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THE TRADITION CONTINUES...
TECHNORAMA
PROGRAM 2012
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THE TRADITION CONTINUES...
TECHNORAMA
2012
features 8
Technorama Program
Ceramic Veneers: Standard and Repeatable Prosthetic Treatment Attilio Sommella and Guerino Paolantoni
departments 4 Editorial 6 Technorama Schedule
Rob Mior, Executive Director - Technorama
Technorama 2012
20 21
22
I 2012
Fiber Force Solutions Carlo Zanon, DD, LD, FCAD
Technorama at a Glance
28
Technorama Speakers & Seminars
Technorama Exhibitor List
3
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Editorial
Rob Mior, Executive Director Technorama
Welcome to Technorama 2012 teamwork, efficiency and new technologies Technorama opens its doors to the technical dental world we cannot help but realize the importance of working together as a team. Teamwork really makes sense. Working together in a collegial manner will result in new ways of tackling old problems and help get the job done on scope, on time and on budget to the satisfaction of the dentist-client, the patient and of course you the dental professional. Teamwork also allows you us foster opportunities that help us grow. In today’s competitive environment, the economy makes it even more imperative to learn how to adapt to new technologies to streamline our efficiencies. You must not just work harder, you must work smarter. Knowledge and education are tools that you need to continue to add to your success armamentarium. Expanding your professional skills and improving your time management skills can prove to be the keys to your continued success. The majority of the dental professionals truly enjoy their profession: they enjoy the creativity, and the success it brings. Their
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responsibility is to be the best they can be. They need to strive to implement the materials, services and technologies that the dental market place puts at their disposal to accomplish this. This of course must be done in a financial responsible manner. Yes, if you want to continue to grow and prosper within the new business climate you need a strategy. You must take a close look at your current operative systems and purge tasks that are unnecessary and that do not impact your business in a positive manner and see how you can implement the use of new technologies to streamline the quality and efficiency of your business systems. As you visit Technorama, walk with your thinking cap on to see how you can embrace new technologies that can help make your lab/clinic and your teamwork approach more productive and flexible. Be aware that by working harder, you might run the risk of being less effective but by working smarter you can still obtain the success you want and deserve.
Technorama 2012
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©2012 DENTSPLY International, Inc. All rights reserved.
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TECHNORAMA
2012
SCHEDULE
FRIDAY, APRIL 20, 2012 Time
Company
Title
Speaker
Room
5:00pm - 6:00pm
Nobel Biocare
Advanced Solutions for Implant Complications
Dr. Herman Kupeyan, Dr. Gordon McDowell
Butternut/Holly
5:00pm - 6:00pm
3M ESPE
The Denturist/Dentist Relationship: Creating the Win-Win with Mini Dental Implants
Dr. Ian Erwood
Violet/Orchid
5:00pm - 6:00pm
Denplus
Enigma Cosmetic - The Teeth Tell the Truth
Louis Pelletier, DD
Evergreen
6:15pm - 7:15pm
Vident
Intro to Titanium Ceramics/Review of VMK Master Porcelain
Ken Chizick, RDT, CDT Butternut/Holly
6:15pm - 7:15pm
Henry Schein
Advanced Business Management for Denturists - DOMx
Dean Fenwick
Violet/Orchid
6:15pm - 7:15pm
Dentsply Canada
Preventing Traumatic Sports Injuries with Pressure Thermoformed Sports Mouthguards
Dr. Amin Babul
Evergreen
7:30pm - 8:30pm
Dentaurum
Triceram Natures Creation (ti and zr ceramic)
Bassam Haddad
Butternut/Holly
7:30pm - 8:30pm
Dent-line
Attachments, Fixed & Removable Prosthetics; Take the Mystery out of the Treatment Planning
Peter Pontsa, RDT
Violet/Orchid
7:30pm - 8:30pm
Ivoclar Vivadent
Occlusion and Attachments - The Underlying Scheme for Successful Overdentures
Dennis Urban, CDT
Evergreen
SATURDAY, APRIL 21, 2012 Time
Company
Title
Speaker
Room
9:30am - 10:30am
Argen
CAD/CAM Designed Laser Sintered Metal Copings with Argen Canada
Lou Azzara, Richard Nixon
Butternut/Holly
9:30am - 10:30am
Diadem
Diazir Full Contour and Digital Design Featuring 3Shape
Mitch Jula, RDT
Violet/Orchid
9:30am - 10:30am
Bego Canada
Identifying Opportunities and Exploiting Potential for Your Dental Laboratory Using Bego CAD/CAM
Andreas Klie, RDT
Evergreen
10:45am - 11:45am
Nordenta
Economical Alternatives to Milled Implant Bars
Andrew Long, RDT
Butternut/Holly
10:45am - 11:45am
Laserdenta/ Central Dental
5 Axis, Open Architecture System with Scanner and Milling Machine
Valerie Poon
Violet/Orchid
10:45am - 11:45am
Henry Schein
The Complete System for Your Everyday Implant Practice
Dennis Sarrasin
Evergreen
11:30am - 12:30pm
Vident
Implant Retained Dentures
Dennis Purinton, CDT
Butternut/Holly
11:30am - 12:30pm
AuShaw
Pressing Matters from Start to Finish
David Goldshaw
Violet/Orchid
11:30am - 12:30pm
3M ESPE
New Materials for Implant Restorative Prosthetics
Roger Johansen
Evergreen
Hilton Suites Toronto/Markham Conference Centre & Spa 8500 Warden Avenue, Markham, ON, L6G 1A5 Technorama is presented annually by the Dental Industry Association of Canada (DIAC) Members for Laboratory Technologists, Denturists, Laboratory Owners, Students and Instructors. Donations for the Children’s Wish Foundation of Canada will gladly be accepted.
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Ceramic Veneers
Standard and Repeatable Prosthetic Treatment Step–by–step Attilio Sommella and Guerino Paolantoni There are numerous prosthetic solutions related to the broad range of technology and commodities of these days that can be offered routinely to patients, steeply increasing the range of successful small and large prosthetic reconstructions. However, we feel that a fundamental element is embodied by standardized and repeatable “planning” of an operative prosthetic protocol that has as scope predictability and success of both aesthetic and functional aspects.
