The Dental Technician Magazine September 2022

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VITAPAN EXCELL® NATURALLY PERFECTLY SHAPED. Now in five new moulds! 3603EN_DT_VITAPAN EXCELL_AZ_190x180_V01.indd 1 01.08.2022 13:53:59 www.dentaltechnician.org.ukwww. dentaltechnician.org.uk EXTEND YOUR SUBSCRIPTION BY RECOMMENDING A COLLEAGUE - SEE PAGE 5
VOL 75 NO. 9 I SEPTEMBER 2022 I BY SUBSCRIPTION www. dentaltechnician.org.uk THIS MONTH... l EVENTS: RAISING THE BAR IN DENTURES I IVOCLAR P. 16-17 l RECRUITMENT: HOW TO ATTRACT DENTAL TECHNICIANS WITHOUT INCREASING SALARY! I RECRUIT4TECHNICANS P. 22 l BUSINESS: EXPANDING YOUR BUSINESS EMPIRE I BY RICHARD LISHMAN P. 28-29 VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM THE FUTURE OF DIGITAL DENTURES BY RYAN BANT, DENTSPLY SIRONA PAGE 18 EXTRAORAL DENTAL SPRAY: 3 advantages of Scantist 3D PAGES 14

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Editor: Matt Everatt F.O.T.A.

E: editor@dentaltechnician.org.uk

Designer: Sharon (Bazzie) Larder

E: inthedoghousedesign@gmail.com

Advertising Manager: Chris Trowbridge

E: sales@dentaltechnician.org.uk

T: 07399 403602

EDITORIAL ADVISORY BOARD

Andrea Johnson

Ashley Byrne Sharaz Mir

Sir Paul Beresford Leonora Ward

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Extend your subscription by recommending a colleague

There is a major change in CPD coming soon. The Dental Technician Magazine is a must read. Tell your colleagues to subscribe and if they do so we will extend your subscription for 3 months.

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SEPTEMBER 2022

Welcome From the editor 6

Dental News

DTA launches six-month trail membership 8 WHW collaboration with Elegant Dent

Obituaries

Stephen Ralph Hall and Chris Bridle 10

Dental Technology

Zirlux® Zirconia expands range to meet demand. By Paul Hayfield, Henry Schein Dental 12-13 3 advantages of Scantist 3D 14

VITA: Efficient layering for high-quality dental implant aesthetics 30-31 Zirkonzahn - The “all in-house” culture trilogy Part 3 32-33

Events

IVOCLAR - Raising the bar in dentures 16-17 DTS 2023 20-21

Digital Technology

The Future of Digital Dentures. By Ryan Bant, Dentsply Sirona 18 Recruitment

technicians

Business

By Richard T Lishman

www.dentaltechnician.org.uk

5
CONTENTS
38
How to attract dental
without increasing salary! 22 ECPD Free Verifiable ECPD & ECPD questions 26-27
Expanding your business empire.
28-29 Marketplace Zirkonzahn 34 SHOFU 36 VITA/ Kemdent 37 Classifieds 39

From the Editor

lWell hello September! Welcome readers, to your September edition of The Dental Technician Magazine.

Matt Everatt F.O.T.A

Where did the summer go? For the first time in my adult working life myself and my wife decided to have a big family break and took the whole of August off from work. I wasn't quite sure how it would go. We still had the odd meeting to attend, a few emails to respond to, but for the majority of the time, we spent lots of time with the family. In a blink we hit September and the panic kicked in! Did the kids have school shoes that fit, are their trousers going to now be half-mast seeing as they've just grown so quick in the summer? A quick online order from Next and M&S and all was calm again.

Seriously though, there has been a lot going on over the summer. We will have a new Prime Minister by the time this Magazine lands. The cost of living crisis is in the hourly news bulletins. Inflation is at its highest in decades. The war in Ukraine continues. Souring energy bills. The NHS dentistry is looking like its well and truly clinging on for dear life. Where does this leave us? Recently, I wrote a plea to dentists to ask them to support their UK labs and to stop looking to squeeze labs on prices. I put it to them, looking to save a £ or two on a crown or a retainer isn't where they should be looking to save money. The way dentists often price their cases, adding a £ or two to the end price is easily achieved and to the individual patient, it is insignificant, but to the lab producing high volumes with low margins, it makes a big difference. Which leads me on to pricing.......

I've mentioned pricing in several previous editions of the magazine this year already. Without sounding like a broken record, please lab owners, take a look at your pricing. Are you actually pricing your work properly? Most of us have seen material prices rise significantly since Brexit and the pandemic. Energy prices are about to go crazy. Cost of travel, running a car or a van to collect work will have risen disgustingly in the last 18 months. Have you looked at these increased costs v's the prices you are selling your products and services? If you haven't had at least one price increase in the last 2 years then you were either high on margins previously, well done, keep up the good work. Or, you are making a lot less profit than previously.

I spoke to a friend recently who has been offering his services to a couple of old clients who he calls friends. When we drilled down the cost of his goods sold v's the prices he was charging, it was more cost effective for him to lose the work. He's into property rental cleaning and maintenance. For every turnover between guests he did, it was costing him around £3, his outgoings were more than the income. It did make me wonder how many labs have accounts like this. The ones always asking for a favour or a discount and haggle over any talk of price increases. Do take a fresh look if you've not done it for a while. You might be surprised. The old saying goes, 'turnover is vanity, profit is sanity'.

We sadly have two obituaries to report in this month’s magazine. One in particular that has really hit home was the sad passing of Chris Bridle. Chris was a pillar of the Orthodontic Technicians Association ever since I remember and was Chairman for many years and later became President, a position only ever previously held by an Orthodontist. He delivered so many lectures and worked so hard raising the profile of Dental Technicians and Orthodontic Technicians. Another sad loss was the passing of Stephen Hall, who played another huge part in Dental Technology over the years. Stephen sadly lost his 4-year battle to cancer and passed away last month.

6 www.dentaltechnician.org.uk BAR HEADER
WELCOME

New milling unit with fully automatic 5+1 axis simultaneous milling technology, one extra-large Teleskoper Orbit (Ø 125 mm) and an extra short, powerful and compact spindle, which lend the machine a high resistance to vibrations.

With the extra-large Teleskoper Orbit, discs can be removed and reinserted back into the orbit at the same position with high precision in the µm range. This is particularly useful for adjusting the friction of telescopic jobs or for the two-stage fabrication of immediate restorations in case of implant-supported prostheses (Double Milling technique).

High-precision milling of threaded channels in hard metals with the M2 Teleskoper Wet Heavy Metal milling unit. The machine is fully vibration-resistant thanks to the particularly stable double bearing suspension and the new, more powerful and compact spindle.
Zirkonzahn Worldwide – South Tyrol (Italy) – T +39 0474 066 680 – info@zirkonzahn.com – www.zirkonzahn.com WATCH THE VIDEO! NEW! M2 TELESKOPER WET HEAVY METAL FULLY AUTOMATIC, FLEXIBLE, VIBRATION-FREE – WITH THE EXTRA-LARGE TELESKOPER ORBIT (Ø 125 mm ) OPEN SYSTEMS

DTA launches six-month trial membership

A spokesperson from the Dental Technologists’ Association (DTA) invites you to take advantage of full membership benefits for a sixmonth trial period –at just £60.

Do you like the sound of the benefits associated with becoming a member of the DTA but remain unsure about making that full commitment? Or do you have a colleague or technician friend who isn't yet a member of the DTA but would like to find out more? To meet this need, the DTA has launched its trial membership to provide access to all the benefits of full membership for a six-month period at just £60.00!

This offer is open to dental technicians and clinical dental technicians living in the UK. The six-month trial membership includes access to over 10 hours of CPD, both through the DTA journal The Technologist and online, plus PDP, Log Book, exclusive insurance offers, 24-hour helpline, support, guidance documents and more.

The DTA represents the best interests of all UK dental technologists, speaking on their behalf with one clear voice. Whether you are fully qualified or in training, full membership provides lifelong learning opportunities, advice, guidance and support.

These are exciting times for the dental technical sector with the emergence of digital dental technology and clinical dental technology, but there are also an everincreasing number of challenges about which the registered dental technology sector must be aware – not least the changes to ECPD and MHRA regulations from MDD to MDR.

We keep our members up-to-date on all the important information. Our voluntary management team regularly meet and continually influence and raise the profile of dental technology with decision makers, including regulators, education providers, and various key groups, and we continue to be actively involved in a number of national initiatives, consultations, campaigns and activities.

