VO L 7 2 N O. 1 0 I O C TO B E R 2 0 1 9 I B Y S U B S C R I P T I O N
VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM
WHEN THE MAGIC CATCHES ON THE KUNSTZAHNWERK COMPETITION FROM CANDULOR PAGE 12-13 & 16-17
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N
TE
DTS 2020 THE COUNTDOWN TO DTS 2020 BEGINS PAGE 21
EX
DENTAL NEWS NOVEMBER IS MOUTH CANCER AWARENESS MONTH PAGE 18
YO BY UR R S A EC UB C O S SE OL MM CR E LE EN IPT PA A D IO G GU IN N E E G 3
MARKETING WHAT CAN WE LEARN FROM PADDINGTON? BY MIKE BOND PAGE 6
D
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P.6
CONTENTS OCTOBER 2019
Editor - Larry Browne FBIDST. FDTA, ITI Fellow, LCGI, RDT. E: editor@dentaltechnician.org.uk T: 01372 897461
Welcome
Designer - Sharon (Bazzie) Larder E: inthedoghousedesign@gmail.com
Marketing
Advertising Manager - Chris Trowbridge E: sales@dentaltechnician.org.uk T: 07399 403602
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Marketing By Mike Bond
Dental News
Editorial advisory board K. Young, RDT (Chairman) L. Barnett, RDT P. Broughton, LBIDST, RDT L. Grice-Roberts, MBE V. S. J. Jones, LCGI, LOTA, MIMPT P. Wilks, RDT, LCGI, LBIDST Sally Wood, LBIDST
New hub to enhance clinical trial capability Mouth Cancer Awareness month Research indicates mouthwash may impede benefits of exercise
Published by The Dental Technician Limited, PO Box 430, Leatherhead , KT22 2HT. T: 01372 897463
Dental Technology
The Dental Technician Magazine is an independent publication and is not associated with any professional body or commercial establishment other than the publishers. Views expressed in this journal are not necessarily those of the editor, publisher or the editorial advisory board. Unsolicited manuscripts and photographs are welcome, though no liability can be accepted for any loss or damage, howsoever caused.
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Thoughts from the Editor
8-9 18 20
Insight 10
Dental Doris
The KunstZahnWerk competition from CANDULOR
12-13 & 16-17
DTS 2020 21
The countdown to DTS 2020 begins
Focus 22-24
The Technicians Merit Award Scheme
ECPD 26-27
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THOUGHTS FROM THE EDITOR
WELCOME to your magazine
l
Can you believe it? September has gone and we are getting into the cooler darker months of the year. But before we start making plans for Christmas there are a few bits of interesting dental events coming up. Particularly the BDIA Exhibition at the N.E.C. Birmingham from the 17th to the 19th October. Just two weeks away now so be sure you check out the content and see if there will be somethings there for your interest and perhaps enlightenment. As I have said before the BDIA has always aimed its marketing at the clinical professionals with a lot of emphasis on equipment for surgery and clinical sundries. The advent of digital techniques and the widespread use of 3Dprinting and design has really changed the emphasis of this year’s promotions. While there are a limited number of stands for technical interest but the overlap of the scanning and designing via digital pathways may well include some interesting equipment and techniques. There will certainly be some expert technical staff on duty at all the manufacturers stands and their agents. It might be where you will find some answers to your digital dental queries or perhaps an opportunity to assess what it is you are using and see if it really fits the bill. It’s easy to slip behind the developments in this rapidly changing field. Material choices for use in the mouth have really increased with the non-necessity to cast metal and the improvements in Composite Technology and the all ceramic materials now available. It is always useful to know what you client may be being sold, as the answer to their problem and prepare accordingly. Undoubtedly the pace of innovation has been remarkable. There
4
is some sign that those in the industry of digital workflow techniques and equipment have in recent times gotten interested in the dental market and have a good influence on a more realistic pricing policy from the companies. Shop around and find the scanner that best fits your needs. Make a real judgement as to whether you need to get involved in the manufacturing process. Might you not be better just scanning and designing and send the 3D printing or the CADCAM to a central specialized source? You will definitely see a change in the equipment on offer and it may, be you who will learn on what it is you really want to spend your money. Many of you lab owners are now over fifty and quite a few of you have taken the decision not to invest in the digital processes. I do think that is a mistake. I really do feel that all labs should at least invest in a scanner and the design process in order to keep up to date with the market trends and materials. Manufacturing in house is a whole different ball game and can be the expensive side of the operation but
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central manufacturing supply houses are springing up all over the place and the pricing is very competitive. You can for instance have your Zirconia crown and bridgework produced with the ability to build on or just to surface stain. It really does add choice and flexibility to the working day. Without too much outlay you can be in the marketplace while saving money on the manufacture of vital parts of your work. Metal work of all kinds from crowns and bridges to partial dentures. Orthodontic appliances and particularly the models can be produced very efficiently but with the knowledge and control of the experienced dental technician. There will always be the cases that require a bit more than the norm and you are the people who will realise just that and guide your caring clinician in the right direction. A warning though is in order at this stage. You will find the third-party manufacturing can be remarkably cheap. Don’t give it all away to the clinician. Let your prices continue to reflect your ability and service. You can be sure the clinician has worked out the unique quality of this “New” process and the patient will be made aware of that very fact. The Practitioner will not lose out and can add to the portfolio of treatment for his patients. Your innovation becomes his optional extra. If any of you are finding a new technique or material of particular interest and are feeling good about using it please let me know and perhaps send a case picture or a case report for publishing. It will help the material sales and your own reputation as well as informing other technicians out there of the material or technique’s potential.
Larry Browne, Editor
PERFECTED BY MASTERS Convincingly real.
BY CANDULOR
DEALER IN THE UNITED KINGDOM TOOTH EXPRESS LTD.
Unit 35 / Jessops Riverside / 800 Brightside Lane / Sheffield S9 2RX / UK / T + 44 114 242 4048 / tooth_express@btconnect.com / tooth-express.co.uk
MARKETING
MIKE BOND – DENTAL MARKETING SPECIALIST MARKETING
l Mike is a self-employed marketing consultant who has worked
in the dental and healthcare sectors for over 25 years.
WHAT CAN WE LEARN FROM PADDINGTON?
M
y name sake ‘Michael Bond’ wrote a series of very sweet, small-scale books about a bear called Paddington, so named because he was found at Paddington Station in London after having spent his early years in “darkest Peru”.
If society’s worst criminals can start down the road of change…anyone can. Perhaps all that is needed is a bear to lead the way.