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his article will highlight the technical stages of the task at hand assisted by a correct schematic work protocol that is universally applied in the integral aesthetic reconstruction in relation to natural dental elements. It is obvious that the ceramics/ technique combination applied (which implies the knowledge of the ceramic material used along with the standard and
Fig. 1
repeatable stratification technique herein shown) is essential to the dentist. Detailed knowledge of both the internal and external features of the natural tooth is an irreplaceable element in achieving overall harmony. Only unbiased knowledge and observation of the natural element allows the creation of precise elements that are both functional and “natural”.
Fig. 2 Fig. 1: Clinical case under our observation “Time 0”
Fig. 2: The first model is always “the sector model” that reproduces the dental area to treat.
Fig. 3: Silicone check template realized on the sector model. The use of laboratory silicone. Zetalabor 85 Shore – A (Zhermack) is recommended for enhanced detail definition.
Fig. 3
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Technorama 2012
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Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 9 Fig. 4: Silicone check template accurately repositioned on the work model for the verification of proper refractory stump positioning.
Fig. 8
Fig. 5: Work model ready for ceramization
Fig. 6: Chromatic visualization through the use of the color palette of the ceramic system InLine (Ivoclar Vivadent)
Fig. 7: Due to the transversal fracture of the dental element, before proceeding with dentine buildup, a part of the stump is reconstructed with deep dentin DD A1 IPS InLine (Ivoclar) previously identified, so that light absorption is better modulated. Fig. 8: In situ verification after baking
Fig. 10
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Fig. 9: First baking phase with IPS InLine (Ivoclar). In this phase, morphological and chromatic structuring of the dentine structure, incisal plate and a little hint of effects in the incisal suspension will be undertaken.
Fig. 10: Occlusal view. This angle allows a better view of the residual space for a second baking process.
Technorama 2012
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Fig. 11
Fig. 12
Fig. 13
Fig. 14
Fig. 15
Fig. 16
Fig. 11: The same goes for the side view
Fig. 12: In site verification of the first baking process by stump extraction from the model. This is essential for a successful reconstruction. Both morphological and chromatic modifications may be performed in this phase.
Fig. 13: A check is also carried out on the width and transparency of the incisal plate.
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Fig. 14: Perfection of the incisal margin shall be performed with an intermediate baking process at 820Âş C in vacuum condition of coloring substances, mixed, when necessary, with ceramic material for the reproduction of suspended elements, completion of mamelons, the application of small diffused white spots, and other. This baking step is performed between the first and second bakes.
Fig. 15: Result after intermediate bake at 820 °C
Fig. 16: Third bake. During this step, small morphological corrections are made and the incisal edge is completed. Technorama 2012
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2/24/12
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Fig. 17
Fig. 18
Fig. 19
Fig. 20
Fig. 21
Fig. 22
Fig. 23
Fig. 24
Fig. 17: Feldspathic ceramic veneers at completion
Figs.18 to 24: Complete view of the reconstruction from different angles. Notice the minute surface details.
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Figs. 25 to 28: Careful examination of the four surfaces of the element. Each part of this reconstruction has undergone attentive treatment. The veneer is separated from the coating.
Technorama 2012
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AT THE core OF EVERY RESTORATION
9OUR EXTRA TECHNICIAN
)MPLANTS )MPLANT BARS s )NLAYS /NLAYS s #ROWNS s 6ENEERS s "RIDGES Core3d Centres USA 1-888-750-9204 %MAIL )NFO53! CORE DCENTRES NA COM
6ISIT US AT WWW CORE DCENTRES COM
Core3d Centres Canada %MAIL )NFO#$. CORE DCENTRES NA COM
!UTHORIZED -ILLING #ENTRE AUTHORIZED MILLING PARTNER of
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Fig. 25
Fig. 26
Fig. 27
Fig. 29
Fig. 30
Fig. 31
Fig. 32
Fig. 33
Fig. 34
Figs. 29 and 30: Ceramic veneer free of the refractory material and accurately set on the whole model (sector model) to control the contact surfaces with contiguous teeth. This lab procedure anticipates the next phase of in-site verification that the clinician shall shortly execute.
Figs. 31 to 33: Intraoral view of the treated tooth. Stump cleaning is detailed step-by-step.
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Fig. 28
Fig. 34: The choice of cement color is highly important. There are currently cement systems available that contain gel tray-in that faithfully reproduce the cement colors contained in the kit. This allows colors to be tested beforehand to chose the best solution. Cement Vitique (DMG) is recommended. The cement is composed of the test mixtures and by the photo and dual cements. The cement comes with photo-polymerizing cements and two catalysts with different consistencies (flow-heavy), in order to transform the cement from photo to dual.
Technorama 2012
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Fig. 35
Fig. 36
Fig. 37
Fig. 38 Figs. 35 and 36: In site positioning of the veneer. Notice the gel tray-in puff that jots out from the reconstruction.
Fig. 37: Excessive gel is removed with sprayed water. Figs. 38 and 39: Reconstruction post-cementing on the dental veneer 1.1.
Fig. 39
About the author Attilio Sommella was born in Pozzuoli (NA) in 1966. He earned a diploma in dentistry in 1985 from the Institute I.P.S.I.A. “Casanova” di Napoli. After an initial training period in complete prosthetics, during which he gained detailed insight of the method put forth by Prof. Passamonti, he essentially dedicates himself to fixed restorations with focus on aesthetics. He underwent skill development from 1987 to 2996 through courses and conferences with master dentists acclaimed world over. He has held many conferences since 1995, with focus on prosthetic aesthetics and functionality. He has taught at many Italian Universities. In addition, he has authored many articles on both national and international magazines; and has created a simplified ceramics working system “The incisal sheets”, of which a regular patent was taken out in 1999. He is author of the book “Il margine incisale, punto di forza nell’espressione di un incisivo”, edited by teamwork media srl. He is owner of the dentist studio “Dental Creation s.n.c.” since 1988, along with Mr. Raffaele Nicotera. He is founding member and national vice president of “dental excellence - International Laboratory Group”. Winner of the AIOP - ANTLO “Roberto Polcan” award for 2006.
