ON ADVANCED GENERAL DENTISTRY

ISS

UE

6 /

201

4

AsiA EditionPublishEd sincE 2005

2nd AsiAn symposium

on AdvAnced GenerAl

dentistry

diGitAl procedures for prActice mAnAGement And treAtment

THE NEW LUTING FAMILY

Solutions for every challenge

SoloCem reliable cementation in one step – no separate bonding required.

DuoCem Strong and durable cementing due to proven ParaBond adhesive. At the same

time, the 5ml Automix syringe offers convenient application.

ParaCore 3 indications - 1 material. Core build-up material suited for cementing root posts and indirect restorations.

No matter which technique you prefer, the matching product is available for every indication.

www.coltene.com/contact

0017

33

As part of our Training & Education services for dental professionals, Dental Practice News (DPN) will organize seminars, workshops and courses for continuing dental education in the region. Among the key countries where the training programs will be conducted are in Singapore, Malaysia, Indonesia and Philippines. The dental training programs and courses include Esthetic & Restorative Dentistry, Implant Dentistry, CAD/CAM-Digital Dentistry and Practice Management. Participants will learn from experienced multi-disciplinary team of specialists involved in conducting such training programs and courses. Take the Implant Dentistry course, for example. A prosthodontist, a periodontist and an oral surgeon make up the team for the Implant Dentistry course. Training under a team of specialists will allow participants to learn the unique strengths of each specialty. A prosthodontist can teach many aspect of restoring implant prosthesis; a periodontist can impart the skills in management of soft tissue around implants; and an oral surgeon can discuss techniques of bone grafting in great detail. For the Implant Dentistry training program, the course aims to train participants in the basic surgical and prosthodontic skills of implant dentistry. In addition, the course emphasizes strongly on the advanced surgical and prosthodontic skills required for esthetic implant restorations. The upcoming dental training programs and courses will be updated regularly on our Facebook page: The Leading Dentist (www.facebook.com/TheLeadingDentist). To join our DPN Study Club and receive updates on dental seminars and courses, please email to: [email protected]

For more info, visit our website: http://dentalnetwork.sharepoint.com

DPN Study Club

THE NEW LUTING FAMILY

Solutions for every challenge

SoloCem reliable cementation in one step – no separate bonding required.

DuoCem Strong and durable cementing due to proven ParaBond adhesive. At the same

time, the 5ml Automix syringe offers convenient application.

ParaCore 3 indications - 1 material. Core build-up material suited for cementing root posts and indirect restorations.

No matter which technique you prefer, the matching product is available for every indication.

www.coltene.com/contact

0017

33

As part of our Training & Education services for dental professionals, Dental Practice News (DPN) will organize seminars, workshops and courses for continuing dental education in the region. Among the key countries where the training programs will be conducted are in Singapore, Malaysia, Indonesia and Philippines. The dental training programs and courses include Esthetic & Restorative Dentistry, Implant Dentistry, CAD/CAM-Digital Dentistry and Practice Management. Participants will learn from experienced multi-disciplinary team of specialists involved in conducting such training programs and courses. Take the Implant Dentistry course, for example. A prosthodontist, a periodontist and an oral surgeon make up the team for the Implant Dentistry course. Training under a team of specialists will allow participants to learn the unique strengths of each specialty. A prosthodontist can teach many aspect of restoring implant prosthesis; a periodontist can impart the skills in management of soft tissue around implants; and an oral surgeon can discuss techniques of bone grafting in great detail. For the Implant Dentistry training program, the course aims to train participants in the basic surgical and prosthodontic skills of implant dentistry. In addition, the course emphasizes strongly on the advanced surgical and prosthodontic skills required for esthetic implant restorations. The upcoming dental training programs and courses will be updated regularly on our Facebook page: The Leading Dentist (www.facebook.com/TheLeadingDentist). To join our DPN Study Club and receive updates on dental seminars and courses, please email to: [email protected]

For more info, visit our website: http://dentalnetwork.sharepoint.com

DPN Study Club

Product focus/shoWcase 8-12, 22-23• gC Fuji VII• Dentcoat• Variolink esthetic• SRNexcoFlask• Uveneer• EverXPosterior• IPs Inline Metal-Ceramic system• ZenostarSystem

neWs & trends 16-21• CdC data shows early Childhood Caries Trending down• BDAAwardWinners• Roland dg opens Victorian Creative Centre• voclarVivadentReachesSettlementAgreementwith

dentsply• BdA to support the dental Profession in Tackling

Antimicrobial Resistance• 3ShapeTRIOSWins‘BestofClass’TechnologyAward• straumann and Patterson dental Team Up for Implant

Placement in general Practice• SironaCelebrates100,000FacebookFans

features24 Romans Had less gum disease Than Modern Britons26 digital Procedures for Practice Management and

Treatment30 Tried and Tested Prosthetic Material34 FdI launches online data Hub36 2nd Asian symposium on Advanced general dentistry

Cover photo: courtesy of international

dental show (ids)

IssUe 6/2014 (no.45)

Contents

dePartMents6 edIToRIAl32 dPn sTATs38 dPn neTWoRK40 ClInICAl ABsTRACT42 PATIenT edUCATIon44 denTAl eVenTs

22

23

Publisher/editorial director

Razak Ahmad

clinical editorial advisers

IndonesIA

Prof Tri erri Astoeti

MAlAysIA

dr Firdaus Hanapiah, dr How Kim Chuan

sIngAPoRe

dr Wong Keng Mun, dr Ronnie yap, dr Ang Chee Wan

Hong Kong/CHInA

dr James Chow

creative director

Keris Wee

dental Practice news is published by

dPn communications Pte ltd.

Mailing address: 42B Horne Road, singapore 209066

Tel: +65 8189 4218 Fax: +65 6789 9615

email: [email protected]

Malaysia office:

no. 22, Jln Rebana, Kebun Teh, 80250 Johor Bahru,

Malaysia

contact

advertising and sponsorship:

Razak Ahmad

[email protected]

editorial & Product info:

[email protected]

rePresentatives

indonesia:

denTAMedIA

Tel: +6222 7036 8336

Fax: +6222 2502 807


www.dentalnetasia.com

26

missiondPn is committed to fostering

better communication among

dental professionals and

providing a vital link between the

dental profession and industry

in Asia.

Articles published express the

viewpoints of the authors and do

not necessarily reflect the views

of the editors and publisher of

the publication.

All rights reserved. The contents of this

publication may not be reproduced either

in part or full without the consent of the

copyright owners.

Printed in singapore by

Image Printers Pte ltd

Issn: 1793-7701

find us on facebook page:

the leading dentist

www.facebook.com/Theleadingdentist

10

Product focus/shoWcase 8-12, 22-23• gC Fuji VII• Dentcoat• Variolink esthetic• SRNexcoFlask• Uveneer• EverXPosterior• IPs Inline Metal-Ceramic system• ZenostarSystem

neWs & trends 16-21• CdC data shows early Childhood Caries Trending down• BDAAwardWinners• Roland dg opens Victorian Creative Centre• voclarVivadentReachesSettlementAgreementwith

dentsply• BdA to support the dental Profession in Tackling

Antimicrobial Resistance• 3ShapeTRIOSWins‘BestofClass’TechnologyAward• straumann and Patterson dental Team Up for Implant

Placement in general Practice• SironaCelebrates100,000FacebookFans

features24 Romans Had less gum disease Than Modern Britons26 digital Procedures for Practice Management and

Treatment30 Tried and Tested Prosthetic Material34 FdI launches online data Hub36 2nd Asian symposium on Advanced general dentistry

Cover photo: courtesy of international

dental show (ids)

IssUe 6/2014 (no.45)

Contents

dePartMents6 edIToRIAl32 dPn sTATs38 dPn neTWoRK40 ClInICAl ABsTRACT42 PATIenT edUCATIon44 denTAl eVenTs

22

23

Publisher/editorial director

Razak Ahmad

clinical editorial advisers

IndonesIA

Prof Tri erri Astoeti

MAlAysIA

dr Firdaus Hanapiah, dr How Kim Chuan

sIngAPoRe

dr Wong Keng Mun, dr Ronnie yap, dr Ang Chee Wan

Hong Kong/CHInA

dr James Chow

creative director

Keris Wee

dental Practice news is published by

dPn communications Pte ltd.

Mailing address: 42B Horne Road, singapore 209066

Tel: +65 8189 4218 Fax: +65 6789 9615


Malaysia office:

no. 22, Jln Rebana, Kebun Teh, 80250 Johor Bahru,

Malaysia

contact

advertising and sponsorship:

Razak Ahmad

[email protected]

editorial & Product info:

[email protected]

rePresentatives

indonesia:

denTAMedIA

Tel: +6222 7036 8336

Fax: +6222 2502 807



26

missiondPn is committed to fostering

better communication among

dental professionals and

providing a vital link between the

dental profession and industry

in Asia.

Articles published express the

viewpoints of the authors and do

not necessarily reflect the views

of the editors and publisher of

the publication.

All rights reserved. The contents of this

publication may not be reproduced either

in part or full without the consent of the

copyright owners.

Printed in singapore by

Image Printers Pte ltd

Issn: 1793-7701

find us on facebook page:

the leading dentist

www.facebook.com/Theleadingdentist

10

DPN45

news&trends 4A d v e r t o r i A l

thanks to the strong support from dental professionals in the region, the leading dentist is now Asia’s biggest dental community on online social media platform. the leading dentist is a community page for dental professionals in Asia with over 70,000 users who follow the

The Leading denTisTAsia’s biggest dental community page

page on Facebook. the online page provides updates on trends and developments in global dentistry, as well as information on continuing dental education including dental courses and seminars. the page has been developed by dental Practice News (dPN) magazine since November 2010 as part of its efforts to create an online community of dental professionals with a focus on the fast-growing Asian markets. the leading dentist mission: to build a leading online community for dental practitioners and professionals in Asia.

To join The Leading Dentist community, visit the page:

https://www.facebook.com/TheLeadingDentist

DPN45

news&trends 4A d v e r t o r i A l

thanks to the strong support from dental professionals in the region, the leading dentist is now Asia’s biggest dental community on online social media platform. the leading dentist is a community page for dental professionals in Asia with over 70,000 users who follow the

The Leading denTisTAsia’s biggest dental community page

page on Facebook. the online page provides updates on trends and developments in global dentistry, as well as information on continuing dental education including dental courses and seminars. the page has been developed by dental Practice News (dPN) magazine since November 2010 as part of its efforts to create an online community of dental professionals with a focus on the fast-growing Asian markets. the leading dentist mission: to build a leading online community for dental practitioners and professionals in Asia.

To join The Leading Dentist community, visit the page:

https://www.facebook.com/TheLeadingDentist

EDITORIAL 6 6

Dr Ronald Jackson to Conduct Course in SingaporeDental practitioners in the region will have something special to look forward to in their 2015 continuing education calendar – a course conducted by world-renowned American dentist and trainer Dr Ronald Jackson. Dr Jackson will be a keynote speaker at a dental symposium in Singapore from 1-3 May 2015. He will speak on a wide range of topics, including direct anterior and posterior composites and indirect restorations. DPN is proud to be involved in this world-class dental education program as a marketing representative for the event. This means that readers of DPN magazine may sign up for the dental course with DPN.

