DPN35

asia Edition ISSUE 2 / 2013

publishEd sincE 2005

EsthEtic REstoRations Via MiniMally inVasiVE appRoach

Computerized proCedures offer patients Benefits

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DPN

Study Club

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: dentalnetworkasia@gmail.com

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

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dr James Chow creative director Keris Wee dental Practice news is published by dPn communications Pte ltd.

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Contents ISSUE 2/2013 (No.35)

features 12 14 18 24 26

1st Asian symposium on Advanced general dentistry Computerized Procedures offer Patients Benefits esthetic Restorations Via Minimally Invasive Approach Ivoclar Vivadent collaborates with Camlog for high-end ceramics and composite materials Mitsui Chemicals take over Heraeus Kulzer dental business

Cover photo: electronic toothbrush displays at ids 2013

Product finder 8-10

dePartMents

• • • • •

6 36 38 40 42 44

•

IPS e.max Solutions TRIos Color digital Impression BioUniversal KFG Alloy data Management software Direct Restoratives, Fixed Prosthetics and Removable Prosthetics Crowns for Primary Molar Restoration

edIToRIAl dPn neTWoRK denTAl sTATs PATIENT EDUCATION lIFesTyle denTAl eVenTs

uPdate 28-35 • • • • • •

40

Ivoclar Vivadent Posted Higher Sales Revenues Merry X-Ray to distribute scanner Prevent Facial Injuries With Simple Safety Precautions Adult dental Visits declined, Children’s Increased in Recent years Research Results Confirm Effectiveness of FujiCEM 2 FdI 2013 Istanbul Abstract submission Breaks Record

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Be part of the voice of dentistry in Asia‌ DPN invites you to be our partners in fostering better communication among dental practitioners in Asia and promoting excellence in dentistry.

For more information about advertising and sponsorship opportunities with DPN magazine, please contact: Razak Ahmad, Publisher Email: razak.ahmad@dpnmag.com

www.DPNmag.com

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EDITORIAL

6

Dental Trends and Innovations The recent International Dental Show (IDS) has highlighted some interesting trends and innovations in the dental industry. Computer-aided design, computer-controlled manufacturing and digital processes are increasingly becoming an important tool in the dental sector.

These trends and innovations include: •

Patients’ wishes are the source of treatment techniques Among the latest technology is a new face scanner that probes the surface of a patient’s face during an x-ray procedure without using any lasers.

The scanner immediately produces a virtual mirror image. Dentists can use the image generated by the new scanner to explain the problem and the best way to treat it, as many patients have trouble understanding x-ray images.

Patients can play a more active role in treatment decisions, as the image can be altered to look like the result of any one of a number of treatment options. This makes it possible, for example, to create digital and therefore very precise drilling templates that ensure dental implants will ultimately be placed in exactly the right position and at precisely the right angle.

•

Computer-aided design/manufacturing (CAD/CAM) CAD/CAM is increasingly being used for the production of bridges and crowns.

Many companies have discovered these techniques’ potential for use in dentistry and learned how they can be optimized for such use.

Previously closed systems such as materials, software and processing are now opening up and becoming more and more capable of being networked with other components.

This, in turn, has led to the creation of various options for producing crowns, bridges, either directly in a dental practice, in a practice’s in-house laboratory, at a partner laboratory or manufacturing center, or at an industrial network service provider.

•

Digital oral scanners Digital technologies such as oral scanners are now being used more frequently as an alternative to analogue impressions for patient diagnoses. This eliminates the need for patients to bite into an elastomer mass, which can be an uncomfortable procedure.

Sophisticated dental technologies can certainly help make the patient’s experience clear and understandable. In addition, new materials are constantly being developed for use with digital applications that will shape future trends and innovations in the dental sector. – DPN

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productfinder

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IPS e.max SolUTIonS Ivoclar Vivadent has complemented the range of indications of IPS e.max CAD, the innovative lithium disilicate glassceramic for CAD/CAM applications. The following three solutions are available for the digital workflow: Monolithic Solutions, Abutment Solutions and Veneering Solutions.

IPS e.max CAD now covers all indications ranging from thin veneers and hybrid abutments to three- and multi-unit bridges.

The lithium disilicate glass-ceramic IPS e.max CAD offers an exhaustive range of indications for digitally fabricated restorations. Until recently, Monolithic Solutions has only been suitable for the fabrication of thin veneers, veneers, inlays, onlays, partial crowns and crowns.

Effective immediately, however, mononlithic three-unit bridges can also be fabricated. Abutment Solutions is a completely new segment presented for the first time.

With this solution, hybrid abutments

and hybrid abutment crowns are individually fabricated from lithium disilicate blocks and bonded with a titanium base. The new self-curing Multilink Hybrid Abutment composite is particularly suitable for luting milled lithium disilicate glass-ceramic components on a titanium base.

Veneering Solutions (CAD/CAM-fabricated veneering structures for zirconium oxide frameworks) is now also suited for wide-span bridges in addition to crowns and short-span bridges. The new IPS e.max ZirCAD Colour Blocks in the shades Mo3 and Mo4 complement the shade range for esthetic crown and bridge frameworks. These frameworks form the ideal shade foundation for the digital fabrication of veneers with IPS e.max CAD. IPS e.max CAD has proven successful in many long-term clinical studies. The innovative lithium disilicate glass-ceramic clearly demonstrates a higher strength (360 MPa) compared to other glass- and hybrid ceramics. Different degrees of translucency, Impulse shades and block sizes allow technicians to use the ceramic for a versatile range of applications and to obtain highly esthetic results.

The Multilink Automix system, which provides an excellent bond not only in the dual-cure but also in the self-cure mode, is particularly suitable for the cementation of IPS e.max CAD. IPS e.max CAD blocks can be milled inhouse or through one of the Authorized Milling Partners from Ivoclar Vivadent’s global CAD/ CAM partnership network.

TRIoS ColoR DIgITAl IMPRESSIon 3Shape has launched its new TRIoS Color digital impression taking solution.

TRIoS Color gives dentists a tool for accurate 3D capture and realistic visualization of the complete oral situation. 3Shape now offers both TRIoS Color and TRIoS Standard digital impression-taking solutions.

3Shape’s new RealColor Technology in the TRIoS Color digital impression-taking solution facilitates the creation of scan images in the appearance of real teeth and gingiva. The natural looking colors provide an excellent scanning experience, and make it easy for dentists to distinguish between the different types of restorative materials (metals, enamel, composite, etc.), recognize bleeding areas, see color transitions on teeth, and easily identify margin lines with enhanced detail.

In combination with 3Shape’s established TRIoS

Ultrafast optical Sectioning Technology, TRIoS Color represents a high performance color scanning solution, according to 3Shape.

3Shape’s new TRIoS Pod is a new configuration solution and an alternative to the TRIoS cart. It enables scanning with the TRIoS handheld scanner and software using selected laptop PCs. The solution offers a high degree of mobility and flexibility for dentists working in multiple locations or for clinics with limited space. The TRIoS Pod lets users control scanning from an iPad or mirror the 3D view on other displays in the clinic such as monitors integrated in the chair.

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productfinder

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BIoUnIVERSAl KFg Alloy BioUniversal KFg is a new universal alloy from Ivoclar Vivadent. The alloy is distinguished by a golden yellow hue and high-expansion characteristics.

BioUniversal KFg is especially designed for the milling and telescopic crown technique. It is also suitable for veneering applications involving special low-fusing ceramics. given its low density, the alloy is particularly economical to use. Its biocompatibility has been assessed and certified. The range of indications include onlays, three-quarter crowns, telescope crowns, conus crowns, posts, short-span bridges and long-span bridges.

The Alloy Configurator provides instant information on the indications,

composition and color of BioUniversal KFg together with information on all other alloys from Ivoclar Vivadent.

This web-based database facilitates the selection of a suitable alloy. In addition, it features an alloy cost comparison calculator and a comprehensive set of information for use.

