 and 4 axis machines. with the possibility for the operators to use their experience to inprocessed by a dental CAD. This
tervene in a personalized way and with
flexibility allows to work with various
and parameters. Thanks to the funcmaximum flexibility when needed. The
clients without being tied to specific
tionality of SUM3D Dental, it is possible
immediacy of the software and its ease
format standards. The definition of the
to automate and simplify the operaof use allow the operator to reduce the
best CAM work cycle is fully guided by
tions even when working with high
learning curve and quickly achieve the
SUM3D Dental, which recognizes autoresistance materials. Whether it is titahighest levels of productivity.
matically the item and, depending on
nium, cobalt-chrome, zirconia or lithithe type and shape of the component to
um disilicate, it is possible to easily
CIMsystem’s technical assistance
be implemented, predisposes the madefine the most suitable parameters for
provides a working relationship that
chining, by nesting the pieces on the
each CAM machining, taking into acnot only solves current issues but also
blank to work accordingly to the path
count the physical behaviour and withnourishes, through requests and sugspecifications and parameters chosen
drawal due to the material, thus ensurgestions, the continuous innovation
by the operator.
ing a high degree of precision and surthat makes SUM3D Dental constantly
face quality finish of the final product.
updated with respect to the machines’
The accuracy of the machining is
technological evolution and the market
entrusted to the potential of the milling
The automations offered by the sysneeds.
centre and to the support of software
tem facilitate the setting up of machinfunctions that, according to the type of
ing without the need of specific operaCIMSYSTEM, ITALY
material and the required characteristor’s experience, even if the flexibility
www.cimsystem.com
tics of finish, make it possible to autoof the software allows a skilled user to
Hall 3.2 Booth G069
matically identify the machining type
implement personalized choices based

AD


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TDIDS0013_44_PR 19.02.13 12:11 Seite 1

business

44

Show Preview IDS Cologne 2013

SULZER MIXPAC TO ATTEND AT IDS FOR THE FIRST TIME
An event as large as
the IDS gives exhibitors
the opportunity to present their latest innovations. It also brings a
large number of manufacturers and users together for a few days
which makes it an ideal
forum not only for exchanging useful tips
with others but also discussing burning issues
such as counterfeiting in
dental manufacturing.

INTRA-ORAL WELDING TO IMPROVE
IMPLANT SURGERY OUTCOMES
copied in such a convincing
way that makes it impossible to
clearly identify originals solely
on the basis of the shape or the
colour of the mixing tips. Therefore, it is important to know
how to distinguish the originals from the copies, it stated.

One of the topics Sulzer Mixpac
will be addressing at its booth in hall
3.2 is the hazards copies of original
products can pose to unknowing
users. On top of the financial damage
that copying and product piracy can
cause, it can also be potentially dangerous to both purchasers of forged
dental products and patients, the
Swiss manufacturer of multi-component systems for mixing, metering
and dispensing said. Sulzer added
that in the same way that banknotes need to be clearly marked, it is

vital to have a clear indication which
products are originals.
Sulzer’s Mixpac mixing tips are
two-component static mixing solutions for dental applications having
characteristic shapes and colours
which are brands of Sulzer. They are
exclusively produced in the company’s automated factory in Haag,
Switzerland, and can be identified by
the Mixpac label stamped at the top
bevelled edge of the tip. According to
the company, the mixing tips are still

Just recently, Sulzer filed
a lawsuit in the US District
Court for the Southern District
of New York against dental materials manufacturer Spident
USA and its Korean supplier,
as well as International Safety
Products DBA iDental in the US for
having violated its trademark and
patent rights at the 2012 Greater New
York Dental Meeting.
Sulzer Mixpac is attending the International Dental Show for the first
time this year. Visitors are invited to
visit its booth in hall 3.2 and pick up
a free Sulzer Mixpac stress ball.
SULZER MIXPAC, SWITZERLAND
www.sulzer.com

Hall 3.2, Booth G068

AD

Recent studies have
demonstrated that it
is possible to successfully rehabilitate the
edentulous atrophic
maxilla with a fixed,
definitive restoration
supported by an intraorally welded titanium framework that
is attached to axial
and tilted implants on
the same of implant
surgery. The relatively new concept
is based on fusion,
also called “Syn-crystallization”, a process
characterised by the
union of two metallic
surfaces through the
sharing of atoms forming a crystal lattice in
the welding spot.
According to International Implant Company, the Verona company behind
the concept, this rigid fixation
reduces the mechanical stress exerted on each implant and prevents
the risk of micromovements in relation to surrounding bone which
has a significant impact on the periimplant tissue response during immediate implant loading.
Owing to this immobility of the
implant, treatment time for immediate temporisation at stage one
surgery and costs can be reduced
while resistance and durability of
the prosthetic frame work can be
improved, the company said.

applies mechanical pressure and
an electrical current simultaneous
up to the core fusion. Visual and
acoustic signals are indicating when
the welding process is performed
and concluded.
The device offers a user-friendly
LCD-TFT touchscreen display and
customisable settings for the welding power. The fusion clamp is autoclavable.

