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GLOBAL CLINICALCASE CONTEST2018
INTERVIEW WITHDR. AHMEDSOLIMAN IDRIS ONTHE CLASS IISOLUTION™
CLINIC SOLUTIONSFROM DENTSPLYSIRONA
Lake Konstanz, Germany
Contents
in the spotlightClinic Solutions from Dentsply Sirona . . . . . . . . . . . . . . . .04
Product NewsMore About Dentsply Sirona Products . . . . . . . . . . . . . . .06
Product in FocusAstra Tech implant system® EV - Clinical Case . . . . . . . .08
Practice ManagementAdvanced Dental Technology - Perception vs Reality . .10
CeReCA Solution for Everyone . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
endodonticsDiagnosis and Outcome in Endodontics in the 3D Imaging Era . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14
interviewDr. Ahmed Soliman Idris Interview - Class II Solution™ . .16
Clinical educationDentsply Sirona Clinical Education in Universities . . . . . .19
Feature ArticleGlobal Clinical Case Contest 2018 . . . . . . . . . . . . . . . . .20-21
event Highlights . . . . . . . . . . . . . . . . . . . . . . . . . .22
upcoming eventsDentsply Sirona Academy and Speaker Tours, Special Events and Congresses . . . . . . . . . . . . . . . . . . . . . .26
Contact us . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
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INSIGHT
summer is finally arriving in the MeNA region! For so many, the summer months represent the coming to an endof an era, schools close, students graduate, businesses wind down and employees take some rest. During the pastfew months we have been spending lots of time with soon-to-be graduating dental students from across theregion at a variety of events and meetings. We recognise that whilst graduating is an enormous achievement andexciting time, for many students, graduation represents a huge change which can bring some discomfort. Wehave always felt passionate about supporting students in their studies with the various grant and educationalprograms that we have on offer and we feel it’s important to extend our support to graduating students that aremaking the transition to becoming fully fledged dentists. At the end of June, we held a special graduation eventfor dental students from Lebanon in Beirut, giving them the chance to not only get know our products better, butmost importantly build relationships with our local team (page 19). in addition, we recently hosted the regionalheat of the Global Restorative Clinical Case Contest (GCCC) for dental students. i had the pleasure of co-judgingthe winners from each of the 10 participating universities and selecting the three MeNA finalists that went ontothe global final at our Restorative headquarters in Germany. i was impressed with the clinical quality, confidenceand presentation skills of the finalists and congratulate the winners – go to pages 20-21 to see the results.
in addition to articles on our university and student support, the fourth edition is full of new information includingan introduction to our Clinic solutions department (page 4), a commentary from Professor Mannocci on how 3Dimaging is streamlining the endodontic workflow (page 14) and a practice management article on the perceptionsvs. realities of advanced dental technology (page 10).
Whether you find yourself working through the summer, or taking some time out, i wish you the very best duringthe burning hot months and thank you for your continued support to Dentsply sirona.
Dr. Amro AdelGeneral Manager
Welcome... ...to our fourth edition of iNsiGHT, our
dedicated quarterly magazine for the
Middle east and North Africa.
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DS INSIGHT | Issue 04 2018
in the spotlight
Dentsply SironaClinic Solutions
Clinic planning – extensive support for individual needs. When it comes to clinic planning, we’ll put together a comprehensive proposal thatcovers all the necessary educational, technical, environmental and financial factors.
Competent consulting – customised solutionsFor efficient planning when equipping a new building or modernising an existing clinic,important issues must be clarified in advance. The requirements vary depending onthe topics, in particular between medical and technological dental training. As yourproject planners, we’ll design the technical infrastructure, select medical furniture andput powerful infection control measures in place.
Optimised resource utilisation at conceptualisation Dentsply sirona Clinic solutions help customers develop a planning design for the bestpossible use of the existing clinic architecture. The resulting layout facilitates an efficientand ergonomic workflow as well as a practical material flow by making optimal use ofthe available space.
efficient planning through optimised solutionsOver the years, Dentsply sirona has built up excellent relationships with some of themost trusted names in our industry who serve as project partners with industry-specificexpertise. We act as your single point of contact managing a team of experts,guaranteeing smooth collaboration, on-site project management and projectscompleted on time, on budget and to your exact specifications.
During the consultations, the customer's ideas and goals are discussed thoroughly andtheir individual requirements addressed in detail. Based on the consultation, a custom-made concept is then prepared.
individual requirements – individual solutionsevery clinic has to cope with different challenges. With more than 60 years ofexperience, Dentsply sirona Clinic solutions offers a comprehensive consulting servicethat responds to individual needs, and develops solution based strategies that aretailored to the specific requirements of the client in terms of both time and money.
A strong partner for every successful clinicWith an in-depth understanding of project management in training facilities and a highdegree of flexibility, Dentsply sirona Clinic solutions can provide a future-proof trainingenvironment for every institution. We ensure that the training environment is optimallysuited to the individual requirements and that regional standards are complied with.
The first step – consulting for special requirements. 1
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Dentsply sirona Clinic solutions has a wide range of equipment solutions for universities, hospitals and training centres.With a comprehensive product portfolio, expert consulting, intensive planning and training, and broad support, thespecialised department provides custom-made full-service solutions. When you choose Dentsply sirona, you can trust usto understand your vision, respond to your individual needs and help you create the right kind of working and teachingenvironment well into the future.
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everything from a single source – innovative products for trainingand treatment.
Clinic support – extensive consultation at any time.The global Clinic support team can answer customers' question about dental andclinical equipment at any time – and supports customers in achieving their individualwishes.
extensive serviceDentsply sirona has the industry's most extensive platform for advanced clinicaltraining and supports over 350,000 experts every year with a program of around11,000 courses in more than 80 countries around the world. Dentsply sirona supportsits customers with more than 4,000 training and service employees and also providescustomised clinical services and dental and clinic equipment for all kinds of needs.Numerous Dental Academies worldwide provide product training sessions for students,dentists and professors, guaranteeing smooth procedures and minimum downtime.As a Dentsply sirona customer, you can enjoy regular product updates and news aswell as sharing experiences and insights as part of a global community.