Please note: This membership is only available to technicians and CDTs who have not previously been a member of the DTA. Once the six-month trial is up, your membership will be automatically renewed to our full membership package unless it has been cancelled.

8 www.dentaltechnician.org.uk DENTAL NEWS
For more information, visit https://www.dta-uk.org/membership

OBITUTORY TO STEPHEN RALPH HALL OF HALL AND NATT LTD

tephen undertook his training in Dental Technology at the Bloomfield Dental Laboratory in Birmingham gaining his Final City and Guilds Exam and he then continued his post graduate training at Austenal in Koln Germany, where he undertook a course in the use of Vitallium Cobalt Chrome Alloys, Microbond Crown and Bridge Bonded Ceramics and the Luxene prosthetic system which was an injectable nylon prosthetic base material which was centrifuged in to moulds and was an alternative much favoured by patients that suffered an intolerance to acrylic resins.

On completion of his training Stephen joined Hall and Natt Ltd, which was initially based in Marylebone High Street Central London and then moved to Holmfield Road in Wimbledon South West London.

SHall and Natt Ltd had been founded by his Father Stanley Hall and Ernest Natt and had a reputation of manufacturing first class Cobalt Chrome Castings using the Austenal Vitallium Alloy system, which was regarded as one of the best alloys of the day and which was developed by Austenal from the jet engine industry. Hall and Natt Ltd had a large customer base of Dental Surgeons and Dental Laboratories all of which recognised their consistent high standard of workmanship.

Hall and Natt Ltd trained numerous Dental Technicians in their dental laboratory a number of which are still working within the profession.

Stephen then went on to form the Advanced Prosthetics Group which consisted of the amalgamation of 5 Dental Laboratories before then furthering his career and becoming a director of PWS Direct. He then became a consultant to a number of Dental Laboratories continuing to work in his chosen profession until his ill health prevented him from working any longer.

Stephen was never short of putting forwards his opinion on matters Dental Technology both at the DLA London monthly local group meetings and also at the DLA annual general meetings.

Dental Technology to Stephen was both a vocation and a profession and he enjoyed every aspect of his profession.

He was always happy to assist his clients with any issues that they had or help newly qualified dental surgeons with any technical issues that they required the benefit of his many years of experience to resolve. He particularly enjoyed meeting with his clients and their patients so as to assist them in ensuring a successful treatment plan was embarked on.

Stephen had an amazing personality which drew people to him and was definitely a larger than life character always enjoying the better things in life!

Stephen tragically succumbed to Cancer four years ago and he was treated at the Royal Marsden Hospital before being transferred to St Raphael’s Hospice who helped him with his end of life care.

Stephen was married to Penny for 42 years and they had two children Anna and Jonathan and five grandchildren.

I am sure that all those that knew Stephen would wish to send his family their fullest sympathies on this very sad occasion.

OBITUTORY TO CHRIS BRIDLE

It is with great sadness that the Orthodontic Technicians Association (OTA) report the passing of its longest serving chair, Christopher James Bridle.

Chris spent most of his career as an orthodontic technician, and later as dental laboratory manager, at the Royal Hampshire County Hospital in Winchester, which today is part of the Hampshire Hospitals NHS Foundation Trust.

Chris was born on 20 February 1950 in Southampton, Hampshire. He began his career in 1966 as an apprentice dental

technician, before qualifying in 1971, the same year that the OTA was formed. Work with the OTA formed a significant part of his professional life; he was an elected member of the council for more than 30 years and served as its chairman for over 20 years.

In 2011, Chris retired as chair, but not before hosting a special conference that marked the 40th anniversary of the Association, at the Grand Harbour Hotel, Southampton. He continued to serve as a council member for a year until Les Joffe, outgoing OTA President, suggested that an OTA member should succeed him.

The role had previously always been held by an orthodontist since the position was created in 1974. The OTA council agreed unanimously that Chris was the most appropriate candidate to serve as the

first OTA President to be elected from within its membership.

After Chris had completed his twoyear term as the Association’s ceremonial head, he remained as an OTA council member between 2013 and 2017, where his roles included membership secretary and publicity officer.

Additionally, Chris was a part-time lecturer in dental technology at Southampton Technical College, which has since been renamed Southampton City College.

Chris passed away peacefully in his sleep in Exeter, Devon, on Tuesday 10 May 2022 at the age of 72. He leaves behind his beloved wife Jill, and he will be very much missed by his family, friends, and former colleagues.

10 www.dentaltechnician.org.uk OBITUARIES

ADVANCED DIGITAL MATERIALS

FOR AESTHETIC RESULTS

Zirlux provides your patients with exceptional restorations.

Introducing the highly anticipated new range from Zirlux

Zirlux Complete allows for a full accompaniment of indications ranging from single unit restorations to multiple units for rehabilitation cases.

A consistent blend of shading elements combined with a cold isostatic pressing manufacturing process creates a highly aesthetic ceramic.

• 1000MPa

• High strength for most indications

• Wider range of applications in a single source zirconia

• High strength with low opacity

• Multilayered Disc <47% Translucency

• Smooth transitional blend of shading characteristics

• Highly Aesthetic

Zirlux Esthetic TR has the unique characteristic of total gradation.

As the restoration moves from the cervical to the incisal, translucency becomes the more desired characteristic. This gives the material a much better aesthetic quality and contributes to the natural look.

• 727MPa incisal blended to 1000MPa cervical

• Approved for most indications

• Higher strength along the cervical area

• Higher translucency along the incisal edge

• Multilayered Disc <48% Translucency

• Mirroring effect to match adjacent dentition

• Easy handling

• Highly aesthetic

Scan here to see the full range lab@henryschein.co.uk 0800 032 8018 henryschein.co.uk

Zirlux® Zirconia expands range to meet demand

Although still a relatively new material in dentistry, Zirconia has become a staple in the restorative process, and dental manufacturers now offer a wide variety of Zirconia materials for use in the laboratory.

Having progressed a long way from some of the earliest dental Zirconia that required a lot of post-production work to make them fit for purpose, modern Zirconia is a flexible, multi-purpose material suitable for a wide range of indications.

Previously, he worked as a lab technician for 17 years.

One of the most valuable additions has been the extensive Zirlux® digital materials portfolio, which enables dental technicians to use innovative and quality-controlled materials to deliver durable, consistent, and predictable aesthetic restorations.

Due to their reliability and colour consistency, Zirlux Zirconia discs by Henry Schein Dental have become popular with many dental technicians with indications for use based on the strength of the chosen product.

Zirlux discs provide natural aesthetics as well as high stability and reliability, enabling monolithic production, and

Paul Hayfield from Henry Schein Dental introduces two new additions to the Zirlux® Zirconia range that give technicians even more options for cost-effective and aesthetic restorations. Paul Hayfield is a Senior Laboratory Account Manager at Henry Schein Dental.
DENTAL TECHNOLOGY 12 www.dentaltechnician.org.uk

efficient veneering techniques, such as micro-layering, to make them a costeffective material of choice.

Now Henry Schein Dental is adding two new multifunctional Zirconia solutions to the Zirlux portfolio with high-quality, millable materials to meet the demands of technicians, dentists, and patients: Zirlux Esthetic TR and Zirlux Complete.

Transitional layered Zirconia

Zirlux Esthetic TR is a highly aesthetic and strong Zirconia that exhibits transitional strength and translucency throughout the disc, making it suitable for almost any application.

The strength curve starts at 727 MPa in the incisal area and extends to 1,000 MPa in the cervical area, a unique transition that helps to reduce the risk of chipping along the margin lines. Thanks to its high opacity, any darker background frameworks, such as discoloured dies or metallic abutments, can be concealed.

At the same time, translucency increases along the incisal edge, giving the restoration the desired aesthetic appearance.

• Bending strength: progression from 727 MPa (incisal) to 1,000 MPa (cervical)

• Chameleon effect: 48% light transmission

• Available in all 16 VITA® shades and BL1, BL2

• Even distribution of colour pigments for a smooth colour gradient

• Wide range of applications including anterior and posterior restorations and crowns

• Compatible with most open 98.5mm CAD/CAM milling machines

Complete strength and aesthetics

Zirlux Complete is a high-strength, multilayered Zirconia for the production of consistent, high-quality anterior and posterior restorations.

With a colour gradient to meet any aesthetic requirements, Zirlux Complete is ideally suited for all restorations subjected to high stress such as long-span bridges, plus a wide range of indications from single unit restorations to multiple units for rehabilitation cases.

