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SHOW REVIEW 39th International Dental Show • Cologne • 22–25 September 2021 Photo gallery Impressions from IDS 2021: Highlights from the four exhibition days. Interview Learn more about SHINING 3D’s new intra-oral scanner and 3D printer. Digital solutions Amann Girrbach announces extension of Ceramill CAD/CAM workflow. » 4 » 5 » 10 IDS 2021 gives impetus to the dental industry Trade show attracted 23,000 visitors from 114 countries. n From 22 to 25 September, the 2021 International Dental Show (IDS), held six months later than usual owing to the COVID-19 pandemic, of- fered the dental industry and dental professionals the opportunity to ex- perience products live and, above all, to socialise with one another in per- son. This IDS was the first to be held in a hybrid format, allowing visitors who were unable to travel owing to restrictions to participate digitally. A total of 830 companies from 59 countries participated in IDS 2021 in an exhibition space of 115,000 m². There were 228 exhibitors and five additionally represented companies from Germany, together with 591 ex- hibitors and six additionally repre- sented companies from abroad. The foreign share of company partici- pation was 72%. Including estimates for the last day of the fair, more than 23,000 trade show visitors from 114 countries attended IDS 2021. Of these visitors, around 57% came from abroad—from Europe, especially Italy, France, the Netherlands and coun- tries in eastern Europe, as well as from the Middle East and elsewhere overseas. “Optimism has returned within the international dental family. We held intensive discussions with inter- ested visitors and most of them ulti- mately came to make investment decisions,” said Mark Stephen Pace, chairman of the executive board of the Association of the German Dental Industry, which organises IDS. For Pace, IDS 2021 marked a fun- damental moment since the start of the pandemic in that the whole in- dustry took up the opportunity to switch from crisis mode into working mode, “because it was the ideal place to take stock of the current situation and to identify future opportunities”. IDS gave a comprehensive over- view of the state-of-the-art in den- tistry, emphasising the significant advancements in research and devel- opment, particularly the drive to- wards digital innovation. Digital solutions gain momentum Digital technology, such as remote care digital tools, intra-oral scanners, 3D diagnostics, CAD/CAM, radio- graphy, CT and other imaging tech- niques, is playing an increasingly “We offered the physical meeting place here in Cologne in the exhibition halls and, in addition, the digital platform IDSconnect with added opportunities for presentations and networking, which was very well received.” Oliver Frese, chief operating officer of Koelnmesse IDSconnect, the digital platform of the fair, featured 77 exhibitors from 16 countries with 88 daily contributions and 1,310 minutes of broadcast time. Oliver Frese, chief op- erating officer of IDS staging com- pany Koelnmesse, commented on the hybrid format in a press release: “We offered the physical meeting place here in Cologne in the exhibition halls and, in addition, the digital plat- form IDSconnect with added opportu- nities for presentations and network- ing, which was very well received.” important role in dentistry. The SARS-CoV-2 pandemic has hastened uptake and development in this re- gard, as these technologies have en- abled dental practitioners to monitor treatment progress remotely, for ex- ample, and in many cases to continue with treatment. During IDS, new digital interfaces that allow for a truly integrated digital workflow were presented, and these also pro- mote a more collaborative approach between the laboratory and practice for greater efficiency. More than 23,000 trade show visitors from 114 countries attended IDS 2021, around 57% of whom came from abroad. (Image: Koelnmesse/IDS) 3D printing has become one of the major trends in dental technology. (Image: Koelnmesse/IDS) For instance, exocad’s series of new Galway software releases under- scores seamless digital workflows and simplicity of use. The new Chair- sideCAD 3.0 Galway is highly auto- mated, intuitive and optimised for practice use. “When we developed the Galway releases, the focus was on increasing productivity for our cus- tomers,” said Novica Savic, exocad’s chief commercial officer, in citing new features that simplify the design process. Instant Anatomic Morphing enables the anatomy of the teeth to automatically adjust in real time for dynamic occlusion, and artificial in- telligence-based detection of facial features makes smile design with Smile Creator faster and more accu- rate. » 2
SHOW REVIEW news Integration of artificial intelligence has accelerated in the dental industry. (Image: Koelnmesse/IDS) « 1 Artificial intelligence: Possibly the next big thing The benefits of the use of artifi- cial intelligence (AI) are already tan- gible, and AI will most likely be a major future trend. From initial consultations, diagnosis and treat- ment planning through to surgical procedures and postoperative care, AI technologies are steadily being adopted by dental practices aiming to digitise and streamline their work- flows. The main focus of current dental AI research is the analysis of radio- graphs, and in the long run, this capability could lead from diagnos- tics to prognostics through to AI sup- port in making therapy decisions. American software company Pearl introduced Second Opinion, an AI software application that helps den- tists detect pathologies and other conditions in dental radiographs. It is the first AI-powered device with this application to enter the European dental market and the latest addition to a range of products the company has developed that apply its patented computer vision technologies to bring greater efficiency, accuracy and con- sistency to various dental industry stakeholders. “AI is something we should look forward to rather than fear. It is not coming for our jobs; it is coming for the parts of our job that we do with least efficiency and that give us the greatest hassle,” said Dr Kyle Stanley, a specialist in implantology and chief clinical officer of Pearl. “Certainly, embracing AI alone cannot eradicate work-related stress, but the time AI will save us and the accuracy it can ensure will allow us to focus on the work only we can do—work, like pre- paring crowns, that requires human dexterity, intelligence and chairside manner,” he continued. Another success story