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lab tribune Dental Tribune Middle East & Africa Edition | November-December 20142D The necessity of (Dental Technician-Patient) interaction for a successful esthetic material selection Interview: “One cannot just replace a technician with a machine” Interview with the Agnini brothers, dentists and prominent specialists in fixed prosthetics, periodontology, and implantology By Aiham Farah, Syria M ore important than the indications of a certain case, (especially when the need behind the treatment plan is the bleach-esthetic part in the first place), is to under- stand the patient’s needs and expectations. As a dental technician, you have to give your insights about a pos- sible solutions from the tech- nical standpoint, and whether these solutions can be done to the extent of the patient’s esthet- ic visualization, or if they will compromise another functional or phonetics parameters. By John Battersby, Singapore B rothers Dr Andrea Mastro- rosa Agnini and Dr Ales- sandro Agnini presented a series of lectures on digital dentistry and mastering the fully digital workflow at IDEM Singa- pore 2014 in April. The doctors Finding out more about the patient’s personality and what needs to be expressed with his/ her smile, will add a lot of judg- ment on our decision as to what to choose of restorative esthetic material. Like how bright the color should be? Is it a concern of how natural the outcome looks? Or on the contrary, what matters is how prominent and visible to everyone it is? This can be done only if we al- low the dental technician to in- teract with the patient’s person- ality that is hidden behind his replica plaster-working model! Therefor; I divide the esthetic- were two of the star speakers at the Dental Technician Forum introduced for the first time at this year’s IDEM Singapore. Be- tween their packed schedule of lectures and open panel discus- sions, the brothers took time out to answer some questions on their experiences in Asia, the seeking people, who show up to the dental studios asking for a change in their smiles (based on the intensity of bleach color required, and the concern of how life-like those ceramic teeth should look like) to a three cat- egories: Back to Natural – Bright decent – extreme white. Then I relate that to the most used esthetic re- storative material system in the world, the IPS e.max system. So The dental team can easily rely on certain factors in choos- ing: 1st. their restorative ingots ac- current state of digital dentistry, CAD/CAM, and 3-D printing, and the direction in which they see these technologies develop- ing in the future. John Battersby: Have you ob- served any difference between Asian and European techni- cording to a scale of bright-dark shades and transparent-opacity range. 2nd. the working technique to be carried out. For (Back to Natural) patients. The Layering working tech- nique is a must, (Value & LT & MO1) ingots are recommended. For (Bright decent) Patients Either the Cut-back working technique Or layering, (LT BL2, BL3 & MO0) ingots are recom- mended. For (extreme White) Patients Full press & Staining working cians when it comes to their familiarity with and adoption of the latest digital dentistry technology? Dr Andrea Mastrorosa Agnini: We have not really had the op- portunity to work closely with any Asian technicians yet, so we technique is recommended, (MO0 & LT BL1) ingots are rec- ommended. Never to forget that the above mentioned is always relative to the thickness of the material. donotknowwithwhichtechnol- ogies they are familiar or which technologies have already been widely adopted in Asia. What we have seen is that there is mas- sive and growing interest in all Aiham Farah. CDT Technical Training Consultant Near East & Orient IvoclarVivadent Email: aiham.farah@ivoclarvivadent.com Contact Information Extreme white Bright Decent Back to Natural Back to Natural > Page 3D