• Bending strength: 1,000 MPa

• 47% light transmission for the ideal balance between aesthetics and strength

• Available in all 16 VITA® shades

• Compatible with most open 98.5mm CAD/CAM milling machines

• Suitable for full contour long span bridges

A new world of efficiency

With two new additions to the Henry Schein Zirlux family, dental laboratories can further expand their range of Zirconia restorations while reducing costs and requiring no compromise on the aesthetic result.

The combination of the proven Zirlux range and latest digital dentistry technologies from Henry Schein is opening a whole new world of efficiency for dental technicians. Scanning, milling, and 3D printing are streamlining laboratory processes with digital workflows that can be customised or tailored to a laboratory’s specific needs, enabling technicians and clinicians to work together to deliver better, faster restorative outcomes.

For further information on the complete Zirlux range please visit zirlux.co.uk

From the digital impression to the final restoration, Henry Schein offers a comprehensive selection of products and materials to connect with the digital workflow from start to finish.

To find out more about new technology for dental laboratories, visit www.hsdequipment.co.uk or email info@henryschein.co.uk

Twitter: @HenryScheinUK

Facebook: HenryScheinUK Instagram: @henryscheinuk LinkedIn: Henry Schein Dental UK

DENTAL TECHNOLOGY 13www.dentaltechnician.org.uk

EXTRAORAL DENTAL SPRAY: 3 ADVANTAGES OF SCANTIST 3D

HOMOGENEOUS SPRAY COATING I COMPLETE SUBLIMATION I NO PIGMENTS

SCANTIST 3D extraoral dental spray forms a matt layer on shiny and transparent objects. It can be applied uniformly, is free from hazardous pigments, and evaporates by itself.

HOMOGENEOUS SPRAY COATING

The fine and uniform spray pattern of SCANTIST 3D enables laboratory scanners to capture the surface data flawlessly and reproducibly. Uneven material applications and marks on dental objects are a thing of the past. SCANTIST 3D enables precise measurement data and excellent repeatability.

COMPLETE SUBLIMATION

SCANTIST 3D is a sublimating dental spray. It remains on the object for approximately 20 minutes after application; then it starts to evaporate. Subsequent cleaning of the objects being measured and the scanning environment is completely eliminated.

NO PIGMENTS

Conventional dental sprays contain finely ground pigments such as titanium dioxide, which is harmful to health. During application, the fine pigments spread throughout the entire laboratory, so they coat far more than just the component being scanned. In contrast, the sublimating SCANTIST 3D is pigment-free. So contamination of the surroundings with pigments is now a thing of the past.

SCANTIST 3D is used for transparent and reflective parts, and for objects with deep recesses such as telescopic dentures, brackets, or occlusal splints.

TOP: Coating of the complete denture with Scantist 3D 2ND ROW (LEFT): Coated denture 2ND ROW (RIGHT): Scan of the complete denture 3RD ROW (L): Scan results of a complete denture with Scantist 3D 3RD ROW (R): The sublimation process. PHOTOS: SCANTIST 3D
DENTAL TECHNOLOGY 14 www.dentaltechnician.org.uk
www.scantist3d.com

RAISING THE BAR IN DENTURES

Whilst it’s been just over 70 years since dentures first became available on the NHS, some of the most significant advancements in removable dentures have occurred in the past 25 years. From developments in Dr Abe’s SEMCD (Suction Effective Mandibular Complete Dentures) technique to enhanced materials and perfected workflows, the evolution of dentures is an example of mankind’s ever-present desire to continuously evolve and improve.

However, with edentulous patients on the decline and a reluctance from some dental professionals to get involved in this complex discipline – exactly what role do dentures have in the modern-day dental clinic and how feasible is it as a treatment offering?

Over the past decade I’ve evolved my denture skills and business outlook from a dental technician to a CDT and a learner to an educator. My aim is to inspire and educate the next generation of dental professionals into becoming more competent, confident, and commercially minded in complete removable dentures.

The demand for private dentures is real

After the recent Covid-19 pandemic, the profession experienced an increase in demand from patients turning to private dentistry and requesting more bespoke denture solutions. The opportunity here for clinicians, CDTs and dental technicians today is in recognising the need to upskill their denture know-how and invest in proven systems that can support them in meeting these demands.

Private dentures mean premium dentures. With that comes the freedom to be able to offer more treatment options, better quality materials, increased predictability, and ultimately greater patient satisfaction. Fundamentally, the patient is number one and they deserve more than just a ‘regular’ denture.

Premium dentures, proven predictability

When it comes to high-end denture solutions, BPS dentures are the product of a proven workflow and effective cooperation between dentists and dental technicians. It offers a systematic, patient-centric approach that offers unsurpassed predictability - right

from taking the first impression to finishing and polishing the final denture. Quite simply, what BPS allows us to achieve is, if you follow the tried and tested steps there really is very minimal room for error.

Any denture system that can stand the test time must be open to advancements. Over the past 25 years the BPS system has undergone extensive, research and development, right from its roots with the original Gnathomat, to the introduction of the BPS workflow in 1997, and Dr Jiro Abe’s SEMCD technique in 1999 to the most recent Ivotion Digital Denture System.

Quality over quantity

Once you realise there is a client base out there ready and waiting to be serviced by the private high-end denture market, then it’s time to re-evaluate your business model - and

In celebrating 25 years of the Ivoclar BPS denture system we speak to CDT Paul McNally about the evolution of dentures, their role in modern dentistry and how he’s inspiring the next generation of CDTs.
TECHNICIANS INSIGHTEVENTS 16 www.dentaltechnician.org.uk

my clinic is evidence of this. It’s not about volume and trying to service an abundance of free NHS dentures for very minimal return and satisfaction, but instead about delivering quality high-end dentures to fewer patients – and at a price you’re willing to charge and they’re willing to pay. By raising the bar you’re instantly inviting a new type of clientele.

Denture training

In order to raise the bar in denture protocols, outside of the limited knowledge you gain at undergraduate level, you really need to be proactive in finding your own denture training and education. In the 3-years since going private, I’ve probably flown over

110 thousand miles in search for the right education trying to advance my own clinical and technical skills and know-how.

It’s this level of dedication that has given me the opportunity to become a dual certified Dr Jiro Abe SEMCD international clinical and Technical Instructor, as well as an approved Ivoclar BPS Denturist instructor. This has resulted in opening our training facility at the clinic and delivering a 3-day Masterclass around the BPS workflow and SEMCD technique. It gives me great satisfaction to see delegates by the end of day three, clinically treat and manufacture a set of dentures.

PAUL MCNALLY

l Paul qualified as a Clinical Dental Technician (CDT) from the Dublin Dental University Hospital in summer 2014 and successfully opened McNally Denture Clinic in his hometown of Carlow.

With over 27 years experience in the field of Dental Technology he practised as a Dental Technician and successfully ran his own Dental Laboratory. Paul is passionate and extremely knowledgeable in his field, with his artistic eye and skill, he has a reputation of producing naturallooking and functional dentures.

Paul lectures internationally on the topic of removable dentures and is proud to also hold the titles of certified BPS Denturist instructor as well as a Dr Jiro Abe SEMCD international clinical and Technical Instructor.

You’re invitedto celebrate 25 YEARS OF BPS

l The art of dentures is well and truly alive and the demand for highend bespoke dentures isn’t going away any time soon. Come see for yourself this October 21st - 22nd, as Ivoclar will be holding a 2-day ‘Masters of Removable Prosthetics’ event at the De Vere East Midlands Conference Centre, Nottingham, dedicated to celebrating the past, present and future developments of the BPS (Bio-functional Prosthetic System) workflow.

It’s here that, together with my colleague Dental Technician József Rátonyi, we will be joining forces to present ‘The Evolution of the BPS SEMCD’, discussing our experiences, challenges, and ambitions in removable prosthetics, as we continue to develop and finetune the BPS & SEMCD workflow for the ultimate benefit of the clinician, technician, CDT and patient alike.

To book your place on the Ivoclar ‘Masters of Removable Prosthetics’ 2-day event in Nottingham this October visit: https://bit.ly/3P3dzeH or scan the QR code below.

Tickets for the 2-day and evening event are available for £295+ vat per person. Hotel accommodation can also be booked for one night at £72+vat.