The Alloy Configurator can be downloaded from the Ivoclar Vivadent website. The tool is now also available as an app for iPhone and iPad from the Apple App Store.

Data Management Software Working with digital CBCT and X-ray images is storage-intensive and creates large quantities of data. Until now, terminal devices with high processing power and storage capacity have been required for viewing and processing this data.

Japanese company Morita has developed a user-oriented software solution for the data management of such images with i-Dixel Web, which can be used as a “mobile” version of the tried and tested i-Dixel Software with ordinary web browsers as part of a private, internal “cloud” design to make it easier to access data throughout the practice.

In contrast to earlier versions of i-Dixel, i-Dixel Web no longer needs to be installed at all work stations and can be left at a central server in the practice. Access is provided via web browser and enables data to be seen and processed extensively, independently of the platform.

The web browser-based version is also programmed in HTMl5-Standard and therefore runs almost independently of the operating systems used in the practice. As part of an internal “cloud” solution and the associated central storage on a practice server, the user can now call up and process X-ray images and CBCTs with i-Dixel Web via all terminal devices with network access.

Data transfer is performed via a network solution with or without cable via WlAn,

with information security ensured through an SSl security protocol. i-Dixel Web is equipped with numerous functions. A search function allows the user to search the server according to both patient data and subject. 2D and slice viewers also allow viewing, processing and storage of 3D and intraoral images from all terminal devices in the network.

The central server acts like an internal “cloud” solution for the dental practice and allows the clear organization and administration of all files without upgrading the practice computer.

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PRoDUCTFInDER

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DIRECT RESToRATIVES, FIXED PRoSTHETICS AnD REMoVABlE PRoSTHETICS Ivoclar Vivadent has divided its product portfolio into three major categories. This has been done with the aim of making it easier for dental professionals to find their way around the company’s product range.

The categories have been created on the basis of the different treatment and working procedures in the dental office and laboratory.

Ivoclar Vivadent has an extensive product portfolio that covers the entire range of working procedures in direct filling treatment and fixed and removable denture prosthetics. The company‘s fixed and removable prosthetics assortment is not only suitable for conventional, but also for implant-supported restorations.

All the products of the portfolio are fully coordinated, enabling dentists and dental technicians to achieve excellent treatment and working results.

Ivoclar Vivadent has grouped its products into three new categories, which are clearly defined according to the fields of expertise of the company: Direct Restoratives, Fixed Prosthetics and Removable Prosthetics. Each category contains the products that are recommended for the different dental treatment and working steps.

These categories are designed to help dental professionals find the dental products they need even more quickly and efficiently. At the same time, they may obtain a clear idea of all the matching products available.

Crowns for Primary Molar Restoration When restoring primary molars, efficient and versatile solutions are in demand. Pedo Crowns from Hu-Friedy offer not only proper tooth function and bite, but also allow the placement of space maintainers.

As the crowns can be easily adapted, the treating dentist gains time for planning the therapy and instructing the patient.

Traumas or extreme wear can greatly affect primary molars, damaging them considerably or making them prone to breaking.

In such cases, an intervention is inevitable. Even when primary molars are lost in the long run, proper tooth function and a perfect bite must be as guaranteed as the adequate placement of space maintainers. The pediatric dentist must therefore find an efficient and versatile solution for restoring primary molars.

Hu-Friedy has developed such a solution with Pedo Crowns. The crowns are available in 48 different sizes for predictable, accurate and durable results in the clinical care of little patients.

Made from stainless steel, the Pedo Crowns imitate the occlusal anatomy of the natural tooth and therefore ensure a perfect bite. Their ideal thickness makes them wear- and perforation-resistant. They allow an adequate placement of space maintainers.

The crowns come pre-trimmed and crimped. The gingival margin and the lateral areas have been designed to be soft and adaptable for easy additional trimming and crimping.

The Pedro Crowns are available either as introductory kit or complete solution in conventional refillable boxes. As instruments for the restoration of primary molars, Hu-Friedy has also special contouring pliers as well as straight and curved scissors in the product portfolio.

ADVERTORIAL

DNA

digital media platform

As part of our efforts to reach out to a wider audience of dental professionals in the region, we are happy to announce the launch of Dental Network Asia (DNA) website.

Dental Network Asia is an online regional network for dental professionals developed by Dental Practice News magazine. Since its inception in June 2012, Dental Network Asia has grown to an extensive network with over 30,000 online users from around the region.

Our online network includes Singapore, Malaysia, Thailand, Indonesia, Philippines, Vietnam, Cambodia, Hong Kong, Taiwan and India.

Asia is one of the fastest growing regions in global dental industry now. And many dental professionals in the region use the online media for their communication and social needs.

Our online and digital media platform is extensively and easily accessible by our readers and users even in the remote places of the region.

The key digital media platform under Dental Network Asia includes: 1. Dental Practice News e-edition 2. DNA e-newsletter 3. The Leading Dentist page These products are all available online free-of-charge for dental professionals.

Readers may join our dental network now with free membership in order to receive the free dental publications.

To join Dental Network Asia as members or request for free e-editions of our dental publications, please e-mail to: dentalnetworkasia@gmail.com Dental Network Asia is owned and managed by DPN Communications Pte Ltd, publisher of Dental Practice News magazine.

For more info about the DNA digital media platform, please visit the web page: http://dentalnetwork.sharepoint.com

DPN35

special report

1st AsiAn symposium

12

on AdvAnced GenerAl dentistry

For the first time in Asia, the college of General dental Practitioners (cGdP) and the society for Japan clinical dentistry (sJcd) jointly staged the Asian symposium on Advanced General dentistry at the Marina Bay sands convention centre, singapore on 5 May 2013. the one-day symposium featured a strong line-up of eminent speakers that attracted over 120 participants from around the region. the conference aims to provide a platform to share advancements in clinical practice as well as technological applications in dentistry.

Among the key speakers at the symposium were drs nobuya Kitahara, yumiko Amakawa and Masashi Miyazaki from Japan, and yue Weng cheu and ronnie yap from singapore. dr yumiko Amakawa commented that as a private practitioner she was happy to share her clinical experiences with the Asian audience. “it’s a very good experience for me to give a lecture in english, as i’d like to share about my practice to the singapore and Asian dentists,” said dr Amakawa. “i think singapore is a very good hub for medical and dental healthcare. i hope that more Asian dentists and dental professionals can come together and share their knowledge in this kind of conference. i think that dentistry has a bright future in the region,” she added. dr Masashi Miyazaki, Professor and chairperson of department of operative dentistry at the nihon University school of dentistry, Japan, said the conference provided an opportunity for Japanese speakers to come to singapore to give lectures on dentistry. “i think this is a good idea – i want to thank the cGdP and sJcd for making this happen. Many Japanese dentists want to know about the developments in

Dr Nobuya Kitahara (left) with Dr T.C. Phua

Dr Masashi Miyazaki

Dr Yue Weng Cheu

Dr Tith Hongyeou

Dr Yumiko Amakawa (left) with Dr Motoka Tonegawa

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CGDP organizing committee

dentistry in the region including singapore – so this conference helps us to better understand the developments,� said dr Miyazaki.

Both cGdP and sJcd have long been at the forefront of dentistry dedicated to the advancement of clinical dental practice for general dental practitioners in singapore and Japan respectively. the organizers hope that this symposium will be a launch pad for future editions of joint conferences in the Asian region.

Founded in the 1980s, sJcd has developed into a premier dental organization with membership of 1,800 comprising of dentists, hygienists and dental technicians in Japan. cGdP, on the other hand, was founded in 1999 with the aim of promoting continuing education and representing the general dentists’ cause in singapore.

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Trending

CompuTerized proCedures offerpaTienTs

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BenefiTs

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Computer-aided design, computer-controlled manufacturing, digital processes – most people are already familiar with these concepts through their application in the production of high-quality products in modern industries.

