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DENTAL SOLUTIONS

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“After approaching different companies, the choice to work with Henry Schein came down to the people. The expertise that each individual bought to the table and their ability to co-ordinate everything from the get-go, made the experience easy.

The other benefit in working with Henry Schein was being able to get everything I needed from the one company – a one stop shop for equipment, software and consumables.”

With top quality products from the world’s leading brands, your Henry Schein team will work with you to create the perfect solution, that’s tailored specifically to meet the unique needs of your practice.

Talk to your Henry Schein Equipment Sales Specialist or Territory Manager TODAY!

DR. ASHLEIGH HOWLETT Ponsonby Teeth

DOUBLE TRIUMPH FOR VHF AT THE GREEN DENTAL AWARDS 2023

EASE CLASS wins in the sustainability categories Best Product and Best Lab

The Die Grüne Praxis (green practice) initiative voted vhf the winners with two accolades at the Green Dental Award 2023. The expert panel of judges voted the vhf dental milling machines E5 and E4 in the EASE CLASS and the AIRTOOL the winners in the two sustainability categories of Best Product and Best Lab. The official award ceremony was held on 13 October 2023 at the Fachdental Südwest trade fair in Stuttgart and was attended by numerous specialists, industry experts and representatives from the media.

In addition to the Gold at the German Innovation Award 2023, the EASE CLASS, which was only launched by vhf in the spring of 2023, has also won the Green Dental Award 2023, which was presented for the first time. The independent panel of judges recognized in particular the positive environmental and sustainability aspects of the EASE CLASS, which were developed by vhf with technical innovations and additional measures. “We knew we had a good chance of winning the Green Dental Award with the EASE CLASS. We were surprised and of course delighted that we received two awards,” says Lucas Kehl, Head of Product at vhf camfacture AG. “The Green Dental Award is a wonderful accolade and another great success for vhf and the EASE CLASS. The prize represents a true recognition of our work, and is also an incentive and motivation for us to continue taking into account issues around the environment and resources when developing ideas and to promote them in the product development process.”

The vhf EASE CLASS represents a new generation of dental milling machines that is a unique combination of technical innovation and a minimal use of resources. The innovative AIRTOOL plays a key role here: The turbine blades in the milling tool generate a powerful airflow thanks to the impressive speeds of the high-frequency spindle. This ensures that the workpiece remains free of chips and dust during processing. Significant energy is saved by eliminating the need for an air compressor: This is all the more remarkable, as compressed air is one of the most expensive forms of energy and can easily account for half of the total electricity consumption in dental practices and laboratories.

The E4 and E5 dental milling machines were recognized at the Green Dental Award 2023 and, similar to all vhf products, are manufactured in Germany with verifiable 100% certified green electricity. In addition, as customary from vhf, they are characterized by the highest quality:

The best manufacturing results made in Germany paired with high-quality industrial components from leading manufacturers guarantee a long service life for the dental milling machines. vhf’s technologyneutral complete solutions also enable a long-term and flexible usage phase and offer users maximum flexibility and products that can be combined with components from other manufacturers such as intraoral scanners and CAD software. The light weight of the E4 (28 kg) and E5 (43 kg) and the compact dimensions of these two dental milling machines are also crucial for maximizing resourcesaving logistics and environmentally friendly shipping.

Finally, vhf seized the opportunity of the launch of the new EASE CLASS to develop the technical documentation for the E5, E4 and E3 dental milling machines in digital format and to make it even more intuitive for users. The digital operating instructions save valuable resources and help protect the environment.

Validated workflow for the fabrication of milled partial and full dentures with vhf milling machines

High-quality materials have a decisive influence when it comes to the efficient production of precise prostheses.

The manufacturing processes and workflows tailored to these products are just as important. This is why vhf combines its technological expertise with the material expertise of Vita Zahnfabrik.

The impact-resistant denture base Vita Vionic Base Disc HI has recently become part of the comprehensive Vita Vionic Solutions product portfolio for the digital fabrication of partial and full dentures.

The new composite disc Vita Vionic Dent Disc multiColor for denture teeth has also been added. These top-quality and esthetic products have been validated on the vhf R5, S5, K5+, K5 and E5 milling machines and offer users greater efficiency. This means that dentures can be reliably produced digitally that meet the usual requirements of analog prosthetics.

FROM LONG FIBRES TO NANO FIBRES

EVOLUTION OF THE USE OF FIBRES IN DENTISTRY

Could you please shortly introduce yourself?

Professionally, I started as a dental technician and later became a dentist as well. During my undergraduate course, from 1988, I already started with research on the use of several types of fibres to reinforce dentures. In 1994, I completed my doctoral dissertation on this topic. Shortly thereafter, I stayed for almost two years at the Nordic Institute of Dental Materials where I had the chance to do research with Dr I. E. Ruyter, one of the most renowned experts in polymer chemistry for dental applications.

Here, I gained deep knowledge on that topic. Then, I returned to the University of Turku and I was one of the founders of Stick Tech (spin-off of the University of Turku, red.) in 1997. However, I made the personal decision to stay at the university rather than proceeding in the company, where I got governmental funding to continue research on fibre-reinforced composite. Through these many years of research, we had the chance to build a substantial amount of evidence and expertise in fibrereinforced composites. In 2006 I became Professor and Chair of the Department of Biomaterials Science and in 2009, director of the Turku Clinical Biomaterials Centre (TCBC). I’ve been the Dean of the Institute of Dentistry of the University of Turku from 2004 to 2012 and after a short break, returned to that position in 2018.

In your opinion, what are the main advantages of fibres in dentistry?

Fibres are the only way to make large direct restorations with good mechanical properties and durability. Other durable strong materials, such as zirconia and metal can only be made indirectly, outside the mouth. This way we can provide more affordable restorations and allow a larger patient group to be treated. Another advantage is that the mechanical properties of fibre- reinforced composites are very close to those of bone and dentine,

which is not the case with metals or ceramics, which are very rigid. Fibre-reinforced composites are the only synthetic materials which meet the same biomechanical demands as dentine or bone.

What was the purpose of developing everX Flow?

Research started with long fibres, used in the everStick products, which are the most durable ones. However, length is also a matter of designation, and appliances and restorations like splints and bridges that cover a wide span need a different length compared to a single tooth restoration. The main purpose with which we started the development of everX Posterior was to find the optimal fibre length vs. the size of the tooth, so that the fibres would act as reinforcement. This resulted in an average fibre length of 0.7 mm to 1 mm in everX Posterior, which provided excellent mechanical properties, and in particular, increased toughness. However, the adaptation and placement were not always as easy to achieve as we ideally would like to. Meanwhile, the bulk-fill composites emerged onto the dental markets and became popular, not because of their properties but because of their ease of use. Hence, the idea arose to develop a flowable version.

On one hand, we expected that shortening the fibres would decrease the properties. But, from studying the literature, we knew that the fibre length should be proportional to the diameter. Thus we started searching for what is called the ‘Optimal Aspect Ratio’. The fibres in everX Flow are shorter, but also thinner. With these smaller fibres, the viscosity could be changed; the fibres in everX Flow are about 0.1 mm in length but with a much smaller diameter. The amount of fibres could also be increased, maintaining the toughness – which is the main purpose of the fibre reinforcement. Most of the research is focused on the toughness because it has been shown to be the best indicator of longevity of a restoration. 1

Interview with Prof. Pekka Vallittu, Finland

What was your role in the development of this material?

I have initiated and coordinated the development of FRC materials. The key lab research has been mainly executed by Dr. Lippo Lassila who is the principal investigator in this particular project with Adjunct Professor Sufyan Garoushi and our skilled laboratory staff members. Dr. Garoushi wrote a PhD thesis on short fibre-reinforced composites. Further on, I have participated in the clinical test phase and directed the project form the clinical and material science perspectives. The entire project was a cooperation in which TCBC was in charge of the research and development of the research and Stick Tech – now a member of the GC group – transformed the research into an industrial project.

You often refer to fibre- reinforced composites as biomimetic restorations. What exactly do you mean with this term?

When you analyse human tissue, dentine and bone are fibre-reinforced materials, based on collagen fibres and apatite minerals. Even though the chemical composition of fibre- reinforced composites is different, they reproduce a similar structure. Moreover, the biomechanical behaviour of these composites mimics that of dentine.

Are there other differences between everX

Posterior & everX Flow? Do they have the same indications?

The indications are very similar, but the main difference is in the handling, because of the viscosity. Basically, they are both base materials to reinforce restored teeth. everX Flow is now also indicated as a core build-up material for metal and ceramic crowns.

There are 2 shades available in everX Flow. What are the differences & when are they indicated?

The ‘Bulk’ shade: is more translucent and can be cured in layers up to 5.5 mm, which widens the indications a bit. The ‘Dentin’ shade is more aesthetic and can be cured up to 2.0 mm.

What is the difference between traditional bulkfill composites and everX Flow?

In indications, they are very close to each other. However, everX Flow is a base material, meant to reinforce the structures underneath and above it. It needs to be covered with a regular composite that can be easily polished. Even though many bulk-fill composites need to be covered as well, in its strict definition, it should mean that you can use one and the same material from the bottom to the surface, in one increment.

How much stronger is everX Flow? What is the impact on performance?

Its toughness, which the most important material property impacting the clinical success1 is twice as much as any other kind of composite on the market, which is also the case for everX Posterior. Its impact on the restoration performance depends on the size and shape of the destructed tooth and the ratio of everX Flow and overlaying composite. The ratio between the short-fibre reinforced base and conventional composite in the restoration should be analogue to the dentine and enamel structure. This means that about 1-1.5 mm of the occlusal surface should be regular composite in order to give the best mechanical strength for the restored tooth as a whole2-3. Less benefit is achieved if the layer of fibrereinforced composite is not sufficiently thick4

As a rule of thumb, you use everX Flow to replace dentine and regular composite to replace enamel, thus mimicking tooth structure.

SEM image of the glass fibres in everX Flow. Courtesy of Dr Lippo Lassila, University of Turku

The material keeps its shape during placement (top), but flows when it shear stress or ‘disturbance’ (bottom).

Do you need to cover everX Flow with a last layer of composite, and if yes why?

