Dental Technology Today Summer 2025 by Kelman & Associates

TECHNORAMA 2025 RECAP

MultiColor

Nano-ceramic hybrid CAD/CAM disc with Invisible Layer Technology for Enhanced Esthetics

NANO-CERAMIC HYBRID CAD/CAM DISC

86% filled for enhanced strength and excellent wear resistance

Toothlike elasticity and thermal expansion

allows for thinner crown margins

Natural esthetics with enhanced color stability and polish retention

No firing required for true one-appointment dentistry

Easy intraoral polishability, characterization and repair

Available in 11 Vita shades, 2 transparencies and 6 MultiColor variations for enhanced, natural esthetics

98.4 mm × 15 mm size capable of up to 30 restorations per disc

Also available

from

VOCO’s CAD/CAM Milling Line:

Grandio blocs · Grandio disc

Structur CAD blocks

Structur CAD discs

FDA 510k-cleared biocompatible 3D print resin to produce clear thermo-flexible therapeutic splints, retainers and night-guards

High flexural strength and excellent wear resistance

allow for devices as thin as 1 mm

Thermo-flexibility, biocompatibility, odorless and neutral flavor increases patient acceptance

Extremely fracture resistant and durable

Clear-transparent, easy to polish and color stable for excellent esthetics

No sedimentation – no shaking or “rolling” prior to use

Introducing V-Print – a new line of sedimentation-free 3D Print resins:

V-Print® splint · V-Print® c&b temp

V-Print® SG · V-Print® dentbase

V-Print® DT · V-Print® Try-In

V-Print® model 2.0 · V-Print® tray

V-Print® cast

Validated for 3D printers from trusted partners like Asiga® , Dental Wings, rapidshape, Microlay® , Shining 3D® , MiiCraft, Ackuretta, Shera, Straumann and SolFlex. For a complete list go to www.voco.dental/3dprintingpartners

Asiga, Ackuretta, Microlay, MiiCraft, rapidshape, dental wings, Shera, and Straumann are not registered trademarks of VOCO GmbH

90C Centurian Drive, Unit 211

Markham, ON L3R 8C5

Toll Free: 877-788-ADTO (2386) (within Ontario)

Telephone: 416-742-ADTO (2386)

Fax: 416-798-2613

www.adto.ca

MB #273 - 12100 Riverside Way Richmond, BC V6W 1K5

Ashley Opitz, Office Administrator

Telephone: 604-278-6279

www.dtabc.ca

Published by:

Technorama 2025 Recap: Bridging Innovation and Tradition

Technorama 2025 brought together over 1,000 dental lab professionals for two days of education, innovation, and industry networking in Toronto. This year’s event celebrated the evolution of dental technology, blending time-honoured techniques with cutting-edge advancements.

Digital Full-Arch Excellence: A Case Study

This article highlights the clinical journey from patient assessment to the final prosthesis delivery, emphasizing the integration of digital technology and a multidisciplinary approach to achieve optimal results.

A New Path to meet the Education

Requirement for Registration in Dental

A new PLAR pathway offers experienced Dental Lab Associates a chance to meet registration requirements through recognition of prior learning and on-the-job experience. This initiative supports workforce development and elevates the profession – at no cost to the first 50 eligible applicants.

3rd Floor, 2020 Portage Avenue

Winnipeg, MB R3J 0K4

Tel: 204-985-9780

Fax: 204-985-9795

Email: jenna@kelman.ca www.kelman.ca

Managing Editor: Jenna Conrad

Design/Layout: Tabitha Robin

Marketing Manager: Chad Morrison

Advertising Coordinator: Sabrina Simmonds

Return undeliverable Canadian addresses to:

Craig Kelman & Associates

3C-2020 Portage Avenue

Winnipeg, MB R3J 0K4

Publication Mail Agreement: PM#40065075

Box 397, 101-1001 West Broadway

Vancouver, BC V6H 4E4

90C Centurian Drive, Unit 211 Markham, ON L3R 8C5

Ashley Opitz, Administrative Assistant Toll Free: 1-888-495-4566

Toll Free: 1-877-788-ADTO (2386) (within Ontario)

Telephone: 604-278-6279

www.dentaltechniciansofbc.com

Telephone: 416-742-ADTO (2386)

Fax: 416-798-2613

www.adto.ca

ADTO PRESIDENT’S MESSAGE

Karim Sahil, MDT, RDT, President, Association of Dental Technologists of Ontario

Pivotal Moments that Define Us

Min education, supporting our employees, and fostering innovation.

DTABC BOARD OF DIRECTORS

ADTO EXECUTIVE BOARD OF DIRECTORS

PRESIDENT

Hal Hamilton, RDT

Karim Sahil, MDT, RDT

VICE PRESIDENT

VICE-PRESIDENT

y fellow peers, Today, we stand at a crossroads, facing unprecedented challenges and unparalleled opportunities. As your President, I am honored to address you and share a vision for our industries future –one that is rooted in unity, progress, and resilience. Together, we can overcome obstacles and achieve greatness, not just for ourselves, but for generations to come.

