How 50 years of research and development successfully launched Luna 2 — and what to expect next. Subscription $99.00 per annum No.96 NOV-DEC 2022 Australia’s leading clinical, business, technology & lifestyle magazine for the dental professional How 50 years of research and development su ce sfu ly launched Luna 2 — and what to expect next. AUSTRALASIAN DENTIST No.96 NOV-DEC 2022 Subscription $ 9. 0 per a num No.96 NOV-DEC 20 2 Australia’s leading clinical, business, technology & lifestyle magazine for the dental profe sional How 50 years of resea ch nd dev lopment successfully la nched Luna 2 — and what to expect next. Subscription $99.00 per annum No.96 NOV-DEC 2022 Australi ’s leading cl ical, business, technology & lifestyle magazine for the dental pr fessional
1800 806 450 www.amalgadent.com.au Core Flo DC Core Flo Lite 8gm $145 ea 2+ $135 ea 3+ $120 ea Valid to 31/12/2022
Con ten t s 26 30 10 42 72 117 2 People 2 News 4 Products 10 Innovations 16 Profile 26 Cover Story 38 Events 42 Clinical 42 Part 4: How to evaluate an aligner set up and ensure that the set-up is realistic 48 Palatal Expansion in Child and Adult 58 Regenerating Labial Plate using Guided Bone Regeneration 60 Dental high-speed handpiece and ultrasonic scaler aerosol generation levels and the effect of suction and air supply 66 Onlay for upper right molar using chairside workflow with TRIOS Design Studio 68 The multi-talent for models in laboratory and practice: VOCO’s V-print model 2.0 70 Mandibular Reconstruction using 3D Print Technology 72 A Case Study: Handling a Subgingival MOD by Using the Deep Margin Elevation Technique followed by the Use of a Sectional Matrix 76 Mandibular flexion and Implant prosthesis design: An important reflection 78 Game-changers in cosmetic injectable 80 Feature – Chairs, Servicing & Spare Parts 86 Maintaining a Sterile Dental Environment 88 Testimonials 90 Best Practices Q&A 92 Columnists 98 Is there life 100 Special feature: Are you recession ready? Part 2 110 Acquisitions 112 Software 114 Labs 116 Surgery Design 118 Finance 122 Reality Bites 124 The Full Complement The Australasian Dentist publication has been independently audited under the AMAA's CAB Total Distribution Audit. Audit Period to June 2020 12,835 Publisher Great Australian Publishing PO Box 4230 Black Rock, Vic 3193 Amos Lang – Managing Editor Founding editor & publisher of Australasian Dentist and Implant Dentistry Today; editor and journalist. B.A. (Writing Majors) Advertising Tel: 03 9502 0792 Mobile: 0402 405 279 Editorial, subscription and mailing enquiries Tel: 03 9502 0792 Email: gapmagazines@gmail.com PO Box 4230 Black Rock, Vic 3193 Material submitted: While every care is taken with solicited and unsolicited materials supplied for consideration and/or publication, neither the editor nor the publisher accept any liability for loss or damage however caused. The Publisher, Great Australian Publishing, accepts no responsibility for views expressed within supplied material. ©Copyright. This publication is copyright. No part of it may be reproduced in any form without the prior written permission of the publisher. Clinical Editors Dr Michael Stubbs B.D.Sc (Adel), M.D.S(Adel), M.D.Sc (Melb), F.R.A.C.D.S. Assoc/Professor Oral Medicine Latrobe University Consultant Oral Medicine Specialist Dr Geoffrey Hall Specialist orthodontist; teaching general dentists in the area of orthodontics, both nationally and internationally Director, BDSc (Melb) Cert Orth (Uni of Penn) MRACDS (Orth) Founder and Director of Complete Aligner Planning Service (C.A.P.S ) Feature writer Danny Chan
CATEGORY 2 AUSTRALASIAN DENTIST PEOPLE NEWS 10-year anniversary at Orien Karryn Ellis is celebrating her 10-year anniversary at Orien Dental Supplies. In her earlier years, Karryn had previously started her career working through the dental industry as a dental assistant and receptionist in a suburban Melbourne dental surgery and later as a clinical sales representative formany years. She took a punt on a young, emerging, family business when she switched her career across to Orien Dental in 2012 as the National Sales & Business Development Manager. Having spent most of her working career in the dental industry for over 25+ years, Karryn is well known, and respected with an encyclopedic knowledge level of dental products, and who’s who in the industry. Her naturally bubbly and outgoing nature has forgedmany close friends through the hundreds of dental colleagues she has interacted with over the years. Orien Dental Supplies has been so fortunate to have had Karryn pick us as her choice when contemplating a career change in 2012, and we expect Karryn to be with the Orien family, serving our customers for at least the next 20 years! Congratulations and thank you, Karryn. u Dürr Dental’s new product specialist Dürr Dental has a new product and hygiene specialist for Australia & New Zealand, Mr Mina Farag. Mina is an oral health therapist who graduated from La Trobe University in 2012. He has worked as an oral health therapist for the past 10 years in both private and public community clinics, including the Periodontal Department at the Royal Dental Hospital of Melbourne. He was also an associate lecturer and the co-ordinator of second-year Bachelor of Oral Health at La Trobe University before transitioning to Dürr Dental. Mina will be responsible for our hygiene, suction and compressor line of products, with a particular focus on our new Lunos range, which we are excited to introduce to the market! While working closely with our distributors, Mina will also be available to clients to help with their needs and answer questions they may have about our products. u Mina’s contact details: Mobile: 0437 799 323 Email: mina.farag@duerrdental.com Henry Schein One’s dental practice management software, EXACT, automates many of the essential management tasks that determine the financial success of a dental practice. 