For more information about Dentsply sirona Clinic solutions: www.dentsplysirona.com/clinics
Perfect planning thanks to realistic live 3D floor plans.The realistic visualisation of a newclinic concept makes the constructionprocess more coordinated andprecise. Dentsply sirona Clinicsolutions employs an expert to doprecisely that, including creatingthree-dimensional simulations of allthe plans.
3D animation shows the full potentialof the construction project There are various ways to graphicallyrepresent the customer’s ideas.Classic two-dimensional floor planscontinue to be the indispensable basisfor precise planning, for botharchitects and building technicians.However, actual users often find itdifficult to imagine their daily workingenvironment and work processes justfrom these black lines on white paper.3D animated planning solves thisproblem.
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~ 1000 projects
worldwide >60years of experience
3D Animation
From products for pre-clinical training or clinical training andtreatment to dental lab products, Dentsply sirona Clinic solutionsprovides everything from a single source. These all-in-onesolutions can thus be tailored to customers' individual needs.
To prepare future dentists optimally for their working routine,digital workflows have become ever more important in dentaltraining. Dentsply sirona has a uniform system technology thatstarts with digital impression taking. This technology uses acomplete digital workflow not only for impressions, but forproducing complete restorations, surgical guides, and solutions forprosthetics, implantology, or orthodontics.
“With this advanced planning approach, the two-dimensional clinic concept comes tolife in a three-dimensional simulation. This allows customers to experience day-to-daywork and the full potential of new buildings even before construction starts,” explainsOleg ersmambetov, Head of Architectural Planning at Dentsply sirona.
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DS INSIGHT | Issue 04 2018
The simple Choice for easy Cleanup21% of crown failures occur due to secondary caries, excess cement can be one of themajor contributing factors*, therefore, its thorough removal is key to ensuring durablerestorations. Calibra® Cements offer easy, unhurried cleanup for convenience and theassurance of a long-lasting restoration.
Tack cure with confidence: A wide tack cure window of up to 10 seconds allows forthe speed of tack curing without the worry of over-curing.*
unhurried cleanup: A 45-second extended gel phase gives you the time you needfor thorough cleanup of excess cement.*
Calibra® universal self-adhesive resin cementWith a formulation that suits so many types of restorations, it’s no wonder it’s calledCalibra® universal Cement. it’s the simple choice for successful results across a widearray of indications.*• One-step cementation means no additional etchant or adhesive.• High immediate 6-minute bond strength for a strong initial bond.• 5 aesthetic shade options with shade stable® Technology virtually eliminates colour
shift over time.
Calibra® Veneer aesthetic resin cementWith its unbeatable track record, Calibra® Veneer Cement is the only cement you’ll everneed for successful, long-lasting veneer restorations.• Over a decade of proven clinical performance.• A visible light cured cement with virtually unlimited cleanup time.• Thixotropic nature allows for favourable handling.• Try-in pastes closely match their corresponding shades.• 5 aesthetic shade options with shade stable® Technology virtually eliminates colour
shift over time.
Dentsply sirona inLab software update 18.0
Calibra® Cements
Dentsply sirona CeReC software update 4.6
For more information on the products featured, please contact your local Dentsply sirona representative.
NEW
InstallNow
InstallNow
upgraded softwareThis new software has optimised the functional scope and handling of the CAD andCAM software for an even wider range of applications and more efficient productionprocedures in the dental laboratory. All inLab software application modules benefitfrom the innovations.
New applications – More design options• Gingiva element for regular preparations.• Multilayer for gingiva bridges.• Tooth shade.• 1:1 copy mode.
Lab-to-lab workflow with Dentsply sironaFor the first time, an inLab laboratory can transfer scan or restoration data quicklyand safely to another inLab laboratory and receive it back again via the sironaConnect Portal. The inLab sW 18.0 update includes the inLab CAD sW 18 and theinLab CAM sW 18.0. The new CAM software supports the inLab MC X5 and inLab MCXL production units with optimised workflows.
The inLab sW 18.0 update can only be ordered from specialist dealers. Moreinformation on the update is available online at www.dentsplysirona.com/inlab
upgraded softwareThe new algorithm in the CeReC software 4.6 takes CAD/CAM technology in thepractice to a new level of quality. it features well-structured workflows that makemany tasks automatic and faster: the approximately 20 percent reduction in the timeneeded for creating the margin and modification of the design is a decisive addedvalue. it also reduces the process of creating a restoration to just one click per step:administration, acquisition, model, design, and manufacture. This 5-click conceptenables users to produce restorations more easily, safely and quickly than ever before.For dentists, this means they save time with even more comfortable handling.
Product News
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DS INSIGHT | Issue 04 2018
Product in Focus
single tooth immediate placementusing the Astra Tech implantsystem® eV and Atlantis® AbutmentThe patient presented with a fractured maxillary right lateralincisor (#12) with a dislodged endodontic post. Due tocrown-to-root ratio and short remaining root, extraction andimmediate implant placement was elected. Care wasprovided with an Osseospeed® eV 3.6 diameter implantplaced towards the palate following the 3x2 rule. Followingeight weeks of healing, stage-ii was performed and the finalrestoration completed within six weeks using an Atlantis®Abutment in gold-shaded titanium with concave emergenceshape selected. The final crown was an all-ceramic zirconiacrown.