By structure, everX Flow contains both micro and macrofill particles. Fibres are big particles that make it slightly less polishable even though the wear resistance in vitro is very good. Based on the wear behaviour, it could be exposed in approximal contact points. However, the official instruction remains to cover everX Flow on the proximal surfaces with regular composite as well.

More research is needed to analyse the effect in the long term, but available data are positive.

What does the research say about the performance of the product?

There is already a large number of publications available on everX Flow. On everX Posterior, we have even more evidence available. Almost all studies show superior properties of the material, such as the toughness or other mechanical properties. In vitro, it has been shown that fracture propagation is prevented in a restoration with fibre-reinforced composite. This is also the case at the interface of composite layers5.

In those studies where no considerable reinforcing effect was found, the thickness of the fibre-reinforced layer was usually insufficient. Studies from other research groups have confirmed these superior mechanical properties and there are still many studies ongoing on this topic.

Could everX Flow be used to replace posts? If yes, in which indications?

At the TCBC, we have been looking in this topic a lot, in vitro as well as clinically, and many other research groups are doing so as well. Overall, more research on this topic is still necessary. In molars, it is possible to make a direct endocrown without post by making a base of everX Posterior and this can be extrapolated to everX Flow as well.

This type of endocrown is analogue to lab-made ceramic endocrowns. The restoration only extends about 2-3 mm into the root canals, given that the walls are parallel and diameter is sufficient. The intraradicular part of the restoration should have the same height or be higher than the coronal part.

The thickness of the occlusal veneer of the restoration should be more than 1-2 mm.

In anterior and premolars, studies have been done with very promising, but there is not enough evidence yet for clinical recommendation. However, it is possible to combine the pre-fabricated fibre post and use everX Flow in the coronal part of canal to replace cement and for the core.

This is an improvement in comparison with a regular luting cement.

Of course, results depend a lot on the remaining tooth structure. If there is considerable damage up to the gingival level a thick and well bonded fibre post is still needed for sufficient retention. Evidence might be available within 2-3 years.

What are your future research topics?

Tomorrow I’ll be giving a lecture on the masticatory function of giant pandas and the evolutionary adaptation of the condyles to that function. In the field of fibre-reinforced composites, we strive to an even closer resemblance to natural dentine; among others we are investigating nanofibres, and compositions and structure closer to apatite minerals. We are also cooperating with another research group to extended indications in surgical applications, taking into consideration the biological aspect of bone forming cell lines. This is linked also to the bone regeneration materials used in periodontology and oral surgery.

References

1. Heintze SD, Hickel R, Reis A, Loguercio AS, Rousson V, Dent Mater 2017;33:e101-e114.

2. Omran TA, Garoushi S, Lassila L, Shinya A, Vallittu PK. Bonding interface affects the load-bearing capacity of bilayered composite. Dent Mater J . 2019; 38(6):1002-1011.

3. Garoushi S, Lassila LV, Tezvergil A, Vallittu PK. Load bearing capacity of fibre-reinforced and particulate filler composite resin combination. J Dent 2006; 34:763-769.

4. Rocca GT, Saratti CM, Poncet A, Feilzer AJ, Krejci I. The influence of FRCs reinforcement on marginal adaptation of CAD/CAM composite resin endocrowns after simulated fatigue loading. Odontology 2016; 104:220-232.

5. Tiu J, Belli R, Lohbauer U. Rising R-curves in particulate/ fiber-reinforced resin composite layered systems. J Mech Behav Biomed Mater. 2019;103:103537.

Professor, Institute of Dentistry, DDS, PHD, CDT

PROF. PEKKA VALLITTU

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EVER X FLOW

FIBRE-REINFORCED FLOWABLE COMPOSITE, WHERE CORE STRENGTH MATTERS.

EverX Flow is a highly fracture tough, reinforcing composite substructure incorporating unique microfibre and full silane coverage technologies. To help you achieve stronger and more durable posterior restorations place everX Flow as a dentine replacement under composite or use as a core under indirect prosthesis.

Clinical Case – Management of the endodontically treated tooth

1. Cavity preparation.

3. Application of everX Flow, Translucent shade.

5. Final layer using G-ænial® Universal Injectable, Shade A3.

2. Application of adhesive.

4. Covering everX Flow with G-ænial® Universal Injectable, Shade A3.

7. Post-operative situation.

Images courtesy of Dr Lucile Dahan, France

G-ÆNIAL A’CHORD

SIMPLICITY, AESTHETICS AND PERFORMANCE IN YOUR HANDS

With more than 100 years of experience in serving dentistry and over one billion composite restorations worldwide, GC introduces its proprietary High-performance Pulverised Cerasmart (HPC) filler and Full Coverage Silane Coating (FSC) technologies with its latest universal composite G-ænial A’CHORD which brings together simplification, invisible fillings, natural fluorescence and advanced technologies in one composite.

Class IV controlled layer concept utilising G-ænial A’CHORD in 3 shades

Pre-Operative presentation, exhibiting a failed direct composite restoration on the upper left central incisor (Tooth 21).

Completion of the palatal shelf and interproximal wall with the application of G-ænial A’CHORD composite, shade JE. The interproximal wall was formed with the use of a plastic myeloid strip and pull through technique to help develop an anatomical contour.

A chromatic body shade, G-ænial A’CHORD shade A2 was then applied and extended beyond the bevel to mask the transition line. Internal anatomy in the incisal third was also sculpted and formed in this increment of composite resin. White tints, Essentia White Modifier (WM) was then utilised to accentuate the mamelons and to replicate similar characteristics present in the adjacent right central incisor.

2-week review demonstrating the complete optical and functional G-ænial A’CHORD restoration on the tooth 21.

Tooth surface cleaned and prepared with 37% Phosphoric Acid prior to application of the adhesive with G-Premio BOND.

The dentine layer was then completed by the application of an opaque shade of G-ænial A’CHORD AO2. This is to provide the correct opacity and “block out” effect of the final restoration.

A final translucent shade of G-ænial A’CHORD shade JE was then placed to bring the anatomy to full contour.

Case Study by Dr Anthony Mak and Dr Andrew Chio

DR ANDREW CHIO

DR ANTHONY MAK

LUTING PARTIAL COVERAGE CROWN

GC Inital LiSi Block restoration cemented with G-CEM LinkForce

Strong, reliable and consistent. G-CEM LinkForce is a universal resin cement solution built on three strong links: G-Multi PRIMER, G-Premio BOND and G-CEM Linkforce cement - that ensure consistent and reliable adhesion.*

*S. Akiyama, R. Akatsuka, K. Sasaki. Wear resistance evaluation of adhesive resin cement for esthetic restorations. JDR, 2016; 95B, abstract 1345. https://iadr.abstractarchives.com/abstract/16iags-2474915/wear-resistanceevaluation-of-adhesive-resin-cement-for-esthetic-restorations

Images courtesy of Dr Reina Yang

7. Cementation

G-CEM LinkForce applied to intaglio surface of restoration and seated

8. Final

GC Initial LiSi Block partial coverage restoration adhesively bonded

1. Before Defective occlusal filling and cracked tooth exhibiting symptoms of pain on biting

2. Tooth preparation Secondary caries and crack removal with conservation of buccal cusps

3. Immediate dentine sealing Immediate dentine sealing and resin coat with GC G-aenial Universal Injectable

4. Fabrication of the partial coverage crown milled partial coverage GC Initial LiSi Block

5. Pre-treatment Surface treated with hydrofluoric acid etch and G-Multi PRIMER

6. Apply G-Premio BOND Tooth treated with air abrasion, selective enamel etch and G-Premio BOND

DR REINA YANG Melbourne

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BRILLIANT EVERGLOW FLOW

A VERSATILE HYBRID COMPOSITE THAT COMBINES PRECISE DELIVERY, HIGH STABILITY, EXCELLENT FLOWABILITY, AND OPTIMAL ESTHETICS

When it comes to inventory in your dental practice, it’s never too early to think about a bit of spring cleaning. But before you decide which composites to keep and which ones to toss, you might want to consider if the products on your shelves can truly reduce your inventory and simplify your material selection.

In the flowable composite category, Coltene’s BRILLIANT EverGlow Flow simplifies product inventory and selection while offering precise delivery, excellent flowability, high stability, and optimal esthetics.

“I was looking for a versatile flowable resin that could be used in many applications,” noted Roger Urlaub, DDS, who was one of many dentists to test BRILLIANT EverGlow Flow for this DPS evaluation.

“[This material has] multiple uses in dentistry that could reduce the number and types of resins one normally stocks. Plus, fewer shades [are required] as it covered many shades of teeth, especially the A2/ B2 shade.”

Placement, Handling, & Stability

With optimal thixotropic characteristics and 2 tip sizes, BRILLIANT EverGlow Flow is easy to apply with precision and reliability. The fine tip allowed Dr. Steven Litwin to “precisely place the material without excess,” and Michael Long, DDS, said, “The composite is easy to place where I want it with no air bubbles.” Noting that it worked much better as a base/liner than his previous flowable composite, Jeffrey Greene, DDS, said, “It stayed in place, allowing for multiple layers to be added” when filling decay on the mesial of a lower incisor.

Using the finer tip, Dr. Urlaub found the material easy to place exactly where he wanted, whether using it for a cuspal incline or a core buildup. He liked the ability to “finesse the resin to the shape I wanted using just a dental explorer tip.” When asked to suggest improvements, Dr. Urlaub said the syringe could be wider and hold more material. With low viscosity and excellent stability, the flowable is easy to handle and made “restoring

Class Vs expressly easier,” said David Buchina, DMD. “The cohesiveness and viscosity are superb [and it has] exceptional handling attributes,” he added. Dr. Steven LeBeau said BRILLIANT EverGlow Flow is durable with great wetting properties, and Dr. Gregory Chipp said he experienced “no bubbles and easy adaptation.”

Dr. Urlaub shared, “It had excellent marginal adaptation with low film thickness” when using the bonding agent with the flowable, and Raymond Wozny, DDS, remarked, “Its flowability is good for composite base. Slightly less slump would make it ideal.”

Esthetics

Available in 8 shades across 3 translucency levels, BRILLIANT EverGlow Flow features built-in polishability and gloss and an innovative two-in-one Duo Shade system that provides consistent esthetic results. With Duo Shades, fewer overall shades are required, simplifying inventory and selection.