However, they also play a key role in the dental sector. in fact, these technologies now offer dental patients a virtually unprecedented opportunity to directly see and experience the benefits of engineering expertise and medical advancements. patients’ wishes are the source of new treatment techniques. This was very much on display at the recent international dental show (ids), whose highlights included a new face scanner that probes the surface of a patient’s face during an x-ray procedure, and does this without using any lasers.

The scanner immediately produces a virtual mirror image. This is important because most patients have trouble understanding x-ray images, but dentists can use the image generated by the new scanner to explain the problem and the best way to treat it.

What’s more, the image can be altered to look like the result of any one of a number of treatment options. This means patients can play a more active role in treatment decisions.

This principle of “planning the desired result” is increasingly becoming a part of all dental procedures and dental technical laboratory processes. experts actually refer to it as “backward planning” and by nature, the more complex the medical procedures it’s used with, the greater will be the benefits it offers.

Take dental implants, for example, the treatment result for which is defined in the consultation. dentists and dental technicians can now work with data from two and three-dimensional X-ray images recorded using computer tomography and facial scanners, as well as with those produced by classic or – more and more frequently – digital dental impressions. in some cases, different data sets are superimposed over one another.

This makes it possible, for example, to create digital and therefore very precise drilling templates that ensure dental implants will ultimately be placed in exactly the right position and at precisely the right angle. any crowns or bridges subsequently added will also end up in an optimal position. The transition from gum to “new tooth” can thus be designed in a natural manner.

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Computer-aided design/manufacturing (Cad/Cam) is, of course, increasingly being used for the production of bridges and crowns as well. a lot is going on in this field because over the last ten years especially, many companies have discovered these techniques’ potential for use in dentistry and learned how they can be optimized for such use. as a result, a type of critical mass has now been achieved. previously closed systems (materials, software and processing) are now opening up and becoming more and more capable of being networked with other components.

This, in turn, has led to the creation of various options for producing crowns, bridges, either directly in a dental practice (chairside), in a practice’s in-house laboratory (labside), at a partner laboratory or manufacturing center, or at an industrial network service provider (outsourcing). decisions are based on the specific case in question. digital technologies such as oral scanners are now being used more frequently

Trending

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“new materials are now often developed with a view toward their suitability for use with digital applications.”

at removing plaque between teeth, and new types of tooth creams that protect gums.

Household methods for optimal prevention of tooth and gum damage can be supplemented by professional techniques at the dentist’s practice, where they are increasingly being supported by machines. Care for seniors is particularly important here because elderly patients are often immobile or bedridden and therefore need to be cared for at home, which is where mobile dentist practices come in. dentists and patients are grateful for any reduction in cables and wires in this context. one item that meets this wish is a new handpiece that can be operated much like a cell phone, and makes a small but effective contribution to preventing the diseases of the mouth that a growing number of patients now suffer from. in other words, dentistry is becoming more personalized in many ways through the development of solutions for specific patient groups and, more importantly, for individuals. making the leap from scientific theory to dental practice is one of the most difficult challenges many dentistry students face. now, however, there’s a new robot that can help them. pilots first learn to fly on a simulator, so why shouldn’t up-andcoming dentists learn the skills they need on a simulated patient? in this case, the patient is a pleasantlooking “female” who responds to touch and even winces when it experiences pain. it also responds when asked‚ “where does it hurt?” This almost humanlike robot can even be programmed to experience different degrees of “pain” sensitivity. Source: IDS

as an alternative to analogue impressions for patient diagnoses. This eliminates the need for patients to bite into an elastomer mass, which many people find to be an uncomfortable procedure. sophisticated technologies here make the patient’s experience particularly clear and understandable. in addition, new materials are now often developed with a view toward their suitability for use with digital applications. several of the ceramic materials presented at ids come very close to achieving the texture of tooth tissue. other new developments display outstanding aesthetic properties by automatically blending in with neighboring teeth (chameleon effect).

The targeted reinforcement of base materials is also improving the ability of the dental industry to reconcile translucence with firmness and stability, which is very difficult from an engineering point of view. even temporary crowns and bridges, such as those used for a few months while patients recover from implant procedures, can be given a very attractive appearance today, thanks to nuanced five-tone internal coatings and Cam- milled plastics. after all, patients want to be able to “show themselves in public” even when they’re wearing temporary dental replacements. under certain circumstances, high-performance plastics could increasingly be used as crown and bridge materials in place of traditional gold material, alloys made of nonprecious metals, and ceramics. That’s the situation with crowns and bridges. as far as molars are concerned, other plastics are now available whose innovative glass-fiber reinforcement makes them suitable for use as unbreakable large fillings for back teeth, and at affordable price for patients.

Modern prevention measures Various companies now offer dentists digital cavity-diagnosis imaging systems that can help prevent extensive tooth damage. one of the most frequently questions asked in this regard is whether modern alternatives (for example fluorescence, fiber-optic transillumination) have now eliminated the need for x-rays, thereby making it possible to minimize patient exposure to radiation. a new laser-based device is bringing the dental industry a step closer to this goal. among other things, the trick here involves using wavelengths in the near-infrared (nir) region. innovative laser procedures are also now being used for other types of preventive care. one technique helps fight gum infections, albeit indirectly, by using the lasers to activate a coloring agent (indocyanine green) that docks onto the bacteria cells that cause infections. The agent reduces the number of such cells, all without any side effects or discolorations. also quite effective are household prevention techniques that have been further developed. examples here include new electric toothbrush attachments that are better

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CaseReport

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esTheTiC resToraTions

via MiniMally invasive approaCh MiniMally invasive reMoval of healThy TooTh sTruCTure plays a CenTral role in esTheTiCally MoTivaTed TreaTMenTs. several oTher faCTors should also be Considered in The seleCTion of an appropriaTe TreaTMenT opTion.

AuthoRs:

DR RobeRto YoshiDA, LonDRinA, AnD MARcos ceLestRino, são PAuLo/bRAziL

Metal-free restorations have become well established in esthetic restorative dentistry. The clinical application possibilities enable users to select from a vast array of treatment options.

The indication at hand should be carefully assessed to achieve a restoration that optimally meets the given esthetic and functional requirements. Minimally invasive and in some cases even preparation-free restorations have become feasible due to the advances in adhesive techniques and the relevant materials.

Patient case – initial situation a 31-year-old male patient requested an esthetic improvement of the anterior region (fig. 1). a clinical examination showed the following situation: large anterior diastema; intact teeth 13, 12, 21, 22 and 23; small restoration (distal Class iv cavity) on tooth 11; wear, possibly induced by bruxism, on teeth 11, 12 and 22; an even occlusion in the posterior region and a healthy periodontium. The general medical history of the patient did not reveal any indications hinting at symptoms or complaints related to the occlusion or temporomandibular dysfunction (TMd). treatment options a few years ago, a metal-ceramic restoration would have been the treatment of choice in a case like this. however, this option is frequently rejected nowadays, because it involves the removal of a large amount of healthy tooth structure and numerous treatment steps – an approach that many dentists would now regard as outdated for the present case.

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Metal-free crowns may present an alternative treatment option. from today’s perspective, however, this option may not always sufficiently prevent the loss of healthy tooth structure. Closing the gap with conventional ceramic veneers necessitates an invasive preparation method. if this treatment option is selected, the tooth is provided with a small cervical shoulder on the basis of a diagnostic wax-up. additionally, approx. 2mm of tooth structure is removed in the incisal region and the vestibular area is also slightly reduced.

Whilst, without doubt, this presents a viable treatment option, some dentists feel that this preparation method is not conservative enough.

The issues surrounding the removal of healthy tooth structure can be avoided by using non-preparation ceramic veneers, which do not require any reduction of tooth structure. Conservative though it may be, this treatment option entails some limitations mainly related to esthetics and the working procedure in the dental laboratory. although correcting a diastema seemed to be a straightforward matter at first, a closer look made it clear that diverse treatment possibilities were available and the treatment gave rise to a few questions: • Will it be possible to completely close the gap between the teeth? • Will an appropriate emergence profile be achieved in the interproximal region?

3

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4 5

• Will unsightly “black holes” remain visible in the interdental space?

