Dental News December 2019 & Yearbook 2020

ARTICLES

Cariology Education in Canadian Dental Schools: Interinstitutional Symposium 12.

Svetlana Tikhonova, Neha Aggarwal, Felix Girard

Oral Hairy Leukoplakia in Patients With No Evidence of Immunosuppression 20.

Mark Roger Darling, Morad Alkhasawneh, Wendall Mascarenhas, Alexandra Chirila, Maria Copete

34.

40.

Extensive Swelling and Fistula in the Anterior Mandible: An Unresolved Case of Osteomyelitis

The Potential of VITA ENAMIC multiColor in the Esthetic Zone

Andreas Reiger

YEARBOOK 2020

3SHAPE 92

A-DEC 94

BELMONT 96

BEYOND 98

BIEN AIR 100

BISCO 102 CAVEX 104

106

112

108

SIRONA 110

CONGRESSES

60. Beirut International Dental Meeting 2019

October 3 - 5, 2019

Sin El Fil - Lebanon

72. King Abdulaziz University 5th International Conference

October 21 - 24, 2019

Jeddah, Saudi Arabia

78. 11th Dental Facial Cosmetic International Conference

November 8 - 9, 2019

Dubai, United Arab Emirates

82. Greater New York Dental Meeting 2019

November 29 – December 4, 2019

New York City, United States of America

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HENRY SCHEIN 33

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Volume XXVI, Number IV, 2019

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Meeting report

Dr. Svetlana Tikhonova, PhD

Faculty lecturer, faculty of dentistry, McGill University, Montreal, Quebec

svetlana.tikhonova@mcgill.ca

Dr. Neha Aggarwal, MSc

Research assistant, faculty of dentistry, McGill University, Montreal, Quebec

Dr. Felix Girard, MSc

Associate professor, faculty of dentistry, University of Montreal, Montreal, Quebec

Cariology Education in Canadian Dental Schools: Interinstitutional Symposium

Dental caries remains one of the most prevalent chronic diseases worldwide.1 Approximately 60% of Canadian children, adolescents and 96% of adults are affected by this burdensome, costly condition. Up to 12 million Canadians have unmet dental treatment needs – often related to caries - with most requiring restorative and preventive care.2 Recent studies suggest that the operative-based approach of managing dental caries continues to prevail among dental practitioners, with teeth entering the re-restorative cycle unnecessarily, or too early.3 This evidence highlights the need for more efficient approaches to bringing evidence-based caries management into practice and accepting the new paradigm. Undergraduate dental education plays an essential role in establishing the foundation of future dentists’ caries management practices and can accelerate the processes to implementation of the new caries paradigm into dental practice.4 A Core Curriculum Framework in Cariology, designed for undergraduate dental students, was recently introduced in several countries around the world.5,6

The main purpose of this framework was to develop essential evidence-based competencies related to Cariology education that could be readily adopted in dentistry education.7 Currently in Canada, there is no consensus among dental schools regarding core elements related to the Cariology curriculum.8 Thus, there is a need for the harmonization of evidence-based Cariology teaching in Canadian dental schools to ensure that dental students are appropriately trained to implement the new caries paradigm into practice.

In this context, a two-day interinstitutional symposium on Cariology education in Canadian dental schools was organized and hosted by Drs. Tikhonova and Girard in Montreal, McGill University faculty of dentistry (November 2018). The overall aim of the symposium was to bring together experts in Cariology and dental education, researchers and knowledge users to develop a consensus on an evidence-informed Core Cariology Curriculum, including strategies and research agenda for enhancing its implementation in Canadian dental schools.

Republished with permission from the Journal of the Canadian Dental Association

Issue number 2019;85:j9

The symposium participants included Cariology educators from all ten Canadian dental schools, national and international educators and researchers with expertise in Cariology, curriculum implementation and reform (e.g., academic deans, dental clinical directors, clinical instructors) and research trainees. A Transformational Learning Theory framework was used,9 which helped the participants to reach an informed, objective and rational consensus about the actions needed to be in place to enhance undergraduate Cariology education in Canada.

The first day of the symposium was dedicated to building a consensus on Core Cariology curriculum for Canadian dental schools. To begin with, the American and European Core Undergraduate Cariology Curriculums were introduced by two invited speakers, followed by a presentation about the current state of Cariology Education in Canadian dental schools.8

Drawing on the American version of Core Cariology curriculum,6 the participants worked in groups and reviewed the specific domains of the curriculum: 1. knowledge base; 2. diagnosis, risk assessment, and synthesis; clinical decision making: 3. non-surgical therapy, 4. surgical therapy; and 5. evidence-based cariology in clinical and public health practice.

Collective discussion followed, focused on priorities, common learning objectives and outcomes for Cariology education in Canadian dental schools. Ultimately, the participants were able to come up with a draft consensus document of an adapted version of Core Cariology Curriculum for Canadian dental schools. This document will be reviewed again by the cariology educators from each Canadian dental school. At this time more than one representative (e.g., academic deans, clinic directors) from each dental school will be invited to review the curriculum and the final document will be published.

The second day was dedicated to discussing the integration of the Core Cariology Curriculum in Canadian dental schools’ settings. The main principles and methodology of knowledge translation intervention were presented and followed by small group and then general discussions on the a) anticipated challenges and solutions for the Cariology curriculum integration; b) the setting up a research agenda in undergraduate Cariology education.

Cariology curriculum integration

Challenges:

• There is a gap between the implementation of didactic teaching and clinical cariology teaching:

- Absence of cariology curriculum;

- Imbalance between preventive dental care and surgical procedures;

- Lack of evidence-based practice approach among cariology clinical instructors;

- Shortage of well-educated staff for implementing the evidence-based cariology into educational settings;

- Lack of interaction among the various dental health professionals in the context of clinical cariology teaching (e.g., clinical instructors and dental hygienists);

Cariology Education in Canadian Dental

Cariology Education in Canadian Dental Schools’ symposium participants, November 2018.

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- Lack of calibration of clinical cariology instructors in caries diagnosis and treatment planning;

- Part time clinical instructors: repeated training issue; inconsistency in caries management approach;

- Discontinuity of cariology training among different school years of dental education;

- Inconsistent cariology follow-ups among patients;

- Lack of credits related to non-operative treatment of caries in dental schools.

• Dental curriculum is already overloaded in terms of didactic and clinical teaching;

• Lack of educational expertise to support cariology curriculum change;

• Complex/non-updated dental software used in clinical settings.

Future research project(s):

Outcomes:

The outcomes of interest related to the implementation of cariology curriculum can be measured among patients, students, clinical instructors, general practitioners.

• Monitoring caries progression;

• Caries risk changes;

• Number of non-surgical therapies;

• Number of hours devoted to the didactic cariology teaching;

• Knowledge and clinical decision-making process;

• Patients’ perspectives on care and caries management;

• Continuing education courses evaluation.

Study designs/instruments:

• Developmental evaluation of educational models;

• Qualitative studies (e.g., observations and interviews);

• Experimental studies;

Solutions:

• Support from academic deans, associate deans, clinical directors;

• Building inter-university cariology education sharing platform;

• Using the same nomenclature in cariology;

• Building working groups to coordinate Cariology curriculum implementation in academic settings;

• Reward points system for the academic staff involved in cariology curriculum implementation;

• Introducing cariology curriculum from the first year of undergraduate schooling;

• Involve residents/graduate dental students in the undergraduate cariology training;

• Integrating evidence-based dentistry exercises in the undergraduate dental clinic;

• Commencing periodic follow ups to assess caries risk and caries lesions status;

• Training sessions for clinical instructors and dental students in caries lesions diagnosis;

• Incorporating dental hygienists in the context of undergraduate cariology clinical training;

• Integrating cariology into restorative or other “hot” topics of continuing education courses for clinicians/ clinical instructors.

• Dental charts reviews;

• Surveys.

Potential challenges related to project implementation:

• Clinical time: several recall appointments related to implementation of non-operative treatment strategies;

• Level of communication between students and professors (both groups need to be trained);

• Building the same language within the community of practice and different stakeholders;

• Be organized, have leaders, have money.

Conclusion:

• A preliminary consensus on an evidence-informed Core Cariology Curriculum for Canadian dental schools was achieved;

• Participants agreed to continue to work collaboratively on implementing the cariology paradigm in Canadian Dental Education and practice;

• The integration of Cariology paradigm in Canadian Dental Education and practice creates new opportunities for research.

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Cariology Education in Canadian Dental Schools: Interinstitutional Symposium

References

1. Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015;94(5):650-8.

2. Ramraj C, Azarpazhooh A, Dempster L, Ravaghi V, Quinonez C. Dental treatment needs in the Canadian population: analysis of a nationwide cross-sectional survey. BMC Oral Health. 2012 Oct 27;12:46.

3. Innes NPT, Schwendicke F. Restorative Thresholds for Carious Lesions: Systematic Review and Metaanalysis. J Dent Res. 2017;96(5):501-8.

4. Baelum V. What is an appropriate caries diagnosis? Acta Odontol Scand. 2010;68(2):65-79.

5. Schulte AG, Pitts NB, Huysmans MC, Splieth C, Buchalla W. European Core Curriculum in Cariology for undergraduate dental students. Eur J Dent Educ. 2011;15 Suppl 1:9-17.

6. Fontana M, Guzman-Armstrong S, Schenkel AB, Allen KL, Featherstone J, Goolsby S, et al. Development of a Core Curriculum Framework in Cariology for U.S. Dental Schools. J Dent Educ. 2016;80(6):705-20.

7. Pitts N, Melo P, Martignon S, Ekstrand K, Ismail A. Caries risk assessment, diagnosis and synthesis in the context of a European Core Curriculum in Cariology. Eur J Dent Educ. 2011;15 Suppl 1:23-31.

8. Tikhonova S, Girard F, Fontana M. Cariology Education in Canadian Dental Schools: Where Are We? Where Do We Need to Go? J Dent Educ. 2018;82(1):39-46.

9. Van Schalkwyk SC, Hafler J, Brewer TF, Maley MA, Margolis C, McNamee L, et al. Transformative learning as pedagogy for the health professions: a scoping review. Med Educ. 2019:1-12.

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Oral pathology

Mark Roger Darling, BChD Professor, division of oral pathology, department of pathology and laboratory medicine, Western University, London, Ontario

mark.darling@schulich.uwo.ca

Morad Alkhasawneh, DDS

General dentist, Forest City Dental, London, Ontario

Wendall Mascarenhas, DDS

Oral and maxillofacial surgery resident, McGill University, Montreal, Quebec.

Alexandra Chirila, BMSc Master’s Student, department of laboratory medicine and pathobiology, University of Toronto, Toronto, Ontario.

Maria Copete, DDS, FRDC professor, college of dentistry, University of Saskatchewan, Saskatoon, Saskatchewan.

Oral Hairy Leukoplakia in Patients With No Evidence of Immunosuppression

Abstract

Objectives: Oral hairy leukoplakia (OHL) is caused by Epstein-Barr virus (EBV) and is often associated with HIV and other immunosuppressive conditions. It is rare in HIV-negative patients, but has been reported in patients who use immune-modulating medications (e.g., cyclosporine).

The objectives of this study were to determine the occurrence of OHL in HIV-negative patients and report Langerhans cell counts in these lesions.

Study design: A series of 7 new cases of OHL among HIV-negative patients is described. Langerhans cells were counted using an immunoperoxidase stain for CD1a and light microscopy.

Introduction

Results: The 7 patients were male, ranging in age from 26 to 69 years. Clinically, all lesions were diagnosed as leukoplakia on the lateral border of the tongue.

Microscopic examination revealed hyperparakeratosis and candidiasis in some cases, acanthosis and a band-like zone with clearing of cells in the upper spinous layer, which were EBV-positive by insitu hybridization. There was a significant decrease in Langerhans cell counts in OHL patients.

Conclusion: OHL can occur in HIV-negative patients.

Republished with permission from the Journal of the Canadian Dental Association

Issue number 2018;84:i8

First described in 1984, oral hairy leukoplakia (OHL) is a mucosal disease caused by infection with Epstein-Barr virus (EBV).1 OHL is a benign lesion, presenting most often as an opportunistic infection in immune-suppressed patients.2,3 OHL is the most common EBV-related lesion in patients with AIDS, and its presence in HIV-infected people is a sign of severe immunosuppression.3 It has also been described in patients who are immunosuppressed for reasons other than HIV infection.4 Only a few reports exist of OHL occurring in patients who are apparently immune competent.4-10

EBV infection of epithelial cells in OHL was first described by Greenspan et al. in 1985 11; it is now well established that EBV is the cause of OHL. Primary infection occurs in the tonsillar area, followed by latent infection of resting B-cells, with probable later reactivation and reinfection of epithelial cells.12

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Clinically, OHL manifests as unilateral or bilateral, white or grey patches on the lateral margins, dorsal or ventral surfaces of the tongue that cannot be wiped off (Fig. 1). It exhibits a range of appearances from faintly visible white streaks to deep furrowed, “shaggy” surfaced leukoplakia.13 It also occurs occasionally at other oral and oropharyngeal sites.13-15

Microscopically, OHL features hyperparakeratosis with an irregular corrugated surface; a zone of cells showing clearing of cytoplasm and peripheral nuclear beading of chromatin in the superficial stratum spinosum; and acanthosis.13 Nuclear beading and margination of chromatin is caused by EBV replication.13 Candidiasis is often present.13 Because the presence and etiologic role of EBV nucleic acids in epithelial cells has been well documented, in-situ hybridization is a valuable tool for confirming the diagnosis of OHL and for distinguishing it from other white lesions, such as hyperkeratosis, with similar clinical and histologic features.11,16,17

OHL has been described as a clinical indicator of immunosuppression.3 Its association with HIV, AIDS, transplant recipients and other patients on immunosuppressive medication, as well as hematologic malignancies, has now been extensively documented.13,18 Although, initially, all cases of OHL in HIV-positive patients were in men who have sex with men, it has now been seen in all groups infected with HIV.13

A large number of cases of OHL have been reported in patients who were immunodeficient for reasons other than HIV infection, such as transplant recipients using immunosuppressive medication, people with asthma using steroid inhalers and patients with primary blood disorders.3,4,8,19 OHL has also been reported in conditions with an underlying immune dysfunction, including autoimmunity or hypersensitivity.4,20-23 A comprehensive list of HIV-negative patients with OHL has recently been published.4

Notably, OHL can occur in HIV-negative patients who are not taking immunosuppressive medication or therapy of any form, who are apparently immune competent and who have no apparent predisposition. Although only 8 such cases could be traced in the literature from 1989 to 2015,4,5,7-10 from this body of literature, it is clear that OHL is not limited to HIV-positive or immune-suppressed patients.

In this paper, we present a series of 7 new cases of OHL in patients who were not evidently immune suppressed. At the time of presentation, the HIV status of these patients was not known, and they were tested after the diagnosis of OHL was made.

Because Langerhans cell numbers have been reported to be lower in OHL patients with AIDs,24,25 we also aimed to determine whether Langerhans cell counts in OHL patients who were HIV negative were different from counts in “normal” control tissues.24 The purpose of this paper is to highlight to dentists that OHL can occur in patients who are not immunosuppressed.

Materials and Methods

Six paraffin-embedded formalin-fixed specimens were retrieved from the archives of the pathology department at the University of Western Ontario and 1 from the College of Dentistry, University of Saskatchewan, for review of the microscopic features and clinical reports. Medical histories were obtained from the pathology requisition forms and the submitting dentist. All specimens were stained with hematoxylin and eosin and periodic acid–Schiff stain (with and without diastase digestion) to determine the presence or absence of Candida albicans and glycogen.

The study cases were compared with non-inflamed tongue control cases where only hyperparakeratosis presenting as a leukoplakia was present (normal controls) and HIV-positive, OHL-negative patients who presented with a leukoplakia of the lateral tongue.

Epstein-Barr virus in-situ hybridization

All tissues were examined for the presence of EBV by means of in-situ hybridization using a standard laboratory protocol (EBV (EBER) PNA Probe/Fluorescein, Code Y5200, and PNA ISH Detection Kit, Code K5201, Dako, Mississauga, Ontario, Canada).

Langerhans cells

The number of Langerhans cells (antigen-presenting cells) was evaluated using a routine immunoperoxidase stain for CD1a (monoclonal mouse anti-human, clone 010, Code IR069, Dako, Mississauga, Ontario, Canada). CD1a-positive cells were counted in non-overlapping,

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microscopic fields at 200× original magnification and recorded per unit area (mm2) of the squamous epithelium of lesional tissue (n = 7), normal control tissue (n = 7) and HIV-positive controls (n = 9). For each case, the entire area of epithelium present was measured, and the average number of Langerhans cells per mm2 was calculated. Cell counts were made by 3 investigators blinded to the histopathologic diagnosis.

Statistical analysis

A 2-tailed unpaired Student t test with Welch correction was conducted on the Langerhans cell counts, using GraphPad Prism 7 (GraphPad Software, La Jolla, Calif.).

Statistical significance was set at 0.05.

Ethics approval

We have read the Helsinki Declaration and have followed the guidelines in this investigation. Approval was obtained from Western University Health Science Research and Ethics Board (HSREB number 105016).

Results

All 7 patients were male, median age 51 years (range 26–69 years), and all lesions presented as a white patch on the tongue, all of which healed uneventfully. A summary of the clinical findings is presented in Table 1. All patients either had a smoking history or other medical conditions, such as diabetes, hypertension, hyperlipidemia and gout (Table 1). Patients were receiving medications for these conditions, all of which were controlled, but duration and dosage were not disclosed.

All patients showed similar histopathologic findings (Fig. 2A), were HIV negative and were positive for EBV detected by in-situ hybridization (Fig. 2C). After diagnosis of OHL, patients were tested for HIV. Because OHL is regarded as pathognomonic for immunodeficiency status,3 in particular for HIV infection, is an AIDS-associated lesion,11 may be an initial indicator of HIV infection13 and also for logistical reasons, as the patients were seen at different offices in areas around the province, a second test for HIV was not completed. In all cases, the clinician reported that the lesions resolved without recrudescence or recurrence and without any additional treatment.