DPN45

DPN-Trisakti University Collaboration

Since its inception in 2005, Dental Practice News (DPN) magazine has documented key

developments and milestones in the dental industry in the region. One such milestone is the memorandum of understanding (MOU) between DPN magazine and the Faculty of Dentistry, Trisakti University, Indonesia. The MOU is to collaborate on dental publications and continuing education programs for dental professionals in Indonesia. Trisakti University was established in the capital city of Jakarta in 1965. Its Faculty of Dentistry is a leading dental institution in Indonesia with over 5,000-strong network of member dentists. DPN has been building a regional network with dental professionals in Indonesia for many years now. The MOU is the culmination of such strong network and cooperation between DPN and the dental profession in Indonesia. Indonesia is a key market in the regional dental industry. And with the leadership of a strong dental network such as the dental faculty of Trisakti University, we remain positive that the dental profession and industry will continue to develop in Indonesia.

3Shape TRIOS Wins Technology AwardDPN would like to congratulate 3Shape for winning the 2014 “Best of Class” Technology Award by the Pride Institute. This award is presented annually to products that deliver “Best of Class” value to dentists and the dental industry. 3Shape TRIOS is a highly-rated intraoral scanner and digital impression solution for dentists. According to 3Shape, it has worked closely with dentists and orthodontists to develop the digital impression solution since its launch in 2011. The “Best of Class” Technology Award is a highly competitive category and 3Shape TRIOS has impressed the panel with features such as shade measurement and HD image taking. The product is acknowledged as the most innovative in the intraoral scanner product category.


A strong bond provides confidence and support

• Powerful luting materials

• Tried-and-tested product combinations

• A wide collection for different demands:

ESTHETICS | UNIVERSALITY | SIMPLICITY

Variolink® N | Multilink® N | Multilink® Speed

Luting materials from Ivoclar Vivadent

N-Cement Collection

www.ivoclarvivadent.comIvoclar Vivadent AGBendererstr. 2 | FL-9494 Schaan | Liechtenstein | Tel.: +423 / 235 35 35 | Fax: +423 / 235 33 60

Ivoclar Vivadent Pte. Ltd.171 Chin Swee Road | #02-01 San Centre | Singapore 169877 | Tel. +65 6535 6775 | Fax +65 6535 4991

N-Cement Collection_INS_e-Sing_210x275.indd 1 24.06.13 12:39

EDITORIAL 6 6

Dr Ronald Jackson to Conduct Course in SingaporeDental practitioners in the region will have something special to look forward to in their 2015 continuing education calendar – a course conducted by world-renowned American dentist and trainer Dr Ronald Jackson. Dr Jackson will be a keynote speaker at a dental symposium in Singapore from 1-3 May 2015. He will speak on a wide range of topics, including direct anterior and posterior composites and indirect restorations. DPN is proud to be involved in this world-class dental education program as a marketing representative for the event. This means that readers of DPN magazine may sign up for the dental course with DPN.

DPN45

DPN-Trisakti University Collaboration

Since its inception in 2005, Dental Practice News (DPN) magazine has documented key

developments and milestones in the dental industry in the region. One such milestone is the memorandum of understanding (MOU) between DPN magazine and the Faculty of Dentistry, Trisakti University, Indonesia. The MOU is to collaborate on dental publications and continuing education programs for dental professionals in Indonesia. Trisakti University was established in the capital city of Jakarta in 1965. Its Faculty of Dentistry is a leading dental institution in Indonesia with over 5,000-strong network of member dentists. DPN has been building a regional network with dental professionals in Indonesia for many years now. The MOU is the culmination of such strong network and cooperation between DPN and the dental profession in Indonesia. Indonesia is a key market in the regional dental industry. And with the leadership of a strong dental network such as the dental faculty of Trisakti University, we remain positive that the dental profession and industry will continue to develop in Indonesia.

3Shape TRIOS Wins Technology AwardDPN would like to congratulate 3Shape for winning the 2014 “Best of Class” Technology Award by the Pride Institute. This award is presented annually to products that deliver “Best of Class” value to dentists and the dental industry. 3Shape TRIOS is a highly-rated intraoral scanner and digital impression solution for dentists. According to 3Shape, it has worked closely with dentists and orthodontists to develop the digital impression solution since its launch in 2011. The “Best of Class” Technology Award is a highly competitive category and 3Shape TRIOS has impressed the panel with features such as shade measurement and HD image taking. The product is acknowledged as the most innovative in the intraoral scanner product category.


A strong bond provides confidence and support

• Powerful luting materials

• Tried-and-tested product combinations

• A wide collection for different demands:

ESTHETICS | UNIVERSALITY | SIMPLICITY

Variolink® N | Multilink® N | Multilink® Speed

Luting materials from Ivoclar Vivadent

N-Cement Collection



N-Cement Collection_INS_e-Sing_210x275.indd 1 24.06.13 12:39

DPN45 productfocus 8

Gc fujiVii

Gc fuji Vii is the world’s first conventional auto-curing glass ionomer material that contains no resin yet is capable of accelerated setting by light curing. this command set feature gives the users a choice of setting reaction. With 6 times the fluoride release of high strength glass ionomers and antibacterial properties, it offers greater protection to surrounding tooth surfaces, according to Gc Asia dental. created as a versatile material, fuji Vii can be used for the following indications:

• occlusal surface protection of erupting molars • fissure protection • root surface protection • Hypersensitivity prevention and control • caries stabilization and internal remineralization of active lesions • intermediate endodontic sealing • temporary restorative • restoration of micro cavities



fuji Vii’s unique flow properties make it ideal for use in the new treatment concepts of Minimum intervention dentistry such as surface protection. surface protection is described as the application of a thin film of glass ionomer (Gic) to tooth surfaces that are at increased risk of caries or erosion. the objective of surface protection is to create a hardened tooth surface using a glass ionomer reaction to form a more acid-resistant ion exchange zone which acts as additional protection for the tooth. fissures are most at risk of developing caries due to the

increased levels of plaque retention, immaturely formed enamel and the length of time taken to achieve full eruption. Gc fuji Vii is ideal for fissure protection due to its moisture tolerance during placement and the nature of the ion exchange adhesion between glass ionomer and enamel. this creates a strong chemically fused layer that is more acid-resistant and will continue to offer protection to the occlusal surface even when it appears visually “lost” (as a result of attrition from the opposing dentition when fully erupted). fuji Vii comes in a special pink shade that is used not only to communicate the clinical status but also serves as a strong visual reminder. the pink chroma has a low shade value that provides contrast for clear identification while keeping the shade low in value for excellent blending in the oral environment.

Fuji VII is available in capsules and in powder and liquid form. www.gcasia.info

Note: CliNiCal images Courtesy of Dr HieN Ngo



Gc fujiVii

Gc fuji Vii is the world’s first conventional auto-curing glass ionomer material that contains no resin yet is capable of accelerated setting by light curing. this command set feature gives the users a choice of setting reaction. With 6 times the fluoride release of high strength glass ionomers and antibacterial properties, it offers greater protection to surrounding tooth surfaces, according to Gc Asia dental. created as a versatile material, fuji Vii can be used for the following indications:

• occlusal surface protection of erupting molars • fissure protection • root surface protection • Hypersensitivity prevention and control • caries stabilization and internal remineralization of active lesions • intermediate endodontic sealing • temporary restorative • restoration of micro cavities


DPN45

Ivoclar Vivadent has introduced a new luting composite Variolink Esthetic to the dental market. The new luting composite Variolink Esthetic is an esthetic light- and dual-curing composite material for the permanent cementation of demanding ceramic and composite restorations. The material represents the next generation of the well-established, esthetic luting composite Variolink. This new composite is characterized by its combination of exceptional esthetics and user-friendly processing. To ensure precise shade matching of the restoration with the surrounding dentition, the manufacturer has developed the “Effect” shade system. This new system includes five different shades, which enable color-neutral cementation in addition to luting with brightening or darkening of the restoration. The reactive and patented light initiator Ivocerin safeguards the material’s exceptional shade stability. The smart combination of light initiator and light sensitivity filter allows the dental professional to remove excess material with exceptional ease after successful pre-polymerization with light. Ivocerin ensures fast and reliable curing of the material during the subsequent light polymerization process. Special fillers are responsible for imparting the material with good flow

penetrate into the enamel, are deposited only superficial and can be easily wiped away.

For more info about Dentcoat in

Malaysia, contact Titleray Dental Implants:

www.tdi-ricerfarma.com

Our teeth are attacked daily by bacteria in the initial plaque. To stop this problem, Dentcoat was developed. The unique effect is based on organic SiO2 – molecules which form a three-dimensional framework structure called bio matrix. This is characterized by an enormous affinity to hydroxylapatite (tooth enamel) and ensures that the crystals are firm and stable connected to the enamel prisms, to the dentin and tooth surface.


The result is a highly effective biological barrier against outside influences. When applying the bioactive formulation thus the damaged enamel prisms are regenerated and keeping the enamel stronger with an antimicrobial effect. The fact that the Dentcoat-crystals also enter into a permanent connection with dentures and fillings, all surfaces are smoothed and gain a superficial refinement. Deposits from coffee, tea, red wine or nicotine, which previously could

Variolink Estheticproperties as well as stability. The cement is easy to extrude from the syringe. Excess material smoothly flows from the cement gap, but remains stable at the cementation joint so that it can be readily removed. In combination with Adhese Universal and Monobond Plus, Variolink Esthetic ensures clinically successful cementation of demanding restorations. Moreover, the composite can also be used with the proven adhesives Syntac and ExciTE F.

For more info: www.ivoclarvivadent.com

DEnTcOAT

PrODUcTShOWcASE 10

DPN45

Ivoclar Vivadent has introduced a new luting composite Variolink Esthetic to the dental market. The new luting composite Variolink Esthetic is an esthetic light- and dual-curing composite material for the permanent cementation of demanding ceramic and composite restorations. The material represents the next generation of the well-established, esthetic luting composite Variolink. This new composite is characterized by its combination of exceptional esthetics and user-friendly processing. To ensure precise shade matching of the restoration with the surrounding dentition, the manufacturer has developed the “Effect” shade system. This new system includes five different shades, which enable color-neutral cementation in addition to luting with brightening or darkening of the restoration. The reactive and patented light initiator Ivocerin safeguards the material’s exceptional shade stability. The smart combination of light initiator and light sensitivity filter allows the dental professional to remove excess material with exceptional ease after successful pre-polymerization with light. Ivocerin ensures fast and reliable curing of the material during the subsequent light polymerization process. Special fillers are responsible for imparting the material with good flow

penetrate into the enamel, are deposited only superficial and can be easily wiped away.

For more info about Dentcoat in

Malaysia, contact Titleray Dental Implants:

www.tdi-ricerfarma.com

Our teeth are attacked daily by bacteria in the initial plaque. To stop this problem, Dentcoat was developed. The unique effect is based on organic SiO2 – molecules which form a three-dimensional framework structure called bio matrix. This is characterized by an enormous affinity to hydroxylapatite (tooth enamel) and ensures that the crystals are firm and stable connected to the enamel prisms, to the dentin and tooth surface.