• Will the interdental papillae be present at the end of the treatment?

6

When selecting a treatment option, we aim for the best possible esthetic outcome involving the smallest possible amount of tooth structure removal – in other words we aim to achieve the best possible solution.

With this goal in mind, we decided to use ceramic veneers for the treatment of the present case. in doing so, we wanted to apply a preparation technique that, from our point of view, involved the least possible removal of tooth structure by not preparing a cervical shoulder and by reducing the incisal, vestibular and proximal surfaces only minimally.

This preparation served one purpose only: to provide appropriate guide surfaces for the veneers and to achieve ideal conditions for the dental technician to create true- tonature restorations. treatment Taking an initial impression using an addition-reaction silicone (virtual) is indispensable for accurate treatment planning, the fabrication of a diagnostic wax-up and implementation of preliminary treatment steps. a diagnostic wax-up was created in the dental lab and then used as a basis to create a mock-up (systemp.c&b ii) with the help of a silicone key.

This enabled us to visualize the result and the proportions of the teeth, contoured in wax, in the oral cavity. The treatment plan was successful: the size and shape created a harmonious and natural-looking overall impression (fig. 2).

The silicone key of the diagnostic wax-up was also useful

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as a reference in the preparation: first the incisal surface was reduced by approx. 1mm. The silicone key showed that some portions of the incisal areas only needed to be smoothed out as they already offered enough space (fig. 3). next, the proximal areas were slightly reduced with the aim to create a guide surface for the veneers. This reduction should cause the proximal margins to be positioned slightly towards the vestibular.

The vestibular preparation involved only the reduction of the ridge between the proximal and vestibular surface (fig.

4) and the reduction of the vestibular area to allow for the contouring of the veneer (fig. 5). finally, the preparation was finished with grinding discs at reduced rpm. The preparation result was then checked with the silicone key to ensure that a sufficient amount of tooth structure had been removed for the design of the veneers (fig. 6). for the working procedure in the laboratory, an impression was taken using an addition-reaction silicone (virtual) and the double-cord technique (fig. 7).

Fabrication and seating The ips e.max system was employed to fabricate the veneers. after thin ceramic veneers had been created using the press technique (ips e.max press hT ingot), they were carefully individualized (layering technique, ips e.max Ceram).

The technician’s extensive technical expertise and skills were paramount to achieve this task due to the limited amount of space available (fig. 8 and 9). at the try-in, the accuracy of fit, shape and shade were checked and the design was evaluated to ensure that it was well adjusted.

9

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22

1

initial situation – the patient requests a correction of the diastema.

2

Mock-up made of systemp.c&b ii in shade a1

3

Checking the incisal reduction by means of a silicone key

4

preparing the vestibular surface and smoothing out the ridge that developed in the course of reducing the proximal surface

5

Checking the vestibular reduction…

6

… and the space available in the proximal and incisal area using the silicone key

7

impression-taking with an addition silicone using the double-cord technique

8

Customization (careful veneering) using the layering technique

9

Completed ips e.max press veneers

10

Conditioning the tooth surface with 37% phosphoric acid for 30 seconds

11

applying exciTe f adhesive

12

seating the veneer on tooth 21

13

removing surplus composite material

14

removing the retraction cord

15

an esthetic and lifelike result – the diastema has been successfully closed.

10 11

12

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The shade “Transparent� was selected from the Variolink n range of adhesive luting composites. Try-in and shade determination were performed using the variolink n Try-in pastes in various shades. before cementation, the tooth surface was conditioned with 37% phosphoric acid for 30 seconds, followed by rinsing with water, drying with air and application of exciTe f adhesive. The adhesive was dispersed to a thin layer and cured with light (fig. 10 and 11).

Meanwhile, the veneers were pre-treated with 5% hydrofluoric acid for 20 seconds, rinsed with water, dried and silanized with Monobond n. for cementation, variolink n adhesive luting composite was used.

The veneers were placed in situ one by one (fig. 12) and secured with the light from a bluephase 20i curing device. it is advisable to cover the restoration margins with a glycerine gel or airblock to avoid the formation of an oxygen inhibition layer. finally, excess composite material and the retraction cords were removed (fig. 13 and 14), the occlusion and articulation were adjusted and the restorations finished using optrafine ceramic polishers. conclusion Correcting the diastema with minimal removal of tooth structure has proved to be a successful approach (fig. 15).

Currently, advanced metal-free ceramic systems present to us the best choice for esthetic dental treatments because they offer ideal esthetic results, durability and functionality.

15

23

13 14

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Feature

24

ivoClar vivadent Collaborates

with Camlog

For high-end CeramiCs and Composite materials

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Feature

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ivoClar vivadent has entered into a Collaboration agreement with Camlog under the authorized milling partner program. this Collaboration is an opportunity For dental laboratories to Capitalize on the strengths oF both Companies. ivoClar vivadent is a leading Company in esthetiC prosthetiC solutions while Camlog is a leading supplier oF implant systems. the collaboration between ivoclar vivadent and Camlog revolves around the processing and marketing of high-end ceramics and composite materials. the partnership enables Camlog to add the innovative materials of ivoclar vivadent to the newly established division for digital prosthetics, dedicam. “the collaboration with Camlog presents an ideal combination of know-how in implant dentistry and restorative dentistry to provide comprehensive solutions in the digital process chain,” says robert ganley, Ceo of ivoclar vivadent.

Integrated range of systems and products this collaboration will allow Camlog to optimally integrate the all-ceramic materials of ivoclar vivadent, such as the patented lithium disilicate glass-ceramic ips e.max Cad and ips empress Cad, into its range of services. in addition, Camlog will be able to take advantage of the high-quality telio Cad composite material for the manufacture of a wide range of temporary restorations. the new collaboration will bring several advantages to Camlog customers. with the dedicam portfolio, they will be able to obtain restorations made of ivoclar vivadent materials that fulfil high quality standards.

Furthermore, ivoclar vivadent offers a comprehensive range of veneering and luting materials. these materials are utilized to complete dedicam manufactured restorations in the laboratory and to insert them in the dental practice. the result is outstanding quality, ensuring long-lasting success and satisfied patients, according to ivoclar vivadent.

Camlog Camlog is one of the leading suppliers of integrated systems and products for implant dentistry and restorative dentistry. many years of experience in research and development, high quality standards and the know-how of internationally renowned experts in research, manufacturing and marketing have played a major part in the company’s success on the dental market. Camlog’s products lead the way in terms

of ease of use and quality and its services are fully customized to meet the needs of its customers and business partners. dedicam completes the product range in digital prosthetics. the company’s offering extends from implant superstructures through individual abutments to single-tooth and bridge restorations, all manufactured using highend materials.

Authorized Milling Partner program the authorized milling partner program has been growing successfully since its launch in march 2011. national and international milling centres have joined the collaboration. ivoclar vivadent supports the members of the partnership program with guidance on the successful use of its Cad/Cam materials.

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Feature

MITSuI CHeMICalS TaKe oveR HeRaeuS KulzeR DenTal BuSIneSS The Japanese company Mitsui Chemicals, Inc. (MCI) has taken over the dental division of the Hanau/Germany-based precious metal and technology company Heraeus.

The transaction has yet to be approved by the German Trade authorities. MCI will keep its current structures.

Heraeus Kulzer management believes the new umbrella will provide excellent opportunities for consolidating its leading position in the dental market.

The decision by Heraeus Holding to sell has been brought about by the fundamental changes occurring in the dental market and its divergence from its other business sectors.

Future owner is the Japanese company Mitsui Chemicals Inc (MCI) Tokyo, which was established in the 19th century. Today, MCI is an internationally listed chemicals company with 13,000 employees worldwide. It focuses mainly on the manufacture and sales of petrochemicals and inorganic chemical products.

MCI will take over the entire dental division with its 1,400 employees in 20 locations around the world. The company will continue to be called Heraeus Kulzer.

