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CAVITRON® PROTAPER® PRIME&BOND®NT™ SPECTRUM® WAVEONE™

ACADEMYCPD COURSES DETAILS INSIDE

editionsix

Cavitron® – one insert is not enough

5th generation endo technology

A perfect endo needs a perfect resto

Smart Dentine Replacement

®

We understand that CPD is important to you, so in this issue of The Difference we have highlighted a number of webinars, related to the articles and features inside, that can be found in the comprehensive DENTSPLY Academy archive.

But it doesn’t end there. As in previous editions, The Difference can earn you verifiable CPD hours too. All you need to do is read through the articles, case studies and research data inside this issue and then go to dentsplyacademy.co.uk/thedifference6 to answer a few simple questions. If you get all of the answers correct, you will receive an electronic CPD certificate for 2 hours verifiable CPD.

If you haven’t yet joined the DENTSPLY Academy, registering is simple and straightforward and will give you access to over 55 hours of CPD and the opportunity to register for our live webinar series. Visit dentsplyacademy.co.uk

Contents3 Welcome

4 DENTSPLY Academy: ‘Next Generation Endo’ roadshow

6 5th generation endo technology: ProTaper Next™

7 Molar endodontic treatment of LL6 using ProTaper Next

9 Smart endodontic solutions

10 Smart restoration following endodontics

12 Global Ceram∙X® Case Contest

13 Dentist Mr Nick Barker speaks to The Difference

15 Prime&Bond® XP: a new name for reliability

16 Cavitron®: an essential piece of equipment

18 Personal protection equipment: protecting the team

19 DENTSPLY REWARDS: Helping your practice budget go further

20 DENTSPLY REWARDS Plus: An even bigger thank you

21 DENTSPLY Academy: where learning comes to life

22 A highly skilled service from DENTSPLY

23 Your Sales Specialists

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ACADEMY

I’ve talked before about how much we pride ourselves at DENTSPLY on delivering innovative solutions in dentistry that improve clinical efficiency and patient safety. This is backed by over 100 years of research and development experience.

It is important to us that we don’t rest on our laurels and continually deliver this high level of quality and expertise for our customers. But it doesn’t stop there. We believe that a big part of what we do is bring our customers key insight and thinking from leading clinicians. The DENTSPLY Academy Endodontic Roadshow is a prime example of this. For the past three months, leading endodontic clinicians have been delivering a 43 date, nationwide series of ‘Next Generation Endo’ hands-on workshops. These have proved popular with dentists who are keen to gain a better understanding of modern endodontic instruments, including the ProTaper Next™ system. You can read all about our well received launch event in Glasgow on page 4, which was hosted by Dr Carol Tait from the University of Dundee.

In the last issue I explained that an important word, and indeed philosophy, at DENTSPLY is ‘solutions’. Whether it is looking at individual endodontic file design or a complex restorative procedure as a whole, our products go hand-in-hand with the instruments and materials that come before or after in the clinical procedure. Pages 6 to 14 in this issue explore this further and demonstrate how our endodontic and restorative products complement one another, providing the complete solution for optimum results. This section includes some excellent articles and clinical cases from Cliff Ruddle (page 6), Stephen Martin (pages 7 and 8) and John Rhodes (pages 10 and 11). In an interview with Nick Barker (see pages 13-14), he describes his ‘systems’ approach to endodontic and restorative treatments using an efficient and clinically proven family of restorative products.

We also feature some insightful articles on preventive care and infection prevention, including an interview with dental hygienist Melonie Prebble, who tells us why her ultrasonic scaler of choice has, and always will be, Cavitron® (see page 16).

We value our customers above all else which is why we have our loyalty programme, DENTSPLY Rewards, where you can earn DENTSPLY Rewards £s on your purchases each time you shop with us. We also have our internationally renowned DENTSPLY Academy, an innovative hub for continuing dental education and gateway to over 55 hours of comprehensive learning materials, which qualify for verifiable CPD. This is our contribution to the dental community and to say thank you for your continued loyalty! Find out more about these valuable programmes on pages 19-21.

I hope you enjoy reading this latest edition and please feel free to share this with your colleagues.

Olivier ColletGeneral Manager, DENTSPLY UK & Ireland

Welcome to the summer/autumn edition of The Difference

CONTACT US dentsply.co.uk 0800 072 3313

THE DIFFERENCE 3

ENDODONTICS

On the trail of the ‘Next Generation Endo’ roadshow On May 15th, leading endodontists in Glasgow gathered for the first DENTSPLY Academy Endodontic Roadshow 2014 to get their hands on ProTaper Next™, the next generation of endo instrumentation.

The DENTSPLY Academy Endodontic Roadshow is a 43 date, nationwide tour, featuring leading endodontic clinicians from across the UK and renowned global figures, including Dr Julian Webber and Professor Francesco Mannocci.

The launch event in Glasgow on the 15th May was hosted by Dr Carol Tait from the University of Dundee, who provided an entertaining and thorough introduction to how modern endodontic instruments can provide more predictable treatments and reduce levels of retreatment.

With the lecture element of the evening focussed on the key learning outcomes of understanding the principles and objectives of successful endodontic treatment and the importance of creating a glide path, it was the hands-on aspect of the course which had attendees quickly reaching for their hand pieces.

I hope that those attending and using other systemswill appreciate the huge benefits of ProTaper Next. I found that the unique file design feels very controlled, gives very predictable results and is less likely to fracture. Dr Carol Tait

Delegates were able to try the latest in endodontic instrumentation, including ProTaper Next which has emerged as a 5th generation file system. It brings together the proven performance features of clinicians’ favourite, ProTaper® Universal, with the most recent technological advancements in materials and progressively tapered, offset mass design. Clinically, ProTaper Next fulfils the three sacred tenets of shaping canals; safety, efficiency and simplicity.

The hands-on segment also provided an opportunity to trial the newly launched path file, ProGlider™ and the brand new portable, compact apex locator, Propex PiXi™. Delegates were enthusiastic about the chance to work with “products designed as an adjunct to the ProTaper Next file system”, and it is this hand-in-hand, total solutions approach to the clinical procedure that should give you confidence and more predictable results.

Mr Ian Fenny, Eastern Road Dental practice, Edinburgh

A definite new quicker effective method

Mrs Helen MacNeil, Helen MacNeil Dental care, Bonnyrig

Thank you, brilliant event!

Very good lecturer, clearly very experienced!

Mr Stuart McKenzie, Wimpole Road Dental Pracice, Colchester

Very useful session

Denise Taylor, Tavern Street, Stowmarket

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Earn Rewards £s on your ProTaper Next, ProGlider and ProPex PiXi DENTSPLY endodontic purchases.

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DENTSPLY REWARDS

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Visit dentsplyacademy.co.uk to view our endodontic webinars:

ProTaper Next – My experience and Restoration of endodontically treated teeth – The science behind it with Dr Carol Tait

ACADEMY

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From live interactive webinars with key industry leaders to product tutorials, clinical cases and video, this valuable online resource offers you an easy way to stay ahead of the game with all the latest developments and insights into dentistry.

The DENTSPLY Academy is FREE to join, allowing you to sign up for one of our live webinars or catch up on your CPD hours with the On-Demand Archive, all from the comfort of your own home or office. Log-in at dentsplyacademy.co.uk for the latest webinar schedule.

DENTSPLY Academydentsplyacademy.co.uk is our internationally renowned hub for continuing dental education and a gateway to over 55 hours of comprehensive learning materials, which qualify for verifiable CPD.

A delegate enjoys using the ProTaper Next system at a roadshow in Glasgow.