Professor Clark M. Stanford, DDs, Ph.D.College of Dentistry and Dental Clinics,university of iowaiowa City, [email protected]
1. Clinical pre-treatment situation. Rootfracture on maxillary right lateral incisor.
2. Radiographic image of the pre-treatmentsituation.
3. immediate implant placement after toothextraction starting with the Twist Drill eVØ1.9.
4. Direction indicator eV showing theforthcoming position of the implant
5. implant placement using implant DrivereV 3.6.
6. Osseospeed® eV 3.6 s x13mm placed inthe correct position.
Assistant Professor Gustavo Avila-OrtizDDs, Ms, Ph.D.College of Dentistry and Dental Clinics,university of iowaiowa City, [email protected]
Astra Tech Implant System®
Atlantis®
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7. Radiographic image after implantplacement showing the Osseospeed® eV3.6 s x13mm placed epicrestally with aCover screw eV 3.6.
8. stage-ii was performed after eight weeksof healing. A triangular HealDesign eV 3.6Ø5-3.5mm is placed in the implant.
9. The triangular design pre-shapes anaesthetic profile for the final restoration.
10. The self-guiding implant Pick-up eV 3.6is used for impression taking.
11. implant Replica eV 3.6 is connected tothe implant Pick-up in the impressionmaterial.
12. An Atlantis® Abutment in gold-shadedtitanium is ordered through Atlantis®WebOrder.
13. Atlantis® Abutment in situ after six weeksof additional healing. The one-position-only indexing feature simplifies theabutment placement.
16. Anterior incisal plane and final clinicalappearance three months afterinstallation
This case report is published as an inspiration for you as a clinician and not necessarily as a recommendation from Dentsply sirona.
www.dentsplysirona.com
Dentsply sirona does not waive any right to its trademarks by not using the symbols ® or ™. 32670406-usX-1611 © 2016 Dentsply sirona. All rights reserved.
14. Radiographic image after placement ofthe Atlantis® Abutment and the crown.
15. All-ceramic crown (ZrO2) after threemonths.
For more information on the Astra Techimplant system® eV, please contact yourlocal Dentsply sirona representative.
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DS INSIGHT | Issue 04 2018
Practice Management
The debate among dental professionals rages on. While it’s generally acknowledged that advanced technologies such asCAD/CAM, dental lasers, digital imaging and intraoral cameras are quickly replacing many traditional tools in today’spractice, dentists still find themselves grappling with some very basic and, oftentimes, tough decisions:
• Which advanced technologies should i integrate into my practice next?• How can i promote my investment in technology to attract quality patients?• How quickly can i get the return on my investment and grow my business?• should i invest in new technology if i am planning to sell my practice?• Which advanced technologies have the greatest patient appeal?
This article is designed to answer these questions and help dentists, office managers and practice owners formulate astrategic approach to reaping the maximum benefit from deploying advanced dental technology in their practice. it comesas no surprise that there is a broad spectrum of perspectives within dentistry around this topic, and this survey fromFuturdontics® asked dentists about their views on integrating advanced technology into their practice, as it related to thefollowing areas:
• Technology Awareness and usage• Patients and Technology• Practice Productivity• Quality of Dentistry• Patient Comfort and Convenience• Practice Profitability (including ROi)• Technology’s Role in Practice sales• Dentists, Technology and DsOs (Dental service Organisation)• industry impact
AdvancedDental TechnologyPerception vs Reality
intraoral cameras and 2D digital imaging topped the list of most popular technologies. eight out of ten practices are alreadyusing them and more plan on adding these systems to their technology portfolio. Fewer than 50% of the professionalssurveyed are currently using CAD/CAM, advanced diagnostic tools and 3D imaging; however, that number is sure to rise asmany practices have those technologies on their wish list.
Technology Awareness and usageThe role of the following technologies plays inyour practice
Top 10 Most Recognised Dental Technologiesand/or Brands
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What percentage of your patients take advantage of your investment in the following technologies?
imaging technology turns out to be the real workhorse ofdental practices. seven out of ten survey respondents reportincorporating 2D digital imaging into the care plan ofbetween 76% and 100% of their practice’s patients. intraoralcameras are the next most often used technology. 49% ofrespondents say that an intraoral camera figures into thetreatment protocol of between 76% and 100% of patients.
Patients and TechnologyAdvanced technologies, including single Visit Dentistry withCeReC (which saw a 96% brand recall among therespondents), are clearly gaining awareness and significanttraction among patients. it is important to know that in therecent “What Dental Patients Want”* survey fromFuturdontics®, many patients between the ages of 25 and44 said that they would switch from their current dentist ifthey did not offer advanced technology treatment options.Dentists who are holding onto many traditional methodsand not integrating new technologies waiting for “patientdemand” to catch-up before they invest may findthemselves also playing catch-up with competing practices.
Quality of DentistryMaking dentistry faster, better and more enjoyable is a keygoal of every dental practice. Those that adopt and usemore advanced technologies are experiencing morestreamlined processes for their team, and, consequently,they are delivering a more positive experience for theirpatients. From a marketing perspective, implementingstrategies that promote your practice’s advancedtechnology can give you tremendous leverage in building astronger, more competitive business.
Which technologies have the greatest positiveimpact on the overall quality of Dentistry?
• CeReC, DeXis®* and schick* are the most recogniseddental technology brands.
• intraoral cameras are the most widely used advanceddental technology tool.
• eight out of ten practices surveyed have invested in 2Ddigital imaging systems.
• intraoral cameras and CAD/CAM are top ranked forimproving practice profitability.
• 3D digital imaging is rated #1 for improving the quality ofdentistry.
• More practices are planning to add 3D digital imaging thanany other technology.
• DsOs (Dental service Organisation) are more heavilyinvested in technology than independent practitioners.
• CAD/CAM is the #1 patient-requested dental technology.
KeY FiNDiNGs:
“CAD/CAM is the #1patient requesteddental technology”
Find out more major findings of this survey in the next issue of iNsiGHT.
