41994_Australasian_Dentist_100_EMAG

Australia’s leading clinical, business, technology & lifestyle magazine for the dental professional tr li ’s l i li i l, i , t l lif t l zi f r t t l r f i l

AUSTRALASIAN DENTIST No.100 SEPT-OCT 2023

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No.100 SEPT-OCT 2023 .1 0 S - 2023 .

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Con ten t s

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2 News 16 Innovations 20 Products 28 Cover Story

76 Miniature Implants. A New Solution: from simple to complicated clinical situation 80 Programat CS6: Next-generation vacuum furnace for ceramics and Zirconia 82 Bulk-fill and universal composites 86 PMMA-GRAPHENE: a new restorative material for digital work flow 88 TMJ Surgery – what’s it all about? 90 Minimising peri-implant complications through optimal management of the oral microbiome 94 Etching solution on Zirconia crowns 97 Artifical Intelligence 100 Company Profile 111 Aquisitions 115 Columnists 118 Surgery Design & Fitouts 122 Finance 126 Is there life after Dental Practice ownership 127 Gamma Talk: Radiation Safety 128 The Full Complement 102 Software 104 Property 108 Infection Control

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The new way forward for oral surgery

32 Events 46 Clinical 46 Benefits of adolescent orthodontic treatment 52 Adequate treatment of adjacent interproximal defects 54 Waterpik ® Water Flosser: 3X as effective as string floss for orthodontic patients 56 A step-by-step approach to aesthetic excellence: Every detail matters 60 Important! Lower Face injectable treatments you need to know 62 Antibiotics and botox: Know the risks! 66 Clinical Management of Deep Subgingival Margin Elevation in Posterior Teeth with Structural Compromise 70 Socket Shield – uncompromised aesthetics & architecture through biologic preservation 74 Successful regeneration of large horizontal defect in the posterior mandible using creos™ biomaterials 75 Significantly increased soft tissue thickness around NobelActive® TiUltra™ and On1™ Base Xeal™ after 1 year

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The Australasian Dentist publication has been independently audited under the AMAA's CAB Total Distribution Audit. Audit Period to June 2020 12,835

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Advertising Tel: 03 9502 0792 Mobile: 0402 405 279 Editorial, subscription and mailing enquiries Tel: 03 9502 0792

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

Email: gapmagazines@gmail.com PO Box 4230 Black Rock, Vic 3193

Publisher Great Australian Publishing 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.

Amos Lang – Managing Editor Founding editor & publisher of Australasian Dentist and Implant Dentistry Today ; editor and journalist. B.A. (Writing Majors)

Service (C.A.P.S ) Feature writer Danny Chan

NEWS

AOS sponsorship

Public notice W e advise that Mr Myles Holt is no longer registered as per the public register located at https://www.ahpra. gov.au/. Mr Holt can therefore no longer practice as a dentist or hold himself out to be a dentist. Several dentists have contacted this publication concerned that there is no information from AADFA on their seminars or who can now conduct them. On another related matter, DEAC has no regulatory authority and cannot determinetheCPDstatusofanyindividual, practitioner or dental course. e DEAC also cannot authorise accreditation of any individual, practitioner or dental course. It is not formally tasked by any recognised dental association or board to issue any accreditation. Mr Holt has been contacted for comment but hasn’t responded. u

A rk Health has announced its new sponsorship of the Australasian Osseointegration Society’s (AOS) NSW Branch. e collaboration marks the company’s continued commitment to enhancing its surgical product range while bolstering its support for oral surgery practitioners across Australia.

is sponsorship aligns with Ark Health’s mission to broaden its o ering in the dental surgery eld. By partnering with AOS NSW, Ark Health solidi es its dedication to propelling the eld of oral surgery forward. “Our sponsorship of the Australasian Osseointegration Society’s NSW Branch underlines our oral surgery aspirations,” saidNoah Shroot, theMarketingManager at Ark Health. “We’ve worked hard over the last few years to bring agship names such as EthOss Bone Regeneration and W&H into our surgical portfolio as we continue to help empower clinicians specialising in oral surgery.” u

Noah Shroot

Drop in waiting times for public dental care, but concerns remain over long-term access

