The Dental Technician Magazine June 2019

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THE BIG ONE:

DTS 2019 EVENT ROUND UP

VERIFIABLE ECPD FOR THE WHOLE DENTAL TEAM

SEE PAGES 16-18

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DENTAL NEWS LUKE BARNETT: HONOURED WITH FELLOWSHIP OF THE DLA PAGE 21

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DENTAL TECHNOLOGY HANDPIECE HEAVEN FROM NSK PAGE 9

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BY UR R S A EC UB C O S SE OL MM CR E LE EN IPT PA A D IO G GU IN N E E G 3

INSIGHT WHAT TO DO IF A COMPETITOR COPIES YOUR IDEA

BY MATT EVERATT PAGE 8

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Inside this month

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CONTENTS JUNE 2019

Editor - Larry Browne FBIDST. FDTA, ITI Fellow, LCGI, RDT. E: editor@dentaltechnician.org.uk T: 01372 897461

Welcome

Designer - Sharon (Bazzie) Larder E: inthedoghousedesign@gmail.com

Insight

Advertising Manager - Chris Trowbridge E: sales@dentaltechnician.org.uk T: 07399 403602

Dental Technology

Published by The Dental Technician Limited, PO Box 430, Leatherhead , KT22 2HT. T: 01372 897463

Marketing Simplified by Jan Clarke

No part of this publication may be reproduced in any form without the express permission of the editor or the publisher.

Subscriptions The Dental Technician, Select Publisher Services Ltd, PO Box 6337, Bournemouth BH1 9EH

Extend your subscription by recommending a colleague There is a major change in CPD coming soon. The Dental Technician Magazine is a must read. Tell your colleagues to subscribe and if they do so we will extend your subscription for 3 months.

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What to do if a competitor copies your idea by Matt Everatt The Lindsay Society for the History of Dentistry Welcome to Dental Doris: Left or right brain?

Editorial advisory board K. Young, RDT (Chairman) L. Barnett, RDT P. Broughton, LBIDST, RDT L. Grice-Roberts, MBE V. S. J. Jones, LCGI, LOTA, MIMPT P. Wilks, RDT, LCGI, LBIDST Sally Wood, LBIDST

The Dental Technician Magazine is an independent publication and is not associated with any professional body or commercial establishment other than the publishers. Views expressed in this journal are not necessarily those of the editor, publisher or the editorial advisory board. Unsolicited manuscripts and photographs are welcome, though no liability can be accepted for any loss or damage, howsoever caused.

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Thoughts from the Editor

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Handpiece Heaven from NSK DTX Studio™ design software from Nobel Biocare The Single Anterior By Luke Kahng

Marketing 10

Company News 12

Kemdent/Zirkonzahn/Shofu

Focus 14

Dental Technicians Great Britain and The Dental Technician Magazine

DTS 2019 16-18

DTS 2019 - Event round up

Dental News Janet Clarke conquers the London Marathon Mouth Cancer Foundation - new president Luke Barnetth honoured: Fellowship of the DLA Dr. Cord F. Stähler & Julie Mroziak: Dentsply Sirona Lab Trycare Kerator / Adam Skalski: NEW BADN IT and communications administrator/ Treating protruding anterior teeth to avoid future trauma

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ECPD 26-27

Free Verifiable ECPD & ECPD questions

Classifieds

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THOUGHTS FROM THE EDITOR

WELCOME to your magazine THE BIG ONE

AT NEC BIRMINGHAM l

Well as expected The DTS and BDA Conference meeting was a huge success with lots of visiting Clinicians and Techs on both days. While the afternoon of the second day got a little quiet, probably because of the FA Cup Final, it was never the less, a very well attended and enjoyable show. Indeed I had no time to visit the lecture theatres because I was kept busy on the stand meeting and greeting. It might be a good idea for DTS to organize a giant screen within the hall for those who want to watch the FA Cup, if it should clash again.

As predicted there was a great deal of digital dentistry on display and new innovations, which give a sense that almost anything is possible. I had many conversations about the future developments and almost everyone agreed that the new developments will and is changing restorative dentistry. But the general view was that the skill of the technician, based on good knowledge and experience, was a greater need for the digital future than before. The machines and technology present a method for construction but understanding and refinement remains with technicians who know what they are doing. So by all means get involved with digital processes and learn to understand them but don’t believe for one minute they will replace the experience and ability of the dedicated technician. To conceive and create a tooth that the patients, really thinks, is just like their own, will always need the human artistic factor the machine cannot provide. The machines may well drive the production methods but they cannot replace the individual interpretation of the quality technician.

and more of our “impressions “ are truly advancing with the extra ability to detect caries in teeth. I had a chance to talk with a demonstrator on the ITERO stand, who very kindly showed the process. The scan on screen shows reflected images, which have different variations of colour depth and light and dark. By understanding the image reflected the operator can spot lesions below the surface of the tooth. It is a good deal like an x-ray image but in full colour. With a different light nozzle the scan can be used like an enlarged picture of the living tissues and teeth. All tooth surfaces can be shown and of course they are on screen many times larger than in the mouth so a good deal more detail can be seen. So remember that crown or bridge or inlay you supplied can be looked at on this enlarged picture, so make sure it fits and is the right shape and colour or it will stand out like the proverbial SORE THUMB.

A walk around the clinical areas was interesting because the intra oral scanners, which in the future will provide more

The premade discs of Metals and Ceramics have certainly improved and particularly the Zirconia layered materials, which

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provide the basis for the complete crown.

We are already seeing a big improvement in these monolithic materials, which in truth are no longer monolithic. The layering will however always need an individual interpretation from a technician who understands the patients’ needs. It may need an additional layer added or an enamel change after a cutback, but that interpretation will come from the experienced and knowledgeable technician.

Yes the technology promises to take an accurate shade but in fact the science of colour and colour capture, requires a bit more interpretation than the machine can provide. Learning to work with these innovations and using them to improve your own interpretations will no doubt help provide a more consistent reproduction. Digital devices are tools to be used to aid knowledge they do not replace that knowledge. See Pages 16-18 for my event round up.

Larry Browne, Editor

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VISIT US IN JUNE AT THE DDS & DENTEAM CPD DENTAL CONGRESS 2019 LECTURE TOUR IN THE UK “DIGITAL: IMMEDIATE LOADING IS HERE!” +39 0474 066 662 – CARMEN.AUSSERHOFER@ZIRKONZAHN.COM

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INSIGHT

WHAT TO DO IF A COMPETITOR COPIES YOUR IDEA Matt Everatt explains what to do if you find a competitor is stealing ideas from you or your dental laboratory

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phrase many us have heard in regards to copycats or people stealing ideas was coined by Charles Caleb Colton, in 1820: ‘Imitation is the sincerest of flattery.’ To imitate is to flatter without necessarily being aware one is flattering. As such, that appreciation has to be sincere.

In business it can be frustrating to hear of a competitor taking your ideas, products or services and copying them. It can also be damaging, not only to your turnover if they attract customers, but to your health. You can spend too long focusing on their sneaky copying tactics that you lose focus on your own business. There may even be a temptation to go legal and in some instances that would be the correct thing to do, although I’ve seen companies and individuals fight to protect their intellectual property and almost wind up bankrupting themselves with hefty legal fees.

So, what’s the point of this post? Lots of business owners or individuals will have experienced this before and some will almost certainly do so in the future.

What do you do about a competitor who copies your idea? They may even take some customers. How do you respond?

Imitation is the sincerest of flattery My advice, go with Colton: ‘Imitation is the sincerest of flattery.’ Sure, if you have a true legal issue, such as protecting intellectual property then you may have no option but to go legal. Otherwise my advice is to give yourself a pat on the back and look forward.

If you had a great idea, product or service and someone has copied you, don’t stress about it. You have the head start, you have the competitive advantage.

You’ve already tested the market and you

have customers. The loyal customers will stay with you, keep them loyal by looking after them. Don’t be tempted into price wars with your competitor. Make your offering more attractive by means of better customer service, offer payment terms or loyalty schemes. Always remember, you are ahead of the game, make sure you keep it that way.

If it’s the first time you’ve experienced this in business, sure you will be angry, annoyed, figuring out a plan of attack. Don’t react, emotions will run high, after all someone has taken a piece of you. Ask yourself are you upset because someone has stolen your idea or because they’ve stolen your content?

