renowned endodontist Dr Cliff Ruddle - VivaRep · .X® DENTSPLY ACADEMY CPD COURSES DETAILS INSIDE...

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DENTSPLY ACADEMYCPD COURSES DETAILS INSIDE

editionseven

DENTSPLY Academy brings you renowned endodontist Dr Cliff Ruddle

Introducing new Cavitron FITGRIP™ inserts

Not what you were expecting? Learn how to avoid counterfeit products

Find out more about our DENTSPLY accredited dental equipment service centre – see page 22 inside

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, all of which 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/thedifference7 to answer a few simple questions. If you get all of the answers correct, you will receive an electronic CPD certificate for 2 hours of verifiable CPD.

If you haven’t yet joined the DENTSPLY Academy, registering is simple and straightforward and will give you access to over 60 hours of CPD and the opportunity to register for our live webinar series. Visit dentsplyacademy.co.uk

Contents3 Welcome

3 Michael Davidson profile

4 Safe products from a company you can trust

5 Making your practice budget go further is as easy as 1,2,3

6 DENTSPLY and Bridge2Aid: restoring smiles and changing lives

7 Energy consumption of ProTaper Next® X1 after glide path with PathFiles® and ProGlider™

8 Propex PixiTM – the new nymph on the endo block

10 DENTSPLY Academy: on the road and on your sofa

12 The endo-restorative connection: the right material for the right situation

14 DENTSPLY: silver sponsors of ConsEuro 2015

15 Indirect restorative solutions from DENTSPLY

17 The success of surgery essential SDR® (Smart Dentine Replacement)

19 Cavitron®: recommended by 96% of hygienists and therapists

20 Oraqix®: taking the stress out of scaling

21 Reducing the prevalence of tooth decay in your young patients

22 A highly skilled service from DENTSPLY

23 Your DENTSPLY Sales Specialists

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

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DENTSPLY ACADEMY

Welcome to the winter/spring edition of The Difference

Profile: Dr Michael Davidson

What does a Professional Affairs Manager do? I act as the interface between DENTSPLY UK and the dental profession. More specifically, I’m responsible for Key Opinion Leader development and management, and for facilitating and managing DENTSPLY Academy, our continuing education service for dental professionals, via national, local and online events.

What’s your background?I have a Bachelor of Dental Surgery (BDS) from the University of Dundee Dental School. Since then I’ve undertaken continuing education in several areas including Dental Implantology, Restorative Dentistry and Practice Management, and am hoping to sit Part 2 of the MJDF examination in early 2015! My clinical background

includes 14 years of experience in general practice, both as an associate and practice owner. After a spell working in private practice in Cairns, Australia, I returned to the UK to successfully run my own practice in the west of Scotland.

What excites you about this role?DENTSPLY has always focused on developing high quality products with a sound evidence base, with both the dental professional and patient in mind. Whilst I'm now part of the DENTSPLY team, I am still a GDP at heart and this role allows me to provide professional and clinical input which ultimately benefits my colleagues and their patients.

What do you see as the challenges and opportunities for dentists?Having enough time to talk to patients and focus on prevention has always been a challenge, particularly within the NHS. Hopefully the new contract in England and Wales will recognise the importance of preventive dentistry and provide GDPs with a platform to communicate effectively, and focus more on prevention.

Olivier Collet, General Manager, DENTSPLY UK & IrelandAt DENTSPLY we are very excited about 2015. Not only will we continue to focus on delivering innovative solutions in dentistry which improve clinical efficiency and patient safety (keep your eyes peeled for updates), but we’ll continue to provide added value experiences for our customers; from exclusive roadshow events and live webinar programmes brought to you by DENTSPLY Academy, to our fantastic loyalty scheme DENTSPLY Rewards.

Added value includes sharing with you any industry news that we think can help you in your role. For example, patient safety is of utmost importance, so in this edition we touch upon recent concerns over counterfeit products in the marketplace and give some top tips on how to recognise which products are safe to use. We also understand how important it is to provide preventative care for your patients, so we have included a summary of the recent Public Health England report for you to digest.

On a final note, customer feedback is very important to us – it helps us deliver the best quality products and service to you and ensures that your patients are getting the treatment and peace of mind they deserve. Which is why I am particularly pleased with the findings from a recent survey where 96% of dental professionals told us they would recommend DENTSPLY Cavitron (see page 19).

Thank you for all your support in 2014 and I wish you every success in the year ahead.

Dr Michael Davidson is DENTSPLY UK's Professional Affairs Manager. We asked him to share a little about his background, and the role.

CONTACT US dentsply.co.uk 0800 072 3313

THE DIFFERENCE 3


Safe products from a company you can trustLast year, the BBC reported a discovery by the Medicine and Healthcare Regulatory Agency (MHRA) of more than 12,000 pieces of illegal dental equipment found over a six month period. As part of the exposé, equipment was found seemingly bearing the CE quality mark, but importers claimed it was an abbreviation for “Chinese Export”.

Shocking discoveryThis find obviously sparked concern for patient safety, with some products having dangerous wiring, and drill pieces with potential for parts falling off in a patient’s mouth. Other products were found to have been bought from companies via eBay and Amazon (who cooperated fully with the investigation) often accompanied by fake certificates and counterfeit branding, and sold at prices too good to be true.

For well over a century DENTSPLY has been committed to providing the global dental community with innovative, high quality, cost effective dental products. We invest heavily in research and innovation to help improve clinical efficiency and patient safety, giving our customers complete confidence.

Investigation endorsementA recent investigation “A comparison of cyclic fatigue resistance of original and counterfeit rotary instruments” by Ertas. H et al, published in Biomedical Engineering Online 2014 13:67, concluded that original rotary instruments showed superior cyclic fatigue resistance when compared to counterfeit instruments. So, although the files may look very similar, their effectiveness can be somewhat different.

Stamp of approvalCE marking is the medical device manufacturer’s claim that a product meets the essential requirements of all relevant European Medical Device Directives and it is a legal requirement when within the European Union. For your information, the CE mark should always be

clearly labelled and 5mm high. Any reputable supplier would be able to supply you with the necessary paperwork that accompanies CE approval. As part of this approval the manufacturer must also produce comprehensive Directions For Use (DFUs). Many illegitimate products often would not have this essential information included.