Practice ProductivityWhich technologies have the greatest positiveimpact on practice productivity?Respondents were asked about which technologies havehad a marked impact on their overall practice productivity.The highest ranking technologies were intraoral camerasand CAD/CAM. since its introduction in 1989, the intraoralcamera has proven to be an invaluable diagnostic tool aswell as a highly effective way to improve case acceptance.CAD/CAM’s ability to complete complex dental restorationsin a single visit is ideal for making production more efficient.
1Not registered trademarks of Dentsply sirona *source: www.futuredontics.com/TechReport
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CeReC
CEREC: A Solution for EveryoneDon’t just take our word for it.CeReC opens up endless possibilities for our customers. some take their first step into the digital world by moving awayfrom the traditional methods of impression taking by integrating the CeReC Omnicam into their practice. Others choose toinvest in the full CeReC system which makes single Visit Dentistry a reality. Whichever option they choose to take, dentistsacross MeNA have come to appreciate just how CeReC can work for them.
Whether new to CeReC or a long standing customer, CeReC becomes integral to the daily operation of the practice. it ismore than a Digital Dentistry solution – it’s a way of life for many dental practices.
“i’ve only been using CeReC for a few months and i canalready see that it makes my business faster and incomehigher. i reduce lab costs, i reduce the time needed with thepatient and the quality of the crown is higher so the patientis also happier.”
Dr. Bashar Al-QassabAl Ain specialized Medical Center, uAe
“Dentsply sirona units are good and have provento be very robust compared to other units. This wasa good reference point for me which played animportant part in my decision to invest in CeReC.”
Professor Mohamed B. Hassaninuniversity of Jazan Dental Clinic, saudi Arabia
“i’ve been using CeReC for 5 years and it’s the perfect way to work for me. i useit for crowns, inlays, onlays, veneers, and most recently restorations over implants– it’s a real game-changer for the clinic. Our surgeon does the implant surgery andwe can pre-design the crown before the process starts. The patient can see howprecise we can get the restoration throughout the whole workflow.”
Dr. Nabil Al samadiDr Firas Dental & Orthodontic Center, uAe
“i’ve been using CeReC since2003 and i can’t work without itanymore! The workflow is verysimple and easy to use, intuitiveand precise.”
Dr. Fadi KananVilafortuny, uAe
DS INSIGHT | Issue 04 2018
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its no surprise that digital dentistry and patient satisfaction go hand-in-hand. see below how updating your practice withthe latest technology can impact your practice and why so many choose to make this investment.
Welcome to the familyWe’re proud to have welcomed so many new faces, in the uAe, to our CeReC family this year. We take great pride in installingour CeReC equipment knowing we are setting practices up for the future.
After installation by one of our dedicated service engineers, we ensure our customers are given a overview of their CeReCequipment with a hands-on training, either by a dedicated CAD/CAM CeReC specialist or a certified local trainer. Thisenables them to leverage the power of the workflow and integrate it into their day-to-day work straight away. it is importantto us that our customers have all the necessary tools for lasting practical success, which is why we re-visit clinics with newlyinstalled equipment to introduce them to our consumable solutions and deliver patient marketing materials for integrationin their practice. With Dentsply sirona, you have a strong partner at your side for all your CeReC needs.
Are you interested in becoming part of our CeReC community? Discover all that CeReC has to offer and get in contact withyour local Dentsply sirona representative today – see page 27.
Here are just a few of our new faces:
“Technology is an essential life supplement and we must embraceit, especially when it comes to dentistry. People are aware ofCeReC as aesthetics is the modern topic now. CeReC helps youdo a better preparation and it has definitely upgraded my skills. ithink digital dentistry is the present and future.”
Dr. Nawal Al MutawaDr. Nawal Al Mutawa Dental Clinic, Bahrain
“CeReC excludes all impression materials and patientdiscomfort. There is no need for another appointment ortemporary restorations.”
Dr. Dorotea AshrafLe Dentiste, egypt
“We wanted to move our practice to the next level andbe at the forefront of technology in dentistry to givethe best possible options.”
Dr. Ahmad AbdelAziz MahmoudNova Medical Center, uAe
“i’ve received more patients throughrecommendations who are excited to try thetechnology and appreciate the single visitphilosophy.”
Dr. Odeh salamehMourany Dental Center, uAe
smilecare Dental Clinic Al Ain specialized Medical Center Medica Medical Center
swedish Medical Centre Al Malak Dental Clinic i-smile Dental Clinic
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DS INSIGHT | Issue 04 2018
endodontics
in recent years, a team at King’sCollege London has completed anumber of clinical trialshighlighting the importance ofCBCT (Cone Beam ComputedTomography) in diagnosis andoutcome assessment inendodontics. As endodontists,we are all now familiar with thebenefits of using CBCT scans toidentify where the problems are
within the tooth. We use this technology to help us viewtrauma such as tooth fracture or examine where a root canaltreatment has failed.
it is well known that the presence of radiolucencies at theapex of a root is symptomatic of endodontic infection suchas granulomas or cysts. in the majority of endodontic cases,the assessment of outcomes is reliant on the detection ofthese apical radiolucencies or exposing any change in theirsize.
A radiographic technique (CBCT) demonstrates far bettersensitivity and specificity at detecting radiolucencies thantraditional periapical radiographs. With periapicalradiographs, it has been demonstrated that the number ofroots cannot be seen clearly, so we are not just missingradiolucencies at the apex of the root, but missing entireroot canals. it is important to remember that the radiationdose delivered to the patient must also be considered, whenassessing treatment modalities. A periapical radiographdelivers 0.14% of annual background radiation, rising to 0.2%with panoramic, whilst a conventional CT scan delivers 39%.A small field of view CBCT scan delivers barely 1%, whichalthough around 7 times higher than a traditional scan, is infact, much less than taking a long-haul flight, say from Paristo Tokyo, that delivers 4 times this radiation dose.