If content has been copied then it can be proven and may be easier to take action against. If it’s an idea, think of it this way, there aren’t really any new ideas and it’s likely that you copied or borrowed some yourself.

Revenge The best form of revenge maybe speaking out, this is an option, however there are very few situations in which it makes sense to raise a huge professional stink or take legal action about copied work. As I previously mentioned, the legal route can be costly in both time and finances. The best revenge is success in business and a life well lived. You have to remind yourself, if your business, idea or service is successful, you will have competitors and it’s likely that they will copy or borrow some of your ideas. You need to consider your competitors and know them as part of your business strategy. You need to have a plan of action, a way forward if you face this kind of situation. Most importantly, don’t react immediately, take time to think. If you need to respond consider your options, is this a legal matter, or can it be resolved amicably between each party?

Most of all, remember, ‘Imitation is the sincerest of flattery.’ Or in the words of Judy Garland: ‘Always be a first rate version of yourself instead of a second rate version of somebody else.’

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s a dental technologist you tend to spend most of your working day folded over your bench, working with your handpiece, with little concern for how this small piece of equipment can dramatically affect the results you achieve and your personal well-being.

A handpiece is the single most used item in a dental laboratory, but also one of the most overlooked. However, you could dramatically improve your working practices and decrease your level of stress by choosing to use a modern lightweight, ergonomic handpiece that is quiet and vibration-free.

PERFECT PARTNER It is well known that the Japanese are famous for their “micro” technology and delivering high quality technical products for the best possible value. From their manufacturing base in Tokyo, Japan NSK has embodied this national characteristic by becoming the market leader in high-quality laboratory handpieces and air turbines. NSK established their UK headquarters in Stevenage in 2007, providing them with the perfect base to market and service their exceptional range of products to the UK. FEEL THE EXCELLENCE Positioned at the leading edge of innovative dentistry, much of NSK’s focus is on extensive research and development, working closely with dental professionals to understand your needs and requirements. This unrivalled service allows NSK to continuously introduce new and exciting developments and offer excellence and value at every level of their product range.

At the forefront of NSK’s laboratory handpiece selection is the ULTIMATE XL range of brushless micromotors, which offer an unmatched combination of versatility and quality. The ULTIMATE XL range features the latest technology and NSK know-how, guaranteeing functionality and superior performance is maintained at all times.

and the ULTIMATE XL has an ergonomically designed grip and well-balanced, lightweight body offering unmatched comfort and fatiguefree operation.

NSK ULTIMATE XL FEATURES l Ripple-free smooth rotation with 180° vector control system l Powerful and stable torque across the entire speed range l Easy-to-hold handpiece design ensures precision l Lightweight compact body reduces hand fatigue and improves balance l Unique dust-proof mechanism prevents contamination, therefore achieving higher durability l Minimal vibration and noise from hermetically shielded micromotor unit l Approximately 30% increased chuck strength enables you to work on a wider variety of materials The ULTIMATE XL handpiece features NSK's patented built-in dust-proof mechanism preventing the infiltration of debris into the bearings, delivering excellent durability against continuous use for more than 5,000 hours.

The ergonomically designed grip, together with lightweight and ideally balanced body, offers unmatched comfort of use even with elaborate work that takes a longer period of time. Additionally the hermetically closed brushless motor remarkably reduces noise level and vibration, offering a quieter and more comfortable working environment.

The ULTIMATE XL Micromotor control units offer superior functionality and durability, combined with an eco-friendly design to minimise power consumption, and are available in a choice of four styles; bench top, bench top tower, knee control and floor foot control, ensuring the perfect design to suit your individual requirements and available space.

Confidence is an important factor in handpiece choice and with this in mind, NSK have designed the ULTIMATE XL range to deliver an unrivalled combination of ergonomic design and performance. The ULTIMATE XL delivers powerful torque for more demanding laboratory work, and thanks to its brushless design, the motor eliminates the need of carbon brush replacement. NSK’s super precision engineering ensures the bur concentricity tolerance within 0.02 mm or less. Its hermetically sealed enclosure reduces noise level by 20% compared with conventional models

DENTAL TECHNOLOGYY

HANDPIECE HEAVEN FROM NSK NSK ULTIMATE XL MICROMOTOR CONTROL UNIT FEATURES l Eco-friendly design l Easy-to-operate display panel l Digital speed display l Optimal control by microprocessor l Auto speed function l Audible function check l Maintenance mode setting l Error code display function NSK Air Turbines – The perfect partner for all ceramic restorations The NSK Presto Aqua II LUX with LED light and water spray is ideal for working with the latest CADCAM and all-ceramic materials.

This highly accurate air turbine requires no lubrication, effectively avoiding contamination of ceramic materials and promoting a clean working environment.

Featuring a lightweight handpiece with an ergonomically designed grip, the Presto Aqua II LUX assures users a comfortable and easy operation when performing delicate technical procedures. In addition, the use of the TA50 air turbine adapter allows the technician to quickly switch the power source between the air turbine handpiece and micromotor, offering complete flexibility across different platforms.

NSK PRESTO AQUA LL LUX FEATURES l 320,000 min-1 l Water coolant spray l Requires no lubrication l Swivel twist-free handpiece l Low noise and vibration l Unique dust-proof mechanism l NSK LED that is equivalent to daylight MAKING THE RIGHT CHOICE By using NSK micromotors, handpieces and turbines, dental technologies benefit from exceptionally quiet, smooth running equipment, delivered at unbeatable value for money. This, combined with NSK’s profuse choice of handpieces and equipment, coupled with their ability to meet and exceed the technological demands of modern dentistry, assures they can deliver everything you’d expect, and more. You can be confident you’re making the right choice with NSK! For more information on any of the products featured call NSK on 0800 634 1909 Web: www.nsk-uk.com

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MARKETING SIMPLIFIED JAN CLARKE BDS FDSRCPS MARKETING

l Jan qualified as a dentist in 1988 and worked in the hospital service and then general practice. She was a practice owner for 17 years and worked as an Advisor with Denplan. Jan now works helping dental businesses with their marketing and business strategy and heads up the Social Media Academy at Rose & Co.

Web: www.roseand.co Email: jan@roseand.co Facebook: Jan ClarkeTaplin Twitter: @JanetLClarke Instagram: janlclarkeacademy LinkedIn: Jan Clarke BDS FDSRCPS

BUILDING A FOLLOWING ON SOCIAL MEDIA

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ast time I talked about getting started in social media, today we’ll explore how to build a following and start to see social media working for your business.

SETTING UP YOUR CHANNELS Firstly I’ll mention the social media channels to use. There are very many but I still think Facebook and Instagram are the place for most businesses to start. Facebook is still the largest social media channel and still has the biggest growth. Instagram is owned by Facebook and so these channels can be linked quite easily, when you’re starting out this can help with your posting and planning.

APPEARANCES MATTER Yes, how your social media accounts look matter, take time to get this right before shouting about your brand. You will need to set up your profile images and header images.

If you have a logo or strong corporate image then use these and incorporate into your designs. I’m fortunate to have a team of graphic designers to work with who use all sorts of design software but I am not a designer so need something a little simpler to use, I recommend canva. Canva is an app that can help guide you to design all types of work, I like it because you can make up the exact template for Facebook headers, Instagram profiles and so on. It’s easy to use and can produce quality images, visit www. canva.com to get started.

UNDERSTAND YOUR CHANNEL Take time to navigate through your page and particularly the settings, setting up your page roles for instance if you would like other people to be able to post too.

I mentioned last time about profanity filters and it is worth taking the time to set these up and understand how they work. Managing your page reputation is an important part of managing social media and if someone does post a rude comment it can take time to notice unless you are constantly connected.

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It is also the time to set up your messaging preferences, ensuring it is as easy as possible for people to connect with you. If you are unsure how to navigate through these channels there is lots of help available by clicking the help icons within each channel.

For more help then consider a short course like Udemy that you can complete online or there are others providing courses like myself.

people. Try and be as personal as you feel comfortable with, for instance, introduce team members and let your followers find out more about them. Celebrate birthdays when they come, presents or cards that are sent as thank yous. Anyone about to run a marathon then celebrate that too. This shows your human side and allows others to connect with you and builds trust.

READY TO GO… Once everything is set up you are ready to go.