Prevention is better than cureDENTSPLY works hard to help prevent you from inadvertently purchasing counterfeit products. We have new packaging on our restorative products that is tamper-proof, such as with Spectrum® TPH®3, and they bear a hologram to further prove they are genuine. For some of our endodontic files the sterile blister pack has a Swiss cross on the top right of each blister and will change colour when moved.

Unfortunately, as hard as we try to prevent this problem, there are still counterfeit products in circulation claiming to be from DENTSPLY. Commonly affected products include:

• Stainless Steel Files: COLORINOX®: K-FILE, HEDSTROEMS and FLEXOFILES

• NiTi and M-Wire products: PROTAPER® UNIVERSAL and PROTAPER NEXT®

• Composites and compomers: SPECTRUM TPH3 and DYRACT® EXTRA

• Adhesives: PRIME&BOND® NT™

If it’s too good to be true…it probably is!Always make sure you purchase any dental products from a reputable supplier, such as a dental dealer or via the DENTSPLY Rewards website dentsplyrewards.co.uk

If you suspect any counterfeit DENTSPLY products please contact your dental dealer, local DENTSPLY sales specialist or call the DENTSPLY Customer Service Team on 0800 072 3313. You can also report any suspicious products to the BDIA www.bdia.org.uk or the MHRA www.mhra.gov.uk


44 THE DIFFERENCE

DENTSPLY REWARDS

Making your practice budget go further is as easy as 1,2,3DENTSPLY Rewards: a little thank you for buying the best in dentistry when you shop online at dentsplyrewards.co.uk

With dentsplyrewards.co.uk all your favourite DENTSPLY products are under one roof, with two ways to order.

• Firstly, you can choose from the 2,500+ products available to put into your shopping basket, with your order then being sent to your nominated dental dealer who will deliver and invoice your purchases at your best dealer price. In return we say thank you with DENTSPLY Rewards £s.

• The second way, and the really fun bit, is to spend or ‘Redeem’ your DENTSPLY Rewards £s. You might choose to spend them on everyday items like composite refills, masks and endo files, or save up for a bigger equipment purchase. Redeemed items are sent from our central warehouse and delivered FREE.

Our promotional offers A quick visit to the Promotions page is the quickest way to find extra savings.

Learn while you shop With a comprehensive range of clinical and product training material. Feel confident that you are making the right choice by accessing tutorial videos and case studies plus webinars and clinical papers.

Earn up to an extra 10% in Bonus Rewards £s with DENTSPLY Rewards Plus, which provides additional benefits to loyal customers who spend a minimum of £1,500 each quarter. See website for details and the qualifying criteria.

DENTSPLY Rewards at your service Our friendly customer helpdesk team can help with questions regarding logins, order enquiries or any other aspect of our service. Simply call Freephone 0800 072 3313 or email [email protected]

• With dentsplyrewards.co.uk you receive 3% of your spend back in DENTSPLY Rewards £s every time you shop online. Plus, you can get extra savings with our web promotions and special offers for even better value.

For dental practices that trust in the quality products and innovative solutions the DENTSPLY name promises, there is no better value way to order DENTSPLY in the market: Your Best Dealer Price + 3% of your spend back.

In fact, with the savings to be made plus complete order history and full account management, the dental budget balancing act just became that little bit easier to manage at dentsplyrewards.co.uk.

Earn Rewards £s on all your DENTSPLY purchases.

Shop online at dentsplyrewards.co.uk

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THE DIFFERENCE 5THE DIFFERENCE 5THE DIFFERENCE 5

DENTSPLY REWARDS

Find out how shopping online with DENTSPLY can change the lives and dental health of communities in the developing world.

DENTSPLY has been a long-time supporter of the dental charity Bridge2Aid and their work to provide emergency dental training for Health Workers in all remote communities in the developing world.

It may come as a surprise to read that 75% of the world’s population has no access to the most simple dental pain relief, leaving billions to face a daily battle with pain in the toughest of life circumstances. Bridge2Aid empowers health workers who are already established and well respected members of rural communities, providing them with the skills, experience and equipment to help those in need. Since 2002, 3.1 million people in East Africa have been given access to safe emergency dental care because of Bridge2Aid’s training programmes.

In October 2014, DENTSPLY launched an initiative that allows DENTSPLY Rewards customers to donate a proportion of their DENTSPLY Rewards £s to the charity, up to a maximum value of £150, when they place an order on the website, and the response to date has been nothing but positive.

“So far Bridge2Aid has trained over 310 health workers and created safe, sustainable access to treatment for over three million people. However, 75% of the world’s population still do not have access to a dentist”, explains Shaenna Loughnane, Operations Director of Bridge2Aid. “There is a long way to go, but the donations from DENTSPLY Rewards customers will certainly help us along the way.”

We would like to thank those who have already played a part in changing the lives and dental health of communities in the developing world by making a donation at dentsplyrewards.co.uk. To find out more about how to donate, visit dentsplyrewards.co.uk/bridge2aid.

DENTSPLY and Bridge2Aid: restoring smiles and changing lives

Meet the patientMariam (age seven) had been living with agonising toothache for four years. Her studies were suffering and Mariam’s family were concerned about the swelling to her face which was developing quickly.

Mariam’s mother, a cotton farmer, hired a bicycle for 3000TSH (approx. £1.17) upon hearing about the available free treatment, and cycled for four hours with Mariam to Igalukilo to visit their local health worker, who had received training in emergency dental care from Bridge2Aid. An examination confirmed that Mariam required an extraction. After four years of pain and sleepless nights, Mariam’s pain was finally relieved.

Meet the health workerDaniel Masesa (trained November 2012) had been working as a health worker from his dispensary in Geita district for nine years and was forced to refer all dental patients to the district hospital; a one-hour, 30-minute (and

expensive) bus journey away. Thus leaving many to suffer in pain or rely on antibiotics and painkillers.

On completion of his training, Daniel received a non-electric steriliser and basic instrument kit and was able to take his new skills back to his dispensary and treat his own patients. One year on and it was obvious that word had got around the village that Daniel was now able to safely and competently take people out of pain; Daniel is now treating an average of 27 patients a month, dramatically reducing the amount of referrals to the district hospital.