Adopted by the Brown family — Henry, Mary, Judy, and Jonathan — Paddington explores London and gets to know this very busy new world he’s landed in, especially his new neighbourhood of Windsor Gardens. His blue jacket and red hat complete his iconic appearance, and everyone in London seems to be just fine with the idea that he is a talking bear who loves marmalade sandwiches. Paddington is, in essence, a very wellbehaved 7-year-old. He is polite to all, looks for the good in other people, and takes in the world with great curiosity. But he also has a tendency to get in over his head and make huge messes, which are mostly forgiven because he’s such a thoughtful and kind bear. He is a classic children’s book character: gentle but rambunctious. Notably, Paddington’s exploits have been adapted several times for television, with the 1975 BBC series being a particular standout for its blend of a stop-motion puppet Paddington with two-dimensional, traditionally illustrated backgrounds. It looked like nothing else in kids’ TV at the time, and it underlined why Londoners seemed so unfazed by Paddington’s presence: He was more “real” than they were, an idea that certainly must have seemed true to his youngest fans. Despite Paddington’s TV success, it took until 2014 (and 2015 in the US) for the bear to get a big-screen movie adaptation. But both Paddington 1 & 2 have been huge box office successes. 1. WORK HARD AND STAY THE COURSE Paddington has a very small ego, but a huge heart. It’s this talent that enables him to work hard at any job to make ends meet. In his most recent film, Paddington 2, he wants to buy his Aunt Lucy a special gift for her 100th birthday. But he’s short on cash. So, he works odd jobs until he saves up to buy a unique London
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themed pop-up book from a local antique shop. (Aunt Lucy had always wanted to visit London from her home in “Darkest Peru”) Paddington figures the book is the next best thing, and washes pets, cuts hair at a salon, and even cleans skyscraper windows to make it happen. Along the way, the pop-up book gets stolen right before Paddington can buy it. Police think he did it, and he is sentenced to 10 years in prison for grand theft. But despite such setbacks, Paddington’s initial lesson remains: Work hard… and things WILL go your way…eventually! 2. LOOK FOR THE GOOD IN EVERYONE There is always more to someone than meets the eye. And in today’s fast-paced world, this can be hard to see. But not for Paddington, even when he’s in jail. So, hit pause, and get to know people. What good qualities do they possess? Society tends to pick out people’s faults first, but don’t make this mistake. What good qualities come to the surface? Next time you converse with someone, take a moment to really understand them. People (and small bears) who see the good qualities in others tend to be happier and experience happiness more deeply. 3. PEOPLE CAN CHANGE Even in jail, imprisoned alongside London’s worst criminals, Paddington’s charm wins new friends. Since Paddington sees the good in everyone, it’s easy for him to accept that people CAN and DO change. It can be hard, but it happens. Hardened inmates start changing for the better because of Paddington.
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4. BE KIND. MIND YOUR MANNERS. PAY ATTENTION TO “OLD FASHIONED” VALUES It’s the simplest of advice and can be the hardest to follow. Be nice. Be kind. Paddington Bear encompasses kindness, manners, and just about every “old fashioned” value you can think of. In the beginning of the film, Paddington greets everyone in town; it’s his calling card. In our cynical society, it seems basic manners and just “being nice” has fallen by the wayside. When manners are considered an “old fashioned” value, something is upside down in our society, and Paddington Bear would agree. Just paying attention to basic manners is not only kind, it’s respectful of others. When’s the last time you greeted someone? Or held the door open for them? If we all were a little nicer to each other, the world would get better. Take it from Paddington. 5. ALWAYS LOOK ON THE POSITIVE SIDE This is also an easy one, but it can be hard to enable. Paddington has made looking on the bright side of things an art form. Really, it’s an engrained habit you have to cultivate. Paddington was born with a natural “upbeat” personality. Not everyone is - but everyone can learn to look on the positive side of things. Poor Paddington confronted roadblocks at every turn, including being wrongly accused of stealing, and being sentenced to jail. He suffers from characters, like Hugh Grant’s “Phoenix Buchanan,” who don’t like him and do everything in their power to hurt him. We all have people like that in our lives. Accept there are some things out of your control (and that includes other people and their opinions) and just focus on your own positive attributes and circumstances. Paddington faces some real-world challenges in his second film. The challenges are daunting…but as long as Paddington stays true to himself, and his life values, you know the end of the story will be a happy ending. More than that, we also have to trust, that our own film’s ending will be a happy one, too!
DENTAL NEWS
NEW HUB TO
ENHANCE
CLINICAL
The Government provides a mechanism to assist the provision of information for access to clinical trials and their potential patients.
TRIAL
CAPABILITY N NHS Digital partners with University of Oxford, Microsoft and IBM for pioneering new venture.
HS Digital is working with the University of Oxford, Microsoft and IBM to develop a new hub that aims to revolutionise the way in which clinical trials are delivered – providing foundation services to determine whether a clinical trial is feasible, and to support better planning and delivery of clinical trials in the UK. NHS DigiTrial, the NHS Health Data Research Hub for Clinical Trials, is one of seven new hubs announced today to enable cutting-edge research for health discoveries. Led by Health Data Research UK, they are the first of their kind in the world and aim to improve the lives of people with debilitating conditions by making health data more accessible and user-friendly for research while maintaining strict controls around data security and privacy. NHS DigiTrial will initially provide a foundation service to return cohort feasibility queries and support patient enrolment and communication, and longterm follow-up of a cohort.
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It will contribute to lowering costs of future medical treatment and therapies and will be part of an ecosystem to support life science organisations, attract future inward investment to the UK, and advance and improve vital healthcare research to benefit patients. NHS Digital will lead the consortia and provide the service, with world class system security, to leverage the globally-unique data assets within the NHS. It will ensure strict adherence to information governance standards, patient confidentiality, data protection legislation and upholding patient privacy rights. The Nuffield Department of Population Health at the University of Oxford will provide clinical and trial leadership, building on a proven track record in the safe management of clinical data and in running landmark trials of treatments for heart and other major diseases. Microsoft will bring a wealth of knowledge and services, including its deep expertise in confidential computation in public cloud. IBM will provide deep expertise in digital, technical service design and modelling, data capabilities, programme management and the Life Sciences sector.
The hub is also welcomed by the National Institute for Healthcare Research and the Association of Medical Research Charities as a key contribution to the UK clinical trials offer. NHS DigiTrial will work with other hub teams, including Discover-NOW, a partnership led by Imperial College Health Partners. Discover-NOW has also submitted a successful bid for the Health Data Research Hub for Real World Evidence, which will speed up research for new medicines, treatments and support quicker diagnoses and care provision. The perspectives of patients and clinicians will be sought throughout the development of the new Hubs. This will ensure that they stay tightly aligned to patient and clinical expectations and remain at the forefront of established best practice. Sarah Wilkinson, CEO of NHS Digital: “Our new ‘NHS DigiTrial’ Hub will enable us to strengthen our support for academic research communities and Life Sciences partners in the extraordinary and vital work they do to develop new treatments. We are very excited about partnering with the Nuffield Department of Population Health in this work, and delighted to have support, and deep technical expertise from Microsoft and IBM. “As the primary national data custodian for the Health and Care system, NHS Digital’s first and central consideration in all such work is operating within appropriate privacy, security and information governance frameworks, and these will guide the design and delivery of this new service.” Professor Martin Landray, from the Nuffield Department of Population Health, at the University of Oxford: “Clinical trials are essential to understand the safety and efficacy of treatments. By working closely with patients and the NHS, this new Hub seeks to increase opportunities for participation in clinical trials and enhance the quality of the information that they produce. This new digitally-enabled approach will reduce the cost of developing new treatments and improve the quality of information available to patients and their doctors.” “With a clear focus on data security, safety and public involvement, this is an important and exciting next step in the UK’s health data proposition and builds on the fantastic strengths we have across our health service, universities and industry.” Cindy Rose, CEO of Microsoft UK: “Clinical trials are fundamental in developing safe medical treatments but many are hampered by the lack of access to relevant patient information. NHS DigiTrial will transform this process, ensuring healthcare professionals are able to accelerate clinical trials and bring muchneeded treatments to market, faster.
