Digital Dentistry: “Milling so 2014”

Prof. Dr. Daniel Wismeijer, The Netherlands
show more/less With the digital approach digital dentistry is becoming an everyday tool for the dental professional and his team leading to efficiency, a higher treatment quality and providing more tools for quality control.
The next step in this process will be 3D printing crown and bridgework. This lecture will show some of the results that have been reached at ACTA where we are doing research in this field.

After attendance participants should be able to:
• understand the use of the full digital workflow in implant dentistry as it is provided at ACTA
• identify the shortcomings of milling dental restorations
• identify the different 3D printing technologies that are used in dentistry
• appreciate the possible applications of printed indirect restorations in dentistry
• understand that digitalization in dentistry will have a major impact on the everyday dental practice

Treatment Options for The Wear Patient

Prof. Paul A. Tipton, UK
show more/less We all live in a more stressful environment and as a result bruxism is on the rise.
Studies suggest that everyone will brux at some stage in their lives as a result of stress.
In addition more people are retaining their teeth and having complex restorative procedures completed at an ever increasing financial outlay as more and more people wear their teeth down at an alarming rate.
As a result their needs to be a review of the treatment options for the worn dentition and guidelines for the treatment that involves not only restoration of the teeth but also long term maintenance of these restorations including Occlusal Principles and how to gain the necessary space for the restorations which then involves alterations to the Vertical Dimension.

This paper will review all treatment options and recommend the correct Occlusal Principles and discus the management of restorative space and Vertical Dimension.

At the end of the lecture the delegates should understand the:
• treatment options for treating the worn dentition
• laboratory support and stages required
• how to plan the occlusal scheme
• how to manage the vertical dimension
• ways of gaining vertical space for restorations.

After attendance participants should be able to:
• discus all treatment options with the patient
• decide on the correct option for that patient
• manage various occlusal designs
• decide upon the type of occlusal splint required
• assess what vertical dimension to work at.

Intraoral Scanning: Gateway to Digital Prosthodontics

Dr. Phillip Tan, Australia
show more/less The relevance and practicality of digital dentistry has increased with the introduction of user-friendly intra-oral scanners that do not require special preparation of tooth surfaces and offer rapid capture of an entire mouth.
Coupled with comprehensive CAD software and milling solutions these intra-oral scanners are gaining traction as the preferred method for impression taking. This presentation will cover the concept of a digital workflow and its benefits, the use of an intra-oral scanner as the entry to this workflow and lastly the advanced applications of intra-oral scanning such as Digital Smile Design integration.


• understand the place of impressions in prosthodontics
• realise the historical developments in intra-oral scanning
• understand the principles underpinning intra-oral scanning
• see the areas of application for intra-oral scanning
• be exposed to the future developments in intra-oral scanning

Guided Surgery: Planning to Reality

Dr. Phillip Tan, Australia
show more/less Proper implant placement is one of the critical components to achieving optimal clinical outcomes.
It allows the construction of prostheses that are biologically appropriate, structurally sound and amenable to maintenance. A variety of clinical situations can complicate implant placement and surgical guides have been used to aid implant placement with varying success. This presentation covers reasons for using a guide, historical issues with guides, contemporary techniques and clinical outcomes.


• understand the factors contributing to a good implant restorative outcome
• realise the historical methods for surgical implant planning and their shortcomings
• understand the components involved in comprehensive 3D implant planning
• be exposed to the various methods of surgical guide construction
• see how implant planning can integrate with implant restorative techniques

Achieving True Digital Smile Design

Dr. Phillip Tan, Australia
show more/less Smile Design is a hot topic in the realm of aesthetic dentistry and there are various proponents of the technique.
The presentation will cover how to perform completely digital smile design which not only allows a preview of the final outcome as well as offers advanced treatment planning, seamless integration with CAD/CAM manufacturing and final prosthesis design.