Shabana Mirza, RDT

Chris Opitz, RDT

TREASURER

John Eggeling, RDT

Nadja Jakobi, RDT

Aura Szigiato, RDT

Greg Tamkin, RDT

SECRETARY

Stuart Thomson

Sunny Cai, RDT

MANAGEMENT STAFF

EDUCATION

Malcolm Ashford Executive Director

Tiffany Lee, DD, RDT

Debra Orozco Blanco, RDT

MEMBER BENEFITS

DIRECTOR OF COMMUNICATIONS AND MEMBER SERVICES

Chris Ji, RDT

Zhe Lin, RDT

Renata Cecconi 604-940-2995

PAST PRESIDENTS

2016-2020 - Franklin Parada

2010-2016 - Jason Robson

2007-2010 - Gabriel Ghazal

2004-2007 - Stephen DeLuca

2003 - Michael Hrabowsky

2001-2002 - Al McOrmond

2000 - David Kochberg

1999 - Thomas Kitsos

1998 - Feliks Dawidowicz

1997 - Wilhard Barth

1996 - Bob Huybrechts

1994-1995 - Andre Theberge

1992-1993 - Michael Hrabowsky

1990-1991 - Jamie Matera

1989 - Joe Nagy

Our industry’s journey has been marked by triumphs and trials. We have weathered storms and celebrated victories, always emerging stronger and more determined. From the founding principles that shaped Dental technology to the innovative spirit that drives our industry, we are a testament to the enduring power of will and hard work. Throughout our history, we have witnessed pivotal moments that have defined us. The resilience during times of economic hardship, and the solidarity in moments of crisis – all these have contributed to the tapestry of our story.

Today, we face a myriad of challenges that require our collective effort and ingenuity.

From disparities and transformations in healthcare, these issues demand our attention and action. It is imperative that we address them with empathy, pragmatism, and a commitment to equity.

Our unity is the backbone of our industry. While we have seen growth and prosperity, we must also acknowledge the gaps that exist. It is our duty to create an environment where opportunity is accessible to all, ensuring that every dental professional has the chance to thrive. This includes investing

Innovation and technology are at the forefront of our progress. By investing in research and development, and supporting tech-driven initiatives, we can maintain our competitive edge and promote growth. It is crucial that we foster an environment where creativity and ingenuity flourish. As we look to the future, we must embrace a vision that is both aspirational and attainable. This vision is characterized by collaboration, innovation, and compassion. It requires us to be forward-thinking and proactive, anticipating challenges and seizing opportunities. Dental technologists were and always will be proponents of progressive change.

In closing, I want to emphasize the importance of unity and collective action. Our industry’s strength lies in our ability to come together in pursuit of common goals. As we navigate the path ahead, let us do so with determination, compassion, and a steadfast commitment to progress.

Together, we can build a future that is bright and prosperous for all. Thank you for your dedication, your resilience, and your unwavering belief in the promise of your Association. Please email us at info@adto.ca or visit www.adto.ca for questions and upcoming events.

MDT, RDT

Karim Sahil, MDT, RDT President Association of Dental Technologists of Ontario

“It is our duty to create an environment where opportunity is accessible to all, ensuring that every dental professional has the chance to thrive.”

MB #273 - 12100 Riverside Way Richmond, BC V6W 1K5

Ashley Opitz, Office Administrator Telephone: 604-278-6279 office@dtabc.ca www.dtabc.ca

DTABC BOARD OF DIRECTORS

PRESIDENT

Will N. Varda, RDT, Anvarda Dental Services Ltd.

VICE-PRESIDENT

Calvin Moon, RDT, Moon Dental Technology Solutions

PAST PRESIDENT

James Neuber, RDT, Ocean Ceramics Ltd.

Mohammad Lashgary, RDT, Kinetic Dental Laboratory

Olaf Lutz, RDT, Okanagan Dental Lab Inc.

Chris Opitz, RDT, Shanto Dental Ceramics Ltd.

MANAGEMENT STAFF

Lih Fen Young, RDT Executive Director lih@dtabc.ca

Ashley Opitz Office Administrator office@dtabc.ca

On Software Universalism

Will Varda, RDT, President Dental Technicians Association of BC

Imagine training a new tech to wax a crown. You are sitting at the Bunsen burner with them and solemnly pass over a #7 waxing spatula. You tell them that is this a #7 lab. You have no other tools, and only the #7 can ensure the fit and function of all the crowns coming out of the lab. Then you hand them a sheet of instructions. Step 1, rotate the shoulder cuff 30 degrees, Step 2 expand the elbow, Step 3 flare out the wrist to contact the tip of the spatula with the flame. Sounds ridiculous? Yet, this is how we approach dental software. Are we a 3shape lab? An exocad lab? What order do we click the buttons in the produce a crown? Yet the goal is the same. The end product might even look identical.

Dental software, while looking complicated and difficult to get a handle on, is simply a tool – a blunt object to be used as an extension of our education and creativity to produce what’s in our mind. With this concept firmed embedded as a starting point, the teaching of software should be universalized as much as possible. The first day of lessons should not even be looking at any specific program.

How do cement spacers work, and how do drill compensations reflect the tooling of your individual mill? How well do you understand margin offsets, and emergence angulations? How do you manage the spatial

coordinates of digital scans, and how should you thinking about aligning new information with old designs and preops? What are the fundamentals of implant libraries? If you understand the universal components of digital dentistry, which is in many cases the same components as in analog dentistry, the order of button clicking will be easy to learn.

Too often I see techs struggling to get the [insert expletive here] program to work, when the real problem is not a misunderstand of that particular program, but an unclear vision of what needs to be achieved.