of the den- tal AI boom is undoubtedly Dental- Monitoring. Founded in France in 2014, this orthodontics technology specialist has developed AI-powered solutions for conducting clinical anal - ysis of images and 3D files, tracking tooth movement in a virtual setting and creating photorealistic simula- tions. From its humble beginnings as a start-up, DentalMonitoring has now grown to have over 400 employees across 53 countries, gathering invest- Editorial/Administrative Office ARGE IDS today GBR Dental Tribune International GmbH OEMUS MEDIA AG Holbeinstraße 29 04229 Leipzig Germany Phone +49 341 48474-302 Fax +49 341 48474-173 German e-paper issue www.zwp-online.info International e-paper issue www.dental-tribune.com Publisher Torsten Oemus Representative, Dental Tribune International GmbH Torsten Oemus Representatives, OEMUS MEDIA AG Ingolf Döbbecke, Lutz Hiller About the publisher Chief Content Offices Claudia Duschek (V.i.S.d.P.) Editors Brendan Day, Franziska Beier, Jeremy Booth, Johannes Liebsch, Monique Mehler, Iveta Ramonaite, Nathalie Schüller, Magda Wojtkiewicz Production Executive Gernot Meyer Production Kim Beyer, Alexander Jahn today appears during the 39th International Dental Show in Cologne on 25 September 2021. The newspaper and all articles and illustrations therein are protected by copyright. Any utilisation without prior consent from the editor or publisher is inadmissible and liable to prosecution. No responsibility shall be as- sumed for information published about associations, companies and commercial markets. General terms and conditions apply; legal venue is Leipzig, Germany. 2 39th International Dental Show 2021 ments from dental titans like the Straumann Group along the way. At the company’s press confer- ence at IDS, Philippe Salah, CEO and co-founder of DentalMonitoring, said: “Now, general dentists and ortho- dontists are able to monitor all their aligner and fixed appliance treat- ments, regardless of the brand, with the same, highly scalable, AI-driven workflow. In addition to controlling the treatment progress, they can ac- tively set and monitor clinical goals for each patient. This means more ac- tive control, more productivity, and a new level of safety and confidence for their practice—a real game-changer for our industry.” The current status and future of 3D printing Additive manufacturing has be- come increasingly established, in part because it involves practically no loss of material. Crowns, bridges and den- ture bases, for example, can be fabri- cated in this manner using non-pre- cious dental alloys (e.g. through selective laser melting, selective laser sintering, direct metal laser sintering or LaserCUSING). The strengths of resin printing are primarily visible in models or oc- clusal splints. Veneers and gingival masks too are fabricated on the basis of an intra-oral scan using additive manufacturing. In addition, denture bases and teeth are printed and then bonded to form a full-arch or com- plete denture or are even fabricated in one piece through this technique. Furthermore, mock-ups can be printed from try-in resins. In implantology and endodontics, drilling and orientation templates can be printed. In orthodontics, high precision is achieved with position- ing trays (indirect bonding trays). The positions of the brackets are initially planned virtually, and the brackets then have to be cemented precisely in the correct position in the patient’s mouth. The template printed from resin provides additional security in this regard. In an interview with Dental Tribune International (DTI), Patrick Heikki Kyöstilä (left), president of Planmeca “IDS 2021—a feeling almost like normal. In my view, IDS has been going on surprisingly well—about the same as normal. September as the new date for the fair has turned out to be the best choice. Friends and customers were coming up to say hello or to decide on and buy their new equipment. There were not as many visitors as in 2017 or 2019, and even for the future, I expect IDS to be a bit smal- ler than in the past. But we will still initiate and maintain a lot of communication here in Cologne—which is the fuel for innovation and success.” Torsten Fremerey, executive director, EMS Electro Medical Systems “It is a great pleasure to finally be able to present our new Guided Biofilm Therapy (GBT) products to the audience of IDS live again. It is great fun seeing the huge interest in our GBT protocol innovations and celebrating the live dental trade fair with the trade audience. Participating in IDS 2021 is a great success for EMS. The strong feedback from our customers confirms that GBT is the best prophylaxis of all time. EMS’s decision to make a strong appearance at IDS 2021 was spot on.” Thurm, managing director and gen- eral manager for Europe at SprintRay, said: “Cost efficiency, speed and usability are key advantages of 3D- printing. The material used is the most important factor for innovation in upcoming fields. More and more indications can be printed already, and more are coming in the near fu- ture. If one has an intra-oral scanner, there is no reason why one should not invest in a 3D printer.” According to Thomas Kwiedor, head of business development for 3D printing at BEGO, “3D printing is the most important manufacturing method of the future. […] We our- selves are currently working inten- sively on a material that enables the 3D printing of artificial teeth. One area that will certainly be exciting is that of multi-material and multi- colour printing, which among other things, will make it possible to repro- duce the light-optical properties of natural teeth in the best possible way. In the future, we will also encounter material combinations that enable different properties within one mate- rial. It can also be assumed that the automation of individual work steps, such as post-processing, will be fur- ther professionalised.” The latest in restorative dentistry Direct restorations have been an outstanding and innovative field for
