Dental Access 2019 Second Quarter

DENTAL ACCESS
SECONDQUARTER2019
1
STRUCTO & ULAB
SYSTEMS ANNOUNCE
STRATEGIC PARTNERSHIP
AT THE AAO 2019
BIG SCREENED
TRIOS MOVE+
launched at IDS
Sleep Apnea:
Oral appliance could help
you (and your partner)
sleep better
11th Dental
Facial
Cosmetic
Conference &
Exhibition
2019
FEATURES
KLINE
ALIGNERS
ON THE SPOTLIGHT:
BEHIND THE SUCCESS
OF K LINE EUROPE
DR SHERIF KANDIL
ISSUE 5 VOL 2
2019

2
TABLE OF
CONTENTS
This issue features articles on dental replanta-
tion by Dr Jean - Francois Michel focusing on
a 10 year old case implant case. Read more
about Dr Sherif Kandil our featured front cover
for our second issue and learn more about the
KLINE Aligner Phenomenon among Filipino
Dentists in our On the Spotlight section.
06
12
21
36
Structo & uLab Systems
announce strategic
partnership at the AAO
2019
Dr Sherif Kandil
Behind the Success of
KLINE Europe
Advantages of Artificial
Intelligence in Dentistry
Editor’s Vote
1624
46 08

DENTAL ACCESS
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4
O
n several occassions, we gather around
and pursue our post graduate training
to revisit and enhance our skills in our
preferred dental specialities. This brings us to re-
connect with our old colleagues and build new
acquiantances in the profession which makes our
work more fulfilling. From there we exchange ide-
as, clinical cases and sometimes a light banter
among old friends recalling the best times they’ve
had outside of work. But in our calling to fulfill
our oaths, when we“window shop” for courses or
training programs based on their lower fees and
not the value of the course, it diminishes our ob-
jective to learn. A simple analogy is - you can’t
expect to get a full course meal if you only pay
peanuts!
You will never get anywhere in your career when
you don’t realize what is valuable and what is not.
This principle applies when you study abroad or at
a reputable course provider.
Most first world countries are ahead in technolo-
gy and have advanced dental researches. It’s not
having a colonial mentality when you search for
better learning opportunities abroad. You are ac-
tually increasing your value as a dentist because
this new knowledge and skill will elevate your sta-
tus in the community. It is a bold declaration that
you are committed to being a good dental pro-
fessional than just being an observer.
Always keep in mind that the simple wonders of
Google can give information to a misinformed
patient about dental procedures who sometimes
talk like they know it all. And when you are caught
flat footed, there is not a chance that you will win
over a debate with them.
I am not suggesting that you spend your hard
earned work purely on continuing education with-
out enjoying the fruits of your labor. But always
prioritize your livelihood over luxury because the
value of education never diminishes. There are
reasons why these programs are priced as they
are. Consider the cost of the materials, the value
of education of the instructor, and the place or
venue where the coordinator invested in order to
provide its enrollees the best dental facility and
educators to produce significant results. Part of
the reason why there are increasing number of le-
gal cases is because our education and skill is not
harnessed to the fullest. Don’t expect to get good
reviews and good results from your work if you do
short cuts with education. Luxury may be expen-
sive but education is PRICELESS! DAC
Setting
Priorities
OVER
LuxuryDr Armi Cabero
Publisher - Dental Access
EDITORIAL NOTE

DENTAL ACCESS
SECONDQUARTER2019
5
MAGAZINE
WEBSITE
COURSES
LEARN.INSPIRE.ENGAGE.
Media Contact:
Dr Armi Cabero
UNIT 9 CUEVASVILLE COMMERCIAL
BUILDING, DAANG HARI ROAD
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WEB: https://1dentalaccess.com
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TEL: +639178845088
All Rights Reserved

6
BUSINESS NEWS
Structo & uLab Systems announce strategic partnership at the
AAO 2019
Structo, a dental 3D printing solutions provider and uLab Systems, creator of
innovative in-office orthodontic treatment planning software, announced a
strategic partnership to deliver more tailored in-office orthodontic solutions
to clinicians at the AAO 2019 Annual Meeting in Los Angeles. The two com-
panies which are heavily focused on orthodontics will collaborate closely to
deliver various aligner manufacturing solutions to the different segments of
the market. First, Structo’s high throughput dental-specific DentaForm 3D
printer will be integrated with uLab’s uDesign aligner treatment planning
software. This will be rolled out in uLab’s next software update.
DAC
ZEISS announces new breakthroughs in digital technology and
industry-first high-resolution imaging
Press release from: Coherent Market Insights
ZEISS Medical Technology Segment will announce several breakthroughs in
digital technologies and high-resolution imaging at the American Society of
Cataract and Refractive Surgery in San Diego from May 4 -7, 2019. “We’re
excited to be here at ASCRS with our customers to share the latest in digitaliza-
tion, industry-first imaging technology and industry-first milestones,” said Jim
Mazzo, Global President of Ophthalmic Devices at Carl Zeiss Meditec. “This is
a new era of visualization in ophthalmology, and we’re committed to find new
ways to support our customers, every step of the way.” Cosmetic and dental
issues arise as a result of aging. According to National Institute of Dental and
Craniofacial Research, plants accounted for over 15% share of global dental device market revenue.
NEW ZEISS ARTEVO 800 Digital Visualization Platform
ZEISS will unveil the ARTEVO® 800, the first digital microscope in ophthalmic surgery. “With ARTEVO 800 we are enter-
ing a new era of ophthalmic visualization for more certainty in surgery by providing the best resolution for our custom-
ers,” Mazzo said of the new device. “Developed with surgeons for surgeons, the ARTEVO 800 is going to change the
future of surgical care by revolutionizing visualization, information, comfort and workflow in the operating room.”
ARTEVO 800 comes with a new feature called “DigitalOptics” which provides unmatched depth of field, drastically re-
duced light intensity requirements and real color impression for increased certainty. It also provides digital assistance
and detailed information to surgical vision in real-time. ARTEVO 800 comes with cloud connectivity to the ZEISS Cataract
Suite, allowing surgeons to access patient data remotely.
ZEISS CLARUS 700
High-resolution, Ultra-widefield Imaging with Angiography
CLARUSTM 700 is the first device that combines ultra-widefield UWF imaging, excellent image quality, and a full range of
fundus imaging modalities, including fundus angiography. This breakthrough industry-first high-resolution ultra-widefield
(UWF) camera with Angiography with true color closely approximating the natural coloration of the retina, as viewed
through direct observation.
Using a fast and easy workflow with a simple interface and time-saving data, the CLARUS 700 provides a comprehensive
fundus exam, diagnoses, treatment planning, and disease management. It provides the ability to quantify disease pro-
gression and respond with a measured therapeutic action in high resolution ultra-widefield images. With its new features,
retina specialists can visualize changes with high-resolution details from the posterior pole to the periphery.
With the CLARUS 700, specialists can manage all fundus imaging modalities in one session from one device all without
having to reposition the patient, thus providing patients a comfortable exam experience.
DAC

DENTAL ACCESS
SECONDQUARTER2019
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BIG SCREENED TRIOS MOVE+ launched at IDS
The award-winning TRIOS MOVE has gotten a major update. The brand-new
TRIOS MOVE+ now has a 15.6” touchscreen. Dentists can position the larger
screen just as easily as before to share TRIOS intraoral scans with patients and
acts as a canvas to design and discuss treatment plans.
The screen and arm are attached to an elegant, easy-to-move stand with a
PC that delivers fast and smooth scanning technology. The MOVE+ also fea-
tures an integrated USB port for the convenient import and export of scans.
The iconic, minimalist design is complemented by graceful details like sub-
tle curves and premium, brushed aluminum that reflect the MOVE+’s Danish
DNA.
The MOVE+ is designed to drive patient involvement and case acceptance in conjunction with 3Shape Excitement
Apps including TRIOS Treatment Simulator and TRIOS Smile Design.
“When we visited clinics, we found other systems to be bulky and heavy, and really not ergonomic. We really wanted
to bring the screen in front of the dentist and the patient, where you need it, and to also create a beautiful, light design
icon that represents the new way of working,” says Eskild Hansen, 3Shape chief designer. DAC
Dentacoin and Art Dentistry Kickstart the Market in Romania
Dentacoin is entering the Romanian market with a new partner dental prac-
tice – Art Dentistry, Oradea. Following the meeting at IDS 2019, Dr. Catalin
Marchis saw great potential in working together and thus has decided to
begin accepting Dentacoin payments in his practice.
Another Partnership Born at IDS 2019
The International Dental Show in Cologne was an amazing opportunity to
bring together industry professionals together from all walks of life. Art Den-
tistry, Oradea, Romania joins the Dentacoin Network along with nearly 90
other locations accepting DCN payments in USA, Brazil, Argentina, Australia,
UK, Germany, Italy, Netherlands, Austria, Spain, Hungary, Bulgaria, Serbia,
Azerbaijan, Malaysia, Taiwan, Pakistan, Fiji, India, Iran, Tanzania, Lebanon.
DAC
Malaysia International Dental Show 2019 kicks off its 4th
Dental Conference
The 4th Malaysia International Dental Show (MIDS) 2019 is the leading inter-
national show jointly organized by MAHSA University and the Malaysian Den-
tal Dealers Association (MDDA). MIDS 2019 is a platform specially created
for the dental community which comprises dental professionals, dental tech-
nologists, government bodies, dental schools, dental practitioners & traders
associations from Malaysia and the ASEAN region. MIDS 2019 was held from
19 - 21 April 2019, 8:30 a.m. - 6:00 p.m at Putra World Trade Centre (Hall 4),
Kuala Lumpur. The main objectives of MIDS 2019 is to enhance the skills and
knowledge of dentistry among dental professionals and to collaborate with
dental traders in promoting the growth of the industry symbiotically. With
the theme, ‘Towards Excellence in Dentistry’, the Show features a total of
120 booths by International and local exhibitors showcasing the latest dental
materials, products, and technology. It is expected to draw a crowd of over 2,000 delegates, exhibitors, trade visitors
and industry leaders from private and public sectors. At MIDS 2019, delegates had the privilege to learn from the
industry’s top-notch speakers and improve their knowledge of modern dentistry; Network with dentists, practice man-
ager, hygienists, dental nurses, technicians, and laboratory owners. Positioned as “The Upcoming Dental Exhibition &
Conference in ASEAN Economic Community (AEC)” the event will be officiated by the Guest of Honour, YB Datuk Seri
Dr. Haji Dzulkefly Ahmad, Minister of Health, Malaysia.“In order to take MIDS 2019 to a higher level, we’ll continue to
feature professional speakers from around the world”, says Dr. Kacharaju Kranthi Raja, Deputy Dean (Research), Faculty
of Dentistry of MAHSA University and organizing chairperson of the scientific conference.DAC