“Yet speed alone is not enough. Patients must trust their data is being held securely and only accessed appropriately. The use of Microsoft Azure will ensure all information utilised by NHS DigiTrial is integrated, managed securely and with all appropriate access controls. We are delighted to be involved in what is a great example of a public-private partnership to deliver better patient outcomes.” Dr Nicole Mather, Life Sciences lead, IBM Global Business Services, UK and Ireland: "IBM is proud to collaborate with partners across health and life sciences bringing digital transformation to research, with the aim of getting more cutting-edge products, more quickly to NHS patients. Working together we have the potential to help change lives and pave the way for new insights by unlocking the power of health data. “We will bring deep expertise in digital, technical service design and modelling, data capabilities and programme management to the partnership, collaborating to scale the transformational clinical trials capability developed through innovation from Oxford University and NHS Digital." Aisling Burnand, Chief Executive, Association of Medical Research Charities: “AMRC believes that every patient should be offered the opportunity to be involved in research, so we’re delighted to welcome this new data-driven clinical research feasibility and recruitment service. “Through the safe and secure management of health information the Hub will help patients across the length and breadth of England participate in clinical trials. We hope this will see more people gain faster access to new treatments.” Dr Jonathan Sheffield OBE, CEO, National Institute of Health Research Clinical Research Network (NIHR CRN): "The National Institute of Health Research (NIHR) CRN funds teams of doctors and nurses to deliver and support patients in Clinical Trials across the NHS. We welcome any initiative which will improve the speed and efficiency of clinical trials whilst giving patients opportunities to access leading edge treatments. “The NIHR Clinical Research Network is supporting this service which will speed up the delivery of more studies to patients and improve overall care in the NHS." CONTACT: NHS Digital Media Team Tel: 0300 303 3888 Email: media@nhsdigital.nhs.net
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INSIGHT
WELCOME TO... DENTAL DORIS DENTAL DORIS HAS WORKED IN DENTISTRY FOR MANY YEARS AND LIKES TO MUSE ABOUT ALL KINDS OF DENTAL AND NON-DENTAL TOPICS
ONE HAND CLAPPING
T
here is a famous Zen koan (philosophical riddle) which asks, "What is the sound of one hand clapping?" The student of Zen is supposed to meditate on this riddle until some degree of insight or enlightenment occurs. The tricky part is that there is no right answer. What you are, or what you know, or what you believe, is what you get. From my perspective the sound of one hand clapping is the same as the sound of two hands clapping! How could that be, you ask (for the sake of this article I am assuming that you do ask)? It's simple, I reply. The concept of clapping implies that a sound is being produced by two surfaces coming into contact, even if only one of them is actually moving. No sound, no clapping; no second surface, no sound. Yet, the riddle definitely states that there is a sound and that there is clapping. Therefore, my answer follows logically. Yes, I know, the answer to a koan is supposed to be beyond logic, but rest assured that the answer came intuitively. The logic came after. Before you dismiss this as simply a bit of cleverness or a waste of time, let me tell you about the rest of the meditation. After the revelation that the sound of one hand clapping must be the same as the sound of two hands clapping, it struck me that this was a nice metaphor for two of the corollaries of the Second Principle of Huna. The basic principle states that there are no limits, which implies that everything is in a relationship to everything else. And that implies that if you change one side of a relationship you change both sides. Even if
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only one hand changes its position relative to another, unmoving hand, a clapping sound will be produced. We don't have to wait for both sides of a relationship to participate before bringing about beneficial change. Change one side of that relationship and the other side has to change because the relationship has changed. If we assume that everything is a dream and everything is dreaming, we say that if you change one dream you automatically change all related dreams. So you can go to an imaginary garden and make changes to symbols of your life experience, and your life experience will change. We can also assume that everything is telepathically linked, we say that if you begin to silently bless and forgive people with whom you are having difficulties, they will know it and they will begin to change their behaviour toward you without a word being spoken. Additionally, it is worth considering that everything is separate but potentially interactive and if you smile and hug a lot you will tend to get a lot more smiles and hugs back, even from people who don't normally smile or hug! Now what do you think would happen if you applied this idea to the whole of your life? In a strained personal relationship, for example, instead of waiting for the other person to make the first move toward reconciliation you could start the process in your own
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mind, either by purposely creating a better opinion of the other person, or by imagining the two of you getting along with all of your differences. Sorry, you can't control with your imagination what the other person thinks or does (it simply doesn't work), but you can use imagined persuasion just as you might in a face to face meeting. As in any form of persuasion, however, the more your persuasion is based on a benefit to the other person, the more successful it is likely to be!
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DENTAL TECHNOLOGY
WHEN THE MAGIC CATCHES ON: THE KUNSTZAHNWERK COMPETITION FROM CANDULOR ALWAYS OFFERS A CHALLENGE TO CRAFTSMANSHIP When a flash of magic sparks from one person to another, it is called enthusiasm. As happened at this year's CANDULOR KunstZahnWerk competition. One person had already won, the other, like his colleague and friend, wanted to master this manual challenge as well. And so Nima Mohammadi, dental technician in Lower Bavaria's Breitenberg, decided to request the competition documents from CANDULOR and take part. 12
ON FOUR CONTINENTS: DEDICATED FULL DENTURES Together with Nima Mohammadi, 120 participants from four continents registered. CANDULOR received 49 competition entries and documentations from 16 nations by the deadline. Some packages had traveled a long distance to take part in the competition and face the international jury of experts with the proposed solution. Prof. Dr. Frauke Müller, Head of the Gerondontology and Removable Prosthetics Division at the University of Geneva, Switzerland acted as Chairwoman. CDT/DTG Arian Deutsch, owner of Deutsch Dental Arts in Surprise (Arizona) had traveled from the USA for this purpose. In 2011, he took part in the international
FIG. 1: 3rd place in the KunstZahnWerk competition 2019 for Nima Mohammadi (Breitenberg, DE)
KunstZahnWerk competition and in 2012 he won the KZW competition North America. Support came from Berlin; MDT Andreas Kunz, owner of Andreas Kunz Zahntechnik. An internationally recognized practitioner and speaker for CANDULOR, DT Martin Koller, in his role as a total prosthetic technician and trainer with heart and soul, took on the responsible task of evaluating the competition work. Nima Mohammadi could hardly believe becoming one of the top-ranked competitors who immediately won this special total prosthetic award. PROSTHETIC CHALLENGE 2019 What was it this time that motivated dental technicians all over the world to prove their skills and say " goodbye" to their spare time for a while? This year's competition was based on the case of a relatively young 42-year-old male patient with very good oral hygiene. Due to an accident, the self-employed person had to wear full dentures. However, they hindered his speech and his chewing ability. Pressure sores in the lower jaw proved to be an additional hindrance. Repeated new denture treatment did not lead to any improvement. Therefore, the mandible was provided with four Camlog implants for a partially removable lower hybrid restoration. Specific patient data including the horizontal condylar path angle (right: 28 °; left: 30 °). The esthetic control template with instructions for anterior tooth setup and for the hygiene shape of the lower hybrid denture. The occlusion concept according to GERBER in tooth-to-tooth occlusion and numerous other factors described the requirements.