The London roadshow was held at the Royal Society of Medicine in Wimpole Street.

Julian Webber in action at the west London roadshow.

Dr Carol Tait speaks to a dentist about the ProTaper Next system.

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THE DIFFERENCE 5THE DIFFERENCE 5THE DIFFERENCE 5

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5th generation endo technology: ProTaper Next™

ProTaper Next files are the convergence of three significant design features; progressive percentage tapers on a single file, M-wire technology and the next generation of continuous improvement, the offset design.

The most successful generational design of the past is the mechanical concept of utilising a progressively percentage tapered design on a single file. The ProTaper® Universal NiTi rotary file system utilises both increasing and decreasing percentage tapered designs on a single file. This design feature serves to minimise the contact between a file and dentine, which decreases dangerous taper lock and the screw effect, while increasing efficiency.1 Taking advantage of this mechanical design, ProTaper Next also utilises progressive tapers on a single file.

Although NiTi files have been shown to be 2-3 times more flexible than same-sized SS files, additional metallurgical benefits have been identified using heat treatment in either pre or post-machining. Heat treatment serves to create a more optimal phase transition point between martensite and austenite. Research has shown that M-wire, a metallurgically improved version of NiTi, reduces cyclic fatigue by 400% when comparing files of the same tip diameter, cross-section, and taper.2 This 3rd generational advancement is a strategic improvement to the overall clinical safety and performance of the ProTaper Next rotary file system.

ENDODONTICS

The third design feature of ProTaper Next is related to its offset cross-sectional design. There are three major advantages:

• An offset design generates a travelling mechanical wave of motion along the active portion of a file. This swaggering effect serves to minimise the engagement between the file and dentine compared to the action of a fixed tapered file with a centred mass of rotation. Reduced engagement limits undesirable taper lock, the screw effect and the torque on any given file.

• A file with an offset design affords more cross-sectional space for enhanced cutting, loading and augering debris out of a canal compared to a file with a centred mass and axis of rotation. Many instruments break as a result of excessive intrablade debris packed between the cutting flutes over the active portion of a file. Importantly, an offset file design decreases the probability for laterally compacting debris and blocking root canal system anatomy.

• A shaping file with an offset mass of rotation will generate a mechanical wave of motion analogous to the oscillation noted along a sinusoidal wave. As a result, any given ProTaper Next file can cut a bigger envelope of motion compared to a similarly sized file with a symmetrical mass and axis of rotation. The clinical advantage of this is a smaller-sized and more flexible ProTaper Next file which can cut the same-size preparation as a larger and stiffer file with a centred mass and axis of rotation.

To see the swagger video, and to help you make your transition to this 5th generation technology please visit dentsply.co.uk/protapernext. Here, you can also view clinical cases, videos and a webinar on the practicalities of using the new system. To arrange a demonstration please call 0800 072 3313.

DENTSPLY is proud to host internationally renowned Endodontist and speaker Dr Cliff Ruddle in a mini-series of lecture/hands on events. The one day sessions will be held over the week 29th Sept – 4th October in locations across the UK. Don’t miss out, register your interest today at: dentsply.co.uk/DrRuddle

References 1. Ruddle CJ: The ProTaper endodontic system: geometries, features, and guidelines for use, Dent Today 20:10, pp. 60-67, 2001. 2. Johnson E, Lloyd A, Kuttler S, Namerow K: Comparison between a novel nickel-titanium alloy and 508 nitinol on the cyclic fatigue life of ProFile 25/.04 rotary instruments, J Endod 34:11, pp.1406-1409, 2008.

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Molar endodontic treatment of LL6 using ProTaper Next™

PresentationThe patient presented as a secondary referral from a general dental practitioner (GDP). The initial complaint had been one of severe pain on hot and cold from LL6, which on examination had been found to have a deep distal cavity. The initial diagnosis was of irreversible pulpitis of LL6. The tooth had been accessed and dressed with Ledermix by the GDP at an emergency appointment which had resolved the acute symptoms. At a follow-up visit the GDP had attempted to carry out endodontic treatment but had been unable to file to length in any of the three located canals. The patient had therefore been referred for completion of the treatment.

On examination the LL6 had on-going symptoms of minor discomfort, but the acute symptoms had resolved. There was a poorly sealed temporary restoration in place. There was no sign of swelling or sinus. The tooth was negative to vitality testing and was slightly tender to percussion. A diagnosis of periapical periodontitis was made. Following a discussion with the patient, it was decided that the endodontic treatment should be completed, if possible, over one visit. The patient was informed of the need for a full coverage restoration immediately after completion of endodontic treatment.

Access and canal scoutingThe LL7, LL6 and LL5 were isolated under a rubber dam and the LL6 temporary restoration removed to access the pulp chamber. The chamber was immediately irrigated thoroughly with warmed 2% sodium hypochlorite, and then inspected under magnification with an endodontic microscope. Initial preparation of the coronal aspect of two mesial canals and one distal canal had been carried out. There was some remaining necrotic debris visible

in the canals. The access cavity was at this point refined to improve access and visibility. This was carried out using a non-end cutting bur to remove the remnants of the pulp chamber roof. Further dentine removal with Start-X Ultrasonic tips revealed the presence of a second distal canal orifice.

Initial scouting of the canals was performed with a pre-curved #10 K-File to ensure canal patency. As encountered by the GDP, the apical third of the canals was difficult to negotiate, so some time was taken using the pre-curved K-File in a ‘watch-winding’ action to bypass the curved apical part of the canals. Once patency was achieved with the #10 K-File, the same action was repeated with a #15 K-File to the estimated working length based on the pre-operative radiograph. Once the #15 K-File could be brought easily to length, the ProTaper Next rotary system was used to complete the mechanical preparation of the canals.

Canal preparationThe initial coronal preparation was carried out with the ProTaper Next X1 file, which has a 0.17 tip size and a 4% taper. The X1 file can be used to carry out all the shaping of the canal. The file was used in a brushing motion to approximately two-thirds of the estimated working length with frequent hypochlorite irrigation. The file was withdrawn from the canal frequently to clean the flutes and to recapitulate with a #10 K-File to ensure canal patency was maintained. Once the coronal preparation was completed, the working length of the canals was established using an electronic apex locator. Canal preparation was continued to length with the ProTaper Next X1 file with the same brushing motion, again with regular irrigation and recapitulation.

Case Study Endodontist Stephen Martin In this clinical case study, endodontist Stephen Martin discovers the benefits of the ProTaper Next file system.

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THE DIFFERENCE 7THE DIFFERENCE 7

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ENDODONTICS

Once length was reached with the X1 file, the canal shaping was complete and a taper was produced from crown to apex allowing irrigant to be introduced to the entire canal system. The next stage was to gauge the apical diameter of the canals and thus determine the finishing file size. I then decided to finish the canals to an ISO size 25 to ensure adequate cleaning of the apices. The PTN X2 finishing file has an ISO 25 tip size and 6% taper. This was brought to length in all four of the canals in the same brushing manner as the X1 file. Again, thorough irrigation was carried out throughout the procedure.

The canals were then irrigated thoroughly with EDTA solution, which was left in the canals while the master cone radiograph was taken with four X2-matched gutta percha points to introduce the length. The periapical radiograph showed the master cones to length and well adapted to the canals. A final hypochlorite rinse was then carried out again with warmed solution. The irrigant was activated with an Irrisafe ultrasonic tip to allow the greatest possible penetration of the irrigant to the apical part of the tooth.