W aiting times for public dental treatment dropped to an average 16.5months inDecember 2022 as a result of a one-o injection of funds, however concerns remain about ongoing access to dental care for more than 1.5 million eligible Victorians. “ ese are the lowest waiting times to access public dental care in Victoria since 2016/17, which comes o the back of ongoing advocacy from the ADAVB to increase funding,” said ADAVB President A/Prof Warren Shnider. “However, waiting more than 12 months is still unacceptable for patients with signi cant treatment needs.” e Victorian Government provided $27 million last year to target waiting lists after the delays in accessing care imposed by government restrictions, which had seen the waiting time blow out to 26.7 months in June 2022. is additional funding has helped to remove a large number of patients from the waiting list, but concerns remain about the ability of eligible patients to access care given the chronic underfunding of public dentistry. “History tells us that these one-o injections of cash only o er short term relief, and without a more sustainable approach, we know that waiting times will rapidly increase,” said A/Prof Shnider. Treatment activity appears to be returning to normal levels, with 205,516 people treated from June – December 2022 (including 124,766 adult patients). However, this is still only a small fraction of the 1.5 million adults who are eligible to access dental care. While people wait for dental care, their existing problems worsen and often lead to the need for emergency treatment. Over the past 6 months around one third of all courses of care in the public system were for emergencies rather than routine and preventive treatment. e data also highlights signi cant issues with the public dental workforce, with the number of clinicians declining by 21.6 FTE sta over the past 6 months, representing 6% of the workforce. “We have raised concerns during stalled enterprise bargaining negotiations last year about issues relating to recruitment and retention of dentists. It is vital that the Victorian Government addresses these

workforce issues as a matter of urgency to ensure that we have a strong public dental sector so that vulnerable Victorians can access necessary care.” Oral health is fundamental to overall health, wellbeing, and quality of life, and a healthy mouth enables people to eat, speak and socialise without pain, discomfort or embarrassment. Dental diseases lead to pain, discomfort and tooth loss, and can lead to di culties with chewing, swallowing and speech. Poor oral health can lead to problems with nutrition and general health, disruptions to sleep and productivity and can be a barrier to full participation in society including the ability to gain employment. ere are also links between poor oral health and general diseases including Type 2 diabetes and cardiovascular disease. “It’s also important for people to prioritise their oral health,” said A/Prof Shnider. “If you have delayed your dental visit because of the pandemic, now is the time to make that appointment for a check up. And following a few key things at home – brushing twice a day with uoride toothpaste, cleaning in between teeth and reducing the amount of sugary foods and drinks can go a long way to keeping your smile healthy.” Average waiting times at selected clinics: Melbourne u North Richmond Community Health: 40.6 months 4.8 months u Merri Health: 29.6 months 16.2 months u Banyule Community Health: 25.8 months 7.5 months Regional Victoria u South West Healthcare: 33.5 months 0.7 months u Latrobe Community Health Service: 30.4 months 15.2 months u Sunraysia Community Health: 27.1 months 3.2 months ese numbers re ect the average waiting time for people as they come o the waiting list for care. u

2 AUSTRALASIAN DENTIST

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CATEGORY N WS

Your family dental practice Create awarmand welcoming environment

Image by hannazasimova on Freepik

C hances are, you are promoting your surgery as a family dental practice, you have created a family friendly environment, perhaps placed a children’s’ play area in a corner of the waiting room. It’s a sincere and valid way to promote your practice, your sta and yourself to your patients. e focus is to make your patients feel part of your family practice. And what is more family-orientated than the Christmas Festive Season? So what can you do to make a visit to the dentist more enjoyable and inclusive for your patients this Christmas? Unreal Christmas Trees has a novel idea that is sure to bring a smile to patients and sta alike. eir creative team hire, install and remove stunningly decorated Christmas trees at a ordable prices for all to enjoy. Christmas is just around the corner and having a beautifully decorated Christmas tree in the waiting room can have many bene ts. 1. Create a festive and welcoming atmosphere: Aprofessionally decorated Christmas tree instantly creates a warm and welcoming atmosphere to the waiting room. Your patients, especially children will feel more at ease and relaxed while waiting for their appointments. 2. Distraction and entertainment: We know going to the dentist can be stressful for some people. A fun, decorated Christmas tree can serve as a distraction, is a talking point and make waiting time seem shorter and more enjoyable. 3. Positive associations: e holiday season is often associated with joy, happiness and celebration. By having a Christmas tree in the waiting

room, patients may develop positive connections with the dentist, which could help reduce anxiety and fear related to dental visits. 4. Enhance patient experience: Providing a pleasant and festive environment can contribute to an overall positive patient experience. Patients will appreciate the e ort put into decorating the o ce and feel that the dental practice cares about their comfort. Remember, Unreal Christmas Trees understands that you are busy running a dental practice and will take care of all the details for you. As a dental practitioner, all you have to do is enjoy your beautiful Christmas tree.