3Shape’s TRIOS Intraoral scanner platform, Unite, is now integrated with EXACT, allowing for a more streamlined workflow for dental professionals. This lets patient information pass from Henry Schein One EXACT to 3Shape Unite without requiring double entry of patient data – patient information is automatically 1800 806 450 www.amalgadent.com.au THE BEST JUST GOT BETTER SEE BACK COVER FOR SPECIAL OFFER! “The only composite to be in the zero gap formation group.” University of Washington BulkEZPlus Footer #96.indd 1 25/10/2022 9:04:52 AM populated in 3Shape Unite, ready for a 3D TRIOS intraoral scan. 3Shape Australia’s Regional Leader, Sara Lowy, says, “We are thrilled about the integration with EXACT as it allows for time savings and easier patient flow for dentists and their teams. It’s one of many ways in which 3Shape, along with its partners, strives to change dentistry together”. Mark Van Zuylekom, General Manager for Henry Schein One Australia and New Zealand, is equally excited about the integration and said, “We are committed to 3Shape Unite & Henry Schein One EXACT integration delivering a seamless customer experience and this partnership helps us deliver on that. 3Shape’s TRIOS intraoral scanner platform’s (Unite) integration with EXACT dental software is a wonderful outcome for our customers, a huge thank you to both teams for making this happen.” u To learn more about 3Shape TRIOS software and how you can start streamlining your team’s workflow today, visit www.3shape.com/scanners/trios
Aerosol laser experiment Theworld’s first two-way spray function allows you to instantly choose between amist or jet spray. Choose in an instant depending on the conditions and procedure. The water jet spray prevents subcutaneous emphysema in surgical procedureswhilst still cooling during restorative procedures. When spraymist can be used againwithout restriction just switch again. No equipment modification required. Switch betweenwater jet (water only) and water spray (water and air mist) in an instant. Air Turbine w/ spray air Contra-angle w/ spray air Contra-angle w/ NO spray air TIME TO SWITCH Spray air contributes significantly to spray mist in dental instruments. Contra-angles produce much less compared to air turbines and by switching off the chip-air this instruments generates even less aerosol. This means the associated risks are reduced considerably. NSK has invented the spray switch for handpieces. No other handpiece brand offers this convenient and effective feature. Turning off spray air couldn't be easier - just simply twist the switch. Easy On/Off Switch Two-Way Spray Function Water Jet Mist Washable in the thermodisinfector Autoclavable MODEL : Z45L ORDER CODE : C1064 Optic Gear Ratio : 1:5 Increasing Coolant Design : Quattro Ports (with twoway spray function) BodyMaterial : TitaniumBody Coating DURAGRIP Max Speed : 200,000min-1 Features MODEL : Z95L ORDERCODE : C1034SW Specifications Optic Anti Heat System / Cellular Glass Optics / Ceramic Bearings Clean Head System / Push Button Chuck / Microfilter Gear Ratio : 1:4.2 Increasing Coolant Design : Quattro Ports (with twoway spray function) BodyMaterial : TitaniumBody Coating DURAGRIP Max Speed : 168,000min-1 45-degree angle head / Anti Heat System Cellular Glass Optics / Ceramic Bearings CleanHead System / Push Button Chuck / Microfilter Specifications Features 12856-[Z95L Promo Mag Ads] Product Information | Technical Support NSKOceania Pty Ltd www.nskoceania.com.au NSKOceania Ltd www.nskoceania.co.nz Freephone: 1300 44 33 21 (Australia) Freephone: 0800 44 33 21 (NewZealand)
PRODUCTS 4 AUSTRALASIAN DENTIST TRIOS Share Maximum freedom – ultimate efficiency Other brands may be wireless, but only TRIOS wireless intraoral scanners deliver real wireless freedom! 3Shape introduces TRIOS Share – the world’s first and only solution to enable you to scan and plan on every PC in your practice with a single TRIOS wireless intraoral scanner. Now your whole team can get on board with digital dentistry when you share the power of a TRIOS wireless intraoral scanner throughout your practice. Maximize your investment and minimize your costs With TRIOS Share, everyone gets to use your TRIOS, anywhere in your office. You no longer need to have one operatory dedicated to intraoral scanning. TRIOS Share enables you to walk from room to room with TRIOS in your hand because the TRIOS scanner (wand) connects to your internet via Wi-Fi. That means you or anyone on your team can use whatever PC is in your respective operatory to scan with and manage cases on – even your Practice Management System PCs. It also means that you maximize your investment and minimize your costs because TRIOS Share can be activated for free with every TRIOS Wireless scanner. And it makes it easy for your team to scan every patient and build a digital patient library for your practice. “TRIOS Share takes wireless intraoral scanning to a whole new level! You now cover your entire practice with just one scanner. Anywhere you have internet and a PC, you can use your wireless TRIOS,” says 3Shape Senior Vice President for Product Strategy, Rune Fisker. He adds: “Other brands may be wireless, but only our award-winning 3Shape TRIOS wireless intraoral scanners deliver real wireless freedom.” New products from 3Shape Developed for TRIOS 5 but works on every TRIOS wireless model We originally developed TRIOS Share for the just-launched TRIOS 5 Wireless intraoral scanner. But due to the enormous data-crunching power in all our wireless scanners, every 3Shape TRIOS wireless model can now take advantage of TRIOS Share too. (TRIOS 3 & 4 wireless) How TRIOS Share works Your TRIOS wireless scanner connects to your practice’s network via Wi-Fi. Then, using one of two scenarios, you either mirror the screen from your original TRIOS PC to every PC in your practice using Splashtop*or have multiple TRIOS scanning PCs that connect to your practice’s network. You can then walk from room to room with your TRIOS (because it is connected to your Wi-Fi) and use whatever PC is in the respective room as a monitor to both scan and plan on. Extra 3Shape licenses are not needed, and Wi-Fi hubs or clear paths to them are unnecessary. That is because TRIOS runs on standard Wi-Fi and not 60 GHz like one of