news years. Since they represent the bread and butter of the vast major- ity of practices, even minor ad- vances in procedures and materials have a clearly positive impact. IDS visitors had the opportunity to learn more about the latest developments in dental filling therapy, which is considered an extremely dynamic segment. For example, VisCalor, the first composite to feature thermally con- trolled viscosity behaviour, was on display at the VOCO booth. “It is available in various VITA shades, allowing the dental professional to carry out aesthetic restorations in the anterior and posterior regions, in addition to performing bulk fill- ing, with the material,” said Dr Axel Bernecker, head of marketing at VOCO, in an interview with DTI. GC Europe presented numerous new restorative products at IDS 2021. G2-BOND Universal, a univer- sal two-bottle bonding solution which features excellent adhesive strength and has a wide range of in- dications. G-ænial A’CHORD is a tech- nologically extraordinary universal composite that combines simplicity, aesthetics and functionality opti- mally in one product. EQUIA Forte HT is a glass hybrid restoration mate- rial that provides stability and aes- thetics. G-CEM ONE, a new self-adhe- sive luting composite, impresses with its simple luting procedure, high ad- hesive force, problem-free removal of excess material and long-lasting aes- SHOW REVIEW Christian Mönninghoff (left), founder and CEO of BLUE SAFETY Sven Isele, general manager of sales and marketing at NSK Europe “The reason for our participation lies our confidence in the basic hygiene compe- tence in dentistry and our eager anticipation to finally be able to exchange news in the dental industry with like-minded innovation enthusiasts again. The COVID-19 period has been stressful for all of us. We are all the more pleased that IDS is happening and that the more than 800 exhibitors have put so much effort into it. It is a special trade show, and it is taking place under special circumstances. In terms of content, it is even more exciting than in earlier years.” “This IDS has once again demonstrated that lots of visitors to our booth have been delighted to try out our instruments and products live on-site. Of course, we’re also thrilled that we have been able to use this year to show off our booth in its new NSK branding after all. Owing to the pandemic, we’ve largely had to forego the participation of our international colleagues. Nevertheless, our German and Austrian sales teams are giving their all to provide information to visitors in a comprehensive and expert fashion.” thetic results. Initial LiSi Block, a fully crystallised lithium disilicate block with optimised physical properties, promises naturally beautiful restora- tions in just one appointment. Devel- oped for the laboratory, Initial IQ ONE SQIN provides for highly aesthetic colourings and micro-layering with paintable ceramics. Summary and outlook Overall, IDS attendees learned how they can increase their practice and laboratory efficiency by using new, automated processing strate- gies. Software releases presented at IDS will enable this. Many techniques, product inno- vations and prospects for the future were to be found at IDS. For profes- sional orientation, for research and development, and for the fine tuning of many practices and laboratories, this IDS was indispensable. It was probably even the most important edition in many years, according to Koelnmesse. IDS has adapted to the conditions, and its hybrid format of- fered visitors attractive added value. Particularly the technology-savvy dental industry participants em- ployed digital tools as an enhance- ment to the physical event in the halls, pointing the way for many other industries too. The next IDS will take place from 14 to 18 March 2023. AD REGISTER FOR FREE DT Study Club – e-learning platform Dentistry's largest online education community webinars / live operations / online CE events / CE credits www.dtstudyclub.com @DTStudyClub Tribune Group is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry.This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between Tribune Group and Dental Tribune Int. GmbH. 39th International Dental Show 2021 3
SHOW REVIEW news 1 4 6 9 13 3 2 5 7 8 10 11 12 14 16 15 17 1 Over the course of four days, over 23,000 trade fair visitors attended IDS 2021. – 2: EMS presented important innovations for its GBT protocol. – 3: IDS 2021 was staged in Halls 2, 3, 10 and 11.– 4: To provide a digital enhancement to the classic physical event, the free platform IDSconnect intended to maintain IDS’s extensive international reach together with a successful on-site trade fair experience. – 5: Ribbon cutting ceremony. From left: Prof. Christoph Benz, Mark Stephen Pace, Gerald Böse, Lord Mayor Henriette Reker, Dr Markus Heibach, Dr Gerhard Seeberger, Oliver Frese, Lutz Müller. – 6: Owing to the COVID-19 pandemic, tickets could only be obtained in a digital format. – 7: Participants were asked to provide recognised digital proof of vaccina- tion or COVID-19 recovery upon entering the trade fair premises. – 8: Talks at the ACTEON booth. – 9: 3D printing remains a major topic. – 10: IDS offered the dental industry and dental professionals the opportunity to experience products live again. – 11: Conversations at the COLTENE booth. – 12: IDS visitors had the opportunity to discover new products and, above all, to socialise with one another in person. – 13: Visitors explored Planmeca’s products. – 14: At IDS, Align Technology showcased the most recent and innovative solutions from the Align Digital Platform. – 15: VOCO presented the first composite in the world to feature thermally controlled viscosity behaviour. – 16: Medical solution company DENTIS presented its offerings related to implant dentistry at IDS, including its novel implant UV activator. – 17: Osstem Implant had the single largest booth at the trade fair. (All photos: © koelnmesse) 4 39th International Dental Show 2021
interview SHOW REVIEW “Our service meets all of the needs that arise in the dental clinic and laboratory” An interview with Riccardo Molinelli from SHINING 3D. By Jeremy Booth 2 3 2 Digital dentistry specialist SHINING 3D demonstrated its new Aoralscan 3 intra-oral scanner at the recent International Dental Show in Cologne. – 3 SHINING 3D said that IDS visitors were impressed with the Aoralscan 3—in particular with its scanning speed and the precision of the data collected. (© SHINING 3D) 1 Riccardo Molinelli, SHINING 3D’s regional sales manager for the Europe, Middle East and Africa region. (© Dental Tribune International) 39th International Dental Show 2021 5 n Intra-oral scanners and 3D prin- ters were two of the biggest topics in the halls of this year’s IDS. At the show, Dental Tribune International visited the booth of SHINING 3D and spoke with Riccardo Molinelli, regio- nal sales manager for the Europe, Middle East and Africa region, about the company and its new Aoralscan intra-oral scanner and AccuFab-L4D large-format dental 3D printer. Could you please tell us about SHINING 3D? The company was founded in 2004, and for the last 17 years, it has been focused