Insight Magazine | Issue 06 2019 by Sirona Dental Systems

INTRODUCING PRIMESCAN: ENGINEERED FOR SUPERIOR PERFORMANCE

INTERVIEW WITH DR. KHALED IBRAHIM MATTAR ON CEREC AND SINGLE VISIT DENTISTRY

HOW TO BUILD TRUST IN YOUR DENTAL PATIENTS

ISSUE 06 2019

INSIGHT

INSIGHT Contents In the Spotlight

The Implants SBU: Passion, Partnership, Professionalism . . . . . . . . . . . . . . . . 04

News

More about Dentsply Sirona products . . . . . . . . . . . . . . . 06

New Product

Introducing the Propex IQÂŽ . . . . . . . . . . . . . . . . . . . . . . . . . 07

Interview

Dr. Markus Vollmann Driving Innovation Forward . . . . . . . . . . . . . . . . . . . . . . . . . 08

Practice Management

How to build trust in your dental patients . . . . . . . . . . . . 10

Product in Focus

Primescan: Engineered for superior performance . . . . . .13

New Study

Children play away their dental anxiety . . . . . . . . . . . . . . .17

Interview

Dr. Khaled Ibrahim Mattar CEREC and Single-Visit Dentistry . . . . . . . . . . . . . . . . . . . . .18

Clinical Case

A direct diastema closure . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Event Highlights . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Upcoming Events

Dentsply Sirona Academy and Speaker Tours, Special Events and Congresses . . . . . . . . . . . . . . . . . . . . . . 26

Welcome... ...to our sixth edition of INSIGHT, our dedicated quarterly magazine for the Middle East and North Africa. After the festive period we welcomed the Dentsply Sirona team back to kick off the new year with a bang, following on from the success of 2018. 2019 will be the year where we see the technological milestone that is the launch of Primescan. With Primescan, Dentsply Sirona introduces an intraoral scanner to the market, and, with its significant product features, achieves outstanding results and takes digital impressions to a higher level of quality. It is engineered to enable all kind of treatments, from single tooth to full arch, produces highly accurate images, allowing for fast scanning consolidating 50,000 images per second and with the new patented “High Frequency Contrast Analysis” delivers perfect sharpness and an outstanding accuracy. With Primescan, intraoral scanning delivers excellent results like never before. We’re very excited about what Primescan represents for our business moving forwards and we look forward to getting your feedback, so please be sure to get in contact with your local CAD/CAM Specialist and find out just how this revolutionary technology can change your practice for the better. You can read more about Primescan on pages 13-16. In addition to the launch of Primescan, the sixth edition of INSIGHT is packed with new information including an introduction to our Implants Strategic Business Unit (SBU) that has been a premium manufacturer in implant dentistry for over 40 years. Over 2,200 employees develop, produce and support first-class solutions backed by scientific evidence for implant dentistry clinics and professionals worldwide (page 4-5). In this edition you can also read about our exciting new product the Propex IQ® (page 7), enjoy our various practice management articles and meet Dr. Khaled Mattar from Andalusia Dental Center in Saudi Arabia who describes how he has incorporated a full digitalised approach into his practice (page 18-19). I hope you enjoy reading the sixth issue of INSIGHT and thank you for your continued support to Dentsply Sirona.

Dr. Amro Adel General Manager

In the Spotlight

The Implants SBU: Passion, partnership, professionalism The Implants SBU has been a premium manufacturer in implant dentistry for over 40 years. Over 2,200 employees develop, produce and support first-class solutions backed by scientific evidence for implant dentistry clinics and professionals worldwide. The Implants SBU is about more than simply selling implants. Rather, it’s about asking how it can help dentists treat their patients in the best way possible and to improve quality of life. Its employees have a passion for implant dentistry with a profound commitment to science, documentation, education and innovation as well as pride in developing comprehensive solutions. Together with dental professionals, they make the difference for patients every day. More than 2,000 scientific studies are the foundation of the products and solution portfolio that includes Ankylos®, Xive® and Astra Tech Implant System® EV, three of the most well documented premium implant systems in the market today. The high quality implant systems are developed and produced in Mölndal (Sweden), and Hanau (Germany). There are also implant-related production sites in Waltham (USA), Tokyo (Japan) and Hasselt (Belgium).

The digital workflow

The digital implant workflows by Dentsply Sirona show how digital technology can bring significant added value to dental professionals and practices. The combination of first class products and their seamless interaction make it an easy decision for clinicians who don’t have to worry about material specifications, compatibilities or interfaces as all components perfectly match one another.

Innovations in the product portfolio

The SBU recently launched its latest innovation, developed in cooperation with one of the world’s most acknowledged implant dentistry professionals, Dr. Marco Degidi. AcurisTM represents the best of two worlds: a conometric retention that is removable for the dentist but fixed for the patient. At the “International Congress on Ankylos®” in Berlin in June 2018, dental professionals got a sneak peek at this new implant solution by trying it out on a model and discussing it with experts. This created a lot of interest and buzz about the new product. The official global launch took place at the annual scientific congress EAO, in Vienna, in October 2018.