The result is a highly effective biological barrier against outside influences. When applying the bioactive formulation thus the damaged enamel prisms are regenerated and keeping the enamel stronger with an antimicrobial effect. The fact that the Dentcoat-crystals also enter into a permanent connection with dentures and fillings, all surfaces are smoothed and gain a superficial refinement. Deposits from coffee, tea, red wine or nicotine, which previously could

Variolink Estheticproperties as well as stability. The cement is easy to extrude from the syringe. Excess material smoothly flows from the cement gap, but remains stable at the cementation joint so that it can be readily removed. In combination with Adhese Universal and Monobond Plus, Variolink Esthetic ensures clinically successful cementation of demanding restorations. Moreover, the composite can also be used with the proven adhesives Syntac and ExciTE F.


DEnTcOAT

PrODUcTShOWcASE 10

A-5-28, Penthouse Suite, IOI Boulevard, Jalan Kenari 5, Bandar Puchong Jaya,47170 Puchong, Selangor D.E., MalaysiaTel: +603-8075 4644 Fax: +603-8075 0995Email: [email protected] / [email protected]: www.tdirm.com / www.dentcoat.de

Marketed By:

TITLERAY DENTAL IMPLANTS

RM(Co. Reg.598192-W)

(001185540-H)

RICERFARMA MARKETING (M) SDN BHD

DPN45 PrODUcTShOWcASE 12

SR Nexco FlASk

Uveneer is a clear template system comprising ideal tooth sizes and proportions that produce glossy, contoured direct composite veneers – just like natural teeth. Simply lay the selected composite on the tooth, press the Uveneer template onto the bonded, roughened buckle surface, then light cure. The result will be a highly polished surface (with no oxygen inhibiting layer). This process also saves time because there is no need for polishing or carving. The Uveneer system produces predictable and reliable outcomes, with little need to rely on great

the flask also includes a separate spacer for curing

smaller restorations. The spacer reduces material consumption to a minimum. Positioning pegs keep the top part of the flask in place. The notches on the sides allow the top and

bottom parts to be easily separated. The openings for the

injection of Transil F clear silicone are designed to accommodate the product’s mixing tips. This renders the silicone easy to handle and use in conjunction with Sr nexco Flask. Due to its excellent flow properties, Transil F completely encases the invested framework. The new flask is an extension of the existing Sr nexco product system. It is ideally matched to the Sr nexco materials.


Uveneer

dexterity or artistic ability, and its templates are autoclavable. By combining improved composite materials with an innovative and unique delivery technique dentists can now create goals that were not possible before, resulting in conservative and functional restorations with excellent longevity and esthetic. Other uses for the system include patient mock-ups (a great marketing tool), all cases of class V restorations, and indirect veneer applications, including temporaries for porcelain.

For more info: www.uveneer.com

Sr nexco Flask is a new type of flask with the help of which light-curing veneering composites can be pressed on dental frameworks. In order to effectively address the practical challenges of functionality, ergonomics and design, the flask has been developed in close cooperation with industry professionals. The new flask offers the following important benefits: It allows composite materials to be efficiently and quickly pressed to dental restorations, including long-span bridges. The results are highly accurate, showing hardly any difference between the final restoration and the wax-up. Moreover, the flask is exceptionally versatile, due to the many special details incorporated into it, which allow it to be individually adjusted to the specific indication and the framework situation. Sr nexco Flask is equipped with large, easy-grip screws. Unlike in most other devices of this kind, these screws are not permanently fixed. They can be inserted without any guides and therefore improve flask handling. The top part of the flask is transparent and allows light to pass through it. As a result, the light-curing composite is evenly polymerized from all sides. Apart from an additional base plate, which enables height adjustments to be made depending on the dimensions of the restoration involved,


DPN45 PrODUcTShOWcASE 12

SR Nexco FlASk

Uveneer is a clear template system comprising ideal tooth sizes and proportions that produce glossy, contoured direct composite veneers – just like natural teeth. Simply lay the selected composite on the tooth, press the Uveneer template onto the bonded, roughened buckle surface, then light cure. The result will be a highly polished surface (with no oxygen inhibiting layer). This process also saves time because there is no need for polishing or carving. The Uveneer system produces predictable and reliable outcomes, with little need to rely on great

the flask also includes a separate spacer for curing

smaller restorations. The spacer reduces material consumption to a minimum. Positioning pegs keep the top part of the flask in place. The notches on the sides allow the top and

bottom parts to be easily separated. The openings for the

injection of Transil F clear silicone are designed to accommodate the product’s mixing tips. This renders the silicone easy to handle and use in conjunction with Sr nexco Flask. Due to its excellent flow properties, Transil F completely encases the invested framework. The new flask is an extension of the existing Sr nexco product system. It is ideally matched to the Sr nexco materials.


Uveneer

dexterity or artistic ability, and its templates are autoclavable. By combining improved composite materials with an innovative and unique delivery technique dentists can now create goals that were not possible before, resulting in conservative and functional restorations with excellent longevity and esthetic. Other uses for the system include patient mock-ups (a great marketing tool), all cases of class V restorations, and indirect veneer applications, including temporaries for porcelain.

For more info: www.uveneer.com

Sr nexco Flask is a new type of flask with the help of which light-curing veneering composites can be pressed on dental frameworks. In order to effectively address the practical challenges of functionality, ergonomics and design, the flask has been developed in close cooperation with industry professionals. The new flask offers the following important benefits: It allows composite materials to be efficiently and quickly pressed to dental restorations, including long-span bridges. The results are highly accurate, showing hardly any difference between the final restoration and the wax-up. Moreover, the flask is exceptionally versatile, due to the many special details incorporated into it, which allow it to be individually adjusted to the specific indication and the framework situation. Sr nexco Flask is equipped with large, easy-grip screws. Unlike in most other devices of this kind, these screws are not permanently fixed. They can be inserted without any guides and therefore improve flask handling. The top part of the flask is transparent and allows light to pass through it. As a result, the light-curing composite is evenly polymerized from all sides. Apart from an additional base plate, which enables height adjustments to be made depending on the dimensions of the restoration involved,


DPN45 DPNLaunchpad 14

DeNtaL Network asia has LauNcheD DeNtaL ProfessioNaL Directory with over 300 ListiNgs of DeNtaL semiNars, courses aND suPPLiers. DeNtaL ProfessioNaLs may easiLy joiN the oNLiNe Network aND aDD their comPaNy or DeNtaL semiNars aND courses to the Directory via the aDD ListiNg buttoN.

Dental network asia launches

Dental Professional

Directory

www.dentalnetasia.com www.dentalnetasia.com

DPN45 DPNLaunchpad 15

DPN communications Pte Ltd, publisher of Dental Practice News (DPN) magazine since 2005, has launched Dental Network asia website (www.dentalnetasia.com) that features an online Dental Professional Directory. Dental Network asia is an online network for dental professionals developed by Dental Practice News (DPN) magazine. the network currently connects to over 50,000 online users from around the asia-Pacific region. this network is the result of over 10 years of presence in the dental industry in asia. the Dental Network asia website provides a search function with a comprehensive database of dental seminars and courses as well as dental suppliers and manufacturers. in addition, the website documents extensive information on current dental products for use in the dental practice and labs. Professionals from the dental profession and trade may easily join the online network and add their company or dental seminars and courses to the website directory via the add Listing button.

the key digital media products under Dental Network asia include:

• Dental Professional Directory • Dental Practice News (DPN) e-edition • The Leading Dentist website

established in 2005, Dental Practice News (DPN) is an international publication for dental practitioners and professionals in asia. our readers include dentists, hygienists, technicians as well as members of dental associations and organizations from around the region. the dental publication is also distributed at dental meetings including major conferences and exhibitions in the region. DPN has created a significant impact in the regional dental industry with its authoritative editorial content and excellent magazine presentation. DPN is highly regarded in the region for being an informative publication. the publication covers the latest developments in global dentistry, and offers both print and online advertising and communication solutions that specifically target the asian markets. the Leading Dentist website is another key digital media platform under Dental Network asia with currently over 70,000 users on facebook. Dental Network asia is owned and managed by DPN communications Pte Ltd, singapore (business registration: 200501691e).

keywords: dental http://dentalnetasia.com dental directoryhttp://dentalnetasia.com/directorydental seminars http://dentalnetasia.com/category/dentalseminar

ContaCt Info name razak ahmadorganization DPN communications Pte LtdPhone+65-81894218Email [email protected] http://dentalnetasia.com


DPN45

news&trends 16

TRENDING

Preliminary data presented at the “Innovations in the Prevention and Treatment of Early Childhood Caries” last October shows a downward trend in early childhood caries (cavities) in the United States and indicates progress in ensuring that kids are getting needed dental treatment, according to the American Dental Association (ADA). “This preliminary analysis may indicate a promising trend. We are encouraged that it shows far less untreated tooth decay in children, with dentists providing needed treatment,” says ADA president Dr Maxine Feinberg. “Dental Medicaid visits have been increasing and more kids are seeing the dentist. Now, we must stay the course, building on that momentum to continue making an impact for children, and expand efforts to prevent dental disease before it starts.” Preliminary unpublished data shared by Centers for Disease Control’s Dr Bruce Dye suggests a decade-long trend of increased

treatment of caries (cavities) in preschool children, suggesting a clear shift in untreated dental disease in the US among 2- to 5-year olds toward more restored dental surfaces for all 20 primary teeth. The analysis is based on a review of 2011-2012 National Health and Nutrition Examination Survey (NHANES) longitudinal health data from the CDC and a representative sample of the US population. It was presented in advance of expected CDC publication of the full range of data covering 2011 through 2014 next year and should be viewed as a preliminary analysis. Continuing to align and promote efforts that contribute to reducing untreated dental disease is critical. Through the ADA’s Action for Dental Health, dentists across the country are delivering dental health education and disease prevention to communities, fighting for increased dental health protections under Medicaid and providing care

now to people suffering from untreated dental disease. For example, according to research from ADA’s Health Policy Institute, from 2000 to 2010 dental care utilization among low-income children increased in 47 states and the continued expansion was primarily due to Medicaid and State Children’s Health Insurance Programs (SCHIP), which mandate dental benefits for children. Also, ADA’s Community Dental Health Coordinators (CDHCs) are helping people connect to dental public health resources in their communities and dentists who can provide needed treatment. “Dental access, prevention and care initiatives are making a positive difference in dental health for patients and the ADA is committed to continuing to support and promote increased alignment of efforts and partnering to better fuel the momentum,” Dr Feinberg said.