entirely on the develop- ment of 3D-digitising and 3D-printing solutions. We are fully focused on the development of scanners and 3D prin- ters for multiple applications. Indeed, dentistry is only one of the business areas served by the company. We also cover industrial and metrological applications and the 3D-digitising of most common objects. These different business units have application for both scanning and 3D printing. What is the company offering to dental professionals? We began developing dental scanners around 2012. We are proud to look back to our very first product, which was a desktop scanner for a dental laboratory, and to compare it with what we see around us here at our IDS booth—a full suite of digital solutions for both dental clinics and dental laboratories. Over the years, we have developed more powerful and better-performing desktop scan- ners, and we have also developed and launched 3D printers and our intra-oral scanning solution. what we see being demonstrated here at the booth is the result of our constant investment in research and development and in product improve- ments. This intra-oral scanner comes with a lot of nuances, both from the hardware and software point of view. The previous generation remains an excellent product, but what I can say about the new scanner at the end of The company has a global network. What are the advantages of this for dental clinics and laboratories? We have a sales network that co- vers five continents and three of- fices. Our headquarters is located in Hangzhou in China, and we have offices in San Francisco in the US, and in Stuttgart in Germany. The greatest benefit of this structure is that, for technical support and sales “Our philosophy is to provide products that have the longest possible lifetime—not only from the hardware point of view but also in products either as stand-alone solu- tions or as a bundled solution that has been developed specifically for a dental clinic. That does not mean that the L4D printer cannot be used in the laboratory. However, from our point of view, this is an ideal 3D printer for use with the intra-oral scanner in or- der to cover the needs of dentists. There is a series of different reasons behind this. Firstly, the footprint and design of the unit are ideal for clinics, where space is often limited. Further- more, all of the possible applications that the printer is equipped for—such as printing crowns, orthodontic models and surgical guides—make it an ideal choice for dental clinics. One additio- nal point I would like to stress is that the printer is an open system. This means that, if the dentist is already familiar with third-party materials, we can integrate those third-party materials into our 3D printer without any limitations. The company is exhibiting two new products at IDS: Aoralscan 3 and AccuFab-L4D. What should dental professionals know about these new products? The first thing that I would say is that we can think about these two We just saw a demonstration of the Aoralscan intra-oral scanner. How have dental professionals at IDS reacted to it? Aoralscan is something that we are very proud of. We have worked on this technology for several years, and terms of software.” this four-day exhibition is that we have received extremely positive feedback from users from all around the world. We have had excellent feed- back with regard to the scanning speed, the precision of the data col- lected, and the multiple applications and options that can be covered by this brand-new device. What more can you tell us about the software? We work in partnership with exocad —the world leader in CAD— and through this partnership, we have direct integration of exocad soft- ware. Both our scanners and printers directly communicate with exocad in the most efficient way, and we also have integration with other software providers on the market. What I can say is that we offer a fully open system. Our devices, scan- ners and printers are an open system that can communicate and interact with any other open system. Our phi- losophy is to provide products that have the longest possible lifetime— not only from the hardware point of view but also in terms of software. That is why we provide software licences that do not have annual fees and do not have fees involved for up- dates. What should dental professionals watch out for in order to ensure that these digital tools remain an asset in their daily practice? Digital dentistry represents an improvement and an advantage for dentists and dental technicians only if it is integrated into a complete sys- tem—only if the digital tools assist them from the beginning to the end of the treatment or task. Otherwise, it is possible that the technology can represent an obstacle. If one company provides all the steps of the digital solution, and if that company has expertise in the different segments of this digital workflow-scanning, CAD and 3D print- ing—then this represents the greatest advantage for clinicians. There is a simple reason behind this: the lear- ning necessary for the individual steps will be drastically reduced, owing to the fact that the customer will always be able to rely on the most direct support. This is what SHINING 3D repre- sents: a digital solution that is inte- grated, complete, constantly up to date, and accessible and affordable for all dentists and dental technicians. 7 More information about SHINING 3D can be found at www.shining3d.com. support, our customers know that there will always be somebody to assist them. What we do on a daily basis is to support dentists and la- boratories all over the world. Fortu- nately, we can also rely on the won- derful support of our dealers around the world. It is a matter of coopera- tion, and we are very satisfied with the partnerships that we have and the advantages that they bring for our customers. Does SHINING 3D cater to smaller dental clinics and laboratories as well as to larger businesses? Yes. Our service meets all of the needs that arise in the dental clinic and laboratory. For example, there may be a very simple restoration that is required—like a single crown restoration—and, thanks to the pro- cess of scanning, CAD and 3D print- ing, this can be done directly in even the smallest of clinical settings. In contrast, thanks to the inter- connection between our devices and the software that we have, SHINING 3D’s solutions can cover even the most complicated type of restoration for every type of patient, including restorations that require multiple steps to be completed between clinics and laboratories.