the other brands. Just make sure that there’s Wi-Fi in every room you use your TRIOS in and a PC connected to your network. TRIOS Share even works on practice PCs. Discover more about TRIOS Share: www.3shape.com/share * Splashtop is a third-party software with a separate subscription needed. Kids Crowns are expanding their range Take a sneak peak at the new product coming soon! Talking to paediatric and general dentists there is an obvious increase in demand for aesthetically pleasing deciduous crowns. Until now, there are some alternatives including Zirconia Crowns, which can be quite costly for the parent and/or dentist. Orien has found a product that can reduce the financial strain on clinicians and parents alike. The new product that we have been working on fits the bill (and the tooth) perfectly. Zirconia Kids Crowns in variety of sizes that you can choose from just like you would a SS crown is coming soon! The Orien Group Phone: 1300 880 711 Fax: (03) 8358 4559 www.oriendentalsupplies.com.au New products fromOrien Kids Crowns – testimonial Dr Kar Mun Chan runs three large specialist dental practices with nine operators and is well known in the dental industry for her compassionate nature providing quality treatment for her small patients. As a paediatric dentist, she opened her first pediatric clinic, Kiddies Dental Care, in 2006. Dr Chan has been using Kids Crowns since released in Australia back in 2019. “Kids Crowns are cost effective and easy to order, Orien is a great company to deal with and the staff and sales team are very efficient and helpful.” Previously, Dr Chan was using other comparable products and at a significantly higher price. At Orien, we wanted to ensure we found a product that would be cost effective but ensure the quality is on par with similar products in the market. “We use them because they fit well on most primary molars, especially on the tricky upper D’s, and the range of sizes is great. We have used some other stainless steel crown brands however, we find the quality and fit of Kids Crowns superior to others and we haven’t had to change our technique. Kids crowns are available from Orien Dental Supplies via 1300 880711 or www.oriendentalsupplies.com.au
PRODUCTS 6 AUSTRALASIAN DENTIST Ivoclar, one of the world’s leading suppliers of integrated solutions for high-quality dental applications with a comprehensive range of products and systems for dentists* and dental technicians*, revolutionised the fabrication of complete dentures two years ago with the introduction of the Ivotion Denture System. This innovative, multi-award-winning system pioneered a complete workflow for the digital fabrication of high-quality dentures from a single monolithic disc in just one milling cycle. Only just recently, Ivotion was awarded the Innovation Prize at the “Dental Forum 2022” in Paris as well as the prize for best dental technology product at “KRAKDENT 2022” in Kraków. In October, the company will take things a step further and expand its partnership with exocad, one of the leading providers of dental CAD/CAM software. The integration of the Ivotion Denture add-on module in the exocad DentalCAD software will New products from Ivoclar PDS NOW Teeth Whitening System The NOW teeth whitening system is only available from dentists and has a proven track record of predictable tooth whitening. Figure 1 (below) shows the actual shade change from the molars to the aesthetic zone New products from Professional Dentist Supplies NOW is available from dental retailers as either a 16% or 10% high viscosity Carbamide Peroxide gel. NEW PDS Chlorofluor Toothpaste Chlorhexidine has been the gold standard for the pharmacological management of gingival inflammation for over 50 years Since then, numerous studies have confirmed that regular application leads to a reduction in plaque and gingival inflammation. Further clinical studies have shown that brushing with a toothpaste or gel minimizes any stain formation as opposed to rinsing with a chlorhexidine liquid can cause staining at the cervical margins after about 2 weeks. Chlorofluor Toothpaste is an exciting new addition to the PDS Chlorofluor range. It is light textured with a fresh mint flavour and has all the included benefits of the rest of the PDS Chlorofluor range. Chlorofluor Toothpaste is indicated for patients after minor oral surgery to help reduce the chances of infection during post treatment healing. Chlorofluor Toothpaste is ideal for patients with chronic gingival problems who may find this treatment helps them reduce inflammation and eventually enables them to eventually revert back to conventional tooth paste and mechanical plaque removal. Patients who are unable to maintain adequate plaque control or are highly susceptible to their oral flora can successfully continue with this treatment protocol for extended periods with professional supervision. Gingival inflammation can be associated with cyclical episodes, often in line with the menstrual cycle and these patients may find relief using Chlorofluor Toothpaste during this time. Chlorofluor toothpaste is available in convenient 130g tubes from dental retailers for patient distribution. Strategic partnership: Ivoclar and exocad extend the options for digital dentures with integration in DentalCAD provide users with an efficient manufacturing workflow for digital fabrication of superior quality, removeable dentures. By integrating the Ivotion Denture add-on module in the DentalCAD software solution from exocad, Ivoclar is expanding its successful partnership with exocad in the area of digital dental workflows. As one of the leading manufacturers of dental CAD/CAM software in the dental industry, exocad has a large The special formula of NOW penetrates 25 microns into the enamel surface to assure a brighter, whiter smile for your patients. Using the special soft fitting double silicone tray provided, the small nodes are designed to hold the gel and prevent uncomfortable overspills. Your patients will notice the benefits of NOW after just one week using the trays for just 15 minutes, once a day.