tree can also lift the spirits of sta , enhancing a happy work environment. It adds a touch of holiday cheer to the work environment making it more enjoy enjoyable for them as well. It also shows sta that they are important. 7. A Christmas tree showcases commun ity Involvement: Featuring a fun Christmas tree in the waiting room can demonstrate the dental practice’s involvement in the local community and its willingness to participate in festive traditions. A beautifully decorated Christmas tree in your dental surgery waiting room creates a positive and happy experience for patients and sta alike. Unreal Christmas Trees hire, install and remove beautiful Christmas trees … no fuss, no mess, no storage issues. Put a Christmas tree in your surgery this Christmas, it’s a joyful thing to do! Contact our professional sta to arrange a quote. Mention this article to receive a 10% discount when you hire or purchase a Christmas tree. u Contact: Unreal Christmas Trees P: 03 9646 2656 • M: 0419 553 432. E: sales@unrealchristmastrees.com.au

5. Encourage conversation and bonding: An exquisitely adorned Christmas tree can serve as a conversation starter, prompting patients to engage with each other and dental sta , personalizing the experience. It can also foster a sense of community and connection. 6. Boost sta morale: Coming to work and seeing a gorgeous Christmas

4 AUSTRALASIAN DENTIST

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Easing patient anxiety , with nitrous oxide sedation

T he team from Ritter Dental, a part of Mediquip, is supporting many Nitrous Oxide Relative Analgesia courses across Australia in 2023, using the popular Accutron systems. Nitrous Oxide Relative Analgesia is widely used in Australian dentistry to safely reduce patient anxiety and pain. e courses are for dental practitioners who have little or no experience in administering RA, and are also excellent refreshers for those wishing to update their theory and practical skills in the delivery of dental RA. Nitrous oxide sedation technology is a core part of Mediquip’s portfolio, with the AccutronDigital Ultra systembeing popular

Series Hotel e Larwill, located in the Royal Children’s Hospital precinct. With over 35 years’ dental experience, Dr Parker has practiced oral surgery and conscious sedation during his career starting in the Australian Army Dental Corps, and moving onto private practice in both dental surgery and hospital settings. A practical session provides dentists with opportunity to administer and experience e ects of nitrous oxide relative analgesia and grow con dence in the use and administration to patients – utilising equipment from the market-leader Accutron. Mediquip’s eld service engineers around Australia o er dental practices regular servicing and validation for all brands of RA systems, supporting the requirement under ADA Policy 6.17 that servicing of equipment and piped gases must occur on a regular basis and at least annually. u See more about the Melbourne training course at Ritter’s website: bit.ly/3NVnnZy

with clinicians for simpli ed patient administration, with its e cient system displaying all critical parameters both numerically and as electronic ow tubes. is technology complies with Australian Standards, policies and guidelines relevant to nitrous oxide equipment for dentistry. Ritter / Mediquip is running an ‘Easing Patient Anxiety’ course in Melbourne with a choice from two dates: Friday 16 or Saturday 17 February 2024. Presented by Dr Steven Parker, the one-day course for dentists explores relative analgesia, psycho-sedation and oral sedation − taking place at the Art

6 AUSTRALASIAN DENTIST

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CATEGORY N WS

e Bisco experience at Schaumburg

I llinois, Chicago is one of those milestone events in your life, never to be forgotten. In mid-July 2023, the team at Amalgadent Dental and one lucky Australian dentist, Dr Annie Tong, embarked on a learning adventure that would bond us forever. Flyingtwentyhours fromMelbourne,we arrived late Friday evening to a downpour in Chicago. Fortunately, it cleared up to a perfect Chicago summer day. We spent the Saturday and Sunday exploring the city before going to Schaumburg, the home of Bisco. Over the course of three days, we attended lectures and participated in physical laboratory testing of materials. ese sessions were conducted by: u e very humble Dr Byoung Suh, Founder and President of Bisco Dental products. u Dr Rolando Nunez, Director of Clinical A airs u Dr Erick Yu, Manager of Research and Development Technology u Dr Qiang Ma, Research Scientist u Dr Joseph Kim, Clinical Advisor We were rst greeted at the hotel by David Han, our most gracious and accommodating host. He was then followed by more of the Bisco family, Flemming Poulson, International Sales Manager and Terri from reception. ey all made us feel welcome and at home as we focused on the science behind the Bisco Dental product range. We learnt of the extensive science behind the customer service team. ey were able to eld every query with their vast knowledge in general and more speci cally the Bisco products range. Despite Rolando’s cowboy hat and rubber ducky shirt, Rolando could not disguise his professionalism and expertise