SHOW REVIEW industry For dental professional, who were unable to attend IDS in person, exocad offered live streamings during the show. IDS visitors had the opportunity to watch a number of live demons- trations at the exocad booth. At this year’s IDS, exocad announced the release of ChairsideCAD 3.0 Galway, the next generation of its easy-to-use CAD software for single-visit dentistry. Imagine the CADabilities Exocad presented DentalCAD, exoplan and ChairsideCAD highlights at IDS 2021. n At IDS 2021, exocad, an Align Technology company, presented highlights of its three core products—DentalCAD 3.0 Galway, exoplan 3.0 Galway for implant planning and Chair- sideCAD 3.0 Galway for single-visit dentistry. The 360 m² booth was a central meeting point for exocad’s global community at IDS. The trade show offered a rare opportunity for exocad users to meet specialists and developers from the Darmstadt-based software company in person. Visitors could linger at the booth’s dozen software stations, learn about the 3.0 Galway release’s highlights and ask exocad’s software experts questions. DentalCAD 3.0 Galway Visitors experienced the 90 new and 80 ad- ditionally optimised features of DentalCAD 3.0 Galway. For example, they had the opportunity to try out the new Instant Anatomic Morphing. This feature automatically adjusts teeth in real time, greatly improving the speed and precision of anatomical tooth placement. Another excit- ing feature is parametric shape adjustment, which can transform all tooth libraries from a younger to an older anatomy. At another station, on-site experts demonstrated how the Smile Creator module can automatically recognise facial features using new artificial intelligence- assisted technology. Other demonstrations in- cluded: the improved processing of bridge con- nectors and how multiple connectors can now be adjusted simultaneously, the creation of mock-up tooth set-ups and how the software supports virtually prepared models, and virtual tooth extractions. Exoplan 3.0 Galway for implant planning Exoplan 3.0 Galway is a powerful, open and efficient software package for virtual implant planning. Having over 40 new and over 60 im- proved features, the new Galway version re- presents a significant expansion of guided im- plantology possibilities and offers improved integration with exocad’s DentalCAD software. ChairsideCAD 3.0 Galway for single- visit dentistry During IDS, dentists experienced the wid- est range of indications in the chairside CAD software market. That is because exocad’s ChairsideCAD 3.0 Galway software offers a broad level of indications. The joint platform with exocad DentalCAD, the world’s leading CAD laboratory software, also unlocks unimagined possibilities for digital collaboration with tens of thousands of labora- tories. More information can be found at https:// exocad.com/ids. 7 “Sharing ideas, discussing improvements, learning about new technologies that is really what IDS is all about,” said exocad CEO Tillmann Steinbrecher. (All images: exocad) AD 2021.11.3 ‒ 6 6 39th International Dental Show 2021 • 25. September 25 September
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SHOW REVIEW industry n The research by Spanish company Graphenano Dental on the reinforce ment of polymer matrices has made it a pioneer of the use of graphene nanotechnology in dentistry. At the 2021 International Dental Show in Cologne, Graphenano Dental exhi bited its products, such as the GCAM disc for CAD/CAM milling systems, which relies on this technology. Graphene is a form of carbon in which the atoms are arranged in a single layer in a 2D honeycomb lattice nanostructure. Among its principal properties are its high traction re sistance, lightness, biocompatibility and low coefficient of thermal ex pansion. Furthermore, it is ecological and recyclable. “Unlike zirconia, for example, which is still widely used, our gra phene nanoreinforced biopolymer GCAM disc has excellent blending properties,” explained Graphenano Dental General Manager Jesús Martínez. He went on to say that “the appearance is extremely natu ral and resolves all the mechanical, physicochemical and biological failures of the rest of the materials currently used in the industry”. Jesús Martínez, general manager of Graphenano Dental, met with Dental Tribune International at the 2021 International Dental Show to discuss the company’s revolutionary products. © Dental Tribune International With the aim of producing sustainable and bio compatible materials that reduce manufacturing costs and workload, Graphenano Dental launched its first commercialised product, GCAM, with im proved mechanical, chemical and biological pro perties. G-CAM: The ideal material for prostheses Pioneer in graphene nanotechnology in dentistry exhibits at IDS. The incorporation of graphene into polymers is an innovative strategy to improve mechanical properties, in creasing the elastic modulus as well as the tenacity, reducing the appea rance of cracks and/or the spreading of them, as well as decreasing the shrinkage rate during polymerisation. “Our material also benefits pa tients, of course, as it is really light and a lot softer than zirconia. A zir conia prosthesis that weighs 70 g may only weigh as little as 12 g when manufactured using the re sin and graphene combination. With GCAM, patients feel no difference to their natural teeth,” Martínez added. GCAM has a CE mark, and Graphenano Dental has thus mainly focused on the European market, but is steadily branching out. The South and North American markets are its next target. The GCAM disc has been submitted to the U.S. Food and Drug Administration for market clearance, and it will be available throughout the US in two to three months. To find out more about Graphenano Dental and the GCAM disc, visit www.graphenanodental. com. 7 AD E U W N E E N V THE LEADING DENTAL EXHIBITION AND CONFERENCE IN ASIA PACIFIC 8-10 APRIL 2022 MARINA BAY SANDS SINGAPORE www.idem-singapore.com BOOK YOUR EXHIBITION SPACE NOW AND ENJOY EARLY-BIRD PRICING Connect with us Endorsed by Supported by Held in Organised by IDEM Singapore IDEM Singapore idem.sg @IDEMSingapore Singapore Dental Assocation GCAM bears a CE mark and is now available in more than 40 countries. 8 39th International Dental Show 2021