CDC DATA SHOWS

Early Childhood Caries Trending Down


DPN45

news&trends 16

TRENDING

Preliminary data presented at the “Innovations in the Prevention and Treatment of Early Childhood Caries” last October shows a downward trend in early childhood caries (cavities) in the United States and indicates progress in ensuring that kids are getting needed dental treatment, according to the American Dental Association (ADA). “This preliminary analysis may indicate a promising trend. We are encouraged that it shows far less untreated tooth decay in children, with dentists providing needed treatment,” says ADA president Dr Maxine Feinberg. “Dental Medicaid visits have been increasing and more kids are seeing the dentist. Now, we must stay the course, building on that momentum to continue making an impact for children, and expand efforts to prevent dental disease before it starts.” Preliminary unpublished data shared by Centers for Disease Control’s Dr Bruce Dye suggests a decade-long trend of increased

treatment of caries (cavities) in preschool children, suggesting a clear shift in untreated dental disease in the US among 2- to 5-year olds toward more restored dental surfaces for all 20 primary teeth. The analysis is based on a review of 2011-2012 National Health and Nutrition Examination Survey (NHANES) longitudinal health data from the CDC and a representative sample of the US population. It was presented in advance of expected CDC publication of the full range of data covering 2011 through 2014 next year and should be viewed as a preliminary analysis. Continuing to align and promote efforts that contribute to reducing untreated dental disease is critical. Through the ADA’s Action for Dental Health, dentists across the country are delivering dental health education and disease prevention to communities, fighting for increased dental health protections under Medicaid and providing care

now to people suffering from untreated dental disease. For example, according to research from ADA’s Health Policy Institute, from 2000 to 2010 dental care utilization among low-income children increased in 47 states and the continued expansion was primarily due to Medicaid and State Children’s Health Insurance Programs (SCHIP), which mandate dental benefits for children. Also, ADA’s Community Dental Health Coordinators (CDHCs) are helping people connect to dental public health resources in their communities and dentists who can provide needed treatment. “Dental access, prevention and care initiatives are making a positive difference in dental health for patients and the ADA is committed to continuing to support and promote increased alignment of efforts and partnering to better fuel the momentum,” Dr Feinberg said.

CDC DATA SHOWS

Early Childhood Caries Trending Down


DPN45

news&trends 17

The British Dental Association (BDA) has announced the seven individuals who are being honored for their services to the profession in 2014 BDA Honors and Awards. Life Membership of the Association, which recognizes long and valuable service to the Association, is being conferred on two individuals Dr Sarah May and Dr Marcus Woof. Now retired former General Dental Practitioner Dr Sarah May is a passionate advocate for children’s oral health and was involved in designing the Leicester Child Oral Health Improvement Program. Throughout her career Dr May has been an active member of the BDA, holding a variety of positions at a local level including Chairman and President. She also served on the BDA’s national General Dental Practice Committee for nine years. With many years’ experience working at a senior level in the community dental service in the West Midlands Dr Marcus Woof has been a member of the BDA since 1981. He has held positions at branch and section level as well as on the BDA’s national Community Dental Services Group. Dr Woof played a key role in gaining recognition for the speciality of Special Care Dentistry. He also worked to gain recognition for Community Dentistry within the Royal College of Surgeons and was involved in developing their Diploma in the subject. The Certificate of Merit for Services to the Dental Profession is being awarded to Mr Geoffrey Wood, a Consultant Oral and Maxillofacial Surgeon who has worked in clinical oral surgery for over 40 years. Four individuals are being awarded the Certificate of Merit for Services to the Association:

• Dr Barry Arrends, a dentist with experience in both military dentistry and general practice who has held positions at branch and section level including Branch Council President.

• Dr John Buchan, a former branch president with experience in both hospital dentistry and general practice.

• Dr Terry Gilmore, a general dental practitioner and implantology expert who has also been active in his local branch and held the position of branch president.

• Dr Martin Wardle, who has worked in hospital dentistry and general dental practice and held a number of positions with his local branch and section, including branch president.

This year’s winners will officially be presented with their honor or award at a special event at the British Dental Conference and Exhibition, which takes place from 7-9 May 2015 in Manchester.

BDA AWARDWINNERS

Roland DG Australia has opened their new facilities in Mulgrave Victoria. The Victorian Creative Centre features a full range of Roland’s wide format printing technology, engraving and 3D equipment, plus the latest dental milling machines all set up for live demonstrations and product training. An array of creative applications are also on display, aimed at providing inspiration and showcasing the full potential of what can be achieved with the Roland machinery. In addition, the new facility has a training room equipped for interactive training sessions and seminars such as Roland Academy. President and director of Roland DG Australia John Wall commented, “We are excited to open the new Victorian facilities as we seek to continue delivering industry leading customer service. This new facility is a great resource for customers and partners to help grow their businesses and explore the latest Roland technology and solutions.”

ROLAND DG OPENS VICTORIAN CREATIVE CENTRE


DPN45

news&trends 18

Ivoclar Vivadent has announced that it has reached an agreement with Dentsply to settle a patent dispute, under which Ivoclar Vivadent will dismiss any pending lawsuits against Dentsply in exchange for Dentsply executing a global patent license and settlement agreement with Ivoclar Vivadent. Ivoclar Vivadent says it considers its technology very valuable and will actively enforce its intellectual property rights against unauthorized use of its technology, particularly any patents it owns that cover lithium silicate technology and dental ceramics. Since October 2013, Ivoclar Vivadent has been engaged in patent infringement litigation in the United States and Germany against Dentsply

International Inc, Dentsply Prosthetics U.S. LLC, and Degudent GmbH (“Dentsply”). These lawsuits filed by Ivoclar Vivadent sought to stop the sale and/or importation of certain lithium silicate dental blanks sold by Dentsply, and Ivoclar Vivadent was asserting that these Dentsply products infringed Ivoclar Vivadent patents.

The British Dental Association (BDA) has taken the lead in the battle to combat antimicrobial resistance (AMR) in dentistry. The World Health Organization has identified AMR as a serious threat to public health worldwide. The BDA is now working to present recommendations from an expert summit held at its London Headquarters for publication at its Annual Conference in May 2015. The BDA has also called on its members become an Antibiotic Guardian by taking the pledge to cut the use of antibiotics. Dr Graham Stokes, Chair of the BDA Health and Science Committee and one of the initiators of the summit, said: “The battle against antimicrobial resistance will require concerted action by individuals, agencies and governments. And that is why the British Dental Association is stepping up. “Dentists are responsible for approximately 10 per cent of all antibiotic prescriptions in the UK and evidence suggests that many patients could

Ivoclar Vivadent Reaches Settlement Agreement

With Dentsply

BDA TO SUPPORT THE DENTAL PROFESSION IN TACKLING ANTIMICROBIAL RESISTANCE

be treated more appropriately without antibiotics. It is important we all work together to ensure that the right treatment is given at the right time, with the right funding. “We will offer some clear recommendations that can make a difference. This is a problem facing the entire healthcare community, and we can all be part of the solution. The pledge to become an Antibiotic Guardian is a chance for all practitioners to do their bit.”


DPN45

news&trends 18

Ivoclar Vivadent has announced that it has reached an agreement with Dentsply to settle a patent dispute, under which Ivoclar Vivadent will dismiss any pending lawsuits against Dentsply in exchange for Dentsply executing a global patent license and settlement agreement with Ivoclar Vivadent. Ivoclar Vivadent says it considers its technology very valuable and will actively enforce its intellectual property rights against unauthorized use of its technology, particularly any patents it owns that cover lithium silicate technology and dental ceramics. Since October 2013, Ivoclar Vivadent has been engaged in patent infringement litigation in the United States and Germany against Dentsply

International Inc, Dentsply Prosthetics U.S. LLC, and Degudent GmbH (“Dentsply”). These lawsuits filed by Ivoclar Vivadent sought to stop the sale and/or importation of certain lithium silicate dental blanks sold by Dentsply, and Ivoclar Vivadent was asserting that these Dentsply products infringed Ivoclar Vivadent patents.

The British Dental Association (BDA) has taken the lead in the battle to combat antimicrobial resistance (AMR) in dentistry. The World Health Organization has identified AMR as a serious threat to public health worldwide. The BDA is now working to present recommendations from an expert summit held at its London Headquarters for publication at its Annual Conference in May 2015. The BDA has also called on its members become an Antibiotic Guardian by taking the pledge to cut the use of antibiotics. Dr Graham Stokes, Chair of the BDA Health and Science Committee and one of the initiators of the summit, said: “The battle against antimicrobial resistance will require concerted action by individuals, agencies and governments. And that is why the British Dental Association is stepping up. “Dentists are responsible for approximately 10 per cent of all antibiotic prescriptions in the UK and evidence suggests that many patients could

Ivoclar Vivadent Reaches Settlement Agreement

With Dentsply

BDA TO SUPPORT THE DENTAL PROFESSION IN TACKLING ANTIMICROBIAL RESISTANCE

be treated more appropriately without antibiotics. It is important we all work together to ensure that the right treatment is given at the right time, with the right funding. “We will offer some clear recommendations that can make a difference. This is a problem facing the entire healthcare community, and we can all be part of the solution. The pledge to become an Antibiotic Guardian is a chance for all practitioners to do their bit.”


DPN45

news&trends 19

3SHAPE TRIOS WINS ‘BEST OF CLASS’ TECHNOLOGy AWARD

3Shape TRIOS digital dental impression solution has won the 2014 “Best of Class” Technology Award by the Pride Institute. This marks the second year in a row 3Shape TRIOS has won the award. The Pride Institute “Best of Class” Technology Award is presented annually to global products that deliver “Best of Class” value to dentists and the dental industry. Since its launch in 2011, 3Shape TRIOS has received numerous awards including the Pride Institute “Best of Class” Technology Award – now for the second time. 3Shape TRIOS is an intraoral scanner and digital impression solution for dentists, orthodontists and their clinics and practices. 3Shape has worked closely with dentists and orthodontists to develop the digital impression solution since its launch three years ago. Practitioners’ feedback has been instrumental in driving the creation of breakthrough technologies in TRIOS like shade measurement, HD images and color scanning as well as improving scanning speeds of 40 per cent over the past year. Features that are then shared with TRIOS users via unlimited software updates and which serve to future-proof the digital impression solution. “We are seeing a tremendous buzz surrounding TRIOS in the market right now. And we appreciate the Pride Institute and our fellow industry professionals for helping to create the strong interest and for rewarding our efforts in improving patient care and dental technology with the award,” said Flemming Thorup, CEO at 3Shape. Dr Lou Shuman, president of the Pride Institute and creator of the award and its selection process, said about TRIOS: “In this highly competitive category, 3Shape’s TRIOS has once again impressed the panel on many fronts. We are very excited to see 3Shape choosing not to rest TRIOS on its laurels. Since winning last year, they have added many features like shade measurement and HD image taking. Combine these

with TRIOS’ fast and easy scanning and its intuitive interface, it makes the solution the clear leader and most innovative in the intraoral scanner product category.” Dental and orthodontic clinics use intraoral scanners to create digital impressions of patient’ mouths. The digital impressions are shared with dental and orthodontic labs or used in-clinic to create crowns, veneers, dentures, braces, retainers, as well as map and perform implant surgeries. Many dentists and orthodontists have switched to digital impressions rather than using traditional impressions made with PVS material. Higher accuracy, more efficient workflow, cost savings and improved experience for the patient are driving the industry’s move to digital dentistry. Both dental practitioners and laboratories have credited digital impressioning for improving their patients’ experience, and TRIOS for helping them grow their respective businesses.


