Henry Schein - Dental Solutions - Feb / March 2021

D E N TA L S O L U T I O N S

FEB / MAR 2021

26 - 36

ENDODONTIC SOLUTIONS

INFECTION CONTROL SOLUTIONS

Our Solutions CAD CAM Solutions

Our Brands 56, 68, 72

Cosmetic & Restorative Digital Solutions

10-22 62, 64-67

Endodontic Solutions

26-36

Equipment Solutions

54-59

Handpiece Solutions

50-52

Infection Control Solutions

40-46

Instrument Solutions

47-49

Lab Solutions Orthodontic Solutions

74 60-63

Practice Management Solutions 23 Preventative Solutions

2

62 - 67

40 - 46

4-9

3D Printing 68 3Shape 64 AquaCare 20 Asiga 68 Busa 26 Colgate 4-6, 37 Coltene 17, 34-36 EdgeEndo 30 EMS 8 Formlabs 71 GC 7, 10-12, 18, Henry Schein One 23 Hu-friedy 39, 47-49 Invisalign Go 60 Isolite 21 Itero 62 Kavo 52

D EN TA L

S O L U T I O N S

F E B R U ARY

DIGITAL DENTISTRY SOLUTIONS

Keystone 69 Komet 32 Kuraray Noritake 14-16 Morita 28, 50 Nextdent 70 Orsing 38 Pain Control 24 Philips 9 Planmeca 56 Radic8 46 Scheu 75 Septodont 13 The Wand 24 Ultradent 22 VHF 63 Vita 66, 72-74 White Dental Beauty 19 Zumax 57

2 0 2 1

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2020 was a year of challenges and unknowns for Australians and individuals all around the world. In Australia we are in a fortunate position where green shoots are appearing both in the economy and in the industry for the year ahead.

At Henry Schein, our mission is to improve the lives of those we touch by focusing on practice care, so dental professionals can focus on patient care. In this editorial, we want to highlight a few things your practice can take advantage of to help your practice continue to Thrive & Grow in 2021 and beyond.

TEAM SCHEIN MEMBERS Our Henry Schein Team (Team Schein Members) are proudly at the forefront of what we do. Henry Schein is ready to support your practice with Australia’s largest team of Territory Managers, Specialists, Customer Care Agents, and Henry Schein employed Technicians.

With over 1000 years of combined experience in the dental industry, the team are here to help your practice as your Trusted Business Partner.

Whether looking to establish a new practice, or for advice on products within specialist areas such as Endodontics and Surgical, new technologies such as CAD-CAM, or tips on new products and workflows to improve patient outcomes and profitability the Henry Schein Team is committed to supporting you.

COMBINING PRODUCTS & EDUCATION We pride ourselves in partnering with world-leading dental product manufacturers to source and deliver some of the best products the industry has to offer. To ensure your practice has continued supply our Inventory Team work tirelessly to secure products in what is a very volatile time for global supply.

To support our extensive product range, we continue to focus on our Educational offering whether clinical or product focused.

In 2020 we introduced DentalEducationHub.com.au, a resource packed with a range of live and on-demand educational content including webinars, videos, articles, events, podcasts and journals.

In addition we are changing the approach to this Dental Solutions publication to deliver more insights in the form of educational articles, clinical content and introducing new products, procedures and workflows that can support the way you do dentistry and run your business.

ONLINE OFFERS & PROMOTIONS HenrySchein.com.au is one of the most useful tools you and your practice can utilise, with over 30,000 products available online and exclusive features including advanced search, product favourites, templates and inventory management which will save your practice hours or even days every month when placing your product orders.

We are committed to continue to develop our online experience and features, to make it even simpler and easier to purchase the products your practice needs. This year our offers and promotions will be exclusively available online and Scheining Prices (See back page) will be your go to source for the latest specials and offers across our range.

SUPPORTING YOUR BUSINESS Our exclusive loyalty programme, Henry Schein 360, unlocks exclusive discounts, monthly rebates and access to Business Solutions which include discounts on services your practice uses every day like HICAPS, insurance, patient finance and much more centred around saving your practice money.

Henry Schein is committed to partnering with you and hope you find the new Dental Solutions and Scheining Prices a benefit to your practice and business.

Interested to know more, please contact your Territory Manager or Customer Care on 1300 65 88 22.

Wishing you, your Team and your family a safe and prosperous year ahead.

Best Regards

CALUM COOGAN Marketing Communications, Digital & CX Manager

ONLINE

TV Feb 2020 21

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PREVENTATIVE SOLUTIONS

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Caries? We know that you care!

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PREVENTATIVE SOLUTIONS

TESTIMONIALS I have no hesitation in recommending NeutraFluor5000 to my patients; because it works. Over the years I have found that by recommending NeutraFluor5000 it transfers ownership of caries management and healthy maintenance back to the patient. They know that if they don’t floss and use this product, they will develop cavities in the next 12-18mths. The responsibility is now on them and together we can fight decay.

Dr Alex Negoescu, Dentist I like to recommend Colgate NeutraFluor 5000 to my patients regularly for a variety of reasons. I have found it to be a highly effective toothpaste for patients that are at high caries risk, have dentine hypersensitivity, have early cavities and who have a highly acidic oral cavity (health/diet/medical conditions). NeutraFluor 5000 is affordable, tastes good and is easy to incorporate into the routine oral hygiene regimen.

Dr Jessica Manuela, Dentist NeutraFluor 5000 is the first product I recommend to patients that are in a moderate to high risk group for a number of dental issues. It is a high quality product and is easy for patients to use. They don’t feel like we are asking them to change their oral hygiene routine too much or advising them of a routine that is too complex. As most practitioners know, the easier something is to use, the more the patients will be inclined to use it. We have had some great results and positive feedback from patients using Neutrafluor 5000.

Simone Alexander, Dental Hygienist NeutraFluor 5000 Plus toothpaste is a unique product that patients in need cannot readily access without the clinical knowledge and recommendation of a dental professional. I am confident to recommend NeutraFluor 5000 to all my patients with high risk of caries, knowing that I am able to make a positive change towards a healthy mouth.

Dr Amanda Tan, Dentist I have been recommending NeutraFluor 5000 to my patients for many years – I love this product! It’s not only great to help prevent caries and root caries; it’s also an excellent product to relieve sensitivity caused by tooth wear and hypomineralisation. The majority of my patients suffer from head & neck cancer, diabetes, and immunosuppressed conditions so they really need the extra fluoride boost that NeutraFluor 5000 provides. I get them to use NeutraFluor 5000 from the first appointment. The results are fantastic. My patients love the taste and they really like the fact that they only have to use one product that is cost-effective and easy to use. Well done Colgate!

Andrea Maguire, Oral Health Therapist It doesn’t take long working in the dental industry to realise that trying to change someone’s habits or behaviours is not that simple when it comes to oral care. Whilst change is not impossible, it is a process. For instance, in an ideal world, all our patients would leave the surgery brushing, flossing & eating just as we have suggested, and they probably do – for about a week than they tend to fall back into their same old “habits”. So, as a part of our preventative care in our high-risk caries patients, Colgate NeutraFluor 5000 plus has become an integral component of their daily tooth brushing regime.

We have been recommending NeutraFluor 5000 Plus to our patients for a number of years to help stabilize incipient lesions and superficial caries through to preventative care with pleasing results. I’m also pleased to say that our patients are very happy to use NeutraFluor 5000 due to the pleasant taste and their knowledge of the added benefits resulting in good patient compliance.

Mandy Sorensen, Dental Hygienist

1 3 0 0

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5

PREVENTATIVE SOLUTIONS

PEROXYL ORAL CLEANSER HYDROGEN PEROXIDE 1.5% W / V

Pre-procedural mouthrinse containing oxidative agent

Why Choose Colgate Peroxyl?

•

Peroxyl has an antibacterial effect and is ideal for Oral Hygiene Preprocedural rinsing of your patients prior to examination

•

Powered by 1.5% w/v Hydrogen Peroxide

•

Rapid release of oxygen

•

Non staining formula

•

Ready to Use rinse formulation for convenient use with patients

Great tasting mint flavour

Order code - CG-1225477

Alcohol-free* Available exclusively at

*Does not contain ethanol Disclaimer: Maximum Resale Pricing are the Maximum prices only and the distributor is free to sell at any price provided it does not exceed the maximum price stated

Order code - CG-1225477

Great tasting mint flavour

Alcohol-free*

Ph: 1800 262 111

Available exclusively at

n ethanol mum Resale Pricing are the Maximum prices only and the distributor is free to sell at any price provided it does not exceed the maximum price stated

Order code - CG-1225477

Ph: 1800 262 111 Great tasting mint flavour

Order code - CG-1225477 *Does not contain ethanol Disclaimer: Maximum Resale Pricing are the Maximum prices only and the distributor is free to sell at any price provided it does not exceed the maximum price stated

6

Alcohol-free* Available exclusively at

Ph: 1800 262 111

PREVENTATIVE SOLUTIONS

TOOTH MOUSSE (PLUS) TOOTH PROTECTION AT YOUR FINGERTIPS

A delicious tasting crème, containing a milk derived protein called RECALDENT® with incorporated fluoride (CPP-ACPF): casein phosphopeptide-amorphous calcium phosphate fluoride). The level of fluoride is 900ppm.

GC Tooth Mousse Plus contains 900 ppm fluoride and is recommended for: • children older than 6 years old*

• patients where additional fluoride exposure is desired*

* If GC Tooth Mousse Plus is not recommended, then GC Tooth Mousse is an alternative fluoride-free product.

If acid from bacteria in your mouth attacks your teeth GC Tooth Mousse Plus offers extra protection for your teeth if you are unable to effectively clean your teeth.

Brushing your teeth poorly allows dental plaque to build up and acid from bacteria in your mouth to attack teeth.

For example, patients undergoing orthodontic treatment with brackets or aligners GC Ruscello floss. tend to find it more difficult to clean It’ll teeth and remove dental plaque. brighten your day with its colours and

Brilliant colours.

Brilliant floss.

freshness and look after your teeth with its If acidwedge-shaped from diet attacks teeth fibrefor innovation.

GC Tooth Mousse Plus offers extra–protection for teeth if GC Ruscello floss uses micro-fibre technology each fibre is approximately 1/100th the thickness of human hair. Ruscello has 5 times your diet contains acidic foods or drinks. as many fibres as existing floss, making it easy to reach every corner in the mouth.

Examples of acidic drinks and foods include fruit juices, Ruscello has fibres that are wedge-shaped: plaque is easily taken up soft drinks, sports drinks, alcohol, coffee, refined sugars, into its micro-porosities and wiped away. artificial sweeteners, and foods.

Ruscello floss also has anvinegar exceptionally soft processed texture – it does not hurt even when attached to the gingiva. A waxed coating enables the floss to slide effortlessly between teeth.

If acid from reflux (heartburn) attacks your teeth GC Tooth Mousse Plus can alleviate the negative effects of acid reflux on your teeth by offering extra protection.

During pregnancy, nausea from morning sickness can lead to frequent reflux of acid contents of the stomach, particularly in the second and third months of pregnancy.

Some people suffer from reflux when they drink caffeine, alcoholic beverages, smoke or chew tobacco, or eat acidic foods.

People who depend on carers Some people depend on carers for assistance related to basic activities of daily living. Some individuals can experience difficulty with teeth/mouth hygiene, such as brushing their teeth, and their teeth may require extra protection in these circumstances.

GC Ruscello floss has a great mint flavour for a refreshing finish.

Ruscello floss is the perfect tool for applying Tooth Mousse or Tooth Mousse Plus in surgery. Ruscello floss unwaxed can absorb and hold the paste, so it can deliver the active ingredient directly into the carious region at proximal tooth surfaces.

Excellent tool for applying GC Tooth Mousse® (Plus)

Unwaxed GC Ruscello floss is indicated for use in dental practice: it can absorb and hold pastes, such as GC Tooth Mousse® and GC Tooth Mousse Plus®, and deliver it directly into interproximal tooth surfaces.

RECALDENT® or Casein Phosphopeptide-Amorphous Calcium Phosphate (CPP-ACP) is a unique ingredient derived from naturally occurring protein found in cow’s milk. RECALDENT is exported worldwide and used as an ingredient in various functional foods and dental products.

Download your copy of the new Tooth Mousse and Tooth Mousse Plus patient information

h en r y sc h e i n .c o m .a u

7

PREVENTATIVE SOLUTIONS

TAKE GBT TO THE MAX 3 NEW INNOVATIONS FROM EMS

Guided Biofilm Therapy is the systematic, predictable solution for dental biofilm

NEW

The all new AIRFLOW MAX Handpiece provides clinicians with a fully controlled & highly precise water spray to minimise aerosols.

The hexagon design features NEW Laminar AIRFLOW technology enabling a precise synergy between air, powder and water that reaches a new level of control, efficiency and comfort for patients and clinicians.

NEW

EMS.

NEW EMS goes green with the new AIRFLOW PLUS Powder with CPC in a unique recyclable aluminium bottle.

S.O.S.

The ONE & ONLY Erythritol + CPC patented formula for ALL clinical applications AND ALL patients.

SAVE OUR SMILES

1300 65 88 22

3rd generation PERIOFLOW Nozzle with a 25% MAKE slimmer, ME S flexible & gentle design for increased MILE. patient comfort.

Ready to get started?

Call Henry Schein on 1300 65 88 22 or reach out to your local EMS GBT Specialist.

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D EN TA L

MAKE ME SMILE.

S O L U T I O N S

F E B R U ARY

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USE O SA RIGI

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PREVENTATIVE SOLUTIONS

SONICARE 9000 DIAMONDCLEAN A DEEP CLEAN AND WHITER TEETH*

Advanced Sonic Technology Unique sonic sweeping motion is carefully calibrated to create gentle micro-bubbles that reach deep within teeth.

• Built-in pressure sensor • Smart brush head recognition • 4 modes, 3 intensities • Connected brushing made easy

Removes up to 10x more plaque** for a deep clean The DiamondClean 9000 gives you the guidance you need to improve and maintain healthy brushing habits in between dentist check-ups.

Built-in smart sensors let you know when you’re using too much pressure, and by connecting your brushing experience to the Sonicare app, a personalized Progress Report helps you stay on track, to see how much you’ve improved over time.

• Personalise your brushing mode

• Know when the brush is worn out

• Gentle intensity settings

• Take your Sonicare on the go

• Avoid harmful pressure DiamondClean 9000 White

PH-HX9912-07

| DiamondClean 9000 Black

PH-HX9912-17

*Vs Manual Toothbrush, Used In White+ Mode ** More than a manual toothbrush

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COSMETIC & RESTORATIVE

INJECTION MOULDING TECHNIQUE EXACLEAR AND G-ÆNIAL UNIVERSAL INJECTABLE

This case demonstrates management of early worn dentition using EXACLEAR and G-ænial Universal Injectable.

The injection moulding technique is also ideal to treat wear cases or to recreate complex morphologies. The transparency of EXACLEAR allows clinicians to see and control the injection while treating several teeth simultaneously.

The high flexural strength and wear resistance characteristics of G-ænial Universal Injectable make it ideal for such posterior cases.

Injection Moulding Technique (IMT)

2. Fill the impression tray with EXACLEAR and take an impression of the wax-up on the model

3. Alternatively, EXACLEAR can be used to create the injection stent from the digital mock up

4. Old composite restorations removed and teeth micro-etched.

5. Build-up and restorations on the occlusal surface using the alternate teeth technique

6. Final restorations using a single shade injection technique, shade A1

Images courtesy of Dr Anthony Mak, Australia

1. Early wear evident on a 40-year old patient needing conservative management

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COSMETIC & RESTORATIVE

NEW G2-BOND UNIVERSAL THE NEW STANDARD OF 2 BOTTLE UNIVERSAL BONDING

Leading the way to a new standard With over 1 billion composite restorations and a century of competence in dental materials, GC is leading the way to new standards in adhesive dentistry.

With its proprietary Dual-H-Technology, an advanced optimisation of the bonding to the tooth and the composite, G2-BOND Universal is an all-round universal 2-bottle system combining what clinicians would expect from existing self-etch (SE) and etch-and-rinse (ER) Gold standards, and even more.

Images courtesy of Dr Jean Meyer, France

IDS Technique

Etching the tooth structure

Application of 1-PRIMER

Application of 2-BOND

After photopolymerisation, the sealed dentin is ready for digital impression

Application of 1-PRIMER

Application of 2-BOND

After photopolymerisation, the restorative material is applied

Images courtesy of Dr David Gerdolle, Switzerland

Class II Restoration

Selective enamel etching

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COSMETIC & RESTORATIVE

G-ÆNIAL ANTERIOR / POSTERIOR OUTSTANDING INVISIBLE AESTHETICS

G-ænial is an all round restorative that offers beautiful high-gloss restorations, exceptional natural shade matching for remarkable anterior aesthetics.

It gives you total control over your results with the right viscosity for effortless manipulation.

Pre-operative labial view

Achromatic palatal shell, made with G-ænial Anterior AE using a palatal stent

Layered build-up using G-ænial Anterior AO2 in the cervical 2/3, G-ænial Anterior A3 in the middle 1/3, G-ænial Anterior AE in the incisal 1/3, finished and polished to achieve symmetrical line angles.

Post-operative labial view.

Images courtesy of Dr Matthew Wong, Singapore.

After etching the enamel, apply G-Premio Bond

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COSMETIC & RESTORATIVE

REPAIR OF A PERFORATION OF THE FLOOR OF THE PULP CHAMBER WITH BIODENTINE™

A 43 year old female patient was referred for possible endodontic treatment to 26 by her dental practitioner who states in the referral letter that there is a possible perforation of the floor of the pulp chamber which has been “ temporised with amalgam”

the Biodentine passively in increments using a Thymozin instrument.( Fig. 3/4/5) Upon completion of repair of the perforation the Biodentine was allowed to set for 10 minutes before temporisation of the access cavity.

Upon examination there was some buccal tenderness and the tooth was slightly tender to percussion. Radiographic examination (Fig. 1) demonstrates loss of the floor of the pulp chamber and a considerable amount of amalgam in the furcation.

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Local anaesthetic was administered and the tooth isolated with rubber dam. After removal of the coronal temporary dres- sing the extent of the perforation was revealed and involved the whole of the floor of the pulp chamber including the orifice of the palatal and disto-buccal canals.

(Fig. 2)

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4

5

At the second visit one week later the access cavity was re-opened (Fig. 6/7) to perform conventional endodontic treatment with GIC used to restore the floor of the access cavity followed by a bonded amalgam core, the tooth was removed from the occlusion and the patient was advised to have a full coverage crown as soon as possible.

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The amalgam could not be removed intact since it was convex and locked in the furca-tion. With judicious use of ultrasonic instruments from the “Satelec” EndoSuccess range the amalgam was gently fragmented and the majority removed.

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The initial treatment plan was to carry out conventional endodontic treatment before repairing the perforation however this was not possible since the irrigants were leaking through the furcation and past the rubber dam.

Repair of the perforation became the priority and this was carried out using Biodentine from Septodont.

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View online youtube.com/watch?v=bLR8Lsm_zKo

Before attempting the repair a paper point was placed in the disto-buccal canal to preserve patency. The perforation was dried gently using large paper points before placing

DR. GODFREY CUTTS LDS DUNELM United Kingdom

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COSMETIC & RESTORATIVE

KATANA ZIRCONIA BLOCK SCIENCE SHOWS ITS STRENGTH AND BEAUTY

The super translucent multi layered (STML) KATANA™ Zirconia Block consists of four layers of zirconia in gradated shades. This product allows the chair side fabrication of natural-tooth-coloured restorations and eliminates the time consuming and difficult task of staining the restoration.