ObturationThe canals were dried with X2 size matched paper points. Obturation was to be carried out by warm vertical compaction of gutta percha using a dual obturation system. The heated plugger size was pre-selected by ensuring it could be inserted to within 4-5mm of working length in the empty canals. The master cones were then lightly coated with AH Plus sealer and introduced to length in each canal. The cones were seared off at the orifice with the heated plugger and Machtou pluggers were used to apical compact the gutta percha. Warm vertical compaction was then carried out in each canal, first using the downpack heated plugger to sear off the master cone

at 4mm from working length. The apical gutta percha was again compacted with a plugger and the canal backfilled incrementally with a dual backfill. A Nayyar amalgam core restoration was placed using the coronal 2mm of the mesio-buccal and disto-lingual canals to retain the restoration. Isolation of the adjacent teeth allowed for matrix band and amalgam placement while the tooth was still isolated.

The rubber dam was then removed and a post-operative radiograph was taken to confirm the obturation had been carried out to length and with no voids. Final restoration, polishing and finishing was carried out and the patient referred back to their GDP for provision of a crown.

Dr Stephen Martin BDS (University of Dundee) MJDF RCS (Eng) PG Dip qualified from the University of Dundee in 2000. Since then he has gained experience working in both a hospital and practice setting. Stephen has undertaken a variety of postgraduate education, including the Membership of the Joint Dental Faculties qualification and a postgraduate diploma in Primary Dental Care at the University of Edinburgh. Since then he has concentrated on endodontics, completing a course in higher training in endodontics at the University of Newcastle and becoming a DENTSPLY trainer. He is currently nearing completion of a Masters in endodontics at the University of Central Lancashire. Stephen accepts endodontic referrals in Edinburgh, Aberdeen and Glasgow. He is actively involved in postgraduate education through running section 63 and vocational training endodontic courses, and is a tutor on the primary dental care MSc at Edinburgh Postgraduate Dental Institute. Stephen takes part in the DENTSPLY Education program by running local courses in the east of Scotland on DENTSPLY endodontic products.

Figure 1 Pre-operative radiograph with temporary restoration in place showing a poor distal seal and early radiographic change around the distal root.

Figure 2 Access to LL6 after refining with a non-end cutting bur and Start-X ultrasonic use, and thorough irrigation.

Figure 3 Four prepared canals dried and ready to obdurate.

Figure 4 Master cone radiograph showing four X2 gutta perch points introduced to length.

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X-Smart Plus and ProGliderX-Smart Plus from DENTSPLY is a simple, easy to use micromotor designed for any GDP performing rotary endodontics using either a reciprocating single file technique or

continuous rotation file system. Compact and portable, with a lightweight miniature contra-angle attachment and operated without a foot pedal, the X-Smart Plus user interface features a large bright colour screen with a colour-coded file library to aid file selection. With dedicated button controls to make navigation easy and powered by a rechargeable battery, X-Smart Plus allows the practitioner to fully focus on patient treatment due to its simplicity of use, excellent visibility and access.

For endodontic specialists, DENTSPLY’s ProGlider is the single file glide path system for all dentists using NiTi shaping files, creating the glide path quickly and safely compared to stainless

steel files which often prove difficult. Made of M-Wire NiTi alloy and uniquely shaped with a variable taper, ProGlider improves file flexibility whilst retaining cutting efficiency, regardless of the path’s complexity, and offers high resistance to cyclic fatigue. ProGlider respects the root anatomy better than manual instruments, reducing the risk of canal transportation, apical zips and ledges.

Smart endodontic solutions

Visit dentsplyacademy.co.uk to view our endodontic webinars:

What’s new in endo? and Modern canal shaping with Dr Mike Horrocks, BDS MDc

ACADEMY

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THE DIFFERENCE 9THE DIFFERENCE 9

DENTSPLY’s NEW Propex PiXi Apex Locator

Specifically designed for general dental practitioners looking for the convenience and mobility of a pocket-sized device, DENTSPLY have introduced the NEW Propex PiXi, a miniature, high precision apex locator that accurately determines the working length of any root canal.

Using multi-frequency technology to precisely determine the location of the apical foramen, the Propex PiXi effectively operates in a wide range of conditions, including dry, wet, infected and bloody canals. Featuring progressive sound control with four volume levels and incorporating a high resolution colour LED display that shows a visual representation of the file movement along the apical foramen, the Propex PiXi gives an accurate and reliable apical working length measurement that is perfect even for the first time apex locator user.

Its lightweight, compact design also includes a rechargeable battery. This ensures the sleek Propex PiXi takes up minimal space during treatment, in storage and transportation, resulting in less disturbance from tangling wires and improved visual control of the file progression.

Ready to use with no calibration or manual adjustment required, DENTSPLY’s Propex PiXi apex locator aims to provide clinicians with safer, more accurate root canal procedures.

Here we investigate the benefits of two very smart pieces of endodontic equipment: the X-Smart Plus™, and DENTSPLY’s NEW Propex PiXi™ Apex Locator; and also the ProGlider™ file.

CONTACT US dentsply.co.uk 0800 072 3313

Smart restoration following endodontics

Adequate coronal seal following endodontic treatment is imperative. A good root filling and good restoration providing coronal seal achieve the best outcome.1

As a specialist endodontist, I am often required to provide core build-ups on teeth that have had endodontic treatment and in every case the access cavity must be sealed adequately to prevent coronal leakage. Historically, molar teeth have often been restored using the Nayyar core technique2 with amalgam. This avoided the need for metal posts, which had been shown to increase the risk of tooth fracture. The technique is predictable but with significant advances in bonding technology and composite materials since publication, there has been concurrent propensity amongst patients and dentists to avoid amalgam when possible. The long-term prognosis for posterior endodontically treated teeth however, is significantly improved by cusp coverage.3

In large cavities, composites have traditionally been used either combined with glass ionomers and compomers or in increments, each layer being light-cured to avoid the affects of polymerisation shrinkage and stress as the composite hardens.4 Layering techniques can result in voids through which potential microleakage could occur; the technique is also time-consuming.

Polymerisation stress resulting from the polymerisation shrinkage of composite restorations can lead to numerous adverse clinical effects, including de-bonding, post-operative sensitivity and marginal discrepancies.4

SDR (Smart Dentine Replacement) is a one-component, fluoride-containing, light cured, radiopaque resin composite restorative material. It has been designed for use as a base in Class I and II restorations.5

SDR is a flowable, self-levelling composite that can be placed in 4mm increments with minimal polymerisation stress. The self-levelling feature allows intimate adaptation to the prepared cavity walls. Working with an operating microscope, it is reassuring to see the SDR material flow into the ramifications of the cavity. This is therefore a useful material for rapidly sealing the bulk of the access cavity in endodontics, following which, a single shade composite such as Ceram.X® mono + is used to create and refine occlusal detail. This simplified two-increment technique can produce a highly aesthetic composite restoration without encroaching heavily on surgery time. SDR works extremely well in the base of conventional access cavities where an unfavourable configuration “C” factor can make restoration with composite challenging.

In Class II cases a matrix will be required. The Palodent® Plus sectional matrix system by DENTSPLY produces an anatomical profile and tight interproximal contact when working with composite. A matrix is selected and the nickel-titanium separator used to open the interproximal space. Wedges can be placed through a “V” shaped notch in the separator to adapt the matrix to the base of the box. The wedges come in different sizes and can be “piggy backed” if more than one is required.

Case StudyIn this clinical case study, Dr John Rhodes, owner of The Endodontic Practice explores the importance of coronal sealing, SDR® (Smart Dentine Replacement) and new restoration techniques which are paving the future for endodontic practices everywhere.