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AcurisTM - the conometric concept

To show customers how the Implants SBU’s products and solutions can help them to achieve excellent results for their patients, an extensive clinical education program is offered. Great examples are the company-hosted customer events, such as the World Summit Tour and the Ankylos® Congress, with scientific lectures, live demonstrations and hands-on workshops. Continuous clinical training and education make a difference, nurturing the relationship with customers and differentiating Dentsply Sirona from its competitors. For example, at the dental implant treatment facility in Mölndal, the ability to witness live surgeries is a unique learning

The oﬃcial global launch of AcurisTM took place at the Annual Scientific Congress EAO, in Vienna, in October 2018.

opportunity for visiting guests. In addition, guests are offered the possibility to tour the state-of-the-art Atlantis® production, where patient-specific abutments are designed and manufactured.

Solutions to satisfy rising expectations

The Implants SBU aims to fulfill the different needs and requirements of all parties involved in the various facets of implant dentistry - referred to as “connecting the dots.” Patients are becoming more informed and approaching practices with corresponding expectations. Digital technologies offer an increasing number of possibilities but not all solutions are required for every indication. It is therefore a question of intelligent, logical concepts that simply function and improve the predictability of treatments. This includes not only implants themselves, but also regenerative products, like bone graft materials, resorbable and non-resorbable membranes as well as corresponding instruments. Furthermore, this includes restorative solutions such as patient-specific abutments, crowns and bridges which can be ordered worldwide via Atlantis® from the Implants SBU.

For more information about our Implants portfolio please contact your local Dentsply Sirona representative.

News Dentsply Sirona transfers its SICAT shares to the management of SICAT

UPDATE

As of January 1st 2019 Dentsply Sirona sold its shares of SICAT GmbH & Co. KG to HICAT GmbH, which is owned by the management and employees of SICAT. The company will be wholly owned by SICAT management and its employees. We will continue our strategic partnership, without changes for our customers. The existing SICAT products that are sold by Dentsply Sirona will continue to be offered as usual. “Dentsply Sirona and SICAT profit from this agreement. We look back on over 14 years of a shared history in which both companies have grown. Now, we are taking our successful collaboration to a new level. This will offer each partner more flexibility in their options and put them in a better position to diversify their products individually,” says Michael Geil, Managing Director at Dentsply Sirona’s Bensheim site and Group Vice President of Equipment & Instruments.

“We are very pleased to have found such a good solution for the future of SICAT and to manage the company completely independently. SICAT will remain a strategic partner of Dentsply Sirona for the development of software-based solutions for X-ray imaging. We will continue our excellent collaboration, but can now focus more specifically on our customers. In addition, we are now able to offer our solution to the entire dental market.” says Jochen Kusch, Managing Director, Marketing and Sales at SICAT.

cerecdoctors.com NEW

Now available to digital impression owners All new CEREC Connect DI systems will include one year of Premium access to cerecdoctors.com, a $995 value. This allows new DI owners greater access to CEREC scanning, Sirona Connect, and CEREC Ortho education, as well as all of the message boards and other media included with the membership. Welcoming these owners to interact within a network of other DI and CAD/ CAM users will boost the new owner experience and expand the community.

Marketing Lou Vodopivec. “Dentsply Sirona and cerecdoctors.com have worked closely together to help establish this fellowship of CAD/CAM owners, and we are excited to welcome a new group of CEREC users to this community.”

“The CEREC community has always been a vital element of our owner experience, encouraging higher performance, improved satisfaction, and better patient outcomes,” said Director of CEREC

Valuable tools like discussion boards, hands-on workshops, and the quarterly issue of cerecdoctors.com magazine help members stay connected and at the forefront of the industry.

Inspiration TALKS NEW

News and trends in implant dentistry Dentsply Sirona Implants have created the Inspiration TALKS presentation platform where you can watch lectures with their corresponding presentations. It was launched at the recent European Association for Osseointegration (EAO) Annual Scientific Meeting with the theme “Dreams and reality in implant dentistry.” In four Live TALKS sessions, Mark Ludlow, Implant Director at the Medical University of South Carolina, US, and Marco Degidi, an oral surgeon, innovator and researcher in private practice in Bologna, Italy, will take you on an exciting journey through

topics such as digital planning and execution, and a look into the future of dental implants where screws and glue will be part of the past. For more information and to watch the content visit www.inspiration-talks.com.

For more information on the products featured, please contact your local Dentsply Sirona representative.

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New Product

Introducing the Propex IQ® The Propex IQ® apex locator is the perfect complement to your dental practice. Reliable and easy to use, the Propex IQ® guarantees reliable monitoring of file progression, works with various irrigation* solutions if liquid is used, doesn’t require any calibration and is ultra-light weight at only 80g. Although the Propex IQ® can be used as a standalone item, its true advantages stand out when it is used in combination with the X-Smart IQ® via connection to the Endo IQ® App. When used together, the Propex IQ® allows you to efficiently and visually monitor file progression whilst shaping the canal at the same time.