• Review of the principles of smile design
• See the integration of intra-oral scanning and 2D photography in Dental System
• Understand the components necessary for the 3Shape Smile Design process
• Be exposed to the manufacturing options available after the smile design process is complete
• Review of scenarios where smile design can be successfully implemented

Designing Smiles in The Dental Practice

Dr. Eduardo Mahn, Chile
show more/less We live in an era of increasing competition in society.
One of the aspects that we first show to others is our smile. Whenever we meet someone for the first time, a nice and pleasant smile can definitely make a difference. Years ago, the range of options for real aesthetic improvements were very limited. Orthodontics was limited to non-aesthetic brackets and prosthodontics was limited to PFM crowns, with the consequence of mayor tooth destruction in order to achieve the aesthetic expected results. Fortunately, science has improved fast and we see dramatic improvements in the aesthetic potential and the strength of composites, ceramics and cements, which allow us to correct mismatches and improve the smiles of our patients, sometimes without biomechanical preparations of their teeth.

However, the technical part is just one side of the story and most of us already know how to solve most of the challenges. Historically, in dentistry we have focused our teaching in the technical and “hard aspects” of our profession and left aside the so-called “soft aspects” of the patient relations. We should never forget that most of our decisions are driven by emotions. The way we present ourselves to the patient and the experience they receive in our dental practice is of paramount importance. This issue is even more critical in cases were aesthetics plays an important role. Of course, when someone arrives to the dental practice with severe pain, the target is to relieve the pain and solve the patient´s chief complain. On the contrary, when the patient´s consultation is due to aesthetic concerns the experience has to be different. We have to design a plan from the facial perspective, the mayor aspect that they care about. We have to record static smile and dynamic smile. We have to recognize the difference between the social or learned smile and the spontaneous smile and consider their differences in the treatment plan. In addition we can include the patients desires and expectations with a morpho-psychological approach. The Visagism is used in fashion, make-up and hair styling industry and is gaining popularity in our profession. As an example, it helps the clinician to establish which tooth form can match certain personalities. All these aspects combined with the right knowledge of preparation rules, material science and aesthetics will help us master even the most challenging cases.

CAD/CAM Technology, Easier, Faster and Better Than Ever...

Dr. Eduardo Mahn, Chile
show more/less All-ceramic restorations provide better esthetics and biocompatibility than metal ceramics.
However, many early all-ceramic systems were plagued by relatively low fracture strengths and an uncertain long-term clinical behaviour. Current high-strength ceramic materials provide fracture strengths and fracture toughness up to ten times higher than that of traditional ceramic materials.

Traditionally dental lab technologists have manipulated metals and ceramics using centuries old methods. These methods are time-consuming, sensitive and unpredictable. With multiple steps, many variables and a need for innate hand-eye coordination skills. For many years, CAD/CAM dental restorations have been considered novel and on the cutting edge of treatment technologies. Even today, only a small percentage of practicing dentists use CAD/CAM generated restorations in routine practice.

However, in the last years we have seen a strong new interest. We are opening the doors to a new era in Dentistry. CAD/CAM technology is not only here to stay—it will be the standard in dentistry in the very near future.

The lecture will analyze the history and the improvements in CAD/CAM technology. The properties, advantages and indications of new blocks are going to be discussed and new cementation techniques with the latest improvements are going to be presented.

Cosmetic Orthodontics - The Missing Piece in Minimally Invasive Cosmetic Dentistry

Dr. Biju Krishnan, UK
show more/less It is no longer acceptable just to pick up the drill and start cutting enamel when significant improvements to tooth position can be made in as short a time as six weeks.
Advances in dental materials allows construction of thinner and stronger ceramic restorations than ever before and the latest generation bonding systems provide ever increasing longevity. However, if a patient presents with crowding and wants a quick cosmetic solution, heavy preparations still need to be carried out. Minimally invasive dentistry can only really be carried out on a well-aligned arch. If the patient does not want 18 months of conventional orthodontics first, where does that leave us? Until now the answer has been either cut or do nothing.

Minimally invasive cosmetic dentistry has been revolutionised by the advent of cosmetic orthodontics. With occlusion friendly appliances aimed at the general practitioner, pre-alignment of teeth before destructive enamel preparation is now becoming the norm in all smile design cases. Add to that the introduction of CAD/CAM systems and never before has the provision of simple anterior cosmetic orthodontics been so predictable, safe and profitable for the general dental practice setting.

Learn from Dr Biju Krishnan, the creator of one of the world's most successful cosmetic orthodontic systems - CFAST. Singapore based, Dr Krishnan has taught thousands of dentists around the world in cosmetic orthodontic techniques to enable general practitioners to provide this important treatment option as part of their overall cosmetic offering.