RESTORATIVE10

Visit dentsplyacademy.co.uk to view our restorative webinars:

Restoration of the endodontically treated tooth – Modern Materials with Dr Nick Barker, BDs

ACADEMY

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Figure 1 Following molar endodontic treatment a core is being constructed. The Palodent Plus sectional matrix, separator and wedge are all in position. The matrix system is not affected by the rubber dam

clamp. Good adaptation can be seen at the base of the distal box. The cavity has been etched and the bonding agent applied, this produces a “wet” appearance to the tooth substance. Using a rubber dam is preferable to allow good moisture control in the operative site. Following complete etching and application of suitable bonding agent, SDR can be dispensed into the cavity. It is important to check that the bonding agent has not pooled in the orifices in root filled teeth. The cannula tip can be inserted into the orifice of the root canal. Although a 4mm thickness can be confidently light-cured, it is perhaps advantageous to cure a thinner increment in the orifices and across the pulp floor as light penetration will be less predictable at the base of the access cavity. A further increment can then be added to a level approximately 2-3mm below cavity margin.

Figure 2 SDR being dispensed into the cavity. In this case the composite is being applied with the aid of an operating microscope fitted with a yellow filter to prevent premature polymerisation.

Ceram∙X mono+ composite, which is radiopaque and available in seven shades (covering the full Vita range) is used to build up the marginal ridges and then individual cusps, spot curing between additions. The composite contains Nano-Ceramic particle technology, offering natural aesthetics, excellent handling characteristics and durability and is suitable for anterior and posterior restorations.

Figure 3 The completed core prior to removal of rubber dam. Building up the core with a two-increment technique is far quicker and results in much less occlusal adjustment being required.

Figure 4 In this case the root filling in LL4 has failed and the LL5 is necrotic. Both teeth require endodontic intervention and restoration.

Figure 5 The situation following endodontic treatment. A fiber-post was required in the LL4 and was bonded with a dual-cure composite. The LL5 did not require a post, but both teeth would eventually be restored with full coverage restorations.

Figure 6 The LL4 and LL5 following restoration with SDR and Ceram∙X mono+.

Figure 7 The post-operative radiograph. The root canal in the LL4 was re-negotiated and patency achieved. An apical seal is provided by 4mm of gutta percha and a fiber-post bonded into the remaining canal. The

apical region of the LL5 has an apical delta and multiple foramina. The composite has been placed into the coronal part of the root canal to improve retention.

References 1. Kirkevang LL, Ørstavik D, Hörsted-Bindslev P, Wenzel A. (2000) Periapical status and quality of root fillings in a Danish population. International Endodontic Journal. 33:509-11. 2. Nayyar A, Walton RE, Lionald LA. (1980) An amalgam coronal-radicular dowel and core technique for endodntically treated posterior teeth. Journal of Prosthetic Dentistry. 43(5):511-5. 3. Nagasari R and Chitmongkolsuk S (2005) Long-term survival of endodontically treated molars without crown coverage: A retrospective cohort study. Journal Prosthetic Dentistry. 93:164-70. 4. Truffier-Boutry D, Demoustier-Champagne S, Devaux J, Biebuyck J-J, Mestdagh M, Larbanois P, Leloup G (2006) A physico-chemical explanation of the post-polymerization shrinkage in dental resins. Dental Materials. Vol. 22, No. 5, 405-12. 5.Yamazaki PC, Bedran-Russo AK, Pereira PN, Wsift EJ Jr. (2006) Microleakage Evaluation of a New Low-Shrinkage composite Restorative Material, Operative Dentistry. Vol. 31, No. 6, pp 670-76

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Global Ceram∙X® Case Contest

RESTORATIVE

Last year, DENTSPLY launched, for the 10th year running, the Ceram∙X® Global Case Contest 2013/2014. We would like to congratulate the UK winner, Rhys James Watson from Cardiff University. Rhys’s case has now been submitted to the global final, so fingers crossed he wins that too! Enjoy the winning case below:

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Rhys James Watson

Professor: Dr. Andrew AshrafUniversity/Country:Cardiff University (UK)

Introduction to the caseThis 73 year-old male patient came with the presenting complaint of being worried his front teeth would continue to break down as bit by bit they had fractured away. Investgation found that loss of posterior occlusal support meant that all the biting force was placed upon the anterior sextant. Parafunctional habits were excluded and non-carious tooth tissue loss caused by attrition, reportedly for the past 20 years. Build up of 13-23 and 33-34 were restored with Ceram.X mono + composite. Presenting here the photos of before, after, diagnostic wax up and vacuum form splint used.

Initial PresentationAttrition marks to the incisal edge of the mandibular dentition from tooth 33-43. Referral to the hygienist was made further to aid full stabilisation and rehabilitation for the patient.

Initial PresentationExamination of the maxillary anterior teeth presented with arrested caries on tooth 23 distally and 12 mesially; incisal wear facets allowed for the loss of OVD by roughly 3-4mm.

Diagnostic Wax-upA lab produced diagnositc wax up with consideration for occlusion and aesthetics taken into account. Approved by the patient and then replicated with lab putty.

Vacuum Formed SplintA vacuum formed splint used for the final layer of the composite to be placed; clear to allow light curing while in-situ.

Finished PalatallyShade A4 – Ceram.X capsule M7 was placed for the dentine layer. The enamel shade selected was A3.5 – Ceram.X capsule M6 used for the final enamel layer.

Finished LinguallyBoth maxillary and mandibular attrition cavities were restored with the same shades to increase the OVD; allowing for space to restore teeth 11 & 12 to match teeth 21 & 22.

Finished RightDENTSPLY‘s Enhance Polishing Cones with Prisma Gloss was used to finish all restorations. The reasoning to gain a similar polish and luster; aiding the blending process and gain in aesthetics.

Finished LeftAn overall balanced occlusion was maintained with the OVD increasing only slightly; it means that the patient’s chances of acceptance to change are higher and without great discomfort.

BeforeExamination showed that

loss of the occlusal vertical dimension (OVD) due to

the extensive tooth loss from 11 & 12; along with the lack of posterior teeth.

AfterThe long working time with Ceram.X mono allowed for greater operator ease when placing these restorations and benefited the patient with a very pleasing result.

Material and methodUsing a technician is an integral part of the dental team, it led well to the making of a balanced and aesthetic diagnositic wax up. Shade M7 was used free-hand for the dentine layer with the vacuum splint used for shade M6. Enhance Finishing cups and Prisma Gloss paste was use for the polished finish.

Discussion and conclusionConsideration for occlusion and aesthetics were key here; increasing the OVD too much and withouth a balanced occlusion would lead the patient in more trouble than they started with. A vital component of shade taking is another set of eyes to help shade selection; in this instance a great dental nurse was at hand.

A systems approach for complete confidence

Interview Mr Nick Barker, dentist describes his ‘system approach.’

In this interview, dentist Mr Nick Barker, BDS, describes his ‘systems approach’ to endodontic and restorative treatments using an efficient and clinically proven family of restorative products.

1. Data on file

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CONTACT US dentsply.co.uk 0800 072 3313

THE DIFFERENCE 13

“When faced with large posterior cavities, as many dentists are on a regular basis, I prefer to use a reliable bulk filling material for speed and accuracy. There have been a number of advances in this area over recent years and some of the materials now available are really excellent, with features that address a number of clinical issues simultaneously. Manufacturers’ efforts to develop materials that have low shrinkage and reduce polymerisation stress, effectively avoiding de-bonding, reduce post-operative sensitivity and minimise marginal discrepancies, are to be applauded. When such a material is also versatile enough to use across a range of indications, in my view it becomes an essential part of the dentists’ toolkit.