I find a good start is to have a note book/diary to note your posts and plan which days you are going to post. I like to post daily or at least 3-5 times a week, others will tell you only to post when you have something to say. I think, especially in the early days you need to find something to say!

2. Also start to post about your services, treatments that you have been involved with perhaps as case studies. Be careful not just to post “we can do this crown or that crown” but to showcase your work by showing how you have helped solve problems. Problem solving stories will interest and engage and be remembered.

Plan your posts, thinking about the type of message you want to send out to the world.

You want to connect with your reader, not “sell” to them. Ideally we all want to create that “viral” post that will catapult you into social media stardom and it may be that you have a skill for this, so always be on the look out for opportunities!

The reality for most of us is that we provide interesting, readable content that engages our ideal client in such a way that they then become a customer of ours.

AND WE’RE OFF! TYPES OF POSTS. Your first post, you will probably overthink it and be quite nervous to post, who will see it, will anyone like it? That is all normal, the important element is to actually post and start getting your message out there. There are a few types of post that will be safe to start with and I would advise a combination of posts like these to really start to make your page engaging, colourful and varied.

1. Posts about your business, team and the general day to day goings on. These types of posts will always give you the best engagement because people love to find out about other

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3. Share relevant posts from trustworthy pages such as ADI or some dental practice sites that you work with. There is an etiquette with sharing, generally if a business has a Facebook page or Instgram page they are more than happy for you to share their content but you musn’t take credit for it, so always acknowledge where it came from. Hopefully these businesses will reciprocate and share your posts too, this is a great way to increase your reach and hence audience.

I would spend the first few weeks getting to grips with posting and looking at varying your posts in these ways, once you feel comfortable you can then start to be a little more adventurous. Perhaps post some videos, or even a Facebook live.

By learning more about social media and posting regularly you will find your business’s voice and identity, even learn to produce that essential viral post that will catapult you to dental stardom! All the best!

As ever I am here to help with any of these issues so do email or connect online with me, I look forward to meeting some of you in cyberspace!

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COMPANY NEWS

THE DENTAL TECHNICIAN MARKETPLACE KEMDENT:THE UNIVERSAL CLEANER THAT IS DESIGNED FOR THE DENTAL TECHNICIAN w Kemdent’s Spring offer will save you time and money, buy 1 x 5L PumiceSafe Universal Cleaner and receive 1 x 500ml PumiceSafe 500ml free. Offer Price: £25.25 PumiceSafe Universal Cleaner is a multi purpose, alcohol free, ready to use solution that neutralises unpleasant smells from your Pumice tray.

Designed with the technician in mind, PumiceSafe is Aldehyde and Phenol free, kind to your skin and has a fresh mint fragrance. It can be used in the pumice tray to produce a micro-organism free slurry, it can also be used

ZIRKONZAHN: DIGITAL IMMEDIATE LOADING IS HERE! w Free conference in Milton Keynes, Winchester and Bristol from June 17-19. We all have to admit it: for high-quality, modern dental restorations, digital has become the norm.

Protocols and workflows have evolved, hinged on new technologies that consider full digital patient analysis and predictability as core concepts. The fast advancements in the digital sector impose changes also within dental practices and laboratories.

Zirkonzahn (South Tyrol, Italy), manufacturer and innovation driver for the dental sector, will come to Milton Keynes, Winchester and Bristol from June 17th to June

as a bench surface cleaner plus it is ideal for pre-soaking lathe brushes to reduce the risk of burning acrylic dentures during polishing.

Alcohol free with a glycerine and emollient content it will not irritate a technicians hands.

PumiceSafe Universal Cleaner will save you time plus keep your laboratory clean and fresh with minimal effort.

Call Jodie at Kemdent on 01793 770256 to get this great offer or visit www.kemdent.co.uk to see what other fantastic offers are available.

Right from the implant planning, the digital workflow based on the 3D scan of the patient allows for predictable, safe and 100% individual restorations.

19th 2019 with a lecture tour for dentists and dental technicians. The lectures aim to help participants evaluate the digital approach to everyday work by exploring the benefits of a flawless digital workflow with practical insights.

The lectures, held by DT Sean Wilkinson, CAD/CAM expert, worldwide instructor at

Zirkonzahn and officially registered ITI-lecturer, will cover the most emerging topics in dentistry, such as the advantages of incorporating the digital patient analysis, the digital axiograph and 3D facial scans as diagnostic tools for obtaining more accurate results for the final solution. A comparison between modern immediate loading protocols and conventional implant placement techniques will also be provided.

Step into digital dentistry with Zirkonzahn, we know the way!

Participation is free, but registration is obligatory. Enrol now, places are limited!

For more information and registration: carmen.ausserhofer@zirkonzahn.com Tel: +39 0474 066 662 or visit www.zirkonzahn.com

THE IDEAL CAMERA FOR THE ENTIRE SPECTRUM OF DIGITAL DENTAL PHOTOGRAPHY: EYESPECIAL C-III BY SHOFU w SHOFU’s new EyeSpecial C-III is very pleasant to use in daily practice, thanks to its easy handling and excellent image quality. And it can be used for lots of purposes, e.g. taking mockup images of planned anterior restorations, which patients can take home on USB sticks right away; after all, an-ticipation is the greatest pleasure. By visualising the functional and aesthetic quality of a planned treatment result in the decision phase, the EyeSpecial C-III can greatly enhance dentist-patient communication.

The EyeSpecial C-III creates excellent highresolution images for all indications and applications of dental photography. This compact camera for onehanded use with intuitive LCD touchscreen con-

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trol features a 12-megapixel CMOS sensor for fast imaging at high frame rates, outperforming even its predecessor, the EyeSpecial C-II. SHOFU’s next-generation camera, which weighs only 590 grams and can be easily disinfected with wipes, sets new standards for photography in dental practices by combining exceptional user-friendliness with outstanding versatility.

Delegating routine photography to dental assistants? No problem. Eight shooting modes with preset parameters for exposure time, aperture and flash allow users to easily take the desired image. In-traoperatively documenting treatment steps as an image sequence: That is exactly what the “Sur-gery” mode is designed for. Taking perfect pictures of distal tooth aspects: With the integrated mir-ror, the “Mirror” mode correctly photographs distal

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areas and automatically reverses the image taken. Further improving the reliability of shade communication with the dental laboratory: “Isolate Shade” combines a true-colour image with a copy displaying soft tissues in grey. In addition, “Low Glare” makes incisal transparencies of reference teeth much easier to read for technicians. And the EyeSpecial C-III features even more special modes for intra- and extraoral images.

Besides, the shooting modes may be modified by additional, easy-to-configure settings to meet indi-vidual preferences. This smart concept, into which even radiographs can be integrated, helps to make day-to-day data exchange with the lab clear and easy.

For further information please contact Shofu UK on 01732 783580 or sales@ shofu.co.uk or visit www.shofu.co.uk

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DENTAL NEWS THE BDIA MEETING HELD AT EXCEL CONFERENCE CENTER IN LONDON PAGE 19

INSIGHT DENTAL TECHNICIANS DANGEROUS ROLE IN WW2 PART SIX BY TONY LANDON PAGE 26 - 27

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THE DENTAL TECHNICIAN MAGAZINE The Dental Technician sets out to be the cornerstone of news, comment and educational content for dental technology today. We are gradually growing our spread of interesting articles from some of the best technicians and teachers in Britain and Ireland.

Digital subscriptions are available across all devices and include the latest issue and all regular issues released during your subscription. Your chosen terms will automatically renew unless auto-renew is cancelled in your subscription area 24 hours before the end of the current subscription. www.dentaltechnician.org.uk

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FOCUS

DENTAL

TECHNICIANS GREAT BRITAIN AND THE DENTAL TECHNICIAN MAGAZINE

These are your pages for comment, questions, case pictures, and anything you want to share with your fellow technicians

DTGB FACEBOOK GROUP GOING STRONG A very busy month for all involved with l the DTGB Facebook Group, so forgive the extent of the contributions for this month.

However the volume of content is no reflection on the challenging and interesting questions posed by those who have chosen to write-in.

Everyday questions which are changed with the digital input. The important thing to realize is we are now required, by law, to be registered and to supply proof, a statement of manufacture with all medical and dental

devices made for a patient. A process worker is not qualified to sign off a dental device as they are considered unqualified unless supervised by a registrant. This applies to all non-registered labour, who may be making devices, such as bleaching trays etc. Dentists, Nurses, and any other, unqualified and employed individuals, working under the supervision of a recognized and registered professional.