A BRIGHTER, MORE CONFIDENT SMILE IN 5 DAYS www.polawhite.com.au orders phone 1300 65 88 22 | orders fax 1300 65 88 10 Call 1800 337 003 www.sdi.com.au » Pola Light is super safe, doesn’t burn the gums, and produces the whitest natural shade over time. Best of all, patients can whiten from the comfort of their own homes. « Miles Cone, DMD, MS, CDT, FACP - USA
PRODUCTS 8 AUSTRALASIAN DENTIST customer base as well as comprehensive experience in dental software products. Thanks to this collaboration, customers of both companies can now enjoy a seamless and state-of-the-art workflow for rapid digital fabrication of removeable dentures. As part of this cooperation, the Ivotion Denture add-on module will be integrated with the exocad DentalCAD system so that users of the software can design their digital dentures in the environment to which they are accustomed. The optimised workflow enables custom fabrication and a result that is adapted to the needs of the patient. Moreover, the integration also provides users with access to the popular Ivoclar tooth libraries with full-arch setups, morphing tools, and setup features. For even better offer customization, the third gingival shade that was introduced for the first time last year can also be used. The Ivotion Denture add-on module from Ivoclar also contains all the features of the oversize workflow in combination with the proven Ivotion Base, Ivotion Dent, and Ivotion Dent Multi discs. To round off the range of applications, the features of the monolithic workflow with Ivotion and Shell Geometry are also on board. The Ivotion Denture System – a successful, forward-looking system solution Digital dentures are gaining ground across the world, and a growing number of dentists, dental technicians, and dental laboratory owners are switching their processes to an entirely digital workflow. That is why Ivoclar is increasingly focused on effective digital solutions and was hugely successful in 2020 with a completely new workflow for highquality digital dentures. Thanks to the Ivotion Denture System, the company already set new standards two years ago in the fabrication of complete dentures, and since launching, has impressed customers worldwide with its very own system solution. The state-of-the-art system is part of the Digital Denture Workflow and allows dentists and dental technicians to benefit from efficient digital fabrication of dentures at revolutionary speeds. In addition to user-friendly handling, the rapid results, in particular, have won over users as well as a large number of patients. It is now already possible for users to intuitively design digital dentures with the 3Shape Dental system software. In the next stage of development, exocad users should now also be able to make the most of efficient design using Ivotion. The key element here of the Ivotion Denture System is the innovative Ivotion disc. It is used in monolithic fabrication of complete dentures and combines proven tooth and denture base materials in a single disc. As a result, digital dentures can be fabricated from just a single unit. Eliminating the usual cementation step in this way results in a significantly longer lifetime and considerably faster fabrication. Fast, efficient, predictable – the comprehensive approach of the Ivotion workflow Thanks to its open structure, exocad DentalCAD can be easily used with existing systems in the Ivoclar range of PrograScan laboratory scanners and PrograMill milling machines and can be seamlessly integrated in the digital Ivotion workflow. The PrograScan PS5 and PS3 laboratory scanners have made a lasting impact on the market with their powerful and reliable scanning. Thanks to the interface, their high precision and speed can now also be used with the exocad DentalCAD software, and digital impressions can be integrated directly as colour models. As a flagship product, PrograScan PS5 also allows scanning of conventional impressions and enables reliable, high-resolution results. The sophisticated scanning software of the Ivoclar PrograScan series provides intuitive handling for preparing the fabrication of digital dentures as well as a guided scan workflow. In combination with the sophisticated design options of the exocad DentalCAD software, users benefit from a logical, integrated workflow that significantly eases the design phase and subsequent fabrication. With their outstanding precision, the PrograMill series of milling machines enable the perfect fit. Alongside integration in the sophisticated Digital Denture Workflow, aesthetic, fracture-resistant results have never been easier to achieve. The PrograMill milling machines have impressed for years with their power and dynamic functionality, setting new standards in digital fabrication of restorations. The 5-axis high-performance milling machine PrograMill PM7 supports a wide range of materials and applications in both wet and dry mode, and thanks to its high-performance spindle, delivers first-class surface quality in an incredibly short time. The seamless connection with the digital workflow, in combination with intuitive operation, enables smooth handling as part of the daily routine. With the introduction of the Ivotion Denture System, Ivoclar achieved a milestone in removeable dentures. Now, with the Ivotion Denture add-on module, it has cleverly expanded this successful product. As a result, exocad users can also access the entire range as well as all the benefits it provides. The partnership with exocad represents another logical step for Ivoclar in the continuous expansion of the Ivotion Denture System, optimizing it to suit customer needs, and so providing even more users with access to the digital workflow for denture fabrication. The Ivotion Denture add-on module will be available in October 2022 for all interested users. More information on the digital workflow and digital solutions from Ivoclar is available at: https://www.ivoclar.com
orders phone 1300 65 88 22 | orders fax 1300 65 88 10 Call 1800 337 003 www.sdi.com.au RIVA IONGLASS FOR STRONGER HEALTHIER TEETH Riva Self Cure and Riva Light Cure are now 70% easier to activate. This SDI Australian innovation makes restorations faster and easier than ever before. • Creamier, non-stick and smoother handling • High fluoride release • Superior strength BIOMIMETIC FORMULA RIVA