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Energy consumption of ProTaper Next® X1 after Glide Path with PathFiles® and ProGlider™

ENDODONTICS

A study to evaluate the ProTaper Next X1 energy consumption during root canal shaping after having performed a glide path with Pathfiles or ProGlider.

By Elio Berutti, Mario Alovisi, Michele Angelo Pastorelli, Giorgio Chiandussi, Nicola Scotti and Damianio Pasqualini, J Endod, 2014 In Press Corrected Proof.

Canal preparation:40 standardised ISO 015 Endo training blocks (DENTSPLY Maillefer) scouted to working length with a #10 stainless steel K-file (DENTSPLY Maillefer) were randomly assigned to one of the following groups:

1. PF (n=20): mechanical glide path performed with Pathfiles instruments #1 (013, .02) and #2 (016, .02) according to the manufacturer’s instructions.

2. PG (n=20): mechanical glide path performed with ProGlider single file instrument (016, .02 at tip with progressive taper).

Shaping was performed with PTN X1 with the help of a rotating motor connected to a wattmeter and an electronic schedule to measure the electronic power consumption required to reach full working length.

Results• No damage or separation of instruments occurred.

• To reach working length, PF systems and PG required the same number of total passes.

• Significant difference resulted in electrical power consumption between PF and PG groups. The endodontic motor consumed 4.88 mW/h (standard deviation = .52) and 4.15 mW/h (standard deviation = .56) in the PF and PG groups, respectively (Table 1).

Mean time required to complete shaping was significantly shorter in PG group compared to PF (5.91 and 7.99 seconds respectively).

Conclusion• Thanks to its progressive taper, ProGlider achieves a

greater preflaring of the coronal and middle portions of the root canal compared to PathFiles system, resulting in a decreased electric consumption and stress induced in ProTaper Next X1 during shaping.

• Time required to reach working length with ProTaper Next X1 is statistically lower when glide path is performed with ProGlider than with PathFiles.

Extracted from Berutti et al., J Endod. 2014

To find out more, contact your local sales specialist (see page 23 for contact details)

MEASURE PF GROUP (N=20) PG GROUP (N=20)

Electric power consumption (mW/h)

Mean 4.88 4.15

SD 0.51 0.56

SEM 0.11 0.12

Lower 95% CI 4.64 3.89

Upper 95% CI 5.13 4.41

Pecking motions (n)

Median 4 4

Time (seconds)

Mean 7.99 5.91

SD 1.73 1.28

SEM 0.38 0.28

Lower 95% CI 7.18 5.30

Upper 95% CI 8.80 6.51

Table 1. Electric Power Consumption (mW/h), Time (s), and Number of Pecking Motions Required to Reach the Full Working Length with ProTaper Next XI in Simulated Root Canals after Glide Path by PathFile (PF) or ProGlider (PG)

CI, confidence interval; SD, standard deviation; SEM, standard error of mean.


THE DIFFERENCE 7THE DIFFERENCE 7

Propex Pixi™ – the new nymph on the endo block

ENDODONTICS

DENTSPLY introduces the fifth generation apex locator with an aesthetic design that fits snugly in the palm of a hand.

Estimating the length of the root canal and consequently the point at which preparation, disinfection and obturation should end is a vital part of endodontic treatment. The aim is to estimate the position of the apical constriction; a point at the terminus of primary canals that normally varies between 0.5 and 2.0mm from the radiographic apex.1

Electronic Apex Locators (EAL) were first introduced to endodontics in 1942 but these devices, which worked on a basic resistance measurement, were not reliable and so historically diagnostic working length radiographs were used to estimate the length of the root canal.

Quality guidelines from the ESE (European Society of Endodontology) state that: “electronic devices measure the length of the root canal accurately in most cases, but working length should normally be confirmed radiographically.“2

But herein lies a problem: the root canal rarely terminates at the radiographic apex so working to this point will inevitably result in cases being prepared and filled long. Dummer, et al. (1984) described the morphological variations of apical constriction, many of which cannot be determined radiographically.3

There have been exponential advances in semiconductor electronics since the first units, and modern apex locators use complex algorithms to analyse combinations of impedance, capacitance and resistance over multiple frequencies, giving the operator a reliable and accurate indication of the likely position of the apex.4

A study by Brunton, et al. (2002)5 showed that EALs could be used to reduce the radiation exposure time to the patients by requiring fewer radiographs during endodontic treatment.

A fifth generation apex locator has been introduced by DENTSPLY called the Propex Pixi. This is a beautifully designed piece of kit with an aesthetic design that fits snugly in the palm of a hand (Fig. 1).



DENTSPLY REWARDS

£DENTSPLY REWARDS

£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

DENTSPLY ACADEMY

Fig.1


8

The colour LED display is simplicity itself and, in the case of apex locators, less is definitely more. Using a Pixi, the clinician rapidly gleans all the information they require in order to hit the “zero reading”. This equates to the apical constriction, the end point of preparation and obturation and therefore the working length (although the manufacturer recommends working 0.5mm short of the zero reading).

A pre-operative radiograph (which is essential) combined with knowledge of dental anatomy gives an early indication of the likely root lengths.

No calibration is required with this device, but for best results use a file that fits snugly in the canal.

The file clip and lip hook make the circuit between patient and file (Fig. 2) and on entering the apical third of the canal the first blue bar lights up, indicating that you are indeed in the root canal. There is a simultaneous “double beep” audio signal with volume control. With a gentle clockwise winding motion the file advances and subsequent bars light up (with an intermittent beep) until a steady zero reading is illuminated by a thicker yellow bar indicating that the file tip is resting at the constriction. At this point the sound becomes solid and continuous. Going beyond this point results in a warning notice, “beyond apex”, and a rapid intermittent signal to alert the operator.

References 1. Ricucci D, Langeland K. (1998) Apical limit of root canal instrumentation and obturation. Part 2. A histological study. International Endodontic Journal. 31:394–409. 2. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology (2006) International Endodontic Journal, 39:921–93 3. HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Dummer%20PM%5BAuthor%5D&cauthor=true&cauthor_uid=6593303" Dummer PM, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=McGinn%20JH%5BAuthor%5D&cauthor=true&cauthor_uid=6593303" McGinn JH, HYPERLINK "http://www.ncbi.nlm.nih.gov/pubmed?term=Rees%20DG%5BAuthor%5D&cauthor=true&cauthor_uid=6593303" Rees DG (1984) The position and topography of the apical canal constriction and apical foramen. International Endodontic Journal. 17:192-8. 4. Balto KA. (2006) Modern electronic apex locators are reliable for determining root canal working length. How accurate are electronic apex locators in the determination of root canal length? Evidence-Based Dentistry (2006) 7, 31–32. 5. Brunton PA, Abdeen D, MacFarlane TV (2002) The effect of an apex locator on exposure to radiation during endodontic therapy. Journal of Endodontics. 28:524-526.