Preserving the vitality of the pulp helps to preserve thestructure of the tooth. indirect pulp capping works betterthan direct pulp capping and we can use CBCT to helpdetermine when indirect capping is likely to be a success orfailure. indirect pulp capping guided by CBCT can help avoidthe loss of tooth structure, significantly improving the
in conclusionCBCT is essential:• in diagnosing external/internal resorption.• in diagnosing traumatic injuries of teeth.• in the assessment of endodontic outcomes in the context of
clinical trials. • For pre-surgical assessment.• in detecting small radiolucencies in teeth with deep caries.• As a pre-treatment radiograph before the endodontic treatment
of molars, lower incisors and retreatment of premolars.• For looking more closely at the loss of tooth structure and the
success of root canal treatment.
Diagnosis and Outcomein Endodontics in the3D Imaging eraProfessor Francesco Mannocci, Specialist in Endodonticsand Restorative Dentistry, discusses how 3D Imaging isstreamlining the endodontic workflow.
success rate of this procedure and potentially increasing thechances of survival for the tooth.
We can now also use CBCT in the actual design of root canaltreatment, effectively planning access to the pulp chamber,and 2017 sees the launch of 3D endo, a new software byDentsply sirona, which will improve individual treatmentplanning using CBCT. This software will help us to visualisethe direction and position of the canal and the ideal shapeof the access cavity. 3D endo enables the user to isolate thetooth being treated and locates the orifice and apex of thecanals. This makes it possible to add more points to thecomputer image, resulting in more precise tracking of eachindividual canal, no matter how curved they may be. The final3D representation can be rotated 360° and allows us todetermine the working length, analyse the natural shape ofthe canal and select the appropriate files using the integratedfile database.
in root canal treatment, there is always a need for strictinfection control to prevent bacteria getting into lesions andcreating infection that can lead to failures. A tight coronalseal is especially important to prevent bacteria penetratingthe tooth at a later stage. if the tooth is particularly damagedit is more difficult to achieve an adequate coronal seal andmakes the tooth more prone to failure through bacterialinfection. CBCT imaging plays a vital role in such cases, asthese teeth are likely to be more prone to small cracks andfractures, which are difficult to detect using traditionalscanning methods.
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Complex cases,nothing left to hide?The first CBCT based software designed to improveendodontic treatment planning for more predictability.
3D Endo™Software
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DS INSIGHT | Issue 04 2018
interview
Dr. Ahmed soliman idris – Welldent Clinic, Cairo, egyptDr. Ahmed soliman idris is the founder of Welldent Clinic which was established six years ago in Cairo. Two branches arenow open, one in Dokki and one in Fifth settlement. Dr. Ahmed soliman idris graduated with a Msc & PHD in FixedProsthodontics. He is a lecturer at the Faculty of Dentistry Cairo university since 2001 and a lecturer at the Faculty ofDentistry British university in egypt since 2013.
Dr. Ahmed soliman idris started using the Dentsply sirona Class ii solution™ 2 years ago. We caught up with him to findout how the Class ii solution™ has helped him better manage restorative performance and give his patients an improvedClass ii experience.
A Dentsply SironaPredominantPracticeClass II Solution™
Q. Please explain briefly why you choose a career indentistry?
A. For me, dentistry is a science combined with art and thisis what i like. The passion of changing a person’s life bycreating a beautiful, healthy smile is one of the mostintangible rewards of being a dentist.
Q. What does “Class ii” mean to your practice?
A. Class ii restorations are part of my daily work. Onaverage, i am filling around 5 to 6 cavities per day whichrepresents around 30% of the total restorations i amdoing - getting this procedure right the first time isessential.
Q. in your opinion, what is the most challenging part of aClass ii composite restoration?
A. i think the most challenging part of a Class ii restorationis the creation of a proper contact. The main difficulty isto make a proper contouring of the contact area in a shorttime and with great precision to avoid food accumulationand subsequent periodontal problems later on.
Q. For how long have you been using the Dentsply sironaClass ii solution™?
A. i have been using the Palodent® V3 sectional matrix
system with great success for 2 years. 8 months ago, myDentsply sirona sales representative visited my clinic andconducted a demo on the new Prime&Bond universal™.He also gave me a sample of sDR® and ceram.x®sphereTeC™ which enabled me to try and see if theproducts stacked up against the current system i wasusing. since then, i have been using the completeDentsply sirona Class ii solution™ daily and i am totallysatisfied with the results i achieve.
Q. There is a variety of Class ii materials on the market. Whydo you choose to use the Dentsply sirona Class iisolution™?
A. i chose the Dentsply sirona Class ii solution™ because ofthe precision and the simplicity it offers. Dentsply sironaprovides you with the complete solution and takes inconsideration the fine details of each step of the Class iirestoration to make the overall restoration a success.
Q. Which product from the Dentsply sirona Class iisolution™ do you prefer most and why?
A. Palodent® V3, because it completely solved the mainchallenge of a Class ii restoration which is creating aproper contact. Palodent® V3 is not just a ring but a fullsolution including the matrices, wedges and the wedgeguards, which when used together, saves a lot of time.
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Class ii solution™: Optimisation of each procedural step for predictable outcomes
Q. success factors for a dental practice are profitability, image andsafety. How has using the Dentsply sirona Class ii solutionenabled you to reach these 3 keys success factors for yourpractice?
A: Dentsply sirona’s Class ii solution™ provides me with anacademic and professional dental practice with perfect clinicallongevity and minimal post-operative complications.Complaints of postoperative pain have dramatically decreasedafter using the proper equipment to restore contacts, whichallows for the proper isolation protocol to be followed. Mypatients receive a better treatment in a shorter timeframe andexcellent results. The satisfaction of my patients has a positiveimpact on the overall health of my practice. Most of my patientsare now referred through word of mouth.