8
SCIENTIFIC
BREAKTHROUGHS
An army of micro-robots can wipe out dental plaque
Press release from: provided by University of Pennsylvania.
A team of engineers, dentists, and biologists from the University of Pennsylvania
developed a microscopic robotic cleaning crew. With two types of robotic systems
-- one designed to work on surfaces and the other to operate inside confined spac-
es -- the scientists showed that robots with catalytic activity could ably destroy
biofilms, sticky amalgamations of bacteria enmeshed in a protective scaffolding.
Such robotic biofilm-removal systems could be valuable in a wide range of potential
applications, from keeping water pipes and catheters clean to reducing the risk of
tooth decay, endodontic infections, and implant contamination. To move the inno-
vation down the road to clinical application, the researchers are receiving support
from the Penn Center for Health, Devices, and Technology. DAC
Sleep Apnea: Oral appliance could help you (and your partner)
sleep better
Researchers measured a novel treatment for sleep apnea developed at Hiroshima
University Hospital with positive results. By measuring patients lying down flat, the
researchers stimulated sleep conditions and measured the patient’s airways using
3D imaging. The study confirmed that the treatment is effective at opening the air-
ways and warrants further collaboration between dentists and doctors in treatment
of sleep apnea.wObstructive sleep apnea is a condition that causes throat muscles
to relax and narrows the airways of those affected while they are asleep. Snorting,
choking or gasping while sleeping are the indicators of the condition. Usually the
sufferers’ partner notices before they do.
People with mild to moderate sleep apnea experience daily fatigue and a shortened attention span from lack of sleep. Sleep
apnea can also have more serious consequences; people have died from very severe forms of the condition.
“Your eyes are closed but you’re not resting,” explains Dr. Cynthia Concepción-Medina, Research Assistant at the Depart-
ment of Orthodontics at Hiroshima University Hospital who contributed to the study with her colleagues Associate Profes-
sor Hiroshi Ueda and Dr. Yu Matsumura.
Treatments include a continuous positive airway pressure (CPAP) machine (a mask worn by the patient that delivers air pres-
sure throughout the night) or one-piece oral appliances.DAC
Oral bacteria in pancreas linked to more aggressive tumors
Press release from: Karolinska Institutet
The presence of oral bacteria in so-called cystic pancreatic tumours is associated
with the severity of the tumour, a study by researchers at Karolinska Institutet in
Sweden published in the journal Gut reports. It is hoped that the results can help to
improve diagnosis and treatment of pancreatic cancer.
Pancreatic cancer is one of the most lethal cancers in the west. The disease is often
discovered late, which means that in most cases the prognosis is poor. But not all
pancreatic tumours are cancerous. For instance there are so-called cystic pancreatic
tumours (pancreatic cysts), many of which are benign. A few can, however, become
cancerous.
The study was conducted in collaboration with researchers at the Department of Clinical Science, Intervention and Tech-
nology, the Department of Laboratory Medicine at Karolinska Institutet and Science for Life Laboratory. It was financed
by the Swedish Cancer Society, Stockholm County Council (ALF funding), Styrgruppen KI/SLL för Odontologisk Forsk-
ning (the KI/SLL steering group for dental research, SOF), KI KID-funding, and the Ruth and Richard Julin Foundation.
DAC
Photo: kjpargeter
Photo: kjpargeter

DENTAL ACCESS
SECONDQUARTER2019
9
Teeth whitening products can harm protein-rich tooth layer
Americans spend more than a billion dollars on teeth whitening products each
year. Although these products can make smiles brighter, new research shows
that they might also be causing tooth damage.
In three new studies, researchers found that hydrogen peroxide, the active in-
gredient in over-the-counter whitening strips, can damage the protein-rich den-
tin tissue found beneath the tooth’s protective enamel. Undergraduates work-
ing in the laboratory of Kelly Keenan, PhD, associate professor of chemistry at
Stockton University in New Jersey, will present this research at the American
Society for Biochemistry and Molecular Biology annual meeting during the 2019
Experimental Biology meeting to be held April 6-9 in Orlando, Fla.
The tooth is made of three layers: the outer tooth enamel, an underlying dentin layer and connective tissue that binds
the roots to the gum. Most studies of whitening strips have focused on tooth enamel, which contains very little protein.
Kennan’s research team focuses on dentin, which makes up most of the tooth and has high levels of protein, most of
which is collagen. The researchers point out that their experiments did not address whether collagen and other pro-
teins in the teeth can be regenerated, so it is unknown if the tooth damage is permanent.DAC
Anti-inflammatory plant-based diet helps reduce gingivitis
Press release from: Wiley
A plant-based whole food diet reduced gingivitis in a recent randomized trial
published in the Journal of Clinical Periodontology.
For the trial, 30 patients with gingivitis were randomized to an experimental and
a control group. The experimental group changed to a diet low in processed
carbohydrates and animal proteins, and rich in omega-3 fatty acids, vitamin C,
vitamin D, antioxidants, plant nitrates, and fibers for four weeks. The control
group did not change their diet. All participants suspended the use of dental
floss and other tools to clean between their teeth.
Although there were no differences regarding plaque values, the experimental
group experienced a significant reduction in gingival bleeding. They also showed an increase in vitamin D values and
weight loss. “Study results clearly demonstrate the possibility to naturally reduce gingivitis by an optimized diet that
also promotes general health. According to this, dental teams should address dietary habits and give adequate recom-
mendations in the treatment of gingivitis, since it might be a side effect of a pro-inflammatory western diet,” said lead
author Dr. Johan Woelber, of the University of Freiburg, in Germany. DAC
Gum bacteria implicated in Alzheimer’s and other diseases
Press release from: Data Bridge Market Research
Researchers are reporting new findings on how bacteria involved in gum disease
can travel throughout the body, exuding toxins connected with Alzheimer’s dis-
ease, rheumatoid arthritis and aspiration pneumonia. They detected evidence
of the bacteria in brain samples from people with Alzheimer’s and used mice to
show that the bacterium can find its way from the mouth to the brain.
The bacterium, Porphyromonas gingivalis, is the bad actor involved in periodon-
titis, the most serious form of gum disease. These new findings underscore the
importance of good dental hygiene as scientists seek ways to better control this
common bacterial infection. The best way to prevent P. gingivalis from growing
out of control is by brushing and flossing regularly and visiting a dental hygienist
at least once a year. DAC
Photo: janoon028
Photo: freepik

10
NEWS IN ASIA
GC’s Construction of the Manufacturing Plant for
Sterile Pharmaceutical Products is Complete
Press release from: GC Asia
GC Corporation (Kiyotaka Nakao, President & CEO, Bunkyo-ku,
Tokyo) and group company Showa Yakuhin Kako Co., Ltd. (Sei-
ji Yoshida, CEO, Chuo-ku Tokyo) started a project to construct
a new manufacturing building for dental products in January
2018. The construction of the new manufacturing plant for ster-
ile pharmaceutical products was completed as planned on June
5, 2019 (three-story building with total floor of 5,339.23㎡, locat-
ed in Kawasaki-shi, Kanagawa-ken).
The completion ceremony was attended by many guests includ-
ing Dr. Toshihiko Makino, Vice-President and Dr. Shigeo Sugi-
yama, Standing Director from the Japan Dental Association, Mr. Shigeo Nakayama Chairman of the Japan Dental Phar-
maceutical Association, and Mr. Hikaru Ouchi, President of AYUMI Pharmaceutical Corporation. The guests also joined
the Shinto ritual ceremony “Tamagushi-hoten”. After the ritual ceremony, Yoshimasa Suzuki, Director of GC Corporation,
gave a presentation that featured a board displaying the new plant facilities.
At the “Naorai”, a feast after the ritual ceremony, President Kiyotaka Nakao expressed gratitude to everyone involved
in the construction project, for an on-time completion of the sterile pharmaceutical products manufacturing plant, which
required highly-controlled environment. He also stated that GC Group would contribute to dental care not only in Japan
but also around the world by delivering safe and reliable products with the best quality and in the best condition, which
has cutting-edge facilities. In his congratulatory speech, Dr. Toshihiko Makino mentioned that he hoped the products
manufactured in the top-level aseptic area would emphasize the importance of safe and secure dental care, represent-
ing one of the goals for the JDA to achieve. Production will start at the new plant, positioned as a major manufacturing
base for dental pharmaceutical products within the GC group, targeting to contribute to dentistry in Japan and also
world-wide. GC has positioned the 21st century as a “Century of Health” and is dedicated to become the No. 1 dental
company of the world by supporting and improving our end user’s lives through dental care. We will continue our collab-
orative, group-wide efforts to contribute to our end user’s health and smiles around the world. Your continued support
would be much appreciated. DAC
NUS dominates the field of dentistry in Asia and the
world
Press release from: QS Asia News Network
The National University of Singapore (NUS) Faculty of Dentistry has
been continuously improving oral health in Singapore and beyond
by providing top-notch dental training and pushing boundaries in
dental research. Students from around the world compete to be
enrolled in the undergraduate and postgraduates programmes of-
fered by the Faculty of Dentistry.
Graduate students who are inclined to pursue their Masters in
Dental Surgery will have the option of six different residency pro-
grammes depending on their desired specialty. For those interested
in research will also have the choice of pursuing either a Masters or PhD by research. The NUS Faculty of Dentistry is
internationally renowned in dental research in areas encompassing cell & molecular biology, microbiology and bioma-
terials. Faculty and clinical staff administer bench, clinical and population level research using state-of-the-art facilities.
Many aspiring dental practitioners opt to be trained as specialists and advanced researchers at the NUS Faculty of Den-
tistry – the opening the National University Centre for Oral Health, Singapore in 2019 because it will have an integral
impact on dental studies and oral healthcare in the Asia region. Well-trained, future-ready specialists and researchers will
be able to use their knowledge and expertise to enhance the lives of people around the world. As Singapore continues
to advance as a centre of excellence for healthcare both in Asia and the world, graduates who choose to source for jobs
within Singapore will get to enjoy benefits such as low tax rates and competitive salaries in an environment where the
demand and employment prospects dentists remain relatively high. With prominent courses, unique cultural experi-
ences, and an outstanding quality of life; pursuing dentistry at NUS is an excellent choice that should be considered by
prospective students looking to pursue an education in dentistry and gain valuable experience to be trained among the
luminaries of the dentistry field. Source: Study International DAC