“The shades matched very well and polished nicely,” shared Dr. Greene, and Dr. Buchina said it “was nearly self-polishing; finishing was minimal in most cases.”

Noting that it polished better than any previous flowable, Dr. LeBeau said, “The chameleon shading hides the DEJ line.” Dr. Litwin said BRILLIANT EverGlow Flow “is easy to work with and provides wonderful esthetics, especially its ability to mask discolored areas.”

Explaining that “some flowables have become too translucent and, therefore, unesthetic when cured,” Dr. Urlaub stated, “This one blended well into the dentition,” and Dr. Wozny said it has the “perfect amount of translucence.”

Versatility

“The choice of tips made BRILLIANT EverGlow Flow versatile for filling smaller hard-to-reach areas on roots and for use as a liner/base,” said Dr. Greene.

Dr. Anthony Vocaturo used it for Class V restorations, as a liner for core buildups, and as a filler for voids, and Dr. LeBeau found it “best for Class V abfraction restorations and Class II floors, including the interproximal box.”

After using it for standard cavity preparation, Dr. Chipp said, “Upon getting the patient back for observation, things looked as perfect as when placed.”

“It is very useful as a core material for in-office milled restorations to block out undercuts and amalgam internal dark stains,” said Dr. Urlaub.

Takeaways

“I use it in place of multiple other products [as a] flowable buildup material, different medium flowable resin, and a regular nano-hybrid resin.”

Overall Satisfaction

All of the dentists who participated in this DPS evaluation recommend that other clinicians should give BRILLIANT EverGlow Flow a try.

Describing it as “very simple and straightforward,” Dr. Chipp said, “I would not be hesitant in purchasing and using BRILLIANT EverGlow Flow,” and Dr. LeBeau concluded, “It’s great to evaluate an improved flowable when I didn’t think I could see an improvement.”

• Optimal thixotropic properties and 2 tip sizes make it easy to apply with precision and reliability

• Excellent stability and low viscosity

• Two-in-one Duo Shade system provides consistent esthetic results

• Built-in polishability, long-lasting gloss, and 8 shades across 3 translucency levels

• Fewer shades simplify inventory and selection

KURARAY NORITAKE DENTAL

RECEIVES TOP HONORS AS INNOVATIVE COMPANY OF THE YEAR

We are proud and delighted to announce that Kuraray Noritake Dental has been honored as the INNOVATIVE COMPANY OF THE YEAR by DENTAL ADVISOR.

DENTAL ADVISOR conducts annual practice-based clinical evaluations and product performance tests. The results are published online in the January/February issue, aiding potential users in identifying high-quality new dental materials and selecting those best suited to their individual requirements.

Quoting DENTAL ADVISOR: “Kuraray Noritake was chosen as innovative company of the year because of their constant ability to adapt to market needs and change. Their products are universally accepted by dental professionals as market leaders due to their ease of use and consistently high laboratory performance, making them ideal choices for long-term clinical results.”

In addition to being recognized as an innovative company, our products underwent testing and received prestigious DENTAL ADVISOR medals:

CLEARFIL MAJESTY™ ES Flow received the Top Product Award for the 9th consecutive year in the HighlyFilled Flowable Composites category.

Our very own PANAVIA™ SA Cement Universal secured the Self-Adhesive Cement category win.

CLEARFIL™ Universal Bond Quick was honored with the Preferred Product Award in the Universal Bonding Agents category.

Lastly, our most recent cement, PANAVIA™ Veneer LC, received the Research Award.

We extend our heartfelt gratitude to the dedicated practitioners worldwide who have placed their trust in Kuraray Noritake Dental products. Your unwavering commitment to excellence fuels our ongoing pursuit of innovation and quality. We are honored to stand alongside you in advancing dental care, and we look forward to continuing this journey together.

Source: Kuraray Noritake Newsroom

KATANA™ ZIRCONIA BLOCK IN SINGLE-VISIT DENTISTRY

Zirconia is a popular restorative material with highly beneficial mechanical and meanwhile also optical properties. Due to long processing times, especially sintering, the material was initially not suitable for single-visit dentistry. This changed with the availability of zirconia variants with shortened sintering times and special highspeed sintering furnaces.

We discussed with Dr. Karim Nasr, who is senior lecturer at the University of Toulouse in France and head of CAD-CAM postgraduate training, about his actual practice. He shared his experience with us and we talked about his workflow and indicationspecific material preferences as well as specific recommendations regarding the use of KATANA™ Zirconia Block in single-visit dentistry.

What kinds of materials do you process chairside?

Karim Nasr: I think I have tested all the materials available (at least in France), to be able to select the most suitable ones for daily procedures. Currently, I use different kinds of materials depending on the indications encountered: PMMA for temporary restorations, composites for inlays and onlays, glass-ceramics for onlays, overlays and crowns, and finally zirconia for crowns and bridges.

How do chairside CAD/CAM and zirconia go together?

Karim Nasr: In fact, quite simply. For me, a chairside equipment must be able to produce restorations in the same treatment session. Otherwise, it is a labside workflow. Thus, to use zirconia in chairside systems, the milling procedure must be fast

and efficient, but above all, the post-processing (especially sintering) process must be fast. For short processing times, dry milling is recommended, as well as the use of a fast-sintering furnace.

What are the benefits of zirconia compared to other ceramic materials?

Karim Nasr: There are many of them. From a biomechanical point of view, the high mechanical strength of zirconia allows us to work with reduced wall thicknesses, which enables us to be more conservative in dental tissues or to choose any placement method (cementation or bonding).

From a biological point of view, perfectly polished, zirconia is the most tolerant ceramic, as it is kind to antagonistic teeth and incredibly well tolerated by periodontal tissues. I prefer zirconia for my crowns on implants for this reason.

What was your first impression when you heard about KATANA™ Zirconia Block?

Karim Nasr: I caught a first glimpse of the new material during an event in 2018. KATANA™ Zirconia STML already existed in discs for laboratories and was well known for its aesthetic qualities. Its block version was highly anticipated. But the most amazing feature was the short sintering times announced. Testing it, I was immediately amazed by the quality of the ceramic and impressed that it is possible to obtain such an aesthetic result (translucency and shade gradation) within such a short time. This is aesthetic zirconia for everyone!

For which indications would you employ KATANA™ Zirconia Block?

Karim Nasr: I reserve the use of KATANA™ Zirconia Block for crowns and for 3-unit bridges. In some cases, I also use it to produce cantilever bridges

with a single-retainer design to replace missing incisors (as described by M. Kern). I particularly like it in my cases where I employ a Biologically Oriented Preparation Technique (BOPT) or Vertiprep.

Are there any material features which are particularly interesting for you?

Karim Nasr: Its biomechanical qualities (which are those of zirconia, already mentioned above) already allow me to extend the indications of my chairside restorations. But, in my opinion, the most interesting property is the degree of translucency. Although it is translucent, KATANA™ Zirconia Block is slightly more opaque than glass-ceramics in their lowest degree of translucency. This allows me to use it on discoloured substrates with higher confidence and to avoid the gray effect without having to use an opaque resin cement.

Do you have any recommendations for an ideal processing of KATANA™ Zirconia Block?

Karim Nasr: The use of zirconia in chairside procedures requires certain precautions to be taken in order to achieve the expected results. I have carried out many tests to identify the mistakes not to be made.

First, dry milling is strongly recommended. Nevertheless, it is quite possible to mill in wet environment. However, in this case, it is fundamental to reserve a tank only for the milling of zirconia, never use any lubricant in water (ideally demineralized water), and to have the filters always clean, which means that they need to be cleaned after each milling procedure. After milling, it is important to remove all the powder of zirconia that may have remained on the surface. After dry milling, the restoration must be sprayed with air. The same is the case after the use of burs or polishers to finish the surface. After wet milling, a demineralized water and ultrasound bath may be indicated but is not mandatory.

Do you have any tips on how to achieve optimal outcomes with KATANA™ Zirconia Block?

Karim Nasr: In anterior cases, I always recommend to perform shading and staining steps in the mouth because there is no better model than the patient himself. Micro-layering in anterior cases makes it possible to improve the aesthetic result with few steps. The 4.4.1. system, which has been specifically developed for KATANA™ Zirconia, makes micro-layering easy to achieve. For polishing, the use of “twist” polishers is recommended. They make it easier to polish all surfaces, especially the occlusal surfaces, both extra-orally and in the mouth. Just like their counterparts for composite, TWIST™ DIA for Zirconia for Zirconia polishers prove to be very effective.

Dr. Karim Nasr

SimpliShade™

Simplified Universal Composite System

Simplify Shade-matching

OptiShade matches all 16 VITA classical shades with just 3 shades: Light, Medium, Dark.

Adaptive Response Technology ™

A proven technology found in Harmonize, helps you achieve lifelike restorations with exceptional strength and unmatched esthetics.

Streamline Inventory Management

Save time and money with minimal shades to meet almost all your composite needs.

Universal For All Cavity Classes

Confidence in all cavity classes without the need for a blocker.

VITA Shade Guide Equivalent

A1, B1, B2, C1, D2

-Syringe, Light, 4g -Syringe, Medium, 4g -Syringe, Dark, 4g -Syringe, Bleach White, 4g -Syringe, Universal Opaque, 4g (ART) 37006

A2, A3, C2, D3, D4

A3.5, A4, B3, B4, C3, C4

Ordering Information

Interproximal Reach and More With Ultra-Thin Disks

The Jiffy Spin disk’s ultra-thin design can fit anywhere a restoration needs to be shaped and polished quickly. Those precarious interproximal regions can now be quickly taken care of. Clinicians’ hard work at sanitizing, etching, and bonding new material can now be finished with peace of mind (and less chair time).

Prevents Cross-Contamination

Proper usage helps prevent cross-contamination, and also no need to sterilize. It’s one less thing on your mind (freeing you for more important matters).

Maximum Two-Step Process

Medium and fine grits are available in cases where you’d like to take extra care. With a maximum two-step process, your polishing time is still shortened.

Convenient and Hassle Free

A quality single-use polisher means fewer steps. It also means less time dedicated to sanitization measures.

Also with unique Extra-Coarse Grit

Single-Use Polishers

Rely on a professional polish from a single cup, point, or disk and toss in the bin when you’re done!