Learning objectives:
  • An overview of what can be achieved using cosmetically focused orthodontic techniques.
  • Why you must consider this option in all restorative/cosmetic treatment planning.
  • Basic principles and techniques.
  • When to use and when to avoid.
  • Dispelling some of the myths and misinformation.

Planning and Predictability of Clinical Outcomes in Esthetic Rehabilitation

Dr. Andreas Kurbad, Germany
show more/less In esthetic rehabilitation, it is a challenge to meet the needs of patients with growing expectations.
Creating predictable results is the key to success. This can be accomplished by performing a comprehensive esthetic diagnosis, elaborating treatment proposals that satisfy today´s esthetic standards, and using modern computer-assisted methods.

The diagnostic wax-up and mock-up are effective tools that allow patients to visualize treatment proposals without invasive procedures. Once the patient has approved the proposals, they provide the basis for the fabrication of the final restoration. The use of modern ceramic materials makes it possible to achieve a good esthetic outcome, even in restorations with extremely thin layer thicknesses. Esthetic cementation is the final step of restorative treatment.

Learning objectives:
  • Tips and Tricks how to achieve the targeted esthetic outcome
  • Get to know modern computer-assisted methods to meet today´s esthetic standards
  • The Choice of the right material

Aesthetics Supported by Chairside CAD-CAM Systems

Dr. Christian Moussally, France
show more/less Chairside CAD/CAM acquisition units, which are increasingly used in dentistry, allow us to do ceramic-based aesthetic restorations in just one session.
Inlays and onlays, veneers and crowns can be done within one appointment. With this technology there is no need for temporary restorations and a second appointment anymore, which is sometimes difficult to achieve and often time-consuming – and most importantly one – visit – dentistry leads to happier patients! With the wide range of CAD/CAM chairside systems and different materials available on the market (e.g. the Omnicam which allows powder – free scanning) it is time for you to step into the world of Digital Dentistry. As Chairside CAD/CAM systems combined with all these breakthroughs help us to meet the requirements of our patients – can we afford not to go digital?

Learning objectives:
  • Evolution of CAD/CAM Technology and The Benefit of Digital Impression
  • Giving life to the restorations: Aesthetic and Time-saving technique
  • Ease – of – Use Workflow of integrated Implant Planning
  • Preparation, Bonding and CAD/CAM Materials

Digital Solutions for Today and Tomorrow & understanding Materials Optimized for Digital Dental Applications

Mr. Vanik Kaufmann-Jinoian, Switzerland
show more/less Things are changing in the dental field in a rapid manner.

The presentation will cover the following areas
1. Materials
Selecting the right material to achieve highest aesthetics and be cost efficient with CAD/CAM.
2. Staining
internal and external stain techniques and how it will contribute to the successful fabrication of natural looking teeth. VKJ will introduce various staining techniques, surface texture to help you discover simple but powerful ways to perfect your work.

It seems like every month there are new techniques and materials being introduced to the market. For sure we know that our profession is changing and going big time digital. Digital technology and digital workflows allow us to be more economical safe cost and create with new materials excellent aesthetics. In the last six years I have been part of a beta testing group testing new materials and techniques to be used especially for minimum invasive preparations.

Also the trend with hybrid type materials especially for implant solutions has been part of our research and testing. During this presentation you will see trends in which direction technologies is going. Hybrid materials and what benefits it has brought to the dental world. The next generation Lithium glass ceramics enforced with Zircon oxide.

A direct approach for easy shade selection in less than 30 seconds that guarantees you the right shade. I will also talk about where we are standing in modifying crowns or veneers before bonding in the patient's mouth.

Progressive Smile Design

Dr. James Russell, UK
show more/less Key Learning Objectives: By the end of the presentation delegates will better understand:
• The role of orthodontic pre-alignment in restorative dentistry
• Benefits of interceptive orthodontics in adults
• ABB Protocol (Align, Bleach, Bond)
• Role of no preparation veneers 

Laminated Zirconia - My Way to Guaranteed Long-term Success

Joachim A. Maier, MDT, Germany
show more/less The lecturer processed over 10.000 Units of laminated Zirconia since 1999 and reports on his experiences with success and failure in his everyday life.

Patients demand a high standard of durability, the benefits over a long period of time. Can we guarantee this the patient and our dental clients?