Connectivity with the Endo IQ® Application

Get more from your cordless X-Smart IQ® handpiece by simply combining it with the Propex IQ® Apex Locator via a cable. You can efficiently monitor file progression and shape the canal simultaneously while being wirelessly connected to the Endo IQ® App to see the file progression.

Endurance

It can be used with the X-Smart IQ® Handpiece and connected to the Endo IQ® App for up to 5.5 hours non-stop without a new battery charge.

Reliable and easy to use • • •

Guarantees reliable monitoring of file progression in both combined and standalone mode. Works with various irrigation solutions* if liquid is used. Does not require any calibration; no adjustments need to be done.

Ultra-light weight

Lightweight at only 80 grams and hence ultra-portable. Its form factor is smaller than the Propex Pixi®. Small in size but big on performance.

Future proof

Fully integrated in the Endo IQ® App and its firmware can be upgraded via an app update. *The following solutions have been tested: NaCl, NaOCl, EDTA, Qmix

Interview

Driving Innovation Forward Dr. Markus Vollmann,

Director of Research and Development at Dentsply Sirona Lab As the Director of Research and Development at Dentsply Sirona Lab, Markus plays a central role in terms of our innovation pipeline. He is the person who drives new product developments, for example, innovative materials such as Celtra® Press. Thanks to his expertise, great communication skills and inventive thinking, Markus understands our customers’ needs and turns them into new and smart product ideas. His work philosophy reflects Dentsply Sirona’s unique positioning by always laying out the whole picture of the workflow. He is working closely together with other Dentsply Sirona business units to generate valuable links to related workflows. This means that you can benefit from thought out end-to-end solutions, and subsequently benefit from tangible improvements in your daily work. In this interview, Markus explains the various facets of his work as well as the secret behind real innovation. Q. Tell us a little about your role as Director of Research & Development? What are some of your daily endeavors and/or challenges? A. A typical day for me is full of reviewing the statuses of all running product development projects, anticipating and identifying what obstacles or surprises (sometimes positive, sometimes negative) there are or might be, and how we can manage all of these things in order to either meet existing timelines and deadlines or to be able to start new projects which are fitting in the overall portfolio of the company. For the development team, one needs an open ear to absorb every single surrounding detail, which includes being completely receptive and having a comprehensive, up-to-date understanding of our production, quality assurance, product management, and even logistic

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teams. In R&D you need constant curiosity, great communication skills and inventive thinking. Q. How does science, clinical studies, and research all ﬁt under the Dentsply Sirona Lab name? Can you provide a little background on what goes into testing a product before it actually goes into development, and ultimately goes to market? A. Due to the fact we are working in the medical devices market, we fulfill a great number of demands for testing and design control processes. For example, when developing a new material for dentistry we need to look at the biocompatibility as well as risk management starting from the production process, to the user, all the way to the end result — our patients. Besides proving and surpassing all requirements from applicable standards, we also want to know how our customers accept the workflow of the product. Before we launch, we take a close look at how it fits into the actual workflow of real-life dental laboratories, and we then start additional vigorous clinical testing after the launch as well. We include our customers quite early on in this process to allow us to react to their outcomes and feedback, and then be able to improve the product within the development timeline. What makes Dentsply Sirona unique is that the entire workflow is shown, and it can be linked to other workflows and combined into an integrated solution. When it comes to the prosthetic treatment of an implant using an abutment and full ceramic crown, for example, Dentsply Sirona Lab is the right partner for laboratories. But the treatment workflow as a whole starts from the earlier stage of diagnostics and the implantological treatment, and ends with the restoration finally being cemented or screwed in place. For this purpose, Dentsply Sirona and its Imaging, Implants, and Restorative business create integrated workflows for

both dentists and dental laboratories. Q. One of your roles within Dentsply Sirona is to constantly provide material innovations that expand lab offerings to their dentist clients, while improving their workflow. How do you gather the information needed to improve upon these offerings? A. We use groups of our core customers, labs and dentists. Sometimes the most effective feedback comes from our labs and dentists who are everyday partners because they know their ideal workflow routine, and are able to communicate their emerging concerns and ongoing daily challenges. Q. Can you tell us a little about Celtra® Press, the newest material for laboratories? What was the industry missing (doctor, labs, and patients) that this material now offers? A. Celtra® Press has significantly improved the workflow in the lab by being easier to press (with excellent flowability) and excluding the time-consuming and dangerous use of hydrofluoric acid to get rid of the reaction layer. Despite this, it is stronger than other pressable high-strength glass-ceramic materials on the market. Therefore, Celtra® Press provides a simpler workflow in the lab, the dentist receives a robust material with a very good fit and easy polishability, and the patient absolutely loves the natural looking aesthetics and beauty of his or her new teeth. Q. What do you foresee Dentsply Sirona offering in the near or distant future as far as material advancements? A. We will soon present a new generation of CAD/CAM material, hand in hand with the lab material combining Celtra® Ceram porcelain that is suitable for every allceramic case. We are also planning further material improvements on other material sectors coming very soon!