DPN45

news&trends 20

Straumann, a world leader in tooth replacement solutions, and Patterson Companies, one of the largest distributors of dental capital equipment and supplies to general practitioners in North America, have announced that they will work together to further increase the standard of patient care in dental implant placement in general dental practice. In the past, Straumann and its academic partner, the International Team for Implantology (ITI), focused almost exclusively on dental specialists – Straumann as a manufacturer and provider of tooth replacement solutions and the ITI as the leading network in research and education in implantology. However, current market research points to a growing trend of general practitioners (GPs) becoming active in the surgical placement of implants. At the same time, a recent article in the Journal of the American Dental Association reported on a US study showing that 18.7 per cent of dental implants placed by GPs failed. “As responsible corporation, Straumann cannot ignore these developments. We have taken a leadership position in the North American implant market in collaboration with our surgical specialists, education partners and our new distribution partner, Patterson Dental, to improve the quality of education to GPs who are placing or considering placing implants. Patterson Dental shares our views and values, and enables us to reach a very large number of general dentists in North America”, said Andy Molnar, executive vice president and Head of Straumann North America. “Straumann’s implant system is among the best in the world in terms of innovative design, precision and quality. Furthermore, its clinical track record is extensive and unparalleled. These factors, and the company’s responsible approach towards GPs through education and support, give us full assurance that we are offering customers reliable, predictable and convenient solutions for tooth replacement. We are very excited to work with Straumann to benefit dentists and their patients,” said Paul Guggenheim, president, Patterson Dental. The partnership will foster the interdisciplinary relationship between

Straumann and Patterson Dental TEAM UP FOR IMPLANT PLACEMENT IN GENERAL PRACTICE

specialists, GPs and dental laboratories to improve collaboration in referring patients to specialists and in coordinating treatment plans. This approach will increase implant opportunities for all professionals by better identifying patient cases that are currently not considered for implant therapy, thus raising the standard of care and enabling better patient outcomes. For the GP choosing to place implants, comprehensive education will be provided by education partner Spear Education through an interdisciplinary implant curriculum developed and taught by specialists. GPs may only participate with the supportive presence of a surgical specialist during and after the curriculum. This specialist-led approach will ensure ongoing educational support for the GP. Straumann’s academic partner, the ITI will continue to provide evidence-based implant education through a variety of channels, such as the ITI Online Academy, publications, research and membership.

SIRONA CELEBRATES

100,000 Facebook

Fans

Dental equipment manufacturer Sirona has recorded a continuous increase in “Likes” on Facebook since the relaunch of the corporate website and the start of social media activities in April 2012. The company reached 100,000 fans on this platform on 25 September 2014. “Social networks enable us to make our communication even more active, involve our users in communication, and engage in direct dialogue with users, interested dentists and dental technicians, as well as with our dealer partners. Our Facebook page plays a key role in this,” says Jürgen Serafin, vice-president Corporate Marketing in the Sirona Group. “We are even more pleased that we have achieved an extraordinary milestone with 100,000 fans in our core markets.”


DPN45

news&trends 20

Straumann, a world leader in tooth replacement solutions, and Patterson Companies, one of the largest distributors of dental capital equipment and supplies to general practitioners in North America, have announced that they will work together to further increase the standard of patient care in dental implant placement in general dental practice. In the past, Straumann and its academic partner, the International Team for Implantology (ITI), focused almost exclusively on dental specialists – Straumann as a manufacturer and provider of tooth replacement solutions and the ITI as the leading network in research and education in implantology. However, current market research points to a growing trend of general practitioners (GPs) becoming active in the surgical placement of implants. At the same time, a recent article in the Journal of the American Dental Association reported on a US study showing that 18.7 per cent of dental implants placed by GPs failed. “As responsible corporation, Straumann cannot ignore these developments. We have taken a leadership position in the North American implant market in collaboration with our surgical specialists, education partners and our new distribution partner, Patterson Dental, to improve the quality of education to GPs who are placing or considering placing implants. Patterson Dental shares our views and values, and enables us to reach a very large number of general dentists in North America”, said Andy Molnar, executive vice president and Head of Straumann North America. “Straumann’s implant system is among the best in the world in terms of innovative design, precision and quality. Furthermore, its clinical track record is extensive and unparalleled. These factors, and the company’s responsible approach towards GPs through education and support, give us full assurance that we are offering customers reliable, predictable and convenient solutions for tooth replacement. We are very excited to work with Straumann to benefit dentists and their patients,” said Paul Guggenheim, president, Patterson Dental. The partnership will foster the interdisciplinary relationship between

Straumann and Patterson Dental TEAM UP FOR IMPLANT PLACEMENT IN GENERAL PRACTICE

specialists, GPs and dental laboratories to improve collaboration in referring patients to specialists and in coordinating treatment plans. This approach will increase implant opportunities for all professionals by better identifying patient cases that are currently not considered for implant therapy, thus raising the standard of care and enabling better patient outcomes. For the GP choosing to place implants, comprehensive education will be provided by education partner Spear Education through an interdisciplinary implant curriculum developed and taught by specialists. GPs may only participate with the supportive presence of a surgical specialist during and after the curriculum. This specialist-led approach will ensure ongoing educational support for the GP. Straumann’s academic partner, the ITI will continue to provide evidence-based implant education through a variety of channels, such as the ITI Online Academy, publications, research and membership.

SIRONA CELEBRATES

100,000 Facebook

Fans

Dental equipment manufacturer Sirona has recorded a continuous increase in “Likes” on Facebook since the relaunch of the corporate website and the start of social media activities in April 2012. The company reached 100,000 fans on this platform on 25 September 2014. “Social networks enable us to make our communication even more active, involve our users in communication, and engage in direct dialogue with users, interested dentists and dental technicians, as well as with our dealer partners. Our Facebook page plays a key role in this,” says Jürgen Serafin, vice-president Corporate Marketing in the Sirona Group. “We are even more pleased that we have achieved an extraordinary milestone with 100,000 fans in our core markets.”


2015 DENTAL COURSE & SEMINAR UPDATE

DIGITAL MEDIA SOLUTIONS FOR THE DENTAL INDUSTRY

World-renowned American dentist Dr Ronald Jackson will be a Keynote Speaker at the 2nd Asian Symposium on Advanced General Dentistry. Organized by the College of General Dental Practitioners Singapore (CGDP), the symposium will be held at Mandarin Hotel Singapore from 1-3 May 2015.

Dr Ronald Jackson will speak on a wide range of topics including direct anterior and posterior composites and indirect restorations.

The CGDP has appointed DPN Communications Pte Ltd, publisher of Dental Practice News (DPN) magazine, as a marketing representative for this dental symposium. Readers who are keen to participate in this dental event may sign up with DPN.

Special DiScount for Dpn reaDerSInsert the following code under email subject for special discount off seminar registration fee: DPN-ASAGD

for seminar registration, please email to: [email protected]

SPEAKER: DR RONALD JACKSON (USA) CDE CREDITS: 21

Dental Network Asia (www.dentalnetasia.com) is an online media platform for dental professionals developed by Dental Practice News (DPN) magazine.

The network connects dental professionals from around the Asia-Pacific region to the global dental industry. The digital media products under Dental Network Asia include: • DentalProfessionalDirectory • DentalPracticenews(DPn) • theleaDingDentistwebsite

DPN Communications Pte Ltd provides advertising and marketing solutions for advertisers and dental organizations to reach out to dental professionals in Asia.

CONTACT INfO Name: Razak AhmadOrganization: DPN Communications Pte Ltd Phone: +65-8189 4218Email: [email protected] Website: www.dentalnetasia.com

DPN45

GC Asia introduces the strongest composite substructure that extends the limits of your direct restorations – EverX Posterior. According to literature (van Dijken 2011), the most common reason for failure of the composite restoration or fillings is the fracture of the composite followed by the secondary caries. The overall failure rate of Class II restorations after seven years was 14.9 per cent and nearly 50 per cent of them were composite fractures. EverX Posterior features short fibres that provide a fracture toughness equal to collagen-containing dentine and almost double that of a conventional composite. These short glass fibres effectively prevent and arrest crack propagation that often starts from the surface of the composite material and slowly propagates through the filling and the tooth structure.


EverXPosterior

EverX Posterior is the dental specialist’s answer to an increasing demand for a low-cost treatment alternative for large restorations, according to GC Asia. To achieve high-esthetic appearance and strong wear resistance, everX Posterior should always be covered with a light-curing universal composite, such as one from the GC G-ænial product family.

ProDuCTshowCAsE 22

For more info about everX Posterior: http://www.gcasia.info

DPN45

GC Asia introduces the strongest composite substructure that extends the limits of your direct restorations – EverX Posterior. According to literature (van Dijken 2011), the most common reason for failure of the composite restoration or fillings is the fracture of the composite followed by the secondary caries. The overall failure rate of Class II restorations after seven years was 14.9 per cent and nearly 50 per cent of them were composite fractures. EverX Posterior features short fibres that provide a fracture toughness equal to collagen-containing dentine and almost double that of a conventional composite. These short glass fibres effectively prevent and arrest crack propagation that often starts from the surface of the composite material and slowly propagates through the filling and the tooth structure.


EverXPosterior

EverX Posterior is the dental specialist’s answer to an increasing demand for a low-cost treatment alternative for large restorations, according to GC Asia. To achieve high-esthetic appearance and strong wear resistance, everX Posterior should always be covered with a light-curing universal composite, such as one from the GC G-ænial product family.

ProDuCTshowCAsE 22

For more info about everX Posterior: http://www.gcasia.info

DPN45 23productshowcase 23

Ips InLIne MetaL-ceraMIc systeM

the homogeneous structure of the new powder opaquer with optimized grain size distribution ensures a high application and firing stability. thanks to the optimally coordinated opacity and colour saturation, the desired shade is easily achieved with the powder opaquer. Frameworks, fabricated with either conventional casting methods or digital processes, are quickly masked even with only thin layers due to the material’s excellent masking strength.


the extended product range of the Ips InLine metal-ceramic system from Ivoclar Vivadent offers dental professionals an even greater choice of application options. It is often the small things that render the daily lab work more comfortable and flexible. this also applies to the Ips InLine system powder opaquer which makes alternative application techniques accessible. the Ips InLine system includes a manageable number of components and an extensive range of applications according to the respective prosthetic situation. the system is suitable for every processing technique – from the easy one-layer and the conventional multi-layer to the press-on-metal technique. the new Ips InLine powder opaquer meets this high level of flexibility as it is compatible with all system components. Furthermore, users benefit from many economic and technological advantages: the powder opaquer is equally suitable for the conventional application with a brush or application instrument as well as for the spray-on technique. what is more, the same Ips InLine system powder opaquer Liquid is used irrespective of the application technique.