SDR® (Smart Dentine Replacement) is one such material that I personally wouldn’t be without. Its flowability makes it an excellent option for bulk filling, where, in contrast to

traditional materials, it adapts to the cavity extremely easily, giving an excellent and reliable fit. In addition, it is indicated for a number of applications and I routinely use it not only to fill large posterior cavities, but also as a reliable core build-up material after endodontic treatment.

The benefits of using a bulk filling material over a conventional composite is that the latter needs to be packed and can often be quite “tacky”, sticking to instruments and making the procedure frustrating and time consuming. I prefer a material with flowable properties that enable

it to be layered in large incremental layers, (ideally up to 4mm), as this vastly reduces the amount of time spent performing the procedure. Of course this feature must also be combined with minimal polymerisation stress so that the efficacy of the restoration is not compromised and, in research, SDR has proven to be liable to up to 60% less shrinkage stress1 than comparable composites. The procedure is also quickened if the material has a high translucency and is able to be rapidly light cured. In the

case of SDR, the light is able to penetrate right to the bottom of the cavity, giving a very controlled and predictable cure, which in turn provides a stable and reliable result.

Flexibility is very important for materials being used for bulk filling, as it is this feature that gives adequate support to the cusps. In addition I have also found, although this is anecdotal, that my patients often experience less sensitivity when a tooth is filled using SDR in comparison to other materials. All of these characteristics; fast setting, flowable, ability to fill in large increments and minimal polymerisation stress, make SDR from DENTSPLY a highly efficient and reliable filling material which gives good adaptation.

I find that whilst the translucency of a material provides some advantages, it also creates some challenges with regard to colour matching.

RESTORATIVE

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14

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Where necessary these can be overcome by combining the filling material with an opaque composite, and I often use Ceram.X mono + for this purpose as it is available in a wide range of shades.

I find the system approach to be most beneficial and take confidence from the fact that when I need to combine several different materials, I do so in the knowledge that by using materials from a single manufacturer I am less likely to encounter any issues in terms of compatibility.

By combining SDR with Ceram.X I get the best of both worlds – all the physical properties that enable a large cavity to be effectively treated, combined with a good aesthetic finish that means I can achieve a very pleasing result.

I use conventional composites to restore in both the anterior and posterior region and for these I require a material with good shade matching to achieve the

desired result. For this reason I often favour Ceram.X duo for anteriors as its colour matching is more detailed. Posteriorly, I use Ceram.X mono composite to fill small cavities where bulk fill properties are not needed, but where I still require good handling characteristics. A material that is not too tacky, adapts to the cavity well, is easy to build up and aesthetically has the benefit of a good colour match is the ideal. Using a material that enables me to perform procedures with ease and is fast, efficient and gives the patient a good, reliable, aesthetic result is the perfect solution.

To complete my armoury for achieving a successful restorative result, I like to use a sectional matrix system that enables me to successfully encase the tooth in sections at the contact points. This can be a slight challenge if a patient presents with a cavity that contacts both mesially and distally because it necessitates the placement of two separate sections or requires each side to be built up independently. Palodent® Plus is a sectional matrix system in which the metal

sections are very flexible and adaptable, and therefore more readily take the shape of the tooth. This enables me to achieve very good contouring and gives the tooth a convincing natural appearance. The plastic wedges that are part of the system can be joined together in a jigsaw fashion making the construction of the contact space as atomically shaped as possible – this is an advantage over conventional systems, which involve standard wooden wedges, most of which do not have this capability.

Before I start to prep the cavity, I insert the “guard”, which comes as part of the kit and prevents any contact with the adjacent tooth. The guard and plastic wedge are inserted

simultaneously and once the cavity has been cut the guard is removed leaving the wedge in place. This process gives the wedge sufficient time to adapt the space and allows the tooth a degree of movement. As a clinician I appreciate all these small features, which combine to create huge benefits in terms of clinical efficiency and enable a very pleasing result to be achieved.

There are numerous examples in which I have used this family of products together in a single case and with complete confidence. I think it makes a huge difference when companies engage with clinicians to develop products, as it is noticeable that the resultant materials are well thought through in terms of their practical application. Like most dentists, I use filling materials and composites on a daily basis and I appreciate the fact that these particular materials take into account all the minor details that are so important to the smooth running and clinical efficiency of my practice.”

Earn Rewards £s on your SDR, Palodent Plus, Ceram∙X and Prime&Bond® XP DENTSPLY restorative purchases

Shop online at dentsplyrewards.co.uk

DENTSPLY REWARDS

£DENTSPLY REWARDS

£

Prime&Bond® XP – a new name for reliability

A little over 20 years ago, DENTSPLY launched the first one bottle adhesive: Prime&Bond as it was known in the US, and Dyract PSA in Europe. Next generations were known as Prime&Bond 2.0 and Prime&Bond 2.1. With more than one billion applications and counting, its successor Prime&Bond® NT has been an integral part of the restorative range for 16 years. The most recent member,

As part of the high-performance restorative range, XP BOND™ will go by the name of Prime&Bond® XP, a globally recognisable title.

High application security

Tight marginal sealing

User friendly

Marginal sealing is paramount for the quality and longevity of a restoration3

Rosales-Leal JI, Granada, Spain

Perdigão J.,Minneapolis, MN, USA

Perdigão J.,Minneapolis, MN, USA

1 Not a registered trademark of DENTSPLY International, Inc.2 M.Latta, 2009, after 1800 thermo cycles (5/55 °C), n=10; 5 mm/min

3 Rosales-Leal JI, 2013. Data on file. 4 When used with SCA + Calibra®, SmartCem®2 or Core·X™ flow, light curing is optional.5 For dual- or self-cure materials, SCA is required.6 Blunck U, Charité Berlin, 2013. Data on file.

1

3

5

Gaps

Ideal moisture 10 sec over dried

Prime&Bond® XP Prime&Bond® XP Optibond Solo Plus1

Relaxed: 15 minutes storage in closed CliXdish™ Easy: One bottle, one layer, no agitation Safe: Good visibility in the cavity Economic: up to 300 applications per 5 ml bottle6

“The morphology of the hybrid layer when Prime&Bond® XP was applied on dried dentin was not very distinct from the morphology corresponding to the application of the same adhesive on moist dentin.“

Less worries, better results

• Most adhesives require an optimum level of dentin moisture to reach their full potential• This is difficult to achieve under practice conditions• As a consequence, postoperative sensitivities and decreased bond strength can occur

Light-Cure

Dual-Cure

Dark-Cure

dye

pene

tratio

n [%

]

100

0

20

40

60

80

Prime&Bond® XP+ Ceram·X® mono

Scotchbond 1 XT1 + Z2501

Syntac Classic1 + Tetric Evo Ceram1

Reliable bond strength

Excellent bond strength on wet and dry dentin2

Latta MA, Omaha, NE, USA

2

Optimum

Over-dried for 10 sec

Over-wet

shea

r bon

d str

engt

h [M

Pa]

40

30

20

10

0 Prime&Bond® XP Excite1 Optibond Solo Plus1 Scotchbond 1 XT1 Syntac1

Prime&Bond®XP forgives almost anything:It provides excellent bond strength even under various levels of dentin moisture.

Dentin

Enamel

Universal use

Dark-Cure option4 for additional security

Prime&Bond®XP is indicated for all direct and indirect5 restorations Adhesive layer does not require light curing4

4

What happens if light curing is insufficient?