MODEL ANALYSIS The model was assembled in an articulator suitable for the total prosthetic concept according to Prof. A. GERBER with a double cone articulator joint. The double cone enables the simulation of physiological movement patterns in lateral and transversal motion sequences in the form of the natural rotary-sliding movement. The Condylator or the CANDULOR articulator CA 3.0 are suitable for this purpose. The next step was the model analysis according to LERCH. This is generally only performed on models oriented in the articulator to ensure the correct intraoral relationship in transversal and sagittal direction. The objective of the model analysis is to find out in which areas chewing functional loads are reliably transferred to the denture base without causing the lower denture to tilt or slip (lateral and protrusive movements) and which occlusion design makes sense for this purpose.
FIG 5
FIG 4 FIG 6
FIG 7
In the maxilla, a secure denture support is created within the area of the deepest points of the vestibular fold. In the mandible the internal limit is the mylohyoid line, and in the external area the oblique line. In the maxilla, the center of the alveolar ridge and the incisive papilla are plotted and the metric model centers determined (Fig. 2). In the mandible, the analysis is somewhat more complex. First determine the metric model center and plot it, then mark the entire course of the alveolar ridge centers to its degree, i.e. plot it. (Figs. 3, 4). The lateral and frontal ridge centers are transferred to the model edges, i.e. extended, so that they can be used as orientation lines for the setup.
FIG 8
FIG 2
FIG 3
FIG 2: Model analysis: middle of alveolar ridge and center of incisive papilla (in the mandible: tongue frenulum) FIG. 3: Model analysis: metric model center here on the mandible.
FIG. 4: The lower metric model center FIG. 5: Transfer of the lower alveolar ridge contour with the profile compass FIG. 6: Point of intersection between the lateral contour of the alveolar ridge and Camper's or the plane of occclusion FIG. 7: Position of the largest masticatory unit (masticatory center) FIG. 8: Stop line and tolerance ranges for the sagittal position of the largest masticatory unit.
To determine the masticatory center, the contour of the alveolar ridge is transferred to the outside left and right of the model using the profile compass. (Fig. 5). At the lowest point of the posterior region, a line is drawn parallel to the Camper's plane with the ruler (Fig. 6). The area of the largest masticatory unit, the masticatory center, is positioned at the intersection of both lines – the lateral ridge contour and the Camper's plane or table level (Fig. 7). To the right
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and left of the marked masticatory center, a tolerance range with a maximum distance of 2 mm is also plotted with vertical lines. Then the stop line is defined; and no tooth with contact to the antagonist is set up dorsally of the line. This is determined by applying a 22.5° angle measure to the marked masticatory center and the distally located intersection of the angle with the contour of the alveolar ridge where it forms u the position of the stop line (Fig. 8). p. 16
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DENTAL TECHNOLOGY
THAT'S DENTAL TECHNOLOGY: TAKING UP ON SPECIFICATIONS, IMPLEMENTING THEM FUNCTIONALLY, ESTHETICALLY AND CREATIVELY
b re d e n t
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AUTUMN 2019
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DENTAL TECHNOLOGY
ucontinued from page 13
SETUP OF THE UPPER ANTERIOR TEETH For the setup with PhysioStar NFC+ anterior teeth, a silicone key is first fabricated from the provided esthetic control template. All markings of the esthetic control template, such as occlusal plane, midline, canine points, smile line, maximum vestibular position of the posterior buccal surfaces are transferred to this (Fig. 9). Teeth 11 and 21 are now positioned so that their cutting edges are flush with the anterior edge of the silicone key and the central line is perpendicular between the two centers (Figs. 10, 11). If the two central incisors are in the correct position, the two upper canines are positioned such that their tips point to the canine marking, whereby their labial axes are positioned slightly mesial. In the proximal view they are inclined inwards with their cutting edges and outwards with the neck of the tooth. To achieve a naturallooking "deviation", teeth 12 and 22 are slightly twisted and positioned slightly higher incisally than the middle incisors (Fig. 12).
FIG 9
FIG 10
FIG 11
FIG 12 FIG. 9: Silicone key of the esthetic control template, transfer of data FIG. 10: Alignment of the central line on the silicone key FIG. 11: Alignment of the central line on the silicone key FIG. 12: Canine tooth positions aligned on the silicone key.
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DENTAL TECHNOLOGY
SETUP OF THE LOWER ANTERIOR TEETH The two central lower incisors, 31 and 41, touch the incisor pointer with their mesial edge at the level of the rubber of plane of occlusion. Their vestibular surfaces touch the front edge of the silicone key to reflect the shape of the lower lip support as determined on the patient using the esthetic control template (Figs. 13, 14, 15). Overbite and overjet depend on several factors. A well-known rule of thumb is that the overbite and the sagittal step are 1 mm each. Rules of thumb imply a solution based on average values that may be correct, but do not have to be. Here, only the dentist can determine correct physiological information relating to the case on the patient and provide this to the laboratory in the form of the esthetic control template and the silicone key fabricated there (Figs. 16, 17). Position teeth 42 and 32 with their incisal edges traversing the rubber band and their vestibular surfaces touching the silicone key. The tips of the lower canines, teeth 33 and 43, protrude about 0.5 mm above the rubber band. Their axis is slightly inclined mesially, their mostly distal cutting edge contour is aligned with the static lines. To be continued in the November Issue
FIG 13
FIG 14
FIG 15
FIG 16
FIG 17
FIG. 13: Setup of teeth 31 and 41 FIG. 14: Setup of teeth 31 and 41 FIG. 15: Setup of teeth 31 and 41 FIG. 16: Overjet reconstructed according to the silicone key FIG. 17: Setup of teeth 31 and 41.
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DENTAL NEWS
NOVEMBER 2019 TO BE MOUTH CANCER AWARENESS MONTH LAUNCH FROM THE HOUSES OF PARLIAMENT ON OCTOBER 29TH
M
outh cancer has for too long continued to infect more people of all ages. It is particularly growing in young people, which is thought to be linked to the combination of drinking and smoking. The whole profession must take responsibility for actively spreading the word and help to alter the awareness of this dreadfully nasty cancer. Thought to be the only cancer that continues to grow through the population. Information is the key to getting the potential victims to take more care and to be aware of the early signs and the type of lifestyle which may increase the risk and potential for oral cancer to spread.
