Dental Access January to March 2017 issue

Editorial Board Editor Dr Joerel Faith Yague

CONTENTS

Publisher Dr Armi Cabero Co-publisher Dr Harris Co

Business News

9

Dentsply Sirona train the Trainer Event for integrated solutions in Dentistry Science News

12

Smoking electronic cigarettes kills large number of mouth cells Clinical Article

19

ABC’S of Temporomandibular Disease by Dr. Sheila Ortega- Cobcobo What Went Wrong?

27

What is an ethical practice? by Dr Nelson de Castro Magnaye Products

36

Glass Ionomer Cement by MEDICEM

Managing Director Mr Medardo Chua Executive Assistant Ms Mary Ann Chan Business Development Manager Mr Kojih Lanot Project Manager Ms Michelle Chua Circulation Executive Dr Guenevere N. Uy - Tanchuanko Designers Mr Ace John Avila (Graphic Design) Mr Christian Nipa (Web Design) Advisory Board Members Dr Claver Acero Dr David Alesna Dr How Kim Chuan Dr Maridin Munda-Lacson Dr Ramonito Lee Dr Darwin Lim Dr Derek Mahony Prof Alexander Mersel Dr Johanna Rosette Po Dr Charlston Uy Contributors Dr Shiela Ortega Cobcobo Dr Nelson De Castro Magnate Dr Brian Esporlas Dr Rafael Juan Silva Dental Access is published 4 times in a year by ADJ Dental Access Publications. Its circulation reaches the three archipelagos of the Philippines mainly Luzon, Visayas and Mindanao. The collective efforts of our media and print platform will further extend in the Southeast Asia, Asia Paci c, and China.

We are working close with other international organizations in order to build strong ties that will make Dental Access a resource of information and international talent with its pool of competent an intelligent professionals.

ADJ Dental Access Publications Rm 505 Admiralty Building 1101 Alabang - Zapote Road Muntinlupa City 1770 www.identalaccess.com Tel: 02-8937837

1 • D ENT AL AC C E S S • J A NUAR Y - M AR CH 20 17

Editorial

Dental South Ad

How advanced technology can benefit the practice and work ethics Dr Joerel Faith Yague

O

ver the years, the advancements in dental technol-

ogy has made it possible for dental professionals to

provide better quality patient care. Treatments have become more comfortable, lasting and effective. Numerous trips to the office and longer time in the dental chair from multiple dental health care providers can now be done in appointment by a dental practitioner in a shortened period of time. Patient ease and comfort as well as positive results are seen with oral diseases becoming easier to detect. Surgical procedures are now becoming less invasive and healthier teeth and gums become easier to achieve. These changes have helped us give modern solutions and more treatment options to common dental concerns and traditional dental problems. This is great news because as dental professionals, improved oral health and patient convenience should be our top priority.

In terms of efficiency, dental practice management softwares have also emerged making communication easier with regards to patient treatment records as dental radiography, images and patient history are already stored digitally allowing information viewing accessible anytime and anywhere with just a few clicks on the browser. This also simplifies the review of the essential patient information with the addition of new files making patient records up-to-date.

Digital radiographs, offering less radiation dose for patient safety can now also be shown on computer screens while the dentists discuss the treatment plans for the problems in their dentition. CAD/CAM, short for Computer-assisted design/ Computer-assisted manufacture also helped translate long and multiple dental appointments for crowns and bridges into just a few visits with less chair time. All these have helped boost productivity in the office without compromising the quality of the dental work.

In addition to our continuing education, Webinars or web-based seminars, real-time and interactive online courses have proven to be an effective means of projecting messages to a large audience and in the recent years, Dentistry has adopted this technology as well. This has brought Dental

3 • D EN TA L A C C E S S • J ANUAR Y - M AR CH 20 17

Access, in partnership with MEDIX (a dental charting provider) to host one of the most innovative online learning for our dental professionals who seek quality continuing education minimizing the time and effort spent going to and from the seminar venues. Starting with Dr Kimberly Ray Fajardo as our first speaker, you can expect more webinars that will open up a whole new slew of dental intelligence from reliable and top notch speakers in the helm. Now, continuing education for our dental professionals in the country will be right at our fingertips and in the comforts of our own homes.

As we align our media platforms with the newer technologies at hand, we can be rest assured that our profession and the dental industry is moving forward to the digital age. With all these advantages for both the practice and the patients, it is indeed a must for dental practitioners to invest in these new technologies. It might seem risky at first in the financial aspect but through this, we can provide the highest standard of care and get the desired patient satisfaction, which can be so rewarding.

For more information on editorial matters, you may write to us at faith.yague@identalaccess.com Yours truly, Dr Joerel Faith Yague

About the Author Dr Joerel Faith Yague is a fresh graduate of Dental Medicine and currently practices in Tuguegarao City. She pursued her orthodontic training under the wing of Dr Maridin Munda - Lacson and is now the Editor of Dental Access. Both her parents are practicing dentists namely Dr Remedios Yague and Dr Johnny Lou Yague.

Local News by Dr Joerel Faith Yague

Local News

Kalookan City Dental Society fights back against Illegal Practice of Dentistry

PDA Positions 108th PDA Annual Convention in Global Platform

T

he Caloocan City Dental Society warms up this Christmas

Season with a campaign to fight the illegal practice of dentistry

adopting the slogan, “Stop illegal Practice of Dentistry”. Under the Republic Act 9484 Penal Revision of the Philippine Dental Association, any person or entity that enters into the practice of dentistry without having a license shall be imprisoned for a period of 2 - 5 years or pay a fine of PHP 200,000 - PHP 500,000 or both.

Through the support of Caloocan Mayor Oca Malapitan and the strong collaboration of the Calookan Dental Society President Dr Susan Icabandi along with the members, the first installment of the campaign kicked off last November 28, 2016 with a strong message that wards off the illegal practice in South Caloocan. The next installment of the campaign will be joined by PDHA President Dr Yoya Castillo - Tarriela and will commence in January 2017 in North Caloocan.

With this movement, it will help dental professionals promote an effective oral health awareness to the community through a safe and healthy dental service from bonafide dentists. It will also discourage illegal practices from the perpetrators and its patrons. DAC

GC Academy goes South Luzon in Batangas City

and Ordent Dental Trading. Master of Ceremony was played by Dr Peewee Ambida Alaba of Batangas City Dental Chapter. DAC

“C

ommitted to uplift the standard of the dental profession,

the Philippine Dental Association fully subscribe to the

fact that all effort directs a renewed individual commitment for change and it should bring each and every dentist to unite for progress to improve the quality of life of our people.”

Staying true to its mission of uniting dental professionals for the improvement of the quality of life of every Filipino, the Philippine Dental Association, with more than eleven thousand members nationwide, will be holding its 108th Annual Convention and Scientific Sessions on April 30 until May 5, 2017 at the SMX Convention Center at the Mall of Asia Complex in Pasay City.

A Pre-Convention Seminar is set on the 30th of April, while an Opening Ceremony to welcome the delegates is scheduled on the 2nd of May, with the theme “PDA: Challenging the Next Generation of Leaders”.

Chaired by Dr. Mark Villalobos, the 108th Annual Convention and Scientific Sessions promises to provide the delegates with timely and relevant topics from worldrenowned lecturers that can help uplift the Filipino dental practice. Dr. Stanley Malamed will be leading this list, the author of the textbooks “Handbook of Local Anesthesia” and “Sedation: A Guide to Patient Management”, among others. A wide array of dental trade exhibits as well as social activities were also prepared by the organizers including the launch of the 108th PDA Mobile App that will be sponsored

by Dental Access and MEDIX. The organizing committee will be headed by Dr. Mark Villalobos President-Elect of the Philippine Dental Association. Dr. Carlos Buendia will represent as Honorary Chairman and Dr. Maria Doreen Elefante-Ilustre as Over-all Deputy Chair. The other chairmen are Dr. Nathan Dacuan for the Opening Ceremonies, Dr. Michael Baybay for the Trade Exhibit, Dr. Maria Liza Centeno for the Scientific Sessions and Dr. Delia Leny Tumang for the Registration committee.Pre-registration will run from the 31st of January until the 28th of February, 2017. DAC

G

C Philippines, led Asia’s premier dental education program GC

Academy to a day of seminar and workshop at the F. Baylosis

Restaurant in Batangas City last November 4, 2016. A total of 75 dentists were treated to a bounty of new knowledge and techniques with three notable speakers Dr. Delfin Abadco, Dr. Marilou Sembrano and Dr.N oel Vallesteros in the reins.

Topics discussed were Five Composite Shades You Need to Achieve Highly Aesthetic Anterior Buildup by Dr. Delfin Abadco, Restoration of Endodontically Treated Teeth by Dr. Marilou Sembrano and Flouride Varnish and the Ten Commandments by Dr. Vallesteros.

Apart from the lectures, the attending dentists were also able to practice and hone their skills and dexterity through a hands-on workshop.

MI Varnish™, a new offering in the product line was introduced by GC Philippines.GC is one of the leading global dental manufacturers with products distributed world-wide.

This event was just among the many dental seminars they hold annually for GC Academy to help keep the Filipino dentists abreast with the latest innovations and technologies.

The successful affair was made possible through the combined efforts of the Batangas City Dental Chapter and GC Philippines in collaboration with Dental Access and MEDIX Digital Solutions. It was led

by Batangas City Dental Chapter President Dr. Noemi Bagon and GC Philippines Country Manager Dr. Lala Sanchez. Batangas City Dental Chapter President-elect Dr. Edna Bermas, Immediate Past President Dr. Josephine Arago, Past President and Vice President of Luzon Area Dr. Benilda Ambida, San Pablo City Dental Chapter President Dr. Aloha Señido and Past President Dr. Rico Calingasan were also there to grace the event. Also present were dental trade exhibitors namely Prosel, Exceldent 5 • D ENT A L A C C E S S • J ANUAR Y - M AR CH 20 17

Notice to the Public*

J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 6

Business News

Business News

Association of Orthodontists (Singapore) prepares for a bigger and better AOSC 2017

65 th Miss Universe Pageant crowns a dental student from France

E

xpect to see a bigger Association of Orthodontists (Singapore)

Congress (AOSC) from 24 – 26 February 2017.

Taking place in Marina Bay Sands, Singapore, the event is on track to becoming the biggest edition to date with a 15% increase in confirmed exhibitors and current registrations exceeding last editions recordbreaking participation numbers.

Sold out Exhibition Space leads to a more diverse range of products on display

30 exhibiting companies representing 77 brands will join visitors and delegates at AOSC 2017, marking a 15% increase in exhibitor numbers over the previous edition. Key manufacturers and distributors such as 3M, Dentsply Sirona and Eastland Dental Supplies as well as new companies to the dental market like Dental Monitoring are preparing to showcase a diverse range of products in the fields of CAD/CAM, X-ray imaging, dental monitoring and more. Live demonstrations as well as a Lunch Presentation are planned for visitors to gain more insights into the state of the current dental and orthodontic market.

Achieving Success and Overcoming Challenges in Orthodontics

T

he prestigious beauty pageant Miss

Universe crowns Miss France Iris Mit ten-

aere, 23 as the new Miss Universe 2016 held at the SM Arena, Pasay City, Philippines last January 20, 2016. Miss Iris Mittenaere, a 5th year dental student is the second Miss Universe from France after Christiane Martel who was crowned Miss Universe in 1953.

Judges of the pageant during the coronation night included personalities from publishing, hollywood celebrities and former Ms Universe winners.

• Cynthia Bailey – Actress, model, and The Real Housewives of Atlanta star • Mickey Boardman – Editorial director for Paper magazine • Francine LeFrak – Founder of nonprofit named Same Sky and theatrical, television, • Leila Lopes – Miss Universe 2011 from Angola • Sushmita Sen – Miss Universe 1994 from India • Dayanara Torres – Miss Universe 1993 from Puerto Rico

On the final program of the pageant, the winner for National Costume Show was awarded to Ms Myanmar, Htet Htet Htun. Her costume weighed 40 kilograms (88 lb) that featured the Shwedagon Pagoda and the Bagan temples that represents the princess of figures of Myanmar traditional puppetry.

Hosted by Steve Harvey, the Miss Universe pageant was concluded with mixed emotions and a cheerful crowd from the audience. The 65th Miss Universe was held at the SM Arena in Pasay City, Philippines with American model Ashley Graham who served as the backstage host.

7 • D ENT A L A C C E S S • J ANUAR Y - M AR CH 20 17

Organized by the Association of Orthodontists (Singapore), AOSC 2017 will host orthodontic experts such as Richard McLaughlin, Greg Huang, Park Young Guk and more at the three-day conference and pre- and postcongress day workshops in Singapore. “As an association, one of our aims is to help orthodontists from Singapore as well as the AsiaPacific gain access to the latest skills and research in their specialty field,” explained Dr. Geraldine Lee, President, Association of Orthodontists (Singapore), “We are positive we will not disappoint our fellow colleagues with a stellar speaker and lecture line-up for this edition’s AOSC.”

With sold out workshops and world class speakers, the scientific conference has proven to be a great draw with a growing number of attendees registering for the event. A significant increase of attendees have been seen from countries such as Malaysia, Vietnam and the Philippines.