With its superb mechanical properties and aesthetics that mimic natural teeth the KATANA™ Zirconia Block provides a new solution to a variety of clinical problems that cannot be addressed by lithium silicate glass or conventional zirconia.

e shows its strength auty.

• 763 MPa Flexural Strength (three-point bending test) • Wide shade selection

• Available in 3 block sizes • Cerec mandrel

cent multi layered (STML) KATANA™ Zirconia Block consists of four in gradated shades. With it’s superb mechanical properties and mic natural teeth the KATANA™ Zirconia Block provides a new ty of clinical problems that cannot be addressed by lithium silicate KATANA STML NW Image courtesy of Omega Ceramics onal zirconia.

Download the Kuraray Noritake app on The App Store raraynoritake.com.au to access the KATANA Zirconia Colour Simulation tool.

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COSMETIC & RESTORATIVE

A BREAKTHROUGH FROM THE INNOVATORS OF ADHESION AND SILANE TECHNOLOGY

It has been more than 60 years since investigators first began applying various strategies and approaches in an effort to achieve adhesion of restorative materials. The idea to develop a resin system capable of bonding to tooth substrate was first introduced by Swiss chemist Oskar Haggar in 1949; it was subsequently further developed through many innovations.

A major breakthrough occurred in 1981 with the invention of a new adhesive monomer called 10-meth-acryloyloxydecyl dihydrogen phosphate (MDP) by Kuraray Co. Ltd, in Japan. Since then, MDP technology has been used by Kuraray as a key technology in adhesive dentistry. More than 20 years since its introduction, MDP has continued to increase in popularity, causing many manufacturers to imitate and use this technology.

Soon after the development of MDP, Kuraray used this adhesive monomer to manufacture the popular PANAVIA branded resin cements. Conventional PANAVIA resin systems require pretreatment of the tooth and/or restorative surfaces.

Depending on the type of prosthetic material (eg.

Lithium disilicate, Zirconia), dentists should learn how to properly pretreat before cementation to achieve optimal adhesion.

Hydrofluoric acid etching, followed by silanisation, is a routine clinical protocol to durably bond to glass ceramics. For dental zirconia, acidic monomer (10-MDP) pre-treatment is required for optimal adhesion. Due to the confusion of these specific pretreatment methods, many dentists preferred resin-modified glass ionomers that required no pre-treatment. However clinically, glass ionomers provided inferior bond strengths and poor marginal sealing compared to resin cements.

Zirconia

Figure 1

Lithium Disilicate

Porcelain

Composite Resin

Figure 2 In 2019 at IDS in Germany, Kuraray Noritake Dental introduced PANAVIA SA Cement Universal, the world’s first cement containing the unique Long Carbon-chain Silane (LCSi) monomer and MDP built into the cement paste, which excludes the need for a separate primer. This allows dentists to cement all restorative materials without any confusion about which pre-treatment to use for a given type of prosthetic material. (Figure 1) Kuraray Noritake Dental uses smart technology to stabilise our newly developed silane by keeping the hydrophobic and hydrophilic components in separate compartments of the syringe. (Figure 2) Furthermore, the catalysts and accelerators in the cement have a unique chemistry, which enables the dentist to remove excess cement very easily.

PANAVIA SA Cement Universal provides the features of glass ionomers and Kuraray’s legendary adhesive technology which brings the value of resin cementation to dentists and patients for durable restorations.

Metal Both precious and Noble Metal

No seperate silane/primer needed

DINESH WEERASINGHE BDS, PHD Senior Technical and Marketing Manager, Dental Division Kuraray America

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COSMETIC & RESTORATIVE

CLEARFIL MAJESTY™ ES FLOW

Winner of Dental Advisor’s Top Product Award for the fifth year in a row!

In the independent publication Dental Advisor: Issue January-February 2019 (Volume 36, Number 1) CLEARFIL MAJESTY™ ES Flow won Dental Advisor’s Top Product Award for the fifth year in a row. It was described as a “Universal Highly-Filled Flowable”, which is exactly what it is!

CLEARFIL MAJESTY™ ES Flow has a high filler content and a flexural strength that is higher than that of most frequently used more traditional paste like composites. Compare these physical properties to your existing composite:

CLEARFIL MAJESTY™ ES FLOW (LOW)

FLEXURAL STRENGTH (MPa)

COMPRESSIVE STRENGTH (MPa)

151

373

Unique technologies A combination of existing and new technologies has contributed to the superior mechanical properties, high aesthetic potential and great handling characteristics of CLEARFIL MAJESTY™ ES Flow. Kuraray Noritake’s unique light diffusion technology, utilised in the aesthetic composite range CLEARFIL MAJESTY™ ES-2, is also used in CLEARFIL MAJESTY™ ES Flow. Combined with proprietary filler technology, this innovative ingredient is responsible for the fact that restorations using CLEARFIL MAJESTY™ ES Flow are assimilated within the surrounding tooth structure almost automatically.

The third decisive component is silane technology. The long-chain silane used in CLEARFIL MAJESTY™ ES Flow provides an optimum wetting capacity of the filler particles. This key factor enables Kuraray Noritake to increase the filler percentage to a higher level. After polymerisation, the strong bond between the filler and the synthetic resin, brought about by the silane, creates a long-lasting bond. Water absorption is therefore also extremely low.

The unique composition of CLEARFIL MAJESTY™ ES Flow also provides a composite with great polishability and polish retention.

Kuraray Noritake Dental’s winning combination of technologies in CLEARFIL MAJESTY™ ES Flow offers the clinician a Universal Highly-Filled Flowable Composite with unparalleled convenience.

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COSMETIC & RESTORATIVE

High performance – –made brilliant High performance made brilliant High High performance performance made ––made brilliant brilliant

BRILLIANT CRIOS

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Restoration | User Case Study – Brilliant Crios

Initial situation 1.) Initial situation 1.)1.)Initial situation 1.)

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13.curing Light curing onside each side 14.

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High-gloss polishing 16.

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DR. MARIO BESEK med. dent.

Switzerland September, 2017

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COSMETIC & RESTORATIVE

CERASMART 270 FORCE-ABSORBING HYBRID CERAMIC BLOCK

For strong, durable and beautiful restorations CERASMART 270 offers the modern busy practice a truly fast, effective milling solution with flexibility in clinical applications.

CERASMART 270 provides improved strength, more natural aesthetics and fluorescence, higher radiopacity affording both clinicians and patients a no-compromise quality outcome, making it the perfect choice for inlay, onlay and implant restorations.

Images courtesy of Dr. Dimitrov & CDT B. Vladimirova, Bulgaria

CERASMART 270 clinical indications Quadrant restoration – Partial and full coverage crowns

Initial presentation

After preparation and IDS with G-ænial Universal Injectable

Cemented restorations characterised with OPTIGLAZE colour

Images courtesy of Dr Witowski, Poland

Composite resin placement – Inlays and Onlays

Initial presentation

After removal of existing composite restorations

Immediately post-operative

Milled CERASMART 270 palatal veneers

Post-operative view

Images courtesy of Dr Javier Tapia, Spain

Worn dentition – Palatal Veneers

Initial presentation

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COSMETIC & RESTORATIVE

TOOTH WHITENING PART OF THE RESTORATIVE PROCESS

“I prefer the option of whitening at home with a custom made tray because time in the dental chairs is minimised – this is an important factor to take into account in any dental practice. It is convenient in many senses: the patient can regulate the degree of whitening and can whiten at any time of the day or night, for short or extended periods.”

Clinical Case Using White Dental Beauty, 6%HP

1.

1. The patient wanted to improve the appearance of their smile, particularly the shape of their teeth. Ahead of the restorative treatment, Dr Anna Salat recommended bleaching the teeth to achieve the best aesthetic results.

2.

2. To provide the fast acting and stable results the patient required, Dr Salat used a whitening gel with Hydrogen Peroxide as this breaks down quicker than Carbamide Peroxide.

3. Using 6% Hydrogen Peroxide which was applied for 30 minutes a day using a tray, the patient’s teeth improved from A35 to 0M1 in just two weeks. The teeth were now successfully prepared for the next step of the treatment direct composites.

3.

Product used: White Dental Beauty 6% HP. 4 x 3ml Patient Kit, OP-1162054.

Ask about our TRIAL offer.

Also available in 5%, 10% and 16% Carbamide Peroxide Refills also available as 10 x Packs of 2 syringes.

DR. ANNA SALAT Style Italiano Italy

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COSMETIC & RESTORATIVE

AQUACARE AIR ABRASION TWIN UNIT “Working with the AquaCare as part of my daily routine gives me the confidence that my bonding is the best it can be.

Often excess hand piece oil can contaminate your cavity during preparation and if not removed can seriously compromise bond strength.

Prior to bonding, decontaminating the cavity with 27µm Aluminium Oxide will help to ensure that the cavity with be clean and oil free.”

Patient presented with food trapping medsial and distal to the Upper left 5. This was stemming from a poor medial and distal contact point from the adjacent defective restorations Isolation was achieved with Unodent non latex rubber dam.

Isolation was achieved with Unodent non latex rubber dam.

The old restorations and caries was removed from the upper right 4 6 and 7 reviewing a carious pulp exposure on the upper right 6.

Cavities were cleaned with 27µm Aluminium Oxide using the AquaCare unit to ensure bonding surfaces are clear of contaminants

An MTA plug was placed as a means of direct pulp capping over the exposure on the upper right 6\

Direct composite was used to restore the Upper right 4 and 7 with a GIC core placed as a long term provisional on the upper right 6 in order to monitor pulp vitality prior to an indirect restorations.

DR RICHARD FIELD BDS – Honours United Kingdom 2 0

COSMETIC & RESTORATIVE

MAKE DENTAL ISOLATION EASY UP TO 90% OF AEROSOLS REMOVED

90% of aerosols can be removed with proper high-volume evacuation. Studies show Isolite is more effective in reducing aerosols and spatter than using a rubber dam + HVE or an HVE alone. Because Isolite provides continuous isolation, retraction and suction,you will not require an assistant to evacuation liquid and debris.

How it Works

Benefits

Isolate two quadrants quickly and effectively with the proprietary Isolite mouthpiece, the heart of the Isolite dental isolation system.

Quality: The patented design allows you to focus on the procedure, which means better clinical outcomes Comfort: dual suction, bite blocking, tongue retraction and throat shielding all lead to a more relaxed, quicker patient experience in the chair.

That can give your practice a strong point of differentiation in this competitive environment.

Continuous saliva evacuation. Tongue retraction.

Bite block. Shadowless illumination. All in one device that’s comfortable for the patient and convenient for you--the patented Isolite® systems from Zyris™.

With three systems to choose from, you can select the one that best fits your needs.

Productivity: with the device in place, you”ll be able to work faster than ever before. Faster procedures means more patients and a bigger bottom line.

The principal component is the Isolite mouthpiece, which provides dual-channel suction along with most of the benefits of a rubber dam.

Predictability: Isolite systems remove many of the negative variables that can impact a procedure, including moisture, contamination, tongue or cheek interference an lack of accessibility.

Engineered from soft, flexible, latex-free polymer, your patients will benefit from a more comfortable experience than that of a rubber dam.

Safety: Isolite is designed to protect you and your patients in the realms of; infection control, cross contamination, accidental swallowing and latrogenic trauma.

Ease: Both placement and removal are ultra-quick – in just a few seconds, unlike a rubber dam. This not only eases the procedure but also eases the mind of the patient as they know they can rest or take breaks as need.

AVAILABLE IN ASSORTED SIZES

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COSMETIC & RESTORATIVE

VALO GRAND UNSURPASSED BEAM COLLIMATION AND UNIFORMITY

The VALO Grand curing light delivers optimally and consistently collimated power over a greater range of distances, distributed evenly across its 12 mm lens without hot or cold spots that can compromise restorations and cause sensitivity.

Broadband Light Spectrum

Three Powerful Curing Modes

VALO’s four LEDs produce true broadspectrum light (385–515 nm), utilizing two shades of blue and violet required for lowerlevel initiators. This means that VALO light is capable of polymerizing all light-cured dental materials, regardless of brand.

Xtra Power: 3200 mW/cm2 High Power Plus: 1600 mW/cm2 Standard Power: 1000 mW/cm2

Unparalleled Accessibility The VALO curing light family has the lowestprofile head for a broadband LED curing light. The slim head allows easy and direct access to all curing sites.

Built to Last VALO’s unibody construction of highgrade aerospace aluminium, machined components, and tempered glass lens makes it the most durable curing light available.

Larger 12 mm Lens

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PRACTICE MANAGEMENT SOLUTIONS

GROW YOUR PRACTICE IN 2021

More than ever before, dental practices sought external help during the height of the global pandemic on how to survive. Now, with the worst behind us, it’s important for practices to focus on thriving and achieving growth.

Two of the biggest issues that can significantly impair the growth of a practice are poor processes in relation to patient recalls and not having reliable data to understand how your practice is truly performing.

Countless dental practices lose hundreds of thousands of dollars in revenue each year from having a poor recall process. While they may have a strategy, if they don’t follow

their strategy 100% of the time, then this can cause patients to get lost in the system and miss out on the optimal standard of oral care.

What’s more, dental practices admit to not knowing enough about their business, which is not surprising given the lack of business courses that are associated with a dentistry degree in Australia.

Tips for improving recall effectiveness To enjoy around 84% recall effectiveness, the following five rules are critical when a patient completes their check-up.

1. Capture a future recall due date.

2. Prompt a future booking of the next recall.

3. Prompt the collection of mobile numbers and email addresses if it is missing. Automated patient communications will not work if these are missing.

4. Utilise truly automated recall appointment reminders at different intervals of time using different media.

5. Report on the compliance of the above elements and implement training and development if critical elements are missing.

Tips for better understanding your performance To understand how your practice is performing, you need to review your performance metrics.

A complimentary business review or health check with Henry Schein One offers factual and invaluable insight into how your practice is actually performing across multiple key metrics. It may very well open your eyes to opportunities around patient health outcomes and financial performance that you have never considered.

At Henry Schein One, we can also benchmark your performance against industry averages and top performing clinics across Australia and New Zealand. We can then

highlight any blind spots and share evidence-based recommendations proven to drive industry-best results.

After all, if you don’t have the data and information, how do you know what is possible?

Embracing change means embracing growth Change is necessary in order to improve and grow. There are many resources to help practices implement change and ensure patients get the right standard of care on time.

The world has changed rapidly due to the pandemic, so embracing change will be critical for success for every dental practice.

If you’d like free advice on how to improve your practice, simply contact Henry Schein One today for a complimentary business review or health check on 1300 889 668 or visit henryscheinone.com.au/businessreview. h en r y sc h e i n .c o m .a u

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PAIN CONTROL

THE STA WAND INJECTION TECHNIQUES FAQS

Question: I’m having trouble accessing the line angles for the PDL injection as the handpiece seems too large for the patients mouth. Any suggestions?

Answer: Break the handpiece or try bending the handpiece for better angulation! By breaking the handpiece you will have a syringe the size of an endodontic file, and this give you much better tactile feel, more control and much better accessibility to those hard to reach areas.

Question: I have having difficulty accessing the DL and ML line angles on Mandibular teeth for the intraligamentary injection is there anything I can do to make gaining access easier?

Answer: We recommend approaching the PDL space from the lingual as the anatomy shows that it is the path of least resistance for the anesthetic solution when placed on the distallingual and mesial-lingual. It is important to always start the STA-Intraligamentary injection from the Distal-lingual of the tooth, this allows the anesthetic to be deposited closest to the direction from which the nerve enters the tooth.

Lastly, to improve the access to the lingual you can shorten the STA Handpiece. You can modify the length of all STA Handpieces that you are using. Simply removing the tubing from the plastic handle and bend the handpiece back-and-forth to break off the unneeded segment. This allows you to create an ultra-short Wand Handpiece which may be particularly valuable when performing injections in situations with limited access.

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Question: I’ve administered the local anesthetic, and I see blanching, but I don’t get any pulpal anesthesia.

Answer: What is likely happening is the needle is impinging on the crest of bone. The anesthetic is diffusing into the buccal soft tissue which is why you’re not getting any pulpal anesthesia. To correct this, make certain that your needle is in contact with the tooth the entire time, and that the tip is placed at the entrance of the PDL space, this will ensure that the anesthetic will be deposited in the PDL space so that you achieve pulpal anesthesia.

Question: Why am I not achieving pulpal anesthesia that lasts long enough with my intraligamentary injection?

Answer: One possibility is a simple one. Drugs affect different patients in different ways. Even though a drug may provide one hour’s worth of pulpal anesthesia in some patients, it won’t always. Another possibility and a very likely one when doing the PDL is you didn’t deposit an adequate volume of anesthetic for your drug of choice.

Question: Where is the proper needle landmark for the AMSA injection?

Answer: The injection site for the AMSA is at a point which bisects the first and second pre-molars and is midway between the free gingival margin and mid-palatine suture. This landmark may vary somewhat depending upon the anatomy of the palate vault. A more appropriate description may be between the pre-molars and at the junction of the horizontal and vertical component of the palate. This injection can performed with minimal discomfort when performed properly.

PAIN CONTROL

Question: What do you mean by the Pre-puncture technique and why is topical not needed?

Question: What is the Bi-directional insertion technique and why should I use it for the Mandibular Block Injection?

Answer: The Pre-puncture technique is a technique that is used to minimize the sensation that can occur from needle penetration so that a topical anesthetic is not necessary.

Answer: With a traditional dental syringe, missed blocks are usually due to needle deflection. During a traditional injection, the static needle bevel orientation forces the needle to deflect as the needle is inserted. Holding the STA like a pen, allows the user to roll the handpiece between their thumb and forefinger creating an axial-rotation.

This continual rotation of the needle bevel prevents needle deflection. This technique is called the Bi-rotational insertion technique.

The technique is performed as follows: Gently lay the bevel of the needle against the palatal tissue, but do not puncture it.

This can be achieved by holding the handpiece at a 45 degree angle to the palatal surface. Secure the tip of the needle in place by gently applying pressure with a cotton applicator on the needle tip and tissue.

Question: Which teeth are anesthetized using the AMSA? Answer: The AMSA will produce anesthesia from the maxillary central incisors to the mesial buccal root of the maxillary first molar on the side it is performed.

This causes pressure anesthesia and will help to absorb any excess anesthetic and make for a more comfortable needle entry.

Next, you’ll initiate cruise control by depressing the foot control pedal. After 3 seconds the STA System will announce “Cruise”.

Question: Which teeth are anesthetized using the PASA?

Upon hearing the “cruise” announcement remove your foot from the foot control pedal.

Answer: The PASA is the only dental injection that can cross the midline of the alveolus and will produce bilateral anesthesia of the maxillary incisors and canines from a single palatal injection.

This begins the anesthetic flow to the injection site – this technique of allowing anesthetic to contact and diffuse through the outer layers of the gingiva and mimics the effect of a topical anesthetic.

Do not puncture the tissue at this time. Continue to allow the needle to stay on the surface for 8-10 seconds before initiating penetration of the surface.

Question: Where do I perform the PASA? Answer: This injection is initiated just lateral to the incisive papilla targeting the incisive canal. The objective is to gain entrance into the incisive canal, and maintain contact with the inner bony wall. This injection can be performed with minimal discomfort when performed properly.