The future of our industry is fascinating, and there is so much to learn. For established digital techs out there, we have a huge responsibility to ensure there are enough digital techs to keep up with the work. My only advise to you, paradoxically, would be to turn the computer screen off, and start the training on a piece of paper. Just as many cylindrical pieces of metal can be heated to melt wax, there are a lot of programs out there that can make a crown. The hard part is knowing what you want to create, and why.

Will Varda, RDT President Dental Technicians Association of BC

“Dental software, while looking complicated and difficult to get a handle on, is simply a tool –a blunt object to be used as an extension of our education and creativity to produce what’s in our mind. With this concept firmed embedded as a starting point, the teaching of software should be universalized as much as possible.”

DENTISTRY DEPENDS ON TECHNOLOGY

COMING SOON! VITA VIONIC® SOLUTIONS

Enjoy the full advantages of cutting-edge printing technology. Produce cost-efficient restorations quickly and reliably while maintaining the trusted VITA quality standard. Durable denture bases boast exceptional impact strength, while printed teeth match the renowned VITA shade guide—making them ideal for definitive dentures and temporary crown and bridge restorations.

Be the first to know when the product arrives and receive exclusive launch promotions!

Staying Ahead of the Curve: How Canadian Dental Lab Owners Can Boost Business and Outpace the Competition

Janice Wheeler, President & CEO – The Art Of Management Inc.

In the fast-evolving world of dentistry, dental labs play a crucial role in both the efficiency and reputation of a practice. Yet, competition among labs is fierce, and staying ahead requires more than technical skill – it demands smart business strategy, modern marketing, and an unwavering commitment to excellence.

Whether you’re a solo lab owner or run a multi-technician operation, the questions remain the same: How do I get more dentists to use my lab? How do I keep my team at the top of their game? How do I ensure my lab is running like a well-oiled machine? This article answers those questions with practical advice you can start implementing today.

1. Build an Irresistible Value Proposition for Dentists

The average dentist doesn’t want to switch labs unless there’s a clear reason to. That reason needs to be compelling – faster turnaround, better consistency, superior communication, or enhanced aesthetics.

Ask yourself:

• What makes your lab different from others?

• Why would a dentist recommend you to a colleague?

Once you’ve got a strong answer, build your outreach around it. For example, if your lab is known for high-end implant restorations, highlight that in your emails, social media posts, and face-to-face pitches. If you offer same-day shade matching or an in-office pickup and delivery service, make that a feature in every marketing conversation.

Also, dentists hate remakes. So your pitch should emphasize reliability, quality

control, and proactive communication –three huge selling points that reduce their stress and increase patient satisfaction.

2. Make Communication Your Competitive Edge

Many lab-dentist relationships fall apart due to poor communication – not poor product. Dentists want a partner who:

• Asks the right questions before proceeding.

• Gives a heads-up if a case looks off.

• Offers technical advice when needed (without arrogance).

• Is easy to reach and gets back promptly.

Consider:

• Adding a case intake checklist to avoid errors.

• Using WhatsApp, Slack, or a shared portal for real-time updates.

• Training staff to use a polite, professional tone – even in a rush.

A lab that communicates well is one that gets repeat business.

3. Use Technology to Speed Up and Stand Out

If you’re still fully analog in a digital age, you may be quietly losing clients. Many dentists

MANAGEMENT TIPS

now expect labs to be at least partially digital. That means:

• Accepting digital impressions from intraoral scanners.

• Using CAD/CAM software for design.

• Offering 3D printing or milling where applicable.

You don’t need to buy every shiny new toy. But you do need to keep up with what your target dentists are using. If they’ve invested in scanners, they’ll naturally prefer labs that can work with those files.

To stay current:

• Visit trade shows like the Pacific Dental Conference or Denturism Canada events

• Subscribe to digital lab journals or follow thought leaders on LinkedIn.

• Consider leasing vs. buying to reduce the cost barrier of new tech.

4. Market Your Lab the Smart Way

Many Canadian labs still rely on word-ofmouth, and while referrals are gold, they’re not enough in today’s competitive landscape. Here’s how to smartly promote your lab:

a. Website that Works

If your site is more than 5 years old and not mobile-optimized, it’s hurting you. Your website should:

• Clearly explain your services and what makes you different.

• Include testimonials from happy dentists.

• Show examples of your work (before/after photos are powerful).

• Offer an easy way to send in a case or ask a question.

b. Email Campaigns

Set up a monthly email to your clients and prospects with:

• Tips for improving crown preps or impressions.

• New materials or turnaround time updates.

• Spotlights on common mistakes to avoid (gently, of course). This positions you as a helpful partner, not just a service provider.

c. Social Media

(But Keep it Professional)

Instagram and LinkedIn are great platforms for showing off your work, sharing case studies, or posting behind-the-scenes looks at your lab. This keeps your lab top of mind and subtly shows off your capabilities.

5. Stay In Touch – Even When They’re Not Sending Work

You’d be surprised how many labs lose accounts simply because they didn’t follow up. Dentists are busy. Sometimes they try a different lab “just once” and never make it back to you – not because they didn’t like you, but because no one reminded them. A simple quarterly check-in call or email can bring back a lot of “lost” business: “Hey Dr. B, just checking in – anything we can help with? We’ve upgraded our zirconia line and turnaround is down to 3 days now.” These little nudges make a big difference.

6. Train and Retain Your Staff Like Your Business Depends on It –Because It Does

Your technicians are the heart of your lab. If their skills stagnate or they become disengaged, it shows in the quality of your work.