Dr. Guerino Paolantoni was born in Rome in 1966. He earns a diploma in dentistry in 1985. He earns a degree with hons. in Dentistry and Prosthetics from Federico II of Naples in 1989. In 2005 he becomes effective stakeholder of the Italian Peridontology Association, and in 2007 is elected member of its Editor Committee. He teaches the Course on Professional Skill Development in Clinical Oral Surgery in the Department of Stomatology and Maxillo-Facial Sciences at the University of Naples “Federico II” 2004-05. Since 2006, he has taught the Refresher course in Oral Surgery at the University “G. D’Annunzio” of Chieti. He is teacher of the Graduate Course in Oral Hygiene, University of Rome Polo Pontino, 2007-08. He teaches the course “Surgical techniques for oral aesthetics and implantology”, at the Specialist school of Stomatology, University of Naples “Federico II” 2007-08. He has been Opinion Leader Thommen Medical since 2007. He is a self-employed dentist in Naples.
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Technorama 2012
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TECHNORAMA AT A GLANCE
2012
Heraeus Kulzer
Germiphene
Fortress Real Capital
Synca
Westan
Nordenta
Straumann
Myerson
Dent-line
Keystone Patterson Dental
Storage Adam Center
Henry Schein
Accu-Plus
Dentaurum
Henry Schein
Au-Shaw Horico North America
Quatro Air Technologies Swiss NF
Pow Laboratories
Bego
Ivoclar
3M ESPE
Emerald George Brown College
Medi-One Financial
Registration Lincoln
ADTO Biomet 3i
Core 3D
LHM
ASA Dental
Nobel Biocare
Aurum
Diadem
Renfert
Domtrak
DAO
Argen Bridge Network
5 Axis
Dentsply
DenPlus
Palmeri Publishing
GC America DIAC
Storage
Proto 3000 3D
WMAD
Handler
Dent Tech Solutions
Unique Dental
American Express
Vident
Central Dental
Hilton Suites Toronto/Markham Conference Centre & Spa 8500 Warden Avenue, Markham, ON, L6G 1A5
FOYER
Mid Continental
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THE TRADITION CONTINUES...
EXHIBITOR LIST 3M ESPE 5 Axis Accu-Plus Adam Center ADTO American Express Argen Corporation ASA Dental Au-Shaw Dental Productions Inc. Bego Biomet 3i Bridge Network Central Dental Supplies Core 3D DenPlus Dentaurum Dent-line of Canada Inc. Dentsply Canada Dent Tech Solutions Denturist Association of Ontario (DAO) Diadem Dental Industry Association of Ontario (DIAC) Domtrak Emerald Dental Works Fortress Real Capital GC America, Inc. George Brown College Germiphene Handler Henry Schein Heraeus Kulzer Horico North America Ivoclar Vivadent Keystone Industries LHM Lincoln Dental Supply Medi-One Financial Mid-Continental Myerson Nobel Biocare Canada Nordenta Palmeri Publishing Inc. Patterson Dental Pow Laboratories Proto 3000 3D Quatro Air Technologies Renfert USA Straumann Swiss NF Metals, Inc. Synca Unique Dental Supply Inc. Vident Westan Warrick Manzo and Dunn (WMAD)
www.3MESPE.com/labproducts www.5axisdental.com www.accuplusdentallab.com www.adamcentre.com www.adto.ca www.amexforbusiness.ca/dentists www.argen.com www.asadental.it www.aushaw.com www.begocanada.com www.biomet3icanada.com www.bridge-network.com www.centraldentalltd.com www.core3dcenters.com www.denplus.com www.dentaurum.de www.dent-line.com www.dentsply.ca www.denttechsolutions.com www.denturistassociation.com www.diademprecision.com www.diac.ca www.domtrak.ca www.emeralddental.com www.fortressrealcapital.com www.gcamerica.com www.georgebrown.ca www.germiphene.com www.handlermfg.com www.henryschein.ca www.heraeusdentalusa.com www.horico-na.com www.ivoclarvivadent.ca www.keystoneind.com www.lhmdentallab.com www.lincolndental.com www.medi-one.ca www.mid-continental.com www.myersontooth.com www.nobelbiocare.com www.nordenta.net www.palmeripublishing.com www.pattersondental.ca www.powlab.com www.proto3000.com www.quatro-air.com www.renfert.com www.straumann.ca www.swissnf.com www.fiberforcedental.com www.uniquedentalsupply.com www.vident.com www.westan.ca www.wmad.ca
2012
1.800.265.1840 1.855.MY5.AXIS 1.866.846.8944 1.905.304.1226 1.877.788.ADTO 1.800.255.5524 +39 0584 938305 1.905.669.4533 1.800.463.2680 1.800.363.1980 1.800.922.7434 1.800.268.4442 1.877.308.7717 1.888.344.4424 1.514.592.6255 1.800.250.5111 1.800.263.1437 1.855.550.2769 1.800.284.7311 1.877.934.2336 1.905.417.7462 1.519.621.3344 1.888.251.7171 1.877.299.3678 1.800.323.7063 1.800.265.2002 1.800.265.9931 1.800.274.2635 1.800.668.5558 1.800.431.1785 +49 (0)30 8300030 1.800.533.6825 1.856.663.4700 1.800.387.0092 1.800.289.6678 1.905.337.2174 1.877.318.5764 1.800.423.2683 1.800.939.9394 1.800.393.7222 1.866.581.8949 1.800.570.6356 1.800.265.4052 1.888.88.PROTO 1.514.630.4444 1.630.762.1803 1.866.531.7365 1.800.387.5031 1.800.667.9622 1.888.532.0554 1.800.263.4778 1.800.661.7429 1.905.278.3866
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Fiber Force Solutions Carlo Zanon, DD, LD, FCAD
I
Fiber Force is a high tech solution for reinforcing and strengthening dentures that has finally made its debut in North America. I have been aware of the system for some time and have seen it demonstrated in my travels to Europe where it has been available for a few years. Fiber force is one of those interesting products that if the reports are accurate is said to increase the strength of PMMA resins by more than 300%. With these numbers it would be an excellent and less costly alternative to cast mesh reinforcements and can be done in house in less than 30 minutes. Fiber Force is made up of a series of light weight e-glass fibers impregnated and coated with a light cured methylacrylate resin. It is paper thin and adds no additional weight to the finished dentures. Once placed into a denture the translucent fibers are virtually invisible.