in the eld of Biomaterials and Research and Development. If anything, it further ampli ed his passion and die-hard belief in his work. He was at home and in his element sharing his knowledge and research ndings. Dr Suh also lectured us, more speci cally on the following topics: u About his new project, rewriting his Principals of Adhesion Dentistry. It will include the latest up to date technology and state of the art research. u Developing ethical, sound experiments in the lab. u e art of troubleshooting Zirconia bonding. u Breaking though the misconceptions of current adhesive protocols across the multitudes of substrates, whilst achieving biocompatibility e team approach demonstrated

David Han

between Dr Suh and his exemplary sta , constantly striving to “bridge thedisconnect between science and clinicians” was evident. We donned full PPE as we entered the lab. We were surrounded by high tech testing and experimental equipment. is gave us a fuller appreciation of the length of time it takes to “calibrate” the team for the utmost uniformity in testing. What astounded me the most was the dedication of everyone on the team. “If Dr Suh says do it again … you do it again. Over and over, again” said Dr Rolando amidst the high-tech equipment technology. Rolando emphasised core principles: “Respect and Honour. Believe that the data is valuable.” Over dinner we shared a never-ending menu, owing with beer and a Shandy or two. Dr Suh announced that the “Aussies were too loud,” whilst the Aussies declared the rowdy Venezuelan on the table was to blame. Many laughs were had and more

Dr Annie Tong with Dr Byuong Suh and Dr Rolando Nunez

8 AUSTRALASIAN DENTIST

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stories evolved. New friendships formed with the other attendees from around the world, including researchers, dentists and dental sales teams like ourselves. e atmosphere was full of warmth and shared respect. We all felt privileged to have been exposed to so much talent and meeting so many inspirational people. is brought home for us the essence of what truly makes dentistry even greater today. We understood the impact that dentistry transforms the lives of so many. Amalgadent Dental was pleased to experience the science live and rst-hand. We are proud to be bringing it all back home to you – Australia. Never before, have we believed in a dental product range as much as we do now. We will be forever grateful to Myer Rozen, Andre Herbert, Dr Suh, Dr Rolando Nunez and David Han – for helping breathe new life into dentistry. Dr Suh: u Dr Byoung Suh is the Founder and President of BISCO Dental Products, Inc. which is located in Schaumburg, Illinois. u With his background in research and

chemistry, his focus at BISCO is on dental materials research and product development. u He has over 30 patents and 19 patents pending and has published more than 30 articles and 80 abstracts and is author of “Principles of Adhesion Dentistry” u Dr Suh has become a well-known and sought-after lecturer and teacher lecturing extensively in the US and Canada, as well as in over 40 countries internationally u More than 250 lectures and presentations at various dental associations and research conventions around the world u Member of the American Chemical Society, the American & International Academies of Dental Research, the Kor ean Scientists & Engineers Association & also serves on the UCLA School of Dentistry Board of Counsellors u 2003: Dr Suh received the American Academy of Cosmetic Dentistry’s Presidential Award for “Outstanding Contributions to the Art and Science of Cosmetic Dentistry” u 2006: He also received the “Eugene W.

Dr Rolando Nunez

Skinner Award for Innovation” in 2006 from the Dental Materials Group of the American Academy of Dental Research u 2005: PhD degree in Dental Medicine from Tsurumi University, Yokohama, Japan u 1968: Master’s Degree in Chemistry from California State University, San Francisco, CA u 1960: Bachelor’s Degree in Chemistry at Sung-Kyun Kwan University, South Korea Rolando: u Dr Rolando Nuñez obtained his DDS degree from Central University in Venezuela u He completed a Biomaterials Program at the University of Alabama at Birmingham, where he obtained a MSc Biomaterials u At BISCO Dr Nunez acts as Director of Clinical Research. He also maintains a private practice in Venezuela where he focuses on Restorative Dentistry u Dr Nuñez has lectured worldwide in both academic and commercial venues, where his main topic of interest is the development of novel restorative materials as well as clinical protocols applied to restorative dentistry u

