14 DENTAL TRIBUNE Pakistan Edition July 2018 The International Dental Show (IDS)19 Continued from front page commercial enterprise of the Association of German Dental Manufacturers (VDDI). It is staged by the Koelnmesse GmbH, Cologne. Nowadays, the influx of digital processes in all specialties of dentistry is often triggered off by patients. For instance, in the field of Restorative dentistry, the patient needs a crown; however he or she is short on time. One solution can be chair side systems or also a particularly fast digital workflow, which includes the practice and the laboratory.. In the field of Implantology, X- rays and model's scanned data can facilitate the process and can enable a further colleague to be involved at short notice. Digital support is greatly being practiced for this particular specialty, for example, for a safe surgical treatment, drilling templates can be ordered from the dental laboratory or from an industrial service providing partner. External support is also available for the virtual design and production, so that the individual work steps can be more flexibly divided, assuring quality of the procedure, saving time and money, both. According to the evaluation of experts, by IDS 2019 or IDS 2021 by the latest, more digital implant treatments will take place than analogue treatments, using standard products. In the field of Orthodontics, virtual s e t - u p s c a n b e c r e a t e d a n d orthodontic appliances such as fixed appliances can be planned. For IDS 2019, orthodontic section will be providing answers for the production and assembly of detachable devices, like stretching plates and activators. In the field of Endodontics, endo motors can now be controlled by tablets or computers, torques for the entire root canal treatment can be entered, and the complete process simulated in advance. This increases the predictability of the result of the therapy, thus establishing the success rate. Mark Stephen Pace, Chairman of the Association of the German Dental Manufacturers e.V. (VDDI) stated that, "The current trends for the digital technologies for the practice as well as extensive workflow for surgeons, prosthodontists and dental technicians will be presented in a unique form at the International D e n t a l S h o w ( I D S ) . T h e opportunities of digital dentistry have now arrived in all disciplines - from implantology and prosthetics, to endodontics and orthodontics." He also proclaimed that attending this show will definitely be worthwhile for all dental experience all the innovations at IDS. -PR HEC gets new chairperson Continued from front page He was a member of Steering Committee on Higher Education Reforms, the body that played an important role in the inception of Higher Education Commission in year 2002; and is now appointed as its 4th Chairperson. Dr. Banuri is also a part of United Nations as a research fellow. He has also served as Founding Executive Director, Sustainable Development Policy Institute (SDPI), Pakistan. He has also remained a member of the Board of Governors, State Bank of Pakistan and worked as Coordinating Lead Author on the Nobel Prize winning Inter-governmental Panel o n C l i m a t e C h a n g e ( I P C C ) . He expressed his gratitude to the PM and HEC's selection committee, to believe in him and to honor him with such a position. He firmly believes in focusing on the quality of education, for which he stated to set targets, to attain betterment in the education sector, and to overcome all the shortcomings. He insisted all board members to support each other and work as a team, to build a better organization and produce excellent educational standards. Dr Waqas given LCCI Award Continued from page 2 Mr. Ahmad Shafiq of College of Tourism and Hotel Management, Mr. Irshad Ahmad Siddiqui of Ravi Advertising and Mr. Siddique Rehan of Commercial Carriers received the Businessmen Achievement Awards. Dr. Waqas Wahab of Clearpath Orthodontics received the Emerging Enterprises Award. National Dental Association to meet July ... Continued from page 4 YMCA, 2220 Campbellton Road SW, from 8:30 a.m.