t was somewhat difficult to visualize how a product constructed of thin, light weight fibers could actually strengthen a denture especially considering the stresses exerted on a complete denture opposing a natural dentition. One must consider a similar product. The thin light weight bulletproof vests police officers wear in their every day patrols. These vests are able to stop a bullet at close range and have saved countless lives. Fiber Force uses a similar inter connected webbed design that once it is incorporated
Fiber Force Braided Rope
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into a denture, bonds chemically with the acrylic, adds strength but still allows for flexibility. I have used Fiber Force in the reinforcement of new complete and acrylic partial dentures, denture repairs, Implant supported dentures, and additions to existing dentures. Just like any new technique we incorporate into our practices there is a short learning curve and a few steps to memorise. I found it compatible and achieved excellent bonding with all methacrylates such as self cure, heat cure and microwaveable resins. Injection moulded dentures such
Fiber Force UD Fiber Technorama 2012
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as Ivocap required a slightly longer learning curve and was technique sensitive. Fiber Force is available in various configurations depending on the application. It comes in a sealed light resistant package. Once opened, the remaining unused portion must be resealed in the packaging to prevent it from exposure to light. I found the package that houses a fiber mesh used to reinforce a complete maxillary or mandibular
Removable denture, press pack technique 1. Apply a wax separator to the model and allow to dry.
2. Adapt a thin wax sheet of approximately 0.2 -0.6 mm in thickness over the area to which the fiber mesh is to be applied. This will ensure the mesh will be “sandwiched” into the acrylic when packing.
3. Cut 6 to 8 small 2 by 2 mm holes into the wax spacer along the crest and slope of the ridge. These holes will be used to maintain the proper spacing for the fiber mesh during the packing of the acrylic.
denture contains enough material to do two complete maxillary palates or three mandibular ridges. The braided rope or UD fiber ropes are designed to be used as a substitute to a metal bar lingual reinforcement when reinforcing complete or partial dentures. I found the rope useful when strengthening complete mandibular dentures with soft liners. A package of the braided rope or UD fiber rope was sufficient to reinforce 5 to 6 dentures.
5. Remove the Fiber force mesh from its packaging and cut the desired length of material while leaving the protective covering film in place.
6. Once cut, remove the protective covering film and center the Fiber Force mesh over the area to be covered. Sharp scissors may be used at this point to remove excess material.
Adapt to model Add 0.2 -0.6 mm spacer to the model. Cut 6 holes in the wax
4. Gently fill the holes with the fiber force light cured pink resin.
7. For proper adaptation of the mesh to the model a “SplintVac” unit is recommended by the manufacturer. The SplintVac vacuum cylinder ensures proper adherance of the mesh to the model during curing.
Fill holes with pink light cured resin
Technorama 2012
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8. Ensure that the model is 5 – 10 mm below the top of the aluminum cylinder then add or remove spacing beads as necessary so that the beads are level with the peripheral sulcus of the model but not in contact with the fiber mesh.
11. Once cured, remove the fiber force mesh from the model and using boiling water or steam to eliminate any remaining wax on the mesh or model.
12. Using sharp scissors cut the mesh to the desired size. Drill open any holes in the mesh that may have closed during curing. Use a small fisher or pointed bur.
Add Aluminum chamber cover
9. Place the membrane and metal cover ring over top of the cylinder holding the model. Using the Vacuum pump stretch the membrane over the model so as to adapt the membrane tightly adapts the fiber mesh to the model.
Trim to desired length using sharp scissors
13. The mesh is ready to be used. Mix acrylic and pack as usual incorporating the fiber mesh into the palate during trial packing.
Attach vacuum pump and remove air from chamber
10. Detach the pump from the cylinder and place the cylinder into a light curing unit for 1 minute (the actual curing time will vary by type of curing unit. Please consult product instructions for recommended curing times). Alternatively a hand held light curing light may be used. Mix acrylic and pack in usual manner
14. Process and finish as usual.
Light cure for 1 minute
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Technorama 2012
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The Right Material for Stronger Dentures
Fracture Resistance 271.6 MPa
75.2 MPa
Fiber Force dentures
Traditional dentures
• Increase both fracture and fatigue resistance with a non-rigid reinforcement • PREPREG (pre-impregnated) fibers provide a strong bond to denture acrylic • Lightweight, thin and esthetic (invisible) Ideal for: full dentures, implant-supported dentures, denture repairs, soft liners, and more.
For Step by Step Instructions & Tutorials visit:
Starter kits available!
www.fiberforcedental.com 1-800-667-9622
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Repairing or reinforcement of removable dentures 1. If broken, repair the denture in the usual manor and trim off the excess.
4. Remove the protective covering film and place the rope into the groove ensuring that the fiber rope fits well into the groove.
Adapt the Braided Rope or UD Fiber into groove Seal pieces together and pour model and repair as usual
2. Create a groove just below the lingual of the anterior and posterior teeth. The groove should be at least 2mm wide and 2mm in depth.
5. Gently fill the groove with the fiber force light cured pink resin. 6. Place the denture into a light curing unit for 1 minutes. Alternatively a hand held light curing light may be used.
Cut groove 2mm in depth
3. Remove the Fiber Force braided rope or UD fiber ropes, depending on preference, from its packaging and cut the desired length of material while leaving the protective covering film in place.