Paul Gerrard’s interesting question, which some comment would be welcome on, may indicate how much you know and how much you understand. Knowing how to do is not the same as doing. The registered manufacturer is

SOME RECENT POSTS

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registered with the MHRA, (at least they should be), on the grounds they have completed the recognized training course and show proof that they have done so. The Legislation is all about protecting the patient by ensuring that only trained and qualified people are engaged in the manufacture of their custom made dental device. I do think this is a great idea, which all technicians and others working in dental technology in particular, and dentistry, in general can be a part of.

Keep up the interest and the good work.

DENTAL TECHNOLOGYY

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The software is easy to use and guides you through each step of the design process, ensuring professionals of all experience levels can make high-quality restorations.

Furthermore, as the CAD/CAM are so powerful, they can help to simplify even the most complex cases. Find out more today.

For more information, contact Nobel Biocare on 0208 756 3300, or visit www.nobelbiocare.com

TRICODENT The new range of equipment from Ugin Dentaire

A great range of high quality laboratory equipment to suit every budget

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DTS 2019

DTS 2019

DEDICATED TO THE LAB COMMUNITY

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or all members of the dental lab community, the Dental Technology Showcase (DTS) 2019 proved a highly valuable event once again.

Delegates had access to hours of enhanced CPD, globally-renowned speakers, a vast array of relevant topics and the latest innovations in the UK from the trade floor.

In addition, the event was the perfect platform for networking with like-minded professionals.

I thought you might like to see what the above, is talking about. If you were not lucky enough to get along to the NEC for the DTS and BDA Conference perhaps the following will give you some taste of what was on show.

From our stand at A10 near the front of the Hall it was easy and convenient to check out the aisles. The exhibition was reminiscent of the original BDTA shows when they began to allow technician appealing stands and

“

companies to attend. This was a mixture of the clinical and technical with a great deal of emphasis on both sides towards Digital.

There was a continual flow of lectures in the open form lecture theatres, with technician and clinical speakers throughout. Some of you will no doubt recognize yourselves or colleagues in the shots. I saw Ashley Byrne,

deep in conversation and Steve Booth from Straumann who was looking very pleased with life. Interesting companies like WHW who do seem to be growing with particular emphasis on their digital offerings. Their 3D Printer got great attention, as did their furnaces and other digital offerings.

Particularly eye catching was the Zirkonzahn stand with their very high quality digital outcomes. The always popular demonstrations were all around with well-known names and faces involved. On the John Winter stand Magnus Underhay spent many hours demonstrating his expertise with Shofu Porcelains and their shade light. While wife Julie continued her enthusiastic support of all her favourite products.

Wandering around you meet with old friends and familiar faces, exchange views on dentistry and of course the state of the nation.

What Government?

�

Lots of interesting lectures and speakers and a great display of innovative technology.

Lean Rose, Dental Technician

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“

�

Very well put together with subjects that cover a variety of topics.

Kelsey, Orthodontic Dental Technician

DTS 2019

I caught up with a company I used to own DHB (Dental Health Boutique) and was happy to greet some familiar faces still working there.

talking with an old friend Derren Nieve who was there with his Valplast toughened acrylic which always attracts attention from the visiting Techs.

Blueprint Dental with its expanding interest in Digital techniques and processes were kept busy. Alan Wright was his usual jolly self alongside Sharaz Mir with plenty of people circulating the stand. I caught him on stand

Wherever you went there was a familiar company now looking very digital. I wandered down into the Clinical areas and was equally impressed with the advancement of the techniques and materials now available.

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ITERO with there up to date scanner and now working with Align technologies had a really eye catching stand. I stopped to look at the Scanner. While not unique I was shown how you can detect caries just using the scanner The picture is of course a great deal bigger than the mouth and on the screen the areas of grey and black will often indicate space below the enamel. p18 Possibly Caries!

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DTS 2019 Schottlander were there with a great deal of time to talk with and help those interested in their large range of prosthetic aids and of course their well appreciated selection of teeth.

Quite a few familiar faces and a lot of people looking for answers as well as being ready to offer solutions. Some good, some need further research!

There was a lot to see and of course touch and sniff around. There was quite a large number of new and expensive things to handle, and try to understand. Inevitably a great deal of chat.

While meeting abroad are of great interest, in the UK you can roll back a bit of your personal history every time you attend these meetings. Share a drink with friends and comment on this and that in familiar company and surroundings.

I am looking forward to the next time and do hope those of you who missed out will turn up, if just for a chat. There is always something new and interesting which you can see here and now instead of waiting for the Rep to turn up and mention it.

SEE YOU NEXT TIME!!!

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DENTAL NEWS

JANET CLARKE, OUR MARKETING GURU CONQUERS THE LONDON MARATHON WITH FRIENDS

A

s some of you will know I entered the Virgin London Marathon this year, raising funds for MSUK, a charity that has helped me enormously. When I was diagnosed with MS in 2018 after two years of tests and uncertainty, MS-UK were there to help when I hit a low and wasn’t coping quite as well as I’d hoped.

It had become evident I would have to give up clinical dentistry but I had underestimated how I would need some time to adjust and come to terms with the change in my life.

MS-UK helped me through their, Councelling programme and helped me connect with other people in the same situation. People who were affected but didn’t seem outwardly disabled and affected by MS to others.

I started running in 2017 after I turned 50 so when I was diagnosed with MS I just had to keep running as I didn’t know how long I would be able to continue. Anyway, fast forward to January 2019 and two half marathons later, MSUK offered me a charity place for the London Marathon. I was so excited and knew that I just had to face this challenge.

I started training in January all through the winter months, which in Scotland can mean anything! Every Saturday I would wake at 6am for my porridge before meeting my running buddies at 8am for our weekly long runs that increased each week until we had come to 20 miles. I also ran another couple of times a week, did strength training and yoga, all the while trying to manage my MS symptoms.

The plan for London was to start and finish, other than that I had no concerns about times although knew I should be around five hours.

I arrived in Greenwich Park for the start on the day, I had two photo meets, one with my fellow MS-UK runners and one with my club

Jan and fellow members of the MS Team ready for the off!!

I know its Buckingham Palace, not far to go!! Jan, finished and tired but triumphant. Well Done!

runners from home and then we were off. It was a fabulous day, everything came together, the training, the correct fueling and it wasn’t too warm. London was fabulous, the support, the organisation, it was a memory I will cherish forever.

In the end I raised almost £4000 for MSUK and as a team we raised £220,000, which is a quarter of this charity’s fundraising for the year. This allows the charity to offer essential support to people living with MS and to help them remain independent.

The marathon gave me so much more than I anticipated. It gave me a focus that I had needed and I raised a load of money to help.

Thanks to those of you that supported me and if you would still like to donate my page is available at https://www.justgiving.com/ fundraising/jan-clarketaplin Best wishes, Jan

YES!! YOU CAN STILL CONTRIBUTE. SEE ABOVE! www.dentaltechnician.org.uk

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DENTAL NEWS

MOUTH CANCER FOUNDATION

ANNOUNCES NEW PRESIDENT, 3 YEAR CHARITY PLAN AND #MC7 SOCIAL MEDIA CAMPAIGN TO SAVE LIVES

T

he British Dental Conference and Dentistry Show at the NEC in Birmingham has just finished and we were pleased to be there to inform dentistry of the changes being brought about to improve the effectiveness of Mouth Cancer Foundation!

We were delighted to be exhibiting on stand N82, where we revealed important changes at the charity at our press conference, 1600 to 1700 on Friday 18th May and demonstrated the charity’s latest life saving social media initiative, #MC7 as well as signing up participants for the Mouth Cancer 10KM Awareness Walk www.mouthcancerwalk.org So what exactly is #MC7? Well it is the charity’s latest social media initiative to educate and encourage the general public to sit up and take note that they should be checking themselves for mouth cancer at least once a month. MC stands for Mouth Cancer and the 7 is the 7 areas of the mouth that everyone should be checking - Face, Neck, Lips, Gums, Cheeks, Tongue and Mouth.

Remember these as they will be important for the social media #MC7 challenge at the Dentistry Show.

At each step inspecting and feeling for any lumps, red or white patches, changes in colour or texture, lingering ulcers or anything unusual. For the full check visit https://www.mouthcancerfoundation.org/ get-info/bite-back-mouth-cancer The charity’s other future exciting plans will be announced at the Dentistry Show.