DENTAL ACCESS
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11
FDI experts publish guidance on antibiotic steward-
ship in dentistry
Press release from: FDI
FDI experts Dr Susie Sanderson OBE and Professor David Williams
recently authored a piece on the need for global guidance on an-
tibiotic stewardship in dentistry. The article is published in AMR
Control, the leading annual review on antimicrobial resistance
(AMR). Dr Sanderson is FDI speaker and immediate past presi-
dent of the British Dental Association; Prof. Williams is co-chair of
the FDI Vision 2020 Think Tank and the FDI Vision 2030 Working
Group, as well as professor of global oral health at Queen Mary
University in London.
The authors assert that dentists should be involved in the development and implementation of national action plans
to counter antibiotic resistance, as they prescribe almost 10% of all antibiotics. They say that to optimize the use of
antibiotics in dentistry, there needs to be global attention on stewardship policies that are achievable and consistently
disseminated.DAC
Two dentists from Malaysia and the Philippines Sworn in
at UNAIR
Press release: Universitas Airlangga News
There were 28 dentists of Faculty of Dental Medicine (FKG) Uni-
versitas Airlangga (UNAIR) inaugurated and sworn in on Tues-
day, June 25, 2019. The ceremony was held in Graha Bik IPTEK
building, Faculty of Medicine (FK), UNAIR. From 28 dentists who
were sworn in, two of them were students from Malaysia and
the Philippines.
They are Nik Andriena Binti Nik Abdullah from Malaysia and
Christian Oliver Wijaya from the Philippines. In the dentist’s
oath-taking ceremony, FKG and UNAIR leaderships were also
present, such as Dean of Faculty of Dental Medicine Dr. R. Dar-
mawan Setijanto, drg., M.Kes, Director of UNAIR Dental and Oral Hospital, and UNAIR Rector Prof. Dr. Mohammad
Nasih, SE, MT., Ak., CMA. On the same occasion, representatives of Hiroshima University, which is currently collaborating
with FKG UNAIR in Human Resources development, were also present.
In his remarks, Dr. Darmawan Setijanto revealed that FKG UNAIR and Hiroshima University have long established col-
laboration in human resources development to improve UNAIR’s ranking towards Top 500 World Class University. “The
collaboration between UNAIR and Hiroshima University has been around for quite a long time, around 33 years. The
collaboration includes improving the quality of FKG students and staffs, “said Dr. Darmawan. Furthermore, FKG Dean
also revealed that some dentists who were sworn in were the result of the collaboration through various programs in the
Faculty of Dental Medicine.
“The results of our collaboration with Hiroshima University include short courses and college scholarships from the Jap-
anese Government. Some of the dentists were sworn in today, “he added. At the end of his remarks, Darmawan stated
that some dentists in Indonesia are in the western part of Indonesia. It is a challenge for new dentists to serve in other
parts of Indonesia. “Most dentists in Indonesia are currently based in the western part of Indonesia. This is a challenge
for you (new dentist, ed) to serve in the central and eastern Indonesia, “he added. Meanwhile, UNAIR Rector Prof. Dr.
Mohammad Nasih, SE, MT., Ak., CMA said that after being a dentist and a professional, teamwork is a must in order to
achieve the goal of improving public health. “After this, as a professional dentist, teamwork is a must because speaking
as a professional cannot work individually, but it must be done collectively in order to achieve a goal, improving public
health, “said Prof. Nasih. (*) DAC

12
PRACTICE
MANAGEMENT
applied and implemented for self-examination of
suspected oral cancerous lesions.
2. DENTAL PRACTICE AND MARKETING
Many countries have marketing and advertising
by dental professionals. It is with legalities, guide-
lines and regulations. The paper less system and
dental management softwares as virtual assistants
perform a number of simple tasks in the dental
clinic with greater precision, less manpower and
fewer errors than human counterparts. Booking
and coordinating regular appointments according
to the convenience of the patients and dentists.
Another breakthrough in AI is the “ChatBot ”,
the all in one system used for Dentistry practice
management and marketing. Thru its messaging,
dentists can use it as applications that are easy to
use and implement in their dental offices and is a
great tool for marketing. You don’t need any tech-
nical knowledge to build bots using a bot build-
er software. This program interfaces with your
practice management and marketing systems to
proactively schedule treatments which can launch
new patients through code scanning, marketing
and automation campaigns based on profit maxi-
mization algorithms. It also increases patients’ sat-
isfaction for patient inqueries. This can save time
and effort then build rapport. (see manychat.com,
chatfuel.com, mobilemonkey.com)
We can be certain that AI will change dentistry in
a way we cannot even imagine today. Dentists are
advocates of newer technologies. We’ll continue
to see its progress in the practice management
and growth arena. Although AI is a great aid to
the field of dentistry and dental education, bio-
logical systems are much more complex and it can
in no way replace human knowledge, skill and de-
cision making ability. DAC
T
oday’s AI is invading our everyday lives.
Digital assistants like Alexa of Amazon
and Siri of Apple are some of the exam-
ples. Finally, Artificial Intelligence is also in the
field of dentistry. Its current hype is hard to
miss. Healthcare is being touted as a vertical
that will be completely transformed by AI in
the future.
Artificial Intelligence is defined as ‘a field of
science and engineering concerned with the
computational understanding of intelligent
behavior with the creation of artifacts that ex-
hibit such behavior’.The applications of these
technologies like Expert systems, Game play-
ing, Theorem-proving, Natural language pro-
cessing, Image recognition and Robotics in
various fields like telecommunication and aer-
ospace have progressed. Technology has rev-
olutionized the field of medicine and dentistry
in the last decade.
2 Categories of Application;
1.CLINICAL PRACTICE
It is visible thru digital radiograph, CADCAM,
3D-printing and a cloud-based Artificial Intel-
ligence to detect dental caries on bitewing
x-rays. It is under an investigation protocol to
evaluate its effectiveness and utility in provid-
ing patient care. (see https://dentistry.ai/)
In addition, AI on Clinical Practice ensures
and supports the diagnosis. Mobile applica-
tions are available which identifies malignant
melanomas by comparing the pictures from
the patient with a vast interphase of lesions
from around the world. (see Mole Check App,
Online Derm Clinic,). A similar system can be
ADVANTAGES
OF ARTIFICIAL
INTELLIGENCE
IN DENTISTRY
By Dr Kevin Villono Mirasol

DENTAL ACCESS
SECONDQUARTER2019
13

14
OPINION
Dear Dr Pauline,
First, before you accept a patient from a bad
history of DIY, you have to report this incident
to your respective chapter president or chapter
heads. This way they can be aware of the pres-
ence of such activities and conduct legal proce-
dures to apprehend the offender.
Second, ask the patient to sign a consent form
or a form of contract that will allow you to per-
form, correct and treat the patient. This will
serve as your safety net in case that his or her
condition worsens. Based on the contract, you
can stipulate the current condition of the pa-
tient’s mouth prior to your treatment. You can
also indicate that the success of the treatment
will be dependent on the how the teeth and its
surrounding structures will respond to the new
treatment you offered. You also have to inform
your patient that his compliance to the treatment
(which means regular visits for adjustments , oral
hygiene and so on) will make a great treatment
outcome.
Third, state in the contract that in case the pa-
tient discontinues the treatment with you, you
will be providing a release form including his or
her records upon complete payment of the full
amount of the treatment.
Hope this helps you with your dilemma!
i say.
About the author
Dr Harris T. Co is an alumni of the
Centro Escolar University College of
Dentistry. He is the co-publisher of
Dental Access and holds a practice
in Tarlac City, Pampanga specializing
in dental implants and orthodontics.
He is also a financial adviser of AXA
Philippines since 2016. He is a
father of three and is married to Dr
Maria Cua - Co.
The DIY
Dilemma
He says.
Dear Dr Harris,
I have been doing orthodontic practice for
more than 20 years and since then my income
was doing well until the proliferation of Do-
It-Yourself (DIY) braces in my community. It’s
not only causing me trouble with my income,
but has posed a lot of health problems with
patients who come to the clinic who for re-
habilitation. Trouble is, I discourage accept-
ing patients who had this dilemma with illegal
practitioners because in my opinion, I do not
want to be hold liable for any further problems
that I may encouter out of a bad decision from
resorting to illegal practitioners. What can you
advise me from this matter since I have been
getting a lot of inquiries from these types of
patients? Should I accept them or refer them?
Dr Pauline
Dentist from Quezon City

DENTAL ACCESS
SECONDQUARTER2019
15phone: +49 4321 / 5 41 73 - fax: +49 4321 / 5 19 08 - Email: info@promedica.de - Internet: www.promedica.de
Dental Material GmbHPROMEDICA
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or contact us directly!
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• Fillings of deciduous teeth
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• Perfect polishability to high brilliance
• Excellent physical properties
• Continuous fluoride release
• Colour guide with original material

16
POWER CLINICS
SUPER CHARGE your TEETH
with SVP S.T.Ark Dental Clinic
S
omewhere in the heart of General Malvar, Sto. Tomas, Batangas lies a dental facility that owes its
inspirational design to the hit trilogy movie the Iron Man - thanks to the creative idea of Dr Mark
Samuel Pagayunan, owner of the SVP S.T.Ark Dental Clinic. SInce it was opened in 4 of Febuary
2018, The SVP S.T.Ark Dental Clinic has attracted patients and avid fans of Iron Man at his dental fa-
cility. Decorated with Iron Man’s iconic memoribilias, he came up with this concept when he was still
planning on opening his clinic.
“I had a dream of putting up a clinic that was inspired by Iron Man. However, some of my friends dis-
couraged me because of the theme saying it might not look professional. But to me, having a clinic
should represent my personality - just as Tony Stark had put it, “The suit and I are one!”, he said.
Thanks to his family and his girlfriend, he was not only able to establish the clinic of his dreams but
share the success and practice with his special lady working side by side at his dental clinic.
The SVP S.T.Ark trademark
While other dental clinics portray a more serious atmosphere, here at SVP S.T.Ark Dental Clinic, pa-
tients are greeted by associates and staffs with friendly smiles and Iron Man Masks. From the recep-
tion, the lights on the ceiling down to the dental chair, the dental facility displays Iron Man themes in
the four corners of the clinic.
By Dr Armi Cabero
Dr Mark Samuel Pagayunan

DENTAL ACCESS
SECONDQUARTER2019
17
“My patients give me great reviews not only
for my dental work but for the unique ex-
perience they receive from my staff and the
design I created for the clinic. It is one of the
best achievements to date I have accom-
plished as a dentist.”
To continually awe patients with his Iron
Man themed dental facility, Dr Pagayunan
pursues his continuing education to serve
them better as he put it. In fact, he provides
free services to patients who cannot afford
dental treatment - a life-long commitment
that he intends to keep when he took his
oath as a dentist.
“At SV S.T.Ark Dental Clinic I focus my prac-
tice on aesthetics and oral surgery and I am
happy to serve my patients from all walks of
life. I attribute all of the blessings I receive
from God to the less fortunate. This is the
time when I give it back to God because he
has blessed me abundantly.” Dr Pagayunan
states.
The dentist entrepreneur
Dr Mark Samuel V. Pagayunan is a gradu-
ate of Centro Escolar University - College
of Dentistry in Makati City - one of the out-
standing dental colleges in the Philippines.
Starting off his career as a military dentist, Dr
Pagayunan focused his training in aesthetics
and oral surgery. From there he gained the
trust from his patients and of course, follow-
ers and admirers of his ingenious design for
a dental clinic.
But as young and as bold as he is, Dr Pa-
gayunan remains a humble practitioner who
also visits other clinics where his services are
needed spreading his wings and his talent
professionally.
“I do visit other clinics as a consultant where
I enjoy the company of other dentists. Right
now, my partner who is also my girlfriend
shares the practice with me. She has been
helpful and supportive from the start of
our career which I deeply appreciate.” He
stresses.
Truly Dr Pagayunan has enjoyed the fruits
of his labor simply because he followed
his dream and his passion. In his footsteps
where its less travelled, Dr Pagayunan de-
cided to carve his own name on his own
terms, at his own time. DAC