interview SHOW REVIEW “We’re giving dentists the ability to clearly communicate their diagnoses” An interview with Pearl founder and CEO Ophir Tanz n At IDS, dental technology start- up Pearl introduced Second Opinion, an artificial intelligence (AI) soft- ware application that helps dentists detect pathologies and other condi- tions in dental radiographs. In this interview, Pearl founder and CEO Ophir Tanz speaks about why he de- veloped Second Opinion and what dentists can expect from it. You said you investigated several medical applications for AI. Why did you choose dentistry? My dad’s a retired dentist, so I grew up in a practice, which may have influenced me a little. How- ever, the main reason was that den- tistry is uniquely suited to AI—at least compared with most other me- dical fields. Mr Tanz, you chose to leave your leading role in another AI company you founded, which focused on me- dia, in order to launch Pearl. What made you turn to the dental field? We spun Pearl out of my previous company, so it was a gradual shift. I’ve been interested in AI since I was a student. The early 2010s brought significant advances in the field. My previous company focused on me- dia, which is largely visual, so we started working with computer vi- sion, the category of AI that focuses on visual intelligence. I knew AI was a paradigm-shifting technology, and I started looking for new applications for our computer vision capabilities. Radiology was a fairly obvious choice. I investigated several medical fields and decided that dentistry would be the best. We began collecting and annotating radiographs to train an AI to perform dental diagnoses and assembled what is, to my knowledge, the largest collection of expertly annotated panoramic, bitewing and periapical images in the world. All that early development work took place at my previous company. Ulti- mately, I decided to spin off the den- tal division as Pearl, because I wanted to focus more on it. I guess you could say it was my baby. I saw how much potential it had to transform the den- tal field, and I wanted to give it my full attention. In what way? It’s unique in several ways. In other fields you have radiologists— experts who are well educated and well paid. They are the gatekeepers who would have to give AI their blessing and push it forward in an organisation, but they would natu- rally feel threatened by something that might be able to do their job bet- ter than they could. They wouldn’t want to be become redundant. There- fore, the threat of technology taking over the role of the key diagnostician creates a great deal of friction for anyone trying to introduce an AI ra- diology tool. However, in dentistry there is little of that friction because dentists aren’t radiologists. They’re asked to do that work, but it’s not their specialty and you’re not taking anything away from them by giving them a tool that helps them identify the conditions they’re trained to treat. Another difference is that, because of privacy concerns, there’s a much higher level of sensitivity around data associated with other medical fields. For brain cancer, lung cancer or mammography, it’s incredibly diffi- cult to acquire the massive amounts of data that is needed to train the AI. Was it easy to acquire data in den- tistry? Raw data, yes. You have to em- ploy experts to annotate the data, Ophir Tanz is the founder and CEO of Pearl. (© Dental Tribune International) Pearl announced at IDS 2021 that its Second Opinion AI solution is now commercially available in Europe. (© Dental Tribune International) which is very time consuming and expensive, but obtaining radiographs is relatively easy. We actually have an excess of radiographs— far more than we will ever need to annotate. However, in other fields nobody wants to share imagery. And even when you are able to acquire that data, it’s incredibly scarce com- pared with what’s available in dentis- try. If you do obtain that data, then of course, the final point of friction in other medical fields is that you’re dealing with large hospital systems, which are quite hard to penetrate. These systems are incredibly bu- reaucratic. They’re legacy-oriented. It’s hard to sell into them. You go through the trouble to acquire data and convince radiologists to give your technology their blessing, only to be faced with the challenge of actually being accepted into the hospital system. Would you say dentistry is more adaptable when it comes to new technologies? Yes, for AI in particular. In den- tistry, you have plenty of data, and you have dentists who won’t be ad- versely affected by AI—who, in fact, want it. In addition, it is easier to get into dental practices, as they are smaller, more agile and generally more interested in costeffective in- novation. Individual dentists and dental practices form a very entre- preneurial group. They want to make more money, deliver better care, and reduce overheads and liability. Also, they’re able to make adoption deci- sions directly, whether it’s an indi- vidual practice, a tenoffice group, or even a thousandoffice corporate dental company. I don’t mean to say there aren’t any hurdles for AI in dentistry, but they are considerably smaller than those in other medical areas. What hurdles do you see as you pre- pare to release Second Opinion? So far, dentists have been over- whelmingly positive, but I think convincing all dentists that AI as- sistance is a significant benefit will be very challenging. It seems un- necessary to point out that all hu- mans make mistakes. In order to en- courage adoption of the product, we will probably have to raise more awareness of the surprisingly high level of diagnostic inconsistency among dentists. People don’t like to admit mistakes, though, even when they’re obvious. Therefore, it will probably be more productive to ad- dress that objection with education on how, even for perfect dentists, Second Opinion is extremely valuable as a patient communication tool. How does it help with patient com- munication? It’s an objective third party alongside the dentist and the patient. Patients generally have to place blind trust in their dentist. Whether the dentist’s diagnoses are objectively perfect or not, patients will visit another dentist if they have doubts or don’t like what they have been told. We’re giving dentists the abi- lity to clearly communicate their diagnoses with the support of a tool that gives their patients a greater sense of assurance. It eliminates the doubt that makes patients seek a second opinion elsewhere—that is why we call it Second Opinion. Is there anything you would like to add? There’s so much that could be said about this topic. For now, I would just like to say that I’m looking for- ward to sharing this technology at IDS. Our team has worked extremely hard to deliver a highly accurate and complete radiological assistant, so it will be rewarding to see it put to use. 7 39th International Dental Show 2021 9
