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ePaper created 2016-04-13, 11:38:23 | version 1.38.0
Abrasionhaslongbeendiscussedas a treatment in all areas of dentistry. With AquaCare, UK-based Velopex International has introduced an innovative and contactless way to abrade and polish teeth. The unit combines four powder cartridge systems with an easy-to-use multi- function handpiece—that can even doubleviathefootcontrolasa3-in-1! Velopex International will present AquaCare at the coming Dentistry Show in Birmingham. Right before the event, Dental Tribune talked to Keith Morgan, Sales & Marketing Manager,about the next big step in Contactless Dentistry. Dental Tribune: Many dentists in the US and Europe still prefer rotary cutting instruments and their use has been taught at dental schools andfacultiesformanyyears.Whydo you see a need for change? Keith Morgan: Dentistry is con- tinuing the transition from me- chanical dentistry to adhesive dentistry. A growing number of cli- nicians,academicsandkeyopinion leaders are accepting that fluid abrasion enhances the tooth sur- face for increased efficacy of bond- ing—it is also an invaluable tool in the process of tooth stain removal. Itislessinvasiveforthepatientand there is no noise, vibration, gener- ation of heat or creation of any unpleasant smells. This process is inexpensive, quick and incredibly effective.Manydentalschoolsteach abrasion techniques, including those in Germany, the world’s sec- ond largest dental economy. Else- where, abrasion is taking hold and some leading dental institutions now have an MSc programme. Apart from the dentist’s per- spective, patients too are driving the change. Air polishing and fluid abrasion are more convenient and safe for patients. We have prepared a leaflet for patients that answer frequentquestionsaboutourtech- nology. Dr Walter Devoto, founder of Styleitaliano and a leader in aes- thetic and conservative dentistry, appearsintheimage.Themoment, he received the AquaCare unit, he simply said: “Finally, the Sand- blaster of my dreams! It is really what We needed!” After two weeks, allhecouldsaywas:“I’minlove”.He loves it because his patients love it. AquaCare has become the official partner of Styleitaliano and it will soon be publishing cases on www.styleitaliano.org. What is the basic mechanism of AquaCare and how does the hand- piece work? All the clinician requires is an air line, which all dental practices have; everything else is provided in the AquaCare introductory kit. Our handpiece is at the centre of fluid abrasion. The unique Venturi designtipallowsforthesolutionto be kept separate from the powder and air and never clogs. This smart single-use tip delivers a gentle streamofsolutionandmediadirect- lytothetoothsurface.TheAquaSol fluid is dispensed from an inverted bottle. This dual purpose solution also acts as a cleaning agent for the AquaCare while providing a pleas- ant vanilla aroma for the patient. What are the major advantages of the AquaCare and AquaCare Twin systems for general dentists? Could you also please explain the areas of application for periodontists, endo- dontists and orthodontists? AquaCareiscapableofdelivering abrading and prophylaxis media all via the same handpiece. Why buy a separate unit when all one needstodoischangethecartridge? Our multi-patient cartridge con- ceptprovidestheclinicianwiththe capability of either changing the cartridge (approximately 40 sec- onds)ontheAquaCareorchanging media at the flick of the switch (1 second) on the AquaCare Twin. So what are the options? Our car- tridges are colour-coded for easy recognition:29µaluminiumoxide (blue), 53 µ aluminium oxide (red), sodium bicarbonate (white) and Sylc desensitising and remineral- ising powder with 99.5 per cent NovaMin (green). NovaMin can also be found [in significantly less percentage] in NUPRO Extra Care prophy powder and Sensodyne’s Repair and Protect toothpaste. This selection provides the cli- nician with choice, freedom and flexibility to interpret the clinical situation and provide his or her preferred solution. Increasingly, clinicians are using Sylc for peri- odontic, endodontic, orthodontic, cleaning and paediatric treat- ments. Only in AquaCare units can onechangesettingsofpressure,so- lution and medium to allow one to remove stains at 2.75 bar (275 kPa), clear fissures by abrading and cut- ting at around 5 bar (500 kPa), and work subgingivally at around 1 bar (100 kPa) minimum pressure with solution required. Important note: In order to work subgingivally, the pressure must be reduced while remaining 3–5 mm supragingival. Velopex International has coined the term “contactless dentistry”. Does contactless dentistry really have the potential to revolutionise common dental treatments, such as cutting, caries removal, cavity preparation,cleaning and polishing? What is your vision? Across the world, contactless interactions are common in our daily life. Now dentists can offer patients contactless dentistry. Good preventive dentistry and oral health care can help prevent cavities, gingivitis and periodon- tal disease, keeping patients’ smiles happy and healthy. Our patient leaflet serves to aid the dental health care professional by explaining the gentle effect of AquaCare on the patient’s teeth and gums. Patients know about contactless and enjoy the speed of interaction, and research indicates that consumers are like- ly to spend more money owing to the ease of interaction. A practice that introduces, for example, a “Power Clean” under the brand of contactless dentistry might bene- fit in this regard too. Contactless dentistry is not exclusively for prophylactic treatments. Other treatments include preparations for Class V cavities, use in ortho- dontic de-bonding and bracket removal, and abrasion of occlusal brown spot lesions prior to fis- sure sealing (without the needle) —another practice-building en- hancement, equating on the UK NHS to 3 UDA's. Is AquaCare available worldwide or just in the US and Europe? Anywherethereisapatient,there can be AquaCare. We continue to support the profession through our presence at trade shows and conferences, most recently at POSTERIOR2016 in Amsterdam, and at the upcoming BudaBond in Budapest in Hungary, the Bio- Emulation Colloquium in Los Angeles in the US, Denplan Clinical ConferencesintheUK,plusnation- al dental exhibitions across Europe, the US, Canada and the UK. Thank you very much for the inter- view. “...the gentle effect of AquaCare on the patient’s teeth and gums.” Dr Walter Devoto, Founder of STYLE ITALIANO, with the AquaCare Twin unit: “Finally,the sandblaster of my dreams!” “I’m in love” Why dentists prefer to use AquaCare 15Dental Tribune United Kingdom Edition | 3/2016 TRENDS& APPLICATIONS Fig.1:DrPasqualeVenutiused53micronaluminiumoxide,thenusedelectrosurgery and isolated by means of Ferrior Clamps and teflon.The image is after sandblasting and before etching. Fig. 2: Dr Thomas Taha used Aquacare 53 micron aluminium oxide cutting powder to remove fractured and decayed hypo mineralised tooth tissue only without the need for drilling. Fig. 3: Dr Jason Smithson: Particle abrasion with 29 micron alumina to remove prismatic enamel and improve bond strengths prior to no prep direct bonding to close black triangles which were secondary to periodontal disease. DTUK0316_15_Morgan 12.04.16 12:07 Seite 1 DTUK0316_15_Morgan 12.04.1612:07 Seite 1