2: Cytology of oral hairy leukoplakia (OHL) in patient 4 (findings were similar in all 7 cases) in A, C and E, compared with control tissue in B, D and F (original magnification ×100). A: Hematoxylin and eosin stain shows hyperparakeratinized stratified squamous epithelium with surface corrugation, acanthosis and clearing of cells (“balloon cells,” arrowhead) in the upper stratum spinosum. B: Control tissue shows hyperkeratosis and acanthosis, but no significant ballooning of cells, nuclear margination or beading of chromatin. C: In OHL patient, in-situ hybridization for Epstein-Barr virus (EBV) is positive in the nuclei of epithelial cells. D: Control tissue is negative for EBV RNA. E: OHL is negative for CD1a in this section; no Langerhans cells are present. F: In control tissue, dark brown immunohistochemical staining for CD1a reveals more numerous Langerhans cells than in OHL cases.

Figure 1: Oral hairy leukoplakia of the left lateral border of the tongue, presenting as a white lesion with an irregular, corrugated and “shaggy” surface.

Figure

Langerhans cell counts

The median Langerhans cell count per microscopic field (at 200x original magnification) in OHL, normal control patients and HIV-positive controls was 2 (range 0–36), 6 (range 0–95) and 11 (range 0–61) respectively, considered highly significant (p < 0.001) (Table 2). Immunohistochemistry for CD1a to identify Langerhans cells is shown in Figures 2E and 2F.

Discussion

Few cases of OHL have been reported in immune competent patients.4 Four patients in this case series had pre-existing medical conditions, which were controlled. For 3 of the patients reported here, only possible tobacco use and perhaps other unknown factors inducing local immunosuppression could be considered to play a role as so-called “cryptic immunopression.”13 There have been reports of OHL cases not associated with immunosuppression,5,26 but it was not clear whether local immunosuppression was absolutely ruled out.

The possibility of cryptic immunosuppression as suggested by Greenspan et al.13 must be considered and perhaps more thoroughly investigated in these patients. Such investigation would include whether patients are using inhaled steroids, immune-modulating drugs,27 such as cyclosporine or azathioprine, are diabetic or have some factor creating a local immunosuppression. Chambers et

al.4 suggest that “systemic conditions leading to deficient immune system function and local factors together facilitate the development of OHL.”

EBV occurs worldwide, and as many as 90–95% of adults in the United States between the ages of 35–40 years have been infected. Transmission of EBV usually occurs through intimate contact with the saliva of an infected person and is not normally transmitted through air or blood. After the initial infection has been resolved, the virus can remain latent in B cells and can cause a lytic infection in the oropharynx. Recrudescence of the viral infection is caused by immunosuppression and reactivation of the virus from its latent state.12,14 The mechanism by which EBV causes OHL has not yet been fully determined, although several possibilities exist: infection by virus present in saliva; reactivation of latent virus in tongue epithelial cells; or transmission of EBV from lymphocytes to epithelial cells during periods of relative or active immunosuppression.12,28

Three of the patients reported here had type II diabetes, which was controlled in all cases. When diabetes is not controlled, chronic immunosuppression, delayed healing and/or salivary hypofunction may result in oral mucosal disease.29 At least two studies have found increased EBV DNA and OHL in people with diabetes.4,30 Milagres et al.30 concluded that EBV infection of the lateral border of the tongue of people with minor immunodeficiency (e.g., pregnant women and people with diabetes) was considerably higher than in healthy people.

Oral Hairy Leukoplakia in

Table 1: Clinical description of HIV-negative patients presenting with oral hairy leukoplakia.

Table 2: Calculated mean and median values for the Langerhans cell (LHC) counts.

Another factor contributing to the development of OHL may be the long-term use of steroid medications. In a recent study, Chambers et al.4 concluded that 28 patients who were using inhaled steroids for asthma or chronic obstructive pulmonary disease were at risk of developing OHL.4 Rushing et al.19 reported the occurrence of OHL in 2 patients who were on immunosuppressive therapy, concluding that it probably resulted from new or persistent infection with EBV. The mechanism appears to be a local immunosuppressive effect.4,31

The development of OHL was previously seen to arise only in patients with immunodeficiency. In a recent study, Chambers et al.4 recorded OHL lesions in some patients with normal complete blood counts who were not taking immunosuppressive medications. Although these patients had no known risk factors for OHL and were presumed to be HIV negative, they had not been tested for HIV. In these patients, other factors were considered to be contributing to the development of OHL, with 1 case concluded to be an idiopathic transitory disorder following the lesion’s spontaneous regression.4

In HIV-positive OHL patients, the number of Langerhans cells in the epithelium is generally decreased.24 Walling et al.24 suggest that EBV replication is directly responsible for

decreased Langerhans cell counts in the oral epithelium in cases of OHL. In our HIV-negative patients, the number of Langerhans cells was decreased in those with OHL lesions compared with control patients. Walling et al.24 found that EBV replication decreases oral Langerhans cell counts independent of HIV infection, which is consistent with our findings in HIV-negative patients. Our patient 6 had a higher Langerhans cell count in an area of epithelium where in-situ hybridization was negative for EBV, but clearly lower in the area of epithelium where EBV was present. In this case, Candida hyphae were also present.

Generally, OHL does not require any treatment, as it tends to resolve spontaneously,4,21 as in the patients described here, whose OHL resolved after biopsy. However, recurrence is frequent in patients who are immune suppressed.13

A variety of treatment options for lesions that do not resolve have been examined or suggested in the literature. For example, podophyllin, a cytostatic plant toxin, has been suggested, although some adverse effects have been reported.32,33 A combination of 25% podophyllin and 5% acyclovir cream has been reported to be effective.34 A single case report has recommended

topical gentian violet.35 Antiviral therapy may be most useful to treat OHL, although there is a lack of consensus on the most efficacious treatment regimen. Resolution has been found to occur in most cases treated with oral acyclovir (800 mg every 6 h for 20 days), valacyclovir (1000 mg orally every 8 h for 28 days) and desciclovir (250 mg every 8 h for 14 days).36,37 Medical treatment may be particularly useful in patients who are not immune suppressed and who have persistent, recurrent or recrudescent lesions.13

In this paper, we describe 7 cases of OHL in patients who were HIV negative and not taking any immunosuppressive medication. It is important that dentists be aware that OHL can develop in those who are not immune deficient and perhaps have “cryptic” immunosuppression (e.g., local immunosuppression resulting from inhaled steroids), as suggested by Greenspan et al.13 This is important, as OHL generally develops in a site that is at high risk for epithelial dysplasia and oral squamous cell carcinoma, making accurate diagnosis essential to avoid overtreatment.

References

1. Greenspan D, Conant M, Silverman Jr S, Greenspan JS, Petersen V, De Souza Y. Oral “hairy” leucoplakia in male homosexuals: evidence of association with both papillomavirus and a herpes-group virus. Lancet. 1984;324(8407):831-4.

2. Syrjänen S, Laine P, Niemelä M, Happonen RP. Oral hairy leukoplakia is not a specific sign of HIV-infection but related to immunosuppression in general. J Oral Pathol Med. 1989;18(1):2831.

3. Kreuter A, Wieland U. Oral hairy leukoplakia: a clinical indicator of immunosuppression. CMAJ. 2011;183(8):932.

4. Chambers AE, Conn B, Pemberton M, Robinson M, Banks R, Sloan P. Twenty-first-century oral hairy leukoplakia — a non-HIV-associated entity. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;119(3):326-32. 5. Eisenberg E, Krutchkoff D, Yamase H. Incidental oral hairy leukoplakia in immunocompetent persons. A report of two cases. Oral Surg Oral Med Oral Pathol. 1992;74(3):332-3.

6. Moffat M, Jauhar S, Jones ME, MacDonald DG, Felix DH. Oral hairy leucoplakia in an HIV-negative, immunocompetent patient. Oral Biosci Med. 2005;2(4):249-51.

7. Galvin S, Healy CM. Oral hairy leukoplakia in healthy, immunocompetent individuals. Ir Med J. 2014;107(6):179-180.

8. Piperi E, Omlie J, Koutlas IG, Pambuccian S. Oral hairy leukoplakia in HIV-negative patients: report of 10 cases. Int J Surg Pathol. 2010;18(3):177-83.

9. Felix DH, Watret K, Wray D, Southam JC. Hairy leukoplakia in an HIV-negative, nonimmunosuppressed patient. Oral Surg Oral Med Oral Pathol. 1992;74(5):563-6.

10. McMillan MD, Boyd NM, MacFadyen EE, Ferguson MM. Oral hairy leukoplakia-like lesions in an HIV-negative male: a case report. N Z Dent J. 1989;85(382):121-4.

11. Greenspan JS, Greenspan D, Lennette ET, Abrams DI, Conant MA, Petersen V, et al. Replication of Epstein-Barr virus within the epithelial cells of oral “hairy” leukoplakia, an AIDS-associated lesion. N Engl J Med. 1985;313(25):1564-71.

12. Odumade OA, Hogquist KA, Balfour Jr HH. Progress and problems in understanding and managing primary Epstein-Barr virus infections. Clin Microbiol Rev. 2011;24(1):193-209.

13. Greenspan JS, Greenspan D, Webster-Cyriaque J. Hairy leukoplakia; lessons learned: 30-plus years.

Oral Dis. 2016;22(suppl 1):120-7.

14. Mendoza N, Diamantis M, Arora A, Bartlett B, Gewirtzman A, Tremaine AM, et al. Mucocutaneous manifestations of Epstein-Barr virus infection. Am J Clin Dermatol. 2008;9(5):295305.

15. Kabani S, Greenspan D, deSouza Y, Greenspan JS, Cataldo E. Oral hairy leukoplakia with extensive oral mucosal involvement. Report of two cases. Oral Surg Oral Med Oral Pathol. 1989;67(4):411-5. 16. Thomas JA, Felix DH, Wray D, Southam JC, Cubie HA, Crawford DH. Epstein-Barr virus gene expression and epithelial cell differentiation in oral hairy leukoplakia. Am J Pathol. 1991;139(6):1369-80.

17. Braz-Silva PH, de Rezende NP, Ortega KL, de Macedo Santos RT, de Magalhães MH. Detection of the Epstein-Barr virus (EBV) by in situ hybridization as definitive diagnosis of hairy leukoplakia. Head Neck Pathol. 2008;2(1):19-24.

18. Baccaglini L, Atkinson JC, Patton LL, Glick M, Ficarra G, Peterson DE. Management of oral lesions in HIV-positive patients. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103 Suppl:S50.e1-23.

19. Rushing EC, Hoschar AP, McDonnell JK, Billings SD. Iatrogenic oral hairy leukoplakia: report of two cases. J Cutan Pathol. 2011;38(3):275-9.

20. Graboyes EM, Allen CT, Chernock RD, Diaz JA. Oral hairy leukoplakia in an HIV-negative patient. Ear Nose Throat J. 2013;92(6):E12. 21. Prasad JL, Bilodeau EA. Oral hairy leukoplakia in patients without HIV: presentation of 2 new cases. Oral Surg Oral Med Oral Pathol Oral Radiol. 2014;118(5):e151-60.

22. Lee KH, Polonowita AD. Oral hairy leukoplakia arising in an oral lichen planus lesion in an otherwise immune-competent patient. N Z Dent J. 2007;103(3):58-9.

23. Miranda C, Lozada-Nur F. Oral hairy leukoplakia in an

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HIV-negative patient with systemic lupus erythematosus. Compend Contin Educ Dent. 1996;17(4):408-10, 412; quiz 414.

24. Walling DM, Flaitz CM, Hosein FG, Montes-Walters M, Nichols CM. Effect of Epstein-Barr virus replication on Langerhans cells in pathogenesis of oral hairy leukoplakia. J Infect Dis. 2004;189(9):1656-63.

25. Daniels TE, Greenspan D, Greenspan JS, Lennette E, Schiødt M, Petersen V, et al. Absence of Langerhans cells in oral hairy leukoplakia, an AIDS-associated lesion. J Invest Dermatol. 1987;89(2):178-82.

26. Lozada-Nur F, Robinson J, Regezi JA. Oral hairy leukoplakia in nonimmunosuppressed patients. Report of four cases. Oral Surg Oral Med Oral Pathol. 1994;78(5):599-602.

27. Wolverton SE. Traditional Immune-Modulating Drugs. In: Gaspari AA, Tyring SK, eds. Clinical and basic immunodermatology. London: Springer; 2008. p. 551-9. 28. Brandwein M, Nuovo G, Ramer M, Orlowski W, Miller L. Epstein-Barr virus reactivation in hairy leukoplakia. Mod Pathol. 1996;9(3):298-303. 29.

Leite RS, Marlow NM, Fernandes JK, Hermayer K. Oral health and type 2 diabetes. Am J Med Sci. 2013;345(4):271-3.

30. Milagres A, Dias EP, Tavares Ddos S, Cavalcante RM, Dantas VA, de Oliveira SP, et al. Prevalence of oral hairy leukoplakia and epithelial infection by Epstein-Barr virus in pregnant women and diabetes mellitus patients — cytopathologic and molecular study. Mem Inst Oswaldo Cruz. 2007;102(2):159-64.

31. Greenspan JS, Greenspan D. Oral hairy leukoplakia: diagnosis and management. Oral Surg Oral Med Oral Pathol. 1989;67(4):396-403.

32. Lozada-Nur F, Costa C. Retrospective findings of the clinical benefits of podophyllum resin 25% sol on hairy leukoplakia. Clinical results in nine patients. Oral Surg Oral Med Oral Pathol. 1992;73(5):555-8.

33. Gowdey G, Lee RK, Carpenter WM. Treatment of HIV-related hairy leukoplakia with podophyllum resin 25% solution. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1995;79(1):64-7.

34. Moura MDG, Guimarães TRM, Fonseca LMS, de Almeida Pordeus I, Mesquita RA. A random clinical trial study to assess the efficiency of topical applications of podophyllin resin (25%) versus podophyllin resin (25%) together with acyclovir cream (5%) in the treatment of oral hairy leukoplakia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007;103(1):64-71.Bhandarkar SS, MacKelfresh J, Fried L, Arbiser JL. Targeted therapy of oral hairy leukoplakia with gentian violet. J Am Acad Dermatol. 2008;58(4):711-2.

35. Greenspan D, De Souza YG, Conant MA, Hollander H, Chapman SK, Lennette ET, et al. Efficacy of desciclovir in the treatment of Epstein-Barr virus infection in oral hairy leukoplakia. J Acquir Immune Defic Syndr. 1990;3(6):571-8.

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36. Walling DM, Flaitz CM, Nichols CM. Epstein-Barr virus replication in oral hairy leukoplakia: response, persistence, and resistance to treatment with valacyclovir. J Infect Dis. 2003;188(6):883-890.

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Extensive Swelling and Fistula in the Anterior Mandible: An Unresolved Case of Osteomyelitis Radiology

Introduction

Dr. Hassem Geha

MS Oral and Maxillofacial Radiology University of Connecticut, School of Dental Medicine, Farmington , CT

geha@uthscsa.edu

A 58-year-old white Caucasian female presented with chin swelling with a fistula of about 6mm in diameter. The lady claimed that she had undergone root scaling one month before and that after couple of days, she started noticing a swelling of her anterior chin, and after 2 weeks she noticed a fistula opening.

She visited her dentist who put her under antibiotherapy for 10 days. The swelling persisted and the fistula became larger. As there were no clinical signs of caries or periodontal issues in the mandible, the dentist referred the patient to the radiology clinic to try and detect a potential etiology of the infection. The patient denied that she had had a fever and she was rather well with no medical issues.

Presentation to radiology

When the patient presented to the radiology clinic, it was 29 days since she had the root scaling. A clinical examination of the teeth and periodontal tissues did not show any signs of caries and the periodontal probing was within normal limits (2-2.5 mm depth probing).

The texture and colour of the gingiva and oral mucosa in the mandible were within normal limit. However, the chin swelling was obvious and the skin showed signs of redness and some purulent exudate was being discharged spontaneously.

On palpation, the swelling did not seem to have a uniform consistency, it was tender on the left aspect and hard on the right aspect with no pain.

Radiology treatment

A Cone Beam CT scan (0.8mm slice thickness), including the maxilla and the mandible, was acquired to evaluate the teeth and mandibular bone.

Radiographically, the maxillary and mandibular teeth showed no caries and the alveolar bone level was within normal limits with just a mild marginal bone loss. There are no radiographic signs of periapical radiolucency on any of the mandibular teeth.

Observations

In the anterior mandible, there was extensive swelling of the soft tissue that corresponded to the clinical status of the patient. The external aspect of the buccal cortical plate and inferior cortex of the mandible exhibited areas of expansion and new cortical bone formation inferiorly and anteriorly that expanded the soft tissue of the skin.

Detached bone fragments were also noted in the swollen soft tissue of the skin. The overall shape of the new bone formation was concave with the center of concavity in the area apical to tooth 42. The fistula track was also traced from the most external bone fragment to the skin surface and superimposed over the center of this concavity. The trabecular bone density in the mandible, mainly in the anterior mandible, was within normal limits.

Figure 3: Axial view showing the bone formation on the inferior cortex of the mandible, a sequestrum and the fistula. Note the concavity at the level of the anterior symphysis

Diagnosis and treatment

The extensive bone reaction, in the anterior mandible and formation of sequestra, were consistent with osteomyelitis. The radiographic information was not conclusive as to the etiology of the infection.

However, we considered that this is most likely not from a dental origin.

The main reasons are that:

• there was no reactive trabecular bone in the mandible,

• the reactive bone was only noted on the external aspect of the buccal and inferior cortex of the mandible,

• the alveolar bone did not also show any noted reaction

We further noticed that the fistula extended to the level of the outer sequestrum (this might have been due to the large slice thickness we acquired the scan with.)