CATEGORY 10 AUSTRALASIAN DENTIST In its simplest form teeth whitening is an affordable way for a patient to look more attractive and enjoy more confidence with greater self-esteem. But more importantly, a patient saying ‘Yes’ to whitening their teeth is usually a patient who is also saying ‘I care about my smile. Over time there is a greater possibility of engaging with them about other higher-value treatment plans. Teeth whitening sows the seed of cosmetic possibilities. The challenge for dental practices and their teams is how to create this situation and help to educate their patients. Here are 3 ways to increase a dental team’s whitening case acceptance rates. 1. First, what is proving highly successful with dental teams is to focus on the problem at hand which are tooth stains and discolourations. Teeth whitening is the solution. By discussing the problem (tooth stains), you are gently trying to see if the patient is concerned about these discolourations. A softer approach like this is less sales orientated than simply suggesting that they might want to whiten their teeth. To do this introduce during every adult routine check-up or new patent consult a VITA stain check, noting the result in the medical history notes. Explain why you are doing this (to measure and monitor the patient’s tooth discolourations over time and ask them if this is something that troubles them). Revisit at every annual check-up. The added benefit of this scenario is that a patient saying ‘No’ they are not troubled by their tooth colour’ is not a wrong reply. It ensures that they are unlikely to waste money on products that do not work or risk their oral health on dangerous levels of either regulated or illegal ingredients. 2. Typically people avoid or move away from fear or pain towards pleasure. With that in mind, you can now easily discuss the dangers of not following a dental professional’s teeth whitening treatment plan. The term ‘treatment plan’ is also worth noting, as that is what whitening is. It is not a product, and the process starts with an assessment appointment with a dentist. A tooth whitening treatment plan would include the following: a. A full oral health assessment is to ensure that the patent is suitable for whitening. b. VITA stain check and pre-treatment photographs followed by posttreatment stain comparison and photographs tomeasure the results and the level of patient satisfaction c. High-quality dentin-specific trays are essential to prevent the possibility of saliva washout, which can lead to gingival irritation, tooth sensitivity, burnt gums, and swollen lips, whilst ensuring a more even and effective whitening. d. Whitening your way! Ensuring the patient is more likely to comply by providing them with treatment options that most suits their lifestyle. (Day whitening/night whitening or in-chair) e. Reduce the likelihood of tooth sensitivity by helping the patient manage any early signs quickly and effectively. f. For home whitening, a day six courtesy call ensures that the patient follows the treatment plan and sensitivity is OK. By making this call, if there are sensitivity problems, measures can be put in place to reduce this side effect. g. Pre book the patient’s 20-day 5-minute recall appointment. The knowledge of an end-of-treatment recall appointment ensures that the patient is more likely to complete the treatment plan. By engaging with a patient and discussing the risks associated with whitening via non-dental professionals, we can demonstrate the added VALUE and SAFETY of teeth whitening with a dental professional. 3. Time management In Australia, we have access to high-quality teeth whitening products manufactured from two safe and proven chemicals, carbamide and hydrogen peroxide. These are known to whiten teeth safely, including brands such as Opalescence, Phillips Zoom, Pola, Boutique and Colgate. Other MOL brands are available; however, those mentioned are successful across many markets. The key to more effective whitening with superior results is managing time, the reason for the discolouration’s balanced with how a patient would prefer to whiten. Time on the tooth wins, whether 30 minutes, 60 minutes, or overnight whitening. As indicated in the treatment plan above, by discussing these options with a patient, you provide them with the opportunity to ‘whiten their way’, ensuring better compliance. In summary, less than a third of adults who are considering whitening their teeth seek the help of a dental professional. We have an oral health risk. The dental industry in Australia needs to lead the teeth whitening market, not supermarkets, salons, or spas. We can achieve this through our education. Teeth whitening is a highly sort after cosmetic solution that helps people who suffer from the emotional problem of tooth discolouration. We know that conservatively 20% of adults are considering whitening their teeth. To help start this cosmetic engagement, focus on tooth stains and discolourations – then add value. If every practice in Australia could treat one whitening patient a day, this vast industry would be much safer. u Stephen Douglas is the founder of The Whitening Project created to support dental practices and their teams to overcome the challenges they face with teeth whitening. For more information call Steve on 0416 629 015, email stephen@thewhiteningproject. com.au or to book a strategy call scan this QR Code. INNOVATIONS How to Start a Cosmetic Engagement with Teeth Whitening By Stephen Douglas
0 Rate of Decline (%) Hours 0 10 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 20 30 40 50 Hydrogen Peroxide Carbamide Peroxide Boutique o ers two di erent options to whiten your teeth. Our 6&9% gels go to work immediately, and need only be used for 30 mins (9%) or 1 to 2 hours per day (6%). Our 10% and 16% gels work much slower, and gently whiten your teeth as you sleep. Whiten your teeth, your way! THE GOLD STANDARD IN TEETH WHITENING PH NEUTRAL GELS TO PROTECT TEETH AND GUMS HIGHEST STRENGTH FORMULA FOR RAPID RESULTS INTEGRATED POTASSIUM NITRATE TO REDUCE SENSITIVITY HIGH WATER CONTENT TO KEEP TEETH HYDRATED VISCOUS GELS TO REDUCE SALIVA WASH-OUT Boutique Whitening is an exceptional product that has had a huge impact on my clinical practice. Working in a cosmetically focussed clinic, my patients have very high expectations, and Boutique delivers optimum results every time. The packaging is beautiful. The damask box, the metal presentation case and matching bags, instantly convey a luxury, quality feel. The range of gels allows me flexibility in customising bespoke whitening regimes. I have used most systems and choose Boutique primarily because of the consistent results. Most patients reach B1 (without the need for a ‘B1 guarantee’) and sensitivity is rare. The Boutique Team are fantastic. World class customer service and marketing support has allowed me to massively increase revenue from tooth whitening procedures. Dr David Bretton BDS MFDS RCSEd PGDip(Endo) ONE OF OUR HAPPY CUSTOMERS! Pictures courtesy of Kushal Gadhia. PLUS GST NO TRAYS +12ML OF GEL FULL KIT $47.97 PLUS GST TRAYS + 12ML OF GEL KIT+TRAYS $135.97 For more info or to place an order please email info@boutiquewhitening.com.au or call 03 5332 3827 www.boutiquewhitening.com By Day 6% or 9% HP - By Night 10 or 16 or 22% CP. Single Syringes Available at $10.74+GST.