What could be easier? The unit appears to work well with fluid in the canal but the pulp floor should be dry to prevent short-circuiting. Indeed some moisture is good in the root canal when using an apex locator and a lubricating agent such as GlydeTM can help in sclerosed cases. Likewise make sure that the file does not touch metal restorations, that there is good rubber dam isolation and no saliva leakage under existing restorations. The Pixi, as with other apex locators, will alert the operator to perforations, horizontal root fractures and large lateral canals. Dr John Rhodes reviewed the Propex Pixi and said "In clinical use I found the Propex Pixi behaved impeccably. Although pitched at the general practice market I would be quite happy to use the Propex Pixi routinely in specialist practice."

Fig.2



DENTSPLY Academy: on the road and on your sofa

ACADEMY10

An innovative dental education hub and a gateway to over 60 hours of comprehensive learning materials.

The DENTSPLY Academy has been specifically developed for dental professionals, by dental professionals, and provides continuing education support to the whole dental team in practice, on the road and even at home.

From live interactive webinars with national and international speakers 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 – 60 hours of verifiable CPD are currently available online.

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

Hands-on and regional meetingsOrganised locally by your DENTSPLY sales specialist, these courses can range from in-practice ‘lunch and learns’ to evening meetings organised at local venues with guest speakers and opportunities to try out new materials and equipment.

Train-the-TrainerOrganised with our manufacturing partners, DENTSPLY Maillefer and DENTSPLY DeTrey, our Train-the-Trainer programmes provide comprehensive, hands-on education on a range of endodontic, endo-resto and preventive procedures and equipment for invited GDPs and Specialists. Delegates leave as DENTSPLY Accredited Trainers and benefit from support in delivering local and national hands-on training.

Contact your local DENTSPLY sales specialist for upcoming courses and for more information on the DENTSPLY Train-the-Trainer programme. You can find their contact details at the back of this magazine.

DENTSPLY on the road2014 saw the DENTSPLY Academy hit the road with a comprehensive lecture and workshop programme, including a 44-date Next Generation Endo tour and a three-day lecture series on the A-Z of Endodontics with internationally renowned specialist Dr Cliff Ruddle, as well as standing room only workshops at industry events including BDIA, BSDHT and The Dentistry Show.

For the latest details of future lectures and events where DENTSPLY will be appearing, please check dentsplyacademy.co.uk

Some of the topics covered in 2014 that you can catch up on today!

DENTSPLY Academy webinars

• Dentine bonding agents – how, what, why, when and where – Dr Nick Barker, BDs

• Following the right path – glide path management and preparation – Prof. Peet van der Vyver, BChD

• The art of digital dental photography – Dr Ian Cline

• The restoration of endodontically treated teeth: the science behind it – Dr Carol Tait

• Preparing for the amalgam phase down: direct composite resin restorations – Dr Nick Barker, BDs

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


10

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

DENTSPLY ACADEMY

The A-Z of Endodontics with Dr Cliff Ruddle.

Three venues. Three highly respected hosts. One superstar of endodontics.If you were lucky enough to attend one of the three sold out A-Z of Endodontics lectures featuring world renowned endodontist Dr Cliff Ruddle we are sure you would agree that they were thoroughly entertaining and clinically invaluable events.

Each day-long event was hosted by industry heavyweights including Dr Julian Webber, Dr Mike Horrocks and Dr Hal Duncan, with Dr Ruddle leading three lively lecture sessions over the course of the day. The lecture focussed on the principles and objectives of successful endodontic treatment and the importance of creating a glide path.

Whether endodontic specialists or general practitioners, there was something new for each and every delegate to take away and it was the hands-on aspect that had attendees quickly reaching for their hand pieces. Workshops on ProTaper Next® (the fifth generation rotary file system) and WaveOne® were available, with opportunities to also try the new path file, ProGlider™, and the new portable, compact apex locator, Propex Pixi™. All part of the total solutions approach to the clinical procedure which DENTSPLY champions to deliver confidence and even more predictable results.

Mr C Gibson, Dublin

Mr D Jordan, Dublin

“Really entertaining speaker and excellent content.”

“Brilliant day and a great teacher willing to share experiences.”

“Reminded me what I had forgotten and taught me what I didn’t know!”

G Strydom, London

Mr N Vaid, Manchester

“I learned how to achieve more predictable outcomes.”

Internationally renowned endodontist, Dr Cliff Ruddle presents the A-Z of Endodontics.

Delegates seeking advice from Dr Julian Webber during his WaveOne hands-on session.

Dr Francesco Mannocci in a ProTaper Next workshop.

Dr Cliff Ruddle provides some guidance on glide path management in curvier canals.


THE DIFFERENCE 11THE DIFFERENCE 11THE DIFFERENCE 11


The Endo-Restorative connection: The right material for the right situation

First steps to the successful restoration of the endodontically treated tooth, and how SDR® can help simplify composite placement. By: Jason H. Goodchild, DMD

Successful restoration of the endodontically treated tooth continues to be one of the most challenging procedures in dentistry. This is largely because of the complexity of the process, a myriad of available treatment options, and a confusing array of dental literature dealing with individual components of this multifaceted treatment equation.1

Long-term retention of the endodontically treated tooth is dependent on the collective success of both the tooth canal filling and coronal restoration. Put simply, if either the root canal filling or the coronal restoration is inadequate the outcome will be unsuccessful.2 Therefore, the first step in developing an appropriate treatment plan for a tooth requiring root canal therapy is to determine if the tooth will be restorable.