Here’s how to keep your team sharp and motivated:

• Offer continuing education – either online courses, hands-on workshops, or cross-training in new materials.

• Hold quality control meetings regularly to review any issues and how to improve.

• Give them pride of ownership. Let them sign their name on cases or contribute their own ideas to workflows. And remember, skilled techs are in demand. If you want to keep your best staff, it’s not all about money. Recognition, flexibility, and being part of a supportive team count for a lot.

7. Focus on Turnaround Time Without Sacrificing Quality

Fast AND flawless is the holy grail. Can’t be done? Not true – but it takes systems.

Start with:

• A well-organized job tracking system (digital or analog).

• Clear SOPs for each restoration type.

• Buffer time for unexpected issues without disrupting schedules. Many dentists choose labs based solely on consistency of turnaround. If you say “4 business days,” make it 4 – not 6 with excuses. If something will be late, notify the office immediately. That alone builds more trust than pretending everything’s on schedule.

8. Price Strategically –Not Just Competitively Trying to win business solely on price is a race to the bottom.

Instead, sell based on:

• Fewer remakes (saves the dentist money and frustration).

• Better esthetics (makes their work look good).

• Clinical support (makes their job easier).

• Personalized service (makes them feel valued).

If you provide genuine value, most dentists will gladly pay a bit more for peace of mind.

9. Ask for Feedback – and Actually Use It Every few months, ask your top clients:

• What are we doing well?

• Where could we improve?

• What would make your life easier? Dentists love to give opinions. And if you act on what they say, you’ll strengthen the relationship tenfold. This also gives you insight into what other labs aren’t doing –and where your lab can shine.

10. Build a Community, Not Just a Client Base

Send holiday cards. Remember birthdays. Invite top clients to a summer BBQ or CE evening. These small gestures create a bond beyond the transaction.

Dentists who feel connected to your lab –as real people, not just a service – are far less likely to shop around.

Final

Thought

Running a dental lab in Canada today takes more than technical skill – it takes smart marketing, tight operations, a motivated team, and a proactive approach to client relationships.

Labs that adapt and invest in these areas will not only survive the competition – they will thrive in spite of it.

JANICE WHEELER is the President and co-owner of The Art Of Management Inc., a practice management company dedicated to helping healthcare professionals reach their full potential. For more information, call 416-466 6217, email ami@amican.com, or go to www.amican.com.

BRIDGING INNOVATION AND TRADITION

The 51st annual Technorama Dental Lab & Technology Conference, presented by the Dental Industry Association of Canada (DIAC), was held April 4–5, 2025, at the Delta Toronto Airport Hotel and Conference Centre. Drawing over 1,000 attendees from across the country, the event brought together dental laboratory professionals, manufacturers, educators, and thought leaders for two dynamic days of learning, networking, and advancement.

This year’s theme, *Bridging Innovation and Tradition*, paid tribute to the foundational techniques and craftsmanship that define the dental laboratory profession, while embracing the digital tools and emerging technologies shaping its future.

The balance of past and future was reflected throughout the program – from hands-on demonstrations of cutting-edge equipment to discussions on evolving workflows, business models, and patient expectations.

The exhibition floor featured an impressive lineup of vendors showcasing everything from 3D printers and CAD/CAM systems to materials, tools, and lab software. Attendees had the opportunity to test equipment, ask questions, and explore solutions tailored to both traditional and digital labs of all sizes.

Educational sessions covered a wide spectrum of topics including advanced materials, esthetic design principles, digital impression integration, lab marketing strategies, regulatory updates, and staff development. With sessions led by both seasoned professionals and rising voices in the

“DIAC would like to extend heartfelt thanks to the speakers, exhibitors, volunteers, and

especially the attendees who made Technorama 2025 a resounding success.”

field, the seminar program offered practical takeaways for every experience level.

Beyond the trade show and lectures, Technorama continued its reputation as a prime venue for industry collaboration. Informal networking opportunities, interactive panels, and social gatherings allowed peers to reconnect, share best practices, and forge new partnerships across provinces and disciplines.

DIAC would like to extend heartfelt thanks to the speakers, exhibitors, volunteers, and especially the attendees who made Technorama 2025 a resounding success. As the industry continues to evolve, Technorama remains a cornerstone event for keeping Canadian dental labs informed, inspired, and connected.

Digital Full-Arch Excellence:

A Case Study Using Panthera Fusion Bar and the Shining 3D Elite

INTRODUCTION

With the ever-changing technological advancements in the dental industry, clinicians are constantly trying to keep up with the rapid advancements made in the industry. This “Dental Jungle” is a huge challenge for many clinicians, so many questions and unknowns. Fortunately, there are now solutions for clinicians to help them navigate this daunting road of the future. This article highlights the clinical journey from patient assessment to the final prosthesis delivery, emphasizing the integration of digital technology and a multidisciplinary approach to achieve optimal results.

What is intraoral photogrammetry (IPG)?

Based on 20 years of specialized research and development in high-precision 3D vision technology, photogrammetry has already been proven capable of achieving high accuracy for large-scale objects like airplanes, ships, and other significant structures.

SHINING 3D has taken a significant step further by innovatively applying its patented photogrammetry technology from high-end industrial applications to the dental field. This advancement delivers an extremely highaccuracy scanning experience, particularly beneficial for full-mouth edentulous dental implant applications.

It is called IPG – intraoral photogrammetry. So, what makes IPG technology different compared to regular intraoral scanning?