17www.dentaltechnician.org.uk
EVENTS

The future of digital dentures

RYAN BANT, DIGITAL LABORATORY TEAM LEAD AT DENTSPLY SIRONA DISCUSSES THE LUCITONE DIGITAL PRINT DENTURE SYSTEM AND THE FUTURE OF DIGITAL DENTAL LABS

The world of laboratories has drastically changed over the past decade: during this time, crown, bridge and implant labs have dominated the conversion to digital workflows while prosthetic departments have been left in the shadows.

The steady, unstoppable shift and demand for digital dentures commands them to adapt at a much faster rate. I truly believe digital dentures to be the last piece of the puzzle for the future of digital laboratories, as it offers an easy solution to eliminate the traditional mundane tasks of an understaffed industry, already bursting at the seams.

A GATEWAY TO DIGITAL

We all know the labs’ staffing crisis isn’t getting any better; but digital is, and for prosthetic labs now is the time to join the journey. Lucitone Digital Print is effectively designed to put dentures into the digital arena with its ease-of-use workflows that drastically reduce processing times with very little specialised training necessary.

The Lucitone Digital Print Denture System is a selection of new generation high impact 3D materials with a one-of-a-kind position locator system that enables plug ‘n’ play assembly, while pre-configured and pre-occluded CAD libraries facilitate quick design solutions for both try-ins and finish. However, Lucitone Digital Print is more than that; it is a gateway for forwardthinking labs to be part of the next big digital change, digital dentures.

THE ONLY WAY FORWARD

With that being said, the skills of the CDTs and prosthetic technicians remain crucial. But just like the change to digital for crown, bridge and implant labs, the true shifting point that will drive us towards digital dentures will be when we, as an industry, accept that this is our

only way forward. The digital change we see today is only just getting started, but we are already running out of time to learn from the best professionals, with the average age of UK technicians continuing to rise.

Lucitone Digital Print provides an answer to this issue by digitising and efficiently helping improve denture workflows. A key example of the benefits in terms of efficiency for a lab’s day to day is the ‘reference denture technique’. Most patients get a new denture while already having an existing one: with digital dentures, a simple wash impression of the existing denture can be scanned and sent to the lab within seconds, while the original denture can be immediately returned to the patient. Once the lab has the digital data and instructions for the case, it is ready to design either a copy of the existing denture or its amended version. The case is now ‘already ready’ to be printed.

The result is that with only two appointments the patient has a new and improved digital denture; not to mention, if the denture ever gets lost, the lab can simply just reprint it.

DIGITAL EFFICIENCY

In addition, traditional denture processes have always generated a great amount of waste; Lucitone Digital Print eliminates this almost entirely thanks to the digitisation.

These are just a few examples of the benefits. Digital workflows are continuously proving to be efficient; now it is time for labs to realise that digital is here to help them too. I, myself, have grown up and worked in laboratories all my life and have witnessed first-hand the (once) inconceivable improvement handed to us by the digital sphere, particularly in terms of capacity, simplicity, accuracy and consistency.

For those labs interested in making the change towards digital dentures but too busy to take

on additional work, Dentsply Sirona provides trainings as well as granting access to online learning portals. The main learning curve will be the design stage, but we are lucky to have some of the greatest design centres in the UK: so you can sit back, press print, have a cup of tea and do it all over again.

Labs have reached a stage where they know they must adopt digital workflows to be part of the future, while supporting the next generation of UK Labs. As our world and the dental industry becomes increasingly digitised, labs need to ensure they are on the pathway to prosperity - a term I like, although not often used when talking about dentures.

This is in fact an exciting time to be a lab owner or technician, and despite many challenges, it is time to adopt the change that offers significant quality and productivity enhancements as well as the opportunity to play an active part in advancing an industry.

My remaining and only question for all prosthetic labs in the UK is: why flask, pack, pour, knock-out and trim dentures if you can use that time to print more?

Lucitone Digital Print is currently validated on Carbon and Asiga printers and the team at Dentsply Sirona are there to support labs with their digital denture journey.

To find out more about Lucitone Digital Print Dentures please visit https://www. dentsplysirona.com/en-gb/categories/ lab/lucitone-digital-print.html

If you want to hear what some of the best professionals in the industry have to say about the future of Laboratories, tune in to ‘Let’s Talk Lab’ , a new podcast series hosted by Ryan Bant , where industry experts and peers come together to discuss

current and future landscape of the dental technologies industry. You

subscribe to

podcast series now on your preferred podcast channel.

18 www.dentaltechnician.org.uk DIGITAL TECHNOLOGY
the
can
the

DTS 2023

THINK BETTER

NOT BIGGER

lThe common adage goes, “the bigger the better,” and this could apply to cars, houses… even dental laboratories. But is there any truth to it? Large dental laboratories certainly do have the space and resources to take on a higher volume of work, and swiftly deliver prostheses to their clients. Smaller laboratories may not have the same level of resources at hand, but this doesn’t mean that the work they produce is nothing short of exceptional.

Growth and improvement are often synonymous with scale, but this isn’t the case for every business. For smaller laboratories who do not wish to physically expand at the moment, there are methods where they can maximise their current efficiencies and workflows to continue operating successfully.

PUT VALUE ABOVE ALL ELSE

If you own a small dental laboratory, then you’re already aware that you’re in competition with larger labs. These businesses may be able to invest in a myriad of machines and equipment, as there will be, for the majority of the time, sufficient labour and time to receive an adequate return on investment. Smaller labs may need to be more conscious about the systems and solutions they invest in. Many will only introduce equipment that is essential to their business – a high-quality, robust ceramic furnace, for instance, if ceramic restorations make up a large amount of their workload. Treatment modalities such as dental implantology and orthodontics are now incredibly popular, with patients seeking prostheses that are not only functional, but are also aesthetic and discreet. Many labs will have no doubt witnessed this shift in preference, with their clients requesting work that no longer just gets the job done. While larger labs have the capacity to accommodate

many popular fields of dentistry, this doesn’t mean that smaller labs cannot offer more variety to their clients – they just need to be more selective when it comes to choosing what to offer, ensuring that it is feasible for their workload and budget.

Digital dentistry has taken the profession by storm, and it would be prudent for all businesses to adopt at least some form of digitalised modality. While larger digital systems may not be currently viable for a smaller lab, there are plenty more economical options that can be seamlessly added into their workflows. Digital dentistry in the lab will help the business to produce exceptional and more predictable work, so even if the lab offers a small number of prothesis options, they’ll be able to produce them to the highest quality.

It’s always worth remembering that if there are areas that you think could be improved, then you should take your time in deciding how best to do this. But if there are things you’re doing that your clients love, don’t change them!

TECHNICIANS INSIGHTEVENTS 20 www.dentaltechnician.org.uk
,

MOVE AT YOUR OWN PACE

Dentistry is abuzz with new ideas, trends and products, with so many advancements being introduced, enhanced and improved. Dental professionals have a dizzying array of solutions and systems to choose from, and plenty of opportunities to progress and grow their businesses. For dental laboratories who are content at the moment, who have a strong portfolio of trusted clients and are satisfied with the work produced, it can feel like there’s intense pressure to make changes where they may not yet be wholly necessary.

Growth is a positive thing, but only when it occurs at a pace that suits you. Whether you’re

currently looking to grow your lab, or would just like to know what options are open to you, it’s important to keep abreast of the latest conversations in the field. This way, you can stay informed and make the right decisions for your clients, your team and your business.

One way to stay informed is to book your place at a dental event, such as the Dental Technology Showcase (DTS), which will take place next May. Here, you can attend lectures and listen to world-renowned speakers who will share their insight on the latest innovations in dentistry. There will be over 80 exhibitors, hands-on workshops and plenty of

opportunities to network and socialise with colleagues. It’s a fantastic, bustling event, and provides businesses big and small with the opportunity to unite and stay up-to-date with the changes happening in the field.

Growth looks differently from lab to lab. There is a common misconception that a growing dental lab market is the result of labs focusing on “bigger”, but this isn’t strictly true. It’s the result of lab businesses prioritising “better” – a small lab may have lower capacity, but that doesn’t mean that the work they produce is anything less than outstanding.

EVENTS 21www.dentaltechnician.org.uk DTS 2023 WILL BE HELD ON FRIDAY 12TH AND SATURDAY 13TH MAY, BIRMINGHAM NEC, CO-LOCATED WITH THE BRITISH DENTAL CONFERENCE AND DENTISTRY SHOW BIRMINGHAM For the latest information, please visit www.the-dts.co.uk, call 020 7348 5270 or email dts@closerstillmedia.com

How to attract dental technicians without increasing salary!