Factors that may influence this determination include: amount of remaining coronal tooth structure after caries excavation and the ability to develop a 1.5-2mm circumferential ferrule, periodontal health, occlusion, crown to root ratio, tooth location, number of adjacent teeth, requirement to use the tooth as an abutment for a fixed partial denture or removable partial denture and the presence of parafunctional habits.3

If the tooth has been judged restorable and has received adequate root canal therapy, the next treatment planning decision involves the need for a post and core, or just a crown build-up. A post or dowel historically has been placed to retain the foundational core and to add retention of the crown that would have normally been gained from coronal tooth structure.4

Determining factors at this stage include evaluating the height and thickness of remaining dentine after tooth preparation, the number of dentine walls remaining, and the final occlusal scheme.5 In clinical situations where there is little dentine remaining (less than 4mm of the

RESTODONTICS12

Clinical presentation of tooth No.4 after root canal therapy has been completed. Note that three walls of dentine remain, minimising the need for a dowel or post.

Tooth No.4 isolated with Palodent® Plus sectional matrix

Placement of SDR into the isolated preparation of tooth No.4

After placement and 20-second curing of SDR


12


coronal tooth structure, but at least 2mm dentine ferrule), the use of a post is indicated (e.g. DENTSPLY Core and Post System including X Post or Radix Fibre Post).

With two or more walls remaining or greater than one half of the coronal tooth structure, the dentist may choose to forgo a post and simply use composite to place a crown build-up. In selecting the material best suited for a build-up material, dentists must consider the size and geometry of the preparation, and access to enable light transmission. In areas where light transmission is difficult or impossible, a dual or self-cure composite (like Core.X™ flow) is indicated. However, in areas where the tooth can be isolated with a sectional or circumferential matrix and it can be accessed with a curing light, SDR® is an excellent material choice because of its cavity adaptation and bulk-filling properties.

Because SDR can be placed in 4mm increments, large cavity forms can be restored in fewer procedural steps. In areas where the core build-up will be placed into function, SDR should be capped with a 2mm layer of hybrid composite (like Ceram.X®). Also, because of its

References 1. Atlas AM, Raman P. Restoration of the endontically treated tooth. Caulk ClinicalDentistry 2013;1(1):20-36. 2. Gillen BM, Looney SW, Gu LS, et al. Impact of the quality of coronal restoration versus quality of root canal fillings on success of root canal treatment: a systematic review and meta-analysis. J Endod 2011;37:895-902. 3. Morgano SM, Brackett SE. Foundation restorations in fixed prosthodontics: current knowledge and future needs. J Prosthet Dent 1999; 82:643-657. 4. Schillingburg HT. Preparations for Extensively Damaged Teeth. In: The Fundamentals of Fixed Prosthodontics. 1997. 3rd Ed. Quintessence Publishing Co. Carol Stream, IL. p. 194. 5. Bandlish RB, McDonald AV, Setchell DJ. Assessment of the amount of remaining dentine in root-treated teeth. J Dent 2006;34:699-708. 6. Tang W, Wu W. Smales RJ. Identifying and reducing the risks for potential fractures in endodontically treated teeth. J Endod 2010;36:609-17. 7. Aquilino SA, Caplan DJ. Relationship between crown placement and the survival of endodontically treated teeth. J Prosthet Dent 2002;256-263.

self-levelling handling and high radiopacity, SDR can make the process easier, not only during the placement steps, but also when evaluating the restoration on post-operative radiographs. In most cases, the last step in restoring the endodontically treated tooth involves the decision to place an indirect restoration to achieve cuspal or full coverage. In general, cuspal or full coverage is recommended to prevent fracture and increase long-term survival.6,7

Learn more about how SDR can help simplify composite placement: dentsply.co.uk

Earn Rewards £s on your Core.X, SDR, and Ceram.X purchases.


DENTSPLY REWARDS

£DENTSPLY REWARDS

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The final crown build-up on tooth No.4. Because a full coverage restoration was planned for a subsequent appointment, the crown build-up was completed with a 2-mm layer of hybrid composite, to cap SDR.

The final radiograph of tooth No.4, showing the completed root canal filling and composite core. Note the excellent adaptation and radiopacity of SDR.


THE DIFFERENCE 13

DENTSPLY: Silver sponsors of ConsEuro 2015DENTSPLY is excited to be a silver sponsor at the ConsEuro 2015, hosted by King’s College London Dental Institute.

For the first time ever, the ConsEuro will be held in the UK at the Queen Elizabeth II Conference Centre, London, from May 14 to 16, sponsored by DENTSPLY. Programme highlights include social media use in the dental profession, clinical advances in imaging, and smart restorative materials – a subject in which DENTSPLY is actively participating.

Dr Marco Martignoni, who graduated with distinction from University of Chieti in 1988, is now a private practitioner in endodontic and restorative dentistry. He leads a clinic in Rome, Italy, and dedicates his practice to mainly endodontics, pre-prosthetic core build-up and prosthodontics.

An internationally known speaker, he gives numerous lectures and practical workshops in Italy and worldwide

and has completed and published research on post endodontic core build up. He is founder of the Italian Academy of Microscopic Dentistry and honorary member of the French Society of Endodontics. He is also past-president of the Italian Society of Endodontics.

At the ConsEuro he will discuss the importance of a good coronal seal to ensure long-term success of a good endodontic treatment. As part of his discussion, he will include the first self-levelling, smart dentine replacement composite material launched by DENTSPLY five years ago, namely SDR® (Smart Dentine Replacement).

Be sure to book your ticket to attend the ConsEuro and secure a seat to view this fascinating lecture.

Visit: www.conseuro2015.com

RESTODONTICS14

Earn Rewards £s on your SDR®,

Ceram.X®, ChemFil Rock™, Dyract Extra®, and Core.X™ Flow purchases.


DENTSPLY REWARDS

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14

Indirect restorative solutions from DENTSPLYThe factors to consider and extensive choices made available to clinicians for successful, enduring restoration.

In every clinical case there are probably multiple options available to the clinician to ensure a successful, long-term restoration. There are a number of factors to be considered when deciding on the most appropriate material and technique1:

• lesion size and aetiology

• aesthetic, occlusal, endodontic and periodontal considerations

• number of teeth affected

• patient compliance, habits and preferences

• the dentist’s own competence and underlying beliefs about restorative treatment

More often than not, Class I, III, IV, V and small Class II lends themselves to direct restorations and it will probably be a composite such as SDR® or Ceram.X®, or an amalgam such as Dispersalloy™. When a material is needed to provide fluoride release to help prevent further caries, then a glass ionomer or compomer could be the choice; ChemFil Rock™ and Dyract Extra™ respectively.