Alternatively to using light cured pink resin conventional self curing repair acrylic may be utilised with the following minor changes to the previously discussed technique:
1a. Place the Fiber Force rope into the groove ensuring that the fiber rope fits well into the groove. 1b. Place the denture into a light curing unit for 1 minute. Alternatively a hand held light curing light may be used.
1c. Gently pry the hardened Fiber Force rope out of the groove and fill the groove with conventional self cure repair acrylic.
1d. Seat the hardened Fiber Force rope into the groove now filled with self cure repair acrylic and place the denture into a pressure pot. Cure as usual. 1e. Trim and polish as usual
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Light cure for 1 minute. Then repair using conventional repair acrylic
7. Trim and polish as usual.
In using Fiber Force for some time I would like to offer the following tips:
1. The use of a tapered eraser works well in aiding in the adaptation of the mesh to the model. 2. When using Fiber Force mesh on a maxillary palate, at final wax up, wax the palate slightly thicker than usual. It is easier to remove acrylic after processing than adding. 3. If using the SplintVac cylinder loosely adapt the membrane before placing the metal cover ring. The membrane seems to stretch and adapt better 4. When packing the acrylic into the flask with a fiber mesh it is better to use the acrylic at a slightly softer stage to ensure the acrylic penetrates the mesh properly. 5. Relieve fraenum’s when trimming the fiber mesh
I believe that if the published research into Fiber Force e-glass resin impregnated material holds true over time this product will become a welcomed addition to most dental professionals who are looking to provide good quality high strength denture at a cost that most patients can afford. Technorama 2012
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THE TRADITION CONTINUES...
TECHNORAMA
2012
SPEAKERS & SEMINARS
Friday, April 20, 2012 Advanced Solutions for Implant Complications Dr. Herman Kupeyan; Dr. Gordon McDowell 5:00pm – 6:00pm
Nobel Biocare
Conventional implant restorative modalities continue to address patient demands; however, anatomical challenges and patient expectations require the integration of advanced treatment planning tools, surgical expertise and technical excellence to over come. Expanding the clinician’s and technician’s awareness of treatment options for partial and fully edentulous arches, this advanced course will look at both fixed and removable options. Consider surgical and restorative procedures for immediate loading. Examine treatment options for the edentulous arch in compromised bone situations. Assess indications, contraindications and treatment options for the different patient groups. Dr. Herman Kupeyan graduated from the University of Toronto in 1977, and was in general practice until receiving his Fixed Prosthodontics degree from the University of Michigan in 1983. Dr. Kupeyan has been at the forefront of dental implant care for over 25 years. He has lectured, researched and worked with the Procera® Software since 1995. In association with Nobel Biocare, he has been involved with the numerous pre-launch products and since 2004 with Computer Guided surgery (Teeth in an Hour). Dr. Gordon McDowell graduated from George Brown College’s Dental Technology program in 1978. He has worked in all areas of the Dental Lab business for the last 32 years. For the last 13 years he has been involved in the CADCAM and Implant areas of the industry, 10 of which were with NobelBiocare teaching and troubleshooting the areas of implants abutments, copings, bridges, implant bars and scanning. Gord has worked with Dr. Kupeyan for the last two years as the implant and lab coordinator, designing provisional and final restorations.
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The Denturist-Dentist Relationship: Creating the Win-win with Mini Dental Implants Dr. Ian Erwood 5:00pm – 6:00pm
3M ESPE
Your patients are looking for affordable solutions to stabilize their dentures. By bringing a dentist who places mini dental implants on your team you will have satisfied patients and more referrals. This presentation will look at key components of incorporating mini dental implants into your practice. Dr. Ian Erwood is a fellow of the Academy of General Dentistry and the International Congress of Oral Implantologists. He is a founding member of the TIASC and has been practicing Implantology for over twenty years. He has utilized the mini dental implant system in his practice for over six years.
Enigma Cosmetic - The Teeth Tell the Truth M. Louis Pelletier, DD 5:00pm – 6:00pm
DenPlus
Louis Pelletier, DD a Denturologist from Quebec with over 30 years experience in the field, including implant over-dentures, will offer a dynamic presentation focusing on the American and European set up methods using Enigma Cosmetic teeth. Enhance your denture cosmetic business-Start Now! M. Louis Pelletier, DD, graduated as a dental technician in 1979, and obtained his denturist diploma in 1981. His varied interests led him to a business administration certificate from HEC Montreal, and an urbanism certificate from UQÀM. He began his career as a representative for Sterngold Dental in 1979. A few years later, he worked as a regional sales manager for Buffalo Dental Canada. He also has been an active member with Ordre des Denturologistes du Québec and is presently a member of the continuing education committee. In his community, as president of the Chamber of Commerce, M. Pelletier founded the first Youth Chamber of Commerce in Canada, dedicated to the introduction to financial world of young people from 12 to 18 years old.
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b. Denturists can then make charting notes directly on the image using a pen like input device on screen.
Intro to Titanium Ceramics / Review of VMK Master Porcelain Ken Chizick, RDT, CDT 6:15pm – 7:15pm
Vident
Discover how Titanum Ceramics and VMK Master Porcelains can be used to enhance your cosmetic results while impacting your bottom line in a profitable manner. Ken will be donating a portion of his honorarium to the Hospital of Sick Kids, Manitoba. Ken Chizick, RDT, CDT is an instructor in both the undergraduate and postgraduate programs in the Department of Restorative Dentistry at the University of Manitoba, School of Dental Medicine. Ken is a leading resource in Dental Materials and actively participates in a variety of clinical research trials of today’s “new” dental materials. Ken is internationally recognized as one of today’s most exciting lecturers and innovative artisans in the field of dental ceramics. Ken has been featured in a number of clinical publications in the area of fixed prosthodontics. His style and practical approach in teaching has brought him international recognition. Ken is a graduate of George Brown College in Toronto, Canada and is certified by the National Board of Certification and the Governing Board of Dental Technicians Manitoba. He is an accredited member of the International Society of Dental Ceramics. He has been featured in LMT, and is currently a contributing editor to the Canadian Journal of Dental Technology. Ken is also technical reviewer for the American Journal of Prosthodontics.