18
WHAT WENT WRONG?
Dear Dr Sinus of Pampanga,
From what I perceive it is a case of sinus perfo-
ration and should be dealt with as soon as pos-
sible to avoid further sinus infection. The best
way to confront the situation is by being honest
and tell your patient that the implant procedure
failed. There are cases where we need to use
a more compatible implant and based on your
narration, the patient needs a bigger implant to
hold better into the bone. In addition, the con-
dition of the sinus near her implant needs re-
habilitation due to the manifestations you men-
tioned e.g. yellow suppuration simulating pus
like formation around the implant. You have to
convince the patient to undergo immediate si-
nus rehabilitation to avoid further complications.
Also be diplomatic when you explain the case
to the patient so as not to further aggrevate the
current situation and avoid legal problems in the
future. My suggestion is, first take a radiograph
of the case or a CBCT to evaluate the extent of
the perforation. Remove the mini implant and
perform a Platelet rich Fibrin (PRF) procedure to
close the perforation or a collagen plug. After
the surgery put the patient in maximum dose of
antibiotics then observe after a few days for a
speedy recovery. All the best to you and your
clinic.
Yours truly,
Dr Maria Elisa Rivas
About the author
Dr Maria Elisa Rivas is a Full Fellow
of the Philippine Academy of Im-
plant Dentistry,A Fellow of the Pierre
Fauchard Academy-Philippine Sec-
tion , and Fellow of the Philippine
College of Oral Implantologists. She
maintains her status as a Clinical In-
structor on Dental Implant Training
at the Achacoso Center for Advanced
Dental Studies to date.
Implant fail with
Sinus perforation
Dear Dr Rivas,
More than a year ago, I placed a mini implant
on the anterior lower front tooth of my patient.
I was told by the supplier that the success rate
was high because it showed on the radiograph
that the bone density was good. However, after
one week from our surgery my patient had pain
and suppuration coming out of the wound. I
asked her to take amoxicillin antibiotics for one
week so from there the pain and suppuration
subsided. A few months later, I saw the patient
and to my surprise the implant was wobbling
and was oozing a yellowish film around the re-
stored implant. I am deeply worried at her con-
dition because based on my recollection when
we inserted the implant the patient had a bone
thickness of only 3 mm and a depth of only
6mm. I took a radiograph and I think I must
have punctured the sinus because there seems
to be a break. I am worried about the legal mat-
ters that was brought to my attention should
the implant fail. Please advise me how to cor-
rect my error and explain to the patient what
went wrong without facing any legal problems.
Dr Sinus of Pampanga
Dr Maria Elisa Rivas

DENTAL ACCESS
SECONDQUARTER2019
19
ADVANCED ASIAN
DENTAL SUMMIT
2020
K. CHYE S. KANDIL K. SUZUKI R. JACOB
K. MISCHW. PUT JF. MICHEL R. WIG
On March 23-25, 2020, the Advanced Asian Dental Summit will take place at the Philippine
International Convention Center, Philippines holding its first all international congress and
exhibition with speakers known different countries including the United States, Singapore,
Europe and the Philippines. This three day activity combined with workshops is set to catapult
the Philippines as the new hub for international dental conferences and business develop-
ment among dental traders and manufacturers. For more information about the AADS2020
https://aads2020.com
email: media@1dentalaccess.com
Tel: +639178845088 | +639976791919

20
ON THE SPOTLIGHT
DR SHERIF KANDIL
Behind the
Success of
K Line
Europe

DENTAL ACCESS
SECONDQUARTER2019
21
I
n 2018, K LINE Europe GmbH took Manila by storm
when it was first launched in the Philippines by its dis-
tribution partner K LINE Philippines. Since then, the
growing popularity among local dentists using K Line
products paved the way for K LINE to be a preferred
treatment option in Metro Manila to vying orthodontic
patients. Now, this popular aligner has extended its
reach to Visayas and soon in Mindanao allowing K Clear
to be the next aligner phenomenon.
Taking the front seat as the Founder and Chief Reseach
Officer of K LINE Europe GmbH, Dr Sherif Kandil openly
shares with us the success story of the company and how
they started the K Line Phenomenon.
Starting with the name, K Align was changed to K LINE
after several months of brain storming.
“Several of the first employees and partners had their
last name start with a K so we had a common consensus
of using the K letter but no specific brand name in mind
until we decided to make it as simple as possible and
name it K Line. Surprisingly, while we were focusing our
strategy in Europe, our first leads came outside Europe
and that includes the Philippines.” states Dr Kandil.
In less than two years, K LINE enjoys a leading advan-
tage over its competitors in the Philippines having held
four certification courses in Manila with sold out seats
at every certification course. This achievement in just a
short time has cemented K LINE to be among the top
aligner manufacturers dominating the country.
“We are very excited about fast development in the
Asian market. The end consumers are getting much
more awareness about clear aligners, thanks to our dis-
tributor’s continuous efforts in Asia to make K LINE a
leading brand.”

22
ON THE SPOTLIGHT
“There is no substitute for hard work a
THE K LINE MISSION
K LINE’s mission aims to deliver value for its cus-
tomers on a dental and orthodontic scale. Expan-
sion, sales and marketing comes after, states Dr
Sherif. But what sets K LINE apart from the rest
of its competitors? Quality? Branding? the people
working behind K LINE? We believe it is a combi-
nation of all collaborative efforts of K LINE.
K LINE IN MANILA
When K Clear Europe was launched in Manila, the
response created a great impression to the CEO
of K LINE Europe Dr Sherif so much so that K LINE
easily etched its way into the Philippine market in
less than a year.
“The Philippines is a very interesting market where
word of mouth spreads fast and online marketing
is extremely effective. In less than two years our
number of customers have been staggering. I be-
lieve by the end of 2019 K LINE will have a market
share of not less than 70% in the Phillippines.” Dr
Kandil prides.
In some more progressive countries in Asia, the
use of clear aligners has benefited several pa-
tients who seek comfort and effective orthodon-
tic treatments that are invisible to the naked eye.
However, most manufacturers who offered this
product are staged painstakingly high to the mid-
dle income bracket making aligners a far cry from
their dreams of having straight teeth. But thanks
to the innovation of K LINE, offering clear aligners
to patients is now more affordable and econom-
ical.
“Overall the major challenge in Asia is to fit the
price tag into the market while not forgetting
that awareness is still in its embryonic phase so
working on both is a bit challenging. Thanks to
the widespread use of social networks it is much
easier to spread awareness about K LINE and its
benefits,” says Dr Kandil.
The success of K LINE in Asia as confirmed by
Dr Kandil is paid by hard work and team effort. K

DENTAL ACCESS
SECONDQUARTER2019
23
and no better cause than innovation.”
LINE’s distribution partners worked on diligently in
campaigning for K LINE within their market share.
As a result K LINE managed to lead a strong pres-
ence and name recall among dentists.
Dr Kandil, “The single game changer in the mar-
ket would be local manufacturing to decrease the
costs drastically and make clear aligners feasible
for the middle class.”
THE FUTURE OF K LINE
As Founder of K LINE Europe, Dr Kandil and his
team continually drives to improve its products
and services to its customers predicting a huge
potential with their ideas and major applications
in the pipeline in the next 2 years.
In fact, during the IDS2019, Dr Kandil was inclined
to share his current research and clinical trials to
his peers and distribution partners.
In addition, he foresees further development of
his 4D dynamic clear aligners. Those according
to Dr Sherif Kandil will be a huge game changer
to the whole industry making clear aligners more
affordable and decrease the plastic waste.
“There is an average of 33,000 Tons of plastic
waste per year from our clear aligner industry
alone. As part of our environmental contribution
to save our planet, we are determined to decrease
the plastic waste production to over 60% in the
next 3 years.”
From innovation to environmental responsibility, K
LINE Europe depicts an extraordinary success sto-
ry that started with a simple concept and turned
into a grand endeavour. Living by one of the best
lines delivered by Dr Kandil he shares, “There is
no substitute for hardwork and no better cause
than innovation.” DAC

24
CLINICAL ARTICLE
Dental replantation: Case report of a
10-year follow-up
Permanent teeth avulsion is a serious injury. The management of the neighboring avulsed teeth is
crucial to preserve teeth and the interdental bone. The present case report illustrates the replanta-
tion procedure of 2 maxillary central incisors and the long term follow-up. Although the teeth were
stored in an inappropriate medium and the replantation was delayed, teeth and bone were well
preserved without any periodontal inflammatory process at 10 years.
Introduction
Following a traumatic accident, permanent maxillary
anterior teeth may be affected by extrusion, lateral
luxation, intrusion and avulsion. Dental avulsion of
the maxillary central incisors is a serious injury (1)
and the teeth must be replanted as soon as possi-
ble in order to improve the prognosis. A successful
replantation depends on several factors that include
extra-oral dry time, the storage media, the degree
of apex opening, replantation technique, splinting
and patient follow up. The vitality of the periodon-
tal ligament cells seems to determine the progno-
sis of the replanted teeth. Indeed, an extra-oral dry
time of 60 minutes or more and an inappropriate
storage media lead to cellular necrosis. Milk is the
storage media of choice followed by saline solu-
tion or saliva. Tap water must be avoided. Perio-
dontal ligament cells degenerate rapidly due to
hypotonicity of the solution. The implementation
of a proper treatment protocol could reduce the
risk of external root resorption. The American As-
sociation of Endodontists (2) and the International
Association of Dental Traumatology (3) have pub-
lished treatment guidelines for avulsed permanent
teeth. The action to be taken is described, taking
into account the following parameters: the apex is
closed or not, the tooth was replanted at the time
of the trauma or not, the extra oral time was less or
more than 60 minutes, the tooth was placed in an
appropriate medium or not. There is no consensus
regarding the removal of the necrotic periodontal
ligament cells when the tooth has been placed in
tap water for several hours. In the present 10-year
follow-up clinical report, the replantation of two
avulsed maxillary central incisors with closed apices
and preserved in tap water for 8 hours is described
and discussed.
Case report
A 23 year-old man was referred to our clinics in 2008
for treatment of a double avulsion affecting the 2
maxillary central incisors (Figure 1). Patient was at-
tacked by 3 young men. He had found his teeth on
the ground, rinsed them and placed them in a plastic
bag filled with tap water. Upon receiving his teeth,
they were thoroughly rinsed with sterile saline solu-
tion, transferred into a sterile container and soaked
in sterile saline solution. The clinical and radiograph-
ic examinations showed no fracture of the alveolar
bone or the roots. Maxillary left incisor was slight-
ly fractured at the coronal part (Figure 2). Bleeding
had stopped and the neighboring teeth were intact.
A local anesthesia was provided and careful socket
cleaning and root debridement of dental mesial sur-
faces of the neighbouring teeth was performed us-
ing a piezo ultrasonic tip (Newtron® tip 1S, Acteon),
one minute per tooth. A gentle palpation confirmed
the absence of mobility of the alveolar wall. The api-
ces of the two incisors were closed. An orthograde
endodontic treatment was performed by holding the
teeth in wet gauze impregnated with saline solution.
Following a radiographic examination (Figure 3), the
surface of the roots were debrided for one minute
per tooth using a piezo ultrasonic tip (Newtron®
tip H3, Acteon). Both teeth were replanted using a
very firm vertical pressure for 2 minutes. Teeth were
splinted (Figure 4) using a Nichrominox metal mesh.
The occlusion was checked to avoid interferences.
Non-steroidal anti-inflammatory drugs (Ibuprofen
200 mg twice daily for 4 days), Amoxicillin 2g at the
time of replantation and mouth rinse (Chlorhexidine
twice daily for 7 days) were prescribed. A follow-up
control at 2 weeks showed a stable clinical situation
regardless of a poor oral hygiene (Figure 5). Patient
explained that he was afraid to lose his teeth when
brushing. Oral hygiene instructions were provided
with the explanation that there were no such risks