-2 p.m. N D A - H E A LT H N O W i s a grassroots, community-based effort to increase access to oral health in underserved populations. The event will be hosted for the YMCAs Summer Camp children, their families and the surrounding community. The project is made possible with funding from the W. K. Kellogg Foundation and The C o c a - C o l a F o u n d a t i o n . K e y collaborators for this event are: Colgate, Morehouse School of Medicine, the Georgia Dental Society and the North Georgia Dental Society. Other community partners include WellStar Health System, Mobile Expressions Inc., Georgia State University Perimeter College, Wholistic Stress Control Institution Inc., Center for Black Womens Wellness, Atlanta Technical College, Starbucks Camp Creek, Crystal Waters, Atlanta Chapter of the Links Inc., Wellcare, C.H.O.I.C.E.S. and Fulton County Department of Health and Wellness. NDA national corporate partners are: Sunstar Americas Inc., Henry Schein Cares, Aetna, General Electric, A-dec, ADI- MOBILE, Patterson Dental, and Crest + Oral-B. About the NDA The National Dental Association promotes oral health equity among people of color by harnessing the collective power of its members, advocating for the needs of and mentoring dental students of color, and raising the profile of the profession in its communities. - DT America Digitising your implant ... Continued from page 6 of restoration in a day. Being able to scan an implant abutment and then an hour later (to allow for staining and glazing) fitting the definitive restoration is a game changer. Patients also love watching the production process as they see their tooth being milled from an IPS e.max block. Figures 1519 show the production process, including the exposure of the implant, the abutment seating, the scan flag on top of the abutment, the healing abutment during fabrication and the delivery of the final prosthesis. However, for more than single units or aesthetic single- unit cases, we use the iTero and Straumann scanners. The latter we have only had at our disposal since February. While it is a powdered system at the moment, this is due to change this month. Particularly with implant restorations, the need to apply a scanning powder is a limitation, owing to a lack of moisture control contaminating the powder. The technology, however, is superb, as is the openness of the s y s t e m , w h i c h p r o v i d e s t h e advantage of being able to export files into planning software. A colleague of mine even uses it for his orthodontic cases now instead of wet impressions. We invested in the iTero scanner five years ago and have used it for everything, from simple conventional crowns and bridges to scanning for full-mouth rehabilitations. When fabricating definitive bridgework, we use Createch Medical frameworks for screw-retained CAD/CAM- milled titanium and cobaltchromium frameworks. Even though intraoral s c a n n i n g a p p e a r s e x t r e m e l y reproducible and accurate, I still use verification jigs where needed to ensure our frameworks are as accurate as possible. There are many intricacies that we consider and tips and techniques that we employ to make the scans more accurate that we have developed over time. The closer the scanbodies are together, the more accurate the scan is. Also, the more anatomical detail, such as palatal rugae or mucosal folds, the better the scans can be stitched together. Figure 20 shows a CBCT volume to aid in planning for mandibular implant placement (Fig. 21) and realising the implant placement. We exposed the fixtures and placed Straumann Mono Scanbodies (Fig. 22). Then, we took an iTero scan of the fixtures in situ (Fig. 23) and made a verification jig from this (Fig. 24) to ensure passive implant positioning. The iTero models were made (Fig. 25) and a Createch titanium framework was used to support porcelain in a screw-retained design (Fig. 26). The last two figures show the excellent outcome and accurate framework seating (Figs. 27 & 28). Choosing your workflow There are many different systems on the market now, each offering a one-stop shop. If you are considering investing in a digital scanner, then take some advice from colleagues. One of the most important things is to ensure the system you opt for is an open one that allows you to extract the digital impression data into different software. We extract our files into CT planning software, model production software, chairside milling for stents, temporaries and definitive restorations, and now orthodontic planning software. I am convinced there will be yet more advances with time. The size of the camera is criticalsome can be very cumbersomeand it is worth asking the salesperson what developments are underway. Some companies are more on the cutting edge than others. My favourite at the moment is the Straumann scanner. Its design is light and user-friendly and it synchronises perfectly with implant planning software coDiagnostiX. Furthermore, while it offers a chairside milling unit, it also synchronises perfectly with my laboratory for larger cases. To conclude, digital implant dentistry is the future and so why not take advantage of it and help improve your clinical outcomes? Sometimes, giving up your privacy is a little like going to the dentist and we have let him have access that no ones ever had. ~Tom Petty