SHOW REVIEW industry Extension of Ceramill CAD/CAM workflow Digital solutions from Amann Girrbach lead the way into the dental practice n With its Ceramill Direct Restora- tion Solution (DRS), Amann Girrbach has extended its integrated digital workflow to the dentist and thus closed the communication gap that existed between the dental practice and the laboratory. The new digital workflow from Amann Girrbach has been designed to enable interdisci- plinary future-oriented collabora- tion and streamlined production processes that enable same-day dentistry. In this process, both partners contribute their core competencies in order to provide patients with de- finitive and functional prostheses in a more timely and less complicated way. The delivery of smaller units is possible on the same day, depending on the local distance between the two partners. Depending on the type of collab- oration that is desired, three team workflows are available in combina- tion with the corresponding Ceramill DRS Kits. In each case, the central basis of these workflows is AG.Live, a new digital platform that provides the infrastructure and patient case management procedures to support a level of consistency and efficiency that was previously unattainable. As such, AG.Live takes communication and collaboration between the prac- tice and the laboratory to an entirely new level. Virtual platform AG.Live cre- ates freedom, more efficient processes and greater customer proximity With AG.Live, Amann Girrbach has started the largest digitisation offensive in the company’s history. This web-based portal for collabora- tion between laboratories and den- tists offers comprehensive digital services at all levels. For example, AG.Live is a central tool for digital case management, networking, infra- structure, material management and support services. It is also a know- ledge database that will gradually replace the company’s previous C3 customer portal. On the one hand, the platform networks machines and materials in the laboratory, thereby simplifying processes and increasing quality and reproducibility. On the other hand, the greatest advancement is that AG.Live connects the growing global network of dental profession- als who are operating digitally. This bridges the interdisciplinary gap be- tween dentists and dental techni- cians and facilitates future-oriented cooperation. Furthermore, within this network of optimised and new partnerships, participants can focus on their strengths and better position themselves on the market. Extending the digital Ceramill CAD/CAM workflow to the dentist The Ceramill DRS Connection Kit is the basic entry-level option, with which dentists and laboratories can already take full advantage of digiti- sation. It consists of a Ceramill Map DRS intra-oral scanner, the associ- ated scan software and the connec- tion to AG.Live. Any order data, in- cluding all the required information, can therefore be shared with the lab- oratory seamlessly and in real time via AG.Live. This eliminates the need for handwritten job sheets and con- ventional impressions. All that is necessary is the physical delivery of the restoration to the dental practice, and this is possible on the same day in cases of simple restorations. Such timely delivery can lead to a better dental experience for the patient and could ultimately attract new patients to the practice and generate more orders for the laboratory. If the preferred material is zirco- nia, the High-Speed Zirconia Kit, con- sisting of Zolid DRS zirconia and a corresponding Ceramill Therm DRS sintering furnace, can optimally sup- port the laboratory in fabricating straightforward zirconia restorations on the same day. In an additional step—which can provide patients with their prosthe- ses even faster—the system in the dental practice can be upgraded at any time with the Ceramill DRS Production Kit. This allows simple restorations to be fabricated in the practice and placed in the patient’s mouth in a single session. All Ceramill DRS Kits are cur- rently available for pre-ordering within Germany, and the High-Speed Zirconia Kit is already available to laboratories. Early bird DRS users benefit from particularly close sup- port from the DRS specialists at Amann Girrbach. For further in- formation and to pre-order, visit: www.ceramill-drs.com. Free online presentation about the innovative Ceramill DRS In this online presentation, Amann Girrbach explains why it places the dental laboratory at the centre of the prosthetic workflow and ensures the highest possible quality and patient satisfaction through close integration and digital exchange with the dentist. Even with the basic ver- sion, the Ceramill DRS Connection Kit and the link to the AG.Live digital platform, the practice and laboratory can connect in a unique manner and take full advantage of the benefits of digitisation. The presentation also ex- plains interdisciplinary collaboration for restorations in a single session or on the same day, using the upgrades to the Ceramill DRS Production Kit and the DRS High-Speed Zirconia Kit. The full presentation can be ac- cessed at https://bit.ly/3gocZZM, free of charge, in various languages. More information can be found at www.amanngirrbach.com. 7 10 39th International Dental Show 2021