November will be the Cancer Awareness Month 2019. So if you can get involved by joining one of the many dentally organised campaigns in your area then please do. Those technicians who have had to work on post
cancer case rebuilding will understand the terrible affect the disease has when associated with the face, head and neck. The mouth, which is at the center of our daily interaction with our neighbours, family and friends can become so disfigured it completely changes the life and often the mental wellbeing of the patients it affects. Learn to talk about the simple checks we all can make to ensure we do not become the victim of this terrible disease. On October 29th there is a meeting to launch the campaign which is being organised at the House of commons Stranger’s Dining Room. Between 4pm and 6pm. Tel: 01788 539781 Email: kerry@dentalhealth.org Smile House, 2 East Union Street, Rugby, CV22 6AJ
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DENTAL NEWS
RESEARCH INDICATES MOUTHWASH MAY IMPEDE BENEFITS OF EXERCISE September 09, 2019
A
ccording to a recent study undertaken by the University of Plymouth and the Centre Genomic Regulation in Barcelona Spain, the use of Mouthwash following exercising, may negate the affect of blood pressure reduction advantages. The systemic health benefits of regular exercise are well documented, and, are generally accepted. Similarly, the use of Mouthwash is thought to have similar beneficial effects when used to combat oral bacteria build up. However, it would seem that the findings of this early study indicates that not using mouthwash after exercise would be a sensible course to follow. When compared to those using just water, as a mouthwash, the beneficial effect of reducing blood pressure was not seen. For the study, 23 adults with good oral health ran on a treadmill for 30 minutes on two separate occasions and were thereafter monitored for 2 hours. On each occasion, the participants were asked to rinse their mouths with a liquid at 1, 30, 60 and 90 minutes after cessation of the exercise. The
liquid was either a mouthwash with a 0.2% concentration of chlorhexidine or a placebo of mint-flavoured water, and the participants were not informed which liquid they were rinsing with. The study showed that, when participants rinsed with water, the average reduction in systolic blood pressure was –5.2 mmHg at 1 hour after exercise. However, when participants rinsed with the mouthwash, the average systolic blood pressure after 1 hour was –2 mmHg. Previous research has suggested that the main source of nitrite in blood after exercise is nitric oxide formed during exercise in the endothelial cells. However, this new study challenges this, since the blood nitrite levels of the participants who rinsed with mouthwash did not increase after exercise. Instead, it was only in the participants who ingested the placebo water that blood nitrite levels rose, indicating that oral bacteria are a key source of this molecule - at least during the immediate period of post-exercise recovery. Based on these findings, the researchers recommend that health professionals should pay attention to the oral environment when advocating for interventions involving physical activity to reduce high blood pressure.
“These findings show that nitrite synthesis by oral bacteria is hugely important in kickstarting how our bodies react to exercise over the first period of recovery, promoting lower blood pressure and greater muscle oxygenation,” said Craig Cutler, a researcher at the University of Plymouth and co-author of the study. “In effect, it’s like oral bacteria are the ‘key’ to opening up the blood vessels. If they are removed, nitrite can’t be produced, and the vessels remain in their current state. Existing studies show that, exercise aside, antibacterial mouthwash can actually raise blood pressure under resting conditions, so this study followed up and showed the mouthwash impact on the effects of exercise,” Cutler continued. “The next step is to investigate in more detail the effect of exercise on the activity of oral bacteria and the composition of oral bacteria in individuals under high cardiovascular risk. Long-term research in this area may improve our knowledge for treating hypertension more efficiently,” Cutler concluded. The study, titled “Post-exercise hypotension and skeletal muscle oxygenation is regulated by nitrate-reducing activity of oral bacteria”, was published online in the November 2019 issue of Free Radical Biology and Medicine.
A new study has shown that the use of mouthwash after exercising may impede blood pressure reducing comparison to rinsing one's mouth with water. (Photograph: GP Studio/Shutterstock)
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DTS 2020
THE COUNTDOWN TO DTS 2020 BEGINS l
With a successful DTS 2019 enjoyed by all members of the dental lab community, the countdown has now begun for 2020. Professionals can expect more of the same high quality education, with renowned speakers visiting from across the UK and abroad. There will also be another labdedicated trade exhibition where leading manufacturers will demonstrate their latest materials and innovations. Whether you’re looking to update your knowledge, develop your skills or source new technology, DTS 2020 will be the perfect place to do all of the above.
SAVE THE DATES TODAY!
UPDATE YOUR PDP WITH DTS 2020
When updating your PDP for 2020, don’t forget to add DTS to your schedule! There will be two days of lab dedicated education covering everything from the latest milling machines and 3D printers to new materials, implant prosthesis techniques and orthodontic appliances. Speakers include extremely experienced and well-respected professionals from different fields, ensuring you get the most up-to-date and useful information. There will also be hours of enhanced CPD available for the whole lab team, so DTS 2020 is one event you really don’t want to miss.
SAVE THE DATES TODAY!
DTS 2020 – FRIDAY 15TH AND SATURDAY 16TH MAY NEC in Birmingham, co-located with the British Dental Conference and Dentistry Show. Visit www.the-dts.co.uk, call 020 7348 5270 or email dts@closerstillmedia.com
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ISSUE NO. 2 TECHNICIANS MERIT AWARDS SEPTEMBER SCHEME NEWSLETTER
BEST PROSTHETIC TECHNICIAN JUDGED BY CHRIS WIBBERLEY AND SPONSORED BY BREDENT UK LTD
CHRIS WIBBERLEY RDT (Dip CDT) GDC: 182605 n Chris is a Clinical Dental Technician based in Saddleworth, Oldham. He qualified as a Dental Technician from Manchester Metropolitan University in 2009. In 2011, he was part of the first cohort of students to enrol onto the Clinical Dental Technology Course at The University of Central Lancashire (UCLAN), and graduated in 2013 as one of the youngest CDTs in the UK. His passion for working as a CDT saw him working for an NHS Domiciliary Service in the Huddersfield area along with running a clinic twice a week at a private Dental practice in Saddleworth. Chris now runs a bespoke Denture clinic called
CW Dentures, and in recognition of the work he has done at his clinic, became the recipient of the BACDTs highest award, Member of the Year - 2018. Chris has lectured on some of the largest stages in Dental Technology, including the International Dental Show (IDS) in Cologne and at the Dental Technology Showcase (DTS), in Birmingham. He has gained a reputation for achieving extremely natural looking Denture Aesthetics for his patients and regularly runs training courses on how to achieve these results. In his spare time Chris has numerous interests away from dentistry, which include road cycling and Brazilian Jiu-Jitsu. He’s a keen spectator of Rugby Union (because he’s now too old and injury prone to play) and loves to spend time walking with his Labrador, Ralph and young family in the Saddleworth Countryside (especially when it involves a pit-stop at the pub).
lll CASE STUDY In this issue of the TMA newsletter, I thought I would write about a subject I get asked about an awful lot. It is related to Denture aesthetics, and how to make the borders of a full denture look like natural gingiva. It involves the use of composite material (and in this case I have used a number of pastes and stains from various companies/ suppliers), and the inclusion of a very important PMMA/Composite primer that binds this material together. That primer is known as visio.link (Bredent). Before I explain how to apply the materials, it is very important to understand what we need to know about natural gingiva and it’s landmarks. When applying pink composite to a denture base, it is important to remember 5 gingival landmarks:
1. ALVEOLAR MUCOSA As shown in figure 1.1, the Alveolar Mucosa is a thin, soft and fragile continuation of the mucous membrane of the cheeks, lips and floor of the mouth. It is deep red in colour and smooth, with many visible blood vessels.
Fig 1.1
2. MUCOGINGIVAL JUNCTION The meeting point of the freely moveable tissue of the Alveolar mucosa and the firm tissue of the attached gingiva as shown in figure 1.2. It can be defined as the point where the firm tissue attaches to the underlying bone.