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CATEGORY N WS

D igitally always up to date: W&H is constantly rolling out software updates and new product features for the Implantmed Plus. is gives users unique perspectives when treating their patients and for their individual implantology and surgical work ows. For more than 20 years Implantmed from W&H has been helping clinics and dental practices ensure that their work processes are safe and e cient. Now, Implantmed software updates are opening up even more opportunities for users, whether they are using a brand-new device, or one that’s ve years old. ese updates are available for all Implantmed Plus devices, and users can continue to look forward to new features in the future. W&H is a digital pioneer W&H has been providing software updates for its Implantmed products for many years now, an approach that sets it apart from other manufacturers. e medical technology company also follows sustainable business practices, and takes into account key factors such as repairability, durability and upgradeability when developing its products. is helps to extend the service life of these products and conserve resources in the process. Sustainable solutions W&H stands for sustainable product and service solutions. Implantmed software updates ensure users always have a state of-the-art device at their disposal. e upgradeability helps to conserve resources and reduce costs for the customer at the same time. is approach helps keep Ready for the future with Implantmed Plus

W&H is constantly rolling out software updates and new product features for the Implantmed Plus. © W&H

devices in service for longer and ensures safe and e ective treatment thanks to new technical features and unrivalled reliability. Piezo technology as a simple add-on for Implantmed e launchof the Piezomedmodule –which can be combined with the Implantmed Plus as a simple add-on solution – was a highlight for W&H last year. is, coupled with the implant stability measurement and documentation feature, now makes

W&H the rst manufacturer to cover the entire surgical work ow. “ is way of thinking is exactly what we need moving forward, i.e. modular devices with a range of integrated features. And it shows that W&H’s thinking has extended way beyond the drill itself,” explains Dr Dennis Rohner. e Implantmed software updates were a key component of this innovative technology and provided the optimal conditions for easily combining the devices with each other. Ready for the future But it doesn’t stop there. W&H is working on further upgrades, the aim being to ensure that Implantmed Plus users are ready for the future at all times. As well as the option of combining the Implantmed with the Osstell Beacon and implementing the Zygoma handpiece, the number of drilling steps that can be selected has also been expanded. ere is further information on the latest software updates available at wh.com or through authorised W&H service partners, who support W&H customers with the Implantmed software updates. u

Modularity for optimal flexibility with the Implantmed Plus from W&H. © W&H

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CATEGORY N WS

Over half of Australians haven’t visited a dentist in the past year u e latest research from Compare the Market found that, on average, Australians paid $271.68 out of pocket for their last dental appointment. u General dental is the most used health insurance extras inclusion, with 47.6% of policyholders stating it’s their most used extras service.

“An extras policy is a great way to save on many out-of-hospital services that Medicare typically does not pay a bene t for. With the cost-of-living climbing, it’s important to ensure you are getting great value out of your extras policy. If you are paying for services you don’t use, or not satis ed with your returns, then it’s time to wake up to waste and compare your options,” Ms Hambilton said. “Depending on your health fund and level of extras cover, you may even be entitled to have your teeth cleaned with no out-of-pocket costs by visiting an eligible dentist. “With Dental Health Week here, it’s a good reminder of how important it is to look after your oral hygiene. “Iwouldadvise anyonewhohasn’t been to the dentist in at least the past 12 months to bite the bullet and book themselves in a general check-up and a clean. A bright smile could do wonders for your health.” u

W ith Dental Health Week underway, it’s a timely reminder of the value we should be putting into our oral health, especially considering how much dental health can a ect our overall health. Yet despite many of us being told to brush and oss twice a day from a young age, as well as getting annual dental check-ups, recent research from Compare the Market shows over half of Australians (51.5%) surveyed haven’t visited the dentist in the past year. Following up on this initial nding, Compare the Market asked over 1,000 Australians aged 18 and over about their dental health and found that the average Australian spent $271.68 out of pocket for their last dental visit.* e survey data also revealed that 53.3% of those previous dental visits were for general check-ups with a scale and clean, while another 11.8% went in for simple llings. Spokesperson for Compare the Market, Chris Ford spoke about the importance of good dental hygiene and how bad dental health could contribute to poorer health overall. “It’s surprising to see that over half of Australians have not visited a dentist in the past year, given how much of our overall bodily health could be in uenced just by what’s going in our mouth, especially if you don’t keep your teeth and gums clean,” Mr Ford said. “From in ammation of the heart

linings to respiratory diseases, the risk of these illnesses could be heightened by bad oral hygiene. “And while theremay be a stigma of fear surrounding a visit to the dentist, people should have more to fear about not booking a visit to the dentist, as many of these ailments could be prevented or treated through early detection.” e survey data found that a third (32.7%) of respondents don’t have an extras policy. As for those who had an extras policy, general dental was the most used inclusion (47.6%), followed by optical (29.9%). Compare the Market’s Head of Health Insurance, Lana Hambilton, spoke about how a private health insurance policy with extras can contribute towards the cost of some out-of-hospital services that Medicare might not pay a bene t for.