For more information about our Lab portfolio please contact your local Dentsply Sirona representative.

Practice Management

How to build trust in your dental patients Dental patients repeatedly say: â&#x20AC;&#x153;I trust my dentist.â&#x20AC;? They say this because most dental patients arenâ&#x20AC;&#x2122;t professionals and they cannot truly assess your work. They must trust their feelings. Patient feelings are particularly important when they consult you for the first time. Potential patients may initially rely on recommendations from friends and family, but it is the impression you make that earns their trust.

So, how do you make dental patients trust your practice?

Express yourself

Your page about the team and your dental practice is the information that visitors to your website are most interested in. Dental patients want to see who they will be dealing with. Therefore, invest a lot of energy into presenting yourself, your team and your medical practice in a very personal way. Have you ever considered sharing information on your hobbies or interests? This information helps patients relate to you. Of course, you must feel at ease disclosing such information.

Show authenticity

Do not present anything online you do not feel comfortable sharing. If dental patients discover you misrepresented yourself on your website or in your information flyer, you are unlikely to earn their trust and new business. People want and value authenticity. So, represent yourself as you are. Showcase your personal character. Your patients will recognise this honesty and you will be rewarded with their trust.

3 Ensure a pleasant and classy first impression

Ultimately, your patients come to you to receive good dental treatment. However, the impression they receive when they enter your practice also plays an important role. This is especially true when they recount their experience in their own head as well as to others. So, do not underestimate the importance of this experience, online and in real life. Most dental patients are impressed by modern furnishings and technical equipment in a practice. It makes them feel they are receiving state-of-the-art care. Pictures of a modern practice also make a good impression on your website.

Have the right online presence

Today, many dental patients search for dentists online. Therefore, you should ensure you are present online where they are, for example, on social media. It is not enough that your picture and your offer can be found on your website. Our tip: Plan your social media postings and offer your followers a good mixture of inside-the-practice information— e.g., summer parties, new staff, birthdays, interesting situations from everyday practice life— as well as medical results, information on treatment methods and offers, and appealing things you found elsewhere (ideally relating to dentistry). It is important to choose someone from your practice to be responsible for these social media postings. And do not forget to fill portals, search engines and other lists relating to dentistry with your offer and, preferably, with pictures of yourself, your team, and your practice.

Seek recommendations

Most dental patients rely on recommendations from family and friends when it comes to choosing a dentist, but they also trust a good recommendation. Satisfied patient referrals represent the biggest potential for building your practice. Talk to your patients and encourage them to recommend your practice actively. Consider a “bring-a-friend” promotion, which provides additional motivation. But please check if such incentives are legally acceptable in your country first.

your online 6 Manage reputation Whether we like it or not, online reviews are steadily becoming more important. In nearly every country, there are medical professional review sites. It is in your best interest that you keep track of your reviews on these pages. Likewise, actively promote your position with your patients. Talk to your satisfied customers and ask them to leave a positive review of your services on Google and other services.

Be yourself Our best advice: when representing yourself, always be yourself. No one does it better than you.

Moreover, don’t leave your external presentation to chance. Patients want to build a relationship and get an idea of who you are. It is your task to actively steer their perception and positively influence it. You should seize this opportunity.

X-Smart IQ®

Swiss precision since 1889 Swiss quality and endodontic expertise is our Maillefer heritage. We provide you the right movement for the right treatment. Our endodontic motors are validated with the genuine WaveOne® and ProTaper® settings. Visit dentsplysirona.com to learn more.

ZKD / B EN MXIQ ADV 001 / 00 / 2018 – created 11/2018

The right movement for the right treatment.

Product in Focus

Introducing Primescan Innovation requires commitment to ambition: Primescan sets new standards in dental technology, making intraoral scanning more accurate, faster and easier than ever. It is engineered to enable all kinds of treatments, from single tooth to full arch. Primescan produces highly accurate images and allows for fast scanning consolidating 50.000 images per second. The new patented â&#x20AC;&#x153;High Frequency Contrast Analysisâ&#x20AC;? delivers perfect sharpness and an outstanding accuracy. With Primescan, intraoral scanning delivers excellent results like never before.

Product in Focus Martin Wohanka Hardware Engineer

Accuracy

The new Primescan gives not just one new point of view but one million. The innovative Smart Pixel Sensor processes more than 1,000,000 3D points per second, producing photorealistic and highly accurate data. In fact, Primescan is the most accurate intraoral scanner on the market*. Its dynamic depth scan technology enables perfect sharpness and outstanding precision, even at a measuring depth up to 20 mm – a crucial advantage for deeper-lying indications. What you see is what you get: Due to Primescan’s ability to scan at an incredible data density, it delivers complete 3D structures of everything in its field of view – right from the very first scan.