Based on the clinical and radiographic data, we proposed that the infection is not likely to be from a dental origin but rather potentially from the skin.

Figure 1: 3D rendering of the soft tissue of the skin showing the swelling and the fistula

Figure 2: Sagittal view showing the bone formation on the buccal and inferior cortex of the mandible, a sequestrum and the fistula. Note that the trabecular bone pattern is within normal limits.

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Extensive Swelling and Fistula in the Anterior Mandible: An Unresolved Case of Osteomyelitis Radiology

The proposed diagnosis was cellulitis leading to mandibular osteomyelitis. The patient was referred back for an antibiogram and appropriate antibiotherapy.

As for many cases that come to our practice, this was an unresolved case because we could not identify the origin of the infection. While the radiographic signs supported a non-odontogenic origin of the infection, the clinical signs that supported cellulitis of a “skin” origin were not conclusive as we expect the patient to exhibit some symptoms such as fever in addition to the swelling and

Cellulitis

Cellulitis is a common infection of the skin and the soft tissues underneath. It happens when bacteria enter a break in the skin and spread. The result is infection, which may cause swelling, redness, pain, or warmth. The most common bacteria responsible for cellulitis is Staphylococcus (staph).

Osteomyelitis is an infection of the bone, a rare but serious condition. Bones can become infected in a number of ways: Infection in one part of the body may spread through the bloodstream into the bone, or an open fracture or surgery may expose the bone to infection. In most cases, a bacteria called Staphylococcus aureus, a type of staph bacteria, causes osteomyelitis.

Some chronic conditions like diabetes may increase the risk for cellulitis osteomyelitis, but the patient denied such systemic condition.

Fugure 4: 3D rendering of the bone

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Restorative dentistry

Dr.

Reiger Talheim, Germany

The Potential of VITA ENAMIC multiColor in the Esthetic Zone

In the following interview, we hear from the Dentist, Dr. Andreas Reiger (Talheim, Germany), who shows us the possibilities of the VITA ENAMIC multiColor blank (VITA Zahnfabrik, Bad Säckingen, Germany) for minimally invasive esthetic reconstructions in the front. He explains this with the help of a case study of a young female patient whom he provided with four hybrid ceramic veneers with wall thicknesses of only 0.2 millimeters in the cervical area in regions 12 to 22.

He also gives recommendations on what dental practices and laboratories should consider when processing hybrid ceramics.

1: A young female patient was dissatisfied with her veneer restorations made of glass ceramic.

Why did you choose the VITA ENAMIC multiColor multichromatic hybrid ceramic blank for this patient›s restoration?

For monochrome CAD/CAM blanks, tooth shade gradient and natural translucency can only be reproduced through staining.

The two polychromatic VITA ENAMIC multiColor blanks are already integrated into the finely graded layer structure. Therefore, restorations made from this material blank are already very dynamic from within.

What clinical challenges did you face in this case, and what could multichromatic hybrid ceramics help solve?

The young patient was dissatisfied with the esthetic appearance of her veneers on the maxillary incisors. As part of the new restoration, the labial surfaces of the incisors had to be relocated palatally in order to achieve a harmonious curve of the dental arch. Of course, I wanted to proceed in a minimally invasive manner during the follow-up preparation and not “sacrifice” any additional tooth substance.

Andreas

Dr. Andreas Reiger

Fig.

The thin minimum layer thicknesses of the hybrid ceramics, which were only 0.2 mm in the cervical area, were particularly advantageous.

Fig. 2: The restorations at 12, 11, 21 and 22 showed deficits at the incisal edges.

In your opinion, which processing and treatment steps were decisive in this case for clinical and esthetic treatment success?

Here’s the motto: “Less is more!” Natural teeth are dependent on their morphology and surface texture. The labial surfaces of restorations should not be completely flat. Prior to the high-gloss polish, a lifelike texture must be specifically incorporated. The finely nuanced shade and translucency profile of the VITA ENAMIC multiColor block in six layers automatically ensured a natural appearance of the restorations. As a result, an individualization with

The planning was extremely important in this case so that the patient and I knew in advance which result was possible. In the lab, a classic wax-up was created on prepared situation models, which I scanned in order to be able to orient myself according to the biogeneric calculation of the veneers for determining the definite length and width.

What should clinicians look for in the extraoral and intraoral finalization of hybrid ceramic crowns in order to achieve nearnatural, vibrant results?

Fig. 4: The tooth axes of the incisors were irregular. The veneers had a clumsy, superimposed effect.

What is the esthetic potential of the new multichrome blank for front-end restorations and what are its limitations?

Especially at low thicknesses which are supported by natural hard tooth substance, the material can fully reveal its minimally invasive and esthetic potential. In addition, the restorations can be incorporated directly after polishing without crystallization, sintering, healing and individualization firings. In the case just described, the patient had a complete restoration in five hours.

Fig. 5: The scan of the actual situation highlights the bumpy curve of the dental arch.

Fig. 3: The arch of the teeth did not harmonize with the curve of the lips.

Fig. 9: The cranial view of the constructions shows a harmonious curve of the incisal edges.

designed

were very graceful, due to the lower minimum layer thickness of the hybrid ceramic.

Fig. 13: The restorations were integrated in shape and shade into the residual tooth substance.

Fig. 12: The patient was very satisfied with the esthetic result.

Fig. 15: Result: The shade and translucency gradient in six layers made the restorations appear dynamic and natural.

Fig. 10: The

veneers

Fig. 11: With the positioning of the veneers in the virtual blank, the translucency and shade gradient can be controlled.

Fig. 14: The incisal restorations now harmonized with the curve of the lips.

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Benefiting from such high-quality design, SolFlex 3D printers perform at a noise level that is virtually unnoticeable. The SolFlex printer comes in three sizes for use in both laboratories and practices.

The SolFlex 3D printer uses the tried and tested DLP (digital light processing) units. Together with the innovative highperformance UV LEDs used, it is capable of printing layer after layer with an exceptional degree of precision.

Furthermore, it is based on a solid state UVLED light source with a low level of energy consumption and a long service life. The outstanding performance stability of the light source leads to a highly reproducible printing process.

The use of a patented flexible vat (Flex Vat) results in only minimal pull-off forces. As such, it is possible to generate thinner and finer components whereby only minimal support material is required. The SolFlex 650 is designed for precise printing of large, massive objects in large quantities. To meet this requirement, the SolFlex 650 can be equipped beside the Flex-Vat with a rigid tray, the so-called PowerVat that makes it possible to use highly viscous materials and to storage material in the vat. In addition the PowerVat comes with costeffective replaceable film.

Thanks to the moving lightsource, also known as Pixel Stitch technology (PST), building quality and precision will remain high regardless of where the object is placed on the platform. The lightsource moves into different positions in order to keep the same distance between the light source and the build object.

This becomes very important for high-precision objects like crown and bridge models or drilling templates. Thanks to the revolutionary PST, the printer boasts impressive performance in terms of resolution and construction volume.

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roughly the same amount of space as a conventional PC printer. The large vat volume also allows the devices to run without supervision, for example, overnight.

For more than 30 years, as a dental company that conducts extensive research, VOCO has been known for its expertise in the field of light-curing resins for restorative dentistry. With the increasing digitalisation in dental practices and dental laboratories, VOCO is now transposing this knowledge and experience to the field of additive production. The V-Print materials for 3D printing are developed by an interdisciplinary research team of dental technicians, dental engineers and chemists all along the digital workflow. Printing materials need to satisfy a range of different requirements in the manufacturing of digitally produced objects.

The materials must support the user from printing to postprocessing right up to their use in the dental laboratory or patient. The developer teams at VOCO are well aware of the requirements on these materials thanks to their many years of expertise in the dental environment and the result is high-quality, application-friendly products “Made in Germany”.

For example, in combination with V-Print printing materials, the VOCO SolFlex 3D printers allow the highly precise production of dental objects thanks to optimally coordinated processes.

V-Print model beige is suitable for the additive production of precision components for all dental models, specifically also for the deep-drawing technique. The material allows optimal visibility of the preparation margins and prevents showing through when applying shades to restorations. V-Print model beige impresses with its smooth and scratch-resistant surface.

V-Print SG is the material of choice for highly precise dental surgical guides with which the implantation can be carried out accurately and exactly as planned. For optimal clinical use, V-Print SG can be steam sterilised at 134 °C for max. 5 minutes without any detrimental effect to the accuracy of fit. V-Print SG is classified as a class IIa medical device, is flavourless and boasts a high flexural strength.

V-Print splint – Unnatural or excessive loading of the teeth or the temporomandibular joints can result in dysfunctions. Splints are employed with the aim of restoring the optimal harmonised function of the masticatory system. With their high flexural strength and precision, splints made from V-Print splint are not only long-lasting, but also comfortable to wear. The biocompatibility is a matter of fact here, and the neutral flavour ensures it is well accepted by the patient. V-Print splint is classified as a class IIa medical device.

V-Print cast is a light-curing resin for the generative production of burn-out objects for casting and pressing processes and often forms the basis for the production of dental restorations. V-Print cast and 3D printing technology make it possible to fabricate objects which are precise and can be reproduced multiple times. V-Print cast restorations are free of impurities and can be used with commercially available phosphate-bonded investment materials. The good green strength ensures a safe removal of the printed objects from the build platform. The high edge and formstability makes reliable checking of occlusion and lateral movements possible. As is the case for all V-Print printing materials, V-Print cast is also sedimentation-stable and thus permits immediate filling of the vat and starting of the printing. There is no need for timeconsuming shaking of the material. V-Print cast even remains sedimentation-stable during longer-lasting print jobs. As is the case for all V-Print printing materials, V-Print cast also does not require post-exposure under inert gas conditions.

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Press release

New center for specialty dentistry at the National University of Singapore is officially opened

In a joint initiative with the National University Health System (NUHS), the Faculty of Dentistry at the National University of Singapore (NUS) officially opened its new treatment center on the Kent Ridge Campus in July. The National University Centre for Oral Health, Singapore (NUCOHS) answers the population›s growing need for access to general and specialty dental treatments.

The center also offers more students the possibility of community-based education with access to high-end equipment in dentistry. For example, the NUS provides its students, among other things, with 265 Sinius treatment centers from Dentsply Sirona to use for treatments.

Following an extensive planning and consultation phase carried out by its International Special Clinic Solutions business division (ISCS), Dentsply Sirona was awarded the contract to install the modern Sinius treatment centers in 2017. This was implemented together with Fondaco, Singapore and included extensive training of the teaching staff and students on how to use the Sinius centers.

«In January this year, the final treatment centers for the NUCOHS left the warehouse,» explained Jörg Vogel, Vice President of the ISCS. «We are very pleased and proud that we have successfully implemented a project of unmatched size for us for one of the most renowned dental faculties in the Asia-Pacific region.»

Dental treatments on a larger scale

Since July, up to 500 patients a day can be treated at the NUCOHS. The center also offers the population a number of treatment options with advanced technologies – from general dental treatments to subsidized, highly specialized procedures. A focal point here is the growing need for dental care among older patients and those with special needs. As a result, all treatment rooms are wheelchair accessible, with some of them designed so that even patients with severely limited mobility can access the treatment centers easily.

Education closely linked to community

In addition to providing outstanding clinical care for its patients, the NUCOHS is primarily committed to excellence in research and education. The center is home to Singapore›s only Chair of Dentistry at the NUS.

Fig. 1: Prof. Patrick Finbarr Allen, Dean of the Faculty of Dentistry at the National University of Singapore at the opening ceremony for the new treatment center.

By integrating the Chair in the center, students can be trained on a larger scale than before. Furthermore, the faculty focuses on the advantages of education within the community.

Thanks to direct contact with the patients, students should already become familiar with their needs for dental care and treatments early on in their career.

Modern technologies for a high standard of education «We would like to offer our students first-class education in the field of dentistry and thus prepare them as well as possible for their practice routine,» said the Dean of Faculty, Professor Patrick F. Allen. «In addition to community-based training, we focused on innovative teaching methods and the use of high-quality technologies.»

This is reflected not only in the high standard of equipment in the treatment rooms; the NUS also offers its students the possibility of learning the basics of clinical procedures with the help of virtual reality and haptic simulation.

Fig. 2: The new National University Centre for Oral Health in Singapore.

Fig. 3: Minister of Health and guest of honor Gan Kim Yong.

Fig. 4: From left to right: Sylvia and Jane Fonda from Fondaco (Dentsply Sirona’s local sales partner), Professor Patrick Tseng (Senior Consultant in the Department of Endodontics, Restorative Dentistry and Prosthetics, National University Health System), Josef Mitterberger and Frederick Wong (Dentsply Sirona), Professor Patrick Finbarr Allen (Dean of the Faculty of Dentistry at the National University of Singapore) and Associate Professor Asher Lim (Vice Dean of Clinical Affairs at the National University of Singapore).

Restorative Dentistry

Dr. Angel Andonovski,

North Macedonia

Injection moulding for a predictable aesthetic outcome

Extensive treatment planning can be time-consuming. However, this time is often saved at the actual execution of the treatment plan. Meanwhile, the aesthetic outcome will be more predictable and the total procedure is less stressful, as part of the treatment can be done outside the mouth, in absence of the patient.

A 35-year-old woman consulted the practice because she was dissatisfied with the appearance of her frontal teeth. At the clinical assessment old restorations with marginal discolouration, a devitalised, darkened tooth #11 with a noticeable crack on the incisal surface and rotations of the lateral incisors and right canine were found. (Fig. 1). Treatment options were discussed including the need for shape correction as well as slight colour adjustments. The patient refused the use of ceramics because of the treatment cost.

It was decided to treat the teeth with G-ænial Universal Injectable composite veneers using an injection moulding technique: it renders a predictable aesthetic result and is cost- and time-effective.

G-ænial Universal Injectable has excellent physical properties and wear resistance: these are important properties to consider for the long-term outcome.

After internal bleaching of tooth #11 with sodium perborate, the tooth shade was similar to the adjacent teeth (Fig. 2). In the next session, the old restorations were replaced; simultaneously, the shape of the rotated teeth was corrected to achieve an ideal integration of the future veneers, which could be made of uniform thickness (Figs. 3 and 4). Essentia Dark Dentin and Medium Enamel were used.

Thereafter, impressions were made. A wax-up was prepared on the model (Fig. 5). This allows to focus on proper shape and symmetry outside the mouth, which is always more practical.

It also gives an indication of how thick the applied composite layer will be; in this case, only a thin enamel replacement layer was needed. As an additional benefit, the patient needs to spend less time in the dental chair.

Figure 2: After internal bleaching of tooth #11

Figure 1: Pre-operative intraoral view. Old restorations, cracks and discolourations are visible

Fig. 2

Fig. 1

Based on this wax-up, a transparent silicone key was prepared with EXACLEAR (Fig. 6). Injection channels were created (Fig. 7), ending at the incisal edge, so the sprue could be easily removed without altering the shape of the restoration.

The day after the first treatment session, the patient returned. The teeth were cleaned and the frontal teeth in need of restoration were slightly roughened (Fig. 8).

Figure 3: After removal of the old restorations

Figure 8: Frontal teeth were cleaned and slightly roughened

Figure 5: Wax-up of the frontal teeth

Figure 4: Smile after replacement of the old restorations

Fig. 3A

Fig. 3B

Fig. 3C

Fig. 8

Fig. 5

Fig. 4

Figure 6: Transparent mould from EXACLEAR

Figure 7: Creation of the injection channels with the tip of the syringe

Fig. 6

Fig. 7

Next, they were etched with phosphoric acid (Fig. 9), leaving the typical frosty surface (Fig. 10). One by one, the teeth were isolated by separating them from the adjacent teeth using Teflon tape (Fig. 11).

Figure 12: a) Bonding with G-Premio BOND; b) Injection of G-ænial Universal Injectable (Shade A2); c) Light-curing through the EXACLEAR mould d) After removal of the mould. Excess could be easily removed.

G-Premio BOND was applied, left undisturbed and then strongly air-blown before polymerisation (Fig. 12a). The silicone key was seated into the mouth and G-ænial Universal Injectable (shade A2) was injected (Fig. 12b) and light-cured through it (Fig. 12c).

After removing the silicone key (Fig. 12d), composite excesses could be easily removed with a sharp blade. The EXACLEAR impression is very precise, so all the texture that was being put in the wax-up could be replicated in the final restorations (Fig. 13). The finishing procedure is simplified in this technique; since shape and texture are already established and there is no sticky oxygen inhibition layer. All that was needed was some polishing

Figure 9: Frontal teeth were etched with phosphoric acid

Figure 10: Frosty appearance of the teeth after etching

Figure 11: Teflon tape was applied on the adjacent teeth

Fig. 9

Fig. 12A

Fig. 12B

Fig. 12C

Fig. 12D

Fig. 10

Fig. 11

Injection moulding is a contemporary technique in dentistry, which enables to reproduce a detailed morphology in a quick way. For this technique, a transparent matrix is used (EXACLEAR), through which the composite can be cured without leaving an oxygen inhibition layer. With the minimally invasive cavity preparation, the resultant space needs to be filled with a composite with a more flowable consistency. World-leading technologies have enabled GC to define a new benchmark in composite: G-ænial Universal Injectable, an injectable composite offering exceptional strength, polishability and aesthetics, also ideally suited for this technique. It’s a new paradigm in thinking that a composite with a more flowable consistency is actually your strongest option!