The current management will remain unchanged and business will still be conducted from Hanau. Heraeus Kulzer has a steady and profitable growth and is the German market leader for laboratory materials.

MCI supports the changes introduced in 2012 and the re-orientation to the divisions Dental Materials and Digital Services.

Continuing development under a new roof MCI has increased its interest in the emerging healthcare market. By acquiring the company, it is expanding into the international market whereby Heraeus’ dental division takes an important role.

Jan Rinnert, the responsible board member for Heraeus Kulzer at the Heraeus Holding, explained: “We see excellent opportunities in this new constellation for the further long term development of the company. This was the deciding factor for our decision to sell.”

26

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Feature

Dr Martin Haase, who will continue to head Heraeus Kulzer as Managing Director, views the change in ownership with optimism. He said: “Mitsui is strengthening its position outside Japan. It’s about the long-term commitment of a successful industrialist. Heraeus Kulzer will play a key role in Mitsui’s expanding business concept, which is aimed at growth. This therefore provides us with good long-term growth opportunities.”

MCI is already active in the dental market through its shares in two regional manufacturers, Sun Medical and Shofu.

Jörg Scheffler, Country Manager Germany Heraeus Kulzer sees new opportunities under the MCI umbrella. He said: “Particular synergies are MCI’s strong research and development departments. The expected innovations will improve our long-term potential for growth.

“The heart of the Heraeus Kulzer family will still remain in Germany and Heraeus Kulzer GmbH will still be based in Hanau. There are also no plans to transfer production to Japan.”

In addition, the company notes that nothing will change for Heraeus Kulzer

customers. “Heraeus Kulzer GmbH will continue to be still be contract partner. our cooperative partnerships with dentists, laboratories and the dental trade will not change,” said Scheffler. “our customers will still be talking to the same contact person. our quality dental materials and digital services will still be available and unchanged.

“Growth prospects in the digital sector, in particular, are promising as well as with our teeth, the pharmaceutical products or restorative materials and precious metal scrap. our main focus will still be on customer orientation, reliability and service,” said Scheffler.

oliver Stoffel of Heraeus Kulzer

27

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UPDATE

28

Ivoclar vIvadent

POSTED HIGHER SALES REVENUES

Ivoclar Vivadent has completed the business year 2012 with a sales increase of 4 per cent. The product segments of all-ceramics, equipment and luting materials were the main forces driving this growth.

The global sales revenues of Ivoclar Vivadent AG amounted to CHF658 million in 2012, which represents an increase of 4 per cent compared to the previous year.

In 2012, particularly markets in the Middle East and Asia showed an exceptional sales growth of 10 per cent and 9.5 per cent, respectively. In North America, sales revenues increased by around 8 per cent.

However, even though individual European markets demonstrated a positive growth, the total result in Europe was burdened with the negative developments in some Southern European dental markets. As a result, an overall sales decline of 1 per cent was recorded in Europe. Furthermore, sales decreased by 4 per cent in Latin America – which was, however, due to the discontinuation of a trade product.

All-ceramics represented once again the fastest growing product segment in 2012. The all-ceramics product IPS e.max, for example, demonstrated a strong, double-digit growth. Similarly, sales in clinical equipment and luting materials reached a double-digit increase.

“We are offering an extensive and innovative product portfolio which makes us well prepared for the shift towards new technologies, new work procedures, new materials and changing patient requirements,” says Robert Ganley, CEO of Ivoclar Vivadent AG. Ivoclar Vivadent plans to further strengthen its leading position in innovative

materials and systems within esthetic dentistry. “For 2013, we will further strengthen our position in all-ceramics, luting and filling materials through new product innovations. Wieland Dental will be integrated with a focus on growth.”

Ivoclar Vivadent will also continue its rapid expansion overseas. For example, new marketing and sales offices are planned in the Netherlands and the Ukraine.

The marketing and sales office in Russia will become a subsidiary and move into a new facility and the manufacturing plants in Vorarlberg, Austria, while New Jersey, US will be expanded. In addition, the company will make further investments in the international sales infrastructure.

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UPDATE

PREVENT FACIAL INJURIES WITH SIMPLE SAFETy PRECAUTIONS The Academy for Sports Dentistry (ASD), the American Academy of Pediatric Dentistry (AAPD), the American Association of Oral and Maxillofacial Surgeons (AAOMS), the American Association of Orthodontists (AAO), and the American Dental Association (ADA) are teaming up to remind parents, coaches and athletes to play it safe as they prepare to suit up for recreational and organized sports.

The mouth and face of a child or young adult can be easily injured if the proper precautions are not used while participating in sports or recreational activities. In fact, according to the US Centers for Disease Control and Prevention, more than half of the 7 million sports- and recreation-related injuries that occur each year are sustained by children as young as 5 years old.

Last year, the National youth Sports Safety Foundation forecasted that more than 3 million teeth would be knocked out in youth sporting events. They also reported that athletes who don’t wear mouth guards are 60 times more likely to damage their teeth. yet, in a survey commissioned by the AAO, 67 per cent of parents admitted that their children do not wear a mouth guard during organized sports. This raises a question: if mouth guards offer a simple and relatively inexpensive solution to help dramatically decrease the risk of oral injuries, why aren’t more kids wearing them?

The AAO survey found that 84 per cent of children do not wear mouth guards while playing organized sports because they are not required to wear them, even though they may be required to wear other protective materials, such as helmets and shoulder pads. Mouth guards can be one of the least expensive pieces of protective equipment available.

Not only do mouth guards save teeth, they help protect jaws.

An effective mouth guard holds teeth in place, resists tearing and allows for normal speech and breathing. It should cover the teeth and, depending on the patient’s bite, also the gums. A properly fitted mouth guard can prevent many accidents and traumatic injuries.

The dental experts at the ASD, AAPD, AAOMS, AAO and ADA urge athletes, parents/caregivers and coaches to be proactive and stay safe on the field.

The dental experts offer these important tips: • Wear a mouth guard when playing contact sports. Mouth guards can help prevent injury to a person’s jaw, mouth and teeth and they are significantly less expensive than the cost to repair an injury. Dentists and dental specialists can make customized mouth guards, which provide the best fit.

Other less-expensive options are the boil and bite mouthguards, which are softened in boiling water to fit the mouth, and stock mouth guards, which are ready-to-wear but often don’t fit well.

• Wear a helmet. Helmets absorb the energy of an impact and help prevent damage to the head.

• Wear protective eyewear. Eyes are extremely vulnerable to damage, especially when playing sports.

• Wear a face shield to avoid damage to the delicate bones around the eyes, nose and jaw. Hockey pucks, basketballs and racquetballs can cause severe facial damage at any age.

29

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UPDATE

30

Adult dentAl Visits declined, children’s increAsed in recent YeArs Adults’ dental visits have declined while children’s increased during the period between 2000 and 2010, according to new research briefs released by the American Dental Association’s Health Policy Resources Center (HPRC).

Surprisingly, the trend in reduced adult utilization predates the economic downturn that began in 2007.

The dental utilization gap between high-income and low-income adults grew across the country, while the gap between high-income and low-income children shrank, which the authors of the analysis attribute to greater efforts by states to improve dental coverage for all children.

“The improvement in dental care utilization among low-income children during the past decade – in almost every state – is definitely a cause for celebration,” wrote Dr Marko Vujicic, Ph.D., managing vice president of the HPRC and lead author of the briefs.

“Challenges remain, however, and it remains to be seen if the progress is sustained or stalls. Where our analysis ought to raise concern is with the downward trend in dental care utilization among low-income adults.”

From 2000 to 2010 dental care utilization among low-income children increased in 47 states. The authors cite such factors as improvements in some states’ Medicaid programs, which result in increased dentist participation, the reauthorization of the Children’s Health Insurance Program (CHIP), and expansion of other the dental safety net programs targeting children.

Only two states – Massachusetts and Virginia – experienced statistically significant increases in utilization for both low-income adults and children.

“It’s natural to expect that fewer adults would seek non-emergency dental care in this economic climate,” said ADA President Dr Robert A. Faiella.