Regular scanbody or scan flag scanning typically requires 360-degree scanning to capture its positions based on surface geometry features. This method often encounters issues due to insufficient features, particularly when scanning vibrating soft tissue between the scanbodies, or liquids such as blood or saliva, leading to a loss of scanbody positioning accuracy

In contrast, IPG utilizes encoded patterns on scanbodies as accuracy control reference points for global optimization. This technology involves a comprehensive process of measuring and interpreting photographs to extract precise spatial information and creates highly accurate 3D data. One of the key advantages of IPG is

that it requires significantly fewer perspectives to capture the scanbodies’ positions during the scanning process. This makes the scan workflow more efficient and avoids unnecessary accumulated errors.

PATIENT PRESENTATION AND REFERRAL

The patient, a 73-year-old female, was referred for consultation regarding a full upper denture and a partial lower denture.

Key Findings:

• Upper Arch: Periodontally compromised with a poor prognosis for all remaining teeth.

• Lower Arch: Retention of teeth 44, 43, 33, 34, and 37 was possible despite some pocketing.

• Primary Concern: The patient experienced significant discomfort and mobility in the upper anterior teeth, making chewing difficult.

Referring Clinician’s Suggestions:

• Address both arches simultaneously for better occlusion.

• Consider interim and final prostheses.

• Coordinate surgical timing with denture readiness.

conducted a comprehensive evaluation and planned the following procedures:

Surgical Intervention

1. Extractions: All maxillary teeth were extracted.

2. Implant Placement: Seven implants were immediately placed in the maxilla.

a. Six implants achieved high primary stability, enabling immediate function.

b. A seventh implant was placed for potential inclusion in the final prosthesis.

Immediate Same-Day Conversion

After surgery, I performed the chairside conversion of the All-on-X provisional prosthesis.

Steps:

1. Provisional Prosthesis: Adapted to the implant positions and secured with Multi-Unit Abutments (MUAs) for immediate function.

2. Fit and Function: Adjustments were made to ensure proper fit, function, and esthetics.

3. Occlusal Verification: Undue stresses were minimized to protect the implants during healing.

4. Night Guard: A transitional night guard was provided to reduce stress on the implants and promote optimal healing.

“This technology involves a comprehensive process of measuring and interpreting photographs to extract precise spatial information and creates highly accurate 3D data.”

DENTURIST EXAMINATION AND TREATMENT PLAN DISCUSSION

During my initial examination, the patient expressed strong opposition to a full upper denture with palatal coverage, citing concerns about taste alteration and discomfort. After reviewing all options, we decided on an implant-supported fixed solution (teeth-in-aday) to address these concerns.

The patient was referred to Aspen Oral Surgery, where Dr. Martin Cloutier, a maxillofacial surgeon specializing in implant therapy,

The immediate solution restored function and esthetics, greatly improving the patient’s confidence and comfort during the healing phase.

Six-Month Follow-Up

Oral Surgeon Review and Final Torque

Test: After six months, the patient returned to the oral surgeon for evaluation. Dr. Cloutier performed a final implant torque test to ensure implant integration and stability. The Multi-Unit Abutments (MUAs)

Andriy Khomyn, DD RDT, Mark Chan DD and Andreas Klie RDT

were retorqued to their recommended specifications to confirm the implant stability before the fabrication of the final prosthesis.

Digital Workflow:

Scanning for the Definitive Prosthesis

On the same day, the patient returned to my office for the final prosthesis workflow.

Pre-Scan Preparation:

Temporary Prosthesis Assessment: The temporary fixed provisional was evaluated for fit and function.

SCANNING PROCESS USING THE SHINING AORALSCAN ELITE

A comprehensive scan was performed to record all anatomical landmarks, including the palate, residual ridge, implant positions and opposing arch.

1. Before removing the temporary prosthesis, I captured a detailed pre-op scan. This step is important because the temporary acts as a guide for the final aesthetics and occlusion.

I start by scanning the prosthesis in the patient’s mouth, moving systematically from the anterior teeth to the posterior region on one side, and then repeating the process on the other side. I ensure I capture all surfaces –the occlusal, buccal, and palatal. It is important to scan the soft tissue contours around the prosthesis.

2. Soft Tissue and Opposing Arch Scans. I removed the temporary prosthesis and completed a scan the upper arch soft tissues, including the residual ridges and palate, to capture all anatomical details.

I use smooth, steady motions to capture the entire arch and ensure there are no gaps or stitching errors in the data. I focus on areas that will interact directly with the prosthesis, ensuring a clear, detailed scan of the soft tissue.

“Fiducial markers are crucial for ensuring precise digital mapping of the implant locations, which is essential for designing and fabricating implant-supported prostheses. ”

Next is the opposing arch scan for occlusal alignment. (Figure 1)

3. Implant Scan. Proper seating of the scan bodies is very important; if even one scan body isn’t fully seated, it can throw off the entire digital workflow. (Figure 2)

First, I scan fiducial markers or reference markers, these markers serve as reference points that help the scanning software accurately identify and align the position and orientation of each implant. Fiducial markers are crucial for ensuring precise digital mapping of the implant locations, which is essential for designing and fabricating implantsupported prostheses. (Figure 3)

Following fiducial markers scan, I start scanning the first few scan bodies and

soft tissue areas around them. I then move to the other side of the arch, scanning all scan bodies on that side.