Dental technician jobs are in hot demand at the moment, and dental labs are having to find unique solutions in order to attract the best talent. Many organisations believe that simply increasing the salary of their employees will be enough too retrain and attract the best dental technicians, but in this modern world, increased remuneration is not enough.

The most attractive dental technician jobs are those that are able to provide job seekers with much more than just a strong salary. So how can your dental lab attract the best dental technicians?

We have taken a closer look at some of the key aspects that workers are looking for:

1) Work/life balance

Following the pandemic, one of the most sought-after aspects that workers are looking for is a better work/life balance. Flexible working should now form part of every dental lab where possible, allowing dental technicians to have a better balance of work and home life.

2) Improve your benefits

Another popular feature in the most attractive dental technician job roles is the benefits on offer. Alongside traditional benefits such as pension contributions, other options such as flexible annual leave, free food and drink, training and development and health and wellness packages can help you to attract the very best dental technicians.

3) Private medical insurance

Demonstrating that you care about the health and wellness of your employees is essential in the modern world. Being able to offer your dental technicians with private medical insurance can help you to make your workplace far more attractive. Although the cost of providing this can be off-putting, it will help you to attract the very best talent on the market and increase retention rates.

4) Reward loyalty

Rewarding your team’s loyalty can be a great way to attract the very best dental technicians without needing to increase their salaries. Options such as a taxbeneficial share option scheme will allow you to reward your team by allowing them to purchase shares of the company.

Of course, you do not need to just offer shares. Simple acts such as an extra day holiday for every year they have worked with you, or additional incentives can transform your retention rates and improve staff morale.

5) Improve your workplace culture

When searching for dental technician jobs, candidates are looking for much more than just a salary. They want to work for an organisation where they feel welcomed, and 76% of workers have said that they are actively looking for companies that offer diverse workforces.

Alongside working to build a diverse team, you also want to try and develop a positive workplace culture. When your staff are feeling happy at work, they are not only more productive but also less likely to move on and seek new employment.

6) Allow staff to grow

A very common reason for dental technicians to start looking for a new job is that they feel there is a lack of progression in their current role. That is why if you want to retain and attract the best talent, you need to ensure that you are giving them the opportunity to grow and progress through their career.

DISCOVER THE BEST DENTAL TECHNICIAN JOBS

If you are looking for the best dental technician jobs, or you are looking to hire the very best talent in the industry, Recruit4Technicans is here to help you. Our comprehensive job board is designed to help connect employers and jobseekers, so check it out today at Recruit4Technicians.com

RECRUITMENT 22 www.dentaltechnician.org.uk
23www.dentaltechnician.org.uk TO ADVERTISE IN THE DENTAL TECHNICIAN MAGAZINE TELEPHONE: 01372 897462 EMAIL: sales@dentaltechnician.org.uk advertise DPS FILLER AD.indd All Pages 21/12/2019 13:44

UP TO LIFETIME GUARANTEE

not

24 www.dentaltechnician.org.uk HIGH PRECISION Medentika® always delivers components manufactured to the highest degree of interface precision EXTENSIVE PROSTHETICS RANGE Compatible with all conventional implant systems INDIVIDUAL SOLUTIONS Unique components, available from the Straumann Group (Novaloc®/ Optiloc®), extend the range EXCELLENT PRICE-PERFORMANCE RATIO Uncompromising value in combination with innovation and precision A STRAUMANN GROUP BRAND Shared customer service, expertise and know-how MADE IN GERMANY A long tradition of precision craftsmanship and industrial production
The guarantee covers
only the quality and durability of our abutments – in addition, we also offer a guarantee on implants from other manufacturers when used in an approved combination with our abutments MPS MULTI PLATFORM SYSTEMS Why choose Medentika®?

Combination of aesthetics

Multipower premium zirconia

Firm

Flexural strength up to 1,454 MPa Multiple indications, including 14-unit bridges Smooth transition of shades and translucencies High-end aesthetics, comparable to lithium disilicate Lifelike appearance, especially on implants Quickly polishes monolithic restorations to a high gloss
consistency, splatter-free when loading the brush Very economical to use Virtually eliminates the need for final firing Stained and glazed monolithic zirconia restoration, made by dental technician Tomoyuki Edakawa, Japan www.shofu.co.uk Well-matched to lithium disilicate and zirconia For low- and high-fusing ceramics Fluorescent and non-fluorescent glazes Excellent surface adaptation The new dimension of 2D and 3D staining techniques High-performance polishing of zirconia, lithium disilicate and porcelain

As

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

n To understand and explore the unique benefits and characteristics of Zirlux Zirconia and how it can help dental technicians

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

26 www.dentaltechnician.org.uk ECPD
FREE VERIFIABLE ECPD
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 0.5HRS VERIFIABLE ECPD CORRECT ANSWERS FROM THE AUGUST 2022 DT EDITION: Q1.D Q2. C Q3. A Q4. B Q5. A Q6. D Q7. B Q8. A Q9. B Q10. A Q11. B Q12. A VERIFIABLE ECPD - SEPTEMBER 2022 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. 3. Evaluation: Tell us how we are doing with your ECPD Service. All comments welcome. ..................................................................................................................................................... ..................................................................................................................................................... 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. You can submit your answers in the following ways: 1. Via email: cpd@dentaltechnician.org.uk 2. By post to:  The Dental Technician Magazine, PO Box 2279, Pulborough, RH20 9BR 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. Question 1 A B C D Question 9 A B C D Question 2 A B C D Question 10 A B C D Question 3 A B C D Question 11 A B C D Question 4 A B C D Question 5 A B C D Question 6 A B C D Question 7 A B C D Question 8 A B C D Question 12 A B C D

Verifiable ECPD as you need it via the Dental Technician

ZIRLUX ZIRCONIA EXPANDS RANGE TO MEET DEMAN. BY PAUL HAYFIELD OF HENRY SCHEIN

Q1. Some of the earliest dental Zirconia required a lot XXX work to make them fit for purpose?

A - Post - Production B - Pre - Production C - Scanning D - Technicians

Q2. Zirlux discs provide natural aesthetics as well as high stability and reliability, enabling XXX production?

A - Anatomic B - Monolithic

C - Antagonistic

D - Metalic

Q3. Efficient veneering techniques, such as XXX make a cost effective material of choice?

A - Micro - Layering

B - Mono - Layering C - Micro - Tensile

- Mono -Tensile

Q4. Zirlux Esthetic TR is a highly aesthetic and strong Zirconia that exhibits which strength ?

A - Occusal B - Fabricated

- Transitional

- Moderate

Q5. The strength curve starts at XXX MPa?

A - 424

- 525

- 626

- 727

Q6. Following on from Q5; in which area?

A - Incisal

- Distal

- Proximal

- Mesial

Q7. Following on from Q6. And extends to XXX MPa?

A - 900 B - 1000 C - 1100 D - 1200

Q8. Thanks to its XXX opacity, any darker

Complete

27www.dentaltechnician.org.uk ECPD
D
C
D
B
C
D
B
C
D
background frameworks, such as discoloured dies or metallic abutments, can be concealed. A - Low B - Medium C - High D - Soft Q9. The chameleon effect is which percentage of light transmission? A - 48% B - 49% C - 50% D - 51% Q10. It is compatible with most open 98.5mm XXX machines A - Printing B - CAD/CAM Milling C - Scanning D - Drilling Q11. Zirlux
is ideally suited for all restorations subjected to high stress such as? A - Short-span bridges B - Long-span bridges C - Provisional bridges D - Partial bridges Q12. Using the diagram; if the layering ratio is 18% and the strength 905, what is the translucency? A - 48.8% B - 48.3% C - 47.6% D - 47% VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM YOU CAN SUBMIT YOUR ANSWERS IN THE FOLLOWING WAYS: VIA EMAIL: cpd@dentaltechnician.org.uk OR BY POST TO: The Dental Technician Magazine, PO Box 2279, Pulborough, RH20 9BR. 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 magazine. Certificates will be issued within 60 days of receipt of correct submission. Payment by cheque to: The Dental Technician Magazine Limited. NatWest Sort Code 516135 A/C No 79790852

EXPANDING YOUR BUSINESS EMPIRE

28 BUSINESS

DENTAL TECHNOLOGY STUDENT

7 of 10)

In the previous editorial, our character, Bridget Crown, bought her own laboratory. Now, with business booming and a desire to expand, Bridget thinks about growing her business empire.