For general press enquiries, please contact: Elizabeth Ayto Laverack Email: info@mouthcancerfoundation.org Tel: 020 8940 5680 Mouth Cancer Foundation www.mouthcancerfoundation.org The Mouth Cancer Foundation is a registered charity no. 1109298.

The Mouth Cancer Foundation is a charity solely dedicated to supporting people affected

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by head and neck cancer. Support can play a pivotal role in meeting the psychosocial needs of patients. The Mouth Cancer Foundation’s online and telephone support service has given head and neck cancer patients and families the opportunity to articulate the consequences of their cancer journey and communicate their shared experiences. It is vital that the charity continues to provide free accessible information resources and ensure Mouth Cancer Foundation support is provided to those that need them.

ABOUT MOUTH CANCER Cancers can occur in any part of the mouth, tongue, lips, and adjacent areas like the throat, salivary glands, pharynx, larynx, sinus, and other sites in the head and neck area.

• Mouth Cancer is on the increase.

• Over 8300 new cases of mouth cancer in the UK each year.

• 2722 lives are lost each year.

tobacco and alcohol as the main risk factor within the next decade. It is already accounting for many new cases in women and the young who traditionally were unlikely to get the disease.

• Exposure to the sun is a cause of skin cancer which can affect the lips and face.

• Age is another factor, with people over the age of 40 more likely to be diagnosed, though more young people are now being affected than previously.

Oral cancers are often painless so in addition it is important to be aware of the general signs and symptoms of mouth cancer which include: • An ulcer or white or red patch anywhere in the mouth that does not heal within 3 weeks.

• A lump or swelling anywhere in the mouth, jaw or neck that persists for more than 3 weeks.

• Worldwide the disease affects 650 000 per year.

• A difficulty in swallowing, chewing or moving the jaw or tongue.

• Mouth cancer is twice as common in men than in women.

• A numbness of the tongue or other area of the mouth.

• 78% cases occur in the over 55 age group.

• A feeling that something is caught in the throat.

• Detected early there is an excellent chance of complete cure.

RISK FACTORS • Tobacco use is considered the main cause of mouth cancer.

• Drinking alcohol regularly, especially spirits, increases the risk four-fold.

• Drinkers and smokers are 30 times more likely to develop mouth cancer.

• Poor diet and social deprivation is linked to a third of all cancer cases.

• The Human Papilloma Virus (HPV), transmitted through oral sex, could overtake

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• A chronic sore throat or hoarseness that persists more than 6 weeks.

• An unexplained loosening of teeth with no dental cause.

More information about Mouth Cancer is available at the Mouth Cancer Foundation website www.mouthcancerfoundation.org or by emailing info@mouthcancerfoundation.org Contact: Elizabeth Ayto Laverack Email: info@mouthcancerfoundation.org Head office: 0208 940 5680 Helpline: 01924 950 950 Mobile: 07967 726806 Address: Larchfield loft, 2 Larchfield close, Weybridge, Surrey KT13 9DD

HE RECEIVES FELLOWSHIP OF THE DLA l Leading dental technician Luke Barnett was awarded Fellowship of the DLA on behalf of the DLA Executive Board. He received his award from Steve Campbell, DLA President during the recent British Dental Conference and DTS/Dentistry Show.

special interest in dental ceramics, setting up his own business in 1985. Luke and his team have established themselves as one of the UK’s most influential ceramic specialists working from his award winning, state-of-the-art facility in Watford, Herts.

The DLA commented: "Luke has been an outstanding contributor to the dental technology profession, working tirelessly to promote British dental technology, pushing for greater integration of dental technicians into the dental team, and continuously promoting high professional standards to his peers.

Luke is on the editorial board of many top titles and is also a member of the British Academy of Cosmetic Dentistry (BACD).

He was the first technician to achieve the levels of excellence required to obtain BACD Accreditation and sits on the accreditation board of examiners. He is also a member of the American Academy of Cosmetic Dentistry.

Steve Campbell President of DLA (left), presents Luke Barnett with his fellowship award

“Luke has worked on many educational initiatives and has been a keen supporter of DLA projects, often working behind the scenes to help us achieve our goals.

Congratulations to Luke on receiving this prestigious title!”

my team, without whom I could not do the work I love. We only want to do the best work we possibly can – to be recognised by our peers is really humbling.”

I would like to add my congratulations to Luke for his well earned, award. He has spent many years working to raise standards by his own example and has passed this sense of aiming as high as possible to those around him.

Luke added: “I am so happy to receive this award. I am accepting this reward on behalf of

Luke Barnett started his career in technical dentistry in 1976 and after qualifying took a

Very Best Congratulations, Larry Browne. Editor

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DENTAL NEWS

LUKE BARNETT HONOURED:

DENTAL TECHNOLOGYY

THE SINGLE ANTERIOR

BY LUKE KAHNG

THE SINGLE ANTERIOR CAN BE THE MOST DIFFICULT TOOTH RECREATE IN COSMETIC DENTISTRY. THE DENTAL TECHNICIAN CHALLENGES INCLUDE SHADE MAPPING, THE SELECTION OF MATERIAL FOR THE UNDERSTRUCTURE, LONGEVITY AND, OF COURSE, DON’T FORGET FUNCTION.

CASE STUDY The patient came in with an existing crown on tooth 8 and did not like the esthetics. The crown was removed and a post and core was completed.

Impressions were taken and the tooth was provisionalized.

The dentist and the dental technician did the shade mapping. A full-color mapping of all the colors in the patient’s tooth was completed.

The patient was looking to match perfectly tooth 9. The patient was told the choices and procedures available and an allceramic restoration was chosen to give him the higher esthetics he sought. One of the issues was that the understructure would need to block the gold core from shining through.

The understructure material should be opaque to mask the underlying dark color. However, an advanced porcelain technician can still mask the underlying dark tooth color by utilizing porcelains with detailed color-masking techniques. It is vital to avoid excessive opacity, which is common in porcelainto-metal restorations and often results in lifeless-looking restorations. On the other hand, if you have too much translucency, the restoration looks too gray and dark. You may see this on some of the allceramic restorations that are less than 1mm in thickness.

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M

etal-free restorations are not going to entirely replace porcelain fusedto-metal, but it is an alternative for more natural-looking restorations.

It is a dental technician’s responsibility to be educated about the latest materials, techniques and proper function of occlusion and muscle position for esthetics, longevity and comfort.

The dental technician needs to look at how long a material has been on the market and should review studies that have been completed about the material.

With a wide range of all ceramics to choose from, it is difficult to keep up with all of the new or improved products. With the changes happening so quickly, it can be confusing.

Some of the choices of materials or understructures are as follows: l Procera, Lava, Cercon, Everest, In-Ceram, etc., are some of the systems using a zirconia understructure. Zirconia, as a whole, is very low in translucency and high inopacity.

Procera, InCeram, etc., are have an alumina understructure. These are low in translucency and have moderate opacity.

l

Pressed: Leucite-reinforced or Lithium Disilicate and Apatite Glass ceramics, such as Empress, OPC, Authentic, GC Initial, are higher in translucency and can be low or high in opacity,depending on the pellet.

l

Each company will tell you about their system and how it’s better or has more advantages than another. But there is more to consider than just that.You need to know that the company you choose will be there to support you. Many systems are quite expensive and you need to have quite a clientele to justify the costs.However, if you don’t have the capital, but you have the need, there are options. Instead of purchasing a system, you can outsource your frameworks until you have the market to justify the purchase. Then once your market share is stable, you can invest in

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a complete system.Be sure the company you buy from has a program in place to help you develop and implement a successful marketing strategy for your end product.

Today it is easy to get an understructure fabricated from an outsource provider. The dental technician sends the completed model to a dental laboratory with the desired system. The lab will fabricate the framework and deliver it back to the dental technician. Porcelain will then need to be applied to complete the case. The porcelain work is constructed on the framework and how the restoration’s esthetics turn out depends on the individual ceramist’s skills. This enables small laboratories to offer different systems without a large financial investment.

The layering porcelain the dental technician applies to the understructure is very important. We are using GC Initial porcelain. The GC Initial line has five different porcelain powder systems and pressed ceramic ingots. The five ceramic systems are uniquely formulated for a specificsubstructure,e.g.zirconia,alumina, titanium,castalloysandpressedallceramic.