Advanced Business Management for Denturists – DOMx Dean Fenwick, B.Ed, MCP 6:15pm – 7:15pm
Henry Schein
Denturists will walk away from this course inspired to improve their business and their work flow. Specific techniques will be presented to increase office efficiency from the waiting room through the front desk; laboratory; back office; and remote locations. This lively course will include specific strategic planning and implementations that work for denturists. Topics will include how the denturist can: 1. Improve Work Flow • Specific techniques will be presented to help the denturist achieve optimal efficiency in the work flow of the denturist practice - from patient management to office and laboratory procedure management. • Remote clinics? Working off site? Why network access to clinic information need no longer be a problem 2. Rock Solid Patient Charting Why paperless is now practical EVEN for the “paper chart only kind of person”Unique Intra Oral Imaging and Charting options a. Demonstration of an easy to use wireless intra-oral camera that the denturist can walk around with in their lab coat pocket. Images will be wirelessly and directly inserted into their DOMx practice management software.
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3. Increase Patient Treatment Acceptance • Specific presentation techniques that work to increase patient treatment acceptance. • Professional Treatment Planning to elevate your business and protect your professional responsibilities. 4. Utilize Value Forward Marketing Techniques • Proven big business strategies that work for denturist clinics. • Denturists will leave with specific examples and strategies that can be implemented immediately into their practice. Dean Fenwick, B.Ed, MCP is a sought after speaker and educator on practice management for denturists throughout Canada and the USA. He has taught a 4th year required course for use of computers in the denturist practice for the Northern Alberta Institute of Technology (NAIT) 2004-2009. He has been instrumental in getting insurance companies on board to electronically submit claims for denturists and continues to lobby and help insurance companies understand denturism. Before his work with denturists, Dean taught computer science for high school and business management and entrepreneurship at the college level. He managed several small businesses before founding Specialized Office Systems Inc. in 1999. Since then Dean has been focused on exclusively providing specialized practice management solutions for denturists culminating in the recent release of the DOMx revolutionary software for denturists.
Preventing Traumatic Sports Injuries with Pressure Thermoformed Sports Mouthguards Dr. Amin Babul 6:15pm – 7:15pm
Dentsply Canada
Participation in sporting activities is major part of our lives today, be it for enjoyment, fitness or professionally; and often sports injuries are an integral part of this culture. Sport Professionals and even today’s sporting youth are experiencing a greater amount of trauma to the oral cavity. Together we will uncover the importance that a proper fitting mouth guard can provide to our players in the prevention of oral trauma for all sport activities. We will review what oral mouthguards are currently available, and the protection they offer, as well as uncover the stability offered by a properly fitted mouthguard. We will examine why the fabrication of a pressure thermoformed laminated mouthguard, offers greater stability and that added protection desired by today’s top star athletes as well as our top star athletes of tomorrow. Dr. Amin Babul graduated from the Faculty of Dentistry at University of Toronto in 1994. He proceeded to further his training when he was selected for a Dental Internship at Sunnybrook Hospital. He received additional training in Oral Medicine, Oral Surgery and Anaesthesia. Dr. Babul has a solo practice in the city of Toronto in a working class neighbourhood. Over the last 15 years of practice, his focus has been to provide care for his patients in all areas of Dentistry especially in Orthodontics, Endodontics and Implants. Due to the demographics of his practice, Dr. Babul has had to become proficient in Adhesive dentistry and Direct Resin restorations as a supplement to Indirect restorations. Dr. Babul also has a strong
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interest in Sports Dentistry and has been involved as a dentist in numerous sporting events including being one of the Dentists for an OHL hockey team for the last 12 years. Professional Affiliations: International Association of Orthodontics, Toronto Acedemy of Cosmetic Dentistry, Implant Study Club, George Hare Endodontic Study Club, Ontario Dental Association.
Triceram Natures Creation (ti and zr ceramic) Bassam Haddad 7:30pm – 8:30pm
Dentaurum Canada
Sharing tricks and hints on how to create beautiful and natural results very easily on ti and zr with Triceram ceramic. Bassam Haddad, a graduate from Lebanon, has been trained in Switzerland, Germany, Canada and the United States with some of the Masters of dental technology. He is a member of the AACD (American Academy of Cosmetic Dentistry), the CAED (Canadian Academy of Esthetic Dentstry), the ESCD (European Society of Cosmestic Dentistry) and an honorary member of the SSER (Society of Esthetic Dentistry in Romania). He is the author of numerous articles on aesthetic dentistry. He has performed live demonstrations on real cases at both national and international congresses and also has given several lectures. He is the owner of VIVACLAIR CANADA dental laboratory in Montreal.
Attachments, Fixed & Removable Prosthetics; Take the Mystery out of the Treatment Planning Peter Pontsa, RDT 7:30pm – 8:30pm
Dent-Line of Canada
• Treatment planning and case presentations on attachments in dentistry • Rationale for using various attachments on abutment teeth • Take the mystery out of treatment planning • Removables & fixed partial dentures & overdentures as well as roots & implants Peter Pontsa, RDT is the president of dent-line of canada, a specialty dental distributor. He shares his experience and knowledge through articles and seminars. He is past president of the College of Dental Technologists of Ontario and received the 2010 fellowship award from the Association of Dental Technologists of Ontario. He currently publishes his newsletter the Dent-Liner and is the Associate publisher of Spectrum Denturism.