DENTAL ACCESS
SECONDQUARTER2019
25
and that without proper hygiene he could aggra-
vate the situation. Recall and maintenance were
performed every 6 months. The splint was removed
at 4 years in 2012 (Figure 6). Oral hygiene was sig-
nificantly improved. The teeth and surrounding ar-
eas were asymptomatic (no pain or tooth mobili-
ty). The patient was recalled in 2016 (Figure 7) and
2018 (Figure 8) for clinical and radiographic exam-
inations. At 10 years, the clinical examination con-
firmed the absence of signs and symptoms and the
periapical radiographs evidenced the absence of
inflammatory resorption and bone loss (Figure 9).
Discussion
The management of dental avulsion requires ac-
curate diagnosis and rapid decision making. When
the treatment is adapted and well implemented, a
long-term positive outcome can be often expect-
ed (4). Several studies confirm the importance of
the time of replantation after trauma (5, 6, 7). The
conditions of tooth preservation are essential and
different solutions have been suggested. What is
important is to protect the tooth from septic con-
tamination and to keep it soaked. Milk or a spe-
cific solution (i.e. Doxycycline or saline solution)
are most appropriate for tooth preservation (8). Al-
though, avulsed permanent teeth soaked in Doxy-
cycline did not show a better treatment outcome
regarding pulp and periodontal ligament survival
healing compared to saline solution. This finding
was consistent regardless of root development,
storage and extra-oral time. In the present clinical
case, teeth were stored in tap water for about 8
hours thus requiring root surface cleaning. Based
on literature, necrotic cells have to be carefully re-
moved with gauze. Some authors suggested soak-
ing the tooth in sodium hypochlorite for 5 minutes
or 3% citric acid for 3 minutes to remove the ne-
crotic cells (9). Most of the authors also recom-
mended preserving the cementum thus avoiding
root surface scratching. When the apical foramen is
closed, endodontic treatment performed immedi-
ately or 1 week after repositioning is necessary (6).
In the present case, we performed the endodontic
treatment immediately before replantation. Patient
examination should not be limited to the oral cav-
ity. Signs of vascular or neurologic lesions should
be identified when present (Table I - 3). In terms
of prognosis, Vinckier et al (10) provided evidence
that the healing of the periodontal ligament deter-
mine the prognosis. When progressive root resorp-
tion develops resulting in ankylosis, most teeth can
still remain functional for about 10 to 15 years. In a
13-year follow-up report, Biagi (11) showed that the
long-term prognosis was related to pulp and per-
iodontal health after the replantation of maxillary
incisors. When inflammatory resorption developed,
the teeth were lost within a short period of time
(12). In a retrospective study on 889 injured per-
manent teeth, Hecova et al (13) showed that after
replantation of avulsed teeth, at 5 years, active in-
flammatory resorptions were diagnosed in 26,5% of
the cases and ankyloses/replacement resorptions
were observed in 42,9% of the replanted teeth. The
present clinical case showed the well preservation
of the 2 avulsed and replanted maxillary central in-
cisors after 10 years although both the periodon-
tal cells and pulp were necrotic at the time of re-
plantation therefore requiring cleaning of the root
surfaces and endodontic treatment. In the future,
the use of the stem cells may help conditioning the
root surfaces before replantation, thus limiting the
risk of root resorption (14). Comprehensive edu-
cational information provided in schools to young
students (Figure 10) through simple flyers may also
help them to have an appropriate behavior when
an accident happens. Educational programs may
increase the success rate when such treatments are
required. In all cases, it should be noted that there
is always a risk of root resorption several years after
the healing (7).
Conclusion
A successful replantation of avulsed teeth depends
on several factors that include extra-oral dry time,
the storage media, the degree of apex opening,
replantation technique, splinting and patient fol-
low up. Dental practitioners should be able to pro-
vide appropriate treatment to victims. There is no
consensus regarding the therapeutic approach to
cleaning root surface when periodontal ligament
cells are necrotic, however some guidelines can be
recommended based on the literature and the per-
sonal experiences of the authors. The preservation
of the vitality of the periodontal ligament cells cov-
ering the root is critical for the prognosis of the re-
planted teeth. Therefore, the avulsed teeth should
be repositioned as soon as possible. When replan-
tation is not possible, specific solutions are most
appropriate for tooth preservation. A clean and
debrided root surfaces seem to be even more de-
terminant and this is why the authors recommend
cleaning the root surfaces with ultrasonic devices
at low power. When the replanted tooth has a com-
plete root formation, endodontic treatment has to
be performed immediately or one week after repo-
sitioning. Replantation of adjacent teeth is more
difficult due to higher challenges of vascularization
of the interdental bone. Nevertheless, success can
be obtained by respecting simple rules.

26
References
1. Bastone EB, Freer TJ, McNamara
JR. Epidemiology of dental trauma: A review of
the literature. Aust Dent J 2000; 45 (1): 2-9.
1. American Association of Endodon-
tists. Recommended guidelines of the AAE for the
treatment of traumatic dental injuries. Available
at: https://www.aae.org/specialty/clinical-resourc-
es/guide-clinical-endodontics/.
1. International Association of Dental
Traumatology guidelines for the management of
traumatic dental injuries: 2. Avulsion of perma-
nent teeth. Andersson L, Andreasen JO, Day P,
Heithersay G, Trope M, DiAngelis AJ, Kenny DJ,
Sigurdsson A, Bourguignon C, Flores MT, Hicks
ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi
M. Dental Traumatology. 2012; 28: 88-96.
1. Andersson L, Andreasen JO, Day P,
Heithersay G, Trope M, DiAngelis AJ, Kenny DJ,
Sigurdsson A, Bourguignon C, Flores MT, Hicks
ML, Lenzi AR, Malmgren B, Moule AJ, Tsukiboshi
M. - Guidelines for the Management of Traumatic
Dental Injuries: 2. Avulsion of Permanent Teeth.
Pediatr Dent. 2016; 38(6): 369-376.
1. Hopenwasser H. Replanted avulsed
tooth 14 hours post-trauma: a case report. Gen
Dent. 2014; 62(2): 5-7.
1. Day P, Duggal M. Interventions
for treating traumatised permanent front teeth:
avulsed (knocked out) and replanted. Cochrane
Database Syst Rev. 2010; Jan 20 (1): CD 006542.
1. Chafaie A. Partial and total luxations
of permanent teeth in children: Clinical manage-
ment. Int Orthod. 2016;14(1): 32-47.
1. Tsilingaridis G, Malmgren B, Skut-
berg C, Malmgren O. The effect of topical treat-
ment with doxycycline compared to saline on
66 avulsed permanent teeth - a retrospective
case-control study. Dent Traumatol. 2015; 31(3):
171- 6.
2. Sonoda CK, Poi WR, Toyota E, Take-
da RH. Mediate teeth reimplantation after root
treatment with 1%, 2, 5%, 5% and 10% sodium
hypochlorite solution. Rev Bras Odontol. 2000; 57
(5): 293-6.
1. Vinckier F, Declerck D, Verhaeghe
V, Vanassche K. Injuries to the permanent teeth.
CLINICAL ARTICLE
Periodontal lesions. Rev Belge Med Dent (1984).
1998; 53(3):105-51.
2. Biagi R. Pulp and periodontal heal-
ing after replantation of a maxillary immature in-
cisor: a 13-year follow-up. Eur J Paediatr Dent.
2014; 15(2 Suppl):195-198.
1. Jang Y, Lee SJ, Yoon TC, Roh BD,
Kim E. Survival Rate of Teeth with a C-shaped Ca-
nal after Intentional Replantation: A Study of 41
Cases for up to 11 Years. J Endod. 2016; 42 (9):
1320-5.
2. Hecova H, Tzigkounakis V, Merglo-
va V, Netolicky J. A retrospective study of 889
injured permanent teeth. Dent Traumatol. 2010;
26(6): 466-475.
3. Surendran S, Sivamurthy G. Current
Applications and Future Prospects of Stem Cells
in Dentistry. Dent Update. 2015; 42(6): 556-558,
560-561.
About the authors
Dr Jean - Francois Michel is a Cum-
laude of Doctor of Dental Surgery at
the Univeristy of Rennes 1, Rennes
France in 1972. He received his uni-
versity certificate both in specialized
studies in Oral Biology in 1974 Par-
is, France.Today he holds his private
practice in Periodontology and Im-
plantology in Rennes, France.
Dr Marie Grace Michel is an alum-
na of the University of the East Col-
lege of Dentistry. She took her post
graduate studies in periodontics
and implantology in France.
Dr Martine Guigand is a professor
at the Faculty of Dentistry of Reims,
France.
Dr Jean Francois Michel

DENTAL ACCESS
SECONDQUARTER2019
27
Fig1: Clinical aspect upon arrival of the patient. The
lip has been damaged when the teeth were hit and
extruded.
Fig 2: Clinical aspect front view after gentle cleaning
of the socket with ultrasonic devices. Note the small
coronal fracture of tooth 22.
Fig 3: The endodontic treatment is performed hold-
ing the teeth with a gaze impregnated with sterile
saline solution.
Fig 5: Control at two weeks. The hygiene has to be
reinforced.
Fig 4: The teeth are replaced in the sockets with a
strong manual pressure. Then a metal splint is placed
from 13 to 23 and the occlusal adjustment is done.
Fig 6: The splint is removed in 2012 and the hygiene
is now acceptable. The teeth are stable and asymp-
tomatic.
Fig 8: Panoramic X-ray after 8 years (2016).Fig 7: Clinical view after 8 years.
Fig 9 : Periapical xray at 10 years (2018) Fig 10 : Informative documentation distributed to
schools promoting appropriate behavior in case of
extrusion.
Fig 5: Control at two weeks. The hygiene has to be
reinforced.