“But the fact that this trend began prior to the downturn in the economy is disturbing. This should be a wakeup call to anyone who doubts what we have been saying for years: millions of Americans aren’t getting the dental care they need, and many are suffering with untreated disease that affects their overall health.”

In breaking down the numbers, the HPRC concluded that the percentage of adults who reported going to the dentist in the prior year has been declining since before the economic downturn, dropping from a peak of 41 percent in 2003 to 37 percent in 2010. Adults in the 35-49 age group experienced the largest decline in utilization, dropping from 43 per cent in 2003 to 38 per cent in 2010.

In terms of household income, adult dental care utilization declined across the entire spectrum during the 2000s but was most pronounced among lower income adults.

For middle-income adults, utilization declined from 38 per cent in 2003 to 34 per cent in 2010. Utilization among higher income adults decreased from 54 per cent to 51 per cent.

“Three things need to happen in order to see real improvements,” said Dr Faiella.

“Obviously we need to deliver care now to those already suffering with disease. But merely intervening in disease that has already occurred is a losing battle. Ultimately, people need to be in a continuum of preventive care, and they need the knowledge – oral health literacy – that empowers them to become stewards of their own oral health.”

ADVERTORIAL

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The Leading Dentist is the leading community page for dental professionals in Asia with over 20,000 users who follow the page on Facebook. The online page provides updates on trends and developments in global dentistry, as well as networking and lifestyle services for the community.

The online users come mainly from the Asia-Pacific region including key markets such as Singapore, Thailand, Indonesia, Malaysia, the Philippines and India.

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 strong focus on the fast-growing Asian markets.

The Leading Dentist mission: To build a leading online network for dental professionals in Asia.

The Leading Dentist page is also part of a regional alliance called Dental Network Asia – an online network for dental healthcare in Asia. The network currently has over 30,000 online users in the region and is poised for further growth in the future.

Many dentists and other dental professionals in Asia are now active on online social media such as Facebook. The Leading Dentist page is proud to be an early mover and now a leader in this media platform.

Join The Leading Dentist community page now! Log on to: www.facebook.com/TheLeadingDentist

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It’s your comfort: Automatic mixing with the Dynamix speed System warrants even more time savings due to high speed.

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UPDATE

34

Research Results Confirm

effectiVeness of fujiceM 2 With FujiCEM 2 dental specialist GC has further extended its leadership position in resin-reinforced glass ionomer cements.

The material is available as the first of its kind in a paste version and compared to its tried and trusted predecessor FujiCEM, it has also undergone further improvements in terms of its material properties. These are guaranteed by Force & Fusion Technology, which makes the fastening material act like a shock absorber and therefore provides better bonding under masticatory pressure.

At the recent IDS 2013 FujiCEM 2 was presented with the latest research findings. In contrast to conventional monomers, the self-adhesive and moisture-tolerant FujiCEM 2 works with flexible, highly cross-linked monomer compounds, which provide improved flexural strength, higher compressive strength and stronger adhesion overall.

The principle is based on Force & Fusion Technology, which combines two major innovations. Firstly, there are the aforementioned highly elastic and cross-linked monomer compounds, which make the material act like a shock absorber and withstand the stress of

occlusal loading more effectively (force).

Secondly, a modified surface structure, which provides an extremely strong bond between the glass particles and the plastic matrix (fusion).

Closely involved in the product development process of FujiCEM 2 was the dental biomaterials lab at Erlangen University Hospital. As part of the development process, the lab investigated the mechanical properties of FujiCEM 2 in comparison with its predecessor FujiCEM Automix and studied its adhesive properties (shear strength) on enamel and dentine.

With unchanged flexural strength, FujiCEM 2 demonstrated far greater flexibility (elasticity module 3.0 GPa) compared to FujiCEM Automix (elasticity module 4.3 GPa), which results in significantly improved fracture resistance.

Furthermore, shear bonding on bovine dentine even increased from 3.2 MPa (FujiCEM Automix) to 4.4 MPa for FujiCEM 2. The measurements and shear bond figures confirm the data reported in The Dental Advisor.

Like its predecessor, FujiCEM 2 is sold in a paste version as an automatic

cartridge system. This proven system can still have automix caps added to it, with which practitioners can accurately apply the material straight after mixing it in exact doses.

It is possible to remove excess cement effectively only a minute after insertion. In comparison with powder and liquid versions or capsule products, the procedure can be completed without producing significant excess material.

Other features that dentists appreciate are the material’s sustained release of fluoride and high sealing capability.

Since the launch of FujiCEM, demand for the glass ionomer fastening cement has grown steadily, according to GC. The development of FujiCEM 2 is the result of a whole decade of continuous improvements – with the impressive figure of more than 150 million cemented crowns worldwide.

FujiCEM 2 provides secure bonding of metal and plastic-based inlays, onlays, crowns and bridges and can be used to attach all-ceramic as well as oxideceramic restorations plus metal, ceramic and fiber posts.

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UPDATE

35

MERRy X-RAy TO distribute scAnner Planmed Oy, the Finnish manufacturer of the Planmed Verity Extremity Scanner, has signed an exclusive US nationwide distribution agreement with Merry X-Ray Corporation, the largest independent distributor of radiographic equipment in the US. Planmed Verity is designed to find subtle extremity fractures during the first visit to the clinic – the types of fractures that have most commonly been missed when using only 2D radiographs. It provides fast 3D imaging at the point of care.

It is intended for pre- and postoperative imaging. It uses a significantly lower dose of radiation than full-body CTs. Unlike any other 3D imaging device, Planmed Verity also allows for weight-bearing imaging of the extremities.

As a dedicated extremity scanner, Planmed Verity adapts to the patient with anatomy-specific imaging programs, movements, and trays. Easily adjustable, softsurfaced gantry and motorized positioning trays help in finding a comfortable position for various examination procedures.

The adjustable user interface and efficient all-in-one workflow are also designed to maximize the operator’s soothing presence for the patient.

“Planmed Verity is the first and only CT system on the market that can image seated, supine and standing patients. We are pleased that Merry X-Ray Corporation, with their nationwide distribution and comprehensive service network, will represent Planmed in the US,” says Vesa Mattila, Vice President of Planmed Oy.

FDI 2013 ISTANBUL

AbstrAct subMission breAks record FDI 2013 Istanbul has pulverized all records for abstract submission in more than 100 years of Annual World Dental Congresses.

This year’s total of 1,586 abstracts is three times higher than the previous record (511), established in 2012 in Hong Kong. Of the total, 1,087 are posters, 472 oral and 30 poster discussion abstracts.

Just under half (743) come from the congress host country, Turkey, with countries in the region such as Iran (87), Egypt (57) and FyR Macedonia (49) respectively in 2nd, 4th and 5th places.

Furthermore, this years’ congress has proved to have exceptional outreach, with a high number of abstracts from countries as far afield as India (62 abstracts), Malaysia (34), Japan (32) and Brazil (31).

“These are truly exceptional results,” said FDI President Dr Orlando Monteiro da Silva. “Congratulations are in order for everyone involved. I think we can look forward to a best-ever FDI congress in 2013.”

For 2013, FDI has extended its list of innovations to include hands-on sessions demonstrating specific dental techniques. In all, 29 hands-on-courses from a number of dental disciplines have been programmed, among them esthetics, implantology and restorative dentistry.

The aim is to provide hands-on-training in fields covered in specific theoretical

courses within the scientific program.

The hands-on courses add to the “Early Morning” and “Meet the Expert” sessions first introduced for the 2012 Annual Dental Congress in Hong Kong.

Says congress scientific committee Chair and FDI counsellor Prof Nermin yamalik: “‘Early Morning’ session focus on a specific aspect of dental practice: they remind us that dentistry is both a medical and business sector and practitioners require both areas of expertise. ‘Meet the Expert’ sessions provide a unique opportunity for congress-goers to question and interact with international experts.”