“With the theme of ‘Achieving Success and Overcoming Challenges in Orthodontics’, this year’s conference program aims to help every orthodontist improve their daily practice by covering as many aspects of orthodontics as possible. We are grateful for the terrific response to this edition of AOSC so far and cannot wait to welcome everyone to Singapore in February,” said Dr. Mohan, Chairperson, Organizing Committee of the Association of Orthodontists (Singapore) Congress.

Networking Events at Full Capacity

Repeating the runaway success of last edition, both the Welcome Reception and the Gardens by the Bay Run for 2017 are already at full capacity. Held at two of Singapore’s iconic landmarks, namely the National Gallery and the Gardens by the Bay, both events will take delegates out of the convention center to get to know their peers while exploring Singapore. The Gardens by the Bay Run – an event unique to orthodontic conferences in Asia-Pacific – takes participants on a 2km run along Marina Bay and Gardens by the Bay before the conference.

Conference and Exhibition Tickets are still available. Registration for AOSC 2017 closes on 13 February 2017. Onsite registration will be available. To learn about the latest AOSC developments visit www.aoscongress.com.

J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 8

Business News

Business News

Dentsply Sirona train the Trainer Event for integrated solutions in Dentistry

3Shape Abutment Designer receives 510(k) clearance from FDA

M

any opinion leaders in the dental industry from India,

Ukraine, South Africa, Romania, Germany and Turkey

accepted the invitation from Dentsply Sirona to participate in the exclusive one-week Train-theTrainer event. For one week, Dentsply Sirona held presentations and workshops on integrated solutions that link products from different disciplines. Many lively and interesting discussions ensued. The participants experienced a varied, practical and exclusive program as well as entertaining evening events.

Michael Buzanich, Regional Sales Manager at Dentsply Sirona, and Wassilios Intzes, Sales Manager Imaging at Dentsply Sirona, enjoyed this opportunity to speak with experienced users: “Working together with experts is very important for us. It is the basis of our innovative strength and never fails to inspire us.”

added value for my patients, my employees and myself. And, of course, I appreciate the exchange of ideas with my colleagues at such events – that would be hard to implement in the daily practice routine,” said Dr. Sybrand van Reede van Oudtshoorn, dentist from Polokwane, South Africa, and participant in the Trainthe-Trainer event in Hamburg.

A look behind the scenes at the Bensheim production site In addition, a tour of the Bensheim production halls provided comprehensive insight into the company’s production and product portfolio.

“Seeing how the products are manufactured and holding the individual parts in your hand – that makes a big impression on visitors,” said Wassilios Intzes. That also applied to the demonstration of the SiroLaser Blue – the laser with the blue light covers many indications and can be used for surgery, periodontology, endodontics and soft laser therapy. Live demonstrations in clinics and practices

The participants traveled to Hamburg for the second part of the event. At Hamburg-Eppendorf University Medical Center, Dr. Christian Scheifele gave an overview of the 3D imaging processes used at the hospital. Participants could look over his shoulder as Dr. Günter Fritzsche, an experienced CEREC® user, fitted two patients with a CEREC Zirconia bridge and a Celtra® Duo partial crown in his practice in Hamburg. He demonstrated clearly how modern CAD/CAM technology makes it possible to complete patient treatment in a single visit.

As the world’s largest manufacturer of dental products and technologies, Dentsply Sirona has a brand portfolio that makes it possible to offer high-quality solutions across different disciplines. “I enjoy showing my colleagues how I use these well-planned processes every day to create

9 • D ENT A L A C C E S S • J ANUAR Y - M AR CH 20 17

T

he United States FDA has issued a 510(k) clearance for 3Shape

Abutment Designer, a functionality within 3Shape Dental System

CAD/CAM software.

The 510(k) clearance covers all implant cases being designed using 3Shape Dental System software. A 3Shape Abutment Designer and/or Implant Bridge and Bars license is needed to use the functionality.

“There has been considerable discussion within the U.S. dental lab industry regarding CAD/CAM in-house abutment design. We hope that the 510(K) issuance brings clarity to the conversation for 3Shape dental lab product users. Who, like 3Shape, have always considered patient safety most important,” says Flemming Thorup, president and CEO at 3Shape.

First stand-alone CAD/CAM software to be cleared

Experiencing the advantages of integrated processes live

The SICAT solutions were a comprehensive part of the program.

Sicat can be used to digitize processes and thus make treatment safer and more predictable. This includes, for example, the possibility of having surgical guides for implantation produced with 3D images and digital impressions. Additionally, Sicat Air allows a 3D analysis of the upper airways and gives the option to order therapeutic appliances for the treatment of obstructive sleep apnea (OSA) entirely digitally. The dentists showed great interest in endodontics – the functions of the 3D Endo software were demonstrated based on a clinical case. Detailed data from the Orthophos SL 3D allow treatment to be planned precisely using CBCTbased software for the first time. This gives practitioners even greater certainty and generates confidence in patients. A hands-on course in 3D Endo software completed the presentation and allowed the participants to experience first-hand the added value of this integrated workflow.

3Shape co-founder and CTO, Tais Clausen named one of the ten most influential people in dental technology

The FDA 510(k) clearance for 3Shape Abutment Designer is now unique in that it marks the first time a stand-alone CAD/CAM software receives clearance under the FDA’s new product code PNP – Abutment design software for dental laboratories.

Straumann is granted a controlling interest in Medentika

S

traumann has signed an agreement with the other shareholders of

Medentika to obtain a controlling interest in Medentika. At

the same time Straumann is acquiring Medentika’s share of their jointly-held distribution business in Germany, Medentika’s biggest market.

The two companies became partners three years ago, when Straumann purchased a 51% noncontrolling stake in Medentika. The original agreement foresaw Straumann gaining a controlling interest in November 2017 but the two companies have agreed to bring this forward in order to deepen their relationship and to add organizational clarity to their common activities.

With effect of 1 January 2017, Straumann will therefore fully consolidate Medentika’s financial statements and balance sheet. The ownership structure of Medentika – and Straumann’s stake – remain unchanged and the founding shareholders will continue to have an active role in the company.

The partnership between the two companies has been highly successful: through its Instradent platform, Straumann has assisted Medentika’s international expansion and has made a significant contribution to the company’s development and sustainable growth. For its part, Medentika has contributed significantly to Straumann’s strategic goals of providing comprehensive solutions to dental labs and becoming a global leader in the ‘value’ segment of the tooth-replacement market.

Implant library providers also need 510(k) clearance 3Shape Abutment Designer is part of 3Shape’s larger eco-system of CAD/ CAM dental design software. Implant libraries integrated with 3Shape software will need to apply individually to receive 510(k) clearance. In the United States, 3Shape Abutment Designer can only be used with libraries with documented 510(k) clearance.

I

nside Dental Technology (IDT) magazine names 3Shape co-

founder and CTO, Tais Clausen, one of the ten most influential

people in dental technology. Inside Dental Technology made the announcement in its August 2016 issue.

IDT states that Clausen joins two other honorees in being “three visionaries who have truly transformed the dental technology landscape. Each has innovated disruptive processes, technologies, or products that altered our profession.”

As 3Shape CTO, Clausen plays an essential role in developing the company’s ground-breaking scanning technology and software applications. He is a driving force, serving as both its strategic product development-leader as well as a hands-on engineer.

Recent disruptive 3Shape product launches like the D2000 lab scanner, that scans two dental models simultaneously, and the TRIOS intraoral scanner are considered category leaders by the dental industry. The D2000 lab scanner recently won a Red Dot Design Award. The TRIOS named the industry’s number one intraoral scanner by the Cellerant Best of Class awards.

As a thought-leader, Clausen regularly contributes articles to IDT and other Aegis Communications magazines. He writes on the state of the industry as well as its futuredirection.

“It’s a terrific honor to be acknowledged by IDT and fellow industry professionals. Recognition as a visionary is really a credit to being fortunate enough to work alongside experts like our 3Shape Advisory Board and colleagues who help to make 3Shape’s vision of the future a reality. While we always seek to push the envelope, in terms of creating new and exciting digital dentistry solutions, working together with industry leaders assures us that as a company, we remain focused on delivering products that provide the best patient treatment possible and that make everyone’s job simpler and more effective,” Tais Clausen, 3Shape CTO and cofounder.

Clausen and his partner, 3Shape co-founder, Nikolaj Deichmann started the company more than 15 years ago. The two have since grown 3Shape to more than 750 employees including 275 plus on-staff developers.

J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 10

Science News

R

Benefits of laser treatments for dental problems

esearchers have developed computer simulations showing how

lasers attack oral bacterial colonies, suggesting that benefits of

using lasers in oral debridement include killitng bacteria and promoting better dental health.

In a study published in the journal Lasers in Surgery and Medicine, the researchers show the results of simulations depicting various laser wavelengths aimed at virtual bacterial colonies buried in gum tissue.

In humans, actual bacterial colonies can cause gingivitis, or gum inflammation. Gingivitis can develop into periodontal disease, which involves a more serious infection that breaks down the bones and tissues that support teeth.

“The paper verifies or validates the use of lasers to kill bacteria and contribute to better health following periodontal treatments,” said coauthor Lou Reinisch, Ph.D., associate provost for academic affairs at New York Institute of Technology.

Drawing on his background in physics, optics, and calculus, Reinisch, an expert in laser surgery and an associate editor with the journal, created mathematical models based on optical characteristics of gum tissues and bacteria. He then produced simulations of three different types of lasers commonly used in dentistry and their effects on two types of bacterial colonies of various sizes and depths within the gum models.

“One of the questions we asked is how deep could the bacteria be and still be affected by the laser light,” said Reinisch. The simulations indicate that 810 nm diode lasers, when set to short pulses and moderate energy levels, can kill bacteria buried 3 mm deep in the soft tissue of the gums. The 1064 nm Nd:YAG laser is also effective with similar penetration depth. Both lasers spare the healthy tissue with the simulations showing minimal heating of the surrounding tissue. Minimizing the thermal damage leads to faster healing, says Reinisch.

“The findings are important because it opens up the possibility of tweaking the wavelength, power, and pulse duration to be the most effective for killing bacteria,” Reinisch says. “The doctors will look at this and say, ‘I see there is a possible benefit for my patients in using the laser.’”

“The study reveals what’s going on in the tissue, so I hope that we’re educating the medical professionals by demonstrating that you can do a good job of killing bacteria with certain lasers,” says co-author David Harris, Ph.D., director of Bio-Medical Consultants, Inc., which specializes in medical laser product development. “When you do this treatment, you remove an infection and allow tissue to regenerate. Getting rid of the infection means the tissue can heal without interference.”

The cost of dental lasers can range from $5,000 to over $100,000, according to Reinisch, and health care professionals require extra training to use them. These costs are passed on to the patient so Reinisch notes there must be a definite benefit for the patient to justify these costs. Harris noted that the Academy of Laser Dentistry estimates that at least 25% of US dental offices have dental laser capability for periodontal treatment as outlined in the paper, along with a host of other soft tissue surgical procedures and hard tissue procedures like removal of dental decay.

Harris said the video simulations demonstrate what happens when lasers hit buried bacterial colonies.

“This is a great way to present to the doctor esoteric scientific findings in a clinically meaningful format,” he said. “The model is a great tool for making predictions of what can happen in the tissue. Our study confirms its use as a way to determine the most effective laser parameters to use clinically.”

In a first for the journal, the published results include video depictions of the computer simulations. The journal readers can actually see the soft tissue of the virtual gums and bacteria heat up and cool down as 11 • D EN T AL AC C E S S • J ANUAR Y - M AR CH 20 17

Science News

the simulated laser is scanned over the tissue.

The study’s methodology of simulating how laser light interacts with tissue has implications beyond dentistry; physicians and surgeons use lasers in various treatments, including vocal cord procedures and dermatological treatments, including those for toenail fungus.

Guided by the results presented in this study, both Reinisch and Harris expect that clinical trials will be designed to validate the findings.

The study, entitled “Selective Photoantisepsis,” is published in the October issue of Lasers in Surgery and Medicine.

dental plaque, all subjects utilized a fluorescein mouth rinse, and intraoral photographs were taken under black light imaging. For hsCRP, levels were measured by an independent laboratory using an enzyme linked immunosorbent assay.

“While the findings on reducing dental plaque extend a previous observation, the findings on decreasing inflammation are new and novel,” said Charles H. Hennekens, M.D., Dr.P.H., senior author and first Sir Richard Doll Professor, and senior academic advisor to the dean in the Charles E. Schmidt College of Medicine at Florida Atlantic University.

Last month, the New England Journal of Medicine ranked the original manuscript by Hennekens and colleagues on aspirin, inflammation and cardiovascular disease, published in 1997, as their most influential original report of the last 20 years. The original research from the landmark Physician’s Health Study, in which Hennekens was the founding principal investigator, was the first to demonstrate that hs-CRP predicted future heart attacks and strokes. photo credited to amenic181

photo credited to Lou Reinisch/NYIT Story Source: Materials provided by New York Institute of Technology.

Journal Reference: 1 David M. Harris, Lou Reinisch. Selective photoantisepsis. Lasers in Surgery and Medicine, 2016; 48 (8): 763 DOI: 10.1002/lsm.22568

Toothpaste significantly reduces dental plaque, inflammation throughout the body

F

or decades, research has suggested a link between oral health

and inflammatory diseases affecting the entire body in par

ticular, heart attacks and strokes.