You may now slowly penetrate the surface of the tissue by gently rotating the needle back and forth.

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ENDODONTIC SOLUTIONS

ENDOSEQUENCE BC SEALER™ SINGLE CONE COMING OF AGE

BC SEALER™

Unlike conventional base/catalyst sealers, BC Sealer utilizes the moisture naturally present in the dentinal tubules to initiate its setting reaction. This highly radiopaque and hydrophilic sealer forms hydroxyapatite upon setting and chemically bonds to both dentin and to our bioceramic points (EndoSequence BC Points). BC Sealer is anti-bacterial during setting due to its highly alkaline pH and unlike traditional sealers, BC Sealer exhibits absolutely zero shrinkage!

EndoSequence® BC Sealer HiFlow™:

EndoSequence® BC Sealer: 1 15 1 1

2g syringe Intra-Canal Tips Instructions for Use (IFU) Safety Data Sheet (SDS)

1 15 1 1

1.5g syringe Intra-Canal Tips Instructions for Use (IFU) Safety Data Sheet (SDS)

Unlike conventional naturally present in the dentinal tubules Order No.base/catalyst 5017560EU sealers, BC Sealer utilises the moisture Order No. 5026825EU to initiate its setting reaction. This highly radiopaque and hydrophilic sealer forms hydroxyapatite upon setting and chemically bonds to both dentine and to our bioceramic points (EndoSequence BC Points). BC Sealer is BC Sealer HiFlow™ is anti-bacterial during setting due to its highly alkaline pH and unlike traditional sealers, BC Sealer exhibits optimized for warm absolutely zero shrinkage! obturation techniques

Never before has an obturation systemSYSTEM been BEEN able ABLE to make these NEVER BEFORE HAS AN OBTURATION TO MAKE THESEclaims.* CLAIMS.* HOW DOES YOUR CURRENT SYSTEM COMPARE? How does your current system compare?

BC Sealer Your Current and Points System

Biocompatible and Osteogenic Chemical Bond of Sealer to Dentin

BC Sealer3 Your Current ? and Points System 3

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Shrinkage Sealer and Filling Material Zero Shrinkage ofZero Sealer andofFilling Material

3-D Bonded Obturation at Obturation Room Temperature 3-D Bonded at Room Temperature

Ideal Working and Setting Time User Friendly (Premixed Syringable Sealer)

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EndoSequence BC Sealer / BC Point Interface

EndoSequence BC Sealer / Dentin Interface

Radiograph courtesy of Dr. Gilberto Debelian, DMD, PhD, Adjunct Associate Professor, Dept of Endodontics at Universities of North Carolina and Pennsylvania

Micro CT Courtesy of Dr. Adam Lloyd, Chair of Department of Endodontics, UTHSC

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Biocompatible and Osteogenic

ENDODONTIC SOLUTIONS

SAFETY FIRST. AVOID A FLAME THE PERFECT TEAM FOR RELIABLE OBTURATION

B&L Biotech’s Alpha II heat source is a multitask, precision obturation instrument for warm gutta percha techniques.

This well designed, ergonomic handpiece easily facilitates the Schilder warm vertical and Buchanan ‘continuous wave’ techniques.

• Cordless with 4 hours of continual use on a single charge (equivalent to about 1 week of endodontic treatment in a busy practice) • Thermal protector prevents accidental burns from a hot needle.

• Ergonomic design maximises user convenience.

• Alpha units are available in black and white.

New Endosequence BC Sealer with Hi Flow The “state-of-the-art” in endodontic obturation is now available for warm techniques • Same proven chemistry as BC Sealer • Optimized for warm obturation techniques.

• Higher heat resistance allows for better flow • Won’t get chalky during down pack • Higher radiopacity

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ENDODONTIC SOLUTIONS

ENDODONTIC MOTORS BELLS & WHISTLES OR USEFUL FUNCTIONS?

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There are many factors that contribute to predictable endodontics. Typically, a lot of focus is directed to the efficacy, safety and ease of use of the latest rotary NiTi file systems on the market and often there is less consideration afforded to the motors that drive these rotary systems. The objective of this article is to describe some of the latest features available in endodontic motors and consider if this technology has real value in practice.

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Many of the currently available motors have preset speed and torque settings for popular file systems and sequences, however being able to customise the speed and torque settings to your own specific needs and then save them to the motor’s memory is a useful function. A conscious choice of settings rather than adopting a plug and play type approach is often a good idea, so you are always mindful of the appropriate speed, torque settings and safety features relevant to the size of the file and the stage of preparation. With the exception of reverse cutting file systems that require a motor with a reciprocating action, forward cutting rotary endodontic files can be used in all manufacturer’s endodontic motors.

A light weight compact, cordless endodontic specific motor with a small handpiece head size, independent of the chair may provide easier access and greater tactile feedback.

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In terms of each stage of canal preparation, the useful features of an endodontic motor include:

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Typically with crown-down preparation a larger taper file is used to create the coronal flare. As a general rule, for larger taper files the torque setting trigger can be set higher, but it is best to note the maximum speed and torque setting recommendations specific to the file system of choice.

Setting the torque trigger at a specific value in Ncm allows torque reverse safety features to be employed. True torque reverse is one of the most important safety features in an endodontic motor. It ensures that when the torsional load on the file reaches the preset torque trigger, the motor will reverse the file, therefore releasing the torsional load on the file and reducing the risk of file fracture. Some of the newer motors allow selection of multiple torque settings, even up to a high 5 Ncm. The speed settings available on most motors will range between 150 and 1000rpm. Traditionally most rotary file systems have optimal cutting speed recommendations around the 300rpm mark, but it’s a benefit to have adjustable speed settings as some of the newer file systems have a higher optimal cutting speed of up around the 500rpm mark.

ENDODONTIC SOLUTIONS

2. Apex Location Some endodontic motors also have an integrated apex locator built into the motor, which for workflow purposes is a convenient addition. The function and accuracy of the apex locator built into the Morita Tri Auto ZX2 cordless motor is comparable to that of the Morita standalone apex locators such as the Root ZX. Although apex location features can be employed in these units in an “automatic” function whilst instrumenting the canal, using the apex location function independently and then using your working length to instrument independently may offer more control and accuracy.

3. Preparation of the Glide Path Traditionally glide path preparation has been achieved using stainless steel hand files. The advent of a patented glide path motion has enabled fatigue reducing, predictable and safer mechanical preparation of a glide path using .02 taper stainless steel or Ni-Ti rotary files.

The OGP (Optimum Glide Path) mode in Morita’s Tri Auto ZX2 is a combination of a watch winding and balanced force motion. It is a constant action that replicates hand filing with a choice of 3 angles.

4. Canal shaping Using a Crown Down file sequence can reduce the risk of file fracture during canal shaping and apical sizing.

The latest intelligent torque reverse motions can reduce file fatigue and assist with increasing efficiency and safety.

(Pedulla,E et al.)

OTR (Optimum Torque Reverse) is an Intelligent Torque Reverse that is employed when the torsional load on the file reaches the preset torque trigger. Instead of the file reversing out of the canals, with the OTR function the file only reverses 90 degrees then returns to forward cutting for 180 degrees and continues to progress down the canal. The file will repeat this action until the torsional load on the file is relieved. This allows the file to continue and safely progress down the canals, whilst decreasing the risk of instrument fracture.

Torque Down reduces the speed of the motor when the torsional load on the file is nearing the preset torque trigger. This is a useful feature as it gives you feedback and awareness of the stresses on the files, as well as slowing the rotational speed down to reduce the risk of instrument fracture.

There are definite advantages to the latest advances in endodontic motors that potentially increase endodontic preparation predictability, safety and efficiency. Purchasing endodontic motors manufactured by reputable dental equipment manufacturers who will offer support and education is recommended.

Pedulla E, Corsentino G, Ambu E, Rovai F, Campedelli F,Rapisarda S,La Rosa GR, Rapisarda E,Grandini S. Influence of continuous rotation or reciprocation of Optimum Torque Reverse motion on cyclic fatigue resistance of nickel-titanium rotary instruments. Int Endo J.May;51(5) 522-528.Doi:10.1111/iej.127689.

Epub 2017 Apr 25.

DR. JEFF WARD BDS, MDSc, GradDipClinDent, MRACDS(Endo), FPFA Melbourne, Australia

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ENDODONTIC SOLUTIONS

NAVIGATING THE DANGEROUS CURVES IN ROOT CANAL SYSTEMS

The EdgeFile X7 is a thermally modified file that is mostly martensitic at clinical temperature. These files have the unique capability of transitioning difficult and unforeseen dangers that are present in many Root Canal Systems – especially in the MB root of upper molars and in the mesial root of lower molars.

be managed. In these instances – it can be extremely

Both roots have the added complication of having curves

coupled with the EdgeFile X7’s safe-core parabolic cross

in the Bucco-Lingual plane invisible to the PA radiograph*.

section, it makes them one of the safest files systems

However, a CBCT reveals danger zones that then can

available.

challenging to ensure adequate safety guidelines to prevent file separation.

EdgeEndo has been used the world over for some years now and has grown in market significance mainly because of the proprietary NiTi that they use in the file design,

Technique Card for 06 Taper

*A preliminary assessment of a new dedicated endodontic software for use with CBCT images to evaluate the canal complexity of mandibular molars - International Endodontic Journal, 51, 259–268, 2018

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ENDODONTIC SOLUTIONS

EDGEFILE X7

TESTIMONIALS In my experience the Edge Endo X7 rotary file line is the most superior system available on the market. The X7 is a work horse!!, Its safe, its predictable, and due to its exceptional heat treatment provides anatomically acceptable instrumentation. The handling characteristics are unique, the files can be pre-bent to provide ease of a access into challenging locations and comes in standardized ISO sizes 17-45 and either .04 or .06 taper, allowing the clinician to select the right size for the right canal system. If you want to take your Endo to the next level then switching to the X7 is the right decision you won't be disappointed.

JAMES A. WEALLEANS DMD, Assist Professor,

Cert Endodontics, Diplomate American Board of Endodontics, Clinician Sydney's Northern Beaches and Central Coast Sydney Australia

“In my opinion, the X7 is the best rotary file system for minimally invasive endodontic therapy.

The proprietary heat treatment and reduced maximum flute diameter allow for improved efficiency and safety in complex cases.”

PROFESSOR GIANLUCA GAMBARINI University of Rome, La Sapienza School, Rome Italy

“Even though I was having some failures with my rotary endodontic files I was using, it is always difficult making that change. I was introduced to the Edge Rotary File System, and decided to give them a go. I have been using these files for more than 6 months now, and I have found they have incredible flexibility and durability. They can get around difficult canals and I have never had a file separation. These files have given me a lot more confidence in the endodontic treatment I provide as I know they will always get the job done.”

DR JOHN MARSELL BDSc Hons (WA)

Cert Dent Tech, Grad Dip Forensic Odontology (WA) Perth Australia

“The EdgeFile X7 system rotary files are constructed from a heat treated FireWire NiTi alloy that has resulted in instruments of high strength and flexibility. It has made preparation of curved canals a lot more predictable and efficient” DR. EMANUEL PLATANIOTIS

MDSc (Melbourne) BDSc (Melbourne) Melbourne Australia

For more information: endodontics@henryschein.com.au

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ENDODONTIC SOLUTIONS

PROCODILE RECIPROCATING FILE AGILE, FAST CUTTING, HUNGRY

The clear and concise Procodile system is comprised of 4 main sequences for narrow, medium and wide canals.

Each sequence contains a small selection of files for an easier choice and greater clarity. For perfect obturations, we provide matching paper and gutta-percha points.

• Optimum preparation of even curved root canals – thanks to a variably tapered file core • Fast and efficient substance removal – due to an enlarged chip space • Increased patient safety – thanks to greater resistance to cyclic fatigue • Suitable for use in all established reciprocating motors

Option for narrow canals

PR0C6L25.204.020

PPPR06.000.020

GPPR06.000.020

PR0C6L25.204.025

PPPR06.000.025

GPPR06.000.025

PPPR05.000.040

GPPR05.000.040

PPPR04.000.050

GPPR04.000.050

Option for medium canals

PR0C5L25.204.040

Option for wide canals

PR0C4L25.204.050

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ENDODONTIC SOLUTIONS

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06.09.19 10:19

[ 01 ] Generous preparation of the canal entrance region, for example with the reciprocating Opener OPR08L19.

[ 02 ] Creation of a glide path for example with a K-file in size 015.

Choosing the matching Procodile file depends on the previously used (manual) file size. General rule: Skip one ISO file size. [ 03 ] Preparation of the canal with the Procodile file. [ 04 ] Obturation with a matching gutta-percha point.

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Komet Available exclusively at Henry Schein

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ENDODONTIC SOLUTIONS

STAY ON TRACK WITH HYFLEX

The new HyFlex EDM files constitute the 5th generation root canal files. HyFlex EDM NiTi files have completely new properties due to their innovative manufacturing process using electric discharge machining.

Workpieces are machined in the EDM manufacturing process by generating a potential between the workpiece and the tool. The sparks generated in this process cause the surface of the material to melt and evaporate.

This creates the unique surface of the new Niti files and makes the HyFlex EDM files stronger and more fracture resistant. This entirely unique combination of flexibility and fracture resistance makes it possible to reduce the number of files required for cleaning and shaping during root canal treatments without having to compromise preservation of the root canal anatomy Just like HyFlex CM files, HyFlex EDM files have the already familiar controlled memory effect (CM). This results in very similar properties in terms of material flexibility and regeneration.

• Up to 700 % higher fracture resistance

• High flexibility

• Specially hardened surface

• Extreme resistance to fracture

• Less filing required for treatment success

• Centred canal preparation

Regenartion by thermal treatment.

HyFlex files are manufactured utilising a unique process in which the crystallographic phase transitions from austenite to martensite at room temperature in contrast to conventional NiTi files, making the files extremely flexible and fracture resistant 3 4

Due to the controlled memory, the files always follow the anatomy of the canal, thus significantly reducing the risk of ledging, transportation or perforation of a canal. Like stainless steel files, the HyFlex files can be pre-bent.

This is a crucial advantage in extremely curved root canals to avoid the creation of step

ENDODONTIC SOLUTIONS

CLINICAL CASES These files definitely know their way around curves. That‘s for sure. I love them!

Dr. Antonis Chaniotis

I‘m very happy to inform you that I have tried the HyFlex EDM to shaping some molars in vitro and in vivo (on patients) and I’m sure - it is incredible!

Dr. Eugenio Pedullà

DR. ANTONIS CHANIOTIS DDS, MDSC

PROFESSOR EUGENIO PEDULLÀ DDS, MSD

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ENDODONTIC SOLUTIONS

HYFLEX REMOVER

ORDER INF

THE ULTIMATE SOLUTION FOR REMOVING GUTTA-PERCHA

Remover file is designed to remove obturation materials from the root canal during a nonsurgical endodontic retreatment.

Rationales for retreatment may be an endodontic failure during initial procedure, a re-infection in the tooth (new decay), a broken crown, a treated tooth that sustains a fracture or in case an existing restoration must be 30 /.07 redesigned.

endodontic retreatment success. It generally requires the use of solvent which are unfortunately toxic for the patients.

HyFlex Remover, 5 pcs

Maximum The retreatment involves re-accessing the pulp torque: 2.5 As theN.cm essential piece for the retreatment, HyFlex

30 /.07 Remover File chamber, removing the three-dimensional intra-canal REMOVER mechanically removes the Gutta-Percha Speed of rotation: 400-800 rpm obturation materials before proceeding to the new material from the root canal, without the use of solvent. roots treatment.

After the Gutta-Percha been removed from theActive root Blade canal using HyFlex REMOVER, the practitioner may Removing the obturation materials is considered as proceed with the canal re-shaping, following his usual a tricky operation but remains essential to achieve instruments and shaping scheme.

Features & benefits: • One file to remove gutta-percha -- The completely new feature of this file is that you only need one instrument to remove the gutta-percha in the canal.

• Efficient without solvent -- It is the only file on the market clinically qualified to be used without toxic solvent.

• Minimally invasive -- Maximum wire diameter of 1.0mm for minimally invasive approach.

For best results com

also free to use a d

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• Safer instrument -- Due to its design, non-cutting tip and protocol, HyFlex Remover avoids ledges and respects the root canal anatomy and while being effective.

• Reduced learning time -- HyFlex Remover can fit into the dentist's retreatment procedure without changing their habits. They can use HyFlex Remover and then their conventional shaping files.

Ideally, use with HyFlex shaping files.

• Indications -- To remove old filling material (gutta percha) during non-surgical endodontic retreatment.

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Coltène/Whaledent Inc. 235 Ascot Parkway

broc

For best results complete the procedure with HyFlex EDM shaping files, look at our brochure.

Coltène/Whaledent AG Feldwiesenstrasse 20

ECO FRIENDLY SOLUTIONS

PROTECTING PATIENTS AND THE ENVIRONMENT

We believe an important part of helping health happen is protecting the health of our environment.

With the increasing need to be environmentally responsible, the demand for sustainable products and services is growing. Public interest in environmental impacts, reducing, re-using and recycling has surged.

In the dental surgery, many patients are becoming more and more interested in practices who are actively working towards their patients’ health and that of the environment.

Below are just some of the eco products available which support the move towards dentistry which is both environmentally and patient friendly.

An easy swap to reduce your plastic use.

Colgate Bamboo Charcoal Manual Toothbrush

Benefits:

Colgate’s Bamboo Charcoal Toothbrush is a soft, sustainably grown bamboo toothbrush with charcoal infused floss-tip bristles.

• 100% beeswax coated handle: to minimise the absorption of water

It has a 100% biodegradable bamboo handle (remember to remove the bristles) and is BPA-free — so it’s better for you and the environment.

• Rigorously quality-tested • Better for the environment (vs. plastic nonbiodegradable handles) • Sustainably grown bamboo

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ECO FRIENDLY SOLUTIONS

ASPIRATOR TUBES

Manufacturers of products can make a difference regarding global warming caused by greenhouse gases. By using sugar cane based polyethylene Orsing reduces the level of carbon dioxide in the atmosphere.

HYGOVAC®

HYGOVAC® BIO

Fossil free aspirator tubes manufactured from renewable resources

Disposable aspirator tube with one traditional 45° end and one S-shaped end for increased patient comfort.

The dual tips give the freedom of choice also in the autoclavable versions Hygovac Green and Hygovac Vent Green. All aspirator tubes are manufactured in a environmentally friendly PE or PP. When the plastic is totally burnt all that will remain is water and carbon-dioxide. No phthalates - no latex.

Hygovac Bio is a range of aspirator tubes made of renewable resources, developed to save and reduce the use of fossil resources and the level of greenhouse gas emissions. Taking the necessary steps towards a more sustainable future it is important that future plastic materials are made from renewable raw materials as well as resource efficient, recyclable and safe from both a health and environmental aspect.

Most popular choices: SW-5090256

HYGOVAC VENT Pack of 100

SW-5090257

HYGOVAC VENT Autoclavable Pack of 25

SW-B1000

HYGOVAC BIO White Pack of 100

HYGOVAC BIO Lime Green Pack of 100

SW-B1000LG

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ECO FRIENDLY SOLUTIONS

STERILIZATION CONTAINER SYSTEM A GREENER OPTION, NO MORE POUCHES

Hu-Friedy’s Sterilization Containers are a reusable, rigid system used for the packaging of cassettes and instruments during sterilization.