INTERNATIONAL IMPLANT
COMPANY, ITALY
A.B. DENTAL DEVICES LTD.

The fusion is achieved through
the use of the I.O.W. device which

The fastest way to measure
dental implants directly in the
shop-floor.

www.intraoralwelding.com

Hall 4.1 Booth C090

US COMPANY BEUTLICH PITCHES AT IDS

MTL X5 can measure:
20 - Diameter
21 - Diameter
22 - Diameter
23 - Radius
24 - Radius

25 - Angle

Geometric measurements:
- Symmetries
- Parallelisms
- Perpendicularities
Nut measurements:
- Keys
- Asymmetries
- Angular timing between faces
Shape and rotation measurements:
- Rotation diameters
- Angular timing between cams,
holes and keys
- Circularity
- Coaxiality
- Run-out
- Cylindricity

Static measurements:
- Diameters
- Lengths
- Angles
- Radius
- Distances and angles
between points and straight
lines
- Average sphere diameter
Thread measurements:
- Diameter: nominal, minor,
pitch
- Crest angles
- Pitch
- Roller quota
- Thread length

26 - Angle
27 - Angle
28 - Angle
29 - Angle
30 - Angle

31 - Length
33 - Length

34 - Length
35 - Length

36 - Length
37 - Length

38 - Length

Name

20 - Diameter
21 - Diameter
22 - Diameter
23 - Radius
24 - Radius
25 - Angle
26 - Angle
27 - Angle
28 - Angle
29 - Angle
30 - Angle
31 - Length
33 - Length
34 - Length
35 - Length
36 - Length

30``

Hall 02.2
Booth C011

Since HurriCaine was introduced
into the medical and dental markets
over 40 years ago, dentists and medical professionals around the world
have built better practices by easing
their patients’ pain, according to the
manufacturer Beutlich Pharmaceuticals. The company also states that
its topical anaesthetic containing
20% Benzocaine was the first of its
kind, and remains the highest quality choice in the dental and medical
marketplaces.
Beutlich’s latest addition to its
top product line is HurriCaine ONE,
a non-aerosol unit dose topical anaesthetic spray that is said to virtually
eliminate adverse events resulting
from preventable medication errors.

supposed to address challenges
in oral and medical health care, such
as the HurriSeal dentin desensitizer,
HurriView and HurriView II plaque
disclosing Snap-n-Go Swabs, Beutlich
pH paper, HurriPAK periodontal
anaesthetic starter kit, as well as
CEO-TWO laxative suppositories and
Peridin-C vitamin supplements.
Beutlich Pharmaceuticals has
launched a high number of effective
dental and medical products for
pain management and preventative
care since 1954. The products of the
family-owned business are distributed in North American markets and
around the globe. They will be also
on display at this year’s International
Dental Show in Cologne.
BEUTLICH, USA

www.vici.it

The company now offers additional premium products that are

www.beutlich.com

Hall 4.2 Booth L076


[45] => TDIDS0013_01_Titel
Official provider of the

smile

Nature finally
recreated!
Reflectys, the true shine
of natural teeth

REFLECTYS

New anterior and posterior nanohybrid
light-cured composite material

Q True mimesis
Q Exceptional aesthetic quality after polishing
Q Remarkable mechanical resistance
Q Easy handling of the material,

does not stick to instruments or gloves
Q 16 shades available, in capsules, syringe and Flow

Hall 11.2
Stand R58

French Laboratory - www.itena-clinical.com

SG_ITENA_PUB_REFLECTYS_MISS_280X400_UK_0113Bis_BAT.indd 1

04/02/13 16:55


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[47] => TDIDS0013_01_Titel
TDIDS0013_47_Info 19.02.13 12:16 Seite 1

service

Show Preview IDS Cologne 2013

47

Useful information
and travel tips
Organisers
Gesellschaft zur Förderung der
Dental-Industrie, the commercial enterprise of the Association of German
Dental Manufacturers (VDDI)

Koelnmesse
Exhibition opening hours
8 Daily from 9:00 to 18:00

Admission online

8 1-day ticket: €13.00
8 2-day ticket: €17.00
8 Season ticket: €21.00
8 1-day ticket for students/special
ticket for children accompanied by
adults: €7.50

Admission on site

8 1-day ticket: €16.00
8 2-day ticket: €20.50
8 Season ticket: €26.00
8 1-day ticket for students/special
ticket for children accompanied by
adults: €8.50

IDS app
With an offline search, interactive
hall plan, personal checklist and other
interesting information regarding IDS
2013, the IDS app allows visitors to
plan their trip at any time and from
anywhere, according to Koelnmesse.
Other services include a product database, information about the fairground, as well as integrated access
to Business Matchmaking 365, a service that aims to bring visitors and
exhibitors together even before the
show. The app is free and can be downloaded from the iTunes Store and
Google Play.