4. Next, I perform the bite registration. We reinsert the temporary prosthesis and make sure it’s seated properly before proceeding. (Figure 4)

I ask the patient to bite into their natural centric occlusion and keep their bite steady. Then, I use the scanner to capture the buccal surfaces of both arches, starting at the midline and working my way to the posterior regions on both sides.

The bite scan needs to show clear contact points and alignment. If there’s any discrepancy, I adjust and rescan as needed. (Figure 5)

Stitching and Verification:

The scans of the implant positions and soft tissue were digitally stitched to create a seamless model.

Pre-Op Scan Integration:

The pre-op scan of the temporary prosthesis was overlaid with the implant scan data to guide the design of the final prosthesis. I can manually inspect the alignment to confirm everything is accurate. If corrections are needed, I can easily address them at this point.

Figure 5 Figure 6

Figure 1

Figure 3

Figure 4

Figure 2

“The Shining Aoralscan Elite has become an indispensable tool in my practice, streamlining the process and improving outcomes for complex implant cases like this one.”

Finally, I export all the scan data as STL files and upload them to Panthera Dental. I include specific notes about tissue compression preferences, aesthetic requirements, and the reference points from the pre-op scan.

Tips:

• Take your time with the implant scan bodies. This is the foundation of the entire case, so precision is key.

• Use the scanner’s AI features to highlight gaps or missed areas during scanning.

• Always verify the alignment of your scans before sending them to the lab. Small errors now can cause big problems later. By following this workflow, I can ensure the prosthesis will fit precisely, function optimally, and meet the patient’s aesthetic expectations. The Shining Aoralscan Elite has become an indispensable tool in my practice, streamlining

the process and improving outcomes for complex implant cases like this one.

LABORATORY PHASE

The digital scans were processed using exocad to design the patient’s final smile, with the temporary prosthesis serving as a guide. This allowed the design to closely reflect the aesthetics and functionality of the provisional while improving tissue adaptation and compression. Two different designs were produced to evaluate tissue compression as intaglio surface of the final will be finished in highly polished titanium. (Figure 6)

Importance of Intaglio Surface Design

The intaglio surface (tissue-facing surface) of the prosthesis was carefully designed to be either flat or slightly convex. This is essential because:

• A flat or convex intaglio surface minimizes soft tissue irritation and ensures even pressure distribution.

• Avoiding concave designs reduces the risk of food entrapment and tissue overgrowth.

• This design promotes healthier tissue conditions and provides a better seal. (Figure 7)

Prototyping with 3D Printing

Two full-arch prototypes were printed using Rodin Titan resin, which offers high precision and durability for clinical evaluations.

• Evaluate Fit: Ensure accurate seating on the implants and proper tissue adaptation.

• Verify Tissue Compression: Check the effectiveness of tissue support without causing discomfort.

• Assess Aesthetics: Confirm the appearance and alignment of the final smile in relation to the patient’s facial features.

• Implant Fit: Leveraging accurate implant scan data ensured that the bar would align perfectly with the implants, reducing stress and enhancing longevity.

• Aesthetics: The pre-op scan of the provisional prosthesis provided a roadmap for replicating the desired smile, ensuring the patient’s expectations for appearance were met.

THE PANTHERA FUSION BAR RESTORATION

Some major challenges faced by clinicians when doing full arch Zirconia restorations is the limitation of being able to extend the cantilevers due to small AP spreads. Another major concern are breakages, especially around the Ti base areas.

Figure 8

Figure 7

Figure 9

Figure 11

Figure 13

Figure 12

Figure 10

The PFB is Zirconia supported by a Titanium bar allowing the design to extend further in the cantilever and the even thickness of the Zirconia cemented onto the Titanium bar allows the elimination of Ti bases thereby eliminating the weak points created around the Ti Bases.

Using a unique splitting protocol Panthera is able to provide the customer with the overlay STL to manufacture their own restoration overlay in Zirconia, PMMA, Rodin or any other material of their choice. (Figure 8)

Full Digital Workflow for the manufacturing of the PFB

Thanks to the Shinning Elite scanner and its software, we were able to fully integrate the Photogrammetry scans from Andriy into our workflow, designing and manufacturing the PFB for his patient.

The following scans were sent to Panthera as per the required scans to proceed with the design and manufacture of the PFB. (Figures 9-12)

From the files received from Andriy Panthera is able to design the implant bar and overlay using the splitting protocol ensuring a straight milling line without any undercuts facilitating the production and fusion of the overlay to the bar. The PFB workflow is great in that it offers various workflow choices to the customer. One of the options, and in most cases the option of choice, the STL of the overlay is sent to the customer for them to then mill the overlay in- house in the material of their choice. For those who do not have their own milling machines or who would prefer to have Panthera mill the overlay for them, this is another popular option. This is also the option Andriy went with for this case. (Figure 13)

Once the design was done, the case was available for Andriy to view in the 3D Viewer. The 3D Viewer shows the design of the bar in relation to the overlay. (Figures 14-15)

The cross-sectional shows the space and shape of the bar in relation to the overlay. Each square represents 1mm so as can be seen in this case the bar at the highest point is 6mm and at the lowest point it’s 3mm. Once Andriy had approved the design the case was sent to production. (Figures 16-17)

Milling and Finishing

Panthera offers various options for manufacturing cases. Andriy opted to have Panthera mill the zirconia. Panthera also sent the stl overlay to Andriy to mill

Figure 14

Figure 15

Figure 17

Figure 19

Figure 20

Figure 22

Figure 21

Figure 23

Figure 18

Figure 16

or print any additional overlays if he needed to.