Occlusion and Attachments - The Underlying Scheme for Successful Overdentures Dennis Urban, CDT 7:30pm – 8:30pm
Ivoclar Vivadent
In the ever-changing world of dental technology, the one segment that seems to be a mainstay in growth consistency is removables. Whether it is full dentures, partials, implant overdentures, or attachment overdentures, the potential for continued laboratory business growth in
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these areas is substantial. While growth opportunity is a major factor, the success factor for removable cases includes many variables. We are faced today with the demand of creating a denture that by far surpasses the esthetics and function of dentures that were made twenty years ago. Denture wearers want to look as if aesthetic natural dentition is taking up the oral cavity as opposed to the old mediocre look of denture teeth and acrylic. Successful high-end cosmetic dentures all start with good communication with the dentist and the patient and then it is combined with knowledge, technical expertise, and quality. To ensure a successful case, the following points will be reviewed during the lecture: • • • • • • •
Case planning Accurate impressions Correctly contoured bite rims and accurate bite registrations A semi-adjustable or fully-adjustable articulator to mimic jaw function Appropriate occlusal schemes Attachment selection Precise denture processing
Dennis Urban, CDT has worked in the dental technology field for over 30 years. He owned and operated a full service lab on Long Island, New York for many years. He has lectured worldwide since 1985 on many areas of dental technology, including denture set ups, lingualized occlusion, denture processing, implant overdentures, occlusion, soft liners, infection control, and porcelain staining. His technical articles have been published numerous times in many dental publications in the United States, Europe, and Canada. Dennis Urban has been Vice President of both the Long Island Dental Laboratory Association and the Dental Laboratory Association of the State of New York. He was a Cal Lab board member and a delegate for the NADL. He was the recipient of the 2007 NADL Excellence in Education award and a Nominee for the 2011 CDT of The Year Award. Dennis has been a Technical and Sales Director for various dental manufacturers and is now the Technical Specialist and Removable Manager for Drake Precision Dental Laboratory in Charlotte, NC.
9:00pm — Cocktail
Saturday, April 21, 2012 CAD/CAM Designed Laser Sintered Metal Copings with Argen Canada Lou Azzara; Richard Nixon 9:30am – 10:30am
Argen
This course delves into the exciting new technology of CAD/CAM designed laser sintered metal copings. Discussed in this course will be system requirements, design parameters, as well as an explanation of the cost benefits of incorporating this exciting technology into your lab. This course will definitely enhance your knowledge of CAD/CAM Technology and Laser Sintered Copings. Also to be discussed in this course is Argen Canada’s refining process. Hopefully, we will leave you with a clear and greater understanding of how new technology has impacted the Assay and Refining industry. We will also chat about the top 10 frequently asked technical questions, as well as commodity prices/trends/changes and its impact on your alloy choices today.
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Lou Azzara began his career on Wall Street with Shearson/Lehman Brothers. Since then he has specialized in the dental industry. Currently he is the Vice President of Global Business Development for The Argen Corporation located in San Diego California. Lou is the former CEO of Captek – Precious Chemicals USA Inc. He was instrumental in overseeing the development of the Captek Company in North America and the continuing expansion of the company. He has also served on numerous industry advisory boards and strategic planning committees. Lou earned his MBA Summa Cum Laude from Florida Metropolitan University and received the Alpha Beta Kappa Honour Society’s highest award. Richard Nixon was appointed Chief Executive Officer of Argen Canada back in January of 2010 after successfully managing the business with his wife Monica for over 11 years. As CEO, Richard Nixon offers an educational and entertaining perspective on the dental industry and along with his team at Argen Canada he has helped propel The Argen Corporation to be the largest dental alloy manufacturer in the world.
Diazir Full Contour and Digital Design Featuring 3Shape Diadem Precision Technology
• Re-defining CAD/CAM • Precision design/precision milling • 3Shape - advanced features • Diazir Zirconia - advantages of pre-shaded powders Mitch Jula, RDT, is the Director of Training and Education at Diadem Precision Technology, and is certified to train on both 3Shape and Dental Wings systems. With almost 20 years experience in the dental industry, he has degrees in both dental technology and computer science and worked as a ceramist for Quantum Dental Technologies before joining Diadem. Mitch has been part of the dental CAD/CAM revolution for the past 5 years and has experience with most of the dental CAD designing software in the market including 3Shape, Dental Wings, Delcam, Sirona and Lava.
Identifying Opportunities and Exploiting Potential for Your Dental Laboratory Using BEGO CAD/CAM Andreas Klie, RDT 9:30am – 10:30am
Bego
Yesterday hours were spent waxing, investing, casting, divesting and finishing. Tomorrow these same hours can be spent designing and placing aesthetic touches on a higher number of daily units. •
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SLM- (selective Laser Melting) produced Wirobondo C+ CoCr non precious copings and bridges, taking the hassles out of working with NP in your laboratory. BEGO CAD/Cast-Consider outsourcing noble and high noble metal frameworks for production by simply sending an open STL file. Your BEGO CAD/Cast restoration arrives in your laboratory ready for degassing or final polishing.
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BeCe@ Wax-Up- Let BEGO transform your split STL file into a Wirobond@ C+ non-precious coping or bridge and a digitally mastered articulated BeCe@ Wax-Up overlay. This Press-n-Go concept of two steps in one makes press-to-metal quicker and easier than ever! • BeCe@ Cast- Wax-Up for casting in metal (coping, bridge, or anatomical crown). Streamline your waxing department with BeCe@ Cast digitally mastered rapid prototyping wax/resin copings, bridges and anatomical crowns.
Andreas Klie, RDT, graduated as a Dental Technologist from the Witwatersrand Technit on School of Dental Technology in South Africa in 1986. Andreas has been an RDT in Ontario since 2005. He owned and operated a full service Dental Laboratory, specializing in Crown and Bridge, Attachments, Cast Partials and Combination Cases using the BEGO system. He joined BEGO Canada in 2004 as a Technical Consultant and travels extensively to lecture and give training courses. Since the beginning of 2010 he has also been involved with BEGO CAD/CAM.