Q. Class ii is a critical player in practice’s success. What advicewould you give to colleagues to perform these restorations withconfidence?
A. it is really important to have proper cavity isolation and usesuitable instruments and materials. some clinicians are using amix of products and materials from different companies. Whilethis approach can play out successfully, it can also lead tounpredictable outcomes. using the full Dentsply sirona Class iisolution™ makes the procedure more efficient and the outcomemore predictable. i have already recommended the Class iisolution™ to many colleagues.
Q. Dentsply sirona is the world’s largest manufacturer ofprofessional dental products and technologies – Besides fromthe Class ii solution™ do you recommend any other products?
A. Yes i do. i would recommend CeReC as i have been using it inmy clinic since 2007. CAD/CAM technology has conquered itsposition in the world of dentistry, and now we can see thedifference in terms of quality and time consumption when weuse digital dentistry in place of the traditional methods. For me,the advantages of CeReC are: • user friendly software• innovative and new updates that we receive directly from
Dentsply sirona• scanners quality provides accurate optical impressions• From the patients point of view, they can get their crown in
the same day with no need for unpleasant impressions in theirmouth. This is a real comfort for them.
Palodent® V3Sectional Matrix System
SDR® PlusBulk Fill Flowable
Prime&Bond universal™Universal Adhesive
Ceram.x® SphereTEC™ oneEfficient Aesthetics
For more information on the Dentsply sirona Class ii solution™, please contact your local Dentsply sirona representative.
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Clinical education
student Graduation eveningBeirut, Lebanon – 25th June 2018On 25th June we were privileged to host over 100 dentalstudents in Beirut, Lebanon, to celebrate their graduation.The evening was a chance for us to show how we'redelivering innovative dental solutions to improve oral healthworldwide and how the next generation of dentists can takethis vision forward into their professional careers.
Dentsply Sirona StepsUp Clinical Education inUniversities
Hail university Riyadh elm university Riyadh elm university
Hail university Qassim university King Khalid university
Continuous Clinical education for students, saudi Arabia – Yearly• since January 2018, 14 courses have been conducted for students and interns exposing 438 students to the Dentsply
sirona portfolio. some big universities have received training: King saud university, King AbdulAziz university, Dammamuniversity, ibn sina university, King saud Medical sciences university, Riyadh College, Qassim university, Hail university,Prince sattam and Princess Noura university. Various topics have been covered, from “Choose your endo solution”covering the most recent rotary (Protaper Next®) and reciprocating (WaveOne® Gold) systems alongside the carrier basedobturation Guttacore® system, to the restorative “Class ii solution™” - Palodent® V3, Prime&Bond universal™, sDR® andceram.x® sphereTeC™.
• 3 universities from saudi (King AbdulAziz university, Dammam university and Princess Noura university) participated inthe Global Clinical Case Contest 2017 - 2018 (GCCC). They liked our products so much they upgraded to the RestorativeClass ii solution™ product line.
• Dentsply sirona sponsored the Riyadh College Graduation Ceremony day on 2nd May 2018. Riyadh College recentlyconverted to our Dentsply sirona restorative and endodontic portfolios. The day presented the perfect opportunity toshowcase our full consumables and equipment product lines and solutions, and during the ceremony, we received atrophy of appreciation.
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DS INSIGHT | Issue 04 2018
Feature Article
Global Clinical CaseContest 2018
MeNA Regional FinalDubai, uAeOur regional finals took place on 12th
April 2018 and were judged by Dr. AmroAdel and Dr. Peet van D. Vyver in ourDentsply sirona Academy. Theshortlisted students were from 11different universities but there couldonly be 3 winners - Ghida Lawand(Beirut Arab university, Lebanon),Monika Ayoub (Ain shams university,egypt) and Martin Moubarak (Lebaneseuniversity, Lebanon).
Dentsply sirona’s Global Clinical Case Contest (GCCC) is a globaldental school talent competition which honours outstanding clinicalresults submitted by dental students.since its inception in 2004-2005, more than 2300 dental students have participated, with the 2016-2017 competitiondrawing a total of 592 entries from 169 universities. Dental undergraduate and graduate students, with less than 2 yearsof clinical practice, are invited to participate by documenting a patient case in a standardised format with photographsand text of clinical anterior and posterior direct restorations using the entire Dentsply sirona restorative product line. Forthe MeNA region, over 150 students from 10 universities took part. They selected their best student case to representthem at our regional final in Dubai, uAe. The 3 winners then went forward to participate in the global final in Konstanz,Germany.
Global Final Konstanz, GermanyOn 27th-28th June the MeNA regional winners travelled tothe Dentsply sirona Restorative Headquarters in Konstanz,Germany and presented their cases to an international panelof judges. We were lucky enough to have Martin Moubarakfrom Lebanese university (tutor: Dr. Paul Nahas), place inthe top 3 of the global winners - his case is on the next page.The 1st place was given to Matteo salvato from italy(universita degli studi di Verona, tutor Dr.ssa ZottiFrancesca) and 3rd place to Anna Braeckmans from Belgium(Ku Leuven, tutor: Prof. Dr. Marleen Peumans). All threefinalists will have their cases presented at the Dentsplysirona booth during the iADR Congress in London, on 25th
July 2018.
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introduction to the CaseWhen facing vital anterior teeth that have been previously restored with old composite on multiple surfaces, using directcomposite restorations are still considered to be the least invasive technique with durability comparable to indirectrestorations. This is true due to the advancements made in modern composite components that shifted towards fillers,and gives high wear resistance, glossy surfaces, and increased longevity, especially when compared to older compositematerials.