Fig 1.2
THE THEDENTAL DENTALTECHNICIAN TECHNICIANMAGAZINE MAGAZINEAND ANDDENTAL DENTALTECHNICIANS TECHNICIANSGREAT GREATBRITAIN BRITAIN
3. ATTACHED GINGIVA The firm, resilient, keratinised tissue that lies between the mucogingival junction and the free gingiva that surrounds the necks of the teeth (figure 1.3). This tissue is tightly bound to the underlying bone. When healthy it is an opaque, coral colour with fewer visible blood vessels than that of the alveolar mucosa. Fig 1.3
THE BUILD UP Now we understand the important landmarks of natural gingiva, we have an idea of where to start and with what colours when layering composite onto the denture base. First, we must prep the denture base after it has been processed. As you can see in figure 2.1 the wax up has been cut back prior to processing, thus exposing the necks of the teeth. This gives us enough room for our stains and pastes. The dentures are deflated and trimmed. They are then sandblasted, with pink wax covering the majority of the tooth surfaces.
To represent underlying bone to which the attached gingiva is closely bound to, figure 2.4 shows dentine colours (from Ivoclar’s nexco range) layered beneath the necks of the teeth. This ‘boney’ coloured composite paste provides the underlying base colour for the healthy, coral coloured attached gingiva on the surface.
Fig 2.4
4. FREE GINGIVA As shown in figure 1.4, the free gingiva surrounds the tooth, creating a collar of tissue. It is not attached to the underlying bone or tooth surface. It usually measures from the margin of the attached gingiva to the crown of the tooth. Fig 1.4
Fig 2.1
The final composite layer (figure 2.5) in this particular case is the ‘flamingo pink’ paste from the Schottlander enigma pink composite kit. It provides a covering layer that tones down the intense reds/blues and dentine that were first layered onto the denture base.
Using a microbrush, the denture base is then covered (with a VERY thin layer) using visio.link PMMA/Composite primer. This is then left for 3 mins, so the primer can soak into the denture base, followed by 3 mins of light curing (figure 2.2). Fig 2.5
5. FREE GINGIVAL GROOVE A shallow line on the surface at the junction of the free gingiva and attached gingiva. It is formed due to the change in shape/profile of the tooth at the CEJ (cemento-enamel junction) as shown in figure 1.5. Fig 1.5
Fig 2.2
Using a small art brush, the material is very easy to manipulate into position around the necks of the teeth and across the borders of the denture base. This is shown in figure 2.6.
As shown in figure 2.3, once the denture base has been light cured, red and blue stains are added. The stains shown on this case are from the Schottlander enigma composite kit. Notice they are positioned mainly in the alveolar mucosa region, where natural gingiva is deep red in colour.
Fig 2.3
Fig 2.6
THE THEDENTAL DENTALTECHNICIAN TECHNICIANMAGAZINE MAGAZINEAND ANDDENTAL DENTALTECHNICIANS TECHNICIANSGREAT GREATBRITAIN BRITAIN
u
TECHNICIANS MERIT AWARDS SCHEME NEWSLETTER u A brush can then be used to refine the
shape of the composite paste so that it represents natural looking free gingiva, and the free gingival groove can be added using the same instrument as shown in figure 2.7.
The case is then light cured for a further 3 mins. Once finished, the gel is cleaned off under cold running water, and the denture base is dried. Visio.link is then applied once again to the denture base, then cured for 3 mins. For the final layer, Nano-varnish (as shown in figure 2.8) is then applied using a separate, clean micro brush to the one used for the visio.link. It is then left for 1-2 mins so the varnish then becomes sticky/tacky.
varnish is thoroughly cured. The final case will then appear to have extremely natural looking gingiva (figure 2.9).
Fig 2.9 REFERENCES
Fig 2.7 Once the desired shape has been achieved on the covering layer, it must be light cured for 3 mins as with each of the composite stages included in this case study. The denture base is then covered in a glycerine based gel (Schottlander composite cover gel). The purpose of this is to remove the tacky, inhibition layer produced by composite materials when they have been light cured, and ensures the pastes and stains layered onto the denture have been thoroughly cured.
Fig 2.8 A fresh micro brush is then used to ‘dab/ lightly tap’ so that light scatters on the surface of the denture base. This will provide natural looking stippling and it will also bring out the multiple layers/colours you have previously added to the denture. Cure for at least 10 mins to ensure the
Bath-Balogh, Fehrenbach (2011), Illustrated Dental Embryology, Histology and Anatomy. Elsevier (2009), Mosby’s Medical Dictionary (8th Edition). Dental Juice (associated with university of Birmingham, 2019) Direct Restorations Dentsply SDR. Dentodontics (Dental Student Blog - 2015), G.V Black’s Classification of Caries. Dept of Oral Medicine, MCODS, Figure 8; Deep Occlusal Caries with Brown Pigmentation. Deutsch A (2014), Silver Flouride Techniques for use in Aged Care Dentistry. Hai Ming-Wong (2014) Dept of Dentistry University of Hong Kong Journal of Anatomy; Aetiological Factors for Developmental Defects of Enamel. John C Ness (2008), Anterior Anatomy and the Science of a Natural Smile. Science News (2016), Gum Disease opens the body up to a Host of Infections. www.dentalexcellencegreenbay.com Dr Brusky (2018) What you should know about Gingivitis.
BEST PROSTHETIC TECHNICIAN
JUDGED BY CHRIS WIBBERLEY AND SPONSORED BY BREDENT UK LTD l bredent UK Ltd is pleased to support a scheme which sees technicians celebrating the skills of their peers. We are passionate about supporting and educating technicians to be the very best in their field and help improve industry standards. Managing Director Stephen Denman said: “We work alongside some incredible technicians on a daily basis, supporting them in the fantastic work they do to improve smiles and transform lives. We’re
delighted to be able to sponsor this award which recognises the very best in their field. As an ex dental technician, myself, having the quality of your work recognised by peers, as this award scheme does, is very special.” The bredent group has supported dentists and technicians working in partnership for more than 40 years and provides the dental technology market with world-class products designed by technicians for technicians.
Our readers are invited to enjoy a complimentary demonstration of bredent products at their lab. Demos are carried out by technical specialists and are a chance to try our industry-leading products for yourselves. TO BOOK A COMPLIMENTARY DEMO AT YOUR LAB VISIT: www.bredent.co.uk/demo OR CALL 01246 641 050.
visio.link
l Achieve adhesive bonding of composites to composites, PMMA materials and highperformance polymers. Sandblast the resin/composite frameworks with aluminium oxide (grit size 110 µm) at a pressure of 2 to 3 bars. Do not clean with a steam jet! Use alcohol and a clean brush to remove any contaminations. Apply visio.link very thinly and cure for 90 seconds in a bre.Lux (wavelength range: 370nm - 400nm)
After curing, the conditioned surface should have a matte finish to indicate a perfect layer thickness.
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FULLY-EQUIPPED DENTAL LABORATORY IN NORTH EAST ESSEX
Solid client base providing regular trade Specialises in the manufacture of crown and bridge, implants, veneers, guards and bleaching trays Current turnover in excess of £150,000 with strong potential to increase Leasehold Offers invited FOR MORE DETAILS EMAIL: sales@dentaltechnician.org.uk Please quote LAB010
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FREE VERIFIABLE ECPD As before if you wish to submit your ECPD online it will be free of charge. Once our web designers give it the all clear there will be a small charge. This will be less than the CPD submitted by post. This offer is open to our subscribers only. To go directly to the ECPD page please go to https://dentaltechnician.org.uk/dental-technician-cpd. You will normally have one month from the date you receive your magazine before being able to submit your ECPD either online or by post. If you have any issues with the ECPD please email us cpd@dentaltechnician.org.uk
4 Hours Verifiable ECPD in this issue LEARNING AIM
The questions are designed to help dental professionals keep up to date with best practice by reading articles in the present journal covering Clinical, Technical, Business, Personal development and related topics, and checking that this information has been retained and understood.