Initial situation, front view

A transparent silicone matrix (EXACLEAR) is created by making an impression of the wax-up

Injection holes, large enough to fit the needle tip of the syringe are drilled, ending on the incisal edge

The teeth are slightly roughened with a bur

Etching of the enamel provides additional micromechanical adhesion

A universal bonding agent (G-Premio BOND) is applied in accordance with the manufacturer’s instructions

The bonding agent is lightcured

The EXACLEAR matrix is seated

After injection, the restoration can be finished and polished

The same procedure is followed for the other teeth

The surface morphology of the wax-up is copied in detail to the final restorations

Final result, front view

Courtesy of Dr. Z Baktai, Hungary

with a goat hair wheel and a felt wheel with DiaPolisher Paste (Fig. 14). The results were predictable (Fig. 15), corresponding to the wax-up model and the rotations and colour differences were corrected. The smile line gently followed the lower lip line and a good aesthetic result was obtained.

Biography

Dr. Angel Andonovski became a dental technician in 2012. In 2017, he graduated as a dentist at the University of St. Kiril and Metodij in Skopje, Macedonia. Thereafter, he started his ‘Master in Prosthetic Dentistry’ at the same university. In 2018, he received his license for general dentistry.

That same year, he won the second price in the postgraduate category of the Essentia Academic Exellence Contest. Since 2012, he has been working as a dental technician and since 2018, he is working in one of the biggest dental clinics in Macedonia.

Figure 13: Intraoral view before polishing

Figure 14: Polishing with soft brushes

Figure 15: After treatment. a) Intraoral view; b) Smile

Fig. 13

Fig. 14B

Fig. 15B

Fig. 14A

Fig. 15A

Press release

Makoto Nakao honoured by Japanese government

Almost 100 years ago, three young chemists from Japan founded what would one day become GC Corporation, a leading manufacturer of dental products. Among them was Kiyoshi Nakao.

He succeeded in keeping the company in family hands, his son and grandson serving in GC’s top leadership for many years. Now, the Japanese government decided to bestow grandson Makoto Nakao the Order of the Rising Sun, Gold Rays with Rosette.

Makoto Nakao, the former President of GC Corporation and CEO of GC International AG. In the past decades, he made a significant contribution to the company’s sustainable growth and continued success by creating a high-performance environment based on a blend of JapaneseEuropean culture.

The Order of the Rising Sun, Gold Rays with Rosette, is one of the highest orders conferred by the Japanese government. Makoto Nakao will receive the award for his distinguished accomplishments in the Japanese pharmaceutical industry at a Conferment Ceremony on Friday, December 13th, 2019. Afterwards, he will be invited to the Imperial Palace to have an audience with the Emperor.

While Makoto Nakao was the President of GC, the company prospered and grew: Factories and offices were opened all

over the world, and new products and training concepts were developed. All this happened with the goal to improve global oral health. These efforts paid off.

Lately, for example, GC Europe N.V. was recognized from the European Foundation for Quality Management (EFQM) with the Global Excellence Award 2019 as the first dental company ever.

Makoto Nakao, the former President of GC Corporation and CEO of GC International AG

Beirut International Dental Meeting 2019

PR. ROGER RBEIZ,

PRESIDENT OF THE LEBANESE DENTAL ASSOCIATION

The 29th edition of the Beirut International Dental Meeting BIDM 2019, under the theme “TRADITIONAL V/S INNOVATIVE DENTISTRY” took place in Beirut between 3 and 5 October 2019. 70 national and international keynote speakers from over 16 countries participated in this knowledge forum, the scientific program has been conceived to present (through “traditional” lectures) how Dentistry is quickly transforming into new concepts and applications.

Margaret Hefferman said: “For good ideas and true innovation, you need human interaction, conflict, argument and debate”. This is why the Scientific Committee multiplied live transmissions, workshops, interactive forum discussions and poster sessions which provided a unique meeting place for interdisciplinary and multidisciplinary exchange and a continuing education opportunity for dentists from all fields of Dentistry. The exhibition area where the latest stateof-the-art dental equipment and tools, covering new technologies and latest developments were presented and the delegates have been well served in their quest for quality and novelty.

DR. MARIO AOUN, PRESIDENT OF THE REPUBLIC REPRESENTATIvE

Prof. Roger Rbeiz - President, LDA Chairman, BIDM 2019

PR. GEORGE AOUN, GENERAL SECRETARY OF THE LDA

PR. IBRAHIM NASSEH, PRESIDENT OF THE SCIENTIFIC COMMITTEE

Visit to the president of the Republic General Michel Aoun by

the representatives of the Arab and International Dental Societies

OPENING CEREMONY (L TO R) DRS: ROGER RBEIZ, MARIO AOUN, AMMAR HOURY, JOSEPH HELOU, GERHARD SEEBERGER, MOUNIR DOUMIT, YASSER ELGENDY, ROULA KHALAF, TONY ZEINOUN, GEORGE AOUN

INAUGURATION OF THE ExHIBIT FLOOR BY DR. HASHEM QASSEM, DR. MARIO AOUN, DR. JOSEPH EL ASMAR, PR. ROGER RBEIZ

TO DR. MOHAMED SDIRA, PRESIDENT MOROCCAN DENTAL SOCIETY AND DR. MOHAMED JERRAR

TO DR. TONY DAHER, PRESIDENT CALIFORNIA CHAPTER, USJ ALUMNI

Trophy Distribution

TO DR. GERHARD SEEBERGER PRESIDENT OF THE FDI

TO DR. AHMAD RIZG, SUDANESE DENTAL ASSOCIATION

TO DR. BASSEM MOATTAR, TUNISIAN DENTAL ASSOCIATION

DR.

TO

MOHAMED RIDA DIB, ALGERIAN DENTAL SOCIETY

TO PR. MOUNIR DOUMIT, CE PROGRAM DIRECTOR-FDI

TO DR. YASSER ELGENDI, PRESIDENT EGYPTIAN DENTAL ASSOCIATION

TO DR. ABDUL RAHMAN AL AZRI, PRESIDENT OMAN DENTAL SOCIETY

TO DR. ISMAIL MELHEM, PRESIDENT PALESTINIAN DENTAL ASSOCIATION Trophy Distribution

TO DR. SALAM AARAJI AND DR. FAKHRI FATLAWI FROM IRAQ DENTAL ASSOCIATION

TO DR. AZEM QADDOMI, PRESIDENT JORDANIAN DENTAL ASSOCIATION

TO DR. NAHAWAND THABET, BOARD MEMBER-FDI

TO DR. MESHARI ALOTAIBI, vICE PRESIDENT SAUDI DENTAL SOCIETY

PROFS. TAREK ABBAS, ROGER RBEIZ, MAGUID AMIN

PR. IBRAHIM NASSEH, PR. RAMZI ABOU ARRAJ FROM ALABAMA-USA

PR. IBRAHIM NASSEH HANDING THE PLAQUE TO DR. MATHIOS TCHOLAKIAN FROM AEEDC

Trophy Distribution

TO DR. EUGENIO PEDULLA FROM ITALY

TO PR. BRIAN MILLAR FROM LONDON

TO DR. JEAN-LOUIS ZADIKIAN FROM PARIS

PROF. ROULA ABIAD, SCIENTIFIC COMMITTEE MEMBER

PROFS ROGER RBEIZ AND JEAN-MARIE

PRODENT BOOTH

DRS: MOSTAFA GHAZZAWI, KAMAL BENMANSOUR, YASSER ELGENDY, MOHAMED JERRAR, NAHAWAND THABET, MOHAMED SDIRA, MESHARI ALOTAIBI, HALA ABBOUD, MAHMOUD BAHGAT, RAHIL DOUEIHY

BEGO BOOTH

DENMAT BOOTH

DIMA BOOTH

RICHA DENTAL BOOTH

Exhibition Floor

FULL DIGITAL WORKFLOW LIvE TRANSMISSION BY DR. HANI TOHME

PR. CAROLE YARED, DR. HANI TOHME, DR. MARIA RASLAN, PR. LEvON NALTCHAYAN

PROFS:

ZIAD MOUJAES, ESSAM OSMAN, SAMER RIFAI, JAMAL HONEINEH, RAMZI HADDAD, JOE GHAFFARI

DR. GERHARD SEEBERGER, PRESIDENT OF THE FDI WITH REPRESENTATIvES FROM LEBANON AND THE ARAB WORLD

DR. ABDUL RAHMAN AL AZRI, OMAN DENTAL SOCIETY, PR. KHALIL ALEISA, PRESIDENT SAUDI DENTAL SOCIETY

DR. YASSER EL GENDY, DR. GERHARD SEEBERGER, PR. MOUNIR DOUMIT

DENTAL NEWS PHOTO BOOTH

DRS: RAHIL DOUAIHY, JAMES GUTMANN, CHARBEL ALLAM, MARC KALOUSTIAN

DRS: RAYMOND KHOURY, TONY DIB, MARTIN BAKHOS, ELIE ROUPHAEL

WERNER SCHMITZ, DIETMAR GOLDMANN

DRS: FAOUZI KARAM, SAYDEH SOKHN, TONY DIB

October 3 - 5

THE DENTSPLY TEAM AT THE BIDM 2019

ELIA AND ROBERT DACCACHE

DENTAL NEWS

PHOTO BOOTH

DRS: KAMAL BENMANSOUR, MOHAMED SDIRA, TONY DIB, MOHAMED JERRAR, AHMED RIZG, YASSRER ELGENDY, MAHMOUD BAHGAT, SALLY AHMAD

THE DURR TEAM AT THE BIDM 2019

DRS: MARC HABIB, HANI OUNSI, GABY HADDAD, TONY DIB, WALID NEHME, ZIAD SALAMEH, PETER TAWIL

DR. ROLA DIB KHALAF PRESIDENT LDA TRIPOLI, WITH THE BIDM GUESTS

LEFT TO RIGHT: MRS & DR. BAHGAT, YASSER ELGENDY, MOHAMED SDIRA, MOHAMED JERRAR, KAMAL BENMANSOUR, MOHAMED DIB

DENTAL NEWS PHOTO BOOTH

King Abdulaziz University

5th International Conference

October 21 - 24, 2019

Jeddah, Saudi Arabia

SAUDI DENTAL EDUCATION SOCIETY BOOTH

Exhibition Floor

SIGNING A MOU WITH AL OULA NON PROFIT ORGANIZATION TO TAKE CARE OF THE ORAL HEALTH OF THE LESS PRIvILEGED CHILDREN.

It is my distinct honor to be standing here today on behalf of my colleagues, those of us who’ve been invited to participate in this the fifth international Dental conference hosted by King Abdulaziz University. This visit of course also gives me a privileged opportunity to meet up with some of our own dental school graduate alumni, several of whom now occupy faculty positions at this university.

At the time when there are many stressors in the world and even conflicts, in academia, we have an opportunity, and I would suggest even a responsibility through our shared passion and dedication to scholarship, education and research which are all aimed at increasing knowledge and improving the health of our patients and even communities and nations.

Furthermore, this conference follows soon after the milestones announcement that King Abdulaziz University faculty of dentistry has become the first in the world outside the United States to receive US Commission on Dental Accreditation (CODA) approval. That is truly momentous and I congratulate Dean Mira and all his faculty on this achievement. The implications are highly significant and we look forward to working together in the future.

In conclusion, I once again congratulate the organizers for this conference and for the Royal patronage of the conference and look forward very much to participating over the next few days.

Michael Kowolik, Associate Dean, Indiana University, School of Dentistry

SAUDI PROSTHODONTIC SOCIETY BOOTH

TONY DIB, JAMILA FARSI, ALI ALEHAIDEB, TAKASHI ONO, ZUHAIR MURSHID

DRS:

CODA grants accreditation to the King Abdulaziz University in Saudi Arabia the first International predoctoral dental education program

The Commission on Dental Accreditation announced in August 2019 it accredited a predoctoral dental education program at the King Abdulaziz University in Saudi Arabia — becoming the first international predoctoral dental education program to receive the accreditation.

The Commission, at its Aug. 1 meeting, granted an accreditation status of Approval Without Reporting Requirements. This means that students from the university who are enrolled and successfully complete the program at the time of accreditation will be considered graduates of an accredited program.

“An important reason international programs apply for CODA accreditation is to be assessed against CODA’s requirements,” said Dr. Arthur C. Jee, CODA chair.

“The CODA accreditation evaluation process ensures and improves educational quality in post-secondary education. This likewise improves and consistently elevates educational standards. We congratulate and look forward to working with the international predoctoral dental education program sponsored by the King Abdulaziz University, and their promotion of continuous quality and improvement of their program through the Commission’s accreditation process.”

The Commission on Dental Accreditation assesses the application for accreditation at stage four, using the same policies, procedures and accreditation standards that are in place for U.S.-based programs.

A CODA accreditation does not mean graduates from King Abdulaziz University are licensed to practice dentistry in the U.S. Licensure for a graduate of any program accredited by CODA is still dictated by individual states practice acts. The final authority on licensure requirements rests with the individual state dental boards or similar agency.

LOUAI ALSOFI, MOHAMED BAMASHMOUS, WAEL ELIAS, ALAA MANNAA, AMAL SINDI, PROF. ABDULGHANI MIRA, DR. RAYYAN KAYAL, AYMAN ALDHARRAB, ABDULLAH AL-MUSHAYT, HANI NASSAR, IBRAHIM YAMANI

LEFT TO RIGHT: ABDULELAH BINMAHFOOZ, RAYYAN KAYAL, AMAL SINDI, AYMAN ALDHARRAB, ABDULGHANI MIRA, ABDULRAHMAN ALYUBI, YOUSEF AL-TURKI, HAMED ABDELRAOUF

PROF. ABDULGHANI MIRA

DEAN OF THE DENTAL

SCHOOL AT KING ABDULAZIZ UNIvERSITY

DR MOSA ELTASSAN, PROF. ABDULGHANI MIRA, DRS. NAJLA ELAMOUDY, LANA SHINAWI, NADIA ALHAZMI

DRS: AMAL SINDI, MOTAZ GHULMAN, ABDULGHANI MIRA, TAREK ELKHATIB, ABDULELAH BINMAHFOUZ, NAJLA ELAMOUDY

DRS. RAYYAN KAYAL, AYMAN ALDHARRAB, PROF. ABDULGHANI MIRA, AMAL SINDI, ABDULELAH BINMAHFOOZ,

11th Dental Facial Cosmetic International Conference

November 8 - 9, 2019

Dubai, United Arab Emirates

The 11th Dental Facial Cosmetic Exhibition took place on Friday and Saturday, 08-09 November 2019 at the InterContinental Hotel, Festival City Dubai, UAE, with around 2,000 dental professionals participating.

The event, now in its 11th edition, has grown in the past years tremendously. With over 40 companies, the event provided dental professionals with an excellent opportunity to discover the latest products, new ideas or specialist’s advice, while many of the exhibitors showcased the latest dental equipment or materials, the best offers and support services to help the dental team run a smarter, more efficient, and profitable business. Additionally, across the exhibition area, dental professionals met manufacturers from the region who are looking for distributors or wholesaler to help them bring their products to the market.

In order to help all dental professionals to enhance their experience, the event organizers offered a rich clinical and product education programs, for free. Those are called, «Free Training at the Exhibition», and were available for the delegates to attend during the two-day event.

DRS: NADIM ABOU JAOUDEH, NABIL BARAKAT, BAHIA SHAMSLDEEN, TONY DIB, AISHA SULTAN, DOBRINA MOLLOvA, JEAN-MARIE MEGARBANEH

PHOTO AT THE FKG BOOTH

ABDUL RAHMAN AL AZRI, TONY DIB, YOUSEF ABDALLAH, KHALIL ALEISA, MESHARI ALOTAIBI

Speakers

DENTSPLY SIRONA BOOTH

DR. TONY DIB WITH DR. DOMENICO BALDI

DR. MOUNIR SELWADI, PR. BRIAN MILLAR

DR. MOUNIR SELWADI, DR. SIMONE MORETTO

PR. HANI OUNSI

DR. MOUNIR SELWADI, DR. DOMENICO BALDI

3SHAPE BOOTH

vITA BOOTH

Greater New York Dental Meeting 2019

November 29 – December 4, 2019

New York City, United States of America

The Greater New York Dental Meeting took place during the holiday season for its 95th annual session. The GNYDM is the largest and most popular Dental Meeting, Exposition and Congress in the United States.

The Greater New York Dental Meeting participates in the U.S. Department of Commerce International Buyer Program, which supports the international purchase of U.S. exported products. This program includes on-site multilingual personnel assistance to facilitate international purchases of dental products and equipment. Worldrenowned clinicians addressed a vast array of topics ranging from clinical dentistry to the latest information and research. Topics were addressed in a wide variety of formats including “live” dental procedures, hands-on workshops, seminars, essays, panel discussions and scientific poster sessions. As cutting-edge knowledge and information expands yearly, the GNYDM provided educational programs that reflect the most relevant and indemand topics in Dentistry. One of the highlights this year was the “3D Printing & Digital Dentistry Conference.” and the “World Implant Expo.” Developed in partnership with the American Academy of Implant Dentistry, the International Congress of Implantologists and the European Academy of Osseointegration, this Expo brought together the best and brightest implant dentists from around the world to lecture and provide workshops at the Meeting. Also returning for the third year is the “Global Orthodontic Conference,” as well as the Dental Laboratory

DR. LAURO MEDRANO-SALDAñA PRESIDING THE CELEBRITY LUNCHEON

DR. LAURO MEDRANO-SALDAñA, GENERAL CHAIRMAN, GNYDM

JOHN QUINONES GUEST OF THE CELEBRITY LUNCHEON

DR. MOHAMED AHMED FROM UAE, RECEIvING THE YOUNG DENTIST RESEARCHER AWARD

LAURO MEDRANO-SALDAñA, STANLEY BERGMAN

CHAD P. GEHANI PRESIDENT OF THE ADA PRESENTING STANLEY BERGMAN, HENRY SCHEIN CEO, A PLAQUE OF APPRECIATION

TotalFill® BC Sealer HiFlow™

FKG Dentaire presents its new product for

Clinicians now have two distinct formulations of the same proven pre-mixed bioceramic sealer to choose from. Compared to standard TotalFill® BC Sealer™, TotalFill® BC Sealer HiFlow™ exhibits a lower viscosity when heated and is more radiopaque, making it optimized for warm obturation techniques.