Conversely, when there is a larger cavity or where there is a previously failed direct restoration, then an indirect restoration maybe the best option. The following highlights the indirect restorative solution from DENTSPLY, giving you choice to act appropriately depending on the clinical situation presented to you.

Application of core build-up1. Core.X™ Flow is a

highly filled, dual-cure, core build-up material and cement for endodontic posts; two indications in one product. It can be cured with visible light in

up to three millimetre increments for 20 seconds.Alternatively, chemically self-cured in two to three minutes. Or finally, dual-cured by placing up to three millimetre increments and light curing, and then placing larger increments and allowing them to self-cure. It also has a specially designed nozzle to allow easier access to deeper cavities and root canals.

Core.X Flow comes in a Certified Treatment System from DENTSPLY; the Core&Post Kit. It has everything you need; from bonds to posts to cement in a unique organiser tray designed by dentists, for dentists.


THE DIFFERENCE 15RESTORATIVE THE DIFFERENCE 15

2. SDR (Smart Dentine Replacement) is also indicated for core build-up. Due to its high strength and low shrinkage stress, it is the ideal material. Its flowable consistency ensures there are no voids or air bubbles and results in no post-operative sensitivity. As it can be placed in up to four millimetre increments, it also helps save time, especially when dealing with larger cavities.

Impression-takingAquasil is a quadrafuntional, hydrophilic A-silicone impression material with high tear strength and dimensional stability. Aquasil Ultra reliably captures and retains the finest detail,

minimising remakes and is the ideal material for various indirect restoration procedures. This exceptional performance has been independently endorsed by Reality for nine years running.

Within the range, there is an extensive choice of materials and dispensing solutions (hand-mix, machine-mix, 50ml cartridge, unit dose etc) available for you to choose:

Provisional restorationIntegrity™ and Integrity™ TempGrip™ are the temporary crown and bridge solution. Integrity is a provisional bis-acryl composite crown and bridge material available in five shades, and polishes to a natural lustre for superb results. Integrity TempGrip Cement is zinc oxide non-eugenol for luting indirect provisional/temporary restorations. It is easy to remove; the cement stays in the crown, not on the tooth, and has a low film thickness with high compressive and flexural strength.

Permanent cementation of indirect restorationDENTSPLY has a number of cements available to you. However, if you want to optimise your storage space, the following solution is recommended to cover every cementation need:

1. CalibraCalibra, the easy-to-use luting cement designed for a variety of aesthetic indirect restorations. It offers five shades, low film thickness, fluoride release and superb handling properties for easy placement of the restoration. The choice of materials allows the clinician to choose from high or low viscosity depending on the technique or restoration.

Indications of Calibra cement include:• inlays

• onlays

• veneers

• crowns and bridges

• any cosmetic indirect restoration that requires superior aesthetics and a strong bond.

There are also ‘try-in’ pastes that correspond to the base shades, which help to make the final accurate choice.

2. SmartCem 2SmartCem2 is a two-component, dual-cure, high strength self-adhesive

cement. It combines aesthetic shading with a self-etching adhesive, making it suitable for permanent cementation of indirect restorations, inlays, onlays, crowns, bridges and posts (not veneers).

With the improved formulation, after 50 to 60 seconds, the cement reaches the “gel phase” which allows for easy clean-up of residual material using an explorer and interproximal flossing.

These are just a selection of materials available in the indirect restoration solution from DENTSPLY. For further information please visit the website dentsply.co.uk or speak with your sales specialist.

References 1. Direct or Indirect Restoration? J. Smithson et al. International Dentistry, African Edition, Vol.1 No.1


16 RESTORATIVE16

The success of surgery essential SDR® (Smart Dentine Replacement)How DENTSPLY’s ground-breaking Smart Dentine Replacement material has led the way in performance and innovation.

The clinical evidence keeps on growing SDR (Smart Dentine Replacement) was launched five years ago as the first self-levelling, bulk fill dentine replacement composite. It was launched based on credible clinical evidence, as you would expect from a company such as DENTSPLY.

As SDR was so groundbreaking and such an innovative material, dentists across the globe have been curious to carry out clinical studies and investigations on the product, in particular comparing it to other materials on the market. Even after half a decade, new papers are being published reiterating how it is now a surgery essential.

SDR maintained its bond strengthA recent paper by A Van Ende et al1 evaluated the effect of filling high C-factor posterior cavities on adhesion to bottom cavity dentine. They chose four materials to compare:

• Filtek Z100 (a conventional composite from 3M ESPE)

• Filtek Bulk Fill (a bulk fill composite from 3M ESPE)

• SDR (a bulk fill composite from DENTSPLY)

• Tetric Evoceram Bulk Fill (a bulk fill composite from Ivoclar Vivadent)

A self-etch bond was used and, after one week water storage, the restorations were sectioned and subjected to a micro-tensile bond strength test. An interesting find from this test showed that when four millimetre cavities were filled with the bulk materials, strength decreased significantly except for SDR, which maintained its bond strength (p>0.05).

The first bulk fill, self-levelling, Smart Dentine Replacement

SDR in situ, capped with Ceram.X®


THE DIFFERENCE 17

Two-year prospective clinical follow upJW Van Dijken concluded from his two-year follow up study that the bulk fill technique showed good clinical performance compared to the direct ormocer restoration.2 82 participants received at least two, as similar as possible, Class II (104) or I (76) restorations, placed by two operators. The cavities in the pairs were chosen at random to be restored with an ormocer resin composite or with a flowable bulk filling resin composite (SDR) capped with Ceram.X™. The adhesive used in both groups was a one-step self-etch. The bulk-fill was placed in four millimetre layers and the ormocer in two millimetre layers. Each layer was cured for 20 seconds. The restorations were evaluated with slightly modified USPHS criteria at baseline, one and two years.

SDR now indicated for primary molars, without cappingUntil recently, SDR was indicated for the following clinical applications:

• base in cavity Class I and II direct restorations

• liner under direct restorative materials

• pit and fissure sealant

• conservative Class I restoration

• core build-up

The indications have now been extended to “restoration of primary molars” with no limit on size or number of surfaces to be restored. Several sources were used to approve this new indication and in particular the study by Pawel Jasinski et al.3 It concluded that SDR’s performance after one year in primary molars was equal to that of a conventional composite material. A quick and easy product to use in patients who have limited patience!