Joachim’s discussion of materials will cover how chipping is requiring new working methods. Joachim will present 7 Steps to guaranteed long-term success with laminated zirconia. Topics include case planning, functional diagnostics and occlusal morphology and several key insights concerning processing.

Rounding out that topic will be a review of scientific studies and what can be learned from them.

This presentation is a must-see for anyone interested in learning how Joachim`s concept help laboratories to be efficient and to guarantee competitive long term success on laminated Zirconia.


• understand the parameters of case planning in full ceramic treatment concepts
• see the benefits of functional diagnostics and the transformation of the selected data to the virtual world
• observe the creation of digital dynamic occlusal morphology
• see the special protocol of laboratory procedure with the most important key points
• understand the principles of material selection in relation to the oral conditions
• realize the optical developments in monolithic zirconia
• take home the compressed strategy to long term functional, esthetical and economical success with zirconia

Digital Planning and the Digital Workflow

Dr. Maria Hardman, UK
show more/less High quality, yet low dose CBCT (Cone beam computerized tomography) offers the clinician a justifiable radiographic evaluation of the dental structures, capturing high definition and accurate images, facilitating visualisation in 3 dimensions.
This is indispensible in evaluation of cases for endodontics, periodontics, planning of complex surgical extractions, evaluation of trauma, but really comes into its own in the pre-surgical planning and evaluation of cases requiring dental implants.

Analysis of the CBCT images facilitates identification of the anatomical structures, simulation of the desired implant placement along with an awareness of any associated osseous defects to be managed, and in some cases selection of appropriate abutments, with full consideration of the desired prosthetic outcome.

For all treatment modalities there is an enhanced patient understanding.

With more recent advances in technology, the digital workflow now extends to digital impression taking and utilising laboratory CAD/CAM processes. These techniques assist in delivering to our patients an improved experience, improved results and less time in the dental chair.

Clinicians who adopt these solutions will gain enhanced patient confidence and greater treatment plan acceptance. This presentation will demonstrate how these methods complement one another and enable us to understand how the digital workflow offers many advantages, for both patient and clinician.

Fully Integrated Implant Placement, Design and Restoration Within The Office

Dr. Adam Foleck, USA
show more/less Cone Beam Technology has allowed the dentist to evaluate the dental arch and design the best treatment plan options to replace the missing tooth or teeth.
By using the various screens (cross sectional, axial and tangential), the dental implants can be placed and then accurately replicated using a surgical guide. The classic workflow has utilized wax-ups, models, bite registrations and barium sulfate guides to produce surgical guides.

By integrating CAD/CAM and cone beam technologies, several steps can be eliminated in producing surgical guides in the partially edentulous dentition. Optical impressions and digital crown design has allowed for an easy and more time efficient manor to place implants with the correct axial load.

The next step in the evolution of this technology is being able to fabricate the surgical guides in the dental office as well as producing the final abutments and restorations.


• Understand the various workflows for surgical guides
• Understand how to use CAD/CAM technology with the cone beam
• Understand how CAD/CAM design can influence implant placement
• Learn how and when to design an “in-office” surgical guide
• Understand how to use an “in office” lab to produce abutments and crowns

All in a Day – a Look Inside CAD/CAM Integrated Dental Laboratory

Ike Intoratat, New Zealand
show more/less “The Future is Now” seems to be a common phrase today; colloquially used to describe a lot of things especially when it comes to technology.
CAD/CAM system and its application is more tangible than we could ever imagine 20 years ago. It is now the norm for any dental technician to know how to create a full-contour ceramic crown using a mouse and keyboard just as well as an electric wax knife and kolinsky brush. This presentation will take you on a 24 hour journey of the productivity in a CAD/CAM integrated lab; maximizing the benefits of the Wieland Zenotec Select Hybrid Technology. A wide array of application of this CAD/CAM system allows different type of prostheses to be created and assimilated with Ivoclar Vivadent IPS e.max System. This combination of digital and analogue technology displays a harmonious blend of the new and old school dental technology.


• Introduction to the application of Zenotec Select Hybrid System
• Workflow of a CAD/CAM integrated dental laboratory
• Suitability of materials based on mechanical properties and case selection
• Integration of CAD/CAM and Press technology
• Pressing and Firing nano-fluorapatite glass ceramic on Zirconium dioxide framework

The Digital Workflow Based on Digital Impressions. What’s Possible, What Makes Sense?