12 AUSTRALASIAN DENTIST INNOVATIONS Streamlining your practice is more than just investing in new equipment or the latest technology. And whilst the intraoral scanner has revolutionised dental practices in many ways, the software system that sits behind the scanner could be just as important to achieving practice efficiency. Clinical and office teams need to work together. Having systems that easily connect and integrate a patient’s data, and can be updated electronically and in realtime, helps teams easily work together. Additionally, cloud-based software means that dentists and practice employees can work from any location and have the same access to patient scans and information, at the same time. It all starts with a scan. One scan. That’s all it takes with iTero intraoral scanners to discover interproximal caries, compare scans to review patient progress and view occlusal contact points. Together with myiTero.com, practices now have an end-to-end digital patient workflow from pre-treatment to long-life patient monitoring. myiTero.com is a web-based platform that captures data from the iTero intraoral scanner imaging system. The cloud-based platform features unlimited data storage and has been designed with usability and a ‘plug and play’ approach. myiTero.com’s touch screen interface is intuitive and simple to navigate and the platform links to the iTero intraoral scanner via a Wi-Fi connection. Images from iTero’s intraoral scanner can be uploaded to a patient’s file within minutes. myiTero.com directs you every step of the way. While exporting scans from myiTero.com may be the primary use for most dental practitioners using this platform, there are many benefits of having a cloud-based platform. Practitioners and practice staff can set up a prescription before a patient arrives for their appointment, perform an intraoral scan, review images captured from the intraoral scan from multiple devices and show and help educate the patient. iTero® scanner’s ongoing evolution – myiTero.com From intraoral scanning to a multi-faceted workflow platform Scans can be reviewed with the patient on multiple devices. This frees up the intraoral scanner for use by other dental practice staff – maximising utilisation of the device and investment in the technology and giving the practice flexibility to assist more patients. myiTero.com seamlessly integrates with practice management software so practices do not have to spend unnecessary time aligning different software systems. Features of myiTero.com u Easy-to-use-interface: View your iTero intraoral scanner interface on a PC, Mac or tablet u Anywhere, anytime access: Cases and records accessible via the web-based platform u Dental Software: ability to upload all diagnostic information – screenshots, images, and digital models directly into your clinical software u Chair time efficiency: Set up a prescription before the patient arrives u Integrated support: Stay informed with a dedicated message inbox from iTero u Barrier-free lab transfers: Transfer cases to the lab of your choice
orders phone 1300 65 88 22 | orders fax 1300 65 88 10 Call 1800 337 003 www.sdi.com.au THE ALL-IN-ONE ADHESIVE SOLUTION FOR EVERY SITUATION ZIPBOND UNIVERSAL ADHESIVE 2021 Dental Advisor evaluation: 93% Dental Advisor clinical rating ZERO post op sensitivity after 862 applications 100% Dentists would recommend Zipbond includes MDP BPA and HEMA free
14 AUSTRALASIAN DENTIST INNOVATIONS CURAPROX 950 ppm Fluoride .... APPLE + ALOE CURAPROX AUSTRALIA | www.curaprox.com.au | 08 7079 3779 Apple banner.indd 1 8/02/2022 3:40:27 PM Inspire treatment acceptance using iTero Scan Reports1. Digital patient records mean dental practitioners can show patients what is happening to their dentition over time and offer preventative or restorative treatments – while the patient is in the chair. iTero intraoral scanner patient scans can be compiled using iTero Scan Reports into a personalised report and emailed directly to patients. This report provides a detailed summary of a patient visit, diagnostic information – screenshots, images, and digital models. With the results of their appointment at their fingertips, patients canseewhat thedental practitioner is explaining, are better educated, andmore likely to accept the proposed treatment. It’s iTero’s unique NIRI technology2 that helps patients see what you see. The iTero 5D Element Imaging System is the first integrated digital imaging system that simultaneously records 3D intra-oral colour and near-infrared imaging (NIRI) images and enables comparison over time using iTero TimeLapse. In as little as 60 seconds3, iTero provides doctors with powerful visualisation capabilities. In the chair, the patient can see what dental practitioners see. The platform nature of the iTero 5D Element Imaging System makes it easy for dental professionals to adopt myiTerowhen they are ready. myiTero.com is included in the iTero 5D Element Imaging System. u If you’re ready to take the next step in transforming your consultation process, streamlining your practice, and making the most of your investment, we’re here to help. Reach out to the team at Align Technology for any further information – AU 1800 468 472 NZ 0800 542 123, check out the website – itero.com – or request a demo. This article is sponsored by Invisalign Australia Pty Limited and is the fourth in the Gamechanger – iTero Element 5D series. See Australasian Dentist Issue 92 (Mar-Apr 2022), issue 93 (May-Jun 2022), and issue 94 (Jul-Aug 2022) for previous articles in this series. iTero® is an intra-oral scanner used to record images of teeth and oral tissue. Always follow the directions for use. © Align Technology, Inc. All rights reserved. 1. iTero Scan Report is available on iTero Element 5D Plus, Element 5D and Element 2 scanner models only and requires an active “Orthodontics/Restorative Comprehensive” service plan. For all new iTero Element purchases, the complimentary “Orthodontics/ Restorative Comprehensive” service plan is offered at no additional cost for the first 12 months of iTero scanner ownership (“Initial Term”). After the Initial Term, access to iTero Scan Report is dependent upon payment of a monthly or annual service fee. 2. Access to iTero NIRI Technology is only available on the iTero Element 5D Plus (Cart and Mobile) and iTero Element 5D scanner models and is included in the “Orthodontics/ Restorative Comprehensive” service plan and “Restorative Foundation” service plan. iTero Element Plus Lite software configuration excludes iTero NIRI interproximal caries detection aid which can be purchased for an additional fee. 3. Actual scan times depend on individual experience. This is based on 40 iRecord scanning sessions with an average of 58 seconds by 2 experienced persons scanning. Data on file at Align Technology as of February 10, 2017