Quality Material Composition

Composed of polyurethane and diamond particles, Jiffy One composite polishers deliver the quality you’ve come to expect.

Available in Multiple Shapes

Choose from a cup, point, or disc for the best polish depending on the tooth shape and location.

ENDODONTIC CASE REPORT

JEAN-CHARLES CAMBRESIER

First lower, left molar showing a decay on the distal part with the symptom of irreversible pulpitis. Firstly, the decay is removed, and the tooth is built again with a temporary filling. Then the rubber dam is placed, and the access cavity is done.

Pre- Operative Photograph

The four canals were opened using the SX EdgeTaper Platinum. The coronal part was also widened using the S1 EdgeTaper Platinum. Working length and patency are obtained with a #10 K-file. A #15 K-file was used to confirm length and patency.

Thanks to the technology of EdgeEndo, I was able to prebend the file for comfortable shaping even if the opening was reduced. S1, S2, F1 and F2 EdgeEndo Platinum were brought to the full length of the canal.

During the cleaning of the isthmus between the mesial canals, an extra canal showed up. The shaping phase was fast and efficient using SX to the F2.

The root filling was done with a single cone technique using the BUSA EndoSequence Bioceramic Sealer. The post op X-Ray shows great density and length of the root filling.

The cone fit Xray showed great length and a common exit for two of the three mesial canals.

JEAN-CHARLES CAMBRESIER

Endodontist & Expert Dentist Gembloux, Belgium

FEEL AS COMFORTABLE AS YOUR PATIENTS.

Ergonomics is more than just a buzzword at A-dec. It means thoughtfully designing equipment so that you and your team can work in the comfort you deserve. With the A-dec 500PRO, everything you need is easy to position and comfortably within reach. Close-in to your patient, your posture is healthy, your view is clear, and your reach is minimal.

1. BALANCED STABILITY

Handpiece arms balance tubing weight so you can smoothly and effortlessly move handpieces without tugging or wrist fatigue.

2. BETTER VIEWING

In-plane switching (IPS) screen technology allows clear viewing from extended angles. So even if the screen is optimised for the doctor, the assistant can easily see and monitor from a side angle, the 7” glass touch screen.

3. RIGID STRUCTURE

Solid structure reduces movement-related vibrations for you and your patient.

4. FLEXIBLE TUBING

Sturdy, lightweight tubing retains integrity for easy cleaning over time.

5. POSITION WITH PURPOSE

Four adjustment points on the headrest support your patient from any angle.

6. DESIGNED WITH THE PATIENT IN MIND

Two-position armrests make it easy to get in and out of the A-dec 500 chair. The hydraulic lift design ensures it moves smoothly and quietly for a relaxed experience. Pressuremapped, contoured chair surfaces - together with ample neck and shoulder support—keep your patients resting comfortably.

DIAGNOCAM VISION FULL HD

THREE INSTANT DIAGNOSTIC IMAGES FROM ONE SHOT

Imagine taking three different diagnostic images with one camera — sharp quality every time, in less than one second, as easy as one, two, three. You call it amazing — we call it the DIAGNOcam Vision Full HD. Intraoral images for the first visual caries diagnostic, true insight views into the dental structure via transilluminating technology and fluorescence images — all captured in a single shot and instantly displayed in Full HD resolution on your screen.

Create remarkably clear and distortion-free Full HD photographs in real time. In addition, all images, from face to macro shots, are optimised to keep their natural colour tones and to remain clear even when enlarged — enabling you to easily view the smallest details. From extraoral portrait or smile images to a row of teeth or macro shots, the KaVo autofocus feature guarantees precise, clinically relevant images, every time. With a classic autofocus the user usually must press a button. With the DIAGNOcam Vision Full HD, this is done automatically: the continuous autofocus feature delivers a sharp image every time, whatever the distance and with no need to press a button.

To do this, the camera generates additional images of the same object shortly before and after the shutter release, and automatically selects the sharpest image and displays it on the screen.

In order to recognise caries early on, mechanical examinations are insufficient. For this purpose, the use of the DIAGNOcam is an effective and, at the same time, non-invasive alternative. The principle is very simple: when DIAGNOcam shines through a tooth, carious lesions become visible as dark spots.

The tooth functions as a conductor of the light; a camera captures the light and transmits a real-time image to a monitor. And without any X-rays. Thus, the procedure may be repeated as often as necessary.

The fluorescence mode of the DIAGNOcam Vision Full HD is a particularly useful supplement to the assessment of occlusal surface caries as well as for a final caries check before placing a filling.

This fluorescent light stimulates the metabolic products of (e.g. cariogenic) bacteria on the tooth´s hard substances.

Emitting different colours, the tooth´s hard substance is displayed greenish and metabolic products of cariogenic bacteria are shown reddish. This allows the user to detect caries activity, making it possible to diagnose pathological findings. This mode enables the recording of images in the fluorescence range, in order to diagnose occlusal caries and plaque.

The KaVo DIAGNOcam Software is designed so that all procedures are intuitive and carried out in seconds flat. Integrated functions such as the 3-in-1 shot, the recording assistant and the clear structure with self-explanatory symbols make diagnostics almost as easy as recording itself.

HERE

View KaVo DiagnoCam Vision Full HD

IC5 HD Imaging

Extremely fast scan time of 5.5 seconds

High resolution Panoramic images at 96um

Reliable fully automatic exposure system footprint

MORITA X800

UNIQUE IMAGE QUALITY FOR BOTH 2D AND 3D IMAGES

Outstanding image quality for panoramic, 3D, and cephalometric images ensures a precise and reliable diagnosis even in the most

Thinking ahead. Focused on life.

The extremely high resolution of more than 2.5 LP/mm at 10% MTF and a voxel size of 80 μm show even the smallest details. In addition, a wide range of innovative functions, e.g. to avoid artifacts or for automatic image optimisation (based on real data), provide the greatest possible reliability in treatment planning.

Face-to-Face Design

Veraview X800 also sets new standards with respect to the ALARA principle. Related features include 11 exposure fields, automatic “Dose Reduction Function,” and the child setting. These features help to achieve the lowest radiation dose possible while maintaining exceptional image quality.

Another unrivalled feature is the design and operational functionality of the Veraview X800, for which it received the IF Gold Award.

Overall, the Veraview X800 sets a new and unique standard: “Total Performance Imaging”. It is the combination system of choice for a sustainable increase in diagnostic competence, diagnostic reliability, and treatment success in the dental practice.

• Choose between 360° and 180° scanning; balancing artifact reduction and dosage according to needs.

• Panoramic Scout: easy and precise selection, positioning and exposure for a limited field CBCT.

• Innovative functions for automatic dose reduction according to the patient (e.g. children) and exposure areas.

• Unique functions of image optimisation based on real data for even higher quality 2D images.

• Face-to-face positioning of the patient.

UUM A UTO C L AVE

STATIM ® B The Art of Sterilisation

VAC

Your advantages at a glance! S TAT IM ® B Vacuum Autoclave

Small Footprint but Great Performance

The STATIM B G4+ autoclave with a 6-litre chamber has a small footprint like its predecessor, the STATIM 5000. It offers a modern design and flexibility in loading options. The reprocessing of 2 cassettes or 12 pouches offers enough capacity to meet the needs of any size practice. On top of all, it perfectly sterilises and dries wrapped instrument loads in as little as 27 minutes.

Convenient Automated Filling and Draining Options

No more hassle of manual top filling and draining. In addition to the standard manual filling and draining options, the STATIM B G4+ vacuum autoclave offers automatic filling and direct-to-drain options to allow a fully automated Stericentre set-up.

Programmable – Works on Your Command

Schedule starts and set the exact time you want to run a sterilisation cycle or daily tests –whenever it suits your office’s workflow. The Delayed Start improves efficiency by allowing the test cycles to be completed when the office opens. Helix-, Vacuum- & Bowie-Dick Test.

Smart Features for Improved Automation and Workflow

Thanks to the online User Portal, you have the full overview. Cycle data storage, advanced reporting, manuals, video tutorials and user interface software updates are displayed on the screen of the unit. Dental staff can easily perform regular maintenance tasks, check the possibilities of loading and a lot more by watching video tutorials on the unit’s screen.

G4+ Technology Connectivity & Data Logging

WiFi-enabled G4+ Technology allows for traceable load release, barcode printing and instrument tracking enhanced documentation features, data storage and much more.

INFECTION PREVENTION SOLUTIONS FOR DENTAL

Infection Prevention is critical in the field of Dentistry. Pathogenic microorganisms can infect both patients and dental workers and spread through contact with contaminated surfaces, instruments, and equipment.

Dental workers and patients can be exposed to a range of pathogenic micro-organisms if appropriate infection prevention practices are not in place. These organisms can be transmitted through contact with contaminated objects such as instruments, equipment and environmental surfaces. Good hand hygiene practices and surface disinfection are critical in reducing the risk of contamination between dental workers and patients.

Whiteley offers a range of products suitable for creating a clean and safe environment in the dental practice setting. These products include surface cleaners, disinfectants, instrument cleaners and hand hygiene products.

Viraclean® was the first product approved in Australia with this disinfection claim against the COVID-19 virus. Viraclean® is a Hospital Grade Disinfectant intended for use on a wide range of healthcare surfaces which may be contaminated.

Effective surface cleaning, particularly of high touch areas (i.e. doorhandles, benchtops) combined with good hand hygiene will assist in protecting your staff and patients as we move into the winter months and a higher incidence of colds and flus. Ensuring hand sanitisers are easily accessible for patients in the waiting rooms, and staff in the practice rooms will assist in minimising the risk of infection.

Bactol® The Whiteley range of hand hygiene products are manufactured in Australia and include Bactol® Blue Alcohol Based Hand Rub (TGA registered, AUST R 155397), the Dermalux range of hand soaps and Bactol® hand moisturiser.

Bactol® Blue provides antibacterial hand cleansing

without the need for water. It has been specially formulated with a natural emollient to replace the skin’s lipids. This helps maintain skin integrity and prevents moisture loss leaving your hands hygienic, soft and replenished. Bactol® Blue has been developed in compliance with the EN1500 testing standard for alcoholbased hand rubs.