The results released from a randomized trial of a novel plaque identifying toothpaste, (Plaque HD®), show statistically significant reductions in dental plaque and inflammation throughout the body.

Inflammation throughout the body is accurately measured by high sensitivity C-reactive protein (hs-CRP), a sensitive marker for future heart attacks and strokes. These results, published online ahead of print in the American Journal of Medicine, with an accompanying editorial by the editor-in-chief, show that Plaque HD®, produced statistically significant reductions in dental plaque and inflammation throughout the body as measured by hs-CRP. In this trial, all randomized subjects were given the same brushing protocol and received a 60day supply of toothpaste containing either Plaque HD® or an identical non-plaque identifying placebo toothpaste. To assess

In the accompanying editorial titled, “Can a Toothpaste Reduce Heart Attacks and Strokes?,” Joseph S. Alpert, M.D., an internationally renowned cardiologist, noted the importance and timeliness of these findings and commented on how his father, a dentist, had told him even before he went to medical school, that dental health may affect heart attacks and strokes. Plaque HD® is the first toothpaste that reveals plaque so that it can be removed with directed brushing. In addition, the product’s proprietary formulation contains unique combinations and concentrations of cleaning agents that weaken the core of the plaque structure to help the subject visualize and more effectively remove the plaque.

This investigator initiated randomized trial was published in collaboration with academic collaborators from the University of Illinois at the Chicago School of Dentistry and the University of Wisconsin School of Medicine and Public Health.

Story Source: Materials provided by Florida Atlantic University. Original written by Gisele Galoustian.

Smoking electronic cigarettes kills large number of mouth cells

A

large number of mouth cells exposed to e-cigarette vapor in

the laboratory die within a few days, according to a study con-

ducted by Université Laval researchers and published in the latest issue of Journal of Cellular Physiology.

Dr. Mahmoud Rouabhia and his team at Université Laval’s Faculty of Dental Medicine came to this conclusion after exposing gingival epithelial cells to e-cigarette vapor. “Mouth epithelium is the body’s first line of defense against microbial infection,” Professor Rouabhia explains.

“This epithelium protects us against several microorganisms living in our mouths.”

To simulate what happens in a person’s mouth while vaping, researchers placed epithelial cells in a small chamber containing a salivalike liquid. Electronic cigarette vapor was pumped into the chamber at a rate of two five-second “inhalations” per minute for 15 minutes a day.

Observations under the microscope showed that the percentage of dead or dying cells, which is about 2% in unexposed cell cultures, rose to 18%, 40%, and 53% after 1, 2, and 3 days of exposure to e-cigarette vapor, respectively.

“Contrary to what one might think, e-cigarette vapor isn’t just water,” explains Dr. Rouabhia. “Although it doesn’t contain tar compounds like regular cigarette smoke, it exposes mouth tissues and the respiratory tract to compounds produced by heating the vegetable glycerin, propylene glycol, and nicotine aromas in e-cigarette liquid.”

The cumulative effects of this cell damage have not yet been documented, but they are worrying, according to Dr. Rouabhia, who is also a member of the Oral Ecology Research Group (GREB) at Université Laval: “Damage to the defensive barrier in the mouth can increase the risk of infection, inflammation, and gum disease. Over the longer term, it may also increase the risk of cancer. This is what we will be investigating in the future.”

photo credited to mbruxelle Story source: Materials provided by Université Laval.

Journal Reference: 1 Mahmoud Rouabhia, Hyun Jin Park, Abdelhabib Semlali, Andrew Zakrzewski, Witold Chmielewski, Jamila Chakir. E-Cigarette Vapor Induces an Apoptotic Response in Human Gingival Epithelial Cells Through the Caspase-3 Pathway. Journal of Cellular Physiology, 2016; DOI: 10.1002/jcp.

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Science News

Bad Bite

I

n recent years there has been increasing medical interest in cor

recting teeth that do not touch perfectly in order to prevent

problems such as jaw pain, gaps between teeth and crowding.

Now, a new study carried out by Spanish researchers has concluded that dental occlusion is also related to the control of posture and balance.

Although it is a technical term, ‘dental occlusion’ is increasingly on the minds of many patients following a routine visit to the dentist.

Doctor’s offices diagnose problems related to a bad bite such as a shifted midline, gaps between teeth, crowding, crossbites and missing teeth.

photo credited to Ms Laurin Rinder

Dental occlusion is simply the contact made between the top and bottom teeth when closing the mouth. Teeth may be perfectly aligned or they may present alterations with varying levels of severity.

Two new studies, carried out in collaboration between the Department of Physiology at the University of Barcelona (Spain) and the University of Innsbruck (Austria), have confirmed a less obvious relationship between an imperfect bite and postural control. Another aspect to be highlighted is that although this relationship may seem statistically weak, it grows stronger when a person experiences fatigue or when instability is a factor.

“When there is a malocclusion, it is classified according to scientifically established criteria. What is relevant in the study is that malocclusions have also been associated with different motor and physiological alterations,” explains Sonia Julià-Sánchez to Sinc, the main author of the studies and a researcher at the Catalan university.

Both studies, whose results have been published in Motor Control and Neuroscience Letters, provide conclusive data which show that postural control is improved -both in static and dynamic equilibrium- when different malocclusions are corrected by positioning the jaw in a neutral position.

This relationship is not as obvious in everyday static conditions, although there may be conditions associated with pathologies, such as obesity, that worsen the body’s instability, thus decreasing postural control and increasing the risk of falls.

This relationship in athletes can play a crucial role in how well they ultimately perform as well as in the prevention of injuries such as sprains, strains and fractures caused by unexpected instability as fatigue increases and motor control capacity decreases.

“Therefore, it would be helpful for both the general population

13 • D EN T AL AC C E S S • J ANUAR Y - M AR CH 20 17

Science News

A reciprocal influence

“Postural control is the result of a complex system that includes different sensory and motor elements arising from visual, somatosensory and vestibular information,” explains the expert. In recent years there has been increasing scientific interest in the relationship between the stomatognathic system (the set of organs and tissues that allow us to eat, talk, chew, swallow and smile) and postural control.

The link may have a neurophysiological explanation. There is a reciprocal influence between the trigeminal nerve and the vestibular nucleus ‑which are responsible for the masticatory function and balance control, respectively‑ as well as between the muscles of mastication and of the neck.

This influence would explain why dental malocclusions negatively affect postural control. Up until now, however, there was no conclusive research. “The main problem stems from the fact that the majority of these studies had statically assessed balance under conditions of total stability, which in practice has little actual application in the control of posture while in action,” points out Julià-Sánchez.

The first study took into account the type of dental occlusion as well as whether there had been previous orthodontic treatment. The results showed that alterations in alignment of the teeth were related to poorer control of static balance.

The second study assessed the type of dental occlusion, control of posture and physical fatigue in order to analyze a possible relationship among these factors. The analysis demonstrated that balance improved when malocclusions were corrected, and that the latter had a greater impact on postural control when subjects were fatigued than when they were rested.

“When the subjects were tired their balance was worse under both stable and unstable conditions. Under static conditions, the factor that had the greatest impact on imbalance was fatigue. In contrast, a significant relationship between exhaustion and dental occlusion was observed under conditions of maximum instability,” concluded Julià-Sánchez.

Story Source: Materials provided by Plataforma SINC. Journal References: 1 Sonia Julià-Sánchez, Jesús Álvarez-Herms, Hannes Gatterer, Martin Burtscher, Teresa Pagès, Ginés Viscor. Dental Occlusion Influences the Standing Balance on an Unstable Platform. Motor Control, 2015 ; 19 (4): 341 DOI : 10.1123/mc.20140018 2 Sonia Julià-Sánchez, Jesús Álvarez-Herms, Hannes Gatterer, Martin Burtscher, Teresa Pagès, Ginés Viscor. The influence of dental occlusion on the body balance in unstable platform increases after high intensity exercise.

Neuroscience Letters, 2016; 617: 116 DOI: 10.1016/j.neulet.2016.02.003

Story Source for Graphene : Materials provided by Elsevier.

Journal Reference: 1 Diana Olteanu, Adriana Filip, Crina Socaci, Alexandru Radu Biris, Xenia Filip, Maria Coros, Marcela Corina Rosu, Florina Pogacean, Camelia Alb, Itoana Baldea, Pompei Bolfa, Stela Pruneanu. Cytotoxicity assessment of graphene-based nanomaterials on human dental follicle stem cells. Colloids and Surfaces B: Biointerfaces, 2015; 136: 791 DOI: 10.1016/ j.colsurfb.2015.10.023

Graphene oxide could make stronger dental fillings

First data on new dental fillings that will repair tooth decay

and athletes to consider correcting dental occlusions to improve postural control and thus prevent possible falls and instability due to a lack of motor system response,” adds Julià-Sánchez.

T

he first data on dental fillings that can actively repair tooth decay

is presented by Professor Robert Hill. Professor Hill is Chair of

Physical Sciences at the Institute of Dentistry at Queen Mary University of London and co-founder and director of research at BioMin Technologies. Over 80 percent of the population in the UK has at least one filling, with seven being the average while eight million cavities are filled with amalgam each year.

This data, indicating smart repair of tooth decay, prolonging the life of composite fillings and reducing the need for mercury based amalgams indicates a significant step forward in tooth restorative materials.

Professor Hill outlines how new bioactive glass composites are unique in their ability to release fluoride as well as the significant quantities of calcium and phosphate that are needed to form tooth mineral.

Professor Hill explains that while current dental fillings include inert materials, the data on the new bioactive glass composite shows that it interacts positively with the body providing minerals that replace those lost to tooth decay.

“Our scientists and dentists at Queen Mary University of London replaced the inert tooth filling materials with our new bioactive glass, explained Professor Hill. Not only did this bioactive glass composite remineralize the partially decayed teeth, but it also creates an alkaline environment that discourages the bacteria that caused the initial decay.”

“The new bioactive glass also fills in the gaps with tooth mineral thus preventing the oral bacteria which cause tooth decay from establishing themselves. Research in the US suggests this will potentially prolong the life of fillings and slow secondary tooth decay because the depth of bacterial penetration with bioactive glass fillings was significantly smaller than for inert fillings.”

Richard Whatley the CEO of BioMin Technologies who has recently licensed the technology from Queen Mary Innovations adds “We plan to translate the remineralizing technology developed with the BioMinF® toothpaste into restorative dental products. This is a really exciting development which is attracting interest from a number of commercial companies.”

He added, “There is also huge pressure to eliminate mercury based amalgam fillings by 2020 which is outlined in a host of international agreements. Using this type of bioactive glass composite to fill cavities eliminates the need to use mercury based amalgam by offering aesthetic white fillings which help heal the tooth.”

Story Source: Materials provided by University of Queen Mary London. Note: Content may be edited for style and length.

G

raphene oxide could be used to make

super strong dental fillings that don’t corrode,

according to a new study published in Colloids and Surfaces B: Biointerfaces.

Research suggests we chew around 800 times in an average meal; that’s almost a million times a year. We put our teeth under huge strain, and often require fillings to repair them. Fillings are typically made of a mixture of metals, such as copper, mercury, silver and tin, or composites of powdered glass and ceramic.

Typical metal fillings can corrode and comphoto credited to 2012 ACS posite fillings are not very strong; Graphene on the other hand is 200 times stronger than steel and doesn’t corrode, making it a prime new candidate for dental fillings.

In the study, researchers from Iuliu Hatieganu University of Medicine and Pharmacy, the National Institute for Research and Development of Isotopic and Molecular Technologies, and the University of Agricultural Sciences and Veterinary Medicine in Romania, and Ross University School of Veterinary Medicine Basseterre in the West Indies investigated whether different forms of graphene are toxic to teeth.

“The idea of the project was to add graphene into dental materials, in order to increase their resistance to corrosion as well as to improve their mechanical properties,” explained Dr. Stela Pruneanu, one of the authors of the study from the National Institute for Research and Development of Isotopic and Molecular Technologies in Romania. “There is contradictory information regarding the cytotoxicity of graphene, so we first wanted to determine how toxic it is for teeth.”

Graphene comes in different forms, including graphene oxide, nitrogen-doped graphene and thermally reduced graphene oxide. The researchers tested how toxic these different types of graphene are in vitro for stem cells found in teeth.

Thermally reduced graphene oxide was highly toxic, making it inappropriate as a dental filling material. Nitrogen-doped graphene caused membrane damage at high doses (20 and 40 micrograms per milliliter).

However, it was shown to have antioxidant properties, so it could be useful if covered in a protective layer. Graphene oxide was least toxic to cells, making it an ideal candidate.

“The results were very interesting and proved that graphene is appropriate for use in dental materials,” said Dr. Gabriela Adriana Filip, one of the authors of the study and Associate Professor at Iuliu Hatieganu University of Medicine and Pharmacy Cluj-Napoca in Romania. “We believe that this research will bring new knowledge about the cytotoxic properties of graphene-based materials and their potential applications in dental materials.”

The next step for this research is for the team to make dental materials with graphene oxide and test how compatible they are with teeth, and how toxic they are to cells. The results are due to be published soon.