Press and media
Free copies of the today international daily show newspaper will be
distributed on site and provide visitors
with the latest from IDS 2013, new
products and things to do in Cologne.
Daily news updates, photographs and
videos in English will also be available
online at www.dental-tribune.com.

Passport and Visa
Owing to the Schengen regulations, nationals from a country of the
European Union do not require a visa
to enter the Federal Republic of Germany. All other foreigners require a
visa for stays in the country. A visa
is not required for semi-annual visits
of up to 90 days for nationals of those
countries for which the European
Union has abolished the visa requirement. A current list is available on the
website of the Federal Foreign Office
at www.auswaertiges-amt.de/EN.

How to get to Cologne
Cologne/Bonn airport is served by
most European and international airlines. With more than ten million passengers per year, it currently ranks
number six in a nationwide comparison of passenger statistics. As official airline of IDS 2013, Lufthansa is
offering visitors reduced rates for
flights from over 250 cities in around
100 countries to the airports in Cologne, Düsseldorf and Frankfurt/Main
between 5 and 23 March 2013. In
order to make use of the discount,
users must visit www.lufthansa.com/
meetingsandevents and enter the code
“DEZZYL”.
Visitors planning to travel by train
can take advantage of the discounted fares offered by Deutsche Bahn
(www.bahn.com/i/view/).

Airport transfer
Reaching Cologne by taxi (stand
located at Terminal 2) costs between
€25 and 30. A less-expensive alternative is the urban train (S-Bahn), which
departs regularly from the IntercityExpress railway station in Terminal 1.
With their IDS ticket, exhibitors and
visitors can use buses, trams and
urban trains on the local public transportation network of the Rhine-Sieg
Transport Authority (VRS), including

About the Publisher
Editorial/
Administrative Office

ARGE IDS today GbR
Dental Tribune International GmbH
OEMUS MEDIA AG
Holbeinstraße 29
04229 Leipzig
Germany
Phone
+49 341 48474-302
Fax
+49 341 48474-173
German ePaper-Issue
www.zwp-online.info
International ePaper-Issue www.dental-tribune.com
Publisher
Torsten Oemus
Rep. DTI GmbH
Torsten Oemus
Rep. Oemus Media AG
Ingolf Döbbecke, Jürgen Isbaner,
Lutz Hiller

Managing Editor
Production Executive
Production
today Sonderausgabe

Daniel Zimmermann (V.i.S.d.P.)
Gernot Meyer
Franziska Dachsel
PvSt. 50129

today IDS show preview will appear in advance of the 35th
International Dental Show in Cologne, 12–16 March 2013.
The magazine and all articles and illustrations therein are protected by copyright. Any utilisation without prior consent from
the editor or publisher is inadmissible and liable to prosecution.
No responsibility shall be assumed for information published
about associations, companies and commercial markets. General terms and conditions apply, legal venue is Leipzig, Germany.

the transfer between the Koelnmesse
fairground and the airport free of
charge.

Banking and currency
As a member of the European
Union, Germany uses the euro as legal
tender. The exchange rate is about
€0.74 to the US dollar (as at 10 February 2013). Credit card usage is still

low compared with other European
countries and limited to larger department stores, hotels, restaurants and
petrol stations. Maestro cards, however, are accepted almost everywhere,
with a few exceptions, like newspaper
stands, bakeries and fast-food restaurants, which only accept cash. Banks
are open from 8.30 to 16.30 on weekdays.

fered by most insurance companies,
is highly recommended.

Medical insurance

Links

Although the German health-care
system has declined slightly recently,
the country still has a high standard
of medical care. Emergency treatment,
however, can be costly and therefore
travel health insurance, which is of-

Weather
While average temperatures in Cologne range from 11 to 2°C (51–35°F),
the weather in March can be very unpredictable. As spring starts on 20 March
this year, warm clothes and rain gear are
necessary when visiting the city.
8 www.germany.travel/en
8 www.lonelyplanet.com/germany
8 wikitravel.org/en/Germany
8 www.cologne-tourism.com
8 www.nytimes.com/2012/04/01/travel/
36-hours-cologne-germany.html 7
AD


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