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16 AUSTRALASIAN DENTIST Dr Fraser is a dental surgeon and cosmetic dentist. He is founder of AirSmile, a national comparison and booking portal for dental services, and Avenue Dental Kawana and Fresh Breath Clinic in Queensland. A passionate advocate for accessible, affordable and quality dental care for all Australians, Heath founded AirSmile in 2019 to enable more Australians to access these benefits. PROFILES Brighten up your practice.... BLACKBERRY + LICORICE CURAPROX CURAPROX AUSTRALIA | www.curaprox.com.au | 08 7079 3779 Blackberry banner.indd 1 8/02/2022 3:40:05 PM Australian consumers expect choice, convenience, and fair prices in every service they pay for – including in dentistry. Historically, the dental industry decided what was ‘good’ for the patient, requiring very little patient input. However, the rise of tech solutions that empower consumers means patients today are demanding more knowledge and control over their healthcare treatments.1 The rise of such engaged tech-enabled consumers may cause companies that failed to evolve to lose patients. Delivering a better, more convenient and faster service at a lower cost has become an essential way to keep up with higher patient expectations. Below are my 7 recommendations to help dental practices attract patients in an increasingly digitised world. 1. Have a digital marketing strategy. The digital world is here to stay, and if there is no digital component to your marketing and sales strategy, you will fall behind on patient lead generation. Existing and new customers demand digital pathways to find and interact with your practice. If you are time-poor, consider hiring a digital marketer to develop and implement a strategy. 2. Update your website. Have a well-designed, user-friendly website to capture client leads. Research shows 94% of people are more likely to choose a service provider that offers online bookings2. Get professional shots of your team and don’t use stock photos. Content is king, it is so important to publish highly relevant content that will attract your target audience and improve your Google rating. Figure out what type of patient you want to attract and talk to them via your website. You can’t please everyone, and you shouldn’t want to. You should also provide some pricing on your website to encourage patients best suited to your practice to book. 3. Find your niche. Focus on the services you offer that make you the best. Evaluate the local competition and communicate what makes you different. Have your point of difference showcased everywhere including website, social media platforms and in your practice. 4. Focus on patient experience. The digitally enabled consumer has much more choice and your reputation online will be critical to attracting this group. Ensure your staff is trained to provide exceptional service. Patients are more likely to remain loyal to a practice that provides a high standard of service, communicates Seven recommendations for dental practices to keep up with consumerism in dentistry effectively, listens to their needs, increases their knowledge, helps themunderstand the treatments provided, and alleviates anxiety or fear. 5. Make an impact in your clinic. As the first point of contact, your front office should welcome patients appropriately and interact with those who need nurturing over time. Dental assistants should be trained to be experts in patient care and offer strength in areas where you are weaker. This will give your employees greater job satisfaction. 6. Act on increased price transparency. In every other buying decision, customers get the option to research the cost and suitability of the service. This should be available in dentistry. For higher cost treatments, include detailed information about the treatment, why you recommend it and think about providing a payment plan to increase client conversion. 7. Be aware of the empowered patient. Patients more than ever wish to be involved in their healthcare decisions and are typically armed with more knowledge than in the past. Allow the patient to make their own dental decisions, address any fears and ensure they feel valued in the process. Patients want to be educated and it is our duty to guide them. When providing advice, lay out every option, from leaving an issue untreated to the highest standard of treatment available, and make them feel OK about the decision they make. Stick to the facts and be sure to provide all of the options without judgment on your side. The end goal is to create long-term and loyal patients who would be happy to return if they change their minds about a service. u 1. Deloitte, 2019, deloitte.com/content/dam/Deloitte/global/Documents/LifeSciences-Health-Care/gx-lshc-hc-outlook-2019.pdf 2. Gett App. 2021. getapp.com/resources/research-online-bookingimportance-of-appointment-scheduling/ Dr Fraser
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18 AUSTRALASIAN DENTIST Patients will love you.... GIN TONIC + PERSIMMON CURAPROX CURAPROX AUSTRALIA | www.curaprox.com.au | 08 7079 3779 Gin & Tonic banner.indd 1 8/02/2022 3:39:48 PM PROFILES Here’s how leveraging data can drive optimal clinical workflows The world is more digital and more virtual, and AI is on the rise. In the dental world, professionals can fully access their practice’s potential by making use of all the data this digital world has to offer. To truly grow in clinical knowledge, practices need data to refine the treatment process for patients. Opening access to new insights enables practices to welcome optimized clinical workflows for daily operations. That’s where DentalMonitoring’s intelligent solutions fit in. They were designed to promote enhanced care, practice growth and an improved patient experience. The DM Intelligent Platform, which includes a number of solutions such as remote monitoring and AI-based automation, offers a unified open workflow for the entire patient journey, encouraging lifelong patient engagement. The newest addition to this platform is DM Insights, a hub with essential practice data enabling much-needed access to clinical insights. If your goal is expanding the services provided or increasing the number of patients, streamlining processes to make room for that growth is essential. DM Insights is a one-stop platform tracking all the elements needed to better manage day-to-day operations: practice activity, clinical data, patient compliance, lead engagement and