Zenostar systeMZenostar is the zirconium oxide system from wieland dental. with its versatile range of indications for single-tooth restorations up to multi-unit bridges, the material offers a broad selection of processing options and thus even more flexibility, efficiency and reliability – particularly now that Zenostar is compatible with the Ips e.max veneering system from Ivoclar Vivadent. Zenostar now offers manifold processing options and high efficiency for the fabrication of full-contour restorations and frameworks. this is made possible by two innovations. the first novelty is the Zenostar t-disc portfolio (previous name: Zenostar Zr translucent) featuring a new color code. By renaming the translucent Zenostar Zr disc into Zenostar t, the color codes now match the ones of Ips e.max from Ivoclar Vivadent. Given the addition of the new t3 shade, all 16 a-d tooth shades are even easier to reproduce. Moreover, the reduced disc hardness leads to enhanced milling properties and longer milling tool service lives. the adjusted and optimized scaling factor provides for an even higher accuracy of fit of the restorations. the second innovation is the introduction of Zenostar Mo (Medium opacity), which replaces Zenostar Zr Bridge. due to the slightly higher opacity, the Zenostar Mo discs are the ideal material for veneering framework structures. the discs are available in four different shades (Mo1 to Mo4)

as well as without shading (Mo0). a preshaded material has thus become part of the product offering. Furthermore, the designation Mo blends in with the shade philosophy of Ips e.max.


DPN45 24Feature


The Roman-British population from c. 200-400 AD appears to have had far less gum disease than we have today, according to a study of skulls at the Natural History Museum led by a King’s College London periodontist. The surprise findings provide further evidence that modern habits such as smoking can be damaging to oral health. Gum disease, also known as periodontitis, is the result of a chronic inflammatory response to the build-up of dental plaque. Whilst much of the population lives with mild gum disease, factors such as tobacco smoking or medical conditions like diabetes can trigger more severe chronic periodontitis, which can lead to the loss of teeth. The study, published in the British Dental Journal, examined 303 skulls from a Romano-British burial ground in Poundbury, Dorset for evidence of dental disease. Only


Modern Britons

Romans Had Less Gum Disease Than

DPN45 24Feature


The Roman-British population from c. 200-400 AD appears to have had far less gum disease than we have today, according to a study of skulls at the Natural History Museum led by a King’s College London periodontist. The surprise findings provide further evidence that modern habits such as smoking can be damaging to oral health. Gum disease, also known as periodontitis, is the result of a chronic inflammatory response to the build-up of dental plaque. Whilst much of the population lives with mild gum disease, factors such as tobacco smoking or medical conditions like diabetes can trigger more severe chronic periodontitis, which can lead to the loss of teeth. The study, published in the British Dental Journal, examined 303 skulls from a Romano-British burial ground in Poundbury, Dorset for evidence of dental disease. Only


Modern Britons

Romans Had Less Gum Disease Than

DPN45 25Feature

are known to greatly increase the risk of gum disease in modern populations. Among the people who survived infancy, childhood illnesses and malnutrition into adulthood, the peak age at death appears to have been in their 40s. Infectious diseases are thought to have been a common cause of death at that time. Professor Francis Hughes


from the Dental Institute at King’s College London and lead author of the study said: “We were very struck by the finding that severe gum disease appeared to be much less common in the Roman British population than in modern humans, despite the fact that they did not use toothbrushes or visit dentists as we do today. Gum disease has been found in our ancestors, including in mummified remains in Egypt, and was alluded to in writings by the Babylonians, Assyrians and Sumerians as well as the early Chinese.” Theya Molleson, co-author of the study from the Natural History Museum said: “This study shows a major deterioration in oral health between Roman times and modern England. By underlining the probable role of smoking, especially in determining the susceptibility to progressive periodontitis in modern populations, there is a real sign that the disease can be avoided. As smoking declines in the population we should see a decline in the prevalence of the disease.” Source: King’s College London

Note: “The prevalence of Periodontal Disease in a Romano-British population c.200-

400 AD” by Tuija Raitapuro-Murray, Theya Molleson and Francis Hughes was recently

published in the British Dental Journal.

5 per cent of the skulls showed signs of moderate to severe gum disease, compared to today’s population of which around 15-30 per cent of adults have chronic progressive periodontitis. However, many of the Roman skulls, which form part of the collections in the Palaeontology department of the Natural History Museum, showed signs of infections and abscesses, and half had caries (tooth decay). The Poundbury population also showed extensive tooth wear from a young age, as would be expected from a diet rich in coarse grains and cereals at the time. The Poundbury cemetery community, genetically similar to modern European populations, was made up of countryside dwellers as well as a Romanised urban population. This was a non-smoking population and likely to have had very low levels of diabetes mellitus, two factors that

DPN45 26Special REPORT

Digital Dental proceDures are part of the Daily routine of the moDern Dental practice. Without them, patient management anD treatment planning as Well as many therapeutic measures cannot be carrieD out economically any more.

Digital proceDures

for practice management anD

treatment



Digital Dental proceDures are part of the Daily routine of the moDern Dental practice. Without them, patient management anD treatment planning as Well as many therapeutic measures cannot be carrieD out economically any more.

Digital proceDures

for practice management anD

treatment



Digital support, however, allows for a structured control of these procedures despite their often diverse and complex nature. at the international Dental show (iDs) 2015 many exhibitors will be presenting their product ranges for all kinds of issues that come up in dental practices today. Dr martin rickert, chairman of the Verband der Deutschen Dental-industrie VDDi (association of german Dental manufacturers) comments: “at the iDs 2015, the offers available to digital dental practices will form a particular focal point for all visitors from the fields of dental medicine and dental technology. “the product ranges exhibited contribute to simplifying workflows and, as a result, to reducing treatment times. but also material costs can be reduced with them. together with the digital range for dental laboratories they create synergies with positive implications for practice management and therapeutic procedures. this is why the presentation of this ‘state of the art’ for dental practices will be a mega topic at the iDs 2015.” products presented will include software for a most efficient patient management in dental practices of all sizes. they also feature integrated treatment planning functions, so operational and therapeutic procedures can be prepared and carried out efficiently. comprehensive restorations, particularly, must be coordinated in terms of timing, for example restorative measures and prophylactic measures, operations and prosthetic restorations. this is because patients are interested in treatment that takes the least amount of time, and practices can then optimize their workflows.

Digitally controlled imaging procedures these days, evaluation procedures, diagnoses and therapy planning take place using digitally controlled imaging procedures. Digital volume tomography (DVt) and computer tomography (ct) have established their place alongside the classic x-ray techniques – with imaging plate or ccD technology. in a detailed way, they indicate the soft and hard tissues of the jaw, as well as the nerves, and support dental diagnoses and therapy planning. for manufacturing particular restorations that fulfill the patient’s individual needs, a scanner is also integrated in many of these devices, so that a 3D image of each patient’s entire face can be captured and recorded. this image helps dentists and dental technicians when producing patient-specific restorations: the design of frameworks and red-white aesthetics supports cavernous lip and cheek areas. these scanners support dentists also when reconstructing jaws and teeth after face and jaw operations.

the data gained by ct or DVt are also used for implant planning. Due to the ability to digitally display the soft and hard tissues of the jaw, as well as the nerves, dentists are able to correctly select the necessary implants and position them in precisely the correct place. using the drilling templates produced according to this data allows every individual implantation to be carried out via digital navigation. the electronic maxillomandibular relationship and its digitally supported data collection are part of the digital workflow of dental practices. this technology is a valuable diagnostic tool, which also makes a substantial contribution to treating craniomandibular dysfunctions. furthermore, in the process, advances in treatment can also be demonstrated which have been achieved via restorations that were specially carried out to fulfill the individual needs of the patients in question. special attention will be gained at the iDs 2015 by the intraoral scanner (ios). this contributes to rendering prosthetic treatment workflows significantly more simplified and far more precise: they can be used to safely and quickly model preparation data. patients and dentists equally profit from the use of this technology: treatment times are shortened, because the so-called “modeling compound” is no longer



required, which has to remain in the mouth during the setting time. the advantage for dentists, among other things, is that it enables them to immediately examine their preparations on-screen, and view everything in detail by using the zoom function. if necessary, they can quickly re-record the preparation data. Desktop scanners, too, which are able to scan moldings, will interest dental practices. the data transferred to the dental laboratory enables each patient’s case and the possibility of a solution to be discussed within a short period

of time together with the dental technician. the preparation data gained directly via intraoral scanners or indirectly via a desktop scanner can also be processed at the dental practice: chairside, using grinding equipment, as well as using milling and grinding equipment in the laboratory at the practice. chairside, ceramic materials for direct restorations are used, for instance veneers, inlays, onlays or crowns; in the laboratory at the practice, frameworks made of oxide ceramics or plastic are also used, which are subsequently veneered. since the iDs 2011 it is also possible to process cobalt chromium sintered alloys using the equipment mentioned. another production route is also available to dental practices: the dental and industrial production of restorations. this is how dentists can view various production options, and select the option that is the most economically sensible for each case, in terms of indications and materials. in addition to the large therapeutic field of dental prosthetics, a wide range of prophylactic treatment and restorative dentistry services will also be the focus of interest at the iDs 2015. this is because these sections are also hardly imaginable without digital technology – even if it is not spectacularly obvious: the impulses and displays from the equipment used for this purpose are digitally controlled. IDS takes place in Cologne, Germany,

every two years and is organized by the

commercial enterprise of the Association

of German Dental Manufacturers (VDDI)

and staged by Koelnmesse, Cologne.


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DPN45 30Feature


Many patients prefer to rely on prosthetics that have been tried and tested for decades. Classic high-gold content alloys are their first choice. Crowns and bridges made from precious metal alloys and finished in the color of the tooth offer an important alternative to the much more recent materials of ceramic or plastic, and will also continue to be made to a high quality in almost all laboratories in the future. The particular advantages of precious metal are excellent biological compatibility as well as high mechanical strength and long-term stability. The dental industry offers suitable alternatives with cheaper materials


Prosthetic Material

Tried and Tested

Modern alloys Can be ProCessed in diverse ways using analogue or digiTal TeChnology.

DPN45 31Feature


for more cost-conscious patients. so-called eCo alloys with reduced gold content can then be used. with their help, the advantages of gold alloys as well as the secure ceramic coating are retained. There is also saving potential with framework materials; non-precious metal alloys are still the material of choice here. Precise and price-orientated solutions can be realized, especially in combination with the modern methods of network production. a further trend is standing out with respect to production processes. in addition to the conventional analogue casting techniques, modern alloys can be increasingly processed using digital Cad/CaM methods. Metal dental structures are predominantly produced by milling. slM (selective laser Melting) is available as an alternative production process in the manufacture of frameworks. it creates a more homogeneous surface and better tension-free fit overall. alternatively, in addition to cobalt-chrome alloys, silver palladium and palladium-base alloys can also be considered for Cad/CaM and slM processes or also for the classical casting technique.

as has been the case for a long time in the precious metal sector, the spectrum of modern neM alloys now also includes complete systems for stains and coatings that – depending on the system – are suitable for pressing or layering techniques. esthetic requirements can thus also be satisfied in the neM sector. overall, more than 1,000 alloys are available on today’s market to dentists and dental technicians. however, in light of this variety of materials and a stream of new developments in methods, it is not easy to maintain an overview and to make the right choice of material. dependent on the selected processing method of the respective alloys, the associated laboratory investment costs must also be taken into consideration. The international dental show (ids), which takes place from 10-14 March 2015 in Cologne, offers diverse aids to decision-making for all aspects of alloys and their processing options. The dental trade fair showcases manufacturers from all around the world in one location and offers trade visitors from both practices and laboratories the chance to experience new dental developments live and to discuss them with experts from the dental industry. “The large and still-growing field of alloys conveys a good impression of the passion for innovation in the dental industry”, says dr Markus heibach, executive director at vddi. “The ids offers ideal conditions for dentists and dental technicians who want to keep in touch with the latest developments in dental alloys and modern processing options. The continuously growing visitor numbers highlight the importance of the ids as an indispensable link between the dental industry on the one hand and practices and laboratories on the other hand.”