Perfect sharpness at up to

20 mm depth

Easy scanning of steep surfaces

For

all relevant disinfection processes

Usability

Enjoy the freedom of scanning: Primescan allows you to start scanning right away. It offers continuous self-heating for fog-free scanning – which means you’re always ready to go. Steep angles? Hard-toaccess areas? Shiny materials? An easy job for Primescan. Thanks to the increased field of view, you’ll be able to visualise larger areas with less sweeps and immediate precision. The excellent scan results are instantly displayed on the touchscreen of the new Acquisition Center. Take control of infection: Three different sleeves guarantee that you’ll fulfill your practice needs as well as all general hygiene requirements. Choose from stainless steel sleeves with either sapphire glass or as an autoclavable option. Single-use disposable sleeves are also available.

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Florian Sobirey UX Designer

Processing more than

1 million 3D points per second

Dr. Teena Steger Software Developer

Speed

Accelerate the process: Primescan’s unique technology allows for easy capturing and quicker processing of more data in higher resolution. Intelligent processing in Primescan ensures optimum interaction with the software by transmitting exactly the data the software needs to proceed. The result: complete 3D-scan models are displayed immediately, no matter how fast you scan. Enhance your connectivity: Thanks to seamless, validated and open data transfer options, laboratories and other partners receive high-resolution models in an instant. With Primescan, you benefit from the freedom to make the best choice of workflows for you and your patients.

Consolidating more than

50,000 images per second

Instant data transfer to external partners

Striking in every detail: The new Acquisition Center The new Acquisition Center is a workstation designed for modern dentistry and with the dentist in mind. It comes with a touchpad and a 16:9 wide-format movable touchscreen, offering you a highly intuitive and ergonomic work platform. Your benefits at a glance: • • • •

Touchscreen and touchpad for highly convenient, intuitive use Kinematics for perfect ergonomic positioning Smart Hygiene concept for fast and easy disinfection Mobility concept for full mobility with battery buffer of more than 60 minutes

The best choice for your practice – Primescan meets your needs with two individual software configurations:

Primescan AC with Connect Software: • Supports data transfer options to your preferred partners • Secure and encrypted data transfer through Connect Case Center Inbox • Easy upgradability to full chairside workflow • Touch-enabled and intuitive user interface

* Source: Mehl et al, Accuracy studies at University of Zurich, Int J Comput Dent. (publishing date: March 2019)

CEREC Primescan AC with CEREC Software: • Supports full chairside workflows for single-visit dentistry • Flexible data export options • Automated workflow thanks to Artificial Intelligence • Touch-enabled and intuitive user interface

Product in Focus “What drives me? Excellent results. And Primescan is my answer.” “To me, Primescan sets new standards in dental scanning technology. For both me and my team, intraoral scanning is now more accurate, faster and easier than ever. It’s easy to handle, immediately ready to use, and integrates seamlessly into our workflow. Even my patients benefit from its superior performance, since the process is so much more comfortable. Thanks to state-of-the-art technology, more data is captured in higher resolution and quickly processed, in perfect sharpness and with outstanding precision, allowing indications from single-tooth to full-arch treatments. Also, due to enhanced connectivity, my practice is easily connected to our lab and other partners. So all I can say is try it for yourself – and enjoy the scan!”

Dr. Verena Freier Dentist

Benefit from all-around satisfaction

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CE RE C

Yo ur

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An excellent choice for outstanding results: Primescan is your perfect starting point into digital dentistry. No matter how you would like to design your workflows, Primescan is the enabler for efficient digital workflows – both chairside in your practice and with your preferred partners.

Inside the practice Outside the practice

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New study lets children chat and play away their dental anxiety Researchers at Karolinska Institutet in Stockholm, Sweden have developed an accessible therapy for children and adolescents suﬀering from dental anxiety. The study, published in the Journal of Medical Internet Research, shows that a playful exercise package in combination with a guided Internet-based CBT was highly eﬀective in reducing anxiety and increasing the ability to deal with dental treatment. One year later, half the children were completely free of their phobia. Dental anxiety, also called odontophobia, dentophobia or dental phobia, is a common fear in most Western cultures. It is estimated that as many as 75% of US adults experience some degree of dental fear, from mild to severe. Dental anxiety often begins in childhood or adolescence, and can develop into a phobia with avoidance, strong negative feelings and thoughts aimed at dental care. Avoidance of dental care often leads to poor oral health, untreated caries or other dental problems. That’s why it is vital to start treating this anxiety or fear as early as possible. Cognitive behavioral therapy (CBT) is an effective treatment for most forms of specific phobia. However, with regard to children and adolescents with dental phobia, there are organisational, financial and geographic obstacles to providing such therapy. Researchers in this study have therefore developed an Internet-based CBT treatment that they have tested in an open, uncontrolled study of 18 patients between the ages of 8 and 15.

Alleviate dental anxiety – play dentist at home During the study, participants used an Internet platform to obtain weekly online guidance from a psychologist via a chat system. Treatment continued for 12 weeks and included texts, animations and dental-related video clips. The treatment also included an exercise package with a dental mirror, probe, local anesthetic and cannula delivered to the home of the child/parent(s) with detailed instructions for the exercises. Through therapy and guidance from the psychologist, the home-based exercises were linked to real exposure and training visits to dental clinics around Sweden.