a unique benchmarking option to compare practice analytics with other practices and market trends. Imagine the implications. Practice activity data enables doctors to see pain points in operational efficiency. With clinical data, doctors and staff can measure and improve the quality of treatment. Access to numbers on patient compliance can drive patient communication efforts. And with lead engagement data, practices can gain new information on how to best attract new patients. Not only do these insights unlock a new level of clinical understanding, but they also help practices enhance the quality of care and grow at the same time. To be a top-performing practice, taking advantage of data is key. Seeing the numbers behind crucial components or patient treatment plans will usher in a complete breakthrough for clinical operations. With DM Insights, you can get an inside look into your practice and turn data into actionable insights. “What was eye opening to me and very valuable to me was the DM Insights – the latest from the team that’s making dentistry smarter Welcome to the modern age fact we hadbeenusingDMfor six years but we hadnoway to quantify the value proposition like oral hygiene. Is it getting better? Now we have a tool that says we can track it by a patient and by practice and say yes from aligner to aligner or braces to braces week to week. Oral hygiene is getting better, which means our communication systems are working so that’s fantastic. DM Insights is going to give information to me, but to the entire profession that we can use to make ourselves as an individual practitioner and as a profession so that we can give the best quality of care in the least amount of time and quite honestly with the greatest profitability.” Dr Terry Sellke Orthodontist in Chicago, IL USA. DM Insights will give you access to: u Practice Activity: Howdo the number of patients doctorsmonitor evolve over time? u Clinical Data: How can doctors improve treatment procedures? u Patient Compliance: Where do patients struggle? u Lead Engagement: How effective is early assessment of prospective patients? u Benchmark Performance: How does your patient compliance compare with other practices using DentalMonitoring? Plus we are continuing to roll out and update the system so you can take advantage of better data. DentalMonitoring exists to make dentistry smarter. That’s why we designed DM Insights to equip dental health professionals with a new level of clinical and operational knowledge. u Discover more and view Terry Sellke’s full interview on DM Insights at dentalmonitoring.com
dental-monitoring.com DentalMonitoring, SmileMate and Vision are products designed and manufactured by Dental Monitoring SAS, under the DentalMind branding for Health Care Professional (HCP). They are also used by patients under the mandatory supervision of Health Care Professional (HCP). DentalMonitoring and SmileMate are designed to assist HCP in observing remotely intra-oral situations (and monitor orthodontic treatments for DentalMonitoring). Refer to your HCP and/or the Instructions for Use before use. DentalMonitoring product is a medical device (in Europe only), registered as such and holding the CE mark. Vision simulations are generated using artificial intelligence, they are not contractual and may differ from the final results of the patient’s treatment. Products availability, claims and regulatory status may differ across countries depending on local regulations. Contact your local representative for further information. AD_MON_AD_069_01_rd_H_AU_en Braces just got Bolder Elastic compliance issues? Poor hygiene? Debonded bracket emergencies? DentalMonitoring can enhance your practice and patient care.
20 AUSTRALASIAN DENTIST Vegan and Herbal.... GRAPEFRUIT + BERGAMOT CURAPROX CURAPROX AUSTRALIA | www.curaprox.com.au | 08 7079 3779 Grapefruit banner.indd 1 8/02/2022 3:39:27 PM Parents are left in the dark Selecting the right dummy does not fall within the responsibility of any medical field, and there are no clear guidelines or protocols. Parents and medical professionals tend to choose whatever dummy the baby will keep in its mouth. The motivation for using a dummy seems to be simply to keep the baby quiet, and not for any other need. However, the consequences of using a dummy can be detrimental. “Most dummies prevent babies from using their tongue in such a way that they develop a healthy upper jaw,” Westermann explained. “When babies cannot use their Do dummies cause oral problems? “Dentists do not know about the connection” The wrong dummy can have a negative impact on a baby’s development. Dummies that restrict normal tongue function may give rise to incorrect swallowing, speech problems and malocclusions. However, a new generation of dummies has been especially designed to support healthy jaw development. Dentist, lecturer and mother of two, Andrea Westermann talks about her success with the Curaprox soother. tongue to exert pressure on the upper palate and expand it, this results in malocclusions such as an anterior open bite or a lateral crossbite. Persistent infantile swallowing is not uncommon either. When babies switch to eating solid food around seven months, the swallowing pattern naturally changes. But using the wrong dummy can block this transition. Lastly, learning to speak while still using a dummy can lead to speech problems, which often result in learning difficulties later in life.” “I have noticed that parents cannot find answers to the many questions that they have about dummies. They are bombarded by marketing, fashion trends and advice on varying sizes and supposedly dentistapproved dummies that may not even be healthy. Most health professionals have no idea about the matter either. Dentists do not know about the connection between malocclusions and speech problems. Cases of children needing speech therapy because they have used the wrong dummy are rapidly increasing, but interdisciplinary collaboration between dental professionals and speech therapists is rare. Most children do not get the necessary treatment.” The Curaprox soother – supporting healthy growth “What has always struck me as odd is that midwives and parents use any dummy that ‘sticks’,” Westermann said. “Breastfeeding may need a few weeks’ training before mother and child know what they are doing. However, we just use any dummy that does not fall out of the baby’s mouth. An ideal dummy should teach babies how to use the tongue, jaw and face muscles correctly, so that the jaw and occlusion can develop optimally. This is where the Curaprox soother comes in.” PROFILES
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