interview SHOW REVIEW “We like to maximise output and quality at an affordable price” VOXELTEK offers dental technicians easy entry into the digital workflow. By Jeremy Booth ries have already realised that, with the wider use of intra-oral scanners, if they do not adopt the technology in the laboratory, then they may lose their existing customers. What do you think about the new developments that are taking place in 3D-printing applications in dentistry? Liszkai: We have seen some very interesting developments in the field of 3D-printing materials, such as splint materials, directly printed clear alig- ners and permanent crowns, and these developments make us very excited about the near future of 3D-printing ap- plications in dentistry. We feel very proud and excited to be part of the revolution that is tak ing place, and we are doing our best to come up with our own developments and applications that will take 3D prin- ting for dental applications even further. If a dentist here at IDS asks you why he or she should get a 3D printer, what would you answer? Diósi: If he or she wants to print re- liable temporary crowns or models in a fast and efficient way, we have the so- lution to do that in-house. Liszkai: The dentist could shop elsewhere and spend a lot more money in order to get the same so- lution, or he or she could come to us and get a solution of equal quality for a lower price. 7 More information can be found at www.voxeltek.com. AD The VOXELTEK team at IDS 2021, including László Diósi, global sales manager at VOXELTEK (right), and Tamás Liszkai (centre), the company’s product development manager. n 3D printing was a major topic at IDS 2021. Based in Budapest in Hun- gary, VOXELTEK develops and ma- nufactures technology for dental labo- ratories and offers them an easy introduction to implementing a digital workflow and a quick return on invest- ment. Dental Tribune International spoke with László Diósi, global sales manager at VOXELTEK, and Tamás Liszkai, the company’s product de- velopment manager, to find out more. Can you please tell us about the company – when and how did you get started? Liszkai: The company was incor- porated in 2013 in Budapest. At that sented our high-resolution 3D desktop printers to the international market. What has changed since IDS 2017 in terms of the technology and what you are offering dentists? Liszkai: At that time, 3D printing was still relatively new and not as widespread as it is today. Accordingly, we had a lot of discussions with poten- tial clients about the core, very basic, principles of the technology. In the last few years, we have spent much less time explaining the technology be- cause people are more knowledgeable and they seem to know what 3D print- ing is all about. Not only are they more aware of it, but also they seem to un- What we have seen in the market is that people buy 3D printers and then realise the cost of the materials— which is something that needs to be purchased continually, usually at a high price—and so they begin to shop around for cheaper materials, and this creates a problem because they often try to adjust their existing 3D printer so that it will work with that material. To counter this, we offer a wide range of our own materials, in- cluding resins, and these are all pre- set in the software of the prin- ters, and we really try to encourage customers to use our materials. What else can you tell me about the company? Diósi: In addition to offering 3D printers, we manufacture 3D desktop dental scanners and light polymeri- sing boxes for final polymerisation of our 3D-printed products. We also offer a cabinet for storing the items. These four solutions can be combined into one system, which we call VOXELTEK FLOW, and this provides an easy op- tion for starting with 3D digital prin- ting in a laboratory, because laborato- Is this one of the things you are focusing on at IDS 2021? Diósi: Yes! If visitors buy one of our 3D printers, as an IDS special, they will receive a two-year supply of our most commonly used material: VOXELTEK Pro. This is not only an attractive offer, but also helps to eliminate the possibi- lity of customers trying to use other materials with our 3D printers, which can lead to ne- gative outcomes that may be blamed on the hardware. What are some of the high- lights of technology which you are offering? the Liszkai: In terms of appli- cations, our 3D printers are much more accessible—much more affordable—for small and mid-sized laboratories compared with some competi- tor products, which are in the higher price range. It goes wi- thout saying that we have al- ways aimed to match, or even exceed, the quality that is being offered by some of the larger players in the industry. Naturally, however, we offer the printers at a lower price. To sum it up, we like to maxi- mise output and quality at an affordable price. is coming to PRAGUE 26–29 May 2022 Prague, Czech Republic www.ROOTS-SUMMIT.com Tribune Group GmbH is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse indivi- dual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Tribune Group GmbH designates this activity for 18.5 continuing education credits. This continuing education activity has been planned and implemented in accordance with the standards of the ADA Continuing Education Recognition Program (ADA CERP) through joint efforts between Tribune Group GmbH and Dental Tribune International GmbH. 39th International Dental Show 2021 11 The system currently consists of a high-resolution 3D printer with fast printing capabilities, a desk- top 3D scanner, a resin storage unit and a post-polymerising chamber for final polymerisation of the printed parts. time, we started developing unique 3D-printing technology, and later we turned our focus to the dental indus- try. We saw that, with the ongoing development in the industry – namely with oral scanners and CAD/CAM soft- ware – there was an increasing de- mand for affordable desktop 3D print- ing in dentistry. We moved quickly so that any laboratory, small or large, could apply and use this technology. It was during IDS 2017 that we first pre- derstand what this technology can do for them in terms of the digital manu- facturing of dental parts. What is important for customers when they approach you, and what should they be aware of? Diósi: Certainly, they are looking for 3D printers that are fast, reliable and versatile when it comes to what they offer and the options related to the printing materials that can be used.