53% were free from their dental phobia The results show a statistically and clinically significant increase in the children’s ability to handle dental treatment. The Internet-based CBT also increased children’s and parents’ self-efficacy, led to fewer negative thoughts, and reduced anxiety about dental treatment. 15 children attended the 1-year follow up visit, where 53% were found to be completely free from their dental phobia.

Source: blog.dentsplysirona.com

Interview

A Dentsply Sirona Predominant Practice CEREC and Single Visit Dentistry Dr. Khaled Ibrahim Mattar

Prosthodontist and Operational Manager Andalusia Dental Center, Jeddah, Saudi Arabia

Bio: •

•

Graduated from Ain Shams University (Faculty of Dentistry), 2002. Master’s degree in Prosthesis from Ain Shams University, 2010. Advanced International CEREC courses 2013 - 2018 Certiﬁed CEREC trainer 2018

Q. Please brieﬂy explain how long you have been working at your clinic and your background in dentistry. A. I’ve worked as a dentist for 15 years now. I joined Dr. Rizk Girgis’ clinic as a general dentist in 2005, before travelling to Saudi Arabia in 2011 to join Andalusia Dental Group in Jeddah where I started working as a prosthodontist. Q. Please tell us about your specialisms within your practice? A. During my early years I worked as general dentist. Now I focus solely on prosthodontic procedures. Q. What triggered your initial interest in digital dentistry? A. The digital impression and CAD/CAM systems.

Q. How long have you been working with Dentsply Sirona products? A. More than 10 years now. Q. When did you invest in your first piece of Dentsply Sirona equipment, and what was it? A. The first pieces of equipment that we bought was a Cone Beam SL, Omnicam and MCXL milling machine. Q. Your practice uses Dentsply Sirona products and equipment predominantly. What would you say is the advantage to your workflow and your practice by making this decision? A. Ultimately it means that the end product that I am delivering to my patients becomes more accurate, faster and safer. I trust the technology and the quality of the equipment. Q. How do you find the CEREC workflow? From scanning, designing, to grinding/ milling and sintering/finalsation. A. Put simply, it’s more than perfect. Q. Why did you choose CEREC over other CAD/CAM systems? A. CEREC is the most accurate chairside CAD/CAM system I’ve encountered. The software is easy to use and versatile, and the speed of digital impressions with the Omnicam is fantastic. Q. Can you explain your experience with the Dentsply Sirona sales process, from initial interest through to purchase and aftersales support? A. The service from all at Dentsply Sirona has

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been excellent throughout each stage. Q. What are the types of cases you do with CEREC? E.g. restoration, implantology, orthodontics. A. Primarily we are focusing on crowns, endo crowns, veneers and implants – for now! Q. How has CEREC, and single visit dentistry, aﬀected the satisfaction of your patients? A. Single visit dentistry has had a significant effect on my patients satisfaction. It gives them their time back in the week, and it also helps me to have more time for additional patients. Q. How has CEREC and digital dentistry impacted your business? A. Most importantly I save my time. I stop using impression material and I save on lab costs. Again this gives me more time to see more patients and have quality time with them and their procedures.

accuracy, and moving chairside to avoid lab costs and errors. Q. What do you think your biggest achievement was in your career to this point and how did Dentsply Sirona help to make that a reality? A. When I was child I loved drawing, and then in my faculty I loved the carving. My biggest achievement now is that I can draw and carve up to the finest of details for my cases very easily. In the past, I had to go to the lab and carve the wax or build the porcelain which for me took too much time and effort, but now my dreams have come true and I can draw and carve my crowns very easily without losing my time. I would like to say thanks to Dentsply Sirona for letting me achieve this.

CEREC is the most accurate chairside CAD/CAM system I’ve encountered.

Q. In your opinion, can you achieve a high return on investment with CEREC and digital dentistry? A. It can certainly be achieved but you must have a turnover of patients using the equipment, which is more often than not. Q. What would you say was your goal with CEREC, and would you say you have achieved this yet? A. I can definitely say that I’ve achieved my initial goals of saving time, increasing

Find out more about the benefits of CEREC by reaching out to your local Dentsply Sirona representative

Clinical Case

A Direct Diastema Closure by Dr. Ayad Mouayad Al-Obaidi, BDS, MSC

Dr. Ayad Mouayad Al-Obaidi BDS, MSc Dr. Ayad Mouayad AlObaidi is an Assistant

Case Report

Lecturer in Conservative Dentistry, at Baghdad University, Iraq. He graduated in 2004 from the University of Baghdad from where he then received his MSc in 2011. Between 2004 and 2015 he attended a number of refresher courses and developed skills in aesthetic adhesive

A 28-year-old female patient had the primary complaint of spacing in the upper front tooth region. The patient’s medical history did not reveal any systemic diseases and an intraoral examination revealed presence of midline spacing between maxillary central incisors (~2mm) (Figure 1 and 2). For a more conservative, economical, aesthetic, and quicker option, a direct diastema closure was considered.

restorations using direct and indirect techniques in the anterior and posterior. He lectures and provides hands-on courses in the field of porcelain and

All maxillary incisors were isolated with a rubber dam (Figure 3) to ensure complete control of moisture to keep the area clean and dry whilst also suppressing the papilla to reduce the black triangle postoperatively.

composite restorations. He maintains a private practice with a special interest in adhesive and restorative dentistry at Baghdad Smile

The enamel surface was minimally prepared with a diamond fissure bur to increase the surface area for bonding and to remove aprismatic enamel (Figure 4).