The research was part of a project entitled “New nanocomposites based on biocompatible polymers and graphene for dental applications,” funded by MEN-UEFISCDI, Romania.

photo credited to Microgen

J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 14

Clinical Article

Clinical Article

About the Author Dr. Manhart is Professor, Department of Restorative Dentistry, Dental School of LMU-University in Munich, Germany. He offers seminars and practical hands-on workshops in esthetic restorative dentistry, such as direct composite restorations, all-ceramic restorations, post-endodontic treatment, management of severely worn dentition, and treatment planning in esthetic dentistry. He can be reached via e-mail at manhart@manhart.com

Summary: Today, direct composites in posterior teeth are a very successful part of the standard therapy spectrum in modern restorative dentistry. They are very popular filling materials with dentists as well as their patients. The performance of this treatment method, even in the masticatory loadbearing posterior region, has been conclusively proven in many clinical studies. Aside from composites based on methacrylate chemistry, the choice of filling materials has now been extended by a pure nanohybrid ORMOCER restorative without any conventional methacrylate monomers in its formulation.

Keywords Ormocer, composite, direct restorations, posterior teeth, adhesive technique Introduction For many years, the use of composite resin materials has increased along with patients’ growing demand for metal-free restorations. This trend has been driven in large part by patients looking for an esthetic alternative to repair carious lesions or traumatized teeth and patients who are concerned about potential systemic adverse reactions of amalgam restorations [1]. In recent years, an extensive range of new materials for direct composite restorations has emerged on the market [2-5]. In addition to regular hybrid and nanohybrid composites for universal use, a great number of highly esthetic composite systems were introduced to dental professionals due to rising esthetic demands of patients. These restorative systems contain composite materials in a sufficient number of shades and different opacities or translucencies [6]. Some of these composite systems comprise more than 30 different composite materials of different shades and translucency. It is therefore essential to have appropriate experience in the handling of these materials, which are processed – especially when used for esthetically challenging anterior situations – in the polychromatic stratification technique using varying opacities and translucencies [6, 7].

Most dental restorative composite materials contain organic monomer matrices based on traditional methacrylate chemistry, such as BisGMA and its derivatives, UDMA and TEGDMA as being the most often used diluent monomer [8]. Alternative chemical formulations use silorane resins [5, 9-13] and ormocers [14-22].

Ormocers (“organically modified ceramics”) are organically modified, nonmetallic inorganic compound materials [23]. They are inorganic-organic copolymeric hybrid materials that are composed of an inorganic SiO-Si-glass network (backbone molecule) and an organic polymer phase [19, 24-26]. This material group was developed by Fraunhofer Institute for Silicate Research ISC, Würzburg, in cooperation with partners from the dental industry and introduced as a dental restorative for the first 15 • D EN T AL AC C E S S • J ANUAR Y - M AR CH 20 17

Posterior restoration with a new nanohybrid ORMOCER composite – a clinical case report

time in 1998 [16, 17]. Hitherto existing dental ormocers still contained additional conventional monomers in the matrix for better handling and manipulation characteristics (in addition to initiators, stabilizers, pigments and inorganic filler particles) [24, 25, 27]. Thus, it is better to refer to these materials as ormocer-based composites.

The newly in 2015 introduced ormocer Admira Fusion (VOCO) features pure ormocer matrix chemistry without any additional conventional dimethacrylates and nanohybrid inorganic filler particles (84 wt.%). This diluent-free restorative material should show an increased biocompatibility [24]. It is available in a wide range of shades in three different translucency / opacity levels (10 universal Vita shades, 4 opaque dentin shades, 4 special shades) that allows to use this material in a simplified single-shade placement technique in posterior cavities as well as using a more complex polychromatic layering technique when restoring defects in esthetically demanding teeth. A polymerization shrinkage of only 1.25 vol.% and a low shrinkage stress (3,87 MPa) have been measured for Admira Fusion.

The ormocer can be applied in increments of up to 2 mm into tooth cavities. Each increment has to be polymerized for 20-40 s (intensity of the curing light > 500 mW/ cm²).

Clinical Case Presentation

A 51-year old female patient requested in our dental office the replacement of her insufficient old amalgam restoration in tooth 16 (first upper right molar) (Fig. 1). During the clinical inspection, the tooth reacted sensitively in the cold test and showed no negative reaction to the percussion test.

After the patient had been informed about the possible treatment options and the corresponding costs, she decided in favor of a direct ormocer restoration using Admira Fusion (VOCO).

Treatment started with thoroughly cleaning the affected tooth of external deposits using a fluoride-free prophylaxis paste and a rubber cup. After administration of local anesthetics, the old amalgam restoration was carefully removed while conserving the remaining hard tissues (Fig. 2). Due to the spatial expansion of the caries, the cavity had to be extended to the mesial surface. The tooth was excavated and subsequently the cavity completely prepared and finished with a fine-grit diamond bur (Fig. 3).

Shade determination was done on the moist tooth prior to the application of rubber dam (Abb. 4). The tooth was subsequently isolated with rubber dam (Fig. 5). The rubber dam separates the operation site from the oral cavity, facilitates clean and effective work and ensures that the working area remains clean of contamination (e.g. blood, sulcus fluid, and saliva). Contamination of the enamel and dentin would result in markedly poorer adhesion of the filling material to the dental hard tissues and endanger the long-term success of the composite restoration with optimal marginal integrity. Additionally, the rubber dam protects the

patient from irritating substances such as the adhesive system. The rubber dam is thus an essential aid in ensuring high quality and facilitating work in adhesive dentistry. The minimal effort required in applying the rubber dam is also compensated for the dental team by avoiding the need to change cotton rolls and the patient’s frequent requests for rinsing.

A sectional metal matrix system was used to delimit the threesurface cavity, it was sealed at the gingival marginal using an anatomically-formed plastic wedge (Fig. 6). The nickel-titanium ring stabilized the matrix and exerted optimal separation force on the neighboring teeth to produce a tight contact for the new restoration (Fig. 7). To optimize the contours, the matrix was carefully molded with a hand instrument.

The formation of physiologically contoured proximal surfaces with tight contacts to neighboring teeth still represents a challenge when using direct composite restorations. In contrast to amalgam, composites show a certain viscoelastic recovery from distortion, which is often seen as undesirable by the user and complicates the adaptation of matrices to the neighboring tooth by packing pressure [28, 29]

The universal adhesive Futurabond U (VOCO) was selected for bonding. This advanced universal adhesive is compatible with all etching techniques: self-etch and etch techniques based on phosphoric acid (etchand-rinse approach: selective enamel-etch or total-etch-and-rinse techniques involving enamel and dentin). In this clinical case, the adhesive was applied using the etch-and-rinse technique on both enamel and dentin. 35% phosphoric acid (Vococid, VOCO) was applied along the enamel margins first for a reaction time of 15 s (Fig. 8), followed by an additional conditioning of the dentin for further 15 s (Fig. 9). Subsequently the cavity was washed thoroughly for 20 s with the airwater-spray to remove the acid and precipitation residues. The cavity was then gently air-dried from excessive moisture avoiding desiccation of the dentin (Fig. 10). Ample amounts of the adhesive Futurabond U were applied and distributed generously in the area of the cavity using a microbrush (Fig. 11). It must be ensured that all cavity areas are sufficiently covered by the adhesive.

After at least 20 seconds of carefully scrubbing the adhesive into the tooth surface, the solvent was carefully evaporated with oil-free compressed air from the bonding agent until a glossy, immobile adhesive film resulted (Fig. 12). Then, the bonding agent was subsequently light-cured for 10 seconds (Fig. 13). The result was a shiny cavity surface, evenly covered with adhesive (Fig. 14). This should be carefully checked, as any areas of cavity that appear dull are an indication that insufficient amount of adhesive has been applied to those sites. In the worst case, this could result in reduced bonding of the restoration in these areas and, at the same time, in reduced dentin sealing, which may lead to postoperative sensitivity. If such areas are found in the visual inspection, additional bonding agent is selectively applied to them.

The ormocer Admira Fusion was applied into the cavity, starting at the mesial proximal extension. The entire proximal wall was built up to the marginal ridge using a clean new microbrush as perfect modeling instrument to carefully mold the restorative material (Fig. 15). The first increment of the composite was polymerized with a high-performance curing light (intensity > 500 mW/cm²) for 20 seconds (Fig. 16). Thus, the Class II cavity was transformed into a “functional Class I cavity” (Fig. 17).

Once the proximal composite wall was sufficiently polymerized, the matrix system was no longer necessary and removed completely (Fig. 18). As a result, the operating field became more easily accessible with modeling instruments for the following working steps and visual control of further subsequently to apply composite increments was enhanced.

With the second layer of Admira Fusion, the cavity floor was leveled to provide an even area with a maximum increment thickness of 2 mm for the following development of the anatomical structures of the occlusal surface (Fig. 18). With the subsequent increments of the Ormocer restorative, the occlusal morphology of the tooth was reconstructed cusp by cusp (Sequential Composite Cusp Technique), starting with the mesiobuccal cusp (Fig. 19), followed by the mesiopalatal cusp (Fig. 20), and

finished by the placement of the disto-palatal and disto-buccal cusps (Fig. 21).

This technique allows rebuilding the occlusal anatomy in a very simple, predictable and reproducible way and results in an excellent approximation to the natural substrate. After each single cusp placement, the restorative material was light-cured for 20 s (Fig. 22). Additional 20 s curing cycles from mesio-palatal (Fig. 23) and mesio-buccal (Fig. 24) in the region of the proximal box, especially at the gingival seat, were executed after final composite placement to ensure that all areas covered before by the metal matrix band experienced sufficient polymerization.

The restoration was checked for any imperfections before the rubber dam was removed. The fissure relief and the fossae of the occlusal anatomy were finished with a pear-shaped fine-grit diamond bur. In the next step of the standard finishing sequence, a point-shaped fine-grit diamond was then used to finish the convexity of the cusps and triangular ridges. After the elimination of occlusal interferences and adjustment of the static and dynamic occlusion, the accessible proximal areas were contoured and prepolished with abrasive disks. The use of diamond-impregnated composite polishers (Dimanto) achieved a satin matte, lustrous finish on the smooth surface of the restoration. Subsequent high-gloss polishing was completed using the same Dimanto polishers with reduced pressure to optimize the luster of the restorative material. Figure 25 shows the completed direct ormocer restoration, reconstructing the original tooth shape with an anatomical and functional occlusal surface, a physiological formed proximal contact area, and an excellent esthetic appearance. To complete the treatment, a fluoride varnish (Bifluorid 12, VOCO) was applied to the affected tooth using a foam pellet.

Conclusion:

The need for composite-based direct restorative materials is predicted to grow in the future. Therefore, high-quality, scientifically triedand-tested and clinically well-documented composite resin materials will be in much demand. These restorations present a scientifically proved, high-quality permanent treatment option for the masticatory loadbearing posterior region and their reliability has been documented in literature [30-35]. The results of a comprehensive review have shown that the annual failure rate of direct composite restorations in posterior teeth (2.2%) is not statistically different to that of amalgam restorations (3.0%) [32].

Minimally invasive treatm ent protocols in conjunction with the possibility of detecting carious lesions at a very early stage are having a positive effect on the long-term survival rate of dental restorations. Nonetheless, a high-quality direct composite restoration with excellent marginal adaptation continues to be dependent on a number of prerequisites, e.g. careful placement of the matrix (if proximal areas are involved), effective and correct application of the adhesive system, appropriate handling of the restorative material and sufficient curing of the composite.

Supplementary to composites based on traditional methacrylate chemistry, the material options in the sector of light-activated direct placement restoratives were expanded by a nanohybrid ormocer version that does not contain any more conventional dimethacrylates in its chemical formulation. acrylates in its chemical formulation.

Correspondence Address: Prof. Dr. Juergen Manhart, DDS Department of Restorative Dentistry Dental School of the Ludwig-Maximilians-University Goethe Street 70 80336 Munich Germany E-Mail: manhart@manhart.com www.manhart.com www.dental.education J A N - M A R C H 2 0 1 6 • DEN T A L A C C ESS • 16

Clinical Article Abb. 1: Preoperative situation: old insufficient amalgam resto

ration in a first upper molar.

Abb. 2: Situation after careful removal of the existing restora tion.

Abb. 3: Cavity was prepared and finished after caries removal.

Abb. 4: Shade selection on the moist tooth.

Abb. 5: Isolation of the operation site with rubber dam.

Abb. 6: Placement of a metal sectional matrix band, cervically

sealed with a plastic wedge.

Abb. 7: Placement of the sectional matrix system ring to sta

bilize the metal band and separate the teeth.

Abb. 8: Selective enamel etching with 35% phosphoric for 15s.

Abb. 9: After 15 s, the etching agent is further extended on

dentin for an additionally 15s conditioning period (total etch).

Abb. 10: Situation after thoroughly rinsing the conditioning

agent and gentle air-drying the cavity avoiding desic

cation of the dentin.

Abb. 11: Adhesive pretreatment of the tooth structure with

Futurabond U universal adhesive.

Abb. 12: Careful evaporation of the solvent of the adhesive

until a shiny, immobile film formed.

Abb. 13: Light-curing the adhesive for 10 seconds.

Abb. 14: An even shiny cavity surface shows an appropriately

pretreated tooth structure. This seals the dentinal

tubules and prevents postoperative hypersensitivity.