28
CONTRIBUTORS
W
e are at conflict with the fundamental im-
perative at the heart of our economic mod-
el: grow or die!
Should we recycle clear aligners or cut down plastic
usage?
Many of us, when engaged in the discussion related
to climate change and saving oceans, get bored in a
split second and give a denial look, and sometimes
we comfort ourselves that it will be just ok.
Climate change and wildlife endangerment are hap-
pening faster than you could even imagine. Accord-
ing to the Economic world forum, every minute a
truck dumps plastic into the ocean. That is about five
to seven trucks till you read my article till the end,
that is if you don’t get in denial and close the browser
tab before that.
In the 1980s plastic bottle sales have started to
boom since the advancing technology in manufac-
turing PET (Polyethylene Terephthalate). Since then
plastic has been the hotspot of many industries to
switch to, because of one simple fact; it’s cheap, easy
to manufacture and transport. Only 14% of plastic
ever produced has been collected, and 5% has been
recycled (rather than down-cycled).
Waste facilities vary worldwide and in spite in coun-
tries with very advanced infrastructure like the Neth-
erlands, and Japan the plastic production waste has
far exceeded the capabilities for recycling. China
used to take over the plastic waste from other coun-
tries for recycling. Now China has far more locally
than what it could handle recycling. What do we do?
Just throw it or burn it!
Did you know that less than 20% of plastic produced
right now could be recycled? and only 9% is actually
recycled?
Do you know where the rest 91% will go to?
Yes, you know it by now just throw it in landfills,
oceans or burn it. So marketing for recycling, in my
opinion, is done out of good will but some ignorance
lies underneath. The ignorance lies in contemplating
and comprehending the actual situation.
The only solution is to stop the main reason for all the
problems and cut down on plastic. Cut the problem
source and find alternatives.
However, it is counter-intuitive for many to start
searching for alternatives when businesses just start-
ed catching up very fast lately, isn’t it?
I work in the field of teeth straightening. We use in
modern orthodontics what is so-called clear aligners
to straighten teeth. These are clear plastic trays ei-
ther made of PET, PETG or TPU as the main chemi-
cal component. The material is classified as Medical
grade class I.
We also use in the process of manufacturing 3D
printed teeth models made mostly out of thermo-
set plastics with high cross-linkage. These are all pe-
troleum-based polymers with various grades of un-
leashing nano plastics in temperature and moisture
mediums.
Our patients get multiple plastic trays each worn for
one or two weeks then the next one in a sequence
is worn till the final retainer. All these used aligners
are thrown in the bin afterward with no hope for re-
cycling.
Now there are three main fragments influenced by
the plastics used in this industry; climate change,
oceans/wildlife, and our health. Answers were
honestly shocking to me as both seemed not to even
care about the matter. One CEO said they don’t take
any responsibility for recycling even the unused plas-
tic that every lab never uses anymore nor has been
used by any patient, they don’t take it back for recy-
cling even if the lab wants to deliberately send the
waste of unused plastic back to recycle. Since recy-
cling of plastic is still far away from being adequately
a quantitative solution and the time frame we have
left before experiencing more drastic environmental
consequences is very short, there is one solution left
for us.
Cut down plastic and find alternatives if possible.
DAC
The plastic
economy
bubble of
clear
aligners
Dr Sherif Kandil

DENTAL ACCESS
SECONDQUARTER2019
29

30
JOURNEYS
The AEEDC
2019 in Dubai
E
ver since I was bitten by the travel bug, the
idea of flying to another country brings me
the ultimate excitement. To experience the
differences of culture plus the savory cuisine of-
fered by the locals have left remnants of glorious
memories that I take home each trip I make.
So when a friend suggested to go to Dubai to at-
tend the AEEDC 2019 Exhibition, I did not think
twice of hitting the ENTER button in my comput-
er to confirm my booking. One of the 7 states
of the United Arab Emirates, Dubai remains one
of the most interesting countries in my bucket
list that I would like to visit. One of the famous
architectural presence is the Burj Khalifa, Miracle
Garden among others. By sharing with you my
experience, here are some of the best places I
visited in Dubai.
Miracle Garden in Dubai
Early in the cold season,
the Dubai Miracle Garden
opens its doors and show-
cases different flowers in
full bloom. During my vis-
it, there were different
flower formations featur-
ing Disney characters and
the 747 Emirates Airways Boeing plane discrimi-
nately placed as the garden’s highlight.
Burj Kalifa
Hailed as the tallest
building in the world
that stands at 2,717 ft
from ground level. It was
designed by a famous
American Architect by the
name of Adrian Smith, of
Skidmore, Owings & Mer-
rill. As reported by the officials, the Burj Kalifa
was first constructed in 2004 and was inaugurat-
ed in 2010 in hopes to gain international recogni-
tion hence investors pouring in.
Gold and textile Souk
Dubai is known for their
gold and rich fabrics, and
a trip to the Souk is a
must. Riding the “abra” is
a worthy experience pop-
ular among tourists and
locals traversing the river
taking you straight to the
Gold market. While passing by the Souk market,
I could not help take photos of the place as it
lights up the streets of Dubai inviting travelers
like me to do a little shopping.
Dubai Village
Tucked in a quiet town
away from the city cen-
tre of Dubai, the Dubai
Village is filled with a rich
display of different prod-
ucts around from the world
paying homage to its ori-
gin. This is something that
can spark your interest to come and visit while
traveling to Dubai. DAC
DR CHRISTINE MARIE GARA
Contributing writer

DENTAL ACCESS
SECONDQUARTER2019
31

32
EDITOR’S VOTE
EDITOR’S VOTE
1. NoMIX TM
NoMIX is a single
component, mois-
ture-activated tempo-
rary cement ideal for
short term applica-
tions. It is fully com-
patible with acrylic
composite, PFM and ceramic materials. NoMIX
requires no mixing whatsoever. Simply apply to
the inside of the provisional and affix to a moist
tooth surface.
Distributor: Fildent Trading
2. BRIX3000
Brix3000® is a
medical device
product for den-
tists based on en-
zymatic technol-
ogy and specially
designed for the
atraumatic caries removal, i.e. without the use
of anesthesia and reducing the use of turbines.
BRIX3000® only works on the infected tissue
caused by the caries, preserving the tissue, which
has regenerative and remineralization capacity.
Distributor: ValueRX
3. ACTIVA™
BioACTIVE
RESTORATIVE™
Embrace Varnish
delivers 10 times
more fluoride than
the leading var-
nish brand and contains bioavailable calcium and
phosphate. This varnish and desensitizer also
fills superficial, non-carious enamel lesions (white
spots). Embrace Varnish contains 18% Xylitol and
5% Sodium Fluoride and is available in unit doses
and 12mL tubes.
Distributor: Ordent Trading
4. Enamel Plus HRi
ENA HRi nanohybrid
composite produc-
es incredibly natural
looking composite
restorations. Only
ENA HRi matches a
natural tooth’s optical properties to produce in-
visible restorations with invisible margins. ENA
HRi enamel composite refracts light like human
enamel. This development creates invisible mar-
gins without the need to compensate by increas-
ing bevels and increasing the thickness of dentin
composite.
Distributor: Ordent Trading
5. LampU
Lamp.u is a dental
photography device
that is designed and
built to ease dentist
for taking dental
photography on
their daily cases. Lamp.u will assist dentist who is
not used to take pictures to get high quality den-
tal photos. With the help of bracket and chin sup-
port, dentist could get standardized photo easily.
Distributor: Fildent Trading
Do you want to have your product featured
in our top five Editor’s Vote? Then write to
us and be featured in our next issue!
Email: media@1dentalaccess.com

DENTAL ACCESS
SECONDQUARTER2019
33

34
ENDO EZE MTA FLOW
MTA Repair cement by Ultradent
DIAGNOcam
Caries detector by KAVO
ENDOVAC PURE™
Endodontic irrigation by KERR
SONICLEAN® M250
Ultrasonic cleaner by Midmark
TORNADO
BY BIEN-AIR, INC.
BRASSELER MINI
By BRASSELER
T1 PREMIUM CLASS
By Dentsply Sirona Instruments
PROPHYWIZ
Hygiene Handpiece by KAVO
SUPERVU SL
By Keeler Instruments, Inc.
HG5
AMALGAM SEPARATOR
By DENTALEZ
NV MICROLASER
Diode Laser by DenMat
GEMINI 810 + 980
Diode Laser by Ultradent
CHARACTERISTICS & BENEFITS
Has bioactive properties to promote
healing; Mixes into a smooth consisten-
cy due to the ultrafine-grained powder
and proprietary gel medium; Resists
washout; Sets quickly
Detection of the full range of caries
from initial to dentine caries; Real-time
images: Images and videos that will
excite you and your patients live on
screen without delay; No radiation:
Diagnosis of radiophobes, cancer
patients, children, pregnant women and
non-mobile patients
With a single handheld controller,
dentists can achieve complete three-di-
mensional and apical cleaning of a root
canal. Endovac Pure removes debris
and bacteria from the apical third and
provides a continuous flow of irrigants
to the canal while minimising the risk of
extrusion past the apex.
The Midmark Soniclean® is designed to
utilize an industrial-type ultrasonic stack
transducer, resulting in a cleaner that
is capable of reaching 12-15 watts per
square inch.
Tornado handpieces can deliver up
to 30 watts of power for precise and
rapid cutting.The Accu-Spray Quattro
Mix™ spray system and the Accu-Chuck
PreciPlus™ vibration-canceling bur-re-
tention mechanism work together to
reduce handpiece noise to the level of a
peaceful stream.
The Brasseler Mini high speed hand-
piece offers a super miniature head
size that provides maximum access and
visibility.The lightweight handpiece
features ceramic ball bearings, quick
disconnect coupler, push button chuck
and fiber optics.
T1 Premium Class High Speed Hand-
pieces speed control at approx. 200,000
rpm,The CONTROL function was
developed to ensure consistent speed
during preparations and thus to prevent
thermal damage to the tooth.
The PROPHYwiz is lighter than any other
hygiene handpiece and provides perfect
balance for ultimate comfort.The hand-
piece swivels 360º for unprecedented
fingertip control and access to hard to
reach areas, while eliminating tube drag.
The first dual-wavelength soft tissue
diode laser available in the United
States,The Gemini 810 + 980 diode
laser operates at the wavelengths best
absorbed by melanin (810 nanometers)
and water (980 nanometers).With
20 watts of peak power, the laser cuts
smoothly with reduced tissue tagging.
The eye-catching design features a
transparent display, and the simple user
interface includes 19 preset procedures.
NV Microlaser Dental Diode Laser de-
livers the full power and capabilities of
much larger desktop soft-tissue lasers in
a pen-sized package.Weighing only 1.9
ounces and completely self-contained,
NV’s innovative, all-in-one, wire-free
handheld design gives unprecedented
freedom in the office and operatory.
Hg5 Amalgam Separators intercept
microscopic particles to keep sewer
discharge more than 99% free from
mercury. (ISO Certified removal rate:
99.02%). Hg5 Amalgam Separators
meet ISO 11143 amalgam separator
requirements, are approved for use
by many sanitary authorities, and
endorsed by many dental associations.
Made up of a doublet objective and
high power negative lens.The true
benefit of this system is ease of use.
Movement while maintaining focal
clarity is made possible due to superior
depth of field.The ultra-lightweight
alloy bar and individual interpupillary
adjustment provides stability for the
mounted loupes and optimal focal
alignment, eliminating headache and
eyestrain.
PRODUCT CATALOGUE