Centre in Baghdad.

37% phosphoric acid was applied for

15 seconds on the mesial surface to be restored, then rinsed for 20 seconds (Figure 5), and dried with air gently (Figure 6). Then a universal adhesive system was used (Prime&Bond universal™), using a micro brush with a light scrubbing motion for 15 seconds (Figure 7). This was then gently air dried for approximately 5 seconds. Blow to margin, or to thin if necessary, using a light application of air and then light cure for 20 seconds. The key for papilla regeneration is to provide aggressive cervical curvature that starts subgingivally and this can be done with a mylar strip placed subgingivally with a high viscosity flowable composite or bulk flow composite injected to the contact point area as reference (emergence profile) (Figure 8). The key to success in diastema cases is to finish the first tooth completely before starting the second tooth (Figure

Figure 1: Preoperative extraoral view of the patient

Figure 2: Preoperative intraoral view of the patient and the midline diastema

Figure 3: Maxillary anterior teeth were isolated with a rubber dam

Figure 4: Teeth preparation

Figure 5: Etching

Figure 6: Dried enamel surface

Figure 7: Application of Prime&Bond universal™

Figure 8: Emergence proﬁle of the 1st tooth

DS INSIGHT | Issue 06 2019

Figure 9: 1st tooth completed

Figure 10: Correction to the size of the 1st tooth

Figure 11: Emergence proﬁle of 2nd tooth

Figure 12: Result immediately after removing the rubber dam

Figure 13: After 4 days

Figure 14: Control image after one month

Figure 15: Interdental papilla before direct diastema closure

Figure 16: Interdental papilla after one month

One of the main challenges clinicians face during anterior diastema closure is preventing or eliminating a black triangle between the teeth.

Figure 17: Completed diastema closure

9). Then some corrections can be made to the size of the first tooth so the final size of the centrals will be the same at the end of treatment (Figure 10). In this case the proximal wall was completed with a single shade universal composite (ceram.x® SpereTEC™ one universal) and then began the emergence profile to complete the proximal wall of the second tooth (Figure 11). The teeth were then finished with polishing discs and rubber points. The rubber dam was then removed and as you can see there is a small black triangle in the cervical area (Figure 12). The recall visits in diastema cases are very important to see patient satisfaction, to check the periodontal health and to do some polishing and texture (Figure 13 and 14). With time, the interdental papilla filled the space of the black triangle completely (Figure 15 and 16).

Products featured

Prime&Bond universal™ adhesive

ceram.x® SphereTEC™ one universal

Please contact your local Dentsply Sirona representative for more information on all the products featured in this clinical case.

Event Highlights

October Dubai and Abu Dhabi, UAE

Dr. Gert Sauer Imaging Tour Dr. Gert Sauer (Germany) arrived in the UAE to present a course called ‘Your Future is Digital’ in both Dubai and Abu Dhabi. During the course he demonstrated the superior diagnostic abilities of 3D vs. 2D imaging. He also took the attendees through the digital implant workflow in detail. The training featured numerous practical examples to show the need to invest in CBCT and join the digital revolution. All participants then had the chance to experience the imaging software workflow, merge optical scans and CBCT scans, create prosthetically driven implant planning and design and mill surgical guides.

Cairo, Egypt

The 3rd Ain Shams International Congress It was an honour to be a part of the 3rd Ain Shams International Congress. The event provides a cross cultural program with attendees from all over the world sharing their latest thesis, research and best practices. At the event we had Prof. Francesco Mannocci (Italy) present a lecture to 100 attendees as well as a hands-on workshop to 26 participants on the many advantages of WaveOne® Gold.

UAE and Saudi Arabia

Dr. Ian Cline Restorative tour At the end of October, we welcomed Dr. Ian Cline (UK) to the MENA region for the first time to speak about ‘Strategies to Improve Aesthetic Restorative Dentistry’. Dr. Cline led attendees through courses on 'Smile Design and the Art of Dental Photography' which covered how to use the various features of professional cameras to capture high quality photos. This was then followed by Class IV preparations on anterior models using our complete range of restorative products. He started in Dubai with a lecture and hands-on workshop for 16 attendees before heading to Jeddah and Riyadh in Saudi Arabia. In both cities he began with intimate hands-on workshops, followed by lectures to larger audiences. In total we helped educate over 200 dentists.