The Zirconia overlay was milled with Vita YZ® ST. (Figure 18)

Andriy chose preparation A2 for the tooth base shade and Gingiva Light Pink. (Figure 19)

The bar was trimmed polished and fitted on the model which was printed by Mark Chan for this case. (Figure 20)

“The smooth insertion of the Panthera Fusion Bar demonstrates the importance of precise scanning and careful planning in achieving predictable outcomes.”

Final Prosthesis Insertion

• Upon receiving the Panthera Fusion Bar, the bar and prosthesis were evaluated and confirmed for optimal fit and function.

• The final insertion went very smoothly, without any adjustments required.

• The lower cast partial denture was modified to achieve ideal bite management, ensuring proper occlusion with the new upper prosthesis.

• To protect the implants and maintain the occlusion, the patient was provided with a hard night guard.

This workflow maximizes accuracy and efficiency, ensuring seamless digital capture, design, and final prosthesis delivery for full-arch implant cases. The smooth insertion of the Panthera Fusion Bar demonstrates the importance of precise scanning and careful planning in achieving predictable outcomes. (Figures 26-27)

Patient Review

Following the procedure, the patient shared the following review:

I am not one for writing reviews. There isn’t anything more I can say that hasn’t already been written in all the others before this one. So I am just going to say thank you.

Andriy, you and your wonderful staff made a very distressing situation so incredibly easy. I know it might sound a bit strange under the circumstances, but it has been fun.

To the people reading reviews to possibly make a decision as to which denture clinic to visit – there is no better than Smile Care Denture Centre.

You will be so pleased you did.

Thank you again.

This heartfelt review reflects the positive experience and quality care provided throughout the process, highlighting the impact of a supportive and professional team.

This section highlights the clinical journey from patient assessment to the final prosthesis delivery. (Figure 28)

Panthera offers various combinations of bar finishes. Andriy chose the sandblast and anodizing option. This provides the surface texture recommended for cementation and the anodizing minimizes the dark grey titanium showing through the zirconia overlay. (Figures 21-23)

The Bar and the milled Zirconia Overlay were shipped to Andriy for his Technician to complete the case. (Figure 24-25)

AUTHORS AND CREDITS

Figure 24

Figure 26

Figure 27

Figure 28

Figure 25

Mark Chan DD SwissNF Andreas Klie RDT Panthera Dental Andriy Khomyn DD RDT Smile Care Denture Centre

Research & development of highprecision 3D digitizing and 3D printing technology since 2004.

Established in 2004, SHINING 3D has been dedicated to the research, development, production, and application of high-precision 3D digital solutions for nearly 20 years. The company specializes in advanced 3D technologies and also manufactures state-of-the-art digital dental products, driving innovation and precision in the dental industry. SHINING 3D strives to be a global leader in 3D digital technology, promoting its widespread adoption and offering accessible, efficient, and high-tech solutions to industries worldwide.

Headquartered in Hangzhou, China, SHINING 3D maintains a strong global presence with operations in Hong Kong, China; Stuttgart, Germany; and San Leandro and Tampa in the United States. In addition, the company has local representatives across the globe to provide personalized support and ensure seamless service for its customers worldwide.

DESS

DESS® products are manufactured by Terrats Medical S.L., company with more than 70 years of experience in the manufacturing of precision mechanical components. DESS® Dental is present in more than 40 countries and offers the widest range of dental abutments and prosthetic solutions 100% compatible with the most popular implant systems in the market.

The DESS® Dental abutments are conceived under the Pure Switch concept, which means they can easily replace any implant brand prosthetic parts. This concept gives the professional a great deal of flexibility, as he can use both the implant brand product and the DESS® product without losing any of its features.

The Pure Switch responds to the need to create a prosthetic solution that can fully replace the implant brand without compromising the quality or strength of the product. All our abutments are tested to guarantee their correct functioning. Following this idea, the backbone of the Pure Switch concept is our screw, as it is identical to the implant brand and perfectly

interchangeable. We offer easy-to-use and time-saving solutions.

Panthera Dental

Panthera Dental is committed to design and manufacture custom-made dental restorations, sleep breathing disorder solutions and implantology products using proprietary CAD/CAM processes, smart manufacturing and superior quality materials. Panthera’s highly skilled and passionate team is dedicated to provide the highest quality outcomes and to deliver state- of-the-art solutions to dental, medical and sleep professionals who strive to improve patients’ quality of life worldwide.

The Prosthetic division offers the widest variety of CAD/CAM dental prosthetic products on the global market and is renowned for its unprecedented product quality and its ability to offer the most comprehensive compatibility of implant connections and platforms. All Panthera Prosthetic products are 5 μm precision manufactured using high-speed 5 axis milling or CNC turning manufacturing and a wide variety of medical materials.

A New Path to meet the Education Requirement for Registration in Dental Technology

Do you know of a Dental Lab Associate (DLA) who has 5+ years of experience or accumulated at least 6,500 verifiable hours in dental technology, you believe can achieve professional recognition?

We’re creating a life-changing Prior Learning Assessment Recognition Program (PLAR) – enabling experienced individuals who do not have formal dental health education to meet the same competencies delivered in an approved dental technology program.