• Significant decrease in bond strength• Postoperative sensitivities

Inlays/Onlays Crown/Bridges Posts

“In cases where I am not sure how much light transmits the restoration, Prime&Bond®XP and Self Cure Activator provide for more security than systems that require light curing.”

Frankenberger R,Marburg, Germany

FOR ALL INDICATIO

NS

UN

IVERSAL USE

R

N

K79200014-02 P&B XP Folder engl.indd 3-4 12.03.14 11:56

High application security

Tight marginal sealing

User friendly

Marginal sealing is paramount for the quality and longevity of a restoration3

Rosales-Leal JI, Granada, Spain

Perdigão J.,Minneapolis, MN, USA

Perdigão J.,Minneapolis, MN, USA

1 Not a registered trademark of DENTSPLY International, Inc.2 M.Latta, 2009, after 1800 thermo cycles (5/55 °C), n=10; 5 mm/min

3 Rosales-Leal JI, 2013. Data on file. 4 When used with SCA + Calibra®, SmartCem®2 or Core·X™ flow, light curing is optional.5 For dual- or self-cure materials, SCA is required.6 Blunck U, Charité Berlin, 2013. Data on file.

1

3

5

Gaps

Ideal moisture 10 sec over dried

Prime&Bond® XP Prime&Bond® XP Optibond Solo Plus1

Relaxed: 15 minutes storage in closed CliXdish™ Easy: One bottle, one layer, no agitation Safe: Good visibility in the cavity Economic: up to 300 applications per 5 ml bottle6

“The morphology of the hybrid layer when Prime&Bond® XP was applied on dried dentin was not very distinct from the morphology corresponding to the application of the same adhesive on moist dentin.“

Less worries, better results

• Most adhesives require an optimum level of dentin moisture to reach their full potential• This is difficult to achieve under practice conditions• As a consequence, postoperative sensitivities and decreased bond strength can occur

Light-Cure

Dual-Cure

Dark-Cure

dye

pene

tratio

n [%

]

100

0

20

40

60

80

Prime&Bond® XP+ Ceram·X® mono

Scotchbond 1 XT1 + Z2501

Syntac Classic1 + Tetric Evo Ceram1

Reliable bond strength

Excellent bond strength on wet and dry dentin2

Latta MA, Omaha, NE, USA

2

Optimum

Over-dried for 10 sec

Over-wet

shea

r bon

d str

engt

h [M

Pa]

40

30

20

10

0 Prime&Bond® XP Excite1 Optibond Solo Plus1 Scotchbond 1 XT1 Syntac1

Prime&Bond®XP forgives almost anything:It provides excellent bond strength even under various levels of dentin moisture.

Dentin

Enamel

Universal use

Dark-Cure option4 for additional security

Prime&Bond®XP is indicated for all direct and indirect5 restorations Adhesive layer does not require light curing4

4

What happens if light curing is insufficient?

• Significant decrease in bond strength• Postoperative sensitivities

Inlays/Onlays Crown/Bridges Posts

“In cases where I am not sure how much light transmits the restoration, Prime&Bond®XP and Self Cure Activator provide for more security than systems that require light curing.”

Frankenberger R,Marburg, Germany

FOR ALL INDICATIO

NS

UN

IVERSAL USE

R

N

K79200014-02 P&B XP Folder engl.indd 3-4 12.03.14 11:56

the high-performance dental adhesive XP BOND, is now being integrated into the Prime&Bond umbrella brand. XP BOND will be called Prime&Bond XP. So whilst the name changes, the proven benefits of Prime&Bond XP, including excellent bond strength even under various levels of dentine moisture, don’t.

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THE DIFFERENCE 15THE DIFFERENCE 15

CONTACT US dentsply.co.uk 0800 072 3313

“As a registered dental hygienist and therapist working in a London based private general practice for over 20 years, my aim has always been to provide calm, safe and stress- free treatment for my patients. Throughout my years in practice, the ultrasonic scaler has played an important role in me being able to deliver the optimum level of care.

I was first introduced to the ultrasonic scaler at dental school, and throughout my training I always used Cavitron from DENTSPLY. I remember at that time, people did not really know a lot about the concept of ultrasonic scaling and hand scaling was the norm. But since then, things have moved on a long way and I have gone on to complete advanced Cavitron training, which has extended my skills and enabled me to learn about the variety of different tips available.

Some years ago I was introduced to the slimline technique by a US-based training company; the slimline tips are designed to therapeutically cleanse and debridge sub-gingivally. They also aid in reducing the inflammatory response, so it’s not only about supra gingival large calculus deposit removal.

EducationAround 10 years ago I predominantly used hand instruments; at around 60% to 40% ratio to ultrasonic. The problem with ultrasonic was that all I knew at that time was how to use the standard tip on a high frequency to remove large deposits. I also found that a lot of patients didn’t really enjoy the experience. I have since discovered that it’s all about knowing and learning how to use the instrument properly, and education is a crucial part of this. Once you are fully trained and confident to use the scaler to its full potential, it makes a huge difference to the way you work. Just as with a

Cavitron® – an essential piece of equipment

16 PREVENTIVE

variety of hand instruments, once you learn how to correctly use the variety of tips, it makes patients far more comfortable and you can work and spend time in an area to keep it clean and healthy.

TipsIt’s still surprising that many hygienists and dentists are simply not aware that using just one tip for all procedures is really not enough to achieve success with ultrasonic scaling, and that the units and specific tips are designed to be used together for optimum performance.

Clinicians often use different manufacturers’ inserts with different units. Damien Walmsley and Simon Lea conducted a study which concluded that using ultrasonic inserts and units from the same manufacturer optimises system performance. Their research found that inserts produced by different manufacturers varied in output and by not being properly matched to a specific manufacturer’s generator system, compromised performance during treatment.

Whilst hand instruments are still a vital part of my kit, I would say that I use Cavitron 90% of the time. I like knowing that there is clinical evidence to support the use of the tips, and that they make the patient feel completely comfortable. The cavitation and acoustic streaming effects makes instrumentation with Cavitron far more favourable than a labour intensive approach with hand instruments. As a result I have found that in the last 10 years of my working life I no longer suffer with any back, neck or arm problems.

The benefits of ultrasonic scaling are clear and when patients return for further treatment you can see that they have a good healing process. This gets a good response to the work that you have been doing and results in a happy patient.

AdviceFirst and foremost my advice to any hygienist or therapist who wants to get the best from ultrasonic scaling is to get fully trained. Search out manufacturers who also provide education facilities and training and enrol on a course to understand and learn the full potential of the equipment itself and the evidence behind it. Practise using the equipment regularly and relate this to your current understanding of gum disease and good oral health care, especially on how to deal with the inflammatory response.

Choosing to work with an ultrasonic scaler does not make my job quicker; however it gives me the opportunity to become less fatigued during treatment time which ultimately benefits me and my patients.”

Melonie Prebble In this interview, dental hygienist Melonie Prebble explains why her ultrasonic scaler of choice has, and will always be, Cavitron.

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Local anaesthetic containing lidocaine and adrenaline.

Earn Rewards each time you purchase Xylocaine Standard* at dentsplyrewards.co.uk

Find us on Facebook DENTSPLY.UK

Follow us on twitter @DENTSPLY_UK

Small things. Big difference.

• Latex free anaesthetic – helps avoid allergic reactions in patients

• Lidocaine based and containing adrenaline

• Competitively priced, providing best value for money

Xylocaine® Standard*. Now latex free.