Good hand hygiene is critical in preventing the spread of germs in dental practices. There are 5 simple steps you can take to improve hand hygiene compliance:

1. Ensure sanitising dispensers or bottles are conveniently located.

2. Increase monitoring and surveillance.

3. Choose products staff like using.

4. Use signage to promote hand hygiene i.e. 5 moments of hand hygiene posters.

5. Encourage your team to provide feedback to each other on hand hygiene.

Whiteley have developed a training program for dental professionals through their online learning centre. The ‘Infection Prevention in Dental’ course provides an overview of the importance of hand hygiene, surface cleaning and disinfecting and correct product selection to address the outcome required in your dental facilities. Included in this course are links to clinical data, demonstration videos, links to wall charts, a short quiz and certificate on completion.

Find out more about

Whiteley’s products

Whiteley’s Infection Prevention in Dental course

DOES YOUR MASK KILL VIRUSES?

THE NEW PROGEAR ANTIVIRAL MASK WITH OXAFENCE KILLS 99.9% OF VIRUSES.*

“If I got to choose each day between a mask treated with Oxafence and a regular mask, that’s a no-brainer. I’d choose Oxafence.” U.S. Medical Group Co-Vice President

Needed Antiviral Protection

“Everything in the air lands somewhere.”

NZ Dental Hygienist

Once exposed, viruses like SARS-CoV-2 and Influenza can remain infective for hours and even days^ on a mask’s surface, leading to crosscontamination and transmission risks. That’s why our founders, neurosurgeon Dr James Chen and Pediatric Surgeon Dr Thomas Lendvay, developed Oxafence. It’s an extra level of protection – Active Protection – that kills viruses* while masks are being worn. Where most masks trap and shield viruses, Oxafence kills. The ProGear Antiviral Surgical Masks with Oxafence begin inactivating viruses* immediately, inactivate 99% by 5 minutes, and achieve 99.9% inactivation by 15 minutes.

High Performance Standards

The ProGear Antiviral Masks with Oxafence provide the highest level of ASTM protection. ASTM International rates masks according to three levels based on filtration and fluid resistance requirements. Level 1 (L1) masks are generally known to provide the lowest level of barrier protection, and Level 3 (L3) masks provide the highest barrier protection. L3s are often recommended in situations involving moderate to heavy levels of fluids, spray, and/ or aerosols. And that’s why the ProGear Antiviral Surgical Masks with Oxafence are Level 3. The four-layer design exceeds the ASTM L3 standard for Bacterial and Particulate Filtration Efficiency (BFE & PFE) of 98% (BFE is 99.88 and PFE is 99.77) and Fluid Barrier Protection is 160 mm Hg (consistent with the standards).

Premium Quality and Comfort

“COVID raised the bar with respect to mask quality.” NZ Dentist and Clinical Director

Whether you are wearing the mask for minutes or hours, we hope you forget you are wearing it all. The ProGear Antiviral Surgical Masks with Oxafence are made in the USA with premium materials and are designed for enhanced comfort, fit, filtration, and breathability. The patented Wave-Fit pre-bent nosepiece allows for easier donning and prevents glasses from fogging. And the fit is snug and secure at the sides. The ProGear Antiviral Surgical Masks with Oxafence are manufactured by Prestige Ameritech, the largest domestic mask manufacturer in the U.S.

ProGear Antiviral

Surgical Masks with Oxafence

• ASTM Level 3

• Antiviral*

• Fog-Reducing

• USA-Made

• Premium Quality

• Enhanced Comfort Product Code for Orders: SI-PAM0103

*Tested against SARS-CoV-2 and Influenza A/H1N1 in vitro. Oxafence starts working immediately in visible light but is specifically optimised for normal, indoor lighting environments where mask use/wear is common (typically ~500-700 lux). Oxafence inactivates 99% of SARS-CoV-2 and H1N1 in 5 minutes and 99.9% in 15 minutes in ambient light (~500 lux). Any clinical event has not been evaluated. ^Chin et al. (The Lancet, 2020). Surgical masks, when worn properly, may reduce potential exposure to blood and bodily fluids. No surgical mask eliminates the risk of contracting any disease or infection. If pregnant, nursing, or hypersensitive to Methylene Blue, consult your physician prior to use. This product is not made with natural rubber latex. Do not use in MRI. Information may not be applicable to countries outside of New Zealand, nor may products marketed in New Zealand necessarily be available in other countries. This does not constitute promotion of products outside New Zealand.

FINALLY, AN ERGONOMIC SCALER THAT’S

MORE THAN A BUZZWORD

How we used 2.8 Million Data Points to Advance Dental Ergonomics

There’s a lot of talk about ergonomics in the world of dental hygiene. No wonder: working with hand and power instruments can take its toll. According to a systematic review of the literature, nearly 70% of registered dental hygienists experience some sort of hand, wrist, and/or arm pain.

Instruments that can reduce the strain on muscles, joints, and bones are the key to increased productivity, longer careers, and, most of all, less pain and fatigue. However, often there is no factual evidence to support the ergonomic benefits of an instrument.

That’s why when we set out to design a new line of ergonomic scalers – what would eventually be called our Harmony™ Ergonomic Scalers and Curettes – we wanted to approach the challenge differently. We wanted to know what ergonomics really meant for practitioners.

Our goal: To quantify the ergonomic properties of a dental instrument and use that data to design an instrument that significantly reduced the strain of clinicians.

With the new Harmony™ Ergonomic Scalers and Curettes, we did both. Let us walk you through the rigorous testing process.

2.8

Million Reasons to Believe

To design a genuinely ergonomic scaler, we first needed to understand what key factors contribute to musculoskeletal disorders among hygienists. While scaling involves small micro-motions, these fine movements adds up over the days, months, and years. Because scaling is a fine motor skill, the sensitivity of the testing equipment was critically important. We partnered with global leading technology firms to custom design a device that would:

• Adapt to all users’ grasps, as well as all scaler designs.

• Not interfere with the practitioners or the instruments being tested.

• Allow our engineers to create an iterative development process.

• Help us grow and build a database for ergonomic applications.

What our team came up with was TrueFit™ Technology. The TrueFit™ Technology system consists of two main components: four finger sensors (which resemble a thin glove) that record pinch force (the pressure required to hold an manipulate an instrument with your hand) and a typodont outfitted with a six-axis force/torque sensors to record the pressure applied to the tooth.

The TrueFit™ Technology system recorded 40 measurements per second from every sensor in the system. All this information fed into a custom software system that analyzed and interpreted the pinch force that hygienists exerted during scaling and the pressure applied to a patient’s tooth.

Enabled by the revolutionary TrueFit™ Technology, our team undertook a rapid prototype development process, similar to that used in software engineering. Starting with a gamut of handles currently available on the market, we gathered data and applied it to a range of innovative new design concepts. These different handle designs helped establish comparison points for iterative development. We kept the features that tested well and discarded those that performed poorly.

Over 50 hygienists spanning continents and countries participated in the testing, and we partnered with a third-party analytics firm to review and analyze the data collection. By the completion of the project, we had gathered over 2.8 million data points.

Confidence in Your Hand

Compared to other “ergonomic” scaler designs from leading instrument manufacturers, the Harmony™ Ergonomic Scalers and Curettes reduce pinch force up to 65%, and reduce the pressure applied to the tooth by up to 37% (which your patients are sure to appreciate).

The Harmony™ Ergonomic Scalers and Curettes achieve these amazing strain-minimizing results through a combination of features:

• The durable metal handle, which features a recessed double-helix texture, is designed for optimal tactile sensitivity and to reduce tactile fatigue. (Your tactile sensitivity of the tooth surface will diminish less over extended use.)

• A silicone grip extended 30%, allowing a secure and nimble grasp while using the instrument. The geometric pattern is specifically designed to maximize grip in all directions.

• An organic, round shape designed to roll smoothly in the fingers, potentially alleviating hand fatigue and injuries from repetitive motion.

• A 20% increase in width WITHOUT an increase in weight.

Harmony™ Scalers and Curettes also feature our EverEdge™ 2.0 Technology. With EverEdge™ 2.0 Technology, working ends are 72% sharper out-ofthe-box than the next leading competitor and 50% sharper after 500 strokes. Sharp scalers require less pressure to accomplish the same amount of work, creating more comfort for you and your patients.

Taking a Hand in the Fight against Fatigue and Strain

When you apply force repetitively and over time, inflammation occurs in your muscles and tendons. The higher the force, the quicker your muscles become fatigued. Eventually, nerve damage and disorders such as carpal tunnel syndrome may set in.

By reducing the pinch force you must apply to a scaler, you can reduce the likelihood of injury. And the less pain you have, the more satisfied you’ll be at work.

We ran our findings by two unaffiliated occupational therapists. They told us, “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.”

To sum up, the outcome of all our research, testing, and development is a happier, more comfortable, more productive workday for you as a clinician. That translates into:

• Decreased onset of hand disorders.

• Less muscle fatigue.

• Fewer worker’s compensation claims.

• A boost in efficiency.

• A potentially longer and more fulfilling career.

Clinicians agree.

Take a look at what others are saying about Harmony™ Ergonomic Scalers and Curettes.

“I could feel the difference in my grasp the first time I scaled with a Harmony™ Scaler.”

TAMI WANLESS RDH, MED

“While using the new Harmony™ Ergonomic Scaler with sharp EverEdge™ 2.0 Cutting Edges, I have great tactile sensitivity and I feel a perceptible decrease in pinch force and pressure required for effective calculus removal.”

ANNA

PATTISON RDH, MS

The Harmony™ Ergonomic Scalers and Curettes are now available in 30 of our best-selling sickle scalers, universal curettes, and Gracey curettes.

AN INTERVIEW WITH COLGATE SCIENTISTS

AN INSIGHT INTO R&D AND PRODUCT DEVELOPMENT

I’ve personally always been fascinated by the world of research and product development. How does an idea become a new product? For instance – How do companies come up with a new toothpaste formulation? How do they know the ingredients will stay stable and do what they’re supposed to do? How do you go from an idea to a finished product that can then be sold on shelves to a consumer? How do you know what you’ve made will work? To get some insight into some of these burning questions I had, I decided to go behind the scenes and interview a couple of scientists within the Colgate Clinical Research Group at the Colgate Global Technology Center: Dr Divino Rajah and Bernal Stewart.