Abb. 15: Admira Fusion was applied into the mesial cavity

extension and built up the complete proximal wall up

to the marginal ridge. The composite material was

shaped with a clean microbrush.

Abb. 16: Light polymerization the ormocer Admira Fusion for 20 seconds.

Abb. 17: The Class II cavity was transformed into a “functional

Class I cavity”.

Abb. 18: Once the proximal composite wall was sufficiently

polymerized the matrix system was removed

completely. With a further increment of Admira

Fusion, the cavity floor was leveled out.

Abb. 19: Shaping the mesio-buccal cusp and subsequent

polymerization for 20 s.

Abb. 20: Shaping the mesio-palatal cusp and subsequent

polymerization for 20 s.

Abb. 21: Shaping the disto-buccal and disto-palatal cusp.

Abb. 22: Light-curing both cusps for 20 s each.

Abb. 23: Additional polymerization at the proximal area from

palatal-lateral for 20 s.

Abb. 24: Additional polymerization at the proximal area from

buccal-lateral for 20 s.

Abb. 25: Final situation: The high-gloss polished direct

ormocer restoration shows a successful esthetic and

functional integration into the surrounding dental tissue.

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2. Kunzelmann, K.H., Komposite – komplexe Wunder moderner Dentaltechnologie. Teil 1: Füllkörpertechnologie. Ästhetische Zahnmedizin, 2007. 10(3): p. 14-24.

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24. Moszner, N., et al., Sol-Gel Materials, 1. Synthesis and Hydrolytic Condensation of New Cross-Linking Alkoxysilane Methacrylates and Light-Curing Composites Based upon the Condensates. Macromol Mater Eng, 2002. 287(5): p. 339-347.

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29. Kunzelmann, K.H. and R. Hickel, Klinische Aspekte der Adhäsivtechnik mit plastischen Werkstoffen, in Die Adhäsivtechnologie. Ein Leitfaden für Theorie und Praxis., M. ESPE, Editor. 2001, 3M ESPE: Seefeld, Germany. p. 46-67.

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35. Opdam, N.J., et al., 12-year survival of composite vs. amalgam restorations. J Dent Res, 2010. 89(10): p. 1063-7.

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Figure 23

Figure 24

Figure 25 J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 18

Edelweiss VENEERs and Conclusion

Clinical Article

Edelweis s VENEERs, OCCLUSION-VDs and POST & CORE:

ABC’S of

Temporomandibular Disease

by Dr. Sheila Ortega- Cobcobo

As a general practitioner, dentists are probed with several inquiries from patients about their ailments.

The very common complaint is PAIN. The ultimate goal of a dentist is to make the total masticatory system healthy and the patients’ ultimate goal is to maintain this.

For the objective of patient care, there are seven specific goals according to Dawson, these are:

(1) Freedom from disease in all masticatory system

structures (2) Maintainably healthy periodontium

ain from dental origins can combine with sources outside (3) Stable TMJ’s

the masticatory system to produce confusing (4) Stable occlusion

pattern of symptoms, so referred pain sometimes requires (5) Maintainably healthy teeth expertise from different specialists since treating TMD is multi(6) Comfortable function disciplinary. The role of the dentist is very important as the only (7) Optimum esthetics health professional who is trained to detect these problems.

Then, PERFECT HARMONY between the teeth, muscles, nerves,

A unique feature of temporomandibular joint articulation supporting tissues and temporomandibular joints must be esis that it has two joints. The articular disc between the condyle tablished to provide health, functional efficiency, esthetics and and the temporal bone serves to separate the structures into two stability to the entire stomatognathic system. If you suspect that separate joint cavities. In the inferior joint between the head of your patient might be suffering from these ailments then don’t the mandibular condyle and the articular disc the movement is al- hesitate to refer them to a TMJ practitioner who has a thorough most totally of a rotary or hinge type whereas in the superior joint knowledge in managing this dysfunction. The onset of temporobetween the temporal bone and the articular disc the movement mandibular joint disorders cannot be predicted. Once it occurs, is gliding. If problems occur on this part where a group of condi- cure cannot be assured because a great factor in the process of tions cause pain and dysfunction in the jaw joint and the muscles treatment is the patient compliance, cooperation and a healthy that control jaw movement, then this is called the temporomanlifestyle. Bear in mind that in TMD- “BEING STRESS FREE is dibular joint and muscle disorder/ dysfunction. The etiology is BEING PAIN FREE!” complex and temporomandibular joint disorders do not constitute a single abnormal condition, rather they are multifactorial About the Author which include stressful activities, emotional disorders, trauma, malocclusion and various types of diseases. Occlusion is the first Dr. Sheila Ortega- Cobcobo is a graduate of Centro Escolar and probably the most discussed etiologic factor of temporomanUniversity College of Dentistry and Master of Arts Major in dibular disorders.

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Teaching at the same school.

“In all aspects, to know the complexity we must first learn the basics” - Anonymous

The most essential foundation for a successful dental practice is the proper skills and having a goal in achieving the proper diagnosis and correct treatment plan. Therefore, a comprehensive knowledge and training about the role of occlusion in harmonizing the masticatory system which includes the interrelationships of teeth, the temporomandibular joints (TMJ), muscles and supporting tissues.

19 • D EN T AL AC C E S S • J ANUAR Y - M AR CH 20 17

Stephan Lampl B.D.S. M.D.T. B.B.A. CEO & founder of edelweiss

A Fellow of Pierre Fauchard Academy. She is the Past President of the Philippine Association of Functional Jaw Orthopedics TMJ, Inc. and Past President of PDA Pasig Pateros Taguig Dental Chapter. A member of International Assoc. for the Study of Pain and Phil. Society of Sleep Medicine. Currently, she is a Faculty, Ass. Professor and the Head of Ortho- Pedo Section at UPHSD, University of Perpetual Help System Dalta College of Dentistry and pursuing her Master of Science Major in Orthodontics and Doctor of Philosophy in Development Administration.

Jessica Sidharta D.M.D. C.D.T Director Professional Services

A true monoblock concept for bio-aesthetics and function In times of growing health awareness, users and patients are increasingly looking for alternative treatment options to conventional, usually invasive, ceramic veneers and crowns without wishing to compromise on aesthetics and function.

About the idea of producing and expanding upon prefabricated enamel shells made of composite We were well aware that it is an artistic and technical challenge for many users to produce highquality direct composite veneers using the freehand layering technique. The idea was to simplify this method, yet still produce a precise result without making compromises on material properties.

The focus was on a high-quality and minimally invasive treatment option for patients with a tight budget. Patients are becoming more critical about aesthetic dental treatments. Quality is a must, so it is the cost that matters. We are not interested in developing dental ceramics that only 5 per cent of the world’s population can afford - rather, we are striving to reach a greater market with our system.

Owing to their biomechanical similarity to natural enamel, prefabricated veneer, occlusion and post & core shells offer an ideal alternative to the widespread more rigid and invasive ceramic veneers and crowns currently available. Nowadays, composite resins have taken on a leading role among restorative materials. They offer excellent aesthetic potential, satisfactory durability and lower costs for dentists and patients than the equivalent ceramic restorations. Our patented technique of laser sintering the enamel shells composed of nano-hybrid composite results in highly aesthetic surface enhancement. Besides easy placement, which can be performed in a single appointment, this is a bio-aesthetic quantum leap for the dentist and patient alike.

The production process The specially developed process for producing veneer, occlusion and post & core shells combines the best of both worlds, resulting in a dynamic composite core with a high-gloss surface.

The highly filled edelweiss nano-hybrid composite material is moulded under high pressure and processed into wafer-thin prefabricated enamel shells in the form of anatomically optimised veneers, occlusion and post & core shells.

The subsequent laser sintering, a kind of fusion or coating process, gives the enamel shells a purely inorganic surface, homogenously sealed, as smooth as ceramic with an outstanding gloss. This surface not only protects against discolouration, but also produces a perfect aesthetic and functional result.

The contourable enamel shells for the maxillae and mandible are fabricated in several sizes based on intensive studies of the shape and size of the tooth geometry. Their translucency and layer thickness are comparable to those of natural youthful enamel, thus allowing their universal use in combination with suitable shade-matched composite dentin chromas.

Bio-aesthetics Let’s remove the term “bio” and replace it with “natural”.

Natural, of course, means minimally invasive treatments. Restoration and optimisation are carried out while considering and preserving the healthy tooth structure. The function and aesthetics are reconstructed with a composite very similar to

the tooth substance—a concept that clearly speaks in favour of non-restorative or additive techniques.

In contrast to our method are invasive grinding of healthy teeth and restoration with ceramic crowns without taking natural biomechanics into consideration to obtain a Hollywood smile. This is not in line with the edelweiss dentistry philosophy.

The difference between the new method and ceramics For the user, it is important to remember that, even if highquality adhesive systems are used, ceramics are mainly supported by enamel and not dentine. The prefabricated enamel shells, however, show very strong bonding and flexibility, which provides for good performance and resistance to cracking even when bonding to dentine.

In contrast to ceramics, enamel shells can be adjusted to the existing tooth situation and shape individually directly on the patient or model. This allows the smile design and reconstruction to be freely configured, for instance in the presence of severe bruxism. The wafer-thin enamel shells allow minimally invasive application, in that the tooth is freed of residue and is only minimally roughened. The restored tooth is then prepared using the etch-bond technique and is cemented with highly filled composite material. This produces a biomechanical monoblock, which ensures optimal adhesion and integration in the given tooth situation. Using Ultradent Products’ Peak Universal Bond, this technique even allows for existing metal and ceramic restorations to be veneered.

Improved and true-to-life shade matching is guaranteed by the enamel and composite shades included with the system,

J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 20

Edelweiss VENEERs and Conclusion

based on the Natural Layering Concept by Dr Didier Dietschi.

Owing to the lifelike biomechanical properties of the composite material and therefore also of the veneers, none of the surrounding tooth substance is affected or damaged, which underscores the ethical aspect of this method in contrast to ceramic restorations. By virtue of their flexibility, the enamel shells are also ideally suited for use in the mandible, as the wear of the antagonist second dentition is better, more true to nature than that of ceramic. This makes edelweiss VENEERs, OCCLUSION-VDs and POST & COREs the ideal solution for patients with a low budget, especially for young people or for those who practise contact sports.

OCCLUSION-VD The translucent OCCLUSION-VD shells represent the anatomical basis for individual or complete reconstructions, as well as for lifting the vertical dimension in the posterior region. Hence, the name OCCLUSION-VD, where VD stands for vertical dimension. Just like optimally correcting glasses can relieve headaches and improve poor posture, OCCLUSION-VDs, functioning as an occlusal splint and adapted according to the patient’s individual problems, can influence our entire postural system.

As a result of their natural morphology, the prefabricated OCCLUSION-VDs are very easy to integrate into the existing occlusion. OCCLUSION-VDs help eliminate or prevent the causes of craniomandibular dysfunction.

In addition, OCCLUSION-VDs serve to correct inherent malocclusion and deep bites in a minimally invasive way. By the occlusal surfaces being covered, usually in the mandible, the mandible is brought into the correct position in relation to the maxillae. This makes it possible to attain functioning guidance of anterior teeth and canines by using edelweiss veneers. The combination of edelweiss VENEERs, OCCLUSION-VDs and POST & COREs allows for complete rehabilitation and holistic restoration of the dental arch to be undertaken in order to achieve the best possible overall outcome. Individual re-occlusion achieves a new functioning, balanced and smoothly working masticatory apparatus.

Restorations For restorations with edelweiss VENEERs, OCCLUSIONVDs and POST & COREs, besides the direct chairside method, a dental laboratory can always be called upon, where fitting can be performed indirectly on an existing plaster model using a semi adjustable articulator. The prefabricated anatomic enamel shells allow the option of fitting and relining the bite situation in the laboratory, thus optimizing the time and cost factors.

In fact, in complicated initial situations, articulating the bite in the laboratory is absolutely recommended.

Practical use in the respective indication area can be learnt at one of our one-day workshops. Those interested can obtain detailed information on the workshops from all of our trad-

21 • D EN T AL AC C E S S • J ANUAR Y - M AR CH 20 17

Edelweiss VENEERs and Conclusion

ing partners or directly from edelweiss dentistry.

Post&Core Although wide variety of post-core restoration technologies and materials have been introduced into the dental market, there is no consensus on the most appropriate treatment choice for post core systems. Prefabricated posts have good biomechanical and physical properties; however they cannot be customized for the optimal adaptation to the prepared post space. On the other hand; using composite resins for core material may have a higher failure rate because of the weak bonding between the prefabricated post and composite core. To overcome all these issues when restoring a badly broken down endodontically treated tooth, Edelweiss Dentistry presents a unique single piece high strength customizable Composite Post & Core.Edelweiss Dentistry believes in making dentists chairside treatment simple, easy and predictable.

The Edelweiss Post & Core system is a simple and a quick solution for all your post-endodontic needs. It is a novel one piece composite post & core which can be customized as per the needs of the tooth with a true monoblock effect. It is an Ideal choice for rebuilding and strengthening broken down teeth.