*Product code 102. Batch number 2219 and above.

ASH® INSTRUMENTS CAVITRON® PROTAPER® SANI-TIP® SPECTRUM® TPH®3

THE MAKERS OF

INFECTION CONTROL

Personal protection equipment: protecting the teamFind out how to keep your practice HTM 01-05 and CQC compliant with our tips and information on infection prevention.

Throughout the average working day, dental healthcare professionals encounter a wide variety of hazardous materials, ranging from chemicals to potentially contaminated bodily fluids, all posing the possible risk of injury or illness. Decontamination and infection control is a top priority in dental practices in order to be compliant with strict HTM 01-05 and CQC regulations. Whilst safeguarding the patient is important, it’s also imperative that all staff working in practice are protected from the risk of infection or injury.

Every practice must now have in place a robust infection control policy and it is the responsibility of the individual dentist to ensure that all members of the team are trained to understand and carry out the necessary procedures in order to be compliant. It is a requirement under the Code of Practice that one experienced team member is given responsibility for infection control and decontamination and this usually falls to the head dental nurse or practice manager.

The right PPE for the right jobHTM 01-05 states that appropriate personal protection equipment (PPE) must be worn during decontamination procedures; the key word being “appropriate”. PPE includes clinical and household gloves, aprons, facemasks, eye protection and adequate footwear. If any of these are of poor quality, easily torn or damaged or too porous, then they are likely to be unfit for the job.

This can be seen as an additional financial burden to a practice, so there is a need to choose reputable suppliers who reward you through guaranteed high quality products at reasonable costs.

Quality protectionDuring clinical procedures, there is a risk that staff may be exposed to contaminated bodily fluids, so proven and reliable facemasks and eye protection must be worn.

Easier equipment maintenanceThe cleaning and maintenance of dental equipment is crucial to any surgery’s daily routine, as a variety of

microorganisms may be present in patients’ blood and saliva. Items such as three-in-one metal tips used in many procedures have the potential to build up residues that corrode the tip, making them difficult to keep clean and, therefore, have the potential to spread infection.

HTM 01-05 recommends that instruments that are hard to clean thoroughly should, wherever possible, be replaced with single-use instruments. Disposable three-in-one syringe tips, such as FlashTip™ and Sani-Tip®, can present a high quality and low cost solution. Designed for a quick and easy changeover between patients, such single-use tips require no converter and have separate air and water channels, effectively minimising cross-contamination risk.

Protect valuable equipmentA high quality sterilisation pouch, such as Assure Plus, will protect valuable equipment inside the autoclave units, whilst ensuring compliance with HTM 01-05 and CQC guidelines. These pouches include a peel-off indicator strip to confirm heat and gas penetration within the pouch and can be attached to the patient’s notes as a permanent sterilisation record.

Similarly, surfaces within the practice are also liable to become contaminated with bodily fluids or infected matter, so it is recommended that impervious, disposable coverings should be used to offer extra protection. Though not a substitute for regular cleaning, infection control barriers, such as Disposashield™, can be cut to fit surfaces that clinical staff touch throughout the day, such as switches, instruments, hoses, handles, hand pieces and chairs, and are quick and easy to change between patients.

Protect your teamAs employers, it is essential that practice owners take sufficient care to protect the health and safety of their staff, ensuring a clean and compliant working environment at all times. Rigorous infection control procedures are the cornerstone to this and require the best in infection control products, training and protocols.

See our infection control range at dentsplyrewards.co.uk

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18

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With over 2,500 world-leading dental products available in one easy to navigate, simple to use site, it’s never been easier to order your favourite DENTSPLY products through dentsplyrewards.co.uk and earn DENTSPLY Rewards £s on your purchases each time you shop with us.

Our customers tell us that DENTSPLY Rewards is an easy way to manage their equipment and consumables budget by exchanging their Rewards £s for FREE products without compromising on the quality of the materials they use every day.

Helping your practice budget go furtherExchange your DENTSPLY Rewards £s for FREE products simply by shopping for your practice online at dentsplyrewards.co.uk

So what do you need to know?

Do I have to stop using my existing dental dealer?No. All your dental product orders placed through the website will be processed, delivered and invoiced by your preferred dental dealer.

So why don’t I just go direct to my dental dealer?DENTSPLY Rewards is all about rewarding you for ordering our innovative, high quality products online with us. The Rewards £s you earn can be used to spend on other products. PLUS, you also have access to promotional offers exclusive to the website.

What price do I pay?All prices shown on the website are a guide only, as your invoiced price will vary from dealer to dealer. The DENTSPLY Rewards £s you earn are clearly shown against each product.

How do I spend my Rewards £s?You can spend your Rewards £s on over 2,500 DENTSPLY products; from everyday items like bond or endo files to that big equipment purchase you’ve been saving for. Simply click ‘Redeem Rewards’ under your chosen product to add it to your basket. The Guide Price cost is then taken off your Rewards £s account balance.

Is it easy to find my way around? Just like all your favourite shopping sites at home, you can filter your search by category, item, or brand. You can view your account balance, order history and manage your contact information through your ‘My Account’ pages.

Can I get more help if I’m still unsure of anything? Our friendly customer helpdesk team can help with questions regarding log-ins, order enquiries or any other aspect of our service. Simply call Freephone 0800 072 3313 or e-mail helpdesk@dentsplyrewards.co.uk

Does it cost anything to join? It’s free and easy to join. Simply visit dentsplyrewards.co.uk, click register and tell us a little bit about your practice and your nominated dental dealer. Then you can start enjoying the benefits of being a DENTSPLY Rewards member. And if you order regularly, you could also benefit from an additional loyalty bonus through DENTSPLY Rewards Plus.

DENTSPLY REWARDS

Unfortunately, we aren’t currently able to offer DENTSPLY Rewards to customers in the Republic of Ireland.

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CONTACT US dentsply.co.uk 0800 072 3313

THE DIFFERENCE 19

By spending at least £1,000 with us each quarter on 4 or more DENTSPLY brands, you qualify for an additional ‘Bronze’ bonus of a minimum of 2.5% off your spend with the potential to earn up to 10% back when you reach the ‘Platinum’ level.

The table below shows how the different spend and brands purchased thresholds work and the bonus percentage that applies.

For more information and to register, simply click on the ‘Rewards Plus’ tab on the dentsplyrewards.co.uk home page. Alternatively, you can call us free on 0800 072 3313.

DENTSPLY REWARDS Plus: an even bigger thank youDENTSPLY Rewards Plus offers customers the opportunity to earn up to 10% of their product spend back each quarter in bonus Rewards £s.

Platinum

Gold

Silver

Bronze

Brands purchasedin quarter

10

8

6

4

Level ofspend inquarter

£2,500

£2,000

£1,500

£1,000

% of additional Rewards basedon spend

10%

7%

5%

2%

LevelsTotal Spend Total

numberof brands bought

£4,60417

DENTSPLY Rewards is a great idea! Getting rewarded for buying products you would be ordering anyway is fantastic. Rewards Plus is a double bonus!

Dr Memaripour, Stanwell

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20

EARN REWARDS dentsplyrewards.co.uk LEARN ABOUT IT dentsplyacademy.co.uk

DENTSPLY Academy: where learning comes to lifeThe internationally renowned DENTSPLY Academy has been specifically developed for dental professionals, by dental professionals.

dentsplyacademy.co.uk is our innovative dental education hub and a gateway to over 55 hours of comprehensive learning materials.

From live interactive webinars with industry leaders to On-Demand lectures and multi-media tutorials, this valuable online resource offers you an easy way to keep up with all the latest developments and insights in dentistry.