LEARNING OBJECTIVES REVIEW: n Strength of Zirconia n Implant planning n Customised Special trays n Business of Management
LEARNING OUTCOME
By completing the Quiz successfully you will have confirmed your ability to understand, retain and reinforce your knowledge related in the chosen articles.
Correct answers from September DT Edition:
ECPD
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VERIFIABLE ECPD - OCTOBER 2019 1. Your details First Name: .............................................. Last Name: ........................................................Title:................ Address:.............................................................................................................................................................. ................................................................................................................................................................................ ............................................................................................................ Postcode:............................................... Telephone: ......................................................Email: .................................................. GDC No:.................. 2. Your answers. Tick the boxes you consider correct. It may be more than one. Question 1
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As of April 2016 issue ECPD will carry a charge of £10.00. per month. Or an annual fee of £99.00 if paid in advance.
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You can submit your answers in the following ways:
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3. Evaluation: Tell us how we are doing with your ECPD Service. All comments welcome.
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Via email: cpd@dentaltechnician.org.uk By post to: THE DENTAL TECHNICIAN, PO BOX 430, LEATHERHEAD KT22 2HT
Payment by cheque to: The Dental Technician Magazine Limited. Natwest Sort Code 516135 A/C No 79790852 You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.
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VERIFIABLE ECPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN TMA NEWSLETTER Q1. What causes the Free Gingival Groove? A. The pressure from the cheek muscles. B. The lateral frenum. C. Tooth Profile shape change. D. Bone form pressure. Q2. A. B. C. D.
What is Visio.link? A surface finishing liquid gloss. An artificial tooth adhesive. Anti-surface stain liquid gel. D. A PMMA primer.
Q3. A. B. C. D.
How long must the initial Light curing take? Three minutes. Six Minutes. Four Minutes. Five Minutes.
NEW HUBS FROM GOVERNMENT TO SUPPORT CLINICAL TRIALS Q9. How many Hubs have been set up? A. Fifty. B. Twenty. C. Seven. D. Ten. Q10. A. B. C. D.
WHAT CAN WE LEARN FROM PADDINGTON BEAR Q4. How many people are named in the Brown family? A. Six. B. Four. C. Three. D. Five. Q5. A. B. C. D.
What enables Paddington to work hard and make ends meet? A will to win. A small ego and a huge heart. Being from Peru. Mr. Browns example.
MOUTHWASH MAY HAVE A NEGATIVE EFFECT ON BLOOD PRESSURE AFTER EXERCISE Q6. How can a mouthwash affect blood pressure? A. Helps you to relax. B. It removes the blood Nitrites in oral bacteria. C. It makes your mouth feel clean. D. It relieves your thirst. Q7. A. B. C. D.
What did the placebo contain? Lemon drink. Cold tea with sugar. Water and mint flavouring. Water and orange juice.
Q8. A. B. C. D.
What was the blood pressure effect with the placebo? A beneficial drop. No change. Unclear result. Increase in Blood pressure.
Q11. A. B. C. D.
Who have collaborated to make this move possible? NHS Digital, Oxford University, Microsoft and IBM. Nuffield Trust. Association of research charities. IBM. How is the scheme to be funded? By Government via the NHS Budget. From £37 million Industrial Strategy Challenge Fund. From the World Health Organisation. From a dedicated charity for medical research support.
WHEN THE MAGIC CATCHES ON Q12. How many participants took part in the 2019 Competition? A. 120. B. 38. C. 49. D. 169. Q13. A. B. C. D.
What was particular about the choice of Articulator? The Mandibular fixation. The Facebow Transfer. The full anterior movement. The double cone articulator joint.
Q14. A. B. C. D.
Why is the double cone so important? It allows removal of the maxillary member. It allows full protrusive movement. It allows simulation of the Physiological jaw movements. It helps to Restrict lateral deviation.
Q15. A. B. C. D.
What is the Camper’s Line. The Occlusal Plane. A line from the tragus of the ear to the Ala of the nose. An imaginary line from one condyle to the other. A line from the maxillary papilla to the Tragus.
Q16. A. B. C. D.
What is the deepest internal limit of the mandible for denture construction? The Mylohyoid. The Oblique line. The Alveolar emergence. The floor of the mouth.
You can submit your answers in the following ways: 1. Via email: cpd@dentaltechnician.org.uk 2. By post to: THE DENTAL TECHNICIAN LIMITED, PO BOX 430, LEATHERHEAD KT22 2HT You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers. Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.
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COMPANY NEWS
THE DENTAL TECHNICIAN MARKETPLACE TRYCARE: SOFRELINER TOUGH S & M w Trycare Ltd, the UK’s fastest growing dental dealer, is the UK Distributor for the complete Tokuyama range including award winning Sofreliner Tough, voted Top Denture Reline Material 2019 by the Dental Advisor. With a Shore A hardness of 24, Sofreliner Tough Soft is the perfect combination of soft liner and tissue conditioner, whilst with a Shore A Hardness of 43 Sofreliner Tough Medium is an out and out soft lining material. Both options provide long-lasting softness, enabling maximum patient comfort with minimum degradation due to hardening, a problem associate with competitor products. Therefore the patient experiences the same level of comfort from day one to “done”. They also deliver superior tear
strength, so that they don’t become worn and torn; have an extremely high stain resistance, so they maintain their appearance for longer even when exposed to the most severe staining agents like coffee and curry; have a very strong adhesion to the denture, so that they don’t peel off around the margins; and maintain a lasting surface smoothness that alleviates contamination and the risk of odour build-up. They are easily dispensed from an automix gun via an XS mixing tip, which provides 40% less waste than the tips used by other materials. And, when the time comes, it is easily removed from the denture using Tokuyama Silicone Remover. Supplying your Dentists with Tokuyama Sofreliner Tough Soft or Medium linings will
delight them because their patients will be thrilled by the long-lasting comfort, stain resistance and odour-free nature of their dentures. For more information about the complete Sofreliner Tough range, contact your local Trycare Representative, call 01274 885544 or visit www.trycare.co.uk
UNLEASH YOUR LAB’S CREATIVE POTENTIAL WITH 3SHAPE DENTAL SYSTEM Design & produce dentures easily Get access to the market’s most advanced denture software. Design digital dentures and connect with major libraries and manufacturers in a single smooth workflow. Fast & intuitive splint design This is what you have been waiting for: a fast and intuitive CAD software that makes it both easy and productive for labs to create splints, night guards and protectors. New automated workflow Let the system automatically create design proposals of single crowns and copings for your gypsum cases. Then use powerful tools to inspect and correct the design if needed during any step in the workflow. Find out more at www.3shape.com or contact ukenquiries@3shape.com
BREDENT UK: BACK UK DENTAL TECHNICIANS w bredent UK Ltd is proudly sponsoring The Dental Technicians Merit Awards in conjunction with Dental Technicians Great Britain. Sponsoring the award for Best Prosthetic Technician - judged by Chris Wibberley (pictured) and voted for by dental technicians - bredent UK is pleased to be supporting a scheme which sees technicians celebrating the skills of their peers.