DENTAL ACCESS
SECONDQUARTER2019
35
VITA EASYSHADE
By VITA
SPECTROSHADE MICRO
By MHT
CS 3600
By Carestream
3M TRUE DEFINITION
SCANNER
By 3M
GENTLETEST
PULP TESTER
By Pac-Dent International, Inc.
CS 9300
By Carestream
PROMAX 3D DENTAL CONE BEAM
By Planmeca
Q3D
By Suni Medical Imaging, Inc.
SIDEXIS 4
By Dentsply Sirona
D.T. LIGHT-POST
DOUBLE-TAPER
By Bisco, Inc.
CORE-POST
By DenMat
UNICORE POST AND
DRILL SYSTEM
By Ultradent Inc.
The 3M™ True Definition Scanner is
more consistently accurate than leading
systems on the market. Unlike “closed”
systems, 3M True Definition Scanner
digital impression files can be used with
any system that accepts STL files.
The CS 3600 intraoral scanner from
Carestream Dental puts smarter
scanning in your hands, whether your
practice handles restorative, orthodontic
or implant cases, the CS 3600 adapts to
your needs by making digital impres-
sion capture fast and easy.
SpectroShade Micro reads the color
of the tooth and indicates the closest
available chromatic standard for recon-
struction. It calculates the numerical
difference between the natural tooth
and the selected color in terms of
brightness, chroma and hue, providing
the laboratory with comprehensive
information to facilitate its work.
With a spectrophotometer capable of
measuring from 400 nm to 700 nm,
the VITA Easyshade V is designed to be
the most accurate shade measurement
device available. It provides accurate
readings of both VITA Classical and 3D
Master shades in seconds.
Designed for digital workflows, the
Q3D cone beam system from Suni
offers high quality 3D images, a small
footprint and fast scan times. Up to
10 fields of view are available to allow
clinicians to capture as much or as little
anatomy in an image as the case at
hand calls for.
Planmeca’s ProMax 3D X-ray is a real all-
in-one unit offering 3D digital imaging
in addition to digital panoramic and
cephalometric programs.This innova-
tive, versatile, and dynamic imaging
device will open up new possibilities for
doctors.
CS 9300 Dental Cone Beam Imaging
System is multimodality imaging
system from Carestream Dental. In
addition to its 3D imaging capabilities,
the CS 9300 also offers 2D digital
panoramic imaging with variable focal
trough technology for optimal clarity.
Effectively determine a tooth’s vitality.
This hand-held device is powered by
conventional 9V batteries, and contains
sophisticated IC designed to maintain
patient comfort while delivering gentle
electrical stimulus to tooth without
crossing the threshold for pain.
EyeMag Pro loupes are available in a wide
range of working distances and magnification
levels. High depth of field, image contrast and
color fidelity extending to the peripheral zones,
assures optimum image quality.A choice in
carrier system, titanium frames or headband
system ensures an outstanding fit.
Core-Post is ideal for core buildups in single-
tooth restorations. Since it flexes like natural
tooth structure, it dramatically minimizes tooth
stress and fractures that occur with standard
metal posts.With a coefficient of thermal
expansion and modulus of elasticity nearly
identical to dentin, its exceptional physical
properties are key to its strength and compati-
bility with cement, dentin, and core.
D.T. LIGHT-POST Post System features a dou-
ble-taper design that provides adaptation to a
prepared canal. Fiber optic construction allows
light to be transmitted through the post so it
can be cemented with light-cured or dual-cured
materials.
SIDEXIS 4 is the upgradeable software for
capturing, analyzing, processing and importing/
exporting images, which also lets you store the
image material of Sirona imaging systems. It
can be integrated into a wide variety of dental
practice environments and can exchange imag-
es and patient data with all widely used dental
practice administration systems.
PRODUCT CATALOGUE

36
PRODUCT CATALOGUE
• No temperature rise during
setting
• Highly biocompatible, low acidity
• Excellent adhesion to dentine and
enamel, attachment of crowns,
bridges, inlays, onlays, posts and
orthodontic bands
• High compressive strength and
low solubility
MEDICEM
Glass Ionomer Luting Cement
PROMEDICA
MyFlow
Handpiece by DÜRR DENTAL SE
PlanMill 30S
by Planmeca
FIBERSITE POST
NEXTGEN
STERILIZATION CENTER
by DENTALEZ
QUOLIS™ SERIES
E-120
by BELMONT
EXPERTTORQUE SERIES
Hi speed Handpiece by KAVO
ALEGRA 300 SERIES
Hi speed Handpiece from Adec Inc.
TASKAL WIZARD
Cordless prophylaxis
micromotor by NSK
MICROLINE SERIES
TTL LOUPES
By PeriOptix
BINOCULAR
DENTAL LOUPE
By Almore International, Inc.
EYEMAG PRO
DENTAL LOUPES
By Carl Zeiss
• Ergonomic handpiece, the tip
can be rotated by 360 degrees
• Low clogging potential
• The safe valve closure enables the
containers to be filled in advance.
• High-accuracy entry-level milling
unit for dental clinics
• High accuracy
• High-speed single-spindle (max.
100k)
• Milling a crown takes approx. 16
to 18 minutes
An innovative fiberglass pin with
preshaped abutment that totally
revolutionizes the actual method for
the rehabilitation of singlerooted
teeth and simplifies partial recon-
struction of multirooted teeth.
• Spacious upper storage cabinets
with luminous task lighting/ Steri-
centers come in 4 size widths: 72”,
96”, 120”, 144”
• Equipment tower with pull-out
shelves and storage spaces
• Tapmaster® hands-free faucet
control
• Two enclosed pull-out surfaces
SE-120 sterilization centers incorpo-
rate modular design concepts that
allow cabinetry to be customized to fit
the requirements of your practice.
EXPERTtorque Series High Speed
Handpieces provide superior KaVo
performance even in difficult-to-access
molar regions.The standard head
model is ideal for crown and bridge
work and gross reduction.The mini
head offers excellent access and precise
cutting performance.
The Alegra 300 series of air
driven handpieces includes both
highspeed and lowspeed options.
The handpieces operate with low
noise and powerful illumination
from a self-generated LED+
lighting that is compatible with an
delivery system.
EyeMag Pro loupes are available in
a wide range of working distances
and magnification levels. High
depth of field, image contrast
and color fidelity extending to
the peripheral zones, assures
optimum image quality.A choice
in carrier system, titanium frames
or headband system ensures an
outstanding fit.
Binocular Clip-On Dental Loupes can
be clipped onto glasses. Fully coated
optics, adjustable, features an inter pap-
illary adjustment. Light weight and can
be flipped up when not in use. Field of
view 4.33 inches for 2X Magnification
and 2.75 inches for 2.5X Magnification.
Weighing in from only 36 grams, these
compact lenses sacrifice nothing but
weight.The field of view and image
quality are what you’ll find in much
larger and heavier loupes. Lighter,
smaller optics mean you can wear your
loupes all day in comfort and with less
fatigue.
The TASKALWizard is portable with
selectable 18 head speed settings
(with 1:1 and 4:1 heads) as well
as miniature head adjustable to 6
positions. 5 prophylaxis heads are
available for a broader range of
application.

DENTAL ACCESS
SECONDQUARTER2019
37
I-CAT FLX CONE BEAM
By 3D Imaging Solution by i-CAT
3D ACCUITOMO 170 CBCT
By J. Morita
I-MAX TOUCH
PAX-I3D
From Vatech America
RELYX FIBER
POST SYSTEM
By 3Mt
DENTFLEX FIBER
POST SYSTEM
By Brasseler
VLOCK
POST SYSTEM
By Brasseler
AZTEC TITANIUM
POST SYSTEM
By Dentatus
Elements Diagnostic Unit Dental Pulp
Tester provides the convenience and
accuracy of a high quality pulp tester
and apex locator in one system.The
satellite display conveniently brings
critical data into the field of vision for a
faster more stable reading.
Vitality Scanner 2006 Dental Pulp Tester
ensures dependable and pain-free pulp
testing.This outstanding diagnostic
tool is automatically controlled and
features large digital readouts. It’s the
quick and easy solution for patient- and
practice-friendly pulp testing.
The CEREC AC with Omnicam is a
powder-free dental digital impression
system capable of capturing precise 3D
intraoral scans in full color. Designed
for fast scanning and intuitive opera-
tion, the rounded camera handpiece
allows for easy rotation and improved
comfort for both operator and patient.
Dental Wings Portable Intraoral Scanner
is self-contained and easy to move
around a practice.An open system that
can be used to scan for restorative,
implant, orthodontic and removable
prosthetics.
PaX-i3D seeks to revolutionize the way
CBCT are manufactured and regarded in
the dental industry. PaX-i3D Green gets
its moniker “Green” from 3 important
qualities: 1. Ultra low radiation while
providing superior image, 2. Eco-friendly,
3. FDA cleared for pediatric use.
the I-Max Touch 3D offers 3D cone beam
imaging with a volume designed to capture
the entire jaw in a single image. Pre-pro-
grammed panoramic and cephalometric
imaging modes are also available from
dedicated sensors.A user-friendly design
and cost-effective pricing make this system
a great fit for practices looking to expand
their imaging capabilities
Morita’s 3D Accuitomo 170 is the 4th
generation of the Accuitomo product
line.The new Dose Reduction Feature
decreases patient exposure 30% to 40%,
yet quality of image has been enhanced
from the previous model. It offers nine
field of view options from 40 x 40 mm
up to 170 x 120 mm (the entire head
and neck area).
The i-CAT® FLX is a 3D imaging solution
that can help clinicians to quickly diag-
nose complex problems with less radi-
ation.This newest system to the i-CAT
brand offers 3D planning and treatment
tools for implants and restorations, oral
and maxillofacial surgery, orthodontics,
plus TMD and airway disorders.
With smooth anatomically tapered
ends, threaded cylindrical surface area
and a square head,The apical end is
smooth, with an anatomical geome-
try to follow the defines of the root;
midsection is parallel and threaded
for optimal mechanical retention with
cements and luting materials; head is
easily adaptable to fit in most crowns.
The Vlock Post System contains special
post drills which utilize an extremely
efficient and patented gates/peeso
design.The drills are designed to create
a post preparation that is ideal for the
corresponding post.The Vlock Posts
should be used when a significant
amount of the core has been lost.
Dentflex Glass Fiber Posts are ideal for
highly esthetic anterior restorations
due to their white coloring and that fact
that they are both strong and flexible.
The posts are factory silanated and are
color coded to match the coorisponding
post drills.
RelyX™ Fiber Post is a radiopaque,
translucent, glass fiber reinforced com-
posite post which is available in four
sizes.The elasticity of RelyX Fiber Post
is similar to human dentin for a lower
risk of root fracture due to the “wedge
effect”.The unique resin composition
and equally dispersed parallel fibers
lead to superior mechanical strength.
PORTABLE INTRAORAL
SCANNER
By DENTALWINGS
CEREC OMNICAM
By Dentsply Sirona CAD/CAM
VITALITY SCANNER
2006
Dental pulp tester by KERR
ELEMENTS
DIAGNOSTIC UNIT
Dental pulp tester by KERR

38
EVENTS PREVIEW
36
EVENTS PREVIEW
D
enTech China istheleading professionalevent for the dentistry technologyin-
dustry in China. As the pioneer event of its kind with the inaugural event com-
mencing in 1994, DenTech China has over 20 years in experience in organiz-
ing the must-attend conference for dentists seeking continued accredited education
as well as international buyers, traders, and distributors looking for high-quality and
During four exhibition days, DenTech China 2018 attracted a total of 108,000 trade
-
resenting countries are Philippines, Malaysia, Thailand, Bangladesh, Afghanistan,
Cambodia, Myanmar and Vietnam.
DenTech China 2018 – China’s leading international trade fair for the Dental Equip-
ment and Products Manufacturing industry – came to a successful close on October.
China 2018 has proven much more successful than last year, impressively underscor-
ing the event’s status as the China’s premier trade fair for the international Dental
Products Manufacturing industry. During the exhibition period, about 800 exhibitors
from 27 different countries and regions including Austria, Brazil, Canada, Denmark,
Finland, France, Germany, Israel, Italy, Japan, Korea, Liechtenstein, Malaysia, Mex-
ico, Thailand, Pakistan, Spain, Sweden, Switzerland, Singapore, UK, USA, Mainland
China, Hong Kong China and Taiwan, China were on hand in Shanghai to showcase
their innovations to industrial users from around the world.
Covering the entire value chain of the dental industry, around 200 conference ses-
sions highly anticipated by dentists and has gained the esteemed support from over
200 academic associations, hundreds of stomatology colleges, and hospitals. DAC
Scan To Register
The 23rd
China International Exhibition &
Symposium on Dental Equipment,
Technology and Products