Initial MC is for porcelain-to-metal restorations and for veneers. Initial LF is the lower firing temperature porcelain, used for porcelain-to-metal restorations, layering on top of a pressed framework fabricated with

DENTAL TECHNOLOGYY

the GC Initial PC ingots, and also for porcelain veneers. The other three powders are GC Initial ZR for zirconium restorations, GCInitialAL for alumina restorations and GC Initial Ti for porcelain-to-titanium restorations.

The GC Initial system has the same color tabs for all the different GC Initial systems.

This helps when the case has different types of understructures because the technician has the same color guides. Unfortunately, shade guides are not representative of the value of real teeth, which is why relying on shade tab assessment alone can be problematic. You will need special shade tabs for the opalescence, fluorescence and translucency of natural teeth. The porcelain system has its own effect powders and color-matching tabs.

To give maximum esthetics, the material choice was GC Initial Pressed Ceramics with layering porcelain. We decided on the GC Initial PC (pressed ceramics) because it gives us a wide variety of pellet colors. They have 16 Dentin shades, four bleached shades (AO, AOO, BO, BOO with 75 percent opacity), three veneer shades, four occlusal enamel light, four occlusal enamel milky, four translucent and five opaque ingots. The opaque ingots are valuable when dealing with discolored preparations because the opacity is at 85 percent. The colors are light yellow, pale yellow, red yellow, olive and white.

When using pressed ceramics we can often get too much translucency, so more choices are valuable. The opacity level of the Initial PC ingots ranges from 30 percent to 85 percent.

Following dental laboratory procedures, the central was waxed to full contour and cut back for the layering porcelain. The wax-up was sprued, invested and prepared for pressing.

Ingot selection is very important. As with all the ingot manufacturers, a wide variety of colors are available.

After pressing, it is important that you do not overheat the pressing when cutting off the sprues or modifying the framework. When the cut-back framework is ready for porcelain application, check your thickness and room for layering. Look at the framework’s shade and if needed, you can modify with internal stains.

GC Initial has INvivo, INsitu and INover stains, so you can apply stains on the pressed ceramic material and use internally or externally on your porcelain build-up. The coping should then be checked to ensure there is adequate room for ceramic layering.

The first layer of porcelain was the Inside (IN) powders using shade IN 44 (Sand). GC Initial IN is a specially developed, highly fluorescent primary dentine that gives the color depth.

Dentin porcelain was applied, and shade Dentine A1 was laid over the gingival third and middle third and Dentine B1 over the middle third and incisal third to give the crown optimal chroma (saturation or strength of the hue). The color is produced

TOP TO BOTTOM ROWS (LEFT TO RIGHT): Fig 1. Preparation on tooth 8, gold post must be noted as stump shade Fig 2. Temporary on tooth 8 Fig 3. Custom shade mapping using shade tabs from the GC Initial porcelain system, Fig 3. Custom shade mapping using shade tabs from the GC Initial porcelain system Fig 4. Shade mapping completed by technician Fig 5. Porcelain teeth samples showing the morphology made by author Fig 6. Teeth samples made by author Fig 7. Under UV light Fig. 8. Testing samples made by author: from opaque to enamel Fig. 9. Under UV light Fig. 10. Internal stain applied on GC Initial Pressed Ceramic to modify the base shade Fig 11. Cervical Translucent applied at gingival third and middle third, and then prepared for the addition of a grey band Fig. 12. Enamel Intensive applied to the Incisal third, TM05-TM04 (1:1) is applied to the middle third to give gray band affect; enamel powders were also applied.

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p24

DENTAL TECHNOLOGYY

by reflection from the dentine. We cut back the dentin porcelain to give room for the mamelon effect we desired. The enamel intensive (EI 13 red), Cervical Translucent (CT24 yellow), and a 1:1 mixture of Translucent Modifier (TM05 grey+ TM 04 yellow) porcelain powders were applied for effects. Enamel Effect powders were used at the incisal area and helped give the natural appearance that you don’t always find with just one enamel shade.

A thin layer of Clear Fluorescence (CLF) powder was applied. The CLF was used as a thin layer between the dentin layer and enamels on top of it. This was the so-called “sclerose dentin” and brought true-to-nature depth into the tooth color. Translucents were applied over the CLF. They are available in Translucent Neutral (TN) and Translucent Opal (TO).

On the lingual of the crown, we applied the Inside Dentin (IN 47 Sienna), Enamel incisal and Occlusal build-up. The crown was taken off the model and the contacts were added.

The crowns were then ready to bake. After firing, any adjustment necessary to complete the restoration can be made on the solid cast.

Surface texture can affect brightness, color saturation, luster and more. A natural tooth in its unworn state does not present an absolutely smooth surface. In general, it may be seen as a gentle, undulating surface traversed horizontally with very fine grooves.

Matching the surface texture is as important as matching the shade. If light should reflect off a restoration in a different way from the neighboring teeth, even if the shade is perfect, it will give the effect of being an artificial restoration.

An anterior tooth is more obvious when looking at the tooth’s surface texture. Since the texture is more evident, it will appear heavier and will immediately be visible. The horizontal parallel ridges or growth lines, and the small vertical ridges that run parallel to the marginal ridges, help blend the restoration into the oral environment. If you want an esthetic restoration, surface texture is crucial.

TOP TO BOTTOM ROWS (LEFT TO RIGHT): Fig. 13. An endo tool is used where white stain will be applied Fig. 14. The crown is covered with Translucent Neutral Fig. 15. Sample shade test made to check furnace temperature and porcelain colors at different thicknesses Fig. 16. After 1st bake, check the interproximals and texture showing correct firing temperature Fig. 17. Locating concave and convex areas with a pencil Fig. 18. Adjust the mesial marginal ridge and the mesial proximal transitional surface Fig. 19. Create horizontal line Fig. 20. Checking the texture by marking with articulation paper Fig. 21. Create vertical line angle with diamond Fig. 22. Define texture with sandpaper Fig. 23. The crown is naturally glazed and mechanically polished. Photo angle shows texture on gingival third Fig. 24. Checking the surface texture, the photo angle shows texture on incisal third. LEFT: Fig. 25. Incisal view showing the mesial and distal marginal ridges is related to the incisal ridge and form part of the incisal line angle.

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ABOUT FIG. 26. Completed GC Initial Press Ceramic restoration

REFERENCES 1. Kois Jr., “New Paradigms for Anterior Tooth Preparation, Rationale and Technique.” Oral Health 1998, 88:19-30 2. Magne, P., Belser, V. “Boned Porcelain Restorations.”

Chicago Quintessence. 2002, 82-83.

3. Shigeo Kataoka. Nature’s Morphology. Chapter 4-5.

4. Spear, F.M. “Maintenance of the Interdental Papilla Following Anterior Tooth Removal.” Pract Periodontics Aesthet Dent. 1999; 11:21-28.

5. Sorensen, J.A., Torres, T.J. Improved Color Matching of Metal Ceramic Restorations, Part 2 6. Sulikowski, Alan V., Yoshida, Aki, “Surface Texture: A Systematic Approach for Accurate and Effective Communication.” QDT 2003. 26:10-19.

7. Fundamentals of Color. Chapter 3, p. 52-68.

8. Nobel Esthetics Quick Guide. Professional Build-Up Illustration. 2004.

FIG. 27. Before: view of temporary on tooth 8

FIG. 28. Final restoration: GC Initial Pressed Ceramics tooth 8 FIG 29. Final outcome: The natural smile shows how the incisal edges of maxillary incisors follow the curvature of lower lip

LUKE KAHNG l Luke S. Kahng, CDT, is the founder and owner of Capital Dental Technology Laboratory, Inc. of Naperville, Illinois. His laboratory specializes in fixed restorations. Its division, LSK 121, provides highly personalized custom cosmetic work.

DENTAL TECHNOLOGYY

We may not think of using a pressed-ceramic restoration out of fear that the substructure would not keep the gold core from shining through. Today, with the different opacity of ingots and the improved layering porcelain, this is not always true.

Kahng developed the LSK 121 Treatment Plan that incorporates a wax-up technique that focuses upon a biomechanical design of occlusal surfaces for reconstructive and esthetic dentistry. He has also developed a series of shade conversion table for porcelain.