Prefabricated post & core Transparent post & opaque core Easy to customize Easy to use Reduced chair side time True monoblock effect Modulus of elasticity similar to natural tooth Unmatched radiographic visibility Cuts like dentin Superior adhesion to the root canal

The material of post&core is barium glass, strontium and zincoxide (antibacterial) embedded in resin. The crystals are sintered which leads to a perfect mechanic in the material. It also reinforces the vertical and horizontal double bonds. The flexure strength is similar to the naturally dentin by 20 GPa. Congruent precision dental drill allow a perfect prepared post space. Different sizes of drills enable a therapy for all dental anatomies. There are three different types of POST&CORE, for anteriors, premolars and molars.

The edelweiss POST&CORE system is one monoblock which avoids the wedge effect. The posts have a conical shape for perfect post space filling. The translucency of the x-ray opaque posts allows a fluent lightning for a good chemical polymerisation. The adhesive fixation also avoids the wedge effect. The preparation treatment of the core feels like the preparation of the natural theeth and makes the handling easy. The opaque buildup in A1 also offer different anatomical forms. The buildup from the edelweiss post&cores has got a rough surface for a better retention of the clinical crowns. It is possible to do the treatment in just one session, which is more time and cost effective for both sides.

Stephan Lampl B.D.S. M.D.T. B.B.A. CEO of edelweiss dentistry Master Clinician in Esthetic Dentistry UCLA Member of the Austrian Association of Oral and Maxillofacial Surgery Member of the OEAED Member of the EACD Licensed in Dental Technique CDT, at the Dental Technology School Vienna, Austria A 1989 Master Degree MDT, at the Accadémie d’Art Dentaire Genève, Switzerland CH 1991 Licensed in Dentistry B.Ch.D, Bachelor of Dental Surgery (B.D.S) at the University of the Western Cape, Cape Town/Stellenbosch, South Africa ZA 1996 Master Clinician in Restorative Dentistry at the Geneva Smile Center of Prof. Didier Dietschi, Geneva, Switzerland CH 1998 Diploma in General Management, Business Administration and Marketing BBA, at the University of St. Gallen HSG, Switzerland CH 2001 Master Clinician in Esthetic Dentistry at the School of Dentistry UCLA / gIDE Los Angeles, USA 2009 Jessica Julia Sidharta Dr. med. dent. Jessica Julia Sizzzdharta Born in 1980 in Stuttgart, Germany.

Study of dental medicine from 2001 to 2006 at the University of Heidelberg and Ulm. Promotion topic about “Zirkondioxidceramicimplants”. Leading aesthetical dentistry in Munich with the main emphasis veneers and bleaching.

2010 lecturer and consultant for edelweiss dentistry. 2014 further education curriculum ZFZ in the area of aesthetic dentistry. From 2012 to 2016 private dentistry in Ulm, Germany with main emphasis about aesthetics. Since the beginning of 2017 dental main activites for edelweiss dentistry, in Austria.

J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 22

Advertorial

DENTAL ACCESS WEBINAR

Dental Access Webinar is an upstart technology platform that aims to deliver continuing dental education for all dentists that is easily accessible through the world-wide web. It provides an alternative venue where dentists would interact with each other and share basic and advanced knowledge in their field of specializations.

It is committed to provide the highest quality of education in the Dental profession with the noble intention of helping address human problems through introduction of the latest technologies, keeping in par with global standards, and helping people live better lives.

Leadership and Nobility

Special Feature

The Twinning Project of Tuguegarao City Cagayan Dental Chapter and Batangas City Dental Chapter

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Philosophy “Education is nurtured through a conscious commitment of continuous learning throughout life.”

Vision To become the leading web-based continuing professional education provider for Dentistry as well as in the delivery of basic dental health education for dental patients in the Philippines and the rest of Asia-Pacific Region in the next five years.

wo of the most awarded dental chapters in the

Philippine Dental Association joined forces to help

promote oral health in their respective regions where the PDA recognized their efforts during the Awards Nights in 2016. Past President of Tuguegarao City Cagayan Dental Chapter Dr Alvin Callangan and Past President of Batangas City Dental Chapter Dr Josephine Mercado-Arago showed a great deal of effort in their twinning program during their term as president in their respective chapters.

Armed with a golden mission and lion hearts, together with their members, they shared and succeeded in their platforms and became two of the most respected leaders in their communities.

From programs that included dental missions involving the indigents, PWDs and special children, to dental education through seminars and social activities, the members were among the chapters that were singled out as one of the most outstanding dental chapters in 2016.

Like most leaders in the association, both chapters headed by their presidents showed exemplary leadership and valor with their noble projects. It is no doubt that the awards presented are proof to their exceptional abilities worth emulated by their members. DAC

Mission To provide easy access to continuing professional education to Dentists who are having difficulty in personally attending clinical conferences, seminars and conventions and at the same time assist dental patients in reaching information as regards dental health situations.

For more information about our Dental Access webinars, simply log on to www.identalaccess.com or write to arvin.laguna@identalaccess.com Advertising enquiries: media@identalaccess.com

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J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 24

Special Feature

25 • D EN T AL AC C E S S • J ANUAR Y - M AR CH 20 17

What Went Wrong?

Dental South China Preview

What is an ethical practice?

22nd Dental South China International Expo 2017

Dr Nelson de Castro Magnaye

Dear Doctor, I am a newly licensed dentists contemplating on putting up my own practice. With all this new knowledge and zest for practicing my profession, I would like to create a good start with things especially since I am new in the profession.

Since college, we were taught at practice management how to promote our clinics. How to conduct ourselves among patients and colleagues in the profession. Although social media has its advantages in becoming known in my area of practice, I would like to know how far I can promote my clinic without violating any law that is guided by our code of ethics. Can you please advise me thoroughly so I will have peace of mind before I pursue any marketing strategy?

Your sincere advice is highly appreciated.

Thank you and looking forward to a reply.

From, Newly Licensed Dentist from Cavite

Dear Newly Licensed Dentist from Cavite, The Dental Code of Ethics (Republic Act No. 9484) clearly stipulates in Article III (Practice Management) in Section 19 that “dentists, dental hygienists and dental technologists shall make his/her practice known in a manner befitting a professional”. Furthermore, in Section 19.1 it further states that they “shall ONLY use fair means to gain professional advancement or shall not injure the opportunities of other dental practitioners such as false claims of one’s competency.”

In Section 20. (Authorized Advertising) enumerates “the best and honorable means by which a dentist, dental hygienist or dental technologist may make known and advance his or her reputation for skills and competence in the practice of dentistry”, such as: 1. Signages 2 Use of Professional titles and degrees 3. Professional Stationary, Professional Cards, Letterheads and Announcements 4. Telephone and other Directories 5. Electronically Generated Communications – The simple and dignified means of professional announcements shall apply to all electronically generated communications.

Provided, it is in consonance with the provisions of the Code of Ethics.

More power to you Doctor.

Sincerely, Dr Nelson de Castro Magnaye

27 • D EN T AL AC C E S S • J ANUAR Y - M AR CH 20 17

About the Author Dr Nelson de Castro Magnaye is a graduate is a graduate of Southwestern University College of Dentistry and was past president of the Quezon City Dental Chapter. He took up his Masters in Family Counseling at the Ateneo De Manila where he conducts seminars to the LASARE headed by the La Sallian Pastoral office that provides counseling to students. Today, Dr Nelson is the Medical Director of Natural Health Matters, Inc. and holds his clinic practice in Quezon City. For more info. you may email him at drnelson_magnaye@yahoo.com

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he 22nd Dental South China International Expo 2017 will be host

to one of the largest dental exhibitions in Asia that will showcase

Dentistry Furniture, dental comprehensive equipment, instruments, dental materials, oral care products as well as orthodontic materials including office communication systems that visitors and delegates will endeavor during their visit to China. Companies from Germany, Italy and Denmark as well as local traders will be among the well visited booths during the 4 day event accompanied with world renowned speakers who will portray a large role in the updating dentists who wish to pursue quality continuing education abroad.

Dental South China International Expo (DSC) is the earliestestablished dental exhibition in China. With last year’s exhibition area of 5,000m2, 2379 booths, and 927 leading exhibitors from 22 countries and regions displaying the latest dental products and technologies, a total of 50,000 professional visitors from 100 countries and regions joined the exhibition. Dental South China enjoys a good reputation for 20 years and has been highly recognized and praised as the largest, most influential and dental event with the best service in China and even in Asia.

For more information about the show: ​ Contact Us: Guangdong International Science & Technology Exhibition Company (STE) Address: c/o Department of Science & Technology of Guangdong Province, 171 Lianxin Road, Guangzhou, P.R. China Postcode: 510033 Fax:86-20- 8354 9078 Exhibiting Contact: Cherry Wu, Christine Su, Hui Li Tel: 86-20- 8354 9150, 8356 1174, 8355 8271 Visiting Contact: Contact: Mabel Mai Tel:86-20- 8356 1589 Email: dentalvisit@ste.cn Customer Service: Cathy Zeng, Kirsten Zhong Tel: 86-20- 8351 7102, 8354 7321 Email: Dental@ste.cn

J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 28

NADTI Reviews

IDS 2017 Previews

17th NADTI Trade Exhibit International Dental Show Special Feature reveals newer dental concepts in Cologne

T

he next International Dental Show

(IDS) opens its doors in Cologne from 21 to

25 March 2017. Around 2,300 exhibitors from 60 countries will present the latest products, developments and trends of the dental industry over the five days of the fair. More than 140,000 international trade visitors are expected to attend.

Visitors will experience more innovation and a wider product range than ever before on an exhibition surface of over 160,000 m² in total. A visit to IDS is a must for dental professionals, dental laboratories, as well as representatives of the dental specialised trade and the dental industry.

T

he National Dental Trade Exhibitors Inc (NADTI) is a time

honored organization established by

5 distinguished personalities in the trading business namely Mr Nestor Sta. Maria, Mr Dennis Lim, Dr Chung Lai Chun, et al. since 2000. As it celebrates its 17th year in the industry strengthening ties with Filipino dental professionals, the 17th NADTi Trade Exhibit received great reviews with well-attended symposium from its participants. It is clear that NADTI is among the influential organizations in the Philippines dedicated to deliver world class trade exhibitions that is equivalent to dental trade exhibits abroad.

Among the major sponsors of the event were Colgate Philippines, PANDORA Equipment Specialist Corp and members of NADTI. A total number of 3,100 dentists registered at the trade exhibit; 83 dental trade exhibitors were present all showcasing their new line of products in the market. Scientific sessions were packed with participants who were all ears to some of the top lecturers in the industry namely, Dr Romeo Jacob, Dr Daniel Farancio, Dr Jonathan Balanag, Dr Jonathan Fandialan, Dr Neil Echiverri, Dr Leon Laub, Dr Peter Galgut, Dr Andrew Zimny, and Dr Kevin Sullivan.

Winner of the raffle prizes are as follows: 3rd Prize - Trip to Thailand or convertible to cash $1,500 Dr Florencio P. Flores of Baliwag, Bulacan 2nd Prize - Trip to Japan or convertible to cash $ 2,000 Dr Jacqueline zM. Lontoc of Rosario, Cavite 1st Price - Trip to USAA or convertible to cash $3,000 Dr Fairylane Chan of Ibarra St., San Juan Grand Prize winner of Panoramic Xray courtesy of Pandora Equipment Specialist Corp., Dr Deniza Capili of Taguig City

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J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 30

Products

Products

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BY MICROCOPY Gazelle Nano Composite Polishers

BY MAGPIE TECH CORP. Scooba Ultrasonic Cleaner

BY BIOLASE Epic X Diode Laser

BY ALIGN TECHNOLOGY, INC. iTero Element

BY SHOFU Artistic Composite Kit

Anti-crumble silicon ensures durability. Gazelle does not crumble. No paste needed. Individually packaged and sterile.

The Scooba is an ultrasonic cleaner that features a large corrosion resistant stainless steel tank that is also easy to drain. Abundant airflow around internal electronic modules prevents the unit from overheating when the tank is heated.

The Epic X diode laser features cutting edge software, and a cordless foot pedal. It is capable of a full range of soft tissue procedures as well as laser-assisted whitening and pain relief therapy.

A fast and versatile digital impression system with a small footprint, the iTero Element offers features well suited to both general dental practices and orthodontic specialists.

The Artistic Composite Kit includes high quality Shofu diamonds, carbides and stones suited for finishing anterior composite restorations.

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BY SUNI MEDICAL IMAGING, INC. SuniRay 2 Digital Intraoral Sensor SuniRay 2 achieves maximal image quality with superior diagnostic capabilities while maintaining the lowest radiation levels among all digital sensors.

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BY DENMAT Perfectemp10 Temporary Crown & Bridge Material Perfectemp10 is a highly esthetic, strong, multifunctional acrylic composite material. It uses a two component system based on a multi-functional acrylic composite that is produced using no Bisphenol-A or Bisphenol-A precursors in the manufacturing process.

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BY SHOFU BeautiSealant Pit and Fissure Sealant

BY SHOFU Beautifil Flow Plus Flowable Composite

BeautiSealant Pit and Fissure Sealant is a tooth colored, fluoride recharging, pit and fissure sealant with a self-etching primer that speeds treatment time by eliminating the need for phosphoric acid etching.

BEAUTIFIL Flow Plus, is a radiopaque, base, liner, and final restorative in one. Amazing tooth-like light diffusion and chameleon properties provide intuitive and highly aesthetic outcomes.