DENTAL ACCESS
SECONDQUARTER2019
3937

40
EVENTS PREVIEW
5TH ASIA PACIFIC CAD/CAM &
DIGITAL DENTISTRY INTERNATIONAL
CONFERENCE AND EXHIBITION
The 5th CAD/CAM & Digital Dentistry Conference & Exhibition 2019 will be covered over four
days of continuous dental education featuring Digital Dental Conference, Dental Technicians
Parallel Session, Digital Orthodontic Forum, CAD/CAM & Digital Dentistry Exhibition, multi-
ple disciplinary hands-on training courses in the same field and poster presentation zones at the
exhibition.
The event will help dental professionals to make their decision towards going digital on the spot,
considering a move from a conventional treatment to the digital treatment and adapt to a new
challenge in the modern age digital world.
The 5th edition of the CAD/CAM & Digital Dentistry Conference/Exhibition (#CADCAM Sin-
gapore) organised by CAPP will cover all current trends in digital dentistry, further educating
dental professionals with additional insights into the latest CAD/CAM systems and Digital Den-
tistry.
Advances in digital dentistry bring substantial changes in today’s dental practices. The traditional
partnership between dental laboratories and dental offices are built on a foundation of com-
puter-assisted designs and the growing movement towards digital impressions. Moreover, CAD/
CAM systems in dental clinics and dental labs are becoming standard equipment.
For more details log on to www.cappasia.com

DENTAL ACCESS
SECONDQUARTER2019
41
11th Dental Facial
Cosmetic Conference &
Exhibition
Intercontinental Hotel | Dubai Festival City | Dubai | UAE
November 8 - 9, 2019
O
n November 8-9, 2019, CAPPMEA will hold its 11th Dental Facial Cosmetic Confer-
ence & Exhibition at the InterContinental Hotel Festival City in Dubai. During the event,
CAPP (Centre for Advanced and Professional Practices) will feature pre and post hands-
on courses in various disciplines including educational sessions with industry experts; Dental Hy-
gienist Seminar (DHS); poster presentations; pre and post hands-on courses with industry experts;
face-to-face appointments with suppliers of your choice; and networking opportunities with in-
dustry peers and supplier representatives. This two-day event will offer dental professionals the
chance to gain verifiable CPD recommended subjects, network with peers and learn about the
latest advancements in innovation and technology at the exhibition.
The DFCIC is an unmissable event in the GCC and MEA region dentistry calendar, attracting over
2000 dental professionals from the MENA region, Asia, and Europe.
For registration details, you may send your enquiries to events@cappmea.com
www.cappmea.com

42
EVENTS REVIEW
IDS 2019, which came to an end in Cologne on 16
March 2019 after five days, more than fulfilled the
high expectations of the international industry. As
such, the undisputed leading global trade fair of the
dental industry once again underlined its exceptional
position. The event was able to replicate the very good
results of the previous event and at the same time re-
alise the ambitious goals for more internationality and
higher quality in the offer and demand. The outcome of
the trade fair consequently led to satisfied exhibitors and
trade visitors. With 2,327 companies from 64 countries,
the number of exhibitors rose once again by good twenty
suppliers. They came together with over 160,000 trade
visitors from 166 countries. Hence, the overall number
of visitors rose by 3.2 percent, the number of foreign
trade visitors by 6 percent indeed. At the same time, the
exhibition space expanded by over four percent up to
170,000
m².
Mark Stephen Pace, Chairman of the Association of the
German Dental Manufacturers e.V. VDDI: “The motto
Photo credit: IDS2019
“The sportsmanlike fair competition of IDS “ expressed
in six words the strengths of this leading trade fair: The
comprehensive and internationally unique offer as well
as the extraordinary high performance and innovative
strength of the industry, combined with the firm intention
of all market players to improve continually and seek the
success in the direct competition. Everyone, who wants
to be successful in the dental industry, faces the Perfor-
mance comparison in Cologne. It is thus no surprise that
the level of internationality of IDS has in the meantime
taken on huge dimensions.” And Gerald Böse, President
and Chief Executive Officer of Koelnmesse, added: “IDS
is a trade fair event in a class of its own and always sets
new benchmarks. It manages to surpass the already ex-
cellent result of the previous event every time again and
again. The visitors and exhibitors are impressed by IDS,
supply and demand are only provided in this scope, in
this quality and with this level of internationality here in
Cologne. IDS is the undisputed leading global trade fair
for the dental industry.”
Leading global trade fair of
the dental industry
underlines its
outstanding position
IDS2019

DENTAL ACCESS
SECONDQUARTER2019
43
The dental world does business at IDS
The official figures confirm the excellent level of internation-
ality at IDS: 73 percent of the exhibitors from 64 countries
came from abroad, as well as 62 percent of thevisitors from
166 countries - from Argentina, Brazil and Chile, to Japan,
Korea, Egypt and South Africa, Australia and New Zealand,
the whole of Europe through to the USA and Canada. The
number of countries of origin thus increased once again by
6 percent. IDS 2019 recorded significant growth in the num-
ber of visitors from Asia (+23.1 percent), Eastern Europe
(+19.6 percent), Africa (+17 percent), Central and South
America (+14.6 percent) and North America (+5.3 percent).
Almost 80 percent of the visitors were satisfied or very satis-
fied with the range of exhibition offerings. Good 93 percent
said that they would recommend a good business acquaint-
ance to visit IDS. And 70 percent of the respondents are al-
ready planning to visit the next IDS in 2021. Dr. Markus Hei-
bach, CEO of the VDDI, was also correspondingly pleased
when the trade fair came to a close:
“The high level of satisfaction of our trade visitors and ex-
hibitors is for us the impressive confirmation of our efforts
to make our guests’ stay as pleasant and successful as pos-
sible by offering them a cosmopolitan, hospitable and per-
fect service.”
High interest in innovations
The radiance of IDS makes it the ideal business platform
especially for new companies on the dental market, which
want to establish themselves with highquality innovations.
Steve Plakotaris, CEO & Managing Director of the Aus-
tralian start-up, Dr. Mark’s HyGenie, confirmed this: “As a
world first oral hygiene innovation, with global brand po-
tential, it made perfect sense to debut our company and
removable oral appliance hygiene range at the world’s big-
gest and busiest dental industry showcase. Despite being a
small Australian start-up, we have felt right at home at IDS
and the results have exceeded all our expectations. Con-
tacts, connections and new friends are being made every
hour of every day. We look forward to booking our place
at IDS2021”. The next IDS - the 39th International Dental
Show - is scheduled to take place from 9 to 13 March 2021.
Photo credit: IDS2019

44
J
ointly organized by MAHSA University and the
Malaysian Dental Dealers Association (MDDA),
MIDS 2019 is a platform specially created for
the dental community which comprises dental pro-
fessionals, dental technologists, government bod-
ies, dental schools, dental practitioners & traders
associations from Malaysia and the ASEAN region.
It features a Scientific Conference and a Trade Ex-
hibition.
MIDS 2019 was be held from 19 - 21 April 2019,
8:30 a.m. - 6:00 p.m at thePutra World Trade Cen-
tre (Hall 4), Kuala Lumpur.
The main objectives of MIDS 2019 are to enhance
the skills and knowledge of dentistry among dental
professionals and to collaborate with dental traders
in promoting the growth of the industry symbioti-
cally.
With the theme, ‘Towards Excellence in Dentistry’,
the Show features a total of 120 booths by
International and local exhibitors showcasing the
latest dental materials, products, and technology.
The event gathered a crowd of over 2,000 dele-
gates, exhibitors, trade visitors and industry leaders
from private and public sectors.
At MIDS 2019, delegates will have the privilege to:
• To learn from the industry’s top-notch speakers
and improve their knowledge of modern den-
tistry
• Network with dentists, practice manager, hy-
gienists, dental nurses, technicians, and labora-
tory owners
• Witness the latest display of dental technolo-
gies and most innovative products in the market
• Enjoy surprises in the form of special offers &
promotions on products and services by courte-
sy of the exhibitors.
The 4th Malaysia
International Dental Show
(MIDS) 2019 is the leading
international show for the
dental industry
EVENTS REVIEW
Positioned as “The Upcoming Dental Exhibition &
Conference in ASEAN Economic Community (AEC)”
the event was officiated by the Guest of Honour,
YB Datuk Seri Dr. Haji Dzulkefly Ahmad, Minister of
Health, Malaysia.
“In order to take MIDS 2019 to a higher level, we’ll
continue to feature professional speakersfrom around
the world”, says Dr. Kacharaju Kranthi Raja, Deputy
Dean (Research), Faculty of Dentistry of MAHSA Uni-
versity and organizing chairperson of the scientific
conference.
MIDS 2019 featured 6 Workshops and 13 Lectures
presented by 16 distinguished international
speakers from the United Kingdom, USA, Japan, Ko-
rea, Singapore, Greece, India, Thailand, Philippines
and Malaysia. Some of the key topics include:
• Management of Severe Curvatures and Complex
Anatomy with Controlled Memory Files - A New
Approach for Minimal Intervention”
• Advances in Optical Diagnostic and Surgical Soft
Tissue Imaging
• A New Concept to Realize Digital End-to-End
Process
• Advanced Applications of Lasers in Dentistry
In addition, dental professionals earned 20 CPD
points and 4 CPD points for participating in confer-
ence and workshop respectively.
MIDS 2019 reached another milestone in the history
of the dental trade industry for Malaysia and the ASE-
AN region as it hosted the Signing Ceremony of the
Memorandum of Understanding (MOU) for Asia Pacif-
ic Dental Trade Cooperation between Dental Dealers
Associations of Malaysia, Philippines and Taiwan for
the purpose of promoting strategic alliances, mar-
ket expansion, product distribution, and developing
market knowledge and networks in the Asia Pacific &
ASEAN market.
The Associations are Malaysian Dental Dealer Asso-
ciation (MDDA), National Association of Dental Trad-
ers, Philippines (NADTI) and Taiwan Dental Traders
Association (TDTA).
The Supporters of MIDS 2019 are College of Gen-
eral Dental Practitioner, Singapore, Persatuan Ju-
ruteknologi Pergigian Malaysia, Malaysia Dental
Technologist Association, Dentech China, National
Association of Dental Traders, Philippines (NADTI)
Media Partners are Dental Access, Dental Asia, Trade
Winds. Social Media Partners: Dentist Nearby.com
For more information about MIDS 2019 kindly con-
tact Mr. Chin, Secretary of MIDS at 016 – 225
8823 / sec1@mids.com.my

DENTAL ACCESS
SECONDQUARTER2019
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is among the largest in the Asia Pacific region, Asia and China. Its media platform extends to dig-
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tional organizations in order to build a strong network among dentists, dental technicians, dental
hygienists and dental traders.
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with its roster of advisory board members and contributors.
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