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

Restorative – Achieving a good coronal seal, post endo with Dr Michael Davidson

DENTSPLY ACADEMY

Earn Rewards £s on your SDR, Ceram.X, ChemFil Rock DENTSPLY restorative products.


DENTSPLY REWARDS

£DENTSPLY REWARDS

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Place in 4mm increments and with self-levelling properties

To try SDR for yourself, visit dentsplyrewards.co.uk/sdr or speak to your local sales specialist.

References 1. International Association of Research, 342 µTBS of bulk-fill composites to flat and cavity bottom dentin, A.Van Ende¹, J. De Munck², and B. Van Meerbeek¹, ¹KU Leuven Biomat. Department of Oral Health Sciences, KU Leuven (University of Leuven) & Dentistry, University Hospitals Leuven, Leuven, Belgium, ²KU Leuven BIOMAT, Department of Oral Health Sciences, KU Leuven (University of Leuven) & Dentistry, University Hospitals Leuven, Belgium, Leuven, Belgium2. CED-IADR 2013 46th Meeting of the Continental European Division of the International Association for Dental Research with the Scandinavian Division(NOF) September 4-7, 2013 – Florence, Italy. Randomized 2-Year Follow-up of Posterior Bulk-Filled Resin Composite Restorations. J.W.Van Dijken, Dept. of Odontology, Umea University, Umea, Sweden, and U. Pallesen, School of Dentistry, University of Copenhagen, Kobenhavn N, Denmark 3. Clinical Investigation: Pawel Jasinski, Piotr Sobiech, Emil Korporowicz, Dariusz Gozdowski, Dorota Olczak-Kowalczyk (2012) Clinical evaluation of restorative materials for primary teeth. Poster Presentation 11th EAPD Congress 2012, Strasbourg.


18 RESTORATIVE18

4mm

DENTSPLY Cavitron®: the scaler of choice for dental professionalsAt DENTSPLY, customer feedback is very important to us. That’s because we want to deliver the best quality instruments and service to you, the dental practitioner. This ensures your patients are getting the treatment and peace of mind they deserve.

PREVENTIVE

%

In our most recent survey we asked 615 dental professionals a series of questions to discover which scaling instruments they use and, of these, which instruments they would recommend.

We were extremely pleased with the results, as 96% of dental professionals told us they would recommend DENTSPLY Cavitron to a colleague or friend. Our findings didn’t end there.

When asked ‘what scaling instruments do you use?’

• 84% said a combination of hand and ultrasonic

• 12% said ultrasonic only

• 4% said hand only

Of these, 81% use DENTSPLY hand scaling instruments and 72% use DENTSPLY ultrasonic scalers.

Lastly, our respondents were asked to describe a DENTSPLY Cavitron scaler in three words. The results speak for themselves:

New to the DENTSPLY family

DENTSPLY is pleased to introduce our new Cavitron FITGRIP™ Ultrasonic Inserts to the insert family, designed for an elevated performance that delivers:

• a unique one-piece design allowing your fingers to naturally conform to the grip

• larger grip diameter to reduce the muscle load and pinch force

• rippled grip texture to reduce the chance of slippage

That means there’s even more reason to try Cavitron at your dental practice.

For more information on DENTSPLY Cavitron scaling instruments, visit dentsply.co.uk

196 said

Effective

175 said

Efficient

137 said

Reliable

"I liked the colours and I liked the grip/tackiness with gloves on. The tips were very effective in removal of deposits even on low power, which is all I use."

of dental professionals can’t be wrong. They recommend Cavitron


THE DIFFERENCE 19

20 PREVENTIVE

Oraqix®: taking the stress out of scaling

Want to improve the overall experience for your patients? Good news: they can now enjoy needle-free pain relief for their scale and root debridement procedures with Oraqix (25/25mg per g Periodontal gel, lidocaine, prilocaine).

Oraqix is needle free so there are no painful injections and it only lasts 20 minutes, meaning no prolonged numbness so limited restrictions to everyday life after the treatment.

This type of anaesthesia is for subgingival application, and consists of a eutectic mixture of 2.5% lidocaine and 2.5% prilocaine. Ease of access is assured by the blunt tip applicator, and with its thermosetting system Oraqix is applied as a liquid and thickens into a gel in the periodontal pocket.

What you should know

• Fast onset after 30 seconds

• Sufficient duration (20 minutes)

• Wide safety window, re-application possible (max. 5 cartridges / 8.5g of gel)

• Flexible dosage, for single periodontal pockets, quadrants or jaws

• Treatment success (based on probing depth and attachment gain) proven to be equal to conventional anaesthesia1

• For initial and follow-up treatment

What your patient should know

• No need to be afraid, needle-free application

• No painful injection, more comfortable

• No prolonged numbness, meaning no restrictions in everyday life after the treatment

References 1. Termaat SHM et al, J DENT RES 2008, 84, special issue, ABSTR. # ABSTR.2181

ORAQIX 25/25mg per g periodontal gel: Lidocaine, Prilocaine. Presentation: Clear, colourless gel with 1g containing 25mg prilocaine. USES: Indicated in adults for localised anaesthesia in periodontal pockets for diagnostic and treatment procedures such as probing, scaling and/or root planning in adults. dosage and administration: For adults, one cartridge(1.7g) or less is sufficient for one quadrant of dentition. Maximum recommended dose is five cartridges (8.5g gel). Oraqix has not been studied in paediatric patients. Apply with metric dental syringe or Oraqix Dispenser. Fill the periodontal pockets with Oraqix until the gel becomes visible at the gingival margin. Wait 30 sec before starting treatment. contraindications, precautions, warnings etc: Contraindications: Hypersensitivity to lidocaine, prilocaine, amide-type local anaesthetics or any excipients. Congenital or idiopathic methaemoglobinaemia, recurrent porphyria. Precautions: Oraqix must not be injected. Use with caution in patients with severe impairment of renal function, hepatic function, impulse initiation and conduction of the heart, patients in remission from porphyria or asymptomatic carriers of mutated genes responsible for porphyria. Patients with glucose-6-phosphate dehydrogenase deficiency are more susceptible to drug-induced methaemoglobinaemia. Do not apply to ulcerative lesions or during acute infections of oral cavity. Side-effects: Headache, local pain, soreness, numbness, ulcer, irritation, redness, reaction, taste perversion, dizziness, pulsation, vesicles, oedema, burning, nausea. Allergic reactions: Methaemoglobinaemia, consider giving i.v. injection of methylene blue. Pregnancy: Avoid use in pregnancy. Interactions: With sulphonamides. Observe caution in combination with other local anaesthetics or agents structurally related to amide-type local anaesthetics. Precautions: Do not freeze. package quantities: Box of 20 cartridges and 20 dental applicators. Legal category: POM. Product licence number: 18344 For further information contact the product licence holder: DENSTPLY Ltd. Building 3, The Heights, Weybridge, Surrey. KT13 0NY, United Kingdom. Date of preparation: September 2006. Adverse events should be reported to DENTSPLY or the MHRA. More information can be found at: www.yellowcard.gov.uk