DS INSIGHT | Issue 06 2019

November Dubai, UAE

10th Dental Facial Cosmetic International Conference (DFCIC) 2018 It was a pleasure to be the Platinum sponsor at the 10th Dental Facial Cosmetic International Conference (DFCIC) 2018. At the conference we were able to showcase our full range of products and provide products demos for the conference attendees. In addition, we had a â&#x20AC;&#x2DC;Training Zoneâ&#x20AC;&#x2122; on the stand where we had Dr. Abdel Aziz Yehia (CAD/ CAM Specialist) and Alex Razenkov (Imaging Specialist) present the advantages of the Chairside Implantology Workflow with CEREC and Digital Impressions with the CEREC Omnicam

Event Highlights

November Alexandria, Egypt

21st Alexandria International Dental Congress We had the privilege of inviting Dr. Gerd Frahsek (Germany) to talk about Integrated Implantology, Prof. Simone Grandini (Italy) to present the ‘Root to Crown’ concept and Dr. Mohamed Hassanien (Egypt) to speak about Celtra® Duo. We also had our very own Dr. Abdel Aziz Yehia and Montasser Massoud provide demonstrations of CEREC and ceramic materials Ceramco® 3 and Celtra® Ceram respectively.

Iran and Kuwait

Dr. Filippo Santarcangelo Endo tour At the end of November, we welcomed Dr. Filippo Santarcangelo (Italy) back to the MENA region for a tour of Iran and Kuwait. The training that he was presenting called “Possibilities and Limitations of Modern Endodontics” focused on the traditional and emerging techniques of canal preparation, irrigation and obturation and gave attendees the scientific information necessary to perform state of the art Endodontics. The tour began in Tehran with a lecture for approximately 150 attendees and hands-on workshop on WaveOne® Gold for 23 dentists. We then travelled to Kuwait where we held two sessions first introducing the WaveOne® Gold family, followed by a session on the ProTaper Next® solution, for 30 dentists.

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December Kuwait, Qatar and Oman

Riyadh and Jeddah, Saudi Arabia

Peter Leban Laser Tour

Celtra® Duo Launch

At the beginning of December, we invited Peter Leban (Austria) to the MENA region for a tour of Kuwait, Qatar and Oman. The aim of the hands-on training was to showcase the advantages of the SiroLaser Blue, which can cover more than 20 indications. The attendees of the training were able to see how versatile the SiroLaser Blue is and the possibilities for adding it to their dental practice.

At the end of December, we proudly launched Celtra® Duo in Riyadh and Jeddah, Saudi Arabia. Dr. Mohamed Hassanein (Egypt) led the training and presented the many technical advantages of Celtra® Duo through a lecture and hands-on training.

Dubai and Abu Dhabi, UAE

CEREC and inLab Discovery Evenings As always, we have been conducting our CEREC and inLab Discovery Evenings running every month. All participants have the chance to test drive the systems and see how efficient they are, first hand. These evenings are all about experiencing the latest advancements in technology and discovering the newest techniques to drive better, safer, faster dental care.

Upcoming Events Dentsply Sirona Academy January Date

Topic

Speaker

Venue

11th January

Simplified Protocols for Direct and Indirect Restorations

Dr. Giulio Pavolucci

Dubai

Date

Topic

Speaker

Venue

21st February

Integrated Implantology (for CEREC users)

Dr. Abdel Aziz Yehia and Mr. Alexander Razenkov

Abu Dhabi

Date

Topic

Speaker

Venue

7th March

Integrated Implantology (for CEREC users)

Dr. Abdel Aziz Yehia and Mr. Alexander Razenkov

Dubai

31st March

CEREC Discovery Evening

Dr. Abdel Aziz Yehia

Dubai

February

March

International Speaker Tours, Special Events and Congresses January Date

Topic

Speaker

Venue

9th January

Possibilities and Limitations of Modern Endodontics

Dr. Filippo Santarcangelo

Oman

10th - 11th January

Kuwait Dental Administration Conference and Exhibition

Dr. Giulio Pavolucci, Dr. Filippo Santarcangelo

Kuwait

10th - 12th January

Dubai Dentistry Institute Master Program

Dr. Abdel Aziz Yehia

Dubai

12th - 14th January

The Saudi International Dental Conference

Dr. Filippo Santarcangelo

Saudi Arabia

February Date

Topic

Speaker

Venue

4th February

Enter the Golden Age of Reciprocating Files

Dr. Rui Pereira Da Costa

Bahrain

5th - 7th February

The UAE International Dental Conference & Arab Dental Exhibition (AEEDC)

Dr. Rui Pereira Da Costa, Dr. Giulio Pavolucci

Dubai

14th - 15th February

CEREC Masters Course

Dr. Simon Chard

Dubai

Date

Topic

Speaker

Venue

2nd - 7th March

Key Points for Predictable Shaping of the Root Canal System

Dr. Cesar de Gregorio Gonzales

Egypt - Saudi Arabia Dubai

23rd March

Advanced Contemporary Endodontics Workshop

Dr. Sharawy Wael

Qatar

25th - 29th March

Smile Design and Aesthetic Dentistry

Dr. Ian Cline

Saudi Arabia - Jordan Egypt

March

DS INSIGHT | Issue 06 2019

If you have any questions or would like to discuss any of the products or articles featured in the new INSIGHT Magazine, please don’t hesitate to contact us.

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