1. How does product development start? Does someone come up with a gap in the market, or an idea? Or is there perhaps a new formula/ compound developed, which you then see if you can incorporate into a toothpaste?

Colgate’s core process in R&D is centered around People Centricity. We assess what are the unmet oral health needs of our consumers around the globe and what are the largest oral health problems that everyday people face. We seek to enhance consumer experience by providing the best flavor, mouthfeel, delivery system, formula stability and quality. We include consumer testing and feedback, improving the product as a result. From there we use that as a stepping stone to assess what gaps and concerns people have. Colgate uses the vast knowledge of oral care experts, dental professionals and historical know-how to see what we can incorporate in a new toothpaste or oral care product (mouthwash, dental floss and/or toothbrushes) that meet the needs of people with oral health issues. Whether it’s sensitivity, gum issues, cavity protection, or whitening we have a technology/offering that can help alleviate those conditions.

2. What are the steps in the R&D process? What are the general steps from idea to finished product and who is involved in the process?

New product development starts from the identification of new active ingredients, an unmet consumer need or scientific or technological advancement.

At Colgate, our core process in R&D is centered around People Centricity to provide solutions to oral care conditions. Extensive preclinical testing followed by scientific studies is carried out to ensure our products are safe, efficacious and address the needs of our consumers. Our process has several steps which include:

Idea generation, conceptualization, bundle development, final validation and go to market. This process involves several functional areas such as: Research and Innovation, Safety and Regulatory, Claims Support, Legal and Clinical Research. These teams co-develop products with our product development team taking into account patient preferences, dentist and hygienist inputs and state of the art preclinical science and scientific methods.

3. Can you explain how Colgate comes up with ingredients and formulas that you then introduce into new toothpastes? What do the Colgate scientists do to ensure the ingredient is then stable, effective, safe and works like it should clinically and in the real world? Do they need to be thoroughly tested and how does that happen?

Colgate has multiple departments that focus on new active ingredients, and formulas to ensure that they are stable, safe, efficacious and consumer friendly. These departments are composed of scientists, dental professionals and researchers that look at future technologies and how to make them a reality for our consumers. Additionally, all of these functions abide by specific guidelines outlined by regulatory agencies and industry standards. Our team of experts conduct a series of safety, laboratory and scientific studies to ensure that our products address the needs of our customers.

4. How does Colgate stay a market leader in oral care? What keeps Colgate apart, continuing to innovate and lead the market?

Colgate is the market leader because we are constantly innovating and understanding the world’s unmet oral care health needs. We are present in more than 200 countries and in up to 60% of all homes. Our internal teams are composed of top notch scientists, experts and clinicians in oral care globally.

Externally we work with key thought leaders, cutting edge scientists and other partners. This comprehensive approach enables us to bring oral health innovations to professionals and consumers worldwide. We are always investing in the latest technologies that will take our excellent products to new heights. We hold ourselves to the highest standards. Lastly, we apply people centricity to truly understand our consumer needs both demographically and through their life journey.

5. How do you measure or test the efficacy of a product like a new toothpaste? eg. whitening toothpaste and how it whitens teeth.

To evaluate the effectiveness of a new toothpaste we use validated and accepted testing methods. These methods will be dependent on the technology that is being evaluated and potential benefits of this new product. For example: When it comes to tooth whitening, Colgate has in-vitro methods and also conducts in-vivo studies to evaluate stain removal and shade change.

Thank you so much for your time Dr Divino Rajah and Bernal Stewart! Such a valuable insight into the world of Colgate R&D, and so impressive to see the amount of work, and the people behind the scenes that are required to help Colgate develop a new product. It is also great to see how Colgate continues to innovate and lead the way globally for oral healthcare products to consumers.

Dr Sam Koh is a general dentist in private practice, with special interests in Cosmetic Dentistry and Orthodontics. He is the principal dentist and director of Dental Boutique Mornington. Dr Koh has been awarded with prestigious fellowships from the International Academy of DentoFacial Esthetics in New York, the Pierre Fauchard Academy in London, as well as a fellowship in Orthodontics. He is the co-founder of the Young Dentist Hub, a mentor for DentalX, and a speaker/Key Opinion Leader for several dental companies. Dr Koh is a founding member of the Colgate Advocates for Oral Health Editorial Community.

DR SAM KOH DIRECTOR, Dental Boutique Mornington

MOUTHRINSES

A GUIDE FOR RECOMMENDING THE RIGHT RINSE FOR YOUR PATIENTS

The use and selection of mouthrinses or mouthwashes is one of the more common queries patients ask of their dental professional. There are many options available on the shelves of supermarkets and pharmacies which can be quite overwhelming not just for patients, but also for us clinicians. The following article may serve as a guide to better help you understand which mouthrinse you can recommend to your patients to support their oral health.

Mouthrinses - a guide for recommending the right rinse for your patients

The use and selection of mouthrinses or mouthwashes is one of the more common queries patients ask of their dental professional. There are many options available on the shelves of supermarkets and pharmacies which can be quite overwhelming not just for patients, but also for us clinicians. The following article may serve as a guide to better help you understand which mouthrinse you can recommend to your patients to support their oral health.

Mouthrinses are generally divided into 2 main categories - cosmetic and medicinal. Cosmetic mouthrinses can remove oral debris, temporarily suppress bad breath, reduce bacteria in the mouth and refresh the mouth with a pleasant taste. Mouthrinses classified as medicinal, on the other hand may have the benefits associated with a cosmetic rinse, but also have other therapeutic efficacy benefits. These mouthrinses contain active agents which have a therapeutic effect on the mouth, such as antiseptic or high levels of anti-cavity ingredients. These can help patients with caries risk management as well as gingivitis, and periodontitis.

Whilst the majority of mouthrinses can be purchased over the counter by patients, instructions for use are always recommended so patients get the best out of the product to support their oral health.

Alcohol vs Alcohol Free Rinses

Clinicians and patients may be aware that some mouthrinses contain alcohol whilst others are alcohol free. Some mouthrinses can contain anywhere between 5-27% alcoholic concentrations. Alcohol in mouthrinses is used for several reasons

for example, as a solubiliser, stabiliser, preservative, anti-plaque efficacy enhancer and provides a distinctive flavour. Some patients may be concerned about the risks of alcohol containing mouthrinses being a risk of future oral cancer. However, studies show there is insufficient evidence to confirm that alcohol containing mouthrinses represent an independent risk factor for the development of head and neck cancer.1 Importantly, it is recommended that alcohol containing mouthrinses should be avoided for certain patient groups including young children, pregnant and nursing women, and those who suffer from dry mouth. For these demographics, an alcohol free mouthrinse is ideal.

Preprocedural rinses:

Preprocedural rinsing is considered to be one key infection control strategy that can be adopted by dental practices to reduce the extent of contamination to the dental team who are working in the contamination zone. The oral cavity is colonized by various oral microorganisms which become aerosolized during certain dental procedures. Preprocedural rinsing is undertaken to decrease the number of microorganisms in the dental aerosol.2,3

Patients with periodontal disease:

Given periodontal disease is one the most common diseases that the global population suffers, the use of a mouthrinse can be effective to promote healthy periodontal tissues in conjunction with periodontal treatment. Gingivitis occurs after 2 to 3 weeks of undisturbed plaque accumulation alongside a shift in composition of subgingival bacteria from grampositive to gram-negative species. Chlorhexidine Gluconate has a biocidal action that is more effective against gram-negative bacteria given their cells have a larger negative charge.4 Following a course

of periodontal treatment for patients with active periodontal disease, a chlorhexidine mouthrinse, containing 0.2% Chlorhexidine Gluconate, can be prescribed as a mouthrinse (10mL undiluted for 30 seconds twice daily for 2 weeks). Patients should also be advised that they may experience superficial staining from the prolonged use of Chlorhexidine mouthrinses, and patients should be assured that the stain can be removed.

Everyday Mouthrinse

If patients are looking for a daily mouthrinse to support their oral hygiene routines and promote healthy periodontium, clinicians can recommend the use of an anti-plaque mouthrinse such as Colgate Total Plaque Release Mouthwash. Colgate® Total Plaque Release Mouthwash is boosted with Zinc, a powerful mineral. It helps eliminate the bacteria that causes plaque and keeps working after rinsing to reduce heavy plaque build up 3X better**. Clinicians should instruct patients to rinse 20mL (fill to the cap line) for 30 seconds twice daily before spitting out.

Patients suffering from dry mouth (Xerostomia):

For patients who suffer from a chronic dry mouth due to reduced salivary flow (xerostomia), a mouthrinse can help to increase the moisture of the oral cavity providing some temporary relief. Specially formulated mouthrinses have been created with active moisturising agents which help to relieve mouth dryness. Aside from this, you can also recommend an alcohol free mouthrinse.

Patients with sensitive teeth:

Patients who suffer from sensitive teeth because of exposed root surfaces from gingival recession or loss of enamel from tooth abrasion, abfraction or acid erosion will usually be already using some therapeutic agent to manage their sensitivity. For patients looking to use a mouthrinse to add to their sensitive toothpaste management, clinicians can recommend a mouthwash that helps to gently clean the mouth and gums. For example, Colgate Sensi Pro Mouthwash is formulated for use in sensitive mouths and can be used for 30 seconds after brushing and flossing twice daily.

Patients undergoing teeth whitening:

Long term management of tooth discolouration either after or during any tooth whitening treatment is an important consideration for patients. Patients wishing to use a mouthrinse which will help promote a whiter smile, can use mouthrinses with active agents that are designed to remove surface stains and whiten teeth. These surface stains generally are caused by highly pigmented foods and drinks including coffee and wine. These mouthrinses provide a barrier on the surface of the enamel which reduces the chances of surface stains from forming. Colgate Optic White Mouthwash can be recommended to patients which uses a unique

formula with an optic brightener that activates as it is swished to reflect light, leaving the teeth looking white instantly. Patients should rinse 20mL of mouthrinse for 30 seconds twice daily for best effects.