Material and MethodA deep analysis of the case started from clinical observation,radiological examination and model analysis. Then a wax-up wasprepared on the models with respect to restoring the aestheticparameters: Midline, teeth ratio, position of the incisal edges in relationto the lip line, and the teeth axes. A silicon key was taken in order tocopy the wax-up into the patient's mouth in order to gain her approval.After confirming pulp vitality, deep scaling was performed. Then, aftereliminating the old restorations, teeth were cleaned from all types ofdecay and a minimal preparation was done to the rest of the dentaltissues. isolation, etching (Detrey® Conditioner 36 gel), bonding(Prime&Bond® One) and then building up the teeth with the latest high-end composite (ceram.x® sphereTeC™). Finally, after checking theocclusion and anatomical patterns, finishing was completed with theenhance® Finishing system and polishing was then done with theenhance® POGO Polishing system.
Discussion and ConclusionWhen surfaces and margins of old restorations are infiltrated withdecay, tarnished with stains, have fractured edges, and when theinvolved teeth maintain their vitality, re-building teeth anatomy andfunctionality with conventional composite is still considered aminimally invasive good choice, even if large restorations are involved.in this case, pre-operative analysis was essential, and the choice ofbonding a nano-filled composite should play a major added value tothe longevity and aesthetics of the new restorations.
The patient is a 48 year old female. There are compositerestorations on each tooth (13 to 23) showing a lot of stains withsurface roughness and recurrent caries. Also, neither the midline(between 11 and 21) nor the teeth size ratio is respected. Moreover,axes of the teeth are not parallel.
One week after scaling and hygiene motivation, old restorations andcaries were removed. since all the teeth were still vital, new fullcomposite restorations were done on the 6 anterior maxillary teethusing only ceram.x® sphereTeC™ composite.
step 1 - smile AnalysisPatient‘s upper lip line clearly hid the gum.Therefore, a gum surgery wasn‘t necessary.Teeth shade was selected: A2 to build themiddle and cervical margins of the crownand A1 for the incisal edges.
step 2 - smile DesignMajor aesthetic parameters were evaluateddigitally.
step 3 – Central incisors Preparation,isolation and etchingAfter the preparation of the teeth, a properisolation was achieved with a rubber dam.etching the residual dental structures withDeTrey® Conditioner 36 was done followedby a thorough water spray rinse.
step 4 – Bonding and Composite Build-upPrime&Bond® One etch&Rinse was appliedand light cured from all sides. A silicon keywas used to build the palatal surfaces andthe incisal edges.
step 5 - Restoring the Central incisors using a wooden wedge supported celluloidmatrix, contact points were established,followed by a veneering of buccal surfaces.After making sure that teeth dimensionsand midline position were respected, therest of the preparations could be achieved.
step 6 - Restoring the Rest of the Teethisolation of centrals with teflon tape duringetching and bonding procedures. Then therest of the teeth were restored following thesame methodology.
step 7 – PolishingAfter restoring the lateral and canines, theocclusion was checked. Then finishing ofthe composite restoration was done with theenhance® Finishing and POGO Polishingsystem.
step 8 – Final Result Respecting AestheticParametersPictures taken 1 week after polishingshowing the achievement of the intendedaesthetic parameters and the outstandingmaterial quality.
Treatment steps
Before After
studentMartin Moubarak
TutorDr. Paul NAHAs
universityLebanese university – Faculty of Dental Medicine
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DS INSIGHT | Issue 04 2018
event Highlights
The saudi endo Tour by Dr. Marco Martignoni (from italy)in Jeddah, Riyadh and Dammam was focused on theWaveOne® Gold solution. it started on 5th April with 2workshops in the saudi endo society Congress at theintercontinental Hotel in Jeddah for 40 attendees. Then 1workshop was conducted in Riyadh at the Boarder GuardHospital with 13 attendees followed by 2 workshops for30 private customers. On the 8th April, Dr. MarcoMartignoni conducted a lecture for 70 dentists andworkshop for 16 participants in Al Gosaibi Hotel inDammam.
Dr. Marco Martignoni Endo Tour saudi Arabia 3rd–8th April 2018
April 2018
Prof. Peet van der Vyver (from south Africa) joined us forthree days in Dubai and Abu Dhabi, presenting a'Masterclass in Magnification, Restorative Dentistry andPhotography', to dentists from both the uAe and saudion 12th and 13th April.
Prof. Peet van der Vyver then moved to Jeddah on 15th
April for a full day Class ii workshop for 22 participantsfrom Rama Dental Group featuring the Class ii solution™products and magnification and photography. Then heconducted a lecture for an audience of 80 attendees inLe Meridian Hotel Jeddah. The next day, he headed toDammam to conduct a lecture for 70 attendees. The tourconcluded with a workshop in AlMana General HospitalDental Dept for 16 participants from the private sector on17th April.
We then moved to Muscat, on 18th April for 2 sessions onthe Class ii solution™ for 2 groups of 20 participants.
Prof. Peet van der Vyver Resto Tour Dubai & Abu Dhabi 12th-14th April 2018
saudi Arabia 15th–17th April 2018
Oman 18th April 2018
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The Dentsply sirona team attendedthe 58th international exhibition &Congress of iranian Dental Association(eXCiDA) in Tehran, where weshowcased our full range of dentalsolutions available to practitionersseeking better, safer, faster dental care.
EXCIDA iran 16th–19th April 2018
We welcomed Dr. Thomas Hanser(from Germany) to our Dentsply sironaAcademy, in Dubai for three days. eachday he presented a course on theprinciples and long term results of hardtissue grafting of autogenous bonehighlighting the Dentsply sironaimplant systems Ankylos®, Xive® andAstra Tech implant system® eV to 45attendees.