However, with more laboratories come a number of decisions that will differ from those associated with operating a single site, especially on the financial side. What does Bridget need to keep in mind?

TRICKY BUSINESS

First of all, to expand her empire Bridget will need a vast sum of available capital. For a start, it’s vital Bridget has the funds available to acquire a new laboratory or laboratories in other locations. This process isn’t as simple as just purchasing available units, and will involve a deep dive into her existing business model. She will also need to take into account the patient/practice demand of local communities, the current commercial property market in said areas of interest, the wider logistics of expansion (e.g. which locations make most sense for deliveries, catchment areas near practices etc.) and investing in technology, all of which will have a considerable financial impact.

Richard Lishman, award-winning Founder of The IFA’s –a specialist firm of Independent Financial Advisers that provides guidance and advice for some of the wealthiest individuals and businesses in the UK and around the globe – heads this series of editorials for lab technicians.

What makes one business location successful doesn’t necessarily work for an additional space. Location could make all the difference for a dental lab, and scoping out potential dentists to work with before investing in a property could be crucial to its ongoing success. That’s not even to mention the process of hiring new staff, finding someone to manage the laboratory and all the budgeting this will entail – all of which should be part of her wider business plan.

Ultimately, buying and operating an additional business property is not going to follow the same path as her first purchase, and this can result in some unexpected financial pitfalls, as well as some worthwhile benefits.

BUSINESS LOANS

Unlike with her first laboratory, Bridget won’t be able to take advantage of any start up business loans when seeking property as her laboratory is already an established company. While other business loans will still be available, these are typically less generous than start-up initiatives and will mean that Bridget has to budget accordingly.

That being said, Bridget now has experience with business loans and her extra knowledge will likely come in handy. This could be a good opportunity to learn from past experiences and secure a loan that will offer more flexibility, for example. It all depends what Bridget is looking for and how much money she will need to borrow in order to make her dreams of expansion a success.

INSURANCE MADE…EASIER?

As anyone will tell you, navigating the world of insurance is no easy feat. With so many policies necessary to keep things running smoothly, you’d imagine that investing in a new property would double the stress. However, once insurance for your business is established, in some cases these policies

can be slightly adapted to encapsulate both of your business properties without a lot of additional hassle.

For instance, Bridget could explore the option of taking out a Multiple Property insurance policy, that would cover both her existing and new business locations as well as potentially being much cheaper than insuring these properties separately.

As with any insurance, Bridget will need to look closely at the terms and conditions, working through the small print to see what is covered and if there are any caveats. For the most part, Multiple Property loans do provide good cover, but there will be things that aren’t included and Bridget will likely need insurance loans for each individual property that can’t be grouped together as well.

SEEKING ADVICE FOR THE BIGGER PICTURE

As with any huge financial decision, Bridget can ensure a smoother process by seeking advice from independent financial advisers such as the expert team at The IFA’s. This way, she will have support and guidance throughout every step of her exciting new venture, giving her the information she needs to make informed decisions that will maximise her chances of success.

As ever in a scenario this complex and with so many variables, this article has only touched on a couple of points that people in Bridget’s position will need to bear in mind should they consider expanding their businesses. Every situation is different, so seeking advice is always the way forward!

For more information, please call 0845 345 5060 or 0754 336 8478 or visit www.theifas.com

NEXT ISSUE : BRIDGET DECIDES TO SELL HER BUSINESS…

BUSINESS 29www.dentaltechnician.org.uk
(Part

Efficient layering for high-quality dental implant aesthetics

“ Beauty lies in simplicity” - the ancient Greek philosopher Plato already knew this over 2000 years ago. Many in dental technology have had this experience: A small embellishment or too much creativity can take away the natural look of a restoration. The restoration can look less like a natureinspired work of art that blends with the neighboring hard tooth substance to form a unit, but rather can appear artificial and superimposed. A ceramic veneering system should complement the simple process so that the dental technician's skills can be optimized when it comes to natural beauty. Thanks to new framework materials for the digital workflow, edentulous jaws can now be restored with all-ceramic implant prosthetics. Zirconia provides a stable and aesthetic base for veneering ceramics, which makes it easier to reproduce nature. In the following case history, Master Dental Technician Marcio Breda (Vitória, Espírito Santo, Brazil), describes how beauty can be created with ease on six implants using the highly translucent zirconia VITA YZ HT White and the universal veneering ceramic VITA LUMEX AC (both from VITA Zahnfabrik, Bad Säckingen, Germany).

CASE STUDY:

A 35-year-old patient was dissatisfied with the functionality and aesthetics of the full dentures in his upper jaw. The patient complained of the insufficient suction effect, which generally made him feel insecure in public and was accompanied by rocking when biting and chewing. As a result, he avoided hard foods. The denture teeth and the base of the full denture appeared lifeless and artificial.

The patient wanted a fixed restoration on implants that would give him security and age-appropriate aesthetics. After detailed diagnostics and a consultation, he decided on six implants and a superstructure made of zirconia and veneer ceramics that could be fitted individually and match the natural teeth in his lower jaw. The base tooth shade A3 was determined for the incisors in the lower jaw using the VITA classical A1-D4 shade guide.

CLINICAL STEPS AND CAD/CAM

After the insertion and healing of the implants, an impression with model analogues and an opposing jaw impression provided the basis for the production of a master model and its articulation in the registered jaw relation. The model situation was then digitized in the laboratory scanner Ceramill Map 400+ (Amann Girrbach, Pforzheim, Germany). The construction was anatomically reduced, incorporating six GM Mini Conical Abutments (Neodent, Curitiba, Paraná, Brazil) with the exocad software (exocad, Darmstadt, Germany). The zirconia substructure was finally milled from the zirconia VITA YZ HT White using the Ceramill Motion 2 (Amann Girrbach, Pforzheim, Germany). The highly translucent framework structure was intended to ensure natural translucency in the area of the teeth right from the start.

INFILTRATION AND LAYERING

After finishing, the dental parts of the framework were infiltrated with VITA YZ HT SHADE LIQUID A3 in order to match the base tooth shade of the lower jaw teeth. A corresponding infiltration with VITA YZ EFFECT LIQUID Pink was carried out in the gingival area for the basic reproduction of the gingiva. After drying, the framework was sintered. The washbake was done in the dental area with VITA LUMEX AC FLUO INTENSE sand in order to implement a natural fluorescence in the depths. Strong GINGIVA rosewood was used in the mucosal area for an initial reproduction. After the washbake, the dentine cores were layered with more chromatic DENTINE A3 on the canines and with DENTINE A2 on the other teeth, and then anatomical cutbacks were performed.

On the incisors, the mamelon structure was reconstructed with MAMELON saffron. The first enamel layering was done in the upper two-thirds with translucent ENAMEL clear to allow the mamelon anatomy to appear three-dimensional from the depths. After the first firing, the approximal areas were separated to eliminate tension. This

DENTAL TECHNOLOGY 30 www.dentaltechnician.org.uk
Breda Vitória , Espírito Santo, Brazil

was followed by alternate layering of ENAMEL clear, ENAMEL fog and OPAL TRANSLUCENT opal-neutral. After the second firing, the cutting edge was completed with alternating layers of ENAMEL fog and TRANSLUCENT smoky-white. The gingiva was then reproduced with a balanced mixture of GINGIVA grapefruit and ENAMEL clear. After the third firing, only morphological corrections were made in the dental area with PEARL shell, which achieved a mother-ofpearl effect A mixture of ENAMEL clear and GINGIVA light-rose completed the mucosal area. After the last firing, the finishing was carried out with differently shaped, fine diamond instruments and rubber polishers. A glaze firing with VITA AKZENT PLUS GLAZE LT provided the finalization.

HIGH AESTHETICS WITH EASE

As the furnace slowly opened, more and more details of the (almost) finished work became visible. Teeth and gingiva appeared as a natural unit. An anatomically preformed framework and the targeted coloring of the dental and gingival areas were the basis for the successful reproduction. After only a few layers, it was possible to achieve a highly aesthetic result. This proved to be an efficient advantage, particularly in the long span restoration. The layered ceramic simplicity had created a nofrills and believable aesthetic: optimum beauty in a very short time.

PICTURED RIGHT FROM TOP ROW (LEFT): The stained zirconia substructure made of VITA YZ HT after sintering TOP ROW (RIGHT): The washbake with FLUO INTENSE sand and GINGIVA rosewood.