An alternative to the wrap and pouch materials commonly used to package cassettes and instruments, Sterilization Containers provide significant economic and environmental benefits along with enhanced safety.

• Allows sterilization of enclosed contents and maintains sterility during transport and storage, until opened.

• Uniquely sized to fit many Hu-Friedy cassettes, including the Container Cassette that features an integrated handle for easy insertion and removal.

• Provides fully enclosed and locked transit of loose instruments and cassettes.

• Includes a full line of Container accessories including filters, indicator cards, and tamper evident seals.

• Offers economic and environmental benefits by providing reusable packaging, low cost of use, a long service life, and minimal use of disposable materials.

• Suitable for use in pre-vacuum Steam Sterilizers.

A greener option | No more pouches IMS Sterilisation Container IMS Sterilisation Container IMS Sterilisation Container IMS Sterilisation Container

HF-IMDINCO0M HF-IMDINCO1M HF-IMDINCO2M HF-IMDINCO3M

312 x 190 x 50mm 312 x 190 x 65mm 312 x 190 x 100mm 312 x 190 x 135mm

holds 1 Cassette holds 1 Cassette holds 2 Cassette holds 3 Cassette

POINTS OF PERFORMANCE Two external display windows provide space for a process indicator card and container identification

The filter retention plates audibly click to lock into place providing easy filter changes

Tamper evident seals on latches provide visual evidence of sterility breach Lid and bottom are made of anodized aluminum making them lightweight with excellent drying properties. The aluminum alloy with an anodized oxide surface helps resist corrosion.

Latches on the lid act as handles for easy, contamination free lid removal

To request a customised appointment please contact 1300 658 822

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INFECTION CONTROL SOLUTIONS

INFECTION CONTROL

The sterilisation area of any practice is often the beating heart of the clinic, if you’ve ever experienced a failed cycle or you’ve forgotten to put a load on at a certain time you know the stress of bottle necks and how precious time is. Having the right products to help you with an efficiency perspective is so important.

Here are some TIME POOR examples: • • • • • • •

Hand scrubbing instruments Sorting instruments and wiping them in the steri bay Using inferior cleaning products in the ultrasonic bath Cutting up pieces of aluminium foil for a test Using paper towel to dry instruments Hand written batch codes Manually filling your autoclave

➊ Dirty Area Hu-Freidy Heavy Duty Utility Glove (for use in dirty area) Flocklined nitrile utility glove for use when cleaning and processing instruments. Puncture resistant for improved protection against sharps injuries. Can be autoclaved up to 250°F / 121°C. Small:

HF-LILACGLVSM

Medium: HF-LILACGLVMD

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Here are some TIME SMART examples: • • • • •

• • •

Using an instrument management system such as Hu Friedy cassettes Integrating a chair wipe down protocol pre transport to steri Using a pre soak instrument spray to aid with cleaning pre ultrasonic/thermal disinfector Using an effective cleaning solution in your ultrasonic bath Using an ultrasonic indicator like GKE ultrasonic cleaning indicator to determine if unit is cleaning effectively Using low lint wipes or steri microfibre towels to dry your instruments Using a simple tracking system such as a label gun or barcode printer Automatic plumbing of your autoclaves

➌ Instrument Pre Cleaning ENZYMAX Spray Gel 709ml Bottle Instrument pre cleaner, neutral pH, dual enzyme gel helps prevent debris from drying onto instruments prior to cleaning. Eliminates need for scrubbing and contains corrosion inhibitor.

HF-IMS1229

➋ Drying area

➍ Ultrasonic Testing

EcoLab Microfibre Towels

GKE Ultrasonic Test Indicators

EcoLab Microfibre towels are perfect for sterilising rooms in the drying/packaging area and in the surgery. The polyester towels are designed to absorb excess moisture and streamline the sorting process.

Use of a soil test or cleaning process indicator can assist us in monitoring the cleaning process inside our ultrasonic bath and can tell us whether an optimal process has been performed

Pack of 5

Pack of 320

Yellow:

EC-EMTB5YELLOWE

Yellow: GK-C810-101

Blue:

EC-EMTB5BLUEE

Green: GK-C810-201

INFECTION CONTROL SOLUTIONS

➌ ➍ ➊

➌

➎

In order to correctly sort instruments we need to allow sufficient space to not compromise sterility of our instruments. Having 3 separate areas for drying | packaging | items waiting processing is critical as often drying involves water splashes and wet gloves. If wet gloves are used to package instruments this can be detrimental to the pouch integrity and therefore compromise the sterility of that instrument.

Having the separate areas is also a reminder to change gloves between drying and packaging.

Using the Ecolab colour coded towels is a visual reminder.

➎ Autoclaves COMING SOON – Henry Schein Helix and Bowie & Dick Test HS-9008646:

HENRY SCHEIN

Bowie Dick

KitHS-9008649:

HENRY SCHEIN

Helix Test Kit

Autoclave Barcode Printer and Scanner Make the BCI process easier with this automated system from Mocom Australia. The Mocom autoclaves are equipped with the capabilities of printable and scannable barcodes.

Simply scan and beep! the BCI is imbedded in to your clinical notes automatically

GKE 2in1 - Helix | B&D Type Test The Orange Device from gke serves as a dual-purpose monitoring system for both the Bowie Dick/Helix Test as well as for routine monitoring.

The device can be reused over 10,000 times - one device saves the cost of another 40 devices!

Most other plastic type devices on the market have a limited life span such as 250 cycles.

The GKE Orange Device simulates the penetration requirements of complex hollow instruments, solid instruments and porous loads!

GK-F200-026

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INFECTION CONTROL SOLUTIONS

➊

In the context of surface management within the dental surgery it’s important to note what to use and when. As magic as 1 product for all sounds like a great idea …often it’s too good to be true. We don’t want to encourage a pantry full of products but understanding what you can use with your chairs to ensure compatibility with plastics/vinyl is super important.

Also, understanding when you need to use disinfectants is also important – that is Standard precautions (Neutral detergent) and Transmission based precautions (Cleaning followed by a disinfectant). Disinfectants can discolour and damage surfaces overtime if not choosing the right one or using it incorrectly.

Will help reduce risk of damage or stress to surfaces.

Also ensuring the products have the appropriate tick of approval for healthcare use and in the context of disinfectants have been registered with the TGA. Another very important note with surface management is ensuring you’re following the instructions for use, some products may need to be diluted prior to use or some products may need multiple steps.

There’s no one shoe fits all and the manufacturers put a lot of emphasis in testing and ensuring they communicate the right way to use their product.

➊ Wipes

➋ Equipment Safe Disinfectants

Neutral Detergent Wipes Henry Schein

Durr FD 322 Quick Disinfectant

Cleans soil and contaminant from surfaces prior to disinfection.

Fast-acting, ready-to-use solution for disinfecting and cleaning surfaces of medical devices.

HS-NWIPE

DU-CDF322C6155

Henry Schein Surface Disinfectant Wipes Hospital Grade

Durr FD 366 Sensitive Disinfection of Sensitive Surfaces

Premium quality wipe soaked in a cleaning and broad-spectrum disinfection solution. Developed to reduce cross contamination in healthcare environments, they provide fast acting disinfection including activity against SARSCoV-2 (Covid 19) in 2 mins.

Alcohol-reduced, ready-to-use solution for disinfecting and cleaning especially sensitive surfaces of medical devices.

HS-5722626

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Having appropriate products fit for purpose such as: • Dental Equipment • Benchtops/door handles/reception desks • Suction cleaning • Floor cleaning

DU-CDF366A0150

INFECTION CONTROL SOLUTIONS

➍

➌ ➋ ➌ Suction Cleaning Products

COMING SOON – Quadralene Bioclear Kit

Durr Orotol Plus 2.5L Daily Suction Cleaning

A ready-to-use solution that requires no mixing, Bioclear is a weekly treatment that is a dual purpose shock treatment and weekly treatment for cleaning dental unit waterlines (DUWLs) to prevent build-up of biofilm.

Effective removal of biofilm and deposits from all components of the suction system and permanent prevention of their build-up if used on a regular basis.

DU-CDS110P6155

PULIJET Gentle 1L Cleaner

COMING SOON – Quadralene Bioclear Dip Slides

CK-M060970

Continually monitor input and output water quality with dental dip slides. These easy-to-use biological dip slides identify microbial contamination of water.

Simple, highly visual red spots indicate contamination and highlight where in your practice’s waterlines the contamination is most prominent.

➍ Waterline Cleaning

Disinfectant solutions ICX Box of 50 Tablets for 2L Bottle

Shock Treatment

ICX waterline treatment tablets offer a simple and effective solution for waterline maintenance.

The residual effect of the tablets protects waterlines during periods of non-use (lasting up to two weeks.) As the tablet dissolves, it releases ingredients into the water that help maintain less than or equal to 10 colony forming units (CFU) per millilitre, preventing the accumulation of odour and foultasting bacteria.

Daily disinfection of your suction system is vital to keep your suction lines clean and maintain your equipment and suction unit.

Puli-Jet Gentle's strength as a disinfectant means that it kills bacteria, helping to maintain a safer work environment.

Biodegradable, ready to use solution for the decontamination and prevention of formation of biofilms in procedural water lines in medical and dental treatment units.

RD-3179

2L Bottle: AD-190-1065-01 0.7L Bottle: AD-190-1064-01

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INFECTION CONTROL SOLUTIONS

EQUIPMENT INFECTION CONTROL

A brief discussion document on equipment and local surface infection control requirements, from an equipment technical perspective.

In this brief essay we have five recommendations that you may choose to employ to get the best from your equipment, whilst protecting longevity and striving to meet the standard precautions as laid out in the Australian guidelines.

Infection control with dental equipment has varying levels of documentation in the equipment handbooks.

We’re also guided and measured by the infection standards; Standards Australia, ADA guidelines, NHMRC handbook and state authorities to name a few.

In discussing the difference between Australian guidelines and manufacturers, I’m talking to the equipment where the vast majority of dentists shop in Australia.

Those top shelf global manufacturers have produced equipment fit for purpose over extended periods.

Their global success has been built on a fundamental long term good product of broad appeal. Their infection control guidance by necessity is also global. The suggestions and recommendations include products from suppliers that have similar global reach and consistency.

Where we see difficulty, is when the guidance offered by our national bodies, differs to the guidance offered by the manufacturers. Striking that compliance need and balancing the needs of equipment to protect and maintain your investment, its achievable in a considered way.

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Our first recommendation is to follow the Australian guidelines. The defence, “officer I didn’t know the speed limit was 50km/h”, is not a defence. As a self-regulating practice, your documented adherence to the expert prevailing advise, is your correct response.

Our second recommendation is you should follow the manufactures guidelines where they align with our local expert advice.

When you can source a product in the equipment’s handbook and it fits our guidelines, you should select that product as you’ll know it’s been tested to perform the task without detriment to the equipment.

The first typical clinic response to our first two recommendations is logical, “recommend more products”.

The execution is difficult. Consider that pile of catalogues on your desk; 10’s if not 100’s of choices in IC products catering to you and your 16,500 or so Australian peers.

Expand those choices globally to the 700,000 or so peers and it’s easy to see that the scale of product choices will outstrip any manufactures testing ability, hence they respond by recommending a subset of global products or provide guidance that may form the basis of your product choices.

In the instance where the manufacturer has not named a product, or it is not available. This returns the onus of selection to the clinic.

When selecting IC products, it’s important to read the intend use of the product, the standards and then consider the equipment instruction.

INFECTION CONTROL SOLUTIONS

Do these three aspects align, if it’s not clear grab your Henry Schein rep and look for alternatives or clarification.

Our fourth recommendation is to use medical/dental wipes designed for the purpose. You’d never clean your eyeglasses with a paper towel due to micro abrasion.

As an example of where standards intent and manufacturer might deviate. Neutral pH detergent for cleaning is great, but if it mentions it contains alcohol, formaldehyde, EDTA or other products.

Wipes designed for purpose don’t abrade and are designed to lift and trap bioburden, enhancing the IC process.

If you’ve been following the above, we still can’t stop the aging process.

Our fifth recommendation is now a broad reaching across multiple experts is simply; rinse.

Does that still sit in alignment with the manufacturer’s thoughts of soap and water? Does it bring in other OH&S considerations beyond infection control in use?

All the above protocols and procedures often leave a small film of chemistry that simply sits there, builds up in some cases and keeps the reaction going on your surfaces.

All surfaces are not equal.

You’ll be seeking products that specifically are identified for use in dental or medical equipment in their documentation.

Using water on a cloth at the end of the day or at least weekly to remove all chemical residues, leaves your equipment squeaky clean.

Using products expected to be used on beds, benches or floors is not in alignment with the intent of either the standards or manufacturer guidelines.

If there are no residues left, there is nothing remaining to perpetuate ongoing reactions prematurely aging your equipment.

Over the years there has been examples of expensive damage done by not recognising the difference in surfaces and where or how the product should be used.

A longer version of this abridged essay can be found on our Education Hub.

Our third recommendation is read and follow the instructions. It’s common to see damage by simple failure to follow the instructions.

dentaleducationhub.com.au/category/infection-control

Chemistry dilution, correct use and application matters, being inexact or doing your own thing, may change its efficacy dramatically, from not being effective to harmful.

Souping up the mix, for example is wasteful and we’ve plenty of experience with the harm caused; the right amount is best.

CLIVE DODD Treatment Unit Product Manager Henry Schein Australia

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INFECTION CONTROL SOLUTIONS

WHAT IS INDOOR AIR POLLUTION?

Most of us think of air pollution as the outdoor emissions from car exhausts, air travel, and industry, but there can be equally dangerous indoor air pollutants lurking inside.

Traditionally, the idea of ‘pollution’ conjures images of poorly treated outdoor spaces, natural places where waste or refuse has been dumped, smog hanging over long lines of traffic in cities, or the towering smokestacks of industry and manufacturing pouring chemicals into the atmosphere.

However, the quality of air inside is a far greater concern to our health and wellbeing — air that by more and more health organizations is now considered ‘polluted’, but what exactly are we talking about when we refer to indoor air pollution and why is it such a threat?

Indoor air pollution is often categorised into three areas as Dirty Air, Toxic Air and Sick Air and each one dealt with in a specific manner: Dirty Air is a major cause of respiratory and sinus-related issues.

This can include shortness of breath, coughing, and sneezing, as well as causing havoc for those who suffer from allergies or asthma. Dirty air needs to undergo filtration. The leading and new technology employs a triple arrangement of high-quality filters to trap coarse, fine, and ultrafine particles with extreme efficiency, removing particulates from the air and providing respiratory relief.

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Toxic Air carries, or is composed of, harmful gases, smoke, and fumes. The most obvious is the infiltration of toxins — toxic air that works its way indoors from the surrounding environment. Outdoor pollutants like toluene from vehicle exhaust emissions as well as nitrogen dioxide (NO2), carbon monoxide (CO) fumes, and gases from industries located nearby may contaminate the air in our homes and places of work. These gases have been attributed to causing headaches and drowsiness, as well as reducing mental performance and acuity, all the while exacerbating allergies and respiratory issues.

Sick air carries organic pathogens, such and viruses, bacteria, mould, and fungi. Sick air aids in the spread of infectious disease and is a carrier for pathogenic bioaerosols and droplets. From mould in poorly maintained ventilation potentially causing massive damage to the lungs, to bugs and infections caused by airborne organic waste, and of course the rampant spread of airborne viruses in indoor spaces across the globe. Sick air is the most threatening of the indoor pollutants and the most difficult to treat. Many viruses can pass untouched through even high-end filters and are resilient enough to withstand entrapment and exposure to chemical decontamination.

Air Purification devices should incorporate all-in-one technology which efficiently deactivating viruses on a single air pass. In short, contaminated air that moves into our units is immediately sterilised, sending clean, fresh air back into the breathing zone of the room.

INSTRUMENT SOLUTIONS

INSTRUMENT MANAGEMENT SYSTEM CYCLE

Optimal dental infection control and prevention are facilitated by the use of solutions that allow for improved efficiency and safety. Dental instrument integrity is further enhanced by the use of Hu-Friedy’s Instrument Management System (IMS).

IMS allows clinicians to move instruments from cleaning through chairside without touching or damaging the instruments. Learn more about our Instrument Management System.

Chairside Patient Preview & Presentation

•

Systematically organizes instruments according to procedure type allowing for more focus on patients and less time spent looking for missing instruments.

•

Neatly organized instruments and packaged cassettes offer a more professional appearance and can help enhance referrals.

Cleaning Processed & Prepped

• •

Dental instruments are kept together through-out the cleaning process, reducing the potential for instrument breakage or loss.

Reduces handling of instruments, providing safer protocols and minimized risk of sharps injuries.

Sterilization Wrapped & Ready • Cassettes containing an entire procedures’ instruments are packaged in one sheet of wrap or one pouch for sterilization, reducing the amount of packaging consumable usage.

•

Storage Neat & Complete

•

Ready for use or storage until needed for increased time savings.

•

Complete procedural set-ups for easy set-up and teardown.

Savings video youtu.be/3Y1VIrNwdeA Additional links Download the Instrument Management Systems Brochure www.hu-friedy.com/products/mastercontrol/index/file/id/73 Download the Instrument Processing, Workflow and Sterility Assurance Article www.hu-friedy.com/products/mastercontrol/index/file/id/83

The cassette design permits optimal penetration of steam to instruments during sterilization.

h e n r y sh ce hn er iy ns .cchoemi n. a. cu o/ cma. taeug o r i e s

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INSTRUMENT SOLUTIONS

RELIEVING AND PREVENTING THE ACHES AND PAINS OF WORKING AS A DENTAL HYGIENIST

Dental hygiene has always been a profession that taxes the mind and the body.

apply when using the instrument, which may alleviate hand fatigue and the injury risk due to repetitive motions. 5,6,7,8

But you may be noticing a few more physical aches and pains lately, especially if you are hand scaling— instead of using ultrasonics—to reduce aerosol production.

37% less pressure applied to tooth2 The Harmony™ Scaler can increase patient comfort and reduce clinician fatigue because it requires less pressure to the tooth when scaling.

If you’re like most hygienists, it’s not just your hands, wrists, and arms that hurt. Your daily work can also take a toll on your back, neck, shoulders, and legs.

Dental hygienists are at risk for conditions such as carpal tunnel syndrome, repetitive motion injuries, and even chronic headaches.

This pain can strike at any point during your career: Between 64% and 93% of dental professionals experience general musculoskeletal pain.

In fact, musculoskeletal disorders are the leading reason for early retirement among dentists.

There is now a solution to your woes, the NEW Harmony™ Ergonomic Scalers and Curettes. This scientifically proven hand scaling solution is designed with TrueFit™ Technology, which collected 2.8 million data points via research, studies, and tests.

With Harmony™ Ergonomic Scalers and Curettes, you will discover relief for your hands down to a science.

Reduces pinch force up to 65%1 This reduces the amount of pressure a clinician needs to

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Designed with TrueFit™ Technology HuFriedyGroup pioneered TrueFit Technology to provide true ergonomic benefits driven by scientific evidence.

This advanced, sensorbased testing system measured over 2.8 million data points for pinch force in the finger and pressure applied to the tooth when scaling.4 Secure and Nimble Grasp The silicone grip has been extended by 30%, which can provide a secure and nimble grasp while using the instrument.

The geometric pattern is specifically designed to maximize grip in all directions.

Confidence in Your Hand The durable metal handle, which features a recessed double-helix texture, is designed for optimal tactile sensitivity and to reduce tactile fatigue.