Patients with ulcers or post-extraction wounds:

There are occasions where patients will present with ulcers intraorally either from stress, dehydration or from a traumatic injury of the soft tissues. Trauma can be experienced from hot foods or drinks or from biting the cheek, lip or tongue. Although oral ulcers are generally self-limiting to 10 days of when it initially formed, clinicians can suggest an antiseptic rinse such as Colgate Savacol Antiseptic Mouth & Throat Rinse* which may relieve the discomfort of mouth ulcers. As previously mentioned, be sure to warn patients of prolonged use of chlorhexidine mouthrinses beyond the 2 week period which can lead to extrinsic staining of teeth. For ulcers, Colgate Savacol Antiseptic Mouth & Throat Rinse* can be used three times daily during the period of the ulcer.

For patients who have recently undergone a dental extraction, promoting good healing of the postextraction socket and wound is pivotal to the postoperative experience of a patient. Especially in areas which can be difficult to keep clean post-operatively such as the posterior area following third molar extraction, an antiseptic rinse such a Savacol* can be prescribed for 2 weeks, instructing the patient to rinse for 30 seconds after meals. Reducing the bacterial load around the extraction socket and wounds can help promote good healing and reduce post-operative pain.3

Patients undergoing dental implant treatment:

To aid healing and manage any postoperative infection following implant surgery, use of an antiseptic rinse for 7-14 days after surgery is advised. 6

Patients with Medication Related Osteonecrosis of the Jaw (MRONJ):

In the 2015 NHS England Guidelines, there was a recommendation to prescribe a Chlorhexidine Gluconate mouthrinse, twice daily in the week before extractions and then post operatively for up to 2 months to facilitate healing. However, NHS England guidelines have since been superseded by Scottish guidelines, advising not to use Chlorhexidine Gluconate mouthwashes prior to extraction in patients categorised as either low or high risk of MRONJ, stating that there is insufficient evidence to support the use. Importantly, for patients that do develop MRONJ, the American Association of Oral and Maxillofacial Surgeons advise to use a Chlorhexidine Gluconate mouthrinse in the early phases of managing these conditions.6

Patients with Dental Caries and Children Adolescents:

A frequent question from patients who are parents of children may ask if their child can use a mouthrinse. Children or adolescents with a higher caries risk or increased susceptibility to dental caries during orthodontic treatment can be prescribed a fluoride mouthrinse to prevent dental caries. Studies show the use of a fluoride mouthrinse twice daily, can reduce caries approximately 26% when used regularly. Importantly, only children above the age of 6 years should be recommended the use of a mouthrinse.9

This recommendation guide aims to simplify and demystify mouthrinses for clinicians so that you make the appropriate suggestions and prescriptions for your patients to help promote good oral health. Mouthrinses are a great adjunctive to include as part of a patient’s oral hygiene routines so they can continue to experience healthier teeth and gums.

*Savacol Antiseptic Mouth & Throat Rinse (General Medicine)

Contains Chlorhexidine gluconate 0.12mg/mL or 2mg/mL

Antiseptic mouth and throat rinse. Reduces dental plaque and the incidence of gingivitis. Relieves the discomfort of mouth ulcers. Aids in the treatment of early gum disease. Prevention of oral candidiasis.

Savacol Antiseptic Mouth & Throat Rinse Alcohol Free (General Medicine)

Contains Chlorhexidine gluconate 2mg/mL

Antiseptic mouth and throat rinse. Reduces dental plaque and the incidence of gingivitis. Aids in the treatment of gingivitis. May relieve the discomfort of mouth ulcers. Prevention of oral candidiasis.

Indications:

Reduces dental plaque and the incidence of gingivitis. Aids in the treatment of gingivitis. May relieve the discomfort of mouth ulcers.

Prevention of oral candidiasis.

Warnings:

Savacol may lead to

• temporary change in taste perception,

• cause reversible staining of teeth and tooth-coloured restorations,

• lead to increased tartar production.

REFERENCES:

Savacol can cause severe allergic reactions.

Directions:

Rinse or gargle for 1 full minute after meals. Spit out.

Mouth ulcers: Rinse 3 times daily.

Dental Plaque and Gingivitis: Rinse 2 times daily.

Post dental treatment: On dentist advice only.

Denture rinse: Rinse daily in addition to denture cleaning to prevent denture breath.

Dosage

Savacol 0.12mg/mL

Adults: Use 15 mL undiluted

Children under 10 years: Use 7.5 mL undiluted, under adult supervision

Savacol 0.2mg/mL

Adults: Use 10 mL undiluted

Children under 10 years: Use 5 mL undiluted, under adult supervision

Colgate-Palmolive Ltd. Auckland, New Zealand

Colgate-Palmolive Pty Ltd, Sydney, Australia

**with 4 weeks regular twice daily use vs cetylpyridinium chloride antibacterial mouthwash without zinc.

1. Ustrell-Borràs M, Traboulsi-Garet B, Gay-Escoda C. Alcohol-based mouthwash as a risk factor of oral cancer: A systematic review. Med Oral Patol Oral Cir Bucal. 2020;25(1):e1-e12. Published 2020 Jan 1. doi:10.4317/medoral.23085

2. Rautemaa R, Nordberg A, Wuolijoki-Saaristo K, Meurman JH. Bacterial aerosols in dental practice - a potential hospital infection problem? J Hosp Infect. 2006 Sep;64(1):76-81. doi: 10.1016/j.jhin.2006.04.011. Epub 2006 Jul 3. PMID: 16820249; PMCID: PMC7114873.

3. Vanessa Costa Marui, Maria Luisa Silveira Souto, Emanuel Silva Rovai, Giuseppe Alexandre Romito, Leandro Chambrone, Claudio Mendes Pannuti,Efficacy of preprocedural mouthrinses in the reduction of microorganisms in aerosol: A systematic review, The Journal of the American Dental Association, Volume 150, Issue 12, 2019, Pages 1015-1026.e1,ISSN 0002-8177,https://doi.org/10.1016/j.adaj.2019.06.024

4. Poppolo Deus F, Ouanounou A. Chlorhexidine in Dentistry: Pharmacology, Uses, and Adverse Effects. Int Dent J. 2022;72(3):269-277. doi:10.1016/j. identj.2022.01.005

5. Kolahi J, Soolari A. Rinsing with chlorhexidine gluconate solution after brushing and flossing teeth: a systematic review of effectiveness. Quintessence Int. 2006;37(8):605-612

6. Llewelyn, J. A double-blind crossover trial on the effect of cetylpyridinium chloride 0.05 per cent (Merocet) on plaque accumulation. Br Dent J 148, 103–104 (1980). https://doi.org/10.1038/sj.bdj.4804396

7. Brookes ZLS, Bescos R, Belfield LA, Ali K, Roberts A. Current uses of chlorhexidine for management of oral disease: a narrative review. J Dent. 2020;103:103497. doi:10.1016/j.jdent.2020.103497

8. Marinho VC, Higgins JP, Sheiham A, Logan S. Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2003;2003(1):CD002278. doi:10.1002/14651858.CD002278

9. How does mouthwash work?: Types and benefits. Colgate.com. Published November 24, 2022. Accessed October 31, 2023. https://www.colgate. com/en-gb/oral-health/selecting-dental-products/how-does-mouthwash-work

10. Should you use a fluoride mouthwash? Com.au. Published January 18, 2023. Accessed October 31, 2023. https://www.colgate.com.au/oral-health/ fluoride/who-should-use-a-fluoride-mouth-rinse-and-why

11. Rama S. Lord of the rinse: Choosing the right mouthwash for you. The Dental Room. Published June 20, 2017. Accessed October 31, 2023. https:// www.thedentalroom.com.au/lord-rinse-choosing-right-mouthwash/

Dr Kaejenn Tchia is a recent graduate working in a corporate private practice in Darwin, Northern Territory. He is the current President of the Australian Dental Association NT Branch Inc. He has also served leadership positions for Bupa Dental Corporation including the Clinical Advisory Panel, Clinical Procurement Committee and currently the Graduate Committee. He is passionate about helping and collaborating with fellow dental colleagues, recently embarking on a new journey to help recent graduates eliminate burnout through a 6-step B.E.L.I.E.F System through his motivational coaching platform, The Limitless Dentist. Kaejenn is a member of the Colgate Advocates for Oral Health Editorial Community and hopes to use this platform to raise awareness of the importance of mental health in dentistry and provide mindset tools, which can help his colleagues unlock their next level of growth and success.

DR KAEJENN TCHIA President of the Australian Dental Association

100% Recycled Pro Ultimate Toothbrush Duo

Grin Pro Ultimate Whitening Duo

For customers seeking an affordable whitening brush solution

• T-Zone brush head design to maintain even brushing pressure throughout the whole mouth.

• Round Ended bristles to buff away extrinsic stains from the tooth surface.

• Ultra-Soft tapered filaments to soothe around the gumline and reach deep between the teeth.

• The manual toothbrush handle is made with 100% recycled plastic.

GR-2016105

Grin Pro Ultimate Gentle Care Duo

For customers with sensitive teeth and gums.

• A bubble bath for your teeth: Ultra-Thin Round Ended bristles to buff the tooth surface for the ultimate foaming experience

• Ultra-Soft Silver-Infused tapered filaments to soothe around the gumline and reach deep between the teeth. Silver infusion to prevent bacteria growth.

• This is a highly dense brush head with over 4784 bristles - 100% most dense than a regular toothbrush. The manual toothbrush handle is made with 100% recycled plastic.

GR-2016103

LED CURING LIGHTS

RADII-CAL CX

COLLIMATED FOR A DEEPER, MORE RELIABLE CURE

COLLIMATED BEAM & UNIFORMITY

An uncollimated LED curing light delivers diminishing curing energy over the depth of a restoration. As shown in Fig 1, the uncollimated LED quickly fades, offering very little curing energy for deeper restorations. The collimated beam of the RadiiCal CX delivers curing uniformity across all curing depths. This ensures a fast and predictable cure for all restorations.

ENHANCED HEAT MANAGEMENT

Heat dissipation is critical for all curing lights. Increases in heat will reduce clinical performance and will shorten the life of a curing light. The Radii-Cal CX includes heat sink dissipation technology. This technology protects the LED from damaging heat. By remaining cool, the Radii-Cal CX allows you ongoing consecutive cures without the need for a mandatory cool down. It also prolongs the life of the unit.

LIGHTWEIGHT & ERGONOMIC

The ergonomic and lightweight design minimizes fatigue and maximises comfort. The handpiece weighs just144g /5.1oz. Suitable for handling in a pencil or pistol grip, the lightweight unit minimises hand and arm fatigue. The indentation for finger placement also provides ergonomic support when you are curing upper or lower quadrants.