Standard gutta-percha can be used with TotalFill® BC Sealer™, but for a true, gap-free seal, TotalFill® BC Points™ are recommended. TotalFill® BC Points™ are impregnated and coated with bioceramic particles to allow for bonding with TotalFill® BC Sealers. For warm techniques it is recommended to use TotalFill® BC Sealer HiFlow™ with the TotalFill® BC Points™ 150 Series, along with TotalFill® BC Pellets™ at 150 °C – 220 °C.

website: www.fkg.ch

ONE COAT 7 UNIVERSAL Etching & Bonding

warm obturation

Top Features:

• Condensation-based technique

• Optimal for warm obturation

• Lower viscosity when heated

• Higher radiopacity

ONE COAT 7 UNIVERSAL is a light-cured, one-component bonding agent used with the self-etching, selectively etching or total etch technique for adhesive restoration.

• Low-evaporation formula – no volatile acetone-based solvents that can quickly evaporate

• Nanofilled technology – delivers a homogenous bond layer and improves mechanical properties

• Outstanding shear bond strength

• Superior marginal integrity with low risk of marginal sensitivity

• Antibacterial*

• One Coat 7.0 Activator – compatibility to chemicalcured materials

• New user friendly bottle

• Single Dose

*Test method: Proliferation assay for testing the antimicrobial activity with S. epidermidis by QualityLabs, Germany.

Areas of application:

• Adhesive attachment of composite materials and compomers on enamel and dentine

• Adhesive attachment of ceramic and composite restorations to enamel and dentine

• Adhesive attachment of composite material on ceramic, composite material, metal and amalgam

• Dentine sealing

Application techniques

Self- Etch: ONE COAT 7 UNIVERSAL is applied on enamel and dentine

Selectiv- Etch: Enamel is etched, ONE COAT 7 UNIVERSAL is applied on enamel and dentine

Total-Etch: Enamel and dentine is etched, ONE COAT 7 UNIVERSAL is applied on enamel and dentine

website: www.coltene.com

Rotadent ProCare® Professional Rotary Toothbrush

The Rotadent® ProCare Professional Rotary Toothbrush is an effective one-step solution for optimal oral hygiene at home. Rotadent ProCare is the only power toothbrush clinically proven to be as effective as brushing and flossing combined.

Rotadent ProCare offers:

• the power of a disease-fighting instrument modeled after professional prophy handpiece

• removal of 92% of plaque in the first minute of brushing

• consistently superior results in in-vitro stain removal from both flat and interproximal surfaces

• an increase in patient compliance with homecare and recare appointments

Includes:

• (1) Rotadent ProCare Professional Rotary Toothbrush

• (1) Charger

• (1) Short-Tip Brush Head

• (1) Hollow-Tip Brush Head

website: www.denmat.com

CA ® CLEAR ALIGNER –3 aligner per step for accelerated treatment

precision made in Germany clinically proven 3-splint-system for effective treatment treatment corrections are possible at any time more than 400.000 patients successfully treated

Incredible inside. Incredible outside. Ready for the future with the new Lara sterilizer

Be prepared for today and for tomorrow – with the new Lara sterilizer from W&H, users not only have state-of-theart today, but additional high-tech for the future. Equipped with fast cycle times and a safe documentation system, Lara simplifies and speeds up the sterilization process. Lara offers so much more: with W&H´s new invented activation code system, users can easily upgrade additional features. This allows Lara to be easily adapted to individual and future requirements of the practice.

Incredibly fast, incredibly easy to use

From inside a full power package, from the outside a real eye-catcher: The new Lara convinces with its smooth surfaces and its colour touchscreen, which allows fast and intuitive navigation through the menu structure. The clear aim of the operating concept is to save time in order to have more time available for the treatment of patients. Even the standard version of Lara is equipped with one of the fastest cycle-times of its class.

To meet the demand for complete traceability, a high capacity USB drive automatically records the cycle reports throughout Lara´s entire service life. Users benefit from control and safety during instrument reprocessing. Optionally available: a label and cycle report printer, which offer printed documentation without additional computer or software. An automatic water filling valve provides additional efficiency: it allows connection to a demineralization system. This means manual filling and draining are no longer required.

Enhanced functionality by easy upgrade

Depending on future requirements of the practice or regulatory needs, the new Lara sterilizer can be easily customised and upgraded by the activation code system. This allows users to activate even more speed and an extended documentation. The activation codes and functions at a glance:

Activation Code “Performance”: even faster cycle times by upgrading to Eco Dry +, which automatically adapts the drying time to the mass of load. Saving time and energy.

Activation Code “Fast Cycle”: a type S fast cycle whenever needed, the fast cycle allows sterilization of unwrapped instruments in just 20 minutes.

Activation Code “Traceability”: this functionality enables the customisation of the sterilizer to trace back to the person who initiated the sterilization cycle.

Activation “All-in-one”: this code activates all functions mentioned above at once.

Whatever happens in the future – with Lara, you are well-prepared! In addition to the standard Lara functionalities with the high level of W&H quality, the new activation code system offers the opportunity to prepare today for tomorrow’s requirements. This gives dental practices more flexibility and, above all, the certainty that they are optimally equipped for all upcoming tasks.

website: www.wh.com

YEARBOOK 2020

Cultivating well-being

EDITORIAL

« we have to communicate actively and productively in both the easy and the tough times. »

In our modern lifestyle, health professionals risk burnout (burnout is the exhaustion of physical or emotional strength or motivation) because of overwork or excessive stress. As a professional community and in order to reduce burnout, we have to communicate actively and productively in both the easy and the tough times. With no doubt enjoyable and fulfilling career is a component of our happiness but maintaining relationships with peers and colleagues enhance social inclusion and promotes a culture of wellbeing. Connections to others around you and your life provides support in society, engagement and happiness. Whether we are busy or feeling blue, we have to promise ourselves to make time for others, by limiting work hours and investing in cultivating relationships through social activities. This can either be a network of close friends, like alumni friends we know or people we would like to know better or family members with the same value systems and traditions. Friendships improve our health and well-being because they help us feel supported and understood. Put this at the top of your to-do list for 2020.

A lesson I learned about friendship over the years: true friends are hard to find, but they’re out there.

Company name: 3Shape

Country of origin: Denmark Website: www.3shape.com

3Shape is changing dentistry together with dental professionals across the world by developing innovations that provide superior dental care for patients. Our portfolio of 3D scanners and CAD/CAM software for the dental industry includes the award-winning 3Shape TRIOS® intraoral scanner, the 3Shape X1® CBCT scanner, as well as market-leading scanning and design software solutions for dental practices and labs.

Two graduate students founded the company in the year 2000. Today, 3Shape has over 1,500 employees serving customers in more than 100 countries. 3Shape products and innovations continue to challenge traditional methods, enabling dental professionals to treat more patients more effectively.

Miguel.Dovalo@3shape.com

3Shape TRIOS 4 with MOVE+

Advances in digital dental technology like the 3Shape TRIOS® 4 intraoral scanner and TRIOS MOVE+ enable dentists to perform increasingly consistent, predictable, and accurate treatment procedures. Patients benefit from improved comfort and involvement in treatment planning that engages and excites them about their options and predicted outcomes.

The MOVE+ features an expanded, 15.6” HD touchscreen mounted on an ergonomic, adjustable arm. This helps dentists position the screen to share TRIOS intraoral scans with patients and acts as a canvas to design and discuss treatment plans.

The screen and arm are attached to an elegant, easy-to-move stand with a PC that delivers fast and smooth scanning technology. The iconic, minimalist design is complemented by graceful details like subtle roundings and premium, brushed aluminum reflecting MOVE+’s Danish DNA.

The TRIOS 4 continues 3Shape’s legacy of developing the most advanced, accurate intraoral scanners in the dental industry.

A marriage of form and function, the wireless TRIOS 4 combines innovations like caries diagnostic aid and monitoring tools with a distinctive, ergonomic design that guarantees better patient and operator comfort.

Company name: A-dec

Country of origin: United States of America Website: www.a-dec.com

“A-dec began with a simple idea: make the best better.” -Ken Austin, Founder & Co-owner A-dec.

A-dec is the world’s leading manufacturer of dental chairs, delivery systems, and dental lights including the award-winning A-dec LED light.

Mission: Provide a quality environment where people work together for the betterment of dentistry worldwide.

Description: A-dec’s long list of milestones includes some of the industry’s most revolutionary dental equipment. It’s no wonder. A-dec co-founders Ken and Joan Austin never strayed from a single-focused purpose: make the best better. Whether it’s advancing ergonomics, elevating infection control or integrating delivery system technologies, the results have added comfort, efficiency, and reliability to the world of dental care since 1964.

EGYPT

HIGH TECHNOLOGY COMPANY

17 Omer Bin El Khattab Street Sheraton, P.O. Box 106, Heliopolis Area, Rawda Sheraton, Cairo, 11799

Phone: +201222183362 htc_eg@hightechnologyeg.com

IRAQ

TAMER LEVANT

Italian City, Villa 570, Nawroz Post P.O. Box 50, Erbil Phone: +964 7501 440 400 levant@tamerholding.com

KUWAIT

ADVANCED TECHNOLOGY COMPANY

P.O. Box 44558, Hawally, 32060 Phone: +965 22247444 +22247444 info@atc.com.kw

SAUDI ARABIA

ABDULREHMAN ALGOSAIBI G.T.C.

Head Office Algosaibi Building, King Abdulaziz Avenue, P.O. Box 215 Riyadh, 11411 Phone: +966 11 479 3000 dental@aralgosaibico.com

LEBANON

DROGUERIE TAMER S.A.L. Tamer - Sim Building, Midan Street Dekwaneh, P.O. Box 11-41 Phone: +961 1 694 000 dental@tamerholding.com

BAHRAIN

GULF PHARMACY

Building 390, Road 3009, Block 330 New Zinj, Manama 330 P.O. Box 2576

Phone: +973 17 239 399 office@gctbahrain.com

OMAN

BAHWAN HEALTHCARE CENTRE LLC

Al Rawaq Building No.: 10/1, Block 205, Plot 20, Office No.: 207, Street 7, PO Box 169, Postal Code 100, Al Qurum, Muscat Phone: +968 2465 0799 bhc@suhailbahwangroup.com

UNITED ARAB EMIRATES

GULF & WORLD TRADERS L.L.C. P.O. Box 5527, Deira, Dubai Phone: +971 4 282 1717 gwtdental@gwtuae.com

QATAR

SHINE TECHNOLOGY COMPANY

Flat 1 Second Floor, Oman Airline Building, Al Sadd Street, Doha P.O. Box 202053

Phone: +974 4442 4423 medical@qatar.net.qa

Company name: Takara Belmont Corporation

Country of origin: Japan

Website: www.takarabelmont.co.jp/global/dental/

Takara Belmont has been contributing to people’s wish to stay healthy and beautiful through a century of our history. Founded in Japan in 1921, and we drew on our hydraulic technology and began manufacturing dental chairs in 1960s.

Committing to the healthy life not only for patients, but also for dentists & staff, our products are designed and developed to support dentist, forging a bond of trust with their patients. Based on the spirit of Japanese manufacturing, each belmont chair is the result of more than 50 years of product research and development, meticulous engineering expertise and innovative production methods.

Through our worldwide network of offices and subsidiaries, Belmont continually monitors current industry and market needs as we strive to design and introduce high quality, creative products that help increase work efficiency and productivity.

ALGERIA EXPERT DENTAL INDUSTRY

R. Ben Aissa Madani-Ain Azel-Setif

Phone: +213 36 83 47 02 edi-setif@hotmail.fr

BAHRAIN

MEDICAL & PHARMACEUTICAL SERVICES CO. W.L.L.

Building 1877 Office 4 Road 2124

Block 321

Phone: +973 37 77 18 67 mahmoud-akil@bashirco.com.sa

EGYPT

SAFWAN EGYPT

10 Lebanon St., Mohandessen, Giza

Phone: +20 2 33 02 27 92 info@safwanegypt.com

IRAN

ARDIN CO.

App.#12,#64, Next to the Mehrshad Alley, Saiedi St. Africa Blvd., Tehran

Phone: +98 21 22 65 59 53 info@vivanvesta.com

TASVIR TEB HUMERS

199, Zafar St, Modares Highway, Tehran

Phone: +98 21 22 22 91 55 ashkan.yousefi@gmail.com

IRAQ

NASEEM BAGHDAD COMPANY FOR MEDICAL & LABORATORY EQUIPMENT TRADING LTD.

Al-Mansoor, Hay Dragh, Block No.603, Street No.17, Building No.11, Baghdad

Phone: +964 1 54 81 25 dental@naseem-baghdad.com

JORDAN

SALBASHIAN TRADING CO.

Arar Mustafa Wahbi Al Tal St 128, Amman 11118 Ammam

Phone: +962 64 64 58 45 mohammad.m@salbashiangroup.com

KENYA

DENTMED (K) LTD

3rd Floor, Darshan Towers, Woodvale Grove, Westlands, P.O. Box 43873, Nairobi, 00100

Phone: +254 2 04 44 53 07 infinity@iconnect.co.ke

KUWAIT

AL-SAYAFE MEDICAL & PHARMACEUTICAL SUPPLIES CO. W.L.L

Behind Hajji Maarfie Clinic Block 2, Street No.73, Building No.98 Fourth Floor Bnaid Al Gar

Phone: +965 22 45 49 24 alsayafe@alsayafemedical.com

LEBANON FIMALCO DENTAL

Mazraa-Mar Elias Street-Hariri Center 1st Floor, Beirut Phone: +961 1 30 24 32 fimalco@hotmail.com

MOROCCO

SOGEDENT

Mailbox 13500 Casa-Principal, Casablanca

Phone: +212 5 22 89 30 14 info@sogedent.ma

OMAN

MEDICAL& PHARMACEUTICAL SERVICES CO. L.L.C

Qurum – A-Harty Complex

Sultan Centre Bldg. 2nd Floor

Mina’ Al-Fahal – Muscat

Phone: + 968 92 61 63 43 mahmoud-akil@bashirco.com.sa

SAUDI ARABIA

MEDICAL & PHARMACEUTICAL

SERVICES BASHIR SHAKIB AL JABRI & CO. LTD

Rehab District, Palestine Street, Jeddah

Phone: +966 1 26 70 04 30 mahmoud-akil@bashirco.com.sa

SUDAN

RASD Medicines & Medical

Equipment Import No.761, Block 22, Altaif, Khartoum

Phone: +249 1 83 52 79 21 m.eisa@rasdtec.com

RADMED MEDICAL COMPANY

No.344 Block 1, Al sitteen street, al jureif west khartoum

Phone: +249 1 23 16 99 09 mohamed.osman@radmedco.com

TUNISIA

MED PRO TUNISIA

Building Integram Ang street Mexico & Argentina street 4et office No. 4 1002

Tunis, Belvedere

Phone: +216 71 89 16 60 med-pro@outlook.com

TURKEY LIDER DIS Fevzi Cakmak Sokak No:11/5 Kizilay

Ankara

Phone: +90 31 22 31 64 85 lider@liderdis.com.tr

UNITED ARAB EMIRATES

CITY PHARMACY CO.

P.O. Box 2098 Airport Rd., Abu Dhabi

Phone: +971 26 73 29 54 headoffice@citypharmacy.com

YEMEN

YEMEN STORES FOR DRUGS & MEDICAL SUPPLIES

P.O.Box 1465 Alzybairy Street, Y.R. Sana’a Amman St. Phone: +967 1 44 54 79 info@yemenstores.com

Our new dental unit, EURUS embodies our belief of bringing highly reliable Japan-quality products to dentists in the world.

The hydraulic mechanism of the chair ensures smooth and quiet movement of the joints and provides a comfortable feeling for patients.

One of the characteristics, touch screen interface has been designed to improve efficiency and reduce stress during treatment. When a handpiece is chosen and picked up, the screen displays only necessary information, helping the dentist concentrate on the treatment.

EURUS is shown in Aeedc Dubai 2020, so we welcome your visit at our Belmont booth.

New Lineup for

Unit : CLESTA II/ CELEB

Chair : CLESTA II/ CELEB CHAIR (EURUS TYPE) new

Light : EURUS LIGHT new

The CLESTA II/ CELEB CHAIR (EURUS TYPE) provides:

• 200 kg patient lifting capability

• Double articulating headrest with more precise and lighter adjustment

• Hands-free chair stick switch

The EURUS LIGHT provides

• Sensor activation

• Steppless intensity between 3,000 lx and 28,000 lx

• Composite mode

BEYOND® Polus® Advanced Ultra Whitening

Accelerator

Combines halogen, LED and patent-pending ultrasonic technologies for an award-winning premium whitening experience.

Each Polus features the LightBridge™, an innovation designed to optimize the full whitening capabilities of halogen power while eliminating the need to block out pink tissue. The LightBridge™ consists of 30 specially coated dual lens that block all UV and harmful heat, coupled with over 200,000 optical fibers that deliver the full halogen output following both arches of the patient.

12 LED lights merge with the halogen for both deep bleaching as well as soft surface whitening. Finally, ultrasonic technology helps in accelerated diffusion of hydrogen peroxide through dental enamel, further augmenting results for a shorter treatment time and higher ROI for the dental practice.

• Curing light with single-tooth whitening option included

• Built-in photo instructions, showing specific clinical cases and suggested protocols for treatment

• Remote control with call button, time check for patient and audio introductory and post-treatment function

• Air ionizer for a cleaner and healthier environment

BEYOND® II Ultra Whitening Accelerator

The compact yet modern design of the BEYOND® II Ultra Whitening Accelerator is an economical choice that works for any dental office. 10 high-intensity blue LEDs deliver a tailored beam of light newly augmented with ultrasound. This innovation assists in providing superior whitening results in a shorter treatment time. Our digital display board provides quick client prep time and simple system operation. The BEYOND® II has the option of secondary light unit capability for the treatment of two clients simultaneously.