This PLAR pathway is an opportunity to have their skills, knowledge, and competencies, gained through on-thejob experience and informal learning, recognized as steps toward professional registration. It can also help identify any additional training needed to become licensed and future proof your commercial lab.

By encouraging your DLA to apply, free of charge for the first 50 eligible applicants, you are not just helping them grow – you are helping elevate the entire profession. Their participation will contribute to shaping a licensure model that values experience and supports workforce development.

Share this opportunity with your DLA today! Continue reading and learn more about participating in the PLAR.

Why participate?

• Have your application and credential fees waived (for one PLAR attempt).

• Gain formal recognition for your existing knowledge and experience.

• Receive expert feedback outlining your strengths, gaps, and next steps on the path to registration.

• Open doors to career growth and new professional opportunities.

Who can participate?

You may be eligible to participate if you are currently working, or have previously worked, in dental technology or a related role and meet the pilots eligibility criteria

Interested in taking the next step?

Review the pilot details on the CADTR website at https://cadtr-acortd.com/2025/04/ plar-pilot.

If you are eligible, follow the steps to submit your expression of interest by 11:59 PM EDT May 31, 2025.

This pilot is part of CADTR’s Access to Dental Technology Project funded by the Government of Canada through the Employment and Social Development Canada (ESDC) Foreign Credential Recognition Program (FCRP).

CLASSIFIEDS

British Columbia Career Opportunities

CAD/CAM Technician

Coquitlam

We are a dental lab looking for a full-time dental technician with experience in operating CAD/ CAM scanners (3 shapes or exocad), designing full crowns, bridges, implants and fitting zirconia. Minimum two years of experience required. Training will be available for further skill improvements. Ability to read, understand, and speak English required. Candidates must be willing to learn new techniques and work with minimum supervision. If you are interested, please email your resume to jobs.solarisdental@gmail.com.

CAD/CAM Technician

Vancouver

Renaissance Dental Lab, located within walking distance of the City Hall SkyTrain station, is looking for an experienced dental technician or assistant in operating Exocad. The ideal candidate should have skills in designing crowns, bridges, nightguards, and implants. Please send your resume to daniel@exceldentalshop.com or send a text to 604-726-2505.

Denture Clinic looking for Certified Dental Technician

Abbotsford & Chilliwack

Accurate Denture Clinic Ltd. is offering a full-time permanent position for a motivated and reliable Certified Dental Technician to join our team in Abbotsford and Chilliwack. The candidate must have the knowledge and experience, using the software and equipment of Digital Denture design and fabrication. Experience with denture set-up and processing is an asset. Pay rate is $40 to $50 per hour, depending on the experience.

Qualified candidates, please fax your resume to: 604-854-8074 or send by email to: accuratedentureclinic@hotmail. com.

Dental Technician

Surrey Contact Masud Sarwari at info@dentcraftdentallab.ca.

Open Lab/ Bench Space Available for Rent

Vancouver Contact vancouverdentalservices@gmail.com.

For Sale

Bego Fornax T: DOC 86107-en/01

Casting Machine for Sale

Richmond

Bought New in 2020 from Bego Fornax T: DOC 86107-en/01

Used Just Once Price: $6,000 or best offer Interested inquires contact: adcsimply@gmail.com

Cad

Cam For sale

Courtney

For sale:

• Roland DWX-50, in excellent condition $3000

• Quattro Power 2station, almost new $1000

• Sintra sintering oven 0.4, new elements and fan $2500

• 3Shape D900 scanner $3000

• 3Shape software premium designer, 3rd party scan, model builder $4000

• Millbox software $4000

For more info call or text 250-336-2564 or e-mail roystondentalceramics@shaw.ca.

Dental Laboratory with a Strong Client Base and Vancouver City Centre Location

Vancouver

Evaluation info and asking price will be shared only with serious buyers. The seller’s identity

will be kept confidential until serious prospects are identified. Only inquiries that are clear about purpose, viability, and intentions will receive a response. All inquiries will be treated with absolute confidentiality.

Over 20 years in business with a strong client base in the same area. The average yearly revenue is $600K, and the facility is fully equipped with 1-3 staff members. The owner wants to sell but is willing to do part-time work during the transition. Great opportunities to grow the business, even in this economy, for someone who will market it well. The owner has nurtured these accounts and has excellent communication with the doctors. This is the perfect opportunity to add to your lab or for a dental technician looking for a bright future in this field! For more information, don’t hesitate to get in touch with us at smdental@live.com

Dental Lab for Sale –Established since 2008 Chilliwack

Looking for an excellent investment opportunity in the thriving city of Chilliwack? This well established Dental Lab is family owned and operated; established in 2008, comes equipped with materials, supplies and is turn key! Long term loyal customer base, and proven track record of success, Magnus Dental Lab presents a rare and exciting opportunity for anyone looking to break into the dental lab market. Exponential growth, opportunities in many aspects from marketing to upgrading advanced digital systems! Asking price is $14,900.00. Inquire today for more information.

Serena Laye Personal Real Estate Corporation Mobile: 604-703-5888

serenalaye@hotmail.com

Offered by Pathway Executives Realty Inc./ Serena Laye Real Estate Group

ADVERTISER PRODUCT & SERVICE CENTRE

Dental Technology Today would not be possible without the advertising support of these companies and organizations. Please think of them when you require a product or service. We have tried to make it easier for you to contact these suppliers by including their telephone numbers and websites. You can also go the electronic version at www.adto.ca or www.dtabc.ca and access direct links to any of these companies.