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Managing Director Stephen Denman said: “We work alongside some incredible technicians on a daily basis, supporting them in the fantastic work they do to improve smiles and transform lives. We’re delighted to be able to sponsor this award which recognises the very best in their field.
The nominees for Best Prosthetic Technician will be judged and voted for by members of the Dental Technician Great Britain Facebook group and readers of the Dental Technician. The winner will be announced at a ceremony dinner in July 2020.
“As an ex dental technician myself, having the quality of your work recognised by your peers, as this category does, is very special.”
The bredent UK Ltd team welcome readers to take advantage of a complementary demo of bredent products carried out by their technical specialists. The demo can take place at your lab on a day to suit, giving you the option to try the products for yourself.
The bredent group has supported dentists and technicians working in partnership for more than 40 years and provides the dental technology market with world-class products designed by technicians for technicians.
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To arrange, visit www.bredent.co.uk/demo or call the team on 01246 641 050
COMPANY NEWS
THE DENTAL TECHNICIAN MARKETPLACE NEW ZIRKONZAHN’S M2 WET HEAVY METAL AND M2 DUAL WET HEAVY METAL MILLING UNITS w More user comfort and higher flexibility: these are the distinctive features of the new Zirkonzahn M2 milling units! The M2 milling unit is available in two different versions: the M2 Wet Heavy Metal and the M2 Dual Wet Heavy Metal. The M2 milling units allow for a particular precise and clean elaboration of all materials, both through wet and dry processing. According to the users’ needs, the M2 Wet Heavy Metal milling unit is also available without wet processing function (M2 Heavy Metal). What differentiates the M2 Dual Wet Heavy Metal milling unit are instead the two separate milling chambers, meant for sequential wet and dry processing of all soft and hard dental materials without in-between cleaning. In all M2 milling units, elaboration processes are particularly stable due to the proven 5+1-axis simultaneous milling technology with orbit and opposed rotary axes. Also hard-to-reach areas – such as undercuts and divergences – can
be milled without difficulty and several work pieces can be fixed and processed in the orbit by using various blank holders, e.g. glass ceramics or Raw-Abutment® blanks. All M2 milling units are stand-alone solutions: indeed, is it possible to start milling and calibration processes or load elaboration tools directly from the machine, via the integrated PC with touchscreen. The machines are provided with spaciously designed, optimally illuminated and
VINTAGE PRO BY SHOFU: OPTIMISED LEUCITE-REINFORCED FELDSPATHIC PORCELAIN MEETS ALL CHALLENGES. DEFINITELY IMPROVING AESTHETIC RESULTS: INNOVATIVE PFM SYSTEM REDUCED TO THE MAXIMUM! w Proven products have been redesigned for even more convenient handling and sophisticated shade matching - so why not redis-cover PFM restorations? VINTAGE PRO, launched at the IDS 2017 represents a fresh, new PFM porcelain generation allowing dental technicians to easily, efficiently and aesthetically meet all chal-lenges in the field of PFM restorations. Based on SHOFU’s proven VINTAGE systems and more than 30 years of experience and ex-pertise in dental porcelains, this optimised leucite-reinforced feld-spathic porcelain helps users to achieve maximum aesthetics in a minimum of time. The excellent handling of a well-established PFM systems has been systematically optimised, their aesthetic bene-fits have been further enhanced, and their porcelain basis has been combined with new materials - for even greater ease of use, higher safety and firing stability, and naturally opalescent shades on all classical PFM alloys! VINTAGE PRO provides new perspectives for PFM restorations: The uncomplicated, lighttransmitting and reflecting porcelains of this sys-tem allow both professionals and beginners
easily accessible milling chambers as well as with contamination-protected tool holders for storing up to 63 tool compartments (optional). The milling units are also equipped with an automatic tool changer function with optical tool detection, which ensures the appropriate selection of milling tools, resulting in greater safety and precision. Visit www.zirkonzahn.com
matched to the Vita Classical system. In addition, high-quality paste stains are available for individualisation.
to create excellent aes-thetic results using a time-saving technique. Thanks to their leucitereinforced crystalline structure, these porcelains feature exceptional brilliance with great depth and high colour and firing stability, making PFM restorations look as if they were all-ceramic - no matter if the frameworks are made of goldcontaining, palladium-based or non-precious alloys or CAD/CAM materials! Excitingly classic, refreshingly new: brilliance with depth VINTAGE PRO stands for new, fresh aesthetics with precise opales-cence and fluorescence, whose naturalness changes with varying light conditions. The reason: Each porcelain material shows a char-acteristic shade effect, based on specifically matched light refraction properties. VINTAGE PRO is a leucite-reinforced feldspathic porce-lain system with a versatile, lifelike shade range including standard shades, highly fluorescent margin and cervical shades, opalescent effect shades and supplementary bleach shades – all accurately
www.dentaltechnician.org.uk
Another highlight: Newly developed Powder Opaque and ready-to-use Paste Opaque materials with great opacity and bond strength allow technicians to quickly and reliably mask metal frameworks and create an aesthetic base for porcelain build-up. Both Opaque types can easily be adjusted or modified and applied in any desired thickness. Rediscover PFM – and improve aesthetic results! VINTAGE PRO meets all requirements a state-of-the-art PFM system has to meet. An optimised layering system, ideal stackability and sculptability, and high dimensional and firing stability at a tempera-ture of approx. 900°C make this porcelain convenient and efficient to use in everyday work. Reduced to the maximum, VINTAGE PRO porcelain is now available in 16 standard shades, 4 whitening shades and various light-dynamic auxiliary and effect shades. The system also includes Paste and Powder Opaque materials ensuring the right base colour and high bond strengths. For more information please contact Shofu UK on 01732 783580 or your local John Winter representative.
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STATE OF THE ART 5 AXIS MILLING CENTER
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6 February 2020
09:30 – 17:00 Venue: 3Shape UK, Reading
Dental technicians
7 HOURS CPD £95
+VAT
Dentists
4 HOURS CPD
bring a dentist FREE!
*
This unique one-day event brings together a selection of renowned speakers presenting the full 3Shape digital workflow for technicians. It will include hands-on demos, practical experiences, tips and tricks and an exhibition area showcasing the very latest innovations in technology.
Whether you have been using digital technology since its inception, or if this is your first experience, this event will perfectly cater to your needs and support you in the next steps of your journey.
The day will begin with a keynote speech from 3Shape Lab Director, Dan Holbek, who will summarise the workflow of a digital lab from beginning to end. This will be followed by a choice of breakout sessions, led by digital lab owners - as well as a session for those from the clinical side, while culminating in a lively Q&A panel discussion with the giants of the digital laboratory. With an exhibition of carefully selected partners of the 3Shape workflow, and ample networking opportunities with those accompanying you on the digital transformation, Lab Vision Live is the must-see event for anyone who wishes to view the future of dental laboratories everywhere.
Keynote speaker: Dan Holbek
Visit labvision.eventbrite.co.uk *Technician + Dentist dual ticket: must purchase 2 tickets at £47.50+VAT each