When used in combination with BEYOND® proprietary whitening formula, the end result is not only whiter but shinier teeth with reduced prep and chair time.

• The BEYOND® II is both lightweight and portable for both travel and ease of use for room to room

• Quick and simple client preparation and system operation with digital display control board

• Built-in air purifier reduces airborne pollutants that may exist within the treatment space, actively contributing to a cleaner and healthier environment

Company name: BIEN-AIR DENTAL SA

Country of origin: Switzerland Website: www.bienair.com

Bien-Air boasts 50 years of experience in dental medicine and provides comprehensive solutions and products that are renowned for their excellence all over the world. The products produced by Bien-Air are 100% Swiss Made and are manufactured in the heart of the famous Swiss “Watch Valley”, the birthplace of unique expertise in microtechnology.

Offering the best instruments to simplify the work of practitioners and constantly improve patient comfort has been Bien-Air’s mission since it was founded in 1959.

MENA DISTRIBUTORS

BAHRAIN

GULF MARKETS INTERNATIONAL

Alfanar builduing, Esteglal Highway

P.O. Box 5854, East Riffa

Phone: +973 17 49 00 40 shahid@gulfmarketsintl.com

GULF HOUSE MEDICAL

#604, P.O. Box 15658 Road 3312, Block: 333 Manama Phone: +973 1741 1037 prasadjoy@gulfhousemedical.com

IRAQ

NASEEM BAGHDAD COMPANY

Al-Mansoor District, Hay Dragh, Block no. 603, Street No. 17, Building No. 11, Baghdad Phone: +964 1 542 8125 dental@naseem-baghdad.com

JORDAN

AL-GHAD MEDICAL SUPPLIES

Fayad Al Assaf Complex, Wasfi Al Tal St. 169 P.O.Box: 954105 11193 Amman, Jordan

Phone: +962 6 552 63 58 majd_hassan@alghadmedical.com

KUWAIT

AL-BADER AL-OULA MEDICAL CO 14th Floor, Al-Jawhra Bldg., Ali Al-Salam Rd., Kuwait City

Phone: +965 22461116 Janetd93@hotmail.com

Ergonomics, precision and reliability are at the core of the development of every new product. Bien-Air enjoys a reputation which spans implantology systems, handpieces, contra-angles and turbines.

The company is the largest manufacturer of first-rate micromotors in the world. Bien-Air Dental always provides the perfect solution – whether for prophylaxis, restorative treatments, endodontics or implantology.

LEBANON

DENTALICA

Sin El Fil, Lot 549, 6th floor, Beirut Phone: +961 1 490050 fadi.balhawan@hotmail.com

INTERBIO (Implantology only) Credit Commercial & Foncier Center 1st floor, Dekwaneh - Freeway area Phone: +961 1 491 891 chadi.maroun@interbio.me

SAUDI ARABIA

CARE AND PLANNING FOR HOSPITALS CO. LTD Office #4, 2nd floor, 911 Bldg King Fahd Road, P.O. Box 55306 11534 Riyadh Phone: +966 11 4169558 a.yaseen@care-hdh.com

ALRAZI MEDICAL SUPPLIES CO. Al Waleed Center, Khalid Bin Waleed Street, Al Sharfeyah District P.O Box # 6589, 21452 Jeddah Phone: +966-2-6519097 sales@alrazimed.com

UNITED ARAB EMIRATES

AL-HAYAT PHARMACEUTICALS

312 Al Wahda Street, Office # 101 P.O. Box 4483, Sharjah Phone: +971 6 559 2481 mueen.abueida@alhayatuae.com

QATAR

NAGASHI MEDICAL SUPPLIES 13 Airport Road, Al Hilal, Doha Phone: +974 4458 1735 mohamed.gameel@nagashimedical.com

TURKEY

UNALDI MEDIKAL

Maltepe Mah. Edirne, Cirpici Yolu Sk. Mira, Rezidans No: 5/3 D:6 Zeytinburnu, 34010 Istanbul Phone: +90 212 621 32 71 bulent@unaldimedikal.com.tr

OMAN

IBN SINA GROUP LLC 318/A, November 18, 116 Al Uthaiba, Muscat Phone: +968 2412 74 91 info@ibnsinaoman.com hamza.abubakar@ibnsinaoman.com

SYRIA

DALIL CO

Al-furqan, Aleppo Phone: +963 944 349 222 feras-f78@hotmail.com

EVO.15

The

world’s safest

contra-angle, developed by Bien-Air Dental

In response to public health authorities’ growing concern over patient burns caused by rotary dental instruments, Swiss medical technologies company Bien-Air Dental has developed the EVO.15, the safest contra-angle on the market today.

In procedures involving contra-angles, the slightest contact between the instrument’s push-button and the inside of the patient’s cheek may cause the instrument to overheat, resulting in possible burn injuries. The most severe cases have caused third-degree burns requiring reconstructive surgery, and potentially exposing the practitioner to lengthy legal action.

Equipped with patented CoolTouch+™ heat-arresting technology, the EVO.15 is the only contra-angle proven never to exceed human body temperature. Additionally, the EVO.15 features a considerably smaller and lighter shockproof head and premieres technological innovations ranging from a new spray/ lighting system to an improved bur-locking system.

Committed to safety, the EVO.15 gives progressive dental practitioners peace of mind in all situations.

New Chiropro

Pure simplicity

Designed to simplify the fitting of implants, the New Chiropro has been fully developed around a single philosophy: simplicity.

A single control button allows you to control the entire system. Simply turn the button to navigate via the menus and adjust the settings, and press it to confirm the selected value. Moreover, the control buttonthe only point of contact between dentists and the unit during procedures - can be easily removed and sterilised to simplify maintenance.

Thanks to its clear and concise interface, the New Chiropro plainly displays all the information required for procedures to go smoothly: type of instrument, speed, torque, irrigation flow and direction of rotation. Pre-set operating sequences and the option to modify settings based on patients’ dental features also make the New Chiropro easier to use.

Company name: BISCO, INC.

Country of origin: United States of America Website: www.bisco.com

BISCO, a global leader in aesthetic dentistry continues to develop innovative products for contemporary dentistry. At BISCO “Adhesion is our passion” and we dedicate our lives to understanding and improving the bond. We understand the importance of the supporting layer of the restoration. Whether you are working with implants, zirconium, ceramics/lithium disilicate, or porcelain fused to metal we focus on dentistry from the bottom up so your patients can enjoy top down esthetics.

BISCO proudly manufactures its materials in the United States and markets its products through highly trained, focused distributors outside the United States. At BISCO, we understand that product quality, consistency and freshness are of great importance. BISCO Dental Products are available worldwide with award winning brand names such as ALL-BOND UNIVERSAL®, AELITE ™, DUO-LINK UNIVERSAL™, TheraCal LC ®, TheraCem® and Z-PRIME ™ Plus.

EGYPT

ALEX DENT

31 El Rashidi St., Kasr EL Ainy

Shaheen Medical Mall, Cairo Phone & Fax: (20100) 140-6378 heshamelsheikh79@yahoo.com

IRAN

DONYAYE KALAYE SINA (DKS) CO.

#1, No.9 Vernous St. Keshavarz Blvd. Tehran 1415953131 Phone: 98-21-88998248 farazbehzadi@gmail.com

IRAQ

MZK DENTAL PRODUCTS     Platin Pharma Scientific Drug Bureau, Alsaadon, Almushajar street, Baghdad

Phone: +964-7901454584 ahmed.alhashimy@platin-pharmasb.com

JORDAN

BASAMAT MEDICAL SUPPLIES

125 Al-Razi Street

Jabal Al-Hussein, Abdali Area

Amman

Phone: 962-6-5605395 ziad@basamat.com

KUWAIT

ALPHA MEDICAL

Shareq, Ahmed Al Jaber St. Dasman Complex, Block 1 9th Floor, Office 22 Code: 35153, Dasmah Phone: 965-2-2478611 georgesaba@alphamedicale.com

LEBANON

DENTAL MEDICAL SUPPLIES - DMS

Lebanon - Sed el Bouchreih Imad el Hachem Center, 2nd Floor, Beirut Phone: (961) 124-0444 dms@dms-leb.com

LIBYA

AL RADWAN GROUP

Dat Elmad complex, tower NO 5, H7 first floor, Tripoli Phone: (21891) 900-1106 muataz@alradwangroup.org

MOROCCO

DENTAL EXPERT

Rue Ibnou Katir Lot 7, Maarif Extension, Casablanca Phone: (21262) 350-5758 dentalexpert1@gmail.com

QATAR

NASSER TRADING & CONTRACTING

Salwa Rd, Midmac Roundabout, Nawar Building, Doha Phone: (9744) 466-5409 ntc@qatar.net.qa

SAUDI ARABIA

CIGALAH BIO MEDICAL 5th. Floor, Al-Ma’moun Tower, Ali Bin Abi Taleb Street, Al-Sharafiyah District, Jeddah Phone: (96612) 231-6194

ifarra@cigalah.com.sa

TUNISIA

L’EXCELLENCE MEDICALE Avenue des Martyres, IMB Palmaruim 4 B71, Sfax 3000, Tunisia Phone: (2163) 153-8072 import@excellencemedicale.tn

TURKEY

PASA DENTAL

Millet Cad. Karagul Is Merkezi No.102 - Findikzade, Istanbul 34270 Phone: 90-212-5312971

hkara@pasadental.com.tr

UNITED ARAB EMIRATES

BIO LINK MEDICAL AND SURGICAL TRADING Office 301& 302, 3rd Floor Jumeirah Terrace Building, 2nd December St., Jumeirah 1, Dubai Phone: 971-4-3596242 info@biolinkdubai.com

YEMEN

EZ DENTAL MATERIALS & SUPPLIES

Mujahid St. Sana’a Phone: (96777) 022-2319 ezzaden.m@gmail.com

TheraCal PT®

Dual-Cured Resin Modified Calcium Silicate Pulpotomy Treatment

TheraCal PT is a biocompatible, dual-cured, resinmodified calcium silicate designed for pulpotomy treatment. TheraCal PT maintains tooth vitality by performing as a barrier and protectant of the dental pulpal complex.

TheraCal PT’s chemical formulation consists of synthetic Portland Cement calcium silicate particles in a unique hydrophilic matrix which facilitates calcium release. TheraCal PT is radiopaque allowing for easy identification and differentiation

from recurrent decay and other restorative materials. TheraCal PT’s physical properties resist breakdown and degradation leading to a durable seal. TheraCal PT is also indicated for direct and indirect pulp capping (liner) and as a base.

BISCO’s THERA brand includes TheraCal LC, TheraCem and now TheraCal PT. BISCO believes that better dentistry can be achieved when practicing the THERA way.

TheraCal LC®

TheraCal LC is a light-cured, resin-modified calcium silicate. Its unique apatite stimulating ability makes it ideal for direct and indirect pulp capping and as a protective liner.

ALL-BOND UNIVERSAL®

BISCO’s All-Bond Universal allows you to standardize clinical protocols for effective delivery of adhesion with a single-bottle.

BISCO’s Dream Team

BISCO’s is committed to solving clinical challenges through extensive research and product chemistry that ensure our team of restorative solutions not only work well, but perform well together. This award-winning group of restorative solutions is effective, universally compatible, easy to use and worry-free.

Z-PRIME™ Plus

Z-PRIME Plus is a single-component priming agent used to enhance adhesion between indirect restorative materials and composite resin cements.

TheraCem®

Delivering a strong bond to zirconia and most substrates, along with easy clean up and high radiopacity, TheraCem® offers clinicians an effortless, reliable and durable cementation of indirect restorations.

Company name: Cavex Holland BV

Country of origin: The Netherlands Website: www.cavex.nl

For more than a century Cavex Holland BV has produced dental materials that meet the most demanding expectations when it comes to quality and reliability. Cavex is a highly competitive, manufacturing organization with a distinct assortment of high quality, branded and OEM products, available worldwide. The Cavex assortment comprises impression materials, composites, bonding systems, hygiene products, endodontic products, bleaching material, laboratory products and temporary materials. Cavex will continue to create and produce new products in close corporation with our customers. We value your input and your impression will always be our main concern.

MENA DISTRIBUTORS

ALGERIA PROMODENTA SARL.

21, Rue Boumenir Mouloud 26000 Medea

Phone: +213 25 596277 promodenta@gmail.com

BAHRAIN

AL NOOR EST. FOR MEDICAL MATERIALS

PO Box 21538, Manama Phone: +973 17 592 291 alnoor99@batelco.com.bh

CYPRUS

CYPRUS PHARMACEUTICAL ORGANIZATION LTD.

P.O. Box 21005 1500 Nicosia

Phone: +357.22.863.100 cpomeditec@papaellinas.com

EGYPT

ERZING DENTAL SUPPLY

13, 26th July Street, Cairo Phone: +20 2 24192946 kevork@erzingdentalsupply.com

IRAN

KAVEH PARSIAN TEB CO.

No. 6, Kaveh Bazaar, Azadi Ave, postal code: 13136-54731 Tehran Phone: +98 21 6643 2562 office@kavehdental.com

IRAQ

WAZIN DENTAL & MEDICAL LTD

EDC Building Bakhiyarie Street 66, Erbil Phone: +964 751 721 1227 wazin.erbil@yahoo.com

JORDAN

BURGAN DRUGSTORES

P.O. Box 773, 11118 Amman Phone: +962 6 533 7910 info@burgan.com.jo

KUWAIT

NOON MEDICAL COMPANY

Al Derwaza Tower, Street 65, Block 3, Building 6, Floor 1, Flat 2 Bnied Al Qar - Kuweit City Phone : +965 224 23 600 karen@noonmedical.com

LEBANON DIÉTI-PHARM

P.O. Box 16-6680, 1100 2140 Beirut Phone: +961.1.500.991 E-mail: dietipha@inco.com.lb

QATAR

ACCROS TRADING COMPANY

P.O. Box 23006, Doha Phone: +974 44 81 65 11 info@accros.org

SAUDI ARABIA

BATTERJEE NATIONAL PHARMACEUTICAL

Stores and Pharmacies

P.O. Box 2, 21411 Jeddah Phone: +966.12.660.29.23 k.abukishik@batterjeenat.com

SYRIA

ANAS DENTAL SUPPLIES

Mohamed Anas Kurdi 1st Bld-Al-Halboni Street 4476 Damascus Phone: +963 933355565 anasds60@hotmail.com

TUNISIA

MSI EQUIPMENTS

MEDICO-DENTAIRES

R6, Rue Abdelkader Mhalla 5000 Monastir Phone: +216 73 449 401 msi.bouzgarrou@@topnet.tn

INTER MEDICAL SERVICE

7, Bis Rue de Cologne 1002 Tunis Phone: +216 71 799 344 commercial@ims.com.tn

TURKEY

GÜLSA TIBBI CIHAZLAR VE MALZEME SAN TIC A.S. İzmir Pancar Organşze Sanayi Bölgesi 9. Cadde No. 10 35865 Torbalı/Izmir Phone: +90 232 4690 033 info@gulsa.com.tr

UNITED ARAB EMIRATES

PROFESSIONAL MEDICAL EQUIPMENTS

PO Box 30351 Sharjah Phone: +971 6 748 0280 profmed@eim.ae

YEMEN

MOHAMMED A. HAJAR

TRADING CO.

Dental Equipment Center

PO Box 1749 + 12663 Sana’a

Phone: +967 1 218 750 dental@y.net.ye

Company name: CROSSTEX

Country of origin: United States of America

Website: www.crosstex.com

From a simple beginning in 1953, as a disposable towel/ bib manufacturer, Crosstex, a division of Cantel since 2005, has steadily grown to become one of the world’s leading provider of infection prevention and control (IP&C), and compliance solutions. Through a combination of strategic acquisitions and partnerships, Crosstex is even more vertically integrated, manufacturing over 85% of their products; of which, over 95% are proudly made in the USA.

Dedicated to making vital contributions to healthcare through high quality solutions, services and education, which improve outcomes for dental professionals and patients, Crosstex is a recognized leader for its portfolio of Personal Protection Equipment (PPE), Dental Water Management, Chemistries, Sterilization, Preventives, Nitrous-Oxide Equipment, and Single-Use Disposable products.

For all MENA inquiries:

PIRO DENTAL TRADING

Attn: Caroline Piro Phone: +12096050927

caroline@pirotrading.com

Dental Unit Waterline (DUWL) Treatment

Providing safe and compliant dental water is critical to implementing and maintaining effective infection control protocols. Exposure to poor water quality can pose a health risk for patients and clinicians.

Crosstex offers a safe and reliable option for Dental Unit Waterline (DUWL) treatment to protect your patients, staff and practice: The DentaPure™ Cartridge. EPA approved DentaPure Cartridges are available for independent water bottles and dental units plumbed directly to city water.

The cartridges contain iodinated resin beads. As water flows through during a typical treatment, it pulls 2–6

ppm of atomic isotopes of non-allergenic elemental iodine (I2) from the resin into the water stream. The elemental iodine interacts with the bacteria in the water, controlling it.

The DentaPure Cartridge is effective for one-year, or 240L of water if usage records are kept. Your waterline treatment protocol becomes a simple annual routine.

All claims made when used with potable water.

Sterile Procedure Packs

Our Job, Your Solutions

Clinical point of view

“The packs for the operating room and patient preparation allow optimal control of sterility, an important cornerstone to have no post-operative infection problems. In addition, they are extremely practical and easy to use for the paramedics”

† Prof. Tiziano Testori MD DDS FICD, Doctor-Surgeon specialist in dentistry and orthodontics - Como, Italy

What is a procedure pack

Procedure packs consist of individually composed single-use items as per customer specification. Usually a procedure pack is composed of:

• surgical drapes

• surgical gowns

• irrigation and aspiration systems

• protection of the dental unit

• accessories for surgery (sheaths and protections for instruments and physiodispensers, medical adhesives, gauzes and pads)

By intensive consultancy we advise you on the large variety of components available in our portfolio. Consequently, the individually customized procedure pack is composed in a perfect configuration as needed for your surgical- procedures

Accutron Digital UltraTM Flowmeter

The Digital Ultra™ Flowmeter is the right choice for clinicians who prefer to work in a digital environment but want critical parameters displayed both numerically and as electronic flow tubes. Includes automatic compensation to easily adjust total flow or gas ratio while the other stays constant, making it easier to use than traditional analog systems. The Digital UltraTM Flowmeter is available in a variety of configurations suited to both central and portable nitrous oxide/oxygen delivery, including an optional remote control.