Fit for you, with over 2.8 Million reasons to believe Comfortably maneuver and roll the scaler due to the round shape of the handle and the smooth transition to the functional shank.

INSTRUMENT SOLUTIONS

With over 2.8 million data points measured, this handle was designed to easily adapt to your individual grasp.

1) When comparing leading scaler designs, cylindrical handles had a reduction in pinch force up to 52% and shaped handles had a reduction in pinch force up to 65%. Data on file. Available upon request.

EverEdge™ 2.0 Working Ends EverEdge 2.0 working ends are 72% sharper than the next leading competitor,3 allowing clinicians to efficiently remove calculus while applying less pressure to the handle.

2) Data on file, compared to other leading scaler designs. Available upon request.

3) Data on file. Available upon request 4) Compared to the Hu-Friedy #9 metal handle, these are the nominal values. Data on file. Available on request.

Less pressure to do the same amount of work creates a more comfortable experience for you and your patient.

5) A systematic review of musculoskeletal disorders among dental professionals.

6) Rempel, David, et al. “The Effects of Periodontal Curette Handle Weight and Diameter on Arm Pain.” The Journal of the American Dental Association, vol. 143, no.

10, 2012, pp. 1105–1113., doi:10.14219/ jada.archive.2012.0041.

Learn how to scale in perfect Harmony at hu-friedy.com/harmony Testimonials

7) Lalumandier, James A, and Scott

By using the new Harmony™ Scaler, a reduction of biomechanical stress on fingers and hands will occur compared to other available scalers on the market.

Klaudia Kulpa-Lindgren MOT, OTR/L

D McPhee. “Prevalence and Risk Factors of Hand Problems and Carpal Tunnel Syndrome among Dental Hygienists.”

Journal of Dental Hygiene, vol. 75, no. II, 2001, pp. 130–134.

8) Mulimani P, Hoe VCW, Hayes MJ, Idiculla JJ, Abas ABL, Karanth L., Ergonomic interventions for preventing musculoskeletal disorders in dental care practitioners. Cochrane Database of Systematic Reviews 2018, Issue 10. Art. No.: CD011261. DOI: 10.1002/14651858 CD011261.pub2.

Sabrina (Chia-Chun) Chang MOT, OTR/L, CHT, CKTP, CEAS I could feel the difference in my grasp the first time I scaled with a Harmony Scaler.

All company and product names are trademarks of Hu-Friedy Mfg. Co., LLC, its affiliates or related companies, unless otherwise noted.

Tami Wanless RDH, MED

©2020 Hu-Friedy Mfg. Co., LLC. All rights reserved. HFL-483AUS/1220

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HANDPIECE SOLUTIONS

AEROSOL DRAWBACK IN HANDPIECES CAN IT BE ELIMINATED?

The COVID-19 pandemic has awoken a sense of urgency and concern in the dental world. Dental practices and schools are changing the way they operate by enhancing their cross-contamination response. Many dental equipment manufacturers are moving to provide their customers with effective solutions to assist them respond to this new normal.

One of those solutions has been to reduce the propagation of aerosols during dental procedures.

Consideration of contamination from retraction and suck back into the handpiece lines has also been a topic of heightened interest.

Here we discuss this with J Morita Manufacturing Corporation engineer, Mr David Sleeman to seek clarification on the difference between antiretraction and Zero-Drawback.

Retraction versus drawback.

What is the difference?

There has been a lot of talk about anti-retraction and anti-suckback features but little clarification about what they are and how they work” Mr Sleeman said.

Mr Sleeman further clarified that “Retraction is essentially related to water being pulled back into the system through the water lines. So, retraction is strictly related to fluids and debris within those fluids” “Many manufacturers, including Morita, have already solved this problem by introducing anti-retraction valves throughout the system.

One common type is called a duckbill valve which is held open by water pressure and clamps shut when the water stops which blocks any fluids from travelling back into the water lines.

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These can be present in your treatment unit and even in your handpiece or coupling. Usually, you will find multiple anti-retraction valves as fail-safes.

Most major manufacturers, including Morita, include them within handpieces, couplings and the treatment unit.

This technology has been around for a while and the ISO 7494-2 standard requires your treatment unit to include it” Mr Sleeman explained.

According to “Transmission routes of 2019-nCoV and controls in dental practice”, “high-speed dental handpieces without antiretraction valves may aspirate and expel debris and fluids during the dental procedures.

More importantly, the microbes, including bacteria and virus, may further contaminate the air and water tubes within the dental unit, and thus can potentially cause crossinfection.”

“Should retraction occur, you can still flush and disinfect your waterlines as needed, so we can say that the potential for cross-contamination here is relatively low” Mr Sleeman said.

What is drawback and can we eliminate it?

Zero-Drawback is the solution.

When asked to explain what the term Zero-Drawback means (or zero-suckback as it is sometimes known), Mr Sleeman said, “Unlike retraction, drawback is related to the air lines. Aerosols, created during dental treatment, can be drawn back into the handpiece, your air lines and eventually into your treatment unit.

When the drive air stops, the turbine continues to spin.

This creates negative pressure in the system and begins to draw aerosols back into the system, kind of like a vacuum.

HANDPIECE SOLUTIONS

Morita TwinPower Highspeed Handpiece with Zero-Drawback and anti-retraction

Top tier brand with anti-retraction and drawback reduction technology. Reduction is not enough.

This is also known as suck back. This effect is cumulative.

Each time you activate the drive air, the draw back forces any contaminates further into the handpiece, past the coupling and eventually into your air lines and your treatment unit.

According to “In vitro study of anti-suck-back ability by themselves on new high-speed air turbine handpieces”, some manufacturers will introduce a labyrinth system to reduce draw back, but these will not eliminate the drawback effect.

Keep in mind that you cannot disinfect and flush the air or exhaust lines of your treatment unit.

Only the Morita Zero-Drawback system was found to eliminate draw back through this study *

Many manufacturers will include a braking system to reduce the spinning motion of the turbine once the drive air stops.

Terminology for these types of braking systems may vary but at Morita, we call it Quick Stop.”

Product Link henryschein.com.au/handpieces/ high-speed/twinpower-turbineultra-4huex-o-optic-morita Anti-Suckback Diffuser (ASSD) Exhaust tubing

Morita TwinPower Highspeed handpieces available in 5 models

References Ozawa T, Nakano M, Arai T. In vitro study of anti-suck-back ability by themselves on new high-speed air turbine handpieces. Dent Mater J. 2010;29(6):649-654. doi:10.4012/ dmj.2010-008

“A quick stop braking system can help reduce draw back but not eliminate it. The turbine continues to rotate after the drive air stops and, like any braking system, we cannot force the turbine to stop instantaneously.

It takes time and during that time, draw back is occurring. In addition, smaller handpiece head sizes create less inertial force which also contributes to reducing stopping times.” Mr Sleeman said.

Smaller head sizes or quick stop braking mechanisms will help stop the turbine faster and reduce the number of possible contaminants from being drawn back into the system.

Peng, X., Xu, X., Li, Y. et al. Transmission routes of 2019-nCoV and controls in dental practice. Int J Oral Sci 12, 9 (2020). https://doi.org/10.1038/s41368-020-0075-9 Quan, Yingjun & Lim, Joong-Yeon & Kim, Kyoung-Nam & Kim, Yang-Soo. (2015). A testing methodology for suckback behavior of high-speed air-turbine dental handpiece.

Korean Journal of Dental Materials. 42. 10.14815/ kjdm.2015.42.1.29.

But reduction is not enough as the effect is cumulative, and even minor draw back can be pushed back into the exhaust lines and contaminate your system” Mr Sleeman emphasised.

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HANDPIECE SOLUTIONS

CARE, MAINTENANCE & STERILISATION KAVO HANDPIECES

To ensure prolonged working life, the below stages are essential. Handpieces must be sterilised by autoclaving after each patient.

Step 1 Remove bur from handpiece.

Step 2 Clean the outside of the handpiece under running water. Do not clean the handpiece in disinfectant or immerse your handpieces in any chemical solution, including water.

Step 3 Separate head and shank as appropriate.

Step 4 Lubricate the head and handpiece separately with KaVo Spray and the appropriate nozzle. Repeat until clean lubricant appears from the chuck. Always shake the can prior to use and keep upright when lubricating.

Step 5 Use tissue to clean handpiece of any excess lubricant.

Step 6 Sterilise in autoclave. Remember to change distilled water in the autoclave on a regular basis. (Note: Recommended temperatures must not be exceeded).

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Step 7 Upon completion of cycle, remove handpiece from chamber as soon as possible and store with head upright, until cool and internally dry. Do not leave handpieces in autoclave.

Step 8: Once dry and cool, handpieces can be stored in a bag, cupboard,drawer or upright on a handpiece stand.

Step 9:

Run handpiece briefly before use to clear excess lubricant. Do not lubricate prior to use.

ONLINE SOLUTIONS

AUSTRALIA’S LARGEST ONLINE STORE FOR DENTAL PROFESSIONALS ONLINE

Take advantage of these exclusive benefits •

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Inventory Management Solutions

HENRY SCHEIN.COM.AU

Your go-to site for educational content and courses •

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DENTAL EDUCATION HUB.COM.AU Clinical content from leading global dental manufacturers updated weekly

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EQUIPMENT SOLUTIONS

NEW POSSIBILITIES IN DENTAL UNITS HOW THE NEW TECHNOLOGIES IN DENTISTRY MAY IMPACT YOUR DAILY ROUTINE

A couple of years ago, we published an article about smart dental chairs and how automation can be added to equipment to improve productivity and comfort to the operators. In looking back at that article, we focused on Planmeca.

They’ve been busy and the article is out of date. We’d like to catch you up on Planmeca’s new additions and introduce some of the new features that are now on offer, and how they may impact your daily dental unit treatment time in general practice.

It’s terrific to see Planmeca is still one of the few Imaging and CAD CAM powerhouses that has resisted the urge to move to a subscription model.

Licenses purchased remain active whilst the technology remains current to the release. Subscription is offered for Smile Design.

Europe has extraordinary privacy provisions for medical data, Planmeca’s compliant cloud platform is also available for subscription for Australian dentists.

You are not obligated to use this platform. If you want that iron clad medical security not typically offered by every day cloud services, it’s easy to opt in to Planmeca’s platform.

Planmeca have added the Morita Torx Endodontic apex locating micromotor package to the Compact i3 and i5 series dental chair.

Morita’s technology is class leading in the endodontic field

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and its terrific to find Morita’s endodontic solutions as an OEM product on their latest dental chair packages.

The Planmeca Solanna is Planmeca’s premium LED operating light. In 2020 the option of Solanna Vision was released. It integrates into the light a pair of 4K HD cameras and microphone.

We know a good number of clinics use extra oral photography, and Solanna Vision builds on this.

Its initial function adds the unique ability to record in HD the treatment, consultation or patient instruction with fantastic image quality and audio.

This can enable quick and easy patient video’s to be sent home to really cement in the oral health care message or the proposed treatment plan, its outcomes and risks. For some it could be used as a record treatment for internal or referring specialist consumption.

The 4K Cameras in a stereo arrangement has potential to allow for the third dimension in tracking. In the longer view, Planmeca is investigating a future development of guided surgery in real time by the combination of Romexis, Solanna Vision, CBVT and intra oral scanned data being combined to give you a drill in hand on screen guide.

Underpinning many of these developments is Planmeca’s Romexis 6 Software the latest iteration also released last year. Romexis 6 is a comprehensive module-based

EQUIPMENT SOLUTIONS

software, opening Romexis through your practice management software (or directly) you’ll be presented with a patient card, thumbnails of your imaging and CAD CAM treatments, each module tightly integrated in the same database.

Practice wide Romexis client software licensing is based on concurrent users not installations.

You’re not restricted by the number of PC’s or Mac’s you’ve installed it on in your practice location. Rather its concurrent users, as you grow you can add users.

with one of your referring colleagues.

In 2021 Planmeca is releasing a new surgical motor option for the Compact i3 and i5 units, although surgical motors are not new to dental chairs, it’s the successful partnership with their Swiss OEM partners Bien Air is being extended to include the MX-i Implant Motor on the dentist element, coupled with the Sterile coolant delivery the MX-I will deliver the convenience of full integration within the ballpark acquisition cost of some bench units.

To round out some of the developments in chairs, the Compact I range has been expanded to include the Compact i3.

It’s a terrific productivity booster, being able to work up images in your office, operatories or even front desk seamlessly.

It’s a minimalist dental unit with their Compact patient chair equipped with the advanced i5 doctor’s control with its range of features and integration opportunities.

Social sharing of images, via phones and tablets is such a familiar thing to do, mRomexis on your tablet wirelessly connects to your office server and becomes an easy way to call for exposures or show the images collected in diagnostics or treatment with your patient.

Via Henry Schein we have a terrific range of equipment from Europe, USA and Japan, our showrooms are a mini exhibition in the best that each of these dental equipment manufacturing powerhouses can offer.

The calling and manipulating these images is very familiar.

The hand gestures zooming rotating etc. intuitively follow what you are already doing on your tablets and smart phones.

We’d love to see you in our offices, please contact your local rep and make an appointment to examine the possibilities.

mRomexis also allows you to take these images and records away, temporarily storing the patient on your tablet, for either a spot of homework or a chat over coffee

CLIVE DODD Treatment Unit Product Manager Henry Schein Australia

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CAD/CAM SOLUTIONS

CHAIRSIDE MILLING UNITS TAKE MILLING TO THE NEXT LEVEL

Our Planmeca PlanMill® milling units are the leading choice for fast and accurate milling directly at a dental clinic. With their enhanced performance and numerous smart features, the units offer the most advanced milling experience on Take milling to the next levelthe market.

Chairside milling units

• • •

•

Linear motors for the highest precision

•

Guided maintenance – from daily cleanings and water changes to annual preventive maintenance Planmeca PlanMill® 40 S Powerful and precise notifi cations • Linear motors for the highest precision

On-board computer for an independent workflow and optimal control Expanded range of applications – abutments, crowns, inlays, onlays, veneers and up to 6-unit bridges

Our Planmeca PlanMill® milling units are the leading choice for fast and accurate milling directly at a dental clinic. With their enhanced performance and numerous smart features, the units offer the most advanced milling experience on the market.

• On-board computer for an independent workflow and optimal control

•

• Expanded range of applications – abutments, crowns, inlays, onlays, veneers and up to 6-unit bridges

• Fast milling speed – two spindles, 8–10 minutes per restoration

• Smart tool paths – optimised to suit material characteristics

• Automated tool changer for 10 tools

The pioneering Planmeca Romexis® Clinic Planmeca PlanMill Management software module for ultimate effi ® 30 S Efficient and cost-effective ciency: real-time monitoring of task status, milling statistics, diagnostic log view and quick guides • Guided maintenance – from daily cleanings and water changes to annual preventive maintenance notifications • The pioneering Planmeca Romexis® Clinic Management software module for ultimate efficiency: real-time monitoring of task status, milling statistics, diagnostic log view and quick guides

• High-speed single-spindle milling unit, 11–13 minutes per restoration • Rotary axis enables milling both sides of the block with a single spindle

Smart tool paths – optimised to suit material characteristics

• Automated tool changer for 5 tools

Planmeca PlanMill 40 S Powerful and precise

•

Fast milling speed – two spindles, 8–10 minutes per restoration

•

Automated tool changer for 10 tools 34

Planmeca PlanMill 30 S Efficient and cost-effective

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•

High-speed single-spindle milling unit, 11–13 minutes per restoration

•

Rotary axis enables milling both sides of the block with a single spindle

•

Automated tool changer for 5 tools

Video Find out more about how the PlanMill 30s can benefit your practice

3D p cha

The ultima

Planmeca Cre Designed spec fabricating de

EQUIPMENT SOLUTIONS

SMALL THINGS MAKE A DIFFERENCE

Employed as a dentist in dental practices, it is common knowledge that working in a small, poorly lit and confined spaces is challenging. Often, procedural treatment outcomes and success are based on small margins.

Improved Ergonomics is a natural benefit using a suitable microscope. The advantages are many I.E. no need to bend your body to obtain the correct view.

During the last ten years clinicians have not only gained basic and scientific knowledge but has also adapted and incorporated new technologies like a dental microscope and thereby improve their vision of the operational field.

Dental operating microscopes that come with advanced lighting and angled optical systems are also well-designed to be mounted on walls, ceilings or tables. Incorporated HD camera, external mobile phone and DSLR options offer the ability to use external monitors for easy viewing for all – including a patient.

When deciding on a dental microscope it is worthwhile looking at the following aspects;

Viewing, recording & patient data is available in the newest dental microscopes ranging from internal HD cameras (2D and 3D), onboard storage, LAN network connection for patient data recording and more.

Using a 3D camera and monitor provides a unique training option.

Magnified Image is provided via the magnification specifications of the microscope> Change of magnification settings are either done via simple steps or via a continuous variable (manual or motor operated) interface. Microscope offers a deeper depth of field view and wider field of view than traditional dental equipment.

Outstanding LED Lighting is the important thing to look for while choosing a new dental microscope. The microscopes should be equipped with advanced lightings made of LED that cast a shadow less illumination and comes with a cooler temperature. The options to change light aperture size, using yellow and green filters, selecting appropriate laser filters must be part of the decision process.

The main advantage of dental microscope is that enable dentists to see things that they would not be able to distinguish with the naked eye. The dental microscopes can increase accuracy and optimise performances.

Increased Precision / Accuracy via increased magnification allows the dentist to access small, narrow canal opening without removing the tooth structure. Debris that must be removed from the root canal before filling the root canal space is also more easily identified.

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Other features to be considered includes FluoDet Fluorescent Module, BiLED Illumination as back up in case of power failure, Multi-functional Handles and magnetic brakes.

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EQUIPMENT SOLUTIONS

CLEANER THAN THE HIMALAYAN AIR

Compressed air is indispensable in dental practices. For instance, it ensures a long-term adhesive bond when dry blowing in restorative therapy and prosthetics. More importantly it can reduce pathogen contamination at the place of treatment and helps avoid infections. But this presupposes that the compressed air itself is completely hygienic.

Simple filters alone are not enough. The following article explains the important factors in dental air.

Compressed air is required in many applications in dentistry. It drives a whole range of appliances and components – from turbines in handpieces and pressure moulding machines for the pressure moulding technique up to the control of precision milling cutters in the laboratory.

Not least, dental air is used for drying the treatment site directly in the mouth of the patient. But in all these areas of application various factors have to be taken into account and are connected with risks which should not be underestimated.

Water as a risk factor Compressed air with an excessive water content reduces the adhesive strength of dental adhesive. There is also a risk of corrosion of the driven instruments. In addition, moist air – especially if it is warm too – creates the ideal environment for bacteria, viruses and fungi: Alarm stage red! The dentist must always expect the presence of open wounds in the patient’s mouth.

If the finest particles are also added to this, together with water and oil they can form an emery paste that acts like sand in a gearbox. It impairs the functioning of all bearings in the turbine, disrupts the air circulation in

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turbine heads and destroys the bearings and shaft.

The cooling required for rapidly rotating components is diminished, causing the wear of many components.

Even the patient can become aware of this in the form of unpleasant musty odours.

Oil as a risk factor Simple appliances in the industry use tried-and-tested oil lubrication. It reduces the wear of piston, bearings and shafts and supports the work with low-pulsation, constant air output. But this also means potential exposure to residues of oil droplets, oil mist or oil/water emulsions.