2ND ROW (L): The dentine core with DENTINE A3 on the canines and DENTINE A2 on the other teeth

2ND ROW (R): Anatomical cut-backs were done after the layering of the dentine core.

3RD ROW (L): The mamelon structure of the incisors was reconstructed with MAMELON saffron 3RD ROW (R): The first enamel layering was done in the upper two-thirds with ENAMEL clear.

4TH ROW (L): The approximal region was separated to prevent tension 4TH ROW (R): Alternating layering of the cutting edge with ENAMEL clear, fog, and OPAL TRANSLUCENT opal-neutral.

5TH ROW (L): ENAMEL fog, TRANSLUCENT smokywhite in the region of the teeth and GINGIVA grapefruit with ENAMEL clear in the gingival region 5TH ROW (R): The correction firing was done dentally with PEARL shell and gingivally with GINGIVA light-rose.

6TH ROW (L): The restoration after finishing with diamonds and rubber polishing. 6TH ROW (R): The finished, glazed implant prosthetic work looked absolutely natural.

7TH ROW (L): With efficient layering, a highly aesthetic result was achieved 7TH ROW (R): Gingiva and teeth had merged into a nature-identical unit.

DENTAL TECHNOLOGY 31www.dentaltechnician.org.uk

THE

IN-

AN ENTIRE FACTORY DEDICATED TO PRETTAU ® ZIRCONIA PRODUCTION OVERLOOKING THE DOLOMITES MOUNTAINS

…Continued from previous issue.

TRILOGY

After Premolaris and Molaris I & II – Zirkonzahn’s production sites explored in the previous magazine issues, we focus now on Caninus. Caninus is the company’s most recent factory built specifically to broaden their Prettau® zirconia production and is located in the heart of the Dolomites Mountains. As unique as these natural monoliths, Prettau® zirconia takes its name from the farthest village of the Aurina Valley in South Tyrol and is conceived for aesthetic restorations from single crowns to monolithic full arches – the so-called Prettau® Bridges. The Prettau® line includes different zirconia typologies, available in white blanks for further characterisation, pre-coloured and with colour gradient for optimal aesthetics. Blanks are available in different heights (from 5 mm to 40 mm) and diameters – Ø 95, Ø 98 with step, Ø 106 mm, as well as mini blanks to mill single crowns in hardly used colours.

Zirconia restorations are meant to stay in the patient’s mouth for long times or in most cases permanently, which makes the matter of quality even more important. This is why Zirkonzahn’s work philosophy dictates that nothing has to be produced under economic or time constraints. Prettau® is manufactured with no compromises using raw materials accurately selected from reliable suppliers: upon arrival, the powder undergoes strict controls for quality assurance and, working without constraints, much time can be dedicated to the development of the most refined working processes, in close collaboration with the in-house R&D department. In order to achieve high homogeneity, the raw material is pressed biaxially and/or isostatically, and the most advanced technologies are used to obtain the best aesthetic and mechanical

THIS PHOTO: Zirconia blanks production.
DENTAL TECHNOLOGY
“ALL
HOUSE” CULTURE
Part 3 32 www.dentaltechnician.org.uk
Each production batch is accurately checked after every production step, via specific tests and measurements to control hardness, dimensions, density, milling, colour, translucency as well as the materials’ shrinkage factor, using closetolerance instruments INSET: Caninus, the newest Zirkonzahn’s production facility overlooking the Dolomites Mountains

properties. In the last years, the company’s range of zirconia has embarked even more on the path of monolithic design with the new Dispersive® line, which includes materials that are already characterised with natural colour gradient during the manufacturing process, making manual colouring no longer necessary. The gradient is provided through a specially developed technique that does not blend colours into layers but disperses them evenly, lending restorations a beautiful and natural aesthetic. A perfect example of the company’s constant strive for quality and sophistication is the innovative Gradual-Triplex-Technology, which provides the new Prettau® 3 Dispersive® material with a triple gradient of colour, flexural strength and translucency, achieving a perfect balance of resistance and aesthetics. Each production batch is accurately checked after every production step, via specific tests and measurements. In this way, the blanks’ properties of hardness, dimensions, density, milling, colour and translucency are controlled, as well as the materials’ shrinkage factor, using close-tolerance instruments. Once the production step is concluded, final controls are run on each blank.

We have now come to the end of this three-step tour into the “all in-house” work philosophy, gaining a more thorough understanding of the main reasons that lie

behind this work philosophy. Being the sole process owners allows Zirkonzahn to have a complete understanding of their products, ensuring that they form an optimum match in the complete workflow: the in-house R&D team constantly works to improve and finetune solutions to create a reliable planning and working environment, where hardware, software, tools and materials fit together according to a perfect dental-technical logic. The full control over the testing and production procedures gives the company the possibility to react very quickly to the customer’s needs, not only through constant product optimisation but also through their wide range of comprehensive education courses (“Die Zirkonzahn Schule” - The

Zirkonzahn School), where participants are trained on the usage of equipment and materials with no knowledge gaps.

Zirkonzahn’s doors are always open to visitors. Contact Zirkonzahn to arrange a guided tour of their premises in South Tyrol and learn more about the company work philosophy!

E: info@zirkonzahn.com

W: www.zirkonzahn.com

T: +39 0474 066 660

Bar-supported restoration made with Prettau® 3 Dispersive®, the latest zirconia material developed in-house, with Gradual-Triplex-Technology
33www.dentaltechnician.org.uk Zirkonzahn Worldwide – South Tyrol (Italy) – T +39 0474 066 680 – info@zirkonzahn.com – www.zirkonzahn.com NEW! EXTRA LARGE TELESKOPER ORBIT (Ø 125 mm) 4 BLANK DIAMETERS IN 1 INTERCHANGEABLE ORBIT WITH THE M2 MILLING UNIT COMFORT LINE Ø 95 mmØ 98 mmØ 106 mm Ø 125 mm WATCH THE VIDEO

ZIRKONZAHN THE BARTPLATTE : PRODUCTION OF AESTHETIC RESTORATIONS DESPITE PALATAL INCLINED IMPLANTS

w Palatal-inclined implants often complicate the production of aesthetic, bar-supported rehabilitations. Thanks to a new design-specific bar – the Bartplatte – it is now possible to manufacture screw-retained restorations also in such cases, striking a balance between function, stability and aesthetics.

Through an advanced function of the Bar module in the Zirkonzahn.Modellier software, the bar can be geometrically adapted to the palatal surface of the wax-up and individualised by means of the free-forming function. Further bar retentions can also be generated with the Attachment module.

Once milled and digitised, the primary structure provides the basis for the design of the secondary structure, which, bonded to the bar, will meet all the requirements of an aesthetic restoration.

To know more about the Bartplatte technique, scan the code. To discover further Zirkonzahn’s smart solutions

for treating cases on diverging implants, such as the Double Screw Metal technique, the K80 Angled Screw Channel titanium bases (ASC) and the individual Raw-Abutments®, visit: www.zirkonzahn.com !

Maxillofacial Prosthetic Rehabilitation

For more information, contact : E: info@zirkonzahn.com T: +39 0474 066 660

Develop skills in the treatment of patients who require prosthetic facial rehabilitation.

Designed for maxillofacial prosthetists, technologists and prosthodontists to:

• Learn to use cutting-edge digital technology for intra and extra-oral prosthetic facial rehabilitation in clinical practice

• Develop technical skills and higher standards of clinical practice.

• Internationally renowned centre of excellence for teaching and research.

• Pioneers of distance learning in dentistry with over 20 years’ experience.

• Intensive face-to-face training blocks, teaching theory and best clinical practice.

• Teaching team of world experts led by Professor Trevor Coward

• Delivered primarily online, the course provides 20 days of intensive teaching and practical training at Rangoonwala College of Dental Sciences and Research Centre, Pune, India.

• Study and practice a broad range of treatments for the replacement of missing hard and soft tissues, using both traditional and advanced digital technologies.

Applications open for January 2023 start. Apply by 25 October 2022. Find out more: Visit kcl.ac.uk/mfpr Email distancedentistry@kcl.ac.uk

MSc Distance Learning | Three years | Part-time
MARKETPLACE 34 www.dentaltechnician.org.uk

SHOFU DISK ZR LUCENT SUPRA

The Multilayer Zirconia for all indications

w The new SHOFU Disk ZR Lucent Supra combines high-strength zirconia varieties in an extremely powerful multilayer CAD/CAM material. Translucencies increasing from the cervical to the enamel zone and outstanding flexural strength of over 1,000 MPa in all zones make it a premium restorative meeting every clinical challenge –Monolithic, partly and fully veneered.