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DPN Network

36

InternatIonal Dental Show (IDS) 2013

1 2

3

CologNe, germaNy marCh 12-16, 2013

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DPN Network

37

razak ahmad (left), publisher of Dental Practice News (DPN) magazine with Prof Datuk Dr rani Samsudin, dean of College of Dentistry, University of Sharjah, United arab emirates

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DPN.Stats

38

Dental Expenditures Among adults 65 and older, real annual dental expenditures in the 2000s increased from US$655 to US$796 per person in the United States. For adults 21 to 64 in that same time period, the per-patient expense rose from US$557 to US$664. Average real per-patient dental expenditures rose from US$600 in 2000 to US$653 in 2010, according to HPRC (Health Policy Resources Center).

While there was an increase in individual dental spending among older patients, nationwide, the average remained flat. In 2011, national dental expenditure was US$108 billion, slightly up from US$107 billion in 2010 (in inflation-adjusted 2011 dollars). In 2011, dental expenditures accounted for 4 per cent of overall national health care spending, down from 4.5 per cent of national health expenditure in 2000.

SourcE: AmEricAn DEntAl ASSociAtion

0 - 20 21 - 64 65+

Annual real (2010 dollars) per patient dental expenditures by patients age, 2000 to 2010

DOLLARS

900 $796

800 700

$656

600

$655

500 400

$644

$603 $557

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

YEARS Source: mEDicAl ExpEnDiturE pAnEl SurvEy AHrQ. Note: incrEASES from 2000 to 2010 ArE StAtiSticAlly SignificAnt At tHE 1 pErcEnt lEvEl for tHE 21-64 AgE group AnD At tHE 5 pErcEnt lEvEl for tHE 65+ AgE group.

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DPN.Stats

39

Total number of countries (where visitors originate from):

149

2,058

Total number of exhibitors:

125,000 Total number of visitors:

iDS 2013

150,000m² Total exhibition space:

iDS 2013 in figures At the International Dental Show (IDS) 2013 a total of 2,058 companies from 56 countries occupied a gross exhibition space of 150,000 m².

Among the participants were 643 exhibitors from Germany and 1,347 exhibitors from abroad.

The proportion of visitors from abroad was 68 per cent. Including the estimates for the last day of the fair, around 125,000 trade visitors from 149 countries came to IDS; 48 per cent of them came from abroad.

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Patient Education

40

WoRd of MoutH StREngtHEnS oRal HEaltH More than 28 million people in the uK chose their current dentist through word of mouth, according to a new research. in a poll conducted by Bray leino, almost half of people questioned (44.7 per cent) used friends and family recommendations for choosing their current dentist, while only 7.5 per cent of people used the internet. almost two thirds (63.7 per cent) would rely on recommendations from friends and family to choose a new dentist. the trust people have in their dentist was also highlighted as the survey found that two in every three people (66.3 per cent) would prefer to see the same dentist every time they visit. to coincide with World oral Health day on 20 March, chief Executive of the British dental Health foundation, dr nigel carter, suggests the research points to a stepping stone for the public to improve their oral health. dr carter said: “World oral Health day is a really good opportunity to find a dentist.

Personal recommendations are a huge part of everyday society, from the restaurants we visit to the films we watch. the research shows this is the same for the dentists we use, which is very reassuring. “if trust underpins the reason behind our choice of dentist, it becomes easier for the dentist to openly discuss the full range of treatments with patients. Resources such as the foundation’s tell Me about leaflets which can also be accessed at the foundation’s website are a great way for dentists to back up their discussion with informed consent, giving the patient full control over their decision. “the research shows the most successful way of finding a dentist involves nothing more than a few conversations with friends. that element of trust people have in their dentist is reassuring, and could result in vast improvements in oral health over time. “the importance of finding a dentist and keeping up regular check-ups, as often as they recommend, cannot be understated. Barriers such as cost, fear and access really aren’t viable reasons for not finding a dentist. Prevention in the form of regular check-ups will ensure you don’t have to have expensive restorative treatment when something goes wrong. “the significant advances in technology give nervous patients the reassurance they seek when paying a visit to their dentist, perhaps for the first time in a long time. there are even practices that specialize in dealing with nervous patients, so there is nothing to fear.”

tony Reed, Executive director of the British dental trade association (Bdta) said: “new technologies have transformed the whole experience of visiting the dentist. there are now a wide range of largely non-invasive treatments including laser treatments, to target decay and disease, and digital scanning technology which allows dentists to make replacement teeth and crowns without taking silicon impressions. “dental treatments have advanced significantly helping to make a visit to the dentist a much more relaxed experience and encouraging more patients to take care of their oral health which, in turn, benefits their overall health. World oral Health day acts as a reminder of the importance of oral health and regular dental check-up.”

DPN35

SWEEt tREatS tuRn oRal HEaltH SouR Parents are putting the oral health of infants and young children in harm’s way by giving them ill-advised foods and drinks, a new report reveals. according to the diet and nutrition Survey of infants and Young children, two in every three (62 per cent) children aged 12-18 months had “sugar, preserves and confectionary” foods. the pattern of perilous goodies continued with drinks, as one in four (26 per cent) 12-18 month old infants also enjoyed fruit juice and soft drinks. as well as the number of infants and young children having sugary foods and drinks rising, the amount they were consuming also increased, causing concern for oral health charity the British dental Health foundation. the results present an obvious problem to the oral health of children, particularly if sugary foods and drinks are consumed too often. in fact, in 2003, approaching half of five-year-olds (41 per cent) had obvious tooth decay and by 2008 three out of ten (31 per cent) five-year-olds in England had decay. chief Executive of the British dental Health foundation, dr nigel carter, took the opportunity to remind parents about their role in the development of their child’s oral health. dr carter said: “the most important message to remember is it is not the amount of sugar children eat or drink, but the frequency of sugary foods and drinks in their diets. children aren’t born with a sweet tooth. it is acquired over time due to their dietary habits. “of real concern to the foundation is the potential for an erosion explosion in children’s teeth. fruit juices are becoming increasingly popular and the fruit content can make them seem like a good idea.

However, they contain very high levels of sugar and acid and so can do a lot of damage to the teeth. “if your child has a drink in between meals it is important to have only still water or milk instead of sugary drinks, which can cause decay. Savory foods such as cheese, pasta and vegetables are better than sweet foods. food that does not contain sugar is better for your baby’s teeth. ask your health visitor for more advice about a balanced diet for your baby. “at such a young age it is unrealistic to remove sweet foods and drinks altogether from a child’s diet. to combat this, it is important to try to keep their

Patient Education

41

consumption to mealtimes. Snacking is also allowed, but do bear in mind it is better for the child’s teeth and general health if they have three meals a day instead of 7 to 10 ‘snack attacks’, many of which will contain sugar. try to have no more than two snacks in addition to regular meals. “one of the foundation’s key messages is cut down on how often you have sugary foods and drinks, and combined with encouraging the children to visit their dentist regularly, as often as recommended and brushing their teeth for two minutes twice a day using a fluoride toothpaste, in this instance from two and a half years old and above, the child’s oral health will remain good as they grow older.” the survey, carried out on behalf of the department of Health and food Standards agency, provides detailed information on the food consumption, nutrient intakes and nutritional status of infants and young children aged 4 up to 18 months living in private households in the uK.

DPN35

Lifestyle

42

The ‘Phantom’ Returns to

Singapore

The world’s longest-running show on Broadway, THE PHANTOM OF THE OPERA, is returning to Singapore. The award-winning musical opens on 16 July 2013 for a limited season at The MasterCard Theatres at Marina Bay Sands.

Andrew Lloyd Webber’s critically acclaimed masterpiece is now enjoying its 27th year on the West End stage, and its 26th year on Broadway, and continues to play to full houses around the world. It has been seen by over 130 million people worldwide, in more than 27 countries, has grossed more than US$5.6 billion and has won over 50 major theatre awards.

Producer Kerry Comerford of The Really Useful Group said: “THE PHANTOM OF THE OPERA is an exceptionally unique musical for so many reasons, and sits in a class of its own. It has received incredible acclaim over the years, and to this day remains unrivalled by other musicals in its world-wide successes.”