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BY KERR RESTORATIVES Herculite Ultra Nanohybrid Dental Composite

BY A-DEC INC. A-dec 300 Traditional Dental Delivery System

Herculite Ultra Universal Nanohybrid Dental Composite has herculite gold standard technology and Chameleon quality.

The A-dec 300 delivery System can integrate a quad-volt intraoral light source and two ancillaries.

31 • D EN T AL AC C E S S • J ANUAR Y - M AR CH 20 17

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BY ARMANN GIRRBACH Ceramill CAD/CAM materials Amann Girrbach enables the processing of CAD/CAM materials with absolutely unique precision using a new cutter and diamond trimmer for all Ceramill Motion generations and a special milling and grinding strategy, which was specially developed for these instruments. (Alphadent)

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BY PELTON & CRANE Helios 3000 LED Dental Operatory Light

BY ARMANN GIRRBACH Ceramill Zolid

BY DENTSPLY ENDO BUR Dentsply Endo Access Bur

BY DMG Icon

Helios 3000 LED Dental Operatory Light’s LED technology enables color mixing, A “No Cure” setting, and a crisp 3” x 6” light pattern that illuminates only where you need it to.

With Ceramill Zolid the dental specialist Amann Girrbach succeeded in providing high-grade zirconia with aesthetically convincing translucency for non-veneered, fully anatomical restorations and veneerable frameworks as well as ensuring long-term stability.

The special diamond coating reduces gouging with its tip matching round bur sizes for initial penetration while its diamond shaft flares the pulp chamber. The cutting surface of the Endo Access Bur is 10mm.

The total length is 21mm.

Icon is used for the micro-invasive treatment of smooth surface and proximal caries lesions. In one patient visit, and with no drilling, Icon can arrest the progression of early enamel lesions (caries) and white spot caries-like lesions. (Metro DNC)

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BY KERR RESTORATIVES SonicFill Sonic-Activated Bulk Fill Composite The SonicFill System comprises a handpiece that enables sonic activation of a specially formulated and conveniently delivered composite.

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BY DURR Tornado 2 - Super SIlent

BY IVOCLAR The New Bluephase N

BY IVOCLAR The New IPS Classic V Powder Opaquer

For decades the Tornado Compressor Programme has stood for quality at an attractive price. Efficiency was again boosted in the new model and energy consumption efficiently reduced by approx. 15 %. red dot design award winner 2011.

With the sales launch of the new Bluephase N product family, Ivoclar Vivadent sets again high standards in the field of LED polymerization devices. Users can choose between three curing lights tailored to individual customer needs.

IPS Classic V Powder Opaquer is developed using a new production method. Users benefit from its great flexibility in application techniques as well as from a fast and efficient veneering process.

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BY A-DEC INC. A-dec 511 Dental Chair Premium comfort for your patients with great ergonomic access that maintains great access and posture for you.

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BY IVOCLAR IPS e.max Press Multi

BY IVOCLAR Adhese Universal

BY IVOCLAR SR Nexco

An innovative, new ingot now allows highly esthetic restorations showing a lifelike shade progression to be fabricated in a single press sequence.

A new single-component, light-cured universal adhesive for direct and indirect bonding procedures. It features compatibility with all etching techniques: self-etch, selective-enamel-etch and total-etch.

SR Nexco Flask is a new type of flask with the help of which light-curing veneering composites can be pressed on dental frameworks.

J A N U A R Y - M A R C H 2 0 1 7 • DEN T A L A C C ESS • 32

Products

Products

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BY IVOCLAR Variolink Esthetic 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.

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BY MAILLEFUR Endo Z Bur The Endo-Z’s long tapered configuration allows easy access to the canal orifices and funnel shaping of the chamber walls. Its’ six specially designed tungsten carbide spiral blade cuts but lifts debris coronally along its flutes. The non-cutting tip helps prevent damage to the chamber floor or walls. Available in one size, in FG and RA versions.

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BY UNIDENT Unident Group Selection Unident delivers cutting edge technology in a range of hygiene and disinfection products, offering unprecedented performance whilst meeting and exceeding the needs of today’s modern dental practice.

Planmeca Romexis® is the first dental software in the world to combine 2D and 3D imaging and the complete CAD/CAM workflow, while also providing extended connectivity with Planmeca dental equipment.

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BY SIRONA T2 Turbines

ORTHOPHOS XG 3D can capture the patient’s whole jaw in a single span. The field of view is large enough to avoid the stitching of several 3D x-ray images and thus multiple exposure to radiation. Yet it is also small enough to be a time-saver in diagnosis.

The T2 Comfort class provides you with top quality technology for relaxed work. The titanium coated turbines lie comfortably in your hand ensure that control, boost and mini satisfy every requirement.

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BY VITA AKZENT VITA AKZENT® Plus

The DISC product line for the partially yttriumstabilized zirconium dioxide material VITA In-Ceram YZ will be extended to include additional variations for dental CAD/ CAM processing. The new VITA In-Ceram YZ DISC Color and VITA YZ DISC HT will be launched.

The new VITA AKZENT Plus stains provide a complete, integrated system that is both extremely user-friendly and offers exceptional application reliability. Thanks to a broader range of indications, these new stains provide users in practice and laboratory environments with freedom and versatility during processing.

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BY RENFERT Renfert Layart The lay:art system from Renfert comprises 8 different, high quality mixing trays and 8 individual premium line brushes, which the porcelain artists can choose from to suit their own individual style.

BY PERIOPTIX MicroLine Series TTL Loupes

BY VOCO Ionostar Molar

Indications of use include Soft Tissue Procedure; Gingival Troughing for Crown; Impressions; Gingivectomy & Gingivoplasty; Gingival Incision & Excision; Soft-Tissue Crown Lengthening

Weighing in from only 36 grams, these lighter, smaller optics can be worn all day with comfort and with less fatigue. Available in microTTLs on the Adidas Adivista frame or the classicallydesigned Ultralight titanium.

• Restorations of non occlusion-bearing class I cavities • Semi-permanent restorations of class I and II cavities • Restorations of cervical lesions, class V cavities, root caries • Restorations of class III cavities • Restoration of deciduous teeth • Base/liner •

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BY DEXIS LLC DEXIS Platinum Digital Intraoral Sensor The DEXIS Platinum Sensor is a direct-USB digital X-ray solution with PureImage technology. Its sensor detects radiation where the image is automatically saved, dated, tooth numbered, and correctly oriented -no need to return to the keyboard. Its “One-Click Full-Mouth Series” reduces a FMX procedure to 5 minutes from start to finish.

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BY LED DENTAL VELscope® Vx

The Trihawk Talon Bur cuts horizontally and vertically, cuts amalgam, crowns and bridges faster. An independent study supported the performance, economy, and value of Tri Hawk’s bur, and it was the only single-use bur that rated 100 percent performance in an ADA review.

The VELscope® Vx, the latest model release of VELscope technology that uses natural tissue fluorescence to discover abnormalities in the oral mucosa improving the way practitioners examine and screen tissue abnormalities by enhancing the visualization of pre-cancers, cancer and other disease processes.

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VITA VMK Master, a new ceramic belonging to the VMK (VITA MetallKeramik = VITA metal ceramics) generation for veneering metal frameworks in the conventional CTE range.

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BY SHOFU Veracia SA Denture Teeth

BY BISCO PRO-V®

Veracia SA Denture Teeth is a new Semi-anatomical aesthetic denture tooth composed of homogenous MF-H (microfilled hybrid) composite reinforced with layered glass. Enhancing Shofu’s Veracia SA is a revolutionary Posterior tooth delivery system called the “Q3 Pack” allowing the simultaneous setup of 4 individual posterior teeth at once thereby saving production time

BISCO’s provisional materials are designed to address the differing requirements for creating and placing provisional restorations. The system comes with PRO-V COAT®, a hydrogel separating agent which prevents the dentin surfaces from bacterial or temporary cement contamination and PRO-V FILL® providing strength and durability while creating an optimal marginal seal.

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BY TRIHAWK Trihawk Talon Burs

BY VITA VM VITA VMK Master

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BY AMD LASERS Picasso Lite

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BY VITA IN-CREAM The new VITA DISCs

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The kit is composed of titanium scalpel handle for microblades; Molt periosteal elevator and periosteal HP3; Titanium Curved Micro tweezers; Titanium curved micro scissors; Titanium Micro needle holder.

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BY SIRONA Orthopos XG 3D

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BY MEDESY New Periodontal Micro-Surgery Kit

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BY PLANMECA Planmeca Romexis® 4.0 a completely renewed all-in-one software

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BY W&H Synea Vision Reliable, ergonomic and outstanding quality handpiece, the premium instrument line in the Synea series. Innovative and long service life guarantee excellent treatment results for restoration and prosthetics.

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BY MOUTHWATCH, LLC MouthWatch ExamTab 8 inch The MouthWatch 8 inch ExamTab is the perfect chairside dental imaging tablet designed to help you boost case acceptance, patient education and begin conversations about cosmetic imaging. Powered with Windows 8.1, the tablet can accommodate many other functions including patient entertainment, practice management, email and more.

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BY LED DENTAL RAYSCAN Alpha – Expert

BY LED DENTAL EnvisionTEC 3D Printers

BY BISCO TheraCal™ LC

RAYSCAN Alpha - Expert is the world’s first imaging system to utilize a wireless remote control for patient positioning with unique benefits such as pulsed for reduced X-ray exposure, multiple panoramic scan modes, with scan time of a maximum of 14 seconds for panoramic, and minimum of 4.0 seconds for cephalometric.

EnvisionTEC printers integrate seamlessly with leading CAD software programs, allowing clinicians to go from design to a finished product in just a few clicks. With a smooth surface finish and Built-in ethernet interface, this innovation enables printing of orthodontic models, partials, surgical guides, & bite guards with complete efficiency.

TheraCal™ LC is a light-cured flowable resin that contains Calcium Silicates. A first of its class of internal flowable pulpal protectant materials known as Resin Modified Calcium Silicates (RMCS), TheraCal LC provides the sustained alkalinity

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Products

Products

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BY VOCO Admira Fusion Flow

BY VOCO Provicol QM Plus

BY VOCO Remin Pro forte

Admira Fusion Flow is the world’s first purely ceramic-based universal restorative material.This unique “Pure Silicate Technology” brings a number of benefits including a high filler content, extremely low polymerisation shrinkage, low level of shrinkage stress with excellent biocompatibility and a very high colour stability.

Now with greater adhesion, the Provicol QM Plus is ideally suited to clinical situations requiring particularly high levels of adhesion. The eugenol-free material contains calcium hydroxide and is indicated for the temporary luting of provisional and definitive restorations (crowns, bridges, inlays and onlays), as well as for the temporary obturation of small, single-surface cavities.

Remin Pro forte is a protective dental care product with fluoride and hydroxy apatite that contains extracts of ginger (Zingiber officinale) and curcuma (Curcuma xanthorrhiza). Scientific studies have confirmed the antimicrobial potential of ginger particularly the curcuma extracts having an antibacterial effect against against streptococcus mutans and an anticariogenic effect.

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BY BOTISS cerabone® cerabone® is derived from the mineral phase of bovine bone, which shows strong resemblance to the human bone with regard to chemical composition, porosity, and surface structure. The pronounced hydrophilicity of the cerabone® surface supports a fast uptake of blood or saline, thus improving handling.

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BY BOTISS Jason® membrane Jason® membrane is a native collagen membrane obtained from porcine pericardium, developed and manufactured for dental tissue regeneration. The superior biomechanical and biologic properties of the natural pericardium are preserved during the patented production process that exhibits excellent handling characteristics like a remarkable tear resistance and very good surface adaptation.

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BY BOTISS collacone® collacone® is a wet-stable and moldable cone made of natural collagen. As a completely resorbable and hemostatic wound coverage, it is intended for application in fresh extraction sockets in the daily clinical practice.

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BY KERR ENDODONTICS Elements Diagnostic Unit Dental Pulp Tester Elements Diagnostic Unit Dental Pulp Tester provides the convenience and accuracy of a high quality pulp tester and apex locator in one system. The satellite display conveniently brings critical data into the field of vision for a faster more stable reading.

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maxgraft® is a sterile, high-safety allograft prouct, derived from human-donor bone, processed by Cells+Tissuebank Austria (C+TBA). C+TBA, a high-quality bone bank, is regulated, audited, and certified by the Austrian Ministry of Health and fulfills the highest EU safety standards.

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BY DENTSPLY NUPRO White Gold Tooth Whitening System

The RootPro endodontic motor with Low-Speed Handpiece prepares root canals while displaying accurate measurements of the root canal. RootPro also accurately and precisely locates the position of the file inside a root canal, without requiring the user to set the machine to zero.

NUPRO White Gold is a dentist-prescribed, take-home system that has been designed to address your patient’s tooth whitening requirements. Dramatic tooth whitening results can be obtained in one-two weeks with the flexibility of either day or nighttime application.

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mucoderm® is a natural type I/III collagen matrix derived from porcine dermis that undergoes a multi-stage purification process, which removes all potential immunogens. mucoderm® promotes the revascularization and fast soft tissue integration and is a valid alternative to the patient’s own connective tissue.