The DENTSPLY Academy is FREE to join and allows you to catch up on your CPD hours from the comfort of your own home or office.

There are also plenty of opportunities to learn with DENTSPLY Academy in the real world too.

• Hands-on and regional meetings Organised locally by your DENTSPLY Sales Specialist, these courses can range from in-practice ‘lunch and learns’ to evening meetings with guest speakers and opportunities to try out new materials and equipment.

• DENTSPLY Academy Endodontic Roadshow 2014 Comprising 43 “Next Generation Endo” hands-on workshops, run in association with Denplan, these events showcase the best of modern endodontic instruments, including the ProTaper Next™ file system.

For more information on training opportunities, please contact your local DENTSPLY Sales Specialist.

ACADEMY

DENTSPLY Academy WebinarsCatch up on what you might have missed so far this year

The Art of Digital Dental Photography Dr Ian Cline

ProTaper Next – My experience Dr Carol Tait

The Restoration of endodontically treated teeth - The science behind it Dr Carol Tait

Preparing for the amalgam phase down – direct composite resin resorations Dr Nick Barker, BDS

Restoration of the endodontically treated tooth - Modern materials Dr Nick Barker, BDS

Check dentsplyacademy.co.uk for the latest webinar schedule.

Visit dentsplyacademy.co.uk/ thedifference6

Complete the CPD questionnaire that accompanies this magazine and earn 2 hours of verifiable CPD

ACADEMY

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CONTACT US dentsply.co.uk 0800 072 3313

THE DIFFERENCE 21

Visit dentsplyacademy.co.uk for helpful Product Tutorials and Maintenance Guides

ACADEMY

All DENTSPLY products, ranging from Cavitron® ultrasonic scalers to X-Smart® endodontic motors; Smartlite® curing lights to apex locators, are manufactured to exacting standards. Equipment can last for many years but if you need any technical support on how best to maintain it, then do not hesitate to contact us. You’ll be surprised how many issues can be quickly solved over the phone by one of our Equipment Technical Helpline operators.

We also have a range of troubleshooting guides available on our dentsply.co.uk website.

If the equipment is under warranty, we offer a replacement product service while our engineers look at repairing yours, so there is minimum disruption to your practice.

Care Quality CommissionOur ‘Routine Maintenance Checklist’ can help you comply with the Care Quality Commission routine maintenance requirements and even prolong the life of your equipment through regular upkeep. If you have any questions about the checklist please contact us.

There are also a number of maintenance guide videos on dentsply.co.uk, demonstrating procedures such as water filter changing and ‘O’ ring replacement.

If you would like a spreadsheet version of the Routine Maintenance Checklist, personalised to your practice needs, then please e-mail service.uk@dentsply.com.

A highly skilled service from DENTSPLYDiscover the ‘DENTSPLY Accredited’ dental equipment service centre – the only one in the UK. Our team of engineers are experts in servicing, repairing and troubleshooting DENTSPLY equipment.

There are a number of ways you can contact the team:

Hours: Monday to Friday 8.30am- 4.30pmTelephone: +44 (0)1932 837 332E-mail: service.uk@dentsply.comAddress: DENTSPLY UK Service Centre

Unit 2, Alexandra Road, Addlestone, Surrey KT15 2PQ

Equipment serviced by the DENTSPLY UK teamCavitron® Ultrasonic scalers

X.Smart®, X-Smart Dual, X-Smart Plus and WaveOne™

Endodontic motors

Raypex®5 and Propex®II Apex locators

Calamus® Dual Obturation device

Thermaprep® 2 Obturator oven

Duomix™ II Impression material extruder

EndoActivator®

Smartlite® PS/Smartlite® FocusFor endodontic treatment

Promix and Promix II Amalgamators

BACK TO CONTENTS

22 THE DIFFERENCE

EARN REWARDS dentsplyrewards.co.uk LEARN ABOUT IT dentsplyacademy.co.uk

It’s easy to contact your Sales SpecialistGetting the help, support and information you need from a dedicated member of the DENTSPLY team is quick and easy. Just call your local Sales Specialist listed below.

Postcode areas

Sales Specialist

Mobile number

1

AB, DD, HS, IV, EH, KW, KY, PH, TD, ZE Linda Forrest 07768 432 311

DG, FK, G, KA, ML, PA Wendy Sands 07770 684 169

BT Emma Guy 07590 182 754

Co Dublin, Co Donegal, Co Longford, Co Louth, Co Meath, Co Leitrim,Co Roscommon, Co Cavan, Co Monaghan, Co Mayo, Co Sligo, Co Galway, Co Westmeath

Andrew Scannell +353 (0)872 609 592

Co Wicklow, Co Carlow, Co Kilkenny, Co Kildare, Co Laois, Co Clare, Co Cork, Co Wexford, Co Kerry, Co Limerick, Co Offaly, Co Tipperary, Co Waterford

Irene Cahill +353 (0)860 242 624

2

BL, CH, CW, WN, L, WA Sophie Bryan 07771 861 394

HU, BD, DN, HG, LS, YO Ben Russell 07768 951 441

PE, DE, LN, NG Charlotte Towlson 07966 194 234

CA, DH, DL, NE, SR, TS Claire Clattenburg 07792 150 153

BB, FY, LA, M, PR, IM Hannah Seddon 07770 822 999

HX, HD, OL, S, SK, WF Claire Clattenburg 07792 150 153

3

BA, EX, PL, TA, TQ, TR Emma Fox 07866 432 229

B, DY, ST, WR, WS, WV Emma Cadey 07909 682 616

CF, HR, LD, LL, NP, SA, SY Andrew Rimmer 07774 671 359

BS, GY, JE, RG, SL, SN Ian Freedman 07831 838 972

CV, GL, LE, OX John Dargue 07812 193 080

PO, BH, DT, SO, SP Lis Bennett 07970 209 534

4

HA, TW, NW, WC, UB, N, WD Jon Bryant 07866 432 181

SW, KT, W Claire Collins 07792 154 123

CB, NR, CM, CO, IP Neil Locke 07825 362 922

GU, BN, CR, SM, RH Abi Ellis 07970 799 795

BR, E, EC, IG, SE, RM Gina Davies 07967 741 930

AL, HP, LU, MK, NN, SG Claire Wheeler 07771 635 629

CT, DA, ME, SS, TF, TN, EN Jon Bryant 07717 342 916

Alternatively, should you have any questions regarding DENTSPLY Rewards, or any other aspect of our service, you can also contact our Helpdesk on Freephone 0800 072 3313 or e-mail helpdesk@dentsplyrewards.co.uk

For any technical or servicing advice, you can contact the Equipment Technical Helpline on 01932 837 332 or e-mail service.uk@dentsply.com

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THE DIFFERENCE 23

CONTACT US dentsply.co.uk 0800 072 3313

At DENTSPLY, we make thousands of world-leading products in all these categories.

At DENTSPLY Academy, you can learn all about the latest products and techniques from key opinion leaders.

And at DENTSPLY Rewards, we make sure your practice is rewarded for buying the best.

With DENTSPLY, it all adds up.

Small things. Big difference.

1000s of products. One big difference to your practice.

XCP-DS, Snap-A-Ray®,Flip-Ray®

EARN REWARDS dentsplyrewards.co.uk

LEARN ABOUT IT dentsplyacademy.co.uk

CONTACT US dentsply.co.uk 0800 072 3313 +44 (0)1932 853 422

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CONTACT US dentsply.co.uk 0800 072 3313 / +44 (0)1932 853 422