The wide range of indications extends to 14-unit bridges with two pontics. Thanks to higher light reflection in the cervical area, Disk ZR Lucent Supra also features a lifelike appearance without any compromise, especially in cases requiring more effective masking, such as discoloured stumps or implants.The layers consist of different zirconia varieties with different strength and translucencies:

ENAMEL: Strength 1,034 MPa Translucency 44 %

DENTIN: Strength 1,163 MPa Translucency 40 %

CERVICAL: Strength 1,454 MPa Translucency 37 %

Different particle sizes of the zirconia varieties influence the strength and appearance of the restoration. The larger the particles, the more light they transmit and the less light they refract or reflect. The finer the particles, the more they reflect and scatter light on their surfaces, known as grain boundaries.

The result is a vital, intense light reflection in the high-strength cervical area, which decreases towards the incisal. The restorations appear significantly brighter, more vivid and brilliant than conventional translucent multilayer zircons, even on implants.

In addition to the optical advantages, the high flexural strength over the entire height of the disc offers more safety for large restorations. This gives users the freedom to choose any nesting position in the disc.

Restorations made of Disk ZR Lucent Supra can be shade-optimised and sealed using the staining technique or aesthetically perfected with a reduced framework using the layering technique.

Shofu Disk ZR Lucent Supra 98.5 mm discs are available in 12 shades and 5 heights.

SHOFU UK E: sales@shofu.co.uk W: https://www.shofu.co.uk

MARKETPLACE 36 www.dentaltechnician.org.uk

VITAPAN EXCELL : ADDITIONAL SHAPES AND SHADES FOR FULL FREEDOM OF CHOICE

w The option of choosing denture teeth in the right shape and shade is essential in order to quickly meet the esthetic expectations of patients when it comes to full or partial dentures, and to do justice to the remaining natural dentition.

That's why VITAPAN EXCELL now offers five new additional anterior tooth sets that have been developed and tested in collaboration with experienced dental technicians. In addition, a total of 27 lifelike shape variants that are true to nature are offered.

This tooth range is available in all VITA classical A1-D4 shades, and now includes the 28 VITA SYSTEM 3D-MASTER shades as well. This means that VITAPAN EXCELL offers the largest range of shades. With this extended range, time-consuming corrections to shade and morphology are now a thing of the past.

With full freedom of choice, you are sure to find the right tooth set to suit each individual patient for a highly esthetic and long-lasting smile. he multi-faceted surface texture can also be age-appropriately adjusted by simply polishing. When combined universally

with the multifunctional posterior tooth set VITAPAN LINGOFORM, a quick look in the drawer is all you need for even more options for full and partial dentures.

For more information visit: www.vita-zahnfabrik.com

KEMDENT THE STABILITY YOU NEED

w Sometimes the workflows you use need adjusting to ensure that patients are getting the best results possible, especially when it comes to bite registrations.

Accuracy and efficiency are easily achieved with the Kemdent Anutex High Stability (HS) Modelling Wax.

This wax can endure high temperatures and has less risk of mouth distortion compared to other bite registration products – you can work well in any condition!

The Anutex HS Modelling Wax is also ideal for more complex work so it can be used in a variety of treatments. The wax does not flake or crumble when it softens and it trims easily and cleanly to ensure an efficient workflow.

Make the switch today and get the results you need!

For more information about the leading solutions available from Kemdent, please visit www.kemdent.co.uk or call 01793 770 256

ABOVE: VITAPAN EXCELL, now available with five new additional anterior tooth sets
MARKETPLACE 37www.dentaltechnician.org.uk

Elegant Dent Porcelain UK Launch

Elegant Dent – The British made ceramic that replicates nature. Proudly carrying the Made in Britain mark

lHaving started with a collection of ceramic liquids, Elegant Dent ventured into the dental ceramics industry with the intent to develop a material that brings you closer to nature. With this goal at the forefront and many years of research and development the ceraPRIME® MC and ZrPro® Ceram series were born.

The Elegant Dent porcelain series for metal bonded restorations and zirconia are highly aesthetic and come with countless advantages to help the ceramist replicate nature as closely as possible. Coupled alongside the ceramic liquids the outcome is an easy-to-use system for all cases.

With Elegant Dent’s range of materials, you are only limited by your imagination and not the material.

The ceramics are made from natural feldspathic material, reinforced with leucite crystals which gives them outstanding optical properties, enabling you to manipulate the translucency, opalescence, and fluorescence of the prosthesis. In addition to this, the ceramic powders have excellent physical properties ensuring long lasting restorations.

Shade reproduction is a key part of a successful result and with our powders you can easily reproduce the 16 classic shades, 26 master shades and additional bleach shades with a shade accuracy of 99.5%!

The full Elegant Dent range is available exclusively from WHW, so why not give this high quality, cost effective, British made ceramic a go? You can even try it for free, so what do you have to lose?

WHW is thrilled to announce its collaboration with another British manufacturerElegant Dent
38 www.dentaltechnician.org.uk DENTAL NEWS
39www.dentaltechnician.org.uk BAR HEADER CLASSIFIEDS ADVERTISE IN THE DENTAL TECHNICIAN Tel: 01372 897462 Email: Sales@Dentaltechnician.org.uk EXTEND YOUR SUBSCRIPTION TO THE DENTAL TECHNICIAN By recommending a colleague to subscribe. If they do so we will extend your subscription for 3 months* CALL THE SUBSCRIPTIONS HOTLINE ON 01202 586 848 *The only condition is that they have not subscribed to the magazine for more than 12 months To subscribe to the Dental Technician Magazine call our subscription hotline on 01202 586 848 SUBSCRIBE SUBSCRIPTION www.dentaltechnician.org.uk OUR PRINTING JOURNEY MAGNA 'GREAT' 3D TRUE? INTERVIEW WITHURSZULAMLYNARSKA PAGES 23 THE FIRST WITH VITA SHADE MATCH FORMULA!PRESS CERAMIC #VITAAMBRIA INFORMATIONWANTANY YOUR PERSONALTRIAL Solveys.bossen@vita-zahnfabrik.com EXTEND YOUR SUBSCRIPTION RECOMMENDING COLLEAGUE PAGE Remembering Larry TRIBUTESTODENTAL TECHNICIAN MAGAZINE´S EDITOR LARRY BROWNE PAGES 12 VERIFIABLE FOR WHOLE DENTAL TECHNICIAN_JULY www.dentaltechnician.org.uk EXTEND YOUR SUBSCRIPTION BY RECOMMENDING COLLEAGUE SEE PAGE THE ONLY WAY FOR PERFECTIMPLANT REHABILITATION?By Matteo NeroniPAGES YOU, YOUR SET NHSBYRNES LABORATORY VERIFIABLE FORTHEDENTALWHOLE TEAM ALSO INSIDE THIS MONTHINFORMATIONs.bossen@vita-zahnfabrik.com VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM THIS MONTH... THE PAST IS IN YOUR HEAD, THE FUTURE IS IN YOUR HANDS A LOOK AT A CHANGING DENTURE LAB By Ashley Byrne Do more of what you love, faster! 3Shape E4 – ultimate productivity with our fastest lab scanner ever Full-arch scans in just 9 seconds 4-micron scan accuracy for great case results cameras enabling die-in-model scanning with fewer scan steps 5MP cameras for high-precision scanning Explore more at 3shape.com ukenquiries@3shape.com SUMMER Birmingham kapitel4.com More information about Zfx Digital Solutions: www.zfx-dental.co.uk or contact your Zfx Birmingham Team on 0121 559 7172 EXPLORING FUTURE DENTAL SOLUTIONS
For more details please contact FORESTADENT on 01908 227851 or email info@forestadent.co.uk. FORESTADENT Ltd Unit 1 Crossinglands Business Park Salford Road, Aspley Guise, MK17 8HZ www.forestadentuk.com TERA HARZ TC-85 –An orthodontic revolution The world’s first Direct Print Aligner material Graphy is now available in the UK and Republic of Ireland and sold exclusively by FORESTADENT Ltd. 3D printed aligners and retainers guarantee the perfect fit with inbuilt shape memory » better tracking of your aligners » no blocking out required » avoid the problems of stretched thermoformed material Reduce steps with no more printing models and thermoforming aligners.

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