Hans-Jürgen Stecher, MDT, Germany
show more/less It’s here to stay. The landscape of dentistry is changing rapidly, thanks to the ever-increasing variety of digital technologies.
It’s a topic that has created a tremendous amount of interest in both, the dental office and the dental laboratory.

This lecture will give an overview on the available intraoral-scanners and demonstrate the use and results. Several cases will be shown step by step. In this context, the principles and characteristics of the optical impression, the digital interfaces, the possibilities and limits of the present-day techniques and at the sometime high-quality dental restorations is also discussed.

The properties of these technologies and their indications, as well as the appropriate use must be understood in order to enable the achievement of predictable results for the patient.

Upon completion of these presentation, participants should be able to
• Describe the use of dental digital technology in dentistry
• Discuss the potential of intraoral scanning in dentistry
• Evaluate prosthetic protocols in a fully digital workflow
• Explore possibilities in the modernization of the prosthodontic clinic-laboratory interface

The Dental Technician – a Digital Craftsman?

Hans-Jürgen Stecher, MDT, Germany
show more/less Computer-aided design/computer-aided manufacturing (CAD/CAM) technology continues to rapidly evolve in the dental community.
This lecture provides an overview of the operational components and methodologies used with CAD/CAM systems. In the description of the practical application of the current CAD/CAM systems, the possibilities and limits of the present-day techniques and future outlook are illustrated. In this context, we will also discuss the necessity and the role of traditional dental-technician knowledge in combination with technology. Several patient cases will be shown step by step, the current range of materials available for the computer-assisted production of biocompatible and at the sometime high-quality dental restorations is also discussed.

Upon completion of these presentation, participants should be able to

• Describe the criteria necessary to properly diagnose and treat patients using CAD/CAM technologies
• Explain the protocol and workflow needed to consistently deliver functional successful restorations
• Identify alternative materials and methods in the fabrication process of CAD/CAM restorations
• Recognize the role of traditional knowledge in dental technologies

What is The Correct Bite?

Peter Bausch, Germany
show more/less - The function of hydrostatic TMJ Splints and muscle trainer to establish a physiologic position of the mandible.
- Bite registration technique with Aqualizer to place condyles into a physiologic position.
- Customization of a relaxation splint in physiologic position using CAD/CAM technique
- New aspects of coordinated masticatory muscle training with Rehabite versus splint therapy.
- All topics will be visualized with graphic 3D Animations

Learning objectives:
  • Basic introduction into Occlusion
  • Influence of Occlusion to the stomathognathic system
  • Influence of Occlusion to the entire body (TMJ-Syndrom, posture of body)
  • Introduction to Occlusal concepts
  • Occlusal diagnosis with different materials and techniques
  • Occlusal adjustments and therapy
  • Therapy with Occlusal splints
  • Influence of Occlusal interferences on prosthodontic restorations and implants

Full Denture - Digital!

Baris Cakir, DT, Germany
show more/less The first continuous CAD/CAM workflow for full dentures
Ceramill Full Denture Workflow is the first CAD/CAM based system in dental technology with which the entire fabrication process for full dentures up to the wax try-in stage can be completed inhouse.

Ceramill Zolid FX Classic & Preshades
Ceramill Zolid FX  is a super-high translucent (SHT) zircon oxide, which is suitable for monolithic and anatomically reduced restorations in the anterior and posterior region due to its excellent optical characteristics.

Learning objectives:
  • Step by step guide for reproducible and functional Digital Full Dentures
  • Providing a functional processing chain for digital production of Full Dentures
  • Replaces the unfavored, prone to error, time consuming and complex manual processing of Full Dentures

Permanent 3D Printing Bio Material Solutions for Crown & Bridge, Ortho & Full Dentures.