DPN45 32DPN.Stats

Tips for HealTHyTeeTH for CHildren

To keep children’s teeth healthy, public Health england (pHe) recommends:

• Reduceboththeamountandhow often sugary foods and drinks are given to children

• Notaddsugartoweaningfoodsor drinks

• Aimtointroducedrinkingfroma free-flow cup from six months of age and stop feeding from a bottle from 12 months of age

• Startbrushingchildren’steethas soon as the first tooth appears and supervise their tooth brushing until they are seven or eight years old. Brush

Source: Public HealtH england (PHe)

children’s teeth twice daily, including just before bed, using a fluoride toothpaste

• Fromtheageofthree,useonlya pea sized amount of fluoride toothpaste, for younger children a smear

• Useonlysugar-freemedicines

Percentage of number of children suffering from

tooth decay by most-affected region in the country

34%

Percentage of three-year-old children suffering from tooth decay

in england

12%

Percentage of number of children suffering from

tooth decay by least-affected region in the country

2%www.dentalnetasia.com

DPN45 34Feature


FDI World Dental Federation has launched “Data Hub for global oral health”, an online database for oral health and related information. The launch took place recently at the FDI Annual World Dental Congress in India. The FDI congress is a platform for knowledge exchange and for strengthening relations between National Dental Associations, people and countries globally. Sharing insights on the launch of the Data Hub, Prof Li-Jian Jin, chair of the FDI Oral Health Data Task Team explained, “The FDI Data Hub creates a network for monitoring and sharing global oral health data. It sheds light on the crucial need for growing and enhancing the available network by continuously feeding it up-to-date collected data that aims to make oral health a priority on the global health agenda.” In India, oral health is a critical but overlooked component of overall health and well-being among children and adults. Problems such as dental caries, periodontitis, and oral cancer are some serious concerns that are significantly diminishing the quality of life for people, especially those from low-income groups or uninsured. Periodontal disease affects 90-95 per cent of the population, and dental caries affects 60-80 per cent of children in India. Oral cancer accounts for almost 40 per cent of the total diagnosed cancer cases in India—considered to be one of the highest rates in the world. There is a need to


FDI Launches OnlineData Hub

DPN45 35Feature


“The oral care industry needs more reliable data to help raise awareness about oral health and reduce the global burden of oral disease,” said Gerard K. Meuchner, vice president and chief global communications officer of Henry Schein, and an industry representative to the Vision 2020 task force. “FDI’s Data Hub is a critical step towards filling the gaps and highlighting the long-term benefits of oral healthcare, especially, as the evidence increasingly shows, its contribution to a reduction in overall healthcare costs in the long-term.” The FDI Data Hub has been developed under the umbrella of Vision 2020: FDI’s guidelines to shaping the future of oral health. It builds on the success of the Oral Health Atlas, published in 2009, which is FDI’s comprehensive sourcebook for raising awareness of key oral health issues and promoting oral health literacy and advocacy. The Vision 2020 work reflects input from the profession, academia and the dental industry.

Quick Info

• TheFDIDataHubisanonlinedatabasecollatingoralhealthdatafromvarious international sources including World Health Organization (WHO), Niigata University, Malmö University, World Bank and Globocan

• Itwillmakeglobaloralhealthdataeasilyaccessibleinoneplacetoawide audience including dentists, orthodontists, health professionals, policy makers, media, industry bodies and the general public

• Itpresentsmapsandtablesofavailableoralhealthdatawhichcanbesearched by indicators based on country, geographical region and year. Users can retrieve the oral health data visualized in maps and tables and this information is downloadable

• TheDataHubindicateswheregapsindataexistandaddressestheneed to remedy the situation.

bring down the incidence of oral and dental diseases to less than 40 per cent of existing levels. Dr Ashok Dhoble, honorary secretary general, Indian Dental Association, said: “Having access to a reliable source of information that monitors trends and assesses progress of dental health indicators is key to improving oral health outcomes and for implementing national healthcare strategies and plans.” The launch of the FDI Data Hub at the AWDC is a landmark event for the dental industry. The online database seeks to fill critical gaps in oral health data, such as statistics and indicators, including regular country-by-country updates – a comprehensive source of oral health information.

DPN45 36Dental MEETING 36


The College of General Dental Practitioners Singapore (CGDP) will stage the second edition of Asian Symposium on Advanced General Dentistry from 1-3 May 2015. The keynote speaker for this event is world-renowned American dentist, Dr Ronald Jackson. Dr Jackson will speak on a wide range of topics, including direct anterior and posterior composites and indirect restorations. The symposium aims to explore and share advancements in clinical practice as well as relevant technological applications. CGDP hopes to establish collaboration between partner associations among ASEAN countries. This will pave the way to inspire and promote excellence in dentistry for the region. The symposium is a great platform for outstanding clinicians of this region to share their work and inspire others to excel in dentistry, says CGDP.

Speaker Profile: Dr Ronald Jackson Dr Ronald Jackson is a 1972 graduate of West Virginia University School of Dentistry. He has published many articles on esthetic, adhesive dentistry and has lectured extensively across North America and abroad. Dr Jackson has presented at all the major US scientific conferences as well as to Esthetic Academies in Europe, Asia and South America. He is an Accredited Fellow in the American Academy of Cosmetic Dentistry, a Fellow in the Academy of General Dentistry, a Diplomate in the American Board of Aesthetic Dentistry and is Director of the Mastering Dynamic Adhesion program at the Las Vegas Institute for Advanced Dental Studies. Dr Jackson practices comprehensive restorative and cosmetic dentistry in Middleburg, Virginia, USA.

For more info about this dental seminar: http://dentalnetasia.com

Name 2nd Asian Symposium on Advanced General Dentistry

Keynote Speaker Dr Ronald Jackson (USA)

Date 1-3 May 2015

Location Mandarin Orchard hotel, Singapore

Organizers College of General Dental Practitioners Singapore (CGDP)

2nd ASIANSyMPoSIUM

on AdvAncedGenerAl dentistry

DPN45 37Dental COURSE 37


Lecture

Composite Artistry – Give your pAtient somethinG to smile About Speaker: Dr Ronald Jackson

SynopsisThe greatest impact of esthetic dentistry is providing patients with beautiful smiles that enhance self-esteem. However, materials and techniques have undergone significant evolution in recent years and dentists are challenged to keep current. In addition, esthetic standards have been raised and quality outcomes redefined by today’s educated patient. This lecture presentation will illustrate the versatility and value of using direct composite resin for treating anterior restorative needs and cosmetic desires. The logical, conservative techniques shown will lead to a result that pleases the patient and encourages referrals. Learning Objectives • Togainanappreciationforconservativedirectresinrestorations • Todiscoverthelimitlessversatilityofdirectresininenhancingpatient’ssmiles • Tolearntheessentialfeaturesofanaturallyshadedcompositesystem • Tounderstandthestratificationofopacitiestoachievelife-likerestorations • Tobeabletoapplytheseconservativetechniquespracticallyandefficientlyinageneralpractice • Tolearntododentalartwithoutbeingartistic

Lecture

posterior restorAtions – mAteriAls & teChniquesSpeaker: Dr Ronald Jackson

SynopsisAmalgams have served dentistry for over a century. However, amalgam fillings undergo constant corrosion and are not esthetic. The direct posterior composite resin restoration as well as esthetic inlays and onlays provide patients with sealed, conservative, tooth re-inforcing restorations. In this presentation, Dr Jackson will show where these restorations not only are indicated but are the hands down restoration of choice both esthetically and restoratively. Simplified preparation and placement techniques along with a discussion of longevity expectations will allow the practitioner to confidently include these restorations in an esthetic restorative practice. Learning Objectives• ToreviewcurrentadhesivesandmatricingtechniquesforplacingClassIIcompositerestorations• Tounderstandthescienceandtechnologyofnewposteriorcompositematerials&systems• Toappreciatethevalueandtimesavingsofplacingposteriorrestorationsusingbulkfilltechnology• Toreviewthematerialsavailableforestheticinlaysandonlaysandappreciatetheadvantages/disadvantages of indirect resins and ceramics• Tolearnthepreparationcriteriaandsequenceforestheticinlaysandonlays

To register for this dental seminar, email to: [email protected]

DPN Network 38DPN45

21-23 November 2014GraNd CorpthorNe hotel, SiNGapore

4th CGdpimplaNt SympoSium

DPN45 DPN Network 39

SpeakerS: Dr Hom-Lay Wang (USA),

Dr Marius Steigmann (Germany)

40Clinical Abstract 40DPN45

Twenty-month follow-up of occlusal caries lesions deemed questionable at baselineFindings from The National Dental Practice-Based Research Network• SoniaK.Makhija,DDS,MPH• GreggH.Gilbert,DDS,MBA• EllenFunkhouser,DrPH• JamesD.Bader,DDS,MPH• ValeriaV.Gordan,DDS,MS,MS-CI• D.BradRindal,DDS• VibekeQvist,DDS,PhD,DrOdont• PiaNørrisgaardforTheNationalDentalPBRN CollaborativeGroup


The influence of hemostatic agents on dentin and enamel surfaces and dental bondingA systematic review• KarinadeOliveiraBernades,DDS• LeandroAugustoHilgert,DDS,MS,PhD• AnaPaulaDiasRibeiro,DDS,MS,PhD• FernandaCristinaPimentelGarcia,DDS,MS,PhD• PatríciaNóbregaRodriguesPereira,DDS,PhD

Background: Hemostatic agents have been used clinically in dentistry for many years to control bleeding. The authors reviewed scientific publications in which researchers investigated the effects of hemostatic agents on dentin and enamel surfaces and on bonding of adhesive systems and resin cements. TypesofStudiesReviewed: The authors screened PubMed and Scopus databases for studies in English published from 1980 to 2013. They read the titles and abstracts to identify literature that fulfilled the inclusion criteria. The authors included studies in which researchers evaluated the hemostatic action on the dentin and enamel surfaces or its influence on the bond strength of adhesive systems or resin cements. They used cross-referencing to identify more articles.

Results: Twenty in vitro studies met the inclusion criteria. Investigators in 12 of these studies evaluated the bond strength to contaminated dentin. Investigators in 10 of these studies reported

a significant decrease in bond strength. Those in two studies evaluated the influence of a hemostatic agent on the dental enamel and reported decreases in bond strength. Researchers also reported significant increases in micro-leakage of self-etching adhesives on contaminated dentin. Scanning electron microscopy revealed partial removal of the smear layer or an etching effect of dentin as a result of the application of hemostatic agents on dentin.