This potential contamination also involves several undesirable risks. The viscous lubricating oil can add to the low viscosity oil of dental turbines and, especially after partial oxidation and resin deposits when exposed to heat, the gaskets in turbine heads can stick.

This leads to total failure of the turbine. Any oil film in the patient’s mouth will prevent the adhesion of composites. which can result in the failure of the restorative therapy.

Industrial solution Air is used as a propellant medium in industrial compressors. It must achieve certain volume flows and pressures yet does not necessarily satisfy special hygienic requirements. Mainly the task is only in transportation, assembly, control, etc.

Stricter conditions are imposed by the foodstuffs or pharmaceuticals industries – and, naturally, the most restrictive regulations must be observed where air is

EQUIPMENT SOLUTIONS

used as the working medium for treatment in immediate contact with hard and soft tissues directly on the patient.

The dental solution Dental compressors typically have an integrated air drying process. Modern membrane drying systems work the most efficiently.

Firstly they bring the compressed air to room temperature in a cooler. Next the air flows through thin membrane fibres that further dehumidifies it.

Dry purging air on the other side of the membrane fibres absorbs more moisture. This means that three times more water is separated than in conventional systems.

Furthermore, compressors with conventional drying systems can only utilise around 50 percent of their capacity as the drying medium must be regenerated at regular intervals.

This is not necessary in the membrane-drying unit – the compressor can run non-stop 24 hours a day. A membrane-drying unit provides dependable, highquality dental air at all times.

In the case of conventional air drying, the compressed air is cooled first, e.g. via a cooling coil. The moisture that condenses out is “flung to the edge”, as it were, in a cyclone chamber by specifically targeted turbulence and pulled downwards into a separation tank by the force of gravity.

Residual moisture is typically eliminated by an adsorption agent. This is regenerated in the shut-off phase of the compressor.

Currently, there is not a single compressed air system working on the basis of oil-lubricated pistons that can guarantee 100 % oil-free air.

The dental solution can, therefore, only be an oil-free compressor.

In such “self-lubricating” systems, the pistons move in finely machined cylinder bores.

The piston rings are made from a special compound that is distinguished by outstanding sliding properties.

And where there is no oil, it cannot affect the function of a dental turbine or the adhesive strength of an adhesive More safety – less maintenance Oil-free, dry and hygienic – apart from minimised infection risk and greater treatment efficiency, this also leads to lower maintenance.

The annual filter change that the dental team easily carries out itself in seconds is normally all that is required.

Apart from that, compressors from leading manufacturers (e.g. Dürr Dental, Bietigheim-Bissingen, Germany) are completely maintenance-free.

This also saves the practice expensive technician hours and bothersome down times.

The team need not be concerned about such a compressor after installation.

h en r y sc h e i n .c o m .a u

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ORTHODONTIC SOLUTIONS

SUSTAINABLE SMILE WITH A NON-INVASIVE TREATMENT APPROACH

The female patient was 30 years old at the time of first presentation. She had a dental history of treatment with fixed appliances as a teenager; however, the treatment relapsed as a result of failure to comply with retention.

The patient’s main concerns included crowding of her lower teeth, rotation of her upper The female patient wasanterior 30 years old at the time of first presentation.

She anterior had a dentalteeth, history of treatment with fixed appliances as a21. teenager; however, the treatment relapsed as the distinct discolouration on tooth 12 and the chipped incisal edge of tooth a result of failure to comply with retention. The patient's main concerns included crowding She was reluctant to use conventional orthodontic devices to address current concerns, due discolouration to a history of her lower anterior teeth, rotation of her her upper anterior teeth, the distinct tooth 12 and the chipped of tooth 21. She was reluctant tomultiple use conventional of using fixed appliances. Furthermore, she on was apprehensive ofincisal any edge dental treatment requiring tooth orthodontic devices to address her current concerns, due to a history of using fixed preparations for veneers and crowns. The patient also declined any inter-proximal reduction (IPR). appliances. Furthermore, she was apprehensive of any dental treatment requiring multiple tooth preparations for veneers and crowns. The patient also declined any inter-proximal reduction (IPR).

Clinical findings • • •

3 mm Class II canine malocclusion on the leftFACTFILE side and near Catherine Yang graduated with Class I canine relationship on the right side. a Bachelor of Dental Surgery from the Dental School at the Moderately rotated incisors with 4 mm anterior overjet.

University of Sydney in 1999. Dr Yang is a happy dentist, practising Sydney, Australia since 1999.

Moderate crowding of anterior teeth in both maxillaryinHerand passion for helping people to overcome their fear and enjoy life mandibular arches. Dental midline discrepancy with upper and has made her an expert in health and well-being. Dr topic, ‘S.T.E.P. on Fear’ has been presented at lower midlines deviated to the patient’s right.Yang’s the 38 Australian Dental Congress and at the Dental Global Conference in Bali. Dr Yang is also a co-author the Amazon Australia Best Selling book, LEGACY: Hypoplastic tooth 12 with distinct orange to ofThe brown appearance.

Sustainable Development Goals in Action. Dr Yang is proud to be an accredited provider of Invisalign Go. Hypoplastic cervical third labial surface of tooth 21.

Chipped incisal edge of tooth 21.

CLINICAL FINDINGS • 3 mm Class II canine malocclusion on Chronological pattern of mild hypomineralisation the leftof sidetooth and near Class I canine relationship on the right side. enamel across the dentition.

• Moderately rotated incisors with 4 mm anterior overjet.

Abrasion lesions affecting premolars and molars, evidence • Moderate crowding of anterior teeth in both maxillary and mandibular arches. of gingival recession and root exposure.

• Dental midline discrepancy with upper

• Rest tooth • Allev to m furth • Give supp best

th

• • • • •

and lower midlines deviated to the patient's right.

Hypoplastic tooth 12 with distinct orange to brown appearance.

Hypoplastic cervical third labial surface of tooth 21.

Chipped incisal edge of tooth 21.

Chronological pattern of mild hypomineralisation of tooth enamel across the dentition.

Abrasion lesions affecting premolars and molars, evidence of gingival recession and root exposure.

Treatment goals

•

•

Create an ideal overjet.

•

•

• Improve anterior teeth alignment for both maxillary and • mandibular arches.

•

• Upright the incisors in relation to their long axis.

•

Correct dental midline deviation.

•

Decrease dyschromia of tooth 12.

For full clinical article

Pre-treatment

Treatm modera both ar overjet proces of re-a and mo recomm

Figure 1: Intra- and extra-oral images before treatment

Prior to ClinCh that inv as per consen regard embras result o sizes. A she ac finishin decrea restora tooth 2

TREA

TREATMENT GOALS • Create an ideal overjet.

• Upright the incisors in relation to their long axis.

• Improve anterior teeth alignment for both maxillary and mandibular arches.

• Correct dental midline deviation.

• Decrease dyschromia of tooth 12.

TREA

Figure 2: Panoramic radiograph before treatment

Invisali time an the ant treatm 3–6 mo aligner The fir 2 week

Figure and extra-oral images before treatment Figure1:2:IntraPanoramic radiograph before treatment This case report is intended for dental and healthcare professionals, and is subject to applicable local laws, regulations and guidelines. INVISALIGN, CLINCHECK, and ITERO ELEMENT, among others, are trademarks and/or service marks of Align Technology, Inc. or one of its subsidiaries or affiliated companies and may be registered in the U.S. and/or other countries.

Fact File Catherine Yang graduated with a Bachelor of Dental Surgery from the Dental School at the University of Sydney in 1999. Dr Yang is a happy dentist, practising in Sydney, Australia since 1999. Her passion for helping people to overcome their fear and enjoy life has made her an expert in health and well-being.

CATHERING YANG BDS & Author Australia

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This case among ot

ORTHODONTIC SOLUTIONS

WE ARE READY TO GROW YOUR PRACTICE. ARE YOU?

Many of the top Invisalign Go dentists have their practice staff trained in Invisalign Go. Do your staff have an IDS login?

Email InvisalignGoANZ@aligntech.com

How interested are you in gaining experience in Invisalign Go in the shortest possible time?

Quote “I would like to learn more about an Invisalign Go Scan Day� to your HS Sales Rep or email InvisalignGoANZ@aligntech.com

2021 Invisalign Go training courses are available.

We will continue to provide the best training course experience in line with local government health regulations and guidelines. Register for an Invisalign Go training course at dentaleducationhub.com.au/courses

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DIGITAL SOLUTIONS

GO BEYOND WHAT THE EYE CAN SEE

INTRODUCING THE FIRST 3D INTRAORAL SCANNER WITH NIRI TECHNOLOGY 01

NIRI imagery displaying proximal carious lesion

02

Intraoral image derived from built-in intraoral camera

03

Move magnifier along 3D model to simultaneously toggle between NIRI and intraoral images on right of screen

Scan your patients’ teeth in real time and watch as iTero Element 5D’s near-infrared imaging (NIRI) technology reveals the internal tooth structure and any interference without using radiation.

A ids in detecting and monitoring proximal caries by scanning at every routine appointment D istinguish enamel and dentin structure for even better prosthetic design S upport your diagnostic capabilities for comprehensive preventive and restorative oral care

All within one scan without the need to change the scanner tip.

A B

C

For illustration purpose only, size not to scale.

A

Wand positioned on tooth surface

B

Tooth dentine and other interference (e.g., caries) show up as visual contrast

C

Tooth enamel transparent to near-infrared wavelengths

Contact your Digital Prosthetic Specialist today to learn more Invisalign, iTero, iTero Element, the iTero logo, among others, are trademarks and/or service marks of Align Technology, Inc. or one of its subsidiaries or affiliated companies and may be registered in the U.S. and/or other countries. ©2021 Align Technology. All rights reserved.

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CAD/CAM SOLUTIONS

Z4 TOMORROW’S LEADING TECHNOLOGY TODAY

THE Z4: MORE THAN STATE OF THE ART. GROUNDBREAKING.

TOMORROW’S LEADING TECHNOLOGY. AVAILABLE TODAY.

CONVINCING ARGUM

The digital workflow makes it happen: you and your patients can benefit from more pleasant treatments with first-class restorations Theone Z4: More than The state Z4 of the Groundbreaking. in just session. is art. an investment that will pay off for you: high-quality restorations with maximum independence.

The digital workflow makes it happen: you and your

restorations with maximum independence. The number of

is an investment that will pay off for you: high-quality

are validated with the Z4.

The patients number of machinable block materials constantly increases as well as the number of scanners and CAD software can benefit from more pleasant treatments machinable block materials constantly increases as well as packages that are validated with the Z4. with first-class restorations in just one session. The Z4 the number of scanners and CAD software packages that Highest precision • Milling and grinding in Ultra-HD • Proven industrial quality

TOMORROW’S LEADING LEADING TECHNOLOGY. TECHNOLOGY. AVAILABLE AVAILABLE TODAY. TODAY. CONVINCING TOMORROW’S CONVINCING A • 3 microns repetition accuracy TECHNOLOGY. AVAILABLE CONVINCING ARGUMENTS GALORE! The Z4: MoreTODAY. than state of the art. Groundbreaking.

The Z4: More than state of the art. Groundbreaking.

oundbreaking.

u and your reatments sion. The Z4 high-quality

The digital workflow makes it happen: you and your restorations with maximum independence. The number of The digital workflow makes it happen: you and your restorations with maximum independence. The number of patients can benefit from more pleasant treatments machinable block materials constantly increases as well as patients can benefit from more pleasant treatments machinable block materials constantly increases as well as restorations with maximum of The Z4 with first-classindependence. restorations in The just number one session. the number of scanners and CAD software packages that with first-class restorations in just one session. The Z4 the number of scanners and CAD software packages that machinable block constantly as you: well high-quality as is anmaterials investment that willincreases pay off for are validated with the Z4. is an investment that will pay off for you: high-quality are validated with the Z4. the number of scanners and CAD software packages that are validated with theinZ4.

Toolless block clamping justintwo It couldn’tItbecouldn’t easier. be Perfect results. Mill and grind reliably with the Z4 in Ultra-HD. Toolless block clamping justseconds. two seconds. easier.

Highest precision

• Proven industrial quality

• 3 micronsWORKFLOW. repetition accuracy EITHER WAY: THE Z4 FITS PERFECTLY INTO YOUR DIGITAL

couldn’t be easier.

Perfect results. Mill and grind reliably with the Z4 in Ultra-HD. Perfect results. Mill and grind reliably with the Z4 in Ultra-HD.

• 800+ prefab titanium abutment blanks from 11 manufacturers

• Mill screw-a to save cost

• Validated with all established scanners and design software

• Automatic c

• Self-openin door and dr • Fully integrated workflow with Fastest productio Fastest production TRIOS Design Studio (3Shape), • Easy to lear Restorations in und DWOS chairside (Dental Wings) •• Restorations Perfect results. Mill and grind reliably with the Z4 in Ultra-HD. in undw Fastest production Perfect results.

Mill and grind reliably with the Z4 in Ultra-HD. • 24 months and exocad ChairsideCAD* • 2-second block ins • 2-second block inse • Restorations in under 10 minutes • CAM softw • Integrated PC with touch screen • 100,000 RPM elect • 100,000 RPM electr • Tool starter • 2-second block insertion and Wi-Fi – no laptop necessary quency spindle quency spindle * Material and indic • 100,000 RPM electrical high fre• Built-in compressed air – no comAll common blockCADmateria provider. Fu quency spindle pressor needed als available in ST

One user interface and everything in your practice: scanning, designing, milling.

Toolless block clamping in just two seconds. It couldn’t be easier.

Toolless block clamping in just two seconds. It couldn’t be easier.

• Restorations •in Milling under 10 minutes and grindin • Milling and grindine Extremely • 2-second block insertion • Proven industrial q • Proven qu • 38 block materials•from 20 manu• industrial Clear water 100,000 RPM• electrical high fre3 microns repetitio facturers necessary • 3 microns repetitio quency spindle

Complete independence

• Milling and grinding in Ultra-HD

Integrated workflow with 3Shape, exocad & Dental Wings

Fastest production Highest precision precision Highest

MATERIAL, MANUFACTU ENJOY THE FREEDOM O

EITHER WAY: WAY:EIther THE Z4 Z4 FITSThe PERFECTLY INTO YOUR YOUR DIGITAL WORKFLOW. EITHER THE FITS PERFECTLY INTO DIGITAL WORKFLOW. Way: Z4 fits perfectly into your Digital Workflow 1. SCAN 2. DESIGN 3. MILL ERFECTLY INTO YOUR DIGITAL WORKFLOW. Integrated workflow with 3Shape, exocad & Dental Wings Integrated workflow with 3Shape, exocad & Dental Wings

composites

Integrated workflow with 3Shape, exocad & Dental Wings

plastics/wax

One user interface and everything in your practice: scanning, designing, milling.

Unlimited possibilities with open STL workflow One user interface and everything in your practice: scanning, designing, milling. exocad & Dental Wings One user interface and everything in your practice: scanning, designing, milling.

Design in your practice or your favourite laboratory for maximum indication and material freedom.

MATERIAL, MAN MAN MATERIAL, ENJOY THE THE FRE FRE ENJOY MATERIAL, MANUFACTURER, INDICATION. crown/bridge inlay ENJOY THE FREEDOM OF CHOICE.

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All common common bl bl All model cast occlus 3.

MILL 3. MILL up to 45 mm length and even abutments All common block materials 3. MILL composites composites composites

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Design your practice or your favourite laboratory for maximum indication material

drilling template zirconia

glass ceramics

freedom.

aboratory for maximumUniversity indication and material freedom. confirms: Z4 drills screw-access channels in highest quality of Study

Washington

2. NEST

A scientific study at the University of Washington proved that using the Z4, users can drill screw-access channels for hybrid implant restorations into ceramic blocks withfreedom no signif- of indication Maximum icant difference in flexural strength compared to factory-fabricated materials, known as “meso” blocks. These blocks are significantly more expensive, and the laboratory design crown/bridge inlay/onlay method requires a more sophisticated CAD process. Thus, processing standard blocks with 1.

STL 2.

NEST 3.

MILL the Z4 means less cost for material and less material inventory necessary.

1. STL 2. NEST 3. MILL model cast materials.

Jack M. Keesler, DDS, MSD. Effect of milling screw-access channels on flexural strength of CAD/CAM ceramic MSD Master’s Thesis, University of Washington, 2019.

3. MILL drilling template

University of of University

den titanium

occlusal splint denture

h en r y sc h e i n .c o m .a u Study confirms: confirms: Z4 Z4 drills drills screw-access screw-access channels channels in in highest highest quality quality Study

A scientific study at the University of Washington proved that using the Z4, users can drill

Maximum free free Maximum crown/bridge crown/bridge abutment model tooth

telescopic crown model cast model cast implant bar drilling template drilling template

Exemplary representation of a selection occlusally screw-

secondary crown

retained bridge

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DIGITAL SOLUTIONS

UPPER FULL ARCH REHABILITATION

new 3Shape Dental System 2020 denture software delivers excellent accuracy esthetics on full and partial denture production, with up to 20% COST-SAVINGS1 pared to conventional denture workflows.

ore more at www.3shape.com/indications/dentures

USING 3D PRINTED TEMPORARY RESTORATIONS

ng done close to 1,000 digital dentures, our costs are down 20% and the quality is much higher.” n Versteeg, Denturist and Founder, DTL Mediaan, Holland.

t your reseller regarding availability of 3Shape products in your region.

pe A/S, 2020. The 3Shape name and logo and/or other trademarks mentioned herein demarks of 3Shape A/S, registered in US and other countries. All rights reserved.

Case information

Case information A 79-yearinformation old male patient presented with an unreCase A 79-year old male patient presented with an unremarkable health history. Examination (both clinical markable health history. Examination (both clinical

radiographic) indicated the following moderate Aand 79-year old male patient presented with an unre-markable and radiographic) indicated the many following moderate to advanced bone loss affecting of his upper to advanced bone loss affecting of his upper and lowerhistory. teeth; secondary decaymany was diagnosed health and lower teeth; secondary decay was diagnosed on the abutments of his fixed dental prosthesis, and on the15,abutments hisa fixed prosthesis, and Teeth 16 and 28 of had poor dental prognosis and were Teeth 15,for 16 and 28 had a poor prognosis and were planned extraction. planned for extraction.

Examination (both clinical and radiographic) indicated the following Treatment planmoderate to advanced bone loss affecting many of his Treatment plan The goal ofand the treatment was teeth; to rehabilitate the upper upper lower secondary decay was diagnosed on the The goal the treatment to rehabilitate the upper arch with of a combination ofwas crowns and implant retained arch with a combination of patient crowns and implant retained abutments of the his fixed prosthesis, and Teeth 15, 16 and restorations to provide with adental fixed solution. restorations to provide the patient with a fixed solution.

28 had a poor prognosis and were planned for extraction.

Fig. 1 i Fig. 1 i Pre-operative smile and orthopanthomogram. Fig. 1 (i, ii) Pre-operative smile and orthopanthomogram. Fig. 1 (i, ii)

Treatment plan

The goal of the treatment was to rehabilitate the upper arch with a combination of crowns and implant retained restorations to provide the patient with a fixed solution.

Fig. 1 ii Fig. 1 ii

Pre-operative smile and orthopanthomogram. Fig. 1 (i, ii) Occlusal and lateral view after periodontal treatment

Occlusal and lateral view16after periodontal and extraction of tooth and 28.