Implants Training Dubai 29th April–1st May 2018
CEREC Advanced Courses
Dubai 23rd– 27th April 2018
Endo, CAD/CAM and Laser Event
Dubai 23rd– 27th April 2018
Dr. Marko Ahonen (from Finland) conducted an advancedCeReC training for 24 participants from North Africa, saudiArabia and uAe. The topics covered were possibilities of digitaldentistry, patient communication, preparations for anterior work,wax ups and how to use them properly, single crown and veneerdesign, staining and glazing of Celtra® Duo, ultra-thin veneers andhow to deal with dark stumps and full mouth reconstructions.The training included a hands-on session with reference tobiogeneric, biocopy and bioreference.
The endo, CAD/CAM and Laser event took place on 25th April inRiyadh. it was one of the first events in saudi that combined 3topics from consumables to equipment. During the event, 3speakers conducted lectures and workshops on endo (Dr. AmreMaglad), Lasers (Prof. Ahmed Abde Hakim) and CAD/CAM (Prof.Mohammed Hassanein) to 55 attendees. There was also a miniexhibition where attendees were able to buy our products. 7 CMehours were provided by The saudi Dental society.
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DS INSIGHT | Issue 04 2018
event Highlights
13th CAD/CAM & Digital DentistryConference
Dubai 4th–5th May 2018 Dubai 7th– 8th May 2018
On 6th and 8th May, we welcomed Dr. Peter Gerhke(from Germany) to Dubai and Abu Dhabi, who gavelectures on Digital implant solutions andComplications Management to 158 attendees.
All Digital Solutions for Implant and Complications
Nowadays, dentistry is becoming more and moredigital, but it’s not only about the diagnosis. You canmake your whole workflow fully digital withrestorations in one visit, customised implantprosthetics and orthodontic services.
Dr. Abdel Aziz Yehia and Alexander Razenkov(Dentsply sirona) conducted training on integratedimplantology solutions and digital equipmentevenings in Dubai and Abu Dhabi for 11 attendees.
IntegratedImplantologySolutions andDigitalEquipmentEvening
Dubai and Abu Dhabi 9th–10th May 2018
May 2018
We participated at the 13th CAD/CAM & Digital Dentistry Conference in theMadinat Jumeirah with a 12 x 13m stand where continuous demonstrations onour equipment and consumables ranges took place. We also welcomed Prof.Ahmed Abdelhakim (from egypt) who gave 2 lectures on “The ultimateAesthetic experience and Laser for Painless Dental Applications”. in additionDr. Abdel Aziz Yehia (Dentsply sirona) conducted 4 free CMe lectures on thefull digital chairside implantology workflow and introduction to the CAD/CAMworld with a demonstration on scanning, designing and Milling a Crown.Alexander Razenkov (Dentsply sirona) also conducted a lecture on integratedimplantology solutions.
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John Philip (master inLab trainer from Bensheim, Germany)conducted 2 inLab sessions on 28th and 29th May in Abu Dhabiand Dubai respectively. One session was dedicated for currentinLab users and focused on the new inLab software 18.0 update.The other session was for new potential users to discover thebenefits of working with our full inLab system and test drive itfor themselves.
inLab Training Dubai and Abu Dhabi 28th–29th May 2018
On 7th May, we launched Celtra® Duo in Amman, Jordan. Dr.Mohamed Hassanein (from egypt) led the event, in partnershipwith our dealer ibn Rushd Dental solutions (iRDs), and presentedthe many technical features and benefits of Celtra Duo® througha lecture and hands-on training.
Celtra® Duo Launch
As always, we have been conducting our CeReC andinLab Discovery evenings running every month. Allparticipants have the chance to test drive the systemsand see how efficient they are, first hand. Theseevenings are all about experiencing the latestadvancements in technology and discovering thenewest techniques to drive better, safer, faster dentalcare.
CEREC and inLab Discovery Evenings
Dubai and Abu Dhabi Monthly
Dr. Filippo Santarcangelo
Lebanon and egypt 21st–25th June 2018
June 2018
Jordan 7th May 2018
On 21st June, Dr. Filippo santarcangelo (from italy) started his tourin Lebanon where he conducted a lecture to 100 attendees on‘Anatomically Guided shaping: science and Practice’ followed by aProTaper Next® workshop for 15 attendees. Dr. Filippo santarcangelothen flew to egypt for 3 days. On 23rd June and 25th June around100 attendees were trained in The Future university in egypt. On24th June, Dr. Filippo santarcangelo conducted a Train the Trainersession to 17 attendees from egypt, saudi Arabia and iraq.
upcoming events
We have a host of events for you to enjoy in 2018. To find out more information or book yourplace, please contact Khushboo Valicha - [email protected] or KaterynaPonomarenko - [email protected].
July
Date Topic Speaker Venue22th July CEREC Discovery Evening Dr. Abdul Aziz Yehia Abu Dhabi24th July CEREC Discovery Evening Dr. Abdul Aziz Yehia Dubai
september
Date Topic Speaker Venue7th-8th september Endodontic Management Dr. edmond Koyess Dubai16th september CEREC Discovery Evening Dr. Abdul Aziz Yehia Abu Dhabi18th september CEREC Discovery Evening Dr. Abdul Aziz Yehia Dubai
Dentsply sirona Academy
international Tours
september
Date Topic Speaker Venue7th-8th september Endodontic Management Dr. edmond Koyess Badgdad, iraq13th-15th september EDSIC Exhibition Dr. Ayad Mouayad Cairo, egypt Al-Obaidi26th-29th september The MENA Summit TBC sharm el sheikh, egypt
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DS INSIGHT | Issue 04 2018
Innovative and Digital Solutions in Dentistry
26th – 29th
September
2018Sharm
El Sheikh,Egypt
Save the date...
If you have any questions or would like to discuss any of the products or articlesfeatured in the new INSIGHT Magazine, please don’t hesitate to contact us.
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