ADVANTAGES

• Collimated uniform beam

• Pulse technology = High intensity 1200 mW/cm2 plus low heat emission

• Battery life = 1200 x 10 second cures

• Advanced heat sink technology – no fan required

• Built in ramp up mode

• Built in radiometer indicator

• Cordless, lightweight design – 5.1 oz/144 g

• 2 year limited warranty*

*2 year manufacturing warranty on parts and battery

FIG 1

SMARTER DESIGN, OPTIMAL CURE

EVERY TIME

Radii Xpert is a smarter curing light that incorporates the latest in LED technology to deliver targeted, consistent light for optimally cured restorations. The 1500 mW/cm2 light intensity over a 4mm aperture and wavelength of 440nm - 480nm, reliably cures all composites.

CONSISTENT LIGHT INTENSITY

Radii Xpert has better performance due to the light intensity remaining consistent over clinically relevant distances. The consistent intensity ensures light will penetrate the underlying restorative with limited drop off, giving you the confidence of a full cure to the depth of a restoration.

ADVANTAGES

• Unique target assist for precision curing

• Optimally collimated beam

• Consistent light intensity over clinically relevant distances

• Smart technology that includes a LCD display, adjustable timer with countdown and the ability to save your favourite curing setting

• Ergonomically well-balanced grip

• Cures all composites - light intensity 1500 mW/ cm2 over a 4-mm aperture with wave length range of 440nm - 480nm

• Consistent beam profile

• Heat sink and pulse technology for enhanced heat management

• Base with intensity indicator

• 360-degree rotatable head

• Light weight with slimline design

• Full arch bleaching, diagnostic, orthodontic and multiwave interchangeable attachments available

COLLIMATED LIGHT

TECHNOLOGY FOR EASE OF USE

ERGONOMICALLY WELL BALLANCED GRIP

SMART

TARGET ASSIST PRECIISION CURING

LASER DENTISTRY IS BETTER THAN EVER

A DEEPER LOOK AT THE GEMINI™ DENTAL LASER FAMILY

Over the last couple of decades, there has been a surge in research in studies involving dental lasers. Even more exciting is that laser dentistry is showing significant promise as the latest form of dental care — especially considering the opportunity dental professionals have to manage pain with photobiomodulation (PBM).

So, what is laser dentistry? Put simply, laser dentistry is an innovative method used to perform many dental procedures with precision and more gently to help minimize pain and recovery time for patients. This revolutionary piece of equipment has improved many soft-tissue and hard-tissue procedures that dental offices regularly perform. Even procedures that were previously often referred out can now be easily performed in-office with a dental laser.

Common Laser Dentistry Procedures

Currently, there are four types of lasers used in dental offices: Diode laser, CO2 laser, Erbium laser, and Nd:YAG laser. Typically, the type of laser a dental professional uses depends on the procedure as well as personal preference. For dental purposes, the laser cuts or vaporizes tissue, coagulates, cauterizes nerve endings, kills bacteria, and has a photobiomodulation effect.

Both the Gemini and Gemini EVO lasers from Ultradent fall into the soft-tissue diode laser category.

Many soft-tissue procedures have become easier to perform with a dental laser resulting in gentler treatment of the patient. Not all dental lasers are purpose-made for soft-tissue procedures, so consider the type of laser your practice has before starting any procedure.

With the Gemini and Gemini EVO laser, some of the more common soft-tissue procedures include:

Surgical Procedures:

• Gingival troughing for crown impression

• Gingivectomy

• Gingival incision and excision

• Soft tissue crown lengthening

• Frenectomy

• Implant recovery

• Exposure of unerupted teeth

• Pulpotomy as an adjunct to root canal therapy

Periodontal/Hygiene Procedures:

• Reduction of bacterial level (decontamination) and inflammation

• Soft tissue curettage or Sulcular Debridement

• Removal of diseased, infected, inflamed, and necrosed tissue within the periodontal pocket. Removal of highly inflamed edematous tissue affected by bacteria penetration of the pocket lining and junctional epithelium.

Pain Therapy with Photobiomodulation (PBM):

• Topical heating for the purpose of elevating tissue temperature for a temporary relief of minor muscle and joint pain and stiffness, minor arthritis pain, or muscle spasm, minor sprains and strains, and minor muscular back pain, the temporary increase in local blood circulation; the temporary relaxation of muscle.

TOP PROCEDURES BY CATEGORY

Decontamination

Debridement

Aphthous Ulcer

Herepetic Ulcer

Hemostasis

Troughing TMJD

Gingivectomy

Frenectomy

Class V Gingivoplasty

Implant Recovery

Incision/Excision

Tooth exposure

Post-surgical pain relief

Dentinal hypersensitivity

Reduce ortho treatment time

Promote wound healing

*Examples of possible use cases for PBMT

Pros and Cons of Laser Dentistry

Cost and return on investment (ROI), what types of dental procedures you’re interested in doing, and laser preference all weigh in when it comes to the pros and cons of purchasing a dental laser. Even though laser treatment options are expanding tremendously, dental professionals can find that they’re still limited in what they can do with a dental laser—especially with hard-tissue procedures.

Historically, it has been a challenge for some dental offices to afford the upfront cost of a dental laser, and for some procedures, a laser can actually be a little slower than the traditional scalpel or electrosurge. For example, if you’re removing a fibroma, you could generally complete the procedure with a scalpel faster than you could with a laser.

The good news is that the upsides to purchasing dental lasers such as the Gemini and Gemini EVO far outweigh the downsides. Dental professionals around the world find major improvements when it comes to working with patients that have a fear of dental drills. With soft-tissue procedures, a laser coagulates and cauterizes as it cuts, producing less bleeding, discomfort, and respecting oral tissues. Patients still typically experience less post-operative pain and will heal faster than if a scalpel were used. Not to mention, most patients are fearful of a procedure that requires a scalpel.

Troughing Crown Prep | How To Use the Gemini™ Laser

Gemini Clinical – Gingivectomy & Frenectomy combined

How To Use the Gemini Laser: Uncovering Implants

How To Use the Gemini Laser: Lower Anterior Frenectomy

DENTAL PROCEDURE COMPARISON

Efficient soft tissue removal

Excellent hemostasis

Generally safe around implants

Requires less anesthesia

Reduced post-operative pain

Less risk of gingival recession ?

Reduced swelling and discomfort

No surturing required

Decontaminates wound edges

Photobiomodulation

And let’s not forget about the benefits a dental laser has for hygiene treatments. Faster prophylaxis procedures, enhanced patient comfort, and overall better results are reported when using a dental laser, providing progressive and trustworthy solutions.

Another major benefit to using a laser is that no matter what procedure you are working on, the laser will help disinfect the procedure area. This helps reduce the risk of postoperative bacterial infections.

When running any business, you need to evaluate the ROI you would receive with an equipment purchase. With a dental laser, you own a piece of equipment that can build patient relationships and trust, as well as bring in money to your practice.

The Gemini Laser Family

Laser dentistry has never been easier than with the Gemini laser family. Both the Gemini and Gemini EVO lasers come ready to use with pre-programmed procedure settings. The dual-wavelength technology combines the optimal hemoglobin and melanin absorption of an 810 nanometer wavelength with the optimal water absorption of a 980 nanometer wavelength, making your procedures more efficient than ever before. With the Gemini EVO diode laser, guided Touch Interface with voice confirmation helps you make the proper selection with ease.

Both the Gemini and Gemini EVO lasers have convenient tip illumination to improve visibility at the surgical site and, to give you even greater control, variable intensity options allow you to adjust

illumination as needed. No matter the procedure, the Gemini laser family makes your dental laser experience faster, smoother, and more efficient.

Photobiomodulation (PBM) is taking great strides in the dental industry, and now PBM treatment options are available with both the Gemini and Gemini EVO diode lasers. Both options include pre-set pain relief procedures for ease of use. The Gemini EVO also features an easy-to-use PBM treatment calculator to help you determine the proper treatment time. All you need to do is select the appropriate tip for the treatment area, select the treatment time, and let the laser do the rest.

COMPLETE CART SYSTEM FOR ULTICLEAN 500L

With specially designed Complete Cart system allowing for greater hygiene & efficiency.

Compact and unique design

Very well-designed cable management system allows you to have an ultra-hygienic & professional working station.

Independent Bottles with Hot Water Feature

For super-comfortable treatment. 2 Bottles enables flexibility in treatment options. E.g: Chlorhexidine, Hydrogen Peroxide etc

With Robust Metallic Handpieces

4 handpieces included; metallic = longer-lasting life

Seamless movement – 360

With our high quality wheel system, our cart is designed to give you the best manoeuvrability around your working space.

Ergonomic

Effective space management with frontal storage slots allowing you easy access to your Ulticlean powders & dispenser.

Generous Complete 500L Package includes

• 2 Year warranty

• 4 handpieces (x2 ultrasonic & x2 Scaling/Perio)

• 14 titanium alloy tips & 2 Wrenches

• 2 water tanks (1500ml/600 ml)

• 2 Powder bottles & 1 box of 10 single use Perio tips

• 1 Travel Aluminium case

• 2 cleaning wires

• 3 sterilisation tip storage boxes

• Selection of compressor connectors

• Foot pedal & much more

Modern approach for prevention, cleaning and minimally invasive prophylaxis treatments.

Dental Scaler + Air Polisher

SIMPLE & SOPHISTICATED

Ease of use, a complete unit that comes with all the tools to allow for many procedures:

AIR POLISHING + PERIODONTAL TREATMENT + ENDODONTIC TREATMENT + IMPLANT MAINTENANCE + EFFICIENT AND COMFORTABLE PLAQUE REMOVAL

AUTOMATIC IDENTIFICATION OF PROCEDURE MODE

Automatically recognizes which feature you require when you pick up either handpiece – scaling or air polishing.

AIR POLISHING

Compressed air precisely delivers powder and water effectively removing surface substances and polishes the tooth surface. It is less harsh on the tooth enamel with minimal abrasion. Delivers an efficient and comfortable treatment ensuring a pleasant experience for patients for supragingival and subgingival treatments.

One package with everything you need to have clinical confidence. Contact