*

Compare the Market surveyed 1,007 Australians aged 18 and over in June 2023.

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CATEGORY INNOVATIONS

Elevating dental mastery: Precision unleashed through handpiece care

I n the dynamic realm of dental practice, where precision meets the artistry of patient care, even seemingly small details like dental handpiece maintenance wield the power to reshape the game. is isn’t just a routine; it’s your fairway to achieving a practice that’s a hole-in-one masterpiece. ere are several key handpiece maintenance considerations which are crucial for steering your practice towards lasting success. Handpieces: The fairway to precision ink of dental handpieces as your club selection in golf – each one designed for a speci c shot. ese instruments aren’t just tools; they’re your practice’s fairway to precision. ey dictate the success of every procedure, from llings to crowns. Just as a golfer re nes their club for the perfect swing, meticulous maintenance keeps handpieces at their peak, ensuring every stroke of care is on par. Efficiency and longevity: A swing for success In both dentistry and golf, mastering the fundamentals is the key. A well-maintained handpiece is your secret weapon for procedure e ciency and patient satisfaction. Just as a golfer maintains their clubs to avoid slices and hooks, keeping your handpieces in top shape prevents unnecessary breakdowns. Regular cleaning and lubrication reduce friction – the bogeyman of internal wear – extending the life of your tools and your bottom line.

A financial “green”: Investment in care Golfers know that investing in quality clubs pays o in better performance. Similarly, handpiece maintenance is a nancial investment in your practice. Ignoring it can lead to double bogeys – costly repairs and lost revenue due to downtime. On the ip side, routine maintenance keeps your nancial scorecard “in the green,” allowing you to focus on delivering exceptional patient care. Just as a skilled golfer knows a well-kept set of clubs is key to their game, well-maintained handpieces ensure your practice’s nancial health and operational e ciency. Patient safety: The ethical “fair play” In golf, following the rules is a matter of ethics. e same applies to dental

practice. Handpiece maintenance isn’t just a technicality; it’s an ethical obligation to patient safety. Just as golfers must maintain their equipment to keep it in top shape and enhance their game, dentists follow rigorous cleaning and sterilisation protocols. It’s not only a regulation but also a commitment to ensuring the well-being of patients, today and tomorrow. Innovation: navigating the green of progress Now, let’s dive into the world of innovation – the driving force of progress. Just as a golf pro’s swing re nes their game, the W&H Assistina Twin and Assistina One rede ne handpiece care.With their specialised spray nozzles, they artfully administer precise amounts of cleaning and lubrication solutions to each handpiece, executing

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CATEGORY INNOVATIONS

a seamless ten-second procedure. eir user-friendly single-button operation and compact form factor makes them an ideal t for the fast-paced realm of dental practices and mobile clinics. Much like selecting the perfect club for each shot, they’re a versatile match for various handpiece types, including turbines and contra-angle handpieces. It’s akin to guiding your practice with the nesse of a seasoned golfer’s expert drive – centered on propelling your practice towards advancement with every interaction. Beyond mechanics: A hole-in-one practice In golf, every shot counts. Similarly, in den tistry, every instrument matters. Handpiece maintenance transcends mechanics; it’s a

re ection of your practice’s commitment to excellence. Patients recognise the care you put into maintenance, just as golfers appre ciate a well-kept course. It’s not just about tools; it’s about creating an environment of trust and professionalism. Mastering handpiece care: A swing towards dental triumph Imagine handpiece maintenance as your golf swing, a winning stroke that demands precision and consistency. Just as a golfer ne-tunes their swing,

prioritising maintenance showcases your dedication to craft and patients. Each well-maintained handpiece becomes a step toward practice success, a ticket to the excellence of the green. Having a go-to source, like dentalhandpieces.au, as your caddy for MK-dent and W&H handpieces, accessories, and all you need for upkeep is invaluable. With 24/7 online ordering, hassle-free transactions and swift delivery, your practice operates at peak e ciency, much like a seasoned golfer nailing the perfect shot. u

AUSTRALASIAN DENTIST 17

CATEGORY INNOVATIONS

Charting a brighter future: Teeth whitening can be the key to dental practice resilience and growth