PracticalImplications:Adhesive procedures may be affected adversely when performed on dentin and enamel contaminated by hemostatic agents. Hemostatic agents may induce changes in the dentin surface morphology. The results of this review indicate that the bond strength of self-etching adhesive systems is affected more negatively than is that of etch-and-rinse systems. The authors found that a 60-second application of ethylenediaminetetraacetic acid followed by a water spray restored the bond strength of a self-etching adhesive to dentin; use of phosphoric acid for 15 seconds followed by a water spray also was an effective cleaning method. Direct comparison of selected studies was not possible, however, mainly because of methodological differences hampering definitive conclusions.

Background:A questionable occlusal caries (QOC) lesion can be defined as an occlusal surface with no radiographic evidence of caries, but caries is suspected because of clinical appearance. In this study, the authors report the results of a 20-month follow-up of these lesions.

Methods:Fifty-three clinicians from The National Dental Practice-Based Research Network participated

41Clinical Abstract 41DPN45

Accuracy of CAD/CAM–generated dental casts based on intraoral scanner data

71.74–79.87) and 98.23 μm (95 per cent CI, 94.17–102.30), respectively, with a statistically significant difference among all of the scanners (P < .05). The mean precision values were 13.77 μm (95 per cent CI, 2.76–24.79), 21.62 μm (95 per cent CI, 10.60–32.63) and 48.83 μm (95 per cent CI, 37.82–59.85), respectively, with statistically significant differences between CEREC AC with Bluecam and iTero casts, as well as between Lava Chairside Oral Scanner C.O.S. and iTero casts (P < .05).

Conclusion:All of the casts showed an acceptable level of accuracy; however, the SLA-based casts (CEREC AC with Bluecam and Lava Chairside Oral Scanner C.O.S.) seemed to be more accurate than milled casts (iTero).

PracticalImplications:On the basis of the results of this investigation, the authors suggested that SLA technology was superior for the fabrication of dental casts. Nevertheless, all of the investigated casts showed clinically acceptable accuracy. Clinicians should keep in mind that the highest deviations might occur in the distal areas of the casts.

Formoreinfo,visitJADAwebsite:http://jada.ada.org

in this study, recording lesion characteristics at baseline and lesion status at 20 months.

Results:At baseline, 1,341 QOC lesions were examined; the treatment that was planned for 1,033 of those at baseline was monitoring (oral hygiene instruction, applying or prescribing fluoride or varnish, or both), and the remaining 308 received a sealant (n = 192) or invasive therapy (n = 116). At the 20-month visit, clinicians continued to monitor 927 (90 per cent) of the 1,033 monitored lesions. Clinicians decided to seal 61 (6 per cent) of the 1,033 lesions (mean follow-up, 19 months) and invasively treat 45 (4 per cent) of them (mean follow-up, 15 months). Young patient age (< 18 years) (odds ratio = 3.4; 95 percent confidence interval, 1.7–6.8) and the lesion’s being on a molar

• SebastianB.M.Patzelt,DMD,Drmeddent• ShazaBishti,DDS,Drmeddent• SusanneStampf,Drrernat• WaelAtt,DDS,Drmeddenthabil,PhD

Background: Little is known about the accuracy of physical dental casts that are based on three-dimensional (3D) data from an intraoral scanner (IOS). Thus, the authors conducted a study to evaluate the accuracy of full-arch stereolithographic (SLA) and milled casts obtained from scans of three IOSs.

Methods: The authors digitized a polyurethane model using a laboratory reference scanner and three IOSs. They sent the scans (n = five scans per IOS) to the manufacturers to produce five physical dental casts and scanned the casts with the reference scanner. Using 3D evaluation software, the authors superimposed the data sets and compared them.

Results: The mean trueness values of Lava Chairside Oral Scanner C.O.S. (3M ESPE, St. Paul, Minn.), CEREC AC with Bluecam (Sirona, Bensheim, Germany) and iTero (Align Technology, San Jose, Calif.) casts were 67.50 micrometers (95 per cent confidence interval [CI], 63.43–71.56), 75.80 μm (95 per cent CI,


(odds ratio = 1.8; 95 per cent confidence interval, 1.3–2.6) were associated with the clinician’s deciding at some point after follow-up to seal the lesion or treat it invasively.

Conclusions:Almost all (90 per cent) QOC lesions for which the treatment planned at baseline was monitoring still were planned to undergo monitoring after 20 months. This finding suggests that non-invasive management is appropriate for these lesions.

PracticalImplications: Previous study results from baseline indicated a high prevalence of QOC lesions (34 per cent). Clinicians should consider long-term monitoring when making treatment decisions about these lesions.

DPN45 Patient Education 42

the first national survey in united Kingdom (uK) examining the oral health of three-year-old children has revealed more than one in 10 have signs of visible tooth decay. the report, published by Public Health England (PHE), has shown 12 per cent of children examined in their nursery, children’s center or playgroup suffered from tooth decay, with those children having an average of three decayed teeth. the number of children suffering from tooth decay varied significantly by region, varying from as little as two per cent to more than one in three (34 per cent) across the country. it was a similar story last year when it was revealed more than one in four (27 per cent) of five year old children suffered from visible tooth decay, a fall from the previous figure of three in ten (31 per cent) in 2008. once again levels of decay varied regionally from one in five (21.2 per cent) to more than one in three (34.8 per cent). chief executive of the British dental Health Foundation, dr nigel carter, welcomed the first survey of its kind, and encourages parents and education workers to take on vital oral health information. dr carter said: “it is the first time we have seen the progress of oral health development from birth through to starting school, and the overall results are encouraging.


study: More Than one in 10 HavE SignS oF viSiBlE

tootH dEcay

DPN45 Patient Education 43


It is the first time we have seen the progress of oral health development from birth through to starting school, and the overall results are encouraging.

fluoridated areas in the uK with the greatest reductions seen in fluoridated areas, yet only 12 per cent of the population have fluoridated water. “Parents and education workers need to be fully aware of how they can help to reduce the chances of children developing tooth decay. the most important message to remember is it is not the amount of sugar children eat or drink that causes tooth decay, but how often they have sugary foods and drinks. Sugar causes the bacteria in plaque to produce acids. it is these acids which attack children’s tooth enamel and cause tooth decay. “When the first teeth start to come through, try using a children’s toothbrush with a small smear of toothpaste. all children up to three years old should use a toothpaste with a fluoride level of at least 1000ppm (parts per million). after the age of three, children should use a toothpaste that contains 1350ppm-1500ppm. “Encourage them to spit out the toothpaste and not to swallow any if possible, if they do not rinse after spitting the fluoride will remain in the mouth for longer and give the best protection against decay. it is important to supervise your child’s brushing until they are at least seven, and encourage them to brush last thing at night and on at least one other occasion. it may sound a simple solution, but tooth decay is entirely preventable.”

“almost nine in ten three year olds are getting the right oral health routine at a crucial age of their development. diet is a constant theme when discussing health issues in the uK, and the results suggest parents understand that dried fruit and fruit juices are not good for their baby’s oral health. “the stark regional inequalities are a cause for concern. they highlight a clear need for water fluoridation to help tackle these differences, particularly in the more deprived areas of the country. the addition of fluoride in toothpaste alone has been responsible for reducing decay by up to 50 per cent. levels of dental decay have fallen in both fluoridated and non-

44Dental Events 44

10th FOD SymposiumVenue SINGAPORE (Pan Pacific hotel)Date 10 – 11 January 2015Organizers NUS Faculty of Dentistry Website http://www.dentistry.nus.edu.sg

Greater New York Dental Meeting 2014Venue USA (Jacob K. Javits Convention Center, New York) Date 28 November – 3 December 2014 Website http://www.gnydm.com

Vietnam Dental 2014 Venue VIETNAM (Hanoi International Center For Exhibition)Date 3 – 5 December 2014Organizers VINEXAD ExhibitionWebsite http://www. medipharmexpo.com

22nd MDA Scientific Convention & Trade ExhibitionVenue MALAYSIA (Sunway Convention Center, Subang)Date 23 – 25 January 2015Organizers Malaysian Dental AssociationWebsite http://www.mda.org.my

FORIL XI 2015Venue INDONESIA (Balai Kartini Convention Center, Jakarta)Date 9 – 11 April 2015Organizers Dental Faculty, Trisakti University Website http://www.forilusakti.com

2nd Asian Symposium on Advanced General DentistryKeynOte speaKer Dr Ron Jackson (USA)Venue SINGAPORE (Mandarin Orchard hotel)Date 1 – 3 May 2015Organizers College of General Dental Practitioners SingaporeWebsite http://www.cgdp.org.sg

International Dental Scientific ExhibitionVenue MYANMAR (Building of Union of Myanmar Federation of Chambers of Commerce and Industry, Yangon)Date 14 – 16 May 2015Organizers VINEXAD ExhibitionWebsite http://www. medipharmexpo.com

Vietnam Dental 2015Venue VIETNAM (Tan Binh Exhibition & Convention Center, Ho Chi Minh City)Date 20 – 22 August 2015Organizers VINEXAD ExhibitionWebsite http://www. medipharmexpo.com

AOS Congress 2015 Venue SINGAPORE (Marina Bay Sands Expo & Convention Center) Date 6 – 8 February 2015 Organizers Association of Orthodontists (Singapore) Website http://aoscongress.com

UAE International Dental Conference – AEEDC 2015 Venue UNITED ARAB EMIRATES (Dubai International Convention Center) Date 17 – 19 February 2015 Website http:// http://aeedc.com

5th Borneo Dental CongressVenue MALAYSIA (Ming Garden Hotel and Residence, Kota Kinabalu, Sabah)Date 20 – 22 March 2015Organizers Malaysian Dental Association Eastern ZoneWebsite http://www.mda.org.my

37th Asia Pacific Dental Congress (APDC 2015) Venue SINGAPORE (Suntec Singapore Convention Center)Date 3 – 5 April 2015 Organizers Asia Pacific Dental Federation Website http://apdc2015.sg

nOte:

The dates and programs of these dental events may be subject to change. Please contact the event organizers for more information.

SEMINARSCOURSESEXHIBITIONSWORKSHOPS

DPN45


DPN38

DPN Communications Pte Ltd, publisher of Dental Practice News magazine and The Leading Dentist website, has launched a new online health magazine called Healthwiseasia.com. Healthwiseasia.com aims to provide useful and relevant information on health and wellness matters that affect consumers. The online magazine covers topics ranging from healthy eating to fitness to specific health topics. The overall healthcare industry presents huge opportunities for future growth, particularly in Southeast Asia. The regional growth means household incomes are set to rise rapidly, making it one of the world’s fastest-growing consumer markets. As a result, spending on healthcare services is also expected to grow in the region. There are only a handful of purely online magazines that cover health and wellness specifically for Asian readers. Healthwiseasia.com has been developed to meet the needs of Asian readers and is targeted at the general public. The website is attractively designed in an online magazine format with editorial contents divided into key health categories or sections. Users just need to click on the section that interests them and they will find articles from a range of health writers with experience in the field.

For more information, visit the website: http://www.healthwiseasia.com

LaunchesheaLthwiseasia.com

DPn

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