Other benefits include:

• Maximum nitrous oxide ratio at 70% for patient safety

• Audible and visual alarms to notify of low oxygen

• Oxygen fail-safe and oxygen flush for additional safety

• Emergency oxygen resuscitation connector

• Directional check valve

• Dual readouts for each gas for ease of use

• Sealed flush surface makes it easy to disinfect or barrier-protect

• Available in multiple configurations including Flushmount and Portable

Company name: DenMat

Country of origin: United States of America

Website: www.denmat.com

Since 1974, DenMat has been a leader in high-quality dental products for dental professionals in more than 60 countries around the world. DenMat makes and assembles most of its products at its world headquarters on the Central Coast of California. DenMat offers three main product categories: Consumables, Small Equipment, and a full-service Dental Laboratory. DenMat’s consumables include the brands known and trusted: Geristore®, Core Paste®, Tenure®, Ultra-Bond®, Infinity®, Splash®, Precision®, Perfectemp®, and LumiBrite®. DenMat’s small equipment includes a broad suite of products, including NVpro3™,, and SOL™ soft-tissue diode lasers, Rotadent® PeriOptix™ magnification loupes and lights, Flashlite™ curing lights VizilitePRO for oral lesion screening, and a full line of high-quality hand instruments. DenMat is the home of the world’s #1 patient-requested thin veneer, Lumineers®. Now better than ever and backed by Thinnovation®: DenMat’s fresh multi-disciplinary approach to anterior esthetics using the

latest generation of Lumineers, all hand-finished by skilled lab artisans in California. DenMat also features Snap-On Smile®, the ultimate provisional appliance.

Each of DenMat’s more than 400 employees is focused on assuring that you—our dental customers—love our products and love your customer experience.

We’re building one of the world’s great dental companies—one happy dentist at a time!

Strength and Beauty of Porcelain

The Duo:Pre-fabricated porcelain system features preformed porcelain shells with an underlay of composite, designed to mimic the luster, smoothness, translucency and shade characteristics of real enamel and dentin.

Porcelain finishing provides better resistance to staining and chipping and does not need to be polished or maintained like composite, providing a beautiful, lasting solution at an affordable price.

• Pure porcelain is more natural and lustrous composite

• Strong (195 MPa) and easy to customize with hand piece

• Require less polishing over time

• Pre-etched for efficient placement

Company name: Dentsply Sirona

E-mail: MEA-Marketing@dentsplysirona.com Website: dentsplysirona.com

Dentsply Sirona is the world’s largest manufacturer of professional dental products and technologies, with a history of innovation and service to the dental industry and patients worldwide. Dentsply Sirona develops, manufactures, and markets a comprehensive solutions offering including dental and oral health products as well as other consumable medical devices under a strong portfolio of world class brands. As The Dental Solutions Company™, Dentsply Sirona’s products provide innovative, high-quality and effective solutions to advance patient care and deliver better, safer and faster dentistry. With a sales presence in more than 120 countries, patients and practitioners virtually everywhere in the world rely on Dentsply Sirona.

MENA DISTRIBUTORS

For a full list of Dentsply Sirona authorised distributors in MENA please visit dentsplysirona.com/contact

TruNatomy™

True, Natural, Anatomy

Introducing TruNatomy™, the latest creation from Dentsply Sirona that is part of a long tradition of successful endodontic treatment solution. This tradition includes recognised brands such as ProTaper® and WaveOne®, both known and trusted around the world for their reliability and performance.

TruNatomy™’s unique combination of features was developed in partnership with skilled practitioners, Dr. Ove Peters (DMD, MS, PhD) and Dr. George Bruder (DMD), leaders in the field of endodontics, with the Dentsply Sirona’s Maillefer Research and Development Engineering teams.

TruNatomy™ combines Swiss precision with advanced engineering to offer the benefits of improved performance with increased respect of the tooth anatomy*.

The new TruNatomy™ solution offers:

• Smooth feeling during preparation

• Improved performance and efficacy1

• More space for debridement and debris removal1

• Respect of the natural tooth anatomy

• Preserve tooth structure

*Compared to ProTaper® Next.

Primescan Enjoy the scan

With its completely new, patent pending digital impressioning technology the new intraoral scanner Primescan enables highprecision digital impressions to be taken of the entire jaw. These scans present numerous possibilities for users. Primescan was designed for various digital workflows – with the laboratory directly in the practice, with CEREC or in cooperation with external partners. Validated interfaces noticeably simplify the process, offering dentists the flexibility they desire.

With Primescan, Dentsply Sirona introduces an intraoral scanner to the market, that has significant product features, achieves outstanding results and takes digital impressioning to a higher level of quality.

Speed: With Primescan, you can produce scans amazingly fast. You can capture an entire upper jaw in well under 30 seconds, and a full jaw scan in less than a minute. During the scanning process, the dynamic lens completes more than 10 movements per second, thereby enabling the “Dynamic Depth Scan.” The result is more than 1 million 3-D points per second. This is thanks to Intelligent Processing, which filters, processes and compresses the high volume of data so that models can be calculated faster.

Accuracy: The high-precision Smart Pixel Sensor captures the data at an extremely high resolution and assesses the contrast in each pixel. For every 3-D image, Primescan consolidates more than 50,000 images per second, thereby offering a level of scanning precision that has never been achieved before. A new technology, for which a patent application has been submitted, in the form of optical high frequency analysis is used to calculate the 3-D points, resulting in an increased level of accuracy. This is further supported by an optical design that has been optimised for the measuring principle used and by the mechanical robustness of the optics.

Easy to use: Primescan enables a flexible, intuitive and very simple scan procedure, enabling faster access to tooth surfaces without the need for significant tilting. The captured images are calculated in a flash and put together without any visible scan interruptions.

A great feeling: Primescan is an intraoral scanner that can be subjected to all necessary hygienic reprocessing (wipe disinfection, autoclaving, hot air sterilisation, high-level disinfection). This is made possible by three sleeve concepts (stainless steel sleeve, stainless steel sleeve with disposable window, disposable sleeves).

Smartlite® Pro Modular

LED Curing Light

More than just a curing light. We weren’t satisfied with creating one of the most advanced curing lights ever. It had to be one of the best-designed as well.

The SmartLite® Pro curing light is a unique modular device in a remarkable, all-metal housing. But it delivers far more than good looks. State of the art optics provide leading quality of cure for reliable outcomes.

SmartLite® Pro has also been nominated for the final selection of the German Design Award 2020.

SmartLite® Pro. Designed to perform.

Company name: DMG

Country of origin: Germany Website: www.dmg-dental.com

Whether it’s for accurate impressions or reliable temporary and permanent care: For more than five decades now DMG has been committed to making dentists’ daily work easier – with innovative dental materials made in Germany, including successful brand products such as Luxatemp, LuxaCore Z or Honigum. Today, dentists in more than 80 countries rely on the highly awarded DMG quality.

With its innovation Icon, DMG has opened up ways for caries treatment without drilling. The infiltration therapy with Icon can also be employed for the esthetic treatment of white spots.

MENA DISTRIBUTORS

ALGERIA

EURL EXPERT DENTAL INDUSTRY

Rue Ben Aissa Madani Ain Azel, Setif 19000

Phone: +213 36 82 68 79 edi-setif@hotmail.fr

KUWAIT

You can visit us at the AEEDC 2020, DMG Stand No.: 7G15

NOON MEDICAL SUPPLY CO.

Block 3, Building 6, 1st floor

Flat 2, St. 65, Derwaza Tower Bneid Al Gar, Kuwait Phone: +965 2 242 3600 info@noonmedical.com

OMAN

HEALTH CITY PROJECTS

LEBANON

DENTAL MEDICAL SUPPLIES

Imad El Hashem Center, 2nd Floor, Bauchrieh Phone: +961 1 240 444 dms@dms-leb.com

QATAR

SHINE TECHNOLOGY COMPANY

Flat no. 01, Second Floor, Oman Airline Building, Al Sadd Street, Doha, Qatar. P. O. Box: 202053, CR. No: 47783 Phone: +974 4442 4423 medical@qatar.net.qa

P.O.Box 1785, PC 130 Azaiba, Maskat Phone: +968 2448 9319 mushtaq.ahmed@healthcityprojects.com EGYPT

EL-RADWAN CO. 5 El Saraya St. El manyal, Cairo Phone: +20 2 2365 4499 elradwan.mt@gmail.com

SAUDI ARABIA

AL MADAR DENTAL SUPPLIES

Al Aziziyah District, Tahlia St, Thlia Towers, Office 306, Jeddah 21462

Phone: +966 12 661 5563 info@almadar-sa.com

UAE

PROFESSIONAL MEDICAL EQUIPMENT

PO Box 30351 – Ajman UAE Phone: +971 6 7480 2808 profmed@eim.ae

MOROCCO

MCDOMAR GROUP 6, Rue Ibnou Hajjaj Bd 2 Mars

Casablanca

Phone: +212 52 285 2038 mcdomargroup@menara.ma

LuxaCrown

The easiest way to long-lasting crowns.

From now on, restoring is child’s play: With the new LuxaCrown you can make long-lasting crowns easily, quickly and cost-efficiently – directly at chairside. The comfortable-to-make composite crown fits well, is highly esthetic and shows a remarkable longevity. A LuxaCrown restoration could last for up to 5 years.

With this unique semi-permanent solution, you can offer your patients longevity with excellent results as a cost-efficient alternative to lab processed crowns.

• Impressively semi-permanent

• Quick and easy

• Long-lasting with excellent results

• Optimum mechanical properties

• Time- and cost-saving

10 years of Icon

Resin infiltration therapy with additional possibilities

Introduced at the IDS in 2009, resin infiltration with DMG’s Icon is now well-established as a microinvasive treatment option. The procedure was originally developed as a treatment without drilling for initial proximal caries using a highly fluid resin. The additional option of successfully treating cariogenic white spots on smooth surfaces was soon recognized and confirmed by studies. Meanwhile, considerable progress has been made.

Wider treatment spectrum: including fluorosis and trauma

Scientific evidence supports the use of resin infiltration therapy for mild to moderate fluorosis. Many fluorosis patients have already had lesions treated esthetically and safely with Icon. Also, the treatment of traumatic and idiopathic lesions is now officially indicated. In addition, resin infiltration treatment has already been successful in treating many cases of MIH. Scientific confirmation studies are still pending.

Company name: MANI, INC.

Country of origin: Japan

Website: www.mani.co.jp/en

MANI, INC. is a manufacturer of medical devices and dental instruments. Ever since we started manufacturing surgical needles in 1956, we have contributed to society as a medical device manufacturer supplying surgical and dental instruments. Our products, which are safe and high-quality medical devices that satisfy the needs of doctors and patients, have also passed the strict standards of countries overseas.

MENA DISTRIBUTORS

BAHRAIN

DENTAL WORLD & MEDICAL SUPPLIES

Manama

Phone: +97317896322 dwms.bh@gmail.com

EGYPT

GENERAL EGYPTIAN TRADING

Giza

Phone: +2025729368 getegypt@yahoo.com

IRAN

DOUSTKAM CO, INC.

Tehran

Phone: +982177534652 doustkamco@gmail.com

IRAQ

ZUHAIR BUREAU

Baghdad

Phone : +96407903760781 zuhair@zuhairbureau.iq

JORDAN

MATEST COMPANY

Amman

Phone: +96265690807 matest1@orange.jo

We employ more than 3,000 people worldwide and use our own channels of distribution to deliver products to more than 120 countries. MANI offers a wide range of dental instruments, including burs, sutures, root canal instruments, polishing instruments, posts and dental accessories.

KUWAIT

GLOBALMED TECHNOLOGY

Kuwait Phone: +96522431647 ab@globalmedtechnology.org

LEBANON

DIETI PHARM DENTAL PRODUCTS

Beirut Phone: +9611500991 dietipha@inco.com.lb

LIBYA

AL BYAN CENTER

Tripoli Phone: +218213333021 albyan_almotagaded@yahoo.com

MOROCCO

BEST MADE

Casablanca Phone: +212522834482 best.made@yahoo.fr

OMAN

SALA MEDICAL COMPLEX

Muscat Phone: +96824485159 salamedical@yahoo.com

PALESTINE

AL MANARA

Ramallah

Phone: +97222953718 kshatara@p-ol.com

QATAR

SHARQ MEDICAL SUPPLIES

Doha Phone: +97444566100 samer@sharq.qa

SAUDI ARABIA

AL RAZI MEDICAL SUPPLIES

Jeddah

Phone: +966126520132 alrazimed@yahoo.com

SYRIA

SALLOUM DENTAL CO

Damascus

Phone: +963112248772 psalloum@scs-net.org

UNITED ARAB EMIRATES

SAWHNEY TRADING LLC

Dubai

Phone: +97143597756 sawbros@eim.ae

YEMEN

YEMEN STORES

Sana’a

Phone: +9671444622 s.radman@yemenstores.com

MANI® SUPER COARSE DIA-BURS®

MANI® DIA-BURS® are well known and recognized as high quality diamond burs in the world. Recently, MANI® SUPER COARSE DIA-BURS® designed for faster reduction and crown removal are newly released.

With advanced technology which is accumulated from our history and strictly controlled manufacturing process, MANI® SUPER COARSE DIA-BURS® show higher cutting efficiency and durability. A wide range of shapes matches the almost all of the clinical cases. Beyond these functional requirements,

MANI® SUPER COARSE DIA-BURS® have dimensional accuracy on operative part as well as shank, with this fundamental quality, bur saves the handpiece for a long time safety use.

MANI® D Finders

MANI® D Finders are specially designed for penetrating root canals. Thanks to its unique “D shaped” cross section, D Finders have quite higher rigidity and strength than usual K Files and it enables to penetrate calcified root canals.

Safe-cutting blades with long pitch provide smooth feeling upon insertion and prevent over-cutting. D Finders bring unprecedented initial access, which is a quit important step of root canal treatment.

Company name: NSK NAKANISHI INC.

Country of origin: Japan

Website: www.nsk-dental.com

It is 90 years since Keiichi Nakanishi founded Nakanishi Manufacturing, the original name of NSK. Over the years, NSK has drawn on its high-speed rotary cutting technology to continuously innovate the growing range of dental equipment. NSK has built solid trust amongst customers in more than 135 countries supported by 15 worldwide offices, securing the No.1 share of the global market for rotational dental instruments.

MENA DISTRIBUTORS

ALGERIA

MAGHREB DENTAL INDUSTRY-MDI

Es-Sénia-Oran

Phone: +213 41 335890 contact@mdi-dentaire.com

BAHRAIN

Medical & Pharmaceutical Services

Co. W.L.L.

Manama

Phone: +973 17715785 mohand@bashirco.com.sa

EGYPT

SAFWAN EGYPT

Giza

Phone: +20 2 33022792 / 33042740 info@safwanegypt.com

NILE DENTAL

Giza

Phone: +20 1273500085 info@niledental.com

IRAN

DOUSTKAM CO. INC

Tehran

Phone: +98 21 77527140 doustkamco@gmail.com

IRAQ

TAMER LEVANT

Erbil

Phone: +964 750 1 440 400 diaa.khreish@tamerholding.com

HIMAT CO. LTD.

Baghdad

Phone: +964 790 1317209 marketing@himat.net

NSK’s continued development offers innovative design and unrivalled quality as well as outstanding value and performance. This is supported by NSK’s unparalleled production engineering, cutting-edge technology, and customer-focused global sales & service network.

JORDAN

SALBASHIAN TRADING CO.

Amman

Phone: +962 6 4645845 yeran.s@salbashiangroup.com

KUWAIT

AL-SAYAFE MEDICAL & PHARMA SUPPLIES

COMPANY W.L.L

Sharq Phone: +965 22 454924 alsayafe@alsayafemedical.com

LEBANON

DROGUERIE TAMER S.A.L.

Beirut Phone: +961 1 694000 dental@tamerholding.com

LIBYA AL MGD CO.

Tripoli

Phone: +218 21 3610154 mgdent@gawab.com

MOROCCO ASSISTANCE MÉDICALE ET DENTAIRE

Casablanca

Phone: +212 (0) 522 822498 ihssan.b@amed.ma

QATAR

SHARQ MEDICAL SUPPLY

Doha Phone: +974 44566100 samer@sharq.qa

SAUDI ARABIA

BASHIR SHAKIB ALJABRI & CO.

Jeddah / Phone: +966 12 6700430 +966 50 203 0433

Riyadh / Phone: +966 11 4747750 bashirco@bashirco.com.sa

SYRIA SALLOUM DENTAL CO.

Damascus

Phone: +963 11 2248772 / 2210974 psalloum@scs-net.org

TUNISIA PROMOSCIENCES

Tunis

Phone: +216 71 772 500 promosciences@planet.tn

TURKEY LIDER DIS

Ankara

Phone: +90 312 2316485 nskturkey@liderdis.com.tr

UNITED ARAB EMIRATES CITY PHARMACY

Abu Dhabi

Phone: +971 2 6732954 cityphrm@emirates.net.ae

YEMEN

YEMEN STORES FOR DRUGS & MEDICAL SUPPLIES

Sana’a

Phone: +967 1 444622 w.aghbari@yemenstores.com

Removes Doubt

Osseo 100 measure implant stability and osseointegration to enhance decisions about when to load the implant. Especially important when using protocols with shorter treatment time and treating higher risk patients.