A fast acting, needle-free local anaesthetic – uniquely combined with a patented, thermosetting system - which takes the pain out of scaling and treatment of gingival diseases such as periodontitis.

Visit dentsplyacademy.co.uk to view our preventative webinars: Ultrasonic scaling and why a multi-instrument approach is crucial to patient outcomes with Joanne Macleod

DENTSPLY ACADEMY


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The report is the first of its kind in England and takes into account 54,000 nursery school children in 145 out of 152 upper-tier local authorities. This provided reliable estimates for 289 out of 326 lower-tier authorities, with somewhat surprising results.

While the cause of dental decay is well understood and related to a range of factors – most commonly the frequent consumption of sugary foods, drinks and low fluoride exposure – location and social class weren’t always predictable factors.

In England, 12% of three-year-olds showed obvious examples of tooth decay. However the region with the highest percentage of three-year-olds with tooth decay was the East Midlands with 15%.

At the upper-tier local authority level there were wider variations, ranging from South Gloucestershire where only 2% had experience of dentinal decay to 15% in London and 34% in Leicester.

The average number of teeth per child affected by decay in England was 0.36. At the regional level this ranged from 0.24 in the east of England to 0.47 in the north-west.

Furthermore, the proportion of three-year-old children who have had one or more teeth extracted on one or more occasion, across England, was less than 1%. At upper-tier level the variation was small and ranged from zero in many areas to 3% in Herefordshire. The range at lower-tier level was greater with little relationship between caries prevalence and the likelihood of having had an extraction experience.

Across England 0.4% of three-year-old children showed signs of sepsis – a common and potentially life-threatening condition triggered by an infection – and, as expected, the level was generally higher in those areas where there were higher levels of decay.

Reducing the prevalence of tooth decay in your young patientsAn oral health report on three-year-old children undertaken in 2013 by Public Health England (PHE) reveals the prevalence and severity of dental decay in the UK.

Overall, a very large proportion of three-year-old children had no decay, and there was greater polarisation of cavities in this age group than had been typically seen among five-year olds – as previous reports stated that 1 in 4 children aged 5 experienced tooth decay.

Two-year prospective clinical follow upWhere caries levels increased sharply between the ages of three and five years, interventions are needed to tackle the causes during this later stage of the life cycle. Such interventions would seek to reduce the frequency and amount of sugar consumption in food and drinks as well as increasing the availability of fluoride.

Essential action would also be to stop the prolonged use of feeding bottles that contain sugar sweetened beverages – substituted instead with water or unsweetened milk. In addition, the introduction of free flow trainer cups and beakers rather than feeding bottles from about six months onwards is recommended. By the age of one, the use of bottles with teats should have stopped.

The Director of Dental Public Health at PHE recommends that parents take their toddler to the dentist no later than 18 months to help avoid the onset of tooth decay. Dental practitioners can then help advise on brushing and cavity prevention. They may use products like a prophylaxis paste such as Nupro® Prophylaxis Paste, to help remove any plaque build-up, or apply a fluoride varnish to help with cavity prevention.

DENTSPLY would like to add that whilst this report emphasises how the consumption of sugar in foods and drinks is detrimental to dental health, it should also be noted as a contributory factor to other issues of public health concern in children – such as childhood obesity.




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 [email protected].

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: [email protected]: 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® For endodontic treatment

Smartlite® PS/Smartlite® Focus Curing lights

Promix and Promix II Amalgamators

Visit dentsplyacademy.co.uk to view our product tutorials and handy ‘How To’ guides. DENTSPLY

ACADEMY



DENTSPLY REWARDS

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2222 THE DIFFERENCE

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, Co Donegal, Co Monaghan Emma Guy +44

(0)7590 182 754

Co Dublin, Co Kildare, Co Longford, Co Louth, Co Meath, Co Leitrim, Co Cavan, Co Sligo, Co Wicklow

Andrew Scannell +353 (0)872 609 592

Co Carlow, Co Kilkenny, Co Laois, Co Clare, Co Cork, Co Wexford, Co Kerry, Co Limerick, Co Offaly, Co Tipperary, Co Waterford, Co Mayo, Co Roscommon, Co Westmeath, Co Galway

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 Fiona Wilcockson 07971 662435

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 Jamie Warwick 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 Clare Collins 07792 154 123

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

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

BR, E, EC, EN, IG, SS, RM Abbe Dand 07967 741 930

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

CT, DA, ME, TN, SE Matt Lennox 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 [email protected]

For any technical or servicing advice, you can contact the Equipment Technical Helpline on 01932 837 332 or e-mail [email protected]

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1

2

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THE DIFFERENCE 23

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.

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

ProTaper Next® WaveOne®GuttaCore® Propex Pixi®Readysteel K-Flexo�le® X-Smart Plus® Endoactivator®

XCP-DS, Snap-A-Ray®,Flip-Ray®

Palodent® Plus

EARN REWARDS dentsplyrewards.co.uk

LEARN ABOUT IT dentsplyacademy.co.uk

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

Find us on Facebook DENTSPLY.UK

Follow us on twitter @DENTSPLY_UK

UKP

0044

0

Small things. Big difference.

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

renowned endodontist Dr Cliff Ruddle - VivaRep · .X® DENTSPLY ACADEMY CPD COURSES DETAILS INSIDE...

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