Straumann® Emdogain® is a well-researched, easy-to-apply gel containing Enamel Matrix Derivative (30mg/ml) originating from unerupted porcine tooth buds. As a component of embryonic tissues it is designed to promote predictable regeneration of hard and soft tissues lost due to periodontal disease or trauma.

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BY KERR ENDODONTICS Vitality Scanner 2006 Dental Pulp Tester

BY J. MORITA USA, INC Root ZX II Endodontic Apex Locator

Vitality Scanner 2006 Dental Pulp Tester ensures dependable and pain-free pulp testing. This outstanding diagnostic tool is automatically controlled and features large digital readouts.

It’s the quick and easy solution for patientand practice-friendly pulp testing.

Root ZX II’s patented technology has been independently evaluated to be 96.2% accurate.

The large color LCD display screen is easy to read and provides a clear, progressive display with high contrast and is lightweight with compact low speed handpiece option.

Glass Ionomer Luting Cement Attachment of crowns, bridges, inlays, onlays, posts and orthodontic bands • No temperature rise during setting • Highly biocompatible, low acidity • Micro- ne lm thickness for occlusal accuracy Excellent adhesion to dentine and enamel High compressive strength and low solubility

BY AUREOCEM DC

BY HU-FRIEDY Abou-Rass Angled Apical Plugger

BY HU-FRIEDY Retro Filling Plugger

The Abou-Rass Angled Apical Plugger is designed for easy access and visability of the apical foramina.

The Retro Filling Plugger is used to compact filling material during vertical condensation.

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BY STRAUMANN® Emdogain®

BY MEDICEM

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BY BOTISS mucoderm®

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BY BOTISS maxgraft®

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BY PAC-DENT INTERNATIONAL, INC. Rootpro Wireless Endo Motor And Apex Locator

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BY SHOFU Core Shade GlasIonomer Core Build-Up Base Cement CoreShade GlasIonomer is formulated to provide a dependable, easily detectable, metal-free core build-up.

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BY ANTHOGYR Ergoject Intralig Syringe Ergonomically designed, these technical syringes allow every kind of anaesthesia, especially intraligamental and intraseptal. A Progressive mechanism which makes the injection very quiet and smooth.

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BY 3M Adper Easy Bond Self-Etch Adhesive

BY PHILIPS ORAL HEALTHCARE Zoom Whitening Pen

Eliminating post-operative sensitivity is high on every dentist’s list. With Adper Easy Bond Self-Etch Adhesive the etching and penetration of resin monomers into the demineralized dentin and enamel are carried out simultaneously in one step, thus preserving the collagen structure.

Zoom Whitening Pen as a convenient way for your patients to keep their white smiles on-the-go! The easy-to-use, stylish pen applicator brushes a 5.25% hydrogen peroxide formula directly onto the tooth to touch-up between whitening treatments.

Dual-curing resin-based luting cement Luting of non-metal or metal inlays, onlays, veneers, crowns, bridges and adhesive bridges ( Maryland bridges ) • Very high adhesion to dentine, enamel and metals • Verylow lm thickness (<10 μm) • High abrasion resistance • Complete polymerisation Permanent seal: no water solubility

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BY CERAM X DUO The Double Translucency System, offers four dentin shades with translucencies of natural dentin and three enamel shades which mimic natural enamel. Their design has been optimized for highly esthetic restorations with a minimum number of shades

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BY LUMISMILE WHITE IN-OFFICE Delivers the effective, safe and fast whitening your patients want, with an easy-to-use system for you and your staff. Customizable marketing support is available upon request to help you grow your practice with LumiSmile White with 12-month shelf life, no refrigeration required.

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CavityShield™ Sodium Fluoride Varnish from 3M Dosage Guidelines: 25 ml – Yellow Brush • To be used to treat patients with primary dentition.

• To be used to treat any patient requiring limited tooth surface or cavity area coverage. .40 ml – Red Brush • To be used to treat patients with mixed dentition who require extensive tooth surface or cavity area coverage.

(Do not use to treat patients with primary dentition only Follow guidelines above.)

Duraphat Sodium Fluoride Varnish from Colgate

Kolorz ClearShield Epic X Diode Laser

Duraphat displays a strong desensitizing effect when applied to affected dentinal surfaces. It is remarkably water tolerant and covers even moist surfaces with a well-adhering film of varnish, setting in saliva and obturating orifices of the dentinal tubules, providing desired reduction of patency to the tooth pulp.

Kolorz ClearShield 5% Sodium Fluoride varnish goes on clear, with no embarrassing yellow discoloration. Its excellent flow consistency goes on smoot without unpleasant clumping or gritty feeling. Contains xylitol, but does not contain gluten, saccharin, or aspartame.

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BY PREMIER DENTAL PRODUCTS Enamel Pro Varnish

BY ULTRADENT PRODUCTS, INC. Flor-Opal Varnish White

Enamel Pro varnish delivers ACP (Amorphous Calcium Phosphate) to stimulate remineralization of tooth enamel and prevents the loss of enamel.

It desensitizes dentin by depositing ACP and fluoride into the tubules. ACP crystallizes and forms apatite - tooth-like mineral.

Flor-Opal Varnish White is a flavored, xylitol sweetened, 5% sodium fluoride in a resin carrier. Its syringe-to-syringe mixing system ensures an even distribution of fluoride for a consistent application. Flexible FX Flex tip allows a 90-degree bend for easy placement and no-mess, continuous application.

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Profluorid L Liquid Fluoride Varnish Profluorid L, a 5% sodium fluoride tooth-shaded liquid varnish with calcium deposits, overcomes three problems of some traditional resin-based varnishes. Profluorid L has a synthetic resin matrix that ensures that the material will not interfere with bleaching results and can be used as an immediate effective paint-on desensitizer before, during and after bleaching procedures.

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ViziLite Plus

BY LED Dental Ltd.

Oral Lesion Identification System from DenMat

VELscope Vx

ViziLite Plus with TBlue Oral Lesion Identification and Marking System can help you to detect oral lesions that your eyes alone could miss. Used as an adjunct to the oral mucosal examination, the chemiluminescent light improves lesion visualization and identifies occult lesions.

The VELscope Vx Enhanced Oral Assessment System features updated optics technology, a cordless design and affordable pricing. The first-generation VELscope device has been used to conduct almost 10 million enhanced oral soft tissue exams worldwide to help detect all types of oral disease.

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BY VOCO

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BY DentalEZ iStar Cordless Prophylaxis Handpiece Created to make dental hygiene procedures more efficient, the iStar Cordless Prohylaxis Handpiece is compact and powerful. Compatible with all disposable prophy angles, the handpiece works without a foot pedal. While it is not autoclavable, the handpiece works with disposable sleeves for research-based infection control protocol.

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BY Polaroid Dental Imaging Polaroid Intraoral Camera

BY Planmeca PlanScan Intraoral Scanner

BY Magpie Tech. Corp.

Scooba Ultrasonic Cleaner

The Polaroid Wired Intraoral Camera represents a new chapter in the dental industry. Refine your case presentation and improve your patient education capabilities, with the new Polaroid Intraoral Camera.

Portable, fast and precise, the Planmeca PlanScan intraoral scanner is a powder-free system that uses blue laser technology to capture accurate digital impressions. Simple to use, the scanner connects directly to a laptop via a Thunderbolt connection for almost instantaneous digital impressions.

The Scooba is an ultrasonic cleaner that features a large corrosion resistant stainless steel tank that is also easy to drain. Abundant airflow around internal electronic modules prevents the unit from overheating when the tank is heated.

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DENTAL ACCESS

CALENDAR EVENTS

January - February

March

May

June

August - September

AEEDC Dubai 2017 7 – 9 February 2017 Dubai, UAE Venue: Dubai International Convention & Exhibition Centre Contact: INDEX Conferences & Exhibitions Organisation Est. Email: info@aeedc.com / index@emiratesnet.ae Website: www.aeedc.com / www.index.ae

Dental South China 2 – 5 March 2017 Guangzhou, China Venue: China Import & Export Fair Complex Contact: Cherry Wu Email: dental@ste.cn Website: www.dentalsouthchina.com

12th CAD/CAM & Digital Dentistry Conference 5 – 6 May 2017 Dubai, UAE Venue: InterContinental Hotel, Festival City Contact: CAPP EVENTS Email: events@cappmea.com Website: www.cappmea.com/cadcam

SIDEX 2017 2 – 4 June 2017 Seoul, Korea Venue: COEX (Seoul Convention and Exhibition Centre) Contact: SIDEX Organising Committee Email: sda@sda.or.kr Website: www.sidex.or.kr

HKIDEAS 2017 4 – 6 August 2017 Hong Kong, China Venue: Hong Kong Convention & Exhibition Centre Contact: Congress Secretariat Email: info@hkideas.org Website: www. hkideas.org

Sino-Dental 2017 9 – 12 June 2017 Beijing, China Venue: China National Convention Centre Contact: Carol Kang Email: kangle@ihecc.org / info@sinodent.com.cn Website: www.sinodent.com.cn

31st IADR-SEA Annual Scientific Meeting 28th SEAADE Annual Meeting 10 – 13 August 2017 Taipei, Taiwan Contact: Chinese Taipei Association for Dental Sciences Secretariat Email: ads.tw@msa.hinet.net

152nd Chicago Dental Society Midwinter Meeting 23 – 25 February 2017 Chicago, Illinois, USA Venue: McCormick Place Contact: Chicago Dental Society Email: mwm@cds.org Website: www.cds.org Association of Orthodontists (Singapore) Congress (AOSC) 24 – 26 February 2017 Singapore Venue: Marina Bay Sands Contact: Stephanie Sim / Cindy Tantarica /Andrea Berghoff Email: s.sim@koelnmesse.com.sg / c.tantarica@koelnmesse.com.sg / a.berghoff@koelnmesse.com.sg Website: www.aoscongress.com

The 37th International Dental Show (IDS) 2017 21 – 25 March 2017 Cologne, Germany Venue: Koeln Messe/Deutz Contact: VDDI / Thomas Maxein Email: ids@koelnmesse.de / info@koelnmesse.de/ t.maxein@koelnmesse.de Website : www.ids-cologne.de / www.koelnmesse.de

April Malaysia International Dental Show 2017 21st – 23rd April 2017 Selangor, Malaysia Venue: Sunway Pyramid Convention Centre Contact: Malaysian Dental Dealers Association (MDDA) Email: enquiry@mdda.com.my Website: www.mdda.com.my Dental Show West China 2017 25 – 28 April 2017 Chengdu, China Organiser:West China School of Stomatology, Tarsus Hope Exhibition Co., Ltd. Contact: Tarsus Hope Exhibition Co., Ltd. Email: wcise@wcise.com Web: www.wcise.com

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Expodental Meeting 2017 18 – 20 May 2017 Rimini, Italy Venue: Rimini Fiera S.p.A Contact: Promunidi Srl / Linda Sanin Email: comunicazione@unidi.it / segreteria@unidi.it Website: www.expodental.it 39th Asia-Pacific Dental Congress 22 – 25 May 2017 Macau, China Venue: The Venetian Macao Hotel Contact: Kenes Turkey Email: apdc2017@kenes.com Website: www.apdc2017.org

Thai Dental Show 13 – 15 June 2017 Bangkok, Thailand Venue: Central World Bangkok Contact: The Dental Association of Thailand Email: thaidentalnet@gmail.com Website: www.thaidental.net Spring Meeting 2017 23 June 2017 Venice, Italy Venue: Palazzo Franchetti Contact: Eve-Lab Email: nora.naldini@eve-lab.it Website: www.mectron.com/springmeeting

4th Asia-Pacific CAD/CAM Digital Dentistry Conference 19 – 20 August 2017 Singapore Venue: Suntec Singapore Convention and Exhibition Centre Contact: CAPP Asia Email: registration@capp-asia.com Website: www.capp-asia.com / www.facebook.com/cappasiapacific FDI Annual World Dental Congress & World Dental Exhibition 29 August – 1 September 2017 Madrid, Spain Venue: IFEMA Contact: FDI Email: info@fdi2017madrid.org Website: www.fdi2017madrid.org

2017 ADX 2017 (Australian Dental Expo) 15 – 17 September 2017 Melbourne, Australia Venue: Melbourne Convention & Exhibition Centre Contact: Duncan Campbel / Australian Dental Industry Association Inc Email: adia@adia.org.au / adx.melbourne@adia.org.au Website: www.adia.org.au

December Thai Dental Show December 2017 Bangkok, Thailand Venue: Central World Bangkok Contact: The Dental Association of Thailand Email: thaidentalnet@gmail.com Website: www.thaidental.net

October Italian Dental Show 19 – 21 October 2017 Brescia, Italy Venue: Montichiari – Brescia Contact: teamwork media srl Email: redazione@teamwork-media. com / puleri@teamwork-media.com Website: www.italian-dental.show / www.colloquium.dental / www.teamwork-media.com

Visit us on /identalaccess @identalaccess www.identalaccess.com

November 93rd Greater New York Dental Meeting 2017 26 – 29 November 2017 New York, USA Venue: Jacob K. Javits Convention Centre Contact: Dr. Robert Edwab / Carla M. Borg Email: execdirector@gnydm.com / exhibits@gnydm.com / info@gnydm.com Website: www.gnydm.com

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