Kahng clinics for GC America, Bisco, Captek and others.

He is a frequent lecturer and program facilitator, and has been extensively published in clinical and technical journals.

He is a master ceramist who has trained extensively with Russell DeVreugd, CDT, Dr. Frank Spear and Dr. Peter Dawson.

He is currently a member of American Academy of Cosmetic Dentistry. Case courtesy of Nicholas Svarnias, DDS. CONTACT: Luke S. Kahng, CDT Tel: (630) 355-6221 Email: luke@lsk121.com

INSIGHT

THE LINDSAY SOCIETY FOR THE HISTORY OF DENTISTRY lFounded in 1962 in memory of Lilian Lindsay (1871-1960) who was the first qualified woman dentist and the first woman President of the BDA. Perhaps you have not heard of it but during my wander around the DTS last week I came across the BDA museum of Dentistry and was introduced to the Hon. Secretary Brian Williams and decided to Join the society. They are looking for historical items which you may have. Of particular interest are Ties of Dental Universities around the world.

On the stand there was already an interesting collection but they want

more if possible. The Museum pieces on the stand included really old anatomical relics of mandibles and some more extensive cranial features. Together with some old examples of restorative work and dental tools.

The Museum is apparently the largest in the world with over 20,000 items telling the story of how dentistry developed. The Museum is open from Tuesday to Thursday between 1.pm and 4pm. It is nice to see the beginnings and the development of where we are now. Any of you interested in our history should take the trouble to contact the Museum.

www.dentaltechnician.org.uk

If you think you may have some interesting memorabilia or just some stories worth telling contact the editor of the Dental Historian: Margaret Wilson.

Email: M.wilson1000@btinternet.com You might just have something tucked away in the attic!!

CONTACT: Website: www.bda.org/museum/dentallinks/lindsay-society E Mail address: www.bda.org/museum E-mail contact: museum@bda.org.

Phone contact: 0207 935 0875.

25

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LEARNING OBJECTIVES REVIEW: n Strength of Zirconia n Implant planning n Customised Special trays n Business of Management

LEARNING OUTCOME

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VERIFIABLE ECPD AS YOU NEED IT VIA THE DENTAL TECHNICIAN DENTAL DORIS Q1. What is believed to take up two thirds of the brain?

A. Blood and soft tissue.

B. The Reasoning Centrum.

C. The Neuro-Core assembly.

D. The Neo-Cortex.

Q2.

A. B. C. D.

What causes the different colour interpretations?

Poor eyesight, and bad lighting Lack of colour awareness.

Left or Right brain dominance.

Whether you are male or female.

MOUTH CANCER FOUNDATION Q3. How many cases of mouth Cancer are discovered

every year?

A. 300.

B. 780.

C. 8300.

D. 7600.

Q4.

A. B. C. D.

How many deaths are due to mouth Cancer each year in the UK? 570.

2722.

1216.

1700.

Q5.

A. B.

C. D.

What are the areas that should be checked?

Inside the nostril. Below the ear, the Adams apple.

Tongue, Gums & Cheeks inside the mouth, Lips, Cheeks and palate, inside and outside the mouth.

The Jaw Bone.

Under both Arms.

CHIEF TECHNOLOGY OFFICER APPOINTED BY DENTSPLY SIRONA Q6. Where will Dr. Stahler be based?

A. Geneva.

B. Bensheim.

C. Erlangen.

D. Berlin.

Q7.

A. B. C.

D.

What was Dr. Stahler last position?

CTO and member of the Executive Committee at Siemens.

Chief technical researcher for Neiman Pharmaceuticals.

Senior Vice President & Head of Global Medical Devices and Services Business At Merck KGaA. CEO and CTO at Geneva HQ of Stahler Technologies INC.

Q9.

A. B. C. D.

Why did he choose that particular material?

It was cheaper than the other choices.

It offered the best shade match potential.

It comes in large and small bottles.

He wanted to try it out.

Q10. How many colours of ceramic are available with GC Initial?

A. 16.

B. 21.

C. 24.

D. 40.

Q11.

A. B. C. D.

How did Luke Kahng illustrate the surface texture.

By using articulation paper.

By covering with glaze liquid.

Wetting with his tongue.

Using Magnifying Loupes.

Q12. What was the first buccal porcelain layer?

A. A1 Opaque Powder.

B. Inside powder IN44.

C. A1 cervical.

D. B1 cervical.

Q13.

A. B. C. D.

What tooth nomination system was used?

The Palmer System.

The Universal System.

The FDI World Federation System.

Zsigmondy System.

Q14.

A. B. C. D.

What was used to locate white stain.

A fine Kolinsky Sable Brush.

A Scalpel Blade.

An Endodontic File.

Hogs Hair Brush.

Q15.

A. B. C. D.

What forms the Incisal Line angle?

Mesial and distal ridges.

The Incisal Ridge.

Te Buccal Curvature.

The Mesial, Incisal and Distal ridges.

Q16. How was the final surface appearance arrived at?

A. A furnace glaze and hand polishing combination.

B. A hand polish starting with sandpaper and rubber wheels.

C. Sandpaper and pumice with polishing mops.

D. A Furnace glaze.

THE SINGLE ANTERIOR CROWN Q8. What material did the Technician choose for the case?

A. Vita VMK Bonded Porcelain to Metal.

B. Ivoclar Vivadent Zirkonium.

C. Shofu All ceramic Alumina.

D. GC Initial Pressed Ceramic.

You can submit your answers in the following ways: 1. Via email: cpd@dentaltechnician.org.uk 2. By post to: THE DENTAL TECHNICIAN LIMITED, PO BOX 430, LEATHERHEAD KT22 2HT You are required to answer at least 50% correctly for a pass. If you score below 50% you will need to re-submit your answers.

Answers will be published in the next issue of The Dental Technician. Certificates will be issued within 60 days of receipt of correct submission.

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27

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INSIGHT

WELCOME TO... DENTAL DORIS DENTAL DORIS HAS WORKED IN DENTISTRY FOR MANY YEARS AND LIKES TO MUSE ABOUT ALL KINDS OF DENTAL AND NON-DENTAL TOPICS

LEFT OR RIGHT BRAIN?

T

his month I thought we could have a bit of fun… Are you left or right brain dominant and what does it mean? Take a look at the picture right and what do you see? Are the laces ‘pink' or ‘green'? If you see ‘pink' you are probably left brain dominant and if you see ‘green' you are probably right brain dominant.

But want does all this mean?

Many occupations that require creative thinking, perceptiveness and spontaneity are in the field of the right-brain dominant.

TOTALLY ONE OR THE OTHER? But are we totally one or the other? I was relieved to learn that we are not. A lot of what we consider either left or right brain activity is actually being done on both sides.

In other words, most people are not entirely one or the other; there is usually a mix, with a little more preference toward one side of the brain or the other. To find out more I did the test on www.mentalup.co and discovered that I’m 87.5% right brain and only 12.5% Left Brained, which might explain why I’m very creative but find it very difficult to have any logical thoughts!

Almost everything I thought I knew about right and left brain activity has been stood on its head (so to speak!) by a recent article in my local newspaper. I knew that left-brain dominant people tended to be logical, rational and organised, and that right-brain dominance fosters creativity, imagination and artistry. That about sums up my preconceived notions.

SOMETHING CALLED THE NEOCORTEX Now I learn that our brains, contrary to popular belief, are not actually divided into two spheres. But something called the Neocortex is, and it makes up two-thirds of the brain. The explanation of what goes on there might take a left-brain dominant person to understand, but this is what I got out of it: the Neocortex is the most advanced part of the brain. The two sides of it determine how we think, and whether we are "right-brained" or "left-brained." This dominance, in turn, decides how the rest of the Neocortex will work. Left-brain dominant people are more likely to be clinical and cold in their judgments and problem solving.

Language recognition is a function of the left hemisphere, too, and that makes languages easier for those with left-brain dominance.

But what's this? Strangely enough, the left brain is wired to the right brain; the left brain controls the right brain. (I may be in over my head here!)

The article goes on to say that logic is not the only attribute of left-brain dominance, there are more specific characteristics, too.

Some are unexpected. For example, left-

28

RESEARCH TAKEN FROM Psychology Today Magazine November 2018

Pink or Green?

brained people are likely to be dog lovers, and prefer classical music. They also cannot be hypnotised. Lawyers, judges and bankers tend to be left-brained.