Rik Jacobs, The Netherlands
show more/less The goal is to educate the Dental Technicians that 3D printing is a mature technology in the meantime adopted by the Dental Industry with a number of advantages in comparison with milling

Learning objectives:
  • Latest update on DLP printers for Dental applications
  • Latest update on Software applications
  • Latest update on Workflow management
  • Latest status of Biocompability of different materials for different applications
  • Latest status of material developments like Clear materials & Composites
  • Economies of Scale

Aesthetic Révolution Through New Fields of Applications

Eric Berger, France
show more/less As a dentist or dental technician you need a system that represents a perfect match to your daily challenges - a system which enables you to save time, to respond more flexibly, and safeguard the future of your laboratory.
To break the chains of dependencies, manufacturers offer a wide range of machines that help you to use your time to the outmost: Processing of the widest possible range of production options, largest selection of materials and an unrestricted indication variety. In an age where our society takes more pride about their physical appearance than ever, let us help to provide them with a perfect smile! Together we will take a look into the possibilities of digital aesthetics.

Learning objectives:
  • Mastering the Art of Color and Shade
  • Learn How to Prepare Anterior Teeth for Optimal Aesthetics
  • Learn Why preparation is an Integral Role in Your Success
  • CEREC Veneers – a Fast, Tooth – Conserving Alternative to Anterior Crowns

Convergence of Digital Dental Technologies and Advanced Applications of CAD/CAM

Terry Whitty, Australia
show more/less From a dental technology perspective, the direction remains clear.
Digital dentistry, CAD/CAM, digital impressions and the like continue to evolve and are absolutely here to stay. There is also a clear pathway for laboratories to participate albeit in a different way that has seen dentists and dental technicians work cooperatively as in the past. The future of dental technology is firmly rooted in mechanisation and automation.

With the already established players in digital dentistry, there is now a major move toward a convergence of interrelated technologies. For example by merging highly accurate 3D data obtained from scanning in the mouth or on the bench with 3D radiographs and extraoral facial scans it is possible to allow dentists to create virtual patients with all the metrics required for diagnosis, treatment planning and technology-aided treatment.

If you can imagine placing an implant perfectly in the mouth of a virtual patient and then transferring the telemetry to the mouth of the real patient via a computer manufactured surgical guide and you will have a good idea of what is possible right now.

This lecture will investigate this convergence and show some practical examples of current applications using CAD CAM technology available today.

Learning objectives:
  • Overview of current imaging technologies and The Digital Dental Workflow
  • Understand Convergence of Imaging Technologies and how it relates to the laboratory technician/ dentist relationship.
  • To understand the technicians role in manipulating converged CAD data
  • View workflow examples in relation to Current Digital Dental Technology
  • Observe Computer Aided Manufacture examples and various types of materials and how they relate.

The Combination of 3D Data – a New Tool for Dentistry

Gary Finelle, France
show more/less The first optical scanning systems were introduced into dentistry more than 40 years by the father of digital dentistry, Dr. François Duret.
During the last decade, technological advances in 3D imaging scanners intraoral and computer-aided design / computer aided manufacturing (CAD / CAM) were significant and are inevitably driving our future practice to a dentistry more and more computerized.

In the field of implantology as in the field of dentistry, the digital workflow will permit to articulate different phase of treatments from Smile design analysis diagnosis, implant planning and prosthetic restoration in order to improve the multidisplinary approach and facilitate communication within the team.

In our presentation, we will see how the Planmeca’s technologies fit within the "digital workflow" and allows us to merge digital dataset for an optimized diagnostic and subsequent surgical and restorative treatment.

Innovations and aspirations in dental technology

Mr Andrea Bonfiglio, Singapore
show more/less Dental technology is an ever-changing business in constant evolution. Today’s innovations may be long forgotten tomorrow.
The appearance of CAD/CAM systems on the market has changed the craft of the dental technician. Technical progress constantly brings forth new components and innovative technologies, with which another step towards an integral and precise digital workflow can be made. That is why it is crucial for dental technicians to keep up to date with new developments and innovations.

This lecture, held by dental technician Andrea Bonfiglio, independent employee at the South Tyrolean Company Zirkonzahn, will present novel possibilities of modern CAD/CAM designing and software-aided planning and will provide an insight into future technologies.

He will explain how innovative inventions such as the Face Hunter (a 3D facial scanner for photorealistic 3D digitisation of patient faces) and the PlaneSystem® (a device for capturing the patientindividual occlusal plane), can help dental technicians get one step closer to the goal of achieving a complete digitalised workflow. He will exemplify the function of the two devices and how they can be integrated into the digital process.

As new developments often also result in a choice in newer, better materials, Bonfiglio will also inform the spectators about the newest product innovations by Zirkonzahn.