Fig. 2 treatment Occlusal and lateral view after periodontal treatment and and extraction of tooth 16 and 28. Fig. 2 extraction of tooth 16 and 28. Fig. 2

Fig. 2 Fig. 2

Fig. 3 Fig. 3

Upper full arch rehabilitation using 3D printed temporary restorations Upper full arch rehabilitation using 3D printed temporary restorations

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TIP: The accuracy of image registration between the CBCT and IOS scans can be improved with radiographic markers (composite blobs).

Removing sources of radiographic scatter (in this case, the PFM TIP: The accuracy of image registration between CBCT bridge) also improves the the accuracy.

Fig. 3 TIP: IOS Thescans accuracy registration between the CBCT and can of beimage improved with radiographic markers and IOS scans can beRemoving improvedsources with radiographic markers (composite blobs). of radiographic The useblobs). of radiographic reference markers: a composite such as (composite sourcesalso of radiographic scatter (in this case,Removing the PFM bridge) improves scatter (in this case, also improves G-ænial Universal Injectable with a radiopacity of 250% Al, does the accuracy.

Fig. 3 the PFM bridge) the accuracy. Fig. 3 The use of radiographic reference markers: a composite not result in radiographic scattering during CBCT scans.

The use of radiographic reference markers: a composite such as G-ænial Universal Injectable with a radiopacity such as G-ænial with a radiopacity of 250% Al, doesUniversal not result in radiographic scattering Prior removal ofInjectable the porcelain-fused-to-metal (PFM) bridge: of 250% Al, does during CBCT scans.not result in radiographic scattering during CBCT scans. reduction of radiographic scatter caused by the metallic Prior removal of the porcelain-fused-to-metal (PFM) Prior removal of the (PFM) bridge: reduction ofporcelain-fused-to-metal radiographic scatter caused by components of the prosthesis bridge: reduction of radiographic scatter caused by the metallic components of the prosthesis the metallic components of the prosthesis

2 2

DIGITAL SOLUTIONS

Intraoral surface scans (IOS) before and after removal of the original PFM bridge superimposed on the CBCT scan: Intraoral surface scans (IOS)placement beforefrom anda after this facilitates the planning of implant removal of the original PFM bridge superimposed restorative perspective (restoration driven implant placement).

Implant Studio Fig. 4 (i,the ii) planning of on the(3Shape CBCT scan: thissoftware) facilitates

implant placement from a restorative perspective (restoration driven implant place-ment). (3Shape Implant Studio software) Fig. 4 (i, ii) Fig. 4

Planning of implant placement. A surgical guide

Planning of implant placement.

A surgical guide is is designed based on the desired implant position. designed based the desired implant position.

(3Shape Implant Studioon software) Fig. 5 (3Shape Implant Studio software) Fig. 5

Fig. 5

Five implant fixtures were placed using a fully guided surgical protocol. Fig. 6

Five implant fixtures were placed using a fully guided surgical protocol. Fig. 6

Fig. 6

Flap raised in the 11 region as buccal bone grafting was required due to a bony defect. Fig. 7

Flap raised in the 11 region as buccal bone grafting was required due to a bony defect. Fig. 7

Fig. 7

See full article

DR ANTHONY MAK Dentist BDS (USyd), Grad Dip Clin Dent (Oral Implants) (USyd)

Upper full arch rehabilitation using 3D printed temporary restorations 1 3 0 0

3 6 5

8 8

2 2

6 5

DIGITAL SOLUTIONS

FOR DIGITAL DENTURES VIONIC VIGO

IDEAL SOLUTIONS FOR THE DIGITAL FABRICATION OF PROSTHETICS

DIGTAL DENTURE WORKFLOW 5 STEP PRODUCTION PROCESS FOR DIGITAL

DENTURES 5 Step Production Process for Digital Dentures

• Digitize the models and perform a digital model analysis using CAD software.

Scan / model analysis 1

3

2 Scan

Tooth selection/ CAD-Design

4 CAM/Print Try-in

CAD design / tooth selection

The Complete Digital Denture Solution: CAM /printing 1. Scan – with lab or intra-oral scanner, eg. 3Shape Trios. try-in 2. Select VIGO Teeth Library – From 3Shape or Exocad Denture Module Software – User Instructions available for both design softwares. Contact us for more details.

3. Mill or Print Try-In using VITA VIONIC Discs or NextDent Try-In resin.

CAM /printing 4. Mill or Print Denture Base using VITA VIONIC Discs or denture base 5. Bonding and Finishing using VITA VIONIC VIGO Teeth and VIONIC Bond.

Bonding/ completion

VITA – perfect match.

6 6

CAM/Print Denture Base

5 Bonding/ Finishing

• Select a suitable VITA VIONIC VIGO denture tooth and benefit from the libraries with a variety of setup concepts when designing the denture using CAD.

With the VITA VIONIC VIGO you can now have:

• Use the VITA VIONIC WAX synthetic wax blanks or a recommended printing material toand fabricate the try-in.

• Life-like esthetics function for natural looking

dentures.

•

Patient-individual solutions at the push of a button.

•

increased productivity with time-saving process..

•

Reliable digital fabrication with premium quality.

•

Open system platform compatible with all common

• To fabricate definitive bases, use VITA VIONIC BASE CAM and denture 3D printing systems.

PMMA blanks or a recommended print material.

• Use the unique VITA VIONIC BOND bonding system for the definitive bonding of VITA VIONIC VIGO denture teeth in the base.

G*

G*

TIN

RIN

/P M CA Y-IN R T

2

/P M CA Y-IN R T

2 3

3

STARSTTART

G* INTING* RINTIN ASME/PR BASE CAM/P BCA E RE R DENTU DENTU

4

4

5

5

FINISFHINEDIS!HED!

FACTS AND FEATURES

1

TIN

RIN

BOND

BOND IN FINIS G/FINIS HING HING

ING/

VITA VIONIC SOLUTIONS: VITA VIONIC SOLUTIONS: highlyfabrication efficient fabrication highly efficient only five steps! in only fiveinsteps!

SYSTEM AND COMPONENTS

1

CONCEPT AND BENEFITS

TOOT H CAD SELECTIO DESIG N/ N

TOOT H CAD SELECTIO DESIG N/ N

LYSIS L ANA MODE SCAN/

LYSIS L ANA MODE / N A C S

DIGITAL SOLUTIONS

henryschein.com.au h en r y sc h e i n .c o m .a u

6 7

3D PRINTING SOLUTIONS

4K

PRO 4K

®

3D PRINTING REIMAGINED

delivered. The PRO 4K combines the latest 4K imaging ®

oning System (SPS™) to produce a build volume 3x larger y, speed and an Open Material System all come as standard manding digital manufacturing environments.

The PRO 4K incorporates pixel shifting latest 4K imaging technology with technology to increase part accuracy Asiga’s well proven Smart Positioning and surface definition without affecting System (SPS™) to produce a build hifting technology to increase part accuracy and surface printing time. volume 3x larger than our desktop 3D ing time.4K mode is a standard feature on printers. every PRO mode every4K. PRO Native 4K. Nativepixel pixel mode is is also available for Precision, reliability, speed and an Open also available scientific applications deterministic pixelfor behaviour.

Material System all come as standard requiring deterministic pixel behaviour. to provide production continuity for the Robust engineering, beautifully most demanding digital manufacturing delivered. The PRO 4K combines the environments.

PRO 4K 3D printing reimagined

PRO 4K

Robust engineering, beautifully delivered. The PRO 4K combines the latest 4K imaging Video technology with Asiga’s well proven Smart Positioning System (SPS™) to produce a build volume 3x larger Asigareliability, PRO 4K80 UV - and an Open Material System all come as standard than our desktop 3D printers. Precision, speed independent review by digital manufacturing environments. to provide production continuity for the most demanding Dental Tech Tips

4K MODE

www.asiga.co

4K

The PRO 4K incorporates pixel shifting technology to increase part accuracy and surface definition without affecting printing time.

PRO 4K65 PRO 4K80 4K mode is a standard feature on every PRO 4K. Native pixel mode is also available for MODE scientific applications requiring deterministic pixel behaviour. x 200mm.

6.94 x 3.9 x 7.87 inches 217 x 122 x 200mm.

8.54 x 4.8 x 7.87 inches

46µm 65µm DLP 365nm, 385nm or 405nm

56µm 80µm DLP 365nm, 385nm or 405nm

em. Over 400 validated materials available via Asiga’s Material Library online.

Jewellery, Precision Additive Manufacturing

oftware. Lifetime updates included Product (STM - Asiga Stomps�eci�cation file format) 6 8 Build Volume X, Y, Z t, Ethernet

4K

Pixel size - 4K mode

PRO 4K65

176.5 x 99 x 200mm.

6.94 x 3.9 x 7.87 inches 46µm

PRO 4K80

217 x 122 x 200mm.

8.54 x 4.8 x 7.8 56µm

UL T RA - F A ST TE C H NOL OGY

Ivory

3D PRINTING SOLUTIONS

1kg.......4220009

Light Grey 1kg......4220010

4kg.......4240009

4kg......4240010

PROPERTY

IDEAL FOR THERMOFORMI NG AL I GNERS

T H E RMOF ORMING RE L E A SE A GE NT

F L A WL E SS SURF A C E D E T A IL

PROCEDURE

KEYMODEL ULTRA

Maximum Tensile Strength

ASTM D638

>50 MPa

Tensile Modulus

ASTM D638

> 1700 MPa

Elongation at Break

ASTM D638

5%

Maximum Flexural Strength

ASTM D790

THE GAME CHANGER FOR LABS KEYSPLINT SOFT ASTM D790 Flexural Modulus Viscosity @ 25C (cP)

ASTM D7867

>70 MPa >1940 MPa 500-600

keyprint.keyston

US: EU: +4

US: 480 South Democrat Road Gibbstown NJ, 08027 EU: Keystone Industries GmbH Stockholzstr. 11 78224 Singen, Germany

Article: 3D Printed Night Guards withKeySplint Soft Resin

Quiz artiCle

Our industry has seen many advancements in technology and materials that bring efficiency to production methods and improve the level of patient care, but rarely does material development and cutting-edge hardware/software meet perfectly at the intersection of patient needs and the unique demands the industry is facing to truly be a transformative force.

JD t teC hn iCa

l

1/2 point CDT documente d scientific credit.

See Page 32.

In this article the author will outline the benefits of Keystone’s KeySplint Soft resin for 3D printed fabrication of night guards and splints, including the production benefits and economic impact for labs, and the benefits for clinicians and patients compared to traditional processed acrylic and thermoformed prostheses.

Technical material data and workflow will be covered, along with information and insight from industry executives and lab owners/operators who have transformed their businesses with this exciting new application.

Read full article at

By Jamie

Stover, C

DT

3D Printe d Night G uards wi KeySplin th t S o f t The Gam R e s i e Change n; r for Lab

O

s, Clinicia ns and P at

ur indust ry has se en many methods advancem and impr ents in te ove the le chnology hardware/ vel of pa and mater software tient care ials that meet perfe , but rare bring effi is facing ctly at th ly does m ciency to to truly be KeySplin e in aterial de tersectio productio t Soft resin a transfo n velopmen n of patient ne rmative fo for 3D pr t and cu impact fo ed rc in s e. ted fabric and the un tting-edg In this ar r labs, an at e tic iq io ue deman n of nigh le the au d the bene prosthes th t ds gu or fit th ar s for clin will outli e industry ds and sp es. Techni icians an ne the be lints, inclu cal mater d patient nefits of ding the executives ial data s compare Keystone productio and lab ow and wor ’s d to trad n benefit kflow will ners/ope itional pr s an rators who be covere d economic ocessed ac d, along have tran rylic and 26 Journ with info sformed al of Denta th er m rm their busin oformed l Technolo ation an gy Februa d insight esses with ry 2021 from indu this excitin stry g new ap plication.

1 3 0 0

6 5

8 8

2 2

ients

6 9

3D PRINTING SOLUTIONS

NEXTDENT 5100 THE BROADEST RANGE OF HIGH-SPEED APPLICATIONS

NextDent.com

Overview NextDent Materials nextdent.com

NextDent.com

Powered by revolutionary Figure 4™ 3D printing technology, the NextDent 5100, combined with the industry’s broadest portfolio of dental materials, addresses multiple applications, resulting in unparalleled accuracy, repeatability, productivity, and total cost of operation.

Denture 3D+

C&B MFH

Try-in

Tray

SG

Model 2.0

3D printing material for printing denture bases

3D printing material for micro filled crowns & bridges

3D printing material for try-in devices

3D printing material for individual impression tray

3D printing material for surgical guides

3D printing material for dental models-high precision

Video

Gingiva Mask

Model Ortho

3D printing material for gingiva mask

3D printing material for dental models for vacuum casting applications

See how the NextDent 5100 dental 3D printer delivers extensive reductions in build times Ortho Clear Ortho Rigid Ortho Indirect

3D printing material for splints and retainers

Bonding Tray

3D printing material for splints

3D printing material for indirect bonding tray

Cast

NextDent 5100

3D printing material for casting technique Residue-free easy burn out material

NexDent 5100 3D printer powered by revolutionary Figure 4™ technology

© 2018 by 3D Systems, Inc. All rights reserved. Specifications subject to change without notice. The 3D Systems logo, NextDent

LC-3D Print Box UV Post-Curing Unit The LC-3DPrint Box is a revolutionary UV light box equipped with 12 UV light bulbs strategically placed inside to ensure a product is illuminated from all sides, which results in a quick and uniform curing cycle.

LC-3D Mixer Print resins must be mixed well, and handshaking is insufficient for highly filled and colored materials, and when mixed insufficiently color deviation Materials and NextDent print failures Biocompatible may occur.

NEXTDENT 5100 ADDRESSES APPLICATIONS The THE LC-3DMixer keeps yourMULTIPLE NextDent 3D materials ready for use at any A BROAD RANGE OF NEXTDENT MATERIALS* timeWITH at an optimum consistency.

NextDent Biocompatible Materials

7 0

Denture 3D+

C&B MFH

Try-In

Tray

SG (Surgical Guide)

3D print resin for the manufacturing of removable denture bases

Micro filled hybrid 3D print resin for the manufacturing of long-term temporaries

3D print resin for the manufacturing of try-in devices

3D print resin for the manufacturing of individual impression trays

3D print resin for the manufacturing of dental surgical guides

NextDent Biocompatible Materials

The Nextdent 5100 addresses multiple applicationsTHEwith a Broad Range ofMULTIPLE Nextdent Materials* NEXTDENT 5100 ADDRESSES APPLICATIONS

Model 2.0

Gingiva Mask

Ortho Rigid

Ortho IBT

Cast

3D print resin for the manufacturing of prosthodontic and orthodontic models

3D print resin for the manufacturing of gingiva masks on dental models

3D print resin for the manufacturing of dental splints

3D print resin for the manufacturing of Indirect bonding trays.

3D print resin for the manufacturing of castable parts

WITH A BROAD RANGE OF NEXTDENT MATERIALS*

Denture 3D+

C&B MFH

Try-In

Tray

SG (Surgical Guide)

3D print resin for the manufacturing of removable denture bases

Micro filled hybrid 3D print resin for the manufacturing of long-term temporaries

3D print resin for the manufacturing of try-in devices

3D print resin for the manufacturing of individual impression trays

3D print resin for the manufacturing of dental surgical guides

Accessories LC-3DPRINT BOX UV POST-CURING UNIT

Model 2.0

Gingiva Mask

Ortho Rigid

Ortho IBT

Cast

3D print resin for the

3D print resin for

3D print resin for the

3D print resin for the

3D print resin for the

3D PRINTING SOLUTIONS

NEW DRAFT RESIN PRINT ACCURATE ORTHODONTIC MODELS 4X FASTER

Draft Resin is our fastest material ever, capable of printing a dental model in under 20 minutes. This highly accurate resin prints with a smooth surface finish, making Draft Resin the ideal material for and any orthodontic practice or lab looking to bring aligner and retainer production in house.

The new resin puts Formlabs Dental LFS 3D printers in the same league as the fastest dental 3D printers on the market that often cost 3-10 times more, while offering

larger build volumes and more versatility for indications that require higher resolution.

There’s no need to sacrifice quality for faster print speed.

Draft Resin, even printing at speed, produces highly accurate orthodontic models. Printed at 200 microns, 98% of surfaces are within 100 microns of actual scans.

Provide the best patient experience by delivering precise fitting dental appliances quickly, without breaking the bank.

DRAFT RESIN 200 MICRONS Single Arch

18 mins

Eight Models

1 hr 15 mins 2 hr 30 mins

Up to 24 models Form 3BL

Curious to see the quality first hand?

Request a free sample part by emailing lab@henryschein.com.au with your shipping details to receive one.

h en r y sc h e i n .c o m .a u

7 1

CAD/CAM SOLUTIONS

CAD/CAM HYBRID CERAMIC MINIMALLY-INVASIVE RESTORATION OF AN INCISAL EDGE DEFECT

THE WORLDWIDE UNIQUE CAD/CAM HYBRID CERAMIC VITA ENAMIC CONSISTS OF A STRUCTURE-SINTERED GLASS CERAMIC MATRIX THAT IS INFILTRATED WITH POLYMER. The dual ceramic-polymer network allows for very delicate reconstructions with wafer-thin, precise marginal areas of up to 0.2 millimeters. Thanks to its dentin-like elasticity, its enamel-like abrasion behavior and its natural light transmission, the CAD/CAM material exhibits excellent functional and esthetic integration into the natural tooth structure.

In the following case study, you are shown how to restore an incisal edge defect with a minimally invasively process on the central maxillary anterior tooth using the hybrid ceramic VITA ENAMIC (VITA Zahnfabrik, Bad Säckingen, Germany).

1. The patient case A 21-year old patient visited the dentist’s office because the composite structure of her distal corner of tooth 21 was fractured due to secondary caries. She wanted a long-term, permanent restoration to be integrated harmoniously into her tooth structure. Because this restoration was scheduled to be minimally invasive and required a reconstruction with thin walls, the dentist and dental care team opted for a CAD/CAM-supported reconstruction using the hybrid ceramic VITA ENAMIC. 2. Tooth shade determination and material selection Precise color information is essential in making the correct choice when it comes to the shadematching material blank. To ensure optimal shade integration of

7 2

the existing incisal edge defect on the reconstruction, the tooth shade was determined using the VITA Linearguide 3D-MASTER shade guide, after applying local anesthesia. Systematic tooth shade determination was carried out in two steps. In the first step, a brightness level from 0 to 5 was determined using the VITA Valueguide 3D-MASTER shade guide. The color intensity and shade were then determined using the appropriate shade guide from the VITA Chroma/ Hueguide 3D-MASTER. This resulted in the selection of tooth shade 1M2. Since this primarily involved a restoration of the translucent enamel area, a translucent HT blank in the color 1M2 was selected for the CAD/ CAM-supported fabrication. To prepare for the digital impression, only the caries was removed and the enamel edges of the defect were slightly tapered.

DENTAL VISIONIST 2.9

TheCAD/CAM worldwideMATERIALS unique CAD/CAM hybrid ceramic VITA ENAMIC consists of 4.0: NEW OPPORTUNITIES FOR DIGITAL PROSTHETICS! a structure-sintered glass ceramic matrix that is infiltrated with polymer.