SO MUCH FOR THE LEFT-BRAINERS. WHAT ABOUT THE REST OF US? At this point I must declare I’m a rightbrainer! The right hemisphere is associated with cognitive skills, such as creativity, emotion and intuitiveness. It also controls the left side of the body, so right-brained people are often left-handed (including me!). Right-brain dominant people are characterised as artistic, innovative and often random. Their thought processes are sometimes viewed as irregular and roundabout, but such use of "free association" often breeds originality and inventiveness. Certain occupations are associated with right-brained people, including politics, acting and athletics.

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DENTAL NEWS

DR. CORD F. STÄHLER IS THE NEW CHIEF TECHNOLOGY OFFICER AT DENTSPLY SIRONA Dentsply Sirona announces that Dr. Cord Friedrich Stähler joins the company’s management team as Chief Technology Officer (CTO) effective May 1, 2019. In his new role, Stähler will lead the global strategy for product development and innovation l Bensheim/Salzburg, May 8, 2019.

With Cord Stähler, Dentsply Sirona is gaining a renowned expert in healthcare, life science and diagnostics. He holds a PhD in Human Genetics and brings many years of experience in leadership roles with global companies. Based at Dentsply Sirona’s Bensheim site, he will be responsible for establishing a product development and innovation strategy for pioneering dental technology across all areas. In this capacity, he will report directly to CEO Don Casey.

"We are delighted to have Cord Stähler join us. His expertise makes him the ideal choice for consistently advancing our course of realigning our global strategy and raising our profile as a leading provider of innovative dental solutions," Casey explains.

Michael Geil, Managing Director at the Bensheim site says, "Cord Stähler's varied experience in technology management and company development is a huge asset for us.

He will further strengthen the position of Bensheim as a location for innovation."

"I am looking forward to giving new impetus in a dynamic market environment at a global leader like Dentsply Sirona," Stähler comments.

Stähler joins Dentsply Sirona from Merck KGaA, where, most recently, he was Senior Vice President & Head of the Global Medical Device & Service Business in Geneva. In this role, he managed global business activities, such as product development, key account management and customer training. He was also responsible for expanding the digital strategy of Merck Healthcare. Previously, Stähler

held the position of CTO and Member of the Executive Committee at Siemens Healthcare in Erlangen and Berkeley, USA for five years, and was responsible for the technology base and innovation pipeline of the global healthcare unit. He also played a key role in designing and successfully implementing a strategic innovation and business development program.

As CTO and CEO, Stähler helped to establish several companies including an instrumentation company and a software development company in the field of genome analysis. He was a driving force behind the successful development of companies in Europe, the USA and Asia. Throughout his career, the multi-award-winning company founder and researcher helped to develop more than 70 products, for which patents have been filed.

JULIE MROZIAK APPOINTED NEW VICE PRESIDENT OF DENTSPLY SIRONA LAB On January 1, 2019, Julie Mroziak took over the position of Vice President of Dentsply Sirona Lab. She succeeds Tom Leonardi who has been appointed Group Vice President Consumables at Dentsply Sirona. Mrs. Mroziak is one of the company’s native talents with an over 20-year track record of successfully marketing different product portfolios and managing various business units l Bensheim/Salzburg, May 24, 2019.

In her new role, Julie Mroziak takes leadership of Dentsply Sirona’s laboratory business. The portfolio covers all conceivable dental lab workflows and many renowned brands, such as Cercon, inLab, inCoris, Kiss, Ceramco3, Celtra, Portrait IPN, Genios and Lucitone. At the moment, Mrs. Mroziak is driving forward a wealth of innovative projects representing the material expertise and engineering power of Dentsply Sirona Lab. Julie Mroziak joined the company in 1997, in the year she completed her BBA (Bachelor of Business Administration) at Elizabethtown College. She continued her studies during her first years at Dentsply Sirona and was awarded an MBA (Master of Business Administration) from the York College of

Pennsylvania. In parallel, Mrs. Mroziak served Dentsply Sirona, firstly, as production supervisor in denture tooth production.

Afterwards, she propelled the company in several leading marketing functions covering removable prosthetics, fixed crown and bridge products and outsourcing services. In 2016, she expanded her lab industry knowledge through her Global Business Development position.

Based on this experience, she profits from her sound knowledge and intimate feeling for the dental lab market.

Finally, in 2017/2018 she was responsible for removable prosthetics as global marketing director. During her 20+ years with Dentsply Sirona she has developed a keen sense for the true needs of dental technicians.

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PROVEN CONCEPTS UNDER NEW MANAGEMENT

In her current function, Julie Mroziak is supported by a globally active product platform team located in the US and Germany. As the new Vice President of Dentsply Sirona Lab, she intends to continue her predecessor Tom Leonardi’s tried and tested course: “Under the slogan ‘With passion for dental labs’, my colleagues and I at Dentsply Sirona Lab would like to offer dental technicians all over the world ideal conditions for making dentistry even better, safer and faster.”

Registered brands, trade names, and logos are used. Even if they are not marked as such in the respective places, the corresponding legal provisions apply.

29

DENTAL NEWS

KERATOR WHY PAY MORE? l Trycare offer an extensive range of Laboratory problem solvers including the Kerator Overdenture Attachment System, which is available to fit all the most popular implant systems. What is more it is lower priced than any competitor!

Supplied with a choice of straight or 15° angulation to make it easier to adapt to the aesthetic requirements of the patient, Kerator abutments have the lowest profile of any overdenture attachment (just 1.48mm) which means they are easier to place where space is at a premium.

They are available with soft tissue cuff heights from 1 to 6mm. With a choice of retention levels, Kerator overdenture attachments provide excellent retention so that patients can enjoy the comfort and stability that will transform their lives.

Other advantages include a plastic carrier that provides safer handling and easier placement, plus easier visual checking of the

PROTRUDING ANTERIOR TEETH SHOULD BE TREATED TO AVOID FUTURE TRAUMA 30

implant’s alignment. Dual-retention which enables increased retention as well as easier pivoting in any direction.

Self-alignment which automatically centres the male on the housing attachment, allowing patients to easily seat their overdenture.

An extended range of male attachments which allows for insertion up to 40° of implant divergence. A 15° angled abutment which can be used to further extend the allowable divergence. A dual undercut metal housing design that provides sturdier retention within the denture acrylic.

Kerator is supplied in an all-in-one package that contains everything you need at an extremely competitive price.

For more information about Kerator overdenture attachments please contact your local Trycare Representative, call 01274 885544 or visit www.trycare.co.uk/kerator

NEW BADN IT AND COMMUNICATIONS ADMINISTRATOR l BADN are pleased to announce that Adam Skalski, who joined the BADN team two years ago as an part time administrative assistant, will be working for the Association full time from May 2019 as IT and Communications Administrator.

Adam will continue to be involved in the organisation of Conference and other events, alongside Chief Exec Pam Swain, and to man the BADN stand at the Dentistry Show, Dental Showcase and other conferences and exhibitions.

Additionally, he will be looking after our social media channels.

After moving to the UK in 2008 with his family from Poland, Adam attended local high schools and colleges, gaining qualifications in Financial Studies and Computing. He also holds an NVQ in Leisure Operations and is an RLSS Qualified Lifeguard. Adam is fluent in both English and Polish.

Adam can be reached at: adam@badn.org.uk or 01253 338364.

l Researchers at the University of Adelaide Australia have shown that protruding anterior teeth can lead to up to three times more dental trauma.

The longer term consequence of trauma, which may cause the loss of the anterior tooth or teeth has far reaching effect on the individuals well being and self confidence.

It is suggested that dentists should check for this situation and advise a simple orthodontic brace solution.

It is recommended there should be early preventive orthodontics as a norm for such cases.

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31

30 October 2019

09:30 – 17:00 Venue: 3Shape UK, Reading

Dental technicians

7 HOURS CPD

Dentists

4 HOURS CPD

£95+VAT bring a dentist FREE!*

This unique one-day event brings together a selection of renowned speakers presenting the full 3Shape digital workflow for technicians.

It will include hands-on demos, practical experiences, tips and tricks and an exhibition area showcasing the very latest innovations in technology from the leading manufacturers.

Visit labvision.eventbrite.co.uk to register your interest for FREE *Technician + Dentist dual ticket: must purchase 2 tickets at £47.50+VAT each