By Stephen Douglas

Stephen Douglas

I n today’s rapidly shifting Australian economic climate, most households need help to keep pace with the soaring cost of living. Consequently, dental practices aren’t exempt from this nancial strain. A striking 96%of dental practices have reported increased operational costs in the previous year. To add to this statistic, 86% anticipate confronting similar if not more severe, nancial pressures in the months ahead. It’s not just about rising expenses either. A signi cant 37% of dental practices have reported a noticeable drop in patient bookings. Moreover, nearly 39% anticipate a possible dip in their annual pro ts. In such a scenario, the impending question is – howdo dental practices navigate these economic challenges and ensure sustained growth? In this climate of adversity, progressive dental practices across the country are not just resting on their laurels. ey are on a relentless pursuit of ground breaking strategies to weather these challenges. So what’s the focus? Attract new clientele, expand their repertoire of services, and streamline their operations to ensure maximum e ciency. Teeth whitening has emerged as a beacon of hope amidst this backdrop. Projected to double its market size in the forthcoming half decade, this cosmetic procedure o ers practices an opportunity to cater to huge demand. However, beauty salons, spas, hairdressers, supermarkets, online pharmacies, illegal websites and products that do not whiten teeth currently enjoy this lucrative cosmetic treatment. It is a mistake. By strategically integrating a world-class teeth whitening team, dental practices stand to provide top-tier, e cient services, resulting in visibly radiant smiles and high patient satisfaction. A signi cant bene t of a patient agreeing to whiten their teeth is that this identi es a patient who cares about their smile. In time, they are more likely to be open to discussing higher-value cosmetic treatment plans.

Incorporating in-demand procedures such as teeth whitening bolsters the practice’s service suite and positively impacts pivotal KPIs. ere are numerous bene ts, such as enhanced patient satisfaction, improved treatment acceptance rates and increased patient retention. So what’s the bottom line? Inherently patient focused treatment plans, propelling signi cant revenue and consistent pro tability.

Yet, challenges remain. A recent survey revealed that 79% of dental practice managers cited two predominant hurdles: managing patient expectations and a discernible gap in clinical knowledge. ese challenges, while external, can hinder the growth trajectory of many practices. Is your practice feeling the pinch of these challenges? Drawing from extensive experience, encompassing over 600 practice visits and more than 2,000 strategic sessions, a trend has been observed. While generalising, many practices take a passive approach, often waiting for patients to initiate discussions on teeth whitening. If this resonates with you, there’s good news on the horizon. We have discovered a proven teeth whitening strategy and education program. is platform is suitable for all dental practices that can easily double, even triple, their whitening productivity, reduce clinical times, and produce more e ective results (with less sensitivity) without the normal frustrations practices and their patients su er from. Is it too good to be true? A global customer base across four continents with some of the best dentists in the world shows that our focus on education and support is a win-win for our clients. As a dental practice, if you are not starting at least 15 whitening cases a month, I can help you. u Join the revolution, and I can certainly promise a brighter future. For more information, contact Stephen Douglas directly 0416 629015 and book a complimentary call, or email stephen@thewhiteningproject.com.au

PEACH + APRICOT

SLS and Microplastics Free ....

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18 AUSTRALASIAN DENTIST

PRODUCTS

New Products fromNeoss

NeoScan 1000 Your solution for digital impressions at the right price! NeoScan™ 1000 Fast, accurate and easy to use NeoScan™ 1000 is a fast, accurate and easy-to-use intraoral scanner that provides the possibility for a flexible workflow that saves you time and money. u Easy to use u Fast and accurate scanning u Open system – implants, prosthetics and orthodontics u Attractive price and no license fees

The simplified USB cable connection gives you the option to share the scanner between dental chairs in your practice. No separate power source is needed. This easy-to-use scanner is what your practice needs. Best of all, the NeoScan 1000 comes at the right price and no license fees! Neoss Australia T 07 3216 0165 • E info.au@neoss.com

Neoss4+ Multi-Unit Abutments Experience easy-to-use full arch flexibility with predictable results using Neoss4+ The Multi-Unit Abutment is expertly crafted to restore function and esthetics in patients for full-arch restorations or partial bridge, especially when utilizing the well-established Neoss4+ treatment solution backed by clinical and scientific evidence. The abutment incorporates a clinical screw for ease of use, and our proprietary design enables tightening up to 32 Ncm, ensuring a secure fit. u Clinical screw fixed within the abutment – Our patented design secures the clinical screw in the abutment eliminating the risk of dropping it. u NeossONE – One prosthetic screw and one screwdriver for all Neoss products. u 10° option and lower vertical height – Only possible with Neoss thanks to our patented design. u Aesthetic yellow anodization – Achive better esthetics for peri-implant soft tissue with yellow coloured anodized titanium. Neoss Australia T 07 3216 0165 • E info.au@neoss.com

Neotell® Do you want to measure implant stability in seconds?

