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CAD/CAM – international magazine of digital dentistry No. 4, 2017

| opinion digital workflow Digital Workflow: a precise way to achieve state of the art smiles Author: Dr Miguel Stanley, Portugal Fig. 1 Fig. 2 Figs. 1 & 2: Initial situation. The 13th Annual MegaGen International Sympo- sium was held at the Takanawa Congress Centre, Tokyo, Japan, on the 14 and 15 October. Some of the world's most renowned dentists were on stage, for over two days, giving lectures of science and technology. sensitive parts of the anatomy. This allows us to place more implants, more safely and better than ever. The same way that we have transitioned from analogue cameras to digital cameras, dentistry is shifting from analogue traditional procedures to digital procedures. The title of this meeting was “Digital Smile”, so most of the topics were related to the field of dig- ital dentistry. The title of my lecture was: “Cloud dentistry”—how the cloud is helping dentists and patients around the world achieve state-of-the- art smiles through digital technology and plat- forms. More recently, in the last two years, we have in- vested heavily in technology that allows us to re- ally enter an era of digital dentistry in its totality. I am talking about intraoral scanners, 3-D printers, and software and technologies that allow us to produce surgical guides, from partial to fully guided surgeries. I have been practising dentistry for 20 years now, and it is safe to say that the first technology I in- vested in, back in 1999, was a digital intraoral X-ray and intraoral camera. Previously, these were made by a company named Trophy, which is now Care- stream. I am currently on my third generation of X-ray devices. I have always been a big fan of lower doses of radiation, both for my patients and for my team. In 2008, we got the CBCT from Kodak, which is also from Carestream. This has revolutionised the way that we practise implant dentistry because this third dimension is essential for understanding We are also now using Low Level Laser Therapy for healing, T-scan for testing the occlusion, and I believe that we are turning my clinic into a type of laboratory of the future in terms of dentistry. Recently, we founded a department for Research and Development, headed by Dr Ana Paz, which en- sures that all the data is collected from our clini- cians and confirms that the science is solid around the treatment sequences that are performed. One of the cases that I presented in Japan, and which I believed profoundly marked my team and 54 CAD/CAM 4 2017

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