“This touring production of THE PHANTOM OF THE OPERA is as fine as any version you might see on the West End or Broadway. It is the same exquisite design that the audience is familiar with, and we invest a great deal to ensure it is of the highest standards. Our stellar cast assembles the industry’s best performers, with members coming from leading entertainment destinations of the world; UK, USA, Europe, Australia and South Africa.”

The Chief Executive of Lunchbox Theatrical Productions, James Cundall, who is presenting THE PHANTOM OF THE OPERA in Singapore in conjunction with BASE Entertainment Asia, said: “It

is an enthralling show which epitomizes all that is great about musical theatre – an unbelievable score, a powerful story, lavish sets and costumes, and most importantly, an unforgettable experience.

THE PHANTOM OF THE OPERA is a worldwide sensation which will take Singapore audiences on a spectacular journey.”

THE PHANTOM OF THE OPERA tells the story of a disfigured musical genius known only as ‘The Phantom’ who haunts the depths of the Paris Opera House. Mesmerized by the talent and beauty of a young soprano – Christine, the Phantom lures her as his protégé and falls in love with her. Unaware of Christine’s love for Raoul, The Phantom’s obsession sets the scene for a dramatic turn of events where jealousy, madness and passions collide.

With 130 cast, crew and orchestra members and more than 230 costumes, THE PHANTOM OF THE OPERA contains some of Andrew Lloyd Webber’s

most famous music, including “The Phantom of the Opera”, “Music of the Night”, “Angel of Music” and “All I Ask of You”.

The romantic and much-loved musical has been honored with seven prestigious New York Tony Awards including Best Musical, seven Drama Desk Awards and three Olivier Awards.

Andrew Lloyd Webber’s musical is based upon the novel Le Fantome De L’Opera by Gaston Leroux. The original London production was produced by Cameron Mackintosh and The Really Useful Group.

THE PHANTOM OF THE OPERA is produced in Singapore by Lunchbox Theatrical Productions, David Atkins Enterprises, and Base Entertainment in association with The Really Useful Group.

For more information, visit www.marinabaysands.com.

DPN35

Lifestyle

43

secrets of the tomb For the first time in Southeast Asia, the secrets of the mysterious Egyptian burial practices and mummification process will be revealed in detail with the arrival of Mummy: Secrets of the Tomb exhibition at ArtScience Museum in Marina Bay Sands, Singapore.

Mummy: Secrets of the Tomb is an exhibition pairing mummies and artifacts culled from the extensive and famed Egyptian collection of the British Museum with an innovative 3D film experience. It will make its Singapore debut from 27 April 2013.

The centerpiece of Mummy: Secrets of the Tomb is Nesperennub, a temple priest who lived 3,000 years ago and died at about the age of 40. The mummy of Nesperennub is an integral part of the exhibition and will be prominently displayed.

Additionally, a groundbreaking 3D film capturing the “virtual unwrapping” of the Egyptian mummy will be displayed in concert with Nesperennub. Narrated by acclaimed actor Patrick Stewart, the film unveils the story of the priest’s life and death, complete with a digital reconstruction of his facial structure.

The mummy of Nesperennub remains in its original cartonnage coffin and has never been opened. The “virtual unwrapping” that is captured in stunning 3D is made possible thanks to cutting-edge scanning technology used in modern medicine.

As a result, there are more details now known about Nesperennub’s life and death, and images of him as he likely looked 3,000 years ago and in his current mummified state that are vivid and breathtaking. Most amazingly, these brilliant graphics and new data were retrieved without opening the coffin or disturbing the wrappings of Nesperennub.

Mummy: Secrets of the Tomb will showcase more than

100 stunning artifacts and six mummies in total. Included in the artifacts is a statuette of the Egyptian god Amun-Ra in bronze from 664-305 BC. This bronze statuette shows the god in human form, wearing his characteristic twin-feathered headdress.

Among the other mummies on display in the exhibition is the mummy of Tjayasetimu. A singer in the temple of Amun, Tjayasetimu died when she was still a child, around 800 BC. Her carefully embalmed body has been enclosed in a cartonnage case representing her with the golden face of a divine being, and with her hands, feet and arms partly freed from the traditional mummy wrappings.

Also present in the exhibition are mummies of animals, such as that of a kitten and an Ibis bird from the Roman Period (after 30 BC).

Mummy: Secrets of the Tomb will deliver a host of engaging and hands-on opportunities for visitors of all ages to enhance their exhibition experience. This includes an interactive Embalming Workshop which complements the exhibition’s detailed look at ancient Egyptian beliefs and practices related to the afterlife.

The workshop will shed light on the various steps and rituals that comprised the embalming, mummification, and cartonnage procedures of the time.

Visitors will also be able to take part in a specially designed exhibition quest through age-appropriate activity bags containing a host of engaging activities and tools directly related to the artifacts on display. Among these are jigsaw puzzles, creative games, and magnifying glasses to help young Egyptologists complete various challenges.

For more information, visit www.marinabaysands.com/ArtScienceMuseum.

DPN35

Dental Events

44

MEETINGS EXHIBITIONS WORKSHOPS

1st Asian Symposium on Advanced General Dentistry D At e: Ven u e:

OrG A n izer S:

WebS it e:

May 5, 2013 Marina Bay Sands Convention Centre, Singapore College of General Dental Practitioners Singapore (CGDP) and Society of Japan Clinical Dentistry (SJCD) www.cgdp.org.sg

ALD Laser Certification (LECTurES AND WorKSHoPS oN LASEr DENTISTry) DAte: July 6-7, 2013 Venue: Singapore (to be announced) OrGAnizer: College of General Dental Practitioners (CGDP) WebS ite: www.cdgp.org.sg

FDi Continuing education Program DAte:

35th Asia-Pacific Dental Congress D At e: Ven u e:

OrG A n izer :

WebS it e:

May 7-12, 2013 Kuala Lumpur Convention Centre, Malaysia Asia Pacific Dental Federation www.mda.org.my

iti Congress Southeast Asia D At e: t h eme:

Ven u e: OrG A n izer : WebS it e:

May 16-17, 2013 Achieving Esthetic Success in Implant Dentistry Bangkok, Thailand ITI www.iti.org

Venue: OrGAnizer: WebS ite:

hong Kong international Dental exhibition and Symposium (IN CoNJuNCTIoN WITH FDI CoNTINuING EDuCATIoN ProGrAM) DAte: August 9-11, 2013 Venue: Hong Kong WebS ite: www.fdiworldental.org

FDi World Dental Congress DAte: Venue: OrGAnizer:

SinO-Dental 2013 D At e: Ven u e:

OrG A n izer :

WebS it e:

August 1-2, 2013 Hanoi, Vietnam FDI World Dental Federation www.fdiworldental.org

WebS ite:

August 28-31, 2013 Istanbul, Turkey FDI World Dental Federation www.fdiworldental.org

FDi Continuing education Program DAte: Venue: OrGAnizerS :

WebSite:

November 16-17, 2013 Indonesia FDI World Dental Federation/Indonesian Dental Association www.fdiworldental.org

FDi Continuing education Program DAte: Venue:

OrGAnizer: WebSite:

November 23-24, 2013 Bandar Seri Begawan, Brunei FDI World Dental Federation www.fdiworldental.org

ADX14 Sydney DAte: Venue:

OrGAnizer:

WebSite:

March 21-23, 2014 Sydney Harbour Expo, Australia Australian Dental Industry Association (ADIA) www.adia.org.au

iDem Singapore DAte: Venue:

OrGAnizerS :

WebSite:

April 4-6, 2014 Suntec Singapore International Convention & Exhibition Centre Koelnmesse/Singapore Dental Association www.idem-singapore.com

June 9-12, 2013 China National Convention Center (CNCC), Beijing, China Chinese Stomatological Association http://cnc.sinodent.com.cn

n Ot e:

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

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