The dual ceramic-polymer network allows for very delicate reconstructions with wafer-thin, precise marginal areas of up to 0.2 millimeters. Thanks to its dentin-like elasticity, its enamel-like abrasion behavior and its natural light transmission, the CAD/CAM material exhibits excellent functional 3 tooth structure. In the following and esthetic integration into the natural case study, Dentist Dr. Sheng Fang (Chengdu, China) and Dental Technician Feng Li (Chengdu, China) show how they were able to restore an incisal edge defect with a minimally invasively process on the central maxillary anterior tooth using the hybrid ceramic VITA ENAMIC (VITA Zahnfabrik, CAD/CAM CAD/CAM MATERIALS MATERIALS 4.0: 4.0: NEW NEW OPPORTUNITIES OPPORTUNITIES FOR FOR DIGITAL DIGITAL PROSTHETIC PROSTHETIC DENTAL DENTALVISIONIST VISIONIST2.9 2.9 Bad Säckingen, Germany).

CAD/CAM SOLUTIONS

2

Dentist Dr. Sheng Fang Chengdu, China

Dental Technician Feng Li Chengdu, China 2. Tooth shade determination CAD/CAM FOR DIGITAL CAD/CAMMATERIALS MATERIALS4.0: 4.0:NEW NEWOPPORTUNITIES OPPORTUNITIES FOR DIGITALPROSTHETICS! PROSTHETICS!

DENTAL DENTALVISIONIST VISIONIST2.9 2.9

Fig. 2 Secondary caries had formed under a direct 1 composite abutment, which led to a filling fracture.

22 in 1.Fig. The patient case was systematically determined 3 The tooth shade two steps using the VITA Linearguide 3D-MASTER.

4 22

INITIAL SITUATION The initial situation with

fractured tooth 21 when theThe patient first presented INITIAL SITUATION initial at the dental practice. situation with fractured tooth 21 when the patient first presented Fig. 4 The caries was removed under local anesthesia andthe the edge areas inpractice. the enamel were slightly tapered. at dental

restoration to be integrated harmoniously into her tooth structure. Because this restoration was scheduled to be minimally invasive and required a reconstruction with thin walls, the dentist and dental care team opted for a CAD/CAM-supported Fig. Fig.22Secondary caries caries had had formed formed under underaadirect direct Fig.Secondary 2 abutment, Secondary caries composite composite abutment, which whichled led to toaafilling fillingfracture. fracture. reconstruction using the hybrid ceramic had formed under a direct VITA ENAMIC. composite abutment, which led Fig. 5 The CAD/CAM-supported finished restoration44 made VITA ENAMIC with wafer-thin edges. to aoffilling fracture.

Fig. Fig.33The Thetooth toothshade shadewas wassystematically systematicallydetermined determinedinin two twosteps stepsusing usingthe theVITA VITALinearguide Linearguide3D-MASTER. 3D-MASTER.

Fig. Fig.22Secondary Secondarycaries carieshad hadformed formedunder underaadirect direct composite compositeabutment, abutment,which whichled ledto toaafilling fillingfracture. fracture.

3. CAD/CAM fabrication and finishing

A 21-year old patient visited the dentist's office 5 because the composite structure of her distal corner of tooth 21 was fractured due to secondary 33 caries. She wanted a long-term, permanent

44

55

4. Finalization and summary

and material selection

33

Precise color information is essential in making the correct choice when it comes to the shadematching material blank. To ensure optimal shade integration of the existing incisal edge defect on the reconstruction, the tooth shade was determined using the VITA Linearguide 3D-MASTER shade guide, after applying local anesthesia. Systematic tooth shade determination was carried out in two steps.

Fig. Fig. 33The The3tooth tooth shade shade was was systematically systematically determined determined in in Fig. The tooth shade was two twosteps stepsusing usingthe theVITA VITALinearguide Linearguide3D-MASTER. 3D-MASTER. Insystematically the first step, a brightness level from 0 to 5 determined was determined using the VITA Valueguide in two steps using the VITA 55 3D-MASTER shade guide. The color intensity and Linearguide 3D-MASTER. shade were then determined using the appropriate shade guide from the VITA Chroma/ Hueguide 3D-MASTER. This resulted in the selection of tooth shade 1M2. Since this 6 primarily involved a restoration of the translucent

enamel area, a translucent HT blank in the color Since hybridbyceramic can scan with the After the cement residues were removed, the 1M2 was selected for the CAD/CAM-supported This was followed the intraoral be processed even CEREC Omnicamprecisely 4.2 and the virtual design of transitions between tooth and restoration were fabrication. To prepare for the digital impression, thin wall thicknesses, thewith restoration using the CAD software inLab evened out using the VITA ENAMIC Polishing Set. only the caries was removed and the enamel edges ofCAD/CAM-supported the defect were slightly tapered. the patient could undergo CAD 15.2.

The order was sent to the inLab MC Fig. The delicate showed a very Fig. Fig. 44The The caries carieswas wasrestoration removed removedunder underlocal localanesthesia anesthesia Fig.55The The CAD/CAM-supported finished finishedrestoration restoration and andthe theedge edgeareas areasin inthe theenamel enamelwere wereslightly slightlytapered. tapered. made madeof ofVITA VITAENAMIC ENAMICwith withwafer-thin wafer-thinedges. edges. a minimally invasive XL milling unit and executed there (all Dentsply harmonious integration in the natural tooth treatment.

Sirona, Bensheim, Germany).

Afterwards, the structure, thanks to its natural play of colors and sprue was removed and the restoration was light. Due to the comparatively low brittleness finished with fine diamond instruments. of hybrid ceramic - even with very thin wall Fig. 44The caries was removed under local anesthesia Fig. 55The CAD/CAM-supported finished restoration 6 Fig. The caries waswas removed under local anesthesia Fig. CAD/CAM-supported finished restoration RESULT final situationafter after the Lastly, the final finishing wasunder done using the 3. thicknesses - and its thinly tapered edges, 4.

3.

CAD/CAM CAD/CAM fabrication fabrication and and finishing finishing 4.RESULT Finalization Finalization and and summary summary Fig. 4the The caries removed local Fig. 5The The CAD/CAM-supported finished TheThe final situation thefully fullyadhesive and edge andthe edgeareas areasininthe theenamel enamelwere wereslightly slightlytapered. tapered. made madeof ofVITA VITAENAMIC ENAMICwith withwafer-thin wafer-thinedges. edges. integration with composite.

28 VITA ENAMIC technical. hybrid ceramic and anesthesia andPolishing the edgeSet areas in the During enamelthe restoration madecan of be VITAprecisely ENAMICprocessed with adhesive integration with composite. were slightly tapered. wafer-thin edges. try-in, the partial restoration was a perfect fit This thewas patient provided minimally invasive This was followed followed by bythe thewith intraoral intraoral scan scanwith with the the After Afterthe thecement cementresidues residueswere wereremoved, removed,the the and could be etched on the adhesive surfaces CEREC treatment.

Using4.2 theand digital to create CEREC Omnicam Omnicam 4.2 and the theworkflow virtual virtualdesign design of of transitions transitionsbetween betweentooth toothand andrestoration restorationwere were using hydrofluoric acid and then silanized. the anrestoration efficient fabrication of the indirect restoration the restoration using usingthe the CAD CAD software software inLab inLab evened evenedout outusing usingthe theVITA VITAENAMIC ENAMICPolishing Polishing Set. Set. 1911-12 Dental Visionist.indd 28 19.01.2021 07:36:26 66 3.3.

CAD/CAM fabrication finishing 4.4.

Finalization and summary CAD/CAM fabrication and finishing Finalization andto summary The tooth substance wasand pre-treated using the CAD made it possible treat the inMC one The CAD 15.2.

15.2.

The Theorder order was was sent sent to topatient the theinLab inLab MC The delicate delicate restoration restoration showed showed aa very very acid etching technique and then an adhesive was XL session. team and the(all patient were harmonious XL milling millingThe unit unitdental and andexecuted executed there there (all Dentsply Dentsply harmoniousintegration integrationin inthe thenatural naturaltooth tooth This was by with the After the cement residues were removed, the This wasfollowed followed bythe theintraoral intraoral scan with the Sirona, After the cement residues were removed, the structure, completely satisfied with the results of thethe final applied.

This was followed by finalscan seating using Sirona, Bensheim, Bensheim, Germany).

Germany).

Afterwards, Afterwards, the structure,thanks thanksto toits itsnatural naturalplay playof ofcolors colorsand and CEREC Omnicam 4.2 transitions between and restoration CEREC Omnicam 4.2and andthe thevirtual virtualdesign designof of sprue transitions betweentooth tooth andrestoration restorationwere were composite cement. restoration. sprue was wasremoved removed and andthe the restoration was was light. light.Due Dueto tothe thecomparatively comparativelylow lowbrittleness brittleness the CAD inLab evened using the VITA Polishing 3. CAD/CAM fabrication and finishing therestoration restorationusing usingthe the CADsoftware software inLab finished evenedout out using thediamond VITAENAMIC ENAMIC PolishingSet. Set. of finished with with fine fine diamond instruments. instruments. ofhybrid hybridceramic ceramic--even evenwith withvery verythin thinwall wall CAD The delicate showed aa very CAD15.2.

15.2.The Theorder orderwas wassent sentto tothe theinLab inLabMC MC Lastly, The delicate restoration showed very RESULT The Thefinal finalsituation situationafter afterthe thefully fullyadhes adhe Report 04/20 Lastly, the thefinal finalrestoration finishing finishingwas was done doneusing using the the thicknesses thicknesses -- and and its its thinly thinlylow tapered tapered edges, edges, light.

Due to the comparatively brittleness ofRESULT hybrid integration integrationwith withcomposite. composite.

This was followed by theexecuted intraoral scan with the CEREC XL there Dentsply harmonious integration in tooth XLmilling millingunit unitand and executed there(all (all Dentsply harmonious integration inthe thenatural natural tooth VITA VITA ENAMIC ENAMICPolishing Polishing Set Settechnical. technical.

During During the the hybrid hybridceramic ceramiccan canbe beprecisely preciselyprocessed processedand and ceramic even with very thin wall thicknesses and its Sirona, Bensheim, Germany).

Afterwards, structure, its play colors Sirona, Bensheim, Germany).

Afterwards, the try-in, structure, thanks to itsnatural naturalwas playof colorsand and Omnicam 4.2 and the virtual design of the the restoration try-in, the thethanks partial partialto restoration restoration was aaofperfect perfect fit fit the thepatient patientprovided providedwith withminimally minimallyinvasive invasive sprue light.

Due to comparatively low spruewas wasremoved removedand andthe therestoration restorationwas was and light.

Duebe tothe the comparatively lowbrittleness brittleness tapered edges,Using hybrid ceramic be precisely and could could be etched etched on onthe thethinly adhesive adhesive surfaces surfaces treatment. treatment.

Using the thedigital digital workflow workflowcan to tocreate create using the CAD software inLab CAD 15.2.

The order was finished of ceramic even with very thin finished with with fine fine diamond diamond instruments. instruments. using ofhybrid hybrid ceramic--acid even with very thinwall wall an using hydrofluoric hydrofluoric acid and and then then silanized. silanized. anefficient efficient fabrication fabricationprovided of ofthe theindirect indirectrestoration restoration processed and the patient with minimally sent to the inLab MC milling unitusing and there The situation after the Lastly, final finishing was the thicknesses --and thinly tapered edges, Thefinal final situation after thefully fullyadhesive adhesive Lastly,the the finalXL finishing wasdone done using theexecuted thicknesses andits its thinly tapered edges, The The tooth toothsubstance substance was was pre-treated pre-treated using using the the made madeRESULT itRESULT itpossible possible to tocomposite. treat treatthe the patient patient in in one one integration with integration with composite. invasive treatment.

Using the digital workflow to ENAMIC During hybrid ceramic can precisely processed and VITA ENAMICPolishing PolishingSet Settechnical. technical.

Duringthe the acid hybrid ceramic canbe beand precisely processed and session. (all DentsplyVITA Sirona, Bensheim, Germany).

Afterwards, acid etching etching technique technique and then thenan an adhesive adhesivewas was session.The Thedental dentalteam teamand andthe thepatient patientwere were try-in, the provided with minimally invasive try-in,the thepartial partialrestoration restorationwas wasaaperfect perfectfit fit applied. thepatient patient provided with minimally invasive create an efficient fabrication of the indirect restoration completely completely satisfied satisfied with with the the results results of of the the final final applied.

This This was was followed followed by by final final seating seating using using the sprue was removed andthethe restorationtreatment. was finished and Using create andcould couldbe beetched etchedon on theadhesive adhesivesurfaces surfaces composite treatment.cement.

Usingthe thedigital digitalworkflow workflowto create restoration. composite cement. restoration. made ittopossible to treat the patient in one session. The with fine diamond instruments.

Lastly, the final finishing using acid silanized. an fabrication usinghydrofluoric hydrofluoric acidand andthen then silanized. anefficient efficient fabricationof ofthe theindirect indirectrestoration restoration 29 dental team and the patient were completely satisfied The tooth substance was pre-treated using the made it possible to treat the patient in one The tooth pre-treatedPolishing using the made was done using thesubstance VITA was ENAMIC Setit possible to treat the patient in one Report Report04/20 04/20 acid and the were acidetching etchingtechnique andthen thenan anadhesive adhesivewas was session. session.The Thedental dentalteam teamand and thepatient patient were with the results of the final restoration. technical. During thetechnique try-in, applied. completelysatisfied satisfiedwith withthe theresults resultsof ofthe thefinal final applied.This Thiswas wasfollowed followedby byfinal finalseating seatingusing using completely 1911-12 Dental Visionist.indd 29 19.01.2021 07:36:30 Report 04/20 the partial restoration was a perfect composite restoration. compositecement. cement. restoration.

4. Finalization and summary

Report Report04/20 04/20

After the cement residues were removed, the transitions between tooth and restoration were evened out using the VITA ENAMIC Polishing Set. The delicate restoration showed a very harmonious integration in the natural tooth structure, thanks to its natural play of colors and

fit and could be etched on the adhesive surfaces using hydrofluoric acid and then silanized. The tooth substance was pre-treated using the acid etching technique and then an adhesive was applied. This was followed by final seating using composite cement.

2

1911-12 1911-12Dental DentalVisionist.indd Visionist.indd 29 29

19.01.20 19.01.20

29 29

1911-12 1911-12Dental DentalVisionist.indd Visionist.indd 29 29

19.01.2021 19.01.2021 07:36:30 07:36:30

DR. SHENG FANG Dentist Chengdu, China

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FENG LI Dental Technician Chengdu, China

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V I TA VISIO N

LAB SOLUTIONS

YOUR MONTHLY NEWS FOR ALL THINGS VITA

PRODUCT OF THE MONTH

VITA AMBRIA® is a new Zirconia-reinforced lithium disilic press ceramic system for highl AMBRIA esthetic and durable results with efficient processing. For th production of delicate restoratio such as veneers and inlays/onla as well as highly esthetic, full/pa crowns and tripartite bridges, up the second premolar. Available in VITA AMBRIA is a new Zirconia-reinforced lithium disilicate press ceramic levels of translucency (T/HT) and system for highly esthetic and durable results with efficient processing. sizes (S, L).

PRESS SOLUTIONS

For the production of delicate restorations, such as veneers and inlays/onlays, www.vitanorthamerica.com/AMB as well as highly esthetic, full/partial crowns and tripartite bridges, up to the second premolar.

Available in two levels of translucency (T/HT) and two sizes (S, L).

Brilliant

Efficient

Brilliant, multi-faceted play of shade and light, thanks Achieve efficient, highly accurate press results through a to material with natural translucence, opalescence and minimized reaction layer, as the material and investment material mplete systemfluorescence. components for Investing, Pressing, Veneering, Staining /Glazing and Polis are ideally matched.

True-to-shade

Durable

Reliably reproduce tooth shades, thanks to press pellets with very good fidelity and perfectly matched system components.

Highly durable restorations, thanks to zirconia-reinforced lithium disilicate ceramic with very high stability (> 500 MPa).

VITA offers the complete system components © 2021 VITA North America VITA AMBRIA® Press Solutions is a registered trademark ofStaining VITA Zahnfabrik/Glazing and Veneering,

7 4

for Investing, Pressing, VITA – perfect match Polishing.

LAB SOLUTIONS

CA PRO THE POWERFUL THERMOFORMING MATERIAL WITH FLEXIBLE ELASTOMER LAYER

More endurance, less pressure: CA Pro is setting new standards in aligner treatment.

A flexible elastomer core in a hard-elastic double shell ensures a continuous power level at a reduced initial force and higher patient comfort.

CA Pro can be used as independent aligner material or within the 3-splint-system of the CA protocol.

Your advantages at a advantages glance. at a glance Your

The

elastomer layer continuous force transmission, minimal Aligning teeth with aesthetic high-quality splints loss of power

effective

Three m unique you’ll be

Case 1

Case 1

For easy distinction, the correspondi hardness is marked on the aligners i segment.

Week 1

soft

Week 2

medium

Week 3

hard

transparent

The aligners can be taken in and out of your mouth transparent quickly and simply at any removable time (e.g.Almost when you’re invisible, you eating and your canbrushing speak and laugh The aligners can be taken teeth). without problems. in and out of your mouth quickly and simply at any time (e.g. when you’re comfortable eating and brushing your The aligners are Ask your doctor about treatment teeth). pleasantly smooth, www.ca-clear-aligner.com and he or she will be happy to advise you. without brackets or wires.

Week 6

medium

comfortable Week 7

hard

Week 9

soft

Week 10

medium

Week 11

hard

Week 12

hard

The aligners are pleasantly smooth, Week 8 hard without brackets or wires.

h en r y sc h e i n .c o m .a u

Ask your doctor about treatment

so

0.5 m

Week 4 hard Almost invisible, you can speak and laugh Week 5 soft without problems.

STEP 2

removable

Case 2

Case 2

STEP 1

Gentle and contemporary

In many cases, Thanks therapy is more are alig affordable than other dinary Three material thicknesses, worn duc treatment options for unique and beautiful smile: With eac For eas teeth alignment. you’ll be wearing 3 splints of hardnes differen Thanks to this steady increase in pre segmen are aligned efficiently, yet smoothly dinary comfort.

STEP 2

Aligning teeth with aesthetic splints effective There high-quality is a wide range of applications for the hygienic ® is an important therapyinnovative in modernCA orthodontics. cost-effective CLEAR ALIGNER splint: Treatment will provide Especially for treating adults, this concept has We recommend optimal, precise results in In many cases, proven successful.

It provides optimal treatment CETRON® cleansing Aligning teeth with aesthetic high-quality splints is ana important short span of time. therapy is more results along with a very high level of comfort. powder to care for this therapy in modern orthodontics. Especially for treating adults, affordable than other product. treatment Please askoptions for There is a wide has rangeproven of applications for theIt provides optimal treatment this concept successful. hygienic before your pharmacist. innovative CA® CLEAR splint: results along with aALIGNER very high level of comfort. after teeth alignment.

We recommend There is a wide range of applications for the innovative CA®® cleansing CETRON CLEAR ALIGNER splint: powder to care for this product. Please ask before after your pharmacist.

The 3-Splint-Syste

med

0.625

STEP 3

Treatment will provide Your advantages optimal, precise results in at a glance. a short span of time.

cost-effective

STEP 1

Gentle and contemporary.

• •

is an important therapy in modern orthodontics.

Especially for treating adults, this concept has high wearing comfort thanks to gentle initial force proven successful. It provides optimal treatment also available: CA® Pro+ with foil results along withintegrated a very highinsulation level of comfort.

STEP 3

•

Gentle and high elasticity and break resistance thanks to a flexible contemporary.

7 5

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