Osseointegration Monitoring Device

Reduce treatment time

One stage, immediate loading, early loading.

Manage higher risk patients

Compromised bone, smokers, bruxism, diabetes, cancer, osteoporosis, grafts, membranes etc.

Company name: Ultradent Products Inc.

Country of origin: Salt Lake City, UT (USA) Website: www.ultradent.com

Improving Oral Health Globally

We are driven to improve oral health globally through science, creativity, and education. Our passion to improve oral health has made Ultradent into the incredible company it is today. Ultradent is a global dental and orthodontic manufacturing company that has experienced non-stop growth for over 40 years, and is driven for continued growth!

A Strong Code of Ethics and Core Values

Ultradent believes in the customer. That is why all our product development, marketing, and sales are done with

ALGERIA

MAGHREB DENTAL INDUSTRY EURL

Lot no 24, Zone de depot El Kerma, Oran

Phone: 00 213 40 23 71 45 contact@mdi-dentaire.com

AFGHANISTAN

MUHAMMAD AHMAD SABAWOON LTD

Khushal Kan, Mina Block 32, Muqabil Sello, Kabul Phone: 0788-775555 chughtai1@hotmail.com

BAHRAIN

DENTAL WORLD & MEDICAL SUPPLIES

Flat 15 bldg 285 block 706 P.O. Box 32013, Bahrein Phone: (00)973 (178) 96322 dwms.bh@gmail.com

EGYPT

ELWAN DENTAL SUPPLIES

70 Merghani street 10th floor Managger, Cairo Phone: (00)202.33873883 elwanyegypt@yahoo.com

IRAN

GOLNAR NIKAN DANDAN

Unit 9, #64 Building, Opp Bahar St, Enghelab Ave P.O. Box: 1148836873, Tehran Phone: (00)9821 77533716 kavehgolnar@yahoo.com

IRAQ

SMART DENT

Almansoor street, beside zain communication bldg Bldg no. 3 Floor 2, Baghdad Phone: 00 962 786115030 smartdent79@yahoo.com

the customer’s benefit in mind. This outlook has fostered strong and loyal relationships with customers all over the world. The solid foundation of core values and a clear vision to improve oral health globally has made Ultradent a world leader in both customer experience and products.

Here at Ultradent we are driven by a strong moral code and our Core Values: integrity, quality, hard work, innovation, and care.

JORDAN

MALEK DENTAL & MEDICAL SUPPLY

jo 75 Al Buhturi Street, 2nd Circle, Jabal Amman, P.O. Box 7067, Amman Phone: +962 (6) 4642215 mhdentamed@go.com

KUWAIT

ADVANCED TECHNOLOGIES Hawali 32060, P.O.Box 44558 Kuwait City Phone: (00)962795533513 ali@atc.com.kw

LEBANON

MITTRI R. MATTAR & COMPANY B.P.166844, R.C. 14997, Beirut Phone: (00)961 (1) 320402 mattar1920@yahoo.com

LYBIA

ALBYAN ALMOTAGADED FOR IMPORTING OF EQUIP & MEDICAL SUPPLIES CO LTD Mohd Fkini St., Bldg No. 20, PO Box 82525, Tripoli Phone: (21) 333-3021 albyan_centre@hotmail.com

MOROCCO

A.M.E.D.

47, Rue de bruxelles, Casablanca Phone: (00)212.522823134 ihssan.b@amed.ma

OMAN

PIONEER TRADE & MEDICAL SUPPLY

Khalid Al Said Investment Co. PO Box 77 PC 103, Muscat Phone: (00)68 9780 4272 raed@pioneersoman.com

PAKISTAN

PAK-MED DENTAL SUPPLIES pmdsupplies@gmail.com

BILAL ENTERPRISES Chughtai1@hotmail.com

QATAR

CEDARS DENTAL CENTER P.O. Box 47684 Al Hilal, Doha Phone: (00)974.44864088 chaanine@cedars-dental.com

SAUDI ARABIA

DENTAL ERA

Al-Abdel Latif Plaza, King Fahd Rd, 3RD Floor, Office # 306 P.O. Box 126122, Jeddah Phone: +966 12 2752 382 ashraf.mubarak@dentalera.com

SYRIA

BADRIG AYDENIAN Shouhada street, Damascus Phone: (00)963 (11) 444 6429 aydbaco@gmail.com

TUNISIA

DISTRI MED

Av. De Madrid, Tunis Phone: (+216) 71 334 812 distri-med@planet.tn

UNITED ARAB EMIRATES

ELWAN TECHNICAL SUPPLIES

P.O. Box 43305, Abu Dhabi Phone: (00)97126393292 etselwan@emirates.net.ae

MENA DISTRIBUTORS

Opalescence Go

Opalescence Go Whitening features readyto-go convenience with the UltraFit™ tray for an even more adaptable and comfortable whitening experience.

• New tray material offers a remarkably comfortable fit and easily conforms to any patient’s smile

• Molar-to-molar coverage ensures the gel comes in contact with more posterior teeth

• UltraFit tray’s superior adaptation ensures the maximum amount of gel stays in contact with the teeth during whitening

• Available in 6% hydrogen peroxide (with wear times from 60–90 minutes), 10% hydrogen peroxide (with wear times from 30–60 minutes), and 15% hydrogen peroxide (with wear times from 15–20 minutes)

Additional

features of Opalescence Go Whitening

• Opalescence whitening gel includes PF (potassium nitrate and fluoride), which helps improve the overall health of the teeth and increase patient comfort during the whitening procedure.1-5

• Delicious Mint and Melon flavors

• Convenient prefilled trays can be worn right out of the package

• Optimal gel quantity allows easy cleanup after whitening

Opalescence Boost 40% in-office whitening

NO LIGHT NEEDED

• High water content to prevent shade relapse and dehydration

• Two to three 20-minute applications

• Syringe-to-syringe mixing ensures maximum strength

• Distinct red color aids in proper placement and ensures complete removal

• 40% hydrogen peroxide

• Contains PF (potassium nitrate and fluoride)

• No refrigeration required for storage*

SMILES BRIGHTENED IN AN HOUR!

Opalescence® Boost™ is the most powerful in-office whitening treatment available, which means you can reveal brilliant, award-winning smiles with just two 20-minute treatments. And because Opalescence Boost is chemically activated, you don’t need a light to make your patient’s smile shine!

Company name: W&H Dentalwerk Bürmoos GmbH

Country of origin: Austria Website: www.wh.com

W&H - People Have Priority

Headquartered in Bürmoos, Austria, the international W&H Group is a world leader within dental industry. Passion and innovation are motor of the medical device manufacturer. Innovative product and service solutions, a modern corporate structure, a strong focus on research and development as well as social responsibility make W&H a locally and globally successful family business. More than 1,200 employees worldwide contribute to the production of hardware and

MENA DISTRIBUTORS

ALGERIA PROMODENTA S.A.R.L.

21, Rue Boumenir Mouloud 26000 Médéa Algier

Phone: + 213 550542182 promodenta@gmail.com

DENTAL QUEST

41, Rue Cheriet, Ali Cherif 31024 Oran

Phone: +213 41332784 alihakka@hotmail.fr

BAHRAIN

GULF COOPERATION FOR TECHNOLOGY

Bldg No: 2038, Road: 4156, Block 341, Juffair, P.O. Box 2576, Manama Phone: +973 17239399 roshan@gctbahrain.com

EGYPT

IMECO

4, Mohamed Moussa St., Azarita Alexandria

Phone: +20 3 4871264 imeco_eg@yahoo.com

1, Mathaf El Manial St., El manial Cairo Phone: +20 2 25328679 imeco_eg@yahoo.com

IRAN APADANA TAK

45, Ghods Ave, Keshavarz Blvd. Tehran

Phone: +98 2188965650 apadana@apadanatak.com

IRAQ

DHUA AL MUSHKAT COMANY

Building 206/3/93-Khanzad, Kais Hachim Assaf, Erbil

Phone: +964 7707437760 kaisalassaf@gmail.com

software products for use in dental practices, clinics and laboratories and in oral and maxillofacial surgery, helping to ensure the safe and gentle patient care. W&H is represented in 110 countries. The company’s focus is on export. Key sales markets include the USA, Europe and Asia.

JORDAN ARAB MEDICAL & SCIENTIFIC ALLIANCE (A.M.S.A.)

Khalil Salem Street - P.O. Box 2509 Tela’ Al-Ali, 11953 Amman Phone: +962 65528009 musa.tareq@amsa.com.jo

KUWAIT

ADVANCED TECHNOLOGY COMPANY

Salem Al Mubarak Str., Salmiya, Cnr. Bahrain Str. - Block 62a, opp. Laila Tower, P.O. Box 44558, 32060 Hawally Phone: +965 22247240 akar@atc.com.kw

LEBANON

DENTAL SHARES s.a.r.l. Beirut-Sin El Fil-Tourass Bldg. 4th Fl P.O.Box 165597, Achrafieh-Beirut 1100-2050 Phone: +961 (1) 490990 info@dentalshares.com

TRIDENT s.a.r.l.

Moussa Farhat Center, Voie 13 Postal Code 4503 3003 Byblos Phone: +961 (9) 550750 r.samarani@trident-me.com

LIBYA

ALBYAN ALMOTAGADED FOR IMPORTING OF EQUIPMENTS & MEDICAL SUPPLIES

Equipments & Medical Supplies P.O. Box 8252, Mohamed Fkini Street Tripoli - Phone: +218 925088549 albyan_almotagaded@yahoo.com

MOROCCO

MEDICODENTAIRE S.A.R.L. 22, Rue Ahmed Almaqri Racine 20050 Casablanca Phone: +212 22393433 medent1.medico@gmail.com

DENTAL TECHNIK MAROC

51, Boulevard Rehal El Meskini, Resid. Safae, 3éme étageN14 CP 20130 Casablanca Phone: +212 522302541 a.yassine@dentaltechnik.ma

QATAR

ACCROS TRADING COMPANY

P.O.Box 23006 - Doha Phone: +974 44816511 info@accros.org

OMAN

BAHWAN HEALTHCARE CENTRE LLC

Al Rawaq Building, Second Floor, Street No. 58, Office 207 Building no 7, Al Qurum, Muscat Phone: +968 24650767 jpp.service@suhailbahwangroup.com

SAUDI ARABIA

AL-TURKI MEDICAL GROUP LTD. (A.M.G.) Al-Turki Bldg. 46, Al-Bohtory St. off Al-Ahsa St., Al-Zahra District, P.O. Box 4952 Riyadh 11412 Phone: +966 4766828150 h.alaraby@alturki.med.sa

SYRIA OUZOUN TRADING CENTER Al-Telyani Av., Omar Al-Moukhtar, St. Alhabal Building, Damascus Phone: +963 114430548 abdallaouzoun@ouzoun.com

TUNISIA

DISTRI-MED 24 Av. de Madrid, 1000 Tunis Phone: +216 71334812 distri-med@planet.tn

UNITED ARAB EMIRATES PRIME MEDICAL SUPPLIES EST. P.O. Box 44633, Abu Dhabi Phone: +971 26666037 vpshukla@hotmail.com

YEMEN AL-ZOMALA’A DENTAL CO. Taiz St. Opposite to Nasser workshop P.O.Box 15210, Sana’a Phone: +967 1472787 zomla2004@yemen.net.ye

Constant innovation that inspires

Innovative, high-performance and visually appealing – that’s the Synea range. As an important standard feature in dental practices, the Synea products provide users with safety and efficiency in their everyday use. Packed with innovation, Synea has been facilitating constant improvements in dental treatment for more than 20 years.

Products bearing the Synea brand name combined with a slim profile, an elegant monobloc design and reliable performance began securing a place for themselves in dental practices all over the world as far back as 1998. After this initial success, one technical highlight followed the other hard on the heels.

W&H was the first manufacturer in the dental industry to integrate the LED into a turbine head. Finally, the light was where it was needed the most – close to the treatment site. But that wasn’t enough. With its 5x Ring LED+, integrated into the small head of the Synea Vision turbine, W&H underlined its position as the technology leader once again in 2014 and offered dentists a shadow-free view of the treatment site. With W&H’s LED innovations, dentists benefit not only from improved light conditions, but also from reliable functionality even after multiple hygienic reprocessing such as sterilization.

A must-have for every dentist

Synea – a synonym for top quality “Made in Austria” meets the high standards placed on dental preparations. W&H has proven with innovative highlights that the company is a master of its craft and even capable of rendering the impossible possible. The focus is always on advancing the dentist’s work.

Perfect combination of revolutionary technology and high quality service has allowed W&H as a reliable partner to set new standards in dental practices around the world. Synea products are and always have been the must-have for every user.

The head of the red contra-angle handpiece grew smaller with each of the three Synea generations. Today, compact dimensions ensure improved flexibility within the limited confines of the oral cavity.

With the sterilizable 5x Ring LED+, integrated in the small head of the Synea Vision turbine, W&H underlined its position as the technology leader in 2014. Dentists benefit from a shadow-free view of the treatment field.

The first Synea generation cast its spell over dentists with its elegance and monobloc design in 1998.

Company name: WHITEsmile GmbH

Country of origin: Germany

Website: www.whitesmile.com

In 1994 WHITEsmile was one of the first companies in Europe to specialize in the production of tooth-whitening products. Our “Made in Germany” materials and whitening lamps are the result of constant consultation with dentists and users in over 60 countries. WHITEsmile materials are clinically tested, certified medical products and devices.

WHITEsmile encompasses the entire spectrum of professional tooth whitening offerings. Your dental clinic has the flexibility to provide patients with optimal combinations of in-office and at-home whitening. In-office LIGHT Whitening and POWER Whitening are different but effective options. In addition, HOME Whitening is a self-directed, home-use option. Following LIGHT Whitening or POWER Whiten-

MENA DISTRIBUTORS

ALGERIA

SARL THE ABOU SAMRA BROTHERS

Cité Abdouni N° 24, Dar El Beida 16100 Alger Phone: +213-21-506 578 arcco.algeria@yahoo.fr

EGYPT

GET, GENERAL EGYPTIAN TRADING 446, El – Ahram St., 4th Bld., Floor 12, Giza 12111

Phone: +(202) 37765001/2/3 get.egypt@yahoo.com

IRAQ

BAYATI, ALRAHMA

(for Whitesmile products) Laboratory Alrabe Street Hay Aljamia (University District)

Baghdad Phone: +964 7702200711 bayati2@aol.com

MEDIC8 SARL Amirat Street

Baghdad Phone: +964 7834060139 info@medic-8.com

JORDAN

BASAMAT MEDICAL SUPPLIES (PHARMADENT)

P.O. Box: 141375, Amman 11814

Phone: + 962 79 50 45 700 info@basamat.com

ing with HOME Whitening results in the most vivid results for your patients. fläsh is the innovative new development from WHITEsmile. Based on over 25 years of tooth-whitening experience, our cutting-edge, “Made in Germany” fläsh device light optimizes in-office whitening. Together with fläsh gel, fläsh provides the most effective results with maximum ease of handling. Our extensive experience makes WHITEsmile a partner you can trust for tooth whitening.

For all MENA inquiries:

PIRO DENTAL TRADING

Attn: Caroline Piro Phone: +12096050927 caroline@pirotrading.com

KUWAIT

NOON MEDICAL SUPPLY CO.

Al Derwaza tower, st 65, block 3 building 6, floor 1, flat 2 Bnied al qar, Kuwait Phone: +965 22423 600 info@noonmedical.com

LEBANON

HADDAD DENTAL (for Whitesmile products) Achrafieh-Facing Voix du Liban First Floor, 1100-2140 Beirut Phone: +961 1 218244 had_dental@hotmail.com

DMS (for fläsh Products) Bauchrieh, Imad Hashem Center 2nd Floor, Beirut Phone: +961-1-240 444 dms@dms-lb.com

MOROCCO

CLAIRE DENT

Siège Social : 6, Rue Ghandi Appt. N°3, Rabat Phone: +212-37-72-62-64 clairedent@menara.ma

SAUDI ARABIA

MASAR MEDICAL COMPANY

Al Ha`ir Road , Al Lolo`a Stores Store #56, Al-Riyadh Phone: +966-1-2930598 info@masarmedical.com

SYRIA KASSAB DENTAL Damascus, Syria Phone: +96311-2313288 kassabdent@yahoo.com

OMAN AL MAZROUI MEDICAL & CHEMICAL SUPPLIES P.O. Box 1259 PC 112 Muscat Phone: +968 24 595 670 nasser@almaz.com.om

QATAR SHARQ MEDICAL SUPPLY

Doha, Qatar Phone: +974 445 66 100 sam@sharqmedicalsupply.com

TUNISIA SEM L’EXCELLENCE MEDICALE Avenue des Martyres immb Palmaruim 4 B71 3000 Sfax Phone: +216-31-538 072 contact@excellencemedicale.tn

UNITED ARAB EMIRATES

NEW AL FARWANIYA SURGICALS P.O.Box 47837

Abu Dhabi

Phone: +97126775447

farwania@emirates.net.ae

25 years whitening

WHITEsmile is proud to celebrate the 25th company anniversary 2019. We thank all of our customers and partners for the trust shown in the past years and look

fläsh Chairside Light Whitening System

Latest high-performance LED technology with a highintensity focused light spectrum with visible blue light. Life expectancy of the LEDs more than 10,000 applications. Special settings for sensitive teeth and single tooth whitening. Light output can be varied. Safe working temperature. Paired with fläsh Chairside Light Whitening 32 % hydrogen peroxide with active chlorophyll allows the light-assisted chairside medical tooth whitening with maximum results.

Ask your dealer for a live demo in your clinic.

WHITEsmile - Whitening you can trust

Proven “Made in Germany” products for in-office and at-home whitening: WHITEsmile LIGHT Whitening, POWER Whitening, HOME Whitening. WHITEsmile provides all varieties of tooth whitening offerings for your dental clinic.