Neotell enables you to easily, accurately and swiftly determine implant stability in a matter of seconds. It utilises proprietary RFA (Resonance Frequency Analysis) technology backed by over 1,300 scientific studies. This evidence-based approach ensures objective results, minimises the need for invasive procedures and helps you make the right treatment choice. Neoss Australia T 07 3216 0165 E info.au@neoss.com

APPLE + ALOE

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20 AUSTRALASIAN DENTIST

Making the bone harvesting a handy procedure

Micross: a minimally invasive disposable device indicated for cortical bone harvesting. The excellent cutting performance, due to its outstanding micro-blade, allows for an easy collection of autologous bone, even in narrow and hard-to- reach areas. This harvesting technique warrants the best preservation of cell vitality of the cortical tissue, a fundamental characteristic for the best graft integration. The only instrument for the Tunnel harvesting technique Micross is the only bone harvesting device specifically studied for tunnel surgical techniques that minimise post operation discomfort. The external diameter of the cannula is 5mm and due to its particular shape the

instrument can be inserted in tissue tunnels in the intraoral area as the external oblique line, the cortical palatine and the zygomatic process.

Advantages of the disposable semicircular blade

• Maximum cutting efficiency • Collects cortical bone shavings of appropriate size and thickness for the graft integration • Excellent control during the harvesting procedure • Effective on any bone surface (plane, concave, convex) • No contamination due to the wear of the device By using Micross the bone tissue is directly collected in the chamber inside the cannula and it gets an excellent biological plasticity, because of the presence of coagulated blood. The volumising effect, due to the curly morphology of the collection reduces the quantity of bone needed to fill the defect and as a consequence it minimises invasiveness for the patient.

Geistlich Select

Sterile single pack: $137.50 AUD (inc. GST)

Product Code: MET-4049

For more information please contact your local Geistlich Product Specialist or call .

PRODUCTS

New Products from Amalgadent

Case courtesy of Dr. Raul Euan DDS

TheraBase Ca – Self Adhesive Calcium Releasing Base/Liner: TheraBase Ca is a dual-cure, calcium releasing, self adhesive base/liner. Utilising the THERA technology, TheraBase Ca chemically bonds to tooth structure, and releases and recharges calcium ions.* TheraBase Ca has high calcium ion release, generating an alkaline pH which promotes pulp vitality and will polymerise in deep restorations where light cannot reach. TheraBase Ca is stronger than other base materials, glass ionomers and resin-modified glass ionomers.* Additionally, it is radiopaque allowing for easy identification on radiographs, providing quick and effective diagnosis. TheraBase Ca Benefits: Releases calcium, self adhesive, high flexural strength, high compressive strength, contains MDP, easy to use, dual cured, alkaline pH, high degree of conversion and radiopaque.

Fig 1 After cavity prepara tion, all water was removed using a stream of air, leaving the surface visibly moist. TheraCal LC was applied on small pulp exposure and lightcured for 20 seconds.

Fig 2 TheraBase was applied to the dentin surface of the prepared cavity directly from the dispensing syringe.

Fig 4 A selective-etch bond ing technique was used to condition the surface of the preparation. Any bonding technique can be applied.

Fig 3 TheraBase was light cured for 20 seconds. If desired, TheraBase can be allowed to self-cure for 5 minutes.

* Data on le. BISCO, Inc.

TheraBase Ca is available from Amalgadent Dental. Call 1800 806 450 to order.

Fig 6 Restorations were filled with a light-cure composite material following manufacturer’s instructions.

Fig 5 All-Bond Universal® was applied following manufacturer’s instructions.

Brisbane Sleep Dentistry A beautiful smile while you sleep

- Specialist Anaesthetists - Medicare rebates available - Provided in your own rooms P 07 3910 5155 E p.manager@moban.com.au W www.moban.com.au

WATERMELON

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22 AUSTRALASIAN DENTIST

The Easy and Most Effective Way to Floss!

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Try Waterpik Yourself! Take advantage of our Professional Trial Offer with up to 60% off 1

Lunch on us!* Book your free lunch and learn NOW and ind out how Waterpik can bene it your practice and patients.

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Up to 2X as effective for improving gum health around implants vs string loss 2

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