Economical Alternatives to Milled Implant Bars
Mitch Jula, RDT 9:30am – 10:30am
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Mr. Andrew Long, R.D.T., MICOI, A.B.I.S.T. 10:45am – 11:45am
Nordenta/Wieland
The Seeger is an innovative, affordable bar design from Rhein83 which utilizes the Equator attachment as its retentive element. It eliminates the need for milling while still achieving accuracy of fit and strength. Perfect for the small lab or denturist who is looking for a cost-saving, patient-friendly alternative to milled bars. Larger labs will appreciate having an economical alternative to offer patients who require a lower price point. The Seeger puts design control back in the hands of the technician. Mr. Andrew Long, R.D.T., MICOI, A.B.I.S.T. has worked in the Dental Industry since 1976, and has spent time working in England, Germany and Canada. His first influence in ceramics came from Klaus Muterthies in England in the early 80’s. Since then he has added to his training with the likes of Ernst Hegenbarth, Claude Sieber, Lee Culp, Gerald Ubassy, Michael Magne, Gilbert Young, Oliver Brix and Shigeo Kataoka. He has completed the Dawson Centre’s Occlusion and Function Program and has trained with the Millenium Aesthetics Program. Recently he received both his fellowship and his masters with the ICOI . He is also a member of the AACD, working towards his accreditation, while running his own boutique dental lab in the heart of Niagara’s wine region.
5 Axis, Open Architecture System with Scanner and Milling Machine Valerie Poon, Director of Special Sales and Technical Training 10:45am – 11:45am
Laserdenta/Central Dental
Everyone’s talking about CAD/CAM and many people have and are planning on purchasing a CAD/CAM system now. The reality is you have many questions about this new technology and with this scanning course, you will be able to learn more about the newest CAD/CAM technology. You will have questions like “Why do you need
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an open architecture system?, Why do you need a true 5-axis technology? Why do you need an accurate scanner and milling machine? Are you ready for CAD/CAM and are you ready for the future?” and more answered. Valerie Poon, Director of Special Sales and Technical Training joined Laserdenta, Inc. on November of 2008. She works closely with the technical and management teams. She has over 8 years of extensive experience working in the digital technology manufacturing and dental field. She is the special accounts manager for sales and marketing and also assists with customer service and company development. Valerie is the main contact for customer service and marketing for Laserdenta, Inc.
The Complete System for Your Everyday Implant Practice Mr. Denis Sarrasin 11:30am – 12:30pm
Henry Schein
Attendees of this course will be introduced to a complete Implant system that has the Science and Documentation dated back to its market launch in 1999. The Camlog Brand has stood for precision, reliability and flexibility. Topics to be covered: • • • • • •
History and clinical development of the Camlog Implant System Overview of the surgical and restorative principles Science of “Tube in Tube” connection Abutment selection and insertion protocols Simple impression techniques What Henry Schein can do for you
Mr. Denis Sarrasin graduated from the George Brown Dental Technology program in 1984. He has worked in the Dental Implantology field as a technical consultant and advisor for over 20 years. Denis has conducted practical hands–on training courses and presentations on a variety of Implant related topics for clinicians, technicians and auxiliary teams. Denis is currently the Regional Implant Specialist for Camlog a division of Henry Schein. Denis’s vast knowledge and ability to provide both prosthetic and surgical support to clinicians and technicians makes him the perfect candidate to introduce the Camlog system.
Implant Retained Denture Dennis Purinton, CDT 11:30am – 12:30pm
Vident
The “standard of care” for the fully edentulous patient has been defined as an implant involved denture. Combining a complete denture with dental implants is a complicated process and requires a high skill level between the crown & bridge and denture technician. This program addresses both specialties and the fusion between the implants and denture. We will discuss, in detail, the fabrication of overdenture bars including milling and selection of precision attachments. This lecture will give instruction on the fabrication of a complete denture. Each student will learn to finish a complete setup, using Vita Physioden teeth and KAVO articulator and related accessories. The importance of festooning and gingival trimming will be demonstrated in detail.
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Dennis Purinton, CDT has been a dental technician for more than 36 years. He owns his own lab in eastern Kansas, and has concentrated on Implantology and dentures for the past 10 years. As a consultant for the Vident Corporation, he is actively involved in research and development for implant and denture related products and has trained at VITA in Germany. Dennis teaches courses across the country, lectures both nationally and internationally. He holds a Mastership with the American Academy of Implant Prosthodontics.
Pressing Matters from Start to Finish David Goldshaw 11:30am – 12:30pm
Au-Shaw/Whipmax
Lean principles will guarantee the dental lab successful, predicable, and consistent pressing. The importance of having the right material and the right equipment available, at the right time, in the right condition, is essential to successful pressing. This program will explore the importance of the preparatory through post-pressing processes and necessary equipment to assure the highest value pressing possible. David Goldshaw is both a denturist and dental technician. He worked in research and development with Dentsply traveling all over the world. David currently runs a "Handson" training centre in Concord where he facilitates C.E. courses on a wide range of topics. He is also the President of Au-Shaw Dental Productions Inc. This is the Canadian sales and marketing arm for notable manufactures such as Whip-Mix, Florida Probe, Cariescan, Razertip and Heine.
New Materials for Implant Restorative Prosthetics Roger R. Johansen 11:30am – 12:30pm
3M ESPE
Implant restorative dentistry is on the rise as patients are increasingly choosing implants to replace missing teeth. This presentation will introduce a revolutionary new class of material that is specially designed for implant restorations, but easily applies to daily restorative restorations as well. Not only is this amazing new material easily customized for your esthetic needs, but it will allow you to offer your dentists the confidence of an industry-leading 10 year warranty. A real breakthrough in material technology that offers unique functionality. Roger R. Johansen is the Professional Relations Manager for 3M ESPE Digital Oral Care Products and Implants. He has worked with 3M since 2005 coordinating beta testing programs for new product launches and customer new product training and education programs. He is a Certified Dental Technician with over 20 years of experience. He was trained in the U.S. Navy as a dental technician and graduated at the top of his class. Upon finishing his enlistment he continued his University education earning a BA in science and technology. Roger opened his own laboratory in Colorado in 1997, specializing in crown and bridge utilizing CAD/CAM technology. In 2003-2005, he served as President of the Colorado Dental Laboratory Association and on the Colorado Dental Association’s Board of Trustees. During this time he worked with the state legislature and local government agencies to write the Colorado Dental Practice Legislation and develop tax strategy to benefit dental prosthetic manufacturing businesses. His work with these agencies earned him the honor of recognition in the Journal of Dental Technology as The Optimist Club in January 2006.
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